FIRST MEDICAL GROUP INC
10-Q, 1999-11-17
ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES
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                       SECURITIES AND EXCHANGE COMMISSION

                             Washington, D.C. 20549

                                    Form 10-Q

                   Quarterly Report Under Section 13 or 15(d)
                     of the Securities Exchange Act of 1934

      For Quarter Ended September 30, 1999.....Commission File Number 1-155

                            FIRST MEDICAL GROUP, INC.

             (Exact name of Registrant as specified in its charter)

        Delaware                                           13-1920670
- --------------------------------------------------------------------------------
(State or other jurisdiction of                          (I.R.S. Employer
Incorporation or Organization)                          Identification No.)


   1055 Washington Boulevard, Stamford, CT                    06901
- --------------------------------------------------------------------------------
  (Address of principal executive offices)                 (Zip Code)

Registrant's telephone number, including area code       (203) 327-0900
- --------------------------------------------------------------------------------


- --------------------------------------------------------------------------------
               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  and  Exchange Act of 1934
during the preceding 12 months (or for such shorter  period that the  Registrant
was  required  to file such  reports)  and (2) has been  subject to such  filing
requirements for the past 90 days.
                                                             YES  X    NO
                                                                -----    -----

Indicate the number of shares  outstanding  of each of the  issuer's  classes of
common stock, as of the latest practicable date.

         Class                                  Outstanding at November 12, 1999
- -----------------------                         --------------------------------
Common Stock, par value                                     9,567,292
     $.001 per share



<PAGE>



                   FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES

                                      INDEX

                                                                           Page
                                                                          Number

Part I.               FINANCIAL INFORMATION

  Item 1.             Financial Statements

                      Consolidated Statements of Operations -
                      Nine Months Ended September 30, 1999 and 1998............1

                      Consolidated Balance Sheets -
                      September 30, 1999 and December 31, 1998.................2

                      Consolidated Statements of Changes in
                      Nine Months Ended September 30, 1999 and 1998............3

                      Condensed Consolidated Statements of Cash Flows -
                      Nine Months Ended September 30, 1999 and 1998............4
 .
                      Notes to Consolidated Financial Statements.............5-6

  Item 2.             Management's Discussion and Analysis of
                      Financial Condition and Results of Operations.........7-12

  Item 3.             Quantitative and Qualitative Disclosures about
                      Market Risk.............................................12


Part II.              OTHER INFORMATION


  Item 1.             Legal Proceedings....................................13-14

  Item 2.             Changes in Securities and Use of Proceeds...............14

  Item 3.             Defaults upon Senior Securities.........................14

  Item 6.             Exhibits and Reports on Form 8-K.....................14-15




                                      1
<PAGE>

<TABLE>
PART I - FINANCIAL INFORMATION

FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(UNAUDITED)
(IN THOUSANDS, EXCEPT PER SHARE DATA)

<CAPTION>
                                                                 THREE MONTHS ENDED                NINE MONTHS ENDED
                                                                    SEPTEMBER 30,                     SEPTEMBER 30,
                                                                    -------------                     -------------
                                                                1999             1998             1999            1998
                                                                ----             ----             ----            ----

<S>                                                        <C>              <C>              <C>              <C>
Revenue ..............................................     $     2,472      $     2,788      $     8,169      $     8,253
Cost of revenue ......................................           2,057            2,384            6,463            7,030
                                                           -----------      -----------      -----------      -----------

           Income from clinic operations .............             415              404            1,706            1,223

Operating expenses:
Salaries and benefits ................................             273              144              674              550
General and administrative ...........................             252              242              673              759

Depreciation and amortization ........................             100              128              291              193
                                                           -----------      -----------      -----------      -----------
     Total operating expenses ........................             625              514            1,638            1,502

Income (loss)  from operations .......................            (210)            (110)              68             (279)
Interest income (expense),  net ......................              25              (31)              45             (128)
                                                           -----------      -----------      -----------      -----------

Income (loss) before income tax provision ............            (185)            (141)             113             (407)
Income tax provision (credit) ........................            (179)              60              (40)             387
                                                           -----------      -----------      -----------      -----------
Income (loss)  from continuing operations
before discontinued operations .......................              (6)            (201)             153             (794)

Discontinued operations:
Income (loss) from operations of
 discontinued managed care
 and electrical supply division ......................            (180)              (1)             270           (1,983)
Gain on disposal of managed care
 and  electrical supply division .....................            --                977             --              4,646
                                                           -----------      -----------      -----------      -----------

