0001575705-16-000094.txt : 20160126 0001575705-16-000094.hdr.sgml : 20160126 20160126171533 ACCESSION NUMBER: 0001575705-16-000094 CONFORMED SUBMISSION TYPE: 8-K/A PUBLIC DOCUMENT COUNT: 4 CONFORMED PERIOD OF REPORT: 20151112 ITEM INFORMATION: Completion of Acquisition or Disposition of Assets ITEM INFORMATION: Financial Statements and Exhibits FILED AS OF DATE: 20160126 DATE AS OF CHANGE: 20160126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: First Choice Healthcare Solutions, Inc. CENTRAL INDEX KEY: 0001416876 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-MEDICAL LABORATORIES [8071] IRS NUMBER: 900687379 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: 8-K/A SEC ACT: 1934 Act SEC FILE NUMBER: 000-53012 FILM NUMBER: 161362385 BUSINESS ADDRESS: STREET 1: 709 S. HARBOR CITY BLVD. STREET 2: SUITE 250 CITY: MELBOURNE STATE: FL ZIP: 32901 BUSINESS PHONE: (321) 725-0090 MAIL ADDRESS: STREET 1: 709 S. HARBOR CITY BLVD. STREET 2: SUITE 250 CITY: MELBOURNE STATE: FL ZIP: 32901 FORMER COMPANY: FORMER CONFORMED NAME: Medical Billing Assistance, Inc. DATE OF NAME CHANGE: 20110107 FORMER COMPANY: FORMER CONFORMED NAME: Medical Billing Assistance Inc DATE OF NAME CHANGE: 20071030 8-K/A 1 fchs_8k.htm FORM 8-K/A

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 8-K/A

(Amendment No. 1) 

 

CURRENT REPORT

 

Pursuant to Section 13 or 15(d)
of the Securities Exchange Act of 1934

 

Date of Report (Date of earliest event reported) November 12, 2015 (January 26, 2016)

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.
(Exact name of registrant as specified in its charter)

 

Delaware 000-53012 90-0687379
(State or other jurisdiction (Commission (IRS Employer
of incorporation) File Number) Identification No.)

 

 

709 S. Harbor Blvd., Suite 250, Melbourne, FL

32901
(Address of principal executive offices) (Zip Code)
   

Registrant's telephone number, including area code (321) 725-0090

 

(Former name of former address, if changed since last report.)

 

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

 

  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)

 

  Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)

 

  Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))

 

  Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

 

 

 
 

 

Item 2.01 Completion of Acquisition or Disposition of Assets

 

On November 2, 2015, First Choice Healthcare Solutions, Inc. (the “Company”) filed a Current Report on Form 8-K (the “Current Report”) to report that its newly formed wholly-owned subsidiary, CCSC Holdings, Inc. (“CCSC Holdings”), acquired a 40% interest in Crane Creek Surgery Center (“Crane Creek”) in exchange for chase consideration of $560,000.

 

The Current Report is being amended by this Amendment No. 1 to include the audited and unaudited financial statements and information required by Item 9.01(a) and the pro forma financial statements required by Item 9.01(b) and to reflect that the acquisition of the 40% interest in Crane Creek was completed on November 12, 2015. Certain conditions of the Crane Creek transaction were not met until November 12, 2015 and not October 27, 2015 as originally noted. No other amendments to the Current Report are being made by this Amendment No. 1.

 

Item 9.01 Financial Statements and Exhibits

 

(a) Financial Statements of Crane Creek

 

The audited financial statements including the notes thereto for Crane Creek for the years ended December 31, 2014 and December 31, 2013 and the unaudited financial statements including notes thereto for Crane Creek for the nine months ended September 30, 2015 and 2014, are attached as Exhibits 99.1 and 99.2 and are incorporated herein by reference.

 

(b) Pro Forma Financial Information

 

The unaudited pro forma consolidated balance sheet of the Company as of September 30, 2015, the unaudited pro forma condensed consolidated statements of operations for the year ended December 31, 2014 and for the nine months ended September 30, 2015 and the notes thereto, which give effect to the Crane Creek transaction, are attached hereto as Exhibits 99.3 and incorporated herein by reference.

 

(c) Shell Company Transactions

 

Not applicable

 

(d) Exhibits

  

99.1 Audited financial statements including the notes thereto for Crane Creek for the years ended December 31, 2014 and, 2013.
99.2 Unaudited financial statements including the notes thereto for Crane Creek for the nine months ended September 30, 2015 and 2014.
99.3 Unaudited pro forma consolidated balance sheet of the Company as of September 30, 2015, the unaudited pro forma condensed consolidated statements of operations for the year ended December 31, 2014 and for the nine months ended September 30, 2015 and the notes thereto, which give effect to the Crane Creek transaction.

 

2


 

SIGNATURE

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

 

  FIRST CHOICE HEALTHCARE SOLUTIONS, INC.
  (Registrant)
   
Date: January 26, 2016  
  /s/ Chris Romandetti
  Name:  Chris Romandetti
  Chief Executive Officer

 

3


EX-99.1 2 ex99_1.htm EXHIBIT 99.1

 

 

Exhibit 99.1

 

CRANE CREEK SURGICAL PARTNERS, LLC

FINANCIAL STATEMENTS

DECEMBER 31, 2014 AND 2013

 

 

 

 

INDEX TO FINANCIAL STATEMENTS

 

CONTENTS PAGE NO.
   
Report of Independent Registered Public Accounting Firm  1
   
Balance Sheets at December 31, 2014 and 2013 2
   
Statements of Operations for the Years Ended December 31, 2014 and 2013 3
   
Statements of Members’ (Deficit) Equity for the Years Ended December 31, 2014 and 2013 4
   
Statements of Cash Flows for the Years Ended December 31, 2014 and 2013 5
   
Notes to the Financial Statements 6

 

 

 

 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

 

To the Members

Crane Creek Surgical Partners, LLC

 

We have audited the accompanying balance sheets of Crane Creek Surgical Partners, LLC (the “Company”) as of December 31, 2014 and 2013, and the related statements of operations, members’ (deficit) equity, and cash flows for each of the two years in the period ended December 31, 2014. The Company’s management is responsible for these financial statements. Our responsibility is to express an opinion on these financial statements based on our audits.

 

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated financial statements, assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall consolidated financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

 

In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of the Company as of December 31, 2014 and 2013, and the results of its operations and its cash flows for each of the two years in the period ended December 31, 2014, in conformity with accounting principles generally accepted in the United States of America.

 

The accompanying financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 10 to the financial statements, the Company has suffered recurring losses from operations and has an accumulated deficit as of December 31, 2014. These conditions raise substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to these matters are also described in Note 10. The financial statements do not include any adjustments relating to the recoverability and classification of asset carrying amounts or the amount and classification of liabilities that might result should the Company be unable to continue as a going concern.

