PHYSICIAN SUPPORT SYSTEMS INC
8-K/A, 1996-08-02
MANAGEMENT SERVICES
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<PAGE>
<PAGE>
________________________________________________________________________________
 
                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
 
                            ------------------------
 
                                AMENDMENT NO. 1
                                       TO
                                    FORM 8-K
 
               CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF
                      THE SECURITIES EXCHANGE ACT OF 1934
 
         DATE OF REPORT (DATE OF EARLIEST EVENT REPORTED): MAY 21, 1996
 
                            ------------------------
 
                        PHYSICIAN SUPPORT SYSTEMS, INC.
             (EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
 
                            ------------------------
 
<TABLE>
<S>                                       <C>                                       <C>
                DELAWARE                                  33-80731                                 13-3624081
      (STATE OR OTHER JURISDICTION                      (COMMISSION                              (IRS EMPLOYER
           OF INCORPORATION)                            FILE NUMBER)                          IDENTIFICATION NO.)
</TABLE>
 
<TABLE>
<S>                                                             <C>
               ROUTE 230 AND EBY-CHIQUES ROAD,
                         MT. JOY, PA                                                        17552
           (ADDRESS OF PRINCIPAL EXECUTIVE OFFICES)                                       (ZIP CODE)
</TABLE>
 
       REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE: (717) 653-5340
 
                                 NOT APPLICABLE
         (FORMER NAME OR FORMER ADDRESS, IF CHANGED SINCE LAST REPORT)
 
________________________________________________________________________________
<PAGE>
<PAGE>
     Physician  Support Systems,  Inc., a  Delaware Corporation  ('PSS'), hereby
amends its Current Report on Form 8-K dated June 4, 1996 as set forth below.
 
ITEM 7. FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS.
 
     (A) FINANCIAL STATEMENTS OF BUSINESSES ACQUIRED.
 
   
     Set forth below are the audited financial statements of ALM, Inc., a Kansas
corporation ('ALM'), as of December  31, 1995 and for  the one year then  ended.
These  financial  statements  have  been  audited  by  Deloitte  &  Touche  LLP,
independent  auditors.  Also  set  forth  below  are  the  unaudited   financial
statements  of ALM as of March 31, 1996 and for the three months ended March 31,
1995 and 1996. These unaudited statements  have been prepared on the same  basis
as  the audited financial statements and,  in the opinion of management, contain
all adjustments necessary for a fair presentation of the financial position  and
results of operations for the periods presented. Operating results for the three
months  ended March 31, 1996 are not  necessarily indicative of the results that
may be expected for the entire year.
    
 
                                       1
 
<PAGE>
<PAGE>
   
                          
INDEPENDENT AUDITORS' REPORT
    
 
   
To the Board of Directors
  PHYSICIAN SUPPORT SYSTEMS, INC.
    
 
   
     We have audited the accompanying balance sheet of ALM, Inc. as of  December
31,  1995, and the related statements of earnings, stockholders' equity and cash
flows for the year then ended. These financial statements are the responsibility
of the Company's  management. Our  responsibility is  to express  an opinion  on
these financial statements based on our audit.
    
 
   
     We  conducted  our audit  in  accordance with  generally  accepted auditing
standards. Those standards require that we plan and perform the audit to  obtain
reasonable assurance about whether the financial statements are free of material
misstatement.  An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also  includes
assessing  the  accounting principles  used  and significant  estimates  made by
management, as well as evaluating the overall financial statement  presentation.
We believe that our audit provides a reasonable basis for our opinion.
    
 
   
     In  our opinion, such financial statements  present fairly, in all material
respects, the financial position of  ALM, Inc. as of  December 31, 1995 and  the
results  of  its operations  and its  cash flows  for  the  year  then  ended in
conformity with generally accepted accounting principles.
    
   
 
    
 
   
DELOITTE & TOUCHE LLP
Kansas City, Missouri
July 8, 1996
    
 
                                       2
 
<PAGE>
<PAGE>
   
                                   ALM, INC.
                                 BALANCE SHEETS
                DECEMBER 31, 1995 AND MARCH 31, 1996 (UNAUDITED)
    
 
   
<TABLE>
<CAPTION>
                                                                                         DECEMBER 31,     MARCH 31,
                                                                                             1995           1996
                                                                                         ------------    -----------
                                                                                                         (UNAUDITED)
 