Income from discontinued operations ..................            (180)             976              270            2,663
Extraordinary income on write-off of
  accrued interest,  net of  taxes of $170,000 .......             254             --                254             --
Cumulative effect of change in
 accounting principle ................................            --               --               --               (970)
                                                           -----------      -----------      -----------      -----------

Net income ...........................................     $        68      $       775      $       677      $       899

Income per share - basic and diluted:
Income (loss) from continuing operations .............     $      --        $      (.02)     $       .02      $      (.08)
Income from discontinued operations ..................            (.02)             .10              .02              .28
Extraordinary income on write-off
  of accrued interest ................................            . 03             --                .03             --
Cumulative effect of change in
 accounting principle ................................            --               --               --               (.10)
                                                           -----------      -----------      -----------      -----------

Income  per share ....................................     $       .01      $       .08      $       .07      $       .10
Weighted average number of common
 shares outstanding-basic and diluted ................       9,567,292        9,567,292        9,567,292        9,454,581
</TABLE>

See accompanying notes to consolidated financial statements



                                       1
<PAGE>




<TABLE>
FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(UNAUDITED)
(IN THOUSANDS OF DOLLARS)

<CAPTION>
                                                   September 30, 1999   December 31, 1998
                                                   ------------------   -----------------
                               ASSETS
                               ------

<S>                                                      <C>               <C>
Current assets:
  Cash and cash equivalents ......................       $   610           $   909
  Accounts receivable, net of allowance
    for doubtful accounts of $91,000
    and $54,000 at September 30, 1999
    and December 31, 1998, respectively ..........           533               471
  Inventories ....................................           105               117
  Prepaid expenses and other current assets ......           493               164
                                                         -------           -------

           Total current assets ..................         1,741             1,661

Property and equipment, net ......................         1,293               603
Deferred tax asset ...............................           549               577
Intangible assets, net ...........................         2,225             2,079
Other assets .....................................            77                72
                                                         -------           -------

           TOTAL .................................       $ 5,885           $ 4,992

           LIABILITIES AND SHAREHOLDERS' EQUITY
           ------------------------------------

Current liabilities:
  Accounts payable ...............................       $   970           $   852
  Accrued expenses ...............................         1,328             1,085
  Deferred revenue ...............................           843               689
  Notes payable and accrued interest payable .....         1,117             1,359
  Net liabilities of discontinued operations .....           506               981
                                                         -------           -------

           Total current liabilities .............         4,764             4,966

Notes payable to shareholders and
   related parties ...............................           418              --

Commitments and contingencies

Shareholders' equity:
  Common stock, par value $.001; authorized
     shares100,000,000; shares issued 9,567,292
     at September 30, 1999 and December 31, 1998              10                10
  Additional paid-in-capital .....................         8,253             8,253
  Accumulated deficit ............................        (7,560)           (8,237)
                                                         -------           -------
           Total shareholders' equity ............           703                26
                                                         -------           -------

           TOTAL .................................       $ 5,885           $ 4,992
</TABLE>

See accompanying notes to consolidated financial statements.


                                       2
<PAGE>


<TABLE>
FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES OF
   SHAREHOLDERS' EQUITY (DEFICIT)
(IN THOUSANDS OF DOLLARS)
(UNAUDITED)

<CAPTION>
                                                                                                    Total
                                  Number of         Common        Additional      Accumulated    Shareholders'
                                  Shares            Stock      Paid-in Capital     (Deficit)    Equity (Deficit)
                                  ------------------------------------------------------------------------------

<S>                               <C>             <C>             <C>             <C>              <C>
Balance, December 31, 1997        9,397,292       $       9       $   8,084       $  (9,147)       $  (1,054)

Issuance of common stock ..         170,000               1             169            --                170

Net income ................            --              --              --               899              899
                                  ---------       ---------       ---------       ---------        ---------

Balance, September 30, 1998       9,567,292       $      10       $   8,253       $  (8,248)       $      15
                                  =========       =========       =========       =========        =========



Balance, December 31, 1998        9,567,292       $      10       $   8,253       $  (8,237)       $      26

Net income ................            --              --              --               677              677
                                  ---------       ---------       ---------       ---------        ---------


Balance, September 30, 1999       9,567,292       $      10       $   8,253       $  (7,560)       $     703
                                  =========       =========       =========       =========        =========
</TABLE>


See accompanying notes to consolidated financial statements.