 

/s/ RBSM LLP

 

New York, New York

 

January 26, 2016

 

1 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

 BALANCE SHEETS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

   2014  2013
ASSETS          
Current assets:          
Cash  $103,762   $249,004 
Accounts receivable, net   845,843    775,560 
Prepaid and other current assets       16,250 
Total current assets   949,605    1,040,814 
           
Property, plant and equipment, net of accumulated depreciation of $1,319,760 and $1,012,494   945,557    1,245,153 
           
Total assets  $1,895,162   $2,285,967 
           
LIABILITIES AND MEMBERS’ (DEFICIT) EQUITY          
Current liabilities:          
Accounts payable and accrued expenses  $200,813   $65,719 
Accrued interest   6,351    6,351 
Due to related party   140,140     
Capital lease payable   19,650    114,861 
Notes payable, current portion   348,591    308,214 
Total current liabilities   715,545    495,145 
           
Long term debt:          
Deferred rent   489,929    428,148 
Notes payable, long term portion   777,320    1,124,236 
Total long term debt   1,267,249    1,552,384 
Total liabilities   1,982,794    2,047,529 
           
Commitments and contingencies        
           
Members’ (deficit) equity:   (87,632)   238,438 
Total members’ (deficit) equity   (87,632)   238,438 
Total liabilities and members’ (deficit) equity  $1,895,162   $2,285,967 

 

See accompanying notes

 

2 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC 

STATEMENTS OF OPERATIONS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

   Year ended December 31,
   2014  2013
Revenues:          
Net patient service revenue  $3,248,786   $3,857,685 
Total revenue   3,248,786    3,857,685 
           
Operating expenses:          
Salaries and benefits   917,317    1,088,481 
Occupancy   905,203    813,463 
General and administrative   1,394,630    1,908,636 
Depreciation and amortization   307,266    284,105 
Total operating expenses   3,524,416    4,094,685 
           
Net loss from operations:   (275,630)   (237,000)
           
Other income (expense):          
Other income   15,424    9,938 
Interest expense, net   (65,864)   (80,685)
Total other income (expense)   (50,440)   (70,747)
           
Net loss  $(326,070)  $(307,747)

 

See accompanying notes

 

3 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC 

STATEMENTS OF MEMBERS’ (DEFICIT) EQUITY

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

   Accumulated Amount  Accumulated Deficit  Total
Balance, December 31, 2012  $1,792,882   $(863,669)  $929,213 
                
Distribution of capital   (883,028)       (883,028)
                
Contributions of capital   500,000        500,000 
Net loss       (307,747)   (307,747)
                
Balance, December 31, 2013   1,409,854    (1,171,416)   238,438 
Net loss       (326,070)   (326,070)
                
Balance, December 31, 2014  $1,409,854   $(1,497,486)  $(87,632)

 

See accompanying notes

 

4 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

STATEMENTS OF CASH FLOWS

 FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

   Year ended December 31,
   2014  2013
CASH FLOWS FROM OPERATING ACTIVITIES:          
Net Loss  $(326,070)  $(307,747)
Adjustments to reconcile net loss to cash provided by operating activities:          
Depreciation and amortization expenses   307,266    284,105 
Changes in operating assets and liabilities:          
Accounts receivable   (70,283)   430,371 
Capital call receivable   16,250    (16,250)
Accounts payable and accrued expenses   275,234    (72,362)
Deferred rent   61,781    80,184 
Accrued interest       (1,092)
Net cash provided by operating activities   264,178    397,209 
           
CASH FLOWS FROM INVESTING ACTIVITIES:          
Purchase of equipment   (7,670)   (17,501)
Net cash used in investing activities   (7,670)   (17,501)
           
CASH FLOWS FROM FINANCING ACTIVITIES:          
Principal payments on notes payable   (306,539)   (324,090)
Principal payments on capital lease   (95,211)   (133,417)
Distributions to members       (883,028)
Contributions by members       500,000 
Net cash used in financing activities   (401,750)   (840,535)
           
Net decrease in cash and cash equivalents   (145,242)   (460,827)
Cash and cash equivalents, beginning of period   249,004    709,831 
           
Cash and cash equivalents, end of period  $103,762   $249,004 
           
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:          
Cash paid during the period for interest  $65,864   $80,685 

 

NONCASH TRANSACTION

 

During the year ended December 31, 2013, the Company acquired equipment valued at $114,861 through a capital lease.

 

See accompanying notes

 

5 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

  

NOTE 1- BASIS AND BUSINESS PRESENTATION

 

A summary of the significant accounting policies applied in the presentation of the accompanying financial statements follows:

 

Basis and business presentation

 

Crane Creek Surgical Partners, LLC, a Florida limited liability company (theCompany or “CCSP”), was formed in 2008 to develop, own and operate a Medicare-certified ambulatory surgery center in Melbourne, Florida. The surgery center is a multi-specialty surgical center, offering outpatient care in orthopedics, pain, spine, ENT, general surgery, podiatry and urology. The primary source of revenue is insurance company receipts for patient services.

 

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES

 

Use of Estimates

 

The preparation of the financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from those estimates. Significant estimates include the recoverability and useful lives of long-lived assets. Actual results may differ from these estimates.

 

Revenue Recognition

 

The Company recognizes revenue in accordance with Accounting Standards Codification subtopic 605-10, “Revenue Recognition “ (“ASC 605-10”) which requires that four basic criteria be met before revenue can be recognized: (1) persuasive evidence of an arrangement exists; (2) delivery has occurred; (3) the selling price is fixed or determinable; and (4) collectability is reasonably assured. Determination of criteria (3) and (4) are based on management’s judgments regarding the fixed nature of the selling prices of the services delivered and the collectability of those amounts. Provisions for discounts and rebates to customers, estimated returns and allowances, and other adjustments are provided for in the same period the related sales are recorded.

 

The Company recognizes in accordance with Accounting Standards Codification subtopic 954-310, “Health Care Entities” (“ASC 954-310”), significant patient service revenue at the time the services are rendered, even though it does not assess the patient’s ability to pay.

 

Patient Service Revenue

 

The Company recognizes patient service revenue associated with services provided to patients who have third-party payer coverage on the basis of gross rates for the services provided. For uninsured or self-pay patients that do not qualify for charity care, the Company recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). Once a claim is settled, a revenue reduction is recognized for contractual agreements and amounts uncollectible.

 

Cash

 

Cash consists of cash held in bank demand deposits. The Company considers all highly liquid instruments with original maturities of three months or less to be cash equivalents. As of December 31, 2014 and 2013, the Company had $103,762 and $249,004 in cash, respectively.

 

Accounts Receivable

 

For financial statement purposes, the Company records accounts receivable net of insurance company adjustments, which approximate seventy-seven percent of billings. The Company considers the net amount to be fully collectable. Therefore, no allowance for doubtful accounts is recorded.

 

6 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

 

Concentrations of Credit Risk

 

The Company’s financial instruments that are exposed to a concentration of credit risk are cash and accounts receivable. Occasionally, the Company’s cash and cash equivalents in interest-bearing accounts may exceed FDIC insurance limits. The financial stability of these institutions is periodically reviewed by senior management.

 

Long-Lived Assets

 

The Company accounts for the valuation of long-lived assets under Accounting Standards Codification (ASC) 360, Property, Plant and Equipment. ASC requires that long-lived assets and certain identifiable intangible assets be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of the long-lived assets is measured by comparing the carrying amount of the asset to future undiscounted net cash flows expected to be generated by the asset. Long-lived assets to be disposed of are reported at the lower of carrying amount or fair value, less cost to sell. At December 31, 2014 and 2013, management does not believe any long-lived assets are impaired and has not identified any assets as being held for disposal.

 

Property and equipment are stated at cost. When retired or otherwise disposed, the related carrying value and accumulated depreciation are removed from the respective accounts and the net difference less any amount realized from disposition, is reflected in earnings. For financial statement purposes, property and equipment are recorded at cost and depreciated using the straight-line method over their estimated useful lives of 7 to 39 years.

 

Income Taxes

 

Under provisions of the Internal Revenue Code, limited liability companies that are treated as partnerships and partnerships are not subject to income taxes, and any income or loss realized is taxed to the individual members. Accordingly, no provisions for federal income taxes appear in the financial statements. The federal income tax returns are subject to examinations by the taxing authorities, generally for a period of three years after the returns are filed. Therefore, tax returns for the years ended 2012, 2013 and 2014 are still subject to review by revenue agents

 

Subsequent Events

 

The Company evaluates events that have occurred after the balance sheet date but before the financial statements are issued. Based upon the evaluation, the Company did not identify any recognized or non-recognized subsequent events that would have required adjustment or disclosure in the financial statements, except as disclosed. See Note 11.