<S>                                                                                      <C>             <C>
                                        ASSETS
Current assets:
     Cash and cash equivalents........................................................     $112,285       $ 153,245
     Accounts receivable..............................................................      157,812         200,435
     Accounts receivable--unbilled....................................................      356,129         343,579
     Prepaid expenses and other current assets........................................        1,668           4,379
                                                                                         ------------    -----------
          Total current assets........................................................      627,894         701,638
                                                                                         ------------    -----------
Property and Equipment--Net...........................................................       65,215          82,578
                                                                                         ------------    -----------
Total.................................................................................     $693,109       $ 784,216
                                                                                         ------------    -----------
                                                                                         ------------    -----------
                         LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities:
     Accounts payable and accrued expenses............................................     $140,160       $ 150,268
     Accrued profit sharing contribution..............................................       31,699          --
                                                                                         ------------    -----------
          Total current liabilities...................................................      171,859         150,268
                                                                                         ------------    -----------
Commitments
Stockholders' equity:
     Common stock --$1 par value, 30,000 shares authorized, 138 shares issued and
      outstanding.....................................................................          138             138
     Additional paid-in capital.......................................................      178,462         178,462
     Retained earnings................................................................      342,650         455,348
                                                                                         ------------    -----------
          Total stockholders' equity..................................................      521,250         633,948
                                                                                         ------------    -----------
Total liabilities and stockholders' equity............................................     $693,109       $ 784,216
                                                                                         ------------    -----------
                                                                                         ------------    -----------
</TABLE>
    
 
                       See notes to financial statements.
 
                                       3
 
<PAGE>
<PAGE>
<TABLE>
<CAPTION>
   
                                   ALM, INC.
                             STATEMENTS OF EARNINGS
YEAR ENDED DECEMBER 31, 1995 AND THREE MONTHS ENDED MARCH 31, 1995 AND 1996 (UNAUDITED)
    
 
   
                                                                                                  MARCH 31,
                                                                             DECEMBER 31,    --------------------
                                                                                 1995          1995        1996
                                                                             ------------    --------    --------
                                                                                                 (UNAUDITED)
 
<S>                                                                          <C>             <C>         <C>
Revenue...................................................................    $1,978,316     $490,010    $473,493
Operating expenses:
     Salaries and wages...................................................       752,442      179,419     195,802
     General and administrative...........................................       760,628      147,656     164,848
     Depreciation and amortization........................................        56,619       10,102       5,421
                                                                             ------------    --------    --------
          Total operating expenses........................................     1,569,689      337,177     366,071
                                                                             ------------    --------    --------
Income from operations....................................................       408,627      152,833     107,422
                                                                             ------------    --------    --------
Other income:
     Interest income......................................................         4,323          889         698
     Other, net...........................................................        18,128        4,433       4,578
                                                                             ------------    --------    --------
          Total other income..............................................        22,451        5,322       5,276
                                                                             ------------    --------    --------
Net income................................................................       431,078     $158,155     112,698
                                                                                             --------
                                                                                             --------
Unaudited pro forma income tax adjustments................................       164,000                   42,800
                                                                             ------------                --------
Unaudited pro forma net income............................................    $  267,078                 $ 69,898
                                                                             ------------                --------
                                                                             ------------                --------
</TABLE>
    
 
                       See notes to financial statements.
 
                                       4
 
<PAGE>
<PAGE>
   
                                   ALM, INC.
                       STATEMENTS OF STOCKHOLDERS' EQUITY
 YEAR ENDED DECEMBER 31, 1995 AND THREE MONTHS ENDED MARCH 31, 1996 (UNAUDITED)
    
 
   
<TABLE>
<CAPTION>
                                                                           COMMON STOCK
                                                                         ----------------      PAID-IN      RETAINED
                                                                         SHARES    AMOUNT      CAPITAL      EARNINGS
                                                                         ------    ------    -----------    --------
                                                                                             (UNAUDITED)
 
<S>                                                                      <C>       <C>       <C>            <C>
Balance, January 1, 1995..............................................     138      $138      $ 178,462     $341,572
     Net income.......................................................                                       431,078
     Dividends........................................................                                      (430,000)
                                                                         ------    ------    -----------    --------
Balance, December 31, 1995............................................     138       138        178,462      342,650
     Net income (unaudited)...........................................                                       112,698
                                                                         ------    ------    -----------    --------
Balance, March 31, 1996 (unaudited)...................................     138      $138      $ 178,462     $455,348
                                                                         ------    ------    -----------    --------
                                                                         ------    ------    -----------    --------
</TABLE>
    
 
                       See notes to financial statements.
 
                                       5
 
<PAGE>
<PAGE>
<TABLE>
<CAPTION>
   
                                   ALM, INC.
                            STATEMENTS OF CASH FLOWS
YEAR ENDED DECEMBER 31, 1995 AND THREE MONTHS ENDED MARCH 31, 1995 AND 1996 (UNAUDITED)
    
 
   
                                                                                                  MARCH 31,
                                                                             DECEMBER 31,    --------------------
                                                                                 1995          1995        1996
                                                                             ------------    --------    --------
                                                                                                 (UNAUDITED)
 
