OMEGA HEALTH SYSTEMS INC
10-Q, 1998-11-16
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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<PAGE>   1



                                    FORM 10-Q
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549

 (Mark one)

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

                    For the quarter ended September 30, 1998
                                          ------------------
      or

[ ]      TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES ACT
       
          For the transition period from ____________ to _____________

                         Commission File Number: 0-19283
                                                ---------

                           OMEGA HEALTH SYSTEMS, INC.
 -------------------------------------------------------------------------------
        (Exact name of small business issuer as specified in its charter)

           Delaware                                             13-3220466
- - -------------------------------                             -------------------
(State or other jurisdiction of                              (I.R.S. Employer
incorporation or organization)                              Identification No.)

             5350 Poplar Avenue, Suite 900, Memphis, Tennessee 38119
 -------------------------------------------------------------------------------
                    (Address of principal executive offices)

                                  901-683-7868
 -------------------------------------------------------------------------------
                           (Issuer's telephone number)

 -------------------------------------------------------------------------------
              (Former name, former address and former fiscal year,
                         if changed since last report)

         Check whether the issuer (1) filed all reports required to be filed by
Section 13 or 15 (d) of the 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. [X] Yes [ ] No

                APPLICABLE ONLY TO ISSUERS INVOLVED IN BANKRUPTCY
                        DURING THE PRECEDING FIVE YEARS

         Check whether the registrant filed all documents and reports required
to be filed by Section 12, 13, or 15(d) of the Exchange Act after the
distribution of securities under a plan confirmed by a court. 

                                 [X] Yes [ ] No

                      APPLICABLE ONLY TO CORPORATE ISSUERS

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

            Class                                Outstanding at October 31, 1998
- - --------------------------------------------------------------------------------
Common Stock, $0.06 par value                              8,936,124


<PAGE>   2



                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                                    FORM 10-Q
                    FOR THE QUARTER ENDED SEPTEMBER 30, 1998


                         PART 1 - FINANCIAL INFORMATION


           Index to Financial Information:                                  Page
                                                                            ----

           Item 1:
                     Condensed Consolidated Balance Sheets
                     as of  September 30, 1998 and December 31,
                     1997                                                      3

                     Condensed Consolidated Statements of
                     Operations for the Three Months Ended
                     September 30, 1998 and 1997                               4

                     Condensed Consolidated Statements of
                     Operations for the Nine Months Ended
                     September 30, 1998 and 1997                               5

                     Condensed Consolidated Statements of
                     Cash Flows for the Nine Months Ended
                     September 30, 1998 and 1997                               6

                     Notes to Condensed Consolidated
                     Financial Statements                                      7

           Item 2:

                     Management's Discussion and Analysis of
                     Financial Condition and Results of
                     Operations                                               10




                                       2
<PAGE>   3



                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                      CONDENSED CONSOLIDATED BALANCE SHEETS
                    SEPTEMBER 30, 1998 AND DECEMBER 31, 1997
                                   (UNAUDITED)

<TABLE>
<CAPTION>
                            ASSETS                                    1998                 1997
<S>                                                               <C>                     <C>      
Current Assets:
   Cash                                                           $  4,163,611            5,608,645
   Accounts receivable, net of allowances
     for contractual adjustments and
     doubtful accounts                                              16,990,660           12,498,685
   Prepaid expenses and other assets                                 2,907,585            1,327,331
                                                                  ------------          -----------
              TOTAL CURRENT ASSETS                                  24,061,856           19,434,661

Equipment, furniture and fixtures                                   21,061,378           18,305,614
Less:  Accumulated depreciation                                     (8,559,004)          (7,116,342)
                                                                  ------------          -----------
              NET EQUIPMENT, FURNITURE AND FIXTURES                 12,502,374           11,189,272

Management service agreements and other
   intangible assets, net of accumulated amortization               35,183,620           29,260,811
Deferred tax asset                                                     522,000            1,356,000
Other assets                                                         1,618,781            1,287,455
                                                                  ------------          -----------
              TOTAL ASSETS                                        $ 73,888,631           62,528,199
                                                                  ============          ===========

             LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
   Accounts payable and accrued expenses                             9,146,308            7,645,740
   Eye care clams payable                                            1,264,247            2,471,935
   Current installments of obligations under capital
      lease and long-term debt                                       1,275,750            1,428,477
                                                                  ------------          -----------
              TOTAL CURRENT LIABILITIES                             11,686,305           11,546,152
Obligations under capital lease, excluding
     current installments                                            1,084,451            1,365,448
Long-term debt, excluding current
     installments                                                   28,546,638           21,693,712
                                                                  ------------          -----------
              TOTAL LIABILITIES                                     41,317,394           34,605,312
Minority Interest                                                      578,551              523,065
Stockholders' equity:
   Common stock                                                        538,266              513,991
   Additional paid in capital                                       33,938,641           31,562,383
   Accumulated deficit                                              (2,484,221)          (4,676,552)
                                                                  ------------          -----------
              TOTAL STOCKHOLDERS' EQUITY                            31,992,686           27,399,822
                                                                  ------------          -----------
               TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY         $ 73,888,631           62,528,199
                                                                  ============          ===========
</TABLE>

See accompanying notes to condensed consolidated financial statements.





