PHYSICIAN SUPPORT SYSTEMS INC
10-Q, 1996-08-16
MANAGEMENT SERVICES
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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 June 30, 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                  7,221,628 Shares
 _______________________________________              _______________________
                Class                                      Outstanding at
                                                          August 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 -
                       June 30, 1996 and December 31, 1995         2

                  Condensed Consolidated Statements of
                       Operations - Three and Six Months
                       Ended June 30, 1996 and 1995                3

                  Condensed Consolidated Statements of Cash 
                       Flows -- Six Months Ended 
                       June 30, 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                                      7

PART II.       OTHER INFORMATION

  Item 6.      Exhibits and Reports on Form 8-K                    10

Signature                                                          11

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>
                                                                           
                                                                    
                                                                        
                                                                       JUNE 30,      DECEMBER 31,
                                                                        1996            1995 
                                                                    ------------    -----------
                                                                     (UNAUDITED)
<S>                                                                 <C>             <C>        
                             ASSETS
Current assets:
     Cash and cash equivalents...................................   $ 15,060,323    $ 1,019,562
     Accounts receivable ........................................      4,893,465      5,495,189
     Accounts receivable -- unbilled.............................      8,771,761      6,120,168
     Prepaid expenses and other current assets...................        862,767        604,021
                                                                    ------------    -----------
          Total current assets...................................     29,588,316     13,238,940
Property and equipment -- net....................................      3,692,427      3,678,996
Intangible assets -- net.........................................     26,596,563     11,965,026
Other assets.....................................................        167,738        154,537
                                                                    ------------    -----------
          Total..................................................   $ 60,045,044    $29,037,499
                                                                    ------------    -----------
                                                                    ------------    -----------
        LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIENCY)
Current liabilities:
     Accounts payable............................................   $    958,857    $   789,021
     Accrued expenses............................................      9,112,221      5,637,915
     Short-term borrowings.......................................        --             600,000
     Current portion of long-term debt...........................         78,576      2,237,744
     Current portion of other long-term liabilities..............        545,164        710,188
     Deferred income taxes.......................................        244,058        267,659
                                                                    ------------    -----------
          Total current liabilities..............................     10,938,876     10,242,527
                                                                    ------------    -----------
Long-term debt...................................................      5,672,557     14,052,609
                                                                    ------------    -----------
Other long-term liabilities......................................      1,813,338      1,564,942
                                                                    ------------    -----------
Deferred income taxes............................................        991,172        991,172
                                                                    ------------    -----------
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 7,221,628 and
       3,185,000 shares at June 30, 1996 and December 31, 1995
       respectively..............................................          7,222          3,185 
     Additional paid-in capital..................................     44,272,218        470,038 
     Accumulated deficit.........................................     (3,650,339)    (1,219,006)
                                                                    ------------    ----------- 
                                                                      40,629,101       (745,783)
                                                                    ------------    ----------- 
          Total..................................................   $ 60,045,044    $29,037,499 
                                                                    ------------    ----------- 
                                                                    ------------    ----------- 
</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 JUNE 30,            SIX MONTHS ENDED JUNE 30,
                                                       ----------------------------         ------------------------------
                                                           1996          1995                   1996               1995
                                                       -----------   -----------            -----------        -----------
                                                       (UNAUDITED)   (UNAUDITED)            (UNAUDITED)        (UNAUDITED)
<S>                                                    <C>           <C>                    <C>                <C>
Revenues.............................................  $10,337,432   $ 7,431,197            $19,388,552        $14,262,836
                                                       -----------   -----------            -----------        -----------
Operating expenses:
     Salaries and wages..............................    5,435,581     3,732,448             10,227,302          7,387,875
     General and administrative......................    3,280,323     2,577,301              6,516,011          5,173,091
     Depreciation and amortization...................    1,022,470       958,857              2,088,984          1,908,645
     Interest income.................................     (226,691)       (3,893)              (375,889)            (8,291)
     Interest expense................................      136,611       384,465                303,156            768,958
     Merger costs....................................    1,150,000          --                1,150,000               --
     Restructuring charge............................    2,500,000          --                2,500,000               --
                                                       -----------   -----------            -----------        -----------
Income (loss) before income taxes (benefit)..........   (2,960,862)     (217,981)            (3,021,012)          (967,442)
Income taxes (benefit)...............................     (630,000)      (33,742)              (656,000)          (202,890)
                                                       -----------   -----------            -----------        -----------
Net income (loss)....................................   (2,330,862)     (184,239)            (2,365,012)          (764,552)
Preferred stock dividends............................         --         (67,416)               (36,320)          (132,288)
                                                       -----------   -----------            -----------        -----------
Net income (loss) applicable to common stock.........  $(2,330,862)  $  (251,655)           $(2,401,332)       $  (896,840)
                                                       -----------   -----------            -----------        -----------
                                                       -----------   -----------            -----------        -----------
Net income (loss) per share..........................       $(0.32)       $(0.08)                $(0.38)            $(0.28)
                                                       -----------   -----------            -----------        -----------
                                                       -----------   -----------            -----------        -----------
Weighted average shares outstanding..................    7,262,427     3,185,000              6,308,655          3,185,000
                                                       -----------   -----------            -----------        -----------
                                                       -----------   -----------            -----------        -----------
</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>
                                                                         SIX MONTHS ENDED JUNE 30,
                                                                     -------------------------------
                                                                          1996               1995
                                                                       -----------       -----------
                                                                       (UNAUDITED)       (UNAUDITED)
<S>                                                                    <C>             <C>
Cash flows from operating activities:
     Net income (loss)..............................................   $(2,365,012)    $  (764,552)
     Adjustments to reconcile net income (loss) to net cash provided
       by (used in) operating activities:
          Depreciation and amortization.............................     2,088,984       1,908,645
          Deferred income taxes.....................................      (656,000)       (253,751)
          Other long-term liabilities...............................      (168,714)       (498,006)
          Changes in operating assets and liabilities:
               Accounts receivable..................................     1,598,571        (460,282)
               Accounts receivable -- unbilled......................      (466,087)       (161,354)
               Prepaid expenses, other current assets and other 
                 assets.............................................      (206,817)       (121,319)
               Accounts payable.....................................        93,793         (24,527)
               Accrued expenses.....................................      (392,462)        179,003
                                                                      ------------     -----------
                    Net cash provided by (used in) operating
                      activities....................................      (473,744)       (196,143)
                                                                      ------------     -----------
Cash flows from investing activities:

