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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

     
[X]
  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2004, OR
 
   
[ ]
  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE TRANSITION PERIOD FROM                     TO                    .

Commission File No.: 001-13457

OCA, INC.

(Exact name of registrant as specified in its charter)
     
Delaware   72-1278948
(State or other jurisdiction of   (I.R.S. Employer Identification No.)
incorporation or organization)    

3850 N. Causeway Boulevard, Suite 800
Metairie, Louisiana 70002
(504) 834-4392

(Address, including zip code, of principal executive offices and
Registrant’s telephone number, including area code)

Orthodontic Centers of America, Inc.


(Former name, former address and former 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 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 [X] NO [ ]

At December 20, 2004 there were approximately 50,345,000 outstanding shares of the Registrant’s Common Stock, $.01 par value per share.

 


OCA, INC.
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 EX-4.5 LEASE AGREEMENT
 EX-31.1 SECTION 302 CERTIFICATION OF THE CEO
 EX-31.2 SECTION 302 CERTIFICATION OF THE CFO
 EX-32.1 SECTION 906 CERTIFICATION OF THE CEO
 EX-32.2 SECTION 906 CERTIFICATION OF THE CFO

FORWARD-LOOKING STATEMENTS

Certain statements contained in this Report may not be based on historical facts and are “forward looking statements” within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements may be identified by reference to a future period(s) or by the use of forward looking terminology, such as “anticipate,” “estimate,” “believe,” “expect,” “foresee,” “may,” “would,” “could” or “will.” These forward-looking statements include, without limitation, statements regarding the collection of patient receivables, patient revenue, financial results attributable to base practices, critical accounting policies, net operating loss carryforwards and income tax liability, effects of changes in accounting, amounts payable to affiliated practices under incentive programs, liquidity, capital resources, cash needs, use of the Company’s services and payment of service fees by inactive practices, buy-outs of Service Agreements, transitions of affiliated practices, pending litigation, advancement of funds to affiliated practices, recoverability of assets related to certain practices, updates to internal controls and hiring additional personnel, results of internal controls testing, preparation for and compliance with disclosure requirements under Section 404 of the Sarbanes-Oxley Act of 2002, repayment of outstanding indebtedness, future debt financing, capital expenditures and operating losses for development of de novo centers, capital expenditures for remodeling of existing centers, investment activities, OCA OutSource, stock repurchases, deferred tax assets, future growth and operating results. We caution you not to place undue reliance on these forward-looking statements, in that they involve certain risks and uncertainties that could cause actual results to differ materially from anticipated results. These risks and uncertainties include potential adverse changes in the Company’s financial results and condition, disruption of the Company’s relationships with its affiliated practices or loss of a significant number of the Company’s affiliated practices, failure or delay in integrating OrthAlliance’s affiliated practices, adverse outcomes of litigation pending against the Company and OrthAlliance, competition, inability to effectively manage an increasing number of affiliated practices, changes in the general economy of the United States and the specific markets in which the Company operates, difficulties in staffing and managing foreign offices, foreign currency exchange fluctuations and other risks relating to international expansion and the Company’s foreign operations, changes in the Company’s operating or expansion strategy, inability of the Company to attract and retain qualified management, personnel and affiliated practitioners, inability of the Company to effectively market its services and those of its affiliated practices, changes in regulations affecting the Company’s business, and other factors identified in the Company’s Annual Report on Form 10-K for the year ended December 31, 2003, other filings with the Securities and Exchange Commission or in other public announcements by the Company. We undertake no obligation to update these forward-looking statements to reflect events or circumstances that occur after the date of this Report.

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PART I. FINANCIAL INFORMATION

ITEM 1. CONSOLIDATED FINANCIAL STATEMENTS

OCA, Inc.

Condensed Consolidated Balance Sheets
(in thousands, except share amounts) (Unaudited)
                 
    September 30,   December 31,
    2004
  2003
ASSETS
               
Current assets:
               
Cash and cash equivalents
  $ 10,701     $ 7,391  
Patient receivables, net of allowance for uncollectible amounts of $8,289 at September 30, 2004
    124,339        
Current portion of service fees receivable, net of allowance for uncollectible amounts of $8,382 at December 31, 2003
          96,720  
Current portion of advances to practitioners, net of allowance for uncollectible amounts of $0 at September 30, 2004 and $1,438 at December 31, 2003
    10,588       16,544  
Deferred income taxes
    41,063       43,346  
Supplies inventory
    11,018       13,726  
Prepaid expenses and other assets
    1,260       2,769  
 