                                       3
<PAGE>   4



                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                 Three Months Ended September 30, 1998 and 1997
                                   (unaudited)

<TABLE>
<CAPTION>
                                                             1998                  1997

<S>                                                      <C>                      <C>      
Ophthalmic center net revenues                           $ 13,510,899             9,814,856
Managed eye care revenues                                   6,342,523             5,005,897
Optometric practice services                               10,240,334             9,916,325
Mobile surgical and other                                     778,257               531,877
                                                         ------------          ------------
             TOTAL REVENUES                                30,872,013            25,268,955

Center operating expenses                                  10,836,154             8,479,133
Eye care claims                                             4,341,369             3,767,011

Cost of sales                                              10,523,715             9,653,201
Provision for doubtful accounts                               378,842               203,746
Selling, general, administrative and
   development expenses                                     2,795,770             1,900,296
                                                         ------------          ------------
             EARNINGS FROM OPERATIONS                       1,996,163             1,265,568

Non-operating revenue (expenses):
   Interest and other income                                  145,258                92,609
   Interest expense                                          (735,222)             (374,481)
                                                         ------------          ------------
             EARNINGS BEFORE MINORITY INTEREST              1,406,199               983,696

 Minority interest in net income of partnerships             (165,462)             (127,723)
                                                         ------------          ------------
             Earnings before income taxes                   1,240,737               855,973

Income tax expense (benefit)                                  470,000            (1,180,000)
                                                         ------------          ------------
             NET EARNINGS                                     770,737             2,035,973
Preferred dividends, principally imputed                            0                (2,727)
                                                         ------------          ------------
             EARNINGS  AVAILABLE TO COMMON
             SHAREHOLDERS                                $    770,737          $  2,033,246
                                                         ============          ============
Earnings per common share:
             Basic                                       $       0.09          $       0.27
                                                         ============          ============
             Diluted                                     $       0.09          $       0.26
                                                         ============          ============
Weighted average number of common shares
             Basic                                          8,885,529             7,549,315
                                                         ============          ============
             Diluted                                        8,959,094             7,788,182
                                                         ============          ============
</TABLE>

See accompanying notes to condensed consolidated financial statements.





                                       4
<PAGE>   5



                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
                  Nine Months Ended September 30, 1998 and 1997
                                   (unaudited)

<TABLE>
<CAPTION>
                                                              1998                  1997

<S>                                                              <C>            <C>       
Ophthalmic center net revenues                           $ 38,419,214            26,557,752
Managed eye care revenues                                  17,684,243            13,694,044
Optometric practice services                               30,734,734            16,305,115
Mobile surgical and other                                   2,031,154             1,485,309
                                                         ------------          ------------
             TOTAL REVENUES                                88,869,345            58,042,220

Center operating expenses                                  30,811,300            22,268,837
Eye care claims                                            12,771,632            10,546,856
Cost of sales                                              30,676,812            16,226,988
Provision for doubtful accounts                               823,409               579,760
Selling, general, administrative and
   development expenses                                     8,155,107             5,364,528
                                                         ------------          ------------
             EARNINGS FROM OPERATIONS                       5,631,085             3,055,251

Non-operating revenue (expenses):
   Interest and other income                                  343,605               214,577
   Interest expense                                        (1,993,309)             (816,502)
                                                         ------------          ------------
             EARNINGS BEFORE MINORITY INTEREST              3,981,381             2,453,326

 Minority interest in net income of partnerships             (464,050)             (310,849)
                                                         ------------          ------------
             EARNINGS BEFORE INCOME TAXES                   3,517,331             2,142,477

Income tax expense (benefit)                                1,325,000            (1,180,000)
                                                         ------------          ------------
             NET EARNINGS                                   2,192,331             3,322,477

Preferred dividends, principally imputed                            0               (19,876)
                                                         ------------          ------------
             EARNINGS  AVAILABLE TO COMMON
             SHAREHOLDERS                                $  2,192,331          $  3,302,601
                                                         ============          ============
Earnings per common share:
             Basic                                       $       0.25          $       0.45
                                                         ============          ============
             Diluted                                     $       0.25          $       0.44
                                                         ============          ============
Weighted average number of common shares
             Basic                                          8,772,738             7,268,550
                                                         ============          ============
             Diluted                                        8,916,006             7,468,637
                                                         ============          ============
</TABLE>

See accompanying notes to condensed consolidated financial statements.