     Acquisitions, net of cash acquired.............................   (14,661,135)          --
     Capital expenditures...........................................      (291,498)       (453,885)
                                                                      ------------     -----------
                    Net cash used in investing activities...........   (14,952,633)       (453,885)
                                                                      ------------     -----------
Cash flows from financing activities:
     Net proceeds from sale of common stock.........................    43,806,217        --
     Proceeds from short-term borrowings............................       --              200,000
     Repayment of short-term borrowings.............................      (600,000)       --
     Principal payments on long-term debt...........................   (10,539,218)       (337,583)
     Principal payments on capital lease obligations................      (159,509)       (151,202)
     Common stock dividends.........................................       (72,000)        (60,000)
     Redemption of preferred stock..................................    (2,932,032)       --
     Redeemable preferred stock distributions.......................       (36,320)       --
                                                                      -------------    -----------
                    Net cash provided by (used in)
                      financing activities..........................    29,467,138        (348,785)
                                                                      -------------    -----------
Net increase (decrease) in cash and cash equivalents................    14,040,761        (998,813)
Cash and cash equivalents, beginning of period......................     1,019,562       1,618,755
                                                                      ------------     -----------
Cash and cash equivalents, end of period...........................   $ 15,060,323     $   619,942
                                                                      ------------     -----------
                                                                      ------------     -----------
Supplemental investing activity:
     Fair value of assets acquired..................................  $ 19,876,748     $   --
     Cash acquired..................................................      (316,877)        --
     Liabilities assumed............................................    (2,636,736)        --
     Deferred purchase price........................................    (2,262,000)        --
                                                                      ------------     -----------
                    Net cash paid for acquisitions..................  $ 14,661,135     $   --
                                                                      ------------     -----------
                                                                      ------------     -----------
Supplemental disclosure of cash flow information:
     Cash paid for interest.........................................  $  1,224,181     $   594,250
                                                                      ------------     -----------
                                                                      ------------     -----------
     Capital lease obligations incurred in acquisition of
       equipment....................................................  $     --         $   --     
                                                                      ------------     -----------
                                                                      ------------     -----------
</TABLE>
 
                See notes to condensed consolidated financial statements.

