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8-K/A - FORM 8-K/A - UNIVERSITY GENERAL HEALTH SYSTEM, INC.c22425e8vkza.htm
EX-99.1 - EXHIBIT 99.1 - UNIVERSITY GENERAL HEALTH SYSTEM, INC.c22425exv99w1.htm
EX-99.2 - EXHIBIT 99.2 - UNIVERSITY GENERAL HEALTH SYSTEM, INC.c22425exv99w2.htm
Exhibit 99.3
University General Health System, Inc.
Unaudited Pro Forma Condensed Consolidated Financial Statements
Effective June 30, 2011, University General Health System, Inc. (“UGHS” or the “Company”), through wholly-owned subsidiaries, completed the acquisitions of TrinityCare Senior Living, LLC (“TrinityCare LLC”) and three senior living communities: Trinity Oaks of Pearland, Texas, Trinity Shores of Port Lavaca, Texas, and Trinity Hills of Knoxville, Tennessee (the “TrinityCare Facilities”). TrinityCare LLC was the manager and minority of the TrinityCare Facilities. TrinityCare LLC and the TrinityCare Facilities are collectively referred to as “TrinityCare”. Pursuant to the Asset Acquisition Agreements and the Purchase and Sale Agreement, dated as of June 28, 2011, among the Company and the respective sellers, the Company acquired 51% of the ownership interests of TrinityCare LLC and acquired all the assets and certain named liabilities of the TrinityCare Facilities. TrinityCare LLC continues as the manager of the TrinityCare Facilities following the acquisition.
The TrinityCare Facilities consist of three senior living communities, located in Texas and Tennessee. TrinityCare LLC is a developer of senior living communities and provides management services to the TrinityCare Facilities as well as an assisted living community and two memory care greenhouses in Georgia. The Company acquired TrinityCare to further its integrated regional diversified healthcare network.
The total purchase consideration for TrinityCare was approximately $16.5 million, consisting of: 1) $1.4 million cash, which was accrued at June 30, 2011, and is payable on or before September 30, 2011; 2) approximately $2.8 million in seller subordinated promissory notes payable over two years; and 3) the issuance by UGHS of 12,895,895 shares (the “Stock Consideration”) of its Common Stock, par value $0.01 per share (the “UGHS Common Stock”), valued at approximately $12.3 million, provided, that (a) 9,978,090 of such shares were delivered to Sellers on the Closing Date and (b) 2,917,805 of such shares (the “Escrow Shares”) were deposited into an escrow account. The Escrow Shares will be released to Sellers on the date that is one (1) year following the Closing Date based on the Earnings Before Interest, Depreciation, Amortization and Management Fees (“EBITDAM”) (determined in good faith by UGHS) generated by the assets acquired for the twelve months ending June 30, 2012. The Sellers have all risks and rewards of ownership of the Escrow Shares while held in escrow, including voting rights. As of the acquisition date, the Company believed the issuance of the Escrow Shares was probable and therefore recorded the approximate $2.8 million fair value of the Escrow Shares as of the date of acquisition.
The Unaudited Pro Forma Consolidated Balance Sheet at June 30, 2011 combines the historical consolidated balance sheets of UGHS and TrinityCare, giving effect to the acquisition as if it had been consummated on June 30, 2011. The Unaudited Pro Forma Consolidated Statement of Income for the six months ended June 30, 2011 and for the year ended December 31, 2010 combines the historical consolidated statements of income of UGHS and TrinityCare, giving effect to the acquisition as if it had occurred on January 1, 2010. Certain reclassifications have been made to the historical financial statements of TrinityCare to conform to UGHS’s presentation. The unaudited pro forma consolidated financial statements should be read in conjunction with the:
   
Accompanying notes to the unaudited pro forma consolidated financial statements;
 
   
The Company’s separate historical unaudited consolidated financial statements and the related notes included in the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2011;
 
   
The Company’s separate historical audited consolidated financial statements and the related notes for the year ended December 31, 2010 included in the Current Report on Form 8-K/A (Amendment No. 1) dated June 14, 2011;
 
   
TrinityCare’s separate historical unaudited consolidated financial statements and related notes as of and for the six months ended June 30, 2011, included in this Current Report on Form 8-K as exhibit 99.2; and
 
   
TrinityCare’s separate historical audited consolidated financial statements and related notes as of and for the year ended December 31, 2010, included in this Current Report on Form 8-K as exhibit 99.1.

