PHYSICIAN SUPPORT SYSTEMS INC
10-Q, 1996-05-15
COMPUTER PROCESSING & DATA PREPARATION
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                UNITED STATES SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C.   20549
                                    FORM 10-Q


(X)  Quarterly Report Pursuant to Section 13 or 15(d) of the Securities Exchange
     Act of 1934

     For the Quarterly Period Ended   March 31, 1996

                                       or

( )  Transition  Report  Pursuant  to  Section  13 or  15(d)  of the  Securities
     Exchange Act of 1934


               For the transition period from_________to__________



                       Commission File Number 33-80731


                       PHYSICIAN SUPPORT SYSTEMS, INC.
             ______________________________________________________
             (Exact name of registrant as specified in its charter)


                  Delaware                       13-3624081
       ____________________________          __________________ 
       (State or other jurisdiction           (I.R.S. Employer
            of incorporation or              Identification No.)
               organization)

                 ROUTE 230 AND EBY-CHIQUES ROAD
                    MT. JOY, PENNSYLVANIA                       17552
      ___________________________________________________________________
     (Address of principal executive offices)                 (Zip Code)

                                 (717) 653-5340
                                 ______________
               Registrant's telephone number, including area code


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

                     Yes  X     No
                        _____     ______

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

 Common Stock, par value $.001 per share                  6,265,000 Shares
 _______________________________________              _______________________
                Class                                      Outstanding at
                                                            May 10, 1996




<PAGE>
<PAGE>

                          PHYSICIAN SUPPORT SYSTEMS, INC.


                                      INDEX

<TABLE>
<CAPTION>
                                                               Page No.
                                                               --------
PART I.   FINANCIAL INFORMATION

  Item 1.  Financial Statements

<S>                                                           <C>
                  Condensed Consolidated Balance Sheets -
                       March 31, 1996 and December 31, 1995        2

                  Condensed Consolidated Statements of
                       Operations - Three Months Ended
                       March 31, 1996 and 1995                     3

                  Condensed Consolidated Statements of Cash 
                       Flows -- Three Months Ended 
                       March 31, 1996 and 1995                     4

                  Notes to Condensed Consolidated 
                       Financial Statements                        5

  Item 2.   Management's Discussion and Analysis of
                   Financial Condition and Results of
                   Operations                                      6

PART II.       OTHER INFORMATION

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

Signature                                                          9

Index of Exhibits
</TABLE>

                                        1

 


<PAGE>
<PAGE>



Part I. Financial Information
Item 1. Financial Statements

                PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES
                      CONDENSED CONSOLIDATED BALANCE SHEETS
 
<TABLE>
<CAPTION>
                                                                           
                                                                    
                                                                        
                                                                      MARCH 31,      DECEMBER 31,
                                                                        1996            1995 
                                                                    ------------    -----------
                                                                     (UNAUDITED)
<S>                                                                 <C>             <C>        
                             ASSETS
Current assets:
     Cash and cash equivalents...................................   $ 20,157,363    $   394,405
     Accounts receivable ........................................      2,730,158      3,993,408
     Accounts receivable -- unbilled.............................      5,520,131      3,847,616
     Prepaid expenses and other current assets...................        771,059        419,921
     Deferred income taxes.......................................        --             388,293
                                                                    ------------    -----------
          Total current assets...................................     29,178,711      9,043,643
Property and equipment -- net....................................      2,517,946      2,414,882
Intangible assets -- net.........................................     22,616,581     11,965,026
Other assets.....................................................         74,455         68,147
                                                                    ------------    -----------
          Total..................................................   $ 54,387,693    $23,491,698
                                                                    ------------    -----------
                                                                    ------------    -----------
        LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIENCY)
Current liabilities:
     Accounts payable............................................   $    590,013    $   442,172
     Accrued expenses............................................      5,921,556      4,856,346
     Short-term borrowings.......................................        --             500,000
     Current portion of long-term debt...........................        --           2,099,167
     Current portion of other long-term liabilities..............        520,203        603,782
     Deferred income taxes.......................................         38,767        --     
                                                                    ------------    -----------
          Total current liabilities..............................      7,070,539      8,501,467
                                                                    ------------    -----------
Long-term debt...................................................      5,500,000     13,830,763
                                                                    ------------    -----------
Other long-term liabilities......................................      1,286,677      1,158,237
                                                                    ------------    -----------
Deferred income taxes............................................        911,947        911,947
                                                                    ------------    -----------
Commitments and contingencies
Redeemable preferred stock:
     Par value $.01 per share: authorized 10,000 shares; 10%
       Preferred Stock, Series A and B, stated value $500 per
       share, outstanding 2,932.032 shares of each
       series at December 31, 1995...............................         --          2,932,032
                                                                    ------------    -----------
Stockholders' equity (deficiency):
     Preferred stock, par value $.01 per share: authorized
       10,000,000 shares; none outstanding
     Common stock, par value $.001 per share:
       authorized 100,000,000 shares; outstanding 6,265,000 and
       2,240,000 shares at March 31, 1996 and December 31, 1995
       respectively..............................................          6,265          2,240 
     Additional paid-in capital..................................     43,677,952        125,760 
     Accumulated deficit.........................................     (4,065,687)    (3,970,748)
                                                                    ------------    ----------- 
                                                                      39,618,530     (3,842,748)
                                                                    ------------    ----------- 
          Total..................................................   $ 54,387,693    $23,491,698 
                                                                    ------------    ----------- 
                                                                    ------------    ----------- 
</TABLE>
 
         See notes to condensed consolidated financial statements.
 
