-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Mjh0Qv5N36pyunKrggDGIVvnlPSmbefFf12ZDoDpzzR4Q3vTpKcFv4hq0e7418qK eCPZ2beH2kMOGXYH/4LlDg== 0000950144-05-005819.txt : 20050523 0000950144-05-005819.hdr.sgml : 20050523 20050523144526 ACCESSION NUMBER: 0000950144-05-005819 CONFORMED SUBMISSION TYPE: 10-Q PUBLIC DOCUMENT COUNT: 8 CONFORMED PERIOD OF REPORT: 20050331 FILED AS OF DATE: 20050523 DATE AS OF CHANGE: 20050523 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CONTINUCARE CORP CENTRAL INDEX KEY: 0000803352 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-SPECIALTY OUTPATIENT FACILITIES, NEC [8093] IRS NUMBER: 592716063 STATE OF INCORPORATION: FL FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: 10-Q SEC ACT: 1934 Act SEC FILE NUMBER: 001-12115 FILM NUMBER: 05850832 BUSINESS ADDRESS: STREET 1: 80 S W 8TH STREET STREET 2: SUITE 2350 CITY: MIAMI STATE: FL ZIP: 33130 BUSINESS PHONE: 3053507515 FORMER COMPANY: FORMER CONFORMED NAME: ZANART ENTERTAINMENT INC DATE OF NAME CHANGE: 19950420 FORMER COMPANY: FORMER CONFORMED NAME: XUMA CORP DATE OF NAME CHANGE: 19940606 10-Q 1 g95378e10vq.htm CONTINUCARE CORPORATION FORM 10-Q CONTINUCARE CORPORATION FORM 10-Q
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2005

OR

     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934

Commission File Number 001-12115

CONTINUCARE CORPORATION

(Exact name of registrant as specified in its charter)
     
Florida   59-2716023
(State or other jurisdiction
of incorporation or organization)
  (I.R.S. Employer Identification No.)

7200 Corporate Center Drive
Suite 600
Miami, Florida 33126

(Address of principal executive offices)
(Zip Code)

(305) 500-2000
(Registrant’s telephone number, including area code)

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months, and (2) has been subject to such filing requirements for the past 90 days. Yes x No o

Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes o No x

At May 2, 2005, the Registrant had 50,167,902 shares of $0.0001 par value common stock outstanding.

 
 

 


Table of Contents

CONTINUCARE CORPORATION

INDEX

             
PART I          
   
 
       
ITEM 1.          
   
 
       
        3  
   
 
       
        4  
   
 
       
        5  
   
 
       
        6  
   
 
       
        7  
   
 
       
ITEM 2.       13  
   
 
       
ITEM 3.       23  
   
 
       
ITEM 4.       23  
   
 
       
PART II          
   
 
       
ITEM 1.       24  
   
 
       
ITEM 2.       24  
   
 
       
ITEM 3.       24  
   
 
       
ITEM 4.       24  
   
 
       
ITEM 5.       24  
   
 
       
ITEM 6.       25  
   
 
       
SIGNATURES  
    26  
 LETTER AGREEMENT
 CONSULTING AGREEMENT
 SECTION 302 CERTIFICATION OF CEO
 SECTION 302 CERTIFICATION OF CFO
 CERTIFICATION PURSUANT TO SECTION 906
 CERTIFICATION PURSUANT TO SECTION 906

2


Table of Contents

PART I – FINANCIAL INFORMATION

ITEM 1. – FINANCIAL STATEMENTS

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS

                 
    March 31, 2005     June 30, 2004  
    (Unaudited)     (Restated)  
ASSETS
               
 
               
Current assets:
               
Cash and cash equivalents
  $ 7,132,935     $ 720,360  
Certificates of deposit, current
          101,515  
Other receivables
    223,505       423,215  
Due from HMOs, net of a liability for incurred but not reported medical claims expense of approximately $11,450,000 at March 31, 2005 and June 30, 2004
    2,395,324       2,701,878  
Prepaid expenses and other current assets
    825,715       890,806  
 
           
Total current assets
    10,577,479       4,837,774  
 
           
Certificates of deposit, restricted
    530,350       30,000  
Equipment, furniture and leasehold improvements, net
    724,260       492,054  
Goodwill, net
    14,342,510       14,342,510  
Managed care contracts, net of accumulated amortization of approximately $2,334,000 and $2,069,000, respectively
    1,178,251       1,442,858  
Deferred financing costs, net of accumulated amortization of approximately $885,000 and $222,500, respectively
          662,502  
Other assets, net
    67,305       100,483  
 
           
Total assets
  $ 27,420,155     $ 21,908,181  
 
           
 
               
LIABILITIES AND SHAREHOLDERS’ EQUITY
               
 
               
Current liabilities:
               
Accounts payable
  $ 529,999     $ 504,151  
Accrued expenses
    2,202,454       1,452,598  
Due to Medicare, net
    14,645       14,645  
Liabilities related to discontinued operations
    119,030       208,484  
Current portion of related party notes payable
    106,861       8,052  
Current portion of capital lease obligations
    89,450       81,163  
Note payable
    780,949        
Deferred revenue
    2,500,000       3,000,000  
 
           
Total current liabilities
    6,343,388       5,269,093  
Capital lease obligations, less current portion
    36,420       101,177  
Long term debt, less current portion
    29,077       29,077  
Related party notes payable, less current portion
          117,717  
 
           
Total liabilities
    6,408,885       5,517,064  
Commitments and contingencies
               
Shareholders’ equity:
               
Common stock; $0.0001 par value; 100,000,000 shares authorized, 53,357,895 shares issued and 50,321,602 shares outstanding at March 31, 2005 and 53,296,379 shares issued and 50,300,186 shares outstanding at June 30, 2004
    5,033       5,031  
Additional paid-in capital
    69,907,581       69,907,973  
Accumulated deficit
    (43,378,305 )     (48,097,186 )
Treasury stock (3,036,293 and 2,996,193 shares, respectively)
    (5,523,039 )     (5,424,701 )
 
           
Total shareholders’ equity
    21,011,270       16,391,117  
 
           
Total liabilities and shareholders’ equity
  $ 27,420,155     $ 21,908,181  
 
           

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

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Table of Contents

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (Unaudited)

                 
    Three-Months Ended March 31,  
    2005     2004  
Revenue:
               
Medical services revenue, net
  $ 29,608,640     $ 25,705,431  
Management fee revenue and other income
    166,801       195,274  
 
           
Total revenue
    29,775,441       25,900,705  
Operating expenses:
               
Medical services:
               
Medical claims
    21,976,703       18,984,500  
Other direct costs
    3,019,984       3,009,934  
 
           
Total medical services
    24,996,687       21,994,434  
 
           
Administrative payroll and employee benefits
    1,312,965       1,031,724  
General and administrative
    1,810,418       716,270  
 
           
Total operating expenses
    28,120,070       23,742,428  
 
           
Income from operations
    1,655,371       2,158,277  
Other income (expense):
               
Interest income
    40,223       716  
Interest expense
    (224,139 )     (253,602 )
 
           
Income from continuing operations
    1,471,455       1,905,391  
Loss from discontinued home health operations
          (394,156 )
 
           
 
Net income
  $ 1,471,455     $ 1,511,235  
 
           
 
               
Basic net income (loss) per common share:
               
Income from continuing operations
  $ .03     $ .05  
Loss from discontinued operations
          (.01 )
 
           
 
               
Net income per common share
  $ .03     $ .04  
 
           
 
               
Diluted net income (loss) per common share:
               
Income from continuing operations
  $ .03     $ .04  
Loss from discontinued operations
          (.01 )
 
           
 
               
Net income per common share
  $ .03     $ .03  
 
           
 
               
Weighted average common shares outstanding:
               
Basic
    50,345,997       42,599,649  
 
           
Diluted
    52,373,915       49,256,367  
 
           

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

4


Table of Contents

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (Unaudited)

                 
    Nine-Months Ended March 31,  
    2005     2004  
Revenue:
               
Medical services revenue, net
  $ 82,329,781     $ 74,812,607  
Management fee revenue and other income
    767,459       519,733  
 
           
Total revenue
    83,097,240       75,332,340  
Operating expenses:
               
Medical services:
               
Medical claims
    59,593,218       55,932,729  
Other direct costs
    9,717,310       8,761,813  
 
           
Total medical services
    69,310,528       64,694,542  
 
           
Administrative payroll and employee benefits
    3,780,809       2,918,040  
General and administrative
    5,148,457       4,297,005  
Gain on extinguishment of debt
    (500,000 )     (350,000 )
 
           
Total operating expenses
    77,739,794       71,559,587  
 
           
Income from operations
    5,357,446       3,772,753  
Other income (expense):
               
Interest income
    61,534       2,792  
Interest expense
    (700,099 )     (742,203 )
Medicare settlement related to terminated operations
          2,218,278  
 
           
Income from continuing operations
    4,718,881       5,251,620  
Income (loss) from discontinued operations:
               
Home health operations
          (1,666,934 )
Terminated IPAs
          73,091  
 
           
Loss from discontinued operations
          (1,593,843 )
 
           
 
Net income
  $ 4,718,881     $ 3,657,777  
 
           
 
               
Basic net income (loss) per common share:
               
Income from continuing operations
  $ .09     $ .12  
Loss from discontinued operations
          (.03 )
 
           
 
Net income per common share
  $ .09     $ .09  
 
           
 
               
Diluted net income (loss) per common share:
               
Income from continuing operations
  $ .09     $ .11  
Loss from discontinued operations
          (.03 )
 
           
 
Net income per common share
  $ .09     $ .08  
 
           
 
               
Weighted average common shares outstanding:
               
Basic
    50,319,126       42,452,016  
 
           
Diluted
    51,982,091       48,255,033  
 
           

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

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CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)

                 
    Nine-Months Ended March 31,  
    2005     2004  
CASH FLOWS FROM OPERATING ACTIVITIES
               
Net income
  $ 4,718,881     $ 3,657,777  
Loss from discontinued operations
          1,593,843  
 
           
Income from continuing operations
    4,718,881       5,251,620  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization, including amortization of deferred financing costs
    1,101,481       838,467  
Recognition of compensation expense related to issuance of stock options
    261,627        
Gain on extinguishment of debt
    (500,000 )     (350,000 )
Provision for bad debt
          104,296  
Medicare settlement related to terminated operations
          (2,218,278 )
Changes in operating assets and liabilities, excluding the effect of disposals:
               
Prepaid expenses and other current assets
    65,091       (16,076 )
Other receivables
    199,710       24,215  
Other assets
    33,178       (1,507 )
Due from HMO’s, net
    306,554       (1,635,615 )
Due to Medicare, net
          103,926  
Accounts payable and accrued expenses
    753,753       427,368  
 
           
Net cash provided by continuing operations
    6,940,275       2,528,416  
Net cash used in discontinued operations
    (89,454 )     (1,182,540 )
 
           
Net cash provided by operating activities
    6,850,821       1,345,876  
 
               
CASH FLOWS FROM INVESTING ACTIVITIES
               
Purchase of certificate of deposit
    (500,000 )      
Proceeds from maturities of certificates of deposit
    101,165       30,353  
Purchase of property and equipment
    (406,578 )     (64,070 )
 
