AMERICAN SHARED HOSPITAL SERVICES
10-Q, 1996-08-13
MEDICAL LABORATORIES
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<PAGE>   1
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

                                    FORM 10-Q

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

FOR THE QUARTERLY PERIOD ENDED JUNE 30, 1996

                                       OR

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

FOR THE TRANSITION PERIOD FROM ___________________ TO ____________________

COMMISSION FILE NUMBER 0-12849


                        AMERICAN SHARED HOSPITAL SERVICES
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)


            CALIFORNIA                                  94-2918118
(STATE OR OTHER JURISDICTION OF             (I.R.S. EMPLOYER IDENTIFICATION NO.)
 INCORPORATION OR ORGANIZATION)


FOUR EMBARCADERO CENTER, SUITE 3620, SAN FRANCISCO, CALIFORNIA        94111
- --------------------------------------------------------------      ----------
         (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)                   (ZIP CODE)


REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE: (415) 788-5300


         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
                                             -----    -----

         AS OF AUGUST 7, 1996: THERE ARE OUTSTANDING 4,629,190 SHARES OF THE
REGISTRANT'S COMMON STOCK.

                                       -1-
<PAGE>   2
                        AMERICAN SHARED HOSPITAL SERVICES
     PART I - FINANCIAL INFORMATION - CONDENSED CONSOLIDATED BALANCE SHEETS
                                   (UNAUDITED)
<TABLE>
<CAPTION>
                                                           (unaudited)         (audited)        
           ASSETS                                        June 30, 1996       Dec. 31, 1995        
- -------------------------------------------------        -------------       -------------        
<S>                                                      <C>                 <C>         
Current assets:
       Cash and cash equivalents                         $    327,000        $    452,000
       Restricted cash                                        827,000             493,000
       Receivables, less allowance for
          uncollectible accounts of
          $1,258,000 ($1,448,000 in 1995):
                Trade accounts receivable                   6,318,000           6,251,000
                Other receivables                             178,000             202,000
                Note receivable from officer                        0              57,000
                                                         ------------        ------------
                                                            6,496,000           6,510,000

       Inventories                                             45,000              67,000
       Prepaid expenses and other current assets              627,000           1,124,000
                                                         ------------        ------------

TOTAL CURRENT ASSETS                                        8,322,000           8,646,000

Note Receivable from officer, less current portion                  0             191,000

Property and equipment:
       Land, buildings and improvements                     1,508,000           1,560,000
       Medical, transportation & office equipment          10,185,000           7,453,000
       Capitalized lease equipment                         27,111,000          24,673,000
                                                         ------------        ------------
                                                           38,804,000          33,686,000
       Accumulated depreciation  & amortization           (16,966,000)        (14,015,000)
                                                         ------------        ------------
Net property and equipment                                 21,838,000          19,671,000



Intangible assets, less accumulated amortization            1,336,000           1,462,000

Other assets                                                1,501,000           1,375,000
                                                         ------------        ------------

TOTAL ASSETS                                             $ 32,997,000        $ 31,345,000
                                                         ============        ============
</TABLE>



                   

<TABLE>
<CAPTION>

 LIABILITIES AND                                                                           
 STOCKHOLDERS' EQUITY                                                 (unaudited)         (audited)         
 (NET CAPITAL DEFICIENCY)                                            June 30, 1996       Dec. 31,1995          
 ------------------------                                            -------------       ------------          
<S>                                                                  <C>                 <C>          
 Current liabilities:                             

     Accounts payable                                                $  4,244,000        $  3,524,000
     Accrued  interest                                                     72,000             170,000
     Employee compensation                                                854,000           1,175,000
     Other accrued liabilities                                          1,124,000           1,077,000
     Current portion of long-term debt                                  6,913,000           2,796,000
     Current portion of obligations
          under capital leases                                          6,287,000           5,924,000
     Senior subordinated notes                                            773,000             773,000