                                       2
 
<PAGE>
<PAGE>
               PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES
                CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
 
<TABLE>
<CAPTION>
                                                                       THREE MONTHS ENDED MARCH 31,
                                                                      ----------------------------
                                                                           1996          1995
                                                                       -----------   -----------
                                                                       (UNAUDITED)   (UNAUDITED)      
<S>                                                                    <C>           <C>
Revenue..............................................................  $ 6,399,412   $ 4,559,882
                                                                       -----------   -----------
Operating expenses:
     Salaries and wages..............................................    3,325,326     2,393,069
     General and administrative......................................    2,217,810     1,678,023
     Depreciation and amortization...................................      961,007       840,810
                                                                       -----------   -----------
          Total operating expenses...................................    6,504,143     4,911,902
                                                                       -----------   -----------
Income (loss) from operations........................................     (104,731)     (352,020)
                                                                       -----------   -----------
Other (income) expense:
     Interest income.................................................     (136,477)       (1,561)
     Interest expense................................................      146,364       369,118
                                                                       -----------   -----------
          Total other (income) expense...............................        9,887       367,557
                                                                       -----------   -----------
Income (loss) before income taxes (benefit)..........................     (114,618)     (719,577)
Income taxes (benefit)...............................................      (56,000)     (157,194)
                                                                       -----------   -----------
Net income (loss)....................................................      (58,618)     (562,383)
Preferred stock dividends............................................      (36,320)      (64,872)
                                                                       -----------   -----------
Net income (loss) applicable to common stock.........................     $(94,938)    $(627,255)
                                                                       -----------   -----------
                                                                       -----------   -----------
Net income (loss) per share..........................................       $(0.02)       $(0.28)
                                                                       -----------   -----------
                                                                       -----------   -----------
Weighted average shares outstanding..................................    4,398,012     2,240,000
                                                                       -----------   -----------
                                                                       -----------   -----------
</TABLE>
 
         See notes to condensed consolidated financial statements.
 
                                       3
 
<PAGE>
 
<PAGE>
               PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES
               CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
<TABLE>
<CAPTION>
                                                                       THREE MONTHS ENDED MARCH 31,
                                                                     -------------------------------
                                                                          1996           1995
                                                                       -----------    -----------
                                                                       (UNAUDITED)    (UNAUDITED)
<S>                                                                    <C>            <C>
Cash flows from operating activities:
     Net income (loss)..............................................   $  (58,618)     $  (562,383)
     Adjustments to reconcile net income (loss) to net cash provided
       by (used in) operating activities:
          Depreciation and amortization.............................      961,007          840,810
          Deferred income taxes.....................................      (56,000)        (153,227)
          Other long-term liabilities...............................      (83,660)        (412,285)
          Changes in operating assets and liabilities:
               Accounts receivable..................................    1,906,185         (278,961)
               Accounts receivable -- unbilled......................     (263,259)          56,669
               Prepaid expenses, other current assets and other 
                 assets.............................................     (319,637)          85,439
               Accounts payable.....................................       82,205          260,277
               Accrued expenses.....................................   (1,812,008)         138,121
               Deferred purchase price..............................     (166,666)        --
                                                                      ------------     -----------
                    Net cash provided by (used in) operating
                      activities....................................      189,549          (25,540)
                                                                      ------------     -----------
Cash flows from investing activities:

     Acquisitions, net of cash acquired.............................   (9,953,368)        --
     Capital expenditures...........................................      (76,405)        (211,284)
                                                                      ------------    -----------
                    Net cash used in investing activities...........  (10,029,773)        (211,284)
                                                                      ------------    -----------
Cash flows from financing activities:
     Net proceeds from sale of common stock.........................   43,556,217         --
     Repayment of short-term borrowings.............................     (500,000)        --
     Principal payments on long-term debt...........................  (10,429,930)        (233,333)
     Principal payments on capital lease obligations................      (54,753)         (65,544)
     Redemption of preferred stock..................................   (2,932,032)        --
     Redeemable preferred stock distributions.......................      (36,320)        --
                                                                      -------------   -----------
                    Net cash provided by (used in)
                      financing activities..........................   29,603,182        (298,877)
                                                                      ------------    -----------
Net increase (decrease) in cash and cash equivalents................   19,762,958        (535,701)
Cash and cash equivalents, beginning of period......................      394,405         878,350
                                                                      ------------    -----------
Cash and cash equivalents, end of period............................  $20,157,363     $   342,649
                                                                      -----------     -----------
                                                                      -----------     -----------
Supplemental investing activity:
     Fair value of assets acquired..................................  $13,850,820     $   --
     Cash acquired..................................................     (193,261)        --
     Liabilities assumed............................................    1,812,541         --
     Deferred purchase price........................................   (1,912,000)        --
                                                                       -----------    -----------
                    Net cash paid for acquisitions..................   $9,953,368     $   --
                                                                       -----------    -----------
                                                                       -----------    -----------
Supplemental disclosure of cash flow information:
     Cash paid for interest.........................................   $  381,509     $   424,020
                                                                       -----------    -----------
                                                                       -----------    -----------
     Capital lease obligations incurred in acquisition of
       equipment....................................................   $   --         $   --     
                                                                       -----------    -----------
                                                                       -----------    -----------
</TABLE>
 
                See notes to condensed consolidated financial statements.

