PHYSICIAN SUPPORT SYSTEMS INC
8-K/A, 1996-09-06
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): JUNE 28, 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 July 8, 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  Synergistic
Systems,  Inc., a California  corporation  ('SSI'),  as of December 31, 1994 and
1995 and for the three years ended December 31, 1995. These financial statements
have been audited by Deloitte & Touche LLP, independent auditors. Also set forth
below are the unaudited financial  statements of SSI as of June 28, 1996 and for
the six months ended June 30, 1995 and June 28, 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 six months  ended June 28,  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
  Synergistic Systems, Inc.

We have audited the accompanying balance sheets of Synergistic Systems, Inc.
(the "Company") as of December 31, 1995 and 1994, and the related statements of
income, stockholders' equity, and cash flows for each of the three years in the
period ended December 31, 1995. 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.

In our opinion, such financial statements present fairly, in all material
respects, the financial position of the Company as of December 31, 1995 and
1994, and the results of its operations, and its cash flows for each of the
three years in the period ended December 31, 1995, in conformity with generally
accepted accounting principles.

As discussed in Note 7 to the financial statements, the Company consummated a
merger transaction on June 28, 1996.

DELOITTE & TOUCHE LLP

August 29, 1996
Los Angeles, California

    

<PAGE>
<PAGE>



   



SYNERGISTIC SYSTEMS, INC.

BALANCE SHEETS
DECEMBER 31, 1994 AND 1995, AND JUNE 28, 1996 (UNAUDITED)
- -------------------------------------------------------------------------
<TABLE>
<CAPTION>

                                                               DECEMBER 31,
                                                       ----------------------------    JUNE 28,
ASSETS (NOTES 4, 5)                                        1994           1995           1996
                                                                                     (UNAUDITED)
<S>                                                       <C>            <C>            <C>    
CURRENT ASSETS:
  Cash and cash equivalents                                $ 740,405     $  625,157     $  475,760
  Accounts receivable - billed                             1,530,979      1,501,781      1,867,936
  Accounts receivable - unbilled                           2,161,074      2,272,552      2,430,436
  Prepaid expenses                                           108,306        183,605        214,431
  Other current assets                                         1,913            495
                                                           ---------      ---------      ---------
          Total current assets                             4,542,677      4,583,590      4,988,563

PROPERTY AND EQUIPMENT, Net (Notes 2, 3)                   1,302,628      1,264,114      1,150,102

OTHER ASSETS                                                 102,072         86,390         91,550
                                                           ---------       --------       --------
TOTAL                                                    $ 5,947,377    $ 5,934,094    $ 6,230,215
                                                         ===========    ===========    ===========

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
  Accounts payable                                       $   342,917    $   346,849    $   504,229
  Accrued liabilities                                        882,731        784,459      1,005,240
  Line of credit (Note 4)                                                   100,000
  Current portion of long-term debt (Notes 3, 5)             198,400        244,983        185,000
  Dividends payable                                           60,000         42,000
  Deferred income taxes (Note 6)                             608,925        655,952        655,952
                                                           ---------      ----------      --------
          Total current liabilities                        2,092,973      2,174,243      2,350,421
LONG-TERM DEBT (Notes 3, 5)                                  633,950        628,551        527,746
DEFERRED INCOME TAXES (Note 6)                               138,956         79,225         79,225
DEFERRED CREDIT                                               19,444          7,164          1,024

COMMITMENTS AND CONTINGENCIES (Note 3)

STOCKHOLDERS' EQUITY:
  Common stock, $.10 par - authorized, 2,000,000
    shares; issued, 600,000 shares                            60,000         60,000         60,000
  Additional paid-in capital                                 285,223        285,223        285,223
  Retained earnings                                        2,716,831      2,699,688      2,926,576
                                                         -----------    -----------    -----------
          Total stockholders' equity                       3,062,054      3,044,911      3,271,799
                                                         -----------    -----------    -----------
TOTAL                                                    $ 5,947,377    $ 5,934,094    $ 6,230,215
                                                         ===========    ===========    ===========
</TABLE>
    

See notes to financial statements.

                                        -2-
<PAGE>
<PAGE>

   

SYNERGISTIC SYSTEMS, INC.

STATEMENT OF INCOME FOR THE
YEARS ENDED DECEMBER 31, 1993, 1994 AND 1995
AND THE SIX-MONTH PERIODS ENDED JUNE 30, 1995 AND JUNE 28, 1996 (UNAUDITED)
- -------------------------------------------------------------------------------
<TABLE>
<CAPTION>

                                                             DECEMBER 31,                      
                                              --------------------------------------------     JUNE 30,      JUNE 28,
                                              1993           1994          1995                  1995          1996
                                                                                             (UNAUDITED)   (UNAUDITED)
<S>                                          <C>            <C>            <C>              <C>            <C>          
REVENUE                                       $9,477,258     $9,588,121    $9,830,978       $4,728,725     $5,398,531
OPERATING EXPENSES:
  Salaries and wages                           4,980,501      5,182,386     5,589,783        2,637,517      2,896,536
                                                                                             
