<PAGE>
UNITED STATES
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, 2000
Or
[_] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
Commission file number: 0-26190
US ONCOLOGY, INC.
(Exact name of registrant as specified in its charter)
DELAWARE 84-1213501
(State or other jurisdiction of incorporation or (I.R.S. Employer
organization) Identification No.)
16825 NORTHCHASE DRIVE, SUITE 1300
HOUSTON, TEXAS
77060
(Address of principal executive offices)
(Zip Code)
(281) 873-2674
(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 May 11, 2000, 91,021,148 shares of the Registrant's Common Stock were
outstanding. In addition, as of May 11, 2000, the Registrant had agreed to
deliver 11,115,995 shares of its Common Stock on certain future dates for no
additional consideration.
<PAGE>
US ONCOLOGY, INC.
FORM 10-Q
MARCH 31, 2000
TABLE OF CONTENTS
PAGE NO.
--------
PART I. FINANCIAL INFORMATION
Item 1. Condensed Consolidated Financial Statements................. 3
Condensed Consolidated Balance Sheet........................ 3
Condensed Consolidated Statement of Operations and
Comprehensive Income...................................... 4
Condensed Consolidated Statement of Cash Flows.............. 5
Notes to Condensed Consolidated Financial Statements........ 6
Item 2. Management's Discussion and Analysis of Financial
Condition and Results of Operation........................ 10
Item 3. Quantative and Qualitative Disclosures about Market Risks... 15
PART II. OTHER INFORMATION
Item 1. Legal Proceedings........................................... 16
Item 2. Changes in Securities....................................... 17
Item 6. Exhibits and Reports on Form 8-K............................ 18
SIGNATURES
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<PAGE>
PART I. FINANCIAL INFORMATION
ITEM 1. CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
US ONCOLOGY, INC.
CONDENSED CONSOLIDATED BALANCE SHEET
(in thousands, except par value)
<TABLE>
<CAPTION>
March 31, December 31,
2000 1999
---------- ----------
ASSETS (unaudited)
<S> <C> <C>
Current assets:
Cash and equivalents................................................... $ 20,711 $ 11,381
Investment in common stock............................................. -- 27,258
Accounts receivable.................................................... 342,091 331,361
Prepaids and other current assets...................................... 46,149 42,655
Inventories............................................................ 17,415 24,692
Due from affiliated physician groups................................... 32,166 38,894
---------- ----------
Total current assets............................................... 458,532 476,241
Property and equipment, net.............................................. 259,157 254,289
Management service agreements, net....................................... 538,465 537,130
Other assets............................................................. 30,678 30,817
---------- ----------
$1,286,832 $1,298,477
========== ==========
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Current maturities of long-term indebtedness........................... $ 25,680 $ 26,693
Accounts payable....................................................... 92,007 107,937
Due to affiliated physician groups..................................... 14,710 2,584
Income taxes payable................................................... 27,140 9,322
Other accrued liabilities.............................................. 49,928 48,912
---------- ----------
Total current liabilities.......................................... 209,465 195,448
Deferred income taxes.................................................... 35,361 33,224
Long-term indebtedness................................................... 300,729 360,191
---------- ----------
Total liabilities.................................................. 545,555 588,863
Minority interest........................................................ 2,608 2,450
Stockholders' equity:
Preferred Stock, $.01 par value, 1,500 shares authorized, none issued
and outstanding......................................................
Series A Preferred Stock, $.01 par value, 500 shares authorized and
reserved, none issued and outstanding................................
Common Stock, $.01 par value, 250,000 shares authorized, 90,919 and
87,253 issued and outstanding........................................ 909 873
Additional paid-in capital............................................. 437,808 428,533
Common Stock to be issued, approximately 11,002 and 13,982 shares...... 84,409 91,330
Retained earnings...................................................... 215,543 186,428
---------- ----------
Total stockholders' equity......................................... 738,669 707,164
---------- ----------
$1,286,832 $1,298,477
========== ==========
</TABLE>
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS STATEMENT.
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US ONCOLOGY, INC.
CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS AND COMPREHENSIVE INCOME
(in thousands, except per share data)
(unaudited)
<TABLE>
<CAPTION>
THREE MONTHS
ENDED MARCH 31,
-------------------------
2000 1999
-------- --------
<S> <C> <C>
Revenue............................................................. $304,502 $249,214
Operating expenses:
Pharmaceuticals and supplies...................................... 147,670 115,247
Practice compensation and benefits................................ 61,194 49,418
Other practice costs.............................................. 37,146 29,514
General and administrative........................................ 13,613 8,894
Depreciation and amortization..................................... 18,362 15,065
-------- --------
277,985 218,138
-------- --------
Income from operations.............................................. 26,517 31,076
Other income (expense):
Interest, net..................................................... (7,124) (4,643)
Gain on investment in common stock................................ 27,566 --
-------- --------
Income before income taxes.......................................... 46,959 26,433
Income taxes........................................................ 17,844 9,918
-------- --------
Net income and comprehensive income................................. $ 29,115 $ 16,515
======== ========
Net income per share - basic........................................ $ 0.29 $ 0.17
======== ========
Shares used in per share calculations - basic....................... 101,743 99,712
======== ========
Net income per share - diluted...................................... $ 0.29 $ 0.16
======== ========
Shares used in per share calculations - diluted..................... 101,940 101,428
======== ========
</TABLE>
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS STATEMENT.