<S>                                                                          <C>             <C>         <C>
Cash flows from operating activities:
     Net income...........................................................     $431,078      $158,155    $112,698
     Adjustments to reconcile net income to net cash provided by operating
       activities:
          Depreciation and amortization...................................       56,619        10,102       5,421
          Changes in operating assets and liabilities:
               Accounts receivable........................................      (21,906)      (42,078)    (42,623)
               Accounts receivable --unbilled.............................      (14,928)      (17,289)     12,550
               Prepaid expenses and other current assets..................        4,655         5,225      (2,711)
               Accounts payable and accrued expenses......................        5,519        21,806      10,108
               Accrued profit sharing contribution........................       31,699                   (31,699)
                                                                             ------------    --------    --------
                    Net cash provided by operating activities.............      492,736       135,921      63,744
Cash flows from investing activities--Purchase of property and equipment..      (17,727)      (15,834)    (22,784)
                                                                             ------------    --------    --------
                    Net cash used in investing activities.................      (17,727)      (15,834)    (22,784)
                                                                             ------------    --------    --------
Cash flows from financing activities--Cash dividends paid.................     (530,000)     (100,000)
                                                                             ------------    --------    --------
                    Net cash used in financing activities.................     (530,000)     (100,000)
                                                                             ------------    --------    --------
Net decrease in cash and cash equivalents.................................      (54,991)       20,087      40,960
Cash and cash equivalents, Beginning of period............................      167,276       167,276     112,285
                                                                             ------------    --------    --------
Cash and cash equivalents, End of period..................................     $112,285      $187,363    $153,245
                                                                             ------------    --------    --------
                                                                             ------------    --------    --------
</TABLE>
    
 
                       See notes to financial statements.
 
                                       6
 
<PAGE>
<PAGE>

   

                                   ALM, INC.
                         NOTES TO FINANCIAL STATEMENTS
       YEAR ENDED DECEMBER 31, 1995 AND THREE MONTHS ENDED MARCH 31, 1995
                             AND 1996 (UNAUDITED)
    


   
1. ORGANIZATION
    
 
   
DESCRIPTION OF THE BUSINESS
    
 
   
     ALM, Inc. (a Kansas  corporation) is engaged in  the business of  providing
accounts  receivable  management, billing,  collection  and related  services to
healthcare providers primarily in the greater Kansas City metropolitan area.
    
 
   
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
    
 
   
USE OF ESTIMATES
    
 
   
     The preparation  of  financial  statements  in  conformity  with  generally
accepted  accounting  principles  requires  management  to  make  estimates  and
assumptions that  affect the  reported  amounts of  assets and  liabilities  and
disclosure  of contingent  assets and liabilities  at the date  of the financial
statements and  the  reported  amounts  of  revenues  and  expenses  during  the
reporting  period.  Significant estimates  include  the Company's  estimation of
unbilled revenue and  related accounts receivable.  Actual results could  differ
from those estimates.
    
 
   
REVENUE RECOGNITION
    
 
   
     The  Company  estimates  fees  that will  be  invoiced  upon  collection of
physician accounts receivable  and recognizes such  revenues when  substantially
all  services  to be  performed  by the  Company  have been  completed. Accounts
receivable -- unbilled represents amounts recognized for services  rendered  but
not yet invoiced and is based on the Company's estimate of the fees that will be
collected  from clients  when patient accounts  are collected.  This estimate is
calculated by applying the Company's management fee percentage to an estimate of
the clients' collections that will be achieved on amounts billed to patients and
their insurers.  The  Company revises  its  estimate of  its  unbilled  accounts
receivable  each month based on its  clients' billing and collection information
for that month. The Company provides for additional costs necessary to  complete
the   collection  process.  Accounts  receivable  primarily  represents  amounts
invoiced to clients.
    
 
   
CASH AND CASH EQUIVALENTS
    
 
   
     The Company  considers  its highly  liquid  investments purchased  with  an
original  maturity  of  three  months  or  less  to  be  cash  equivalents. Cash
equivalents as of December 31, 1995  primarily consist of bank money market  and
savings accounts.
    
 
   
PROPERTY AND EQUIPMENT
    
 
   
     Property  and  equipment  are  stated  at  cost.  Depreciation  is provided
primarily on the straight-line and accelerated methods over the estimated useful
lives of the assets.  Leasehold improvements are amortized  over the shorter  of
the lease term or the estimated useful life of the related asset.
    
 
   
INCOME TAXES
    
 
   
     The  Company has elected to  be treated as an  S Corporation for income tax
purposes. As a result, the Company's earnings or loss for income tax purposes is
included in  the tax  returns of  the individual  shareholders. Accordingly,  no
recognition  has  been  given  to income  taxes  in  the  accompanying financial
statements. Net  earnings  for  financial statement  purposes  may  differ  from
taxable income reportable to shareholders as a result of differences between the
tax  basis  and  financial reporting  basis  of  assets and  liabilities.  As of
December 31, 1995, the primary differences  between the tax basis and  financial
reporting  basis  of  assets and  liabilities  related  to the  cash  to accrual
conversion which  would  include  accounts  receivable  (billed  and  unbilled),
prepaid expenses, accounts payable and accrued expenses.
    
 
                                       7
 
<PAGE>
<PAGE>
                                   ALM, INC.
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)
      YEAR ENDED DECEMBER 31, 1995 AND THREE MONTHS ENDED MARCH 31, 1995
                             AND 1996 (UNAUDITED)
 
   
     The  unaudited pro forma income tax  adjustments reflect income taxes as if
the Company had operated as a C Corporation for income tax purposes.
    
