UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
| x | QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |
| For the Quarterly Period Ended September 30, 2002 | ||
| OR | ||
| o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Commission File Number 0-26762
PEDIATRIX MEDICAL GROUP, INC.
(Exact name of registrant as specified in its charter)
| Florida (State or other jurisdiction of incorporation or organization) |
65-0271219 (I.R.S. Employer Identification No.) |
| 1301 Concord Terrace, Sunrise, Florida (Address of principal executive offices) |
33323 (Zip Code) |
(954) 384-0175
(Registrants telephone number, including area code)
Not Applicable
(Former name, former address and fiscal year, if changed since last report)
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 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 o
Indicate the number of shares outstanding of each of the issuers classes of common stock as of the latest practicable date:
Shares of Common Stock outstanding as of November 11, 2002: 25,237,903
PEDIATRIX MEDICAL GROUP, INC.
INDEX
| PART I FINANCIAL INFORMATION | ||||
| Page | ||||
| ITEM 1. | Financial Statements | 3 | ||
| Condensed Consolidated Balance Sheets as of September 30, 2002 (Unaudited) and December 31, 2001 | 3 | |||
| Condensed Consolidated Statements of Income for the Three and Nine Months Ended September 30, 2002 and 2001 (Unaudited) | 4 | |||
| Condensed Consolidated Statements of Cash Flows for the Nine Months Ended September 30, 2002 and 2001 (Unaudited) | 5 | |||
| Notes to Condensed Consolidated Financial Statements | 6 | |||
| ITEM 2. | Managements Discussion and Analysis of Financial Condition and Results of Operations | 10 | ||
| ITEM 3. | Quantitative and Qualitative Disclosures About Market Risk | 15 | ||
| ITEM 4. | Controls and Procedures | 15 | ||
| PART II OTHER INFORMATION | ||||
| ITEM 1. | Legal Proceedings | 16 | ||
| ITEM 6. | Exhibits and Reports on Form 8-K | 17 | ||
| SIGNATURES | 18 | |||
| CERTIFICATIONS | 19 | |||
2
PART I FINANCIAL INFORMATION
Item 1. Financial Statements.
PEDIATRIX MEDICAL GROUP, INC.
| September 30, | December 31, | |||||||||
| 2002 (Unaudited) | 2001 | |||||||||
| (in thousands) | ||||||||||
ASSETS |
||||||||||
Current assets: |
||||||||||
Cash and cash equivalents |
$ | 41,395 | $ | 27,557 | ||||||
Accounts receivable, net |
75,644 | 63,851 | ||||||||
Prepaid expenses |
1,837 | 3,110 | ||||||||
Income taxes receivable |
2,651 | | ||||||||
Deferred income taxes |
744 | 5,515 | ||||||||
Other assets |
1,480 | 12,925 | ||||||||
Total current assets |
123,751 | 112,958 | ||||||||
Property and equipment, net |
15,581 | 14,836 | ||||||||
Goodwill and other assets, net |
469,800 | 445,305 | ||||||||
Total assets |
$ | 609,132 | $ | 573,099 | ||||||
LIABILITIES AND SHAREHOLDERS EQUITY |
||||||||||
Current liabilities: |
||||||||||
Accounts payable and accrued expenses |
$ | 68,072 | $ | 73,203 | ||||||
Current portion of long-term debt and
capital lease obligations |
531 | 531 | ||||||||
Income taxes payable |
| 4,843 | ||||||||
Total current liabilities |
68,603 | 78,577 | ||||||||
Long-term debt and capital lease obligations |
1,948 | 2,675 | ||||||||
Deferred income taxes |
12,179 | 9,846 | ||||||||
Deferred compensation |
3,135 | 3,149 | ||||||||
Total liabilities |
85,865 | 94,247 | ||||||||
Commitments and contingencies |
||||||||||
Shareholders equity: |
||||||||||
Preferred stock; par value $.01 per share;
1,000,000 shares authorized; none issued |
| | ||||||||
Common stock; par value $.01 per share;
50,000,000 shares authorized; 26,769,821 and
24,961,103 shares issued, respectively |
268 | 250 | ||||||||
Additional paid-in capital |
386,579 | 341,973 | ||||||||
Treasury stock, at cost, 1,691,567 shares |
(49,998 | ) | | |||||||
Retained earnings |
186,418 | 136,629 | ||||||||
Total shareholders equity |
523,267 | 478,852 | ||||||||
Total liabilities and shareholders equity |
$ | 609,132 | $ | 573,099 | ||||||
The accompanying notes are an integral part of
these condensed consolidated financial statements.
