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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-K/A
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934
For the Year Ended December 31, 1997
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the transition period from ________________ to ________________
Commission File Number 0-11488
PHYSICIAN PARTNERS, INC.
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(Exact name of registrant as specified in its charter)
Delaware 91-1217068
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(State or other jurisdiction of (I.R.S. Employer ID No.)
incorporation or organization)
111 SW Columbia Street, Suite 725
Portland, Oregon 97201
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(Address of Principal Executive Offices) (Zip Code)
Registrant's telephone number, including area code:
(503) 224-2249
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SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT:
None
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(Title of Class)
None
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(Title of Class)
Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days.
YES X NO
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Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. [X]
The number of shares of the Registrant's Common Stock outstanding as of
March 30, 1998 was 6,464,196.
DOCUMENTS INCORPORATED BY REFERENCE
None.
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TABLE OF CONTENTS
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PART I
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Item 1: Business
Item 2: Properties
Item 3: Legal Proceedings
Item 4: Submission of Matters to a Vote of Security Holders
PART II
Item 5: Market for Registrant's Common Equity and Related Stockholder Matters
Item 6: Selected Financial Data
Item 7: Management's Discussion and Analysis of Financial Condition and Results of Operations
Item 8: Financial Statements and Supplementary Data
Item 9: Changes in and Disagreements with Accountants on Accounting and Financial Disclosure
PART III
Item 10: Directors and Executive Officers of the Registrant
Item 11: Executive Compensation
Item 12: Security Ownership of Certain Beneficial Owners and Management
Item 13: Certain Relationships and Related Transactions
PART IV
Item 14: Exhibits, Financial Statement Schedules, and Reports on Form 8-K
</TABLE>
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PART I
ITEM 1: BUSINESS
OVERVIEW
Physician Partners, Inc. ("PPI" or "Company") is a physician practice management
("PPM") company that operates primary care and multi-specialty clinics in the
Pacific Northwest. PPI was formed in June 1996 in connection with certain
reorganization and merger transactions (the "Transactions") contemplated by the
Amended and Restated Agreement and Plan of Reorganization and Merger (the
"Reorganization and Merger Agreement") among Medford Clinic, PC ("Old Medford"),
HealthFirst Medical Group, PC ("Old HealthFirst"), The Corvallis Clinic, PC
("Old Corvallis" and, together with Old Medford and Old HealthFirst, referred
to herein, collectively, as the "Old PCs"), and PPI, which Transactions were
consummated on February 1, 1997.
The Transactions resulted in a separation of operations of each of the Old PCs
between medical professional services activities (i.e., providers of medical
services) and the physician practice management activities of the business.
Pursuant to the Merger, the physician practice management business, along with
substantially all of the assets and liabilities of the Old PCs (including cash,
receivables, inventories, prepaids, property, plant and equipment, payables,
accruals, debt, and certain contractual commitments) became the assets and
liabilities of PPI. The New PCs are responsible for providing medical services
and incur the related costs for provider compensation and benefits. The assets
transferred to the New PCs, which had nominal value, include the employment
agreements between each Old PC and its providers, certain provider contracts
under which the New PCs will be receiving fee-for-service compensation and
patient medical records.
As an integral part of the Transactions, PPI and each of the New PCs entered
into a 40-year management agreement (the "Management Agreement") whereby PPI
provides physician practice management services to such New PCs. PPI provides
to the new PCS, among other things, management and administrative services,
capital resources, facilities, equipment and supplies. As consideration, PPI is
entitled to (a) reimbursement of all management costs and expenses ("Manager's
Expenses") incurred by PPI in connection with the Management Agreement and (b)
a management fee equal to 16% of (i) net revenues relating to services provided
by the New PCs less (ii) Manager's Expenses.
The Management Agreement provides for the establishment of the Joint
Management Board of the New PC. The Joint Management Board is designed to
represent the clinical and physician perspective and the management and
business perspective. The Joint Management Board consists of six members,
with three members appointed by the New PC (physician members of the New PC)
and three members appointed by PPI (one of whom must be a local PPI group
practice administrator). The Medical Director of the New PC serves as a
seventh ex officio, non-voting member of the Joint Management Board. The Joint
Management Board provides local expertise and develops and approves all
proposals submitted to PPI for it's approval regarding the New PC's growth,
annual budgets, payor relations, local strategic initiatives and capital
improvements.
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GENERAL
The mission of PPI is to pioneer innovative health care delivery into the 21st
century as a leading primary care-based multi-specialty physician practice
management company. To achieve such goal, PPI endeavors to enable its affiliated
clinics to deliver health care with sound ethical standards by involving
physicians at every level of PPI, including clinical and business policy
development and decisions. PPI continuously seeks to innovate to enable the New
PCs to deliver quality patient care and services efficiently. PPI also actively
seeks opportunities to grow through acquisition of quality primary care based
multi-specialty group practices. PPI operates as a PPM organization, focusing on
the long-term management of high quality, well-positioned primary care based
multi-specialty group practices. PPI typically acquires certain assets of
established medical groups, such as their equipment and accounts receivable, and
manages such medical groups under a long-term management agreement. Because PPI
does not employ physicians and does not practice medicine, it does not acquire
provider professional services business assets such as Medicare provider
numbers.
While PPI is similar to other multi-specialty group practice PPMs, PPI can be
distinguished and differentiated in several important aspects. PPI is the first
PPM to originate in the Pacific Northwest. As of December 31, 1997, PPI has
significant geographical presence and strength in the State of Oregon with
nearly 302 providers practicing in the New PCs and various clinical delivery
sites. PPI is also distingushable in that it is owned by group practice
physicians. PPI employs a full-time Chief Medical Officer responsible for
managing the clinician and clinical issues with each New PC's Medical Director.
PPI's business and clinical managers have extensive experience with managed
care under a variety of payment methodologies due to the fact that PPI is the
surviving corporation of a merger of three successful primary care-based
multi-specialty groups which have, collectively, more than 150 years of
group practice and group practice management experience.
PPI also has a Medical Ethicist as an advisor to the Board of Directors in
order to assist the physicians affiliated with PPI in adherence with the
fundamental principles of medical ethics, acting as advocates for their patients
and providing quality patient care. The Medical Ethicist attends board
meetings of PPI and advises the Board regarding ethical implications of the
issues with which the PPI Board must deal.
Business Strategy
PPI's strategy is to consolidate medical group practices into networks of health
care providers. Although PPI's operations are currently concentrated in the
Pacific Northwest, PPI intends to explore growth opportunities nationally.
Within each of its managed clinics, PPI seeks to achieve a mix of primary care
and specialty physicians who can provide services necessary to establish a
significant market presence. PPI enhances medical group operations by
standardizing financial reporting; centralizing contract negotiations; seeking
best administrative and clinical practice; improved data management; group
purchasing, and capital investment.
PPI seeks to affiliate with highly productive medical groups with significant
market share where they practice and which have strong reputations among
patients, payors and peers for providing quality medical care. PPI seeks to
acquire the operating assets of these practices and contract with the medical
groups for 40 years for management services in exchange for a management fee.
PPI's profitability then depends, to a certain extent, on enhancing operating
efficiency, expanding health care services provided, increasing market share and
assisting affiliated providers in managing the delivery of health care. PPI's
network integrates practices via financial and clinical systems and offers
groups the opportunity to maintain market competitive compensation, to gain
increased access to capital, greater management expertise, more sophisticated
information systems and more attractive managed care contracts.
The key elements of PPI's strategy include:
Strengthen Operational Efficiencies.
Cost reductions can be made through economies of scale in purchasing
supplies, equipment, insurance and services.
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Operational efficiencies may also be achieved by expanding PPI's market
coverage and number of health maintenance organization ("HMO") enrollees,
refining utilization management programs, increasing standardization,
developing additional in-house specialty and ancillary services, increasing
emphasis on outpatient care and utilizing sophisticated information systems
to make available detailed clinical data that can ensure both quality and
cost containment.
Expanding the Existing Markets of the New PCs.
Growth in greater Portland, Corvallis and Medford, Oregon may occur through
the acquisition of or affiliation with physicians and medical groups within
those markets. PPI has invested capital in each of the three New PCS and
intends to assist these practices in acquiring existing local medical
groups. Such new groups will have the opportunity to be incorporated into
the governance and leadership structure of the existing PPI hub clinic.
Expansion into New Hub Markets.
Expansion into new areas is anticipated to occur primarily through the
acquisition of physician groups. New PPI hub clinics are expected to be
primary care-based multi-specialty groups with (i) more than 30 physicians,
(ii) potential for a significant market share, (iii) a strong group practice
culture, (iv) experience or interest in managed care and (v) a strong
reputation for providing high quality medical care in its community.
Developing and Acquiring Small Physician Practice Groups.
In markets including the Pacific Northwest, many communities are too small
to support the typical PPI primary care-based multi-specialty group practice
hub. There are many primary care-based medical groups with fewer providers
that have significant market presence. Opportunities for growth may arise in
market segments other than the physician-owned, primary care-based
multi-specialty groups, such as independent practice associations ("IPAs")
and provider hospital organizations ("PHOs"). PPI may consider acquiring
the assets of physicians from hospital systems, HMOs or academic medical
centers.
SERVICES
Each clinic affiliated with PPI offers a wide range of primary and specialty
physician care and ancillary services through organized physician groups.
Approximately 52% of the providers affiliated with PPI are primary care
providers and approximately 48% practice various medical and surgical
specialties. The primary care physicians are those concentrating in family
practice, internal medicine and pediatrics.
Medical and surgical specialties include:
Allergy and Asthma Neurology
Behavioral Health Obstetrics
Cardiology Occupational Medicine
Critical Care Oncology
Dietician Ophthalmology
Dermatology Optometry
Endocrinology Orthopedics
Gastroenterology Otolaryngology
Gynecology Podiatry
Hematology Rheumatology
Immunology Surgery- General and Vascular
Infectious Disease Urology
Nephrology
In addition to medical services, the clinics affiliated with PPI offer a number
of ancillary services through facilities within their offices, including
cardiopulmonary and clinical laboratories, renal dialaysis, physical therapy and
radiology facilities, optical dispensary and pharmacies.
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GOVERNMENT REGULATION
Many aspects of the health care industry are presently subject to extensive
federal and state governmental regulation. Applicable federal and state laws
include the fraud and abuse provisions of the federal Medicare and Medicaid
statutes, which prohibit the solicitation, payment, receipt or offering of any
remuneration, either direct or indirect, in exchange for or with the intent to
induce the referral, of Medicare or Medicaid patients or for the recommendation,
arranging, leasing or purchasing of goods or services for which payment may be
made under the Medicare or Medicaid programs. Violation of the fraud and abuse
laws is punishable with criminal and civil penalties. Federal law also imposes
significant penalties for false or improper billings for physician services. In
addition, the federal "Stark" law generally prohibits referrals by physicians
for designated health services reimbursable under the Medicare and Medicaid
programs to entities with which such physicians or their immediate family
members have a financial interest.
There can be no assurance that review of the operations of the Old PCs prior to
the Merger, or the operations of the New PCs and PPI after the Merger,
by courts or regulatory authorities will not result in a determination or
further action that could have a material adverse effect on PPI. Moreover, there
can be no assurance that existing laws and regulations will not be amended,
interpreted or applied in the future in such a way as to have a material adverse
effect on PPI, or that additional laws will not be enacted.
Significant risk factors relating to the business of the Old PCs, the New PCs
and PPI are described in more detail below.
Fraud and Abuse Laws
Certain provisions of the Social Security Act, commonly referred to as the
"Anti-Kickback Statute," prohibit the offer, payment, solicitation, or receipt
of any form of remuneration in return for the referral of Medicare or state
health program patients or patient care opportunities, or in return for the
recommendation, arrangement, purchase, lease or order of items or services that
are covered by Medicare or state health programs. In recent years, there has
been increasing scrutiny by law enforcement authorities, the United States
Department of Health and Human Services, various state agencies, the federal and
state courts and Congress, of financial arrangements between health care
providers and potential sources of patient referrals to ensure that such
arrangements are not disguised mechanisms to pay for patient referrals. The
Anti-Kickback Statute is broad in scope and interpretations by various courts
have been ambiguous or conflicting in certain respects. To the extent PPI is
deemed to be either a referral source or a separate provider under the New PC
Management Agreements that is in a position to influence referrals to or from
physicians, the financial arrangements under these agreements could be subject
to scrutiny and prosecution under the Anti-Kickback Statute.
Furthermore, each of the Old PCs has had a history of receiving and making
referrals to providers in their respective communities. There can be no
assurance that the business practices of the Old PCs prior to the consummation
of the Merger would be construed to comply with the fraud and abuse laws in all
respects by applicable federal and state authorities. PPI or the New PCs, as
successors in interest to the Companies, would be subject to liability in
connection with any enforcement action taken against the Old PCs by a
regulatory enforcement agency with respect to such laws.
Physician Self-Referral Law
Significant prohibitions against physician self-referrals for services covered
by Medicare and Medicaid programs were enacted, subject to certain exceptions,
by Congress in the Omnibus Budget Reconciliation Act of 1993. These
prohibitions, commonly known as Stark II, amended prior physician self-referral
legislation known as Stark I (which applied only to clinical laboratory
referrals) by enlarging the list of services and investment interests to which
the self-referral prohibitions apply. Effective January 1, 1995, Stark II
prohibits a physician, or a member of his or her immediate family, from making
referrals for certain "Designated Health Services" to entities in which the
physician has an ownership or investment interest, or with which the physician
has a compensation arrangement. In addition to the conduct directly prohibited
by the law, the statute also prohibits schemes that are designed to obtain
referrals indirectly that cannot be made directly. The penalties for violating
the law include (i) a refund of any Medicare or Medicaid payments for services
that resulted from an unlawful referral, (ii) civil fines, and (iii) exclusion
from the Medicare and Medicaid programs. "Designated Health Services" include,
among other things, clinical laboratory services, radiology and other
diagnostic services, radiation therapy services, durable medical equipment,
prosthetics, outpatient prescription drugs, home health services and inpatient
and outpatient hospital services. Stark II prohibitions include referrals
within the physician's own group practice (unless the practice satisfies the
"in-office ancillary services" exception) and referrals in connection with
physicians' employment arrangements (unless the arrangement satisfies the
"in-office ancillary services" or "employment" exceptions). In addition, Stark
II applies to indirect financial arrangements. To the extent physicians managed
by the Company are determined to have an indirect financial relationship with
physicians in separate practices which are managed by the Company, absent a
Stark II exception, referrals for Designated Health Services between physicians
in different practices could be prohibited. Stark II also prohibits billing the
Medicare or Medicaid programs for services rendered in conjunction with
prohibited referrals. Noncompliance with, or violation of, Stark II can result
in exclusion from the Medicare and Medicaid programs and civil penalties. The
Company believes that its operations and those of the New PCs as presently
conducted do not pose a material risk of liability under Stark II, primarily
because PPI does not currently provide "Designated Health Services."
Nevertheless, there can be no assurance that Stark II will not be interpreted or
hereafter amended in a manner that has a material adverse effect on the
Company's operations as presently conducted.
In this regard, on January 9, 1998, the Health Care Financial Administration
published proposed regulations interpreting the scope and refining the
application of the Stark II law. These regulations provide, in the case of
Designated Health Services provided by a "group practice," that the overhead
expenses and income from such group practice must be distributed according to
methods that indicate that the practice is a unified business and not based on
each satellite office operating as if it were a separate enterprise. Only "group
practices" as defined by Stark II can utilize the general exception under the
law for "in-office ancillary services." There can be no assurance that the
distribution methodology of the New PCs will meet the unified business
requirement or that each of the New PCs otherwise will be deemed to be a "group
practice" if challenged. A determination that sharing of overhead expenses and
income by the New PCs does not comply with Stark II or failure to satisfy any
other criteria necessary to qualify for the "in-office ancillary services"
exception to the Stark II prohibition would preclude physician owners of a New
PC from referring Medicare/Medicaid patients to such New PC for Designated
Health Services, and could have a material adverse effect on the Company.
In addition, the proposed regulations contemplate that the issuance to
physicians of stock in a company prior to such company being publicly traded may
not satisfy the Stark exception for ownership interests in publicly traded
companies. Thus, to the extent PPI becomes a provider of Designated Health
Services, the New PC physicians who have received stock in PPI before it is
public may be precluded from them making Medicare/Medicaid referrals to the
Company and, under certain circumstances, to other affiliated medical groups,
for Designated Health Services, which could have a material adverse impact on
the Company.
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The Corporate Practice of Medicine
Certain laws prohibit the practice of medicine by corporations other than
professional corporations. It is possible that the operations of PPI could be
challenged on grounds that PPI, a business corporation, will participate in
operations or revenues of the New PCs and other PPI-managed medical practices to
a prohibited extent. Oregon law regarding the corporate practice of medicine
does not specifically approve or forbid practice management companies from
contracting with professional corporations and has been subjected to limited
judicial and regulatory interpretation. Therefore, no assurance can be given
that PPI's activities will be found to be in compliance with state law if
challenged. In the event of a prohibition against the PPI form of business, the
relationship between PPI and each of the New PCs may have to be modified,
possibly resulting in a reduction of revenues received by PPI for managing the
New PCs.
Fee-Splitting Laws
The laws of many states prohibit physicians from splitting fees with
non-physicians. Although Oregon currently does not have such a prohibition,
there is no assurance that Oregon will not enact new laws or interpret existing
laws in a manner that would require modifications to PPI's business in order to
comply with such a law. In addition, expansion of the operations of PPI to
jurisdictions that have laws that could be deemed to restrict or prohibit PPI's
form of arrangement with managed medical groups may require structural and
organizational modifications to PPI's form of management relationship, which
could have an adverse effect on PPI.
Medicare/Medicaid Reimbursement
State and federal civil and criminal statutes impose substantial penalties,
including civil and criminal fines and imprisonment, upon health care providers
who fraudulently or wrongfully bill governmental or other third-party payors for
health care services. The federal law prohibiting false billings allows a
private person to bring a civil action in the name of the United States
government for violations of its provisions. While management of each New PC
has attempted to comply with billing requirements, there is no assurance that
PPI's or the New PCs' activities will not be challenged or scrutinized by
governmental authorities. Moreover, Medicare and other reimbursement rules
impact the fee structure of medical billing. To the extent PPI's or the New PCs'
billing arrangements may need to be modified to comply with existing or modified
regulations, there could be a material adverse financial effect on PPI.
Oregon Insurance Law
The Oregon Department of Consumer and Business Affairs, Insurance Division (the
"Insurance Division"), regulates the transaction of insurance pursuant to the
Oregon Insurance Code. Pursuant to Insurance Division Bulletin 96-2 (the
"Bulletin") issued in April 1996 by the Oregon Insurance Commissioner, health
care providers that are compensated on a capitated basis by a health insurer or
health care service contractor ("HCSC") are not required to obtain a certificate
of authority to transact insurance if the capitation is internal to a policy of
insurance that is delivered by an authorized insurer or HCSC. The Bulletin also
states that discounted fee-for-service arrangements with reasonable limits on
discounts (i.e., not open-ended discounts) also do not require a certificate of
authority. PPI arrangements should fall into these categories and therefore be
exempt from regulation as an insurance company. There is no assurance, however,
that the position of the Insurance Division will not change in the future. In
such an event, PPI may be required to restructure its New PC Management
Agreements or apply for a certificate of authorization, which could have a
material adverse effect on PPI.
Antitrust Laws
Because the New PCs are separate legal entities they may be deemed competitors
subject to a range of antitrust laws which prohibit anti-competitive conduct,
including price fixing, concerted refusals to deal and division of market.
There is no assurance that the review of the businesses of the New PCs and PPI
by courts or regulatory authorities will not result in a determination that
could have a material adverse effect on PPI.
Proposed Legislation
In addition to current federal regulations, the Clinton Administration and
several members of Congress have proposed legislation for significant reforms
affecting the payment for and availability of health care services. Aspects of
certain such health care proposals, such as reductions in Medicare and Medicaid
payments and additional prohibitions on direct or indirect physician ownership
of facilities to which they refer patients, if adopted, could have a material
adverse effect on PPI. There can be no assurance as to the ultimate content,
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timing or effect of any health care reform legislation, nor is it possible at
this time to estimate the impact of potential legislation on PPI.
COMPETITION
In general, both the physician management industry and the health care provider
industry are highly competitive. Competition in the provision of medical
services in the markets where PPI operates come from an increasing variety of
providers who are in or have recently entered the physician provider business
(e.g., other group practices, hospital systems, IPAs, HMOs, and academic medical
centers). In the three markets presently served by the New PCs, hospital systems
employ primary care physicians who compete directly against the New PCs. While
PPI seeks to acquire groups with significant market presence, there can be no
assurance that PPI or the New PCs can successfully compete with other provider
competitors.
With respect to physician practice management companies, only three,
MedPartners, Inc. ("MedPartners"), American Oncology Resources ("AORI") and
PhyCor , Inc. ("PhyCor") have a presence in any of the markets currently served
by the New PCs. All of these publicly traded PPMs have holdings in the Portland,
Oregon market. MedPartners manages a multi-specialty group practice of
approximately 70 physicians in the Portland market. MedPartners has been an
aggressive suitor of physician groups in the Portland market. AORI has oncology
providers in the Portland market which are in direct competition with
HealthFirst's oncology practice and PhyCor has an indirect presence in the
Portland market at the Vancouver Clinic in Vancouver, Washington. In the larger
context of PPI's regional and national strategic growth plan in the pursuit of
quality primary care-based multi-specialty group practice acquisitions, PPI
directly competes with public as well as private physician practice management
companies. There can be no assurance that PPI can successfully compete against
other PPMs in such markets in the future.
EMPLOYEES
As of December 31, 1997, the Company employed approximately 1,600 people
including 17 in the corporate office. None of the Company's employees is in a
labor union and the Company considers its relations with its employees to be
excellent.
INSURANCE
The business of the Company entails an inherent risk of claims of provider
professional liability. To protect its overall operations from such potential
liabilities, the Company maintains professional liability insurance and general
liability insurance on a claims-made basis. Management does not believe
professional liability exposure is significant; however, there can be no
assurance that a future claim will not exceed the limits of available insurance
coverage or that such coverage will continue to be available. The Company
carries worker's compensation insurance and maintains multiperil liability,
fiduciary liability, employee dishonesty, professional liability, general
liability and directors and officers' insurance. The Company believes these
types of insurance to be customary and reasonable for a business of its kind.
ITEM 2: PROPERTIES
The Company's executive office is located at 111 SW Columbia Street, Portland,
Oregon. The Company believes these arrangements and the additional locations
discussed below are adequate for its current uses and anticipated growth.
In addition to the corporate office, the Company leases and occupies clinics,
offices or facilities in 24 locations throughout the Portland, Corvallis and
Medford, Oregon areas.
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In connection with the Medford Clinic, PC, two other properties, the Redwood
Dialysis Center and the Rogue Valley Dialysis Center facilities, are currently
owned by PPI. The mortgages of these properties were assumed by the Company as a
result of the Merger.
ITEM 3: LEGAL PROCEEDINGS
Physicians, hospitals and other participants in the health care industry are
subject to an increasing number of lawsuits alleging medical malpractice and
related claims. Many of these lawsuits involve large claims and substantial
defense costs. Although neither PPI nor its employees practice medicine, it is
subject to the risks associated with medical malpractice and related litigation.
PPI along with the New PCs are currently engaged in the defense of lawsuits
arising in the ordinary course and conduct of its business. PPI believes that
such actions will not have a material effect on its business.
ITEM 4: SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
The 1997 Annual Meeting of Stockholders of PPI was held on January 28, 1998.
Three Class 1 Directors, Tim E. Dupell, Michael F. Bonazzola, M.D. and Mark
Leavitt, M.D., were elected to the Board of Directors of PPI at such meeting.
The term of the new directors commences on January 28,1998 and expires at the
annual meeting of stockholders to be held in 2000. David M. Goldberg, M.H.A.,
Bruce E. Van Zee, M.D., David H. Cutsforth, Jr., M.D., Russell A. Dow, M.D.,
Frederick W. Eubank, II, Douglas M. Mancino, Esq. and Dan Gregorie, M.D.
continued as directors after the 1997 Annual Meeting of Stockholders. The
following chart tabulates the number of votes cast for and against each
director nominated for election at such Annual Meeting; there were no
abstentions.
For Against
Tim E. Dupell 3,844,203 419,798
Michael F. Bonazzola, M.D. 4,122,522 141,479
Mark Leavitt, M.D. 4,149,349 114,652
PART II
ITEM 5: MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED SHAREHOLDER MATTERS
There is no public trading market for the Company's common stock.
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ITEM 6: SELECTED FINANCIAL DATA
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For the Period
from Inception
(June 20, 1996) For the Year ended
to December 31, December 31,
(Thousands of dollars, except earnings per share) 1996 1997
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STATEMENT OF OPERATIONS DATA:
REVENUES:
Reimbursement of Manager's Expenses $ -- $ 102,617
Management Fees -- 5,932
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Total Revenues -- 108,549
Total Operating Expenses -- 104,998
Total Operating Income (Loss) -- 3,551
Reorganization Costs 4,955 718
Other Non-Operating Income (Expenses) -- (2,699)
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Income (Loss) Before Taxes (4,955) 134
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Income Tax Expense (Benefit) -- --
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Net Income (Loss) (4,955) 134
========= =========
Net Income (Loss) Applicable to Common Shareholders (4,955) (3,706)
Earnings (Loss) Per Share $ (107.37) $ (0.63)
BALANCE SHEET DATA:
Working Capital (Deficit) $ (93) $ 889
Total Assets 100 73,831
Long Term Debt, net -- 8,177
Capital and Direct Financing Lease Obligations, net -- 17,841
Preferred Redeemable Stock and Related Warrants -- 17,910
Shareholders' Equity 3 (1,362)
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ITEM 7: MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
The following discussion includes some forward-looking statements that involve a
number of risks and uncertainties. Actual results may differ materially from
historical results or from the results discussed in such forward-looking
statements or outcomes otherwise currently expected or sought by PPI.
OVERVIEW
PPI is a physician practice management company ("PPM") that operates primary
care and multi-specialty clinics in the Pacific Northwest. PPI was formed in
June 1996 in connection with certain reorganization and merger transactions (the
"Transactions") contemplated by the Amended and Restated Agreement and Plan of
Reorganization and Merger (the "Reorganization and Merger Agreement") among
Medford Clinic, PC ("Old Medford"), HealthFirst Medical Group, PC ("Old
HealthFirst"), The Corvallis Clinic, PC ("Old Corvallis," and, together with Old
Medford and Old HealthFirst, referred to herein, collectively as "the Old PCs",
and PPI, which transactions were consummated on February 1, 1997. Pursuant to
the terms of the Reorganization and Merger Agreement, each Old PC affected (a) a
reorganization (the "New PC Reorganization") of its corporate structure by (i)
incorporating a wholly-owned professional corporation subsidiary ( a "New PC"),
(ii) transferring to the
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New PC certain assets and liabilities relating to the provider professional
services business, (iii) making a pro rata distribution to its shareholders of
all of the capital stock of the New PC, (iv) converting such Old PC from a
professional corporation to a business corporation and (v) entering into a
40-year management agreement (the "Management Agreement") with PPI and (b) a
merger (the "Merger") with and into PPI, resulting in consolidation of the
operations (other than the provider professional services businesses) of the Old
PCs.
