COMMUNITY PSYCHIATRIC CENTERS /NV/
10-Q, 1996-04-15
HOSPITALS
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<PAGE>
 
                                   FORM 10-Q

                      SECURITIES AND EXCHANGE COMMISSION

                            Washington, D.C. 20549

(Mark One)

[X]         QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
                        SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended February 29, 1996
                               -----------------------------------------------

                                      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  1-7008
                       -------------------------------------------------------

- --------------------------------------------------------------------------------

                         COMMUNITY PSYCHIATRIC CENTERS
            ------------------------------------------------------
            (Exact name of registrant as specified in its charter)

            NEVADA                                            94-1599386
- -------------------------------                       --------------------------
(State or other jurisdiction of                       (I.R.S. Employer I.D. No.)
 incorporation or organization)
 
       6600 W. Charleston Boulevard, Suite 118, Las Vegas, Nevada  89102
- --------------------------------------------------------------------------------
       (Address of principal executive offices)                  (Zip Code)
 
Registrant's telephone number, including area code  (702) 259-3600
                                                    ----------------------------

                                Not Applicable
- --------------------------------------------------------------------------------
  (Former name, former address and former fiscal year, if changed since last 
  report)

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 and (2) has been subject to such filing requirements for
the past 90 days.
                               Yes  X     No 
                                   ---       ---   

Indicate the number of shares outstanding of each of the issuer's classes of
Common Stock, as of the latest practicable date: 44,396,000  as of March 31,
                                                ------------                
1996.

<PAGE>
 
PART I.  FINANCIAL INFORMATION

         ITEM 1.  FINANCIAL STATEMENTS

                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES
            CONDENSED CONSOLIDATED STATEMENTS OF INCOME (UNAUDITED)
<TABLE>
<CAPTION>
                                         Three Months Ended
                                            February 29/28
                                           1996       1995
                                            (000s omitted
                                            -------------
                                        except per share data)
                                        ----------------------
<S>                                      <C>        <C> 
REVENUES:
 
 Net operating revenues                  $123,409   $119,541
 Investment income and other                  486        829
                                         --------   --------
                                          123,895    120,370
COSTS AND EXPENSES:
 
 Operating expense                         97,393     88,182
 General and administrative expense         7,935      8,688
 Bad Debt expense                           4,703      7,684
 Depreciation and amortization              5,643      5,013
 Interest expense                           1,373      1,080
 Restructuring charge                         843         --
                                         --------   --------
                                          117,890    110,647
 
INCOME BEFORE TAXES                         6,005      9,723
 
 Income taxes                               2,282      3,793
                                         --------   --------
 
NET INCOME                               $  3,723   $  5,930
                                         ========   ========
 
NET INCOME PER SHARE                     $   0.09   $   0.14
                                         ========   ========
 
WEIGHTED AVERAGE COMMON SHARES             43,702     43,597
                                         ========   ========
 
</TABLE>


See notes to condensed consolidated financial statements.

<PAGE>
 
                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES
                     CONDENSED CONSOLIDATED BALANCE SHEETS
<TABLE>
<CAPTION>
 
                                                                  February 29  November 30
                                                                      1996        1995
                                                                  (Unaudited)   (Audited)
                                                                  -----------------------
ASSETS                                                                 (000s omitted)
- ------
<S>                                                                 <C>         <C>
CURRENT:
  Cash and cash equivalents                                         $  7,209    $ 17,263
  Short-term investments                                               2,000       7,601
  Accounts receivable, less allowances
    for doubtful accounts
    1996 - $25,729/1995 - $24,682                                    119,136     113,686
  Receivable from third parties under
    reimbursement contracts                                            5,196       4,550
  Prepaid expenses and other current assets                           19,038      14,756
  Assets held for sale                                                19,169      15,512
  Refundable and deferred income taxes                                18,754      21,979
                                                                    --------    --------
  TOTAL CURRENT ASSETS                                               190,502     195,347
 
PROPERTY, BUILDINGS & EQUIPMENT-at
    cost less allowances for depreciation                            354,223     354,192
 
Deferred income taxes                                                 21,218      21,334
Other assets                                                          25,573      24,862
Excess of investments in subsidiaries
  over net assets acquired                                             8,799       8,890
                                                                    --------    --------
                                                                    $600,315    $604,625
                                                                    ========    ========
LIABILITIES & STOCKHOLDERS' EQUITY
- ----------------------------------
CURRENT:
  Accounts payable and accrued expenses                             $ 46,781    $ 53,143
  Income taxes payable                                                 8,814       4,425
  Accrued restructuring charges                                        1,875       3,693
  Current maturities on long-term debt                                68,758      18,764
                                                                    --------    --------
TOTAL CURRENT LIABILITIES                                            126,228      80,025
LONG-TERM DEBT, EXCLUSIVE OF CURRENT
  MATURITIES                                                          31,328      84,883
DEFERRED COMPENSATION                                                  2,013       2,019
DEFERRED INCOME TAXES                                                 17,007      17,659
 
