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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

     
þ
  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
   
  For the Quarterly Period Ended: March 31, 2005
  OR
o
  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
  For the transition period from                      to                     .

American HomePatient, Inc.


(exact name of registrant as specified in its charter)
         
Delaware   0-19532   62-1474680
         
(State or other jurisdiction of   (Commission   (IRS Employer Identification No.)
incorporation or organization)   File Number)    
 
5200 Maryland Way, Suite 400, Brentwood, Tennessee   37027
 
(Address of principal executive offices)   (Zip Code)

(615) 221-8884


(Registrant’s telephone number, including area code)

None


(Former name, former address and former fiscal year, if changes 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 þ No o

Indicate by check mark whether the registrant is an accelerated filer (as defined in Exchange Act Rule 12b-2). Yes o No þ


17,362,389

(Outstanding shares of the issuer’s common stock as of April 28, 2005)
 
 

1


AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

INDEX

             
        Page No.
  Financial Information        
 
           
  Financial Statements (Unaudited)        
 
           
    Interim Condensed Consolidated Balance Sheets     3  
 
           
    Interim Condensed Consolidated Statements of Income – Three months ended March 31, 2005 and 2004     5  
 
           
      6  
 
           
    Notes to Interim Condensed Consolidated Financial Statements     8  
 
           
  Management’s Discussion and Analysis of Financial Condition and Results of Operations     16  
 
           
  Quantitative and Qualitative Disclosures about Market Risk     44  
 
           
  Controls and Procedures     44  
 
           
Report of Independent Registered Public Accounting Firm     45  
 
           
  Other Information and Signatures        
 
           
  Legal Proceedings     46  
 
           
  Exhibits     46  
 
           
        48  
 Ex-15.1 Awareness Letter of KPMG LLP
 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

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PART I. FINANCIAL INFORMATION

ITEM 1 — FINANCIAL STATEMENTS

AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

INTERIM CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)

                 
    March 31,     December 31,  
ASSETS   2005     2004  
CURRENT ASSETS:
               
Cash and cash equivalents
  $ 9,261,000     $ 5,772,000  
Restricted cash
    650,000       650,000  
Accounts receivable, less allowance for doubtful accounts of $17,303,000 and $16,912,000, respectively
    54,550,000       52,517,000  
Inventories, net of inventory valuation allowances of $436,000 and $468,000, respectively
    14,740,000       15,947,000  
Prepaid expenses and other current assets
    5,113,000       6,361,000  
 
           
Total current assets
    84,314,000       81,247,000  
 
           
 
               
Property and equipment
    175,646,000       174,761,000  
Less accumulated depreciation and amortization
    (117,727,000 )     (116,756,000 )
 
           
Property and equipment, net
    57,919,000       58,005,000  
 
           
 
               
Goodwill
    121,834,000       121,834,000  
Investment in joint ventures
    6,538,000       6,698,000  
Other assets
    15,540,000       15,280,000  
 
           
Total other assets
    143,912,000       143,812,000  
 
           
TOTAL ASSETS
  $ 286,145,000     $ 283,064,000  
 
           

(Continued)

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AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

INTERIM CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)

(Continued)

                 
    March 31,     December 31,  
LIABILITIES AND SHAREHOLDERS’ DEFICIT   2005     2004  
CURRENT LIABILITIES:
               
Current portion of long-term debt and capital leases
  $ 880,000     $ 885,000  
Accounts payable
    20,525,000       17,842,000  
Other payables
    2,028,000       1,751,000  
Short-term note payable
    2,472,000       3,663,000  
Accrued expenses:
               
Payroll and related benefits
    8,563,000       8,655,000  
Insurance, including self-insurance accruals
    7,989,000       8,213,000  
Other
    10,885,000       8,669,000  
 
           
Total current liabilities
    53,342,000       49,678,000  
 
           
 
               
NONCURRENT LIABILITIES:
               
Long-term debt and capital leases, less current portion
    251,033,000       251,033,000  
Pre-petition accounts payable
    477,000       477,000  
Other noncurrent liabilities
    63,000       2,071,000  
 