                                             4


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<PAGE>
                PHYSICIAN SUPPORT SYSTEMS, INC. AND SUBSIDIARIES
              NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
                THREE AND SIX MONTHS ENDED JUNE 30, 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 and six month periods ended June 30, 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 through June 30, 1996 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 June 30, 1996, the Company  has issued
165,000  options  under the Plan at exercise prices ranging  from $12 to  $21.75
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 for approximately $8,000,000 in cash and
deferred payments.

     On February 15, 1996, the Company acquired substantially all of the  assets
and liabilities of MMS for approximately $2,500,000 in cash.

     On February 15, 1996, the Company acquired substantially  all of the assets
and  liabilities  of  DPS  for  approximately  $1,150,000  in  cash and deferred
payments.

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

     On May 21, 1996, the Company  acquired  substantially all of the assets and
liabilities of  ALM, Inc.  ('ALM')  for  approximately  $1,600,000  in  cash and
deferred  payments  plus  11,628  shares of common stock valued at approximately
$250,000.

     Each of the foregoing  acquisitions  was  accounted  for under the purchase
method of  accounting,  and  accordingly,  the net assets were recorded at their
fair values on the dates of acquisition and the results of operations of each of
these  companies  are  included  in  the  Company's  consolidated  statement  of
operations from the respective dates of acquisition.  Excess purchase price over
fair  value  of  net  assets  acquired  of approximately  $13,667,000  is  being
amortized on the straight-line method over 20 years.

      On June  28, 1996,  the  Company  merged with  Synergistic  Systems,  Inc.
('SSI')  by  exchanging  945,000 shares  of  common stock of the Company for all
the  oustanding  shares of  common  stock of  SSI.  This  transaction  has  been
accounted  for  as  a pooling  of  interests,  and   accordingly, all previously
issued financial statements of the Company have been  restated to include SSI. A
reconciliation of revenues, net income (loss) and net income (loss) per share of
the Company as previously reported, and combined, is as follows:


                                       5


<PAGE>
 
<PAGE>

Six Months Ended June 30, 1995:
- -------------------------------

<TABLE>
<CAPTION>

                                                       AS PREVIOUSLY
                                                          REPORTED             SSI            COMBINED
                                                       --------------          ---            --------
<S>                                                    <C>                 <C>               <C>
Revenues                                                 $9,522,273        $4,740,563        $14,262,836
Net income (loss)                                        $ (791,705)       $   27,153        $  (764,552)
Preferred stock dividends                                $ (132,288)       $     --          $  (132,288)
Net income (loss) applicable to
  common stock                                           $ (923,993)       $   27,153        $  (896,840)
Net income (loss) per share                                  $(0.41)                              $(0.28)
Weighted average shares                                   2,240,000                            3,185,000

</TABLE>



     In connection with the  SSI  merger,  the  Company  incurred  approximately
$1,150,000  in  transaction  fees  and  other  merger  related  costs  which are
reflected in the  Company's  results of  operations for  the three  months ended
June 30, 1996.