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

 TOTAL CURRENT LIABILITIES                                             20,267,000          15,439,000

 Long-term debt, less current portion                                   6,631,000           9,278,000
 Obligations under capital leases,
     less current portion                                              16,277,000          16,847,000
 Deferred income taxes                                                    164,000             164,000
 Minority interest                                                        682,000             193,000
 Stockholders' equity (net capital deficiency):
     Common stock, without par value:   
         authorized shares - 10,000,000; issued                                                              
         & outstanding shares, 4,342,000                                                                     
         in 1996 & 4,244,000 in 1995                                   10,636,000          10,635,000
     Common stock options issued to officer                             2,414,000           2,414,000        
     Additional paid-in capital                                           930,000             930,000
     Accumulated deficit                                              (25,004,000)        (24,555,000)       
                                                                     ------------        ------------        
     Total stockholders' equity
         (net capital deficiency)                                     (11,024,000)        (10,576,000)
                                                                     ------------        ------------                 

 TOTAL LIABILITIES AND STOCKHOLDERS'
     EQUITY (NET CAPITAL DEFICIENCY)                                 $ 32,997,000        $ 31,345,000        
                                                                     ============        ============ 
</TABLE>


                             See Accompanying Notes        


                                       2
<PAGE>   3
                        AMERICAN SHARED HOSPITAL SERVICES

                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                                   (Unaudited)
<TABLE>
<CAPTION>
                                                           Three months ended June 30,             Six months ended June 30,
                                                              1996               1995                1996                1995
                                                              ----               ----                ----                ----
<S>                                                     <C>                 <C>                 <C>                 <C>         
REVENUES:

       Medical Services                                 $  9,202,000        $  8,468,000        $ 18,141,000        $ 17,140,000

COSTS AND EXPENSES:
       Costs of operations:

          Medical services payroll                         1,790,000           1,762,000           3,558,000           3,473,000

          Maintenance and supplies                         1,636,000           1,748,000           3,421,000           3,412,000

          Depreciation and amortization                    1,747,000           2,283,000           3,408,000           4,623,000

          Write-down of equipment                                  0           3,825,000                   0           3,825,000

          Equipment rental                                   804,000             775,000           1,838,000           1,208,000

          Other                                              994,000           1,047,000           1,935,000           1,905,000
                                                        ------------        ------------        ------------        ------------
                                                           6,971,000          11,440,000          14,160,000          18,446,000
       Selling and administrative                          1,263,000           1,656,000           2,486,000           2,958,000

       Interest                                              996,000           1,524,000           2,072,000           3,274,000

       Write-down of intangible assets                             0             600,000                   0             600,000
                                                        ------------        ------------        ------------        ------------
Total costs and expenses                                   9,230,000          15,220,000          18,718,000          25,278,000

Equity in earnings (losses)  of partnerships                  (1,000)              7,000              41,000              23,000

Gain (loss) on sale of assets                                 13,000             (54,000)             24,000             (46,000)

Interest and other income                                     47,000              29,000              57,000             108,000
                                                        ------------        ------------        ------------        ------------
Income (loss) before income taxes &
       extraordinary item                                     31,000          (6,770,000)           (455,000)         (8,053,000)

Income tax expense (benefit)                                       0                   0              (6,000)                  0
                                                        ------------        ------------        ------------        ------------
Income (loss) before extraordinary item                       31,000          (6,770,000)           (449,000)         (8,053,000)

Extraordinary item - gain on early
       extinguishment of debt                                      0          20,378,000                   0          20,378,000
                                                        ------------        ------------        ------------        ------------
Net income (loss)                                       $     31,000        $ 13,608,000        ($   449,000)       $ 12,325,000
                                                        ============        ============        ============        ============
Income (loss) per share:

          Income (loss) before extraordinary item       $       0.01        ($      1.50)       ($      0.10)       ($      2.18)
          Extraordinary Item                            $       0.00        $       4.52        $       0.00        $       5.51
                                                        ------------        ------------        ------------        ------------
          Net income (loss)                             $       0.01        $       3.02        ($      0.10)       $       3.33
                                                        ============        ============        ============        ============
Common shares and equivalents used in
       computing per share amounts                         6,135,000           4,506,000           4,312,000           3,700,000
                                                        ------------        ------------        ------------        ------------
</TABLE>

                                                      

                             See Accompanying Notes

                                        3
<PAGE>   4
                        AMERICAN SHARED HOSPITAL SERVICES
                 Condensed Consolidated Statement of Cash Flows
                                   (Unaudited)
<TABLE>
<CAPTION>
                                                                                    Six Months Ended June 30,
                                                                                      1996              1995
                                                                                      ----              ----
<S>                                                                            <C>                 <C>                    
OPERATING ACTIVITIES:

Net income (loss)                                                              ($   449,000)       $ 12,325,000
Adjustment to reconcile net loss to net
  cash provided by (used in) operating activities:
         Extraordinary gain after income taxes                                            0         (20,378,000)
         (Gain) loss on sale of assets                                              (24,000)             46,000
         Depreciation and amortization                                            3,578,000           4,928,000
         Write-down of equipment                                                          0           3,825,000
         Write-down of intangible assets                                                  0             600,000
         Equity in (earnings) of partnerships                                       (41,000)            (23,000)
         Compensation expense related to stock grants                                     0             265,000
Changes in operating assets and liabilities:
         (Increase) decrease in accounts receivable                                 (43,000)            798,000
         Decrease in inventories                                                     22,000              33,000
         Decrease in prepaid expenses and other assets                              497,000             208,000
         Increase (decrease) in accounts payable and accrued liabilities            348,000            (377,000)
         (Increase) decrease in restricted cash                                    (334,000)                  0
                                                                               ------------        ------------
Net cash provided by operating activities                                         3,554,000           2,250,000

INVESTING ACTIVITIES:
Payment for purchase of property and equipment                                      (33,000)            209,000
Proceeds from sale and disposition of property and equipment                        696,000              63,000
Increase in minority interest                                                       489,000                   0
Distributions received from partnership                                              15,000                   0
Other                                                                              (138,000)           (111,000)
                                                                               ------------        ------------
Net cash provided by investing activities                                         1,029,000             161,000

FINANCING ACTIVITIES:
Payment for repurchase of bonds                                                           0          (3,893,000)
Proceeds from loan agreement                                                              0           7,000,000
Payment for exercise of warrants                                                      1,000                   0
Principal payments on long-term debt and obligations
   under capital leases                                                          (4,709,000)         (5,719,000)
Other                                                                                     0            (563,000)
                                                                               ------------        ------------
Net cash used in financing activities                                            (4,708,000)         (3,175,000)
                                                                               ------------        ------------
Net decrease in cash and cash equivalents                                          (125,000)           (764,000)
Cash and cash equivalents at beginning of period                                    452,000           1,225,000
                                                                               ------------        ------------
Cash and cash equivalents at end of period                                     $    327,000        $    461,000
                                                                               ============        ============

SUPPLEMENTAL CASH FLOW DISCLOSURE:
Cash paid during the period for:
                  Interest                                                     $  2,171,000        $  2,770,000
                                                                               ============        ============
                  Income taxes                                                 $     19,000        $     54,000
                                                                               ============        ============
</TABLE>



                             See accompanying notes

                                        4
<PAGE>   5
                        AMERICAN SHARED HOSPITAL SERVICES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                   (Unaudited)

Basis of Presentation

In the opinion of management, the accompanying unaudited condensed consolidated
financial statements contain all adjustments (consisting of only normal
recurring accruals) necessary to present fairly American Shared Hospital
Services' (the "Company") consolidated financial position as of June 30, 1996
and the results of its operations for the three and six month periods ended June
30, 1996 and 1995, which results are not necessarily indicative of results on an
annual basis. Consolidated balance sheet amounts as of December 31, 1995 have
been derived from audited financial statements. These financial statements
include the accounts of the Company and its wholly owned subsidiaries, CuraCare,
Inc., MMRI, Inc., European Shared Medical Services Limited, American Shared
Radiosurgery Services, African American Church Health and Economic Services,
Inc., ACHES Insurance Services, Inc. and the Company's majority-owned
subsidiary, GK Financing, LLC. All significant intercompany accounts and
transactions have been eliminated.

The Company has incurred net losses before extraordinary items of $12,459,000,
$5,537,000 and $15,644,000 in 1995, 1994 and 1993, respectively. At June 30,
1996, the Company has a working capital deficiency of $11,945,000 and a net
capital deficiency of $11,024,000. In addition the Company will not have
sufficient cash resources to repay its debt obligations at maturity and will be
required to seek new financing. There can be no assurance that such financing
will be available or that the terms of any such financing will be acceptable to
the Company.

These conditions raise substantial doubt about the Company's ability to continue
as a going concern. These financial statements do not include any adjustments to
reflect the possible future effects on the recoverability and classification of
assets or the amounts and classification of liabilities that may result from the
possible inability of the Company to continue as a going concern.