In exchange for providing management services under the Management Agreement,
and certain facilities and equipment to the managed clinics, PPI is reimbursed
for all managerial costs and expenses ("Manager's Expenses") incurred by PPI and
is paid a management fee. The management fee is 16% of (i) net revenues relating
to services provided by the New PCs less (ii) Manager's Expenses. PPI has a
Management Agreement with each of the three New PCs, i.e., HealthFirst Medical
Group, PC, Medford Clinic, PC and The Corvallis Clinic, PC.
The three New PCs have 25 clinical delivery sites and nearly 302 providers.
PPI's strategy is to pioneer innovative health care delivery into the 21st
century as a leading primary care-based multi-specialty group PPM. PPI endeavors
to deliver high quality health care by involving physicians at every level of
the organization. The majority of PPI's common stock is owned by physicians and
the Board of Directors maintains a physician majority.
To increase revenues, PPI is working with the New PCs to recruit additional
physicians, merge other physician groups in the area into the New PCs, and aid
in the negotiation of managed care contracts. PPI is working on initiatives
anticipated to reduce the New PCs' Manager's Expenses through regional
purchasing and insurance contracts and through the consolidation of various
services. PPI intends to expand its presence in the Pacific Northwest through
acquisitions of physician groups in new areas.
In 1997, PPI began modifying its computer system programming to process
transactions in the year 2000. Anticipated spending for this modification will
be expensed as incurred and is not expected to have a significant impact on the
Company's onging results of operations.
RESULTS OF OPERATIONS
Reorganization costs of $0.7 million in the year ended December 31, 1997 and
$4.3 million in the period ended December 31, 1996 were incurred to complete the
Transactions. These costs consisted of legal, accounting and printing expenses
and will not continue after 1997. Corporate costs of $2.8 million and $0.7
million in 1997 and 1996, respectively, consisted of the Salaries, Wages and
Benefits of PPI management, outside professional expenses, and the operating
expenses of the corporate office. These costs will increase in 1998 as PPI
continues to build its management team.
PRO FORMA INFORMATION
As previously discussed, the Merger of the Old PCs with and into PPI became
effective February 1, 1997. As a result of the Merger, PPI succeeded to the
ownership of substantially all of the assets and liabilities of the Old PCs.
Also, an integral part of the Merger was the Management Agreement that calls for
PPI providing physician practice management services to each of the three New
PCs.
The actual results reflect only eleven months of post Merger operating
activities in the twelve months ended December 31, 1997 and no operating
activities for 1996. Summarized unaudited pro forma financial information
<PAGE> 12
is presented below. The pro forma balance sheet is presented as if the Merger
had occurred on December 31, 1996, and the pro forma income statements are
presented as if the Merger had taken place on January 1, 1996.
Summarized Unaudited Pro Forma Balance Sheet as of December 31, 1996 (all
amounts are in thousands):
<TABLE>
<CAPTION>
1996
-------
<S> <C>
ASSETS:
Current Assets $25,050
Property, Plant and Equipment 45,064
Other Assets 1,032
-------
Total Assets 71,146
=======
LIABILITIES:
Current Liabilities 33,945
Long-Term Debt and Capital Lease Obligations 28,602
Other Long-Term Liabilities 6,489
-------
Total Liabilities 69,036
-------
SHAREHOLDERS' EQUITY 2,110
-------
Total Liabilities and Shareholders' Equity $71,146
=======
</TABLE>
Summarized Unaudited Pro Forma Income Statement as of December 31, 1996 and 1997
(all amounts are in thousands, except earnings per share):
<TABLE>
<CAPTION>
1996 1997
--------- ---------
<S> <C> <C>
REVENUES:
Reimbursement of Manager's Expenses $ 107,594 $ 111,566
Management Fees 5,655 6,375
--------- ---------
Total Revenues 113,249 117,941
OPERATING EXPENSES:
Clinic Salaries, Wages and Benefits 47,320 47,162
Medical and Office Supplies 16,814 17,517
General and Administrative Expenses 11,792 13,282
Purchased Medical Services 20,168 21,867
Lease and Rent 3,038 3,770
Depreciation and Amortization 5,259 4,767
Corporate Costs 2,900 2,899
--------- ---------
Total Operating Expenses 107,291 111,264
Total Operating Income 5,958 6,677
Other Income (Expenses) (3,203) (2,973)
--------- ---------
Net Income Before Provision For Income Taxes 2,755 3,704
Provision for Income Taxes (1,047) (1,408)
--------- ---------
Net Income $ 1,708 $ 2,296
========= =========
Earnings per Share - Basic $ 0.29 $ 0.39
========= =========
Earnings per Share - Diluted $ 0.24 $ 0.32
========= =========
</TABLE>
<PAGE> 13
This pro forma financial information has been prepared by PPI based on the
historical financial statements of PPI and the Old PCs. The pro forma income
statements reflects the following adjustments to historical results:
a. Elimination of net revenues of the Old PCs from providing medical services
as these revenues will be retained by the New PCs for the year ended
December 31, 1996 and the period ended January 31, 1997.
b. Elimination of historical costs for provider compensation and benefits as
such costs will be the responsibility of the New PCs for the year ended
December 31, 1996 and the period ended January 31, 1997.
c. Addition of the revenues to be earned by PPI under the terms of the
Management Agreement for the year ended December 31, 1996 and the period
ended January 31, 1997.
d. PPI's corporate overhead costs in 1997 were adjusted to include the costs in
January 1997. The 1996 results were adjusted to reflect corporate overhead
costs similar to 1997.
e. Elimination of nonrecurring costs related to the New PC Reorganization and
Merger.
f. Elimination of historical provision for income taxes and addition of
provision for income taxes based on pro forma pretax net income.
g. Elimination of $1.5 million of transition plan expenses and $1.0 million
provision against the receivables from the New PCs in 1997.
The pro forma income statements may not be indicative of actual results if the
Transactions had occurred on the dates indicated or which may be realized in the
future.
PRO FORMA RESULTS:
The increase in the reimbursement of Manager's Expenses of $4.0 million, or
3.7%, to $111.6 million for the twelve months ended December 31, 1997 from
$107.6 million for the twelve months of 1996 is mainly attributable to increases
in Purchased Medical Services and General and Administrative expenses. Purchased
Medical Services increased $1.7 million or 8.4% to $21.9 million in 1997
compared to $20.2 million in 1996 due to an increase in capitated lives in the
various managed care plans and higher utilization. Manager's Expenses will
continue to increase as the New PCs' revenues increase, however, they are
expected to remain relatively stable as a percentage of net revenues. The $1.5
million increase in General and Administrative expenses is due to various
consulting projects completed in 1997.
The $0.7 million increase in management fees for the year ended December 31,
1997 compared to 1996 is due to an increase in the New PCs' revenues of $8.1
million only partially offset by the increase in Manager's Expenses of $4.0
million. PPI anticipates that management fee revenue will continue to increase
as the New PCs' operating results improve and PPI acquires the assets of
additional clinics.
LIQUIDITY AND CAPITAL RESOURCES
Liquidity
Working capital increased from a $0.1 million deficit at December 31, 1996 to a
surplus of $0.9 million at December 31, 1997 which is due to the assumption of
the Old PCs' assets and liabilities on February 1, 1997. Based on the pro forma
December 31, 1996 balance sheet, working capital increased $9.8 million to a
$0.9 million surplus from an $8.9 million deficit at December 31, 1996. The
increase is due to a construction loan classified as short-term at December 31,
1996 being converted to long-term debt in the second quarter 1997 and the use of
the proceeds from the sale of preferred stock to reduce current liabilities.
Cash flows from operations used $4.3 million in the year ended December 31,
1996 and used $4.1 million in the year ended December 31, 1997. The use of funds
in the year ended December 31, 1997 is primarily due to the net increase in
the Receivable from New PCs of $3.0 million and the $2.5 million decrease in
accrued compensation which were partially offset by an increase in drafts
payable. The decrease in accrued compensation is due to funding the 1996
employer's portion of HealthFirst's and Medford's defined contribution plans
with proceeds from the sale of preferred stock to First Union (see subsequent
section - "Redeemable Preferred Stock").
At December 31, 1997, PPI had cash and cash equivalents of approximately $1.8
million and $9.5 million available under its operating line of credit. PPI
believes that the cash and cash equivalents, combined with the line of credit
and cash flows from operations is sufficient to meet PPI's planned capital
expenditures and working capital needs for the next 12 months.
<PAGE> 14
Capital Expenditures
Capital expenditures in the year ended December 31, 1997 were $2.6 million.
Capital expenditures during 1997 consist mainly of purchases of medical and
office equipment. Capital expenditures in 1998 could increase if certain
investments are made in ancillary services.
Line of Credit
The Transactions resulted in PPI assuming all debt obligations of the Old PCs.
The Old PCs previously had separate lines of credit with an aggregate $5.5
million limit. In February 1997, the individual lines of credit were
consolidated into one operating line of credit with a $7.5 million limit made
available by U.S. Bank of Oregon. In August 1997, the line of credit was
increased to $15.0 million in anticipation of potential acquisitions. PPI, at
it's discretion, may make borrowings at prime rate or in $0.5 million increments
at LIBOR plus LIBOR margin. At December 31, 1997, $5.5 million was outstanding
under the line of credit with an effective interest rate of 8.5%. The line has
an annual commitment fee on the unused portion of .375%. The line of credit
contains certain covenants which among other things, require PPI to meet certain
financial obligations. PPI was not in compliance with those covenants at
December 31, 1997. However, subsequent to year-end the Bank agreed to waive the
covenant violations for the year ended December 31, 1997. At December 31, 1997,
PPI had approximately $9.5 million available under the operating line of credit.
Redeemable Preferred Stock
On July 10, 1997, PPI and First Union Capital Partners, Inc. ("First Union")
entered into the Preferred Stock and Warrant Purchase Agreement (the "Purchase
Agreement"). Pursuant to the Purchase Agreement, First Union purchased from PPI,
for a total purchase price of $15 million (i) 15,000 shares of Series B
Cumulative Redeemable Preferred Stock of PPI ("Preferred Shares") and (ii) a
Common Stock Purchase Warrant (the "Warrant") to purchase up to 1,799,893 shares
(the "Warrant Shares") of Class B Common Stock of PPI at an exercise price of
$.01 per share. The Preferred Shares rank senior to all other classes of capital
stock of PPI as to liquidation, dividends, redemptions and any other payment or
distribution with respect to capital stock. Any portion of the Preferred Shares
may be redeemed at any time at a price equal to $1,000 per share plus accrued
and unpaid dividends, which accrues at the annual rate of 9%, provided that all
Preferred Shares must be redeemed by June 30, 2005 or earlier upon the
occurrence of certain enumerated events (including change in control of PPI,
public offering by PPI, failure by PPI to meet certain financial covenants or a
material breach under the Purchase Agreement).
The number of Warrant Shares that First Union may purchase under the Warrant may
be reduced to 687,919 shares if the Preferred Shares are redeemed in full by
June 30, 1998, to 942,784 if redeemed in full by June 30, 1999 and to 1,212,228
if redeemed in full by June 30, 2000. First Union has the right to sell to PPI
the Warrant and the Warrant Shares at a price equal to fair market value after
June 30, 2002 or, if earlier, upon the occurrence of certain enumerated
events, which events are similar to those that piggyback and other
registration rights. First Union and any subsequent holders of Preferred
Shares, the Warrant and Warrant Shares are prohibited from transferring such
securities to any competitor of PPI.
The warrant was valued at $6.1 million at July 10, 1997. The value was based on
probability factors assigned to the various share amounts which may be issued
and the fair market value per share. The warrants and preferred stock are being
accreted up to their fair market value to the earliest potential redemption
date. At December 31, 1997 the value of the warrants approximates the
redemption value at June 30, 1998. The preferred stock was valued at $8.6
million at July 10, 1997. The preferred stock is being accreted up to its
redemption value of $15.0 million by June 30, 1998. Accordingly, $3.2 million
of accretion has been charged to Retained Earnings in 1997.
Of the available proceeds (net of $0.3 million of transaction costs) $13.3
million were used during the year ended December 31, 1997 to retire debt of $9.9
million and fund accrued pension contributions of $3.4 million assumed by PPI in
the Transactions. The retirement of debt will reduce future interest expense and
principal payments.
It is uncertain at this time what funds will be used to redeem the preferred
stock. Management will continue to evaluate the various sources of financing
available, including but not limited to, traditional commercial bank debt,
private debt, private equity, public equity and public debt.
Acquisitions
PPI is currently involved in acquisition discussions with various medical
clinics. PPI has entered into an initial agreement with one clinic and is
currently negotiating letters of intent with other clinics. Management
anticipates consummating a transaction in the second quarter of 1998. Management
believes the existing line of credit of $15.0 million, with availability of $9.5
million as of December 31, 1997, is adequate to fund these acquisitions.
<PAGE> 15
Management continues to evaluate various alternatives to finance potential
acquisitions which may exceed the existing available funding. Such alternatives
include but are not limited to, traditional commercial bank debt, private debt,
private equity, public equity and public debt. The availability and timing of
these alternatives depend on market and other conditions and the acceptability
of the terms of such financing alternatives to PPI.
ITEM 8: FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
The financial statements and accompanying notes to financial statements,
together with the report of independent public accountants are located on the
following pages.
<PAGE> 16
REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS
To the Board of Directors of
Physician Partners, Inc.:
We have audited the accompanying balance sheets of Physician Partners, Inc. (a
Delaware corporation) as of December 31, 1996 and 1997, and the related
statements of operations, stockholders' equity and cash flows for the period
from inception (June 20, 1996) to December 31, 1996 and for the year ended
December 31, 1997. These financial statements are the responsibility of the
Company's management. Our responsibility is to express an opinion on these
financial statements based on our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of Physician Partners, Inc. as of
December 31, 1996 and 1997, and the results of its operations and its cash flows
for the period from inception (June 20, 1996) to December 31, 1996 and for the
year ended December 31, 1997 in conformity with generally accepted accounting
principles.
ARTHUR ANDERSEN LLP
Portland, Oregon,
March 27, 1998
<PAGE> 17
PHYSICIAN PARTNERS, INC.
BALANCE SHEETS--DECEMBER 31, 1996 AND 1997
(All dollar amounts are expressed in thousands)
ASSETS
<TABLE>
<CAPTION>
1996 1997
------- -------
<S> <C> <C>
CURRENT ASSETS:
Cash and cash equivalents $ 4 $ 1,761
Restricted Investments -- 250
Patient accounts receivable, net of allowances for contractual
discounts and uncollectible accounts of $0 and $10,591 at
December 31, 1996 and 1997, respectively -- 17,094
Healthcare and other receivables -- 5,702
Inventories of drugs and supplies -- 408
Prepaid expenses and deposits -- 1,405
------- -------
Total current assets 4 26,620
PROPERTY, PLANT AND EQUIPMENT, net of accumulated depreciation
and amortization of $8 and $25,063 at December 31, 1996 and
1997, respectively 89 42,992
OTHER ASSETS:
Receivables from New PCs, net of allowance of $1,000 -- 2,979
Investments in affiliates -- 1,003
Other 7 237
------- -------
Total assets $ 100 $73,831
======= =======
</TABLE>
<PAGE> 18
PHYSICIAN PARTNERS, INC.
BALANCE SHEETS--DECEMBER 31, 1996 AND 1997 (CONTINUED)
(All dollar amounts are expressed in thousands)
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
<TABLE>
<S> <C> <C>
CURRENT LIABILITIES:
Line of credit $ -- $ 5,460
Payable to clinics 97 --
Current portion of long-term debt and capital and direct
financing lease obligations -- 1,112
Drafts payable -- 3,026
Accounts payable and accrued expenses -- 4,001
Accrued healthcare costs -- 6,565
Accrued compensation and related expenses -- 5,079
Deferred revenue -- 488
-------- --------
Total current liabilities 97 25,731
DIVIDENDS PAYABLE -- 635
LONG-TERM DEBT, net of current portion -- 8,177
CAPITAL AND DIRECT FINANCING LEASE OBLIGATIONS, net of current
portion -- 17,841
DEFERRED COMPENSATION AND OTHER -- 4,899
REDEEMABLE PREFERRED STOCK AND RELATED WARRANT -- 17,910
STOCKHOLDERS' EQUITY (DEFICIT):
Common stock-
Class A - Voting; $0.01 par value; 20,000,000 shares authorized; 138,000 and
6,435,696 shares issued and
outstanding at December 31, 1996 and 1997, respectively 1 64
Class B - Voting; $0.01 par value; 30,000,000 shares
authorized; no shares issued or outstanding -- --
Treasury stock, at cost -- (748)
Additional paid in capital 5,008 9,626
Accumulated deficit (4,955) (8,661)
Notes receivable from stockholders (51) (736)
Unamortized value of restricted stock awards -- (907)
-------- --------
Total stockholders' equity (deficit) 3 (1,362)
-------- --------
Total liabilities and stockholders' equity (deficit) $ 100 $ 73,831
======== ========
</TABLE>
The accompanying notes are an integral part of these balance sheets.
<PAGE> 19
PHYSICIAN PARTNERS, INC.
STATEMENTS OF OPERATIONS
FOR THE PERIOD FROM INCEPTION (JUNE 20, 1996) TO DECEMBER 31, 1996
AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands
except loss per share)
<TABLE>
<CAPTION>
1996 1997
--------- ---------
<S> <C> <C>
REVENUES:
Reimbursement of manager's expenses $ -- $ 102,617
Management fees -- 5,932
--------- ---------
Net revenues -- 108,549
OPERATING EXPENSES:
Clinic salaries, wages and benefits -- 43,160
Purchased medical services -- 20,291
Medical and office supplies -- 16,054
General and administrative expenses -- 12,338
Lease and rent expense -- 3,471
Depreciation and amortization -- 4,376
Corporate costs 693 2,808
Transition plan expenses -- 1,500
Provision for Receivables from New PCS -- 1,000
--------- ---------
Total operating expenses 693 104,998
--------- ---------
Operating income (Loss) (693) 3,551
OTHER INCOME (EXPENSE):
Other income -- 65
Interest income -- 684
Interest expense -- (3,448)
Reorganization costs (4,262) (718)
--------- ---------
Net income (loss) before provision for income taxes (4,955) 134
--------- ---------
PROVISION FOR INCOME TAXES -- --
--------- ---------
NET INCOME (LOSS) (4,955) 134
ACCRETION ON PREFERRED STOCK -- 3,205
PREFERRED STOCK DIVIDENDS -- 635
--------- ---------
NET LOSS APPLICABLE TO COMMON STOCKHOLDERS $ (4,955) $ (3,706)
========= =========
LOSS PER BASIC AND DILUTED SHARE $ (107.37) $ (.63)
========= =========
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 20
PHYSICIAN PARTNERS, INC.
STATEMENT OF STOCKHOLDERS' EQUITY (DEFICIT)
FOR THE PERIOD FROM INCEPTION (JUNE 20, 1996) TO DECEMBER 31, 1996
AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
Class A
Common Stock Unamortized Note
------------------ Treasury Additional Value of Receivable
Number Stock, Paid in Restricted from Accumulated
of Shares Amount at Cost Capital Stock Awards Stockholders Deficit Total
--------- ------ -------- ---------- ------------ ------------ ----------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Issuance of common
stock 138,000 1 -- 746 -- -- -- 747
Stock subscription
receivable -- -- -- -- -- (51) -- (51)
Reorganization costs
incurred by
Founding Clinics -- -- -- 4,262 -- -- -- 4,262
Net loss -- -- -- -- -- -- (4,955) (4,955)
--------- ---- -------- ---------- ------------ ------------ ----------- -------
BALANCE, December 31,
1996 138,000 1 -- 5,008 -- (51) (4,955) 3
Contribution of old
PC net assets 6,337,607 63 -- 4,786 (1,192) (974) -- 2,683
Retirement of common,
stock (3,000) -- -- -- -- -- -- --
Forfeiture of common
stock (36,911) -- -- (168) 111 -- -- (57)
Repurchase of common
stock -- -- (748) -- -- 71 -- (677)
Repayment of stock
subscription -- -- -- -- -- 218 -- 218
</TABLE>
The accompanying notes are an integral part of this statement.
<PAGE> 21
PHYSICIAN PARTNERS, INC.
STATEMENT OF STOCKHOLDERS' EQUITY (DEFICIT) (CONTINUED)
FOR THE PERIOD FROM INCEPTION (JUNE 20, 1996) TO DECEMBER 31, 1996
AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
Class A
Common Stock Unamortized Note
---------------- Additional Value of Receivable
Number Treasury Paid in Restricted from Accumulated
of Shares Amount Stock Capital Stock Awards Stockholder Deficit Total
--------- ------ ----- ------- ------------ ----------- ------- -----
<S> <C> <C> <C> <C> <C> <C> <C> <C>
Amortization of stock
awards -- $ -- $ -- $ -- $ 174 $ -- $ -- $ 174
Preferred stock
dividends -- -- -- -- -- -- (635) (635)
Accretion on
preferred stock -- -- -- -- -- -- (3,205) (3,205)
Net income -- -- -- -- -- -- 134 134
--------- ---- ----- ------ ----- ----- ------- ------
BALANCE, December 31,
1997 6,435,696 $ 64 $(748) $9,626 $(907) $(736) $(8,661) $(1,362)
========= ==== ===== ====== ===== ===== ======= ======
</TABLE>
The accompanying notes are an integral part of this statement.
<PAGE> 22
PHYSICIAN PARTNERS, INC.
STATEMENT OF CASH FLOWS
FOR THE PERIOD FROM INCEPTION (JUNE 20, 1996) TO DECEMBER 31, 1996
AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1996 1997
------- -------
<S> <C> <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss) $(4,955) $ 134
Adjustments to reconcile net income (loss) to net cash provided
by (used in) operating activities-
Compensation expense for stock issued to officers and directors 693 --
Depreciation and amortization -- 4,550
Provisions for Receivables from New PCs -- 1,000
Deferred tax benefit -- (1,491)
Equity in income of affiliates -- (726)
Changes in operating assets and liabilities (excluding assets and
liabilities assumed by Physician Partners, Inc.):
Patient accounts receivable, net -- 160
Healthcare and other receivables -- (1,216)
Receivables from New PCs -- (3,979)
Inventories of drugs and supplies -- (83)
Prepaid expenses and deposits -- (621)
Other assets -- 229
Drafts payable -- 1,872
Accounts payable and accrued expenses -- (584)
Accrued healthcare costs -- 219
Deferred revenue -- (102)
Accrued compensation and related expenses -- (2,463)
Deferred compensation and other -- (637)
Other liabilities -- (322)
------- -------
Net cash provided by (used in) operating activities (4,262) (4,060)
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of property and equipment (98) (2,554)
Proceeds from investments (7) 440
------- -------
Net cash used in investing activities (105) (2,114)
</TABLE>
<PAGE> 23
PHYSICIAN PARTNERS, INC.
STATEMENT OF CASH FLOWS (CONTINUED)
FOR THE PERIOD FROM INCEPTION (JUNE 20, 1996) TO DECEMBER 31, 1996
AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1996 1997
-------- --------
<S> <C> <C>
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from sale of common stock $ 3 $ --
Borrowings from Founding Clinics 106 --
Net payments on borrowings under line of credit agreement -- (640)
Principal payments on long-term debt and direct financing lease
obligation -- (7,827)
Proceeds from repayments of notes receivable from stockholders -- 218
Cash assigned to Physician Partners, Inc. in merger -- 1,358
Proceeds from issuance of preferred stock -- 14,705
Purchase of treasury stock -- (601)
Costs incurred related to PPI transaction 4,262 718
-------- --------
Net cash provided by financing activities 4,371 7,931
-------- --------
NET INCREASE (DECREASE)IN CASH AND CASH EQUIVALENTS 4 1,757
CASH AND CASH EQUIVALENTS, beginning of period -- 4
-------- --------
CASH AND CASH EQUIVALENTS, end of period $ 4 $ 1,761
======== ========
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid for interest $ -- $ 4,080
Cash paid for income taxes -- 1,264
SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING
ACTIVITIES:
Stock subscription receivable $ 51 $ --
In the purchase of treasury stock, PPI transferred approximately $76 of net
equipment and forgave $71 of notes receivable from stockholders.
On February 1, 1997, as a result of the Merger, PPI succeeded to the assets
and liabilities of the Old PCs. The book value of the Old PCs' assets and
liabilities, including $1,400 of cash, at January 31, 1997 are
presented below:
Current assets 23,769
Property, plant and equipment 44,722
Other long-term assets 1,597
Current liabilities 28,777
Long-term liabilities 37,484
Deferred tax liability 1,491
Contributed equity 2,336
</TABLE>
The accompanying notes are an integral part of this statement.
<PAGE> 24
PHYSICIAN PARTNERS, INC.
NOTES TO FINANCIAL STATEMENTS
(All dollar amounts are expressed in thousands, except
loss per share)
1. BUSINESS AND ORGANIZATION:
Physician Partners, Inc. (PPI), is a Delaware corporation formed on June 20,
1996 for the purpose of effecting a reorganization transaction between PPI and
HealthFirst Medical Group, PC ("HealthFirst"), The Corvallis Clinic, PC
("Corvallis") and The Medford Clinic, PC ("Medford"), (collectively,
"The Founding Clinics").
This transaction, which was consummated on February 1, 1997, resulted in a
separation of operations of the three Founding Clinics between medical
professional services activities (i.e., providers of medical services) and the
physician practice management activities of the business. The professional
services activities were spun off into newly formed professional corporations
("New PCs"). The physician practice management business, along with
substantially all of the assets and liabilities of the three Founding Clinics,
i.e., cash, receivables, inventories, prepaids, property, plant and equipment,
payables, accruals, debt, and certain contractual commitments, were transferred
to PPI at historical cost. As consideration, the stockholders of the existing
Founding Clinics received stock of PPI.
An integral part of the reorganization is a 40-year management agreement that
calls for PPI to provide physician practice management services to the New PCs.
Services provided include management and administrative services, capital
resources, facilities, equipment and supplies. PPI is entitled to (a)
reimbursement of all managerial costs and expenses (Manager's Expenses) incurred
by PPI and (b) a management fee equal to 16% of (i) net revenues relating to
services provided by the New PCs less (ii) Manager's Expenses.
The New PCs are responsible for providing medical services and the related costs
for provider compensation and benefits.
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
Selected accounting policies are discussed below. Other significant accounting
policies regarding revenues, income taxes, professional liability and deferred
compensation are discussed in specific notes that follow.