  General and administrative                   3,246,214      3,416,548     3,742,340        1,814,793      1,708,667
                                                                                                
  Depreciation and amortization                  415,595        417,227       420,102          215,430        210,979
                                                                                             
  Merger related expenses                                                                                     150,000
                                              ----------     ----------    ----------       ----------     ----------
                            
    
          Total operating expenses             8,642,310      9,016,161     9,752,225        4,667,740      4,966,182
                                              ----------     ----------    ----------       ----------     ----------
INCOME FROM OPERATIONS                           834,948        571,960        78,753           60,985        432,349

INTEREST AND OTHER INCOME (EXPENSE):
  Gain on disposition of property                  2,303
  Interest expense (Notes 4, 5)                  (77,505)       (32,784)      (83,559)         (33,653)       (39,520)
  Interest and other income                       50,661         32,764        46,263           17,923         35,317
                                              ----------     ----------    ----------       ----------     ----------
          Total other income (expense)           (24,541)           (20)      (37,296)         (15,730)        (4,203)
                                              ----------     ----------    ----------       ----------     ----------

INCOME BEFORE TAXES                              810,407        571,940        41,457           45,255        428,146

PROVISION FOR INCOME TAXES (Note 6)              323,000        230,500        16,600           18,102        171,258
                                              ----------     ----------    ----------       ----------     ----------
NET INCOME                                    $  487,407     $  341,440    $   24,857       $   27,153     $  256,888
                                              ==========     ==========    ==========       ==========     ==========
</TABLE>

    

See notes to financial statements.

                                       -3-

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<PAGE>

   

SYNERGISTIC SYSTEMS, INC.

STATEMENT OF STOCKHOLDERS' EQUITY FOR THE
YEARS ENDED DECEMBER 31, 1993, 1994 AND 1995, AND THE SIX-MONTH
PERIOD ENDED JUNE 28, 1996 (UNAUDITED)
- -------------------------------------------------------------------------------
<TABLE>
<CAPTION>

                             COMMON STOCK             ADDITIONAL                   TOTAL
                             -------------------      PAID-IN       RETAINED       STOCKHOLDERS'
                             SHARES       AMOUNT      CAPITAL       EARNINGS       EQUITY
<S>                         <C>          <C>         <C>         <C>            <C>
BALANCE,
  JANUARY 1, 1993            12,000      $60,000     $285,223    $2,007,984     $2,353,207
  Net income                                                        487,407        487,407
  Dividends                                                         (60,000)       (60,000)
                            -------      -------     --------    ----------     ----------
BALANCE,                   
  DECEMBER 31, 1993          12,000       60,000      285,223     2,435,391      2,780,614
  Net income                                                        341,440        341,440
  Dividends                                                         (60,000)       (60,000)
  50 for 1 stock split      588,000
                            -------      -------     --------    ----------     ----------
BALANCE,
  DECEMBER 31, 1994         600,000       60,000      285,223     2,716,831      3,062,054
  Net income                                                         24,857         24,857
  Dividends                                                         (42,000)       (42,000)
                            -------      -------     --------    ----------     ----------
BALANCE,
  DECEMBER 31, 1995         600,000       60,000      285,223     2,699,688      3,044,911
  Net income (unaudited)                                            256,888        256,888
  Dividends (unaudited)                                             (30,000)       (30,000)
                            -------      -------     --------    ----------     ----------
BALANCE,
  JUNE 28, 1996 (Unaudited) 600,000      $60,000     $285,223    $2,926,576     $3,271,799
                            =======      =======     ========    ==========     ==========
</TABLE>

    
See notes to financial statements.


                                      -4-

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<PAGE>

   
SYNERGISTIC SYSTEMS, INC.

STATEMENT OF CASH FLOWS FOR THE
YEARS ENDED DECEMBER 31, 1993, 1994 AND 1995, AND THE SIX-MONTH
PERIODS ENDED JUNE 30, 1995 AND JUNE 28, 1995 (UNAUDITED)
- -------------------------------------------------------------------------------

<TABLE>
<CAPTION>

                                                                             DECEMBER 31,
                                                            -------------------------------------------   JUNE 30,         JUNE 28,
                                                            1993             1994           1995          1995              1996
                                                                                                        (UNAUDITED)     (UNAUDITED)
<S>                                                        <C>             <C>            <C>            <C>             <C>
CASH FLOWS FROM OPERATING ACTIVITIES:
  Net income                                               $ 487,407     $ 341,440      $ 24,857        $  27,153         $ 256,888
Adjustments to reconcile net income to net cash
  provided by (used in) operating activities:
  Depreciation and amortization                              415,595       417,227       420,102          215,430           210,979
  Deferred income taxes                                      (11,319)      (52,333)      (12,704)     
  Add (gain) on disposition of equipment                      (2,303)
    Changes in operating assets and liabilities:
      Accounts receivable:
        Billed                                              (213,427)     (284,753)       29,198         (150,530)         (366,155)
        Unbilled                                            (439,319)      (93,903)     (111,478)         112,732          (157,884)
      Prepaid expenses                                       (68,797)       30,915       (75,299)        (171,421)          (30,826)
      Other current assets                                    (3,425)        1,512         1,418                                495
      Other assets                                            (7,651)       24,414        15,682          (10,753)           (5,160)
      Accounts payable                                       132,407        68,187         3,932           18,304           157,380
      Accrued liabilities                                    217,592       182,735       (98,272)        (151,987)          220,781
      Deferred credit                                        (12,281)      (12,281)      (12,280)          (6,140)           (6,140)
                                                           ---------     ---------      --------        ---------         ---------
        Net cash provided by (used in) operating             494,479       623,160       185,516         (117,212)          280,358