           
Total noncurrent liabilities
    251,573,000       253,581,000  
 
           
 
               
Total liabilities
    304,915,000       303,259,000  
 
           
 
               
MINORITY INTEREST
    560,000       534,000  
 
               
SHAREHOLDERS’ DEFICIT
               
Preferred stock, $.01 par value; authorized 5,000,000 shares; none issued and outstanding
           
Common stock, $.01 par value; authorized 35,000,000 shares; issued and outstanding, 17,132,000 and 17,047,000 shares, respectively
    171,000       170,000  
Additional paid-in capital
    173,743,000       173,588,000  
Accumulated deficit
    (193,244,000 )     (194,487,000 )
 
           
Total shareholders’ deficit
    (19,330,000 )     (20,729,000 )
 
           
TOTAL LIABILITIES AND SHAREHOLDERS’ DEFICIT
  $ 286,145,000     $ 283,064,000  
 
           

The accompanying notes are an integral part of these consolidated financial statements.

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AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

INTERIM CONDENSED CONSOLIDATED STATEMENTS OF INCOME
(unaudited)

                 
    Three Months Ended March 31,  
    2005     2004  
REVENUES:
               
Sales and related service revenues, net
  $ 34,185,000     $ 36,867,000  
Rental revenues, net
    47,303,000       47,853,000  
 
           
Total revenues, net
    81,488,000       84,720,000  
 
           
 
               
EXPENSES:
               
Cost of sales and related services
    19,776,000       18,617,000  
Cost of rental revenues, including rental equipment depreciation of $5,705,000 and $5,511,000, respectively
    9,549,000       9,343,000  
Operating expenses
    39,989,000       44,240,000  
Bad debt expense
    2,689,000       2,819,000  
General and administrative
    4,199,000       4,289,000  
Depreciation, excluding rental equipment, and amortization
    813,000       833,000  
Interest expense, net
    4,290,000       4,650,000  
Other income, net
    (55,000 )     (78,000 )
 
           
Total expenses
    81,250,000       84,713,000  
 
               
Earnings from unconsolidated joint ventures
    1,207,000       1,052,000  
 
           
 
               
INCOME FROM OPERATIONS BEFORE REORGANIZATION ITEMS AND INCOME TAXES
    1,445,000       1,059,000  
 
               
Reorganization items
    106,000        
 
           
 
               
INCOME FROM OPERATIONS BEFORE INCOME TAXES
    1,339,000       1,059,000  
 
               
Provision for income taxes
    96,000       100,000  
 
           
 
               
NET INCOME
  $ 1,243,000     $ 959,000  
 
           
 
               
NET INCOME PER COMMON SHARE:
               
- Basic
  $ 0.07     $ 0.06  
 
           
- Diluted
  $ 0.07     $ 0.06  
 
           
 
               
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING
               
- Basic
    17,067,000       16,377,000  
 
           
- Diluted
    17,867,000       17,047,000  
 
           

The accompanying notes are an integral part of these consolidated financial statements.

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AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

INTERIM CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)

                 
    Three Months Ended March 31,  
    2005     2004  
CASH FLOWS FROM OPERATING ACTIVITIES:
               
Net income
  $ 1,243,000     $ 959,000  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    6,518,000       6,344,000  
Bad debt expense
    2,689,000       2,819,000  
Equity in earnings of unconsolidated joint ventures
    (741,000 )     (553,000 )
Minority interest
    95,000       70,000  
Reorganization items
    106,000        
Reorganization items paid
    (157,000 )     (475,000 )
 
               
Change in assets and liabilities:
               
Accounts receivable
    (4,722,000 )     (3,421,000 )
Inventories
    1,207,000       698,000  
Prepaid expenses and other current assets
    1,248,000       1,806,000  
Accounts payable, other payables and accrued expenses
    4,911,000       2,205,000  
Other assets and liabilities
    (2,361,000 )     (53,000 )
Due to unconsolidated joint ventures, net
    901,000       2,276,000  
 
           
Net cash provided by operating activities
    10,937,000       12,675,000  
 
           
 
               
CASH FLOWS FROM INVESTING ACTIVITIES:
               