Cash Equivalents
Cash equivalents consist of all highly liquid investments with original
maturities of three months or less.
Restricted Investments
Under Medford Clinic, P.C.'s agreement with Oregon Health Management System
("OHMS"), PPI is required to maintain $250 in a restricted or segregated
account. PPI can use these funds for purchased medical services only with
approval by OHMS.
<PAGE> 25
-2-
Concentration of Credit Risk
PPI extends credit to patients covered by commercial insurance, Medicare and
Medicaid. PPI manages credit risk with the various public and private insurance
providers, as deemed appropriate by management. Allowances for contractual
discounts and uncollectable accounts have been made for potential losses, where
appropriate. Per the terms of the Management Agreement the New PCS bear the
risk of potential losses.
Healthcare Receivables
Certain of PPI's contracts with health plans include risk-sharing features
involving PPI, participating hospital and the health plan. Amounts recorded
at year-end represent management's estimates of the net settlement amounts
expected. Differences between management's estimates and the ultimate
settlement for each health plan are recorded in the year final settlement
occurs.
Receivables from New PCs
Receivables from New PCs include advances made during 1997 to the New PCs. The
receivables bear interest at 7.6% with interest only payments due in 1998 and
principal and interest payments due over a three year period beginning January
1999. A $ 1,000 allowance has been recorded against the receivable.
Inventories of Drugs and Supplies
Inventories are stated at the lower of cost or market, determined by the
first-in, first-out (FIFO) method.
Property, Plant and Equipment
Property, plant and equipment are stated at cost. Maintenance, repairs and minor
replacements are expensed as incurred. When properties are retired or otherwise
disposed of, the related cost and accumulated depreciation are removed from the
respective accounts and any gain or loss on disposition is recorded as other
income or expense.
Depreciation is computed using the straight-line method over the estimated
useful lives of the respective assets. Equipment under capital lease is
amortized using straight-line methods over the shorter of the period of the
lease term or the estimated useful life of the equipment.
Estimated lives are as follows:
Buildings and leasehold improvements 7-40 years
Furniture and equipment 3-15 years
Accrued Healthcare Costs
Accrued healthcare costs are calculated based on reported claims and an estimate
based on historical data of incurred but not reported claims.
Fair Value of Financial Instruments
The carrying amounts of cash equivalents, receivables, accounts
payable and accrued expenses are a reasonable estimate of their fair value based
on the short maturities of these instruments.
Interest rates that are currently available to PPI for issuance of debt with
similar terms and remaining maturities were used to estimate fair value for debt
issues. The current carrying value of debt approximates fair value.
PPI does not hold or issue financial instruments or derivative financial
instruments for trading purposes.
<PAGE> 26
-3-
Notes Receivable from Stockholders
PPI maintains various agreements with stockholders for their purchase of common
stock. These agreements were originally made by The Founding Clinics and were
transferred to PPI in the Reorganization Transaction. The notes mature at
various stages through 2008.
Transition Plan Expenses
In 1997, PPI made one-time payments totalling $1,500 to the Founding Clinics.
Use of Estimates
The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions that
affect the reported amounts of assets and liabilities at the date of the
financial statements and the reported amounts of revenues and expenses during
the reporting period. Actual results could differ from those estimates.
Reclassifications
Certain prior year amounts have been reclassified to conform with the current
year presentation.
3. NET REVENUES:
<TABLE>
<CAPTION>
Corvallis HealthFirst Medford Combined
--------- ----------- ------- --------
<S> <C> <C> <C> <C>
Net Clinic revenue $39,244 $58,187 $42,261 $139,692
Less:
Manager's expenses 28,788 43,387 30,442 102,617
------- ------- ------- --------
Adjusted revenue 10,456 14,800 11,819 37,075
X16% X16% X16% X16%
------- ------- ------- --------
Management fee 1,673 2,368 1,891 5,932
Reimbursement of manager's
expenses 102,617
--------
Net revenues $108,549
========
</TABLE>
4. PROPERTY, PLANT AND EQUIPMENT:
Property, plant and equipment consists of the following:
<TABLE>
<CAPTION>
December 31,
----------------------
1996 1997
-------- --------
<S> <C> <C>
Land and land improvements $ -- $ 3,141
Buildings and leasehold improvements 7 37,171
Furniture and equipment 90 27,648
Construction in progress -- 95
-------- --------
97 68,055
Less- Accumulated depreciation (8) (25,063)
-------- --------
89 $ 42,992
======== ========
</TABLE>
<PAGE> 27
-4-
5. FINANCING:
Long-term debt at December 31, 1997 is as follows:
<TABLE>
<S> <C>
Note payable, due in monthly installments of principal and interest of $16 through July
2000, with a final payment of $1,636, bearing interest at 9.875%. The note is secured
by building and land. $1,693
Note payable, due in monthly principal payments of $188 through January 2017,
bearing interest at 8.25%. The note is secured by building and land. 3,578
Note payable, due in monthly installments of principal and interest of $1, maturing in
October 2005, bearing interest at 8.50% 23
Note payable, due in annual principal payments of $115 through August 2011, bearing
interest at 7.90%. The note is secured by furniture and equipment. 1,535
Note payable to a related party, due in annual principal payments of $1 through 1998,
bearing interest at 6.00%. 3
Mortgage with bank, interest at 8.44%, payable in monthly installments of
principal plus interest of $2, maturing December 31, 2014, secured by first
deed on real property and equipment and fixtures. 219
Mortgage with bank, interest at 9.25%, payable in monthly installments of $5,
maturing November 1, 2008, secured by first deed on real property and
equipment and furniture and fixtures. 431
Note payable with title company, interest at 7.90%, payable in monthly
installments of $6, maturing July 1, 2013, secured by equipment and furniture
and fixtures. 668
Mortgage with bank, interest at 8.44%, payable in monthly installments of
principal plus interest of $3, maturing December 15, 2001, secured by second
deed on real property and equipment and fixtures. 201
Facilities loan with bank, interest at 9.00%, payable in monthly installments of $4,
maturing September 30, 1999, secured by equipment, furniture and fixtures and accounts
receivable. 73
Equipment loan with bank, interest at 7.25%, payable in monthly installments of
$22, maturing April 2000, secured by equipment, furniture and fixtures and
accounts receivable 432
------
Total long-term debt 8,856
Less- Current portion 679
------
Total long-term debt, net of current portion $8,177
======
</TABLE>
Maturities of long-term debt for the next five years, including current
maturities, are as follows:
<TABLE>
<S> <C>
1998 $ 679
1999 628
2000 2,040
2001 497
2002 373
Thereafter 4,639
------
Total $8,856
======
</TABLE>
PPI maintains an unsecured revolving line-of-credit agreement providing up to
$15,000. PPI, at its discretion, may make borrowings at prime rate or in $500
increments at LIBOR plus LIBOR margin. At December 31, 1997, $5,460 was
outstanding under the line of credit with an effective interest rate of 8.5%.
The line has an annual commitment fee on the unused portion of .375% and expires
in July 1999.
Under terms of the revolving line of credit agreement, certain financial ratios
and other covenants are required to be met. PPI was not in compliance with
certain of these debt covenants due to the recognition of a $1,500 transition
plan expense and $1,000 provision against the Receivables from New PCs as of
December 31, 1997. Subsequent to year-end, the Bank agreed to waive the
covenant violations for the year ended December 31, 1997. As the violation
was due to one-time adjustments made in 1997, PPI anticipates being in
compliance with all debt covenants at the next measurement date,
March 31, 1998.
<PAGE> 28
-5-
6. LEASE COMMITMENTS:
Capital Leases
PPI leases certain medical equipment and facilities under agreements which are
classified as capital leases. The equipment leases have original terms of five
years and have either a bargain purchase option or a transfer of title at the
end of the lease. The building lease is with Gateway Properties LLC for a term
of 21 years. Leased capital assets included in property, plant and equipment at
December 31, 1997 are as follows:
<TABLE>
<S> <C>
Buildings and leasehold improvements $3,574
Furniture and equipment 524
------
4,098
Less- Accumulated amortization (1,022)
------
$3,076
======
</TABLE>
Operating Leases
Leases that do not meet the criteria for capitalization are classified as
operating leases. Such lease commitments are primarily for facilities and
equipment, and the related rentals are charged to operations as incurred.
Future Minimum Lease Payments
Future minimum lease payments, by year and in the aggregate, under
noncancellable capital and operating leases with initial or remaining terms of
one year or more consist of the following at December 31, 1997.
<TABLE>
<CAPTION>
Capital Operating
Leases Leases
------ ------
<S> <C> <C>
1998 $ 494 $ 3,539
1999 427 3,389
2000 423 2,751
2001 403 2,656
2002 403 2,442
Thereafter 5,071 9,586
------- -------
Total minimum lease payments 7,221 $24,363
=======
Amounts representing interest 3,763
------
Present value of minimum lease payments 3,458
Current portion 183
------
Long-term capitalized lease obligations $3,275
======
</TABLE>
<PAGE> 29
-6-
Direct Financing Lease Obligations
In June of 1995, Corvallis contributed land, buildings, construction in process
and related notes payable to HealthCare Partners, LLC (Note 16). At the date of
transfer, Corvallis entered into 30-year lease agreements for the Asbury,
Aumann and other buildings and a 5-year lease agreement for the Albany
building. Monthly rental payments under these leases are $184. The assets were
sold under a sale/leaseback arrangement and, therefore, this was accounted
for as a financing transaction wherein the assets remain on Corvallis' books and
continue to be depreciated. Corvallis recorded a direct financing lease
obligation for cash received and obligations assumed by the LLC as part of the
transaction which was assumed by PPI at February 1, 1997. The liability for this
lease obligation was $13,922 at December 31, 1997.
Scheduled principal payments at December 31, 1997 are as follows.
1998 $242
1999 266
2000 287
2001 244
2002 810
Thereafter 12,073
------
13,922
======
In May 1996, HealthFirst sold three facilities to HealthFirst Properties LLC
(Note 16) under a sale/leaseback arrangement. The facilities were sold for
$12,550, of which $11,550 is due in the form of an 8% interest-bearing note
receivable due in monthly installments through April 2016. The remainder was
received in cash. The transaction was accounted for as a financing, wherein the
property and related debt remains on Healthfirst's books and will continue to be
depreciated. A financing obligation representing the proceeds of $1,000 has been
recorded and will be reduced based on payments under the lease. As sales
proceeds are received from the LLC, they will be credited to a financing
obligation, and amortized as a reduction of operating expenses over the
remaining life of the lease. The amount owed on the financing obligation at
December 31, 1997 was $894 of which $8 is due within one year. The lease has a
term of 20 years and requires minimum annual rental payments of $1,318 in 1998,
1999, 2000, 2001 and 2002 and $17,680 thereafter. PPI assumed the financing
lease obligation and the lease payments at February 1, 1997.
7. INCOME TAXES:
Income taxes are accounted for in accordance with Statement of Financial
Accounting Standards No. 109 (SFAS 109). SFAS 109 requires that PPI follow the
liability method of accounting for deferred income taxes. Differences between
accounting rules and tax laws cause differences between the bases of certain
assets and liabilities for financial reporting purposes and tax purposes. The
tax effect of these differences, to the extent they are temporary, are recorded
as deferred tax assets and liabilities and consisted of the following:
<TABLE>
<CAPTION>
December 31,
----------------------
1996 1997
---- ----
<S> <C> <C>
Deferred tax assets:
Cash to accrual adjustments $ - $ 10,731
Allowance for uncollectible accounts - 695
Allowance for related party receivable - 400
Deductible reorganization costs capitalized for tax and
expensed for financial reporting purposes 645 538
Net operating loss carryforward - 577
Accrued expenses - 865
Other - 62
----- --------
Net deferred tax assets 645 13,868
Deferred tax liabilities
Cash to accrual adjustments - (9,997)
Property, plant and equipment basis differences - (880)
----- --------
Net deferred liability - (10,877)
Less - valuation allowance (645) (2,991)
----- --------
Net deferred taxes $ - $ -
===== ========
</TABLE>
PPI maintains a valuation allowance in an amount equal to its net deferred tax
assets because of uncertainty with respect to the realization of the related
tax benefits in future years.
The provision for income taxes, which is substantially federal expense
(benefit), is as follows:
<TABLE>
<CAPTION>
Year Ended December 31,
-----------------------
1996 1997
---- ----
<S> <C> <C>
Current $ - $ 1,491
Deferred - (1,491)
--- -------
$ - $ -
=== =======
</TABLE>
The differences between the provision (benefit) for income taxes and the amount
computed by applying the statutory federal income tax rate to income before
taxes were as follows:
<TABLE>
<CAPTION>
Year Ended December 31,
-----------------------
1996 1997
---- ----
<S> <C> <C>
Income tax benefit at the federal statutory rate $1,734 $ 47
State tax, net of federal tax 70 6
Nondeductible reorganization costs (691) -
Costs allocated to the Founding Clinics for tax purposes (432) -
Valuation allowance (645) (53)
Other (36) -
------ ----
Income tax provision per financial statements $ -- $ -
====== ====
</TABLE>
<PAGE> 30
-7-
8. COMMON STOCK TRANSACTIONS:
The Founding Clinics were issued the initial 3,000 shares of PPI Class A common
stock for $3 in 1996.
Stock awards aggregating 108,000 shares of PPI were granted to four officers of
the Company in October 1996. The estimated fair value of these awards in the
aggregate amount of $595 was recognized as compensation expense in
1996.
A director of the Company purchased 27,000 shares of PPI Class A common stock
for $51. The price paid for the shares was based upon an independent
appraisal. However, the estimated fair value of these shares for accounting
purposes exceeded the purchase price by $99 and this amount was recognized
as compensation expense in 1996.
In 1996, HealthFirst sold shares of common stock to selected providers at
prices below their estimated fair value for accounting purposes. The terms of
the related Restricted Stock Agreements require forfeiture of the stock unless
the grantee remains employed by HealthFirst until February 1, 2002. The
unamortized value of the stock was recorded as a contra-equity account which
was assumed by PPI in the Merger. The stock was exchanged for PPI common stock
at February 1, 1997.
At February 1, 1997, 6,337,607 shares were issued to the shareholders of The
Founding Clinics in connection with the Reorganization Transaction.
9. STOCK OPTION PLANS:
The reorganization plan included various stock option plans for PPI employees
and directors, as well as providers employed by the new PCs. These plans have
reserved a total of 2,500,000 shares of PPI Class A common stock for issuance
under the plans. As of December 31, 1997 a total of 1,667,710 options had been
granted, which had a weighted average fair value of $2.17. During 1997, 35,000
options with a weighted average exercise price of $7.20 were forfeited and no
options were exercised.
The Company applies APB No. 25 and related Interpretations in accounting for
the plans. For SFAS No. 123 purposes, the fair value of each option grant has
been estimated using the Black-Scholes option-pricing model with the following
weighted average assumptions for grants in 1997: Dividend yield of 0%, expected
volatility of 0%, risk-free interest rate of 6%, expected life of six years. Had
compensation expense been determined consistent with SFAS No. 123, utilizing the
assumptions detailed above, the Company's net loss per share for the years ended
December 31, 1996 and 1997, would have increased as reflected in the following
pro forma amounts:
<TABLE>
<CAPTION>
Year ended
December 31
-------------------
1996 1997
------ -------
<S> <C> <C>
Net loss
As reported (4,955) (3,706)
Pro forma (4,955) (6,328)
Net loss per basic and dilutive share:
As reported (107.37) (0.63)
Pro forma (107.37) (1.07)
</TABLE>
The resulting pro forma compensation costs may not be representative of that
expected in future years.
<PAGE> 31
-8-
The following table summarizes information about fixed stock options outstanding
at December 31, 1997.
<TABLE>
<CAPTION>
Options Outstanding Options Exercisable
------------------------- -----------------------
Number Weighted Number
Outstanding Average Weighted Exercisable Weighted
Range of at Remaining Average at Average
Exercise December 31, Cont. Exercise December 31, Exercise
Prices 1997 Life Price 1997 Price
--------- ------------ ---------- -------- ------------ -------
<S> <C> <C> <C> <C> <C>
$6.80 230,000 10 $6.80 -- $ --
$7.20 1,339,710 10 $7.20 -- $ --
$8.00 63,000 10 $8.00 -- $ --
</TABLE>
10. EARNINGS PER SHARE:
Effective December 31, 1997, the Company adopted SFAS 128, Earnings Per Share.
SFAS 128 prescribes new calculations for Basic and Diluted Earnings Per Share
(EPS), which replaces the former calculations for Primary and Fully Diluted EPS.
Basic EPS is computed by dividing net income (loss) by the weighted average
shares outstanding; no dilution for any potentially dilutive securities is
included. Diluted EPS is calculated differently than the fully diluted EPS
calculation under the old rules. When applying the treasury stock method for
diluted EPS to compute dilution for options, SFAS 128 requires use of the
average share price for the period, rather than the greater of the average share
price or end-of-period share price. EPS is computed as follows:
<TABLE>
<CAPTION>
Year Ended
December 31,
1996 1997
----------- ------------
<S> <C> <C>
EARNINGS:
Net income (loss) for
basic and diluted EPS $ (4,955) $ (3,706)
========= ==========
SHARES:
Weighted average
shares outstanding
for basis EPS 46,144 5,907,890
Stock option and
warrant dilution (1) - -
--------- ----------
Weighted average
shares for diluted
EPS 46,144 5,907,890
========== =========
Basic EPS (107.37) (0.63)
========== ==========
Diluted EPS (107.37) (0.63)
========== ==========
</TABLE>
(1) The effect of potential common stock equivalents is excluded from the
dilutive calculation for the year ended December 31, 1996 and 1997 as
their effect would be antidilutive.
<PAGE> 32
-9-
11. RETIREMENT PLANS:
PPI maintains several retirement plans for its employees. The various plans were
originally set up by The Founding clinics. Descriptions of the various plans as
of December 31, 1997 are as follows:
401(k) Profit Sharing Plan - Former Corvallis Employees
PPI has a 401(k) Profit-Sharing Plan (the 401(k) Plan) in which all former
Corvallis employees are eligible to participate subject to certain
eligibility criteria. The 401(k) Plan permits employees to contribute up to
10% of their annual compensation (not to exceed certain annual limits
imposed by the Internal Revenue Code). PPI is required to make matching
contributions equal to 50% of employee contributions up to 8% of the
employee's compensation. PPI may also make discretionary contributions. All
contributions are 100% vested.
Money-Purchase Pension Plan - Former Corvallis Employees
PPI has a Money-Purchase Pension Plan in which all former Corvallis
employees are eligible to participate subject to certain eligibility
criteria. PPI contributes 5.4% of the employee's eligible earnings up to $48
and 10.8% of eligible earnings in excess of $48. These contributions are
100% vested upon eligibility.
PPI's contributions for these plans for the year ended December 31, 1997,
were $620.
Deferred Compensation
The Corvallis Clinic, P.C. provides compensation to eligible shareholders
who retire based upon average shareholder income, as defined in the
Employment Agreement, for the first three years following retirement.
Provider/shareholder retirees who have 20-1/2 years of service while in
service with Corvallis are eligible to receive such deferred retirement
compensation. PPI assumed the liability as of February 1, 1997 in the
reorganization transaction.
401(k) Profit-Sharing Plan - Former Medford Employees
PPI has a 401(k) Profit-Sharing Plan (the 401(k) Plan) in which all former
Medford employees are eligible to participate subject to certain eligibility
criteria. The 401(k) Plan permits employees to contribute up to 15% of their
annual compensation (not to exceed certain annual limits imposed by the
Internal Revenue Service). PPI may also make discretionary contributions,
which are immediately 100% vested.
Money Purchase Pension Plans - Former Medford Employees
PPI also has a Money Purchase Pension Plan in which all former Medford
employees are eligible to participate subject to certain eligibility
criteria. PPI contributes 5.7% of the employee's eligible earnings up to $63
and 11.4% of eligible earnings in excess of limitations imposed by the
Internal Revenue Service. These contributions are 100% vested upon
eligibility.
PPI's contributions for these plan for the year ended December 31, 1997 were
$1,107.
<PAGE> 33
-10-
401(k) Plan - Former HealthFirst Employees
PPI has a 401(k) plan covering all former HealthFirst employees who are
eligible subject to certain requirements. Employees contribute between 2% to
10% of their annual compensation. PPI matches employee contributions at a
rate of 10% plus a discretionary percentage determined by the Board of
Directors. The contributions to the Plan were $122 in 1997.
Money Purchase Plans - Former HealthFirst Employees
PPI has a defined contribution money purchase plan which is a plan in which
all former HealthFirst employees are eligible to participate subject to
certain requirements. PPI contributes 3% of the employee's compensation for
the plan year.
Contributions in 1997 were $362.
Supplemental Pension Plan - Former HealthFirst Employees
In 1987, HealthFirst entered into a supplemental pension plan with eight of
its physicians providing for fixed monthly payments over five years
commencing with the physicians' retirements or terminations. The physicians
receive payments upon retirement or termination if certain vesting
requirements have been met. HealthFirst had accrued $176 for the plan at
February 1, 1997. The accrual was assumed by PPI in the reorganization
transaction.
Bonus Compensation Plan - Former HealthFirst Shareholders
In February 1996, HealthFirst established a bonus compensation plan for
eligible Shareholders. Employees are vested after five years of employment
with credit for price service. A substantial portion of the employees were
fully vested as of December 31, 1996. The total payout of approximately
$5,250 will be over a period of eight years. PPI is accruing for the
estimated present value of the bonus compensation over the estimated period
of the employees' active employment from the date the contract was signed
until the date they are fully vested. PPI assumed the liability at February
1, 1997. The amount accrued at December 31, 1997 is $3,357, of which $589 is
included in current liabilities and the remainder is included in deferred
compensation.
12. PROFESSIONAL LIABILITY:
PPI maintains a claims-made professional liability insurance policy for the
providers employed by the New PCs. The policy includes full prior act coverage
for claims incurred but not reported prior to February 1, 1997. The claims-made
policy has no deductible. Management feels the coverage limits are adequate to
cover any claims exposure. PPI accrues an estimate of the future liability for
claims incurred but not reported prior to the end of the accounting period.
13. COMMITMENTS AND CONTINGENCIES:
Legal Proceedings
PPI is subject to various legal proceedings and claims which arise in the
ordinary course of business. In the opinion of management, although the ultimate
dispositions of these proceedings are not determinable, adverse determinations
in any or all of such proceedings would not have a material adverse effect upon
the financial position or results of operations of PPI.
<PAGE> 34
-11-
Compliance with Rules and Regulations
The healthcare industry is subject to numerous laws and regulations of federal,
state and local governments. These laws and regulations include, but are not
necessarily limited to, matters such as licensure, accreditation, government
healthcare program participation requirements, reimbursement for patient
services, and Medicare and Medicaid fraud and abuse. Recently, government
activity has increased with respect to investigations and allegations concerning
possible violations of fraud and abuse statutes and regulations by healthcare
providers. Violations of these laws and regulations could result in expulsion
from government healthcare programs, together with the imposition of significant
fines and penalties, as well as significant repayments for patient services
previously billed. Management believes that PPI is in compliance with the fraud
and abuse regulations, as well as other applicable government laws and
regulations. Compliance with such laws and regulations can be subject to future
government review and interpretation, as well as regulatory actions unknown or
unasserted at this time.
Employment Agreements
Several officers of PPI have employment agreements which establish annual
compensation levels and also provide for an annual incentive bonuses. In the
event the officers are terminated by PPI without cause, they would be entitled
to termination benefits equivalent to one year of their base salary, and health
and disability insurance for one year.
14. TREASURY STOCK:
Six shareholders of the Old PCs exercised their dissenters rights under the
Oregon Business Corporation Act. Accordingly, they were entitled to receive the
fair value of the shares they owned. PPI repurchased the dissenters' shares for
an aggregate amount of $748.
15. PREFERRED REDEEMABLE STOCK:
PPI has authorized 50,000,000 shares of preferred stock, at $.01 par value. At
December 31, 1996 and 1997, there were 0 and 15,000 shares outstanding,
respectively.
On July 10, 1997, PPI and First Union Capital Partners, Inc. (First Union)
entered into the Preferred Stock and Warrant Purchase Agreement (the Purchase
agreement). Pursuant to the Purchase Agreement, First Union purchased from PPI,
for a total purchase price of $15,000 (i) 15,000 shares of Series B
Cumulative Redeemable Preferred Stock of PPI (Preferred Shares) and (ii) a
Common Stock Purchase Warrant (the Warrant) to purchase up to 1,799,893 shares
(the Warrant Shares) of Class B Common Stock of PPI at an exercise price of $.01
per share. The Preferred Shares rank senior to all other classes of capital
stock of PPI as to liquidation, dividends, redemptions and any other payment of
distribution with respect to capital stock. Any portion of the Preferred Shares
may be redeemed at any time at a price equal to $1,000 per share plus accrued
and unpaid dividends, which accrue at the annual rate of 9%, provided that all
Preferred Shares must be redeemed by June 30, 2005 or earlier upon the
occurrence of certain enumerated events (including change in control of PPI,
public offering by PPI, failure of PPI to meet certain financial covenants or a
material breach under the Purchase Agreement).
The number of Warrant Shares that First Union may purchase under the Warrant may
be reduced to 687,919 shares if the Preferred Shares are redeemed in full by
June 30, 1998, to 942,784 if redeemed in full by June 30, 1999, and to 1,212,228
if redeemed in full by June 30, 2000. First Union has the right to sell to PPI
the Warrant and the Warrant Shares at a price equal to fair market value after
June 30, 2002 or, if earlier, upon the occurrence of certain enumerated events,
which events are similar to those that require PPI to redeem Preferred Shares in
full. First Union has certain demand, piggyback and other registration rights.
First Union and any subsequent holders of Preferred Shares, the Warrant and
Warrant Shares are prohibited from transferring such securities to any
competitor of PPI.
The warrant was valued at $6,115 at July 10, 1997. The value was based on
probability factors assigned to the various share amounts which may be issued
and the fair market value per share. The warrants and preferred stock are being
accreted up to their fair market value to the earliest potential redemption
date. At December 31, 1997 the value of the warrants approximates the
redemption value at June 30, 1998. The preferred stock was valued at $8,590 at
July 10, 1997. The preferred stock is being accreted up to its redemption value
of $15,000 by June 30, 1998. Accordingly, $3,205 of accretion has been charged
to Retained Earnings in 1997.
<PAGE> 35
-12-
16. RELATED PARTY TRANSACTIONS:
HealthFirst Properties LLC
HealthFirst Properties LLC (HPLLC) was formed by certain shareholders of
HealthFirst in 1996 to acquire three clinic buildings from HealthFirst. HPLLC
purchased these properties from HealthFirst for an aggregate purchase price of
$12,550, to be paid under an installment sale contract with a 20-year term.