CASH FLOWS FROM INVESTING ACTIVITIES:
  Proceeds from sale of asset                                 15,000
  Purchase of property and equipment                         (90,427)     (450,397)     (130,098)         (98,016)          (98,980)
                                                           ---------     ---------      --------        ---------         ---------
        Net cash used by investing activities                (75,427)     (450,397)     (130,098)         (98,016)          (96,980)

CASH FLOWS FROM FINANCING ACTIVITIES:
  Advance from line of credit                                                            100,000                           (100,000)
  Proceeds from long-term debt                                             392,883
  Principal payments on capital lease obligations           (432,095)     (122,822)      (71,730)         (29,411)          (51,487)
  Principal payments on long-term debt                                     (83,885)     (135,576)         (70,916)         (109,288)
  Dividends paid                                             (60,000)      (60,000)      (60,000)         (60,000)          (72,000)
                                                           ---------     ---------      --------        ---------         ---------
        Net cash provided by (used in) financing            (492,095)      126,176      (170,306)        (160,327)         (332,775)
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS:        (73,043)      298,939      (115,248)        (375,555)         (149,397)
CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD             514,509       441,466       740,405          740,405           625,157
                                                           ---------     ---------      --------        ---------         ---------
CASH AND CASH EQUIVALENTS AT END OF PERIOD                 $ 441,466     $ 740,405      $625,157        $ 364,850         $ 475,760
                                                           =========     =========      ========        =========         =========
</TABLE>

    
See notes to financial statements.
                                                                   (Continued)

                                      -5-

<PAGE>
<PAGE>
   

SYNERGISTIC SYSTEMS, INC.

STATEMENT OF CASH FLOWS FOR THE
YEARS ENDED DECEMBER 31, 1993, 1994 AND 1995, AND THE SIX-MONTH
PERIODS ENDED JUNE 30, 1995 (UNAUDITED) AND JUNE 28, 1996 (UNAUDITED)
- -------------------------------------------------------------------------------

<TABLE>
<CAPTION>

                                                                              DECEMBER 31,
                                                            -----------------------------------------       JUNE 30,       JUNE 28,
                                                                  1993         1994          1995            1995          1996
                                                                                                        (UNAUDITED)  (UNAUDITED)
<S>                                                             <C>           <C>            <C>            <C>          <C>
SUPPLEMENTAL CASH FLOW INFORMATION
  Cash paid for interest                                          $   77,505   $   32,784    $  83,559       $   33,635   $  39,520
                                                                  ==========   ==========    =========       ==========   =========
  Cash paid for taxes                                             $  334,719   $  248,288    $ 161,550       $  125,667   $   -
                                                                  ==========   ==========    =========       ==========   =========
NON CASH INVESTING AND FINANCING ACTIVITIES
  Capital lease obligations                                       $    -       $  344,966    $ 251,490       $            $   -
                                                                  ==========   ==========    =========       ==========   =========

</TABLE>

    
See notes to financial statements.


                                                                   (Concluded)
                                      -6-

<PAGE>
<PAGE>

   

SYNERGISTIC SYSTEMS, INC.

NOTES TO FINANCIAL STATEMENTS
YEARS ENDED DECEMBER 31, 1993, 1994 AND 1995, AND THE
SIX-MONTH PERIODS ENDED JUNE 30, 1995 AND JUNE 28, 1996 (UNAUDITED)
- --------------------------------------------------------------------------------


1.   DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

     DESCRIPTION  OF BUSINESS - Synergistic  Systems,  Inc.  (the  "Company") is
     engaged in the  business  of  providing  accounts  receivable  management,
     billing, collection,  and  related  business  services  for  health  care
     providers primarily  in  the  state  of   California.   The  Company  was
     incorporated in 1984.

     RECLASSIFICATIONS  -  Certain  reclassifications  have  been  made  in  the
     financial statements to conform to the 1995 presentation.

     CASH AND CASH EQUIVALENTS - Cash and cash equivalents consist of
     short-term, highly liquid investments with maturities of 90 days or less at
     date of purchase.

     ACCOUNTS RECEIVABLE - The Company grants credit to its customers for
     services performed; resulting accounts receivable are not collateralized.
     Accounts receivable are charged directly against revenue when they are
     determined to be uncollectible.

