-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, D9SbGgy6zn+ESxTHPdOXBSDmcrHLQekBJRpKuHX/V3CRv4jwHSqVuvSXwnL+JriY wej9c0UMLTOgX7TwZEpimA== 0001193125-06-228606.txt : 20061109 0001193125-06-228606.hdr.sgml : 20061109 20061108174002 ACCESSION NUMBER: 0001193125-06-228606 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 9 CONFORMED PERIOD OF REPORT: 20060930 FILED AS OF DATE: 20061109 DATE AS OF CHANGE: 20061108 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Team Finance LLC CENTRAL INDEX KEY: 0001356207 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 203818106 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 333-132495 FILM NUMBER: 061198707 BUSINESS ADDRESS: STREET 1: 1900 WINSTON ROAD STREET 2: SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 37919 BUSINESS PHONE: 1-800-342-2898 MAIL ADDRESS: STREET 1: 1900 WINSTON ROAD STREET 2: SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 37919 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Health Finance CORP CENTRAL INDEX KEY: 0001356200 IRS NUMBER: 203818041 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 333-132495-53 FILM NUMBER: 061198708 BUSINESS ADDRESS: STREET 1: 1900 WINSTON ROAD STREET 2: SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 37919 BUSINESS PHONE: 1-800-342-2898 MAIL ADDRESS: STREET 1: 1900 WINSTON ROAD STREET 2: SUITE 300 CITY: KNOXVILLE STATE: TN ZIP: 37919 10-Q 1 d10q.htm FOR THE QUARTERLY PERIOD ENDED SEPTEMBER 30, 2006 For the quarterly period ended September 30, 2006
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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


Form 10-Q

 

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

For the quarterly period ended September 30, 2006

 

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

For the transition period from                      to                     .

Commission File Number 333-80337

 


Team Finance LLC

(Exact name of registrant as specified in its charter)

 

Delaware   8099   20-3818106

(State or other jurisdiction of

incorporation or organization)

 

(Primary Standard Industrial

Classification Code Number)

 

(I.R.S. Employer

Identification No.)

Health Finance Corporation

(Exact name of registrant as specified in its charter)

 

Delaware   8099   20-3818041

(State or other jurisdiction of

incorporation or organization)

 

(Primary Standard Industrial

Classification Code Number)

 

(I.R.S. Employer

Identification No.)

1900 Winston Road

Suite 300

Knoxville, Tennessee 37919

(865) 693-1000

(Address, zip code, and telephone number, including

area code, of registrant’s principal executive office.)

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

Yes  þ    No  ¨

Indicate by check mark whether the registrants are large accelerated filers, accelerated filers, or non-accelerated filers. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer  ¨                Accelerated filer  ¨                Non-accelerated filer  þ

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act)

Yes  ¨    No  þ

As of November 8, 2006, there were outstanding 1,000 Class A Units of Team Finance LLC and 100 shares of Common Stock, with a par value of $.01 of Health Finance Corporation.

 



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FORWARD LOOKING STATEMENTS

Statements made in this Form 10-Q that are not historical facts and that reflect the current view of Team Finance LLC and Team Health, Inc. (collectively, the “Company”) about future events and financial performance are hereby identified as “forward looking statements.” Some of these statements can be identified by terms and phrases such as “anticipate,” “believe,” “intend,” “estimate,” “expect,” “continue,” “could,” “may,” “plan,” “project,” “predict” and similar expressions and include references to assumptions that we believe are reasonable and relate to our future prospects, developments and business strategies. The Company cautions readers of this Form 10-Q that such “forward looking statements”, including without limitation, those relating to the Company’s future business prospects, revenue, working capital, professional liability expense, liquidity, capital needs, interest costs and income, wherever they occur in this Form 10-Q or in other statements attributable to the Company, are necessarily estimates reflecting the judgment of the Company’s senior management and involve a number of risks and uncertainties that could cause actual results to differ materially from those suggested by the “forward looking statements”. Factors that could cause our actual results to differ materially from those expressed or implied in such forward-looking statements, include, but are not limited to:

 

    the effect and interpretation of current or future government regulation of the healthcare industry, and our ability to comply with these regulations;

 

    our exposure to professional liability lawsuits and governmental agency investigations;

 

    the adequacy of our insurance coverage and insurance reserves;

 

    our reliance on third-party payers;

 

    the general level of emergency department patient volumes at our clients’ facilities;

 

    our ability to enter into and retain contracts with hospitals, military treatment facilities and other healthcare facilities on attractive terms;

 

    changes in rates or methods of government payments for our services;

 

    our ability to successfully integrate strategic acquisitions;

 

    the control of our company by our sponsor may be in conflict with our interests;

 

    our future capital needs and ability to obtain future financing;

 

    our ability to carry out our business strategy;

 

    our ability to continue to recruit and retain qualified healthcare professionals and our ability to attract and retain operational personnel; competition in our market;

 

    our ability to maintain or implement complex information systems;

 

    our substantial indebtedness;

 

    our ability to generate cash flow to service our debt obligations;

 

    certain covenants in our debt documents described in this prospectus;

 

    general economic conditions; and

 

    other factors detailed from time to time in the Company’s filings with the Securities and Exchange Commission, including filings on Forms 10-Q and 10-K.

The Company disclaims any intent or obligation to update “forward looking statements” made in this Form 10-Q to reflect changed assumptions, the occurrence of unanticipated events or changes to future operating results over time.

 

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TEAM FINANCE LLC

QUARTERLY REPORT FOR THE THREE MONTHS

ENDED SEPTEMBER 30, 2006

 

          Page

Part 1. Financial Information

  

Item 1.

   Financial Statements (Unaudited)   
   Consolidated Balance Sheets — September 30, 2006 and December 31, 2005    4
   Consolidated Statements of Operations — Three months ended September 30, 2006 and 2005    5
   Consolidated Statements of Operations — Nine months ended September 30, 2006 and 2005    6
   Consolidated Statements of Cash Flows — Nine months ended September 30, 2006 and 2005    7
   Notes to Consolidated Financial Statements    8

Item 2.

   Management’s Discussion and Analysis of Financial Condition and Results of Operations    21

Item 3.

   Quantitative and Qualitative Disclosures About Market Risk    32

Item 4.

   Controls and Procedures    32

Part 2. Other Information

  

Item 1.

   Legal Proceedings    33

Item 1A.

   Risk Factors    33

Item 2.

   Unregistered Sales of Equity Securities and Use of Proceeds    33

Item 3.

   Defaults Upon Senior Securities    33

Item 4.

   Submission of Matters to a Vote of Security Holders    33

Item 5.

   Other Information    33

Item 6.

   Exhibits    33

Signatures

   34

 

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PART 1. FINANCIAL INFORMATION

 

Item 1. Financial Statements

TEAM FINANCE LLC

CONSOLIDATED BALANCE SHEETS

 

    

September 30,

2006

   

December 31,

2005

 
     (Unaudited)        
     (In thousands)  
ASSETS   

Current assets:

    

Cash and cash equivalents

   $ 2,910     $ 10,644  

Accounts receivable, less allowance for uncollectibles of $163,325 and $127,740 in 2006 and 2005, respectively

     194,439       180,407  

Prepaid expenses and other current assets

     18,260       5,961  

Receivables under insurance programs

     37,642       45,912  

Income tax receivable

     —         14,585  
                

Total current assets

     253,251       257,509  

Investments of insurance subsidiary

     54,130       41,452  

Property and equipment, net

     19,846       18,454  

Other intangibles, net

     31,088       37,256  

Goodwill

     150,660       150,166  

Deferred income taxes

     87,288       87,499  

Receivables under insurance programs

     23,520       30,375  

Other

     24,522       23,790  
                
   $ 644,305     $ 646,501  
                
LIABILITIES AND MEMBERS’ EQUITY (DEFICIT)     

Current liabilities:

    

Accounts payable

   $ 9,502     $ 18,784  

Accrued compensation and physician payable

     81,340       81,319  

Other accrued liabilities

     89,901       85,509  

Income tax payable

     2,941       —    

Current maturities of long-term debt

     17,150       9,550  

Deferred income taxes

     16,845       23,035  
                

Total current liabilities

     217,679       218,197  

Long-term debt, less current maturities

     632,562       635,750  

Other non-current liabilities

     165,757       176,075  

Member’s deficit

     (371,366 )     (383,183 )

Accumulated other comprehensive loss

     (327 )     (338 )
                
   $ 644,305     $ 646,501  
                

See accompanying notes to financial statements.

 

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TEAM FINANCE LLC

CONSOLIDATED STATEMENTS OF OPERATIONS

 

    

Three Months Ended

September 30,

 
     2006    2005  
     (Unaudited)  
     (In thousands)  

Net revenue

   $ 483,832    $ 410,423  

Provision for uncollectibles

     197,749      153,002  
               

Net revenue less provision for uncollectibles

     286,083      257,421  

Cost of services rendered

     

Professional service expenses

     216,053      193,726  

Professional liability costs

     12,825      13,091  
               

Gross profit

     57,205      50,604  

General and administrative expenses

     28,106      25,966  

Management fee and other expenses (income)

     875      (204 )

Depreciation and amortization

     6,221      6,235  

Interest expense, net

     15,200      6,612  

Transaction costs

     —        1,247  
               

Earnings before income taxes

     6,803      10,748  

Provision for income taxes

     2,301      4,579  
               

Net earnings

   $ 4,502    $ 6,169  
               

See accompanying notes to financial statements.

 

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TEAM FINANCE LLC

CONSOLIDATED STATEMENTS OF OPERATIONS

 

    

Nine months ended

September 30,

     2006    2005
     (Unaudited)
     (In thousands)

Net revenue

   $ 1,355,749    $ 1,210,094

Provision for uncollectibles

     537,980      444,365
             

Net revenue less provision for uncollectibles

     817,769      765,729

Cost of services rendered

     

Professional service expenses

     615,397      560,370

Professional liability costs

     24,496      31,483
             

Gross profit

     177,876      173,876

General and administrative expenses

     81,256      76,732

Management fee and other expenses

     2,690      2,115

Impairment of intangibles

     9,523      —  

Loss on extinguishment of debt

     —        1,402

Depreciation and amortization

     20,462      19,553

Interest expense, net

     43,096      20,525

Transaction costs

     —        1,247
             

Earnings before income taxes

     20,849      52,302

Provision for income taxes

     9,214      20,430
             

Net earnings

   $ 11,635    $ 31,872
             

See accompanying notes to financial statements.

 

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TEAM FINANCE LLC

CONSOLIDATED STATEMENTS OF CASH FLOWS

 

    

Nine Months Ended

September 30,

 
     2006     2005  
     (Unaudited)  
     (In thousands)  

Operating Activities

    

Net earnings

   $ 11,635     $ 31,872  

Adjustments to reconcile net earnings:

    

Depreciation and amortization

     20,462       19,553  

Amortization of deferred financing costs

     1,821       523  

Write-off of deferred financing costs

     —         734  

Employee equity based compensation expense

     477       457  

Impairment of intangibles

     9,523       —    

Provision for uncollectibles

     537,980       444,365  

Deferred income taxes

     (2,561 )     (6,222 )

Loss on sale of investment

     —         201  

Loss on sale of equipment

     23       1,549  

Equity in joint venture income

     (1,502 )     (1,331 )

Changes in operating assets and liabilities, net of acquisitions:

    

Accounts receivable

     (552,012 )     (456,963 )

Prepaids and other assets

     (13,108 )     (745 )

Income tax receivables

     17,526       1,085  

Accounts payable

     (9,095 )     1,087  

Accrued compensation and physician payable

     987       3,529  

Other accrued liabilities

     4,900       (4,904 )

Professional liability reserves

     4,449       15,180  
                

Net cash provided by operating activities

     31,505       49,970  

Investing Activities

    

Purchases of property and equipment

     (7,173 )     (6,167 )

Sale of property and equipment

     —         177  

Cash paid for acquisitions, net

     (20,785 )     (5,795 )

Net change of short-term investments

     —         64,676  

Net purchases of investments by insurance subsidiary

     (12,640 )     (12,343 )

Other investing activities

     209       (291 )
                

Net cash (used in ) provided by investing activities

     (40,389 )     40,257  

Financing Activities

    

Payments on notes payable

     (3,187 )     (80,582 )

Proceeds from revolving credit facility

     184,300       —    

Payment on revolving credit facility

     (176,700 )     —    

Payment of deferred financing costs

     (752 )     (271 )

Proceeds from sales of common stock

     —         400  

Purchase of treasury stock

     (2,570 )     (1,530 )

Proceeds from sale of common units

     115       —    

Proceeds from sale of treasury stock

     —         485  

Transaction payments in connection with recapitalization

     (56 )     —    
                

Net cash provided by (used in) financing activities

     1,150       (81,498 )
                

Net (decrease) increase in cash

     (7,734 )     8,729  

Cash and cash equivalents, beginning of period

     10,644       17,931  
                

Cash and cash equivalents, end of period

   $ 2,910     $ 26,660  
                

Interest paid

   $ 37,303     $ 25,286  
                

Taxes paid

   $ 4,494     $ 25,958  
                

See accompanying notes to financial statements.

