PHYSICIAN SUPPORT SYSTEMS INC
8-K/A, 1996-07-15
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 8, 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 May 14, 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 PBS  Northwest,
Inc.,  an Oregon corporation ('PBS'),  as of December 31,  1994 and 1995 and for
the two  years then  ended.  These financial  statements  have been  audited  by
Deloitte  &  Touche LLP,  independent  auditors. Also  set  forth below  are the
unaudited financial statements of  PBS 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 and Stockholders of
  PBS NORTHWEST, INC.
 
     We  have audited the accompanying balance  sheets of PBS Northwest, Inc. as
of  December  31,  1995  and  1994,  and  the  related  statements  of   income,
stockholders'  equity, and cash flows for  the years 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 audits.
 
     We conducted  our audits  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 audits provide a reasonable basis for our opinion.
 
     As discussed  in Note  9  to the  financial statements,  substantially  all
assets and liabilities of PBS Northwest, Inc. were sold on May 8, 1996.
 
     In  our opinion, such financial statements  present fairly, in all material
respects, the financial position of PBS Northwest, Inc. as of December 31,  1995
and  1994, and  the results  of its  operations, stockholders'  equity, and cash
flows for the years then ended, in conformity with generally accepted accounting
principles.
 
DELOITTE & TOUCHE LLP
June 27, 1996
Seattle, Washington
 
                                       2
 
<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                                 BALANCE SHEETS
                 DECEMBER 31, 1994 AND 1995, AND MARCH 31, 1996
 
<TABLE>
<CAPTION>
                                                                                   DECEMBER 31,
                                                                               --------------------      MARCH 31,
                                                                                 1994        1995          1996
                                                                               --------    --------    -----------
                                                                                                       (UNAUDITED)
 
<S>                                                                            <C>         <C>         <C>
                                   ASSETS
Current Assets:
     Cash and cash equivalents..............................................   $  --       $  4,477     $ 270,714
     Accounts receivable -- billed..........................................    290,637     304,196       219,559
     Accounts receivable -- unbilled........................................    219,842     269,754       257,384
     Prepaid expenses.......................................................     20,498      17,560        16,354
                                                                               --------    --------    -----------
          Total current assets..............................................    530,977     595,987       764,011
Property and equipment, net.................................................     20,681      13,167        12,631
Other assets................................................................      9,346       2,981         3,033
                                                                               --------    --------    -----------
Total.......................................................................   $561,004    $612,135     $ 779,675
                                                                               --------    --------    -----------
                                                                               --------    --------    -----------
                    LIABILITIES AND STOCKHOLDERS' EQUITY
Current Liabilities:
     Accounts payable.......................................................   $ 18,098    $  9,925     $   8,527
     Accrued liabilities....................................................    105,917     115,377       104,942
                                                                               --------    --------    -----------
          Total current liabilities.........................................    124,015     125,302       113,469
Stockholders' Equity:
     Common stock, $.01 par -- authorized, 1,000,000 shares; issued, 10,000
       shares...............................................................        100         100           100
     Additional paid-in capital.............................................      9,900       9,900         9,900
     Retained earnings......................................................    426,989     476,833       656,206
                                                                               --------    --------    -----------
          Total stockholders' equity........................................    436,989     486,833       666,206
                                                                               --------    --------    -----------
Total.......................................................................   $561,004    $612,135     $ 779,675
                                                                               --------    --------    -----------
                                                                               --------    --------    -----------
</TABLE>
 
                       See notes to financial statements.
 