                                       5
<PAGE>   6


                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                 CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
                  NINE MONTHS ENDED SEPTEMBER 30, 1998 AND 1997
                                   (UNAUDITED)


<TABLE>
<CAPTION>
                                                                         1998                 1997
<S>                                                                  <C>                    <C>      
CASH FLOWS FROM OPERATIONS:
   Net earnings                                                      $ 2,192,331            3,322,477
   Adjustments to reconcile net earnings to net cash
    Provided by operating activities:
    Depreciation and amortization                                      2,357,457            1,399,455
    Deferred tax provision                                               834,000           (1,180,000)
    Provision for doubtful accounts                                      823,409              579,760
    Minority interest in partnerships                                    464,050              310,849
    (Increase) decrease in:
      Receivables                                                     (5,090,510)          (2,666,369)
      Prepaids and other assets                                       (1,294,313)          (1,082,850)
    Increase (decrease) in:
      Accounts payable and accrued expenses                            1,450,727            1,977,705
      Eye care claims payable                                         (1,207,688)             910,761
                                                                     -----------          -----------
NET CASH PROVIDED BY OPERATING ACTIVITIES                                529,463            3,571,788

CASH FLOWS FROM INVESTING ACTIVITIES:
  Capital expenditures                                                  (968,879)            (700,634)
  Acquisitions, net of cash acquired                                  (6,783,875)          (6,421,355)
                                                                     -----------          -----------

NET CASH USED IN INVESTING ACTIVITIES                                 (7,752,754)          (7,121,989)

CASH FLOWS FROM FINANCING ACTIVITIES:
  Proceeds from issuance of common stock                                       0              360,994
  Net change in long-term debt and capital lease obligations           6,186,821            6,185,195
  Distributions to minority interest                                    (408,564)            (267,491)
  Other                                                                        0              (28,128)
                                                                     -----------          -----------
NET CASH PROVIDED BY FINANCING
  ACTIVITIES                                                           5,778,257            6,250,570
                                                                     -----------          -----------

NET INCREASE (DECREASE) IN CASH                                       (1,445,034)           2,700,369

CASH AT BEGINNING OF PERIOD                                            5,608,645            2,943,617
                                                                     -----------          -----------
CASH AT END OF PERIOD                                                $ 4,163,611          $ 5,643,986
                                                                     ===========          ===========
</TABLE>

See accompanying notes to condensed consolidated financial statements.





                                       6
<PAGE>   7



                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                                   (UNAUDITED)

1. ACCOUNTING POLICIES

The accompanying unaudited condensed consolidated financial statements have been
prepared in accordance with the accounting policies in effect as of December 31,
1997, as set forth in the annual consolidated financial statements of Omega
Health Systems, Inc. Certain prior year interim balances have been reclassified
to conform to the 1998 presentation. In the opinion of management, all
adjustments necessary for a fair presentation of the consolidated financial
statements have been included. The results of operations for the nine month
period ended September 30, 1998 and 1997 are not necessarily indicative of the
results to be expected for the full year.


2. EARNINGS PER SHARE

In February 1997, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 128, "Earnings Per Share" (SFAS 128), which
changes the computation and presentation of earnings per share, replacing
primary and fully diluted earnings per share previously required. Earnings per
share for all prior years presented have been presented in accordance with SFAS
128.

Basic earnings per common share for 1998 and 1997 were computed by dividing the
earnings by the weighted average number of common shares outstanding during the
quarter (8,885,529 and 7,549,315, respectively) and the nine month period
(8,772,738 and 7,268,550, respectively). Diluted earnings per common share for
1998 and 1997 were computed by dividing the earnings by the weighted average
number of common shares and common equivalent shares outstanding during the
quarter (8,959,094 and 7,788,182, respectively) and the nine month period
(8,916,006 and 7,468,637, respectively).

3. ACQUISITIONS

On January 2, 1998, the Company completed the acquisition of the assets of
Hunter, Schulz and Horton, O.D., P.A. of New Port Richey, Florida.
Simultaneously with the acquisition, the Company entered into a long-term
management agreement to manage the practice. In connection with the merger, the
Company issued 130,718 shares of the Company's common stock and $1,000,000 in
cash. The cash portion of the transaction was financed under the Company's
revolving credit facility with NationsCredit.

In May 1998, the Company acquired fourteen retail optical locations on military
facilities. The facilities are located principally in existing center markets.

On July 11, 1998, the Company completed the acquisition of the assets of the
ophthalmology practice of Mitchell L. Levin, MD, known as Levin Eye Center, and
a 50% interest in the associated ambulatory surgery center, known as Doctors
Surgery Center. Simultaneously with the acquisition, the Company entered into a
long-term management agreement to manage the practice. In connection with the
merger, the Company issued 151,257 shares of the Company's common stock and
$1,802,500 in cash. The cash portion of the transaction was financed under the
Company's revolving credit facility with NationsCredit.