Commitments and contingencies
 
Obligation to be settled in common stock                              21,250      21,250
 
STOCKHOLDERS' EQUITY:
  Preferred stock, par value $1.00, authorized
   2,000 shares; none issued                                              --          --
   Common Stock, par value $1.00, authorized
    100,000 shares; issued 1995 - 46,856
    shares 1994 - 46,856 shares                                       46,856      46,856
  Additional paid-in capital                                          62,139      62,096
  Retained earnings                                                  330,787     327,062
  Foreign currency translation adjustment                             (3,197)     (2,943)
  Less treasury stock-at cost 1996 - 3,150
     shares and 1995 - 3,166 shares                                  (34,096)    (34,282)
                                                                    --------    -------- 
                                                                     402,489     398,789
                                                                    --------    -------- 
                                                                    $600,315    $604,625
                                                                    ========    ========
</TABLE> 

NOTE:  The balance sheet at November 30, 1995 has been derived from the audited
       financial statement at that date but does not include all of the
       information and footnotes required by generally accepted accounting
       principles for complete financial statements.

See notes to condensed consolidated financial statements.

<PAGE>
 
                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
<TABLE>
<CAPTION>
                                                        Quarter Ended
                                                        February 29/28
                                                    1996 (Unaudited) 1995
                                                    --------------------- 
                                                       (000s omitted)
<S>                                                  <C>         <C>
CASH FLOWS FROM
  OPERATING ACTIVITIES:
Net income                                           $  3,723    $  5,930
  Items not resulting in cash flows:
    Depreciation and amortization                       5,643       5,013
    Provision for uncollectible accounts                4,703       7,684
    Restructuring charge                                  843          --
    Gain on the sale of property                         (103)         --
    Other                                               1,091       2,100
  Changes in assets and liabilities:
    Short-term investments                              5,601          --
    Accounts receivable                               (10,153)    (22,610)
    Receivable from/payable to third parties
      under reimbursement contracts                      (646)      3,776
    Prepaid expenses and other current assets          (4,282)     (1,681)
    Accounts payable and accrued expense               (6,362)     (6,207)
    Accrued restructuring charges                      (2,661)        (79)
    Income taxes                                        7,078         420
                                                     --------    --------
Net cash provided from (used) for operations            4,475      (5,654)
 
FINANCING:
  Proceeds from revolving credit facilities                --         851
  Net proceeds from exercise of stock options             150         293
  Payments on long-term debt                           (3,568)     (4,167)
                                                     --------    --------
Net cash used for financing activities                 (3,418)     (3,023)
 
INVESTING:
  Payments received on notes                              341          70
  Loans made to officers                                 (750)         --
  Purchase of property, buildings and equipment       (10,482)     (9,879)
  Investment in pre-opening costs                        (282)     (1,183)
  Proceeds from sale of property, buildings
        and equipment                                      62          --
 Payment for business acquisitions:
 Property, buildings and equipment                        --         (728)
 Excess of purchase price over fair value of
     assets acquired                                      --         (221)
                                                    --------     -------- 
Net cash used for investing activities               (11,111)     (11,941)
                                                    --------     -------- 
Net decrease in cash and cash equivalents            (10,054)     (20,618)
Beginning cash and cash equivalents                   17,263       37,263
                                                    --------     --------

Ending cash and cash equivalents                    $  7,209     $ 16,645
                                                    ========     ========
</TABLE> 

See notes to condensed consolidated financial statements.

<PAGE>
 
                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES
             NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

                               FEBRUARY 29, 1996



NOTE A: Basis of Presentation
        ---------------------

                The accompanying unaudited condensed consolidated financial
        statements have been prepared in accordance with generally accepted
        accounting principles for interim financial information and with the
        instructions to Form 10-Q and Rule 10-01 of Regulation S-X. Accordingly,
        they do not include all of the information and footnotes required by
        generally accepted accounting principles for complete financial
        statements. In the opinion of management, all adjustments (consisting of
        normal recurring accruals) considered necessary for a fair presentation
        have been included. For further information, refer to the consolidated
        financial statements and footnotes thereto included in the registrant's
        annual report on Form 10-K for the year ended November 30, 1995.