   
 
     
 
 
Total current assets
    198,969       180,496  
Financed practice-related expense portion of service fees receivable
          51,558  
Advances to affiliated practices, less current portion, net of allowance for uncollectible amounts of $2,214 at December 31, 2003
          12,921  
Property, equipment and improvements, net
    94,402       91,668  
Advances and other amounts due from OutSource Practices
    570        
Assets associated with inactive practices, net of allowance for uncollectible amounts of $15,526 at September 30, 2004 and $2,249 at December 31, 2003
    30,237       26,682  
Deferred tax assets, net
    17,101        
Goodwill and identifiable intangible assets, net
    278,951       288,804  
Other assets
    13,996       13,547  
 
   
 
     
 
 
TOTAL ASSETS
  $ 634,226     $ 665,676  
 
   
 
     
 
 
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
Current liabilities:
               
Accounts payable
  $ 5,702     $ 8,985  
Accrued salaries and other accrued liabilities
    12,692       13,977  
Service fee prepayments
          1,157  
Deferred revenue
    91,803        
Amounts payable to practitioners
    6,773       5,373  
Current portion of notes payable to practitioners
    1,355       2,122  
Current portion of long-term debt
    8,333       8,333  
 
   
 
     
 
 
Total current liabilities
    126,658       39,947  
Deferred income tax liability, net
          41,268  
Notes payable to practitioners, less current portion
    2,635       4,050  
Long-term debt, less current portion
    81,473       87,724  
Shareholders’ equity:
               
Preferred stock, $.01 par value: 10,000,000 shares authorized; no shares outstanding
           
Common stock, $.01 par value: 100,000,000 shares authorized; approximately 51,478,000 shares issued and outstanding at September 30, 2004 and 51,341,000 shares issued and outstanding at December 31, 2003
    516       513  
Additional paid-in capital
    219,033       218,530  
Retained earnings
    221,303       289,976  
Accumulated other comprehensive loss
    (1,179 )     (119 )
Less cost of approximately 1,256,000 shares of treasury stock at September 30, 2004 and December 31, 2003
    (16,213 )     (16,213 )
 
   
 
     
 
 
Total shareholders’ equity
    423,460       492,687  
 
   
 
     
 
 
TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY
  $ 634,226     $ 665,676  
 
   
 
     
 
 

See accompanying notes to condensed consolidated financial statements.

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OCA, Inc.
Condensed Consolidated Statements of Income (Loss) and Comprehensive Income (Loss)
(in thousands, except per share data) (Unaudited)
                                 
    Three months ended   Nine months ended
    September 30,
  September 30,
    2004
  2003
  2004
  2003
Patient revenue
  $ 103,958     $     $ 319,166     $  
Service fees from OutSource Practices
    29             35        
Fee revenue
          92,730             293,583  
 
   
 
     
 
     
 
     
 
 
Total revenue
    103,987       92,730       319,201       293,583  
Practice-related expenses:
                               
Amounts retained by practitioners
    29,738             91,737        
Salaries and benefits
    22,873       23,064       69,261       75,259  
Clinical supplies and lab fees
    9,157       9,734       27,748       30,057  
Rent
    6,849       6,953       20,356       25,310  
Marketing and advertising
    5,529       5,500       17,166       18,919  
Other operating costs
    8,560       9,168       26,928       27,278  
 
   
 
     
 
     
 
     
 
 
Total practice-related expenses
    82,706       54,419       253,196       176,823  
General and administrative
    6,348       10,861       23,821       27,104  
Depreciation and amortization
    3,968       6,380       11,837       18,588  
Loss (gain) on sale of assets, net
    1,704       (12 )     3,251       136  
Provision for assets associated with inactive practices
    13,540             14,220        
Asset impairments
          767             2,582  
 
   
 
     
 
     
 
     
 
 
Operating income (loss)
    (4,279 )     20,315       12,876       68,350  
Other income (expense), net:
                               
Interest expense, net
    (1,277 )     (1,193 )     (3,524 )     (3,742 )
Non-controlling interest in subsidiary
    (15 )     4       79       (25 )
 
   
 
     
 
     
 
     
 
 
Income (loss) before income taxes and cumulative effect of change in accounting principle
    (5,571 )     19,126       9,431       64,583  
Income taxes
    (2,033 )     7,221       3,443       24,381  
 
   
 
     
 
     
 
     
 
 
Income (loss) before cumulative effect of change in accounting principle
    (3,538 )     11,905       5,988       40,202  
 
   
 