                                       3
 
<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                              STATEMENTS OF INCOME
                     YEARS ENDED DECEMBER 31, 1994 AND 1995
             AND THREE-MONTH PERIODS ENDED MARCH 31, 1995 AND 1996
 
<TABLE>
<CAPTION>
                                                                      DECEMBER 31,               MARCH 31,
                                                                ------------------------    --------------------
                                                                   1994          1995         1995        1996
                                                                ----------    ----------    --------    --------
                                                                                                (UNAUDITED)
 
<S>                                                             <C>           <C>           <C>         <C>
Revenue......................................................   $2,107,349    $2,113,374    $464,556    $565,281
 
Operating Expenses:
     Salaries and wages......................................    1,168,655     1,086,896     233,314     281,486
     General and administrative..............................      409,062       407,429      88,472      99,243
     General and administrative -- related parties...........       24,000        24,000       6,000       6,000
     Depreciation............................................       28,864         8,883       3,000         536
                                                                ----------    ----------    --------    --------
          Total operating expenses...........................    1,630,581     1,572,208     330,786     387,265
                                                                ----------    ----------    --------    --------
Income from operations.......................................      476,768       586,166     133,770     178,016
 
Other Income:
     Interest income.........................................        6,021        13,661       1,380       1,336
     Other income............................................            5            17                      21
                                                                ----------    ----------    --------    --------
          Total other income.................................        6,026        13,678       1,380       1,357
                                                                ----------    ----------    --------    --------
Net income...................................................   $  482,794       599,844    $135,150     179,373
                                                                ----------                  --------
                                                                ----------                  --------
Unaudited pro forma income tax adjustment....................                    203,947                  60,987
                                                                              ----------                --------
Unaudited pro forma net income...............................                 $  395,897                $118,386
                                                                              ----------                --------
                                                                              ----------                --------
</TABLE>
 
                       See notes to financial statements.
 
                                       4
 
<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                       STATEMENTS OF STOCKHOLDERS' EQUITY
                     YEARS ENDED DECEMBER 31, 1994 AND 1995
                  AND THREE-MONTH PERIOD ENDED MARCH 31, 1996
 
<TABLE>
<CAPTION>
                                                          COMMON STOCK      ADDITIONAL                     TOTAL
                                                        ----------------     PAID-IN      RETAINED     STOCKHOLDERS'
                                                        SHARES    AMOUNT     CAPITAL      EARNINGS        EQUITY
                                                        ------    ------    ----------    ---------    -------------
 
<S>                                                     <C>       <C>       <C>           <C>          <C>
Balance, January 1, 1994.............................   10,000     $100       $9,900      $ 444,195      $ 454,195
     Net income......................................                                       482,794        482,794
     Dividends.......................................                                      (500,000)      (500,000)
                                                        ------    ------    ----------    ---------    -------------
 
Balance, December 31, 1994...........................   10,000      100        9,900        426,989        436,989
     Net income......................................                                       599,844        599,844
     Dividends.......................................                                      (550,000)      (550,000)
                                                        ------    ------    ----------    ---------    -------------
 
Balance, December 31, 1995...........................   10,000      100        9,900        476,833        486,833
     Net income (unaudited)..........................                                       179,373        179,373
                                                        ------    ------    ----------    ---------    -------------
 
Balance, March 31, 1996..............................   10,000     $100       $9,900      $ 656,206      $ 666,206
                                                        ------    ------    ----------    ---------    -------------
                                                        ------    ------    ----------    ---------    -------------
</TABLE>
 
                       See notes to financial statements.
 
                                       5
 
<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                            STATEMENTS OF CASH FLOWS
                    YEARS ENDED DECEMBER 31, 1994 AND 1995,
             AND THREE-MONTH PERIODS ENDED MARCH 31, 1995 AND 1996
 
<TABLE>
<CAPTION>
                                                                       DECEMBER 31,              MARCH 31,
                                                                  ----------------------    --------------------
                                                                    1994         1995         1995        1996
                                                                  ---------    ---------    --------    --------
                                                                                                (UNAUDITED)
 
