EMCARE HOLDINGS INC
10-Q, 1996-05-15
SPECIALTY OUTPATIENT FACILITIES, NEC
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                      SECURITIES AND EXCHANGE COMMISSION
                            Washington, D.C. 20549



                                  FORM 10-Q



(Mark One)

X     Quarterly report pursuant to Section 13 or 15(d) of the Securities
- - -     Exchange Act of 1934

      for the quarterly period ended March 31, 1996

                                      OR
__    Transition report pursuant to Section 13 or 15(d) of the Securities
      Exchange Act of 1934

                       Commission File Number: 0-24986



                             EMCARE HOLDINGS INC.
            (Exact name of registrant as specified in its charter)



        Delaware                                        13-3645287

(State or other jurisdiction of                (I.R.S. Employer Identification
incorporation or organization)                            Number)


                         1717 Main Street, Suite 5200

                             Dallas, Texas 75201

            (Address of registrant's principal executive offices)

                       Telephone Number (214) 712-2000

             (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    __
                        -

     As of April 30,  1996,  there  were  8,122,940  shares of the  Registrant's
Common Stock, par value $.01 per share, outstanding.


                        See Exhibit Index on Page 14

                                Page 1 of 15



<PAGE>



                             EMCARE HOLDINGS INC.


                                    INDEX


PART I.   Financial Information                                         Page No.
                                                                        --------

          Item 1. Financial Statements

                  Consolidated Statements of Income-
                     Quarters Ended March 31, 1996 and
                     1995                                                   3

                  Consolidated Balance Sheets-
                     March 31, 1996 and December 31, 1995                   4

                  Consolidated Statements of Cash Flows-
                     Quarters Ended March 31, 1996 and
                     1995                                                   5

                  Notes to Consolidated Financial Statements                6

          Item 2. Management's Discussion and Analysis of
                  Financial Condition and Results of Operations             8

PART II.  Other Information

          Item 1. Legal Proceedings                                        12

          Item 6. Exhibits                                                 12

          Signature                                                        13




                                      2

<PAGE>



PART I.   FINANCIAL INFORMATION

          ITEM 1.   FINANCIAL STATEMENTS



                             EMCARE HOLDINGS INC.
                      CONSOLIDATED STATEMENTS OF INCOME
                   (In thousands, except per share amounts)
                                 (Unaudited)


                                                        Three Months Ended
                                                            March 31,
                                                      ----------------------
                                                        1996             1995
                                                      --------        ---------


Net revenue ....................................       $ 44,235        $ 34,540
Professional expenses ..........................         35,315          27,154
                                                         ------          ------
Gross profit ...................................          8,920           7,386

Expenses:
   General and administrative ..................          4,245           3,927
   Depreciation and amortization ...............            809             405
                                                            ---             ---
                                                          5,054           4,332
                                                          -----           -----
Income from operations .........................          3,866           3,054
Interest expense ...............................           (172)           (146)
Interest income ................................             72             344
                                                             --             ---
Income before income taxes .....................          3,766           3,252
Income tax expense .............................          1,431           1,236
                                                          -----           -----
Net income .....................................       $  2,335        $  2,016
                                                       ========        ========
Net income per share ...........................       $   0.28        $   0.25
                                                       ========        ========
Weighted average shares outstanding ............          8,433           7,911
                                                          =====           =====















                           See accompanying notes.


