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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 10-K/A
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934
FOR THE FISCAL YEAR ENDED DECEMBER 31, 1998
COMMISSION FILE NO. 1-12461
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MEDICAL RESOURCES, INC.
(Exact Name of Registrant as Specified in its Charter)
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<S> <C>
DELAWARE 13-3584552
(State of Incorporation) (I.R.S. Employer
Identification Number)
125 STATE STREET, SUITE 200, HACKENSACK, 07601
NJ (Zip Code)
(Address of Principal Executive Office)
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REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE: (201) 488-6230
SECURITIES REGISTERED PURSUANT TO SECTION 12(B) OF THE ACT: NONE
SECURITIES REGISTERED PURSUANT TO SECTION 12(G) OF THE ACT:
COMMON STOCK (PAR VALUE $.01 PER SHARE)
TITLE OF EACH CLASS
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Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes /X/ No / /
Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. / /
At March 18, 1999, 9,335,918 shares of the registrant's Common Stock, par
value $.01 per share, were outstanding and the aggregate market value of the
Common Stock (based upon the NASDAQ closing price of these shares on that date)
held by non-affiliates was $16,682,000.
DOCUMENTS INCORPORATED BY REFERENCE
Not Applicable.
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PART I
ITEM 1. BUSINESS
GENERAL
Medical Resources, Inc. ("Medical Resources" and collectively with its
subsidiaries, affiliated partnerships and joint ventures, the "Company")
specializes in the operation and management of fixed-site outpatient diagnostic
imaging centers in the United States. The Company currently operates and/or
manages 94 outpatient diagnostic imaging centers located in the Northeast (58),
Southeast (23), the Midwest (8) and California (5), and provides network
management services to managed care organizations. The Company has grown rapidly
and has increased the number of diagnostic imaging centers it operates and/or
manages from 39 at December 31, 1996 to the present total of 94. The Company,
through its wholly-owned subsidiary, Dalcon Technologies, Inc. ("Dalcon"), also
develops and markets software products and systems for the diagnostic imaging
industry.
Until August 1998, the Company, through the Per Diem and Travel Nursing
Divisions of its wholly-owned subsidiaries, StarMed Staffing, Inc. and Wesley
Medical Resources Inc. ("StarMed"), provided temporary healthcare staffing of
registered nurses and other medical personnel to acute and sub-acute care
facilities nationwide. On August 18, 1998, the Company sold 100% of its
stockholdings in StarMed to RehabCare Group, Inc. (the "StarMed Sale"). Due to
the StarMed Sale, the results of operations of StarMed are herein reflected in
the Company's Consolidated Statements of Operations as discontinued operations.
DIAGNOSTIC IMAGING DIVISION. The Company's diagnostic imaging centers
provide diagnostic imaging services in a comfortable, service-oriented
outpatient environment to patients referred by physicians. At each of the
diagnostic imaging centers, the Company provides management, administrative,
marketing and technical services, as well as equipment, technologists and
facilities, to physicians or physician groups who interpret scans performed on
patients. Medical services at the Company's imaging centers are provided by
board certified or board eligible interpreting physicians, generally
radiologists, with whom the Company enters into independent contractor
agreements. Of the Company's 94 centers, 83 provide magnetic resonance imaging
(MR). Many of the Company's centers also provide some or all of the following
services: computerized tomography (CT), ultrasound, nuclear medicine, general
radiography, fluoroscopy and mammography.
The Company's goal is to become the leading operator of non-hospital
fixed-site outpatient diagnostic imaging centers in the United States. The
number of outpatient diagnostic imaging centers in the United States is
estimated to have grown from approximately 700 in 1984 to approximately 2,600 as
of December 31, 1998. Ownership and management of fixed-site outpatient
diagnostic imaging centers is highly fragmented, with no dominant national
provider. The Company believes that the environment faced by diagnostic imaging
center operators is characterized by an increased influence of managed care
organizations, rising business complexity, growing control over patient flows by
payors, and continued overall reimbursement pressures, all of which have been
and will continue to require center owners to seek operational efficiencies. In
addition, the Company believes that public and private reforms in the healthcare
industry emphasizing cost containment and accountability will continue to shift
the delivery of imaging services from highly fragmented, individual or small
center operators to companies operating or managing larger multi-modality
networks of centers.
The Company intends, over time, to capitalize on the fragmented nature of
the diagnostic imaging center industry through the acquisition of additional
centers. The Company's seeks to expand the scope and efficiency of its
operations at its existing and acquired facilities by: (i) leveraging the
geographic concentration of the centers it operates and/or manages; (ii)
expanding the imaging services offered by its centers by upgrading existing
technology and adding new modalities; (iii) applying sophisticated operating,
financial and information systems and procedures; (iv) utilizing targeted local
marketing programs; and
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(v) developing its network management services to address more fully the needs
of managed care organizations.
Dalcon develops and markets software system applications to diagnostic
imaging center operators. Through its proprietary radiology information system,
ICIS, Dalcon provides the Company's imaging centers, as well as imaging centers
owned and/or operated by third-parties, with information system development,
service and support specifically designed for the administration and operation
of imaging centers, including patient scheduling, registration, transcription,
film tracking, billing, and insurance claim processing. The Company purchased
Dalcon in September 1997. Since the beginning of 1998, the Company has converted
69 of the imaging centers operated and/or managed by the Company onto the ICIS
radiology information system, bringing to 83 the total number of centers on
ICIS. In addition, in February 1998, Dalcon entered into a multi-year agreement
with HealthSouth Corporation, pursuant to which Dalcon is installing its ICIS
information system in the majority of HealthSouth's imaging centers not already
using it.
PER DIEM AND TRAVEL NURSING DIVISIONS. The Company's temporary staffing
business, StarMed, was founded in 1978 and acquired by the Company in August
1994. At the time of its sale by the Company in August 1998, StarMed's Per Diem
staffing division provided registered nurses, licensed practical nurses, nursing
assistants, therapists and medical transcriptionists on a daily basis to
healthcare facilities through 35 offices located in 16 states, StarMed's Travel
Nursing division operated from a central office in Clearwater, Florida and
provided registered nurses and operating room technicians for periods usually
ranging from 8 to 26 weeks. Due to the August 1998 sale of StarMed, the results
of operations of StarMed are herein reflected in the Company's Consolidated
Statements of Operations as discontinued operations. See "Management's
Discussion and Analysis of Financial Condition and Results of
Operations--Results of Discontinued Operations."
Medical Resources was incorporated in Delaware in August 1990 and has its
principal executive office at 125 State Street, Suite 200, Hackensack, New
Jersey 07601, telephone number (201) 488-6230. Prior to the Company's
incorporation, the Company's operations, which commenced in 1979, were conducted
by corporations which are now among its subsidiaries.
DIAGNOSTIC IMAGING SERVICES INDUSTRY
OVERVIEW
Imaging centers have played a vital role in the healthcare delivery system
by offering diagnostic services such as Magnetic Resonance Imaging ("MR"),
Computerized Tomography ("CT"), Ultrasound, Nuclear Medicine, Mammography and
X-ray in an outpatient setting. Diagnostic imaging procedures are used to
diagnose diseases and physical injuries through the use of various, generally
non-invasive imaging modalities. The use of non-invasive diagnostic imaging has
grown rapidly in recent years because it allows physicians to diagnose quickly
and accurately a wide variety of diseases and injuries without exploratory
surgery or other invasive procedures, which are usually more expensive, risky
and potentially debilitating for patients. In addition, diagnostic imaging is
increasingly being used as a screening tool for preventative care. While
conventional X-ray continues to be the primary imaging modality based on the
number of procedures performed, the use of MR and CT procedures has increased
due to their more sophisticated diagnostic capabilities. The Company believes
that utilization will continue to increase because of the growth in demand for
diagnostic imaging services as well as the introduction of new diagnostic
imaging procedures involving new and existing modalities.
EQUIPMENT AND MODALITIES
Diagnostic imaging systems are generally based on the ability of energy
waves to penetrate human tissue and generate images of the body which can be
displayed either on film or on a video monitor. Imaging systems have evolved
from conventional x-rays to the advanced technologies of MR, CT,
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Ultrasound, Nuclear Medicine and Mammography. The principal diagnostic imaging
modalities provided at centers operated or managed by the Company include the
following:
MAGNETIC RESONANCE IMAGING. MR is a sophisticated diagnostic imaging system
that utilizes a strong magnetic field in conjunction with low energy
electromagnetic waves which are processed by a computer to produce high
resolution images of body tissue. A principal element of MR imaging is that the
atoms in various kinds of body tissue behave differently in response to a
magnetic field, enabling the differentiation of internal organs and normal and
diseased tissue. Unlike CT and X-rays, MR does not utilize ionizing radiation
which can cause tissue damage in high doses. As with other diagnostic imaging
technologies, MR is generally non-invasive.
COMPUTERIZED TOMOGRAPHY. In CT imaging , a computer directs the movement of
an X-ray tube to produce multi-cross sectional images of a particular organ or
area of the body. CT imaging is used to detect tumors and other conditions
affecting bones and internal organs. CT provides higher resolution images than
conventional X-rays.
ULTRASOUND. Ultrasound has widespread application, particularly for
procedures in obstetrics, gynecology and cardiology. Ultrasound imaging relies
on the computer-assisted processing of sound waves to develop images of internal
organs and the vascular system. A computer processes sound waves as they are
reflected by body tissue, providing an image that may be viewed immediately on a
computer screen or recorded continuously or in single images for further
interpretation.
NUCLEAR MEDICINE. Nuclear medicine is used primarily to study anatomic and
metabolic functions. During a nuclear medicine procedure, short lived
radioactive isotopes are administered to the patient by ingestion or injection.
The isotopes release small amounts of radioactivity that can be recorded by a
gamma camera and processed by a computer to produce an image of various
anatomical structures.
GENERAL RADIOGRAPHY AND FLUOROSCOPY (X-RAY). The most frequently used type
of imaging equipment in radiology utilizes "X-rays" or ionizing radiation to
penetrate the body and record images on film. Fluoroscopy uses a video viewing
system for real time monitoring of the organs being visualized.
MAMMOGRAPHY. Mammography is a specialized form of radiology equipment using
low dosage X-rays to visualize breast tissue. It is the primary screening tool
for breast cancer.
IMAGING CENTER LOCATION AND ASSET OWNERSHIP STRUCTURE
The following table sets forth certain information concerning the imaging
centers currently owned, operated or managed by the Company. Typically, a
wholly-owned subsidiary of the Company owns the assets associated with a center
and either leases such assets to a medical practice on an exclusive or
non-exclusive basis or, where permitted by law, operates the center on its own
behalf. In other cases, the assets of the imaging center are owned by limited
partnerships or other business entities in which a subsidiary of the Company is
the sole general partner or manager. The ownership percentages set forth below
under the column "Ownership" reflect the Company's equity or partnership
ownership interests in such subsidiaries or partnerships. Where the imaging
center assets are leased to physicians or physician groups, the name of the
respective medical practice is shown below under the column "Imaging Center
Name". For the centers not wholly-owned by the Company, the Company is generally
paid a management fee based on services provided under management agreements
with the imaging center's ownership entity.
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OPERATED
LOCATION IMAGING CENTER NAME(1) SINCE (2) OWNERSHIP(3) MODALITIES(4)
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NORTHEAST (58 CENTERS)
Englewood, NJ.............. Englewood Imaging Center December 1979 100% MR, CT, US, R, F, M
Marlton, NJ................ MRImaging of South Jersey July 1984 91.0% MR
Union, NJ.................. Open MRI of Union August 1984 79.7% MR
Morristown, NJ............. MRImaging of Morristown December 1984 94.2% MR
Philadelphia, PA........... Academy Imaging Center January 1986 97.7% MR, CT, US, NM, R, F, M
Allentown, PA.............. MRImaging of Lehigh Valley May 1986 95.9% MR
Clifton, NJ................ Clifton Medical Imaging June 1987 100% MR, CT, US, NM, R, F, M
Center
Yonkers, NY................ Inter-County Imaging September 1987 65.0% MR, CT, US, R, F, M
West Orange, NJ(5)......... Northfield Imaging January 1991 100% MR, CT, US, NM, R, F, M
Bel Air, MD................ Colonnade Imaging Center November 1991 62.9% MR, CT, US, NM, R, F, M
Jersey City, NJ............ M.R. Institute at Midtown July 1992 100% MR
Brooklyn, NY............... Advanced MRA Imaging January 1993 100% MR, CT, US, NM, R, F, M
Associates
Seabrook, MD............... Seabrook Radiological April 1995 87.1% MR, CT
Center
Hackensack, NJ............. Hackensack Diagnostic June 1995 100% MR, CT, US, R, F, M
Imaging
Bronx, NY.................. Westchester Square Imaging January 1996 100% MR, CT
New York, NY............... MRI-CT Scanning of January 1996 100% MR, CT, US, R, M
Manhattan
Centereach, NY............. Open MRI of Centereach July 1996 100% MR
Garden City, NY............ Open MRI at Garden City November 1996 100% MR
East Setauket, NY.......... Open MRI at Smith Haven November 1996 100% MR
North Bergen, NJ........... The MRI Center at Palisades March 1997 9.0% MR
Kearny, NJ................. West Hudson MRI Associates March 1997 25.0% MR
Cranford, NJ............... Cranford Diagnostic Imaging March 1997 75.0% MR, CT, US, M
Montvale, NJ............... Montvale Medical Imaging March 1997 13.8% MR, CT, US, R, F, M
Randolph, NJ............... Morris-Sussex MRI March 1997 20.0% MR
Totowa, NJ................. Advantage Imaging at Totowa March 1997 15.0% MR
Road
Dedham, MA................. MRI of Dedham March 1997 35.0% MR
Seekonk, MA................ RI-MASS MRI March 1997 5.0% MR
Chelmsford, MA............. MRI of Chelmsford March 1997 65.0% MR
Parlin, NJ................. Parlin Diagnostic Imaging May 1997 100% CT, US, R, F, M
Vineland, NJ............... South Jersey MRI May 1997 100% MR
Baltimore, MD.............. Baltimore Open MRI May 1997 100% MR
Silver Springs, MD......... Accessible MRI of May 1997 100% MR
Montgomery Cty
Towson, MD................. Accessible MRI of Baltimore May 1997 100% MR, CT
County
Trevose, PA................ Bensalem Open MRI May 1997 100% MR
Philadelphia, PA........... Callowhill Open MRI May 1997 100% MR
Broomall, PA............... Mainline Open MRI May 1997 100% MR
Langhorn, PA............... Oxford Valley Diagnostic May 1997 100% MR, CT, US, NM, R, F, M
Center
Springfield, PA............ Springfield Diagnostic May 1997 100% MR, CT, US, NM, R, F, M
Imaging Center
Philadelphia, PA........... Lansdowne Medical Center May 1997 100% R
Havertown, PA.............. Manoa Radiology May 1997 100% CT, US, NM, R, F, M
Havertown, PA.............. Haverford MRI May 1997 100% MR
Broomall, PA............... Lawrence Park Radiology May 1997 100% R
Center
Philadelphia, PA........... Northeast Imaging May 1997 100% MR, CT, US, NM, R, F, M
Philadelphia, PA........... South Philadelphia May 1997 100% MR, CT, US, NM, R, F, M
Radiology Center
Philadelphia, PA........... Juaniata Park May 1997 100% R
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OPERATED
LOCATION IMAGING CENTER NAME(1) SINCE (2) OWNERSHIP(3) MODALITIES(4)
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Albany, NY................. Albany Open MRI May 1997 100% MR
Syracuse, NY............... Syracuse Open MRI May 1997 100% MR
Brooklyn, NY............... Brooklyn Medical Imaging June 1997 100% MR, CT, US, R, F, M
Center
Brooklyn, NY............... Coney Island -Midwood June 1997 100% US, R, F, M
Flushing, NY............... Meadows Mid-Queens Imaging June 1997 100% MR, CT, US, R, M
Center
Staten Island, NY.......... Staten Island Medical June 1997 100% MR, CT
Imaging Center
Bronx, NY.................. MRI of the Bronx September 1997 100% MR, CT
Flushing, NY............... MRI of Queens September 1997 100% MR
Philadelphia, PA........... Germantown MRI Center September 1997 100% MR
Philadelphia, PA........... Diamond Radiology September 1997 100% R
Philadelphia, PA........... Liberty Radiology August 1998 100% R
New York, NY............... Madison Medical September 1998 100% MR, CT, US, R, F, M
Philadelphia, PA........... Marfair Radiology October 1998 100% R
SOUTHEAST (23 CENTERS)
St. Petersburg, FL......... Magnetic Resonance July 1984 100% MR, CT, US, R, F
Associates
Naples, FL................. Gulf Coast MRI June 1993 100% MR
Fort Myers, FL............. Riverwalk San Carlos May 1995 70% MR
Cape Coral, FL............. Riverwalk Cape Coral MRI September 1996 70% MR
Naples, FL................. Naples MRI September 1996 100% MR
Titusville, FL............. MRI of North Brevard September 1996 100% MR
Sarasota, FL............... Sarasota Outpatient MRI & September 1996 100% MR, CT
Diagnostic Center
Tampa Bay, FL.............. Americare MRI May 1996 100% MR
Clearwater, FL............. Access Imaging May 1996 100% MR, CT
Melbourne, FL.............. South Brevard Imaging January 1997 100% MR
Jacksonville, FL........... MRI Center of Jacksonville February 1997 100% MR
West Palm Beach, FL........ The Magnet of Palm Beach March 1997 100% MR, CT, US, NM, R, F, M
Miami, FL.................. Coral Way MRI August 1997 100% MR
Sarasota, FL............... Gulf Side Open MRI August 1997 100% MR
Jupiter, FL................ MRI of Jupiter August 1997 100% MR, R
Bradenton, FL.............. Magnetic Imaging Center of August 1997 100% MR
Manatee
Hollywood, FL.............. Open MRI of South Florida August 1997 100% MR
Tampa, FL.................. Northside Imaging & Breast August 1997 100% MR
Care Center
Venice, FL................. Venice Imaging & MRI Center August 1997 100% MR, CT, US, R, F, M
Port Charlotte, FL......... The MRI Center of Charlotte September 1997 100% MR
County
Fort Myers, FL............. Riverwalk Cleveland July 1998 70% MR
Fort Myers, FL............. Riverwalk General July 1998 50% CT, US, NM, R, F
Diagnostics
Fort Myers, FL............. Riverwalk Lee Memorial July 1998 70% MR
MIDWEST (8 CENTERS)
Chicago, IL................ MRImaging of Chicago April 1987 87.2% MR
Chicago, IL................ Open MRI of Chicago June 1992 79.6% MR, CT, US, NM, R, F, M
Oak Lawn, IL............... Oak Lawn MR & Imaging January 1994 100% MR, CT, US, R, F, M
Center
Libertyville, IL........... Libertyville Imaging Center January 1995 100% MR
Centerville, OH............ Dayton Open MRI May 1997 100% MR
Warren, OH................. Advanced Radiology/Access October 1997 100% MR, CT, US, R, F, M
MRI
Youngstown, OH............. Boardman X-Ray October 1997 100% MR, CT, US, R, F, M
Youngstown, OH............. Austintown X-Ray October 1997 100% CT, US, R, F, M
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OPERATED
LOCATION IMAGING CENTER NAME(1) SINCE (2) OWNERSHIP(3) MODALITIES(4)
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CALIFORNIA (5 CENTERS)
Long Beach, CA............. Pacific MRI January 1997 100% MR
San Clemente, CA........... OceanView Radiology Center January 1997 100% MR, CT, US, R, F, M
Rancho Cucamonga, CA....... Grove Diagnostic Imaging March 1997 100% MR, CT, US, NM, R, F, M
San Jose, CA............... Diagnostic Imaging Network August 1997 51% MR, CT, US, NM, R, F, M
San Jose, CA............... O'Connor MRI August 1997 60% MR, CT
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(1) In cases where the center is operated or managed by the Company on behalf of
a medical practice, the "Imaging Center Name" refers to (i) the name of such
medical practice or (ii) the assumed name pursuant to which the medical
practice operates the center. In cases where the Company is permitted by law
to operate the center on its own behalf, "Imaging Center Name" refers to the
assumed name of the Company's subsidiary.
(2) Operated or managed by the Company or NMR of America, Inc. since such date.
(3) Represents the Company's ownership interest in the subsidiary or affiliated
partnership related to such center.
(4) Modalities are magnetic resonance imaging (MR), computerized tomography
(CT), ultrasound (US), nuclear medicine (NM), radiology (R), fluorscopy (F)
and mammography (M).
(5) Includes the operation of the Livingston Breast Care mammography unit which
is located at the Northfield Imaging Center.
Where it deems it economically attractive, the Company may further increase
its equity or partnership ownership of its non-wholly-owned subsidiaries or
partnerships by acquiring additional minority interests in such entities, but
there can be no assurance that the Company will be successful in acquiring such
interests. The Company has also added new imaging equipment modalities to
certain centers and plans to continue this strategy in those situations where
the Company believes that such additions are economically justified.
Each center consists of a waiting/reception area and one room per modality,
dressing rooms, billing/ administration rooms and radiologist interpreting
rooms. The size of the Company's centers generally ranges from 1,500 to 11,400
square feet.
GROWTH STRATEGY AT EXISTING AND ACQUIRED CENTERS
LEVERAGING GEOGRAPHIC CONCENTRATION. The Company has developed clusters of
imaging centers in certain geographic areas that enable the Company to improve
the utilization of the imaging centers by attracting business from larger
referral sources, such as managed care organizations, due to the Company's
ability to meet the quality, volume and geographical coverage requirements of
these payors. The Company intends, over time, to increase center concentration
in existing markets to attract additional referrals of this type and to expand
into new geographic areas, through acquisitions, in order to attract additional
managed care and other contracts.
EXPANDING IMAGING SERVICES OFFERED. The Company expands the imaging
services offered by centers operated and/or managed by the Company by upgrading
existing technology and adding new modalities at certain centers. From January
1, 1997 through December 31, 1998, the Company upgraded technology and expanded
service modalities at 19 centers. The imaging centers operated and/or managed by
the Company utilize state of the art imaging equipment for which new
applications are continually being developed. New developments and system
upgrades frequently have the ancillary benefit of reducing imaging time and thus
increasing capacity of the centers' imaging equipment. The development and
improvement of diagnostic quality "open" MR systems have expanded the public
acceptance and potential market for MR imaging services. The Company currently
operates 28 centers that provide MR imaging services using "open"
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systems and the Company plans to expand this coverage in markets where it
believes such expansion is economically justified.
APPLY SOPHISTICATED OPERATING, FINANCIAL AND INFORMATION SYSTEMS AND
PROCEDURES. The Company provides management expertise, financial and operating
controls, and capital resources to acquired centers in an attempt to optimize
their performance. The financial systems and operating procedures of acquired
centers are, over time, integrated with those of existing centers. In that
regard, since the beginning of 1998, the Company has completed the installation
of the ICIS system developed by Dalcon in 69 acquired centers, bringing to 83
the total number of centers now on ICIS. The ICIS system will enable the Company
to standardize reporting of each center and provide management with on-line
access to its centers nationwide. In addition, the Company is able to achieve
economies of scale and provide cost savings in developing managed care contracts
and negotiating group purchasing of goods and services.
UTILIZE TARGETED LOCALIZED MARKETING. The Company develops and coordinates
marketing programs which center managers, sales representatives and affiliated
interpreting physicians utilize to establish referral relationships and to
maximize facility usage and reimbursement yield. The Company's marketing
programs emphasize the capabilities of available imaging equipment, the quality
and timeliness of the imaging results and reports, and the high level of patient
and referring physician service.
DEVELOP NETWORK MANAGEMENT SERVICES. The Company plans to develop and
expand further its network management services business. As a network manager,
the Company enters into contracts with managed care organizations to coordinate
the demand for imaging services and to provide certain administrative functions
related to the delivery of such services. The Company includes certain of the
centers operated or managed by the Company in these networks and believes that
the inclusion of these centers in the networks will increase their utilization.
In addition, the Company believes that its network management services enhance
its relationships with managed care organizations and its ability to enter into
additional contracts with such entities.
CENTER OPERATIONS AND IMAGING SERVICES PROVIDED BY THE COMPANY
GENERAL. The diagnostic imaging centers operated or managed by the Company
provide diagnostic imaging services in a comfortable, service-oriented
environment located mainly in an outpatient setting to patients referred by
physicians. Of the Company's 94 centers, 83 provide magnetic resonance imaging,
which accounts for a majority of the Company's diagnostic imaging revenues. Many
of the centers operated and/or managed by the Company also provide some or all
of the following services: Computerized Tomography, Ultrasound, Nuclear
Medicine, General Radiology and Fluoroscopy and Mammography.
INTERPRETING PHYSICIAN ARRANGEMENTS. At each of the Company's centers, and
subject to the various applicable federal and state regulations, all medical
services are performed exclusively by physicians or physician groups (the
"Physician Group" or the "Interpreting Physician(s)"), generally consisting of
radiologists, with whom the Company enters into facility service agreements
pursuant to which the Company, among other duties, provides the Physician Group
with the diagnostic imaging facility and equipment, performs all marketing and
administrative functions at the centers and is responsible for the maintenance
and servicing of the equipment and leasehold improvements. The Physician Group
is solely responsible for, and has complete and exclusive control over, all
medical and professional services performed at the centers, including, most
importantly, the interpretation of diagnostic images, as well as the supervision
of technicians, and medical-related quality assurance and communications with
referring physicians.
Insofar as the Physician Group has complete and exclusive control over the
medical services performed at the centers, including the manner in which medical
services are performed, the assignment of individual physicians to center duties
and the hours that physicians are to be present at the center, the Company
believes that the Interpreting Physician(s) who perform medical services at the
centers are either
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independent contractors or employees of the Physician Group. In addition,
Physician Groups that furnish professional services at the centers generally
have their own medical practices and, in most instances, perform medical
services at non-Company related facilities. The Company's employees do not
perform professional medical services at the centers. Consequently, the Company
believes that it does not engage in the practice of medicine in jurisdictions
that prohibit or limit the corporate practice of medicine. The Company performs
only administrative and technical services and does not exercise any control
over the practice of medicine by physicians at the centers or employ physicians
to provide medical services.
As part of its administrative responsibilities under the terms of the
facility service agreements, the Company is usually responsible for the
administrative aspects of billing and collection functions at the centers.
Certain third-party payor sources, such as Medicare, insurance companies and
managed care organizations, require that they receive a single or "global"
billing statement for the imaging services provided at the Company's centers.
Consequently, billing is done in the name of the Physician Group because such
billings include a medical component. The Physician Group typically grants a
power of attorney to the Company authorizing the Company to establish bank
accounts on behalf of the Physician Group related to that center's collection
activities and to access such accounts. In states where permitted by law, such
as Florida, the Company generally renders bills in the center's name. In such
circumstances, the Physician Group has no access to associated collections.
The Company recognizes revenue under its agreements with Interpreting
Physician(s) or Physician Group in one of three ways: (I) pursuant to facility
service agreements with Interpreting Physician(s) or Physician Group, the
Company receives a technical fee for each diagnostic imaging procedure performed
at the center, the amount of which is fixed based upon the type of the procedure
performed; (II) the Company pays the Interpreting Physician(s) a fixed
percentage of fees collected at the center, or a contractually fixed amount
based upon the specific diagnostic imaging procedures performed; or, (III)
pursuant to a facility services agreement, the Company receives from an
affiliated physician association a fee for the use of the premises, a fee per
procedure for acting as billing and collection agent for the affiliated
physician association and for administrative and technical services performed at
the centers and the affiliated physician association pays the Physician Group
based upon a percentage of the cash collected at the center. All of such amounts
and the basis for payments are negotiated between the Physician Group and the
Company and are subject to certain regulatory requirements based on the state of
operation of the center.
For the year ended December 31, 1998, the fees received or retained by the
Company under the three types of agreements with Physician Groups described
above, expressed as a percentage of the gross billings net of contractual
allowances for the imaging services provided, range from 78% to 93% for the
agreements described in item (I), 80% to 93% for the agreements described in
item (II) and 80% to 87% for the agreements described in item (III). The
agreements generally have terms ranging from one to ten years. For additional
information pertaining to the Company's arrangements with Physician Groups and
Interpreting Physicians, see Note 1 to the Company's Consolidated Financial
Statements--Revenue Recognition.
SALES AND MARKETING. The Company develops and coordinates marketing
programs which center managers, sales representatives, affiliated Interpreting
Physician(s) and corporate managers utilize in an effort to establish and
maintain profitable referring physician relationships and to maximize procedure
reimbursements. These marketing programs identify and target selected market
segments consisting of area physicians with certain desirable medical
specialties and reimbursement rates. Corporate and center managers determine
these market segments based upon an analysis of competition, imaging demand,
medical specialty and/or payor mix of each referral from the local market. The
Company also directs marketing efforts at managed care organizations.
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Managed care organizations are becoming an increasingly important factor in
the diagnostic imaging industry, and, consequently, the Company places major
emphasis on cultivating and developing relationships with such organizations.
The Company employs industry professionals who have significant experience in
dealing with managed care and other providers. The Company believes that the
geographic concentration of centers operated and/or managed by the Company, the
presence of multi-modality centers in all of its regions, its ability to offer
cost effective services and its experience in developing relationships with
various managed care organizations will constitute a competitive advantage with
managed care organizations.
PERSONAL INJURY REVENUE. A significant percentage of the net service
revenues from imaging centers operated and/or managed by the Company is derived
by providing imaging services to individuals involved in personal injury claims,
mainly involving automobile accidents. Imaging revenue derived from personal
injury claims, mainly involving automobile accidents, represented approximately
15% of the Diagnostic Imaging business net service revenues for 1998. Due to the
greater complexity in processing receivables relating to personal injury claims
with automobile insurance carriers (including dependency on the outcome of
settlements or judgements for collections directly from such individuals), such
receivables typically require a longer period of time to collect, compared to
the Company's other receivables and, in the experience of the Company, incur a
higher bad debt expense.
While the collection process employed by the Company varies from
jurisdiction to jurisdiction, the processing of a typical personal injury claim
generally commences with the Company obtaining and verifying automobile, primary
health and secondary health insurance information at the time services are
rendered. The Company then generates and sends a bill to the automobile
insurance carrier, which under state law, typically has an extended period of
time (usually up to 105 days) to accept or reject a claim. The amount of
documentation required by the automobile insurance carriers to support a claim
is substantially in excess of what most other payors require and carriers
frequently request additional information after the initial submission of a
claim. If the individual is subject to a co-payment or deductible under the
automobile insurance policy or has no automobile insurance coverage, the Company
generally will bill the individual's primary and secondary health policies for
the uncovered balance. The automobile insurance carrier may reject coverage or
fail to accept a claim within the statutory time limit on the basis of, among
other reasons, the failure to provide complete documentation. In such
circumstances, the Company may pursue arbitration, which typically takes up to
90 days for a judgment, to collect from the carrier.
The Company will then pursue collection of the remaining receivable from the
individual. Although the Company attempts to bill promptly after providing
services and typically requests payment upon receipt of invoice, the Company
generally defers aggressive collection efforts for the remaining balance until
the individual's claim is resolved in court, which frequently takes longer than
a year and may take as long as two or three years. Consequently, the Company's
practice is to attempt to obtain a written assurance from the individual and the
individual's legal counsel, under which the individual confirms in writing his
or her obligation to pay the outstanding balance regardless of the outcome of
any settlement or judgment of the claim. If the settlement or judgment proceeds
received by the individual are insufficient to cover the individual's obligation
to the Company, and the individual does not otherwise satisfy his or her
liability to the Company, the Company either (i) commences collection
proceedings, which may ultimately result in the Company taking legal action to
enforce collection rights against the individual regarding all uncollected
accounts, or (ii) accepts a reduced amount in full satisfaction of the
individual's outstanding obligation. As a result of the foregoing, the average
age of receivables relating to personal injury claims is greater than for
non-personal injury claim receivables.
MANAGED CARE CAPITATION AGREEMENTS. A number of the imaging centers
operated and/or managed by the Company have entered into "capitated contracts"
with third party payors which typically provide for the payment of a fixed fee
per month on a per member basis, without regard to the amount or scope of
services rendered. Because the obligations to perform service are not related to
the payments, it is possible that either the cost or the value of the services
performed may significantly exceed the fees received, and
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there may be a significant period between the time the services are rendered and
payment is received. While only approximately 5% of the Company's 1998 net
service revenues were derived from capitated contracts, and although prior to
entering into any such contracts careful analysis is performed to analyze the
potential risks of capitation arrangements, there can be no assurances that any
capitated contracts to which the Company is or may in the future become a party
will not generate significant losses to the Company.
In addition, certain types of capitation agreements may be deemed a form of
risk contracting. Many states limit the extent to which any person can engage in
risk contracting, which involves the assumption of a financial risk with respect
to providing services to a patient. If the fees received are less than the cost
of providing the services, the center may be deemed to be acting as a de facto
insurer. In some states, only certain entities, such as insurance companies,
HMOs and independent practice associations, are permitted to contract for the
financial risk of patient care. In such states, risk contracting in certain
cases has been deemed to be engaging in the business of insurance. The Company
believes that no center operated and/or managed by the Company is in violation
of any restrictions on risk bearing or engaging in the business of insurance. If
the Company is held to be unlawfully engaged in the business of insurance, such
finding could result in civil or criminal penalties or require the restructuring
of some or all of the Company's operations, which could have a material adverse
effect upon the Company's business.
BILLINGS AND COLLECTIONS. Under the facility services agreements, the
Company is generally responsible for preparing and submitting bills per imaging
study performed. The preparation and submission of bills is completed by each
center, or by a regional billing office, generally on behalf of and in the name
of the appropriate Interpreting Physician or Physicians Group. Prior to 1998,
each center was also responsible for collecting its own receivables and pursuing
any parties that were delinquent in payment of their bills. In February 1998,
the Company commenced a restructuring of its collection efforts for the purpose
of ultimately consolidating all collection activities within four or more
regional collection offices. The restructuring is in response to the need to
improve overall collection results and controls, and to better coordinate
collection efforts previously employed by individual centers (especially where
third parties had been retained to manage the center's collection efforts), as
well as the need to integrate the Company's 1997 acquisitions and to insure
consistent Company-wide collection policies and practices.
MANAGEMENT INFORMATION SYSTEMS. The Company acquired Dalcon in September
1997. Since the beginning of 1998, the Company has converted 69 of the imaging
centers operated and/or managed by the Company onto Dalcon's ICIS radiology
information system, bringing to 83 the total number of centers now on ICIS. The
ICIS radiology information system is designed to, among other things, enhance
the efficiency and productivity of the centers operated or managed by the
Company, lower operating costs, facilitate financial controls, increase
reimbursement and assist in the analysis of sales, marketing and referral data.
The ICIS system provides on-line, real-time information, reporting and access to
managers with respect to billing, patient scheduling, marketing, sales, accounts
receivable, referrals and collections, as well as other matters.
HEALTHCARE REFORM AND COST REDUCTION EFFORTS. Third-party payors, including
Medicare, Medicaid, managed care/HMO organizations and certain commercial payors
have taken extensive steps to contain or reduce the costs of healthcare. In
certain areas, the payors are subject to regulations which limit the amount of
payments. Discussions within the Federal government regarding national
healthcare reform are emphasizing containment of healthcare costs. In addition,
certain managed care organizations have negotiated capitated payment
arrangements for imaging services or limited access to provide panels in certain
geographic areas. Under capitation arrangements, diagnostic imaging service
providers are compensated using a fixed rate per member of the managed care
organization regardless of the number of procedures performed or the total cost
of rendering diagnostic services to the members. Services provided under these
contracts are expected to become an increasingly significant part of the
Company's business. The inability of the Company to properly manage the
administration of capitated contracts could
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materially adversely affect the Company. Although patients are ultimately
responsible for payment of services rendered, substantially all of the Company's
imaging centers' revenues are derived from third-party payors. Successful
reduction of reimbursement amounts and rates, changes in services covered,
delays or denials of reimbursement claims, negotiated or discounted pricing,
exclusion from provider panels and other similar measures could materially
adversely affect the Company's respective imaging centers' revenues,
profitability and cash flow.
The Company's management believes that overall reimbursement rates will
continue to gradually decline for some period of time due to factors such as the
expansion of managed care organizations and continued national healthcare reform
efforts. The Company enters into contractual arrangements with managed care
organizations which, due to the size of their membership, are able to command
reduced rates for services. The Company expects these agreements to increase the
number of procedures performed due to the additional referrals from these
managed care entities. However, there can be no assurance that the increased
volume of procedures associated with these contractual arrangements will offset
the reduction in reimbursement rate per procedure.
ACQUIRED CENTERS; COMMON STOCK REPURCHASE OBLIGATIONS
Since 1996, the Company has grown by aggressively acquiring imaging centers
and integrating their operations. The Company has acquired 92 imaging centers
through 27 acquisitions since January 1, 1996. When the Company acquires an
imaging center, it generally acquires assets relating to the provision of
technical, financial, administrative and marketing services which support the
provision of medical services performed by the Interpreting Physicians. Such
assets typically include equipment, furnishings, supplies, tradenames of the
center, books and records, contractual rights with respect to leases, managed
care and other agreements and, in most instances, accounts receivable. Other
than with respect to such accounts receivable for services performed by the
acquired company in certain cases, the Company does not acquire any rights with
respect to or have any direct relationship, with patients. Patients have
relationships with referral sources who are the primary or specialty care
physicians for such patients. These physicians refer their patients to
diagnostic imaging centers which may include the centers operated and/or managed
by the Company where the Physicians Group or Interpreting Physicians provide
professional medical services. The acquired imaging centers do not constitute
either a radiology, primary care or specialty care medical practice. In
connection with an acquisition of a center, the Company will generally enter
into an facility services agreement, as described above, with a Physician Group
to perform medical services at the center.
In connection with certain of the Company's 1997 acquisitions in which the
Company issued shares of its Common Stock as consideration, the Company agreed
to register such shares for resale pursuant to the federal securities laws. In
certain of such acquisitions, the Company granted specific remedies to the
sellers, including the right to require the Company to repurchase the shares
issued to such seller, in the event that a registration statement covering the
relevant shares was not declared effective by the Securities and Exchange
Commission (the "SEC") within an agreed-upon period of time. As of December 31,
1997, the Company had reflected $9,734,000 of Common Stock subject to redemption
on its Consolidated Balance Sheets related to shares potentially to be
repurchased by the Company. During 1998, the Company paid $8,621,000 to sellers
who exercised their rights to have shares of Common Stock repurchased. As of
December 31, 1998, the Company had no obligation to purchase any additional
shares of Common Stock.
In addition, in connection with certain of such acquisitions, the Company
agreed with the sellers in such acquisitions to pay to the seller (in additional
shares and/or cash) an amount equal to the shortfall, if any (the "Price
Protection Shortfall"), in the value of the issued shares and the market value
of such shares on the effective date of the Company's registration statement.
Based upon the closing sales price of the Company's Common Stock on October 2,
1998 ($2.67 per share), the date on which the Company's registration statement
was declared effective, the Company issued 590,147 shares of Common Stock and
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became obligated to pay during 1999 an additional $1,659,000 with respect to all
such Price Protection Shortfall obligations.
In connection with certain of the Company's acquisitions, the Company has
also agreed with certain sellers that all or a portion of the consideration for
such acquisitions will be paid on a contingent basis based upon the
profitability, revenues or other financial criteria of the acquired business
during an agreed-upon measurement period following the closing of the
acquisition (usually, one to three years). The specific terms of such contingent
consideration differs for each acquisition. In connection with certain
acquisitions, the Company and the relevant sellers have agreed to a maximum
amount of contingent consideration and in other cases the parties have agreed
that any payment of such contingent consideration may be paid in cash or shares
of Common Stock, or a combination of both.
Although the Company has the option, in certain of such cases, to pay
certain of such amounts in shares of Common Stock, the Company may be required
to pay significant cash funds to sellers in the event such remedies or earnout
provisions are triggered. In addition, the issuance by the Company of shares of
Common Stock in payment of any such owed amounts could be dilutive to the
Company's stockholders.
COMPETITION
The Company's business is highly competitive. In the Company's diagnostic
imaging business, competition focuses primarily on attracting physician
referrals at the local market level and, increasingly, referrals through
relationships with managed care and physician/hospital organizations. The
Company believes that principal competitors in each of the Company's markets are
hospitals, independent or management company-owned imaging centers,
individual-owned imaging centers and mobile MR units. Many of these competitors
have greater financial and other resources than the Company. Principal
competitive factors include quality and timeliness of test results, ability to
develop and maintain relationships with managed care organizations and referring
physicians, type and quality of equipment, facility location, convenience of
scheduling and availability of patient appointment times. Competition for
referrals can also be affected by the ownership or affiliation of competing
centers or hospitals.