<S>                                                               <C>          <C>          <C>         <C>
Operating Activities:
     Net income................................................   $ 482,794    $ 599,844    $135,150    $179,373
     Adjustments to reconcile net income to net cash provided
       by operating activities:
          Depreciation.........................................      28,864        8,883       3,000         536
          Cash provided (used) by changes in operating assets
            and liabilities:
               Accounts receivable:
                    Billed.....................................       3,938      (13,559)     88,677      84,637
                    Unbilled...................................       4,158      (49,912)      5,576      12,370
               Prepaid expenses................................     (14,178)       2,939       8,798       1,206
               Other assets....................................      (2,949)       6,365     (58,483)        (52)
               Accounts payable................................      18,098       (8,173)     (6,398)     (1,398)
               Accrued liabilities.............................     (17,974)       9,460     (18,515)    (10,435)
                                                                  ---------    ---------    --------    --------
     Net cash provided by operating activities.................     502,751      555,847     157,805     266,237
Investing Activities:
     Capital expenditures......................................     (19,546)      (1,370)
Financing Activities:
     Dividends paid............................................    (500,000)    (550,000)
                                                                  ---------    ---------    --------    --------
Net increase (decrease) in cash and cash equivalents...........     (16,795)       4,477     157,805     266,237
Cash and Cash Equivalents:
     Beginning of period.......................................      16,795                                4,477
                                                                  ---------    ---------    --------    --------
     End of period.............................................   $  --        $   4,477    $157,805    $270,714
                                                                  ---------    ---------    --------    --------
                                                                  ---------    ---------    --------    --------
</TABLE>
 
                       See notes to financial statements.
 
                                       6

<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                         NOTES TO FINANCIAL STATEMENTS
                    YEARS ENDED DECEMBER 31, 1994 AND 1995,
       AND THREE-MONTH PERIODS ENDED MARCH 31, 1995 AND 1996 (UNAUDITED)
 
NOTE 1. DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
 
DESCRIPTION OF BUSINESS
 
     PBS  Northwest,  Inc. (the  Company or  PBS),  an Oregon  S-Corporation, is
engaged in the  business of providing  accounts receivable management,  billing,
collection,  and  related business  services for  health  care providers  in the
greater Portland metropolitan area  and in Tacoma,  Washington. The Company  was
incorporated in 1992.
 
REVENUE RECOGNITION
 
     For physician billing activities, the Company recognizes client fee revenue
on  the  accrual basis.  Billing revenue  is based  on a  percentage fee  of net
provider collections of receivables from patient and insurance company billings.
Client fees are  calculated at  month end and  billed to  clients the  following
month.
 
     A  portion of  the unbilled  receivable is based  on an  estimate of future
billing revenue from outstanding provider  receivables. The estimated amount  is
calculated  by  multiplying client  fee  percentages times  outstanding provider
accounts receivable  balances,  less  estimated  provider  write-offs  and  less
estimated  costs to collect. This portion of the unbilled receivable estimate is
calculated and adjusted monthly.
 
     In addition to normal billing  activities, the Company provides  accounting
services to several medical practices, and periodically performs special project
and  consulting work. This work is billed to clients based either on actual time
at standard hourly billing rates, or at a fixed fee.
 
ACCOUNTS RECEIVABLE
 
     The  Company  grants  credit  to  its  customers  for  services  performed;
resulting  accounts receivable  are not collateralized.  Accounts receivable are
charged directly against earnings when they are determined to be uncollectible.
 
CASH AND CASH EQUIVALENTS
 
     Cash  and  cash  equivalents  are   cash  and  short-term,  highly   liquid
investments  with maturities of 90 days or  less that are readily convertible to
known amounts of cash and present an insignificant risk of changes in  principal
amount  due to interest  rate fluctuations. Periodically,  the Company maintains
deposits in a  money market account  with a  mutual fund which  are not  covered
under federally insured programs.
 
PROPERTY AND EQUIPMENT
 
     Property  and equipment  are stated  at cost.  Depreciation is  provided by
using the straight-line method over the estimated useful lives of five to  seven
years.
 
