<PAGE> 1
FORM 10-Q
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
QUARTERLY REPORT UNDER SECTION 13 OR 15 (d) OF
THE SECURITIES EXCHANGE ACT OF 1934
For quarter ended September 30, 1999
Commission File Number 0-17401
OPTIMUMCARE CORPORATION
---------------------------------------------------
(Exact name of registrant specified in its charter)
Delaware 33-0218003
------------------------------- -------------------
(State of other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
30011 Ivy Glenn Drive, Ste. 219
Laguna Niguel, CA 92677
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(949) 495-1100
- --------------------------------------------------------------------------------
(Registrants telephone number, including area code)
Not Applicable
- --------------------------------------------------------------------------------
(Former name, former address and former fiscal year,
if changed since last report).
Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934
during the preceding 12 months (or for such shorter periods that the registrant
was required to file such reports), and (2) has been subject to such filing
requirements for the past 90 days. Yes [X] No [ ]
Indicate the number of shares outstanding of each of the issuer's classes of
common stock, as of the latest practicable date.
Class Number of Shares Outstanding
----- ----------------------------
Common Stock, $.001 par value 5,919,897
1
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INDEX
OPTIMUMCARE CORPORATION
<TABLE>
<CAPTION>
PART I FINANCIAL INFORMATION
Page
----
<S> <C> <C>
Item 1. Financial Statements (Unaudited)
Balance Sheets as of September 30, 1999 and 3
December 31, 1998
Statements of Income for the Three Months and 4
Nine Months Ended September 30, 1999 and 1998
Statements of Cash Flows for the Three Months 5
and Nine Months Ended September 30, 1999 and 1998
Notes to Financial Statements 6
Item 2. Management's Discussion and Analysis of 8
Financial Condition and Results of Operations
Item 3. Quantitative and Qualitative Disclosures 10
about Market Risk
PART II OTHER INFORMATION 11
SIGNATURE 12
</TABLE>
2
<PAGE> 3
OPTIMUMCARE CORPORATION
BALANCE SHEETS
(UNAUDITED)
<TABLE>
<CAPTION>
SEPTEMBER 30 DECEMBER 31
1999 1998
------------ -----------
<S> <C> <C>
ASSETS
CURRENT ASSETS
CASH $ 263,722 $ 188,636
ACCOUNTS RECEIVABLE, NET OF ALLOWANCE OF $0 AT
SEPTEMBER 30,1999 AND DECEMBER 31, 1998 2,746,260 2,293,583
NOTE RECEIVABLE FROM OFFICER 78,000 78,000
PREPAID EXPENSES 29,978 71,537
DEFERRED TAX ASSET 35,111 20,288
---------- ----------
TOTAL CURRENT ASSETS 3,153,071 2,652,044
NOTES RECEIVABLE FROM OFFICER 314,070 314,070
FURNITURE AND EQUIPMENT, LESS ACCUMULATED
DEPRECIATION OF $163,268 AT SEPTEMBER 30, 1999
AND $131,062 AT DECEMBER 31, 1998 39,716 59,527
DEFERRED TAX ASSET 29,244 75,817
OTHER ASSETS 52,825 53,286
---------- ----------
TOTAL ASSETS $3,588,926 $3,154,744
========== ==========
CURRENT LIABILITIES
ACCOUNTS PAYABLE $ 198,598 $ 244,525
ACCRUED VACATION 69,501 50,720
ACCRUED EXPENSES 197,551 134,130
---------- ----------
TOTAL CURRENT LIABILITIES 465,650 429,375
STOCKHOLDERS' EQUITY
COMMON STOCK, $.001 PAR VALUE; AUTHORIZED
20,000,000 SHARES, 5,919,897 SHARES ISSUED,
AND OUTSTANDING AT SEPTEMBER 30, 1999,
AND DECEMBER 31,1998 5,920 5,920
PAID-IN-CAPITAL 2,431,761 2,431,761
RETAINED EARNINGS 685,595 287,688
---------- ----------
TOTAL STOCKHOLDERS' EQUITY $3,123,276 $2,725,369
---------- ----------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $3,588,926 $3,154,744
========== ==========
</TABLE>
See notes to financial statements.
3
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OPTIMUMCARE CORPORATION
STATEMENTS OF INCOME
(UNAUDITED)
<TABLE>
<CAPTION>
THREE MONTHS ENDED NINE MONTHS ENDED
SEPTEMBER SEPTEMBER
1999 1998 1999 1998
---------- ---------- ---------- ----------
<S> <C> <C> <C> <C>
REVENUES $2,664,008 $2,821,533 $7,860,242 $8,949,461
INTEREST INCOME 9,249 6,586 27,675 18,650
---------- ---------- ---------- ----------
$2,673,257 $2,828,119 $7,887,917 $8,968,111
---------- ---------- ---------- ----------
OPERATING EXPENSES:
COSTS OF SERVICES PROVIDED 1,994,656 $2,195,549 $6,058,613 $6,828,355
PROVISION FOR DOUBTFUL ACCOUNTS 0 0 0 302,079
GENERAL AND ADMINISTRATIVE 324,333 387,170 1,102,439 1,197,202
INTEREST 1,206 95 2,528 2,401
---------- ---------- ---------- ----------
2,320,195 2,582,814 7,163,580 8,330,037
---------- ---------- ---------- ----------
INCOME BEFORE INCOME TAXES 353,062 245,305 724,337 638,074
INCOME TAXES 173,876 79,300 326,430 237,970
---------- ---------- ---------- ----------
NET INCOME $ 179,186 $ 166,005 $ 397,907 $ 400,104
========== ========== ========== ==========
BASIC EARNINGS PER SHARE $ 0.03 $ 0.03 $ 0.07 $ 0.06
========== ========== ========== ==========
DILUTED EARNINGS PER SHARE $ 0.03 $ 0.03 $ 0.07 $ 0.06
========== ========== ========== ==========
</TABLE>
See notes to financial statements
4
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OPTIMUMCARE CORPORATION
STATEMENT OF CASH FLOWS
(UNAUDITED)
<TABLE>
<CAPTION>
NINE MONTHS ENDING
SEPTEMBER 30 SEPTEMBER 30
1999 1998
------------ ------------
<S> <C> <C>
CASH FLOW FROM OPERATING ACTIVITIES
Net Income $ 397,907 $ 400,104
Adjustments to reconcile net income to net
cash provided by operating activities:
Depreciation & Amortization 32,206 30,751
Provision for Doubtful Accounts 0 302,079
Deferred taxes 31,750 334,000
Changes in operating assets and liabilities:
(Increase) in accounts receivable, net (452,677) 53,546
(Increase) in prepaid income taxes 0 (139,509)
Decrease in prepaid expenses 41,559 412
(Increase)/Decrease in other assets 461 (9,237)
(Decrease) in accounts payable (45,927) (30,793)
Increase in accrued vacation 18,781 11,202
Increase/(Decrease) in accrued liabilities 63,421 18,802
----------- -----------
CASH AND CASH EQUIVALENTS PROVIDED
BY OPERATING ACTIVITIES 87,481 971,357
CASH FLOW FROM INVESTING ACTIVITIES
Purchase of furniture & equipment (12,395) (7,173)
----------- -----------
CASH AND CASH EQUIVALENTS (USED)
IN INVESTING ACTIVITIES (12,395) (7,173)
CASH FLOW FROM FINANCING ACTIVITIES
Note payable from bank proceeds 200,000 0
Note payable from bank paydowns (200,000) (200,000)
Purchase of treasury stock 0 (837,500)
Exercise of stock options 7,500
----------- -----------
CASH AND CASH EQUIVALENTS (USED) BY
FINANCING ACTIVITIES 0 (1,030,000)
INCREASE/(DECREASE) IN
CASH AND CASH EQUIVALENTS 75,086 (65,816)
Cash and cash equivalents at beginning of period 188,636 945,404
----------- -----------
CASH AND CASH EQUIVALENTS AT END OF PERIOD $ 263,722 $ 879,588
=========== ===========
</TABLE>
See notes to financial statements.
5
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OPTIMUMCARE CORPORATION
NOTES TO FINANCIAL STATEMENTS (UNAUDITED)
SEPTEMBER 30, 1999
NOTE A -- BASIS OF PRESENTATION
The accompanying unaudited financial statements for the three month period ended
September 30, 1999 have been prepared in accordance with generally accepted
accounting principles for interim financial information and with the
instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do
not include all of the information footnotes required by generally accepted
accounting principles for complete financial statements. In the opinion of
management, all adjustments (consisting of normal recurring accruals) considered
necessary for a fair presentation have been included. Operating results for the
three and nine month periods ended September 30, 1999 are not necessarily
indicative of the results that may be expected for the year ended December 31,
1999. For further information, refer to the financial statements and footnotes
thereto included in the Company's Form 10-K for the year ended December 31,
1998.