                                       3
<PAGE>




<TABLE>
FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS OF DOLLARS)
(UNAUDITED)



<CAPTION>
                                                           Nine Months Ended September 30,

                                                               1999              1998
                                                            ----------------------------

<S>                                                          <C>               <C>
Cash flows from operating activities:

Net income ........................................          $   677           $   899

Adjustments to reconcile net income
  to net cash used in
  continuing operating activities:
Depreciation and amortization .....................              291               193
Extraordinary income from write-off
  of accrued interest .............................             (254)
Cumulative effect of change in accounting
   principle ......................................             --                 970
Noncash compensation ..............................             --                 170
Decrease in due from affiliates ...................             --               1,140
Decrease in deferred tax asset ....................               28              --
Increase in intangibles and other assets ..........             (263)             (993)
(Decrease) increase  in net liabilities
  of discontinued operations ......................             (475)              550
Other changes, net ................................              (35)              (49)
                                                             -------           -------

Net cash (used in) provided by continuing operating
   activities .....................................              (31)            2,880


  Capital expenditures ............................             (868)             (523)

Financing activities:
  Proceeds from loans from shareholders and related
       parties ....................................              600              --
  Repayment of loan payables and others ...........             --              (2,689)
                                                             -------           -------

(Decrease) in cash and cash equivalents ...........             (299)             (332)

Cash and cash equivalents, beginning of year ......              909             1,421
                                                             -------           -------
Cash and cash equivalents, end of the period ......          $   610           $ 1,089

                                                             =======           =======
</TABLE>

See accompanying notes to consolidated financial statements.


                                       4
<PAGE>



FIRST MEDICAL GROUP, INC. AND SUBSIDIARIES
Notes to Consolidated Financial Statements


1.      BASIS OF PRESENTATION

The financial  information  for the three months and nine months ended September
30,  1999  and  1998  is  unaudited.   However,  the  information  reflects  all
adjustments  (consisting  solely of normal recurring  adjustments) which are, in
the opinion of  management,  necessary for the fair statement of results for the
interim periods.

Certain  information  and footnote  disclosures  normally  included in financial
statements prepared in accordance with generally accepted accounting  principles
have been condensed or omitted.  These consolidated  financial statements should
be read in conjunction  with the consolidated  financial  statements and related
notes included in First Medical Group,  Inc.'s ("the Company") December 31, 1998
Report on Form-10K.

The  results  of  operations  for the three  month and nine month  period  ended
September 30, 1999 are not necessarily  indicative of the results to be expected
for the full year.


2.      NOTES PAYABLE TO SHAREHOLDERS AND RELATED PARTIES

Effective  October 1, 1999,  the Company  entered into an agreement with certain
shareholders and related parties to borrow $655,000. The agreement provides that
the Company will repay these  borrowings on a monthly basis over a 3 year period
with 9%  interest  per annum.  In  exchange  for  providing  these  funds to the
Company,  the Company issued 1,637,500 of warrants that may be exercised at $.25
per share for one share of common stock of the Company.


                                       5
<PAGE>



3.     EARNINGS PER SHARE

Earnings  per share is  calculated  by dividing  net income by weighted  average
number of common shares for the period.  Dilutive earnings per share reflect, in
periods  in which  they have a  dilutive  effect,  the  effect of common  shares
issuable  upon exercise of stock  options and other stock  equivalents.  For the
periods  presented,  there  were no common  stock  equivalents  included  in the
calculation, since they would be anti-dilutive.



4.      SUPPLEMENTARY SCHEDULE

                                                  1999          1998
                                                    (in thousands)
                                                    --------------

       Cash paid during the nine months
       ended September 30, for:
       Interest                                   $  --         $  37
       Income taxes                                 134           387








                                       6
<PAGE>



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

GENERAL
- -------

        Statements  made in this filing about  management's  intentions,  hopes,
beliefs,   expectations  or  predictions  of  the  future  are   forward-looking
statements.  It is important to note that actual results could differ materially
from those  projected  in such  forward-looking  statements.  Factors that could
cause future results to vary materially from current  expectations  include, but
are not limited to  competition  in the health care  industry,  legislation  and
regulatory  changes,  changes in the economy and stability in the  international
markets in which the Company operates.

Financial Condition
- -------------------

CASH AND CASH EQUIVALENTS.  At September 30, 1999, the Company had cash of
$ 610,000 as compared to $ 909,000 at December  31,  1998.  The decrease in cash
and cash  equivalents  relates  primarily  to $323,000  of payments  made by the
Company relating to prepaid rent and $613,000 of leasehold  improvements for the
new Moscow clinic facility offset by $600,000 of proceeds  received from certain
shareholders and related  parties.  The new facility is scheduled to open in the
fourth quarter of 1999.

PREPAID  EXPENSES AND OTHER CURRENT ASSETS.  Prepaid  expenses and other current
assets at  September  30, 1999 was $ 493,000  million as compared to $164,000 at
December 31, 1998. The increase in prepaid  expenses and other current assets of
$329,000 relates mainly to prepaid rent deposits of $323,000 made by the Company
in connection with the construction of the new Moscow facility.