                                      3

<PAGE>



                             EMCARE HOLDINGS INC.
                         CONSOLIDATED BALANCE SHEETS
                            (Dollars in thousands)

                                                         March 31,  December 31,
                                                           1996        1995
                                                         ---------  -----------
                                                        (Unaudited)
                                    ASSETS
Current Assets:

    Cash and cash equivalents ......................       $ 7,103       $ 7,781
    Marketable securities ..........................          --           1,507
    Accounts receivable, net .......................        31,049        29,813
    Prepaid insurance ..............................         5,008           166
    Other current assets ...........................         1,151           600
                                                           -------       -------
Total current assets ...............................        44,311        39,867
Furniture and office equipment, net ................         3,681         3,384
Deferred tax asset .................................           983           949
Other assets:
    Goodwill .......................................        29,606        29,602
    Contracts ......................................         7,064         7,064
    Non-competition agreements .....................         4,141         4,141
    Deferred financing costs and other .............           703           493
                                                           -------       -------
                                                            41,514        41,300
    Less accumulated amortization ..................         5,293         4,757
                                                           -------       -------
                                                            36,221        36,543
                                                           -------       -------
Total assets .......................................       $85,196       $80,743
                                                           =======       =======
                     LIABILITIES AND STOCKHOLDERS' EQUITY

Current Liabilities:
    Accounts payable ....................................  $   248       $   254
    Accrued expenses:
      Physician fees ....................................    8,584         8,520
      Accrued salaries and other compensation ...........    2,193         3,280
      Collection fees ...................................    1,222         1,637
      Accrued federal and state income taxes ............    1,404         1,781
      Other accrued liabilities .........................    2,129         2,242
    Deferred tax liability ..............................     --             249
    Short-term debt and current portion of
     long-term obligations ..............................    5,820         2,956
                                                             -----         -----

Total current liabilities ...............................   21,600        20,919

Long-term obligations, less current portion .............    2,334         2,500
Professional liability insurance ........................    4,644         4,594

Commitments and contingencies
Stockholders' equity:
   Preferred stock, $0.01 par value:
     Authorized shares - 5,000,000
     No shares issued or outstanding ....................     --         --
   Common stock, $0.01 par value:
     Authorized shares - 25,000,000
     Issued and outstanding shares - 8,117,000 at
     March 31, 1996 and 8,011,000 at December 31, 1995 ..       81            80
   Additional paid-in capital ...........................   42,577        41,025
   Retained earnings ....................................   13,960        11,625
                                                           -------       -------
Total stockholders' equity ..............................   56,618        52,730
                                                           -------       -------
Total liabilities and stockholders' equity ..............  $85,196       $80,743
                                                           =======       =======

                           See accompanying notes.


                                      4

<PAGE>



                             EMCARE HOLDINGS INC.
                    CONSOLIDATED STATEMENTS OF CASH FLOWS
                            (Dollars in thousands)
                                 (Unaudited)

                                                             Three Months Ended
                                                                  March 31,
                                                            --------------------
                                                              1996        1995
                                                            ---------   --------
Operating Activities
- - --------------------
Net income .............................................   $  2,335    $  2,016

Adjustments to reconcile net income to
 net cash used in operating activities:
    Deferred income taxes ..............................       (283)     (1,182)
    Non-cash interest expense ..........................         92          81
    Amortization .......................................        550         304
    Depreciation .......................................        259         101
    Changes in operating assets and liabilities,
     net of effects of acquisitions:
      Accounts receivable ..............................     (1,236)     (1,675)
      Accounts payable and accrued expenses ............     (1,317)      2,411
      Professional liability insurance .................         50         125
      Prepaid insurance and other assets ...............     (5,393)     (4,018)
                                                           --------    --------
Net cash used in operating activities ..................     (4,943)     (1,837)

Investing Activities
- - --------------------
Sales of marketable securities .........................      1,507       1,130
Purchases of furniture and office equipment ............       (556)       (270)
Payments for acquisitions, net of cash acquired ........       --        (5,068)
Other ..................................................       (227)        (17)
                                                           --------    --------
Net cash provided by (used in) investing activities ....        724      (4,225)

Financing Activities
- - --------------------
Proceeds from borrowings ...............................      4,000       4,321
Payments on short-term borrowings and long-term
 obligations ...........................................     (1,394)     (2,565)
Proceeds from exercise of stock options ................        935          11
                                                           --------    --------
Net cash provided by financing activities ..............      3,541       1,767
                                                           --------    --------
Net decrease in cash and cash equivalents ..............       (678)     (4,295)
Cash and cash equivalents at beginning of period .......      7,781      13,558
                                                           --------    --------
Cash and cash equivalents at end of period .............   $  7,103    $  9,263
                                                           ========    ========

Supplemental Disclosures
Cash paid for:
    Interest ...........................................   $     69    $    177
                                                           ========    ========
    Income taxes .......................................   $  1,520    $     13
                                                           ========    ========






                           See accompanying notes.