INCOME TAXES
 
     As  the Company  is classified as  an S-Corporation, all  taxable income or
loss is included in  the stockholders' individual  tax returns. These  financial
statements  do  not include  a  provision for  income  taxes. In  the  event the
S-election is terminated the Company will be responsible for income taxes at the
corporate level. The unaudited pro  forma income tax adjustment reflects  income
taxes  as  if  the  Company  was a  C  Corporation.  There  were  no significant
differences between taxable income for  financial statement purposes and  income
tax purposes for the years ended December 31, 1994 and 1995, and the three-month
period ended March 31, 1996.
 
                                       7
 
<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)
                    YEARS ENDED DECEMBER 31, 1994 AND 1995,
       AND THREE-MONTH PERIODS ENDED MARCH 31, 1995 AND 1996 (UNAUDITED)
 
USE OF ESTIMATES IN THE PREPARATION OF FINANCIAL STATEMENTS
 
     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
disclosures of contingent assets  and liabilities at the  date of the  financial
statements  and  the  reported  amounts  of  revenues  and  expenses  during the
reporting period. Actual results could differ from those estimates.
 
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.
 
NOTE 2. RELATED PARTY TRANSACTIONS
 
SERVICES AGREEMENTS
 
     The Company pays two  related parties a total  of $2,000 per month;  $1,000
per  month  for  maintenance  of  computer systems,  and  $1,000  per  month for
consulting. There were no accounts payable to related parties at March 31, 1996,
and December 31, 1995 and 1994.
 
LEASE AGREEMENTS
 
     The Company leases office space from a related party at $4,178 per month.
 
NOTE 3. PROPERTY AND EQUIPMENT
 
     Property and equipment consist of the following:
 
<TABLE>
<CAPTION>
                                                                           DECEMBER 31,
                                                         ESTIMATED     --------------------     MARCH 31,
                                                        USEFUL LIFE      1994        1995         1996
                                                        -----------    --------    --------    -----------
                                                                                               (UNAUDITED)
<S>                                                     <C>            <C>         <C>         <C>
Furniture, fixtures, and office equipment............        7         $ 35,936    $ 35,936     $  35,936
Computer equipment...................................        5           65,411      66,780        66,780
                                                                       --------    --------    -----------
                                                                        101,347     102,716       102,716
Less accumulated depreciation and amortization.......                   (80,666)    (89,549)      (90,085)
                                                                       --------    --------    -----------
                                                                       $ 20,681    $ 13,167     $  12,631
                                                                       --------    --------    -----------
                                                                       --------    --------    -----------
</TABLE>
 
NOTE 4. OFFICE LEASES
 
     PBS had  entered  into an  operating  lease  in Portland,  Oregon  with  DP
Associates  (see Note 2) for  the use of space in  an office building. The lease
agreement expired on February 29, 1996, and  was renewed on April 30, 1996.  The
renewed  lease  will expire  March 31,  1998.  Rent expense  is recognized  on a
straight-line basis over the contractual lease term. Rental expense incurred for
this operating  lease  amounted to  $45,600  and  $45,502 for  the  years  ended
December 31, 1995 and 1994, respectively.
 
     PBS  also renewed an operating lease on June 3, 1996, in Tacoma, Washington
with Tacoma Medical Building Associates, a  General Partnership, for the use  of
space  in Jackson Hall at the Tacoma  General Hospital complex at a monthly rate
of  $2,312.  The   lease  will  expire   August  31,  2001.   Rent  expense   is
 
                                       8
 
<PAGE>
<PAGE>
                              PBS NORTHWEST, INC.
                  NOTES TO FINANCIAL STATEMENTS -- (CONTINUED)
                    YEARS ENDED DECEMBER 31, 1994 AND 1995,
       AND THREE-MONTH PERIODS ENDED MARCH 31, 1995 AND 1996 (UNAUDITED)
 
recognized  on a  straight-line basis  over the  contractual lease  term. Rental
expense incurred for this  operating lease amounted to  $27,590 and $27,111  for
the years ended December 31, 1995 and 1994, respectively.
 