NOTE B - - EARNINGS PER SHARE
The following table sets forth the computation of basic and diluted earnings per
share:
<TABLE>
<CAPTION>
========================================================================================
Three Months Ended Nine Months Ended
---------------------------------------------------------------
September 30, September 30, September 30, September 30,
1999 1998 1999 1998
- ----------------------------------------------------------------------------------------
<S> <C> <C> <C> <C>
Numerator $ 179,186 $ 166,005 $ 397,907 $ 400,104
- ----------------------------------------------------------------------------------------
Denominator:
- ----------------------------------------------------------------------------------------
Denominator for basic
earnings per share -
weighted-average
shares 5,919,897 6,545,334 5,919,897 6,775,662
- ----------------------------------------------------------------------------------------
Dilutive employee
stock options 155,809 79,025 105,437 164,565
- ----------------------------------------------------------------------------------------
Denominator for
diluted earnings per
share 6,075,706 6,624,359 6,025,334 6,940,227
- ----------------------------------------------------------------------------------------
Basic earnings per $ .03 $ .03 $ .07 $ .06
share
- ----------------------------------------------------------------------------------------
Diluted earnings per
share $ .03 $ .03 $ .07 $ .06
========================================================================================
</TABLE>
6
<PAGE> 7
NOTE C - NEW BUSINESS
Effective October 1, 1999, the Company entered into a contract to manage a
partial hospitalization program with Rhema Behavioral Health Center, a Community
Mental Health Center headquartered in Houston, Texas.
7
<PAGE> 8
ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATION
SAFE HARBOR STATEMENTS UNDER THE PRIVATE SECURITIES LITIGATION
REFORM ACT OF 1995
Management's Discussion and Analysis of Financial Condition and Results of
Operations contains statements which are forward-looking in time and involve
risks and uncertainties, including the risks associated with plans, the effects
of changing economic and competitive conditions, government regulation which may
affect facilities, licensing, healthcare reform which may affect payment amounts
and timing, availability of sufficient working capital, Program development
efforts and timing and market acceptance of new Programs which may affect future
sales growth and/or costs of operations.
MATERIAL CHANGES IN FINANCIAL CONDITION
At September 30, 1999 and December 31, 1998, the Company's working capital was
$2,687,421 and $2,222,669 respectively. The nature of the Company's business
requires significant working capital to fund operations of its programs as well
as to fund corporate expenditures until receivables can be collected. Moreover,
because each of the existing contracts represents a significant portion of the
Company's business, the inability to collect any of the accounts receivable
could materially and adversely affect the Company's liquidity. The Company's
working capital at September 30, 1999 has increased over December 31, 1998
primarily due to an increase in accounts receivable. This is due to an increase
in two program receivables with one hospital. The Company has a payment
arrangement with this hospital that is dependant upon the hospital receiving
payments from their intermediary for patients serviced by OptimumCare managed
programs. Recently, the hospital completed a year 2000 computer conversion which
caused certain billing delays. This in turn has resulted in delayed payment to
the Company. The Company believes that this is a temporary cash flow delay and
is not indicative of an ultimate collection problem with this hospital.
Cash flows from operations were $87,481 and $971,357 for the periods ended
September 30, 1999 and 1998, respectively. Funds provided during the current
period were primarily due to net income, partially offset from financing the
increase in accounts receivable from one hospital, discussed above.
Cash flows used in investing activities were ($12,395) and ($7,173) for the
periods ended September 30, 1999 and 1998, respectively. Funds used during both
periods were expended for office furniture and equipment.
$200,000 was drawn and repaid under the Company's line of credit during the
period ended September 30, 1999. The cash used in financing activities was
($1,030,000) for the period ended September 30, 1998. Funds used during 1998
were composed of $200,000 in pay downs on the Company's line of credit agreement
with a bank, which were drawn during 1997 and $837,500 for the purchase of
Treasury Stock during the nine months ending September 30, 1998. The line of
credit expires May 1, 2000. The maximum indebtedness is $1,500,000. Amounts
allowable for draw are based on 75% of certain qualified accounts receivable. As
of October 18, 1999, approximately $1,390,227 is available for future draws on
the line of credit agreement. It is expected that the line of credit will be
renewed on similar terms. The Company's principal sources of liquidity for the
fiscal year 1999 are cash on hand, accounts receivable, the line of credit with
a bank and continuing revenues from programs.
8
<PAGE> 9
MATERIAL CHANGES IN RESULTS OF OPERATIONS
Three Months Ended September 30, 1999 compared to Three Months Ended
September 30, 1998
The Company operated ten (10) programs during the three months ended
September 30, 1999 and 1998. Net Revenues were $2,664,008 and $2,821,533 for the
three months ended September 30, 1999 and 1998, respectively. The decrease in
revenues for the three months ended September 30, 1999 over September 30, 1998
is due to certain programs which were modified to flat monthly fees in 1999.
These programs earned larger revenues in 1998 due to their fee structure, which
was based on census.
Cost of services provided were $1,994,656 and $2,195,549 for the three months
ended September 30, 1999 and 1998 respectively. Costs have decreased due to a
reduced level of services provided by the Company in connection with certain
programs that had management fees which were modified to flat monthly fees in
1999. In addition, the expenses associated with the Company's partial
hospitalization programs have decreased due to the mix of programs which existed
during the third quarter of 1999 versus those which existed during the third
quarter of 1998.
The provision for doubtful accounts at September 30, 1998 represents the
write-off of the receivables generated from an alliance with one entity during
the period ending September 30, 1998. No such similar situation existed during
the period ending September 30, 1999.
General and administrative expenses for the three months ending September 30,
1999 have decreased over the three months ending September 30, 1998 due to a
decrease in public relations costs. The Company is now performing these services
internally.
Net income was $179,186 and $166,005 for the three months ended September 30,
1999 and 1998, respectively. The increase in net income is attributable to lower
costs of services provided and lower general and administrative expenses
partially offset by lower revenues.
The Company anticipates the costs of operating its current programs to decrease.
Contract negotiations with many of the Company's host hospitals indicate that
the hospitals are interested in assuming some of the services previously
outsourced to the Company. Revenues are also expected to decrease if
modifications to the Company's management fees occur as a result of reduced
services provided. However, the Company is actively pursuing the formation of
its own Community Mental Health Centers to host certain of its partial
hospitalization programs. In addition, new contracts to manage programs
discussed in Note C to the Financial Statements should have an opposite effect,
increasing the Company's revenues and costs. The extent of the impact of these
two factors on the Company's revenues and costs will depend on the relative
volume of these programs to the existing programs of the Company.
Although revenues have decreased, the Company has slightly increased its gross
profit by operating efficiencies. The Company is dependent on a relatively small
customer base presently consisting of five (5) hospitals and two community
mental health centers. The loss of any of its customers could have a significant
adverse effect on the Company's operations.
The Company upgraded its general ledger accounting system to be year 2000
compliant effective January 1, 1999. The cost of addressing the year 2000 issues
approximated $2,500 and was not material to the Company's financial position,
operating results or cash flows. However, it does appear that the year 2000 is a
major concern for the Company's host hospitals and the various insurance
companies from which the hospitals receive reimbursements. The large volume,
small dollar transactions processed by these entities' computer systems would
most likely require reconfiguration to accommodate the year 2000. The trickle
down effect of this situation has delayed
9
<PAGE> 10
payments to the Company from one hospital hosting two programs. However, the
Company believes that this is a temporary cash flow delay and has sufficient
resources to avoid liquidity impairment.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Immaterial.
COMPARISON OF THE NINE MONTHS ENDED SEPTEMBER 30, 1999 TO NINE MONTHS ENDED
SEPTEMBER 30, 1998
Net revenues decreased approximately 12% for the nine months ended September 30,
1999 over the comparable nine months ended September 30, 1998.
The Company had ten (10) operational Programs during the nine month period ended
September 30, 1999 and twelve (12) operational programs during the nine month
period ended September 30, 1998. The decrease in net revenues among comparative
periods is primarily due to the decrease in the number of operational programs.
Cost of services provided decreased approximately 11% for the nine months ended
September 30, 1999 over the comparable nine months ended September 30, 1998.
This decrease is attributable to the decrease in revenues among periods.
The provision for doubtful accounts at September 30, 1998 represents the
write-offs of receivables generated from an alliance with one entity during the
first quarter of 1998. No such similar situation existed during the nine month
period ending September 30, 1999.
General and administrative expenses for the nine months ending September 30,
1999 have decreased over the nine months ending September 30, 1998 primarily due
to a decrease in legal fees incurred in connection with protecting the Company's
trade name against use by an East Coast Healthcare Provider, during 1998.
10
<PAGE> 11
PART II
OTHER INFORMATION
ITEM 1 LEGAL PROCEEDINGS
Not applicable.
ITEM 2 CHANGES IN SECURITIES
Not applicable.
ITEM 3 DEFAULTS UPON SENIOR SECURITIES
Not applicable.
ITEM 4 SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
Not applicable.
ITEM 5 OTHER INFORMATION
Not applicable.
ITEM 6 EXHIBITS AND REPORTS ON FORM 8-K
10.117 Contract amendment between the Company and Huntington
Intercommunity Hospital d/b/a Humana Hospital Huntington
Beach dated August 1, 1999 which supersedes the contract
dated November 5, 1991.
