As filed with the Securities and Exchange Commission on July 18, 1996
                                                Registration No. 333-___________

                       SECURITIES AND EXCHANGE COMMISSION
                              WASHINGTON, DC 20549
                         ------------------------------
                                    FORM S-1
                             Registration Statement
                        Under the Securities Act of 1933
                         ------------------------------
                                 AMEDISYS, INC.
             (Exact name of Registrant as specified in its charter)


         DELAWARE                       8082                    11-3131700
(State or other jurisdiction      (Primary Standard          (I.R.S. Employer
    of incorporation or       Industrial Classification   Identification Number)
       organization)                 Code Number)

3029 S. SHERWOOD FOREST BLVD.                        WILLIAM F. BORNE,
        SUITE 300                                CHIEF EXECUTIVE OFFICER
BATON ROUGE, LOUISIANA  70816                         AMEDISYS, INC.
       (504)292-2031                           3029 S. SHERWOOD FOREST BLVD.
(Address, including zip code, and                         SUITE 300
   telephone number, including                 BATON ROUGE, LOUISIANA  70816
   area code, of registrant's                           (504)292-2031
  principal executive offices)              (Name, address, including zip codes,
                                              and telephone number, including
                                              area code, of agent for service)

                                    COPY TO:
                               THOMAS C. PRITCHARD
                            BREWER & PRITCHARD, P.C.
                             1111 BAGBY, SUITE 2450
                              HOUSTON, TEXAS 77002
                              PHONE (713) 659-1744

                          ----------------------------

         APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: As
soon as practicable after this Registration Statement becomes effective.

                  If any of the securities being registered on this Form are to
be offered on a delayed or continuous basis pursuant to Rule 415 under the
Securities Act of 1933, check the following box. [X]

                          ----------------------------
As filed with the Securities and Exchange Commission on November 2, 1998 Registration No. 333-____ ==================================================================================================================================== SECURITIES AND EXCHANGE COMMISSION WASHINGTON, DC 20549 ____________________________________ FORM S-1 Registration Statement Under the Securities Act of 1933 ______________________________ AMEDISYS, INC. (Exact name of Registrant as specified in its charter) DELAWARE 8082 11-3131700 (State or other jurisdiction (Primary Standard (I.R.S. Employer of incorporation or Industrial Classification Identification Number) organization) Code Number) 3029 S. SHERWOOD FOREST BLVD. WILLIAM F. BORNE, SUITE 300 CHIEF EXECUTIVE OFFICER BATON ROUGE, LOUISIANA 70816 AMEDISYS, INC. (504)292-2031 3029 S. SHERWOOD FOREST BLVD. (Address, including zip code, and SUITE 300 telephone number, including BATON ROUGE, LOUISIANA 70816 area code, of registrant's (504)292-2031 principal executive offices) (Name, address, including zip code, and telephone number, including area code, of agent for service) Copy To: THOMAS C. PRITCHARD BREWER & PRITCHARD, P.C. 1111 BAGBY, SUITE 2450 HOUSTON, TEXAS 77002 PHONE (713) 209-2950 ____________________________ APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC: As soon as practicable after this registration statement becomes effective. If any of the securities being registered on this form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933. [_] If this form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, check the following box and list the Securities Act registration statement number of earlier effective registration statement for the same offering. [_] If this form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act number of the earlier effective registration statement for the same offering. [_] If this form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration number of the earlier effective registration statement for the same offering. [_] If the delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following box. [ ] CALCULATION OF REGISTRATION FEE
========================================================================================================================= Proposed Proposed Title of Each Class of Amount Maximum Maximum Amount of Securities To Be Being Offering Price Aggregate Registration Registered Registered Per Share(1) Offering Price(1) Fee - -------------------------------------------------------------------------------------------------------------------------==================================================================================================================================== TITLE OF EACH CLASS OF AMOUNT PROPOSED PROPOSED SECURITIES TO BE BEING MAXIMUM MAXIMUM AMOUNT OF REGISTERED REGISTERED/(1)/ OFFERING PRICE AGGREGATE REGISTRATION FEE ---------- --------------- -------------- ---------- ---------------- CommonResale of Shares Underlying Preferred Stock 595,909 $7.00 $4,171,363 $1,438.401,678,855 $1.75 $2,937,996 $817 Resale of Shares Underlying Warrants 117,520 $1.75 $ 205,660 $ 57 TOTAL $1,438.40 =========================================================================================================================
(1) Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c), based on the average of the high and low prices for the Common Stock, as reported by Nasdaq on July 15, 1996, or $7.00 per share. ---------------------------- THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF THE SECURITIES ACT OF 1933 OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME EFFECTIVE ON SUCH DATE AS THE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A)1,796,375 $1.75 $3,143,656 $874 ==================================================================================================================================== _______________ (1) Pursuant to Rule 416(a), this registration statement also covers an indeterminate number of shares of common stock issuable pursuant to adjustment provisions of the preferred stock designation and the warrant agreement. (2) Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(c), based on the average of the high and low sale prices for the common stock, as reported by the OTC Bulletin Board on October 30, 1998, or $1.75 per share. ____________________________ THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(a) OF THE SECURITIES ACT OF 1933 OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME EFFECTIVE ON SUCH DATE AS THE SEC, ACTING PURSUANT TO SAID SECTION 8(a), MAY DETERMINE. i AMEDISYS, INC. Cross-Reference Sheet Pursuant to Rule 404(a) of Regulation C and Item 501(b) of Regulation S-K under the Securities Act of 1933 S-1 Item Number and Caption Heading In Prospectus -------------------------------------------------
S-1 ITEM NUMBER AND CAPTION HEADING IN PROSPECTUS --------------------------- --------------------- 1. Forepart of Registration Statement and Outside Front Cover Page of Prospectus.............................................................Prospectus................................ Forepart of the Registration Statement and Outside Front Cover Page of Prospectus 2. Inside Front and Outside Back Cover Pages of Prospectus..............................................Prospectus................. Inside Front and Outside Back Cover Pages of Prospectus 3. Summary Information, Risk Factors and Ratio of Earnings to Fixed Charges.......................................................Charges.......................... Prospectus Summary; Risk Factors 4. Use of Proceeds........................................................ Use of ProceedsProceeds........................... * 5. Determination of Offering Price........................................Price........... * 6. Dilution...............................................................Dilution.................................. * 7. Selling Security Holders...............................................Holders.................. Plan of Distribution and Selling Stockholders 8. Plan of Distribution...................................................Distribution...................... Outside Front Cover of Prospectus; Plan of Distribution and Selling Stockholders 9. Description of Securities to be Registered.............................................................Registered................................ Price Range of Common Stock and Dividend Policy; Description of Securities 10. Interests of Named Experts and Counsel................................................................Counsel................................... * 11. Information with Respect to the Registrant.........................................................Registrant............................ Business; Management; Description of Securities; Principal Stockholders; Price Range of Common Stock and Dividend Policy; Selected Financial Data; Capitalization; Management's Discussion and Analysis of Financial Condition and Results of Operation 12. Disclosure of Commission Position on Indemnification for Securities Act Liabilities.........................................Liabilities............ * - -----------------------_______________________
(*) Not applicable. ii ****************************************************************************** * * *THE INFORMATION CONTAINED HEREININ THIS PROSPECTUS IS SUBJECT TO COMPLETION OR AMENDMENT. A * *NOT COMPLETE AND MAY BE CHANGED. WE MAY NOT SELL THESE SECURITIES UNTIL THE REGISTRATION STATEMENT RELATING TO THESE SECURITIES HAS BEEN FILED * * WITH THE SECURITIES AND EXCHANGE COMMISSION. THESE SECURITIES MAY NOT * * BE SOLD NOR MAY OFFERS TO BUY BE ACCEPTED PRIOR TO THE TIME THE * * REGISTRATION STATEMENT BECOMESSEC IS EFFECTIVE. THIS PROSPECTUS SHALLIS NOT * * CONSTITUTE AN OFFER TO SELL OR THE SOLICITATION OFTHESE SECURITIES AND WE ARE NOT SOLICITING AN OFFER TO BUY NOR * * SHALL THERE BE ANY SALE OF THESE SECURITIES IN ANY STATE IN WHICH SUCH * *WHERE THE OFFER SOLICITATION OR SALE WOULD BE UNLAWFUL PRIOR TO REGISTRATION OR * * QUALIFICATION UNDER THE SECURITIES LAWS OF ANY SUCH STATE. * * * ****************************************************************************** SUBJECT TO COMPLETION, DATED JULY 18, 1996IS NOT PERMITTED. AMEDISYS, INC. 595,909RESALE OF 1,796,375 SHARES OfOF COMMON STOCK ================================================================================ This prospectus relates to the 595,909resale of 1,796,375 shares of common stock, par value $.001 per share ("Common Stock"), offered hereby, 150,000 shares are being offered by AMEDISYS,of Amedisys, Inc., a Delaware corporation, ("Company"), and 445,909 shares are beingwhich shall be offered for resale by the Selling Stockholders. Of the shares to be resold, 321,759 shares are issued and outstanding; 74,000 shares may be acquired upon exercise of outstanding warrants ("Warrants"); and 50,150 shares may be acquired upon exercise of outstanding options ("Options"). See "Description of Securities" and "Plan of Distribution and Selling Stockholders." The Company will use the proceeds from the sale of the shares offered by it for working capital and general corporate purposes. The Company will not receive any of the proceeds from the resale of the shares of Common Stock by the Selling Stockholders. The Selling Stockholders may sell the Common Stock through broker-dealers, through agents or directly to one or more purchasers. The distribution of the Common Stock may be effected from time to time in one or more transactionsby certain stockholders of the company. These shares relate to the company's private placement of its series A convertible preferred stock. The 750,000 shares of preferred stock sold in the over-the-counter market or in transactions otherwise thanprivate placement are currently convertible into 1,678,855 shares of common stock. In addition, the placement agent in the over-the-counter market. Anyprivate placement received warrants to purchase 52,500 shares of such transactions may be effected at market prices prevailing atpreferred stock which are currently convertible into 117,520 shares of common stock. Upon issuance, the time1,796,375 shares of sale, at prices related to such prevailing market prices, at negotiated prices or at fixed prices. Any Selling Stockholder may effect such transactions by sellingcommon stock underlying the Common Stock to or through broker-dealers, and such broker-dealers may receive compensation in the form of discounts, concessions or commissions from the Selling Stockholders and/or commissions from purchaserspreferred stock will represent 36% of the Common Stock for whom they may act as agent (which discounts, concessions or commissions will not exceed those customary in the typescompany's outstanding common stock. ================================================================================ The shares of transactions involved). The Selling Stockholders and any broker-dealer or agents that participate in the distribution of the Common Stock might be deemed to be underwriters, and any profitcommon stock are quoted on the sale of the Common Stock by them and any discounts, commissions or concessions received by any such broker-dealer or agents might be deemed to be underwriting discounts and commissionsOTC Bulletin Board under the Securities Act of 1933, as amended (the "Act"). The Company has not agreed to indemnify any ofsymbol AMED. On October 30, 1998, the Selling Stockholders against any liabilities under the Act. See "Plan of Distribution and Selling Stockholders." The Company has agreed to bear all expenses (other than selling discounts, concessions or commissions and certain other fees and expenses of counsel and other advisers to the Selling Stockholders) in connection with the registration and sale of the Common Stock being offered by the Selling Stockholders. The Common Stock being offered hereby by the Selling Stockholders has not been registered for sale under the securities laws of any state or jurisdiction as of the date of this Prospectus. Brokers or dealers effecting transactions in the Common Stock should confirm the registration thereof under the securities law of the state in which such transactions occur, or the existence of any exemption from registration. A current prospectus must be in effect at the time of the sale of the shares of Common Stock to which this Prospectus relates. Each Selling Stockholder or dealer effecting a transaction in the registered securities, whether or not participating in a distribution, is required to deliver a current prospectus upon such sale. The shares to be issued by the Company will be offered on a "best-efforts, no-minimum" basis. The Common Stock is traded on The Nasdaq SmallCap Market under the trading symbol "AMED." On July 15, 1996, the last reported sales price of the Common Stock as quoted by Nasdaqcommon stock was $7.00$1.75 per share. ------------------------------ AN______________________________ THIS INVESTMENT IN THE SECURITIES OFFERED HEREBY INVOLVES A HIGH DEGREE OF RISK. SEE "RISK"RISKS FACTORS" ON PAGE 5. ------------------------------ THESE SECURITIES HAVE NOT BEEN APPROVED OR DISAPPROVED BY9. ______________________________ NEITHER THE SECURITIES AND EXCHANGE COMMISSION ORSEC NOR ANY STATE SECURITIES COMMISSION NOR HAS THEAPPROVED OR DISAPPROVED OF THESE SECURITIES AND EXCHANGE COMMISSION OR ANY STATE SECURITIES COMMISSION PASSED UPON THE ADEQUACY OR ACCURACY OR ADEQUACY OF THISTHE PROSPECTUS. ANY REPRESENTATION TO THE CONTRARY IS A CRIMINAL OFFENSE. ------------------- The date of this Prospectus is _____ ___, 1996 1 NO DEALER, SALESMANTHE INFORMATION IN THIS PROSPECTUS IS NOT COMPLETE AND MAY BE CHANGED. WE MAY NOT SELL THESE SECURITIES UNTIL THE REGISTRATION STATEMENT FILED WITH THE SEC IS EFFECTIVE. THIS PROSPECTUS IS NOT AN OFFER TO SELL THESE SECURITIES AND IT IS NOT SOLICITING AN OFFER TO BUY THESE SECURITIES IN ANY STATE WHERE THE OFFER OR ANY OTHER PERSON HAS BEENSALE IS NOT PERMITTED. WE HAVE NOT AUTHORIZED ANYONE TO GIVE ANY INFORMATION OR TO MAKE ANY REPRESENTATIONSREPRESENTATION ABOUT THE COMPANY THAT DIFFERS FROM, OR ADDS TO, THE INFORMATION IN CONNECTIONTHIS PROSPECTUS OR IN OUR DOCUMENTS THAT ARE FILED WITH THE OFFERING DESCRIBED HEREIN, OTHER THAN THOSE CONTAINEDSEC. ACCORDINGLY, IF ANYONE DOES GIVE YOU DIFFERENT OR ADDITIONAL INFORMATION YOU SHOULD NOT RELY ON IT. IF YOU ARE IN THIS PROSPECTUS. IF GIVEN OR MADE, SUCH OTHER INFORMATION OR REPRESENTATIONS MUST NOT BE RELIED UPON AS HAVING BEEN AUTHORIZEDA JURISDICTION WHERE IT IS UNLAWFUL TO BUY THE SECURITIES OFFERED BY THE COMPANY OR BY ANY UNDERWRITER. THIS PROSPECTUS, DOES NOT CONSTITUTE AN OFFER TO SELL, OR IF YOU ARE A SOLICITATION OF AN OFFER TO BUY ANY SECURITIES OFFERED HEREBY IN ANY JURISDICTION TO ANY PERSON TO WHOM IT IS UNLAWFUL TO MAKEDIRECT SUCH ANACTIVITIES, THEN THE OFFER OR SOLICITATIONPRESENTED BY THE PROSPECTUS DOES NOT EXTEND TO YOU. THE INFORMATION IN SUCH JURISDICTION. THE DELIVERY OF THIS PROSPECTUS AT ANY TIME DOES NOT IMPLY THATSPEAKS ONLY AS OF ITS DATE, UNLESS THE INFORMATION HEREIN IS CORRECT AS OF ANY TIME SUBSEQUENT TO ITS DATE.SPECIFICALLY INDICATES THAT ANOTHER DATE APPLIES. ___________________ The date of this prospectus is November 2, 1998 TABLE OF CONTENTS
SECTION PAGE SECTION PAGE - ------- ---- ------- ---- Available Information................................Prospectus Summary............................................................... 2 Business...................................... 17 Prospectus Summary................................... 3 Management.................................... 28The Company...................................................................... 2 Risk Factors......................................... 5 Principal Stockholders........................ 32Factors..................................................................... 9 Disclosure Regarding Forward Looking Statements............................. 9 Continuing Operating Losses................................................. 9 Capital Requirements; Limited Sources of Liquidity; Need for Additional Capital; Continuing Default on Lines of Credit......................... 9 Increased Working Capital Needs and Risks of Collection Relating to Fee-for-Service Reimbursement Programs................................. 10 Classification of Physicians and Nurses as Independent Contractors; Potential State and Federal Tax Liability.............................. 11 Risks Related to the Company's Acquisition Strategy......................... 11 Risks Related to Acquisition Financing...................................... 11 Dependence on Management.................................................... 12 Corporate Exposure to Professional Liabilities.............................. 12 Possible Insufficiency of Liability Coverage................................ 12 Potential Restructuring of Healthcare Delivery System through Healthcare Reform Proposals.................................... 12 Risks Related to Long-Lived Assets.......................................... 12 Changes in Health Care Regulations and Technology........................... 13 Reimbursement by Third Party Payors......................................... 13 Competition................................................................. 13 Relationship with Other Organizations....................................... 13 Federal and State Regulation................................................ 13 Dividends Not Likely........................................................ 13 Future Sales of Common Stock................................................ 13 Possible Adverse Effect of Future Issuances of Preferred Stock.............. 14 Status of Persons Reselling Common Stock.................................... 14 Penny Stock Regulation...................................................... 14 Ratio of Earnings to Fixed Charges............................................... 14 Use of Proceeds...................................... 10Proceeds.................................................................. 14 Determination of Offering Price.................................................. 15 Dilution......................................................................... 15 Selling Stockholders............................................................. 15 Plan of Distribution............................................................. 16 Description of Securities..................... 33 Price RangeSecurities to be Registered....................................... 16 Interest of Common StockNamed Experts and Plan of Distribution and Selling Stockholders. 35 Dividend Policy................................... 10 Legal Matters ................................ 38 Capitalization....................................... 11 Experts....................................... 38 Selected Financial Data.............................. 12 IndexCounsel............................................ 17 Information with Respect to Financial Statements.................F-1 Management's Discussion and Analysis of Financial Condition and Results of Operations..................................... 13the Registrant....................................... 17
EACH SELLING STOCKHOLDER SUMMARY INFORMATION, RISK FACTORS AND ALL DEALERS EFFECTING TRANSACTIONS IN THE REGISTERED SECURITIES, WHETHER OR NOT PARTICIPATING IN THIS DISTRIBUTION, ARE REQUIREDRATIO OF EARNINGS TO DELIVER A PROSPECTUS. THIS IS IN ADDITION TO THE OBLIGATION OF DEALERS TO DELIVER A PROSPECTUS WHEN ACTING AS UNDERWRITER AND WITH RESPECT TO THEIR UNSOLD ALLOTMENTS OR SUBSCRIPTIONS. ---------------- AVAILABLE INFORMATION The Company is subject to the informational requirements of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), and, in accordance therewith, files reports, proxy statements and other information with the Securities and Exchange Commission (the "SEC"). Such reports, proxy statements and other information are available for inspection and copying at the Public Reference Room of the SEC, 450 Fifth Street, N.W., Judiciary Plaza, Washington, D.C. 20549; and at the Regional Offices of the SEC located at 500 West Madison Street, Suite 1400, Chicago, Illinois 60661; and at 7 World Trade Center, New York, New York 10048. Copies of such material may be obtained from the Public Reference Section of the SEC at 450 Fifth Street, N.W., Washington, D.C. 20549, at prescribed rates. The Company has filed with the SEC in Washington, D.C. a Registration Statement on Form S-1 (the "Registration Statement") under the Act with respect to the securities offered by this Prospectus. Certain of the information contained in the Registration Statement is omitted from this Prospectus, and reference is hereby made to the Registration Statement and exhibits and schedules relating thereto for further information with respect to the Company and the securities offered by this Prospectus. Statements contained herein concerning the provisions of any document are not necessarily complete and in each instance reference is made to the copy of the document filed as an exhibit or schedule to the Registration Statement. Each such statement is qualified in its entirety by this reference. The Registration Statement and the exhibits and schedules thereto are available for inspection at, and copies of such materials may be obtained upon payment of the fees prescribed therefor by the rules and regulations of the SEC, from the SEC, Public Reference Section, Judiciary Plaza, 450 Fifth Street, N.W., Washington, D.C. 20549. 2FIXED CHARGES PROSPECTUS SUMMARY THE FOLLOWING SUMMARY SHOULD BE READ IN CONJUNCTION WITH, AND IS QUALIFIED IN ITS ENTIRETY BY, THE MORE DETAILED INFORMATION AND FINANCIAL DATA APPEARING ELSEWHERE IN THIS PROSPECTUS.This summary highlights some information in this prospectus. THE COMPANY AMEDISYS, INC.GENERAL Amedisys, Inc., a Delaware corporation, ("Company"), is a fully integrated provider of alternative siteoutpatient health careservices and physicianoperates in two basic industry segments: alternate-site provider services and management services.services operations. The Company providescompany's alternate-site provider segment includes the following services: alternate-site infusion therapy, ambulatory surgery centers and home health care. Its management services operations encompasses home health care and supplemental staffing nurses andmanagement. The company operates outpatient surgical centers. The Company maintains 28 home health care and supplemental staffing37 offices in eight states, and operates two outpatient surgery centers in Texas and is developingwithin a surgery center in Louisiana. The Company also manages home health agencies, physician practices and rural health clinics and is the network manager of the Home Care Alliance of Louisiana. The Company was incorporated as M&N Capital Corp. ("M&N") in October 1992 under the laws of the state of New York. Analytical Nursing Management Corp., a Louisiana corporation, was formed in December 1992 ("ANMC"). In December 1993, M&N acquired all of the issued and outstanding shares of common stock of ANMC. In June 1994, M&N reincorporatedwholly owned subsidiaries in the state of Delaware under the name of Analytical Nursing Management Corp.,South and in August 1995, the Company changed its name to AMEDISYS, INC.Southeastern United States. The Companycompany operates through the following subsidiaries: AMEDISYS Staffing Services, Inc. ("AME"); AMEDISYS Nursing Services, Inc. ("ASI"); and AMEDISYS(1) its wholly-owned subsidiaries Amedisys Specialized Medical Services, Inc. ("ASM"), all of which are wholly-owned Louisiana corporations; AMEDISYSAmedisys Surgery Centers, L.C. ("ASC"); Alliance Home Health, Inc., a wholly-owned Texas limited liability company; AMEDISYSAmedisys Management Services Organization, Inc.; Amedisys Alternate-Site Infusion Therapy Services, Inc., Amedisys Durable Medical Equipment, Inc.; (2) its 60%-owned subsidiary Amedisys Physician Services, Inc., a Louisiana corporation 60% owned by the company ("APS"); and FutureCare(3) the wholly-owned and partially-owned subsidiaries of Amedisys Specialized Medical Services, Inc., a Nevada corporation 55% owned by the Company. Subsidiaries of the Company's subsidiaries include:Amedisys Surgery Centers, L.C. and Amedisys Alternate-Site Infusion Therapy Services, Inc., being MedAmerica, Inc. of Texas a Texas corporation 80% owned by AME; MedAMErica,and MedAmerica, Inc., a Louisiana corporationeach an 80% owned by AME; AMEDISYS-owned subsidiary of Amedisys Specialized Medical Services, Inc., Quality Home Health Care, Inc., a Louisiana corporation wholly owned by ASM; AMEDISYSAmedisys Home Health Inc. of Texas a Texas corporation wholly owned by ASM; Jackson Ruraland Home Health Clinic, Inc. a Lousiana corporation 60% owned by AMS; Kentwood Rural Health Clinic,of Alexandria, Inc., a Louisiana corporation 60% owned by ASM; and Bastrop Rural Health Clinic,each wholly-owned subsidiaries of Amedisys Specialized Medical Services, Inc., Hammond Surgical Care Center, L.C., a Lousiana corporation 60%56% owned by ASM.subsidiary of Amedisys Surgery Centers, L.C. and Infusion Care Solutions, Inc. and PRN, Inc., each wholly-owned subsidiaries of Amedisys Alternate-Site Infusion Therapy Services, Inc. References to the Companycompany include references to its subsidiaries. The Company'scompany's principal executive offices are located at 3029 South Sherwood Forest Boulevard, Third Floor, Baton Rouge, Louisiana 70816, and its telephone number is (504) 292-2031. THE OFFERING Common Stock OfferedRECENT DEVELOPMENTS Letter of Intent On June 2, 1998, the Company signed a non-binding letter of intent to purchase a portion of Columbia/HCA homecare operations subject to satisfactory completion of due diligence and approval by the Company 150,000 shares Common Stock OfferedBoard of Directors of both companies. The homecare operations covered by the Selling Stockholders 445,909 shares Common Stock Outstanding........... 2,583,864 shares(1) Risk Factors....................... An investmentletter of intent are located in the securities offered hereby involves states of Alabama, Georgia, Louisiana, North Carolina, Oklahoma, and Tennessee and may include up to 116 offices and 50 Medicare provider numbers. The Company is currently conducting due diligence and negotiating with investment banks to obtain financing for the purchase of these operations. Acquisitions In August 1997, the company acquired substantially all of the assets of Allgood Medical Services, Inc. d/b/a high degreeCare Medical and Mobility Equipment Company, a home medical equipment company, for $1,165,000. The purchase price consisted of risk. Prospective investors should review carefully the information set forth under "Risk Factors." Use$465,000 in cash, a two year $100,000 note bearing interest at a rate of Proceeds.................... Working capital8% per annum, and general corporate purposes. Nasdaq Symbol...................... AMED - --------------------- (1) Does not include (i) 103,721115,518 shares of Common Stock underlying outstanding warrants ("Warrants")company common stock having a value of $600,000. This transaction has been accounted for as a purchase and the excess of the total acquisition cost over the fair value of net assets acquired (goodwill) of $852,000 is being amortized over 20 years using the straight-line method. Subsequent to this purchase, certain reimbursement reductions were announced to implement the Balanced Budget Act of 1997. Based on management's estimate of the expected impact of these changes in reimbursement on future cash flows, this goodwill was fully written off as other general and administrative expenses at December 31, 1997 as required under SFAS No. 121. On January 1, 1998, the company acquired all of the stock of Alliance Home Health, Inc., a home health care business with locations throughout Oklahoma, in exchange for $300,000 and (ii) 50,150194,286 shares of Common Stock underlyingcommon stock. The amount of consideration was negotiated through an arm's length transaction. Of the 194,286 shares of company common stock issued to the former owners of Alliance Home Health, Inc., 122,857 shares were placed in escrow as 2 consideration for certain contingent liabilities which may be asserted against the former stockholder of Alliance Home Health, Inc. to the extent such claims exceed $500,000 (singularly and/or in aggregate). The contingent liabilities include any material misstatement or omission in any representation or breach of any warranty, covenant or agreement of Alliance Home Health, Inc. or its stockholder, any Medicare liabilities, any liability from lawsuits or arbitration, any payment to be made by Alliance Home Health, Inc. pursuant to a previous acquisition, or any liability addressed in the purchase document. The escrow period expires December 31, 2003. The majority stockholder of Alliance Home Health, Inc. entered into a three year employment agreement and two year non-compete and non-solicitation agreement with the company. The employment agreement is for the position of vice president with duties incident to such positions with the company. The non-compete and non-solicitation agreement is for a period of two years after the termination of the employment agreement. The non-compete and non-solicitation agreement provides that the employee will not divert any business from the company or compete in the business area defined as the State of Oklahoma. This restricted activity is in relation to home health agencies or infusion-related business. Additionally, the non-compete and non- solicitation agreement provides that the employee will not solicit employees or clients from the company. This employee resigned in March 1998. The company does not expect any material ramifications as a result of this action. The acquisition of Alliance Home Health, Inc. was deemed "significant." Accordingly, separate historical and pro forma financial statements were filed with the SEC in a Current Report on Form 8-K, July 23, 1998. In February 1998, the company acquired all of the issued and outstanding options ("Options"). See "Descriptioncapital stock of Securities -- Warrants" and "Management -- Stock Options." 3 SUMMARY FINANCIAL INFORMATION (In thousands, except per share data)
THREE MONTHS YEAR ENDED ENDED MARCH 31, DECEMBER 31, 1996 1995 1995 1994 1993 ---- ---- ---- ---- ---- STATEMENTS OF INCOME DATA: Service Revenue.................. $10,116 $8,604 $37,589 $28,902 22,445 Gross Margin..................... 4,499 3,427 15,165 11,906 7,771 Operating income................. 360 518 1,380 2,166 567 Income before income tax......... 317 463 1,130 1,933 534 Net income....................... 194 368 942 1,905 495 Net income per share............. 0.08 0.14(1) 0.37(1) 0.75(1) 0.22(1) Weighted average 2,570 2,525 2,570 2,525 2,285 shares outstanding.............
MARCH DECEMBER BALANCE SHEET DATA: 31, 1996 31, 1995 -------- -------- Working capital.................. $ 1,598 $ 1,878 Total assets..................... 12,886 11,537 Long-term liabilities............ 1,651 1,490 Stockholders' equity............. 4,473 4,274 - ------------------------- (1) The Company acquired Surgical Care Centers of Texas, L.C.PRN, Inc., a home infusion pharmacy business located in San Antonio, Texas, limited liabilityin exchange for $430,000 and the assumption of $71,000 in debt. The company ("ASC"), onhas agreed to pay additional consideration of up to $150,000 upon PRN, Inc. reaching certain revenue goals. This additional consideration is to be paid quarterly, bearing interest at 9% in proportion to target net revenue of $625,000 annually. The assets of PRN, Inc. at fiscal year end, June 30, 19951997, were $219,526. Net revenues for the same period were $560,695 with pre-tax income of $15,783. The company has retained the right to offset certain indemnifiable liabilities against the additional consideration. The two majority stockholders of PRN, Inc. entered into two year non-competition and non- solicitation agreements with the company. The acquisition of PRN, Inc. was not deemed to be "significant." Accordingly, the financial statements of PRN, Inc. will be consolidated with the company's financial statements and separate financial statements in a transactionCurrent Report on Form 8-K will not be filed with the SEC. In February 1998, the company acquired all of the issued and outstanding capital stock of Infusion Care Solutions, Inc., a home health care and infusion business, based in Baton Rouge, Louisiana, in exchange for aggregate consideration of $500,000, of which $375,000 was payable in cash at closing and $125,000 was payable pursuant to a two year promissory note bearing interest at a rate of prime plus 1% per annum. Infusion Care Solutions, Inc. had assets of $251,996 at fiscal year end, December 31, 1997. Net revenues were $352,788 and pre-tax income was $13,848 for the same period. The company has retained the right to offset certain indemnifiable liabilities against the sums payable pursuant to the promissory note. The majority stockholder of Infusion Care Solutions, Inc. entered into a two year non-competition and non-solicitation agreement with the company. The acquisition of Infusion Care Solutions, Inc. was not deemed to be "significant." Accordingly, the financial statements of Infusion Care Solutions, Inc. will be consolidated with the company's financial statements and separate financial statements in a Current Report on Form 8-K will not be filed with the SEC. In February 1998, the company acquired substantially all of the assets of Precision Health Systems, L.L.C., a home health care and infusion business, based in Baton Rouge, Louisiana, in exchange for aggregate consideration of $1,000,000, of which $750,000 was payable in cash at closing and $250,000 is payable pursuant to a two year promissory note bearing interest at a rate of 9.5% per annum. The company has retained the right to offset certain indemnifiable liabilities against the sums payable pursuant to the promissory note. The majority stockholder of Precision Health Systems, L.L.C. entered into a two year non-competition and non-solicitation agreement and a two year consulting agreement with the company. The consulting agreement is in the amount of $50,000 per year, payable in monthly increments. The majority stockholder is to assist the company in developing referral sources and retaining current referral sources. At fiscal year end, December 31, 1997, assets were $383,340, net revenues were $1,120,839, and pretax income was $121,249. The acquisition of Precision Health Systems, L.L.C. was not deemed to be "significant." Accordingly, the financial statements of Precision Health Systems, L.L.C. will be consolidated with the company's financial statements and separate financial statements in a Current Report on Form 8-K will not be filed with the SEC. In April 1998, the company acquired all of the stock of Quality Home Health Care, Inc., of Stilwell, Oklahoma. In exchange, the company paid $80,000 and issued 4,897 shares of company common stock worth 3 $20,000. A key employee and former stockholder executed an employment agreement for two years in conjunction with a non-compete and non-solicitation agreement for a period of two years after employment with the company is terminated. The non-compete and non-solicitation agreement provides that the key employee will not divert any business from the company or compete with the company; as well as not solicit any employees or clients of the company. The business area covered by the non-compete and non-solicitation agreement is for the Counties of Adair, Cherokee, Delaware, Haskell, Leflore, Mayes, McIntosh, Muskogee, Sequoyah and Wagoner in the State of Oklahoma and is relative to home health agencies. Quality Home Health Care, Inc. is a state licensed, Medicare certified home health agency with three locations serving eastern Oklahoma. The acquisition of Quality Home Health Care, Inc. was not deemed to be "significant." Accordingly, the financial statements of Quality Home Health Care, Inc. will be consolidated with the company's financial statements and separate financial statements in a Current Report on Form 8-K will not be filed with the SEC. Each of the above transactions was accounted for as a poolingpurchase. Private Placement of interest. PriorPreferred Stock In March 1998, the company completed a private placement of 750,000 shares of series A preferred stock to accredited investors at a purchase price of $10.00 per share in reliance upon an exemption from registration under the Securities Act. In December 1997, the board of directors established a series of shares setting forth the preferences, rights, and limitations and authorizing the issuance of up to 1,000,000 shares of series A preferred stock. The face value of the series A preferred stock is $10 per share. The series A preferred stock is convertible, at any time at the holder's option, initially into a number of shares of common stock equal to the face value divided by 88% (the conversion factor) of the average closing sales price of the common stock for the 15 trading days immediately prior to the initial closing date which was $5.2556818. Beginning June 1, 1998, the conversion factor decreases by .5% on the first day of each month that any of the shares underlying the preferred stock continue not to be publicly tradeable pursuant to an effective registration statement under the Securities Act. To date, the conversion factor is 85% resulting in a conversion rate of $2.2384737. The series A preferred stock will automatically convert to shares of common stock if the average sales price for the common stock exceeds $7.09 for fifteen consecutive trading days. The series A preferred stock is not redeemable by the company. The holders of the series A preferred stock will be entitled to receive dividends, if and when they are declared by the board of directors. The liquidation preference of the series A preferred stock is the face value, subject to adjustment. The series A preferred stock is senior to all outstanding classes and series of the company's capital stock. Each holder of shares of series A preferred stock is entitled to one vote for each share of common stock underlying the series A preferred stock. Net proceeds from the private placement were used to fund the company's acquisition program. Stock Purchase by Officers and Directors In July 1998, the company announced that 500,000 shares of its common stock would be purchased by certain of its officers and directors. To date, this transaction has not been consummated. Disposition Effective September 21, 1998, the company sold certain assets, subject to the assumption of certain liabilities, of its wholly-owned subsidiaries of Amedisys Staffing Services, Inc., Amedisys Nursing Services, Inc. and Amedisys Home Health, Inc. to Nursefinders, Inc. The company had no relationship with Nursefinders, Inc. prior to this transaction. The purchase price of $7,200,000 was calculated using a multiple of earnings before interest, taxes, depreciation and amortization. At closing, $6,480,000 was payable immediately with the balance of $720,000 placed in an escrow account. The escrow funds are to be held for an initial ninety (90) day period. The funds will be released at the end of the period conditional upon a percentage of purchased accounts receivable collected, independent audit of net income from operations, and the absence of undisclosed liabilities. The escrow period may be extended an additional ninety (90) days if collections on purchased accounts receivable don't equal at least 90% of total purchased accounts receivable. The assets being sold consist primarily of all accounts and notes receivable; prepaid expenses; advances and deposits; on-site hardware and software; furniture, fixtures and leasehold improvements; office supplies; records and files; transferable government licenses, permits and authorizations; and rights in, to and under specified licenses, contracts, leases, and agreements. The liabilities being assumed are the trade accounts payable, accrued expenses, and other liabilities as of the closing date. The company has agreed to a 4 five-year non-competition covenant. This covenant precludes the company from directly engaging, or assisting other to engage, in supplemental staffing and/or out of residence private duty staffing within a fifty mile radius of any location included in the agreement. Additionally, the non-competition covenant provides that Amedisys will not encourage any employees, customers, vendors or agents to terminate or alter their relationship with Nursefinders, Inc. and its respective subsidiaries or affiliates. The following presents consolidated pro forma financial information regarding the sale. The pro forma condensed consolidated balance sheet has been prepared by applying certain pro forma adjustments to historical financial information, assuming the Staffing Division sale occurred on June 30, 1998. The pro forma condensed consolidated statement of operations for the year ended December 31, 1997 and the six-month period ended June 30, 1998 has been prepared based upon certain pro forma adjustments to historical financial information, assuming the Staffing Division sale occurred on January 1, 1997. The pro forma data is not necessarily indicative of the operating results or financial position that would have occurred had the transaction described above been consummated at the dates indicated, nor necessarily indicative of future operating results or financial position. Basic net income (loss) per share of common stock is calculated by dividing net income (loss) applicable to common stock by the weighted average number of common shares outstanding during the year. Diluted net income (loss) per share is not presented because stock options and convertible securities outstanding during the periods presented were not dilutive. AMEDISYS, INC. AND SUBSIDIARIES PRO FORMA CONDENSED CONSOLIDATED BALANCE SHEET AS OF JUNE 30, 1998 (IN 000'S, EXCEPT PER SHARE AMOUNTS)
HISTORICAL EFFECT OF SALE/(1)/ PRO FORMA ----------- -------------------- ---------- ASSETS Current Assets: Cash $ 471 $ 5,075 $ 5,546 Accounts Receivable, Net of Allowance for Doubtful 4,292 (1,946) 2,346 Accounts Prepaid Expenses 891 (28) 863 Other Current Assets 4,004 586 4,590 ------- ------- ------- Total Current Assets 9,658 3,687 13,345 Notes Receivable from Related Parties 224 0 224 Property, Plant and Equipment, Net 6,056 (71) 5,985 Other Assets, Net 12,374 (46) 12,328 ------- ------- ------- Total Assets $28,312 $ 3,570 $31,882 ======= ======= ======= LIABILITIES Current Liabilities: Notes Payable $ 6,090 $(1,405) $ 4,685 Current Portion of Long-Term Debt 927 (45) 882 Accounts Payable 2,486 (346) 2,140 Accrued Expenses: Payroll and Payroll Taxes 1,541 (145) 1,396
5
HISTORICAL EFFECT OF SALE/(1)/ PRO FORMA ----------- -------------------- ---------- Insurance 1,020 (233) 787 Income Taxes 0 0 0 Other 1,398 (35) 1,363 ------- ------- ------- Total Current Liabilities 13,462 (2,209) 11,253 Long-Term Debt 4,948 (4) 4,944 Other Long-Term Liabilities 1,136 0 1,136 ------- ------- ------- Total Liabilities $19,546 $(2,213) $17,333 ======= ======= ======= Minority Interest 3 0 3 ------- ------- ------- STOCKHOLDERS' EQUITY Common Stock 3 0 3 Preferred Stock 1 0 1 Additional paid-in capital 12,006 0 12,006 Treasury Stock (25) 0 (25) Stock Subscriptions Receivable (1) 0 (1) Retained Earnings (deficit) (3,221) 5,783 2,562 ------- ------- ------- Total Stockholders' Equity 8,763 5,783 14,546 ------- ------- ------- Total Liabilities and Stockholders' Equity $28,312 $ 3,570 $31,882 ======= ======= =======
AMEDISYS, INC. AND SUBSIDIARIES PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS FOR THE SIX MONTHS ENDED JUNE 30, 1998 (IN 000'S, EXCEPT PER SHARE AMOUNTS)
HISTORICAL EFFECT OF SALE/(2)/ PRO FORMA ----------- -------------------- --------- Income: Service Revenue $24,475 $(8,795) $15,680 Cost of Service Revenue 14,319 (5,933) 8,386 ------- ------- ------- Gross Margin 10,156 (2,862) 7,294 ------- ------- ------- General and Administrative Expenses: Salaries and benefits 9,389 (1,309) 8,080 Other 7,098 (647) 6,451 ------- ------- ------- Total General and Administrative Expenses 16,487 (1,956) 14,531 ------- ------- ------- Operating Income (loss) (6,331) (906) (7,237) ------- ------- ------- Other Income and Expense: Interest income 21 0 21 Interest expense (418) 51 (367) Miscellaneous 25 (2) 23 ------- ------- ------- Total Other income and Expense (372) 49 (323) ------- ------- -------
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HISTORICAL EFFECT OF SALE/(2)/ PRO FORMA ----------- -------------------- --------- Income (loss) before income taxes, minority interest, and cumulative effect of change in accounting principle (6,703) (857) (7,560) Provision (benefit) for Estimated Income Taxes (2,279) (343) (2,622) ------- ------- ------- Income (loss) before Minority Interest (4,424) (514) (4,938) Minority Interest in Consolidated Subsidiary 0 0 0 ------- ------- ------- Net Income(loss) before cumulative effect of change in accounting principle $(4,424) $ (514) $(4,938) ======= ======= ======= Weighted Average Common Shares Outstanding 3,057 -- 3,057 Income (loss) per share before cumulative effect of change in accounting principle $ (1.45) $ N/A $ (1.62)
AMEDISYS, INC. AND SUBSIDIARIES PRO FORMA CONDENSED CONSOLIDATED STATEMENT OF OPERATIONS FOR THE YEAR ENDED DECEMBER 31, 1997 (IN 000'S, EXCEPT PER SHARE AMOUNTS)
HISTORICAL EFFECT OF SALE/(2)/ PRO FORMA ----------- -------------------- --------- Income: Service Revenue $54,496 $(17,292) $37,204 Cost of Service Revenue 30,641 (11,545) 19,096 ------- -------- ------- Gross Margin 23,855 (5,747) 18,108 ------- -------- ------- General and Administrative Expenses: Salaries and benefits 12,651 (1,622) 11,029 Other 11,792 (763) 11,029 ------- -------- ------- Total General and Administrative Expenses 24,443 (2,384) 22,059 ------- -------- ------- Operating Income (loss) (588) (3,363) (3,951) ------- -------- ------- Other Income and Expense: Interest income 31 0 31 Interest expense (870) 136 (734) Miscellaneous (123) (7) (130) ------- -------- ------- Total Other income and Expense (962) 129 (833) ------- -------- ------- Income (loss) before income taxes, minority interest, and cumulative effect of change in accounting principle (1,550) (3,234) (4,784)
7
Provision (benefit) for Estimated Income Taxes (382) (1,293) (1,675) ------- -------- ------- Income (loss) before Minority Interest (1,168) (1,940) (3,108) Minority Interest in Consolidated Subsidiary 209 0 209 ------- -------- ------- Net Income(loss) before cumulative effect of change in accounting principle $ (959) $ (1,940) $(2,899) ======= ======== ======= Weighted Average Common Shares Outstanding 2,735 -- 2,735 Income (loss) per share before cumulative effect of change in accounting principle $ (0.35) $ N/A $ (1.06)