INTANGIBLE  ASSETS.  Intangible  assets at September 30, 1999 was  $2,225,000 as
compared to $2,079,000 at December 31, 1998. The increase relates primarily to a
non-compete  agreement  entered  into  with a  former  employee  of the  Company
amounting  to  approximately  $258,000.  This amount is being  amortized  over a
period of five (5) years.

NOTES PAYABLE AND ACCRUED INTEREST  PAYABLE.  Notes payable and accrued interest
payable at  September  30, 1999 was  $1,117,000  as compared  to  $1,359,000  at
December 31, 1998, a decrease of $242,000.  The decrease is  attributable to the
write-off of accrued interest of $254,000 (net of taxes of $170,000) relating to
the 13 1/2% Notes and 14 7/8% Debentures due to the expiration of the statute of
limitation  on the past due  amounts  outstanding.  This  amount  is  offset  by
approximately   $182,000  of  current   maturities   on  the  notes  payable  to
shareholders and related parties.

NET  LIABILITIES OF  DISCONTINUED  OPERATIONS.  Net  liabilities of discontinued
operations  at  September  30,  1999 was  $506,000  as  compared  to $981,000 at
December 31, 1998.  The decrease in net  liabilities is due to the settlement of
certain claims  relating to  discontinued  operations  which occurred during the
first nine months of 1999.


                                       7
<PAGE>


NOTES PAYABLE TO SHAREHOLDERS AND RELATED PARTIES. Notes payable to shareholders
and related  parties as  September  30, 1999 was  $600,000 of which $ 182,000 is
classified in the balance  sheet as a current  liability.  Effective  October 1,
1999,  the Company  entered into an  agreement  with  certain  shareholders  and
related  parties to loan  $655,000  to the  Company.  The Company is required to
repay this amount over a 36 month period with 9% interest per annum. In exchange
for these loans,  the Company issued 1,637,500 of warrants that may be exercised
at $.25 per share for one share of common stock of the Company.


Results of Operations
- ---------------------
 Third Quarter of 1999 in Comparison
 with Third Quarter of 1998

        REVENUE.      Total revenue of the Company for the three months ended
 September 30, 1999 and 1998 was $2.5 million and $2.8 million,  respectively, a
 decrease  of 11.3%.  Patient  and  dental  visits  for the three  months  ended
 September 30, 1999 were 4,613 and 1,033 respectively,  as compared to 5,170 and
 1,018 for the three months ended September 30, 1998. This represents a decrease
 of 557 patient  visits or 10.8% and an increase of 15 dental visits or 1.5% for
 the third  quarter  of 1999 as  compared  to the third  quarter  of 1998.  This
 decrease  is  primarily  attributable  to the  Company's  outdated  facility in
 Moscow,  Russia.  As a result,  the Company is in the process of constructing a
 new inpatient and outpatient facility in Moscow.

        COST OF REVENUES.  Cost of revenues for the three months ended September
 30, 1999 and 1998 was $2.1  million and $ 2.4  million,  respectively.  Cost of
 revenues as a percentage  of revenue,  was 83.2% and 85.5% for the three months
 ended  September  30, 1999 and 1998,  respectively.  The decrease  relates to a
 reduction  of  staffing  levels as a result of the  decrease  in the  number of
 visits.

        OPERATING  EXPENSES.  Operating  expenses  for the Company were $625,000
during the three  months  ended  September  30, 1999 as compared to $ 514,000 in
1998.  Operating  expenses  as a  percentage  of  revenue  was  25.3% in 1999 as
compared to 18.4% in 1998.  Included in operating  expenses for the three months
ended September 30, 1999 was approximately  $33,000 of additional salary expense
incurred in connection with the  construction of the new facility and $13,000 of
additional  amortization expense relating to the amortization of the non-compete
agreement.


        (LOSS)  INCOME  FROM  DISCONTINUED  OPERATIONS.  Loss from  discontinued
operations  for the three  months  ended  September  30,  1999 was  $180,000  as
compared to income of $ 976,000 for the three months ended  September  30, 1998.
Included in income  from  discontinued  operations  for the three  months  ended
September  30,  1998  was a gain of $  977,000  resulting  from  the sale of the
Indiana and Texas managed care operations.