                                             4


<PAGE>
<PAGE>
                PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                   THREE MONTHS ENDED MARCH 31, 1996 AND 1995
 
1. BASIS OF PRESENTATION
 
     The  unaudited condensed consolidated financial statements  included herein
have been prepared by the  Company in  accordance with the rules and regulations
of  the Securities  and Exchange Commission  and consequently do not include all
of   the   disclosures   normally  required  by  generally  accepted  accounting
principles. These unaudited condensed consolidated  financial  statements should
be read in conjunction  with the audited consolidated  financial  statements and
related notes thereto included in the Company's Annual Report on Form 10-K.
 
     The   unaudited  financial   information  contained   herein  reflects  all
adjustments (consisting of only normal recurring accruals) which, in the opinion
of management,  are  necessary  for  a  fair  presentation  of  the  results  of
operations for the three month periods ended March 31, 1996 and 1995.

2. COMMON STOCK
 
     a. Sale of common stock--On  February 12, 1996, the Company authorized  the
issuance of  up to 10,000,000 shares of preferred stock, increased the number of
authorized  shares of common stock  from  5,000 to  100,000,000, changed the par
value of its common stock from $.01 to $.001 per share and effected a 1,400-for-
one stock split. In addition, on February 12, 1996,  the Company  sold 4,025,000
shares  of  common stock for  $12  per  share  in its initial public offering of
common stock.  The  net proceeds  of such offering  of approximately $43,556,000
were  used to repay all outstanding  short  and  long-term  debt  except for the
Spring   acquisition  subordinated  note,  redeem   all  outstanding  shares  of
preferred stock and acquire three businesses (North Coast Health Care Management
Group (which consisted  of three  affiliated companies)  ('NCHC Group'), Medical
Management  Support, Inc. ('MMS') and  Data  Processing  Systems,  Inc.  ('DPS')
(together,  the  'Acquired Businesses')) currently providing business management
services to physicians.

     b. 1996  Stock  Option  Plan--On  February 9, 1996, the Company adopted the
1996 Stock Option Plan (the 'Plan').  A total of 939,750 authorized but unissued
shares of common stock are reserved for issuance under  the  Plan.  All  options
issued under the Plan have  an exercise  price of not less than 100% of the fair
market value of a share of the Company's common stock on the date of  the grant,
vest over five years and must be exercised within ten years from the date of the
grant. Through March 31, 1996, the Company has issued 120,000  options under the
Plan at exercise prices ranging  from $12 to $15 per share.



 
3. BUSINESS COMBINATIONS
 
     On February 15, 1996, the Company  acquired 100 percent of the  outstanding
common  stock  and  substantially  all  of the  assets  and  liabilities  of the
companies  that made up the NCHC Group and  substantially  all of the assets and
liabilities of MMS and DPS. On May 8, 1996, the Company  acquired  substantially
all of the assets and liabilities of PBS Northwest,  Inc. ('PBS'). The aggregate
purchase price of the foregoing  acquisitions was  approximately  $14,650,000 in
cash and deferred payments.  All of these acquisitions  either have been or will
be accounted for under the purchase method of accounting, and, accordingly,  the
net assets acquired either have been or will be recorded at their fair values on
the dates of  acquisition.  Excess  purchase price over fair value of net assets
acquired either has been or will be amortized on the  straight-line  method over
20 years. The unaudited  consolidated results of operations on a pro forma basis
as if the Company had sold  4,025,000  shares of common stock for $12 per share,
repaid short and long-term debt (except for the Spring acquisition  subordinated
note),  redeemed all  outstanding  shares of preferred stock and consummated the
above acquisitions on January 1, 1995 are as follows:

<TABLE>
<CAPTION>

                                                      Three Months Ended March 31,
                                                      ----------------------------
                                                           1996        1995
                                                           ----        ----
<S>                                                    <C>            <C>
Revenue                                                $7,693,000     $6,969,000
                                                       ----------     ----------
                                                       ----------     ----------
Net income (loss)                                      $  169,000     $ (106,000)
                                                       ----------     ----------
                                                       ----------     ----------
Net income (loss) per share                            $     0.03     $   (0.02)
                                                       ----------     ----------
                                                       ----------     ----------
Weighted average shares outstanding                     6,265,000     6,265,000
                                                       ----------     ----------
                                                       ----------     ----------
</TABLE>


4. LONG-TERM DEBT

     On February 15, 1996, the Company repaid all  outstanding short  and  long-
term debt except for the Spring acquisition subordinated note.

     On May 2, 1996,  the Company received a commitment from its bank for a  $15
million line of credit through June 30, 1998.


