RENAL TREATMENT CENTERS INC /DE/
8-K/A, 1996-07-16
SPECIALTY OUTPATIENT FACILITIES, NEC
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<PAGE>
 
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549



                                   FORM 8-K/A


                                 CURRENT REPORT
                                Amendment No. 1


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

                                        
                              May 29, 1996
       ----------------------------------------------------------------
                Date of Report (Date of earliest event reported)


                             Renal Treatment Centers, Inc.
    ----------------------------------------------------------------------- 
             (Exact name of Registrant as specified in its charter)

         Delaware                     1-14142                 23-2518331
- ----------------------------        ------------             --------------
(State or other jurisdiction        (Commission              (IRS Employer
 of incorporation)                   File Number)            Identification
                                                             Number)
 
1180 W. Swedesford Road, Building 2, Suite 300, Berwyn, PA       19312
- --------------------------------------------------------------------------
       (Address of principal executive offices)                (zip code)


Registrant's telephone number, including area code: 610-644-4796
                                                    ------------
<PAGE>
 
     The Current Report on Form 8-K of Renal Treatment Centers, Inc. (the
"Company"), dated May 29, 1996 and filed on June 13, 1996, reported the
acquisition of certain assets of  Kidney Center of Delaware County, Ltd.
("KCDC") and Kidney Center of Chester County, Ltd. ("KCCC"). Items 7(a) and 7(b)
of the report stated that the historical financial statements of KCDC and KCCC
required under Rule 3-05 of Regulation S-X and the pro forma financial
information required under Article 11 of Regulation S-X would be filed as soon
as practicable, but not later than August 13, 1996.  The purpose of this
amendment is to file such financial statements and information.

Item 7.  Financial Statements and Exhibits.
         ----------------------------------

         (a)   Financial Statements of Businesses Acquired.
               --------------------------------------------

               The following lists the historical financial statements of KCDC
and KCCC filed herewith:

 
                                                                       Page
                                                                       ----

 
               Report of Independent Accountants                          4
 
               Combined Balance Sheets
                 as of December 31, 1995 and as of March 31, 1996
                 (unaudited)                                              5
 
               Combined Statements of Operations
                 for the year ended December 31, 1995 and
                 for the three months ended March 31, 1995 (unaudited) 
                 and 1996 (unaudited)                                     6
 
               Combined Statements of Stockholders' Equity
                 for the year ended December 31, 1995
                 and for the three months ended March 31, 1996 
                 (unaudited)                                              7
 
               Combined Statements of Cash Flows
                 for the year ended December 31, 1995
                 and for the three months ended March 31, 1995 
                 (unaudited) and 1996 (unaudited)                         8
 
               Notes to Financial Statements                              9-13

         (b)   Pro Forma Financial Information.
               --------------------------------
 
               The following lists the pro forma financial information 
               filed herewith:

               Pro forma Consolidated Balance Sheets as of March 31, 
               1996                                                       14
 
               Pro forma Consolidated Statements of Operations for the
                   year ended December 31, 1995 and the three
                   months ended March 31, 1996                            15
 
               Notes to Pro Forma Consolidated Financial Statements       16-17
 
         (c)   Exhibits.
               --------
               The following exhibits are filed herewith:                 18

               Exhibit No.         Document
               -----------         --------

               2.1                 Asset Purchase Agreement, Dated as of May 29,
                                   1996, with an effective time of May
                                   31, 1996 at 11:59 PM, between Renal 
                                   Treatment Centers Pennsylvania, Inc. and 
                                   KCCC Liquidating Trust (the exhibits and
                                   schedules to this agreement have been
                                   omitted pursuant to Item 601(b)(2) of 
                                   Regulation S-K and will be provided 
                                   supplementally to the Commission upon its 
                                   request). (previously filed with the 
                                   Company's current report on Form 8-K
                                   dated May 29, 1996).
<PAGE>
 
         (c)  Exhibits (continued)

               2.2                 Asset Purchase Agreement, Dated as of May 29,
                                   1996, with an effective time of May 31, 1996 
                                   at 11:59 PM, between Renal Treatment Centers-
                                   Pennsylvania, Inc. and KCDC Liquidating
                                   Trust (the exhibits and schedules to this 
                                   agreement have been omitted pursuant to Item
                                   601(b)(2) of Regulation S-K and will be 
                                   provided supplementally to the Commission 
                                   upon its request). (previously filed with
                                   the Company's current report on Form 8-K
                                   dated May 29, 1996).

               23.1                Consent of Coopers & Lybrand.

               99.1                Fourth Amended and Restated Loan Agreement 
                                   dated as of June 5, 1996 between Renal
                                   Treatment Centers, Inc. and the various
                                   lenders set forth therein.  (previously 
                                   filed with the Company's current report on 
                                   Form 8-K dated May 29, 1996).

