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UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, DC 20549


FORM 10-Q

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.

For the quarterly period ended December 31, 2003

Commission File Number 000-33009


MEDCATH CORPORATION
(Exact name of registrant as specified in its charter)
     
Delaware   56-2248952
     
(State or other jurisdiction of
incorporation or organization)
  (IRS Employer Identification No.)

10720 Sikes Place, Suite 300
Charlotte, North Carolina 28277

(Address of principal executive offices, including zip code)

(704) 708-6600
(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes [X] No [  ]

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).

Yes [  ] No [X]

As of January 31, 2004, there were 17,985,644 shares of $0.01 par value common stock outstanding.



 


 

MEDCATH CORPORATION

FORM 10-Q

TABLE OF CONTENTS

             
        Page
       
PART I. FINANCIAL INFORMATION
       
 
Item 1. Financial Statements
       
   
Consolidated Balance Sheets as of December 31, 2003 and September 30, 2003
    3  
   
Consolidated Statements of Operations for the Three Months Ended December 31, 2003 and 2002
    4  
   
Consolidated Statement of Stockholders’ Equity for the Three Months Ended December 31, 2003
    5  
   
Consolidated Statements of Cash Flows for the Three Months Ended December 31, 2003 and 2002
    6  
   
Notes to Consolidated Financial Statements
    7  
 
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
    15  
 
Item 3. Quantitative and Qualitative Disclosures About Market Risk
    27  
 
Item 4. Controls and Procedures
    28  
PART II. OTHER INFORMATION
       
 
Item 2. Changes in Securities, Use of Proceeds and Issuer Purchases of Equity Securities
    29  
 
Item 6. Exhibits and Reports on Form 8-K
    29  
SIGNATURES
    30  

2


 

PART I. FINANCIAL INFORMATION
Item 1. Financial Statements

MEDCATH CORPORATION
CONSOLIDATED BALANCE SHEETS
(In thousands, except share data)

                     
        December 31,   September 30,
        2003   2003
       
 
        (Unaudited)        
Current assets:
               
 
Cash and cash equivalents
  $ 80,468     $ 94,199  
 
Accounts receivable, net
    91,180       86,306  
 
Medical supplies
    17,767       16,424  
 
Due from affiliates
    150       187  
 
Deferred income tax assets
    3,225       3,145  
 
Prepaid expenses and other current assets
    7,339       7,668  
 
 
   
     
 
   
Total current assets
    200,129       207,929  
Property and equipment, net
    448,292       436,947  
Investments in and advances to affiliates, net
    3,269       5,486  
Goodwill, net
    75,000       75,000  
Other intangible assets, net
    16,512       17,095  
Other assets
    4,314       6,840  
 
 
   
     
 
   
Total assets
  $ 747,516     $ 749,297  
 
 
   
     
 
Current liabilities:
               
 
Accounts payable
  $ 46,100     $ 42,360  
 
Income tax payable
    164       278  
 
Accrued compensation and benefits
    19,560       20,356  
 
Accrued property taxes
    3,595       4,723  
 
Accrued construction and development costs
    6,241       15,340  
 
Other accrued liabilities
    11,078       11,667  
 
Current portion of long-term debt and obligations under capital leases
    52,885       49,287  
 
 
   
     
 
   
Total current liabilities
    139,623       144,011  
Long-term debt
    307,179       300,884  
Obligations under capital leases
    10,318       10,814  
Deferred income tax liabilities
    3,489       3,951  
Other long-term obligations
    7,268       7,164  
 
 
   
     
 
   
Total liabilities
    467,877       466,824  
Minority interest in equity of consolidated subsidiaries
    15,014       17,419  
Stockholders’ equity:
               
 
Preferred stock, $0.01 par value, 10,000,000 shares authorized; none issued
           
 
Common stock, $0.01 par value, 50,000,000 shares authorized; 18,011,520 issued and 17,980,332 outstanding at December 31, 2003; 18,011,520 issued and 17,942,620 outstanding at September 30, 2003
    180       180  
 
Paid-in capital
    357,965       357,707  
 
Accumulated deficit
    (92,025 )     (91,092 )
 
Accumulated other comprehensive loss
    (1,101 )     (1,347 )
 
Treasury stock, at cost, 68,900 shares held at December 31, 2003 and September 30, 2003
    (394 )     (394 )
 
 
   
     
 
   
Total stockholders’ equity
    264,625       265,054  
 
 
   
     
 
   
Total liabilities, minority interest and stockholders’ equity
  $ 747,516     $ 749,297  
 
 
   
     
 

See notes to consolidated financial statements.