 

Recent Accounting Pronouncements

 

The FASB has issued ASU No. 2014-09, Revenue from Contracts with Customers. This ASU supersedes the revenue recognition requirements in Accounting Standards Codification 605 - Revenue Recognition and most industry-specific guidance throughout the Codification. The standard requires that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. This ASU is effective on January 1, 2017 and should be applied retrospectively to each prior reporting period presented or retrospectively with the cumulative effect of initially applying the ASU recognized at the date of initial application. The Company has not yet determined the effect of the adoption of this standard and it is expected to have an immaterial impact on the Company’s financial statements.

 

 In August, 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties About an Entities Ability to Continue as a Going Concern. The standard is intended to define management’s responsibility to decide whether there is substantial doubt about an organization’s ability to continue as a going concern and to provide related footnote disclosures. The standard requires management to decide whether there are conditions or events that raise substantial doubt about the entity’s ability to continue as a going concern within one year after the date that the financial statements are issued. The standard provides guidance to an organization’s management, with principles and definitions that are intended to reduce diversity in the timing and content of disclosures that are commonly provided by organizations in the footnotes. The standard becomes effective in the annual period ending after December 15, 2016, with early application permitted. The adoption of this pronouncement is not expected to have a material impact on the financial statements.

 

7 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

 

Fair Value

 

Accounting Standards Codification subtopic 825-10, Financial Instruments (“ASC 825-10”) requires disclosure of the fair value of certain financial instruments. ASC 825-10 defines fair value as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. When determining the fair value measurements for assets and liabilities required or permitted to be recorded at fair value, the Company considers the principal or most advantageous market in which it would transact and considers assumptions that market participants would use when pricing the asset or liability, such as inherent risk, transfer restrictions, and risk of nonperformance. ASC 825-10 establishes a fair value hierarchy that requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. ASC 825-10 establishes three levels of inputs that may be used to measure fair value:

 

  Level 1 - Quoted prices in active markets for identical assets or liabilities.

 

  Level 2 - Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities; quoted prices in markets with insufficient volume or infrequent transactions (less active markets); or model-derived valuations in which all significant inputs are observable or can be derived principally from or corroborated by observable market data for substantially the full term of the assets or liabilities.

 

  Level 3 - Unobservable inputs to the valuation methodology that are significant to the measurement of fair value of assets or liabilities.

 

To the extent that valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value requires more judgment. In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, for disclosure purposes, the level in the fair value hierarchy within which the fair value measurement is disclosed and is determined based on the lowest level input that is significant to the fair value measurement.

 

The carrying value of the Company’s cash, accounts receivable, accounts payable, short-term borrowings (including convertible notes payable), and other current assets and liabilities approximate fair value because of their short-term maturity.

 

As of December 31, 2014 and 2013, the Company did not have any items that would be classified as level 1, 2 or 3 disclosures.

 

NOTE 3 - PROPERTY, PLANT AND EQUIPMENT

 

Property, plant and equipment at December 31, 2014 and 2013 are as follows:

 

   2014  2013
Leasehold improvements  $182,246   $182,246 
Medical equipment   1,118,943    1,111,273 
Capital lease medical equipment   884,650    884,650 
Furniture & fixtures   69,693    69,693 
Signs   9,785    9,785 
    2,265,317    2,257,647 
Less: accumulated depreciation   (1,319,760)   (1,012,494)
   $945,557   $1,245,153 

 

During the year ended December 31, 2014 and 2013, depreciation expense charged to operations was $307,266 and $284,105, respectively.

 

8 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

 

NOTE 4 - COMMITMENTS

 

The Company sub-leases office space under an operating lease expiring in 2024. Under the terms of this lease, the Company is obligated to pay minimum base rent, amortization of tenant improvements, additional rent to cover operating cost, plus applicable sales tax. Under generally accepted accounting principles (GAAP), all rental payments, including fixed rent increases, are recognized on a straight-line basis over the life of the lease. The difference between GAAP rent expense and the actual lease payments is reflected as deferred rent on the accompanying balance sheets. Rent expense for the year ended December 31, 2014 and 2013, including charges for operating expenses and taxes, was $905,203 and $813,463 , respectively. Minimum future rental payments under the terms of the lease are summarized as follows:

 

  Years ending December 31:   
 2015   $1,094,278 
 2016    1,150,239 
 2017    1,209,961 
 2018    1,273,744 
 2019    1,341,913 
 Thereafter    7,410,804 
     $13,480,939 

 

The Company operates under a management services agreement. The initial term of the agreement is ten years and it is automatically renewable for successive three year terms. Payment is remitted monthly and is based on a percentage of gross revenues net of returns and contractual adjustments and allowances. The annual percentages are as follows:

 

  Year 1 – Year 4   6%
  Year 5 – Year 7   5%
  Year 8 – Year 9   4%
  Year 10   3%

 

Management expense under the terms of this agreement was $189,566 and $257,262 for the year ended December 31, 2014 and 2013, respectively.

 

NOTE 5 - RELATED PARTY TRANSACTIONS

 

As more fully described in Note 4 - Commitments, during the year ended December 31, 2014 and 2013, the Company incurred expenses payable to BCS-Management, LLC, a related party for management services in the amounts of $189,566 and $257,262, respectively. BCS-Management, LLC and HMA Blue Chip Investments, LLC, a member of the Company, are both wholly owned subsidiaries of Blue Chip Surgical Partners, LLC. Due to the related party for services provided was $140,140 and $0, for the years ended December 31, 2014 and 2013, respectively.

 

As more fully described in Note 4 - Commitments, the Company entered into a sublease agreement with Brevard Orthopaedic, Spine & Pain Clinic, Inc., a related party, on September 1, 2009 for certain space in a medical office building in Melbourne, FL. CCSC TBC Group, LLC, a member of the Company, and Brevard Orthopaedic, Spine & Pain Clinic, Inc. share common ownership. The Company paid $843,422 and $733,279  as payments under the sublease agreement for the years ended December 31, 2014 and 2013, respectively. 

 

NOTE 6 – MEMBERS’ CAPITAL

 

As of December 31, 2014 and 2013, there were 96.239 member interest units issued and outstanding.

 

9 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

 

NOTE 7 - NOTES PAYABLE

 

Note payable as of December 31, 2014 and 2013 are comprised as follows:

 

   2014  2013
Wells Fargo, note payable bearing variable interest (4.2% – 5.0%), monthly payments of $32,475, maturing in January 2018  $1,125,911   $1,432,450 
           
Less current portion   (348,591)   (308,214)
   $777,320   $1,124,236 

 

Aggregate principal maturities of long-term debt as of December 31:

 

   Amount
 Year ended December 31, 2015   $348,591 
 Year ended December 31, 2016    363,642 
 Year ended December 31, 2017    379,519 
 Year ended December 31, 2018    34,159 
 Total   $1,125,911 

 

NOTE 8 – CAPITAL LEASE

 

On November 1, 2009, the Company entered into a lease agreement to acquire equipment with quarterly payments of $41,955 payable through November 1, 2013, with no stated interest rate. Effective December 31, 2013, the Company extended the lease for one year commencing on April 1, 2014 with monthly payments of $9,877. The Company may elect to acquire the leased equipment at a nominal amount at the end of the lease.

 

Aggregate principal maturities of capital lease payments as of December 31:

 

 Year ended December 31, 2015   $19,650 

 

The value of leased property held under capital lease for December 31, 2014 and 2013 is $884,650 and $884,650, respectively. Depreciation expense of leased property under capital lease obligations amounted to $110,590 and $126,999 for the years ended December 31, 2014 and 2013, respectively.

 

NOTE 9 – LIQUIDITY

 

As of December 31, 2014, the Company’s working capital current assets minus current liabilities was $234,060. The Company’s owners have entered into an operating and control agreement giving CCSC Holdings, Inc., a wholly owned subsidiary of First Choice Healthcare Solutions, Inc. (FCHS), a controlling variable interest in the Company. On October 27, 2015, the operating agreement was executed but made effective October 1, 2015. 