               99.2                Press release dated June 10, 1996 issued by 
                                   Renal Treatment Centers, Inc.  (previously 
                                   filed with the Company's current report on 
                                   Form 8-K dated May 29, 1996).


               Pursuant to the requirements of the Securities Exchange Act of
1934, the registrant has duly caused this amendment to be signed on its behalf
by the undersigned hereunto duly authorized.

                                        RENAL TREATMENT CENTERS, INC.


                                         /s/Ronald H. Rodgers, Jr.
                                        ----------------------------------
                                        By:  Ronald H. Rodgers, Jr.
                                             Vice President -Finance


Date:
<PAGE>
 
                       REPORT OF INDEPENDENT ACCOUNTANTS


To the Stockholders of KCDC/KCCC Group:

We have audited the accompanying combined balance sheet of KCDC/KCCC Group (the
"Group") as of December 31, 1995, and the related combined statements of
operations, stockholders' equity, and cash flows for the year then ended.  These
financial statements are the responsibility of the Group's management.  Our
responsibility is to express an opinion on these financial statements based on
our audit.

We conducted our audit in accordance with generally accepted auditing standards.
Those standards require that we plan and perform the audit to obtain reasonable
assurance about whether the combined financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements.  An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audit provides a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in
all material respects, the combined financial position of the Group as of
December 31, 1995 and the combined results of their operations and their cash
flows for the year then ended in conformity with generally accepted accounting
principles.


/s/COOPERS & LYBRAND, L.L.P.



Wayne, Pennsylvania
June 26,1996
<PAGE>
 
<TABLE> 
<CAPTION> 
                                KCDC/KCCC GROUP
                             COMBINED BALANCE SHEET
                             December 31, 1995 and
                           March 31, 1996 (unaudited)

                                                         December 31,     March 31,
                                                             1995           1996
                                                                         (Unaudited)
- -------------------------------------------------------------------------------------
<S>                                                       <C>             <C>
Assets
Current assets:
   Cash                                                   $  518,323      $  395,319
   Accounts receivable, net of allowance for
      doubtful accounts of $623,392 and $754,980
       (unaudited) at December 31, 1995 and at 
       March 31, 1996, respectively                        3,538,720       3,686,084
      Prepaid expenses                                        10,716           5,674                        
- -------------------------------------------------------------------------------------
      Total current assets                                 4,067,759       4,087,077                        
=====================================================================================
Property and equipment (net of accumulated depreciation   
 of $1,138,345 and $1,208,233 (unaudited) at December 31, 
 1995 and March 31, 1996, respectively)                    1,776,129       1,729,033
- -------------------------------------------------------------------------------------
      Total assets                                        $5,843,888      $5,816,110
=====================================================================================
Liabilities and Stockholders' Equity                      
Current liabilities:                                      
   Current portion of long-term debt                      $  307,319      $  309,402
   Accounts payable                                          532,251         472,466
   Pension liability                                       2,119,639       2,119,639
   Accrued compensation                                      364,426         599,432
   Accrued expenses                                           61,725           7,232
- -------------------------------------------------------------------------------------
      Total current liabilities                            3,385,360       3,508,171
=====================================================================================
Long-term debt, net                                        1,550,800       1,471,888
Stockholders' equity:                                     
    Common stock, $1 par value, 2000 shares authorized:   
     issued and outstanding 600 shares at December 31, 
     1995 and March 31, 1996 (unaudited), respectively           600             600
Additional paid-in capital                                    32,677          32,677
Retained earnings                                            874,451         802,774
- -------------------------------------------------------------------------------------
      Total stockholders' equity                             907,728         836,051
=====================================================================================
      Total liabilities and stockholders' equity          $5,843,888      $5,816,110
=====================================================================================
</TABLE>
            See accompanying notes to combined financial statements.
                                        
<PAGE>
 
<TABLE> 
<CAPTION> 
                                KCDC/KCCC GROUP
                        COMBINED STATEMENT OF OPERATIONS
                  for the year ended December 31, 1995 and the
              Unaudited three months ended March 31, 1995 and 1996


 
                                         December 31,   March 31,    March 31,
                                             1995          1995        1996
                                                       (Unaudited)  (Unaudited)
- ------------------------------------------------------------------------------------
<S>                                      <C>            <C>         <C>
Net patient revenue                       $13,391,407   $3,477,419  $3,270,606
Patient care costs                         10,362,247    2,141,548   2,384,816
- ------------------------------------------------------------------------------------
Operating profit                            3,029,160    1,335,871     885,790
 
General and administrative                  1,973,516      548,180     584,405
Provision for doubtful accounts             1,393,595      361,774     131,588
Depreciation                                  148,754       38,085      69,871
- ------------------------------------------------------------------------------------
Income (loss) from operations                (486,705)     387,832      99,926
 
Interest expense, net of interest
 income of $19,767 for the year ended     
 December 31, 1995                             26,720       19,000      32,803
- ------------------------------------------------------------------------------------
Net income (loss)                           $(513,425)    $368,832     $67,123
==================================================================================== 
</TABLE>
            See accompanying notes to combined financial statements.
<PAGE>
 