 

 


 

The unaudited pro forma consolidated financial statements have been prepared for informational purposes only. The historical financial information has been adjusted to give effect to pro forma events that are: (1) directly attributable to the acquisition and (2) factually supportable and reasonable under the circumstances. There are no events that are expected to have a continuing impact and therefore, no adjustments to the pro forma condensed combined statement of operations were made in that regard.
The unaudited pro forma adjustments represent management’s estimates based on information available at this time. The unaudited pro forma consolidated financial statements are not necessarily indicative of what the financial position or results of operations actually would have been had the acquisition been completed at the dates indicated. In addition, the unaudited pro forma consolidated financial statements do not purport to project the future financial position or operating results of the consolidated company. The unaudited pro forma consolidated financial statements do not give consideration to the impact of possible revenue enhancements, expense efficiencies, future underwriting decisions or changes in the book of business that may result from the acquisition.
The acquisition is being accounted for under the acquisition method of accounting in accordance with Accounting Standard Codification (“ASC”) 805, Business Combinations and uses the fair value concepts defined in ASC 820, Fair Value Measurement and Disclosures. The Company is considered the accounting acquirer. The acquisition method of accounting requires, among other things, that all assets acquired and liabilities assumed be recognized at their fair values as of the acquisition date. The initial accounting for the business combination is dependent upon certain valuations and other studies that have not progressed to a stage where there is sufficient information to make a definitive measure and allocation. Accordingly, the pro forma adjustments are preliminary and have been made solely for the purpose of providing unaudited pro forma consolidated financial statements. Material revisions to the Corporation’s current estimates could be necessary as the valuation process is finalized.

 

 


 

Unaudited Pro Forma Condensed Consolidated Balance Sheet
(In thousands)
                                 
    June 30, 2011  
    Historical     Pro Forma  
    UGHS     TrinityCare     Adjustments     Consolidated  
ASSETS
                               
CURRENT ASSETS
                               
Cash and cash equivalents
  $ 1,477     $ 198,526     $       $ 200,003  
Accounts receivable, net
    14,670,804       45,863               14,716,667  
Inventories
    1,994,793                     1,994,793  
Receivables from related parties
    621,860                     621,860  
Prepaid expenses and other assets
    31,595       426,280               457,875  
 
                       
Total current assets
    17,320,529       670,669               17,991,198  
 
                               
Investments in unconsolidated affiliates
    115,000                     115,000  
Property and equipment, net
    50,072,048       13,715,366               63,787,414  
Goodwill
                25,205,477 (b)     25,205,477  
Other assets
    392,912       342,756               735,668  
 
                       
Total assets
  $ 67,900,489     $ 14,728,791     $ 25,205,477     $ 107,834,757  
 
                       
 
                               
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT)
                               
CURRENT LIABILITIES
                               
Accounts payable
  $ 14,313,373     $ 637,009     $       $ 14,950,382  
Payables to related parties
    2,023,807                     2,023,807  
Accrued expenses
    7,730,516       197,647               7,928,163  
Accrued acquisition cost
                1,407,546 (a)     1,407,546  
Payable to Internal Revenue Service
    3,329,091                     3,329,091  
Deferred revenue
          267,575               267,575  
Lines of credit
    8,450,000       76,813               8,526,813  
Notes payable, current portion
    11,126,291       6,444,681               17,570,972  
Notes payable to related parties, current portion
    2,780,683             1,407,546 (a)     4,188,229  
Capital lease obligations, current portion
    7,849,141                     7,849,141  
Capital lease obligation to related party, current portion
    218,067                     218,067  
 
                       
Total current liabilities
    57,820,969       7,623,725       2,815,092       68,259,786  
 
                               
Lines of credit
                           
Notes payable, less current portion
    258,553       12,055,780               12,314,333  
Notes payable to related parties, less current portion
    2,144,062             1,407,543 (a)     3,551,605  
Capital lease obligations, less current portion
    439,840                     439,840  
Capital lease obligation to related party, less current portion
    30,925,148                     30,925,148  
 
                       
Total liabilities
    91,588,572       19,679,505       4,222,635       115,490,712  
 
                               
COMMITMENTS AND CONTINGENCIES
                               
 
                               
SHAREHOLDERS’ EQUITY (DEFICIT)
                               
Preferred stock
    3                     3  
Common stock
    253,000             12,896 (a)     265,896  
Additional paid in capital
    25,668,249             12,238,204       37,906,453  
Members’ capital
          5,423,237       (5,423,237 )(c)      
Shareholders’ receivables
    (2,130,000 )                   (2,130,000 )
Accumulated deficit
    (47,479,335 )     (8,887,922 )     8,887,922 (c)     (47,479,335 )
 
