NATIONAL QUALITY CARE INC
10QSB, 2000-05-15
MISC HEALTH & ALLIED SERVICES, NEC
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<PAGE>

                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                   Form 10-QSB

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

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



                      For the Quarter Ended March 31, 2000

                         Commission file number 0-19031



                           National Quality Care, Inc.
                           (EXACT NAME OF REGISTRANT)


                   Delaware                                 84-1215959
           (State of Incorporation)                    (IRS Employer ID No.)

 1835 South La Cienega Boulevard, Suite 235
              Los Angeles, CA                                 90035
  (Address of Principal Executive Offices)                  (Zip Code)

                                 (310) 280-2758
                               (Telephone Number)


Indicate by check mark whether the registrant (1) has filed all reports required
to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during
the preceding 12 months (or for such shorter period that the registrant was
required to file such reports) and (2) has been subject to such filing
requirements for the past 90 days.

                                  YES__X__ NO____

                The number of shares of common stock outstanding
                         as of May 12, 2000 is 9,889,878

                                        1

<PAGE>


                           National Quality Care, Inc.

                                Table of Contents


                                                                           Page

Part I.  Financial Information                                                3

         Item 1.   Financial Statements

                   Independent Accountant's Report                            4

                   Consolidated Balance Sheets as of
                   March 31, 2000 and December 31, 1999                       5

                   Consolidated Income Statements
                   for the Three Months Ended March 31, 2000
                   and 1999                                                   6

                   Consolidated Statements of Stockholders'
                   Equity for the Three Months Ended March 31, 2000           7

                   Consolidated Statements of Cash Flows for the
                   Three Months Ended March 31, 2000 and 1999                 8

                   Notes to Consolidated Financial Statements                 9

         Item 2.   Management's Discussion and Analysis of
                   Financial Condition and Results of Operations              9

Part II. Other Information

         Item 6.   Exhibits and Reports on Form 8-K                          12

         Signatures                                                          13


                                        2

<PAGE>


                         PART 1 - FINANCIAL INFORMATION



Item 1.  Financial Statements















                                        3

<PAGE>

                         Independent Accountant's Report


Board of Directors and Shareholders
National Quality Care, Inc.


We have reviewed the accompanying condensed consolidated balance sheet of
National Quality Care, Inc. and subsidiary as of March 31, 2000, and the related
condensed consolidated statements of income and cash flows for the three months
ended March 31, 2000. These financial statements are the responsibility of
National Quality Care, Inc. management.

We conducted our review in accordance with standards established by the American
Institute of Certified Public Accountants. A review of interim financial
information consists principally of applying analytical procedures to financial
data and making inquiries of persons responsible for financial and accounting
matters. It is substantially less in scope than an audit conducted in accordance
with generally accepted auditing standards, the objective of which is the
expression of an opinion regarding the financial statements taken as a whole.
Accordingly, we do not express such an opinion.

Based on our review, we are not aware of any material modifications that should
be made to the condensed consolidated financial statements referred to above in
order for them to be in conformity with generally accepted accounting
principles.

We have previously audited, in accordance with generally accepted auditing
standards, the consolidated balance sheet of National Quality Care, Inc. and
subsidiary as of December 31, 1999, and the related consolidated statements of
income, stockholders' equity and cash flows for the year then ended not
presented herein; and in our report dated March 14, 2000, we expressed an
unqualified opinion on those consolidated financial statements. In our opinion,
the information set forth in the accompanying condensed consolidated balance
sheet as of December 31, 1999, is fairly presented, in all material respects, in
relation to the consolidated balance sheet from which it has been derived.

/s/ Moss Adams LLP

MOSS ADAMS LLP


Los Angeles, California
May 1, 2000

                                        4

<PAGE>

                                     NATIONAL QUALITY CARE, INC. AND SUBSIDIARY
                                                    CONSOLIDATED BALANCE SHEETS
- --------------------------------------------------------------------------------
                                     ASSETS
                                                      March 31,     December 31,
                                                        2000            1999
                                                    ------------    ------------
                                                     (Unaudited)
Current assets
  Cash and cash equivalents                         $    83,832     $    60,814
  Accounts receivable, net of allowance for
    doubtful accounts of $200,000                       591,616         721,118
  Supplies inventory                                     67,587         101,702
  Other current assets                                  129,751         104,410
                                                    ------------    ------------