3
PEDIATRIX MEDICAL GROUP, INC.
| Three Months Ended | Nine Months Ended | |||||||||||||||||||
| September 30, | September 30, | |||||||||||||||||||
| 2002 | 2001 | 2002 | 2001 | |||||||||||||||||
| (in thousands, except for per share data) | ||||||||||||||||||||
Net patient service revenue |
$ | 122,502 | $ | 102,784 | $ | 346,008 | $ | 249,841 | ||||||||||||
Operating expenses: |
||||||||||||||||||||
Practice salaries and benefits |
68,232 | 55,899 | 195,950 | 140,571 | ||||||||||||||||
Practice supplies and other
operating expenses |
3,997 | 3,898 | 11,440 | 10,360 | ||||||||||||||||
General and administrative expenses |
17,483 | 16,896 | 52,796 | 44,664 | ||||||||||||||||
Depreciation and amortization |
1,520 | 6,344 | 4,447 | 15,025 | ||||||||||||||||
Total operating expenses |
91,232 | 83,037 | 264,633 | 210,620 | ||||||||||||||||
Income from operations |
31,270 | 19,747 | 81,375 | 39,221 | ||||||||||||||||
Investment income |
221 | 100 | 595 | 246 | ||||||||||||||||
Interest expense |
(288 | ) | (795 | ) | (857 | ) | (2,108 | ) | ||||||||||||
Income before income taxes |
31,203 | 19,052 | 81,113 | 37,359 | ||||||||||||||||
Income tax provision |
11,857 | 8,733 | 31,324 | 17,079 | ||||||||||||||||
Net income |
$ | 19,346 | $ | 10,319 | $ | 49,789 | $ | 20,280 | ||||||||||||
Per share data: |
||||||||||||||||||||
Net income per common and
common equivalent share: |
||||||||||||||||||||
Basic |
$ | .75 | $ | .43 | $ | 1.93 | $ | 1.02 | ||||||||||||
Diluted |
$ | .73 | $ | .40 | $ | 1.86 | $ | .96 | ||||||||||||
Weighted average shares used in
computing net income per common
and common equivalent share: |
||||||||||||||||||||
Basic |
25,677 | 23,985 | 25,760 | 19,967 | ||||||||||||||||
Diluted |
26,363 | 25,745 | 26,794 | 21,268 | ||||||||||||||||
The accompanying notes are an integral part of
these condensed consolidated financial statements.
4
PEDIATRIX MEDICAL GROUP, INC.
| Nine Months Ended | ||||||||||||
| September 30, | ||||||||||||
| 2002 | 2001 | |||||||||||
| (in thousands) | ||||||||||||
Cash flows from operating activities: |
||||||||||||
Net income |
$ | 49,789 | $ | 20,280 | ||||||||
Adjustments to reconcile net income to net cash provided from
operating activities: |
||||||||||||
Depreciation and amortization |
4,447 | 15,025 | ||||||||||
Deferred income taxes |
5,157 | (5,823 | ) | |||||||||
Changes in assets and liabilities: |
||||||||||||
Accounts receivable |
(11,793 | ) | 12,249 | |||||||||
Prepaid expenses and other current assets |
718 | (595 | ) | |||||||||
Other assets |
1,335 | 637 | ||||||||||
Accounts payable and accrued expenses |
6,830 | 12,739 | ||||||||||
Income taxes |
10,725 | 4,120 | ||||||||||
Net cash provided from operating activities |
67,208 | 58,632 | ||||||||||
Cash flows used in investing activities: |
||||||||||||
Physician group acquisition payments |
(25,809 | ) | (22,274 | ) | ||||||||
Purchase of property and equipment |
(5,187 | ) | (5,112 | ) | ||||||||
Net cash used in investing activities |
(30,996 | ) | (27,386 | ) | ||||||||
Cash flows from financing activities: |
||||||||||||
Payments on line of credit, net |
| (34,900 | ) | |||||||||
Payments to refinance line of credit |
| (1,404 | ) | |||||||||
Payments on long-term debt and capital lease obligations |
(599 | ) | (2,499 | ) | ||||||||
Proceeds from issuance of common stock |
28,223 | 8,018 | ||||||||||
Purchase of treasury stock |
(49,998 | ) | | |||||||||
Net cash used in financing activities |
(22,374 | ) | (30,785 | ) | ||||||||
Net increase in cash and cash equivalents |
13,838 | 461 | ||||||||||
Cash and cash equivalents at beginning of period |
27,557 | 3,075 | ||||||||||
Cash and cash equivalents at end of period |
$ | 41,395 | $ | 3,536 | ||||||||
The accompanying notes are an integral part of
these condensed consolidated financial statements.