AMEDISYS, INC. AND SUBSIDIARIES NOTES TO PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS A. Basis of Presentation On September 21, 1998, the individual membersCompany sold certain assets, subject to the assumption of ASCcertain liabilities, of its wholly-owned subsidiaries of Amedisys Staffing Services, Inc., Amedisys Nursing Services, Inc., and Amedisys Home Health, Inc. to Nursefinders, Inc. The accompanying pro forma condensed consolidated balance sheet has been prepared by applying certain pro forma adjustments to historical financial information, assuming the Staffing Division sale occurred on June 30, 1998. The pro forma condensed consolidated statement of operations for the year ended December 31, 1997 and the six-month period ended June 30, 1998 has been prepared based upon certain pro forma adjustments to historical financial information, assuming the Staffing Division sale occurred on January 1, 1997. The pro forma data is not necessarily indicative of the operating results or financial position that would have occurred had the transaction described above been consummated at the dates indicated, nor necessarily indicative of future operating results or financial position. Basic net income (loss) per share of common stock is calculated by dividing net income (loss) applicable to common stock by the weighted average number of common shares outstanding during the year. Diluted net income (loss) per share is not presented because stock options and convertible securities outstanding during the periods presented were responsiblenot dilutive. B. Staffing Division Effect of Sale (1) Reflects the Staffing Division financial position as of June 30, 1998 in the balance sheet in addition to the following adjustments: a. Increase to Cash of $6,480,000 to reflect the portion of the purchase price payable upon closing. b. Decrease to both Cash and Notes Payable of $1,405,000 to reflect the pay-down on the line of credit which is secured by accounts receivable. c. Increase to Other Current Assets of $720,000 to reflect the portion of the purchase price placed in escrow. (2) Reflects the Staffing Division operating results and direct overhead operating costs for all income taxes; therefore, nothe six month period ending June 30, 1998 in the statement of operations, with an adjustment to the Company's income tax expense was recorded through June 30, 1995. 4assuming an effective tax rate of 40%. 8 (3) Reflects the Staffing Division operating results and direct overhead operating costs for the fiscal year ended December 31, 1997 in the statement of operations, with an adjustment to the Company's income tax expense assuming an effective tax rate of 40%. RISK FACTORS AN INVESTMENT IN THE SECURITIESSHARES OF COMMON STOCK OFFERED HEREBYBY THIS PROSPECTUS INVOLVES A NUMBERHIGH DEGREE OF SIGNIFICANT RISKS.RISK. IN ADDITION TO THE OTHER INFORMATION CONTAINED IN THIS PROSPECTUS, PROSPECTIVE INVESTORSYOU SHOULD GIVE CAREFUL CONSIDERATION TOCAREFULLY CONSIDER THE FOLLOWING FACTORS.RISK FACTORS BEFORE MAKING A DECISION TO PURCHASE THE COMMON STOCK OFFERED HEREBY. DISCLOSURE REGARDING FORWARD LOOKING STATEMENTS This prospectus contains certain statements that are forward looking statements within the meaning of Section 27A of the Securities Act and Section 21E of the Exchange Act. Those statements include, among other things, the discussions of the company's operations, margins, profitability, liquidity and capital resources. Forward looking statements are included in this section under "Increased Working Capital Needs and Risks of Collection Relating to Fee- for-Service Reimbursement Programs," "Classification of Physicians and Nurses as Independent Contractors; Potential State and Federal Tax Liability," "Risks Related to the Company's Acquisition Strategy," "Risks Related to Acquisition Financing," "Dependence on Management," "Corporate Exposure to Professional Liabilities," "Possible Insufficiency of Liability Coverage," "Potential Restructuring of Healthcare Delivery System through Healthcare Reform Proposals," "Changes in Health Care Regulations and Technology," "Reimbursement by Third Party Payors," and "Relationship with Other Organizations." Although the company believes that the expectations reflected in forward looking statements are reasonable, they can give no assurance that such expectations will prove to have been correct. Generally, these statements relate to business plans or strategies, projected or anticipated benefits or other consequences of such plans or strategies, or projections involving anticipated revenues, expenses, earnings, levels of capital expenditures, liquidity or indebtedness or other aspects of operating results or financial position. All phases of the operations of the company are subject to a number of uncertainties, risks and other influences, many of which are outside the control of the company and any one of which, or a combination of which, could materially affect the results of the company's operations and whether the forward looking statements made by the company ultimately prove to be accurate. Important factors that could cause actual results to differ materially from the company's expectations are disclosed in this "Risk Factors" section. CONTINUING OPERATING LOSSES The company had losses from continuing operations before provisions for income tax, minority interest and cumulative effect of change in accounting principle of ($6,703,000) for the six months ended June 30, 1998, and ($1,550,000) and ($34,000) for the years ended December 31, 1997 and 1996, respectively. The company's prospects, therefore, must be considered in light of the risks, expenses and difficulties frequently encountered in operating a business in a highly competitive industry. CAPITAL REQUIREMENTS; LIMITED SOURCES OF LIQUIDITY; NEED FOR ADDITIONAL CAPITAL; CONTINUING DEFAULT ON LINES OF CREDIT The company requires substantial capital to pursue its operating strategy and at June 30, 1998 had cash of $471,000. Until the company can maintain operations sufficient to fund its working capital needs, the company will be dependent on external sources of financing. To date, the company has no internal sources of liquidity and it should be assumed that there will be no internal sources of liquidity for the foreseeable future. Based on the 9 company's current plan of operations, it is anticipated that its current cash balance coupled with the sale of the staffing division will provide sufficient working capital through the end of the fiscal year. At June 30, 1998, the company had a working capital deficit of $3,804,000. The company maintains two revolving lines of credit of $7,500,000 with Union Planters Bank and $750,000 with Deposit Guaranty Bank, bearing interest at bank prime plus 1.5% and 1%, respectively. The lines of credit are collateralized by 80% of eligible receivables in outpatient surgery, 75% of eligible receivables in home health care, and 80% of physician notes receivable. Eligible receivables are defined principally as accounts that are aged less than 90 days for outpatient surgery, and 120 days for home health care. At June 30, 1998, approximately $109,000 was available based on eligible receivables under the combined lines of credit. The lines of credit are subject to certain covenants, including a monthly borrowing base, a debt service coverage ratio, and a leverage ratio. At December 31, 1997, March 31, 1998 and June 30, 1998, the company was in default on the debt service ratio coverage requirement of 1.1:1.0 due to the losses incurred in these periods. This default was waived by the bank through December 27, 1998. Other than the lines of credit, the company does not have any other external sources for financing, nor does it have any commitments for external sources of financing. There can be no assurance that such financing will be available or, if it is available, that it will be available on acceptable terms. Accordingly, no assurance can be given that the company will be successful in obtaining financing sufficient to fund the company's working capital requirements after the end of the fiscal year. Failure to obtain sufficient funding will adversely impact the company's financial position, and could cause the company to curtail operations, sell assets or take other actions as necessary in order to meet cash flow requirements. INCREASED WORKING CAPITAL NEEDS AND RISKS OF COLLECTION RELATING TO FEE-FOR-SERVICEFEE-FOR- SERVICE REIMBURSEMENT PROGRAMS DuringFor the three month periodsix months ended March 31, 1996,June 30, 1998, approximately 60%59% of the Company'scompany's revenue was derived from private insurers and patients, 37% from Medicare and 3%4% from Medicaid. The percentage of revenues attributable to management services contracts was 40% for the six months ended June 30, 1998. The portion of the Company'scompany's revenues attributable to managementprovider services provided in connection with fee-for-service agreements is expected to increase substantially. Management believes that competitive trends will continue to increase the number and percentage of the Company'scompany's fee-for-service agreements. Under fee-for-service agreements, the Companycompany assumes the financial risks arising from changes in patient volume, payor mix and third party reimbursement rates. Fee-for-service arrangements also involve a credit risk related to services provided to uninsured individuals. In addition, fee-for-service contracts also have less favorable cash flow characteristics than traditional flat-rate contracts due to longer collection periods. Private and third party fee-for-service arrangements can result in longer collection cycles than government fee-for service agreements. The Company'scompany has both types of contracts in its payor mix. The company's working capital needs are generally a function of the acquisition of new contracts or the conversion of fixed fee contracts to fee-for-servicefee- for-service contracts. As a result, the Companycompany may require additional working capital in the event of significant growth. The Companycompany may experience a net use of cash in its operating activities in future periods if the growth in fee-for-servicefee- for-service contracts continues. The company derives 37% of its revenues from the Medicare system. This system is undergoing changes mandated by the congressional Balanced Budget Act of 1997 which established the interim payment system for home health care. The interim payment system was effective for home health agencies for cost reporting periods beginning on or after October 1, 1997. Under the previous system, home health agencies were reimbursed their costs-per-visit up to a specified limit, which was based on geographic region. In the interim payment systems, home health agencies will be reimbursed the lower of their actual cost-per-visit limit or per-beneficiary limit. The per- 10 beneficiary limits are 75% provider specific and based on 1994 cost reports. Cost limits are also based on the area where the patient resides and not the area of the home health agency's office. The reduction in reimbursement relating to the interim payment system ranges between 15% to 40%. Management anticipates there may be further legislation adjusting the per-beneficiary cost limits; such adjustment, if any, would not be known until after the start of the cost reporting period. The public and private sectors are experiencing increasing pressures to restrainreduce health care costs and to restrict reimbursement rates for medical services. Any change in reimbursement amounts or practices could materially adversely affect the operations of the Company unless the Company is able to renegotiate satisfactory contractual arrangements with its clients and contracted physicians.company. In addition, while the Companycompany seeks to comply with applicable Medicare and Medicaid reimbursement regulations, there can be no assurance that the Companycompany would be found to be in compliance in all respects with such regulations. See "Business -- Government Regulations." CLASSIFICATION OF PHYSICIANS AND NURSES AS INDEPENDENT CONTRACTORS; POTENTIAL STATE AND FEDERAL TAX LIABILITY The Companycompany contracts with certain physicians and nurses as independent contractors, rather than employees, to fulfill some of its supplemental staffing obligations. Therefore, the Companycompany has not historically, and the Companycompany does not currently, withhold federal or state income taxes, make federal or state unemployment tax payments or provide worker's compensation insurance with respect to such independent contractors. The payment of applicable taxes is regarded as the responsibility of such independent contractors. Management believes that classification of physicians and nurses as independent contractors is standard industry practice and proper for federal tax purposes. A contrary determination by federal taxing authorities or a change in existing law could materially adversely affect the Companycompany and its operations. Most state taxing authorities either have not challenged or have accepted the classification of contract physicians and nurses as independent contractors. The Company'scompany's records for independent contractors have been reviewed by federal taxing authorities and no significant issues have been identified. In December 1995, the Louisiana Department of Labor initiated an audit for the fiscal year ended December 31, 1993 which resulted in an additional 341 nurses being listed as employees of the company and holding that their earnings were taxable for unemployment insurance purposes. The Company is currently under review bycompany appealed the Department of Labor.Labor's ruling in December 1995, a hearing was held in September 1996, and the ruling was upheld by the administrative law judge. The company timely filed an appeal in the District Court of the Parish of East Baton Rouge. To date, there has been no further action. Management believes that the ultimate resolution of this review will not have a significant effect on the Company'scompany's financial position or results of operations. However, there are some states in which the independent contractor classification of physicians and nurses is or has been under administrative or judicial review. RISKS OF EXPANSIONRELATED TO THE COMPANY'S ACQUISITION STRATEGY The Company's plans include a focus on the expansion of its businesscompany intends to grow significantly through the additionacquisition of new management agreements with professional associations in Louisiana, Texasadditional outpatient health care and other areas.complementary businesses. The company expects to face competition for acquisition candidates, which may limit the number of acquisition opportunities and may lead to higher acquisition prices. There can be no assurance that the Company's resourcescompany will be sufficientable to achieve such expansionidentify, acquire or that upon achieving such expansion its working capital and/manage profitably additional businesses or additional staffing will be sufficient for itsto integrate any acquired businesses into the company without substantial costs, delays or other operational or financial problems. Further, acquisitions involve a number of risks, including possible adverse effects on the company's operating needs. In addition,results, diversion of management's attention, failure to retain key personnel of the Company's managementacquired business and quality assurance procedures may not be sufficient inrisks associated with unanticipated events or liabilities, some or all of which could have a material adverse effect on the event of such expansion. 5 RISKS ASSOCIATED WITH FUTURECARE The Company has or is committed to advance approximately $1.3 million to capitalize the formation of a health maintenance organization ("HMO") through its subsidiary, FutureCare, Inc. A portion of this amount is expected to be reimbursed from the proceeds of a private placement offering of FutureCare, Inc. In the event FutureCare, Inc. is unable to raise any proceeds from its offering, the Company will not recover these expensescompany's business, financial condition and this may adversely affect the Company's results of operations. There canThe company has entered into several non-competition and non-solicitation agreements in connection with certain of its acquisitions. If those agreements are found to be no assurance that the HMO will be profitable or that the Company will not be expected to provide additional financing to support its development or operations. The Company will provide management services to the HMO pursuant to a management agreement. The Company has no prior experience managing an HMO and no assurance can be given that the Company will successfully perform management services under its agreement with the HMO. The Company may be exposed to liability for mismanagement whichunenforceable, competition by former owners of acquired companies could have an adverse effect on resultsthe company's operations. RISKS RELATED TO ACQUISITION FINANCING The timing, size and success of operationsthe company's acquisition efforts and the associated capital commitments cannot be readily predicted. The company currently intends to finance future acquisitions by using shares of its common stock for a portion of the consideration to be paid. In the event that the common stock does not maintain a 11 sufficient market value, or potential acquisition candidates are otherwise unwilling to accept common stock as part of the consideration for the sale of their businesses, the company may be required to utilize more of its cash resources, if significantavailable, in order to initiate and either uninsuredmaintain its acquisition program. If the company does not have sufficient cash resources, its growth could be limited unless it is able to obtain additional equity or underinsured.debt financing. DEPENDENCE ON MANAGEMENT The success of the Companycompany is dependent upon its management, including the Company's Chief Executive Officer,company's chief executive officer, William F. Borne.Borne, and president, James P. Cefaratti. The Companycompany maintains key employee life insurance in the amount of $4.5 million on the life of Mr. Borne; however, the CompanyBorne and has not entered into an employment agreement with Mr. Borne.Messrs. Borne and Cefaratti. The loss to the Companycompany of the services of Mr.Messrs. Borne or Cefaratti could materially adversely affect the Company'scompany's operations. See "Management." ADVERSE EFFECT OF STATE LAWS REGARDING THE CORPORATE PRACTICE OF MEDICINE Business corporations are legally prohibited in many states from providing or holding themselves out as providers of medical care. While the Company has structured its operations to comply with the corporate practice of medicine laws of states in which it operates and will seek to structure its operations in the future to comply with the laws of any state in which it seeks to operate, there can be no assurance that, given varying and uncertain interpretations of such laws, the Company would be found to be in compliance with restrictions on the corporate practice of medicine in such states. A determination that the Company is in violation of applicable restrictions on the practice of medicine in any state in which it operates could have a materially adverse effect on the Company if the Company were unable to restructure its operations to comply with the requirements of such state. Such regulations may limit the states in which the Company can operate, thereby inhibiting future expansion of the Company into potential markets in other states. CORPORATE EXPOSURE TO PROFESSIONAL LIABILITIES Due to the nature of its business, the Companycompany and certain physicians who provided services on its behalf may be the subject of medical malpractice claims, with the attendant risk of substantial damage awards. The most significant source of potential liability in this regard is the alleged negligence of nurses placed by the Company in home health care and supplemental staffing settings. In addition, the Companycompany could be exposed to liability based on the negligence of physicians operating in the Company'scompany's outpatient surgery centers. To the extent such nurses or physicians were regarded as agents of the Companycompany in the practice of medicine, the Companycompany could be held liable for any medical negligence of such persons. In addition, the Companycompany could be found in certain instances to have been negligent in performing its contract management services for hospital and clinics even if no agency relationship between the Companycompany and such physician exists. There can be no assurance that a future claim or claims will not exceed the limits of available insurance coverage or that such coverage will continue to be available. POSSIBLE INSUFFICIENCY OF LIABILITY COVERAGE The Companycompany maintains two professional liability insurance;insurance policies covering the Company and its subsidiaries; however, there can be no assurance that any such claims will not be made in the future in excess of the limits of such insurance, if any, or that any such claims, if successful and in excess of such limits, will not have a material adverse effect on the Company'scompany's assets and its ability 6 to conduct its business. There can be no assurance that the Companycompany will continue to maintain such insurance or that such insurance can be maintained at acceptable costs. The Company'scompany's insurance coverage currently includes medical malpractice, fire, property damage and general liability.liability with a $1,000,000 limit on each wrongful act and a $3,000,000 limit in aggregate. There can be no assurance that any claim will be within the scope of the Company'scompany's coverage or that such claims will not exceed the Company'scompany's coverage. POTENTIAL RESTRUCTURING OF HEALTHCARE DELIVERY SYSTEM THROUGH HEALTHCARE REFORM PROPOSALS President Clinton and members of Congress have made several additional proposals for reform of the nation's health care system, including proposals limiting payments under a Medicaid and Medicare programs. Many of these proposals contain measures intended to control public and private spending on health care as well as to provide universal public access to the health care system. If enacted, such proposals are expected to result in a substantial restructuring of the health care delivery system. The Companycompany cannot predict what additional health care reform legislation, if any, will be enacted. Significant changes in the nation's health care system are likely to have a substantial impact over time on the manner in which the Companycompany conducts its business. Such changes could have a materially adverse effect on the results of operations of the Company.company. RISKS RELATED TO LONG-LIVED ASSETS In accordance with Statement of Financial Accounting Standard No. 121 ("SFAS 121"), "Accounting for the Impairment of Long-Lived Assets to Be Disposed of", the company quarterly evaluates assets for events or changes in circumstances that indicate the carrying amount of an asset may not be recoverable. The company uses undiscounted expected future cash flows to assess the recoverability of the asset. Due to the Medicare reimbursement reductions finalized in March 1998 in association with the Balanced Budget Act of 1997, there can be no assurance that the carrying amount of the company's long-lived assets, particularly goodwill recorded in acquisitions, will be recoverable. CHANGES IN HEALTH CARE REGULATIONS AND TECHNOLOGY There can be no assurance that the Companycompany will not be adversely affected by future possible changes in medical and health regulations;regulations, the use, cost and availability of hospitals and other health care services and medical technological developments. 12 REIMBURSEMENT BY THIRD PARTY PAYORS The Company and its subsidiaries arecompany is generally reimbursed by a variety of third-party payors, with outpatient surgery reimbursements coming primarily from insurance companies and patients, and home care reimbursements coming primarily from Medicare and Medicaid and supplemental staffing reimbursements coming primarily from hospitals and other institutions.Medicaid. Accordingly, the Companycompany may be materially adversely affected in the event of future increased insurance premiums, increased insurance deductibles, unavailability of insurance, changes in policy exclusions covering specific types of disease or conditions or other changes in medical and health insurance. The Companycompany typically receives payment between 15 and 120 days after rendering an invoice, although such period can be longer. Accordingly, the Company'scompany's cash flow may at times be insufficient to meet its accounts payable requirements. The Companycompany at times has been required to borrow funds to meet its ongoing obligations and may be required to do so in the future, and the Companycompany would be adversely affected if in the future it were unable either to borrow funds or to borrow funds on terms deemed favorable by management. COMPETITION The business in which the Companycompany operates is highly competitive. The Companycompany is in competition with hospitals, nursing homes, temporary employment companies and other businesses that provide home health care services, somemany of which are large and established companies with significantly greater resources than the Company.company. RELATIONSHIP WITH OTHER ORGANIZATIONS The development and growth of the Company'scompany's business depends to a significant extent on its ability to establish close working relationships with health maintenance organizations, preferred provider organizations, hospitals, clinics, nursing homes, physician groups, and other health care providers. Although the Companycompany has established such relationships, there is no assurance that existing relationships will be successfully maintained and that additional relationships will be successfully developed and maintained in existing and future markets. 7 FEDERAL AND STATE REGULATION As a provider of health care services, the Companycompany is subject to laws and regulations administered by the various states. The Companycompany is subject to certain federal laws and regulations as a result of the certification of its operations in the Medicare/Medicaid Program. Compliance with laws and regulations could increase the cost and time necessary to allow the Companycompany to operate successfully and may affect the Companycompany in other respects not presently foreseeable. Loss of certification in the Medicare/Medicaid Program could adversely affect the ability of the Companycompany to effectively market its services. CONTROL BY PRESENT STOCKHOLDERS Officers and directors of the Company own approximately 34% of the Company's outstanding Common Stock (approximately 32% assuming exercise of all outstanding Warrants and Options). Accordingly, these stockholders will be in a position to elect the entire Board of Directors of the Company for the foreseeable future. See "Principal Stockholders." DIVIDENDS NOT LIKELY The Companycompany has never paid cash dividends on its Common Stock,common stock, and it is not anticipated that any will be paid in the foreseeable future. See "Price Range of Common Stock and Dividend Policy." DILUTION The Company may issue up to 150,000FUTURE SALES OF COMMON STOCK Approximately 3,000,000 shares of Common Stockcommon stock are currently tradeable, or eligible for trading pursuant to this Prospectus. In addition,Rule 144 as promulgated under the Company has reserved an aggregate of 153,871 shares for issuance upon exercise of outstanding Warrants and Options and will likely grant additional optionsSecurities Act, in the future. The issuancepublic market. Sales of additional shares of Common Stock willcommon stock in the public market may have a dilutivedepressive effect on prevailing market prices for the current holders of the Company's outstanding shares of Common Stock. NO ASSURANCE OF A CONTINUED PUBLIC MARKETcommon stock. There is no assurance that the public market for the Common Stockcommon stock will not be volatile, sporadic or limited. Accordingly, purchasers may not be able to resell shares of Common Stockcommon stock at or above their respective purchase price, and a purchaser may not be able to liquidate his investment even at a loss without considerable delay. A substantial number of shares of Common Stock are currently tradeable in the public market or will become eligible for sale in the near future pursuant to Rule 144 as promulgated under the Act. Sales of Common Stock in the public market may have a depressive effect on prevailing market prices for the Common Stock. See "Plan of Distribution and Selling Stockholders."13 POSSIBLE ADVERSE EFFECT OF FUTURE ISSUANCES OF PREFERRED STOCK The Company'scompany's Certificate of Incorporation authorizes the issuance of 2,500,0005,000,000 shares, par value $.001 per share, of "blank check" preferred stock (the "Preferred Stock") with such designations, rights and preferencepreferences as may be determined from time to time by the Boardboard of Directors.directors. Accordingly, the Boardboard of Directorsdirectors is empowered, without stockholder approval, to issue Preferred Stockpreferred stock with dividend, liquidation, conversion, voting, or other rights that could adversely affect the voting power or other rights of the holders of the Common Stock.common stock. In the event of issuance,additional issuances, the Preferred Stockpreferred stock could be utilized, under certain circumstances, as a method of discouraging, delaying or preventing a change in control of the Company.company. The Companycompany has no present intention to issue any additional shares of its Preferred Stock.preferred stock. However, there can be no assurance that Preferred Stock the Companyadditional preferred stock will not be issued at some time in the future. See "Description of Securities -- Preferred Stock." CURRENT PROSPECTUS AND STATE BLUE SKY REGISTRATION REQUIRED TO RESELL A current prospectus relating to the shares offered for resale by the Selling Shareholders must be in effect at the time of resale and the shares must be qualified for sale or exempt under the securities laws of the applicable state or states. The Company has undertaken and intends to file and keep effective and current a prospectus which will 8 permit the resales of the Common Stock, but there can be no assurance that the Company will be able to do so. In the event the Company is unable to maintain a current prospectus due to lack of sufficient financial resources or for other reasons, the Selling Stockholders will be unable to resell their shares in any public market. Although the Company intends to seek to qualify for sale the shares of Common Stock in those states in which the securities are to be offered, no assurance can be given that such qualification will occur. STATUS OF PERSONS RESELLING COMMON STOCK Holders who subsequently resell shares of Common Stockcommon stock to the public pursuant to this Prospectusprospectus may be deemed to be underwriters with respect to such shares for purposes of the Securities Act with the result that they may be subject to certain statutory liabilities if the registration statement is defective. The Companycompany has not agreed to indemnify any of the Selling Stockholdersselling stockholders regarding such liability. In addition, any profit on the sale of shares of Common Stockcommon stock might be deemed underwriting discounts and commissions under the Securities Act. See "Plan of DistributionDistribution." PENNY STOCK REGULATION The SEC has adopted rules that regulate broker-dealer practices in connection with transactions in penny stocks. Penny stocks generally are equity securities with a price of less than $5.00 (other than securities registered on certain national securities exchanges or quoted on the Nasdaq system, provided that current price and Selling Stockholders." 9volume information with respect to transactions in such securities is provided by the exchange system). The penny stock rules require a broker-dealer, prior to a transaction in a penny stock not otherwise exempt from the rules, to deliver a standardized risk disclosure document prepared by the SEC that provides information about penny stocks and the nature and level of risks in the penny stock market. The broker-dealer also must provide the customer with bid and offer quotations for the penny stock, the compensation of the broker-dealer and its salesperson in the transaction, and monthly account statements showing the market value of each penny stock held in the customer's account. In addition, the penny stock rules require that prior to a transaction in a penny stock not otherwise exempt from such rules, the broker-dealer must make a special written determination that a penny stock is a suitable investment for the purchaser and receive the purchaser's written agreement to the transaction. These disclosure requirements may have the effect of reducing the level of trading activity in any secondary market for a stock that becomes subject to the penny stock rules. The company's common stock is subject to the penny stock rules, and accordingly, investors in this offering may find it difficult to sell their shares, if at all. RATIO OF EARNINGS TO FIXED CHARGES Inapplicable. USE OF PROCEEDS AnyIn the event all of the placement agent warrants are exercised, the company will receive $525,000 in net proceeds received from the issuance of shares of Common Stock offered by the Companywhich will be usedutilized for working capital and general corporate purposes. However, there can be no assurance that any or all of the placement agent warrants will be exercised. The Companyselling shareholders will receive noall of the net proceeds from the sale of the common stock underlying the preferred stock and placement agent warrants. 14 DETERMINATION OF OFFERING PRICE Inapplicable. DILUTION Inapplicable. SELLING STOCKHOLDERS The following table sets forth certain information concerning each selling stockholder. Assuming that the selling stockholders offer all of their shares, the selling stockholders will not have any beneficial ownership. The shares are being registered to permit the selling stockholders and certain of their respective pledgees, donees, transferors, or other successors in interest to offer the shares for resale of shares of Common Stock by the Selling Stockholders.from time to time. See "Plan of Distribution and Selling Stockholders.Distribution." PRICE RANGERESALE OF COMMON STOCK BY SELLING STOCKHOLDERS FOR SHARES TO BE ISSUED UPON CONVERSION OF PREFERRED STOCK ("P") AND DIVIDEND POLICYSHARES TO BE ISSUED, AFTER CONVERSION OF PREFERRED STOCK, UPON EXERCISE OF WARRANTS ("W")
AMOUNT SHARES OFFERED SHARES BENEFICIALLY (ASSUMING ALL BENEFICIALLY OWNED BEFORE SHARES OWNED AFTER STOCKHOLDER RESALE/(1)(2)(3)/ IMMEDIATELY RESALE PERCENTAGE - ----------- ---------------- SOLD)/(2)(3)(4)/ ------ ---------- ---------------- Bank Hofmann AG 22,384 22,384 P - - Bank Julius Baer & Co. Ltd. 223,847 223,847 P - - Bank Sarasin & Cie 44,770 44,770 P - - Care Invest AG 67,154 67,154 P - - CIBC 156,693 156,693 P - - Clariden Bank 111,923 111,923 P - - Credit Lyonnaise (Schweiz) AG 89,539 89,539 P - - Cresvale Far East Limited Hong Kong 44,770 44,770 P - - - -------------------------------------------------------------------------------------------------------------------
15
Delphic Global Opportunities Fund, 67,154 67,154 P - - Ltd. Rush & Co. 44,770 44,770 P - - Sigler & Co. 22,384 22,384 P - - Terra Healthy Living, Ltd. 783,467 783,467 P - - Hudson Capital Partners, L.P. 117,520 117,520 W - -
- --------------------------------------- (1) The Company's Commonselling stockholders have sole voting and sole investment power with respect to all shares owned. (2) Calculated using the current conversion rate for the Preferred Stock commenced tradingof 2.225 shares of common stock for each share of preferred stock, subject to adjustment. (3) Ownership is determined in accordance with Rule 13d-3 under the Exchange Act. The actual number of shares beneficially owned and offered for sale hereunder is subject to adjustment and could be materially more than the estimated amount indicated depending upon factors which cannot be predicted by the company at this time. (4) Assumes the sale of all shares offered hereby to persons who are not affiliates of the selling stockholders. PLAN OF DISTRIBUTION Pursuant to this prospectus, the selling stockholders, or by certain pledgees, donees, transferees or other successors in interest to the selling stockholders, may sell shares from time to time in transactions on the OTC Electronic Bulletin Board, in January 1994privately-negotiated transactions or by a combination of such methods of sale, at fixed prices which may be changed, at market prices prevailing at the time of sale, at prices related to such prevailing market prices or at negotiated prices. The selling stockholders may effect such transactions by selling the shares to or through broker-dealers, and such broker-dealers may receive compensation in August 1994, the Company's Common Stock began trading onform of discounts, concessions or commissions from the Nasdaq SmallCap Market. The following table providesselling stockholders or the high and low pricespurchasers of the Company's Common Stockshares for whom such broker-dealers may act as quotedagent or to whom they sell as principal, or both (which compensation to a particular broker-dealer might be in excess of customary commissions). Other methods by Nasdaqwhich the shares may be sold include, without limitation: (1) transactions which involve cross or block trades or any other transaction permitted by the OTC Electronic Bulletin Board, (2) "at the market" to or through market makers or into an existing market for the periods indicated. Such quotations reflect inter-dealer prices, without retail mark-up, mark-downcommon stock, (3) in other ways not involving market makers or commission,established trading markets, including direct sales to purchasers or sales effected through agents, (4) through transactions in options or swaps or other derivatives (whether exchange-listed or otherwise), (5) through short sales, or (6) any combination of any other such methods of sale. The selling stockholders may also enter into option or other transaction with broker-dealers which require the delivery to such broker- dealers of the shares offered hereby which shares such broker-dealer may resell pursuant to this prospectus. The selling stockholders and any broker-dealers who act in connection with the sale of shares hereunder may not represent actual transactions. 1994 High Low ---- ------- ------- 1st Quarter.......................be deemed to be underwriters, as that term is defined under the Securities Act, and any commissions received by them and profit on any resale of the shares as principal may be deemed to be underwriting discounts and commissions under the Securities Act. There is no assurance that the selling stockholders will sell all or any of the shares which may be offered hereby. DESCRIPTION OF SECURITIES TO BE REGISTERED SERIES A PREFERRED STOCK In December 1997, the board of directors established a series of shares setting forth the preferences, rights, and limitations and authorizing the issuance of up to 1,000,000 shares of series A preferred stock. The face value of the series A preferred stock is $10 $ 8 1/2 2nd Quarter ...................... 9 1/2 6 3/4 3rd Quarter ...................... 8 3/4 6 1/2 4th Quarter ...................... 7 3/8 6 3/4 1995 1st Quarter ...................... $ 7 1/2 $ 6 3/4 2nd Quarter ...................... 11 1/4 6 3/4 3rd Quarter ...................... 12 9 4th Quarter ...................... 10 7 1/2 1996 1st Quarter ...................... $ 9 5/8 $ 7 1/2 Asper share. The series A preferred stock is convertible, at any time at the holder's 16 option, initially into a number of July 15, 1996,shares of common stock equal to the last salesface value divided by 88% (the conversion factor) of the average closing sale price of the Common Stockcommon stock for the 15 trading days immediately prior to the initial closing date, which was $7.00$5.2556818. Beginning June 1, 1998, the conversion factor decreases by .5% on the first day of each month that any of the shares of series A preferred stock continue not to be publicly tradeable pursuant to an effective registration statement under the Securities Act. To date, the conversion factor is 85% resulting in a conversion rate of $2.22384737. The series A preferred stock will automatically convert to shares of common stock if the average sales price for the common stock exceeds $7.09 for fifteen consecutive trading days. The series A preferred stock is not redeemable by the company. The holders of the series A preferred stock will be entitled to receive dividends, if and when they are declared by the board of directors. The liquidation preference of the series A preferred stock is the face value, subject to adjustment. The series A preferred stock is senior to all outstanding classes and series of the company's capital stock. Each holder of shares of series A preferred stock is entitled to one vote for each share of common stock underlying the series A preferred stock. There are currently 750,000 shares of series A preferred stock issued and outstanding. PLACEMENT AGENT WARRANTS In December 1997, the placement agent for the private placement of the series A preferred stock was granted five year warrants to purchase 52,500 shares of series A preferred stock at an exercise price of ten dollars per share. INTERESTS OF NAMED EXPERTS AND COUNSEL Inapplicable. INFORMATION WITH RESPECT TO THE REGISTRANT INDUSTRY OVERVIEW The Company believeshealth care industry continues to undergo changes. The focus is on managing cost and utilization, as opposed to the hospital/physician centered focus that there were approximately 163 holdersdominated healthcare since the early 1950's. Since the mid-1980's, health care shifted from providing care at any cost to learning to manage costs. It is predicted the next shift will require health care providers to truly learn to manage care. In an effort to manage health care expenditures, a strong focus has been placed on moving the primary source of record of the Company's Common Stock and approximately 600 beneficial holders. The Company has not paid any dividends on its Common Stock and expects to retain any future earnings for use in its business development. 10 CAPITALIZATION The table below sets forth the capitalization of the Company at March 31, 1996. The table should be read in conjunction with the Company's financial statements and notes thereto included elsewhere in this Prospectus. MARCH 31, 1996 (in thousands) Current portion of long-term debt and capital lease obligations....... $660 Long-term debt and capital lease obligations, net of current portion.. 630 Notes Payable to Related Parties...................................... 1,021 ----- Total Debt.......................................................... 2,311 ----- Stockholders' equity Preferred stock, $.001 par value, 2,500,000 shares authorized, no shares issued and outstanding..................................... - Common stock, $.001 par value, 10,000,000 shares authorized; 2,583,864 shares issued and outstanding(1).................................................... 3 Additional paid-in-capital.......................................... 1,977 Stock Subscriptions Receivable...................................... (79) Retained Earnings................................................... 2,572 ----- Total stockholders' equity........................................ 4,473 ----- Total capitalization.............................................. $6,784 ====== - ------------ (1) Does not include an aggregate of 153,871 shares of Common Stock underlying outstanding Warrants and Options. See "Description of Securities -- Warrants" and "Management -- Stock Options." 11 SELECTED FINANCIAL DATA The selected financial data below as of and for the three years in the period ended December 31, 1995 are derivedhealth care from the Company's Financial Statements, which have been audited by Arthur Andersen LLP and Hannis T. Bourgeois & Co.traditional institutional settings (hospitals), L.L.P., independent public accountants. The selected financial data as of and for the two years in the period ended December 31, 1992, and as of and for the three months ended March 31, 1995 and 1996, is unaudited and, in the opinion of management, includes all adjustments, consisting solely of normal recurring adjustments, necessary for a fair presentation for such periods. The information below should be read in conjunction with "Management's Discussion and Analysis of Financial Condition and Results of Operations," and the financial statements and notes thereto included elsewhere in this Prospectus. (In thousands, except per share data)
THREE MONTHS ENDED MARCH 31, YEAR ENDED DECEMBER 31, -------------------- -------------------------------------------------------------- 1996 1995 1995 1994 1993 1992 1991 ---- ---- ---- ---- ---- ---- ---- STATEMENTS OF INCOME DATA Service Revenue..................... $10,116 $8,604 $37,589 $28,902 $22,445 $18,131 $14,582 Gross Margin........................ 4,499 3,427 15,165 11,906 7,771 6,629 5,267 Operating expenses.................. 4,139 2,909 13,785 9,740 7,204 6,323 5,025 Operating income.................... 360 518 1,380 2,166 567 306 242 Income before income taxes and minority interest................. 317 463 1,130 1,933 534 418 208 Net income.......................... 194 368 942 1,905 495 389 248 Earnings per common share........... .08 .14(1) .37(1) .75(1) .22(1) .17(1) .11(1) Weighted average common shares 2,570 2,525 2,570 2,525 2,285 2,285 2,285 outstanding....................... MARCH 31, DECEMBER 31, ----------------- ------------------------------------ BALANCE SHEET DATA: 1996 1995 1995 1994 1993(2) ---- ---- ---- ------ ------ Working capital..................... $1,598 $878 $1,878 $2,202 $2,992 Total assets........................ 12,886 6,692 11,537 9,160 7,190 Long-term liabilities............... 1,651 1,816 1,490 1,536 642 Stockholders' equity(3)............. 4,473 4,092 4,274 4,042 4,071 - ------------------------------------
(1) The Company acquired Surgical Care Centers of Texas, L.C., a Texas limited liability company ("ASC"), on June 30, 1995 in a transaction which was accounted for as a pooling of interest. Prior to the acquisition by AMEDISYS, the individual members of ASC were responsible for all income taxes; therefore, no income tax expense was recorded through June 30, 1995. (2) Prior to December 31, 1993, the Company operated on a fiscal year end of March 31. On December 31, 1993, the Company adjusted its fiscal year end to December 31, for accounting purposes. (3) The Company has not declared or paid any dividends on its Common Stock. 12 MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS GENERAL The Company derives revenues from three sources: nursing services, outpatient surgery and physician services. Nursing services revenues are derived form fees for providing nurses incausing home health care settings and to hospitals and other medical care providers under supplemental staffing arrangements. Outpatient surgery revenues are derived from fees charged to patients and third party payors for usage of the Company's surgery centers. Physician services revenues are derived primarily from management fees charged to physician practices and clinics under agreement. Revenues are collected from Medicare, Medicaid, insurance companies, hospitals and other institutions, doctors and patients. Average turnover for the Company's receivables is approximately 70 days, with reimbursements collected from 15 to 120 days after billing. Revenues are recorded on the accrual basis on the date of service in amounts equal to the established rate or estimated cost reimbursement rates. Allowances and contractual adjustments representing the difference between established rates and estimated cost reimbursement rates are also accrued and then deducted from gross revenues to determine net service revenues. In June 1995, the Company acquired all of the membership interests in AMEDISYS Surgery Centers, L.C., formerly known as Surgical Care Centers of Texas, LLC,play a Texas limited liability company ("ASC"), in exchange for 1,000,000 shares of Company Common Stock. This transaction was accounted for as a pooling of interest, and the Company's financial statements have been restated to include the results of ASC for all periods presented. Prior to the acquisition by AMEDISYS, the individual members were responsible for all income taxes; therefore, no income tax expense was recorded through June 30, 1995. The Company's results of operations include the results of its wholly-owned and majority-owned subsidiaries, and their wholly-owned and majority-owned subsidiaries. See "Prospectus Summary." Primary components of expenses for the Company include salaries, benefits and normal operating expenses. RESULTS OF OPERATIONS THREE MONTHS ENDED MARCH 31, 1996 AND 1995. The Company's revenue increased by 17.5% during the first quarter of 1996 compared to the first quarter of 1995. This revenue growth is primarily attributable to an increase in the nursing services division which offset decreases in revenues in the physician services and outpatient surgery center operations. Gross margins increased 6.0% and general and administrative expenses increased 8.3% as a percentage of revenue due to the increase of home health care in the business mix. Home health care revenues are associated with higher general and administrative expenses proportional to revenue than supplemental staffing and the Company's other business segments because of the Medicare cost reimbursement payment system. General and administrative expenses also increased because of the addition of clinical personnel to the outpatient surgery centers and staff increases in physician services in corporate development and operations. Physician services was redesigned to a physician practice management model in the fourth quarter of 1995. Operating income as a percentage of revenue decreased by 2.6% in the first quarter of 1996 compared to the first quarter of 1995 and net income followed the same trend. All business segments were profitable in the first quarter with physician services showing the most improvement in operating income. Physician services revenue declined 10.7% for the first quarter of 1996 compared to the first quarter of 1995 due to the Company's change from an equity or ownership structure to a management model. The Company divested ownership in its existing physician practices and replaced these arrangements with management services agreements. The current contracts allow physicians to maintain control of their practices and to benefit from corporate business systems and the negotiating strength of a physician network. The Company's management agreements are also more profitable than the previous ownership model. Decrease in cost of revenue and general and administrative expenses weredynamic role. As a result, of restructuring of the physicians' agreements from an equity to a management model and this resulted 13 in higher operating income. Operating income of physician services increased to $62,000 in the first quarter of 1996 from a loss of $73,000 in the first quarter of 1995. Outpatient surgery revenue declined 8.48% for the first quarter of 1996 compared to the first quarter of 1995. This segment also experienced a 14.1% decline in operating income proportional to revenues in the first quarter of 1996 compared to that period in 1995 because revenue decreased. Reduced revenues and operating income are due to lower fees for individual cases because of discounting to managed care organizations and a greater number of Medicare and Medicaid procedures. However, the Company's strategy is to increase volume by increasing the number of participating physicians. Inservices that are provided safely and effectively in alternate sites has dramatically increased. Managed care, Medicare/Medicaid and payor reimbursement pressures continue to drive patients through the first quartercontinuum of 1996,care until they reach the surgery centerssetting where the appropriate high quality care can be provided cost effectively. Over the past several years, home care has evolved as a feasible (often preferred) alternative in the Houston area had 55 participating surgeons comparedcontinuum. In addition to 51patient comfort, substantial cost savings can be realized through treatment at home as an alternative to institutional settings. To compete in the first quarter of 1995 and the center received 22this new applicants for privileges. Net income decreased due to lower revenue and increased expenses related to a decision to improve the quality of operations by increasing clinical personnel and upgrading medical equipment. The Company believes this strategy will result in higher revenues,environment, it is critical that providers not only provide high quality, patientcost effective care, but implement clinically-based management information systems to reduce costs, improve productivity, produce and improved services to participating physicians resultinganalyze clinical outcomes data, and position themselves as partners in increased numbers of physicians utilizing the centers. Nursing services revenue increased 22.9% in the first quarter of 1996 compared to the first quarter of 1995 due to increases in home health revenue. Increases in revenue are attributable to internal and external growth. Home health care visits increased 60% from 54,000 visits in the first quarter of 1995 to 86,000 in the first quarter of 1996.risk sharing. FINANCIAL INFORMATION ABOUT INDUSTRY SEGMENTS 17 The Company acquired two local home care agencies and expanded its existing operations. Despite the increased revenues, the nursing services segment experienced a decrease in operating income from $301,000 in the first quarter of 1995 to $133,000 in the first quarter of 1996. This decrease is due to increased expenses since home health care is cost reimbursed by Medicare. Another factor in nursing services was a change in Louisiana Medicaid from a cost reimbursed system to a fee for service system. The change in the fee structure caused some losses prior to the necessary cost adjustments. The revenue mix in nursing services was also greater in home health care than supplemental staffing which affected overall income for the division due to the nature of the Medicare cost reimbursement system. YEARS ENDED DECEMBER 31, 1995 AND 1994. For the year ended December 31, 1995, the Company's revenues increased to $37,589,000 from $28,902,000 for the year ended December 31, 1994, a 30% increase. The change is primarily attributable to an increase in revenues generated by the Company's nursing services division. Increased nursing revenues were a result of expansion of home health care locations, acquisitions and internal growth in existing operations. The Company acquired two independent home health care agencies in 1995. Home health care visits increased 70% from 1994 to 1995. Gross margin as a percentage of revenue decreased slightly to 40% for 1995 from 41% for 1994. General and administrative expenses as a percentage of revenue increased by 3% for 1995 compared to 1994. The reasons for these changes in gross margin and general and administrative expense are the following: (i) an increase in home health visits by the nature of the cost reimbursement system of Medicare is accompanied by an increase in the cost of revenue, (ii) decline in the outpatient surgery revenue because of changes in the payor mix which reduced revenues for individual cases, and (iii) the expansion in physician services which required some start-up expenses before revenues were generated. Operating income decreased by $786,000 or 36% for 1995 compared to 1994. Operating income was affected by an operating losscompany operates principally in two physician clinics of $260,000, reduced margins in outpatient surgery, and increased expenses in outpatient surgery to improve the quality of care. The Company's net income of $942,000 in 1995 represented a decrease of $964,000, compared to net income for 1994. The losses were due partially to a loss of $349,000 in three of the Company's physician practices in which the Company maintained an ownership interest. Ownership interests were divested in the fourth quarter of 1995 and were replaced with management arrangements. The Company's net income was also affected by lower net revenues in the outpatient surgery segment of the business in 1995 compared to 1994. The decrease was due to changes in the payor mix with a larger percentage of fees from Medicare, Medicaid, and managed care organizations. YEARS ENDED DECEMBER 31, 1994 AND 1993. The Company's revenues increased to $28,902,000 for the year ended December 31, 1994, from $22,445,000 for the year ended December 31, 1993, a 29% increase. This increase is primarily attributable to an increase in revenues generated by the Company's nursing services division as a result 14 of expansion in home health locations and increased visits in existing regions, as well as the start-up of the primary care division. Home health care visits increased 102% from 1993 to 1994. In 1994, the Company added four new home health care locations and it acquired a home health care company in Northeast Louisiana. The Company entered the primary care market through a joint venture with a clinic in Southeast Louisiana in March 1994, and it has expanded those operations with four affiliated clinics. Although primary care services were still in a start-up phase, revenues for this division grew to $1,001,000 for 1994. Revenues from physicians are derived from physician office visits and clinical laboratory services. The Company also generates management revenues in this business sector from managing rural health clinics staffed by physicians and physician assistants. Gross margins increased by 53% to $11,906,000 for 1994 from $7,771,000 for 1993. Increased gross margins are attributable to the increase in home health care as part of the Company's business mix and changes in billing and pay rates in supplemental staffing operations, as well as the start-up of primary care. General and administrative expenses increased by 35% to $9,740,000 for 1994, compared to $7,204,000 for 1993. The Company was able to control general and administrative expenses by using internally developed resources for the expansionsegments: Provider Services (consisting of home health care and start-upoutpatient surgery) and Management Services (consisting of primary care. The Company's operating income increased by 282% to $2,166,000 in 1994 from $567,000 in 1993. Operating income was affected by start-up costs associated with opening newphysician support and home health care officesmanagement). See Note 14 of the attached audited financial statements for segment information. STRATEGY The company's business objective is to enhance its position in 1993its market areas as a leading provider of fully integrated alternate site health care services. The company views its delivery system as a "hospital without walls" and 1994its strategy to accomplish this is as follows: . Offer Patients, Physicians, Hospitals and initiationPayors a Continuum of primaryFully Integrated Care. A consistent quality of care operations. New regionsat a reasonable cost will most successfully occur when the care comes from one provider. The company's strategy to employ this concept in each of its service areas appeals to referral sources and payors, who prefer coordinating care through a single source. . Focus on selective Geographic Markets. The company is targeting selected markets in the south and southeastern United States. Through start-ups, acquisitions and expansion of existing services, the company plans to dominate these markets, to increase utilization of its services by payors and referral sources and to enhance its overall market position. The majority of states in the south and southeast have a low penetration of managed care. As the presence of managed care increases in its service area, the company believes it is well positioned to provide the broad geographic and service coverage required to contract with these payors. In addition, since many of the areas in which the company operates are rural, home health care is an ideal delivery system. . Technology and Innovation Reduce Costs and Expand Business Lines. The development of proprietary software systems not only reduces the company's costs to operate its business, but provides an additional business line for the company. Management believes Amedisys will be the first company of its kind to operate with a virtually paperless system, expected to be in use company-wide by the end of 1999. Care givers will be equipped with hand held computers which will not only create greater efficiencies, but will tie information into one centralized source. By enhancing its operations through the use of information technology, the company is positioned to not only operate more efficiently and deliver care in a more cost-efficient manner, but to compete in an environment increasingly influenced by managed care and subject to changes in reimbursement and government regulation. . Manage Costs Through Disease State Management. Payors are focusing on the management of patients who suffer from chronic disease states which represent substantial costs. Some of these major disease states include: asthma, cancer, diabetes, HIV, and congestive heart failure. The company's disease state management program includes: patient education, frequent monitoring and coordinated care from specialists. This approach has been proven to enhance quality of life and reduce the overall cost of care. . Develop Effective Synergies. Many patients require multiple services provided by the company, thereby allowing cross referrals between Amedisys divisions. This not only benefits patients, but referral sources and payors as well, by allowing them to utilize one company whom they know and trust. Finally, through the synergistic operation of its divisions, the company can realize cost savings with sales personnel who are educated to cross- sell product lines and by sharing office overhead between a number of divisions. BUSINESS DEVELOPMENT The company is committed to growth in each of its ongoing service lines, as well as developing new services such as alternate site infusion therapy. It has an active team of professionals who support business development of 18 ongoing and developing service areas. The team provides support services including market analysis; planning; research; and community, public and media relations which impact company wide and region specific budget goals. Professionals on the team also provide advertising and educational campaigns. Acquisition efforts are supported by business development professionals. A specialized acquisition group works with the presidents of the company's service lines to select and secure the best companies to meet the company's strategic goals. Members of the acquisition team include operational, financial, legal, and marketing specialists. After an acquisition is completed, the team interfaces with other specialists from human resources and management information systems to begin the integration process. At the regional levels of the company, community relations and sales professionals work with administrators and branch managers to capture additional market share and enhance growth in each region and service sector. PROVIDER SERVICES Alternate-Site Infusion Therapy Infusion therapy is the intravenous, intramuscular or subcutaneous administration of medications and nutrition. These procedures were exceeding Medicare cost limits whichonce confined to hospital environments, however, with the portability of technology and the expanded training and certification standards for registered nurses, infusion procedures can be safely performed in the home setting, physician office and ambulatory infusion suites. New therapies such as pain management and first doses are often administered in ambulatory infusion suites to address possible complications and adverse drug reactions. According to Alex Brown in their Home Care Industry Perspective report, the maximum Medicare will reimburse fortotal home infusion therapy market is approximately $5 billion or 13% of the total home health care visits. Byexpenditures, representing the fourth quarter most regions were under their cost limits. Somesecond largest growing segment of the initial costs associatedhome care industry. Beginning as a cottage industry in the 1970's, the home infusion business experienced explosive growth in the mid- 1980's. The industry became saturated in the 1990's. At that time, managed care, which now represents approximately 2/3 of revenues in this segment, began to negotiate lower pricing. This caused many companies to be driven out of business or acquired by the large national providers. As a result of questionable success in the integration of these combined companies, it appears that regional and local providers have benefitted as the larger, most visible companies continue to lose revenues and market share. Among the therapies offered by the company are: . Antibiotic therapy which is the infusion of antibiotic medications to treat various infections and diseases. . Total parenteral nutrition which is providing nutrients through catheters for patients who cannot absorb nutrients through the digestive tract due to chronic gastrointestinal conditions. This is typically a long term therapy. . Enteral nutrition which is the infusion of nutrients through a feeding tube directly into the digestive tract. This can be a long term therapy for patients who cannot eat or drink normally. . Pain management which is the administration of infusion of drugs to relieve chronic pain. . Chemotherapy which is the infusion of drugs used to treat various forms of cancer. . Hydration therapy which is the infusion of fluids to patients who have disease states which deplete their normal balance of fluids. 