     
 
     
 
     
 
 
Cumulative effect of change in accounting principle, net of income tax benefit
                (74,661 )      
 
   
 
     
 
     
 
     
 
 
Net income (loss)
  $ (3,538 )   $ 11,905     $ (68,673 )   $ 40,202  
 
   
 
     
 
     
 
     
 
 
Net income (loss) per share:
                               
Basic before cumulative effect of change in accounting principle
  $ (0.07 )   $ 0.24     $ 0.12     $ 0.80  
Cumulative effect of change in accounting principle, net of income tax benefit
                (1.49 )      
 
   
 
     
 
     
 
     
 
 
Basic
  $ (0.07 )   $ 0.24     $ (1.37 )   $ 0.80  
 
   
 
     
 
     
 
     
 
 
Diluted before cumulative effect of change in accounting principle
  $ (0.07 )   $ 0.24     $ 0.12     $ 0.80  
Cumulative effect of change in accounting principle, net of income tax benefit
                (1.49 )      
 
   
 
     
 
     
 
     
 
 
Diluted
  $ (0.07 )   $ 0.24     $ (1.37 )   $ 0.80  
 
   
 
     
 
     
 
     
 
 
Average shares outstanding:
                               
Basic
    50,145       50,206       50,102       50,208  
 
   
 
     
 
     
 
     
 
 
Diluted
    50,145       50,483       50,102       50,504  
 
   
 
     
 
     
 
     
 
 
Comprehensive income (loss):
                               
Net income (loss)
  $ (3,538 )   $ 11,905     $ (68,673 )   $ 40,202  
Other comprehensive loss:
                               
Foreign currency translation adjustment
    (85 )     1,158       (1,060 )     814  
 
   
 
     
 
     
 
     
 
 
Comprehensive income (loss)
  $ (3,623 )   $ 13,063     $ (69,733 )   $ 41,016  
 
   
 
     
 
     
 
     
 
 
See accompanying notes to condensed consolidated financial statements.
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OCA, Inc.

Condensed Consolidated Statements of Cash Flows
(in thousands) (Unaudited
)
                 
    Nine months ended
    September 30,
    2004
  2003
Operating activities:
               
Net income (loss)
  $ (68,673 )   $ 40,202  
Adjustments to reconcile net income (loss) to net cash provided by operating activities:
               
Cumulative effect of change in accounting principle, net of income tax benefit
    74,661        
Provision for bad debt expense
    426       5,340  
Depreciation and amortization
    11,837       18,588  
Provision for assets associated with inactive practices
    13,735        
Asset impairments
          2,582  
Loss on sale of assets, net
    3,251       136  
Deferred income taxes
    1,674       24,914  
Changes in operating assets and liabilities:
               
Patient receivables
    (10,007 )      
Service fees receivable
          (41,451 )
Deferred revenue
    2,743        
Service fee prepayments
          (6,740 )
Accounts payable and other current liabilities
    (5,582 )     (8,694 )
Advances to practitioners, net
    (4,614 )     (2,516 )
Amounts payable to practitioners
    1,400        
Prepaid expenses and other
    3,345       2,271  
Supplies inventory
    1,981       989  
 
   
 
     
 
 
Net cash provided by operating activities
    26,177       35,621  
Investing activities:
               
Purchases of property, equipment and improvements
    (16,187 )     (13,959 )
Proceeds from sale of assets
    2,458        
Notes receivable
    (410 )     (2,605 )
Other
    (1,429 )     (588 )
 
   
 
     
 
 
Net cash used in investing activities
    (15,568 )     (17,152 )
Financing activities:
               
Repayment of notes payable to practitioners
    (1,509 )     (4,823 )
Repayment of long-term debt
    (6,251 )     (121,432 )
Proceeds from long-term debt
          109,900  
Purchase of treasury stock
          (773 )
Issuance of common stock
    506       691  
 
   
 
     
 
 
Net cash used in financing activities
    (7,254 )     (16,437 )
Effect of exchange rate changes on cash and cash equivalents
    (45 )     814  
Change in cash and cash equivalents
    3,310       2,846  
Cash and cash equivalents at beginning of period
    7,391       7,522  
 
   
 
     
 
 
Cash and cash equivalents at end of period
  $ 10,701     $ 10,368  
 
   
 
     
 
 
Supplemental cash flow information:
               
Cash paid during period for:
               
Interest
  $ 3,835     $ 3,688  
 
   
 
     
 
 
Income taxes
  $ 1,853     $ 392  
 
   
 
     
 
 
Supplemental disclosures of non-cash investing and financing activities:
               
Notes payable and common stock issued to obtain Service Agreements
  $     $ 544  
 
   
 
     
 
 

See accompanying notes to condensed consolidated financial statements.

