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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
FOR THE FISCAL YEAR ENDED DECEMBER 31, 2001
COMMISSION FILE NUMBER 1-11343
CORAM HEALTHCARE CORPORATION
(Exact name of registrant as specified in its charter)
DELAWARE 33-0615337
(State or other jurisdiction of (IRS Employer
Incorporation or organization) Identification No.)
1675 BROADWAY, SUITE 900
DENVER, COLORADO 80202
(Address of principal executive offices) (Zip Code)
Registrant's telephone number, including area code: (303) 292-4973
Securities registered pursuant to Section 12(b) of the Act:
None
Securities registered pursuant to Section 12(g) of the Act:
NAME OF EACH EXCHANGE ON
TITLE OF EACH CLASS WHICH REGISTERED
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Common Stock ($.001 par value per share) Over the Counter Bulletin Board
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 [ ]
Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K [ ]
Indicate by check mark whether the registrant has filed all documents and
reports required to be filed by Sections 12, 13 or 15(d) of the Securities
Exchange Act of 1934 subsequent to the distribution of securities under a plan
confirmed by a court. Yes [X] No [ ]
As of April 5, 2002, there were outstanding 49,638,452 shares of the
registrant's common stock, which is the only class of voting stock of the
registrant outstanding. As of such date, the aggregate market value of the
shares of common stock held by nonaffiliates of the registrant based on the
closing price for the common stock on the Over the Counter Bulletin Board on
April 5, 2002, was approximately $25.3 million.
DOCUMENTS INCORPORATED BY REFERENCE
None
STATEMENT OF FORWARD LOOKING STATEMENTS
This Annual Report on Form 10-K contains certain "forward-looking"
statements (as such term is defined in the Private Securities Litigation Reform
Act of 1995) and information relating to Coram Healthcare Corporation ("CHC")
and its subsidiaries (collectively "Coram" or the "company") that are based on
the beliefs of the management of Coram, as well as, assumptions made by and
information currently available to the management of Coram. Coram's actual
results may vary materially from the forward-looking statements made in this
report due to important factors, including, but not limited to: the
uncertainties related to the ongoing bankruptcy proceedings of Coram Healthcare
Corporation and Coram, Inc., including actions taken by the appointed Chapter 11
trustee (Arlin M. Adams, Esquire) and parties who may be adverse to the
bankruptcy estates; Coram's ability to maintain continued compliance with the
provisions of the Omnibus Budget Reconciliation Act of 1993 (commonly referred
to as "Stark II"); Coram's lack of profitability; uncertainties associated with
the outcomes of certain pending legal proceedings; the company's significant
level of outstanding indebtedness; the company's need to obtain additional
financing or equity; the company's ability to obtain necessary financing to fund
a pending settlement with the Internal Revenue Service; uncertainties associated
with the dilution that would occur if the company's existing debt holders
exercise their equity conversion rights; the company's limited liquidity; the
company's ability to successfully implement significant additions to or
modifications of its company-wide information systems; the company's need for
financing related to additions to, and upgrades of, current information
technology systems; the company's dependence upon the prices paid by third-party
payers for the company's services; adverse changes in the average wholesale
prices paid for drugs Coram provides to its patients; uncertainties associated
with the changes in state and federal regulations and the impact on healthcare
services businesses, as well as, enhanced regulatory oversight of the healthcare
industry; and certain other factors, all of which are described in greater
detail in this report in Item 7. under the caption "Risk Factors." When used in
this report, the words "estimate," "project," "believe," "anticipate," "intend,"
"expect" and similar expressions are intended to identify forward-looking
statements. Such statements reflect the current views of management with respect
to future events based on currently available information and are subject to
risks and uncertainties that could cause actual results to differ materially
from those contemplated in such forward-looking statements. For a discussion of
such risks, see Item 7. "Management's Discussion and Analysis of Financial
Condition and Results of Operations: Risk Factors." Readers are cautioned not to
place undue reliance on these forward-looking statements, which speak only as of
the date hereof. Management does not undertake any obligation to publicly
release any revisions to these forward-looking statements to reflect events or
circumstances after the date hereof or to reflect the occurrence of
unanticipated events.
PART I
ITEM 1. BUSINESS
GENERAL OVERVIEW
Lines of Business. During 2001, Coram was engaged primarily in the business
of furnishing alternate site (outside the hospital) infusion therapy and related
services, including non-intravenous home health products such as durable medical
equipment and respiratory therapy services. Other services offered by Coram
included centralized management, administration and clinical support for
clinical research trials.
In December 1999, Coram announced that it was repositioning its business to
focus on its core alternate site infusion therapy business and the clinical
research business operated by its wholly-owned subsidiary, CTI Network, Inc.
Accordingly, Coram's primary business strategy is to focus its efforts on the
delivery of its core infusion therapies, such as nutrition, anti-infective
therapies, intravenous immunoglobulin ("IVIG"), therapy for persons receiving
transplants, pain management and coagulant and blood clotting therapies for
persons with hemophilia. Coram has also implemented programs focused on the
reduction and control of the costs of providing services and operating expenses,
assessment of under-performing branches and review of branch efficiencies.
Accordingly, several branches have been closed or scaled back to serve as
satellites for other branches and personnel have been eliminated (see Note 6 to
the company's Consolidated Financial Statements). Additionally, the company's
pharmacy benefit management and specialty mail-order pharmacy services
businesses were sold during the year ended December 31, 2000 (see Note 5 to the
company's Consolidated Financial Statements). Most of the company's alternate
site infusion therapy net revenue is derived from third-party payers such as
private indemnity insurers, managed care organizations and governmental payers.
Management's objective is to continue to provide services that consistently
achieve desired clinical outcomes and maintain Coram's consistent high level of
patient satisfaction while focusing on disciplined enhancements to the service
model. By establishing best demonstrated practice benchmarks for nursing,
pharmacy and clinical operations personnel, cost reductions have been achieved
while simultaneously improving the quality and consistency of care. Furthermore,
management throughout Coram is continuing to concentrate on reimbursement for
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services rendered by enhancing billing procedures, documentation and cash
collections methods, assessing systems support for reimbursement personnel and
concentrating Coram's expertise and managerial resources into fewer
reimbursement locations.
Prior to August 1, 2000, the company delivered pharmacy benefit management
and specialty mail-order pharmacy services through its Coram Prescription
Services ("CPS") business, which provided services and mail-order prescription
drugs for chronically ill patients from one primary mail order facility, four
satellite mail order facilities and one retail pharmacy. CPS's pharmacy benefit
management services were delivered through a network of retail pharmacies, which
provided on-line claims administration, formulary management and certain drug
utilization review services. CPS's specialty mail-order pharmacy services were
delivered through its six facilities, which provided distribution, compliance
monitoring, patient education and clinical support to a wide variety of
patients. In connection with Coram's repositioned business focus, on July 31,
2000 the company completed the sale of CPS to Curascript Pharmacy Services, Inc.
and Curascript PBM Services, Inc., which were newly formed affiliates of GTCR
Golder Rauner, L.L.C. and are led by certain members of the former CPS
management team. See Note 5 to the company's Consolidated Financial Statements.
Prior to January 1, 2000, the company provided ancillary network management
services through its wholly-owned subsidiaries, Coram Resource Network, Inc. and
Coram Independent Practice Association, Inc. (collectively the "Resource Network
Subsidiaries" or "R-Net"), which managed networks of home healthcare providers
on behalf of HMOs, PPOs, at-risk physician groups and other managed care
organizations. R-Net served its customers through two primary call centers and
three satellite offices. In April 1998, the company entered into a five-year
capitated agreement with Aetna U.S. Healthcare, Inc. ("Aetna") (the "Master
Agreement") for the management and provision of certain home health services,
including home infusion, respiratory therapy, durable medical equipment, hospice
care and home nursing support for several of Aetna's disease management
programs. Effective July 1, 1998, the company began receiving capitated payments
on a monthly basis for members covered under the Master Agreement. The company
also assumed financial risks for certain home health services and began
providing management services for a network of home health providers through
R-Net. The agreements that R-Net had for the provision of ancillary network
management services have been terminated and R-Net is no longer providing any
ancillary network management services. Coram and Aetna were previously involved
in litigation over the Master Agreement; however, the litigation was amicably
resolved and the case was dismissed on April 20, 2000. The Resource Network
Subsidiaries filed voluntary bankruptcy petitions on November 12, 1999 with the
United States Bankruptcy Court for the District of Delaware (the "Bankruptcy
Court") under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy
Code"). The Resource Network Subsidiaries are being liquidated pursuant to such
proceedings. See Note 4 and 13 to the company's Consolidated Financial
Statements.
While management believes the implementation of its overall business
strategy has improved operating performance throughout the company, no
assurances can be given as to its ultimate success. See Item 7. "Management's
Discussion and Analysis of Financial Condition and Results of Operations."
COMPANY HISTORY:
Coram was formed on July 8, 1994 as a result of a merger by and among T2
Medical, Inc., Curaflex Health Services, Inc., Medisys, Inc., and
HealthInfusion, Inc., each of which was a publicly-held national or regional
provider of home infusion therapy and related services. The merger was accounted
for as a pooling of interests.
Coram made a number of acquisitions since operations commenced, the most
significant of which was the acquisition of certain assets of the home infusion
business of Caremark, Inc., a wholly-owned subsidiary of Caremark International,
Inc., effective April 1, 1995. In addition, Coram acquired H.M.S.S., Inc., a
leading regional provider of home infusion therapies based in Houston, Texas,
effective September 12, 1994. As a result of these acquisitions, Coram became a
leading provider of alternate site infusion therapy services in the United
States.
CHC and its first tier wholly-owned subsidiary, Coram, Inc. ("CI")
(collectively the "Debtors"), filed voluntary petitions under Chapter 11 of the
Bankruptcy Code on August 8, 2000. Commencing on such date, the Debtors began
operating as debtors-in-possession subject to the jurisdiction of the Bankruptcy
Court. None of the company's other subsidiaries is a debtor in the proceeding.
After the Bankruptcy Court's denial of the Debtors' Second Joint Plan of
reorganization in December 2001, the Bankruptcy Court appointed a Chapter 11
trustee to oversee the Debtors during their reorganization process on March 7,
2002. With the appointment of a Chapter 11 trustee, the Debtors are no longer
debtors-in-possession under the Bankruptcy Code. See Note 3 to the company's
Consolidated Financial Statements and Item 7. "Management's Discussion and
Analysis of Financial Condition and Results of Operations: Risk Factors."
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DELIVERY OF ALTERNATE SITE INFUSION SERVICES
General. Coram delivers its alternate site infusion therapy services through
77 branch offices located in 40 states and Ontario, Canada. Additionally, Coram
delivers alternate site infusion therapy services through joint venture and
partnership agreements at several other geographic locations. Infusion therapy
involves the parenteral administration of nutrition, anti-infective therapy,
intravenous immunoglobulin ("IVIG") blood factor therapies, pain management,
chemotherapy and other therapies, as well as, the provision of enteral
nutrition.
Infusion patients are primarily referred to Coram following the diagnosis of
a specific disease or upon discharge from a hospital. The treating physician
generally will determine whether the patient is a candidate for home infusion
treatment. Typically, a hospital discharge planner, the patient's physician or a
managed care payer will recommend or determine the infusion company to which a
patient is referred even though the patient ultimately has the freedom to choose
his or her own service provider. Because drugs administered intravenously tend
to be more potent and complex than oral drugs, the delivery of intravenous drugs
requires patient training, specialized equipment and clinical monitoring by
skilled nurses and pharmacists. Many therapies require either a gravity-based
flow control device or an electro-mechanical pump to administer the drugs. Some
therapies are administered continuously; however, most are given for prescribed
intermittent periods of time. Coram nurses and pharmacists work with the
patient's physician to monitor and assess the patient's condition and update the
therapy as necessary. The duration of the patient's treatment may last from a
few days to as long as the patient's life.
Branch Facilities. The delivery of infusion services is coordinated through
local or regional infusion branches. A typical full service branch provides the
following functions:
(i) patient intake and admission;
(ii) sterile product preparation by pharmacists and pharmacy technicians;
(iii) clinical pharmacy services;
(iv) clinical nursing services;
(v) collaborative clinical monitoring and disease management;
(vi) materials management, including drug and supply inventory and
delivery;
(vii) assistance to specialized reimbursement personnel regarding billing,
collections and benefit verification;
(viii) marketing to local referral sources, including doctors, hospitals and
payers; and
(ix) general management.
A typical full service branch has a fully equipped infusion pharmacy,
offices for clinical and administrative personnel and a storage warehouse. It
also employs a branch manager, licensed pharmacists, pharmacy technicians,
registered nurses, dietitians, and sales and administrative personnel. Such a
branch also serves the market area in which it is located, generally within a
two-hour driving radius of the patients served, as well as, outlying locations
where it can arrange appropriate nursing services. Smaller satellite locations
contain limited supplies and pharmacy operations and are used as support centers
to respond to patient needs in specific geographical areas. Coram's full service
branches and satellite locations are leased and range from 185 to 32,000 square
feet of space, primarily in suburban office parks, often in close proximity to
major medical facilities.
In-Home Patient Care. Before accepting a patient for home infusion
treatment, the staff at the local branch works closely with the patient's
physician or clinician and hospital personnel in order to assess the patient's
suitability for home care. This process includes, among other things, assessment
of the patient's physical and emotional status, as well as, assessment of
certain social factors such as the safety and cleanliness of the home
environment and the availability of family members or others to assist in the
administration of the patient's therapy, if necessary. Patient review also
includes a verification of the patient's eligibility based upon established
admission criteria and the patient's benefits package available from his or her
insurance carrier, managed care provider or governmental payer.
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When a patient's suitability for home care has been confirmed, the patient
and/or their designated carepartner receive training and education concerning
the therapy to be administered, including the proper infusion technique and the
care and use of intravenous devices and other equipment used in connection with
the therapy. The patient and the patient's carepartner are also trained to
monitor the patient's response to the therapy in order to identify changes of
which the healthcare team should be notified. Nurses employed or overseen by
Coram generally perform the initial patient assessment and training.
Prior to the patient receiving treatment services from Coram, the treating
physician develops the patient's plan of treatment and communicates it to the
local branch's clinical support team, including its nurses and pharmacists. The
team develops a plan of care and works with the treating physician and the payer
case manager, if applicable, to provide care and to monitor the patient's
progress and response to treatment. The Coram pharmacist speaks with the patient
or carepartner prior to dispensing the prescribed therapy and performs a
prospective review of the patient's condition, medical history and use of other
physician-prescribed medications. Throughout the patient's therapy, the local
branch's clinical support team will regularly provide the treating physician and
the payer case manager with reports on the patient's condition, creating an
information flow that allows the treating physician to actively manage the
patient's care. The treating physician always directs the patient's care,
including changing the plan of treatment in accordance with the patient's needs
and responses.
Upon the patient's arrival home, a nurse performs an initial patient
assessment, which includes a comprehensive physical examination and
environmental assessment. Typically, the administration of the patient's first
home infusion treatment is overseen during that visit. Thereafter, the frequency
of nursing visits depends upon the particular therapy the patient is receiving,
as well as, the level of independence the patient or carepartner has achieved
with regard to the administration and monitoring of the prescribed therapy.
During these subsequent visits, the nurse performs an assessment of the
patient's intravenous lines and related equipment, obtains blood samples,
changes the pump settings and/or drug administration, assesses the patient's
condition and compliance with the plan of care and provides ongoing teaching and
support. The patient's supplies and drugs are typically delivered on a weekly
basis depending on the therapy and the type of drugs being administered. The
treating physician and the payer case manager remain actively involved in the
patient's treatment by monitoring the success of the plan of treatment and
revising it as necessary.
ALTERNATE SITE INFUSION THERAPY: PRODUCTS AND SERVICES
General. Coram provides a variety of infusion therapies, principally
nutrition, anti-infective therapies and IVIG, as well as, coagulant and blood
clotting therapies for patients with hemophilia. A physician, based upon a
patient's diagnosis, treatment plan and response to therapy, determines the
initiation and duration of these therapies. Certain therapies, such as
anti-infective therapy, are generally used in the treatment of temporary
infectious conditions, while others, such as nutrition or coagulants, may be
required on a long-term or permanent basis. The patient, the designated
carepartner or an employee of Coram administers infusion therapies at the
patient's home. In some patient groups, such as immuno-suppressed patients
(e.g., AIDS/HIV, cancer, transplant patients, etc.), blood coagulant therapies
or anti-infective therapies may be provided periodically over the duration of
the primary disease or for the remainder of the patient's life, generally as
episodic care.
Nutrition Therapy. Total parenteral nutrition therapy ("TPN") involves the
intravenous feeding of life-sustaining nutrients to patients with impaired or
altered digestive tracts due to inflammatory bowel disease, short bowel syndrome
or other gastrointestinal illnesses. The therapy is generally administered
through a central catheter surgically implanted into a major blood vessel to
introduce the nutrient solution into the bloodstream. The nutrient solution may
contain amino acids, dextrose, fatty acids, electrolytes, trace minerals or
vitamins. In many cases, the underlying illness or condition from which
parenteral nutrition patients suffer is recurrent in nature requiring periodic
re-hospitalization for treatment followed by resumption of parenteral nutrition
at home. Some patients must remain on TPN for life and other patients may
require short-term TPN therapy to augment nutritional status, such as patients
with a diagnosis of cancer, hyperemesis, HIV, eating disorders, and other
diseases and treatments.
Enteral nutrition therapy is administered through a feeding tube into the
gastrointestinal tract to patients who cannot eat as a result of an obstruction
to the upper gastrointestinal tract or other medical conditions. Enteral
nutrition therapy is often administered over a long period, often for six months
or longer.
Anti-Infective Therapy. Anti-infective therapy is the infusion of
antibacterial, anti-viral or anti-fungal medications into the patient's
bloodstream for the treatment of a variety of infectious episodes, such as
osteomyelitis (bone infections), bacterial endocarditis (infection of the heart
valves), wound infections, infections associated with AIDS, cancer, post-kidney
transplant treatment protocols and infections of the kidneys and urinary tract.
Intravenous anti-infective drugs are delivered through a peripheral catheter
inserted in a vein in the patient's arm or via a centrally placed catheter.
Anti-infective drugs are often more effective when infused directly into the
bloodstream rather than taken orally.
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Intravenous Immunoglobulin. IVIG therapy involves the administration of
blood derivative products (gammaglobulins), which are administered to patients
with immune deficiency or altered immune status. IVIG therapy is most commonly
administered to patients with primary immune deficiencies or autoimmune
disorders. Patients receiving IVIG therapy for primary immune deficiencies
usually receive the therapy for life. Depending on the severity of their
condition, patients receiving IVIG therapy for autoimmune disorders are treated
intermittently over a period of months. IVIG products are delivered through a
peripheral catheter inserted in a vein in the patient's arm or via a centrally
placed catheter over one to five days, depending on the type of disorder being
treated.
Pain Management. Pain management services encompass the treatment of pain
and the management of related symptoms, resulting from either malignant or
non-malignant diseases. Unrelieved pain and related symptoms are major
contributors to emergency room visitations, as well as readmissions and extended
stays in hospitals. Pain management drugs are typically delivered by
intravenous, subcutaneous or intraspinal (e.g., epidural) therapy, often in
connection with the delivery of other core therapies.
Coagulant and Blood Clotting Therapies. Coagulation or factor replacement
therapy is the intermittent administration of a blood clotting factor. Blood
clotting factors are generally administered to persons with hemophilia or
related genetic disorders which affect the blood's ability to clot. In these
disorders, one or more of the normal blood clotting factors is not produced in
sufficient amounts by the body. The absence of these clotting factors makes it
difficult or impossible for a patient to stop bleeding. Severe hemophiliacs can
suffer from spontaneous bleeding episodes without trauma. Repeated bleeding
episodes can cause permanent loss of mobility in the joints putting the patient
at further risk medically and impacting their ability to live a normal life.
Factor replacement products are administered via a centrally inserted or
peripherally inserted intravenous catheter over a short period of time
(approximately 10 minutes). Factor is infused when bleeding episodes occur or on
a routine preventative basis (prophylaxis). Most patients (even children) and/or
their carepartners learn to start their own intravenous catheter and administer
their blood clotting factor. Persons with hemophilia and others who have
inherited clotting disorders will require these products throughout their lives.
The ability to acquire factor product under normal conditions is volatile,
but currently the international demand for certain factor products far exceeds
the supply. Availability of factor product from manufacturers is inconsistent,
thereby requiring the company to purchase through the blood broker market where
pricing may not be favorable and product availability can change significantly
from day to day. During such times of shortages, prices increase dramatically
with limited availability to pass these additional costs on to patients. Due to
the nature of factor manufacturing processes, intermittent product shortages may
be experienced from time to time, which may make it difficult for Coram to meet
the needs of its patients and may have an adverse impact on Coram's future
results of operations. These shortages could be due to insufficient donor pools,
failed production lots, contamination, etc. Moreover, a single patient's
requirements may, at any given time, expend what would otherwise be adequate
inventory for multiple patients. During March 2001, the company began
experiencing difficulties obtaining recombinant factor VIII (rVIII) due to a
nationwide shortage of this product which was precipitated by Federal Drug
Administration requirements exceeding the expectations of manufacturing. Coram
currently has a supply of this factor product in inventory to meet immediate
patient demands; however, management is proactively taking steps to secure
inventory of this product at levels sufficient to meet anticipated future
demands. Under normal circumstances, limited allocations of products from
manufacturers greatly impact the company's ability to expand its customer base,
but management believes this current factor shortage is likely to impair the
company's ability to grow this segment of its business.
Transplant Services. Coram developed a specific program and is providing
therapies and services to pre-and post bone marrow, blood cell and organ
transplant patients. This clinically focused care management program includes,
among other things, proprietary patient and environmental assessment and
monitoring protocols, patient education tools and clinical training programs.
The most common therapy for transplant patients is anti-infective therapy,
including antibiotics, anti-viral and anti-fungal agents, most often prescribed
intravenously to prevent or treat an infection due to the patient's
immuno-compromised status. Other prescribed therapies include TPN, IVIG,
biologic response modifiers, immunosuppressive therapies and blood products.
Durable Medical Equipment and Respiratory Therapy Equipment. Certain Coram
branches provide durable medical and respiratory therapy equipment to patients
for use at home. Durable medical and respiratory equipment include, but are not
limited to, hospital beds, wheelchairs, walkers, oxygen systems, home
ventilators, sleep apnea equipment and nebulizers. Coram's integrated service
approach allows patients to access infusion therapy or other therapy services
and the necessary medical equipment through a single source.
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Other Therapies. Coram provides other technologically advanced therapies
such as antineoplastic chemotherapy, intravenous inotropic therapy for patients
with congestive heart failure or for those who are awaiting cardiac transplants,
intravenous anti-coagulant therapy for the prevention of blood clots, and
anti-nausea therapy for chemotherapy induced emesis or hyperemesis gravidarum.
Hydration therapy is often administered in conjunction with intravenous
chemotherapy. Other therapies, as described herein, amounted to less than 5% of
the company's infusion therapy net revenue for each of the years ended December
31, 2001, 2000, and 1999.
ALTERNATE SITE INFUSION THERAPY: ORGANIZATION AND OPERATIONS
General. Coram's alternate site infusion therapy business operations are
currently conducted through 77 branches. During the year ended December 31,
2001, the branches were divided into two geographic areas. Each area has a
Senior Vice President of Operations who reports directly to the President, and
an Area Vice President of Sales who reports to the Senior Vice President of
Sales, who reports to the President. Coram's organizational structure was
designed to create greater operating and decision-making efficiencies associated
with managing the company. Management believes that the functional approach to
management facilitates high quality local decision-making, which allows Coram to
attract and retain experienced local managers and be responsive to local market
needs. Management continuously reviews operations, focusing on cost effective
delivery of quality patient care. For example, Coram established a Hemophilia
Services Division and specialty hemophilia distribution centers in Malvern,
Pennsylvania, Albuquerque, New Mexico and Sacramento, California. Each center
utilizes existing Coram branches and resources and concentrates experienced
company clinicians and management on addressing the unique needs of hemophilia
patients and their carepartners.
Operating Systems and Controls. An important factor in Coram's ability to
monitor its operating locations is its management information systems. Besides
routine financial reporting, the company has developed a performance model for
monitoring the field operations of its infusion business. Actual operating
results derived from the management information systems can be compared to the
performance model, enabling management to identify opportunities for increased
efficiency and productivity. Management believes that the use of standardized,
specific performance matrices and the identification and monitoring of best
demonstrated practices facilitate operational improvements.
Coram endeavors to ensure that its local managers have the appropriate
authority and ability to perform effectively by providing training, education,
policies and procedures and standardized systems. Coram has designed various
management incentive plans that reward performance based on revenue growth,
accounts receivable collection, inventory control and contribution of earnings
before interest expense, income taxes, depreciation and amortization ("EBITDA").
ALTERNATE SITE INFUSION THERAPY: QUALITY ASSURANCE/PERFORMANCE IMPROVEMENT
Coram maintains accreditation for its infusion therapy business that is
consistent with its service standards and enables the company to monitor whether
the objectives of those standards are met. In 1999, Coram began triennial
re-surveys conducted by the Joint Commission on the Accreditation of Health Care
Organizations ("JCAHO"). As of December 31, 1999, the corporate office and 30
branches, including related satellite locations, successfully completed the
triennial survey process. During 2000, an additional 32 branches were
successfully resurveyed by JCAHO. The company successfully completed its entire
triennial survey of all locations with JCAHO in 2001.
In anticipation of the beginning of a new triennial period and as a normal
course of business, Coram evaluated its options for accreditation by a
nationally recognized independent organization. In connection therewith, Coram
elected to pursue recurring national accreditation from the Accreditation
Commission on Health Care, Inc. ("ACHC"). To prevent a lapse in accreditation,
Coram underwent its corporate survey with ACHC in December 2001 and received
Accreditation with Commendation, which applies to all services provided at all
locations effective January 1, 2002. ACHC will conduct ongoing surveys at Coram
locations to monitor continued compliance with ACHC standards throughout the
three-year accreditation term.
An integral part of Coram's quality efforts is the national and branch
specific Performance Improvement activities, which are fully integrated into the
daily business model. The Performance Improvement program serves to:
(i) evaluate branch programs, policies and procedures and amend protocols
as needed;
(ii) provide ongoing direction to performance improvement efforts;
(iii) measure patient and customer satisfaction and analyze trends,
responding as necessary to achieve better customer service;
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(iv) monitor clinical outcome measures, including access device related
outcomes and rehospitalizations, analyze trends and act as necessary
to improve customer outcomes;
(v) assist in the development of new programs or procedures to meet
recognized needs within the branch or the community that it serves;
(vi) evaluate the branch staff efforts related to professional and
clinical issues such as clinical monitoring of patients; and
(vii) identify, monitor and modify key performance areas of operations.
Further, Coram's Clinical Operations Department assists branch management in
assessing the levels of service being provided to patients. Coram's integrated
approach to performance improvement is designed to identify national, area,
regional and branch specific trends related to high volume, high risk, problem
prone and new activities. It encompasses continuous assessment and measurement
of patient and customer satisfaction at both local and national levels, as well
as, the comprehensive tracking, measuring and monitoring of important clinical
outcomes. It also encompasses the measurement of management's success in
achieving the desired operational and fiscal benchmarks that are key to the
company's success.
DURABLE MEDICAL EQUIPMENT AND RESPIRATORY THERAPY EQUIPMENT
Coram provides a full line of durable medical and respiratory therapy
equipment including, but not limited to, hospital beds, wheelchairs, walkers,
oxygen systems, home ventilators, sleep apnea equipment and nebulizers to serve
the needs of its home care patients through branches located in San Diego,
California; Indianapolis, Indiana; Lenexa, Kansas; Detroit, Michigan; and
Casper, Wyoming. Coram also provides these services through one of its
partnerships with three locations in Wisconsin. In 2002, Coram completed the
sale of its durable medical equipment business located in New Orleans,
Louisiana. (See Note 3 to the company's Consolidated Financial Statements).
Durable medical and respiratory therapy equipment is available to patients for
purchase or rent. There are many synergies between the company's durable medical
and respiratory therapy equipment product line and its base infusion business
that benefit both the company and its customers. Coram primarily benefits from
the opportunity to provide durable medical and respiratory therapy equipment to
patients who are already receiving infusion or other therapy services and
patients and payers principally benefit from the opportunity to obtain
healthcare services and equipment through a single source.
CLINICAL RESEARCH
Coram has been providing support services for clinical research studies
since 1995. In 1998, the company created a Clinical Research division and began
devoting additional resources to, and actively marketing, its capabilities in
this area. This division is operated through the company's wholly-owned
subsidiary, CTI Network, Inc. ("CTI"). Utilizing integrated information systems
and Coram's national network of approximately 700 full-time equivalent alternate
site infusion nurses and pharmacists, as well as, contracted nurses from
non-Coram agencies, CTI can offer its customers the opportunity to expeditiously
complete some of the most challenging aspects of a clinical trial by:
(i) providing single source contracting through a central office for
national services;
(ii) assisting in the identification of potential investigators;
(iii) providing nurse study coordinators at the physician's office;
(iv) providing alternate site healthcare services such as therapy
administration, specimen collection, patient education and training,
patient assessments and data collection;
(v) providing alternate site pharmacy services;
(vi) providing patient screening and surveying services; and
(vii) providing product acquisition and national distribution services.
8
CPS: PHARMACY BENEFIT MANAGEMENT AND SPECIALTY MAIL-ORDER PHARMACY SERVICES
On July 31, 2000, the company completed the sale of CPS to Curascript
Pharmacy Services, Inc. and Curascript PBM Services, Inc. (collectively, the
"Buyers"). The Buyers were newly formed affiliates of GTCR Golder Rauner, L.L.C.
and were led by certain members of the former CPS management team. See Note 5 to
the company's Consolidated Financial Statements.
CPS offered HMO, PPO, at-risk physician groups, self funded employer benefit
plans, labor organizations and other managed care customers pharmacy benefit
management and specialty mail-order pharmacy services. The pharmacy benefit
management services included on-line claims administration, formulary management
and drug utilization review and were provided through a nationwide network of
over 51,000 retail pharmacies. The company generally maintained approximately 60
such arrangements in place for pharmacy benefit management services. CPS's
specialty mail-order pharmacy service included centralized distribution,
compliance monitoring, patient education and clinical support to patients with
specialized needs. In particular, CPS focused its marketing efforts on patients
with organ transplants, HIV/AIDS, growth deficiencies and other chronic
conditions. As of July 31, 2000, CPS had approximately 6,200 active patients
receiving its specialty mail-order pharmacy services.
RESOURCE NETWORK SUBSIDIARIES: ANCILLARY NETWORK MANAGEMENT SERVICES
The Resource Network Subsidiaries offered ancillary network management
services to HMOs, PPOs, at-risk physician groups and other managed care
organizations for the home health services offered under their benefits plans.
As of January 1, 1999, R-Net was providing its services to its customers' plans
that covered approximately 3.5 million lives. Typically, a network of home
health service vendors managed by R-Net included providers of home infusion,
home nursing, durable medical equipment, respiratory therapy, home hospice,
medical supplies, women's health, orthotics, prosthetics and other home health
services identified by the customer. Each network provider contracted with R-Net
and received referrals of patients from R-Net. Where appropriate, the company's
infusion and CPS divisions participated in the provider networks established by
R-Net.
The agreements that R-Net had for the provision of ancillary network
management services have been terminated and R-Net is no longer providing any
ancillary network management services. The Resource Network Subsidiaries are
being liquidated pursuant to certain Chapter 11 bankruptcy proceedings that are
currently pending in the Bankruptcy Court. The Chapter 11 proceedings were
originally initiated with the filing on August 19, 1999 of an involuntary
bankruptcy petition against Coram Resource Network, Inc. in such court.
Subsequently, both Resource Network Subsidiaries filed voluntary petitions for
relief on November 12, 1999. See Item 3. "Legal Proceedings."
All of the R-Net locations have been closed in connection with its pending
liquidation. Additionally, all Coram employees who were members of the Resource
Network Subsidiaries' Board of Directors resigned during the year ended December
31, 2000, and currently only the Chief Restructuring Officer appointed by the
Bankruptcy Court remains on the Board of Directors to manage and operate the
liquidation of the R-Net business. Coram classifies the operating losses of this
business as discontinued operations in the consolidated financial statements.
See Item 3. "Legal Proceedings" and Notes 4 and 13 to the company's Consolidated
Financial Statements for more information regarding discontinued operations and
the amicable resolution of certain disputes between Aetna, the company and the
Resource Network Subsidiaries.
In November 2001, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed an adversary complaint in the Bankruptcy
Court, both on its own behalf and as assignee for causes of action that may
belong to the Resource Network Subsidiaries, which named as defendants the
Debtors, several non-debtor subsidiaries, several current and former directors,
current executive officers of CHC and several other current and former employees
of the company. This complaint also named as defendants Cerberus Partners, L.P.,
Goldman Sachs Credit Partners, L.P., Foothill Capital Corporation and Foothill
Income Trust, L.P., the Debtors' principal lenders. The complaint alleges that
the defendants violated various state and federal laws in connection with
alleged wrongdoings related to the operation and corporate structure of the
Resource Network Subsidiaries, including, among other allegations, breach of
fiduciary duty, conversion of assets and preferential payments at the detriment
of the Resource Network Subsidiaries' estates, misrepresentation and fraud,
conspiracy, fraudulent concealment and a pattern of racketeering activity. The
complaint seeks damages in the amount of approximately $56 million and
additional monetary and non-monetary damages, including the disallowance of the
Debtors' proof of claim against the Resource Network Subsidiaries, punitive
damages and attorneys' fees. The Debtors objected to the complaint in the
Bankruptcy Court because management believes that the complaint constitutes an
attempt to circumvent the automatic stay protecting the estates of the Debtors;
however, the non-debtor subsidiaries have no such protection and, accordingly,
they plan to vigorously contest the allegations. The company notified its
insurance carrier of the complaint and intends to avail itself of any
appropriate insurance coverage for its directors and officers, who are also
vigorously contesting the allegations. Principally due to the early stages of
this matter and the issues pending before the Bankruptcy Court, the company
cannot predict the
9
outcome of this case nor can it predict the scope and nature of any
indemnification that the directors and officers may have with the company's
insurance carrier.
REIMBURSEMENT OF SERVICES
Virtually all of Coram's operating revenue is derived from third-party
payers, including private insurers, managed care organizations such as HMOs and
PPOs, at-risk physician groups and governmental payers such as Medicare and
Medicaid. Like other medical service providers, Coram experiences lengthy
reimbursement periods in certain circumstances as a result of third-party
payment procedures. Consequently, management of accounts receivable through
effective patient registration, billing, documentation, collection and
reimbursement procedures is critical to financial success and continues to be a
high priority for management. Coram continues to focus on the appropriate
processing of claims and the careful screening of new patients to determine that
adequate reimbursement will be available and will be received in a timely
manner.
In certain instances, fixed fee or capitated fee arrangements are utilized.
Under a capitated fee arrangement, Coram would agree to deliver or arrange for
the delivery of certain home health services required under the payer customer's
health plan in exchange for a fixed per member per month service fee. The total
per member per month fee is calculated using all members enrolled in the
particular health plan as of certain dates. Before establishing the appropriate
per member per month fee, Coram typically reviews utilization data provided by
the payer customer and/or other available utilization data. In some instances,
the per member per month rates will be adjusted or reconciled periodically to
reflect actual utilization to prevent excess losses by the company or excess
expense outlays by the payer customer. As of December 31, 2001, the company was
a party to only four capitated contracts. Such agreements represented
approximately 6%, 4% and 2% of the company's consolidated net revenue from
continuing operations for the years ended December 31, 2001, 2000 and 1999,
respectively. Of the capitated revenue agreements, approximately 90% of the 2001
activity (5.5% of the company's total net revenue for 2001) relates to an
agreement that provides services to members in the California marketplace. The
aforementioned capitated agreement's risk to the company is somewhat mitigated
by the inclusion of contractual stop-loss provisions that protect the company
when member utilization for identified therapies exceeds contractual thresholds.
Once stop-loss provisions are met in any given month, the services provided by
Coram are reimbursed at agreed-upon fee-for-service rates. See Item 7.
"Management's Discussion and Analysis of Financial Condition and Results of
Operations: Background."
Reimbursement payments are provided through various sources, such as
insurance companies, self-insured employers, patients and the Medicare and
Medicaid programs. The Centers for Medicare and Medicaid Services ("CMS")
(formerly the Health Care Financing Administration) has developed, for use in
the Medicare Part B program, a national fee schedule for respiratory therapy,
home medical equipment and infusion therapy, which provides reimbursement at 80%
of the amount of any fee on the schedule. The remaining 20% co-insurance portion
is the obligation of secondary insurance and/or the patient. A substantial
amount of the revenue Coram earns under the Medicare program originates from the
Part B program. Private indemnity payers typically reimburse at a higher amount
for a given service and provide a broader range of benefits than governmental
and managed care payers, although net revenue and gross profit from both private
and other third-party non-governmental payers have been affected by continuing
efforts to contain or reduce reimbursement for healthcare services. An
increasing percentage of Coram's net revenue has been derived in recent years
from agreements with HMOs, PPOs, managed care providers and other contracted
payers. Although these agreements often provide for negotiated reimbursement at
reduced rates, they generally result in lower bad debts and provide
opportunities to generate greater volume than traditional indemnity referrals.
Laws and regulations governing the Medicare and Medicaid programs are
complex and subject to interpretation and revision. Management is aware of
certain ongoing audits and reviews with respect to prior reimbursements from
Medicare and Medicaid. While management believes that the company is in
substantial compliance with all applicable laws and regulations, compliance with
such laws and regulations can be subject to future government review and
interpretation, as well as, significant regulatory action, including fines,
penalties, and exclusion from the Medicare and Medicaid programs. See Item 7.
"Management's Discussion and Analysis of Financial Condition and Results of
Operations: Risk Factors."
For most of the drugs that Coram provides to its patients, it is reimbursed
by governmental and third party payers according to rate schedules that are
based on the Average Wholesale Price ("AWP") of the drugs as published by
commercial pricing services. For example, the Medicare program's allowable
payment amount is generally 95 percent of the published AWP of a drug. AWP is an
industry term that is typically understood to represent a suggested price for
wholesale sales to pharmacies. The AWP does not necessarily reflect the price
paid by either pharmacies or other end-user purchasers.
In the past several years, state and federal government enforcement agencies
have conducted ongoing investigations of manufacturers' practices with respect
to AWP in which they have suggested that "inflated" AWPs have led to excessive
government
10
payments for prescription drugs and biologicals. Several private lawsuits have
also been filed against manufacturers based on similar allegations seeking
recoveries on behalf of patients and private health care plans. As a result of
these investigations, federal and state policymakers have begun to question the
appropriateness of continuing to reimburse for drugs and biologicals under
federal programs using AWP-based methodologies. For example, the Medicare,
Medicaid and SCHIP Benefits and Improvement and Protection Act of 2000 ("BIPA")
required the General Accounting Office ("GAO") to study Medicare reimbursement
for drugs and biologicals and for related services. The Secretary of Health and
Human Services is required to revise the current Medicare payment methodologies
for covered drugs and biologicals and related services based on the GAO's
recommendations. Similarly, on November 14, 2001, members of the House Commerce
Committee outlined a proposal to the CMS administrator for a proposed new
methodology under which payments for drugs and biologicals would be based on a
new "average sales price" concept, which would be intended to more accurately
reflect providers' actual acquisition cost for drugs and biologicals. A number
of other legislative proposals to revise the Medicare payment methodology for
drugs have been introduced.
In addition, as part of the government investigations of AWP described
above, the Department of Justice and states' attorneys general developed
"revised" AWPs for a number of drugs and biologicals which are generally lower
than those published by commercial services. The Medicare program proposed that
these revised AWPs be used in determining reimbursement amounts, but this
proposal was withdrawn in light of the BIPA provisions described above.
According to a recent report by the Department of Health and Human Services
Office of Inspector General, however, approximately 30 state Medicaid programs
are using the revised AWPs to establish reimbursement amounts for some of the
listed drugs and biologicals in certain patient care settings.
There can be no assurances that government or private healthcare programs
will continue to reimburse for drugs and biologicals based on current AWP-based
methodologies, or that future AWPs, revised AWPs or other payment methods will
reflect acquisition prices available to purchasers such as the company. If
government or private health insurance programs discontinue or modify the use of
AWP or otherwise implement payment methods that reduce the reimbursement for
drugs and biologicals, the profit margins that the company receives may be
reduced, and, in many cases, be inadequate when combined with service fees to
cover the cost of clinical services and overhead expenses associated with the
delivery and administration of the drugs and biologicals. This circumstance
could produce a material adverse impact on the company's overall profit margins.
For example, effective July 1, 2001, the margin between Coram's
reimbursement rate and the cost of a particular brand of the antibiotic drug
Vancomycin and four other anti-infective drugs was significantly decreased as a
result of the reduction in the AWP reimbursement rate. To mitigate the decrease
of net revenue from the resulting decrease in AWP reimbursement, the company
made modifications to its drug purchasing formulary. While the company is
implementing changes to reduce the adverse effect on net revenue and the direct
impact to profitability, no assurances can be made that the company will be
successful in implementing these changes. See Item 7. "Management's Discussion
and Analysis of Financial Condition and Results of Operations" for further
discussion.
In December 2000, Coram announced that as part of its continuing efforts to
improve efficiency and overall performance, several Patient Financial Service
Centers (reimbursement sites) were being consolidated and the related
reimbursement positions were being eliminated. By consolidating to fewer sites,
management expects to implement improved training, more easily standardize "best
demonstrated practices," enhance specialization related to payers such as
Medicare and achieve more consistent and timely cash collections. Management
does not expect this change to affect Coram's patients or payers, but believes,
instead, that in the long-term they will receive better, more consistent
service. The transition was accomplished in stages commencing April 1, 2001 and
ending July 2001. Management had taken certain actions to mitigate the potential
shortfall in cash collections during and after the transition period, including,
but not limited to, offering incentives for personnel to stay with the company
until the completion of their corresponding regional consolidation.
Notwithstanding management's efforts, the company experienced deterioration in
its days sales outstanding ("DSO") since the commencement of the reimbursement
consolidation plan and a substantial growth in accounts receivable. No
assurances can be given that the consolidation of the company's Patient
Financial Service Centers will be successful in enhancing timely reimbursement,
that the company will not continue to experience a significant shortfall in cash
collections after the transition period or that the aforementioned deterioration
in DSO and accounts receivable will not continue. See Item 7. "Management's
Discussion and Analysis of Financial Condition and Results of Operations: Risk
Factors."
11
COMPETITION
The alternate site infusion therapy market is highly competitive. Some of
Coram's current and potential competitors in these lines of business include:
(i) integrated providers of alternate site healthcare services;
(ii) hospitals;
(iii) local providers of multiple products and services for the alternate
site healthcare market.
(iv) physicians and physician-owned organizations, such as independent
practice associations and multi-specialty group practices; and
Coram has experienced increased competition in its alternate site infusion
therapy business from hospitals and physicians that have sought to increase the
scope of services offered through their facilities, including services similar
to those offered by Coram.
Coram competes with other providers on a number of critical differentiating
factors, including quality of care and service, reputation within the medical
and payer communities, geographic scope and price. Competition within the
alternate site infusion business has been affected by the decision of
third-party payers and their case managers to be more active in monitoring and
directing the care delivered to their beneficiaries. Accordingly, relationships
with such payers and their case managers and inclusion within preferred provider
and other networks of approved or accredited providers is often a prerequisite
to Coram's ability to continue to serve many of its patients. Similarly, Coram's
ability to align itself with other healthcare service providers may increase in
importance as managed care providers and provider networks seek out providers
who offer a broad range of services that may exceed the range of services
currently offered directly by Coram.
There are relatively few barriers to entry in the local markets which Coram
serves. Local or regional companies are currently competing in many of the
healthcare markets served by the company and others may do so in the future.
Entrance into the local markets by competitors could cause a decline in net
revenue, loss of market acceptance of Coram's services and price competition.
Coram expects to continue to encounter competition in the future that could
limit its ability to maintain or increase its market share. Such competition
could have an adverse effect on the business, financial condition and results of
operations of Coram. See Item 7. "Management's Discussion and Analysis of
Financial Condition and Results of Operations: Risk Factors."
SALES AND MARKETING
Coram's alternate site infusion therapy products and services are marketed
through branch sales personnel, including managed care consultants, account
managers and clinical service liaisons with sales specialists focused on select
Nutrition and Blood Product Programs. The company established product managers
for four of its core therapies: nutrition, anti-infectives/transplant,
hemophilia-related services and pain services through four Strategic Business
Units: Nutrition Services, Anti-Infectives/Transplant Services, Blood Products
Services (including hemophilia and IVIG) and Pain Management, respectively. The
vice president for each unit has responsibility for ongoing program development
and provides clinical and marketing resources to focus on growing sales in these
areas.
Substantially all of Coram's new patients are referred by physicians,
medical groups, hospital discharge planners, case managers employed by HMOs,
PPOs or other managed care organizations, insurance companies and home care
agencies. Coram's sales force is responsible for establishing, maintaining and
growing referral sources. Sales employees generally receive a base salary plus
incentive compensation based on core therapy patient growth and revenue growth
and/or EBITDA enhancements.
Coram's network of field representatives enables it to market its services
to numerous sources of patient referrals, including physicians, hospital
discharge planners, hospital personnel, HMOs, PPOs and insurance companies.
Marketing is focused on presenting Coram's clinical expertise tailored to
specific customer/patient interests, with an emphasis on certain key therapies.
Specialty marketing and sales support personnel promote products and services
that are outside of base infusion therapy.