NOTE B: Restructuring Charge
        --------------------

                Effective February 29, 1996, the Company recorded a
        restructuring charge totalling $.8 million ($.5 million after tax)
        determined in accordance with the provisions of the January 1995
        Financial Accounting Standards Board Emerging Issues Task Force
        Consensus No. 94-3 "Liability Recognition for Certain Employee
        Termination Benefits and Other Costs to Exit an Activity (including
        Certain Costs incurred in a Restructuring)", ("EITF 94-3"), in
        connection with the decision to close one psychiatric hospital in
        January of 1996. EITF 94-3 requires the accrual of certain employee
        termination costs and costs resulting from a plan to exit an activity
        that are not associated with or that do not benefit activities that will
        continue and prohibits accrual of expected future operating losses of
        the activity exited. The charge comprised $.6 million for employee
        termination benefits related to hospital operations and $.2 million for
        non-cancelable operating leases and other exit costs. Net operating
        revenue and net operating income or (loss) for the closed hospital
        totalled $1.1 million and ($.2 million) for the first two months of
        fiscal year 1996, $6.2 million and ($1 million) for fiscal year 1995,
        and $8.5 million and ($34,000) for fiscal year 1994. The fixed assets of
        this hospital were written down to their estimated fair market value in
        November 1995 in accordance with the provisions of Financial Accounting
        Standard No. 121 ("FAS 121"), "Accounting for the Impairment of Long-
        Lived Assets and for Long-Lived Assets to Be Disposed Of". This hospital
        is currently being held for sale.

                Subsequent to February 29, 1996, the Company has closed two
        additional U.S. psychiatric division hospitals. In the second quarter of
        1996, the Company expects to record a restructuring charge of an
        undetermined amount related to exit costs associated with the closed
        facilities. One of these hospitals was sold for its book value in April
        of 1996. The second hospital was written down to its estimated fair
        market value in November of 1995 in accordance with the provisions of
        FAS 121. This hospital is currently being held for sale.

                Management continually reviews all facilities to evaluate
        potential closures, divestitures or conversions. Management may elect to
        close additional psychiatric facilities in the future which could result
        in additional charges to income for the costs necessary to exit the
        hospital operations.

<PAGE>
 
                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES
             NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                  (CONTINUED)

                               FEBRUARY 29, 1996

NOTE C: Recent Developments
        -------------------

                Spin-off Transaction. On December 20, 1995, The Company
        announced that the CPC Board of Directors had preliminarily approved a
        plan to spin-off the U.S. psychiatric business in the form of a taxable
        dividend to the CPC shareholders. The plan calls for CPC to be split
        into two independent publicly held corporations, one providing
        psychiatric services in the U.S. and one operating THC, U.K. psychiatric
        operations and Puerto Rico psychiatric operations. The spin-off is
        subject to a number of conditions, including regulatory and other third
        party approvals, market conditions, final approval of the Board of
        Directors and shareholder approval, accordingly, there can be no
        assurance that the Company will be successful in consummating the spin-
        off. However, it is anticipated that the spin-off and related matters
        will be submitted to shareholders at the Annual Meeting to be scheduled
        at a later date. The special dividend is expected to be distributed by
        mid 1996.

                Indications of Interest Received for PHG. The Company has
        received a number of unsolicited indications of interest to acquire its
        United Kingdom subsidiary--the Priory Hospitals Group ("PHG"). There can
        be no assurance that these inquiries and related discussions will result
        in a sale of PHG. The Company is giving each indication of interest
        received to date careful consideration.

<PAGE>
 
PART I.  FINANCIAL INFORMATION

         ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF RESULTS OF OPERATIONS
                  AND FINANCIAL CONDITION

                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES

Results of Operations

THREE MONTHS ENDED FEBRUARY 29, 1996

     Net operating revenues for the quarter ended February 29, 1996 increased
approximately 3.2% to $123.4 million from $119.5 million for the first quarter
of the prior year.  The increase was a result of a $14.9 million increase in THC
revenue from $41.0 million in the first quarter of 1995 to $55.9 million in the
first quarter of 1996.  THC's same-store admissions and patient days increased
34.3% and 27.8%, respectively.

     Net operating revenues from the United States psychiatric hospitals
decreased approximately $11.8 million from $64.1 million to $52.3 million
primarily due to the closure of six U.S. psychiatric hospitals in November 1995
and one hospital in January 1996.  The closed hospitals generated approximately
$9.9 million of net revenue in the first quarter of the prior year.  The
remaining portion of the decrease in net operating revenues related to a
decrease in same-store admissions and adjusted patient days of 2.6% and 5.0%,
respectively.