           
Net cash used in continuing operations
    (805,413 )     (33,717 )
Net cash used in discontinued operations
          (938 )
 
           
Net cash used in investing activities
    (805,413 )     (34,655 )
 
               
CASH FLOWS FROM FINANCING ACTIVITIES
               
Proceeds from note payable
    1,040,000        
Payments on notes payable
    (259,051 )      
Payments on convertible subordinated notes
          (185,332 )
Payment of fees related to private placement transaction
    (98,244 )      
Payments on related party notes
    (4,358 )     (31,927 )
Principal repayments under capital lease obligation
    (56,470 )     (51,277 )
Proceeds from exercise of stock options
    91,700       351,369  
Net decrease in credit facility
          (27,396 )
Repurchase of common stock
    (346,410 )      
Payment of deferred financing costs
          (15,000 )
Repayments to Medicare per agreement
          (306,399 )
 
           
Net cash provided by (used in) continuing operations
    367,167       (265,962 )
Net cash used in discontinued operations
           
 
           
Net cash provided by (used in) financing activities
    367,167       (265,962 )
 
           
 
               
Net increase in cash and cash equivalents
    6,412,575       1,045,259  
Cash and cash equivalents at beginning of period
    720,360       160,743  
 
           
Cash and cash equivalents at end of period
  $ 7,132,935     $ 1,206,002  
 
           

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

6


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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2005
(UNAUDITED)

NOTE 1 — UNAUDITED INTERIM INFORMATION

The accompanying unaudited condensed consolidated financial statements of Continucare Corporation (“Continucare” or the “Company”) have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three and nine-month periods ended March 31, 2005 are not necessarily indicative of the results that may be expected for the remainder of the year ending June 30, 2005 or future periods. Except as otherwise indicated by the context, the terms the “Company” or “Continucare” mean Continucare Corporation and its consolidated subsidiaries. All references to a “fiscal year” refer to the Company’s fiscal year which ends June 30. As used herein, Fiscal 2006 refers to the fiscal year ending June 30, 2006. Fiscal 2005 refers to the fiscal year ending June 30, 2005, Fiscal 2004 refers to the fiscal year ended June 30, 2004, and Fiscal 2003 refers to the fiscal year ended June 30, 2003.

The balance sheet at June 30, 2004 has been derived from the Company’s audited financial statements at that date but does not include all of the information and notes required by accounting principles generally accepted in the United States for complete financial statements.

For further information, refer to the consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K/A for Fiscal 2004. These interim consolidated financial statements should be read in conjunction with the consolidated financial statements and notes to consolidated financial statements included in that report.

Certain reclassifications have been made to the prior year amounts to conform to the current year presentation.

NOTE 2

General

Continucare Corporation is a mixed model provider of primary care physician services on an outpatient basis in Florida. The Company provides medical services to patients through employee physicians, advanced registered nurse practioners and physician’s assistants. Additionally, the Company provides practice management services to independent physician affiliates (“IPAs”). Substantially all of the Company’s net medical services revenues are derived from managed care agreements with two health maintenance organizations, Humana Medical Plan, Inc. (“Humana”) and Vista Healthplan of South Florida, Inc. and its affiliated companies (“Vista”) (collectively, the “HMOs”). The Company was incorporated in 1996 as the successor to a Florida corporation formed earlier in 1996.

Restatement

On May 13, 2005, the Company announced that it had discovered and was analyzing the impact of a latent error in an automated software system used to submit particular patient data to one of its HMO affiliates. Because the data formed an element of the HMO’s calculation of payments due to the Company, the error resulted in the Company over-stating revenue associated with that one HMO. The patient data submitted through the software’s use was confined to the one HMO. The error did not impact revenue associated with any of the Company’s other HMO affiliates and had no material effect on the Company’s financial position or results of operations as of and for the three and nine-months ended March 31, 2004. As a result of this development the Audit Committee of our Board of Directors concluded, upon the recommendation of management, that the Company was required to restate its previously issued financial statements for the Fiscal Year ended June 30, 2004, for the three-months ended September 30, 2004, and for the three and six-months ended December 31, 2004. Concurrently with the filing of this Quarterly Report on Form 10-Q the Company is filing its restated financial statements for those periods with the Securities and Exchange Commission. The Company believes that it has corrected the software error and that it is now able to submit correct patient data.

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Table of Contents

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2005
(UNAUDITED)

Business

In an effort to streamline operations and stem operating losses, effective January 1, 2003, the Company terminated the Medicare and Medicaid lines of business for all of the IPA physician contracts associated with one HMO, which consisted of 29 physicians at the time of the termination. Additionally, in December 2003, the Company implemented a plan to dispose of its home health operations. The home health disposition occurred in three separate transactions and was concluded on February 7, 2004. As a result of these transactions, the operations of the terminated IPAs and the home health operations are shown as discontinued operations. (See Note 5.)

During the nine-month period ended March 31, 2005, the Company’s claims loss ratio (medical claims expense as a percentage of medical services revenue) improved as compared to the corresponding period of Fiscal 2004 due primarily to an increase in revenue from higher per member premiums for Medicare members resulting from the Medicare Prescription Drug Improvement and Modernization Act of 2003 (the “Medicare Modernization Act”) and the increased phase-in of the Medicare risk adjustment program. In response to the Medicare Modernization Act, the HMOs enhanced benefits offered to their Medicare members. The Company anticipates that these benefit changes will result in an increase in medical claims expense and may result in an increase in the claims loss ratio in future periods. Increases in the claims loss ratio could reduce the Company’s profitability and cash flows in future periods. The Company cannot predict what impact, if any, these developments may have on its results of operations.

NOTE 3 – RECENT ACCOUNTING PRONOUNCEMENTS

On December 16, 2004, the Financial Accounting Standards Board (FASB) issued FASB Statement No. 123 (revised 2004), Share-Based Payment (Statement 123(R)), which is a revision of FASB Statement No. 123, Accounting for Stock-Based Compensation (Statement 123). Statement 123(R) supersedes APB Opinion No. 25, Accounting for Stock Issued to Employees, and amends FASB Statement No. 95, Statement of Cash Flows. Generally, the approach in Statement 123(R) is similar to the approach described in Statement 123. However, Statement 123(R) requires all share-based payments to employees, including grants of employee stock options, to be recognized in the income statement based on their fair values. Pro forma disclosure is no longer an alternative. Statement 123(R) must be adopted as of the beginning of the first annual reporting period that begins after June 15, 2005. Early adoption is permitted in periods in which financial statements have not yet been issued. The Company expects to adopt Statement 123(R) for the first quarter of Fiscal 2006.

As currently permitted by Statement 123, the Company accounts for share-based payments to employees using the intrinsic value method under “Accounting for Stock Issued to Employees,” Accounting Principles Board Opinion No. 25 (“APB No. 25”), and, as such, generally recognizes no compensation cost for employee stock options. Accordingly, the adoption of Statement 123(R)’s fair value method is expected to have a significant impact on our results of operations for periods after its adoption by the Company, although it will have no impact on our overall financial position. The precise impact of adoption of Statement 123(R) cannot be predicted at this time because it will depend on levels of share-based payments granted in the future. However, had we adopted Statement 123(R) in prior periods, the impact of that standard would have approximated the impact of Statement 123 as described in the disclosure of pro forma net income and earnings per share in Note 4 below. Statement 123(R) also requires the benefits of tax deductions in excess of recognized compensation cost to be reported as a financing cash flow, rather than as an operating cash flow as required under current literature. This requirement will reduce net operating cash flows and increase net financing cash flows in periods after adoption. While the Company cannot estimate what those amounts will be in the future (because they depend on, among other things, when employees exercise stock options), there was no impact on operating cash flows recognized in prior periods for such excess tax deductions.

NOTE 4 – STOCK BASED COMPENSATION

The Company follows APB No. 25 and related Interpretations in accounting for its employee stock options. Under APB No. 25, when the exercise price of the Company’s employee stock options equals or exceeds the market price of the underlying stock on the date of grant, no compensation expense is recognized. As discussed in Note 3 above, FASB has adopted FASB Statement No. 123(R) which is expected, upon adoption by the Company for the first

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2005
(UNAUDITED)

quarter of Fiscal 2006, to significantly modify the accounting for employee stock options by the Company and is expected to have a significant impact on our results of operations.

Stock options issued to independent contractors or consultants are accounted for in accordance with Statement 123.

Although the Company follows APB No. 25 for its employee stock options, SFAS No. 148, “Accounting for Stock Based Compensation–Transition and Disclosure,” requires the Company to disclose pro forma results of operations as if the Company’s stock options had been accounted for using the fair value provisions of Statement 123. The Company’s pro forma information follows:

                                 
    Three-Months Ended     Nine-Months Ended  
    March 31,     March 31,  
    2005     2004     2005     2004  
Net income as reported
  $ 1,471,455     $ 1,511,235     $ 4,718,881     $ 3,657,777  
Add:
                               
Total stock-based employee compensation expense in reported net income
                261,627        
Deduct:
                               
Total stock-based employee compensation expense determined under SFAS No. 123 for all awards
    (511,061 )     (186,000 )     (1,139,446 )     (249,000 )
 
                       
Pro forma net income
  $ 960,394     $ 1,325,235     $ 3,841,062     $ 3,408,777  
 
                               
Basic net income per common share:
                               
As reported
  $ .03     $ .04     $ .09     $ .09  
Pro forma
  $ .02     $ .03     $ .08     $ .08  
 
                               
Diluted net income per common share:
                               
As reported
  $ .03     $ .03     $ .09     $ .08  
Pro forma
  $ .02     $ .03     $ .07     $ .07  

NOTE 5 – DISCONTINUED OPERATIONS

In an effort to streamline operations and stem operating losses, effective January 1, 2003, the Company terminated its Medicare and Medicaid lines of business for all of the IPAs associated with one HMO. The terminated IPAs did not contribute any revenue but generated operating income of approximately $73,000 during the three-month period ended September 30, 2003 and none thereafter. The operating income was primarily the result of a settlement with the HMO which eliminated all amounts due to and amounts due from the HMO.

In December 2003, the Company implemented a plan to dispose of its home health operations. The disposition occurred in transactions with three entities that acquired substantially all of the existing home health operations in separate transactions that concluded in February 2004. In two of the transactions, the employees and patients of the Company’s Medicare certified home health agencies in Broward and Miami-Dade Counties of Florida were transferred to the acquirer and no assets or liabilities were transferred. In the third transaction, the Company sold the stock of its private duty home health agency subsidiary for a cash purchase price of $9,000. The Company retained all of the related accounts receivable, as well as all obligations for accounts payable which existed as of the date of the sale. In accordance with Statement of Financial Accounting Standard No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets,” the home health operations are shown as discontinued operations.