3


 

MEDCATH CORPORATION
CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands, except per share data)

(Unaudited)

                     
        Three Months Ended December 31,
        2003   2002
       
 
Net revenue
  $ 156,626     $ 121,101  
Operating expenses:
               
 
Personnel expense
    48,853       39,750  
 
Medical supplies expense
    42,617       27,948  
 
Bad debt expense
    13,859       5,234  
 
Other operating expenses
    32,955       29,222  
 
Pre-opening expenses
    3,444       2,406  
 
Depreciation
    10,443       9,517  
 
Amortization
    290       437  
 
Loss (gain) on disposal of property, equipment and other assets
    (84 )     70  
 
   
     
 
   
Total operating expenses
    152,377       114,584  
 
   
     
 
Income from operations
    4,249       6,517  
Other income (expenses):
               
 
Interest expense
    (6,589 )     (6,206 )
 
Interest income
    233       452  
 
Other income, net
    4       23  
 
Equity in net earnings of unconsolidated affiliates
    577       754  
 
   
     
 
   
Total other expenses, net
    (5,775 )     (4,977 )
 
   
     
 
Income (loss) before minority interest and income taxes
    (1,526 )     1,540  
Minority interest share of earnings of consolidated subsidiaries
    (34 )     (891 )
 
   
     
 
Income (loss) income before income taxes
    (1,560 )     649  
Income tax benefit (expense)
    627       (259 )
 
   
     
 
Net income (loss)
  $ (933 )   $ 390  
 
   
     
 
Earnings (loss) per share, basic and diluted
  $ (0.05 )   $ 0.02  
 
   
     
 
Weighted average number of shares, basic
    17,949       18,012  
 
Dilutive effect of stock options
          72  
 
   
     
 
Weighted average number of shares, diluted
    17,949       18,084  
 
   
     
 

See notes to consolidated financial statements.

4


 

MEDCATH CORPORATION
CONSOLIDATED STATEMENT OF STOCKHOLDERS’ EQUITY
(In thousands)

(Unaudited)

                                                                       
                                          Accumulated                        
          Common Stock                   Other   Treasury Stock        
         
  Paid-in   Accumulated   Comprehensive  
       
          Shares   Par Value   Capital   Deficit   Loss   Shares   Amount   Total
         
 
 
 
 
 
 
 
Balance, September 30, 2003
    17,943     $ 180     $ 357,707     $ (91,092 )   $ (1,347 )     69     $ (394 )     265,054  
 
Exercise of stock options
    38             258                               258  
 
Comprehensive income:
                                                               
   
Net loss
                      (933 )                       (933 )
   
Change in fair value of interest rate swaps, net of income tax expense
                            246                   246  
 
                                                           
 
 
Total comprehensive loss
                                                            (687 )
 
   
     
     
     
     
     
     
     
 
Balance, December 31, 2003
    17,981     $ 180     $ 357,965     $ (92,025 )   $ (1,101 )     69     $ (394 )   $ 264,625  
 
   
     
     
     
     
     
     
     
 

See notes to consolidated financial statements.