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US ONCOLOGY, INC.
CONDENSED CONSOLIDATED STATEMENT OF CASH FLOWS
(in thousands)
(unaudited)
<TABLE>
<CAPTION>
Three Months
Ended March 31,
----------------------
2000 1999
-------- --------
<S> <C> <C>
Cash flows from operating activities:
Net income........................................................... $ 29,115 $ 16,515
Non cash adjustments:
Realized gain on investment in common stock.......................... (27,566) --
Depreciation and amortization........................................ 18,362 15,065
Deferred income taxes................................................ 2,137 491
Earnings in joint ventures........................................... 158 --
Changes in operating assets and liabilities:......................... 16,158 (43,041)
-------- --------
Net cash provided (used) by operating activities.............. 38,364 (10,970)
-------- --------
Cash flows from investing activities:
Acquisition of property and equipment................................ (17,162) (21,170)
Net payments in medical practice transactions........................ (3,230) (25,703)
Proceeds from sale of investment in common stock..................... 54,824
Other................................................................ -- (707)
-------- --------
Net cash provided (used) by investing activities.............. 34,432 (47,580)
-------- --------
Cash flows from financing activities:
Proceeds from credit facilities...................................... 15,000 61,000
Repayment of credit facility......................................... (69,000) (7,719)
Repayment of other indebtedness...................................... (9,919) (3,750)
Issuance of Common Stock............................................. -- 307
Proceeds from exercise of options.................................... 453 1,723
-------- --------
Net cash provided (used) by financing activities............. (63,466) 51,561
-------- --------
Increase (decrease) in cash and equivalents............................. 9,330 (6,989)
Cash and equivalents:
Beginning of period.................................................. 11,381 13,691
-------- --------
End of period........................................................ $ 20,711 $ 6,702
======== ========
Interest Paid........................................................... $ 5,774 $ 4,571
Taxes Paid.............................................................. 26 2,263
Non cash transactions:
Value of Common Stock to be issued in medical practice transactions.. 1,935 15,951
Delivery of Common Stock to be issued in medical practice
transactions........................................................ 8,856 6,006
Debt issued in medical practice transactions......................... 2,129 14,716
Debt assumed in medical practice transactions........................ 86
Debt issued to finance insurance premiums............................ 1,315 649
</TABLE>
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART OF THIS STATEMENT.
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US ONCOLOGY, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
NOTE 1 - Basis of Presentation
The accompanying unaudited condensed consolidated financial statements have been
prepared in accordance with generally accepted accounting principles for interim
financial reporting and in accordance with Form 10-Q and Rule 10.01 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, the unaudited condensed
consolidated financial statements contained in this report reflect all
adjustments that are normal and recurring in nature and considered necessary for
a fair presentation of the financial position and the results of operations for
the interim periods presented. The preparation of the Company's financial
statements in conformity with generally accepted accounting principles requires
management to make estimates and assumptions that affect the reported amounts of
assets, liabilities, revenues and expenses, as well as disclosures on contingent
assets and liabilities. Because of inherent uncertainties in this process,
actual future results could differ from those expected at the reporting date.
These unaudited condensed consolidated financial statements, footnote
disclosures and other information should be read in conjunction with the
financial statements and the notes thereto included in US Oncology, Inc.'s Form
10-K filed with the Securities and Exchange Commission on March 30, 2000.
Operating segments
During 1998, the Company adopted Financial Accounting Standards Board (FASB)
Statement No. 131, "Disclosures About Segments of an Enterprise and Related
Information" (FAS 131), which requires reporting of summarized financial results
for the operating segments as well as establishes standards for related
disclosures about products and services, geographic areas and major customers.
The Company's sole business is providing comprehensive management services,
facilities and equipment, administrative and technical support and ancillary
services necessary for physicians to establish and maintain a fully integrated
network of outpatient cancer care. The physicians affiliated with the Company
provide all aspects of care related to the diagnosis and outpatient treatment of
cancer, including comprehensive oncology services (including primarily medical,
radiation, and gynecological services), diagnostic radiology services, retail
pharmacy services and clinical research. For the first quarter of 2000 and
1999, oncology-related services was the only product line that exceeded the
reporting thresholds of FAS 131. The Company, therefore, has used the
aggregation criteria of FAS 131 and reports a single segment.
NOTE 2 - Business Combination
On June 15, 1999, the Company, formerly American Oncology Resources, Inc. (AOR),
consummated a merger transaction pursuant to which Physician Reliance Network,
Inc. (PRN) became a wholly owned subsidiary of the Company and each outstanding
share of PRN's common stock was converted into .94 shares of the Company's
common stock (the Merger). At the time of the Merger, the Company changed its
name to US Oncology, Inc. The transaction was accounted for as a pooling of
interests and accordingly the financial statements presented herein have been
restated to conform the presentation and accounting standards of the two
companies.