10.118 Contract amendment between the Company and Huntington
Intercommunity Hospital d/b/a Humana Hospital Huntington
Beach dated August 1, 1999 which supersedes the contract
dated October 1, 1992.
10.119 Inpatient Psychiatric Services contract amendment dated
August 6, 1999 between the Company and Huntington
Intercommunity Hospital d/b/a Humana Hospital Huntington
Beach which supersedes contract amendment dated August 1,
1999.
10.120 Partial Hospitalization Agreement contract amendment dated
August 6, 1999 between the Company and Huntington
Intercommunity Hospital d/b/a Humana Hospital Huntington
Beach which supersedes contract amendment dated August 1,
1999.
10.121 Psychiatric Partial Hospitalization Management Agreement
between the Company and Rhema Behavioral Health Center
dated August 1, 1999.
10.122 First amendment to lease between the Company and Jay
Arteaga dated October 11, 1999 which supercedes lease dated
September 30, 1996.
27.1 Financial Data Schedule
11
<PAGE> 12
SIGNATURE
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 authorized.
OPTIMUMCARE CORPORATION
A Delaware Corporation
Dated: October 25, 1999 By: /s/ EDWARD A. JOHNSON
-----------------------------
Edward A. Johnson
Chairman of the Board
& Principal Financial Officer
12
<PAGE> 13
EXHIBIT INDEX
<TABLE>
<CAPTION>
Exhibit No. Description
- ----------- -----------
<S> <C>
10.117 Contract amendment between the Company and Huntington
Intercommunity Hospital d/b/a Humana Hospital Huntington Beach
dated August 1, 1999 which supersedes the contract dated November
5, 1991.
10.118 Contract amendment between the Company and Huntington
Intercommunity Hospital d/b/a Humana Hospital Huntington Beach
dated August 1, 1999 which supersedes the contract dated October
1, 1992.
10.119 Inpatient Psychiatric Services contract amendment dated August 6,
1999 between the Company and Huntington Intercommunity Hospital
d/b/a Humana Hospital Huntington Beach which supersedes contract
amendment dated August 1, 1999.
10.120 Partial Hospitalization Agreement contract amendment dated August
6, 1999 between the Company and Huntington Intercommunity
Hospital d/b/a Humana Hospital Huntington Beach which supersedes
contract amendment dated August 1, 1999.
10.121 Psychiatric Partial Hospitalization Management Agreement between
the Company and Rhema Behavioral Health Center dated August 1,
1999.
10.122 First amendment to lease between the Company and Jay Arteaga
dated October 11, 1999 which supercedes lease dated September 30,
1996.
27.1 Financial Data Schedule
</TABLE>
<PAGE> 1
EXHIBIT 10.117
CONTRACT AMENDMENT
This Contract Amendment effective this 1st day of August, 1999 ("Effective
Date") is entered into by and between OptimumCare Corporation ("Manager") and
Huntington Intercommunity Hospital d/b/a Humana Hospital Huntington Beach
("Original Hospital"), as assigned to Huntington Intercommunity Hospital d/b/a
Huntington Beach Hospital ("Hospital") (collectively "Parties"). As of the date
of said assignment, Hospital assumed capacity as named party to the Original
Agreement, as defined below. To memorialize the same, as of the Effective Date
hereof, the Parties hereby amend the Inpatient Hospital Agreement by and between
the Parties as defined therein ("Original Agreement") for the purpose of
memorializing the assigned party as named party thereto, and for amending the
rate structure thereunder. As a result of this Amendment, as of the Effective
Date set forth above, the Original Agreement shall be amended as follows:
I. The Preliminary Paragraph of the Original Agreement shall be
deleted and replaced with the following:
THIS Agreement is entered into as of this 5th day of November,
1991 by and between Huntington Intercommunity Hospital d/b/a Huntington Beach
Hospital ("Hospital") and OptimumCare Corporation, a Delaware Corporation
("Manager").
II. Article 4 of the Original Agreement shall be deleted and replaced
with the following:
(a) Hospital shall pay Manager a monthly fee for professional and
administrative services rendered hereunder in the amount of One
Hundred and Forty Five Thousand Dollars ($145,000.00) ("Monthly
Fee"). Said Monthly fee shall include any and all services
rendered by or through Manager, including but not limited to any
and all costs associated with Medical Directors.
(b) On or before the tenth (10th) day of each month, Manager shall
submit to Hospital an invoice for services rendered the month
prior. Said invoice shall deduct the amount of One Hundred and
Thirty Dollars ($130.00) per inpatient day for all clinical
appealed and denied admissions on continued stay days.
(c) Hospital shall render Monthly Fees to Manager within Ten (10)
days of its receipt of a completed and accurate invoice.
Except as otherwise set forth above, all other terms and conditions of the
Original Agreement shall remain unchanged.
<PAGE> 2
This Amendment is agreed to and entered into by the Parties, as evidenced by
signatures below.
Manager Hospital
By: /s/ ED JOHNSON By: /s/ CAROL FREEMAN
--------------------------------- ---------------------------------
Ed Johnson Carol Freeman
Its: Chairman and CEO Its: Chief Executive Officer
-------------------------------- --------------------------------
Date: 8/6/99 Date: 8-5-99
------------------------------- -------------------------------
<PAGE> 1
EXHIBIT 10.118
CONTRACT AMENDMENT
This Contract Amendment effective this 1st day of August, 1999 ("Effective
Date") is entered into by and between OptimumCare Corporation ("Manager") and
Huntington Intercommunity Hospital d/b/a Humana Hospital Huntington Beach
("Original Hospital"), as assigned to Huntington Intercommunity Hospital d/b/a
Huntington Beach Hospital ("Hospital") (collectively "Parties"). As of the date
of said assignment, Hospital assumed capacity as named party to the Original
Agreement, as defined below. To memorialize the same, as of the Effective Date
hereof, the Parties hereby amend the Partial Hospital Agreement by and between
the Parties as defined therein ("Original Agreement") for the purpose of
memorializing the assigned party as named party thereto, and for amending the
rate structure thereunder. As a result of this Amendment, as of the Effective
Date set forth above, the Original Agreement shall be amended as follows:
I. The Preliminary Paragraph of the Original Agreement shall be
deleted and replaced with the following:
THIS Agreement is entered into as of this 1st day of October,
1992 by and between Huntington Intercommunity Hospital d/b/a Huntington Beach
Hospital ("Hospital") and
OptimumCare Corporation, a Delaware Corporation ("Manager").
II. Article 4 of the Original Agreement shall be deleted and replaced
with the following:
(a) Hospital shall pay Manager a monthly fee for professional and
administrative services rendered hereunder in the amount of One
Hundred and Forty Five Thousand Dollars ($145,000.00) ("Monthly
Fee"). Said Monthly fee shall include any and all services
rendered by or through Manager, including but not limited to any
and all costs associated with Medical Directors.
(b) On or before the tenth (10th) day of each month, Manager shall
submit to Hospital an invoice for services rendered the month
prior. Said invoice shall deduct the amount of Eighty Five
Dollars ($85.00) per partial hospitalization visit for all
clinical appealed and denied admissions.
(c) Hospital shall render Monthly Fees to Manager within Ten (10)
days of its receipt of a completed and accurate invoice.
Except as otherwise set forth above, all other terms and conditions of the
Original Agreement shall remain unchanged.
<PAGE> 2
This Amendment is agreed to and entered into by the Parties, as evidenced by
signatures below.
Manager Hospital
By: /s/ ED JOHNSON By: /s/ CAROL FREEMAN
--------------------------------- ---------------------------------
Ed Johnson Carol Freeman
Its: Chairman and CEO Its: Chief Executive Officer
-------------------------------- --------------------------------
Date: 8/6/99 Date: 8-5-99
------------------------------- -------------------------------
<PAGE> 1
EXHIBIT 10.119
INPATIENT PSYCHIATRIC SERVICES
CONTRACT AMENDMENT
THE CONTRACT AMENDMENT REPLACES THE AMENDMENT PREVIOUSLY SIGNED AND DATED 8/6/99
BY OPTIMUMCARE AND 8/5/99 BY HUNTINGTON BEACH HOSPITAL. THAT AMENDMENT IS
DECLARED NULL AND VOID DUE TO A MATERIAL MISSTATEMENT OF FACT CONTAINED IN SAID
AMENDMENT SECTION II(a) REGARDING PAYMENT.
This Contract Amendment effective this 1st day of August, 1999 ("Effective
Date") is entered into by and between OptimumCare Corporation ("Manager") and
Huntington Intercommunity Hospital d/b/a Humana Hospital Huntington Beach
("Original Hospital"), as assigned to Huntington Intercommunity Hospital d/b/a
Huntington Beach Hospital ("Hospital") (collectively "Parties"). As of the date
of said assignment, Hospital assumed capacity as named party to the Original
Agreement, as defined below. To memorialize the same, as of the Effective Date
hereof, the Parties hereby amend the INPATIENT HOSPITAL AGREEMENT by and between
the Parties as defined therein ("Original Agreement") for the purpose of
memorializing the assigned party as named party thereto, and for amending the
rate structure thereunder. As a result of this Amendment, as of the Effective
Date set forth above, the Original Agreement shall be amended as follows:
I. The Preliminary Paragraph of the Original Agreement shall be
deleted and replaced with the following:
THIS Agreement is entered into as of this 5th day of November,
1991 by and between Huntington Intercommunity Hospital d/b/a
Huntington Beach Hospital ("Hospital") and OptimumCare
Corporation, a Delaware Corporation ("Manager").
