CORE CARE SYSTEMS INC
8-K/A, 1999-11-08
HOSPITAL & MEDICAL SERVICE PLANS
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                       SECURITIES AND EXCHANGE COMMISSION

                              Washington, DC  20549



                                   FORM 8-K/A



                                 CURRENT REPORT


          PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES ACT OF 1954





     Date of Report (Date of earliest event reported     September 27, 1999
                                                         ------------------


                             CoreCare Systems, Inc.
                             ----------------------
             (Exact name of registrant as specified in its charter)


         Delaware                    0-24807                23-2840367
         --------                    -------                ----------
(State or other jurisdiction  (Commission File Number)    (IRS Employer
   of  incorporation)                                  Identification  No.)


                   111 N. 49th Street, Philadelphia, PA 19139
                   ------------------------------------------
                    (Address of principal executive offices)


Registrant's  telephone  number,  including  area  code          215-471-2600
                                                                 ------------


                                       N/A
                                       ---
          (Former name or former address, if changed since last report)


<PAGE>
Item 1:   Not  Applicable

Item 2:   Not  Applicable

Item 3:   Not  Applicable


Item 4:   The Company's  Board of Directors has chosen not to renew the services
          of the Company's  1998 auditors  (Shiffman,  Hughes,  and Brown).  The
          Company  's  Board of  Directors  has  appointed  BDO  Seidman  as the
          auditors for the year ending 1999.  There were no  disagreements  with
          the previous auditors. Pursuant to Item 304(a) (1) (iv) of Regulations
          S-B for the fiscal periods  ending  December 31, 1997 and December 31,
          1998. The accountants did not audit nor review any subsequent  interim
          financial  statements  through the date of  dismissal  (September  27,
          1999)  and  did not  express  an  opinion  on the  subsequent  interim
          financial statements.

          There were no  disagreements  nor reportable  events,  as described in
          Items  304(a)  (1) (iv)  and (v) of  Regulations  S-B with the  former
          accountants  for the fiscal  periods  ending  December 31,  1997,  and
          December  31,  1998.  The  accountants  did not audit nor  review  any
          subsequent interim financial  statements through the date of dismissal
          (September  27, 1999) and did not express an opinion on the subsequent
          interim financial statements.

          The accountant's  report contained no adverse opinion,  nor disclaimer
          of opinion, nor was it qualified or modified as to uncertainty,  audit
          scope,  or  accounting   principles.   The  accountants  expressed  an
          unqualified opinion on the financial statements for the fiscal periods
          ending December 31, 1997, and December 31, 1998.



Item 5:   Other  Events
          -------------

          A.   The  Company  is filing  this 8K because it is late in filing the
               10Q for the second  quarter  of 1999.  The  Company  is  delaying
               filing of the 10Q to allow it time to file  amended  reports  for
               1998 and 1999 for the reasons discussed below.

          B.   In March 1999, the Company  restated its  previously  issued 1997
               audited financial  statements,  issued its 1998 audited financial
               statements,  and revised its interim  statements.  As a result of
               these  restatements,  the Company  instituted an internal  review
               program of its fiscal systems,  software,  staffing,  and related
               billing & collection  functions.  Particular  emphasis focused on
               accounts   receivable   reserves,   estimates   for   contractual
               allowances,  accrued expenses, and accounts payables. This review
               resulted  in the  following  actions  to  improve  the  financial
               control and reporting systems.


<PAGE>
               1.   Hiring of a new CFO. A brief resume follows in section E.

               2.   Restructuring  of  the  Company's  billing  and  collections
                    functions.

               3.   Selection of a new software system designed specifically for
                    hospitals, and integrated with the general ledger.

          As a result of the above  actions,  the Company  will restate its 1998
     financial   statements  and  the  Company's   first  quarter  1999  interim
     statements as described in Sections C and D.



          C.   The  Company  expects to restate  its 1998 loss to  approximately
               $8,939,000.  This is an  increase of  $4,350,000.  The Company is
               working  with  its  previous  audit  firm to  issue  the  revised
               statements in an expedited period.  The details of the components
               of this loss are  discussed  below.  At this  time,  the  amounts
               listed below are approximate  amounts.  The exact amounts will be
               determined by the final audit.


          The 1998 revenue was overstated by $1,875,000. This adjustment was due
          to the over accruing of net patient  revenue and the related  accounts
          receivable. This was caused by:

               1.   Inadequate   calculation  of   contractual   allowances  for
                    Medicare  patients of $700,000  and for  potential  Medicaid
                    patients of $275,000.