         Total current assets                           872,786         988,044

Property and equipment, net                           2,570,594       2,601,096
Deposits and other long-term assets                      40,175          41,741
                                                    ------------    ------------

         Total assets                               $ 3,483,555     $ 3,630,881
                                                    ============    ============

                      LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities
  Accounts payable                                  $   885,692     $   922,206
  Accrued expenses                                      248,960         305,806
  Current portion of long-term debt                     350,366         387,528
                                                    ------------    ------------

         Total current liabilities                    1,485,018       1,615,540

Long-term debt, net of current portion                1,872,510       1,910,788
                                                    ------------    ------------

         Total liabilities                            3,357,528       3,526,328

Stockholders' equity
  Preferred stock, $.01 par value:
   5,000,000 shares authorized, no
   shares issued and outstanding                              -               -
  Common stock, $.01 par value:
   50,000,000 shares authorized,
   9,889,878 shares issued and
   outstanding                                           98,898          98,898
  Additional paid-in capital                          2,177,657       2,177,657
  Notes receivable from stockholders                   (267,848)       (266,703)
  Accumulated deficit                                (1,882,680)     (1,905,299)
                                                    ------------    ------------

         Total stockholders' equity                     126,027         104,553
                                                    ------------    ------------

         Total liabilities and stockholders'
          equity                                    $ 3,483,555     $ 3,630,881
                                                    ============    ============



   The accompanying notes are an integral part of these financial statements.

                                        5

<PAGE>

                                      NATIONAL QUALITY CARE, INC. AND SUBSIDIARY
                                      CONSOLIDATED INCOME STATEMENTS (UNAUDITED)
                                            For the Three Months Ended March 31,
- --------------------------------------------------------------------------------

                                                        2000            1999
                                                    ------------    ------------
Revenue
  Medical services                                  $   973,095     $   924,814
  Property rental                                        67,925          67,565
                                                    ------------    ------------

         Total revenue                                1,041,020         992,379
                                                    ------------    ------------

Operating expenses
  Cost of medical services                              687,870         632,433
  Selling, general, and administrative                  209,254         237,864
  Depreciation and amortization                          32,743          30,668
  Property rental expense and depreciation               18,422          11,156
                                                    ------------    ------------

         Total operating expenses                       948,289         912,121
                                                    ------------    ------------

Income from operations                                   92,731          80,258

Other income (expense)
  Interest expense                                      (68,268)        (62,995)
  Interest income                                         1,154           2,447
  Other expense                                          (1,398)              -
                                                    ------------    ------------

         Total other expense                            (68,512)        (60,548)
                                                    ------------    ------------

Income before provision for income taxes                 24,219          19,710

Provision for income taxes                               (1,600)              -
                                                    ------------    ------------

Net income                                          $    22,619     $    19,710
                                                    ============    ============

Basic and diluted income per share                  $      0.00     $      0.00
                                                    ============    ============

Weighted average shares outstanding                   9,890,000       9,815,000
                                                    ============    ============





   The accompanying notes are an integral part of these financial statements.

                                        6
<PAGE>
<TABLE>

                                                                              NATIONAL QUALITY CARE, INC. AND SUBSIDIARY
                                                              CONSOLIDATED STATEMENT OF STOCKHOLDERS' EQUITY (UNAUDITED)
                                                                               For the Three Months Ended March 31, 2000
- ------------------------------------------------------------------------------------------------------------------------
<CAPTION>

                                       Common stock                         Receivables                        Total
                               ----------------------------     Paid-in        from        Accumulated     Stockholders'
                                  Shares          Amount        Capital     Stockholders      Deficit          Equity
                               -------------  -------------  -------------  -------------  -------------   -------------
<S>                               <C>         <C>            <C>            <C>            <C>             <C>
BALANCE - DECEMBER 31, 1999       9,889,878   $     98,898   $  2,177,657   $   (266,703)  $ (1,905,299)   $    104,553


   Change in receivables
      from stockholders                   -              -              -         (1,145)             -          (1,145)

   Net income                             -              -              -              -         22,619          22,619
                               -------------  -------------  -------------  -------------  -------------   -------------
BALANCE - MARCH 31, 2000          9,889,878   $     98,898   $  2,177,657   $   (267,848)  $ (1,882,680)   $    126,027
                               =============  =============  =============  =============  =============   =============