Note 2. Per Share Amounts

Per share information has been computed based on the weighted average number of
common shares and dilutive common share equivalents outstanding.

                                        5
<PAGE>   6
Item 2. Management's Discussion and Analysis of Financial Condition and Results
        of Operations

Medical Services revenues increased $734,000 and $1,001,000 for the three and
six month periods ended June 30, 1996 from $8,468,000 and $17,140,000 for the
three and six month periods ended June 30, 1995.

Revenues from Magnetic Resonance Imaging (MRI) service increased $671,000 and
$1,591,000 for the three and six month periods ended June 30, 1996 compared to
the same periods in the prior year. The increases are primarily due to the
commencement of new customer contracts on four additional units and increased
utilization from contracts commenced in prior periods. The Company had a net
increase of approximately 11 new MRI customer contracts as of June 30, 1996
compared to June 30, 1995.

Computed Tomography (CT) revenues decreased $20,000 and $48,000 for the three
and six month periods ended June 30, 1996 compared to the same periods in the
prior year due to lower revenue generation from mobile routes and conversion of
certain units from mobile routes to interim rentals. Nuclear Medicine and
Ultrasound revenues decreased $26,000 and $148,000 for the three and six months
periods ended June 30, 1996 compared to the same periods in the prior year as a
result of utilization decreases in mobile Ultrasound and Nuclear Medicine.

Contract Service Revenues consisting of respiratory therapy services and cardiac
catheterization laboratory revenues decreased $140,000 and $552,000 for the
three and six month periods ended June 30, 1996 compared to the same periods in
the prior year due to the termination of four respiratory therapy contracts. The
decrease in respiratory therapy services revenues was partially offset by the
commencement of a cardiac catheterization laboratory contract in second quarter
1996.

Gamma Knife revenues increased $248,000 and $153,000 for the three and six month
periods ended June 30, 1996 compared to the same periods in the prior year. The
revenue increase was due to inclusion of a second Gamma Knife unit, offset by
reduced revenues from the Company's first Gamma Knife unit as a result of a
contract extension and reduced pricing.

Total cost of operations, exclusive of write-down of equipment and intangible
assets, decreased $644,000 and $461,000 for the three and six month periods
ended June 30, 1996 compared to the same periods in the prior year. Medical
services payroll increased $28,000 and $85,000 for the three and six month
periods ended June 30, 1996 compared to the same periods in the prior year
primarily due to the increase in MRI revenues. Maintenance and supplies
decreased $112,000 and increased $9,000 for the three and six month periods
ended June 30, 1996 compared to the same periods in the prior year. The decrease
in second quarter 1996 maintenance and supplies is a result of cost savings
associated with MRI maintenance contracts. Depreciation and

                                        6
<PAGE>   7
amortization decreased $536,000 and $1,215,000 for the three and six month
periods ended June 30, 1996 compared to the same periods in the prior year. The
decrease is primarily attributable to the adoption of Financial Accounting
Standards No. 121 (FAS 121) during the second quarter 1995 as explained in
further detail below. In addition, the majority of capital leases were extended
as of October 1, 1995 thereby extending the depreciable life of the asset (as
leased assets are depreciated based on lease terms) and decreasing depreciation
expense. Equipment rental increased $29,000 and $630,000 for the three and six
months periods ended June 30, 1996 compared to the same periods in the prior
year. The second quarter increase was significantly less than that for the six
month period as the Company returned four rental units. Other operating costs
decreased $53,000 and increased $30,000 for the three and six month periods
ended June 30, 1996 compared to the same period in the prior year. The second
quarter decrease results from reduced regional office costs and a reduction in
costs associated with Certificate of Need applications, offset by increased fuel
costs. The six month 1996 increase is due to increases in MRI space rental costs
and physician reading fees.

In connection with the early adoption of FAS 121 during the second quarter of
1995, management reviewed the recoverability of the carrying value of long-lived
assets, primarily fixed assets, goodwill and deferred costs. Following its
review, management concluded that there was an impairment in the recorded value
of fixed assets, goodwill and deferred costs under FAS 121 based on management's
estimate of future undiscounted cash flows over the estimated remaining useful
life of certain assets.