                                       8
<PAGE>


        EXTRAORDINARY  INCOME ON WRITE-OFF OF ACCRUED INTEREST.  The Company has
reflected the write-off of past due accrued  interest of $254,000,  net of taxes
of $170,000,  on the 13 1/2% Senior  Subordinated Notes and 14 7/8% Subordinated
Debentures as extraordinary  income in the consolidated  statement of operations
for the three months ended September 30, 1999. The past due interest  relates to
notes and debentures  that remained  outstanding and were not surrendered to the
Company in connection with its financial restructuring  consummated in 1991. The
Company has been unable to locate the holders of these notes and debentures. The
write-off of the past due accrued interest reflects the Company's view that this
obligation  is no  longer a  liability  of the  Company  since  the  statute  of
limitations  has expired in which a claim  based upon such notes and  debentures
could have been presented.

        NET INCOME. Net income for the three months ended September 30, 1999 was
$68,000 as compared to $ 775,000 in the third quarter of 1998 due to the factors
noted above.


Results of Operations
- ---------------------
 First Nine Months of 1999 in Comparision
 with First Nine Months of 1998

        REVENUE.  Total  revenue  of the  Company  for  the  nine  months  ended
September 30, 1999 and 1998 was $8.2 million and $8.3 million,  respectively,  a
decrease of 1%.  Patient and dental  visits for the nine months ended  September
30, 1999 were 14,606 and 3,165 respectively, as compared to 16,187 and 3,262 for
the nine months ended  September 30, 1998.  This  represents a decrease of 1,581
patient  visits or 9.8% and 97 dental visits or 3.0%,  for the first nine months
of 1999 as compared to the first nine months of 1998. This decrease is primarily
attributable to the Company's outdated facility in Moscow,  Russia. As a result,
the Company is in the process of  constructing  a new inpatient  and  outpatient
facility in Moscow. Included in revenues for the nine months ended September 30,
1999 was $232,000  relating to  reimbursement  of legal fees and other  expenses
paid on behalf of the  Hospital  Corporation  International,  Ltd.  and American
Medical Centers, Inc. litigation.

        COST OF REVENUES.  Cost of revenues for the nine months ended  September
30,  1999 and 1998 was $6.5  million  and $7.0  million,  respectively.  Cost of
revenues as a  percentage  of  revenue,  was 79.1% and 85.2% for the nine months
ended  September  30, 1999 and 1998,  respectively.  The  decrease  relates to a
reduction  of  staffing  levels as a result  of the  decrease  in the  number of
visits.


        OPERATING  EXPENSES.  Operating expenses for the Company were $1,638,000
during the nine months  ended  September  30, 1999 as compared to $ 1,502,000 in
1998.  Operating  expenses  as a  percentage  of  revenue  was 20.1% and  18.2%,
respectively,  in  1999  and  1998.Included  in  operating  expenses  in 1999 is
approximately  $75,000 of additional  salary expense incurred in connection with
the  construction  of the new  facility and $39,000 of  additional  amortization
expense relating to the amortization of the non-compete agreement.


                                       9
<PAGE>



        INCOME FROM DISCONTINUED OPERATIONS. Income from discontinued operations
for the nine months  ended  September  30, 1999 was $270,000 as compared to $2.7
million  for  the  nine  months  ended  September  30,  1998.  The  income  from
discontinued  operations  for the nine months ended  September  30, 1999 relates
primarily  to  the  settlement  of  certain  claims   relating  to  discontinued
operations.  Included in income from discontinued operations for the nine months
ended September 30, 1998 was a net gain of $2.7 million  resulting from the sale
of the Company's managed care and electrical supply business.

        EXTRAORDINARY  INCOME ON WRITE-OFF OF ACCRUED INTEREST.  The Company has
reflected the write-off of past due accrued  interest of $254,000,  net of taxes
of $170,000,  on the 13 1/2% Senior  Subordinated Notes and 14 7/8% Subordinated
Debentures as extraordinary  income in the consolidated  statement of operations
for the three months ended September 30, 1999. The past due interest  relates to
notes and debentures  that remained  outstanding and were not surrendered to the
Company in connection with its financial restructuring  consummated in 1991. The
Company has been unable to locate the holders of these notes and debentures. The
write-off of the past due accrued interest reflects the Company's view that this
obligation  is no  longer a  liability  of the  Company  since  the  statute  of
limitations  has expired in which a claim  based upon such notes and  debentures
could have been presented.

        CUMULATIVE  EFFECT OF A CHANGE IN ACCOUNTING  PRINCIPLE.  The cumulative
effect  of a change  in  accounting  principle  of $  970,000  reflected  in the
consolidated  statement of operations during the nine months ended September 30,
1998 relates to the write-off of start-up costs of certain  operations  pursuant
to Statement of Position 98-5.