Additions to property and equipment, net
    (6,339,000 )     (7,293,000 )
 
           
Net cash used in investing activities
    (6,339,000 )     (7,293,000 )
 
           

(Continued)

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AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

INTERIM CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)

(Continued)

                 
    Three Months Ended March 31,  
    2005     2004  
CASH FLOWS FROM FINANCING ACTIVITIES:
               
Distributions to minority interest owners
  $ (69,000 )   $ (62,000 )
Proceeds from exercise of employee stock options
    156,000        
Principal payments on long-term debt and capital leases
    (5,000 )     (722,000 )
Principal payments on short-term note payable
    (1,191,000 )      
Restricted cash
          (250,000 )
 
           
Net cash used in financing activities
    (1,109,000 )     (1,034,000 )
 
           
 
               
INCREASE IN CASH AND CASH EQUIVALENTS
    3,489,000       4,348,000  
 
               
CASH AND CASH EQUIVALENTS, beginning of period
    5,772,000       2,571,000  
 
           
CASH AND CASH EQUIVALENTS, end of period
  $ 9,261,000     $ 6,919,000  
 
           
 
               
SUPPLEMENTAL INFORMATION:
               
Cash payments of interest
  $ 4,270,000     $ 4,711,000  
 
           
Cash payments of income taxes
  $ 11,000     $ 184,000  
 
           

The accompanying notes are an integral part of these consolidated financial statements.

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AMERICAN HOMEPATIENT, INC. AND SUBSIDIARIES

NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(unaudited)

1. BASIS OF PRESENTATION

American HomePatient, Inc. was incorporated in Delaware in September 1991. American HomePatient Inc.’s principal executive offices are located at 5200 Maryland Way, Suite 400, Brentwood, Tennessee 37027-5018, and its telephone number at that address is (615) 221-8884. American HomePatient, Inc. and subsidiaries (the “Company”) provides home health care services and products consisting primarily of respiratory therapies, infusion therapies and the rental and sale of home medical equipment and home health care supplies. For the three months ended March 31, 2005, these services represented 72%, 12% and 16% of revenues, respectively. These services and products are paid for primarily by Medicare, Medicaid and other third-party payors. As of March 31, 2005, the Company provided these services to patients primarily in the home through 274 centers in 35 states: Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Maine, Maryland, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Virginia, Washington, West Virginia and Wisconsin.

The interim condensed consolidated financial statements of the Company for the three months ended March 31, 2005 and 2004 herein are unaudited and have been prepared by the Company pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles have been condensed or omitted pursuant to such rules and regulations. In the opinion of management of the Company, the accompanying unaudited interim condensed consolidated financial statements reflect all adjustments (consisting of only normally recurring accruals) necessary to present fairly the financial position at March 31, 2005 and the results of operations and the cash flows for the three months ended March 31, 2005 and 2004.

The results of operations for the three months ended March 31, 2005 and 2004 are not necessarily indicative of the operating results for the entire respective years. These unaudited interim condensed consolidated financial statements should be read in conjunction with the audited financial statements and notes thereto included in the Company’s 2004 Annual Report on Form 10-K.

Certain reclassifications have been made to the 2004 interim condensed consolidated financial statements to conform to the 2005 presentation.

2. PROCEEDINGS UNDER CHAPTER 11 OF THE BANKRUPTCY CODE

American HomePatient, Inc. and 24 of its subsidiaries (collectively, the “Debtors”) filed voluntary petitions on July 31, 2002 for relief to reorganize under Chapter 11 of the U.S. Bankruptcy Code (the “Bankruptcy Filing”) in the United States Bankruptcy Court for the Middle District of Tennessee (the “Bankruptcy Court”).