As a result of escalating pressures to contain healthcare costs, third-party
payers are participating in certain decisions regarding healthcare alternatives,
using their significant bargaining power to secure discounts and to direct
referrals of their enrollees to providers. In response, Coram has directed its
sales and development focus to aggressively pursue agreements with third-party
payers, managed care organizations and provider networks that provide high
quality, cost-effective care. Coram maintains a dedicated sales
12
force in each of its Strategic Business Units to enhance its efforts to market
and sell its services to managed care payers. The company's managed care sales
representatives are deployed with a field sales force to focus on regional and
national payers to affect "pull-through" from referral sources within each
payer's network. Coram is currently focusing its efforts on increasing referrals
through selected managed care agreements, with the goal of being the preferred
infusion provider, as well as, selling specialty programs for nutrition,
anti-infectives, IVIG and pain management therapies, services for persons with
hemophilia and for persons receiving certain types of organ and bone
marrow/blood cell transplants.
CUSTOMERS AND SUPPLIERS
Coram provides alternate site home healthcare services and products to a
large number of patients and related payers. Medicare and Medicaid collectively
represented approximately 25% of consolidated net revenue from continuing
operations for the year ended December 31, 2001. No other single contract payer
accounted for more than 5% of Coram's net revenue for 2001, except for one payer
related to a capitated contract in the California marketplace that represented
approximately 5.5% of the company's consolidated revenue for such year.
Coram purchases products from a large number of suppliers and considers its
relationships with its vendors to be good, subject to credit uncertainty and the
ongoing bankruptcy proceedings. Except for certain blood products discussed in
Item 1. "Business, Alternate Site Infusion Therapy: Products and Services -
Coagulant and Blood Clotting Therapies", management believes that substantially
all of its products are available from alternative sources with terms
consistent, in all material respects, to its present agreements. This is true
for products currently being purchased through Cardinal Health, Inc. and Baxter
Healthcare Corporation, two of Coram's major suppliers of drugs and supplies.
During the year ended December 31, 2001, Coram purchased approximately $57.9
million of drugs and supplies from Cardinal Health, Inc. and $27.4 million from
Baxter Healthcare Corporation, or approximately 36% and 17%, respectively, of
its total drugs and supplies.
The principal supplier of Coram's infusion pumps, Sabratek Corporation
("Sabratek"), filed for protection under Chapter 11 of the United States
Bankruptcy Code on December 17, 1999. In January 2000, Baxter Healthcare
Corporation ("Baxter") purchased certain Sabratek assets, including Sabratek's
pump manufacturing division, and continued to produce the related tubing and
infusion sets needed to operate the Sabratek infusion pumps used by Coram.
Beginning in January 2000, Coram's fleet of approximately 5,000 Sabratek 6060
Homerun pumps began to experience malfunctions and failures of various sorts due
to inherent flaws in the design of the pump. Pumps needing repair were sent back
to Sabratek for repair at no cost, due to a five-year warranty on pump repairs
that was part of the underlying contract. Repairs have been made to these pumps
and management believes the pump lives have been extended. Management expects
that Baxter will extend the period during which it will produce the related
tubing and infusion sets necessary for operation of the 6060 Homerun pumps;
however, no assurances can be made that Baxter will make such an extension. In a
separate matter, Baxter announced that effective March 2003 it will cease
production of Sabratek 3030 pumps and related tubing and infusion sets necessary
for repairs and operation of these pumps. Management is currently evaluating the
company's options regarding the fleet of approximately 3,000 Sabratek 3030
pumps, including the purchase or leasing of new technology.
GOVERNMENT REGULATION
General. The federal government and all states in which Coram is currently
operating regulate various aspects of Coram's business. In particular, Coram's
operations are subject to extensive federal and state laws regulating, among
other things, the provision of pharmacy, home care, nursing services, ancillary
network management services, health planning, health and safety, environmental
compliance and toxic and medical waste disposal. Coram is also subject to fraud
and abuse and self-referral laws, which affect its business relationships with
physicians, other healthcare providers and referral sources and its
reimbursement from government payers. Generally, all states require infusion
companies to be licensed as pharmacies and to have appropriate state and federal
registrations for dispensing controlled substances. Some states require infusion
companies to be licensed as nursing or home health agencies and to obtain
medical waste permits. In addition, certain company employees are subject to
state laws and regulations governing the ethics and professional practices of
pharmacy and/or nursing.
Coram may also be required to obtain certifications or register in order to
participate in governmental payment programs such as Medicare and Medicaid. Some
states have established certificate-of-need programs regulating the
establishment or expansion of healthcare operations, including certain of
Coram's operations. The failure to obtain, renew or maintain any of the required
regulatory approvals, certifications, registrations or licenses could adversely
affect Coram's business and could prevent the location or locations involved
from offering products and services to patients and/or from billing third-party
payers. Coram's operating results could be adversely affected, directly or
indirectly, as a result of any such actions. Coram believes it complies, in all
material respects, with these and all other applicable laws and regulations. The
healthcare services industry will continue to be subject to pervasive regulation
at the
13
federal and state levels, the scope and effect of which cannot be predicted. No
assurances can be given that the activities of Coram will not be reviewed and
challenged or that government sponsored healthcare reform, if enacted, will not
result in material adverse changes to the company.
Fraud and Abuse. Coram's operations are subject to the illegal remuneration
provisions of the Social Security Act (sometimes referred to as the
"anti-kickback" statute) that imposes criminal and civil sanctions on persons
who knowingly and willfully solicit, offer, receive or pay any remuneration,
whether directly or indirectly, in return for, or to induce, the referral of a
patient for treatment, or, among other things, the ordering, purchasing or
leasing, of items or services that are paid for in whole or in part by federal
healthcare programs. Violations of the federal anti-kickback statute are
punishable by criminal penalties, including imprisonment, fines and exclusion of
the provider from future participation in federal healthcare programs. Federal
healthcare programs have been defined to include any plan or program that
provides health benefits funded by the United States Government and commonly
include, among others, Medicare, Medicaid and the Civilian Health and Medical
Program of the Uniformed Services. Administrative exclusion and civil monetary
penalties for anti-kickback violations can also be imposed through an
administrative process. Federal enforcement officials may also attempt to use
other general federal statutes to punish behavior considered fraudulent or
abusive, including the Federal False Claims Act, which provides for penalties of
up to $11,000 per claim plus treble damages, and permits private persons to sue
on behalf of the government. While the federal anti-kickback statute expressly
prohibits transactions that have traditionally had criminal implications, such
as kickbacks, rebates or bribes for patient referrals, its language has been
construed broadly and has not been exclusively limited to such obviously
wrongful transactions. Some court decisions state that, under certain
circumstances, the statute is also violated when "one" purpose (as opposed to
the "primary" or a "material" purpose) of a payment is to induce referrals.
Congress has frequently considered, but has not yet adopted, federal legislation
that would expand the federal anti-kickback statute to include the same broad
prohibitions regardless of payer source.
In addition to the payment or receipt of illegal remuneration for the
referral or generation of federal healthcare program business, the fraud and
abuse laws cover other billing practices that are considered fraudulent (such as
presentation of duplicate claims, claims for services not actually rendered or
for procedures that are more costly than those actually rendered) or abusive
(such as claims presented for services not medically necessary based upon a
misrepresentation of fact) subject to the same remedies described above.
Similarly, a large number of states have varying laws prohibiting certain
direct or indirect remuneration between healthcare providers for the referral of
patients to a particular provider, including pharmacies and home health
agencies. Possible sanctions for violations of these laws include loss of
licensure, exclusion from state funded programs and civil and criminal
penalties.
Prohibition on Physician Referrals. Under the Omnibus Budget Reconciliation
Act of 1993 (commonly referred to as "Stark II"), it is unlawful for a physician
to refer patients for certain designated health services reimbursable under the
Medicare or Medicaid programs to an entity with which the physician and/or the
physician's family, as defined under Stark II, has a financial relationship,
unless the financial relationship fits within an exception enumerated in Stark
II or regulations promulgated thereunder. Aspects of Coram's business which are
"designated health services" for purposes of Stark II include outpatient
prescription drugs, parenteral and enteral nutrition, equipment and supplies,
durable medical equipment and home health services. A "financial relationship"
under Stark II is defined broadly as an ownership or investment interest in, or
any type of compensation arrangement in which remuneration flows between the
physician and the provider. Coram has financial relationships with physicians
and physician owned entities in the form of medical director agreements and
service agreements pursuant to which the company provides pharmacy products. In
each case, the relationship has been structured, based on advice of legal
counsel, using an arrangement management believes to be consistent with
applicable exceptions set forth in Stark II, such as the personal services
arrangements exception or the exception for payments by a physician for items
and services.
In addition, the company is aware of certain referring physicians (or their
immediate family members) that have had financial interests in the company
through ownership of shares of the company's common stock. The Stark II law
includes an exception for the ownership of publicly traded stock in certain
companies with equity above certain levels. This exception of Stark II requires
the issuing company to have stockholders' equity of at least $75 million either
as of the end of its most recent fiscal year or on average over the last three
fiscal years. Due principally to the extraordinary gains on troubled debt
restructurings (see Note 8 to the company's Consolidated Financial Statements),
at December 31, 2001 the company's stockholders' equity was above the required
level. However, in light of the company's recurring operational losses during
each of the years in the three year period ended December 31, 2001, management's
ability to maintain an appropriate level of stockholders' equity cannot be
reasonably assured. The penalties for failure to comply with Stark II include,
among other things, non-payment of claims and civil penalties that could be
imposed upon the company and, in some instances upon the referring physician.
Some of such penalties can be imposed regardless of whether the company intended
to violate the law.
14
Management has been advised by legal counsel that a company whose stock is
publicly traded has, as a practical matter, no reliable way to implement and
maintain an effective compliance plan for addressing the requirements of Stark
II other than complying with the public company exception. Accordingly, if the
company's common stock remains publicly traded and its stockholders' equity
falls below the required levels, the company would be forced to cease accepting
referrals of patients covered by Medicare or Medicaid programs or run a
significant risk of noncompliance with Stark II. Because referrals of the
company's patients with such government-sponsored benefit programs comprise
approximately 25% of the company's consolidated net revenue for the year ended
December 31, 2001, discontinuing the acceptance of patients with
government-sponsored benefit programs would have a material adverse effect on
the financial condition, results of operations and cash flows of the company.
Additionally, ceasing to accept such referrals could materially adversely affect
the company's business reputation in the market as it may cause the company to
be a less attractive provider to which a physician could refer his or her
patients. The company previously requested a Stark II waiver from the Health
Care Financing Administration, but such waiver request was denied.
Under Stark II, an entity is prohibited from claiming payment under the
Medicare or Medicaid programs for services rendered pursuant to a prohibited
referral and is liable for the refund of amounts received pursuant to prohibited
claims. The entity can also be assessed civil penalties of up to $15,000 per
improper claim and can be excluded from participation in the Medicare and/or
Medicaid programs. In addition, a number of the states in which the company
operates have similar prohibitions on physician self-referrals with
corresponding penalties. Although management believes it has structured its
financial relationships with physicians to comply with Stark II and applicable
state law equivalents, the failure to comply with the provisions of such laws
could have a material adverse effect on the company. See Item 7. "Management's
Discussion and Analysis of Financial Condition and Results of Operations: Risk
Factors."
Other Fraud and Abuse Laws. The False Claims Act imposes civil liability on
individuals or entities that submit false or fraudulent claims for payment to
the government. Violations of the False Claims Act may result in civil penalties
and forfeitures and exclusion from the Medicare and Medicaid programs. The
Health Insurance Portability and Accountability Act of 1996 created two new
federal crimes: "Healthcare Fraud" and "False Statements Relating to Healthcare
Matters." The Healthcare Fraud statute prohibits knowingly and willfully
executing a scheme or artifice to defraud any healthcare benefit program. A
violation of this statute is a felony and may result in fines and/or
imprisonment. The False Statements statute prohibits knowingly and willfully
falsifying, concealing or covering up a material fact by any trick, scheme or
device or making any materially false, fictitious or fraudulent statement in
connection with the delivery of or payment for healthcare benefits, items or
services. A violation of this statute is a felony and may result in fines and/or
imprisonment.
Recently, the federal government decided to significantly increase the
financial resources allocated to enforcing the healthcare fraud and abuse laws.
In addition, private insurers and various state enforcement agencies have
increased their level of scrutiny of healthcare claims in an effort to identify
and prosecute fraudulent and abusive practices. Although management believes the
company is in compliance with fraud and abuse laws, the failure to comply with
any such laws could have a material adverse effect on the company.
Medicare and Healthcare Reform. As part of the Balanced Budget Act of 1997
(the "BBA"), Congress made numerous changes that affect Part A certified home
health agencies and Part B suppliers like Coram that participate in the Medicare
program. These policies were subsequently modified by the Medicare, Medicaid and
SCHIP Balanced Budget Refinement Act of 1999 (the "BBRA") and the Medicare,
Medicaid and SCHIP Benefits Improvement and Protection Act of 2000 (the "BIPA").
The BBA required Part A certified home health agencies, as a condition of
their participation in Part A of the Medicare program, to post surety bonds. The
bonds are to be used to secure performance and compliance with Medicare program
rules and requirements. The BBRA modified the annual surety bond amounts for
home health agencies to require the lesser of 10% of the amount Medicare paid to
the provider in the prior year or $50,000. The deadline for securing such bonds
has been extended indefinitely while CMS reviews the bonding requirements. CMS
has indicated that the new compliance date will be sixty days after the
publication of the final rule. Management believes, based upon currently
available information derived from its discussions with surety bond brokers and
organizations that issue surety bonds, that the necessary bonds will not be
generally available to home health providers until CMS revises its bonding
requirements in a way that clarifies and/or limits the types of liabilities that
will be covered by the bonds. As of April 12, 2002, the company had only one
Medicare certified home health provider location, which has not obtained a
surety bond.
As required by the BBA, CMS also intends to issue separate surety bond
regulations applicable to Part B suppliers. Virtually all of Coram's branch
offices participate as suppliers in the Part B Medicare program. Similar bonding
requirements are being reviewed by state Medicaid programs and at least one
state requires Medicaid suppliers to maintain a surety bond. Currently there is
no federal surety bond requirement. If such a requirement becomes effective and
if Coram is not able to obtain all of the necessary surety bonds, it may have to
cease its participation in the Medicare and Medicaid programs for some or all of
its branch locations. See Item 7.
15
"Management's Discussion and Analysis of Financial Condition and Results of
Operations: Liquidity and Capital Resources -- Part A and Part B Medicare Surety
Bonds."
The BBA also reduced reimbursement for oxygen and oxygen related therapies
by 25% effective January 1, 1998, with an additional 5% reduction effective
January 1, 1999 and in subsequent years. In addition, the BBA eliminated
consumer price index updates for durable medical equipment and parenteral and
enteral nutrients, supplies and equipment for five years, thereby "freezing" the
payment amount for such items until the year 2003. The BBRA restored a portion
of the durable medical equipment and oxygen payments by increasing the fee
schedules by 0.3% in 2001 and 0.6% in 2002. The BIPA further modified payments
for durable medical equipment by providing a full inflation update for items of
durable medical equipment (but not oxygen and oxygen equipment) in 2001.
The BBA also mandated the implementation of a prospective payment system
("PPS") for home health services for cost reporting periods beginning on or
after October 1, 1999. This deadline was subsequently extended to October 1,
2000. On July 3, 2000, CMS issued a final rule to implement the home health PPS.
Under the final rule, Medicare pays home health agencies for each covered 60-day
episode of care, based on the care needs of the patients, as determined by a
standardized assessment tool used to assess patient needs. Agencies also are
eligible for outlier payments if the costs of caring for an individual
beneficiary were significantly higher than the specified payment rate. The BIPA
delayed a scheduled 15 percent reduction in aggregate home health PPS amounts by
another year, until October 1, 2002. It is uncertain whether Congress will
further delay or repeal the 15 percent across-the-board cut. The aggregate
amount of Medicare payments to home health agencies in fiscal year 2002 will
equal the aggregate payments in fiscal year 2001, updated by the market basket
index ("MBI") increase, minus 1.1%. The BIPA also provides a full MBI update for
services provided under the home health PPS for fiscal year 2001, implemented in
two phases. The BBA also established consolidated billing requirements for home
health agencies, under which payment for home health products and services may
only be made to the home health agency that establishes the beneficiary's home
health plan of care, regardless of whether the item or service was furnished by
the agency or by an outside provider or supplier. The BBRA excluded durable
medical equipment and oxygen and oxygen supplies from the consolidated billing
requirement, thereby enabling durable medical equipment and oxygen suppliers to
continue to bill Medicare Part B directly for items and services furnished to
home health patients rather than be dependent on a home health agency for
payment.
The BIPA also addressed CMS policies regarding coverage of and payment for
drugs and biologicals. For instance, the BIPA required that payment for drugs
under Part B be made on an assigned basis; in other words, the provider must
accept the Medicare fee schedule amount as payment in full. The BIPA also
addressed CMS' attempts to modify the use of the average wholesale price ("AWP")
of drugs, upon which Medicare reimbursement is based. For several years, the
federal government has been examining the appropriateness of AWP as a basis for
Medicare payments for drugs and biologicals. The BIPA established a temporary
moratorium on direct or indirect reductions (but not increases) in payment rates
in effect on January 1, 2001, until the Secretary of Health and Human Services
reviews a study that the General Accounting Office ("GAO") is directed to
conduct regarding Medicare reimbursement for drugs and biologicals and related
services. In September 2001, the GAO issued its report, concluding that
physicians and suppliers are able to obtain Medicare-covered drugs at prices
significantly below current AWP-based Medicare payments. The GAO recommended
that Medicare reimbursement more closely track actual acquisition costs and that
CMS consider using competitive bidding for drugs. A number of legislative
proposals to revise the Medicare payment methodology for drugs have been
introduced in Congress. It is uncertain at this time what Medicare prescription
drug payment initiatives will be adopted by Congress or the Medicare program in
the future. If government or private health insurance programs discontinue or
modify the use of AWP or otherwise adopt payment reductions for drugs or
biologicals, it could adversely affect Coram's reimbursement for these products.
The BBA also authorized certain demonstration projects for competitive
bidding through December 31, 2002. The first competitive bidding project,
underway in Polk County, Florida, is using payment rates that are between 13%
and 31% lower than Medicare's existing fee schedule for five categories of
products, including oxygen equipment and supplies, enteral nutrition equipment
and supplies and urological supplies. Another round of competitive bidding began
in Polk County in October 2001, covering oxygen equipment and supplies, hospital
beds and accessories, urological supplies and surgical dressings. A second
competitive bidding project was launched on February 1, 2001 in the San Antonio,
Texas area, and applies to, among other things, oxygen equipment and supplies
and nebulizer inhalation drugs. President Bush's fiscal year 2003 budget calls
for nationwide competitive bidding for medical equipment.
The long-range impact of the home health prospective payment system and
future competitive bidding projects is unclear. Accordingly, there can be no
assurances that adoption of these or other payment systems and the
implementation of the Medicare reimbursement reductions and freezes described
above will not result in a material decrease in the amount of reimbursement
Coram
16
receives from the Medicare program for the services it currently provides and
any other home health or related oxygen, durable medical equipment or home
infusion services Coram may provide in the future.
Health Information Practices. The administrative simplification provisions
of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA")
mandate, among other things, the adoption of standards for the exchange of
electronic health information in an effort to encourage overall administrative
simplification and enhance the effectiveness and efficiency of the healthcare
industry. Among the standards that the Department of Health and Human Services
(the "DHHS") must adopt pursuant to HIPAA are standards for the following:
electronic transactions and code sets; unique identifiers for providers,
employers, health plans and individuals; security and electronic signatures;
privacy; and enforcement. Sanctions for failing to comply with the HIPAA health
information practices provisions include criminal penalties and civil sanctions.
Although HIPAA was intended ultimately to reduce administrative expenses and
burdens faced within the healthcare industry, the law may initially bring about
significant and, in some cases, costly changes. The DHHS has released two rules
to date mandating the use of new standards with respect to certain healthcare
transactions and health information. The first rule requires the use of uniform
standards for common healthcare transactions, including healthcare claims
information, plan eligibility, referral certification and authorization, claims
status, plan enrollment and disenrollment, payment and remittance advice, plan
premium payments and coordination of benefits. This rule becomes effective
October 16, 2002; however, covered entities may obtain a one-year extension
until October 16, 2003 by filing an action plan with DHSS on how they intend to
comply with the standards.
Second, the DHHS released new standards relating to the privacy of
individually identifiable health information. These standards not only require
compliance with rules governing the use and disclosure of protected health
information, but they also impose those rules, by contract, on any business
associate to whom such information is disclosed. The privacy standards were
issued on December 28, 2000, and became effective on April 14, 2001, with a
compliance date of April 14, 2003. In addition, in March 2002 the DHHS announced
a proposal to revise certain aspects of the privacy rule, but did not change the
compliance date.
Rules governing the security of health information have been proposed but
have not yet been issued in final form. Once they are issued in final form,
affected parties will have approximately two years to be fully compliant. The
company is evaluating the effect of HIPAA and taking steps to achieve
compliance. At this time, management anticipates that the company will be able
to fully comply with the HIPAA requirements that have been adopted. However,
management cannot, at this time, estimate the cost of such compliance, nor can
management estimate the cost of compliance with standards that have not yet been
finalized by the DHHS. Although the health information standards are likely to
have a significant effect on the manner in which the company handles health data
and communicates with payers, at this time, management does not believe that the
cost of compliance will have a material adverse effect on the company's
business, financial condition, results of operations or cash flows.
Further statutes or regulations may be adopted which would impose additional
requirements for Coram to be eligible to participate in federal and state
payment programs. Such new legislation or regulations may adversely affect
Coram's business operations. There is significant national concern today about
the availability and rising cost of healthcare in the United States. It is
anticipated that new federal and/or state legislation will be passed and
regulations adopted to attempt to provide broader and better healthcare services
and to manage and contain cost. Management is unable to predict the content of
any legislation or what, if any, changes may occur in the method and rates of
Medicare and Medicaid reimbursement or other government regulations that may
affect the company's business, or whether such changes, if made, will have a
material adverse effect on Coram's business, financial position and results of
operations.
State Laws Regarding Fee Splitting, Provision of Medicine and Insurance. The
laws of many states prohibit physicians from splitting fees with non-physicians
and prohibit non-physician entities from practicing medicine. These laws vary
from state to state and are enforced by courts and by regulatory authorities
with broad discretion. Although management believes its operations, as currently
conducted, are in material compliance with existing applicable laws, certain
aspects of Coram's business operations have not been subject to state or federal
regulatory interpretation. There can be no assurance that a review of Coram's
business by courts or regulatory authorities will not result in determinations
that could adversely affect the company's operations or that the healthcare
regulatory environment will not change so as to restrict its existing operations
or its expansion.
Most states have laws regulating insurance companies and HMOs. Coram is not
qualified in any state to engage in either the insurance or HMO business. As
managed care penetration increases, state regulators are beginning to scrutinize
the practices of and relationships among third-party payers, medical service
providers and entities providing management and administrative services to
medical service providers, especially with respect to risk-sharing arrangements
by and among such providers. State regulators are also reviewing whether
risk-bearing entities are subject to insurance or HMO regulation. Management
believes that its practices are consistent with those of other direct healthcare
service providers and do not constitute licensable HMO or insurance activities.
To the
17
extent such licenses may be required, Coram will make the necessary filings and
registrations to achieve compliance with applicable laws. However, given the
limited regulatory history with respect to such practices, there can be no
assurance that states requiring licensure will not attempt to assert
jurisdiction. If states pursue actions against Coram and/or its customers, Coram
may be compelled to restructure or refrain from engaging in certain business
practices.
Pharmacies and Home Health Agencies. Each of Coram's pharmacies is licensed
in the states in which it is located and in the states where its products are
delivered. Each of these pharmacies also has a Controlled Substances
Registration Certificate issued by the Drug Enforcement Administration of the
United States Department of Justice. Many states in which the company operates
also require home infusion companies to be licensed as home health agencies. The
failure of a branch facility to obtain, renew or maintain any required
regulatory approvals or licenses could adversely affect the existing operations
of that branch facility.
Other Regulations. Coram's operations are subject to various state hazardous
and medical waste disposal laws. The laws currently in effect do not classify
most of the waste produced during the provision of the company's services to be
hazardous, although disposal of non-hazardous medical waste is also subject to
regulation. Occupational Safety and Health Administration ("OSHA") regulations
require employers of workers who are occupationally exposed to blood or other
potentially infectious materials to provide those workers with certain
prescribed protections against bloodborne pathogens. The regulatory requirements
apply to all healthcare facilities, including the company's branches, and
require employers to make a determination as to which employees may be exposed
to blood or other potentially infectious materials and to have in effect a
written exposure control plan. Furthermore, employers are required to provide
hepatitis-B vaccinations, personal protective equipment, infection control
training, post-exposure evaluation and follow-up, waste disposal policies and
procedures, and engineering and work practice controls. Employers are also
required to comply with certain recordkeeping requirements. Management believes
that the company is in material compliance with the foregoing laws and
regulations.
Internal Compliance and Monitoring. Coram implemented measures to ensure
compliance with applicable laws and engaged Richard P. Kusserow, the former
Inspector General of the Department of Health and Human Services, as a
consultant to assist Coram in its continued development and administration of
its compliance program. Coram's internal regulatory compliance review program is
intended to deal with legal, regulatory and ethical compliance issues. However,
no assurances can be given that Coram's business arrangements, present or past
(or those of its predecessors or divested subsidiaries, affiliates or
partnerships), will not be the subject of an investigation or prosecution by a
federal or state governmental authority in the future. Such investigations could
result in penalties, or any combination of the penalties discussed above,
depending upon the agency involved in such investigation and prosecution.
Coram regularly monitors legislative developments and would seek to
restructure a business arrangement if it was determined that any of its business
relationships placed the company in material noncompliance with any applicable
statute or regulation. The healthcare services industry will continue to be
subject to substantial regulation at the federal and state levels, the scope and
effect of which cannot be predicted by management. Any loss by Coram of its
various federal certifications, its authorization to participate in the Medicare
or Medicaid programs or its licenses under the laws of any state or other
governmental authority from which a substantial portion of its revenue is
derived would have a material adverse effect on its business. See Item 7.
"Management's Discussion and Analysis of Financial Condition and Results of
Operations: Risk Factors."
EMPLOYEES
As of December 31, 2001, Coram had approximately 2,100 full-time equivalent
employees (2,600 full and part-time employees). None of Coram's employees are
currently represented by a labor union or other labor organization, or covered
by a collective bargaining agreement. Approximately 33% of the full-time
employees are nurses and pharmacists, with the remainder consisting primarily of
sales and marketing, billing and reimbursement, branch operations, clinical
coordinators, financial and systems professionals. Management believes that its
employee relations are good.
ITEM 2. PROPERTIES
The company's corporate headquarters are located in Denver, Colorado and
consist of approximately 28,000 square feet of office space leased through
February 28, 2007. The corporate headquarters relocated to a new location in
Denver in September 2001 after the expiration of the previous corporate office
lease on August 31, 2001. As of April 12, 2002, Coram had 77 branch offices
throughout the United States and Canada, totaling approximately 0.8 million
square feet of facility space with annual rent aggregating approximately $9.7
million. In addition, the company leases space in Bannockburn, Illinois that
houses the company's information systems and CTI business. Management believes
that the loss of a lease on any one facility would not materially affect the
company's operations.
18
In September 2000, the Bankruptcy Court approved a Debtors' motion to reject
four unexpired, non-residential real property leases and any associated
subleases. The rejected leases included underutilized locations in: (i)
Allentown, Pennsylvania; (ii) Denver, Colorado; (iii) Philadelphia,
Pennsylvania; and (iv) Whippany, New Jersey. In January 2002, the Bankruptcy
Court extended the Debtors' motion to assume or reject unexpired leases of
non-residential real property up to and including May 2, 2002.
ITEM 3. LEGAL PROCEEDINGS
Bankruptcy Proceedings. On August 8, 2000, the Debtors filed voluntary
petitions for relief under Chapter 11 of the Bankruptcy Code with the Bankruptcy
Court In Re Coram Healthcare Corporation and Coram, Inc., Case No. 00-3299 (MFW)
and 00-3300 (MFW) (collectively the "Chapter 11 Cases"). The proceedings have
been consolidated for administrative purposes only by the Bankruptcy Court and
are being administered under the docket of In Re Coram Healthcare Corporation,
Case No. 00-3299 (MFW). None of the Debtors' other subsidiaries are debtors in
the proceedings. See Note 3 to the company's Consolidated Financial Statements
for further details.
Except as may otherwise be determined by the Bankruptcy Court overseeing the
Chapter 11 Cases, the protection afforded by Chapter 11 generally provides for
an automatic stay relative to any litigation proceedings pending against either
or both of the Debtors. All such claims will be addressed through the
proceedings applicable to the Chapter 11 Cases. The automatic stay would not,
however, apply to actions brought against the company's non-debtor subsidiaries.
Official Committee of the Equity Security Holders' Matters. A committee of
persons claiming to own shares of the company's publicly traded common stock
(the "Equity Committee") objected to the Restated Joint Plan and the Second
Joint Plan, contending, among other things, that the company valuations upon
which the Restated Joint Plan and the Second Joint Plan were premised and the
underlying projections and assumptions were flawed. At various times during
2001, the Debtors and the Equity Committee reviewed certain company information
regarding, among other things, the Equity Committee's contentions. In connection
therewith, on July 30, 2001, the Equity Committee filed a motion to terminate
the Debtors' exclusivity period and file its own plan of reorganization. The
Equity Committee's exclusivity motion was denied by the Bankruptcy Court.
Additionally, in February 2001, the Equity Committee filed a motion with the
Bankruptcy Court seeking permission to bring a derivative lawsuit directly
against the company's Chief Executive Officer, a former member of the Board of
Directors and Cerberus Partners, L.P. (a party to the company's
debtor-in-possession financing agreement, Senior Credit Facility and Securities
Exchange Agreement). The Equity Committee's proposed lawsuit alleged a collusive
plan whereby the named parties conspired to devalue the company for the benefit
of the company's creditors under the Securities Exchange Agreement. On February
26, 2001, the Bankruptcy Court ruled that the Equity Committee's motion would
not be productive at that time and, accordingly, the motion was denied without
prejudice. In January 2002, the Equity Committee filed a substantially similar
motion with the Bankruptcy Court, which additionally named Cerberus' principal
and the company's other noteholders. On February 12, 2002, in connection with
the authorization of the Chapter 11 trustee, the Bankruptcy Court again denied
the renewed motion without prejudice.
Management cannot predict whether any future objections of the Equity
Committee will be forthcoming or if they might impact confirmation of any plan
of reorganization proposed by the Chapter 11 trustee or any other interested
party. Management also cannot predict if any other actions taken by the Equity
Committee will have consequences adverse to the company.
Resource Network Subsidiaries' Bankruptcy. On August 19, 1999, a small group
of parties with claims against the Resource Network Subsidiaries filed an
involuntary bankruptcy petition under Chapter 11 of the Bankruptcy Code against
Coram Resource Network, Inc. in the Bankruptcy Court. On November 12, 1999, the
Resource Network Subsidiaries filed voluntary petitions under Chapter 11 of the
Bankruptcy Code in the Bankruptcy Court, Case No. 99-2889 (MFW). The two
proceedings were consolidated by stipulation of the parties and the case is
pending under the docket of In Re Coram Resource Network, Inc. and Coram
Independent Practice Association, Inc., Case No. 99-2889 (MFW). The Resource
Network Subsidiaries are now being liquidated pursuant to these proceedings.
On September 11, 2000, the Resource Network Subsidiaries filed a motion in
the Debtors' Chapter 11 proceedings seeking, among other things, to have both
the Debtors' and the Resource Network Subsidiaries' bankruptcy proceedings
substantively consolidated into one proceeding. If this motion had been granted,
the Chapter 11 proceedings involving the Resource Network Subsidiaries and the
Chapter 11 estate and proceedings involving the Debtors would have been combined
such that the assets and liabilities of the Resource Network Subsidiaries would
have been joined with the assets and liabilities of the Debtors, the liabilities
of the combined entity would have been satisfied from combined funds, and all
intercompany claims would have been eliminated. Furthermore, the
19
creditors of both proceedings would have voted on any reorganization plan for
the combined entities. The Resource Network Subsidiaries and the Debtors engaged
in discovery related to this substantive consolidation motion and then reached a
settlement agreement in November 2000. The settlement agreement was approved by
the Bankruptcy Court in December 2000 and, in connection therewith, the Debtors
made a payment of $0.5 million to the Resource Network Subsidiaries in January
2001.
Notwithstanding the withdrawal of the substantive consolidation motion, the
Resource Network Subsidiaries still maintain proofs-of-claim in excess of $41
million against each of the Debtors' estates, and the company maintains a claim
of approximately the same amount against the Resource Network Subsidiaries'
estate. Additionally, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed objections to confirmation of the Debtors'
Second Joint Plan, as well as, a motion to lift the automatic stay in the
Debtors' bankruptcy proceedings to pursue claims against the Debtors. Through
April 12, 2002, the Bankruptcy Court has not granted any relief from the
automatic stay provisions of the Bankruptcy Code in favor of the Resource
Network Subsidiaries' estates.
In November 2001, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed an adversary complaint in the Bankruptcy
Court, both on its own behalf and as assignee for causes of action that may
belong to the Resource Network Subsidiaries, which named as defendants the
Debtors, several non-debtor subsidiaries, several current and former directors,
current executive officers of CHC and several other current and former employees
of the company. This complaint also named as defendants Cerberus Partners, L.P.,
Goldman Sachs Credit Partners, L.P., Foothill Capital Corporation and Foothill
Income Trust, L.P., the Debtors' principal lenders. The complaint alleges that
the defendants violated various state and federal laws in connection with
alleged wrongdoings related to the operation and corporate structure of the
Resource Network Subsidiaries, including, among other allegations, breach of
fiduciary duty, conversion of assets and preferential payments at the detriment
of the Resource Network Subsidiaries' estates, misrepresentation and fraud,
conspiracy, fraudulent concealment and a pattern of racketeering activity. The
complaint seeks damages in the amount of approximately $56 million and
additional monetary and non-monetary damages, including the disallowance of the
Debtors' proofs-of-claim against the Resource Network Subsidiaries, punitive
damages and attorneys' fees. The Debtors objected to the complaint in the
Bankruptcy Court because management believes that the complaint constitutes an
attempt to circumvent the automatic stay protecting the estates of the Debtors;
however, the non-debtor subsidiaries have no such protection and, accordingly,
they plan to vigorously contest the allegations. The company notified its
insurance carrier of the complaint and intends to avail itself of any
appropriate insurance coverage for its directors and officers, who are also
vigorously contesting the allegations. Principally due to the early stages of
this matter and the issues pending before the Bankruptcy Court, the company
cannot predict the outcome of this case nor can it predict the scope and nature
of any indemnification that the directors and officers may have with the
company's insurance carrier.
The ultimate outcome of the aforementioned claims related to the Resource
Network Subsidiaries' bankruptcy cannot be predicted with any degree of
certainty.
TBOB Enterprises, Inc. On July 17, 2000, TBOB Enterprises, Inc. ("TBOB")
filed an arbitration demand against CHC (TBOB Enterprises, Inc. f/k/a Medical
Management Services of Omaha, Inc. against Coram Healthcare Corporation, in the
American Arbitration Association office in Dallas, Texas). In its demand, TBOB
claims that the company breached its obligations under an agreement entered into
by the parties in 1996 relating to a prior earn-out obligation of the company
that originated from the acquisition of the claimant's prescription services
business in 1993 by a wholly-owned subsidiary of the company. The company
operated the business under the name Coram Prescription Services ("CPS") and the
assets of the CPS business were sold on July 31, 2000. See Note 5 to the
company's Consolidated Financial Statements for further details. TBOB alleges,
among other things, that the company impaired the earn-out payments due TBOB by
improperly charging certain expenses to the CPS business and failing to fulfill
the company's commitments to enhance the value of CPS by marketing its services.
The TBOB demand alleges damages of more than $0.9 million. TBOB contends that
this amount must be paid in addition to the final scheduled earn-out payment of
approximately $1.3 million that was due in March 2001. Furthermore, pursuant to
the underlying agreement with TBOB, additional liabilities may result from
post-petition interest on the final scheduled earn-out payment. In accordance
with SOP 90-7, such interest, estimated to aggregate approximately $0.2 million
as of December 31, 2001, using the contractual rate of 18%, has not been
recorded in the company's Consolidated Financial Statements because TBOB's claim
for interest may ultimately not be sustainable. TBOB reiterated its monetary
demand through a proof of claim filed against CHC's estate for the aggregate
amount of approximately $2.2 million (the scheduled earn-out payment plus the
alleged damages). Any action relating to the final $1.3 million earn-out payment
scheduled for March 2001, the alleged damages of $0.9 million and any interest
accrued thereon have been stayed by operation of the Bankruptcy Code. On July 5,
2001, the company received a letter from TBOB's legal counsel requesting that
the aforementioned arbitration remain in abeyance pending resolution of the
bankruptcy proceedings. Management does not believe that final resolution of
this matter will have a material adverse impact on the company's financial
position or results of operations.
20
Internal Revenue Service Examination. CHC and the Internal Revenue Service
have been negotiating over a notice of deficiency issued by the Internal Revenue
Service. See Note 9 to the company's Consolidated Financial Statements for
further details.
Aetna U.S. Healthcare, Inc. On June 30, 1999, the company filed a complaint
(the "Coram Complaint") against Aetna in the United States District Court for
the Eastern District of Pennsylvania setting forth claims against Aetna for
fraud, misrepresentation, breach of contract and rescission relating to the
Master Agreement between the parties for ancillary network management services
through the Resource Network Subsidiaries. On June 30, 1999, the company
received a copy of a complaint (the "Aetna Complaint") that had been filed by
Aetna on June 29, 1999 in the Court of Common Pleas of Montgomery County,
Pennsylvania. The Aetna Complaint sought specific performance, injunctive relief
and declaratory relief to compel the company to perform under the Master
Agreement, including the payment of compensation to the healthcare providers
that had rendered and continued to render services to Aetna's health plan
members. As stated in the Aetna Complaint, Aetna disputed the company's right to
terminate the Master Agreement. The company removed the Aetna Complaint to
federal court. On July 20, 1999, Aetna filed a counterclaim against the company
in the federal court lawsuit brought by the company. In its counterclaim, Aetna
sued the company for, among other allegations, breach of the Master Agreement
and fraudulent misrepresentation, contending the company never intended to
perform under the Master Agreement, defamation, interference with contractual
relations with providers and interference with prospective contractual relations
with other companies that allegedly bid for the Master Agreement.
On April 20, 2000, the company and Aetna reached an amicable resolution to
the then outstanding disputes and, in connection therewith, all claims and
counterclaims amongst the parties were dismissed from the courts of appropriate
jurisdiction. The final resolution of these matters did not have a material
effect on the company's consolidated financial position or results of
operations. The impact of this dispute resolution has been charged to
discontinued operations in the accompanying consolidated financial statements
for the year ended December 31, 2000.
Alan Furst et. al. v. Stephen Feinberg, et. al. A complaint was filed in the
United States District Court for the District of New Jersey on November 8, 2000
and an Amended Class Action Complaint was filed on November 15, 2000, alleging
that certain current and former officers and directors of the company and the
company's principal lenders, Cerberus Partners, L.P., Foothill Capital
Corporation and Goldman Sachs & Co., implemented a scheme to perpetrate a fraud
upon the stock market regarding the common stock of CHC. A second Amended Class
Action Complaint (the "Second Amended Complaint") was filed on March 21, 2001,
which removed all of the officers and directors of the company as defendants,
except the company's Chief Executive Officer and another current member of the
Board of Directors and continued to name Cerberus Partners, L.P., Foothill
Capital Corporation and Goldman Sachs & Co. as defendants. The plaintiffs allege
that the defendants artificially depressed the trading price of the company's
publicly traded shares and created the false impression that stockholders'
equity was decreasing in value and was ultimately worthless. The plaintiffs
further allege that members of the class sustained total investment losses of
$50 million or more. On June 14, 2001, a third Amended Class Action Complaint
(the "Third Amended Complaint") was filed naming the same defendants as the
Second Amended Complaint. The plaintiffs' allegations in the Third Amended
Complaint were substantially similar to the allegations in the Second Amended
Complaint; however, the Third Amended Complaint eliminated references to the
corporate assets of Coram. The defendants filed motions to dismiss the Third
Amended Complaint, as they believe the claims are inadequately pleaded and
meritless. These motions have not yet been adjudicated. The company notified its
insurance carrier of the lawsuit and intends to avail itself of any appropriate
insurance coverage for its directors and officers, who are vigorously contesting
the allegations. The company cannot predict the outcome of this case nor can it
predict the scope and nature of any indemnification that the directors and
officers may have with the company's insurance carrier.
General. Management of the company and its subsidiaries intends to
vigorously defend the company in the matters described above. Nevertheless, due
to the uncertainties inherent in litigation, including possible indemnification
of other parties, the ultimate disposition of such matters cannot presently be
determined. Adverse outcomes in some or all of the proceedings could have a
material adverse effect on the financial position, results of operations and
liquidity of the company.
The company and its subsidiaries are also parties to various other legal
actions arising out of the normal course of their businesses, including employee
claims, reviews of cost reports submitted to Medicare and examinations by
regulators such as Medicare and Medicaid fiscal intermediaries and CMS.
Management believes that the ultimate resolution of such other actions will not
have a material adverse effect on the financial position, results of operations
or liquidity of the company.
PricewaterhouseCoopers LLP. On July 7, 1997, the company filed suit against
Price Waterhouse LLP (now known as PricewaterhouseCoopers LLP) in the Superior
Court of San Francisco, California, seeking damages in excess of $165.0 million.
As part of the settlement that resolved a case filed by the company against
Caremark International, Inc. and Caremark, Inc. (collectively "Caremark"),
Caremark assigned and transferred to the company all of Caremark's claims and
causes of action against Caremark's
21
independent auditors, PricewaterhouseCoopers LLP, related to the lawsuit filed
by the company against Caremark. This assignment of claims includes claims for
damages sustained by Caremark in defending and settling its lawsuit with the
company. The case was dismissed from the California court because of
inconvenience to witnesses with a right to re-file in Illinois. The company
re-filed the lawsuit in state court in Illinois and PricewaterhouseCoopers LLP
filed a motion to dismiss the company's lawsuit on several grounds, but its
motion was denied on March 15, 1999. PricewaterhouseCoopers LLP filed an
additional motion to dismiss the lawsuit in May 1999, and that motion was
dismissed on January 28, 2000. On April 19, 2001, PricewaterhouseCoopers LLP
filed a motion for partial summary judgement with regard to a portion of
Caremark's claims; however, this motion was subsequently denied. The lawsuit is
currently in the discovery stage and a trial is scheduled to commence after June
22, 2002. There can be no assurance of any recovery from PricewaterhouseCoopers
LLP or its insurance carriers.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None.
PART II
ITEM 5. MARKET FOR THE REGISTRANT'S COMMON STOCK AND RELATED SECURITY HOLDER
MATTERS
Prior to March 7, 2000, shares of Coram's common stock had been listed and
traded on the New York Stock Exchange under the symbol "CRH." Beginning on March
7, 2000, the shares have been traded through the Over the Counter Bulletin Board
("OCBB") maintained by the National Association of Securities Dealers, Inc.,
under the symbol "CRHE." After the Debtors' filing for Chapter 11
reorganization, the company has been trading under the symbol "CRHEQ." The
following table sets forth the high and low sales prices of the company's common
stock, as reported on the New York Stock Exchange ("NYSE") Composite Tape and on
the OCBB for the two years ended December 31, 2001:
HIGH LOW
------ -----
Calendar Year 2001
First Quarter........................... 4/5 11/50
Second Quarter.......................... 13/50 3/23
Third Quarter........................... 9/25 7/40
Fourth Quarter.......................... 3/5 3/23
Calendar Year 2000
First Quarter........................... 1 1/4
Second Quarter.......................... 39/64 1/4
Third Quarter........................... 7/16 1/32
Fourth Quarter.......................... 27/64 3/64
As of April 5, 2002, there were 4,296 record holders of the company's common
stock. On April 5, 2002, the last bid for Coram's common stock on the OCBB was
$0.51 per share and the last reported ask price was also $0.51 per share. These
quotations reflect inter-dealer prices without retail mark-up, mark-down or
commission and may not necessarily represent actual transactions.
The trading of company common stock moved to the OCBB following an agreement
between the company and the NYSE that shares of Coram's common stock no longer
met the requirements for trading on the NYSE. Coram had received notice in 1999
that it had fallen below the minimum listing criteria of the NYSE, including the
minimum share price of $1.00, the minimum market capitalization of $50 million
and the minimum equity of $50 million.
Coram has not paid or declared any cash dividends on its capital stock since
its inception and is currently precluded from doing so under its borrowing
agreements. Coram currently intends to retain all future earnings for use in the
operations of its businesses. Accordingly, Coram does not anticipate paying cash
dividends on its common stock in the foreseeable future. The payment of any
future dividends will depend upon, among other things, actions taken by the
Chapter 11 trustee, the terms and conditions set forth in a plan of
reorganization related to the bankruptcy proceedings, the terms of borrowing
agreements, future earnings, operations, capital requirements, the general
financial condition of the company, contractual restrictions and general
business conditions.
Coram did not sell any of its equity securities in the year ended December
31, 2001 that were not registered under the Securities Act of 1933 (the "Act"),
as amended. However, Coram Healthcare Corporation's wholly-owned subsidiary,
Coram, Inc., ("CI") exchanged certain of its outstanding debt obligations for
approximately 189.6 shares of Coram, Inc.'s Series A Cumulative Preferred
22
Stock, with an aggregate liquidation preference of approximately $22.9 million
(see Note 11 to the company's Consolidated Financial Statements). These
preferred shares were issued under exemptions from registration under the Act.