19 In addition, the company offers high tech respiratory therapy and home medical equipment. The company opened its first infusion office in the 4th quarter of 1997. Ambulatory Surgery Centers Ambulatory Surgery Centers offer an alternative to hospital surgical suites. The number of procedures offered in these centers has increased due to advances in technology, including the use of endoscopic procedures and laser equipment. These techniques are less invasive and require shorter recovery periods than traditional hospital services. The centers offer a high quality, cost effective benefit for insurers, as well as patients who are responsible for co-payments for their procedures. Facility fees are lower than similar hospital procedures and the atmosphere is less institutional. Physicians who operate at the centers can participate in ownership, and enjoy block scheduling and faster turnaround times, allowing them more time with startingtheir patients. The centers offer a variety of surgical services utilizing state-of-the-art technology and equipment. All are accredited by the Accreditation Association for Ambulatory Care. According to a report by SMG Marketing Group in 1997, the market share for freestanding surgery centers has increased in comparison to the outpatient surgical hospital market. Of the 32.1 million total surgical procedures performed in the nation last year, hospitals performed an estimated 24.1 million, of which 14.1 million or 58% occurred on an outpatient basis. It is projected that hospitals will perform 64% of all outpatient surgical procedures for the nation this year, a significant decrease from the 76% performed in 1990. Meanwhile, the shift in total outpatient surgical volume has increased 50% from 14.5 million cases in 1990 to 22.1 million cases in 1996. The shift is due, in large part, to technological advances which allow more procedures to be done in outpatient settings and payors seeking cost effective services for their health plans. The company operates four centers. Two of the centers are solely owned by the company and two are partnerships with physicians who utilize the facility. A fifth center in which the company has a minority interest is expected to open in March 1999. Home Health Care Nursing In 1996, home health care and primary care clinics may be recoveredservices was a $40 billion industry, growing 9- 11% annually, according to Medicare regulations on cost reporting. The Company's net income increased by 284% to $1,905,000 in 1994 from $495,000 in 1993. This increase is a result of improved margins. LIQUIDITY AND CAPITAL RESOURCES At March 31, 1996, the Company had a revolving bank line of credit of $3,500,000 bearing interest at the lender's prime rate. As of March 31, 1996, $400,000 was available under the line of credit. The line of credit is collateralized by 80% of eligible receivables in staffing and outpatient surgery and 65% in home health care. Eligible receivables are defined principally as trade accounts that are aged less than 90 days for staffing and outpatient surgery and 120 days for home health care. As of June 12, 1996, the Company's line of credit was increased to $4.5 million, with approximately $1 million available under the line as of that date. To date, the Company has no other source of external financing. The Company used $610,951 in its operating activities during the first quarter of 1996, whereas operating activities provided $483,668 during the first quarter of 1995. Net cash used in investing activities increased from $78,674 during the first quarter of 1995 to $707,978 during the first quarter of 1996. This increase is attributable to purchases of furniture, fixtures and equipment during the first quarter of 1996. The Company's financing activities provided $893,880 during the first quarter of 1996, whereas financing activities used $556,928 in the first quarter of 1995. This increase is due primarily to an increase in borrowings under the Company's line of creditAlex Brown Research and the issuanceNational Association of notes payable. At March 31, 1996, the Company had working capital of $1,598,149 and stockholders' equity of $4,473,087. The Company's ratio of total liabilities to equity at March 31, 1996 was 1.88 to 1. The Company expects to have sufficient resources from its current financing structure and sources of additional financing to achieve its goals for 1996. However, the Company's sources of external and internal financing are limited. Therefore, the Company may 15 need to obtain additional financing, either through public or private securities offerings or borrowing, in order to meet future capital requirements. In February 1996, the Company formed FutureCare, Inc., a Nevada corporation ("FutureCare"), to establish a health maintenance organization (HMO). The Company has provided $1 million in financing to FutureCare to enable it to meet the capital requirements for an HMO license in Louisiana. As of June 30, 1996, the Company had committed to advance up to $300,000 in development expenses which are expected to be reimbursed from the proceeds of a private placement offering of FutureCare stock. The Company currently owns 51% of FutureCare stock; however, upon completion of FutureCare's offering and the licensing of the HMO, the Company will exchange its shares in FutureCare for a 19% interest in an HMO subsidiary of FutureCare . See "Business-FutureCare." INFLATION The CompanyHome Care. This does not believe that inflation has had a material adverse effect on its resultsinclude an additional $9-10 billion of operations. The Company expects that any increase in costs attributable to inflation in the future would be offset by an increase in fees charged for services. SEASONALITY The demand for the Company's home health, physician and management services and outpatient surgery are not typically influenced by seasonal factors. However, the demand for supplemental staffing services typically decreases in the last quarter of the fiscal year due to the year-end cost reduction strategies utilized by many hospitals and a decreased patient census. The demand for supplemental staffing services typically increases during the first and second quarter of the year. 16 BUSINESS GENERAL AMEDISYS, INC., a Delaware corporation ("Company"), is a provider of alternative site health care and physician management services. The Company provides home health care and supplemental staffing nurses and operates outpatient surgical centers. The Company maintains 28 home health care and supplemental staffing offices in eight states, and operates two outpatient surgery centers in Texas, and is developing a surgery center in Louisiana. The Company also manages home health agencies, physician practices and rural health clinics and is the network manager of the Home Care Alliance of Louisiana. The Company operates through the following subsidiaries: AMEDISYS Staffinglow acuity or companion care. Services Inc. and AMEDISYS Nursing Services, Inc. provide supplemental staffing services; AMEDISYS Specialized Medical Services, Inc., AMEDISYS Home Health, Inc. and AMEDISYS Home Health, Inc. of Texas provide home health services; AMEDISYS Physician Services, Inc. provides management services to physician group practices and rural health clinics; and AMEDISYS Surgery Centers, L.C. operates two outpatient surgery centers in the greater Houston, Texas area. The Company's current strategy is to build a network of alternative site providers which will support networks of physicians organized in independent practice associations. Affiliations of physicians and alternative providers, including home care networks and outpatient surgery centers offer comprehensive and cost effective services to managed care organizations. These networks can provide a panel of established physicians, alternative services to hospitalization, and an existing management system designed to function efficiently in a discounted fee arrangement or capitated ("pre-paid") arrangement with a managed care organization or government agency. NURSING SERVICES HOME HEALTH CARE. Home health care is one of the fastest growing segments of the Company's business mix. Home health care visits for the Company increased 70% from 1994 to 1995. According to the Health Care Financing Administration, home health care spending in the U.S. was $26 billion in 1995 with $17 billion spentprovided in home health care include four broad categories; (1) nursing services. The annual industry growth rateand allied health services, (2) infusion therapy, (3) respiratory therapy and, (4) home medical equipment. Accounting for $28 billion in expenditures in 1997, nursing and allied services represent the largest sector of 70% of all home health care spending was 24% from 1986 to 1991 and 32% from 1992 to 1994. Home health care has growth potential as payors strive to reduce hospital stays. According to the SOCIAL SECURITY BULLETIN ANNUAL STATISTICAL SUPPLEMENT, an average day in a hospital costs $1,756 and an average skilled nursing visit in home care is $83. Even with pharmacy and home medical equipment costs added to service charges, the savings potentialservices. Medicare reimbursements account for approximately 65.2% of home care is significant. With cost containment and reduction strategies atnursing. The Balanced Budget Act of 1997 established a premium innew reimbursement system for Medicare Medicaid and private health plans, the Company expects home care to be an attractive alternative to hospital care. Due to pressure from managed care organizations to contract withnursing services for cost reporting periods beginning on or after October 1, 1997. This change will have a limited number ofsignificant effect on the home care agenciesnursing industry since Medicare is its largest payor source. The company operates 15 home care nursing offices consisting of 10 Medicare provider offices, 4 branch offices, and to select agenciesone office with geographic coverage, central intake systems of information, comprehensive services and moderate fees, consolidation and affiliation trends are emerging. These trends present acquisition and management opportunitiesstate licensure. Serving this market for the Company. The Company is continuing to buildpast 10 years, the company has built an excellent reputation, based on quality care and specialty nursing services. Because its services are comprehensive, cost-effective and can be accessed 24 hours a critical mass ofday, seven days a week, the company's home care agencies through internalnursing services are attractive to payors and external growth. The Company acquired two local agencies in 1995. In 1995, the Company also developed the Home Care Alliancephysicians. Each of Louisiana. This alliance is a consortium of independent home care agencies whichits offices are Medicare certified and accredited by the Joint Commission on Accreditation of HealthcareHealth Care Organizations ("JCAHO"). The alliance is positionedcompany provides a wide variety of home health care services including: 20 Registered nurses who provide specialty services such as infusion therapy, skilled monitoring, assessments, and patient education. Many of the company's nurses have advanced certifications. Licensed practical (vocational) nurses who perform technical procedures, administer medications and change surgical and medical dressings. Physical and occupational therapists who work to negotiatestrengthen muscles and restore range of motion and help patients to perform the activities of daily living. Speech pathologists/therapists who work to restore communication and oral skills such as swallowing. Social workers who help families work through the problems associated with managedacute and chronic illnesses. Home health aides who provide personal care organizations for discounted service feessuch as bathing or assistance in walking. MANAGEMENT SERVICES Home Health Care Management Amedisys Resource Management provides a full menu of management and capitated contracts.consulting services particularly designed to meet the needs of home health care agencies. Changing government regulations will force home health care agencies to become more efficient and information oriented. It will be critical to measure costs more accurately and operate below current cost structures. The Company serves as network manager and provides central intakecompany's services include: financial reporting systems, general agency management, quality improvement programs, receivables financing, and business systemsdevelopment. In addition, a complete management information system is available on a leased basis. This system is proprietary to Amedisys and gives the affiliated agencies. Medicare is a significant payor of home care services. The federal government has proposed changes in Medicare reimbursement which would convert the system from cost reimbursement to prospective pay. The prospective pay system allows agencies which control costs to become profitable entities. Other changes, such as allowing managed 17 care organizations to enroll Medicare patients in their networks and capitate contracts with providers, including home care agencies, will impact the home care business. In the latter case, revenues are determined by the number of patients in a network or contract rather than by patient visits. The Company has positioned itself to handle changes in the home care business by establishing systems that are necessary in the new health care environment. The Company has a proprietary software system which featuresagency a single entry system integration ofwhich integrates payroll and general ledger requirements with the general accounting measures. The software packagesystem, reports clinical data and meets Medicare guidelines for reporting, billing and collections. This division also has detailed multifaceted reporting systems which meet Medicare and private insurance guidelines. The Company currently leases its system to other agencies. The Company currently has a well established network of 12 home health care offices in Louisiana and four offices in Texas. The Company is distinguished by its specialty home careoffers consulting services and a staff dominated by RNs and professional therapists. In addition to these services, the Company expanded its product line to include private duty, psychiatric home care and additional rehabilitation services. The Company received JCAHO accreditation with commendation in 1995 which assures managed care organizations, Medicare and Medicaid, as well as physicians and patients, that the agency has met national quality standards and places the Company in a competitive position for state-wide and regional insurance, managed care and governmental contracts. HOME HEALTH CARE MANAGEMENT SERVICES. The Company offers management services to independent home care agencies through its resource management division. Management services include home health licensing, regulatory compliance, administrative support services, clinical support services, billing and reimbursement systems and proposal and bid development. SUPPLEMENTAL STAFFING. The Company has successfully provided supplemental staffing services for 11 years. The industry has undergone many changes and the Company has remained competitive by being reliable and responsive to the needs of clients. The Company distinguishes itself from its competitors in the following ways: (i) clinical managers at each office recruit nurses and manage client services, (ii) 24-hour access to staffing coordinators using computerized scheduling and information systems, (iii) rigorous orientation and screening procedures, and (iv) a proprietary software scheduling program which generates faster scheduling response time than traditional methods. The Company continues to diversify its services and client base to meet a changing health care delivery system. Ancillary personnel such as physical and occupational therapists are assigned to home care agencies and registered nurses are placed in subacute care units of long term care facilities. These units require a higher level of nursing skill than the facility typically must provide to meet government requirements. The Company also offers management of nursing pools employed by hospitals to fill temporary needs. Hospitals can gain greater efficiency and lower costs by sharing nurse resources across a hospital system or among cooperating facilities. The Company has systems which facilitate this process. The continuing trend of downsizing hospital staffs and the desire of nurses to achieve flexibility and independence offer continuing opportunities for recruiting qualified nurses for supplemental staffing. The Company believes that strong staffing companies will continue to serve needs in high census periods and in markets where hospital consolidation has peaked and core staffing levels have been reduced. The Company currently operates 12 officeseducational seminars which provide supplemental staffing. Many of these offices share resources and costs with home care services. The Company services 300 medical facilities in eight states with the largest segment in Louisiana and Texas. OUTPATIENT SURGERY Outpatient Surgery is the newest element in the Company's business mix. The Company entered the outpatient surgery market and expanded its service delivery network through the acquisition of Surgical Care Centers of Texas, L.C. in June 1995. This subsidiary operates two outpatient surgery centers in the Houston, Texas area and recently changed its name to AMEDISYS Surgery Centers, L.C. 18 The Company is currently building a new facility in Hammond, Louisiana in a joint venture with area surgeons and other physicians. The Company plans to strategically buy, build or manage surgery centers where they complement a network of physicians or Company-owned alternative services. The Company believes that this industry will grow due to advances in technology which allow more procedures to be performed in the outpatient setting. Specifically, endoscopic and laser technologies are reducing the invasive nature of certain procedures and lowering the amount of time required in surgery and post-surgical care. Pain management techniques are also a rising trend in outpatient surgery procedures. Medicare and commercial insurers are also recognizing outpatient surgery centers as a cost effective delivery system and the number of approved and reimbursed outpatient procedures have increased. As of May 1994, the U.S. Department of Health and Human Services had approved a list of approximately 2,200 procedural codes that were covered by Medicare in an ambulatory surgery setting. During 1995, industry sources estimate that nearly four million procedures were performed in surgery centers nationwide. Outpatient surgery centers have a strong appeal to physicians because of flexible operating schedules, shorter turnaround times of operating suites and a willingness to provide specialized equipment and personalized services for the physicians and the patients. According to SMG Marketing Group, independent surgery centers represented approximately 66% of all outpatient operating rooms in 1994. Through the acquisition of Surgical Care Centers of Texas, L.C., the Company gained entry into the outpatient surgery market which expanded the Company's service delivery network. In addition, outpatient surgery centers have a higher earning potential than nursing services. As the Company expands its outpatient surgery centers in Louisiana, this expansion will provide physicians participating in Company- affiliated independent practice associations an opportunity to provide services within the AMEDISYS network and have an alternative to costly hospital services. The Company believes that this feature will have a high value to physicians who want to assume some risks with capitated fees, a developing national trend. Since acquisition of the surgery centers in June 1995, managed care agreements have been negotiated with new companies in the Houston market and the Company is aggressively increasing the number and variety of surgeons utilizing the centers. The Company has also purchased new equipment and expanded hours of operation. PHYSICIAN SERVICES Physician Services consists of physician practice management services and development of independent practice associations ("IPA"). The Company believes that physician practice management companies are positioned for significant consolidation. According to the Medical Group Management Associates (MGMA), there are approximately 600,000 physicians in the U.S., and 16,500 medical groups to which 185,000 physicians belong. Less than 5% of all group practices have been acquired or are affiliated with investor owned physician practice management companies. In the Company's system, the physician can remain independent but have access to information and business systems which allow the practice to remain competitive. The physician can choose to use the Company's management services or to join an IPA developed and/or managed by the Company. Leverage in negotiating contracts with managed care organizations is a key reason physicians belong to an IPA. Negotiating strength is particularly attractive in capitated (prepaid) managed care contracts. According to MGMA, 53% of all group practices derived revenue from at-risk managed care contracts in 1994. Capitated managed care revenue rose from 13% in 1992 to an average of 20% of total medical revenues for all group practices in 1993, while at-risk discounted fee-for-service revenues held steady at 10% of total revenue. The percentage of groups that derived revenue from at-risk HMO / PPO contracts rose with group size in 1994. For large groups with 76 to 150 full-time physicians, this percentage has increased steadily since 1992. In 1994, 85% of such groups derived revenue from at-risk contracts. The Company's affiliated IPAs have a higher percentage of primary care physicians than traditional IPAs. Primary care physicians are the first access point to the managed care system. Managed care emphasizes primary care, and efficiently delivered services at an affordable cost. Providers give managed care organizations discounted fees for a volume of patients. In capitated arrangements, managed care organizations pre-pay physicians for their services with 19 a negotiated flat fee per patient in the plan regardless of the services performed. Providers, including physicians and hospitals, form integrated networks to achieve a critical mass of patients which are attractive to large managed care groups. The Company is positioning itself for continuing integration and consolidation by developing physician practice management and IPA network services to assist physicians in remaining independent but aligned in a larger entity. The differentiating feature of the Company's system is that the IPAs are linked with alternative site providers such as home health care and outpatient surgery so that a strategic alliance of cost effective services can be "bundled" in the future to accept multi-provider capitation. Such a system could deliver quality health care at a significantly lower cost. Hospital services could be included or excluded from such an arrangement. If hospital services are included it would be on a per diem arrangement. Bed days would be rented or contracted rather than owned. Since the hospital is the most expensive provider in a health care delivery system, eliminating a portion of hospital overhead would reduce costs of the total system. Specialty home care can deliver many services previously requiring hospitalization. Outpatient surgery has also expanded to provide laser and endoscopic procedures to achieve the same outcomes produced by more invasive, hospital based techniques. The Company believes that managed care organizations want to continue to reduce hospital costs. By creating networks of alternate site providers and linking them with physician networks, a "virtually integrated" health care delivery system is achieved. As the system grows and requires more technology in data collection, information systems and accounting and financial systems, these services can be developed and owned or contracted depending on cost analysis and quality control variables. A virtually integrated system can be therefore expanded with speed and less capital than those required by traditional hospital based systems. As networks are developed locally but concentrated in strategic regions, the possibility of linking a wider geographic area is created. FUTURE CARE In February 1996, the Company formed FutureCare, Inc., a Nevada corporation, to organize and operate a preferred provider network ("PPO"); provide health care services to independent health care providers, including IPAs; and to merge with and capitalize FutureCare Health Plans of Louisiana, Inc. ("Health Plans") which is expected to be licensed as a health maintenance organization ("HMO") in the state of Louisiana. Upon licensing of the HMO, Health Plans will merge with and become a 70% owned subsidiary of FutureCare. The Company currently owns 51% of FutureCare. Ownership will be reduced to 19% of Health Plans. Upon completion of an offering to capitalize FutureCare and licensing of the HMO and the merger with Health Plans, the Company's The Company owns approximately 33% of Health Plans and has provided $1 million in cash to Health Plans in order to enable it to meet the capital requirements for licensing as an HMO in the State of Louisiana. In addition the Company has committed to advance up to $300,000 in start-up expenses which are expected to be reimbursed upon completion of a private placement of FutureCare stock. FutureCare plans to enter into a management agreement with the Company whereby the Company will become the exclusive manager and administrator of non-medical services relating to the operation of the network and the network HMO. Pursuant to the management agreement, the Company will manage and administer the network's day-to-day business functions, which include, but are not limited to, assuming the responsibility for the administrative, accounting, payroll and personnel functions relating to the provision of health services by its participants on behalf of the network. Under the management agreement, the Company will also bill and collect the feeseducational units for medical services provided by network participants, maintain all files and records, negotiate and administer all contracts, and provide consulting services to network participants in connection with the procurement and administration of professional liability insurance and the employment of personnel. The Company will also assist in the implementation of appropriate marketing programs on behalf of the network. The Company will utilize a combination of the its current management information systems, management information systems to be developed and third party management information systems to fulfill its duties under its management agreement with FutureCare. These data processing systems will be designed to support customer service, health care cost management and corporate management. The systems will also be supported by custom applications that will be developed to meet the unique needs of FutureCare's expected customers and products. The Company also 20 plans to utilize an information system that will provide current statistics on operational and financial performance, utilization and other cost data, sales and revenue trends, health care cost trends and relative performance of FutureCare as compared to its competitors. FutureCare intends to develop an integrated network comprised of health care service providers such as IPAs, physicians, homecare companies, ambulatory medical centers, durable medical equipment companies and other health services organizations. The network will coordinate the delivery of health care services by such providers to employees and other persons eligible to receive covered services under the health care plans of certain employers, unions, governmental agencies, associations, and other entities in consideration of the payment of a service fee. The network will, where appropriate, also enter into agreements with certain self-insured groups and various health maintenance organizations, preferred provider organizations, insurance companies and other third parties and entities to provide a full range of health services through the network PPO and network HMO. Once the network HMO is properly capitalized and approved for operation in the State of Louisiana, network participants will be integrated into the HMO for purposes of providing multi-provider capitation to IPA's and managed care organizations and, where appropriate, prepaid health services to various purchasers of health care services. As a result of competitive pressures, the Company believes physicians and other health service providers are encountering a changing environment in which traditional private health services are being adversely affected by increasing administrative, liability and reimbursement constraints and complexities. Concerns over the accelerating costs of health care have resulted in the increasing prominence of managed care and a decline in the once traditional fee-for-service medicine. Managed care typically involves a third party (frequently, the payor) assuming responsibility for ensuring that health care is provided in a high quality, cost-effective manner. The Company believes that this recent focus on cost containment has particularly placed small to mid-sized physician groups and individual practices at a disadvantage. These practices typically lack the capital to expand, develop information systems and purchase new technologies, which often improve quality of care and reduce costs. The Company believes they also lack the cost accounting and quality management systems necessary to allow physicians or physician organizations such as IPA's to enter into sophisticated risk-sharing contracts with private third party payors. Additionally, the Company believes that small to mid-size groups and individual practices often do not have formal ties with other providers nor do they have the ability to offer a variety of medical services, thus reducing their competitive position relative to larger provider organizations. In order to remain competitive in the changing medical services environment, physicians and other providers are increasingly affiliating with larger organization which offer skilled and innovative management, access to other health services providers, payors and their enrollees, sophisticated information systems, greater capital resources and more efficient cost structures. The Company believes fully integrated networks of physicians and other health service providers provide significant advantages to patients, physicians and payors. Patients will benefit from the convenience of multiple services delivered efficiently, while physicians and other providers benefit from having supplemental management and administrative resources in a governance structure that permits them to continue to dedicate their time and efforts to the growth of their professional practices or other activities. Through the development of integrated systems and operating efficiencies, the Company believes that it will be possible to lower the cost of services provided. Consequently payors will benefit from contracting with networks of efficient providers. Further, the Company believes the formation of an integrated delivery network will afford the Company significant opportunities for cross-referrals between network participants, volume contracting with payors and their intermediaries and expanded service capabilities. The extensive managed health care provider network to be developed by FutureCare should enable it to offer a comprehensive array of managed health care plans throughout Louisiana. The network will include the network HMO, the network PPO and specialty managed care and ancillary networks, as appropriate. In establishing the network, FutureCare plans to enter into contracts with a sufficient number of qualified providers in each geographic areas to serve its members. These contracts are intended to control the cost of health care. As a result, the Company expects to reduce or eliminate the need to utilize out-of-network providers that are not subject to the Company's cost controls. 21 The FutureCare network, including the network PPO and network HMO and their planned broad service offering, should enable it to pursue growth opportunities throughout Louisiana. The Company believes that in the present Louisiana health care environment there is greater opportunity for growth of managed health care services in the individual and small employer group segment than in the large employer group marketplace, due to the lower market penetration of managed health care and the greater fragmentation in the individual and small employer group market. Competition in the market for large employer groups in Louisiana has intensified as employers have reduced personnel as well as the number of health care providers with which they contract. While total managed health care industry enrollment in Louisiana has continued to increase, the industry has been consolidating, primarily through a number of mergers and acquisitions. The Company believes that the ability to offer statewide service and a range of specialty managed care programs will allo it to achieve greater economies of scale in the prevision of more cost-effective health care services and has become a key competitive factor in attracting and retaining large employer group accounts. HEALTH CARE REFORM The federal government's initiative to reform the American health care delivery system failed in the 103rd Congress. However, the need to reduce the escalation of costs of the Medicare and Medicaid programs still exists. The outlook is uncertain about the method that will evolve to meet the need. Some states have established waiver programs which allow innovations in the administration of Medicaid programs. These programs such as TenCare in the state of Tennessee are using managed care approaches to reduce costs. Private insurance programs have also attracted Medicare enrollees in customized managed care programs. The Company anticipates that these trends will continue. BILLING AND REIMBURSEMENT Revenues generated from the Company'scompany's home health care services are paid by private insurance carriers, HMOs, PPOs,managed care organizations, individuals, Medicare, Medicaid and other local health insurance programs. MedicaidMedicare is a federally funded program available to persons with certain disabilities and persons aged 65 or older. Medicaid, a program jointly funded by federal and state governments, and other local governmental health care programs, areis designed to pay for certain health care and medical services provided to low income individuals without regard to age. Home health care management services are paid through a contractual agreement between the Companycompany and the client home health care agency oragency. The company has several statewide contracts for negotiated fees with insurers and managed care organizations. The Company writes proposals and negotiates contracts on behalf of the Home Care Alliance of Louisiana. The Company has 16 offices which are licensed to provide home health care services and accept Medicare payments. Medicare reimburses the Company for covered items and services at the lower of the Company's costs, as determined by Medicare regulations, and cost limits established by the Health Care Financing Administration. The Companycompany submits all Medicare claims to a single insurance company acting as a fiscal intermediary for the federal government. The Medicaid system in Texas follows similar reimbursement guidelines. Supplemental staffing services are billed directly to health care facilities.The state of Louisiana adopted a fee-for-service payment method in 1995. Physician management fees are collected directly from managed practices.practices and networks. Outpatient surgery fees are collected from commercial insurance systems, HMOs, PPOs,managed care organizations, Medicare and Medicaid programs.programs and individuals. MEDICARE REIMBURSEMENT REDUCTIONS AND RELATED RESTRUCTURING As of June 30, 1998, the company derived 37% of its revenues from the Medicare system. In 1997, Congress approved the Balanced Budget Act of 1997 (the "Budget Act"). The Budget Act established an interim payment system (the "IPS") that provided for the lowering of reimbursement limits for home health visits. For cost reporting periods beginning on or after October 1, 1997, Medicare- reimbursed home health agencies will have their cost limits determined as the lesser of (i) their actual costs, (ii) cost limits based on 105% of median costs of freestanding home health agencies, or (iii) an agency-specific per-patient cost limit, based on 98% of 1994 costs adjusted for inflation. The new IPS cost limits will apply to the company for the cost reporting period beginning January 1, 1998. During the three months ended December 31, 1997, various regulations and interpretations of the Budget Act were published which enabled the company to calculate the potential impact on reimbursement of the new IPS cost limits. Additionally, on March 31, 1998, the government released its final determination and definitions of the new IPS cost limits. Management's analysis, without giving effect for any cost reductions, estimated the aggregate reduction in reimbursement in 1998 to exceed $8.0 million for certain of the company's Medicare-certified nursing agencies. Management is reviewing potential cost reductions to decrease the estimated impact of the IPS. The Budget Act also provided for a 25% reduction in home oxygen reimbursement from the 1997 fee schedule effective January 1, 1998 and a further reduction of 5% effective January 1, 1999. Compounding these reductions was a freeze on consumer price index increases in oxygen reimbursement rates until the year 2003. Additionally, due to the above reimbursement changes affecting home health agencies, the company's main referral sources for its durable medical equipment business have decreased, as well as the referrals the company anticipated capturing from its existing agencies. These changes may result in a significant impact on the profitability of these services. Based upon management's determination of the expected impact of these changes in reimbursement on future cash flows, goodwill was written down by $835,000 during the three months ended December 31, 1997, as required under Statement of Financial Accounting Standard No. 121 ("SFAS 121"), "Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed of". This write-down is reflected in the accompanying consolidated statements of operations for the year ended December 31, 1997. 22 DATA PROCESSING The Companycompany maintains central computerized management information systems including payroll, billing and other administrative functions at its corporate headquarters. The information systems department has devised programs for computerized scheduling, as well as a personnel system which monitors personnel recruitment, evaluations and utilization and a tracingbenefits. The information system for monitoringalso monitors client utilization of services.data. The Companycompany has a proprietary home health care software program which features a single entry system that allows data to flow through accounting, general ledger, payroll and billing and meet the extensive cost reporting requirements for Medicare reimbursement of home health care services. 22It also provides clinical documentation for prospective pay and tracking of clinical outcome results. Each regional office site is linked electronically to the corporate accounting and information system.systems. This feature allows management to monitor daily business activities and produce management reports. The system promotes accuracy in payroll and business systems and controls the daily pay system for field nurses in staffing. QUALITY CONTROL AND IMPROVEMENT As a medical service business, the quality and reputation of the Company'scompany's personnel and operations are critical to the Company'sits success. The Companycompany has implemented quality assurance programs andas well as policies and procedures in its subsidiariesdivisions at both the corporate and regional levels. The Companycompany strives to meet guidelines set forth by the Joint Commission on Accreditation of Health Care Organizations, on an ongoing basis as well as state and federal guidelines for Medicare and Medicaid licensure. The Company's home health care offices received JCAHO accreditation with commendation in January 1995. The Companycompany maintains an active quality assurance staffimprovement team who make periodic on-site inspections of regional offices to review systems and operations. An educationeducational division is also part of quality assurance operations and conducts educational and training sessions at regional sites, as well as disseminating continuing education materials to regional offices. CORPORATE COMPLIANCE PROGRAM The company has recently begun to formalize a Corporate Compliance Program. The increasing complexity of the health care industry has driven the company to adopt a program to assure that adequate systems are in place to facilitate ethical and legal conduct. The laws and regulations affecting the industry and reimbursement policies vary among each individual payor. In additional to these regulations, the company must adhere to the guidelines established by the Office of Inspector General. Being accustomed to operating in a highly regulated environment, the company has a large number of policies, procedures, and practices designed to ensure that the activities of the employees and the company as a whole are in full compliance with relevant laws, standards, and federal reimbursement guidelines. RECRUITING AND TRAINING The Company's human resources department works with corporate and regional personnel to maintain activecompany's Human Resource Department coordinates recruiting efforts for all levels ofcorporate and field personnel. Employees are recruited through newspaper advertising, professional recruiters, the company's web page, networking and word-of-mouth referrals. The Company recruitscompany believes it is competitive in the industry and offers its employees upward mobility, health care personnel by offering competitive compensation, variety and stability in work settingsinsurance, an Employee Stock Option program, an Employee Stock Purchase Plan, a 401K plan, and a close communication network which includes frequent contacts by staffing personnel, administrators and directors. The Company offers daily pay to nurses who provide staffing services. The daily pay system allows immediate payment for services performed on a particular day or any day in the payment period. This system is a competitive recruiting and retention feature. The Company is available to nurses and ancillary personnel through a 24 hour direct communication system encompassing regional staffers and central call personnel. Most nurses are recruited by referral from active nurses within the network. The Company also places advertisements in local newspapers and in direct mail solicitations. Each office has registered nurses who act as clinical directors and many of these nurses are active in professional associations. Administrators are also active in professional and business associations. The Company has uniformcafeteria plan. Uniform procedures for screening, testing and verifying references, on field personnel, as well as utilizingincluding criminal checks where appropriate.appropriate, have been established. All nurses must have one year of experience and active RN or LPN licenses from their respective state boards of nursing. Therapists are licensed throughemployees receive a formalized orientation program, including familiarization with the appropriate authorities. Unlicenced health care personnel must present documentation of certification through a state approved program or, if acceptable to health care authorities, have evidence of prior experience in patient care in hospitals, nursing homes or home health care agencies. Medical field personnel are assigned to patient care after credentials and references are verified. Employees are oriented to the Company'scompany's policies and procedures. The Company has an in-service training program for home health aides which it believes is in compliance with government regulations. Managers and support personnel are recruited through newspaper advertising, association networking and referral. The Company offers upward mobility, good benefits including a health coverage program, 401K plan, a cafeteria plan and the challenge of working in a growth oriented company. The Company also offers a stock option plan which is administered by the Compensation Committee of the Company's Board of Directors. EducationContinuing professional education and training programs are offered through the Company's education department which is part ofAmedisys Institute, and advanced professional certifications are encouraged and often underwritten by the quality assurance division. Educational meetings are held for specific groups within the Company at which various trends and operational procedures are discussed. Employee quarterly meetings are also held and at that time senior managers give progress reports and receive input and address concerns of employees. 23company. GOVERNMENT REGULATION The Company'scompany's home health care business is highly regulated by federal, state and local authorities. Regulations and policies frequently change and the Companycompany monitors changes through trade and governmental publications and associations. Managers participate on various licensing and association boards. As a provider of services under the Medicare and Medicaid programs, the company is subject to the various "anti-fraud and abuse" laws, including the federal health care programs anti-kickback statute. This law prohibits any offer, payment, solicitation or receipt of any form of remuneration to induce the referral of business reimbursable under a federal 23 health care program or in return for the purchase, lease, order, arranging for, or recommendation of items or services covered by any such program. (Federal health care programs or any health care plans or programs that are funded by the United States (other than certain federal employee health insurance benefits) and certain state health care programs that receive federal funds under various programs, such as Medicaid.) A related law forbids the offer or transfer of any item or service for less than fair market value, or certain waivers of copayment obligations, to a beneficiary of Medicare or a state health care program that is likely to influence the beneficiary's selection of health care providers. Violations of the anti-fraud and abuse laws can result in the imposition of substantial civil and criminal penalties and, potentially, exclusion from furnishing services under any federal health care programs. In addition, the states in which the company operates generally have laws that prohibit certain direct or indirect payments or fee-splitting arrangements between health care providers where they are designed to obtain the referral of patients to a particular provider. Congress adopted legislation in 1989, known as the "Stark" Law, that generally prohibits a physician ordering clinical laboratory services for a Medicare beneficiary where the entity providing that service has a financial relationship (including direct or indirect ownership or compensation relationships) with the physician (or a member of his immediate family), and prohibits such entity from billing for or receiving reimbursement for such services, unless a specified exemption is available. Additional legislation became effective as of January 1, 1993 known as "Stark II," that extends the Stark Law prohibitions to services under state Medicaid programs, and beyond clinical laboratory services to all "designated health services," including home health services, durable medical equipment and supplies, and parenteral and enteral nutrients, equipment, and supplies. Violations of the Stark Law may also trigger civil monetary penalties and program exclusion. Pursuant to Stark II, physicians who are compensated by the company are prohibited from making referrals to the company, and the company will be prohibited from seeking reimbursement for services rendered to such patients unless an exception applies. Several of the states in which the company conducts business have also enacted statutes similar in scope and purpose to the federal fraud and abuse laws and the Stark Laws. Various federal and state laws impose criminal and civil penalties for making false claims for Medicare, Medicaid or other health care reimbursements. The Company'scompany believes that it bills for its services under such programs accurately. However, the rules governing coverage of, and reimbursements for, the company's services are complex. There can be no assurance that these rules will be interpreted in a manner consistent with the company's billing practices. In May 1995, the federal government instituted Operation Restore Trust, a health care fraud and abuse initiative focusing on nursing homes, home health care subsidiaryagencies and durable medical equipment companies located in New York, Florida, Illinois, Texas and California, the five states with the largest Medicare populations. The purpose of this initiative is certifiedto identify fraudulent and abusive practices such as billing for services not provided, providing unnecessary services and making prohibited referral payments to health care professionals. Operation Restore Trust has been responsible for significant fines, penalties and settlements. Operation Restore Trust was recently expanded to cover twelve additional states for the next two years. The program was also expanded to include reviews of psychiatric hospitals, certain independent laboratories and partial hospitalization benefits. Further, there are plans eventually to apply the program's investigation techniques in all fifty states and throughout the Medicare and Medicaid programs. One of the results of the program has been increased auditing and inspection of the records governing reimbursement and other issues. Specifically, the government plans to double the number of comprehensive home health agency audits it performs each year (from 900 to 1800) and also to increase the number of claims reviewed by 25.0% (from 200,000 to 250,000). In general, the application of these anti-fraud and abuse laws is evolving. During 1997, the home health care industry experienced several significant regulatory and reimbursement changes. In February 1997, the Health Care FinancingFinance Administration ("HCFA") announced that it intended to implement mileage limitations restricting the distance between a nursing agency's principal office and it branches. During 1998, as a result of a moratorium on new Medicare provider numbers announced by President Clinton, HCFA imposed a delay in permitting branch office transfers. 