HPLLC made a $1,000 down payment to HealthFirst. Simultaneous with the execution
of the installment sale contract, HealthFirst agreed to lease back the three
buildings from HPLLC under a 20-year lease agreement. This transaction has been
recorded as a direct financing lease. Accordingly, the monies received from
HPLLC have been recorded as a direct financing lease obligation and the related
property is included in property, plant and equipment in the accompanying
financial statements.
Gateway Properties LLC
Gateway Properties LLC (Gateway) is owned by several former shareholders of The
Suburban Medical Clinic, P.C. ("Suburban"). Throughout 1995, Suburban recorded
notes receivable for various payments made on behalf of Gateway. The note
receivable at December 31, 1997 was $94. The terms of the note include monthly
installments of principal and interest of $5 through August 1999 with interest
accruing at 7%. PPI assumed a capital lease to occupy a new clinic building
for a term expiring in August 2015.
Investments in Affiliates
The Company's investments in affiliates consist of investments in various
entities which are accounted for on the equity method. The names of these
entities, carrying values and the percent of ownership held by PPI are
summarized below:
<TABLE>
<CAPTION>
Percent Carrying Value at
Investee Owned December 31, 1997
-------- ----- -----------------
<S> <C> <C>
Corvallis MRI 33% $ 254
HealthCare Partners, LLC 50% 749
------
$1,003
======
</TABLE>
Additional information regarding these investments is discussed below.
<PAGE> 36
-13-
Corvallis MRI:
Corvallis held a one-third interest in Corvallis MRI which was transferred to
PPI on February 1, 1997. Corvallis MRI is a partnership organized in 1988 which
owns and operates a magnetic resonance imaging (MRI) scanner. The MRI unit is
housed in facilities leased from Good Samaritan Hospital Corvallis, another
partner, and operated by Corvallis Radiology, P.C., the third partner.
During 1997, payments to Corvallis MRI for services provided to Corvallis were
$156 and are included in purchased services.
HealthCare Partners, LLC
During the year ended November 30, 1995, Corvallis entered into a joint venture
agreement with Good Samaritan Hospital, Corvallis to form a limited liability
company to own and manage Corvallis' buildings and real properties and to serve
as a vehicle for financing future property expansion for Corvallis. Corvallis
contributed assets and liabilities in exchange for a 50% membership interest in
the limited liability company. On February 1, 1997, Corvallis transferred their
membership interest in HealthCare Partners, LLC to PPI.
The net book value of assets and liabilities contributed by Corvallis was
$13,805 for buildings, land and construction in progress and $8,363 for related
debt. In addition, Corvallis received $2,734 in cash reimbursements for the
market value of the above contributed net assets in excess of the Hospital's
contributed equity, as measured at the date of formation of the limited
liability company.
This transaction has been accounted for as a financing due to the continuing
involvement of Corvallis in the assets through its ownership interest in the
limited liability company. Accordingly, the contributed property remains as an
asset of Corvallis. The debt at the transaction date, together with the cash
received for the excess value of the contributed net assets, has been included
in the related financing obligations (Note 6).
Concurrent with the formation of the limited liability company, Corvallis
entered into a lease agreement relating to buildings and properties which were
contributed to the limited liability company which was assumed by PPI in the
merger.
PPI has guaranteed approximately $6,100 of long-term debt associated with the
above joint venture.
<PAGE> 37
REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS
To the Board of Directors of
The Corvallis Clinic, P.C.:
We have audited the accompanying balance sheets of The Corvallis Clinic, P.C.
(an Oregon professional corporation) as of December 31, 1996 and 1997, and the
related statements of operations, accumulated deficit and cash flows for the
year ended November 30, 1995, the thirteen-month period ended December 31, 1996
and the year ended December 31, 1997. These financial statements are the
responsibility of Corvallis' management. Our responsibility is to express an
opinion on these financial statements based on our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of The Corvallis Clinic, P.C. as
of December 31, 1996 and 1997, and the results of its operations and its cash
flows for the year ended November 30, 1995, the thirteen-month period ended
December 31, 1996, and the year ended December 31, 1997 in conformity with
generally accepted accounting principles.
ARTHUR ANDERSEN LLP
Portland, Oregon,
February 12, 1998
<PAGE> 38
THE CORVALLIS CLINIC, P.C.
BALANCE SHEETS - AS OF DECEMBER 31, 1996 AND 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1996 1997
---- ----
<S> <C> <C>
ASSETS
CURRENT ASSETS:
Cash and cash equivalents $ 187 $ 1
Patient accounts receivable, net of allowances for contractual
discounts and uncollectible accounts of $2,544 at December 31,
1996 4,232 -
Healthcare and other receivables 2,089 -
Inventories of drugs and supplies 219 -
Prepaid expenses and deposits 196 -
Prepaid provider compensation - 804
------- ----
Total current assets 6,923 805
------- ----
PROPERTY, PLANT AND EQUIPMENT, net of accumulated depreciation
and amortization of $9,220 at December 31, 1996 18,914 -
------- ----
OTHER ASSETS:
Investments in affiliates 654 -
------- ----
654 -
------- ----
Total assets $26,491 $805
======= ====
LIABILITIES, REDEEMABLE STOCK, COMMON STOCK AND ACCUMULATED DEFICIT
CURRENT LIABILITIES:
Current portion of long-term debt and capital and direct
financing lease obligations $ 899 $ -
Line of credit 3,330 -
Accounts payable and accrued expenses 1,748 -
Accrued healthcare costs 3,058 -
Accrued compensation and related expenses 1,114 -
Deferred revenue 339 -
------- ----
Total current liabilities 10,488 -
------- ----
PAYABLE TO PPI - 804
LONG-TERM DEBT, net of current portion 1,388 -
CAPITAL AND DIRECT FINANCING LEASE OBLIGATIONS, net of
current portion 13,959 -
DEFERRED COMPENSATION AND OTHER 1,755 -
COMMITMENTS AND CONTINGENCIES
REDEEMABLE STOCKS 6,959 -
COMMON STOCK, no par value; 500 shares authorized; 0 and 63 shares
issued and outstanding at December 31, 1996 and 1997, respectively - 1
ACCUMULATED DEFICIT (8,058) -
------- ----
Total liabilities, redeemable stock, common stock and
accumulated deficit $26,491 $805
======= ====
</TABLE>
The accompanying notes are an integral part of these balance sheets.
<PAGE> 39
THE CORVALLIS CLINIC, P.C.
STATEMENTS OF OPERATIONS
FOR THE YEAR ENDED NOVEMBER 30, 1995, THE THIRTEEN MONTHS
ENDED DECEMBER 31, 1996 AND YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands, except earnings per share)
<TABLE>
<CAPTION>
1995 1996 1997
------- ------- -------
<S> <C> <C> <C>
REVENUES:
Fee-for-service, net $ 20,704 $ 22,452 $ 20,231
Prepaid healthcare, net 18,470 21,257 22,883
----------- ----------- ---------
Net revenues 39,174 43,709 43,114
Less- Provider compensation and benefits 13,209 11,419 10,269
----------- ----------- ---------
Net revenues less provider
compensation and benefits 25,965 32,290 32,845
----------- ----------- ---------
EXPENSES:
Clinic salaries, wages and benefits 12,579 15,620 13,604
Purchased medical services 4,717 6,183 6,402
Medical and office supplies 3,842 4,623 4,550
General and administrative expenses 3,560 3,315 3,190
Lease and rent expense 198 290 255
Provision for uncollectible accounts 1,768 1,270 1,079
Depreciation and amortization 1,115 1,690 1,604
Management fee - - 1,673
----------- ----------- ---------
Total operating expenses 27,779 32,991 32,357
----------- ----------- ---------
Operating income (loss) (1,814) (701) 488
OTHER INCOME (EXPENSE):
Interest income 66 46 72
Interest expense (1,223) (1,916) (1,798)
Equity in income of affiliates 232 301 376
Other 632 466 1,086
----------- ----------- ---------
Net income (loss) before provision
for income taxes (2,107) (1,804) 224
----------- ----------- ---------
PROVISION FOR INCOME TAXES - - -
----------- ----------- ---------
NET INCOME (LOSS) $(2,107) $(1,804) $ 224
=========== =========== =========
EARNINGS PER SHARE $(30,985.29) $(27,333.33) $3,555.56
=========== =========== =========
WEIGHTED AVERAGE SHARES OUTSTANDING 68 66 63
== == ==
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 40
THE CORVALLIS CLINIC, P.C.
STATEMENTS OF CASH FLOWS
FOR THE YEAR ENDED NOVEMBER 30, 1995, THE THIRTEEN MONTHS
ENDED DECEMBER 31, 1996 AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1995 1996 1997
------- ------- -------
<S> <C> <C> <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss) $(2,107) $(1,804) $ 224
Adjustment to reconcile net income (loss) to net
cash provided by (used in) operating activities-
Depreciation and amortization 1,115 1,690 144
Equity in income of affiliates (232) (301) (29)
Equity in income of affiliate offset against
operating expenses - 69 -
Equity in income of affiliate offset against
interest expense (289) (547) (34)
Loss on sale of equity interest in affiliate - 18 -
Changes in operating assets and liabilities:
Patient accounts receivable, net 364 72 (179)
Healthcare and other receivables 426 (910) 252
Inventories of drugs and supplies 33 5 97
Prepaid expenses and deposits (72) 283 8
Prepaid provider compensation - - (804)
Other assets (66) 90 -
Accounts payable and accrued expenses 423 (440) (293)
Income taxes payable 32 (32) -
Payable to PPI - - 804
Accrued healthcare costs 799 1,777 (413)
Accrued compensation and related expenses (3,002) (794) 3
Deferred revenue 50 (58) -
Deferred compensation and other 140 125 (68)
------- ------- -------
Net cash used in operating activities (2,386) (757) (288)
------- ------- -------
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property, plant and equipment (3,203) (1,070) (24)
Purchases of investments (123) - -
Cash distributions received from investments 400 615 -
Cash distributions received from sale of equity
interest in affiliate - 53 -
------- ------- -------
Net cash used in investing activities (2,926) (402) (24)
------- ------- -------
CASH FLOWS FROM FINANCING ACTIVITIES:
Net proceeds (payments) from borrowings under line of
credit nt 1,409 1,921 (30)
Proceeds from issuance of long-term debt 1,200 1,400 -
Principal payments on long-term debt and direct
financing lease obligation (239) (674) (98)
Proceeds from issuance of common stock - 10 1
Payments for redemption of common stock (23) (123) -
Payments for redemption of preferred stock (19) (57) -
Proceeds from repayments of notes receivable from
stockholders 136 81 8
Cash received in formation of HealthCare Partners, LLC 2,734 - -
Costs incurred related to Physician Partners, Inc.
transaction - (1,389) (85)
Drafts payable assumed by Physician Partners, Inc.
in merger - - 330
------- ------- -------
Net cash provided by financing activities 5,198 1,169 126
------- ------- -------
</TABLE>
(continued)
<PAGE> 41
THE CORVALLIS CLINIC, P.C.
STATEMENTS OF CASH FLOWS (CONTINUED)
FOR THE YEAR ENDED NOVEMBER 30, 1995, FOR THE THIRTEEN MONTHS
ENDED DECEMBER 31, 1996 AND THE YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1995 1996 1997
------- ------- -------
<S> <C> <C> <C>
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS $ (114) $ 10 $ (186)
CASH AND CASH EQUIVALENTS, beginning of period 291 177 187
------- ------- -------
CASH AND CASH EQUIVALENTS, end of period $ 177 $ 187 $ 1
======= ======= =======
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid for interest $ 891 $ 2,327 $ 2,164
Cash paid (received) for income taxes (42) 54 -
</TABLE>
SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING ACTIVITIES:
During 1995, Corvallis formed a limited liability company by contributing
certain real property and associated debt in exchange for a 50% ownership
interest in the new entity (Note 13).
Notes receivable from shareholders for purchase of stock during 1995 and 1996
were $23 and $13, respectively.
Corvallis received a noncash distribution from an affiliate during 1996 of
$69.
Redemption of common stock in exchange for a payable of $132 during 1996.
In February 1997, Corvallis assigned all assets and liabilities to PPI as
part of the reorganization and merger transaction. The book value of
Corvallis' assets and liabilities at the date of the transaction are
presented below:
<TABLE>
<S> <C>
Current assets $ 6,230
Property, plant and equipment 18,792
Other long-term assets 717
Current liabilities 9,691
Long-term liabilities 7,001
Contributed equity (953)
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 42
THE CORVALLIS CLINIC, P.C.
STATEMENTS OF ACCUMULATED DEFICIT
FOR THE YEAR ENDED NOVEMBER 30, 1995, THE THIRTEEN MONTHS
ENDED DECEMBER 31, 1996 AND YEAR ENDED DECEMBER 31, 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<S> <C>
BALANCE, November 30, 1994 $ (459)
Accretion of common stock (778)
Net loss (2,107)
-------
BALANCE, November 30, 1995 (3,344)
Accretion of common stock (1,520)
Costs incurred related to Physician Partners, Inc. transaction (1,390)
Net loss (1,804)
-------
BALANCE, December 31, 1996 (8,058)
Net income 224
Transfer of ownership to Physician Partners, Inc., during merger
(Note 1) 7,834
-------
BALANCE, December 31, 1997 $ -
=======
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 43
THE CORVALLIS CLINIC, P.C.
NOTES TO FINANCIAL STATEMENTS
DECEMBER 31, 1996 AND 1997
(All dollar amounts are expressed in thousands)
1. BUSINESS AND ORGANIZATION:
The Corvallis Clinic, PC (Corvallis), an Oregon professional corporation, was
incorporated on September 18, 1996 under the name Physician Partners Corvallis,
PC for the purpose of effecting a reorganization transaction between Physician
Partners, Inc. (PPI) and three Oregon professional corporations (the Founding
Clinics).
This transaction, which was consummated on February 1, 1997, resulted in a
separation of operations of the three Founding Clinics between medical
professional services activities (i.e., providers of medical services) and the
physician practice management activities of the business. The professional
services activities were spun off into newly formed professional corporations
(New PCs). Corvallis is one of the new PCs. The physician practice management
business, along with substantially all of the assets and liabilities of the
three Founding Clinics, i.e., cash, receivables, inventories, prepaids,
property, plant and equipment, other assets, payables, accruals, debt, and
certain contractual commitments were transferred to PPI. The New PCs are
responsible for providing medical services and the related costs for provider
compensation and benefits. The assets transferred to the New PCs, which had zero
carrying value, include the employment agreements between each Company and its
providers, certain provider contracts under which the New PCs will be receiving
fee-for-service compensation and patient medical records.
An integral part of the reorganization is a 40-year management agreement whereby
PPI provides physician practice management services to the New PCs. Services to
be provided include management and administrative services, capital resources,
facilities, equipment and supplies. As consideration, PPI is entitled to (a)
reimbursement of all managerial costs and expenses (Manager's Expenses) incurred
by PPI and (b) a management fee equal to 16% of (i) net revenues relating to
services provided by the New PCs less (ii) Manager's Expenses.
Essentially all of the cash remaining in the New PC after the payments to PPI
under the management agreement will fund the compensation and benefits of
providers employed by the New PCs.
Corvallis consists of approximately 83 professional providers who offer a wide
range of primary and specialty care. In addition, Corvallis offers ancillary
services such as physical therapy, optical, pharmacy, laboratory and imaging.
The majority of Corvallis operations are located in two facilities in Corvallis,
Oregon. In addition, Corvallis operates four satellite offices: Albany Family
Medicine, Corvallis Family Medicine, Philomath Family Medicine and Research
Park. A significant change in the demographics of this area may have an adverse
impact on the business.
<PAGE> 44
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND OTHER INFORMATION:
Selected accounting policies are discussed below. Other significant accounting
policies regarding revenues, income taxes, professional liability, deferred
compensation and investments in affiliates are discussed in specific notes that
follow.
Change in Fiscal Year End
Effective December 1, 1995, Corvallis changed its fiscal year end from November
30 to December 31. Accordingly, the 1996 fiscal year ended December 31, includes
the results of operations for thirteen months.
Cash Equivalents
Cash equivalents consist of all highly liquid investments with original
maturities of three months or less.
Concentration of Credit Risk
Corvallis extends credit to patients covered by commercial insurance, Medicare
and Medicaid. Corvallis manages credit risk with the various public and private
insurance providers, as deemed appropriate by management. Allowances for
contractual discounts and uncollectible accounts have been made for potential
losses, where appropriate.
Prepaid Provider Compensation
Prepaid provider compensation includes the amount paid to providers which are in
excess of the earned amount computed in accordance with the Management Agreement
(Note 1). The balance will be reversed in future years when the amount paid is
less than the earned amount.
Inventories of Drugs and Supplies
Inventories are stated at the lower of cost or market, determined by the
first-in, first-out (FIFO) method.
Property, Plant and Equipment
Property, plant and equipment are stated at cost. Maintenance, repairs and minor
replacements are expensed as incurred. When properties are retired or otherwise
disposed of, the related cost and accumulated depreciation are removed from the
respective accounts and any gain or loss on disposition is recorded as other
income or expense.
Depreciation is computed using both accelerated and straight-line methods over
the estimated useful lives of the respective assets. Equipment under capital
lease is amortized using the straight-line method over the shorter of the period
of the lease term or the estimated useful life of the equipment. Estimated lives
are as follows:
Building and building improvements 7-40 years
Furniture and equipment 5-15 years
Accrued Healthcare Costs
Accrued healthcare costs are calculated based on reported claims and an estimate
based on historical data of incurred but not reported claims. These accrued
healthcare cost estimates will vary from actual results and the differences may
be significant.
-2-
<PAGE> 45
Payable to PPI
Corvallis signed a note payable to PPI, bearing interest at 7.6%. Interest only
payments are due in 1998 and monthly installments of principal and interest
payments are due beginning January 1999 for three years.
Fair Value of Financial Instruments
The carrying amounts of cash and cash equivalents, patient accounts receivable,
accounts payable and accrued expenses are a reasonable estimate of their fair
value based on the short maturities of these instruments.
Interest rates that are currently available to Corvallis for issuance of debt
with similar terms and remaining maturities were used to estimate fair value for
debt issues. The current carrying value of debt approximates fair value.
Corvallis does not hold or issue financial instruments or derivative financial
instruments for trading purposes.
Notes Receivable from Stockholders
Corvallis maintains various agreements with stockholders for their purchase of
common stock. The notes bear interest at 6.52% and mature at various stages
through the year 2006.
Other Income
Other income includes a $600 one time payment from PPI. The payment was part of
a transition plan developed by PPI to assist Corvallis in its transition to the
Management Agreement.
Provider Compensation and Benefits
Provider compensation and benefits consist of the direct costs of patient care
providers such as physicians and other allied health professionals. A
substantial portion of these costs are paid to providers who are stockholders.
Use of Estimates
The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions.
These estimates and 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 those estimates.
Financial Statement Presentation
The accompanying financial statements reflect the assets and liabilities as of
December 31, 1996 and results of operations for the year ended November 30,
1995, the thirteen months ended December 31, 1996 for The Corvallis Clinic,
P.C. prior to the reorganization transaction ("Old Corvallis"). The Statement
of Operations and Cash Flows for the year ended December 31, 1997, include
results of operations for Old Corvallis from January 1 to January 31, 1997.
The remainder of the period represents the operations of The Corvallis Clinic,
P.C. ("New PC") subsequent to the effective date of the reorganization
transaction, February 1, 1997.
Reclassifications
Certain prior year amounts have been reclassified to conform with the current
year presentation.
3. REVENUES:
Corvallis reports its revenues according to two principal types of payment
methodologies as discussed below:
Prepaid Healthcare
Corvallis contracts with various Health Maintenance Organizations (HMOs) to
provide care to plan enrollees. These programs provide for a prepaid monthly
fixed capitation payment on a per member basis to Corvallis by the HMO for plan
enrollees.
The majority of the HMO contracts are delegated professional risk with limited
institutional risk based upon utilization parameters mutually agreed upon by
the hospital health plan and Corvallis.
-3-
<PAGE> 46
Corvallis has accrued the claims associated with services provided by outside
providers for which Corvallis is responsible, and an estimate of incurred but
not reported claims is included in accrued healthcare cost in the accompanying
financial statements.
Corvallis follows the policy of netting prepaid healthcare revenues and
purchased medical services expenses for the institutional portion of capitated
agreements. Liabilities associated with these contracts are included in accrued
healthcare costs in the accompanying financial statements. Corvallis' revenue
associated with these contracts was approximately $11,945, $16,699 and $16,235
for the year ended November 30, 1995, thirteen months ended December 31, 1996
and the year ended December 31, 1997, respectively.
Fee-For-Service
Patient service revenues are recorded in the period in which services are
provided at established rates. Corvallis has agreements with third-party payors
that provide payments to Corvallis at amounts different from its established
rates. The difference between the established rates and the related payment
amounts are reflected as contractual discounts, as shown below:
<TABLE>
<CAPTION>
Year Ended 13 Months Ended Year Ended
November 30, 1995 December 31, 1996 December 31, 1997
----------------- ----------------- -----------------
<S> <C> <C> <C>
Fee-for-service, gross $25,778 $28,801 $26,043
Contractual discounts (5,074) (6,349) (5,812)
------- ------- -------
Fee for service, net $20,704 $22,452 $20,231
======= ======= =======
</TABLE>
A summary of the most significant fee-for-service arrangements is as follows:
Medicare
A significant portion of Corvallis' services are provided to Medicare
patients. Payments for Medicare outpatient services which are not
covered under capitated contracts are based on a prevailing fee
schedule. Approximately 15%, 16% and 14% of net patient service revenues
were derived from services provided to fee-for-service Medicare patients
in 1995, 1996 and 1997, respectively.
Medicaid
Payments for Medicaid outpatient services which are not covered under
capitated contracts are based on a prevailing fee schedule.
Approximately 3%, 2% and 2% of net patient service revenues were derived
from services provided to fee-for-service Medicaid patients in 1995,
1996 and 1997, respectively.
-4-
<PAGE> 47
Other Payors
Corvallis has also entered into payment agreements with certain
commercial insurance carriers and preferred provider organizations. The
basis for payment to Corvallis under these agreements includes discounts
from established charges.
Major Customers
The following customers represented individually more than 10% of Corvallis' net
revenue as follows:
<TABLE>
<CAPTION>
Year Ended 13 Months Ended Year Ended
November 30, 1995 December 31, 1996 December 31, 1997
----------------- ----------------- -----------------
<S> <C> <C> <C>
Pacificare - Commercial 23% 21% 22%
PacifiCare - Secure Horizons 16 10 10
HMO Oregon - - 10
SelectCare 10 - -
Oregon Health Plan 11 - -
</TABLE>
4. PROPERTY, PLANT AND EQUIPMENT:
Property, plant and equipment consists of the following at December 31, 1996:
<TABLE>
<S> <C>
Land and land improvements $ 667
Buildings and leasehold improvements 19,448
Furniture and equipment 8,019
-------
28,134
Less- Accumulated depreciation (9,220)
-------
$18,914
=======
</TABLE>
5. INCOME TAXES:
Income taxes are accounted for in accordance with Statement of Financial
Accounting Standards No. 109 (SFAS 109). SFAS 109 requires that Corvallis follow
the liability method of accounting for deferred income taxes. Differences
between financial reporting and income tax net operating losses are due
primarily to the use of the cash method of accounting for income tax purposes.
Corvallis has adopted a December 31 year-end for income tax purposes.
-5-
<PAGE> 48
Deferred income taxes reflect the net tax effects of temporary differences
between the amount of assets and liabilities for financial reporting purposes
and the amounts used for income tax purposes. Significant components of
Corvallis' deferred tax assets and liabilities are as follows at December 31,
1996:
<TABLE>
<S> <C>
Deferred tax assets:
Cash to accrual adjustments $4,261
Net operating loss 832
Other 306
-------
Gross deferred tax assets 5,399
Less- Valuation allowance (1,778)
-------
Net deferred tax asset 3,621
Deferred tax liabilities:
Cash to accrual adjustments (3,621)
-------
Net deferred tax asset $ -
=======
</TABLE>
The differences between the provision (benefit) for income taxes and the amount
computed by applying the statutory federal income tax rate to income before
taxes were as follows:
<TABLE>
<CAPTION>
Year Ended 13 Months Ended Year Ended
November 30, 1995 December 31, 1996 December 31, 1997
----------------- ----------------- -----------------
<S> <C> <C> <C>
Federal tax at statutory rate $(716) $(604) $-
Add (deduct):
State income tax, net of federal
benefit (126) (107) -
Future tax benefits not recognized
849 699 -
Other (7) 12 -
----- ----- -----
Provision for income taxes $ - $ - $ -
===== ===== =====
</TABLE>
Nonrealized future tax benefits referred to above represent tax benefits related
to net operating loss (NOL) carryforwards. These benefits have not been
recognized in the accompanying financial statements because there is no
assurance these NOLs can be utilized in the future.
As of December 31, 1997, the net income before provision for income taxes
represents the results of operations for Old Corvallis from January 1 to January
31, 1997. The valuation reserve against the deferred tax assets was reversed in
an amount equal to the current tax expense, resulting in no tax provision being
reflected in the 1997 statement of operations. The operations of Corvallis for
the remainder of the period have resulted in no net income and, accordingly, no
current tax expense is necessary.
-6-
<PAGE> 49
6. LONG-TERM DEBT:
Long-term debt consists of the following at December 31, 1996:
<TABLE>
<S> <C>
Note payable interest at 10%, payable in monthly installments of $31 through February
1999, secured by equipment $ 707
Note payable, interest at 9%, payable in monthly installments of $35 through August 2000,
secured by real equipment 1,304
------
Total long-term debt 2,011
Less- Current portion (623)
------
Long-term debt, net of current portion $1,388
======
</TABLE>
Lines of Credit
Corvallis maintained a revolving line-of-credit agreement with a bank providing
up to $2,500, secured by accounts receivable and inventory. At February 1, 1997,
the revolving line of credit was consolidated into a $7,500 line-of-credit as a
result of the reorganization transaction (Note 1).
7. LEASE COMMITMENTS:
Capital Lease
Corvallis leases certain equipment under an agreement which is classified as a
capital lease. The lease has an original term of five years and includes a
bargain purchase option. The lease was assigned to PPI on February 1, 1997.
Lease equipment included in property, plant and equipment is as follows at
December 31, 1996:
<TABLE>
<S> <C>
Equipment $ 260
Less- Accumulated amortization (178)
-----
$ 82
=====
</TABLE>
Operating Leases
Leases that do not meet the criteria for capitalization are classified as
operating leases. Such lease commitments are primarily for facilities and
equipment and the related rentals are charged to operations as incurred.
Direct Financing Lease Obligation
In June of 1995, Corvallis contributed land, buildings, construction in process
and related notes payable to HealthCare Partners, LLC (Note 13). At the date of
transfer, Corvallis entered into 30-year lease agreements for the Asbury,
Aumann, CFM and PFM buildings and a 5-year lease agreement for the Albany
building. Monthly rental payments under these leases are $184. The assets were
sold under a sale/leaseback arrangement and, therefore, this is being accounted
for as a financing transaction wherein the assets remain on the books and
continue to be depreciated. Corvallis recorded a direct financing lease
obligation for cash received by Corvallis and obligations assumed by the LLC as
part of the transaction.