The holders of Coram's Series B Senior Subordinated Unsecured Convertible
Notes (the "Series B Notes") have the right to convert the Series B Notes into
shares of the company's common stock. In addition, these holders and/or their
affiliates are lenders under the Series A Senior Subordinated Unsecured Notes
(the "Series A Notes") of the company and are lenders under the Securities
Exchange Agreement pursuant to which they were issued warrants to purchase 1.9
million shares of Coram's common stock; however, the warrants expired
contemporaneously with the termination of the company's Senior Credit Facility
on February 6, 2001. In certain circumstances and assuming conversion of the
Series B Notes, such holders may collectively own a majority of the issued and
outstanding common stock of the company and be in a position to take steps to
control the affairs of the company, subject to the authority of the Chapter 11
trustee and any plan or reorganization. See Item 7. "Management's Discussion and
Analysis of Financial Condition and Results of Operations: Risk Factors" and
Note 8 to the company's Consolidated Financial Statements.
The Debtors' Second Joint Plan of reorganization, if approved, would have
effectively eliminated all of Coram's common stock for consideration of up to
$10 million because CHC would have been dissolved as soon as practicable after
the effective date of the plan and all equity interests in CHC would have been
completely eliminated. However, confirmation of the Second Joint Plan of
reorganization was denied by the Bankruptcy Court on December 21, 2001.
Moreover, on February 12, 2002 the Bankruptcy Court denied motions filed by the
Equity Committee (1) to require the company to call a stockholders' meeting and
(2) to modify certain aspects of CI's corporate governance structure. On March
7, 2002, the Bankruptcy Court approved the appointment of Arlin M. Adams,
Esquire as the Debtors' Chapter 11 trustee. See Item 7. "Management's Discussion
and Analysis" for further details.
23
ITEM 6. SELECTED FINANCIAL DATA
The following selected consolidated financial data should be read in
conjunction with the company's Consolidated Financial Statements and related
notes and Item 7. "Management's Discussion and Analysis of Financial Condition
and Results of Operations." Amounts are in thousands, except per share data.
YEARS ENDED DECEMBER 31,
-------------------------------------------------------------
2001 2000 1999 1998 1997
--------- --------- --------- --------- ---------
INCOME STATEMENT DATA:
Net revenue ........................................... $ 393,629 $ 464,820 $ 521,196 $ 445,112 $ 439,472
Cost of service ....................................... 279,275 341,656 408,878 326,736 309,693
--------- --------- --------- --------- ---------
Gross profit ........................................ 114,354 123,164 112,318 118,376 129,779
Operating expenses:
Selling, general and administrative expenses ........ 83,836 90,329 96,809 83,337 86,457
Provision for estimated uncollectible accounts ...... 17,533 9,773 28,310 14,845 14,983
Amortization of goodwill ............................ 9,822 10,227 10,784 11,139 13,586
Restructuring cost (recovery) expense (1) ........... (679) (322) 5,831 (3,900) --
Losses on impairments of long-lived assets .......... 3,255 8,323 9,100 -- --
Income from litigation settlement (2) ............... -- -- -- -- (156,792)
--------- --------- --------- --------- ---------
Total operating expenses .................... 113,767 118,330 150,834 105,421 (41,766)
--------- --------- --------- --------- ---------
Operating income (loss) from continuing operations .... 587 4,834 (38,516) 12,955 171,545
Other income (expenses):
Interest income ..................................... 1,216 991 655 1,086 2,236
Interest expense (3) ................................ (6,652) (26,788) (29,763) (32,734) (75,026)
Gains on sales of businesses (4) .................... -- 18,649 -- 1,071 26,744
Termination fee (5) ................................. -- -- -- -- 15,182
Other income (expense), net ......................... 786 3,008 740 (266) 1,517
--------- --------- --------- --------- ---------
Income (loss) from continuing operations
before reorganization expenses, income
taxes, minority interests and extraordinary
gains on troubled debt restructurings ............... (4,063) 694 (66,884) (17,888) 142,198
Reorganization expenses, net (6) ...................... 14,397 8,264 -- -- --
--------- --------- --------- --------- ---------
Income (loss) from continuing operations before
income taxes, minority interests and
extraordinary gains on troubled debt
restructurings ...................................... (18,460) (7,570) (66,884) (17,888) 142,198
Income tax expense .................................... 150 250 440 2,300 7,550
Minority interests in net income of consolidated
joint ventures ...................................... 631 571 1,470 1,399 7,283
--------- --------- --------- --------- ---------
Income (loss) from continuing operations before
extraordinary gains on troubled debt
restructurings ...................................... (19,241) (8,391) (68,794) (21,587) 127,365
--------- --------- --------- --------- ---------
Discontinued Operations:
Loss from operations ................................ -- -- (28,411) (108) (2,105)
Loss from disposal .................................. (250) (662) (17,618) -- --
--------- --------- --------- --------- ---------
Total discontinued operations ......................... (250) (662) (46,029) (108) (2,105)
--------- --------- --------- --------- ---------
Extraordinary gains on troubled debt
restructurings, net of income tax
expense of $400 for the year ended
December 31, 2000 (7) ............................... 20,706 107,772 -- -- --
--------- --------- --------- --------- ---------
Net income (loss) ..................................... $ 1,215 $ 98,719 $(114,823) $ (21,695) $ 125,260
========= ========= ========= ========= =========
Earnings (Loss) Per Share
Basic:
Income (loss) from continuing operations .......... $ (0.39) $ (0.17) $ (1.39) $ (0.44) $ 2.68
Loss from discontinued operations ................. (0.01) (0.01) (0.93) -- (0.04)
Extraordinary gains on troubled debt
restructurings ................................... 0.42 2.17 -- -- --
--------- --------- --------- --------- ---------
Net income (loss) per common share ............... $ 0.02 $ 1.99 $ (2.32) $ (0.44) $ 2.64
========= ========= ========= ========= =========
Diluted:
Income (loss) from continuing operations .......... $ (0.39) $ (0.17) $ (1.39) $ (0.44) $ 2.34
Loss from discontinued operations ................. (0.01) (0.01) (0.93) -- (0.04)
Extraordinary gains on troubled debt
restructurings ................................... 0.42 2.17 -- -- --
--------- --------- --------- --------- ---------
Net income (loss) per common share ............... $ 0.02 $ 1.99 $ (2.32) $ (0.44) $ 2.30
========= ========= ========= ========= =========
BALANCE SHEET DATA:
Cash and cash equivalents ............................. $ 21,339 $ 27,259 $ 6,633 $ 203 $ 108,950
Working capital (deficit) (8) ......................... (76,201) (97,144) 71,045 66,261 (11,620)
Total assets .......................................... 336,466 345,376 402,751 421,029 515,252
Long-term debt, net of current maturities (9) ......... 150 24 302,662 242,162 150,428
Stockholders' equity (deficit) ........................ 78,189 76,978 (21,699) 92,857 125,026
(1) In 2001, the company recognized approximately $0.7 million of
restructuring reserve recoveries resulting from the assumption of one
of the company's real estate property leases by a third party and
certain changes in estimates attributable to severance liabilities. In
2000, management re-evaluated the reserves necessary to complete its
restructuring initiatives and, as a result,
24
recognized a net restructuring reserve reversal of approximately $0.3
million. In 1999, Coram initiated two company-wide restructuring plans,
the "Coram Restructure Plan" and the "Field Reorganization Plan," and
charged approximately $5.8 million to operations as restructuring
charges. These plans resulted in the closure of certain facilities and
a reduction of personnel. In 1998, it was determined that the original
reserve established in 1994 as a result of the Four Way Merger, the
"Coram Consolidation Plan," was substantially complete and the reserve
was reversed. See Note 6 to the company's Consolidated Financial
Statements.
(2) The $156.8 million income from litigation settlement recorded in 1997
relates to the settlement of a lawsuit resulting from the purchase of
the home infusion business of Caremark, Inc., a wholly-owned subsidiary
of Caremark International, Inc., in 1995.
(3) On December 31, 2001, Cerberus Partners, L.P., Goldman Sachs Credit
Partners L.P. and Foothill Capital Corporation (collectively the
"Exchange Parties") agreed to exchange $21.0 million aggregate
principal amount of the Series A Senior Subordinated Unsecured Notes
(the "Series A Notes") and approximately $1.9 million of aggregate
contractual unpaid interest thereon for approximately 189.6 shares of
Coram, Inc. Series A Cumulative Preferred Stock. On December 29, 2000,
the Exchange Parties agreed to exchange $97.7 million aggregate
principal amount of the Series A Notes and $11.6 million aggregate
contractual unpaid interest on the Series A Notes and the Series B
Senior Subordinated Unsecured Convertible Notes (the "Series B Notes")
for 905 shares of Coram, Inc. Series A Cumulative Preferred Stock. The
2001 interest expense primarily reflects the recognition of $5.9
million of interest expense on the proposed settlement of a dispute
with the Internal Revenue Service. No interest expense related to the
Series A Notes and the Series B Notes was recognized in 2001 in
connection with the execution of the Exchange Agreement on December 29,
2000, which qualified as a troubled debt restructuring, and the
non-recognition criteria for interest expense established pursuant to
SOP 90-7. See Notes 8, 9 and 11 to the company's Consolidated Financial
Statements.
The 2000 interest on the Series A Notes and the Series B Notes was
charged to expense up to and including the date of the December 29,
2000 Exchange Agreement. The 1999 interest expense reflects the
forbearance of interest from November 15, 1999 through April 20, 2000
(the date of the resolution of certain litigation with Aetna), offset
by an increase in the principal amount of the debt and an increase in
the interest rate charged on the Series A Notes, beginning in April
1999. Interest expense decreased significantly in 1998 due to a
repayment of the company's former senior credit facility and a
restructuring of its subordinated debt.
(4) Effective July 31, 2000, the company completed the sale of its CPS
business and recorded a gain on sale of approximately $18.3 million. In
addition, pursuant to a contingent consideration arrangement related to
one of the company's operating subsidiaries, approximately $0.4 million
was recognized as incremental proceeds during the year ended December
31, 2000. See Note 5 to the company's Consolidated Financial
Statements. In 1998 and 1997, Coram sold its lithotripsy business to
Integrated Health Services, Inc. and recorded gains on sales of $0.7
million and $26.7 million, respectively.
(5) In 1997, the company received $21.0 million from the termination of a
merger agreement with Integrated Health Services, Inc. pursuant to
which Integrated Health Services, Inc. would have acquired Coram. As a
result, the company recorded other income of $15.2 million,
representing the $21.0 million termination fee net of related costs.
(6) In 2001 and 2000, the company incurred $14.4 million and $8.3 million,
respectively, in net reorganization expenses related to the Debtors'
Chapter 11 bankruptcy proceedings, which commenced in August 2000.
These expenses include, but are not limited to, professional fees,
expenses related to success and retention plans, Office of the United
States Trustee fees and other expenditures during the Chapter 11
proceedings, offset by interest earned on accumulated cash due to the
Debtors not paying their pre-petition liabilities. See Note 3 to the
company's Consolidated Financial Statements.
(7) In connection with the December 31, 2001 and December 29, 2000 Exchange
Agreements described in footnote (3) above, the company recognized
extraordinary gains on troubled debt restructurings of approximately
$20.7 million in 2001 and $107.8 million, net of tax of $0.4 million,
in 2000. See Notes 8 and 11 to the company's Consolidated Financial
Statements.
(8) Under the United States Bankruptcy Code, certain claims against the
Debtors in existence prior to the filing date are stayed while the
Debtors continue their operations during their bankruptcy proceedings.
These claims, which total approximately $139.0 million and $159.1
million at December 31, 2001 and 2000, respectively, are reflected in
the Consolidated Balance Sheets as liabilities subject to compromise
and are deemed to be current liabilities. See Note 3 to the company's
Consolidated Financial Statements.
25
(9) At December 31, 2001 and 2000, the Series A Notes and the Series B
Notes, which aggregate approximately $132.3 million and $153.3 million,
respectively, are classified as liabilities subject to compromise. See
Notes 3 and 8 to the company's Consolidated Financial Statements. The
current maturities of long-term debt, which give effect to certain
previous debt restructuring transactions were $0.1 million, $0.2
million, $0.4 million, $0.3 million and $150.2 million at December 31,
2001, 2000, 1999, 1998 and 1997, respectively.
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
This Annual Report on Form 10-K contains certain "forward-looking"
statements (as such term is defined in the Private Securities Litigation Reform
Act of 1995) and information relating to Coram that is based on the beliefs of
the management of Coram, as well as, assumptions made by, and information
currently available to the management of Coram. The company's actual results may
vary materially from the forward-looking statements made in this report due to
important factors such as the outcome of bankruptcy proceedings of the Debtors
and certain other factors, which are described in greater detail later in this
Item 7 under the caption "Risk Factors." When used in this report, the words
"estimate," "project," "believe," "anticipate," "intend," "expect" and similar
expressions are intended to identify forward-looking statements. Such statements
reflect the current views of management with respect to future events based on
currently available information and are subject to risks and uncertainties that
could cause actual results to differ materially from those contemplated in such
forward-looking statements. For a discussion of such risks, see "Risk Factors."
Readers are cautioned not to place undue reliance on these forward-looking
statements, which speak only as of the date hereof. Management does not
undertake any obligation to publicly release any revisions to these
forward-looking statements to reflect events or circumstances after the date
hereof or to reflect the occurrence of unanticipated events.
The company's consolidated financial statements have been prepared on a
going concern basis, which contemplates continuity of operations, realization of
assets and liquidation of liabilities in the ordinary course of business.
However, as a result of the Debtors' bankruptcy filings and circumstances
relating thereto, including the company's leveraged financial structure and
cumulative losses from operations, such realization of assets and liquidation of
liabilities is subject to significant uncertainty. During the pendency of the
Debtors' Chapter 11 bankruptcy proceedings, the company may sell or otherwise
dispose of assets and liquidate or settle liabilities for amounts other than
those reflected in the consolidated financial statements. Further, a plan of
reorganization filed in the Chapter 11 proceedings could materially change the
amounts reported in the consolidated financial statements, which do not give
effect to any adjustments of the carrying value of assets or liabilities that
might be necessary as a consequence of a plan of reorganization. The company's
ability to continue as a going concern is dependent upon, among other things,
confirmation of a plan of reorganization, future profitable operations, the
ability to comply with the terms of the company's financing agreements, the
ability to obtain necessary financing to fund a pending settlement with the
Internal Revenue Service, the ability to remain in compliance with the physician
ownership and referral provisions of the Omnibus Budget Reconciliation Act of
1993 (commonly known as "Stark II") and the ability to generate sufficient cash
from operations and/or financing arrangements to meet obligations.
BACKGROUND. During 2001, Coram was engaged primarily in the business of
furnishing alternate site (outside the hospital) infusion therapy, including
non-intravenous home health products such as durable medical equipment and
respiratory therapy services. Other services offered by Coram in 2001 include
centralized management, administration and clinical support for clinical
research trials. Effective July 31, 2000, the company sold its pharmacy benefit
management and specialty mail order pharmacy services business to Curascript
Pharmacy, Inc. and Curascript PBM Services, Inc. (collectively the "Buyers").
The Buyers were newly formed affiliates of GTCR Golder Rauner, L.L.C. and are
led by certain members of the former CPS management team. See Note 5 to the
company's Consolidated Financial Statements.
Also, Coram's Resource Network Subsidiaries are being liquidated through
proceedings that are currently pending in the Bankruptcy Court. These
proceedings originated in August 1999 following the filing of an involuntary
bankruptcy petition against Coram Resource Network, Inc. in such court. All of
the R-Net locations have been closed in connection with the pending liquidation
of R-Net. Additionally, Coram employees who were members of the Resource Network
Subsidiaries' Board of Directors resigned during the year ended December 31,
2000, and currently only the Chief Restructuring Officer appointed by the
Bankruptcy Court remains on the Board of Directors to manage and operate the
liquidation of the R-Net business. See Note 4 to the company's Consolidated
Financial Statements.
26
REORGANIZATION UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE
(I) BACKGROUND AND CERTAIN IMPORTANT BANKRUPTCY COURT ACTIVITY
On August 8, 2000, CHC and CI (the "Debtors") filed voluntary petitions
under Chapter 11 of the United States Bankruptcy Code (the "Bankruptcy Code").
Following the filing of the voluntary Chapter 11 petitions, the Debtors
commenced operating as debtors-in-possession subject to the jurisdiction of the
Bankruptcy Court; however, as discussed below, a Chapter 11 trustee was
appointed by the Bankruptcy Court on March 7, 2002. None of the company's other
subsidiaries is a debtor in the proceeding. The Debtors' need to seek the relief
afforded by the Bankruptcy Code was due, in part, to its requirement to remain
in compliance with the physician ownership and referral provisions of Stark II
after December 31, 2000 and the scheduled May 27, 2001 maturity of the Series A
Senior Subordinated Unsecured Notes. The Debtors sought advice and counsel from
a variety of sources and, in connection therewith, the Independent Committee of
the Board of Directors unanimously concluded that the bankruptcy and
restructuring were the only viable alternatives.
On August 9, 2000, the Bankruptcy Court approved the Debtors' motions for:
(i) payment of all employee wages and salaries and certain benefits and other
employee obligations; (ii) payment of critical trade vendors, utilities and
insurance in the ordinary course of business for both pre and post-petition
expenses; (iii) access to a debtor-in-possession financing arrangement (see Note
8 to the company's Consolidated Financial Statements for details of the executed
agreement); and (iv) use of all company bank accounts for normal business
operations. In September 2000, the Bankruptcy Court approved the Debtors' motion
to reject four unexpired, non-residential real property leases and any
associated subleases. The rejected leases included underutilized locations in:
(i) Allentown, Pennsylvania; (ii) Denver, Colorado; (iii) Philadelphia,
Pennsylvania; and (iv) Whippany, New Jersey. The successful rejection of the
Whippany, New Jersey lease caused the company to reverse certain reserves
during the year ended December 31, 2000 that had previously been established for
the closure of its discontinued operations. Additionally, in January 2002, the
Bankruptcy Court approved a motion to extend the period of time in which the
Debtors can reject unexpired leases of non-residential real property up to and
including May 2, 2002. Certain other motions filed by the Debtors have been
granted and others are presently pending.
In September 2000 and October 2000, the Bankruptcy Court approved payments
of up to approximately $2.6 million for retention bonuses payable to certain key
employees. The bonuses were scheduled to be paid in two equal installments on
the later of the date of emergence from bankruptcy or: (i) December 31, 2000 and
(ii) December 31, 2001. Due to events that have delayed emergence from
bankruptcy, the Bankruptcy Court approved early payment of the first installment
to most individuals within the retention program and such payments, aggregating
approximately $0.7 million, were made on March 15, 2001. In January 2002, when
events again delayed the Debtors' anticipated emergence from bankruptcy, the
Debtors requested permission from the Bankruptcy Court to pay the remaining
portion of the first installment of approximately $0.5 million to the company's
Chief Executive Officer and Executive Vice President, and the full amount of the
second installment. The Debtors also requested authorization to initiate another
retention plan to provide financial incentives not to exceed $1.25 million to
certain key employees during the year ending December 31, 2002. Principally due
to the then pending appointment of a Chapter 11 trustee, on February 12, 2002
the Bankruptcy Court declined to rule on the Debtors' motions. However, on March
15, 2002, after the appointment of a Chapter 11 trustee, the Bankruptcy Court
partially approved the Debtors' motions insofar as all remaining retention
bonuses were authorized to be paid, exclusive of amounts pertaining to the
company's Chief Executive Officer because such payments are disputed by the
Official Committee of the Equity Security Holders. The incremental retention
bonuses, aggregating approximately $0.8 million, were paid on March 25, 2002.
The Bankruptcy Court has deferred its ruling on the Debtors' motions pertaining
to the 2002 retention plan and payment of the Chief Executive Officer's
retention amounts until a hearing on May 9, 2002. The company has fully accrued
the remaining amounts under the first and second installments of the retention
plans as of December 31, 2001.
On September 7, 2001, the Bankruptcy Court approved payments of up to $2.7
million for management incentive plan compensation bonuses (the "MIP") related
to the year ended December 31, 2000 for all individuals participating in the
MIP, except for the company's Chief Executive Officer. In connection therewith,
payments were made to those individuals in September 2001.
On or about May 9, 2001, the Bankruptcy Court approved the Debtors' motion
requesting authorization to enter into an insurance premium financing agreement
with AICCO, Inc. (the "Financing Agreement") to finance the payment of premiums
under certain of the Debtors' insurance policies. Under the terms of the
Financing Agreement, the Debtors made a down payment of approximately $1.1
million. The amount financed was approximately $2.1 million and was secured by
the unearned premiums and loss payments under the insurance policies covered by
the Financing Agreement. The amount financed was paid in eight monthly
installments of approximately $0.3 million each through December 2001, including
interest at a per annum rate of 7.85%.
27
On October 29, 2001, the Debtors filed a motion with the Bankruptcy Court
requesting approval of a proposed asset purchase agreement which would provide
the authority for a non-debtor subsidiary of the company to sell certain durable
medical equipment located at its New Orleans branch to a third party. On
November 13, 2001, the Bankruptcy Court authorized the Debtors to enter into
this agreement.
The Debtors are currently paying the post-petition claims of their vendors
in the ordinary course of business and are, pursuant to an order of the
Bankruptcy Court, causing their subsidiaries to pay their own debts in the
ordinary course of business. Even though the filing of the Chapter 11 cases
constituted defaults under the company's principal debt instruments, the
Bankruptcy Code imposes an automatic stay that will generally preclude the
creditors and other interested parties under such arrangements from taking
remedial action in response to any such resulting default without prior
Bankruptcy Court approval.
On September 11, 2000, the Resource Network Subsidiaries filed a motion in
the Debtors' Chapter 11 proceedings seeking, among other things, to have the two
separate bankruptcy proceedings substantively consolidated into one proceeding.
The Resource Network Subsidiaries and the Debtors engaged in discovery related
to this substantive consolidation motion and, in connection therewith, the
parties reached a settlement agreement in November 2000, which was approved by
an order of the Bankruptcy Court. See Note 13 to the company's Consolidated
Financial Statements for further details. Additionally, the Official Committee
of Unsecured Creditors in the Resource Network Subsidiaries' bankruptcy
proceedings filed motions to lift the automatic bankruptcy stay to pursue claims
against the Debtors and certain of their operating subsidiaries. Through April
12, 2002, the Bankruptcy Court has not granted any relief of the automatic stay
provisions of the Bankruptcy Code in favor of the R-Net estates. See Note 13 to
the company's Consolidated Financial Statements for further details.
(II) THE DEBTORS' FIRST JOINT PLAN OF REORGANIZATION AND RELATED ACTIVITIES
On the same day that the Chapter 11 cases were filed, the Debtors filed
their joint plan of reorganization (the "Joint Plan") and their joint disclosure
statement with the Bankruptcy Court. The Joint Plan was subsequently amended and
restated (the "Restated Joint Plan") and, on or about October 10, 2000, the
Restated Joint Plan and the First Amended Disclosure Statement with respect to
the Restated Joint Plan were authorized for distribution by the Bankruptcy
Court. Among other things, the Restated Joint Plan provided for: (i) a
conversion of all of the CI obligations represented by the company's Series A
Notes and the Series B Notes into (a) a four-year, interest only note in the
principal amount of $180 million, that would bear interest at the rate of 9% per
annum and (b) all of the equity in the reorganized CI; (ii) the payment in full
of all secured, priority and general unsecured debts of CI; (iii) the payment in
full of all secured and priority claims against CHC; (iv) the impairment of
certain general unsecured debts of CHC, including, among others, CHC's
obligations under the Series A Notes and the Series B Notes; and (v) the
complete elimination of the equity interests of CHC. Furthermore, pursuant to
the Restated Joint Plan, CHC would be dissolved as soon as practicable after the
effective date of the Restated Joint Plan and the stock of CHC would no longer
be publicly traded. Therefore, under the Restated Joint Plan, as filed, the
existing stockholders of CHC would have received no value for their shares and
all of the outstanding equity of CI as the surviving entity would be owned by
the holders of the Series A Notes and Series B Notes. Representatives of the
company negotiated the principal aspects of the Joint Plan with representatives
of the holders of the Series A Notes and Series B Notes and the parties to the
Senior Credit Facility prior to the filing of such Joint Plan.
On or about October 20, 2000, the Restated Joint Plan and First Amended
Disclosure Statement were distributed for a vote among persons holding impaired
claims that were entitled to a distribution under the Restated Joint Plan. The
Debtors did not send ballots to the holders of unimpaired classes, who were
deemed to accept the Restated Joint Plan, and classes that are not receiving any
distribution, which were deemed to reject the Restated Joint Plan. Eligible
voters responded in favor of the company's Restated Joint Plan. At a
confirmation hearing on December 21, 2000, the Restated Joint Plan was not
approved by the Bankruptcy Court.
In order for the company to remain compliant with the requirements of Stark
II, on December 29, 2000, pursuant to an order of the Bankruptcy Court, CI
exchanged approximately $97.7 million of the Series A Notes and approximately
$11.6 million of contractual unpaid interest on the Series A Notes and the
Series B Notes for 905 shares of Coram, Inc. Series A Cumulative Preferred
Stock, $0.001 par value per share (see Notes 8 and 11 to the company's
Consolidated Financial Statements for further details). This transaction
generated an extraordinary gain on troubled debt restructuring of approximately
$107.8 million, net of tax, in 2000. At December 31, 2000, the company's
stockholders' equity exceeded the minimum Stark II requirement necessary to
comply with the public company exemption. See Note 13 to the company's
Consolidated Financial Statements for further discussion regarding Stark II.
28
(III) THE DEBTORS' SECOND JOINT PLAN OF REORGANIZATION AND RELATED
ACTIVITIES
On or about February 6, 2001, the Official Committee of the Equity Security
Holders (the "Equity Committee") filed a motion with the Bankruptcy Court
seeking permission to bring a derivative lawsuit directly against the company's
Chief Executive Officer, a former member of CHC's Board of Directors and
Cerberus Partners, L.P. (a party to the company's debtor-in-possession financing
agreement, Senior Credit Facility and Securities Exchange Agreement). On
February 26, 2001, the Bankruptcy Court ruled that the Equity Committee's motion
would not be productive at that time and, accordingly, the motion was denied
without prejudice. On the same day, the Bankruptcy Court approved the Debtors'
motion to appoint Goldin Associates, L.L.C. ("Goldin") as independent
restructuring advisor to the Independent Committee of the Board of Directors
(the "Independent Committee"). Among other things, the scope of Goldin's
services included (i) assessing the appropriateness of the Restated Joint Plan
and reporting its findings to the Independent Committee and advising the
Independent Committee respecting an appropriate course of action calculated to
bring the Debtors' bankruptcy proceedings to a fair and satisfactory conclusion,
(ii) preparing a written report as may be required by the Independent Committee
and/or the Bankruptcy Court and (iii) appearing before the Bankruptcy Court to
provide testimony, as needed. Goldin was also appointed as a mediator among the
Debtors, the Equity Committee and other parties in interest.
Based upon Goldin's findings and recommendations, as set forth in the
Report of Independent Restructuring Advisor, Goldin Associates, L.L.C (the
"Goldin Report"), on July 31, 2001, the Debtors filed with the Bankruptcy Court
a Second Joint Disclosure Statement, as amended (the "Second Disclosure
Statement"), with respect to their Second Joint Plan of Reorganization, as
amended (the "Second Joint Plan"). The Second Joint Plan, which was also filed
on July 31, 2001, provided for terms of reorganization similar to those
described in the Restated Joint Plan; however, utilizing Goldin's
recommendations, as set forth in the Goldin Report, the following substantive
modifications were included in the Second Joint Plan:
o the payment of up to $3.0 million to the holders of allowed
general unsecured claims of CHC;
o the payment of up to $10.0 million to the holders of CHC
equity interests (contingent upon such holders voting in favor
of the Second Joint Plan);
o cancellation of the issued and outstanding CI Series A
Cumulative Preferred Stock; and
o a $7.5 million reduction in certain performance bonuses
payable to the company's Chief Executive Officer.
Under certain circumstances, as more fully disclosed in the Second
Disclosure Statement, the general unsecured claim holders could have been
entitled to receive a portion of the $10.0 million cash consideration allocated
to the holders of CHC equity interests.
In order to become effective, the Second Joint Plan was subject to a vote
by certain impaired creditors and equity holders and final approval of the
Bankruptcy Court. On September 6, 2001 and September 10, 2001, hearings before
the Bankruptcy Court considered the adequacy of the Second Disclosure Statement.
In connection therewith, the Equity Committee, as well, as the Official
Committee of Unsecured Creditors in the Resource Network Subsidiaries'
bankruptcy proceedings filed motions protesting and objecting to the Debtors'
Second Joint Plan. Notwithstanding the aforementioned protests and objections,
the Second Disclosure Statement was approved by the Bankruptcy Court for
distribution to holders of certain claims in interests who are entitled to vote
on the Second Joint Plan. On or about September 21, 2001, the Debtors mailed
ballots to those parties entitled to vote on the Second Joint Plan.
On April 25, 2001 and July 11, 2001, the Bankruptcy Court extended the
period during which the Debtors have the exclusive right to file a plan of
reorganization before the Bankruptcy Court to July 11, 2001 and August 1, 2001,
respectively. On August 1, 2001, the Bankruptcy Court denied the Equity
Committee's motion to terminate the Debtors' exclusivity periods and file its
own plan of reorganization. Moreover, on August 2, 2001, the Bankruptcy Court
extended the Debtors' exclusive period to solicit acceptances of any filed plan
or plans to November 9, 2001 (the date to solicit acceptances of the plan for
CHC's equity holders was subsequently extended to November 12, 2001).
The CHC equity holders voted against confirmation of the Second Joint Plan
and all other classes of claimholders voted in favor of the Second Joint Plan.
The Bankruptcy Court can confirm a plan of reorganization notwithstanding the
non-acceptance of the plan by an impaired class of creditors or equity holders,
if certain conditions of the Bankruptcy Code are satisfied. However, on December
21, 2001, after several weeks of confirmation hearings, the Bankruptcy Court
issued an order denying confirmation of the Debtors' Second Joint Plan.
In order for the company to remain compliant with the requirements of Stark
II, on December 31, 2001, pursuant to an order of the Bankruptcy Court, CI
exchanged $21.0 million of the Series A Notes and approximately $1.9 million of
contractual unpaid interest on the Series A Notes for approximately 189.6 shares
of CI Series A Cumulative Preferred Stock (see Notes 8 and 11 to the company's
Consolidated Financial Statements for further details). This transaction
generated an extraordinary gain on troubled debt restructuring
29
of approximately $20.7 million in 2001. At December 31, 2001, the company's
stockholders' equity exceeded the minimum Stark II requirement necessary to
comply with the public company exemption. See Note 13 to the company's
Consolidated Financial Statements for further discussion regarding Stark II.
(IV) APPOINTMENT OF CHAPTER 11 TRUSTEE AND BANKRUPTCY-RELATED ACTIVITIES
SUBSEQUENT TO DECEMBER 31, 2001
On December 28, 2001, the Debtors filed a Notice of Appeal in the United
States District Court for the District of Delaware (the "District Court")
appealing the December 21, 2001 Bankruptcy Court decision denying confirmation
of the Debtors' Second Joint Plan and, on February 6, 2002, the Debtors
perfected their appeal. On February 25, 2002, the Equity Committee filed a
Motion to Strike Appeal with the District Court wherein it was requested that
the District Court dismiss the Debtors' appeal on the grounds that certain of
the Debtors' required briefs were filed after the statutory deadline. On March
7, 2002, the Debtors filed an Opposition to Motion to Strike Appeal whereby the
Debtors assert, among other things, that the required briefs were filed on a
timely basis. A stipulation agreement between the Equity Committee and the
Chapter 11 trustee was effectuated on March 22, 2002 and, in connection
therewith, the parties resolved the aforementioned dispute and the Debtors will
file their opening briefs on or before April 25, 2002. Management of the company
cannot predict what impact the Equity Committee or other interested parties will
have on the Debtors' pending appeal in the District Court.
On February 12, 2002, among other things, the Bankruptcy Court granted
motions made by the Office of the United States Trustee and two of the Debtors'
noteholders requesting the appointment of a Chapter 11 trustee to oversee the
Debtors during their reorganization process. Additionally, on such date the
Bankruptcy Court denied without prejudice a renewed motion made by the Equity
Committee for leave to bring a derivative lawsuit against the company's chief
executive officer, the Board of Directors, Cerberus Partners, L.P. ("Cerberus"),
a Cerberus principal and the company's other noteholders. Moreover, on February
12, 2002 the Bankruptcy Court denied motions filed by the Equity Committee (1)
requiring the company to call a stockholders' meeting and (2) modifying certain
aspects of CI's corporate governance structure (see Notes 11 and 13 to the
company's Consolidated Financial Statements for further details).
On March 7, 2002, the Bankruptcy Court approved the appointment of Arlin M.
Adams, Esquire, as the Debtors' Chapter 11 trustee. The Bankruptcy Code and
applicable rules require a Chapter 11 trustee to perform specific duties
relating to the administration of a bankruptcy case. Generally, a Chapter 11
trustee is obligated to investigate the debtors' operations, financial condition
and any other matters relevant to the formulation of a plan of reorganization.
The Bankruptcy Code also provides that a Chapter 11 trustee must either file a
plan of reorganization as soon as practicable or an explanation as to why he/she
is unable to file a plan of reorganization. With the appointment of a Chapter 11
trustee, the Debtors are no longer debtors-in-possession under the Bankruptcy
Code.
Furthermore, the Bankruptcy Code makes a Chapter 11 trustee responsible for
the debtor's business. As with a debtor-in-possession, a Chapter 11 trustee may
enter into transactions in the ordinary course of business without notice or a
hearing in the presiding bankruptcy court; however, non-ordinary course actions
still require the authorization of the presiding bankruptcy court. A Chapter 11
trustee also assumes responsibility for management functions, including
decisions relative to the hiring and firing of personnel. As is the case in the
instance of the Debtors, when existing management is necessary to run the
day-to-day operations, the Chapter 11 trustee retains and oversees this
management.
After a Chapter 11 trustee is appointed, the debtor's Board of Directors
does not retain any management powers. While Mr. Adams has assumed the Board of
Directors' management rights and responsibilities, he is doing so, as of April
12, 2002, without any other changes to the company's management or
organizational structure.
On or about November 7, 2001, the Debtors filed a motion seeking to extend
the periods to file a plan or plans and solicit acceptances thereof to December
31, 2001 and March 4, 2002, respectively. The Bankruptcy Court granted the
motion to the extent that it extended exclusivity to January 2, 2002.
Thereafter, the Debtors' exclusivity period terminated.
(V) OTHER BANKRUPTCY-RELATED MATTERS
Under the Bankruptcy Code, certain claims against the Debtors in existence
prior to the filing date are stayed while the Debtors continue their operations
under the purview of a Chapter 11 trustee or as debtors-in-possession. These
claims are reflected in the Consolidated Balance Sheets as liabilities subject
to compromise. Additional Chapter 11 claims have arisen and may continue to
arise subsequent to the filing date from the rejection of executory contracts,
including certain leases, and from the determination by the Bankruptcy Court of
allowed claims for contingencies and other disputed amounts. Parties affected by
the rejections may file claims
30
with the Bankruptcy Court in accordance with the provisions of the Bankruptcy
Code and applicable rules. Claims secured by the Debtors' assets also are
stayed, although the holders of such claims have the right to petition the
Bankruptcy Court for relief from the automatic stay to permit such creditors to
foreclose on the property securing their claims. Additionally, certain claimants
have sought relief from the Bankruptcy Court to remove the automatic stay and
continue pursuit of their claims against the Debtors or the Debtors' insurance
carriers.
The holders of CI's Series A Cumulative Preferred Stock continue to maintain
a claim position within the Debtors' bankruptcy proceedings in the aggregate
amount of their cumulative liquidation preference. Notwithstanding the debt to
equity exchanges, the aforementioned holders' priority in the Debtors'
bankruptcy proceedings will be no less than it was immediately prior to said
exchanges.
Schedules were filed with the Bankruptcy Court setting forth the assets and
liabilities of the Debtors as of the filing date as shown by the Debtors'
accounting records. Differences between amounts shown by the Debtors and claims
filed by creditors are being investigated and resolved. The ultimate amount and
the settlement terms for such liabilities will be subject to a plan of
reorganization and review by the Chapter 11 trustee.
BUSINESS STRATEGY. The major strategic alternatives and initiatives
currently being implemented by Coram include: (i) continued focus on growth in
net revenue from core therapies; (ii) continued investment and development of
services provided by CTI; (iii) cost reduction initiatives (including a
reimbursement site consolidation plan); (iv) cash collections; (v) additions to
and upgrades of current information technology systems; (vi) emergence from the
Chapter 11 bankruptcy proceedings; and (vii) liquidation of R-Net. Management
believes that success in the foregoing will improve Coram's financial prospects
and improve and stabilize relationships with payers and referral sources. There
can be no assurances that any of the strategic alternatives will be consummated
or will be available to Coram on commercially acceptable terms.
In December 1999, Coram announced that it was repositioning its business to
focus on its core alternate site infusion therapy business and the clinical
research business operated by its subsidiary, CTI. Accordingly, Coram's primary
business strategy is to focus its efforts on the delivery of its core infusion
therapies, such as nutrition, anti-infective therapies, IVIG, pain management
and coagulant and blood clotting therapies for persons with hemophilia. To that
end, Coram has established product managers with dedicated sales, marketing and
clinical resources aimed at expanding Coram's growth in these areas. Coram also
implemented programs focused on the reduction and control of cost of services
and operating expenses, assessment of poorly performing branches and review of
branch efficiencies. Pursuant to this review, several branches have been closed
or scaled back to serve as satellites for other branches and personnel have been
eliminated. Additionally, a reimbursement site consolidation plan was initiated
and completed during 2001 (see Note 6 to the company's Consolidated Financial
Statements). Coram management is also reviewing the way the company provides
nursing care and is implementing changes to its practices to maintain Coram's
high level of patient satisfaction and effective clinical results while reducing
the actual number of nursing visits.
Management throughout the company is continuing to concentrate on enhancing
timely reimbursement by emphasizing improved billing and cash collection
methods, continued assessment of systems support for reimbursement and
concentration of the company's expertise and managerial resources into certain
reimbursement locations. In December 2000, Coram announced that as part of its
continuing efforts to improve efficiency and overall performance, several
Patient Financial Service Centers (reimbursement sites) were being consolidated
and the related reimbursement positions were to be eliminated. By consolidating
to fewer sites, management expects to implement improved training, more easily
standardize "best demonstrated practices," enhance specialization related to
payers such as Medicare and achieve more consistent and timely cash collections.
Management does not expect this change to affect Coram's patients or payers, but
believes, instead, that in the long-term they will receive better, more
consistent service. The transition was accomplished in stages, commencing April
1, 2001 and ending July 2001. Management had taken certain actions to mitigate
the potential shortfall in cash collections during and after the transition
period, including, but not limited to, offering incentives for personnel to stay
with the company until the completion of their corresponding regional
consolidation. Notwithstanding management's efforts, the company experienced
deterioration in its days sales outstanding ("DSO") since the commencement of
the reimbursement consolidation plan and a substantial growth in accounts
receivable. No assurances can be given that the consolidation of the company's
Patient Financial Service Centers will be successful in enhancing timely
reimbursement, that the company will not continue to experience a significant
decrease in cash collections after the transition period or that the
aforementioned deterioration in DSO and accounts receivable will not continue.
See Item 7. under the caption "Risk Factors" for further discussion on the
company's ability to meet its increased cash requirements.
31
CRITICAL ACCOUNTING POLICIES. The company's Consolidated Financial Statements
include the accounts of CHC, its subsidiaries and its joint ventures which are
considered to be under the control of CHC, including those of CHC's direct
subsidiary CI. CI is a party to the bankruptcy proceedings that are being
jointly administered with those of CHC in the Bankruptcy Court. All material
intercompany account balances and transactions have been eliminated in
consolidation. The company uses the equity method of accounting for investments
in entities in which it exhibits significant influence, but not control, and has
an ownership interest of 50% or less.
The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date of the financial
statements and reported amounts of revenue and expenses during the reported
period. Actual results could differ from those estimates.
The company's management considers the accounting policies that govern
revenue recognition and the determination of the net realizable value of
accounts receivable to be the most critical in relation to the company's
Consolidated Financial Statements, as well as, those that most require
management's judgment. Other accounting policies requiring significant judgment
are those related to the measurement and recognition of impairment of goodwill
and other long-lived assets.
Revenue Recognition. Revenue is recognized as services are rendered or
products are delivered. Substantially all of the company's revenue is billed to
third-party payers, including insurance companies, managed care plans,
governmental payers and contracted institutions. Revenue is recorded and billed
net of contractual allowances and related discounts. Contractual allowances
represent adjustments to established rates (e.g., Average Wholesale Price for
pharmaceutical drugs, etc.) to reflect the amounts expected to be realized from
third-party payers under contractual agreements. For non-contracted payers
(excluding Medicare and Medicaid), pricing is either negotiated prior to
rendering services or the payer is billed at list price. In the former
circumstance, contractual allowances are recorded at the time of revenue
recognition based upon the pre-negotiated rates. If the payer is billed at list
price, a contractual allowance is recorded based upon management's estimates
until a payment history is established with the payer, at which time the
contractual allowances are prospectively modified. In the case of Medicare and
Medicaid, contractual allowances are recorded at the time of revenue recognition
based upon the allowable recoverable amount pursuant to the underlying federal
and state regulations for such governmental programs. Management fees, which are
collected from entities managed by the company, are a fixed fee or are based on
a percentage of the entities' operating results or number of active patients. In
certain cases, the company agreed to accept fixed fee or capitated fee
arrangements. Under a capitated arrangement, the company agrees to deliver or
arrange for the delivery of certain home health services required under the
payer customer's health plan in exchange for a fixed per member per month
service fee. The total per member per month fee is calculated using all members
enrolled in the particular health plan as of certain dates. The per member per
month service fees are recognized as revenue in the month the fees are
designated to cover home health services. See Note 2 to the company's
Consolidated Financial Statements for further details.
Revenue from the Medicare and Medicaid programs accounted for approximately
25%, 22% and 21% of the company's consolidated net revenue from continuing
operations for the years ended December 31, 2001, 2000 and 1999, respectively.
Laws and regulations governing the Medicare and Medicaid programs are complex
and subject to interpretation and revision. Management believes that the company
is in compliance with all applicable laws and regulations. Compliance with such
laws and regulations can be subject to future government review and
interpretation as well as significant regulatory action, including fines,
penalties and exclusion from the Medicare and Medicaid programs.
Provision for Estimated Uncollectible Accounts. Management regularly reviews
the collectibility of accounts receivable utilizing reports that track
collection and write-off activity. Estimated write-off percentages are then
applied to each aging category by payer classification to determine the
allowance for estimated uncollectible accounts. Additionally, the company
establishes appropriate supplemental specific reserves for accounts that are
deemed uncollectible due to occurrences such as payer financial distress and
payer bankruptcy filings. The allowance for estimated uncollectible accounts is
adjusted as needed to reflect current collections, write-offs and other trends,
including changes in the assessment of realizable value. While management
believes the resulting net carrying amounts for accounts receivable are fairly
stated and that the company has made adequate provision for uncollectible
accounts based on all information available, no assurances can be given as to
the level of future provisions, or how they will compare to the levels
experienced in the past. The company's ability to successfully collect its
accounts receivable depends, in part, on its ability to adequately supervise and
train personnel in billing and collections and minimize losses related to branch
consolidations and system changes.
Goodwill and other Long-Lived Assets. Goodwill represents the excess of
purchase price over the fair value of net assets acquired through business
combinations accounted for as purchases and is amortized on a straight-line
basis over 25 years. Certain agreements related to previously acquired
businesses or interests therein provide for additional contingent consideration
to be paid by the
32
company. The amount of additional consideration, if any, is generally based on
the financial performance levels of the acquired companies. In the period these
payments become probable, they are recorded as additional goodwill.
The carrying value of goodwill and other long-lived assets is reviewed
quarterly to determine if any impairment indicators are present. If it is
determined that such indicators are present and the review indicates that the
assets will not be recoverable, based on undiscounted estimated cash flows,
their carrying value is reduced to estimated fair value based on discounted cash
flow estimates. Impairment indicators include, among other conditions, cash flow
deficits; historical or anticipated declines in revenue or operating profit;
adverse legal, regulatory or reimbursement developments; or a material decrease
in the fair value of some or all of the assets. A review is done separately for
each of the identifiable markets in which the company operates. The amount of
impairment charges are determined using forecasted discounted cash flows of
those markets with indicators of potential impairment of their related
long-lived assets. The forecasted cash flows are based on earnings before
interest expense, taxes, depreciation and amortization ("EBITDA"), with an
effective 8% growth rate, offset by corporate administrative cost allocations
with an estimated growth rate of 2%. A discount rate of 10% is used to calculate
the net present value of the forecasted future annual cash flows projected over
25 years, plus a terminal value equal to 3.5 times EBITDA.
In July 2001, the Financial Accounting Standards Board ("FASB") issued
Statement of Financial Accounting Standards No. 142, Goodwill and Other
Intangible Assets ("Statement 142"), which primarily addresses the accounting
for goodwill and intangible assets subsequent to their acquisition. Statement
142 requires that goodwill and indefinite long-lived intangible assets no longer
be amortized to earnings, but instead be reviewed periodically for impairment.
Statement 142 is effective for the company for the year ending December 31,
2002. Management is currently evaluating the impact that the adoption of this
accounting pronouncement will have on the company's financial position and
results of operations. For the years ended December 31, 2001, 2000 and 1999, the
company recognized goodwill amortization of $9.8 million, $10.2 million and
$10.8 million, respectively.