 
   
ADVERTISING COSTS
    
 
   
     Costs incurred related to nondirect  advertising are expensed as  incurred.
Advertising  expense aggregated $49,734 for the year ended December 31, 1995 and
$4,945 (unaudited) and $8,151 (unaudited) for  the three months ended March  31,
1995 and 1996, respectively.
    
 
   
STATEMENT OF CASH FLOWS
    
 
   
     The  Company made no cash payments with respect to interest or income taxes
for the year ended December  31, 1995 and for the  three months ended March  31,
1995 and 1996 (unaudited).
    
 
   
UNAUDITED INTERIM FINANCIAL INFORMATION
    
 
   
     The  interim financial  information as of  and for the  three month periods
ended March  31,  1995  and 1996,  was  prepared  by the  Company  in  a  manner
consistent  with the audited financial statements. The unaudited information, in
management's opinion, reflects all  adjustments that are  of a normal  recurring
nature  and that  are necessary  to present fairly  the results  for the periods
presented. The results of operations for the three month period ended March  31,
1996 are not necessarily indicative of the results to be expected for the entire
year.
    
 
   
3. PROPERTY AND EQUIPMENT
    
 
   
     Property and equipment consists of the following:
    
 
   
<TABLE>
<CAPTION>
                                                                               AMOUNT
                                                                    ----------------------------
                                                     ESTIMATED      DECEMBER 31,     MARCH 31,
                                                    USEFUL LIFE         1995            1996
                                                   -------------    ------------    ------------
                                                                                    (UNAUDITED)
 
<S>                                                <C>              <C>             <C>
Furniture and fixtures..........................      5-10 years      $137,717        $138,217
Equipment.......................................         5 years        34,661          37,208
Computer software...............................       5-7 years       385,786         405,523
Leasehold improvements..........................   Life of lease        16,959          16,959
                                                                    ------------    ------------
                                                                       575,123         597,907
Less accumulated depreciation and
  amortization..................................                       509,908         515,329
                                                                    ------------    ------------
                                                                      $ 65,215        $ 82,578
                                                                    ------------    ------------
                                                                    ------------    ------------
</TABLE>
    
 
   
4. CONCENTRATION OF REVENUES
    
 
   
     For  the  year  ended  December 31,  1995,  three  customers  accounted for
$937,222 or 47.4% of total revenues as follows:
    
 
   
<TABLE>
<CAPTION>
                                                                               AMOUNT      %
                                                                              --------    ----
 
<S>                                                                           <C>         <C>
Customer 1.................................................................   $480,944    24.3%
Customer 2.................................................................    231,448    11.7
Customer 3.................................................................    224,830    11.4
</TABLE>
    
 
                                       8
 
<PAGE>
<PAGE>
                               ALM, INC.
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)
      YEAR ENDED DECEMBER 31, 1995 AND THREE MONTHS ENDED MARCH 31, 1995
                           AND 1996 (UNAUDITED)
 
   
5. EMPLOYEE BENEFIT PLANS
    
 
   
     The Company  sponsors  a  defined  contribution  profit  sharing  plan  for
substantially  all of its employees who have met the one year continuous service
requirement. The contribution  is based  upon a  percentage of  wages earned  as
approved  by the Board of  Directors. The contribution to  the Plan for the year
ended December 31, 1995 aggregated $31,699.
    
 
   
     In addition, the Company  sponsors a defined  contribution 401(k) plan  for
the  benefit  of  its  employees  who  meet  the  one  year  continuous  service
requirement. The Company provides no matching contributions to this plan.
    
 
   
6. LEASE COMMITMENT AND RELATED PARTY TRANSACTIONS
    
 
   
     The Company  leases its  office space  from an  affiliated entity  (through
certain  common ownership).  The lease is  on a month-to-month  basis and rental
expense aggregated $79,476  for the  year ended  December 31,  1995 and  $14,811
(unaudited)  and $19,869 (unaudited)  for the three months  ended March 31, 1995
and 1996, respectively.
    
 
   
     The Company entered into an agreement during 1995 with an affiliated entity
(through  certain  common  ownership)  to  provide  consultative  services.  The
agreement  provides for annual payments of $65,000 for such services and expires
on December 31, 2000. However, the  contract may be terminated without cause  at
either  party's discretion with thirty days  advance written notice. The Company
recorded expense totaling $64,500 related to  this agreement for the year  ended
December  31, 1995 and $16,250 (unaudited) for  the three months ended March 31,
1995 and 1996.
    
 
   
     There were no payables to or receivables from the affiliated entities as of
December 31, 1995 or March 31, 1996 (unaudited) relative to these agreements.
    
 
   
7. DISCLOSURES ABOUT FAIR VALUE OF FINANCIAL INSTRUMENTS
    
 
   
     In accordance with SFAS No. 107, Disclosures About Fair Value of  Financial
Instruments,   the  following  methods  were   used  in  estimating  fair  value
disclosures for significant financial instruments  of the Company. The  carrying
amount  of cash and  cash equivalents, accounts  receivable and accounts payable
approximates fair value because of the short maturity of those instruments.
    