     Net operating revenues from the Company's United Kingdom operations
increased by 5.2% or approximately $.8 million as a result of additional patient
days from two hospitals that were acquired during fiscal year 1995.  The United
Kingdom operations experienced reduced admissions and patient days in certain
hospitals in the early part of the first quarter resulting in same-store
declines of 4.1% and 5.2%, respectively.

     Operating expenses as a percentage of net operating revenues were 79.0% for
the quarter ended February 29, 1996 compared to 73.8% for the comparable prior
year quarter.  The increase related to several factors including an increase in
personnel costs at the U.S. psychiatric division as the Company is making an
effort to (i) upgrade the quality of its operating and financial personnel in
these hospitals and (ii) to expand the psychiatric and behavioral health
services offered.  The increase in operating expenses as a percentage of net
operating revenues was also impacted by the decrease in patient days over the
comparable period in the prior year for the U.S. psychiatric division and a
decrease in same-store patient days for the U.K. psychiatric division.  The
Company maintains staffing levels at its hospitals necessary to promote high
quality care while attempting to adapt the levels for census fluctuations.
While census levels may decrease significantly during the holidays in the first
quarter, the Company does not adjust staffing levels below what is mandated by
regulatory bodies.  In addition to the above, the Company incurred approximately
$.9 million of operating expenses related to the seven U.S. psychiatric
hospitals that have been closed since November of 1995.  These costs were
prohibited from being accrued for in any of the related restructuring charges as
they did not qualify as exit costs as defined by EITF 94-3 (see Note B to the
condensed consolidated financial statements related to EITF 94-3 and a
description of the $.8 million restructuring charge for one U.S. psychiatric
division hospital that was closed in January of 1996).

     General and administrative expense decreased $.8 million and as a
percentage of net operating revenue to 6.4% from 7.3% in the prior year
comparable period.  Beginning in November of 1995, the Company closed three
regional offices, consolidated certain positions at the Corporate office, and
continued with further reductions in Corporate overhead personnel in January of
1996.

<PAGE>
 
PART I.  FINANCIAL INFORMATION

     ITEM 2.   MANAGEMENT'S DISCUSSION AND ANALYSIS OF RESULTS OF OPERATIONS AND
               FINANCIAL CONDITION

Results of Operations (continued)

THREE MONTHS ENDED FEBRUARY 29, 1996 (continued)

     Bad debt expense decreased from 6.4% of net operating revenues in the first
quarter of 1995 to 3.8% in the first quarter of 1996. Bad debt expense was
higher in the first quarter of 1995 due to the fact that the Company experienced
a slow down in billing and collections as it converted several U.S. psychiatric
hospitals to a centralized billing office as well as a new computer system.
Also included in the first quarter of 1995 was a charge of approximately $.7
million related to temporary interruptions in Medicare reimbursement to the
Company and other partial hospitalization providers in California.

     Depreciation and amortization increased as the Company added two THC
facilities, one U.K. psychiatric hospital and a new computer system since the
first quarter of 1995.

     Following is a summary of net income by business segment, excluding the
restructuring charge, for the three months ended February 29, 1996:

<TABLE>
<CAPTION>
                                            (000s)
                                           --------
<S>                                        <C>
 
     U.S. Psychiatric division              $  596
     U.K. Psychiatric division               1,364
     Long-term critical care division        2,286
                                            ------
     Net income                             $4,246
                                            ======
</TABLE>

LIQUIDITY AND CAPITAL RESOURCES AT FEBRUARY 29, 1996

     Cash flows provided from operations were $4.5 million for the three months
ended February 29, 1996 compared to cash flows used for operations of $5.7
million for the comparable period of 1995. Net accounts receivable balances
increased $5.5 million during the three months ended February 29, 1996 compared
to $14.9 million during the comparable period of the prior year.  The decline in
the increase in accounts receivable was the principal cause of cash flows from
operations improving by $10.2 million over the prior year.  Days revenue in
accounts receivable were 88 and 86 at February 29, 1996 and February 28, 1995,
respectively.  The increase in days revenue in accounts receivable is primarily
the result of a $3.5 million increase in accounts receivable at one THC facility
that was awaiting approval for their Medicare provider number at the end of the
first quarter.  The delay in receiving the facility's provider number, which is
necessary for billing Medicare claims, was caused by a partial shutdown of the
U.S. Government during the first quarter of 1996.  The Company obtained the
provider number in March of 1996 and is now being reimbursed for the services
provided.

     Purchases of fixed assets totalled $10.4 million during the first quarter
of 1996.  This amount included $2.8 million for a new office that the Company is
building on the campus of THC Las Vegas Hospital in Las Vegas, Nevada.  This
building and its parking structure will provide additional administrative
offices, dining facilities, and parking for the hospital and will serve as the
new location for the corporate office.  Capital expenditures for the remainder
of fiscal year 1996 are estimated to be $18 million for THC, $12 million for the
U.K. psychiatric division, $10 million for the U.S. psychiatric division, and
$3.3 million for the new office building in Las Vegas, Nevada.