     PROPERTY AND EQUIPMENT - Property and equipment are recorded at cost.
     Depreciation of property and equipment is computed by using the
     straight-line method over an estimated useful life of five to seven years.
     Leasehold improvements are amortized over the life of the lease.

     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.

     INCOME TAXES - The Company uses the asset and liability method of
     accounting for income taxes. Deferred income taxes reflect a net effect of
     temporary differences between the carrying values of assets and liabilities
     for financial reporting purposes and the amounts used for income tax
     purposes. Such deferred income tax asset and liability computations are
     based on enacted laws and rates applicable to periods in which the
     differences are expected to reverse.
                                      -7-
    

<PAGE>
<PAGE>

   
     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 may differ from those estimates.

     UNAUDITED INTERIM FINANCIAL INFORMATION - The unaudited interim financial
     information as of and for the six-month period ended June 28, 1996, and for
     the six-month period ended June 30, 1995 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
     six-month period ended June 28, 1996, are not necessarily indicative of the
     results to be expected for the entire year.

     FAIR VALUE INFORMATION - The estimated fair value of financial instruments
     has been determined by the Company using available market information and
     other appropriate valuation methodologies. The carrying amounts of current
     assets and current liabilities is estimated to equal their fair values due
     to the short-term nature of these accounts. The carrying amount of long
     term debt also approximates fair value due to the variable rates of
     interest on such debt.

     CONCENTRATION OF CREDIT RISK - Financial instruments that potentially
     subject the Company to concentrations of credit risk consist of cash and
     cash equivalents and accounts receivable. The Company's cash and cash
     equivalents consist of cash and money market funds invested through a major
     bank. Concentration of credit risk with respect to accounts receivable is
     limited due to the large number of customers composing the Company's
     customer base and their geographical dispersion.

2.   PROPERTY AND EQUIPMENT

     Property and equipment consists of the following:
<TABLE>

<CAPTION>
                                       LIVES         DECEMBER 31,                JUNE 28,
                                       ------------------------------------------------------
                                                      1994          1995         1996
                                                                                 (UNAUDITED)
<S>                                     <C>          <C>           <C>           <C>      
Equipment                               5            $2,215,945    $2,541,445    $2,547,859
Furniture and fixtures                  7               764,827       804,062       894,615
Vehicles                                5                19,779        19,779        19,779
Leasehold improvements                 10               173,769       190,622       190,622
                                                      ---------     ---------       -------
                                                      3,174,320     3,555,908     3,652,875
Less accumulated depreciation and
  amortization                                       (1,871,692)   (2,291,794)   (2,502,773)
                                                     -----------   ----------     ---------
                                                     $1,302,628    $1,264,114    $1,150,102
                                                     ===========   ==========    ==========
</TABLE>

    

                                      -8-


<PAGE>
<PAGE>

   
3.   LEASES

     The Company leases its corporate office facility, located in Chatsworth,
     California under a five year operating lease which commenced September 1,
     1991. On January 1, 1996, the Company and landlord agreed to extend the
     initial term until December 1999. At the end of the extended initial term,
     there is a five-year renewal option. In addition to the monthly rental
     payment, the Company is responsible for its pro rata share of property
     taxes, property insurance and common area maintenance expense. In
     consideration for entering into this lease, the Company received a rental
     concession (three months free rental) a portion of which will be used to
     offset future rent expense. The rental concession is classified on the
     balance sheet as deferred credit. During 1994, the Company leased an office
     located in Palm Springs, California under a two-year operating lease which
     commenced September 1, 1994. During 1995, the Company leased an office
     located in Fresno, California on a month-to-month basis. Total rental
     expense under these leases for the years ending December 31, 1995, 1994 and
     1993 were $612,927, $517,677 and $461,755, respectively. The Company leases
     certain of its computer equipment under capital leases. These lease
     agreements generally provide for a bargain purchase option or transfer of
     title to the Company at the end of the lease term. During 1994, the Company
     exercised its purchase options under certain such leases. During 1995, the
     Company entered into a new capital lease obligation for computer equipment
     which expires September 2000. The following is an analysis of leased
     property (included in property and equipment) under capital leases:

  
                                         DECEMBER 31,       JUNE 28,
                                    -----------------------------------
                                     1994         1995        1996
                                                            (UNAUDITED)

    Computer equipment             $ 344,966     596,455    $ 596,455
    Less accumulated amortization     34,497     128,639      188,284
                                   ---------     -------    ---------
                                  $  310,469   $ 467,816     $408,171
                                  ==========   =========    =========
                                                                    
     Amortization expense from capital leases amounted to $94,142, $34,497 and
     $271,325 for 1995, 1994 and 1993, respectively, and is included in
     depreciation and amortization expense.