 
   
8. SUBSEQUENT EVENT
    
 
   
     On May  21, 1996,  the stockholders  of ALM,  Inc. sold  substantially  all
assets  and liabilities  of the Company  to Physician Support  Systems, Inc. The
accompanying financial statements  do not  reflect any  of the  effects of  this
subsequent transaction.
    
 
                                       9
<PAGE>
<PAGE>
   
(B) PRO FORMA FINANCIAL INFORMATION.
    
 
   
     The following unaudited pro forma financial information gives effect to the
acquisition  by Physician  Support Systems, Inc.  ('PSS') of  ALM, Inc. ('ALM').
Such acquisition, which was completed  on May 21, 1996,  was accounted for as  a
purchase.  The unaudited  pro forma  financial statements  are derived  from the
historical financial statements of PSS and ALM and estimates and assumptions set
forth below and in the notes to the unaudited pro forma financial statements.
    
 
   
     The unaudited pro forma  balance sheet gives effect  to the acquisition  by
PSS  of ALM as if such acquisition had occurred on March 31, 1996. The unaudited
pro forma balance  sheet also  gives effect  to the  acquisition by  PSS of  PBS
Northwest,  Inc.  ('PBS'),  which was  completed  on  May 8,  1996,  as  if such
acquisition had occurred  on March 31,  1996. Such unaudited  pro forma  balance
sheet  is derived  from the  unaudited consolidated balance  sheet of  PSS as of
March 31, 1996  included in  its Quarterly  Report on  Form 10-Q  for the  three
months  ended  March 31,  1996 which  is incorporated  herein by  reference, the
unaudited balance sheet  of PBS as  of March  31, 1996 included  in its  Current
Report  on Form 8-K dated  May 14, 1996, as amended  by Amendment No. 1 thereto,
which is incorporated herein by reference as well as the unaudited balance sheet
of ALM as of March 31, 1996 included elsewhere in this Form 8-K.
    
 
   
     The unaudited  pro forma  statements of  operations present  unaudited  pro
forma  results of operations for the year  ended December 31, 1995 and the three
months ended March 31, 1996. For purposes of the unaudited pro forma  statements
of  operations, the acquisition by PSS of ALM is included as if such acquisition
had occurred on January 1, 1995. In addition, the unaudited pro forma statements
of operations show separately the results of operations of PBS, of the  Acquired
Businesses   (North  Coast  Health  Care  Management  Group  ('NCHCM'),  Medical
Management Support,  Inc. ('MMS')  and Data  Processing Systems,  Inc.  ('DPS'))
which  were acquired by PSS effective upon  the completion of its initial public
offering of  common  stock on  February  12, 1996  and  also include  pro  forma
adjustments  related  to such  offering. The  unaudited  pro forma  statement of
operations for the  year ended  December 31, 1995  is derived  from the  audited
consolidated statement of operations of PSS for the year ended December 31, 1995
included  in the Company's Annual Report on Form 10-K, the audited and unaudited
statements of operations  of PBS  and of the  Acquired Businesses  for the  year
ended  December 31, 1995, and the audited statement of operations of ALM for the
year ended December 31, 1995 included elsewhere in this Form 8-K. The  unaudited
pro  forma statement of operations for the  three months ended March 31, 1996 is
derived from the unaudited consolidated statement  of operations of PSS for  the
three  months ended March 31, 1996 included in its Quarterly Report on Form 10-Q
for the  three  months ended  March  31, 1996  (which  includes the  results  of
operations  of  the  Acquired  Businesses  from  the  effective  dates  of their
acquisitions by PSS to March 31,  1996), the unaudited statements of  operations
of  PBS, of the Acquired Businesses from  January 1, 1996 to the effective dates
of their acquisitions, and the unaudited statement of operations of ALM for  the
three months ended March 31, 1996 included elsewhere in this Form 8-K.
    
 
   
     Pro  forma  adjustments  are based  upon  preliminary  estimates, available
information and  certain  assumptions  that management  deems  appropriate.  The
unaudited  pro forma financial information  presented herein are not necessarily
indicative of the results  PSS would have obtained  had such events occurred  at
the  beginning of the period,  as assumed, or of the  future results of PSS. The
unaudited pro forma financial information should be read in conjunction with the
financial statements and notes thereto included elsewhere in this prospectus.
    