GOVERNMENT REGULATION
The healthcare industry is highly regulated at the Federal, state and local
levels. While the Company believes that it complies in all material respects
with all applicable regulations, the assertion of a violation (even if
successfully defended by the Company) could have a material adverse effect on
the Company. The following factors affect the Company's operation and
development activities:
CORPORATE PRACTICE OF MEDICINE AND FEE SPLITTING
The laws of many states prohibit unlicensed, non-physician-owned entities or
corporations from performing medical services or physicians from splitting fees
with non-physicians. The Company is unlicensed to provide certain of the
services offered at the centers operated and/or managed by the Company. The
Company does not believe however, that it engages in the unlawful practice of
medicine or the delivery of medical services in any state where it is
prohibited, and is not licensed to practice medicine in states which permit such
licensure. Professional medical services, such as the interpretation of MRI
scans and the supervision of certain medical personnel, are separately provided
by independent contractor Interpreting Physicians or physician groups pursuant
to agreements with the Company. The Company performs only certain administrative
and technical services and does not exercise control over the practice of
medicine by physicians or employ physicians to provide medical services.
However, in many jurisdictions, the laws restricting the corporate practice of
medicine and fee-splitting have been subject to limited judicial and regulatory
interpretation and, therefore, there can be no assurance that, upon review, some
of the Company's activities would not be found to be in violation of such laws.
If such a claim were successfully asserted against it, the Company could be
subject to civil and criminal penalties and could be
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required to restructure its contractual relationships. In addition, certain
provisions of its contracts with Interpreting Physicians, including the payment
of management fees and restrictive covenants could be held to be unenforceable.
Such results or the inability of the Company to restructure its contractual
relationships on a timely basis could have a material adverse effect upon the
Company.
STARK LAW PROHIBITION ON PHYSICIAN REFERRALS
The Federal "Stark Law" as amended in 1993 provides that when a physician
has a "financial relationship" with a provider of "designated health services"
(including, among other activities, the provision of MR and other radiology
services which are provided by the Company), the physician will be prohibited
from making a referral of patients under Medicare, Medicaid or other
governmental health insurance programs to the healthcare provider, and the
provider will be prohibited from billing such payors, for the designated health
service. In August 1995, regulations were issued pursuant to the Stark Law as it
existed prior to its amendment in 1993 (when it only applied to clinical
laboratories). Draft regulations for the provisions of the Stark Law applicable
to MR and other radiology services were issued in January, 1998. Submission of
improper claims may result in a denial of payment or refunds of received
payments. Additionally, submission of a claim that a provider knows, or should
know, is for services for which payment is prohibited under the amended Stark
Law, could result in civil money penalties of not more than $15,000 for each
service billed, and possible exclusion from federal government programs. Under
the amended Stark Law, providers are also subject to civil money penalties not
to exceed $100,000 for any arrangements which indirectly result in referrals
which would be prohibited under the amended Stark Law if directly made.
The Stark Law provides exceptions from its prohibition for referrals which
include certain types of employment, personal service arrangements and
contractual relationships. The Company continues to review all aspects of its
operations and endeavors to comply in all material respects with applicable
provisions of the Stark Law. Due to the broad and sometimes vague nature of this
law, the ambiguity of related regulations, the absence of final regulations, and
the lack of interpretive case law, there can be no assurance that an enforcement
action will not be brought against the Company or that the Company will not be
found to be in violation of the Stark Law.
MEDICARE ANTI-KICKBACK PROVISIONS
The Federal Medicare and Medicaid Anti-Kickback Statute (the "Anti-Kickback
Statute") prohibits the offering, payment, solicitation or receipt of any form
of remuneration in return for the referral of patients covered by Medicare,
Medicaid or certain other Federal and state healthcare programs, or in return
for the purchase, lease or order or provision of any item or service that is
covered by Medicare or Medicaid or certain other Federal and state healthcare
programs. Violation of the Anti-Kickback Statute is punishable by substantial
fines, imprisonment for up to five years, or both. In addition, the Medicare and
Medicaid Patient and Program Protection Act of 1987 (the "Protection Act")
provides that persons guilty of violating the Anti-Kickback Statute may be
excluded from the Medicare or Medicaid programs. Investigations leading to
prosecutions and/or program exclusion may be conducted by the Office of
Inspector General ("OIG") of the Department of Health and Human Services
("HHS").
The OIG has issued "safe harbor" regulations which describe practices that
will not be considered violations of the Anti-Kickback Statute. The fact that a
particular arrangement does not fall within a safe harbor does not mean that the
arrangement does not comply with the Anti-Kickback Statute. The safe harbor
regulations simply provide a guarantee that qualifying arrangements do not
violate this federal law. They do not extend the scope of the statutory
prohibitions. Thus, arrangements that do not qualify for safe harbor protection
are in largely the same position as they were prior to the promulgation of these
regulations, meaning that they must be carefully evaluated in light of the
provisions of the Anti-Kickback Statute itself. To the extent possible, the
Company will structure its agreements with referral sources, such as physicians,
to comply with applicable safe harbors, but there can be no assurances that it
will be able to
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do so with every contract. Further, these safe harbor regulations have so far
been relatively untested in practice. No assurances can be given that a Federal
or state agency charged with enforcement of the Anti-Kickback Statute and
similar laws might not assert a contrary position or that new Federal or state
laws or new interpretation of existing laws might not adversely affect
relationships established by the Company with healthcare providers, including
physicians, or result in the imposition of penalties on the Company or certain
of its centers. The assertion of a violation, even if successfully defended by
the Company, could have a material adverse effect upon the Company.
FALSE CLAIMS ACT
A number of Federal laws impose civil and criminal liability for knowingly
presenting or causing to be presented a false or fraudulent claim, or knowingly
making a false statement to get a false claim paid or approved by the
government. Under one such law, the False Claims Act, civil damages may include
an amount that is three times the government's loss plus $5,000 to $10,000 per
claim. Actions to enforce the False Claims Act may be commenced by a private
citizen on behalf of the Federal government, and such private citizens receive
between 15 and 30 percent of the recovery. Efforts have been made to assert that
any claim resulting from a relationship in violation of the Anti-Kickback
Statute or the Stark Law is false and fraudulent under the False Claims Act. The
Company carefully monitors its submissions to HCFA and all other claims for
reimbursement to assure that they are not false or fraudulent.
STATE LAWS
Many states, including the states in which the Company operates, have
adopted statutes and regulations prohibiting kickbacks and payment of
remuneration for patient referrals and physician self-referral restrictions and
other types of financial arrangements with healthcare providers, which, while
similar in certain respects to the Federal legislation, vary from state to
state. Some states expressly prohibit referrals by physicians to facilities in
which such physicians have a financial interest. Sanctions for violating these
state restrictions may include loss of licensure and civil and criminal
penalties assessed against either the referral source or the recipient provider.
Certain states also have begun requiring healthcare practitioners to disclose to
patients any financial relationship with other providers, including advising
patients of the availability of alternative providers.
The Company continues to review all aspects of its operations and endeavors
to comply in all material respects with applicable provisions of the
Anti-Kickback Statute, the Stark Law and applicable state laws governing fraud
and abuse and physician self-referral as well as licensing and certification.
Due to the broad and sometimes vague nature of these laws and requirements, the
evolving interpretations of these laws (as evidenced by the recent draft
regulations for the Stark Law), there can be no assurance that an enforcement
action will not be brought against the Company or that the Company will not be
found to be in violation of one or more of these regulatory provisions. Further,
there can be no assurance that new laws or regulations will not be enacted, or
existing laws or regulations interpreted or applied in the future in such a way
as to have a material adverse effect on the Company, or that Federal or state
governments will not impose additional restrictions upon all or a portion of the
Company's activities, which might adversely affect the Company's business.
CERTIFICATES OF NEED, LICENSING AND CERTIFICATION
Many of the states in which the Company currently operates or may operate
have laws that may require a certificate of need or similar licensure ("CON") in
certain circumstances to establish, construct, acquire or expand healthcare
facilities and services or for the purchase, expansion or replacement of major
movable equipment, including outpatient diagnosis imaging centers utilizing MR
or other major medical equipment. At the present time, the CON laws of New York,
Illinois, Florida, Maryland and California pertain to the Company's activities.
In states with CON programs, regulatory approvals are frequently
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required for capital expenditures exceeding certain amounts, if such
expenditures relate to certain types of medical services or equipment.
State CON statutes generally provide that prior to construction of new
facilities or the introduction of new services, a state health planning agency
(a "Planning Agency") must determine that a need exists for those facilities or
services. The CON process is intended to promote comprehensive healthcare
planning, assist in providing high quality health care at the lowest possible
cost and avoid unnecessary duplication by ensuring that only those healthcare
facilities that are needed will be built.
The necessity for these CON approvals serves as a barrier to entry in
certain markets which the Company wishes to service and has the potential to
increase the costs and delay the Company's acquisition, addition or expansion of
centers. A CON program or similar requirement has the potential to curtail the
Company's expansion which could have a material adverse effect on the Company's
future growth.
The Company may also have to comply with Federal certification requirements.
For example, the Company's centers which provide mammography examinations must
be certified by the Federal government. Further, additional certification
requirements may affect the Company's centers, but such certification generally
will follow specific standards and requirements that are set forth in readily
available public documents. Compliance with the requirements often is monitored
by annual on site inspections by representatives of various government agencies.
The Company believes that it currently has obtained all necessary
certifications, but the failure to obtain a necessary certification could have a
material adverse effect on the Company's imaging business.
In addition to the CON programs and Federal certification described above,
the operations of outpatient imaging centers are subject to Federal and state
regulations relating to licensure, standards of testing, accreditation of
certain personnel and compliance with government reimbursement programs. The
operation of these centers requires a number of Federal and state licenses,
including licenses for the center itself, its personnel and certain equipment.
Although the Company believes that currently it has obtained or is in the
process of obtaining all such necessary CON approvals and licenses, the failure
to obtain a required approval could have a material adverse effect on the
Company's diagnostic imaging business. The Company believes that diagnostic
testing will continue to be subject to intense regulation at the Federal and
state levels and cannot predict the scope and effect of such regulation nor the
cost to the Company of such compliance.
DISCONTINUED OPERATIONS OF STARMED
Until August 1998, the Company, through the Per Diem and Travel Nursing
Divisions of its wholly-owned subsidiaries, StarMed Staffing, Inc. and Wesley
Medical Resources Inc. ("StarMed"), provided temporary healthcare staffing of
registered nurses and other medical personnel to acute and sub-acute care
facilities nationwide. On August 18, 1998, the Company sold 100% of its
stockholdings in StarMed to RehabCare Group, Inc. Due to the StarMed Sale, the
results of operations of StarMed are herein reflected in the Company's
Consolidated Statements of Operations as discontinued operations.
StarMed commenced its Per Diem operations in March 1995 and, as of August
1998, it had opened 31 offices, acquired 4 staffing companies operating six
additional offices and consolidated the operations of two other offices.
StarMed's per diem staffing division provided registered nurses, licensed
practical nurses, nursing assistants, therapists and medical transcriptionists
on a daily basis to healthcare facilities through 35 offices located in 16
states. StarMed's Travel Nursing Division operated from a central office in
Clearwater, Florida and provided registered nurses and operating room
technicians for periods ranging from 8 to 26 weeks.
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EMPLOYEES
As of December 31, 1998, the Company had approximately 1,080 full time
employees. The Company is not a party to any collective bargaining agreements
and considers its relationship with its employees to be good.
INSURANCE
The nature of the services provided by the Company exposes the Company to
risk that certain parties may attempt to recover from the Company for alleged
wrongful acts committed by others. As a result of this risk, the Company
maintains workmen's compensation insurance, comprehensive and general liability
coverage, fire, allied perils coverage and professional liability insurance in
amounts deemed adequate by management to cover all potential risk. There can be
no assurance that potential claims will not exceed the coverage amounts, that
the cost of coverage will not substantially increase or require the Company to
insure itself or that certain coverage will not be reduced or become
unavailable.
ITEM 2: PROPERTIES
The Company leases its approximately 24,000 square foot principal and
executive offices pursuant to a lease with a term of five years remaining. The
Company's 96 imaging centers range in size from approximately 1,500 to 11,400
square feet. Each center consists of a waiting/reception area and one room per
modality, dressing rooms, billing/administration rooms and radiologist
interpreting rooms. The Company owns the real property in which certain of its
centers operate, and leases its remaining centers under leases which expire on
various dates through October 2004 with options, in certain cases, to renew for
additional periods. The Company believes that if it were unable to renew the
lease on any of these facilities, other suitable facilities would be available
to meet the Company's needs.
ITEM 3: LITIGATION
SECURITIES CLASS ACTIONS. Between November 14, 1997 and January 9, 1998,
seven class action lawsuits were filed in the United States District Court for
the District of New Jersey against the Company and certain of the Company's
directors and/or officers. On November 14, 1997, Joan D. Ferrari, who claims to
be a Company stockholder, filed a lawsuit on behalf of all persons who purchased
Common Stock during the period between May 15, 1997 and November 7, 1997. The
Ferrari complaint names as defendants the Company and Gary N. Siegler, Stephen
M. Davis, Gary L. Fuhrman, John H. Josephson and Neil H. Koffler. On November
18, 1997, Tri-Masonry Company, who claims to be a Company stockholder, filed a
complaint on behalf of all persons who purchased Common Stock during the period
between March 19, 1997 and November 10, 1997. On November 19, 1997, Yaakov
Prager, who claims to be a Company stockholder, filed a complaint on behalf of
all persons who purchased Common Stock during the period between May 16, 1997
and November 10, 1997. The Tri-Masonry and Prager complaints name as defendants
the Company, William D. Farrell, John P. O'Malley and Gary N. Siegler. On
November 20, 1997, Albert Schonert, who claims to be a Company stockholder,
filed a complaint on behalf of all persons who purchased Common Stock during the
period between May 15, 1997 and November 7, 1997. The Schonert complaint names
as defendants the Company and Gary N. Siegler, Stephen M. Davis, Gary L.
Fuhrman, John H. Josephson, Neil H. Koffler and William D. Farrell. On December
12, 1997, Anne Benjamin, Scott L. Benjamin, Maxine Benjamin, Donald Benjamin and
Andrew M. Schreiber, who claim to be Company stockholders, filed a complaint on
behalf of all persons who purchased Common Stock during the period between March
31, 1997 and November 10, 1997. The Benjamin complaint names as defendants the
Company and Gary N. Siegler, John P. O'Malley and William D. Farrell. On
December 31, 1997, Allen H. Weingarten, who claims to be a Company stockholder,
filed a complaint on behalf of all persons who purchased Common Stock during the
period between March 19, 1997 and November 10, 1997. The Weingarten complaint
names as defendants the Company and William D. Farrell, John P. O'Malley and
Gary N. Siegler. On January 9, 1998, Roselle Sachs, who claims to be a Company
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stockholder, filed a complaint on behalf of all persons who purchased Common
Stock during the period between May 15, 1997 and November 10, 1997. The Sachs
complaint names as defendants the Company and Gary N. Siegler, Stephen M. Davis,
Gary L. Fuhrman, Neil H. Koffler and William D. Farrell.
The complaints in each action assert that the Company and the named
defendants violated Section 10(b), and that certain named defendants violated
Section 20(a) of the Securities Exchange Act of 1934 (the "Exchange Act"),
alleging that the Company omitted and/or misrepresented material information in
its public filings, including that the Company failed to disclose that it had
entered into acquisitions that were not in the best interest of the Company,
that it had paid unreasonable and unearned acquisition and financial advisory
fees to related parties, and that it concealed or failed to disclose adverse
material information about the Company. The complaints each seek unspecified
compensatory damages, with interest, and the costs and expenses incurred in
bringing the action. On February 9, 1998, the Honorable Joel Pisano, United
States Magistrate Judge, entered an Order consolidating the above-mentioned
class actions for all purposes. On March 31, 1998, the lead plaintiffs in the
consolidated class actions served their Consolidated Class Action Complaint,
asserting that the Company and the named defendants violated Section 10(b) of
the Exchange Act, and that certain named defendants violated Sections 20(a) and
20A of the Exchange Act.
On December 18, 1998, attorneys for the plaintiffs in the pending class
actions reached an agreement in principle with the Company and certain of the
other defendants to settle all of the pending class actions in consideration
primarily of (i) a payment of $2.75 million to be provided by the Company's
insurer and (ii) the issuance of $5.25 million of convertible subordinated
promissory notes (the "Convertible Subordinated Notes"). The $5.25 million of
Convertible Subordinated Notes will bear interest at the rate of 8% per annum,
will be due on the earlier of August 1, 2005 or when the Company's presently
outstanding Senior Notes are paid in full, and may be prepaid in cash by the
Company at any time after issuance subject to the payment of a prepayment
premium which begins at 8% and decreases over time. Additionally, the
Convertible Subordinated Notes are convertible into shares of the Company's
Common Stock beginning February 15, 2000 at a price per share equal to the
greater of $3.00 or 120% of the ten day average closing price of the Company's
Common Stock as of the date of the court hearing to be scheduled to approve the
agreement in principle. The court hearing to approve the agreement in principle
is expected to occur in May 1999.
The agreement-in-principle and the class action settlement contemplated
thereby are further subject to (1) consent to the issuance of the convertible
subordinated notes by the Company's Senior Noteholders and (2) the right of
either the Company or the attorneys representing the class plaintiffs to
terminate the agreement-in-principle if the ten day average closing price of the
Company's Common Stock as of the court hearing date is less than $1.75 per
share. There can be no assurance that the Company's Common Stock will be above
the $1.75 per share price prior to the approval. If such settlement is not
approved or consummated, the Company intends to defend vigorously against the
allegations.
As previously disclosed by the Company, the U.S. Attorney for the District
of New Jersey commenced an investigation in connection with the disclosures
regarding the related-party transactions referenced above. In addition as
previously disclosed, the Company has received an inquiry from the SEC, but no
formal proceedings have been commenced by the SEC. The Company has cooperated
fully with these authorities and provided all information requested by them.
FARRELL ET AL V. MEDICAL RESOURCES, INC. ET AL. On November 7, 1997,
William D. Farrell resigned from his position as President and Chief Operating
Officer of the Company and as Director, and Gary I. Fields resigned from his
position as Senior Vice President and General Counsel. On the same date, Messrs.
Farrell and Fields filed a Complaint in the Superior Court of New Jersey, Law
Division, Essex County, against the Company and the members of the Company's
Board of Directors, claiming retaliatory discharge under the New Jersey
Conscientious Employee Protection Act and breach of contract. On December 17,
1997, the plaintiffs amended their complaint to add a claim for violation of
public policy. The plaintiffs allege that they were constructively terminated as
a result of their objection to certain
17
<PAGE>
related-party transactions, the purported failure of the defendants to
adequately disclose the circumstances surrounding such transactions, and the
Company's public issuance of allegedly false and misleading accounts concerning
or relating to such related-party transactions. The plaintiffs seek unspecified
compensatory and punitive damages, interest and costs and reinstatement of the
plaintiffs to their positions with the Company. On April 8, 1998, the Company
filed its Answer to the Amended Complaint, and asserted a counterclaim against
Messrs. Farrell and Fields for breach of fiduciary duties. The Company intends
to defend vigorously against the allegations.
O'MALLEY V. MEDICAL RESOURCES, INC. ET AL. On November 14, 1997, Mr. John
P. O'Malley III, the former Chief Financial Officer of the Company, filed a
complaint in the Superior Court of New Jersey, Law Division, Essex County,
against the Company and Gary N. Siegler, Neil H. Koffler, Stephen M. Davis, Gary
L. Fuhrman, John H. Josephson and Lawrence Ramaekers, as defendants, claiming
retaliatory discharge under the New Jersey Conscientious Employee Protection Act
and defamation. Mr. O'Malley alleged that the Company terminated his employment
in retaliation for voicing the concerns of shareholders and senior management
regarding related-party transactions and because the Company did not want to
make full and adequate disclosure of the facts and circumstances surrounding
such transactions. In addition, the plaintiff alleged that the Company published
false and defamatory statements about him. Mr. O'Malley sought unspecified
compensatory and punitive damages, interest and costs of bringing the action. On
April 8, 1998, the Company filed its Answer to the Complaint, and asserted a
counterclaim against Mr. O'Malley for breach of fiduciary duties.
On December 18, 1998, Mr. O'Malley, the Company and the other defendants
reached an agreement in principle to settle the O'Malley claims in consideration
of (i) the payment to Mr. O'Malley of approximately $117,000 from a letter of
credit established by the Company in 1996 for the benefit of Mr. O'Malley, (ii)
the Company's agreement to indemnify Mr. O'Malley in connection with future
litigation and (iii) the execution of mutual releases by all parties. The
agreement settling the O'Malley action is subject to court approval which is
expected in May 1999.
WESLEY ACQUISITION. On June 2, 1998, Mr. Ronald Ash filed a complaint
against the Company, StarMed, Wesley Medical Resources, Inc., a subsidiary of
the Company ("Wesley"), and certain officers and directors of the Company in the
United States District Court for the Northern District of California. On June
24, 1997, the Company, acquired the assets of Wesley, a medical staffing company
in San Francisco, California, from Mr. Ash and another party for 45,741 shares
of the Company's Common Stock valued at $2,000,000 and contingent consideration
based on the company achieving certain financial objectives during the three
year period subsequent to the transaction. The Ash complaint, among other
things, alleges that the defendants omitted and/or misrepresented material
information in the Company's public filings and that they concealed or failed to
disclose adverse material information about the Company in connection with the
sale of Wesley to the Company by the plaintiff. The plaintiff seeks damages in
the amount of $4.25 million or, alternatively, rescission of the sale of Wesley.
On October 7, 1998, upon motion by the Company, the Ash action was
transferred from the United States District Court for the Northern District of
California and consolidated with the pending securities class actions in the
United States District Court for the District of New Jersey. The Company
believes that it has meritorious defenses to the claims asserted by plaintiff,
and intends to defend itself vigorously.
OTHER LITIGATION. In the normal course of business, the Company is subject
to claims and litigation other than those set forth above. Management believes
that the outcome of such litigation will not have a material adverse effect on
the Company's financial position, cash flows or results of operations.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
There were no matters submitted to a vote of security holders during the
three months ended December 31, 1998.
18
<PAGE>
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON STOCK AND RELATED
STOCKHOLDER MATTERS
MARKET INFORMATION AND STOCK PRICE
The Company's Common Stock had been traded on the National Association of
Securities Dealers Automated Quotation System (NASDAQ) National Market, under
the symbol MRII, since November 3, 1995, and on the NASDAQ SmallCap Market prior
thereto. From April 20, 1998 through June 18, 1998 the Company's Common Stock
traded under the symbol MRIIE to reflect the fact that NASDAQ had commenced
proceedings to determine whether or not the Company's Common Stock should
continue to be traded on the NASDAQ Stock Market as a result of the Company's
failure to file its Annual Report on Form 10-K for the year ended December 31,
1997 in a timely manner and the failure of the Company's Common Stock to meet
the $5 per share minimum bid price. In order to meet NASDAQ's listing
requirements, the Company effected a one-for-three reverse stock split of its
Common Stock on July 24, 1998. On July 28, 1998, the NASDAQ Qualifications
Listing Panel notified the Company that the Company had complied with NASDAQ's
continued listing qualifications and that the Common Stock would continue to be
listed on The Nasdaq Stock Market.
On October 13, 1998, the Company was notified by NASDAQ that its continued
listing on NASDAQ's National Market System was being reviewed due to the
Company's failure to meet the $5.00 minimum bid price requirement. On March 19,
1999, the Company appeared at a hearing before the NASDAQ Qualifications Hearing
Panel and requested that its stock listing be moved from the Nasdaq National
Market System to the Nasdaq SmallCap Market. On April 22, 1999, the NASDAQ
notified the Company that, as a result of its continued failure to comply with
the requirements for continued listing on the NASDAQ National Market or the
NASDAQ Small Cap Market, the Company's Common Stock had been delisted from
NASDAQ effective as of the close of business on April 22, 1999.
The Company believes that its Common Stock is now eligible for trading on
the OTC Bulletin Board, an electronic quotation medium in which subscribing NASD
members may reflect market making interest in OTC-eligible securities. While
there can be no assurance that its Common Stock will trade on the OTC Bulletin
Board, the Company believes that market makers will continue to make a market in
its shares of Common Stock on the OTC Bulletin Board. It is the Company's
intention, going forward, that it would again seek to be listed on NASDAQ or
another national securities exchange if and when the Company satisfies the
requirements for initial listing.
The following table sets forth for the periods indicated below the high and
low sales prices per share of the Common Stock as reported by NASDAQ and gives
effect to the one-for-three reverse stock split of the Common Stock effected on
July 24, 1998:
<TABLE>
<CAPTION>
HIGH LOW
------- -------
<S> <C> <C>
1997
First Quarter............................................................. $37 1/2 $28 1/2
Second Quarter............................................................ $53 5/8 $29 5/8
Third Quarter............................................................. $60 3/4 $45 3/4
Fourth Quarter............................................................ $63 $23 1/4
1998
First Quarter............................................................. $33 3/8 $14 5/8
Second Quarter............................................................ $19 1/8 $ 6 3/16
Third Quarter............................................................. $12 3/4 $ 2 1/2
Fourth Quarter............................................................ $ 4 3/8 $ 1 1/2
</TABLE>
As of the close of business on March 18, 1999, the last reported sales price
per share of the Company's Common Stock was $2 1/32.
19
<PAGE>
There were 270 holders of record of the Company's Common Stock at the close
of business on March 18, 1999. Such number does not include persons, whose
shares are held by a bank, brokerage house or clearing company, but does include
such banks, brokerage houses and clearing companies.
No cash dividends have been paid on the Company's Common Stock since the
organization of the Company and the Company does not anticipate paying dividends
in the foreseeable future. The payment by the Company of cash dividends is
limited by the terms of the agreement related to its issuance of the Senior
Notes. The Company currently intends to retain earnings for future growth and
expansion opportunities.
There were no securities sold by the Company during the period covered by
this Report on Form 10-K not previously included in the Company's Quarterly
Reports which, pursuant to the exemption provided under Section 4(2) of the
Securities Act of 1933, as amended (the "Securities Act"), were not registered
under the Securities Act.
ITEM 6: SELECTED CONSOLIDATED FINANCIAL DATA
The following selected consolidated historical financial data of the Company
is derived from the Company's consolidated financial statements for the periods
indicated and, as such, reflects the impact of acquired entities from the
effective dates of such transactions and the Statement of Operations Data
reflects StarMed as a discontinued operation due to its August 1998 sale. The
information in the table and the notes thereto should be read in conjunction
with "Management's Discussion and Analysis of Financial Condition and Results of
Operations" and the Company's Consolidated Financial Statements and notes
thereto included elsewhere herein.
<TABLE>
<CAPTION>
FOR THE YEARS ENDED DECEMBER 31,
-------------------------------------------------------
<S> <C> <C> <C> <C> <C>
1998 1997 1996 1995 1994
---------- ---------- --------- --------- ---------
<CAPTION>
(IN THOUSANDS EXCEPT SUPPLEMENTAL AND PER SHARE DATA)
<S> <C> <C> <C> <C> <C>
STATEMENT OF OPERATIONS DATA(1)(2):
Net service revenues.................................... $ 179,056 $ 144,412 $ 64,762 $ 35,860 $ 30,607
Operating income (loss)(5).............................. (10,354) (21,297) 13,700 7,194 1,169
Income (loss) from continuing operations before
extraordinary item.................................... (25,072) (31,968) 6,983 4,246 (938)
Income (loss) from continuing operations per common
share:
Basic(4)............................................ (3.23) (4.96) 1.86 1.65 (.39)
Diluted(4).......................................... (3.23) (4.96) 1.72 1.64 (.39)
SUPPLEMENTAL DATA(1):
Number of consolidated imaging centers at end of
period................................................ 96 98 39 11 8
Total procedures at consolidated imaging
centers............................................... 678,795 527,477 209,970 124,302 101,460
</TABLE>
20
<PAGE>
<TABLE>
<CAPTION>
FOR THE YEARS ENDED DECEMBER 31,
--------------------------------------------------------
<S> <C> <C> <C> <C> <C>
1998 1997 1996 1995 1994
---------- ---------- ---------- --------- ---------
<CAPTION>
(IN THOUSANDS EXCEPT SUPPLEMENTAL AND PER SHARE DATA)
<S> <C> <C> <C> <C> <C>
BALANCE SHEET DATA:(1)
Working capital surplus (deficit)(3)................... $ 30,985 $ (58,174) $ 42,775 $ 10,738 $ 5,834
Total assets........................................... 285,914 338,956 164,514 44,136 40,372
Debt and capital lease obligations classified as
current (3).......................................... 20,374 118,129 12,721 4,202 --
Long term debt and capital lease obligations (excluding
current portion)..................................... 107,657 37,900 21,011 11,157 13,415
Convertible debentures................................. -- -- 6,988 4,350 --
Stockholders' equity................................... 112,223 126,904 106,384 16,966 11,872
</TABLE>
- ------------------------
(1) Statement of Operations Data, Supplemental Data and Balance Sheet Data
reflect the impact of a substantial number of acquisitions during 1997. See
Note 12 of the Notes to Consolidated Financial Statements.
(2) Statement of Operations Data has been restated to reflect the financial
results of StarMed as discontinued operations. See Note 14 of the Notes to
the Consolidated Financial Statements.
(3) As a result of the Company's default of certain financial covenants under
the Company's Senior Notes, the Company's Senior Notes and other loans and
capital leases also subject to acceleration as a result thereof are shown as
current liabilities as of December 31, 1997. See "Management's Discussion
and Analysis of Financial Condition and Results of Operations--Liquidity and
Capital Resources."
(4) Earnings per share amounts for 1998 and 1997 include charges related to
restricted common stock and convertible preferred stock of $496,000 and
$1,938,000, respectively.
(5) Operating loss for 1998 and 1997 include unusual charges. See Note 2 of The
Notes to the Consolidated Financial Statements.
Earnings per share amounts for all periods have been calculated in
conformity with the requirements of Statement of Financial Accounting Standards
(SFAS) No. 128, "Earnings per Share."
21
<PAGE>
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
RESULTS OF CONTINUING OPERATIONS
REVENUE RECOGNITION
At each of the Company's diagnostic imaging centers, all medical services
are performed exclusively by physician groups (the "Physician Group" or the
"Interpreting Physician(s)"), generally consisting of radiologists with whom the
Company has entered into facility services or independent contractor agreements.
Pursuant to such agreements, the Company agrees to provide equipment, premises,
comprehensive management and administration (typically including billing and
collection of receivables) and technical imaging services, to the Interpreting
Physician(s).
Net service revenues are reported, when earned, at their estimated net
realizable amounts from third party payors, patients and others for services
rendered at contractually established billing rates which generally are at a
discount from gross billing rates. Known and estimated differences between
contractually established billing rates and gross billing rates ("contractual
allowances") are recognized in the determination of net service revenues at the
time services are rendered. Subject to the foregoing, the imaging centers
operated or managed by the Company recognize revenue under one of the following
three types of agreements with Interpreting Physician(s):
TYPE I--Pursuant to facility service agreements with Interpreting
Physician(s) or Physician Group, the Company receives a technical fee for each
diagnostic imaging procedure performed at a center, the amount of which is
dependent upon the type of procedure performed. The fee included in revenues is
net of contractual allowances. The Company and the Interpreting Physician(s) or
Physician Group proportionally share in any losses due to uncollectible amounts
from patients and third party payors, and the Company establishes reserves for
its share of the estimated uncollectible amount. Type I net service revenues for
1998 and 1997 were $93,127,000 and $80,818,000, respectively, or 53% and 56% of
Diagnostic Imaging revenues, respectively.
TYPE II--The Company bills patients and third party payors directly for
services provided and pays the Interpreting Physician(s) either (i) a fixed
percentage of fees collected for services performed at the center, or (ii) a
contractually fixed amount based upon the specific diagnostic imaging procedures
performed. Revenues are recorded net of contractual allowances and the Company
accrues the Interpreting Physician(s) fee as an expense on the Consolidated
Statements of Operations. The Company bears the risk of loss due to
uncollectible amounts from patients and third party payors, and establishes
reserves for such amounts. Type II net service revenues for 1998 and 1997 were
$68,843,000 and $55,016,000, respectively, or 40% and 38% of Diagnostic Imaging
revenues, respectively.
TYPE III--Pursuant to facility services agreements, the Company receives,
from an affiliated physician association, a fee for the use of the premises, a
fee for acting as billing and collection agent, and a fee for administrative and
technical services performed at the centers. The affiliated physician
association contracts with and pays directly the Interpreting Physician(s). The
Company's fee, net of an allowance based upon the affiliated physician
association's ability to pay after the association has fulfilled its obligations
(i.e., estimated future net collections from third party payors and patients
less facility lease expense and Interpreting Physician(s) fees), constitutes the
Company's net service revenues. Since the Company's net service revenues are
dependent upon the amount ultimately realized from patient and third party
receivables, the Company's revenue and receivables are reduced by an estimate of
patient and third party payor contractual allowances, and by a provision for
estimated uncollectible amounts. Type III net service revenues for 1998 and 1997
were $12,710,000 and $8,342,000, respectively, or 7% and 6% of Diagnostic
Imaging revenues, respectively.
Revenues derived from Medicare and Medicaid are subject to audit by such
agencies. The Company is not aware of any pending audits.
22
<PAGE>
The Company also recognizes revenue from the licensing and/or sale of
software and hardware constituting radiology information systems which the
Company has developed. Such revenues are recognized on an accrual basis as
earned.
For the year ended December 31, 1998, the fees received or retained by the
Company under the three types of agreements with Interpreting Physician(s)
described above, expressed as a percentage of gross billings net of contractual
allowances for the imaging services provided, range from 78% to 93% for Type I
agreements, 80% to 93% for Type II agreements and 80% to 87% for Type III
agreements. These agreements generally have terms ranging from one to ten years.
YEAR ENDED DECEMBER 31, 1998 COMPARED TO THE YEAR ENDED DECEMBER 31, 1997
For the year ended December 31, 1998, total Company net service revenues
were $179,056,000 versus $144,412,000 for the year ended December 31, 1997, an
increase of $34,644,000 or 24%. This increase resulted from the inclusion for
all of 1998 of centers acquired during 1997, which contributed $37,568,000 in
revenues, net of a $2,924,000 decline in revenues at imaging centers operated by
the Company since January 1, 1997. Revenues at imaging centers operated since
January 1, 1997 decreased 4% to $77,370,000 for the year ended December 31,
1998, from $80,294,000 in 1997, due to the combined effects of an intentional
payor mix change away from personal injury claim business toward more managed
care business, a gradual modality mix change toward lower priced procedures, and
a continuing gradual decline in overall reimbursement rates. Procedure volumes
at imaging centers that have been operated by the Company since the beginning of
1997 were relatively unchanged in 1998 versus 1997. Charges related to doubtful
accounts receivable for the Company's Type III centers, which are reflected as a
reduction of net service revenues, declined to $2,956,000 in 1998 from
$6,777,000 in 1997.
Net service revenues from personal injury claims, mainly involving
automobile accidents, comprised approximately 15% of Diagnostic Imaging net
revenues for 1998, down from approximately 24% for 1997. This decrease resulted
principally from the Company's intentional shift away from such higher-priced
but more problematic business, toward somewhat lower-priced but more reliable
managed care business. Personal injury claim business has historically suffered
from a high bad debt rate and a very long collection cycle. Management believes
that this shift in business will continue during 1999 due principally to the
effects of recently enacted New Jersey and Florida legislation intended to
curtail auto insurance spending on such claims.
Management believes that the 1998 modality mix change away from
higher-priced procedures, such as MR and CT, toward lower-priced procedures to
be the result of the curtailment, over the past 12 to 18 months, of the
Company's regular diagnostic equipment replacement and upgrade program. Since
this program has recently been resumed, this negative trend is expected to slow
and then reverse itself over the course of 1999 and thereafter. The Company
presently intends to replace or upgrade approximately 20 MR systems in its
centers by the end of 1999. While not necessarily indicative of future
performance at the same or other centers, annualized procedure volumes have
increased an average of approximately 46% at three of the Company's centers
where new MR systems were installed during 1998. While the Company intends to
finance new diagnostic equipment via operating leases, there can be no assurance
that such financing will remain available over the course of the planned
equipment upgrade program. Consequently, if such financing or alternate
financing were to become unavailable, the Company's future procedure volumes and
net revenues could be materially adversely affected over time.
The industry in which the Company participates has been experiencing gradual
reimbursement rate declines and this is expected to continue for some period of
time due to factors such as the expansion of managed care in the United States
and reimbursement cuts by U.S. government agencies. The Company will attempt to
mitigate the impact of any further decline in reimbursement rates by decreasing
its costs and increasing patient referral volumes. Nevertheless, if the rate of
decline in reimbursement rates were to materially increase, or if the Company is
unsuccessful in reducing its costs or increasing its volumes, the Company's
results could be materially and adversely affected over time.
23
<PAGE>
Costs of operations totaled $162,553,000 in 1998 as compared to $129,093,000
in 1997. Center-level operating costs (which consist of costs of services and
equipment lease expense) increased $31,548,000, or 35%, to $121,544,000 in 1998
from $89,996,000 in 1997. The increase in center-level operating costs was due
to the inclusion for all of 1998 of centers acquired during 1997, which added
$34,461,000 to 1998 costs, net of a $2,913,000 decrease in center-level
operating costs at imaging centers operated by the Company since the beginning
of 1997. Center-level operating costs at imaging centers operated since the
beginning of 1997 decreased 5% to $50,717,000 in 1998 from $53,630,000 in 1997
due principally to lower equipment maintenance expense and payroll costs in 1998
compared to 1997.
The 1998 provision for doubtful accounts was $16,459,000, or 9% of net
service revenues, compared to $20,364,000, or 14% of net service revenues in
1997. The percentage decrease in the 1998 provision resulted principally from
generally improved performance in billing and collections and from the
installation, over the course of the 1998 year, of the Company's ICIS radiology
information system in the majority of its imaging centers that were acquired in
1997. Nevertheless, both periods experienced bad debt levels significantly
higher than the industry norm. Since the beginning of 1998, the Company has
converted 69 of the imaging centers operated or managed by the Company onto the
ICIS system, bringing to 83 the total number of centers now on ICIS. While this
has improved the Company's financial reporting and billing and collections
capabilities on a going forward basis, it also effectively created many
disparate "legacy" receivables systems comprised of many thousands of relatively
small dollar transactions. Over the course of 1998, Company personnel
maintained, and improved their proficiency on, the ICIS system, while
concurrently attempting to pursue (directly and indirectly through unaffiliated
collection companies) the collection of the legacy systems' receivables.
Although 76% of the legacy systems' receivables were collected during 1998, the
increasing age of the remaining receivables contributed significantly to the
1998 provision for doubtful accounts. Excluding charges attributed to legacy
systems' receivables, the 1998 provision for doubtful accounts approximated 6%
of related net service revenues. As a result of the full year impact of these
system conversions, as well as improvements in overall billing and collection
policies and procedures, the Company expects substantial improvement during 1999
in the collection rate of accounts receivable.
Depreciation and amortization expense for the year ended December 31, 1998
was $24,550,000, compared to $18,733,000 for the year ended December 31, 1997,
or an increase of $5,817,000. The increase was due primarily to the inclusion
for all of 1998 of depreciation and goodwill amortization related to centers
acquired during 1997.
Gross profit increased to $16,503,000 in 1998 from $15,319,000 in 1997.
Expressed as a percentage of net service revenues, gross profit margins
decreased for the year ended December 31, 1998 to 9% from 11% for the year ended
December 31, 1997. This percentage decrease resulted from the previously
explained modality and payor mix change toward lower priced procedures and the
continuing gradual decline in overall reimbursement rates, net of a lower 1998
provision for doubtful accounts.
Corporate general and administrative expense for the year ended December 31,
1998 was $11,507,000, an increase of $112,000 from the $11,395,000 recorded for
the year ended December 31, 1997.
Stock-option based compensation decreased to $380,000 in 1998 from
$2,536,000 in 1997. These non-cash charges are the result of certain 1996 and
1997 stock option grants to employees and directors with respect to which
shareholder approval was obtained subsequent to the grant dates.
During the year ended December 31, 1998, the Company recorded unusual
charges of $14,970,000 consisting of (i) $5,327,000 related to Convertible
Preferred Stock penalties associated with the delay in the effectiveness the
Company's Registration Statement (which has now become effective), (ii)
$4,554,000 associated with the resolution of the shareholder class action
lawsuit, (iii) $3,489,000 attributable to center closings, (iv) $883,000 for
costs associated with the investigation of related party transactions which was
concluded in April 1998, (v) $380,000 for professional fees attributable to
obtaining the waiver and amendment under the Company's Senior Note obligations
and (vi) $337,000 for management termination benefits and related costs. The
Company could incur additional unusual charges during 1999 depending upon the
outcome of the settlement hearing related to the shareholder class action
lawsuit.