FACTORS AFFECTING RECENT OPERATING RESULTS. The following list summarizes
the major events or factors impacting Coram's operating and financial condition
in 2001, and which may impact Coram in the future:
(i) maintaining compliance with the provisions of Stark II by, in part,
exchanging a sufficient amount of debt and related accrued contractual
interest for equity in the form of Coram, Inc. Series A Cumulative
Preferred Stock in order to increase stockholders' equity above the
required levels;
(ii) the Debtors' Chapter 11 bankruptcy filings and the related
reorganization expenses including, but not limited to, professional
fees;
(iii) changes in the average wholesale prices that adversely impacted
reimbursement amounts paid to the company for the antibiotic drug
Vancomycin and other drugs that the company provides to its patients;
(iv) management's focus on and the increased costs associated with the
company's additions to and upgrades in company-wide information
technology systems;
(v) continued efforts to improve efficiency and overall performance in
billing and cash collection methods resulting from the consolidation of
several of the company's Patient Financial Service Centers
(reimbursement sites);
(vi) continued refinement and completion of the Caremark Business
Consolidation Plan and the Coram Restructure Plan, as described in Note
6 to the company's Consolidated Financial Statements;
(vii) the Chapter 11 bankruptcy filings involving the Resource Network
Subsidiaries and their anticipated liquidation through such
proceedings;
(viii) an increased focus on the company's durable medical equipment and
respiratory services business, including non-consolidated joint
ventures, and the significant number of days that elapse between the
date that services are rendered and the reimbursement for those
services;
(ix) continuing pricing pressure in the company's business from managed care
organizations and other contracted payers and intense competition among
infusion providers;
33
(x) increased competition from hospitals and physicians that have sought to
increase the scope of services they offer through their facilities and
offices, including services similar to those offered by the company, or
that have entered into risk-sharing relationships with third-party
payers pursuant to which they have been delegated control over the
provision of a wide variety of healthcare services, including the
services offered by the company; and
(xi) increased costs associated with providing certain infusion therapy
services offered by Coram, including increased costs for clinical
staffing, product delivery, on-call personnel and other volume related
costs associated with such therapies, combined with increased costs for
certain blood and blood derivative products that are in short supply.
RESULTS OF OPERATIONS
As discussed in Note 4 to the company's Consolidated Financial Statements,
the company considers R-Net's operating results as part of discontinued
operations; however, for the years ended December 31, 2001 and 2000 the Resource
Network Subsidiaries had no operations.
Year Ended December 31, 2001 Compared to Year Ended December 31, 2000
Net Revenue. Net revenue decreased $71.2 million or 15.3% to $393.6 million
in 2001 from $464.8 million in 2000. The decrease is primarily due to the sale
of CPS on July 31, 2000 (CPS had net revenue of $61.4 million during the year
ended December 31, 2000) and a $2.2 million decline in net revenue attributable
to CTI. Additionally, a decrease in infusion net revenue of approximately $7.6
million is due, in part, to the termination of the Aetna National Ancillary
Services Agreement, effective April 12, 2000, an adverse change in the average
wholesale price ("AWP") for certain anti-infective drugs (as discussed further
below) and management's continued focus on more profitable core therapies. The
infusion net revenue decrease was partially offset by an increase of
approximately $5.7 million attributable to one of the company's capitated
arrangements covering member lives in California (see Note 2 to the company's
Consolidated Financial Statements for further details).
Effective July 1, 2001, the AWP for a certain brand of the antibiotic drug
Vancomycin and four other anti-infective drugs were permanently reduced. Net
revenue related to these drugs decreased $2.4 million or 21.4% to $8.8 million
in 2001 from $11.2 million in 2000. The components of the net revenue reduction
were an unfavorable pricing variance of $3.1 million related to the adverse AWP
change offset by a favorable variance in volume, resulting in a net revenue
increase of $0.7 million. See "Risk Factors" for further AWP discussion.
Gross Profit. Gross profit decreased $8.8 million to $114.4 million (gross
margin of 29.1%) in 2001 from $123.2 million (gross margin of 26.5%) in 2000.
The gross margin percentage increase is primarily due to a favorable
product/therapy mix and the sale of CPS, which had a lower gross margin
percentage than that of the infusion business segment, thereby causing a lower
blended consolidated percentage during the year ended December 31, 2000.
However, commencing on July 1, 2001, there was an offsetting decrease in gross
margin percentage due to reductions in the AWP reimbursement rates for
Vancomycin and certain other drugs used in the company's operations. The
components of gross margin are as follows (in millions):
FOR THE YEARS ENDED
DECEMBER 31,
-------------------
2001 2000
-------- --------
Infusion ................. $ 113.8 $ 113.5
CPS ...................... -- 8.1
CTI ...................... 0.6 1.6
-------- --------
Total gross profit........ $ 114.4 $ 123.2
======== ========
Selling, General and Administrative ("SG&A") Expenses. SG&A expenses
decreased $6.5 million or 7.2% to $83.8 million in 2001 from $90.3 million in
2000. The decrease during the year ended December 31, 2001 is primarily due to
approximately $4.7 million of SG&A expenses directly related to CPS personnel
and other CPS related activities that were eliminated upon the divestiture of
the CPS business segment and a decrease in expenses related to management
incentive compensation of $10.7 million. In connection with the management
incentive plans, the company recorded compensation expense of $2.9 million and
$13.6 million for the years ended December 31, 2001 and 2000, respectively. The
aforementioned expense decreases are partially offset by additional costs in
2001 of approximately $3.6 million to stabilize and enhance the company's sales
force and approximately $1.9 million to improve the company-wide information
systems and related data circuit lines. Moreover, the company incurred
additional costs in 2001 to enhance its risk management profile and relocate its
corporate headquarters.
34
Provision for Estimated Uncollectible Accounts. The provision for estimated
uncollectible accounts is $17.5 million or 4.4% of net revenue in 2001 compared
to $9.8 million or 2.1% of net revenue in 2000. The percentage increase is due
to of the deterioration in cash collections and accounts receivable related to
the consolidation of several of the company's infusion business Patient
Financial Service Centers (reimbursement sites) during the year ended December
31, 2001 that resulted in the company recognizing additional expenses of $5.5
million (see "Liquidity and Capital Resources" and "Risk Factors" for a further
discussion). The company also experienced poor cash collections in its durable
medical equipment operations and correspondingly higher write-offs in 2001,
including a contract dispute with an HMO plan resulting in approximately $0.6
million of bad debt expense. Moreover, the 2001 bad debt expense percentage is
higher than 2000 due to the disposition of CPS, which had a lower bad debt
experience rate than that of the infusion business segment, thereby causing a
lower blended consolidated effective rate during the year ended December 31,
2000. Lastly, the company experienced a bad debt recovery of $0.3 million during
the year ended December 31, 2000.
Restructuring Cost (Recovery) Expense. During the year ended December 31,
2001, the company recognized restructuring cost recoveries of approximately $0.7
million, primarily related to the assumption of one of the company's real
property leases by a third party and certain changes in estimates attributable
to severance liabilities. Net restructuring cost recoveries of $0.3 million
during the year ended December 31, 2000 resulted from management's reevaluation
of the reserves necessary to complete its restructuring plans. Such items were
previously reserved for as part of accrued merger and restructuring costs. See
Note 6 to the company's Consolidated Financial Statements for further details.
Loss on Impairment of Long-Lived Assets. During the years ended December 31,
2001 and 2000, Coram recognized impairments of goodwill and other long-lived
assets (primarily goodwill) of $3.3 million and $8.3 million, respectfully.
These impairment charges resulted primarily from recurring operating losses or
substandard financial performance at the infusion branches to which the
associated goodwill and other long-lived assets related. See Note 2 to the
company's Consolidated Financial Statements for further details.
Interest Expense. Interest expense decreased $20.1 million to $6.7 million
in 2001 from $26.8 million in 2000. The decrease is primarily due to (i) reduced
outstanding borrowings on revolving credit arrangements and (ii) the
non-recognition of interest expense related to the Series A Notes and the Series
B Notes in connection with the execution of the Exchange Agreement on December
29, 2000, which qualified as a troubled debt restructuring (see notes 8 and 11
to the company's Consolidated Financial Statements for further details), and the
non-recognition criteria for interest expense established pursuant to SOP 90-7.
These decreases are partially offset by the recognition of approximately $5.9
million of interest expense on the proposed settlement of a dispute with the
Internal Revenue Service, which is more fully discussed in Note 9 to the
company's Consolidated Financial Statements for further details.
Gains on Sales of Businesses. During 2000, the company recorded gains on
sales of businesses of approximately $18.6 million consisting primarily of the
gain on the sale of the CPS business and the receipt of a contingent earn-out
payment relating to one of the company's operating subsidiaries. See Note 5 to
the company's Consolidated Financial Statements for further details.
Other Income, Net. In 2001, the company recognized $0.8 million in other
income, compared to $3.0 million in 2000. The 2001 amount is principally equity
in net income of unconsolidated joint ventures. The 2000 amount is primarily
attributable to the recovery of a non-operating receivable of approximately $2.0
million, the receipt of approximately $1.0 million in life insurance proceeds
and $0.8 million in equity in net income of unconsolidated joint ventures,
offset by the recognition of a $0.7 million reserve for an escrow deposit
receivable related to the 1997 sale of the company's lithotritpsy business.
Reorganization Expenses, Net. In the year ended December 31, 2001, the
company recognized $14.4 million in net reorganization expenses compared to $8.3
million in the year ended December 31, 2000 related to the Debtors' Chapter 11
bankruptcy proceedings. The principal reason for the increased reorganization
expenses is the commencement of the company's bankruptcy proceedings in third
quarter of the year ended December 31, 2000 and the continuation of such
proceedings during the entire year ended December 31, 2001. These expenses
include, but are not limited to, professional fees, expenses related to employee
retention plans, a $1.8 million success bonus in 2000, Office of the United
States Trustee fees and other expenditures during the Chapter 11 proceedings,
offset by interest earned on accumulated cash due to the Debtors not paying
their pre-petition liabilities. See Note 3 to the company's Consolidated
Financial Statements for further details.
Income Tax Expense. See Note 9 to the company's Consolidated Financial
Statements for discussion of the variance between the statutory income tax rate
and the company's effective income tax rate.
35
Loss on Disposal of Discontinued Operations. For the year ended December 31,
2001, Coram recorded a $0.3 million Loss from Disposal of Discontinued
Operations related to certain pending litigation between the Official Committee
of Unsecured Creditors of Coram Resource Network, Inc. and Coram Independent
Practice Association, Inc. and the Debtors and several of their non-debtor
subsidiaries. The 2000 net charge of $0.7 million includes additional reserves
for litigation and other wind-down costs, net of certain insurance recoveries,
facility cost reserve reductions resulting from the Debtors' bankruptcy
proceedings, reserve adjustments due to changes in the estimated amounts of
legal and professional fees necessary to complete R-Net's Chapter 11 bankruptcy
proceedings and a $0.5 million settlement with the Debtors for a substantive
consolidation matter. See Notes 4 and 13 to the company's Consolidated Financial
Statements for further details.
Extraordinary Gains on Troubled Debt Restructurings. With approvals from the
Bankruptcy Court, the Debtors exchanged debt and related interest for equity in
the form of Coram, Inc. Series A Cumulative Preferred Stock and, as a result,
recognized extraordinary gains of approximately $20.7 million in 2001 and
$107.8, net of $0.4 million of income taxes, in 2000. See Note 8 to the
company's Consolidated Financial Statements for further details.
Year Ended December 31, 2000 Compared to Year Ended December 31, 1999
Net Revenue. Net revenue decreased $56.4 million or 10.8% to $464.8 million
in 2000 from $521.2 million in 1999. The decrease is primarily due to a decrease
in CPS net revenue of approximately $25.2 million as a result of the sale of the
CPS business on July 31, 2000, a decrease in infusion net revenue due, in part,
to the termination of its National Ancillary Services Agreement with Aetna and
company initiatives to focus on core therapies.
Gross Profit. Gross profit increased $10.8 million to $123.2 million or a
gross margin of 26.5% in 2000 from $112.3 million or a gross margin of 21.6% in
1999. The gross profit and gross margin percentage increases are primarily due
to a more favorable product/therapy mix, increased high margin CTI business and
certain cost reduction programs implemented in December 1999. The components of
gross profit are as follows (in millions):
FOR THE YEARS ENDED
DECEMBER 31,
-------------------
2000 1999
--------- ---------
Infusion .................. $ 113.5 $ 99.9
CPS ....................... 8.1 11.3
CTI ....................... 1.6 1.1
--------- ---------
Total gross profit ........ $ 123.2 $ 112.3
========= =========
Selling, General and Administrative ("SG&A") Expenses. SG&A decreased $6.5
million or 6.7% to $90.3 million in 2000 from $96.8 million in 1999. The
decrease during the year ended December 31, 2000 is primarily due to
approximately $4.9 million of SG&A expenses directly related to CPS personnel
and other CPS related activities that were eliminated upon the divestiture of
the CPS business segment effective July 31, 2000. In addition, certain cost
reduction programs were implemented in December 1999 contributing to the
favorable expense decrease in 2000. Offsetting the 2000 decrease was an increase
in incentive compensation due to certain bonus plans implemented in 2000. In
1999, the recovery of a note receivable of approximately $1.8 million favorably
impacted expenses for the year.
Provision for Estimated Uncollectible Accounts. The provision for estimated
uncollectible accounts is $9.8 million or 2.1% of net revenue in 2000 compared
to $28.3 million or 5.4% of net revenue in 1999. The percentage decrease is due
primarily to the company's increased collection efforts and certain recoveries
of amounts previously deemed to be uncollectible. In 1999, the company's
provision was higher as a result of charges of $2.5 million for certain
receivables that arose in relation to the R-Net business, receivables due from
other healthcare providers or payers that have filed for protection under
applicable bankruptcy or receivership laws and other charges of $11.2 million
that related to an overall deterioration of the company's accounts receivable
aging.
Restructuring Cost (Recovery) Expense. During 2000, management re-evaluated
the reserves necessary to complete its restructuring plans and, as a result,
recognized a net restructuring reversal of $0.3 million. In 1999, Coram
initiated two company-wide restructuring plans, the "Coram Restructure Plan" and
the "Field Reorganization Plan," and charged approximately $5.8 million to
operations as restructuring charges. See Note 6 to the company's Consolidated
Financial Statements for further details.
Loss on Impairment of Long-Lived Assets. Coram recognized impairments of
goodwill and other long-lived assets of $8.3 million and $9.1 million for the
years ended December 31, 2000 and 1999, respectively. See Note 2 to the
company's Consolidated Financial Statements for further details. These
impairment losses relate principally to operating losses of certain infusion
business branches that resulted following the termination of agreements with
Aetna, the discontinuance of R-Net and certain other operating factors.
36
Interest Expense. Interest expense decreased $3.0 million to $26.8 million
in 2000 from $29.8 million in 1999. The decrease is primarily due to (i) the
forbearance of interest on the Series A and Series B Notes which resulted in a
lower effective interest rate for book purposes in 2000 and (ii) the reduced
outstanding borrowings on the Senior Credit Facility and the Series A Notes as a
result of the application of the proceeds from the sale of the CPS business on
July 31, 2000. See Notes 5 and 8 to the company's Consolidated Financial
Statements for further details.
Gains on Sales of Businesses. During 2000, the company recorded gains on
sales of businesses of $18.6 million consisting primarily of the gain on sale of
the CPS business and the receipt of a contingent earn-out payment relating to
one of the company's operating subsidiaries. See Note 5 to the company's
Consolidated Financial Statements for further details.
Other Income, Net. In 2000, the company recognized $3.0 million in other
income, compared to $0.7 million in 1999. The increase is primarily due to
recovery of a non-operating receivable of approximately $2.0 million and the
receipt of approximately $1.0 million in life insurance proceeds, offset by the
recognition of a $0.7 million reserve for an escrow deposit receivable related
to the 1997 sale of the company's lithotritpsy business.
Reorganization Expenses, Net. In 2000, the company recognized $8.3 million
in net reorganization expenses related to the Debtors' Chapter 11 bankruptcy
proceedings. These expenses include, but are not limited to, professional fees,
expenses related to success and retention plans, Office of the United States
Trustee fees and other expenditures during the Chapter 11 proceedings, offset by
interest earned on accumulated cash due to the Debtors not paying their
pre-petition liabilities and other expenditures during the Chapter 11
proceedings. See Note 3 to the company's Consolidated Financial Statements.
Income Tax Expense. See Note 9 to the company's Consolidated Financial
Statements for discussion of the variance between the statutory income tax rate
and the company's effective income tax rate.
Minority Interests in Net Income of Consolidated Joint Ventures. Minority
interests in net income of consolidated joint ventures decreased $0.9 million to
$0.6 million in 2000 from $1.5 million in 1999. The reduction was primarily due
to reduced profitability of certain majority owned joint ventures and the
acquisition of the remaining interest of a joint venture in December 1999 which
was previously owned 51% by the company.
Loss from Discontinued Operations. During December 1999, as a result of the
bankruptcy proceedings pending against the Resource Network Subsidiaries, Coram
reclassified the operating losses of this division to discontinued operations
for all periods prior to the measurement date of November 12, 1999. The $28.4
million for the year ended December 31, 1999 represents operating losses through
such measurement date. For the year ended December 31, 2000, the Resource
Network Subsidiaries had no operations. See Note 4 to the company's Consolidated
Financial Statements for further details.
Loss on Disposal of Discontinued Operations. During 1999, Coram recorded
charges in the aggregate amount of $17.6 million, including estimated losses
through final disposition of the Resource Network Subsidiaries, severance, lease
obligations, asset impairments and legal costs related to the bankruptcy and
wind-down of R-Net's operations. The 2000 net charge of $0.7 million includes
additional reserves for litigation and other wind-down costs, net of certain
insurance recoveries, facility cost reserve reductions resulting from the
Debtors' bankruptcy proceedings, reserve adjustments due to changes in the
estimated amounts of legal and professional fees necessary to complete R-Net's
Chapter 11 bankruptcy proceedings and a $0.5 million settlement with the Debtors
for a certain substantive consolidation matter. See Note 4 to the company's
Consolidated Financial Statements for further details.
Extraordinary Gain on Troubled Debt Restructuring. With approval from the
Bankruptcy Court, the Debtors exchanged debt and related interest for equity in
the form of Coram, Inc. Series A Cumulative Preferred Stock and, as a result,
recognized an extraordinary gain of approximately $107.8 million, net of $0.4
million of taxes. See Note 8 to the company's Consolidated Financial Statements
for further details.
37
QUARTERLY RESULTS (UNAUDITED)
The following summarizes selected quarterly financial information with
respect to the company's operations for the last eight fiscal quarters. Amounts
are in thousands, except per share data.
2001 QUARTER ENDED
------------------------------------------------
DEC. 31 SEPT. 30 JUN. 30 MAR. 31
--------- --------- --------- ---------
Net revenue ........................................... $ 106,183 $ 93,762 $ 98,938 $ 94,746
Cost of service ....................................... 71,966 68,651 69,160 69,498
--------- --------- --------- ---------
Gross profit .......................................... 34,217 25,111 29,778 25,248
Operating expenses:
Selling, general and administrative expenses ....... 22,714 19,383 21,063 20,676
Provision for estimated uncollectible
accounts ......................................... 8,746 2,859 3,024 2,904
Amortization of goodwill ........................... 2,549 2,424 2,425 2,424
Restructuring cost (recovery) expense .............. (96) -- (21) (562)
Losses on impairments of long-lived assets ......... 3,255 -- -- --
--------- --------- --------- ---------
Total operating expenses ................... 37,168 24,666 26,491 25,442
--------- --------- --------- ---------
Operating income (loss) from continuing
operations .......................................... (2,951) 445 3,287 (194)
Other income (expenses):
Interest income ..................................... 146 113 499 458
Interest expense .................................... (368) (4,072) (1,627) (585)
Equity in net income of unconsolidated joint
ventures ......................................... 3 259 294 174
Gains on sales of businesses ........................ -- -- -- --
Gains (losses) on dispositions of property
and equipment, net ............................... (4) (1) 34 (28)
Other income, net ................................... 13 10 3 29
--------- --------- --------- ---------
Income (loss) from continuing operations before
reorganization expenses, income taxes, minority
interests and extraordinary gains on troubled
debt restructurings ................................. (3,161) (3,246) 2,490 (146)
Reorganization expenses, net .......................... 4,394 3,739 3,444 2,820
--------- --------- --------- ---------
Income (loss) from continuing operations before
income taxes, minority interests and
extraordinary gains on troubled debt
restructurings ...................................... (7,555) (6,985) (954) (2,966)
Income tax expense .................................. -- 50 50 50
Minority interests in net income (loss) of
consolidated joint ventures ....................... 222 75 135 199
--------- --------- --------- ---------
Income (loss) from continuing operations before
extraordinary gains on troubled debt
restructurings ...................................... (7,777) (7,110) (1,139) (3,215)
--------- --------- --------- ---------
Discontinued Operations:
Income (loss) from disposal ......................... (250) -- -- --
--------- --------- --------- ---------
Total discontinued operations ......................... (250) -- -- --
--------- --------- --------- ---------
Extraordinary gains on troubled debt
restructurings, net of tax .......................... 20,706 -- -- --
--------- --------- --------- ---------
Net income (loss) ..................................... $ 12,679 $ (7,110) $ (1,139) $ (3,215)
========= ========= ========= =========
Earnings (Loss) Per Share
Basic:
Income (loss) from continuing operations .......... $ (0.17) $ (0.14) $ (0.02) $ (0.06)
Income (loss) from discontinued operations ........ (0.01) -- -- --
Extraordinary gains on troubled debt
restructurings ................................. 0.42 -- -- --
--------- --------- --------- ---------
Net income (loss) per common share ................ $ 0.24 $ (0.14) $ (0.02) $ (0.06)
========= ========= ========= =========
Diluted:
Income (loss) from continuing operations .......... $ (0.17) $ (0.14) $ (0.02) $ (0.06)
Income (loss) from discontinued operations ........ (0.01) -- -- --
Extraordinary gains on troubled debt
restructurings ................................. 0.42 -- -- --
--------- --------- --------- ---------
Net income (loss) per common share ............. $ 0.24 $ (0.14) $ (0.02) $ (0.06)
========= ========= ========= =========
2000 QUARTER ENDED
------------------------------------------------
DEC. 31 SEPT. 30 JUN. 30 MAR. 31
--------- --------- --------- ---------
Net revenue ........................................... $ 96,934 $ 102,866 $ 130,224 $ 134,796
Cost of service ....................................... 69,265 75,667 96,069 100,655
--------- --------- --------- ---------
Gross profit .......................................... 27,669 27,199 34,155 34,141
Operating expenses:
Selling, general and administrative expenses ....... 19,711 22,109 25,053 23,456
Provision for estimated uncollectible
accounts ......................................... (375) 3,357 3,548 3,243
Amortization of goodwill ........................... 2,557 2,562 2,530 2,578
Restructuring cost (recovery) expense .............. (322) -- -- --
Losses on impairments of long-lived assets ......... 8,323 -- -- --
--------- --------- --------- ---------
Total operating expenses ................... 29,894 28,028 31,131 29,277
--------- --------- --------- ---------
Operating income (loss) from continuing
operations .......................................... (2,225) (829) 3,024 4,864
Other income (expenses):
Interest income ..................................... 502 195 135 159
Interest expense .................................... (6,475) (6,866) (6,771) (6,676)
Equity in net income of unconsolidated joint
ventures ......................................... 61 322 117 259
Gains on sales of businesses ........................ 193 18,456 -- --
Gains (losses) on dispositions of property
and equipment, net ............................... (126) (82) 9 (25)
Other income, net ................................... 2,396 13 53 11
--------- --------- --------- ---------
Income (loss) from continuing operations before
reorganization expenses, income taxes, minority
interests and extraordinary gains on troubled
debt restructurings ................................. (5,674) 11,209 (3,433) (1,408)
Reorganization expenses, net .......................... 6,459 1,805 -- --
--------- --------- --------- ---------
Income (loss) from continuing operations before
income taxes, minority interests and
extraordinary gains on troubled debt
restructurings ...................................... (12,133) 9,404 (3,433) (1,408)
Income tax expense .................................. -- 75 75 100
Minority interests in net income (loss) of
consolidated joint ventures ....................... 105 129 356 (19)
--------- --------- --------- ---------
Income (loss) from continuing operations before
extraordinary gains on troubled debt
restructurings ...................................... (12,238) 9,200 (3,864) (1,489)
--------- --------- --------- ---------
Discontinued Operations:
Income (loss) from disposal ......................... 2,495 324 (98) (3,383)
--------- --------- --------- ---------
Total discontinued operations ......................... 2,495 324 (98) (3,383)
--------- --------- --------- ---------
Extraordinary gains on troubled debt
restructurings, net of tax .......................... 107,772 -- -- --
--------- --------- --------- ---------
Net income (loss) ..................................... $ 98,029 $ 9,524 $ (3,962) $ (4,872)
========= ========= ========= =========
Earnings (Loss) Per Share
Basic:
Income (loss) from continuing operations .......... $ (0.25) $ 0.18 $ (0.08) $ (0.03)
Income (loss) from discontinued operations ........ 0.05 0.01 -- (0.07)
Extraordinary gains on troubled debt
restructurings ................................. 2.17 -- -- --
--------- --------- --------- ---------
Net income (loss) per common share ................ $ 1.97 $ 0.19 $ (0.08) $ (0.10)
========= ========= ========= =========
Diluted:
Income (loss) from continuing operations .......... $ (0.25) $ 0.17 $ (0.08) $ (0.03)
Income (loss) from discontinued operations ........ 0.05 0.01 -- (0.07)
Extraordinary gains on troubled debt
restructurings ................................. 2.17 -- -- --
--------- --------- --------- ---------
Net income (loss) per common share ............. $ 1.97 $ 0.18 $ (0.08) $ (0.10)
========= ========= ========= =========
The quarterly results have historically varied based upon unusual and
infrequently occurring charges. See Note 15 to the company's Consolidated
Financial Statements for further details.
38
LIQUIDITY AND CAPITAL RESOURCES
Bankruptcy Proceedings. The Debtors filed voluntary petitions for relief
under Chapter 11 of the United States Bankruptcy Code on August 8, 2000.
Following the filing of the voluntary Chapter 11 petitions, the Debtors
commenced operating as debtors-in-possession subject to the jurisdiction of the
Bankruptcy Court; however, a Chapter 11 trustee was appointed by the Bankruptcy
Court on March 7, 2002. None of the company's other subsidiaries is a debtor in
the proceeding. Although the filing of the Chapter 11 cases constitutes defaults
under the company's principal debt instruments, Section 362 of the Bankruptcy
Code imposes an automatic stay that will generally preclude creditors and other
interested parties under such arrangements from taking remedial action in
response to any such default without prior Bankruptcy Court approval. In
addition, the Debtors may reject executory contracts and unexpired leases.
Parties affected by such rejections may file claims with the Bankruptcy Court in
accordance with the provisions of the Bankruptcy Code and applicable rules. See
Note 3 to the company's Consolidated Financial Statements.
Schedules were filed with the Bankruptcy Court setting forth the assets and
liabilities of the Debtors as of the filing date as shown by the Debtors'
accounting records. Differences between amounts shown by the Debtors and claims
filed by creditors are being investigated and resolved. The ultimate amount and
the settlement terms for such liabilities will be subject to a plan of
reorganization and review by the Chapter 11 trustee. Therefore, it is not
possible to fully or completely estimate the fair value of the liabilities
subject to compromise at December 31, 2001 and 2000 due to the Debtors' Chapter
11 cases and the uncertainty surrounding the ultimate amount and settlement
terms for such liabilities.
Credit Facilities and Letters of Credit. On August 20, 1998, the company
entered into the Senior Credit Facility, which provided for the availability of
up to $60.0 million for acquisitions, working capital, letters of credit and
other corporate purposes. Effective February 6, 2001, the lenders thereto and
the company terminated the Senior Credit Facility. See Note 8 to the company's
Consolidated Financial Statements for further details.
The Debtors entered into a secured debtor-in-possession ("DIP") financing
agreement with Madeleine L.L.C., an affiliate of Cerberus Partners, L.P. (a
party to the Senior Credit Facility and the Securities Exchange Agreement), as
of August 30, 2000. The agreement provided that the Debtors could access, as
necessary, up to $40 million depending upon borrowing base availability, for use
in connection with the operations of their businesses and the businesses of
their subsidiaries. On September 12, 2000, the Bankruptcy Court approved the DIP
financing agreement. The DIP financing agreement expired by its terms on August
31, 2001 with the company making no draw-downs thereunder through the term of
the financing. See Note 8 to the company's Consolidated Financial Statements for
further details.
Pursuant to an order of the Bankruptcy Court in February 2001, the company
established certain letters of credit aggregating $2.1 million through Wells
Fargo Bank Minnesota, NA ("Wells Fargo"). Such letters of credit have been
reduced to approximately $1.1 million at December 31, 2001 and are fully secured
by interest-bearing cash deposits of the company held by Wells Fargo. Due to
certain hemophilia and intravenous immunoglobulin product shortages and the
pendency of the Debtors' bankruptcy proceedings, the company may be required to
enhance existing letters of credit or establish new letters of credit in order
to ensure the availability of products for its patients' medical needs.
Subsequent to December 31, 2001, the irrevocable letters of credit were reduced
to approximately $0.9 million and the maturity dates thereon were extended to
February 2003.
On December 31, 2001, the Securities Exchange Agreement was amended
("Amendment No. 5") and an Exchange Agreement was simultaneously executed.
Pursuant to such arrangements, Cerberus Partners, L.P., Goldman Sachs Credit
Partners, L.P. and Foothill Capital Corporation (collectively the "Holders")
agreed to exchange $21.0 million aggregate principal amount of the Series A
Senior Subordinated Unsecured Notes and approximately $1.9 million of
contractual unpaid interest thereon as of December 31, 2001 for approximately
189.6 shares of Coram, Inc. Series A Cumulative Preferred Stock (see Note 11 to
the company's Consolidated Financial Statements for further details regarding
the preferred stock). Pursuant to Amendment No. 5, the scheduled maturity dates
related to the Series A Senior Subordinated Unsecured Notes and the Series B
Senior Subordinated Unsecured Convertible Notes have both been modified to June
30, 2002.
General. The company's consolidated financial statements have been prepared
on a going concern basis, which contemplates continuity of operations,
realization of assets and liquidation of liabilities in the ordinary course of
business. However, as a result of the Debtors' bankruptcy filings and
circumstances relating thereto, including the company's leveraged financial
structure and cumulative losses from operations, such realization of assets and
liquidation of liabilities is subject to significant uncertainty. During the
pendency of the Debtors' Chapter 11 bankruptcy proceedings, the company may sell
or otherwise dispose of assets and liquidate or settle liabilities for amounts
other than those reflected in the consolidated financial statements.
Furthermore, a plan of reorganization filed in the Chapter 11 proceedings could
materially change the amounts reported in the consolidated financial statements,
which do
39
not give effect to any adjustments of the carrying value of assets or
liabilities that might be necessary as a consequence of a proposed plan of
reorganization. The company's ability to continue as a going concern is
dependent upon, among other things, confirmation of a plan of reorganization,
future profitable operations, the ability to comply with the terms of the
company's financing agreements, the ability to obtain necessary financing to
fund a pending settlement with the Internal Revenue Service, the ability to
remain in compliance with the physician ownership and referral provisions of the
Omnibus Budget Reconciliation Act of 1993, known as "Stark II," and the ability
to generate sufficient cash from operations and/or financing arrangements to
meet obligations.
Cash and Cash Equivalents. Cash and cash equivalents decreased $6.0 million
to $21.3 million at December 31, 2001 compared to $27.3 million at December 31,
2000.
Net cash provided by operating activities was approximately $3.4 million for
the year ended December 31, 2001 compared to $42.6 million for the year ended
December 31, 2000. The significant components of the operating cash flows are as
follows (in millions):
YEARS ENDED DECEMBER 31,
----------------------------
2001 2000
------------ ------------
Continuing operations after non-cash charges and
before gains on sales of businesses ................... $ 36,652 $ 22,547
Changes in operating assets and liabilities, net:
Accounts receivable ................................... (28,713) 3,490
Prepaid expenses, inventories and other assets ........ (1,112) 8,275
Current and other liabilities ......................... 8,786 12,418
Cash basis restructuring costs .......................... (1,039) (3,076)
Cash used by reorganization items, net .................. (10,776) (1,581)
Miscellaneous, other .................................... (381) 490
------------ ------------
Net cash provided by continuing
operations, net of reorganization items ........ $ 3,417 $ 42,563
============ ============
(i) Continuing Operations After Non-cash Charges and Before Gains
on Sales of Businesses. During the year ended December 31,
2001, continuing operations provided cash of approximately
$36.7 million whereas during the year ended December 31, 2000
continuing operations provided approximately $22.5 million in
cash. This increase is primarily due to management's continued
focus on the company's core therapy mix, which provides a
higher gross margin percentage to the company, and more
efficient utilization of company resources toward profit
generation. During the year ended December 31, 2000, the
company was favorably impacted by a one-time payment of $1.0
million from a life insurance policy because the company was
one of the beneficiaries under the policy.
(ii) Accounts Receivable. During the year ended December 31, 2001,
the accounts receivable activity utilized cash of
approximately $28.7 million whereas the year ended December
31, 2000 accounts receivable activity provided cash of
approximately $3.5 million. A decline in cash collections
caused an increase in accounts receivable and an increase in
the percentage of aged accounts receivable over 90 days past
due (especially Medicare and Medicaid account balances). The
cash collection shortfall in 2001 is principally attributable
to the consolidation of several of the company's infusion
business Patient Financial Service Centers (reimbursement
sites) and related personnel turnover during the year ended
December 31, 2001. Additionally, the company experienced poor
cash collections in its durable medical equipment operations.
(iii) Prepaid Expenses, Inventories and Other Assets. During the
year ended December 31, 2001, prepaid expenses, inventories
and other assets used cash of approximately $1.1 million
whereas such activity for the year ended December 31, 2000
provided cash of approximately $8.3 million. This variance
relates principally to inventories. During the year ended
December 31, 2000, as part of an initiative to increase
inventory turns and decrease excess inventories on hand, the
company reduced inventories by $7.6 million. During the year
ended 2001, inventories increased $0.8 million, primarily due
to strategic purchases of blood factor product.
(iv) Current and Other Liabilities. Included in current and other
liabilities in the above table are accruals for income tax
settlement related interest and management incentive
compensation of $5.9 million and $14.7 million for 2001 and
2000, respectively. After removing the effects of these items,
during the year ended December 31, 2001, current and other
liabilities provided cash of approximately $2.9 million
whereas during the year ended December 31, 2000 current and
other liabilities used cash of approximately $2.3 million.
This adjusted change principally relates to a $2.6 million
increase in accounts payable in 2001 due to operational
changes.
40
(v) Cash Basis Restructuring Costs. Net cash used for
restructuring costs was approximately $1.0 million and $3.1
million for the years ended December 31, 2001 and 2000,
respectively. The decrease in cash expenditures is primarily
due to a reduction in severance payments, which are subject to
compromise under the Debtors' Chapter 11 proceedings, the
assumption of one of the company's real property leases by a
third party during 2001 and the expiration of certain other
real property leases in 2001.
(vi) Operating Cash Flows Used By Reorganization Items. Net cash
used for reorganization was $10.8 million and $1.6 million
during the years ended December 31, 2001 and 2000,
respectively. The principal reason for the increased
reorganization expenditures is the commencement of the
company's bankruptcy proceedings in third quarter of the year
ended December 31, 2000 and the continuation of such
proceedings during the entire year ended December 31, 2001.
These expenditures relate primarily to professional services,
employee retention plans, Office of the United States Trustee
fees and other expenditures during the Chapter 11 proceedings,
offset by interest earned on accumulated cash due to the
Debtors not paying their pre-petition liabilities. See Note 3
to the company's Consolidated Financial Statements for further
details.
Net cash used in investing activities was $7.5 million for the year ended
December 31, 2001 as compared to cash provided by investing activities of $37.8
million for the year ended December 31, 2000. During 2001, cash used in
investing activities is primarily due to purchases of property and equipment of
$7.6 million. Of this amount, $4.2 million relates to capital expenditures to
upgrade Coram's company-wide information systems (see below for further
discussion), $0.7 million relates to relocating the company's corporate office
and $2.7 million relates to purchases of property and equipment in the normal
course of business. Partially offsetting the 2001 cash used in investing
activities was cash proceeds of approximately $0.1 million relating to the
dispositions of property and equipment. In 2000, the company received net cash
proceeds of $41.2 million from the sale of the CPS business and a $0.3 million
contingent earn-out payment related to one of the company's operating
subsidiaries. These amounts were offset by purchases of property and equipment
in the normal course of business totaling $3.5 million and investments in joint
ventures of $0.2 million.
Net cash used in financing activities was $1.8 million and $56.0 million for
the years ended December 31, 2001 and 2000, respectively. For 2001, cash used in
financing activities included net deposits to collateralize the company's
letters of credit of $1.1 million, debt repayments of $0.3 million and cash
distributions paid to minority interests of $0.4 million. For 2000, cash used in
financing activities included net debt repayments of $54.1 million (principally
funded by the proceeds of the CPS disposition), debtor-in-possession financing
fees of $0.5 million and cash distributions paid to minority interests of $1.4
million.
Management believes that the net costs for the Debtors' reorganization and
bankruptcy proceedings will result in significant use of cash for the year
ending December 31, 2002. These items principally consist of professional fees
and expenses and employee retention payments. Management believes that such
costs will primarily be funded through cash provided by operations.
The company sponsors a Management Incentive Plan ("MIP"), which provides for
annual bonuses payable to certain key employees. The bonuses are predicated on
overall corporate performance (principally cash collections and earnings before
interest expense, taxes, reorganization expenses, restructuring costs,
depreciation and amortization), as well as, individual performance targets and
objectives. On March 20, 2001, the Compensation Committee of the company's Board
of Directors approved an overall award of approximately $13.6 million for the
year ended December 31, 2000 for those individuals participating in the MIP. On
September 10, 2001, the Bankruptcy Court approved payment of up to approximately
$2.7 million for the 2000 MIP to all individuals participating in the MIP,
except for the amounts due to Mr. Crowley, the company's Chief Executive
Officer. In connection therewith, such payments to those individuals were made
in September 2001. For the year ended December 31, 2001, the company recorded
incremental MIP accruals of $2.9 million. Related to the Debtors' Second Joint
Plan, Mr. Crowley voluntarily offered to accept a $7.5 million reduction in
certain performance bonuses, contingent on the confirmation and consummation of
the Second Joint Plan. As discussed in Note 3 to the company's Consolidated
Financial Statements, confirmation of the Debtors' Second Joint Plan was denied
by the Bankruptcy Court on December 21, 2001. The company cannot predict what,
if any, reduction in Mr. Crowley's incentive, retention or success bonuses,
which are accrued in the company's Consolidated Financial Statements, will be
proposed in a new plan of reorganization submitted by the Chapter 11 trustee or
any other interested party. Payment of the remaining 2000 MIP amount and the
entire 2001 MIP amount is subject to approval by the Debtors' Chapter 11 trustee
and, if necessary, the Bankruptcy Court. If approved, the company intends to
fund such payments with available cash balances and cash provided by operations.
In recent years, the company experienced significant increases in insurance
premiums for its Directors and Officers ("D&O"), General and Professional
Liability ("GLPL") and certain other risk management insurance policies. In
connection therewith, in 2001 the Bankruptcy Court approved a motion made by the
Debtors to enter into an insurance premium financing agreement with AICCO, Inc.
to finance certain GLPL premiums. The company is incurring and anticipates
incurring further insurance premium rate increases
41
in 2002. No assurances can be given that the Debtors will be able to negotiate
another financing arrangement or that the Chapter 11 trustee or the Bankruptcy
Court will approve such an arrangement for 2002. Additionally, no assurances can
be given that the Debtors will be able to obtain and/or maintain adequate D&O
and GLPL insurance coverage in 2002 and beyond. In the event that the Debtors
are unable to obtain and/or maintain such insurance at a price that will be
economically viable, there could be a material adverse effect on the company's
operations.
The final liquidation of the Resource Network Subsidiaries through their
bankruptcy proceedings may result in certain additional cash expenditures by the
company beyond the cash accounts already deemed to be a part of R-Net's
bankruptcy estate. While management does not expect that such amounts, if any,
will be material to the financial condition or cash flows of the company, no
assurances can be given as to an estimate of the company's aggregate future
expenditures related to the Resource Network Subsidiaries' bankruptcy. See Notes
3, 4 and 13 to the company's Consolidated Financial Statements for further
details.
In November 2001, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed an adversary complaint in the Bankruptcy
Court against the Debtors, several non-debtor subsidiaries and certain current
and prior directors and officers of the company seeking damages in the amount of
approximately $56 million and additional monetary and non-monetary damages,
including the disallowance of the Debtors' proofs-of-claim against the Resource
Network Subsidiaries, punitive damages and attorneys' fees. The Debtors objected
to the complaint in the Bankruptcy Court because management believes that the
complaint constitutes an attempt to circumvent the automatic stay protecting the
estates of the Debtors; however, the non-debtor subsidiaries have no such
protection and, accordingly, they plan to vigorously contest the allegations.
The company notified its insurance carrier of the complaint and intends to avail
itself of any appropriate insurance coverage for its directors and officers.
Principally due to the early stages of this matter and the issues pending before
the Bankruptcy Court, the company cannot predict the outcome of this case nor
can it predict the scope and nature of any indemnification that the directors
and officers may have with the company's insurance carrier. An unfavorable
outcome would have a material adverse impact on the company's financial position
and liquidity. See Note 13 to the company's Consolidated Financial Statements
for further details.
The Board of Directors approved management's request to upgrade Coram's
company-wide information systems. In connection therewith, the company entered
into an agreement whereby a new financial, materials management, procurement,
human resource and payroll software package (the "Back Office") and related
licenses are being procured. The total purchase price for such software and
licenses will be approximately $1.2 million, of which $0.7 million was paid
during 2001 and the remaining balance is accrued in the company's Consolidated
Balance Sheets. Substantial internal and external costs have been and will
continue to be incurred to implement this software. In 2001, the company also
purchased certain hardware necessary to run the new information systems for
approximately $1.2 million. Additional hardware components are required in order
to make the new software suite fully functional and, in connection therewith, in
2002 the company is purchasing approximately 270 new desktop computers and 60
printers for approximately $0.3 million. During the second half of 2001,
management commenced negotiations with a third party vendor to upgrade and/or
replace its billing, accounts receivable, clinical and pharmacy systems (the
"Front Office"). Management anticipates significant internal/external
expenditures and commitments to upgrade and/or replace the Front Office systems
during 2002 and 2003. The company intends to fund its current and future
information system capital requirements with its available cash balances and
cash provided by operations.
Coram reached a tentative settlement agreement with the Internal Revenue
Service to resolve a dispute regarding certain tax refunds previously received
by the company. The settlement, if approved by the Joint Committee of Taxation,
the Debtors' Chapter 11 trustee and, if necessary, the Bankruptcy Court, would
result in a federal tax liability of approximately $9.9 million, plus interest
of approximately $7.7 million at April 12, 2002. The federal income tax
adjustments would also give rise to additional state tax liabilities. If the
company is not able to negotiate an installment payment plan with the Internal
Revenue Service with respect to the proposed settlement amount or if the Joint
Committee of Taxation, the Bankruptcy Court or the Chapter 11 trustee do not
approve the proposed settlement amount, the financial position and liquidity of
the company could be materially adversely affected. See Note 9 to the company's
Consolidated Financial Statements for further details.
Management cannot predict whether any future objections of the Official
Committee of the Equity Security Holders or other interested parties in the
Debtors' bankruptcy proceedings will be forthcoming. Outcomes unfavorable to the
company or unknown additional actions could require the company and the Debtors
to access significant additional funds. See Notes 3 and 13 to the company's
Consolidated Financial Statements.
As discussed in Item 1. under "Government Regulation," the Balanced Budget
Act of 1997 (the "BBA") required Part A certified home health agencies, as a
condition of their participation in Part A of the Medicare program, to post
surety bonds. The bonds are to be used to secure performance and compliance with
Medicare program rules and requirements. The Medicare, Medicaid and SCHIP
42
Balanced Budget Refinement Act of 1999 (the "BBRA") modified the annual surety
bond amounts for home health agencies to require the lesser of 10% of the amount
Medicare paid to the provider in the prior year or $50,000. The deadline for
securing such bonds has been extended indefinitely while the Centers for
Medicare and Medicaid Services ("CMS") (formerly the Health Care Financing
Administration) reviews the bonding requirements. CMS has indicated that the new
compliance date will be sixty days after the publication of the final rule.
Management believes, based upon currently available information derived from its
discussions with surety bond brokers and organizations that issue surety bonds,
that the necessary bonds will not be generally available to home health
providers until CMS revises its bonding requirements in a way that clarifies
and/or limits the types of liabilities that will be covered by the bonds. As of
April 12, 2002, the company had only one Medicare certified home health provider
location, which has not obtained a surety bond. Additionally, as required by the
BBA, CMS also intends to issue separate surety bond regulations applicable to
Part B suppliers. Virtually all of Coram's branch offices participate as
suppliers in the Part B Medicare program. Similar bonding requirements are being
reviewed by state Medicaid programs, and at least one state requires Medicaid
suppliers to maintain a surety bond. However, there are currently no federal
surety bond requirements. If such a requirements become effective and if Coram
is not able to obtain all of the necessary surety bonds, it may have to cease
its participation in the Medicare and Medicaid programs for some or all of its
branch locations. Such bond amounts may be funded in whole or in part through
cash generated from operations. In addition, depending upon the final
regulations, the company may be able to establish letters of credit for the
bonding requirement in whole or in part, however, such letters of credit may
require the use of cash in order to be fully collateralized. Management also
believes that another potential source for meeting a bonding requirement may be
to obtain bonds through a qualified insurance carrier. No assurances can be
given that cash generated by operations, letter of credit availability or bond
availability from an insurance carrier at a reasonable cost will satisfy these
surety bond requirements, when finalized.
Working capital at December 31, 2001 is a deficit of $76.2 million compared
to working capital deficit of $97.1 million at December 31, 2000, a reduction in
the working capital deficit of $20.9 million. The change in working capital is
primarily due to a decrease in liabilities relating to liabilities subject to
compromise resulting from the exchange of $21.0 of the company's Series A Notes
for Coram, Inc. Series A Cumulative Preferred Stock (see Notes 8 and 11 to the
company's Consolidated Financial Statements for further details) and an $11.2
million increase in net accounts receivable. The aforementioned favorable
working capital increases are partially offset by a $6.0 million decrease in
cash and cash equivalents, a $2.6 million increase in accounts payable, a $1.7
million increase in accrued compensation and related liabilities and a $2.9
million increase in administrative costs from the Debtors' bankruptcy
proceedings.