                       
Total shareholders’ equity (deficit)
    (23,688,083 )     (3,464,685 )     15,715,785       (11,436,983 )
 
                               
Noncontrolling interest
          (1,486,029 )     5,267,057 (d)     3,781,028  
 
                       
Total equity (deficit)
    (23,688,083 )     (4,950,714 )     21,216,015       (7,655,456 )
 
                       
Total liabilities and shareholders’ equity (deficit)
  $ 67,900,489     $ 14,728,791     $ 25,205,477     $ 107,834,757  
 
                       
The accompanying notes are an integral part of these pro forma condensed consolidated financial statements.

 

 


 

Unaudited Pro Forma Condensed Consolidated Statement of Operations
                                 
    Six Months Ended June 30, 2011  
    Historical     Pro Forma  
    UGHS     TrinityCare     Adjustments     Consolidated  
 
                               
REVENUES
                               
Net patient service revenue, net of contractual adjustments
  $ 33,952,453     $ 3,683,078     $       $ 37,635,531  
Other revenue
    8,953       245,180               254,133  
 
                       
Total revenues
    33,961,406       3,928,258               37,889,664  
 
                               
OPERATING EXPENSES
                               
Salaries, benefits, and other employee costs
    12,947,409       1,792,961               14,740,370  
Medical supplies
    6,263,841                     6,263,841  
Management fees
    2,693,382                     2,693,382  
General and administrative expenses
    7,656,234       1,213,939               8,870,173  
 
Bad debt expense
    625,150                     625,150  
Gain on extinguishment of liabilities
    (1,464,345 )                   (1,464,345 )
Depreciation and amortization
    3,520,116       299,767               3,819,883  
 
                       
Total operating expenses
    32,241,787       3,306,667               35,548,454  
 
                               
Operating income
    1,719,619       621,591               2,341,210  
Interest expense
    (2,225,123 )     (562,758 )     (84,453 )(e)     (2,872,334 )
 
                       
Income (loss) before income tax
    (505,504 )     58,833       (84,453 )     (531,124 )
State income tax expense (benefit)
    162,000                     162,000  
 
                       
Net income (loss)
    (667,504 )     58,833       (84,453 )     (693,124 )
 
                               
Net loss attributable to non-controlling interest
          70,936               70,936  
 
                       
Net income (loss) attributable to Company
  $ (667,504 )   $ 129,769     $ (84,453 )   $ (622,188 )
 
                       
 
                               
Net loss attributable to Company per common share — basic and diluted
                               
Net loss per common share
  $ (0.00 )                   $ (0.00 )
 
                       
 
                               
Weighted average shares outstanding
    214,080,503               12,895,895       226,976,398  
The accompanying notes are an integral part of these pro forma condensed consolidated financial statements.

 

 


 

Unaudited Pro Forma Condensed Consolidated Statement of Operations
                                 
    Year Ended December 31, 2010  
    Historical     Pro Forma  
    UGHS     TrinityCare     Adjustments     Consolidated  
 
                               
REVENUES
                               
Net patient service revenue, net of contractual adjustments
  $ 55,929,507     $ 7,030,385     $       $ 62,559,892  
Other revenue
    205,042       147,965               353,007  
 
                       
Total revenues
    56,134,549       7,178,350               63,312,899  
 
                               
OPERATING EXPENSES
                               
Salaries, benefits, and other employee costs
    19,902,304       3,297,297               23,199,601  
Medical supplies
    11,314,219                     11,314,219  
Management fees
    2,597,546                     2,597,546  
General and administrative expenses
    11,347,868       2,830,201               14,178,069  
Bad debt expense
    2,939,321       31,061               2,970,382  
Gain on extinguishment of liabilities
    (2,781,917 )                   (2,781,917 )
Depreciation and amortization
    6,952,007       588,032               7,540,039  
 
                       
Total operating expenses
    52,271,348       6,746,591               59,017,939  
 
                               
Operating income
    3,863,201       431,759               4,294,960  
Interest expense
    (4,782,168 )     (1,162,734 )     (168,906 )(e)     (6,113,808 )
 
                       
Loss before income tax
    (918,967 )     (730,975 )     (168,906 )     (1,818,848 )
State income tax expense (benefit)
    300,000                     300,000  
 
                       
Net loss
    (1,218,967 )     (730,975 )     (168,906 )     (2,118,848 )
 
                               
Net loss attributable to non-controlling interest
          (287,931 )             (287,931 )
 
                       
Net loss attributable to Company
  $ (1,218,967 )   $ (443,044 )   $ (168,906 )   $ (1,830,917 )
 
                       
 
                               
Net loss attributable to Company per common share — basic and diluted
                               
Net loss per common share
  $ (0.02 )                   $ (0.02 )
 
                       
 
                               
Weighted average shares outstanding
    91,422,464               12,895,895       104,318,359  
The accompanying notes are an integral part of these pro forma condensed consolidated financial statements.