The home health operations contributed revenue of $0.5 million and $3.1 million and generated losses of $0.4 million and $1.2 million during the three and nine-months ended March 31, 2004, respectively, prior to recording a disposal charge of $0.5 million and before any corporate overhead allocation or interest expense.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2005
(UNAUDITED)

NOTE 6 – DEFERRED REVENUE

In April 2003, the Company executed a Physician Group Participation Agreement with Humana (the “Humana PGP Agreement”). Pursuant to the Humana PGP Agreement, the Company agreed to assume certain management responsibilities on a non-risk basis for Humana’s Medicare, commercial and Medicaid members assigned to selected primary care physicians in Miami-Dade and Broward Counties of Florida. Revenue from this contract consists of a monthly management fee intended to cover the costs of providing these services. The initial term of the Humana PGP Agreement ended in March 2005 but the term of the Humana PGP Agreement continues by its terms until the agreement is cancelled by either party subject to prior notice. The Company is engaged in discussions with Humana regarding a possible modification and extension of the Humana PGP Agreement, but it is not possible to predict at this time whether the Company will ultimately agree to modify or agree to extend the Humana PGP Agreement. In addition, any modification or extension that the Company agrees to may be on different terms and provide for different obligations on the part of the respective parties than the terms and obligations currently provided for in the Humana PGP Agreement.

Simultaneously with the execution of the Humana PGP Agreement, the Company restructured the terms of a $3.9 million contract modification note with Humana. Pursuant to the restructuring, the contract modification note was cancelled. The Humana PGP Agreement contained a provision for liquidated damages in the amount of $4.0 million, which could be asserted by Humana under certain circumstances. Under the terms of the Humana PGP Agreement, if the Company remains in compliance with the terms of the agreement, Humana, at its option, may reduce the maximum amount of liquidated damages at specified dates during the term of the Humana PGP Agreement. To the extent that Humana reduced the maximum amount of liquidated damages, the Company recognized a gain from extinguishments of debt in a corresponding amount. In April 2005, the Company was notified that the entire remaining amount of the potential liquidated damages (totaling $2.5 million) had been eliminated. Accordingly, the Company will recognize the final $2.5 million of deferred revenue as a gain on extinguishment of debt during the three-month period ending June 30, 2005.

NOTE 7 – NOTE PAYABLE AND CREDIT FACILITY

On December 30, 2004, the Company received cash of $1,040,000 from Humana in exchange for an unsecured, non-interest bearing promissory note for an equal amount. The promissory note is payable in 12 monthly installments of $86,666, through December 1, 2005, but Continucare can prepay the promissory note in full or in part at any time without penalty or premium. Amounts due under the promissory note are subject to acceleration upon the happening of customary events of default, including the failure to make payments of principal.

The Company has in place a credit facility that provides for a revolving loan to the Company of $3.0 million (the “Credit Facility”). Effective March 31, 2005, the Company obtained an extension of the maturity date for the Credit Facility until March 31, 2006. Prior to the extension of the maturity date, the Credit Facility was personally guaranteed by Dr. Frost, a principal shareholder of the Company and member of the Board of Directors. Dr. Frost’s personal guarantee was not required in order to obtain the most recent extension of the maturity date for the Credit Facility. All other terms of the Credit Facility remained substantially unchanged, except for the addition of a requirement that the Company maintain a minimum cash and cash equivalent balance of $1.0 million.

At March 31, 2005, there was no outstanding principal balance on the Credit Facility. Interest under the Credit Facility is payable monthly at 2.9% plus the 30-day Dealer Commercial Paper Rate, which was 2.71% at March 31, 2005. All assets of the Company serve as collateral for the Credit Facility.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2005
(UNAUDITED)

NOTE 8 – INCOME/LOSS PER SHARE

A reconciliation of the denominator of the basic and diluted earnings per share computation for income from continuing operations is as follows:

                                 
    Three-Months Ended     Nine-Months Ended  
    March 31,     March 31,  
    2005     2004     2005     2004  
Basic weighted average number of shares outstanding
    50,345,997       42,599,649       50,319,126       42,452,016  
Dilutive effect of stock options
    1,950,273       1,831,717       1,575,620       978,016  
Dilutive effect of convertible debt
    77,645       4,825,001       87,345       4,825,001  
 
                       
Diluted weighted average number of shares outstanding
    52,373,915       49,256,367       51,982,091       48,255,033  
 
                       
 
                               
Not included in calculation of dilutive earnings per share as impact is antidilutive:
                               
Stock options outstanding.
    150,000       450,000       150,000       450,000  
Warrants
    760,000       760,000       760,000       760,000  

NOTE 9 – DIRECTOR COMPENSATION

For Fiscal 2004, the Company’s Directors did not receive any cash compensation for service on the Board of Directors but were reimbursed for certain expenses in connection with attendance at Board meetings or other meetings on the Company’s behalf. For Fiscal 2005, non-employee Directors will receive an annual cash retainer of $15,000. In addition, for Fiscal 2005, the Chairmen of the Nominating and Compensation Committees will receive an additional cash retainer of $2,500 and the Chairman of the Audit Committee will receive an additional cash retainer of $5,000. Also, during the three-month period ended September 30, 2004, each non-employee Board member of the Company was granted fully vested options to purchase 20,000 shares of common stock at an exercise price of $1.35 per share, and one Board member was granted additional options to purchase 20,000 shares of common stock at an exercise price of $1.35 per share in connection with his initial appointment to the Board. Of the additional options granted to the Company’s new Board member, 6,666 vested immediately and the remaining 13,334 vest over a two-year period. In accordance with APB No. 25, no expense was recognized for these options since the exercise price equaled the market price of the underlying stock on the date of grant.

NOTE 10 – INCOME TAXES

No provision for income taxes was recorded in the three and nine-month periods ended March 31, 2005 and 2004 due primarily to the utilization of prior year net operating loss carryforwards. The Company periodically performs an analysis of the realizability of its deferred tax assets based on its assessment of current and expected operating results. During the three and nine-month periods ended March 31, 2005, the valuation allowance for deferred tax assets was reduced by $410,885 and $1,357,917, respectively, due to the utilization of deferred tax assets to offset income tax liabilities that were generated from current operations.

NOTE 11 — CONTINGENCIES

The Company is a party to the case of JOAN LINDAHL v. HUMANA MEDICAL PLAN, INC., COLUMBIA HOSPITAL CORPORATION OF SOUTH BROWARD d/b/a WESTSIDE REGIONAL MEDICAL CENTER, INPHYNET CONTRACTING SERVICES, INC., CONTINUCARE MEDICAL MANAGEMENT, INC., LUIS GUERRERO AND JARSLAW PARKOLAP. This case was filed on January 24, 2002 in the Circuit Court of the 17th Judicial Circuit in and for Broward County, Florida and served on the companies and individuals in February 2003. The complaint alleges vicarious liability for medical malpractice. The Company intends to defend itself

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2005
(UNAUDITED)

against this case vigorously, but its outcome cannot be predicted. The Company’s ultimate liability, if any, with respect to the lawsuit is presently not determinable.

In August 2004, the Company received a Notice of Intent to Initiate Litigation for Medical Negligence from legal counsel to the personal representative of the estate of a former patient. In March 2005, the Company settled this claim. The ultimate liability did not exceed the accrual recorded for such claim.

In February 2005, the Company received a Notice of Intent to Initiate Litigation for Medical Negligence from legal counsel to the personal representative of the estate of a former patient. In March 2005, the Notice of Intent to Initiate Litigation for Medical Negligence was withdrawn.

The Company is a party to the case of MAUREEN MCCANN, AS PERSONAL REPRESENTATIVE OF THE ESTATE OF WALTER MCCANN v. AJAIB MANN, M.D. AND CONTINUCARE CORPORATION. This case was filed on April 5, 2005, in the Circuit Court of the Seventeenth Judicial Circuit in and for Broward County, Florida. The complaint alleges vicarious liability for medical malpractice. The Company intends to defend itself against this case vigorously, but its outcome cannot be predicted. The Company’s ultimate liability, if any, with respect to the lawsuit is presently not determinable.

In May 2005, the Company received a Notice of Intent to Initiate Litigation for Medical Negligence from legal counsel to a former patient. The notice alleges negligence in the treatment of the former patient that resulted in injury and reduced life expectancy. The notice does not allege any specific damages. The Company intends to investigate this claim and defend itself vigorously, but the outcome of this matter is not presently determinable. The Company’s ultimate liability, if any, with respect to this matter is not presently determinable.

The Company is also involved in other legal proceedings incidental to its business that arise from time to time out of the ordinary course of business including, but not limited to, claims related to the alleged malpractice of employed and contracted medical professionals, workers’ compensation claims and other employee-related matters, and minor disputes with equipment lessors and other vendors. The Company has recorded an accrual for medical malpractice claims, which includes amounts for insurance deductibles and projected exposure, based on management’s estimate of the ultimate outcome of such claims. The amount of our ultimate liability, if any, in these matters is not presently determinable and our ultimate liability may exceed our accrual for such claims.

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ITEM 2.  MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

     Unless otherwise indicated or the context otherwise requires, all references in this Form 10-Q to “we,” “us,” “our,” “Continucare” or the “Company” refers to Continucare Corporation and its consolidated subsidiaries.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

     We caution our investors that certain important factors may affect our actual results and could cause such results to differ materially from any forward-looking statement which may have been deemed to have been made in this report or which are otherwise made by us or on our behalf. For this purpose, any statements contained in this report that are not statements of historical fact may be deemed to be forward-looking statements. Without limiting the generality of the foregoing, words such as “may,” “will,” “expect,” “believe,” “anticipate,” “intend,” “plan,” “predict,” “should,” “potential,” “could,” “would,” “estimate,” “continue” or “pursue,” or the negative other variations thereof or comparable terminology are intended to identify forward-looking statements. Such statements include, but are not limited to the following:

  •   Our ability to make capital expenditures and respond to capital needs;
  •   Our ability to enhance the services we provide to our patients;
  •   Our ability to strengthen our medical management capabilities;
  •   Our ability to improve our physician network;
  •   Our ability to enter into or renew our managed care agreements and negotiate terms which are favorable to us and affiliated physicians;
  •   Our ability to respond to future changes in Medicare reimbursement levels and reimbursement rates from other third parties;
  •   Our recognition of Medicare risk adjustments and the timing of any Medicare risk adjustment payments;
  •   Our compliance with applicable laws and regulations and the terms of our agreements with our HMO affiliates;
  •   Our ability to establish relationships and expand into new geographic markets;
  •   The potential impact on our claims loss ratio as a result of the Medicare Risk Adjustments (“MRA”) and the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (the “Medicare Modernization Act”), including any changes that may result from HMOs enhancing the benefits they offer to their Medicare members;
  •   Our intentions with respect to the timing of our recognition of any remaining portion of the deferred gain under the Humana PGP Agreement;
  •   The potential impact of FASB Statement No. 123(R);
  •   Our belief that we have corrected the previously disclosed error in one of our software systems;
  •   Our ability to utilize our net operating losses for Federal income tax purposes; and
  •   Our receipt of additional Medicare Advantage distributions in future periods.