24 Congress has also recently adopted a per-beneficiary limit on reimbursement for nursing services based upon historical cost, and on March 31, 1998, published regulations which set forth the national and regional medians on which such limits will be based, but has not published regulations determining the provider specific per-beneficiary limits. The company believes that the per- beneficiary limits will have an adverse effect on the company's Medicare nursing operations. Other regulatory changes have reduced the level of reimbursement available to the company. On January 2, 1998, HCFA published final Medicare nursing per- visit cost limitation guidelines which reduce per-visit cost limitations for the company by approximately 18%-20% for 1998. Also, regulations effective February 1, 1998, eliminate venipuncture as a covered service Medicare nursing visits, which will materially reduce the company's Medicare nursing revenues. Recent other amendments affecting Medicare also require: (1) the imposition of more stringent limits on reimbursable home health care costs; (2) the establishment of a prospective payment system for home health care services to be implemented in late 1999; (3) the separation of home health care services into two distinct benefits under Medicare Part A and Medicare Part B; (4) requiring billing by location of service rather than by location of the home health care agency's headquarters; and (5) the establishment of guidelines for the frequency and duration of reimbursable home health visits. Such provisions may adversely affect reimbursement for Medicare home health services over the next several years. Recent Department of Health and Human Services ("DHHS") rule making proposals affecting the home health care industry include: (i) a rule which would revise Medicare's Conditions of Participation that home health agencies must meet in order to participate in the Medicare program, and require that all home health care agencies conduct background investigation of their employees; (ii) a rule that would require home health care agencies to use standard measurements of the quality and outcomes of patient care; and (iii) regulations that require home health agencies to obtain surety bonds in order to continue to participate in the Medicare nursing program. DHHS is expected to publish final rules in these areas. The company believes that is has the capacity to comply with changes in such rules. The company's home health care subsidiaries are certified by HCFA and are therefore eligible to receive reimbursement for services through the Medicare system. Home health care offices have licenses granted by the health authorities of respective states. Texas and Louisiana do not currently require a Certificate of Need which some states require to establish a home health care agency. Texas requires licensure and currently new licenses are being issued. In both states, each location must be licensed and service areas are determined by the state legislatures. Currently JCAHO accreditation of home health care agencies is voluntary. However, managed care organizationsManaged Care Organizations ("MCO's"), use JCAHO accreditation as a minimum standard for regional and state contracts. The Company's regional offices work with client hospitals to follow their protocol for supplemental staffing to meet the standards for JCAHO, which includes verification of licensure and/or certification. Outpatient SurgeryAmbulatory surgery centers require a Certificate of Need in some states and are regulated by state and federal guidelines. In its Physician Services division,guidelines, as well as Medicare standards. While accreditation is not mandatory, the Company manages rural health clinicsmajority of managed care companies will only contract with accredited centers. All of the company's ambulatory surgery centers have been accredited by the Accreditation Association for physician practices and rural hospitals. These clinics are regulated by federal and state guidelines and the policies of Medicare and Medicaid reimbursement systems.Ambulatory Health Care ("AAAHC"). The Company meets all of these guidelines. The Companycompany strives to comply with all federal, state and local regulations and has satisfactorily passed all federal and state inspections and surveys. 24The ability of the company to operate properly will depend on the company's ability to comply with all applicable healthcare regulations. COMPETITION 25 The competition for the Company's nursingcompany's services consists of national and local providers. According to Marion Merrill Dow 1995 Institutional Digest, theare provided by a number of home health care agencies in the U.S. rose by 16% from 1993 to 1994. Home care agency chains accounted for 31.6% of all home health care agencies in 1994. The Company believes it can compete and increase market share by establishing strong statewide networks of offices, aligning with other independent home health care agencies in networks to increase service areas, offering comprehensive services with central intake features and continuing to meet quality standards defined by JCAHO. Another key component in attracting market share is loyalty in referring physicians. The Company currently has 1,500 physicians in its referral base. The Company has also invested in software development which can produce utilization and data reports desired by government and commercial insurance companies. These steps will put the Company in a position to secure primary or preferred provider contracts with statewide managed care organizations and maintain a strong Medicare patient population. The Company's market niche of providing the latest technology and pharmacology at home attracts a large referral network of primary care and specialist physicians. Patients are referred by physicians and/or insurers. The Company provides skilled nursing care that includes antibiotic therapy through intravenous infusion, administration of oncology medication, care of children with congenital anomalies and care of HIV and AIDS patients. Physicians recognize that the skill of the Company's nurses and technology allow the Company to provide alternative services to hospital care. These services are reimbursed at a higher rate by payor sources than general home health care of a maintenance or custodial nature. The Company has been in the supplemental staffing market for 11 years and established a reputation for quality of personnel, reliability and responsiveness. Attention to reducing and monitoring costs of operations while maintaining competitive pay for nurses, therapists and other field staff personnel have enabled the Company to maintain and/or grow market share. A volume based incentive system for regional administrators and managers also spurs growth in revenue and encourages personnel to identify new service niches. The Company's staffing services also compete with hospital per diem staffing pools. In markets where hospitals share system-wide services and have a need for a shared employee program, the Company has a management program it can offer. The program offers a hospital staffing pool, computerized scheduling, experienced staffing coordinators, 24-hour access to pool nurses and staffing personnel, as well as personnel screening systems. The outpatient surgery segment of the Company's business competes with hospital facilities in its geographical area. The Company believes its centers have well established physician referral sources and operating physicians. The centers offer flexibility in scheduling, good turnaround times in surgical suites, personalized service and access to technology. The Company has been aggressive in seeking contracts with managed care organizations. Since managed care organizations can replace traditional referral patterns with their own provider networks, the Company's outpatient surgery centers can protect and build market share by being a provider in the managed care networks. The centers have also been seeking a wider variety of specialists to perform procedures to increase surgery cases to compensate for some reductions in per case reimbursements by managed care organizations. In the physician practice management and IPA industries, the Company competes withlocal, regional and national companies.companies and are highly competitive. Unlike the company, many of these competitors do not offer the continuum of care and/or do not have the geographical coverage to secure contracts with many of the payors. Home health care providers compete for referrals based primarily on scope and quality of services, geographic coverage, pricing, and outcomes data. The industrycompany believes its favorable competitive position is newattributable to its reputation for nearly two decades of consistent, high quality care; its broad menu of services; its state-of-the-art information management systems; and growing rapidly as physicians position their practicesits widespread service network. SEASONALITY The demand for the changes in health care. The Company believes that it can effectively develop market share because it is building its networks on alternative site providercompany's services and networks. The system is "physician friendly" and keeps the physician in control of their practice while offering a network of services which are alternatives to hospital procedures. The physician also gains negotiating leverage and is relieved of some of the cumbersome business operations required in the current medical business environment. 25 BUSINESS DEVELOPMENT The Company is committed to growth in each of its service segments. The Company has a development team which seeks acquisitions and start-up opportunities in home health care, staffing, physician management and network services, and outpatient surgery. Members of the team consist of product line presidents and consultants. The business development department has driven internal growthnot typically influenced by developing a comprehensive program to support business development of ongoing business operations. A consistent corporate identity is maintained and has been facilitated by the Company adopting the AMEDISYS name in the parent company and its subsidiaries. All sales and educational materials are created in the home office. Business development personnel assist regional personnel in developing advertising and educational campaigns and recruiting activities. Business development tools, including specialized presentation materials, customer service programs and client satisfaction surveys are also developed in the home office and implemented regionally. The home office assists regional managers in developing a business development plan and results of development efforts are monitored on a daily and weekly basis with a computerized information system. Identifying new market niches by working with corporate and regional operational managers is an ongoing process. Regional efforts of administrators and managers are supported by community relations' directors and client service coordinators as well as staffing coordinators.seasonal factors. EMPLOYEES As of March 31, 1996,June 30, 1998, the Companycompany had 413 full timeapproximately 615 full-time employees, excluding part time field nurses and other professionals in the field. Full time employees include 6 in administration, 62 with12 Administrative Group Members consisting of product line presidents and operational responsibilities includingsupport personnel. The balance of the full time employees include regional administrators, branch managers, general branch managers, business development personnel, clerical support staff, clinical field staff, information systems personnel, and directors, 300 staff nursesaccounting personnel. All management and other allied health professionals and 45 staffing coordinators and clerical employees. Administrators and corporate managersbusiness development personnel are salaried. Regional administrators and managers receive a salary andThe company complies with the Fair Labor Standards Act in establishing compensation methods for its employees. Select positions within the company are entitleddeemed to an incentive programbe bonus eligible based on budgeted revenuethe achievement of pre-determined budget criteria. The company sponsors and earningscontributes toward the cost of the region. Staffing coordinators and clerical staff are paid hourly wages. Employees are paid semi-monthly. The Company contributes to a group health insurance program for eachits eligible employeeemployees and their dependents. The group health insurance program is self-funded by the company; however, there is an aggregate stop loss policy in place to limit the liability for the company. The company also provides a group term life insurance policy and a long term disability policy for eligible employees. In addition, the company offers a 401K retirement plan as well as a cafeteria 125 plan.and encourages all of its eligible employees to participate. The Companycompany has a stock optionCafeteria 125 plan in place and stock options are granted by the Compensation Committee of the Board of Directors. Supplemental staffing nurses are paid on a contractual shift basis. Home health care employees who are field staff may be paid on an hourly or per-visit basis.as well. The Companycompany believes its employee relations are good. It successfully recruits employees and many of its employees are shareholders. INSURANCE The Companycompany maintains casualty coverages for all of its operations, including professional and general liability, workers' compensation, automobile, property, and fiduciary liability. The insurance program is reviewed periodically throughout the year and thoroughly on an employee committeeannual basis to insure adequate coverage is in place. The company is approved through the State of elected representatives of each department and division of the Company. The employee committee meets monthly and makes recommendationsLouisiana to the Company's administrative group. It also elects an employee for a recognition award for outstanding accomplishmentsself-insure its workers' compensation program. All other states are covered on a monthly basis. INSURANCE The Company maintains casualty coverage on its corporate and regional operations, including general and professional liability insurance and automobile insurance. Management believes that the limits of coverage carried by the Company are adequate for its operations. The Company maintains a self funded workers' compensation fund in Louisiana. In all other states where it conducts business, the Company maintains workers' compensation coverage with "A"fully insured basis through "A+" rated insurers. All of the Company'scompany's employees are bonded. 26 PROPERTIES The Companycompany is self-insured for its employee health benefits. PROPERTY The company presently leases approximately 21,00023,850 square feet for its executive officescorporate office located at 3029 South Sherwood Forest Boulevard, Baton Rouge, Louisiana. The lease provides for a basic monthly rental rate of approximately $11 per square foot and expiresthrough the expiration date on October 31, 1997, with a five year option to renew at the same rate.September 30, 2002. The Companycompany has an aggregate of 42,500109,257 square feet of leased space for regional offices pursuant to leases which expire between March 1996November 1998 and September 2006.August 2005. Rental rates for these regional offices range from $9 per square foot to $22 per 26 square foot with an average of $11$13 per square foot.foot, which terms and rates the company believes to reflect market values. Some lease rates include utilities. The Companycompany believes its facilities to be adequate for its current needs. The Company acquired two outpatientcompany presently operates four ambulatory surgery centers, three located in the Houston, Texas areaand one in connection with the acquisition of Surgical Care Centers of Texas, L.C. on June 30, 1995.Louisiana. These centers haveoccupy an aggregate of 20,00047,304 square feet. Of the total square footage 8,000occupied by ambulatory surgery centers, 35,304 square feet are leased, and the restbalance is owned. The spacecompany believes the terms and lease rates reflect current market values. Space in the ambulatory surgery centers encompasses seven surgeryfifteen surgical suites, pre-op and post-oppost- op areas, business offices, and consultation, and waiting areas. The outpatientambulatory surgery centers are equipped with modern technology and equipment forto perform surgery, lablaboratory studies and limited diagnostic testing equipment.testing. Construction has recently begun on a fifth surgery center located in Lafayette, LA, with a projected opening of March, 1999. The following is a list of the company's offices. Unless otherwise indicated, the company has one office in each city. FLORIDA (1) MISSISSIPPI (1) TEXAS (9) St. Petersburg Jackson Austin Dallas (2) LOUISIANA (16) Houston(2) Alexandria Longview Baton Rouge (4) NORTH CAROLINA (1) Nederland Covington Morrisville Pasadena Hammond (2) San Antonio Harahan Lafayette OKLAHOMA (7) TENNESSEE (1) Lake Charles Ada LaPlace Gore Bristol Metairie Oklahoma City (2) Monroe Stilwell SOUTH CAROLINA (1) Prairieville Tahlequah Columbia Shreveport Tulsa LEGAL PROCEEDINGS From time to time, the Companycompany and its subsidiaries are defendants to lawsuits arising in the ordinary course of the Company'scompany's business. While the outcome of these lawsuits cannot be predicted with certainty, management believes that the resolution of these matters will not have a material adverse effect on the Company'scompany's financial condition or results of operations. In connection withMARKET FOR REGISTRANT'S COMMON STOCK AND RELATED STOCKHOLDER MATTERS From August 1994 through August 1997, the acquisitioncompany's common stock traded on the Nasdaq Small Cap Market. From August 1997 until September 1998, the company has been traded on the Nasdaq National Market. On September 28, 1998, the company was notified by Nasdaq that its common stock would be traded on the OTC Electronic Bulletin Board under the symbol AMED. The company's common stock previously traded on the Nasdaq National Market, however, it failed the net tangible asset requirement and was de-listed. The market for the company's common stock is highly illiquid, sporadic and volatile. 27 As of October 22, 1998, there were approximately 147 holders of record of the company's common stock and the company believes there are approximately 980 beneficial holders. The company has not paid any dividends on its common stock, and expects to retain any future earnings for use in its business development. The following table provides the high and low prices of the company's common stock during 1996 and 1997 and the first two quarters of 1998 as quoted by Nasdaq. Such quotations reflect inter-dealer prices, without retail mark up, mark down or commission, and may not represent actual transactions.
HIGH LOW ---- --- 4/th/ Quarter 1996 8 1/2 4 1/2 1/st/ Quarter 1997 7 7/8 4 3/8 2/nd/ Quarter 1997 7 1/4 4 5/8 3/rd/ Quarter 1997 7 1/4 4 5/16 4/th/ Quarter 1997 7 4 5/16 1/st/ Quarter 1998 5 3/16 3 13/16 2/nd/ Quarter 1998 4 1/2 3 13/16
SELECTED FINANCIAL DATA The following table sets forth certain historical data relating to the company. For the years of 1994, 1995, 1996, and 1997, the data was derived from audited consolidated financial statements. Data for the year of 1993 is unaudited, but in the opinion of management, presents fairly the financial condition and results of operations for this period. SELECTED HISTORICAL STATEMENT OF INCOME DATA (IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
1997 1996 1995/(1)/ 1994/(1)/ 1993/(1)/ ---------- ---------- ---------- ---------- (UNAUDITED) Net Service Revenue........ $ 54,496 $ 46,060 $ 37,589 $ 28,902 $ 22,445 Cost of Service Revenue.... 30,641 26,405 22,424 16,996 14,674 ---------- ---------- ---------- ---------- ---------- Gross Margin............... 23,855 19,655 15,165 11,906 7,771 General/Administrative Expenses.................. 24,443 18,511 13,785 9,740 7,204 ---------- ---------- ---------- ---------- ---------- Operating Income (Loss).................... (588) 1,144 1,380 2,166 567 Other Income and Expense................... (753) (1,123) (238) (248) (33) Income Tax Expense (Benefit)................. (382) 3 200 13 39 ---------- ---------- ---------- ---------- ---------- Income (Loss) before
28
Cumulative Effect of Change in Account Principle................. (959) 18 942 1,905 495 Cumulative Effect of Change in Accounting Principle................. (235) -- -- -- -- ---------- ---------- ---------- ---------- ---------- Net Income (Loss).......... $ (1,194) $ 18 $ 942 $ 1,905 $ 495 ========== ========== ========== ========== ========== Earnings (Loss) per Common Share.............. $(0.43) $0.01 $0.37 $0.75 $0.22 ========== ========== ========== ========== ========== Weighted Average Common Shares Outstanding................ 2,735,000 2,575,000 2,570,000 2,525,000 2,285,000 ========== ========== ========== ========== ==========
PROFORMA INFORMATION (UNAUDITED)/(1)/
1997 1996 1995/(1)/ 1994/(1)/ 1993/(1)/ --------- ------ ---------- ---------- ---------- Net Income (Loss) (Historical)............ $(1,194) $ 18 $ 942 $ 1,905 $ 495 Proforma Adjustments: Income Taxes on SCC Results................. -- -- 191 646 155 ------- ----- ---------- ---------- ---------- Proforma Net Income (Loss).................. $(1,194) $ 18 $ 751 $ 1,259 $ 340 ======= ===== ========== ========== ========== Proforma Earnings (Loss)/Common Share... $ (0.43) $0.01 $ 0.29 $ 0.50 $ 0.15 ======= ===== ========== ========== ==========
29 BALANCE SHEET DATA
1997 1996 1995/(1)/ 1994/(1)/ 1993/(1)/ ------- ------- --------- --------- (UNAUDITED) Total Assets........ $22,870 $16,858 $ 11,537 $ 9,160 $ 7,190 Total Long-term Obligations........ $ 3,129 $ 3,223 $ 1,490 $ 1,537 $ 642 Total Convertible Preferred Stock.... $ 1 $ $ $ $ -- -- -- --
- --------------------------- (1) Surgical Care Centers of Texas, L.C.LC ("SCC"), Mr. Glenn D. Rodriguez,acquired on June 30, 1995, was a limited liability company. Prior to the then presidenttransaction with Amedisys, the individual owners were responsible for all income taxes and no income tax expense was recorded on SCC through June, 30, 1995. SUPPLEMENTARY FINANCIAL INFORMATION Inapplicable. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following discussion should be read in conjunction with the financial statements and notes thereto included elsewhere herein. GENERAL The company is a fully integrated provider of SCCoutpatient health services and operates in two basic industry segments: alternate-site provider services and management services operations. The company's alternate-site provider segment includes the following services: alternate-site infusion therapy, ambulatory surgery centers and home health care nursing. Its management services operations encompass: home health care management, software systems, and physician support services. Gross revenue is recorded on an accrual basis based upon the date of service at amounts equal to the company's established rates or estimated cost reimbursement rates, as applicable. Allowances and contractual adjustments representing the difference between the established rates and the amounts estimated to be payable by third parties are also recorded on an accrual basis and deducted from gross revenue to determine net service revenues. Reimbursement for home health care nursing services to patients covered by the Medicare program is based on cost reimbursement rates. Final reimbursement is determined after submission of annual cost reports and audits thereof by the fiscal intermediaries. Effective October 1, 1997, home health cost limits were reduced and per beneficiary limits were established which may serve to reduce payments to home health care nursing providers in the future. Additional proposed regulations are expected to change the payment methodology for home health care nursing providers to Medicare patients from a cost based reimbursement system to a prospective payment system in the future. Based upon management's determination of the expected impact of these changes in reimbursement on future cash flows, goodwill was terminated.written down by $835,000 during the three months ended December 31, 1997, as 30 required under Statement of Financial Accounting Standard No. 121 ("SFAS 121"), "Accounting for the Impairment of Long-lived Assets and for Long-lived Assets to Be Disposed Of." This write-down is reflected in the accompanying consolidated statements of operations. During the fourth quarter of 1997, the company also changed its accounting policy relating to start-up costs. Prior to this change, costs incurred to establish regional offices prior to beginning services were capitalized as other assets and amortized over a five-year period based on accepted industry practice and applicable Medicare regulations. Provisions of a proposed statement of position ("SOP") expected to be issued by the American Institute of Certified Public Accountants ("AICPA") in the second quarter of 1998 will require the write-off of any start-up costs remaining on the balance sheet and expensing of all start-up costs incurred in the future. The company chose to expense such costs in 1997 to more properly reflect these costs as ongoing costs of expanding the company's services. RESULTS OF OPERATIONS The following table sets forth, for the periods indicated, certain items included in the company's consolidated statements of operations as a percentage of net revenues:
YEARS ENDED DECEMBER 31, 1995 1996 1997 Net services revenues..................................... 100.00% 100.00% 100.00% Costs of service revenues................................. 56.23 57.33 59.66 ------ ------ ------ Gross margin.............................................. 43.77 42.67 40.34 General and administrative expenses: Salaries and benefits................................... 23.21 22.42 17.91 Other................................................... 21.64 17.77 18.76 ------ ------ ------ Total general and administrative expenses................. 44.85 40.19 36.67 Operating Income (Loss)................................... (1.08) 2.48 3.67 Other Income and expense.................................. (1.38) (2.43) (0.63) ------ ------ ------ Net income (loss) before taxes and cumulative effect of change in accounting principle........................... (2.46) 0.05 3.04 Income tax expense (benefit).............................. (0.70) 0.01 0.53 ------ ------ ------ Net income (loss) before cumulative effect of change in accounting principle..................................... (1.76) 0.04 2.51 Cumulative effect of change in accounting principle..................................... (0.43) -- -- ------ ------ ------
YEARS ENDED DECEMBER 31, 1997 AND 1996 Net Service Revenues For the year ended December 31, 1997 and the year ended December 31, 1996, the company's revenues increased to $54,496,000 from $46,060,000, an 18% increase. This change is primarily attributable to increased revenues in the management services line. 31 Provider services net revenues increased to $32,104,000 in 1997 from $30,126,000 in 1996, an increase of 7%. The increase is primarily attributed to continued growth in home health care nursing as well as a full year of operations for St. Luke's SurgiCenter. Home medical equipment was added as a product line in August 1997 with revenues of $465,000. Management services net revenues increased to $22,392,000 in 1997 from $15,934,000 in 1996, an increase of 41%. This increase is primarily attributed to growth in staffing/professional services and home health care management. Staffing/professional services revenues increased by 38% to $17,292,000 in 1997 from $12,538,000 in 1996. The increase in staffing services is attributed to placement of private duty nursing, as well as the stabilization of hospital consolidations in the markets the company services. Home health care management revenues increased due to agencies seeking solutions to the expected changes in Medicare reimbursement. Cost of Service Revenues Cost of service revenues include all costs directly associated with the generation of net revenues, including salaries and employee benefits and medical supply costs. In September1997, cost of service revenues increased 16% to $30,641,000 from $26,405,000 in 1996. As a percentage of net service revenues, cost of service revenues decreased from 57% in 1996 to 56% in 1997. This decrease is primarily a result of increased revenues in the home care management and outpatient surgery divisions, which have lower direct costs. General and Administrative Expenses General and administrative expenses increased to $24,443,000 or 45% of revenue in 1997 compared to $18,511,000 or 40% of revenue in 1996. This increase is attributed to writeoff of previously recorded goodwill, increased expenses resulting from the growth in the outpatient surgery division as well as increased overhead expenses resulting from the development of the infusion therapy division. Start-up costs related to the development of this new division of $299,000 were expensed as incurred. The company also developed an Employee Stock Ownership Plan (ESOP) for the home health care division with accrued contributions of $721,000 for 1997. Other Income/Expense Other income/expense decreased from ($1,178,000) in 1996 to ($962,000) in 1997. This decrease is primarily attributed to a one-time charge to earnings in 1996 of $623,000 related to merger discussions with Complete Management, Inc. ("CMI"), offset by additional interest expense incurred in 1997. Net Income (Loss) Net loss for 1997 was ($1,194,000) or ($0.43) per share as compared to net income of $18,000 or $.01 per share for 1996. YEARS ENDED DECEMBER 31, 1996 AND 1995 Mr. Rodriguez initiatedNet Service Revenues For the year ended December 31, 1996 and the year ended December 31, 1995, the company's revenues increased to $46,060,000 from $37,589,000, a lawsuit filed23% increase. This change is primarily attributable to increased revenues in Harris County, Texas, namingthe provider services line. Provider services net revenues increased to $30,126,000 in 1996 from $21,232,000 in 1995, an increase of 42%. This increase is primarily attributed to continued expansion of home health care nursing and growth in 32 outpatient surgery. Home health care nursing increased 46% from $17,892,000 in 1995 to $26,057,000 in 1996. This increase resulted from expanding market share in existing offices, opening branch offices, and increasing the scope of services and the physician referral base. Management services net revenues decreased to $15,934,000 in 1996 from $16,357,000 in 1995, a decrease of 3%. This decrease is mainly attributable to changes in the staffing/professional services division where revenues were $12,538,000 in 1996 compared to $13,774,000 in 1995, a 9% decrease. The majority of this decrease is the result of hospitals utilizing internal staffing pools. Cost of Service Revenues Cost of service revenues increased 18% to $26,405,000 in 1996 from $22,424,000 in 1995. As a percentage of net revenues, cost of service revenues decreased from 60% in 1995 to 57% in 1996. This decrease is primarily attributed to significant growth in the home health care nursing and outpatient surgery divisions, which have lower direct costs. General and Administrative Expenses General and administrative expenses increased to $18,511,000 or 40% of revenue in 1996 compared to $13,785,000 or 37% of revenue in 1995. The increase is attributable to the expansion of the outpatient surgery division and increased revenues in the home health care nursing division. As revenues increased in the home health care nursing division, expenses also increased due to the cost reimbursement method of home health care payments from the Medicare system. General and administrative expenses also increased due to the addition of three senior managers and additional personnel to enhance the information system. Other Income/Expense Other income/expense increased to ($1,178,000) in 1996 from ($250,000) in 1995, a 371% increase. This increase is mainly attributable to a one-time charge to earnings of $623,000. The charge was taken as defendants William F. Borne,a result of merger discussions with CMI, a New York based provider of physician practice management services. During discussions with the Companymanagement of CMI, company management decided to write off certain investments. These investments consisted primarily of advances made to develop a proposed managed care organization and Surgicare alleging wrongful terminationcertain non-operating equipment believed to have no realizable value to future operations. The discussions with CMI began with a signed letter of intent in October 1996 and slander, seeking monetary damages.were terminated in March 1997 because the companies could not agree on terms. Net Income Net income decreased to $18,000 or $.01 per share for 1996 from $942,000 or $.37 per share in 1995 mainly attributable to the one-time charge to earnings of $623,000. LIQUIDITY AND CAPITAL RESOURCES The Company deniescompany's current capital resources are sufficient to fund current operations for the plaintiff's allegationsforeseeable future. However, the company's business strategy is to pursue the acquisition of complimentary business and plansexpand current operations which would increase its capital requirements. The timing, size and success of the company's acquisition and expansion efforts and the associated capital commitments cannot be readily predicted. The company currently intends to vigorously defendfinance future acquisitions by using shares of its common stock for a portion of the lawsuit. Discovery hasconsideration to be paid. In the event that the common stock does not commenced andmaintain a sufficient market value, or potential acquisition candidates are otherwise unwilling to accept common stock as part of the consideration for the sale of their businesses, the company may be required to utilize more of its cash resources. If the company does not have sufficient cash resources, its growth could be limited unless it is able to obtain additional equity or debt 33 financing. Except for current lines of credit, the company has no firm commitment for additional financings or borrowings. At December 31, 1997, the company had revolving bank lines of credit of $5,500,000 and $750,000 bearing interest at bank prime plus 1.5% and bank prime plus 1%, respectively. Subsequent to year end, the $5,500,000 line of credit was increased to $7,500,000 for 120 days. At December 31, 1997, approximately $440,000 was unused under these lines of credit. These lines of credit are collateralized by 80% of eligible receivables in the staffing and outpatient surgery divisions and 75% in the home health care nursing division. Eligible receivables are defined principally as trade accounts that are aged less than 90 days for the staffing and outpatient surgery divisions and 120 days for the home health care nursing division. The line of credit is subject to certain covenants, including a monthly borrowing base, a debt service coverage ratio, and a leverage ratio. The company was not possiblein compliance with the debt service coverage ratio requirement at December 31, 1997, which default was waived by the bank through June 30, 1998. The company was not in compliance with the leverage ratio covenant at December 31, 1996, which default was waived by the bank. The loan agreement was subsequently amended to predictincrease the ultimate outcomeleverage ratio requirement from 2.5 to 1 to 3.0 to 1, which the company complied with as of December 31, 1996. Net cash used by operating activities decreased from ($1,937,000) in the year ended December 31,1996 to ($141,000) in the year ended December 31,1997. The change was due to certain cash amounts related to the statutory requirements of FutureCare being restricted at December 31, 1996 and unrestricted at December 31, 1997 when petition for dissolution had been filed. Net cash used in investing activities decreased from ($2,713,000) in the year ended December 31, 1996 to ($1,241,000) in the year ended December 31, 1997. This decrease is attributed to a decrease in the fixed asset acquisitions in the current period. Net cash provided by financing activities increased from $3,883,000 in the year ended December 31, 1996 to $5,349,000 in the year ended December 31, 1997. This increase is primarily attributed to a private placement of 400,000 shares of $.001 par value convertible preferred stock pursuant to Regulation D of the lawsuitSecurities Act of 1933 at $10 per share for gross proceeds of $4 million. At December 31, 1997, the company had working capital of $3,137,000 and whatstockholders equity of $8,274,000. The company's ratio of total liabilities to equity at December 31, 1997 was 1.8 to 1.0. INFLATION The company does not believe that inflation has had a material effect on its results of operations for the twelve months ended December 31, 1997. The company expects that any increase in costs attributable to inflation in the future would be offset by an increase in fees charged for services. YEAR 2000 COMPLIANCE ISSUES The company is currently evaluating its entire operation as a result of potential problems associated with Year 2000. A task force has been established within the company to evaluate all areas for compliance issues and develop correction plans if necessary. Some internal areas and processes being evaluated include initial charge entry through billing and collections; accounts payable invoice receipt through processing and payment; bank processing of receipts and disbursements; computer hardware and software functionality; and time and/or date-sensitive office and medical equipment functionality. At present, the company does not anticipate any material disruption in its operations or significant costs to be incurred to attain compliance. There can be no assurance, however, that the company will identify or adequately assess all aspects of the business that may be affected. Due to this uncertainty, a contingency plan will be developed as each area is evaluated to minimize any negative impact ifto the company. The company is in the process of soliciting information concerning the Year 2000 compliance status of its payors (including the Medicare and Medicaid governmental programs), suppliers, and customers. In the event that any its resolution willof the company's significant payors, suppliers, or customers do not successfully and timely achieve Year 2000 compliance, the company's business and/or operations could be adversely affected. 34 RECENT ACCOUNTING PRONOUNCEMENTS In 1997, the Emerging Issues Task Force ("EITF") of the Financial Accounting Standards Board ("FASB") reached a consensus on Issue 97-2, "Application of FASB Statement No. 94 and APB Opinion No. 16 to Physician Practice Management Entities and Certain Other Entities with Contractual Management Arrangements." The guidance in Issue 97-2 applies to contractual management relationships between physician practices in which the management entity does not own a majority of the outstanding voting equity instruments of the physician practice. The guidance in the issue is effective for the year ended December 31, 1998 for arrangements existing at November 20, 1997 and immediately for transactions occurring after November 20, 1997, and is not expected to have any material impact on the Company'scompany's financial position or results of operations. 27 MANAGEMENTstatements. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS None. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK Inapplicable. DIRECTORS AND EXECUTIVE OFFICERS AND DIRECTORS The executive officers and directors of the Companycompany are as follows: NAME AGE POSITION ----Name Age Capacity - ---------------------- --- -------- William F. Borne 3840 Chief Executive Officer andRonald A. LaBorde 41 Director Promod K. Seth 45Jake L. Netterville 60 Director David R. Pitts 58 Director Peter F. Ricchiuti 41 Director James P. Cefaratti 55 President, Chief Operating Officer and Secretary Mitchel G. Morel 3638 Chief Financial Officer Irvin T. Gregory 58Cindy L. Doll 37 Vice President Outpatient Surgery and Director Lynn S. Bernhard 39of Human Resources Larry R. Graham 32 Senior Vice President Nursing Services Barbara C. Carey 49 Secretary/Treasurerof Operations Michael D. Lutgring 28 General Counsel 35 Joann B. Rushing 47 Executive Vice President - ---------------- William M. Hession 44 Director Dr. Karl A. LeBlanc 43 Director Dr. Alan J. Ostrowe 55 Director Dr. Boris L. Payan 63 Director WILLIAM F. BORNEBorne founded the Companycompany in 1982 and has served as chief executive officer and a director since that time. In 1988, Mr. Borne was an intensive care supervisor for Keyalso founded and served as president and chief executive officer of Amedisys Specialized Medical Services, Inc. until June 1993. Mr. Borne also founded and served as chief executive officer of Amedisys Staffing Services, Inc. and Amedisys Nursing Corporation from June 1982 to July 1983 andServices, Inc. Ronald A. LaBorde has been a director of nursing at West St. James Hospital in Vacherie, Louisiana from 1980 to 1983.the company since 1997. Since 1995, Mr. Borne is a registered nurse who worked clinically in specialty and medical-surgical areas with supplemental staffing agencies in New Orleans from 1979 to 1980. Mr. Borne is a graduate of the Charity Hospital School of Nursing. PROMOD K. SETHLaBorde has served as the president and chief operatingexecutive officer of Piccadilly Cafeterias, Inc. Mr. LaBorde has been a member of the Piccadilly Cafeterias, Inc. board of directors since December 1995. From1992. Prior to 1995, Mr. LaBorde held various executive positions with Piccadilly Cafeterias, Inc. including executive vice president and chief financial officer from 1992 to 1996, he was an independent consultant1995, executive vice president, corporate secretary and investment advisor and,controller, from 19911986 to 1992 he was regional administratorand vice president and assistant controller from 1982 to 1986. Mr. LaBorde is a certified public accountant. Jake L. Netterville has been a director of Devereaux, Inc. From 1989 to 1991,the company since 1997. Mr. Seth wasNetterville is the managing director of Postlethwaite & Netterville, A Professional Accounting Corporation, one of the largest privately held accounting firms in Louisiana. Mr. Netterville has held that position since 1977. Mr. Netterville is a consultant to Methodist HospitalCertified Public Accountant and has served as chairman of the board of the American Institute of CPAs, the highest national office in Houston, Texas.the accounting profession. Mr. Seth received an M.S. degreeNetterville is a permanent member of the American Institute of CPAs' Governing Council. Mr. Netterville serves as a member of the board of directors of the Wall Street Deli, a Nasdaq listed company, and Catalyst Vidalia Corporation. Mr. Netterville holds a B.S. in physics from Delhi University in Delhi, India and an M.B.A.accounting from Louisiana State University. HeDavid R. Pitts has been a director of the company since 1997. Mr. Pitts is licensedthe president and chief executive officer of Pitts Management Associates, Inc., a national hospital and healthcare consulting firm. Mr. Pitts has over thirty- five years' experience in hospital operations, healthcare planning and multi- institutional organization, and has served in executive capacities in a number of hospitals, multi-hospital systems, and medical schools. Since 1984, Mr. Pitts has served as president and chief executive officer of HSLI, Inc., a company managing self-insured trusts and providing insurance consulting services to corporations. Mr. Pitts serves as a CPAdirector of Union Planters Bank of Louisiana. Mr. Pitts holds a B.S. degree in management and economics at Ohio State University and Masters degrees in both hospital administration and public administration at the University of Minnesota. Peter F. Ricchiuti has been a director of the company since 1997. Mr. Ricchiuti has been Assistant Dean and Director of Research at Tulane University's A.B. Freeman School of Business since 1993, and an adjunct professor of finance at Tulane since 1986. From 1993 to 1996, Mr. Ricchiuti was the assistant dean and director of Career Development and Placement at the A.B. Freeman School of Business at Tulane. From 1988 to 1993 Mr. Ricchiuti was assistant state treasurer and chief investment officer for the Department of the Treasury, State of Louisiana. Mr. Ricchiuti is a member of the board of trustees for WYES-TV, the public broadcasting station in New Orleans, Louisiana. Mr. Ricchiuti holds a B.S. degree from Babson College and a MBA from the University of New Orleans. James P. Cefaratti has served as president and chief operating officer of the company since August, 1997, and secretary since April 1998. Mr. Cefaratti was president and chief executive officer of Global Vision, Inc. from April 1995 to July 1997. From August 1993 until April 1995, Mr. Cefaratti was a private investor involved in the statepurchase and sale of Texas. MITCHELsmall health care companies. In 1989, Mr. Cefaratti joined Home Intensive Care, Inc. as president and chief executive officer, until it was sold to W.R. Grace & Co. in June 1993. Mitchel G. MORELMorel has served as chief financial officer of the Companycompany since June 1994 and also served as vice president of finance from February 1991 to June 1994.1991. Mr. Morel is responsible for directing financial activities and financial reporting systems of the company. From October 1989 to January 1991, Mr. Morel served as comptroller 36 of Amedisys Staffing Services, Inc., a subsidiary of the Company.company. Mr. Morel has a Bachelor of Science degree in business administration with a major in accounting from Louisiana State University and is licensed as a Certified Public Accountant in the state of Louisiana. Cindy L. Doll has served as vice president of human resources of the company since March 1996. From March 1988 to October 1989, Mr. Morel1995 until March 1996, Ms. Doll was human resources director of the company. From July 1995 until March 1995 Ms. Doll was the benefits coordinator of the company. From January 1993 until July 1993, Ms. Doll was office manager of MedAmerica, Inc., a senior accountant atsubsidiary of the certified public accounting firm of Ellis-Apple and Co. Mr. Morelcompany. Ms. Doll received a B.S.Bachelor of Arts degree from University of Pennsylvania. Larry R. Graham has served as senior vice president of operations of the company since December 1997. From April 1996 until December 1997, Mr. Graham was vice president, finance of the company. From July 1993 until April 1996, Mr Graham was director of financial services of General Health System. Mr. Graham received a Bachelor of Science degree in business administration from Louisiana State University. He is licensed as a CPA in the stateUniversity of Louisiana. IRVIN T. GREGORYSouthern Mississippi. Michael D. Lutgring has served as a directorgeneral counsel of the Company and as president of the Company's outpatient surgery divisioncompany since August 1995. He served as the vice president of development and as a director of The Company Surgery Centers since January 1995.November 1997. From October 1996 until November 1997 Mr. Gregory has 30 years of management experience in the health care field that includes services as regional vice president for Surgical Partners of America, Inc., a Vivra, Inc. New York Stock Exchange subsidiary, executive vice president of Medical Care International (now Med America), and vice president development for the Lifemark Hospital Division of Lifemark Corporation.Lutgring operated his own law practice. Mr. Gregory filed a petition under Chapter 7 for personal bankruptcy in November 1994. Mr. Gregory has a B.S. degree in management from the University of Southwestern Louisiana. 28 LYNNE S. BERNHARD has served as president of the Company's nursing services division since January 1994. Ms. Bernhard has also served in a variety of positions with a subsidiary of the Company since 1988. Prior to her affiliation with the Company, Ms. Bernhard was director of home health care services for Medical Personnel Pool in Baton Rouge from August 1985 to September 1988. Mrs. Bernhard has a nursing degree from Southern Arkansas University and she attended the College of St. Frances in Tollier, Illinois. BARBARA C. CAREY has served as secretary/treasurer since March 1994 and as vice president of corporate communications of the Company since October 1993. From July 1989 to October 1993, she served in a variety of positions with a subsidiary of the Company. She has a Bachelor of Arts and Masters degree in speech from Louisiana State University and an M.B.A. from Tulane University. WILLIAM M. HESSION, JR. has served as a director of the Company since July 1983. Mr. Hession has served as president of Key Nursing Corporation since 1982 and as president of Key Medical Supply Inc. since 1992. He served as consulting director of Nursing Services in Metairie, Louisiana from 1979 to 1982. Mr. Hession was director of nursing at Assumption General Hospital in Napoleonville, Louisiana from 1977 to 1978. He worked as a staff nurse in the intensive care unit at West Jefferson Hospital in New Orleans, and at Thibodaux General Hospital in Thibodaux, Louisiana in 1976. Mr. Hession received a nursing degree from Nicholls State University. DR. KARL LEBLANC has served as a director of the Company since June 1993. Dr. LeBlanc has practiced in the area of general surgery since 1983. He is on staff at Our Lady of the Lake Regional Medical Center, Baton Rouge General Medical Center and Woman's Hospital in Baton Rouge, Louisiana. HeLutgring received his M.D. from Louisiana State University Medical Center in 1978, and a B.S. degree from the University of Southwestern Louisiana. Dr. LeBlanc received an M.B.A.Juris Doctorate from Louisiana State University in 1992. DR. ALAN J. OSTROWEMay 1996. Joann B. Rushing has served as a directorexecutive vice president of the Companycompany since July 1994. Dr. Ostrowe has practicedOctober 1997. From June 1995 until June 1997, Ms. Rushing was officer and vice president, marketing and public relations of Global Vision, Inc. From January 1994 until June 1995, Ms. Rushing was executive vice president and partner of Medical Data Resources. From June 1993 until January 1994, Ms. Rushing was an independent consultant with various companies in the area of anesthesiology since 1971health care, manufacturing and pain management since 1991. Heretail industries. There is on the medical staff of Our Lady of the Lake Regional Medical Center, Baton Rouge General Medical Center, Medical Center of Baton Rougeno family relationship between or among any executive officers and the Woman's Hospital of Baton Rouge. He received his M.D. from New York Medical College in 1966. He is on the board of directors of GulfWest Oil Company and is the medical director of one of the Company's subsidiaries. DR. BORIS L. PAYAN was elected to the Board of Directors in February 1996. Dr. Payan has practiced in the area of anesthesiology since 1962. Dr. Payan has served as a director of The Company Surgery Centers since 1978. He received his M.D. from the University of Havana, Cuba and completed a year of internship at Curie Hospital in Cuba and a second year at Methodist Hospital in Houston. He did his residency at St. Luke's Hospital, St. Joseph's Hospital and at Baylor College of Medicine in Houston. He is on staff at Southern Medical Center. He is a director on the board of First Bank of Houston. Directors serve until the expiration of their term at the annual meeting of stockholders. All officers serve at the discretion of the Board of Directors. Directors receive hourly compensation of $100 for board meetings and reimbursements for reasonable out-of-pocket expenses to attend Board Meetings.directors. EXECUTIVE COMPENSATION The following table sets forth certain information regarding compensation paid by the Companycompany to the Chief Executive Officer during 1995. There were nochief executive officer and for all other executive officers whose total annual salary and bonus exceeded $100,000 during 1995.1997. The Companycompany maintains a disability insurance policy and life insurance policy on Mr. Borne under which the Companycompany is a beneficiary. These policies are pledged as collateral for a bank loan of the Company.company. The named executive officer receivesofficers received perquisites and other personal benefits in amounts less than 10% of histheir total annual salary and bonus. 2937 SUMMARY COMPENSATION TABLE LONG-TERM ANNUAL COMPENSATION COMPENSATION ---------------------- ------------ NAME AND TITLE YEAR SALARY BONUS OPTIONS -------------- ---- -------- ------- --------- William F. Borne, 1995 $130,000 $20,000 3,250 Chief Executive Officer 1994 101,000
LONG-TERM ANNUAL COMPENSATION COMPENSATION OTHER ANNUAL ALL OTHER YEAR SALARY BONUS COMPENSATION/(1)/ OPTIONS COMPENSATION William F. Borne Chief Executive Officer 1997 $ 190,000 $ 20,000 $1,987 34,525 - 1996 153,771 20,000 - 35,000 - 1995 133,519 - - 3,250 - Lynne Shackelford- Bernhard/(2)/, President, 1997 $ 100,000 $ 43,649 $3,450 14,644 - Amedisys Resource 1996 90,645 17,500 - 18,500 - Management 1995 78,958 - - 3,250 - Mitchel G. Morel, Chief Financial Officer 1997 $ 100,000 $ 12,500 $1,000 24,128 - 1996 87,698 17,500 - 18,500 - 1995 84,297 - - 3,250 - Charles M. McCall/(2)/ President, Staffing and 1997 $ 82,812 $ 33,203 $4,501 13,612 - Patient Care Services 1996 75,071 5,525 - 9,500 - 1995 - - - - - 1993 119,000 25,000