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OCA, Inc.

Notes to Condensed Consolidated Financial Statements (Unaudited)

September 30, 2004

1. DESCRIPTION OF BUSINESS

     OCA, Inc. and its subsidiaries (“OCA”) provide purchasing, financial, marketing, administrative and other business services to orthodontic, pediatric and general dental practices operated by licensed practitioners and/or their wholly-owned professional entities (“Affiliated Practices”) in 43 states and five foreign markets. OCA changed its name from Orthodontic Centers of America, Inc. in August 2004. References to the “Company” are to OCA and the Affiliated Practices required to be consolidated pursuant to FIN 46R (as defined below), unless the context otherwise requires. OCA does not hold any ownership interest in the Affiliated Practices and does not employ the licensed practitioners in the Affiliated Practices. OCA does not practice orthodontics or other forms of dentistry, and is prohibited from doing so by the laws of each jurisdiction in which it operates.

     OCA generally provides business services to Affiliated Practices under long-term service, consulting and management service agreements (“Service Agreements”), through which OCA obtained the exclusive right to provide business services to the Affiliated Practices. OCA has affiliated with existing orthodontic or pediatric dental practices by entering into Service Agreements and acquiring substantially all of the non-professional assets of the practices. The Service Agreements generally provide that the practitioner and/or professional entity is responsible for providing orthodontic or pediatric dental services and for employing all orthodontists or pediatric dentists. The terms of the Service Agreements range from 20 to 40 years, with most ranging from 20 to 25 years. In many cases, the practitioner has the option to terminate the Service Agreement after a certain number of years (typically seven) as prescribed in the Service Agreement. If the practitioner terminates his or her affiliation with OCA, he or she generally is required to pay OCA for the tangible and intangible assets associated with the practice at their current book value or sell his or her interest in the practice to another licensed practitioner who signs a similar agreement with OCA.

     Beginning in 2004, OCA began providing business services through its new division, OCA OutSource. OCA OutSource is initially focusing on general dental practices, and intends to expand to provide business services to other dental specialties and medical practices as well. OCA OutSource provides business services to its Affiliated Practices (“OutSource Practices”) under relatively short-term agreements (“OutSource Agreements”), with terms as short as two years. Unlike OCA’s traditional affiliations, OCA OutSource does not acquire the assets of an Affiliated Practice upon entering into an OutSource Agreement. The services provided by OCA OutSource otherwise are similar to those provided under OCA’s traditional affiliations, tailored to the particular needs of the practice’s dental or medical specialty. The Company’s experience has been that OCA OutSource generally enables practitioners to focus on quality care, while increasing their profitability and providing better information about the financial performance of their practice. OCA OutSource intends to continue to market its services to general and pediatric dentists at association meetings, through direct mail and through open houses at OCA’s corporate headquarters in Metairie, Louisiana. OCA OutSource also intends to begin marketing its services to medical practices during 2005.

     The following table provides information about OCA’s Affiliated Practices (including OutSource Practices) as of the dates indicated. These amounts exclude “Inactive Practices,” which are practices that were parties to Service Agreements but were engaged in litigation with OCA or its subsidiary, OrthAlliance, Inc., and/or had ceased paying service fees to OCA or OrthAlliance as of September 30, 2004 or as of September 30, 2003, respectively.

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Number of Affiliated Practices
    As of September 30, 2004
  As of September 30, 2003
            Pediatric and                
Location
  Orthodontic
  General Dental
  Total
  Orthodontic
  Pediatric Dental
  Total
United States
    246       14       260       270       21       291  
Japan
    25             25       26             26  
Mexico
    9             9       4             4  
Puerto Rico
    2       1       3       3             3  
Spain
    3             3       3             3  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Total
    285       15       300       306       21       327  
 
   
 
     
 
     
 
     
 
     
 
     
 
 

2. BASIS OF PRESENTATION

     The accompanying unaudited consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. The preparation of these financial statements requires management to make estimates and assumptions that affect the amounts reported in the financial statements and accompanying notes. The year-end condensed consolidated balance sheet was derived from the audited financial statements, but does not include all of the information and footnotes required by generally accepted accounting principles in the United States for financial statements. In the opinion of management, all normal and recurring adjustments, except for the adjustments resulting from the adoption of FIN 46R (as defined below), considered necessary for a fair presentation have been included. While all available information has been considered, actual amounts could differ from those estimates. Operating results for the three- and nine-month periods ended September 30, 2004 are not necessarily indicative of the results that may be expected for the year ending December 31, 2004. For further information, refer to the consolidated financial statements and footnotes thereto included in OCA’s Annual Report on Form 10-K for the year ended December 31, 2003.