24
<PAGE>
The unusual charges attributable to center closings of $3,489,000 are a
result of the Company's review of under-performing centers and its determination
that it would sell or close eight imaging centers during 1998 and early 1999. In
most cases, the Company decided to sell or close these centers due to general
competitive pressures and because of their close proximity to other imaging
centers of the Company which have more advanced imaging equipment or other
competitive advantages. Such charge consists of (i) $1,562,000 for the write-off
of fixed assets, goodwill and other intangibles and other assets, (ii)
$1,086,000 for estimated equipment removal, facility restoration and related
costs and (iii) $841,000 for the estimated costs to exit equipment lease and
facility lease agreements.
During the year ended December 31, 1997, the Company recorded a $12,962,000
loss on impairment of goodwill and other long-lived assets, and $9,723,000 of
other unusual charges.
Net interest expense for the year ended December 31, 1998 was $13,652,000 as
compared to $8,814,000 for the year ended December 31, 1997, an increase of
$4,838,000. This increase was primarily attributable to the inclusion of twelve
months of interest associated with the Senior Notes and higher average
borrowings under other notes payable and lines of credit.
Minority interest increased the Company's loss from continuing operations
before income taxes by $413,000 in 1998, compared to the same effect in 1997 in
the amount of $636,000.
The provision for income taxes for the year ended December 31, 1998
decreased to $653,000 from $1,221,000 in the prior year. The provision for
income taxes for the year ended December 31, 1998 consists entirely of state
income taxes. The income tax benefit calculated based upon the Company's pre-tax
loss in both 1998 and 1997 was eliminated by an income tax valuation allowance
of $5,250,000 and $10,700,000, respectively. These valuation allowances were
recorded due to the uncertainty regarding the recognition of the full amount of
the Company's deferred income tax assets.
The Company's net loss from continuing operations for the year ended
December 31, 1998 was $25,072,000 compared to net loss from continuing
operations for the year ended December 31, 1997 of $31,968,000.
The net loss applicable to common stockholders (used in computing loss per
common share) in the year ended December 31, 1998 includes charges of $496,000
which resulted from accretion of the Company's convertible preferred stock,
compared to charges of $1,938,000 primarily related to Common Stock subject to
redemption in the year ended December 31, 1997.
YEAR ENDED DECEMBER 31, 1997 COMPARED TO THE YEAR ENDED DECEMBER 31, 1996
For the year ended December 31, 1997, the Company's net service revenues
increased $79,650,000, or 123%, to $144,412,000 in 1997 from $64,762,000 in
1996, due primarily to revenues of $60,849,000 contributed by centers acquired
during 1997. Revenues at imaging centers acquired during 1996 increased
$20,585,000, or 93%, to $42,617,000 in 1997 from $22,032,000 in 1996 primarily
as a result of the timing of the 1996 acquisitions, partially offset by an
increase of $5,896,000 in the provision for doubtful accounts receivable related
to Type III centers. Revenues at imaging centers that were operated by the
Company for all of 1997 and 1996 decreased $1,784,000, or 4%, to $40,946,000 in
1997 from $42,730,000 in 1996, primarily as a result of higher contractual
allowances in 1997 and relatively constant procedure volumes.
Total cost of operations for the year ended December 31, 1997 was
$129,093,000, an increase of $82,598,000 from the $46,495,000 recorded in the
year ended December 31, 1996.
Center-level operating costs (consisting of costs of services and equipment
leases) increased $55,170,000, or 158%, to $89,996,000 in 1997 from $34,826,000
in 1996, due primarily to operating costs of $34,849,000 related to centers
acquired during 1997. Center-level operating costs at imaging centers acquired
during 1996 increased $18,155,000, or 149%, to $30,325,000 in 1997 from
$12,170,000 in 1996, primarily as a result of the timing of the 1996
acquisitions. Center-level operating costs at imaging centers that were operated
by the Company for all of 1997 and 1996 increased $2,166,000, or 10%, to
$23,830,000 in 1997 from $21,664,000 in 1996, primarily as a result of higher
payroll and related costs.
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The provision for uncollectible accounts receivable in 1997 was $20,364,000,
or 14% of related net service revenues, compared to the 1996 provision of
$4,705,000 or 7% of related net service revenues. The increase in the provision
for uncollectible accounts receivable was due to the deterioration during 1997
in the aging of the Company's accounts receivable and a reassessment by the
Company of its expected future collections based upon 1997 collection activity,
including analyzing collection experience of its personal injury receivables.
Management believes that the deterioration in the aging of accounts receivable
occurred primarily during the second half of 1997 and was the result of the
Company's substantial acquisition activity in 1997 and the delay in promptly
integrating the billing and collection activities with respect to such
acquisitions. In addition, the Company was without a permanent Chief Financial
Officer from November 1997 until March 1998 which allowed the aging of accounts
receivable to continue to worsen since significant management resources were not
directed at improving billing and collections during that period. During the
fourth quarter of 1997, as the age of the specific bills lengthened, the ability
to research and pursue the old receivables worsened and hence it was determined
that the reserve was required for a substantial number of these older
receivables.
Depreciation and amortization expense in 1997 was $18,733,000, compared to
$6,964,000 in 1996, or an increase of $11,769,000 due primarily to higher
equipment depreciation of $6,585,000 resulting from 1997 acquisitions and
increased goodwill amortization of $4,638,000.
Gross profit decreased to $15,319,000 in 1997 from $18,267,000. Gross profit
margins, as a percent of net service revenues, decreased for the year ended
December 31, 1997 to 11% from 28% for the year ended December 31, 1996 due
primarily to higher contractual allowance estimates, including a component
associated with the provision for doubtful accounts receivable related to the
Company's Type III revenue, as described above, and generally higher costs.
Corporate general and administrative expense in 1997 was $11,395,000, an
increase of $6,828,000 from the $4,567,000 recorded in 1996. This increase was
primarily due to higher payroll and related costs as a result of the expanded
business development activities and the resulting growth experienced during the
year.
During 1997, the Company recorded $2,536,000 of stock-option based
compensation expense. This non-cash charge was related to stock option grants to
employees and directors during 1996 and early 1997 that were subsequently
approved by the Company's stockholders in May 1997.
During 1997, the Company recorded a $12,962,000 loss from the impairment of
goodwill and other long-lived assets. This loss consists of the write-off of
goodwill of $10,425,000, covenants not to compete of $118,000 and fixed assets
of $2,419,000. The write-down of fixed assets primarily relates to imaging
equipment. Substantially all of the impairment relates to eight of the Company's
diagnostic imaging centers which were under performing. The Company has recorded
impairment losses for these centers because the sum of the expected future cash
flows, determined based on an assumed continuation of current operating methods
and structures, does not cover the carrying value of the related long-lived
assets. The operating performance of these centers declined during 1997 due
primarily to declines in referrals and the Company did not believe that these
centers would materially improve in the future.
During 1997, the Company also recorded $9,723,000 of other unusual charges
consisting of (i) $3,256,000 for the estimated net costs associated with the
resolution of the shareholder and employee lawsuits, (ii) $2,243,000 for higher
than normal professional fees, (iii) $2,169,000 ($2,051,000 of which was a
non-cash charge related to the issuance of 817,000 common stock warrants) for
penalties associated with delays in the registration of the Company's common
stock issued in connection with acquisitions or issuable upon conversion of
convertible preferred stock, (iv) $1,150,000 for the loss on investment related
to a potential acquisition not consummated, (v) $469,000 for costs associated
with the investigation of related party transactions and (vi) $436,000 for
management termination benefits and related costs.
Net interest expense for 1997 was $8,814,000 as compared to $2,834,000 for
1996, an increase of $5,980,000. This increase was primarily attributable to
higher outstanding debt, including the issuance of
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$78,000,000 of Senior Notes during 1997, notes payable of $36,505,000 and
capital lease obligations totaling $26,612,000 assumed in connection with the
Company's acquisitions.
The Company's earnings in 1997 were reduced by $636,000 attributable to
minority interests, as compared to $308,000 in 1996. The increase of $328,000 is
primarily due to the acquisition of entities during 1997 that operate limited
partnerships with minority holdings.
The provision for income taxes in 1997 was $1,221,000, as compared to
$3,575,000 in 1996. During 1997, the income tax benefit calculated based upon
the Company's pre-tax loss was reduced by an income tax valuation allowance of
$10,700,000. This valuation allowance was recorded due to uncertainty regarding
the realization of the full amount of the Company's net deferred income tax
assets.
The Company's net loss from continuing operations for 1997 was $31,968,000
compared to net income from continuing operations for 1996 of $6,983,000.
The net loss applicable to common stockholders (used in computing loss per
common share) in 1997 includes charges of $1,938,000 related to Common Stock
subject to redemption and convertible preferred stock. These charges relate to
price protection agreements provided in connection with the Company's 1997
acquisitions of $1,696,000 and the accretion of the Company's preferred stock of
$242,000.
RESULTS OF DISCONTINUED OPERATIONS
PERIOD FROM JANUARY 1, 1998 TO AUGUST 15, 1998 COMPARED TO YEAR ENDED DECEMBER
31, 1997
Net service revenues for StarMed were $51,087,000 for the period ended
August 15, 1998 (which represents seven and one-half months) compared to
$57,974,000 for the year ended December 31, 1997, representing an increase of
41% in average monthly revenues. This increase resulted principally from the
opening of new Per Diem Division offices during 1997 and 1998.
Operating costs for StarMed for the period ended August 15, 1998 were
$40,568,000 compared to $47,123,000 for the year ended December 31, 1997,
representing an increase of 38% in average monthly operating costs. This
increase also resulted principally from the opening of new Per Diem Division
offices during 1997 and 1998.
Net earnings related to StarMed increased to $1,806,000 for the period ended
August 15, 1998 from $729,000 for the year ended December 31, 1997.
STARMED SALE
Effective August 18, 1998, the Company sold 100% of its stockholdings in
StarMed to RehabCare Group, Inc. (the "StarMed Sale") for gross proceeds of
$33,000,000 (before repayment of $13,786,000 of StarMed's outstanding third
party debt in accordance with the terms of sale). Due to the StarMed Sale, the
results of operations of StarMed are herein reflected in the Company's
Consolidated Statements of Operations as discontinued operations.
Gross cash proceeds from the StarMed Sale were used as follows: (i)
$13,786,000 was used to retire StarMed's outstanding third-party debt (in
accordance with the terms of sale) (ii) $2,000,000 was placed in escrow to be
available, for a specified period of time, to fund indemnification obligations
that may be incurred by the Company (part or all of this amount may be payable
to the Company over time), and (iii) $2,186,000 was used to fund cash costs
associated with the sale. The remaining net proceeds of $15,028,000 increased
the Company's consolidated cash balances at closing. For accounting purposes,
the sale resulted in an after-tax gain of $3,905,000 in 1998. In connection with
the sale of StarMed, $2,000,000 of net proceeds was applied as a partial
repayment of the Company's $78,000,000 of Senior Notes.
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LIQUIDITY AND CAPITAL RESOURCES
CASH FLOWS
During the year ended December 31, 1998, the Company's primary source of
cash flow was (i) proceeds from the sale of the Company's StarMed Staffing
subsidiary of $28,814,000 (before repayment of StarMed's third party debt but
after the expenses of sale) and (ii) cash flow provided by operating activities
of $14,225,000. The primary use of cash during the period was the repayment of
$36,745,000 of interest bearing debt (including $13,786,000 of StarMed's
third-party debt repaid in accordance with the terms of the StarMed Sale) and
principal amount of capital lease obligations. The Company also used cash of
$8,621,000 for the repurchase of Common Stock subject to redemption as a result
of the exercise of repurchase rights granted by the Company in connection with
certain 1997 center acquisitions.
Cash flow from operating activities was favorably impacted by the receipt of
$7,948,000 of net income tax refunds, but adversely affected by an increase of
$3,760,000 in accounts receivable, net of provision for doubtful accounts (such
amount includes an increase of $2,540,000 related to StarMed prior to its sale).
The increase in accounts receivable is the result of difficulties experienced in
integrating the billing and collection systems of centers acquired during 1997.
In order to further improve the Company's billings and collections, since the
beginning of 1998 the Company has converted 69 of its imaging centers onto its
ICIS radiology information system, bringing to 83 the total number of centers
now on ICIS. As a result of the full year impact of these system conversions, as
well as improvements in overall billing and collection policies and procedures,
the Company expects substantial improvement during 1999 in the collection rate
of accounts receivable.
During 1997, the Company's primary source of cash flow was from financing
activities, including net proceeds from the Senior Notes of $76,523,000, net
proceeds from the issuance of convertible preferred stock of $16,965,000, and
other financing activities. The primary use of cash was to fund acquisitions
which totaled $73,121,000 and to fund the repayment of certain notes and capital
lease obligations of $13,764,000. Operating activities resulted in a net use of
cash of $5,322,000 during 1997 due primarily to increases in accounts
receivable.
Net cash provided by operating activities for 1996 was $1,450,000. In 1996,
net cash used in investing activities totaled $16,703,000 which includes (i)
$8,569,000 expended for the purchase of diagnostic imaging centers, offset by
$2,156,000 of cash acquired in the acquisition of NMR, (ii) $2,314,000 for the
purchase of Per Diem staffing businesses and (iii) $184,000 for the purchase of
limited partnership interests. During 1996, the Company purchased $6,137,000 of
investments, $4,500,000 of these investments were subsequently set aside
(restricted) pursuant to the terms of a letter of credit issued in connection
with an acquisition. An additional $600,000 in cash was set aside (restricted)
pursuant to a letter of credit issued in conjunction with a consulting agreement
to which the Company is a party. The Company expended $1,070,000 in 1996 for
medical diagnostic and office equipment. Financing activities provided
$27,109,000 in cash during the year ended December 31, 1996, which consisted of
net proceeds of $25,164,000 received through a public offering of the Company's
Common Stock, $6,533,000 of net proceeds from the issuance of subordinated
debentures, $1,229,000 proceeds from borrowings during the year (used to
purchase equipment for the imaging centers), $2,022,000 realized from the
exercise of stock options and warrants, offset by $7,773,000 utilized for the
repayment of debt and capital lease obligations and $64,000 used to purchase
shares of the Company's Common Stock.
The Company has never declared a dividend on its Common Stock and, under the
Company's Senior Note agreement, the payments of such dividends is not
permitted.
SENIOR NOTES
During 1998, as a result of its net loss for 1997 and the late filing of its
1997 Annual Report on Form 10-K, the Company was in default of certain financial
covenants under its $78,000,000 of Senior
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Notes and certain medical equipment notes, and operating and capital leases of
the Company (the "Cross-Default Debt"). In the event that the Senior Note
lenders or the holders of the Cross Default Debt had elected to exercise their
respective right to accelerate the obligations under the Senior Notes or the
other loans and leases, such acceleration would have had a material adverse
effect on the Company, its operations and its financial condition. As a result
of the uncertainty related to the defaults and corresponding remedies described
above, the Senior Notes and the Cross Default Debt were shown as current
liabilities on the Company's Consolidated Balance Sheet at December 31, 1997.
On September 23, 1998, the Company executed a waiver and amendment agreement
with the Senior Note lenders with respect to covenant defaults and certain
covenant modifications pursuant to which such lenders agreed to waive all then
existing covenant defaults and modify the financial covenants applicable over
the remaining term of the Senior Notes. In consideration for the waivers and
covenant modifications, the Company increased the effective blended interest
rate on the Senior Notes from 7.87% to 9.00% and issued to the Senior Note
lenders warrants to acquire 375,000 shares of the Company's Common Stock at an
exercise price of $7.67 per common share. In addition, the Company repaid
$2,000,000 in principal outstanding on the Senior Notes (without premium) and
paid a fee to the Senior Note lenders of $500,000. In March 1999, the Senior
Note lenders and the Company entered into an agreement to exclude $10,506,000 of
the 1998 provision for doubtful accounts and certain other unusual charges for
purposes of determining financial covenant compliance. As a result, the Company
continues to be in compliance with the financial covenants underlying the Senior
Notes.
MARKET RISK DISCLOSURE
The Company's financial instruments consist principally of its notes payable
and mortgages with a carrying amount of $103,575,000 as of December 31, 1998.
Practically all such notes and mortgages have fixed interest rates. The impact
of a 2% increase in market interest rates on the fair value of such notes and
mortgages would be a reduction in fair value of $5,398,000.
WORKING CAPITAL
The Company has a working capital surplus of $30,985,000 at December 31,
1998 compared to a working capital deficit of $58,174,000 at December 31, 1997.
The improvement in working capital is due primarily to the reclassification of
the Senior Notes and Cross Default Debt as long-term debt in the December 31,
1998 Consolidated Balance Sheet.
OTHER OBLIGATIONS OF THE COMPANY
In connection with certain of the Company's 1997 center acquisitions in
which the Company issued shares of its Common Stock as consideration, the
Company agreed to register such shares for resale pursuant to the federal
securities laws. In certain of such acquisitions, the Company granted specific
remedies to the sellers, including the right to require the Company to
repurchase the shares issued to such sellers, in the event that a registration
statement covering the relevant shares was not declared effective by the
Securities and Exchange Commission (the "SEC") within an agreed-upon period of
time. As of December 31, 1997, the Company had reflected $9,734,000 of Common
Stock subject to redemption on its Consolidated Balance Sheets related to shares
potentially to be repurchased by the Company. During 1998, the Company paid
$8,621,000 to sellers who exercised their rights to have shares of Common Stock
repurchased, and the remaining $1,114,000 of such repurchase obligations lapsed
and were reflected as an increase in stockholders' equity. As of December 31,
1998, the Company had no obligation to purchase any additional shares of Common
Stock.
In addition, in connection with certain of such acquisitions, the Company
agreed with the sellers in such acquisitions to pay to the seller (in additional
shares and/or cash) an amount equal to the shortfall, if any (the "Price
Protection Shortfall"), in the value of the issued shares and the market value
of such shares
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on the effective date of the Company's registration statement. Based upon the
closing sales price of the Company's Common Stock on October 2, 1998 ($2.67 per
share), the date on which the Company's registration statement was declared
effective, the Company issued 590,147 shares of Common Stock and became
obligated to pay during 1999 an additional $1,659,000 with respect to all such
Price Protection Shortfall obligations.
In addition, in connection with certain of the Company's acquisitions, the
Company agreed with the relevant sellers that all or a portion of the
consideration for such acquisitions would be paid on a contingent basis based
upon the profitability, revenues or other financial criteria of the acquired
business during an agreed-upon measurement period following the closing of the
acquisition (usually, one to three years). The specific terms of such contingent
consideration differ for each acquisition. In connection with certain
acquisitions, the Company and the relevant sellers have agreed to a maximum
amount of contingent consideration and in other cases the parties have agreed
that any payment of such contingent consideration may be paid in cash or shares
of Common Stock, or a combination of both. Although the Company has the option,
in certain cases, to pay certain of such amounts in shares of Common Stock, the
Company may be required to pay significant cash funds to sellers in the event
such earnout provisions are triggered. In addition, the issuance by the Company
of shares of Common Stock in payment of any such owed amounts could be dilutive
to the Company's stockholders. Contingent consideration associated with
acquisitions is recorded as additional purchase price when resolved.
During 1997, the Company issued 18,000 shares of Series C Convertible
Preferred Stock, $1,000 stated value per share (the "Series C Preferred Stock")
to RGC International, LDC ("RGC"). Each share of the Series C Preferred Stock is
convertible into such number of shares of Common Stock as is determined by
dividing the stated value ($1,000) of each share of Series C Preferred Stock
plus 3% per annum from the closing date to the conversion date by the lesser of
(i) $62.10 or (ii) the average of the daily closing bid prices for the Common
Stock for the five (5) consecutive trading days ending five (5) trading days
prior to the date of conversion. Pursuant to the Preferred Stock agreements, the
Company was required to use its best efforts to include the shares of Common
Stock issuable upon conversion of the Series C Preferred Stock (the "RGC
Conversion Shares") in an effective Registration Statement not later than
October 1997, or such other mutually agreed upon date, providing for monthly
penalties ("RGC Registration Penalties") in the event that the Company failed to
register the Conversion Shares prior to such date.
As a result of the Company's failure to register the RGC Conversion Shares
until October 2, 1998, the Company: (i) issued warrants to RGC to acquire (a)
272,333 shares of Common Stock at an exercise price equal to $34.86 per share
(the "December 1997 Warrants") and (b) 116,666 shares of Common Stock at an
exercise price of $38.85 per share (the "January 1998 Warrants") (such warrants
having an estimated value, for accounting purposes, of $3,245,000) and (ii)
issued promissory notes bearing interest at 13% per annum (the "RGC Penalty
Notes") in the aggregate principal amount of $2,451,000 due and payable, as
amended, in eleven monthly payments beginning on December 1, 1998 and ending on
October 1, 1999. Pursuant to an agreement with RGC, entered into as of May 1,
1998, the exercise price of certain December 1997 Warrants to acquire 77,667
shares of Common Stock was reduced to $2.73 per share, and the exercise price of
all of the January 1998 Warrants was reduced to $2.73 per share. The principal
amount of and interest accrued on the RGC Penalty Notes may be converted, at the
option of RGC in certain circumstances, into additional shares of Series C
Preferred Stock or into Common Stock.
In addition, as a result of the Company's failure to register the RGC
Conversion Shares prior to September 15, 1998, RGC may demand a one-time
additional penalty of $1,490,000 (the "Registration Default Penalty"), payable,
at the option of RGC, in cash or additional shares of Common Stock. Pursuant to
an agreement between the Company and RGC, RGC has agreed that the Registration
Default Penalty may not be exercised prior to April 15, 1999, and would be
waived in the event that the Company redeems all of the outstanding Series C
Convertible Preferred Stock prior to such date. The Company believes that it
will not be able to redeem the Series C Convertible Preferred Stock by April 15,
1999 and there can be no assurance that the Company will be able to extend such
date. Purchasers of Common Stock could
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therefore experience substantial dilution upon conversion of the Series C
Preferred Stock, the RGC Penalty Notes and the exercise of December 1997
Warrants and January 1998 Warrants.
On June 18, 1998 and November 19, 1998, respectively, 2,500 shares and 600
shares of Series C Preferred Stock were converted into 373,220 and 340,347
shares of Common Stock, respectively. Accordingly, as of December 31, 1998,
14,900 shares of the Company's Series C Preferred Stock were issued and
outstanding.
In addition to matters discussed above, the Company is subject to litigation
that may require additional future cash outlays. See "ITEM 3: LITIGATION"
FINANCIAL RESOURCES
Prior to 1998, the Company incurred substantial debt in connection with
acquisitions of imaging centers. As of December 31, 1998, the Company's debt,
including capitalized lease obligations, totaled $128,031,000, of which
$20,374,000 comes due during 1999. Of this $20,374,000 amount, $4,968,000 has
been retired via cash payments through February 28, 1999; principally as a
result of these scheduled 1999 debt and capital lease retirements, cash
available to Medical Resources, Inc. for general corporate use declined from
$13,479,000 as of December 31, 1998 to $8,080,000 as of February 28, 1999 (both
balances exclude cash held by non-wholly owned affiliates as of the indicated
dates, since such cash amounts are not readily available to Medical Resources,
Inc. for general corporate purposes). However, some portion of such excluded
cash is expected to be available to satisfy that portion of the Company's
remaining 1999 short term debt which is attributable to non-wholly owned
affiliates.
Other than operating lease obligations to finance new diagnostic equipment,
the Company does not expect to incur significant additional debt in the near
future. Additionally, due to ongoing cost reduction initiatives and due to
improvements made and being made to the Company's billing and collections
systems and procedures, the Company expects 1999 cash flows from operations to
improve from the level achieved in 1998. Based on these factors, management
believes that existing available cash balances, plus expected 1999 cash flows
from operations, will be adequate to fund the Company's 1999 cash requirements.
In March 1999, the Company announced that it had retained the investment
banking firm of BT Alex. Brown to act as its financial advisor and to assist it
in exploring strategic alternatives aimed at strengthening the Company and its
financial resources.
COMMON STOCK
In July 1998, the Company's shareholders approved a reverse stock split of
the Company's outstanding shares of Common Stock. As a result of the reverse
stock split, each three outstanding shares of Common Stock were automatically
converted into one share of new Common Stock. The share data included herein
have been adjusted to reflect the impact of the reverse stock split.
On October 13, 1998, the Company was notified by NASDAQ that its continued
listing on NASDAQ's National Market System was being reviewed due to the
Company's failure to meet the $5.00 minimum bid price requirement. On March 19,
1999, the Company appeared at a hearing before the NASDAQ Qualifications Hearing
Panel and requested that its stock listing be moved from the NASDAQ National
Market System to the NASDAQ SmallCap Market. On April 22, 1999, the NASDAQ
notified the Company that, as a result of its continued failure to comply with
the requirements for continued listing on the NASDAQ National Market or the
NASDAQ Small Cap Market, the Company's Common Stock had been delisted from
NASDAQ effective as of the close of business on April 22, 1999.
The Company believes that its Common Stock is now eligible for trading on
the OTC Bulletin Board, an electronic quotation medium in which subscribing NASD
members may reflect market making interest in OTC-eligible securities. While
there can be no assurance that its Common Stock will trade on the OTC
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Bulletin Board, the Company believes that market makers will continue to make a
market in its shares of Common Stock on the OTC Bulletin Board. It is the
Company's intention, going forward, that it would again seek to be listed on
NASDAQ or another national securities exchange if and when the Company satisfies
the requirements for initial listing.
SEASONALITY AND INFLATION
The Company believes that its business is only moderately affected by
seasonality. The third quarter is typically the slowest quarter of the year
because the months of July and August are the principal vacation months of the
year. The impact of inflation and changing prices on the Company has been
primarily limited to salary, medical and film supplies and rent increases and
has not been material to date to the Company's operations. Notwithstanding the
foregoing, general inflation trends and continuing reimbursement rate pressures
in the future may cause the Company not to be able to raise prices for its
diagnostic imaging procedures by an amount sufficient to offset the negative
effects of increasing costs. While the Company has responded to these concerns
in the past by increasing the volume of its business, there can be no assurance
that the Company will be able to increase its volume of business in the future.
These trends, if continued over time, could have a material adverse effect on
the financial results of the Company.
IMPACT OF YEAR 2000 ON COMPANY'S COMPUTER SOFTWARE
The Company is preparing for the impact of the arrival of the Year 2000 on
its business, as well on the businesses of its customers, supplier and business
partners. The "Year 2000 Problem" is a term used to describe the problems
created by systems that are unable to accurately interpret dates after December
31, 1999. These problems are derived predominately from the fact that certain
computer hardware and many software programs historically recorded a date's
"year" in a two-digit format (i.e., "98" for 1998) and therefore may recognize
the year "00" as 1900 instead of the Year 2000. The Year 2000 Problem creates
potential risks for the Company, including the inability to recognize or
properly treat dates occurring on or after January 1, 2000, which may result in
computer system failures or miscalculations of critical financial or operational
information as well as failures of equipment controlling date-sensitive
microprocessors influencing patient care.
In addition to internal systems, the Company relies heavily on third parties
in operating its business. Such third parties include (1) vendors who supply
software, hardware and other equipment to the Company, (2) fiscal intermediaries
that process claims and payments on behalf of the various payors, (2) insurance
companies, HMO's and other private payors, (3) utilities which provide
electricity, water, natural gas and telephone services and (4) vendors of
medical supplies and pharmaceuticals used in patient care.
The Company began formulating a plan in 1998 to address the Year 2000
Problem and to ensure that all relevant systems had been subject to a full Year
2000 review and, if necessary, remediation, replacement or upgrade. Under the
plan, the Company has focused on (i) internal financial, operational and medical
software and equipment and (ii) the Year 2000 compliance of all third party
suppliers and fiscal intermediaries doing business with the Company. In
connection with its Year 2000 compliance activities, the Company has contacted
all outside vendors and intermediaries with which the Company has material
relationships and engaged in discussions which will continue throughout 1999 in
furtherance of the Company's stated goal of minimizing any adverse impact
related to the Year 2000 Problem.
The Company has completed its assessment of all material financial and
billing computer systems. In connection with this review, the Company completed
the upgrade of its financial accounting systems to Year 2000 compliant systems
in January 1999. This system is currently being tested to verify Year 2000
compliance, and such testing should be completed during April, 1999. The
Company's ICIS billing and collection system will be upgraded to full Year 2000
compliance in April 1999, and is expected to be fully installed and tested by
September 1999. The costs and expenses incurred or expected to be incurred
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relating to Year 2000 compliance for these systems is currently not expected to
be material. Software sold by the Company's wholly-owned subsidiary, Dalcon
Technologies, Inc. is expected to be fully Year 2000 compliant by April 1999 and
fully installed and tested at all 300 customer sites supported by Dalcon by
September 1999. Computer equipment at Dalcon Technologies, Inc. has been
inventoried and testing is underway for Year 2000 compliance. This testing is
expected to be completed by June 1999.
The Company is in the process of completing its review of all diagnostic
imaging equipment in operation at the Company's centers. Each piece of
diagnostic equipment in operation has computer systems and applications, and in
many cases, embedded computer processors. The Company is in communication with
all of the manufacturers of such equipment and believes that a majority of the
equipment is either currently Year 2000 compliant or can be upgraded (either
through software modifications or hardware replacement) to become Year 2000
compliant. The Company expects to complete its review of all diagnostic imaging
equipment no later than June 1999, and expects all necessary upgrades or other
remediation to be completed no later than September 1999. In the event that
certain diagnostic imaging equipment is not Year 2000 compliant and no upgrade
or remediation is available, the Company expects to provide for the replacement
of such equipment prior to November 1999.
With regard to third parties, the Company has initiated a program to
determine whether the computer applications of its significant payors and
suppliers will be upgraded in a timely manner. Compliance letters have been sent
to all such payors and suppliers, and follow up will continue throughout 1999. A
significant portion of the Company's revenues are derived from the Medicare
program, which is administered by the Health Care Financing Administration
(HCFA). HCFA employs more than 60 carriers and intermediaries to process
Medicare fee-for-service claims throughout the nation. There are several hundred
different computer systems involved in the everyday work of HCFA, its carriers
and intermediaries.
HCFA has announced the establishment of March 30, 1999 as its target date to
complete testing of its mission critical systems and, at that time, will certify
to the Secretary of Health and Human Services that its mission critical systems
will be Year 2000 compliant. There can be no assurance that HCFA will meet that
timetable or that it will have its mission critical systems, which most directly
affect the Company, Year 2000 compliant in time to prevent disruptions to the
Medicare payments received by the Company. Moreover, HCFA has announced the
delayed implementation of certain new regulations as well as the possible
postponement of scheduled rate increases while its resources are redirected
towards Year 2000 compliance. While certain members of Congress have taken
strong exception to HCFA's announcement to delay rate increases, it is possible
that rate increases, which were scheduled to take effect on October 1, 1999,
could be delayed until after December 31, 1999.
The Company estimates that costs and expenses associated with completing its
outlined Year 2000 compliance plan will range from $500,000 to $900,000. The
Company presently believes that it will substantially complete its internal Year
2000 compliance program prior to January 1, 2000, and that there should be no
material adverse impact at such time related to Year 2000 Problems associated
with the Company's systems or software. Based on communications with its vendors
and suppliers, the Company also believes that each third party or intermediary
with whom the Company has a material relationship is currently Year 2000
compliant or scheduled to be Year 2000 compliant by January 1, 2000.
Despite the Company's best efforts, there can be no assurance that (i) the
Company's assessments regarding the Year 2000 Problem are correct; (ii) the
Company will be able to successfully complete its Year 2000 review and implement
such upgrades and/or remediation as is necessary or (iii) third parties or
suppliers with whom the Company does business will avoid Year 2000 Problems
which might adversely affect the Company's business or operations. While the
Company is developing contingency plans to address such failures or unexpected
problems (such plans to include identification of alternative suppliers or
intermediaries), there can be no assurance that such contingency plans will be
adequate to resolve these problems.
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The Year 2000 Problem involves substantial risk to the Company. The Company
believes today that the likely worst case scenario regarding the Year 2000
Problem will involve (1) malfunctions in clinical computer software and hardware
at certain of the imaging centers operated and/or managed by the Company, (2)
malfunctions in biomedical equipment at certain of the imaging centers operated
and/or managed by the Company, (3) temporary disruptions in delivery of medical
supplies and utility services to certain of the imaging centers operated and/or
managed by the Company and (4) temporary disruptions in payments, especially
payments from Medicare and other government programs. The Company expects such
events, should they occur in whole or in part, will result in increased expense
as the affected facilities refer tests and other procedures to other parties,
access alternative suppliers and increase staffing to assure adequate patient
care. These events may also cause lost revenue for procedures which certain of
the imaging centers operated and/or managed by the Company are unable to
perform.
The foregoing assessment is based on information currently available to the
Company. The Company will revise its assessment as it implements its Year 2000
compliance plan. The Company can provide no assurances that applications and
equipment believed to be Year 2000 compliant will not experience difficulties or
the Company will not experience difficulties obtaining resources needed to make
modifications to or replace the Company's affected systems and equipment.
Failure by the Company or third parties, on which it relies to resolve Year 2000
issues, could have a material adverse effect on the Company's results of
operations and its ability to provide health care services as described more
fully herein.
RECENT ACCOUNTING PRONOUNCEMENTS
SFAS No. 131, "Disclosure About Segments of an Enterprise and Related
Information", requires a public entity to report financial and descriptive
information about its reportable operating segments. The Company believes that
due to the immaterial size of their radiology industry information systems
business, this accounting pronouncement will not require additional disclosure.
Statement of Position 98-5, "Reporting on the Costs of Start-Up Activities",
requires an entity to expense costs incurred in conjunction with start-up
activities, for fiscalyears beginning after December 15, 1998. The Company
believes that this statement will not have a material effect on the Company's
financial position, cash flow or results of operations.
DISCLOSURE REGARDING FORWARD LOOKING STATEMENTS
Statements contained in this Annual Report on Form 10-K that are not
historical facts are forward-looking statements within the meaning of the
Private Securities Litigation Reform Act of 1995. Investors are cautioned that
forward-looking statements are inherently uncertain. Actual performance and
results may differ materially from that projected or suggested herein due to
certain risks and uncertainties including, without limitation: the ability of
the Company to effectively integrate the operations and information systems of
businesses acquired in 1997; the ability of the Company to generate net positive
cash flows from operations; the payment timing and ultimate collectibility of
accounts receivable (including purchased accounts receivable) from different
payor groups (including Personal Injury type); the economic impact of
involuntary share repurchases and other payments (including price protection
payments and penalty payments) caused by the delay in the effectiveness of the
Company's Registration Statement and by the decline in the Company's share
price; the potential dilution that would result from the conversion of the
Company's Series C Convertible Preferred Stock into common shares at current
share prices; the impact of a changing mix of managed care and personal injury
claim business on contractual allowance provisions, net revenues and bad debt
provisions; the ability of the Company to meet all of the conditions precedent
to final settlement of the class action litigation against the Company and
certain of its Directors pursuant to the settlement agreement-in-principle
entered into December 1998; the ultimate economic impact of former management
lawsuits against the Company and certain of its Directors; the availability of
debt and/or equity capital, on reasonable terms, to finance operations as needed
and to finance growth; the
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availability of lease financing, in general and on reasonable terms, for the
replacement or upgrade of the Company's diagnostic equipment as required to
remain competitive; and the effects of federal and state laws and regulations on
the Company's business over time. Additional information concerning certain
risks and uncertainties that could cause actual results to differ materially
from that projected or suggested may be identified from time to time in the
Company's Securities and Exchange Commission filings and the Company's public
announcements.
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
Registrant's response to this item is incorporated herein by reference to
the consolidated financial statements and consolidated financial statement
schedule and the reports thereon of independent auditors, listed in Item
14(a)(l) and (2) and appearing after the signature page to this Annual Report on
Form 10-K.
ITEM 9. CHANGES AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL
DISCLOSURE
On December 4, 1997, PricewaterhouseCoopers LLP ("PricewaterhouseCoopers")
resigned as auditor of the Company.
In connection with the audit of the Company's financial statements for the
fiscal year ended December 31, 1996 and in the subsequent interim period (the
"Reporting Period"), there were no matters of disagreement with
PricewaterhouseCoopers on any matters of accounting principles or practices,
financial statement disclosure, or auditing scope or procedures which, if not
resolved to the satisfaction of PricewaterhouseCoopers, would have caused
PricewaterhouseCoopers to make reference thereto in their report. During the
Reporting Period, PricewaterhouseCoopers' report on the Company's financial
statements did not contain an adverse opinion or a disclaimer of opinion nor was
it qualified or modified as to uncertainty, audit scope, or accounting
principles.
On December 8, 1997, the Company engaged Ernst & Young, LLP ("Ernst &
Young") to audit the financial statements of the Company. Ernst & Young had
previously served as the Company's independent auditors for the fiscal years
ended December 31, 1994 and 1995.
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PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE COMPANY
Set forth below is certain information with respect to each nominee for
director and each executive officer of the Company:
<TABLE>
<CAPTION>
NAME AGE POSITION
- ------------------------------------ --- ---------------------------------------------------------------------
<S> <C> <C>
Sally W. Crawford................... 45 Director
Peter B. Davis...................... 53 Director
Gary L. Fuhrman..................... 38 Director
John H. Josephson................... 37 Director
Duane C. Montopoli.................. 50 Chief Executive Officer, President and Director
Gary N. Siegler..................... 37 Director
D. Gordon Strickland................ 52 Chairman of the Board and Director, Chairman of the Executive
Committee
Michael J. Drumgoole................ 53 Senior Vice President--Imaging Business
Christopher J. Joyce................ 35 Senior Vice President--Legal Affairs and Administration and Secretary
Geoffrey A. Whynot.................. 40 Chief Financial Officer and Senior Vice President--Finance
</TABLE>
SALLY W. CRAWFORD was appointed a director of the Company by the Board of
Directors in June 1998 and is a member of the Board's Audit Committee. Ms.
Crawford was the Chief Operating Officer of Healthsource Inc. from 1985 to 1997.
Prior thereto, Ms. Crawford was employed by Beacon Health where she was the
marketing director. Ms. Crawford is also a director of Harborside Healthcare,
Yankee Publishing and CYTYC Corporation.
PETER B. DAVIS was appointed a director of the Company by the Board of
Directors in June 1998 and is a member of the Board's Compensation Committee.
Mr. Davis is the President and the Chief Executive Officer of St. Joseph
Hospital in Nashua, New Hampshire. From January 1997 through June 1998, Mr.
Davis was also Interim President and CEO of Optima Healthcare, a New Hampshire
joint operating company, where he had been employed since January 1997.
GARY L. FUHRMAN has been a director of the Company since 1992 and is a
member of the Board's Compensation and Audit Committees. Mr. Fuhrman has been a
director and Senior Vice President of Arnhold and S. Bleichroeder, Inc., an
investment banking firm, since March 1995 and January 1993, respectively, and a
Vice President of such firm for more than five years prior thereto.
JOHN H. JOSEPHSON has been a director of the Company since July 1994 and is
a member of the Board's Executive and Compensation Committees. Mr. Josephson is
a Vice President and Director of Allen & Company Incorporated, an investment
banking firm, and has been with such firm since 1987. Mr. Josephson is also a
director of Norwood Promotional Products, Inc.
DUANE C. MONTOPOLI was appointed President and Chief Executive Officer and a
director of the Company effective January 30, 1998. Mr. Montopoli is a member of
the Board's Executive Committee. Previously, Mr. Montopoli was President and
Chief Executive Officer of Chemfab Corporation (NYSE:CFA) which he joined in
1986. Until January 1990, he was also a partner in Oak Grove Ventures, a venture
Capital firm that he joined in December 1983. Prior to that time, Mr. Montopoli
was employed by Arthur Young & Company (now Ernst & Young LLP) where he was a
general partner from October 1982 through December 1983.
GARY N. SIEGLER, a director since 1990, served as Chairman of the Board of
Directors of the Company from 1990 until June 1998. Mr. Siegler is a member of
the Board's Audit Committee. Mr. Siegler is a co-founder and, since January
1989, has been President of Siegler, Collery & Co., a New York-based investment
firm ("Siegler Collery"). Mr. Siegler is a principal member of the general
partner of The SC
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Fundamental Value Fund, L.P. ("Fundamental Value Fund"), a fund investing in
marketable securities, and an executive officer of SC Fundamental Value BVI,
Inc. ("Fundamental Value BVI"), the managing partner of the investment advisor
to an offshore fund investing in marketable securities. Mr. Siegler serves as
the Chairman of the Board of Directors of National R.V. Holdings, Inc., a
manufacturer of motor homes and other recreational vehicles.