 

10 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE FINANCIAL STATEMENTS

FOR THE YEARS ENDED DECEMBER 31, 2014 AND 2013

 

 

NOTE 10 – GOING CONCERN UNCERTAINTIES

 

The accompanying financial statements have been prepared on a going concern basis, which contemplates realization of assets and the satisfaction of liabilities in the normal course of business. As shown in the accompanying financial statement, the Company has a members’ deficit of $87,632 and accumulated deficit of $1,497,486 as of December 31, 2014. The ability of the Company to continue as a going concern is in doubt and dependent upon achieving a profitable level of operations or on the ability of the Company to obtain necessary financing to fund ongoing operations. Management believes that its current and future plans enable it to continue as a going concern for the next 12 months.

 

To meet these objectives, the Company continues to seek other sources of financing in order to support existing operations and expand the range and scope of its business. As such the Company has taken actions since December 31, 2014 to improve its working capital and deficit positions. These actions include a capital contribution from its members and repayment of its outstanding bank loan. Additionally, the Company has restructured and added to its members, providing the Company with additional staffed physicians designed to increase operating capacity up from its previous 60% operating capacity. However, there are no assurances that capacity can be increased and or maintained. The failure to increase and maintain operations at higher capacity would have a material adverse effect on the business prospects and, depending upon the shortfall, the Company may have to curtail or cease its operations.

 

The accompanying financial statements do not include any adjustment to the recorded assets or liabilities that might be necessary should the Company have to curtail operations or be unable to continue in existence.

 

NOTE 11 - SUBSEQUENT EVENTS

 

In May 2015, members’ units totaling 24.47% of ownership at that time were redeemed for $1. This effectively reduced the number of members to two, HMA Blue Chip Investments, LLC and CCSC TBC Group, LLC.

 

In June 2015, the remaining members advanced $800,000 to the Company. These funds were used to reduce the note payable at Wells Fargo.

 

In July 2015, the Company secured an advance of $140,000 from CCSC Holdings, Inc. These funds were used to further reduce the note payable to Wells Fargo. Effective July, 2015 the note with Wells Fargo has been satisfied.

 

In October 2015, 40% of the member interest of Crane Creek Surgical Partners, LLC was purchased by CCSC Holdings, Inc. for $560,000. The following actions took place at the time of closing:

 

HMA Blue Chip Investments, LLC redeemed 25.031 Class B units for $1
CCSC TBC Group, LLC acquired 10.067 Class B units for $1.
All units held by HMA Blue Chip Investments, LLC were re-classified as Class B Units
All the units held by CCSC TBC Group, LLC were re-classified as C units.
CCSC Holdings, Inc. received 38.48 Class D units for the sum of $560,000.
The $560,000 was paid by a forgiveness of the $140,000 advance plus cash of $420,000.
There was a capital call of $14,000 per one percent (1%) ownership interest in the Company. HMA Blue Chip Investments, LLC and CCSC TBC Group, LLC’s previous advances were applied to the capital call.

 

Effective October 1, 2015, the Company entered into a business associate agreement and a medical director agreement with Richard A. Hynes, M.D., president of the Company and CCSC TBC Group, LLC.

 

NOTE 12 – ASSIGNMENT OF RECEIVABLES 

 

In October of 2012, the Company entered into an agreement with Medical Funding Consultants, LLC (MFC) for the purpose of screening and underwriting letter of protection accounts. During the years ended December 31, 2014 and 2013, MFC  purchased receivables totaling $740,995 and $1,854,894 for $293,402 and $731,565, respectively.

 

11

 

 

 

EX-99.2 3 ex99_2.htm EXHIBIT 99.2

 

 

Exhibit 99.2

 

CRANE CREEK SURGICAL PARTNERS, LLC

FINANCIAL STATEMENTS

SEPTEMBER 30, 2015 AND 2014

 

 

 

 

INDEX TO FINANCIAL STATEMENTS

 

CONTENTS PAGE NO.
   
Condensed Unaudited Balance Sheets at September 30, 2015 and 2014 2
   
Condensed Unaudited Statements of Operations for the Nine Months Ended September 30, 2015 and 2014 3
   
Condensed Unaudited Statement of Changes in Members’ Capital for the Nine Months Ended September 30, 2015 and 2014 4
   
Condensed Unaudited Statements of Cash Flows for the Nine Months Ended September 30, 2015 and 2014 5
   
Notes to the Condensed Unaudited Financial Statements 6

 

 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC 

 CONDENSED (UNAUDITED) BALANCE SHEETS

SEPTEMBER 30, 2015 AND 2014

 

   September 30, 2015  September 30, 2014
ASSETS          
Current assets          
Cash  $164,323   $132,878 
Accounts receivable, net   706,957    959,337 
Total current assets   871,280    1,092,215 
           
Property, plant and equipment, net of accumulated depreciation of $1,546,095 and $1,238,829   715,896    1,023,162 
           
Total assets  $1,587,176   $2,115,377 
           
LIABILITIES AND MEMBERS’ CAPITAL          
Current liabilities          
Accounts payable and accrued expenses  $673,772   $225,715 
Accrued interest   1,352    6,351 
Due to related party   251,588    94,752 
Advances from members   800,000     
Loan payable   140,000     
Capital lease payable       58,540 
Notes payable, current portion       344,915 
Total current liabilities   1,866,712    730,273 
           
Long term debt          
           
Deferred rent   522,046    474,483 
Notes payable, long term portion       865,857 
Total long term debt   522,046    1,340,340 
Total liabilities   2,388,758    2,070,613 
           
Members’ capital   (801,582)   44,764 
Total members’ capital   (801,582)   44,764 
Total liabilities and members’ capital  $1,587,176   $2,115,377 

 

See accompanying notes

 

2 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC 

CONDENSED (UNAUDITED) STATEMENTS OF OPERATIONS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014

 

   Nine months ended September 30,
   2015  2014
Revenues          
Net patient service revenue  $2,076,563   $2,560,867 
Total revenue   2,076,563    2,560,867 
           
Operating expenses          
Salaries and benefits   754,083    716,188 
Occupancy   740,373    760,486 
General and administrative   1,065,081    1,007,240 
Depreciation and amortization   229,661    226,335 
Total operating expenses   2,789,198    2,710,249 
           
Net loss from operations   (712,635)   (149,382)
           
Other income (expense)          
Miscellaneous income   13,149     
Interest expense, net   (14,464)   (44,292)
Total other income (expense)   (1,315)   (44,292)
           
Net loss  $(713,950)  $(193,674)

 

See accompanying notes

 

3 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC 

CONDENSED UNAUDITED STATEMENTS OF CHANGES IN MEMBERS’ CAPITAL

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014

 

   Accumulated Amount  Accumulated Deficit  Total
Balance, December 31, 2013  $1,409,854   $(1,171,416)  $238,438 
Net loss       (193,674)   (193,674)
                
Balance, September 30, 2014  $1,409,854   $(1,365,090)  $44,764 
                
Balance, December 31, 2014  $1,409,854   $(1,497,486)  $(87,632)
Net loss       (713,950)   (713,950)
                
Balance, September 30, 2015  $1,409,854   $(2,211,436)  $(801,582)

 

See accompanying notes

 

4 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

CONDENSED UNAUDITED STATEMENTS OF CASH FLOWS

 FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014

 

   Nine months ended September 30,
   2015  2014
CASH FLOWS FROM OPERATING ACTIVITIES:          
Net Loss  $(713,950)  $(193,674)
Adjustments to reconcile net loss to cash provided by operating activities:          
Depreciation and amortization expenses   229,661    226,335 
Changes in operating assets and liabilities:          
Accounts receivable   138,886    (183,777)
Prepaid and other current assets       16,250 
Accounts payable and accrued expenses   467,960    159,996 
Due to related party   111,448    94,752 
Deferred Rent   32,117    46,335 
Net cash provided by operating activities   266,122    166,217 
           
