e425
Filed pursuant to Rule 425 under the Securities Act of 1933 and deemed filed
pursuant to Rule 14a-12 under the Securities Exchange Act of 1934
Filing Person: Metropolitan Health Networks, Inc.
Commission File No.: 001-32361
Subject Company: Continucare Corporation
Commission File No.: 001-12115
Metropolitan/Continucare Joint Conference Call
Monday, June 27, 2011
11:00a EDT
Introduction by Operator
Al Palombo
Thank you, Modesta. Good morning and thank you all for joining us in this call. My name is Al
Palombo and I am the Senior Vice President of Corporate Communications with Metropolitan. I am
pleased to kick off this call to discuss the proposed merger of Metropolitan Health Networks and
Continucare Corporation. A joint press release was issued early this morning by Metropolitan and
Continucare outlining this important transaction. There will be further communications in the
coming days about this deal. We also intend to file a registration statement, containing a
preliminary proxy statement/prospectus, in the near future.
With us on the call today are Mike Earley, Chairman and Chief Executive Officer of Metropolitan,
and Rick Pfenniger, Continucares Chairman, CEO and President.
1
Before we go further, I would like to remind everyone that except for historical matters contained
herein, statements made in todays call are forward-looking and are made pursuant to the safe
harbor provisions of the Private Securities Litigation Reform Act of 1995. Without limiting the
generality of the foregoing, words such as may, will, to, plan, expect, believe,
anticipate, intend, could, would, estimate, or continue or the negative other
variations thereof or comparable terminology are intended to identify forward-looking statements.
Such forward-looking statements include, but are not limited to, statements about the anticipated
benefits of the merger, including financial and operating results and benefits that may be
realized from the merger, Metropolitans and Continucares plans, objectives, expectations and
intentions and other statements contained in this presentation that are not historical facts. Such
forward-looking statements are inherently uncertain. Accordingly, you should not place any undue
reliance on any of the forward-looking statements in this presentation, which are subject to
numerous risks and uncertainties, and you should consider all of such information in light of the
various risks identified in this presentation and in the reports filed by Metropolitan and Continucare
with the SEC, as well as the other information that Metropolitan and Continucare provide with
respect to the pending merger.
Investors and others are cautioned that a variety of factors, including the following, among
others, could cause actual results to differ from those set forth in the forward-looking
statements: (i) the proposed merger may not be consummated for a number of reasons, including as a
result of the occurrence of any event, change or other circumstance that could give rise to
2
the termination of the merger agreement, and Metropolitan and Continucare will incur significant
fees and expenses regardless of whether the merger is consummated; (ii) if the merger is not
consummated under certain specified circumstances, Metropolitan or Continucare may be required to
pay the other a termination fee of up to $12 million, plus up to $1.5 million in fees and expenses;
(iii) the receipt of all required regulatory approvals and the satisfaction of the closing
conditions to the proposed merger, including approval of the pending transaction by the
shareholders of Continucare, and Metropolitans ability to complete the required financing as
contemplated by the merger agreement; (iv) Metropolitans ability to integrate the operations of
Continucare and realize the anticipated revenues, economies of scale and cost synergies in
connection with the transaction, including the potential for unanticipated issues, expenses and
liabilities associated with the merger and the risk that Continucare fails to meet its expected
financial and operating forecasts; (v) the potential for diversion of management time and resources
in seeking to complete the merger and integrate the operations of Continucare; (vi) the potential
failure to retain key employees of Continucare; (vii) the impact of Metropolitans significantly
increased levels of indebtedness as a result of the transaction on Metropolitans funding costs,
operating flexibility and ability to fund ongoing operations with additional borrowings,
particularly in light of ongoing volatility in the credit and capital markets; (viii) the potential
for dilution to Metropolitan shareholders as a result of the transaction; and (ix) the ability of
Metropolitan to operate pursuant to the terms of its debt obligations, including its obligations
under financings undertaken to complete the Continucare transaction. Metropolitan and Continucare
are also subject to the risks and uncertainties described in their respective filings with the SEC,
3
including Metropolitans Annual Report on Form 10-K for the year ended December 31, 2010, and its
Quarterly Report on Form 10-Q for the quarter ended March 31, 2011, and Continucares Annual Report
on Form 10-K for the fiscal year ended June 30, 2010, and its Quarterly Reports on Form 10-Q for
the quarters ended September 30, 2010, December 31, 2010 and March 31, 2011. Metropolitan and
Continucare disclaim any obligation to update and revise statements contained in todays call based
on new information or otherwise.