 
                                       10
 
<PAGE>
<PAGE>
   
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                            PRO FORMA BALANCE SHEET
                                 MARCH 31, 1996
                                  (UNAUDITED)
    
 
   
<TABLE>
<CAPTION>
                                                        HISTORICAL
                                              -------------------------------
                                               PHYSICIAN                             PRO FORMA
                                                SUPPORT                             ADJUSTMENTS
                                              SYSTEMS AND       PBS             --------------------
                                              SUBSIDIARIES   NORTHWEST   ALM      PBS          ALM        PRO FORMA
                                              ------------   ---------   ----   -------      -------      ---------
 
<S>                                           <C>            <C>         <C>    <C>          <C>          <C>
                   ASSETS
Cash........................................    $ 20,157       $ 271     $153   $(3,300)(a)  ($1,500)(b)   $15,781
Accounts receivable--billed.................       2,730         220      200                                3,150
Accounts receivable--unbilled...............       5,520         257      344                                6,121
Prepaid expenses and other current assets...         772          16        4                                  792
                                              ------------   ---------   ----                             ---------
     Total current assets...................      29,179         764      701                               25,844
                                              ------------   ---------   ----                             ---------
Fixed assets, net...........................       2,518          13       83                                2,614
Intangible assets, net......................      22,617                          2,745(a)     1,353(b)     26,715
Other assets................................          74           3                                            77
                                              ------------   ---------   ----   -------      -------      ---------
                                                $ 54,388       $ 780     $784   $  (555)     $  (147)      $55,250
                                              ------------   ---------   ----   -------      -------      ---------
                                              ------------   ---------   ----   -------      -------      ---------
 
    LIABILITIES AND STOCKHOLDERS' EQUITY
Accounts payable............................         590           8                                           598
Accrued expenses............................       5,922         105      150                                6,177
Current portion of other long-term
  liabilities...............................         520                                                       520
Deferred income taxes.......................          39                            112(a)        37(b)        188
                                              ------------   ---------   ----                             ---------
Total current liabilities...................       7,071         113      150                                7,483
                                              ------------   ---------   ----                             ---------
Long-term debt..............................       5,500                                                     5,500
Other long-term liabilities.................       1,287                                         200(b)      1,487
Deferred income taxes.......................         912                                                       912
Common stock................................           6           1        1        (1)(a)       (1)(b)         6
Additional paid-in capital..................      43,678          10      178       (10)(a)     (178)(b)    43,928
                                                                                    656(a)       455(b)
                                                                                   (656)(a)     (455)(b)
                                                                                     --          250(b)
Retained earnings...........................      (4,066)        656      455      (656)(a)     (455)(b)    (4,066)
                                              ------------   ---------   ----   -------      -------      ---------
                                                  39,618         667      634      (667)        (384)       39,868
                                              ------------   ---------   ----   -------      -------      ---------
                                                $ 54,388       $ 780     $784   $  (555)     $  (147)      $55,250
                                              ------------   ---------   ----   -------      -------      ---------
                                              ------------   ---------   ----   -------      -------      ---------
</TABLE>
    
 
                  See notes to pro forma financial statements.
 
                                       11
 
<PAGE>
<PAGE>
   
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                          YEAR ENDED DECEMBER 31, 1995
                                  (UNAUDITED)
    
   
<TABLE>
<CAPTION>
                                          HISTORICAL
                                    -----------------------    PRO FORMA
                                    PHYSICIAN                 ACQUISITION                                 PBS NORTHWEST
                                     SUPPORT                  ADJUSTMENTS                            ------------------------
                                     SYSTEMS                  -----------    PRO FORMA                             PRO FORMA
                                       AND        ACQUIRED     ACQUIRED      OFFERING                             ACQUISITION
                                    SUBSIDIARY   BUSINESSES   BUSINESSES    ADJUSTMENTS   SUBTOTAL   HISTORICAL   ADJUSTMENTS
                                    ----------   ----------   -----------   -----------   --------   ----------   -----------
 
<S>                                 <C>          <C>          <C>           <C>           <C>        <C>          <C>
Revenues..........................   $ 19,584      $8,704                                 $ 28,288     $2,113
Operating Expenses:
    Wages and salaries............      9,661       4,016       $  (100)(c)                 13,577      1,087
    General and administrative          6,846       2,499                                    9,345        431
    Depreciation and
      amortization................      3,378         181           614(d)                   4,173          9        $ 144(d)
                                    ----------   ----------                               --------   ----------
                                       19,885       6,696                                   27,095      1,527
                                    ----------   ----------                               --------   ----------
Income (loss) from operations            (301)      2,008                                    1,193        586
Other income (expense)
    Interest......................     (1,476)        (20)                    $ 2,406(e)       910         14         (165)(f)
    Other.........................          4         (55)                                     (51)
                                    ----------   ----------                               --------   ----------
                                       (1,472)        (75)                                     859         14
                                    ----------   ----------                               --------   ----------
Income (loss) before income taxes
  (benefit).......................     (1,773)      1,933                                    2,052        600
Income taxes (benefit)............       (500)        149         418(g)        962(g)       1,030                     116(g)
                                    ----------   ----------                               --------   ----------
Net income (loss).................   $ (1,273)     $1,784                                 $  1,022     $  600
                                    ----------   ----------                               --------   ----------
                                    ----------   ----------                               --------   ----------
Weighted average shares
  outstanding.....................
Net income (loss) per share.......
 