</TABLE>









    The accompanying notes are an integral part of these financial statements

                                        7
<PAGE>


                                     NATIONAL QUALITY CARE, INC. AND SUBSIDIARY
                               CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
                                            For the Three Months Ended March 31,
- --------------------------------------------------------------------------------
                                                        2000            1999
                                                    ------------    ------------
Cash flows from operating activities
  Net income                                        $    22,619     $    19,710
  Adjustments to reconcile net income to net cash
    provided by operating activities
      Depreciation and amortization                      42,333          40,257
      Increase in receivable from stockholder
       (interest)                                        (1,145)         (2,447)
      Allowance for doubtful accounts                         -          10,000
    (Increase) decrease in
      Accounts receivable                               129,502          20,613
      Supplies inventory                                 34,115         (20,232)
      Other current assets                              (25,341)        (49,008)
      Other assets                                        1,566           8,123
    Increase (decrease) in
      Accounts payable                                  (36,514)         41,602
      Accrued expenses                                  (56,846)        (40,596)
                                                    ------------    ------------

      Net cash provided by operating activities         110,289          28,022
                                                    ------------    ------------

Cash flows from investing activities
     Purchase of building and equipment                 (11,831)              -
                                                    ------------    ------------

Cash flows from financing activities
     Repayments of capital lease obligations            (29,095)        (23,410)
     Repayment of long-term debt                        (46,345)        (32,366)
                                                    ------------    ------------
              Net cash used in financing
               activities                               (75,440)        (55,776)
                                                    ------------    ------------

              Net increase (decrease) in cash            23,018         (27,754)
                                                    ------------    ------------

Cash and equivalents, beginning of period                60,814          27,754
                                                    ------------    ------------

Cash and equivalents, end of period                 $    83,832     $         -
                                                    ============    ============


Supplemental disclosures of cash information:
     Interest paid                                       68,268          62,995

     In February 1999, the Company signed a
     promissory note with Priority Healthcare
     to convert $212,166 of accounts payable
     and $15,373 of accrued service charges
     into a long-term note payable in 23
     monthly installments with interest upon
     the unpaid principle balance at the
     rate of 10%                                              -         227,539

     Interest receivable from stockholder
     accrued but not received                            (1,145)         (2,447)






   The accompanying notes are an integral part of these financial statements.

                                        8
<PAGE>


                           NATIONAL QUALITY CARE, INC.
                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                 March 31, 2000

(1)      BASIS OF PRESENTATION

         The accompanying unaudited consolidated financial statements have been
prepared in accordance with the instructions to Form 10-QSB. They have been
reviewed by the Company's independent auditors in accordance with the
professional standards and procedures as set forth in Statement of Auditing
Standards No. 71 (SAS 71). SAS 71 procedures for conducting a review of interim
financial information generally are limited to inquiries and analytical
procedures concerning significant accounting matters relating to the financial
information to be reported. They do not include all information and footnotes
necessary for a fair presentation of financial position and results of
operations and cash flows in conformity with generally accepted accounting
principles. These consolidated financial statements should be read in
conjunction with the consolidated financial statements and related notes
contained in the Company's Annual Report on Form 10-KSB for the year ended
December 31, 1999. In the opinion of Management, all adjustments considered
necessary for a fair presentation have been included in the interim period.
Operating results for the three months ended March 31, 2000 are not necessarily
indicative of the results that may be expected for the year ended December 31,
2000.

(2)      EARNINGS PER SHARE

         Weighted average shares outstanding for both basic and diluted income
per share for the three months ended March 31, 2000 and March 31, 1999 were
9,890,000 and 9,815,000, respectively. The Company has not included the dilutive
effect of assumed conversions and exercises of stock options and warrants for
March 31, 2000 and 1999 since the effect of such an inclusion was antidilutive.

         The Board of Directors agreed on March 8, 2000 to cancel the 637,500
options granted and unexercised, and to reissue 637,500 shares at an exercise
price of $0.10. This proposal will be voted on by the Company's shareholders at
the Company's Annual Meeting of Stockholders on June 21, 2000.

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

         OVERVIEW OF PRESENTATION. Since approximately May 1996, the focus of
the Company's principal business operation has been to provide high-quality
integrated dialysis services for patients suffering from End Stage Renal Disease
("ESRD").