                                       7
<PAGE>   8
On September 1, 1998, the Company completed the acquisition of the assets of the
ophthalmology practice of Jeffrey G. Straus, MD, known as Louisiana Eye Center
of New Orleans. Simultaneously with the acquisition, the Company entered into a
long-term management agreement to manage the practice. In connection with the
acquisition, the Company issued 106,473 shares of the Company's common stock and
$937,000 in cash. The cash portion of the transaction was financed under the
Company's revolving credit facility with NationsCredit.

4. REVOLVING CREDIT AGREEMENT

In February 1997, the Company entered into a $15,000,000 Credit Facility with
NationsCredit Commercial Corporation, an affiliate of NationsBank, for the
purpose of refinancing certain existing debt, providing working capital and
financing acquisitions. The Credit Facility is a $15 million committed facility,
comprised of a $13 million acquisition facility (the "Acquisition Facility") and
a $2 million working capital facility (the "Working Capital Facility"). The
Credit Facility is fully revolving for the first two years and matures in equal
installments over the next four years. The Credit Facility bears interest at a
variable rate equal to the 30-day commercial paper rate quoted in The Wall
Street Journal plus 4.25%. In December 1997, the Credit Facility was amended 
and restated, increasing the availability to $30,000,000.

5. CONTINGENCIES

The Company is engaged in the business of providing support and management
services to the eye care profession, which subjects it to intense federal and
state regulation. Both state and federal laws prohibit fee splitting and other
forms of compensation based on patient referral. These regulations may, in the
future, be amended or interpreted in such a fashion as to adversely affect the
business of Omega.

The Company maintains professional liability coverage on a claims made basis for
its centers, employees, and independent contractors, including center directors,
with minimum requirements of $3,000,000 per occurrence and $3,000,000 annually.
The Company also maintains general liability coverage. Additionally, the
physicians associated with the Company maintain professional liability coverage.
Providing support associated with health care services may give rise to claims
from patients or others for damages. The Company has been named in certain
professional liability claims. The Company believes that the ultimate resolution
of these matters will not have a significant effect on the Company's financial
position or results of operations. To the extent that any claims-made coverage
is not renewed or replaced with equivalent insurance, claims based on
occurrences during the term of such coverage, but reported subsequently, would
be uninsured. Management anticipates that the claims-made coverage currently in
place will be renewed or replaced with equivalent insurance as the term of such
coverage expires.

6. CHANGE IN AMORTIZATION PERIOD FOR MANAGEMENT SERVICE AGREEMENTS

Effective April 1, 1998, in response to recent guidance from the Securities and
Exchange Commission, the Company reduced the maximum amortization period for
intangible assets relating to management service agreements to 25 years.
Previously, management service agreements were amortized over their contractual
term to a maximum of 40 years. This change had the effect of reducing reported
net earnings by approximately $40,000 or $.005 per diluted share per quarter.

7. RECENT ACCOUNTING PRONOUNCEMENT

As of January 1, 1998, the Company adopted Statement 130, "Reporting
Comprehensive Income." Statement 130 establishes new rules for the reporting and
display of comprehensive income and its components. The adoption of this
Statement had no impact on the Company's net income or shareholder's equity.





                                       8
<PAGE>   9

In June 1997, the FASB issued SFAS No. 131, "Disclosures about Segments of an
Enterprise and Related Information." SFAS No. 131 requires that the Company
report financial and descriptive information about its reportable segments.
Financial information is required to be reported on the basis that is used
internally for evaluating segment performance and deciding how to allocate
resources to segments. This statement also requires that the Company report
descriptive information about the way the operating segments were determined,
the products and services provided by the operating segments, differences
between the measurements used in reporting segment information and those used in
the Company's financial statements, and changes in the measurement of segment
amounts from period to period. SFAS No. 131 is effective for financial
statements for periods beginning after December 15, 1997. The adoption of this
statement will provide additional disclosures in the financial statements for
the year ended December 31, 1998.







                                       9
<PAGE>   10

           MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                            AND RESULTS OF OPERATIONS

RESULTS OF OPERATIONS
<TABLE>
<CAPTION>
                                                      Three Months                 Nine Months
                                                    Ended September 30          Ended September 30
                                                   -------------------       -------------------------
                                                    1998          1997         1998              1997
                                                    ----          ----         ----              ----
<S>                                                <C>           <C>          <C>              <C>  
Revenues
     Center net revenues                            43.8%         38.8%        43.2%             45.8%
     Managed Care revenues                          20.5          19.8         19.9              23.6
     Optometric practice services                   33.2          39.2         34.6              28.1
     Mobile surgical and other                       2.5           2.1          2.3               2.5
                                                   -----         -----        -----             -----
Total revenues                                     100.0         100.0        100.0             100.0