D. GORDON STRICKLAND has been a director of the Company since December 1997
and was appointed Chairman of the Board's Executive Committee in January 1998.
Mr. Strickland was President and Chief Executive Officer of Kerr Group, Inc.
("Kerr Group"), a NYSE-listed manufacturer of plastic packaging products, from
1996 to September 1997. From 1986 to 1996, he served as Senior Vice President,
Finance and Chief Financial Officer of Kerr Group.
MICHAEL J. DRUMGOOLE was appointed Senior Vice President-Imaging Business in
November 1998. Prior to November 1998, Mr. Drumgoole was Vice President-Sales
and Marketing of the Company and held such position since 1993. Mr. Drumgoole
has over 20 years in medical sales and has held various sales, sales training
and sales management positions within the healthcare industry.
CHRISTOPHER J. JOYCE was appointed Senior Vice President--Legal Affairs and
Administration and Secretary in April 1998. Previously, he was Executive Vice
President and General Counsel of Alliance Entertainment Corp., a publicly traded
entertainment and music distribution company which filed for protection under
Chapter 11 of the United States Bankruptcy Code in July 1997. From February 1992
to July 1995, Mr. Joyce served as Executive Vice President of Business Affairs
and General Counsel of Independent National Distributors, Inc., a privately held
independent music distribution company. From September 1988 to February 1992,
Mr. Joyce was an associate at the law firm of Willkie Farr & Gallagher.
GEOFFREY A. WHYNOT was appointed Senior Vice President and Chief Financial
Officer of the Company in March 1998. Previously, he was Chief Financial Officer
of Kerr Group. During his tenure with Kerr Group, Mr. Whynot served as Assistant
Controller, Corporate Vice President and Treasurer, prior to becoming CFO. A
certified public accountant, Mr. Whynot was employed by Arthur Andersen &
Company from 1980 to 1987.
SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE
Based solely upon a review of the copies of the forms furnished to the
Company, or written representations from certain reporting persons, the Company
believes that during 1998 all filing requirements applicable to its officers and
directors were complied with by such individuals.
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<PAGE>
ITEM 11. EXECUTIVE COMPENSATION
SUMMARY COMPENSATION TABLE
The following table sets forth all compensation awarded to, earned by or
paid for the fiscal years specified below to certain individuals serving as
executive officers of the Company (the "Named Officers") during the fiscal year
ended December 31, 1998:
<TABLE>
<CAPTION>
LONG TERM COMPENSATION
----------------------------
ANNUAL COMPENSATION AWARDS
-------------------------------------------------------- ----------------------------
OTHER ANNUAL RESTRICTED SECURITIES
COMPENSATION STOCK UNDERLYING
NAME AND PRINCIPAL POSITION YEAR SALARY($) BONUS($) AWARDS(1) SARS(#) OPTIONS (2)
- ----------------------------------- --------- ----------- ----------- ------------------- --------------- -----------
<S> <C> <C> <C> <C> <C> <C>
Duane C. Montopoli................. 1998 $ 263,618 -- -- -- 150,000(5)
President and Chief Executive 1997 -- -- -- -- --
Officer (4) 1996 -- -- -- -- --
Geoffrey A. Whynot................. 1998 $ 165,056 $ 100,000(6) -- -- 41,666(7)
Senior Vice President--Finance 1997 -- -- -- -- --
and Chief Financial Officer (6) 1996 -- -- -- -- --
Christopher J. Joyce............... 1998 $ 133,485 $ 85,000(8) -- -- 31,333(9)
Senior Vice-President- 1997 -- -- -- -- --
Legal Affairs and 1996 -- -- -- -- --
Administration (8)
Michael J. Drumgoole............... 1998 $ 133,542 $ 32,225 -- -- 16,666
Senior Vice President-- 1997 $ 115,175 -- -- -- --
Imaging Business (10) 1996 $ 11,869 -- -- -- 10,667
Gerald H. (Pete) Allen............. 1998 $ 163,280 $ 36,900 -- -- 23,333
Regional Vice-President- 1997 $ 96,999 $ 30,000 -- -- --
General Manager--South 1 1996 126,031 -- -- -- 10,000
Eastern Region (11)
Gregory Mikkelsen.................. 1998 $ 162,910 $ 216,500 -- -- --
President and Chief Executive 1997 $ 179,867 $ 10,000 -- -- --
Officer of StarMed(12) 1996 $ 68,955 -- -- -- 16,666
<CAPTION>
ALL OTHER
NAME AND PRINCIPAL POSITION COMPENSATION($)(3)
- ----------------------------------- ---------------------
<S> <C>
Duane C. Montopoli................. --
President and Chief Executive --
Officer (4) --
Geoffrey A. Whynot................. --
Senior Vice President--Finance --
and Chief Financial Officer (6) --
Christopher J. Joyce............... --
Senior Vice-President- --
Legal Affairs and --
Administration (8)
Michael J. Drumgoole............... $ 3,114
Senior Vice President-- $ 2,315
Imaging Business (10) $ 1,821
Gerald H. (Pete) Allen............. --
Regional Vice-President- --
General Manager--South 1 --
Eastern Region (11)
Gregory Mikkelsen.................. --
President and Chief Executive --
Officer of StarMed(12) --
</TABLE>
- ------------------------------
(1) The aggregate amount of all perquisites and other personal benefits paid to
each Named Individual is not greater than either $50,000 or 10% of the total
of the annual salary and bonus reported for either such executive.
(2) Due to the fact that the 1997 Plan was not presented to the Company's
shareholders for approval within one year of the plan's adoption by the
Company, all options granted pursuant to the 1997 Plan have lapsed and such
grants are not deemed to be outstanding.
(3) Represents employer matching contributions under the Company's 401(k) plan.
(4) Mr. Montopoli was appointed Chief Executive Officer of the Company on
January 30, 1998.
(5) On January 30, 1998, pursuant to the terms of Mr. Montopoli's employment
agreement with the Company (the "Montopoli Agreement"), the Company granted
to Mr. Montopoli ten-year options to purchase 200,000 shares of Common
Stock, 133,333 of which had an exercise price of $31.875 and 66,666 of which
had an exercise price of $43.50. Following the Company's 1998 Annual Meeting
of Stockholders on July 23, 1998 at which the stockholders approved the
Company's 1998 Stock Option Plan, the Compensation Committee of the Board
cancelled all of the options granted to Mr. Montopoli in connection with the
Montopoli Agreement, and in exchange for such cancellation, granted Mr.
Montopoli ten-year options to purchase 150,000 shares of Common Stock,
100,000 of which have an exercise price of $8.625 (representing fair market
value as of the date of grant) and 50,000 of which have an exercise price of
$20.25, which represented $11.625 over the fair market value of the Common
Stock on the date of grant.
(6) Mr. Whynot was appointed Senior Vice President-Finance and Chief Financial
Officer of the Company on March 23, 1998. Pursuant to the terms of Mr.
Whynot's employment agreement with the Company (the "Whynot Agreement"), Mr.
Whynot is entitled to receive a bonus of $100,000 for the year ended
December 31, 1998.
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<PAGE>
(7) On March 23, 1998, pursuant to the terms of the Whynot Agreement, the
Company granted to Mr. Whynot ten-year options to purchase 53,333 shares of
Common Stock which had an exercise price of $31.875. Following the Company's
1998 Annual Meeting of Stockholders on July 23, 1998 at which the
stockholders approved the Company's 1998 Stock Option Plan, the Compensation
Committee of the Board cancelled all of the options granted to Mr. Whynot in
connection with the Whynot Agreement, and in exchange for such cancellation,
granted Mr. Whynot ten-year options to purchase 41,666 shares of Common
Stock which have an exercise price of $8.625 (representing fair market value
as of the date of grant).
(8) Mr. Joyce was appointed Senior Vice President-Legal Affairs and
Administration of the Company on April 6, 1998. Pursuant to the terms of Mr.
Joyce's employment agreement with the Company (the "Joyce Agreement"), Mr.
Joyce is entitled to receive a bonus of $85,000 for the year ended December
31, 1998.
(9) On March 23, 1998, pursuant to the terms of the Joyce Agreement, the Company
granted to Mr. Joyce ten-year options to purchase 40,000 shares of Common
Stock which had an exercise price of $31.875. Following the Company's 1998
Annual Meeting of Stockholders on July 23, 1998 at which the stockholders
approved the Company's 1998 Stock Option Plan, the Compensation Committee of
the Board cancelled all of the options granted to Mr. Joyce in connection
with the Joyce Agreement, and in exchange for such cancellation, granted Mr.
Joyce ten-year options to purchase 31,333 shares of Common Stock which have
an exercise price of $8.625 (representing fair market value as of the date
of grant).
(10) Mr. Drumgoole was appointed Senior Vice President-Imaging Business of the
Company in November 1998.
(11) Prior to November 1998, Mr. Allen served as Senior Vice President-Imaging
Business of the Company.
(12) Prior to the sale of StarMed in August 1998, Mr. Mikkelsen served as
President and Chief Executive Office of StarMed.
EMPLOYMENT AGREEMENTS
The Company is a party to an employment agreement with Mr. Duane C.
Montopoli (the "Montopoli Employment Agreement"). The term of the Montopoli
Employment Agreement shall continue until terminated by either the Company or
Mr. Montopoli. Pursuant to the Montopoli Employment Agreement, Mr. Montopoli
acts as President and Chief Executive Officer of the Company, and is entitled to
receive an annual base salary of $275,000. Such annual salary may be increased
from time to time in the discretion of the Board of Directors. Mr. Montopoli is
eligible to receive a bonus for each calendar year during his term of employment
provided he is employed on the last day of the calendar year. The bonus' target
amount for any year shall be equal to 50% of Mr. Montopoli's base salary for
such year and the actual amount of the bonus shall be determined by the Board of
Directors within 60 days following the end of such year. In connection with the
execution of the Montopoli Employment Agreement, the Company granted to Mr.
Montopoli ten-year options to purchase 200,000 shares of Common Stock, 133,333
of which have an exercise price of $31.875 and 66,666 of which have an exercise
price of $43.50. Such options were to vest in five equal annual installments
beginning January 30, 1998, unless sooner accelerated by certain "change of
control" events. Under the terms of the Montopoli Employment Agreement, the
Company is obligated to pay the premiums with respect to a term life insurance
policy with a death benefit payable to Mr. Montopoli's named beneficiaries in
the amount of $1 million. In the event Mr. Montopoli's employment is terminated
by the Company other than for "Cause" or "Disability" (as such terms are defined
in the Montopoli Employment Agreement), or if Mr. Montopoli terminates his
employment for "Good Reason" (as defined in the Montopoli Employment Agreement),
the Company shall (i) pay Mr. Montopoli a lump sum payment equal to his accrued
but unpaid salary and a portion of the bonus he would have received for such
year; (ii) continue his base salary for a period of 18 months; and (iii)
continue benefits under the Company's employee welfare plans during the salary
continuation period unless such benefits are provided by another employer. Mr.
Montopoli is prohibited from competing with the Company for a period of 18
months following the termination of the Montopoli Employment Agreement.
The Company is a party to an employment agreement with Mr. Geoffrey A.
Whynot (the "Whynot Employment Agreement"). The term of the Whynot Employment
Agreement shall continue until terminated by either the Company or Mr. Whynot.
Pursuant to the Whynot Employment Agreement, Mr. Whynot acts as Senior Vice
President--Finance and Chief Financial Officer of the Company, and is entitled
to receive an annual base salary of $185,000. Such annual salary may be
increased from time to time in the discretion of the Board of Directors. Mr.
Whynot is also eligible to receive a bonus for each
39
<PAGE>
calendar year during this term of employment provided he is employed on the last
day of the calendar year. For calendar year 1998, Mr. Whynot shall receive a
bonus in an amount not less than $100,000. For all other calendar years, the
target amount of the bonus shall be equal to 50% of Mr. Whynot's base salary for
such year and the actual amount of the bonus shall be determined by the Board of
Directors at its discretion and paid no later than March 15 of the calendar year
following the calendar year for which the bonus is awarded. In connection with
the execution of the Whynot Employment Agreement, the Company granted to Mr.
Whynot ten-year options to purchase 53,333 shares of Common Stock at an exercise
price of $31.875. Such options were to vest in four equal annual installments
beginning March 23, 1999, unless sooner accelerated by certain "change of
control" events. In the event Mr. Whynot's employment is terminated by the
Company other than for "Cause" or "Disability" (as such terms are defined in the
Whynot Employment Agreement), or if Mr. Whynot terminates his employment for
"Good Reason" (as defined in the Whynot Employment Agreement), the Company shall
(i) pay him a lump sum payment equal to his accrued but unpaid salary and a
portion of the bonus he would have received for such year; (ii) continue his
base salary for a period of 12 months; PROVIDED that such amounts will be offset
by any compensation received from another employer; FURTHER, PROVIDED that if
such termination occurs within 12 months following a "Change in Control" (as
defined in the Whynot Employment Agreement), Mr. Whynot shall receive a lump sum
payment equal to 12 months of his then base salary, which amount shall not be
subject to reduction for any compensation earned from another employer; and
(iii) continue benefits under the Company's employee welfare plans during the
salary continuation period unless such benefits are provided by another
employer. Mr. Whynot is prohibited from competing with the Company for a period
of 12 months following the termination of the Whynot Employment Agreement.
The Company is a party to an employment agreement with Mr. Christopher J.
Joyce (the "Joyce Employment Agreement"). The term of the Joyce Employment
Agreement shall continue until terminated by either the Company or Mr. Joyce.
Pursuant to the Joyce Employment Agreement, Mr. Joyce acts as Senior Vice
President--Legal Affairs and Administration which position includes serving as
the Company's General Counsel and Secretary, and is entitled to receive an
annual base salary of $170,000. Such annual salary may be increased from time to
time in the discretion of the Board of Directors. Mr. Joyce is also eligible to
receive a bonus for each calendar year during this term of employment provided
he is employed on the last day of the calendar year. For calendar year 1998, Mr.
Joyce shall receive a bonus not less than 50% of Mr. Joyce's base salary for
such year. For all other calendar years, the target amount of the bonus shall be
equal to 50% of Mr. Joyce's base salary for such year and the actual amount of
the bonus shall be determined by the Board of Directors, in its discretion, and
paid no later than March 15 of the calendar year following the calendar year for
which the bonus is awarded. In connection with the execution of the Joyce
Employment Agreement, the Company granted to Mr. Joyce ten-year options to
purchase 40,000 shares of Common Stock at an exercise price of $31.875. Such
options were to vest in four equal annual installments beginning April 6, 1999,
unless sooner accelerated by certain "change of control" events. In the event
Mr. Joyce's employment is terminated by the Company other than for "Cause" or
"Disability" (as such terms are defined in the Joyce Employment Agreement), or
if Mr. Joyce terminates his employment for "Good Reason" (as defined in the
Joyce Employment Agreement), the Company shall (i) pay him a lump sum payment
equal to his accrued but unpaid salary and a portion of the bonus he would have
received for such year; (ii) continue his base salary for a period of 9 months;
and (iii) continue benefits under the Company's employee welfare plans during
the salary continuation period unless such benefits are provided by another
employer. Mr. Joyce is prohibited from competing with the Company for a period
of nine months following the termination of the Joyce Employment Agreement.
The Company is a party to an employment agreement with Mr. Michael J.
Drumgoole (the "Drumgoole Employment Agreement"). The term of the Drumgoole
Employment Agreement shall continue until terminated by either the Company or
Mr. Drumgoole. Pursuant to the Drumgoole Employment Agreement, Mr. Drumgoole
acts as Senior vice President--Imaging Business, and is entitled to receive an
annual base salary of $175,000. Such annual salary may be increased from time to
time in the discretion of the Board of Directors. Mr. Drumgoole is also eligible
to participate in the Corporation's
40
<PAGE>
senior management bonus plans. In the event Mr. Drumgoole's employment is
terminated by the Company other than for "Cause" or "Disability" (as such terms
are defined in the Drumgoole Employment Agreement), or if Mr. Drumgoole
terminates his employment for "Reason" (as defined in the Drumgoole Employment
Agreement), the Company shall (i) pay him a lump sum payment equal to his
accrued but unpaid salary and a portion of the bonus he would have received for
such year; (ii) continue his base salary for a period of 9 months; provided,
that such amounts will be offset by any compensation received from another
employer; further; provided that if such termination occurs in connection with a
"Change in Control" (as defined in the Drumgoole Employment Agreement), Mr.
Drumgoole shall receive a lump sum payment equal to 9 months of his then base
salary, which amount shall not be subject to reduction for any compensation
earned from another employer; and (iii) continue benefits under the Company's
employee welfare plans during the salary continuation period unless such
benefits are provided by another employer. Under the terms of the Drumgoole
Employment Agreement, Mr. Drumgoole is prohibited from competing with the
Company for a period of eighteen months following the termination of the
Drumgoole Employment Agreement.
Following the Company's 1998 Annual Meeting of Stockholders on July 23, 1998
at which the stockholders approved the Company's 1998 Stock Option Plan (the
"1998 Plan"), the Compensation Committee of the Board cancelled all of the
options granted to Messrs. Montopoli, Whynot and Joyce in connection with their
employment agreements described above. In exchange for such cancellation, on
July 23, 1998, the Compensation Committee granted Messrs. Montopoli, Whynot and
Joyce options to purchase 150,000, 41,666 and 31,333 shares of Common Stock,
respectively (the "New Options"), under the 1998 Plan. The exercise price of
$8.625 for all of the New Options granted to Messrs. Whynot and Joyce and
100,000 of the new Options granted to Mr. Montopoli equalled the fair market
value of the Common Stock on the date of grant. The remaining 50,000 New Options
granted to Mr. Montopoli were granted at an exercise price of $20.25, which
represented $11.625 over the fair market value of the Common Stock on the date
of grant. The Compensation Committee believes that such cancellation and
exchange was warranted in order to continue to provide an appropriate incentive
for Messrs. Montopoli, Whynot and Joyce to promote the success of the Company's
business, and because each of these executives joined the Company only recently
and after the end of the last fiscal year.
STOCK OPTION PLANS
The information in this Report, including the information below concerning
the Company's stock option plans, gives effect to the one-for-three reverse
stock split of the Common Stock on July 24, 1998.
1992 STOCK OPTION PLAN
In July 1992, the Company adopted and approved the 1992 Stock Option Plan
(the "1992 Plan"). The 1992 Plan is designed to serve as an incentive for
retaining qualified and competent directors, employees and consultants. The 1992
Plan provides for the award of options to purchase up to 80,000 shares of Common
Stock, of which 47,334 were subject to outstanding options as of December 31,
1998. The 1992 Plan is administered by the Stock Option Committee of the Board
of Directors. The Stock Option Committee has, subject to the provisions of the
1992 Plan, full authority to select Company individuals eligible to participate
in the 1992 Plan, including officers, directors (whether or not employees) and
consultants. The 1992 Plan provides for the awarding of incentive stock options
(as defined in Section 422 of the Internal Revenue Code of 1986) and
non-incentive stock options. Options granted pursuant to the 1992 Plan have such
vesting schedules and expiration dates as the Stock Option Committee has
established or shall establish in connection with each participant in the 1992
Plan, which terms shall be reflected in an option agreement executed in
connection with the granting of the option. In fiscal 1998, no options were
granted under the 1992 Plan.
41
<PAGE>
1995 STOCK OPTION PLAN
In March 1995, the Company adopted and approved the 1995 Stock Option Plan
(the "1995 Plan"). The 1995 Plan is designed to serve as an incentive for
retaining qualified and competent directors, employees and consultants. The 1995
Plan provides for the award of options to purchase up to 133,333 shares of
Common Stock, of which 43,410 were subject to outstanding options as of December
31, 1998. The 1995 Plan is administered by the Stock Option Committee of the
Board of Directors. The Stock Option Committee has, subject to the provisions of
the 1995 Plan, full authority to select Company individuals eligible to
participate in the 1995 Plan, including officers, directors (whether or not
employees) and consultants. The 1995 Plan provides for the awarding of incentive
stock options (as defined in Section 422 of the Internal Revenue Code of 1986)
and non-incentive stock options. Options granted pursuant to the 1995 Plan have
such vesting schedules and expiration dates as the Stock Option Committee has
established or shall establish in connection with each participant in the 1995
Plan, which terms shall be reflected in an option agreement executed in
connection with the granting of the option. In fiscal 1998, no options were
granted under the 1995 Plan.
1996 STOCK OPTION PLAN
In February 1996, the Company adopted and approved the 1996 Stock Option
Plan (the "1996 Plan"). The 1996 Plan is designed to serve as an incentive for
retaining qualified and competent directors, employees and consultants. The 1996
Plan provides for the award of options to purchase up to 74,666 shares of Common
Stock, of which 51,721 were subject to outstanding options as of December 31,
1998. The 1996 Plan is administered by the Stock Option Committee of the Board
of Directors. The Stock Option Committee has, subject to the provisions of the
1996 Plan, full authority to select Company individuals eligible to participate
in the 1996 Plan, including officers, directors (whether or not employees) and
consultants. The 1996 Plan provides for the awarding of incentive stock options
(as defined in Section 422 of the Internal Revenue Code of 1986) and
non-incentive stock options. Options granted pursuant to the 1996 Plan have such
vesting schedules and expiration dates as the Stock Option Committee has
established or shall establish in connection with each participant in the 1996
Plan, which terms shall be reflected in an option agreement executed in
connection with the granting of the option. In fiscal 1998, no options were
granted under the 1996 Plan.
1996 STOCK OPTION PLAN B
In February 1996, the Company adopted and approved the 1996 Stock Option
Plan B (the "1996 B Plan"). The 1996 B Plan is designed to serve as an incentive
for retaining qualified and competent directors, employees and consultants. The
1996 B Plan provides for the award of options to purchase up to 333,333 shares
of Common Stock, of which 160,109 were subject to outstanding options as of
December 31, 1998. The 1996 B Plan is administered by the Stock Option Committee
of the Board of Directors. The Stock Option Committee has, subject to the
provisions of the 1996 B Plan, full authority to select Company individuals
eligible to participate in the 1996 B Plan, including officers, directors
(whether or not employees) and consultants. The 1996 B Plan provides for the
awarding of incentive stock options (as defined in Section 422 of the Internal
Revenue Code of 1986) and non-incentive stock options. Options granted pursuant
to the 1996 B Plan have such vesting schedules and expiration dates as the Stock
Option Committee has established or shall establish in connection with each
participant in the 1996 B Plan, which terms shall be reflected in an option
agreement executed in connection with the granting of the option. In fiscal
1998, no options were granted under the 1996 B Plan.
1997 STOCK OPTION PLAN
On May 27, 1997, the Company adopted and approved the 1997 Stock Option Plan
(the "1997 Plan"). The 1997 Plan was designed to serve as an incentive for
retaining qualified and competent directors, employees and consultants. Due to
the fact that the 1997 Plan was not presented to the Company's
42
<PAGE>
shareholders for approval within one year of the plan's adoption by the Company,
all options granted pursuant to the 1997 Plan have lapsed and such grants are
not deemed to be outstanding.
1998 STOCK OPTION PLAN
In July 1998, the Company's Board of Directors adopted and approved the 1998
Stock Option Plan (the "1998 Plan"). The 1998 Plan is designed to serve as an
incentive for retaining qualified and competent directors, employees and
consultants. The 1998 Plan provides for the award of options to purchase up to
500,000 shares of Common Stock, of which 381,166 shares were subject to
outstanding options as of December 31, 1998. The 1998 Plan is administered by
the Compensation Committee of the Board of Directors. The Compensation Committee
has, subject to the provisions of the 1998 Plan, full authority to select
eligible employees, consultants and directors of the Company and its
subsidiaries that may participate in the 1998 Plan and the type, extent and
terms of the options granted to them. The 1998 Plan provides for the awarding of
incentive stock options (as defined in Section 422 of the Internal Revenue Code
of 1986) and non-incentive stock options. Options granted pursuant to the 1998
Plan will have such vesting schedules and expiration dates as the Compensation
Committee shall establish in connection with each participant in the 1998 Plan,
which terms shall be reflected in an option agreement executed in connection
with the granting of the option. In fiscal 1998, options to acquire 381,166
shares of Common Stock were granted under the 1998 Plan.
1998 NON-EMPLOYEE DIRECTOR STOCK OPTION PLAN
In July 1998, the Company's Board of Directors adopted and approved the 1998
Non-Employee Director Stock Option Plan (the "Directors Plan"). The Directors
Plan is designed to serve as an incentive for retaining qualified persons who
are neither employees nor officers of the Company to service as members of the
Board of Directors. The Directors Plan provides for the award of options to
purchase up to 66,666 shares of Common Stock, of which 20,000 shares were
subject to outstanding options as of December 31, 1998. The Directors Plan can
be administered by either the Board of Directors or the Compensation Committee.
Unless otherwise determined by the Compensation Committee, the Directors Plan
provides for automatic grants of options to purchase up to 3,333 shares of
Common Stock at the time a person becomes a non-employee director and on an
annual basis thereafter. The options granted pursuant to the Directors Plan are
not intended to be incentive stock options (as defined in Section 422 of the
Internal Revenue Code of 1986). Options granted pursuant to the Directors Plan
will have exercise prices equal to the fair market value of the Common Stock on
the date of grant, will expire ten years from the date of grant and generally
vest in equal quarterly installments over a one-year period.
43
<PAGE>
OPTIONS AND WARRANTS GRANTED IN LAST FISCAL YEAR
The following table sets forth certain information concerning options and
warrants granted during the year ended December 31, 1998 to the Named Officers.
<TABLE>
<CAPTION>
POTENTIAL
REALIZABLE
VALUE AT
ASSUMED
ANNUAL
RATES OF
STOCK
INDIVIDUAL GRANTS PRICE
(1) APPRECIATION
PERCENT OF TOTAL FOR
OPTIONS/SARS OPTION
GRANTED TO EXERCISE OR TERM
OPTIONS EMPLOYEES IN BASE PRICE EXPIRATION ---------
NAME GRANTED FISCAL YEAR ($/SH) DATE 5% ($)
- ----------------------------------------------- ----------- --------------------- ------------- ----------- ---------
<S> <C> <C> <C> <C> <C>
Duane C. Montopoli............................. 100,000(1) 24.9% $ 8.625 7/23/08 $ 542,421
50,000(1) 12.4% $ 20.25 7/23/08 $ 0
Geoffrey A. Whynot............................. 41,666(2) 10.4% $ 8.625 7/23/08 $ 226,005
Christopher J. Joyce........................... 31,333(3) 7.8% $ 8.625 7/23/08 $ 169,956
Michael J. Drumgoole........................... 16,666 4.1% $ 8.625 7/23/08 $ 90,399
Gerald H. (Pete) Allen......................... 23,333 5.8% $ 8.625 7/23/08 $ 126,563
Gregory Mikkelsen.............................. -- -- -- -- --
<CAPTION>
NAME 10% ($)
- ----------------------------------------------- ---------
<S> <C>
Duane C. Montopoli............................. $1,374,602
$ 106,051
Geoffrey A. Whynot............................. $ 572,742
Christopher J. Joyce........................... $ 430,704
Michael J. Drumgoole........................... $ 229,091
Gerald H. (Pete) Allen......................... $ 320,736
Gregory Mikkelsen.............................. --
</TABLE>
- ------------------------------
(1) On January 30, 1998, pursuant to the terms of Mr. Montopoli's employment
agreement with the Company (the "Montopoli Agreement"), the Company granted
to Mr. Montopoli ten-year options to purchase 200,000 shares of Common
Stock, 133,333 of which had an exercise price of $31.875 and 66,666 of which
had an exercise price of $43.50. Following the Company's 1998 Annual Meeting
of Stockholders on July 23, 1998 at which the stockholders approved the
Company's 1998 Stock Option Plan, the Compensation Committee of the Board
cancelled all of the options granted to Mr. Montopoli in connection with the
Montopoli Agreement, and in exchange for such cancellation, granted Mr.
Montopoli ten-year options to purchase 150,000 shares of Common Stock,
100,000 of which have an exercise price of $8.625 (representing fair market
value as of the date of grant) and 50,000 of which have an exercise price of
$20.25, which represented $11.625 over the fair market value of the Common
Stock on the date of grant.
(2) On March 23, 1998, pursuant to the terms of the Whynot Agreement, the
Company granted to Mr. Whynot ten-year options to purchase 53,333 shares of
Common Stock which had an exercise price of $31.875. Following the Company's
1998 Annual Meeting of Stockholders on July 23, 1998 at which the
stockholders approved the Company's 1998 Stock Option Plan, the Compensation
Committee of the Board cancelled all of the options granted to Mr. Whynot in
connection with the Whynot Agreement, and in exchange for such cancellation,
granted Mr. Whynot ten-year options to purchase 41,666 shares of Common
Stock which have an exercise price of $8.625 (representing fair market value
as of the date of grant).
(3) On March 23, 1998, pursuant to the terms of the Joyce Agreement, the Company
granted to Mr. Joyce ten-year options to purchase 40,000 shares of Common
Stock which had an exercise price of $31.875. Following the Company's 1998
Annual Meeting of Stockholders on July 23, 1998 at which the stockholders
approved the Company's 1998 Stock Option Plan, the Compensation Committee of
the Board cancelled all of the options granted to Mr. Joyce in connection
with the Joyce Agreement, and in exchange for such cancellation, granted Mr.
Joyce ten-year options to purchase 31,333 shares of Common Stock which have
an exercise price of $8.625 (representing fair market value as of the date
of grant).
44
<PAGE>
OPTION/WARRANT VALUES
The following table sets forth, as of December 31, 1998 the number of
options and warrants and the value of unexercised options and warrants held by
the Named Officers.
<TABLE>
<CAPTION>
VALUE OF
UNEXERCISED
IN-THE-MONEY
SHARES NUMBER OF UNEXERCISED OPTIONS AT
ACQUIRED OPTIONS AT DECEMBER 31, 1998 DECEMBER 31,
IN VALUE 1998 ($)(1)
EXERCISE REALIZED ------------------------------ ---------------
NAME (#) ($) EXERCISABLE UNEXERCISABLE EXERCISABLE
- ---------------------------------------------- ------------- ------------- ------------- --------------- ---------------
<S> <C> <C> <C> <C> <C>
Duane C. Montopoli............................ -- -- 60,000 90,000 --
Geoffrey A. Whynot............................ -- -- 10,417 31,249 --
Christopher J. Joyce.......................... -- -- 7,833 23,500 --
Michael J. Drumgoole.......................... -- -- 4,444 28,889 --
Gerald H. (Peter) Allen....................... -- -- 4,444 22,890 --
Gregory Mikkelsen............................. -- -- -- -- --
<CAPTION>
NAME UNEXERCISABLE
- ---------------------------------------------- -----------------
<S> <C>
Duane C. Montopoli............................ --
Geoffrey A. Whynot............................ --
Christopher J. Joyce.......................... --
Michael J. Drumgoole.......................... --
Gerald H. (Peter) Allen....................... --
Gregory Mikkelsen............................. --
</TABLE>
- ------------------------------
(1) On December 31, 1998, the last reported sales price for the Common Stock on
the Nasdaq Market was $2.25.
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The following table set forth as of March 31, 1999 the number and percentage
of shares of Common Stock held by (i) each of the Named Officers and directors
of the Company, (ii) all persons who are known by the Company to be the
beneficial owners of, or who otherwise exercise voting or dispositive control
over, five percent or more of the Company's outstanding Common Stock and (iii)
all of the Company's present executive officers and directors as a group:
<TABLE>
<CAPTION>
BENEFICIAL COMMON STOCK PERCENTAGE OF
OWNER OWNED(1) OUTSTANDING
- ----------------------------------------------------------------------------------- -------------- ---------------
<S> <C> <C>
Gary N. Siegler(2)(3).............................................................. 1,406,751 14.5%
c/o Siegler, Collery & Co.
10 East 50th Street
New York, NY 10022
Duane C. Montopoli(4).............................................................. 79,400 *
Gary L. Fuhrman(5)................................................................. 40,030 *
John H. Josephson(6)............................................................... 17,290 *
D. Gordon Strickland (7)........................................................... 4,500 *
Sally W. Crawford (8).............................................................. 7,500 *
Geoffrey A. Whynot (9)............................................................. 14,917 *
Christopher J. Joyce (10).......................................................... 8,383 *
Peter M. Collery(2)(11)............................................................ 994,715 10.6%
c/o Siegler, Collery & Co.
10 East 50th Street
New York, NY 10022
Fir Tree Partners(12).............................................................. 953,666 10.2%
1211 Avenue of the Americas
29th Floor
New York, New York 10036
HHH Investments Limited Partnership(13)............................................ 443,333 4.7%
920 King Street
Wilmington, DE 19801
TJS Partners, L.P.(14)............................................................. 1,304,042 14.0%
115 East Putnam Avenue
Greenwich, CT 06830
All executive officers and Directors as a group (9 in Number) (2)(3)(4)(5)(6)...... 1,578,771 16.1%
</TABLE>
45
<PAGE>
- ------------------------
* Less than one percent.
(1) Except as otherwise indicated, the persons named in the table have sole
voting and investment power with respect to the shares of Common Stock shown
as beneficially owned by them.
(2) Messrs. Siegler and Collery, due to their joint ownership of Siegler Collery
and other affiliates which control certain other entities which beneficially
own an aggregate of 925,816shares of Common Stock are each deemed to
beneficially own all of the shares of Common Stock owned of record by all
such entities.
(3) Includes 202,887 shares underlying outstanding options which are exercisable
immediately or within 60 days, 67,632 shares owned by The Gary N. Siegler
Foundation, a charitable foundation, and warrants to acquire 175,000 shares
of Common Stock held by 712 Advisory Services, Inc. Mr. Siegler is deemed to
beneficially own all of the shares of Common Stock owned of record by such
entities.
(4) Includes 60,000 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(5) Includes 12,000 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(6) Includes 13,333 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(7) Includes 2,500 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(8) Includes 2,500 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(9) Includes 10,417 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(10) Includes 7,883 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(11) Includes 17,000 shares underlying outstanding options which are exercisable
immediately or within 60 days.
(12) Based solely upon information contained in a Schedule 13D, as amended,
filed with the SEC. According to Amendment No. 1 the Schedule 13D, filed on
August 12, 1998 with the SEC, Mr. Jeffrey Tannenbaum, in his capacity as the
sole shareholder, executive officer, director and principal of Fir Tree
Partners, may also be deemed to be the beneficial owner of the shares held
by Fir Tree Partners.
(13) Based solely upon information contained in a Schedule 13D, as amended by
Amendments Nos. 1, 2, 3 and 4 thereto, filed with the SEC. As disclosed in
Amendment No. 4 to such Schedule 13D filed with the SEC on March 3, 1999,
the total in the table excludes (i) an aggregate of 127,508 shares of Common
Stock owned by three corporations, the sole shareholders of which are the
limited partners of HHH Investments Limited Partnership ("HHH"), (ii) 16,666
shares of Common Stock owned by The Francis D. Hussey, Jr. Pension Plan (the
"Pension Plan"), (iii) 33,333 shares of Common Stock owned by Francis D.
Hussey, Jr. and (iv) 50,000 shares of Common Stock owned by Francis D.
Hussey, Jr. and Mary Pat Hussey as an estate by the entireties, and (v) 666
shares owned by Anne C. Hussey-Battaglia, a limited partner of HHH. Mr.
Hussey is the president of the general partner of HHH and is the trustee and
a beneficiary of the Pension Plan.
(14) Based solely upon information contained in a Schedule 13D filed with the
SEC. According to Amednment No. 3 to the Schedule 13D filed with the SEC on
January 14, 1999, Mr. Thomas J. Salvatore, in his capacity as the general
partner of TJS Management, L.P., the general partner of TJS Partners, L.P.,
may also be deemed to be the beneficial owner of the shares held by TJS
Partners, L.P.
46
<PAGE>
ITEM 13: CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
During 1998, for legal services rendered to the Company, the Company paid
legal fees in the amount of approximately $180,000 to Werbel & Carnelutti, of
which Stephen Davis, a director of the Company through July 1998, is a partner.
In October 1997, members of the Company's management communicated to the
Board that certain Company stockholders had questioned them regarding the manner
in which related-party transactions were scrutinized by the Company and its
Board. Management stated that it shared the concerns of these stockholders and
had engaged counsel to conduct a review of such transactions. In order to
address and satisfy the concerns management had communicated, a Special
Committee of the Board of Directors (the "Committee") instituted a special
investigation to review all related-party transactions and the adequacy of the
disclosure of the same. The review also was to seek to develop recommendations
as to what changes, if any, should be made to the Company's procedures regarding
related- party transactions.
In April 1998, the Committee issued the results of its investigation and
certain recommendations in a report to the Company's Board of Directors and on
April 6, 1998, the Company's Board of Directors voted to adopt the
recommendations contained in the report. Accordingly, the Committee recommended
and 712 Advisory Services, Inc. ("712 Advisory"), a financial advisory firm and
affiliate of the then-Chairman of the Board, Mr. Siegler, agreed to reimburse
the Company approximately $1,424,000 in fees for transactions completed after
June 1, 1997, to reimburse $112,500 of the retainer paid to 712 Advisory for
1997, to waive payment of an additional $112,500 of fees accrued by the Company
for the third and fourth quarters of 1997, and to pay a substantial amount of
the expenses associated with the Committee's investigations. In addition, the
Committee recommended and 712 Advisory agreed to allow the Company to terminate
its relationship with 712 Advisory
The Committee also responded to the directors that it had determined that:
(i) there was no evidence of any federal or state crimes or securities law
violations in connection with the related party transactions in question; (ii)
all related-party matters were disclosed in public filings; (iii) 712 Advisory
performed acquisition advisory services fully consistent with the expectations
and understanding of the committee of outside directors that had approved 712
Advisory's acquisition fees; and (iv) the acquisition advisory fees paid to 712
Advisory in connection with the Company's acquisitions in 1997 were within the
range of customary acquisition advisory fees paid to investment bankers on
transactions of similar size.
Mr. Siegler and Mr. Neil Koffler, an employee of 712 Advisory and a member
of the Board through July 1998, also agreed voluntarily to relinquish 255,000
stock options that were granted to them in May 1997 and permit the Board's
Compensation Committee, with the assistance of compensation experts, to
determine the appropriate director compensation for 1997. The 255,000 stock
options were granted at prices equal to the then current market price, and
accordingly, no expense was recorded upon issue nor income reflected upon
relinquishment for accounting purposes.
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON
FORM 8-K
(a) Exhibits and Financial Statements:
1. Financial Statements:
The following consolidated financial statements and consolidated financial
statement schedule of Medical Resources, Inc. and the reports thereon of
independent auditors are filed as part of this Annual Report on Form 10-K and
are incorporated by reference in Item 8.
(i) Reports of Independent Auditors.
(ii) Consolidated Balance Sheets as of December 31, 1998 and 1997.
47
<PAGE>
(iii) Consolidated Statements of Operations for the years ended December 31,
1998, 1997 and 1996.
(iv) Consolidated Statements of Cash Flows for the years ended December 31,
1998, 1997 and 1996.
(v) Consolidated Statements of Changes in Stockholders' Equity for the years
ended December 31, 1998, 1997 and 1996.
(vi) Notes to Consolidated Financial Statements.
2. Financial Statement Schedule
The following consolidated financial statement schedule of Medical
Resources, Inc. and subsidiaries is submitted herewith in response to Item
14(d)2:
Schedule II--Valuation and Qualifying Accounts
All other schedules for which provision is made in the applicable accounting
regulation of the Securities and Exchange Commission are not required under the
related instructions or are inapplicable and, therefore, have been omitted.
3. Exhibits
See the accompanying Exhibit Index which precedes the Exhibits filed with
this Annual Report on Form 10-K.
(b) Reports on Form 8-K
On January 22, 1999, the Company filed a Current Report of Form 8-K
reporting (i) the agreement in principle to settle the class action litigation
pending against the Company and (ii) the grant of a hearing before the Nasdaq
Qualifications Hearing Panel relating to the Company's request to move its stock
listing from the Nasdaq National Market to the Nasdaq SmallCap Market.