                                       5

<PAGE>
<PAGE>


ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
        OF OPERATIONS

 
OVERVIEW
 
      The  Company  is  a leading  provider  of business  management services to
hospital-affiliated  physicians.  In   providing  its  clients   with   business
management services,  the Company  manages the billing  process for its clients,
including  preparation  and  follow-up  on  bills  from  physicians  for medical
services provided by such physicians to their patients. The Company is generally
compensated  with a management fee based upon net receipts of its clients.
 
      On February 12, 1996, the Company sold 4,025,000 shares  of  common  stock
for  $12  per  share  in  its  initial  public offering of common stock. The net
proceeds  of  such  offering  of  approximately  $43,556,000 were used to  repay
all  outstanding  short  and  long-term  debt except for the Spring  acquisition
subordinated  note,  redeem  all  outstanding  shares  of  preferred  stock  and
acquire  three  businesses  (North  Coast  Health  Care  Management Group (which
consisted  of  three  affiliated  companies) ('NCHC Group'), Medical  Management
Support,  Inc.  ('MMS')  and  Data  Processing  Systems, Inc. ('DPS') (together,
the  'Acquired  Businesses'))  currently providing business management  services
to physicians. See 'ACQUISITIONS.'

       This Management's  Discussion  and  Analysis  of  Financial Condition and
Results of Operations should  be read in conjunction  with the Company's  latest
annual report on Form 10-K.


ACQUISITIONS

     On February 15, 1996 (effective February 1, 1996), the Company acquired 100
percent of the  outstanding  common stock and  substantially  all the assets and
liabilities of the companies that made up the North Coast Health Care Management
Group  (which  consisted  of three  affiliated  companies)  ('NCHC  Group')  for
approximately $8,000,000 in cash and deferred payments.

     On February 15, 1996, the Company acquired substantially all the assets and
liabilities  of  Medical  Management  Support,  Inc.  ('MMS')  for approximately
$2,500,000 in cash.

     On February 15, 1996, the Company acquired substantially all the assets and
liabilities  of  Data   Processing  Systems,  Inc.  ('DPS')   for  approximately
$1,150,000 in cash and deferred payments.  The  payment of the deferred payments
is subject to DPS' retention of clients.

     On  May 8,  1996,  the  Company  acquired  substantially all the assets and
liabilities of PBS Northwest, Inc. ('PBS') for approximately $3,000,000 in cash.

     Each of the foregoing  acquisitions  was or will be accounted for under the
purchase method of accounting, and, accordingly, the net assets acquired were or
will be  recorded  at  their  fair  values  on the date of  acquisition.  Excess
purchase  price  over  fair  value of net  assets  acquired  is being or will be
amortized on the straight-line method over 20 years.

 
RESULTS OF OPERATIONS
 
     The following table sets forth, for the periods  presented, the percentages
of net revenue represented by certain items reflected in the Company's statement
of operations.

 
 <TABLE>
<CAPTION>
                                                     THREE MONTHS ENDED
                                                --------------------------------
                                                MARCH 31, 1996    MARCH 31, 1995
                                                --------------    --------------
<S>                                              <C>               <C>
Revenues                                             100.0%            100.0%
 
Salaries and wages                                    52.0              52.5
General and administrative expenses                   34.7              36.8
Depreciation and amortization                         15.0              18.4
                                                    ------            ------
Income (loss) from operations                         (1.6)             (7.7)
Interest income                                       (2.1)              --
Interest expense                                       2.3               8.1
                                                    ------            ------
Income (loss) before income taxes (benefit)           (1.8)            (15.8)
Income taxes (benefit)                                (0.9)             (3.5)
                                                    ------            ------
Net income (loss)                                     (0.9)%           (12.3)%
                                                    ------            ------
                                                    ------            ------
</TABLE>
 
Revenues
 
     Revenues  increased approximately 40% from  $4,560,000 for the three months
ended March 31, 1995 to  $6,399,000 for the three  months ended March 31,  1996.
Such  increase resulted from businesses acquired  during the  three months ended
March 31, 1996, and increases in the number of clients served by the Company  in
the  three months ended March 31, 1996  compared to the three months ended March
31, 1995.

 
Salaries and Wages
 
     Salaries and  wages increased  approximately 39%  from $2,393,000  for  the
three months ended March 31, 1995 to $3,325,000 for the three months ended March
31,  1996.  Such increase  resulted  from  businesses  acquired during the three
months  ended  March  31,  1996,  increases in  the  number  of  clients  served
by the Company and increases related to entry into new geographic markets  where
revenues to be realized lag expenses incurred.


                                       6


<PAGE>
<PAGE>

General and Administrative Expenses
 
     General  and  administrative  expenses  increased  approximately  32%  from
$1,678,000 for the three months ended March 31, 1995 to $2,218,000 for the three
months  ended March  31, 1996.  Such increase resulted from  businesses acquired
during the  three  months  ended  March  31,  1996,  increases in the  number of
clients served by the Company and increases related to entry into new geographic
markets where  revenues to be  realized lag expenses incurred.

Depreciation and Amortization

     Depreciation and amortization increased approximately 14% from $841,000 for
the  three months ended  March 31, 1995  to $961,000 for  the three months ended
March 31, 1996. Such increase resulted primarily from businesses acquired during
the three months ended March 31, 1996.
 