     The Company believes that its current cash and cash equivalent balances,
its operating cash flow, and its ability to borrow additional funds will be
sufficient to fund the Company's operations and capital expenditures through the
end of fiscal 1996.  Additional funding sources will be necessary to support
further expansion of THC and the U.K. psychiatric operations and to repay
outstanding borrowings under credit facilities.

<PAGE>
 
                 COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES

                               FEBRUARY 29, 1996


PART II.  OTHER INFORMATION

     ITEM 1.  LEGAL PROCEEDINGS
              -----------------

        On September 28, 1995, the Company reached an agreement to settle
     certain consolidated securities class action lawsuits and a related
     shareholder derivative action. During the third and fourth quarters of
     1995, the Company recorded charges totalling $46.0 million ($28.9 million
     after tax) relating to settlement of the lawsuits and associated legal fees
     and expenses. The suits, filed in late 1991, alleged violations of the
     federal securities laws by the Company and certain individuals between
     September 1990 and November 1991 arising from the activities of the U.S.
     Psychiatric Division.

        The principal terms of the agreement call for a settlement amount of
     $42.5 million consisting of a settlement fund of $21.25 million and the
     Company's common stock with an expected value of $21.25 million. The cash
     amount, plus interest, was paid in November 1995. The shares to be issued
     to the plaintiff class were previously repurchased by the Company pursuant
     to a stock buyback program during late 1991 through early 1993. The number
     of shares of common stock to be issued will be equal to $21.25 million
     divided by the average market value of the common stock over a 10-day
     trading period prior to the distribution of shares to settle claims,
     provided that in any event the minimum number of shares that will be issued
     is 1,931,818 and the maximum number of shares that will be issued is
     3,035,714. The maximum limits would be triggered if the average market
     value of the common stock is at $7 per share or below. The class action
     lawsuit received final court approval on February 12, 1996. On March 4,
     1996, the Company issued 689,189 of common shares to the plaintiffs'
     attorneys which represents a portion of the settlement to be made in common
     stock. The remaining shares will be issued pursuant to a schedule that will
     be agreed to by the plaintiffs' attorneys and the Company. Upon issuance,
     these shares have a dilutive effect on earnings per share. The derivative
     action is scheduled for a hearing for final court approval on April 30,
     1996.

        While these cases allege actions taken before present management was in
     place, management continues to believe that the claims asserted in the
     shareholder suits lack merit. Nevertheless, the Company believed that it
     was prudent to settle these cases due to the continuing substantial costs
     of defense, the distraction of management's attention and the risks
     associated with litigation.

        On August 17, 1995 the Company reported developments pertaining to CPC
     Southwind Hospital in Oklahoma City, Oklahoma, which is operated by the
     Company's subsidiary, CPC Oklahoma, Inc. The first was the filing of a
     whistleblower suit against CPC Oklahoma, Inc. under the Federal False
     Claims Act, and the second concerned the seizure of certain of Southwind's
     records pursuant to a search warrant. On January 19, 1996, the Government
     filed an amended complaint alleging that Southwind Hospital submitted false
     claims to various federally-funded health care programs. The amended
     complaint contained an attached schedule of claims covering periods from
     1990 through mid-1992. Since the service of the original complaint,
     Southwind Hospital has provided information to the Government on numerous
     issues based on internal review. The Company has responded to the
     government's complaint and continues to provide information to the
     government. Management is presently unable to evaluate the potential impact
     of the suit on the Company.

        The Company is subject to ordinary and routine litigation incidental to
     its business, including those arising from patient treatment, injuries or
     death for which it is covered by liability insurance, and those arising
     from actions involving employees. Management believes that the ultimate
     resolution of such proceedings will not have a material adverse effect on
     the Company.
<PAGE>
 
                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES

                               FEBRUARY 29, 1996


PART II.  OTHER INFORMATION (continued)


     ITEM 5:  OTHER INFORMATION
              -----------------

        Hartly Fleischmann resigned as a Director of the Company on March 20,
     1996.


     ITEM 6:  EXHIBITS AND REPORTS ON FORM 8-K:
              -------------------------------- 

     A)  The following exhibits are included herein:

          Exhibit 10:  Third Amendment to Credit Agreement Dated as of September
                       20, 1993 and Fifth Amendment to Credit Agreement Dated as
                       of May 6, 1994 among Registrant, Transitional Hospitals
                       Corporation, and Bank of America Trust and Savings
                       Association, dated as of April 10, 1996.