Center operating expenses                           35.1          33.6         34.7              38.4
Eye care claims                                     14.1          14.9         14.4              18.1
Selling, general and administrative expenses         9.1           7.5          9.2               9.3
Cost of sales                                       34.1          38.2         34.5              28.0
Provision for doubtful accounts                      1.2           0.8          0.9               1.0

Earnings from operations                             6.5%          6.5%         6.3%              5.2%
</TABLE>

THREE MONTHS ENDED SEPTEMBER 30, 1998 COMPARED TO THREE MONTHS ENDED SEPTEMBER
30, 1997

         Total Revenues. Total revenues increased from $25,269,000 for the 
three months ended September 30, 1997 to $30,872,000 for the three months ended 
September 30, 1998, an increase of $5,603,000 or 22.2%.

                Center net revenues increased from $9,815,000 for the 1997 
         period to $13,511,000 for the 1998 period, an increase of $3,696,000,
         or 37.7%. The increase resulted primarily from the additions of Centers
         in Danville, Illinois; Chicago, Illinois; Newport Richey, Florida; San
         Antonio, Texas; Circleville, Ohio; Orlando, Florida and New Orleans,
         Louisiana during the 1998 period as well as the addition of an ASC in
         the San Antonio, Circleville and Orlando Centers.

                Managed care revenues increased from $5,006,000 for the 1997 
         period to $6,343,000 for the 1998 period, an increase of $1,337,000,
         or 26.7%. The increase reflected the continued growth experienced by
         the Company's managed care operations, including the addition of an
         optical lab in 1997.

                Optometric practice service revenues increased from $9,916,000 
         for the 1997 period to $10,240,000 for the 1998 period, an increase of
         $324,000, or 3.3%. Optometric practice services provides products and
         services to independent optometrists, including purchasing, education,
         training, management, and publications and is related to the
         acquisition of Primary Eyecare Network, Inc. (PEN) in May 1997.

                Mobile surgical and other revenues increased from $532,000 for 
         the 1997 period to $778,000 for the 1998 period, an increase of
         $246,000 or 46.2%. The increase resulted primarily from higher margin
         mobile surgical revenues.

         Center Operating Expenses. Center operating expenses increased 
         from $8,479,000 for the three months ended September 30, 1997 to
         $10,836,000 for the three months ended September 30, 1998, an increase
         of $2,357,000 or 27.8%. The increase reflected the additions of the
         practices in Danville, Chicago, Newport Richey, San Antonio,
         Circleville, Orlando and New Orleans during the 1998 period. As a
         percentage of center net revenues, center operating expenses decreased
         from 86.4% in the 1997 period to 80.2% in the 1998 period, reflecting
         improved performance in certain Centers and the impact of the added
         Centers.

         Eye Care Claims. Eye care claims increased from $3,767,000 for 
         the three months ended September 30, 1997 to $4,341,000 for the three
         months ended September 30, 1998, an increase of $574,000, or 15.2%. The
         increase reflected the continued growth experienced by the Company's
         managed care operations and is directly correlated with the increase in
         managed care revenues. As a percentage of managed care revenues, eye
         care claims decreased from 75.2% in the 1997 period to 68.5% in the
         1998 period.

         Selling, General and Administrative Expenses. Selling, general 
         and administrative expenses increased from $1,900,000 for the three
         months ended September 30, 1997 to $2,796,000 for the three months
         ended September 30, 1998, an increase of $896,000, or 47.2%. The
         increase primarily reflected (i) the expansion of operation at the EHN,
         (ii) development costs associated with expansion of the Company's
         practice affiliation program and (iii) the administrative expenses
         related to Providers Optical during the 1998 period. As a percentage
         of total revenues, selling, general, and administrative expenses
         increased from 7.5% in the 1997 to 9.1% in the 1998 period.

         Cost of Sales. Cost of sales increased from $9,653,000 for the 
         three months ended September 30, 1997 to $10,524,000 for the three
         months ended September 30, 1998, an increase of $871,000 or 9.0%. This
         increase primarily reflected the acquisition of Providers Optical in
         December 1997 and the increase in higher margin mobile surgical sales.
         As a percentage of total revenues, cost of sales decreased from 38.2%
         in the 1997 period to 34.1% in the 1998 period.

         Provision for Doubtful Accounts. Provision for doubtful 
         accounts increased from $204,000 for the three months ended September
         30, 1997 to $379,000 for the three months ended September 30, 1998, an
         increase of $175,000, or 85.8%. As a percentage of total revenues,
         provision for doubtful accounts marginally increased from 0.8% in the
         1997 period to 1.2% in the 1998 period.

         Interest Income (Expense), Net. Interest expense increased 
         from $282,000 for the three months ended September 30, 1997 to $590,000
         for the three months ended September 30, 1998, an increase of $308,000,
         or 109.2%. This increase related to the increase in borrowings in late
         1997 and the 1998 period used to finance acquisitions.