Interest Income
 
     Interest  income increased from $2,000 for the three months ended March 31,
1995 to $136,000 for the three months  ended March  31,  1996  as  a  result  of
interest earned  on  excess cash  proceeds  from the  Company's  initial  public
offering of common stock.
 
Interest Expense
 
     Interest  expense decreased approximately  60% from $369,000  for the three
months ended March 31,  1995 to $146,000  for the three  months ended March  31,
1996.  Such decrease resulted from decreased levels of short and  long-term debt
after repayment  of such borrowings from  proceeds  from  the  Company's initial
public offering  of common stock.
 
Income Taxes (Benefit)
 
     The  Company's effective rate for income taxes (benefit) increased from 22%
for the three  months ended March  31, 1995 to  49% for the  three months  ended
March  31, 1996.  Such increase resulted from differing  levels in  each year of
projected annual pretax income or  loss and the effect  on such projected levels
of  items not deductible for federal income tax purposes.
 
Net Loss and Net Loss Per Share
 
     Net  loss and net loss per share  result from the accumulation of the items
described above  and the  increase  in the  weighted  average number  of  shares
outstanding  resulting  from the  Company's  initial public  offering  of common
stock.
 

LIQUIDITY AND CAPITAL RESOURCES
 
     The  Company's   working  capital  and  cash  and  cash   equivalents  were
$22,108,000  and  $20,157,000,  respectively,  at March  31,  1996  compared  to
$542,000 and $394,000,  respectively,  at December 31, 1995.  Such  increases in
working capital and cash and cash equivalents  result primarily from excess cash
proceeds from the Company's initial public offering of common stock. Such excess
proceeds are primarily  invested in  obligations  of the U.S.  Treasury or other
U.S. government agencies or other highly liquid short-term corporate securities.
 
     The Company's total short  and long-term debt  was $5,500,000 at March  31,
1996  compared  to $16,430,000  at  December 31,  1995.  The Company  repaid all
outstanding short and long-term debt except for the Spring subordinated note out
of proceeds  from its initial  public offering  of  common  stock.
 
     On  May 2, 1996, the Company received a  commitment from its bank for a $15
million line of credit through June 30, 1998.
 
     The Company believes anticipated cash  flow from operations, cash and  cash
equivalents  on hand and borrowing capacity from its line of  credit  commitment
are adequate for its anticipated financing needs.


                                       7
 
<PAGE>
<PAGE>


PART II. OTHER INFORMATION
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
 
(a) EXHIBITS
 
<TABLE>
<CAPTION>
              EXHIBIT NUMBER                       DESCRIPTION
              --------------                       -----------
 
            <S>                                    <C>
            10                                     Employment Agreement, dated
                                                   as of February 14, 1996, by
                                                   and between the Company and
                                                   David S. Geller

            27                                     Financial Data Schedule

(b) No current report on form 8-K was filed during the fiscal period to which
    this report relates.

</TABLE>


                                       8

<PAGE>
<PAGE>
                                   SIGNATURES
 
     Pursuant  to  the requirements  of the Securities Exchange Act of 1934,  as
amended, the Registrant has duly caused this report to be signed on  its  behalf
by  the undersigned, thereunto duly authorized,  on May 15, 1996.
 
                                             PHYSICIAN SUPPORT SYSTEMS, INC.
 
                                          By:     /s/ DAVID S. GELLER
                                            ...................................
                                                     DAVID S. GELLER 
                                                  SENIOR VICE PRESIDENT
                                                 CHIEF FINANCIAL OFFICER 

                                              (Duly Authorized Officer and
                                               Principal Financial Officer)


                                       9

<PAGE>
<PAGE>

                               EXHIBIT INDEX
                               

              EXHIBIT NUMBER                       DESCRIPTION
              --------------                       -----------
 
            [S]                                    [C]
            10                                     Employment Agreement, dated
                                                   as of February 14, 1996, by
                                                   and between the Company and
                                                   David S. Geller

            27                                     Financial Data Schedule
 
<PAGE>




<PAGE>
                  EMPLOYMENT  AGREEMENT,  made as of this 14th day of  February,
1996, by and between  Physician  Support Systems,  Inc., a Delaware  corporation
(the "Company"), and David S. Geller ("Executive").

                  The Company desires to employ Executive, and Executive desires
to be employed by the Company, pursuant to the terms and conditions set forth in
this Agreement.

                  Based  upon,  and in  consideration  of, the mutual  covenants
contained in this Agreement, the parties hereto agree as follows:

                  1.  Position  and  Responsibilities.  During  the Term  Period
(defined  below),  Executive  shall  serve  in an  executive  capacity  as  Vice
President-Finance  of the Company (or such other  position as Executive  and the
Company  shall agree  upon).  As Vice  President-  Finance,  Executive  shall be
responsible for performing such functions and undertaking such  responsibilities
as may be  delegated  to him by the  Executive  Vice  President  or the Board of
Directors  of the Company and as are  customarily  associated  with  Executive's
position.  Executive shall carry out his duties in a manner  consistent with the
obligations  imposed on officers of corporations under applicable law. Executive
shall report to and be subject to the direction of the Executive  Vice President
and the Board of Directors of the Company.