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These cases (the “Chapter 11 Cases”) were consolidated for the purpose of joint administration under Case Number 02-08915-GP3-11. On January 2, 2003, the Debtors filed their Second Amended Joint Plan of Reorganization (the “Proposed Plan”), proposed by the Debtors and the Official Committee of Unsecured Creditors appointed by the Office of the United States Trustee in the Chapter 11 Cases. The holders of the Company’s senior debt (the “Lenders”) objected to the Proposed Plan. On May 15, 2003, the Bankruptcy Court entered a memorandum opinion overruling the Lenders’ objections to the Proposed Plan. On May 27, 2003, the Bankruptcy Court entered an Order confirming the Proposed Plan (“Confirmation Order”) (hereafter referred to as the “Approved Plan”). On June 30, 2003, the United States District Court for the Middle District of Tennessee (the “District Court”) rejected the Lenders’ request to stay the effective date of the Approved Plan.

On July 1, 2003, the Company’s Approved Plan became effective and the Company successfully emerged from bankruptcy protection.

The Approved Plan allows the Company to continue its business operations uninterrupted, led by its current management team, and accomplishes the Company’s primary goal of restructuring its long-term debt obligations to its Lenders. In addition, the Approved Plan provides that the Company’s shareholders retain their equity interest in the Company and that all of the Company’s creditors and vendors will be paid 100% of all amounts they are owed, either immediately or over time with interest.

The Approved Plan provides for the treatment of all of the claims subject to compromise in the Bankruptcy Filing. The Approved Plan provides for the extension of the maturity on the debt to the Lenders, a reduction of the related interest cost on such debt, and the payment of all of the Company’s reported liabilities. The Lenders retained their liens on substantially all of the assets of the Company.

Pursuant to the Approved Plan, the Company’s secured debt to the Lenders is quantified at $250.0 million and is evidenced by a promissory note in that amount and is secured by various security agreements. To the Company’s knowledge, the Lenders have not executed the agreements. The Company is no longer a party to a credit agreement. The remainder of the amounts due to the Lenders at July 1, 2003 over and above the $250.0 million is treated as unsecured.

The Approved Plan provides that principal is payable annually on the $250.0 million secured debt on March 31 of each year, beginning March 31, 2005, in the amount of one-third of the Company’s Excess Cash Flow (defined in the Approved Plan as cash and equivalents in excess of $7.0 million at the end of the Company’s fiscal year) for the previous fiscal year. After the unsecured debt of the Lenders and the general unsecured debt is paid in full, 100% of the Company’s Excess Cash Flow is paid as a principal payment on the $250.0 million secured debt on March 31 of each year, with an estimated prepayment due on each previous September 30 in an amount equal to one-half of the anticipated March payment. Thus an estimated prepayment was due on September 30, 2004 in an amount equal to one-half of the anticipated payment due on March 31, 2005, however no payment was made as the Company did not anticipate having excess cash flow for fiscal 2004. The maturity date of the $250.0 million secured debt is July 1,

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2009. The Approved Plan provides that interest is payable monthly on the $250.0 million secured debt at a rate of 6.785% per annum.

The Approved Plan treats the general unsecured debt and the Lenders’ unsecured debt in the same manner. Principal and accrued interest is payable semi-annually in six equal installments (on June 30 and December 31 of each year) beginning December 31, 2003. Interest accrues on this unsecured debt at an annual rate of 8.3675%. In addition to the six scheduled payments, the holders of the unsecured debt also received an estimated prepayment of the Pro Rata Payment (as defined in the Approved Plan) on September 30, 2003. The Company was to make a payment on March 31, 2004 in the amount of 100% of the Company’s Excess Cash Flow for fiscal year 2003, however no payment was made as the Company did not have excess cash flow for fiscal 2003. The Company is required to make payments each March 31 in the amount of two thirds of the Company’s Excess Cash Flow for the previous fiscal year, if any. Additionally, an estimated prepayment was due on September 30, 2004 in an amount equal to one-half of the anticipated March 31, 2005 payment, however no payment was made as the Company did not have excess cash flow for fiscal 2004.

At this time the Company is unable to determine how much, if any, excess cash it will have on hand at December 31, 2005.

The Approved Plan allows the Company to make prepayments to the group of holders of unsecured debt, either in whole or in part, at any time without penalty, which prepayments reduce and are a credit against any subsequent mandatory payments.

Prior to emergence from bankruptcy protection, the Company made adequate protection payments to the Lenders totaling approximately $15.8 million. Pursuant to the Approved Plan all of the adequate protection payments have been applied to the Lenders’ unsecured debt during 2003 as part of the 2003 scheduled payments.