NOTE 3 - Revenue
Medical service revenue for services to patients by the physician groups
affiliated with the Company is recorded when services are rendered based on
established or negotiated charges reduced by contractual adjustments and
allowances for doubtful accounts. Differences between estimated contractual
adjustments and final settlements are reported in the period when final
settlements are determined. Medical service revenue of the affiliated physician
groups is reduced by amounts retained by the physician groups under the
Company's management services agreements to arrive at the Company's management
fee revenue.
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US ONCOLOGY, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
The following presents the amounts included in the determination of the
Company's revenue (in thousands):
Three Months
Ended March 31,
-------------------
2000 1999
-------- --------
Medical service revenue........................... $400,247 $326,898
Amounts retained by affiliated physician groups... 95,745 77,684
-------- --------
Revenue........................................... $304,502 $249,214
======== ========
The Company's most significant and only management service agreement to provide
more than 10% of revenues to the Company is with Texas Oncology, P.A. (TOPA).
TOPA accounted for approximately 25% and 28% of the Company's total revenue
for the three months ended March 31, 2000 and 1999, respectively.
NOTE 4 - Gain on sale of investment in common stock
In March 2000, the Company sold its equity investment in ILEX Oncology, Inc. in
a private sale transaction and realized proceeds of $54.8 million, or $38.8
million net of tax. Included in other income for the first quarter of 2000 is
$27.6 million related to a gain on disposal of this stock. A previous gain of
$14.4 million was recognized during the fourth quarter of 1999 as a result of
the Company's reclassification of the ILEX stock as a trading security.
NOTE 5 - Credit Facility and Master Lease
Credit Facility
Effective June 15, 1999, in connection with the Merger, the Company executed a
$275 million revolving credit facility (Credit Facility) with First Union
National Bank (First Union), individually and as Administrative Agent for eight
additional lenders ("Lenders"). The Credit Facility consists of a $175 million
five-year revolving credit facility (Revolver) and a $100 million 364-day
revolving credit facility. The Company intends to allow the $100 million 364-
day revolving credit facility to terminate at its maturity in June 2000, as the
Company does not anticipate requiring any borrowings under such facility for the
remainder of 2000. As of March 31, 2000, the 364-day revolving credit facility
had a balance of $27 million. Management intends to repay this balance during
the second quarter of 2000 with additional proceeds from the Revolver. Initial
proceeds under the Revolver were used to refinance existing debt and to pay
certain transaction fees and expenses in connection with the Credit Facility and
the Merger. Proceeds of loans under the Credit Facility may be used to finance
medical practice transactions, to provide working capital and for other general
corporate uses. As of March 31, 2000, the Company had an outstanding balance of
$93 million under the $175 million Credit Facility. The Company has classified
borrowings under the Credit Facility as long-term indebtedness due to its
ability and intent to maintain the borrowings beyond the next twelve months.
Borrowings under the Credit Facility are secured by all capital stock of the
Company's subsidiaries, all of the Company's management services agreements and
all accounts receivable of the Company. At the Company's option, funds may be
borrowed at the Base interest rate or the London Interbank Offered Rate (LIBOR)
plus an amount determined under a defined formula. The Base rate is selected by
First Union and is defined as their prime rate or Federal Funds Rate plus 1/2%.
Interest on amounts outstanding under Base rate loans is due quarterly while
interest on LIBOR related loans is due at the end of each applicable interest
period or quarterly, if earlier. As of March 31, 2000, the weighted average
interest rate on all outstanding draws under the Credit Facility was 7.38%.
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<PAGE>
US ONCOLOGY, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS CONTINUED
(unaudited)
The Company is subject to restrictive covenants under the Credit Facility,
including the maintenance of certain financial ratios. The agreement limits
certain activities such as incurrence of additional indebtedness, sales of
assets, investments, capital expenditures, mergers and consolidations and the
payment of dividends. Under certain circumstances, additional medical practice
transactions may require First Union's and the Lenders' consent.
Senior secured notes
In November 1999, the Company issued $100 million in senior secured notes to a
select group of institutional investors. The notes bear interest at 8.42%,
mature in installments from 2002 through 2006 and rank equal in right of payment
with all current and future senior indebtedness of the Company. The senior
secured notes contain restrictive financial and operational covenants and are
secured by the same collateral as the Credit Facility.
Master Lease
Effective June 15, 1999, the Company amended its $75 million master lease
agreement related to integrated cancer centers to extend the construction and
acquisition period through December 2000. Under the agreement, the lessor
purchases and has title to the properties, pays for the construction costs and
thereafter leases the facilities to the Company. The initial term of the lease
is for five years and can be renewed in one year increments if approved by the
lessor. The lease provides for substantial residual value guarantees and
includes purchase options at original cost on each option. Advances under the
master lease agreement as of March 31, 2000 were $54 million.
NOTE 6 - Earnings per Share
The Company computes earnings per share in accordance with the provisions of
FASB Statement No. 128, "Earnings Per Share", which requires the Company to
disclose "basic" and "diluted" earnings per share (EPS).