 

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TEAM FINANCE LLC

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

Note 1. Organization and Basis of Presentation

On November 23, 2005, affiliates of The Blackstone Group (“Blackstone”), a private equity firm, by way of merger with Team Health Holdings LLC (“Holdings”), acquired a 91.1% interest in Holdings (the “Recapitalization Merger”). Holdings became the parent corporation of Team Finance LLC (“Team Finance”). Also pursuant to the Merger Agreement dated October 11, 2005, Team MergerSub Inc., a Tennessee Corporation and wholly-owned subsidiary of Team Finance merged with and into Team Health, Inc. (“Team Health”) (the “Reorganization Merger”). References and information noted as being those of the “Company”, “we” or “our” relate to both Team Health and Team Finance. The remaining 8.9% ownership in Holdings is held by members of management of the Company.

The Recapitalization Merger was accounted for as a recapitalization. The Reorganization Merger was accounted for as an acquisition of minority interest, whereby the common stock of Team Health that was not owned by Holdings prior to November 23, 2005, was recorded at fair value resulting in an adjustment to the carrying value of the pro rata portion of assets and liabilities deemed to have been acquired or assumed in the Reorganization Merger. Pursuant to the Reorganization Merger, all the existing outstanding minority equity interests in Team Health was acquired by Holdings, resulting in Holdings owning 100% of the outstanding equity interests in Team Health. In 1999, our former controlling stockholders acquired their controlling interest in Team Health in a transaction that was also accounted for as a recapitalization (the “1999 Recapitalization”). The Reorganization Merger also required the “push down” of the accounting basis established in the 1999 Recapitalization. Accordingly, the historical information for Team Health was restated for the effect of the Reorganization Merger for the purpose of presenting these consolidated financial statements of Team Finance.

The accompanying unaudited consolidated financial statements include the accounts of Team Health and its wholly owned subsidiaries and have been prepared in accordance with accounting principles generally accepted in the United States for interim financial reporting and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by accounting principles generally accepted in the United States for complete financial statements. Certain prior year amounts have been reclassified to conform to the current year presentation.

In the opinion of management, the accompanying unaudited consolidated financial statements contain all adjustments (consisting of normal recurring items) necessary for a fair presentation of results for the interim periods presented. The results of operations for any interim period are not necessarily indicative of results for the full year. The consolidated balance sheet of the Company at December 31, 2005 has been derived from the audited financial statements at that date, but does not include all of the information and disclosures required by accounting principles generally accepted in the United States for complete financial statements. These financial statements and footnote disclosures should be read in conjunction with the December 31, 2005 audited consolidated financial statements and the notes thereto included in the Company’s Registration Statement on Form S-4 as amended, filed with the Securities and Exchange Commission on May 15, 2006.

The preparation of the financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the amounts reported in the accompanying consolidated financial statements and notes. Actual results could differ from those estimates.

Note 2. New Accounting Standards

In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes”, an interpretation of FAS 109, “Accounting for Income Taxes” (FIN 48), to create a single model to address accounting for uncertainty in tax positions. FIN 48 clarifies the accounting for income taxes, by prescribing a minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. FIN 48 also provides guidance on derecognition, measurement, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. The Company will adopt FIN 48 as of January 1, 2007, as required. The cumulative effect of adopting FIN 48 will be recorded in members’ equity as applicable. The Company has not determined the effect, if any, the adoption of FIN 48 will have on the Company’s financial position and results of operations.

 

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In September 2006, FASB issued Statement of Financial Accounting Standards (SFAS) No. 157, “Fair Value Measurements,” which provides enhanced guidance for using fair value to measure assets and liabilities. SFAS No. 157 establishes a common definition of fair value, provides a framework for measuring fair value under U.S. GAAP and expands disclosure requirements about fair value measurements. SFAS No. 157 is effective for financial statements issued in fiscal years beginning after November 15, 2007, and interim periods within those fiscal years. The Company is currently evaluating the impact, if any, the adoption of SFAS No. 157 will have on the Company’s financial reporting and disclosures.

Note 3. Impairment of Intangibles

The Company provides management services to anaesthesia practices nationwide. These services are organized under an operating unit called Team Health Anaesthesiology Management Services (“THAMS”). In April 2006, THAMS received notification from its largest anaesthesia practice client of their intent to terminate its contract in accordance with the terms of the agreement.

Management concluded that THAMS’ existing revenues and operating income will be materially adversely affected as a result of this contract termination. The above noted facts and circumstances were concluded by management to require a test for recoverability of the existing contract intangibles under the provisions of SFAS No. 144 “Accounting for the Impairment or Disposal of Long-Lived Assets” (FAS No. 144) and a “triggering event” under the provisions of SFAS No. 142 “Goodwill and Other Intangible Assets” (FAS No. 142). The Company, as of March 31, 2006, had $2.7 million of net contract intangibles and $8.2 million of goodwill related to THAMS prior to recognition of any impairment losses. The total impact on the results of operations and financial condition of this operating unit is not known at this time. The remaining estimated impact on the results of operations of THAMS is dependent on our ability to successfully retain our other existing business, as well as winning new business.

Management, based on projections of the estimated results of the remaining business, believes that the net contract intangibles will not be fully recoverable, consequently the Company recorded a charge of $2.0 million in the results of operations in the first quarter of 2006. The charge reduced the book value of the contract intangibles within the management services reporting segment to its fair value estimated to be $0.7 million, as determined by using a discounted cash flow model.

Additionally, management believes the goodwill related to this business was impaired and that such impairment loss could be reasonably estimated based on such projections. The Company recorded a goodwill impairment loss of $7.5 million in the first quarter of 2006. The estimated impairment was determined following the provisions of FAS No. 142. Accordingly, the Company initially estimated the fair value of THAMS. The fair value of the business was determined using a multiple of projected cash flows on remaining contracts. The carrying value of the business exceeded its fair market value. The estimated fair value was allocated to the underlying net assets of the business following generally accepted accounting principles for allocating purchase prices. This included an allocation of value to the components of working capital, contract intangibles (based on discounting of future cash flows estimated to be derived from such contracts) with the remainder of such fair value assigned to goodwill. The estimate of the implied goodwill resulting from the aforementioned application of the principles outlined in FAS No. 142 was less than the recorded goodwill related to THAMS. As of September 30, 2006, subsequent to recording the impairment loss, there was no remaining goodwill associated with the THAMS operations.

Note 4. Acquisitions

Effective May 1, 2006, the Company acquired the operations of two businesses. The acquired companies provide hospital emergency department and hospital physician staffing services under eleven contracts for locations in Ohio. The purchase price for the acquired companies was $4.0 million of which $3.0 million was paid in cash at May 1, 2006 and $1.0 million in assumed liabilities. The purchase price was allocated to contract intangibles based on the estimated fair value of the contracts obtained on the acquisition date.

Effective July 1, 2006, the Company completed the acquisition of certain assets and related business operations of a hospital medicine and inpatient services business located in Florida. The purchase price for the acquired business was $17.9 million which was paid in cash on the date of the closing. In addition, the Company may have to pay up to $9.6 million in future contingent payments. Of the total purchase price, $6.6 million was allocated to contract intangibles based on the estimated fair value of the contracts obtained on the acquisition date. The remaining $11.3 million was recorded as goodwill.

 

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Note 5. Net Revenue

Net revenue for the three and nine months ended September 30, 2006 and 2005, respectively, consisted of the following (in thousands):

 

    

Three Months Ended

September 30,

  

Nine Months Ended

September 30,

     2006    2005    2006    2005

Fee for service revenue

   $ 373,821    $ 313,230    $ 1,049,071    $ 928,432

Contract revenue

     99,275      89,346      279,442      257,843

Other revenue

     10,736      7,847      27,236      23,819
                           
   $ 483,832    $ 410,423    $ 1,355,749    $ 1,210,094
                           

Note 6. Other Intangible Assets

The following is a summary of intangible assets and related amortization as of September 30, 2006 and December 31, 2005 (in thousands):

 

    

Gross Carrying

Amount

  

Accumulated

Amortization

As of September 30, 2006:

     

Contracts

   $ 38,067    $ 7,127

Other

     448      300
             

Total

   $ 38,515    $ 7,427
             

As of December 31, 2005:

     

Contracts

   $ 149,801    $ 112,727

Other

     448      266
             

Total

   $ 150,249    $ 112,993
             

Aggregate amortization expense:

     

For the nine months ended September 30, 2006

   $ 14,893   
         

Estimated amortization expense:

     

For the remainder of the year ended December 31, 2006

   $ 1,532   

For the year ended December 31, 2007

     5,985   

For the year ended December 31, 2008

     5,232   

For the year ended December 31, 2009

     4,964   

For the year ended December 31, 2010

     4,707   

Note 7. Income Taxes

The effective rate for the nine months ended September 30, 2006 was 44.2% compared to 39.1% for the same period in 2005. The variance between periods is attributable to the non-deductibility of a portion of the impairment charge discussed in Note 3. Approximately $5.7 million of the $9.5 million charge is deductible for tax purposes.

Note 8. Long-Term Debt

Long-term debt as of September 30, 2006 consists of the following (in thousands):

 

     2006  

Term Loan Facilities

   $ 421,812  

11.25% Senior Subordinated Notes

     215,000  

Revolving line of credit

     12,900  
        
     649,712  

Less current portion

     (17,150 )
        
   $ 632,562  
        

In connection with the merger, as more fully described in Note 1, the Company entered into a new credit facility with a group of banks on November 23, 2005. The new credit facility included a $125.0 million revolving credit line and a $425.0 million senior

 

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secured term loan facility. The Company borrowed the full amount for the term facility and $9.6 million under the revolving credit facility on November 23, 2005.

The interest rates for senior revolving credit facility borrowings are based on a grid which is based on the consolidated ratio of total funded debt to earnings before interest, taxes, depreciation and amortization, all as set forth in the credit agreement. The initial interest rate on any term loans outstanding is equal to the euro dollar rate plus 2.50% or the agent bank’s base rate plus 1.5%. In the event of a default by the Company under its bank loan covenants, such interest rates would increase by 2.0% over the current rates then in effect.

The interest rate at September 30, 2006, was 7.9% for amounts outstanding under the term loan facility. In addition, the Company pays a commitment fee for the revolving credit facility which was equal to 0.5% of the commitment at September 30, 2006. Borrowings of $12.9 million under the revolving credit facility were outstanding as of September 30, 2006, and the Company had $7.7 million of standby letters of credit outstanding against the revolving credit facility commitment.

The Company issued on November 23, 2005, 11.25% Senior Subordinated Notes (the “Notes”) in the amount of $215.0 million due December 1, 2013. The Notes are subordinated in right of payment to all senior debt of the Company and are senior in right of payment to all existing and future subordinated indebtedness of the Company. Interest on the Notes accrues at the rate of 11.25% per annum, payable semi-annually in arrears on June 1 and December 1 of each year. Beginning on December 1, 2009, the Company may redeem some or all of the Notes at any time at various redemption prices.

The Notes are guaranteed jointly and severally on a full and unconditional basis by all of the Company’s domestic wholly-owned operating subsidiaries (the “Subsidiary Guarantors”) as required by the Indenture Agreement.

Both the 11.25% Notes and the current term loan facility contain both affirmative and negative covenants, including limitations on the Company’s ability to incur additional indebtedness, sell material assets, retire, redeem or otherwise reacquire its capital stock, acquire the capital stock or assets of another business, pay dividends, and require the Company to comply with certain coverage and leverage ratios.

In connection with the Transaction discussed in Note 1, the Company completed a tender offer for its then outstanding 9% Senior Subordinated Notes in the amount of $145.7 million, plus a call premium and consent fees totalling $18.0 million. Additionally, the Company incurred costs of approximately $5.9 million, relating to the write-off of capitalized financing costs on its previously outstanding long-term debt and the 9% Senior Subordinated Notes.