 

 


 

NOTES TO UNAUDITED PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Note 1 — Basis of Presentation
The unaudited pro forma condensed consolidated financial statements included herein have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission. Certain information and certain footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles in the United States (“U.S. GAAP”) have been condensed or omitted pursuant to such rules and regulations; however, management believes that the disclosures are adequate to make the information presented not misleading.
The acquisition method of accounting under U.S. GAAP requires, among other things, that assets acquired and liabilities assumed be recognized at their fair values at the acquisition date. Fair value is defined under U.S. GAAP as “the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date.” Market participants are assumed to be buyers and sellers in the principal (or most advantageous) market for the asset or liability. Fair value measurements for an asset assume the highest and best use by these market participants. Fair value measurements can be highly subjective and it is possible that other professionals, applying reasonable judgment to the same facts and circumstances, could develop and support a range of alternative estimated amounts. Accordingly, the assets acquired and liabilities assumed were recorded at their respective fair values and added to those of University General Health System, Inc. (“UGHS” or the Company”)
Note 2 — TrinityCare Acquisition
For purposes of this pro forma analysis, assets acquired and liabilities assumed are recognized based on an estimate of their fair value as of the acquisition date. The estimated fair values were determined based on management’s best estimates at the time of this filing. The accounting for the TrinityCare acquisition will be adjusted upon completion of the Company’s valuation of the related assets and liabilities of the business. Any deferred taxes or deferred tax liabilities will be recognized upon the completion of these valuations, if applicable. The preliminary allocation of the approximate $16.5 million purchase price to assets and liabilities based upon fair value determinations was as follows (in thousands):
         
Current assets
  $ 671  
Property and equipment
    13,715  
Other noncurrent assets
    343  
Accounts payable and accrued expenses
    (834 )
Deferred revenue
    (268 )
Notes payable and line of credit
    (18,577 )
Goodwill
    25,205  
 
     
Total fair value of net assets acquired
    20,255  
Fair value of non-controlling interest
    (3,781 )
 
     
Purchase consideration
  $ 16,474  
 
     

 

 


 

Note 3 — Pro Forma Adjustments
The following reclassifications and pro forma adjustments have been made in the Unaudited Pro Forma Condensed Consolidated Balance Sheet. There were no balances and transactions between UGHS and TrinityCare at the dates and for the periods of these pro forma condensed consolidated financial statements.
     
(a)  
Represents purchase consideration consisting of: 1) $1.4 million cash, which was accrued at June 30, 2011, and is payable on or before September 30, 2011; 2) approximately $2.8 million in seller subordinated promissory notes payable over two years; and 3) the issuance by UGHS of 12,895,895 shares (the “Stock Consideration”) of its Common Stock, par value $0.01 per share (the “UGHS Common Stock”), valued at approximately $12.3 million, provided, that (a) 9,978,090 of such shares were delivered to Seller on the Closing Date and (b) 2,917,805 of such shares (the “Escrow Shares”) were deposited into an escrow account.
 
(b)  
To reflect the estimated amount of goodwill resulting from the excess of the purchase price over the fair value of net tangible and identifiable intangible assets acquired. UGHS acquired TrinityCare to further its integrated regional diversified healthcare network, which is among the factors that contributed to a purchase price for the TrinityCare acquisition that resulted in the recognition of goodwill.
 
(c)  
To reflect elimination of TrinityCare’s historical accumulated deficit and members’ equity.
 
(d)  
To reflect elimination of TrinityCare’s historical non-controlling interest of ($1,607,591) and to reflect the non-controlling interest of $3,781,028 resulting from the TrinityCare acquisition.
 