                                      5

<PAGE>



                             EMCARE HOLDINGS INC.
                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                                 (Unaudited)
                                March 31, 1996

1.   Basis of Presentation

     The  accompanying  unaudited  consolidated  financial  statements have been
prepared in accordance with generally accepted accounting principles for interim
financial  information and with the  instructions to Form 10-Q and Article 10 of
Regulation  S-X.  Accordingly,  they do not include all of the  information  and
footnotes  required by generally  accepted  accounting  principles  for complete
financial statements. In the opinion of management,  all adjustments (consisting
of normal recurring accruals)  considered necessary for a fair presentation have
been included. Operating results for the three month period ended March 31, 1996
are not necessarily  indicative of the results that may be expected for the year
ended  December 31, 1996.  For further  information,  refer to the  consolidated
financial  statements and footnotes thereto included in the EmCare Holdings Inc.
Annual Report  incorporated  by reference  into the Form 10-K for the year ended
December 31, 1995.

2.    Accounts Receivable and Net Revenue

     Accounts receivable are recorded at net realizable value. The allowance for
contractual adjustments and charity and other adjustments is based on historical
experience and future expectations.

     Accounts receivable consist of the following (in thousands):


                                                         March 31,  December 31,
                                                           1996          1995
                                                         ---------   -----------

Independent billing ....................................   $64,579       $61,252
Hospital contract ......................................     8,791         8,001
Billing receivables ....................................     1,941         2,042
Locum tenens ...........................................     1,387         1,316
                                                           --------       ------
                                                            76,698        72,611
Less allowance for contractual adjustments
and charity and other adjustments ......................    45,649        42,798
                                                            ------        ------
                                                           $31,049       $29,813
                                                           =======       =======


     Net revenue consists of the following (in thousands):


                                                              Three Months
                                                            Ended March 31,
                                                         ----------------------
                                                           1996           1995
                                                         ---------     ---------

Gross revenue ......................................       $71,943       $57,670
Less provision for contractual adjustments
 and charity and other adjustments..................        27,708        23,130
                                                           -------       -------
  
Net revenue ........................................       $44,235       $34,540
                                                           =======       =======





                                      6

<PAGE>



3.   Subsequent Events

     On April 1, 1996,  the Company  acquired an  emergency  physician  practice
management contract providing  emergency  department services to one hospital in
Houston,  Texas for $1.5  million in cash and  $375,000  in debt.  Additionally,
certain sellers entered into covenants not to compete.

     On April 30,  1996,  the Company  acquired all of the  outstanding  capital
stock of Medical  Emergency  Service  Associates,  Inc.  ("MESA"),  an emergency
physician practice management company providing emergency department services to
eight high volume emergency departments and two occupational medicine clinics in
the  Chicago  and  western  Illinois  markets.   The  Company  paid  the  former
stockholders  of MESA an aggregate of  $7,815,933  and will issue to them 56,355
shares of the Company's common stock, par value $.01 per share. One-third of the
shares will be issued and delivered to the former  stockholders  of MESA on each
of the next  three  anniversaries  of the  closing  date.  For  purposes  of the
acquisition,  the Company  valued the 56,355 shares at $26.617 per share,  or an
aggregate of $1,500,000.  In addition,  the former stockholders of MESA could be
entitled to receive  three  deferred  payments  of $325,000  each based upon the
continuation  of the  hospital  contracts,  three  performance  payments  in the
aggregate amount of $1,200,000  based upon the adjusted net income  attributable
to such contracts,  and two incentive earnout payments of up to $1,000,000 each,
also based upon the adjusted net income attributable to such contracts.