         Preferred Dividends. Preferred dividends were $3,000 for the 
         three months ended September 30, 1997. This decrease resulted from the
         conversion of Series A Convertible Preferred Stock into Common Stock by
         preferred stockholders.

NINE MONTHS ENDED SEPTEMBER 30, 1998 COMPARED TO NINE MONTHS ENDED SEPTEMBER 30,
1997

         Total Revenues. Total revenues increased from $58,042,000 for the nine
months ended September 30, 1997 to $88,869,000 for the nine months ended
September 30, 1998, an increase of $30,827,000 or 53.1%.

                Center net revenues increased from $26,558,000 for the 1997
         period to $38,419,000 for the 1998 period, an increase of $11,861,000,
         or 44.7%. The increase resulted primarily from the additions of Centers
         in Birmingham, Alabama; Marion, Indiana; Danville, Illinois; Chicago,
         Illinois; Newport Richey, Florida; San Antonio, Texas; Circleville,
         Ohio; Orlando, Florida and New Orleans, Louisiana during the 1998
         period as well as the addition of an ASC in the San Antonio,
         Circleville and Orlando Centers.

                Managed care revenues increased from $13,694,000 for the 1997
         period to $17,684,000 for the 1998 period, an increase of $3,990,000,
         or 29.1%. The increase reflected the continued growth experienced by
         the Company's managed care operations, including the addition of an
         optical lab in 1997.

                Optometric practice service revenues increased from $16,305,000
         for the 1997 period to $30,735,000 for the 1998 period, an increase of
         $14,430,000, or 88.5%. Optometric practice services provides products
         and services to independent optometrists, including purchasing,
         education, training, management, and publications and is related to the
         acquisition of Primary Eyecare Network, Inc. (PEN) in May 1997.






                                       10
<PAGE>   11

                Mobile surgical and other revenues increased from $1,485,000 for
         the 1997 period to $2,031,000 for the 1998 period, an increase of
         $546,000 or 36.8%. The increase resulted primarily from higher margin
         mobile surgical revenues.

         Center Operating Expenses. Center operating expenses increased from
$22,269,000 for the nine months ended September 30, 1997 to $30,811,000 for the
nine months ended September 30, 1998, an increase of $8,542,000 or 38.4%. The
increase reflected the additions of the practices in Birmingham, Marion,
Danville, Chicago, Newport Richey, San Antonio, Circleville, Orlando and New
Orleans during the 1998 period. As a percentage of center net revenues, center
operating expenses decreased from 83.8% in the 1997 period to 80.2% in the 1998
period, reflecting improved performance in certain Centers and the impact of the
added Centers.

         Eye Care Claims. Eye care claims increased from $10,547,000 for the
nine months ended September 30, 1997 to $12,772,000 for the nine months ended
September 30, 1998, an increase of $2,225,000, or 21.1%. The increase reflected
the continued growth experienced by the Company's managed care operations and is
directly correlated with the increase in managed care revenues. As a percentage
of managed care revenues, eye care claims decreased from 77.0% in the 1997
period to 72.2% in the 1998 period.

         Selling, General and Administrative Expenses. Selling, general and
administrative expenses increased from $5,365,000 for the nine months ended
September 30, 1997 to $8,155,000 for the nine months ended September 30, 1998,
an increase of $2,790,000, or 52.0%. The increase primarily reflected (i) the
expansion of operation at the EHN, (ii) development costs associated with
expansion of the Company's practice affiliation program and (iii) the
administrative expenses related to PEN and Providers Optical during the 1998
period. As a percentage of total revenues, selling, general, and administrative
expenses remained 9.2% in the 1997 and 1998 period.

         Cost of Sales. Cost of sales increased from $16,227,000 for the nine
months ended September 30, 1997 to $30,677,000 for the nine months ended
September 30, 1998, an increase of $14,450,000 or 89.0%. This increase primarily
reflected the acquisition of PEN in May 1997 and Providers Optical in December
1997 and the increase in higher margin mobile surgical sales. As a percentage of
total revenues, cost of sales increased from 28.0% in the 1997 period to 34.5%
in the 1998 period, primarily as a result of the acquisitions.

         Provision for Doubtful Accounts. Provision for doubtful accounts
increased from $580,000 for the nine months ended September 30, 1997 to $823,000
for the nine months ended September 30, 1998, an increase of $243,000, or 41.9%.
As a percentage of total revenues, provision for doubtful accounts marginally
decreased from 1.0% in the 1997 period to 0.9% in the 1998 period.

         Interest Income (Expense), Net. Interest expense increased from
$602,000 for the nine months ended September 30, 1997 to $1,650,000 for the nine
months ended September 30, 1998, an increase of $1,048,000, or 174.1%. This
increase related to the increase in borrowings in late 1997 and the 1998 period
used to finance acquisitions.