     The unaudited consolidated  results of operations of  the  Company on a pro
forma basis (excluding merger costs and restructuring charge) as if the  Company
had  sold  4,025,000  shares  of  common  stock  for  $12 per  share, repaid all
outstanding  short and  long-term debt (except for The Spring  Anesthesia Group,
Inc.  ('Spring')  acquisition  subordinated  note),  redeemed   all  outstanding
shares  of preferred  stock and consummated the  acquisitions of NCHC, MMS, DPS,
PBS, ALM and SSI on January 1, 1995 are as follows:



<TABLE>
<CAPTION>

                                              SIX MONTHS ENDED JUNE 30,
                                              -------------------------
                                                 1996          1995
                                                 ----          ----

<S>                                           <C>             <C>
Revenue                                       $21,493,000      $20,089,000
Net income (loss)                             $   468,000      $   298,000
Net income (loss) per share                       $0.06           $0.04
Weighted average shares                         7,221,628        7,221,628

</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. RESTRUCTURING CHARGE

     In June 1996, the Company  recorded a  restructuring  charge of  $2,500,000
related  to  the write-off of certain computer hardware and software and certain
non-recurring expenses associated with a limited restructuring of  operations at
Spring, its subsidiary located in Stockton,  California,  and  to  the write-off
of certain computer  hardware and  software  at  SSI.  The  Company  intends  to
replace  both  the  Spring and  SSI  operating  software  with  its  proprietary
operating software as soon as is practicable.





                                       6

<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, the Company acquired  100 percent of the  outstanding
common stock and  substantially  all the assets and liabilities of the companies
that  made  up the 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 MMS for approximately $2,500,000 in cash.

     On February 15, 1996, the Company acquired substantially all the assets and
liabilities 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.

     On  May 21, 1996, the Company acquired  substantially all  the  assets  and
liabilities of  ALM,  Inc.  ('ALM')  for  approximately  $1,600,000  in cash and
deferred  payments  plus 11,628  shares of common stock  valued at approximately
$250,000.

     Each of  the  foregoing  acquisitions  was accounted for under the purchase
method of accounting, and, accordingly, the net assets acquired were recorded at
their fair  values  on the date of  acquisition and the results of operations of
each of these companies is included in the  Company's consolidated  statement of
operations from the respective dates of acquisition.  Excess purchase price over
fair  value  of  net  assets  acquired  is  being amortized on the straight-line
method over 20 years.

    On  June 28, 1996, the Company merged with Synergistic Systems, Inc. ("SSI")
by  exchanging  945,000  shares  of  common  stock of the Company  for  all  the
outstanding  shares   of  common  stock  of  SSI.  This  transaction   has  been
accounted for as a pooling of interests, and accordingly,  all previously issued
financial statements of the Company have been restated to include SSI.

 
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 JUNE 30,                 SIX MONTHS ENDED JUNE 30,
                                                --------------------------------        -----------------------------------
                                                      1996              1995                 1996              1995
                                                --------------    --------------        --------------       --------------
<S>                                              <C>               <C>                   <C>                   <C>
Revenues                                             100.0%            100.0%                100.0%            100.0%
 
Salaries and wages                                    52.6              50.2                  52.7              51.8
General and administrative expenses                   31.7              34.7                  33.6              36.3
Depreciation and amortization                          9.9              12.9                  10.8              13.4
Interest and other income                             (2.2)             (0.1)                 (1.9)             (0.1)
Interest expense                                       1.3               5.2                   1.6               5.4
Merger costs                                          11.1               --                    5.9               --
Restructuring charge                                  24.2               --                   12.9               --
                                                    ------            ------                ------             -----
Income (loss) before income taxes (benefit)          (28.6)             (2.9)                (15.6)             (6.8)
Income taxes (benefit)                                 6.1               0.4                   3.4               1.4
                                                    ------            ------                ------             -----
Net income (loss)                                    (22.5)%            (2.5)%               (12.2)%            (5.4)%
                                                    ------            ------                ------             -----
                                                    ------            ------                ------             -----
</TABLE>
 

                                       7
<PAGE>
<PAGE>


Revenues
 
     Revenues increased approximately  39% from  $7,431,000 for the three months
ended June 30, 1995 to $10,337,000 for the three  months  ended  June  30,  1996
and 36% from $14,263,000 for the six months ended  June 30, 1995 to  $19,389,000
for  the six months ended June 30, 1996. Such increases resulted primarily  from
businesses acquired  during  the three and six months ended June 30,  1996,  and
increases in the  number  of  clients served by the Company in the three and six
months ended June 30, 1996 compared  to  the  three  and  six  months ended June
30, 1995. In addition, the Company's revenues during the three months ended June
30,  1996  were  adversely   affected   by   operating  inefficiencies  in   the
processing   of   physician  charges  at  The  Spring  Anesthesia  Group,  Inc.,
('Spring')  the  Company's  subsidiary  located  in  Stockton,  California.  See
'Restructuring Charge and Merger Costs.'