This presentation shall not constitute an offer of any securities for sale. In connection with the
pending transaction, Metropolitan will file with the SEC a Registration Statement on Form S-4 that
will include a proxy statement of Continucare that also constitutes a prospectus of Metropolitan.
Continucare will mail the definitive proxy statement/prospectus to its stockholders. We urge
investors and security holders to read the proxy statement/prospectus regarding the pending
transaction when it becomes available because it will contain important information. You may obtain
a free copy of the proxy statement/prospectus (when available) and other related documents filed by
Metropolitan and Continucare with the SEC at the SECs website at www.sec.gov. The proxy
statement/prospectus (when available) and the other documents filed by Metropolitan and Continucare
with the SEC may also be obtained for free by accessing Metropolitans website at www.metcare.com
and clicking on the Investors link then clicking on the link for SEC Filings or by accessing
Continucares website at www.continucare.com and clicking on the Investor Relations link and then
clicking on the link for SEC Filings. Copies of the proxy statement/prospectus and the filings
with the SEC that will be incorporated by reference in the proxy statement/prospectus can also be
obtained, free of
4
charge, by directing a request to Metropolitan, 777 Yamato Road, Suite 510, Boca Raton, Florida
33431 Attention: Al Palombo, or to Continucare, 7200 Corporate Center Drive, Suite 600, Miami,
Florida 33126, Attention: Fernando Fernandez.
Continucare, Metropolitan and their respective directors, executive officers and certain other
members of management and employees may be deemed to be participants in the solicitation of proxies
from shareholders of Continucare in favor of the pending transaction. Information regarding the
persons who may, under the rules of the SEC, be considered participants in the solicitation of
shareholders in connection with the pending transaction will be set forth in the proxy
statement/prospectus when it is filed with the SEC. You can find information about Continucares
executive officers and directors in its definitive proxy statement filed with the SEC on January
20, 2011. You can find information about Metropolitans executive officers and directors in its
definitive proxy statement filed with the SEC on May 2, 2011. You can obtain free copies of these
documents from Continucare or Metropolitan, respectively, using the same contact information
mentioned a moment ago.
With that lengthy legal dissertation complete, Ill now turn the call over to Mike Earley, go ahead
Mike.
Mike Earley
Thanks Al.
5
Good morning everyone. Let me first welcome Continucares investors and Continucares employees
to the call. Were pleased to have you with us. And to our investors and employees, thank you for
joining us as we discuss whats ahead.
Im thrilled to be able to announce and discuss with you all this important business combination
along with Rick Pfenniger, my counterpart at Continucare. Simply put, the pending acquisition of
Continucare is expected to be transformational for Metropolitan and its shareholders, bringing
together the talent, resources, experience and successes of these two great companies. For
Continucares shareholders, the sale to Metropolitan should represent a successful culmination of
their investment in a company that has been expertly developed and grown under the leadership of
Rick and his talented management team. For our two businesses, our respective shareholders and our
employees, I think we are indeed achieving a win-win situation.
We are excited about this transaction because it creates one of the largest Provider Services
Networks, or PSNs, in Florida, and in the country really, serving our base of Medicare Advantage
and Medicaid customers. This combination will give Metropolitan new markets, increased scale, as
well as additional expertise and capability, forming an even sturdier platform for growth within
Florida and outside our state. We will talk more about this in a few minutes.