The computation of basic EPS is based on a weighted average number of
outstanding shares of Common Stock and Common Stock to be issued during the
periods. The Company includes Common Stock to be issued in both basic and
diluted EPS as there are no foreseeable circumstances that would relieve the
Company of its obligation to issue these shares. The computation of the diluted
EPS is based on a weighted average number of outstanding shares of Common Stock
and Common Stock to be issued during the periods as well as all dilutive
potential Common Stock calculated under the treasury stock method.
-8-
<PAGE>
US ONCOLOGY, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)
The table summarizes the determination of shares used in per share calculations
(in thousands):
<TABLE>
<CAPTION>
Three Months
Ended March 31,
--------------------
2000 1999
------- -------
<S> <C> <C>
Outstanding at end of period:
Common Stock.................................................. 90,919 82,268
Common Stock to be issued..................................... 11,002 17,525
------- -------
101,921 99,793
Effect of weighting........................................... (178) (81)
------- -------
Shares used in per share calculations-basic........................ 101,743 99,712
Effect of weighting and assumed share equivalents for grants
of stock options at less than the weighted average price and
subordinated convertible promissory notes........................ 197 1,716
------- -------
Shares used in per share calculations-diluted...................... 101,940 101,428
======= =======
Anti-dilutive stock options not included above.................... 7,202 6,653
======= =======
</TABLE>
NOTE 7 - Recent Pronouncements
In June 1998, FASB issued Statement No. 133, "Accounting for Derivative
Instruments and Hedging Activities," (FAS 133) which is effective for the
Company's financial statements as of and for the year ending December 31, 2000.
FAS 133 requires that an entity recognize all derivatives as either assets or
liabilities in the statement of financial position and to measure those
instruments at fair value. In 1999, FASB issued Statement No. 137 which delayed
the required implementation date for FAS 133 until the Company's year ended
December 31, 2001. Management expects to implement FAS 133 for the year ended
December 31, 2001 and is still evaluating the potential impact but currently
does not expect such implementation to have a material effect on the Company's
operations.
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<PAGE>
US ONCOLOGY, INC.
ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND
RESULTS OF OPERATIONS
Introduction
US Oncology, Inc. (the "Company" or "US Oncology") is a cancer management
company which provides comprehensive management services under long-term
agreements to its affiliated oncology practices, including operational and
clinical research services and data management, and furnishes personnel,
facilities, supplies and equipment. These affiliated practices provide a broad
range of medical services to cancer patients, integrating the specialties of
medical and gynecological oncology, hematology, radiation oncology, diagnostic
radiology and stem cell transplantation. Substantially all of the Company's
revenue consists of management fees and includes all medical practice operating
costs for which the Company is contractually responsible.
The Company believes that the coordinated delivery of comprehensive cancer care
in an outpatient setting offers high quality care that is more cost-effective
than traditional approaches and is increasingly preferred by patients, payors
and physicians. The Company believes that many oncology practices recognize the
need for outside managerial, financial and business expertise to more
efficiently manage the increasingly complex, burdensome and time-consuming
nonmedical aspects of their practices and that practices will increasingly elect
to enter into management relationships with entities such as the Company.
Forward-looking Statements and Risk Factors
The following statements are or may constitute forward-looking statements within
the meanings of the Private Securities Litigation Reform Act of 1995: (i)
certain statements, including possible or assumed future results of operations
of US Oncology, contained in "Management's Discussion and Analysis of Financial
Condition and Results of Operations," and including any statements contained
herein regarding the prospects for any of the Company's services; (ii) any
statements preceded by, followed by or that include the words "believes",
"expects", "anticipates", "intends", "estimates", "plans" or similar
expressions; and (iii) other statements contained herein regarding matters that
are not historical facts.
US Oncology's business and results of operations are subject to risks and
uncertainties, many of which are beyond the Company's ability to control or
predict. Because of these risks and uncertainties, actual results may differ
materially from those expressed or implied by such forward-looking statements,
and US Oncology stockholders are cautioned not to place undue reliance on such
statements, which speak only as of the date thereof. Factors that could cause
actual results to differ materially include, but are not limited to, integration
of formerly separate operations in connection with the AOR/PRN merger, changes
in cancer therapy or the manner in which cancer care is delivered, government
regulation, drug utilization, reimbursement for healthcare services and the
operations of the Company's affiliated physician groups. Please refer to the
Company's Annual Report on Form 10-K for the year ended December 31, 1999,
particularly the section entitled "Risk Factors", for a more detailed discussion
of certain of these risks and uncertainties.
The cautionary statements contained or referred to herein should be considered
in connection with any subsequent written or oral forward-looking statements
that may be issued by US Oncology or persons acting on its behalf. US Oncology
does not undertake any obligation to release any revisions to or to update
publicly any forward-looking statements to reflect events or circumstances after
date thereof or to reflect the occurrence of unanticipated events.
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US ONCOLOGY, INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS - continued
Results of Operations
Medical service revenue for services to patients by the physician groups
affiliated with the Company is recorded when services are rendered based on
established or negotiated charges reduced by contractual adjustments and
allowances for doubtful accounts. Differences between estimated contractual
adjustments and final settlements are reported in the period when final
settlements are determined. Medical service revenue of the affiliated physician
groups is reduced by amounts retained by the physician groups under the
Company's management services agreements to arrive at the Company's management
fee revenue.