     Forward-looking statements involve risks and uncertainties that cannot be predicted or quantified and, consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Such risks and uncertainties include, but are not limited to the following:

  •   Our dependence on two HMOs for substantially all of our revenues;
  •   Our ability to enter into and renew managed care provider arrangements on acceptable terms;
  •   Our ability to work effectively together with our HMO affiliates, including the fact that we depend upon our HMO affiliates to determine the payments we receive for certain of our managed care operations based, in part, on information that we submit to them;
  •   Our ability to respond to capital needs;
  •   Our ability to achieve expected levels of patient volumes and control the costs of providing services;

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  •   Pricing pressures exerted on us by managed care organizations;
  •   The level of payments we receive from governmental programs and other third party payors, including the amount and timing of any Medicare risk adjustment payments to which we may be entitled;
  •   Our ability to successfully recruit and retain qualified medical professionals;
  •   Future legislative changes in governmental regulations, including possible changes in Medicare programs that may impact reimbursements to health care providers and insurers;
  •   Our ability to comply with applicable laws and regulations and the terms of our agreements with our HMO affiliates;
  •   The impact of the Medicare Modernization Act and MRA on payments we receive for our managed care operations;
  •   Technological and pharmaceutical improvements that increase the cost of providing, or reduce the demand for, health care;
  •   That we have not fully corrected that software error or that other undetected errors may exist in that software or our other software systems;
  •   That the previously disclosed software error affected other data that we submitted to our HMO affiliates or that the extent of the reporting errors were greater than currently estimated;
  •   Changes in our revenue mix and claims loss ratio;
  •   Our ability to enter into and renew managed care provider agreements on acceptable terms;
  •   Loss of significant contracts, including the Humana PGP Agreement;
  •   Delays in receiving payments;
  •   Increases in the cost of insurance coverage, including our stop-loss coverage, or the loss of insurance coverage;
  •   The collectibility of our uninsured accounts and deductible and co-pay amounts;
  •   Our ability to accurately estimate our liability for medical claims incurred but not reported (IBNR);
  •   Federal and state investigations;
  •   Lawsuits for medical malpractice and the outcome of any such litigation;
  •   Changes in estimates and judgments associated with our critical accounting policies;
  •   Our utilization of and dependence on the management information systems of our HMO affiliates; including the need for our information systems to effectively integrate with those of our HMO affiliates;
  •   Impairment charges that could be required in future periods;
  •   The impact on us if our internal controls over financial reporting required under Section 404 of the Sarbanes-Oxley Act are found not to be effective, including the risk that we may be deemed to have one or more significant deficiencies or material weaknesses in our internal controls over financial reporting;
  •   General economic conditions; and
  •   Uncertainties generally associated with the health care business.

     We assume no responsibility to update our forward-looking statements as a result of new information, future events or otherwise except as required by law. Additional information concerning these and other risks and uncertainties is contained in our filings with the Securities and Exchange Commission, including the section entitled “Risk Factors” in our Annual Report on Form 10-K/A for the year ended June 30, 2004.

General

     We are a mixed model provider of primary care physician services. Through our network of 15 medical centers and 29 IPAs located in Miami-Dade, Broward and Hillsborough Counties, Florida, we were responsible for providing primary care medical services or overseeing the provision of primary care services by affiliated physicians to approximately 13,660 patients on a full risk basis and approximately 14,470 patients on a limited or non-risk basis as of March 31, 2005. For the nine-months ended March 31, 2005, approximately 95% of our revenue was

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generated by providing services to Medicare-eligible members under full risk arrangements that require us to assume responsibility to provide and pay for all of our patients’ medical needs in exchange for a capitated fee, typically a percentage of the premium received by an HMO from various payor sources.

     In an effort to streamline and stem operating losses, effective January 1, 2003, we terminated the Medicare and Medicaid lines of business for all of the physician contracts associated with one of our IPAs. Additionally, in December 2003, we implemented a plan to dispose of our home health operations. The home health disposition occurred in three separate transactions and was concluded in February 2004. As a result of these transactions, the operations of the terminated IPAs and our home health operations are shown as discontinued operations.

Restatement

     On May 13, 2005 we announced that we had discovered and were analyzing the impact of a latent error in an automated software system used to submit particular patient data to one of our HMO affiliates. Because the data formed an element of the HMO’s calculation of payments due to us, the error resulted in us over-stating revenue associated with that one HMO. The patient data submitted through the software’s use was confined to the one HMO. The error did not impact revenue associated with any of our other HMO affiliates and had no material effect on our financial position or results of operations as of and for the three and nine-months ended March 31, 2004. As a result of this development the Audit Committee of our Board of Directors concluded, upon the recommendation of management, that we were required to restate our previously issued financial statements for the Fiscal Year ended June 30, 2004, for the three months ended September 30, 2004, and for the three and six months ended December 31, 2004. Concurrently with the filing of this Quarterly Report on Form 10-Q we are filing our restated financial statements for those periods with the Securities and Exchange Commission. We believe that we have corrected the software error and that we are now able to submit correct patient data.

Medicare Considerations

     Substantially all of our net medical services revenue from continuing operations is based upon Medicare funded programs. The federal government and state governments, including Florida’s, from time to time explores ways to reduce medical care costs through Medicare reform and through health care reform generally. Any changes that would limit, reduce or delay receipt of Medicare funding or any developments that would disqualify us from receiving Medicare funding could have a material adverse effect on our business, results of operations, prospects, financial results, financial condition or cash flows. Due to the diverse range of proposals put forth and the uncertainty of any proposal’s adoption, we cannot predict what impact any Medicare reform proposal ultimately adopted may have on our business, financial position or results of operations.

Critical Accounting Policies and Estimates

     Our significant accounting policies are described in Note 2 to the consolidated financial statements included in our Annual Report on Form 10-K/A for the fiscal year ended June 30, 2004. Included within these policies are certain policies which contain critical accounting estimates and, therefore, have been deemed to be “critical accounting policies.” Critical accounting estimates are those which require management to make assumptions about matters that were uncertain at the time the estimate was made and for which the use of different estimates, which reasonably could have been used, or changes in the accounting estimates that are reasonably likely to occur from period to period, could have a material impact on the presentation of our financial condition, changes in financial condition or results of operations.

     We base our estimates and assumptions on historical experience, knowledge of current events and anticipated future events, and we continuously evaluate and update our estimates and assumptions. However, we may be required to make assumptions and estimates concerning future events or concerning prior events of which we may have limited, incorrect or incomplete knowledge. We may also be required to choose among equally reasonable assumptions or estimates concerning matters on which fully informed people could reasonably differ. As a result our estimates and assumptions may ultimately prove to be incorrect or incomplete and our actual results may differ

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materially. We believe the following critical accounting policies involve the most significant judgments and estimates used in the preparation of our consolidated financial statements.

Revenue Recognition

     Revenue is recorded in the period services are rendered as determined by the respective contract. Under our full risk arrangements with HMOs, we receive a percentage of premium or other capitated fee for each patient that chooses one of our physicians as their primary care physician and we assume responsibility for the cost of all medical services, even those we do not provide directly. To the extent that patients require more frequent or expensive care, our revenue under a contract may be insufficient to cover the costs of care provided. When it is probable that expected future health care costs and maintenance costs under a contract or group of existing contracts will exceed anticipated capitated revenue on those contracts, we recognize losses on our prepaid health care services with HMOs. No contracts were considered loss contracts at March 31, 2005, because we have the right to terminate unprofitable physicians and close unprofitable centers under our managed care contracts.

     Under our limited risk and non-risk arrangements with HMOs, we receive a management or capitation fee based on the number of patients for which we are providing services on a monthly basis. The management or capitation fee is recorded as revenue in the period in which services are provided as determined by the respective contract.

Medical Claims Expense Recognition

     The cost of health care services provided or contracted for is accrued in the period in which the services are provided and includes an estimate of the related liability for medical claims incurred during the period but not yet reported to us, or IBNR. Estimating IBNR involves a significant amount of judgment and represents a material portion of our medical claims liability which is presented in the balance sheet net of amounts due from HMOs. Changes in this estimate can materially affect, either favorably or unfavorably, our reported results from operations and overall financial position.

     We develop our estimate of IBNR primarily based on historical claims incurred per member per month. We adjust our estimate if we have unusually high or low inpatient utilization and if benefit changes provided under the HMO plans are expected to significantly increase or reduce our claims exposure. We also adjust our estimate for differences between the estimated claims expense recorded in prior months to actual claims expense as claims are paid by the HMO and reported to us.

     To further corroborate our estimate of medical claims, an independent actuarial calculation is performed for us on a quarterly basis. This independent actuarial calculation indicates that IBNR as of March 31, 2005 was between approximately $11.2 million and $11.8 million. Based on our internal analysis and the independent actuarial calculation, as of March 31, 2005, we recorded a liability of approximately $11.5 million for IBNR.

Consideration of Impairment Related to Goodwill and Other Intangible Assets

     Our balance sheet includes intangible assets, including goodwill and other separately identifiable intangible assets, which represented approximately 57% of our total assets as of March 31, 2005. Under Statement of Financial Accounting Standards No. 142, “Goodwill and Other Intangible Assets,” goodwill and intangible assets with indefinite useful lives are no longer amortized, but are reviewed for impairment on an annual basis or more frequently if certain indicators of permanent impairment arise. Intangible assets with definite useful lives are amortized over their respective useful lives to their estimated residual values and also reviewed for impairment annually, or more frequently if certain indicators of premature permanent impairment arise. Indicators of a premature permanent impairment include, among other things, a significant adverse change in legal factors or the business climate, the loss of a key HMO contract, an adverse action by a regulator, unanticipated competition, and the loss of key personnel or allocation of goodwill to a portion of business that is to be sold.

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     Because we operate in a single segment of business, that of managing the provision of outpatient health care and health care related services in the State of Florida, management has determined that we have a single reporting unit and we perform our impairment test for goodwill on an enterprise level. In performing the impairment test, we compare our fair value, as determined by the current market value of our common stock, to the current carrying value of the total net assets, including goodwill and intangible assets. We perform an annual impairment test as of May 1st of each year. Should we determine that an indicator of impairment has occurred, such as those noted above, we would be required to perform an additional impairment test. Depending on the market value of our common stock at the time that an impairment test is required, there is a risk that a portion of our intangible assets would be considered impaired and must be written-off during that period.

RESULTS OF OPERATIONS

     The following discussion and analysis should be read in conjunction with the unaudited condensed consolidated financial statements and notes thereto appearing elsewhere in this Form 10-Q.

COMPARISON OF THE THREE-MONTH PERIOD ENDED MARCH 31, 2005 TO THE THREE- MONTH PERIOD ENDED MARCH 31, 2004

Revenue from Continuing Operations

     Medical services revenue increased by $3.9 million, or 15.2%, to $29.6 million for the three-month period ended March 31, 2005, from $25.7 million for the three-month period ended March 31, 2004. The most significant component of our medical services revenue is the revenue we generate from Medicare patients under full risk arrangements. During the three-months ended March 31, 2005 revenue generated by our Medicare full risk arrangements increased approximately 20.5% on a per patient per month basis over the comparable period of Fiscal 2004, which was partially offset by a decrease of approximately 3.9% in Medicare patients months over the comparable period of the prior year. The increase in Medicare revenue was primarily due to higher per patient per month premiums resulting from the Medicare Modernization Act and the increased phase-in of the Medicare risk adjustment program, both of which became effective in January 2004. Under the Medicare risk adjustment program, the health status of Medicare Advantage participants is taken into account in determining premiums paid for each participant rather than merely demographic factors, as has historically been the case. The Centers for Medicare and Medicaid Services (“CMS”) periodically recompute the premiums to be paid to the HMOs based on updated health status and demographic factors. Included in medical services revenue for the three-month period ended March 31, 2005 are Medicare risk adjustments of approximately $1.0 million. We expect to receive payment for these Medicare risk adjustments in the quarter ended September 30, 2005. Future Medicare risk adjustments may result in reductions of revenue depending on the future health status and demographic factors of our patients. The increase in Medicare revenue was partially offset by a decrease in commercial revenue of approximately $0.5 million resulting from the conversion of certain commercial members of an HMO from a risk arrangement to a non-risk arrangement in Fiscal 2005.