- ------------------- (1) Comprised solely of a car allowance. (2) Ms. Shackelford-Bernhard and Mr. McCall were executive officers for the fiscal year ended December 31, 1997. In April 1998, the board of directors appointed new executive officers and declined to appoint Ms. Shackelford- Bernhard and Mr. McCall as executive officers. Ms. Shackelford-Bernhard remains an employee of the company. EMPLOYMENT AGREEMENTS NoneExcept for Messrs. Borne and Cefaratti, none of the officers of the Companycompany is subject to an employment agreement. On October 1, 1996, Mr. Borne entered into an employment agreement with the company with a term through December 31, 1997 which provides for successive one-year renewals unless either party gives 30-day written notice of its election not to renew prior to the expiration of the term. The agreement provides for a base salary of $16,666 monthly, which may be adjusted by the Board of Directors, and an annual bonus equal to the greater of (i) 25% of the base salary for the applicable year if the company achieves a 20% or greater increase in its stock price, or (ii) 100% of the base salary for the applicable year if the company's earnings per share is at or above the company's budgeted projection for such year or if the company achieves a 50% or greater increase in its stock price. Mr. Borne is entitled to participate in company benefit plans, receives 20 business days vacation, the use of an automobile with a value of at least $50,000, plus reasonable expenses. Pursuant to the agreement, Mr. Borne has the option to borrow up to $125,000 in the form of a three year loan bearing interest at the company's best borrowing rate, the outstanding balance of which is currently $64,000. In the event of termination of employment for death or disability, Mr. Borne shall be entitled to payment of salary and bonus for the lesser of one year or the remaining term under the agreement. In the event of termination without cause or if Mr. Borne resigns for good reason he shall be entitled to the payment of the full base salary for the period of one year and an amount equal to the aggregate bonus amount paid to Mr. Borne for the most recently completed calendar year. Additionally, the 38 agreement provides that during its term and for a one-year period thereafter, Mr. Borne shall not compete with the company. Effective January 1998, Mr. Cefaratti entered into an employment agreement with the company for the position of president/chief operating officer. The initial term of the agreement is through December 31, 2002, which will be automatically extended for additional five-year terms unless either party provides written notice of termination at least six (6) months prior to the expiration of the initial or extended term. Commencing with the company's 1999 annual meeting of shareholders, the company will use its best efforts to nominate and cause the election of Mr. Cefaratti to the company's board of directors and its executive committee. If Mr. Cefaratti is not elected to the board of directors, he shall be entitled to terminate the agreement. The agreement provides for an annual base salary of $250,000 per year and an automatic yearly cash increase on January 1 of the greater of: (1) six percent (6%) or (2) the percentage increase of the Consumer Price Index for Urban Wage and Earning and Clerical Workers (Greater Metropolitan Baton Rouge Area, all items) issued by the Bureau of Labor Statistics of the U.S. Department of Labor; or (3) $25,000. In addition, the company's board of directors may grant yearly cash increases in excess of the amount provided for above. On January 1, 1998 and January 1 of each year thereafter, the company shall issue Mr. Cefaratti the number of shares of company common stock which will have a market value equal to fifty percent (50%) of the yearly cash increase. The market value of such yearly stock increase shall be cumulative and added to base salary. Each year thereafter, common stock which represents an accumulation of all previous yearly stock increases shall be issued by the company to Mr. Cefaratti for that portion of the base salary on the first business day of each year. Market value of the common stock issued in connection with the yearly stock increase shall be calculated based upon the closing price per share for the five (5) trading days preceding such date. Mr. Cefaratti shall be entitled to receive a bonus payable within 120 days after the company's fiscal year end and equal to 100% of his base salary in effect at the time the bonus is paid, if the company attains or exceeds the operating income(loss) as presented in the budget approved by the company's board of directors. Operating income shall be calculated using EBITDA, as determined by generally accepted accounting principles. On January 1, of each year during the term of the agreement, the company shall grant Mr. Cefaratti options to purchase shares of common stock equal to the greater of (1) one and one-half percent (1 1/2%) of the number of shares of common stock issued by the company during the preceding fiscal year or (2) 30,000 shares. Said options shall vest 100% at the time of grant and shall have a term of ten (10) years from the date of grant. The exercise price shall be the average closing price for the five (5) days prior to the date of grant. In the event the company files a registration statement registering its common stock with the SEC under the Act on any form other than S-4 or S-8, the company will give written notice to Mr. Cefaratti at least thirty (30) days prior to the filing of the registration statement. Mr. Cefaratti then has twenty (20) days in which to notify the company of his intention to register any common stock he owns. However, the company will not be required to include any shares of common stock owned by Mr. Cefaratti if the offering is an underwritten public offering, and (1) Mr. Cefaratti does not agree to sell his common stock on the same terms and conditions as to which other common stock is being sold in the offering by the company, (2) the managing underwriter determines and advises the company in writing that the inclusion of such shares of common stock owned by Mr. Cefaratti would jeopardize the success of the offering, and (3) in each case all shares of common stock owned by Mr. Cefaratti which are not included in the offering will be withheld from the market for no longer than three (3) months after the effective date of the registration statement. In the event that the company adopts a stock option plan, Mr. Cefaratti shall be eligible to receive grants of stock options under such plan in such amount as determined by the board of directors or any committee thereof. All options granted to Mr. Cefaratti shall have a term of ten (10) years or such lesser term as determined by the specific stock option plan under which options are granted. All options so granted shall vest thirty-three and one-third percent (33 1/3%) at the date of grant and thirty-three and one-third percent (33 1/3%) at the end of each year thereafter, so long as Mr. Cefaratti remains employed by the company and shall continue to vest during any deferred 39 compensation period. Vesting of options shall immediately accelerate upon a change of control. Mr. Cefaratti shall have the right to exercise vested incentive stock options for up to ninety (90) days after termination of the deferred compensation period and non-statutory stock options for up to twelve (12) months after termination of the deferred compensation period. All other terms of the options shall be subject to and determined by the stock option plan. Unless otherwise agreed by Mr. Cefaratti, Mr. Cefaratti's principal place of employment shall be within fifteen (15) miles of the company's executive offices located at 3029 S. Sherwood Forest Boulevard. If Mr. Cefaratti agrees to relocation, the company shall (1) pay all out-of-pocket expenses incurred by Mr. Cefaratti in connection with relocation; (2) if requested by Mr. Cefaratti, purchase his residence at fair market value as determined by a real estate appraisor; and (2) lend Mr. Cefaratti the sum of $100,000 to be used solely for the purchase of a residence, which shall accrue interest at the prime rate as published in The Wall Street Journal and shall be payable in sixty (60) equal installments of principal, plus accrued interest. The loan amount shall be increased as of January 1 of each year during the term of the agreement by the same percentage increase as the base salary. Mr. Cefaratti is entitled to the following additional benefits: (1) five (5) weeks vacation; (2) company car; (3) reimbursement of reasonable travel and other expenses; (4) participation in employee benefit plans; (5) company payment of life insurance premiums, not to exceed $25,000 per year; (6) membership fees and dues in (a) a country club, not to exceed $15,000 per year, subject to adjustment, (b) two business luncheon clubs, (c) airline clubs and (d) one personal credit card; (7) payment by the company of IRS penalties for anything connected with the agreement other than base salary or bonuses; (8) payment for tax preparation and financial planning, not to exceed $1,500 per year, as adjusted; (9) participation in any new or additional compensation concepts or programs for any officer of the company (other than compensation based on sales or other commissions); (10) a one percent (1%) equity ownership interest in each business combination regardless of whether the company is a 100% owner, sponsored by the company and its affiliates (any person controlling, under common control with or controlled by the company) to own, lease or operate health care services which either open for business, or as to which the funds necessary to open for business are raised, during the term of the agreement. The company may terminate the agreement for cause, which is defined as: (a) a material default or breach by Mr. Cefaratti of any of the provisions of the agreement materially detrimental to the company which is not cured within thirty (30) days following written notice thereof; (b) actions by Mr. Cefaratti constituting fraud, embezzlement or dishonesty which result in a conviction of a criminal offense not overturned on appeal; (c) intentionally furnishing materially false, misleading, or omissive information to the company's board of directors or any committee thereof, that is materially detrimental to the company; (d) actions constituting a breach of the confidentiality of the business and/or trade secrets of the company which is materially detrimental to the company; and (e) willful failure to follow reasonable and lawful directives of the company's board of directors, which are consistent with Mr. Cefaratti's job responsibilities and performance which is not cured within thirty (30) days following written notice thereof. The company shall have the right to terminate the agreement without cause on ninety (90) days written notice. Mr. Cefaratti may terminate the agreements upon thirty (30) days written notice, after an occurrence of a material default by the company which is not cured within thirty (30) days. 40 Mr. Cefaratti may terminate the agreement upon thirty (30) days written notice within eighteen (18) months following the occurrence of a change of control, which is defined as: (a) the acquisition by any person, entity or group within the meaning of Section 13(d) or Section 14(d) of the Securities Exchange Act of beneficial ownership (within the meaning of Rule 13d-3 promulgated under the Exchange act) of thirty percent (30%) or more of either the then outstanding shares of the company's common stock or the combined voting power of the company's then outstanding voting securities entitled to vote generally in the election of directors, provided, however, the purchase by underwriters in a firm commitment public offering of the company's securities shall not constitute a change of control; (b) if the individuals who serve on the company's board of directors as of the commencement date (the incumbent board) cease for any reason to constitute at least a majority of the board of directors; provided, however, any person who becomes a director subsequent to the commencement date, whose election or nomination for election by the company's shareholders was approved by a vote of at least a majority of the directors then compiling the incumbent board, shall for purposes of the agreement be considered as if such person was a member of the incumbent board; or (c) approval by the company's stockholders of: (1) a merger, reorganization or consolidation whereby the company's shareholders immediately prior to such approval do not, immediately after consummation of such reorganization, merger or consolidation, own more than fifty percent (50%) of the combined voting power entitled to vote generally in the election of directors of the surviving entity's then outstanding voting securities, or (2) liquidation or dissolution of the company, or (3) the sale of all or substantially all of the assets of the company. Mr. Cefaratti shall be entitled to receive deferred compensation if his employment is terminated for any of the following: (1) his death; (2) termination by the company without cause; (3) termination by Mr. Cefaratti upon default by the company; (4) termination by Mr. Cefaratti after a change of control; (5) termination by the company pursuant to automatic extension; or (6) termination by Mr. Cefaratti due to lack of board membership. Said deferred compensation shall consist of the greater of: (i) the base salary payments Mr. Cefaratti would have received had his employment continued for the remaining term of the agreement (including yearly cash increases); or (ii) an amount equal to one month's base salary for each $10,000 of total compensation (as hereinafter defined) Mr. Cefaratti received in either (a) the highest of the last five (5) fiscal years of the agreement or (b) an amount equal to 150% of the total base salary (including yearly stock increases) for the previous fiscal year, whichever is greater. The agreement provides that during its term and for a two-year period thereafter, Mr. Cefaratti shall not compete with the company. STOCK OPTIONS The Company's Amended and Restated Stock Option Plan ("Plan")company's amended stock option plan provides for the issuance of an aggregate of 500,0001,000,000 shares of Common Stockcommon stock upon exercise of options granted pursuant to such Plan.amended stock option plan. As of the date of this Prospectus,December 31, 1997, options to purchase an aggregate of 50,150957,065 shares were outstanding under the Plan. Of this amount, options to purchase 27,650 shares become exercisable in April 1997 at a price of $7.00 per share and expire in April 1998; and options to purchase 22,500 shares vest ratably over a three-year period beginning in May 1997 at an exercise price of $6.75 per share and expire in May 2001. The following tables show, as to the named executive officer, certain information concerningamended stock options. 1995 STOCK OPTION GRANTS OPTIONS PERCENT OF GRANTED TOTAL OPTIONS EXERCISE PRICE EXPIRATION NAME (SHARES) GRANTED (PER SHARE) DATE - ---- --------- ------------ -------------- ---------- William F. Borne 3,250 11.75 $7.00 April 1998option plan. 41
1997 STOCK OPTION GRANTS ------------------------ POTENTIAL REALIZABLE VALUE AT ASSURED ANNUAL RATES OF PERCENT OF STOCK PRICE OPTIONS TOTAL APPRECIATION FOR GRANTED OPTIONS EXERCISE PRICE EXPIRATION OPTION TERM NAME (SHARES) GRANTED (PER SHARE) DATE 5% 10% -- --- - ----------------------------------------------------------------------------------------------------------- William F. Borne 34,525 3.6% $6.20 Feb 2007 $30,835 $43,071 Lynne Shackelford- 14,644 1.5% $6.20 Feb 2007 $13,079 $17,269 Bernhard Mitchel G. Morel 24,128 2.5% $6.20 Feb 2007 $21,549 $30,099 Charles M. McCall 13,612 1.4% $6.20 Feb 2007 $12,158 $16,982
AGGREGATED OPTION EXERCISES IN 19951997 AND YEAR-END OPTION VALUES NUMBER OF SECURITIES VALUE OF SHARES UNDERLYING UNEXERCISED ACQUIRED VALUE UNEXERCISED IN-THE-MONEY NAME ON EXERCISE REALIZED OPTIONS OPTIONS ---- ----------- -------- ----------- ------------ William F. Borne - - 3,250(1) (2) (1) These options do not become exercisable until April 1997 (2) These options were out of
SHARES ACQUIRED NUMBER OF SECURITIES ON VALUE UNDERLYING UNEXERCISED VALUE OF UNEXERCISED IN-THE- NAME EXERCISE REALIZED OPTIONS MONEY OPTIONS/(*)/ - --------------------------------------------------------------------------------------------------------- EXERCISABLE UNEXERCISABLE EXERCISABLE UNEXERCISABLE ----------- ------------- ----------- ------------- William F. Borne - - 26,425 46,330 $0 $0 Lynne Shackelford- - - 14,298 22,096 $0 $0 Bernhard Mitchel G. Morel - - 17,459 28,419 $0 $0 Charles M. McCall - - 7,904 15,408 $0 $0
_____________________ (*) Computed based on the money at December 31, 1995 30 CERTAIN TRANSACTIONS In 1994, AMEDISYS Surgery Centers, L.C. ("ASC") executed a note payable to Vista Maple Partnership, an affiliate of Drs. Reyes, Payandifferences between the fair market value and Hearn, in the original principal amount of $1,080,000, bearing interest at 9% per annum. The note is secured by all real estate and personal property of one of the Company's surgical centers. During 1993, the Company made payments totaling $169,500 to Drs. Reyes, Hearn and Payan for services rendered in the capacity of medical director of ASC. During 1993, ASC made payments to RPH, Inc. an affiliate of Drs. Reyes, Payan and Hearn, aggregating approximately $1,014,000 for leased employees. Terms of the contract covering this transaction provided for ASC to pay RPH the salary costs of these employees plus 30% for the term of the contract. In 1995, 1994 and 1993, ASC made payments totaling approximately $108,000, $229,000 and $206,000, respectively, to RPH, Inc., an affiliate of Drs. Reyes, Payan and Hearn, for anesthesia services. In February 1996, the Company formed FutureCare, Inc., a Nevada corporation ("FutureCare"), to establish a health maintenance organization (HMO). The Company has provided $1 million in financing to FutureCare to enable it to meet the capital requirements for an HMO license in Louisiana. As of June 30, 1996, the Company had committed to advance up to $300,000 in development expenses which are expected to be reimbursed from the proceeds of a private placement offering of FutureCare stock. The Company currently owns 51% of FutureCare stock; however, upon completion of FutureCare's offering and the licensing of the HMO, the Company will exchange its shares in FutureCare for 11% of the shares in the HMO. Mr. Borne pledged 400,000 shares of his stock in the Company and provided a personal guaranty to secure a $1 million letter of credit issued by Union Planters Bank in favor of FutureCare. Neither the Company nor Mr. Borne have any further formal commitment in connection with the HMO and the future development of the HMO is undeterminable at this time. In May 1996, the Company granted Dr. Reyes' son an option to purchase 2,500 shares of Company Common Stock at anaggregate exercise price of $6.75 per share. This option vests ratably over a three-year period beginning in May 1997 and expires in May 2001. This resale of shares underlying this option is being registered hereby. Management believes that all prior related party transactions are on terms as favorable to the Company as could be obtained from unaffiliated third parties. 31 PRINCIPAL STOCKHOLDERSprices. STOCK OWNERSHIP The following table sets forth, as of June 3, 1996,October 22, 1998, certain information with respect to the beneficial ownership of the Company's Common Stockcompany's common stock by (i) each person known to the Companycompany who beneficially owns more than 5% of the Company'scompany's outstanding Common Stock,common stock, (ii) each director, of the Company, (iii) all named executive officers, and (iv) all directors and officers as a group: SHARES BENEFICIALLY OWNED NAME AND ADDRESS ------------------------------------ OF BENEFICIAL OWNER NUMBER PERCENT - ------------------- ---------- ------- William F. Borne 438,391(1) 17.0 3029 S. Sherwood Forest, #300 Baton Rouge, LA 70816 Boris L. Payan, M.D. 230,893(2) 8.9 3534 Vista Pasadena, TX 77504 R.E. Hearn, M.D. 230,893(2)(3) 8.9 3534 Vista Pasadena, TX 77504 Jose R. Reyes, M.D. 204,007(2) 7.9 3534 Vista Pasadena, TX 77504 William M. Hession, Jr.(4) 82,947 3.2 Alan J. Ostrowe, M.D. 43,426(5) 1.7 Irvin T. Gregory 26,411 1.0 Karl A. LeBlanc, M.D. 3,620 * ALL DIRECTORS AND OFFICERS AS A GROUP (10 PERSONS) 885,438(6) 34 -------------------------42
SHARES OF PERCENT OF NAME AND ADDRESS/(1)/ COMMON STOCK VOTING POWER/(2)/ Terra Healthy Living, Ltd. 861,622/(3)/ 18.4% William F. Borne 432,359/(4)/ 9.2% Lynne Shackelford-Bernhard 56,606/(5)/ 1.2% Mitchel G. Morel 39,155/(6)/ * Charles M. McCall 33,754/(7)/ * Cindy L. Doll 5,687/(8)/ * David Pitts 5,000 * Larry R. Graham 2,338/(9)/ * Peter F. Ricchiuti 2,000 * Ronald A. LaBorde 2,000 * Jake Netterville 2,000 * Michael D. Lutgring 793 * James P. Cefaratti -- * Joann B. Rushing -- * All officers and directors as a group (11 persons) 491,332/(10)/ 10.4%
_____________________________ (*) Less than one percent. (1) Does not include 38,500 shares held in trustEach address is the company, except for Mr. Borne's minor children; does include 3,250 shares underlying an Option.(i) Terra Healthy Living, Ltd., at Bahnofplatz 9, 8001 Zurich, Switzerland, (ii) David Pitts, at 7946 Goodwood Boulevard, Baton Rouge, LA 70806, and (iii) Peter F. Ricchiuti, Associate Dean, Director of Research, A.B. Freeman School of Business, Tulane University, New Orleans, LA 70118. (2) Includes 30,000common stock and common stock equivalents. (3) Includes 861,622 shares owned of record by R.P.&H.,company common stock underlying 380,000 shares series A preferred stock. (4) Includes options to purchase 26,425 shares of common stock. (5) Includes options to purchase 14,298 shares of common stock. (6) Includes options to purchase 17,459 shares of common stock. (7) Includes options to purchase 7,904 shares of common stock. (8) Includes options to purchase 5,687 shares of common stock. (9) Includes options to purchase 2,338 shares of common stock. (10) Includes options to purchase 51,909 shares of common stock. 43 CERTAIN TRANSACTIONS In connection with the private placement, Terra Healthy Living, Ltd. purchased 350,000 shares of series A preferred stock, which is currently convertible into 783,467 shares of common stock. Terra Healthy Living, Ltd. is only affiliated to the company through its stock ownership. Notes receivable from related parties consist of unsecured and non-interest bearing notes from the chief executive officer totaling approximately $64,000 at December 31, 1997 and $65,000 at March 31, 1998. The maturity dates for the notes receivable from the chief executive officer are as follows: (i) $8,000 payable in December 1998, (ii) $ 18,000 payable in December 1999, and (iii) $38,000 payable in December 2000. Additional notes receivable from related parties consist of receivables from the Internal Medicine Clinic of Tangipahoa, Inc., an affiliate which owns 40% of Amedisys Physician Services, Inc. totaling approximately $150,000 at December 31, 1997. The fair value of the shareholder. (3) Includes 100,000 shares owned of record by Phoenix Anesthesia, EPSP, an affiliatenotes receivable from related parties is equal to the recorded value due to the short term nature of the stockholder. (4) Includes 82,947 shares ownednotes. In March, 1994, the company entered into agreements with Internal Medicine Clinic of record by Key Nursing Corporation,Tangipahoa, Inc. to form Rural Health Provider Network, Inc. ("RHPN") of which the company owns 60% (the "Agreements"). The name of RHPN has subsequently been changed to Amedisys Physician Services, Inc. ("APS"). APS operated a lab, walk-in-clinic in Hammond, Louisiana, and managed the physician practice of Internal Medicine Clinic of Tangipahoa, Inc. APS also invested in an affiliateopthamology clinic in Hammond, Louisiana. Pursuant to the Agreements, the company loaned APS $312,000. This amount was comprised of $112,000 for the purchase of the stockholder. (5) Includesfixed assets of Internal Medicine Clinic of Tangipahoa, Inc. and a warrant exercisableworking capital loan of $200,000, collateralized by Internal Medicine Clinic of Tangipahoa, Inc.'s accounts receivable. The company was responsible for funding the operations of APS, including loaning additional funds to purchase 1,000APS if APS did not have adequate cashflow to meet its current obligations. The balance owed to the company by Internal Medicine Clinic of Tangipahoa, Inc. for working capital requirements at December 31, 1995 was $256,000. Two notes were issued on January 1, 1996 to the company by Internal Medicine Clinic of Tangipahoa, Inc. in the combined amount of $256,000. These notes bear interest at 9%, require monthly principal and interest payments of $4,706 with the balance due on maturity of January 1, 1999 and are secured by the accounts receivable of Internal Medicine Clinic of Tangipahoa, Inc. During 1996, the company collected approximately $6,000 from Internal Medicine Clinic of Tangipahoa, Inc. on the outstanding notes. Because of a dispute between the owners of Internal Medicine Clinic of Tangipahoa, Inc. and the company over the amounts outstanding, the company determined that the probability of collecting $100,000 of the payable was uncertain and therefore, elected to expense that amount in December 1996, resulting in a remaining balance owed at December 31, 1996 of $150,000. The current amount outstanding on the notes payable due from Internal Medicine Clinic of Tangipahoa, Inc. is $143,723, and management believes these notes are collectible. In addition to the outstanding notes payable due from Internal Medicine Clinic of Tangipahoa, Inc., APS recorded management fees of $28,097 in 1996 and $541,441 in 1995 from Internal Medicine Clinic of 44 Tangipahoa, Inc. As of December 31, 1996, management fees of $28,097 were still outstanding. From January through August 1997, Internal Medicine Clinic of Tangipahoa, Inc. made payments of varying amounts on the unpaid balance of management fees. At August 1997, the entire balance of $28,097 was paid. The company and Internal Medicine Clinic of Tangipahoa, Inc. terminated their management relationship in August 1996, and have no other arrangements with respect to management of physician practices or independent practice associations. In accordance with the terms of the Agreements, Internal Medicine Clinic of Tangipahoa, Inc. has the right and option to sell its shares of Common Stock. (6) Includes 13,000 shares underlying OptionsAPS back to APS at a price equal to 3.5 times the earnings per share of APS attributable to each share of APS stock, to be calculated based on the largest annual earnings per share amount during the three-year period prior to the time such repurchase is requested by Internal Medicine Clinic of Tangipahoa, Inc. This option became exercisable in March 1997, and 1,000 shares underlying a Warrant. 32 DESCRIPTION OF SECURITIES The following summary descriptiondoes not have an expiration date. In the agreements, the company agreed to loan the funds to repurchase the stock to APS, if necessary. In addition, the agreements provide that in the event the management agreement between Internal Medicine Clinic of Tangipahoa, Inc. and APS is terminated, Internal Medicine Clinic of Tangipahoa, Inc. shall be required to repurchase all of the Company's securitiesassets of Internal Medicine Clinic of Tangipahoa, Inc. acquired by APS at fair market value within 45 days of such termination. At this time, the option has not been exercised by Internal Medicine Clinic of Tangipahoa, Inc. The company has been reformulating its business to emphasize three divisions: infusion therapy services, ambulatory surgery centers and home health nursing services. In light of these changes, APS has become a diminished portion of the company's business and constitutes less than 5% of the company's operations. Accordingly, the exercise of the company's repurchase right has not been a top priority of management. The company intends to exercise its right to have Internal Medicine Clinic of Tangipahoa, Inc. repurchase the assets acquired by APS, and is qualifiedcurrently in negotiations with Internal Medicine Clinic of Tangipahoa, Inc. to determine the fair market value of the assets. Management believes the fair market value of the assets will be no more than $50,000. Notes payable to related parties in 1996 consisted primarily of a note issued in 1994 in the original amount of $1,080,000, bearing interest at 9% with a fifteen year amortization, to Vista Maple, Ltd. During 1994, prior to its entiretyacquisition by referencethe company, Amedisys Surgery Centers, L.C. purchased a building and land from Vista Maple, Ltd., a real estate partnership, whose owners were also owners of Amedisys Surgery Centers, L.C., and are now stockholders of the company. The company currently has a 15% interest in Vista Maple, Ltd. The note was refinanced under a five year installment note in June 1997 with Merrill Lynch in the amount of $973,000. The principal monthly payment is $5,403 and the interest rate is the 30-day commercial paper rate plus 2.75%, with a balloon payment of $648,401. The remaining balance of notes payable to related parties ($45,000) consists of unsecured notes to certain stockholders of the company that are due on demand and bear interest at rates from 0%-12%. The fair value of these notes approximates the recorded balance due to the short-term nature of the notes. 45 INDEX TO FINANCIAL STATEMENTS AMEDISYS, INC. For the Six Months Ended June 30, 1998 Consolidated Balance Sheets...................................... F-2 Consolidated Statements of Operations............................ F-3 Consolidated Statements of Cash Flows............................ F-4 Notes to Consolidated Financial Statements....................... F-5 Fiscal Year Ended December 31, 1997 Independent Auditor's Report..................................... F-11 Consolidated Balance Sheets...................................... F-12 Consolidated Statements of Operations............................ F-13 Consolidated Statement of Stockholders' Equity................... F-14 Consolidated Statements of Cash Flows............................ F-15 Notes to Financial Statements.................................... F-17 F-1 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEET AS OF JUNE 30, 1998 AND DECEMBER 31, 1997 (UNAUDITED, IN 000'S) ASSETS JUNE 30, DECEMBER 31, 1998 1997 CURRENT ASSETS: Cash $ 471 $ 4,070 Accounts Receivable, Net of Allowance for Doubtful Accounts of $2,957 in June 1998 and $1,617 in December 1997 4,292 9,630 Prepaid Expenses 891 247 Other Current Assets 4,004 654 ------- ------ Total Current Assets 9,658 14,601 Notes Receivable from Related Parties 224 252 Property, Plant and Equipment, Net 6,056 4,785 Other Assets, Net 12,374 3,232 ------- ------ Total Assets $ 28,312 $ 22,870 ======= ====== LIABILITIES CURRENT LIABILITIES: Notes Payable $ 6,090 $ 5,806 Current Portion of Long-Term Debt 927 927 Accounts Payable 2,486 1,338 Accrued Expenses: Payroll and Payroll Taxes 1,541 2,025 Insurance 1,020 521 Other 1,398 847 ------- ------ Total Current Liabilities 13,462 11,464 Long-Term Debt 4,948 3,129 Other Long-Term Liabilities 1,136 0 ------- ------ Total Liabilities 19,546 14,593 ------- ------ Minority Interest 3 3 ------- ------ STOCKHOLDERS' EQUITY Common Stock 3 3 Preferred Stock 1 1 Additional paid-in capital 12,006 7,092 Treasury Stock (25) (25) Stock Subscriptions Receivable (1) 0 Retained Earnings (deficit) (3,221) 1,203 ------- ------ Total Stockholders' Equity 8,763 8,274 ------- ------ Total Liabilities and Stockholders' Equity $ 28,312 $ 22,870 ======= ====== SEE ACCOMPANYING NOTES TO FINANCIAL STATEMENTS. F-2 Amedisys, Inc. and Subsidiaries CONSOLIDATED STATEMENTS OF OPERATIONS for the three and six months ended June 30, 1998 and 1997 (Unaudited, in 000's except per share data)
THREE MONTHS ENDED SIX MONTHS ENDED --------------------- ------------------ JUNE 98 JUNE 97 JUNE 98 JUNE 97 Income: Service revenue $ 11,765 $ 13,880 $ 24,475 $ 27,264 Cost of service revenue 6,652 8,094 14,319 15,973 ------- ------- ------- ------- Gross margin 5,113 5,786 10,156 11,291 ------- ------- ------- ------- General and administrative expenses: Salaries and benefits 4,151 2,763 9,389 5,497 Other 3,663 2,276 7,098 4,433 ------- ------- ------- ------- Total general and administrative expenses 7,814 5,039 16,487 9,930 ------- ------- ------- ------- Operating income (loss) (2,701) 747 (6,331) 1,361 ------- ------- ------- ------- Other income and expense: Interest income 9 15 21 18 Interest expense (215) (209) (418) (393) Miscellaneous 17 58 25 76 ------- ------- ------- ------- Total other income and expenses (189) (136) (372) (299) ------- ------- ------- ------- Income (loss) before income taxes and minority interest (2,890) 611 (6,703) 1,062 Provision (benefit) for estimated income taxes (987) 217 (2,279) 379 ------- ------- ------- ------- Income (loss) before minority interest (1,903) 394 (4,424) 683 Minority interest in consolidated subsidiary 0 (21) 0 (9) ------- ------- ------- ------- Net income (loss) $ (1,903) $ 373 $ (4,424) $ 674 ======= ======= ======= ======= Basic earnings (losses) per common share $ (0.62) $ 0.14 $ (1.45) $ 0.26 ======= ======= ======= ======= Weighted average common shares outstanding 3,064 2,697 3,057 2,639 ======= ======= ======= =======
SEE ACCOMPANYING NOTES TO FINANCIAL STATEMENTS. F-3 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE SIX MONTHS ENDED JUNE 30, 1998 AND 1997 (UNAUDITED, IN 000'S)
JUNE 1998 JUNE 1997 CASH FLOWS FROM OPERATING ACTIVITIES: NET INCOME (LOSS) $ (4,424) $ 674 ADJUSTMENTS TO RECONCILE NET INCOME TO NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES: DEPRECIATION AND AMORTIZATION 870 581 PROVISION FOR BAD DEBTS 415 425 MINORITY INTEREST IN AFFILIATED COMPANY 0 9 (GAIN) LOSS ON DISPOSAL OF PROPERTY AND EQUIPMENT 4 (13) LOSS ON SALE OF MARKETABLE SECURITIES 0 3 CHANGES IN ASSETS AND LIABILTIES: (INCREASE) DECREASE IN ACCOUNTS RECEIVABLE 3,919 (974) (INCREASE) IN PREPAID EXPENSES (644) (189) (INCREASE) IN OTHER CURRENT ASSETS (3,217) (3) (INCREASE) IN OTHER ASSETS (198) (391) INCREASE (DECREASE) IN ACCOUNTS PAYABLE 170 (603) INCREASE (DECREASE) IN ACCRUED EXPENSES (515) 723 --------- -------- NET CASH PROVIDED BY (USED IN) OPERATING ACTIVITIES (3,620) 242 --------- -------- CASH FLOW FROM INVESTING ACTIVITIES: PURCHASE OF FURNITURE, FIXTURES & EQUIPMENT (1,625) (754) PROCEEDS FROM SALE OF FURNITURE, FIXTURES & EQUIPMENT 0 56 CASH PAID FOR ACQUISITIONS (2,005) 0 (INCREASE) DECREASE IN NOTES RECEIVABLE FROM RELATED PARTIES 28 (5) --------- -------- NET CASH (USED IN) INVESTING ACTIVITIES (3,602) (703) --------- -------- CASH FLOW FROM FINANCING ACTIVITIES: PURCHASE OF TREASURY STOCK 0 (25) CASH RECEIVED IN ACQUISITIONS 317 0 NET INCREASE IN BORROWINGS ON LINE OF CREDIT 284 672 PAYMENTS ON NOTES PAYABLE (704) (377) PROCEEDS FROM NOTES PAYABLE 473 1,704 INCREASE (DECREASE) IN NOTES PAYABLE TO RELATED PARTIES 0 (988) PROCEEDS FROM COMMON STOCK 0 831 DECREASE IN STOCK SUBSCRIPTIONS 0 1 PROCEEDS FROM PREFERRED STOCK 3,253 0 --------- -------- NET CASH PROVIDED BY FINANCING ACTIVITIES 3,623 1,818 --------- -------- NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS (3,599) 1,357 CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD 4,070 1,104 --------- -------- CASH AND CASH EQUIVALENTS AT END OF PERIOD $ 471 $ 2,461 ========= ======== SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: CASH PAYMENTS FOR: INTEREST $ 426 $ 360 ========= ======== INCOME TAXES $ 151 $ 22 ========= ======== SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING ACTIVITY (SEE NOTE 9 TO FINANCIAL STATEMENTS): VALUE OF STOCK ISSUED IN EXCHANGE $ 894 VALUE OF NOTE PAYABLE ISSUED IN EXCHANGE 1,575 CASH ACQUIRED IN EXCHANGE (317) WORKING CAPITAL DEFICIT ACQUIRED NET OF CASH AND CASH EQUIVALENTS 3,553 FAIR VALUE OF PROPERTY, PLANT AND EQUIPMENT ACQUIRED (385) FAIR VALUE OF OTHER ASSETS ACQUIRED (27) LONG TERM DEBT ASSUMED 3,069 FAIR VALUE OF OTHER LIABILTIES ASSUMED 54 --------- NON CASH PORTION OF ACQUISITIONS 8,416 CASH PAYMENT FOR ACQUISITIONS 2,005 --------- GOODWILL RECORDED IN EXCHANGE $ 10,421 =========
SEE ACCOMPANYING NOTES TO FINANCIAL STATEMENTS. F-4 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) 1. UNAUDITED FINANCIAL INFORMATION The financial information as of June 30, 1998 and 1997, included herein is unaudited; however, such information reflects, in the opinion of management, all adjustments (consisting solely of normal recurring adjustments) that are necessary to present fairly the results of operations for such periods. Results of operations for the interim periods are not necessarily indicative of results of operations which will be realized for the year ending December 31, 1998. These interim consolidated financial statements should be read in conjunction with the Company's Certificateannual financial statements and related notes in the Company's Form 10-K. 2. EARNINGS PER SHARE In February 1997, the Financial Accounting Standards Board (FASB) issued Statement of IncorporationFinancial Accounting Standards (SFAS) No. 128, "Earnings Per Share," which simplifies the computation of earnings per share (EPS). The Company adopted SFAS No. 128 in the fourth quarter of 1997. SFAS No. 128 requires the restatement of prior years' EPS data; however, application of the statement has no impact on the Company's prior years' EPS data. Basic net income per share of common stock is calculated by dividing net income applicable to common stock by the weighted-average number of common shares outstanding during the year. Diluted net income per share is not presented as stock options and convertible securities outstanding during the periods presented were not dilutive. 3. RECENT ACCOUNTING PRONOUNCEMENTS Accounting for Start-up Costs. During April 1998, the Accounting Standards Executive Committee of the AICPA issued Statement of Position 98-5 ("SOP"), "Reporting on the Costs of Start-Up Activities." The SOP requires costs of start-up activities and organization costs to be expensed as incurred. The SOP is effective for financial statements for fiscal years beginning after December 15, 1998. The Company elected to write off start-up costs in the fourth quarter of 1997 in anticipation of the issuance of the SOP. Accounting for Derivative Instruments and Hedging Activities. In June 1998, the Financial Accounting Standards Board issued Statement of Financial Accounting Standards No. 133 ("SFAS 133"), "Accounting for Derivative Instruments and Hedging Activities". The Statement establishes accounting and reporting standards requiring that every derivative instrument (including certain derivative instruments embedded in other contracts) be recorded in the balance sheet as either an asset or liability measured at its Bylaws, copiesfair value. The Statement requires that changes in the derivative's fair value be recognized currently in earnings unless specific hedge accounting criteria are met. Special accounting for qualifying hedges allows a derivative's gains and losses to offset related results on the hedged item in the income statement, and requires that a company must formally document, designate, and assess the effectiveness of whichtransactions that receive hedge accounting. SFAS 133 is effective for fiscal years beginning after June 15, 1999 and must be applied to instruments issued, acquired, or substantively modified after December 31, 1997. The Company does not expect the adoption of the accounting pronouncement to have been fileda material effect on its financial position or results of operations. 4. MEDICARE REIMBURSEMENT REDUCTIONS AND RELATED RESTRUCTURING The Company derives approximately 40% of its revenues from the Medicare system. In 1997, Congress approved the Balanced Budget Act of 1997 (the "Budget Act"). The Budget Act established an interim payment system (the "IPS") that provided for the lowering of reimbursement limits for home health visits. For cost reporting periods beginning on or after October 1, 1997, Medicare- reimbursed home health agencies will have their cost F-5 limits determined as exhibitsthe lesser of (i) their actual costs, (ii) cost limits based on 105% of median costs of freestanding home health agencies, or (iii) an agency-specific per-patient cost limit, based on 98% of 1994 costs adjusted for inflation. The new IPS cost limits will apply to the Registration StatementCompany for the cost reporting period beginning January 1, 1998. On March 31, 1998, the government released its final determination and definitions of the new IPS cost limits. These changes in the reimbursement of home health agencies will result in a significant impact on the profitability of these services. There is currently proposed legislation that may alter the determination of the IPS cost limits. IPS was implemented to position the home care industry for a Prospective Payment System (PPS) which is to be implemented for cost reporting periods beginning on or after October 1, 1999. Although PPS is not defined at this Prospectus istime, it will take into consideration an appropriate unit of service and number of visits within that unit, variations in the acuity of patients and the related costs, and a part. COMMON STOCKgeneral system design that provides for continued access to quality services. During the 1st quarter of 1998, the Company initiated a restructuring plan which included cost reductions and productivity enhancements to position the Company to be successful under the new IPS, as well as PPS. The Company reduced operational cost, increased operational efficiencies and enhanced marketing efforts, which should result in projected annualized cost savings of approximately $5 million. The restructuring was substantially completed as of June 30, 1998. The implementation of IPS and the strategic decisions made by management has resulted in a decrease to net revenues in the first and second quarters of 1998. The Company also expects to report losses in the third quarter of 1998 due to IPS. As the home care industry faces changes in reimbursement structure, Amedisys is authorizedcommitted to issue upimprove and streamline systems and take appropriate actions to 10,000,000 sharescombat these changes and create a company focused on long-term growth. 5. ACCRUED PAYROLL AND PAYROLL TAXES The Company currently has an Employee Stock Ownership Plan ("ESOP") relating to a subsidiary of Common Stock,the Company. During the second quarter of 1998, the Company issued stock in the subsidiary valued at $705,000 to the ESOP. 4. PLACEMENT OF PREFERRED STOCK In March, 1998, Amedisys completed a secondary phase of its private placement of $.001 par value convertible preferred stock pursuant to Regulation D of the Securities Act of 1933. The Company issued an additional 350,000 shares at $10 per share for gross proceeds of $3.5 million. The Company has used the proceeds of this placement to fund synergistic acquisitions within the South East and South Central regions of the U.S. in order to accelerate the growth of its fully integrated network of outpatient health care services including the Alternate Site Infusion Therapy division. These shares are convertible into 756,757 shares of common stock which is equivalent to $4.625 per share. 5. ACQUISITIONS In January 1998, the Company acquired all of the stock of Alliance Home Health, Inc. ("Alliance"), a home health care business with locations throughout Oklahoma, in exchange for $300,000 and 194,286 shares of common stock. Of the 194,286 shares of Company common stock issued to the former owners of Alliance, 122,857 shares were placed in escrow as consideration for certain contingent liabilities which may be asserted against the former stockholder of Alliance to the extent such claims exceed $500,000 (singularly and/or in aggregate). The contingent liabilities include any material misstatement or omission in any representation or breach of any warranty, covenant or agreement of Alliance or its stockholder, any Medicare liabilities, any liability from lawsuits or arbitration, any payment to be made by Alliance pursuant to a previous acquisition, or any liability specifically addressed in the F-6 purchase document. The escrow period expires December 31, 2003. The majority stockholder of Alliance entered into a three year employment agreement and two year non-compete and non-solicitation agreement with the Company. The employment agreement was terminated in March 1998. The non-compete and non-solicitation agreement is for a period of two years after the termination of the employment agreement. The non-compete and non-solicitation agreement provides that the employee will not divert any business from the Company or compete in the business area defined as the State of Oklahoma. This restricted activity is in relation to home health agencies or infusion-related business. Additionally, the non-compete and non-solicitation agreement provides that the employee will not solicit employees or clients from the Company. A Form 8-K was filed on July 23, 1998 relating to this acquisition and includes audited financial statements for Alliance Home Health, Inc. as well as proforma financial statements for the Company and Alliance Home Health, Inc. consolidated. In February 1998, the Company acquired all of the stock of PRN, Inc. ("PRN"), a home infusion pharmacy business located in San Antonio, Texas, in exchange for $430,000 and the assumption of $71,000 in debt. The Company has agreed to pay additional consideration of up to $150,000 should PRN have annual net revenues of $625,000 for the next two years. This additional consideration is to be paid quarterly for a period of two years, bearing interest at 9% from the date of acquisition. The sellers, a key employee and his spouse, executed a non-compete and non-solicitation agreement at the date of closing for a period of two years within Bexar County Texas, which includes San Antonio, and any counties contiguous thereto. The non-compete and non-solicitation agreement provides that the sellers will not divert any business from the Company or compete with the Company; as well as, not solicit any employees or clients of the Company. This restricted activity is in relation to home infusion pharmacy business. The Company has retained the right to offset certain indemnifiable liabilities against the additional consideration. In February 1998, the Company acquired all of the stock of Infusion Care Solutions, Inc. ("ICS") a home health care and infusion business, based in Baton Rouge, Louisiana, in exchange for aggregate consideration of $500,000, of which 2,583,864 shares are$375,000 was payable in cash at closing and $125,000 was payable pursuant to a two year promissory note. The note bears interest at prime plus 1% with 24 equal monthly payments. The sole stockholder executed a non-compete and non- solicitation agreement at closing for a period of two years from the date of the exchange. The business area is defined as the Parishes of East Baton Rouge, Assumption, West Baton Rouge, Livingston, and Ascension in the State of Louisiana. The non-compete and non-solicitation agreement provides that the sole stockholder will not divert any business from the Company or compete with the Company, as well as, not solicit any employees or clients of the Company. The restricted business activity is in relation to any infusion or pharmacy business unless such business is related to nursing home patients or assisted living patients. The Company has retained the right to offset certain indemnifiable liabilities against the sums payable pursuant to the promissory note. In February 1998, the Company acquired substantially all of the assets of Precision Health Systems, L.L.C. ("PHS") a home health care and infusion business, based in Baton Rouge, Louisiana, in exchange for aggregate consideration of $1,000,000, of which $750,000 was payable in cash at closing and $250,000 is payable pursuant to a two year promissory note. The note bears interest at 9.5% with equal payments due monthly. The Company has retained the right to offset certain indemnifiable liabilities against the sums payable pursuant to the promissory note. The majority stockholder of PHS entered into a two year non-competition and non-solicitation agreement and a two year consulting agreement with the Company. The non-compete and non-solicitation agreement provides that the sole stockholder will not divert any business from the Company or compete with the Company; as well as, not solicit any employees or clients of the Company. The business area is defined as the Parishes of East Baton Rouge, Assumption, West Baton Rouge, Livingston, and Ascension in the State of Louisiana. The restricted business is in relation to any infusion or pharmacy business unless such business is related to nursing home patients or assisted living patients. The consulting agreement is in the amount of $50,000 per year, payable in equal monthly increments. The majority stockholder is to assist the Company in developing referral sources and retain current referral sources. F-7 In March 1998, the Company acquired certain assets and no liabilities, contingent or certain, prior to the closing date, of StaffCor Staffing Services, L.L.C. (StaffCor) in exchange for $30,000 cash and $20,000 in additional consideration payable quarterly over two years, without interest. This additional consideration is to be paid prorata based on net income of StaffCor without any adverse changes due to purchaser's corporate headquarters expense, additional capital expenditures or materially increased operating expense. The assets acquired were a minimal amount of furniture and fixtures, the right to the StaffCor Staffing Service name, and contracts to provide medical staffing to hospitals and other health care providers. The seller entered into a two year non-competition and non-solicitation agreement with the Company. The non- compete and non-solicitation agreement is for the business area of Oklahoma, Grady and Logan Counties in the State of Oklahoma relative to any supplemental staffing business. The non-compete and non-solicitation agreement provides that the sole stockholder will not divert any business from the Company or compete with the Company; as well as, not solicit any employees or clients of the Company. StaffCor is a medical staffing business located in Oklahoma City, Oklahoma. In April 1998, the Company acquired all of the stock of Home Health of Alexandria, Inc., d/b/a Cornerstone Home Health (Cornerstone), a closely held entity, in exchange for $20,000 cash. With this acquisition, the Company will have home health agencies serving all the major metropolitan areas in Louisiana. A key employee and former stockholder executed an employment agreement with the Company for a two year period; along with a non-compete and non-solicitation agreement. The non-compete and non-solicitation agreement provides that the key employee will not divert any business from the Company or compete with the Company; as well as, not solicit any employees or clients of the Company. The business area covered by the non-compete and non-solicitation agreement is for the Parishes of Allen, Avoyelles, Caldwell, Catahoula, Concordia, Evangeline, Grant, LaSalle, Natchitoches, Rapides, St. Landry, and Winn and is relative to home health agencies. The agreement is for a two year period after the key employee is no longer employed by the Company. Cornerstone is a state licensed, Medicare certified, JCAHO accredited home health agency in Alexandria, Louisiana. In April 1998, the Company acquired all of the stock of Quality Home Health Care, Inc. (Quality), of Stilwell, Oklahoma. In exchange, the Company paid $80,000 and issued and outstanding. An aggregate of 50,1504,897 shares of CommonCompany common stock are reservedworth $20,000. A key employee and former stockholder executed an employment agreement for issuance upon exercisetwo years in conjunction with a non-compete and non-solicitation agreement for a period of outstanding Options; 103,721 shares are reserved for issuance upon exercise of outstanding Warrants;two years after employment with the Company is terminated. The non- compete and 150,000 shares are reserved for issuance pursuant to this Prospectus. The holders of Common Stock are entitled to one vote for each share held of record on each matter submitted to a votenon-solicitation agreement provides that the key employee will not divert any business from the Company or compete with the Company; as well as, not solicit any employees or clients of the stockholders, includingCompany. The business area covered by the electionnon-compete and non-solicitation agreement is for the Counties of directors. ThereAdair, Cherokee, Delaware, Haskell, Leflore, Mayes, McIntosh, Muskogee, Sequoyah, and Wagoner in the State of Oklahoma and is no cumulative votingrelative to home health agencies. Quality is a state licensed, Medicare certified home health agency with respectthree locations serving eastern Oklahoma. In April 1998, the Company acquired certain assets of Precision Home Health Care, Inc., (Precision) in exchange for $1,250,000; consisting of an $800,000 note payable at 9.5% due July 1, 1998, a $400,000 note payable at 9.5% payable monthly for a period of two years, and $50,000 in liabilities for capital improvements. The $800,000 note payable has subsequently been extended to October 1, 1998. The assets acquired were furniture and fixtures, inventory, rights to use the Precision business name, current patients, and leasehold interests. At closing the sole stockholder (who was also the majority stockholder in the February 1998 ICS and PHS acquisitions) executed a non- compete and non-solicitation agreement. The sole stockholder entered into a two year non-competition and non-solicitation agreement which provides that the sole stockholder will not divert any business from the Company or compete with the Company; as well as, not solicit any employees or clients of the Company. The business area is defined as the Parishes of East Baton Rogue, Assumption, West Baton Rouge, Livingston, and Ascension in the State of Louisiana. The restricted business activity is in relation to any Medicare or Medicaid home health care business unless such business is related to nursing home patients or assisted living patients. Additionally, the stockholder executed a consulting agreement with the Company to provided services related to patient advocation, introduce the Company to referral sources, and advise and assist the Company concerning Medicare regulations. The consulting agreement is for a period of two years in the amount of $50,000, payable monthly. Precision is a state licensed, Medicare certified home health agency operating in the Baton Rouge, Louisiana area. Each of the above transactions was accounted for as a purchase. F-8 8. INCOME TAXES The Company recorded a tax benefit of 34% of pre-tax loss at June 30, 1998, as the Company anticipates carrying back taxable losses to previous years in which the Company paid income taxes or generating taxable income in future periods to offset the first and second quarter 1998 losses. 9. SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING ACTIVITY The following unaudited table presents (in 000's) a summary of the acquisitions completed during the first quarter of 1998 and a detail of the acquisitions completed during the second quarter of 1998 as presented in the supplemental schedule to the electionconsolidated cash flow statement.