<TABLE> 
<CAPTION> 
                                KCDC/KCCC GROUP
                  Combined Statements of Stockholders' Equity
                  for the year ended December 31, 1995 and the
                  Unaudited three months ended March 31, 1996


                                                               
                                             COMMON STOCK      Additional        
                                             ------------       Paid-in       Retained                 
                                            Shares   Amount     Capital       Earnings       Total
- ----------------------------------------------------------------------------------------------------------
<S>                              <C>  <C>   <C>      <C>           <C>
 
Balance, December 31, 1994                   600      $600      $32,677       $2,792,676    $2,825,953
   Net loss                                                                     (513,425)     (513,425)
   S Corporation distribution                                                 (1,404,800)   (1,404,800)
- ----------------------------------------------------------------------------------------------------------
Balance at December 31, 1995                 600      $600      $32,677         $874,451      $907,728
   Net income                                                                     67,123        67,123
   S Corporation distribution                                                   (138,800)     (138,800)
- ----------------------------------------------------------------------------------------------------------
Balance at March 31, 1996                    600      $600      $32,677         $802,774      $836,051
========================================================================================================== 
 </TABLE>

            See accompanying notes to combined financial statements.
<PAGE>
 
<TABLE> 
<CAPTION> 

                                KCDC/KCCC GROUP
                       COMBINED STATEMENTS OF CASH FLOWS
             for the year ended December 31, 1995 and the unaudited
                   three months ended March 31, 1995 and 1996
 
 
                                          December 31,    March 31,   March 31,
                                              1995          1995         1996
                                           (Unaudited)   (Unaudited)
- -------------------------------------------------------------------------------------------
<S>                                      <C>            <C>          <C>
Cash flows from operating activities:
   Net (loss) income                      $  (513,425)  $  368,832   $  67,123
   Adjustments to reconcile net income
    to net cash provided by operating       
        activities:                         
           Depreciation                       148,754       38,085      69,871
           Provision for doubtful           
            accounts                        1,393,595      361,774     131,588
           Changes in operating assets    
            and liabilities:              
           Accounts receivable               (426,252)     112,854    (278,935)
           Prepaid expenses                    (4,385)      (9,834)      5,042
           Accounts payable and           
            accrued expenses                  903,443      524,261     120,728 
- -------------------------------------------------------------------------------------------
           Net cash provided by              
            operating activities            1,501,730    1,395,972     115,417 
- -------------------------------------------------------------------------------------------
Cash flows from investing activities:        (978,417)    (241,207)    (22,792)
   Capital expenditures                                             
- -------------------------------------------------------------------------------------------
      Net cash used in investing             (978,417)    (241,207)    (22,792)
       activities                         
- -------------------------------------------------------------------------------------------
Cash flows from financing activities:     
   Proceeds from long-term debt           
    borrowings                              1,060,521
   Repayments of debt                         (71,731)                 (53,025) 
   Payment of S corporation                 
    distribution                           (1,404,800)    (308,800)   (138,800)
   Repayments of capital lease
    obligations                               (87,554)     (21,889)    (23,804)
- -------------------------------------------------------------------------------------------
      Net cash used by financing
       activities                            (503,564)    (330,689)   (215,629)
- -------------------------------------------------------------------------------------------
Net increase (decrease) in cash and
 cash equivalents                              19,749      824,076    (123,004)
Cash and cash equivalents at beginning
 of period                                    498,574      498,574     518,323
- -------------------------------------------------------------------------------------------
Cash and cash equivalents at end of
 period                                   $   518,323   $1,322,650   $ 395,319
===========================================================================================
</TABLE>
            See accompanying notes to combined financial statements.
<PAGE>
 
                     NOTES TO COMBINED FINANCIAL STATEMENTS

1.    Description of Business
KCDC/KCCC Group (the "Group") consists of Kidney Center of Delaware County, Ltd.
("KCDC") and Kidney Center of Chester County, Ltd. ("KCCC").  The Group provides
dialysis treatments for End Stage Renal Disease ("ESRD") patients in an
outpatient environment or in the patient's home.  Additionally, the Group has
entered into inpatient dialysis service agreements with hospitals to provide
dialysis treatments on an inpatient basis.

For the year ended December 31, 1995, approximately 53% of the Company's net
patient revenue was received from Medicare.  Accordingly, the Company's
operations and cash flows are dependent upon the rate and manner of payment for
patient services from third party payors and, in particular, federal and state
administered programs.

2.    Summary of Significant Accounting Policies
Basis of Presentation:
The combined financial statements of the Group include the accounts and results
of operations of KCDC and KCCC.  KCDC is owned by James Clark, M.D. and Richard
R. Soricelli, M.D. and KCCC is owned by James Clark, M.D., Richard R. Soricelli,
M.D., Hardy Sorkin, M.D. and George Randolph Westby, M.D.