     The following is a schedule by year of future minimum lease payments under
     capital and operating leases, together with the present value of the net
     minimum lease payments for capital leases as of December 31, 1995:

        YEAR ENDED                         CAPITAL     OPERATING
        DECEMBER 31,                       LEASES      LEASES

          1996                             $144,309       405,512
          1997                              144,309       425,796
          1998                              144,309       425,796
          1999                              130,670       448,536
          2000                               46,852
                                            -------    ----------
        Total minimum lease payments        610,449    $1,705,640
        Less interest                        97,338    ==========
                                            -------  
        Present value of future 
          minimum lease pay ments          $513,111
                                           ========
    
                                       -9-
<PAGE>
<PAGE>

   

4.   LINE OF CREDIT

     The Company has a line of credit with First Professional Bank in the amount
     of $150,000. Advances under this line of credit bear interest at 1 percent
     over the bank's prime rate (9.5% at December 31, 1995) and are secured by
     accounts receivable, equipment, and an assignment of life insurance on the
     president of the Company.

5.   LONG-TERM DEBT
<TABLE>
<CAPTION>
                                                                       DECEMBER 31,      JUNE 28,
                                                                 ---------------------------------
                                                                 1994        1995         1996
                                                                                         (UNAUDITED)
<S>                                                               <C>        <C>          <C>
      Note payable to First Professional Bank,
       secured by accounts receivable, equipment,
       and guaranteed by the Company's majority 
       stockholders. The note is to be repaid in
       54 monthly installments of $5,000 each 
       beginning in July 1992.  Interest is computed 
       at 1 percent over the bank's prime interest
       rate (9.5% at December 31, 1995) per annum                 $130,000   $ 70,000

      Note payable to NationsBank, secured by various
       equipment, bearing interest at 3.65% over
       the rate of interest for federal funds (9.51% at
       December 31, 1995) per annum.  The note is to be 
       repaid in 60 monthly installments of $2,889 each
       beginning July 1994                                         215,867    171,963     $150,008

      Note payable to NationsBank, secured by various
       equipment, bearing interest at 3.65% over
       the rate of interest for federal funds (9.51% at
       December 31, 1995) per annum.  The note is to be repaid
       in 60 monthly installments of $3,659 each
       beginning December 1994                                     153,132    118,460      101,125
      Equipment under capital leases                               333,351    513,111      461,613
                                                                 ---------   --------      -------
                                                                   832,350    873,534      712,746
      Less current portion                                         198,400    244,983      185,000
                                                                 ---------   --------     --------
                                                                 $ 633,950   $628,551     $527,746
                                                                 =========   ========     ========

The line of credit and notes payable contain certain restrictive covenants. As
of December 31, 1995, the Company was either in compliance with debt covenants
or had obtained waivers for conditions of non-compliance.

</TABLE>
    

                                      -10-


<PAGE>
<PAGE>

   
     Maturities of long-term debt (including equipment under capital leases) as
     of December 31, 1995 for the succeeding five years are as follows:

<TABLE>
<CAPTION>

        YEAR ENDED
        DECEMBER 31,
<S>                                                                             <C>
               1996                                                              $244,983
               1997                                                               203,865
               1998                                                               203,401
               1999                                                               176,210
               2000                                                                45,075
                                                                                ---------
                                                                                 $873,534
                                                                                =========

</TABLE>


6.   INCOME TAXES

     The provision for income taxes is summarized as follows:

<TABLE>
<CAPTION>
                                                                   SIX MONTHS      SIX MONTHS
                                    YEAR ENDED DECEMBER 31,      ENDED JUNE 30,  ENDED JUNE 28,
                        -----------------------------------------------------------------------
                           1993          1994             1995          1995           1996
                                                                   (UNAUDITED)    (UNAUDITED)
<S>                     <C>           <C>             <C>           <C>           <C> 
        Current:
          Federal       $ 282,187     $ 240,698       $  22,969     $  14,952     $ 145,570
          State            52,132        42,135           6,335         3,150        25,688

        Deferred:
          Federal          (9,621)      (44,773)        (10,798)                        -
          State            (1,698)       (7,560)         (1,906)                        -
                        ---------     ---------       ---------     ---------     ---------

        Total           $ 323,000     $ 230,500       $  16,600     $  18,102     $ 171,258
                        =========     =========       =========     =========     =========

</TABLE>

    

                                      -11-

<PAGE>
<PAGE>
   

     Deferred tax assets and liabilities were primarily comprised of:

<TABLE>
<CAPTION>
                                                           DECEMBER 31,        JUNE 28,
                                                     -------------------------------------
                                                         1994        1995        1996
                                                                              (UNAUDITED)
<S>                                                <C>           <C>           <C>
         Deferred Income Tax  Assets
          Accrued vacation                          $ 102,726     $ 97,051      $ 97,051
          Unbilled expenses
                                                      164,242      172,714       172,714
                                                     --------      -------      --------

                                                      266,968     $269,765      $269,765
                                                     --------      --------     --------

        Deferred Income Tax Liabilities
          Unbilled receivables                       (809,554)    (925,717)     (925,717)
          Depreciation                               (138,956)    ( 79,225)      (79,225)
          Cash to accrual conversion                  (66,339)        -             -
                                                   -----------   ----------   ----------
                                                   (1,014,849)  (1,004,942)   (1,004,942)
                                                   -----------  -----------   ----------
        Net Deferred Income Tax Asset (Liability)  $ (747,881)  $ (735,177)    $(735,177)
                                                   ===========  ===========   ==========