CASH FLOWS FROM INVESTING ACTIVITIES:          
Purchase of equipment       (4,344)
Net cash used in investing activities       (4,344)
           
CASH FLOWS FROM FINANCING ACTIVITIES:          
Principal payments on notes payable   (1,125,911)   (221,678)
Principal payments on capital lease   (19,650)   (56,321)
Advances from members   940,000     
Net cash used in financing activities   (205,561)   (277,999)
           
Net (decrease) increase in cash and cash equivalents   60,561    (116,126)
Cash and cash equivalents, beginning of period   103,762    249,004 
           
Cash and cash equivalents, end of period  $164,323   $132,878 
           
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:          
Cash paid during the period for interest  $13,112   $44,292 

 

See accompanying notes

 

5 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE CONDENSED UNAUDITED FINANCIAL STATEMENTS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014 

 

 

NOTE 1- BASIS AND BUSINESS PRESENTATION

 

A summary of the significant accounting policies applied in the presentation of the accompanying reviewed financial statements follows:

 

Basis and business presentation

 

Crane Creek Surgical Partners, LLC, a Florida limited liability company (theCompany or “CCSP”) was formed in 2008 to develop, own and operate a Medicare-certified ambulatory surgery center in Melbourne, Florida. The surgery center is a multi-specialty surgical center, offering outpatient care in orthopedics, pain, spine, ENT, general surgery, podiatry and urology. The primary source of revenue is insurance company receipts for patient services.

 

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES

 

Use of Estimates

 

The preparation of the financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from those estimates. Significant estimates include the recoverability and useful lives of long-lived assets, the fair value of the Company’s stock, and stock-based compensation. Actual results may differ from these estimates.

 

Revenue Recognition

 

The Company recognizes revenue in accordance with Accounting Standards Codification subtopic 605-10, “Revenue Recognition “ (“ASC 605-10”) which requires that four basic criteria be met before revenue can be recognized: (1) persuasive evidence of an arrangement exists; (2) delivery has occurred; (3) the selling price is fixed or determinable; and (4) collectability is reasonably assured. Determination of criteria (3) and (4) are based on management’s judgments regarding the fixed nature of the selling prices of the products delivered and the collectability of those amounts. Provisions for discounts and rebates to customers, estimated returns and allowances, and other adjustments are provided for in the same period the related sales are recorded.

 

The Company recognizes in accordance with Accounting Standards Codification subtopic 954-310, “Health Care Entities” (“ASC 954-310”), significant patient service revenue at the time the services are rendered, even though it does not assess the patient’s ability to pay.

 

Patient Service Revenue

 

The Company recognizes patient service revenue associated with services provided to patients who have third-party payer coverage on the basis of gross rates for the services provided. For uninsured or self-pay patients that do not qualify for charity care, the Company recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). Once a claim is settled, a revenue reduction is recognized for contractual agreements and amounts uncollectible.

 

Cash

 

Cash consists of cash held in bank demand deposits. The Company considers all highly liquid instruments with original maturities of three months or less to be cash equivalents. As of September 30, 2015 and 2014, the Company had $164,323 and $132,878 in cash, respectively.

 

Accounts Receivable

 

The Company records accounts receivable net of insurance company adjustments, which approximate seventy-seven percent of billings. The Company considers the net amount to be fully collectable. Therefore, no allowance for doubtful accounts is recorded.

 

6 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE CONDENSED UNAUDITED FINANCIAL STATEMENTS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014 

 

 

Concentrations of Credit Risk

 

The Company’s financial instruments that are exposed to a concentration of credit risk are cash and accounts receivable. Occasionally, the Company’s cash and cash equivalents in interest-bearing accounts may exceed FDIC insurance limits. The financial stability of these institutions is periodically reviewed by senior management.

 

Long-Lived Assets

 

The Company accounts for the valuation of long-lived assets under Accounting Standards Codification (ASC) 360, Property, Plant and Equipment. ASC requires that long-lived assets and certain identifiable intangible assets be reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of the long-lived assets is measured by comparing the carrying amount of the asset to future undiscounted net cash flows expected to be generated by the asset. Long-lived assets to be disposed of are reported at the lower of carrying amount or fair value, less cost to sell. At September 30, 2015 and 2014, management does not believe any long-lived assets are impaired and has not identified any assets as being held for disposal.

 

Property and equipment are stated at cost. When retired or otherwise disposed, the related carrying value and accumulated depreciation are removed from the respective accounts and the net difference less any amount realized from disposition, is reflected in earnings. For financial statement purposes, property and equipment are recorded at cost and depreciated using the straight-line method over their estimated useful lives of 7 to 39 years.

 

Income Taxes

 

Under provisions of the Internal Revenue Code, limited liability companies that are treated as partnerships are not subject to income taxes, and any income or loss realized is taxed to the individual members. Accordingly, no provisions for federal income taxes appear in the financial statements. The Federal income tax returns are subject to examinations by the taxing authorities, generally for a period of three years after the returns are filed. Therefore, tax returns for the years ended 2012, 2013 and 2014 are still subject to review by revenue agents.

 

Subsequent Events

 

The Company evaluates events that have occurred after the balance sheet date but before the financial statements are issued. Based upon the evaluation, the Company did not identify any recognized or non-recognized subsequent events that would have required adjustment or disclosure in the financial statements, except as disclosed. See Note 7.

 

Recent Accounting Pronouncements

 

The FASB has issued ASU No. 2014-09, Revenue from Contracts with Customers. This ASU supersedes the revenue recognition requirements in Accounting Standards Codification 605 - Revenue Recognition and most industry-specific guidance throughout the Codification. The standard requires that an entity recognizes revenue to depict the transfer of promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. This ASU is effective on January 1, 2017 and should be applied retrospectively to each prior reporting period presented or retrospectively with the cumulative effect of initially applying the ASU recognized at the date of initial application. The Company has not yet determined the effect of the adoption of this standard and it is expected to have an immaterial impact on the Company’s financial statements.

 

 In August, 2014, the FASB issued ASU No. 2014-15, Presentation of Financial Statements - Going Concern (Subtopic 205-40): Disclosure of Uncertainties About an Entities Ability to Continue as a Going Concern. The standard is intended to define management’s responsibility to decide whether there is substantial doubt about an organization’s ability to continue as a going concern and to provide related footnote disclosures. The standard requires management to decide whether there are conditions or events that raise substantial doubt about the entity’s ability to continue as a going concern within one year after the date that the financial statements are issued. The standard provides guidance to an organization’s management, with principles and definitions that are intended to reduce diversity in the timing and content of disclosures that are commonly provided by organizations in the footnotes. The standard becomes effective in the annual period ending after December 15, 2016, with early application permitted. The adoption of this pronouncement is not expected to have a material impact on the financial statements.

 

Going Concern

 

The accompanying financial statements have been prepared on a going concern basis, which contemplates realization of assets and the satisfaction of liabilities in the normal course of business. As shown in the accompanying financial statement, the Company has accumulated a deficit of $2,211,436 and working capital deficit (current liabilities minus current assets) of $995,432 as of September 30, 2015. The ability of the Company to continue as a going concern is in doubt and dependent upon achieving a profitable level of operations or on the ability of the Company to obtain necessary financing to fund ongoing operations. Management believes that its current and future plans enable it to continue as a going concern for the next twelve months.

 

To meet these objectives, the Company continues to seek other sources of financing in order to support existing operations and expand the range and scope of its business. However, there are no assurances that capacity can be increased and or maintained. The failure to increase and maintain operations at higher capacity would have a material adverse effect on the business prospects and, depending upon the shortfall, the Company may have to curtail or cease its operations. The accompanying financial statements do not include any adjustment to the recorded assets or liabilities that might be necessary should the Company have to curtail operations or be unable to continue in existence.