-7-
<PAGE> 50
The liability for this lease obligation was $14,142 at December 31, 1996 and was
assumed by PPI at February 1, 1997.
8. RETIREMENT PLANS:
401(k) Profit Sharing Plan
Corvallis has a 401(k) Profit-Sharing Plan (the 401(k) Plan) in which all
employees are eligible to participate subject to certain eligibility criteria.
The 401(k) Plan permits employees to contribute up to 10% of their annual
compensation (not to exceed certain annual limits imposed by the Internal
Revenue Code). Corvallis is required to make matching contributions equal to 50%
of employee contributions up to 8% of the employee's compensation. Corvallis may
also make discretionary contributions. Clinic contributions are 100% vested.
Money-Purchase Pension Plan
Corvallis also has a Money-Purchase Pension Plan in which all employees are
eligible to participate subject to certain eligibility criteria. Corvallis
contributes 5.4% of the employee's eligible earnings up to $48 and 10.8% of
eligible earnings in excess of $48. These contributions are 100% vested upon
eligibility.
Corvallis' contributions for these plans for the year ended November 30, 1995
and the 13-month period ended December 31, 1996 were approximately $2,010 and
$1,494, respectively.
9. PROFESSIONAL LIABILITY:
At February 1, 1997, Corvallis' professional liability insurance policy was
consolidated into a PPI policy as a result of the reorganization transaction
(Note 1). The consolidated claims-made policy has no deductible and includes
full prior acts coverage. Management believes the coverage is adequate to cover
any potential claims.
-8-
<PAGE> 51
10. REDEEMABLE STOCK:
Corvallis has three classes of stock which are redeemable at the option of the
shareholders upon retirement, termination of employment and certain other
events. A summary of the activity in these stock accounts for the period
November 30, 1995 through December 31, 1997, together with other information, is
presented below:
<TABLE>
<CAPTION>
Class A Class B Class C Notes
Voting Preferred Voting Common Nonvoting Preferred Receivable
---------------------------------- -------------------
Shares Carrying Shares Carrying Shares Carrying From
Issued Value Issued Value Issued Value Stockholders Total
------ ----- ------ ----- ------ ----- ----------- -------
<S> <C> <C> <C> <C> <C> <C> <C> <C>
BALANCE, November 30, 1994 68 $1,358 12,035 $3,295 8,760 $876 $(742) $4,787
Stock issued 1 23 - - - - (23) -
Stock redeemed (1) (23) - - (190) (19) - (42)
Accretion - 6 - 772 - - - 778
Payments of notes - - - - - - 137 137
receivable
--- ------- ------- ------- ------ ----- ----- -------
BALANCE, November 30, 1995 68 1,364 12,035 4,067 8,570 857 (628) 5,660
Stock issued 1 23 - - - - (13) 10
Stock redeemed (5) (115) (235) (140) (570) (57) - (312)
Accretion - 79 - 1,441 - - - 1,520
Payments of notes - - - - - - 81 81
receivable
--- ------- ------- ------- ------ ----- ----- -------
BALANCE, December 31, 1996 64 1,351 11,800 5,368 8,000 800 (560) 6,959
Stock issued - - - - - - - -
Stock redeemed - - - - - - - -
Accretion - - - - - - - -
Payments of notes - - - - - - 8 8
receivable
PPI stock exchange (64) (1,351) (11,800) (5,368) (8,000) (800) 552 (6,967)
--- ------- ------- ------- ------ ----- ----- -------
BALANCE, December 31, 1997 - $ - - $ - - $ - $ - $ -
=== ======= ======= ======= ====== ===== ===== =======
</TABLE>
The carrying value of the Class A and Class B shares were being increased
(accreted) to the redemption price using the effective interest rate through the
earliest estimated redemption date. At February 1, 1997, Corvallis' stock was
exchanged for PPI stock.
In 1997, Corvallis issued 63 shares of no par value common stock with a total
value of $1.
11. DEFERRED COMPENSATION:
Corvallis provides compensation to eligible shareholders who retire based upon
average shareholder income, as defined in the Employment Agreement, for the
first three years following retirement. Provider/shareholder retirees who have
20-1/2 years of service while in service with Corvallis are eligible to receive
such deferred retirement compensation. The deferred compensation recorded in the
accompanying financial statements is the net present value of the future
obligations recognized for the years of service.
12. COMMITMENTS AND CONTINGENCIES:
Legal Proceedings
Corvallis is subject to various legal proceedings and claims which arise in the
ordinary course of business. In the opinion of management, although the ultimate
dispositions of these proceedings are not determinable, adverse determinations
in any or all of such proceedings would not have a material adverse effect upon
the financial position or results of operations of Corvallis.
Compliance with Rules and Regulations
The healthcare industry is subject to numerous laws and regulations of
federal, state and local governments. These laws and regulations include, but
are not necessarily limited to, matters such as licensure, accreditation,
government healthcare program participation requirements, reimbursement for
patient services and Medicare and Medicaid fraud and abuse. Recently,
government activity has increased with respect to investigations and
allegations concerning possible violations of fraud and abuse statutes and
regulations by healthcare providers. Violations of these laws and regulations
could result in expulsion from government healthcare programs, together with
the imposition of significant fines and penalties, as well as significant
repayments for patient services previously billed. Management believes that
Corvallis is in compliance with the fraud and abuse regulations as well as
other applicable government laws and regulations. Compliance with such laws and
regulations can be subject to future government review and interpretation as
well as regulatory actions unknown or unasserted at this time.
-9-
<PAGE> 52
Other Commitments
References of other commitments are made in the discussion of various lease
commitments and related debt guarantees in Notes 7 and 13.
13. INVESTMENTS IN AFFILIATES:
The Company's investments in affiliates consist of investments in various
entities which are accounted for on the equity method. The names of these
entities, carrying values and the percent of ownership held by Corvallis are
summarized below:
<TABLE>
<CAPTION>
Percent Carrying Value at
Investee Owned December 31, 1996
-------- ----- -----------------
<S> <C> <C>
Corvallis MRI 33% $218
HealthCare Partners, LLC 50 436
----
$654
====
</TABLE>
Additional information regarding these investments is discussed below.
Corvallis MRI:
Corvallis held a one-third interest in Corvallis MRI which was transferred to
PPI on February 1, 1997. The partnership was organized in 1988 and owns and
operates a magnetic resonance imaging (MRI) scanner. The MRI unit is housed in
facilities leased from Good Samaritan Hospital, another partner, and operated by
Corvallis Radiology, P.C., the third partner. Summarized financial information
of Corvallis MRI as of and for the year ended December 31, 1996 is presented
below:
<TABLE>
<S> <C>
Balance sheet data-
Current assets $ 461
Fixed assets 1,034
Other assets 40
------
Total assets $1,535
======
Current liabilities $ 400
Long-term debt 437
Other long-term liabilities 45
Partners' equity 653
------
Total liabilities and Partners' equity $1,535
======
</TABLE>
-10-
<PAGE> 53
<TABLE>
<CAPTION>
1995 1996
---- ----
<S> <C> <C>
Operations data-
Revenues $1,657 $1,828
Operating expenses (834) (937)
Other income (expense) (83) (57)
------ ------
$740 $834
====== ======
</TABLE>
During 1995 and 1996, payments to Corvallis MRI for services provided to
Corvallis were $62 and $143, respectively, and are included in purchased
services.
HealthCare Partners, LLC
During the year ended November 30, 1995, Corvallis entered into a joint venture
agreement with Good Samaritan Hospital, Corvallis to form a limited liability
company to own and manage Corvallis' buildings and real properties and to serve
as a vehicle for financing future property expansion for Corvallis. Corvallis
contributed assets and liabilities in exchange for a 50% membership interest in
the limited liability company. On February 1, 1997, Corvallis transferred their
membership interest in HealthCare Partners, LLC to PPI.
The net book value of assets and liabilities contributed by Corvallis was
$13,805 for buildings, land and construction in progress and $8,363 for related
debt. In addition, Corvallis received $2,734 in cash reimbursements for the
market value of the above contributed net assets in excess of the Hospital's
contributed equity, as measured at the date of formation of the limited
liability company.
This transaction has been accounted for as a financing due to the continuing
involvement of Corvallis in the assets through its ownership interest in the
limited liability company. Accordingly, the contributed property remains as an
asset of Corvallis. The debt at the transaction date, together with the cash
received for the excess value of the contributed net assets, has been included
in the related financing obligations (Note 7).
Summarized financial information of HealthCare Partners, LLC as of and for the
year ended December 31, 1996 is presented below:
<TABLE>
<S> <C>
Balance sheet data-
Current assets $ 336
Financing lease receivable 20,840
Property and improvements 3,356
Other assets 145
-------
Total assets $24,677
=======
Current liabilities $ 2,053
Long-term debt 7,843
Members' equity 14,781
-------
Total liabilities and Members' equity $24,677
=======
</TABLE>
-11-
<PAGE> 54
Operations data-
<TABLE>
<CAPTION>
Inception,
(June 1)
Through
December 31, December 31,
1995 1996
-------------- ----------
<S> <C> <C>
Revenues $1,258 $2,445
Expenses 680 1,604
------ ------
Net income $ 578 $ 841
====== ======
</TABLE>
Revenues include interest income of $1,149 for the period ended December 31,
1995 and $1,902 for the year ended December 31, 1996, relating to the financing
lease with Corvallis. As a substantial portion of the joint venture's income is
derived from payments made by Corvallis for this interest income, Corvallis'
share of earnings from the joint venture is offset against interest expense in
the accompanying statements of income.
Concurrent with the formation of the limited liability company, Corvallis has
entered into a lease agreement relating to buildings and properties which were
contributed to the limited liability company and are occupied by Corvallis.
PPI has guaranteed approximately $6,100 of long-term debt associated with the
above joint venture.
Healthquest
During 1996, Corvallis' sold their interest in Healthquest to one of the other
partners. Corvallis recognized a loss on the sale of their investment of $18
included in the accompanying financial statements.
14. EARNING PER SHARE:
All share and per share data have been retroactively restated to give effect to
the recapitalization resulting from the transactions.
<PAGE> 55
REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS
To the Board of Directors of
Medford Clinic, P.C.:
We have audited the accompanying balance sheets of Medford Clinic, P.C. (an
Oregon professional service corporation) as of December 31, 1996 and 1997, and
the related statements of operations, cash flows and stockholders' equity for
each of the years in the three-year period ended December 31, 1997. These
financial statements are the responsibility of Medford's management. Our
responsibility is to express an opinion on these financial statements based on
our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of Medford Clinic, P.C. as of
December 31, 1996 and 1997, and the results of its operations and its cash flows
for each of the years in the three-year period ended December 31, 1997 in
conformity with generally accepted accounting principles.
ARTHUR ANDERSEN LLP
Portland, Oregon,
February 13, 1998
<PAGE> 56
MEDFORD CLINIC, P.C.
BALANCE SHEETS - AS OF DECEMBER 31, 1996 AND 1997
(All dollar amounts are expressed in thousands)
ASSETS
<TABLE>
<CAPTION>
1996 1997
---- ----
<S> <C> <C>
CURRENT ASSETS:
Cash and cash equivalents $ 201 $ 1
Patient accounts receivable, net of allowances for contractual discounts
and uncollectible accounts of $3,430 at December 31, 1996 6,124 -
Healthcare receivables 487 -
Inventories of drugs and supplies 203 -
Prepaid expenses and deposits 304 -
Restricted investments 250 -
------- ----
Total current assets 7,569 1
------- ----
PROPERTY, PLANT AND EQUIPMENT, net of accumulated depreciation of $5,303 at
December 31, 1996 5,701 -
------- ----
LONG-TERM DEFERRED TAX ASSET 77 -
------- ----
OTHER ASSETS:
Restricted investments 250 -
Other 44 -
------- ----
Total other assets 294 -
------- ----
Total assets $13,641 $ 1
======= ====
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES:
Current portion of long-term debt $ 1,004 $ -
Drafts payable 530 -
Accounts payable 1,306 -
Income taxes payable 5 -
Accrued healthcare costs 1,027 -
Accrued compensation and related expenses 2,497 -
Current deferred tax liability 1,568 -
Total current liabilities ------- ----
7,937 -
LONG-TERM DEBT, net of current portion ------- ----
3,924 -
DEFERRED COMPENSATION AND OTHER LONG-TERM LIABILITIES ------- ----
938 -
COMMITMENTS AND CONTINGENCIES ------- ----
STOCKHOLDERS' EQUITY:
Common stock-
$10 stated value; 500 shares authorized; 57 and 0 shares outstanding at
December 31, 1996 and 1997,respectively 1 -
No par value; 500 shares authorized, 0 and 61 shares outstanding
at December 31, 1996 and 1997, respectively - 1
Additional paid-in capital 1 -
Retained earnings 840 -
------- ----
Total stockholders' equity 842 1
------- ----
Total liabilities and stockholders' equity $13,641 $ 1
======= ====
</TABLE>
The accompanying notes are an integral part of these balance sheets.
<PAGE> 57
MEDFORD CLINIC, P.C.
STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts are expressed in thousands, except earnings per share)
<TABLE>
<CAPTION>
1995 1996 1997
------- ------- -------
<S> <C> <C> <C>
REVENUES:
Fee-for-service, net $33,951 $33,445 $37,167
Prepaid healthcare 5,015 6,996 9,886
------- ------- -------
Net revenues 38,966 40,441 47,053
Less- Provider compensation and benefits 11,239 12,202 11,157
------- ------- -------
Net revenue less provider compensation
and benefits 27,727 28,239 35,896
------- ------- -------
OPERATING EXPENSES:
Clinic salaries, wages and benefits 11,838 13,543 15,063
Purchased medical services 2,283 4,174 4,920
Medical and office supplies 5,578 5,909 6,431
General and administrative expenses 3,446 3,362 3,844
Provision for uncollectible accounts 868 1,069 1,349
Depreciation and amortization 1,125 966 1,108
Rent and lease expense 1,139 1,175 1,389
Management fee - - 1,891
------- ------- -------
Total operating expenses 26,277 30,198 35,995
------- ------- -------
Operating income (loss) 1,450 (1,959) (99)
OTHER INCOME (EXPENSE):
Interest income 97 104 56
Interest expense (487) (425) (334)
Other - - 331
------- ------- -------
INCOME (LOSS) BEFORE PROVISION (BENEFIT) FOR
INCOME TAXES 1,060 (2,280) (46)
PROVISION (BENEFIT) FOR INCOME TAXES 408 (913) -
------- ------- -------
NET INCOME (LOSS) $ 652 $(1,367) $ (46)
======= ======= =======
EARNINGS PER SHARE $11,642.86 $(24,410.71) $(807.02)
========== =========== ========
WEIGHTED AVERAGE SHARES OUTSTANDING 56 56 57
== == ==
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 58
MEDFORD CLINIC, P.C.
STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1995 1996 1997
------- ------- ------
<S> <C> <C> <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss) $ 652 $(1,367) $ (46)
Adjustments to reconcile net income (loss) to net cash provided by
(used in) operating activities-
Depreciation and amortization 1,125 966 98
Deferred taxes 347 (893) -
Changes in operating assets and liabilities:
Patient accounts receivable, net 426 557 (44)
Healthcare receivables 225 41 95
Inventories of drugs and supplies (62) 87 -
Prepaid expenses and deposits (235) 198 (33)
Other assets (34) 29 18
Drafts payable - 530 (529)
Accounts payable (56) 887 (181)
Income taxes payable 25 (20) -
Accrued healthcare costs 380 541 (13)
Accrued compensation and related expenses 129 406 461
Other liabilities (14) (189) -
Deferred compensation and other long-term
liabilities (27) 339 29
------- ------- ------
Net cash provided by (used in) operating
activities 2,881 2,112 (145)
------- ------- ------
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property, plant and equipment (865) (1,324) (21)
Purchases of restricted investments (1,207) (293) -
Proceeds from sale of short-term investments - 1,000 -
------- ------- ------
Net cash used in investing activities (2,072) (617) (21)
------- ------- ------
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from borrowings under line of credit agreement - - 300
Repayments under line of credit agreement (350) - -
Proceeds from issuance of long-term debt 467 - -
Principal repayments of long-term debt (743) (935) (82)
Payments for redemption of common stock - (17) -
Proceeds from issuance of common stock - - 1
Cash contributed for Physician Partners, Inc. in merger - - (200)
Costs incurred related to Physician Partners, Inc.
transaction - (940) (53)
------- ------- ------
Net cash used in financing activities (626) (1,892) (34)
------- ------- ------
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 183 (397) (200)
CASH AND CASH EQUIVALENTS, beginning of year 415 598 201
------- ------- ------
CASH AND CASH EQUIVALENTS, end of year $ 598 $ 201 $ 1
======= ======= ======
</TABLE>
<PAGE> 59
MEDFORD CLINIC, P.C.
STATEMENTS OF CASH FLOWS (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
1995 1996 1997
----- ----- ----
<S> <C> <C> <C>
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid for interest $492 $424 $330
Cash paid for income taxes 36 19 -
</TABLE>
SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING ACTIVITIES:
In February 1997, Medford assigned all assets and liabilities to Physician
Partners, Inc. as part of the reorganization and merger transaction. The
book value of Medford's assets and liabilities, including $200 cash, at the
date of the transaction are presented below:
<TABLE>
<S> <C>
Current assets $7,300
Property, plant and equipment 5,625
Other long-term assets 603
Current liabilities 7,974
Long-term liabilities 4,811
Contributed equity 743
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 60
MEDFORD CLINIC, P.C.
STATEMENTS OF STOCKHOLDERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts are expressed in thousands)
<TABLE>
<CAPTION>
Common Stock
-----------------------------
$10 Stated
No Par Value Value
-------------- --------------
Number Number Additional
of of Paid-in Retained
Shares Amount Shares Amount Capital Earnings Total
------ ------ ------ ------ ------- -------- -----
<S> <C> <C> <C> <C> <C> <C> <C>
BALANCE, December 31,1994 - $ - 57 $ 1 $ 1 $ 2,512 $ 2,514
Issue of common stock - - 5 - - - -
Redemption of common stock - - (6) - - - -
Net income - - - - - 652 652
-- --- -- ---- ---- ------- -------
BALANCE, December 31, 1995 - - 56 1 1 3,164 3,166
Redemption of common stock - - (1) - - (17) (17)
Issuance of common stock - - 2 - - - -
Costs incurred
related to
Physician
Partners, Inc.
transaction - - - - - (940) (940)
Net loss - - - - - (1,367) (1,367)
-- --- -- ---- ---- ------- -------
BALANCE, December 31, 1996
- - 57 1 1 840 842
Issuance of common
stock 61 1 - - - - 1
Net loss - - - - - (46) (46)
Transfer of
ownership to
Physician
Partners, Inc. - - (57) (1) (1) (794) (796)
-- --- -- ---- ---- ------- -------
BALANCE, December 31, 1997 61 $ 1 - $ - $ - $ - $ 1
== === == ==== ==== ======= =======
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 61
MEDFORD CLINIC, P.C.
NOTES TO FINANCIAL STATEMENTS
(All dollar amounts are expressed in thousands)
1. BUSINESS AND ORGANIZATION:
The Medford Clinic, PC (Medford), an Oregon professional corporation, was
incorporated on September 18, 1996 under the name Physician Partners Medford,
PC, for the purpose of effecting a reorganization transaction between Physician
Partners, Inc. (PPI) and three Oregon professional corporations (the Founding
Clinics).
This transaction, consummated on February 1, 1997, resulted in a separation of
operations of the three Founding Clinics between medical professional services
activities (i.e., providers of medical services) and the physician practice
management activities of the business. The professional services activities were
spun off into newly formed professional corporations (New PCs). Medford is one
of the New PCs. The physician practice management business, along with
substantially all of the assets and liabilities of the three Founding Clinics,
i.e., cash, receivables, inventories, prepaids, property, plant and equipment,
other assets, payables, accruals, debt, and certain contractual commitments were
transferred to PPI. The New PCs are responsible for providing medical services
and the related costs for provider compensation and benefits. The assets
transferred to the New PCs, which had zero carrying value, include the
employment agreements between each Company and its providers, certain provider
contracts under which the New PCs will be receiving fee-for-service compensation
and patient medical records.
An integral part of the reorganization is a 40-year management agreement whereby
PPI provides physician practice management services to the New PCs. Services to
be provided include management and administrative services, capital resources,
facilities, equipment and supplies. As consideration, PPI is entitled to (a)
reimbursement of all managerial costs and expenses (Manager's Expenses) incurred
by PPI and (b) a management fee equal to 16% of (i) net revenues relating to
services provided by the New PCs less (ii) Manager's Expenses.
Essentially all of the cash remaining in the New PC after the payments to PPI
under the management agreement will fund the compensation and benefits of
providers employed by the New PCs.
Medford consists of approximately 75 professional providers who offer a wide
range of primary and specialty care. In addition, Medford offers ancillary
services such as radiology, pharmacy and laboratory.
Medford also provides clinical dialysis services through its Rogue Valley
Dialysis Center division. Medford's sites are located in Southern Oregon. A
significant change in the demographics of this area may have an adverse impact
on the business.
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND OTHER INFORMATION:
Selected accounting policies are discussed below. Other significant accounting
policies, regarding revenues, income taxes and professional liability are
discussed in specific notes that follow.
<PAGE> 62
Cash Equivalents
Cash equivalents consist of all highly liquid investments with original
maturities of three months or less.
Investments
Short-term and restricted investments are readily convertible to cash and have
original maturity dates that exceed three months. They are classified as
held-to-maturity and mature within one year of the financial statement date.
These investments are in commercial paper and the carrying value approximates
the fair value.
Concentration of Credit Risk
Medford extends credit to patients covered by commercial insurance, Medicare and
Medicaid. Medford manages credit risk with the various public and private
insurance providers, as deemed appropriate by management. Allowances for
contractual discounts and uncollectible accounts have been made for potential
losses, where appropriate.
Inventories of Drugs and Supplies
Inventories are stated at the lower of cost or market, determined by the
first-in, first-out (FIFO) method.
Property, Plant and Equipment
Property, plant and equipment are stated at cost. Maintenance, repairs and minor
replacements are expensed as incurred. When properties are retired or otherwise
disposed of, the related cost and accumulated depreciation are removed from the
respective accounts and any gain or loss on disposition is recorded as other
income or expense. There were no disposals in 1995, 1996 and 1997.
Depreciation is computed using the straight-line method over the estimated
useful lives of the respective assets. Estimated lives are as follows:
<TABLE>
<S> <C>
Building and building improvements 7-30 years
Furniture and equipment 5-12 years
</TABLE>
Restricted Investments
Under the agreements with Oregon Health Plan (OMAP) and Oregon Health Management
System (OHMS), Medford is required to maintain $250 in a restricted or
segregated account for each agreement. Medford can use these funds for purchased
medical services only with approval by OMAP or OHMS as appropriate. The
restriction for the OMAP agreement lapsed in 1997.
Accrued Healthcare Costs
Accrued healthcare costs are calculated based on reported claims and an estimate
based on historical data of incurred but not reported claims. These accrued
healthcare cost estimates will vary from actual results and the differences may
be significant.
Fair Value of Financial Instruments
The carrying amounts of cash and cash equivalents, short-term investments,
patient accounts receivable, restricted investments, accounts payable and
accrued liabilities are a reasonable estimate of their fair value based on the
short maturities of these instruments.
<PAGE> 63
Interest rates that are currently available to Medford for issuance of debt with
similar terms and remaining maturities were used to estimate fair value for debt
issues. The current carrying value of debt approximates fair value.
Medford does not hold or issue financial instruments or derivative financial
instruments for trading purposes.
Other Income
Other income includes a $300 one time payment from PPI. The payment was part of
a transition plan developed by PPI to assist Medford in its transition to the
Management Agreement.
Provider Compensation and Benefits
Provider compensation and benefits consists of the direct costs of patient care
providers such as physicians and other allied health professionals. A
substantial portion of these costs are paid to providers who are stockholders.
Use of Estimates
The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions.
These estimates and 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 those estimates.
Reclassifications
Certain prior year amounts have been reclassified to conform with the current
year presentation.
Financial Statement Presentation
The accompanying financial statements reflect the assets and liabilities
as of December 31, 1996 and results of operations for the years
ended December 31, 1995 and 1996 for the Medford Clinic, P.C. prior to the
reorganization transaction ("Old Medford"). The Statement of Operations and
Cash Flows for the year ended December 31, 1997 include the results of
operations for Old Medford from January 1 to January 31, 1997. The remainder of
the period represents the operations of Medford Clinic, P.C. ("New PC")
subsequent to the effective date of the reorganization transaction, February 1,
1997.
3. REVENUES:
Medford reports its revenues according to two principal types of payment
methodologies as discussed below:
Prepaid Healthcare
Medford contracts with various Health Maintenance Organizations (HMOs) to
provide care to plan enrollees. These programs provide for a prepaid monthly
fixed capitation payment on a per member basis to Medford by the HMO for plan
enrollees.
The majority of the HMO contracts are delegated professional risk with limited
institutional risk based upon utilization parameters mutually agreed upon by
the hospital health plan and Medford.
Medford has accrued the claims associated with services provided by outside
providers for which Medford is responsible, and an estimate of incurred but not
reported claims is included in accrued healthcare costs in the accompanying
financial statements.
<PAGE> 64
Medford follows the policy of netting prepaid healthcare revenues and purchased
medical services expenses for the institutional portion of capitated agreements.
Liabilities associated with these contracts are included in accrued healthcare
costs in the accompanying financial statements. Medford's revenue associated
with these contracts was $553 and $2,233 for 1996 and 1997, respectively. There
was no revenue associated with these contracts for 1995.
Fee-For-Service
Patient service revenues are recorded in the period in which services are
provided at established rates. Medford has agreements with third-party payors
that provide payments to Medford at amounts different from its established
rates. The difference between charges generated from agreements with third-party
payors and the related payment amounts are reflected as contractual discounts,
as shown below:
<TABLE>
<CAPTION>
Year Ended December 31,
-------------------------
1995 1996 1997
---- ---- ----
<S> <C> <C> <C>
Fee-for-service, gross $43,299 $45,465 $51,699
Contractual discounts (9,348) (12,020) (14,532)
------- ------- -------
Fee-for-service, net $33,951 $33,445 $37,167
======= ======= =======
</TABLE>
A summary of the most significant fee-for-service arrangements is as follows:
Medicare
A significant portion of Medford's services are provided to Medicare
patients. Payments for Medicare outpatient services which are not
covered under capitated contracts are based on a prevailing fee
schedule. Approximately 27%, 27% and 26% of net patient service revenues
were derived from services provided to fee-for-service Medicare patients
in 1995, 1996 and 1997, respectively.