NOTE 5. EMPLOYEE BENEFIT PLAN
 
     The  Company has a defined contribution  401(k) plan covering all employees
who, at a  minimum, are 21  years of age,  have worked for  the Company for  one
year, and work 1,000 hours per year. Eligible employees may contribute up to 17%
of  gross pay, subject to statutory limitations. The Company, at its discretion,
matches employee  contributions up  to 3%.  Employer contributions  vest over  a
seven-year  period.  Pension expense  incurred by  the  Company was  $18,950 and
$16,586 for 1995 and 1994, respectively.
 
NOTE 6. MAJOR CUSTOMERS
 
     Customers which  represent 10%  or more  of revenue  for each  year are  as
follows:
 
<TABLE>
<CAPTION>
                                                                  PERCENT OF REVENUE
                                                               ------------------------
CUSTOMER                                                          1994         1995
- -------------------------------------------------------------  -----------  -----------
 
<S>                                                            <C>          <C>
   1.........................................................        11.8%        13.1%
   2.........................................................        13.8         15.5
                                                                    -----        -----
                                                                     25.6%        28.6%
                                                                    -----        -----
                                                                    -----        -----
</TABLE>
 
     Customer  1  may discontinue  its  business relationship  with  the Company
during October 1996, due to a pending merger of that organization.
 
NOTE 7. BUY-SELL AGREEMENT
 
     Through May 8, 1996, the date of  the sale ( see Note 9), the  shareholders
had  a buy-sell agreement providing for the transfer of shares in the event of a
stockholder death or other disposition.  This agreement was cancelled  effective
May 8, 1996.
 
NOTE 8. ACCRUED LIABILITIES
 
     Accrued liabilities consist of the following:
 
<TABLE>
<CAPTION>
                                                                         DECEMBER 31,
                                                                     --------------------     MARCH 31,
                                                                       1994        1995         1996
                                                                     --------    --------    -----------
                                                                                             (UNAUDITED)
 
<S>                                                                  <C>         <C>         <C>
Accrual for compensated absences..................................   $ 86,030    $ 92,080     $  95,674
Accrued pension contribution and other payroll related items......     18,496      22,547         7,442
Other.............................................................      1,391         750         1,826
                                                                     --------    --------    -----------
                                                                     $105,917    $115,377     $ 104,942
                                                                     --------    --------    -----------
                                                                     --------    --------    -----------
</TABLE>
 
     Included  in other  accrued liabilites  as of December  31, 1994  is a bank
overdraft of $96.
 
     Included in the accrual for compensated  absences as of March 31, 1996,  is
an  accrual for  extended sick leave  of approximately $61,000.  This amount was
paid by the  Company prior  to purchase by  Physician Support  Systems, Inc.  as
discussed in Note 9.
 
NOTE 9. SALE OF NET ASSETS
 
     On  May  8, 1996,  the Company  sold  substantially all  of its  assets and
liabilities to a wholly-owned subsidiary of Physician Support Systems, Inc.
 
                                       9

<PAGE>
<PAGE>
ITEM 7. FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND
EXHIBITS. -- (CONTINUED)
 
     (b) Pro Forma Financial Information.
 
     The following unaudited pro forma financial information gives effect to the
acquisition  by Physician Support  Systems, Inc. ('PSS')  of PBS Northwest, Inc.
('PBS'). Such acquisition, which was completed on May 8, 1996, was accounted for
as a purchase. The unaudited pro forma financial statements are derived from the
historical financial statements of PSS and PBS 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 PBS 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,
as well as  the unaudited balance  sheet of PBS  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 PBS 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  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 the Acquired Businesses for the year ended December
31, 1995, and  the audited statement  of operations  of PBS 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  the  Acquired
Businesses  from January 1,  1996 to the effective  dates of their acquisitions,
and the unaudited  statement of  operations of PBS  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
                                                                    SUPPORT
                                                                    SYSTEMS
                                                                      AND            PBS        PRO FORMA
                                                                  SUBSIDIARIES    NORTHWEST    ADJUSTMENTS       PRO FORMA
                                                                  ------------    ---------    -----------       ---------
 