The principal supplier of Coram's infusion pumps, Sabratek Corporation
("Sabratek"), filed for protection under Chapter 11 of the United States
Bankruptcy Code on December 17, 1999. In January 2000, Baxter Healthcare
Corporation ("Baxter") purchased certain Sabratek assets, including Sabratek's
pump manufacturing division, and continued to produce the related tubing and
infusion sets needed to operate the Sabratek infusion pumps used by Coram.
Beginning in January 2000, Coram's fleet of approximately 5,000 Sabratek 6060
Homerun pumps began to experience malfunctions and failures of various sorts due
to inherent flaws in the design of the pump. Pumps needing repair were sent back
to Sabratek for repair at no cost due to a five-year warranty on pump repairs
that was part of the underlying contract. Repairs have been made to these pumps
and management believes the pump lives have been extended. Management expects
that Baxter will extend the period during which it will produce the related
tubing and infusion sets necessary for operation of the 6060 Homerun pumps;
however, no assurances can be made that Baxter will make such an extension. In a
separate matter, Baxter announced that effective March 2003 it will cease
production of Sabratek 3030 pumps and related tubing and infusion sets necessary
for repairs and operation of these pumps. Management is currently evaluating the
company's options regarding the fleet of approximately 3,000 Sabratek 3030
pumps, including the purchase or leasing of new technology. Although management
believes that the company will be able to replace the Sabratek 3030 pumps, no
assurances can be given that the sufficient cash generated by operations or
other sources of funding will be available.
Coram maintains systems and processes to collect its accounts receivable as
quickly as possible after the underlying service is rendered. Nevertheless,
there is generally a time lapse between when the company pays for the salaries,
supplies and overhead expenses related to the generation of revenue and the time
that the company collects payments for the services rendered and products
delivered. Consequently, as the company grows its revenue related to its core
therapies, the need for working capital increase due to the timing difference
between cash received from growth in sales and the cash disbursements required
to pay the expenses associated with such sales. As a result, the amount of cash
generated from the company's accounts receivable may not be sufficient to cover
the expenses associated with its business growth.
Management throughout the company is continuing to concentrate on enhancing
timely reimbursement by emphasizing improved billing and cash collection
methods, continued assessment of systems support for reimbursement and
concentration of the company's expertise and managerial resources into certain
reimbursement locations. In December 2000, Coram announced that as part of its
continuing efforts to improve efficiency and overall performance, several
Patient Financial Services Centers (reimbursement sites) were being consolidated
43
and the related reimbursement positions were to be eliminated. By consolidating
to fewer sites, management expects to implement improved training, more easily
standardize "best demonstrated practices," enhance specialization related to
payers such as Medicare and achieve more consistent and timely cash collections.
Management does not expect this change to affect Coram's patients or payers, but
believes, instead, that in the long-term they will receive better more
consistent service. The transition was accomplished in stages, commencing April
1, 2001 and ending July 2001. Management had taken certain actions to mitigate
the potential shortfall in cash collections during and after the transition
period, including, but not limited to, offering incentives for personnel to stay
with the company until the completion of their corresponding regional
consolidation. Notwithstanding management's efforts, the company experienced
deterioration in its DSO since the commencement of the reimbursement
consolidation plan and a substantial growth in account receivable. No assurances
can be given that the consolidation of the company's Patient Financial Service
Centers will be successful in enhancing timely reimbursement, that the company
will not continue to experience a significant shortfall in cash collections
after the transition period or that the aforementioned deterioration in DSO and
accounts receivable will not continue. See also Item 4. under the caption "Risk
Factors." If Coram continues to experience a significant increase in its
accounts receivable, the company's liquidity could be materially adversely
affected.
RISK FACTORS
Coram may not be able to continue as a going concern.
The company's ability to continue operations is dependent upon, among other
things, confirmation of a plan of reorganization, success of future operations
after such confirmation and the ability to generate sufficient cash from
operations and financing sources to meet obligations. There can be no assurances
that any plan of reorganization will be approved by the Bankruptcy Court or that
such a plan will allow the company to operate profitably. Any plan of
reorganization and other actions during the Chapter 11 proceedings could change
materially the financial condition and/or outlook of the company. Furthermore,
the future availability or terms of financing cannot be determined in light of
the Chapter 11 filings and there can be no assurances that the amounts available
from cash flows from operations or available cash balances will be sufficient to
fund the operations of the company or that other financing instruments will not
be necessary during the pendency of the Debtors' bankruptcy proceedings. In
addition, the company may experience difficulty in attracting and maintaining
patients and appropriate personnel as a result of the Chapter 11 proceedings.
Under the Stark II law, Coram may not be able to maintain certain equity
requirements in order to be able to avoid disruption in accepting referrals
of certain patients from physicians who may own shares of Coram common
stock.
Coram is aware that certain referring physicians (or their immediate family
members) have, from time to time, owned shares of its common stock. A federal
law, known as Stark II, prohibits a physician from making Medicare or Medicaid
referrals for certain "designated health services," including durable medical
equipment, parenteral and enteral nutrition therapy and outpatient prescription
drugs, to entities with which the physician or an immediate family member has a
financial relationship, unless an exception to the law is available. The Stark
II law includes an exception for the ownership of publicly traded stock in
companies with equity above certain levels. This Stark II exception requires the
issuing company to have stockholders' equity of at least $75 million either as
of the end of its most recent fiscal year or on average over the last three
fiscal years. The company currently meets the public company exception based on
stockholders' equity at December 31, 2001. However, in light of the company's
recurring operational losses during each of the years in the three year period
ended December 31, 2001, management's ability to maintain an appropriate level
of stockholders' equity cannot be reasonably assured. The penalties for failure
to comply with Stark II include, among other things, non-payment of claims and
civil penalties that could be imposed upon the company and, in some instances,
upon the referring physician. Some of such penalties can be imposed regardless
of whether the company intended to violate the law. Accordingly, if the
company's common stock remains publicly traded and its stockholders' equity
falls below the required levels, the company would be forced to cease accepting
referrals of patients covered by the Medicare or Medicaid programs or run a
significant risk of noncompliance with Stark II. Ceasing to accept such
referrals could materially adversely affect the company's financial condition
and business reputation in the market as it may cause the company to be a less
attractive provider to which a physician could refer his or her patients. The
company previously requested a Stark II waiver from the Health Care Financing
Administration, but such waiver request was denied.
Coram's future profitability is not certain which could adversely affect the
company's continued operations and stock price.
Numerous factors have affected Coram's performance and financial condition
to date, including, among others: (i) ongoing pricing pressure in the infusion
therapy business as a result of a shift in payer mix from private indemnity
insurance to managed care and governmental payers, and intense competition among
infusion providers; (ii) increased competition from hospitals and physicians who
have sought to increase the scope of services they offer through their
facilities and offices, including services similar to those offered by Coram;
and (iii) increased competition from hospitals and physicians which have entered
into risk-sharing relationships with third-
44
party payers pursuant to which they have been delegated control over the
provision of a wide variety of healthcare services, including the services
offered by Coram. There can be no assurances that the foregoing factors will not
continue to have an adverse effect on the company's financial condition and
results of operations in the future.
The outcome of pending bankruptcy and legal proceedings could adversely
affect Coram's business.
As described in Item 3. Legal Proceedings, Coram is involved in several
legal disputes. Additionally, Coram Healthcare Corporation and Coram, Inc. are
currently in Chapter 11 bankruptcy proceedings. Even though Coram intends to
pursue its claims and defend itself vigorously in these matters, the company
cannot predict the outcome of current and future matters due to the
uncertainties inherent in litigation and bankruptcy proceedings. Pending the
submission of a plan of reorganization by the Chapter 11 trustee or another
interested party and its approval by the Bankruptcy Court and the outcome of
certain legal disputes, the financial condition, results of operations and
liquidity of the company may be materially adversely affected.
The company may not be able to repay or refinance its significant
outstanding indebtedness.
Following the second exchange of debt for Coram, Inc. Series A Cumulative
Preferred Stock, Coram had approximately $132.3 million outstanding long-term
debt in the form of Series A Notes and Series B Notes at an interest rate of
9.0% per annum, maturing on June 30, 2002. The effects of a plan of
reorganization submitted by the Chapter 11 trustee or another interested party,
subject to approval by the Bankruptcy Court, could materially adversely impact
the company's financial condition, results of operations and liquidity. See Item
7. "Liquidity and Capital Resources" and Note 8 to the company's Consolidated
Financial Statements.
Coram may not be able to meet its increased cash requirements.
Management throughout the company is continuing to concentrate on enhancing
timely reimbursement by emphasizing improved billing and cash collection
methods, continued assessment of systems support for reimbursement and
concentration of the company's expertise and managerial resources into certain
reimbursement locations. In December 2000, Coram announced that as part of its
continuing efforts to improve efficiency and overall performance in billing and
cash collection methods, several Patient Financial Service Centers
(reimbursement sites) were being consolidated and the related reimbursement
positions were being eliminated. By consolidating to fewer sites, management
expects to implement improved training, more easily standardized "best
demonstrated practices," enhance specialization related to payers such as
Medicare and achieve more consistent and timely cash collections. Management
does not expect this change to affect Coram's patients or payers, but believes,
instead, that in the long-term they will receive better, more consistent
service. The transition was accomplished in stages commencing April 1, 2001 and
ending July 2001. Management had taken certain actions to mitigate the potential
shortfall in cash collections during and after the transition period, including,
but not limited to, offering incentives for personnel to stay with the company
until the completion of their corresponding regional consolidation.
Notwithstanding management's efforts, the company experienced deterioration in
its days sales outstanding ("DSO") since the commencement of the reimbursement
consolidation plan and a substantial growth in accounts receivable. No
assurances can be given that the consolidation of the company's Patient
Financial Services Centers will be successful in enhancing timely reimbursement,
that the company will not continue to experience a significant shortfall in cash
collections after the transition period or that the aforementioned deterioration
in DSO and accounts receivable will not continue.
Coram has experienced pressures from vendors to shorten payment terms for
needed drugs and supplies. Noncompliance with terms could result in the company
not having access to the necessary drugs and supplies to maintain or grow its
present business. In addition, Coram relies heavily on the collection of third
party payments from insurance providers to pay these vendors. In connection
therewith, it is imperative that the company maintain tightly controlled cash
collection and billing practices. There can be no assurances that third party
payers will not extend the time in which they pay Coram for its services.
Furthermore, there can be no assurances that the decline in cash collections
related to the closure and consolidation of several reimbursement sites in 2001
will not continue. Any continued disruption in cash collections, either due to
changes in third party payment practices or decreases resulting from the closure
and consolidation of Coram's reimbursement sites would cause additional
liquidity pressures on the company.
Coram may not be able to meet its capital requirements.
Coram is currently not party to a debtor-in-possession or similar financing
arrangement and therefore is reliant upon cash generated from operations and
available cash resources as its sole sources of working capital and funding for
investing activities such as, the upgrade of its company-wide information
technology systems. Management believes that sufficient cash needed to meet its
operating and investing requirements will be generated from operations and, if
necessary, additional financing facilities. However, no assurances can be given
that such new financing facilities can be obtained by Coram on economically
viable terms and conditions or
45
that sufficient cash flow from operations will be generated. In the event that
the company is not able to obtain a financing arrangement or generate sufficient
cash flows from operations to fund its current and future commitments, the
company's liquidity and financial position could be materially adversely
affected.
Coram's implementation of, and significant modifications to, its
company-wide information systems could have a disruptive effect on related
transaction processing, financial reporting, revenue generation, billing and
cash collections and the quality of patient care.
During the second half of the year ended December 31, 2001, Coram began the
implementation of its new Back Office software solution (see Item 7. "Liquidity
and Capital Resources" for further details). Coram completed the successful
implementation of the new financial systems (principally general ledger, fixed
assets and accounts payable) on April 1, 2002. The materials management and
procurement systems are scheduled to be implemented during the second quarter of
2002 and the human resource and payroll systems are scheduled to be implemented
in the third quarter of 2002. Management believes that the risks associated with
implementing the Back Office systems are mitigated due to the fact that the
company is utilizing a purchased software suite and will make little or no
enhancements to the product. However, if there are significant disruptions to
Back Office transaction processing, management's ability to report, analyze and
utilize data for purposes of making proactive business decisions and complying
with various financial reporting requirements could be adversely impacted.
Currently, the Front Office (see Item 7. "Liquidity and Capital Resources"
for further details) software project is in the definition stage. Management
anticipates that the Front Office project will be implemented in stages, with
final completion in the fourth quarter of 2003. This project involves the
replacement of Coram's intake, admissions, nurse scheduling, clinical pathways,
pharmacy, order entry, contract, billing and accounts receivable systems, all of
which support the delivery of patient care. In order to satisfy the company's
business requirements, Coram intends to purchase and highly customize a vendor
product to replace the existing Front Office systems. In order to mitigate risk,
management intends to diligently define and test the new systems prior to
implementation. However, no assurances can be given that the new Front Office
systems will ultimately serve the company's business requirements or that
implementation of these systems will not cause material business disruptions. In
the event that there are complications upon implementing these systems, the
company's ability to maintain and improve the quality of its patient care,
generate revenue, and bill and collect its accounts receivable may be impaired.
These circumstances could materially adversely affect the company's financial
position and liquidity.
Coram may be unable to respond to technological change effectively.
Coram's business is dependent on physicians continuing to prescribe the
administration of drugs and nutrients through intravenous and other infusion
methods. Intravenous administration is often the most appropriate method for
treating critically ill patients and is often the only way to administer
proteins and biotechnology drugs. Nonetheless, technological advances in drug
delivery systems, the development of therapies that can be administered orally,
such as protease inhibitors for the treatment of persons with HIV/AIDS, and the
development of new medical treatments that cure certain complex diseases or
reduce the need for infusion therapy could adversely impact Coram's business.
Coram's financial position and liquidity may be adversely affected by the
outcome of current negotiations with the Internal Revenue Service.
Coram has reached a tentative settlement agreement with the Internal Revenue
Service to resolve a dispute regarding certain tax refunds previously received
by the company. The settlement, if approved by the Joint Committee of Taxation,
the Debtors' Chapter 11 trustee and, if necessary, the Bankruptcy Court, would
result in a federal tax liability of approximately $9.9 million, plus interest
of approximately $7.7 million at April 12, 2002. The federal income tax
adjustments would also give rise to additional state tax liabilities. If the
company is not able to negotiate an installment payment plan with the Internal
Revenue Service with respect to the proposed settlement amount or if the Joint
Committee of Taxation, the Bankruptcy Court or the Chapter 11 trustee do not
approve the proposed settlement amount, the financial position and liquidity of
the company could be materially adversely affected. See Note 9 to the company's
Consolidated Financial Statements for further details.
Average Wholesale Price ("AWP") changes may trend in a direction that
is adverse to net revenue and profitability.
For most of the drugs that Coram provides to its patients, it is reimbursed
by governmental and third party payers according to rate schedules that are
based on the AWP of the drugs as published by commercial pricing services. For
example, the Medicare program's allowable payment amount is generally 95 percent
of the published AWP of a drug. AWP is an industry term that is typically
46
understood to represent a suggested price for wholesale sales to pharmacies. The
AWP does not necessarily reflect the price paid by either pharmacies or other
end-user purchasers.
In the last several years, state and federal government enforcement agencies
have conducted ongoing investigations of manufacturers' practices with respect
to AWP in which they have suggested that "inflated" AWPs have led to excessive
government payments for prescription drugs and biologicals. Several private
lawsuits have also been filed against manufacturers based on similar
allegations. As a result of these investigations, federal and state policymakers
have begun to question the appropriateness of continuing to reimburse for drugs
and biologicals under federal programs using AWP-based methodologies.
For example, the Medicare, Medicaid and SCHIP Benefits and Improvement and
Protection Act of 2000 ("BIPA") required the General Accounting Office ("GAO")
to study Medicare reimbursement for drugs and biologicals and their related
services. The Secretary of Health and Human Services is required to revise the
current Medicare payment methodologies for covered drugs and biologicals and
related services based on the GAO's recommendations. Similarly, on November 14,
2001, members of the House Commerce Committee outlined a proposal to the Centers
for Medicare and Medicaid Services administrator for a proposed new methodology
under which payments for drugs and biologicals would be based on a new "average
sales price" concept, which would be intended to more accurately reflect
providers' actual acquisition cost for drugs and biologicals. A number of other
legislative proposals to revise the Medicare payment methodology for drugs have
been introduced.
In addition, as part of the government investigation of AWP described above,
the Department of Justice and states' attorneys general developed "revised" AWPs
for a number of drugs and biologicals which are generally lower than those
published by commercial services. The Medicare program proposed that these
revised AWPs be used in determining reimbursement amounts, but this proposal was
withdrawn in light of the BIPA provisions described above. According to a recent
report by the Department of Health and Human Services Office of Inspector
General, however, approximately 30 state Medicaid programs are using the revised
AWPs to establish reimbursement amounts for some of the listed drugs and
biologicals in certain patient care settings.
There can be no assurances that government or private healthcare programs
will continue to reimburse for drugs and biologicals based on current AWP-based
methodologies, or that future AWPs or revised AWPs, or other payment methods
will reflect acquisition prices available to purchasers such as the company. If
government or private health insurance programs discontinue or modify the use of
AWP or otherwise implement payment methods that reduce the reimbursement for
drugs and biologicals, the product margins that the company receives may be
reduced and, in many cases, may be inadequate when combined with service fees
to cover the cost of clinical services and overhead expenses associated with the
delivery and administration of the drugs and biologicals. This circumstance
could produce a material adverse impact on the company's overall profit margins.
For example, effective July 1, 2001, the margins between Coram's
reimbursement rates and the costs of certain anti-infective drugs, primarily a
brand of the drug Vancomycin, were significantly decreased as a result of the
reductions in AWP reimbursement rates. To mitigate the decrease of net revenue
from the resulting decrease in AWP reimbursement, the company made modifications
to its drug purchasing formulary. While the company is implementing changes to
reduce the adverse effect on net revenue and the direct impact on profitability,
no assurances can be made that the company will be successful in implementing
these changes. See Item 7. "Management's Discussion and Analysis of Financial
Condition and Results of Operations" for further details.
The company's revenue and profitability are subject to prices paid by third
party payers.
The company receives payment from government programs and insurance
companies for the services it provides. The rates paid by these third parties
cannot be controlled by the company and may not be sufficient to allow Coram to
generate a profit from providing its services. Additionally, managed care payers
and traditional indemnity insurers are increasingly requesting fee structures
and other arrangements providing for the assumption by healthcare providers of
all or a portion of the financial risk of providing care. The failure of these
third party payers to pay prices adequate enough to cover the company's
operating expenses could have a material adverse effect on the business, results
of operation or financial condition of Coram.
Coram's vendor relationships are highly concentrated.
The company maintains certain critical third party vendor relationships with
Cardinal Health, Inc. and Baxter Healthcare Corporation. The combined aggregate
purchases from these two vendors accounted for approximately 53% of the total
activity for the year ended December 31, 2001. Although management considers its
relationships with these two important drug and supplies vendors to be good and
stable, there can be no assurances that such relationships will continue. Should
either of these vendors elect not to provide drugs and supplies to the company
on a recurring basis, there would likely be a significant disruption to the
company's
47
business and the results of operations could be adversely impacted until such
time as a replacement vendor could be identified. Moreover, there could be no
assurances that the pricing structure that the company currently enjoys could be
matched by a replacement vendor. Additionally, if the company's patient census
declines, the company may be unable to meet volume commitments with certain
vendors, thereby causing additional price increases on some contracts. Further,
declines in patient census could result in a breach of a contract that could
have significant negative financial impact to the company. It could also erode
the positive image management has developed with the vendor community and
adversely impact the company's ability to leverage its purchasing activity with
new vendors.
Reduced reimbursement rates Coram receives from persons covered under
benefit plans funded by governmental or managed care payers could have a
material adverse effect on the company's business, financial condition and
results of operations.
Since the inception of Coram's business in 1994, it has been experiencing a
shift in its payer sources from private indemnity payers to governmental and
managed care payers. Private indemnity payers typically reimburse at a higher
amount for a given service and provide a broader range of benefits than
governmental and managed care payers. Congress has reduced reimbursement rates
applicable to certain home health and durable medical equipment services.
Similarly, other legislative and regulatory proposals have been made which, if
adopted, would have the effect of reducing the amount received by Coram for its
services. Moreover, intense competition among providers of healthcare services
have encouraged managed care payers to continue to reduce the prices paid for
services, including the services offered by Coram.
Coram may find itself unable to procure the products necessary to serve its
patients.
Due to the nature of factor manufacturing processes, intermittent product
shortages may be experienced from time to time, which may make it difficult for
Coram to meet the needs of its patients and may have an adverse impact on
Coram's future results of operations. These shortages could be due to
insufficient donor pools, failed production lots, contamination, etc. Moreover,
a single patient's requirements may, at any given time, expend what would
otherwise be adequate inventory for multiple patients. During March 2001, the
company began experiencing difficulties obtaining recombinant factor VIII
(rVIII) due to a nationwide shortage of this product which was precipitated by
Federal Drug Administration requirements exceeding the expectations of
manufacturing. Coram currently has a supply of this factor product in inventory
to meet immediate patient demands; however, management is proactively taking
steps to secure inventory of this product at levels sufficient to meet
anticipated future demands. Under normal circumstances, limited allocations of
products from manufacturers greatly impact the company's ability to expand its
customer base, but management believes this current factor shortage is likely to
impair the company's ability to grow this segment of its business.
Coram is unable to determine future availability for repairs and service on
pump inventory.
The principal supplier of Coram's infusion pumps, Sabratek Corporation
("Sabratek"), filed for protection under Chapter 11 of the United States
Bankruptcy Code on December 17, 1999. In January 2000, Baxter Healthcare
Corporation ("Baxter") purchased certain Sabratek assets, including Sabratek's
pump manufacturing division, and continued to produce the related tubing and
infusion sets needed to operate the Sabratek infusion pumps used by Coram.
Beginning in January 2000, Coram's fleet of approximately 5,000 Sabratek 6060
Homerun pumps began to experience malfunctions and failures of various sorts due
to inherent flaws in the design of the pump. Pumps needing repair were sent back
to Baxter for repair at no cost due to a five-year warranty on pump repairs that
was part of the underlying contract. Repairs have been made to these pumps and
management believes the pump lives have been extended. Management expects that
Baxter will extend the period during which it will produce the related tubing
and infusion sets necessary for operation of the 6060 Homerun pumps; however, no
assurances can be made that Baxter will make such an extension. In a separate
matter, Baxter announced that effective March 2003 it will cease production of
Sabratek 3030 pumps and related tubing and infusion sets necessary for repairs
and operation of these pumps. Management is currently evaluating the company's
options regarding the fleet of approximately 3,000 Sabratek 3030 pumps,
including the purchase or leasing of new technology. Although management
believes that the company will be able to replace the Sabratek 3030 pumps, no
assurances can be given that a sufficient pump supply will be available or that
the ultimate solution will be economically viable for the company. In the event
that the company is unable to replace such pumps at an economically viable
price, Coram's financial position and results of operations could be materially
adversely affected.
Consolidation in the healthcare industry could give increased pricing power
to purchasers of the company's services and reduce the company's revenue and
profits.
Managed care organizations have grown substantially in terms of the
percentage of the population that is covered by such organizations and in terms
of their control over an increasing portion of the healthcare economy. Managed
care plans have continued
48
to consolidate to enhance their ability to influence the delivery of healthcare
services and to exert pressure to control healthcare costs. This increased
pressure may require the company to reduce its prices or forfeit existing or new
business, which could have a material adverse effect on its business, financial
condition and results of operations.
Coram faces significant competition and may not be able to compete
successfully.
Coram competes in the alternate site infusion therapy market, which is
highly competitive. Some of Coram's current and potential competitors include:
(i) integrated providers of alternate site healthcare services;
(ii) hospitals;
(iii) local providers of multiple products and services offered for
the alternate site healthcare market; and
(iv) physicians and physician-owned organizations, such as
independent practice associations and multi-specialty group
practices.
Coram has experienced increased competition in its alternate site infusion
therapy business from hospitals and physicians that have sought to increase the
scope of services offered at or through their facilities or offices, including
services similar to those offered by the company, and from hospitals and
physicians that have entered into risk relationships with managed care
organizations pursuant to which they have taken control of certain medical
services, including the services offered by the company. Certain competitors in
various markets may have superior financial, marketing or managerial resources,
size, purchasing power or strategic relationships with providers, referral
sources, such as physicians and hospital discharge planners, and traditional
indemnity and managed care payers.
There are relatively few barriers to entry in the infusion therapy services
market. Local or regional companies are currently competing in many of the
markets served by the company and others may do so in the future. Coram expects
its competitors to continue to improve their service offerings and price
competitiveness. Coram also expects its competitors to develop new strategic
relationships with providers, referral sources and payers, which could result in
increased competition. The introduction of new and enhanced services,
acquisitions and industry consolidation and the development of strategic
relationships by Coram's competitors could cause a decline in sales, loss of
market acceptance of Coram's services or price competition, or make the
company's services less attractive. There can be no assurances that Coram will
be able to compete successfully against current or future competitors or that
competitive pressures will not have a material adverse effect on Coram's
business, financial condition and results of operations. See Item 1.
"Competition," and Item 7. "Business Strategy" and "Factors Affecting Recent
Operating Results."
The success of Coram's business is dependent on relationships with third
parties.
The profitability of Coram's business depends in part on its ability to
establish and maintain close working relationships with managed care
organizations, private and governmental third-party payers, hospitals,
physicians, physician groups, home health agencies, long-term care facilities
and other institutional health providers and insurance companies and large
self-insured employers. A central feature of the company's business strategy is
to improve its relationships with such third parties and with physicians and
physician groups. There can be no assurances that the company will be successful
in improving and maintaining such relationships or that additional relationships
will be successfully developed and maintained in existing or future markets. The
loss of existing relationships such as the loss of its relationship with Aetna
and its affiliated companies, or the failure to continue to develop and maintain
ongoing relationships in the future could have a material adverse effect on the
company's business, financial condition and results of operations. See Item 7.
"Business Strategy."
Coram may be unable to maintain sufficient Directors' & Officers' ("D&O")
insurance, which could adversely affect its ability to retain qualified
directors and officers.
During the year ended December 31, 2001, Coram experienced significant
increases in premiums related to D&O insurance, principally due to the ongoing
bankruptcy proceedings and litigation matters involving directors and officers
of the company. The company is experiencing similar increases in 2002. The
company currently has adequate D&O coverage for the 2002 policy year and
management believes that the company will be able to maintain its current level
of coverage and that sufficient funding will be available to cover the increased
premiums. However, in the event that the company is unable to maintain adequate
D&O insurance coverage in
49
future policy years, Coram may be unable to attract and retain qualified
directors and officers, which could have a material adverse effect on the
company's operations.
Insurance may not be sufficient to cover losses from professional liability
and products liability exposure.
The services performed and products sold by Coram involve an inherent risk
of professional and products liability. While the company maintains insurance
consistent with industry practice, there can be no assurances that the amount of
insurance currently maintained will satisfy any claims made against Coram or
that it will be able to obtain insurance in the future at commercially
reasonable rates or in adequate amounts. Coram cannot predict the effect that
any such claims, regardless of their ultimate outcome, might have on its
business or reputation or on its ability to attract and retain patients and
employees.
Coram's business may suffer if it is unable to retain key personnel.
Coram is substantially dependent upon the services of its key executive
officers, which include Daniel D. Crowley, Chairman and Chief Executive Officer
and Allen J. Marabito, Executive Vice President, acting General Counsel and
acting Secretary. The loss of the services of these executives could have a
material adverse effect on the company. The company's future growth and success
depends, in large part, upon its ability to obtain, retain and expand its staff
of professional personnel. There can be no assurances that the company will be
successful in its efforts to attract and retain such personnel.
Coram may be unable to recruit appropriate personnel, which would have a
material adverse effect on its business.
The continued operation of Coram's business, as well as its future growth
and success, depends upon its ability to recruit and retain a staff of
professional personnel, including licensed pharmacists and nurses. Certain parts
of the United States, including certain states in which the company has
operations, are currently experiencing a shortage of these licensed
professionals. Coram has been affected by this shortage and management believes
that its current financial position has made it more difficult for the company
to recruit and retain experienced professional personnel. As a result, the
company has experienced higher contract labor costs. A continued prolonged
shortage of either or both of these types of professionals being available to or
interested in working with Coram could have a material adverse effect on the
company's business, results of operations and financial condition.
Coram's common stock is subject to a high degree of risk and market
volatility.
As a result of the Chapter 11 bankruptcy filings of the Debtors, the equity
interests of the common stockholders are subject to a high degree of risk.
Should a plan of reorganization similar to the Second Joint Plan of
reorganization be approved, the complete elimination of the equity interests of
CHC could occur. See Note 3 to the company's Consolidated financial Statements.
There has historically been and may continue to be significant volatility in
the market price for Coram's common stock. Factors include, but not are limited
to, the Debtors' Chapter 11 bankruptcy proceedings, actual or anticipated
fluctuations in Coram's operating results, new products or services introduced
or new contracts entered into by the company or its competitors, conditions and
trends in the healthcare industry including changes in government reimbursement
policies, changes in financial estimates by securities analysts, general market
conditions and other factors. These factors could cause the market price of
Coram's common stock to fluctuate substantially. In addition, the stock market
has from time to time experienced significant price and volume fluctuations that
have particularly affected the market price for the common stock of healthcare
companies. These broad market fluctuations may adversely affect the market price
of the company's common stock. In the past, following periods of volatility in
the market price of a particular company's securities, securities class action
litigation has been brought against that company. There can be no assurances
that such litigation will not occur in the future with respect to Coram. Such
litigation could result in substantial costs and a diversion of management's
attention and resources, which could have a material adverse effect upon Coram's
business, financial condition and results of operations.
The operation of Coram's business is subject to extensive government
regulation.
General. Coram's healthcare services business is subject to extensive and
frequently changing state and federal regulation. Specifically, Coram is subject
to state laws governing and regulating several aspects of its business,
including home infusion therapy services (including certificates of need and
licensure requirements in certain states), dispensing, distributing and
compounding of prescription products and home health services. Federal laws
governing Coram's activities include regulation of pharmacy operations and
regulations under the Medicare and Medicaid programs relating to, among other
things, the submission of claims for payment and certification of home health
agencies. Coram also is subject to certain state and federal laws prohibiting
the payment of remuneration
50
for patient or business referrals and the provision of services where a
prohibited financial relationship exists between a referring physician and the
entity providing the service.
New laws and regulations are enacted from time to time to regulate new and
existing services and products in the home infusion and home health industries.
Changes in the law or new interpretations of existing laws could also have an
adverse effect on the company's methods and costs of doing business. Further,
Coram's failure to comply with such laws could adversely affect its ability to
continue to provide, or receive reimbursement for, its equipment, products and
services, and could also subject Coram and its officers and employees to civil
and criminal penalties. There can be no assurances that the company will not
encounter regulatory impediments that could adversely affect its ability to open
new branch offices or to expand the services currently provided at its existing
branch offices.
Set forth below is a more detailed discussion of certain factors related to
federal and state regulation of Coram and its business.
Medicare and Medicaid Regulations. As a provider of services under the
Medicare and Medicaid programs, Coram is subject to federal and state laws and
regulations governing its operations, arrangements with other providers and
reimbursement procedures and practices. These laws include the federal
anti-kickback statute, which prohibits the payment or receipt of any form of
remuneration in return for referring business or patients to providers of
services for which payments are made by a federal healthcare program. Violations
of these laws may result in civil and criminal penalties, including substantial
fines, loss of the right to participate in the Medicare and Medicaid programs
and imprisonment. In addition, the Health Insurance Portability and
Accountability Act of 1996 ("HIPAA") expanded the government's fraud and abuse
elimination efforts. HIPAA, among other provisions, expands the government's
efforts for prosecuting fraud and abuse beyond Medicare and Medicaid to all
payers; makes exclusion from the Medicare and Medicaid programs mandatory for a
minimum of five years for any felony conviction relating to fraud; requires that
organizations contracting with another organization or individual take steps to
be informed as to whether the organization or individual is excluded from
Medicare and Medicaid participation; and enhances civil penalties by increasing
the amount of fines permitted. The applicable federal laws also include
prohibitions contained in Stark II, which prohibit referrals by physicians for
designated health services, including outpatient prescription drugs, parenteral
and enteral nutrition, equipment and supplies, durable medical equipment and
home health services, if such physician has a disqualifying investment or
compensation relationship with the supplier of such services and no exceptions
apply. While Coram believes it has structured its financial relationships with
physicians to comply with Stark II, a failure to comply with the provisions of
Stark II could have a material adverse effect on the company. In addition,
various federal laws impose civil and criminal penalties against participants in
the Medicare or Medicaid programs who make false claims for payment for services
or otherwise engage in false billing practices.
Many states also have statutes prohibiting the payment or receipt of (or the
offer or solicitation of) anything of value in return for, or to induce, a
referral for healthcare goods or services. There are several other state
statutes that, although they do not explicitly address payments for referrals,
could be interpreted as prohibiting the practice. While similar in many respects
to the federal laws, these laws vary from state to state, are often vague and
have seldom been interpreted consistently by courts and regulatory agencies. In
addition, various state laws impose civil and criminal penalties against
participants in the Medicaid program who make false claims for payment for
services or otherwise engage in false billing practices. Private insurers and
various state enforcement agencies have recently increased their scrutiny of
healthcare providers' practices and claims, particularly in the home health and
home medical equipment areas.
Enforcement of federal fraud and abuse laws, and regulatory scrutiny
generally has increasingly focused on the home healthcare industry. For example,
Medicare fiscal intermediaries have implemented "Wedge" audits, which involve a
review of a small sample of patient records to identify non-compliance. Any
adverse findings under these types of audits can result in overpayment
determinations and offsets against future payments. There can be no assurance
that Coram will not become the subject of a regulatory or other investigation or
proceeding or that its interpretations of applicable healthcare laws and
regulations will not be challenged. The defense of any such challenge could
result in substantial cost to the company and diversion of management's time and
attention. Any such challenge, whether ultimately sustained or not, could have a
material adverse effect on Coram.
Medicare Certification. Federal regulations governing the Medicare program
are also applicable to Coram's home health services. These regulations include
an annual review of healthcare facilities and personnel and provide criteria for
coverage and reimbursement. As of December 31, 2001, the company has one
location certified by Medicare to provide home health services.
Laws and regulations governing the Medicare and Medicaid programs are
complex and subject to interpretation and revision. The company's management is
aware of certain current audits and reviews with respect to prior reimbursements
from Medicare and Medicaid. While management believes that the company is in
compliance with all applicable laws and regulations, compliance with
51
such laws and regulations can be subject to future government review and
interpretation, as well as, significant regulatory action including fines,
penalties, and exclusion from the Medicare and Medicaid programs.
Permits and Licensure. Many states require companies providing home infusion
therapy products and services, home healthcare services and other products and
services of the type offered by Coram to be licensed. Through its subsidiaries,
Coram currently is licensed under state law to provide nursing services in 23
states and currently is licensed to provide pharmacy services in 40 states and
one Canadian province.
Certificates of Need. Many states require companies providing home
healthcare services, home infusion therapy and other services of the type
offered by Coram to have a certificate of need issued by a state health planning
agency. Certificates of need are often difficult to obtain and in many instances
a certificate of need is not obtainable at all (because an area is determined to
be adequately served by existing providers or for other reasons). If Coram
commences operations in a state, or expands its operations in a state where it
is currently operating, and those operations require a certificate of need, the
company will be required to obtain a certificate of need with respect to those
operations. There can be no assurances that Coram would be able to obtain
required certificates of need and the failure to obtain such certificates of
need could adversely affect Coram's ability to grow its business.
Healthcare Reform.
The healthcare industry continues to undergo significant changes driven by
various efforts to reduce costs, including efforts at national healthcare
reform, trends toward managed care, limits in Medicare coverage and
reimbursement levels, consolidation of healthcare distribution companies and
collective purchasing arrangements by office-based healthcare practitioners. The
impact of third-party pricing pressures and low barriers to entry have
dramatically reduced profit margins for healthcare providers. Continued growth
in managed care and capitated plans have pressured healthcare providers to find
ways of becoming more cost competitive. These circumstances have also led to
consolidation of healthcare providers in the company's market areas. Coram's
inability to react effectively to these and other changes in the healthcare
industry could adversely affect its operating results.
In addition, political, economic and regulatory influences are subjecting
the healthcare industry in the United States to extensive and dynamic change,
and many competing proposals have been introduced in Congress and various state
legislatures to reform the present healthcare system. It is possible that
healthcare reform at the federal or state level, whether implemented through
legislation or through action by federal or state administrative agencies, would
require Coram to make significant changes in the way it conducts business.
Certain aspects of healthcare reform such as proposed reductions in Medicare and
Medicaid payments, if successfully developed and adopted, could have a material
effect upon the company's business. Coram anticipates that Congress and state
legislatures will continue to review and assess alternative healthcare delivery
systems and payment methodologies, and public debate of these issues will likely
continue in the future. It is not possible at this time to predict what, if any,
further reforms will be adopted, or when such reforms will be adopted and
implemented. No assurances can be given that any such reforms will not have a
material adverse effect upon Coram's business, results of operations, and
financial condition.
ITEM 7a. QUANTITATIVE AND QUALITATIVE DISCLOSURE ABOUT MARKET RISK
The following discusses the company's exposure to market risk related to
changes in interest rates. This discussion contains forward-looking statements
that are subject to risks and uncertainties. Actual results could vary
materially as a result of a number of factors, including, but not limited to,
changes in interest rates and the items set forth under Item 7. "Management's
Discussion and Analysis of Results of Operations and Financial Condition:
Background - Factors Affecting Recent Operating Results."
As of December 31, 2000, the company had outstanding long-term debt of
$153.6 million of which $153.3 million matured on June 30, 2001 and bore
interest at 9.0% per annum; however, the $153.3 million was not paid on such
date and the creditors' remedies were stayed pursuant to the Debtors' bankruptcy
proceedings. In connection with a debt to equity exchange transaction executed
on December 31, 2001, the company reduced its total long-term debt to $132.6
million, including $132.3 million which was amended to mature on June 30, 2002.
Because substantially all of the interest on the company's debt is fixed, a
hypothetical 10.0% change in interest rates would not have a material impact on
the company. Increases in interest rates could, however, increase interest
expense associated with future borrowings by the company, if any. The company
does not hedge against interest rate changes. See Note 8 to the company's
Consolidated Financial Statements.
The debt to equity exchange transactions described in Note 8 to the
company's Consolidated Financial Statements qualified as troubled debt
restructurings pursuant to Statement of Financial Accounting Standards No. 15,
Accounting by Debtors and Creditors for Troubled Debt Restructurings. In
accordance therewith and certain provisions of SOP 90-7, Financial Reporting by
Entities in
52
Reorganization under the Bankruptcy Code, the Debtors will not recognize any
interest expense on the Series A Notes and the Series B Notes until after a plan
of reorganization is accepted by the Bankruptcy Court.
ITEM 8. FINANCIAL STATEMENTS
The company's Consolidated Financial Statements, Notes to Consolidated
Financial Statements and financial statement schedule at December 31, 2001 and
2000 and for the years ended December 31, 2001, 2000 and 1999 and the Report of
Independent Auditors are included in this report as indicated on the Index to
Financial Statements and Schedule on page F-1.
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
None.
PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
CHAPTER 11 TRUSTEE
On March 7, 2002, the Bankruptcy Court granted the approval of the
appointment of Arlin M. Adams, Esquire as the Debtors' Chapter 11 trustee. The
Bankruptcy Code and applicable rules require a Chapter 11 trustee to perform
specific duties relating to the administration of a bankruptcy case. Generally,
a Chapter 11 trustee is obligated to investigate the debtor's operations,
financial condition and any other matter relevant to the formulation of a plan
of reorganization. The Bankruptcy Code also provides that a Chapter 11 trustee
must either file a plan of reorganization as soon as practicable or an
explanation as to why he/she is unable to file a plan of reorganization. With
the appointment of a Chapter 11 trustee, the Debtors are no longer
debtors-in-possession under the Bankruptcy Code.
Furthermore, the Bankruptcy Code makes a Chapter 11 trustee responsible for
the debtor's business. As with a debtor-in-possession, a Chapter 11 trustee may
enter into transactions in the ordinary course of business without notice or a
hearing in the presiding bankruptcy court; however, non-ordinary course actions
still require the authorization of the presiding bankruptcy court. A Chapter 11
trustee also assumes responsibility for management functions, including
decisions relative to the hiring and firing of personnel. As is the case with
the Debtors, when existing management is necessary to run the day-to-day
operations, the Chapter 11 trustee retains and oversees this management.
After a Chapter 11 trustee is appointed, the debtor's Board of Directors
does not retain any management powers. While Mr. Adams has assumed it's the
Board of Directors' management rights and responsibilities, he is doing so, as
of April 12, 2002, without any other changes to the company's management or
organizational structure.
Mr. Adams is a member of the Litigation Services Department of Schnader
Harrison Segal & Lewis LLP ("Schnader Harrison"). After beginning his career at
Schnader Harrison, Mr. Adams took temporary leave of absence to serve as
Secretary of Public Welfare of the Commonwealth of Pennsylvania from 1963 to
1967. He served on the United States Court of Appeals for the Third Circuit from
1969 until 1987, when he retired and rejoined Schnader Harrison. He has a
diversified litigation and appellate practice and has handled numerous complex
litigation matters and is an expert in class action litigation and punitive
damage matters. He is former chairman of the Trade Association Committee of the
American Bar Association and a past Chancellor of the Philadelphia Bar
Association.
Mr. Adams is a former President of the American Judicature Society, a former
member of the House of Delegates of the American Bar Association and a former
Chairman of the Advisory Committee of the University of Pennsylvania School of
Law. He has served on the boards of numerous charitable and educational
foundations and institutions and has been the recipient of numerous honorary
degrees, and academic and service honors. Several positions of honor he has held
include his service as President of the American Philosophical Society, Trustee
of Bryn Mawr College and Trustee of the University of Pennsylvania. Mr. Adams
was the recipient of the Philadelphia Award, the highest community award in the
Delaware Valley area. He has repeatedly been named one of the "Best Lawyers" in
Philadelphia by Philadelphia Magazine.
53
In addition to maintaining an active law practice, Mr. Adams has also been
active in pro bono work including his appointments as an independent counsel for
the investigation of the Department of Housing and Urban Development and as
Chapter 11 trustee in the bankruptcy of the New Era Foundation.
BOARD OF DIRECTORS
The table below sets forth certain information concerning each member of
Coram's Board of Directors as of April 12, 2002. Except as provided below, none
of the directors entered into any arrangement or understanding pursuant to which
such person was to serve as a director.
DIRECTOR
NAME AGE POSITION WITH CORAM SINCE
---- --- ------------------- --------
Daniel D. Crowley ... 54 Chairman of the Board 1999
Donald J. Amaral..... 49 Director 1995
William J. Casey..... 57 Director 1997
L. Peter Smith....... 52 Director 1994
Sandra L. Smoley..... 65 Director 2000
Mr. Crowley joined Coram as its Chairman, Chief Executive Officer and
President as of November 30, 1999. In addition, Mr. Crowley serves as Chairman,
Chief Executive Officer and President of Dynamic Healthcare Solutions, LLC
("DHS"), a privately held management consulting and investment firm that he
established in 1997. Prior to founding DHS, Mr. Crowley served as the Chairman,
Chief Executive Officer and President of Foundation Health Corporation, a post
that he had served for more than five years.
Effective August 1, 1999, Mr. Crowley and an affiliate of Cerberus Partners,
L.P. ("Cerberus"), a party to the company's debtor-in-possession financing
agreement, Senior Credit Facility and Securities Exchange Agreement, executed a
three-year employment agreement whereby Mr. Crowley is paid $960,000 per annum,
plus the potential of performance-related bonus opportunities, equity options
and fringe benefits. Such agreement is subject to automatic one-year extensions
unless either party provides written notice within 60 days of the original
expiration date or subsequent renewal dates. The agreement further provides that
the Cerberus affiliate can unilaterally terminate the arrangement at any time by
written notice; however, certain severance payments would be triggered by such
termination. The services rendered by Mr. Crowley include, but are not limited
to, providing business and strategic healthcare investment advice to executive
management at Cerberus and its affiliates. Moreover, Mr. Crowley was the
Chairman of the Board of Directors of Winterland Productions, Inc.
("Winterland"), a privately held affinity merchandise company, which was a
Cerberus affiliate portfolio investment. On January 2, 2001, Winterland
voluntarily filed for protection under Chapter 11 of the United States
Bankruptcy Code in the Northern District of California. On December 12, 2001,
such bankruptcy court approved the sale of substantially all of the assets of
Winterland to Signatures Network, Inc. Since that date, Winterland has been
liquidated and Mr. Crowley is no longer a director or officer of the company.
Mr. Crowley and Cerberus agreed to suspend their contract and all related
obligations immediately after the Bankruptcy Court's denial of the Second Joint
Plan of reorganization on December 21, 2001, and the contract remains suspended
through April 12, 2002.
In February 2001, a committee of persons claiming to own shares of the
company's publicly-traded common stock (the "Equity Committee") filed a motion
with the Bankruptcy Court seeking permission to bring a derivative lawsuit
directly against Mr. Crowley, Cerberus and Stephen A. Feinberg, a former member
of the Board of Directors. The Equity Committee's lawsuit alleges a collusive
plan whereby the named parties conspired to devalue the company for the benefit
of the company's creditors under the Securities Exchange Agreement. On February
26, 2001, the Bankruptcy Court ruled that the Equity Committee's motion would
not be productive at that time and, accordingly, the motion to proceed with the
lawsuit was denied without prejudice. In January 2002, the Equity Committee
filed a substantially similar motion with the Bankruptcy Court. On February 12,
2002, in connection with the authorization of the Chapter 11 trustee, the
Bankruptcy Court denied the renewed motion without prejudice.