48
<PAGE>
EXHIBIT INDEX
<TABLE>
<C> <S>
3.1 Company's Certificate of Incorporation, as amended to date.*
3.2 Company's By-Laws, as amended.*
3.3 Certificate of Designations, Preferences and Rights of the Company's Series C
Convertible Preferred Stock.**
4.1 Common Stock Specimen Certificate.*
4.2 Shareholder Rights Plan of the Company, dated September 15, 1996.***
10.1 Note Purchase Agreement ($52,000,000 7.77% Senior Notes), dated as of February 20,
1997, between the Company and the Purchasers listed therein.****
10.2 Note Purchase Agreement ($20,000,000 8.10% and $6,000,000 8.01% Senior Notes), dated
as of June 26, 1997, between the Company and the Purchasers listed therein.*****
10.3 Waiver and Amendment Agreement, dated September 23, 1998, between the Company and the
Senior Note Purchasers listed therein. ***********
10.4 Second Waiver and Amendment, dated as of March 15, 1999, between the Company and the
Senior Note Purchasers listed therein. ************
10.5 Securities Purchase Agreement, dated as of July 21, 1997, between the Company and RGC
International Investors, LDC.**
10.6 Registration Rights Agreement, dated as of July 21, 1997, between the Company and RGC
International Investors, LDC.**
10.7 $15,000,000 Promissory Note, dated December 29, 1997, payable to DVI Financial
Services Inc. together with Warrant, dated 1997 to purchase 100,000 shares of Common
Stock*********
10.8 1992 Stock Option Plan.*
10.9 1995 Stock Option Plan of the Company.******
10.10 1996 Stock Option Plan of the Company.*******
10.11 1996 Stock Option Plan B of the Company. *******
10.12 1998 Stock Option Plan. **********
10.13 1998 Non-Employee Director Stock Option Plan. **********
10.14 Warrant, dated December 30, 1997, to purchase 817,000 shares of Common Stock issued
to RGC International, LDC. *********
10.15 Employment Agreement, dated January 30, 1998, between the Company and Duane C.
Montopoli. *********
10.16 Employment Agreement, dated March 23, 1998, between the Company and Geoffrey A.
Whynot. *********
10.17 Employment Agreement, dated April 6, 1998, between the Company and Christopher J.
Joyce. *********
10.18 Employment Agreement, dated October 26, 1998, between the Company and Michael J.
Drumgoole. #
</TABLE>
49
<PAGE>
<TABLE>
<C> <S>
16 Letter re: Change in Certifying Accountants.********
21.1 List of Subsidiaries. ************
23.1 Consent of Independent Auditors--Ernst & Young LLP.#
23.2 Consent of Independent Accountants--PricewaterhouseCoopers LLP.#
27.1 Financial Data Schedule. ************
</TABLE>
- ------------------------
<TABLE>
<C> <S>
* Incorporated herein by reference from the Company's Registration Statement on
Form S-1 (File No. 33-48848).
** Incorporated herein by reference from the Company's Current Report on Form 8-K
dated July 21, 1997.
*** Incorporated herein by reference from the Company's Current Report on Form 8-K
dated September 13, 1996.
**** Incorporated herein by reference from the Company's Current Report on Form 8-K
dated March 4, 1997.
***** Incorporated herein by reference from the Company's Current Report on Form 8-K
dated June 26, 1997.
****** Incorporated herein by reference from the Company's Annual Report on Form 10-K
for the year ended December 31, 1995.
******* Incorporated herein by reference from the Company's Annual Report on Form 10-K
for the year ended December 31, 1996.
******** Incorporated herein by reference from the Company's Current Report on Form
8-K/A filed on December 24, 1997, amending the Company's Current Report on
Form 8-K dated December 4, 1997.
********* Incorporated by reference from the Company's Annual Report on Form 10-K for
the year ended December 31, 1997.
********** Incorporated herein by reference from the Company's Registration Statement on
Form S-1 (File No. 333-24865).
*********** Incorporated by reference from the Company's Quarterly Report on Form 10-Q for
the nine months ended September 30, 1998.
************ Incorporated by reference from the Company's Annual Report on Form 10-K for
the year ended December 31, 1998.
# Filed herewith.
</TABLE>
50
<PAGE>
SIGNATURES
Pursuant to the requirements of the Section 13 or 15(d) Securities Exchange
Act of 1934, the Registrant has duly caused this Report to be signed on its
behalf by the undersigned, thereunder duly authorized.
MEDICAL RESOURCES, INC.
By: /s/ DUANE C. MONTOPOLI
-----------------------------------------
Duane C. Montopoli
PRESIDENT AND CHIEF EXECUTIVE OFFICER
Dated: April , 1999
Pursuant to the requirements of the Securities Exchange Act of 1934, this
Report has been signed below by the following persons on behalf of the
Registrant and in the capacities and on April , 1999.
SIGNATURE CAPACITY IN WHICH SIGNED
- ------------------------------ ---------------------------
/s/ D. GORDON STRICKLAND Chairman of the Board of
- ------------------------------ Directors
D. Gordon Strickland
/s/ GARY N. SIEGLER Director
- ------------------------------
Gary N. Siegler
/s/ GARY FUHRMAN Director
- ------------------------------
Gary Fuhrman
/s/ JOHN JOSEPHSON Director
- ------------------------------
John Josephson
/s/ SALLY W. CRAWFORD Director
- ------------------------------
Sally W. Crawford
/s/ PETER B. DAVIS Director
- ------------------------------
Peter B. Davis
President and Chief
/s/ DUANE C. MONTOPOLI Executive Officer
- ------------------------------ (Principal Executive
Duane C. Montopoli Officer)
/s/ GEOFFREY A. WHYNOT Chief Financial Officer
- ------------------------------ (Principal Financial/
Geoffrey A. Whynot Accounting Officer)
51
<PAGE>
MEDICAL RESOURCES, INC.
REPORT OF INDEPENDENT AUDITORS
To the Board of Directors and Stockholders of
Medical Resources, Inc.
We have audited the accompanying consolidated balance sheets of Medical
Resources, Inc. and Subsidiaries (the "Company") as of December 31, 1998 and
1997 and the related consolidated statements of operations, stockholders'
equity, and cash flows for the years ended December 31, 1998 and 1997. Our
audits also included the financial statement schedule listed in the index at
Item 14(a) for the years then ended. These financial statements and schedule are
the responsibility of the Company's management. Our responsibility is to express
an opinion on these financial statements and schedule based on our audits.
We conducted our audits in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above
present fairly, in all material respects, the consolidated financial position of
Medical Resources, Inc. and Subsidiaries at December 31, 1998 and 1997 and the
consolidated results of their operations and their cash flows for the years
ended December 31, 1998 and 1997, in conformity with generally accepted
accounting principles. In addition, in our opinion, the financial statement
schedule referred to above, when considered in relation to the basic financial
statements taken as a whole, presents fairly, in all material respects, the
information set forth therein for 1998 and 1997.
/s/ Ernst & Young LLP
Hackensack, New Jersey
March 15, 1999
F-1
<PAGE>
MEDICAL RESOURCES, INC.
REPORT OF INDEPENDENT ACCOUNTANTS
To the Board of Directors and Stockholders of
Medical Resources, Inc.
We have audited the accompanying consolidated statements of operations,
stockholders' equity, and cash flows, and the financial statement schedule of
Medical Resources, Inc. and Subsidiaries (the "Company") listed in the index on
page F-1 for the year ended December 31, 1996. These financial statements and
the financial statement schedule are the responsibility of the Company's
management. Our responsibility is to express an opinion on these financial
statements and financial statement schedule based on our audit.
We conducted our audit in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above
present fairly, in all material respects, the consolidated results of operations
and cash flows of Medical Resources, Inc. and Subsidiaries for the year ended
December 31, 1996, in conformity with generally accepted accounting principles.
In addition, in our opinion, the financial statement schedule referred to above,
when considered in relation to the basic financial statements taken as a whole,
presents fairly, in all material respects, the information required to be
included therein.
/s/ Coopers & Lybrand L.L.P.
Florham Park, New Jersey
March 28, 1997
F-2
<PAGE>
MEDICAL RESOURCES, INC.
CONSOLIDATED BALANCE SHEETS
AS OF DECEMBER 31, 1998 AND 1997
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>
1998 1997
--------- ---------
<S> <C> <C>
ASSETS
Current Assets:
Cash and cash equivalents.................................................................. $ 20,997 $ 23,198
Restricted cash............................................................................ 1,182 600
Accounts receivable, net................................................................... 54,451 65,887
Other receivables.......................................................................... 8,140 5,430
Prepaid expenses........................................................................... 3,819 7,027
Income taxes recoverable................................................................... 2,322 6,504
Deferred tax assets, net................................................................... -- 2,492
--------- ---------
Total current assets..................................................................... 90,911 111,138
Property and equipment, net.................................................................. 50,791 64,343
Goodwill and other intangible assets, net.................................................... 141,079 156,460
Other assets................................................................................. 3,133 4,662
Deferred tax assets, net..................................................................... -- 2,353
--------- ---------
Total assets............................................................................. $ 285,914 $ 338,956
--------- ---------
--------- ---------
LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities:
Long-term notes and mortgages payable, classified as current............................... $ -- $ 81,206
Capital lease obligations, classified as current........................................... -- 9,555
Current portion of notes and mortgages payable............................................. 11,019 13,313
Current portion of capital lease obligations............................................... 9,355 10,311
Borrowings under line of credit............................................................ -- 3,744
Accounts payable........................................................................... 10,946 13,141
Accrued expenses and other current liabilities............................................. 23,356 26,308
Common stock subject to redemption......................................................... -- 9,734
Accrued shareholder settlement cost........................................................ 5,250 2,000
--------- ---------
Total current liabilities................................................................ 59,926 169,312
Notes and mortgages payable, less current portion............................................ 92,556 21,539
Obligations under capital leases, less current portion....................................... 15,101 16,361
Other long term liabilities.................................................................. 1,061 178
--------- ---------
Total liabilities........................................................................ 168,644 207,390
Minority interest............................................................................ 5,047 4,662
Stockholders' equity:
Common stock, $.01 par value; authorized 50,000 shares, 9,336 issued and outstanding at
December 31, 1998 and 7,296 issued and outstanding at December 31, 1997.................. 93 73
Series C Convertible Preferred Stock, $1,000 per share stated value; 15 shares issued and
outstanding at December 31, 1998 and 18 shares issued and outstanding at December 31,
1997 (liquidation preference of 3% per annum)............................................ 15,547 18,242
Additional paid-in capital................................................................. 146,165 138,810
Accumulated deficit........................................................................ (49,582) (30,221)
--------- ---------
Total stockholders' equity............................................................... 112,223 126,904
--------- ---------
Total liabilities and stockholders' equity............................................... $ 285,914 $ 338,956
--------- ---------
--------- ---------
</TABLE>
The accompanying notes are an integral part of the consolidated financial
statements.
F-3
<PAGE>
MEDICAL RESOURCES, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
(IN THOUSANDS EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>
1998 1997 1996
---------- ---------- ---------
<S> <C> <C> <C>
Net service revenues........................................................... $ 179,056 $ 144,412 $ 64,762
Cost of operations:
Cost of services............................................................. 115,025 87,676 34,675
Provision for doubtful accounts.............................................. 16,459 20,364 4,705
Equipment leases............................................................. 6,519 2,320 151
Depreciation and amortization................................................ 24,550 18,733 6,964
---------- ---------- ---------
Total cost of operations................................................... 162,553 129,093 46,495
---------- ---------- ---------
Gross profit................................................................. 16,503 15,319 18,267
Corporate general and administrative........................................... 11,507 11,395 4,567
Stock-option based compensation................................................ 380 2,536 --
Loss on impairment of goodwill and other long lived assets..................... -- 12,962 --
Other unusual charges.......................................................... 14,970 9,723 --
---------- ---------- ---------
Operating income (loss).................................................... (10,354) (21,297) 13,700
Interest expense, net.......................................................... 13,652 8,814 2,834
---------- ---------- ---------
Income (loss) from continuing operations before minority interest and
income taxes............................................................. (24,006) (30,111) 10,866
Minority interest.............................................................. 413 636 308
---------- ---------- ---------
Income (loss) from continuing operations before income taxes............... (24,419) (30,747) 10,558
Provision for income taxes..................................................... 653 1,221 3,575
---------- ---------- ---------
Income (loss) from continuing operations................................... (25,072) (31,968) 6,983
Discontinued operations, net of tax:
Income from discontinued operations (net of income tax provision of $117,
$1,079 and $587, respectively)............................................. 1,806 729 271
Gain on sale of discontinued operations, net of income tax provision of
$250....................................................................... 3,905 -- --
---------- ---------- ---------
Income from discontinued operations.......................................... 5,711 729 271
---------- ---------- ---------
Net income (loss).......................................................... (19,361) (31,239) 7,254
Charges related to restricted common stock and convertible preferred stock..... (496) (1,938) --
---------- ---------- ---------
Net income (loss) applicable to common stockholders........................ $ (19,857) $ (33,177) $ 7,254
---------- ---------- ---------
Income (loss) per common share applicable to common stockholders:
Basic--
Net income (loss) per share before discontinued operations................... $ (3.23) $ (4.96) $ 1.86
Discontinued operations...................................................... .72 .11 .07
---------- ---------- ---------
Net income (loss) per share................................................ $ (2.51) $ (4.85) $ 1.93
---------- ---------- ---------
---------- ---------- ---------
Diluted--
Net income (loss) per share before discontinued operations................... $ (3.23) $ (4.96) $ 1.72
Discontinued operations...................................................... .72 .11 .06
---------- ---------- ---------
Net income (loss) per share................................................ $ (2.51) $ (4.85) $ 1.78
---------- ---------- ---------
---------- ---------- ---------
</TABLE>
The accompanying notes are an integral part of the consolidated financial
statements.
F-4
<PAGE>
MEDICAL RESOURCES, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
(IN THOUSANDS)
<TABLE>
<CAPTION>
1998 1997 1996
--------- --------- ---------
<S> <C> <C> <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income (loss).................................................................... $ (19,361) $ (31,239) $ 7,254
--------- --------- ---------
Adjustments to reconcile net income to net cash provided by (used in) operating
activities:
Depreciation and amortization...................................................... 24,550 19,334 7,466
Provision for uncollectible accounts receivable.................................... 16,459 20,656 4,784
Deferred income tax provision...................................................... 4,845 (836) (841)
Stock-option based compensation expense............................................ 380 2,536 --
Expense incurred in connection with warrants and notes issued to preferred
stockholders..................................................................... 3,644 2,051 --
Write-off of goodwill and other long lived assets.................................. 1,562 12,962 --
Gain on sale of discontinued business.............................................. (3,905) -- --
Other, net......................................................................... 385 112 94
Changes in operating assets and liabilities:
Accounts receivable................................................................ (20,219) (30,270) (14,386)
Other receivables.................................................................. (1,210) (2,219) (1,814)
Prepaid expenses................................................................... 2,690 (2,403) (1,502)
Income taxes recoverable or payable................................................ 4,182 (7,568) 2,186
Other assets....................................................................... 1,413 (3,253) (1,495)
Accounts payable and accrued expenses.............................................. (2,073) 16,560 2,081
Other liabilities.................................................................. 883 (1,745) (2,377)
--------- --------- ---------
Total adjustments................................................................ 33,586 25,917 (5,804)
--------- --------- ---------
Net cash provided by (used in) operating activities.............................. 14,225 (5,322) 1,450
--------- --------- ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
Proceeds from sale of discontinued business.......................................... 28,814 -- --
Contingent consideration related to prior year acquisitions.......................... (2,900) -- --
Purchase of property and equipment................................................... (3,304) (5,429) (1,070)
Acquisition of diagnostic imaging centers, net of cash acquired...................... -- (57,883) (6,411)
Acquisition of temporary staffing offices, net of cash acquired...................... -- 176 (2,314)
Acquisition of Dalcon Technologies, Inc., net of cash acquired....................... -- (615) --
Investment in diagnostic imaging center joint venture................................ -- (1,000) --
Costs associated with refinancing of assets under capital leases..................... -- (1,461) --
Sale (purchase) of short-term investments, net....................................... -- 6,109 (1,637)
Increase in restricted cash and short-term invetments................................ -- -- (5,100)
Other, net........................................................................... (258) -- (171)
--------- --------- ---------
Net cash provided by (used in) investing activities.............................. 22,352 (60,103) (16,703)
--------- --------- ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
Retirement of debt in connection with sale of discontinued business.................. (13,786) -- --
Proceeds from Senior Notes, net of issuance costs.................................... -- 76,523 --
Proceeds from issuance of preferred stock, net....................................... -- 16,965 --
Proceeds from sale/leaseback transactions............................................ -- 9,866 --
Proceeds from borrowings under notes payable and line of credit...................... 6,847 11,594 1,229
Proceeds from Common Stock offering.................................................. -- -- 25,164
Proceeds from exercise of options and warrants....................................... -- 2,696 2,020
Note and capital lease repayments in connection with acquisitions.................... -- (13,799) --
Note and capital lease repayments in connection with Senior Notes transaction........ -- (13,764) --
Note and capital lease repayments in connection with sale/leaseback transactions..... -- (4,822) --
Principal payments under capital lease obligations................................... (11,771) (6,651) (4,805)
Principal payments on notes and mortgages payable.................................... (11,188) (5,312) (2,968)
Proceeds from (redemption of) convertible debentures................................. -- (19) 6,533
Repurchase of Common Stock subject to redemption..................................... (8,621) -- --
Other, net........................................................................... (259) -- (64)
--------- --------- ---------
Net cash provided by (used in) financing activities.............................. (38,778) 73,277 27,109
--------- --------- ---------
Net increase (decrease) in cash and cash equivalents................................. (2,201) 7,852 11,856
Cash and cash equivalents at beginning of year....................................... 23,198 15,346 3,935
Reclassification of prior year restricted cash....................................... -- -- (445)
--------- --------- ---------
Cash and cash equivalents at end of year............................................. $ 20,997 $ 23,198 $ 15,346
--------- --------- ---------
--------- --------- ---------
</TABLE>
The accompanying notes are an integral part of the consolidated financial
statements.
F-5
<PAGE>
MEDICAL RESOURCES, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS--(CONTINUED)
FOR THE YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
(IN THOUSANDS)
<TABLE>
<CAPTION>
1998 1997 1996
--------- --------- ---------
<S> <C> <C> <C>
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid (refunded) during the year for--
Income taxes, net.................................................................... $ (7,948) $ 11,091 $ 3,440
Interest............................................................................. 15,138 7,201 2,639
SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING AND FINANCING ACTIVITIES:
Capital lease obligations and notes payable incurred for diagnostic imaging and
computer equipment................................................................... -- 13,654 2,469
Capital lease obligations assumed in connection with acquisitions...................... -- 26,612 6,749
Notes payable obligations assumed in connection with acquisitions...................... -- 36,505 13,850
Conversion of subordinated debentures to Common Stock, net of issuance costs........... -- 6,636 5,735
Issuance of Common Stock in connection with acquisitions............................... -- 17,281 47,938
Accrual of Common Stock subject to redemption.......................................... (1,114) 9,734 --
Issuance of warrants in connection with acquisitions................................... -- 3,853 975
Issuance of warrants and notes payable to convertible preferred stockholders........... 3,644 2,051 --
Issuance of notes payable in connection with acquisitions.............................. 1,200 4,250 1,848
Conversion of preferred stock.......................................................... 3,191 -- --
Conversion of notes payable............................................................ 1,750 -- --
Issuance of warrants to Senior Note holders............................................ 503 -- --
</TABLE>
The accompanying notes are an integral part of the consolidated financial
statements.
F-6
<PAGE>
MEDICAL RESOURCES, INC.
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' EQUITY
FOR THE YEARS ENDED DECEMBER 31, 1998, 1997 AND 1996
(IN THOUSANDS)
<TABLE>
<CAPTION>
COMMON ADDITIONAL RETAINED
COMMON STOCK TO PREFERRED PAID-IN EARNINGS
TOTAL STOCK BE ISSUED STOCK CAPITAL (DEFICIT)
--------- ------------- ----------- ----------- ----------- -----------
<S> <C> <C> <C> <C> <C> <C>
Balance at January 1, 1996...................... $ 16,967 $ 26 $ 1,721 $ -- $ 20,886 $ (4,298)
Net income...................................... 7,254 7,254
Unrealized appreciation on investment........... 26
---------
Total comprehensive income...................... 7,280
Issuance of Common Stock related to acquisition
of diagnostic imaging centers................. 47,938 19 47,919
Warrants issued related to acquisition of
diagnostic imaging centers.................... 975 975
Net proceeds from public offering of 1,226,667
shares of Common Stock........................ 25,944 12 25,932
Public offering issuance costs.................. (780) (780)
Conversion of subordinated debentures into
Common Stock.................................. 5,735 4 5,731
Exercise of stock options....................... 2,022 1 2,021
Tax benefit from exercise of stock options...... 368 368
Purchase of treasury shares..................... (65)
--------- --- ----------- ----------- ----------- -----------
Balance at December 31, 1996.................... 106,384 62 1,721 -- 103,052 2,956
Net loss........................................ (31,239) (31,239)
Unrealized appreciation on investment........... (26)
---------
Total comprehensive loss........................ (31,265)
Issuance of Common Stock related to acquisition
of diagnostic imaging centers................. 10,673 4 (1,721) 10,957
Issuance of Common Stock related to acquisition
of staffing offices........................... 2,000 -- 2,000
Issuance of Common Stock related to acquisition
of Dalcon Technologies........................ 1,934 -- 1,934
Warrants issued related to acquisition of
diagnostic imaging centers.................... 3,853 3,853
Warrants issued in connection with preferred
stock......................................... 2,051 2,051
Warrants issued in connection with long-term
borrowings.................................... 337 337
Conversion of debentures........................ 6,635 5 6,630
Exercise of stock options and warrants.......... 2,696 1 2,695
Stock-option based compensation expense......... 2,536 2,536
Tax benefit from exercise of stock options...... 1,000 1,000
Common Stock issued in connection with
acquisition earnout........................... 2,676 1 2,675
Issuance of Convertible Preferred Stock......... 16,965 18,000 (1,035)
Accretion of Convertible Preferred Stock........ -- 242 (242)
Increase in price protection related to certain
restricted Common Stock....................... (1,696) (1,696)
Other, net...................................... 125 125
--------- --- ----------- ----------- ----------- -----------
Balance at December 31, 1997.................... 126,904 73 -- 18,242 138,810 (30,221)
Net loss........................................ (19,361) (19,361)
Warrants issued in connection with preferred
stock......................................... 1,194 1,194
Conversion of preferred stock................... -- 7 (3,191) 3,184
Conversion of promissory note................... 1,750 7 1,743
Termination of common stock repurchase rights... 1,114 1,114
Exercise of stock options and warrants.......... 129 129
Stock-option based compensation expense......... 374 374
Accretion of Convertible Preferred Stock........ -- 496 (496)
Other, net...................................... 119 6 113
--------- --- ----------- ----------- ----------- -----------
Balance at December 31, 1998.................... $ 112,223 $ 93 $ -- $ 15,547 $ 146,165 $ (49,582)
--------- --- ----------- ----------- ----------- -----------
--------- --- ----------- ----------- ----------- -----------
<CAPTION>
TREASURY
SHARES
AT COST
-----------
<S> <C>
Balance at January 1, 1996...................... $ (1,368)
Net income......................................
Unrealized appreciation on investment...........
Total comprehensive income......................
Issuance of Common Stock related to acquisition
of diagnostic imaging centers.................
Warrants issued related to acquisition of
diagnostic imaging centers....................
Net proceeds from public offering of 1,226,667
shares of Common Stock........................
Public offering issuance costs..................
Conversion of subordinated debentures into
Common Stock..................................
Exercise of stock options.......................
Tax benefit from exercise of stock options......
Purchase of treasury shares..................... (65)
-----------
Balance at December 31, 1996.................... (1,433)
Net loss........................................
Unrealized appreciation on investment...........
Total comprehensive loss........................
Issuance of Common Stock related to acquisition
of diagnostic imaging centers................. 1,433
Issuance of Common Stock related to acquisition
of staffing offices...........................
Issuance of Common Stock related to acquisition
of Dalcon Technologies........................
Warrants issued related to acquisition of
diagnostic imaging centers....................
Warrants issued in connection with preferred
stock.........................................
Warrants issued in connection with long-term
borrowings....................................
Conversion of debentures........................
Exercise of stock options and warrants..........
Stock-option based compensation expense.........
Tax benefit from exercise of stock options......
Common Stock issued in connection with
acquisition earnout...........................
Issuance of Convertible Preferred Stock.........
Accretion of Convertible Preferred Stock........
Increase in price protection related to certain
restricted Common Stock.......................
Other, net......................................
-----------
Balance at December 31, 1997.................... --
Net loss........................................
Warrants issued in connection with preferred
stock.........................................
Conversion of preferred stock...................
Conversion of promissory note...................
Termination of common stock repurchase rights...
Exercise of stock options and warrants..........
Stock-option based compensation expense.........
Accretion of Convertible Preferred Stock........
Other, net......................................
-----------
Balance at December 31, 1998.................... $ --
-----------
-----------
</TABLE>
The accompanying notes are an integral part of the consolidated financial
statements.
F-7
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
1. DESCRIPTION OF THE COMPANY AND SIGNIFICANT ACCOUNTING POLICIES
GENERAL
Medical Resources, Inc., (herein referred to as "MRII" and collectively with
its subsidiaries, affiliated partnerships and joint ventures, referred to herein
as the "Company") specializes in the operation and management of diagnostic
imaging centers. The Company operates and manages primarily fixed-site,
free-standing outpatient diagnostic imaging centers (herein referred to as
"centers"), and provides diagnostic imaging network management services to
managed care providers. The Company also develops and sells radiology industry
information systems through its subsidiary, Dalcon Technologies, Inc.
Through the Per Diem and Travel Nursing Divisions of its wholly-owned
subsidiaries, StarMed Staffing, Inc. and Wesley Medical Resources Inc.
("StarMed"), the Company provided temporary healthcare staffing of registered
nurses and other medical personnel to acute and sub-acute care facilities
nationwide. On August 18, 1998, the Company sold 100% of its stockholdings in
StarMed to RehabCare Group, Inc. (the "StarMed Sale"). Due to the StarMed Sale,
the results of operations of StarMed are herein reflected in the Company's
Consolidated Statements of Operations as discontinued operations. See Note 14 of
Notes to Consolidated Financial Statements.
During July 1998, the Company's shareholders approved a reverse stock split
of the Company's outstanding shares of Common Stock. As a result of the reverse
stock split, each three outstanding shares of Common Stock were automatically
converted into one share of new Common Stock. The share data included herein
have been adjusted to reflect the impact of the reverse stock split.
CONSOLIDATION
The accompanying consolidated financial statements include the accounts of
MRII, its wholly-owned subsidiaries, majority-owned joint ventures and limited
partnerships in which the Company is a general partner. All material
intercompany balances and transactions have been eliminated in consolidation. As
general partner, the Company is subject to all the liabilities of a general
partner and is entitled to share in partnership profits, losses and
distributable cash as provided in the partnership agreements. The limited
partnership interests are shown in the accompanying financial statements as
minority interest. Under certain of the partnerships, the Company also is paid a
monthly management fee based on patient cash collections and/or patient volume
under management agreements. Partnership losses allocable to limited partners in
excess of their respective capital accounts are charged to the Company as
general partner. Future income related to such partnerships will be allocated to
the Company as general partner until such time as the Company has recovered the
excess losses. Certain of the limited partnership agreements require limited
partners to make cash contributions in the event their respective capital
accounts are reduced below zero due to partnership operating losses. The Company
has not reflected this potential recovery from the limited partners due to
uncertainty regarding the ultimate receipt of the cash contributions.
REVENUE RECOGNITION
At each of the Company's diagnostic imaging centers, all medical services
are performed exclusively by physician groups (the "Physician Group" or the
"Interpreting Physician(s)"), generally consisting of radiologists with whom the
Company has entered into facility service or independent contractor agreements.
Pursuant to such agreements, the Company agrees to provide equipment, premises,
comprehensive management and administration, (typically including billing and
collection of receivables) and technical imaging services, to the Interpreting
Physician(s).
F-8
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
1. DESCRIPTION OF THE COMPANY AND SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
Net service revenues are reported, when earned, at their estimated net
realizable amounts from third party payors, patients, and others for services
rendered at contractually established billing rates which generally are at a
discount from gross billing rates. Known and estimated differences between
contractually established billing rates and gross billing rates ("contractual
allowances") are recognized in the determination of net service revenues at the
time services are rendered. Subject to the foregoing and various state and
Federal regulations, imaging centers operated or managed by the Company
recognize revenue under one of the following three types of agreements with
Interpreting Physician(s):
TYPE I--Pursuant to facility service agreements with Interpreting
Physician(s) or Physician Group the Company receives a technical fee for
each diagnostic imaging procedure performed at a center, the amount of which
is dependent upon the type of procedure performed. The fee included in
revenues is net of contractual allowances. The Company and the Interpreting
Physician(s) or Physician Group proportionally share in any losses due to
uncollectible amounts from patients and third party payors, and the Company
has established reserves for its share of the estimated uncollectible
amount.
TYPE II--The Company bills patients and third party payors directly for
services provided and pays the Interpreting Physician(s) either (i) a fixed
percentage of fees collected for services performed at the center, or (ii) a
contractually fixed amount based upon the specific diagnostic imaging
procedures performed. Revenues are recorded net of contractual allowances
and the Company accrues the Interpreting Physician(s) fee as an expense on
the Consolidated Statements of Operations. The Company bears the risk of
loss due to uncollectible amounts from patients and third party payors, and
the Company has established reserves for such amounts.
TYPE III--Pursuant to a facility service agreement, the Company
receives, from an affiliated physician association, a fee for the use of the
premises, a fee per procedure for acting as billing and collection agent,
and a fee for administrative and technical services performed at the
centers. The affiliated physician association contracts with and pays
directly the Interpreting Physician(s). The Company's fee, net of an
allowance based upon the affiliated physician association's ability to pay
after the association has fulfilled its obligations (i.e., estimated future
net collections from third party payors and patients less facility lease
expense and Interpreting Physician(s) fees), constitutes the Company's net
service revenues. Since the Company's net service revenues are dependent
upon the amount ultimately realized from patient and third party
receivables, the Company's revenue and receivables are reduced by an
estimate of patient and third party payor contractual allowances and by a
provision for estimated uncollectible amounts.
Revenues derived from Medicare and Medicaid are subject to audit by such
agencies. The Company is not aware of any pending audits.
The Company also recognizes revenue from the licensing and/or sale of
software and hardware comprising radiology information systems which the Company
has developed. Such revenues are recognized on an accrual basis as earned.
RECLASSIFICATION
Certain prior year items have been reclassified to conform to the current
year presentation.
F-9
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
1. DESCRIPTION OF THE COMPANY AND SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
USE OF ESTIMATES
The preparation of the consolidated financial statements in conformity with
generally accepted accounting principles requires management to make estimates
and assumptions that affect the reported amounts of revenues, expenses, assets
and liabilities, and the disclosure of contingent assets and liabilities in the
consolidated financial statements and accompanying notes. The most significant
estimates relate to contractual allowances, the provision for doubtful accounts
receivable, income taxes, contingencies and the useful lives of equipment. In
addition, healthcare industry reforms and reimbursement practices will continue
to impact the Company's operations and the determination of contractual and
other allowance estimates. Actual results could differ from management's
estimates.
CASH AND CASH EQUIVALENTS
For financial statement purposes cash equivalents include short-term
investments with an original maturity of ninety days or less. Cash shown on the
Consolidated Balance Sheets include cash balances held by non-wholly owned
affiliates. Restricted cash consists of amounts held pursuant to expected
distributions to limited partners and related to the terms of letters of credit.
INVESTMENTS IN JOINT VENTURES AND LIMITED PARTNERSHIPS
The minority interests in the equity of consolidated joint ventures and
limited partnerships, which are not material, are reflected in the accompanying
consolidated financial statements. Investments by the Company in joint ventures
and limited partnerships over which the Company can exercise significant
influence but does not control are accounted for using the equity method.
The Company suspends recognition of its share of joint ventures losses in
entities in which it holds a minority interest when its investment is reduced to
zero. The Company does not provide for additional losses unless, as a partner or
joint venturer, the Company has guaranteed obligations of the joint venture or
limited partnership.
PROPERTY AND EQUIPMENT
Property and equipment procured in the normal course of business is stated
at cost. Property and equipment purchased in connection with an acquisition is
stated at its estimated fair value, generally based on an appraisal. Property
and equipment is depreciated for financial accounting purposes using the
straight-line method over the shorter of their estimated useful lives, generally
five to seven years, or the term of a capital lease, if applicable. Leasehold
improvements are being amortized over the shorter of the useful life or the
remaining lease term. Expenditures for maintenance and repairs are charged to
operations as incurred. Renewals and betterments are capitalized.
GOODWILL AND OTHER INTANGIBLE ASSETS
The excess of purchase price of businesses over the fair value of assets
acquired is recorded as goodwill and is amortized on a straight line basis
generally over twenty years. Other intangible assets consist of covenants not to
compete, value of managed care contracts, organizational costs and deferred
financing costs related to acquired businesses and are amortized on a straight
line basis over their
F-10
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
1. DESCRIPTION OF THE COMPANY AND SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
respective initial estimated lives of three to ten years. Gross intangible
assets and related accumulated amortization are as follows (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31,
----------------------
<S> <C> <C>
1998 1997
---------- ----------
Goodwill and other intangibles, net
Goodwill................................................................................ $ 149,967 $ 157,362
Other intangibles....................................................................... 10,141 $ 9,484
Less accumulated amortization........................................................... (19,029) (10,386)
---------- ----------
Net............................................................................... $ 141,079 $ 156,460
---------- ----------
---------- ----------
</TABLE>
Amortization expense from continuing operations for goodwill was $7,788,000,
$5,626,000 and $1,039,000 in 1998, 1997 and 1996, respectively. Amortization
expense for other intangibles was $1,122,000, $1,151,000 and $506,000 in 1998,
1997 and 1996, respectively.
The Company periodically reviews goodwill to assess recoverability based
upon expectations of undiscounted cash flows and operating income of each entity
having a material goodwill balance. An impairment would be recognized in
operating results, if the sum of the expected future cash flows (undiscounted
and without interest charges) is less than the carrying value of the related
costs in excess of net assets acquired. The amount of the impairment would be
measured by comparing the carrying value of intangible and other long-lived
assets to their fair values. See discussion of impairment loss in Note 2 of the
Notes to Consolidated Financial Statements.
COMPREHENSIVE INCOME
Effective January 1, 1998, the Company adopted Statement of Financial
Accounting Standards No. 130, "Reporting Comprehensive Income" ("SFAS No. 130").
SFAS No. 130 requires an entity to report comprehensive income and its
components and increases financial reporting disclosures. This standard has no
impact on the Company's financial position, cash flows or results of operations
since the Company's comprehensive income is the same as its reported net income
for 1998.
EARNINGS PER SHARE
In accordance with the Statement of Financial Accounting Standards (SFAS)
No. 128, "Earnings per Share", the Company has presented Basic Earnings per
Share and Diluted Earnings per Share. Basic earnings per share is based on the
weighted average number of common shares outstanding during the period. Diluted
earnings per share is based on the weighted average number of Common Shares
outstanding during the period plus the potentially issuable common shares
related to outstanding stock options, warrants and convertible debt.
F-11
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
1. DESCRIPTION OF THE COMPANY AND SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
The computations of basic earnings per share and diluted earnings per share
for the years ended December 31, 1998, 1997 and 1996 were as follows (in
thousands, except per share amounts):
<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31,
---------------------------------
<S> <C> <C> <C>
1998 1997 1996
---------- ---------- ---------
Basic earnings (loss) per share information
- --------------------------------------------------------------------------------
Income (loss) from continuing operations........................................ $ (25,072) $ (31,968) $ 6,983
Total income from discontinued operations....................................... 5,711 729 271
---------- ---------- ---------
Net income (loss)............................................................... (19,361) (31,239) 7,254
Charges related to restricted Common Stock and convertible preferred stock...... (496) (1,938) --
---------- ---------- ---------
Net income (loss) applicable to common stockholders............................. $ (19,857) $ (33,177) $ 7,254
---------- ---------- ---------
---------- ---------- ---------
Weighted average number of Common Shares........................................ 7,910 6,832 3,760
---------- ---------- ---------
---------- ---------- ---------
Net income (loss) per share before discontinued operations...................... $ (3.23) $ (4.96) $ 1.86
Discontinued operations......................................................... 0.72 0.11 0.07
---------- ---------- ---------
Basic earnings (loss) per share................................................. $ (2.51) $ (4.85) $ 1.93
---------- ---------- ---------
---------- ---------- ---------
Diluted earnings (loss) per share information
- --------------------------------------------------------------------------------
Income (loss) from continuing operations........................................ $ (25,072) $ (31,968) $ 6,983
Total income from discontinued operations....................................... 5,711 729 271
---------- ---------- ---------
Net income (loss)............................................................... (19,361) (31,239) 7,254
Interest savings from conversion of convertible subordinate debentures.......... -- -- 405
Charges related to restricted Common Stock and convertible preferred stock...... (496) (1,938) --
---------- ---------- ---------
Net income (loss) applicable to common stockholders after assumed conversions... $ (19,857) $ (33,177) $ 7,659
---------- ---------- ---------
---------- ---------- ---------
Weighted average number of common shares........................................ 7,910 6,832 3,760
Incremental shares issuable on exercise of warrants and options................. -- -- 139
Incremental shares issuable on conversion of convertible subordinated
debentures.................................................................... -- -- 404
---------- ---------- ---------
Weighted average number of diluted Common Shares................................ 7,910 6,832 4,303
---------- ---------- ---------
---------- ---------- ---------
Net income (loss) per share before discontinued operations...................... $(3.23) $(4.96) $1.72
Discontinued operations......................................................... 0.72 0.11 0.06
---------- ---------- ---------
Diluted earnings (loss) per share............................................... $(2.51) $(4.85) $1.78
---------- ---------- ---------
---------- ---------- ---------
</TABLE>
Warrants, options and the Series C Convertible Preferred Stock are not
dilutive in 1998 and 1997.
STOCK OPTIONS
SFAS No. 123, Accounting for Stock-Based Compensation requires the Company
to choose between two different methods of accounting for stock options. The
Statement defines a fair-value-based method of
F-12
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
1. DESCRIPTION OF THE COMPANY AND SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
accounting for stock options but allows an entity to continue to measure
compensation cost for stock options using the accounting prescribed by APB
Opinion No. 25, Accounting for Stock Issued to Employees (APB No. 25). The
Company has elected to continue using the accounting methods prescribed by APB
No. 25 and will disclose the amount of the proforma compensation expense,
required to be disclosed under the SFAS No. 123. See disclosure in Note 7 of the
Notes to the Consolidated Financial Statements.
INCOME TAXES
The Company accounts for income taxes under SFAS No. 109, Accounting for
Income Taxes. Under the asset and liability method of SFAS No. 109, deferred tax
assets and liabilities are recognized for the future tax consequences
attributable to differences between the financial statement carrying amounts of
existing assets and liabilities and their respective tax bases. Deferred tax
assets and liabilities are measured using enacted tax rates expected to apply to
taxable income in the years in which those temporary differences are expected to
be recovered or settled. Under SFAS No. 109, the effect on deferred tax assets
and liabilities of a change in tax rates is recognized in income in the period
that includes the enactment date. As of December 31, 1998, the Company has
provided a valuation reserve against its net deferred income tax assets due to
uncertainty regarding the ultimate recovery of such deferred income tax assets.
See further discussion in Note 8 of the Notes to the Consolidated Financial
Statements.
RECENT ACCOUNTING PRONOUNCEMENTS
SFAS No. 131, "Disclosure About Segments of an Enterprise and Related
Information", requires a public entity to report financial and descriptive
information about its reportable operating segments. The Company believes that
due to the immaterial size of their radiology industry information systems
business, this accounting pronouncement does not require additional disclosure.
Statement of Position 98-5, "Reporting on the Costs of Start-Up Activities",
requires an entity to expense costs incurred in conjunction with start-up
activities, for fiscal years beginning after December 15, 1998. The Company
believes that this statement will not have a material effect on the Company's
financial position, cash flow or results of operations.
2. UNUSUAL CHARGES AND LOSS ON IMPAIRMENT OF GOODWILL AND OTHER LONG-LIVED
ASSETS
During the year ended December 31, 1998, the Company recorded unusual
charges of $14,970,000, consisting of (i) $5,327,000 related to Convertible
Preferred Stock penalties associated with the delay in the effectiveness the
Company's Registration Statement (which has now become effective), (ii)
$4,554,000 associated with the resolution of the shareholder class action
lawsuit, (iii) $3,489,000 attributable to center closings, (iv) $883,000 for
costs associated with the investigation of related party transactions which was
concluded in April 1998, (v) $380,000 for professional fees attributable to
obtaining the waiver and amendment under the Company's Senior Note obligations
and (vi) $337,000 for management termination benefits and related costs.