     Management fee revenue and other income of $0.2 million for the three-month periods ended March 31, 2005 and 2004, respectively, related primarily to revenue generated under our limited risk and non-risk contracts with Humana under the PGP Agreement.

     Revenue from continuing operations generated by our managed care entities under contracts with Humana accounted for approximately 78% and 76% of our medical services revenue for the three-month periods ended March 31, 2005 and 2004, respectively. Revenue from continuing operations generated by our managed care entities under contracts with Vista accounted for 22% and 24% of our medical services revenue for the three-month periods ended March 31, 2005 and 2004, respectively.

Expenses from Continuing Operations

     Medical services expenses are comprised of medical claims expense and other direct costs related to the provision of medical services to our patients. Medical claims expense includes the costs of medical services provided to our patients by providers other than us for which we are financially responsible under the terms of our

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full risk contracts with HMOs. Other direct costs include the salaries, taxes and benefits of our health professionals providing primary care services, medical malpractice insurance costs, capitation payments to our IPA physicians and other costs related to the provision of medical services to our patients.

     Medical services expenses for the three-month period ended March 31, 2005 increased by $3.0 million, or 13.7%, to $25.0 million from $22.0 million for the three-month period ended March 31, 2004. As a percentage of total revenue, medical services expenses decreased to 84.0% for the three-month period ended March 31, 2005 as compared to 84.9% for the three-month period ended March 31, 2004. The increase in medical services expenses was due to increases in medical claims expense and other direct costs. Medical claims expense increased by $3.0 million, or 15.8%, to $22.0 million for the three-month period ended March 31, 2005, from $19.0 million for the three-month period ended March 31, 2004. The increase in medical claims expenses was primarily due to higher medical costs and an increase in utilization of health care services by our Medicare patients resulting in an increase in medical claims expense on a per patient per month basis of approximately 20.5%. These increases were partially offset by a decrease in claims expense of approximately $0.4 million resulting from the conversion of certain commercial members of an HMO from a risk arrangement to a non-risk arrangement in Fiscal 2005. However, the increase in medical services revenue resulting from the Medicare Modernization Act and the increased phase-in of the Medicare risk adjustment offset the increase in medical services expenses and claims expense for the three-month ended March 31, 2005. As a result, notwithstanding the increase in our medical claims expenses, our claims loss ratio (medical claims expense as a percentage of medical services revenue) remained relatively constant at 74.2% in the three-month period ended March 31, 2005 as compared to 73.9% in the three-month period ended March 31, 2004. In response to the Medicare Modernization Act, certain benefits offered to Medicare patients were enhanced by the HMOs. We anticipate that these benefit changes will result in an increase in our medical claims expense and may result in an increase in our claims loss ratio in future periods. We cannot quantify what impact, if any, these developments may have on our results of operations in future periods. However, our claims loss ratio fluctuates from period to period based upon variations in medical utilization, medical costs and premiums revenues.

     Other direct costs remained relatively constant at $3.0 million for the three-month periods ended March 31, 2005 and 2004. As a percentage of total revenue, other direct costs decreased to 10.1% for the three-month period ended March 31, 2005, from 11.6% for the three-month period ended March 31, 2004.

     Administrative payroll and employee benefits expense increased by $0.3 million, or 27.3%, to $1.3 million for the three-month period ended March 31, 2005, from $1.0 million for the three-month period ended March 31, 2004. As a percentage of total revenue, administrative payroll and employee benefits expense increased to 4.4% for the three-month period ended March 31, 2005, from 4.0% for the three-month period ended March 31, 2004. The increase in administrative payroll and employee benefits expense was due to an increase in salaries related to the hiring of additional marketing and executive personnel and an increase in bonus accruals.

     General and administrative expenses increased by $1.1 million, or 152.8%, to $1.8 million for the three-month period ended March 31, 2005, from $0.7 million for the three-month period ended March 31, 2004. As a percentage of total revenue, general and administrative expenses increased to 6.1% for the three-month period ended March 31, 2005, from 2.8% for the three-month period ended March 31, 2004. The increase in general and administrative expenses was primarily due to an increase in professional fees and the settlement of two lawsuits during the quarter ended March 31, 2004 resulting in a reduction in the accrual for legal claims of $0.8 million.

Income from Operations

     Income from operations for the three-month period ended March 31 2005 decreased by $0.5 million to $1.7 million, or 5.6% of total revenue, from $2.2 million, or 8.3% of total revenue, for the three-month period ended March 31, 2004.

Interest Expense

     Interest expense for the three-month periods ended March 31, 2005 and 2004 remained relatively constant at $0.2 million and $0.3 million, respectively.

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Loss from Discontinued Operations-Home Health Operations

     Our home health operations contributed $0.5 million in revenue and generated operating losses of $0.4 million during the three-month period ended March 31, 2004.

Taxes

     No provision for income taxes was recorded for the three-month periods ended March 31, 2005 and 2004 due primarily to the utilization of prior year net operating loss carryforwards. We periodically perform an analysis of the realizability of our deferred tax assets based on our assessment of current and expected operating results. During the three-month period ended March 31, 2005 the valuation allowance for deferred tax assets was reduced by $0.4 million due to the utilization of deferred tax assets to offset income tax liabilities that were generated from current operations.

Net Income

     Net income for the three-month periods ended March 31, 2005 and 2004 remained relatively constant at $1.5 million.

COMPARISON OF THE NINE-MONTH PERIOD ENDED MARCH 31, 2005 TO THE NINE-MONTH PERIOD ENDED MARCH 31, 2004

Revenue from Continuing Operations

     Medical services revenue increased by $7.5 million, or 10.0%, to $82.3 million for the nine-month period ended March 31, 2005, from $74.8 million for the nine-month period ended March 31, 2004. During the nine-months ended March 31, 2005 revenue generated by our Medicare full risk arrangements increased approximately 19.6% on a per patient per month basis over the comparable period of Fiscal 2004, which was partially offset by a decrease of approximately 5.7% in Medicare patients months over the comparable period of the prior year. The increase in Medicare revenue was primarily due to higher per patient per month premiums resulting from the Medicare Modernization Act and the increased phase-in of the Medicare risk adjustment program, both of which became effective in January 2004. In addition, included in medical services revenue is a cash distribution of $1.1 million received in December 2004 from an HMO representing additional Medicare Advantage funding. The increase in Medicare revenue was partially offset by a decrease in commercial revenue of approximately $1.3 million resulting from the conversion of certain commercial members of an HMO from a risk arrangement to a non-risk arrangement in Fiscal 2005.

     Management fee revenue and other income of $0.8 and $0.5 million for the nine-month periods ended March 31, 2005 and 2004, respectively, related primarily to revenue generated under our limited risk and non-risk contracts with Humana under the PGP Agreement.

     Revenue from continuing operations generated by our managed care entities under contracts with Humana accounted for approximately 78% and 74% of our medical services revenue for the nine-month periods ended March 31, 2005 and 2004, respectively. Revenue from continuing operations generated by our managed care entities under contracts with Vista accounted for 22% and 26% of our medical services revenue for the nine-month periods ended March 31, 2005 and 2004, respectively.

Expenses from Continuing Operations

     Medical services expenses for the nine-month period ended March 31, 2005 increased by $4.6 million, or 7.1%, to $69.3 million from $64.7 million for the nine-month period ended March 31, 2004. As a percentage of total revenue, medical services expenses decreased to 83.4% for the nine-month period ended March 31, 2005, as compared to 85.9% for the nine-month period ended March 31, 2004. The increase in medical services expenses was due to increases in medical claims expense and other direct costs. Medical claims expense increased by $3.7

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million, or 6.5%, to $59.6 million for the nine-month period ended March 31, 2005, from $55.9 million for the nine-month period ended March 31, 2004. The increase in medical claims expenses was primarily due to higher medical costs and an increase in utilization of health care services by our Medicare patients resulting in an increase in medical claims expense on a per patient per month basis of approximately 13.0%. These increases were partially offset by a decrease in claims expense of approximately $1.1 million resulting from the conversion of certain commercial members of an HMO from a risk arrangement to a non-risk arrangement in Fiscal 2005. However, the increase in medical services revenue resulting from the Medicare Modernization Act, the increased phase-in of the Medicare risk adjustment and our receipt of the $1.1 million Medicare Advantage funding distribution from an HMO in December 2004, more than offset the increase in medical services expenses and claims expense for the nine-months ended March 31, 2005. As a result, notwithstanding the increase in our medical claims expenses, our claims loss ratio (medical claims expense as a percentage of medical services revenue) decreased to 72.4% in the nine-month period ended March 31, 2005, from 74.8% in the nine-month period ended March 31, 2004. As noted above, the comparatively higher medical services revenue we experienced during the nine-months ended March 31, 2005, as compared to the same period of Fiscal 2004 also relates primarily to the fact that the Medicare Modernization Act was not in effect and the Medicare risk adjustment program was not as fully phased-in during the nine-months ended March 31, 2004. As a result, we may not experience the same comparative decrease in our claims loss ratio during periods of Fiscal 2005 that correspond to periods of Fiscal 2004 during which those programs were in effect. We cannot quantify what impact, if any, these developments may have on our results of operations in future periods.

     Other direct costs increased by $0.9 million, or 10.9%, to $9.7 million for the nine-month period ended March 31, 2005, from $8.8 million for the nine-month period ended March 31, 2004. As a percentage of total revenue, other direct costs remained relatively constant at 11.7% for the nine-month period ended March 31, 2005 as compared to 11.6% for the nine-month period ended March 31, 2004. The increase in other direct costs was primarily due to an increase in payroll expense and related benefits for physicians and medical support personnel at our medical centers and an increase in bonus accruals.

     Administrative payroll and employee benefits expense increased by $0.9 million, or 29.6%, to $3.8 million for the nine-month period ended March 31, 2005, from $2.9 million for the nine-month period ended March 31, 2004. As a percentage of total revenue, administrative payroll and employee benefits expense increased to 4.6% for the nine-month period ended March 31, 2005, from 3.9% for the nine-month period ended March 31, 2004. The increase in administrative payroll and employee benefits expense was primarily due to an increase in salaries related to the hiring of additional marketing and executive personnel and an increase in bonus accruals.

     General and administrative expenses increased by $0.8 million, or 19.8%, to $5.1 million for the nine-month period ended March 31, 2005, from $4.3 million for the nine-month period ended March 31, 2004. As a percentage of total revenue, general and administrative expenses increased to 6.2% for the nine-month period ended March 31, 2005, from 5.7% for the nine-month period ended March 31, 2004. The increase in general and administrative expenses was primarily due to an increase in professional fees and the settlement of two lawsuits during the nine-month period ended March 31, 2004 resulting in a reduction in the accrual for legal claims of $0.8 million.