Aggregate annual maturities of long-term debt as of September 30, 2006 are as follows (in thousands):

 

2006

   $ 17,150

2007

     4,250

2008

     4,250

2009

     4,250

2010

     4,250

Thereafter

     615,562

Note 9. Professional Liability Insurance

The Company’s professional liability loss reserves consist of the following (in thousands):

 

    

September 30,

2006

  

December 31,

2005

Estimated losses under self-insured programs

   $ 163,134    $ 157,685

Estimated losses under commercial insurance programs

     61,162      76,287
             
     224,296      233,972

Less — estimated payable within one year

     66,452      64,573
             
   $ 157,844    $ 169,399
             

The Company provides for its estimated professional liability losses through a combination of self-insurance and commercial insurance programs. During the period March 12, 1999 through March 11, 2003, the primary source of the Company’s coverage for such risks was a professional liability insurance policy provided through one insurance carrier. The commercial insurance carrier policy initially included an insured loss limit of $130.0 million. In April 2006, the Company amended the policy with the commercial

 

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insurance carrier to provide for an increase in the aggregate limit of coverage based upon certain premium funding levels. As of September 30, 2006, the insured loss limit under the policy was $140.3 million. Losses in excess of the limit of coverage remain as a self-insured obligation of the Company. Beginning March 12, 2003, professional liability loss risks are principally being provided for through self-insurance with a portion of such risks (“claims-made” basis) transferred to and funded into a captive insurance company. The accounts of the captive insurance company are fully consolidated with those of the other operations of the Company in the accompanying financial statements.

The self-insurance components of our risk management program include reserves for future claims incurred but not reported. The Company’s provisions for losses under its self-insurance components are estimated using the results of periodic actuarial studies performed by an independent actuarial firm. Such actuarial studies include numerous underlying estimates and assumptions, including assumptions as to future claim losses, the severity and frequency of such projected losses, loss development factors and others. The Company’s provisions for losses under its self-insured components are subject to subsequent adjustment should future actuarial projected results for such periods indicate projected losses are greater or less than previously projected.

As a result of an April 2006 actuarial valuation, the Company realized a reduction in its provision for professional liability losses of $12.1 million in the nine months ended September 30, 2006 related to its reserves for losses in prior years. The Company had previously realized a $7.6 million reduction in its professional liability loss liability in the nine months ended September 30, 2005, resulting from an actuarial study completed in April 2005.

Note 10. Share-based Compensation

On January 1, 2006, the Company adopted SFAS No. 123(R), Share-Based Payment—Revised 2000. Prior to the adoption of SFAS No. 123(R), for share-based awards granted under the 1999 Stock Option Plan (the “Plan”) subsequent to January 1, 2003, the Company accounted for those awards under the fair value recognition provisions of SFAS No. 123, Accounting for Stock-Based Compensation. Prior to January 1, 2003, the Company applied the recognition and measurement provisions of APB Opinion No.25, Accounting for Stock Issued to Employees, and related Interpretations in accounting for options awarded. Accordingly, the expense related to employee equity based employee compensation included in the determination of net earnings for the nine months ended September 30, 2005 was less than that which would have been recognized if the fair value method had been applied to all awards since the adoption of the Plan. Such amounts were not significant. In connection with the Recapitalization Merger, the Plan was terminated and all outstanding stock options that were vested under the Plan were effectively settled on the date of the merger.

In January 2006, the Company adopted the 2005 Unit Plan. A total of 400,000 Class B Common Units and 600,000 Class C Common Units are authorized for issuance to executives and other key employees under the 2005 Unit Plan. As of September 30, 2006, there were 311,152 restricted Class B Common Units with a fair value of $5.60 per unit outstanding and 435,613 Class C Common Units with a fair value of $2.41 outstanding. The outstanding units vest ratably over five years and the Company is recognizing the related compensation expense over the five year period. Compensation expense for the employee equity based awards granted is based on the grant date fair value estimated by an independent valuation company that utilized the Black-Scholes option pricing formula in accordance with the provisions of SFAS No. 123(R). For the nine months ended September 30, 2006, the Company recognized $0.5 million of employee equity based compensation expense. As of September 30, 2006, there was $2.3 million of unrecognized compensation expense related to nonvested restricted unit awards, which will be recognized over the remaining requisite service period. Forfeitures of employee equity based awards have been historically immaterial to the Company.

Note 11. Contingencies

Litigation

We are currently a party to various legal proceedings. While we currently believe that the ultimate outcome of such proceedings, individually and in the aggregate, will not have a material adverse effect on our financial position or overall trends in results of operations, litigation is subject to inherent uncertainties. If an unfavorable ruling were to occur, there exists the possibility of a material adverse impact on our net earnings in the period in which a ruling occurs. The estimate of the potential impact from such legal proceedings on our financial position or overall results of operations could change in the future.

Healthcare Regulatory Matters

Laws and regulations governing the Medicare and Medicaid programs are complex and subject to interpretation. Compliance with such laws and regulations can be subject to future governmental review and interpretation as well as significant regulatory action. From time to time, governmental regulatory agencies will conduct inquiries and audits of the Company’s practices. It is the Company’s current practice and future intent to cooperate fully with such inquiries.

 

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Table of Contents

In addition to laws and regulations governing the Medicare and Medicaid programs, there are a number of federal and state laws and regulations governing such matters as the corporate practice of medicine and fee splitting arrangements, anti-kickback statutes, physician self-referral laws, false or fraudulent claims filing and patient privacy requirements. The failure to comply with any of such laws or regulations could have an adverse impact on our operations and financial results. It is management’s belief that the Company is in substantial compliance in all material respects with such laws and regulations.

Acquisition Payments

As of September 30, 2006, the Company may have to pay up to $10.5 million in future contingent payments as additional consideration for acquisitions made prior to September 30, 2006. These payments will be made and recorded as additional purchase price should the acquired operations achieve the financial targets agreed to in the respective acquisition agreements. During the nine months ended September 30, 2006, the Company had no required payments under contingent payment provisions of agreements related to previous acquisitions.

Note 12. Comprehensive Earnings

The components of comprehensive earnings, net of related taxes, are as follows (in thousands):

 

    

Three Months Ended

September 30,

   

Nine Months Ended

September 30,

 
     2006    2005     2006    2005  

Net earnings

   $ 4,502    $ 6,169     $ 11,635    $ 31,872  

Net change in fair market value of investments

     355      (128 )     11      (27 )

Net change in fair value of interest rate swaps

     —        128       —        370  
                              

Comprehensive earnings

   $ 4,857    $ 6,169     $ 11,646    $ 32,215  
                              

Note 13. Segment Reporting

The Company provides its services through five operating segments which are aggregated into two reportable segments, Healthcare Services and Management Services. The Healthcare Services segment, which is an aggregation of healthcare staffing, clinics, and occupational health, provides comprehensive healthcare service programs to users and providers of healthcare services on a fee-for-service as well as a cost plus basis. The Management Services segment, which consists of medical group management services and external billing and collection services, provides a range of management and billing services on a fee basis. These services include strategic management, management information systems, third-party payer contracting, financial and accounting support, benefits administration and risk management, scheduling support, operations management and quality improvement services.

Segment amounts disclosed are prior to any elimination entries made in consolidation, except in the case of net revenue, where intercompany charges have been eliminated. Certain expenses are not allocated to the segments. These unallocated expenses are corporate expenses, net interest expense, depreciation and amortization, refinancing costs and income taxes. The Company evaluates segment performance based on profit and loss before the aforementioned expenses.

The following table presents financial information for each reportable segment. Depreciation, amortization, impairment of intangibles, management fee and other expenses separately identified in the consolidated statements of operations are included as a reduction to the operating earnings of each segment in each period below (in thousands):

 

    

Three Months Ended

September 30,

   

Nine Months Ended

September 30,

 
     2006     2005     2006     2005  

Net Revenue less provision for uncollectibles:

        

Healthcare Services

   $ 280,259     $ 251,637     $ 800,131     $ 748,870  

Management Services

     5,824       5,784       17,638       16,859  
                                
   $ 286,083     $ 257,421     $ 817,769     $ 765,729  
                                

Operating earnings:

        

Healthcare Services

   $ 31,926     $ 30,060     $ 102,921     $ 108,330  

Management Services

     957       1,078       (7,133 )     2,951  

General Corporate

     (10,880 )     (12,532 )     (31,843 )     (37,207 )
                                
   $ 22,003     $ 18,606     $ 63,945     $ 74,074  
                                

 

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Note 14. Financial Information for Subsidiary Guarantors and Non-Guarantor Subsidiary

The Company conducts substantially all of its business through its subsidiaries. The parent company is a holding company that conducts no operations and whose financial position is comprised of deferred financing costs and the Company’s debt. The Company’s domestic, wholly-owned subsidiaries jointly and severally guarantee the 11.25% Notes on an unsecured senior subordinated basis. The condensed consolidating financial information for the parent company, the issuers of the 11.25% Notes, and the subsidiary guarantors, the non-guarantor subsidiary, certain reclassifications and eliminations and the consolidated Company as of September 30, 2006 and December 31, 2005 and for the three and nine months ended September 30, 2006 and 2005, are as follows:

 

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Table of Contents

Consolidated Balance Sheet

 

     As of September 30, 2006  
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
    Total
Consolidated
 
     (in thousands)  

Assets

        

Current assets:

        

Cash and cash equivalents

   $ 2,910     $ —       $ —       $ 2,910  

Accounts receivable, net

     194,439       —         —         194,439  

Prepaid expenses and other current assets

     17,367       30,514       (29,621 )     18,260  

Receivables under insurance programs

     37,642       —         —         37,642  

Income tax receivable

     3,978       —         (3,978 )     —    
                                

Total current assets

     256,336       30,514       (33,599 )     253,251  

Investments of insurance subsidiary

     —         54,130       —         54,130  

Property and equipment, net

     19,846       —         —         19,846  

Other intangibles, net

     31,088       —         —         31,088  

Goodwill

     150,660       —         —         150,660  

Deferred income taxes

     84,681       2,607       —         87,288  

Receivables under insurance programs

     23,520       —         —         23,520  

Investments in subsidiaries

     12,428       —         (12,428 )     —    

Other

     24,330       192       —         24,522  
                                
   $ 602,889     $ 87,443     $ (46,027 )   $ 644,305  
                                

Liabilities and members’ equity (deficit)

        

Current liabilities:

        

Accounts payable

   $ 9,480     $ 22     $ —       $ 9,502  

Accrued compensation and physician payable

     81,340       —         —         81,340  

Other accrued liabilities

     61,070       55,698       (26,867 )     89,901  

Income taxes payable

     2,941       3,978       (3,978 )     2,941  

Current maturities of long-term debt

     17,150       —         —         17,150  

Deferred income taxes

     19,599       —         (2,754 )     16,845  
                                

Total current liabilities

     191,580       59,698       (33,599 )     217,679  

Long-term debt, less current maturities

     632,562       —         —         632,562  

Other non-current liabilities

     150,440       15,317       —         165,757  

Common stock

     —         120       (120 )     —    

Additional paid in capital

     —         4,610       (4,610 )     —    

Retained earnings

     —         8,021       (8,021 )     —    

Accumulated other comprehensive loss

     (4 )     (323 )     —         (327 )

Members’ deficit

     (371,689 )     —         323       (371,366 )
                                
   $ 602,889     $ 87,443     $ (46,027 )   $ 644,305  
                                

 

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Table of Contents

Consolidated Balance Sheet

 

     As of December 31, 2005  
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
    Total
Consolidated
 
     (in thousands)  

Assets

        

Current assets:

        

Cash and cash equivalents

   $ 10,644     $ —       $ —       $ 10,644  

Accounts receivable, net

     180,407       —         —         180,407  

Prepaid expenses and other current assets

     2,774       20,975       (17,788 )     5,961  

Receivables under insurance programs

     45,912       —         —         45,912  

Income tax receivable

     16,908       —         (2,323 )     14,585  
                                

Total current assets

     256,645       20,975       (20,111 )     257,509  

Investments of insurance subsidiary

     —         41,452       —         41,452  

Property and equipment, net

     18,454       —         —         18,454  

Other intangibles, net

     37,256       —         —         37,256  

Goodwill

     150,166       —         —         150,166  

Deferred income taxes

     83,224       328       3,947       87,499  

Receivables under insurance programs

     30,375       —         —         30,375  

Investments in subsidiaries

     5,090       —         (5,090 )     —    

Other

     23,683       107       —         23,790  
                                
   $ 604,893     $ 62,862     $ (21,254 )   $ 646,501  
                                

Liabilities and members’ equity (deficit)