The following table sets forth the percentages of revenue represented by certain
items reflected in the Company's Statement of Operations and Comprehensive
Income. The information that follows should be read in conjunction with the
Company's unaudited condensed consolidated financial statements and notes
thereto included elsewhere herein.
Three Months
Ended March 31,
------------------
2000 1999
---- ----
Revenue.................................... 100.0% 100.0%
Operating expenses:
Pharmaceuticals and supplies.............. 48.5% 46.2%
Practice compensation and benefits........ 20.1% 19.8%
Other practice costs...................... 12.2% 11.8%
General and administrative................ 4.5% 3.6%
Depreciation and amortization............. 6.0% 6.1%
Other income.............................. (9.0%) --
Net interest expense...................... 2.3% 1.9%
----- -----
Income before income taxes................. 15.4% 10.6%
Income taxes............................... 5.8% 4.0%
----- -----
Net income................................. 9.6% 6.6%
===== =====
2000 Compared to 1999
The Company entered into new affiliation agreements with fourteen oncology
groups since March 1999. The results of the new affiliated oncology practices
are included in the Company's operating results from the dates of affiliation.
Changes in results of operations for the first quarter of 1999 compared to the
first quarter of 2000 were caused, in part, by affiliations with these oncology
practices.
Overall, the Company experienced a decrease in operating margins from the first
quarter of 1999 to the first quarter of 2000, with earnings before taxes,
interest, depreciation, amortization and other income ("EBITDA"), as a
percentage of revenue, declining from 18.5% to 14.7%. A number of factors
contributed to the decrease in operating margins, including: (i) increases in
the acquisition cost of pharmaceuticals, (ii) shifts in the mix of
pharmaceuticals to lower margin products, (iii) increase in practice personnel
costs due to numerous network-wide initiatives (such as information system
conversions) and (iv) higher occupancy costs due to expansion into new cancer
centers and additional sites of service.
-11-
<PAGE>
US ONCOLOGY, INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS - continued
Revenue. Revenue increased from $249.2 million in the first quarter of 1999
to $304.5 million in the first quarter of 2000, an increase of $55.3 million, or
22%. Revenue for markets under management in the first quarter of both 1999 and
2000 increased $49.2 million or 20% over the same period from the prior year.
This growth was the result of increased use of anticancer pharmaceuticals,
expansion of services, increases in patient volume, recruitment of or
affiliation with additional physicians and, to a lesser extent, increases in
charges for certain physician services.
Pharmaceuticals and Supplies. Pharmaceuticals and supplies expense, which
includes drugs, medications and other supplies used by the affiliated physician
groups, increased from $115.2 million for the first quarter of 1999 to $147.7
million for the first quarter of 2000, an increase of $32.5 million, or 28%. As
a percentage of revenue, pharmaceuticals and supplies increased from 46.2% for
the first quarter of 1999 to 48.5% for the comparable period of 2000. This
increase was primarily due to a shift in the revenue mix to a higher percentage
of revenue from drugs, increases in acquisition prices of drugs and a shift to
lower margin drugs. Management expects that third-party payors will continue to
negotiate the reimbursement rate for pharmaceuticals and supplies, with the goal
of lowering reimbursement rates, and that such lower reimbursement rates as well
as shifts in revenue mix may continue to adversely impact the Company's margins
with respect to such items. In response to this decline in margin relating to
certain pharmaceutical agents, the Company has adopted several strategies. Most
importantly, the Company has formed a number of preferred pharmaceutical
relationships and continues to pursue others. In addition, the Company
routinely considers and implements measures to control other operating costs to
enable it to achieve greater economies of scale. Lastly, the Company seeks
opportunities to expand its business in areas that are less affected by lower
pharmaceutical margins, such as radiation oncology and diagnostic radiology.
The Company believes that its results of operations and financial condition have
benefited from each of these strategies.
Practice Compensation and Benefits. Practice compensation and benefits, which
includes the salaries, wages and benefits of the affiliated physician groups'
employees (excluding affiliated physicians) and the Company's employees who are
located at the affiliated physician practice sites and business offices,
increased from $49.4 million for the first quarter of 1999 to $61.2 million for
the first quarter of 2000, an increase of $11.8 million or 24%. As a percentage
of revenue, other practice costs increased from 19.8% in the first quarter of
1999 to 20.1% in the first quarter of 2000. The increase was primarily
attributable to staffing costs for eleven new cancer centers opened since March
31, 1999 as well as expansion into new sites of service and affiliations with
new practices with higher staffing costs. The Company expects to open an
additional ten to fifteen cancer centers in 2000.
Other Practice Costs. Other practice costs, which consist of rent, utilities,
repairs and maintenance, insurance and other direct practice costs, increased
from $29.5 million for the first quarter of 1999 to $37.0 million for the first
quarter of 2000, an increase of $7.5 million or 25%. As a percentage of revenue
other practice costs increased from 11.8% in the first quarter of 1999 to 12.2%
in the first quarter of 2000. The increase was primarily attributable to
occupancy costs on eleven new cancer centers and expansion into new sites of
service.