<CAPTION>
 
                                              ALM
                                    ------------------------
                                                  PRO FORMA
                                                 ACQUISITION
                                    HISTORICAL   ADJUSTMENTS   PRO FORMA
                                    ----------   -----------   ---------
<S>                                 <C>          <C>           <C>
Revenues..........................    $1,978                    $32,379
Operating Expenses:
    Wages and salaries............       752                     15,416
    General and administrative           760                     10,536
    Depreciation and
      amortization................        57           96(d)      4,479
                                    ----------                 ---------
                                       1,569                     30,431
                                    ----------                 ---------
Income (loss) from operations            409                      1,948
Other income (expense)
    Interest......................         4          (75)(f)       688
    Other.........................        18                        (33)
                                    ----------                 ---------
                                          22                        655
                                    ----------                 ---------
Income (loss) before income taxes
  (benefit).......................       431                      2,603
Income taxes (benefit)............                    104(g)      1,250
                                    ----------                 ---------
Net income (loss).................    $  431                    $ 1,353
                                    ----------                 ---------
                                    ----------                 ---------
Weighted average shares
  outstanding.....................                             6,276,628(h)
                                                               ---------
                                                               ---------
Net income (loss) per share.......                                 0.22
                                                                   ----
                                                                   ----
</TABLE>
    
 
                  See notes to pro forma financial statements.
 
                                       12
 
<PAGE>
<PAGE>
   
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                       THREE MONTHS ENDED MARCH 31, 1996
                                  (UNAUDITED)
    
   
<TABLE>
<CAPTION>
                                                               HISTORICAL
                                               ------------------------------------------
                                               PHYSICIAN                                             PRO FORMA
                                                SUPPORT                                       ACQUISITION ADJUSTMENTS
                                                SYSTEMS                                     ---------------------------
                                                  AND        ACQUIRED       PBS             ACQUIRED      PBS               SUB
                                               SUBSIDIARY   BUSINESSES   NORTHWEST   ALM    BUSINESS   NORTHWEST    ALM    TOTAL
                                               ----------   ----------   ---------   ----   --------   ---------    ---    ------
 
<S>                                            <C>          <C>          <C>         <C>    <C>        <C>          <C>    <C>
Revenues.....................................    $6,399        $729        $ 565     $473                                  $8,166
Operating Expenses:
    Wages and salaries.......................     3,325         390          281     196                                    4,192
    General and administrative...............     2,218         210          105     165                                    2,698
    Depreciation and amortization............       961          64            1       5      $ 50(d)     $36(d)    $24(d)  1,141
                                               ----------     -----      ---------   ----                                  ------
                                                  6,504         664          387     366                                    8,031
                                               ----------     -----      ---------   ----                                  ------
Income (loss) from operations................      (105)         65          178     107                                      135
Other income (expense)
    Interest.................................      (146)         (1)                                                         (147)
    Other....................................       136                        1       5                                      142
                                               ----------     -----      ---------   ----                                  ------
                                                    (10)         (1)           1       5                                       (5)
                                               ----------     -----      ---------   ----                                  ------
Income (loss) before income taxes
  (benefit)..................................      (115)         64          179     112                                      130
Income taxes (benefit).......................       (56)                                         5(g)      57(g)    35 (f)     42
                                               ----------     -----      ---------   ----                                  ------
Net income (loss)............................    $  (59)       $ 64        $ 179     $112                                  $   88
                                               ----------     -----      ---------   ----                                  ------
                                               ----------     -----      ---------   ----                                  ------
Weighted average shares outstanding..........
Net income (loss) per share..................
 
<CAPTION>
 
                                                PRO FORMA
                                                OFFERING
                                               ADJUSTMENTS   PRO FORMA
                                               -----------   ----------
<S>                                            <<C>          <C>
Revenues.....................................                $    8,166
Operating Expenses:
    Wages and salaries.......................                     4,192
    General and administrative...............                     2,698
    Depreciation and amortization............                     1,141
                                                             ----------
                                                                  8,031
                                                             ----------
Income (loss) from operations................                       135
Other income (expense)
    Interest.................................     $ 205(e)           58
    Other....................................                       142
                                                             ----------
                                                                    200
                                                             ----------
Income (loss) before income taxes
  (benefit)..................................                       335
Income taxes (benefit).......................        82(g)          124
                                                             ----------
Net income (loss)............................                $      211
                                                             ----------
                                                             ----------
Weighted average shares outstanding..........                 6,276,628(h)
                                                             ----------
                                                             ----------
Net income (loss) per share..................                     $0.03
                                                                  -----
                                                                  -----
</TABLE>
    
 
                  See notes to pro forma financial statements.
 