Certain amounts included in the accompanying combined financial statements and
related footnotes reflect the use of estimates based on assumptions made by
management.  Actual amounts could differ from these estimates.

Principles of Combination:
The combined financial statements have been prepared in accordance with
generally accepted accounting principles and include the accounts of KCDC and
KCCC.  All significant intercompany accounts and transactions have been
eliminated in combination.

Patient Revenue and Allowances:
Patient revenue is recorded at established rates on the accrual basis in the
period during which the service is provided.  Appropriate allowances to give
recognition to third-party arrangements are also recorded on the accrual basis.
Payments to the Group under Medicare and Medicaid and other state administered
programs are based upon a predetermined specific fee per treatment.

The Group does not believe there are any significant credit risks associated
with receivables from Medicare and Medicaid and other state administered
programs.  The allowance for doubtful accounts consists of management's estimate
of amounts that may prove uncollectible from secondary insurers or patients.

Patient Care Costs:
Patient care costs include medical supplies, including Erythropoietin ("EPO")
supplies, and direct patient care salaries and benefits.

Dialysis Supplies:
Dialysis supplies, including EPO, are expensed at the time of purchase.

Property and Equipment and Depreciation and Amortization:
Property and equipment are stated at cost or respective fair market value at the
time of acquisition.  Equipment under capital lease is stated at the lower of
the fair market value or net present value of the minimum lease payments at
inception of the lease. Depreciation and amortization are provided by the
straight-line method over the estimated useful lives of the related assets or
lease terms for leasehold improvements and equipment under capital lease.  The
estimated useful life is five to seven years for furniture, fixtures and
equipment. Costs of maintenance and repairs are charged to expense as incurred.
Sales and retirements of depreciable assets are recorded by removing the related
cost and accumulated depreciation from the accounts.  Gains and losses on sales
and retirements of assets are reflected in results of operations.

Income Taxes:
KCDC and KCCC have elected to have their income taxed as S Corporations under
the provisions of the Internal Revenue Code. Therefore, taxable income or loss
is reported for all of the Group's entities to the individual stockholders for
inclusion in their respective tax returns, and no provision for federal or state
income taxes is included in these statements.

Prepaid Expenses:
Prepaid expenses consist of prepaid insurance and real estate taxes.
<PAGE>
 
2.      Summary of Significant Accounting Policies (continued)
Estimated Medical Professional Liability Claims:
The Company is insured for medical professional liability claims through a
commercial insurance policy.  It is the Group's policy that provision for
estimated premium adjustments to medical professional liability costs be made
for asserted and unasserted claims and based upon the Group's experience.
Provision for such professional liability claims includes estimates of the
ultimate costs of such claims.  To date, the Group's experience with such claims
has not been significant.  Accordingly, no such provision has been made.

Cash Equivalents:
For the purpose of reporting cash flows, the Group considers all highly liquid
investments with original maturities of three months or less to be cash
equivalents.  The cash of the Group is principally held by one financial
institution.

Interim Financial Information:
The financial statements and accompanying financial information in the notes to
the combined financial statements as of March 31, 1996 and for the three months
ended March 31, 1995 and 1996 are unaudited but, in the opinion of management,
include all adjustments (consisting only of normal recurring adjustments and
accruals) which the Group considers necessary for a fair presentation of the
financial position of the Group at such dates and the operating results and cash
flows for those periods.  Results for interim periods are not necessarily
indicative of results for the entire year.

3.    Property and Equipment:
A summary of property and equipment and related accumulated depreciation as of
December 31, 1995 is as follows:
<TABLE>
<CAPTION>
 
                                                      December 31, 1995
<S>                                                       <C> 
- --------------------------------------------------------------------------------
Furniture, fixtures and equipment                         $1,513,215
Capital leases                                             1,401,259
- --------------------------------------------------------------------------------
                                                           2,914,474
- --------------------------------------------------------------------------------
Less accumulated depreciation                              1,138,345
- --------------------------------------------------------------------------------
                                                          $1,776,129
================================================================================
</TABLE> 
 
Depreciation expense was $148,754 for the year ended December 31, 1995.
<TABLE> 
<CAPTION> 
 
4.    Long-Term Debt:                                 December 31, 1995

- --------------------------------------------------------------------------------
<S>                                                       <C> 
Long-term debt as of December 31, 1995 consists of:       
 
Term loan payable in monthly principal
 installments of $6,830 through August 1, 2000 at an 
 interest rate equal to prime, 8.5% at December 31, 
 1995                                                     $  375,705
Term loan payable in monthly principal installments 
 of $7,511 through August 1, 2000 at an interest            
 rate equal to prime, 8.5% at December 31, 1995              413,105
Term loan payable in monthly principal              
 installments of $3,333 through January 1, 2001 
 at an interest rate equal to prime, 8.5% at December 31, 
 1995                                                        199,980
Capital lease obligation                                     869,329
Less current portion                                        (307,319)
                                                          ----------
                                                          $1,550,800
                                                          ========== 
</TABLE> 
<PAGE>
 