II. Article 4 of the Original Agreement shall be deleted and replaced
with the following:
(a) Hospital shall pay Manager a monthly fee for professional and
administrative services rendered hereunder. Said monthly fee
shall be set at Thirty One Thousand Dollars ($31,000.00) for each
of the two inpatient clinical psychiatric services in existence
as of the date of this Agreement for a total monthly fee of Sixty
Two Thousand Dollars ($62,000.00). Such fee shall include any and
all services rendered by or through Manager, including but not
limited to any and all costs associated with Medical Directors.
(b) On or before the tenth (10th) day of each month, Manager shall
submit to Hospital an invoice for services rendered the month
prior. Said invoice shall deduct the amount of One Hundred and
Thirty Dollars ($130.00) per inpatient day for all clinical
appealed and denied admissions on continued stay days.
<PAGE> 2
(c) Hospital shall render Monthly Fees to Manager within Ten (10)
days of its receipt of a completed and accurate invoice.
Except as otherwise set forth above, all other terms and conditions of the
Original Agreement shall remain unchanged.
Manager Hospital
By: /s/ ED JOHNSON By: /s/ CAROL FREEMAN
--------------------------------- ---------------------------------
Ed Johnson Carol Freeman
Its: CEO Its: CEO
-------------------------------- --------------------------------
Date: 8/25/99 Date: 8-25-99
------------------------------- -------------------------------
<PAGE> 1
EXHIBIT 10.120
PARTIAL HOSPITALIZATION AGREEMENT
CONTRACT AMENDMENT
THE CONTRACT AMENDMENT REPLACES THE AMENDMENT PREVIOUSLY SIGNED AND DATED 8/6/99
BY OPTIMUMCARE AND 8/5/99 BY HUNTINGTON BEACH HOSPITAL. THAT AMENDMENT IS
DECLARED NULL AND VOID DUE TO A MATERIAL MISSTATEMENT OF FACT CONTAINED IN SAID
AMENDMENT SECTION II(a) REGARDING PAYMENT.
This Contract Amendment effective this 1st day of August, 1999 ("Effective
Date") is entered into by and between OptimumCare Corporation ("Manager") and
Huntington Intercommunity Hospital d/b/a Humana Hospital Huntington Beach
("Original Hospital"), as assigned to Huntington Intercommunity Hospital d/b/a
Huntington Beach Hospital ("Hospital") (collectively "Parties"). As of the date
of said assignment, Hospital assumed capacity as named party to the Original
Agreement, as defined below. To memorialize the same, as of the Effective Date
hereof, the Parties hereby amend the PARTIAL HOSPITAL AGREEMENT by and between
the Parties as defined therein ("Original Agreement") for the purpose of
memorializing the assigned party as named party thereto, and for amending the
rate structure thereunder. As a result of this Amendment, as of the Effective
Date set forth above, the Original Agreement shall be amended as follows:
I. The Preliminary Paragraph of the Original Agreement shall be
deleted and replaced with the following:
THIS Agreement is entered into as of this 1st day of October,
1992 by and between Huntington Intercommunity Hospital d/b/a
Huntington Beach Hospital ("Hospital") and OptimumCare
Corporation, a Delaware Corporation ("Manager").
II. Article 4 of the Original Agreement shall be deleted and replaced
with the following:
(a) Hospital shall pay Manager a monthly fee for professional and
administrative services rendered hereunder in the amount of
Eighty-Three Thousand Dollars ($83,000.00) ("Monthly Fee"). Said
Monthly fee shall include any and all services rendered by or
through Manager, including but not limited to any and all costs
associated with Medical Directors.
(b) On or before the tenth (10th) day of each month, Manager shall
submit to Hospital an invoice for services rendered the month
prior. Said invoice shall deduct the amount of Eighty Five
Dollars ($85.00) per partial hospitalization visit for all
clinical appealed and denied admissions.
(c) Hospital shall render Monthly Fees to Manager within Ten (10)
days of its receipt of a completed and accurate invoice.
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Except as otherwise set forth above, all other terms and conditions of the
Original Agreement shall remain unchanged.
This Amendment is agreed to and entered into by the Parties, as evidenced by
signatures below.
Manager Hospital
By: /s/ ED JOHNSON By: /s/ CAROL FREEMAN
--------------------------------- ---------------------------------
Ed Johnson Carol Freeman
Its: CEO Its:
-------------------------------- --------------------------------
Date: 8/25/99 Date: 8-25-99
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EXHIBIT 10.121
PSYCHIATRIC PARTIAL HOSPITALIZATION
MANAGEMENT AGREEMENT
THIS AGREEMENT entered into as of the 1st of August, 1999, by and
between Rhema Behavioral Health Center herein referred to as "CMHC", and
OptimumCare Corporation, a Delaware corporation, herein referred to as
"Manager".
RECITALS
WHEREAS, CMHC is licensed to operate a psychiatric partial
hospitalization program which is located at 8449 W. Belfort, Suite 140, Houston,
Texas 77071 ("Facility"); and
WHEREAS, Manager is engaged in the business of providing management
services in the operation of psychiatric programs; and
WHEREAS, the parties desire to cooperate in providing a psychiatric
partial hospitalization program in which physicians provide a consistent level
of high quality treatment of psychiatric patients in the CMHC, so that these
patients may return to a more satisfactory level of functioning in the
community; and
WHEREAS, the parties desire Manager to manage CMHC's adult outpatient
psychiatric program at the Houston Facility ("Program").
AGREEMENT
SECTION 1. DEFINITIONS.
1.1 "Confidential Information." "Confidential Information" shall mean
all confidential information and trade secrets of Manager, including without
limitation financial statements, internal memoranda, reports, patient lists,
memoranda, manuals, handbooks, pamphlets, production books and audio and visual
recordings, models, techniques, formulations, procedures and other materials or
records of a confidential and/or proprietary nature which relate to the Program
and which are used by Manager in providing psychiatric services to Program
patients.
1.2 "Employee Benefits." "Employee Benefits" shall include, by way of
illustration and not limitation, an employer's contribution under the Federal
Insurance Contributions Act, unemployment compensation and related insurance,
payroll and other employment taxes, pension and retirement plan contributions,
workers' compensation and related insurance, group life, health, disability, and
accident insurance, severance, and other benefits.
1.3 "Patient Day." A "Patient Day" shall be deemed to exist with respect
to each outpatient visit to the Program.
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SECTION 2. TERM.
This Agreement shall commence effective July 1, 1999 and shall expire on
June 30, 2004 unless earlier terminated in accordance with the provisions of
Section 10 of this Agreement.
SECTION 3. COVENANTS OF CMHC.
3.1 Ultimate Control. CMHC shall have and maintain throughout the period
hereof ultimate control and authority for the operation and administration of
the Program.
3.2 Space. CMHC shall provide space which consists of approximately Four
Thousand (4,000) square feet of office space, which Manager agrees is sufficient
in size and quality for the proper operation of this Program.
3.3 CMHC's Employees. CMHC shall employ, or shall independently contract
with, and shall be financially responsible for staffing the Program with all
personnel necessary for the proper and efficient administration and clinical
operation of the Program as set forth in Schedule 3.3. All personnel employed or
otherwise contracted for shall be required to comply with the Program policies
and procedures as mutually developed and agreed upon in writing by CMHC and
Manager.
3.4 Diagnostic Facilities. CMHC shall make available to Program patients
the CMHC's inpatient, diagnostic, and other facilities as requested from time to
time by such patients' attending physicians or by Program staff.
3.5 General Services. CMHC shall provide the following support services
for the efficient and proper operation of the Program:
3.5.1 Housekeeping services for the Facility.
3.5.2 Janitorial and physical upkeep of the Facility.
3.5.3 All utilities for the Facility. Manager acknowledges that
utilities ultimately will be supplied by the Facility's landlord under the terms
of the Lease.
3.5.4 Clerical support, office supplies and general supplies
necessary for the proper operation of the Program.
3.5.5 Record keeping services, in accordance with state and
federal laws and regulations.
3.5.6 Daily transportation of all patients from their homes to
the Facility in the morning, and from the Facility to patients' homes in the
evenings, but only for such patients who reside within twenty five (25) miles of
CMHC.
3.5.7 Nursing services as required by appropriate licensing
authority.
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Nothing in this Agreement is intended to or shall be construed to limit
or restrict the CMHC's ability to outsource the provision of the goods and
services contemplated in this Section 3.5.
3.6 Policies and Procedures. CMHC shall provide all Program staff
(including employees and independent contractors of Manager) with copies of all
relevant CMHC and Program policies and procedures, as amended from time to time.
3.7 Health Screenings. CMHC shall provide to all Program staff
(including employees and independent contractors of Manager) such appropriate
pre-employment and periodic diagnostic and health screening procedures as are
customarily provided by CMHC for CMHC employees.