</TABLE>

     A reconciliation between the income taxes computed at the Federal statutory
     rate and the provision for income taxes is as follows:

<TABLE>
<CAPTI
                                                                   SIX MONTHS     SIX MONTHS
                                     YEAR ENDED DECEMBER 31,     ENDED JUNE 30, ENDED JUNE 28,
                                  ---------------------------    -------------  --------------
                                  1993        1994      1995          1995           1996
                                                                   (UNAUDITED)    (UNAUDITED)
<S>                               <C>         <C>        <C>           <C>           <C>
        Statutory Federal
          income tax rate          34%         34%       34%           34%            34%
        State income taxes, net
          of net of Federal 
          income benefits           6           6         6             6              6
                                   --          --        --            --             --

        Total                      40%         40%       40%           40%            40%
                                   ==          ==        ==            ==             ==
</TABLE>


7.   SALE OF NET ASSETS

     On June 28, 1996, the Company consummated a transaction whereby a wholly
     owned subsidiary of Physician Support Systems, Inc. ("PSS") merged into
     the Company. In exchange for all of the assets and liabilities of the
     Company, the shareholders of the Company received 945,000 shares of PSS
     common stock.

    

                                      -12-

<PAGE>
<PAGE>

(B) PRO FORMA FINANCIAL INFORMATION.

   

     The following unaudited pro forma financial information gives effect to the
merger by Physician Support Systems, Inc. ('PSS') with Synergistic Systems, Inc.
('SSI') which was completed on June 28, 1996. The SSI  transaction was accounted
for as a pooling of interests and accordingly, all  previously  issued financial
statements  of  PSS  will  be restated to include SSI.  The unaudited  pro forma
financial  information also  gives  effect  to the  acquisitions by PSS of North
Coast  Health  Care Management Group ('NCHCM'), Medical Management Support, Inc.
('MMS') and Data  Processing  Systems,  Inc.  ('DPS') on February 12, 1996,  PBS
Northwest,  Inc. ('PBS') on May 8, 1996 and ALM,  Inc. ('ALM')  on May 21,  1996
(together  the  'Acquired  Businesses'),  all of which  were  accounted  for  as
purchases.  The  unaudited  pro  forma  financial  statements are  derived  from
the  historical  financial  statements  of  PSS, SSI and the Acquired Businesses
including  those  of  PBS  and  ALM included  in PSS' reports  on Form 8-K dated
May  14,  1996,  and  June 4,  1996,  respectively,  in  each case as amended by
Amendment  No. 1  thereto,  which  are  incorporated  herein  by  reference, and
estimates and assumptions  set forth  below and in the  notes to  the  unaudited
pro forma financial statements.

     The unaudited pro forma  statements  of  operations  present  unaudited pro
forma results of operations for the years ended December 31, 1993, 1994 and 1995
and the six months ended June 30, 1996.  For purposes of the unaudited pro forma
statements of operations, the acquisitions by PSS of the Acquired Businesses are
included as if such  acquisitions  had occurred on January 1, 1995. In addition,
the unaudited pro forma statements of operations for the year ended December 31,
1995 and the six  months  ended  June 30,  1996  include  pro forma  adjustments
related to the  Company's  initial  public  offering  of Common  Stock which was
completed on February 12, 1996. The unaudited pro forma statements of operations
for the years ended  December  31,  1993 and 1994 are  derived  from the audited
Consolidated  Statements of operations for the years ended December 31, 1993 and
1994 included in the  Company's  Annual  Report  on Form 10-K for the year ended
December 31, 1995, which is incorporated herein by  reference  and  the  audited
statements  of   operations  of SSI.  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, for the year  ended
December  31, 1995 and the audited and unaudited statements of operations of the
Acquired  Businesses and SSI for the year ended December 31, 1995. The unaudited
pro  forma  statement of  operations for the  six months  ended June 30, 1996 is
derived from the unaudited  consolidated statement of  operations of PSS for the
six months  ended June 30,  1996  included in its Quarterly  Report on Form 10-Q
for the six months ended June 30, 1996  (excluding  merger  costs of  $1,150,000
and restructuring charge of $900,000 related to SSI) (which includes the results
of  operations  of the  Acquired  Businesses  from the  effective dates of their
acquisitions by PSS to June 30, 1996) which is incorporated herein by  reference
and the unaudited  statements  of  operations of the Acquired Businesses and SSI
from January 1, 1996 to the effective dates of their acquisitions.

    

   
     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 Report.
    