Reclassifications

     Certain reclassifications have been made to prior period asset and expense categories in order to conform the prior period presentation to the current period presentation. This presentation primarily relates to the reclassification of “Assets associated with inactive practices” (Note 5) and to the reclassification of corporate expenses to “General and Administrative” and all expenses directly associated with the operation of the practices in practice-related expenses to their respective line items within “Practice-related expenses” in the Company’s condensed consolidated statements of income (loss). The reclassifications had no impact on previously reported shareholders’ equity, operating income or net income.

Adoption of New Accounting Standard

     Effective January 1, 2004, OCA adopted, as required, the provisions of Financial Accounting Standards Board (“FASB”) Interpretation No. 46R, “Consolidation of Variable Interest Entities — an Interpretation of ARB No. 51” (“FIN 46R”). FIN 46R was issued by the FASB on December 24, 2003 and replaced Interpretation No. 46, which was issued in January 2003. FIN 46R requires the consolidation of a variable interest entity (“VIE”), as defined in FIN 46R, when an enterprise absorbs a majority of the VIE’s expected losses, receives a majority of the VIE’s expected residual returns, or both, as a result of ownership, contractual or other financial interests in the VIE.

     OCA evaluated its contractual and economic relationships with its Affiliated Practices in light of FIN 46R, and concluded that the Affiliated Practices (other than Inactive Practices and OutSource Practices) are VIEs for purposes of FIN 46R. OCA also concluded that it is the primary beneficiary of these Affiliated Practices for purposes of FIN 46R, in that OCA absorbs a majority of the VIEs’ expected losses, receives a majority of the VIEs’ expected residual returns, or both, as a result of contractual or

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other financial interests in the Affiliated Practices. Accordingly, effective January 1, 2004, OCA is consolidating the assets, liabilities, equity and financial results of the Affiliated Practices (other than Inactive Practices and OutSource Practices) in the Company’s consolidated financial statements. OCA was not required to consolidate the Affiliated Practices for financial reporting purposes prior to January 1, 2004, in accordance with Emerging Issues Task Force (“EITF”) Issue No. 97-2.

     Under FIN 46R, the Company is required to reevaluate whether it continues to be the primary beneficiary of the Affiliated Practices that it consolidates for financial reporting purposes in the event that certain events occur. During 2004, certain practices that were consolidated by the Company pursuant to FIN 46R ceased paying service fees to OCA or OrthAlliance, initiated litigation against OCA or OrthAlliance and/or alleged a breach by OCA or OrthAlliance of their Service Agreement and gave notice of their intentions to terminate the Service Agreement. (See Note 5). The Company believes that these events required the Company to reconsider whether it is the primary beneficiary of these practices under FIN 46R. The Company determined that, under these circumstances, it was no longer the primary beneficiary of these practices and ceased to consolidate these practices.

     The Company’s adoption of FIN 46R and consolidation of the Affiliated Practices for financial reporting purposes does not change the legal and contractual relationships between OCA and the Affiliated Practices. OCA does not hold any ownership interest in the Affiliated Practices and does not employ the orthodontists or other practitioners in the Affiliated Practices. The patients who are parties to patient contracts with Affiliated Practices are the patients of the Affiliated Practices, not patients of OCA. OCA does not practice orthodontics or other forms of dentistry, and is prohibited from doing so by the laws of each jurisdiction in which the Company operates.

     The Company’s consolidation of Affiliated Practices for financial reporting purposes effective January 1, 2004 has resulted in significant changes to the Company’s accounting policies and financial reporting. The Company now presents patient revenues and patient receivables associated with the activities of its Affiliated Practices in its consolidated financial statements. The Company’s revenue recognition policy now is reflective of the services performed by the Affiliated Practices for their patients rather than of the services performed by OCA on behalf of and for the Affiliated Practices. Service fees and service fees receivable now are eliminated upon consolidation of the Affiliated Practices. In addition, the Company now presents as practice-related expenses in its consolidated statements of income (loss) the amounts retained by practitioners under its Service Agreements. The Company has also changed its accounting for excess distributions to Affiliated Practices that are consolidated under FIN 46R, as well as its accounting for identifiable intangible assets and goodwill. The Company’s new accounting policies effective January 1, 2004 are summarized below following the analysis of the impact of FIN 46R.