4.  Long-Term Debt (continued)

Maturities of long-term debt outstanding, excluding capital leases, as of
December 31, 1995 for each of the next five years, is as follows:

<TABLE>
<CAPTION>
                Year
                ------------------------
                <S>             <C>
                1996            $212,100  
                1997             212,100
                1998             212,100
                1999             212,100
                2000             140,390
</TABLE>

The loans are collateralized by a lien on all of the Group's assets.  The
agreements require the Group to comply with certain covenants and maintain
certain financial ratios.  There was a covenant violation during the year ended
December 31, 1995.  The loans are not classified as a current liability since
the debt was subsequently paid off.  The carrying amount of the long-term debt
is a reasonable estimate of its fair value utilizing interest rates based on the
prevailing market rates.

5.  Leasing Arrangements:

The Group leases certain of its operating facilities, corporate office and
furniture and equipment under non-cancelable leases for terms ranging from three
to fifteen years with certain renewal options.  Certain facilities and equipment
are leased by the Group from stockholders.

Future minimum lease payments are as follows:

<TABLE>
<CAPTION>
                                                  Third-party   Operating Leases
                                       Capital     Operating          with
                                        Lease        Leases       Stockholders
- --------------------------------------------------------------------------------
<S>                                    <C>        <C>           <C>
 
1996                                  $  157,500     $23,170        $286,572
1997                                     157,500       4,678         286,572
1998                                     157,500       1,548       
1999                                     157,500                   
2000 and thereafter                      472,500                   
- --------------------------------------------------------------------------------
Total minimum lease payments           1,102,500     $29,396        $573,144
- -------------------------------------------------  =============================
Less amount representing interest        233,171
Present value of net minimum
 payments under capital lease            869,329
Less current portion                      95,219
- -------------------------------------------------  
                                      $  774,110
=================================================
</TABLE>

The capital lease represents a lease for a dialysis facility with companies
owned in whole by the Group's stockholders.  Rent expense paid to stockholders
under operating leases was $286,572 for the year ended December 31, 1995.
<PAGE>
 
6.  Benefit Plans:

KCDC and KCCC each maintain a defined benefit pension plan covering
substantially all employees.  KCDC and KCCC failed to timely amend the plan for
the Tax Reform Act of 1986 in 1995, which subjects the plan to disqualification
by the Internal Revenue Service.  The plan has been amended to cure the
disqualification prospectively and KCDC and KCCC each filed an application with
the IRS under the Voluntary Closing Agreement Program to cure the
disqualification for the years 1989 through 1994.  This program can impose a
sanction between $1,000 and 40% of the maximum payment amount (which equals
approximately $140,000).  At the current time management cannot predict the
ultimate outcome.  KCDC's and KCCC's funding policy, consistent with statutory
requirements, is based on actuarial computations.

The pension cost for the year ended December 31, 1995 included the following
components:

<TABLE>
<CAPTION>
                                                           1995
                                                         --------
<S>                                                      <C>       
   Service cost - benefits earning                 
    during the year                                      $395,334
   Interest cost on projected benefit              
    obligation                                            300,208  
   Return on assets                                      (627,197)
   Net amortization and deferral                          381,346
                                                         --------
                                                   
          Total pension cost                             $449,691
                                                         ========
</TABLE>

The funded status of the pension plan at December 31, 1995, using a valuation
date of January 1, 1995, for the plan assets and liabilities was:

<TABLE>
<S>                                                            <C>
Actuarial present value of
    benefit obligations:
Accumulated benefit obligations:
    Vested                                                     $4,087,273
 
Effect of projected future
    increases in compensation                                   1,435,875
                                                               ----------
Projected benefit obligation
                                                                5,523,148
Plan assets at fair value
                                                                4,808,529
Deficiency of plan assets over projected benefit obligation    ----------
 
Unrecognized net gain                                             714,619
 
Unrecognized transition asset                                     338,408
 
Pension liability                                               1,066,612
                                                               ----------
 
Major Assumptions:                                             $2,119,639
                                                               ==========
Discount rate
Average rate of increase in compensation
Expected long-term rate of return on plan assets
 
                                                                   6%
                                                                   3%
                                                                   7%
</TABLE>

The accumulated benefit obligation represents the actuarial present value
(including the discount rate noted above) of accumulated   plan benefits, while
the projected benefit obligation assumes future increases in compensation.
<PAGE>
 
7.  Commitment and Contingencies:

KCDC has an employment agreement with an officer which provides for total annual
compensation of approximately $150,000.  In   the event of a merger or an
acquisition, the agreement entitles the officer to a payout of approximately
$150,000.

KCCC has been named in an action related to a medical malpractice claim.  While
the ultimate disposition of this contingency cannot   be determined at this
time, management believes that their insurance is adequate to cover the claim.