Precision Quality Home 1st Quarter Home Home Health of 1998 Health, Health, Alexandria Total Inc. Inc. Inc. Total -------------- ----------- --------- ------------ ----------- Supplemental schedule of non-cash investing activity: Value of stock issued in exchange $ 874 $ 0 $ 20 $ 0 $ 894 Value of note payable issued in exchange 375 1,200 0 0 1,575 Cash acquired in exchange (123) (0) (132) (62) (317) Working capital deficit acquired net of cash and cash equivalents 3,272 0 306 (25) 3,553 Fair value of property, plant and equipment acquired (279) (102) 3 1 (385) Fair value of other assets acquired (26) (0) 1 0 (27) Long term debt assumed 2,998 0 2 69 3,069 Fair value of other liabilities assumed 54 0 0 0 54 ------ ------- ----- ---- ------- Non cash portion of acquisitions 7,146 1,098 192 (20) 8,416 Cash payment for acquisition 1,905 0 80 20 2,005 ------ ------- ----- ---- ------- Goodwill recorded in exchange $9,051 $ 1,098 $ 272 $ 0 $10,421 ------ ------- ----- ---- -------
10. NOTES PAYABLE Notes payable consist primarily of directors. Subjectborrowings under revolving bank lines of credit of $7,500,000 and $750,000, bearing interest at bank prime plus 1.5% and bank prime plus 1%, respectively. The lines of credit are collateralized by 80% of eligible receivables in staffing and outpatient surgery, 75% of eligible receivables in home health care, and 80% of physician notes receivable. Eligible receivables are defined principally as accounts that are aged less than 90 days for staffing and outpatient surgery and 120 days for home health care. At June 30, 1998, approximately $109,000 was available based on eligible receivables under the combined lines of credit. The line of credit is subject to certain covenants, including a monthly borrowing base, a debt service coverage ratio, and a leverage ratio. At December 31, 1997, March 31, 1998, and June 30, 1998, the Company was in default on the debt service coverage ratio requirement of 1.1 : 1.0 due to the prior rightslosses incurred in these periods. This default was waived by the bank through June 30, 1998. 11. OTHER CURRENT ASSETS Included in Other Current Assets at June 30, 1998 is a deferred tax asset of any series$2,279,000 resulting from the first and second quarter 1998 losses. The Company anticipates carrying back taxable losses to previous years in which the Company paid income taxes or generating taxable income in future periods to offset the first and second quarter 1998 losses. 12. ACCOUNTS RECEIVABLE Included in Accounts Receivable at June 30, 1998 is an accrual of Preferred Stock which may from time$2,600,000 for estimated Medicare reimbursement rate reductions for 1998 cost reporting years related to time be outstanding, if any, holdersthe Home Health Nursing division. F-9 13. RECENT DEVELOPMENTS On June 2, 1998, the Company signed a letter of Common Stock are entitledintent to receive ratably such dividends as may be declaredpurchase a portion of Columbia/HCA homecare operations subject to satisfactory completion of due diligence and approval by the Board of Directors out of funds legally available therefor. Uponboth companies. The homecare operations covered by the liquidation, dissolution or windingletter of intent are located in the states of Alabama, Georgia, Louisiana, North Carolina, Oklahoma, and Tennessee and may include up of the Company, holders of the Common Stock are entitled to share ratably in all assets remaining after payment of liabilities116 offices and payment of accrued dividends and liquidation preferences on the Preferred Stock, if any. Holders of Common Stock have no preemptive rights and have no rights to convert their Common Stock into any other securities. PREFERRED STOCK50 Medicare provider numbers. The Company is authorizedcurrently conducting due diligence and negotiating with investment banks to issue up to 2,500,000 shares of Preferred Stock, $.001 par value per share. The Preferred Stock may be issued in one or more series, the terms of which may be determined at the time of issuance by the Board of Directors, without further action by stockholders, and may include voting rights (including the right to vote as a series on particular matters), preferences as to dividends and liquidation, conversion and redemption rights and sinking fund provisions. No shares of Preferred Stock are outstanding, and the Company has no present plansobtain financing for the issuance thereof. The issuance of any such Preferred Stock could adversely affect the rights of the holders of Common Stock, and, therefore, reduce the value of the Common Stock. WARRANTS In August 1993, the Company issued warrants to purchase 25,000 shares to Carnegie Investor Services in connection with its initial public offering. These warrants are exercisable at a price of $7.20 per share and expire in April 1998. In January 1996, a portion of the warrant was exercised and 1,000 shares were issued. The resale of these shares, as well as the remaining 24,000 shares underlying the warrant is being registered hereby. In March 1994, the Company issued warrants to purchase an aggregate of 29,721 shares in connection with a private placement. These warrants are exercisable at a price of $9.25 per share and expire in March 1997. In March 1996, the Company entered into an agreement with I.W. Miller & Co., Inc. ("Miller") for consulting services. Pursuant to such agreement, the Company agreed to issue warrants to purchase an aggregate of 50,000 shares of Company Common Stock to Miller in consideration of Miller's services. These warrants, when issued, will be exercisable for $8 per share as to 25,000 shares and $9 per share as to 25,000 shares. These warrants will vest immediately upon issuance and will expire in March 1998. The resale of the shares underlying these warrants is being registered hereby. TRANSFER AGENT AND REGISTRAR The transfer agent and registrar for the Common Stock is American Stock Transfer & Trust Company, 40 Wall Street, New York, New York 10005. 33 LIMITATION OF DIRECTORS' LIABILITY The Company's Certificate of Incorporation eliminates, subject to certain exceptions, the personal liability of directors of the Company or its stockholders for monetary damages for breaches of fiduciary duty by such directors. The Certificate of Incorporation does not provide for the elimination of or any limitation on the personal liability of a director for (i) any breach of the director's duty of loyalty to the Company or its stockholders, (ii) acts or omissions not in good faith or which involve intentional misconduct or a knowing violation of law, (iii) unlawful corporate distributions, or (iv) any transaction from which such director derives an improper personal benefit. This provision of the Certificate of Incorporation will limit the remedies available to the stockholder who is dissatisfied with a decision of the Board of Directors protected by this provision; such stockholder's only remedy may be to bring a suit to prevent the action of the Board. This remedy may not be effective in many situations, because stockholders are often unaware of a transaction or an event prior to Board action in respect of such transaction or event. In these cases, the stockholders and the Company could be injured by a Board's decision and have no effective remedy. DELAWARE ANTI-TAKEOVER LAW The Company is subject to Section 203 of The Delaware General Corporation Law ("Section 203"), which, subject to certain exceptions, prohibits a Delaware corporation from engaging in any business combinations with any interested stockholder for a period of three years following the date that such stockholder became an interested stockholder, unless (i) before such date the Board of Directors of the Company approved either the business combination or the transaction that resulted in the stockholder becoming an interested stockholder, (ii) upon consummation of the transaction that resulted in the stockholder becoming an interested stockholder, the interested stockholder owned at least 85% of the voting stock of the Company outstanding at the time the transaction commenced, excluding for purposes of determining the number of shares outstanding those shares that are owned (x) by persons who are directors and also officers and (y) by employee stock plans in which employee participants do not have the right to determine confidentially whether shares held subject to the plan will be tendered in a tender or exchange offer, or (iii) on or after such date the business combination is approved by the Board of Directors and authorized at an annual or special meeting of stockholders, and not by written consent, by the affirmative vote of at least 66-2/3% of the outstanding voting stock which is not owned by the interested stockholder. Section 203 defines "combination" to include (i) any merger or consolidation involving the corporation and the interested stockholder, (ii) any sale, lease, exchange, mortgage, transfer, pledge or other disposition involving the interested stockholder of 10% or more of assets of the Company, (iii) subject to certain exceptions, any transaction that results in the issuance or transfer by the Company of any stock of the Company to the interested stockholder, (iv) any transaction involving the Company that has the effect of increasing the proportionate share of the stock of any class or series of the Company beneficially owned by the interested stockholder, or (v) the receipt by the interested stockholder of the benefit of any loans, advances guarantees, pledges or other financial benefits provided by or through the Company. In general, Section 203 defines an "interested stockholder" as any entity or person beneficially owning 15% or more of the outstanding voting stock of the Company and any entity or person affiliated with or controlling or controlled by such an entity or person. 34 PLAN OF DISTRIBUTION AND SELLING STOCKHOLDERS The following table sets forth certain information with respect to the resale of Common Stock by the Selling Shareholders.
SHARES SHARES BENEFICIALLY BENEFICIALLY OWNED PRIOR AMOUNT OWNED AFTER NAME TO RESALE OFFERED RESALE PERCENTAGE(1) ----- --------- ------- ------ ------------- William F. Borne(2) .................................. 438,391(3) 3,250 435,141 15.9 Boris L. Payan, M.D.(2) .............................. 230,893(4) 30,134 200,759 7.3 R.E. Hearn, M.D.(2) .................................. 230,893(4)(5) 100,893(5) 30,000 1.1 Jose R. Reyes, M.D.(2) ............................... 204,007(4) 26,101 177,906 6.5 Phoenix Anesthesia, EPSP ............................. 100,000 100,000(6) -- -- Doris Montoya ........................................ 56,000 8,400 47,600 1.7 Steven Fein, M.D ..................................... 50,000 7,500 42,500 * I.W. Miller & Co., Inc. .............................. 50,000(7) 50,000 -- -- Lynne S. Bernhard (2) ................................ 43,450(8) 3,250 40,200 1.5 S.F. Hartley, D.P.M .................................. 40,000 6,000 34,000 1.2 Eric H. Scheffey, M.D ................................ 39,744 5,961 33,783 1.2 R.P. & H, Inc. ....................................... 30,000 4,500 25,500 * Donald C. Stran, D.P.M ............................... 30,000 4,500 25,500 * Irvin T. Gregory (2) ................................. 26,411 3,962 22,449 * Ariston P. Awitan, M.D ............................... 25,000 3,750 21,250 * Gerald Brown, M.D .................................... 20,000 3,000 17,000 * Mark Sands, D.P.M .................................... 20,000 3,000 17,000 * Surgical Enterprises, L.C ............................ 20,000 3,000 17,000 * Wayne Mulloy, Trustee ................................ 19,230 2,884 16,346 * Jorge Cuza, D.P.M .................................... 16,411 2,462 13,949 * Mitchel G. Morel(2) .................................. 12,875(8) 3,250 9,625 * Carnegie Investor Services ........................... 12,500(9) 12,500 -- -- David Kaplan ......................................... 11,500(9) 11,500 -- -- Coastal Surgical Group, L.C .......................... 10,000 1,500 8,500 * Jeffrey C. Tanenbaum, D.P.M .......................... 6,411 962 5,449 * Zach Gerger, M.D ..................................... 5,000(10) 5,000 -- -- Scott McKinney, D.P.M ................................ 5,000(10) 5,000 -- -- Jorge Rodriquez, M.D ................................. 5,000(10) 5,000 -- -- Edward Wade, M.D ..................................... 5,000 750 4,250 * 35 Bruce R. Weiner, M.D ................................. 5,000 750 4,250 * Barbara C. Carey (2) ................................. 4,625(8) 3,250 1,375 * Randal M. Lepow, D.P.M ............................... 2,500 375 2,125 * Michael G. Tucker, M.D ............................... 2,500 375 2,125 * Jose R. Reyes, Jr., M.D .............................. 2,500(11) 2,500 -- -- Joseph Toothaker-Alvarez, M.D ........................ 2,500(11) 2,500 -- -- Floyd Hardimon, M.D .................................. 2,500(11) 2,500 -- -- Keith Barry .......................................... 1,000(12) 1,000 -- -- Landa H. Bernhard .................................... 3,250(8) 3,250 -- -- Cindy Doll ........................................... 500(13) 500 -- -- Michelle Wier ........................................ 500(13) 500 -- -- Stacey Westbrook ..................................... 500(13) 500 -- -- Peter Hartley ........................................ 500(13) 500 -- -- Wendy Williams ....................................... 500(13) 500 -- -- Shirley Foreman ...................................... 500(13) 500 -- -- Patty Bayhi .......................................... 500(13) 500 -- -- Kenneth Clement ...................................... 500(13) 500 -- -- Heather Luquette ..................................... 500(13) 500 -- -- Greg Stelly .......................................... 500(13) 500 -- -- Judith Coxe .......................................... 200(14) 200 -- -- Scott Reid ........................................... 200(14) 200 -- -- Elizabeth Lutzi ...................................... 200(14) 200 -- -- Brendas Delahoussaye ................................. 200(14) 200 -- -- Ann Broussard ........................................ 200(14) 200 -- -- Donna Fontenot ....................................... 200(14) 200 -- -- Christi Rogers ....................................... 200(14) 200 -- -- Liz Regard ........................................... 200(14) 200 -- -- Mike McCall .......................................... 200(14) 200 -- -- Theresa Boudreaux .................................... 200(14) 200 -- -- Alice Posseno ........................................ 200(14) 200 -- -- Marguerite Adams ..................................... 200(14) 200 -- -- 36 Deborah Crumbley ..................................... 200(14) 200 -- -- Roy Holton ........................................... 200(14) 200 -- -- Milette Smiley ....................................... 200(14) 200 -- -- Susan Boyette ........................................ 200(14) 200 -- -- Darlene Stepp ........................................ 200(14) 200 -- -- Lynette Fontenot ..................................... 200(14) 200 -- -- Genie West ........................................... 200(14) 200 -- -- Melody Lane .......................................... 200(14) 200 -- -- Annette Patterson .................................... 200(14) 200 -- -- Lela Venable ......................................... 200(14) 200 -- -- Ann Thomas ........................................... 200(14) 200 -- -- Mary DiVincenti ...................................... 200(14) 200 -- -- Suzanne Burchfield ................................... 200(14) 200 -- -- Mona Landry .......................................... 200(14) 200 -- -- Vanessa Jenkins ...................................... 200(14) 200 -- -- Goldie LeBlanc ....................................... 200(14) 200 -- -- Martez Robinson ...................................... 200(14) 200 -- -- Bernardine Milton .................................... 200(14) 200 -- -- Sharon Ray ........................................... 200(14) 200 -- -- David Monic .......................................... 200(14) 200 -- --
- ------------------------ (*) Less than one percent. (1) Assumes the exercise of all outstanding Options and Warrants. (2) See "Management -- Executive Officers and Directors" and "-- Certain Transactions" for positions with the Company held by certain stockholders and any material relationships and transactions within the last three years between the Selling Stockholders and the Company. (3) Does not include 38,500 shares held in trust for Mr. Borne's minor children; does include 3,250 shares underlying an Option. (4) Includes 30,000 shares owned of record by R.P.&H., Inc., an affiliate of the shareholder. (5) Includes 100,000 shares owned of record by Phoenix Anesthesia, EPSP, an affiliate of the shareholder. (6) Dr. Hearn has agreed to sell these shares to the Company. If the Company does not buy these shares, Dr. Hearn has agreed to not sell them to any third party without the Company's prior approval. (7) Includes 50,000 shares underlying a Warrant (8) Includes 3,250 shares underlying an Option. (9 ) Includes 11,500 shares underlying a Warrant (10) Includes 5,000 shares underlying an Option. (11) Includes 2,500 shares underlying an Option. (12) Includes 1,000 shares underlying a Warrant. (13) Includes 500 shares underlying an Option. (14) Includes 200 shares underlying an Option. The Selling Stockholders may sell the Common Stock through broker-dealers; through agents or directly to one or more purchasers. The distribution of the Common Stock may be effected from time to time in one or more transactions in the over-the-counter market or in transactions otherwise than in the over-the-counter market. Any of 37 such transactions may be effected at market prices prevailing at the time of sale, at prices related to such prevailing market prices, at negotiated prices or at fixed prices. Any Selling Stockholder may effect such transactions by selling the Common Stock to or through broker-dealers, and such broker-dealers may receive compensation in the form of discounts, concessions or commissions from the Selling Stockholders and/or commissions from purchasers of the Common Stock for whom they may act as agent (which discounts, concessions or commissions will not exceed those customary in the types of transactions involved). The Selling Stockholders and any broker-dealers or agents that participate in the distribution of the Common Stock might be deemed to be underwriters, and any profit on the sale of the Common Stock by them and any discounts, commissions or concessions received by any such broker-dealers or agents might be deemed to be underwriting discounts and commissions under the Act. The Company has not agreed to indemnify the Selling Stockholders against liabilities under the Act. The Company has agreed to bear all expenses (other than selling discounts, concessions or commissions and certain other fees and expenses of counsel and other advisers to the Selling Stockholders) in connection with the registration and sale of the Common Stock being offered by the Selling Stockholders. The Common Stock being offered hereby by the Selling Stockholders has not been registered for sale under the securities laws of any state or jurisdiction as of the date of this Prospectus. Brokers or dealers effecting transactions in the Common Stock should confirm the registration thereof under the securities law of the state in which such transactions occur, or the existence of any exemption from registration. A current prospectus must be in effect at the time of the sale of the shares of Common Stock to which this Prospectus relates. Each Selling Stockholder or dealer effecting a transaction in the registered securities, whether or not participating in a distribution, is required to deliver a Prospectus. The shares to be issued by the Company will be offered on a "best-effort, no-minimum" basis. LEGAL MATTERS The validity of the Common Stock to be offered hereby for the Selling Stockholders will be passed upon by Brewer & Pritchard, P.C., Houston, Texas. EXPERTS The consolidated financial statements of the Company and its subsidiaries included in this Prospectus and elsewhere in the Registration Statement have been audited by Arthur Andersen LLP and Hannis T. Bourgeois & Co., L.L.P., independent certified public accountants, as set forth in their reports appearing elsewhere herein in reliance given upon the authority of those firms as experts in accounting and auditing in giving said reports. The single jointly signed auditor's report is considered to be the equivalent of two separately signed auditor's reports. Thus, each firm represents that it has complied with generally accepted auditing standards and is in a position that would justify being the only signatory of the report. 38 AMEDISYS, INC. AND SUBSIDIARIES INDEX TO FINANCIAL STATEMENTS Report of Independent Public Accountants ................................. F-2 Consolidated Balance Sheets as of December 31, 1995 and 1994 ............. F-3 Consolidated Statements of Income for the Years Ended December 31, 1995, 1994 and 1993 ......................................... F-4 Consolidated Statements of Stockholders' Equity for the Years Ended December 31, 1995, 1994 and 1993 ......................................... F-5 Consolidated Statements of Cash Flows for the Years Ended December 31, 1995, 1994 and 1993 ......................................... F-6 Notes to Financial Statements ............................................ F-8 F-1operations. F-10 REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS To the Board of Directors and Stockholders of Amedisys, Inc. and Subsidiaries: We have audited the accompanying consolidated balance sheets of Amedisys, Inc. (a Delaware Corporation, formerly known as Analytical Nursing Management Corporation) and Subsidiaries (the Company) as of December 31, 19951997 and 1994,1996, and the related consolidated statements of income,operations, stockholders' equity and cash flows for each of the three years in the period ended December 31, 1995.1997. These financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with generally accepted auditing standards. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Amedisys, Inc. and Subsidiaries as of December 31, 19951997 and 1994,1996, and the consolidated results of their operations and their cash flows for each of the three years in the period ended December 31, 1995,1997, in conformity with generally accepted accounting principles. As explained in Note 5 to the financial statements, effective January 1, 1997, the Company changed its method of accounting for start-up costs. ARTHUR ANDERSEN LLP HANNIS T. BOURGEOIS & CO., LLP MarchNew Orleans, Louisiana Baton Rouge, Louisiana April 15, 1996 F-21998 F-11 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS AS OF DECEMBER 31, 19951997 AND 19941996 (IN 000'S EXCEPT SHARE DATA)
1995 1994 ------------ -----------1997 1996 ------- ------- CURRENT ASSETS: Cash (Note 14) .......................................................................and cash equivalents.................................. $ 870,0044,070 $ 140,804103 Accounts receivable, net of allowance for doubtful accounts of $258,670$1,617 in 19951997 and $277,845$732 in 1994 ........................................... 6,124,269 5,307,4331996........................ 9,630 8,271 Prepaid expenses ..................................................................... 432,930 185,823expenses........................................... 247 264 Income tax receivable (Note 9)............................. 118 74 Inventory and other current assets ................................................... 219,610 134,087 ------------ -----------assets......................... 536 442 ------- ------- Total current assets ......................................................... 7,646,813 5,768,147assets................................... 14,601 9,154 NOTES RECEIVABLE FROM RELATED PARTIES (Note 10) ......................................... 402,736 362,621.............. 252 190 OTHER INVESTMENTS (Note 4)................................... 399 456 PROPERTY, PLANT AND EQUIPMENT, netNET (Notes 3 and 7) ...................................... 2,449,468 2,449,685 ASSETS HELD FOR SALE, net (Note 4) ...................................................... 76,456 101,9408)........... 4,785 4,610 DEFERRED TAX ASSET (Note 9) ............................................................. 208,000 46,500.................................. 926 447 OTHER ASSETS, netNET (Note 5) .............................................................. 753,254 431,302 ------------ -----------................................... 1,907 2,001 ------- ------- Total assets ................................................................. $ 11,536,727 $ 9,160,195 ============ ===========assets........................................... $22,870 $16,858 ======= ======= CURRENT LIABILITIES: Accounts payable .....................................................................payable........................................... $ 402,1401,338 $ 496,2131,416 Accrued expenses-expenses-- Payroll and payroll taxes .......................................................... 862,498 443,616taxes................................ 2,025 1,033 Insurance (Note 12) ............................................................... 483,155 70,301 Income taxes (Note 9) .............................................................. 287,987 39,993 Other .............................................................................. 616,869 359,738...................................... 521 643 Other.................................................... 847 883 Notes payable (Note 6) ............................................................... 2,456,971 1,674,468..................................... 5,806 4,379 Current portion of notes payable to related parties (Note 10) ........................ 90,711 286,221....................................................... 45 90 Current portion of long-term debt (Note 7) ........................................... 386,848 95,890................. 690 458 Current portion of obligations under capital leases (Note 8) ......................... 181,964 99,313 ------------ -----------........................................................ 192 231 ------- ------- Total current liabilities .................................................... 5,769,143 3,565,753liabilities.............................. 11,464 9,133 LONG-TERM DEBT (Note 7) ................................................................. 211,187 216,171...................................... 2,995 1,937 NOTES PAYABLE TO RELATED PARTIES (Note 10) .............................................. 987,924 1,028,457................... -- 943 OBLIGATIONS UNDER CAPITAL LEASES (Note 8) ............................................... 291,282 292,448 ------------ -----------.................... 134 343 ------- ------- Total liabilities ............................................................ 7,259,536 5,102,829 ------------ -----------liabilities...................................... 14,593 12,356 ------- ------- COMMITMENTS AND CONTINGENCIES (Notes 8, 12 and 14) ......................................15) -- -- ------- ------- MINORITY INTEREST IN CONSOLIDATED SUBSIDIARIES .......................................... 3,345 14,942 ------------ -----------SUBSIDIARIES............... 3 188 ------- ------- STOCKHOLDERS' EQUITY (Note 11): Common stock ......................................................................... 2,584 2,547stock--$.001 par value; 10,000,000 shares authorized; 2,850,067 and 2,576,191 shares outstanding in 1997 and 1996, respectively............................... 3 2 Preferred stock--$.001 par value; 2,500,000 shares authorized and 400,000 shares outstanding in 1997......... 1 -- Additional paid-in capital ........................................................... 1,976,593 1,652,630capital................................. 7,092 1,916 Treasury stock--4,167 shares at $6.00 per share............ (25) -- Retained earnings .................................................................... 2,378,636 2,494,381earnings.......................................... 1,203 2,397 Stock subscriptions receivable ....................................................... (83,967) (107,134) ------------ -----------receivable............................. -- (1) ------- ------- Total stockholders' equity ................................................... 4,273,846 4,042,424 ------------ -----------equity............................. 8,274 4,314 ------- ------- Total liabilities minority interest, and stockholders' equity ............... $ 11,536,727 $ 9,160,195 ============ ===========equity............. $22,870 $16,858 ======= =======
The accompanying notes are an integral part of these statements. F-3F-12 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF INCOMEOPERATIONS FOR THE YEARS ENDED DECEMBER 31, 1997, 1996 AND 1995 1994 AND 1993(IN 000'S EXCEPT SHARE DATA)
1997 1996 1995 1994 1993 ------------ ------------ ---------------------- ---------- ---------- INCOME: Net service revenues ..........................................revenues..................... $ 37,589,08854,496 $ 28,902,21946,060 $ 22,445,02637,589 Cost of service revenues ...................................... 22,424,192 16,996,011 14,673,624 ------------ ------------ ------------revenues................. 30,641 26,405 22,424 ---------- ---------- ---------- Operating revenues .................................... 15,164,896 11,906,208 7,771,402 ------------ ------------ ------------revenues..................... 23,855 19,655 15,165 ---------- ---------- ---------- GENERAL AND ADMINISTRATIVE EXPENSES: Salaries and benefits ......................................... 6,732,356 4,863,770 3,667,373benefits.................... 12,651 10,327 6,732 Other ......................................................... 7,052,610 4,875,985 3,537,030 ------------ ------------ ------------(Notes 2 and 5).................... 11,792 8,184 7,053 ---------- ---------- ---------- Total general and administrative expenses ............. 13,784,966 9,739,755 7,204,403 ------------ ------------ ------------expenses.............................. 24,443 18,511 13,785 ---------- ---------- ---------- Operating income ...................................... 1,379,930 2,166,453 566,999 ------------ ------------ ------------income....................... (588) 1,144 1,380 ---------- ---------- ---------- OTHER INCOME (EXPENSE): Interest expense .............................................. (409,763) (270,764) (147,880)expense......................... (870) (579) (410) Interest income ............................................... 71,969 66,510 53,405 Loss on investment in unconsolidated subsidiaryincome.......................... 31 43 72 Write-off of investments (Note 10) ...................................................4)........ -- (122,699)(623) -- Miscellaneous ................................................. 87,686 93,870 61,844 ------------ ------------ ------------Miscellaneous............................ (123) (19) 88 ---------- ---------- ---------- Total other income (expense) .......................... (250,108) (233,083) (32,631) ------------ ------------ ------------expense.................... (962) (1,178) (250) ---------- ---------- ---------- INCOME (LOSS) BEFORE INCOME TAXES, AND MINORITY INTEREST ............................................. 1,129,822 1,933,370 534,368AND CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE................... (1,550) (34) 1,130 INCOME TAX EXPENSE (BENEFIT) (Note 9) ...................................... 199,636 13,393 39,495 ------------ ------------ ------------...... (382) 3 200 ---------- ---------- ---------- Income (loss)before minority interest in net income of consolidated subsidiary .................. 930,186 1,919,977 494,873subsidiaries and cumulative effect of a change in accounting principle...................... (1,168) (37) 930 MINORITY INTEREST IN (INCOME) LOSS OF CONSOLIDATED SUBSIDIARIES ..................................... 11,597 (14,942) -- ------------ ------------ ------------SUBSIDIARIES................. 209 55 12 ---------- ---------- ---------- Net income ..................................................(loss) before cumulative effect of change in accounting principle............................. (959) 18 942 CUMULATIVE EFFECT OF CHANGE IN ACCOUNTING PRINCIPLE (Note 5)........................ (235) -- -- ---------- ---------- ---------- Net income (loss)...................... $ 941,783(1,194) $ 1,905,03518 $ 494,873 ============ ============ ============942 ---------- ---------- ---------- WEIGHTED AVERAGE COMMON SHARES OUTSTANDING. 2,735,000 2,575,000 2,570,000 ---------- ---------- ---------- EARNINGS (LOSS) PER COMMON SHARE (Notes 1 and 2) ........................: Income (loss) before cumulative effect of change in accounting principle.......... $ (0.35) $ 0.01 $ 0.37 Cumulative effect of change in accounting principle............................... (0.08) -- -- ---------- ---------- ---------- Net income (loss)...................... $ 0.75(0.43) $ 0.22 ============ ============ ============ WEIGHTED AVERAGE COMMON SHARES OUTSTANDING ................................................... 2,569,927 2,525,390 2,285,097 ============ ============ ============ PROFORMA0.01 $ 0.37 ========== ========== ========== PRO FORMA INFORMATION (unaudited)(UNAUDITED): (Note 2) NetHistorical net income (historical) .......................................(loss)............. $ 941,783(1,194) $ 1,905,03518 $ 494,873 Proforma adjustments- Income942 Pro forma adjustments--Income taxes on Surgicare results ........................... 190,760 645,682 154,950 ------------ ------------ ------------ Proformaresults....................... -- -- 191 ---------- ---------- ---------- Pro forma net income ...........................................(loss).............. $ 751,023(1,194) $ 1,259,35318 $ 339,923 ============ ============ ============ Proforma earnings per common share ............................751 ========== ========== ========== PRO FORMA EARNINGS (LOSS) PER COMMON SHARE. $ (0.43) $ 0.01 $ 0.29 $ 0.50 $ 0.15 ============ ============ ====================== ========== ==========
The accompanying notes are an integral part of these statements. F-4F-13 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY FOR THE YEARS ENDED DECEMBER 31, 1997, 1996 AND 1995 1994 AND 1993(IN 000'S, EXCEPT SHARE DATA)
PREFERRED COMMON STOCK STOCK ADDITIONAL STOCK TOTAL ------------------------------------ -------------- PAID-IN RETAINED SUBSCRIPTIONS TREASURY STOCKHOLDERS' SHARES AMOUNT SHARES AMOUNT CAPITAL EARNINGS RECEIVABLE STOCK EQUITY --------- ------ ------- ----------- ----------- --------- ----------------- ---------- -------- ------------- -------- ------------- BALANCE, December 31, 1992 ......................... 2,074,6491994................... 2,546,721 $ 3,575 $ 3,925 $ 2,369,2262 -- -- $1,653 $2,494 $(107) $ -- $ 2,376,726 Public offering (Note 11) ....................... 250,000 250 1,499,750 -- -- 1,500,000 Public offering costs ........................... -- -- (283,853) -- -- (283,853) Issuance of stock ............................... 351 -- 37,053 -- -- 37,053 Equity adjustment from purchase of ANMC stock ... 175,000 (1,325) 6,195 (4,870) -- -- Pooled acquisition-distribution to previous owners (Note 2) ............................... -- -- -- (54,000) -- (54,000) Net income ...................................... -- -- -- 494,873 -- 494,873 --------- ------- ----------- ----------- --------- ----------- BALANCE, December 31, 1993 ......................... 2,500,000 2,500 1,263,070 2,805,229 -- 4,070,799 Private placement stock offering (Note 11) ...... 29,721 30 233,577 -- (122,015) 111,592 Payments received on stock subscriptions ........ -- -- -- -- 14,881 14,8814,042 Issuance of stock for acquisitions (Note 2) ..... 15,800 16 149,984. 37,143 1 -- -- 150,000324 -- -- -- 325 Pooled acquisition-- distributions to owners (Note 2)....... -- -- -- -- -- (1,057) -- -- (1,057) Payments received on stock subscriptions... -- -- -- -- -- -- 23 -- 23 Net income............. -- -- -- -- -- 942 -- -- 942 --------- --- ------- --- ------ ------ ----- ---- ------- BALANCE, December 31, 1995................... 2,583,864 3 -- -- 1,977 2,379 (84) -- 4,275 Issuance of stock in connection with stock optionwarrants (Note 11) .............................. 1,200 1 5,999 -- -- 6,000 Pooled acquisition: Distributions to previous owners .................. 1,190 -- -- -- (2,068,883) -- (2,068,883) Purchase of owners' interests .................9 -- -- -- (147,000)9 Payments received on and write-off of stock subscriptions......... (8,863) (1) -- (147,000)-- (70) -- 83 -- 12 Net income ......................................income............. -- -- -- 1,905,035 -- 1,905,035-- 18 -- -- 18 --------- --- ------- ----------- ----------- --------- -------------- ------ ------ ----- ---- ------- BALANCE, December 31, 1994 ......................... 2,546,721 2,547 1,652,630 2,494,381 (107,134) 4,042,424 Issuance of stock for acquisitions (Note 2) ..... 37,143 37 323,9631996................... 2,576,191 2 -- -- 324,000 Pooled acquisition - distributions to previous owners (Note 2) ......................1,916 2,397 (1) -- -- -- (1,057,528) -- (1,057,528)4,314 Payments received on stock subscriptions ........subscriptions... -- -- -- -- 23,167 23,167 Net income ......................................-- -- 1 -- 1 Issuance of stock in connection with private placement stock, offering acquisition, and 401K plan (Notes 2 and 11). 273,876 1 -- -- 1,596 -- -- -- 941,7831,597 Cost of private placement............. -- 941,783-- -- -- (110) -- -- -- (110) Purchase of treasury stock................. -- -- -- -- -- -- -- (25) (25) Issuance of preferred stock (Note 11)....... -- -- 400,000 1 3,999 -- -- -- 4,000 Costs of preferred stock issuance (Note 11)................... -- -- -- -- (309) -- -- -- (309) Net loss............... -- -- -- -- -- (1,194) -- -- (1,194) --------- --- ------- ----------- ----------- --------- -------------- ------ ------ ----- ---- ------- BALANCE, DECEMBERDecember 31, 1995 ......................... 2,583,8641997................... 2,850,067 $ 2,5843 400,000 $ 1,976,5931 $7,092 $1,203 $ 2,378,636-- $(25) $ (83,967) $ 4,273,8468,274 ========= === ======= =========== =========== ========= ============== ====== ====== ===== ==== =======