The Company has made all payments due under the Approved Plan as of March 31, 2005, and has also prepaid some of its obligations thereunder. As of March 31, 2005, the Lenders were owed approximately $251.0 million, comprised of $250.0 million of secured debt and $1.0 million of unsecured debt. The remaining general unsecured claims (excluding the Government Settlement) as of March 31, 2005 were approximately $0.5 million.

The Bankruptcy Court issued an opinion ruling in favor of the Company’s request to reject warrants originally issued to the Company’s Lenders to purchase 3,265,315 shares of the Company’s common stock for $.01 per share. As a result of the ruling, the warrants, which represented approximately 20% of the Company’s outstanding common stock, were rejected by the Company. The Bankruptcy Court determined the damages stemming from rejection of the warrants were $846,000, which is payable by the Company to the warrant holders as an unsecured debt and is recorded as a component of other accrued expenses on the consolidated balance sheets. The warrant holders have appealed the damages calculation determined in this ruling. This liability will be paid to the warrant holders if they are unsuccessful in their appeal. If the appeal is successful, the amount owed to the warrant holders could substantially increase, which could materially adversely affect the Company’s cash flow and results from operations. The United States Court of Appeals for the Sixth Circuit has issued a notification that this appeal will be submitted for decision, without oral argument, on June 9, 2005.

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The Lenders also filed an appeal to the District Court of the order confirming the Approved Plan. On September 12, 2003 the District Court issued an opinion affirming in all respects the Confirmation Order. The Lenders have filed an appeal to the order confirming the Approved Plan with the United States Court of Appeals for the Sixth Circuit. The Company intends to vigorously defend the Confirmation Order entered by the Bankruptcy Court and upheld by the District Court. The outcome of the appeal cannot be predicted, and an adverse ruling could have a material adverse effect on the Company. These adverse effects could include, without limitation, adverse changes in the interest rate related to its secured and unsecured debt, a change in the proportion of debt treated as secured debt, issuance of equity securities or an adverse change in the capitalization of the Company to the detriment of equity holders. There can be no assurance as to the extent or nature of the adverse effects of a successful Lenders’ appeal.

3. STOCK BASED COMPENSATION

The Company applies the intrinsic-value-based method of accounting prescribed by Accounting Principles Board (“APB”) Opinion No. 25, “Accounting for Stock Issued to Employees” (“APB No. 25”) and related interpretations including Financial Accounting Standards Board (“FASB”) Interpretation No. 44 (“FIN 44”), “Accounting for Certain Transactions Involving Stock Compensation, an interpretation of APB Opinion No. 25”, to account for its fixed-plan stock options. Under this method, compensation expense is recorded only if the current market price of the underlying stock exceeds the exercise price on the date of grant. SFAS No. 123, “Accounting for Stock-Based Compensation” (“SFAS No. 123”), and SFAS No. 148, “Accounting for Stock-Based Compensation – Transition and Disclosure, an amendment to FASB Statement No. 123” (“SFAS No. 148”), established accounting and disclosure requirements using a fair-value-based method of accounting for stock-based employee compensation plans. As permitted by existing accounting standards, the Company has elected to continue to apply the intrinsic-value-based method of accounting described above, and has adopted only the disclosure requirements of SFAS No. 123, as amended. The following table illustrates the effect on net income if the fair-value-based method had been applied to all outstanding and unvested awards in each period.

                 
    Three Months Ended March 31,  
    2005     2004  
Net income – as reported
  $ 1,243,000     $ 959,000  
Additional compensation expense
    (150,000 )     (218,000 )
 
           
Net income – pro forma
  $ 1,093,000     $ 741,000  
 
           
 
               
Net income per common share - - as reported
               
Basic
  $ 0.07     $ 0.06  
Diluted
  $ 0.07     $ 0.06  
 
               
Net income per common share - - pro forma
               
Basic
  $ 0.06     $ 0.05  
Diluted
  $ 0.06     $ 0.04  

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4. REORGANIZATION ITEMS

Reorganization items represent expenses that are incurred by the Company as a result of reorganization under Chapter 11 of the Federal Bankruptcy Code. Reorganization items for the three months ended March 31, 2005 were $106,000 and are comprised primarily of professional fees.