Accordingly, an impairment loss of $4,425,000 was recorded in the second quarter
of 1995 based on the differences between the fair value of such assets as
determined by third parties and the recorded values. The impairment loss is
comprised of a charge for the write-downs of equipment and deferred assets of
$3,825,000 (primarily MRI, CT and nuclear medicine) and goodwill of $600,000.

Selling and Administrative costs decreased $393,000 and $472,000 for the three
and six month periods ended June 30, 1996 compared to the same period in the
prior year due primarily to employee medical insurance related savings and
favorable resolutions of insurance claims and of a terminated building lease.
Additionally, second quarter 1995 results include a charge of $265,000 to salary
and wage expense for the 184,000 shares of common stock issued to the Company's
Chairman and CEO, Ernest A. Bates, M.D. for his continued services to the
Company and his personal guarantee of $6,500,000 of indebtedness of the Company.

Interest expense decreased $528,000 and $1,202,000 for the three and six month
periods ended June 30, 1996 compared to the same periods in the prior year
primarily due to the Company's repurchase in May 1995 of $17,694,000 aggregate
principal amount of its Senior Subordinated Notes.

                                        7
<PAGE>   8
The Company has net income of $31,000 and a loss of $449,000 for the three and
six months periods ended June 30, 1996 compared to net income of $13,608,000 and
$12,325,000 for the same periods in the prior year. The three month and six
month periods ended June 30, 1995 include an extraordinary gain on early
extinguishment of debt of $20,378,000.

LIQUIDITY AND CAPITAL RESOURCES

The Company had cash and cash equivalents of $327,000 at June 30, 1996 compared
to $452,000 at December 31, 1995. The Company's cash position decreased due to
its net loss of $449,000 in the first six months of 1996.

On May 17, 1995, the Company repurchased (the "Notes Repurchase") for cash and
securities approximately 96% of its outstanding Senior Subordinated Notes (the
"Subordinated Notes"). The Notes Repurchase, together with a December 1994 lease
restructuring and the availability of up to $8,000,000 of new debt financing,
concluded a broad restructuring of the Company's obligations as more fully
explained in the Company's 1995 Form 10-K.

On December 29, 1995 and March 1, 1996, the Company further restructured certain
of its medical equipment leases and its outstanding notes, in a principal amount
of $2,361,000 (the "GE Notes") as of June 30, 1996, to extend the terms of the
leases for periods of up to an additional 26 months, to defer certain monthly
lease payments and to defer certain installment payments on the GE Notes in the
beginning of 1996. This further restructuring results in payment reductions of
approximately $1,200,000 for the Company in 1996.

In connection with the issuance of the GE Notes, the Company issued warrants to
GE to purchase an aggregate of 225,000 Common Shares for $0.01 per share.
Effective March 5, 1996, 97,853 of the GE Warrants were exercised to purchase
97,853 Common Shares.

In March, 1996 the Company sold its Modesto buildings for $650,000 in cash and
also negotiated an increase of $500,000 in its working capital revolving line of
credit. These two items will increase the Company's working capital.

The various restructuring transactions described above cured all of the
Company's outstanding defaults relating to its debt and lease obligations. The
Company nevertheless remains highly leveraged and has significant cash payment
requirements under its equipment leases and credit facilities. Scheduled cash
equipment capital lease payments and operating lease payments during the 12
months ending December 31, 1996 are $8,313,000 and $834,000, respectively, with
related maintenance commitments of approximately $1,847,000. Scheduled interest
and principal payments under the Company's other debt obligations during such
period are approximately

                                        8
<PAGE>   9
$4,824,000. In order to generate sufficient cash to satisfy these obligations as
they become due, the Company's management will do the following: (i) continue to
implement its program of expense reductions; (ii) enhance revenues by increasing
customer contracts and equipment utilization; (iii) negotiate favorable
concessions from major creditors; and (iv) offer to exchange equity in the
Company for interest bearing debt. There can be no assurance that these measures
will generate sufficient cash to enable the Company to meet its scheduled
obligations. Any inability of the Company to meet its obligations when due would
result in a default which could permit the relevant obligor to accelerate the
obligation and seek other remedies including seizure of the Company's medical
imaging equipment. In such event, the Company would be forced to seek a
liquidation under Chapter 7 or a reorganization under Chapter 11 of the United
States Bankruptcy Code.