                                       13
 
<PAGE>
<PAGE>
   
1. UNAUDITED PRO FORMA BALANCE SHEET ADJUSTMENTS
    
 
   
     (a) Adjustment  to  reclassify  undistributed  S  Corporation  earnings  to
additional  paid-in capital and  to reflect the  acquisition of PBS  by PSS. The
purchase price  of  $3,300,000  (including  transaction  fees  of  approximately
$300,000) is allocated as follows:
    
 
   
<TABLE>
<CAPTION>
                                                                                        ($000S)
                                                                                        -------
 
<S>                                                                                     <C>
Current assets.......................................................................   $   764
Fixed assets.........................................................................        13
Other assets.........................................................................         3
Intangible assets....................................................................     2,745
Current liabilities..................................................................      (225)
                                                                                        -------
     Total purchase price............................................................   $ 3,300
                                                                                        -------
                                                                                        -------
</TABLE>
    
 
   
     Intangible assets include the following:
    
 
   
<TABLE>
<CAPTION>
                                                                                        ($000S)
                                                                                        -------
 
<S>                                                                                     <C>
Non-compete agreement................................................................   $   100
Goodwill.............................................................................     2,645
                                                                                        -------
     Total intangible assets.........................................................   $ 2,745
                                                                                        -------
                                                                                        -------
</TABLE>
    
 
   
     Useful lives assigned to intangible assets are as follows:
    
 
   
<TABLE>
<CAPTION>
                                                                              ESTIMATED
                                                                             USEFUL LIFE
                                                                          -----------------
 
<S>                                                                       <C>
Non-compete agreement..................................................   Life of agreement
Goodwill...............................................................       20 years
</TABLE>
    


<PAGE>

<PAGE>


   
     (b)  Adjustment  to  reclassify  undistributed  S  Corporation  earnings to
additional paid-in capital  and to reflect  the acquisition of  ALM by PSS.  The
purchase  price of $1,950,000 (including $1,400,000 of cash and 11,628 shares of
common stock valued at $250,000 paid  at closing and deferred purchase price  of
$200,000  payable under certain circumstances two  years after closing, and also
including transaction fees of approximately $100,000) is allocated as follows:
    
 
   
<TABLE>
<CAPTION>
                                                                                        ($000S)
                                                                                        -------
 
<S>                                                                                     <C>
Current assets.......................................................................   $   701
Fixed assets.........................................................................        83
Intangible assets....................................................................     1,353
Current liabilities..................................................................      (187)
                                                                                        -------
     Total purchase price............................................................   $ 1,950
                                                                                        -------
                                                                                        -------
</TABLE>
    
 
   
     Intangible assets include the following:
    
 
   
<TABLE>
<CAPTION>
                                                                                        ($000S)
                                                                                        -------
 
<S>                                                                                     <C>
Non-compete agreement................................................................   $   100
Goodwill.............................................................................     1,253
                                                                                        -------
     Total intangible assets.........................................................   $ 1,353
                                                                                        -------
                                                                                        -------
</TABLE>
    
 
   
     Useful lives assigned to intangible assets are as follows:
    
 
   
<TABLE>
<CAPTION>
                                                                              ESTIMATED
                                                                             USEFUL LIFE
                                                                          -----------------
 
<S>                                                                       <C>
Non-compete agreement..................................................   Life of agreement
Goodwill...............................................................       20 years
</TABLE>
    
 
   
    
 
                                       14
 
<PAGE>
<PAGE>
   
2. UNAUDITED PRO FORMA STATEMENT OF OPERATIONS ADJUSTMENTS
    
 
   
     (c) Adjustment to reflect the decrease in compensation expense as a  result
of  employment agreements with NCHCM executive officers entered into as a result
of the acquisition by PSS.
    
 
   
     (d) Adjustment to reflect the  increase in amortization expense  associated
with the intangible assets recorded by PSS in purchase accounting related to the
acquisitions.  The goodwill associated with  the acquisitions is being amortized
on a straight line basis over an estimated life of 20 years.
    
 
   
     (e) Adjustment to reflect the decrease in interest expense and increase  in
interest  income associated with the repayment of  long-term debt as a result of
the offering.
    
 
   
     (f) Adjustment  to reduce  interest  income earned  in adjustment(e)  as  a
result of the purchases of PBS and ALM.
    
 
   
     (g) Adjustment to reflect the income tax effects of the acquisitions.
    
 
   
     (h)  The weighted  average shares outstanding  used to  calculate pro forma
earnings per share is 6,276,628 shares, representing the number of shares issued
and outstanding as a result of the offering and the ALM acquisition.
    
 
   
(C) EXHIBITS.
    
 
   
<TABLE>
<CAPTION>
99.1 --      Physician Support Systems, Inc., Form 10-Q (File 33-80731)  for the quarter ended March 31, 1996  previously
             filed and incorporated herein by reference.
 
<S>  <C>     <C>
99.2 --      Physician  Support Systems, Inc. Form 8-K  (File 33-80731) dated May 14, 1996  as amended by Amendment No. 1
             thereto dated July 15, 1996, previously filed and incorporated herein by reference.
</TABLE>
    
 
                                       15
<PAGE>
<PAGE>
                                   SIGNATURES
 
     Pursuant  to the requirements  of the Securities and  Exchange Act of 1934,
the registrant has duly caused this Amendment  No. 1 to its report to be  signed
on its behalf by the undersigned hereunder duly authorized.
 
                                          PHYSICIAN SUPPORT SYSTEMS, INC.
 
   
Dated: August 2, 1996.
    
 
                                                       /S/ DAVID S. GELLER
                                          By  ..................................
                                                      DAVID S. GELLER
                                                   SENIOR VICE PRESIDENT



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