3.8 Accreditation. CMHC shall maintain accreditation by the Joint
Commission on the Accreditation of Health Care Organizations, and shall be
financially responsible for paying all such fees related to such accreditation.
3.9 Quality Improvement Review. CMHC shall provide appropriate
utilization review and quality improvement services with respect to services
provided by the Program.
3.10 Insurance. CMHC shall procure and maintain, at its sole cost and
expense, throughout the term hereof, a policy or policies of comprehensive
general liability insurance covering itself and its employees for patient care
services from an insurance carrier licensed and authorized to sell or approved
to place liability insurance policies of this nature in this State with limits
of not less than Five Million Dollars ($5,000,000.00) per occurrence and shall
name Manager as an additional insured under the policy. CMHC shall cause to be
issued to Manager, by the insurance carriers issuing such coverage, certificates
of insurance evidencing that the foregoing covenants of this Agreement have been
complied with and stating that said insurance carriers shall provide ten (10)
calendar days prior written notice to Manager of any cancellation or material
modification of the policy or coverage described herein, or, if any such carrier
shall not agree to provide such notice, then CMHC shall agree to provide notice
to Manager of any such cancellation or modification immediately upon their
receipt of notice of same from the carrier. Any deductible, co-insurance, or
aggregate limits shall be subject to Manager's approval, which shall not be
unreasonably withheld. Manager agrees that co-insurance or deductible amounts of
$100,000 or less, per occurrence, is an acceptable co-insurance or deductible.
3.10.1 Extended Reporting Period. If any liability insurance
policy procured pursuant to Section 3.10 is on a "claims made" rather than
"occurrence" basis, then such policy shall include an option to purchase a
"tail" or an extended reporting period, which option shall be exercisable upon
termination or cancellation of said policy or upon any material modification of
said policy that has the effect of causing the coverage of said policy to fail,
in any respect, to meet the requirements of Section 3.10, regardless of whether
such termination, cancellation or modification shall occur during the term
hereof or thereafter. The tail or extended reporting period shall provide
coverage meeting all of the requirements set forth in Section 3.10, for a period
of at least seven (7) years after termination, cancellation or modification of
the underlying policy. Such policy shall provide that the carrier shall give
CMHC or Manager thirty (30) calendar days advance written
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notice of the date upon which the option may be exercised regardless of whether
such date shall occur during the term hereof or thereafter and shall
specifically provide that Manager shall be permitted to exercise the option upon
the failure of CMHC to do so. Upon such notice, CMHC shall take all steps,
including the payment of money, necessary to exercise such option, and if CMHC
shall fail to effectively exercise such option, then Manager may do so, and CMHC
shall fully and immediately reimburse Manager, within ten (10) calendar days
notice thereof by Manager, for all monies expended by Manager in connection
therewith.
3.11 Billing and Collections. CMHC has in effect a schedule of fees and
patient charges for the administrative and technical component of all services
rendered by the Program. Said fees and charges may be modified by CMHC from time
to time in its sole and absolute discretion, but CMHC shall give prior notice of
such modification to Manager. CMHC shall bill all patients and third party
payors for CMHC's fees and charges with reference to services provided by the
Program in accordance with such schedule.
3.12 Indemnification by CMHC. CMHC shall protect, indemnify, hold
harmless, and defend Manager, its legal representatives, employees, agents,
officers, trustees, affiliates and assigns, and each of them, from and against
any and all claims, actions, demands, proceedings, losses, damages, costs,
expenses and liabilities (including reasonable attorneys' fees) arising out of
or related to the performance or nonperformance by CMHC of any obligations to be
performed or services to be provided hereunder. This indemnification obligation
shall survive the expiration or termination of this Agreement.
SECTION 4. COVENANTS OF MANAGER.
4.1 Clinical Management. Subject to CMHC's ultimate retention of control
and authority, CMHC hereby appoints Manager as its sole and exclusive manager of
the clinical operation of the Program and Manager accepts such appointment.
Manager shall have full responsibility for the efficient and proper
administration of the Program and for the care and treatment of Program patients
while at the Facility. Manager shall have overall authority and responsibility
to conduct, supervise, manage, and direct the day-to-day clinical operation of
the Program.
4.2 Manager's Employees. Manager shall employ and/or independently
contract with, and shall be financially responsible for staffing the Program
with, the full-time equivalent of (a) one program director, (b) one licensed
clinical social worker, (c) Marriage, Family and Child Counselors (or,
alternatively, social workers who have been awarded a Master's Degree in
clinical social work, or a combination thereof), (d) activity therapists, (e)
one office manager, (f) one medical director ("Medical Director") in accordance
with Schedule 4.2, based upon the anticipated Program census for each day of
operation and (g) dietary services for patients of the Program to include one
mid-day meal served to each patient at the Facility. Manager shall not, without
CMHC's prior written consent, which shall not be unreasonably withheld, deviate
from, change, or decrease the agreed staffing as set forth in Schedule 4.2. In
addition, Manager shall be financially responsible for staffing the Program with
all such additional professional counseling staff and therapists as may be
reasonably necessary for the proper operation of the Program and as may be
ordered by patients' attending physicians.
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4.2.1 Medical Director Qualifications. Manager represents,
warrants, covenants and agrees that Medical Director shall be a physician duly
licensed to practice medicine in the State of Texas, shall be a member of the
CMHC's Active Medical Staff with clinical privileges sufficient to permit
Medical Director to perform all services reasonably required of him/her as
Medical Director of the Program, and shall be in legitimate possession of all
customary narcotics and controlled substances numbers and licenses.
4.2.2 Medical Director Duties. Manager shall provide the
professional services of Medical Director as an independent management
consultant and advisor to perform certain administrative functions as hereafter
set forth. The Medical Director shall furnish the following for the operation of
the Program:
4.2.2.1 Medical Director shall serve as Medical Director of
the Program. Medical Director shall, during the entire term of this Agreement,
supervise the clinical, medical and psychiatric operation of the Program and
shall devote such time as necessary to carry out such duties and ensure
efficient and effective medical administration of the Program. The primary
objective is to provide optimal utilization of the Program's facilities,
equipment and staff and to provide quality services to all patients.
4.2.2.2 Manager shall assure that Medical Director shall be
available at reasonable times for consultation with the Board of Directors, the
Chief Operational Officer ("C.O.O.")/Administrator, the Chief of Staff,
individual members of the medical staff, committees of the professional staff
and nursing and administrative employees of CMHC. Medical Director shall be
available by electronic pager for emergency consultation during all hours that
the Program is in operation and Medical Director is offsite, provided, however,
that Medical Director may arrange for coverage of this on-call obligation, which
coverage shall be provided by a physician licensed to practice medicine in the
State of Texas and shall be at Manager's or Medical Director's sole cost and
expense. Medical Director shall actively participate in the affairs of the
professional staff of the CMHC and shall perform such tasks and provide such
services as the professional staff or any committee may from time to time
appropriately request. Manager acknowledges and agrees that the CMHC's medical
staff committees shall conduct at regular intervals ongoing monitoring and
reviewing of the professional performance of Medical Director and that the
results of these reviews shall be transmitted to CMHC administration.
4.2.3 Acceptability of Staff Members. Manager shall use
reasonable efforts to resolve any issues regarding the acceptability to CMHC of
Program staff employed or otherwise contracted for by Manager.
4.2.4 Removal of Staff Member. At the request of CMHC, in its
sole and absolute discretion, Manager shall immediately remove any employee or
independent contractor of Manager providing services at the Facility or to the
Program.
4.3 Licensure. With the cooperation assistance of the CMHC and its
administration, Manager shall be responsible for and shall undertake all
activities necessary to obtain and maintain all necessary licenses and approvals
from governmental and accrediting agencies, including without
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limitation the Texas Department of Health Services, and shall be responsible for
and shall undertake all activities necessary to obtain and maintain all
certifications and approvals necessary to participate in the Medi-Cal and
Medicare programs. Manager shall prepare, file and supplement all regulatory
applications, reports, and forms required by any local, state or federal
regulatory agency and shall prepare the Facility for, and monitor, regulatory
surveys and inspections. Manager shall use its best efforts to remedy any
deficiencies identified in such surveys and inspections to the extent such
deficiencies are within Manager's control. Manager shall use its best efforts to
ensure that the Program and the Facility are operated and maintained in
compliance with all applicable federal, state, and local laws, rules, and
regulations.
4.4 Policies and Procedures. Manager shall, in conjunction with the
CMHC's administration, develop and implement all policies and procedures
necessary for the safe and efficient operation of the Program and the Facility,
and shall educate Program staff on such policies and procedures. Manager shall
provide orientation and training for all Program staff, irrespective of whether
such staff members are employees or independent contractors of CMHC or of
Manager. Manager shall as reasonably necessary provide program of ongoing
in-service training such as to assure that Program staff have the requisite
knowledge and skill required to deliver quality health care services at the
Facility and through the Program.
4.4.1 CMHC Approval. The implementation of the policies and
procedures required under Section 4.4 shall be subject to prior approval by the
CMHC's administration and, where appropriate, the CMHC's medical staff.