     The  former  stockholders  of  MESA  have  agreed  to  continue  to work as
employees  of MESA.  These  individuals  also agreed not to compete  against the
Company  for the three  years  immediately  after the  acquisition.  The Company
allocated  $925,000 of the acquisition  consideration  paid upon consummation of
the acquisition to these covenants not to compete.

4.   Contingencies

     In June 1995,  the Company was informed that the Civil Division of the U.S.
Department  of Justice  ("DOJ")  intended  to pursue a civil  lawsuit  against a
vendor which provides billing services on a contract basis for the Company and a
number of other  customers.  The DOJ  alleges  improper  coding  by the  billing
company of charges for programs (Medicare,  Medicaid,  and CHAMPUS) in violation
of the False  Claims  Act.  Initially,  DOJ agreed not to name the  Company as a
defendant  in the lawsuit,  but later  informed the Company that DOJ intended to
pursue the lawsuit against the Company,  as well as other defendants,  unless by
February 1, 1996,  settlement  discussions were successful.  The lawsuit was not
settled by the February 1, 1996, deadline and the Company has now been served in
the lawsuit. Under the Company's contracts with the billing company, the billing
company has agreed to be responsible for all coding errors.  The billing company
has advised the Company it is confident the DOJ allegations  are incorrect.  The
Company does not  currently  possess  sufficient  information  to determine  the
likelihood or amount of potential liabilities, if any.

     The Company is also a defendant in various other legal proceedings  arising
in the ordinary course of business. Although the results of litigation cannot be
predicted with  certainty,  management  believes that the outcome of the pending
other  litigation  will not have a  material  adverse  effect  on the  Company's
consolidated financial statements.


                                      7

<PAGE>



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

Introduction

      EmCare  Holdings  Inc.  is  a  leading  provider  of  physician   practice
management  services in hospital  emergency  departments and related urgent care
centers in the United States  (collectively,  "EDs").  The Company  recruits and
evaluates the credentials of physicians,  arranges contracts for their services,
assists in monitoring their performance,  and schedules their shifts in the EDs.
The  Company  also  assists  the  EDs  in   operational   areas  such  as  staff
coordination,  quality assurance, and departmental  accreditation.  In addition,
the  Company   provides   accounting,   billing,   record  keeping,   and  other
administrative  services.  The Company has been engaged in  emergency  physician
practice management  primarily in larger hospitals with high volume EDs for more
than 20 years. At March 31, 1996, the Company had management  contracts relating
to 75 EDs in 17 states with  approximately  2.0 million patient visits per year.
In addition to emergency  physician practice  management,  the Company provides:
(i) billing services for emergency physician practice management contracts, (ii)
temporary (locum tenens)  physician  placement  services across a broad range of
medical specialties, and (iii) physician practice management in areas other than
emergency medicine.

      There are an estimated 5,200 hospitals in the United States that have EDs.
Approximately 80% of the hospitals use outsourced physicians to staff their EDs.
The outsourcing  groups used to provide ED services are either national  groups,
regional groups, or small local groups. The national groups serve  approximately
20% of the market.  The Company  believes that the regional and local groups are
encountering  increasing  difficulty  in:  (i)  satisfying  the  record  keeping
requirements  and other  administrative  burdens imposed by health care industry
developments  and (ii)  controlling  costs  imposed by capitated  and other risk
shifting  payment  systems.  As a result,  the Company  believes  that there are
significant consolidation  opportunities within the emergency physician practice
management industry.