The accompanying notes are an integral part of these statements F-5statements. F-14 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED DECEMBER 31, 1997, 1996 AND 1995 1994 AND 1993(IN 000'S)
1997 1996 1995 1994 1993 ----------- ----------- ------------------ ------- ------- CASH FLOWS FROM OPERATING ACTIVITIES: Net income .............................................................(loss).................................. $(1,194) $ 941,78318 $ 1,905,035 $ 494,873942 Adjustments to reconcile net income to net cash used in(used) provided by operating activities-activities-- Depreciation and amortization ...................................... 646,810 447,334 179,215amortization..................... 1,240 945 647 Provision for bad debts ............................................ 482,706 342,722 96,241debts........................... 1,427 878 483 Write-off of goodwill (Note 2).................... 1,028 -- -- (Gain) loss on disposal of property and equipment .................. 7,088equipment. (12) 8 7 Other, net........................................ 37 -- 18,017-- Deferred income taxes (benefit) .................................... (161,500) (26,600) (5,000) Loss from unconsolidated subsidiaries ..............................tax benefit....................... (566) (240) (162) Minority interest................................. (209) (55) (12) Cumulative effect of change in accounting principle........................................ 326 -- 122,699 15,960 Minority interest .................................................. (11,597) 14,942 -- Changes in assets and liabilities- (Increase) decreaseliabilities-- Increase in accounts receivable ....................... (1,012,343) (1,713,397) (243,959) (Increase) decrease in prepaid expenses .......................... (247,107) (55,887) 9,497receivable.................. (2,549) (3,025) (1,012) (Increase) decrease in inventory and other current assets ......................................................... (83,240) (4,477) (21,689) (Increase) decreaseassets.................................. 46 (54) (330) Increase in other assets .............................. (114,409) (194,699) (69,071)assets......................... (406) (1,734) (114) Increase (decrease) in accounts payable .......................... (188,251) 54,433 135,632payable.......... (143) 1,014 (188) Increase (decrease) in accrued expenses .......................... 1,292,246 246,995 (167,874) ----------- ----------- -----------expenses..................... 834 308 1,292 ------- ------- ------- Net cash (used) provided by operating activities ...................... 1,552,186 1,139,100 441,842 ----------- ----------- -----------activities..................................... (141) (1,937) 1,553 ------- ------- ------- CASH FLOWS FROM INVESTING ACTIVITIES: (Increase) decreaseDecrease in notes receivable ................................ 10,483 (321,022) 13,533receivable....................... -- -- 10 Proceeds from sale of property, plant and equipment .................... 42,000 -- --equipment......................................... 191 12 42 Purchase of property, plant and equipment .............................. (445,809) (1,573,525) (971,734) Investmentequipment.......... (1,456) (2,965) (446) Minority interest investment in unconsolidated subsidiaries ..............................subsidiary......... 24 240 -- (34,446) (87,580) ----------- ----------- ------------------ ------- ------- Net cash (used by)used by investing activities ....................... (393,326) (1,928,993) (1,045,781) ----------- ----------- -----------activities........... (1,241) (2,713) (394) ------- ------- ------- CASH FLOWS FROM FINANCING ACTIVITIES: Cash received in purchase acquisitions ................................. 10,890acquisitions............. -- -- 11 Cash used in purchase acquisitions................. (465) -- -- Net borrowings on line of credit agreement ............................. 782,503 299,359 325,948agreement......... 1,428 1,922 783 Proceeds from issuance of notes payable and capital leases ............. 661,389 647,009 705,702leases............................................ 992 2,596 661 Payments on notes payable and capital leases ........................... (573,923) (824,887) (247,916) Increase (decrease)leases....... (1,037) (699) (574) Decrease in notes payable - related parties ................. (236,043) 1,265,964 (47,745)payable--related parties......... (1) (44) (236) (Increase) decrease in notes receivable - related parties .............. (40,115) 160,000 (119,868)receivable--related parties........................................... (62) 85 (40) Proceeds from issuance of stock ........................................stock.................... 4,518 9 -- 132,577 1,524,558 Payments received on stock subscriptions receivable .................... 23,167receivable........................................ 1 14 23 Distributions to members (Note 2).................. -- -- Distributions to previous members (Note 2) ............................. (1,057,528) (2,068,883) (54,000)(1,058) Purchase of members' interest .......................................... -- (147,000) -- Purchaser of treasury stock ............................................stock......................... (25) -- -- (71,000) Proceeds for sale of treasury stock .................................... -- -- 95,538 Offering costs ......................................................... -- -- (283,853) ----------- ----------- ------------------ ------- ------- Net cash provided (used) by financing activities ............... (429,660) (535,861) 1,827,364 ----------- ----------- -----------activities..................................... 5,349 3,883 (430) ------- ------- ------- NET INCREASE (DECREASE) IN CASH ........................................... 729,200 (1,325,754) 1,223,425AND CASH EQUIVALENTS........................................ 3,967 (767) 729 CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR ................................................. 140,804 1,466,558 243,133 ----------- ----------- -----------YEAR...... 103 870 141 ------- ------- ------- CASH AND CASH EQUIVALENTS AT END OF YEAR .......................................................YEAR............ $ 870,0044,070 $ 140,804103 $ 1,466,558 =========== =========== ===========870 ======= ======= =======
F-15 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS--(CONTINUED) FOR THE YEARS ENDED DECEMBER 31, 1997, 1996 AND 1995 (IN 000'S)
1997 1996 1995 ----- ---- ----- SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION: Cash payments for- Interest ...........................................................for-- Interest................................................. $ 365,934846 $495 $ 204,424366 ===== ==== ===== Income taxes............................................. $ 156,520 =========== =========== =========== Income taxes (refunds) .............................................-- $586 $ 36,00036 ===== ==== ===== SUPPLEMENTAL SCHEDULES OF NONCASH INVESTING AND FINANCING ACTIVITIES Acquisition of Health Care 24 Inc.-- Value of stock issued in exchange........................ $ (24,393)-- $ 209,287 =========== =========== ===========-- $ 50 Value of note payable issued in exchange................. -- -- 50 Fair value of property and equipment acquired............ -- -- (15) ----- ---- ----- Client lists acquired.................................... $ -- $ -- $ 85 ===== ==== ===== Acquisition of Home Care Plus, Inc.-- Value of stock issued in exchange........................ $ -- $ -- $ 274 Cash acquired in exchange................................ -- -- (11) Working capital acquired net of cash and cash equivalents............................................. -- -- (151) Fair value of property and equipment acquired............ -- -- (30) Long-term debt assumed................................... -- -- 230 ----- ---- ----- Goodwill recorded in exchange............................ $ -- $ -- $ 312 ===== ==== ===== Related party note payable refinanced with financing company.................................................. $ 988 $ -- $ -- ===== ==== ===== Issuance of stock to 401(k) plan.......................... $ 59 $ -- $ -- ===== ==== ===== Acquisition of Allgood Medical Services, Inc.-- Cash paid in exchange.................................... $ 465 $ -- $ -- Value of stock issued in exchange........................ 600 -- -- Value of note payable issued in exchange................. 100 -- -- Working capital acquired net of cash and cash equivalents............................................. (313) -- -- ----- ---- ----- Goodwill recorded in exchange (Note 2)................... $ 852 $ -- $ -- ===== ==== =====
The accompanying notes are an integral part of these statements. F-6 AMEDISYS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS FOR THE YEARS ENDED DECEMBER 31, 1995, 1994 AND 1993
1995 1994 1993 --------- --------- -------- SUPPLEMENTAL SCHEDULES OF NONCASH INVESTING AND FINANCING ACTIVITIES: Issuance of stock for acquisition of Priority Home Care, Inc. ............ $ -- $ 150,000 $ -- ========= ========= ======== Acquisition Of Health Care 24, Inc.- Value of stock issued in exchange ...................................... $ 50,000 $ -- $ -- Value of note payable issued in exchange ............................... 50,000 -- -- Working capital acquired net of cash and cash equivalents .............. -- -- -- Fair value of property and equipment acquired .......................... (15,000) -- -- --------- --------- -------- Client lists acquired .................................................. $ 85,000 $ -- $ -- ========= ========= ======== Acquisition Of Home Care Plus, Inc.- Value of stock issued in exchange ...................................... $ 274,000 $ -- $ -- Cash acquired in exchange .............................................. (10,890) -- -- Working capital acquired net of cash and cash equivalents .............. (150,659) -- -- Fair value of property and equipment acquired .......................... (30,245) -- -- Long-term debt assumed ................................................. 229,991 -- -- --------- --------- -------- Goodwill recorded in exchange .......................................... $ 312,197 $ -- $ -- ========= ========= ========
The accompanying notes are an integral part of these statements. F-7F-16 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS DECEMBER 31, 19951997, 1996 AND 19941995 1. NATURE OF OPERATIONS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES: NATURE OF ORGANIZATIONNature of Organization Amedisys, Inc. (the Company - formerly known as Analytical Nursing Management Corporation) was acquired on December 21, 1993 by M & N Capital Corp. (M & N) which had beenCompany) is incorporated under the laws of the State of New York on October 20, 1992 to serve as a vehicle to effect a combination with an operating business. In connection with this transaction, 75,000 shares of M & N common stock were issued as a finders fee to three individuals and the former shareholders of the Company acquired approximately 73% of the issued and outstanding capital stock of M & N. Prior to the acquisition, none of the officers, directors or shareholders of M & N were affiliated with the officers, directors or shareholders of the Company. This transaction was accounted for as a reverse acquisition. In July, 1994, Analytical Nursing Management Corporation (ANMC) was reincorporated in the state of Delaware and operates in August, 1994, M & N Capital Corp. mergedeight states including Louisiana, Texas, Tennessee, Missouri, Kansas, Mississippi, North Carolina and Minnesota with a concentration of business in Louisiana and into ANMC, changing the name ofTexas. During 1997, the Company to "Analytical Nursing Management Corporation." Duringpurchased a durable medical equipment supplier in Louisiana and Mississippi and launched an infusion therapy division; in 1996, the Company opened a new ambulatory surgery center in Louisiana in which it has a 56% ownership interest; in 1995, the Company changed its name and began doing business as Amedisys; the Company also acquired an outpatient surgery center company in Texas and two home care companies (see Note 2) in Louisiana. The Company provides a variety of supplemental staffing, home health care, home care management, outpatient surgery, infusion therapy, home medical equipment and primary care clinical services. The Company's home care division now servicesserves all major metropolitan areas in the state of Louisiana as well as the areas of Houston, Dallas and Beaumont in Texas. The outpatient surgery centers are located in Houston, Texas. NATURE OF OPERATIONSTexas, and Hammond, Louisiana. Nature of Operations The Company provides services through a network of subsidiaries whichthat include: AMEDISYS STAFFING SERVICES, INC. (AME)Staffing Services, Inc. (ASS) supplies highly trained critical care registered nurses and licensed practical nurses to all types of health care facilities. Independent contract nurses are utilized to meet the staffing needs of client health care facilities. AMEDISYS NURSING SERVICES, INC. (ASI)Nursing Services, Inc. (ANS) is an employee-based staffing agency that provides a variety of relief personnel such as registered and licensed practical nurses, and certified nurses' aides for staff relief in all types of health care facilities. AMERINURSE, INC.Amerinurse, Inc. provides highly trained nurses who travel to client heath care facilities and work on a contract basis. Effective January 1, 1996, Amerinurse, Inc. was merged into ASI.ANS. AMEDISYS SPECIALIZED MEDICAL SERVICES, INC.Specialized Medical Services, Inc. (ASM), Amedisys Home Health, Inc. and Amedisys Home Health, Inc. of Texas provide skilled nursing care, home health aid, physical therapy, occupational therapy, speech therapy and medical social workers to homebound patients. During 1994, ASM acquired a 60% ownership interest in three rural health clinics located in Louisiana. F-8 AMEDISYS SURGERY CENTERS,Surgery Centers, L. C. (ASC) operates two outpatient surgery centers in Houston, Texas.Texas, and one surgery center in Hammond, Louisiana, which commenced operation in November, 1996. AMEDISYS PHYSICIAN SERVICES, INC.Physician Services, Inc. (APS) provides management of physician practices and networks including Independent Practice Associations. APS also operates a laboratory. AMEDISYS Resource Management (ARM) and Physician Practice Management provides management services to home health agencies and physician practices. AMEDISYS Durable Medical Equipment, Inc. (DME) provides durable medical equipment to patients in rural areas throughhome health care settings, medical facilities and health maintenance organizations in southern Louisiana and Mississippi. DME has a comprehensive spectrum of products, including specialized equipment such as customized wheelchairs. AMEDISYS Alternate Site Infusion Therapy, Inc. (AASI) provides patients an internal medicine clinic. Its servicesopportunity to have been expanded to include a "walk-in" clinic and laboratory. USE OF ESTIMATESintravenous drug therapy provided at home or at walk-in centers. F-17 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 Use of Estimates The accounting and reporting policies of the Company and its subsidiaries conform with generally accepted accounting principles. In preparing the consolidated financial statements, the Company is required to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates. PRINCIPLES OF CONSOLIDATIONPrinciples of Consolidation The consolidated financial statements include the accounts of the Company, and its wholly-owned subsidiaries (AME, ASI, ASM and ASC) andas well as its 60%-owned subsidiary (APS) and their wholly-owned and partially-owned subsidiaries Analytical Nursing Management Corporation of Texas, a wholly-owned subsidiary of AME; MedAmerica, Inc. of Texas and MedAmerica, Inc., 80%-owned subsidiaries of AME;subsidiaries; Amedisys Home Health, Inc. and Amedisys Home Health, Inc. of Texas, both wholly-owned subsidiaries of ASM; and Jackson Rural Health Clinic, Inc. (clinic closed February, 1996), Kentwood Rural Health Clinic, Inc. (clinic closed in August, 1995), and Bastrop Rural Health Clinic, Inc. (clinic sold in September, 1996), all 60%-owned subsidiaries of ASM.ASM and Hammond Surgical Care Center, LLC, a 56% owned subsidiary of ASC. All material intercompany accounts and transactions have been eliminated in these financial statements. Prior yearThe 1995 financial statements have been restated to include the accounts of a business combinationscombination accounted for as poolings-of-interests.a pooling-of-interests (See Note 2). Business combinations accounted for as purchases are included from the respective dates of acquisition. Certain prior years' amounts have been reclassified to conform with current year financial statement presentation. REVENUE RECOGNITION POLICYRevenue Recognition Policy Gross revenue is recorded on an accrual basis based upon the date of service at amounts equal to the Company's established rates or estimated cost reimbursement rates, as applicable. Allowances and contractual adjustments representing the difference between the established rates and the amounts estimated to be paidpayable by third parties are also recorded on an accrual basis and deducted from gross revenue to determine net service revenues. Reimbursement for home health care services to patients covered by the Medicare program is based on cost reimbursement rates. Final reimbursement is determined after submission of annual cost reports and audits thereof by the fiscal intermediaries. Proposed legislation byEffective January 1, 1998, home health cost limits were reduced and per beneficiary limits were established which will reduce payments to Home Health Service providers in the U. S. Congress mayfuture. Additional proposed regulations are expected to change the payment methodology for home health care services to Medicare patients from a cost based reimbursement system to a prospective payment system. CASH AND CASH EQUIVALENTSsystem in the future. Cash and Cash Equivalents For purposes of reporting cash flows, cash includes certificates of deposit and all highly liquid debt instruments with maturities of three months or less when purchased. The carrying amount approximates fair value because of the short maturity of those instruments. INVENTORYInventory Inventories consist of medical supplies whichthat are utilized in the treatment and care of home health and outpatient surgery patients. Inventories are stated at the lower of cost (first-in, first-out method) or market. F-9 PROPERTYF-18 AMEDISYS, INC. AND EQUIPMENTSUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 Property and Equipment Property and equipment is generally carried at cost except for certain property purchased from related parties (see Note 3).prior to 1995. Additions and improvements are capitalized, but ordinary maintenance and repair expenses are charged to income as incurred. The cost of property sold or otherwise disposed of and the accumulated depreciation thereon are eliminated from the property and related accumulated depreciation accounts, and any gain or loss is credited or charged to income. Included in property and equipment are capitalizedCapitalized leases, which consist primarily of computer equipment, phone systems, and vans used by the home care divisions.divisions, are included in property and equipment. Capital leases are recorded at the present value of the future rentals at lease inception and are amortized over the lesser of the applicable lease term or the useful life of the equipment. For financial reporting purposes, depreciation and amortization of property including those subject to capital leases ($1,101,000 in 1997, $788,000 in 1996 and $468,000 in 1995) is included in other general and administrative expenses and is provided utilizing the straight-line method based upon the following estimated useful service lives: Buildings 40 years Leasehold Improvements Buildings....................................................... 40 years Leasehold Improvements.......................................... 5 years Equipment and furniture......................................... 5-7 years Vehicles........................................................ 5 years Computer software............................................... 5 years Equipment
Accounting for the Impairment of Long-Lived Assets and furniture 5 - 7 years Vehicles 5 years Computer software 5 years EARNINGS PER COMMON SHARE Earnings per common shareLong-Lived Assets to be Disposed of Whenever there are computed by dividing net income (loss) byrecognized events or changes in circumstances that indicate the weighted average numbercarrying amount of shares of common stock and common stock equivalents outstanding duringan asset may not be recoverable, management reviews the year. The warrants discussed in Note 11 were not included inasset for possible impairment. In accordance with SFAS No. 121, management uses undiscounted estimated expected future cash flows to assess the computationrecoverability of the earnings per common share becauseasset. If the marketexpected future net cash flows are less than the carrying amount of the asset, an impairment loss, measured as the amount by which the carrying amount of the asset exceeds the fair value of the common stock was not in excess of the exercise price and their inclusionasset, would have an anti-dilutive effect. RECENT PRONOUNCEMENTSbe recognized. Earnings Per Share In March 1995,February 1997, the Financial Accounting Standards Board (FASB) issued Statement of Financial Accounting Standards (SFAS) No. 128, "Earnings Per Share," which simplifies the computation of earnings per share (EPS). The Company adopted SFAS No. 121, "Accounting for128 in the Impairmentfourth quarter of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of."1997. SFAS No. 121128 requires that long-lived assets and certain identifiable intangibles to be held and used be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. Additionally, long-lived assets and certain identifiable intangible assets to be disposedrestatement of are required to be reported atprior years' EPS data; however, application of the lower of carrying amount or fair value less selling costs. SFAS No. 121 is effective for fiscal years beginning after December 15, 1995. The adoption of this statement will not have a materialhas no impact on the consolidatedCompany's prior years' EPS data. Basic net income per share of common stock is calculated by dividing net income applicable to common stock by the weighted-average number of common shares outstanding during the year. Diluted net income per share is not presented as stock options and convertible securities outstanding during the periods presented were not dilutive. Reclassifications Certain amounts previously reported in the 1996 and 1995 financial statements. In Octoberstatements have been reclassified to conform to the 1997 presentation. F-19 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 2. ACQUISITIONS: On August 1, 1997, the FASB issued SFAS No. 123, "AccountingCompany acquired substantially all of the assets of Allgood Medical Services, Inc. d/b/a Care Medical and Mobility Equipment Company for Stock-Based Compensation."$1,165,000. The purchase price consisted of $465,000 in cash, $100,000 note payable, and $600,000 in common stock which represented 115,518 common shares. This statement provides accountingtransaction has been accounted for as a purchase and reporting standards for stock-based employee compensation plans and also applies to equity instruments issued to acquire goods and services from nonemployees. SFAS No. 123 defines athe excess of the total acquisition cost over the fair value based method of accounting for employee stock options or similar equity instruments. Entities may either adopt that accounting method or may electnet assets acquired (goodwill) of $852,000 was being amortized over twenty years using the straight-line method. Subsequent to continuethis purchase, certain reimbursement reductions were announced to implement the accounting treatment outlinedBalanced Budget Act of 1997. Based on management's estimate of the expected impact of these changes in APB Opinionreimbursement on future cash flows, this goodwill was fully written off as Other General and Administrative Expense at December 31, 1997 as required under Statement of Financial Accounting Standard No. 25, "Accounting for Stock Issued to Employees." Entities electing to continue121. The following Opinion No. 25 are required to makeunaudited pro forma disclosures of net income and earnings per share,information has been prepared as if the fair value based methodacquisition had occurred at the beginning of each of the periods ended December 31, 1997 and 1996. This pro forma information has been adopted. SFAS No. 123prepared for comparative purposes only and is effective for fiscal years beginning after December 15, 1995. The Company expects to continue following Opinion No. 25. Adoptionnot necessarily indicative of this statement will notwhat would have a material impactoccurred had the acquisition taken place on the consolidated financial statements but will only require pro forma disclosure indates indicated, nor does it purport to be indicative of the future years. F-10 2. ACQUISITIONS:operating results of the Company (000's, except share amounts):
(UNAUDITED) 1997 1996 ------- ------- Revenues................................................ $55,147 $47,270 Net income (loss)....................................... (1,356) 130 Net income (loss) per common share...................... (0.50) 0.05
On June 30, 1995, the Company acquired all issued and outstanding membership interests in ASC in exchange for 1,000,000 shares of Company common stock. ASC's assets on June 30, 1995 were approximately $3,000,000. Upon closing of the transaction, the former members of ASC owned approximately 40% of the issued and outstanding stock of the Company. This transaction has beenwas accounted for as a pooling of interests and accordingly the financial statements have been restated to include the results of ASC for all periods presented, as follows (in thousands):
1994 1993 ----------------------------------- ----------------------------------- AS ORIGINALLY REPORTED AS RESTATED AS ORIGINALLY REPORTED AS RESTATED ---------------------- ----------- ---------------------- ----------- Operating revenues..... $ 8,728 $ 11,906 $6,099 $7,771 Net income............. 6 1,905 39 495 Earnings per common share............... 0.00 0.75 .03 .22
Combined and separate results of the Company and Surgicare for the six months ended June 30, 1995 are as follows (in thousands): COMBINED AMEDISYS SURGICARE TOTAL -------- --------- -------- Operating revenue ....... $5,722 $ 1,118 $ 6,840 ====== ======= ======= Net income .............. $ 11 $ 561 $ 572 ====== ======= =======interests. ASC was a limited liability company and, accordingly, had no income tax liabilities. The effect of providing for income taxes on results of ASC operations prior to the 1995 acquisition areis shown under "Proforma"Pro forma Information" in the accompanying statementsstatement of income.operations. On May 31, 1995, the Company acquired all of the outstanding stock of Home Care Plus, Inc. in exchange for 30,000 shares of its common stock valued at $274,000. The $312,000 excess of the total acquisition cost over the fair value of the net assets acquired of $312,197 isliabilities assumed was recorded as goodwill and was being amortized over seven years using the straight-line method. This operation was closed in the second quarter of 1997 and the remaining $193,000 unamortized balance of goodwill was written off in the fourth quarter of 1997. See Note 15 for restated operating results for the quarter ended June 30, 1997. On March 19, 1995, the Company acquired all of the outstanding stock of Health Care Services 24, Inc. in exchange for 7,143 shares of its common stock valued at $50,000 and notes payable in the amount of $50,000, payable in monthly installments through March, 1996. The remaining balance on these notes at December 31, 1995 was approximately $8,500. On April 28, 1994, the Company acquired all of the outstanding stock of Priority Home Care, Inc. in exchange for 15,800 shares of its common stock valued at $150,000. The excess of the total acquisition cost over theclient lists (See Note 5) and property and equipment with a fair value of the net assets acquired of $144,348 is being amortized over seven years using the straight-line method. F-11$85,000 and $15,000, respectively. The acquisitions of Home Care Plus, Inc., and Health Care Services 24, Inc. and Priority Home Care, Inc. were accounted for as purchases and as a result, operations of these entities subsequent to the date of acquisition have been included in the consolidated financial statements. Unaudited pro forma consolidated results of operations for the yearsyear ended December 31, 1995 and 1994 (operations of these companies prior to 1994 were not significant) as though these companies had been acquired as of January 1, 19931995 are as follows: 1995 1994 ----------- ----------- Net service revenues ................... $38,108,293 $31,625,839 Net income ............................. 850,874 1,750,446 Earnings per common share ..............
1995 ----------- Net service revenues......................................... $38,108,293 Net income................................................... $ 850,874 Earnings per common share.................................... $ 0.33 0.68
F-20 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 The above amounts reflect adjustments for amortization of goodwill. See Note 16 for additional acquisitions which occurred subsequent to December 31, 1997. 3. PROPERTY AND EQUIPMENT: Property and equipment consists of: 1995 1994 ----------- ----------- Land ......................................... $ 162,246 $ 162,246 Buildings and leasehold improvements ......... 509,619 479,033 Equipment, furniture and vehicles ............ 2,910,087 2,524,168 Computer software ............................ 37,581 33,855 ----------- ----------- Total ............................. 3,619,533 3,199,302 Accumulated depreciation ..................... (1,170,065) (749,617) ----------- ----------- Net ............................... $ 2,449,468 $ 2,449,685 =========== =========== During 1994, prior to acquisition, ASC purchased a building, land and equipment from a real estate partnership whose owners were also owners of ASC, and are now owners of the Company. The purchase price of this property was $1.2 million and resulted in a gain to the seller of approximately $475,000, which amount was offset against the allocated purchase price of the property and treated as a distribution in the accompanying financial statements. Lease payments on this property prior to purchase ($104,000 in 1994 and $489,000 in 1993) are included in other expenses. During 1995, prior to acquisition, ASC also purchased certain other equipment from owners of ASC. The sellers' basis in the equipment was undeterminable and thus the entire purchase price of $115,000 was offset against the recorded equipment balance and treated as a distribution in the accompanying financial statements. Rental payments on this equipment were approximately $75,000 in 1994 and are included in other expenses. No rental payments were made on this equipment in 1995.(000's):
1997 1996 ------- ------- Land.................................................... $ 220 $ 220 Building and leasehold improvements..................... 717 607 Equipment, furniture and vehicles....................... 6,721 5,585 Computer software....................................... 114 95 ------- ------- Total................................................. 7,772 6,507 Accumulated depreciation................................ (2,987) (1,897) ------- ------- Net................................................... $ 4,785 $ 4,610 ======= =======
4. ASSETS HELD FOR SALE: On April 1, 1991, Cajun-a-La-Carte, a 57.95%-owned subsidiary of AME in the frozen seafood processing business, was merged into AME. Cajun-a-La-Carte ceased operations in 1992 and its principal assets are being held for sale.OTHER INVESTMENTS: The Company has an agreement to lease these assets for a period of three years beginning April 1, 1994 for monthly lease payments ($1,025) which are sufficient to cover the monthly debt service on these assets. Management believes that these assets will be soldhad made advances totaling $366,000 at a price sufficient to realize the carrying value of $76,456 as of December 31, 1995, which is net of accumulated depreciation of $70,932. F-12 5. OTHER ASSETS: Other assets include the following for the years ended December 31, 1995 and 1994: 1995 1994 -------- -------- GOODWILL, net of accumulated amortization of $59,554 and $12,615 ................................... $397,022 $131,763 START-UP COSTS, net of accumulated amortization of $129,241 and $45,377 .................................. 104,608 188,472 CLIENT LISTS ACQUIRED, net of accumulated amortization of $115,343 and $73,265 ............................... 49,582 6,661 INVESTMENT IN A REAL ESTATE PARTNERSHIP .................. 50,174 42,585 OTHER .................................................... 151,868 61,821 -------- -------- $753,254 $431,302 ======== ======== The excess of the total acquisition costs over the fair value of the net assets acquired (goodwill)1997 in various acquisitions (see Note 2) is amortized using the straight-line method over a seven-year period. Costs incurred to establish regional offices of ASM prior to beginning services are capitalized as Other Assets and amortized over a five-year period. In connection with the acquisition of various home health companies, ASM purchased client lists whose costa 42% interest in a surgery center being developed in Houston, Texas. The surgery center is being amortized overexpected to open in April 1998 and is to be managed by the Company under a three-year period. Other assets also includelong-term management contract. The Company accounts for this investment using the equity method. On June 30, 1995, the Company acquired an investment in a real estate partnership acquired in connection with the purchase of ASC (see Note 2), which has certain partners who are also owners of the Company. TheThis investment is accounted for onunder the equity method. Management concluded in December, 1996, that the realization of certain previously recorded assets might not be assured and, accordingly, wrote off the portion of these investments (approximately $623,000) believed to be unrealizable through future operations. These investments were primarily comprised of advances made to develop FutureCare, Inc., a proposed managed care organization, of $391,000, certain non-operating equipment of $132,000 believed to be unrealizable through future operations, and $100,000 in notes receivable due from a related party. The $391,000 advance to FutureCare, Inc. was to be reimbursed upon completion of a securities offering of its stock. Due to the uncertainty of a successful offering, the Company chose to expense these amounts. The $132,000 was comprised of opthamology and processing kitchen equipment that the Company was attempting to sell. None of these assets were producing, or expected to produce, a benefit in current or future years. The $100,000 was written off because of a dispute between the Company and Internal Medicine Clinic of Tangipahoa, Inc. ("IMC"). 5. OTHER ASSETS: Other assets also include deferred organizational costs,the following for the years ended December 31, 1997 and 1996 (000's):
1997 1996 ------ ------ NOTES RECEIVABLE........................................... $1,530 $ 119 RESTRICTED CASH............................................ -- 1,001 GOODWILL, net of accumulated amortization of $70 and $124.. 71 329 START-UP COSTS, net of accumulated amortization of $173 in 1996...................................................... -- 326 CLIENT LISTS, net of accumulated amortization of $158 in 1996...................................................... -- 10 OTHER...................................................... 306 216 ------ ------ $1,907 $2,001 ====== ======
F-21 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 Notes receivable at December 31, 1997, consist primarily of advances of $1,465,000 due from Alliance Home Health, Inc. which are beingwas acquired on January 1, 1998 (see Note 16). Restricted cash at December 31, 1996, represents a minimum cash reserve required by and pledged to the Louisiana Department of Insurance to guarantee group member benefits associated with a proposed Health Maintenance Organization project. In late 1996, the Company discontinued its efforts related to this project and subsequently notified the Department of Insurance of its intention to withdraw the minimum cash reserve balance. Costs incurred to establish regional offices of ASM and ASC prior to beginning services were capitalized as Other Assets and amortized over a five-yearfive- year period based on accepted industry practice and consistent with the treatment required under Medicare regulations. Start-up costs consist primarily of incremental salaries and wages directly related to the new operation, consulting fees and financing and legal fees. Provisions of a proposed Statement of Position (SOP) expected to be issued by the American Institute of Certified Public Accountants (AICPA) in the second quarter of 1998 will require the write-off of any start-up costs remaining on the balance sheet and expensing of all start-up costs incurred in the future. During the fourth quarter of 1997, the Company changed its accounting policy to expense such costs to more properly reflect these costs as ongoing costs of expanding the Company's services. The Company has reflected this adjustment as a change in accounting principle from one acceptable method to another acceptable method. The cumulative effect of this change in accounting principle, as if the change were made effective January 1, 1997, of $235,000 (net of a $91,000 tax benefit), is shown on the 1997 statement of operations. Start-up costs of $299,000 incurred during 1997 were expensed as incurred in general and administrative expense. See Note 15 for the restatement of the Company's quarterly results of operations for 1997 giving effect to the change in accounting principle as of January 1, 1997. The following reflects pro-forma net income for 1996 and 1995, net of the related tax effects, as if the Company expensed start-up costs as incurred in those years.