        

Current liabilities:

        

Accounts payable

   $ 18,750     $ 34     $ —       $ 18,784  

Accrued compensation and physician payable

     81,319       —         —         81,319  

Other accrued liabilities

     66,843       32,507       (13,841 )     85,509  

Income taxes payable

     —         2,323       (2,323 )     —    

Current maturities of long-term debt

     9,550       —         —         9,550  

Deferred income taxes

     23,035       —         —         23,035  
                                

Total current liabilities

     199,497       34,864       (16,164 )     218,197  

Long-term debt, less current maturities

     635,750       —         —         635,750  

Other non-current liabilities

     153,167       22,908       —         176,075  

Common stock

     —         120       (120 )     —    

Additional paid in capital

     —         4,610       (4,610 )     —    

Retained earnings

     —         694       (694 )     —    

Accumulated other comprehensive loss

     (4 )     (334 )     —         (338 )

Members’ deficit

     (383,517 )     —         334       (383,183 )
                                
   $ 604,893     $ 62,862     $ (21,254 )   $ 646,501  
                                

 

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Table of Contents

Consolidated Statement of Operations

 

     Three Months Ended September 30, 2006  
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
    Total
Consolidated
 
     (in thousands)  

Net revenue

   $ 483,832     $ 10,075     $ (10,075 )   $ 483,832  

Provision for uncollectibles

     197,749       —         —         197,749  
                                

Net revenue less provision for uncollectibles

     286,083       10,075       (10,075 )     286,083  

Cost of services rendered

        

Professional expenses

     232,826       6,127       (10,075 )     228,878  
                                

Gross profit

     53,257       3,948       —         57,205  

General and administrative expenses

     28,056       50       —         28,106  

Management fee and other expenses

     875       —         —         875  

Depreciation and amortization

     6,221       —         —         6,221  

Interest expense, net

     15,719       (519 )     —         15,200  
                                

Earnings before income taxes

     2,386       4,417       —         6,803  

Provision for income taxes

     1,925       376       —         2,301  
                                

Net earnings

   $ 461     $ 4,041     $ —       $ 4,502  
                                

Consolidated Statement of Operations

 

     Three Months Ended September 30, 2005  
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
    Total
Consolidated
 
     (in thousands)  

Net revenue

   $ 410,423     $ 8,305     $ (8,305 )   $ 410,423  

Provision for uncollectibles

     153,002       —         —         153,002  
                                

Net revenue less provision for uncollectibles

     257,421       8,305       (8,305 )     257,421  

Cost of services rendered

        

Professional expenses

     204,991       10,131       (8,305 )     206,817  
                                

Gross profit (loss)

     52,430       (1,826 )     —         50,604  

General and administrative expenses

     25,937       29       —         25,966  

Management fee and other expenses (income)

     (204 )     —         —         (204 )

Depreciation and amortization

     6,235       —         —         6,235  

Interest expense, net

     6,887       (275 )     —         6,612  

Transaction costs

     1,247       —         —         1,247  
                                

Earnings before income taxes

     12,328       (1,580 )     —         10,748  

Provision for income taxes

     6,327       (1,748 )     —         4,579  
                                

Net earnings

   $ 6,001     $ 168     $ —       $ 6,169  
                                

 

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Table of Contents

Consolidated Statement of Operations

 

     Nine months ended September 30, 2006
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
    Total
Consolidated
     (in thousands)

Net revenue

   $ 1,355,749     $ 27,275     $ (27,275 )   $ 1,355,749

Provision for uncollectibles

     537,980       —         —         537,980
                              

Net revenue less provision for uncollectibles

     817,769       27,275       (27,275 )     817,769

Cost of services rendered

        

Professional expenses

     663,128       4,040       (27,275 )     639,893
                              

Gross profit

     154,641       23,235       —         177,876

General and administrative expenses

     81,121       135       —         81,256

Management fee and other expenses

     2,690       —         —         2,690

Impairment of intangibles

     9,523       —         —         9,523

Depreciation and amortization

     20,462       —         —         20,462

Interest expense, net

     44,548       (1,452 )     —         43,096
                              

Earnings (loss) before income taxes

     (3,703 )     24,552       —         20,849
              

Provision for income taxes

     1,989       7,225       —         9,214
                              

Net earnings (loss)

   $ (5,692 )   $ 17,327     $ —       $ 11,635
                              

Consolidated Statement of Operations

     Nine months ended September 30, 2005
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
    Total
Consolidated
     (in thousands)

Net revenue

   $ 1,210,094     $ 17,729     $ (17,729 )   $ 1,210,094

Provision for uncollectibles

     444,365       —         —         444,365
                              

Net revenue less provision for uncollectibles

     765,729       17,729       (17,729 )     765,729

Cost of services rendered

        

Professional expenses

     595,866       13,716       (17,729 )     591,853
                              

Gross profit

     169,863       4,013       —         173,876

General and administrative expenses

     76,597       135       —         76,732

Management fee and other expenses

     2,115       —         —         2,115

Loss on extinguishment of debt

     1,402       —         —         1,402

Depreciation and amortization

     19,553       —         —         19,553

Interest expense, net

     21,156       (631 )     —         20,525

Transaction costs

     1,247       —         —         1,247
                              

Earnings before income taxes

     47,793       4,509       —         52,302

Provision for income taxes

     18,852       1,578       —         20,430
                              

Net earnings

   $ 28,941     $ 2,931     $ —       $ 31,872
                              

 

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Table of Contents

Consolidated Statement of Cash Flows

 

     Nine months ended September 30, 2006  
     Parent and
Guarantor
Subsidiaries
   

Non-

Guarantor
Subsidiary

    Reclassifications
and Eliminations
   Total
Consolidated
 
     (in thousands)  

Operating activities

         

Net earnings (loss)

   $ (5,692 )   $ 17,327     $ —      $ 11,635  

Adjustments to reconcile net earnings (loss):

         

Depreciation and amortization

     20,462       —         —        20,462  

Amortization of deferred financing costs

     1,821       —         —        1,821  

Employee equity based compensation expense

     477       —         —        477  

Impairment of intangibles

     9,523       —         —        9,523  

Provision for uncollectibles

     537,980       —         —        537,980  

Deferred income taxes

     (1,447 )     (1,114 )     —        (2,561 )

Loss on sale of equipment

     23       —         —        23  

Equity in joint venture income

     (1,502 )     —         —        (1,502 )

Changes in operating assets and liabilities, net of acquisitions:

         

Accounts receivable

     (552,012 )     —         —        (552,012 )

Prepaids and other assets

     (2,293 )     (10,815 )     —        (13,108 )

Income tax receivables

     15,871       1,655       —        17,526  

Accounts payable

     (9,083 )     (12 )     —        (9,095 )

Accrued compensation and physician payable

     987       —         —        987  

Other accrued liabilities

     (8,143 )     13,043       —        4,900  

Professional liability reserves

     1,893       2,556       —        4,449  
                               

Net cash provided by operating activities

     8,865       22,640       —        31,505  

Investing activities

         

Purchases of property and equipment

     (7,173 )     —         —        (7,173 )

Cash paid for acquisition, net

     (20,785 )     —         —        (20,785 )

Net purchases of investments by insurance subsidiary

     —         (12,640 )     —        (12,640 )

Other investing activities

     209       —         —        209  
                               

Net cash used in investing activities

     (27,749 )     (12,640 )     —        (40,389 )

Financing activities

         

Payments on notes payable

     (3,187 )     —         —        (3,187 )

Proceeds from revolving credit facility

     184,300       —         —        184,300  

Payment on revolving credit facility

     (176,700 )     —         —        (176,700 )

Payment of deferred financing costs

     (752 )     —         —        (752 )

Purchase of treasury stock

     (2,570 )     —         —        (2,570 )

Transaction payments in connection with recapitalization

     (56 )     —         —        (56 )

Proceeds from sale of common units

     115       —         —        115  

Net transfers from parent and parent’s subsidiaries

     10,000       (10,000 )     —        —    
                               

Net cash provided by (used in) financing activities

     11,150       (10,000 )     —        1,150  
                               

Decrease in cash and cash equivalents

     (7,734 )     —         —        (7,734 )

Cash and cash equivalents, beginning of period

     10,644       —         —        10,644  
                               

Cash and cash equivalents, end of period

   $ 2,910     $ —       $ —      $ 2,910  
                               

 

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Consolidated Statement of Cash Flows

 

      Nine months ended September 30, 2005  
     Parent and
Guarantor
Subsidiaries
    Non-Guarantor
Subsidiary
    Reclassifications
and Eliminations
   Total
Consolidated
 
     (in thousands)  

Operating activities

         

Net earnings

   $ 28,941     $ 2,931     $ —      $ 31,872  

Adjustments to reconcile net earnings:

         

Depreciation and amortization

     19,553       —         —        19,553  

Amortization of deferred financing costs

     523       —         —        523  

Employee equity based compensation

     457       —         —        457  

Write-off of deferred financing costs

     734       —         —        734  

Provision for uncollectibles

     444,365       —         —        444,365  

Deferred income taxes

     (4,559 )     (1,663 )     —        (6,222 )

Loss on sale of investment

     201       —         —        201  

Loss on sale of equipment

     1,549       —         —        1,549  

Equity in joint venture income

     (1,331 )     —         —        (1,331 )

Changes in operating assets and liabilities, net of acquisitions:

         

Accounts receivable

     (456,963 )     —         —        (456,963 )

Prepaids and other assets

     15,155       (15,900 )     —        (745 )

Income tax receivables

     (15 )     1,100       —        1,085  

Accounts payable

     1,072       15       —        1,087  

Accrued compensation and physician payable

     3,529       —         —        3,529  

Other accrued liabilities

     (20,369 )     15,465       —        (4,904 )

Professional liability reserves

     3,897       11,283       —        15,180  
                               

Net cash provided by operating activities

     36,739       13,231       —        49,970  

Investing activities

         

Purchases of property and equipment

     (6,167 )     —         —        (6,167 )

Sale of property and equipment

     177       —         —        177  

Cash paid for acquisitions, net

     (5,795 )     —         —        (5,795 )

Net changes in short-term investments

     64,676       —         —        64,676  

Net purchases of investments by insurance subsidiary

     (112 )     (12,231 )     —        (12,343 )

Other investing activities

     (291 )     —         —        (291 )
                               

Net cash provided by (used in) investing activities

     52,488       (12,231 )     —        40,257  

Financing activities

         

Payments on notes payable

     (80,582 )     —         —        (80,582 )

Payments of deferred financing costs

     (271 )     —         —        (271 )

Proceeds from sales of common stock

     400       —         —        400  

Purchase of treasury stock

     (1,530 )     —         —        (1,530 )

Proceeds from sales of treasury stock

     485       —         —        485  

Net transfers from parent’s subsidiaries

     1,000       (1,000 )     —        —    
                               

Net cash used in financing activities

     (80,498 )     (1,000 )     —        (81,498 )
                               

Net increase in cash and cash equivalents

     8,729       —         —        8,729  

Cash and cash equivalents, beginning of period

     17,931       —         —        17,931  
                               

Cash and cash equivalents, end of period

   $ 26,660     $ —       $ —      $ 26,660  
                               

 

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

Introduction

We are the largest national provider of outsourced physician staffing and administrative services to hospitals and other healthcare providers in the United States based on revenues and patient visits. Our regional operating models also include comprehensive programs for inpatient care, radiology, anesthesiology, pediatrics and other healthcare services, principally within hospital departments and other healthcare treatment facilities. We have, however, focused primarily on providing outsourced services to hospital emergency departments, which accounts for the majority of our revenue.

The following discussion provides an assessment of our results of operations, liquidity and capital resources and should be read in conjunction with our consolidated financial statements and notes thereto included elsewhere in this document.

Critical Accounting Policies and Estimates

The consolidated financial statements of the Company are prepared in accordance with accounting principles generally accepted in the United States, which requires us to make estimates and assumptions. Management believes the following critical accounting policies, among others, affect its more significant judgments and estimates used in the preparation of its consolidated financial statements.