As part of its strategic efforts outlined above, on June 21, 1996 the Company
commenced an exchange offer (the "Exchange Offer") for its $773,000 aggregate
principal amount of Subordinated Notes. In the Exchange Offer, the Company
offered to exchange approximately 700 shares of its Common Stock for each $1,000
principal amount of Subordinated Notes (and all accrued interest thereon). The
purpose of the Exchange Offer is to improve the Company's capital structure and
relieve the Company of the requirement to pay $836,000 of principal and interest
in October, 1996 when the Subordinated Notes mature. The Exchange Offer was
originally schedule to expire on July 15, 1996, but the Company has extended the
expiration date to August 9, 1996. As of August 1, 1996, $413,000 aggregate
principal amount of Subordinated Notes had been accepted for exchange, which
will result in the issuance of approximately 287,000 additional shares of Common
Stock.

                           PART II - OTHER INFORMATION

Item 1. Legal Proceedings.

        None.

Item 2. Changes in Securities

        None.

Item 3. Defaults upon Senior Securities

        None.

                                        9
<PAGE>   10
Item 4. Submission of Matters to a Vote of Securities Holders.

        The Company's annual meeting of shareholders was held on June 28, 1996.
        At the meeting, the Election of Directors was voted upon by the
        shareholders with the results set forth below:

<TABLE>
<CAPTION>
         Election of Directors              In Favor                  Withheld     
         ---------------------              --------                  --------
<S>                                         <C>                       <C>   
         Ernest A. Bates, M.D.              2,908,187                 29,931
         Willie R. Barnes                   2,908,187                 29,931
         Matthew Hills                      2,908,187                 29,931
         John F. Ruffle                     2,908,187                 29,931
         Stanley S. Trotman, Jr.            2,908,187                 29,931
         Augustus A. White, III, M.D.       2,908,187                 29,931
         Charles B. Wilson, M.D.            2,907,687                 30,431
</TABLE>

                                                                    
                                                           
        Dr. Bates, Mr. Barnes, Mr. Hills, Mr. Ruffle, Mr. Trotman, Dr. White and
        Dr. Wilson were elected to the Board of Directors.

Item 5. Other Information.

        None.

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

        (a) Exhibits

                  The following exhibit is filed herewith:

                  Exhibit
                  Number                 Description

                    27              Financial Data Schedule

        (b) Reports on Form 8-K

            None.

                                       10
<PAGE>   11
                                   SIGNATURES

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

                        AMERICAN SHARED HOSPITAL SERVICES
                                   Registrant




Date:  August 13, 1996                      /s/ Ernest A. Bates, M.D.
                                            ------------------------------------
                                            Ernest A. Bates, M.D.
                                            Chairman of the Board and
                                            Chief Executive Officer





Date:  August 13, 1996                      /s/ Craig K. Tagawa
                                            ------------------------------------
                                            Craig K. Tagawa
                                            Chief Financial Officer



                                       11






<TABLE> <S> <C>

<ARTICLE> 5
<CURRENCY>                                U.S. DOLLARS
       
<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>                          DEC-31-1996
<PERIOD-START>                             JAN-01-1996
<PERIOD-END>                               JUN-30-1996
<EXCHANGE-RATE>                                      1
<CASH>                                            1154
<SECURITIES>                                         0
<RECEIVABLES>                                     7453
<ALLOWANCES>                                      1135
<INVENTORY>                                         45
<CURRENT-ASSETS>                                  8322
<PP&E>                                           38804
<DEPRECIATION>                                   16966
<TOTAL-ASSETS>                                   32997
<CURRENT-LIABILITIES>                            20267
<BONDS>                                          22908
                                0
                                          0
<COMMON>                                         10636
<OTHER-SE>                                        3344
<TOTAL-LIABILITY-AND-EQUITY>                     32997
<SALES>                                          18141
<TOTAL-REVENUES>                                 18141
<CGS>                                                0
<TOTAL-COSTS>                                    14160
<OTHER-EXPENSES>                                  2486
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                2072
<INCOME-PRETAX>                                  (455)
<INCOME-TAX>                                       (6)
<INCOME-CONTINUING>                              (449)
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     (449)
<EPS-PRIMARY>                                      .01
<EPS-DILUTED>                                      .01
        

</TABLE>


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