For those on the call who arent familiar with one or either of our businesses, let me set the
stage. Metropolitan and Continucare are very similar
6
businesses in terms of business models, scale, types of customers served and operational and
financial success. What we dont share much are geographic markets.
7
Lets talk about our similarities
|
|
|
We both operate in Florida but in different counties. Both companies were founded in
the mid-90s and for the last several years have operated as PSNs or, another term, MSOs,
or Management Service Organizations. |
|
|
|
|
In the simplest of terms, we are both managed care companies in the truest sense of the
word. We think of ourselves as accountable care organizations, because, basically, thats
what we do...we provide care and are at risk for it. We both provide and coordinate
health care benefits to people with Medicare, in our case, and in Continucares case, to
Medicare and Medicaid beneficiaries. We care for other customers, too, on a
fee-for-service basis, but our government program business accounts for the vast majority
of our respective revenues. |
|
|
|
|
We are in these businesses through relationships with major health insurers, in our
case, with Humana. The majority of Continucares business is also with Humana, and they
have other client relationships with insurers, including Vista Healthplans and WellCare. |
|
|
|
|
The majority of our respective revenues come in the form of monthly premiums for each
of our customers, or monthly capitation as it is called in the industry, and for those
premiums we are responsible for providing and coordinating all of the health care benefits
for those customers. And as I mentioned, we are at-risk for the costs of delivering those
benefits. |
|
|
|
|
Our respective success is based upon our ability to receive the proper premium for our
customers and then to provide and coordinate care in |
8
|
|
|
an appropriate and cost-effective manner. Let me note that our two companies longstanding
business models have gained important recognition during the last two years as the nation
has debated health care reform and, indeed, in the specific reform legislation itself.
Fee-for-service is out, and payments for bundled services is in. Patient-centric,
accountable care, and coordination of care are all terms that have recently come forward as
solutions to the healthcare challenge our nation faces. Both of our companies have been
developing and practicing these very concepts in our business models, for years. Hence, we
believe this merger sets the stage for our long-term opportunity. |
|
|
|
|
In terms of size, we are both among the larger players in our industry, thus our
combination creates a true leader in Florida, and we think in the U.S. Both companies
have experienced strong and growing profitability and cash flow over the last years.
Neither company has any meaningful debt and each has accumulated rather significant cash
balances. |
We will discuss more about the details of our businesses and the combined company shortly, but I
hope you have a good snapshot of what Metropolitan and Continucare do and how we are positioned.
Lets now talk about the transaction.
The joint press release issued today provides the details of the proposed merger transaction and
that document represents the boundaries of our
9
communication today. This transaction involves two public companies and, as a result, our
discussions with you and all others are guided by the applicable SEC rules, regulations, and
guidance. We trust you appreciate that.
Let me now describe key points of the transaction
|
|
|
First, under the terms of the merger agreement, Metropolitan is acquiring the
outstanding common stock of Continucare for a combination of cash and shares of
Metropolitan. |
|
|
|
|
The per-share consideration is $6.25 in cash and 0.0414 of a share of Metropolitan
common stock. Based upon Fridays closing price of our stock, the value of the stock
component is approximately 20 cents. Combined, consideration totals $6.45 per share. Of
course, the actual value of the stock received at closing would be based on the price of
Metropolitan stock at the closing date. |
|
|
|
|
Total consideration to be paid for Continucare is approximately $416 million. |
|
|
|
|
Metropolitan will finance the acquisition using a portion of the cash balances of both
companies at closing plus debt financing. As of March 31, 2011, the two companies had a
combined cash balance of approximately $93 million. In terms of financing, Metropolitan
has secured a fully underwritten financing commitment in the amount of $355 million from a
leading health care lender, GE Capitals Healthcare Financial Services Unit. |
|
|
|
|
The Board of Directors for both companies unanimously approved the merger agreement,
and Continucares board has recommended that |
10
|
|
|
Continucares shareholders vote their shares in favor of the merger. In addition, Phillip
Frost, MD, and other shareholders affiliated with Dr. Frost, who collectively own
approximately 43% of Continucares outstanding common stock,
have agreed to vote their shares in favor of the merger agreement. A vote of a majority of Continucares outstanding
common stock will be required to approve the merger. |
|
|
|
|
The transaction is expected close in the third calendar quarter of 2011 and is subject
to standard closing conditions, including regulatory approvals and clearance under the
Hart-Scott-Rodino Act. |
So what will the combined enterprise look like?