5


 

MEDCATH CORPORATION
CONSOLIDATED STATEMENTS OF CASH FLOWS
(In thousands)

(Unaudited)

                       
          Three Months Ended December 31,
          2003   2002
         
 
Net income (loss)
  $ (933 )   $ 390  
Adjustments to reconcile net income to net cash provided by operating activities:
               
 
Bad debt expense
    13,859       5,234  
 
Depreciation and amortization
    10,733       9,954  
 
Loss (gain) on disposal of property, equipment and other assets
    (84 )     70  
 
Amortization of loan acquisition costs
    436       373  
 
Equity in net earnings of unconsolidated affiliates
    (577 )     (754 )
 
Minority interest share of earnings of consolidated subsidiaries
    34       891  
 
Deferred income taxes
    (627 )     239  
 
Change in assets and liabilities that relate to operations:
               
   
Accounts receivable, net
    (17,635 )     (6,898 )
   
Medical supplies
    (1,343 )     (376 )
   
Due from affiliates
    37       6  
   
Prepaid expenses and other current assets
    329       (2,004 )
   
Other assets
    2,461       (307 )
   
Accounts payable and accrued liabilities
    307       (5,695 )
 
   
     
 
     
Net cash provided by operating activities
    6,997       1,123  
 
   
     
 
Investing activities:
               
 
Purchases of property and equipment
    (30,696 )     (26,432 )
 
Proceeds from sale of property and equipment
    1,214       225  
 
Repayments of loans under management agreements
    43       40  
 
Investments in and advances to affiliates, net
          1,044  
 
Dividends received from unconsolidated affiliates
    2,849        
 
Other investing activities
          136  
 
   
     
 
     
Net cash used in investing activities
    (26,590 )     (24,987 )
 
   
     
 
Financing activities:
               
 
Short-term debt repayments, net
          (2,000 )
 
Proceeds from issuance of long-term debt
    36,804       27,903  
 
Repayments of long-term debt
    (26,326 )     (6,335 )
 
Repayments of obligations under capital leases
    (1,054 )     (649 )
 
Payment of loan acquisition costs
    (223 )     (336 )
 
Investments by minority partners
    61       370  
 
Distributions to minority partners
    (3,579 )     (3,755 )
 
Proceeds from exercised stock options
    179        
 
   
     
 
     
Net cash provided by financing activities
    5,862       15,198  
 
   
     
 
 
Net decrease in cash and cash equivalents
    (13,731 )     (8,666 )
 
Cash and cash equivalents:
               
     
Beginning of year
    94,199       118,768  
 
   
     
 
     
End of year
  $ 80,468     $ 110,102  
 
   
     
 
Supplemental schedule of noncash investing and financing activities:
               
 
Capital expenditures financed by capital leases
  $ 532     $ 678  
 
Capital expenditures included in accrued construction and development costs
          4,358  
 
Capital expenditures included in other accrued liabilities
    1,786        
 
Deferred tax asset related to exercised stock options
    79        
 
Notes received for sale of land
    1,098        
 
Notes received from minority interest in development hospitals
    400       364  

See notes to consolidated financial statements.

6


 

MEDCATH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(All tables in thousands, except per share amounts)

1. Business and Organization

     MedCath Corporation (the Company) is a healthcare provider primarily focused on the diagnosis and treatment of cardiovascular disease. The Company designs, develops, owns and operates hospitals in partnership with physicians, whom it believes have established reputations for clinical excellence. Each of the Company’s majority-owned hospitals (collectively, the Hospital Division) is a freestanding licensed general acute care hospital, that provides a wide range of health services, and the medical staff at each hospital includes qualified physicians in various specialities. As of December 31, 2003, the Company owned and operated eleven hospitals, which include ten majority-owned hospitals and one in which the Company owns a minority interest. These hospitals have a total of 667 licensed beds, of which 587 were staffed and available, and are located in nine states: Arizona, Arkansas, California, Louisiana, New Mexico, Ohio, South Dakota, Texas and Wisconsin.

     On January 13, 2004, the Company opened its twelfth hospital, which is located in San Antonio, Texas. This hospital is designed to accommodate 120 inpatient beds and will initially open with 60 licensed beds that will be staffed and available as the hospital ramps up its operations. The Company is currently completing the development of its thirteenth hospital, which is located in Lafayette, Louisiana and will open with 32 licensed beds in March 2004.