Revenue Recognition

Net Revenue. Net revenues consist of fee-for-service revenue, contract revenue and other revenue. Net revenues are recorded in the period services are rendered. Our net revenues are principally derived from the provision of healthcare staffing services to patients within healthcare facilities. The form of billing and related risk of collection for such services may vary by customer. The following is a summary of the principal forms of our billing arrangements and how net revenue is recognized for each.

A significant portion (77% of our net revenue in the nine months ended September 30, 2006 and the year ended December 31, 2005) resulted from fee-for-service patient visits. Fee-for-service revenue represents revenue earned under contracts in which we bill and collect the professional component of charges for medical services rendered by our contracted and employed physicians. Under the fee-for-service arrangements, we bill patients for services provided and receive payment from patients or their third-party payers. Fee-for-service revenue is reported net of contractual allowances and policy discounts. All services provided are expected to result in cash flows and are therefore reflected as net revenues in the financial statements. Fee-for-service revenue is recognized in the period that the services are rendered to specific patients and reduced immediately for the estimated impact of contractual allowances in the case of those patients having third-party payer coverage. The recognition of net revenue (gross charges less contractual allowances) from such visits is dependent on such factors as proper completion of medical charts following a patient visit, the forwarding of such charts to one of our billing centers for medical coding and entering into our billing systems and the verification of each patient’s submission or representation at the time services are rendered as to the payer(s) responsible for payment of such services. Net revenues are recorded based on the information known at the time of entering of such information into our billing systems as well as an estimate of the net revenues associated with medical charts for a given service period that have not been processed yet into our billing systems. The above factors and estimates are subject to change. For example, patient payer information may change following an initial attempt to bill for services due to a change in payer status. Such changes in payer status have an impact on recorded net revenue due to differing payers being subject to different contractual allowance amounts. Such changes in net revenue are recognized in the period that such changes in payer become known. Similarly, the actual volume of medical charts not processed into our billing systems may be different from the amounts estimated. Such differences in net revenue are adjusted in the following month based on actual chart volumes processed.

Contract revenue represents revenue generated under contracts in which we provide physician and other healthcare staffing and administrative services in return for a contractually negotiated fee. Contract revenue consists primarily of billings based on hours of healthcare staffing provided at agreed to hourly rates. Revenue in such cases is recognized as the hours are worked by our staff. Additionally, contract revenue also includes supplemental revenue from hospitals where we may have a fee-for-service contract arrangement. Contract revenue for the supplemental billing in such cases is recognized based on the terms of each individual contract. Such contract terms generally either provide for a fixed monthly dollar amount or a variable amount based upon measurable monthly activity, such as hours staffed, patient visits or collections per visit compared to a minimum activity threshold. Such supplemental revenues based on variable arrangements are usually contractually fixed on a monthly, quarterly or annual calculation basis considering the variable factors negotiated in each such arrangement. Such supplemental revenues are recognized as revenue in the

 

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period when such amounts are determined to be fixed and therefore contractually obligated as payable by the customer under the terms of the respective agreement.

Other revenue consists primarily of revenue from management and billing services provided to outside parties. Revenue is recognized for such services pursuant to the terms of the contracts with customers. Generally, such contracts consist of fixed monthly amounts with revenue recognized in the month services are rendered or as hourly consulting fees recognized as revenue as hours are worked in accordance with such arrangements. Additionally, we derive a small percentage of our revenues from providing administrative and billing services that are contingent upon the collection of third-party physician billings, either by us on their behalf or other third-party billing companies. Such revenues are not considered earned and therefore not recognized as revenue until actual cash collections are achieved in accordance with the contractual arrangements for such services.

Net Revenue Less Provision for Uncollectibles. Net revenue less provision for uncollectibles reflects management’s estimate of billed amounts to ultimately be collected. Management, in estimating the amounts to be collected resulting from its over six million annual fee-for-service patient visits and procedures, considers such factors as prior contract collection experience, current period changes in payer mix and patient acuity indicators, reimbursement rate trends in governmental and private sector insurance programs, resolution of credit balances, the estimated impact of billing system effectiveness improvement initiatives and trends in collections from self-pay patients. Such estimates are substantially formulaic in nature. The estimates are continuously updated and adjusted if subsequent actual collection experience indicates a change in estimate is necessary. Such provisions and any subsequent changes in estimates may result in adjustments to our operating results with a corresponding adjustment to our accounts receivable allowance for uncollectibles on our balance sheet.

Accounts Receivable. As described above and below, we determine the estimated value of our accounts receivable based on estimated cash collection run rates of estimated future collections by contract for patient visits under our fee-for-service contract revenue. Accordingly, we are unable to report the payer mix composition on a dollar basis of our outstanding net accounts receivable. Our days revenue outstanding at September 30, 2006 and at December 31, 2005, were 62.6 days and 66.9 days, respectively. The number of days outstanding will fluctuate over time due to a number of factors. The decrease in average days revenue outstanding of approximately 4.3 days includes a decrease of 9.5 days resulting from an increase in average revenue per day between periods offset by an increase of 3.4 days associated with an increased valuation of fee-for-service accounts receivable and an increase of 1.8 days related to contract accounts receivable. The increase in average revenue per day is primarily attributable to an increase in gross charges, increased pricing and favorable settlements with managed care plans and an increase in the average patient acuity, while the increased valuation of fee-for-service accounts receivable is due primarily to new contract start-ups. The increase of 1.8 days related to contract accounts receivable is due primarily to the acquisition of a hospital medicine business in the current quarter. Our allowance for doubtful accounts totaled $163.3 million as of September 30, 2006. Approximately 99% of our allowance for doubtful accounts is related to gross fees for fee-for-service patient visits. Our principal exposure for uncollectible fee-for-service visits is centered in self-pay patients and, to a lesser extent, for co-payments and deductibles from patients with insurance. While we do not specifically allocate the allowance for doubtful accounts to individual accounts or specific payer classifications, the portion of the allowance associated with fee-for-service charges as of September 30, 2006, was equal to approximately 90% of outstanding self-pay fee-for-service patient accounts. The majority of our fee-for-service patient visits are for the provision of emergency care in hospital settings. Due to federal government regulations governing the providing of such care, we are obligated to provide emergency care regardless of the patient’s ability to pay or whether or not the patient has insurance or other third-party coverage for the cost of the services rendered. While we attempt to obtain all relevant billing information at the time emergency care services are rendered, there are numerous patient encounters where such information is not available at time of discharge. In such cases where detailed billing information relative to insurance or other third-party coverage is not available at discharge, we attempt to obtain such information from the patient or client hospital billing record information subsequent to discharge to facilitate the collections process. Collections at the time of rendering such services (emergency room discharge) are not significant. Primary responsibility for collection of fee-for-service accounts receivable resides within our internal billing operations. Once a claim has been submitted to a payer or an individual patient, employees within our billing operations have responsibility for the follow up collection efforts. The protocol for follow up differs by payer classification. For self-pay patients, our billing system will automatically send a series of dunning letters on a prescribed time frame requesting payment or the provision of information reflecting that the balance due is covered by another payer, such as Medicare or a third-party insurance plan. Generally, the dunning cycle on a self pay account will run from 90 to 120 days. At the end of this period, if no collections or additional information is obtained from the patient, the account is no longer considered an active account and is transferred to a collection agency. Upon transfer to a collection agency, the patient account is written-off as a bad debt. Any subsequent cash receipts on accounts previously written off are recorded as a recovery. For non-self pay accounts, billing personnel will follow up and respond to any communication from payers such as requests for additional information or denials until collection of the account is obtained or other resolution has occurred. For contract accounts receivable, invoices for services are prepared in the various operating areas of the Company and mailed to our customers, generally on a monthly basis. Contract terms under such arrangements generally require payment within thirty days of receipt of the invoice. Outstanding invoices are periodically

 

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reviewed and operations personnel with responsibility for the customer relationship will contact the customer to follow up on any delinquent invoices. Contract accounts receivable will be considered as bad debt and written-off based upon the individual circumstances of the customer situation after all collection efforts have been exhausted, including legal action if warranted, and it is the judgment of management that the account is not expected to be collected.

Methodology for Computing Allowance for Doubtful Accounts. We employ several methodologies for determining our allowance for doubtful accounts depending on the nature of the net revenue recognized. We initially determine gross revenue for our fee-for-service patient visits based upon established fee schedule prices. Such gross revenue is reduced for estimated contractual allowances for those patient visits covered by contractual insurance arrangements to result in net revenue. Net revenue is then reduced for our estimate of uncollectible amounts. Fee-for-service net revenue less provision for uncollectibles represents our estimated cash to be collected from such patient visits and is net of our estimate of account balances estimated to be uncollectible. The provision for uncollectible fee-for-service patient visits is based on historical experience resulting from the over six million annual patient visits. The significant volume of annual patient visits and the terms of thousands of commercial and managed care contracts and the various reimbursement policies relating to governmental healthcare programs do not make it feasible to evaluate fee-for-service accounts receivable on a specific account basis. Fee-for-service accounts receivable collection estimates are reviewed on a quarterly basis for each of our fee-for-service contracts by period of accounts receivable origination. Such reviews include the use of historical cash collection percentages by contract adjusted for the lapse of time since the date of the patient visit. In addition, when actual collection percentages differ from expected results, on a contract by contract basis supplemental detailed reviews of the outstanding accounts receivable balances may be performed by our billing operations to determine whether there are facts and circumstances existing that may cause a different conclusion as to the estimate of the collectibility of that contract’s accounts receivable from the estimate resulting from using the historical collection experience. Facts and circumstances that may result in an adjustment to the formulaic result are generally few and are usually related to third-party payer processing problems that are temporary in nature. Contract-related net revenues are billed based on the terms of the contract at amounts expected to be collected. Such billings are typically submitted on a monthly basis and aged trial balances prepared. Allowances for estimated uncollectible amounts related to such contract billings are made based upon specific accounts and invoice periodic reviews once it is concluded that such amounts are not likely to be collected. The methodologies employed to compute allowances for doubtful accounts were unchanged between 2006 and 2005.

Insurance Reserves. The nature of our business is such that it is subject to professional liability lawsuits. Historically, to mitigate a portion of this risk, we have maintained insurance for individual professional liability claims with per incident and annual aggregate limits per physician for all incidents. Prior to March 12, 2003, we obtained such insurance coverage from a commercial insurance provider. Professional liability claims and lawsuits are routinely reviewed by our insurance carrier and management for purposes of establishing ultimate loss estimates. Provisions for estimated losses in excess of insurance limits have been provided at the time such determinations are made. In addition, where as a condition of a professional liability insurance policy the policy includes a self-insured risk retention layer of coverage, we have recorded a provision for estimated losses likely to be incurred during such periods and within such limits based on our past loss experience following consultation with our outside insurance experts and claims managers.

Subsequent to March 11, 2003, we have provided for a significant portion of our professional liability loss exposures through the use of a captive insurance company and through greater utilization of self-insurance reserves. Since March 12, 2003, our professional liability costs consist of annual projected costs resulting from periodic actuarial studies along with the cost of certain professional liability commercial insurance premiums and programs available to us. An independent actuary firm is responsible for preparation of the periodic actuarial studies. Management’s estimate of our professional liability costs resulting from such actuarial studies is significantly influenced by assumptions, which are limited by the uncertainty of predicting future events, and assessments regarding expectations of several factors. These factors include, but are not limited to: hours of exposure as measured by hours of physician and related professional staff services as well as actual loss development trends; the frequency and severity of claims, which can differ significantly by jurisdiction; coverage limits of third-party insurance; the effectiveness of our claims management process; and the outcome of litigation.

Our commercial insurance policy for professional liability losses for the period March 12, 1999 through March 11, 2003, included insured limits applicable to such coverage in the period. Effective April 2006, we executed an agreement with the commercial insurance provider that issued the policy that ended March 11, 2003 to increase the existing $130.0 million aggregate limit of coverage. Under the terms of the agreement, we will make periodic premium payments to the commercial insurance company and the total aggregate limit of coverage under the policy will be increased by a portion of the premiums paid. We have committed to fund premiums such that the total aggregate limit of coverage under the program remains greater than the paid losses at any point in time. The initial premium installment of $5.5 million was paid in the second quarter of 2006 and we funded an additional $5.5 million in the third quarter of 2006. We have the option to fund additional premium payments during 2007 which will be based upon the level of incurred losses relative to the aggregate limit of coverage at that time.

 

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As of September 30, 2006, the current aggregate limit of coverage under this policy is $140.3 million and the estimated loss reserve for claim losses and expenses in excess of the current aggregate limit recorded by the Company was $38.3 million. The Company’s estimated loss reserve is discounted at 4.0%.