        NET INCOME.  Net income for the nine months ended September 30, 1999 was
$ 677,000 as compared to $899,000 for the nine months ended  September  30, 1998
due primarily to the factors noted above.


Liquidity and Capital Resources
- -------------------------------

        The  working  capital of the  Company as of  September  30, 1999 is at a
deficit of $3.0  million as compared to $3.3  million as of December  31,  1998.
Cash and cash  equivalents  at  September  30, 1999 was  $610,000 as compared to
$909,000 at December  31,  1998,  a decrease of  $299,000.  The decrease in cash
results  from  capital  expenditures  of $868,000  primarily  for the new Moscow
facility  and  $31,000 of cash flow used in  operations,  offset by  $600,000 of
borrowings  from  shareholders  and  related  parties.  Included  in the working
capital  deficit as of  September  30,  1999 are the notes  payable  and accrued
interest of approximately $ 934,000 of which the Company is unable to locate the
note holders.


                                       10
<PAGE>


        The  Company  is in default on the  payment of  interest  (approximately
$544,000  interest  was  past due as of  September  30,  1999)  on the  $390,000
aggregate principal amount of its 13 1/2 % Senior Subordinated Notes due May 15,
1998 ("13 1/2 % Notes) and 14 7/8% Subordinated Debentures due October 15, 1995,
("14 7/8% Debentures")  that remain  outstanding and were not surrendered to the
Company in connection with its financial restructuring  consummated in 1991. The
Company  has been  unable to locate the holders of the 13 1/2% Notes and 14 7/8%
Debentures (with the exception of certain of the 14 7/8% Debentures,  which were
retired during 1996). The Company has determined that $254,000,  net of taxes of
$170,000 of the past due  accrued  interest  is no longer an  obligation  of the
Company since the statute of limitations has expired in which a claim based upon
such notes and debentures  could have been presented.  Accordingly,  the Company
has written off this amount and has reflected it as extraordinary  income in the
consolidated  statement of  operations in the three months and nine months ended
September 30, 1999.

        As of September 30, 1999,  the Company does not have any existing  lines
of credit. In order to complete the new Moscow facility,  the Company intends to
obtain additional financing from certain of its shareholders.

Year 2000
- ---------

        The Company is aware of the issues  related  with the  computer  systems
that could be affected by the "Year  2000." The Year 2000  problem is the result
of computer  programs  being written using two digits rather than four to define
the  applicable  year.  This could  cause  those  systems to process  and record
information incorrectly or possibly fail to function in the year 2000.

        The Company  primarily uses general business  applications on a PC-based
system  that  are  licensed  by the  same  vendor.  It is  expected  that  these
applications  will be Year 2000 compliant.  Should such systems not be Year 2000
compliant,   the  Company  believes  that  reasonable  manual  alternatives  are
available to produce such data.  The Company  believes that such cost to perform
these tasks are not considered to be material.  The Company is in the process of
installing a new billing and scheduling system for its clinic  operations.  Such
system is Year 2000 compliant.

        The  Company is in the  process of  identifying  those  vendors  that it
relies on to supply diagnostic test results relating to patient testing and to a
small  group of  third-party  payors.  The  Company  has sent  inquires to these
vendors and third-party payors to ascertain compliance and has obtain assurances
from  certain  of these  vendors  that  they are Year 2000  compliant.  However,
certain vendors did not reply or cannot provide Year 2000 compliant services and
as a result the  Company  may need to locate  alternative  sources for goods and
services.

        The Company believes that the most reasonably likely worse case scenario
with respect to the Year 2000 issues is the possibility  that medical  equipment
and systems used to diagnosis  patients will result in the Company  experiencing
difficulty in providing proper treatment to patients.  In addition,  the Company
also deals with numerous client customers and insurance  companies and such Year
2000 issues may result in delays in payment to the Company for services rendered
which could adversely affect the Company's results of operations and liquidity.


                                       11
<PAGE>


        The Company believes that it is taking  reasonable and adequate measures
to  address  Year  2000  issues.  However,  there can be no  assurance  that the
Company's information systems,  medical equipment and other systems will be Year
2000 compliant by December 31, 1999, or that suppliers and third-party insurance
payors are, or will be Year 2000 compliant, or that the cost required to address
the Year 2000  issue will not have a material  adverse  effect on the  Company's
business,  financial  condition or results of operations.  The Company's  clinic
operations  are located in Eastern  European  countries.  To the extent that the
Year 2000 problems  affect the  Company's  ability to provide  adequate  patient
care, the Company may cease  providing  such services to patients.  In addition,
failures of the  banking  system,  basic  utility  providers,  telecommunication
providers  and other  services as a result of Year 2000  problems,  could have a
material adverse effect on the ability of the Company to conduct its business.



ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

        There has been no material  change in the  quantitative  and qualitative
disclosures about market risk since December 31, 1998.






                                       12
<PAGE>



                           PART II - OTHER INFORMATION

ITEM 1. LEGAL PROCEEDINGS

1.      On  September  16,  1998,  The Lehigh  Group,  Inc.,  now known as First
        Medical Group,  Inc. was sued along with other  defendants in the United
        States District Court of Northern Ohio Western Division  pursuant to the
        Comprehensive  Environmental  Response,  Compensation and Liability Act.
        The    plaintiffs    have    alleged    that   the    Company   is   the
        successor-in-interest to the Hilfinger Corporation (a defunct subsidiary
        of the Company) and claim that the  Hilfinger  Corporation  arranged for
        the disposal or treatment of waste  chemicals at one or more sites.  The
        Company disputes that it is such  successor-in-interest.  The plaintiffs
        are seeking  damages,  jointly and severally,  against the defendants in
        excess of $25 million.  The  occurrence  was alleged to have taken place
        during the period of 1950  through  1972.  The  Company  has put several
        insurance  carriers on notice of this matter,  however no  determination
        has been made regarding whether there is insurance coverage. The Company
        has retained counsel in Ohio to defend this claim.

        On or about January 7, 1999, the United States Environmental  Protection
        Agency  ("USEPA")  forwarded  a  demand  to the  Company  and the  other
        defendants  for  payment  of  USEPA'S  response  costs  at  the  various
        landfills in an aggregate  amount of approximately  $792,000.  A tolling
        agreement was entered  between USEPA and the Company,  and other parties
        to toll the  statute of  limitations  until  August 1, 1999 to allow the
        parties to negotiate a settlement. The demand asserts that the liability
        of the Company is joint and several.  To date,  to the  knowledge of the
        Company's  counsel  handling  this  matter,  no  court  action  has been
        instituted  by USEPA  against the Company  with  respect to this matter.
        Accordingly,  if this matter is  adversely  determined,  it could have a
        material adverse effect on the Company's financial condition.

2.      On or about June 26,  1998,  the Company  was sued in the United  States
        District  Court for the Southern  District of Florida by plaintiffs  who
        seek damages in connection with the sale of stock in Dominion Healthnet,
        Inc. The plaintiffs  claim they are entitled to this amount based upon a
        buy-out  agreement  the  plaintiffs  entered  into  with  First  Medical
        Corporation (a subsidiary of the Company) when the plaintiffs sold their
        interest in Dominion Healthnet,  Inc., to First Medical Corporation.  In
        September  1999, the Company reached an agreement with the plaintiffs to
        settle this claim for $165,000.

3.      In 1998 a claim was asserted  against the Company by former  consultants
        to the Company  alleging the Company's  obligation to pay  approximately
        $50,000 and  provide  further  consulting  contracts  to the  claimants.
        Subsequent  to September 30, 1999,  the Company and the  claimants  have
        reached an agreement  in principal  pursuant to which this claim will be
        withdrawn  in  exchange  for the  issuance to the  claimants  of 300,000
        shares of the Company's common stock.


                                       13
<PAGE>


4.      In 1998, a number of former  employees of the Company and its affiliates
        presented  claims  against the Company in State Court,  Miami,  Florida,
        claiming in excess of $300,000 for vacation and sick pay,  together with
        benefits and attorneys'  fees. The Company has settled with the majority
        of the plaintiffs for approximately $30,000.

ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS

Effective  October 1, 1999,  the Company  entered into an agreement with certain
shareholders and related parties to borrow $655,000. The agreement provides that
the Company will repay these  borrowings on a monthly basis over a 3 year period
with 9%  interest  per annum.  In  exchange  for  providing  these  funds to the
Company,  the Company issued 1,637,500 of warrants that may be exercised at $.25
per share for one share of common stock of the Company.

ITEM 3. DEFAULTS UPON SENIOR SECURITIES

The Company continues to be in default in the payment of interest (approximately
$544,000  interest  is  past  due as of  September  30,  1999)  on the  $390,000
principal amount of 13 1/2% Notes and 14 7/8% Debentures.

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

No reports on Form 8-K were filed during the quarter ended September 30, 1999.

EXHIBITS
- --------
3.1     Restated   Certificate   of   Incorporation   and   Amendments   thereto
        (incorporated  by reference to the  Registrant's  Annual  Report on Form
        10-K filed on April 16, 1998).