          Exhibit 11:  Computation of Earnings per Share

          Exhibit 27:  Financial Data Schedule

          The registrant was not required to file a Form 8-K during the three
          months ended February 29, 1996.



                                  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 thereunto duly authorized.



                                        COMMUNITY PSYCHIATRIC CENTERS
                                                 (Registrant)



Dated:  April 15, 1996                  /s/ WENDY SIMPSON
                                        ------------------------------
                                        Wendy Simpson
                                        Chief Financial Officer


<PAGE>
 
                                                                      EXHIBIT 10

                      FIFTH AMENDMENT TO CREDIT AGREEMENT
                            DATED AS OF MAY 6, 1994
                                      AND
                      THIRD AMENDMENT TO CREDIT AGREEMENT
                        DATED AS OF SEPTEMBER 20, 1993


        THIS FIFTH AMENDMENT TO CREDIT AGREEMENT DATED AS OF MAY 6, 1994 AND 
FOURTH AMENDMENT TO CREDIT AGREEMENT DATED AS OF SEPTEMBER 20, 1993 (this 
"Amendment") is made and dated as of April 10, 1996 among Community Psychiatric 
Centers, a Nevada corporation ("CPC"), Transitional Hospitals Corporation, a 
Delaware corporation ("THC") and BANK OF AMERICA NATIONAL TRUST AND SAVINGS 
ASSOCIATION ("Bank") and amends (a) that certain Credit Agreement dated as of 
May 6, 1994, as amended by a First Amendment to Credit Agreement dated as of 
December 14, 1994, a Second Amendment to Credit Agreement dated as of February 
28, 1995, a Third Amendment to Credit Agreement dated as of June 7, 1995 and a
Fourth Amendment to Credit Agreement and Waiver dated as of February 26, 1996 
and (b) that certain Credit Agreement dated as of September 20, 1993, among CPC,
THC and Bank, as amended by a First Amendment to Credit Agreement dated as of
May 6, 1994, and a Second Amendment to Credit Agreement dated as of June 7,
1995 (such Agreements, as amended or modified from time to time, collectively,
the "Agreements").

                                   RECITALS
                                   --------

        The Company has requested, and the Bank has agreed, on the terms and 
conditions set forth herein, to amend the Agreements.

        NOW, THEREFORE, for good and valuable consideration, the receipt and 
adequacy of which are hereby acknowledged, the parties hereby agree as follows:

        1.  Terms.  All terms used herein shall have the same meanings as in the
Agreements unless otherwise defined herein. All references to the Agreements
shall mean the Agreements as hereby amended.

        2.  Amendment to Agreements.  The parties agree to amend the Agreements 
as follows:
        
        2.1   The definition of "EBITDA" in Section 1.01 of the Agreements is 
amended by inserting the following before the proviso at the end thereof:

                                     - 1 -
<PAGE>
        ", plus (f) Permitted Settlement and Impairment Costs incurred during
        such period;"

        2.2   The following new definition is inserted in Section 1.01 of the
Agreements as follows:

              "`Permitted Settlement and Impairment Costs' means costs incurred
        in settling certain securities class action lawsuits and impairment
        losses incurred by the Company because of its adoption of FASB 121, in
        an aggregate amount not exceeding $92,006,000 through the fiscal period
        ending November 30, 1995, plus an additional $10,000,000 in the
        aggregate for any impairment losses incurred by the Company because of
        its adoption of FASB 121 and restructuring charges incurred at any time
        thereafter."

        2.3   Sections 7.14, 7.15 and 7.16 of the Agreements are amended and 
restated in their entirety as follows:

              "7.14 Net Funded Debt to EBITDA Ratio. The Company shall not
        permit its Net Funded Debt to EBITDA Ratio to be more than the
        applicable maximum amount set forth opposite such period below:

<TABLE> 
<CAPTION> 
              "Each Consecutive 12-Month            Maximum
                     Period Ending                   Ratio
              --------------------------            -------
              <S>                                  <C> 
                   February 1996                   2.10 to 1
                      May 1996                     2.10 to 1
                     August 1996                   2.00 to 1
                    November 1996                  1.50 to 1
             February 1997 and thereafter          0.90 to 1
</TABLE> 

              "7.15 EBITDA to Consolidated Net Interest Expense Ratio. The
        Company shall not permit its EBITDA to Consolidated Net Interest Expense
        Ratio to be less than the applicable minimum amount set forth opposite
        such period below:

<TABLE> 
<CAPTION> 
              "Each Consecutive 12-Month            Minimum
                     Period Ending                   Ratio
              --------------------------            -------
              <S>                                  <C> 
                   February 1996                    8.00 to 1
                      May 1996                      5.90 to 1
                     August 1996                    5.50 to 1
                    November 1996                   7.00 to 1
             February 1997 and thereafter          10.00 to 1
</TABLE> 
                
                                     - 2 -

<PAGE>
 
              "7.16 Tangible Net Worth. The Company shall not permit (as of the
        end of any fiscal quarter) its Tangible Net Worth to be less than 100%
        of the Tangible Net Worth as of November 30, 1995 less $15,000,000 plus
        75% of the Company's net income (not to be reduced by losses) earned in
        each fiscal quarter plus 75% of the Net Issuance Proceeds since the date
        hereof."

        3.  Representations and Warranties.  The Company represents and warrants
to Bank that, on and as of the date hereof, and after giving effect to this 
Amendment:

        3.1 Authorization.  The execution, delivery and performance of this 
Amendment have been duly authorized by all necessary corporate action by the 
Company and this Amendment has been duly executed and delivered by the Company.

        3.2 Binding Obligation.  This Amendment is the legal, valid and binding 
obligation of the Company, enforceable against the Company in accordance with 
its terms.

        3.3 No Legal Obstacle to Agreements.  The execution, delivery and 
performance of this Amendment will not (a) contravene the terms of the Company's
certificate of incorporation, by laws or other organization document; (b) 
conflict with or result in any breach or contravention of the provisions of any
contract to which the Company is a party, or the violation of any law, judgment,
decree or governmental order, rule or regulation applicable to the Company, or 
(c) result in the creation under any agreement or instrument of any security 
interest, lien, charge, or encumbrance upon any of the assets of the Company. No
approval or authorization of any governmental authority is required to permit 
the execution, delivery or performance by the Company by this Amendment, or the 
transactions contemplated hereby.

        3.4 Incorporation of Certain Representations.  The representations and 
warranties of the Company set forth in Section 5 of the Agreements are true and 
correct in all respects on and as of the date hereof as though made on and as of
the date hereof.

        3.5 Default.  No Default or Event of Default under the Agreements has 
occurred and is continuing.

        4.  Conditions, Effectiveness.  The effectiveness of this Amendment 
shall be subject to the compliance by the Company with its agreements herein 
contained, and to the delivery of the following to the Bank in form and 
substance satisfactory to the Bank:

                                     - 3 -


<PAGE>
 
        4.1 Corporate Resolution.  A copy of a resolution or resolutions passed 
by the Board of Directors of the Company, certified by the Secretary or an 
Assistant Secretary of the Company as being in full force and effect on the 
effective date of this Amendment, authorizing the amendments herein provided for
and the execution, delivery and performance of this Amendment.

        4.2 Authorized Signatories.  A certificate, signed by the Secretary or 
an Assistant Secretary of the Company and dated the date of this Amendment, as 
to the incumbency of the person or persons authorized to execute and deliver 
this Amendment and any instrument or agreement required hereunder on behalf of 
the Company.

        4.3 Other Evidence.  Such other evidence with respect to the Company or 
any other person as the Bank may reasonably request in connection with this 
Amendment and the compliance with the conditions set forth herein.

        5.  Miscellaneous.

        5.1 Effectiveness of the Agreements and the Loan Documents. Except as 
hereby expressly amended, the Agreements and each other Loan Document shall each
remain in full force and effect, and are hereby ratified and confirmed in all 
respects on and as of the date hereof.

        5.2 Waivers.  This Amendment is limited solely to the matters expressly 
set forth herein and is specific in time and in intent and does not constitute, 
nor should it be construed as, a waiver or amendment of any other term or 
condition, right, power or privilege under the Agreements, the Loan Documents, 
or under any agreement, contract, indenture, document or instrument mentioned 
therein; nor does it preclude or prejudice any rights of the Bank thereunder, or
any exercise thereof or the exercise of any other right, power or privilege, nor
shall it require the Bank to agree to an amendment, waiver or consent for a 
similar transaction or on a future occasion, nor shall any future waiver of any 
right, power, privilege or default hereunder, or under any agreement, contract, 
indenture, document or instrument mentioned in the Agreements, constitute a 
waiver of any other default of the same or of any other term or provision.

        5.3 Counterparts.  This Amendment may be executed in any number of 
counterparts and all of such counterparts taken together shall be deemed to 
constitute one and the same instrument. This Amendment shall not become 
effective until the Company and the Bank shall have signed a copy hereof, 
whether the same or counterparts, and the same shall have been delivered to the 
Bank.