5. LIQUIDITY

As discussed in Note 2, on July 1, 2003, the Company’s Approved Plan became effective and the Company emerged from bankruptcy protection. Pursuant to the Approved Plan, as of March 31, 2005 the Company had secured and unsecured debt to the Lenders of $250,000,000 and $1,025,000, respectively. The Company also had unsecured debt of $477,000. The secured debt is evidenced by a promissory note in that amount and is secured by various security agreements.

The accompanying interim condensed consolidated financial statements were prepared on a going concern basis, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business.

For the year ended December 31, 2004, net cash provided by operating activities was $32,972,000. For the three months ended March 31, 2005, the Company achieved net income of $1,243,000 and had $10,937,000 of cash provided by operating activities.

Total long-term debt and capital leases have decreased by $5,000 from $251,918,000 at December 31, 2004 to $251,913,000 at March 31, 2005. All of the Company’s debt has fixed interest rates, which on a weighted average was 6.8% at March 31, 2005.

The Company has scheduled current debt principal payments of $880,000 and minimum rental obligations of $10.2 million under long-term operating leases due during the twelve months ending March 31, 2006. The Company is also obligated to pay any Excess Cash Flow for application on the Lenders’ secured and unsecured debt as well as to holders of other unsecured debt. During 2003, the Company made payments, including some pre-payments, on the Lenders’ unsecured debt, as well as on other unsecured debt totaling $26.9 million. The Company has the option to apply the pre-payments against future required payments, including the required 2005 payments; however, the Company intends to continue making payments to the Lenders and general unsecured creditors (as defined in the Approved Plan) if it has sufficient cash.

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As of March 31, 2005, the Company had approximately $9,261,000 in unrestricted cash and cash equivalents and $30,972,000 of working capital. The Company’s consolidated cash flows from operations for the year ended December 31, 2004 and through March 31, 2005 were sufficient to meet 2004 and year to date 2005 debt and lease obligations. The Company’s future liquidity and capital resources will be materially adversely impacted by the Medicare reimbursement reductions contained in the Medicare Prescription Drug, Improvement and Modernization Act of 2003. The Medicare reimbursement reductions that became effective January 2004 impacted the Company’s profitability and ability to improve its liquidity and capital resources. The adverse impact that the 2005 reimbursement reductions will have on the Company’s operating results and financial condition will be material in 2005 and beyond. The magnitude of the impact of the reimbursement reductions on the Company’s operating results and financial position will depend upon the success of the Company’s efforts to grow revenues, improve productivity, and reduce costs. See “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Trends, Events, and Uncertainties – Reimbursement Changes and the Company’s Response” and “Risk Factors – Medicare Reimbursement Reductions. “Management believes that the Company can operate on its existing cash and projected cash flow, and make all payments provided for in the Approved Plan through March 31, 2006. There can be no assurance that the Company’s operations will achieve this projected cash flow. The failure to meet its periodic debt, lease and other financial obligations, or the failure to extend, refinance or repay any of its debt obligations as they become due would have a material adverse effect upon the Company.

The Company’s future liquidity will continue to be dependent upon the relative amounts of current assets (principally cash, accounts receivable and inventories) and current liabilities (principally accounts payable and accrued expenses). In that regard, the level and quality of accounts receivable can have a significant impact on the Company’s liquidity. The Company has various types of accounts receivable, the majority of which are patient receivables. Accounts receivable are generally outstanding for longer periods of time in the health care industry than many other industries because of requirements to provide third-party payors with additional information subsequent to billing and the time required by such payors to process claims. Certain accounts receivable frequently are outstanding for more than 90 days, particularly where the account receivable relates to services for a patient receiving a new medical therapy or covered by private insurance or Medicaid. Net patient accounts receivable were $53,357,000 and $50,581,000 at March 31, 2005 and December 31, 2004, respectively. Average days’ sales in accounts receivable (“DSO”) was approximately 61 and 55 days at March 31, 2005 and December 31, 2004, respectively. The Company calculates DSO by dividing the previous 90 days of revenue (excluding dispositions and acquisitions), net of bad debt expense into net patient accounts receivable and multiplying the ratio by 90 days. The Company’s level of DSO and net patient receivables is affected by the extended time required to obtain necessary billing documentation. The Company’s DSO at March 31, 2005 was impacted negatively by annual patient deductibles during the first quarter of the year and an increase in unbilled revenue resulting from temporary delays in obtaining supporting documentation needed for billing as a result of changes in procedures being implemented during the first quarter of 2005.