 

7 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE CONDENSED UNAUDITED FINANCIAL STATEMENTS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014 

 

 

Fair Value

 

Accounting Standards Codification subtopic 825-10, Financial Instruments (“ASC 825-10”) requires disclosure of the fair value of certain financial instruments. ASC 825-10 defines fair value as the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. When determining the fair value measurements for assets and liabilities required or permitted to be recorded at fair value, the Company considers the principal or most advantageous market in which it would transact and considers assumptions that market participants would use when pricing the asset or liability, such as inherent risk, transfer restrictions, and risk of nonperformance. ASC 825-10 establishes a fair value hierarchy that requires an entity to maximize the use of observable inputs and minimize the use of unobservable inputs when measuring fair value. ASC 825-10 establishes three levels of inputs that may be used to measure fair value:

 

  Level 1 - Quoted prices in active markets for identical assets or liabilities.

 

  Level 2 - Observable inputs other than Level 1 prices such as quoted prices for similar assets or liabilities; quoted prices in markets with insufficient volume or infrequent transactions (less active markets); or model-derived valuations in which all significant inputs are observable or can be derived principally from or corroborated by observable market data for substantially the full term of the assets or liabilities.

 

  Level 3 - Unobservable inputs to the valuation methodology that are significant to the measurement of fair value of assets or liabilities.

 

To the extent that valuation is based on models or inputs that are less observable or unobservable in the market, the determination of fair value requires more judgment. In certain cases, the inputs used to measure fair value may fall into different levels of the fair value hierarchy. In such cases, for disclosure purposes, the level in the fair value hierarchy within which the fair value measurement is disclosed and is determined based on the lowest level input that is significant to the fair value measurement.

 

The carrying value of the Company’s cash, accounts receivable, accounts payable, short-term borrowings (including convertible notes payable), and other current assets and liabilities approximate fair value because of their short-term maturity.

 

As of September 30, 2015 and 2014, the Company did not have any items that would be classified as level 1, 2 or 3 disclosures.

 

NOTE 3 - PROPERTY, PLANT, AND EQUIPMENT

 

Property, plant and equipment at September 30, 2015 and 2014 are as follows:

 

   2015  2014
Leasehold improvements  $182,246   $182,246 
Medical equipment   2,000,267    2,000,267 
Furniture & fixtures   69,693    69,693 
Signs   9,785    9,785 
    2,261,991    2,261,991 
Less: accumulated depreciation   (1,546,095)   (1,238,829)
   $715,896   $1,023,162 

 

During the nine months ended September 30, 2015 and 2014, depreciation expense charged to operations was $229,661 and $226,335, respectively.

 

8 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE CONDENSED UNAUDITED FINANCIAL STATEMENTS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014 

 

  

NOTE 4 - COMMITMENTS

 

The Company sub-leases office space under an operating lease expiring in 2024. Under the terms of this lease, the Company is obligated to pay minimum base rent, amortization of tenant improvements, additional rent to cover operating cost, plus applicable sales tax. Minimum future rental payments under the terms of the lease are summarized as follows:

 

Twelve months ending September 30:

 2016   $1,131,505 
 2017    1,189,971 
 2018    1,252,398 
 2019    1,319,103 
 2020    1,390,431 
 Thereafter    5,911,960 
     $12,195,368 

 

Rent expense for the nine months ended September 30, 2015 and 2014, including charges for operating expenses and taxes, was $708,256 and $631,992, respectively.

 

The Company operates under a management services agreement. The initial term of the agreement is ten years and it is automatically renewable for successive three year terms. Payment is remitted monthly and is based on a percentage of gross revenues net of returns and contractual adjustments and allowances. The annual percentages are as follows:

 

  Year 1 – Year 4   6%
  Year 5 – Year 7   5%
  Year 8 – Year 9   4%
  Year 10   3%

 

Management expense under the terms of this agreement was $111,449 and $141,937 for the nine months ended September 30, 2015 and 2014, respectively.

 

NOTE 5 - RELATED PARTY TRANSACTIONS

 

As more fully described in Note 4 – Commitments, during the year ended September 30, 2015 and 2014, the Company incurred expenses payable to BCS-Management, LLC, a related party for management services in the amounts of $111,449 and $141,937, respectively. Due to the related party for services provided was $251,588 and $94,752, for the period ended September 30, 2015 and 2014, respectively.

 

As more fully described in Note 4 - Commitments, the Company entered into a sublease agreement with Brevard Orthopaedic, Spine & Pain Clinic, Inc., a related party, on September 1, 2009 for certain space in a medical office building in Melbourne, FL. The Company paid $708,256 and $631,992 as payments under the sublease agreement for the nine months ended September 30, 2015 and 2014, respectively. 

 

In May 2015 members’ units totaling 24.47% of ownership at that time were redeemed for $1. This effectively reduced the number of members to two, HMA Blue Chip Investments, LLC and CCSC TBC Group, LLC.

 

In June 2015, the remaining members advanced $800,000 to the Company. These funds were used to reduce the note payable at Wells Fargo.

 

In July 2015, the Company secured an advance of $140,000 from CCSC Holdings, Inc. These funds were used to further reduce the note payable to Wells Fargo. Effective July, 2015 the note with Wells Fargo has been satisfied.

 

9 

 

 

CRANE CREEK SURGICAL PARTNERS, LLC

NOTES TO THE CONDENSED UNAUDITED FINANCIAL STATEMENTS

FOR THE NINE MONTHS ENDED SEPTEMBER 30, 2015 AND 2014 

 

  

NOTE 6 - NOTES PAYABLE

 

   September 30, 2015  September 30, 2014
Wells Fargo, Note payable bearing variable interest (4.2% - 5.0%), monthly payments of $32,475, maturing in January 2018  $   $1,210,772 
Capital Lease Payable       58,540 
Loan payable   140,000     
Subtotal   140,000    1,269,312 
Less current portion   (140,000)   (403,455)
Long term notes payable  $   $865,857 

 

Aggregate principal maturities of long-term debt as of September 30:

 

   2015  2014
 Year ended September 30, 2015   $   $403,455 
 Year ended September 30, 2016    140,000    359,808 
 Year ended September 30, 2017        375,518 
 Year ended September 30, 2018        130,531 
 Total   $140,000   $1,269,312 

 

NOTE 7 - SUBSEQUENT EVENTS

 

In November 2015, 40% of the Company was purchased by CCSC Holdings, Inc. for $560,000 with an effective date of October 1, 2015. The following actions took place at the time of closing:

 

HMA Blue Chip Investments, LLC redeemed 25.031 units for $1
CCSC TBC Group, LLC acquired 10.067 Class C units for $1.
All units held by HMA Blue Chip Investments, LLC were re-classified as Class B Units
All the units held by CCSC TBC Group, LLC were re-classified as C units.
CCSC Holdings, Inc. received 38.48 Class D units for the sum of $560,000.
The $560,000 was paid by a forgiveness of the $140,000 advance plus cash of $420,000.
There was a capital call of $14,000 per one percent (1%) ownership interest in the Company. HMA Blue Chip Investments, LLC and CCSC TBC Group, LLC’s previous advances were applied to the capital call.

 

Effective October 1, 2015, the Company entered into a new agreement for services with a related party.

 

10

 

 

EX-99.3 4 ex99_3.htm EXHIBIT 99.3

 

 

Exhibit 99.3

 

First Choice Healthcare

Solutions, Inc.

 

Condensed Consolidated Pro 

Forma Unaudited Financial

Statements

 

Year ended 

December 31, 2014 and Nine

Months Ended September 30, 2015

 

 

 

 

Table of Contents

 

  Page
   
FINANCIAL STATEMENTS  
   
Condensed Consolidated Pro Forma Unaudited Balance Sheets as of September 30, 2015 2
   
Condensed Consolidated Pro Forma Unaudited Statement of Operations Nine Months Ended September 30, 2015 3
   
Condensed Consolidated Pro Forma Unaudited Statement of Operations Year Ended December 31, 2014 4
   
Notes to Pro Forma Unaudited Condensed Consolidated Financial Statements 5-7

 

 

 

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.