Mr. Amaral served as Chairman of the company's Board of Directors from
September 1997 until November 30, 1999. Mr. Amaral has served as a director of
the company since October 1995, Chief Executive Officer of the company from
October 1995 through April 23, 1999 and October 22, 1999 through November 30,
1999, and as President from October 1995 through December 1997. Previously, he
was President and Chief Operating Officer of OrNda Healthcorp ("OrNda") from
April 1994 to August 1995, and served in various executive positions with Summit
Health Ltd. ("Summit") from October 1989 to April 1994, including President and
Chief Executive Officer between October 1991 and April 1994. Summit was merged
into OrNda in April 1994.
54
Mr. Casey has served as a director of Coram since September 1997. Since
1983, Mr. Casey has served as a consultant in the healthcare industry,
specializing in hospital management evaluation, hospital planning, managed care
contracting and turnaround services. From 1986 to 1997, Mr. Casey also served as
Contract Administrator for Emergency Department Physicians' Medical Group, Inc.
and its affiliated medical groups, which provide physician services to
non-governmental facilities. In addition, from 1988 to 1997, Mr. Casey served as
Contract Administrator for NP Medical Group, Inc., which provides physician
services to government facilities. Mr. Casey also serves as a director of
TriCounties Bank.
Mr. L. Peter Smith has served as a director of Coram since July 1994.
Between November 1993 and July 1994, Mr. Smith was a director of Medisys, Inc.
(one of the companies that joined together in 1994 to form Coram). Mr. Smith
served as the Managing Partner of AllCare Health Services, Inc., which was
acquired by Medisys, Inc. in December 1992. Mr. Smith is also the Chief
Executive Officer and a member of the Board of Directors of Ralin Medical, Inc.,
a company specializing in cardiac disease management. Mr. Smith also serves on
the Board of Directors of Gateway, Inc. and AMSYS, Inc. Mr. Smith previously
served on the Board of Directors of Sabratek Corporation from October 1992
through August 23, 1999. Sabratek Corporation filed a voluntary bankruptcy
petition under Chapter 11 of the United States Bankruptcy Code on December 17,
1999 and that proceeding is presently pending before the United States
Bankruptcy Court in Delaware. In January 2000, the assets and certain
liabilities of Sabratek Corporation's Device Business were acquired by Baxter
Healthcare Corporation.
Ms. Smoley was elected to Coram's Board of Directors on February 10, 2000.
Ms. Smoley is the Chairperson and Chief Executive Officer of The Sandra Smoley
Group, a healthcare and local government consulting firm based in Sacramento,
California. From October 1993 to December 1999, she served as Secretary of the
California Health and Welfare Agency. Prior to that time, she was Secretary of
the California State and Consumer Services Agency from January 1993 to October
1993.
In November 2001, the Official Committee of Unsecured Creditors of Coram
Resource Network, Inc. and Coram Independent Practice Association, Inc.
(collectively "the Resource Network Subsidiaries") brought an adversary
proceeding in the Bankruptcy Court both on its own behalf and as assignee for
courses of action that may belong to the Resource Network Subsidiaries against,
among other defendants, Messrs. Amaral and Smith, as well as the Debtors,
several non-debtor subsidiaries, a former director, several current and former
executive officers and employees of the company and the company's principal
lenders. The complaint alleges that the defendants violated various state and
federal laws in connection with alleged wrongdoings related to the operation and
corporate structure of the Resource Network Subsidiaries. Messrs. Amaral and
Smith have indicated through counsel that they intend to vigorously defend
themselves in this complaint. Coram notified its insurance carrier of the
complaint and intends to avail itself of any appropriate insurance coverage for
its directors. The company cannot predict the outcome of this case nor can it
predict the scope and nature of any indemnification that the directors and
officers may have with the company's insurance carrier. See Note 13 in the
company's Consolidated Financial Statements for further details.
EXECUTIVE OFFICERS
The following table sets forth certain information concerning each of the
executive officers of Coram, who serve at the appointment of the Board of
Directors and, subsequent to his appointment, the Chapter 11 trustee.
Biographical information with respect to Daniel D. Crowley is set forth under
the caption "Board of Directors" above.
NAME AGE POSITION(S) WITH CORAM
---- --- ----------------------
Daniel D. Crowley..... 54 Chairman of the Board of Directors,
Chief Executive Officer and President
Allen J. Marabito..... 55 Executive Vice President
Scott R. Danitz ...... 44 Senior Vice President, Chief Financial
Officer and Treasurer
Vito Ponzio, Jr....... 47 Senior Vice President, Human Resources
Allen J. Marabito joined Coram effective November 30, 1999 as Executive Vice
President. From 1997 to 1999, Mr. Marabito was in private law practice and
Senior Vice President with Dynamic Healthcare Solutions, LLC. From 1991 to 1997,
he served as Senior Vice President, Secretary and General Counsel of Foundation
Health Corporation. Effective January 15, 2002, Mr. Marabito also assumed the
functions of acting General Counsel and acting Corporate Secretary of Coram.
Scott R. Danitz served as the company's Vice President and Controller from
January 1998 through December 1999, Senior Vice President, Finance and Chief
Accounting Officer from January 2000 through December 2000 and Senior Vice
President, Chief Financial Officer and Treasurer since January 2001. Previously,
Mr. Danitz was employed by First Data Corporation from 1989
55
through 1997 and held various positions, the most recent of which had been Vice
President and Controller, Payment Instruments division.
Vito Ponzio, Jr. has served as the company's Senior Vice President, Human
Resources since September 1998. Previously, Mr. Ponzio served as the company's
Vice President of Human Resources from February 1996 to September 1998 and as
Director of Human Resources from February 1994 to February 1996.
As noted above under the caption "Board of Directors," in November 2001, the
Official Committee of Unsecured Creditors of the Resource Network Subsidiaries
brought an adversary proceeding in the Bankruptcy Court both on its own behalf
and as assignee for courses of action that may belong to the Resource Network
Subsidiaries against, among other defendants, Messrs. Danitz and Ponzio. The
complaint alleges that the defendants violated various state and federal laws in
connection with alleged wrongdoings in connection with the operation and
corporate structure of the Resource Network Subsidiaries. Messrs. Danitz and
Ponzio have indicated through counsel that they intend to vigorously defend
themselves in this complaint. Coram notified its insurance carrier of the
complaint and intends to avail itself of any appropriate insurance coverage for
its executive officers. The company cannot predict the outcome of this case nor
can it predict the scope and nature of any indemnification that the directors
and officers may have with the company's insurance carrier. See Note 13 in the
company's Consolidated Financial Statements for further details.
SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE
Section 16 of the Securities Exchange Act of 1934, as amended, requires
Coram's directors, executive officers and persons who beneficially own greater
than 10% of a registered class of Coram's equity securities to file reports of
ownership and changes in ownership with the Securities and Exchange Commission
(the "Commission"). Based solely upon its review of copies of the Section 16
reports that Coram received and written representations from certain reporting
persons, management believes that during its year ended December 31, 2001 all of
its directors, executive officers and greater than 10% beneficial owners were in
compliance with these filing requirements.
ITEM 11. COMPENSATION OF DIRECTORS AND EXECUTIVE OFFICERS
COMPENSATION OF DIRECTORS
Fees for Board Service. Under current company policy, non-employee directors
earn $2,000 for each Board of Directors' meeting attended in person and $750 for
each Board of Directors' meeting attended by telephone conference call. No
compensation is earned for participating at meetings of committees of the Board
of Directors. Notwithstanding the preceding, Mr. Amaral received compensation of
$100,000 per annum for his service on the Board of Directors and for consulting
services to the company's executive management under an agreement which expired
on May 16, 2001. Since the expiration of such agreement, Mr. Amaral has been
compensated for his service as a member of the Board of Directors in accordance
with the company's aforementioned policies.
Employee directors earn no additional compensation for service as a
director. All directors are entitled to reimbursement for expenses incurred in
connection with attending meetings of the Board of Directors or committees
thereof. Compensation for participation on the Board of Directors was at the
discretion of the Board of Directors until March 7, 2002. Effective on such
date, the Chapter 11 trustee was appointed by the Bankruptcy Court and
compensation for participation on the Board of Directors, if applicable, is at
the discretion of the Chapter 11 trustee. Effective April 1, 2000, the Board of
Directors adopted resolutions approving an annual retainer of $12,000 (payable
quarterly) for each non-employee director, except for Mr. Amaral until the
expiration of his consulting agreement. Due to the Debtors' bankruptcy
proceedings, certain amounts payable to members of the Board of Directors have
been stayed and, in connection therewith, such members have filed proofs of
claims against the Debtors' bankruptcy estate.
Mr. Crowley, the only director who is currently an employee, received no
additional compensation for service on the Board of Directors. In addition to
the reimbursement for out-of-pocket expenses relating to meeting attendance,
non-employee directors of Coram earned the following compensation for Board of
Directors' meetings attended during the year ended December 31, 2001:
Donald J. Amaral... $ 59,115
William J. Casey... 34,000
L. Peter Smith..... 15,750
Sandra L. Smoley... 34,000
Outside Directors' Automatic Option Grant Program. Non-employee members of
the Board of Directors participate in the Automatic Option Grant Program in
effect under Coram's 1994 Stock Option Plan. On the date of each annual meeting
of Coram's
56
stockholders, each individual who will continue to serve as a non-employee
member of the Board of Directors receives a non-statutory stock option to
purchase 2,500 shares of Coram common stock at an exercise price equal to the
fair market value of Coram's common stock on the automatic option grant date.
Due to the absence of an annual meeting of Coram's stockholders during the year
ended December 31, 2001, no stock options were granted pursuant to the Automatic
Option Grant Program. Additionally, each non-employee individual, upon being
newly appointed or elected to Coram's Board of Directors, is automatically
granted, at the time of such initial election or appointment, a non-statutory
option to purchase 75,000 shares of Coram common stock. No stock options were
granted pursuant to this program during the year ended December 31, 2001.
With regard to the stock options for both the newly appointed/elected Board
members and the continuing Board members, each option is immediately exercisable
for all of the option shares. However, any shares purchased under the option
will be subject to repurchase by Coram at the original exercise price paid per
share upon the optionee's cessation of service prior to the vesting of such
shares. The optionee's option shares vest in a series of equal monthly
installments over twelve months of Board of Directors' service measured from the
automatic option grant date. The shares subject to each automatic option grant
under the 1994 Stock Option Plan vest in full upon (i) the optionee's cessation
of Board of Directors' service due to death or disability, (ii) an acquisition
of Coram by merger or asset sale or (iii) a change in control of Coram. As of
April 12, 2002, all stock options granted to members of the Board of Directors
under the Automatic Option Grant Program are fully vested.
Each automatic option granted to a non-employee member of the Board of
Directors includes a limited stock appreciation right which allows the optionee,
upon the successful completion of a hostile tender offer for more than 50% of
Coram's outstanding securities, to surrender that option to Coram, in return for
a cash distribution in an amount per surrendered option share equal to the
highest price per share of Coram common stock paid in the tender offer, less the
exercise price payable per share.
Mr. Richard A. Fink was a director of Coram from July 1994 until he resigned
from the Board of Directors on February 10, 2000. Following Mr. Fink's
resignation, the Board of Directors granted his request to amend his stock
option agreement, dated September 9, 1998, pursuant to which Mr. Fink was
granted options to purchase 75,000 shares of Coram's common stock at $1.6875 per
share. Under the amendment, all such options became immediately exercisable and
can be exercised at any time through the stated maximum option expiration date
of September 9, 2008.
The Debtors' Second Joint Plan of reorganization, confirmation of which was
denied by the Bankruptcy Court on December 21, 2001, would have effectively
eliminated all options to purchase Coram's common stock because Coram Healthcare
Corporation would have been dissolved as soon as practicable after the effective
date of the plan and all equity interests therein would have been completely
eliminated. Another plan proposed by the Chapter 11 trustee or other interested
parties may have a similar effect. However, appropriate approvals thereof in
accordance with the United States Bankruptcy Code would be required.
Coram entered into indemnification agreements with each of its directors and
executive officers that would require Coram to provide indemnification to each
such person in certain circumstances for claims made against them in connection
with their service on behalf of the company.
57
SUMMARY OF CASH AND CERTAIN OTHER COMPENSATION OF EXECUTIVE OFFICERS
The following table sets forth the annual and long-term compensation earned
by the Chief Executive Officer and the three most highly compensated executive
officers of the company (other than such Chief Executive Officer) during the
year ended December 31, 2001 (collectively the "Named Executive Officers") for
services rendered in all capacities to the company and its subsidiaries for each
year in the three-year period ended December 31, 2001.
SUMMARY COMPENSATION TABLE
LONG-TERM
COMPENSATION
ANNUAL COMPENSATION AWARDS
---------------------------------------------- -------------
OTHER ANNUAL NUMBER OF ALL OTHER
NAME AND PRINCIPAL POSITION (1) YEAR SALARY BONUS COMPENSATION(2) STOCK OPTIONS COMPENSATION
------------------------------- ---- ----------- ------------ --------------- ------------- -------------
Daniel D. Crowley (3) 2001 $ 650,000 $ $ 170,643 -- $ 50,000
Director and Chairman of the Board, 2000 650,000 -- 168,070 -- 50,000
Chief Executive Officer and 1999 50,000 -- -- 1,000,000 --
President
Allen J. Marabito (4) 2001 $ 348,462 $ 930,000 $ 92,244 -- $ 173,654
Executive Vice President 2000 310,000 -- 100,768 -- 23,846
1999 -- -- -- 500,000 --
Scott R. Danitz (5) 2001 $ 248,077 $ 245,000 $ 22,100 -- $ 65,385
Senior Vice President, Chief 2000 192,308 -- -- 50,000 70,405
Financial Officer and Treasurer 1999 132,867 100,000(7) -- -- --
Vito Ponzio, Jr. (6) 2001 $ 179,423 $ 199,031 $ -- -- $ 49,289
Senior Vice President, Human 2000 161,923 -- -- 40,000 50,944
Resources 1999 143,846 -- -- 50,000 --
In September 2000 and October 2000, the Bankruptcy Court approved payments
of up to approximately $2.6 million for retention bonuses payable to certain key
employees under the Debtors' Key Employee Retention Plan ("KERP"). The bonuses
were scheduled to be paid in two equal installments on the later of the date of
emergence from bankruptcy or: (i) December 31, 2000 (the "First KERP
Installment") and (ii) December 31, 2001 (the "Second KERP Installment"). Due to
events that have delayed emergence from bankruptcy, the Bankruptcy Court
approved early payment of the First KERP Installment to all participating
individuals, except for Messrs. Crowley and Marabito, and such payments were
made on March 15, 2001. The First KERP Installment amounts paid in March 2001
are included in the table above as "All Other Compensation" for the year ended
December 31, 2000. In January 2002, the Debtors requested permission from the
Bankruptcy Court to pay the remaining portion of the First KERP Installment of
$400,000 for Mr. Crowley and $75,000 for Mr. Marabito and the full amount of the
Second KERP Installment. The Debtors also requested authorization to initiate
another retention plan to provide financial incentives not to exceed $1.25
million to certain key employees during the year ending December 31, 2002.
Principally due to the then pending appointment of a Chapter 11 trustee, on
February 12, 2002 the Bankruptcy Court declined to rule on the Debtors' motions.
However, on March 15, 2002, after the appointment of a Chapter 11 trustee, the
Bankruptcy Court partially approved the Debtors' motions insofar as all the
remaining retention bonuses were authorized to be paid, exclusive of amounts
pertaining to Mr. Crowley because such payments are disputed by the Official
Committee of the Equity Security Holders. The Bankruptcy Court has deferred its
ruling on the Debtors' motion for payments to Mr. Crowley and for a new
retention plan until a May 9, 2002 hearing. The Second KERP Installment amounts
paid on March 25, 2002 are included in the table above as "All Other
Compensation" for the year ended December 31, 2001.
The company also sponsors a Management Incentive Plan ("MIP"), which
provides for annual bonuses payable to certain key employees. The bonuses are
predicated on overall corporate performance (principally cash collections and
earnings before interest expense, taxes, depreciation and amortization
("EBITDA")), as well as individual performance targets and objectives. On March
20, 2001, the Compensation Committee of the company's Board of Directors
approved an overall award of approximately $13.6 million for those individuals
participating in the MIP during the year ended December 31, 2000 (the "2000
MIP"). On September 10, 2001, the Bankruptcy Court approved the payment of the
2000 MIP amounts to all participating individuals, except Mr. Crowley. Amounts
paid during 2001 to the Named Executive Officers related to the year ended
December 31, 2000 are reflected in the table above as 2001 bonuses. Management
of the company estimates that the total MIP amount related to the year ended
December 31, 2001 (the "2001 MIP") is approximately $2.9 million. However, the
2001 MIP amounts have not been approved by either the Chapter 11 trustee or the
Bankruptcy Court. As a result, no 2001 MIP amounts are included in the table
above.
(1) See information above under captions "Board of Directors" and
"Executive Officers" for employment history.
58
(2) Does not include perquisites aggregating in dollar value less than the
lesser of $50,000 or 10% of the individual's annual salary and bonus
reported for such individual for the year presented. The perquisites
exceeding 25% of the total perquisites for the Named Executive Officers
include (i) $3,600 per month for corporate housing, the annual premium
for a company sponsored $1.0 million life insurance policy with Mr.
Crowley's designee as the beneficiary and an auto allowance of $1,800
per month for Mr. Crowley, (ii) $3,500 per month for corporate housing
and an auto allowance of $1,000 per month for Mr. Marabito and (iii) an
auto allowance of $900 per month for Mr. Danitz. The aforementioned
corporate housing and auto allowances for Mr. Crowley, Mr. Marabito and
Mr. Danitz are subject to certain customary tax gross-up adjustments.
Such adjustments are included in the "Other Annual Compensation"
amounts.
(3) Mr. Crowley participates in both the KERP and MIP retention/incentive
arrangements. In connection therewith, his allocated amount under the
First and Second KERP Installments aggregates $800,000. Mr. Crowley's
allocated MIP amount for the year ended December 31, 2000 is
approximately $10.8 million, subject to Chapter 11 trustee and
Bankruptcy Court approval. In connection with the Debtors' filing of
their second joint plan of reorganization, Mr. Crowley voluntarily
offered to accept a lowered amount of $5.9 million in lieu of his full
2000 MIP amount, contingent on the confirmation and consummation of the
Debtors' second joint plan of reorganization. The Debtors' second joint
plan of reorganization was denied by the Bankruptcy Court on December
21, 2001.
Effective August 2, 2000, the company's Board of Directors approved a
contingent bonus to Mr. Crowley. Under the agreement, subject to
certain material terms and conditions, Mr. Crowley is to be paid $1.8
million following the successful refinancing of the company's debt. In
connection therewith and the December 29, 2000 debt to preferred stock
conversion discussed in Notes 3 and 8 to the company's Consolidated
Financial Statements, the company recorded a $1.8 million success bonus
expense for the year ended December 31, 2000. Such success bonus will
not to be payable until such time as a plan of reorganization is fully
approved by the Bankruptcy Court. Since the Bankruptcy Court rejected
the Debtors' second joint plan of reorganization on December 21, 2001
and the Bankruptcy Court appointed the Chapter 11 trustee on March 7,
2002, payment of this award may further require approval by the Chapter
11 trustee and possibly the Bankruptcy Court.
Mr. Crowley owns Dynamic Healthcare Solutions, LLC ("DHS"), a
consulting company from which Coram purchased services. For the years
ended December 31, 2001, 2000 and 1999, the company paid approximately
$0.3 million, $0.7 million and $0.2 million, respectively, to DHS for
related consulting services and reimbursable expenses (such payments to
DHS are not included in the table above). The terms and conditions of
the underlying consulting agreement were approved by the company's
Board of Directors when Mr. Crowley was hired by Coram. Effective with
the Debtors' Chapter 11 filings in the Bankruptcy Court, DHS employees
who were serving as consultants to Coram terminated their employment
with DHS and became full time Coram employees. DHS continues to bill
Coram the actual costs it attributes to the DHS Sacramento, California
location where Mr. Crowley and other persons are located and perform
services for or on behalf of the company. Such reimbursements do not
include any element of profit for DHS.
(4) Mr. Marabito participates in both the KERP and MIP retention/incentive
arrangements. In connection therewith, his allocated amount under the
First and Second KERP Installments, aggregating $150,000, was paid on
March 25, 2002. Mr. Marabito's allocated 2000 MIP amount of $930,000
was paid in September 2001.
(5) Mr. Danitz participates in both the KERP and MIP retention/incentive
arrangements. In connection therewith, his allocated amount under the
First and Second KERP Installments aggregates $100,000, $50,000 of
which was paid in March 2001 and the balance on March 25, 2002. Mr.
Danitz' allocated 2000 MIP amount of $245,000 was paid in September
2001.
(6) Mr. Ponzio participates in both the KERP and MIP retention/incentive
arrangements. In connection therewith, his allocated amount under the
First and Second KERP Installments aggregates $80,000, $40,000 of which
was paid in March 2001 and the balance on March 25, 2002. Mr. Ponzio's
allocated 2000 MIP amount of $199,031 was paid in September 2001.
(7) This amount reflects retention compensation earned in 1998 and paid in
1999.
OPTION GRANTS IN LAST FISCAL YEAR
There were no stock options or stock appreciation rights granted to any
Named Executive Officers during the year ended December 31, 2001.
59
AGGREGATED OPTION EXERCISES IN LAST FISCAL YEAR AND FISCAL YEAR END OPTION
VALUES
The table below sets forth information concerning the outstanding stock
options held by each of the Named Executive Officers at December 31, 2001. No
stock appreciation rights were held by the Named Executive Officers as of such
date. No stock options or stock appreciation rights were exercised by the Named
Executive Officers during the year ended December 31, 2001.
NUMBER OF UNEXERCISED IN-THE-MONEY
OPTIONS AT OPTIONS AT
DECEMBER 31, 2001 DECEMBER 31, 2001(1)
---------------------------- ---------------------------
NAME EXERCISABLE UNEXERCISABLE EXERCISABLE UNEXERCISABLE
---- ------------ ------------- ----------- -------------
Daniel D. Crowley.... 666,666 333,334 $ -- $ --
Allen J. Marabito.... 333,333 166,667 -- --
Scott R. Danitz...... 56,769 38,231 -- --
Vito Ponzio, Jr...... 188,332 51,668 -- --
(1) Whether an option is "in-the-money" is determined by subtracting the
exercise price of the option from the closing price for Coram's common
stock on December 31, 2001 ($0.60) from the Over the Counter Bulletin
Board maintained by the National Association of Securities Dealers,
Inc. If the closing price for Coram's common stock on December 31, 2001
is greater than the exercise price of the option, the option is
"in-the-money." For the purpose of such calculation, the market price
per share is the applicable market price as of December 31, 2001 and
does not reflect market price changes subsequent to December 31, 2001.
Shares subject to options granted to the company's Named Executive Officers
under the 1994 Stock Option Plan will immediately vest in full upon (i) an
acquisition of the company by merger or asset sale in which such options are not
to be assumed by the acquiring entity or (ii) if such options are so assumed,
the subsequent involuntary termination of the optionee's employment within
eighteen months following such acquisition.
In addition, prior to the appointment of the Chapter 11 trustee, the
Compensation Committee of the Board of Directors, as the 1994 Stock Option Plan
administrator, had the authority to provide for the accelerated vesting of the
shares of the company's common stock subject to outstanding options held by the
company's executive officers. Similarly, the Compensation Committee could have
accelerated vesting of any unvested shares actually held by those individuals
under the 1994 Stock Option Plan in connection with a hostile takeover of the
company effected through a successful tender offer for more than 50% of the
company's outstanding securities, or through a change in the majority of the
Board of Directors as a result of one or more contested elections for Board of
Director membership, or in the event such individual's employment were
involuntarily terminated following such hostile takeover.
The Debtors' Second Joint Plan of reorganization, confirmation of which was
denied by the Bankruptcy Court on December 21, 2001, would have effectively
eliminated all options to purchase Coram's common stock because Coram Healthcare
Corporation would have been dissolved as soon as practicable after the effective
date of the plan and all equity interests therein would be completely
eliminated. Another plan proposed by the Chapter 11 trustee or other interested
parties may have a similar effect, however, appropriate approvals thereof in
accordance with the United States Bankruptcy Code would be required.
EMPLOYMENT CONTRACTS, TERMINATION OF EMPLOYMENT AND CHANGE OF CONTROL
ARRANGEMENTS
The company has entered into employment agreements with its Named Executive
Officers as described below.
Daniel D. Crowley. Effective November 30, 1999, Coram entered into an
employment agreement with Mr. Crowley for a three-year term commencing on such
date, unless otherwise terminated in accordance with its terms. The agreement
also provides for two automatic one-year renewals after the completion of the
initial three-year term. Under the agreement and related amendments, Mr. Crowley
serves as Chairman of the Board of Directors, President and Chief Executive
Officer of the company. He receives a base salary of $650,000 per year, subject
to annual merit adjustments, and the right to receive performance bonuses, which
are characterized as an EBITDA bonus (a component of the company's Management
Incentive Plan) and a refinancing success bonus. The EBITDA bonus generally
provides incentive compensation by measuring operating results (EBITDA) against
target EBITDA. Pursuant to the second amendment to Mr. Crowley's employment
agreement, dated April 6, 2000, such EBITDA bonus for the year ended December
31, 2000 utilizes a two-tier methodology whereby Mr. Crowley receives the sum of
(i) 25% of the company's EBITDA in excess of $14 million and (ii) a one-time $5
million enhanced bonus, which may be shared with other individuals as designated
by Mr. Crowley, if the company's EBITDA exceeds $35 million. The refinancing
success bonus provides for a $1.8 million award upon confirmation of the
Debtors' plan of reorganization, if the plan includes a refinancing component. A
60
refinancing, as contemplated by the third amendment to the employment agreement,
dated August 2, 2000, is a transaction or series of related transactions
approved by the Board of Directors that converts some or all of the company's
principal debt instruments into new debt instruments and/or equity securities
(common or preferred). The company's principal debt instruments are further
defined to be those under the Securities Exchange Agreement and the Senior
Credit Facility (see Note 8 to the company's Consolidated Financial Statements).
In March 2001, the Compensation Committee and the Board of Directors authorized
a fourth amendment to Mr. Crowley's employment agreement for the years ending
December 31, 2001, 2002 and thereafter. The fourth amendment returns Mr.
Crowley's ongoing performance bonus arrangement to that set forth in his
November 11, 1999 employment agreement wherein he is to receive a performance
bonus between 60% and 300% of his base salary, if the company's EBITDA exceeds
the EBITDA target. The fourth amendment is subject to Chapter 11 trustee and, if
necessary, Bankruptcy Court approval. Additionally, Mr. Crowley is also eligible
to receive an acquisition bonus of approximately three times the sum of (i) his
base salary and (ii) his EBITDA performance bonus in the event the company
merges with or is acquired by another company.
Under the employment agreement, Mr. Crowley was also granted options to
purchase 1,000,000 shares of Coram's common stock at $0.75 per share (the stock
price of the company on November 29, 1999). The options vest and become
exercisable in three equal annual installments upon Mr. Crowley's completion of
each year of service. Mr. Crowley also receives four weeks of vacation, an
automobile allowance in the amount of $1,800 per month, a tax preparation fee
allowance, certain customary tax gross-up adjustments, corporate housing in
Denver and a company sponsored $1.0 million life insurance policy with Mr.
Crowley's designee as the beneficiary thereunder. Mr. Crowley is also eligible
for health, dental, medical and group life insurance. As part of his employment
agreement, Mr. Crowley agreed that during the term of his employment at the
company, and for one year thereafter, he will not directly or indirectly own,
manage, control, participate in, consult with, render services to, or in any
manner engage in any business which competes with the company's business in the
company's geographical area. In addition, Mr. Crowley may not solicit the
company's employees, customers or suppliers during the term of his employment at
the company and for one year thereafter.
If Mr. Crowley's duties are substantially altered, if his employment is
terminated by the company other than for cause, or if he voluntarily terminates
his employment in the event that the company fails to comply with any material
provision of his employment agreement, then Mr. Crowley would be entitled to
receive his base salary, automobile allowance and all available bonuses
otherwise payable pursuant to the employment agreement for a period of three
years from the date of separation. Additionally, during such three-year period,
Mr. Crowley would retain his eligibility to participate in the company's health,
dental, medical, group life and similar welfare benefit plans, as well as the
aforementioned company sponsored $1.0 million life insurance policy. If the
Board of Directors or the Chapter 11 trustee and Mr. Crowley mutually agree to a
new Chief Executive Officer and/or President, then all of the terms and
conditions of Mr. Crowley's employment agreement would continue in effect;
however, the aforementioned EBITDA bonus would be subject to an allocation
between Mr. Crowley and the new executive.
Allen J. Marabito. Effective November 30, 1999, Coram entered into an
employment agreement with Mr. Marabito, for a three-year term commencing on such
date, unless otherwise terminated in accordance with its terms. Under the
agreement and related amendment, Mr. Marabito serves as Executive Vice President
of the company. He currently receives a base salary of $350,000 per year,
subject to annual merit adjustments, and the right to receive a performance
bonus between 60% and 300% of his base salary, if the company's EBITDA exceeds
the EBITDA target. He is also eligible to receive an acquisition bonus of
approximately three times the sum of (i) his base salary and (ii) his EBITDA
performance bonus in the event the company merges with or is acquired by another
company.
If Mr. Marabito's employment is terminated by the company other than for
cause, or if he voluntarily terminates his employment in the event that the
company fails to comply with any material provision of his employment agreement,
then Mr. Marabito would be entitled to receive his base salary through the
longer of (i) the remaining term of the agreement or (ii) twenty four months,
plus the EBITDA target bonuses during such period. Additionally, during such
period, Mr. Marabito would retain his eligibility to participate in the
company's health, dental, medical, group life and similar welfare benefit plans.
Under the employment agreement, Mr. Marabito was also granted options to
purchase 500,000 shares of Coram's common stock at $0.8125 per share (the stock
price of the company on December 17, 1999). The options vest and become
exercisable in three equal annual installments upon Mr. Marabito's completion of
each year of service. Mr. Marabito also receives four weeks of vacation, an
automobile allowance in the amount of $1,000 per month, a tax preparation fee
allowance, certain customary tax gross-up adjustments and corporate housing in
Denver. Mr. Marabito is also eligible for health, dental, medical and group life
insurance. As part of his employment agreement, Mr. Marabito agreed that during
the term of his employment at the company, and for one year thereafter, he will
not directly or indirectly own, manage, control, participate in, consult with,
render services to, or in any manner engage in any business which competes with
the company's business in the company's geographical area. In addition, Mr.
Marabito may not solicit the company's employees, customers or suppliers during
the term of his employment at the company and for one year thereafter.
61
Scott R. Danitz. Effective August 1, 2000, Coram entered into an employment
agreement with Mr. Danitz for a one-year term. Since the expiration of Mr.
Danitz' employment agreement on August 1, 2001, certain employment terms have
continued on substantially the same terms and conditions as the original
agreement. Mr. Danitz serves as Senior Vice President, Chief Financial Officer
and Treasurer of the company. Mr. Danitz receives a base salary of $250,000 per
year, subject to annual merit adjustments, and the right to receive certain
bonus/incentive plan compensation. Mr. Danitz also receives an automobile
allowance in the amount of $900 per month and is eligible for health, medical,
dental and group life insurance.
If, under the original employment agreement, Mr. Danitz' employment was
terminated by the company other than for cause or upon the occurrence of a
"change in control," then, in accordance with the agreement, he was entitled to
severance equal to a minimum of one year of salary and health and welfare
benefits. In addition, Mr. Danitz was eligible to receive an acquisition bonus
of approximately $200,000 in the event the company merged with or was acquired
by another company. As part of his employment agreement, Mr. Danitz agreed that
during the term of his employment at the company, and for one year thereafter,
he would not directly or indirectly own, manage, control, participate in,
consult with, render services to, or in any manner engage in any business which
competes with the company's business in the company's geographical area. In
addition, Mr. Danitz would not solicit the company's employees, customers or
suppliers during the term of his employment at the company and for one year
thereafter.
Vito Ponzio, Jr. Effective April 26, 1999, the company entered into a
one-year automatically renewable employment agreement with Mr. Ponzio which
provides for a payment of $150,000 and minimum severance equal to one year of
salary upon the occurrence of a "change in control." The severance amount
represents minimum severance, including health and welfare benefits, due upon
termination by the company (other than for cause) or involuntary termination of
employment following a "change in control." Mr. Ponzio currently receives a base
salary of $180,000 per year, subject to annual merit adjustments, and the right
to receive certain bonus/incentive plan compensation. As part of his employment
agreement, Mr. Ponzio agreed that during the term of his employment at the
company, and for one year thereafter, he will not directly own, manage, control,
participate in, consult with, render services to, or in any manner engage in any
business which competes with the company's business in the company's
geographical area. In addition, Mr. Ponzio may not solicit the company's
employees, customers or suppliers during the term of his employment at the
company and for one year thereafter.
The Debtors' bankruptcy proceedings and the corresponding impact of the
United States Bankruptcy Code could impose certain limitations on the amount of
severance that the company would be permitted to pay under the aforementioned
employment agreements and contracts.
For employment agreement purposes, a "change in control" is generally
defined as (i) a merger or consolidation in which the company is not the
surviving entity; (ii) the sale, transfer or other disposition of all or
substantially all the assets of the company; (iii) in certain circumstances, a
significant change in the composition of the Board of Directors; or (iv) any
reverse merger in which the company is the surviving entity but in which
securities possessing more than fifty percent of the total combined voting power
of Coram's outstanding securities are transferred to a person or persons
different from the persons holding those securities immediately prior to such
merger. The term "change of control" has been defined in a way that would
disqualify any change of control resulting from the conversion by Coram's
current debtholders of their current convertible debt instruments into stock of
Coram.
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ITEM 12. SECURITY OWNERSHIP OF PRINCIPAL STOCKHOLDERS AND MANAGEMENT
The table below sets forth, as of April 12, 2002 (unless otherwise noted),
the number of shares of outstanding Coram common stock beneficially owned by (i)
each person known to Coram to be the owner of more than 5% of its outstanding
common stock, (ii) each of the Named Executive Officers of the company as of
December 31, 2001, (iii) each of the members of the Board of Directors of the
company as of December 31, 2001 and (iv) all members of the Board of Directors
and executive officers of Coram as a group. All information is taken from or
based upon ownership filings made by such persons with the Commission or upon
information provided by such persons to Coram.
PERCENTAGE OF
SHARES OF
NUMBER OF COMMON
SHARES OF STOCK
NAME AND ADDRESS OF BENEFICIAL OWNER (1) COMMON STOCK(2) OUTSTANDING(3)
--------------------------------------------------- --------------- --------------
Donald J. Amaral........................................... 2,624,296 5.0%
William J. Casey........................................... 81,900 *
Daniel D. Crowley.......................................... 666,666 1.3%
Scott R. Danitz............................................ 80,276 *
Allen J. Marabito.......................................... 333,333 *
Vito Ponzio, Jr............................................ 220,147 *
L. Peter Smith............................................. 117,581 *
Sandra R. Smoley........................................... 75,000 *
All Named Executive Officers and directors, as a group
(8 persons)................................................ 4,199,199 7.8%
Reporting Persons (as defined herein), as a group(4)....... 8,097,809 16.3%
Cerberus Entities (as defined herein)(5)(8)................ 16,481,170 24.9%
Foothill (as defined herein)(6)(8)......................... 8,633,779 14.8%
Goldman Sachs (as defined herein)(7)(8).................... 20,927,101 29.7%
* Less than 1%
(1) Unless otherwise indicated, the address of each person named above is
1675 Broadway, Suite 900, Denver, Colorado 80202.
(2) The aggregate ownership numbers presented in the table above include
shares of common stock acquirable upon exercise of common stock subject
to options within 60 days of April 12, 2002 for the following persons:
Mr. Amaral 2,500,000; Mr. Casey 80,000; Mr. Crowley 666,666; Mr. Danitz
77,499; Mr. Marabito 333,333; Mr. Ponzio 213,123; Mr. Smith 87,500 and
Ms. Smoley 75,000. Except as indicated by footnote, Coram has been
advised that the persons and entities named in the table above have
sole voting and investment power with respect to all shares of common
stock shown as beneficially owned by them.
(3) These percentages are calculated as the number of shares of common
stock outstanding on April 12, 2002, plus shares of common stock
acquirable within 60 days upon exercise of stock options and upon
conversion of debt securities.
(4) On July 14, 2000, an investor group seeking representation on the Coram
Healthcare Corporation Board of Directors filed a Schedule 13D pursuant
to Rule 13d-1(k)(1) of Regulation 13D-G under the Securities Exchange
Act of 1934. As stated in its Schedule 13D filing, this investor group
was concerned that management of the company may consider a
restructuring that, absent representation of their interests, would be
materially detrimental to their equity holdings. To protect their
interests in the company, the investor group stated it may engage in
actions directly or through agents such that they may be deemed to
constitute a "group" within the meaning of Section 13(d)(3) of the
Securities Exchange Act of 1934, and as such, each of the members of
such group are deemed to beneficially own all shares of stock owned by
the entire group; however, each member of the group has disclaimed
beneficial ownership of the shares held by the group.
An amended Schedule 13D/A was filed on December 19, 2000 on behalf of
Jerome Blank; Andrew Blank; AEOW `96, LLC, a California limited
liability company; Harry Heller Falk; F. Philip Handy; Heller Family
Limited Partnership, a Florida limited partnership; the Bernard Osher
Trust UTA dated 3-8-88, a California trust; JB Capital Management,
Inc., a Florida Corporation; Bernard Osher; the RHH Company, a Florida
Corporation and Richard L. Haydon. This group of individuals and
entities constitutes a part, but not the entirety, of the original
investor group that filed the Schedule 13D on July 14, 2000. The
individuals and entities reporting in the December 19, 2000 Schedule
13D/A stated that they believed that upon the October 20, 2000
appointment of the Official Committee of Equity Security Holders by the
Bankruptcy Court, their interests would be adequately represented by
this committee and, as a result, the Schedule 13D filed on July 14,
2000 was terminated as far as these persons are concerned.
63
On January 22, 2002, a Schedule 13D/A was filed on behalf of the Ann &
Robert H. Lurie Foundation (the "Lurie Foundation"), an Illinois
not-for-profit corporation, Mr. Mark Slezak, Samstock, L.L.C.
("Samstock"), an Illinois not-for-profit corporation, and Mr. Richard
L. Haydon. This group of individuals and entities were members of the
original investor group that filed the Schedule 13D on July 14, 2000.
Additionally, Mr. Haydon was part of the investor group that reported
in the Schedule 13D/A on December 19, 2000. The individuals and
entities reporting in the Schedule 13D/A filed on January 22, 2002
(collectively the "Reporting Persons") indicated that the Lurie
Foundation, Samstock and Mr. Haydon constitute the Official Committee
of Equity Security Holders and that on January 22, 2002 this committee
filed a motion with the Bankruptcy Court requesting, among other
things, that the Bankruptcy Court order the company to hold promptly an
annual meeting of its stockholders for the election of directors. This
motion was subsequently considered and denied by the Bankruptcy Court
on February 12, 2002.
(5) Information with respect to Cerberus Partners, L.P. ("Cerberus") and
Cerberus International, Ltd. ("International") and certain private
investment funds (the "Other Funds") (Cerberus, International and the
Other Funds are collectively referred to as the "Cerberus Entities")
are based on the Schedule 13D, Amendment No. 1, Amendment No. 2 and
Amendment No. 3 thereto, dated June 30, 1998, August 26, 1998, April 9,
1999 and July 16, 2000, respectively, filed with the Commission and
Coram's records reflecting the Series B Senior Subordinated Convertible
Notes (the "Series B Notes") issued to the Cerberus Entities. The
Cerberus Entities hold $32,962,341 principal amount of the Series B
Notes of the company as of April 12, 2002. These Series B Notes are
convertible, at the option of the holder thereof, into 16,481,170
shares of common stock of Coram at the rate of $2.00 per share. In
addition, certain unaffiliated entities have the right to receive the
dividends from, and the proceeds from the sales of, $671,846 principal
amount of Series B Notes and the shares of common stock into which such
Series B Notes are convertible. The address for the Cerberus Entities
is 450 Park Avenue, 28th Floor, New York, New York 10022.
(6) Information with respect to Foothill Capital Corporation is based on
the Schedule 13G, Amendment No. 1 and Amendment No. 2 thereto dated
June 30, 1998, August 26, 1998 and April 9, 1999, respectively, filed
with the Commission and Coram's records reflecting the Series B Notes
issued to Foothill Capital Corporation. Such filings with the
Commission were on behalf of The Foothill Group, Inc., a Delaware
Corporation ("Group"); Foothill Capital Corporation, a California
corporation ("Capital"); Foothill Partners II, L.P., a Delaware limited
partnership ("Partners"); Foothill Income Trust, L.P., a Delaware
limited partnership ("Foothill Trust"); FIT GP, LLC, a Delaware limited
liability company ("FIT") and M. Edward Stearns, Karen S. Sandler,
Dennis R. Ascher, Jeffrey T. Nikora, and John F. Nickoll (collectively
the "Managing Partners/Members") and Peter E. Schwab and David C.
Hilton (the "Managing Partners") (Group, Capital, Partners, Foothill
Trust, FIT, the Managing Partners/Members and the Managing Partners are
collectively referred to as "Foothill"). Group, the Managing
Partners/Members and the Managing Partners are the general partners of
Partners. Capital is a wholly-owned subsidiary of Group. FIT is the
general partner of Foothill Trust and the Managing Partners/Members are
the managing members of FIT. Accordingly, (i) Group, the Managing
Partners/Members and the Managing Partners may be deemed to
beneficially own the shares of common stock held by Partners, as its
general partners, (ii) the Managing Partners/Members may be deemed to
beneficially own the shares of common stock held by Foothill Trust as
the managing members of the general partner of Foothill Trust, (iii)
FIT may be deemed to beneficially own the shares of common stock held
by Foothill Trust, as its general partner and (iv) Group may be deemed
to beneficially own the shares held by Foothill Capital as its sole
shareholder. As of April 12, 2002, Foothill has a beneficial interest
in all or part of $17,267,557 principal amount of the company's Series
B Notes, which are convertible into 8,633,779 shares of common stock at
a conversion price of $2.00 per share. The address for Foothill is
2450 Colorado Avenue, Suite 3000 W, Santa Monica, California 90404.
(7) Information with respect to The Goldman Sachs Group, Inc. ("GSG") and
related entities (collectively "Goldman Sachs") is based on the
Schedule 13D, Amendment No. 1, Amendment No. 2 and Amendment No. 3
thereto dated June 30, 1998, August 26, 1998, April 9, 1999 and
December 29, 2000, respectively, filed with the Commission and Coram's
records reflecting the Series B Notes issued to Goldman Sachs Credit
Partners L.P. ("GSCP") and related entities. Goldman, Sachs & Co.
("GS") is an indirect wholly-owned subsidiary of GSG. GSG is the 99%
owner of Goldman Sachs Global Holdings L.L.C. ("GSGH"). GSGH is the
general partner of GSCP. GS, GSG and GSGH may be deemed to own
beneficially and indirectly 20,927,101 shares of common stock by reason
of the ownership by GSCP of $41,854,201 principal amount of the
company's Series B Notes, which are convertible into 20,927,101 shares
of common stock.
(8) If certain conditions relative to the financial performance of the
company are satisfied, the company may be able to elect to pay interest
on the Series B Notes through the issuance of additional Series B Notes
in lieu of cash. Such additional Series B Notes, if issued, would be
convertible into shares of common stock at a conversion price of $2.00
per share. However, payment of interest on the Series B Notes has been
stayed in connection with the Debtors' bankruptcy proceedings. The
Debtors' Second Joint Plan of reorganization, confirmation of which was
denied by the Bankruptcy Court on December 21, 2001, would have
effectively eliminated all post-petition interest on pre-petition
borrowings. The final confirmed plan of reorganization proposed by the
Debtors' Chapter 11 trustee or any other interested party may have a
similar effect on post-petition interest; however, appropriate
approvals thereof in accordance with the
64
Bankruptcy Code would be required.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
L. Peter Smith previously served on the Board of Directors of Sabratek
Corporation ("Sabratek"), a manufacturer of medical devices. In December 1998,
Coram agreed to amend its agreement with Sabratek to make Sabratek the company's
sole supplier of multi-therapy infusion pumps and related proprietary
telemedicine technology during the next ten years. This agreement contains a
provision that allows either party to cancel the agreement upon 90 days notice.
The pricing schedule applicable to the infusion pumps and related technology to
be purchased was negotiated by certain of Coram's management after proposals
from other manufacturers for comparable equipment had been solicited. The
company purchased approximately $2.8 and $7.8 million of multi-therapy infusion
pumps and related proprietary telemedicine technology from Sabratek during the
years ended December 31, 1999 and 1998, respectively. Sabratek filed for Chapter
11 bankruptcy protection in the United States Bankruptcy Court in Delaware on
December 17, 1999 and, in connection therewith, Coram filed a $1.3 million proof
of claim in Sabratek's bankruptcy proceedings for vendor rebates earned but not
paid. In January 2000, the assets and certain liabilities of Sabratek's Device
Business were acquired by Baxter Healthcare Corporation ("Baxter"). Baxter
subsequently filed a proof claim of approximately $0.3 million in the Debtors'
bankruptcy proceedings for products purchased from Sabratek. Management
continues to evaluate the validity of Baxter's proof of claim. Notwithstanding
the separate proofs of claim filings, Baxter and the company have an ongoing
amicable business relationship involving drugs, supplies and pumps sold by
Baxter to the company.