      The  Company  intends  to pursue  the  growth of its  emergency  physician
practice management business through  acquisitions of local and regional groups.
Beginning in January 1992 and  continuing  through  March 1996,  the Company has
added emergency physician practice management  contracts covering 21 EDs through
acquisitions.  In  addition,  in  September  1995 the Company  acquired  RTI, an
emergency  medicine  billing company that provides billing services to emergency
physician  groups in eight  states.  The  acquisition  of RTI will  serve as the
platform for the Company to internalize its billing function.  Effective January
1, 1996,  the Company began to transition to RTI the billings for  approximately
one million  patient visits that it outsources per year. The Company  intends to
complete this  transition  over the next year. As of March 31, 1996, the Company
had transitioned 12 EDs as planned  representing  approximately  300,000 patient
visits to RTI.

      On April 1, 1996,  the Company  acquired an emergency  physician  practice
management contract providing  emergency  department services to one hospital in
Houston,  Texas. The contract  generated net revenues of $2.0 million and 23,000
patient visits for the year ended December 31, 1995.

      On April 30, 1996, the Company  acquired an emergency  physician  practice
management company providing emergency  department services to eight high volume
emergency  departments and two Occupational  Medicine clinics in the Chicago and
western Illinois  markets.  This company  generated net revenue of $13.4 million
and 210,000 patient visits for the year ended September 30, 1995.




                                      8

<PAGE>



Results of Operations

      The following  table sets forth,  as a percentage of net revenue,  certain
statement of income data for the periods indicated as well as percentage changes
from period to period in the data presented:


                                                                         
                                                       Three Months
                                                      Ended March 31,    1996 
                                                     ----------------  Compared
                                                      1996      1995    to 1995
                                                     ------    ------     ------

Net revenue ......................................    100.0%    100.0%     28.1%
Professional expenses ............................     79.8      78.6      30.1
Gross profit .....................................     20.2      21.4      20.8
General and administrative expenses ..............      9.6      11.4       8.1
Depreciation and amortization ....................      1.8       1.2      99.8
Income from operations ...........................      8.7       8.8      26.6
Income before income taxes .......................      8.5       9.4      15.8





Three Months Ended March 31, 1996 and 1995

      Net  Revenue.  Net revenue  increased  $9.7  million,  or 28.1%,  to $44.2
million for the three  months  ended  March 31, 1996 from $34.5  million for the
three  months  ended  March  31,  1995.  Of  this  increase,  $7.7  million  was
attributable to increased  revenue from the Company's ED contracts.  Net revenue
from other services increased $2.0 million, contributing 5.8% of the 28.1% total
period to period  increase.  This consists of $1.4 million  attributable  to the
Company's  billing  company which was acquired in September 1995, an increase of
$653,000  attributable  to the Company's  management  of primary care  physician
group  practices,  and a  decrease  of  $65,000  attributable  to  other  non-ED
services.

      Same store ED contract revenue  increased $1.9 million,  or 6.7%, to $30.2
million for the three  months  ended  March 31, 1996 from $28.3  million for the
three  months  ended  March  31,  1995,  contributing  5.5% of the  28.1%  total
period-to-period increase. "Same store" revenue consists of revenue derived from
EDs under  management  from the beginning of the prior period through the end of
the current  period.  New ED  contracts  generated  by the  Company's  marketing
activities  contributed $3.8 million of the increase in net revenue, or 11.0% of
the 28.1% total period-to-period increase. Acquisitions contributed $3.6 million
of the  increase in net  revenue,  or 10.4% of the 28.1% total  period-to-period
increase. Included in the period-to-period increase in net revenue is a negative
impact of $1.6  million,  or 4.6% of the 28.1% total  period-to-period  increase
caused by the loss of contracts.

      Professional  Expenses.  Professional  expenses  primarily consist of fees
paid to physicians under contract with the Company,  collection fees relating to
independent  billing  contracts  billed by vendors,  operating  expenses for the
billing company,  and professional  liability  insurance premiums for physicians
under contract.  Professional  expenses increased by $8.1 million,  or 30.1%, to
$35.3  million for the three months ended March 31, 1996 from $27.2  million for
the three months ended March 31, 1995. This increase was primarily  attributable
to  the  addition  of new ED  contracts.  Expenses  related  to  other  services
increased $1.9 million from period to period,  including $1.3 million related to
the  acquired  billing  company.  As a percentage  of net revenue,  professional
expenses  increased to 79.8% in the three months ended March 31, 1996 from 78.6%
in the  same  period  in  1995.  The  increase  in  professional  expenses  as a
percentage  of net revenue is primarily due to the  operating  costs  associated
with the billing company acquired in September 1995.