4.5 Indemnification by Manager. Manager shall protect, indemnify, hold
harmless, and defend CMHC, its legal representatives, employees, agents,
officers, trustees, affiliates and assigns, and each of them, from and against
any and all claims, actions, demands, proceedings, losses, damages, costs,
expenses and liabilities (including reasonable attorneys' fees) arising out of
or related to the performance or nonperformance by Manager of any obligations to
be performed or services to be provided hereunder. This indemnification
obligation shall survive the expiration or termination of this Agreement.
4.6 Insurance. Manager shall procure and maintain, at its sole cost and
expense, throughout the term hereof, a policy or policies of comprehensive
general liability insurance covering itself and its employees with limits of not
less than Five Million Dollars ($5,000,000.00) per occurrence. Manager shall
cause to be issued to CMHC, by the insurance carriers issuing such coverage,
certificates of insurance evidencing that the foregoing covenants of this
Agreement have been complied with and stating that said insurance carriers shall
provide ten (10) calendar days prior written notice to CMHC of any cancellation
or material modification of the policy or coverage described herein, or, if any
such carrier shall not agree to provide such notice, then Manager shall provide
notice to CMHC of any such cancellation or modification immediately upon their
receipt of notice of same from the carrier. Any deductible, co-insurance, or
aggregate limits shall be subject to CMHC's approval, which shall not be
unreasonably withheld. CMHC agrees that co-insurance or deductible amounts of
$100,000 or less, per occurrence, is an acceptable co-insurance or deductible.
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4.6.1 Extended Reporting Period. If any liability insurance
policy procured pursuant to Section 4.6 is on a "claims made" rather than
"occurrence" basis, then such policy shall include an option to purchase a
"tail" or an extended reporting period, which option shall be exercisable upon
termination or cancellation of said policy or upon any material modification of
said policy that has the effect of causing the coverage of said policy to fail,
in any respect, to meet the requirements of Section 4.6, regardless of whether
such termination, cancellation or modification shall occur during the term
hereof or thereafter. The tail or extended reporting period shall provide
coverage meeting all of the requirements set forth in Section 4.6, for a period
of at least seven (7) years after termination, cancellation or modification of
the underlying policy. Such policy shall provide that the carrier shall give
CMHC or Manager thirty (30) calendar days advance written notice of the date
upon which the option may be exercised regardless of whether such date shall
occur during the term hereof or thereafter and shall specifically provide that
CMHC shall be permitted to exercise the option upon the failure of Manager to do
so. Upon such notice, Manager shall take all steps, including the payment of
money, necessary to exercise such option, and if Manager shall fail to
effectively exercise such option, then CMHC may do so, and Manager shall fully
and immediately reimburse CMHC, within ten (10) calendar days notice thereof by
CMHC, for all monies expended by CMHC in connection therewith.
4.7 Access to Documents. For the purpose of implementing Section 1861
(v) (1) (I) of the Social Security Act, as amended, and any regulations
promulgated pursuant thereto, Manager agrees to comply with the following
statutory requirements governing the maintenance of documentation to verify the
cost of services rendered under this Agreement:
"(i) until the expiration of four years after the furnishing of such
services pursuant to such contract, [Manager] shall make available, upon
written request to the Secretary [of the U.S. Department of Health and
Human Services] or upon request to the Comptroller General, or any of
their duly authorized representatives, the contract and books,
documents, and records of such costs, and"
"(ii) if [Manager] carries out any of the duties of the contract through
a subcontract with a value or cost of $10,000 or more over a
twelve-month period, with a related organization, such subcontract shall
contain a clause to the effect that until the expiration of four years
after the furnishing of such services pursuant to such subcontract, the
related organization shall make available, upon written request to the
Secretary, or upon request to the Comptroller General, or any of their
duly authorized representatives, the subcontract and books, documents,
and records of such organization that are necessary to verify the nature
and extent of such costs."
4.8 Audit Disclosure. If Manager is requested to disclose books,
documents, or records for purpose of an audit, Manager shall notify CMHC of the
nature and scope of such request and Manager shall make available, upon written
request of CMHC, all such books, documents, or records, during regular business
hours of Manager. The provisions of this Section 4.8 shall survive the
expiration or earlier termination hereof.
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4.9 Reports. Manager shall provide monthly written reports to CMHC
administration regarding all aspects of the operation of the Program. Such
reports shall address, among other things, the therapies provided to patients,
any notable therapeutic successes or failures experienced by patients of the
Program, any changes in Program staff, any complaints received by Manager
regarding the operation and administration of the Program and the Facility,
Program census, and any other items or issues significant to the administration
of the Program.
4.10 Admissions. Manager shall admit patients to the Program only where
such admission is ordered by a physician member of the CMHC's medical staff with
admitting privileges.
SECTION 5. REPRESENTATIONS AND WARRANTIES OF CMHC.
5.1 Corporate Status. CMHC is a nonprofit public benefit corporation
duly organized and validly existing in good standing under the laws of the State
of Texas with the power and authority to carry on the activities in which it is
engaged and to perform its obligations hereunder subject to licensure by the
Texas Department of Health Services.
5.2 Execution of Agreement. The execution of this Agreement and the
performance of the obligations of the CMHC hereunder will not result in any
breach of any of the terms, conditions, or provisions of any agreement or other
instrument to which CMHC is a party or by which it may be bound or affected, or
any governmental license, franchise, permit or other authorization possessed by
the CMHC, nor will such execution and performance violate any federal, state or
local law, rule, or regulation. The CMHC is accredited by the Joint Commission
on the Accreditation of Health Care Organizations.
5.3 Litigation. There is no litigation, administrative proceeding or
investigation pending or threatened against CMHC, nor is the CMHC subject to any
judgment, order, decree or regulation of any court or other governmental or
administrative agency which would materially adversely affect the performance of
CMHC's obligations hereunder.
5.4 Certificate of Need. No Certificate of Need is required by CMHC from
any state regulatory agency for the operation of the Program.
SECTION 6. REPRESENTATIONS BY MANAGER.
6.1 Corporate Status. Manager is a corporation duly organized and
existing under the laws of the State of Delaware, is authorized and qualified to
conduct business in the State of Texas, and has the power and authority to carry
on the activities in which it is engaged and to perform its obligations
hereunder.
6.2 Execution of Agreement. The execution of this Agreement and the
performance of the obligations of the Manager hereunder will not result in any
breach of any of the terms, conditions, or provisions of any agreement or other
instrument to which Manager is a party or by which it may be bound or affected,
or any governmental license, franchise, permit or other authorization possessed
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by the Manager, nor will such execution and performance violate any federal,
state or local law, rule, or regulation.
6.3 Litigation. There is no litigation, administrative proceeding or
investigation pending or threatened against Manager, nor is the Manager subject
to any judgment, order, decree or regulation of any court or other governmental
or administrative agency, which would materially adversely affect the
performance of CMHC's obligations hereunder.
SECTION 7. MANAGEMENT FEE.
7.1 Invoice. Manager shall prepare and submit to CMHC on a monthly basis
an invoice for its services rendered hereunder. Said invoice shall indicate the
name of each patient of the Program and the dates on which each patient attended
the Program and shall reflect each such patient's social security number,
admitting diagnosis, and patient identification number. Within twenty (20) days
of CMHC's receipt thereof, and upon CMHC's approval thereof, which approval
shall not be unreasonably withheld, and subject to the provisions of Section
4.9, CMHC shall make payment to Manager of all sums owing hereunder.
7.2 Per Capita Fee. CMHC shall be obligated to pay to Manager a fee of
One Hundred Eight Dollars and Fifty Cents ($108.50) per patient day for each
patient attending the Program.
7.3 Payments Declined. CMHC shall be entitled to a credit of One Hundred
Eight Dollars and Fifty Cents ($108.50) per patient day for all patient days in
excess of ten percent (10%) per day for which payment was denied by its
intermediary for clinical reasons.
SECTION 8. CONFIDENTIAL AND PROPRIETARY INFORMATION.
8.1 Acknowledgment. CMHC acknowledges and agrees that Confidential
Information may be disclosed to it in confidence with the understanding that it
constitutes business information developed by Manager. CMHC further agrees that
it shall not use such Confidential Information for any purpose other than in
connection with the Program. CMHC further agrees not to disclose such
Confidential Information to any third party except as required by law or
regulation or in order to serve the purposes of the Program or as permitted by
written authorization of Manager.
8.2 License. Manager hereby grants to CMHC for the term of this
Agreement a non-exclusive license to use the registered service marks of Manager
when identifying the Program. These service marks are to remain the exclusive
property of Manager. Manager reserves the right to restrict the use of the
service marks of Manager in any a manner in which Manager believes in its
reasonable discretion to be detrimental to Manager or the value of the service
marks. CMHC acknowledges Manager's exlusive right, title and interest in the
service marks and agrees that it will not at any time do or cause to be done any
act or thing, directly or indirectly, contesting or in any way impairing or
tending to impair Manager's exclusive right, title or interest in the service
marks and the good will symbolized thereby.