         The Company conducts its business through its wholly-owned operating
subsidiary, Los Angeles Community Dialysis, Inc. For purposes of clarity in this
section, the term "Company" reflects the financial condition and results of
operations of Los Angeles Community Dialysis, Inc. and the combined operations
of the parent holding company and Los Angeles Community Dialysis, Inc.

         This report, including the disclosures below, contains certain
forward-looking statements that involve substantial risks and/or uncertainties.
When used herein, the terms "anticipates," "expects," "estimates," "believes"
and similar expressions, as they relate to the Company or its management, are
intended to identify such forward-looking statements. The Company's actual
results, performance or achievements may differ materially from those expressed
or implied by such forward-looking statements.

         RESULTS OF OPERATIONS FOR THE THREE MONTHS ENDED MARCH 31, 2000 AND
MARCH 31, 1999. Total revenue for the three months ended March 31, 2000
increased approximately 5% to $1,041,020 from $992,379 for the three months
ended March 31, 1999. Medical service revenue for the three months ended March
31, 2000 increased approximately 5% to $973,095 from $924,814 for the three
months ended March 31, 1999. The increase resulted from higher volume of
outpatient treatments.

                                        9
<PAGE>

         Total operating expenses during the three months ended March 31, 2000
increased 4% to $948,289 from $912,121 during the three months ended March 31,
1999. Total operating expenses include (i) cost of medical services, (ii)
selling, general and administrative expenses, and (iii) rental expense, as
follows:

         Cost of medical services during the three months ended March 31, 2000
increased 9% to $687,870 from $632,433 during the three months ended March 31,
1999. This increase primarily resulted from the increase in prescribed usage of
medical supplies utilized in the Company's business operations and is in line
with the growth in revenues. Cost of medical services primarily consists of two
(2) categories: (i) Medical services and supplies, and (ii) Outside services.
Medical services and supplies for the three months ended March 31, 2000
increased approximately 10% to $592,542 from $536,750 for the three months ended
March 31, 1999. The increase was primarily due to rising usage of medical
supplies prescribed due to increased outpatient volume, the unexpected 3.9%
increase in the wholesale acquisition price of Epogen on February 24, 2000 and
the leasing of additional equipment in the Company's dialysis facilities.
Outside services for the three months ended March 31, 2000 slightly decreased to
$95,328 from $95,683 during the three months ended March 31, 1999.

         Selling, general and administrative expenses during the three months
ended March 31, 2000 decreased 12% to $209,254 from $237,864 during the three
months ended March 31, 1999.

         Depreciation and amortization during the three months ended March 31,
2000 increased 7% to $32,743 from $30,668 during the three months ended March
31, 1999 as a result of capital leases.

         Rent and other expenses during the three months ended March 31, 2000
increased to $18,422 from $11,156 during the three months ended March 31, 1999.
This increase is primarily due to increase in real estate property taxes.

         Other expenses increased during the three months ended March 31, 2000
to $68,512 from $60,548 during the three months ended March 31, 1999. This
increase in expenses between the respective periods is primarily due to an
increase in interest expense relating to capital lease obligations and notes.

         As a result of the foregoing, the Company generated net income of
$22,619 during the three months ended March 31, 2000, as compared to net income
of $19,710 during the three months ended March 31, 1999. The Company generated
income from operations during the three months ended March 31, 2000 of $92,731,
as compared to income from operations of $80,258 during the three months ended
March 31, 1999. Management believes that the increase of income from operations
is part of a continuing trend, which began during the last six months of 1999
and expects this trend to continue throughout 2000, although there can be no
assurances to that effect. The improvement in income is a result of the
continued growth in the sale of company services while at the same time there is
an actual decrease in company overhead.

         As of December 31, 1999, the Company had net operating loss
carryforwards totaling approximately $5,000,000 and $700,000 for federal and
state income tax purposes, respectively. The Federal net operating loss
carryforwards include $3,700,000 which are limited by IRC Section 382; however,
such annual limitations have not been determined.

         LIQUIDITY AND CAPITAL RESOURCES. The ratio of current assets to current
liabilities decreased to to .59 to 1.00 as of March 31, 2000 from .61 to 1.00 as
of December 31, 1999.

         The Company's cash flow needs for the three months ended March 31, 2000
were primarily provided from operations and existing cash. The Company had a
working capital deficit of approximately $612,200 at March 31, 2000, which
represents an improvement over a deficit of approximately $627,500 at December
31, 1999.