<S>                                                               <C>             <C>          <C>               <C>
                            ASSETS
Cash...........................................................     $ 20,157        $ 271        $(3,300)(a)      $17,128
Accounts receivable -- billed..................................        2,730          220                           2,950
Accounts receivable -- unbilled................................        5,520          257                           5,777
Prepaid expenses and other current assets......................          772           16                             788
                                                                  ------------    ---------                      ---------
     Total current assets......................................       29,179          764                          26,643
                                                                  ------------    ---------                      ---------
Fixed assets, net..............................................        2,518           13                           2,531
Intangible assets, net.........................................       22,617                       2,745(a)        25,362
Other assets...................................................           74            3                              77
                                                                  ------------    ---------    -----------       ---------
                                                                      54,388          780           (555)          54,613
                                                                  ------------    ---------    -----------       ---------
                                                                  ------------    ---------    -----------       ---------
 
                        LIABILITIES AND
                     STOCKHOLDERS' EQUITY
Accounts payable...............................................          590            8                             598
Accrued expenses...............................................        5,922          105                           6,027
Current portion of other long-term liabilities.................          520                                          520
Deferred income taxes..........................................           39                         112(a)           151
                                                                  ------------    ---------                      ---------
     Total current liabilities.................................        7,071          113                           7,296
                                                                  ------------    ---------                      ---------
 
Long-term debt.................................................        5,500                                        5,500
Other long-term liabilities....................................        1,287                                        1,287
Deferred income taxes..........................................          912                                          912
 
Common stock...................................................            6            1             (1)(a)            6
Additional paid-in capital.....................................       43,678           10            (10)(a)       43,678
                                                                                                     656 (a)
                                                                                                    (656)(a)
Retained earnings..............................................       (4,066)         656           (656)(a)       (4,066)
                                                                  ------------    ---------    -----------       ---------
                                                                      39,618          667           (667)          39,618
                                                                  ------------    ---------    -----------       ---------
                                                                    $ 54,388        $ 780        $  (555)         $54,613
                                                                  ------------    ---------    -----------       ---------
                                                                  ------------    ---------    -----------       ---------
</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)(b)                    13,577      1,087
    General and administrative...     6,846       2,499                                      9,345        431
    Depreciation and
      amortization...............     3,378         181          614(c)                      4,173          9        $ 144(c)
                                  ----------   ----------                                 --------   ----------
                                     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(d)         910         14         (165)(e)
    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(f)         962(f)       1,030                     116(f)
                                  ----------   ----------                                 --------   ----------
Net income (loss)................  $ (1,273)     $1,784                                   $  1,022     $  600
                                  ----------   ----------                                 --------   ----------
                                  ----------   ----------                                 --------   ----------
Weighted average shares
  outstanding....................
Net income (loss) per share......
 
<CAPTION>
 
                                   PRO FORMA
                                   ---------
<S>                                <C>
Revenues.........................   $30,401
Operating Expenses:
    Wages and salaries...........    14,664
    General and administrative...     9,776
    Depreciation and
      amortization...............     4,326
                                   ---------
                                     28,766
                                   ---------
Income (loss) from operations....     1,635
Other income (expense)
    Interest.....................       759
    Other........................       (51)
                                   ---------
                                        708
                                   ---------
Income (loss) before income taxes
  (benefit)......................     2,343
Income taxes (benefit)...........     1,146
                                   ---------
Net income (loss)................   $ 1,197
                                   ---------
                                   ---------
Weighted average shares
  outstanding....................  6,265,000(g)
                                   ---------
                                   ---------
Net income (loss) per share......    $0.19
                                     -----
                                     -----
</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 ACQUISITION
                                SUPPORT                                      ADJUSTMENTS
                                SYSTEMS                                ------------------------                  PRO FORMA
                                  AND         ACQUIRED       PBS        ACQUIRED         PBS                     OFFERING
                              SUBSIDIARIES   BUSINESSES   NORTHWEST    BUSINESSES     NORTHWEST     SUBTOTAL    ADJUSTMENTS
                              ------------   ----------   ---------    ----------     ---------     --------    -----------
 