Medicaid
Payments for Medicaid outpatient services which are not covered under
capitated contracts are based on a prevailing fee schedule.
Approximately 2%, 1% and 2% of net patient service revenues were derived
from services provided to fee-for-service Medicaid patients in 1995,
1996 and 1997, respectively.
Other Payors
Medford has also entered into payment agreements with certain commercial
insurance carriers and preferred provider organizations. The basis for
payment to Medford under these agreements includes discounts from
established charges.
Major Customer
The following customers represented individually more than 10% of Medford's
net revenue as follows:
<TABLE>
<CAPTION>
Year Ended
December 31,
------------------
1995 1996 1997
---- ---- ----
<S> <C> <C> <C>
Blue Cross/Blue Shield of Oregon 16% 14% 12%
Oregon Health Plan - 12% 16%
</TABLE>
<PAGE> 65
4. PROPERTY, PLANT AND EQUIPMENT:
Property, plant and equipment consists of the following as of December 31, 1996:
<TABLE>
<S> <C>
Land and land improvements $ 204
Buildings and leasehold improvements 2,167
Furniture and equipment 8,633
-------
11,004
Less- Accumulated depreciation (5,303)
-------
$ 5,701
=======
</TABLE>
5. INCOME TAXES:
Income taxes are accounted for in accordance with Statement of Financial
Accounting Standards No. 109 (SFAS 109). SFAS 109 requires that Medford follow
the liability method of accounting for deferred income taxes. Differences
between financial reporting and tax basis is primarily due to the use of the
cash method of accounting for income tax purposes. At December 31, 1996, Medford
had approximately $326 and $733 of net operating loss carryforwards for federal
and state income tax purposes, respectively, that expire in the year 2009.
Deferred income taxes reflect the net tax effects of temporary differences
between the amount of assets and liabilities for financial reporting purposes
and the amounts used for income tax purposes. Significant components of
Medford's deferred tax assets and liabilities are as follows at December 31,
1996:
<TABLE>
<S> <C>
Deferred tax assets:
Cash to accrual adjustments $ 1,655
Net operating loss and credit carryforwards 294
Other 35
-------
Gross deferred tax assets 1,984
Less- Valuation allowance (293)
-------
Net deferred tax asset 1,691
Deferred tax liabilities:
Cash to accrual adjustments (2,946)
Property related book to tax differences (236)
-------
Gross deferred tax liabilities (3,182)
-------
Net deferred tax liability $(1,491)
=======
</TABLE>
<PAGE> 66
The net deferred tax liability is reflected in the accompanying balance sheet as
follows at December 31, 1996:
<TABLE>
<S> <C>
Current deferred tax liability $(1,568)
Long-term deferred tax asset 77
-------
$(1,491)
=======
</TABLE>
The provision (benefit) for income taxes is as follows:
<TABLE>
<CAPTION>
Year Ended
December 31,
--------------------
1995 1996 1997
---- - ----- - ----
<S> <C> <C> <C>
Current:
Federal $ - $ 5 $ -
State 61 - -
Deferred:
Federal 304 (803) -
State 43 (115) -
---- ----- -----
$408 $(913) $ -
==== ===== =====
</TABLE>
The differences between the provision (benefit) for income taxes and the amount
computed by applying the statutory federal income tax rate to income before
taxes were as follows:
<TABLE>
<CAPTION>
Year Ended
December 31,
--------------------
1995 1996 1997
---- ----- ----
<S> <C> <C> <C>
Federal tax (benefit) at statutory rate $371 $(771) $ -
Add (deduct):
State income tax (benefit), net of federal benefit 68 (142) -
Other (31) - -
---- ----- -----
Provision (benefit) for income taxes $408 $(913) $ -
==== ===== =====
</TABLE>
As of December 31, 1997, the net income before provision for income taxes
represents the results of operations for Old Medford from January 1 to January
31, 1997. The valuation reserve against the deferred tax assets was reversed in
an amount equal to the current tax benefit, resulting in no tax benefit being
reflected in the 1997 statement of operations. The operations of the New PC for
the remainder of the period have resulted in no net income and, accordingly, no
current tax expense is necessary.
<PAGE> 67
6. LONG-TERM DEBT:
Long-term debt at December 31, 1996 was as follows:
<TABLE>
<CAPTION>
<S> <C>
Equipment loan with bank, interest at 7.25%, payable in monthly installments of $22,
maturing April 2000, secured by equipment, furniture and fixtures and accounts
receivable $ 656
Note payable with title company, interest at 7.90%, payable in monthly
installments of $6, maturing July 1, 2013, secured by equipment and furniture
and fixtures 689
Equipment loan with bank, interest at 7.25%, payable in monthly installments of $26,
maturing June 1, 2002, secured by equipment, furniture and fixtures and accounts
receivable 1,384
Equipment loan with bank, interest at 7.75%, payable in monthly installments of
$45, maturing May 1, 1999, secured by equipment and accounts receivable 1,195
Facilities loan with bank, interest at 9.00%, payable in monthly installments of
$4, maturing September 30, 1999, secured by equipment, furniture and fixtures
and accounts receivable 108
Mortgage with bank, interest at 8.25%, payable in monthly installments of $5
maturing November 1, 2008, secured by first deed on real property and
equipment and furniture and fixtures 453
Mortgage with bank, interest at 8.25%, recalculated on a three year basis on a
predetermined interest rate formula, payable in monthly installments of
principal plus interest of $2, maturing December 15, 2014, secured by first
deed on real property and equipment and furniture and fixtures 223
Mortgage with bank, interest at 8.25%, recalculated on a three year basis on a
predetermined interest rate formula, payable in monthly installments of $3,
maturing December 15, 2001, secured by second deed on real property and
equipment and furniture and fixtures 220
-------
Total long-term debt 4,928
Less- Current portion (1,004)
-------
Long-term debt, net of current portion $ 3,924
=======
</TABLE>
Medford maintained a revolving line-of-credit agreement with a bank providing up
to $500 secured by accounts receivable. The line-of-credit bore interest at the
lender's prime rate (8.5% at December 31, 1997) plus .25%.
At February 1, 1997, the long-term debt was assumed by Physician Partners, Inc.
and the $500 revolving line-of-credit was consolidated into a $7,500
line-of-credit as a result of the reorganization transaction (Note 1).
<PAGE> 68
7. RETIREMENT PLANS:
Medford has a 401(k) Profit-Sharing Plan (the 401(k) Plan) in which all
employees are eligible to participate subject to certain eligibility criteria.
The 401(k) Plan permits employees to contribute up to 15% of their annual
compensation (not to exceed certain annual limits imposed by the Internal
Revenue Service). Medford may also make discretionary contributions, which are
immediately 100% vested. Medford also has a Money Purchase Pension Plan in which
all employees are eligible to participate subject to certain eligibility
criteria. Medford contributes 5.7% of the employee's eligible earnings up to $63
and 11.4% of eligible earnings in excess of limitations imposed by the Internal
Revenue Service. These contributions are 100% vested upon eligibility.
Medford's contributions for these plans for the years ended December 31, 1995,
1996 and 1997 were $1,529, $1,656 and $0, respectively.
8. PROFESSIONAL LIABILITY:
At February 1, 1997, Medford's professional liability insurance policy was
consolidated into a Physician Partners, Inc. policy as a result of the
reorganization transaction (Note 1). The consolidated claims-made policy has no
deductible and includes full prior acts coverage. Management believes the
coverage is adequate to cover any potential claims.
9. COMMITMENTS AND CONTINGENCIES:
Legal Proceedings
Medford is subject to various legal proceedings and claims which arise in the
ordinary course of business. In the opinion of management, although the ultimate
dispositions of these proceedings are not determinable, adverse determinations
in any or all of such proceedings would not have a material adverse effect upon
the financial position or results of operations of Medford.
Compliance with Rules and Regulations
The healthcare industry is subject to numerous laws and regulations of federal,
state and local governments. These laws and regulations include, but are not
necessarily limited to, matters such as licensure, accreditation, government
healthcare program participation requirements, reimbursement for patient
services and Medicare and Medicaid fraud and abuse. Recently, government
activity has increased with respect to investigations and allegations
concerning possible violations of fraud and abuse statutes and regulations by
healthcare providers. Violations of these laws and regulations could result in
expulsion from government healthcare programs, together with the imposition of
significant fines and penalties, as well as significant repayments for patient
services previously billed. Management believes that Medford is in compliance
with the fraud and abuse regulations as well as other applicable government laws
and regulations. Compliance with such laws and regulations can be subject to
future government review and interpretation as well as regulatory actions
unknown or unasserted at this time.
10. EARNINGS PER SHARE:
All share and per share data have been retroactively restated to give effect to
the recapitalization resulting from the transactions.
<PAGE> 69
REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS
To the Board of Directors of
HealthFirst Medical Group, P.C.:
We have audited the accompanying balance sheets of HealthFirst Medical Group,
P.C. (an Oregon professional corporation) as of December 31, 1996 and 1997, and
the related statements of operations, stockholders' equity and cash flows for
each of the years in the three-year period ended December 31, 1997. These
financial statements are the responsibility of HealthFirst's management. Our
responsibility is to express an opinion on these financial statements based on
our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of HealthFirst Medical Group, P.C.
as of December 31, 1996 and 1997, and the results of its operations and its cash
flows for each of the years in the three-year period ended December 31, 1997 in
conformity with generally accepted accounting principles.
ARTHUR ANDERSEN LLP
Portland, Oregon,
February 20, 1998
<PAGE> 70
HEALTHFIRST MEDICAL GROUP, P.C.
BALANCE SHEETS - AS OF DECEMBER 31, 1996 AND 1997
(All dollar amounts expressed in thousands)
ASSETS
<TABLE>
<CAPTION>
1996 1997
------- ------
<S> <C> <C>
CURRENT ASSETS:
Cash and cash equivalents $ 895 $ 1
Patient accounts receivable, net of allowances for
contractual discounts and uncollectible accounts of
$2,465 at December 31, 1996 6,497 --
Healthcare and other receivables 2,848 --
Related party receivable 50 --
Income taxes receivable 58 --
Prepaid expenses and deposits 201 --
Prepaid provider compensation -- 3,175
------- ------
Total current assets 10,549 3,176
------- ------
PROPERTY, PLANT AND EQUIPMENT, net of accumulated depreciation of
$5,769 at December 31, 1996 20,361 --
OTHER ASSETS -- --
------- ------
Total assets $30,910 $3,176
======= ======
</TABLE>
<PAGE> 71
HEALTHFIRST MEDICAL GROUP, P.C.
BALANCE SHEETS - AS OF DECEMBER 31, 1996 AND 1997 (CONTINUED)
(All dollar amounts expressed in thousands)
LIABILITIES AND STOCKHOLDERS' EQUITY
<TABLE>
1996 1997
---- ----
<S> <C> <C>
CURRENT LIABILITIES:
Line of credit $ 1,500 $ --
Current portion of long-term debt and capital and direct
financing lease obligations 4,663 --
Accounts payable 2,123 --
Accrued expenses 703 --
Accrued healthcare costs 2,936 --
Accrued compensation and related expenses 3,313 --
Deferred revenue 182 --
-------- --------
Total current liabilities 15,420 --
-------- --------
PAYABLE TO PPI -- 3,175
LONG-TERM DEBT, net of current portion 5,066
CAPITAL AND DIRECT FINANCING LEASE OBLIGATIONS, net of current
portion 4,265 --
DEFERRED COMPENSATION AND OTHER LONG-TERM LIABILITIES 3,795 --
LONG-TERM DEFERRED TAX LIABILITY -- --
COMMITMENTS AND CONTINGENCIES
STOCKHOLDERS' EQUITY:
Common stock-
No par value; 1,000,000 shares authorized; 0 and 94 shares issued and
outstanding at December 31, 1996 and 1997,
respectively -- 1
Series 1 Class A--Voting; no par value; 800,000 shares
authorized; 7,000 and 0 shares issued and outstanding at
December 31, 1996 and 1997, respectively 700 --
Series 2 Class A--Voting; no par value; 200,000 shares
authorized; 2,200 and 0 shares issued and outstanding at
December 31, 1996 and 1997, respectively 330 --
Series 3, 4 and 5 Class A--Voting; no par value; 200,000,
100,000 and 100,000 shares authorized, none issued or
outstanding at December 31, 1996 and 1997 -- --
Class B--Nonvoting; no par value; 300,000 shares authorized;
0 shares issued and outstanding at December 31, 1996 and 1997 -- --
Additional paid-in capital 1,879 --
Retained earnings 1,149 --
Notes receivable from stockholders for purchase of stock (439) --
Unamortized value of restricted stock awards (1,255) --
-------- --------
Total stockholders' equity 2,364 1
-------- --------
Total liabilities and stockholders' equity $ 30,910 $ 3,176
======== ========
</TABLE>
The accompanying notes are an integral part of these balance sheets.
<PAGE> 72
HEALTHFIRST MEDICAL GROUP, P.C.
STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts expressed in thousands, except earnings (loss) per share)
<TABLE>
<CAPTION>
1995 1996 1997
-------- -------- --------
<S> <C> <C> <C>
REVENUES:
Fee-for-service, net $ 22,834 $ 32,315 $ 35,575
Prepaid healthcare 14,818 27,800 30,055
-------- -------- --------
Net revenues 37,652 60,115 65,630
Less- Provider compensation and benefits 9,530 21,610 14,369
-------- -------- --------
Net revenue less provider compensation
and benefits 28,122 38,505 51,261
-------- -------- --------
OPERATING EXPENSES:
Clinic salaries, wages and benefits 11,737 18,157 18,496
Purchased medical services 4,253 9,812 10,545
Medical and office supplies 4,377 6,281 6,536
General and administrative expenses 4,491 5,115 6,248
Lease and rent expense 853 1,573 2,125
Provision for uncollectible accounts 1,146 1,911 2,056
Depreciation and amortization 736 1,567 2,055
Management fee -- -- 2,369
-------- -------- --------
Total operating expenses 27,593 44,416 50,430
-------- -------- --------
Operating income (loss) 529 (5,911) 831
OTHER INCOME (EXPENSE):
Interest income 39 100 428
Interest expense (189) (1,414) (1,625)
Other 121 1,211 624
-------- ---------- --------
Net income (loss) before provision
(benefit) for income taxes 500 (6,014) 258
-------- ---------- --------
PROVISION (BENEFIT) FOR INCOME TAXES 208 (1,899) --
-------- ---------- --------
NET INCOME (LOSS) $ 292 $ (4,115) $ 258
======== ========== ========
EARNINGS (LOSS) PER SHARE 5,509.43 (50,802.47) 2,866.67
======== ========== ========
WEIGHTED AVERAGE SHARES OUTSTANDING 53 81 90
======== ========== ========
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 73
HEALTHFIRST MEDICAL GROUP, P.C.
STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts expressed in thousands)
<TABLE>
<CAPTION>
1995 1996 1997
------- ------- -------
CASH FLOWS FROM OPERATING ACTIVITIES:
<S> <C> <C> <C>
Net income (loss) $ 292 $(4,115) $ 258
Adjustment to reconcile net income (loss) to net cash
provided by (used in) operating activities-
Depreciation and amortization 736 1,567 148
Gain on sale of property, plant and equipment -- -- --
Provision for deferred income taxes 71 (1,936) --
Compensation expense recognized for provider
stock awards -- 502 --
Changes in operating assets and liabilities
(excluding assets and liabilities purchased
from Suburban):
Patient accounts receivable, net (1,020) (1,380) (178)
Healthcare and other receivables 568 301 691
Related party receivable -- 277 --
Income taxes receivable (168) 147 --
Inventories of drugs and supplies (16) 251 --
Prepaid expenses and deposits (79) 192 (50)
Prepaid provider compensation -- -- (3,175)
Other assets (50) 225 (169)
Drafts payable (1,579) (165) --
Accounts payable 461 431 (119)
Accrued expenses (39) 430 --
PPI payable -- -- 3,175
Income taxes payable (359) -- --
Accrued healthcare costs 92 984 (748)
Accrued compensation and related expenses 108 669 154
Deferred revenue 3 166 68
Deferred compensation and other long-term
liabilities 201 2,787 108
------- ------- -------
Net cash provided by (used in) operating activities
(778) 1,333 163
------- ------- -------
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchases of property, plant and equipment (6,690) (3,181) (92)
Cash proceeds received from short-term investments 2,616 -- --
Cash received in acquisition of Suburban -- 231 --
------- ------- -------
Net cash used in investing activities (4,074) (2,950) (92)
------- ------- -------
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of long-term debt 4,940 2,763 1,000
Proceeds from issuance of line of credit -- 1,500 --
Principal payments on long-term obligations (17) (998) (734)
Proceeds from repayments of notes receivable from
stockholders 62 64 17
Payments for redemption of common stock (10) (9) --
Cash received from direct financing lease obligations -- 1,000 --
Cash contributed to Physician Partners, Inc. in merger -- -- (1,158)
</TABLE>
<PAGE> 74
HEALTHFIRST MEDICAL GROUP, P.C.
STATEMENTS OF CASH FLOWS (CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts expressed in thousands)
<TABLE>
<CAPTION>
1995 1996 1997
------ ------- -------
<S> <C> <C> <C>
CASH FLOWS FROM FINANCING ACTIVITIES (Continued):
Proceeds from issuance of common stock $ -- $ -- $ 1
Costs incurred related to Physician Partners, Inc.
transaction -- (1,933) (91)
------ ------- -------
Net cash provided by (used in) financing activities
4,975 2,387 (965)
------ ------- -------
INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS 123 770 (894)
CASH AND CASH EQUIVALENTS, beginning of year 2 125 895
------ ------- -------
CASH AND CASH EQUIVALENTS, end of year $ 125 $ 895 $ 1
====== ======= =======
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid for interest $ 186 $ 1,356 $ 1,620
Cash paid for income taxes 446 181 --
SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING AND
FINANCING ACTIVITIES:
Notes receivable issued in exchange for common stock $ 80 $ 140 $ --
</TABLE>
In 1996, HealthFirst acquired all of the outstanding stock of Suburban in
exchange for 2,200 shares of HealthFirst Series 2 Class A stock. The acquisition
was recorded under the purchase method of accounting. The fair values of
Suburban's assets, including $231 of cash, and liabilities at the date of
acquisition are presented below:
<TABLE>
<S> <C>
Current assets $ 2,284
Property, plant and equipment 5,325
Other long-term assets 99
Current liabilities (2,833)
Long-term liabilities (4,617)
-------
Net equity acquired $ 258
=======
Reconciliation to equity accounts:
Common stock $ 330
Additional paid-in capital 122
Notes receivable from stockholders (194)
-------
$ 258
=======
</TABLE>
In February 1997, HealthFirst assigned all assets and liabilities to Physician
Partners, Inc. as part of the reorganization and merger transaction. The book
value of HealthFirst's assets and liabilities, including $1,200 of cash at the
date of the transaction are presented below:
<TABLE>
<S> <C>
Current assets $10,239
Property, plant and equipment 20,305
Other long-term assets 277
Current liabilities 11,112
Long-term liabilities 17,163
Contributed equity 2,546
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 75
HEALTHFIRST MEDICAL GROUP, P.C.
STATEMENTS OF STOCKHOLDERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 1995, 1996 AND 1997
(All dollar amounts expressed in thousands)
<TABLE>
<CAPTION>
Common Stock
----------------------------------------------------------------------
Series 1 Series 2
No Par Class A Class A
------------------- ------------------- -------------------
Number Number Number Additional
Of Of Of Paid-In
Shares Amount Shares Amount Shares Amount Capital
------- ------- ------ ------ ------ ------ ----------
<S> <C> <C> <C> <C> <C> <C> <C>
BALANCE, December 31, 1994 -- $ -- 4,950 $ 495 -- $-- $ --
Issuance of common stock -- -- 800 80 -- -- --
Redemption of common stock -- -- (100) (10) -- -- --
Repayment of notes receivable from
stockholders -- -- -- -- -- -- --
Net income -- -- -- -- -- -- --
------- ------- ------ ----- ------ ----- -------
BALANCE, December 31, 1995 -- -- 5,650 565 -- -- --
Notes receivable from stockholders
acquired from Suburban -- -- -- -- -- -- --
Common stock issued to acquire
Suburban -- -- -- -- 2,200 330 122
Issuance of common stock -- -- 1,400 140 -- -- 1,757
Redemption of common stock -- -- (50) (5) -- -- --
Repayment of notes receivable from
stockholders -- -- -- -- -- -- --
Costs related to Physician
Partners, Inc. transaction -- -- -- -- -- -- --
Net loss -- -- -- -- -- -- --
------- ------- ------ ----- ------ ----- -------
BALANCE, December 31, 1996 -- -- 7,000 700 2,200 330 1,879
Issuance of common stock 94 1 -- -- -- -- --
Redemption of common stock -- -- -- -- -- -- --
Repayment of notes receivable from
stockholders -- -- -- -- -- -- --
Net income -- -- -- -- -- -- --
Transfer of ownership to Physician
Partners, Inc. during merger
(see Note 1) -- -- (7,000) (700) (2,200) (330) (1,879)
------- ------- ------ ----- ------ ----- -------
BALANCE, December 31, 1997 94 $ 1 -- $-- -- $-- $ --
======= ======= ====== ===== ====== ===== =======
</TABLE>
<TABLE>
<CAPTION>
Unamortized Notes
Value of Receivable
Restricted Retained From
Stock Awards Earnings Stockholders Total
------------ -------- ------------ -------
<S> <C> <C> <C> <C>
BALANCE, December 31, 1994 $ -- $ 6,909 $(151) $ 7,253
Issuance of common stock -- -- (80) --
Redemption of common stock -- -- -- (10)
Repayment of notes receivable from
stockholders -- -- 62 62
Net income -- 292 -- 292
------- ------- ----- -------
BALANCE, December 31, 1995 -- 7,201 (169) 7,597
Notes receivable from stockholders
acquired from Suburban -- -- (194) (194)
Common stock issued to acquire
Suburban -- -- -- 452
Issuance of common stock (1,255) -- (140) 502
Redemption of common stock -- (4) -- (9)
Repayment of notes receivable from
stockholders -- -- 64 64
Costs related to Physician
Partners, Inc. transaction -- (1,933) -- (1,933)
Net loss -- (4,115) -- (4,115)
------- ------- ----- -------
BALANCE, December 31, 1996 (1,255) 1,149 (439) 2,364
Issuance of common stock -- -- -- 1
Redemption of common stock -- -- -- --
Repayment of notes receivable from
stockholders -- -- 17 17
Net income -- 258 -- 258
Transfer of ownership to Physician
Partners, Inc. during merger
(see Note 1) 1,255 (1,407) 422 (2,639)
------- ------- ----- -------
BALANCE, December 31, 1997 $ -- $ -- $ -- $ 1
======= ======= ===== =======
</TABLE>
The accompanying notes are an integral part of these statements.
<PAGE> 76
HEALTHFIRST MEDICAL GROUP, P.C.
NOTES TO FINANCIAL STATEMENTS
1. DESCRIPTION OF BUSINESS:
HealthFirst Medical Group, P.C. (HealthFirst), an Oregon professional
corporation, was incorporated on September 18, 1996 under the name Physician
Partners HealthFirst, PC for the purpose of effecting a reorganization
transaction between Physician Partners, Inc. (PPI) and three Oregon professional
corporations (the Founding Clinics).
This transaction, which was consummated on February 1, 1997, resulted in a
separation of operations of the three Founding Clinics between medical
professional services activities (i.e., providers of medical services) and the
physician practice management activities of the business. The professional
services activities were spun off into newly formed professional corporations
(New PCs). HealthFirst is one of the new PCs. The physician practice management
business, along with substantially all of the assets and liabilities of the
three Founding Clinics, i.e., cash, receivables, inventories, prepaids,
property, plant and equipment, other assets, payables, accruals, debt, and
certain contractual commitments were transferred to PPI. The New PCs are
responsible for providing medical services and the related costs for provider
compensation and benefits. The assets transferred to the New PCs, which had zero
carrying value, include the employment agreements between each Company and its
providers, certain provider contracts under which the New PCs will be receiving
fee-for-service compensation and patient medical records.
An integral part of the reorganization is a 40-year management agreement whereby
PPI provides physician practice management services to the New PCs. Services to
be provided include management and administrative services, capital resources,
facilities, equipment and supplies. As consideration, PPI is entitled to (a)
reimbursement of all managerial costs and expenses (Manager's Expenses) incurred
by PPI and (b) a management fee equal to 16% of (i) net revenues relating to
services provided by the New PCs less (ii) Manager's Expenses.
Essentially all of the cash remaining in the New PC after the payments to PPI
under the management agreement will fund the compensation and benefits of
providers employed by the New PCs.
HealthFirst consists of approximately 159 providers who offer a wide range of
primary and specialty care services including allergy, dermatology,
gastroenterology, hematology/oncology, infectious disease, pediatrics,
geriatrics, obstetrics/gynecology, podiatry, rheumatology and surgery.
HealthFirst operates clinics in eleven locations in and around Portland, Oregon
including: Tualatin, Tigard, Westside, Lake Oswego, Broadway, Northwest
Portland, Wilshire, Gateway, Gresham, Hollywood and Powell Valley. A significant
change in the demographics of this area may have an adverse impact on the
business.
<PAGE> 77
-2-
The accompanying financial statements reflect the assets and liabilities as of
December 31, 1996 and results of operations for the years ended December 31,
1995 and 1996, for the HealthFirst Medical Group, P.C. prior to the
reorganization transaction (Old HealthFirst). The Statements of Operations and
Cash Flows for the year ended December 31, 1997 include the results of
operations for Old HealthFirst from January 1 to January 31, 1997. The
remainder of the period represents the operations of HealthFirst Medical Group,
P.C. (New PC) subsequent to the effective date of the reorganization
transaction, February 1, 1997.
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND OTHER INFORMATION:
Selected accounting policies are discussed below. Other significant accounting
policies regarding revenues, income taxes, professional liability and deferred
compensation are discussed in specific notes that follow.
Cash Equivalents
Cash equivalents consist of all highly liquid investments with original
maturities of three months or less.
Concentration of Credit Risk
HealthFirst extends credit to patients covered by commercial insurance, Medicare
and Medicaid. HealthFirst manages credit risk with the various public and
private insurance providers, as deemed appropriate by management. Allowances for
contractual discounts and uncollectible accounts have been made for potential
losses, where appropriate.
Prepaid Provider Compensation
Prepaid provider compensation includes the amount paid to providers that is in
excess of the earned amount computed in accordance with the Management Agreement
(Note 1). The balance will be reversed in future years when the amount paid is
less than the earned amount.
Inventories of Drugs and Supplies
Inventories are stated at the lower of cost or market, determined by the
first-in, first-out (FIFO) method. In 1996, HealthFirst began using a
just-in-time method with its major supply vendors.
Property, Plant and Equipment
Property, plant and equipment are stated at cost. Maintenance, repairs and minor
replacements are expensed as incurred. When properties are retired or otherwise
disposed of, the related cost and accumulated depreciation are removed from the
respective accounts and any gain or loss on disposition is recorded as other
income or expense.