8.    Supplemental Cash Flow Information:

Supplemental disclosure of cash flow information for the year ended December
31,1995 and for the three months ended March  31,   1995 and March 31, 1996 is
as follows:

<TABLE>
<CAPTION>
 
                                    December 31,   March 31,    March 31,
                                        1995         1995         1996
                                                  (Unaudited)  (Unaudited)
- ---------------------------------------------------------------------------
<S>                                 <C>           <C>          <C>
                        
Cash paid for:          
 Interest                              $40,155      $16,000       $36,207
=========================================================================== 
</TABLE>

9.  Subsequent Event:
On May 29, 1996 the Group sold substantially all assets except accounts
receivable and cash to Renal Treatment Centers, Inc. for $26,622,396, effective
11:59 PM May 31, 1996. As part of this transaction the Group retained all
liabilities.
<PAGE>
 
                 RENAL TREATMENT CENTERS, INC. AND SUBSIDIARIES
                UNAUDITED PRO FORMA CONSOLIDATED BALANCE SHEETS
                                 MARCH 31, 1996

<TABLE>
<CAPTION>
                                                       Historical
                                                          Renal       Historical
                                                        Treatment      Acquired       Pro forma
                                                      Centers, Inc.     company    adjustments (1)    Pro forma
                                                       (unaudited)    (unaudited)    (unaudited)     (unaudited)
                                                      --------------  -----------  ---------------  -------------
<S>                                                   <C>             <C>          <C>              <C>
ASSETS
 
Current assets:
 
Cash                                                   $  2,657,638   $  395,319      $  (595,319)   $  2,457,638
Accounts receivable, net                                 56,090,971    3,686,084       (3,686,084)     56,090,971
Inventories                                               3,522,878                       198,491       3,721,369
Deferred taxes                                            1,412,519                                     1,412,519
Prepaid expenses and other current assets                 1,023,065        5,674           (5,674)      1,023,065
                                                       ------------   ----------      -----------    ------------
  Total current assets                                   64,707,071    4,087,077       (4,088,586)     64,705,562
Property and equipment, net                              24,952,573    1,729,033         (525,780)     26,155,826
Intangibles, net                                         86,055,057                    25,420,652     111,475,709
Deferred taxes, non-current                               1,749,754                                     1,749,754
                                                       ------------   ----------      -----------    ------------
   Total assets                                        $177,464,455   $5,816,110      $20,806,286    $204,086,851
                                                       ============   ==========      ===========    ============
 
LIABILITIES AND STOCKHOLDERS' EQUITY 
 
Current liabilities:
                                                                                                              
Current portion of long-term debt                      $  4,742,845   $  309,402      $  (309,402)   $  4,742,845 
Accounts payable                                          5,416,174      472,466         (472,466)      5,416,174 
Pension liability                                                      2,119,639       (2,119,639)                
Accrued compensation                                      3,300,300      599,432         (599,432)      3,300,300 
Accrued expenses                                          4,469,349        7,232           (7,232)      4,469,349 
Accrued income taxes                                      2,320,777                                     2,320,777 
Accrued interest                                            745,647                                       745,647 
                                                       ------------   ----------    -------------    ------------ 
   Total current liabilities                             20,995,092    3,508,171       (3,508,171)     20,995,092 
                                                                                                                  
Long term debt, net                                      40,503,340    1,471,888       25,150,508 (2)  67,125,736 
                                                                                                                
Stockholders' equity:
 
Preferred stock, $0.01 par value, 5,000,000 shares
  authorized; none issued
Common stock, $.01 par value, 45,000,000 shares                                                   
  authorized; 23,619,076 shares issued and                                                        
  outstanding                                               236,191          600             (600)(3)     236,191
Additional paid-in capital                               83,619,838       32,677          (32,677)(3)  83,619,838 
Retained earnings                                        32,504,070      802,774         (802,774)(3)  32,504,070 
                                                       ------------   ----------    -------------    ------------ 
Less treasury stock, 37,202 shares at cost                 (394,076)                                     (394,076)
                                                       ------------   ----------    -------------    ------------ 
   Total liabilities and stockholders' equity          $177,464,455   $5,816,110      $20,806,286    $204,086,851 
                                                       ============   ==========    =============    ============ 
</TABLE>
<PAGE>
 
                RENAL TREATMENT CENTERS, INC. AND SUBSIDIARIES
           UNAUDITED PRO FORMA CONSOLIDATED STATEMENTS OF OPERATIONS
 For the year ended December 31, 1995 and the three months ended March 31, 1996

<TABLE>
<CAPTION>
 
 
                                     Historical                                                    Historical
                                     ----------                                                    ----------
                              For the year ended December 31, 1995                      For the three months ended March 31, 1996
 