General and Administrative. General and administrative expenses increased
from $8.9 million in the first quarter of 1999 to $13.6 million of the first
quarter of 2000, an increase of $4.7 million or 53%. As a percentage of
revenue, general and administrative costs increased from 3.6% in the first
quarter of 1999 to 4.5% for the first quarter of 2000. This increase was
primarily attributable to additional resources necessary for corporate
operations support, as well as expansion of systems and new business
development.
Interest. Net interest expense increased from $4.6 million in the first
quarter of 1999 to $7.1 million for the first quarter of 2000, an increase of
$2.5 million or 54%. As a percentage of revenue, net interest expense was 1.9%
and 2.3% for the first quarter of 1999 and 2000, respectively. The increase was
the result of higher levels of debt, principally incurred to finance
transactions with fourteen oncology practices since March 31, 1999, as well as
construction of numerous cancer centers.
-12-
<PAGE>
US ONCOLOGY, INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS - continued
Other Income. Other income increased from zero in the first quarter 1999 to
$27.6 million in the first quarter 2000. Other income in 2000 represents the
recognition of the remaining gain on shares of common stock of ILEX Oncology,
Inc. owned by the Company. A previous gain of $14.4 million was recognized
during the fourth quarter of 1999 as a result of the Company's reclassification
of the ILEX stock as a trading security. The stock was sold by the Company
during the first quarter of 2000.
Income Taxes. For the first quarter of 2000, the Company recognized a tax
expense of $17.8 million resulting in an effective tax rate of 38%, up from
37.5% for the same prior year period. The increase in rate is due to shifts in
income by state resulting in a higher effective state tax rate.
Net Income. Net income increased from $16.5 million in the first quarter of
1999 to $29.1 million in the first quarter of 2000, an increase of $12.6 million
or 76%. Net income as a percentage of revenue increased from 6.6% for the first
quarter of 1999 to 9.6% for the first quarter of 2000. Included in net income
for the first quarter of 2000 is $17.1 million in gain on the sale of ILEX
stock. Excluding this gain, net income decreased $4.5 million from the first
quarter of 1999. This decrease is due to increases in pharmaceutical costs as
well as overall labor and occupancy cost increases.
Liquidity and Capital Resources
The Company requires capital primarily to enter into management services
agreements with, and to purchase the nonmedical assets of oncology practices as
well as develop cancer centers. During the first quarter of 2000, the Company
paid total consideration of $18.3 million in connection with affiliations with
two physician groups, including cash and transaction costs of $3.2 million.
During the comparable period of the prior year, the Company paid total
consideration of $58.3 million for affiliations with nine physician groups,
including cash and transaction costs of $25.7 million.
In March 2000, the Company sold its equity investment in ILEX Oncology, Inc. in
a private sale transaction and realized proceeds of $54.8 million, or $38.8
million net of tax. These proceeds were used to reduce outstanding borrowings
under the Credit Facility. Also in March 2000, the Company's Board of Directors
authorized the purchase by the Company of up to 10 million shares of the
Company's Common Stock.
To fund its growth and development, the Company has satisfied its transaction
and working capital needs through debt and equity financings and borrowings
under a $275 million syndicated revolving credit facility ("Credit Facility")
with First Union National Bank ("First Union"), as agent for the various
lenders. The Credit Facility is comprised of two parts: a $175 million revolving
credit facility which matures in 2004 and a $100 million 364-revolving credit
facility which matures in June 2000 and is renewable at the option of the
Lenders under that facility. The Company presently intends to allow the 364-day
facility to terminate at its maturity in June 2000, as the Company does not
anticipate requiring any borrowings under such facility for the remainder of
2000. In addition, in connection with the Credit Facility the Company has
available a $75 million leasing facility used by the Company in connection with
developing its integrated cancer centers. In November 1999, the Company sold an
aggregate of $100 million of Senior Secured Notes to a group of institutional
investors. The notes are secured by the same collateral as the Credit Facility
and rank equally in right of payment with the Credit Facility. The notes bear
interest at 8.42% per annum with a final maturity in 2006 and an average life of
five years.
-13-
<PAGE>
US ONCOLOGY, INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS - continued
During the first quarter of 2000, the Company repaid $54 million, net, under the
Credit Facility from proceeds of the sale of ILEX stock. Borrowings under the
Credit Facility bear interest at a rate equal to a rate based on prime rate or
the London Interbank Offered Rate, based on a defined formula. The Credit
Facility, Leasing Facility and Senior Secured Note contain affirmative and
negative covenants, including the maintenance of certain financial ratios,
restrictions on sales, leases or other dispositions of property, restrictions on
other indebtedness and prohibitions on the payment of dividends. The Company's
management services agreements, the capital stock of the Company's subsidiaries
and the Company's accounts receivable are pledged as security under the Credit
Facility, Leasing Facility and Senior Secured Note. The Company is currently in
compliance with the Credit Facility, Leasing Facility and Senior Secured Note
covenants, with additional capacity under the Credit Facility of $55 million
(excluding the $100 million 364-day revolving credit facility) and Leasing
Facility of approximately $21 million at March 31, 2000. The Company has relied
primarily on management fees received from its affiliated physician groups to
fund its operations.