               2.   Accounts receivable  adjustments of $300,000 associated with
                    computer system errors related to net patient revenue.

               3.   Inadequate reserves to provide for retroactive payor changes
                    and patient day denials of $600,000.


<PAGE>
          The 1998 expenses were understated by $2,475,000 due to the inadequate
          provision  of accrued  unpaid  expenses  and  incorrect  recording  of
          journal entries. The items in this category consist of:

               1.   Lack of a provision  for the cost of tail  coverage  for the
                    claims made malpractice  insurance coverage.  This amount is
                    $128,000.

               2.   Interest  expense  and  property  taxes  on  a  discontinued
                    operation were not accrued in the amount of $820,000.

               3.   A provision  was not made for certain  state and local taxes
                    that are not  related  to the  Corporation's  net income but
                    rather to the capital structure or to the net revenue of the
                    Corporation. These amounted to $69,000.

               4.   Interest  expense  and  commission  due  on  certain  of the
                    Company's  notes  was not  adequately  provided  for.  These
                    amounted to $414,000.

               5.   A provision  was not made for  commissions  of $84,000 to be
                    paid on a terminated lease.




               6.   Certain expense items received after the end of the year for
                    services  rendered  during the year were not  provided  for.
                    These  amounted to $460,000.  The items included legal fees,
                    provision for retrospective  adjustment of certain insurance
                    expense and a general provision for unrecorded liabilities.

               7.   Certain prepaid  expenses and deposits that should have been
                    written off were not. These amounted to $300,000.

               8.   Pharmacy  expenses  in  the  amount  of  $200,000  were  not
                    recognized.


          D.   A review of the first quarter 1999  statements  also revealed the
               necessity to restate its first quarter results. This is necessary
               to reflect the 1999 impact of the above 1998  corrections  and to
               correct certain errors.  The total effect of these adjustments is
               to increase the first quarter 1999 loss to $1,660,250. This is an
               increase of approximately  $1,039,500.  At this time, the amounts
               listed below are approximate  amounts.  The exact amounts will be
               determined  by the final  audit.  The items  that  comprise  this
               adjustment include:


<PAGE>
               1.   Inadequate  calculation  of  contractual  allowances  in the
                    amount  of  $348,000,  for  patients  with  pending  Medical
                    Assistance applications.

               2.   Medicare   accounts   receivable   adjustments  of  $317,000
                    associated with co-payment and deductible booking errors.

               3.   Physician services billings in the amount of $212,000, which
                    have  not  been  processed.  This  Start-up  Corporation  is
                    attempting   to   establish   provider   numbers   with  the
                    appropriate  payors so that  these  fees may be  billed  and
                    collected in the future, however the amounts have been fully
                    reserved as a precaution.

               4.   Inadequate  recognition  of accrued  expenses  of  $384,500,
                    associated with various items  including lease  commissions,
                    expected workers' compensation premium adjustments,  as well
                    as provision for certain state  franchise  taxes  associated
                    with the Company's capital structure and revenue base.

               5.   Inadequate reserves to provide for retroactive payor changes
                    and patient day denials of $270,000.


               6.   An over allowance for amounts due to the Medicare program of
                    ($192,000)  and   ($300,000)   correction  due  to  accounts
                    receivable  adjustments  and  errors.  The  effect  of  this
                    adjustment  is to increase the first quarter  income.  These
                    were 1998 items that  previously  had been  accounted for in
                    the 1999 income statement.


          E.   The  company  has  hired a new CFO  (Brad  Barry,  CPA).  A brief
               capsule of his professional experience follows.

               Brad Barry,  CPA joined  Corecare  Systems,  Inc. in June 1999 as
               Executive  Vice  President  & CFO.  Formerly,  he was Senior Vice
               President and CFO and a founder of Omnia,  Inc.  Prior to joining
               Omnia,  Mr. Barry held the positions of Vice President of Mergers
               and  Acquisitions  and  Chief  Financial   Officer  for  Vanguard
               Healthcare  Group,  Inc.  Mr.  Barry  has over 20 years of senior
               health care financial management  experience,  having served both
               as Chief  Financial  Officer  and  Chief  Operating  Officer  for
               various  hospitals  ranging  in  size  for  100 to 300  beds.  In
               addition,  he  has  extensive  experience  in  health  care  data
               processing, having been Vice President of Product Development for
               a major  healthcare  software  firm. He received a BS in Commerce
               and  Engineering  Science  from  Drexel  University,  his  MBA in
               Accounting  and Finance from Drexel  University  and his MHA from
               Widener University. Currently Mr. Barry serves as Chairman of the
               Board for a non-profit  community mental health provider and as a
               member of the finance  committee for a non-profit  long term care
               organization.