         Cash and cash equivalents were $83,832 as of March 31, 2000, as
compared to $60,814 as of December 31, 1999. During the first quarter, the
Company generated $110,289 from operations, used $75,440 to repay long-term debt
and $11,800 to purchase new equipment. Accounts receivable provided $129,502 in
cash.

                                       10
<PAGE>

         As of March 31, 2000, the Company had aggregate long-term borrowings of
$2,222,876 including a current portion of $350,366. As of December 31, 1999, the
Company had aggregate long-term borrowings of $2,298,316 including a current
portion of $387,528. In February 1999, the Company converted certain accounts
payable into a note with monthly payments of $10,000 plus interest, to be paid
in 22 installments.

         The Company has a note receivable including accrued interest in the
amount of $58,151 from Medipace Medical Group, Inc., an affiliate of two of the
Company's four (4) directors and largest stockholders, bearing interest at the
rate of 8% per annum. In the second quarter of 1999, a lease receivable from
Medipace was entered into which reduced an existing note from the affiliate for
a like amount. The Company received $75,000 in consideration for a lease payable
for the same amount. Both leases are identical in terms. These leases are
classified as capital leases in accordance with Statement of Financial
Accounting Standards No. 13, "Accounting for Leases". For accounting purposes,
the Company has treated this transaction as a financing arrangement. Payments
are due in installments through March 2004. Medipace has been in default on its
payment to the Company since October 1999.

         The Company has two non-interest bearing notes resulting from the sale
of property and equipment to a former affiliate in 1996. The notes, secured by
570,000 shares of the Company's common stock, were due but not paid in February
2000. The notes were further extended through February 2001. The Company has
provided for a valuation allowance of $719,00 against the note. The note has
been recorded as an offset to stockholders' equity.

         The Company's cash flow needs for the three months ended March 31, 2000
were provided from operations and cash on hand. Management believes that as of
March 31, 2000 and for the foreseeable future, the Company will be able to
finance costs of current levels of operations from cash flow generated from
operations.

         The Company's current business plan includes a strategy to expand as a
provider of dialysis services through the development of new dialysis facilities
and the acquisition of additional facilities and other strategically related
health care services in selected markets. The market for such acquisition
prospects is highly competitive and management expects that certain potential
acquirers will have significantly greater capital than the Company.


PART II - OTHER INFORMATION


ITEM 6.   EXHIBITS AND REPORTS ON FORM 8-K

          (a)  Reports on Form 8-K
               -------------------

         The Company filed no report on a Form 8-K during the Quarterly Period
ended March 31, 2000.

          (b)  Exhibit

          27.  Financial Data Schedule

                                       11

<PAGE>


                                   SIGNATURES

         Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, as amended, the Company has duly caused this report to be
signed on its behalf by the undersigned thereunto duly authorized on the dates
indicated.


Dated:  May 12, 2000                  NATIONAL QUALITY CARE, INC.



                                      By: /s/ Victor Gura, M.D.
                                          ---------------------------
                                              Victor Gura, M.D.
                                              Chief Executive Officer

                                       12


<TABLE> <S> <C>

<ARTICLE> 5
<MULTIPLIER> 1

<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                          DEC-31-2000
<PERIOD-START>                             JAN-01-2000
<PERIOD-END>                               MAR-31-2000
<CASH>                                          83,832
<SECURITIES>                                         0
<RECEIVABLES>                                  591,616
<ALLOWANCES>                                         0
<INVENTORY>                                          0
<CURRENT-ASSETS>                               872,786
<PP&E>                                       2,570,594
<DEPRECIATION>                                       0
<TOTAL-ASSETS>                               3,483,555
<CURRENT-LIABILITIES>                        1,485,018
<BONDS>                                              0
                                0
                                          0
<COMMON>                                        98,898
<OTHER-SE>                                      27,129
<TOTAL-LIABILITY-AND-EQUITY>                 3,483,555
<SALES>                                        973,095
<TOTAL-REVENUES>                             1,041,020
<CGS>                                          687,870
<TOTAL-COSTS>                                  948,289
<OTHER-EXPENSES>                                     0
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                              68,268
<INCOME-PRETAX>                                 24,219
<INCOME-TAX>                                     1,600
<INCOME-CONTINUING>                             22,619
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                    22,619
<EPS-BASIC>                                          0
<EPS-DILUTED>                                        0


</TABLE>


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