Salaries and Wages
 
     Salaries and  wages increased  approximately 46%  from $3,732,000  for  the
three months ended June 30, 1995 to $5,436,000 for the three  months  ended June
30,  1996 and  38% from  $7,388,000 for  the six  months ended  June 30, 1995 to
$10,227,000  for  the  six  months ended June 30, 1996.  Such increases resulted
primarily from businesses  acquired  during  the three and six months ended June
30, 1996, and increases in the number  of  clients  served  by  the Company.  In
addition, the Company incurred increased salary and  wage  expenses  during  the
three months ended June 30, 1996 in an attempt to  increase  the  processing  of
physician charges at Spring. See 'Restructuring Charge and Merger Costs.'


General and Administrative Expenses
 
     General  and  administrative  expenses  increased  approximately  27%  from
$2,577,000 for the three months ended June 30, 1995 to $3,280,000 for  the three
months ended June 30, 1996 and 26%  from  $5,173,000  for  the six months  ended
June 30, 1995 to $6,516,000  for  the  six  months  ended  June  30,  1996. Such
increases resulted primarily from businesses  acquired  during the three and six
months ended June 30, 1996 and increases in the number  of clients served by the
Company. In addition, the Company incurred increased general and  administrative
expenses during the three months ended June 30, 1996 in an attempt  to  increase
the processing of physician charges at Spring.  See  'Restructuring  Charge  and
Merger Costs.'

Depreciation and Amortization

     Depreciation and amortization increased approximately  7% from $959,000 for
the  three months ended  June 30, 1995  to $1,022,000 for the three months ended
June 30, 1996 and 9% from $1,909,000 for the six  months  ended  June  30,  1995
to  $2,089,000  for the  six months ended June 30, 1996. Such increases resulted
primarily  from  businesses  acquired during the three and six months ended June
30, 1996.
 
Interest and Other Income
 
     Interest and other income increased from $4,000  for the three months ended
June 30, 1995 to $227,000 for  the three months  ended  June 30, 1996  and  from
$8,000 for the six  months ended  June 30, 1995  to  $376,000 for the six months
ended June 30, 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  65% from $384,000  for the three
months  ended  June 30,  1995  to $137,000  for the three  months ended June 30,
1996 and 61% from $769,000 for the six months ended June  30, 1995  to  $303,000
for  the  six  months  ended  June  30,  1996.  Such  decreases  resulted   from
decreased  levels  of   short  and  long-term  debt  after  repayment   of  such
borrowings out of proceeds from the  Company's initial public offering of common
stock.
 
 
Restructuring Charge and Merger Costs
 
      In  June 1996,  the Company recorded a restructuring  charge of $2,500,000
related  to  the write-off of certain computer hardware and software and certain
non-recurring expenses associated with a limited restructuring of operations  at
Spring, and to the write-off of certain computer hardware and software at SSI.
 
     Spring's  results in  the three months  ended June 30,  1996 were adversely
affected by  operating inefficiencies  in the  processing of  physician  charges
which  resulted in  lower revenues during  the period. In  addition, the Company
incurred increased salary and general and administrative expenses in an  attempt
to increase  production.  To address these operating inefficiencies, among other
actions, the  Company decided  to replace certain computer hardware and software
at  Spring  with  its  proprietary  operating  software.  The Company recorded a
restructuring  charge  in the three months ended June 30, 1996 of  approximately
$1,600,000   related  to  the  write-off   of   certain  computer  hardware  and
software,  and  costs associated with the introduction of a new management team,
some limited severance activity and other transition items.
 