                  2. Term of Employment.

                  2.1. Subject to the terms of this Agreement,  Executive agrees
to be employed by the Company  pursuant to the terms of this  Agreement  for the
Term Period.  The "Term  Period"  means a period  commencing on the date of this
Agreement and continuing for a period of two years,  subject to any  termination
under Section 2.2 hereof or any extension under Section 8 hereof.  Expiration of
the Term Period shall not, in and of itself, affect the employment status of the
Executive with the Company.

                  2.2.  Notwithstanding  the  provisions of Sections 2.1 and 2.3
hereof,  the Term Period shall  terminate upon the death of Executive.  Further,
the Company shall have the right,  on written notice to Executive,  to terminate
Executive's  employment with Cause,  such  termination to be effective as of the
date on which notice is given or as of such later date  specified in the notice.
For purposes of this Agreement,  the term "Cause" shall mean: (a) Executive has,
after  repeated  warnings  from the  Executive  Vice  President  or the Board of
Directors  of the Company  specifying  the  alleged  dereliction,  willfully  or
repeatedly  failed or ceased to perform  his duties in any  material  respect as
provided  in this  Agreement  (other than as a result of his  incapacity  due to
illness or injury); (b) any act of fraud,  misrepresentation,  misappropriation,
embezzlement or similar dishonest or wrongful act by Executive;  (c) Executive's
abuse  of  alcohol  or  any  substance  which  materially  interferes  with  the
Executive's  ability  to  perform  services  on  behalf of the  Company;  or (d)
Executive's  conviction  for,  or plea of  guilty  or no  contest  to,  a felony
offense.

<PAGE>
<PAGE>

                  2.3.  The Company and  Executive  agree  that,  following  the
expiration of the Term Period, the employment of Executive by the Company may be
terminated  provided  that at least 90 days' prior  written  notice by the party
terminating such employment shall have been given to the other party.

                  3. Compensation.

                  3.1. The Company shall pay to Executive for the services to be
rendered by  Executive  hereunder  a salary at the rate of  $125,000  per annum,
payable in equal  installments in accordance  with the Company's  normal payroll
practices.  Such salary will increase to the rate of $150,000 per annum when the
Company  consummates  the  acquisition  of one or  more  target  companies  with
aggregate  annual  revenues  of $15  million or more.  Such  calculation  of $15
million  shall be  cumulative  from  February 15, 1996 and excludes the Acquired
Businesses (as defined in the Company's  Registration  Statement No. 33-80731 on
Form S-1 dated February 9, 1996 (the "Registration Statement")).

                  3.2.   The   Company   shall  pay  to   Executive   additional
compensation in the following amounts and at the following times:

                  (a) On the date of this  Agreement,  the Company  shall pay to
         Executive  $20,000 as  reimbursement  for certain expenses and foregone
         compensation with Executive's previous employer;

                  (b) On the first  anniversary  of the date of this  Agreement,
         the Company, in its sole discretion,  shall pay to Executive a bonus of
         up to $35,000; and

                  (c) On the second  anniversary of the date of this  Agreement,
         the Company, in its sole discretion,  shall pay to Executive a bonus of
         up to $50,000.

                  3.3. Executive shall be entitled to participate in and receive
health insurance and such other employee  benefits which may be in effect at any
time during the Term Period and which shall be generally available to management
of the Company.

                  4.  Stock Options.  On the date of this Agreement, the Company
will grant Executive options to purchase 25,000 shares of common  stock  of  the
Company pursuant to the Company's 1996 Stock Option Plan.

                  5. Reimbursement of Out-of-Pocket  Expenses. The Company shall
reimburse Executive for reasonable  out-of-pocket expenses incurred by Executive
directly  related to the  performance  of his duties  under  this  Agreement  in
accordance with the Company's reasonable record-keeping requirements,  including
expenses  associated  with  travel  to and  from  Executive's  home in  Norwalk,
Connecticut,  and the  Company's  offices  in Mt.  Joy,  Pennsylvania,  or other
location beyond the New York metropolitan  region and Executive's  lodging while
working in

                                       -2-

<PAGE>
<PAGE>

the Company's offices in Mt. Joy,  Pennsylvania or other location beyond the New
York metropolitan region.

                  6. Moving Expenses.  The Company may require, or Executive may
decide, to relocate to Mt. Joy,  Pennsylvania,  or other location beyond the New
York  metropolitan  region in order to best fulfill his  responsibilities  under
this  Agreement.  In such  case,  the  Company  shall  reimburse  Executive  for
reasonable  moving expenses to relocate himself and his family to such location,
including, but not limited to, real estate broker's fees and other closing costs
related to the sale of Executive's home in Norwalk, Connecticut.

                  7. Payments in the Event of Termination. In the event the Term
Period shall  terminate  upon the death of Executive  under  Section 2.2 hereof,
Executive's  spouse (or  children,  if spouse is deceased)  shall be entitled to
participate in and receive benefits under Section 3.3 during the one-year period
after  Executive's  death;  provided that  Executive's  spouse (or children,  is
spouse is deceased)  shall  reimburse the Company for the Company's  incremental
expenses incurred in providing such benefits.