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     The table below presents the impact to the Company’s condensed consolidated balance sheet at January 1, 2004, including elimination of intercompany transactions, as a result of the Company’s adoption of FIN 46R (in thousands):

                         
    At January 1, 2004
    OCA   Impact of    
    Balance Sheet
  Adopting FIN 46R
  Consolidated
Cash and cash equivalents
  $ 7,391     $     $ 7,391  
Patient receivables, net
          117,942   (a)     117,942  
Current portion of service fees receivable, net
    96,720       (96,720 ) (a)      
Current portion of advances to practitioners, net
    16,544       (7,526 ) (b)     9,018  
Other current assets
    62,051             62,051  
 
   
 
     
 
     
 
 
Total current assets
    182,706       13,696       196,402  
Financed practice-related expense portion of service fees receivable
    51,558       (51,558 ) (a)      
Advances to practitioners, less current portion, net
    12,921       (12,921 ) (b)      
Assets associated with inactive practices
    26,682       4,624       31,306  
Deferred income taxes
          41,420       41,420  
Property, equipment and improvements, net
    89,458             89,458  
Identifiable intangible assets, net
    201,163       (201,163 ) (c)      
Goodwill
    87,641       202,804   (c)     290,445  
Other assets
    13,547             13,547  
 
   
 
     
 
     
 
 
Total assets
  $ 665,676     $ (3,098 )   $ 662,578  
 
   
 
     
 
     
 
 
Accounts payable
  $ 8,985     $     $ 8,985  
Accrued salaries and other current liabilities
    13,977             13,977  
Amounts payable to practitioners
    5,373             5,373  
Service fee prepayments
    1,157       (1,157 ) (d)      
Deferred revenue
          89,060   (d)     89,060  
Current portion of debt and notes payable
    10,455             10,455  
 
   
 
     
 
     
 
 
Total current liabilities
    39,947       87,903       127,850  
Deferred income tax liability
    41,268       (16,340 )     24,928  
Notes payable to practitioners, less current
    4,050             4,050  
Long-term debt
    87,724             87,724  
Shareholders’ equity
    492,687       (74,661 ) (e)     418,026  
 
   
 
     
 
     
 
 
Total liabilities and shareholders’ equity
  $ 665,676     $ (3,098 )   $ 662,578  
 
   
 
     
 
     
 
 

     The following discusses the more significant adjustments to certain line items of the Company’s condensed balance sheet as a result of adopting FIN 46R effective January 1, 2004:

     (a) Patient Receivables and Service Fees Receivable. Effective January 1, 2004, the Company records patient receivables of Affiliated Practices in its consolidated balance sheets. Patient receivables represent amounts owed to Affiliated Practices by their patients or by third-party payors, as calculated under the Company’s revenue recognition policy (as discussed below). Patient receivables reflects amounts yet to be received after being recognized as patient revenue. These receivables are expected to be collected within 12 months. Because the Company now consolidates Affiliated Practices, the Company no longer records service fees receivable in its consolidated balance sheets, including the current and financed practice-related expense portion of service fees receivable.

     (b) Advances to Affiliated Practices and Amounts Payable to Affiliated Practices. Effective January 1, 2004, the Company does not record in its consolidated balance sheets cash advances to Affiliated Practices against future distributions. Because the Company now consolidates Affiliated Practices, at January 1, 2004, the Company made the following adjustments with respect to advances to Affiliated Practices: (A) eliminated advances to Affiliated Practices that related to cash advances to Affiliated Practices against future distributions, (B) reclassified advances related to amounts due under

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Service Agreements with Inactive Practices to assets associated with inactive practices, and (C) eliminated advances to Affiliated Practices related to amounts due under Service Agreements. The Company will continue to record receivables and payables related to short-term differences between amounts distributed as monthly or biweekly draws to practitioners and the amounts that the practitioners are entitled to retain under their Service Agreements, until those amounts are reconciled.

     (c) Goodwill and Identifiable Intangibles. Pursuant to the consolidation provisions of FIN 46R, effective January 1, 2004, the Company accounts for affiliations with practices as business combinations and therefore was required to reclassify certain identifiable intangible assets related to Service Agreements with Affiliated Practices as goodwill. Prior to the adoption of FIN 46R, the Company recorded these amounts as identifiable intangible assets and amortized these assets. In addition, the Company determined that Affiliated Practices are its reporting units for pur