5
PEDIATRIX MEDICAL GROUP, INC.
1. Basis of Presentation:
The accompanying unaudited condensed consolidated financial statements of Pediatrix Medical Group, Inc. and the notes thereto presented in this Quarterly Report have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission applicable to interim financial statements, and do not include all disclosures required by accounting principles generally accepted in the United States of America for complete financial statements. In the opinion of management, these financial statements include all adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the results of interim periods. The financial statements include all the accounts of Pediatrix Medical Group, Inc., and its subsidiaries combined with the accounts of the professional associations, corporations and partnerships (the PA Contractors) with which Pediatrix Medical Group, Inc. or one of its subsidiaries currently has specific management arrangements. The terms Pediatrix and the Company refer collectively to Pediatrix Medical Group, Inc., its subsidiaries, and the PA Contractors.
The consolidated results of operations for the interim periods presented are not necessarily indicative of the results to be experienced for the entire fiscal year. The accompanying unaudited condensed consolidated financial statements and the notes thereto should be read in conjunction with the consolidated financial statements and the notes thereto included in the Companys Annual Report on Form 10-K for the year ended December 31, 2001, as filed with the Securities and Exchange Commission.
2. Accounting Pronouncements:
Effective July 1, 2001, the Company adopted the nonamortization provisions of Statement of Financial Accounting Standards No. 142 (FAS 142) Goodwill and Other Intangible Assets, pertaining to goodwill recorded in connection with acquisitions consummated subsequent to June 30, 2001.
Effective January 1, 2002, the Company adopted the remaining provisions of FAS 142, which require the nonamortization of all goodwill and that goodwill be tested annually for impairment using a two-step process. The first step is to identify a potential impairment and the second step measures the amount of the impairment loss. The year of adoption of FAS 142 is considered a transition period and the timing of the tests is different than for future periods. The first step, identification of potential impairment, must be completed within six months of adoption and measured as of the beginning of the fiscal year. The second step, measurement of the impairment loss, must be completed by the end of the fiscal year if a potential impairment is identified. The Company completed its analysis related to the first step during the second fiscal quarter of 2002 and did not identify any goodwill impairment as a result of the adoption of FAS 142.
Excluding the impact of amortization expense, net of tax, for the three and nine months ended September 30, 2001, pro forma net income and net income per share is as follows:
| Three Months Ended | Nine Months Ended | ||||||||
| September 30, 2001 | September 30, 2001 | ||||||||
| (in thousands, except for per share data) | |||||||||
Net income |
$ | 14,649 | $ | 29,847 | |||||
Net income per share: |
|||||||||
Basic |
.61 | 1.49 | |||||||
Diluted |
.57 | 1.40 | |||||||
6
PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)
3. Business Acquisitions:
The Company completed the acquisition of six physician group practices during the nine months ended September 30, 2002. Total consideration for the acquired practices was approximately $25.8 million in cash. The Company has accounted for the acquisitions using the purchase method of accounting. The results of operations of the acquired practices have been included in the Companys consolidated financial statements from the dates of acquisition.