     At the time of the SSI merger, the Company determined that it would replace
certain SSI computer  hardware  and  software  with  its  proprietary  operating
software,  and accordingly recorded  a charge of  approximately $900,000  in the
three  months  ended  June   30,  1996.  In   addition,  the  Company   incurred
approximately  $1,150,000 in transaction fees and  other merger related costs in
connection with the SSI merger which  are reflected in the Company's results  of
operations for the three months ended June 30, 1996.
 
     The  Company intends to replace both  the Spring and SSI operating software
with its proprietary operating software as soon as is practicable. 


                                       8
 
<PAGE>
<PAGE>
 
Income Taxes (Benefit)
 
     The  Company's effective rate for income taxes (benefit) increased from 16%
for the three  months ended June 30, 1995  to  21% for  the  three months  ended
June 30, 1996 and from 21% for the six months ended June 30, 1995 to 22% for the
six months ended June 30, 1996. Such increases 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
$18,649,000  and  $15,060,000,  respectively,  at June  30,   1996  compared  to
$2,996,000 and $1,020,000,  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 $5,751,000 at  June  30,
1996  compared  to $16,290,000  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.


                                       9
 
<PAGE>
<PAGE>


PART II. OTHER INFORMATION
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
 
(a) EXHIBITS
 
<TABLE>
<CAPTION>
EXHIBIT
NUMBER                                                DESCRIPTION
- ------                                                -----------
<S>                                                <C>

2.1                                                Asset  Purchase Agreement among PBS Northwest Incorporated, the
                                                   shareholders  of  PBS   Northwest,  Incorporated  and  PSS  PBS
                                                   Northwest,  Inc.  dated  May  8,  1996  (incorporated herein by
                                                   reference to the Company's Current Report on Form 8-K dated May
                                                   14, 1996, as amended by Amendment No. 1 thereto dated  July 15,
                                                   1996).

2.2                                                Asset  Purchase  Agreement among ALM, Inc., the Shareholders of
                                                   ALM,  Inc.  and  PSS-ALM, Inc. dated May 21, 1996 (incorporated
                                                   herein  by  reference  to  the Company's Current Report on Form
                                                   8-K  dated  June 4, 1996, as amended by Amendment No. 1 thereto
                                                   dated August 2, 1996).

2.3                                                Agreement and Plan of Merger dated as of June 28, 1996 among the
                                                   Company, PSS Synergistic  Systems, Inc. and Synergistic Systems,
                                                   Inc. (incorporated herein  by reference to the Company's Current
                                                   Report on Form 8-K dated July 8, 1996).

3.1                                                Amended  and  Restated  Certificate  of  Incorporation  of  the
                                                   Company   (incorporated   by   reference   to   the   Company's
                                                   Registration Statement on  Form S-1  dated  December  21,  1995
                                                   (Registration No. 33-80731),  as  amended  by  Amendment  No. 2
                                                   thereto dated January 29, 1996).

3.2                                                ByLaws  of  the  Company  (incorporated  by  reference  to  the
                                                   Company's Registration Statement on Form S-1 dated December 21,
                                                   1995 (Registration No. 33-80731)).

27                                                 Financial Data Schedule

</TABLE>




(b) Reports on Form 8-K.

     The  Company filed  the following  reports on  Form 8-K  during the quarter
ended June 30, 1996:
 
          1. Current Report dated  May 14, 1996, as  amended by Amendment No.  1
     thereto  dated July 15, 1996, reporting the Company's acquisition on May 8,
     1996 of  substantially  all  the  assets  of  PBS  Northwest,  Incorporated
     ('PBS').  Said report, as amended, includes (i) the financial statements of
     PBS as of December 31, 1994 and 1995  and for the two years then ended  and
     as of March 31, 1996 and for the three months ended March 31, 1995 and 1996
     and  (ii) the pro forma financial  statements of the Company, giving effect
     to the acquisition of  PBS, for the  year ended December  31, 1995 and  the
     three months ended March 31, 1996 and as of March 31, 1996.
 