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8.3 Nondisclosure. Manager agrees not to disclose confidential
information pertaining to the CMHC's business or affairs or the Program or
Program patients except as required by law or regulation or as permitted by
written authorization of the CMHC or the respective Program patients, as the
case may be.
SECTION 9. RECRUITMENT OF EMPLOYEES AND AGENTS.
9.1 Recruitment by Manager. CMHC acknowledges that it has expended and
will continue to expend substantial time, effort, and money to train its
employees and contracted personnel in the operation of the Program. The
employees and contracted personnel of Manager who will operate the Program will
have access to and possess Confidential Information of Manager. CMHC agrees that
for the earlier of two (2) years after the cessation of the employment or agency
relationship between the Manager and an employee or two (2) years after
termination of this Agreement, it will not knowingly (and it will not induce any
of its affiliates or contractors to) employ or solicit the employment of, or in
any way retain the services of , any employee, former employee, or contracted
personnel or former agent of Manager if such individual has been employed by or
retained by Manager in the Program unless Manager gives CMHC express written
consent thereto or unless this Agreement is terminated by CMHC pursuant to
Section 10 of this Agreement.
9.2 Recruitment by CMHC. Manager acknowledges that it has expended and
will continue to expend substantial time, effort, and money to train its
employees and contracted personnel in the operation of the Program and the CMHC.
The employees and contracted personnel of Manager who will operate the Program
will have access to and possess Confidential Information of CMHC. Manager agrees
that for the earlier of two (2) years after the cessation of the employment,
independent contractual or agency relationship between the CMHC and an employee
or two (2) years after termination of this Agreement, it will not knowingly (and
it will not induce any of its affiliates or contractors to) employ or solicit
the employment of, or in any way retain the services of, any employee, former
employee, or contracted personnel or former agent of CMHC if such individual has
been employed by or retained by CMHC in the Program unless CMHC gives Manager
express written consent thereto or unless this Agreement is terminated by
Manager pursuant to Section 10 of this Agreement.
SECTION 10. TERMINATION.
10.1 Termination by Manager.
10.1.1 Manager may terminate this Agreement by written notice to
CMHC, if CMHC should have a bankruptcy, reorganization, or similar action filed
by or against it, or become insolvent, or sell all or substantially all of its
assets.
10.1.2 In the event CMHC fails to comply with the terms of this
Agreement in any material respect, Manager may notify CMHC of such breach, in
writing, and CMHC shall have thirty (30) days to cure such breach. In the event
CMHC fails to cure such breach with said period, the Agreement may be terminated
by Manager.
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10.1.3 Manager may terminate this Agreement by written notice to
CMHC in the event CMHC fails to maintain accreditation by the Joint Commission
on the Accreditation of Health Care Organizations, or in the event CMHC fails to
maintain any license or certification granted to it by a regulatory agency
without which the Program would be materially and adversely affected, unless the
responsibility to maintain such license or certification is a responsibility of
Manager pursuant to Section 4.3.
10.1.4 Manager may terminate this Agreement by written notice to
CMHC in the event CMHC fails to maintain commercial general liability insurance
in accordance with the requirements of Section 3.10.
10.2 Termination by CMHC.
10.2.1 CMHC may terminate this Agreement by written notice to
Manager, if Manager should have a bankruptcy, reorganization, or similar action
filed by or against it, or become insolvent, or sell all or substantially all of
its assets.
10.2.2 In the event Manager fails to comply with the terms of
this Agreement in any material respect, CMHC may notify Manager of such breach,
in writing, and CMHC shall have thirty (30) days to cure such breach. In the
event Manager fails to cure such breach with said period, the Agreement may be
terminated by CMHC.
10.2.3 CMHC may terminate this Agreement by written notice to
Manager in the event CMHC fails to maintain accreditation by the Joint
Commission on the Accreditation of Health Care Organizations, or in the event
CMHC fails to maintain any license or certification necessary for the operation
of the Program or the Facility.
10.2.4 CMHC may terminate this Agreement by written notice to
Manager in the event Manager fails to maintain insurance in accordance with the
requirements of Section 4.6.
10.3 Termination Without Cause. In the event CMHC terminates this
Agreement effective prior to the full term of this Agreement, and as a condition
to the termination of this Agreement, CMHC will pay to the Manager as liquidated
damages and as the Manager's exclusive remedy for the early termination of this
Agreement by CMHC, an amount equal to (i) Twenty Thousand Dollars ($20,000)
multiplied by (ii) the number of months remaining between the termination date
and the full term of this Agreement. The parties agree that in litigation or
arbitration resulting from the early termination of this Agreement by CMHC, the
amount of loss which would be incurred by Manager would be extremely difficult
or impracticable to prove. Accordingly, the parties have made a commercially
reasonable estimate of the damages Manager would incur in the event of the early
termination of this Agreement by CMHC and have established the foregoing
estimate of liquidated damages.
11
<PAGE> 12
SECTION 11. COMPLIANCE WITH LAW.
11.1 Applicable Laws. In addition to the obligations of the parties to
comply with applicable federal, state and local laws respecting the use of the
Program and the conduct of their respective businesses and professions, CMHC and
Manager each acknowledge that they are subject to certain federal and Texas laws
governing the referral of patients which are in effect or will become effective
during the term of this Agreement. These laws include prohibitions on:
11.1.1 Payments for referral or to induce the referral of
patients (Social Security Act Section 1128).
11.1.2 The referral of patients by a physician for certain
designated health care services to an entity with which a physician (or his/her
immediate family) has a financial relationship (Section 1877 of the Social
Security Act, applicable to referrals of Medicare and Medi-Cal patients).
11.2 Acknowledgments. As consideration for each party hereto to enter
into this Agreement, the parties:
11.2.1 Acknowledge that (i) each has had the opportunity to
engage independent counsel of her/its choice for advice as to the requirements
of the anti-referral laws referred to in this Section 11; and (ii) each has had
the opportunity to consult with legal counsel or other experts as each deems
appropriate to assist in the determination by each party that the terms of this
Agreement are commercially reasonable.
11.2.2 Represent to the other that it is the intent that the
terms of this Agreement shall be commercially reasonable.
11.2.3 Represent to the other that it is the intent that
compensation for each of the services which are provided under this Agreement
shall be based on the fair market value of such services, including a fair rate
of return.
11.3 No Referral Requirement. Nothing in this Agreement is intended or
shall require any party to violate the Texas or federal prohibitions on payments
for referrals, and this Agreement shall not be interpreted to:
11.3.1 Require the Medical Director to make referrals to CMHC, be
in a position to make or influence referrals to CMHC, or otherwise generate
business for CMHC.
11.3.2 Restrict Medical Director from establishing staff
privileges at, referring any service to, or otherwise generating any business
for any other entity of his/her choosing.
11.3.3 To interfere in any way with Medical Director's
professional prerogatives and medical decisions.
12
<PAGE> 13
11.4 No Gifts to Beneficiaries. As part of its administrative
obligations hereunder, Manager may market the Program to the CMHC's community.
Under no circumstances whatsoever shall Manager offer or make any gift or
payment to any individual as a means of encouraging such person to seek medical
or psychiatric attention from CMHC, Manager, or through the Program, or from any
other provider of health care.
11.5 Audits. CMHC shall have the right, but not the obligation, to
interview patients who receive services through the Program, and to conduct
audits of all types of the Program, for the purpose of determining whether
Manager is in compliance with all applicable federal, state, and local laws,
regulations, and ordinances, as well as CMHC rules, regulations, bylaws,
policies, and procedures and this Agreement.
SECTION 12. MISCELLANEOUS PROVISIONS.
12.1 Compulsory Arbitration. Any controversy, dispute or claim arising
out of or relating to this Agreement, or the breach or alleged breach thereof,
shall be settled by binding arbitration in accordance with the rules of the
American Arbitration Association, and judgment on the award may be entered in
any court having jurisdiction. The provisions of this Section 12.1 shall not
apply with respect to any claim arising out of or relating to bodily injury or
death.
12.2 Attorneys' Fees. If any legal action, including arbitration, is
necessary to enforce the terms of this Agreement, the prevailing party shall be
entitled to reasonable attorneys' fees and costs awarded against the other party
in addition to any other relief to which the prevailing party may be entitled.
12.3 Governing Law. The validity of this Agreement and of any of its
terms or provisions, the interpretation of the rights and duties of the parties
hereunder, and the construction of the terms or provisions hereof shall be
governed in accordance with the laws of the State of California.
12.4 Force Majeure. If either of the parties hereto is delayed or
prevented from fulfilling any of its obligations hereunder by force majeure,
said party shall not be liable for said delay or failure. "Force Majeure" shall
mean any cause beyond the reasonable control of a party, including but not
limited to an act of God, act or omission of civil or military authorities,
fire, strike, flood, riot, war, delay of transportation, or inability due to the
aforementioned causes to obtain necessary labor, materials or facilities.
12.5 Severability. If any part of this Agreement is held to be void or
unenforceable, such part will be treated as severable, leaving valid the
remainder of this Agreement notwithstanding the part found void or
unenforceable, unless the severed part contains an essential economic term.