                                Renal                                                    Renal
                               Treatment     Acquired      Pro forma                   Treatment     Acquired    Pro forma
                             Centers, Inc.    company     adjustments    Pro forma    Centers, Inc.   company   adjustments 
                             -------------  -----------   ------------   -----------  -------------  --------- ------------   
<S>                          <C>           <C>           <C>            <C>           <C>          <C>          <C>           
                                                                                                                              
                                                                                                                              
Net patient revenue          $158,697,471   $13,391,407                  $172,088,878  $49,204,164   $3,270,606               
Patient care costs             76,261,775    10,362,247                    86,624,022   23,706,233    2,384,816               
                             -----------    ------------  -----------    ------------  -----------   ----------  --------

Operating profit               82,435,696    3,029,160                     85,464,856   25,497,931      885,790               

General and administrative     40,579,084    1,973,516                     42,552,600   12,903,283      584,405               

Provision for doubtful                                                                                                        
 accounts                       4,324,541    1,393,595                      5,718,136    1,535,944      131,588               
                                                                                                                              
Depreciation and                                                                                                              
 amortization                  11,924,117      148,754     $1,866,187(A)   13,939,058   3,536,388        69,871 $ 433,863(A) 

Merger expenses                 2,087,542                                 $ 2,087,542   1,708,247                            
                              -----------   ----------     ----------     -----------  ----------   -----------  --------    
Income (loss) from                                                                                                           
 operations                    23,520,412     (486,705)    (1,866,187)     21,167,520   5,814,069       99,926   (433,863)   
                              -----------   ----------     ----------     -----------  ----------   -----------  --------    

Interest expense, net           2,486,954       26,720                      2,513,674     665,808        32,803              
                              -----------   ----------     ----------     -----------  ----------   -----------  --------    
Income (loss) before                                                                                                         
 income taxes                  21,033,458     (513,425)    (1,866,187)     18,653,846   5,148,261        67,123  (433,863)   

Income taxes                    7,632,069                    (690,489)(B)   6,941,580   1,990,207                (160,529)(B) 
                              -----------   ----------     ----------     -----------  ----------   -----------  --------     

Net income                    $13,401,389    $(513,425)   $(1,175,698)    $11,712,266  $3,158,054       $67,123 $(273,334)    
                              ===========   ==========     ==========     ===========  ==========   ===========  ========     

Pro forma net income per                                                                                                      
 common and common                                                                                                            
 stock equivalent (C)                                                           $0.53                                         
                                                                          ===========                                         
                                                                                                                              
                                                                                                                              
Pro forma weighted average                                                                                                    
 common shares used in                                                                                                        
 computing earnings per                                                                                                       
 share                                                                     21,930,356                                         
                                                                          ===========   
<CAPTION> 

                                     Pro forma   
                                     ---------
<S>                                 <C>          
Net patient revenue                  $52,474,770 
Patient care costs                    26,091,049 
                                     -----------

Operating profit                      26,383,721 

General and administrative            13,487,688 

Provision for doubtful                           
 accounts                              1,667,532 

Depreciation and                                 
 amortization                          4,040,122 

Merger expenses                        1,708,247  
                                     -----------
Income (loss) from                               
 operations                            5,480,132  
                                     -----------
Interest expense, net                    698,611  
                                     -----------
Income (loss) before                             
 income taxes                          4,781,521  

Income taxes                           1,829,678  
                                     -----------

Net income                            $2,951,843 
                                     ===========

Pro forma net income per                         
 common and common                               
 stock equivalent (C)                      $0.12    
                                     ===========
Pro forma weighted average                       
 common shares used in                           
 computing earnings per                          
 share                                24,278,435  
                                     ===========

</TABLE> 
<PAGE>
 
         NOTES TO UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS


   On May 29, 1996, Renal Treatment Centers, Inc. (the "Company") acquired
substantially all of the non-current and certain other assets of two affiliated
corporations, Kidney Center of Delaware County, Ltd. ("KCDC") and Kidney Center
of Chester County, Ltd. ("KCCC"), each of which operates a Medicare-certified
end-stage renal dialysis facility (collectively "the Seller") in the suburban
Philadelphia, Pennsylvania area. KCDC is owned by James Clark, M.D. and Richard
R. Soricelli, M.D. and KCCC is owned by James Clark, M.D., Richard R. Soricelli,
M.D., Hardy Sorkin, M.D. and George Randolph Westby, M.D. The parties made the
purchase and sale pursuant to two separate asset purchase agreements ("the
Agreements") dated May 29, 1996, with an effective time of May 31, 1996 at 11:59
PM, between a subsidiary of the Company and liquidating trusts into which KCDC
and KCCC, respectively, had transferred their assets.

   As part of the transaction, the Company entered into covenants not to compete
with each of the selling physicians and concurrently entered into new agreements
and received assignments of existing agreements to provide acute dialysis
services at an aggregate of nine area hospitals. In addition, the Company
entered into a physician director agreement with a physician group affiliated
with the selling physicians to act as Physician Director of the Facilities.