CONDENSED CONSOLIDATED PRO FORMA UNAUDITED BALANCE SHEET SEPTEMBER 30, 2015

 

   Balance Sheet
First Choice
Healthcare
Solutions, Inc.
September 30,
  Balance Sheet
Crane
Creek
Surgical
Partners, LLC.
September 30,
  Pro Forma Adjustments to
Reflect The Variable
Interest Entity of
Crane Creek Surgical
Partners, LLC.
As of January 1, 2015
  Balance Sheet
Consolidated
Pro Forma
September 30,
   2015  2015  Dr  Cr  2015
                
ASSETS                         
                          
Current assets                         
Cash  $751,559   $164,323           $915,882 
Cash-restricted   395,637                395,637 
Accounts receivable   5,611,386    706,957            6,318,343 
Employee loans   493,360                493,360 
Prepaid and other current assets   548,211                548,211 
Capitalized financing costs, current portion   54,858                54,858 
Total current assets   7,855,011    871,280            8,726,291 
                          
Property, plant and equipment, net of accumulated depreciation of $4,152,225 and $1,546,095   8,027,163    715,896            8,743,059 
                          
Other assets                         
Deferred costs, net of amortization of $134,435   3,091,992                3,091,992 
Patient list, net of accumulated amortization of $70,000   230,000                230,000 
Patents, net of amortization of $33,425   253,075                253,075 
Investments   22,200                22,200 
Notes receivable, acquisition deposit   141,352            141,352     
Deposits   2,571                2,571 
Total other assets   3,741,190            141,352    3,599,838 
                          
Total assets  $19,623,364   $1,587,176       $141,352   $21,069,188 
                          
LIABILITIES AND STOCKHOLDERS’ DEFICIT                         
Current liabilities                         
Accounts payable and accrued expenses  $2,476,718   $673,772   $   $   $3,150,490 
Accrued interest       1,352    1,352         
Related party payable       251,588            251,588 
Capital lease payable                    
Due to members       940,000    140,000        800,000 
Line of credit, short term   1,788,164                1,788,164 
Notes payable, current portion   7,852,176                7,852,176 
Unearned revenue   42,704                42,704 
Deferred rent, short term portion   118,810                118,810 
Total current liabilities   12,278,572    1,866,712    141,352        14,003,932 
                          
Long term debt:                         
Deposits held   67,432                67,432 
Deferred rent, long term portion   1,489,636    522,046            2,011,682 
Notes payable, long term portion   894,835                894,835 
Total long term debt   2,451,903    522,046            2,973,949 
                          
Total liabilities   14,730,475    2,388,758    141,352         16,997,881 
                          
Equity                         
Common stock, $0.001 par value; 100,000,000 shares authorized, 18,432,055 and 17,951,055 shares issued and outstanding as of September 30, 2015 and December 31, 2014, respectively   22,433                22,433 
Additional paid in capital   20,696,977                20,696,977 
Members’ capital       1,409,858            1,409,858 
Accumulated deficit   (15,687,835)   (2,211,440)           (17,899.275)
Subtotal equity   5,031,575    (801,582)            4,229,993 
Non-controlling interest   (138,686)               (138,686)
Total equity   4,892,889    (801,582)           4,091,307 
Total liabilities and equity  $19,623,364   $1,587,176   $141,352       $21,069,188 

 

See the accompanying notes to these unaudited condensed consolidated pro forma financial statements

 

2 

 

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.

CONDENSED CONSOLIDATED PRO FORMA UNAUDITED STATEMENTS OF OPERATIONS

NINE MONTHS ENDED SEPTEMBER 30, 2015

 

   First Choice
Healthcare
Solutions, Inc.
9 Months Ended
September 30,
  Crane Creek
Surgical
Partners, LLC
9 Months Ended
September 30,
   Pro Forma Adjustments to
Reflect The Variable Interest Entity of
Crane Creek Surgical
Partners, LLC
As of January 1, 2015
   
 
Consolidated
Pro Forma
9 Months Ended
September 30,
   2015  2015  Dr  Cr  2015
                
Revenues:                         
Patient Service Revenue  $11,871,574   $2,076,563             $13,948,137 
Provision for bad debts   (51,485)                 (51,485)
Net patient service revenue less provision for bad debts   11,820,089    2,076,563              13,896,652 
Rental Revenue   1,301,515                  1,301,515 
Total Revenue   13,121,604    2,076,563              15,198,167 
                          
Operating expenses:                         
Salaries & Benefits   5,311,710    754,083              6,065,793 
Other Operating expenses   1,685,830    740,373              2,426,203 
General & Administrative   4,437,801    1,065,081              5,502,882 
Depreciation and amortization   558,189    229,661              787,850 
Total operating expenses   11,993,530    2,789,198              14,782,728 
Net income from operations   1,128,074    (712,635)             415,439 
Other income (expense):                         
Miscellaneous income   22,719    13,149              35,868 
Amortization Financing costs   (60,507)                 (60,507)
Interest expense, net   (925,045)   (14,464)   1,352    1,352    (939,509)
Total other expense   (962,833)   (1,315)             (964,148)
                          
NET INCOME (LOSS)  $165,241   $(713,950)            $(548,709)
Non-controlling Interest       (428,370)             (428,370)
Net Income (Loss) available to shareholder   0.01    (7,418.51)             (7,418.52)
Net Income (loss) per common share, basic   0.01    (7,418.51)             (7,418.52)
                          
Net Income (loss) per common share, diluted   0.01    (7,418.51)             (7,418.52)
                          
Weighted average number of common shares outstanding, basic   12,249,783    96.239              12,249,879.239 
                          
Weighted average number of common shares outstanding, diluted   21,583,117    96.239              21,583,213.239 

 

 

See the accompanying notes to these unaudited condensed consolidated pro forma financial statements 

 

3 

 

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.

CONDENSED CONSOLIDATED PRO FORMA UNAUDITED STATEMENTS OF OPERATIONS

YEAR ENDED DECEMBER 31, 2014

 

   First Choice
Healthcare
Solutions, Inc.
Year Ended
December 31,
  Crane Creek
Surgical
Partners, LLC
Year Ended
December 31,
   Pro Forma Adjustments
to Reflect The Variable Interest Entity of
Crane Creek Surgical
Partners, LLC
As of January 1, 2014
   
Consolidated
Pro Forma
Year Ended
December 31,   
   2014  2014  Dr  Cr  2014
                     
Revenues:                        
Patient Service Revenue  $7,966,385   $3,248,786             $ 11,215,171  
Provision for bad debts   (912,782)                  (912,782 )
Net patient service revenue less provision for bad debts   7,053,603    3,248,786               10,302,389  
Rental Revenue   1,048,999                   1,048,999  
Total Revenue   8,102,602    3,248,786               11,351,388  
                             
Operating expenses:                            
Salaries & Benefits   4,761,573    917,317               5,678,890  
Other Operating expenses   1,897,780    905,203               2,802,983  
General & Administrative   2,434,259    1,394,630               3,828,889  
Depreciation and amortization   552,084    307,266               859,350  
Total operating expenses   9,645,696    3,524,416               13,170,112  
                             
Net (loss) income from operations   (1,543,094)   (275,630)              (1,818,724 )
                             
Other income (expense):                            
Miscellaneous income   3,000    15,424               18,424  
Amortization Financing costs   (82,744)                  (82,744 )
Interest expense, net   (866,701)   (65,864)              (932,565 )
Total other expense   (946,445)   (50,440)              (996,885 )
                             
Net loss before provision for income taxes   (2,489,539)   (326,070)              (2,815,609 )
                             
Income taxes (benefit)                       
                             
NET LOSS  $(2,489,539)  $(326,070)            $ (2,815,609 )
                             
Net loss per common share, basic and diluted  $(0.14)   $(3,388.13)            $ (3,388.27 )
                             
Weighted average number of common shares outstanding, basic and diluted   17,249,921    96.239               17,250,017.239  

  

See the accompanying notes to these unaudited condensed .onsolidated pro forma financial statements

 

4 

 

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.