3.2     Certificate of Amendment to Restated  Certificate of Incorporation dated
        November 12, 1997  (incorporated by reference to the Registrant's  Proxy
        Statement dated October 29, 1997).

3.3     Form of Certificate of Designation of the Series A Convertible Preferred
        Stock (incorporated by reference to Appendix B of the Registrant's Proxy
        Statement  contained in Pre-Effective  Amendment No. 5 to the Registrant
        Registration  Statement on Form S-1 (previously Form S-4) dated June 26,
        1997).

3.4     Amended  and  Restated  By-Laws  of the  Registrant,  as amended to date
        (incorporated by reference to Exhibit 3 (ii) to the Registrant's Current
        Report on Form 8-K dated July 17, 1996).

4.1     Form of Indenture, dated as of October 15, 1985, among Registrant, NICO,
        Inc.  and J. Henry  Schroder  Bank & Trust the  Registrant,  as Trustee,
        including therein the form of the subordinated  debentures to which such
        Indenture  relates  (incorporated  by  reference to Exhibit 4 (a) to the
        Registrant's Current Report on Form 8-K dated November 7, 1985).


                                       14
<PAGE>


4.2     Amendment  to  Indenture  dated as of March 14,  1991  (incorporated  by
        reference to Exhibit (b) (2) to Registrant's  Annual Report on Form 10-K
        for the year ended December 31, 1990).

4.3     Indenture  dated as of March  15,  1991 (the  "Class B Note  Indenture")
        among the  Registrant,  NICO,  the  guarantors  signatory  thereto,  and
        Continental  Stock  Transfer and Trust the  Registrant,  as Trustee,  to
        which the 8% Class B Senior Secured  Redeemable Notes due March 15, 1999
        of NICO were issued  together with the form of such Notes  (incorporated
        by reference to Exhibit 4 (i) to the Registrant's  Annual Report on Form
        10-K for the year ended December 31, 1990).

4.4     First  Supplemental  Indenture  dated as of May 5, 1993 between NICO and
        Continental Stock Transfer & Trust the Registrant,  as trustee under the
        Class B Note  Indenture  (incorporated  by reference to Exhibit 4 (h) to
        the Registrant's  Annual Report on Form 10-K for the year ended December
        31, 1993).

4.5     Form of indenture  between the Registrant,  NICO and Shawmut Bank, N.A.,
        as Trustee,  including therein the form of Senior  Subordinated Note due
        April 15, 1998  (incorporated by reference to Exhibit 4 (b) to Amendment
        No. 2 to the Registrant's  Registration  Statement on Form S-2 dated May
        13, 1988).

10.0    Employment Agreement, dated as of April 1, 1999, by and between American
        Medical  Centers  Management  Company,   Ltd.  and  George  D.  Rountree
        (incorporated  herein by reference  to Exhibit 10.0 to the  Registrant's
        Quarterly Report on Form 10-Q for the quarter ended June 30, 1999).

11.0    Statement re: computation of per share earnings  (incorporated herein by
        reference to the notes to consolidated financial statements).

27.0    Financial Data Schedule


                                       15
<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, thereunto duly authorized.



                                            FIRST MEDICAL GROUP, INC.




                                            By: /s/ Elias M. Nemnom
                                               -------------------------
                                                 Elias M. Nemnom
                                                 Senior Vice President and
                                                 Chief Financial Officer



Dated:  November 15, 1999


                                       16

<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
     THE SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE
     COMPANY'S FINANCIAL STATEMENTS CONTAINED IN THE COMPANY'S 10-Q FOR THE
     NINE MONTHS ENDED  SEPTEMBER 30, 1999 AND IS QUALIFIED IN ITS ENTIRETY
     BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>
<CIK>                          0000058526
<NAME>                         First Medical Group, Inc.
<MULTIPLIER>                                     1,000

<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          DEC-31-1999
<PERIOD-START>                             JAN-01-1999
<PERIOD-END>                               SEP-30-1999
<CASH>                                             610
<SECURITIES>                                         0
<RECEIVABLES>                                      624
<ALLOWANCES>                                        91
<INVENTORY>                                        105
<CURRENT-ASSETS>                                 1,741
<PP&E>                                           2,258
<DEPRECIATION>                                     965
<TOTAL-ASSETS>                                   5,885
<CURRENT-LIABILITIES>                            4,764
<BONDS>                                            390
                                0
                                          0
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<OTHER-SE>                                         693
<TOTAL-LIABILITY-AND-EQUITY>                     5,885
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<OTHER-EXPENSES>                                 1,556
<LOSS-PROVISION>                                    82
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<EXTRAORDINARY>                                    254
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<EPS-BASIC>                                      .07
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