                  8.  Change  of  Control.  (a) In the event  that,  at any time
during  the  Term  Period  and  subsequent  to the  first  anniversary  of  this
Agreement,  a Change of Control occurs,  this Agreement may not be terminated by
the Company for a period of one year following  such Change of Control,  and the
end of the Term Period shall be extended for a period of one year following such
Change of Control (subject to the provisions of Section 2.2 of this Agreement).

                  (b) During the Term Period and after a Change of Control,  all
bonus amounts described in Section 3.2 of this Agreement that have not been paid
as of the date of the  Change  of  Control  will  become  fixed and  payable  as
follows:

                  (i)  $35,000  on the  first  anniversary  of the  date of this
         Agreement; and

                  (ii)  $50,000  on the second  anniversary  of the date of this
         Agreement.

      (c) At any time during the Term Period following a Change of Control,  (i)
Executive  cannot be required to assume  responsibilities  under this  Agreement
that are  materially  different from his  responsibilities  before the Change of
Control and (ii) Executive cannot be required, without his consent, to relocate.

      (d) For  purposes of this  Agreement,  "Change of  Control"  means (i) any
event or series of events by which any Person (as defined in  paragraph  9.1) or
"group" (as such term is used in Section 13(d)(3) of the Securities Exchange Act
of 1934,  as amended  (the  "Exchange  Act")) of Persons  (other than any of the
stockholders   of  the  Company   identified   under  the   caption   "Principal
Stockholders" in the  Registration  Statement or their  affiliates)  becomes the
"beneficial  owner" (as such term is defined in Rule 13d-3 of the Exchange  Act)
of more than 50% of the total voting power of the Company's  outstanding capital
stock,  (ii) a sale,  lease,  exchange or other transfer of all or substantially
all of the assets of the Company to any Person (other than

                                       -3-


<PAGE>
<PAGE>

a  wholly  owned  subsidiary  of the  Company)  or  "group"  of  Persons  in one
transaction or series of related transactions or (iii) a merger or consolidation
of the Company with another Person or Persons with the effect that any Person or
"group" of Persons (other than any of the stockholders of the Company identified
in the Registration  Statement or their  affiliates)  holds more than 50% of the
total voting power of the outstanding capital stock of the surviving entity.

                  9. Disclosure of Information.

                  9.1. Except as provided in this Section 9, Executive shall not
disclose any  confidential  or proprietary  information of the Company or of its
subsidiaries  or affiliates to any person,  firm,  corporation,  association  or
other entity (a "Person"), other than the Company, its affiliates, subsidiaries,
officers or employees thereof,  for any reason or purpose whatsoever,  except in
the course of  carrying  out the  responsibilities  of his  position,  nor shall
Executive make use of any such  confidential or proprietary  information for his
own  purpose or for the  benefit of any Person  except the Company of any of its
subsidiaries or affiliates. As used in this Agreement, the term "confidential or
proprietary  information"  means all  information  which is or becomes  known to
Executive and relates to matters such as trade secrets, research and development
activities,  business or financing plans,  acquisition  opportunities,  computer
software, books and records, customer or potential customer lists, vendor lists,
suppliers,  distribution channels,  pricing information and private processes as
they may  exist  from  time to time;  provided  that the term  "confidential  or
proprietary  information"  shall  not  include  information  that is or  becomes
generally  available to the public  (other than as a result of a  disclosure  in
violation  of  this  Agreement  by  Executive  or a  Person  who  received  such
information from Executive).

                  9.2. If  Executive is requested or required by law or judicial
order to disclose any confidential or proprietary  information,  Executive shall
provide the Company with prompt notice of any such request for such  information
or requirement so that the Company may seek an appropriate  protective  order or
waiver  of the  Executive's  compliance  with  the  provisions  of this  clause.
Executive  will not oppose action by, and will  cooperate  with,  the Company to
obtain  an  appropriate  protective  order  or  other  reliable  assurance  that
confidential   treatment  will  be  accorded  the  confidential  or  proprietary
information.

                  9.3.  Executive  shall be bound by the terms of this Section 9
notwithstanding the termination or expiration of the Term Period.

                  10.  Non-Competition  and  Non-Solicitation.  Executive hereby
acknowledges  and  recognizes (i) that,  during the Term Period,  Executive will
come to possess confidential or proprietary  information of the Company and (ii)
the highly  competitive  nature of the business of the Company,  and accordingly
agrees that Executive will not, from and after the date hereof, until (x) in the
case of clause (a) below,  the expiration of the Term Period and (y) in the case
of  clauses  (b),  (c) and (d)  below,  the date  which is two  years  after the
expiration of the Term Period,


                                       -4-


<PAGE>
<PAGE>
                            (a)  directly  or  indirectly  engage  in any of the
                  states of the United States east of the  Mississippi  River or
                  in any other area where the Company or any of its subsidiaries
                  or  affiliates  may be  engaged  or  about  to be  engaged  in
                  business, in any competitive business, whether such engagement
                  shall be as a Representative or otherwise,

                            (b) solicit or attempt to solicit any  Customers  on
                  Executive's own behalf or on behalf of any other Person,

                            (c)   affiliate   with  (as  a   Representative   or
                  otherwise)  any Person that Does Business with a then existing
                  or former  Customer;  provided  that the  foregoing  shall not
                  prohibit an affiliation or affiliations  if, in the aggregate,
                  not more than five  physician  Customers do business with such
                  Person or Persons, or

                            (d) induce  employees  of the  Company or any of its
                  subsidiaries or affiliates to terminate their  employment with
                  the Company.