 
                                       13
 

<PAGE>
<PAGE>
   
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                          YEAR ENDED DECEMBER 31, 1993
                                  (UNAUDITED)


<TABLE>
<CAPTION>
                                        HISTORICAL
                                    -----------------
                                    PHYSICIAN
                                     SUPPORT
                                     SYSTEMS
                                       AND 
                                    SUBSIDIARY   SSI   PRO FORMA
                                    ----------   ---   ---------
 
<S>                                 <C>         <C>     <C>       
Revenues..........................  $  13,080   $9,477  $22,557
Operating Expenses:
    Wages and salaries............      5,898    4,980   10,878
    General and administrative          4,291    3,246    7,537
    Depreciation and
      amortization................      2,566      416    2,982
                                    ----------  ------  --------  
                                       12,755    8,642   21,397
                                    ----------  ------  --------  
Income (loss) from operations             325      835    1,160
Other income (expense)
    Interest......................     (1,262)     (78)  (1,340)
    Interest and other income
      (expense)...................        (38)      53       15
                                    ----------  ------  --------  
                                       (1,300)     (25)  (1,325)
                                    ----------  ------  -------- 
Income (loss) before income taxes
  (benefit).......................       (975)     810     (165)
Income taxes (benefit)............       (303)     323       20
                                    ----------  ------  -------- 
Net income (loss).................   $   (672)    $487    $(185)
                                    ----------  ------  -------- 
                                    ----------  ------  -------- 
Weighted average shares
  outstanding.....................                     3,185,000(f)
                                                       ---------
                                                       ---------
Net income (loss) per share.......                         (.06)
                                                           -----
                                                           -----

 
</TABLE>

                  See notes to pro forma financial statements.
    
 
                                       14
 
<PAGE>
<PAGE>
   
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                          YEAR ENDED DECEMBER 31, 1994
                                  (UNAUDITED)


<TABLE>
<CAPTION>
                                        HISTORICAL
                                    -----------------
                                    PHYSICIAN
                                     SUPPORT
                                     SYSTEMS
                                       AND 
                                    SUBSIDIARY   SSI   PRO FORMA
                                    ----------   ---   ---------
 
<S>                                 <C>         <C>       <C>       
Revenues..........................   $ 18,773   $9,588     $28,361
Operating Expenses:
    Wages and salaries............      8,866    5,182      14,048
    General and administrative          6,723    3,417      10,140
    Depreciation and
      amortization................      3,349      417       3,766
                                    ----------  -------    --------  
                                       18,938    9,016      27,954
                                    ----------  -------    --------  
Income (loss) from operations            (165)     572         407
Other income (expense)
    Interest......................     (1,526)     (33)     (1,559)
    Interest and other income
      (expense)...................       (186)      33        (153)
                                    ----------  -------    --------  
                                       (1,712)     -        (1,712)
                                    ----------  -------    -------- 
Income (loss) before income taxes
  (benefit).......................     (1,877)     572      (1,305)
Income taxes (benefit)............       (810)     231        (579)
                                    ----------  -------    -------- 
Net income (loss).................    $(1,067)  $  341        (726)
                                    ----------  -------    -------- 
                                    ----------  -------    -------- 
Weighted average shares
  outstanding.....................                        3,185,000(f)
                                                          ---------
                                                          ---------
Net income (loss) per share.......                            (.23)
                                                              -----
                                                              -----

 
</TABLE>

                  See notes to pro forma financial statements.
    
 
                                       15
 
<PAGE>
<PAGE>
   
    
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                          YEAR ENDED DECEMBER 31, 1995
                                  (UNAUDITED)

   

<TABLE>
<CAPTION>
                                          HISTORICAL
                                       -----------------------       PRO FORMA
                                    PHYSICIAN                       ACQUISITION                          
                                     SUPPORT                        ADJUSTMENTS                          
                                     SYSTEMS                        -----------    PRO FORMA             
                                       AND              ACQUIRED     ACQUIRED      OFFERING              
                                    SUBSIDIARY   SSI   BUSINESSES   BUSINESSES    ADJUSTMENTS   PRO FORMA
                                    ----------   ---   ----------   -----------   -----------   ---------
 
<S>                                 <C>         <C>     <C>          <C>           <C>           <C>       
Revenues..........................   $ 19,584   $9,831   $12,795                                $ 42,210  
Operating Expenses:
    Wages and salaries............      9,661    5,590     5,855      $  (100)(a)                 21,006 
    General and administrative          6,846    3,742     3,690                                  14,278  
    Depreciation and
      amortization................      3,378      420       247          854(b)                   4,900  
                                    ----------  ------  ---------                               --------  
                                       19,885    9,752     9,792                                  40,184  
                                    ----------  ------  ---------                               --------  
Income (loss) from operations            (301)      79     3,003                                   2,026  
Other income (expense)
    Interest......................     (1,476)     (59)       (2)                   $ 2,166(c)       633  
    Other.........................          4       22       (37)                                    (15)
                                    ----------  ------  ---------                               --------  
                                       (1,472)     (37)      (39)                                    618 
                                    ----------  ------  ---------                               -------- 
Income (loss) before income taxes
  (benefit).......................     (1,773)      42     2,964                                   2,644 
Income taxes (benefit)............       (500)      17       149        735(d)        866(d)       1,267 
                                    ----------  ------  ---------                               -------- 
Net income (loss).................   $ (1,273)      25   $ 2,815                                $  1,377 
                                    ----------  ------  ---------                               -------- 
                                    ----------  ------  ---------                               -------- 
Weighted average shares
  outstanding.....................                                                             7,221,628(e)
                                                                                               ---------
                                                                                               ---------
Net income (loss) per share.......                                                                 $0.19
                                                                                                   -----
                                                                                                   -----

 
</TABLE>
    

   
     
                  See notes to pro forma financial statements.
 