Our provisions for losses under the aggregate loss limits of our policy in effect prior to March 12, 2003, and under our captive insurance and self-insurance programs since March 12, 2003, are subject to periodic actuarial re-evaluation. The results of such periodic actuarial studies may result in either upward or downward adjustment to our previous loss estimates.

The accounts of the captive insurance company are fully consolidated with those of our other operations in the accompanying financial statements.

Impairment of Intangible Assets

In assessing the recoverability of the Company’s intangibles, we must make assumptions regarding estimated future cash flows and other factors to determine the fair value of the respective assets. If these estimates or their related assumptions change in the future, we may be required to record impairment charges for these assets.

Our critical accounting policies have been disclosed in the Registration Statement on Form S-4, as amended, filed with the Securities and Exchange Commission on May 15, 2006. There have been no changes to these critical accounting policies or their application during the nine months ended September 30, 2006.

Factors and Trends that Affect Our Results of Operations

In reading our financial statements, you should be aware of the following factors and trends that we believe are important in understanding our financial performance.

TRICARE Program

We are a provider of healthcare professionals that serve military personnel and their dependents in military treatment facilities nationwide under the TRICARE program administered by the Department of Defense. Our revenues derived from military healthcare staffing totaled approximately $121.1 million in the first nine months of 2006 compared to approximately $114.6 million in the same period in 2005.

Approximately $61.4 million of estimated annual revenue won by us as part of the military’s contract bidding process in 2005 was awarded to us on a one-year contract basis and was subject to re-bid and award on or about October 1, 2006. Approximately $99.7 million of estimated annual revenue won during the bidding process in 2005 was awarded to us on a two – five option year contract basis which gave the government the option to exercise available option years each October 1. An estimated $67.8 million of annual revenue derived from contracts presently held by other staffing providers or new government contract staffing opportunities were also up for bid and award on or about October 1, 2006. The government reserves a portion of its contracts for award to small businesses. We participate in such small business awards to the extent we can serve as a sub-contractor to small businesses that win such bids. Approximately 27.9% of our military staffing revenue is derived through a subcontracting agreement with a small business prime contractor.

The Company was successful in retaining existing business or winning new bid awards following completion of the bidding process as of October 1, 2006, in the estimated amount of $169.5 million. The estimated amount of $169.5 million included $67.2 million awarded under one-year contracts.

2006 Proposed Medicare Fee Schedule Change

On June 21, 2006, the Centers for Medicare & Medicaid Services (“CMS”) announced a proposed change to the physician fee schedule methodology. The proposed change would result in substantial increases in the work Relative Value Units (“RVU”) for Evaluation and Management codes. Evaluation and Management services are those which reflect time and effort that physicians spend with patients in assessing their condition and are the primary type of code billed in Emergency Medicine. The proposed rule addresses two components of physician payments under the Medicare Physician Fee Schedule: (1) a comprehensive review of physician work RVUs, and (2) a proposed change in the methodology for calculating practice expenses. The proposed changes will apply to payments for services furnished to Medicare beneficiaries beginning in 2007. CMS is required to impose a budget neutrality adjustment if changes in RVUs will cause an increase or decrease in overall fee schedule outlays in excess of certain thresholds. As a result of the proposed change in RVU values, CMS is also proposing to create a separate budget neutrality adjuster to be applied to the revised work RVUs for Medicare purposes, which would offset a portion of the increase associated with the revised RVU values.

 

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In addition to the proposed changes in the RVU values, on November 1, 2006 CMS announced a proposed reduction in the Medicare Conversion Factor (“Conversion Factor”) applicable to all Medicare physician fee payments in the amount of 5.0% for 2007, a reduction required by a statutory formula. There are several bills currently proposed in the U.S. Congress to revise such a result to eliminate the 5.0% rate decrease. However, management cannot predict the outcome of such bills in mitigating the current planned rate decrease.

Based on the current CMS proposal, the Company estimates that its revenues from Medicare and other revenue sources whose rates are linked to changes in the Medicare fee schedule would increase by approximately $0.1 million, based on a 5.0% decrease in the Conversion Factor for 2007. With no Conversion Factor change, the increase in such revenues is estimated to be approximately $9.0 million.

Additional changes in managed care revenues are possible if fee schedules maintained by certain of such organizations are revised based on the Medicare fee schedule changes.

 

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Results of Operations

The following discussion provides an analysis of our results of operations and should be read in conjunction with our unaudited consolidated financial statements. The operating results of the periods presented were not significantly affected by general inflation in the U.S. economy. Net revenue less the provision for uncollectibles is an estimate of future cash collections and as such it is a key measurement by which management evaluates performance of individual contracts as well as the Company as a whole. The following table sets forth the components of net earnings as a percentage of net revenue less provision for uncollectibles for the periods indicated:

 

    

Three Months

Ended September 30,

   

Nine Months

Ended September 30,

 
         2006             2005             2006             2005      

Net revenue less provision for uncollectibles

   100.0 %   100.0 %   100.0 %   100.0 %

Professional services expenses

   75.5     75.3     75.3     73.2  

Professional liability costs

   4.5     5.1     3.0     4.1  

Gross profit

   20.0     19.7     21.8     22.7  

General and administrative expenses

   9.8     10.1     9.9     10.0  

Management fee and other expenses (income)

   0.3     (0.1 )   0.3     0.3  

Loss on extinguishment of debt

   —       —       —       0.2  

Depreciation and amortization

   2.2     2.4     2.5     2.6  

Interest expense, net

   5.3     2.6     5.3     2.7  

Impairment of intangibles

   —       —       1.2     —    

Transaction costs

   —       0.5     —       0.2  

Earnings before income taxes

   2.4     4.2     2.5     6.8  

Provision from income taxes

   0.8     1.8     1.1     2.7  

Net earnings

   1.6     2.4     1.4     4.2  

Three Months Ended September 30, 2006 Compared to the Three Months Ended September 30, 2005

Net Revenue. Net revenue in the three months ended September 30, 2006 increased $73.4 million or 17.9%, to $483.8 million from $410.4 million in the three months ended September 30, 2005. The increase in net revenues of $73.4 million resulted primarily from increases in fee-for-service revenue of $60.6 million and contract revenue of $9.9 million. In the three months ended September 30, 2006, fee-for-service revenue was 77.3% of net revenue compared to 76.3% in 2005, contract revenue was 20.5% of net revenue compared to 21.8% in 2005 and other revenue was 2.2% in 2006 compared to 1.9% in 2005. Other revenue for the three months ended September 30, 2006 includes $2.1 million associated with the settlement of a lawsuit involving a terminated contract staffing arrangement.

Provision for Uncollectibles. The provision for uncollectibles was $197.7 million in the three months ended September 30, 2006 compared to $153.0 million in the corresponding period in 2005, an increase of $44.7 million or 29.2%. The provision for uncollectibles as a percentage of net revenue was 40.9% in 2006 compared with 37.3% in 2005. The provision for uncollectibles is primarily related to revenue generated under fee-for-service contracts that is not expected to be fully collected. The increase in the provision for uncollectibles as a percentage of net revenues resulted primarily from an increase in self pay gross accounts receivable relative to other payer types. For the three months ended September 30, 2006 self pay fee-for-service patient visits were approximately 22.5% of total fee-for-service patient visits compared to approximately 21.5% in the same period of 2005.

Net Revenue Less Provision for Uncollectibles. Net revenue less provision for uncollectibles in the three months ended September 30, 2006 increased $28.7 million, or 11.1%, to $286.1 million from $257.4 million in the three months ended September 30, 2005. Same contract revenues, which consists of contracts under management in both periods, increased $8.3 million, or 3.7%, to $234.0 million in 2006 compared to $225.7 million in 2005. The increase in same contract revenue of 3.7% consists primarily of increases in patient dollar volume between periods which contributed 1.7% of the growth and an increase in our estimated net revenue per billing unit of 1.9%. These increases were partially offset by a decline of approximately 1.1% associated with a net decline in estimated amounts to be collected in prior periods. Other revenue contributed to the remaining same contract growth as a result of a settlement in the three months ended September 30, 2006 relating to a legal dispute of a previously terminated contract. The remainder of the increase in revenue less provision for uncollectibles between periods is due to new contracts obtained through internal sales of $32.0 million partially offset by $26.9 million of revenue derived from contracts that terminated during the periods. Acquisitions contributed $15.3 million of growth between periods.

Professional Service Expenses. Professional service expenses, which include physician costs, billing and collection expenses, and other professional expenses, totaled $216.1 million in the three months ended September 30, 2006 compared to $193.7 million in the three months ended September 30, 2005, an increase of $22.3 million or 11.5%. The increase of $22.3 million included an

 

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increase of approximately $6.8 million which resulted principally from increases in the number of provider hours staffed and the average rates paid per hour of provider service on a same contract basis. Also contributing to the increase in expense was $11.6 million related to our acquisitions and $3.9 million related to new sales net of terminated contracts.

Professional Liability Costs. Professional liability costs were $12.8 million in the three months ended September 30, 2006 compared with $13.1 million in the three months ended September 30, 2005 for a decrease of $0.3 million or 2.0%. The $0.3 million decrease is primarily due to a reduction in current year rates based on the actuarial studies completed in 2006.

Gross Profit. Gross profit was $57.2 million in the three months ended September 30, 2006 compared to $50.6 million in the same period in 2005 for an increase of $6.6 million between periods. The $6.6 million increase is primarily attributable to the gross margin contribution of our acquisitions and new contracts in excess of terminated contracts between periods. Also contributing to the increase is the previously discussed legal settlement. Same contract gross profit in the current period was consistent with the comparable prior period. Gross profit as a percentage of revenue less provision for uncollectibles increased to 20.0% in 2006 compared with 19.7% in 2005.

General and Administrative Expenses. General and administrative expenses increased $2.1 million to $28.1 million for the three months ended September 30, 2006 from $26.0 million in the three months ended September 30, 2005. General and administrative expenses as a percentage of net revenue less provision for uncollectibles were 9.8% in 2006 and 10.1% in 2005. Acquisitions contributed $1.0 million of the increase in general and administrative expenses. The remaining $1.1 million increase in general and administrative expenses in 2006 are increases primarily related to inflationary growth in salaries partially offset by a $0.4 million decrease related to our management incentive plan.

Management Fee and Other Expense (Income). Management fee and other expenses (income) were $0.9 million in the three months ended September 30, 2006 compared to income of $0.2 million in the corresponding period in 2005 for a change of $1.1 million. The $1.1 million change between periods is due primarily to increased payments to our equity sponsor. Also contributing to the increase is a $0.3 million favorable adjustment related to the final settlement related to the sale of radiology assets in the corresponding period of 2005.

Depreciation and Amortization. Depreciation and amortization was $6.2 million in the three months ended September 30, 2006 and 2005.

Net Interest Expense. Net interest expense increased $8.6 million to $15.2 million in the three months ended September 30, 2006, compared to $6.6 million in the corresponding period in 2005. The increase in net interest expense is primarily due to higher debt balances incurred to finance the merger and recapitalization of the company in November 2005 and an increase in the average rate of interest on such debt.

Transaction Costs. Transaction costs were $1.2 million in 2005. These costs relate to legal and professional fees paid for the Company’s Recapitalization Merger.

Earnings before Income Taxes. Earnings before income taxes in the three months ended September 30, 2006 were $6.8 million compared to $10.7 million in the corresponding period in 2005.

Provision for Income Taxes. The provisions for income taxes were $2.3 million in the three months ended September 30, 2006 compared to $4.6 million in the corresponding period in 2005.

Net Earnings. Net earnings were $4.5 million in the three months ended September 30, 2006 compared to $6.2 million in the three months ended September 30, 2005.

Nine months ended September 30, 2006 Compared to the Nine months ended September 30, 2005

Net Revenue. Net revenue in the nine months ended September 30, 2006 increased $145.7 million or 12.0%, to $1,355.7 million from $1,210.1 million in the nine months ended September 30, 2005. The increase in net revenues of $145.7 million resulted primarily from an increase of $120.6 million in fee-for-service revenue and an increase of $21.6 million in contract revenue. In the nine months ended September 30, 2006, fee-for-service revenue was 77.4% of net revenue compared to 76.7% in 2005, contract revenue was 20.6% of net revenue compared to 21.3% in 2005 and other revenue was 2.0% in 2006 and 2005. Other revenue for the nine months ended September 30, 2006 includes $2.1 million associated with the settlement of a lawsuit involving a terminated contract staffing arrangement.