NOTES TO PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(UNAUDITED)

 

NOTE 1 - DESCRIPTION OF BUSINESS

 

First Choice Healthcare Solutions, Inc. (“FCHS,” the “Company,” “we,” “our” or “us”) is engaged in the creation of state-of-the-art, multi-specialty “Medical Centers of Excellence” primarily in select markets in the southeastern region of the United States. We intend to own and operate these “Medical Centers of Excellence” under the FCHS brand.

We believe by integrating the synergistic mix of orthopedic, spine, neurology and interventional pain specialties with related diagnostic and ancillary services and state-of-the-art equipment and technologies all in one location, or a “Medical Center of Excellence,” we are able to:

  provide patients with convenient access to musculoskeletal and rehabilitative care via orthopedic, spine, neurology and interventional pain medicine treatment, diagnostics and ancillary care services, including, but not limited to magnetic resonance imaging (“MRI”), x-ray (“X-ray”), durable medical equipment (“DME”) and physical therapy (“PT”);

 

  empower physicians to collaborate as a unified care team, optimizing care coordination and improving outcomes; and

 

  advance the quality and cost effectiveness of our patients’ healthcare; and ultimately, achieve strong, sustainable financial performance that serves to create long-term value for our stockholders.

 

Our goal is to build a network of non-physician-owned and operated Medical Centers of Excellence in diverse locations, primarily throughout the southeastern region of the United States. By centralizing current and future Centers’ business management functions, including call center operations, scheduling, billing, compliance, accounting, marketing, advertising, legal, information technology and record-keeping, at our corporate headquarters, we will maintain efficiencies and scales of economies. We believe our structure will enable our staff physicians to focus on the practice of medicine and the delivery of quality care to the patients we serve, as opposed to having their time and attention focused on business administration responsibilities.

 

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES

 

A summary of the significant accounting policies applied in the presentation of the accompanying unaudited condensed financial statements follows:

 

General

 

The unaudited condensed combined pro forma balance sheet gives effect to the acquisition as if the Agreement had taken place on September 30, 2015 and combines CCSP’s unaudited condensed balance sheet as of September 30, 2015 with First Choice Healthcare Solutions, Inc.’s (FCHS) condensed balance sheet as of September 30, 2015. The unaudited condensed combined pro forma balance sheet gives effect to the acquisition as if the Agreement had taken place on September 30, 2015 and combines CCSP’s unaudited condensed balance sheet as of September 30, 2015 with FCHS’s condensed balance sheet as of September 30, 2015. These financial statements have been prepared in accordance with accounting principles generally accepted in the United States (“GAAP”) for interim financial information and the instructions to Form 10-Q and Rule 8-03 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by GAAP for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included.

 

Use of estimates

 

The preparation of financial statements in accordance with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosures of contingent assets and liabilities at the date of the financial statements, and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Significant estimates include the useful life of fixed assets.

 

Revenue recognition

 

The Company recognizes revenue in accordance with Accounting Standards Codification subtopic 605-10, Revenue Recognition (“ASC 605-10”) which requires that four basic criteria must be met before revenue can be recognized: (1) persuasive evidence of an arrangement exists; (2) delivery has occurred; (3) the selling price is fixed and determinable; and (4) collectability is reasonably assured. Determination of criteria (3) and (4) are based on management’s judgments regarding the fixed nature of the selling prices of the products delivered and the collectability of those amounts. Provisions for discounts and rebates to customers, estimated returns and allowances, and other adjustments are provided for in the same period the related sales are recorded.

 

The Company recognizes in accordance with Accounting Standards Codification subtopic 954-310, “Health Care Entities” (“ASC 954-310”), significant patient service revenue at the time the services are rendered, even though it does not assess the patient’s ability to pay.

 

Cash

 

Cash consists of cash held in bank demand deposits. The Company considers all highly liquid instruments with original maturities of three months or less to be cash equivalents.

 

Property and Equipment

 

Property and equipment are stated at cost. When retired or otherwise disposed, the related carrying value and accumulated depreciation are removed from the respective accounts and the net difference less any amount realized from disposition, is reflected in earnings. For financial statement purposes, property and equipment are recorded at cost and depreciated using the straight-line method over their estimated useful lives of 5 to 39 years.

 

5 

 

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.

NOTES TO PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

NOTE 2 - SIGNIFICANT ACCOUNTING POLICIES (continued)

 

VIE Consolidation 

 

ASC 810 provides guidance on the accounting for variable interest entities under US GAAP. Based on management’s interpretation of the six requirements of Accounting Standards Codification subtopic 810-15-22, the Company meets the definition of the primary beneficiary with control, without a majority equity interest, for consolidation of the Company’s financial position and operations with the financial position of CCSC Holdings, Inc. and its parent company, FCHS.

 

Fair value of financial instruments

 

Fair value estimates discussed herein are based upon certain market assumptions and pertinent information available to management as of September 30, 2015 and December 31, 2014. The respective carrying value of certain on-balance-sheet financial instruments approximated their fair values. These financial instruments include cash, accounts payable line of credit and advances. Fair values were assumed to approximate carrying values for cash and payables because they are short term in nature and their carrying amounts approximate fair values or they are payable on demand.

 

Recent accounting pronouncements

 

There were various updates recently issued, most of which represented technical corrections to the accounting literature or application to specific industries and are not expected to a have a material impact on the Company’s condensed financial position, results of operations or cash flows.

 

NOTE 3 - LIQUIDITY

 

As of September 30, 2015, the Company’s working capital deficit current liabilities minus current assets was $5,277,641. The Company’s owners have entered into an operating and control agreement giving CCSC Holdings Inc. a wholly owned subsidiary of First Choice Healthcare Solutions, Inc. (FCHS), a controlling variable interest in the Company. On November 12, 2015, the operating agreement was executed but made effective October 1, 2015.

 

NOTE 4 - PROPERTY AND EQUIPMENT

 

Property plant and equipment, at September 30, 2015, was $8,743,059 net of accumulated depreciation of $5,698,320.

 

During the nine months ended September 30, 2015, $787,850 was charge to operations depreciation expense.

 

NOTE 5 - OWNERS’ EQUITY

 

The Company’s membership interest as of November 2, 2015 was owned by CCSC Holdings, Inc., a wholly owned subsidiary of First Choice Healthcare Solutions, Inc. (“FCHS”) CCSC TBC Group, LLC, which is owned by Richard Hynes, M.D., FASC and Devin K. Datta, M.D., and HMA Blue Chip Investments, LLC (Blue Chip Surgical Center Partners), which developed and manages 17 world class ambulatory surgery centers across the United States.

 

Together, CCSC Holdings, Inc. and TBC Group own 75% interest in Crane Creek Surgical Partners. LLC. In accordance with the Crane Creek Restated and Amended Operating Agreement, CCSC Holdings, Inc. will exercise sufficient control over the business of Crane Creek that will allow FCHS to treat it as a variable interest entity (“VIE”), effective October 1, 2015.

 

6 

 

 

FIRST CHOICE HEALTHCARE SOLUTIONS, INC.

NOTES TO PRO FORMA CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

NOTE 6 - COMMITMENTS AND CONTINGENCIES

 

Operating and Control Agreement for the controlling variable interest in the Company.

 

FCHS has the power to make decisions that most significantly affect the economic performance of CCSP and to absorb significant losses or right to receive benefits that could potentially be significant. As a result, the Company will include the financial results of the VIE in its consolidated financial statements in accordance with generally accepted accounting principles.

 

NOTE 7 - SUBSEQUENT EVENTS

 

In accordance with FASB ASC 855 “Subsequent Events,” FCHS has evaluated subsequent events through the date the financial statements are available to be issued, January 25, 2016.

 

7