   The Company paid total cash consideration of $26,622,396 and determined the
consideration based on negotiations with KCDC and KCCC and the fair market value
of the assets used in the facilities as a going concern.

   The cash consideration was funded entirely through borrowings under the
Company's credit agreement with a consortium of banks.

   Except as arising out of the acquisition, there is no material relationship
between KCDC or KCCC, on the one hand, and the Company or any of its directors,
officers, affiliates or by their associates, on the other hand.

   The transaction has been accounted for as a business combination in
accordance with the purchase method of accounting.

Basis of Presentation
- ---------------------

   The unaudited pro forma financial statements are presented to illustrate 
(i) the pro forma effects on the Company's balance sheet as of March 31, 1996
and (ii) the pro forma effects on the Company's results of operations for the
year ended December 31, 1995 and for the three month period ended March 31, 1996
as if the transaction had occurred on January 1, 1995. The unaudited pro forma
financial statements include adjustments resulting from the purchase accounting
and bank financing and are not necessarily indicative of what the combined
financial position or results of operations would have been had the transaction
occurred on January 1, 1995, nor are they necessarily indicative of future
results of the combined entities.

   Certain pro forma adjustments are based on preliminary estimates of the fair
values of assets acquired and are thus subject to change.

Adjustments to Pro Forma Consolidated Balance Sheets
- ----------------------------------------------------

(1)   Adjusts assets to fair market value and eliminates certain assets not
      assumed by the Company in connection with the acquisition.

(2)   Reflects increase in liability to finance the acquisition.

(3)   Eliminates ownership interest in the company whose assets were acquired
      in the acquisition.
<PAGE>
 
   NOTES TO UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS, CONTINUED


Adjustments to Pro forma Consolidated Statements of Operations
- --------------------------------------------------------------

(A)  Reflects depreciation and amortization expense resulting from the
     revaluation in purchase accounting of fixed assets and intangible assets of
     $1,356,889 and $339,221 offset by historical Seller depreciation and
     amortization of $148,754 and $69,871 for the year ended December 31, 1995
     and for the three months ended March 31, 1996, respectively. Also reflects
     additional amortization over a 25 year period of the excess cost over net
     assets acquired of $658,052 and $164,513 for the year ended December 31,
     1995 and for the three months ended March 31, 1996, respectively, as if the
     Seller were acquired as of January 1, 1995.

(B)  Reflects the adjustments to income taxes which would have been provided on
     pro forma income before taxes.

(C)  Pro forma net income per common and common stock equivalents is computed by
     dividing net income by the weighted average number of common and common
     stock equivalents outstanding during the period.
<PAGE>
 
                                 Exhibit Index

<TABLE> 
<CAPTION> 

Exhibit         Document                                                               Page
- -------         --------                                                               ---- 
<S>             <C>                                                    
     2.1        Asset Purchase Agreement, Dated as of May 29, 1996, with an
                effective time of May 31, 1996 at 11:59 PM, between Renal
                Treatment Centers-Pennsylvania, Inc. and KCCC Liquidating Trust
                (the exhibits and schedules to this agreement have been omitted
                pursuant to Item 601(b)(2) of Regulation S-K and will be
                provided supplementally to the Commission upon its request).
                (previously filed with the Company's current report on Form 8-K
                dated May 29, 1996).


     2.2        Asset Purchase Agreement, Dated as of May 29, 1996, with an
                effective time of May 31, 1996 at 11:59 PM, between Renal
                Treatment Centers-Pennsylvania, Inc. and KCDC Liquidating Trust
                (the exhibits and schedules to this agreement have been omitted
                pursuant to Item 601(b)(2) of Regulation S-K and will be
                provided supplementally to the Commission upon its request).
                (previously filed with the Company's current report on Form 8-K
                dated May 29, 1996).

     23.1       Consent of Coopers & Lybrand.                                            19

     99.1       Fourth Amended and Restated Loan Agreement dated as of June 5,
                1996 between Renal Treatment Centers, Inc. and the various
                lenders set forth therein. (previously filed with the Company's
                current report on Form 8-K dated May 29, 1996).

     99.2       Press release dated June 10, 1996 issued by Renal Treatment
                Centers, Inc. (previously filed with the Company's current
                report on Form 8-K dated May 29, 1996).
</TABLE> 

<PAGE>
 
                       CONSENT TO INDEPENDENT ACCOUNTANTS



We consent to the incorporation by reference in the registration statements of
Renal Treatment Centers, Inc. on Form S-3 (File No. 33-88418, 33-93060, 
33-96828, 333-3716) and S-8 (File No. 33-95750 and 33-94262) of our report dated
June 26, 1996 on our audit of the combined financial statements of the KCDC/KCCC
Group as of December 31, 995 and for the year then ended, which report is
included in this Form 8-K/A.



/s/Coopers & Lybrand, L.L.P.
- -----------------------------
Coopers & Lybrand, L.L.P.

Wayne, Pennsylvania
July 2, 1996


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