     The Company accounts for all but one of its owned and operated hospitals as consolidated subsidiaries. The Company owns a minority interest in Heart Hospital of South Dakota and does not have substantive control over the hospital, and therefore is unable to consolidate the hospital’s results of operations and financial position, but rather is required to account for its minority ownership interest in the hospital as an equity investment. The Company is currently evaluating the accounting for its interest in this hospital under Financial Accounting Standards Board (FASB) Interpretation No. 46-R that was issued in December 2003 regarding consolidation of variable interest entities. See “Accounting Changes and Recent Accounting Pronouncements” in Note 2 below.

     In addition to its hospitals, the Company provides cardiovascular care services in diagnostic and therapeutic facilities located in various locations and through mobile cardiac catheterization laboratories (the Diagnostics Division). The Company also provides consulting and management services (CCM) tailored primarily to cardiologists and cardiovascular surgeons, which is included in the corporate and other division.

2. Summary of Significant Accounting Policies

     Basis of Presentation - The Company’s unaudited interim consolidated financial statements as of December 31, 2003 and for the three months ended December 31, 2003 and 2002 have been prepared in accordance with accounting principles generally accepted in the United States of America (hereafter, generally accepted accounting principles) and pursuant to the rules and regulations of the Securities and Exchange Commission (the SEC). These unaudited interim consolidated financial statements reflect, in the opinion of management, all material adjustments (consisting only of normal recurring adjustments) necessary to fairly state the results of operations and financial position for the periods presented. All intercompany transactions and balances have been eliminated. The results of operations for the three months ended December 31, 2003 are not necessarily indicative of the results expected for the full fiscal year ending September 30, 2004 or future fiscal periods.

     Certain information and disclosures normally included in the notes to consolidated financial statements have been condensed or omitted as permitted by the rules and regulations of the SEC, although the Company believes the disclosure is adequate to make the information presented not misleading. The accompanying unaudited interim consolidated financial statements and notes thereto should be read in conjunction with the Company’s audited consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended September 30, 2003.

     Use of Estimates – The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect reported amounts of assets and liabilities, revenues and expenses and related disclosures of contingent assets and liabilities in the consolidated financial statements and accompanying notes. There is a reasonable possibility that actual results may vary significantly from those estimates.

     Pre-opening Expenses – Pre-opening expenses consist of operating expenses incurred during the development of a new venture and prior to its opening for business. Such costs specifically relate to ventures under development and are

7


 

MEDCATH CORPORATION
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - Continued

expensed as incurred. The Company recognized pre-opening expenses of approximately $3.4 million and $2.4 million during the three months ended December 31, 2003 and 2002, respectively.

     Stock-Based Compensation – As of December 31, 2003, the Company has two stock-based compensation plans, including a stock option plan under which it may grant incentive stock options and nonqualified stock options to officers and other key employees and an outside director’s stock option plan under which it may grant nonqualified stock options to nonemployee directors. The Company accounts for stock options under both of these plans in accordance with Accounting Principles Board (APB) Opinion No. 25, Accounting for Stock Issued to Employees, as permitted under Statement of Financial Accounting Standards (SFAS) No. 123, Accounting for Stock-Based Compensation. The Company also provides prominent disclosure of the information required by SFAS No. 148, Accounting for Stock-Based Compensation, in its annual and interim financial statements.

     Under APB Opinion No. 25, compensation cost is determined based on the intrinsic value of the equity instrument award. No stock-based employee compensation cost is reflected in net income for the three months ended December 31, 2003 and 2002, as all options granted during those periods under the Company’s stock option plans had an exercise price equal to the market value of the underlying shares of common stock at the date of grant.

     Had compensation expense for the Company’s stock options been recognized based on the fair value of the option award at the grant date under the methodology prescribed by SFAS No. 123, the Company’s net income (loss) for the three months ended December 31, 2003 and 2002 would have been impacted as follows:

                   
      Three Months Ended December 31,
     
      2003   2002
     
 
Net income (loss), as reported