The following unaudited pro forma information combines the consolidated results of operations of the Company and the physician group practices acquired during 2001 and 2002, including the acquisition of MAGELLA Healthcare Corporation on May 15, 2001 pursuant to a merger transaction (the Merger), as if the transactions had occurred on January 1, 2001:
| Nine Months Ended | |||||||||
| September 30, | |||||||||
| 2002 | 2001 | ||||||||
| (in thousands, except for per share data) | |||||||||
Net patient service revenue |
$ | 350,310 | $ | 299,726 | |||||
Net income |
49,795 | 25,990 | |||||||
Net income per share: |
|||||||||
Basic |
1.93 | 1.30 | |||||||
Diluted |
1.86 | 1.22 | |||||||
4. Accounts Payable and Accrued Expenses:
Accounts payable and accrued expenses consist of the following:
| September 30, | December 31, | |||||||
| 2002 | 2001 | |||||||
| (in thousands) | ||||||||
Accounts payable |
$ | 9,347 | $ | 12,625 | ||||
Accrued salaries and bonuses |
28,296 | 21,811 | ||||||
Accrued payroll taxes and benefits |
10,817 | 7,374 | ||||||
Accrued professional liability
coverage |
12,974 | 11,504 | ||||||
Accrued securities litigation
settlement |
| 12,000 | ||||||
Other accrued expenses |
6,638 | 7,889 | ||||||
| $ | 68,072 | $ | 73,203 | |||||
7
PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)
5. Net Income Per Share:
Basic net income per share is calculated by dividing net income by the weighted average number of common shares outstanding during the applicable period. Diluted net income per share is calculated by dividing net income by the weighted average number of common and potential common shares outstanding during the applicable period. Potential common shares consist of the dilutive effect of convertible notes calculated using the if-converted method and outstanding options calculated using the treasury stock method. The calculation of diluted net income per share excludes the after-tax impact of interest expense related to convertible subordinated notes.
6. Common Stock Repurchase:
In July 2002, the Company entered into a program to repurchase Company common stock in the open market, subject to market conditions and trading restrictions. This repurchase program has been completed, and at September 30, 2002, the Company had repurchased approximately 1.7 million shares at a cost of approximately $50 million.
7. Contingencies:
On June 6, 2002, the Company received a written request from the Federal Trade Commission to submit information on a voluntary basis in connection with an investigation relating to issues of competition following the Merger. The Company is cooperating fully with the Federal Trade Commission, but at this time cannot predict the outcome of the investigation and whether it will have a material adverse effect on the Companys business, financial condition, results of operations or liquidity.
On May 3, 2002, the United States District Court for the Southern District of Florida entered an Order and Final Judgment approving the previously disclosed settlement of the securities class action litigation filed against the Company and certain of its officers in February 1999. Under the terms of the settlement, the plaintiffs claim was dismissed with prejudice in exchange for a cash payment of $12.0 million.
In April 1999, the Company received requests from investigators in Arizona, Florida and Colorado for information related to its billing practices for services reimbursed by the Medicaid programs in those states and by the TRICARE program for military dependents. In 2000, the Arizona and Florida Medicaid investigations were closed after the Company entered into previously disclosed settlement agreements with those states. On April 16, 2002, the Company entered into a settlement agreement with the Colorado Department of Health Care Policy and Financing pursuant to which the Company made a cash payment of $1.3 million to the State of Colorado. This amount covered a refund of any overpayments made by the Colorado Medicaid program to the Company and its affiliated physicians and professional corporation for neonatal intensive care services billed during the period January 1, 1996 through April 16, 2002, interest on any such overpayments and expenses incurred by the State of Colorado in connection with its investigation. In addition, the Company has agreed to retain an independent third party to perform annual reviews of its billings to the Colorado Medicaid program.
The TRICARE investigation is active and ongoing and this matter, along with the Florida, Arizona and Colorado matters, have prompted inquiries by Medicaid officials in other states. The Company believes that additional audits, inquiries and investigations from government agencies will continue to occur in the ordinary course of its business. The Company cannot predict whether any such audits, inquiries and investigations will have a material adverse effect on the Companys business, financial condition, results of operations or liquidity.
8
PEDIATRIX MEDICAL GROUP, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (Continued)
(Unaudited)
7. Contingencies, Continued:
During the ordinary course of its business, the Company has become a party to pending and threatened legal actions and proceedings, most of which involve claims of medical malpractice. Although these actions and proceedings are generally expected to be covered by insurance, there can be no assurance that the Companys medical malpractice insurance coverage will be adequate to cover liabilities arising out of medical malpractice claims where the outcomes of such claims are unfavorable to the Company. The Company believes, based upon its review of these pending matters, that the outcome of such legal actions and proceedings will not have a material adverse effect on its financial condition, results of operations or liquidity.