<S>                           <C>            <C>          <C>          <C>            <C>           <C>         <C>
Revenues...................      $6,399         $729        $ 565                                    $7,693
Operating Expenses:
    Wages and salaries.....       3,325          390          281                                     3,996
    General and
      administrative.......       2,218          210          105                                     2,533
    Depreciation and
      amortization.........         961           64            1         $ 50(c)        $36(c)       1,112
                                 ------        -----      ---------                                 --------
                                  6,504          664          387                                     7,641
                                 ------        -----      ---------                                 --------
Income (loss) from
  operations...............        (105)          65          178                                        52
Other income (expense)
    Interest...............        (146)          (1)                                                  (147)       $ 224(d)
    Other..................         136                         1                                       137
                                 ------        -----      ---------                                 --------
                                    (10)          (1)           1                                       (10)
                                 ------        -----      ---------                                 --------
Income (loss) before income
  taxes (benefit)..........        (115)          64          179                                        42
Income taxes (benefit).....         (56)                                     5(f)         57(f)           6           91(f)
                                 ------        -----      ---------                                 --------
Net income (loss)..........      $  (59)        $ 64        $ 179                                    $   36
                                 ------        -----      ---------                                 --------
                                 ------        -----      ---------                                 --------
Weighted average shares
  outstanding..............
Net income (loss) per
  share....................
 
<CAPTION>
 
                             PRO FORMA
                             ---------
<S>                           <C>
Revenues...................   $ 7,693
Operating Expenses:
    Wages and salaries.....     3,996
    General and
      administrative.......     2,533
    Depreciation and
      amortization.........     1,112
                             ---------
                                7,641
                             ---------
Income (loss) from
  operations...............        52
Other income (expense)
    Interest...............        77
    Other..................       137
                             ---------
                                  214
                             ---------
Income (loss) before income
  taxes (benefit)..........       266
Income taxes (benefit).....        97
                             ---------
Net income (loss)..........   $   169
                             ---------
                             ---------
Weighted average shares
  outstanding..............  6,265,000(g)
                             ---------
                             ---------
Net income (loss) per
  share....................    $0.03
                               -----
                               -----
</TABLE>
 
                  See notes to pro forma financial statements.
 
                                       13

<PAGE>
<PAGE>
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                    NOTES TO PRO FORMA FINANCIAL INFORMATION
                                  (UNAUDITED)
 
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>
 
2. UNAUDITED PRO FORMA STATEMENT OF OPERATIONS ADJUSTMENTS
 
     (b) 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.
 
     (c) 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.
 
     (d) 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.
 
     (e) Adjustment  to reduce  interest  income earned  in adjustment(d)  as  a
result of the purchase of PBS.
 
     (f) Adjustment to reflect the income tax effects of the acquisitions.
 
     (g)  The weighted  average shares outstanding  used to  calculate pro forma
earnings per share is 6,265,000 shares, representing the number of shares issued
and outstanding as a result of the offering.
 
                                       14

<PAGE>
<PAGE>
(c) Exhibits.
 
<TABLE>
<C>   <S>                                                                               
 99.  -- Physician Support Systems, Inc., Form 10-Q (File 33-80731) for the quarter ended March 31, 1996
        previously filed and incorporated herein by reference.
</TABLE>
 
                                   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: July 15, 1996.
 
                                                       /S/ DAVID S. GELLER
                                          By  ..................................
                                                      DAVID S. GELLER
                                                   SENIOR VICE PRESIDENT
 
                                       15


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