          2.  Current Report dated June  4, 1996, as amended  by Amendment No. 1
     thereto dated August 2,  1996, reporting the  Company's acquisition on  May
     21,  1996 of  substantially  all  the  assets  of  ALM,  Inc. ('ALM'). Said
     report as  amended, includes  (i) the  financial statements  of ALM  as  of
     December  31, 1995 and for the year then ended and as of March 31, 1996 and
     for the three months ended March 31,  1995 and 1996 and (ii) the pro  forma
     financial  statements of  the Company, giving  effect to  the acquisiton of
     ALM, for the year ended December 31, 1995 and the three months ended  March
     31, 1996 and as of March 31, 1996.




                                       10

<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 August 16, 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)


                                       11

<PAGE>
<PAGE>

                               EXHIBIT INDEX

<TABLE>
<CAPTION>
EXHIBIT
NUMBER                                                DESCRIPTION
- ------                                                -----------
<S>                                                  <C>
2.1                                                  Asset  Purchase  Agreement  among  PBS Northwest Incorporated,
                                                     the  shareholders  of  PBS  Northwest,   Incorporated  and PSS
                                                     PBS Northwest, Inc. dated May 8, 1996 (incorporated herein  by
                                                     reference  to  the Company's  Current Report on Form 8-K dated
                                                     May  14,  1996,  as  amended  by Amendment No. 1 thereto dated
                                                     July 15, 1996).

2.2                                                  Asset Purchase Agreement among ALM, Inc., the Shareholders  of
                                                     ALM, Inc. and PSS-ALM, Inc. dated May 21,  1996  (incorporated
                                                     herein  by  reference  to the Company's Current Report on Form
                                                     8-K  dated June 4, 1996, as amended by Amendment No. 1 thereto
                                                     dated August 2, 1996).

2.3                                                  Agreement and Plan of Merger dated  as of  June 28, 1996 among
                                                     the Company, PSS Synergistic  Systems,  Inc.  and  Synergistic
                                                     Systems,  Inc.   (incorporated  herein  by  reference  to  the
                                                     Company's Current Report on Form 8-K dated July 8, 1996).

3.1                                                  Amended  and  Restated  Certificate  of  Incorporation of  the
                                                     Company  (incorporated   by   reference   to   the   Company's
                                                     Registration Statement on  Form S-1  dated December  21,  1995
                                                     (Registration No. 33-80731), as  amended  by  Amendment  No. 2
                                                     thereto dated January 29, 1996).

3.2                                                  ByLaws  of  the  Company  (incorporated by  reference  to  the
                                                     Company's Registration Statement on  Form  S-1  dated December
                                                     21, 1995 (Registration No. 33-80731)).


27                                                   Financial Data Schedule

</TABLE>


<PAGE>
 
<PAGE>



<TABLE> <S> <C>

<ARTICLE>                                      5
       
<S>                                          <C>
<MULTIPLIER>                                   1
<PERIOD-TYPE>                              6-MOS
<FISCAL-YEAR-END>                    DEC-31-1996
<PERIOD-END>                         JUN-30-1996
<CASH>                                15,060,323
<SECURITIES>                                   0
<RECEIVABLES>                         13,665,226
<ALLOWANCES>                                   0
<INVENTORY>                                    0
<CURRENT-ASSETS>                      29,588,316
<PP&E>                                 3,692,427
<DEPRECIATION>                                 0
<TOTAL-ASSETS>                        60,045,044
<CURRENT-LIABILITIES>                 10,938,876
<BONDS>                                        0
                          0
                                    0
<COMMON>                                   7,222
<OTHER-SE>                            40,621,879
<TOTAL-LIABILITY-AND-EQUITY>          60,045,044
<SALES>                                        0
<TOTAL-REVENUES>                      19,388,552
<CGS>                                          0
<TOTAL-COSTS>                                  0
<OTHER-EXPENSES>                      22,106,408
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                       303,156
<INCOME-PRETAX>                       (3,021,102)
<INCOME-TAX>                            (656,000)
<INCOME-CONTINUING>                   (2,365,012)
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                          (2,365,012)
<EPS-PRIMARY>                              (0.38)
<EPS-DILUTED>                              (0.38)

</TABLE>


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