12.6 Waiver. A waiver by either party of a breach or failure to perform
shall not constitute a waiver of any provision hereof or of any other breach or
failure whether or not similar. There shall be no waiver unless in writing
signed by the party against whom the waiver is sought to be enforced.
13
<PAGE> 14
12.7 Binding Effect. This Agreement shall be binding on the successors
and assigns of the respective parties, provided however that neither party may
assign or otherwise transfer this Agreement or delegate obligations hereunder
without the other's written consent.
12.8 Complete Agreement. This Agreement constitutes the complete
understanding of the parties hereto with respect to the subject matter hereof,
and no other agreement, representation, statement, or promise relating to the
subject matter of this Agreement which is not contained herein shall be valid or
binding. There shall be no amendment hereof unless such amendment is in writing
and is signed by both parties.
12.9 No Agency or Partnership. The relationship between Manager and CMHC
is that of independent contractors and nothing in the Agreement shall be deemed
to create an agency, joint venture, partnership or similar relationship between
the parties hereto. Neither party shall have the right to bid for the other or
enter into any contract or commitment in the name of, or on behalf of, the
other.
12.10 Notices. All notices hereunder shall be in writing, delivered
personally or by U.S. Certified or Registered postal mails, postage prepaid,
return receipt requested, and shall be deemed given when delivered personally or
upon the earlier of actual receipt or five (5) days after deposit in said United
States mail, addressed as below with proper postage affixed, but each party may
change its address by written notice in accordance with this Section.
If to CMHC: Rhema Behavioral Health Center
8449 W. Belfort, Suite 140
Houston, Texas 77071
Attn: Tony Briggs, M.D.
If to Manager: OptimumCare Corporation
30011 Ivy Glenn Drive, Suite 219
Laguna Niguel, California 92677-5018
Attn: Ed Johnson
12.11 Captions. Any captions to or headings of the articles, sections,
subsections, paragraphs, or subparagraphs of this Agreement are solely for the
convenience of the parties, are not a part of this Agreement and shall not be
used for the interpretation or determination of validity of this Agreement or
any provision hereof.
12.12 Counterparts. This Agreement may be executed in any number of
counterparts, each of which shall be deemed an original, but all such
counterparts together shall constitute but one and the same instrument.
12.13 Assistance in Litigation. Manager and Medical Director shall, at
no charge, provide information and testimony and otherwise assist CMHC in
defending against litigation brought against CMHC, its directors, officers,
shareholders, members or employees based upon a claim of negligence, malpractice
or any other cause of action, arising under this Agreement, except where
14
<PAGE> 15
Manager and/or Medical Director is a named adverse party.
12.14 Tax Exempt Financing. In the event CMHC intends to seek tax-exempt
financing, Manager agrees to amend this Agreement as may be reasonably necessary
in order for CMHC to obtain such financing. Immediately upon request by CMHC,
Manager shall execute any and all such amendments reasonably presented by CMHC
and shall return promptly said fully executed original amendments to CMHC.
12.15 Gender and Number. Whenever the context hereof requires, the
gender of all words shall include the masculine, feminine and neuter, and the
number of all words shall include the singular and plural.
12.16 Legal Counsel. Each party understands the advisability of seeking
legal counsel and has exercised its own judgment in this regard.
12.17 Interpretation. No provision of this Agreement shall be
interpreted or construed for or against either party because that party's legal
representatives drafted such provision.
12.18 Facilitation. Each party agrees promptly to perform further acts
and to execute, acknowledge and deliver any provisions of this Agreement or
effect its purposes.
15
<PAGE> 16
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as
of the day and year first above written.
"CMHC":
RHEMA BEHAVIORAL HEALTH CENTER, a Texas nonprofit
public benefit Corporation
By: Dr. Tonye Briggs
---------------------------------------------------
Its: Owner/Administrator
--------------------------------------------------
(Title)
By: G. Gbaanador, M.D.
---------------------------------------------------
Its: President/CEO
--------------------------------------------------
(Title)
"MANAGER":
OPTIMUMCARE CORPORATION, a Delaware Corporation
By: Edward A. Johnson
---------------------------------------------------
Its: Chairman of the Board and Chief Executive Officer
(Title)
By: Mulu G. Michael
---------------------------------------------------
Its: President and Chief Operating Officer
---------------------------------------------------
(Title)
16
<PAGE> 17
SCHEDULE 3.3
STAFFING TO BE PROVIDED BY CMHC
<TABLE>
<CAPTION>
===============================================================================================
FTE CATEGORY CENSUS CENSUS CENSUS CENSUS CENSUS
10-16 17-20 21-25 26-30 31-40
- -----------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C>
Registered Nurse 1 1 1 1 2
- -----------------------------------------------------------------------------------------------
Licensed Psychiatric
Technician 0 0 0.5 1 1
- -----------------------------------------------------------------------------------------------
Mental Health Worker 1 1 1 1 1
- -----------------------------------------------------------------------------------------------
- -----------------------------------------------------------------------------------------------
TOTAL 2 2 2.5 3 4
===============================================================================================
</TABLE>
17
<PAGE> 18
SCHEDULE 4.2
STAFFING TO BE PROVIDED BY MANAGER
<TABLE>
<CAPTION>
================================================================================================================
FTE CATEGORY CENSUS CENSUS CENSUS CENSUS CENSUS
10-15 16-20 21-25 26-30 31-40
- ----------------------------------------------------------------------------------------------------------------
<S> <C> <C> <C> <C> <C>
Program Director 1 1 1 1 1
- ----------------------------------------------------------------------------------------------------------------
Licensed Clinical Social Worker 1 1 1 1 1
- ----------------------------------------------------------------------------------------------------------------
Master/Social Worker or Marriage, 0 0.5 1 1 1.5
- ----------------------------------------------------------------------------------------------------------------
Family, Child Counselor
- ----------------------------------------------------------------------------------------------------------------
Activity Therapist 1 1 1 2 2
- ----------------------------------------------------------------------------------------------------------------
Program Secretary 1 1 1 1 1
- ----------------------------------------------------------------------------------------------------------------
- ----------------------------------------------------------------------------------------------------------------
TOTAL FTE/DAY 4 4.5 5 6 6.5
================================================================================================================
</TABLE>
18
<PAGE> 1
EXHIBIT 10.122
FIRST AMENDMENT TO LEASE
THIS FIRST AMENDMENT TO LEASE dated September 30, 1996, (this "Amendment") by
and between JAY ARTEAGA ("Lessor") and OptimumCare Corporation ("Lessee") is
made and entered into as of the 11th day of October 1999, with reference to the
following items:
A. Lessor and Lessee desire to modify and amend the terms of the Lease as set
forth in this Amendment, while expressly maintaining in full force and effect
all other terms and conditions of the Lease not so modified.
1. This Amendment will extend the Lease for an additional one year and two
weeks, October 15, 1999 through October 31, 2000 pursuant to Para. 1.5 of our
Lease Agreement.
2. The current monthly base rental will be adjusted on the anniversary of the
commencement, October 15, 1999, based upon the Consumer Price Index (CPI) as
provided in Para. 4.3 of the Lease.
3. Pursuant to Para. 1.9 and Para. 5 the security deposit will remain at
$1,100.00.
4. Lessor agrees to shampoo carpet and touch up paint as needed.
B. Except as expressly modified by this Amendment, all terms and provisions of
the Lease shall remain unmodified and in full force and effect.
IN WITNESS WHEREOF the parties have entered into this Amendment as of the date
first below written.
"LESSOR" JAY ARTEAGA "LESSEE" OPTIMUMCARE CORPORATION
Jay Arteaga 10-11-99 BY: Edward A. Johnson 10/11/99
- ------------------------------------ -----------------------------------
Jay Arteaga Date Edward A. Johnson, CEO Date
<TABLE> <S> <C>
<ARTICLE> 5
<S> <C>
<PERIOD-TYPE> 3-MOS
<FISCAL-YEAR-END> DEC-31-1999
<PERIOD-START> JAN-01-1999
<PERIOD-END> SEP-30-1999
<CASH> 263,722
<SECURITIES> 0
<RECEIVABLES> 2,746,260
<ALLOWANCES> 0
<INVENTORY> 0
<CURRENT-ASSETS> 3,153,071
<PP&E> 39,716
<DEPRECIATION> 163,266
<TOTAL-ASSETS> 3,588,926
<CURRENT-LIABILITIES> 465,650
<BONDS> 0
0
0
<COMMON> 5,920
<OTHER-SE> 2,431,761
<TOTAL-LIABILITY-AND-EQUITY> 3,588,926
<SALES> 2,664,008
<TOTAL-REVENUES> 2,673,257
<CGS> 1,994,656
<TOTAL-COSTS> 2,320,195
<OTHER-EXPENSES> 0
<LOSS-PROVISION> 0
<INTEREST-EXPENSE> 1,206
<INCOME-PRETAX> 353,062
<INCOME-TAX> 173,876
<INCOME-CONTINUING> 179,186
<DISCONTINUED> 0
<EXTRAORDINARY> 0
<CHANGES> 0
<NET-INCOME> 179,186
<EPS-BASIC> .03
<EPS-DILUTED> .03
</TABLE>