The unusual charges attributable to center closings of $3,489,000 are a
result of the Company's review of under-performing centers and determination
that it would sell or close eight imaging centers during 1998 and early 1999. In
most cases, the Company decided to sell or close these centers due to general
competitive pressures and because of their close proximity to other imaging
centers of the Company which have more advanced imaging equipment. Such charge
consists of (i) $1,562,000 for the write-off of fixed
F-13
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
2. UNUSUAL CHARGES AND LOSS ON IMPAIRMENT OF GOODWILL AND OTHER LONG-LIVED
ASSETS (CONTINUED)
assets, goodwill and other intangibles and other assets, (ii) $1,086,000 for
estimated equipment removal, facility restoration and related costs and (iii)
$841,000 for the estimated costs to exit equipment lease and facility lease
agreements.
During the fourth quarter of 1997, the Company recorded a $12,962,000 loss
on the impairment of goodwill and other long-lived assets. This loss consists of
the write-off of goodwill of $10,425,000, covenants not to compete of $118,000
and fixed assets of $2,419,000. The write-down of fixed assets primarily relates
to imaging equipment. The entire impairment primarily relates to eight of the
Company's diagnostic imaging centers that were under-performing. The Company
recorded impairment losses for these centers because the sum of the expected
future cash flows, determined based on an assumed continuation of operating
methods and structures in effect in 1997, does not cover the carrying value of
the related long-lived assets.
During the fourth quarter of 1997, the Company also recorded $9,723,000 of
other unusual charges consisting of (i) $3,256,000 for the estimated net costs
associated with the resolution of the shareholder and employee lawsuits (see
discussion of litigation in Note 9 of the Notes to the Consolidated Financial
Statements), (ii) $2,243,000 for higher than normal professional fees, (iii)
$2,169,000 ($2,051,000 of which was a non-cash charge related to the issuance of
272,000 warrants) for penalties associated with delays in the registration of
the Company's common stock issued in connection with acquisitions or issuable
upon conversion of convertible preferred stock, (iv) $1,150,000 for the loss on
investment related to a potential acquisition not consummated, (v) $469,000 for
costs associated with the investigation of related party transactions which was
concluded in April 1998 and (vi) $436,000 for management termination benefits
and related costs. The Company accrues for legal fees as incurred.
3. ACCOUNTS RECEIVABLE, NET
Accounts receivable, net is comprised of the following (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31,
--------------------
<S> <C> <C>
1998 1997
--------- ---------
Management fee receivables (net of contractual allowances)
Due from unaffiliated physicians (Type I revenues)........................................ $ 33,810 $ 35,540
Due from affiliated physicians (Type III revenues)........................................ 5,436 8,585
Patient and third party payor accounts receivable (Type II revenues)........................ 29,230 27,551
--------- ---------
Diagnostic imaging and Dalcon accounts receivable before allowance for doubtful accounts.... 68,476 71,676
Less: Allowance for doubtful accounts....................................................... (14,025) (18,445)
--------- ---------
Diagnostic imaging and Dalcon accounts receivable, net...................................... 54,451 53,231
Temporary staffing service accounts receivable, net......................................... -- 12,656
--------- ---------
Total Accounts Receivable........................................................... $ 54,451 $ 65,887
--------- ---------
--------- ---------
</TABLE>
Accounts receivable is net of contractual allowances which represent
standard fee reductions negotiated with certain third party payors. Contractual
allowances amounted to $128,218,000, $93,490,000 and $25,270,000 for the years
ended December 31, 1998, 1997 and 1996, respectively.
F-14
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
3. ACCOUNTS RECEIVABLE, NET (CONTINUED)
The Company's receivables relate to a variety of different structures (see
discussion of revenue recognition in Note 1 of the Notes to Consolidated
Financial Statements) as well as a variety of payor classes, including third
party medical reimbursement organizations, principally insurance companies.
Approximately 15% and 24% of the Company's 1998 and 1997 imaging revenues was
derived from the delivery of services where the timing of payment is
substantially contingent upon the timing of settlement of pending litigation
involving the recipient of services and third parties (Personal Injury Type
accounts receivable). The Company undertakes certain measures to identify and
document the individual's obligation to pay for services rendered regardless of
the outcome of the pending litigation. By its nature, the realization of a
substantial portion of these receivables is expected to extend beyond one year
from the date the service was rendered. The Company anticipates that a material
amount of its Personal Injury Type accounts receivable will be outstanding for
periods in excess of twelve months in the future. The Company considers the
aging of its accounts receivable in determining the amount of allowance for
doubtful accounts. For Personal Injury Type accounts receivable, the Company
provides for uncollectible accounts at substantially higher rates than any other
revenue source.
4. PROPERTY AND EQUIPMENT
Property and equipment stated at cost are set forth below (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31,
--------------------
<S> <C> <C>
1998 1997
--------- ---------
Diagnostic equipment.................................................... $ 62,177 $ 63,186
Leasehold improvements.................................................. 19,591 18,684
Furniture and fixtures.................................................. 10,077 10,571
Land and buildings...................................................... 5,050 4,987
--------- ---------
96,895 97,428
Less: accumulated depreciation and amortization......................... (46,104) (33,085)
--------- ---------
$ 50,791 $ 64,343
--------- ---------
--------- ---------
</TABLE>
Depreciation and amortization expense from continuing operations related to
property and equipment amounted to $15,640,000, $11,955,000 and $5,419,000 for
the years ended December 31, 1998, 1997 and 1996, respectively.
F-15
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
5. ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES
Accrued expenses are comprised of the following (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31,
--------------------
<S> <C> <C>
1998 1997
--------- ---------
Accrued professional fees............................................... $ 4,947 $ 3,875
Accrued payroll and bonuses............................................. 1,956 4,242
Accrued interest........................................................ 552 2,749
Accrued radiologist fees................................................ 3,622 3,398
Accrued costs associated with center closings........................... 1,114 --
Other accrued expenses.................................................. 11,165 12,044
--------- ---------
$ 23,356 $ 26,308
--------- ---------
--------- ---------
</TABLE>
6. DEBT
Outstanding debt consists of the following (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31,
--------------------
<S> <C> <C>
1998 1997
--------- ---------
Senior Notes due 2001 through 2005.......................................................... $ 76,000 $ 78,000
Notes and mortgages payable in monthly installments through 2010 with a weighted average
interest rate of 12.20% and 13.1% at December 31, 1998 and 1997, respectively, secured by
related assets............................................................................ 16,742 25,808
10.25% unsecured promissory note, monthly payments of $171, including interest through
2002...................................................................................... 6,826 8,000
RGC penalty notes........................................................................... 2,135 --
Convertible notes........................................................................... 1,872 4,250
Line of credit.............................................................................. -- 3,744
--------- ---------
Total................................................................................... 103,575 119,802
Less: Current portion................................................................... (11,019) (17,057)
Less: Debt classified as current due to financial covenant default...................... -- (81,206)
--------- ---------
Long-term portion........................................................................... $ 92,556 $ 21,539
--------- ---------
--------- ---------
</TABLE>
During 1997, the Company borrowed $78,000,000 of Senior Notes (the "Senior
Notes") from a group of insurance companies led by the John Hancock Mutual Life
Insurance Company ("John Hancock"). The notes are subject to annual sinking fund
payments commencing February 2001 and have a final maturity in February 2005.
The Senior Notes are guaranteed by substantially all of the Company's diagnostic
imaging subsidiaries and collateralized by certain partnership interests owned
through subsidiaries by the Company. In addition, the agreement relating to the
issuance of the Senior Notes imposes certain affirmative and negative covenants
on the Company and its restricted subsidiaries, including restrictions on the
payment of dividends. The Company used a portion of the proceeds from the Senior
Notes to retire capital lease obligations totaling $8,274,000 and notes payable
totaling $5,490,000 as of December 31, 1997. The difference between the amount
used to retire capital lease obligations and the carrying value of such
obligations was approximately $1,461,000. In connection with the Senior Note
transaction, the Company
F-16
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
6. DEBT (CONTINUED)
paid $337,000 to 712 Advisory Services, Inc., an affiliate (the "712 Advisory")
of a member of the Board of Directors, for financial advisory services.
During 1998, as a result of its net loss for 1997 and the late filing of its
1997 Annual Report on Form 10-K, the Company was in default of certain financial
covenants under its $78,000,000 of Senior Notes and certain medical equipment
notes, and operating and capital leases of the Company (the "Cross-Default
Debt").
In the event that the Senior Note lenders or the holders of the Cross
Default Debt had elected to exercise their right to accelerate the obligations
under the Senior Notes or the other loans and leases, such acceleration would
have had a material adverse effect on the Company, its operations and its
financial condition. As a result of the uncertainty related to the defaults and
corresponding remedies described above, the Senior Notes and the Cross Default
Debt were shown as current liabilities on the Company's Consolidated Balance
Sheet at December 31, 1997.
On September 23, 1998, the Company signed a waiver and amendment agreement
with the Senior Note lenders with respect to covenant defaults and certain
covenant modifications pursuant to which the lenders have agreed to waive all
existing covenant defaults and to modify the financial covenants applicable over
the remaining term of the Senior Notes. In consideration for the waivers and
covenant modifications, the Company increased the effective blended interest
rate on the Senior Notes from 7.87% to 9.00% and issued to the Senior Note
lenders warrants to acquire 375,000 shares of the Company's Common Stock at an
exercise price of $7.67 per common share. In addition, the Company repaid
$2,000,000 in principal outstanding on the Senior Notes (without premium) and
paid a fee to the Senior Note lenders of $500,000. In March 1999, the Senior
Note lenders and the Company entered into an agreement to exclude $10,506,000 of
the provision for doubtful accounts for 1998 and certain other unusual charges
for purposes of calculating the financial covenants. As a result, the Company
continues to be in compliance with the financial covenants underlying the Senior
Notes.
As a result of the Company's failure to register the RGC Conversion Shares
until October 2, 1998, the Company issued promissory notes bearing interest at
13% per annum (the "RGC Penalty Notes") in the aggregate principal amount of
$2,450,000 due and payable, as amended, in eleven monthly payments beginning on
December 1, 1998 and ending on October 1, 1999. The principal amount of and
interest accrued on the RGC Penalty Notes may be converted, at the option of RGC
in certain circumstances, into additional shares of Series C Preferred Stock or
Common Stock.
In August 1997, as part of the purchase price for the acquisition of the
business assets of the Presgar centers, the Company issued up to $3,700,000 in
notes convertible into the Company's Common Stock, of which, $1,200,000 in
principal amount was contingent upon the non-occurrence of certain events.
During 1998 the $1,200,000 additional notes were issued. The notes ($1,872,000
outstanding at December 31, 1998) bear interest at 11% at December 31, 1998 and
were retired in January 1999.
In October 1997, as part of the purchase price of the acquisition of the
Ohio centers, the Company issued $1,750,000 in notes convertible into the
Company's Common Stock. On October 3, 1998, the notes were converted into
657,277 shares of Common Stock.
On December 29, 1997, the Company entered into a credit facility with a
third party financing corporation (the "Facility") under which during 1998 the
Company was advanced $8 million. In consideration for making the Facility
available to the Company, the lender received warrants to purchase an aggregate
of 17,777 shares of Common Stock at an exercise price of $28.63 per Common
Share. As of
F-17
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
6. DEBT (CONTINUED)
December 31, 1998 and 1997, $6,826,000 and $8,000,000, respectively, remain
outstanding under the Facility.
Aggregate maturities of the Company's Senior Notes and other notes and
mortgages payable for years 1999 through 2003 and thereafter are as follows (in
thousands):
<TABLE>
<S> <C>
1999.............................................................. $ 11,019
2000.............................................................. 7,311
2001.............................................................. 21,094
2002.............................................................. 17,954
2003.............................................................. 15,258
thereafter........................................................ 30,939
---------
$ 103,575
---------
---------
</TABLE>
During 1997, StarMed obtained a revolving line of credit from a third party
financing corporation. The $6,000,000 line had a two year term with an interest
rate of prime plus 1.5% and was collateralized by substantially all of StarMed's
accounts receivable. At December 31, 1997, $3,744,000 was outstanding under the
line. Such facility was retired in connection with the sale of StarMed to
RehabCare Group, Inc. on August 18, 1998 (see Note 14 of Notes to Consolidated
Financial Statements).
On February 7, 1996, the Company issued at par $6,533,000 aggregate
principal amount of 10.5% Convertible Subordinated Debentures due 2001 (the
"1996 Debentures"). The Company called for the redemption of the 1996 Debentures
at the conversion price of $18.00 per share on or before March 27, 1997. As of
December 31, 1997, all of the 1996 Debentures had been converted. On May 30,
1995, the Company issued at par $4,350,000 aggregate principal amount of 11%
Convertible Subordinated Debentures due 2000 (the "1995 Debentures"). The 1995
Debentures automatically converted to Common Stock when, on June 20, 1997 the
market price of the Stock exceeded $18.00 per share for a 15 consecutive day
period. Under the terms of the merger agreement with NMR, the Company assumed
the obligations under NMR's 8% Convertible Subordinated Debentures due 2001
including payment of principal and interest (the "NMR Debentures"). The Company
called for redemption of the NMR Debentures at the conversion price of $19.62
per share on or before March 27, 1997. As of December 31, 1997, all of the NMR
Debentures had either been redeemed or converted into Common Stock of the
Company. During 1997 and 1996, debentures of $6,988,000 and $5,735,000,
respectively, were converted into Common Stock.
In conjunction with the private placement of the 1996 Debentures, the
Company paid $357,000 in placement agent fees and expenses to an investment
banking firm. Mr. Gary L. Fuhrman, a director of the Company, is an executive
officer and director of such investment banking firm.
7. STOCKHOLDERS' EQUITY
AUTHORIZED STOCK
The authorized capital stock of the Company consists of 50,000,000 shares of
Common Stock, par value $.01 per share, and 100,000 shares of Preferred Stock,
par value $.01 per share ("Preferred Stock"). The Company has a Shareholders'
Rights Plan (described below) which requires the issuance of Series C Junior
Participating Preferred Stock, in connection with the exercise of certain stock
purchase rights. At December 31, 1998, there were (i) 9,335,918 shares of Common
Stock issued and outstanding and, (ii) 14,900 shares of Series C Convertible
Preferred Stock outstanding (the "Convertible Preferred Shares").
F-18
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SHAREHOLDERS' RIGHTS PLAN
Pursuant to the Shareholders' Rights Plan, holders of the Common Stock
possess three rights (the "Rights") to purchase one ten thousandth of a share of
Series C Junior Participating Preferred Stock for each share of Common Stock
owned. The Rights will generally become exercisable ten days after a person or
group acquires 15% of the Company's outstanding voting securities or ten
business days after a person or group commences or announces an intention to
commence a tender or exchange offer that could result in the acquisition of 15%
of any such securities. Ten days after a person acquires 15% or more of the
Company's outstanding voting securities (unless this time period is extended by
the Board of Directors) each Right would, subject to certain adjustments and
alternatives, entitle the rightholder to purchase Common Stock of the Company or
stock of the acquiring company having a market value of twice the $24.00
exercise price of the Right (except that the acquiring person or group and other
related holders would not be able to purchase Common Stock of the Company on
these terms). The Rights are nonvoting, expire in 2006 and may be redeemed by
the Company at a price of $.001 per Right at any time prior to the tenth day
after an individual or group acquired 15% of the Company's voting stock, unless
extended.
The purpose of the Rights is to encourage potential acquirers to negotiate
with the Company's Board of Directors prior to attempting a takeover and to give
the Board leverage in negotiating on behalf of the shareholders the terms of any
proposed takeover.
CONVERTIBLE PREFERRED STOCK
During 1997, the Company issued 18,000 shares of Series C Convertible
Preferred Stock, $1,000 stated value per share (the "Series C Preferred Stock")
to RGC International, LDC ("RGC"). Each share of the Series C Preferred Stock is
convertible into such number of shares of Common Stock as is determined by
dividing the stated value ($1,000) of each share of Series C Preferred Stock
plus 3% per annum from the closing date to the conversion date by the lesser of
(i) $62.10 or (ii) the average of the daily closing bid prices for the Common
Stock for the five (5) consective trading days ending five (5) trading days
prior to the date of conversion.Pursuant to the Preferred Stock agreements, the
Company was required to use its best efforts to include the shares of Common
Stock issuable upon conversion of the Series C Preferred Stock (the "RGC
Conversion Shares") in an effective Registration Statement not later than
October 1997 or such other mutually agreed upon date, providing for monthly
penalties ("RGC Registration Penalties") in the event that the Company failed to
register the Conversion Shares prior to such date.
As a result of the Company's failure to register the RGC Conversion Shares
until October 3, 1998, the Company: (i) issued warrants to RGC to acquire (a)
272,333 shares of Common Stock at an exercise price equal to $34.86 per share
(the "December 1997 Warrants") and (b) 116,666 shares of Common Stock at an
exercise price of $38.85 per share (the "January 1998 Warrants") (such warrants
having an estimated value of $3,245,000) and (ii) issued promissory notes
bearing interest at 13% per annum (the "RGC Penalty Notes") in the aggregate
principal amount of $2,451,000 due and payable, as amended, in eleven monthly
payments beginning on December 1, 1998 and ending on October 1, 1999. Pursuant
to an agreement with RGC, entered into as of May 1, 1998, the exercise price of
certain December 1997 Warrants to acquire 77,667 shares of Common Stock was
reduced to $2.73 per share, and the exercise price of all of the January 1998
Warrants was reduced to $2.73 per share. The principal amount of and interest
accrued on the RGC Penalty Notes may be converted, at the option of RGC in
certain circumstances, into additional shares of Series C Preferred Stock or
into Common Stock.
In addition, as a result of the Company's failure to register the RGC
Conversion Shares prior to September 15, 1998, RGC may demand a one-time
additional penalty of $1,490,000 (the "Registration
F-19
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
Default Penalty"), payable, at the option of RGC, in cash or additional shares
of Common Stock. Pursuant to an agreement between the Company and RGC, RGC has
agreed that the Registration Default Penalty may not be exercised prior to April
15, 1999, and would be waived in the event that the Company redeems all of the
outstanding Series C Convertible Preferred Stock prior to such date. The Company
believes it will not be able to redeem the Series C Convertible Preferred Stock
by April 15, 1999. Purchasers of Common Stock could therefore experience
substantial dilution upon conversion of the Series C Preferred Stock, the RGC
Penalty Notes and the exercise of December 1997 Warrants and January 1998
Warrants.
On June 18, 1998 and November 19, 1998, respectively, 2,500 shares and 600
shares of Series C Preferred Stock were converted into 373,220 and 340,347
shares of Common Stock, respectively. Accordingly, as of December 31, 1998,
14,900 shares of the Company's Series C Preferred Stock remain outstanding.
STOCK OPTIONS AND EMPLOYEE STOCK GRANTS
Statement of Financial Accounting Standards No. 123, "Accounting for
Stock-Based Compensation" ("SFAS No. 123"), establishes a fair value-based
method of accounting for stock-based compensation plans, including stock options
and stock purchase plans. SFAS No. 123 allows companies to adopt a
fair-value-based method of accounting for stock-based compensation plans or, at
their option, to retain the intrinsic-value based method of Accounting
Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees"
("APB No. 25"), and supplement it with pro forma disclosures of net earnings and
earnings per share data as if the fair value method had been applied. The
Company has elected to continue to account for stock-based compensation plans
under APB No. 25 and, as such, the adoption of this standard has not impacted
the consolidated results of earnings or financial condition.
The Company's six stock option plans provide for the awarding of incentive
and non qualified stock options to employees, directors and consultants who may
contribute to the success of the Company. The options granted vest either
immediately or ratably over a period of time from the date of grant, typically
three or four years, at a price determined by the Board of Directors or a
committee of the Board of Directors, generally at the fair value of the
Company's Common Stock on the date of grant. Options granted to consultants are
accounted for based on the fair value of the options issued.
During 1998 the Company granted 402,164 options at the current market price
on the dates of grant under the 1998 stock option plan, 1998 Non-Employee
Director Stock Option Plan and 1998 Employment Incentive Option Plan. Each plan
authorizes the issuance of options to purchase shares of Common Stock, with
vesting periods from four to ten years and a maximum term of ten years.
During 1996 and the first quarter of 1997, options were granted to employees
under stock option plans which were approved by the Company's Shareholders in
May 1997. The difference between the exercise price of the options and the
market price of the Company's Common Stock on the date of plan approval resulted
in compensation aggregating $3,381,000. The 1998 and 1997 expense of $380,000
and $2,536,000 representing the portion of such options vested in 1998 and 1997
is included as stock based compensation expense in the accompanying Consolidated
Statements of Operations. The remaining balance of $465,000 will be recognized
ratably over the remaining vesting period of the options. In the following
tables, these options are treated as if they were granted on the date of the
plan approvals in May 1997.
Had the fair-value based method of accounting been adopted to recognize
compensation expense for the above plans, the Company's net earnings and
earnings per share would have been reduced to the pro
F-20
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
forma amounts for the years ended December 31, 1998, 1997 and 1996 as indicated
below (in thousands except per share amounts):
<TABLE>
<CAPTION>
1998 1997 1996
---------- ---------- ---------
<S> <C> <C> <C>
Net income (loss) applicable to common stockholders:
As reported................................................................. $ (19,857) $ (33,177) $ 7,254
Pro forma................................................................... (20,534) (34,049) 6,732
Basic income (loss) per share:
As reported................................................................. (2.51) (4.85) 1.93
Pro forma................................................................... (2.60) (4.98) 1.79
Diluted income (loss) per share:
As reported................................................................. (2.51) (4.85) 1.78
Pro forma................................................................... (2.60) (4.98) 1.66
</TABLE>
The fair value of each option granted under all plans is estimated on the
date of grant using the Black-Scholes option-pricing model based on the
following assumptions:
<TABLE>
<CAPTION>
1998 1997 1996
----- ----- -----
<S> <C> <C> <C>
All Plans:
Dividend yield........................................................................... 0% 0% 0%
Expected volatility...................................................................... 78% 70% 52%
Expected life (years).................................................................... 4 2 2
</TABLE>
The risk-free interest rates for 1998, 1997 and 1996 were based upon rates
with maturities equal to the expected term of the option. The weighted average
interest rate in 1998, 1997 and 1996 amounted to 4.6%, 5.52% and 5.93%,
respectively. The weighted average fair value of options granted during the
years ended December 31, 1998, 1997 and 1996 amounted to $8.24, $12.60 and
$7.02, respectively.
Stock option share activity and weighted average exercise price under these
plans and grants for the years ended December 31, 1998, 1997 and 1996, were as
follows:
<TABLE>
<CAPTION>
WEIGHTED
AVERAGE
NUMBER OF EXERCISE
SHARES PRICE
----------- -------------
<S> <C> <C>
Outstanding, January 1, 1996........................................................... 263,225 $ 15.63
Granted............................................................................ 357,713 23.82
Granted as transfer of NMR options................................................. 44,229 15.15
Exercised.......................................................................... (81,066) 16.26
Forfeited.......................................................................... (40,195) 19.74
-----------
Outstanding, December 31, 1996......................................................... 543,906 20.28
Granted............................................................................ 133,000 25.38
Exercised.......................................................................... (78,285) 15.51
Forfeited.......................................................................... (105,167) 21.99
-----------
Outstanding, December 31, 1997......................................................... 493,454 22.53
Granted............................................................................ 402,164 9.69
Exercised.......................................................................... (8,993) 14.32
Forfeited.......................................................................... (133,265) 23.77
-----------
Outstanding, December 31, 1998......................................................... 753,360 15.68
-----------
-----------
Exercisable at:
December 31, 1996.................................................................. 303,237 19.20
December 31, 1997.................................................................. 376,547 20.94
December 31, 1998.................................................................. 383,052 20.84
</TABLE>
F-21
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
The exercise price for options outstanding as of December 31, 1998 ranged
from $2.13 to $33.88. The following table summarizes information about stock
options outstanding and exercisable at December 31, 1998:
<TABLE>
<CAPTION>
OUTSTANDING EXERCISABLE
-------------------- ----------------------
<S> <C> <C> <C> <C> <C>
NUMBER OF AVERAGE AVERAGE NUMBER OF AVERAGE
EXERCISE PRICE RANGE SHARES LIFE PRICE SHARES PRICE
- ----------------------------- ----------- --------- --------- ----------- ---------
$ 2.13 to 15.00.............. 393,103 8 years $ 9.16 84,798 $ 12.81
$16.50....................... 68,333 3 years $ 16.50 68,333 $ 16.50
$18.27 to 19.65.............. 58,369 3 years $ 19.50 49,533 $ 19.50
$20.25 to 25.50.............. 170,555 3 years $ 23.96 130,555 $ 25.10
$27.00 to 30.00.............. 16,668 8 years $ 27.00 16,667 $ 27.00
$31.14 to 33.38.............. 46,332 3 years $ 32.10 33,166 $ 31.49
----------- -----------
$ 2.13 to 33.38.............. 753,360 383,052
----------- -----------
----------- -----------
</TABLE>
All the options described above were issued with exercise prices at or above
fair market value on the date of grant.
STOCK PURCHASE WARRANTS
The Company does not have a formal stock warrant plan. The Company's Board
of Directors authorizes the issuance of stock purchase warrants at its
discretion. The Company's Board of Directors have generally granted warrants in
connection with purchase and financing transactions. The number of warrants
issued and related terms are determined by a committee of independent directors.
All the warrants described below were issued with exercise prices at or above
fair market value on the date of grant.
As of December 31, 1998, the Company had granted warrants, which are
currently outstanding, to purchase its Common Stock with the following terms:
<TABLE>
<CAPTION>
WARRANTS NUMBER OF RANGE OF
EXPIRING IN SHARES EXERCISE PRICE
- --------------------------------------------------------------------------------- ---------- ------------------
<S> <C> <C>
1999............................................................................. 31,062 $13.50 to $75.00
2000............................................................................. -- --
2001............................................................................. 175,458 10.08 to 36.00
2002............................................................................. 553,333 2.73 to 37.77
2003............................................................................. 392,188 7.67 to 13.08
2004............................................................................. 24,653 17.10 to 28.63
2006............................................................................. 41,667 27.00
2008............................................................................. 116,666 2.73
----------
1,335,027
----------
</TABLE>
For services rendered by 712 Advisory in connection with several
acquisitions, the Company issued warrants (the "Acquisition Warrants") to
purchase shares of the Company's Common Stock at exercise prices equal to the
market price of the Company's Common Stock on the date of issuance. The fair
value of such warrants was considered part of the purchase price of the related
acquisition, and was determined (for accounting purposes only) using the
Black-Scholes option pricing model using the following assumptions: Dividend
yield 0%; expected volatility 62%; Expected life three to five years and a risk
free interest
F-22
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
rate of 5.6% as set forth below. The Acquisition Warrants are exercisable at
prices ranging from $30.93 to $37.77 per share. As of March 18, 1999, none of
the Acquisition Warrants had been exercised, and the closing sale price of the
Common Stock was $2 1/32.
In February 1997, warrants were issued in connection with the acquisition of
a diagnostic imaging center located in Jacksonville, Florida to purchase 10,667
shares of the Company's Common Stock at an exercise price of $30.93 per share.
The warrants have a term of three years, are exercisable from the date of grant
and have an estimated fair value of $150,000.
In March 1997, warrants were issued in connection with the acquisition of
Advanced Diagnostic Imaging, Inc. to purchase 45,667 shares of the Company's
Common Stock at an exercise price of $31.80 per share. The warrants have a term
of three years, are exercisable from the date of grant and have an estimated
fair value of $662,000.
In March 1997, warrants were issued in connection with the acquisition of a
diagnostic center located in West Palm Beach, Florida to purchase 19,000 shares
of the Company's Common Stock at an exercise price of $31.92 per share. The
warrants have a term of three years, are exercisable from the date of grant, and
have an estimated fair value of $276,000.
In May 1997, warrants were issued in connection with the acquisition of ATI
Centers, Inc. to purchase 56,000 shares of the Company's Common Stock at an
exercise price of $33.18 per share. The warrants have a term of three years, are
exercisable from the date of grant and have an estimated fair of $847,000.
In March 1997, warrants were issued in connection with the acquisition of a
diagnostic imaging center located in Rancho Cucamonga, California to purchase
18,333 shares of the Company's Common Stock at an exercise price of $33.75 per
share. The warrants have a term of three years, are exercisable from the date of
grant, and have an estimated fair value of $282,000.
In May 1997, warrants to purchase 22,000 and 53,333 of the Company's Common
Stock at an exercise price of $37.77 per share were granted in connection with
the acquisition of diagnostic imaging centers in Maryland, and from Capstone
Management, Inc., respectively. The warrants have a term of five years and are
exercisable from the date of grant. The estimated fair value of $478,000 and
$1,158,000, respectively.
Effective December 1997, the Company issued warrants to RGC to purchase
272,333 shares of the Company's Common Stock with an exercise price of $34.86
per share. These warrants have a term of five years and are exercisable from the
date of grant. The warrants had an estimated fair value of $2,051,000. The fair
value of such warrants was estimated using the Black-Scholes option pricing
model using the following assumptions: Dividend yield 0%, Expected volatility
62%, Expected life one year and a risk free interest rate of 5.50% based upon
the expected life of the warrants. Pursuant to an agrement with RGC, the
exercise price of warrants to acquire 77,667 of these shares was reduced to
$2.73 per share.
Effective January 1998, the Company issued warrants to RGC to purchase
116,666 shares of the Company's Common Stock with an exercise price of $38.85
per share. These warrants have a term of five years and are exercisable from the
date of grant. The warrants have an estimated fair value of $1,194,000. The fair
value of such warrants was estimated using the Black-Scholes option pricing
model using the following assumptions: dividend yield 0%, expect volatility 62%,
expected life one year and a risk free interest rate of 5.5% based upon the
expected life of the warrants. Pursuant to an agreement with RGC, the exercise
price of these warrants was reduced to $2.73 per share.
In September 1998, the Company issued warrants to Senior Note holders to
purchase 375,000 shares of the Company's Common Stock with an exercise price of
$7.67 per share. These warrants have a term of
F-23
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
five years and are exercisable from the date of the grant. The warrants have an
estimated fair value of $503,000. The fair value of such warrants was estimated
using the Black-Scholes option pricing model using the following assumptions:
dividend yield 0%, expected volatility 62%, expected life two years and a risk
free investment rate of 5.5% based upon the expected life of the warrants.
In December 1997, the Company granted warrants to a financing company in
connection with a line of credit entered into by the Company. The warrants to
purchase 17,778 shares of the Company's Common Stock at an exercise price of
$28.62 per share have a term of seven years and are exercisable from the date of
grant. The warrants had an estimated fair value of $337,000 which was recorded
as a deferred financing expense and is being amortized as additional interest
over the term of the facility. The fair value of each warrant was estimated
using the Black-Scholes option pricing model using the following assumptions:
Dividend yield 0%, Expected volatility 62%, Expected life seven years and a risk
free interest rate of 5.63% based on the expected life of the warrants.
For warrants granted during 1996, the fair value of each stock purchase
warrant issued has been accounted for as a component of each transaction's
purchase price and the value has been estimated on the date of grant using the
Black-Scholes option pricing model based on the following assumptions: dividend
yield 0%, expected volatility 52% and an expected life of two years, unless
otherwise noted.
In March 1996 a financial consulting firm doing business with the Company
was granted warrants to purchase 25,000 shares of the Company's Common Stock
consisting of 12,500 warrants with an exercise price of $24.00 per share and
12,500 warrants with an exercise price of $36.00 per share. These warrants have
a term of five years and are exercisable from date of grant. The number of such
warrants was subsequently increased by 1,562 with an exercise price of $24.00
per share and 1,562 warrants with an exercise price of $36.00 per share. As of
December 31, 1998, warants to purchase 14,062 shares of the Company's Common
Stock at $24.00 a share and 14,062 at $36.00 per share were outstanding. The
warrants had an esitmated fair value of $60,000. The fair value of each warrant
was esitmated using the Black-Scholes option pricing model using the following
assumptions: dividend yield 0%, expected volatility 52%, expected life five
years and a risk free interest rate of 5.93% based upon the expected term of the
warrants.
Under the terms of the merger agreement with NMR, all outstanding NMR
warrants were deemed to be exercisable for the number of shares of the Company's
Common Stock the warrant holder would have received in the NMR Acquisition, had
the holder exercised the NMR warrant prior to the NMR Acquisition. As such, in
connection with the NMR Acquisition the Company assumed the following warrants:
Warrants issued to purchase 5,729 shares of the Company's Common Stock at an
exercise price of $21.81 per share to a radiology group providing services to
one of its centers. As of December 31, 1998, none of the warrants to purchase
5,729 shares of the Company's Common Stock had been exercised.
Warrants issued to purchase 1,604 shares of the Company's Common Stock at an
exercise price of $21.81 per share, in connection with the execution of a ground
lease for one of its facilities. As of December 31, 1998, the warrants to
purchase 1,604 share of the Company's Common Stock have been cancelled and are
no longer outstanding.
Warrants issued to acquire 22,917 shares of the Company's Common Stock at
$34.92 per share to a financial consulting firm. As of December 31, 1998, the
warrants to purchase 22,917 shares of the Company's Common Stock have been
cancelled and are no longer outstanding.
F-24
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
Warrants granted to non-employee directors of NMR to purchase 43,542 shares
of the Company's Common Stock at $27.81 per share. As of December 31, 1998,
warrants to purchase 18,333 shares of the Company's Common Stock remain
outstanding.
Warrants granted to a non-employee director of NMR to purchase 917 shares of
the Company's Common Stock at an exercise price of $17.10 per share. As of
December 31, 1998, warrants to purchase 333 shares of the Company's Common Stock
remain outstanding.
Warrants issued to purchase 5,729 shares of the Company's Common Stock at an
exercise price of $13.50 per share to a professional corporation providing legal
services to NMR. As of December 31, 1998, all of the warrants to purchase 5,729
shares of the Company's Common Stock have been exercised and are no longer
outstanding.
Warrants granted to an officer and director of NMR to acquire 17,188 shares
of the Company's Common Stock at an exercise price of $13.08, and 6,875 shares
of Common Stock at an exercise price of $17.10. As of December 31, 1998, none of
the warrants to purchase 17,188 and 6,875 shares of the Company's Common Stock
have been exercised.
For services rendered by a financial advisory company owned by the former
Chairman of the Board of Directors of the Company in connecton with the NMR
Acquisition, the Company issued warrants to purchase 40,000 shares of the
Company's Common Stock at an exercise price of $27.00 per share. These warrants
have a term of five years and are exercisable from date of grant. As of December
31, 1998, none of the warrants to purchase 40,000 shares of the Company's Common
Stock have been exercised.
As required by the merger agreement with NMR, the President of NMR was
granted (i) five year warrants to purchase 13,333 shares of the Company's Common
Stock at an exercise price of $24.00 per share (the "$24.00 Warrants") and (ii)
six year warrants to purchase 66,667 shares of the Company's Common Stock at an
exercise price of $28.50 per share (the "$28.50 Warrants"), and (iii) in
exchange from his NMR employee stock options, three separate five year warrants
to purchase (A) 11,458 shares at $27.81, (B) 22,917 shares at $12.54 and (C)
11,458 shares of the Company's Common Stock at $14.19. As of December 31, 1998,
13,333 of the $24.00 Warrants, 56,000 of the $28.50 Warrants, warrants to
purchase 22,917 shares at$12.54 and 11,458 shares of the Company's Common Stock
at $14.19 remain outstanding.
As required by the merger agreement with NMR, the Executive Vice
President-Finance of NMR was granted (i) five year warrants to purchase 16,667
shares of the Company's Common Stock at an exercise price of $24.00 per share
and (ii) in exchange for his NMR employee stock options, four separate five year
warrants to purchase 3,438 shares at $12.00, 9,167 shares at $10.08, 13,750
shares at $12.54 and 11,458 shares of the Company's Common Stock at $14.19. As
of December 31, 1998, the warrants to purchase 16,667 shares at $24.00 per
share, 9,167 shares at $10.08 per share, 13,750 at $12.54 per share and 11,578
shares at $14.19 per share remain outstanding.
The warrants the Company issued to the officers of NMR in connection with
the NMR Acquisition had an estimated fair value of approximately $650,000 and
were considered paid in connection with the NMR Acquisition and such value is
being amortized over the term of the officers' covenant not to compete
agreements. The 188,147 warrants the Company issued in exchange for previously
outstanding NMR options and warrants and the 40,000 warrants issued to the
financial advisory company had an estimated fair value of approximately $210,000
and $325,000, respectively, and were considered part of the NMR Acquisition
purchase price.
2,088,387 shares of the Company's Common Stock were reserved for the
issuance related to the above described stock options and warrants.
F-25
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
8. INCOME TAXES
The components of the Company's income tax provision (benefit) from
continuing operations are as follows (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31, 1998
-------------------------------
<S> <C> <C> <C>
FEDERAL STATE TOTAL
--------- --------- ---------
Current provision (benefit)...................................... $ (4,845) $ 653 $ (4,192)
Deferred provision............................................... 4,845 -- 4,845
--------- --------- ---------
Income tax provision............................................. $ -- $ 653 $ 653
--------- --------- ---------
--------- --------- ---------
</TABLE>
<TABLE>
<CAPTION>
DECEMBER 31, 1997
---------------------------------
<S> <C> <C> <C>
FEDERAL STATE TOTAL
----------- --------- ---------
Current provision................................................ $ 993 $ 990 $ 1,983
Deferred provision (benefit)..................................... (879) 117 (762)
----- --------- ---------
Income tax provision............................................. $ 114 $ 1,107 $ 1,221
----- --------- ---------
----- --------- ---------
</TABLE>
<TABLE>
<CAPTION>
DECEMBER 31, 1996
-------------------------------
<S> <C> <C> <C>
FEDERAL STATE TOTAL
--------- --------- ---------
Current provision................................................ $ 3,263 $ 1,185 $ 4,448
Deferred benefit................................................. (733) (140) (873)
--------- --------- ---------
Income tax provision............................................. $ 2,530 $ 1,045 $ 3,575
--------- --------- ---------
--------- --------- ---------
</TABLE>
Tax benefit associated with the exercise of employee stock options which has
been credited to stockholders' equity consists of $6,000, $1,000,000 and
$368,000 for the years ended December 31, 1998, 1997 and 1996, respectively.
A reconciliation of the enacted federal statutory income tax to the
Company's recorded effective income tax rate for continuing operations is as
follows:
<TABLE>
<CAPTION>
DECEMBER 31
-------------------------------
<S> <C> <C> <C>
1998 1997 1996
--------- --------- ---------
Statutory federal income tax at 34%................................ (34.0)% (34.0)% 34.0%
Effect of partnership status and amounts taxed to parties other
than the Company................................................. -- -- (1.2)
State income tax expense (benefit) net of federal benefit.......... 1.7 (1.2) 6.3
Meals and entertainment............................................ .6 .4 .3
Change in valuation allowance...................................... 21.5 34.8 --
Goodwill amortization.............................................. 4.2 2.8 1.8
Accrued RGC registration penalties................................. 7.0 2.4 --
Other.............................................................. 1.7 (1.2) (7.3)
--------- --------- ---
Effective tax rate................................................. 2.7% 4.0% 33.9%
--------- --------- ---
--------- --------- ---
</TABLE>
F-26
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
8. INCOME TAXES (CONTINUED)
The significant components of the Company's deferred tax liabilities and
assets are as follows (in thousands):
<TABLE>
<CAPTION>
1998 1997
--------- ---------
<S> <C> <C>
Deferred tax liabilities
Property and equipment............................................... $ (2,302) $ (841)
Deferred rent........................................................ (61) (37)
Cash to accrual adjustment........................................... (45) (41)
--------- ---------
Deferred tax liabilities............................................. (2,408) (919)
--------- ---------
Deferred tax assets:
Net operating losses................................................. 2,956 2,956
Tax credit carryforwards............................................. 962 385
Accounts receivable reserves......................................... 2,249 5,225
Capital leases....................................................... 45 110
Goodwill and other intangible assets written off for book purposes,
but amortized for tax purposes..................................... 3,874 4,940
Accrued expenses..................................................... 4,511 2,721
Capital loss carryforward............................................ -- 127
Deferred income...................................................... 294 --
--------- ---------
Deferred tax assets...................................................... 14,891 16,464
--------- ---------
Subtotal......................................................... 12,483 15,545
--------- ---------
Less: Valuation allowance................................................ (12,483) (10,700)
--------- ---------
Net deferred tax asset................................................... $ -- $ 4,845
--------- ---------
--------- ---------
</TABLE>
The Company's existing deferred tax assets at December 31, 1998 have been
reduced by a valuation allowance of $12,483,000, due to the uncertainty
regarding the realization of the full amount of such deferred tax assets. The
valuation allowance represents the amount required to reduce the net deferred
income tax asset to zero.