Depreciation is computed using the straight-line method over the estimated
useful lives of the respective assets. Equipment under capital lease is
amortized using straight-line methods over the shorter of the period of the
lease term or the estimated useful life of the equipment. Estimated lives are as
follows:
Buildings and leasehold improvements 7-45 years
Furniture and equipment 3-15 years
<PAGE> 78
-3-
Payable to PPI
HealthFirst signed a note payable to PPI, bearing interest at 7.6%. Interest
only monthly payments are due in 1998 and principal and interest monthly
payments are due beginning January 1999 for 36 months.
Accrued Healthcare Costs
Accrued healthcare costs are calculated based on reported claims and an estimate
based on historical data of incurred but not reported claims. These accrued
healthcare cost estimates may vary from actual results and the differences may
be significant.
Fair Value of Financial Instruments
The carrying amounts of cash equivalents, patient accounts receivable, accounts
payable and accrued expenses are a reasonable estimate of their fair value based
on the short maturities of these instruments.
Interest rates that are currently available to HealthFirst for issuance of debt
with similar terms and remaining maturities were used to estimate fair value for
debt issues. The current carrying value of debt approximates fair value.
HealthFirst does not hold or issue financial instruments or derivative financial
instruments for trading purposes.
Other Income
Other income includes a $600 one time payment from PPI. The payment was part of
a transition plan developed by PPI to assist HealthFirst in its transition to
the Management Agreement.
Financial Statement Presentation
The accompanying financial statements reflect the assets and liabilities as of
December 31, 1996 and results of operations for the year ended December 31, 1996
for the HealthFirst Medical Group, P.C. prior to the reorganization transaction
("Old HealthFirst"). The Statement of Operations and Cash Flows for the year
ended December 31,1997 include the results of operations for Old HealthFirst
from January 1 to January 31, 1997. The remainder of the period represents the
operations of HealthFirst Medical Group, P.C. ("New PC") subsequent to the
effective date of the reorganization transaction, February 1, 1997.
Provider Compensation and Benefits
Provider compensation and benefits consists of the direct costs of patient care
providers such as physicians and other allied health professionals. A
substantial portion of these costs are paid to providers who are stockholders.
Use of Estimates
The preparation of financial statements in conformity with generally accepted
accounting principles requires management to make estimates and assumptions.
These estimates and 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 those estimates.
Reclassifications
Certain prior year amounts have been reclassified to conform with the current
year presentation.
3. REVENUES:
HealthFirst reports its revenues according to two principal types of payment
methodologies as discussed below:
Prepaid Healthcare
HealthFirst contracts with various Health Maintenance Organizations (HMOs) to
provide care to plan enrollees. These programs provide for a prepaid monthly
fixed capitation payment on a per member basis to HealthFirst by the HMO for
plan enrollees.
The majority of the HMO contracts are delegated professional risk with limited
institutional risk based upon utilization parameters mutually agreed upon by
the hospital health plan and HealthFirst.
<PAGE> 79
-4-
HealthFirst has accrued the claims associated with services provided by outside
providers for which HealthFirst is responsible, and an estimate of incurred but
not reported claims is included in accrued healthcare cost in the accompanying
financial statements.
Fee-For-Service
Patient service revenues are recorded in the period in which services are
provided at established rates. HealthFirst has agreements with third-party
payors that provide payments to HealthFirst at amounts different from its
established rates. The difference between the established rates and the related
payment amounts are reflected as contractual discounts, as shown below:
<TABLE>
<CAPTION>
Year Ended December 31,
---------------------------
1995 1996 1997
------- ------- -------
<S> <C> <C> <C>
Fee-for-service, gross $29,384 $39,628 $47,415
Contractual discounts (6,550) (7,313) (11,840)
------- ------- -------
Fee-for-service, net $22,834 $32,315 $35,575
======= ======= =======
</TABLE>
A summary of the most significant fee-for-service arrangements is as follows:
Medicare
A significant portion of HealthFirst's services are provided to Medicare
patients. Payments for Medicare outpatient services which are not covered
under capitated contracts are based on a prevailing fee schedule.
Approximately 8%, 6%, and 6% of net patient service revenues were derived
from services provided to fee-for-service Medicare patients in 1995, 1996
and 1997, respectively.
Medicaid
Payments for Medicaid outpatient services which are not covered under
capitated contracts are based on a prevailing fee schedule. Approximately
1% of net patient service revenues were derived from services provided to
fee-for-service Medicaid patients in 1995, 1996 and 1997.
Other Payors
HealthFirst has also entered into payment agreements with certain
commercial insurance carriers and preferred provider organizations. The
basis for payment to HealthFirst under these agreements includes
discounts from established charges.
<PAGE> 80
-5-
Major Customers
The following customers represented individually more than 10% of HealthFirst's
net revenue as follows:
<TABLE>
<CAPTION>
Year Ended
December 31,
------------------
1995 1996 1997
---- ---- ----
<S> <C> <C> <C>
Pacificare - Secure Horizons 10% 12% 12%
Pacificare - Commercial 11 10 9
Blue Cross - HMO Oregon 16 12 12
Good Health Plan -- 11 12
Blue Cross - Commercial 10 -- --
</TABLE>
4. PROPERTY, PLANT AND EQUIPMENT:
Property, plant and equipment consists of the following at December 31, 1996:
<TABLE>
<S> <C>
Land and land improvements $ 2,012
Buildings and leasehold improvements 14,756
Furniture and equipment 9,362
-------
26,130
Less- Accumulated depreciation (5,769)
-------
$20,361
=======
</TABLE>
5. INCOME TAXES:
Income taxes are accounted for in accordance with Statement of Financial
Accounting Standards No. 109 (SFAS 109). SFAS 109 requires that HealthFirst
follow the liability method of accounting for deferred income taxes. Differences
between financial reporting and tax basis is primarily due to the use of the
cash method of accounting for income tax purposes.
Deferred income taxes reflect the net tax effects of temporary differences
between the amount of assets and liabilities for financial reporting purposes
and the amounts used for income tax purposes. Significant components of
HealthFirst's deferred tax assets and liabilities are as follows at December 31,
1996:
<TABLE>
<S> <C>
Deferred tax assets:
Cash to accrual adjustments $ 4,570
Less- Valuation allowance (327)
-------
Net deferred tax asset 4,243
Deferred tax liabilities:
Cash to accrual adjustments (3,679)
Excess tax depreciation (564)
-------
Gross deferred tax liabilities (4,243)
-------
Net deferred tax asset $ --
=======
</TABLE>
<PAGE> 81
-6-
The provision (benefit) for income taxes is as follows:
<TABLE>
<CAPTION>
Year Ended
December 31,
----------------------------
1995 1996 1997
---- ------- -------
<S> <C> <C> <C>
Current:
Federal $119 $ -- $ --
State 17 -- --
--
Deferred: --
Federal 63 (1,614) --
State 9 (285) --
---- ------- -------
$208 $(1,899) $ --
==== ======= =======
</TABLE>
The differences between the provision (benefit) for income taxes and the amount
computed by applying the statutory federal income tax rate to income before
taxes were as follows:
<TABLE>
<CAPTION>
December 31,
---------------------------
1995 1996 1997
---- ------- -------
<S> <C> <C> <C>
Federal tax (benefit) at statutory rate $175 $(2,105) $ --
Add (deduct):
State income tax (benefit), net of federal benefit 17 (301) --
Change in valuation allowance -- 328 --
Other 16 179 --
---- ------- -------
Provision (benefit) for income taxes $208 $(1,899) $ --
==== ======= =======
</TABLE>
In 1996, HealthFirst recognized a valuation allowance in an amount equal to its
net deferred tax assets of $328 because of uncertainty with respect to the
realization of the related tax benefits in future years.
As of December 31, 1997, the net income before provision for income taxes
represents the results of operations for Old HealthFirst from January 1 to
January 31, 1997. The valuation reserve against the deferred tax assets was
reversed in an amount equal to the current tax expense, resulting in no tax
provision being reflected in the 1997 statement of operations. The operations of
the New PC for the remainder of the period have resulted in no net income and,
accordingly, no current tax expense is necessary.
<PAGE> 82
-7-
6. LONG-TERM DEBT:
Long-term debt at December 31, 1996 is as follows:
<TABLE>
<S> <C>
Note payable, due in monthly installments of principal and interest of $16
through July 2000, with a final payment of $1,636, bearing interest at
9.875%. The note is secured by a first mortgage on land, buildings, and
improvements. $1,714
Note payable, due in monthly installments of principal and interest through
January 2002, bearing interest at 8.4%. The note is secured by inventory,
furniture, and equipment. 1,964
Construction loan payable, final payment of principal and interest due in
January 1997, bearing interest at prime plus 1% (8.25% at December 31,
1996). The note is secured by building and land. 3,706
Note payable, due in annual principal installments of $115 through August 2011,
bearing interest at 7.9%. 1,650
Note payable due in monthly installments of $8 including interest through October
2000, bearing interest at 8.75% 314
Note payable due in monthly installments of $7 plus interest through January 1999,
bearing interest at 9.875% 177
Note payable, related party, due in monthly installments of $1 including interest
through 1998, bearing interest at 6% 8
------
Total long-term debt 9,533
Less- Current portion 4,467
------
Long-term debt, net of current portion $5,066
======
</TABLE>
Management converted the construction loan to a mortgage loan in 1997, extending
the maturity of the loan to February 2017.
HealthFirst maintained a revolving line-of-credit agreement with a bank
providing up to $2,500, secured by inventory, accounts receivable and equipment.
The line-of-credit bore interest at the lender's prime rate (8.25% at December
31, 1996) plus .5% and matures April 30, 1997. At February 1, 1997, the
line-of-credit was consolidated into a $7,500 line-of-credit as a result of the
reorganization transaction (Note 1).
<PAGE> 83
-8-
7. LEASE COMMITMENTS:
Capital Leases
HealthFirst leases certain medical equipment and facilities under agreements
which are classified as capital leases. The equipment leases have original terms
of five years and have either a bargain purchase option or a transfer of title
at the end of the lease. The building lease is with Gateway Properties LLC (Note
12) for a term of 21 years. Leased capital assets included in property, plant
and equipment are as follows at December 31, 1996:
<TABLE>
<S> <C>
Buildings and leasehold improvements $3,574
Furniture and equipment 264
------
3,838
Less- Accumulated amortization (682)
-----
$3,156
======
</TABLE>
Operating Leases
Leases that do not meet the criteria for capitalization are classified as
operating leases. Such lease commitments are primarily for facilities and
equipment, and the related rentals are charged to operations as incurred.
Direct Financing Lease Obligation
In May 1996, HealthFirst sold three facilities to HealthFirst Properties LLC
(Note 12) under a sale/leaseback arrangement. The facilities were sold for
$12,550, of which $11,550 is due in the form of an 8% interest-bearing note
receivable due in monthly installments through April 2016. The remainder was
received in cash. The transaction has been accounted for as a financing, wherein
the property and related debt remains on the books and will continue to be
depreciated. A financing obligation representing the proceeds of $1,000 has been
recorded and will be reduced based on payments under the lease. As sales
proceeds are received from the LLC, they will be credited to a financing
obligation, and amortized as a reduction of operating expenses over the
remaining life of the lease. The amount owed on the financing obligation at
December 31, 1996 was $929 of which $76 is due within one year. The lease has a
term of 20 years and requires minimum annual rental payments of $1,318 in
1998, 1999, 2000, 2001 and 2002 and $17,680 thereafter. The financing
obligation and lease payments were assumed by PPI at February 1, 1997.
8. EMPLOYEE BENEFIT PLANS:
Retirement Plans
HealthFirst has a noncontributory profit sharing plan covering all employees who
are eligible subject to certain requirements. HealthFirst, at the discretion of
the Board of Directors, contributes an annual amount not to exceed the maximum
allowed under the Internal Revenue Code. No contributions to the Plan were made
in 1997, 1996 and 1995. HealthFirst does not foresee making contributions to the
profit sharing plan in the future.
<PAGE> 84
-9-
HealthFirst has a 401(k) plan covering all employees who are eligible subject to
certain requirements. Employees contribute between 2% to 10% of their annual
compensation. HealthFirst matches employee contributions at a rate of 10% plus a
discretionary percentage determined by the Board of Directors. The contributions
to the Plan were $69 and $110 in 1995 and 1996, respectively.
HealthFirst also has a defined contribution money purchase pension plan which is
a plan in which all employees are eligible to participate subject to certain
requirements. HealthFirst contributes 8% of employees' compensation which does
not exceed the Social Security integration level ($62 at December 31, 1996),
plus a higher percentage of the amount in excess of the integration level for
the Plan year. Contributions in 1995 and 1996 were $1,133 and $1,523,
respectively.
Supplemental Pension Plan
In 1987, HealthFirst entered into a supplemental pension plan with eight of its
physicians providing for fixed monthly payments over five years commencing with
the physicians' retirements or terminations. The physicians receive payments
upon retirement or termination if certain vesting requirements have been met.
The liability under this agreement is being accrued over the physicians'
estimated remaining service periods before becoming fully vested. On the vesting
date, the present value of the future benefit payments will have been accrued.
HealthFirst has accrued $176 for the plan at December 31, 1996.
Suburban Profit-Sharing Plan
As part of the 1996 acquisition of Suburban, HealthFirst assumed a
profit-sharing plan in which all former employees of Suburban are eligible to
participate subject to certain requirements. The plan is funded by discretionary
employer contributions as determined by the Board of Directors on an annual
basis. The amount of employer contributions, if any, is allocated to eligible
employees based on employee compensation. HealthFirst's contribution for 1996
was $390.
Bonus Compensation Plan
In February 1996, HealthFirst established a bonus compensation plan for eligible
employees. Employees are vested after five years of employment with credit for
prior service. A substantial portion of the participants were fully vested as of
December 31, 1996. The total payout of approximately $5.25 million will be over
a period of eight years. HealthFirst is accruing for the estimated present value
of the bonus compensation over the estimated period of the employees' active
employment from the date the contract was signed until the date they are fully
vested. Compensation expense recognized during 1996 was approximately $3,900, a
portion of which has been paid. The expense was recorded to provider
compensation and benefits. The amount accrued at December 31, 1996, is $3,502,
of which $502 is included in current liabilities and the remainder is included
in deferred compensation. The liability was assumed by PPI at February 1, 1997.
<PAGE> 85
-10-
9. PROFESSIONAL LIABILITY:
HealthFirst maintained a claims-made professional liability insurance policy.
At February 1, 1997, HealthFirst's professional liability insurance policy was
consolidated into a Physician Partners, Inc. policy as a result of the
reorganization transaction (Note 1). The consolidated claims-made policy has no
deductible and includes full prior acts coverage. Management believes the
coverage is adequate to cover any potential claims.
10. COMMITMENTS AND CONTINGENCIES:
Legal proceedings
HealthFirst is subject to various legal proceedings and claims which arise in
the ordinary course of business. In the opinion of management, although the
ultimate dispositions of these proceedings are not determinable, adverse
determinations in any or all of such proceedings would not have a material
adverse effect upon the financial position or results of operations of
HealthFirst.
Compliance with Rules and Regulations
The healthcare industry is subject to numerous laws and regulations of federal,
state and local governments. These laws and regulations include, but are not
necessarily limited to, matters such as licensure, accreditation, government
healthcare program participation requirements, reimbursement for patient
services and Medicare and Medicaid fraud and abuse. Recently, government
activity has increased with respect to investigations and allegations
concerning possible violations of fraud and abuse statutes and regulations by
healthcare providers. Violations of these laws and regulations could result in
expulsion from government healthcare programs, together with the imposition of
significant fines and penalties, as well as significant repayments for patient
services previously billed. Management believes that HealthFirst is in
compliance with the fraud and abuse regulations as well as other applicable
government laws and regulations. Compliance with such laws and regulations can
be subject to future government review and interpretation as well as regulatory
actions unknown or unasserted at this time.
11. EARNINGS PER SHARE:
All share and per share data have been retroactively restated to give effect to
the recapitalization resulting from the Transactions.
12. RELATED PARTY TRANSACTIONS:
Coordinated Health Network, Inc.
In December 1993, HealthFirst became a one-third shareholder in Coordinated
Health Network, Inc. (CHN). CHN was formed to obtain patient contracts under the
Oregon Health Plan and generate purchasing discounts. The investment in CHN was
accounted for under the equity method. In 1995, HealthFirst paid premiums to CHN
of $106 and CHN paid HealthFirst $622 in 1995 for claims. No premiums were paid
or received in 1996 or 1997. CHN was legally dissolved in 1996.
Northwest Physicians Alliance
In 1995, HealthFirst invested $52 for a one-third share in Northwest Physicians
Alliance (the Alliance), which was formed with Blue Cross/Blue Shield of Oregon,
two local hospital systems and several physician groups. The Alliance has been
accounted for under the equity method. The Alliance is intended to be the
primary delivery network for Blue Cross/Blue Shield's HMO Oregon product in the
Portland area. The Alliance was legally dissolved in 1998.
HealthFirst Properties LLC
HealthFirst Properties LLC (HPLLC) was formed by certain shareholders of
HealthFirst in 1996 to acquire three clinic buildings from HealthFirst. HPLLC
purchased these properties from HealthFirst for an aggregate purchase price of
$12,550, to be paid under an installment sale contract with a 20-year term.
HPLLC made a $1,000 down payment to HealthFirst. Simultaneous with the execution
of the installment sale contract, HealthFirst agreed to lease back the three
buildings from HPLLC under a 20-year lease agreement. This transaction has been
recorded as a direct financing lease. Accordingly, the monies received from
HPLLC have been recorded as a direct financing lease obligation and the related
property is included in property, plant and equipment in the accompanying
financial statements.
<PAGE> 86
-11-
Gateway Properties LLC
Gateway Properties LLC (Gateway) is owned by several former shareholders of
Suburban. Throughout 1995, Suburban recorded notes receivable for various
payments made on behalf of Gateway. The note receivable at December 31, 1996 was
$144. The terms of the note include monthly installments of principal and
interest of $5 through August 1999 with interest accruing at 7%. HealthFirst has
signed a capital lease to occupy a new clinic building for a term expiring in
August 2015.
Stock Subscriptions
HealthFirst has notes receivable from certain stockholders for their purchase of
common stock. The notes mature at various stages through the year 2008.
Restricted Stock Awards
During 1996, HealthFirst sold shares of Series 1 Class A common stock to ten
providers at prices below their estimated fair value for accounting
purposes. The terms of the related Restricted Stock Agreements require
forfeiture of the stock unless the grantee remains employed by HealthFirst until
February 1, 2002.
The excess of the estimated fair value of the stock over the amount to be paid
of $1,756 is to be recognized as compensation expense. Of this amount, $502 and
$348 has been recognized as compensation expense in 1996 and 1997, respectively.
The remaining amount will be amortized ratably to income over the next
five years.
13. BUSINESS ACQUISITION:
On February 1, 1996, HealthFirst acquired all of the outstanding stock of
Suburban in exchange for 2,200 shares of HealthFirst Series 2 Class A stock.
Following the acquisition, the name of Suburban was changed to HealthFirst
Management Services Organization, P.C. Results of operations after the
acquisition date are included in the December 31, 1996 statement of operations.
The following pro forma information has been prepared assuming that this
acquisition had taken place at the beginning of 1995. Because fair values of
purchased assets approximated their carrying values, no material pro forma
adjustment was necessary to adjust historical depreciation and amortization.
The pro forma financial information is not necessarily indicative of the results
of operations as they would have been had the acquisition been consummated on
the assumed dates.
<TABLE>
<CAPTION>
Year Ended
December 31,
-----------------------
1995 1996
-------- --------
<S> <C> <C>
Net revenues less provider compensation and benefits $ 39,625 $ 39,364
Operating expenses (40,364) (45,452)
Other expenses, net (215) (92)
-------- --------
Net loss before income taxes (954) (6,180)
Benefit for income taxes 403 1,899
-------- --------
Net loss $ (551) $ (4,281)
======== ========
</TABLE>
<PAGE> 87
ITEM 9: CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
None.
PART III
ITEM 10: DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
The following table sets forth certain information about the persons who serve
as Directors and Officers of PPI:
<TABLE>
<CAPTION>
Name Age Title Term
- ---- --- ----- ----
<S> <C> <C> <C> <C>
David M. Goldberg, M.H.A. 49 President and Chief July 2, 1996 to Present
Executive Officer, Director
Tim E. Dupell, C.P.A 35 Senior Vice President and January 28, 1998 to Present
Chief Financial Officer,
Director
Michael F. Bonazzola, M.D 47 Senior Vice President and January 28, 1998 to Present
Chief Medical Officer,
Director
Bruce E. Van Zee, M.D. 52 Chairman of the Board, July 2, 1996 to Present
Director
David H. Cutsforth, Jr. 50 Director July 2, 1996 to Present
M.D.
Russell A. Dow, M.D. 49 Director July 2, 1996 to Present
Douglas M. Mancino, Esq. 48 Director July 2, 1996 to Present
Dan Gregorie, M.D. 48 Director September 17, 1997 to Present
Mark Leavitt, M.D. 47 Director January 28, 1998 to Present
Frederick W. Eubank, II 34 Director July 15, 1997 to Present
Jon D. Ness. 41 Senior Vice President July 2, 1996 to Present
Ralph Prows, M.D. 47 Senior Vice President June 1, 1997 to Present
Kerry Barnett 40 Senior Vice President February 9, 1998 to Present
Jerald Erstgaard 49 Former Senior Vice President July 2, 1996 to August 20, 1997
</TABLE>
DAVID M. GOLDBERG joined PPI as its Chief Executive Officer in 1996. Mr.
Goldberg earned a B.A. degree in Sociology in 1970 from the University of
Colorado at Boulder and a Masters of Science degree in Health Care
Administration in 1977 from the University of Colorado Medical Center, Denver,
Colorado. From 1993 until joining PPI as its founding CEO, Mr. Goldberg was
employed as President of Simmonds Consulting, Inc., a national group practice
strategic planning and merger and acquisition consulting company that he helped
found. Mr. Goldberg was employed by Medical Management, Inc. as senior
consultant from 1986-1992. In this capacity he managed all group practice
management and strategic planning consulting and was instrumental in developing
standardized management, strategic and financial reporting systems for all of
the managed group practices, for the oldest (and then largest) contract group
practice management company in the U.S. The Old PCs engaged Mr. Goldberg as a
consultant through Simmonds Consulting, Inc. before he was employed by PPI. From
1983-1986, Mr. Goldberg served in a variety of senior management positions at
Lovelace Medical Center and Lovelace Health Plan, then a 250,000 member group
model HMO; Director of Planning for all of the Lovelace organizations and
Director of Primary Care and Associated Group Practices for Lovelace Medical
Center. Mr. Goldberg was the founding executive Director of New Mexico Health
Resources, Inc., a private company which was the predecessor to the New Mexico
State Office of Rural Health. After receiving his graduate education under the
guidance of Dr. Leland Kaiser, Mr. Goldberg was a recipient of a Robert Wood
Johnson Foundation grant to co-found a model rural primary care group practice.
During the past 15 years, Mr. Goldberg has been a frequent speaker and lecturer
for the Medical Group Management Association as well as for other national and
regional professional and trade organizations.
TIM E. DUPELL joined PPI as its Chief Financial Officer in 1996. Prior to
joining PPI, Mr. Dupell served as Chief Financial Officer for Corvallis Clinic
beginning in March 1994. From 1988 to 1994, Mr. Dupell held concurrent positions
in Finance, Operations and Risk Sharing Plans with Blue Cross/Blue Shield of
Oregon and
<PAGE> 88
with the Blue Cross/Blue Shield health maintenance organization, HMO Oregon.
From 1984-1988, Mr. Dupell was a senior auditor in the Portland, Oregon office
of Ernst & Young, LLP. Mr. Dupell holds a Bachelor's degree in Business from
Pacific University. In addition, Mr. Dupell is a Certified Public Accountant,
Certified Management Accountant, and a Certified Internal Auditor. He is a
member of the Oregon Society of Certified Public Accountants, The American
Institute of Certified Public Accountants, The Institute of Management
Accountants, The Institute of Internal Auditors and the National Association of
Accountants.
MICHAEL F. BONAZZOLA, M.D. joined PPI as Senior Vice President and Chief Medical
Officer in 1996. Dr. Bonazzola practiced general internal medicine at Medford
Clinic from 1982 to 1996. Dr. Bonazzola holds a Bachelor's degree in Natural
Sciences from Lewis and Clark College and a Doctor of Medicine degree from
University of Oregon Medical School and served as Chief Medical Resident at St.
Vincent Hospital and Medical Center (Portland, Oregon). He is Board Certified in
Internal Medicine. He was a member of the Board of Directors of Medford Clinic
from 1983-1991 and served as its President from 1989-1991. When Dr. Bonazzola
became Medford Clinic's Medical Director in 1991, Medford Clinic grew from 35
physicians, with no managed care contracts, to 64 physicians with approximately
35% of the overall business provided under managed care contracts. Between 1992
and 1995, Dr. Bonazzola served on the Board of Directors of HMO Oregon. He is a
Trustee of the Oregon Medical Professional Review Organization.
BRUCE E. VAN ZEE, M.D. joined PPI as a founding member of the Board of Directors
in 1996. Dr. Van Zee is a practicing physician of Medford Clinic committed to
physician involvement in the governance and management of innovative health care
organizations. He received his medical degree magna cum laude at the University
of Oregon in 1970. He is Board Certified in Internal Medicine and Nephrology,
having completed his post graduate education at the University of Rochester. Dr.
Van Zee has served in a variety of medical management roles which include Chair
of the Department of Medicine and President of the medical society in his
community. He has received advanced post graduate training in physician
management issues and in biomedical ethics.
DAVID H. CUTSFORTH, JR., M.D. joined PPI as a founding member of the Board of
Directors in 1996. He practiced as a Philomath Family Medicine physician before
that entity merged with Corvallis Clinic and currently practices at Corvallis
Clinic. Dr. Cutsforth has been active in local and statewide health forums. He
served as a Board Director for Western Oregon IPA from 1989-1993. He served as
an original committee member in the formulation of the Oregon Health Plan, a
national model for Medicaid reform. Dr. Cutsforth received his medical degree
from the University of Oregon in 1973. He is Board Certified in Family Medicine,
having completed his residency training at the University of Texas in Houston.
Dr. Cutsforth has served in a variety of management roles including chair of the
Department of Family Medicine and Peer Review Committee of Good Samaritan
Hospital, Corvallis. He received a superior service award from the U.S. Public
Health Service in 1977 and was recognized as America's Family Doctor of the Year
in 1994.
RUSSELL A. DOW, M.D. joined PPI as a founding member of the Board of Directors
in 1996. Dr. Dow is a HealthFirst physician practicing Obstetrics and Gynecology
and has been involved in medical leadership and governance for many years. He
received his medical degree from Tufts University School of Medicine in Boston,
Massachusetts in 1974. He is Board Certified in Obstetrics and Gynecology,
having completed his post-graduate training at the Oregon Health Sciences
University.