                                      9

<PAGE>



      General and Administrative  Expenses.  General and administrative expenses
increased by $318,000, or 8.1%, to $4.2 million for the three months ended March
31, 1996 from $3.9  million for the three  months  ended  March 31,  1995.  This
increase is  primarily  attributable  to the  incremental  administrative  costs
related to the new EDs under management. As a percentage of net revenue, general
and  administrative  expenses  decreased to 9.6% in the three months ended March
31,  1996 from  11.4% in the same  period in 1995 as the  Company  continues  to
leverage its infrastructure with greater revenue growth.

      Depreciation  and  Amortization.  Depreciation  and  amortization  consist
principally  of   amortization  of  goodwill,   contracts  and   non-competition
agreements entered into in connection with business  acquisitions.  Depreciation
and  amortization  increased  by $404,000,  or 99.8%,  to $809,000 for the three
months  ended March 31, 1996 from  $405,000 for the three months ended March 31,
1995, principally due to business acquisitions.

      Interest Income/Expense.  Interest expense increased by $26,000, or 17.8%,
to $172,000  for the three  months  ended March 31, 1996 from  $146,000  for the
three months ended March 31, 1995.  Interest  income  decreased by $272,000,  or
79.1%,  to $72,000 for the three months  ended March 31, 1996 from  $344,000 for
the three  months  ended March 31, 1995,  primarily  due to lower cash  balances
available for investment in the first quarter of 1996. Cash balances were higher
in the  first  quarter  of 1995 as a  result  of the  Company's  initial  public
offering in December 1994.

     Income Taxes. The Company's  effective tax rate remained unchanged at 38.0%
from period to period.

Liquidity and Capital Resources

      At March 31, 1996,  the Company had $22.7 million in working  capital,  an
increase  of $3.8  million  from  December  31,  1995.  At March 31,  1996,  the
Company's  principal  sources  of  liquidity  consisted  of (i)  cash  and  cash
equivalents  aggregating $7.1 million,  (ii) accounts  receivable totaling $31.0
million,  and (iii) $47 million in borrowing  capacity under a revolving line of
credit (the "Revolver") with a syndicate of lenders.

      In the three months ended March 31, 1996, $4.9 million in cash was used to
support  operating  activities.  This amount  reflects  the increase in accounts
receivable due to growth in the number of EDs, an increase in prepaid insurance,
and a decrease in accounts  payable and accrued  expenses.  Cash of $734,000 was
provided by  investing  activities  for the three months ended March 31, 1996 as
the proceeds  from the sale of  marketable  securities  exceeded the purchase of
furniture and office  equipment.  Cash of $3.5 million was provided by financing
activities for the three months ended March 31, 1996 as proceeds from borrowings
and the exercise of stock options exceeded payments on obligations. In the three
months ended March 31, 1995, $1.8 million in cash was used to support  operating
activities.  This amount  reflects  the increase in accounts  receivable  due to
growth in the number of EDs and an increase in prepaid  insurance.  Cash of $4.2
million was used in  investing  activities  for the three months ended March 31,
1995  primarily to acquire  CEA.  Cash of $1.8 million was provided by financing
activities  for the three  months  ended March 31, 1995 as  borrowings  exceeded
payments on obligations.