         Preferred Dividends. Preferred dividends were $19,000 for the nine
months ended September 30, 1997. This decrease resulted from the conversion of
Series A Convertible Preferred Stock into Common Stock by preferred stockholders
subsequent.







                                       11
<PAGE>   12

ACQUISITIONS

On January 2, 1998, the Company completed the acquisition of the assets of
Hunter, Schulz and Horton, O.D., P.A. of New Port Richey, Florida.
Simultaneously with the acquisition, the Company entered into a long-term
management agreement to manage the practice. In connection with the merger, the
Company issued 130,718 shares of the Company's common stock and $1,000,000 in
cash. The cash portion of the transaction was financed under the Company's
revolving credit facility with NationsCredit.

In May 1998, the Company acquired fourteen retail optical locations on military
facilities. The facilities are located principally in existing center markets.

On July 11, 1998, the Company completed the acquisition of the assets of the
ophthalmology practice of Mitchell L. Levin, MD, known as Levin Eye Center, and
a 50% interest in the associated ambulatory surgery center, known as Doctors
Surgery Center. Simultaneously with the acquisition, the Company entered into a
long-term management agreement to manage the practice. In connection with the
merger, the Company issued 151,257 shares of the Company's common stock and
$1,802,500 in cash. The cash portion of the transaction was financed under the
Company's revolving credit facility with NationsCredit.

On September 1, 1998, the Company completed the acquisition of the assets of the
ophthalmology practice of Jeffrey G. Straus, MD, known as Louisiana Eye Center
of New Orleans. Simultaneously with the acquisition, the Company entered into a
long-term management agreement to manage the practice. In connection with the
acquisition, the Company issued 106,473 shares of the Company's common stock and
$937,000 in cash. The cash portion of the transaction was financed under the
Company's revolving credit facility with NationsCredit.

LIQUIDITY, CASH FLOW, AND CAPITAL RESOURCES

For the nine months ended September 30, 1998, the operating activities of the
Company generated $529,000. The Company used $7,753,000 in investing activities
and generated $5,778,000 in financing activities.

Cash flows from operations included significant adjustments for depreciation and
amortization ($2,357,000) as well as provision for doubtful accounts ($823,000).
Cash flows from operations were significantly affected by working capital
requirements of recent acquisitions and income tax payments. In addition, cash
flows from operations were affected by a decrease in eye care claims payable of
$1,200,000 as the Company significantly decreased the time required to process
and pay eye care claims by its managed care operations. Investing activities
during the period included $1,018,000 in capital expenditures for equipment as
well as acquisitions of the assets of ophthalmic and optometric practices.
Financing activities included an increase in debt and distributions to minority
interest.

As of September 30, 1998 the Company has approximately $2,900,000 available of
its $30,000,000 revolving credit facility.

YEAR 2000

The Company is continuing its efforts to address operational concerns raised by
the so-called year 2000 issue. The principal areas of concern include ensuring
that the systems used in practice management, managed care administration and
accounting are year 2000 compliant, addressing issues related to "imbedded
systems" in equipment, including medical equipment and assessing and addressing
the potential impact of year 2000 problems with other entities with which the
Company has business relationships.

The Company is in the process of upgrading all of its internal systems,
including practice management, managed care administration and accounting. This
is a complex project with many aspects, but addressing the year 2000 issue is a
significant part of the project. The overall cost of this systems project will
be in excess of $1 million, but a relatively small part is exclusively related
to the Year 2000 issue.







                                       12
<PAGE>   13

The Company is in the process of inventorying equipment which have imbedded
systems which may be affected by the year 2000 issue and contacting the
appropriate vendors to ascertain risks and solutions. The cost of this project
is not expected to be material to the Company's financial statements at this
time.

The Company is also corresponding with other entities with which it has business
relationships to assess their progress in addressing the year 2000 issue for the
purpose of assessing the risks to the Company which may result from this
problem.

Although the cost to bring systems and equipment into compliance has not been
and is not expected to be material to the Company's consolidated financial
statements, failure to comply could have a material adverse effect on the
Company's business and financial results.








                                       13
<PAGE>   14




                          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.
         The Company held its Annual Meeting on August 12, 1998. At the 
         meeting, two directors, Ronald L. Edmonds and Thomas P. Lewis were 
         re-elected to two year terms on the board of directors, by votes of 
         6,558,732 and 6,559,132 for, 139,283 and 138,883 against, and 60,295 
         abstaining, respectively. Donald H. Beisner, M.D., was re-elected to a 
         one year term by votes of 6,548,476 for, 143,283 against and 66,551 
         abstaining. Other members of the board who continue to serve are David 
         M. Dillman, M.D., Donald A. Hood, O.D., Andrew W. Miller, and 
         Herman L. Tacker, O.D.