(e)  
To reflect increase in interest expense in connection with seller subordinated promissory notes issued to complete the TrinityCare acquisition.
Note 4 — Loss per Share
UGHS basic and diluted pro forma loss per share was calculated based on the unaudited pro forma consolidated net loss and the weighted average number of shares outstanding during the reporting periods. The consolidated entity’s financial statements are prepared as if the transaction had been completed at the beginning of the period. The net loss and shares used in computing the net loss per share for the year ended December 31, 2010 and the six months ended June 30, 2011 is based on UGHS’s historical weighted average common shares outstanding during the respective periods. The effect of the additional shares of UGHS common stock issued as part of the Company’s acquisition of TrinityCare has been included for purposes of presenting pro forma net loss per share.
Note 5 — UGHS Balance Sheet Reconciliation
On June 30, 2011, the Company completed its acquisition of TrinityCare. Also effective June 30, 2011, the Company acquired specialized health care billing, coding and other revenue cycle management companies, Autimis, LLC and Autimis Medical Billing, LLC, collectively “Autimis.” The Company’s unaudited condensed consolidated financial statements and the related notes included in the Company’s Quarterly Report on Form 10-Q for the period ended June 30, 2011 included the acquisitions of TrinityCare and Autimis, as the Company has included the financial results of TrinityCare and Autimis in its consolidated financial statements beginning June 30,2 011. The following table presents the balance sheet as of June 30, 2011 for the Company just prior to the June 30, 2011 acquisitions and the fair value of the assets acquired and liabilities assumed in connection with the acquisitions of both TrinityCare and Autimis and purchase consideration related to these acquisitions.

 

 


 

                         
    June 30, 2011  
                    Consolidated  
    UGHS     Acquired entities     UGHS  
 
                       
ASSETS
                       
CURRENT ASSETS
                       
Cash and cash equivalents
  $ 1,477     $ 198,526     $ 200,003  
Accounts receivable, net
    14,670,804       589,907       15,260,711  
Inventories
    1,994,793             1,994,793  
Receivables from related parties
    621,860             621,860  
Prepaid expenses and other assets
    31,595       426,280       457,875  
 
                 
Total current assets
    17,320,529       1,214,713       18,535,242  
 
                       
Investments in unconsolidated affiliates
    115,000             115,000  
Property and equipment, net
    50,072,048       13,789,577       63,861,625  
Goodwill
          33,365,278       33,365,278  
Other assets
    392,912       515,363       908,275  
 
                 
Total assets
  $ 67,900,489     $ 48,884,931     $ 116,785,420  
 
                 
 
                       
LIABILITIES AND SHAREHOLDERS’ EQUITY (DEFICIT)
                       
CURRENT LIABILITIES
                       
Accounts payable
  $ 14,313,373     $ 864,235     $ 15,177,608  
Payables to related parties
    2,023,807             2,023,807  
Accrued expenses
    7,730,516       412,001       8,142,517  
Accrued acquisition cost
          1,407,546       1,407,546  
Payable to Internal Revenue Service
    3,329,091             3,329,091  
Deferred revenue
          267,575       267,575  
Lines of credit
    8,450,000             8,450,000  
Notes payable, current portion
    11,126,291       7,743,824       18,870,115  
Notes payable to related parties, current portion
    2,780,683             2,780,683  
Capital lease obligations, current portion
    7,849,141             7,849,141  
Capital lease obligation to related party, current portion
    218,067             218,067  
 
                 
Total current liabilities
    57,820,969       10,695,181       68,516,150  
 
                       
Lines of credit
                 
Notes payable, less current portion
    258,553       13,877,621       14,136,174  
Notes payable to related parties, less current portion
    2,144,062             2,144,062  
Capital lease obligations, less current portion
    439,840             439,840  
Capital lease obligation to related party, less current portion
    30,925,148             30,925,148  
 
                 
Total liabilities
    91,588,572       24,572,802       116,161,374  
 
                       
COMMITMENTS AND CONTINGENCIES
                 
 
                       
SHAREHOLDERS’ EQUITY (DEFICIT)
                       
Preferred stock
    3             3  
Common stock
    253,000       21,896       274,896  
Additional paid in capital
    25,668,249       20,509,205       46,177,454  
Shareholders’ receivables
    (2,130,000 )           (2,130,000 )
Accumulated deficit
    (47,479,335 )           (47,479,335 )
 
                 
Total shareholders’ equity (deficit)
    (23,688,083 )     20,531,101       (3,156,982 )
 
                       
Noncontrolling interest
          3,781,028       3,781,028  
 
                 
Total equity (deficit)
    (23,688,083 )     24,312,129       624,046  
 
                 
Total liabilities and shareholders’ equity (deficit)
  $ 67,900,489     $ 48,884,931     $ 116,785,420