                                       10
<PAGE>

     Accounts  receivable are a key component of the Company's  working capital.
Accounts receivable totaled $31.0 million at March 31, 1996, an increase of $1.2
million over December 31, 1995. The timing of payments on the Company's accounts
receivable can vary significantly depending on whether the related contract is a
hospital-based or independent billing contract.  Independent billing receivables
have  a  significantly  longer  collection  cycle  than  hospital-based  billing
receivables  because of the process of billing and collecting  from  third-party
payor  programs  and  private  payors.  The  number of days  revenue  in average
receivables  was 63 days for the three months ended March 31, 1996,  compared to
61 days  for  the  three  months  ended  March  31,  1995.  In  connection  with
independent  billing  contracts,  the Company incurs, and can expect to incur in
the future,  negative cash flow during the start-up phase  (typically six months
or more after the contract is initiated).

      The Company  anticipates  that funds generated from  operations,  together
with funds available under the Revolver,  will be sufficient to meet its working
capital  requirements and debt obligations and to finance any necessary  capital
expenditures  for the foreseeable  future.  Expansion of the Company's  business
through  acquisitions  may require  additional  funds,  which, to the extent not
provided by internally  generated  sources,  cash and cash equivalents,  and the
Revolver, would require the Company to seek additional debt or equity financing.

Factors That May Affect Future Results of Operations and Financial Condition

      The Company  operates in a constantly  changing  health care  environment.
While overall  prospects are positive,  results may vary in response to a number
of  factors,  including  the  pace of new  business  and  acquisition  activity,
reimbursement  rates and  developments  in the Department of Justice (DOJ) civil
lawsuit.  The foregoing statements and other statements in this Item 2 not based
upon  historical  fact are  forward-looking  statements  that involve  risks and
uncertainties,   and  actual   results  could  differ   materially   from  these
expectations.  Important  factors  that  could  cause  actual  results to differ
materially from the forward-looking  statements include the pace of new business
and acquisition  activity,  changes in reimbursement rates,  developments in the
DOJ civil  lawsuit (see Part I, Item 1, Note 4,  "Contingencies"  for a detailed
discussion),  the  implementation of the Health Care Financing  Administration's
new  guidelines  for  documentation  of  Medicare  and  Medicaid  claims and the
transition of the Company's billing activities from outside vendors to RTI.



                                      11

<PAGE>



PART II.                       OTHER INFORMATION

ITEM 1.     LEGAL PROCEEDINGS

      In June 1995, the Company was informed that the Civil Division of the U.S.
Department  of Justice  ("DOJ")  intended  to pursue a civil  lawsuit  against a
vendor which provides billing services on a contract basis for the Company and a
number of other  customers.  The DOJ  alleges  improper  coding  by the  billing
company of charges for programs (Medicare,  Medicaid,  and CHAMPUS) in violation
of the False  Claims  Act.  Initially,  DOJ agreed not to name the  Company as a
defendant  in the lawsuit,  but later  informed the Company that DOJ intended to
pursue the lawsuit against the Company,  as well as other defendants,  unless by
February 1, 1996,  settlement  discussions were successful.  The lawsuit was not
settled by the February 1, 1996, deadline and the Company has now been served in
the lawsuit. Under the Company's contracts with the billing company, the billing
company has agreed to be responsible for all coding errors.  The billing company
has advised the Company it is confident the DOJ allegations  are incorrect.  The
Company does not  currently  possess  sufficient  information  to determine  the
likelihood or amount of potential liabilities, if any. The civil lawsuit, United
States ex rel. Theresa Semtner v. Emergency  Physicians Billing Services,  Inc.,
et al. (Cause No. 94-CB-617),  was filed under seal on April 29, 1994, in United
States District Court Western  District of Oklahoma in Oklahoma City,  Oklahoma.
The civil action seeks treble damages,  plus civil penalties of $10,000 for each
false claim,  all costs of the action,  and other relief as the Court deems just
and equitable.

ITEM 6.     EXHIBITS AND REPORTS ON FORM 8-K

A.    Exhibits

      11.1  Computation of Net Income Per Share

      27.1  Financial Data Schedule

B.    Form 8-K

     There were no reports on Form 8-K filed for the three  months  ended  March
31, 1996.