<PAGE>
          F.   On June 30, 1999 the Company filed its 1998 Medicare Cost Reports
               showing  $1,192,000 due to the Medicare Program.  The Company has
               negotiated a two-year repayment plan,  effective August 19, 1999.
               The monthly payment is $44,000.

          G.   On September 3, 1999, the Company  completed the sale of a 1-acre
               parcel  of  ground  that it had  previously  subdivided  from its
               Market Street  property.  The proceeds  totaled $500,000 and were
               used for general working capital purposes.

          H.   At the end of August,  the Company negotiated an extension of its
               then due mortgage  with WRH for  $13,000,000  until  December 31,
               1999.

          I.   The  unaudited  second  quarter of 1999 and  six-month  financial
               results of the Company follow. All quarterly  comparative figures
               are to the first quarter 1999. Comparisons to the prior year will
               be included in the second  quarter 10Q once the company has filed
               all amended prior quarterly  filings.  The Company had revenue in
               the second quarter of $6,818,623. This is an increase of $554,605
               over the first  quarter's  revenue of $6,264,018.  EBITDA for the
               quarter was  $416,1888.  This is an increase of $840,185 over the
               first  quarter's  EBITDA of  ($423,997).  The  company's net loss
               declined to $767,803. This is an improvement of $892,448 over the
               first quarter's loss of $1,660,250.  For the six months,  revenue
               was $13,082,641.  Operating and  administrative  expenses totaled
               $13,120,430. The EBITDA was ($37,789) and the total income (loss)
               was ($2,385,034).

          J.   Other significant events relate to the Company's expansion of its
               licensed  capacity.  On June 30,  1999,  the  Company's  licensed
               capacity in its drug and alcohol program expanded from 67 beds to
               83 beds. On July 1, 19999 the Company assumed  responsibility for
               behavioral  services at Episcopal  Hospital and the  Philadelphia
               Nursing Home though the Company's Temple University  affiliation.
               As Of July 1, 1999,  the Company  received a license to operate a
               geriatric  partial  hospitalization  program  and  an  outpatient
               clinic at the Philadelphia  Nursing Home and an outpatient clinic
               at the  Philadelphia  Protestant  Home. These programs expand the
               Company's geriatric system.


<PAGE>
          The Company will file amended  reports  consisting  of (1) the 10Q for
     the third quarter of 1998;  (2) the 10KSB for the year ended 1998;  and (3)
     the 10Q for the first  quarter of 1999.  The Company will then file its 10Q
     for the second quarter of 1999.



Item 6:   Not  Applicable



Item 7:   Financial  Statements, Pro Forma  Financial  Information and Exhibits.
          ----------------------------------------------------------------------

          Not  Applicable

Item 8:   Not  Applicable

Item 9:   Not  Applicable


<PAGE>
                                   SIGNATURES

     Pursuant  to  the  requirements of the Securities Exchange Act of 1934, the
registrant  has  duly  caused  this  report  to  be  signed on its behalf by the
undersigned  hereunto  duly  authorized.




                                         CORECARE  SYSTEMS,  INC.




BY:
Date:  September  27,  1999              By:  /s/  Thomas  T.  Fleming
                  --                     -----------------------------
                                                   Thomas  T.  Fleming
                                                   Chairman  of  the  Board


<PAGE>


                                     EXHIBIT 16




September  27,  1999



Mr.  Brad  Barry
Chief  Financial  Officer
CoreCare  Systems,  Inc.
111  N.  49th  Street
Philadelphia,  PA  19139

Re:  CoreCare  Systems,  Inc.
     File  No.  0-24807
     Form  8-K

Dear  Mr.  Barry:

This  is  to  confirm  that  the  client-auditor  relationship  between CoreCare
Systems,  Inc.  (Commission File Number: 0-24807) and Schiffman Hughes Brown has
ceased.  Furthermore,  in  accordance  with  Items  304(a)(1)(iv)  and  (v)  of
Regulation  S-B,  we agree with the revised disclosures submitted by the company
in Form 8-K.  There were no disagreements concerning the 1998 and 1997 financial
reporting  and  disclosures information.  Schiffman Hughes Brown has not audited
nor  reviewed  any  1999 financial information prepared by the Company, and as a
result  has  no  opinion on the interim statements for 1999 as it may pertain to
Items  304(a)(1)(iv)  and  (v)  of  Regulation  S-B.

Very  truly  yours,



Schiffman  Hughes  Brown
Blue  Bell,  PA



<PAGE>


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