     The $0.5 million and $0.4 million gain on extinguishment of debt recognized during the nine-month periods ended March 31, 2005 and 2004, respectively, related to the $3.9 million contract modification note with Humana that was cancelled in April 2003. The initial term of the Humana PGP Agreement ended in March 2005 but the term of the Humana PGP Agreement continues by its terms until the agreement is cancelled by either party subject to prior notice. The Company is engaged in discussions with Humana regarding a possible modification and extension of the Humana PGP Agreement, but it is not possible to predict at this time whether the Company will ultimately agree to modify or agree to extend the Humana PGP Agreement. In addition, any modification or extension that the Company agrees to may be on different terms and provide for different obligations on the part of the respective parties than the terms and obligations currently provided for in the Humana PGP Agreement.

     Simultaneously with the note cancellation, we executed the Humana PGP Agreement and assumed management responsibilities on a non-risk basis for certain of Humana’s members. The Humana PGP Agreement contained a provision for liquidated damages in the amount of $4.0 million, which could be asserted by Humana

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under certain circumstances. Under the terms of the Humana PGP Agreement, if the Company remains in compliance with the terms of the agreement, Humana, at its option, may reduce the maximum amount of liquidated damages at specified dates during the term of the Humana PGP Agreement. To the extent that Humana reduced the maximum amount of liquidated damages, the Company recognized a gain from extinguishments of debt in a corresponding amount. In November 2004 and 2003, Humana notified us that the maximum amount of liquidated damages had been reduced to $2.5 million and $3.5 million, respectively. Accordingly, we recognized $0.5 million and $0.4 million of the deferred gain on extinguishment of debt during the nine-month periods ended March 31, 2005 and 2004, respectively. In April 2005, Humana notified us that the maximum amount of liquidated damages had been reduced by the remaining balance of $2.5 million. Accordingly, we will recognize $2.5 million of deferred revenue as a gain on extinguishment of debt during the three-month period ending June 30, 2005.

Income from Operations

     Income from operations for the nine-month period ended March 31, 2005 increased by $1.6 million to $5.4 million, or 6.4% of total revenue, from $3.8 million, or 5.0% of total revenue, for the nine-month period ended March 31, 2004.

Interest Expense

     Interest expense for the nine-month periods ended March 31, 2005 and 2004 remained relatively constant at $0.7 million.

Medicare Settlement Related to Terminated Operations

     During the nine-month period ended March 31, 2004 we recorded other income of $2.2 million relating to the settlement of an alleged Medicare obligation. The alleged obligation related to rehabilitation clinics that were previously operated by one of our former subsidiaries and were sold in 1999. The Centers for Medicare and Medicaid Services (“CMS”) had alleged that Medicare overpayments were made relating to services rendered by these clinics and other related clinics during a period in which the clinics were operated by entities other than us. We requested that CMS reconsider the alleged liability, and in October 2003 we were notified that the liability had been reduced from the originally asserted amount of $2.4 million to $0.2 million.

Loss from Discontinued Operations-Home Health Operations

     Our home health operations contributed $3.1 million in revenue and generated operating losses of $1.2 million prior to a disposal charge of $0.5 million during the nine-month period ended March 31, 2004.

Income from Discontinued Operations-Terminated IPAs

     The IPAs we terminated effective January 1, 2003 did not contribute any revenue but generated income of $73,000 during the nine-month period ended March 31, 2004. Income generated by the terminated IPAs during the nine-month period ended March 31, 2004 resulted from a settlement with an HMO which eliminated all amounts due to and amounts due from the HMO incurred prior to the termination of the contracts on January 1, 2003.

Taxes

     No provision for income taxes was recorded in the nine-month periods ended March 31, 2005 and 2004 due primarily to the utilization of prior year net operating loss carryforwards. We periodically perform an analysis of the realizability of our deferred tax assets based on our assessment of current and expected operating results. During the nine-month period ended March 31, 2005 the valuation allowance for deferred tax assets was reduced by $1.4 million due to the utilization of deferred tax assets to offset income tax liabilities that were generated from current operations.

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Net Income

     Net income for the nine-month period ended March 31, 2005 increased by $1.0 million to $4.7 million from $3.7 million for the nine-month period ended March 31, 2004.

LIQUIDITY AND CAPITAL RESOURCES

     At March 31, 2005 working capital was $4.2 million, an increase of $4.6 million from a working capital deficit of $0.4 million at June 30, 2004. The increase in working capital for the nine-month period ended March 31, 2005 was primarily due to net income of $4.7 million. Cash and cash equivalents were $7.1 million at March 31, 2005 compared to $0.7 million at June 30, 2004.

     Net cash of $6.9 million was provided by operating activities from continuing operations for the nine-month period ended March 31, 2005 compared to $1.3 million for the nine-month period ended March 31, 2004. The increase of $5.6 million in cash provided by operating activities for the nine-month period ended March 31, 2005 was primarily due to an increase in operating income of $1.6 million which includes the receipt of a $1.1 million Medicare Advantage funding distribution from an HMO in December 2004 (which we do not expect will be repeated in future periods), a decrease in due from HMOs of $1.9 million and the $2.2 million Medicare settlement related to terminated operations recognized during the nine-month period ended March 31, 2004.

     Effective January 1, 2003 we terminated all of our IPA relationships associated with one HMO and in December 2003 we implemented a plan to dispose of our home health operations as described above. As a result, the operations of the terminated IPAs and home health operations are shown as discontinued operations. For the nine-month period ended March 31, 2004, the terminated IPAs did not contribute any revenue but generated income of approximately $73,000. The home health operations contributed revenue of $3.1 million and generated losses of $1.2 million during the nine-month period ended March 31, 2004, prior to a disposal charge of $0.5 million.

     For the nine-month period ended March 31, 2005 our claims loss ratio improved due in part to an increase in revenue resulting from the Medicare Modernization Act and the increased phase-in of the Medicare risk adjustment. During calendar 2004 certain benefits offered to Medicare members were enhanced by the HMOs for whom we treat patients in response to the Medicare Modernization Act, and we anticipate that the benefits will again be enhanced in calendar 2005. We anticipate that these benefit changes will result in an increase in our medical claims expense and may result in an increase in our claims loss ratio in future periods. We cannot predict what future impact, if any, these developments may have on our results of operations or cash flows from operations. However, our claims loss ratio fluctuates from period to period based upon variations in medical utilization, medical costs and premiums revenues.

     Net cash of approximately $0.8 million was used for investing activities from continuing operations for the nine-month period ended March 31, 2005 compared to approximately $35,000 for the nine-month period ended March 31, 2004. Net cash used for investing activities primarily related to the purchase of equipment and the purchase of a $500,000 certificate of deposit. The $500,000 certificate of deposit is pledged as collateral in support of a $500,000 irrevocable standby letter of credit as noted below.

     Net cash of approximately $0.4 million was provided by financing activities from continuing operations for the nine-month period ended March 31, 2005 compared to net cash used of $0.3 million for the nine-month period ended March 31, 2004. The increase in cash provided by financing activities of $0.7 million for the nine-month period ended March 31, 2005 was primarily due to the $1.0 million promissory note payable entered into with Humana, which was partially offset by a decrease in the repayment of long-term debt.

     Pursuant to the terms under our managed care agreement with one of our HMO affiliates, we posted a $500,000 irrevocable standby letter of credit for the benefit of the HMO in February 2005. The letter of credit will be maintained throughout the term of the managed care agreement and can be drawn upon by the HMO if we are delinquent in making payments due to the HMO.

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     On February 8, 2005 our Board of Directors authorized the repurchase of up to two million shares of our common stock. Any such repurchases will be made from time to time at the discretion of our management in the open market or in privately negotiated transactions subject to market conditions and other factors. We anticipate that any such repurchases of shares will be funded through cash from operations. As of April 29, 2005, we had repurchased 303,500 shares of our common stock for approximately $748,000.

     We believe that we will be able to fund our capital commitments, our anticipated operating cash requirements for the foreseeable future and satisfy any remaining obligations from our working capital, anticipated cash flows from operations, and our Credit Facility.

ITEM 3.  QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     At March 31, 2005 we had only cash equivalents invested in high grade, very short-term securities which are not typically subject to material market risk. We have loans outstanding at fixed rates. For loans with fixed interest rates, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments and would have an immaterial impact on the fair value of these instruments. Our Credit Facility is interest rate sensitive, however, we had no amount outstanding under this facility at March 31, 2005.

ITEM 4.  CONTROLS AND PROCEDURES

     Our management has evaluated, with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of our disclosure controls and procedures, as of March 31, 2005. As described in Note 2 to our Condensed Consolidated Financial Statements contained in this Quarterly Report on Form 10-Q, we have restated our previously issued financial statements for the fiscal year ended June 30, 2004, for the three-months ended September 30, 2004 and for the three and six-months ended December 31, 2004 to give effect to the financial impact of a latent error in an automated software system used to submit patient data to one of our HMO affiliates. Because that software error resulted in the overstatement of our revenue, our management concluded that our disclosure controls and procedures were not effective as of March 31, 2005. During May 2005, we corrected the software error in question, and we believe that this correction effectively remediates any weakness that the software error may have caused in our disclosure controls and procedures. Accordingly, we believe that our disclosure controls and procedures are now effective. However, that conclusion should be considered in light of the various limitations described below on the effectiveness of those controls and procedures, some of which pertain to most if not all business enterprises, and some of which arise as a result of the nature of our business. Our management, including our Chief Executive Officer and our Chief Financial Officer, does not expect that our disclosure controls and procedures will prevent all errors and all improper conduct. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of improper conduct, if any, have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of simple errors or mistakes. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control. Further, the design of any system of controls also is based in part upon assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions; over time, controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected. In addition, we depend on our HMO affiliates for certain financial and other information that we receive concerning the medical services revenue and expenses that we earn and incur. Because our HMO affiliates generate that information for us we have less control over the manner in which that information is generated. There were no changes in our internal controls or other factors during the fiscal quarter that is the subject of this Quarterly Report on Form 10-Q, nor were there any corrective actions required with regard to significant deficiencies and material

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weaknesses. However, as noted above, subsequent to the fiscal quarter that is the subject of this Quarterly Report on Form 10-Q, we remediated the software error described above.

     Provided with this Quarterly Report are certifications of our Chief Executive Officer and our Chief Financial Officer. We are required to provide those certifications by Section 302 of the Sarbanes-Oxley Act of 2002 and the Securities and Exchange Commission’s implementing regulations. Item 4 of this Quarterly Report is the information concerning the evaluation referred to in those certifications, and you should read this information in conjunction with those certifications for a more complete understanding of the topics presented.

PART II — OTHER INFORMATION

Item 1. Legal Proceedings

     See Note 11 of our Condensed Consolidated Financial Statements.