At December 31, 1998, the Company has available federal net operating loss
carryforwards of approximately $8,028,000 expiring in years 1999 through 2009.
Utilization of the Company's tax net operating losses is limited to the
separately determined taxable incomes of certain of its subsidiaries. In
addition, the Tax Reform Act of 1986 enacted a complex set of rules ("Section
382") limiting the utilization of net operating loss carryforwards in periods
following a corporate ownership change. In general, a corporate ownership change
is deemed to occur if the percentage of stock of a loss corporation owned
(actually, constructively and in certain cases deemed owned) by one or more "5%
shareholders" has increased by 50 percentage points over the lowest percentage
of such stock owned during a specified testing period (generally a three year
period). The utilization of the Company's available net operating loss
carryforwards is subject to such limitations. Should the Company experience
further ownership changes, its ability to utilize the available federal net
operating loss carryforwards could be subject to further limitation.
The Company also has available investment tax credit carryforwards of
approximately $191,000 expiring between 1999 and 2011. The utilization of such
credits is also subject to a limitation similar to the net operating loss
limitation described above. In addition, the Company also has available
approximately
F-27
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
8. INCOME TAXES (CONTINUED)
$700,000 of alternative minimum tax credits which can be utilized against the
Company's regular Federal income tax liability in future years and have an
unlimited carryforward period.
9. COMMITMENTS AND CONTINGENCIES
LEASES
The Company has entered into noncancelable leases for certain medical
diagnostic equipment, computer equipment, and furniture and fixtures, and has
capitalized the assets relating to these leases. In most cases, the leases are
collateralized by the related equipment. Certain leases included renewal options
for additional periods.
The following is a summary of assets under capital leases which amounts are
included in Property and Equipment (in thousands):
<TABLE>
<CAPTION>
DECEMBER 31,
--------------------
<S> <C> <C>
1998 1997
--------- ---------
Equipment and associated leaseholds..................................... $ 25,343 $ 31,211
Less: Accumulated amortization.......................................... (9,572) (5,221)
--------- ---------
$ 15,771 $ 25,990
--------- ---------
--------- ---------
</TABLE>
Amortization expense relating to property and equipment under capital leases
at December 31, 1998, 1997 and 1996 was $4,860,000, $3,496,000 and $3,377,000,
respectively.
The following analysis schedules the minimum future lease payments under
capital leases as of December 31, 1998 (in thousands):
<TABLE>
<CAPTION>
YEAR ENDING DECEMBER 31,
- -----------------------------------------------------------------------------------
<S> <C>
1999............................................................................... $ 11,103
2000............................................................................... 9,065
2001............................................................................... 5,203
2002............................................................................... 1,807
2003............................................................................... 665
Thereafter......................................................................... 15
---------
Total minimum lease payments....................................................... 27,858
Less: amount representing interest................................................. 3,402
---------
Present value of minimum lease payments............................................ 24,456
Less current installments.......................................................... 9,355
---------
Obligations under capital leases, shown as long-term............................... $ 15,101
---------
---------
</TABLE>
In connection with certain of the Company's acquisitions, the Company
entered into agreements for the sale and leaseback of medical diagnostic
equipment. Included in future minimum lease payments listed above are $1,782,000
for each of the years 1999, 2000, 2001 and $803,000 for 2002, relating to these
transactions.
F-28
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
9. COMMITMENTS AND CONTINGENCIES (CONTINUED)
The Company leases its corporate offices and certain centers for periods
generally ranging from three to ten years. These leases include rent escalation
clauses generally tied to the consumer price index and contain provisions for
additional terms at the option of the tenant. The leases generally require the
Company to pay utilities, taxes, insurance and other costs. Rental expense under
such leases was approximately $8,485,000, $6,585,000 and $2,597,000 for the
years ended December 31, 1998, 1997 and 1996, respectively. Nine of the offices
are subleased to affiliated Physicians. By reason of the sublease arrangements,
if the respective Physicians should be unable to pay the rental on the site, the
Company would be contingently liable. As of December 31, 1998, the Company has
subleased the operating sites to the Physicians for the base rental as
stipulated in the original lease. The related sublease income has been offset by
the lease rent expense. The Company also has operating leases for diagnostic
imaging equipment installed in certain of its imaging centers.
The following summary of non-cancelable obligations includes the sublease
arrangements described above, certain equipment leases, maintenance agreements
and the Company's corporate rentals. As of December 31, 1998, the aggregate
future minimum lease payments and sublease rentals are as follows (in
thousands):
<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31, LEASES SUBLEASES NET
- ------------------------------------------------------------- --------- ----------- ---------
<S> <C> <C> <C>
1999......................................................... $ 24,810 $ 966 $ 23,844
2000......................................................... 23,054 629 22,425
2001......................................................... 20,140 445 19,695
2002......................................................... 9,065 209 8,856
2003......................................................... 4,086 182 3,904
thereafter................................................... 3,639 366 3,273
--------- ----------- ---------
$ 84,794 $ 2,797 $ 81,997
--------- ----------- ---------
--------- ----------- ---------
</TABLE>
CONTINGENCIES
Between November 1997 and January 1998, several lawsuits were commenced
against the Company, certain of the Company's Directors and certain officers
concerning certain related party transactions that have since been investigated
by a Special Committee of the Board of Directors ("Special Committee"). The
complaints in each action assert that the Company and the named defendants
violated Section 10(b) and 20(a) of the Securities Exchange Act of 1934,
alleging that the Company omitted and/or misrepresented material information in
its public filings, including that the Company failed to disclose that it had
entered into acquisitions that were not in the best interest of the Company,
that it had paid unreasonable and unearned acquisition and financial advisory
fees to related parties, and that it concealed or failed to disclose adverse
material information about the Company. Each action seeks unspecified
compensatory damages, with interest, and the costs and expenses incurred in
bringing the action. On February 9, 1998, the above-mentioned class actions were
consolidated for all purposes in federal district court in New Jersey. On March
31, 1998, the lead plaintiffs in the consolidated class actions served their
Consolidated Class Action Complaint, asserting that the Company and the named
defendants violated Section 10(b) of the Exchange Act, and that certain named
defendants violated Sections 20(a) and 20A of the Exchange Act.
The Special Committee issued the results of its investigation and certain
recommendations in a report to the Company's Board of Directors and on April 6,
1998, the Company's Board of Directors voted to
F-29
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
9. COMMITMENTS AND CONTINGENCIES (CONTINUED)
adopt the recommendations contained in the report. Accordingly, the Special
Committee recommended and 712 Advisory Services, Inc., a financial advisory firm
and affiliate of the Company's then Chairman of the Board ("712 Advisory"),
agreed to reimburse the Company approximately $1,424,000 in fees for
transactions completed after June 1, 1997, to reimburse $112,500 of the retainer
paid to 712 Advisory for 1997, to waive payment of an additional $112,500 of
fees accrued by the Company for the third and fourth quarters of 1997, and to
pay a substantial amount of the expenses associated with the Special Committee's
investigations. All such amounts have been paid or reimbursed to the Company. In
addition, the Special Committee recommended and 712 Advisory agreed to allow the
Company to terminate its relationship with 712 Advisory.
The Special Committee reported to the directors that it had determined that:
(i) there was no evidence of any federal or state crimes or securities law
violations in connection with the related party transactions in question; (ii)
all related-party matters were disclosed in public filings; (iii) 712 Advisory
performed acquisition advisory services fully consistent with the expectations
and understanding of the committee of outside directors that had approved 712
Advisory's acquisition fees; and (iv) the acquisition advisory fees paid to 712
Advisory in connection with the Company's acquisitions in 1997 were within the
range of customary acquisition advisory fees paid to investment bankers on
transactions of similar size.
On December 18, 1998, attorneys for the plaintiffs in the pending class
actions reached an agreement in principle with the Company and certain of the
other defendants to settle all of the pending class actions in consideration
primarily of (i) a payment of $2.75 million to be provided from the Company's
insurer and (ii) the issuance of $5.25 million of Convertible subordinated
promissory notes (the "Convertible Subordinated Notes"). The $5.25 million of
Convertible Subordinated Notes will bear interest at the rate of 8% per annum,
will be due on the earlier of August 1, 2005 or when the Company's presently
outstanding Senior Notes are paid in full, and may be prepaid in cash by the
Company at any time after issuance subject to the payment of a prepayment
premium which begins at 8% and decreases over time. Additionally, the
Convertible Subordinated Notes are convertible into shares of the Company's
Common Stock beginning February 15, 2000 at a price per share equal to the
greater of $3.00 or 120% of the ten day average closing price of the Company's
Common Stock as of the date of the court hearing to be scheduled to approve the
agreement in principle. The court hearing to approve the agreement in principle
is expected to occur in May 1999.
The agreement-in-principle and the class action settlement contemplated
thereby are further subject to (1) consent to the issuance of the convertible
subordinated notes by the Company's Senior Noteholders and (2) the right of
either the Company or the attorneys representing the class plaintiffs to
terminate the agreement-in-principle if the ten day average closing price of the
Company's Common Stock as of the court hearing date is less than $1.75 per
share. If such settlement is not approved or consummated, the Company intends to
defend vigorously against the allegations.
As previously disclosed by the Company, the U.S. Attorney for the District
of New Jersey commenced an investigation in connection with the disclosures
regarding the related-party transactions referenced above. In addition as
previously disclosed, the Company has received an inquiry from the SEC, but no
formal proceedings have been commenced by the SEC. The Company has cooperated
fully with these authorities and provided all information requested by them.
On November 7, 1997, William D. Farrell resigned from his position as
President and Chief Operating Officer of the Company and as Director, and Gary
I. Fields resigned from his position as Senior Vice President and General
Counsel. On the same date, Messrs. Farrell and Fields filed a Complaint in the
F-30
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
9. COMMITMENTS AND CONTINGENCIES (CONTINUED)
Superior Court of New Jersey, Law Division, Essex County, against the Company
and the members of the Company's Board of Directors, claiming retaliatory
discharge under the New Jersey Conscientious Employee Protection Act and breach
of contract. On December 17, 1997, the plaintiffs amended their complaint to add
a claim for violation of public policy. The plaintiffs allege that they were
constructively terminated as a result of their objection to certain
related-party transactions, the purported failure of the defendants to
adequately disclose the circumstances surrounding such transactions, and the
Company's public issuance of allegedly false and misleading accounts concerning
or relating to such related-party transactions. The plaintiffs seek unspecified
compensatory and punitive damages, interest and costs and reinstatement of the
plaintiffs to their positions with the Company. On April 8, 1998, the Company
filed its Answer to the Amended Complaint, and asserted a counterclaim against
Messrs. Farrell and Fields for breach of fiduciary duties. The Company intends
to defend vigorously against the allegations.
On November 14, 1997, Mr. John P. O'Malley III, the former Chief Financial
Officer of the Company, filed a complaint in the Superior Court of New Jersey,
Law Division, Essex County, against the Company and Gary N. Siegler, Neil H.
Koffler, Stephen M. Davis, Gary L. Fuhrman, John H. Josephson and Lawrence
Ramaekers, as defendants, claiming retaliatory discharge under the New Jersey
Conscientious Employee Protection Act and defamation. Mr. O'Malley alleged that
the Company terminated his employment in retaliation for voicing the concerns of
shareholders and senior management regarding related-party transactions and
because the Company did not want to make full and adequate disclosure of the
facts and circumstances surrounding such transactions. In addition, the
plaintiff alleged that the Company published false and defamatory statements
about him. Mr. O'Malley sought unspecified compensatory and punitive damages,
interest and costs of bringing the action. On April 8, 1998, the Company filed
its Answer to the Complaint, and asserted a counterclaim against Mr. O'Malley
for breach of fiduciary duties.
On December 18, 1998, Mr. O'Malley, the Company and the other defendants
reached an agreement in principle to settle the O'Malley claims in consideration
of (i) the payment to Mr. O'Malley of approximately $117,000 from a letter of
credit established by the Company in 1996 for the benefit of Mr. O'Malley, (ii)
the Company's agreement to indemnify Mr. O'Malley in connection future
litigation and (iii) the execution of mutual releases by all parties. The
agreement settling the O'Malley action is subject to court approval which is
expected in May 1999.
On June 2, 1998, Mr. Ronald Ash filed a complaint against the Company,
StarMed, Wesley Medical Resources, Inc., a subsidiary of the Company ("Wesley"),
and certain officers and directors of the Company in the United States District
Court for the Northern District of California. On June 24, 1997, the Company,
acquired the assets of Wesley, a medical staffing company in San Francisco,
California, from Mr. Ash and another party for 45,741 shares of the Company's
Common Stock valued at $2,000,000 and contingent consideration based on the
company achieving certain financial objectives during the three year period
subsequent to the transaction. The Ash complaint, among other things, alleges
that the defendants omitted and/or misrepresented material information in the
Company's public filings and that they concealed or failed to disclose adverse
material information about the Company in connection with the sale of Wesley to
the Company by the plaintiff. The plaintiff seeks damages in the amount of $4.25
million or, alternatively, rescission of the sale of Wesley.
On October 7, 1998, upon motion by the Company, the Ash action was
transferred from the United States District Court for the Northern District of
California and consolidated with the pending securities
F-31
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
9. COMMITMENTS AND CONTINGENCIES (CONTINUED)
class actions in the United States District Court for the District of New
Jersey. The Company believes that it has meritorious defenses to the claims
asserted by plaintiff, and intends to defend itself vigorously.
The legal proceedings described above are in their preliminary stages.
Although the Company believes it has meritorious defenses to all claims against
it, the Company is unable to predict with any certainty the ultimate outcome of
these proceedings. See discussion of reserves for net costs associated with such
litigation in Note 2.
In the normal course of business, the Company is subject to claims and
litigation other than those set forth above. Management believes that the
outcome of such other litigation will not have a material adverse effect on the
Company's financial position, cash flows or results of operations. Accordingly,
the Company has made no accrual for any costs associated with such litigation.
In connection with certain of the Company's 1997 acquisitions in which the
Company issued shares of its Common Stock as consideration, the Company agreed
to register such shares for resale pursuant to the federal securities laws. In
certain of such acquisitions, the Company granted specific remedies to the
sellers, including the right to require the Company to repurchase the shares
issued to such seller, in the event that a registration statement covering the
relevant shares was not declared effective by the Securities and Exchange
Commission (the "SEC") within an agreed-upon period of time. As of December 31,
1997, the Company had reflected $9,734,000 of Common Stock subject to redemption
on its Consolidated Balance Sheet related to shares potentially to be
repurchased by the Company. During 1998, the Company paid $8,621,000 to sellers
who exercised their rights to have shares of Common Stock repurchased. As of
December 31, 1998, the Company had no obligation to purchase any additional
shares of Common Stock.
In addition, in connection with certain of such acquisitions, the Company
agreed with the sellers in such acquisitions to pay to the seller (in additional
shares and/or cash) an amount equal to the shortfall, if any (the "Price
Protection Shortfall"), in the value of the issued shares and the market value
of such shares on the effective date of the Company's registration statement.
Based upon the closing sales price of the Company's Common Stock on October 2,
1998 ($2.67 per share), the date on which the Company's registration statement
was declared effective, the Company issued 590,147 shares of Common Stock and
became obligated to pay during 1999 an additional $1,659,000 with respect to all
such Price Protection Shortfall obligations.
In connection with certain of the Company's acquisitions, the Company has
also agreed with certain sellers that all or a portion of the consideration for
such acquisitions will be paid on a contingent basis based upon the
profitability, revenues or other financial criteria of the acquired business
during an agreed-upon measurement period following the closing of the
acquisition (usually, one to three years). The specific terms of such contingent
consideration differs for each acquisition. In connection with certain
acquisitions, the Company and the relevant sellers have agreed to a maximum
amount of contingent consideration and in other cases the parties have agreed
that any payment of such contingent consideration may be paid in cash or shares
of Common Stock, or a combination of both. Contingent consideration associated
with acquisitions is recorded as additional purchase price when resolved.
10. RELATED PARTY TRANSACTIONS
During 1998, for legal services rendered to the Company, the Company paid
legal fees in the amount of approximately $180,000 to Werbel & Carnelutti, of
which Stephen Davis, a director of the Company through July 1998, is a partner.
F-32
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
10. RELATED PARTY TRANSACTIONS (CONTINUED)
During 1997, in connection with the placement of the Preferred Stock, the
Company paid $967,000 in fees and expenses to Arnhold & S. Bleichroeder, Inc.,
of which Gary Fuhrman, a director of the Company, is an executive officer and
director. Also during 1997, for legal services rendered to the Company, the
Company paid legal fees in the amount of $971,000 to Werbel & Carnelutti, of
which Stephen Davis, a director of the Company through July 1998, is a partner.
In addition, during 1997, the Company reimbursed the managing underwriter of the
Company's October 1997 public offering $84,000 in charter fees for the use by
the managing underwriter and the Company of an airplane owned by an affiliate of
the then Chairman of the Board and current board member, Mr. Gary N. Siegler
("Mr. Siegler") during the public offering roadshow.
In 1997 and previous years, the Company paid an annual financial advisory
fee to 712 Advisory Services, Inc., a financial advisory firm and affiliate of
Mr. Siegler, ("712 Advisory"). Mr. Neil H. Koffler, a director of the Company
until July 1998, is also an employee of 712 Advisory. Such fees amounted to
$112,500 and $102,000 in the years ended December 31, 1997 and 1996,
respectively. During the year ended December 31, 1997, the Company also paid
transaction related advisory fees and expenses (including fees associated with
the issuance of the Senior Notes) to 712 Advisory of $1,761,000 and issued to
712 Advisory warrants to purchase 225,000 shares of the Company's Common Stock
exercisable at between $30.93 and $37.77 per share for financial advisory
services rendered to the Company in connection with such transactions. As
discussed below, pursuant to recommendations made by the Special Committee, 712
Advisory has reimbursed the Company $1,536,000 of the fees paid to 712 Advisory
for services rendered in 1997 and waived $112,500 of fees payable in 1997.
In order to compensate officers, directors, employees and consultants to the
Company for services rendered or to be rendered to the Company, the Company from
time to time has granted options at fair market value to such individuals. As of
December 31, 1997, stock options to purchase 489,555 shares of the Company's
Common Stock have been issued to Mr. Siegler and Mr. Koffler. Included in this
amount are stock options to purchase 250,000 shares and 5,000 shares of the
Company's Common Stock which were granted in May 1997 to Mr. Siegler and Mr.
Koffler, respectively, under the Company's 1997 Stock Option Plan (the "1997
Plan"). The exercise price for the options granted to Mr. Siegler and Mr.
Koffler is $39.38, the fair market value of the Common Stock on the date of
grant. As discussed below, Mr. Siegler and Mr. Koffler agreed in April 1998 to
relinquish the stock options that were granted to them under the 1997 Plan.
In September 1997, the Company acquired, for $3,250,000, a limited
partnership interest in Dune Jet Services, L.P. (the "Partnership"), a Delaware
limited partnership formed for the purposes of acquiring and operating an
airplane for the partner's business uses and for third party charter flights.
The general partner of the Partnership is Dune Jet Services, Inc., a Delaware
corporation, the sole stockholder of which is Mr. Siegler. In October 1997,
following discussions among management (members of which expressed objections to
such acquisition), the Special Committee, and other members of the Board of
Directors (including Mr. Siegler), the Company's interest in the partnership was
repurchased by the partnership at cost plus interest.
In October 1997, members of the Company's management communicated to the
Board that certain Company stockholders had questioned them regarding the manner
in which related-party transactions were scrutinized by the Company and its
Board. Management stated that it shared the concerns of these stockholders and
had engaged counsel to conduct a review of such transactions.
F-33
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
10. RELATED PARTY TRANSACTIONS (CONTINUED)
In order to address and satisfy the concerns management had communicated,
the Company instituted a special investigation to review all related-party
transactions (including those referred to above in this Note 10 of the Notes to
the Consolidated Financial Statements) and the adequacy of the disclosure of the
same. The review also was to seek to develop recommendations as to what changes,
if any, should be made to the Company's procedures regarding related-party
transactions.
The Committee issued the results of its investigation and certain
recommendations in a report to the Company's Board of Directors and on April 6,
1998, the Company's Board of Directors voted to adopt the recommendations
contained in the report. Accordingly, the Committee recommended and 712 Advisory
agreed to reimburse the Company approximately $1,424,000 in fees for
transactions completed after June 1, 1997, to reimburse $112,500 of the retainer
paid to 712 Advisory for 1997, to waive payment of an additional $112,500 of
fees accrued by the Company for the third and fourth quarters of 1997, and to
pay a substantial amount of the expenses associated with the Committee's
investigations. In addition, the Committee recommended and 712 Advisory agreed
to allow the Company to terminate its relationship with 712 Advisory
The Committee responded to the directors that it had determined that: (i)
there was no evidence of any federal or state crimes or securities law
violations in connection with the related party transactions in question; (ii)
all related-party matters were disclosed in public filings; (iii) 712 Advisory
performed acquisition advisory services fully consistent with the expectations
and understanding of the committee of outside directors that had approved 712
Advisory's acquisition fees; and (iv) the acquisition advisory fees paid to 712
Advisory in connection with the Company's acquisitions in 1997 were within the
range of customary acquisition advisory fees paid to investment bankers on
transactions of similar size.
Mr. Siegler and Mr. Koffler also agreed voluntarily to relinquish 255,000
stock options that were granted to them in May 1997 and permit the Board's
Compensation Committee, with the assistance of compensation experts, to
determine the appropriate director compensation for 1997. The 255,000 stock
options were granted at prices equal to the then current market price, and
accordingly, no expense was recorded upon issue nor income reflected upon
relinquishment for accounting purposes.
In addition, for the year ended December 31, 1996, the Company paid
transaction related advisory fees and expenses to 712 Advisory of $363,000 and
issued to 712 Advisory warrants to purchase 40,000 shares of the Company's
common stock exercisable at $27.00 per share for services rendered to the
Company, including services in connection with the NMR acquisition, the public
offering of the Company's common stock in October 1996 and other transactions.
See Note 9 of notes to Consolidated Financial Statements for discussion of
litigation matters regarding related party transactions.
11. FAIR VALUE OF FINANCIAL INSTRUMENTS
The following estimated fair value amounts have been determined using
available market information and appropriate valuation methodologies. However,
considerable judgement is necessarily required in interpreting market data to
develop the estimates of fair value. Accordingly, the estimates presented herein
are not necessarily indicative of the amounts that the Company could realize in
a current market
F-34
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
11. FAIR VALUE OF FINANCIAL INSTRUMENTS (CONTINUED)
exchange. The use of different market assumptions and/or estimation
methodologies may have a material effect on the estimated fair value amounts.
<TABLE>
<CAPTION>
DECEMBER 31, 1998
--------------------
<S> <C> <C>
CARRYING FAIR
AMOUNT VALUE
--------- ---------
<CAPTION>
(IN THOUSANDS)
<S> <C> <C>
Assets:
Cash and cash equivalents........................................... $ 20,997 $ 20,997
Restricted cash..................................................... 1,182 1,182
Patient receivables and due from physician associations, net........ 54,451 54,451
Liabilities:
Notes payable and mortgages......................................... 103,575 92,592
Capital lease obligations........................................... 24,456 23,740
</TABLE>
<TABLE>
<CAPTION>
DECEMBER 31, 1997
----------------------
<S> <C> <C>
CARRYING FAIR
AMOUNT VALUE
---------- ----------
<CAPTION>
(IN THOUSANDS)
<S> <C> <C>
Assets:
Cash and cash equivalents......................................... $ 23,198 $ 23,198
Restricted cash................................................... 600 600
Patient receivables and due from physician associations, net...... 65,887 65,887
Liabilities:
Notes payable, line of credit and mortgages....................... 119,802 111,085
Capital lease obligations......................................... 36,227 35,281
</TABLE>
The carrying amounts of cash and cash equivalents, restricted cash and due
from affiliated physician associations and patient receivables, net and
convertible debentures are a reasonable estimate of their fair value. The fair
value of the Company's notes and mortgage payable, capital lease obligations,
and convertible debentures are based upon a discounted cash flow calculation
utilizing rates under which similar borrowing arrangements can be entered into
by the Company.
12. ACQUISITIONS
1997 ACQUISITIONS
On January 10, 1997, the Company, through its wholly owned subsidiary,
StarMed, acquired the assets of National Health Care Solutions, Inc. a medical
staffing company in Detroit, Michigan for approximately $50,000 in cash. The
excess of the purchase price and direct acquisition costs over the fair value of
net assets acquired amounted to approximately $311,000 and was being amortized
on a straight-line basis over 20 years. During 1998, the Company sold the stock
of StarMed to RehabCare (see Note 14 of the Notes to Consolidated Financial
Statements).
On January 16, 1997, the Company acquired a diagnostic imaging center
located in Melbourne, Florida (the "Melbourne" center) for approximately
$1,125,000 in cash. The excess of the purchase price
F-35
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
and direct acquisition costs over the fair value of net liabilities assumed
amounted to approximately $1,311,000 and is being amortized on a straight-line
basis over 20 years.
On January 28, 1997, the Company acquired two diagnostic imaging centers in
Southern California (the "California" centers); a multi-modality imaging center
in San Clemente, California and an imaging facility in Oceanside, California for
approximately $1,030,000 payable in cash and contingent consideration based on
the centers achieving certain financial objectives during the one-year period
subsequent to the closing of the transaction. During 1998, the Company paid
$1,337,000 of contingent consideration and is currently in dispute with the
seller over additional contingent consideration. The excess of the purchase
price and direct acquisition costs over the fair value of net liabilities
assumed amounted to approximately $5,204,000 and is being amortized on a
straight-line basis over 20 years.
On February 28, 1997, the Company acquired a diagnostic imaging center
located in Jacksonville, Florida (the "Jacksonville" center) for 71,667 shares
of the Company's Common Stock valued at $2,333,000 and contingent consideration
up to $1,850,000 worth of shares of the Company Common Stock based on the center
achieving certain financial objectives during the one year period subsequent to
the closing of the transaction. As of Februry 28, 1998, the center did not
achieve the required financial objectives and therefore no additional
consideration was required. The shares of the Company's Common Stock issued in
connection with the acquisition were subject to registration rights. The excess
of the purchase price and direct acquisition costs, including 10,667 warrants,
with an exercise price of $30.93, valued at $150,000 issued to 712 Advisory for
financial advisory services, over the fair value of net assets acquired amounted
to approximately $2,245,000 and is being amortized on a straight-line basis over
20 years.
On March 10, 1997, the Company acquired Advanced Diagnostic Imaging, Inc.
("ADI") for approximately $6,986,000 in cash, plus $825,000 of deferred
consideration which was paid in March 1998. ADI owned interests in and operated
nine diagnostic imaging centers in the Northeast. As part of the transaction,
the Company has acquired an option to purchase an additional center located in
the Northeast. This option has not been exercised. The excess of the purchase
price and direct acquisition costs, including 45,667 warrants, with an exercise
price of $31.80, valued at $662,000 issued to 712 Advisory for financial
advisory services, over the fair value of net liabilities assumed amounted to
approximately $14,299,000 and is being amortized on a straight-line basis over
20 years.
On March 10, 1997, the Company acquired a diagnostic imaging center located
in West Palm Beach, Florida (the "Palm Beach" center) for approximately
$3,459,000 in cash and 18,890 shares of the Company's Common Stock valued at
approximately $600,000. The shares of the Company's Common Stock issued in
connection with the acquisition were subject to registration rights and price
protection equal to the difference between the issuance price ($31.77 per share)
and the market price at effectiveness of the registration statement. The Company
and the seller of the Palm Beach Center are currently in litigation with regard
to disputes relating to the proper interpretation of other provisions of the
Palm Beach Center purchase agreement. As of October 2, 1998, the shares of
Common Stock issued in connection with the acquisition have been registered by
the Company. The excess of the purchase price and direct acquisition costs,
including 19,000 warrants, with an exercise price of $31.92, valued at $276,000
issued to 712 Advisory for financial advisory services, over the fair value of
net assets acquired amounted to approximately $2,178,000 and is being amortized
on a straight-line basis over 20 years.
On March 14, 1997, the Company acquired a diagnostic imaging center in
Rancho Cucamonga, California (the "Rancho Cucamonga" center) for approximately
$3,948,000 in cash and 14,672 shares of
F-36
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
the Company's Common Stock valued at $500,000. The shares of the Company's
Common Stock were subject to registration rights. The excess of the purchase
price and direct acquisition costs, including 18,333 warrants, with an exercise
price of $33.75, valued at $282,000 issued to 712 Advisory for financial
advisory services, over the fair value of net assets acquired amounted to
approximately $4,073,000 and is being amortized on a straight-line basis over 20
years.
Effective May 1, 1997, the Company acquired Capstone Management Group, Inc.
("Capstone") for approximately $6,934,000 in cash and 132,401 shares of the
Company's Common Stock valued at $6,696,000 and contingent consideration based
on the centers achieving certain financial objectives during the one year period
beginning June 1997. The shares of the Company's Common Stock issued in
connection with the acquisition were subject to registration rights and price
protection equal to the issuance price, as adjusted ($53.775 per share). The
Company must satisfy any deficiency in cash. In November 1997, the Company and
the sellers agreed that the sellers would have the right to require the Company
to repurchase up to 105,921 shares of Common Stock (obligations related to
repurchase of 26,480 shares have expired) at various intervals in the event the
Company failed to register the shares of Common Stock prior to such intervals.
The Company did not register such shares prior to the required dates and, during
1998, repurchased all such shares for an aggregate cost of $5,546,000.
Contingent consideration based upon future cash flow would have been payable
within 90 days of the end of the measurement period. As of June 30, 1998, the
centers did not achieve the required financial objectives and therefore no
additional consideration was required. Capstone owned and operated ten
diagnostic imaging centers, nine of which are located in the northeast and one
located in Ohio. The excess of the purchase price and direct acquisition costs,
including 53,333 warrants, with an exercise price of $37.77, valued at
$1,158,000 issued to 712 Advisory for financial advisory services, over the fair
value of net liabilities assumed amounted to approximately $15,292,000 and is
being amortized on a straight-line basis over 20 years.
On May 7, 1997, the Company acquired ATI Centers, Inc. ("ATI") for
approximately $13,558,000 in cash consideration and contingent consideration
based on the centers achieving certain financial objectives during the one year
period subsequent to the closing of the transaction. Contingent consideration of
up to $1,500,000 was payable within 90 days of the end of the measurement
period. During 1998, a total of $1,500,000 of additional consideration was paid.
ATI owned and operated eleven diagnostic imaging centers in New Jersey and
Pennsylvania. The excess of the purchase price and direct acquisition costs,
including 56,000 warrants, with an exercise price of $33.18, valued at $847,000
issued to 712 Advisory for financial advisory services, over the fair value of
net assets acquired amounted to approximately $14,945,000 and is being amortized
on a straight-line basis over 20 years.
On May 7, 1997, the Company acquired two diagnostic imaging centers located
in Maryland (the "Maryland" centers) for approximately $2,830,000 in cash and
39,722 shares of the Company's Common Stock valued at $1,500,000. The shares of
the Company's Common Stock issued in connection with the acquisition were
subject to registration rights and price protection equal to the difference
between the issuance price ($37.77 per share) and the market price at
effectiveness of the registration statement. The Company may satisfy any price
deficiency by the issuance of additional unregistered shares of Common Stock or
by the payment of cash. As of October 2, 1998, the shares of Common Stock issued
in connection with the acquisition have been registered by the Company. During
1998, 545,644 shares of Common Stock were issued in satisfaction of the Purchase
Price Protection. The excess of the purchase price and direct acquisition costs,
including 22,000 warrants, with an exercise price of $37.77, valued at $478,000
issued to
F-37
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
712 Advisory for financial advisory services, over the fair value of net assets
acquired amounted to approximately $4,404,000 and is being amortized on a
straight-line basis over 20 years.
On June 24, 1997, the Company acquired the assets of Wesley Medical
Resources, Inc. ("Wesley") a medical staffing company in San Francisco,
California for 45,741 shares of the Company's Common Stock valued at $2,000,000
and contingent consideration based on the company achieving certain financial
objectives during the three year period subsequent to the transaction. In the
event that substantially all of the capital stock or assets of Wesley was sold
by the Company prior to the completion of the measurement period, the
measurement period would be deemed to be completed as of the date of such sale.
The shares issued in connection with the acquisition were subject to
registration rights. Contingent consideration based upon future cash flow is
payable within 90 days of the end of the measurement period. During 1998, and as
a result of the sale of Wesley to RehabCare Group, Inc. in August 1998, the
Company paid $82,000 and reserved for issuance 45,740 shares of Common Stock
related to the contingent consideration. The excess of the purchase price and
direct acquisition costs over the fair value of net assets acquired amounted to
approximately $2,530,000 and is being amortized on a straight-line basis over 20
years. See Note 14.
On June 24, 1997 the Company invested $1,000,000 in a joint venture for a
multi-modality imaging center located in Manhattan, New York. The Company owns
approximately 51% of the center which opened in September 1998.
On June 30, 1997, the Company acquired three diagnostic imaging centers in
New York (the "New York" centers) for approximately $4,338,000 in cash and
50,785 shares of the Company's Common Stock valued at $2,546,000. The shares of
the Company's Common Stock issued in connection with the acquisition were
subject to registration rights. In the event that the registration statement was
not declared effective by December 30, 1997, the sellers may sell the shares
back to the Company for $2,546,000. In March 1998, the Company issued an
interest bearing convertible promissory note in the amount of $2,546,000 payable
in ten monthly installments in exchange for the shares of Common Stock issued in
connection with the acquisition. The excess of the purchase price and direct
acquisition costs over the fair value of net assets acquired amounted to
approximately $6,709,000 and is being amortized on a straight-line basis over 20
years.
On July 31, 1997, the Company acquired a diagnostic imaging center in
Hollywood, Florida (the "Hollywood" center) for approximately $1,532,000 in cash
and 12,513 shares of the Company's stock valued at $674,000 and additional
consideration based on the center's performance over a three year period
subsequent to the closing of the transaction. During 1998, $742,547 of the
contingent consideration became payable under this agreement. The shares of the
Company's Common Stock issued in connection with the acquisition were subject to
registration rights and price protection equal to the difference between the
issuance price ($54.00 per share) and the market price at effectiveness of the
registration statement. The seller may sell the shares back to the Company for
$674,000. As of October 2, 1998, the shares of Common Stock, issued in
connection with the acquisition have been registered by the Company. During 1998
the sellers right to sell back the shares to the Company or receive price
protection payments lapsed. The excess of the purchase price and direct
acquisition costs over the fair value of net assets acquired amounted to
approximately $1,738,000 and is being amortized on a straight-line basis over 20
years.
On August 1, 1997, the Company acquired Coral Way MRI, Inc. ("Coral Way
MRI") a diagnostic imaging center in Miami, Florida for $684,000 in cash and
30,748 shares of the Company's stock valued at $1,650,000 and additional
consideration based on the center's performance over a two year period
subsequent to the closing of the transaction and are payable in shares of the
Company's Common Stock.
F-38
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
The shares of the Company's Common Stock issued in connection with any
additional consideration were subject to registration rights. The excess of the
purchase price and direct acquisition costs over the fair value of net assets
acquired amounted to approximately $2,062,000 and is being amortized on a
straight-line basis over 20 years.
On August 13, 1997, the Company acquired MRI of Jupiter, Inc. a diagnostic
imaging center in Jupiter, Florida for approximately $2,000,000 in cash and
2,446 shares of the Company's stock valued at $125,000 plus additional
consideration based on the center's performance over the one year period
subsequent to the closing of the transaction. As of August 13, 1998, the center
did not achieve the required performance level, and therefore, no additional
consideration was required. The shares of the Company's Common Stock issued in
connection with the acquisition were subject to registration rights and price
protection equal to the difference between the issuance price ($51.00 per share)
and the market price at effectiveness of the registration statement. As of
October 2, 1998, the shares of Common Stock issued in connection with the
acquisition have been registered by the Company and the Company issued 44,503
shares of Common Stock in satisfaction of its purchase price protection
obligations. The excess of the purchase price and direct acquisition costs over
the fair value of net assets acquired amounted to approximately $1,541,000 and
is being amortized on a straight-line basis over 20 years.
On August 21, 1997, the Company acquired four diagnostic imaging centers
(the "Presgar" centers) on the west coast of Florida for approximately
$5,575,000 in cash and up to $3,700,000 in promissory notes, due August 21, 1998
and convertible at the option of the Company into the Company's Common Stock, of
which $1,200,000 in principal amount is contingent upon the occurrence of
certain events, plus the assumption of indebtedness of $5,446,000. During 1998,
the additional consideration of $1,200,000 became payable. As of January 1999,
the entire balance of $3,700,000 has been paid. The excess of the purchase price
and direct acquisition costs over the fair value of net liabilities assumed
amounted to approximately $9,714,000 and is being amortized on a straight-line
basis over 20 years.
On August 29, 1997, the Company acquired a controlling interest in a limited
partnership and a limited liability company which each operate an imaging center
located in San Jose, California (the "San Jose" centers) for approximately
$3,037,000 in cash and 14,472 shares of the Company's stock valued at $693,000
plus the assumption of indebtedness of $3,854,000 and additional consideration
based on each center's performance over the one year period subsequent to the
closing of the transaction. As of August 29, 1998, the centers did not achieve
the required performance level, and therefore, no additional consideration was
required. The shares of the Company's Common Stock issued in connection with the
acquisition were subject to registration rights and price protection equal to
the difference between the issuance price ($47.88 per share) and the market
price at effectiveness of the registration statement. As of October 2, 1998, the
shares of Common Stock issued in connection with the acquisition have been
registered by the Company. As a result of the failure to have the registration
statement declared effective by February 28, 1998, the seller was entitled to
sell the shares back to the Company at their issuance price. Pursuant to an
agreement, the Company bought back the $693,000 worth of Common Stock, net of
idemnification claims of $114,000 for various warranties. The excess of the
purchase price and direct acquisition costs over the fair value of net
liabilities assumed amounted to approximately $4,198,000 and is being amortized
on a straight-line basis over 20 years.
On September 4, 1997, the Company acquired Germantown MRI Center
("Germantown MRI") a diagnostic imaging center located in Germantown,
Pennsylvania for approximately $805,000 in cash. The
F-39
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
excess of the purchase price and direct acquisition costs over the fair value of
net assets acquired amounted to approximately $279,000 and is being amortized on
a straight-line basis over 20 years.
On September 5, 1997, the Company acquired MRI Imaging Center of Charlotte
County a diagnostic imaging center in Port Charlotte, Florida (the "Port
Charlotte" center) for $1,293,000 in cash and 25,094 shares of the Company's
stock valued at $1,340,000 plus the assumption of indebtedness of $29,000 and
contingent consideration based on the center's performance over the two year
period subsequent to the closing of the transaction. The shares of the Company's
Common Stock issued in connection with any contingent consideration are subject
to registration rights. The excess of the purchase price and direct acquisition
costs over the fair value of net assets acquired amounted to approximately
$1,608,000 and is being amortized on a straight-line basis over 20 years.
On September 16, 1997, the Company acquired one diagnostic imaging center
located in Bronx, New York and one diagnostic imaging center located in Queens,
New York (the "Bronx and Queens" centers) for approximately $1,750,000 in cash
and 34,238 shares of the Company's stock valued at $1,750,000 plus the
assumption of indebtedness of $197,000. The shares of the Company's Common Stock
issued in connection with the acquisition were subject to registration rights
and price protection equal to the difference between the issuance price ($51.00
per share) and the market price at effectiveness of the registration statement.
As of October 2, 1998, the shares of Common Stock issued in connection with the
acquisition have been registered by the Company. At December 31, 1998, the
Company was obligated to pay $1,659,000 with respect to its price protection
obligations. The excess of the purchase price and direct acquisition costs over
the fair value of net assets acquired amounted to approximately $2,444,000 and
is being amortized on a straight-line basis over 20 years.
On September 24, 1997, the Company acquired Dalcon Technologies, Inc.
("Dalcon") located in Nashville, Tennessee a software developer and provider of
radiology information systems for $645,000 in cash and 35,722 shares of the
Company's stock valued at $1,934,000. The shares of the Company's Common Stock
issued at the closing were subject to registration rights. The excess of the
purchase price and direct acquisition costs over the fair value of net
liabilities assumed amounted to approximately $2,615,000 and is being amortized
on a straight-line basis over 5 years.
On October 4, 1997, the Company acquired six diagnostic imaging centers
located in Ohio (the "Ohio" centers) for approximately $8,018,000 in cash and a
$1,750,000 promissory note, which became due on October 2, 1998 and was
converted into 657,277 shares of Common Stock. The excess of the purchase price
and direct acquisition costs over the fair value of net assets acquired amounted
to $7,791,000 and is being amortized on a straight-line basis over 20 years.