         At the meeting, shareholders also amended the Company's stock option 
         plan by votes of 6,578,399 for, 78,431 against, and 101,480 abstaining.
         The shareholders also amended the Company's stock purchase plan by 
         votes of 6,587,190 for, 72,281 against, and 98,839 abstaining. Also at 
         the meeting, shareholders ratified the authorization of the Audit 
         Committee of the Board of Directors to select the Company's 
         independent auditors for 1998 by votes of 6,710,482 for, 3,795 
         against, and 45,533 abstaining.  

Item 5.  Other Information.
         Not Applicable.

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

         Exhibits:
         (a)  (11) Statement re: computation of per share earnings.

              (27) Financial Data Schedule (SEC use only)

         (b)  Reports on Form 8-K:
                  None.






                                       14
<PAGE>   15




                                   SIGNATURES


In accordance with the requirements of the Exchange Act, the registrant caused
this report to be signed on its behalf by the undersigned, thereunto duly
authorized.

                          OMEGA HEALTH SYSTEMS, INC.
                          --------------------------------------------------
                          Registrant


November 13, 1998                        By \s\ Ronald L. Edmonds
                                         --------------------------------------
                                         Ronald L. Edmonds
                                         Executive Vice President and
                                         Chief Financial Officer







                                       15

<PAGE>   1


                                                                      EXHIBIT 11



                   OMEGA HEALTH SYSTEMS, INC. AND SUBSIDIARIES
                    Computation of Earnings Per Common Share


<TABLE>
<CAPTION>
                                                                         Three Months Ended               Nine Months Ended
                                                                            September 30                     September 30
                                                                     ---------------------------       -------------------------

                                                                        1998             1997            1998            1997
                                                                     ----------       ----------       ---------       ---------
<S>                                                                  <C>              <C>              <C>             <C>      
Basic:
     Net earnings                                                    $  770,737       $2,035,973       2,192,331       3,322,477
     Preferred stock dividends                                                0            2,727               0          19,876
                                                                     ----------       ----------       ---------       ---------
     Net earnings to  common shareholders                               770,737        2,033,246       2,192,331       3,302,601

     Shares:
        Weighted average number of shares outstanding                 8,885,529        7,549,315       8,772,738       7,268,550
                                                                     ----------       ----------       ---------       ---------
Basic earnings per common share and common equivalent share:
        Net earnings                                                 $     0.09       $     0.27       $    0.25       $    0.45
                                                                     ==========       ==========       =========       =========
Diluted:
     Net earnings                                                    $  770,737        2,035,973       2,192,331       3,322,477
     Preferred stock dividends                                                0            2,727               0          19,876
                                                                     ----------       ----------       ---------       ---------
     Net earnings to  common shareholders                               770,737        2,033,246       2,192,331       3,302,601

     Shares:
        Weighted average number of shares outstanding                 8,885,529        7,549,315       8,772,738       7,268,550
        Assuming exercise of warrants and options,
          net of number of shares which could have been
          purchased with the exercise of such options
          (using average market price)                                   73,565          238,867         143,268         200,087
                                                                     ----------       ----------       ---------       ---------
        Weighted average number of shares,  adjusted                  8,959,094        7,788,182       8,916,006       7,468,637
                                                                     ----------       ----------       ---------       ---------
Diluted earnings per common share and common equivalent share:
        Net earnings                                                 $     0.09       $     0.26       $    0.25       $    0.44
                                                                     ==========       ==========       =========       =========
</TABLE>

<TABLE> <S> <C>

<ARTICLE> 5
<MULTIPLIER> 1,000
       
<S>                             <C>
<PERIOD-TYPE>                   9-MOS
<FISCAL-YEAR-END>                          DEC-31-1998
<PERIOD-START>                             JAN-01-1998
<PERIOD-END>                               SEP-30-1998
<CASH>                                           5,785
<SECURITIES>                                         0
<RECEIVABLES>                                   16,551
<ALLOWANCES>                                     3,005
<INVENTORY>                                          0
<CURRENT-ASSETS>                                24,637
<PP&E>                                          19,115
<DEPRECIATION>                                   7,896
<TOTAL-ASSETS>                                  73,889
<CURRENT-LIABILITIES>                           11,686
<BONDS>                                              0
                                0
                                          0
<COMMON>                                           538
<OTHER-SE>                                      31,454
<TOTAL-LIABILITY-AND-EQUITY>                    73,889
<SALES>                                         88,869
<TOTAL-REVENUES>                                88,869
<CGS>                                           30,677
<TOTAL-COSTS>                                   83,238
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                   823
<INTEREST-EXPENSE>                               1,993
<INCOME-PRETAX>                                  3,517
<INCOME-TAX>                                     1,325
<INCOME-CONTINUING>                              2,192
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     2,192
<EPS-PRIMARY>                                     0.25
<EPS-DILUTED>                                     0.25
        

</TABLE>


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