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

     The following table provides information with respect to our stock repurchases during the third quarter of Fiscal 2005:

                                 
                    Total Number of        
                    Shares Purchased     Shares That  
    Total Number             as Part of     May Yet be  
    of Shares     Average Price     Publicly Announced     Purchased under  
    Purchased     Paid Per Share     Program     the Program  
January 2, 2005 to January 31, 2005(1)
    N/A       N/A             N/A  
February 1, 2005 to February 28, 2005
          N/A             2,000,000  
March 1, 2005 to March 31, 2005
    149,800     $ 2.46       149,800       1,850,200  
 
                           
Totals
    149,800     $ 2.46       149,800       1,850,200 (2)

(1)   On February 8, 2005, our Board of Directors authorized the repurchase of up to two million shares of our common stock. There is no expiration date specified for this program.

(2)   On May 11, 2005, our Board of Directors increased the total number of shares subject to the program to two million five hundred thousand. The total number of shares that may yet be purchased under the program above does not give effect to that increase as it occurred after the periods presented.

Item 3. Defaults Upon Senior Securities

     Not Applicable

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

     None

Item 5. Other Information

     Not Applicable

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Item 6. Exhibits

     (a) Exhibits

         
  10.1    
Letter Agreement dated March 18, 2005 regarding extension of Credit Facility.
       
 
  10.2    
Consulting Agreement dated May 4, 2005, between Continucare Corporation and Patrick M. Healy.
       
 
  31.1    
Section 302 Certification of the Chief Executive Officer.
       
 
  31.2    
Section 302 Certification of the Chief Financial Officer.
       
 
  32.1    
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
       
 
  32.2    
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

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SIGNATURES

     Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
         
  CONTINUCARE CORPORATION
 
 
Dated: May 23, 2005  By:   /s/ Richard C. Pfenniger, Jr.    
    Richard C. Pfenniger Jr.   
    President and Chief Executive Officer   
 
         
     
  By:   /s/ Fernando L. Fernandez    
    Fernando L. Fernandez   
    Senior Vice President – Finance, Chief Financial Officer and Treasurer   

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EXHIBIT INDEX

         
Description   Exhibit Number
Letter Agreement dated March 18, 2005 regarding extension of Credit Facility
    10.1  
 
       
Consulting Agreement dated May 4, 2005, between Continucare Corporation and Patrick M. Healy
    10.2  
 
       
Section 302 Certification of the Chief Executive Officer
    31.1  
 
       
Section 302 Certification of the Chief Financial Officer
    31.2  
 
       
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
    32.1  
 
       
Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
    32.2  

27

EX-10.1 2 g95378exv10w1.htm LETTER AGREEMENT LETTER AGREEMENT
 

Exhibit 10.1

     
MerrillLynchLogo
  Private Client Group

Merrill Lynch Business
Financial Services Inc.

222 North LaSalle Street
Chicago, Illinois 60601
(312) 499-3280
FAX: (312) 368-1387

March 18, 2005

Continucare Corporation
7200 Corporate Center Drive, Suite 600
Miami, FL 33126

     Re: WCMA Line of Credit Extension

Ladies & Gentlemen:

This Letter Agreement will serve to confirm certain agreements of Merrill Lynch Business Financial Services Inc. (“MLBFS”) and Continucare Corporation (“Customer”) with respect to: (i) that certain WCMA LOAN AND SECURITY AGREEMENT NO. 81V-07064 between MLBFS and Customer (including any previous amendments and extensions thereof), and (ii) all other agreements between MLBFS and Customer in connection therewith (collectively, the “Loan Documents”). Capitalized terms used herein and not defined herein shall have the meaning set forth in the Loan
Documents.

Subject to the terms hereof, effective as of the “Effective Date” (as defined below) the Loan Documents are hereby amended as follows:

  (a)   The “Maturity Date” of the WCMA Line of Credit is hereby extended to March 31, 2006.
 
  (b)   The “Line Fee” for the period ending March 31, 2006, shall be $15,000.00. Customer hereby authorizes and directs MLBFS to charge said amount to WCMA Account No. 81V-07064 on or at any time after the Effective Date. Once paid, Line Fees are non-refundable.
 
  (c)   So long as there are any Obligations, the aggregate cash and unencumbered marketable securities and other financial assets directly owned and controlled by Continucare Corporation shall at all times exceed $1,000,000.00.
 
  (d)   The “Unconditional Guaranty” dated March 18, 2003 between Phillip Frost and MLBFS shall be deemed released and terminated.

Except as expressly amended hereby, the Loan Documents shall continue in full force and effect upon all of their terms and conditions.

Customer acknowledges, warrants and agrees, as a primary inducement to MLBFS to enter into this Agreement, that: (a) no Default or Event of Default has occurred and is continuing under the Loan Documents; (b) each of the warranties of Customer in the Loan Documents are true and correct as of the date hereof and shall be deemed remade as of the date hereof; (c) Customer does not have any claim against MLBFS or any of its affiliates arising out of or in connection with the Loan Documents or any other matter whatsoever; and (d) Customer does not have any defense to payment of any amounts owing, or any right of counterclaim for any reason under, the Loan Documents.

 


 

MERRILL LYNCH BUSINESS FINANCIAL SERVICES INC.

Continucare Corporation
March 18, 2005
Page No. 2

Provided that no Event of Default, or event which with the giving of notice, passage of time, or both, would constitute an Event of Default, shall then have occurred and be continuing under the terms of the Loan Documents, the amendments and agreements in this Letter Agreement will become effective on the date (the “Effective Date”) upon which: (a) Customer shall have executed and returned the duplicate copy of this Letter Agreement enclosed herewith; and (b) an officer of MLBFS shall have reviewed and approved this Letter Agreement as being consistent in all respects with the original internal authorization hereof.

Notwithstanding the foregoing, if Customer does not execute and return the duplicate copy of this Letter Agreement within 14 days from the date hereof, or if for any other reason (other than the sole fault of MLBFS) the Effective Date shall not occur within said 14-day period, then all of said amendments and agreements will, at the sole option of MLBFS, be void.

Very truly yours,

Merrill Lynch Business Financial Services Inc.
         
   
  By:   /s/ Thomas Lee    
  Thomas Lee   
  Team Leader   
 

Accepted:

Continucare Corporation

By: /s/ Fernando L. Fernandez


Printed Name: Fernando L. Fernandez

Title:  Senior Vice President – Finance, Chief Financial
Officer and Treasurer

 

EX-10.2 3 g95378exv10w2.htm CONSULTING AGREEMENT CONSULTING AGREEMENT
 

Exhibit 10.2

CONSULTING AGREEMENT

     THIS CONSULTING AGREEMENT is entered into as of May 4, 2005, by and between CONTINUCARE CORPORATION (the “Company”) and PATRICK M. HEALY (“Healy”).

     WHEREAS, Healy is employed by the Company as its Executive Vice President of Operations and serves on the Board of Directors of the Company; and

     WHEREAS, Healy is, with the Company’s consent, voluntarily resigning his position as Executive Vice President of Operations and a director of the Company, effective as of the date hereof (the “Separation Date”); and

     WHEREAS, Healy and the Company desire to enter into this Consulting Agreement to set forth their agreement with respect to such termination and certain other matters.

     NOW, THEREFORE, in consideration of the agreements and covenants hereinafter set forth, the parties agree as follows:

1. Termination. Effective as of the Separation Date, Healy hereby voluntarily resigns his employment with the Company. From and after the Separation Date, except as provided in this Agreement, Healy will not have any further rights, whether to employment, compensation or benefits from the Company or any of its subsidiaries. Effective as of the Separation Date, Healy also hereby resigns from the Company’s Board of Directors and from all other positions and directorships that Healy may hold with the Company or any of its subsidiaries. For a period of twelve (12) months after the Separation Date (the “Consulting Period”), Healy (the “Consultant”) will remain available to the Company to provide and will provide on a consulting basis such transition and other assistance as the Company may reasonably request (the “Consulting Services”). The Company and Healy will work together in good faith to ensure that any Consulting Services that the Company may request Healy to perform do not unreasonably hinder his ability to seek other employment or interfere with any other employment that he may undertake.

2. Compensation. In consideration for Healy’s compliance with all of the other terms and conditions of this Agreement, the Company will pay to Healy the following compensation:

     2.1. Base Compensation. The Company will pay to Healy: (a) a lump-sum cash payment equal to any salary and vacation time that has accrued through the Separation Date payable within fourteen (14) days after the Separation Date and (b) an aggregate amount of $225,000 payable in installments during the Consulting Period. All such payments shall be payable in accordance with the Company’s normal payroll practices and net of any applicable withholding taxes.

     2.2. Benefits. As a result of the termination of his employment, Healy will lose eligibility to participate in the Company’s employee benefit plans. Further, Healy will lose eligibility, for himself and his dependents, for coverage under the group health plan available to

 


 

the Company’s full-time employees (the “Group Health Plan”). However, the Company and Healy acknowledge that Healy may elect to continue coverage under the Group Health Plan for himself and his dependents under the federal health continuation requirements in Title X of the Consolidated Omnibus Budget Reconciliation Act of 1985 (“COBRA”). Healy acknowledges receipt of the customary notice from the Group Health Plan’s COBRA Administrator regarding (a) Healy’s change in employment status, (b) his right to continue coverage under the Group Health Plan and (c) the procedure for this election. If Healy desires to elect COBRA coverage, Healy will promptly after the Separation Date take all action necessary to effectuate his election to continue coverage under COBRA. After receiving Healy’s properly completed election form, the Group Health Plan’s COBRA Administrator will enroll Healy and his dependents under “COBRA coverage” and will send Healy a statement on a monthly basis showing the amount due for such coverage. For a period of twelve (12) months after the date hereof, upon submission of appropriate supporting documentation to the Company in accordance with the Company’s policies, the Company shall reimburse Healy for all applicable COBRA premium payments for the continued coverage effective as of the Separation Date.

     2.3. Reimbursement of Expenses. Upon the submission of appropriate supporting documentation to the Company in accordance with the Company’s policies, the Company shall reimburse Healy for all business expenses reasonably and necessarily incurred by Healy in connection with his employment by the Company prior to the Separation Date.

     2.4. Stock Options. Healy acknowledges that he holds currently vested stock options (the “Vested Options”) to purchase 366,667 shares of the Common Stock, par value $.0001 per share (the “Common Stock”), of the Company, which options were granted to him pursuant to the Company’s 1995 and 2000 Amended and Restated Stock Option Plans (each a “Stock Option Plan”). In accordance with the terms of the Stock Option Plans, for a period of ninety (90) days following the Separation Date, Healy will be permitted to exercise any Vested Options, but subject to and only to the extent permitted by the terms of the Stock Option Plan under which such Vested Option was granted and, in any case, subject to all of the terms of the applicable grant. Any stock options to purchase shares of Common Stock held by Healy that are not Vested Options as of the Separation Date, will terminate effective as of the Separation Date pursuant to the terms of the Stock Option Plans under which such options were granted and from and after the Separation Date Healy will have no right to exercise any such unvested options.

3. Restrictive Covenants.

     3.1. Confidentiality. Healy acknowledges that during his employment with the Company he has had and, as a result of his provision of consulting services to the Company, may continue to have, access to confidential information, trade secrets, confidential processes and confidential “know-how” relating to, or concerned with, the past, present, or future business, finances, services, programs, patients, employees, suppliers, and policies of the Company and its affiliates (“Proprietary Information”). Healy agrees that he will not, directly or indirectly use, divulge, furnish or make accessible any Proprietary Information to any other person or entity without the prior written consent of the Company.