                                      12

<PAGE>



SIGNATURE

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

Dated:   May 14, 1996



                                        EMCARE HOLDINGS INC.
                                        (Registrant)






                                        By: /s/ Robert F. Anderson, II
                                            --------------------------
                                            Robert F. Anderson, II
                                            Chief Financial Officer, Senior 
                                            Vice President, Treasurer, 
                                            and Secretary




                                      13

<PAGE>



                                EXHIBIT INDEX


Exhibit No.                       Description                         Page
- - -----------                       -----------                         ----
    11.1                 Computation of Net Income Per Share           15

    27.1                 Financial Data Schedule                       16

                                       14



                                                                EXHIBIT 11.1

                             EMCARE HOLDINGS INC.

                      COMPUTATION OF NET INCOME PER SHARE
                   (In thousands, except per share amounts)


                                                            Three Months Ended
                                                                March 31,
                                                          ----------------------
                                                             1996         1995
                                                          ---------    ---------
Primary:

Weighted average number of common shares
 outstanding during the period .......................        8,045        7,539
Weighted average shares issuable upon
 exercise of outstanding stock options
 using the "treasury stock" method ...................          388          372
                                                             ------       ------
Weighted average shares outstanding ..................        8,433        7,911
                                                             ======       ======

 Net income ..........................................       $2,335       $2,016
                                                             ======       ======
   Net income per share ..............................       $ 0.28       $ 0.25
                                                             ======       ======

 Fully diluted:

Weighted average number of common shares
 outstanding during period ...........................        8,045        7,539
Weighted average shares issuable upon
 exercise of outstanding stock options
 using the "treasury stock" method ...................          416          515
                                                             ------       ------
Weighted average shares outstanding ..................        8,461        8,054
                                                             ======       ======

Net income ...........................................       $2,335       $2,016
                                                             ======       ======
  Net income per share ...............................       $ 0.28       $ 0.25
                                                             ======       ======
                                       15

<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
     THE SCHEDULE CONTAINS SUMMARY FINANCIAL INFORMATION EXTRACTED FROM THE 
     FORM 10-Q FOR THE QUARTERLY PERIOD ENDED MARCH 31, 1996, AND IS QUALIFIED
     IN ITS ENTIRETY BY REFERENCE TO SUCH FINANCIAL STATEMENTS.
</LEGEND>                                            
<MULTIPLIER>                                   1,000
       
<S>                             <C>
<PERIOD-TYPE>                   3-MOS
<FISCAL-YEAR-END>                              DEC-31-1996
<PERIOD-START>                                 JAN-01-1996
<PERIOD-END>                                   MAR-31-1996
<CASH>                                           7,103
<SECURITIES>                                         0
<RECEIVABLES>                                   76,698
<ALLOWANCES>                                    45,649
<INVENTORY>                                          0
<CURRENT-ASSETS>                                44,311
<PP&E>                                           6,631
<DEPRECIATION>                                   2,950
<TOTAL-ASSETS>                                  85,196
<CURRENT-LIABILITIES>                           21,600
<BONDS>                                              0
                                0
                                          0
<COMMON>                                            81
<OTHER-SE>                                      56,537
<TOTAL-LIABILITY-AND-EQUITY>                    85,196
<SALES>                                         44,235
<TOTAL-REVENUES>                                44,235
<CGS>                                           35,315
<TOTAL-COSTS>                                   35,315
<OTHER-EXPENSES>                                 5,024
<LOSS-PROVISION>                                     0
<INTEREST-EXPENSE>                                 172
<INCOME-PRETAX>                                  3,766
<INCOME-TAX>                                     1,431
<INCOME-CONTINUING>                              3,866
<DISCONTINUED>                                       0
<EXTRAORDINARY>                                      0
<CHANGES>                                            0
<NET-INCOME>                                     2,335
<EPS-PRIMARY>                                     0.28
<EPS-DILUTED>                                     0.28
        


</TABLE>


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