                  For purposes of this Section 10, (i) "Representative" means an
officer,  director, owner, employee, partner or other agent or participant of or
in any other  Person,  (ii) "Does  Business"  means  providing  medical  billing
services or accounting services to a Customer or otherwise engaging in a type of
business with a Customer which is substantially  similar to the type of business
engaged in by the Company or any  subsidiary  or  affiliate  of the Company with
such  Customer and (iii)  "Customer"  means any Person who was a customer of the
Company or of any  subsidiary or affiliate of the Company at any time during the
Term Period.

                  11. Proprietary Rights. Executive agrees that he will promptly
and fully disclose to the Company (i) all  inventions,  ideas,  trade secrets or
know-how  (whether  patentable  or  copyrightable  or not) made or  conceived by
Executive  (either solely or jointly with others) during the Term Period and for
a period  of six  months  thereafter  and which  shall in any way  relate to the
business  conducted or contemplated to be conducted by the Company or any of its
subsidiaries or affiliates;  and (ii) all tangible work product  (whether in the
nature of developed  ideas,  know-how,  trade  secrets and similar  intellectual
property) and inventions  (whether  patentable or  copyrightable or not) made or
conceived by Executive  (either  solely or jointly with others)  during the Term
Period and for the period of six months  thereafter  which relates in any way to
the business  conducted or contemplated to be conducted by the Company or any of
its subsidiaries or affiliates;  and all such inventions,  ideas,  trade secrets
and know-how shall be and remain the sole and exclusive property of the Company.
At the request of the Company, Executive shall, during the Term Period and for a
period of six  months  thereafter,  without  charge to the  Company,  but at the
expense of the Company,  assist the Company in any  reasonable way to vest in it
title to all such  inventions,  ideas,  trade secrets and know-how and to obtain
any patents,  trademarks or copyrights  thereon in all countries  throughout the
world. In this regard, Executive shall execute and deliver any and all documents
that the Company may reasonably  request,  including  applications  for patents,
copyrights and assignments thereof.


                                       -5-

<PAGE>
<PAGE>

                  12.  Specific  Performance.  In  the  event  of  a  breach  or
threatened  breach by Executive of any of the  provisions of Section 9, 10 or 11
hereof,  the Company  shall be entitled to an injunction  restraining  Executive
from such breach.  Nothing  contained in Section 9, 10 or 11 hereof or elsewhere
in this Agreement  shall be construed as  prohibiting  the Company from pursuing
any other  remedies  available  at law or equity for such  breach or  threatened
breach of  Section  9, 10 or 11  hereof  nor  limiting  the  amount  of  damages
recoverable  in the event of a breach or  threatened  breach by Executive of the
provisions of Section 9, 10 or 11 hereof this Agreement.

                  13.  Assignment.  This Agreement shall inure to the benefit of
and be binding on the Company, its successors and assigns.  This Agreement shall
not be assignable by Executive.

                  14. No Third  Party  Beneficiaries.  This  Agreement  does not
create,  and shall not be construed as creating,  any rights  enforceable by any
person not a party to this Agreement.

                  15.  Notices.  All notices  under this  Agreement  shall be in
writing  and  shall be deemed  to have  been  given at the time  when  mailed by
registered or certified mail, addressed to the address below stated of the party
to which  notice is given,  or to such  changed  address  as such party may have
fixed by notice:

To the Company:  
                          Physician Support Systems, Inc.
                          Route 230 and Eby Chiques Road
                          Mt. Joy, PA 17552 
                          Attention: Hamilton F. Potter III

To Executive:             David S. Geller
                          7 Merrill Road
                          Norwalk, CT 06851

provided,  however, that any notice of change of address shall be effective only
upon receipt.

                  16.  Complete  Agreement;  Amendments.  The  foregoing  is the
entire  agreement of the parties with respect to the subject  matter  hereof and
may not be  amended,  supplemented,  canceled  or  discharged  except by written
instrument executed by both parties hereto.

                  17. Headings. The headings of the sections hereof are inserted
for  convenience  of reference only and shall not be deemed to constitute a part
hereof nor to affect the meaning thereof.

                  18.  GOVERNING  LAW.  THIS  AGREEMENT IS TO BE GOVERNED BY AND
CONSTRUED  IN  ACCORDANCE  WITH THE LAWS OF THE STATE OF  PENNSYLVANIA,  WITHOUT
REGARD TO CONFLICT OF LAWS PRINCIPLES.


                                       -6-


<PAGE>
<PAGE>

                  IN WITNESS  WHEREOF,  the parties  hereto have  executed  this
Agreement as of the date first above written.

                                            PHYSICIAN SUPPORT SYSTEMS, INC.



                                            By:_________________________________
                                               Name:  Hamilton F. Potter III

                                            ____________________________________
                                                          David S. Geller



                                       -7-


<PAGE>
 



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