Mr. Crowley is the Chairman, Chief Executive Officer and President of
Dynamic Healthcare Solutions, LLC ("DHS"), a privately held management
consulting and investment firm. For the year ended December 31, 2001, the
company paid approximately $0.3 million to DHS for reimbursable expenses.
Effective with the Debtors' Chapter 11 filings in the Bankruptcy Court, DHS
employees who were serving as consultants to Coram terminated their employment
with DHS and became full time Coram employees. DHS continues to bill Coram the
actual costs it attributes to the DHS Sacramento, California location where Mr.
Crowley and other persons are located and perform services for or on behalf of
the company. Such reimbursements do not include any element of profit for DHS.
Stephen A. Feinberg, a former director of the company, is the managing
member of Cerberus Associates, L.L.C., which is the general partner of Cerberus
Partners, L.P. (collectively the "Cerberus Entities"), a party to the company's
debtor-in-possession financing agreement, Senior Credit Facility and Securities
Exchange Agreement. The Cerberus Entities are also the investment managers for
the International and Other Funds. In connection with the Debtors' bankruptcy
proceedings, effective August 30, 2000, the Debtors entered into a secured
debtor-in-possession financing agreement with Madeleine L.L.C., an affiliate of
the Cerberus Entities. Although the Debtors did not borrow any amounts under
this debtor-in-possession financing arrangement, approximately $0.15 million was
paid to the Cerberus Entities as unused line of credit commitment fees during
the year ended December 31, 2001. As of April 12, 2002, the Cerberus Entities
held approximately $14.4 million and $33.0 million principal amount of the
company's Series A Senior Subordinated Unsecured Notes and Series B Senior
Subordinated Unsecured Convertible Notes, respectively. Contractually accrued
unpaid interest due to the Cerberus entities as of April 12, 2002 amounted to
approximately $1.7 million and $3.8 million for the Series A Notes and the
Series B Notes, respectively. However, payment of interest on the Series A Notes
and the Series B Notes has been stayed in connection with the Debtors'
bankruptcy proceedings. The Debtors' Second Joint Plan, which was denied by the
Bankruptcy Court on December 21, 2001, would have effectively eliminated all
post-petition interest on pre-petition borrowings. The final confirmed plan of
reorganization put forth by the Debtors' Chapter 11 trustee or any other
interested party may
65
have a similar effect on post-petition interest; however, appropriate approvals
thereof in accordance with the Bankruptcy Code would be required. No amounts are
outstanding under either the aforementioned debtor-in-possession financing
agreement or the Senior Credit Facility, which expired on August 31, 2001 and
February 6, 2001, respectively. Contemporaneous with the expiration of the
Senior Credit Facility, warrants held by the Cerberus Entities to purchase
680,124 shares of the company's common stock also expired.
On December 31, 2001, the Securities Exchange Agreement was amended
("Amendment No. 5") and an Exchange Agreement was simultaneously executed.
Pursuant to such arrangements, Cerberus Partners, L.P., Goldman Sachs Credit
Partners L.P. and Foothill Capital Corporation (collectively the "Holders")
exchanged $21.0 million of the Coram, Inc. Series A Senior Subordinated
Unsecured Notes and approximately $1.9 million of contractual unpaid interest
thereon as of December 31, 2001 for approximately 189.6 shares of Coram, Inc.
Series A Cumulative Preferred Stock, having a liquidation preference of
approximately $22.9 million. See Note 11 to the company's Consolidated Financial
Statements for further details regarding the preferred stock. Such shares of
Coram, Inc. Series A Cumulative Preferred Stock were issued to the Holders on a
pro rata basis.
Effective August 1, 1999, Mr. Crowley and Cerberus Capital Management, L.P.
(an affiliate of the Cerberus Entities) executed a three-year employment
agreement whereby Mr. Crowley provides certain services and is paid $960,000 per
annum, plus the potential of performance-related bonus opportunities, equity
options and fringe benefits. Additionally, Mr. Crowley is entitled to expense
reimbursements and participation in the vacation, pension, profit sharing, life
insurance, hospitalization, major medical and other employee benefit plans as
may be offered by the Cerberus Entities. The bonuses contemplated under the
agreement are predicated on a sophisticated set of financial criteria that
principally relate to the fiscal performance, market value and disposition
proceeds of the Cerberus Entities' equity investees. Moreover, Mr. Crowley
maintains an option to purchase up to 3% of the capital stock in the Cerberus
Entities' equity investees, exclusive of Coram. The employment agreement is
subject to automatic one-year extensions unless either party provides written
notice within 60 days of the original expiration date or subsequent renewal
dates. The Cerberus Entities may also unilaterally terminate the employment
agreement with written notice; however, all unpaid salary and bonuses on the
remaining term of the initial three-year agreement, as well as participation in
employee benefit plans, would continue to be obligations of the Cerberus
Entities pursuant to the terms and conditions of the employment agreement.
Termination for cause, disability, death and breach of the employment contract
result in varying degrees of severance and employee benefit plan participation.
The services rendered by Mr. Crowley include, but are not limited to, business
and strategic healthcare investment advice to executive management at the
Cerberus Entities.
Moreover, Mr. Crowley was the Chairman of the Board of Directors of
Winterland Productions, Inc. ("Winterland"), a privately held affinity
merchandise company, which was a portfolio investment of the Cerberus Entities.
On January 2, 2001, Winterland voluntarily filed for protection under Chapter 11
of the United States Bankruptcy Code in the Northern District of California. On
December 12, 2001, such bankruptcy court approved the sale of substantially all
of the assets of Winterland to Signatures Network, Inc. Since that date,
Winterland has been liquidated and Mr. Crowley is no longer a director or
officer of the company.
Mr. Crowley and Cerberus agreed to suspend their contract and all related
obligations immediately after the Bankruptcy Court's denial of the Second Joint
Plan of reorganization on December 21, 2001, and the contract remains suspended
through April 12, 2002.
In November 2001, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed an adversary complaint in the Bankruptcy
Court both on its own behalf and as assignee for causes of action that may
belong to the Resource Network Subsidiaries against, among other defendants, Mr.
Feinberg and Cerberus Partners, L.P., Goldman Sachs Credit Partners L.P.,
Foothill Capital Corporation and Foothill Income Trust, L.P., as well as, the
Debtors, several non-debtor subsidiaries and several current and former
directors, executive officers and employees of the company. The complaint
alleges that the defendants violated various state and federal laws in
connection with alleged wrongdoings in connection with the operation and
corporate structure of the Resource Network Subsidiaries. See Note 13 in the
company's Consolidated Financial Statements for further details.
66
PART IV
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K
(a) The following documents are filed as part of this report:
1. Financial Statements. The following Consolidated Financial Statements of
the registrant and Report of Independent Auditors are presented on pages F-1 and
thereafter:
Report of Independent Auditors
Consolidated Balance Sheets -- December 31, 2001 and 2000
Consolidated Statements of Income -- Years ended December 31, 2001, 2000 and
1999
Consolidated Statements of Stockholders' Equity -- Years ended December 31,
2001, 2000 and 1999
Consolidated Statements of Cash Flows -- Years ended December 31, 2001, 2000
and 1999
Notes to Consolidated Financial Statements
2. Financial Statement Schedule. The following consolidated financial
statement schedule of the registrant for the years ended December 31, 2001, 2000
and 1999 is presented following the Notes to Consolidated Financial Statements.
Schedule II -- Valuation and Qualifying Account
Schedules not listed above have been omitted because they are not applicable
or are not required or the information required to be set forth therein is
included in the Consolidated Financial Statements or notes thereto.
(b) Reports on Form 8-K.
On January 10, 2002, Coram Healthcare Corporation filed a report on Form
8-K (an amendment to such report was filed on January 14, 2002) regarding
the following: an order denying acceptance of the Second Joint Plan of
reorganization of Coram Healthcare Corporation and its wholly-owned
subsidiary, Coram, Inc. (collectively the "Debtors"), by the United States
Bankruptcy Court for the District of Delaware (the "Bankruptcy Court");
Coram's filing of a Notice of Appeal with the Bankruptcy Court regarding the
aforementioned denial of acceptance of the Second Joint Plan of
reorganization; and the conversion of approximately $23 million in principal
and contractual unpaid interest of the Debtors' Series A Senior Subordinated
Unsecured Notes to equity in the form of Coram, Inc. Series A Cumulative
Preferred Stock.
On March 21, 2002, Coram Healthcare Corporation filed a report on Form
8-K regarding the appointment by the Bankruptcy Court of Arlin M. Adams,
Esquire as the Chapter 11 trustee for the Debtors. Additionally, the company
announced that the Bankruptcy Court denied without prejudice a renewed
motion made by the Official Committee of the Equity Security Holders (the
"Equity Committee") for leave to bring a derivative lawsuit against Coram
Healthcare Corporation's chief executive officer, the Board of Directors,
Cerberus Partners, L.P. ("Cerberus"), Cerberus' principal and the company's
other noteholders. The Bankruptcy Court also denied a motion filed by the
Equity Committee related to governance of Coram, Inc.
67
(c) Exhibits
Included as exhibits are the items listed on the Exhibit Index. The
registrant will furnish a copy of any of the exhibits listed below upon payment
of $5.00 per exhibit to cover the costs to the registrant of furnishing such
exhibit.
EXHIBIT
NUMBER EXHIBIT
------- -------
2.1 -- Agreement and Plan of Merger dated as of February 6, 1994,
by and Among the registrant, T2, Curaflex, HealthInfusion,
Medisys, T2 Acquisition company, CHS Acquisition company, HII
Acquisition company and MI Acquisition company (Incorporated
by reference to Exhibit 2.1 of Registration No. 33-53957 on
Form S-4).
2.2 -- First Amendment to Agreement and Plan of Merger dated as of
May 25, 1994, by and among the registrant, T2, Curaflex,
HealthInfusion, Medisys, T2 Acquisition company, CHS
Acquisition company, HII Acquisition company and MI
Acquisition company (Incorporated by reference to Exhibit 2.2
of Registration No. 33-53957 on Form S-4).
2.3 -- Second Amendment to Agreement and Plan of Merger dated as
of July 8, 1994 by and among the registrant, T2, Curaflex,
HealthInfusion, Medisys, T2 Acquisition company, CHS
Acquisition company, HII Acquisition company and MI
Acquisition company (Incorporated by Reference to Exhibit 2.3
of the registrant's Current Report on Form 8-K dated as of
July 15, 1994).
2.4 -- Asset Sale and Note Purchase Agreement, (the "Asset
Purchase Agreement") among the registrant, Caremark
International Inc. and Caremark Inc. dated as of January 29,
1995 (Incorporated by reference to Exhibit C of the
registrant's Current Report on Form 8-K dated April 6,
1995).(a)
2.5 -- Agreement and Plan of Merger among the registrant, CHC
Acquisition Corp. and Lincare Holdings Inc., (the "Lincare
Merger Agreement") dated as of April 17, 1995 (Incorporated by
reference to Exhibit B of the registrant's Current Report on
Form 8-K dated May 2, 1995).(a)
2.6 -- Agreement and Plan of Merger entered into as of October 19,
1996, Among Coram Healthcare Corporation, Integrated Health
Services, Inc. and IHS Acquisition XIX, Inc. (Incorporated by
reference to Exhibit 2.1 of the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 1996).
2.7 -- Purchase Agreement by and between Integrated Health
Services, Inc., T2 Medical, Inc., Coram Healthcare Corporation
of Greater New York and Coram Healthcare Corporation.
(Incorporated by reference to Exhibit 2 of the registrant's
Current Report on Form 8-K dated as of August 20, 1997).
2.8 -- Side Agreement dated as of September 30, 1997 among Coram
Healthcare Corporation, T2 Medical, Inc., Coram Healthcare
Corporation of Greater New York and Integrated Health
Services, Inc. (Incorporated by reference to Exhibit 2.1 of
the registrant's Current Report on Form 8-K dated as of
September 30, 1997).
2.9 -- Purchase Agreement by and between Curaflex Health Services,
Inc., Coram Healthcare Corporation, Curascript Pharmacy, Inc.,
Curascript PBM Services, Inc. and GTCR Fund VI, L.P., dated
July 31, 2000. (Incorporated by reference to Exhibit 2.1 of
the registrant's Current Report on Form 8-K dated as of July
31, 2000).
2.10 -- Debtor-In-Possession Financing Agreement dated August 30,
2000, by and among Coram Healthcare Corporation and Coram,
Inc. and Madeleine L.L.C. (Incorporated by reference to
Exhibit 2.1 of the registrant's Current Report on Form 8-K
dated as of September 13, 2000).
68
EXHIBIT
NUMBER EXHIBIT
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3.1 -- Certificate of Incorporation of registrant, as amended,
through May 1, 1994 (Incorporated by reference to Exhibit 3.1
of Registration No. 33-53957 on Form S-4).
3.2 -- Bylaws of registrant (Incorporated by reference to Exhibit
3.2 of Registration No. 33-53957 on Form S-4).
3.3 -- Certificate of Amendment of the registrant's Certificate of
Incorporation (Incorporated by reference to Exhibit 3.3 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 1997).
4.1 -- Form of Common Stock Certificate for the registrant's
common stock, $0.001 par value per share. (Incorporated by
reference to Exhibit 4.1 of the registrant's Annual Report on
Form 10-K for the year ended December 31, 1994).
4.2 -- Form of Common Stock Certificate for the registrant's
common stock, par value $0.001, including legend thereon in
respect of the Stockholder Rights Agreement. (Incorporated by
reference to Exhibit 4.2 of the registrant's Annual Report on
Form 10-K for the year ended December 31, 1997).
4.3 -- Form of Certificate of Designation, Preferences and Rights
of the registrant's Series X Participating Preferred Stock
(filed as Exhibit A to the Stockholder Rights Agreement, which
was filed as Exhibit 1 to the registrant's Current Report on
Form 8-K dated as of June 25, 1997, and which exhibit is
hereby incorporated by reference thereto).
4.4 -- Form of Certificate of Designation, Preferences and
Relative, Participating, Optional and Other Special rights of
Preferred Stock and Qualifications, Limitations and
Restrictions Thereof, dated December 29, 2000. (Incorporated
by reference to Exhibit 4.1 of the registrant's Current Report
on Form 8-K dated as of December 28, 2000).
10.1 -- Amended and Restated Credit Agreement dated as of February
10, 1995, by and among Curaflex, T2, HealthInfusion, Medisys,
and HMSS as Co-Borrowers, Toronto Dominion (Texas), Inc., as
Agent (the "Amended Credit Agreement") (Incorporated by
reference to Exhibit 10.1 of the registrant's Annual Report on
Form 10-K for the year ended December 31, 1994).(a)
10.2 -- Form of Employment Agreement between the registrant and
Charles A. Laverty (Incorporated by reference to Exhibit 10.1
of Registration No. 33-53957 on Form S-4).
10.3 -- Form of Severance/Non-Compete Agreement between the
registrant and Miles E. Gilman (Incorporated by reference to
Exhibit 10.2 of Registration No. 33-53957 on Form S-4).
10.4 -- Form of Severance/Non-Compete Agreement between the
registrant and William J. Brummond (Incorporated by reference
to Exhibit 10.3 of Registration No. 33-53957 on Form S-4).
10.5 -- Form of Severance/Non-Compete Agreement between the
registrant and Tommy H. Carter (Incorporated by reference to
Exhibit 10.4 of Registration No. 33-53957 on Form S-4).
10.6 -- Form of Indemnification Agreement between the registrant
and each of the registrant's directors and certain executive
officers. (Incorporated by reference to Exhibit 10.6 of the
registrant's Form 10-K for the year ended December 31, 1994).
10.7 -- Registrant's 1994 Stock Option/Stock Issuance Plan and
related Forms of agreements (Incorporated by reference to
Exhibit 10.15 of Registration No. 33-53957 on Form S-4).
10.8 -- Registrant's Employee Stock Purchase Plan (Incorporated by
reference to Exhibit 10.16 of Registration No. 33-53957 on
Form S-4).
69
EXHIBIT
NUMBER EXHIBIT
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10.9 -- 401(k) Plan of T2 Medical, Inc. dated December 8, 1989
(Incorporated herein by Reference to Exhibit 10(s) of T2
Annual Report on Form 10-K for the fiscal year ended September
30, 1989, filed with the Commission on or about December 29,
1988.)
10.10 -- 1988 Stock Option Plan of T2 Medical, Inc., as amended and
restated as of July 31, 1990 and as further amended as of (i)
August 20, 1991; (ii) November 12, 1991; and (iii) July 6,
1992 (Incorporated by reference to Exhibit 10.18 of
Registration No. 33-53957 on Form S-4).
10.11 -- Curaflex 1989 Stock Option Plan (Incorporated by reference
to Exhibit 10.53 of Registration No. 33-53957 on Form S-4).
10.12 -- Curaflex Amended 1990 Stock Option Plan (Incorporated by
reference to Exhibit 10.54 of Registration No. 33-53957 on
Form S-4).
10.13 -- Curaflex Directors' Nonqualified Stock Option Plan
(Incorporated by reference to Exhibit 10.59 of Registration
No. 33-53957 on Form S-4).
10.14 -- Clinical Homecare Ltd. 1990 Incentive Stock Option Plan, as
amended (Incorporated by reference to Exhibit 10.61 of
Registration No. 33-53957 on Form S-4).
10.15 -- Clinical Homecare Ltd. 1990 Stock Option Plan, as amended
(Incorporated by reference to Exhibit 10.62 of Registration
No. 33-53957 on Form S-4).
10.16 -- 1989 Stock Option Plan of Medisys (Incorporated by
reference to Exhibit 10.85 of Registration No. 33-53957 on
Form S-4).
10.17 -- Form of Non-Plan Option Agreement of Medisys (Incorporated
by Reference to Exhibit 10.86 of Registration No. 33-53957 on
Form S-4).
10.18 -- Credit Agreement among Coram Healthcare Corporation, Coram,
Inc., the Lenders named therein and Chemical Bank, as
Administrative Agent, Collateral Agent and Fronting Bank (the
"Senior Credit Facility") dated as of April 6, 1995.
(Incorporated by reference to Exhibit D of the registrant's
Current Report on Form 8-K dated April 6, 1995).(a)
10.19 -- First Amendment and Waiver to the Credit Agreement, dated
as of August 9, 1995, together with exhibits hereto, among the
registrant, Coram Inc., each Subsidiary Guarantor (as defined
therein), the Financial Institutions party thereto (as defined
therein), and Chemical Bank as Agent. (Incorporated by
reference to Exhibit 10.19 of the registrant's Quarterly
Report on Form 10-Q for the quarter ended September 30,
1995).(a)
10.20 -- Second Amendment to the Credit Agreement dated as of
September 7, 1995, by and among the registrant, Coram Inc.,
each Subsidiary Guarantor (as defined therein), the Financial
Institutions party thereto (as defined therein), and Chemical
Bank as Agent. (Incorporated by reference to Exhibit 10.20 of
the registrant's Quarterly Report on Form 10-Q for the quarter
ended September 30, 1995).(a)
10.21 -- Third Amendment and Limited Waiver to the Credit Agreement,
dated as of September 29, 1995, by and among the registrant,
Coram Inc., each Subsidiary Guarantor (as defined therein),
the Financial Institutions party thereto (as defined therein),
and Chemical Bank as Agent (Incorporated by reference to
Exhibit 10.21 of the registrant's Quarterly Report on Form
10-Q for the quarter ended September 30, 1995).(a)
10.22 -- Fourth Amendment and Limited Waiver to the Credit Agreement
and First Amendment to Security Documents dated as of October
13, 1995, together with selected exhibits thereto, by and
among the registrant, Coram Inc., each Subsidiary Guarantor
(as defined therein), the Financial Institutions party thereto
(as defined therein) and Chemical Bank as Agent (Incorporated
by reference to the company's Current Report on Form 8-K as
filed October 24, 1995).
70
EXHIBIT
NUMBER EXHIBIT
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10.23 -- Warrant Agreement dated as of October 13, 1995, among the
registrant, Coram Inc., and the other parties specified
therein (Incorporated by reference to the company's Current
Report on Form 8-K as filed October 24, 1995).
10.24 -- Amendment and Limited Waiver to Bridge Securities Purchase
Agreement, dated as of October 13, 1995, by and among the
registrant, Coram Inc. and Donaldson, Lufkin & Jenrette.
(Incorporated by reference to Exhibit 10.24 of the
registrant's Quarterly Report on Form 10-Q for the quarter
ended September 30, 1995).(a)
10.25 -- Form of Employment Agreement, Amendment No. 1 and Amendment
No. 2 dated as of April 23, 1999, of Employment Agreement
between the registrant and Donald J. Amaral. (Incorporated by
reference to Exhibit 10.25 and 10.04 of the registrant's
Quarterly Report on Form 10-Q for the quarters ended September
30, 1995, June 30, 1998, and September 30, 1999,
respectively).
10.26 -- Securities Purchase Agreement ("Securities Purchase
Agreement") and Form of Subordinated Bridge Note, dated as of
April 6, 1995, among Coram Inc., Coram Funding, Inc. and the
registrant (Incorporated by reference to Exhibit E of the
registrant's Current report on Form 8-K dated April 6,
1995).(a)
10.27 -- Exclusive Distribution Agreement--Healthcare Products and
Biomedical Equipment and Services Agreement between Medical
Specialties Distributors, Inc. ("MSD") and Coram, dated as of
June 1, 1996. (Incorporated by reference to Exhibit 10.1 of
the registrant's Quarterly Report on Form 10-Q/A Amendment No.
1 for the quarter ended June 30, 1996).
10.28 -- Medical Specialties Master Service Agreement between MSD
and Coram, dated as of June 1, 1996. (Incorporated by
reference to Exhibit 10.2 of the registrant's Quarterly Report
on Form 10-Q/A Amendment No. 1 for the quarter ended June 30,
1996).
10.29 -- Medical Specialties Master Rental Agreement between MSD and
Coram, dated as of June 1, 1996. (Incorporated by reference to
Exhibit 10.3 of the registrant's Quarterly Report on Form
10-Q/A Amendment No. 1 for the quarter ended June 30, 1996).
10.30 -- Coram Healthcare Litigation Memorandum of Understanding
between all Parties to In re Coram Healthcare Corp. Securities
Litigation, Master File No. 95-N-2074 and Shevde v. Sweeney et
al., Civil Action No. 96-N-722, dated as of August 5, 1996.
(Incorporated by reference to Exhibit 10.4 of the registrant's
Quarterly Report on Form 10-Q/A Amendment No. 1 for the
quarter ended June 30, 1996).
10.31 -- Fifth Amendment to the Credit Agreement dated as of
February 6, 1996, by and among the registrant, Coram Inc.,
each Subsidiary Guarantor (as defined therein), the Financial
Institutions party thereto (as described therein), and
Chemical Bank as Agent. (Incorporated by reference to Exhibit
99.1 of the registrant's Quarterly Report on Form 10-Q for the
quarter ended March 31, 1996).(a)
10.32 -- Sixth Amendment to Credit Agreement dated as of April 19,
1996, by and among the registrant, Coram Inc., each Subsidiary
Guarantor (as defined therein), the Financial Institutions
party thereto (as described therein), and Chemical Bank as
Agent. (Incorporated by reference to Exhibit 99.2 of the
registrant's Quarterly Report on Form 10-Q for the quarter
ended March 31, 1996).(a)
10.33 -- Seventh Amendment to Credit Agreement dated as of July 3,
1996, by and among the registrant, Coram Inc., each Subsidiary
Guarantor (as defined therein), the Financial Institutions
party thereto (as described therein), and Chemical Bank as
71
EXHIBIT
NUMBER EXHIBIT
------- -------
Agent. (Incorporated by reference to Exhibit 99.1 of the
registrant's Quarterly Report on Form 10-Q/A Amendment No. 1
for the quarter ended June 30, 1996).(a)
10.34 -- Eighth Amendment to Credit Agreement dated as of December 3,
1996, by and among the registrant, Coram Inc., each Subsidiary
Guarantor as defined therein), the Financial Institutions (as
described therein), and Chase Manhattan Bank as Agent.
(Incorporated by reference to Exhibit 10.34 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 1996).(a)
10.35 -- Ninth Amendment and Limited Waiver to the Credit Agreement
dated as of March 14, 1997, by and among the registrant, Coram
Inc., each Subsidiary Guarantor (as defined therein), the
Financial Institutions party thereto (as described therein),
and Chase Manhattan Bank as Agent. (Incorporated by reference
to Exhibit 10.35 of the registrant's Annual Report on Form
10-K for the year ended December 31, 1996).(a)
10.36 -- Amended Agreement, dated as of March 28, 1997, by and among
the Registrant, Coram Inc. and Donaldson, Lufkin & Jenrette.
(Incorporated by reference to Exhibit 10.36 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 1996).(a)
10.37 -- Sabratek Corporation and Coram Healthcare Exclusive Supply
Agreement for IV Infusion Pumps, IV Disposable Sets and
Related Items, dated as of February 26, 1997. (Incorporated by
reference to Exhibit 10.37 of the registrant's Annual Report
on Form 10-K for the year ended December 31, 1996).
10.38 -- Amendment to 9% Subordinated Convertible Debenture and
Notice of Conversion dated as of June 30, 1996, by and among
the Registrant, Coram Inc., and the other parties specified
therein (Incorporated by reference to the company's report on
Form 8-K as filed on July 12, 1996).
10.39 -- Tenth Amendment to Credit Agreement dated June 2, 1997, by
and Among the registrant, Goldman Sachs Credit Partners L.P.,
Coram, Inc., each Subsidiary Guarantor (as defined therein)
and The Chase Manhattan Bank, as administrative agent and
collateral agent for the Lenders named therein, to that
certain Credit Agreement dated as of April 6, 1995, by and
among the registrant, Coram, Inc, each Subsidiary Guarantor
(as defined therein), the Financial Institutions named therein
and the Chase Manhattan Bank, as collateral agent for the
Lenders named therein (Incorporated by reference to Exhibit 99
of the registrant's Current Report on Form 8-K dated as of
June 2, 1997).(a)
10.40 -- Letter Agreement of March 29, 1998 by and among Cerberus
Partners, L.P., Goldman Sachs Credit Partners, L.P. and
Foothill Capital Corporation on the one hand, and Coram
Healthcare Corporation, on the other, deferring the payment of
interest and fees pursuant to (i) the Securities Purchase
Agreement dated as of April 6, 1995 and (ii) the Letter
Agreement dated March 28, 1997 between Coram Funding, Inc. and
Coram Healthcare Corporation. (Incorporated by reference to
Exhibit 10.40 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 1997).
10.41 -- Prime Vendor Agreement and Letter Amendment, dated October
14, 1999, between Coram Healthcare Corporation and Cardinal
Health, Inc. Certain portions of the Prime Vendor Agreement
have been omitted pursuant to a request for confidential
treatment. The entire Prime Vendor Agreement has been filed
confidentially with the Securities and Exchange Commission.
(Incorporated by reference to Exhibit 10.1 of the registrant's
Quarterly Report on Form 10-Q for the quarters ended September
30, 1998 and 1999, respectively).
10.42 -- Amendment No. 1 and Waiver to the Securities Exchange
Agreement among the registrant, Cerberus Partners, L.P.,
Goldman Sachs Credit Partners L.P. and Foothill Capital
Corporation. (Incorporated by reference to Exhibit 10.01 of
the registrant's Quarterly Report on Form 10-Q for the quarter
ended June 30, 1998).
10.43 -- Promissory Notes and Security Agreement dated July 21, 1998
among the registrant and Foothill Capital Corporation, as
collateral agent for Cerberus Partners, L.P., Goldman Sachs
Credit Partners L.P. and Foothill Partners III, L.P. and their
respective successors and assigns. (Incorporated by reference
72
EXHIBIT
NUMBER EXHIBIT
------- -------
to Exhibit 10.02 of the registrant's Quarterly Report on Form
10-Q for the quarter ended June 30, 1998).
10.44 -- Request for Deferral of Interest Payment under the Series B
Convertible Subordinated Notes due 2008 and the related
Securities Exchange Agreement, dated May 6, 1998, by and
between Coram, Inc., Coram Healthcare Corporation, Cerberus
Partners, L.P., Goldman Sachs Credit Partners, L.P. and
Foothill Capital Corporation, as amended (Incorporated by
reference to Exhibit 10.03 of the registrant's Quarterly
Report on Form 10-Q for the quarter ended June 30, 1998).
10.45 -- Securities Exchange Agreement among the registrant,
Cerberus Partners, L.P., Goldman Sachs Credit Partners, L.P.
and Foothill Capital Corporation. (Incorporated by reference
to Exhibit 10.01 of the registrant's Quarterly Report on Form
10-Q for the quarter ended March 31, 1998).(a)
10.46 -- Form of Letter of Credit required by the Master Agreement
by and between the registrant and its applicable affiliates
and Aetna U.S. Healthcare, Inc. and its applicable affiliates
(Incorporated by reference to Exhibit 10.02 of the
registrant's Quarterly Report on Form 10-Q for the quarter
ended March 31, 1998).
10.47 -- Addendum amendment to Sabratek Corporation and Coram
Healthcare Exclusive Supply Agreement for IV Infusion pumps,
IV Disposable Sets and Related Items, dated as of February 26,
1997, as of December 7, 1998. (Incorporated by reference to
Exhibit 10.47 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 1998).
10.48 -- Employment Agreements between Coram Healthcare Corporation and
Richard M. Smith, dated as of April 26, 1999 and November 11,
1999, respectively. (Incorporated by reference to Exhibits
10.4 and 10.2, respectively, of the registrant's Quarterly
Report on Form 10-Q for the quarter ended September 30, 1999).
10.49 -- Employment Agreement, between Coram Healthcare Corporation and
Wendy L. Simpson, dated as of April 26, 1999. (Incorporated by
reference to Exhibit 10.5 of the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 1999).
10.50 -- Employment Agreement, between Coram Healthcare Corporation and
Joseph D. Smith, dated as of April 26, 1999. (Incorporated by
reference to Exhibit 10.6 of the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 1999).
10.51 -- Employment Agreement, between Coram Healthcare Corporation and
Daniel D. Crowley, dated as of November 30, 1999, together
with Amendment No. 1 thereto. (Incorporated by reference to
Exhibit 10.51 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 2000).
10.52 -- Employment Agreement, between Coram Healthcare Corporation and
Allen J. Marabito, dated as of November 30, 1999, together
with amendment No. 1 thereto. (Incorporated by reference to
Exhibit 10.52 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 2000).
10.53 -- First Amendment to Prime Vendor Agreement, dated as of January
1, 2000 by and between the company and Cardinal Health, Inc.
(Incorporated by reference to Exhibit 10.53 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 2000).
10.54 -- Second Amendment to Employment Agreement, between the
company and Daniel D. Crowley, dated as of April 6, 2000.
(Incorporated by reference to Exhibit 10.1 of the registrant's
Quarterly Report on Form 10-Q for the quarter ended March 31,
2000).
10.55 -- Settlement agreement entered into by and among Coram
Resource Network, Inc., Coram Independent Practice
Association, Inc., Coram Healthcare Corporation and Coram,
Inc. (Incorporated by reference to Exhibit 10.1 of the
registrant's Current Report on Form 8-K dated as of November
17, 2000).
10.56 -- Amendment No. 4, dated December 29, 2000, in respect of the
Securities Exchange Agreement dated as of May 6, 1998, among
Coram Healthcare Corporation, Coram, Inc., Cerberus Partners,
L.P., Goldman Sachs Credit Partners, L.P. and Foothill Capital
Corporation. (Incorporated by reference to Exhibit 10.1 of the
registrant's Current Report on Form 8-K dated as of December
28, 2000).
73
EXHIBIT
NUMBER EXHIBIT
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10.57 -- Exchange Agreement, dated December 29, 2000, among Coram,
Inc., Goldman Sachs Credit Partners, L.P., Cerberus Partners,
L.P. and Foothill Capital Corporation. (Incorporated by
reference to Exhibit 10.2 of the registrant's Current Report
on Form 8-K dated as of December 28, 2000).
10.58 -- Third Amendment to Employment Agreement, between Coram
Healthcare Corporation and Daniel D. Crowley, dated August 2,
2000. (Incorporated by reference to Exhibit 10.58 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 2000).
10.59 -- Employment Agreement, between Coram, Inc. and Scott R. Danitz,
dated August 1, 2000. (Incorporated by reference to Exhibit
10.59 of the registrant's Annual Report on Form 10-K for the
year ended December 31, 2000).
10.60 -- Employment Agreement, between Coram Healthcare Corporation and
Vito Ponzio, Jr, dated April 26, 1999. (Incorporated by
reference to Exhibit 10.60 of the registrant's Annual Report
on Form 10-K for the year ended December 31, 2000).
10.61 -- Consulting Services Agreement, between Coram Healthcare
Corporation and Joseph D. Smith, dated June 30, 2000.
(Incorporated by reference to Exhibit 10.61 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 2000).
10.62 -- Consulting Services Agreement, between the company and
Donald J. Amaral, dated May 16, 2000. (Incorporated by
reference to Exhibit 10.62 of the registrant's Annual Report
on Form 10-K for the year ended December 31, 2000).
10.63 -- Exchange Agreement and related schedules dated as of December
31, 2001, among Coram Inc., Goldman Sachs Credit Partners,
L.P., Cerberus Partners, L.P. and Foothill Capital
Corporation. (Incorporated by reference to Exhibits 99.4 and
99.4a through 99.4f of the registrant's Current Reports on
Form 8-K and Form 8-K/A dated as of January 10, 2002 and
January 14, 2002, respectively).
10.64 -- Amendment No. 1 to Stockholder Agreement, dated as of December
31, 2001, among Coram, Inc., Goldman Sachs & Co., Cerberus
Partners, L.P. and Foothill Capital Corporation. (Incorporated
by reference to Exhibits 99.5 of the registrant's Current
Reports on Form 8-K and Form 8-K/A dated as of January 10,
2002 and January 14, 2002, respectively).
10.65 -- Amendment No. 5 to Securities Exchange Agreement, dated as of
December 31, 2001, among Coram, Inc., Coram Healthcare
Corporation, Goldman Sachs Credit Partners, L.P., Cerberus
Partners, L.P. and Foothill Capital Corporation. (Incorporated
by reference to Exhibits 99.6 and 99.6a through 99.6.b of the
registrant's Current Report on Form 8-K and Form 8-K/A dated
as of January 10, 2002 and January 14, 2002, respectively).
10.66 -- Certificate of Amendment of the Certificate of Designation
of Coram Inc., as filed with the Secretary of State of the
State of Delaware on December 31, 2001, related to changes in
the Coram, Inc., Series A Cumulative Preferred Stock voting
rights. (Incorporated by reference to Exhibits 99.7 of the
registrant's Current Reports on Form 8-K and Form 8-K/A dated
as of January 10, 2002 and January 14, 2002, respectively).
10.67 -- Bylaws of Coram, Inc., as amended and restated on December 31,
2001. (Incorporated by reference to Exhibits 99.8 of the
registrant's Current Reports on Form 8-K and Form 8-K/A dated
as of January 10, 2002 and January 14, 2002, respectively).
74
EXHIBIT
NUMBER EXHIBIT
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10.68 -- Product Purchase Agreement, dated September 1, 2001,
between Coram, Inc. and FFF Enterprises, Inc. Certain
portions of the Product Purchase Agreement have been omitted
pursuant to a request for confidential treatment. The entire
Product Purchase Agreement has been filed confidentially
with the Securities and Exchange Commission.*
10.69 -- Prime Vendor Agreement, dated April 19, 2001, between Coram
Healthcare Corporation and Cardinal Distribution, Inc.*
10.70 -- I.V. Systems Division Purchase Agreement, dated October 23,
2000, between Coram, Inc., and Baxter Healthcare Corporation.
Certain portions of the I.V. Systems Division Purchase
Agreement have been omitted pursuant to a request for
confidential treatment. The entire I.V. Systems Division
Purchase Agreement has been filed confidentially with the
Securities and Exchange Commission.*
10.71 -- Letter Amendment, dated October 25, 2000, between Coram,
Inc., and Baxter Healthcare Corporation. Certain portions of
the Letter Amendment have been omitted pursuant to a request
for confidential treatment. The entire Letter Amendment has
been filed confidentially with the Securities and Exchange
Commission.*
10.72 -- Amendment to I.V. Systems Division Purchase Agreement, dated
January 28, 2002, between Coram, Inc., and Baxter Healthcare
Corporation.*
10.73 -- Therapeutics Purchase Agreement, dated January 7, 2002,
between Coram, Inc., and Baxter Healthcare Corporation.
Certain portions of the Agreement have been omitted pursuant
to a request for confidential treatment. The entire Agreement
has been filed confidentially with the Securities and Exchange
Commission.*
10.74 -- Hemophilia Product Volume Commitment Agreement, dated
December 19, 2001, between Coram, Inc., and Baxter Healthcare
Corporation. Certain portions of the Hemophilia Product Volume
Commitment Agreement have been omitted pursuant to a request
for confidential treatment. The entire Hemophilia Product
Volume Commitment Agreement has been filed confidentially with
the Securities and Exchange Commission.*
20.1 -- Stockholder Rights Agreement (the "Stockholder Rights
Agreement"), dated as of June 25, 1997, between Coram
Healthcare Corporation and BankBoston, N.A., which includes
the form of Certificate of Designation, Preferences and Rights
setting forth the terms of the Series X Participating
Preferred Stock, par value $0.001 per share, as Exhibit A, the
Summary of Stockholder Rights Agreement as Exhibit B and the
form of Right Certificate as Exhibit C. Pursuant to the
Stockholder Rights Agreement, printed Right Certificates will
not be mailed until as soon as practicable after the earlier
of the tenth business day after public announcement that a
person or group has become an Acquiring Person or the tenth
business day after a person commences, or announces its
intention to commence, a tender offer or exchange offer the
Consummation of which would result in such person becoming an
Acquiring Person. (Incorporated by reference Exhibit 1 of the
registrant's Current Report on Form 8-K dated as of June 25,
1997).
21.1 -- Subsidiaries of the registrant.*
23.1 -- Consent of Ernst & Young LLP.*
(a) Certain exhibits and schedules of this Exhibit have been omitted. The
registrant agrees to furnish supplementally any omitted schedule or
exhibit to the Securities and Exchange Commission.
* Filed herewith.
75
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) 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, on April
15, 2002.
CORAM HEALTHCARE CORPORATION
By: /s/ DANIEL D. CROWLEY
------------------------------------
Daniel D. Crowley
Chairman of the Board of Directors,
Chief Executive Officer and President
By: /s/ SCOTT R. DANITZ
------------------------------------
Scott R. Danitz
Senior Vice President, Chief
Financial Officer and Treasurer
Pursuant to the requirements of the Securities Exchange Act of 1934, this
report has been signed below by the following persons on behalf of the
registrant and in the capacities on the dates indicated.
/s/ DANIEL D. CROWLEY Chairman of the Board April 15, 2002
--------------------- of Directors, Chief
Daniel D. Crowley Executive Officer and
President
/s/ DONALD J. AMARAL Director April 15, 2002
---------------------
Donald J. Amaral
/s/ WILLIAM J. CASEY Director April 15, 2002
---------------------
William J. Casey
/s/ L. PETER SMITH Director April 15, 2002
---------------------
L. Peter Smith
/s/ SANDRA R. SMOLEY Director April 15, 2002
---------------------
Sandra R. Smoley
76
INDEX TO FINANCIAL STATEMENTS AND SCHEDULE
PAGE
----
Report of Independent Auditors ....................................... F-2
Consolidated Balance Sheets -- As of December 31, 2001 and 2000 ...... F-3
Consolidated Statements of Income -- Years Ended December 31, 2001,
2000 and 1999 ..................................................... F-4
Consolidated Statements of Stockholders' Equity -- Years Ended
December 31, ......................................................... F-5
2001, 2000 and 1999
Consolidated Statements of Cash Flows - Years Ended December 31,
2001, 2000 ........................................................... F-6
and 1999
Notes to Consolidated Financial Statements ........................... F-7
Schedule II - Valuation and Qualifying Accounts ...................... S-1
F-1
REPORT OF INDEPENDENT AUDITORS
Stockholders, Chapter 11 Trustee and Board of Directors
Coram Healthcare Corporation
We have audited the accompanying consolidated balance sheets of Coram
Healthcare Corporation (the "Company") as of December 31, 2001 and 2000, and the
related consolidated statements of income, stockholders' equity, and cash flows
for each of the three years in the period ended December 31, 2001. Our audits
also included the financial statement schedule listed in the Index at Item
14(a). These financial statements and schedule are the responsibility of the
company's management. Our responsibility is to express an opinion on these
financial statements and schedule based on our audits.
We conducted our audits in accordance with auditing standards generally
accepted in the United States. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether the financial statements
are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An
audit also includes assessing the accounting principles used and significant
estimates made by management, as well as evaluating the overall financial
statement presentation. We believe that our audits provide a reasonable basis
for our opinion.
In our opinion, the financial statements referred to above present fairly,
in all material respects, the consolidated financial position of Coram
Healthcare Corporation at December 31, 2001 and 2000, and the consolidated
results of its operations and its cash flows for each of the three years in the
period ended December 31, 2001, in conformity with accounting principles
generally accepted in the United States. Also, in our opinion, the related
financial statement schedule, when considered in relation to the basic
consolidated financial statements taken as a whole, presents fairly in all
material respects, the information set forth therein.
The accompanying consolidated financial statements have been prepared
assuming that the company will continue as a going concern. However, the company
has incurred net losses from continuing operations in each of the three years in
the period ended December 31, 2001 and, as more fully described in Note 8 to the
consolidated financial statements, the company has not been in compliance with
certain covenants of its loan agreements. In addition, as more fully described
in Note 3 to the consolidated financial statements, Coram Healthcare Corporation
and its first tier wholly owned subsidiary Coram, Inc. (the "Debtors") filed
voluntary petitions for relief under Chapter 11 of the United States Bankruptcy
Code and continue to operate as debtors-in-possession under the protection of
Chapter 11 at December 31, 2001. On August 8, 2000 the Debtors filed a joint
plan of reorganization with the United States Bankruptcy Court (the "Bankruptcy
Court"). On December 21, 2000, the plan was not approved by the Bankruptcy
Court. On July 31, 2001, the Debtors filed with the Bankruptcy Court a Second
Joint Plan of reorganization, as amended (the "Second Joint Plan"). On December
21, 2001, the Bankruptcy Court issued an order denying confirmation of the
Debtors' Second Joint Plan. On February 12, 2002, the Bankruptcy Court granted
motions made by the Office of the United States Trustee and two of the Debtors'
noteholders for the appointment of a Chapter 11 trustee to oversee the Debtors
during their reorganization process. The Company is currently operating its
business under the jurisdiction of the Chapter 11 trustee appointed by the
Bankruptcy Court and continuation of the Company as a going concern is
contingent upon, among other things, the ability to formulate a plan of
reorganization which will gain approval of requisite parties under the United
States Bankruptcy Code and confirmation of the Bankruptcy Court, resolution of
various litigation against the Company, and the Company's ability to generate
sufficient cash from operations and obtain financing sources to meet its future
obligations. These matters raise substantial doubt about the company's ability
to continue as a going concern. The accompanying consolidated financial
statements do not include any adjustments reflecting the possible future effects
on the recoverability and classification of assets or the amount and
classification of liabilities that may result from the outcome of these
uncertainties.
ERNST & YOUNG LLP
Denver, Colorado
April 12, 2002
F-2
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
CONSOLIDATED BALANCE SHEETS
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
ASSETS
DECEMBER 31,
----------------------
2001 2000
--------- ---------
Current assets:
Cash and cash equivalents ......................................................... $ 21,339 $ 27,259
Cash limited as to use ............................................................ 269 387
Accounts receivable, net of allowances of $19,457 and $17,912 ..................... 88,567 77,387
Inventories ....................................................................... 13,557 12,796
Deferred income taxes, net ........................................................ 178 428
Other current assets .............................................................. 4,823 4,759
--------- ---------
Total current assets ...................................................... 128,733 123,016
Property and equipment, net ........................................................ 15,030 15,292
Deferred income taxes, net ......................................................... 719 1,697
Other deferred costs and intangible assets, net of accumulated amortization of
$19,444 and $16,963 ............................................................. 6,270 8,448
Goodwill, net of accumulated amortization of $97,592 and $87,770 ................... 180,871 193,855
Other assets ....................................................................... 4,843 3,068
--------- ---------
Total assets .............................................................. $ 336,466 $ 345,376
========= =========
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities not subject to compromise:
Accounts payable .................................................................. $ 24,142 $ 21,450
Accrued compensation and related liabilities ...................................... 26,349 24,598
Current maturities of long-term debt .............................................. 60 179
Income taxes payable .............................................................. 316 773
Deferred income taxes ............................................................. 462 52
Accrued merger and restructuring costs ............................................ 583 2,301
Accrued reorganization costs ...................................................... 7,742 4,831
Other accrued liabilities, including interest payable ............................. 6,236 6,849
--------- ---------
Total current liabilities not subject to compromise ................................. 65,890 61,033
Total current liabilities subject to compromise (See Note 3) ........................ 139,044 159,127
--------- ---------
Total current liabilities ........................................................... 204,934 220,160
Long-term liabilities not subject to compromise:
Long-term debt, less current maturities ........................................... 150 24
Minority interests in consolidated joint ventures and preferred stock issued by a
subsidiary ...................................................................... 6,290 5,978
Income taxes payable .............................................................. 17,784 11,903
Other liabilities ................................................................. 1,901 1,727
Deferred income taxes ............................................................. 435 2,073
Net liabilities of discontinued operations ........................................ 26,783 26,533
--------- ---------
Total liabilities ......................................................... 258,277 268,398
Commitments and contingencies
Stockholders' equity:
Preferred stock, par value $.001, authorized 10,000 shares, none issued ............. -- --
Common stock, par value $.001, 150,000 shares authorized, 49,638 shares issued and
outstanding ..................................................................... 50 50
Additional paid-in capital .......................................................... 427,353 427,357
Accumulated deficit ................................................................. (349,214) (350,429)
--------- ---------
Total stockholders' equity ................................................ 78,189 76,978
--------- ---------
Total liabilities and stockholders' equity ................................ $ 336,466 $ 345,376
========= =========
See accompanying notes to consolidated financial statements.