 

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Provision for Uncollectibles. The provision for uncollectibles was $538.0 million in the nine months ended September 30, 2006 compared to $444.4 million in the corresponding period in 2005, an increase of $93.6 million or 21.1%. The provision for uncollectibles as a percentage of net revenue was 39.7% in 2006 compared with 36.7% in 2005. The provision for uncollectibles is primarily related to revenue generated under fee-for-service contracts that is not expected to be fully collected. The increase in the provision for uncollectibles as a percentage of net revenues resulted primarily from an increase in self pay gross accounts receivable relative to other payer types. For the nine months ended September 30, 2006 self pay fee-for-service patient visits were approximately 21.4% of total fee-for-service patient visits compared to approximately 20.4% in the same period of 2005.

Net Revenue Less Provision for Uncollectibles. Net revenue less provision for uncollectibles in the nine months ended September 30, 2006 increased $52.0 million, or 6.8%, to $817.8 million from $765.7 million in the nine months ended September 30, 2005. Same contract revenues, which consists of contracts under management in both periods, increased $21.6 million, or 3.4%, to $667.5 million in 2006 compared to $645.9 million in 2005. The increase in same contract revenue of 3.4% consists of an increase in overall patient dollar volume between periods of approximately 1.3% as well as an increase in estimated net revenue per billing unit of 1.3%. Contract and other revenue contributed approximately 1.4% of the increase. Also contributing to the increase is an approximately 0.8% increase related to the favorable resolution of settlements with managed care plans. Partially offsetting these increases is a decline of approximately 1.5% associated with a net decline between periods in estimated amounts to be collected in prior periods. The remainder of the increase in revenue less provision for uncollectibles between periods is due to new contracts obtained through internal sales of $95.5 million, partially offset by $84.6 million of revenue derived from contracts that terminated during the periods. Acquisitions contributed $19.4 million of growth between periods.

Professional Service Expenses. Professional service expenses, which include physician costs, billing and collection expenses, and other professional expenses, totaled $615.4 million in the nine months ended September 30, 2006 compared to $560.4 million in the nine months ended September 30, 2005, an increase of $55.0 million or 9.8%. The increase of $55.0 million included an increase of approximately $30.6 million which resulted principally from increases in the number of provider hours staffed and the average rates paid per hour of provider service on a same contract basis. Also contributing to the increase in expense was $14.7 million related to our acquisitions and $9.7 million related to new sales net of terminated contracts.

Professional Liability Costs. Professional liability costs were $24.5 million in the nine months ended September 30, 2006 compared with $31.5 million in the nine months ended September 30, 2005 for a decrease of $7.0 million or 22.2%. The decrease in professional liability expenses is due to a $12.1 million reduction in professional liability reserves relating to prior years, which was based on the actuarial study completed during the first quarter of 2006. In 2005, a favorable actuarial adjustment of $7.6 million associated with prior years was recorded. Excluding the $12.1 million reduction in 2006 and the $7.6 million reduction in 2005, professional liability costs decreased $2.5 million primarily due to a reduction in current year rates reflective of favorable trends in claims development primarily associated with improvements in the overall frequency of claims reported.

Gross Profit. Gross profit was $177.9 million in the nine months ended September 30, 2006 compared to $173.9 million in the same period in 2005 for an increase of $4.0 million between periods. The $4.0 million increase is attributable to a reduction in professional liability costs partially offset by professional costs increasing in excess of growth in net revenue less provision for uncollectibles between periods on a same contract basis. The reduction in same contract gross profit is associated with reduced growth rates in same contract billing volume and fee for service pricing compared to prior period growth rates. Offsetting the decrease in same contracts is the gross margin contribution of our acquisitions and new contracts in excess of terminated contracts between periods. Gross profit as a percentage of revenue less provision for uncollectibles decreased to 21.8% for the nine months ended September 30, 2006 compared to 22.7% for the nine months ended September 30, 2005.

General and Administrative Expenses. General and administrative expenses increased $4.5 million to $81.3 million in the nine months ended September 30, 2006 compared to $76.7 million in the nine months ended September 30, 2005. General and administrative expenses as a percentage of net revenue less provision for uncollectibles were 9.9% in 2006 compared to 10% in 2005. Acquisitions contributed $1.0 million of the increase in general and administrative expenses. The remaining $3.5 million increase in general and administrative expenses in 2006 is primarily due to increases related to inflationary growth in salaries.

Management Fee and Other Expenses. Management fee and other expenses were $2.7 million in the nine months ended September 30, 2006 and $2.1 million in the corresponding period in 2005 for an increase of $0.6 million. The $0.6 million increase is primarily related to increased payments to our new equity sponsor. The increase was partially offset by the losses incurred on the sale of radiology assets in 2005.

Impairment of Intangibles. During the nine months ended September 30, 2006, an impairment loss in the amount of $9.5 million was recorded related to contract intangibles and goodwill associated with our anesthesiology management services business.

 

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Loss on Extinguishment of debt. Loss on extinguishment of debt was $1.4 million in 2005. These costs were related to the purchase and retirement of 9% subordinated debentures in the nine months ended September 30, 2005.

Depreciation and Amortization. Depreciation and amortization was $20.5 million in the nine months ended September 30, 2006 compared to $19.6 million in the nine months ended September 30, 2005. The $0.9 million increase is attributable to amortization expense which increased $0.9 million due in part to the November 2005 Reorganization Merger which resulted in an increase in contract intangible values related to the acquisition of minority interest that existed at the time of the Transaction. Also contributing to the increase in amortization expense is the increase in contract intangible values related to our acquisitions.

Net Interest Expense. Net interest expense increased $22.6 million to $43.1 million in the nine months ended September 30, 2006, compared to $20.5 million in the corresponding period in 2005. The increase in net interest expense is primarily due to higher debt balances incurred to finance the merger and recapitalization of the company in November 2005 and an increase in the average interest rate on such debt.

Transaction Costs. Transaction costs were $1.2 million in 2005. These costs relate to legal and professional fees paid for the Company’s Recapitalization Merger.

Earnings before Income Taxes. Earnings before income taxes in the nine months ended September 30, 2006 were $20.8 million compared to $52.3 million in the corresponding period in 2005.

Provision for Income Taxes. The provisions for income taxes were $9.2 million in the nine months ended September 30, 2006 compared to $20.4 million in the corresponding period in 2005.

Net Earnings. Net earnings were $11.6 million in the nine months ended September 30, 2006 compared to $31.9 million in the nine months ended September 30, 2005.

Liquidity and Capital Resources

Our principal ongoing uses of cash are to meet working capital requirements, fund debt obligations and to finance our capital expenditures and acquisitions. We believe that our cash needs, other than for significant acquisitions, will continue to be met through the use of existing available cash, cash flows derived from future operating results and cash generated from borrowings under our new senior secured revolving credit facility.

Cash provided by operating activities in the nine months ended September 30, 2006 was $31.5 million compared to $50.0 million in the corresponding period in 2005. The $18.5 million decrease in cash provided by operating activities was principally due to decreased profitability between periods associated with higher levels of interest expense, increased use of operating cash flows associated with professional liability programs, an increased level of accounts receivable funding partially offset by a reduction in taxes paid. Cash used in investing activities in the nine months ended September 30, 2006, was $40.4 million compared to cash provided by investing activities of $40.3 million in 2005. The $80.7 million decrease in cash provided by investing activities was principally due to the redemption of short term investments in 2005 and the cash paid for our acquisitions during 2006. Cash provided by financing activities in the nine months ended September 30, 2006 was $1.2 million compared to cash used in financing activities of $81.5 million in the nine months ended September 30, 2005. The $82.7 million increase in cash provided by financing activities was principally due to payments on notes payable of $80.3 million in 2005 compared to payments of $3.2 million in 2006.

We spent $7.2 million in the first nine months of 2006 and $6.2 million in the first nine months of 2005 for capital expenditures. These expenditures were primarily for information technology investments and related development projects.

In connection with the merger that became effective November 23, 2005, we repaid $347.6 million of existing debt outstanding in the form of bank term debt of $201.9 million and 9% notes in the amount of $145.7 million. As of the date of the merger, we incurred new debt financing. Our new debt included $425.0 million of senior secured bank term loans and $215.0 million of 11.25% senior secured subordinated notes due in 2013.

We are highly leveraged. As of September 30, 2006, we had $649.7 million in aggregate indebtedness, with an additional $112.1 million of borrowing capacity available under our senior secured revolving credit facility (without giving effect to $7.7 million of undrawn letters of credit).

 

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Borrowings outstanding under the senior credit facility mature in various years with a final maturity date of December 1, 2013. The senior credit facility agreement contains both affirmative and negative covenants, including limitations on our ability to incur additional indebtedness, sell material assets, retire, redeem or otherwise reacquire our capital stock, acquire the capital stock or assets of another business, pay dividends, and require the Company to comply with certain coverage and leverage ratios. The senior credit agreement also includes a provision for the prepayment of a portion of the outstanding term loan amounts at any year-end if we generate “excess cash flow”, as defined in the agreement.

We had as of September 30, 2006, total cash and cash equivalents of approximately $2.9 million. Our ongoing cash needs for the nine months ended September 30, 2006 were substantially met from internally generated operating sources. During the period, we had net borrowings of $7.6 million under our revolving credit facility. Net borrowings under the revolving credit facility were used primarily to fund acquisitions during the period as well as for working capital purposes. As of September 30, 2006, $12.9 million was outstanding under the revolving credit facility.

We have historically been an acquirer of other physician staffing businesses and interests. Effective May 1, 2006 we acquired the operations of an emergency medicine medical practice for $3.0 million in cash and the assumption of up to a $1.0 million liability related to medical professional liability insurance.

Effective July 1, 2006 we acquired the operations of a hospital medicine and inpatient services business for $17.9 million in cash. In addition, we may have to pay up to $9.6 million in future contingent payments. The cash payment was funded through a borrowing on our revolving credit facility.

No other cash payments, including contingent payments, were made during the nine months ended September 30, 2006. $5.8 million in contingent cash payments were made in the corresponding period in 2005 related to previous acquisitions. Future contingent payment obligations are approximately $10.5 million as of September 30, 2006.

We began providing effective March 12, 2003, for professional liability risks in part through a captive insurance company. Prior to such date we insured such risks principally through the commercial insurance market. The change in the professional liability insurance program initially resulted in increased cash flow due to the retention of cash formerly paid out in the form of insurance premiums to a commercial insurance company coupled with a long period (typically 2-4 years or longer on average) before cash payout of such losses occurs. A portion of such cash retained is retained within our captive insurance company and therefore not immediately available for general corporate purposes. As of September 30, 2006, the current value of cash or cash equivalents and related investments held within the captive insurance company totalled approximately $54.1 million. Effective June 1, 2006, we renewed our fronting program with a commercial insurance carrier through May 31, 2007. As part of this renewal, in the second quarter of 2006, we paid cash premiums associated with the fronting arrangement of approximately $13.9 million. Based upon the results of our most recent actuarial report, anticipated cash outflow to the captive insurance company during the period October 1, 2006 through May 31, 2007 is estimated at $26.9 million. In addition, we funded premiums of approximately $11.0 in 2006 to a commercial insurance provider in order to meet our obligation for incurred costs in excess of the aggregate limits of coverage in place on the commercial insurance policy that ended March 11, 2003. We have the option to fund additional premium payments under this program during 2007 which will be based upon the level of incurred losses relative to the aggregate limit of coverage at that time.