DOUGLAS M. MANCINO, ESQ. joined PPI as a founding outside member of the Board of
Directors in 1996. Mr. Mancino is an attorney and a partner in McDermott, Will &
Emery's Los Angeles office. He has had more than 20 years of experience
representing a broad variety of health care organizations. Mr. Mancino has been
recognized by THE NATIONAL LAW JOURNAL as one of the country's leading managed
care lawyers, and by the LOS ANGELES BUSINESS JOURNAL as one of Southern
California's top 100 health care executives. Mr. Mancino is the author of a new
book, TAXATION OF HOSPITALS AND HEALTH CARE ORGANIZATIONS (Warren, Gorham &
Lamont 1995) and a co-author of NAVIGATING YOUR WAY THROUGH THE FEDERAL
SELF-REFERRAL LAW: A GUIDEBOOK TO STARK II (Atlantic Information Systems, Inc.
1995). He has also co-authored a 1987 Aspen Systems book, JOINT VENTURES BETWEEN
HOSPITALS AND PHYSICIANS and has written more than 30 articles on a variety of
health care and taxation topics. Mr. Mancino received his law degree, summa cum
laude, from The Ohio State University of Law in 1974. He is an active member and
officer of several national legal organizations and publications and is a Fellow
of the
<PAGE> 89
American College of Tax Counsel. Mr. Mancino also has served as a Director of
Health Systems International, Inc., including acting on its Compensation
Committee.
FREDERICK W. EUBANK, II joined PPI as a Director in 1997. Mr. Eubank earned a
Bachelor of Science degree in Business Administration from the Wake Forest
University School of Business in Accountancy in 1986. In 1993, Mr. Eubank
graduated with honors from the executive program at Duke University's Fuqua
School of Business where he earned a Master of Business Administration degree.
Mr. Eubank joined First Union Corporation in 1986 and was an Assistant Vice
President in the Specialized Industries Group before joining First Union Capital
Partners in 1989.
DAN GREGORIE, M.D. joined PPI as a Director in 1997. Dr. Gregorie received his
undergraduate degree from Duke University and his medical degree from Tufts
University in Boston, Massachusetts. He completed his internship and residency
in Internal Medicine at Mount Auburn Hospital in Cambridge, Massachusetts.
Following his residency, Dr. Gregorie attended the Sloan School of Management at
MIT where he received his Master's degree in Management. Dr. Gregorie has served
as special assistant to the Medical Director of Georgetown University Community
Health Plan, Vice President and Associate Regional Medical Director of Capital
Area Permanente Medical Group and President, CEO and Regional Medical Director
of Northeast Permanente medical Group in Hartford, Connecticut. Since 1989, he
has been President, CEO and Chairman of the Board of ChoiceCare.
MARK LEAVITT, M.D., PH.D., joined PPI as a Director in 1997. Dr. Leavitt founded
MedicaLogic, Inc. in 1985 and has been its CEO since inception. From 1992 to
1994, Dr. Leavitt served as Medical Director of Information Systems for
Providence Health System. He practiced internal medicine full-time in Portland,
Oregon from 1982 to 1992. Dr. Leavitt holds a Bachelor's degree from the
University of Arizona, a Doctorate from Stanford University in Electronic
Engineering and a Doctorate from the University of Miami in Medicine. He is
Board Certified in Internal Medicine and Geriatrics. Dr. Leavitt served as
President of the Oregon Society of Internal Medicine from 1993 to 1994 and is a
member of the American Society of Internal Medicine, the American College of
Physicians and the Medical Informatics Association.
JON D. NESS joined PPI as a Senior Vice President in 1996 and concurrently
serves as Chief Executive Officer of Medford Clinic. Before employed by Medford
Clinic in 1995, he acted as Vice President of Deaconess-Billings Clinic Health
System. Mr. Ness is a member of MGMA and a member of the certified medical
practice executive program. Mr. Ness received his Master of Arts in Urban
Planning from North Dakota State University in 1984. He acted as a corporate
planner of St. Luke's Hospital, affiliated with Fargo Clinic, a 250 physician
multi-specialty clinic, from 1986 to 1989.
RALPH PROWS, M.D. joined PPI as a Senior Vice President and concurrently serves
as Chief Executive Officer of the Corvallis Clinic, PC. Dr. Prows received his
medical degree from Tulane University and completed specialty training at
Ochsner Foundation Hospital in New Orleans. He is Board Certified in Internal
Medicine. Dr. Prows had been the Corvallis Clinic's Medical Director since 1993
and was responsible for physician recruitment, clinical quality assurance and
utilization management. Prior to joining the Corvallis Clinic, he served for
seven years as Senior Vice President for Medical Affairs for Central
Massachusetts Health Care, a 100,000 member non-profit health maintenance
organization. Dr. Prows has also served on the Board of Directors of the Unified
Medical Group Association (now the American Medical group Association).
KERRY BARNETT joined PPI as Senior Vice President in February 1998 and
concurrently serves as Chief Executive Officer of HealthFirst Medical Group, PC.
Mr. Barnett received an undergraduate degree from the University of Rochester in
New York in 1978 and received his Juris Doctor from Yale School of Law in 1987.
From 1990 to 1993, he was the Oregon governor's legal counsel and senior policy
advisor. From 1993 until the end of 1997, Mr. Barnett served as Director of the
Department of Consumer and Business Services, Insurance Commissioner and
Superintendent of Banking. In this capacity he had primary responsibility for
all aspects of Oregon's largest business regulatory agency.
JERALD W. ERSTGAARD was a Senior Vice President of PPI. He obtained a Bachelor
of Arts degree from the University of South Dakota with a concentration in
business. In 1973, he received a Masters degree in Business Administration from
the University of Wyoming. Mr. Erstgaard worked as an assistant administrator at
Corvallis Clinic from 1979 to 1986. He joined Metropolitan as an administrator
in 1986. Since February 1, 1996, at the time of the business combination of
Metropolitan and Suburban, Mr. Erstgaard held the administrative
<PAGE> 90
position of Chief Executive Officer of HealthFirst. During Mr. Erstgaard's
tenure, HealthFirst grew from an organization of 15 physicians to an entity with
approximately 120 physicians. In addition to his role in management at
HealthFirst, Mr. Erstgaard acted as a member of the Board of Directors of the
American Medical Group Association and of the Northwest Group Practices
Association. He is a Member of Medical Group Management Association. He
previously served as President of Oregon Medical Group Management Association.
His employment with PPI ended in August 1997.
ITEM 11: EXECUTIVE COMPENSATION
The following table summarizes the annual and long-term compensation of the
Company's Chief Executive Officer and the five highest paid executive officers
for 1997, 1996 and 1995.
<TABLE>
<CAPTION>
Long-Term Compensation
Annual Compensation Awards
------------------------------- ------------------------
Other
Annual Restricted Securities All Other
Compen- Stock Underlying Compen-
Name and Principal Position Year Salary Bonus(2) sation($)(3) Awards($) Options(#)(4) sation(5)
- --------------------------- ---- ------ -------- ------------ --------- ------------- ---------
<S> <C> <C> <C> <C> <C> <C> <C>
David Goldberg 1997 231,000 -- 12,000 -- 150,000 --
Chief Executive Officer 1996 -- -- -- 148,770 -- --
and Director 1995 -- -- -- -- -- --
Tim Dupell 1997 175,000 25,000 12,000 -- 100,000 15.245
Chief Financial Officer 1996 -- -- -- 148,770 -- --
and Director 1995 -- -- -- -- -- --
Michael Bonazzola, M.D. 1997 185,000 25,000 12,000 -- 102,210 14,667
Chief Medical Officer 1996 -- -- -- -- -- --
and Director 1995 -- -- -- -- -- --
Ralph Prows, M.D. 1997 158,000 10,000 -- -- 40,977 13,166
Senior Vice President 1996 -- -- -- -- -- --
1995 -- -- -- -- -- --
Jon Ness 1997 175,000 40,000 -- -- 35,000 --
Senior Vice President 1996 -- -- -- 148,770 -- --
1995 -- -- -- -- -- --
Jerald Erstgaard (1) 1997 132,000 -- -- -- 35,000 2,550
Senior Vice President 1996 -- -- -- -- -- --
1995 -- -- -- -- -- --
</TABLE>
(1) Jerald Erstgaard`s employment with PPI was terminated in August 1997.
Pursuant to the severance agreement, Mr. Erstgaard will continue to be paid
at an annual rate of $132,000 for 14 months following the termination date.
(2) Annual bonuses are earned and accrued during the fiscal years indicated and
paid in the following year.
(3) Amounts consist of an automobile allowance paid by the Company.
(4) This column sets forth the dollar value, as of the grant date, of restricted
stock awarded. The stock awards aggregating 108,000 were granted in October
1996 to four officers of the Company. These awards were initially subject to
a three-year vesting requirement. In the case of three of the officers, the
requirement has subsequently been eliminated. The fourth officer is no
longer employed, but will be entitled to retain the stock award as long as
the terms of his separation agreement are adhered to. David Goldberg, Tim
Dupell and Jon Ness were each rewarded 27,000 shares at an exercise price of
$5.51 per share. The estimated fair value of these awards in the aggregate
amount of $595,080 was recognized as compensation expense in 1996.
<PAGE> 91
(5) Amounts represent matching contributions from the New PC's defined
contribution plans to Tim Dupell and Ralph Prows from the Corvallis Clinic,
PC , to Michael Bonazzola from Medford Clinic, PC, and to Jerald Erstgaard
from HealthFirst Medical Group, PC. See Note 11 in the accompanying audited
Financial Statements of the Company.
The following table sets forth information concerning options granted to the
named executive officers in 1997.
<TABLE>
<CAPTION>
Potential realizable value at
assumed annual rates of stock
Individual Grants price appreciation for option term
----------------------------------------------------------------------------------------
Number of Percent of
securities total
underlying options/ Exercise
Options/ SARS granted or base
SARS to employees price Expiration
Name granted(#) in fiscal year ($/share) date 0%($) 5%($) 10%($)
- ---- ---------- -------------- --------- ---------- -------- -------- ----------
<S> <C> <C> <C> <C> <C> <C> <C>
David Goldberg 50,000 3.1% $7.20 2/01/07 $40,000 $226,400 $573,700
100,000 6.1% $6.80 11/12/07 $120,000 $427,600 $1,083,700
Tim Dupell 35,000 2.1% $7.20 2/01/07 $28,000 $158,500 $401,600
65,000 4.0% $6.80 11/12/07 $78,000 $278,000 $704,400
Michael Bonazzola, M.D. 2,210 0.1% $7.20 2/01/07 $1,768 $10,000 $25,400
65,000 4.0% $6.80 11/12/07 $78,000 $278,000 $704,400
35,000 2.1% $7.20 2/01/07 $28,000 $158,500 $401,600
Ralph Prows, M.D. 35,000 2.1% $7.20 2/01/07 $28,000 $158,500 $401,600
5,977 0.4% $7.20 2/01/07 $4,782 $27,100 $68,600
Jon Ness 35,000 2.1% $7.20 2/01/07 $28,000 $158,500 $401,600
Jerald Erstgaard 35,000 2.1% $7.20 2/01/07 $28,000 $158,500 $401,600
</TABLE>
(1) The potential realizable values shown are based on the actual market price
of the options at grant date, $8.00 per share, and the indicated assumed
annual rates of appreciation compounded annually.
(2) Options granted in 1997 did not include stock appreciation rights ("SARs").
The Securities and Exchange Commission regulations require information as to the
potential realizable value of each of these options, assuming that the market
price of Company Common Stock appreciates in value from the date of grant to the
end of the option term at annual rates of zero, five and ten percent. The shares
granted above were issued at a below-market price, therefore, the potential
realizable values of the options granted at the assumed annual rates were based
on the actual market value of the stock options at grant date, $8.00 per share.
If zero appreciation occurs over the term of the options, the value of the
options granted is listed above under the column detailing a 0% appreciation.
The value is determined as the difference between the market price of the
options and the base price of those options granted.
Actual gains, if any, on stock option exercises and Company Common Stock
holdings will depend on overall market conditions and the future performance of
the Company and its Common Stock. There can be no assurance that the amounts
reflected in this table will be realized.
FISCAL YEAR END OPTION VALUES
PPI's common stock is not publicly traded, therefore, the basis of the option
valuation is the price of the Common stock as of July 10, 1997, the last date of
valuation in the year ending December 31, 1997. No options were exercised in
1997 by any named executive officer. The following table details information
concerning the value of unexercised stock options held by each named executive
officer. The value of the unexercised options reflect the increase in the
granted value of the Company's Common Stock on the date of the grant through the
last date of stock valuation on July 10, 1997. As of July 10, 1997, PPI's Common
Stock was valued at $8.00 per share. The value actually
<PAGE> 92
realized upon the future exercise of options by the named executive officers
will depend on the value of the Company Common Stock at the time of exercise.
<TABLE>
<CAPTION>
DECEMBER 31, 1997 OPTION VALUE
---------------------------------------------------------------------------
Number of Securities Underlying
Unexercised Options at Value of Unexercised In-the-Money
December 31, 1997 Options at December 31, 1997
---------------------------------------------------------------------------
Name Unexercisable Unexercisable
- ---- ------------- -------------
<S> <C> <C>
David Goldberg 150,000 $160,000
Tim Dupell 100,000 $106,000
Michael Bonazzola, M.D. 102,210 $107,768
Ralph Prows, M.D. 40,977 $32,782
Jon Ness 35,000 $28,000
Jerald Erstgaard (1) -- --
</TABLE>
(1) Jerald Erstgaard's employment with PPI was terminated on August 20, 1997.
According to the terms of Mr. Erstgaard's Separation and Release Agreement,
Mr. Erstgaard forfeited the right to purchase the 35,000 shares of PPI
Common Stock granted to him at that time.
DIRECTOR COMPENSATION
PPI Directors are entitled to receive compensation for serving as Directors in
an amount equal to $1,000 per board meeting or $5,000 per fiscal quarter of PPI,
whichever is greater. In addition, Directors are entitled to receive $750 per
meeting attended for various committee purposes if the meeting is not held on a
date on which the Board holds a meeting. Furthermore, Directors may be
reimbursed for reasonable and actual out-of-pocket expenses incurred in
connection with their duties as Directors.
INDEMNIFICATION AGREEMENTS
Pursuant to Article VII of the PPI Bylaws, PPI is obligated to indemnify each of
its Directors and officers that could require PPI, among other things, to
indemnify them against certain liabilities that may arise by reason of their
status or service as Directors and officers and to advance expenses incurred by
them as a result of any proceeding against them as to which they could be
indemnified.
CHANGE-IN-CONTROL ARRANGEMENTS
PPI has established the Physician Partners, Inc. Change In Control Plan (the
"Plan") to enable PPI to provide severance benefits to eligible executive or
management employees whose employment is terminated following a Change in
Control (as such term is defined in the Plan) of the Company. Pursuant to
agreements entered into under the Plan, David Goldberg, Tim Dupell, Michael
Bonazzola, Ralph Prows and Jon Ness are entitled to separation pay and benefits
following a change of control of PPI and the employee's subsequent termination
of employment with PPI unless such termination is voluntary or results from
death, disability, retirement or cause. The eligible termination must occur
within 24 months of the Change in Control or the agreement is void. Each
agreement continues for three years from such date the agreement is executed and
automatically renews every three years from such date unless the employee
receives written notice of termination at least ninety days prior to the renewal
date. The separation pay under each agreement (including those for each of the
named executive officers) equals three years' annualized base salary and maximum
target bonus. In addition, upon the occurrence of an eligible termination, all
outstanding options to purchase PPI Common Stock will immediately vest and
become exercisable. In the event that any payments to be made to an employee in
connection with a change in control of PPI under the Plan or any other plan or
arrangement would not be deductible by PPI for federal income tax purposes, then
the
<PAGE> 93
payments under the Plan and the employee's agreement will be
reduced as necessary to eliminate the disallowance of the deduction.
EMPLOYMENT AGREEMENTS
DAVID GOLDBERG entered into an agreement with the Company on September 19, 1996
to be employed as President and Chief Executive Officer of PPI for a term of
three years. From July 1, 1996 until February 1, 1997, i.e., the effective date
of the Merger ("Effective Time"), Mr. Goldberg was paid a base salary at an
annual rate of $300,000; from and after the Effective Time, he will be paid a
base salary at an annual rate of $225,000 and options to purchase 150,000 shares
of PPI Common Stock. Pursuant to his employment agreement, on October 30, 1996,
Mr. Goldberg received a restricted stock award of 27,000 shares of PPI Common
Stock. In the event Mr. Goldberg's employment is terminated without cause, he
shall receive his base salary and medical, health and accident and disability
insurance for a term of 12 months after the date of such termination. The
obligations of PPI under the employment agreement with Mr. Goldberg are
guaranteed by the New PCs.
TIM DUPELL entered into an agreement with the Company on September 19, 1996 to
be employed as Senior Vice President and Chief Financial Officer of PPI for a
term of three years. From July 29, 1996 until the Effective Time, Mr. Dupell was
paid a base salary at an annual rate of $175,000; from and after the Effective
Time, Mr. Dupell has received options to purchase 100,000 shares of PPI
Common Stock. Pursuant to his employment agreement, on October 30, 1996 Mr.
Dupell received a restricted stock award for 27,000 shares of PPI Common Stock.
In the event Mr. Dupell's employment is terminated without cause, he shall
receive his base salary and medical, health and accident and disability
insurance for a term of 12 months after the date of such termination. The
obligations of PPI under the employment agreement of Mr. Dupell are guaranteed
by the New PCs.
MICHAEL BONAZZOLA, M.D. entered into an agreement with the Company on September
19, 1996 to be employed as Senior Vice President and Chief Medical Officer of
PPI for a term of three years. On the Effective Date, Dr. Bonazzola received a
bonus award of $25,000. Commencing at the Effective Time, Dr. Bonazzola has been
paid a base salary at an annual rate of $190,000, and received options to
purchase 100,000 shares of PPI Common Stock. In the event Dr. Bonazzola's
employment is terminated without cause, he shall receive his base salary and
medical, health and accident and disability insurance for a term of 12 months
after the date of such termination. The obligations of PPI under the employment
agreement of Dr. Bonazzola are guaranteed by the New PCs.
JON NESS entered into an agreement with the Company on September 19, 1996 to be
employed as Senior Vice President of PPI for a term of three years. Commencing
at the Effective Time, Mr. Ness has been paid a base salary at an annual rate of
$175,000 and received an option to purchase 35,000 shares of PPI Common Stock.
Pursuant to his employment agreement, Mr. Ness received on October 30, 1996 a
restricted stock award for 27,000 shares of PPI Common Stock. In the event Mr.
Ness' employment is terminated without cause, he shall receive his base salary
and medical, health and accident and disability insurance for a term of 12
months after the date of such termination.
JERALD ERSTGAARD entered into an agreement with the Company on September 19,
1996 to be employed as Senior Vice President of PPI. Mr. Erstgaard's position
was voluntarily terminated as of August 20, 1997. Mr. Erstgaard's employment
agreement was for a term of three years. Commencing at the Effective Time, Mr.
Erstgaard was paid a base salary at an annual rate of $132,000 and at the time
of termination of Mr. Erstgaard employment with PPI, PPI agreed to provide the
following compensation and benefits to Mr. Erstgaard: For a period of 14 months
from the termination date, in addition to the salary which had been paid to him
for the month of August 1997, PPI will pay Mr. Erstgaard an the annual rate of
$132,000 as though Mr. Erstgaard's employment with PPI had continued, payable in
regular installments and subject to applicable withholding and deductions. In
addition, PPI agreed to provide Mr. Erstgaard with (a) medical, health and
accident and disability insurance and other benefits at the same coverage level
maintained for Erstgaard's benefit immediately prior to the termination, and (b)
participation in any 1997 and 1998 contribution that PPI makes on behalf of its
employees to any retirement or pension plan, with respect to severance payments
through October 19, 1998.
<PAGE> 94
KERRY BARNETT entered into an employment agreement on February 9, 1998 to be
employed as Senior Vice President of PPI for a term of three years. Kerry
Barnett assumed the responsibilities of Jerald Erstgaard. Mr. Barnett will be
paid a base salary at an annual rate of $158,000 with a potential annual bonus
of $32,000 and receive an option to purchase 10,000 shares of PPI Common Stock.
In the event that Mr. Barnett's employment is terminated without cause, he shall
receive his base salary and medical, health and accident and disability
insurance for a term of 6 months after the date of such termination.
RALPH PROWS, M.D. entered into an agreement with the Company on June 1, 1997 to
be employed as Senior Vice President of PPI for a term of three years. Mr. Prows
will be paid a base salary at an annual rate of $162,650 and receive an option
to purchase 35,000 shares of PPI Common Stock. In the event Mr. Prows'
employment is terminated without cause, he shall receive his base salary and
medical, health and accident and disability insurance for a term of 12 months
after the date of such termination.
ITEM 12: SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
Set forth below is information concerning beneficial ownership of the Company
Common Stock as of March 30, 1998 by (i) each of the nominees and current
Directors, (ii) each of the named executive officers, (iii) all current
Directors and executive officers of the Company as a group, and (iv) all persons
known by the Company to be the beneficial owners of five percent or more of
Company Common Stock.
<TABLE>
<CAPTION>
Shares of Company
Common Stock
PPI Beneficially Owned Percent Outstanding
- --- ------------------ -------------------
<S> <C> <C>
David M. Goldberg, M.H.A.(1) 37,000 0.6%
Tim E. Dupell, C.P.A(1) 34,000 0.5%
Michael F. Bonazzola, M.D(1) 34,269 0.5%
Bruce E. Van Zee, M.D.(1) 27,269 0.4%
David H. Cutsforth, Jr. M.D.(1) 19,889 0.3%
Russell A. Dow, M.D. 30,631 0.5%
Douglas M. Mancino, Esq.(1) 28,500 0.4%
Dan Gregorie, M.D. -- --
Mark Leavitt, M.D. -- --
Jon D. Ness.(1) 34,000 0.5%
Ralph Prows, M.D.(1) 26,649 0.4%
Kerry Barnett -- --
All directors and executive officers
of the Company as a group (1) 272,207 4.2%
</TABLE>
- ----------------------------------------
(1) Includes shares which may be acquired on February 1, 1997 upon exercise of
stock options (10,000 shares for David Goldberg, 7,000 shares for Tim Dupell
and Jon Ness, 7,442 shares for Michael Bonazzola, M.D., 442 shares for Bruce
Van Zee, M.D., 1,135 shares for David Cutsworth, Jr., M.D., 1,500 shares for
Douglas Mancino, Esq. and 8,195 shares for Ralph Prows, M.D.). Holders
exercise neither voting nor investment power over unexercised option shares.
ITEM 13: CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
None.
<PAGE> 95
PART IV
ITEM 14: EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K
(a) Financial Statements, Financial Statement Schedules and Exhibits
(1) Financial Statements
The following financial statements of Physician Partners, Inc. are
included in Part II, Item 8 of this report:
<TABLE>
<CAPTION>
<S> <C>
Report of Independent Public Accountants
Balance Sheets - December 31, 1996 and 1997
Statements of Operations - Years ended December 31, 1995, 1996 and 1997
Statements of Shareholders' Equity - Years ended December 31, 1995, 1996
and 1997
Statements of Cash Flows - Years ended December 31, 1995, 1996 and 1997
</TABLE>
(2) Financial Statement Schedules
None required.
(3) Exhibits
<TABLE>
<S> <C>
2.1* Amended and Restated Agreement and Plan of Reorganization and
Merger, dated as of September 19, 1996, as amended on November
4, 1996, November 29, 1996 and December 31, 1996, among
Physician Partners, Inc., The Corvallis Clinic, PC, HealthFirst
Medical Group, PC and Medford Clinic, PC
3.1* Amended and Restated Certificate of Incorporation of PPI
3.2* By-Laws of PPI
3.2** Certificate of Designation
4.1** Credit Agreement between PPI and United States National Bank of
Oregon dated February 1, 1997, as amended on March 7, 1997 and
August 25, 1997
10.1* Amended and Restated Employment Agreement, dated as of September
19, 1996 between PPI and David M. Goldberg
10.2* Amended and Restated Employment Agreement, dated as of September
19, 1996 between PPI and Tim E. Dupell
10.3* Amended and Restated Employment Agreement, dated as of September
19, 1996 between PPI and Michael F. Bonazzola, M.D.
10.4* Employment Agreement, dated as of September 19, 1996 between PPI
and Jon Ness
10.5** Employment Agreement, dated as of February 9, 1998 between PPI
and Kerry Barnett
10.6** Employment Agreement, dated as of June 1, 1997 between PPI and
Ralph Prows
10.7** Amended and Restated 1997 Stock Option Plan for Non-Employee
Directors of PPI dated November 12, 1997
10.10** Amended and Restated 1997 Stock Option Plan for Employees of PPI
dated November 12, 1997
10.11** Amended and Restated 1997 Stock Option Plan for Non- Employee
Providers Affiliated with PPI dated November 12, 1997
10.12* PPI Change in Control Plan, dated as of December 31, 1996
10.13** Preferred Stock and Warrant Purchase Agreement with First Union
Capital together with Common Stock Purchase Warrant and
Registration Rights Agreement
27** Financial Data Schedule
</TABLE>
- ---------------------
* Previously filed in connection with Registration Statement No. 333-15595 and
hereby incorporated by reference
** Previously filed and hereby incorporated by reference
<PAGE> 96
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange
Act of 1934, the registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized.
Physician Partners, Inc.
(Registrant)
By /s/ David M. Goldberg
------------------------------------
David M. Goldberg
President, Chief Executive Officer
and Director
3/30/98
Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed below by the following persons on behalf of the registrant and
in the capacities and on the dates indicated.
By /s/ David M. Goldberg By /s/ Tim E. Dupell, C.P.A.
----------------------------------- ------------------------------------
David M. Goldberg Tim E. Dupell, C.P.A.
President, Chief Executive Officer Senior Vice President, Chief
and Director Financial Officer and Director
3/30/98 3/30/98
By /s/ Michael F. Bonazzola, M.D. By /s/ Bruce E. Van Zee, M.D.
----------------------------------- ------------------------------------
Michael F. Bonazzola, M.D. Bruce E. Van Zee, M.D.
Senior Vice President, Chief Medical Chairman of the Board and
Officer and Director Director
3/30/98 3/30/98
By /s/ David H. Cutsforth Jr., M.D. By /s/ Russel A. Dow, M.D.
----------------------------------- ------------------------------------
David H. Cutsforth Jr., M.D. Russel A. Dow, M.D.
Director Director
3/30/98 3/30/98
By /s/ Douglas M. Mancino, Esq.
-----------------------------------
Douglas M. Mancino, Esq.
Director
3/30/98