|
|
|
From a financial standpoint, using results for the 12 months ended March 31, 2011,
combined revenues approach $660 million, and combined earnings before interest, taxes,
depreciation and amortization, or EBITDA, are approximately $90 million. In addition, we
have identified annual cost savings, principally from the elimination of public
company-related costs and the elimination of certain executive level positions. |
|
|
|
|
Metropolitan expects that this transaction will be accretive in 2012. |
|
|
|
|
From a markets standpoint, the combined enterprise will operate in 18 Florida counties,
and serve a number of important metropolitan areas in the state including, Miami, Ft.
Lauderdale, West Palm Beach, Daytona and Tampa. |
|
|
|
|
The combined enterprise will provide and coordinate care to over 68,000 Medicare
Advantage and Medicaid customers. One important aspect to this acquisition, Continucare
brings the Medicaid business to |
11
|
|
|
the company, an important future opportunity as Florida is moving to bring managed care to
its entire Medicaid population. |
|
|
|
|
Continucare owns 18 medical practices, these practices are caring for the majority of
their Medicare and Medicaid customers. These, combined with our owned-practices, brings
the total number of owned centers to 31. |
|
|
|
|
The combination expands the number of affiliated or contracted independent primary care
practices in the network to about 250. |
|
|
|
|
In Metropolitans business, we care for Humana Medicare Advantage members.
Continucare, while their largest relationship is also with Humana, they also enjoy
relationships with other health insurers, as I noted earlier. |
Obviously, as I have just outlined, the merger brings increased scale to Metropolitan in terms of
markets, customers, insurers, and owned medical practices. We have discussed the importance of
scale regularly with our shareholders over the last few years. The complexity, the increasing
challenges of providing and coordinating high quality, cost-effective health care services to the
growing Medicare, and now Medicaid, populations requires talented people, sophisticated systems and
the resources necessary to develop both. The Metropolitans and the Continucares of the world have
been able to do this, because of scale. Our combined enterprise will bring that much more scale to
bear. And that scale will allow us to meaningfully participate in both the consolidation of our
industry and in the expected growth of our markets.
12
I noted above that we have identified opportunities to save costs as we bring these two companies
together. I want to make an important point here. I dont want our investors or our employees to
think that the purpose of this transaction is to succeed by stripping out costs. It is not. The
opportunities to save costs are obvious and are isolated mainly to costs of running two public
companies and to certain senior executive level overlap. Beyond that, there may be additional
savings, but I suggest they will come from increased efficiencies due to our increased scale, and
more importantly, from harvesting best practices and in bringing together the best people within
our two organizations. Our markets overlap very little geographically. We need, and quite
frankly, are making this acquisition as much for the talented medical professionals, leaders,
managers and staff that Continucare enjoys. We need all the talent and help we can get if we are
to maximize the opportunities our industry is presenting us. So, I say to our employees, this
provides all of us even more opportunity as we expand our business, and to Continucares employees,
I say Welcome to our family. We look forward to working with you and to learning from you.
At this point Id like to turn the call over to Rick for his comments on the transaction...Rick.
Rick Pfenniger
Thanks Mike. As I indicated in this mornings press release, it really is a great day for all
parties involved in this transaction: For our employees, our shareholders, and ultimately the
customers we all serve.