2


 

     3.2. Return of Company Property. Healy covenants and agrees that he has returned to the Company all software, computers, equipment, reports, affidavits, analyses, evaluations, patient records and information, agreements, manuals, industry lists, statistical records, computer printouts, books of account, records, invoices and other documents in whatever form (whether in human readable or machine readable form) owned by the Company or any of its subsidiaries or reflecting the Company’s or its subsidiaries’ business operations including, without limitation, any of the foregoing embodying or summarizing any Proprietary Information (collectively, “Company Property”). Healy represents that he has not copied, printed, summarized or compiled, and that after the date hereof he will not copy, print, summarize or compile, any Company Property and will not after the Separation Date retain in his possession any Company Property.

     3.3. Non-Disparagement And Future Conduct. Healy and the Company each agree that from and after the Separation Date they each will not make any comments, either written or oral, which could be construed as negative concerning the other or, with respect to the Company, any of the Company’s subsidiaries or any of the Company’s or its subsidiaries’ respective directors, officers, personnel, shareholders, facilities, services or programs. The Company and Healy will work together in good faith in connection with any statements concerning the termination of Healy’s employment to present a united view of an amicable parting of their ways in connection with Healy’s voluntary resignation.

     3.4. Injunction. It is recognized and hereby acknowledged by the parties that a breach of the above paragraph 3 will cause irreparable harm and damage to the Company, the monetary amount of which may be virtually impossible to ascertain. As a result, the parties recognize and hereby acknowledge that Company shall be entitled to an injunction from any court of competent jurisdiction enjoining and restraining any violation of any or all of the covenants contained in paragraph 3 of this Agreement by Healy. The imposition of an injunction pursuant to this paragraph 3.4 does not in any way limit a damage claim or any other claim that the Company may have against Healy.

4. General Release.

     4.1. Release. Healy does hereby release and discharge the Company and each of its subsidiaries and each of their respective directors, officers, personnel, and agents (the “Released Parties”) from any and all claims, demands or liabilities whatsoever, whether known or unknown, which Healy ever had or may now have against any Released Party, from the beginning of time to the Separation Date, including, without limitation, any claims, demands or liabilities in connection with Healy’s employment or service as a director of the Company, including wrongful discharge, breach of express or implied contract, unpaid wages, breach of a covenant of good faith and fair dealing, constructive discharge or pursuant to any federal, state, or local employment laws, regulations, or executive orders prohibiting inter alia, age, race, sex, national origin, religion, handicap, and disability discrimination or retaliation, such as Title VII of the Civil Rights Act of 1964, the Civil Rights Act of 1866, Employee Retirement Income Security Act of 1974, the Americans with Disabilities Act of 1990, the Rehabilitation Act of 1973, the Worker Adjustment Retraining Notification Act, the Immigration Reform and Control Act, the Family and Medical Leave Act, the Federal Constitution; and any and all other federal,

3


 

state, and local laws and regulations prohibiting, without limitation, conspiracy, intentional and/or negligent infliction of emotional distress, defamation, misrepresentation or fraud, negligence, negligent supervision, hiring, or retention, assault, battery, detrimental reliance, or any other offense. The foregoing release will not waive rights or claims that may arise under this Agreement. Healy has not assigned or otherwise conveyed any of his right in and to any claims of the types set forth above.

     4.2. OWBPA Provisions. Pursuant to the provisions of the Older Workers Benefit Protection Act (“OWBPA”), which applies to Healy’s waiver of rights under the Age Discrimination in Employment Act, Healy has had a period of at least twenty-one (21) days within which to consider whether to execute this release. Also pursuant to the OWBPA, Healy may revoke this release within seven (7) days of its execution; provided that any revocation of this release by Healy shall constitute a revocation of this Agreement in its entirety and this Agreement shall thereafter be of no force or effect whatsoever and Healy shall have no right to any payment or compensation hereunder. It is specifically understood that this release shall not become effective or enforceable until the seven-day revocation period has expired. Consideration for this release will not begin to be paid until the end of the Company’s next regular payroll cycle following the end of the seven-day revocation period.

     4.3. Release Acknowledgements. Healy acknowledges that: (i) no consideration other than as provided for by this Agreement has been or will be provided by the Released Parties, (ii) he will make no claim and hereby waives any right he may now have or may hereafter have, based upon any alleged oral modification of the foregoing release, and (iii) the foregoing release does not constitute an admission of a violation of any law, order, regulation, or enactment, or of wrongdoing of any kind by any Released Party.

5. Indemnification. The Company agrees to indemnify Healy in accordance with the Articles of Incorporation and Bylaws of the Company from any and all costs, claims, judgment and litigation costs of any kind or nature related to any matter that may be brought against Healy in connection with his employment with the Company or his service on the Board of Directors of the Company.

6. Miscellaneous.

     6.1. This Agreement contains the entire understanding and agreement of the parties relating to the subject matter hereof and supersedes all prior communications, commitments and understandings and this Agreement may not be amended or modified except in a writing signed by both parties hereto.

     6.2. This Agreement will be governed by the laws of the State of Florida without regard to the conflicts of laws principles thereunder.

     6.3. If any action or proceeding is brought in any court by any party to enforce any provision of this Agreement, the prevailing party shall be entitled to recover from the non-prevailing party all of its reasonable costs and expenses incurred in connection with such action, including reasonable attorneys’ fees and disbursements through and including all appeals.

4


 

     6.4. This Agreement may be executed in counterparts, each of which will be considered an original but which will constitute one and the same agreement.

     6.5. Each provision of this Agreement will be construed simply according to its fair meaning and not strictly against the party causing it to have been drafted.

     6.6. In the event that any provision or portion of this Agreement is determined to be invalid or unenforceable for any reason, the remaining provisions of this Agreement will be unaffected thereby and will remain in full force and effect.

HEALY STATES THAT HE HAS CAREFULLY READ ALL THE PROVISIONS OF THIS AGREEMENT, THAT THEY HAVE BEEN FULLY EXPLAINED TO HIM, THAT HE HAS HAD THE OPPORTUNITY TO HAVE THIS AGREEMENT REVIEWED BY AN ATTORNEY, AND THAT HE FULLY UNDERSTANDS ITS FINAL AND BINDING EFFECT, AND THAT THE ONLY PROMISES MADE TO HIM ARE THOSE STATED HEREIN, AND THAT HE IS SIGNING THIS AGREEMENT WITH THE FULL INTENT OF RELEASING THE RELEASED PARTIES OF AND FROM ALL CLAIMS.

     IN WITNESS WHEREOF, the parties have executed this Agreement as of the date first written above.
         
  COMPANY:


CONTINUCARE CORPORATION
 
 
  By:   /s/ Richard C. Pfenniger, Jr.    
    Richard C. Pfenniger, Jr.   
    Chief Executive Officer   
 
         
     
  /s/Patrick M. Healy    
  Patrick M. Healy   
     
 

5

EX-31.1 4 g95378exv31w1.htm SECTION 302 CERTIFICATION OF CEO SECTION 302 CERTIFICATION OF CEO
 

EXHIBIT 31.1

CERTIFICATION

I, Richard C. Pfenniger, Jr., certify that:

1.   I have reviewed this quarterly report on Form 10-Q of Continucare Corporation (the “Registrant”);

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

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

4.   The Registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures” (as defined in Exchange Act Rules 13a-15e and 15d-14) for the Registrant and we have:

  (a)   designed such disclosure controls and procedures or caused such disclosure controls and procedures to be designed under our supervision to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 
  (b)   evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation.
 
  (c)   disclosed in this report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

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

  (a)   all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and
 
  (b)   any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.
         
     
Date: May 23, 2005  By:   /s/ Richard C. Pfenniger, Jr.    
    Richard C. Pfenniger, Jr.   
    President and Chief Executive Officer   

 

EX-31.2 5 g95378exv31w2.htm SECTION 302 CERTIFICATION OF CFO SECTION 302 CERTIFICATION OF CFO
 

EXHIBIT 31.2

CERTIFICATION

I, Fernando L. Fernandez, certify that:

1.   I have reviewed this quarterly report on Form 10-Q of Continucare Corporation (the “Registrant”);

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

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

4.   The Registrant’s other certifying officer and I are responsible for establishing and maintaining disclosure controls and procedures” (as defined in Exchange Act Rules 13a-15e and 15d-14) for the Registrant and we have:

  (a)   designed such disclosure controls and procedures or caused such disclosure controls and procedures to be designed under our supervision to ensure that material information relating to the Registrant, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this report is being prepared;
 
  (b)   evaluated the effectiveness of the Registrant’s disclosure controls and procedures and presented in this report our conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report based on such evaluation.
 
  (c)   disclosed in this report any change in the Registrant’s internal control over financial reporting that occurred during the Registrant’s most recent fiscal quarter (the Registrant’s fourth fiscal quarter in the case of an annual report) that has materially affected, or is reasonably likely to materially affect, the Registrant’s internal control over financial reporting; and

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

  (a)   all significant deficiencies and material weaknesses in the design or operation of internal control over financial reporting which are reasonably likely to adversely affect the Registrant’s ability to record, process, summarize and report financial information; and
 
  (b)   any fraud, whether or not material, that involves management or other employees who have a significant role in the Registrant’s internal control over financial reporting.
         
     
Date: May 23, 2005  By:   /s/ Fernando L. Fernandez    
    Fernando L. Fernandez   
    Senior Vice President – Finance, Chief Financial Officer and Treasurer   

 

EX-32.1 6 g95378exv32w1.htm CERTIFICATION PURSUANT TO SECTION 906 CERTIFICATION PURSUANT TO SECTION 906
 

EXHIBIT 32.1

CERTIFICATION PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY
ACT OF 2002

I, Richard C. Pfenniger, Jr., hereby certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)   The accompanying quarterly report on Form 10-Q for the three and nine-month periods ended March 31, 2005, fully complies with the requirements of Section 13(a) or Section 15 (d) of the Securities Exchange Act of 1934, as amended; and

(2)   The information contained in such report fairly presents, in all material respects, the financial condition and result of operations of Continucare Corporation.
         
     
Date: May 23, 2005  By:   /s/ Richard C. Pfenniger, Jr.    
    RICHARD C. PFENNIGER, JR.   
    President and Chief Executive Officer   

 

EX-32.2 7 g95378exv32w2.htm CERTIFICATION PURSUANT TO SECTION 906 CERTIFICATION PURSUANT TO SECTION 906
 

EXHIBIT 32.2

CERTIFICATION PURSUANT TO
SECTION 906 OF THE SARBANES-OXLEY
ACT OF 2002

I, Fernando L. Fernandez, hereby certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, that:

(1)   The accompanying quarterly report on Form 10-Q for the three and nine-month periods ended March 31, 2005, fully complies with the requirements of Section 13(a) or Section 15 (d) of the Securities Exchange Act of 1934, as amended; and

(2)   The information contained in such report fairly presents, in all material respects, the financial condition and result of operations of Continucare Corporation.
         
     
Date: May 23, 2005  By:   /s/ Fernando L. Fernandez    
    FERNANDO L. FERNANDEZ   
    Senior Vice President – Finance, Chief Financial Officer and Treasurer   
 

 

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