                                       16
 
 
<PAGE>
<PAGE>

   
                        PHYSICIAN SUPPORT SYSTEMS, INC.
                       PRO FORMA STATEMENT OF OPERATIONS
                         SIX MONTHS ENDED JUNE 30, 1996
                                  (UNAUDITED)

    
   

<TABLE>
<CAPTION>
                                                           HISTORICAL
                                               -------------------------------    PRO FORMA
                                               PHYSICIAN                         ACQUISITION
                                                SUPPORT                          ADJUSTMENTS
                                                SYSTEMS                          -----------     PRO FORMA
                                                  AND                 ACQUIRED     ACQUIRED       OFFERING
                                              SUBSIDIARIES    SSI    BUSINESSES    BUSINESS      ADJUSTMENTS    PRO FORMA
                                              ------------    ---    ----------    --------      -----------    ---------
 
<S>                                            <C>          <C>      <C>              <C>         <C>            <C>
Revenues.....................................   $13,979     $5,410    $2,104                                     $21,493
Operating Expenses:
    Wages and salaries.......................     7,317      2,910     1,082                                      11,309
    General and administrative...............     4,851      1,664       599                                       7,114
    Depreciation and amortization............     1,878        211        29           150(b)                      2,268
    Spring restructuring charge..............     1,600        --        --                                        1,600
                                               ----------   ------     -----                                      ------
                                                 15,646      4,785     1,710                                      22,291
                                               ----------   ------     -----                                      ------
Income (loss) from operations................    (1,667)       625       394                                        (798)
Other income (expense)
    Interest.................................        88        (25)       (1)                           53(c)        115
    Other....................................        --          9         7                                          16
                                               ----------   ------     -----                                      ------
                                                     88        (16)        6                                         131
                                               ----------   ------     -----                                      ------
Income (loss) before income taxes
  (benefit)..................................    (1,579)       609       400                                        (667)
Income taxes (benefit).......................      (309)        --        --           100(d)           35(d)       (174)
                                               ----------   ------     -----                                      ------
Net income (loss)............................   $(1,270)       609       400                                    $   (493)
                                               ----------   ------     -----                                    --------
                                               ----------   ------     -----                                    --------
Weighted average shares outstanding..........                                                                  7,221,628(e)
                                                                                                               ---------
                                                                                                               ---------

Net income (loss) per share..................                                                                    $ (0.01)
                                                                                                                 -------
                                                                                                                 -------
</TABLE>
    
   
    
 
                  See notes to pro forma financial statements.
 
                                       17
 
<PAGE>
<PAGE>
   
    

   
1. UNAUDITED PRO FORMA STATEMENT OF OPERATIONS ADJUSTMENTS

 

     (a) 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.

 

     (b) 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.

 

     (c) 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.

 

     (d) Adjustment to reflect the income tax effects of the acquisitions.

 
     (e) The weighted  average  shares  outstanding  used to calculate pro forma
earnings  per share in 1995 is  7,221,628  shares,  representing  the  number of
shares  issued  and  outstanding  as a result of the  Company's  initial  public
offering, the acquisition of ALM and the merger with SSI.
 
     (f) The weighted  average  shares  outstanding  used to calculate pro forma
earnings per share in 1993 and 1994 is 3,185,000 shares, representing the number
of shares issued and outstanding as a result of the Company's merger with SSI.
    


(C) EXHIBITS.

 
   

<TABLE>
<S>          <C>
99.1 --      Physician Support Systems, Inc., Form 10-K (File 33-80731)  for the year ended December 31, 1995  previously
             filed and incorporated herein by reference.
 
99.2 --      Physician Support Systems, Inc., Form 10-Q (File 33-80731)  for the quarter ended  June 30, 1996  previously
             filed and incorporated herein by reference.
 

99.3 --      Physician  Support Systems, Inc. Form 8-K  (File 33-80731) dated May 14, 1996  as amended by Amendment No. 1
             thereto dated July 15, 1996, previously filed and incorporated herein by reference.


99.4 --      Physician Support Systems, Inc. Form 8-K (File 33-80731) dated June 4, 1996,  as  amended by Amendment No. 1
             thereto dated August 2, 1996, previously filed and incorporated herein by reference.
</TABLE>
    

 
                                       18
<PAGE>
<PAGE>
                                   SIGNATURES
 
     Pursuant  to the requirements  of the Securities and  Exchange Act of 1934,
the registrant has duly caused this Amendment  No. 1 to its report to be  signed
on its behalf by the undersigned hereunder duly authorized.
 
                                          PHYSICIAN SUPPORT SYSTEMS, INC.
 

Dated: September 6, 1996.

 
                                                       /S/ DAVID S. GELLER
                                          By  ..................................
                                                      DAVID S. GELLER
                                                   SENIOR VICE PRESIDENT



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