Each of the above acquisitions consummated in 1997 (the "1997 Acquisitions")
was accounted for under the purchase method of accounting. The operations of the
imaging center acquisitions are included as part of continuing operations in the
Consolidated Statements of Operations from the date of purchase. With respect to
the 1997 Acquisitions, the fair value of the assets acquired and liabilities
assumed, in the aggregate, was approximately $64,759,000 and $64,908,000,
respectively. Contingent consideration associated with acquisitions is recorded
as additional purchase price when resolved.
As recommended by the Special Committee, 712 Advisory has repaid to the
Company $1,424,000 representing all of the financial advisory fees paid by the
Company to 712 Advisory with respect to the acquisition of Wesley, Manhattan,
New York, MRI of Jupiter, Presgar, San Jose, Germantown, Port Charlotte and
Bronx and Queens centers. See Note 10 of Notes to the Consolidated Financial
Statements.
F-40
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
1996 ACQUISITIONS
On January 9, 1996, the Company consummated the acquisition of the business
assets of MRI-CT, Inc., ("MRI-CT") comprised primarily of four diagnostic
imaging centers in New York City. The acquisition was consummated pursuant to an
Asset Purchase Agreement dated December 21, 1995 by and among the Company and
MRI-CT. Pursuant to the Agreement, a wholly owned subsidiary of the Company
acquired all of the business assets of MRI-CT for a combination of $553,000
cash, 64,704 shares of the Company's Common Stock valued at $914,000 and a
$88,000 note payable bearing interest at prime due January 9, 2001. The excess
of the purchase price over the fair value of net assets acquired amounted to
$1,540,000 and is being amortized on a straight line basis over 20 years.
On January 12, 1996, the Company consummated the acquisition of the common
stock of NurseCare Plus, Inc. ("NurseCare"), a California corporation based in
Oceanside, California, which provides supplemental healthcare staffing services
for clients including hospitals, clinics and home health agencies in Southern
California. The NurseCare acquisition was consummated pursuant to a Stock
Purchase Agreement dated as of January 11, 1996 by and among StarMed Staffing,
Inc. ("StarMed") and NurseCare. Pursuant to the NurseCare agreement, StarMed
acquired from NurseCare all of the common stock of NurseCare for $2,514,000
payable $1,264,000 in cash and a note payable for $1,250,000 bearing interest at
prime plus one percent due January 12, 1999. The excess of the purchase price
over the fair value of net assets acquired amounted to $2,087,000 and is being
amortized on a straight line basis over 20 years. See Note 14.
On May 1, 1996, the Company entered into an Asset Purchase Agreement with
Americare Imaging Centers, Inc. and MRI Associates of Tarpon Springs, Inc.
("Americare"), which owns and operates imaging centers in the Tampa, Florida
area. Pursuant to the acquisition agreement, the Company acquired certain of the
assets and liabilities of Americare for $1,500,000 cash and 76,250 shares of the
Company's Common Stock valued at $1,275,000. The excess of the purchase price
over the fair value of net assets acquired amounted to $2,862,000 and is being
amortized on a straight line basis over 20 years.
On May 22, 1996, the Company entered into an Asset Purchase Agreement with
Clearwater, Florida based Access Imaging Center, Inc. ("Access"). Pursuant to
the acquisition, the Company acquired certain of the assets and liabilities of
Access for $1,300,000 cash and 64,021 shares of the Company's Common Stock
valued at $1,445,000. The excess of the purchase price over the fair value of
net assets acquired amounted to $1,972,000 and is being amortized on a straight
line basis over 20 years.
On June 28, 1996, the Company entered into an Asset Purchase Agreement with
WeCare Allied Health Care, Inc. ("WeCare"), a healthcare staffing company.
Pursuant to the agreement, the Company acquired certain assets for $1,050,000
cash and a $510,000 note payable bearing interest at prime plus one percent due
July 1998. The excess of the purchase price over the fair value of net assets
acquired amounted to $1,769,000 and is being amortized on a straight line basis
over 20 years. See Note 14.
On July 3, 1996, the Company acquired a diagnostic imaging center in
Centereach, New York ("Centereach"). Pursuant to the acquisition, the Company
acquired certain of the assets for approximately $3,100,000 in cash. The excess
of the purchase price over the fair value of net assets acquired amounted to
$2,989,000 and is being amortized on a straight line basis over 20 years.
On August 30, 1996, the Company consummated the NMR Acquisition. NMR was
engaged directly and through limited partnerships in the operation of eighteen
diagnostic imaging centers. Pursuant to the acquisition agreement, NMR was
merged into a wholly owned subsidiary of the Company and each issued
F-41
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
12. ACQUISITIONS (CONTINUED)
and outstanding share of NMR Common Stock was converted into 0.2292 shares of
the Company's Common Stock resulting in the issuance of 1,485,500 shares of the
Company's Common Stock valued at $39,350,000. The excess of the purchase price
and direct acquisition costs (including $200,000 in fees and 40,000 warrants,
with an exercise price of $27.00, valued (for accounting purposes only) at
$325,000 for financial advisory services issued to the Affiliate) over the fair
value of net assets acquired amounted to approximately $35,286,000 and is being
amortized on a straight line basis over twenty years.
On November 25, 1996 the Company consummated the acquisition of two
diagnostic imaging centers in Garden City and East Setauket, New York (the "Long
Island" centers). Pursuant to the acquisition agreement, the Company acquired
certain assets and liabilities for a $4,500,000 convertible promissory note due
January 9, 1997 and $1,900,000 in cash. The convertible promissory note
converted into 177,725 shares of the Company's Common Stock upon registration of
the shares in accordance with its terms at a conversion price of $25.32. The
excess of the purchase price and direct acquisition costs, including $60,000 in
financial advisory fees paid to the Affiliate, over the fair value of net assets
acquired amounted to $6,042,000 and is being amortized on a straight line basis
over 20 years.
On December 16, 1996, the Company acquired the Imaging Center of the
Ironbound in Newark, New Jersey (the "Ironbound" center) from TME, Inc. for
$216,000 in cash and 6,289 shares of Company Common Stock valued at $200,000.
The excess of the purchase price and direct acquisition costs over the fair
value of net assets acquired amounted to approximately $440,000 and is being
amortized on a straight line basis over 20 years.
Each of the above acquisitions consummated in 1996 (the "1996 Acquisitions")
were accounted for under the purchase method of accounting. The operations of
the imaging center acquisitions are included as part of continuing operations in
the Consolidated Statements of Operations from the date of purchase. Contingent
consideration associated with acquisitions is recorded as additional purchase
price.
The following table summarizes the unaudited pro forma results of continuing
opertions for the years ended December 31, 1997 and 1996, assuming the 1997
imaging center acquisitions had occurred on January 1, 1997 and 1996 and the
1996 imaging center acquisitions had occurred on January 1, 1996 (in thousands,
except per share data):
<TABLE>
<CAPTION>
1997 1996
(UNAUDITED) (UNAUDITED)
----------- -----------
<S> <C> <C>
Revenue, net......................................................................... $ 185,309 $ 192,131
Operating income (loss).............................................................. (17,323)(a) 26,190
Income (loss) before income taxes.................................................... (30,134) 10,360
Net income (loss) from continuing operations......................................... (31,355) 6,376
Basic net income (loss) per share from continuing operations......................... $ (4.87) $ 1.70
</TABLE>
- ------------------------
(a) 1997 pro forma results include a $12,962,000 loss on the impairment of
goodwill and other long-lived assets and other unusual charges of
$9,723,000. See Note 2 of the Notes to Consolidated Financial Statements
for further details.
F-42
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
13. QUARTERLY CONSOLIDATED FINANCIAL INFORMATION (UNAUDITED)
The following is a summary of unaudited quarterly consolidated financial
results of continuing operations for the years ended December 31, 1998 and 1997
(in thousands except per share amounts):
<TABLE>
<CAPTION>
FIRST SECOND THIRD FOURTH
QUARTER QUARTER QUARTER QUARTER
--------- --------- --------- ---------
<S> <C> <C> <C> <C>
1998
Revenue, net...................................................... $ 47,022 $ 46,626 $ 44,176 $ 41,232
Operating income (loss)........................................... (1,742) 2,668 (2,376) (8,904)
Net loss from continuing operations............................... (5,488) (1,442) (6,196) (11,946)
Basic earnings (loss) per share from continuing operations........ (0.77) (0.22) (0.82) (1.33)
Diluted earnings (loss) per share from continuing operations...... (0.77) (0.22) (0.82) (1.33)
1997
Revenue, net...................................................... $ 26,841 $ 37,877 $ 42,022 $ 37,672
Operating income.................................................. 6,713 5,896 9,159 (43,065)
Net income from continuing operations............................. 3,362 2,628 3,909 (43,805)
Basic earnings (loss) per share from continuing operations........ 0.53 0.39 0.56 (6.06)
Diluted earnings (loss) per share from continuing operations...... 0.50 0.36 0.49 (6.06)
</TABLE>
During the first, second, third and fourth quarters of 1998, the Company
recorded unusual charges of $3,760,000, $1,640,000, $4,379,000 and $5,191,000,
respectively. The aggregate amount of such unusual charges of $14,970,000
primarily relates to Convertible Preferred Stock penalties associated with the
delay in the effectiveness the Company's Registration Statement, the resolution
of the shareholder class action lawsuit, and costs associated with center
closings. See Note 2 of the Notes to the Consolidated Financial Statements.
The fourth quarter of 1997 includes a $12,962,000 loss on the impairment of
goodwill and other long-lived assets and other unusual charges of $9,723,000.
See Note 2 of the Notes to the Consolidated Financial Statements for further
details.
Quarterly results in 1997 are generally affected by the timing of
acquisitions.
14. DISCONTINUED OPERATIONS
On August 18, 1998, the Company sold 100% of its stockholdings in StarMed to
RehabCare Group, Inc. (the "StarMed Sale") for gross proceeds of $33,000,000
(before repayment of $13,786,000 of StarMed's outstanding third party debt in
accordance with the terms of sale). Due to the StarMed Sale, the results of
operations of StarMed are herein reflected in the Company's Consolidated
Statements of Operations as discontinued operations.
Net cash proceeds from the StarMed Sale were used as follows: (i)
$13,786,000 was used to retire StarMed's outstanding third-party debt (in
accordance with the terms of sale) (ii) $2,000,000 was placed in escrow to be
available, for a specified period of time, to fund indemnification obligations
that may be incurred by the Company (part or all of this amount may be payable
to the Company over time), (iii) an additional $2,000,000 was applied as a
partial repayment of the Company's $78,000,000 of Senior Notes, and (iv)
$2,186,000 was used to fund cash costs associated with the sale. For accounting
purposes, the sale resulted in an after-tax gain of $3,905,000 in 1998.
F-43
<PAGE>
MEDICAL RESOURCES, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
14. DISCONTINUED OPERATIONS (CONTINUED)
The table on the following page shows summary balance sheets for StarMed as
of December 31, 1997 (in thousands):
<TABLE>
<S> <C>
ASSETS
Cash and cash equivalents.......................................................... $ 455
Accounts receivable, net........................................................... 12,657
Other current assets............................................................... 279
---------
Total current assets........................................................... 13,391
Property and equipment, net........................................................ 428
Goodwill, net...................................................................... 10,442
Other assets....................................................................... 218
---------
Total assets................................................................... $ 24,479
---------
---------
LIABILITIES AND STOCKHOLDER'S EQUITY
Current notes and mortgages payable and line of credit............................. $ 4,594
Debt due parent.................................................................... 4,000
Accounts payable and accrued expenses.............................................. 2,229
---------
Total current liabilities...................................................... 10,823
Notes and mortgages payable, less current portion.................................. 2,827
Debt due parent.................................................................... 6,279
Equity............................................................................. 4,550
---------
Total liabilities and stockholder's equity..................................... $ 24,479
---------
---------
</TABLE>
The following table shows summary statements of operations for StarMed
through August 15, 1998, the date of sale, and for the years ended December 31,
1997 and 1996 (in thousands):
<TABLE>
<CAPTION>
FOR THE YEAR ENDED DECEMBER 31
-------------------------------
<S> <C> <C> <C>
1998(A) 1997 1996
--------- --------- ---------
Net service revenues............................................................. $ 51,087 $ 57,974 $ 29,023
Office level operating costs and provisions for uncollectible accounts
receivable..................................................................... 40,568 47,123 24,316
Corporate general and administrative............................................. 7,394 8,089 3,212
Depreciation and amortization.................................................... 414 601 502
--------- --------- ---------
Operating income................................................................. 2,711 2,161 993
Interest expense, net............................................................ 788 353 135
--------- --------- ---------
Income before income taxes....................................................... 1,923 1,808 858
Provision for income taxes....................................................... 117 1,079 587
--------- --------- ---------
Income after income taxes........................................................ 1,806 729 271
Gain on sale of StarMed (after tax of $250)...................................... 3,905 -- --
--------- --------- ---------
Total income from discontinued operations........................................ $ 5,711 $ 729 $ 271
--------- --------- ---------
--------- --------- ---------
</TABLE>
- ------------------------
(a) 1998 amounts reflect results through August 15, 1998, the date of sale of
StarMed.
F-44
<PAGE>
MEDICAL RESOURCES, INC.
SCHEDULE II--VALUATION AND QUALIFYING ACCOUNTS
(IN THOUSANDS)
<TABLE>
<CAPTION>
BALANCE AT ADDITIONS BALANCE AT
BEGINNING OF CHARGED TO END OF
DESCRIPTION PERIOD EXPENSE ADDITIONS/(DEDUCTIONS) PERIOD
- ---------------------------------------------------- ------------ ----------- --------------------- -----------
<S> <C> <C> <C> <C>
Year ended December 31, 1996
Total Allowances for Doubtful Accounts............ $ 5,832 $ 4,705 $ 78(1)
(247)(2) $ 10,368
Year ended December 31, 1997
Total Allowances for Doubtful Accounts............ 10,368 20,364 292(1)
(12,102)(2) 18,922
Year ended December 31, 1998
Total Allowances for Doubtful Accounts............ 18,922 16,459 (477)(1)
(20,879)(2) 14,025
</TABLE>
- ------------------------
(1) Represents provision for bad debts of discontinued operations.
(2) Uncollectible accounts written off, net of recoveries.
<PAGE>
Exhibit 10.18
EMPLOYMENT AGREEMENT
This Employment Agreement is made and entered into this 26th day of October
1998, by and between Medical Resources, Inc., a Delaware corporation with its
principal place of business at 155 State Street, Hackensack, New Jersey, on
behalf of itself and each of its subsidiaries (hereinafter, individually and
collectively, the "Company"), and Michael J. Drumgoole, an individual residing
at 7 Highwood Drive, Dumont, NJ 07628 (hereinafter, "Executive").
NOW, THEREFORE, in consideration of the mutual terms, covenants and conditions
contained herein, and other good and valuable consideration, the receipt and
sufficiency of which are hereby acknowledged, the parties hereto do hereby agree
as follows:
1. EMPLOYMENT. This Agreement is effective as of October 26, 1998 (the
"Effective Date"). As of the Effective Date, the Company hereby
continues to employ Executive, and Executive hereby accepts his/her
continued employment by the Company, upon the terms and conditions set
forth herein and with such title or titles as the Chief Executive
Officer of the Company (the "CEO") and the Company's Board of Directors
(the "Board") shall approve from time to time. Initially, such title
shall be Senior Vice President--Imaging Services.
2. TERM. The term of this Agreement shall commence on the Effective Date
and shall end on the Termination Date as set forth in Section 6 herein;
PROVIDED, HOWEVER, that Executive's obligations pursuant to Sections 5,
7 and 8 herein shall continue in effect on and after the Termination
Date. For purposes of this Agreement, the period commencing on the
Effective Date and ending on the Termination Date as set forth in
Section 6 hereof, shall be referred to as the "Term."
3. COMPENSATION, REIMBURSEMENT.
3.1 BASE SALARY AND BONUS. (a) During the Term of this Agreement, in
consideration for all services rendered by Executive under this
Agreement, the Company shall pay Executive a base salary of $175,000
per annum, subject to increase (but not decrease, without the consent
of Executive) at the discretion of the Company, and payable in
accordance with the Company's payroll practices then in effect (the
"Base Salary").
(b) During the Term of this Agreement, Executive shall be eligible to
participate in the Company's Senior Management Bonus Plan (the "Plan")
for calendar 1998, and for each year thereafter that such a Plan is
established by the Board. Notwithstanding the foregoing, Executive
acknowledges and agrees that his/her annual bonus ("Bonus") shall be
subject to the specific terms and conditions of the Plan as in effect
for each year.
3.2 ADDITIONAL BENEFITS. In addition, during the Term of this
Agreement, Executive shall be entitled to (i) a monthly car allowance
of $400, and (ii) all other benefits of employment which "exempt"
employees of the Company generally receive. All of the additional
benefits described in this Section 3.2 shall hereinafter be referred to
as "Benefits."
<PAGE>
3.3 REIMBURSEMENT. Executive shall be reimbursed for all reasonable
"out-of-pocket" business expenses incurred in connection with the
performance of his/her duties under this Agreement in accordance with
the Company's stated policy. The reimbursement of Executive's business
expenses shall be upon presentation to and approval by the Company of
valid receipts and other appropriate documentation for such expenses.
4. SCOPE OF DUTIES.
4.1 ASSIGNMENT OF DUTIES. Executive shall have such duties as may be
assigned to Executive from time to time by the Company's Officer(s) to
whom Executive reports (hereinafter referred to as the "Supervisor")
commensurate with the Executive's experience and responsibilities. The
exercise of the Executive's duties shall be subject to the control,
supervision and direction of the Executive's Supervisor and the CEO (if
they are not the same person).
4.2 EXECUTIVE'S DEVOTION OF TIME. Executive hereby agrees to, (a) use
his/her best efforts, including the highest standards of professional
competence and integrity, in the execution of the duties assigned to
Executive hereunder, (b) devote his/her full business time and effort
in and to his/her employment hereunder, and (c) not engage in any other
business activity during the Term of this Agreement, PROVIDED THAT,
Executive may engage from time to time in such personal investment
activities as do not interfere with his/her day-to-day responsibilities
to the Company.
5. CONFIDENTIAL INFORMATION, OWNERSHIP AND ASSIGNMENT.
5.1 CONFIDENTIAL INFORMATION. Without the prior written consent of the
Company, Executive shall not, at any time either during or subsequent
to his/her employment by the Company, use any "Confidential
Information" (as defined below) for the benefit of anyone other than
the Company, or disclose any Confidential Information to any person or
party; Executive may, however, use or disclose Confidential Information
as required by his/her obligations to the Company or as necessary or
desirable (and for the benefit of the Company) in connection with the
Company's business (but all such permitted uses and disclosures shall
be made under circumstances and conditions reasonably appropriate to
preserve the Confidential Information as the Company's confidential
property). In particular, without limiting the generality of the
foregoing, Executive shall not remove any Confidential Information,
however embodied, from the Company's premises, facilities or place of
business, except as required in the course of employment by the
Company.
The term "Confidential Information" includes all information not
generally known or available to the public or the trade, which is
developed by Executive during his/her employment by the Company, or
which is acquired by Executive from the Company, its other employees,
its suppliers, clients or customers, its agents or consultants, or
others, during his/her employment by the Company, and which relates to
the present or potential businesses, products and services of the
Company, as well as any other information as may
<PAGE>
be designated by the Company as confidential. The term Confidential
Information encompasses, but is not limited to, Inventions (as defined
in Section 5.2 below), trade secrets, lists of past or present clients
or customers (which for purposes of this Agreement shall include
referring physicians and referring medical entities such as managed
care organizations), client or consultant contracts, product and/or
service development plans, marketing plans, strategic plans, pricing
policies and strategies, billing and collections information and
procedures, business acquisition plans (including acquisition targets),
computer software, research, accounting data, profit margin data, sales
volume data; may include information contained, for example, in
drawings, models, data, specifications, reports, compilations or
computer programs; and may be in the nature of unwritten knowledge or
technical know-how; but shall not in any event include any information
ascertainable from sources other than the Company unless such sources
have obtained such information subject to or in violation of an
agreement to keep the information confidential.
5.2 OWNERSHIP, DISCLOSURE AND ASSIGNMENT OF INVENTIONS. All inventions
(including without limitation discoveries of new technology and
improvements to existing technology), Confidential Information,
know-how and other developments or improvements conceived or made by
Executive, alone or with others, during the Term of this Agreement,
whether patentable or otherwise (hereinafter collectively
"Inventions"), that are within the scope of the Company's business
operations or that relate to any Company work or project, are the
exclusive property of the Company. Executive agrees to disclose
promptly to the Company any and all Inventions. Executive further
agrees to execute any and all applications, assignments, and other
instruments which the Company shall deem necessary or desirable to
enable the Company to apply for and obtain letters patent of the United
States or of any foreign country, or to otherwise protect the Company's
interests in all Inventions described in the first sentence of this
Section 5.2. The obligations Executive under this Section 5.2 are
continuing and shall survive the termination of Executive's employment
under this Agreement.
5.3 RETURN OF COMPANY DOCUMENTS AND INFORMATION UPON TERMINATION. All
originals, copies, digests and summaries of all written or otherwise
recorded documents, writings, materials, items or information of any
kind, concerning any matters affecting or relating to the Company's
business, products or services, whether or not they contain
Confidential Information, are and shall continue to be the exclusive
property of the Company. Immediately upon the termination of
Executive's employment hereunder for any reason or for no reason,
Executive shall deliver to the Company all of such documents, writings,
materials, items and information then in his/her actual or potential
possession or control.
6. EMPLOYMENT TERMINATION, SEVERANCE AND RELATED.
6.1 TERMINATION OF EMPLOYMENT.
<PAGE>
(1) Executive's employment may be terminated by the Company for Cause
(as hereinafter defined), effective upon delivery of written notice to
Executive (without any necessity for prior notice). For purposes of
this Agreement, the term "Cause" shall mean, (a) a material breach by
Executive of any term of this Agreement (other than by reason of or
resulting from any disability or illness on his/her part), or (b) gross
and willful misconduct (including, without limitation, fraud or theft)
on the part of Executive in the performance of his/her duties, or
his/her being convicted of a felony, or (c) Executive becoming
"permanently disabled," which shall mean that the occurrence of a
mental or physical condition has rendered Executive incapable of
performing his/her duties for any period of ninety consecutive days and
such incapacity is confirmed as continuing at the end of such period by
expert medical opinion. "Cause" shall not include unsatisfactory
performance of duties except as expressly provided in this Section
6.1(1). In the event of a termination pursuant to this Section 6.1(1),
the "Termination Date" shall be the date of delivery of the written
notice to Executive.
(2) Executive's employment may be terminated by the Company without
Cause at any time by giving Executive three days prior written notice
of termination. Severance benefits payable to Executive upon
termination of employment pursuant to this Section 6.1(2) are as set
forth in Section 6.2(1) hereof. In the event of a termination pursuant
to this Section 6.1 (2), the "Termination Date" shall be the fourth day
following the delivery of the written notice to Executive.
(3) Executive's employment may be terminated by Executive for Reason
(as hereinafter defined), effective upon delivery of written notice to
the Company (without any necessity for prior notice). For purposes of
this Agreement, the term "Reason" shall mean (a) a material breach by
the Company of any term of this Agreement, or (b) the Company shall
have voluntarily sought protection of Federal bankruptcy or similar
laws or an involuntary bankruptcy proceeding under Federal bankruptcy
or similar laws shall have been filed against the Company and not have
been withdrawn within 30 days after such filing. Severance benefits
payable to Executive upon termination pursuant to this Section 6.1(3)
are as set forth in Section 6.2(1) hereof. In the event of a
termination pursuant to this Section 6.1(3), the "Termination Date"
shall be the date of delivery of the written notice to the Company.
(4) Executive's employment may be terminated by Executive without
Reason at any time by giving the Company ten (10) business days prior
written notice of termination. In the event of a termination pursuant
to this Section 6.1(4), the "Termination Date" shall be the tenth
business day following the delivery of the written notice to the
Company.
(5) This Agreement shall automatically terminate upon the Executive's
death. In the event of a termination pursuant to this Section 6.1(5),
the "Termination Date" shall be the date of death.
6.2 SEVERANCE BENEFITS AND RELATED.
<PAGE>
(1) In the event that Executive's employment under this Agreement is
terminated by the Company without Cause under Section 6.1(2) hereof, or
by Executive for Reason under Section 6.1(3) hereof, then the Company
shall pay and provide to Executive, in the manner set forth in the last
sentence of this paragraph, (i) Executives monthly Base Salary as in
effect on the Termination Date for a period of nine (9) months (the
"Post-Employment Period") from the Termination Date (the maximum total
amount of such Base Salary under this clause (i), the "Severance
Amount"), PROVIDED THAT, Executive must immediately advise the Company
of any interim earnings from personal services whether as consultant,
proprietor, employee or agent (hereinafter, "Interim Earnings"), and
such Interim Earnings shall be deducted from the monthly Base Salary
amounts otherwise payable pursuant to this clause; (ii) all benefits
due to Executive under Section 3.2 that had accrued to Executive
through the Termination Date AND all benefits (excluding, in this
latter case, further accrued vacation) that would have accrued to
Executive under Section 3.2 if Executive had continued to be employed
by the Company through the end of the Post-Employment Period, PROVIDED
THAT, if and when Executive becomes eligible to receive any of such
benefits from any subsequent employer under plan(s) or arrangement(s)
provided or sponsored by such subsequent employer (regardless of
whether said plan(s) or arrangement(s) require employee contributions
and regardless of whether Executive elects to receive any of such
benefits), then each such corresponding benefit under Section 3.2 shall
immediately be terminated (Executive agrees to promptly notify the
Company of his/her eligibility for any such subsequent benefits), AND
PROVIDED FURTHER THAT, the Company shall not be required to provide any
such benefit if the effect thereof would be to violate the terms of any
law, plan or insurance policy or jeopardize the tax benefit associated
with such benefit to which the Company otherwise would be entitled, but
in such event, the Company shall pay to Executive, in cash, an amount
equal to the cost of providing such benefit, and (iii) any unpaid
out-of-pocket expenses incurred by Executive prior to the Termination
Date which are reimbursable pursuant to Section 3.3 hereof. Subject to
the Change Of Control exception defined below, net Base Salary amounts
payable hereunder shall be paid to Executive in equal installments on
regularly scheduled Company paydays and in accordance with the
Company's normal payroll practices then in effect, and all
Post-Employment Period benefits payable and provided under this Section
6.2(1) shall be paid to or for Executive when and as they come due.
Notwithstanding the foregoing, if Executive's employment is terminated
by the Company without Cause under Section 6.1(2) hereof and said
termination is in connection with a Change Of Control (as defined
below), Executive may elect by giving notice to the Company (or its
legal successor) within ten (10) business days following the
Termination Date, in lieu of any and all other Post-Employment Period
amounts and obligations ever otherwise due and payable under this
Section 6.2(1), to be paid the Severance Amount in a lump-sum (reduced
by applicable payroll taxes and other required deductions but without
set-off against Post-Employment Period Interim Earnings) within 30 days
after the Termination Date. The Company's payment of the Severance
Amount in accordance with the terms of this paragraph, together with
the Company's payment of amounts and provision of benefits accrued by
Executive through the Termination Date and due hereunder, shall
constitute full and complete satisfaction of all of the Company's
<PAGE>
obligations to Executive under this Section 6.2. For purposes of this
Agreement, a "Change Of Control" shall mean the sale, conveyance or
disposition of all or substantially all of the assets of Medical
Resources, Inc., the consummation by Medical Resources, Inc. of a
transaction or series of related transactions in which more than 50% of
the voting power of Medical Resources, Inc. is disposed of, or the
consolidation, merger or other business combination of Medical
Resources, Inc. with or into any other corporation, entity or
organization whereupon Medical Resources, Inc. is not the survivor.
(2) In the event that Executive's employment is terminated by the
Company for Cause under Section 6.1(1)(c) due to he/she becoming
permanently disabled or under Section 6.1(5) due to Executive's death,
then the provisions of Section 6.2(1) hereof shall be deemed applicable
to Executive, or for the benefit of Executive's estate, heirs or
devisees, as appropriate under the circumstances, PROVIDED THAT, any
and all disability insurance payments actually received by or for the
benefit of Executive with respect to the Post-Employment Period shall
be deemed Interim Earnings, AND PROVIDED FURTHER THAT, if termination
of Executive's employment is due to Executive's death, then, (a) the
Company's Post-Employment Period payment obligation(s) for benefits
under Section 3.2 shall be adjusted to reflect that circumstance but
without affecting or reducing the Post-Employment Period benefits due
to or for Executive's family members under Section 6.2(1) hereof, and
(b) payments that would otherwise be made to Executive, in cash, under
the second proviso in clause (ii) of Section 6.2(1) hereof, shall be
paid to Executive's estate, heirs or devisees, as appropriate under the
circumstances.
(3) In the event that Executive's employment is terminated by the
Company for Cause under Section 6.1(1) (other than (c) thereunder) or
by Executive without Reason under Section 6.1(4), then the Company
shall have no obligation to Executive except for (i) unpaid Base Salary
earned by Executive through the Termination Date, (ii) unpaid Bonus
earned by Executive through the Termination Date in accordance with
Section 3.1(b) hereof, and (iii) unpaid Benefits due, and out of pocket
expenses incurred by, Executive through the Termination Date which are
payable and/or reimbursable pursuant to Sections 3.2 and 3.3 hereof.
Furthermore, in any such case, the Company shall not be obligated to
provide to Executive the Benefits described in Section 3.2 after the
Termination Date (except as provided by law).
6.3 DISMISSAL FROM PREMISES. At the Company's option, Executive shall
immediately leave the Company's premises on the date notice of
termination of employment is given by the Company.
7. AGREEMENT NOT TO COMPETE AND BENEFIT.
7.1 AGREEMENT NOT TO COMPETE. In consideration of the compensation (and
other benefits) provided and to be provided to Executive as set forth
hereunder (including, without limitation, payments due pursuant to
Section 6.2 hereof), if the employment of Executive is terminated by
the Company for Cause under Section 6.1(1) or by Executive without
Reason under Section 6.1(4), Executive covenants and agrees that for a
period of
<PAGE>
eighteen (18) months after the Termination Date (such period not to
include any period(s) of violation of this Section 7.1 or period(s) of
time required for litigation to enforce its provisions), Executive will
not, directly or indirectly, engage in, enter into or participate in,
at any place within the United States of America, the businesses of the
Company, or in any business or commercial activity that competes with
or is reasonably likely to compete with or adversely affect the
businesses or services of the Company, either as an individual for
his/her own account, or as a partner or a joint venturer, or as an
officer, director, independent contractor or holder of more than a five
percent equity interest in any other person, firm, partnership or
corporation or as an employee, agent or salesperson for any person.
7.2 AGREEMENT NOT TO BENEFIT. In consideration of the compensation (and
other benefits) provided and to be provided to Executive as set forth
hereunder (including, without limitation, payments due pursuant to
Section 6.2 hereof), Executive covenants and agrees that during the
eighteen (18) months period following the Termination Date, regardless
of the reason (or absence of reason) for termination of employment
(such period not to include any period(s) of violation of this Section
7.2 or period(s) of time required for litigation to enforce its
provisions), Executive will not, directly or indirectly: (i) solicit,
induce or influence, or otherwise have business contact with, any
person or entity who has, within the two-year period immediately prior
to the Termination Date, been a client, customer, supplier or service
provider (including, without limitation, radiology and consulting
services) of or to the Company, and with whom Executive had any
business relationship or about whom Executive acquired any significant
knowledge during the course of Executive's employment by the Company,
if such contact could directly or indirectly divert business from or
adversely affect the business of the Company; (ii) interfere with the
contractual relations between the Company and any of its employees; or
(iii) employ or cause to be employed in any capacity, or retain or
cause to be retained as a consultant, any person who was employed by
the Company at any time during the six (6) month period ended on the
Termination Date.
8. INJUNCTIVE RELIEF; INDEPENDENCE AND SEVERABILITY OF COVENANTS.
8.1 INJUNCTIVE RELIEF. Executive acknowledges and agrees that, in the
event of any breach or likely breach of any of the covenants of
Sections 5 and 7 herein, the Company would incur damages in an amount
difficult to ascertain and/or be irreparably harmed and could not be
made whole solely by monetary damages. It is accordingly agreed that
the Company, in addition to any other remedy to which it may be
entitled at law or in equity, shall be entitled to injunctive relief in
respect of such breach or likely breach as may be ordered by any court
of competent jurisdiction including, but not limited to, an injunction
restraining any violation of Section 5 and 7 herein and without the
proof of actual damages. It is intended to grant full third party
rights under this provision.
8.2 INDEPENDENCE AND SEVERABILITY OF COVENANTS. Executive acknowledges
and agrees that the covenants and other provisions set forth in
Sections 5 and 7 herein and in this Section 8 are reasonable, including
with respect to duration and subject matter, and
<PAGE>
that Executive is receiving valuable and adequate consideration for
such covenants under this Agreement. The parties acknowledge that it is
their intention that all such covenants and provisions be enforceable
to the fullest extent possible under applicable law. If any of the
provisions set forth in Sections 5 or 7 or in this Section 8 are found
to be unenforceable in any instance, such finding shall not preclude
any other enforcement of such provisions and reference is made to
Section 9.2. If any of the provisions set forth in Sections 5 or 7 or
in this Section 8 are found to be invalid, such finding of invalidity
shall not effect the validity of the remaining provisions and the
provisions of Section 9.2 will apply.
9. MISCELLANEOUS.
9.1 TRANSFER AND ASSIGNMENT. This Agreement is personal as to Executive
and shall not be assigned or transferred by Executive without the prior
written consent of the Company. This Agreement shall be binding upon
and inure to the benefit of all of the parties hereto and their
respective permitted heirs, personal representatives, successors and
assigns.
9.2 SEVERABILITY/CONSTRUCTION. Nothing contained herein shall be
construed to require the commission of any act contrary to law. If any
provision of this Agreement, including all the covenants and agreements
set forth herein, or the application thereof to any person or
circumstance, shall for any reason and to any extent be unenforceable,
including without limitation by reason of such provision extending for
too great a period of time or by reason of its being too extensive in
any other respect, such provision, to the specific extent
unenforceable, shall be interpreted to extend only over the maximum
period of time and to the maximum extent as to which enforceable, in
order to effectuate the parties' intention, as represented hereby, to
the greatest extent possible. Any such interpretation shall have no
effect on the validity or enforceability of any remaining provision. If
any material provision or material portion of a material provision of
this Agreement is found to be void or invalid, the parties will use
best efforts to maintain its continuing effect, validity and
enforceability in each other instance or, if deemed necessary or
appropriate by the party for whose benefit the provision was intended,
will endeavor to substitute a replacement having as far as possible the
same legal and economic effect.
9.3 FREEDOM TO CONTRACT. Executive hereby represents that he/she is
free to enter into this Agreement and that he/she has not made and will
not make any agreement in conflict with this Agreement.
9.4 INDEMNIFICATION. Subject to that Indemnification Agreement dated
March 25, 1998 between Medical Resources, Inc. and Executive, Executive
shall be indemnified and held harmless by the Company to the fullest
extent permitted by applicable law, as the same exists or may hereafter
be amended, against all expenses, liability and loss (including
attorneys' fees, judgements, fines, and amounts paid or to be paid in
any settlement approved in advance by the Company, such approval not to
be unreasonably withheld) actually incurred or suffered by Executive in
connection with any present or future threatened, pending or
contemplated investigation, claim, action, suit or proceeding,
<PAGE>
whether civil, criminal, administrative or investigative, to which
Executive is a defendant, is threatened to be made a defendant, or is
or has been identified as a target in connection with any criminal
investigation or proceeding by reason of any action or inaction taken
by Executive, within the scope of Executive's present or former
employment by the Company in Executive's capacity as an officer or
employee of the Company or any of its subsidiaries or affiliates.
9.5 GOVERNING LAW. This agreement is made under and shall be construed
pursuant to the laws of the State of New Jersey.
9.6 COUNTERPARTS. This Agreement may be executed in several
counterparts and all documents so executed shall constitute one
agreement, binding on all of the parties hereto, notwithstanding that
all of the parties did not sign the original or the same counterparts.
9.7 ENTIRE AGREEMENT. Except as provided in Section 9.4 hereof
regarding indemnification of Executive, this Agreement constitutes the
entire agreement and understanding of the parties with respect to the
subject matter hereof and supersedes all prior oral or written
agreements, arrangements, and understandings with respect thereto. No
representation, promise, inducement, statement or intention has been
made by any party hereto that is not embodied herein, and no party
shall be bound or liable for any alleged representation, promise,
inducement, or statement not so set forth herein.
9.8 MODIFICATION. This agreement may be modified, amended, superseded,
or cancelled, and any of its terms, covenants, representations,
warranties or conditions hereof may be waived, only by a written
instrument executed by the party or parties to be bound by any such
modification, amendment, supersession, cancellation, or waiver.
9.9 WAIVER. The waiver by either of the parties, express or implied, of
any right under this Agreement or any failure to perform under this
Agreement by the other party, shall not constitute or be deemed as a
waiver of any other right under this Agreement of any other failure to
perform under this Agreement by the other party, whether of a similar
or dissimilar nature.
9.10 CUMULATIVE REMEDIES. Each and all of the several rights and
remedies provided in this Agreement, or by law or in equity, shall be
cumulative, and no one of them shall be exclusive of any other right or
remedy, and the exercise of any one of such rights or remedies shall
not be deemed a waiver of, or an election to exercise, any other such
right or remedy.
9.11 HEADINGS. The section and other headings contained in this
Agreement are for reference purposes only and shall not in any way
affect the meaning and interpretation of this Agreement.
9.12 NOTICES. Any notice under this Agreement must be in writing, may
be telecopied, sent by express 24 hour guaranteed courier, or
hand-delivered, or may be served by
<PAGE>
depositing the same in the United States mail, addressed to the party
to be notified, postage-prepaid and registered or certified with a
return receipt requested. The addresses of the parties for the receipt
of notice shall be as follows:
If to the Company:
Medical Resources, Inc.
155 State Street
Hackensack, NJ 07601
Attn: CEO
If to Executive:
Michael J. Drumgoole
7 Highwood Drive
Dumont, NJ 07628
Each notice given by registered or certified mail shall be deemed
delivered and effective on the date of delivery as shown on the return
receipt, and each notice delivered in any other manner shall be deemed
to be effective as of the time of actual delivery thereof. Each party
may change its address for notice by giving notice thereof in the
manner provided above.
9.13 SURVIVAL. Any provision of this Agreement which imposes an
obligation after termination or expiration of this Agreement shall
survive the termination or expiration of this Agreement and be binding
on Executive and the Company.
IN WITNESS WHEREOF, the parties hereto have caused this Employment Agreement to
be executed as of the date first set forth above.
MEDICAL RESOURCES, INC. EXECUTIVE:
By:--------------------------- ----------------------------------
Chief Executive Officer Executive's Signature
Of Medical Resources, Inc.
----------------------------------
Witness Signature
<PAGE>
Exhibit 23.1
CONSENT OF INDEPENDENT AUDITORS
We consent to the incorporation by reference in the Registration Statement
(Form S-8, No. 333-4048) pertaining to the 1992, 1995 and 1996 Stock Option
Plans and Individual Officer and Director Stock Option Agreements and the
Registration Statement (Form S-8, No. 333-71017) pertaining to the 1998 Stock
Option Plan, 1998 Non-Employee Director Stock Option Plan, 1998 Employment
Incentive Option Plan, and the 1996 Stock Option Plan B of Medical Resources,
Inc. of our report dated March 15, 1999, with respect to the consolidated
financial statements and schedule of Medical Resources, Inc. for the years ended
December 31, 1998 and 1997, included in the Annual Report (Form 10-K/A) for the
year ended December 31, 1998.
/s/ ERNST & YOUNG LLP
Hackensack, New Jersey
April 21, 1999
<PAGE>
EXHIBIT 23.2
CONSENT OF INDEPENDENT ACCOUNTANTS
------------------------
We hereby consent to the incorporation by reference in the registration
statements of Medical Resources, Inc. and Subsidiaries on Forms S-8 (File No.'s
333-4648 and 333-71017) of our report dated March 28, 1997, on our audit of the
consolidated statements of operations, stockholders' equity, and cash flows, and
financial statement schedule, of Medical Resources, Inc. and Subsidiaries for
the year ended December 31, 1996, report is included in the Company's Annual
Report on Form 10-K/A.
/s/ PricewaterhouseCoopers LLP
Florham Park, New Jersey
April 20, 1999