 

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Under the indenture governing the senior subordinated notes, our ability to engage in certain activities such as incurring certain additional indebtedness, making certain investments, and paying certain dividends is tied to ratios based on Adjusted EBITDA (which is defined as “EBITDA” in the indenture). Adjusted EBITDA under the indenture is defined as net earnings as further adjusted to exclude unusual items, non-cash items and the other adjustments shown in the table below. We believe that the disclosure of the calculation of Adjusted EBITDA provides information that is useful to an investor’s understanding of our liquidity and financial flexibility. EBITDA is not a measurement of financial performance or liquidity under generally accepted accounting principles. It should not be considered in isolation or as a substitute for net income, operating income, cash flows from operating, investing or financing activities, or any other measure calculated in accordance with generally accepted accounting principles. Adjusted EBITDA as calculated under the indenture for the senior subordinated notes is as follows (in thousands):

 

    

Three Months Ended

September 30,

   

Nine months ended

September 30,

     2006    2005     2006    2005

Net earnings

   $ 4,502    $ 6,169     $ 11,635    $ 31,872

Interest expense, net

     15,200      6,612       43,096      20,525

Provision for income taxes

     2,301      4,579       9,214      20,430

Depreciation and amortization

     6,221      6,235       20,462      19,553
                            

EBITDA

     28,224      23,595       84,407      92,380

Impairment of intangibles (a)

                9,523     

Management fee and other expenses (income) (b)

     875      (204 )     2,690      2,115

Loss on extinguishment of debt (c)

     —        —         —        1,402

Transaction costs (d)

     —        1,247       —        1,247

Stock option expense (e)

     —        192       —        505

Restricted unit expense (f)

     140      —         477      —  

Insurance subsidiary interest income

     519      275       1,452      631

Severance and other charges

     431      391       925      823
                            

Adjusted EBITDA*

   $ 30,189    $ 25,496     $ 99,474    $ 99,103
                            

 

* Adjusted EBITDA totals include the effects of professional liability loss reserve adjustments of $7,578 and $12,068 for the nine months ended September 30, 2005 and 2006, respectively. See “Management Discussion and Analysis of Financial Condition and Results of Operations”.

 

(a) Includes impairment of goodwill as well as contract intangibles.

 

(b) Reflects management sponsor fees and loss on disposal of assets.

 

(c) Reflects the recognition of deferred financing costs and bond repayment premiums on previously outstanding bank and bond borrowings.

 

(d) Reflects costs related to transactions.

 

(e) Reflects costs related to the recognition of expense in connection with previously outstanding stock options.

 

(f) Reflects costs related to the recognition of expense in connection with the issuance of restricted units under the 2005 unit plan.

Inflation

We do not believe that general inflation in the U.S. economy has had a material impact on our financial position or results of operations.

Seasonality

Historically, our revenues and operating results have reflected minimal seasonal variation due to the significance of revenues derived from patient visits to emergency departments, which are generally open on a 365 day basis, and also due to our geographic diversification. Revenue from our non-emergency department staffing lines is dependent on a healthcare facility being open during selected time periods. Revenue in such instances will fluctuate depending upon such factors as the number of holidays in the period.

Recently Issued Accounting Standards

In June 2006, the Financial Accounting Standards Board issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes”, an interpretation of FAS109, “Accounting for Income Taxes” (FIN 48), to create a single model to address accounting for uncertainty in tax positions. FIN 48 clarifies the accounting for income taxes, by prescribing a minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. FIN 48 also provides guidance on derecognition, measurement, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. The Company will adopt FIN 48 as of January 1, 2007, as required. The cumulative effect of adopting FIN 48 will be recorded in members’ equity as applicable. The Company has not determined the effect, if any, the adoption of FIN 48 will have on the Company’s financial position and results of operations.

        In September 2006, FASB issued Statement of Financial Accounting Standards (SFAS) No. 157, “Fair Value Measurements,” which provides enhanced guidance for using fair value to measure assets and liabilities. SFAS No. 157 establishes a common definition of fair value, provides a framework for measuring fair value under U.S. GAAP and expands disclosures requirements about fair value measurements. SFAS No. 157 is effective for financial statements issued in fiscal years beginning after November 15, 2007, and interim periods within those fiscal years. The Company is currently evaluating the impact, if any, the adoption of SFAS No. 157 will have on the Company’s financial reporting and disclosures

 

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Item 3. Quantitative and Qualitative Disclosures About Market Risk

The Company is exposed to market risk related to changes in interest rates. The Company does not use derivative financial instruments for speculative or trading purposes.

The Company’s earnings are affected by changes in short-term interest rates as a result of its borrowings under its senior credit facilities.

At September 30, 2006, the fair value of the Company’s total debt, which has a carrying value of $649.7 million, was approximately $655.1 million. The Company had $434.7 million of variable debt outstanding at September 30, 2006. If the market interest rates for the Company’s variable rate borrowings had averaged 1% more subsequent to December 31, 2005, the Company’s interest expense would have increased, and earnings before income taxes would have decreased, by approximately $3.2 million for the nine months ended September 30, 2006. This analysis does not consider the effects of the reduced level of overall economic activity that could exist in such an environment. Further, in the event of a change of such magnitude, management could take actions in an attempt to further mitigate its exposure to the change. However, due to the uncertainty of the specific actions that would be taken and their possible effects, the sensitivity analysis assumes no changes in the Company’s financial structure. This level of interest rate exposure is consistent with the overall interest rate exposure at December 31, 2005.

 

Item 4. Controls and Procedures

The Company carried out an evaluation, under the supervision and with the participation of the Company’s management, including the Company’s Chairman and Chief Executive Officer, and Chief Financial Officer of the effectiveness of the design and operation of the Company’s disclosure controls and procedures as defined in Rule 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”). Based upon that evaluation the Company’s Chief Executive Officer and Chief Financial Officer concluded that, as of the end of the period covered by this report, the Company’s disclosure controls and procedures (1) were effective in timely alerting them to material information relating to the Company (including its consolidated subsidiaries) required to be included in the Company’s periodic SEC filings and (2) were adequate to ensure that information required to be disclosed by the Company in the reports filed or submitted by the Company under the Exchange Act is recorded, processed and summarized and reported within the time periods specified in the SEC’s rules and forms.

There have been no changes in the Company’s internal control over financial reporting identified in connection with the evaluation described in paragraph (a) above that have materially affected or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

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PART 2. OTHER INFORMATION

 

Item 1. Legal Proceedings

We are currently a party to various legal proceedings. While we currently believe that the ultimate outcome of such proceedings, individually and in the aggregate, will not have a material adverse effect on our financial position or overall trends in results of operations, litigation is subject to inherent uncertainties. If an unfavorable ruling were to occur, there exists the possibility of a material adverse impact on our net earnings in the period in which the ruling occurs. The estimate of the potential impact from such legal proceedings on our financial position or overall results of operations could change in the future.

 

Item 1A. Risk Factors

There are no material changes from the risk factors as previously disclosed in our Registration Statement on Form S-4, as amended, filed with the Securities and Exchange Commission on May 15, 2006. We have not yet filed a Form 10-K.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

None.

 

Item 3. Defaults upon Senior Securities

None.

 

Item 4. Submission of Matters to a Vote of Security Holders

None.

 

Item 5. Other Information

None.

 

Item 6. Exhibits

 

31.1    Certification by Lynn Massingale, M.D. for Team Finance LLC dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2    Certification by David P. Jones for Team Finance LLC dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.3    Certification by Lynn Massingale, M.D. for Health Finance Corporation dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.4    Certification by David P. Jones for Health Finance Corporation dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1    Certification by Lynn Massingale, M.D. for Team Finance LLC dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.2    Certification by David P. Jones for Team Finance LLC dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.3    Certification by Lynn Massingale, M.D. for Health Finance Corporation dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
32.4    Certification by David P. Jones for Health Finance Corporation dated November 8, 2006 pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.


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SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report on Form 10-Q to be signed on its behalf by the undersigned thereunto duly authorized.

 

   

TEAM FINANCE LLC

 

HEALTH FINANCE CORPORATION

      /s/ H. LYNN MASSINGALE, M.D.
    H. Lynn Massingale
    Chief Executive Officer
November 8, 2006    
      /s/ DAVID P. JONES
    David P. Jones
    Chief Financial Officer
November 8, 2006    

 

34

EX-31.1 2 dex311.htm CERTIFICATION BY LYNN MASSINGALE, M.D. FOR TEAM FINANCE LLC Certification by Lynn Massingale, M.D. for Team Finance LLC

Exhibit 31.1

Certifications

I, H. Lynn Massingale, Chief Executive Officer of Team Finance LLC, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Team Finance LLC;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent function):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

By:   /s/ H. LYNN MASSINGALE, M.D.
  H. Lynn Massingale
  Chief Executive Officer

Date: November 8, 2006

EX-31.2 3 dex312.htm CERTIFICATION BY DAVID P. JONES FOR TEAM FINANCE LLC Certification by David P. Jones for Team Finance LLC

Exhibit 31.2

Certifications

I, David P. Jones, Executive Chief Financial Officer of Team Finance LLC, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Team Finance LLC;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent function):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

By:   /s/ DAVID P. JONES
  David P. Jones
  Chief Financial Officer

Date: November 8, 2006

EX-31.3 4 dex313.htm CERTIFICATION BY LYNN MASSINGALE, M.D. FOR HEALTH FINANCE CORPORATION Certification by Lynn Massingale, M.D. for Health Finance Corporation

Exhibit 31.3

Certifications

I, H. Lynn Massingale, Chief Executive Officer of Health Finance Corporation, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Health Finance Corporation;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent function):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

By:   /s/ H. LYNN MASSINGALE, M.D.
  H. Lynn Massingale
  Chief Executive Officer

Date: November 8, 2006

EX-31.4 5 dex314.htm CERTIFICATION BY DAVID P. JONES FOR HEALTH FINANCE CORPORATION Certification by David P. Jones for Health Finance Corporation

Exhibit 31.4

Certifications

I, David P. Jones, Executive Chief Financial Officer of Health Finance Corporation, certify that:

1. I have reviewed this quarterly report on Form 10-Q of Health Finance Corporation;

2. Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in this report;

4. The registrant’s other certifying officer(s) and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) for the registrant and have:

a) Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;

b) Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation; and

c) Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred during the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and

5. The registrant’s other certifying officer(s) and I have disclosed, based on our most recent evaluation of internal control over financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the equivalent function):

a) All significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial information; and

b) Any fraud, whether or not material, that involves management or other employees who have a significant role in the registrant’s internal control over financial reporting.

 

By:   /s/ DAVID P. JONES
  David P. Jones
  Chief Financial Officer

Date: November 8, 2006

EX-32.1 6 dex321.htm CERTIFICATION BY LYNN MASSINGALE, M.D. FOR TEAM FINANCE LLC Certification by Lynn Massingale, M.D. for Team Finance LLC

Exhibit 32.1

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002*

In connection with the Quarterly Report of Team Finance LLC (the “Company”) on Form 10-Q (“Form 10-Q”) for the period ended September 30, 2006 as filed with the Securities and Exchange Commission on the date hereof, I, H. Lynn Massingale, M.D., Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Form 10-Q fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

/s/ H. LYNN MASSINGALE, M.D.
H. Lynn Massingale, M.D.
Chief Executive Officer

Date: November 8, 2006

EX-32.2 7 dex322.htm CERTIFICATION BY DAVID P. JONES FOR TEAM FINANCE LLC Certification by David P. Jones for Team Finance LLC

Exhibit 32.2

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002*

In connection with the Quarterly Report of Team Finance LLC (the “Company”) on Form 10-Q (“Form 10-Q”) for the period ended September 30, 2006 as filed with the Securities and Exchange Commission on the date hereof, I, David P. Jones, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Form 10-Q fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

/s/ DAVID P. JONES
David P. Jones
Chief Financial Officer

Date: November 8, 2006

EX-32.3 8 dex323.htm CERTIFICATION BY LYNN MASSINGALE, M.D. FOR HEALTH FINANCE CORPORATION Certification by Lynn Massingale, M.D. for Health Finance Corporation

Exhibit 32.3

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002*

In connection with the Quarterly Report of Health Finance Corporation (the “Company”) on Form 10-Q (“Form 10-Q”) for the period ended September 30, 2006 as filed with the Securities and Exchange Commission on the date hereof, I, H. Lynn Massingale, M.D., Chief Executive Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Form 10-Q fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

/s/ H. LYNN MASSINGALE, M.D.
H. Lynn Massingale, M.D.
Chief Executive Officer

Date: November 8, 2006

EX-32.4 9 dex324.htm CERTIFICATION BY DAVID P. JONES FOR HEALTH FINANCE CORPORATION Certification by David P. Jones for Health Finance Corporation

Exhibit 32.4

CERTIFICATION PURSUANT TO

18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT TO

SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002*

In connection with the Quarterly Report of Health Finance Corporation (the “Company”) on Form 10-Q (“Form 10-Q”) for the period ended September 30, 2006 as filed with the Securities and Exchange Commission on the date hereof, I, David P. Jones, Chief Financial Officer of the Company, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that, to my knowledge:

(1) The Form 10-Q fully complies with the requirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and

(2) The information contained in the Form 10-Q fairly presents, in all material respects, the financial condition and results of operations of the Company.

 

/s/ DAVID P. JONES
David P. Jones
Chief Financial Officer

Date: November 8, 2006

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