In accordance with the Approved Plan, none of the Company’s current debt and lease agreements contain financial and other restrictive covenants. However, any non-payment, or other default with respect to the Company’s debt obligations could cause the Company’s Lenders to attempt to declare

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defaults, accelerate payment obligations or foreclose upon the assets securing such indebtedness or exercise their remedies with respect to such assets. Any of such events, if appropriately taken by the Lenders, would have a material adverse impact on the Company.

6. GOVERNMENT INVESTIGATION AND LITIGATION

In 2001, the Company entered into a settlement agreement (the “Government Settlement”) with the United States of America, acting through the United States Department of Justice (“DOJ”) and on behalf of the Office of Inspector General of the Department of Health and Human Services (“OIG”) and the TRICARE Management Activity, which resolved a false claims action alleging improprieties by the Company during the period from January 1, 1995 through December 31, 1998. Pursuant to the Approved Plan, amounts owed pursuant to the Government Settlement will be paid in full in accordance with the Government Settlement, and the Company has made all payments due to date under the Government Settlement. A payment of $1.0 million is due in July 2005 and a final payment of $2.0 million is due under the Government Settlement in March 2006. During the three month period ended March 31, 2005, the Company paid $529,000 including interest of $29,000, pursuant to the Government Settlement. At March 31, 2005, the Company had an accrual of $3,008,000 for its remaining obligations pursuant to the Government Settlement, which is classified as a current liability. The accrual related to the Government Settlement is included in other accrued expenses on the accompanying interim condensed consolidated balance sheets at March 31, 2005.

7. NET INCOME PER COMMON SHARE

Net income per share is measured at two levels: basic net income per share and diluted net income per share. Basic net income per share is computed by dividing net income by the weighted average number of common shares outstanding during the year. Diluted net income per share is computed by dividing net income by the weighted average number of common shares after considering the additional dilution related to stock options and warrants. In computing diluted income per share, the outstanding stock warrants and stock options are considered dilutive using the treasury stock method.

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The following information is necessary to calculate net income per share for the periods presented:

                 
    Three Months Ended March 31,  
    2005     2004  
Net income
  $ 1,243,000     $ 959,000  
 
           
 
               
Weighted average common shares outstanding
    17,067,000       16,377,000  
Effect of dilutive options and warrants
    800,000       670,000  
 
           
Adjusted diluted common shares outstanding
    17,897,000       17,047,000  
 
           
 
               
Net income per common share
               
- Basic
  $ 0.07     $ 0.06  
 
           
- Diluted
  $ 0.07     $ 0.06  
 
           

8. RECENTLY ADOPTED ACCOUNTING PRONOUNCEMENTS

In December 2004, the FASB issued SFAS No. 123 (revised 2004), “Share-Based Payment” (“SFAS No. 123R”). This statement requires that the compensation cost relating to share-based payment transactions be recognized in the financial statements. Compensation cost is to be measured based on the estimated fair value of the equity-based compensation awards issued as of the grant date. The related compensation expense will be based on the estimated number of awards expected to vest and will be recognized over the requisite service period for each grant. The statement requires the use of assumptions and judgments about future events and input to valuation models, which will require considerable judgment by management. SFAS No. 123R replaces SFAS No. 123, rescinds SFAS No. 148 and supersedes APB Opinion No. 25. The provisions of SFAS No. 123R are required to be applied by public companies as of the first annual reporting period that begins after June 15, 2005. The Company continued applying APB Opinion No. 25 to equity-based compensation awards through March 31, 2005. At the effective date of SFAS No. 123R, the Company expects to use the modified prospective application transition method without restatement of prior periods in the year of adoption. This will result in the Company recognizing compensation cost based on the requirements of SFAS No. 123R for all equity-based compensation awards issued after January 1, 2006. For all equity-based compensation awards that are unvested as of January 1, 2006, compensation cost will be recognized. The Company is currently evaluating the impact that adoption of the SFAS No. 123R will have on its results of operations and financial position.