13
As Mike described, Metropolitan and Continucare have spent over a decade establishing themselves as
outstanding providers of care for our customers in Florida and have very limited geographic overlap
in our service offerings. Our historical financial results have validated our independent business
models to date, and now, as our industry has evolved, it has become clear that we need to take our
scope and scale to the next level in order to continue to improve the way we provide the best
possible care to a growing population base, while continuing to create value to our shareholders.
Balancing the two is made easier only by understanding that longer term returns are generated by
improving customer outcomes through near term investments in resources, staffing, and best
practices. In other words: investing now in proactive measures to keep our customers healthier and
happier in the long term.
To competitively deliver these desired outcomes to a growing population of customers in Florida,
and potentially beyond our states borders, requires the talents and resources of both of our
companies combined, and thats exactly what we anticipate this transaction will achieve: It creates
an organization
14
that brings health care resources to our customers, value to our shareholders, provides stability
and growth opportunities to employees, and prepares us to achieve even greater success in an
industry that is filled with opportunities going forward. Quality and efficiency will be the
benchmarks of success in the businesses of Medicare and Medicaid in the near term and for the
foreseeable future, and with the demand for better and significantly more efficient health care
solutions emerging, this mornings announcement is a reflection of our drive to achieve the
capability and capacity to meet these growing demands. All in all we are very pleased to be making
todays announcement and will look forward to the consummation of the transaction in due course.
With that said Ill turn the call back to Mike.
Mike Earley
Thanks
Rick. That brings us to the end of our prepared statements on todays announcement. Now, Im sure many of you have questions so why dont we get started.
Operator may I have your assistance please?
* * *
15
Additional Information about this Transaction
This document shall not constitute an offer of any securities for sale. In connection with the
pending transaction with Continucare, Metropolitan will file with the SEC a Registration Statement
on Form S-4 that will include a proxy statement of Continucare that also constitutes a prospectus
of Metropolitan. Continucare will mail the definitive proxy statement/prospectus to its
stockholders. WE URGE INVESTORS AND SECURITY HOLDERS TO READ THE PROXY STATEMENT/PROSPECTUS
REGARDING THE PENDING TRANSACTION WHEN IT BECOMES AVAILABLE BECAUSE IT WILL CONTAIN IMPORTANT
INFORMATION. You may obtain a free copy of the proxy statement/prospectus (when available) and
other related documents filed by Metropolitan and Continucare with the SEC at the SECs website at
www.sec.gov. The proxy statement/prospectus (when available) and the other documents filed by
Metropolitan and Continucare with the SEC may also be obtained for free by accessing Metropolitans
website at www.metcare.com and clicking on the Investors link then clicking on the link for SEC
Filings or by accessing Continucares website at www.continucare.com and clicking on the Investor
Relations link and then clicking on the link for SEC Filings. Copies of the proxy
statement/prospectus and the filings with the SEC that will be incorporated by reference in the
proxy statement/prospectus can also be obtained, free of charge, by directing a request to
Metropolitan, 777 Yamato Road, Suite 510, Boca Raton, Florida 33431 Attention: Al Palombo, or to
Continucare, 7200 Corporate Center Drive, Suite 600, Miami, Florida 33126, Attention: Fernando
Fernandez.
Participants in this Transaction
Continucare, Metropolitan and their respective directors, executive officers and certain other
members of management and employees may be deemed to be participants in the solicitation of proxies
from shareholders of Continucare in favor of the pending transaction. Information regarding the
persons who may, under the rules of the SEC, be considered participants in the solicitation of
shareholders in connection with the pending transaction will be set forth in the proxy
statement/prospectus when it is filed with the SEC. You can find information about Continucares
executive officers and directors in its definitive proxy statement filed with the SEC on January
20, 2011. You can find information about Metropolitans executive officers and directors in its
definitive proxy statement filed with the SEC on May 2, 2011. You can obtain free copies of these
documents from Continucare or Metropolitan, respectively, using the contact information above.
16