YEAR ENDED DECEMBER 31, ------------------------------- 1996 1995 --------------- -------------- AS PRO AS PRO REPORTED FORMA REPORTED FORMA -------- ------ -------- ----- Net income (loss)......................... $ 18 $ (202) $ 942 $ 845 Net income (loss) per common share........ $0.01 $(0.08) $0.37 $0.33
"Other" consists primarily of deposits on leased properties and workers' compensation policy deposits.advances made in connection with various other business development projects. 6. NOTES PAYABLE: Notes payable as of December 31, 1995 and 1994, consist primarily of borrowings under a $3,500,000 revolving line$5,500,000 and $750,000 lines of credit which matures on August 7, 1996, bearsthat bear interest at bank prime (10.25%plus 1.5% (10.0% at December 31, 1995)1997) and bank prime plus 1% (9.5% at December 31, 1997), and isrespectively. Both lines are secured by accounts receivable, life insurance on the major stockholder and personal guarantees of several stockholders. Such borrowings totaled $2,456,971Subsequent to year-end, the $5,500,000 line of credit was increased to $7,500,000 for 120 days bearing interest at December 31, 1995 ($1,666,993 at December 31, 1994) at rates ranging from 8% to 10.25% (9% to 11% in 1994)bank prime plus 1.5%. As of December 31, 1995,1997, approximately $1,043,000$444,000 was unused under this linethese lines of credit. The weighted average monthly interest rate on short-term borrowings was 10.67%9.79% and 10.04%9.78% in 19951997 and 1994,1996, respectively. The revolving line of credit is subject to certain covenants, including a monthly borrowing base or margin requirement calculation, a debt service coverage ratio and a leverage ratio. The Company was not in default on one ofcompliance F-22 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 with the covenants of these agreementsdebt service ratio requirement at December 31, 1994,1997, which default was waived by the bank at that time. No such events of default existedthrough June 30, 1998. The Company was not in compliance with the leverage ratio covenant at December 31, 1995.1996, which default was waived by the bank. The loan agreement was subsequently amended to increase the leverage ratio requirement from 2.5 to 1 to 3.0 to 1, which the Company expects to renew the linecomplied with as of credit prior to its expiration. F-13December 31, 1996. 7. LONG-TERM DEBT: Long-term debt consists of notes payable to banks and other financial institutions whichthat are due in monthly installments through 2000: 1995 --------------------------------------- PAYEE INTEREST RATE CURRENT LONG-TERM ----- ------------- -------- --------- Notes payable to banks ............. 7.75 - 14.39% $103,474 $208,164 Notes payable to finance and equipment companies ............. 8.00 - 12.75% 283,374 3,023 -------- -------- $386,848 $211,187 ======== ======== 1994 --------------------------------------- PAYEE INTEREST RATE CURRENT LONG-TERM ----- ------------- -------- --------- Notes payable to banks ............. 7.00% - 11.99% $69,519 $189,358 Notes payable to finance and equipment companies ............. 9.75% - 12.75% 26,371 26,813 ------- -------- $95,890 $216,171 ======= ========2003 (000's):
PAYEE 1997 1996 ----- ------ ------ Notes payable to finance and equipment companies that accrue interest at 8.00-11.25%............................ $3,154 $1,502 Notes payable to banks that accrue interest at 8.00-14.39%. 531 893 ------ ------ Total.................................................... 3,685 2,395 Current portion............................................ 690 458 ------ ------ Long-Term.................................................. $2,995 $1,937 ====== ======
The fair value of long-term debt as of December 31, 1995,1997, estimated based on the Company's current borrowing rate of 10.25%10%, is approximately $546,000.$3,582,000. These borrowings are secured by equipment, vehicles and the personal guarantee of a stockholder. Maturities of long-term debt as of December 31, 1995,1997, are as follows: December 31 ,1996 .............................. $386,848 December 31, 1997 .............................. 91,320 December 31, 1998 .............................. 99,042 December 31, 1999 .............................. 9,946 December 31, 2000 .............................. 10,879 -------- $598,035follows (000's): December 31 ,1998.................................................. $ 690 December 31, 1999.................................................. 484 December 31, 2000.................................................. 417 December 31, 2001.................................................. 277 December 31, 2002.................................................. 1,688 Thereafter......................................................... 129 ------ $3,685 ======
8. CAPITAL LEASES: During 1995 and 1994, theThe Company acquired certain equipment under capital leases. Theleases for which related liabilities under these capital leases werehave been recorded at the present value of future minimum lease payments due under the leases. F-14 The present minimum lease payments under the capital leases and the net present value of future minimum lease payments are as follows: December 31, 1996 ............................................. $ 234,205follows (000's): December 31, 1998................................................... $220 December 31, 1999................................................... 110 December 31, 2000................................................... 45 ---- Total future minimum payments....................................... 375 Amount representing interest........................................ (49) ---- Present value of future minimum lease payments.................... 326 Current portion..................................................... 192 ---- Long-term portion................................................... $134 ====
F-23 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, ............................................. 166,214 December 31, 1998 ............................................. 123,952 December 31, 1999 ............................................. 60,452 December 31, 2000 ............................................. 2,365 --------- Total future minimum payments ................................. 587,188 Amount representing interest .................................. (113,942) Present value of future minimum lease payments ........... 473,246 Current portion ............................................... 181,964 Long-term portion ............................................. $ 291,282 =========1996 AND 1995 9. INCOME TAXES: The Companies fileCompany files a consolidated federal income tax returns, including all subsidiaries whichthat are owned more than 80%. State income tax returns are filed individually by the subsidiaries in accordance with state statutes. The Company utilizes the liability approach to measuring deferred tax assets and liabilities based on temporary differences existing at each balance sheet date using currently enacted tax rates in accordance with FASB StatementSFAS No. 109. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that some portion or all of the deferred tax assets will not be realized. Deferred tax assets and liabilities are adjusted for the effects of changes in tax laws and rates on the date of enactment. The total provision (benefit) for income taxes consists of the following: 1995 1994 1993 --------- -------- -------- Current portion ............... $ 361,136 $ 51,893 $ 45,495 Deferred portion .............. (161,500) (38,500) (5,000) --------- -------- -------- $ 199,636 $ 13,393 $ 39,495 ========= ======== ========following (including $91,000 of tax benefit related to the cumulative effect of change in accounting principle (see Note 5) ) (000's):
1997 1996 1995 ----- ----- ----- Current portion...................................... $ 93 $ 242 $ 361 Deferred portion..................................... (566) (239) (161) ----- ----- ----- $(473) $ 3 $ 200 ===== ===== =====
Net deferred tax assets consist of the following components: 1995 1994 --------- -------- Deferred tax assets: Receivable allowance ......................... $ 97,000 $ 53,900 Self-insurance reserves ...................... 106,000 -- Losses of consolidated subsidiaries (not consolidated for tax purposes) ........ 54,000 67,700 Deferred tax liabilities: Property and equipment ....................... (49,000) (30,900) --------- -------- 208,000 90,700 Less: Valuation allowance ...................... -- (44,200) --------- -------- $ 208,000 $ 46,500 ========= ======== F-15components (000's):
1997 1996 ----- ----- Deferred tax assets: Receivable allowance...................................... $ 523 $ 285 Self-insurance reserves................................... 161 202 Losses of consolidated subsidiaries (not consolidated for tax purposes)............................................ 57 42 Start-up costs and other.................................. 453 47 Deferred tax liabilities: Property and equipment.................................... (268) (129) ----- ----- $ 926 $ 447 ===== =====
Total tax expense (benefit) on income before taxes resulted in effective tax rates that differed from the federal statutory income tax rate. A reconciliation follows: 1995 1994 1993 ----- ----- ----- Income taxes computed on federal statutory rate .......................... 34.00% 34.00% 34.00% State income taxes ......................... 2.00 0.39 2.91 ASC income prior to merger (Note 2) ........ (16.88) (33.40) (31.30) Losses of unconsolidated subsidiaries ......these rates is as follows for 1997, 1996 and 1995:
1997 1996 1995 ------ ------ ------ Income taxes computed on federal statutory rate. (34.00)% (34.00)% 34.00% State income taxes.............................. 5.00 1.00 2.00 ASC income prior to merger (Note 2)............. -- -- (16.88) Losses of unconsolidated subsidiaries........... -- -- 8.33 (0.65) -- Write-off of notes receivable from unconsolidated subsidiaries.................... -- -- (14.39) Net operating losses utilized -- -- -- Nondeductible expenses and other................ 4.00 40.00 4.60 ------ ------ ------ Total......................................... (25.00)% 7.00% 17.66% ====== ====== ======
The Company has $147,000 of operating loss carryforwards related to losses from unconsolidated subsidiaries ............. (14.39) -- -- Net operating losses utilized .............. -- (1.61) -- Nondeductible expenses and other ........... 4.60 1.96 1.78 ----- ----- ----- Total ........................... 17.66% 0.69% 7.39% ===== ===== =====for tax return purposes which expire beginning in 2010. F-24 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 10. RELATED PARTY TRANSACTIONS: NOTES RECEIVABLENotes Receivable Notes receivable from related parties consist of unsecured and noninterestnon-interest bearing notes from the Presidentchief executive officer and certain stockholders of the Company totaling approximately $18,000$102,000 and $40,000 at December 31, 19951997 and 1994,1996, and receivables from an internal medicine clinic (IMC) totaling approximately $256,000 and $345,000$150,000 at December 31, 19951997 and 1994, respectively, and a receivable from the developer of an outpatient surgery center to be leased by the Company in the future of approximately $127,000 at December 31, 1995.1996. The fair value of the notes receivable from related parties is equal to the recorded value due to the short termshort-term nature of the notes from the President, stockholders, and developer, and the effective date of January 1, 1996 of the IMC notes. In March, 1994, the Company entered into an agreement with IMC, an unrelated party, to form a new corporation (APS) which is 60% owned by the Company and 40% owned by the owners of IMC. APS acquired equipment and personal property from IMC for approximately $340,000 and manages the continuing operations of IMC. The Company loaned funds to APS to acquire the assets of IMC and meet working capital requirements. This loan to APS, which is to be repaid solely from the revenues of APS over a five-year period, bears interest at a rate of prime plus 2% and is eliminated in consolidation. APS recorded management fees of $541,449 in 1995 and $585,491 in 1994 from IMC. As discussed above, the unpaid management fees are included in notes receivable from related parties. Effective January 1, 1996, IMC issued new notes to APS for the unpaid balance on this date. These notes bear interest at 9%, require monthly principal and interest payments of $4,076 with the balance due on maturity of January 1, 1999 and are secured by the accounts receivable of IMC. In accordance with the terms of the agreements with IMC, IMC has the right and option to sell its stock back to APS at a price equal to 3.5 times the earnings per share of APS attributable to each share of APS stock, to be calculated based on the largest annual earnings per share amount during the three-year period prior to the time such repurchase is requested by IMC. This option is not exercisable until March 1, 1997 and, based on operations of APS through December 31, 1995, would not have a material effect on the Company's financial statements if exercised. F-16 NOTES PAYABLENotes Payable Notes payable to related parties consistin 1996 consisted primarily of a note issued in 1994 in the original amount of $1,080,000, bearing interest at 9% (see Note 3). The note iswas secured by all real estate and personal property of one of the surgical care centers. Maturities of this debt as of December 31, 1995 are as follows: December 31, 1996 ........................... $ 40,533 December 31,The note was refinanced in 1997 ........................... 44,335 December 31, 1998 ........................... 48,894 December 31, 1999 ........................... 410,295 December 31, 2000 ........................... 91,531 Thereafter .................................. 392,869 ---------- $1,028,457 ========== The fair value of this note at December 31, 1995, estimated based on the Company's current borrowing rate of 10.25%, was approximately $987,624.with a financial institution (See Note 7). The remaining balance of notes payable to related parties at December 31, 1997 ($50,178)45,000) consists of unsecured notes to certain stockholders of the Company that are due on demand and bear interest at rates from 0% - 12%-12%. The fair value of these notes is assumed to be equal toapproximates the recorded balance due to the short-termshort- term nature of the notes. OTHER Prior to acquisition by the Company, ASC engaged in the following transactions with related parties during 1995 and 1994. During 1993, the Company made payments totaling $169,500 to three doctors who were members of ASC for services rendered in the capacity of medical director (no such payments were made or required for 1994): During 1993, ASC made payments to RPH, Inc., an entity whose primary owners were also the controlling owners of ASC, aggregating approximately $1,014,000 for leased employees. Terms of the contract covering this transaction provided for ASC to pay RPH the salary costs of these employees plus 30% for the term of the contract. The Company made payments aggregating approximately $75,000 in 1994 and $16,000 in 1993 for equipment rented from doctors who were members of ASC. Payments totalling approximately $108,000 in 1995, $229,000 in 1994 and $206,000 in 1993 were made to RPH, Inc. for anesthesia services. The primary owners of RPH, Inc. were also controlling owners of ASC. During 1994, the Company purchased the interest of two members (totaling 7.6%) for $252,000. This purchase was effected through the issuance of notes payable. Of the purchased interest, 3% was sold in 1994 for $105,000. The remaining repurchased interest of 4.6% has been reflected as a reduction of retained earnings in the accompanying financial statements.Other The Companies paid $18,935medical directors fees to stockholders of $156,400 and $116,000 in 19951997 and $21,000 in 1994 for legal1996, respectively. ASC paid fees associated with a medical foundation to a stockholder of $12,000 and director of the Company. APS$3,000 in 1997 and 1996, respectively. In 1997, ASC paid medical director fees of $24,000$10,800 for equipment rental to a stockholder of the Company and a total of $24,000 to two of the owners of IMC. F-17 The Company had an investment in Network Wellness Systems, Inc. (NWS), the corporate general partner of Sports/Spa and Clinic, a Louisiana Partnership In Commendam ("SSC"), which operated a health club, spa, salon and wellness facility within the Sandestin Resort (the Resort) in Destin, Florida. SSC began business in November, 1991, and subsequently was placed in Chapter 11 Reorganization on April 23, 1993. The bankruptcy proceeding was thereafter converted to a Chapter 7 liquidation. The Company determined the unpaid balance due from NWS ($99,487) to be uncollectible and charged it against income in 1994. Two of the owners of IMC are also affiliated with NWS and SSC.Company. 11. CAPITAL STOCK: PriorCommon Stock On April 17, 1997, the Company completed, in two phases, a placement of common stock with Plymouth Partners, LP under which the Company issued 37,500 shares of Common Stock to its acquisition of ANMC, M & N completed its initial public offering of 250,000 common sharesPlymouth Partners, LP, pursuant to a shelf registration statement for gross proceeds of $1,500,000 on August 26, 1993.$262,500 and also issued 112,500 shares of Common Stock to Plymouth Partners, LP, pursuant to a shelf registration statement for gross proceeds of $675,000. The net proceeds from both of these offerings was $831,000. Preferred Stock In connection with the offering, M & N issued 25,000 warrants to the Underwriter (the Underwriter's Warrants), which are exercisable at $7.20 per common share forDecember, 1997, Amedisys completed a periodprivate placement of four years commencing April 28, 1994. At December 31, 1993, there were 120,000,000400,000 shares authorized of common stock, $.001 par value convertible preferred stock pursuant to Regulation D of the Securities Act of 1933 at $10 per share for gross proceeds of $4 million. The Company intends to use the proceeds of this placement to fund synergistic acquisitions within the South East and 1,500,000 shares issued and outstanding. Effective with the merger of M & N (merged corporation) with and into ANMC (surviving corporation) in 1994 (see Note 1), each outstanding share of common stock, $.001 par value per share,South Central regions of the merged corporation was convertedU.S. and accelerate the growth of its fully integrated network of outpatient health care services, including alternate site infusion therapy divisions and outpatient surgery centers. These shares are convertible into one share of common stock, $.001 par value per share, of the surviving corporation. As a result of the merger and reincorporation of ANMC in the state of Delaware, the number and class of authorized shares of capital stock of the Company changed. As of December 31, 1994, there were 5,000,000864,865 shares of common stock authorized, $.001 par valuewhich is equivalent to $4.625 per share, and 5,000,000share. Warrants to purchase 52,500 shares of preferred stock authorized, $.001 par valueat $10 per share. As of Decembershare, convertible into F-25 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 there were 10,000,000113,514 shares of common stock, authorized, $.001 par value per share, and 2,500,000 shares of preferred stock authorized, $.001 per share. STOCK OPTIONSwere issued to the placement agent, Hudson Capital Partners, L.P. in connection with the offering. Stock Options The Company's Board of Directors has approved a Statutory Stock Option Plan providingprovides incentive stock options to key employees. The Plan is to be administered by a Compensation Committee (appointed by the Board) which is to determine, within the provisions of the Plan, those eligible employees to whom, and the times at which, options shall be granted. Each option granted under the Plan is to be convertible into one (1) share of common stock, unless adjusted in accordance with the provisions of the Plan. Options may be granted for a number of shares not to exceed, in the aggregate 500,0001,000,000 shares of common stock at an option price per share of no less than 85% of the fair market value of a share of common stock on the date the option is granted. If the option is granted to any owner of 10% or more of the total combined voting power of the Company and its subsidiaries, the option price is to be at least 110% of the fair market value of a share of common stock on the date the option is granted. Each option is to be fully exercisable when grantedvests ratably over a two-to-three year period and may be exercised during a period as determined by the Compensation Committee, not to exceed 10 years from the date such option is granted. The aggregate fair market value of common stock subject to an option granted to a participant by the Committee in any calendar year shall not exceed $100,000. As of December 31, 1994, no options had been granted under this Plan. During 1995, the Company granted 27,650 options at an exercise price of $7.00 per share (87.5% of the fair market value on date of grant). These options expire April, 1998. No options were exercised during 1995. On December 19, 1990, the Company granted an option to purchase 1,600 shares of its common stock at $5.00 per share to an employee under an arrangement whereby share certificates were to be issued for all stock paid for through December 31st of each year, for the years 1991, 1992 and 1993. This option was later converted to an option to purchase 2,032 shares of stock. This employee purchased 1,648 shares of stock during 1993 and 1,200 shares of stock during 1994. F-18 All administrative employees were given the option to purchase 6,250 shares for $10,000 in September, 1992. Only one employee accepted this option which was left open until March 31, 1993. This option to purchase 6,250 shares was later converted to an option to purchase 7,938 shares of stock. During 1993, this employee purchased 7,300 shares of ANMC stock in connection with this agreement. An option to purchase shares of stock in a subsidiary was granted to an employee in June, 1992. This option was later converted to the right to purchase 5,000 sharesA summary of the Company's stock for $6,300. During 1993, this employee purchased 3,150 shares of stock in connection with this agreement. STOCK PURCHASE AGREEMENTS On March 21, 1994, the Company had a private placement stock offering of 45,000 units, consisting of one share of common stock and one common stock purchase warrant (unit) for $7.86 per share based on 85% of the average of the high and low bid price per share on the first day of the offering which was March 21, 1994. The warrant included in the unit entitles the holder thereof to purchase one share of common stock at a purchase price of $9.25 per share for a three-year period. The private placement resulted in a total of 29,721 shares being sold for $233,607. A portion of the sale was financed by the Company; actual cash receivedoptions as of December 31, 1994,1997, 1996 and 1995, and changes during the year ended on those dates follows:
1997 1996 1995 -------------------- ------------------ ----------------- WGTD. AVG. WGTD. AVG. WGTD. AVG. EXER. EXER. EXER. SHARES PRICE SHARES PRICE SHARES PRICE -------- ---------- ------- ---------- ------ ---------- Outstanding at beginning of year....................... 288,723 $6.66 27,650 $7.00 -- $ -- Granted..................... 794,422 6.01 261,073 6.62 27,650 7.00 Exercised................... -- -- -- -- -- -- Cancelled/forfeited/expired. (126,080) (6.48) -- -- -- -- -------- ----- ------- ----- ------ ----- Outstanding at end of year.. 957,065 $6.14 288,723 $6.66 27,650 $7.00 ======== ===== ======= ===== ====== ===== Exercisable at end of year.. 205,446 $6.49 88,741 $6.65 -- $7.00 ======== ===== ======= ===== ====== ===== Weighted average fair value of options granted during the year................... $ 1.99 $ 3.11 $ 2.56 ======== ======= ======
Of the 957,065 options outstanding at December 31, 1997, 403,604 become exercisable in 1998, 341,348 in 1999, and 6,667 in 2000. The following table summarizes information about stock options outstanding at December 31, 1997:
OPTIONS OUTSTANDING OPTIONS EXERCISABLE -------------------------------- -------------------- WGTD. AVG. WGTD. WGTD. NUMBER REMAINING AVG. NUMBER AVG. OUTSTANDING CONTRACTUAL EXERCISE EXERCISABLE EXERCISE RANGE OF EXERCISE PRICES AT 12/31/97 LIFE PRICE AT 12/31/97 PRICE ------------------------ ----------- ----------- -------- ----------- -------- $5.38-$7.00............. 957,065 8 years $6.14 205,446 $6.49
The Company applies APB Opinion No. 25 and related interpretations in accounting for its stock option plans. FASB Statement No. 123 "Accounting for Stock-Based Compensation" ("SFAS 123") was $126,473.issued by F-26 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 the FASB in 1995 and changes the methods for recognition of cost on plans similar to those of the Company. Adoption of SFAS 123 is optional; however, pro forma disclosures, as if the Company had adopted the cost recognition requirements under SFAS 123 in 1997 and 1996, are presented below. The totalfair value of each option granted during the periods presented is estimated on the date of grant using the Black-Scholes option pricing model with the following assumptions: (i) dividend yield of 0%, (ii) expected volatility ranging from 51.23%-53.69% for the options issued in 1997, 40.02% and 45.44% for options issued in 1996, and 27.63% for options issued in 1995, (iii) risk-free interest rate ranging from 5.70%-6.22% in 1997, 6.22% in 1996 and 5.23% in 1995, respectively, and (iv) expected life of 3 to 5 years. Had compensation cost for the Company's 1997, 1996 and 1995 options been determined consistent with SFAS 123, the Company's net income (loss), net income (loss) applicable to common stockholders' and net income (loss) per common share for 1997 and 1996 would approximate the pro forma amounts below (000's, except share amounts):
1997 1996 1995 ----------------- --------------- -------------- AS PRO AS PRO AS PRO REPORTED FORMA REPORTED FORMA REPORTED FORMA -------- ------- -------- ------ -------- ----- Net income (loss)............ $(1,194) $(1,813) $ 18 $ (59) $ 942 $ 933 ======= ======= ===== ====== ===== ===== Net income (loss) applicable to common stockholders...... $(1,194) $(1,813) $ 18 $ (59) $ 942 $ 933 ======= ======= ===== ====== ===== ===== Net income (loss) per common share....................... $ (0.43) $ (0.66) $0.01 $(0.02) $0.37 $0.36 ======= ======= ===== ====== ===== =====
The effects of applying SFAS 123 in this pro forma disclosure are not indicative of future amounts. SFAS 123 does not apply to awards prior to 1995, and additional awards in future years are anticipated. Subsequent to year end the Board of Directors authorized, subject to shareholder approval, issuing 500,000 options under the Stock Option Plan with up to 50% issued at $6.25 to existing employees. ASM Employee Stock Ownership Plan ASM developed an Employee Stock Ownership Plan (ESOP) effective January 1, 1997 to enable participating employees of ASM to share in the ownership of ASM. Under the ESOP, the Company may make annual contributions to a trust for the benefit of eligible employees, in the form of either cash or common stock of ASM. The amount of $233,607the annual contribution is discretionary. The Company's contribution for the year ended December 31, 1997 was recorded as common stock and additional paid-in capital. Equity has been reduced for these sales for$721,000 which cash has not been receivedwas accrued, but unfunded as of December 31, 1994 and 1995.1997. Other A predecessor entity to the Company, M & N, completed its initial public offering of 250,000 common shares for gross proceeds of $1,500,000 on August 26, 1993. In connection with the offering, M & N issued 25,000 warrants to the Underwriter (the Underwriter's Warrants), which are exercisable at $7.20 per common share for a period of four years commencing April 28, 1994. F-27 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 12. COMMITMENTS AND CONTINGENCIES: LEASESLeases The Company and its subsidiaries have leased office space at various locations under noncancelable agreements which expire between January 1995,1, 1998, and October, 2002,August 31, 2005, and require various minimum annual rentals. Total minimum rental commitments at December 31, 1995,1997, are due as follows:follows (000's): 1998............................................................... $1,821 1999............................................................... 1,619 2000............................................................... 1,240 2001............................................................... 918 2002............................................................... 803 Due thereafter..................................................... 511 ------ $6,912 ======
Rent expense for all non-cancelable operating leases was $1,706,000, $1,351,000 and $1,084,000 for the years ended December 31, 1997, 1996 ............................. $ 781,756and 1995, respectively. The Company has arranged a $500,000 line of credit with a financing company to lease equipment; $80,000 of this line was used at December 31, 1997 ............................. 646,329 1998 ............................. 570,163 1999 ............................. 518,044 2000 ............................. 473,746 Due thereafter ................... 1,083,733 ---------- $4,073,771 ========== SELF-FUNDED INSURANCE PLANSleaving available $420,000 for use on future equipment leases. Self-Funded Insurance Plans During 1995, the Company became self-insured for workers' compensation claims in the State of Louisiana up to certain policy limits. Claims in excess of $200,000 per incident and $756,200$1,300,000 in the aggregate over a two-year policy period are insured by third party reinsurers. The Company has accrued a liability for both outstanding as well asand incurred, but not reported claims based on historical experience. Such reserves totaledexperience totaling approximately $389,000$509,000 and $519,000 at December 31, 19951997 and are included in accrued insurance in the accompanying financial statements.1996, respectively. In connection with the self insuranceself-insurance and as required by the State of Louisiana, the Company issued a $175,000 letter of credit in favor of the Louisiana Department of Labor, which expired February 17, 1996,1998, and was renewed to February, 17, 1997. F-19 PLANNED SURGICAL CARE CENTER ASC plans1999. During 1997, the Company became self-insured for health claims up to develop an additional surgical care operationcertain policy limits. Claims in Hammond, Louisiana in 1996. In connection with this development, ASCexcess of $35,000 per incident and approximately $64,000 aggregate per month are insured by third party reinsurers. The Company has committed to purchaseaccrued a 60% interest in Hammondliability of approximately $78,000 at December 31, 1997 for outstanding and incurred, but not reported claims based on historical experience. Planned Surgical Care Center L.C.,and Other Projects The Company is pursuing a limited liability company (HSCC), for $960,000. HSCC is expected to operate thenumber of planned surgical care facility which iscenter and other projects to be leased from an unrelated entity whodeveloped or purchased in the future. While negotiations are being conducted in connection with a number of possible projects, the Company has made no formal commitments in this area beyond the investments discussed below and in Note 16. The Company plans to buildproceed to develop a $3.6 million surgery center in Lafayette, Louisiana. The Company plans to hold a 21% interest in this development with a group of physician investors and to manage the facilitydevelopment under a management contract for a fee based on 4% of revenue. F-28 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 Employment Contracts The Company has commitments related to employment contracts with a number of its top executives and lease itexecutives involved in the management of businesses acquired (see Note 16 also) by the Company. Such contracts generally commit the Company to HSCC. OTHERpay bonuses on the attainment of certain operating goals and severance benefits under certain circumstances. Other The Companies areCompany is subject to various types of claims and disputes arising in the course of theirits businesses. While the resolution of such issues is not presently determinable with certainty, management believes that the ultimate resolution of such matters will not have a significant effect on the Companies'Company's financial position or results of operations. In 1997, the Company's Board of Directors approved the purchase of a point of service device at an estimated cost of $1.5 million which will allow home care providers to input patient information directly and electronically into the Company's home care information system. 13. PENSIONBENEFIT PLAN: The Company adopted a pension plan qualified under Section 401(k) of the Internal Revenue Code 401(k) for all employees who are 21 years of age and have at least one year of service. Under the plan, eligible employees may elect to defer a portion of their compensation, subject to internal revenue service limits. The Company may make matching contributions equal to a discretionary percentage of the employee's salary reductions. No matching contributions werecontribution was made for the year ended December 31, 1995. A matching contribution of $59,000 for the year ended December 31, 1996 was made in 1997 and a matching contribution of $71,000 will be made for 1997 in 1998. 14. SEGMENT INFORMATION: The Company operates principally in two business segments: Provider Services (consisting of home health care and outpatient surgery) and Management Services (consisting of staffing/professional services and physician support and home health care management). The following shows industry segment information for the fiscal years ended December 31, 1997, 1996 and 1995 1994(in 000's):
1997 1996 1995 ------- ------- ------- Net Service Revenues: Provider Services Home health care...................................... $25,817 $25,500 $17,631 Outpatient surgery.................................... 6,287 4,626 3,601 Management Services Staffing/professional services........................ 17,292 12,538 13,774 Physician support and home health care management..... 5,100 3,396 2,583 Corporate support..................................... -- -- -- ------- ------- ------- Total............................................... $54,496 $46,060 $37,589 ======= ======= =======
F-29 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995
1997 1996 1995 ------- ------- ------- Operating Income (Loss): Provider Services Home health care.................................. $ 831 $ 2,038 $ 901 Outpatient surgery................................ (960) 1,175 1,152 Management Services Staffing/professional services.................... 3,643 1,785 2,076 Physician support and home health care management. 1,494 347 193 Corporate support................................. (5,596) (4,201) (2,942) ------- ------- ------- Total........................................... (588) 1,144 1,380 Other expenses..................................... (962) (1,178) (250) ------- ------- ------- Income before income taxes, minority interest, and cumulative effect of change in accounting principle.......................................... $(1,550) $ (34) $ 1,130 ======= ======= ======= CAPITAL EXPENDITURES ------------------------- 1997 1996 1995 ------- ------- ------- Provider services Home health care.................................. $ 348 $ 135 $ 96 Outpatient surgery................................ 631 2,233 284 Management services Staffing/professional services.................... 21 7 12 Physician support and home health care management. 18 89 2 Corporate support................................. 438 501 52 ------- ------- ------- Total........................................... $ 1,456 $ 2,965 $ 446 ======= ======= ======= DEPRECIATION AND AMORTIZATION ------------------------- 1997 1996 1995 ------- ------- ------- Provider services Home health care.................................. $ 344 $ 319 $ 246 Outpatient surgery................................ 609 271 148 Management services Staffing/professional services.................... 16 60 77 Physician support and home health care management. 129 201 122 Corporate support................................. 142 94 54 ------- ------- ------- Total........................................... $ 1,240 $ 945 $ 647 ======= ======= ======= IDENTIFIABLE ASSETS ------------------------- 1997 1996 1995 ------- ------- ------- Provider services Home health care.................................. $ 5,243 $ 4,906 $ 4,537 Outpatient surgery................................ 6,180 6,541 3,341 Management services Staffing/professional services.................... 1,924 1,820 1,745 Physician support and home health care management. 2,290 1,200 1,175 Corporate support................................. 7,233 2,391 739 ------- ------- ------- Total........................................... $22,870 $16,858 $11,537 ======= ======= =======
F-30 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 15. UNAUDITED QUARTERLY FINANCIAL INFORMATION: The following table reflects the restatement of the Company's quarterly results of operations for 1997, giving effect to the change in accounting principle as of January 1, 1997 (see Note 5) and 1993. 14.the write-off of goodwill associated with the Home Care Plus, Inc. acquisition in the second quarter (see Note 2) (000's):
QUARTER ENDED (UNAUDITED) ------------------------------------------------------------------ SEPTEMBER 30, MARCH 31, 1997 JUNE 30, 1997 1997 ----------------- ----------------- ----------------- AS AS AS AS AS AS DECEMBER 31, REPORTED RESTATED REPORTED RESTATED REPORTED RESTATED 1997 -------- -------- -------- -------- -------- -------- ------------ Income (loss) from continuing operations.. $ 451 $ 473 $ 610 $ 415 $ 363 $ 344 $(2,782) Net income (loss)....... $ 301 $ 116 $ 373 $ 179 $ 224 $ 214 $(1,703) Net income (loss) per common share........... $0.12 $0.04 $0.14 $0.06 $0.08 $0.08 $ (0.60)
16. SUBSEQUENT EVENTS: During 1995,On January 1, 1998, the Company beganacquired all of the issued and outstanding stock of Alliance Home Health, Inc. (Alliance), a process to develop ahome health maintenance organization (HMO). In January, 1996, the Company deposited $500,000 in connectionbusiness with the HMO licensing process. The Company's president acquired a 67% interest in the HMO, which is still unlicensed,locations throughout Oklahoma, in exchange for arranging a $1,000,000 letter$300,000 and 194,286 shares of creditcommon stock. Of the 194,286 shares of Company common stock issued to the former owners of Alliance, 122,857 shares were placed in escrow as consideration for certain contingent liabilities which may be asserted against the HMO, secured by sharesformer stockholder of Alliance to the extent such claims exceed $500,000 (singularly and/or in aggregate). The escrow period expires December 31, 2003. The Company performed management services for Alliance during 1997 and received revenues totaling approximately $1.3 million of which $695,000 is included in accounts receivable at December 31, 1997. In addition, the Company owned by the president. Neitherhad advanced $1,465,000 to Alliance for cash flow purposes which is included in other assets at December 31, 1997. On February 23, 1998, the Company nor the Company's president have any further formal commitment in connection with the HMO and the future developmentacquired all of the HMOissued and outstanding capital stock of PRN, Inc. (PRN), a home infusion pharmacy business, in exchange for $430,000 and assumption of $71,000 debt. The Company has agreed to pay additional consideration of up to $150,000 upon PRN reaching certain revenue goals ("Additional Consideration"). The Company has retained the right to offset certain indemnifiable liabilities against the Additional Consideration. On February 27, 1998, the Company acquired all of the issued and outstanding capital stock of Infusioncare Solutions, Inc. ("ICS") a home health care and infusion business, based in Baton Rouge, Louisiana, in exchange for aggregate consideration of $500,000, of which $375,000 was payable in cash at closing and $125,000 was payable pursuant to a two year promissory note. The Company has retained the right to offset certain indemnifiable liabilities against the sums payable pursuant to the promissory note. On February 27, 1998, the Company acquired substantially all of the assets of Precision Health Solutions, L.L.C. ("PHS") a home health care and infusion business, based in Baton Rouge, Louisiana, in exchange for aggregate consideration of $1,000,000, of which $750,000 was payable in cash at closing and $250,000 was payable pursuant to a two year promissory note. The Company has retained the right to offset certain indemnifiable liabilities against the sums payable pursuant to the promissory note. F-31 AMEDISYS, INC. AND SUBSIDIARIES NOTES TO FINANCIAL STATEMENTS--(CONTINUED) DECEMBER 31, 1997, 1996 AND 1995 Each of the above transactions was accounted for as a purchase. On March 3, 1998, the Company completed a secondary phase of its private placement of preferred stock (see Note 11) and issued an additional 350,000 shares for gross proceeds of $3.5 million. These shares are convertible into 756,757 shares of common stock which is undeterminable at this time. F-20equivalent to $4.625 per share. F-32 PART II INFORMATION NOT REQUIRED IN PROSPECTUS ITEM 13.12. DISCLOSURE OF COMMISSION POSITION ON INDEMNIFICATION FOR SECURITIES ACT LIABILITIES Insofar as indemnification for liabilities arising under the Securities Act may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the SEC such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act and will be governed by the final adjudication of such issue. ITEM 14. OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION The following table sets forth the estimated expenses to be incurred in connection with the distribution of the securities being registered. The expenses shall be paid by the Registrant. SEC Registration Fee ........................................ $ 1,440 Printing and Engraving Expenses ............................. 5,000 Legal Fees and Expenses ..................................... 20,000 Accounting Fees and Expenses ................................ 20,000 Blue Sky Fees and Expenses .................................. 1,000 Transfer Agent Fees ......................................... 500 Miscellaneous ............................................... 2,060 ------- TOTAL .................................................. $50,000 =======
SEC registration fee $ 874.00 Legal Fees and Expenses 10,000.00 Accounting Fees and Expenses 5,000.00 Miscellaneous $ 4,126.00 ---------- Total $20,000.00
ITEM 14.15. INDEMNIFICATION OF DIRECTORS AND OFFICERS Article XI of the Certificate of Incorporation of the Companycompany provides for indemnification of officers, directors, agents and employees of the Companycompany as follows: (a) The Corporation shall indemnify any person who was or is a party or is threatened to be made a party to any threatened, pending or completed action, suit or proceeding, whether civil, criminal, administrative or investigative (other than an action by or in the right of the Corporation) by reason of the fact that he is or was a director, officer, employee or agent of the Corporation, or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against expenses (including attorneys' fees), judgments, fines and amounts paid in settlement actually and reasonably incurred by him in connection with such action, suit or proceeding if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the Corporation, and, with respect to any criminal action or proceeding, had no reasonable cause to believe his conduct was unlawful. The termination of any action, suit or proceeding by judgment, order, settlement, conviction or upon a plea of NOLO CONTENDEREnolo contendere or its equivalent, shall not, of itself, create a presumption that the person did not act in good faith and in a manner in which he reasonably believed to be in or not opposed to the best interests of the Corporation, and, with respect to any criminal action or proceeding, had reasonable cause to believe that his conduct was unlawful. II-1 (b) The Corporation shall indemnify any person who was or is a party or is threatened to be made a party to any threatened, pending or completed action or suit by or in the right of the Corporation to procure a judgment in its favor by reason of the fact that he is or was a director, officer, employee or agent of the Corporation, or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise against expenses (including attorneys' fees) actually and reasonably incurred by him in connection with the defense or settlement of such action or suit if he acted in good faith and in a manner he reasonably believed to be in or not opposed to the best interests of the Corporation and except that no indemnification shall be made in respect of any claim, issue or matter as to which such person shall have been adjudged to be liable to the Corporation unless and only to the extent that the Court of Chancery or the court in which such action or suit was brought shall determine upon application that, despite the adjudication of liability but in view of all the circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses which the Court of Chancery or such other court shall deem proper. (c) To the extent that a director, officer, employee or agent of the Corporation has been successful on the merits or otherwise in defense of any action, suit or proceeding referred to in subsections (a) and (b) of this Article, or in defense of any claim, issue or matter therein, he shall be indemnified against expenses (including attorneys' fees) actually and reasonably incurred by him in connection therewith. II-1 (d) Any indemnification under subsections (a) and (b) of this Article (unless ordered by a court) shall be made by the Corporation only as authorized in the specific case upon a determination that indemnification of the director, officer, employee or agent is proper in the circumstances because he has met the applicable standard of conduct set forth in subsections (a) and (b) of this Article. Such determination shall be made (1) by the Board of Directors by a majority vote of a quorum consisting of directors who were not parties to such action, suit or proceeding, or (2) if such quorum is not obtainable, or, even if obtainable a quorum of disinterested directors so directs, by independent legal counsel in a written opinion, or (3) by the stockholders. (e) Expenses (including attorneys' fees) incurred by an officer or director in defending any civil, criminal, administrative or investigative action, suit or proceeding may be paid by the Corporation in advance of the final disposition of such action, suit or proceeding upon receipt of an undertaking by or on behalf of such director or officer to repay such amount if it shall ultimately be determined that he is not entitled to be indemnified by the Corporation as authorized by this Article. Such expenses (including attorneys' fees) incurred by other employees and agents may be so paid upon such terms and conditions, if any, as the Board of Directors deems appropriate. (f) The indemnification and advancement of expenses provided by, or granted pursuant to, the other subsections of this Article shall not be deemed exclusive of any other rights to which those seeking indemnification or advancement of expenses may be entitled under any bylaw, agreement, vote of stockholders or disinterested directors or otherwise, both as to action in his official capacity and as to action in another capacity while holding such office. (g) The Corporation shall have the power to purchase and maintain insurance on behalf of any person who is or was a director, officer, employee or agent of the Corporation, or is or was serving at the request of the Corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise against any liability asserted against him and incurred by him in any such capacity, or arising out of his status as such, whether or not the Corporation would have the power to indemnify him against such liability under this Article. (h) For purposes of this Articlearticle references to "the Corporation" shall include, in addition to the resulting corporation, any constituent corporation (including any constituent of a constituent) absorbed in a consolidation or merger which, if its separate existence had continued, would have had the power and authority to indemnify its directors, officers, and employees or agents, so that any person who is or was a director, officer, employee or agent of such constituent corporation, or is or was serving at the request of such constituent corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other II-2 enterprise, shall stand in the same position under this Article with respect to the resulting or surviving corporation as he would have with respect to such constituent corporation if its separate existence had continued. (i) The indemnification and advancement of expenses provided by, or granted pursuant to, this Article shall, unless otherwise provided when authorized or ratified, continue as to a person who has ceased to be a director, officer, employee or agent and shall inure to the benefit of the heirs, executors and administrators of such a person. The foregoing discussion of the Company'scompany's Certificate of Incorporation, and of the Delaware General Corporation Law is not intended to be exhaustive and is qualified in its entirety by such Certificate of Incorporation and statutes, respectively. II-2 ITEM 15. RECENT SALES OF UNREGISTERED SECURITIES In December 1993, the Companycompany issued 351 shares of Common Stockcommon stock to employees in exchange for an aggregate offering price of $37,000 which was paid in cash. In December 1993, the Companycompany issued 75,000 shares to two unaffiliated third parties for services rendered valued at nominal consideration. In March 1994, the Companycompany issued 29,721 shares of Common Stockcommon stock to 38 purchasers pursuant to a private placement stock offering. An aggregate cash consideration of $264,000 was received upon issuance of these shares. In April 1994, the Companycompany issued 15,800 shares in exchange for all of the outstanding stock of Priority Home Care, Inc. Consideration received for the issuance of such shares was valued at $150,000. In December 1994, the Companycompany issued 1,200 shares of Common Stockcommon stock upon exercise of an outstanding stock option. Cash consideration received upon exercise of this option was $6,000. In March 1995, the Companycompany issued 7,143 shares of Common Stockcommon stock in exchange for all of the outstanding stock of Health Care Services 24, Inc. The consideration received for the issuance of these shares was valued at $50,000. In May 1995, the Companycompany issued 30,000 shares of Common Stockcommon stock in exchange for all of the outstanding stock of Home Care Plus, Inc. The consideration received for the issuance of these shares was valued at $274,000. In June 1995, the Companycompany issued 1,000,000 shares of Common Stockcommon stock in connection with the acquisition of all of the outstanding membership interest in Surgical Care Centers of Texas, LC. The consideration received for the issuance of these shares was valued at $7 million. In March 1998, the company issued 750,000 shares of preferred stock in connection with a private placement offering. Consideration received for the issuance of such shares was valued at $7.5 million. In each case, the issuance of securities was exempt from registration under the Securities Act pursuant to Section 4(2) as a transaction by an issuer not involving any public offering. In each instance, the purchaser had a pre-existingpre- existing relationship with the Company,company, the offers and sales were made without public solicitation, the certificates bear restrictive legends, and appropriate stop transfer orders have been given to the transfer agent. No underwriter was involved in the transactions and no commissions were paid. II-3 ITEM 16.17. EXHIBITS AND FINANCIAL STATEMENT SCHEDULES EXHIBIT NO. IDENTIFICATION OF EXHIBIT 2.1(1) - Acquisition Agreement dated December 20, 1993 between the Company and M & N Capital Corp. 2.2(3) - Plan of Merger dated August 3, 1994 between M & N Capital Corp. and the Company 2.3(4) - Certificate of Merger dated August 3, 1994 between M & N Capital Corp. and the Company 3.1(4) - Certificate of Incorporation 3.2(4) - Bylaws 4.1(4) - Common Stock Specimen 4.2(1) - Representative's Warrant Agreement 5.1(6) - Opinion regarding Legality 10.1(4) - Loan Agreement with Sunburst Bank 10.2(4) - Loan Agreement with City National Bank of Baton Rouge 10.3(5) - Exchange Agreement dated June 30, 1995 between the Company and Surgical Care Centers of Texas, L.C. 10.4(6) - Amended and Restated Stock Option Plan 16.1(2) - Letter dated February 14, 1994 from Poval, Scott & Company 21.1(6) - List of Subsidiaries 23.1(6) - Consent of Counsel (contained in Exhibit 5.1) 23.2(6) - Consents of Arthur Andersen, LLP and Hannis T. Bourgeois & Co., L.L.P., independent public accountants - --------------------------
EXHIBIT NO. IDENTIFICATION OF EXHIBIT - ----------- ------------------------- 2.1(1) -Acquisition Agreement dated December 20, 1993 between the company and M&N Capital Corp. 2.2(3)-Plan of Merger dated August 3, 1994 between M&N Capital Corp. and the company 2.3(4) -Certificate of Merger dated August 3, 1994 between M&N Capital Corp. and the company 2.4(7) -Acquisition Agreement dated August 1,1997 between the company and Allgood Medical Services, Inc. 2.5(7) -Exchange Agreement dated January 1, 1998 between the company and Alliance Home Health, Inc. and University Capital Corp. dated December 10, 1997. 2.6(7) -Stock Purchase Agreement by and among Amedisys, Alternate-Site Infusion Therapy Services, Inc., PRN, Inc. d/b/a Home IV Therapy, Joseph W. Stephens, and Terry I. Stevens dated February 23, 1998. 2.7(7) -Agreement to Purchase by and between Amedisys, Alternate-Site Infusion Therapy Services, Inc. and Precision Health Systems, L.L.C. dated February 27, 1998. 2.8(7) -Promissory note in the amount of $250,000 to Precision Health Solutions, L.L.C. in connection with the purchase of the company. 2.9(7) -Stock Purchase Agreement by and among Amedisys Alternate-Site Infusion Therapy Services, Inc., Infusioncare Solutions, Inc. and Daniel D. Brown dated February 27,1998. 2.10(7) -Promissory note in the amount of $125,000 to Daniel D. Brown in connection with the purchase of the company. 2.11(8) -Exchange Agreement by and among Amedisys Specialized Medical Services, Inc., Quality Home Health Care, Inc., Frances Unger and James Unger dated May 1, 1998 2.12(9) -Asset Purchase Agreement by and among Nursefinders, Inc., Amedisys Staffing Services, Inc., Amedisys Nursing Services, Inc., Amedisys Home Health, Inc. and Amedisys, Inc. dated as of September 21, 1998. 3.1(4) -Certificate of Incorporation 3.2(4) -Bylaws 3.3(7) -Certificate of Designation for the series A preferred stock 4.1(4) -Common stock specimen 4.2(7) -Preferred stock specimen 4.3(7) -Form of Placement Agent's Warrant Agreement 5.1(10) -Opinion regarding Legality 10.1(4) -Master Note with Union Planter's Bank of Louisiana 10.2(4) -Merrill Lynch Term Working Capital Management Account 10.3(5) -Promissory Note with Deposit Guaranty National Bank 10.4(7) -Amended and Restated Stock Option Plan 10.5(7) -Registration Rights Agreement 21.1(10) -List of Subsidiaries 23.1(10) -Consent of Counsel (contained in Exhibit 5.1) 23.2(10) -Consents of Arthur Andersen, LLP and Hannis T. Bourgeois & Co., L.L.P., independent public accountants - ---------------
(1) Previously filed as an exhibit to the Current Report on Form 8-K dated December 20, 1993.1993, and incorporated herein by reference. (2) Previously filed as an exhibit to the Current Report on Form 8-K dated February 14, 1994.1994, and incorporated herein by reference. (3) Previously filed as an exhibit to the Current Report on Form 8-K dated August 11, 1994.1994, and incorporated herein by reference. II-4 (4) Previously filed as an exhibit to the Annual Report on Form 10-KSB for the year ended December 31, 1994.1994, and incorporated herein by reference. (5) Previously filed as an exhibit to the Current Report on Form 8-K dated June 30, 1995.1995, and incorporated herein by reference, and incorporated herein by reference. (6) Previously filed as an exhibit to the Registration Statement on Form S-1 (333-8329) dated July 18, 1996, and incorporated herein by reference. (7) Previously filed as an exhibit to the Registration Statement on Form S-3 dated March 11,1998, and incorporated herein by reference. (8) Previously filed as an exhibit to the Company's Quarterly Report on Form 10-Q for the period ended June 30, 1998, and incorporated herein by reference. (9) Previously filed as an exhibit to the Company's Current Report on Form 8-K dated September 21, 1998 and incorporated by herein by reference. (10) Filed herewith. II-4 ITEM 17.18. UNDERTAKINGS (a) The undersigned registrant hereby undertakes: (1) To file, during any period in which offers or sales are being made, a post-effective amendment to this registration statement: i. To include any prospectus required by Section 10(a)(3) of the Securities Act of 1933;Act; ii. To reflect in the prospectus any facts or events arising after the effective date of the registration statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the registration statement. Notwithstanding the foregoing, any increase or decrease in volume of securities offered (if the total dollar value of securities offered would not exceed that which was registered) and any deviation from the low or high end of the estimated maximum offering range may be reflected in the form of prospectus filed with the CommissionSEC pursuant to Rule 424(b) if, in the aggregate, the changes in volume and price represent no more than a 20% change in the maximum aggregate offering price set forth in the "Calculation of Registration Fee" table in the effective registration statement; and iii. To include any material information with respect to the plan of distribution not previously disclosed in the registration statement or any material change to such information in the registration statement. Provided, however, that paragraphs (1) (i) and (1) (ii) do not apply if the information required to be included in a post-effective amendment by those paragraphs is contained in periodic reports filed by the registrant pursuant to Section 13 or Section 15 (d) of the Exchange Act that are incorporated by reference in the registration statement. (2) That, for the purpose of determining any liability under the Securities Act, of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initial BONA FIDEbona fide offering thereof. II-5 (3) To remove from registration by means of a post-effective amendment any of the securities being registered which remain unsold at the termination of the offering. (4) That,The undersigned registrant hereby undertakes that, for purposes of determining any liability under the Securities Act, each filing of 1933, the information omitted fromregistrant's annual report pursuant to Section 13 (a) or 15 (d) of the form of prospectus filed as part of thisExchange Act that is incorporated by reference in the registration statement in reliance upon Rule 430A and contained in a form of prospectus filed by the registrant pursuant to Rule 424(b)(1) or (4), or 497(h) under the Securities Act shall be deemed to be part of thisa new registration statement asrelating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the time it was declared effective. (b)initial bona fide offering thereof. Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the registrant pursuant to the foregoing provisions, or otherwise, the registrant has been advised that in the opinion of the Securities and Exchange CommissionSEC such indemnification is against public policy as expressed in the Securities Act and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by the registrant of expenses incurred or paid by a director, officer or controlling person of the registrant in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, the registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Securities Act and will be governed by the final adjudication of such issue. II-5II-6 SIGNATURES Pursuant to the requirements of the Securities Act of 1933, the Registrantregistrant has duly caused this Registration Statementregistration statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Baton Rouge, State of Louisiana, on the 172nd day of July 1996.November, 1998. AMEDISYS, INC. By /s/ WILLIAM F. BORNE --------------------------------------------- WILLIAM F. BORNE, Chief Executive Officer ------------____________________________ Pursuant to the requirements of the Securities Act of 1933, this Registration Statementregistration statement has been signed below by the following persons in the capacities and on the dates indicated:
SIGNATURE TITLE DATE - --------- ----- ---- /s/ WILLIAM F. BORNE Chief Executive Officer July 17, 1996 WILLIAM F. BORNE and Director (Principal Executive Officer) /s/ PROMOD K. SETH Chief Operating Officer July 17, 1996 PROMOD K. SETH /s/ MITCHEL G. MOREL Chief Financial Officer July 17, 1996 MITCHEL G. MOREL (Principal Financial and Accounting Officer) /s/ IRVIN T. GREGORY President, Outpatient Surgery, July 17, 1996 IRVIN T. GREGORY and Director /s/ WILLIAM M. HESSION, JR. Director July 17, 1996 WILLIAM M. HESSION, JR. /s/ KARL A. LEBLANC Director July 17, 1996 KARL A. LeBLANC /s/ ALAN J. OSTROWE Director July 17, 1996 ALAN J. OSTROWE /s/ BORIS L. PAYAN Director July 17, 1996 BORIS L. PAYAN
Signature Title Date - --------- ----- ---- //s// WILLIAM F. BORNE Chief Executive Officer November 2, 1998 - ------------------------------ and Director (Principal WILLIAM F. BORNE Executive Officer) //s// JAMES P. CEFARATTI President and Chief Operating November 2, 1998 - ------------------------------ Officer JAMES P. CEFARATTI //s// MITCHEL G. MOREL Chief Financial Officer November 2, 1998 - ------------------------------ (Principal Financial MITCHEL G. MOREL and Accounting Officer) //s// JAKE L. NETTERVILLE Director November 2, 1998 - ------------------------------ JAKE L. NETTERVILLE, CPA Director November 2, 1998 - ------------------------------ DAVID R. PITTS //s// RONALD A. LaBORDE Director November 2, 1998 - ------------------------------ RONALD A. LaBORDE //s// PETER F. RICCHIUTI Director November 2, 1998 - ------------------------------ PETER F. RICCHIUTI II-7