9
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations.
The following discussion highlights the principal factors affecting our financial condition and results of operations, as well as our liquidity and capital resources for the periods described. This discussion should be read in conjunction with the consolidated financial statements and the accompanying notes presented in this Quarterly Report. As used herein, us, we and our refer to Pediatrix Medical Group, Inc. and its subsidiaries and the professional associations, corporations and partnerships (the PA Contractors) with which Pediatrix Medical Group, Inc. or one of its subsidiaries has specific management arrangements.
The following discussion should be read in conjunction with our unaudited condensed consolidated financial statements as of September 30, 2002, and for each of the three and nine months ended September 30, 2002 and 2001, and the notes thereto, presented in this Quarterly Report, and Managements Discussion and Analysis of Financial Condition and Results of Operations (including the discussion of our critical accounting policies) and our consolidated financial statements and the notes thereto contained in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission. The consolidated results of operations for the interim periods reported are not necessarily indicative of the results to be experienced for the entire fiscal year.
The matters discussed in Managements Discussion and Analysis of Financial Condition and Results of Operations contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Statements that are not historical facts are forward-looking and are based on estimates, forecasts and assumptions involving risks and uncertainties that could cause actual results or outcomes to differ materially from those expressed in the forward-looking statements. See Caution Concerning Forward-Looking Statements below.
Results of Operations
Three Months Ended September 30, 2002 as Compared to Three Months Ended September 30, 2001
Our net patient service revenue increased $19.7 million, or 19.2%, to $122.5 million for the three months ended September 30, 2002, as compared with $102.8 million for the same period in 2001. Of this $19.7 million increase, $4.7 million, or 23.9%, was attributable to new units at which we provide services as a result of acquisitions. Same unit patient service revenue increased $15.0 million, or 14.7%, for the three months ended September 30, 2002. The increase in same unit net patient service revenue was primarily the result of: (i) the flow through of price increases implemented June 1, 2001; (ii) improved collection rates; (iii) an increase in patient days of 5.8%; (iv) improved managed care contracting; and (v) increased revenue from new services provided in existing practices. Same units are those units at which we provided services for the entire current period and the entire comparable period.
Practice salaries and benefits increased $12.3 million, or 22.1%, to $68.2 million for the three months ended September 30, 2002, as compared with $55.9 million for the same period in 2001. The increase was attributable to: (i) costs associated with new physicians and other clinical staff as a result of new unit growth and volume growth at existing units; (ii) an increase in incentive compensation as a result of same unit growth and operational improvements at the physician practice level; and (iii) an increase in professional liability insurance costs.
Practice supplies and other operating expenses increased $99,000, or 2.5%, to $4.0 million for the three months ended September 30, 2002, as compared with $3.9 million for the same period in 2001. The increase was attributable to new units at which we provide services as a result of acquisitions.
General and administrative expenses include all salaries, benefits, supplies and other operating expenses not specifically related to the day-to-day operations of our physician group practices, including billing and collection functions. General and administrative expenses increased $587,000, or 3.5%, to $17.5 million for the three months ended September 30, 2002, as compared to $16.9 million for the same period in 2001. This $587,000 increase was primarily due to: (i) salaries and benefits incurred as we continued our efforts to regionalize our operations; (ii) information services for the development and support of clinical and operational systems; and (iii) increased costs required to provide support to new units at which we provide services as a result of acquisitions.
10
Earnings before interest, investment income, depreciation and amortization (EBITDA) increased by $6.7 million, or 25.7%, to $32.8 million for the three months ended September 30, 2002, as compared with $26.1 million for the same period in 2001. EBITDA margin increased by 1.4 percentage points to 26.8%, as compared with 25.4% for the same period in 2001. The EBITDA margin improvement was primarily due to the decline in general and administrative expenses as a percentage of net patient service revenue.
Depreciation and amortization expense decreased by $4.8 million, or 76.0%, to $1.5 million for the three months ended September 30, 2002, as compared with $6.3 million for the same period in 2001, as a result of the adoption of the nonamortization provisions of Financial Accounting Standards No. 142 (FAS 142) as discussed in Note 2 Accounting Pronouncements of the accompanying unaudited condensed consolidated financial statements. Excluding the impact of goodwill amortization for the three months e