                                     - 4 -

<PAGE>
 
        5.4 Jurisdiction.  This Amendment shall be governed by and construed 
under the laws of the State of California.

        IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be 
duly executed and delivered as of the date first written above.


                                        COMMUNITY PSYCHIATRIC CENTERS

                                        By: /s/ Wendy L. Simpson
                                           ------------------------------------
                                        Name: Wendy L. Simpson
                                             ----------------------------------
                                        Title: Chief Financial Officer
                                              ---------------------------------

                                        TRANSITIONAL HOSPITALS CORPORATION

                                        By: /s/ Wendy L. Simpson
                                           ------------------------------------
                                        Name: Wendy L. Simpson
                                             ----------------------------------
                                        Title: Chief Financial Officer
                                              ---------------------------------

                                        BANK OF AMERICA NATIONAL TRUST AND
                                        SAVINGS ASSOCIATION

                                        By:        /s/ Wyatt Ritchie
                                           -------------------------------------
                                                       Wyatt Ritchie
                                                       Vice President

                                     - 5 -
<PAGE>
 
                             CONSENT OF GUARANTORS
                             ---------------------

The undersigned Guarantors hereby acknowledge that they have reviewed and 
consent to the foregoing Fifth Amendment to Credit Agreement dated as of May 6, 
1994 and Third Amendment to Credit Agreement dated as of September 20, 1993, 
among Community Psychiatric Centers ("CPC"), Transitional Hospitals Corporation 
("THC") and Bank of America National Trust and Savings Association ("Bank"), 
amending (a) that certain Credit Agreement dated as of May 6, 1994, among CPC, 
THC and Bank, as amended, and (b) that certain Credit Agreement dated as of 
September 20, 1993, among CPC, THC and Bank, as amended, and hereby reaffirm 
that their respective General Continuing General Guaranties, continue in full 
force and effect on and as of the date hereof.

Dated: April 10, 1996


                                    EACH OF THE GUARANTORS LISTED ON ANNEX A
                                    TO EACH OF THE GUARANTIES, WHICH ARE
                                    INCORPORATED BY REFERENCE HEREIN BY THIS
                                    REFERENCE

                                    By: /s/ Richard Conte
                                       -------------------------------------
                                    Title: Chairman and Chief Executive Officer
                                          ----------------------------------


                                    By: /s/ Wendy L. Simpson
                                       -------------------------------------
                                    Title: Chief Financial Officer
                                          ----------------------------------


                                     - 6 -

<PAGE>
 
                                                                      EXHIBIT 11


                COMMUNITY PSYCHIATRIC CENTERS AND SUBSIDIARIES
                       COMPUTATION OF EARNINGS PER SHARE


<TABLE> 
<CAPTION> 
                                          Three Months Ended
                                            February 29\28
                                            1996       1995
                                    -----------------------------
                                    (000s, except per share data)
<S>                                       <C>        <C> 
Weighted average
  common shares*                          $ 43,702   $ 43,597
                                          ========   ========


Net Earnings                              $  3,723   $  5,930
                                          ========   ========


Earnings per share                        $    .09   $    .14
                                          ========   ========
</TABLE> 


*    Dilutive common stock equivalents are less than 3% of weighted average
     common shares outstanding.


<TABLE> <S> <C>

<PAGE>
<ARTICLE> 5
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          NOV-30-1996
<PERIOD-START>                             DEC-01-1995
<PERIOD-END>                               FEB-29-1996
<CASH>                                           7,209
<SECURITIES>                                         0
<RECEIVABLES>                                  119,136
<ALLOWANCES>                                    25,729
<INVENTORY>                                          0
<CURRENT-ASSETS>                               190,502
<PP&E>                                         354,223
<DEPRECIATION>                                 102,034
<TOTAL-ASSETS>                                 600,315
<CURRENT-LIABILITIES>                          126,228
<BONDS>                                         31,328
                                0
                                          0
<COMMON>                                        46,856
<OTHER-SE>                                     355,633
<TOTAL-LIABILITY-AND-EQUITY>                   600,315
<SALES>                                        123,409
<TOTAL-REVENUES>                               123,895
<CGS>                                           97,393
<TOTAL-COSTS>                                   97,393
<OTHER-EXPENSES>                                14,421<F1>
<LOSS-PROVISION>                                 4,703
<INTEREST-EXPENSE>                               1,373
<INCOME-PRETAX>                                  6,005
<INCOME-TAX>                                     2,282
<INCOME-CONTINUING>                              3,723
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     3,723
<EPS-PRIMARY>                                      .09
<EPS-DILUTED>                                      .09
<FN>
<F1>Includes a restructuring charge of $843,000.
</FN>
        

</TABLE>


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