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ITEM 2 — MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

This Quarterly Report on Form 10-Q includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995 including, without limitation, statements containing the words “believes,” “anticipates,” “intends,” “expects,” “estimates,” “projects,” “may,” “plan,” “will,” “likely,” “could” and words of similar import. Such statements include statements concerning the Company’s Approved Plan (as defined in Note 2 to the interim condensed consolidated financial statements), other effects and consequences of the Bankruptcy Filing (as defined in Note 2 to the interim condensed consolidated financial statements), forecasts upon which the Approved Plan is based, business strategy, the ability to satisfy interest expense and principal repayment obligations, operations, cost savings initiatives, industry, economic performance, financial condition, liquidity and capital resources, adoption of, or changes in, accounting policies and practices, existing government regulations and changes in, or the failure to comply with, governmental regulations, legislative proposals for healthcare reform, the ability to enter into strategic alliances and arrangements with managed care providers on an acceptable basis, and changes in reimbursement policies. Such statements are not guarantees of future performance and are subject to various risks and uncertainties. The Company’s actual results may differ materially from the results discussed in such forward-looking statements because of a number of factors, including those identified in the “Risk Factors” section and elsewhere in this Quarterly Report on Form 10-Q. The forward-looking statements are made as of the date of this Quarterly Report on Form 10-Q and the Company does not undertake to update the forward-looking statements or to update the reasons that actual results could differ from those projected in the forward-looking statements.

Introduction

     American HomePatient, Inc. and its subsidiaries (collectively, the “Company”) provide home health care services and products consisting primarily of respiratory and infusion therapies and the rental and sale of home medical equipment and home health care supplies. These services and products are paid for primarily by Medicare, Medicaid and other third-party payors. As of March 31, 2005, the Company provided these services to patients primarily in the home through 274 centers in 35 states.

     American HomePatient, Inc. was incorporated in Delaware in September 1991. From its inception through 1997, the Company experienced substantial growth primarily as a result of its strategy of acquiring and operating home health care businesses. Beginning in 1998, the Company’s strategy shifted from acquiring new businesses to focusing more on internal growth, integrating its acquired operations and achieving operating efficiencies.

     On July 31, 2002, American HomePatient, Inc. and 24 of its subsidiaries filed voluntary petitions for relief to reorganize under Chapter 11 of the U.S. Bankruptcy Code (the “Bankruptcy Filing”) in the United States Bankruptcy Court for the Middle District of Tennessee (the “Bankruptcy Court”). On July 1, 2003, American HomePatient, Inc. emerged from bankruptcy pursuant to a “100% pay plan” (the “Approved Plan”) whereby the Company’s shareholders

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retained their equity interest and all of the Company’s creditors and vendors will be paid 100% of all amounts they are owed, either immediately or over time with interest. See “Management’s Discussion and Analysis of Financial Conditions and Results of Operations — Liquidity and Capital Resources.”

          American HomePatient, Inc.’s principal executive offices are located at 5200 Maryland Way, Suite 400, Brentwood, Tennessee 37027-5018, and its telephone number at that address is (615) 221-8884.

General

     The Company provides home health care services and products to patients through its 274 centers in 35 states. These services and products are primarily paid for by Medicare, Medicaid and other third-party payors. As a result, prices for the Company’s products and services are set by the payors and not by the Company. Since the Company cannot affect pricing, it can improve operating results primarily by increasing the number of units sold and rented and controlling expenses. It can improve cash flow by limiting the amount of time that it takes to collect payment after delivering products and services. Key indicators of performance include:

     Sales and Rentals. Operating in an industry with pre-set prices subject to reimbursement reductions makes it crucial to increas