Cash provided by operations was $38.4 million in the first quarter of 2000, an
increase of $49.3 million from the comparable period in 1999. The increase was
due primarily to the timing of income tax payments and improved cash flows from
accounts receivable management. Cash provided by investment activities was $34.4
million for the first quarter of 2000, an increase of $82.0 million from the
same period of 1999. Such increase is due primarily to proceeds from the sale of
investment in common stock. Cash used by financing activities was $63.5 million
for the first quarter of 2000, a decrease of $115.1 million from the comparable
prior year period. Such decrease is due to the use of proceeds from the sale of
the equity investment in common stock for the repayment of borrowings under the
Credit Facility.
As of March 31, 2000, the Company had net working capital of $249.1 million and
cash and cash equivalents of $20.7 million. The Company's also had $209.5
million of current liabilities, including approximately $25.7 million of
current indebtedness maturing before March 31, 2001. The Company currently
expects that its principal use of funds in the near future will be in connection
with future transactions with oncology groups, the purchase of medical
equipment, investment in information systems and the acquisition of lease of
real estate for the development of integrated cancer centers. It is likely that
our capital needs in the next several years will exceed the capital generated
from our operations. Thus, we may incur additional debt or issue additional
debt or equity securities from time to time. This may include the issuance of
common stock or notes in connection with physician affiliations. Capital
available for health care companies, whether raised through the issuance of debt
or equity securities, is quite limited. As a result, we may be unable to obtain
sufficient financing on terms satisfactory to us or at all.
Year 2000 Implications
Many currently installed computer systems, software programs, and embedded data
chips are programmed using a 2-digit date field and are therefore unable to
distinguish dates beyond the 20th century. A failure to identify and correct any
mission-critical internal or third party year 2000 processing problem could have
a material adverse operational or financial consequence to us. We established a
Year 2000 Project Team that, together with external consultants, developed a
process for addressing the year 2000 issue including performing an inventory, an
assessment, remediation procedures (to the extent necessary) and testing
procedures of all mission-critical information systems and equipment and
machinery that contain embedded technology, as well as obtaining assurances from
all mission-critical third parties as to their own year 2000 preparedness.
-14-
<PAGE>
US ONCOLOGY, INC.
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS - continued
As of the date of this report, we have not experienced any significant year 2000
problems with our own mission-critical systems or any mission-critical third
parties. Although we have not experienced any significant year 2000 problems to
date, we plan to continue to monitor the situation. We cannot be sure the year
2000 issue has been adequately addressed or that problems arising from the year
2000 issue will not cause a material adverse effect on our operating results or
financial condition. We believe, however, that our most reasonably likely worst-
case scenario would relate to problems with the systems of third parties rather
than with our internal systems. Although we have developed contingency plans for
third party failures, we cannot guarantee that the contingency plans will
adequately address all circumstances that may disrupt operations or that such
planning will prevent circumstances that may cause a material adverse effect on
our operating results or financial condition.
-15-
<PAGE>
US ONCOLOGY, INC.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISKS.
In the normal course of business, the financial position of the Company is
routinely subjected to a variety of risks. Among these risks is the market risk
associated with interest rate movements on outstanding debt. The Company
regularly assesses these risks and has established policies and business
practices to protect against the adverse effects of these and other potential
exposures.
The Company's borrowings under the Credit Facility and subordinated notes due to
affiliated physicians contain an element of market risk from changes in interest
rates. The Company manages this risk, in part, through the use of interest rate
swaps. The Company does not enter into interest rate swaps or hold other
derivative financial instruments for speculative purposes. The Company was not
obligated under any interest rate swap agreements during the period ending
March 31, 2000.
For purposes of specific risk analysis, the Company uses sensitivity analysis to
determine the impact that market risk exposures may have on the Company. The
financial instruments included in the sensitivity analysis consist of all of the
Company's cash and equivalents, long-term and short-term debt and all derivative
financial instruments.
To perform sensitivity analysis, the Company assesses the risk of loss in fair
values from the impact of hypothetical changes in interest rates on market
sensitive instruments. The market values for interest rate risk are computed
based on the present value of future cash flows as impacted by the changes in
the rates attributable to the market risk being measured. The discount rates
used for the present value computations were selected based on market interest
rates in effect at March 31, 2000. The market values that result from these
computations are compared with the market values of these financial instruments
at March 31, 2000. The differences in this comparison are the hypothetical gains
or losses associated with each type of risk. A one percent increase or decrease
in the levels of interest rates on variable rate debt with all other variables
held constant would not result in a material change to the Company's results of
operations or financial position or the fair value of its financial instruments.
PART II. OTHER INFORMATION
ITEM 1. Legal Proceedings
The provision of medical services by the Company's affiliated physicians entails
an inherent risk of professional liability claims. The Company does not control
the practice of medicine by physicians or the compliance with regulatory and
other requirements directly applicable to physicians and physician groups.
Because the Company's affiliated physician groups purchase and resell
pharmaceutical products, they face the risk of product liability claims. The
Company maintains insurance coverage that it believes to be adequate both as to
risks and amounts. In addition, pursuant to the management services agreements
with the affiliated physician groups, the affiliated practices and the Company
are required to maintain comprehensive professional liability insurance.
Successful malpractice claims asserted against the Company or one of the
affiliated physician groups could, however, have material adverse effect on the
Company.
In addition, a range of federal, civil and criminal laws target false claims and
fraudulent activities. One of the most significant is the Federal False Claims
Act, which prohibits the submission of a false claim or the making of a false
record or statement in order to secure reimbursement. In addition to the
government bringing claims under the False Claims Act, qui tam, or
"whistleblower," actions may be brought by private individuals on behalf of the
government. A violation under the Federal False Claims Act occurs each time a
claim is submitted to the government or each time a false record is used to get
a claim approved, when the claim is false and the defendant acted knowingly.
Under the False Claims Act, defendants face exclusion from the Medicare/Medicaid
programs and monetary damages of $5,000 to $10,000 for each false claim, as well
as treble damages.
-16-
<PAGE>
US ONCOLOGY, INC.
PART II. OTHER INFORMATION - continued
The Company has been informed that the Company and an affiliated physician group
are the subject of allegations that their billing practices may violate the
Federal False Claims Act. The allegations are the result of two qui tam
complaints filed under seal prior to the merger of PRN with a subsidiary of US
Oncology. The U.S. Department of Justice is currently investigating the
allegations in order to determine if the United States will intervene and pursue
the claims on behalf of the plaintiffs. If the United States does not intervene,
the plaintiffs may continue to pursue the claims individually. Because the
complaints are under seal, and because the Department of Justice is in the
process of investigating the claims, the Company is unable to fully assess, at
this point in time, the nature or magnitude of these allegations. If the
plaintiffs and/or the Untied States were to prevail in these claims, the
resulting judgement could have a material adverse effect on the Company. In
addition, addressing the complaints and government investigation will require
the Company to devote significant financial and other resources to the process,
regardless of the ultimate outcome of the claims. Because qui tam actions are
filed under seal, there is a possibility that the Company could be the subject
of other qui tam actions of which it is unaware.
In addition to the legal proceeding described in the prior paragraph, the
Company and its affiliated physicians are defendants in a number of lawsuits
involving employment disputes and breach of contract claims. Although the
Company believes the allegations are customary for the Company's size and scope
of operations, adverse judgements, individually or in the aggregate, could have
a material adverse effect on the Company.
ITEM 2. Changes in Securities
In connection with each affiliation transaction between the Company and a
physician group, the Company purchases the nonmedical assets of, and enters into
a long-term management services agreement with, that physician group. In
consideration for that arrangement, the Company typically pays cash, issues
subordinated promissory notes (in general, payable in equal installments on the
third through seventh anniversaries of the closing date at an annual interest
rate of seven percent) and unconditionally agrees to deliver shares of Common
Stock at future specified dates (in general, on each of the third through fifth
anniversaries of the closing date). The price per share is the lower of the
average of the closing price per share for the five days preceding the date of
the letter of intent or the closing date with respect to such affiliation
transaction.
During the first quarter of 2000, the Company affiliated with two physician
groups consisting of seven physicians. In conjunction with these transactions
the Company agreed to issue 459,407 shares of Common Stock and issued $2.1
million of subordinated promissory notes. Each sale was a private placement made
in connection with a physician transaction, as described in general in the
preceding paragraph. All of the physicians involved in such transactions during
the first three months of 2000 are accredited investors. No underwriter was
involved in any such sale, and no commission or similar fee was paid with
respect thereto. Each sale was not registered under the Securities Act of 1933
in reliance on Section 4(2) of such Act and Rule 506 enacted thereunder.
-17-
<PAGE>
US ONCOLOGY, INC.
PART II. OTHER INFORMATION - continued
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
(a) Exhibits
Exhibit
Number Description
3.1 Amended and Restated Certificate of Incorporation (filed as Exhibit
3.1 to the Company's Form 8-K/A filed June 17, 1999 and incorporated
herein by reference)
3.2 Amended and Restated By-Laws (filed as Exhibit 3.2 to the Company's
Form 8-K/A filed June 17, 1999 and incorporated herein by reference)
4.1 Rights Agreement between the Company and American Stock Transfer &
Trust Company (incorporated by reference from Form 8-A filed June 2,
1997)
4.2 Form of 8.42% Senior Secured Note due 2006 (filed as Exhibit 4.2 to
the Company's Annual Report on Form 10-K for the year ended December
31, 1999 and incorporated herein by reference)
27 Financial Data Schedule
(b) Reports on Form 8-K
The Company did not file any current reports on Form 8-K during the First
Quarter of 2000.
-18-
<PAGE>
US ONCOLOGY, INC.
SIGNATURES
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.
Date: May 15, 2000 US ONCOLOGY, INC.
By: /s/ R. Dale Ross
--------------------------------------------------
R. Dale Ross, Chief Executive Officer
(duly authorized signatory)
By: /s/ Kathleen G. Lokay
--------------------------------------------------
Interim Principal Financial and Accounting Officer
-19-
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