F-3
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
CONSOLIDATED STATEMENTS OF INCOME
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
YEARS ENDED DECEMBER 31,
-----------------------------------
2001 2000 1999
--------- --------- ---------
Net revenue ............................................................. $ 393,629 $ 464,820 $ 521,196
Cost of service ......................................................... 279,275 341,656 408,878
--------- --------- ---------
Gross profit ............................................................ 114,354 123,164 112,318
Operating expenses:
Selling, general and administrative expenses .......................... 83,836 90,329 96,809
Provision for estimated uncollectible accounts ........................ 17,533 9,773 28,310
Amortization of goodwill .............................................. 9,822 10,227 10,784
Restructuring cost (recovery) expense ................................. (679) (322) 5,831
Losses on impairments of long-lived assets ............................ 3,255 8,323 9,100
--------- --------- ---------
Total operating expenses ...................................... 113,767 118,330 150,834
--------- --------- ---------
Operating income (loss) from continuing operations ...................... 587 4,834 (38,516)
Other income (expenses):
Interest income ....................................................... 1,216 991 655
Interest expense (excluding post-petition contractual interest of
$14.0 million for the year ended December 31, 2001) ................ (6,652) (26,788) (29,763)
Equity in net income of unconsolidated joint ventures ................. 730 759 442
Gains on sales of businesses .......................................... -- 18,649 --
Gains (losses) on dispositions of property and equipment, net ......... 1 (224) (107)
Other income, net ..................................................... 55 2,473 405
--------- --------- ---------
Income (loss) from continuing operations
before reorganization expenses, income taxes, minority
interests and extraordinary gains on troubled debt restructurings... (4,063) 694 (66,884)
Reorganization expenses, net ............................................ 14,397 8,264 --
--------- --------- ---------
Loss from continuing operations before income taxes, minority
interests and extraordinary gains on troubled debt restructurings ..... (18,460) (7,570) (66,884)
Income tax expense .................................................... 150 250 440
Minority interests in net income of consolidated joint ventures ....... 631 571 1,470
--------- --------- ---------
Loss from continuing operations before extraordinary gains on troubled
debt restructurings .................................................... (19,241) (8,391) (68,794)
--------- --------- ---------
Discontinued Operations:
Loss from operations .................................................. -- -- (28,411)
Loss from disposal .................................................... (250) (662) (17,618)
--------- --------- ---------
Total discontinued operations ........................................... (250) (662) (46,029)
--------- --------- ---------
Extraordinary gains on troubled debt restructurings, net of income
tax expense of $400 for the year ended December 31, 2000 .............. 20,706 107,772 --
--------- --------- ---------
Net income (loss) ....................................................... $ 1,215 $ 98,719 $(114,823)
========= ========= =========
Earnings (Loss) Per Share
Basic and Diluted:
Loss from continuing operations ..................................... $ (0.39) $ (0.17) $ (1.39)
Loss from discontinued operations ................................... (0.01) (0.01) (0.93)
Extraordinary gains on troubled debt restructurings ................. 0.42 2.17 --
--------- --------- ---------
Net income (loss) per common share .................................. $ 0.02 $ 1.99 $ (2.32)
========= ========= =========
Weighted average common shares used in computation of basic and diluted
earnings (loss) per share ......................................... 49,638 49,638 49,512
========= ========= =========
See accompanying notes to consolidated financial statements.
F-4
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY
(IN THOUSANDS)
COMMON STOCK ADDITIONAL
--------------------- PAID-IN ACCUMULATED
SHARES AMOUNT CAPITAL DEFICIT TOTALS
--------- --------- --------- --------- ---------
Balances at January 1, 1999 ...... 49,201 $ 49 $ 427,133 $(334,325) $ 92,857
Issuances of common stock and
warrants, net ............... 437 1 266 -- 267
Net loss ....................... -- -- -- (114,823) (114,823)
--------- --------- --------- --------- ---------
Balances at December 31, 1999 .... 49,638 50 427,399 (449,148) (21,699)
Other .......................... -- -- (42) -- (42)
Net income ..................... -- -- -- 98,719 98,719
--------- --------- --------- --------- ---------
Balances at December 31, 2000 .... 49,638 50 427,357 (350,429) 76,978
Other .......................... -- -- (4) -- (4)
Net income ..................... -- -- -- 1,215 1,215
--------- --------- --------- --------- ---------
Balances at December 31, 2001 .... 49,638 $ 50 $ 427,353 $(349,214) $ 78,189
========= ========= ========= ========= =========
See accompanying notes to consolidated financial statements.
F-5
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
CONSOLIDATED STATEMENTS OF CASH FLOWS
(IN THOUSANDS)
YEARS ENDED DECEMBER 31,
-----------------------------------
2001 2000 1999
--------- --------- ---------
CASH FLOWS FROM OPERATING ACTIVITIES
Net loss from continuing operations ...................................... $ (19,241) $ (8,391) $ (68,794)
Adjustments to reconcile net loss from continuing operations to
net cash provided by (used in) continuing operations:
Provision for estimated uncollectible accounts ......................... 17,533 9,773 28,310
Depreciation and amortization (including accelerated write-off
of deferred debt issuance costs in 2000) ............................. 20,708 23,227 23,892
Reorganization expenses, net ........................................... 14,397 8,264 --
Minority interest in net income of consolidated joint ventures, net .... 631 571 1,470
(Gains) losses on dispositions of property and equipment ............... (1) 224 107
Gains on sales of businesses ........................................... -- (18,649) --
Cash distributions from equity investees ............................... 398 883 922
Equity in net income of unconsolidated joint ventures, net ............. (730) (759) (442)
Losses on impairments of long-lived assets ............................. 3,255 8,323 9,100
Changes in operating assets and liabilities, net:
Accounts receivable .................................................. (28,713) 3,490 (36,828)
Prepaid expenses, inventories and other assets ....................... (1,112) 8,275 3,136
Current and other liabilities, including accrued interest ............ 8,786 12,418 26,203
Accrued merger and restructuring costs ............................... (1,718) (3,505) 3,456
--------- --------- ---------
Net cash provided by (used in) continuing operations before
reorganization items.................................................. 14,193 44,144 (9,468)
Operating cash flows used by reorganization items ........................ (10,776) (1,581) --
--------- --------- ---------
Net cash provided by (used in) continuing operations (net of
reorganization items)................................................. 3,417 42,563 (9,468)
--------- --------- ---------
CASH FLOWS FROM INVESTING ACTIVITIES
Purchases of property and equipment ...................................... (7,587) (3,527) (6,947)
Investment in a joint venture ............................................ -- (249) --
Proceeds from sales (payments for acquisitions) of businesses, net ....... -- 41,513 (481)
Proceeds from dispositions of property and equipment ..................... 74 60 159
--------- --------- ---------
Net cash (used in) provided by investing activities ...................... (7,513) 37,797 (7,269)
--------- --------- ---------
CASH FLOWS FROM FINANCING ACTIVITIES
Proceeds from promissory notes and other debt obligations ................ -- 1,500 50,000
Principal payments of debt obligations ................................... (296) (55,562) (6,061)
Cash paid for debtor-in-possession financing costs ....................... -- (536) --
Deposits to collateralize letters of credit, net ......................... (1,116) -- --
Cash distributions to minority interests ................................. (412) (1,405) (796)
Purchases of stock and exercises of warrants and options, net ............ -- -- 210
--------- --------- ---------
Net cash (used in) provided by financing activities ...................... (1,824) (56,003) 43,353
--------- --------- ---------
NET INCREASE (DECREASE) IN CASH FROM CONTINUING OPERATIONS ............... (5,920) 24,357 26,616
NET CASH USED IN DISCONTINUED OPERATIONS ................................. -- (3,731) (20,186)
CASH AND CASH EQUIVALENTS, BEGINNING OF YEAR ............................. 27,259 6,633 203
--------- --------- ---------
CASH AND CASH EQUIVALENTS, END OF YEAR ................................... $ 21,339 $ 27,259 $ 6,633
========= ========= =========
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid during the period for:
Interest ............................................................... $ 226 $ 9,175 $ 9,974
Income taxes ........................................................... 724 513 554
SUPPLEMENTAL SCHEDULE OF NON-CASH INVESTING AND FINANCING
ACTIVITIES:
Extraordinary gains on troubled debt restructurings (long-term debt
conversion to subsidiary preferred stock), net of income tax expense
of $400 for the year ended December 31, 2000 .......................... $ 20,706 $ 107,772 $ --
See accompanying notes to consolidated financial statements.
F-6
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2001
1. DESCRIPTION OF BUSINESS
Business Activity. As of December 31, 2001 Coram Healthcare Corporation
("CHC") and its subsidiaries ("Coram" or the "company") were engaged primarily
in the business of furnishing alternate site (outside the hospital) infusion
therapy, including non-intravenous home health products such as durable medical
equipment and respiratory services. Other services offered by Coram include
centralized management, administration and clinical support for clinical
research trials. Coram delivers its alternate site infusion therapy services
through 77 branch offices located in 40 states and Ontario, Canada. CHC and its
first tier wholly owned subsidiary, Coram, Inc. ("CI") (collectively the
"Debtors"), filed voluntary petitions under Chapter 11 of the United States
Bankruptcy Code (the "Bankruptcy Code") on August 8, 2000. On such date, the
Debtors commenced operations as debtors-in-possession subject to the
jurisdiction of the United States Bankruptcy Court for the District of Delaware
(the "Bankruptcy Court"); however, a Chapter 11 trustee was appointed by the
Bankruptcy Court on March 7, 2002, at which time, the Debtors are no longer
debtors-in-possession under the Bankruptcy Code. None of the company's other
subsidiaries is a debtor in the proceeding. See Note 3 for further details.
In December 1999, Coram announced that it was repositioning its business to
focus on its core alternate site infusion therapy business and the clinical
research business operated by its subsidiary, CTI Network, Inc. Accordingly,
Coram's primary business strategy is to focus its efforts on the delivery of its
core infusion therapies, such as nutrition, anti-infective therapies,
intravenous immunoglobulin ("IVIG"), therapy for persons receiving transplants,
pain management and coagulant and blood clotting therapies for persons with
hemophilia. Coram has also implemented programs focused on the reduction and
control of operating expenses and other costs of providing services, assessment
of under-performing branches and review of branch efficiencies. Pursuant to this
review, several branches have been closed or scaled back to serve as satellites
for other branches and personnel have been eliminated. Additionally, a
reimbursement site consolidation plan was initiated and completed during 2001.
See Note 6 for further details. Most of the company's net revenue is derived
from third-party payers such as private indemnity insurers, managed care
organizations and governmental payers.
Prior to August 1, 2000, the company delivered pharmacy benefit management
and specialty mail-order pharmacy services for chronically ill patients through
its Coram Prescription Services ("CPS") business from one primary mail order
facility, four satellite mail order facilities and one retail pharmacy. The
pharmacy benefit management service provided on-line claims administration,
formulary management and certain drug utilization review services through a
nationwide network of retail pharmacies. CPS's specialty mail-order pharmacy
services were delivered through its six facilities, which provided distribution,
compliance monitoring, patient education and clinical support to a wide variety
of patients. On July 31, 2000, Coram completed the sale of its CPS business to a
management-led group financed by GTCR Golder Rauner, L.L.C. for a one-time
payment of $41.3 million. See Note 5 for further details.
Prior to January 1, 2000, the company provided ancillary network management
services through its subsidiaries, Coram Resource Network, Inc. and Coram
Independent Practice Association, Inc. (collectively the "Resource Network
Subsidiaries" or "R-Net"), which managed networks of home healthcare providers
on behalf of HMOs, PPOs, at-risk physician groups and other managed care
organizations. R-Net served its customers through two primary call centers and
three satellite offices. In April 1998, the company entered into a five-year
capitated agreement with Aetna U.S. Healthcare, Inc. ("Aetna") (the "Master
Agreement") for the management and provision of certain home health services,
including home infusion, home nursing, respiratory therapy, durable medical
equipment, hospice care and home nursing support for several of Aetna's disease
management programs. The agreements that R-Net had for the provision of
ancillary network management services have been terminated and R-Net is no
longer providing any ancillary network management services. Coram and Aetna were
previously involved in litigation over the Master Agreement; however, the
litigation was amicably resolved and the case was dismissed on April 20, 2000.
See Note 13 for further details. The Resource Network Subsidiaries filed
voluntary bankruptcy petitions on November 12, 1999 with the Bankruptcy Court
under Chapter 11 of the United States Bankruptcy Code, and the Resource Network
Subsidiaries are being liquidated pursuant to such proceedings. See Notes 4 and
13 for further details.
Company History. The company was formed on July 8, 1994, as a result of a
merger (the "Four-Way Merger") by and among T2 Medical, Inc. ("T2 Medical"),
Curaflex Health Services, Inc. ("Curaflex"), HealthInfusion, Inc.
("HealthInfusion") and Medisys, Inc. ("Medisys") (collectively the "Merged
Entities").
F-7
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
Concentration of Credit Risk. Financial instruments that potentially subject
the company to concentrations of credit risk consist primarily of cash
equivalents and accounts receivable. At December 31, 2001 substantially all of
the company's cash was deposited with Harris Trust and Savings Bank. Daily cash
balances may be in excess of the FDIC insurance limits, but credit risk is
mitigated as deposits are kept only with high credit quality institutions.
Accounts receivable are primarily from third-party payers, including private
indemnity insurers, managed care organizations and state and federal
governmental payers such as Medicare and Medicaid, and are unsecured. Accounts
receivable under the Medicare program represented approximately 32% and 24% of
the company's consolidated accounts receivable at December 31, 2001 and December
31, 2000, respectively. No other individual payer exceeded 5% of consolidated
accounts receivable at those dates. Credit risk is mitigated by the large number
of entities that comprise the third-party payer base and credit evaluations of
patients and third-party payers.
2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND BASIS OF PRESENTATION
Basis of Presentation. The accompanying consolidated financial statements
have been prepared on a going concern basis, which contemplates continuity of
operations, realization of assets and liquidation of liabilities in the ordinary
course of business. However, as a result of the Debtors' bankruptcy filings and
circumstances relating thereto, including the company's leveraged financial
structure and cumulative losses from operations, such realization of assets and
liquidation of liabilities is subject to significant uncertainty. During the
pendency of the Debtors' Chapter 11 bankruptcy proceedings, the company may sell
or otherwise dispose of assets and liquidate or settle liabilities for amounts
other than those reflected in the consolidated financial statements.
Furthermore, a plan of reorganization filed in the Chapter 11 proceedings could
materially change the amounts reported in the consolidated financial statements,
which do not give effect to any adjustments of the carrying value of assets or
liabilities that might be necessary as a consequence of a plan of reorganization
(see Note 3 for further details). The company's ability to continue as a going
concern is dependent upon, among other things, confirmation of a plan of
reorganization, future profitable operations, the ability to comply with the
terms of the company's financing agreements, the ability to obtain necessary
financing to fund a pending settlement with the Internal Revenue Service, the
ability to remain in compliance with the physician ownership and referral
provisions of the Omnibus Budget Reconciliation Act of 1993 (commonly known as
"Stark II") and the ability to generate sufficient cash from operations and/or
financing arrangements to meet obligations.
Principles of Consolidation. The consolidated financial statements include
the accounts of CHC, its subsidiaries and joint ventures which are considered to
be under the control of CHC, including those of CHC's direct subsidiary CI. As
discussed in Note 1, CI is a party to the bankruptcy proceedings that are being
jointly administered with those of CHC in the Bankruptcy Court. All material
intercompany account balances and transactions have been eliminated in
consolidation. The company uses the equity method of accounting to account for
investments in entities in which it exhibits significant influence, but not
control, and has an ownership interest of 50% or less.
Bankruptcy Reporting. Effective August 8, 2000, the company began presenting
its consolidated financial statements in accordance with the provisions of SOP
90-7, "Financial Reporting by Entities in Reorganization under the Bankruptcy
Code" ("SOP 90-7").
Revenue Recognition. Revenue is recognized as services are rendered or
products are delivered. Substantially all of the company's revenue is billed to
third-party payers, including insurance companies, managed care plans,
governmental payers and contracted institutions. Revenue is recorded and billed
net of contractual allowances and related discounts. Contractual allowances
represent adjustments to established rates (e.g., Average Wholesale Price for
pharmaceutical drugs, etc.) to reflect the amounts expected to be realized from
third-party payers under contractual agreements. For non-contracted payers
(excluding Medicare and Medicaid), pricing is either negotiated prior to
rendering services or the payer is billed at list price. In the former
circumstance, contractual allowances are recorded at the time of revenue
recognition based upon the pre-negotiated rates. If the payer is billed at list
price, a contractual allowance is recorded based upon management's estimates
until a payment history is established with the payer, at which time the
contractual allowances are prospectively modified. In the case of Medicare and
Medicaid, contractual allowances are recorded at the time of revenue recognition
based upon the allowable recoverable amount pursuant to the underlying federal
and state regulations for such governmental programs.
In certain cases, the company accepts fixed fee or capitated fee
arrangements. Under a capitated arrangement, the company will agree to deliver
or arrange for the delivery of certain home health services required under the
payer customer's health plan in exchange for a fixed per member per month
service fee. The total per member per month fee is calculated using all members
enrolled in the particular health plan as of certain dates. The per member per
month service fees are recognized as revenue in the month the fees are
designated to cover home health services. As of December 31, 2001, Coram was a
party to only four capitated arrangements. Such
F-8
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
agreements represented approximately 6%, 4% and 2% of the company's consolidated
net revenue from continuing operations for the years ended December 31, 2001,
2000 and 1999, respectively. Of the capitated revenue agreements, approximately
90% of the 2001 activity (5.5% of the company's total net revenue for 2001)
relates to an agreement that provides services to members in the California
marketplace. The aforementioned capitated agreement's risk to the company is
somewhat mitigated by the inclusion of contractual stop-loss provisions that
protect the company when member utilization for identified therapies exceeds
contractual thresholds. Once stop-loss provisions are met in any given month,
the services provided by Coram are reimbursed at agreed-upon fee-for-service
rates.
Management fees, which are collected from entities managed by the company,
are a fixed fee or are based on a percentage of the entities' operating results
or number of active patients. Management fees were immaterial for all periods
presented in the consolidated statements of income.
Revenue from the Medicare and Medicaid programs accounted for approximately
25%, 22%, and 21% of the company's consolidated net revenue from continuing
operations for the years ended December 31, 2001, 2000 and 1999, respectively.
Laws and regulations governing the Medicare and Medicaid programs are complex
and subject to interpretation and revision. Management believes that the company
is in compliance with all applicable laws and regulations. Compliance with such
laws and regulations can be subject to future government review and
interpretation as well as significant regulatory action, including fines,
penalties and exclusion from the Medicare and Medicaid programs.
From time to time, the company negotiates settlements with its third party
payers in order to resolve outstanding disputes, terminate business
relationships or facilitate the establishment of new enhanced payer contracts.
In connection therewith, the company recorded bad debt expense, net of
recoveries, aggregating approximately $0.6 million for the year ended December
31, 2001. For the years ended December 31, 2000 and 1999, the company recorded
net bad debt recoveries of $0.4 million and $0.1 million, respectively.
Furthermore, management is aware of certain claims, disputes or unresolved
matters with third-party payers in the normal course of business. Although there
can be no assurances, management believes that the resolution of such matters
should not have a material adverse effect on the company's financial position,
results of operations or cash flows.
Cash and Cash Equivalents. Cash equivalents include all highly liquid
investments with an original maturity of three months or less. The company's
cash balance that was limited as to its use includes cash which has restrictions
imposed on its use by third parties.
Inventories. Inventories, consisting primarily of pharmaceutical drugs and
medical supplies, are stated at the lower of cost or market. Cost is determined
using the first-in, first-out method.
Property and Equipment. Property and equipment are stated at cost.
Depreciation is computed using straight-line and accelerated methods over the
estimated useful lives of one to seven years for equipment, furniture, fixtures
and vehicles. Leasehold improvements are amortized over the shorter of the lease
term or estimated useful lives of the underlying assets. Repairs and maintenance
costs are expensed as incurred.
Capitalized Software Development Costs. Costs related to software developed
and obtained for internal use are stated at cost in accordance with Statement of
Position 98-1, Accounting for Computer Software Developed For or Obtained for
Internal-Use ("SOP 98-1"). Amortization is computed using the straight-line
method over estimated useful lives of one to five years.
Goodwill and other Long-Lived Assets. Goodwill represents the excess of
purchase price over the fair value of net assets acquired through business
combinations accounted for as purchases and is amortized on a straight-line
basis over 25 years. Certain agreements related to previously acquired
businesses or interests therein provide for additional contingent consideration
to be paid by the company. The amount of additional consideration, if any, is
generally based on the financial performance levels of the acquired companies.
In the period these payments become probable, they are recorded as additional
goodwill. See Note 13 for further details concerning contingencies relative to
earn-out payments.
The carrying value of goodwill and other long-lived assets is reviewed
quarterly to determine if any impairment indicators are present. If it is
determined that such indicators are present and the review indicates that the
assets will not be recoverable, based on undiscounted estimated cash flows,
their carrying value is reduced to estimated fair value based on discounted cash
flow estimates. Impairment indicators include, among other conditions, cash flow
deficits; historical or anticipated declines in revenue or operating profit;
adverse legal, regulatory or reimbursement developments; or a material decrease
in the fair value of some or all of the assets. A review is done separately for
each of the identifiable markets in which the company operates. During the years
ended December 31, 2001, 2000 and 1999, Coram recognized losses on impairments
of goodwill and long-lived assets (primarily goodwill) of
F-9
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
approximately $3.3 million, $8.3 million and $9.1 million, respectively. These
impairment charges resulted primarily from recurring operating losses or
substandard financial performance at the infusion branches to which the
associated goodwill and other long-lived assets related. The amount of
impairment charges were determined using forecasted discounted cash flows of
those branches with indicators of potential impairment of allocated long-lived
assets. The forecasted cash flows were based on earnings before interest
expense, taxes, depreciation and amortization ("EBITDA"), with an effective 8%
growth rate, offset by corporate administrative cost allocations with an
estimated growth rate of 2%. A discount rate of 10% was used to calculate the
net present value of the forecasted future annual cash flows projected over 25
years, plus a terminal value equal to 3.5 times EBITDA.
In July 2001, the FASB issued Statement of Financial Accounting Standards
No. 142, Goodwill and Other Intangible Assets ("Statement 142"), which primarily
addresses the accounting for goodwill and intangible assets subsequent to their
acquisition and FASB Statement No. 144, Accounting for the Impairment or
Disposal of Long-Lived Assets. Statement 142 requires that goodwill and
indefinite long-lived intangible assets no longer be amortized to earnings, but
instead be reviewed periodically for impairment. Statements 142 and 144 are
effective for the company for the year ending December 31, 2002. Management is
currently evaluating the impact that the adoption of these accounting
pronouncements will have on the company's financial position and results of
operations. For the years ended December 31, 2001, 2000 and 1999, the company
recognized goodwill amortization of $9.8 million, $10.2 million and $10.8
million, respectively.
Coram may be required to record additional write-downs of its goodwill and
other long-lived assets. Any such write-down could have a material adverse
effect on the company's financial position and results of operations.
Provision for Estimated Uncollectible Accounts. Management regularly reviews
the collectibility of accounts receivable utilizing reports that track
collection and write-off activity. Estimated write-off percentages are then
applied to each aging category by payer classification to determine the
allowance for estimated uncollectible accounts. Additionally, the company
establishes appropriate supplemental specific reserves for accounts that are
deemed uncollectible due to occurrences such as payer financial distress and
payer bankruptcy filings. The allowance for estimated uncollectible accounts is
adjusted as needed to reflect current collection, write-offs and other trends,
including changes in assessment of realizable value. While management believes
the resulting net carrying amounts for accounts receivable are fairly stated and
that the company has adequate provisions for uncollectible accounts based on all
information available, no assurances can be given as to the level of future
provisions for uncollectible accounts, or how they will compare to the levels
experienced in the past. The company's ability to successfully collect its
accounts receivable depends, in part, on its ability to adequately supervise and
train personnel in billing and collections, and maximize integration
efficiencies related to reimbursement site consolidations and system changes.
In December 2000, Coram announced that as part of its continuing efforts to
improve efficiency and overall performance, several Patient Financial Service
Centers (reimbursement sites) were being consolidated and the related
reimbursement positions were being eliminated. By consolidating to fewer sites,
management expects to implement improved training, more easily standardize "best
demonstrated practices," enhance specialization related to payers such as
Medicare and achieve more consistent and timely cash collections. Management
does not expect this change to affect Coram's patients or payers, but believes,
instead, that in the long-term they will receive better, more consistent
service. The transition was accomplished in stages commencing April 1, 2001 and
ending July 2001. Management had taken certain actions to mitigate the potential
shortfall in cash collections during and after the transition period, including,
but not limited to, offering incentives for personnel to stay with the company
until the completion of their corresponding regional consolidation.
Notwithstanding management's efforts, the company experienced deterioration in
its days sales outstanding ("DSO") since the commencement of the reimbursement
consolidation plan and a substantial growth in accounts receivable. No
assurances can be given that the consolidation of the company's Patient
Financial Service Centers will be successful in enhancing timely reimbursement,
that the company will not continue to experience a significant shortfall in cash
collections after the transition period or that the aforementioned deterioration
in DSO and accounts receivable will not continue.
Earnings per Share. Basic and diluted earnings (loss) per share were
identical for each year in the three year period ended December 31, 2001. In
each such year, the company experienced losses from continuing operations and,
in accordance with the provisions of Financial Accounting Standards Board
("FASB") Statement No. 128, Earnings Per Share, the denominator utilized to
calculate earnings (loss) per share does not increase when losses from
continuing operations are in evidence because to do so would be anti-dilutive.
Comprehensive Income. The FASB issued Statement of Financial Accounting
Standards No. 130, Reporting Comprehensive Income ("Statement 130"),
establishing rules for reporting and displaying comprehensive income.
Comprehensive income is defined as essentially all changes in stockholders'
equity exclusive of transactions with owners (e.g., dividends, stock options,
etc.) and
F-10
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
includes net income plus changes in certain assets and liabilities that are
reported directly in equity, referred to as "Other Comprehensive Income." Other
Comprehensive Income includes unrealized gains or losses on available-for-sale
securities, translation adjustments on investments in foreign subsidiaries and
certain changes in minimum pension liabilities. The company has no material
activity that requires disclosure under Statement 130.
Derivatives and Hedging Activities. In June 1998, the FASB issued Statement
of Financial Accounting Standards No. 133, Accounting for Derivative Instruments
and Hedging Activities ("Statement 133"), which requires recording all
derivative instruments as assets or liabilities, measured at fair value.
Statement 133 was initially effective for fiscal years beginning after June 15,
1999. In June 1999, the FASB issued Statement of Financial Accounting Standards
No. 137, Accounting for Derivative Instruments and Hedging Activities-Deferral
of the effective date of FASB No. 133, which deferred the effective date of
Statement 133 to fiscal years beginning after June 15, 2000. Accordingly, the
company adopted the new pronouncement effective January 1, 2001; however, it had
no effect on the company's financial position or operating results.
Business Combinations. In July 2001, the FASB issued Statement of Financial
Accounting Standards No. 141, Business Combinations ("Statement 141"), which
requires the use of the purchase method of accounting for all business
combinations initiated after June 30, 2001, establishes specific criteria for
the recognition of intangible assets separately from goodwill and requires
unallocated negative goodwill to be written off immediately as an extraordinary
gain. Statement 141 is effective for the company for the year ending December
31, 2002. The adoption of this accounting pronouncement is not anticipated to
have a material impact on the company's financial position or results of
operations.
Use of Estimates. The preparation of financial statements in conformity with
generally accepted accounting principles requires management to make estimates
and assumptions that affect the reported amounts of assets and liabilities and
disclosure of contingent assets and liabilities at the date of the financial
statements and reported amounts of revenue and expenses during the reported
period. Actual results could differ from those estimates.
3. REORGANIZATION UNDER CHAPTER 11 OF THE UNITED STATES BANKRUPTCY CODE
Background and Certain Important Bankruptcy Court Activity
On August 8, 2000, CHC and CI filed voluntary petitions under Chapter 11 of
the United States Bankruptcy Code (the "Bankruptcy Code"). Following the filing
of the voluntary Chapter 11 petitions, the Debtors commenced operating as
debtors-in-possession subject to the jurisdiction of the Bankruptcy Court;
however, as discussed below, a Chapter 11 trustee was appointed by the
Bankruptcy Court on March 7, 2002. None of the company's other subsidiaries is a
debtor in the proceeding. The Debtors' need to seek the relief afforded by the
Bankruptcy Code was due, in part, to its requirement to remain in compliance
with the physician ownership and referral provisions of the Omnibus Budget
Reconciliation Act of 1993 (commonly referred to as "Stark II") (see discussion
of Stark II in Note 13), after December 31, 2000 and the scheduled May 27, 2001
maturity of the Series A Senior Subordinated Unsecured Notes. The Debtors sought
advice and counsel from a variety of sources and, in connection therewith, the
Independent Committee of the Board of Directors unanimously concluded that the
bankruptcy and restructuring were the only viable alternatives.
On August 9, 2000, the Bankruptcy Court approved the Debtors' motions for:
(i) payment of all employee wages and salaries and certain benefits and other
employee obligations; (ii) payment of critical trade vendors, utilities and
insurance in the ordinary course of business for both pre and post-petition
expenses; (iii) access to a debtor-in-possession financing arrangement (see Note
8 for details of the executed agreement); and (iv) use of all company bank
accounts for normal business operations. In September 2000, the Bankruptcy Court
approved the Debtors' motion to reject four unexpired, non-residential real
property leases and any associated subleases. The rejected leases included
underutilized locations in: (i) Allentown, Pennsylvania; (ii) Denver, Colorado;
(iii) Philadelphia, Pennsylvania; and (iv) Whippany, New Jersey. The successful
rejection of the Whippany, New Jersey lease caused the company to reverse
certain reserves during the year ended December 31, 2000 that had previously
been established for the closure of its discontinued operations. Additionally,
in January 2002, the Bankruptcy Court approved a motion to extend the period of
time in which the Debtors can reject unexpired leases of non-residential real
property up to and including May 2, 2002. Certain other motions filed by the
Debtors have been granted and others are presently pending.
In September 2000 and October 2000, the Bankruptcy Court approved payments
of up to approximately $2.6 million for retention bonuses payable to certain key
employees. The bonuses were scheduled to be paid in two equal installments on
the later of the date of emergence from bankruptcy or: (i) December 31, 2000 and
(ii) December 31, 2001. Due to events that have delayed emergence from
bankruptcy, the Bankruptcy Court approved early payment of the first installment
to most individuals within the retention program
F-11
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
and such payments, aggregating approximately $0.7 million, were made on March
15, 2001. In January 2002, when events again delayed the Debtors' anticipated
emergence from bankruptcy, the Debtors requested permission from the Bankruptcy
Court to pay the remaining portion of the first installment of approximately
$0.5 million to the company's Chief Executive Officer and Executive Vice
President and the full amount of the second installment. The Debtors also
requested authorization to initiate another retention plan to provide financial
incentives not to exceed $1.25 million to certain key employees during the year
ending December 31, 2002. Principally due to the then pending appointment of a
Chapter 11 trustee, on February 12, 2002 the Bankruptcy Court declined to rule
on the Debtors' motions. However, on March 15, 2002, after the appointment of a
Chapter 11 trustee, the Bankruptcy Court partially approved the Debtors' motions
insofar as the all remaining retention bonuses were authorized to be paid,
exclusive of amounts pertaining to the company's Chief Executive Officer because
such payments are disputed by the Official Committee of the Equity Security
Holders. The incremental retention bonuses, aggregating approximately $0.8
million, were paid on March 25, 2002. The Bankruptcy Court has deferred its
ruling on the Debtors' motions pertaining to the 2002 retention plan and payment
of the Chief Executive Officer's retention amounts until a hearing on May 9,
2002. The company has fully accrued the remaining amounts under the first and
second installments of the retention plans as of December 31, 2001.
On September 7, 2001, the Bankruptcy Court approved payments of up to $2.7
million for management incentive plan compensation bonuses (the "MIP") related
to the year ended December 31, 2000 for all individuals participating in the
MIP, except for the company's Chief Executive Officer. In connection therewith,
payments were made to those individuals in September 2001.
On or about May 9, 2001, the Bankruptcy Court approved the Debtors' motion
requesting authorization to enter into an insurance premium financing agreement
with AICCO, Inc. (the "Financing Agreement") to finance the payment of premiums
under certain of the Debtors' insurance policies. Under the terms of the
Financing Agreement, the Debtors made a down payment of approximately $1.1
million. The amount financed was approximately $2.1 million and was secured by
the unearned premiums and loss payments under the insurance policies covered by
the Financing Agreement. The amount financed was paid in eight monthly
installments of approximately $0.3 million each through December 2001, including
interest at a per annum rate of 7.85%.
On October 29, 2001, the Debtors filed a motion with the Bankruptcy Court
requesting approval of a proposed asset purchase agreement which would provide
the authority for a non-debtor subsidiary of the company to sell certain durable
medical equipment located at its New Orleans branch to a third party. On
November 13, 2001, the Bankruptcy Court authorized the Debtors to enter into
this agreement.
The Debtors are currently paying the post-petition claims of their vendors
in the ordinary course of business and are, pursuant to an order of the
Bankruptcy Court, causing their subsidiaries to pay their own debts in the
ordinary course of business. Even though the filing of the Chapter 11 cases
constituted defaults under the company's principal debt instruments, the
Bankruptcy Code imposes an automatic stay that will generally preclude the
creditors and other interested parties under such arrangements from taking
remedial action in response to any such resulting default without prior
Bankruptcy Court approval.
On September 11, 2000, the Resource Network Subsidiaries filed a motion in
the Debtors' Chapter 11 proceedings seeking, among other things, to have the two
separate bankruptcy proceedings substantively consolidated into one proceeding.
The Resource Network Subsidiaries and the Debtors engaged in discovery related
to this substantive consolidation motion and, in connection therewith, the
parties reached a settlement agreement in November 2000, which was approved by
an order of the Bankruptcy Court. See Note 13 for further details. Additionally,
the Official Committee of Unsecured Creditors in the Resource Network
Subsidiaries' bankruptcy proceedings filed motions to lift the automatic
bankruptcy stay to pursue claims against the Debtors and certain of their
operating subsidiaries. Through April 12, 2002, the Bankruptcy Court has not
granted any relief of the automatic stay provisions of the Bankruptcy Code in
favor of the R-Net estates. See Note 13 for further details.
The Debtors' First Joint Plan of Reorganization and Related Activities
On the same day that the Chapter 11 cases were filed, the Debtors filed
their joint plan of reorganization (the "Joint Plan") and their joint disclosure
statement with the Bankruptcy Court. The Joint Plan was subsequently amended and
restated (the "Restated Joint Plan") and, on or about October 10, 2000, the
Restated Joint Plan and the First Amended Disclosure Statement with respect to
the Restated Joint Plan were authorized for distribution by the Bankruptcy
Court. Among other things, the Restated Joint Plan provided for: (i) a
conversion of all of the CI obligations represented by the company's Series A
Senior Subordinated Unsecured Notes (the "Series A Notes") and the Series B
Senior Subordinated Unsecured Convertible Notes (the "Series B Notes") into (a)
a four-year, interest only note in the principal amount of $180 million, that
would bear interest at the rate of 9% per annum and (b) all of the equity in the
reorganized CI; (ii) the payment in full of all secured, priority and general
unsecured debts of CI; (iii) the payment in full of all
F-12
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
secured and priority claims against CHC; (iv) the impairment of certain general
unsecured debts of CHC, including, among others, CHC's obligations under the
Series A Notes and the Series B Notes; and (v) the complete elimination of the
equity interests of CHC. Furthermore, pursuant to the Restated Joint Plan, CHC
would be dissolved as soon as practicable after the effective date of the
Restated Joint Plan and the stock of CHC would no longer be publicly traded.
Therefore, under the Debtors' Restated Joint Plan, as filed, the existing
stockholders of CHC would have received no value for their shares and all of the
outstanding equity of CI as the surviving entity would be owned by the holders
of the company's Series A Notes and Series B Notes. Representatives of the
company negotiated the principal aspects of the Joint Plan with representatives
of the holders of the company's Series A Notes and Series B Notes and the
parties to the Senior Credit Facility prior to the filing of such Joint Plan.
On or about October 20, 2000, the Restated Joint Plan and First Amended
Disclosure Statement were distributed for a vote among persons holding impaired
claims that were entitled to a distribution under the Restated Joint Plan. The
Debtors did not send ballots to the holders of unimpaired classes, who were
deemed to accept the Restated Joint Plan, and classes that are not receiving any
distribution, which were deemed to reject the Restated Joint Plan. Eligible
voters responded in favor of the company's Restated Joint Plan. At a
confirmation hearing on December 21, 2000, the Restated Joint Plan was not
approved by the Bankruptcy Court.
In order for the company to remain compliant with the requirements of Stark
II, on December 29, 2000, pursuant to an order of the Bankruptcy Court, CI
exchanged approximately $97.7 million of the Series A Notes and approximately
$11.6 million of contractual unpaid interest on the Series A Notes and the
Series B Notes for 905 shares of Coram, Inc. Series A Cumulative Preferred
Stock, $0.001 par value per share (see Notes 8 and 11 for further details). This
transaction generated an extraordinary gain on troubled debt restructuring of
approximately $107.8 million, net of tax, in 2000. At December 31, 2000, the
company's stockholders' equity exceeded the minimum Stark II requirement
necessary to comply with the public company exemption. See Note 13 for further
discussion regarding Stark II.
The Debtors' Second Joint Plan of Reorganization and Related Activities
On or about February 6, 2001, the Official Committee of the Equity Security
Holders (the "Equity Committee") filed a motion with the Bankruptcy Court
seeking permission to bring a derivative lawsuit directly against the company's
Chief Executive Officer, a former member of CHC's Board of Directors and
Cerberus Partners, L.P. (a party to the company's debtor-in-possession financing
agreement, Senior Credit Facility and Securities Exchange Agreement). On
February 26, 2001, the Bankruptcy Court ruled that the Equity Committee's motion
would not be productive at that time and, accordingly, the motion was denied
without prejudice. On the same day, the Bankruptcy Court approved the Debtors'
motion to appoint Goldin Associates, L.L.C. ("Goldin") as independent
restructuring advisors to the Independent Committee of the Board of Directors
(the "Independent Committee"). Among other things, the scope of Goldin's
services included (i) assessing the appropriateness of the Restated Joint Plan
and reporting its findings to the Independent Committee and advising the
Independent Committee respecting an appropriate course of action calculated to
bring the Debtors' bankruptcy proceedings to a fair and satisfactory conclusion,
(ii) preparing a written report as may be required by the Independent Committee
and/or the Bankruptcy Court and (iii) appearing before the Bankruptcy Court to
provide testimony, as needed. Goldin was also appointed as a mediator among the
Debtors, the Equity Committee and other parties in interest.
Based upon Goldin's findings and recommendations, as set forth in the Report
of Independent Restructuring Advisor, Goldin Associates, L.L.C (the "Goldin
Report"), on July 31, 2001, the Debtors filed with the Bankruptcy Court a Second
Joint Disclosure Statement, as amended (the "Second Disclosure Statement"), with
respect to their Second Joint Plan of Reorganization, as amended (the "Second
Joint Plan"). The Second Joint Plan, which was also filed on July 31, 2001,
provided for terms of reorganization similar to those described in the Restated
Joint Plan; however, utilizing Goldin's recommendations, as set forth in the
Goldin Report, the following substantive modifications were included in the
Second Joint Plan:
o the payment of up to $3.0 million to the holders of allowed
general unsecured claims of CHC;
o the payment of up to $10.0 million to the holders of CHC
equity interests (contingent upon such holders voting in favor
of the Second Joint Plan);
o cancellation of the issued and outstanding CI Series A
Cumulative Preferred Stock; and
o a $7.5 million reduction in certain performance bonuses
payable to the company's Chief Executive Officer.
Under certain circumstances, as more fully disclosed in the Second
Disclosure Statement, the general unsecured claim holders could have been
entitled to receive a portion of the $10.0 million cash consideration allocated
to the holders of CHC equity interests.
F-13
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
In order to become effective, the Second Joint Plan was subject to a vote by
certain impaired creditors and equity holders and final approval of the
Bankruptcy Court. On September 6, 2001 and September 10, 2001, hearings before
the Bankruptcy Court considered the adequacy of the Second Disclosure Statement.
In connection therewith, the Equity Committee, as well as, the Official
Committee of Unsecured Creditors in the Resource Network Subsidiaries'
bankruptcy proceedings filed motions protesting and objecting to the Debtors'
Second Joint Plan. Notwithstanding the aforementioned protests and objections,
the Second Disclosure Statement was approved by the Bankruptcy Court for
distribution to holders of certain claims in interests who are entitled to vote
on the Second Joint Plan. On or about September 21, 2001, the Debtors mailed
ballots to those parties entitled to vote on the Second Joint Plan.
On April 25, 2001 and July 11, 2001, the Bankruptcy Court extended the
period during which the Debtors have the exclusive right to file a plan of
reorganization before the Bankruptcy Court to July 11, 2001 and August 1, 2001,
respectively. On August 1, 2001, the Bankruptcy Court denied the Equity
Committee's motion to terminate the Debtors' exclusivity periods and file its
own plan of reorganization. Moreover, on August 2, 2001, the Bankruptcy Court
extended the Debtors' exclusive period to solicit acceptances of any filed plan
or plans to November 9, 2001 (the date to solicit acceptances of the plan for
CHC's equity holders was subsequently extended to November 12, 2001).
The CHC equity holders voted against confirmation of the Second Joint Plan
and all other classes of claimholders voted in favor of the Second Joint Plan.
The Bankruptcy Court can confirm a plan of reorganization notwithstanding the
non-acceptance of the plan by an impaired class of creditors or equity holders,
if certain conditions of the Bankruptcy Code are satisfied. However, on December
21, 2001, after several weeks of confirmation hearings, the Bankruptcy Court
issued an order denying confirmation of the Debtors' Second Joint Plan.
In order for the company to remain compliant with the requirements of Stark
II, on December 31, 2001, pursuant to an order of the Bankruptcy Court, CI
exchanged $21.0 million of the Series A Notes and approximately $1.9 million of
contractual unpaid interest on the Series A Notes for approximately 189.6 shares
of CI Series A Cumulative Preferred Stock (see Notes 8 and 11 for further
details). This transaction generated an extraordinary gain on troubled debt
restructuring of approximately $20.7 million in 2001. At December 31, 2001, the
company's stockholders' equity exceeded the minimum Stark II requirement
necessary to comply with the public company exemption. See Note 13 for further
discussion regarding Stark II.
APPOINTMENT OF CHAPTER 11 TRUSTEE AND BANKRUPTCY RELATED ACTIVITIES SUBSEQUENT
TO DECEMBER 31, 2001
On December 28, 2001, the Debtors filed a Notice of Appeal in the United
States District Court for the District of Delaware (the "District Court")
appealing the December 21, 2001 Bankruptcy Court decision denying confirmation
of the Debtors' Second Joint Plan and, on February 6, 2002, the Debtors
perfected their appeal. On February 25, 2002, the Equity Committee filed a
Motion to Strike Appeal with the District Court wherein it was requested that
the District Court dismiss the Debtors' appeal on the grounds that certain of
the Debtors' required briefs were filed after the statutory deadline. On March
7, 2002, the Debtors filed an Opposition to Motion to Strike Appeal whereby the
Debtors assert, among other things, that the required briefs were filed on a
timely basis. A stipulation agreement between the Equity Committee and the
Chapter 11 trustee was effectuated on March 22, 2002 and, in connection
therewith, the parties resolved the aforementioned dispute and the Debtors will
file their opening briefs on or before April 25, 2002. Management of the company
cannot predict what impact the Equity Committee or other interested parties will
have on the Debtors' pending appeal in the District Court.
On February 12, 2002, among other things, the Bankruptcy Court granted
motions made by the Office of the United States Trustee and two of the Debtors'
noteholders requesting the appointment of a Chapter 11 trustee to oversee the
Debtors during their reorganization process. Additionally, on such date the
Bankruptcy Court denied without prejudice a renewed motion made by the Equity
Committee for leave to bring a derivative lawsuit against the company's chief
executive officer, the Board of Directors, Cerberus Partners, L.P. ("Cerberus"),
a Cerberus principal and the company's other noteholders. Moreover, on February
12, 2002 the Bankruptcy Court denied motions filed by the Equity Committee (1)
requiring the company to call a stockholders' meeting and (2) modifying certain
aspects of CI's corporate governance structure (see Notes 11 and 13 for further
details regarding the Equity Committee's motion regarding CI voting rights and
related activities).
On March 7, 2002, the Bankruptcy Court approved the appointment of Arlin M.
Adams, Esquire, as the Debtors' Chapter 11 trustee. The Bankruptcy Code and
applicable rules require a Chapter 11 trustee to perform specific duties
relating to the administration of a bankruptcy case. Generally, a Chapter 11
trustee is obligated to investigate the debtor's operations, financial condition
and any other matter relevant to the formulation of a plan of reorganization.
The Bankruptcy Code also provides that a Chapter 11 trustee must either file a
plan of reorganization as soon as practicable or an explanation as to why he/she
is unable to file a
F-14
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
plan of reorganization. With the appointment of a Chapter 11 trustee, the
Debtors are no longer debtors-in-possession under the Bankruptcy Code.
Furthermore, the Bankruptcy Code makes a Chapter 11 trustee responsible for
the debtor's business. As with a debtor-in-possession, a Chapter 11 trustee may
enter into transactions in the ordinary course of business without notice or a
hearing in the presiding bankruptcy court; however, non-ordinary course actions
still require the authorization of the presiding bankruptcy court. A Chapter 11
trustee also assumes responsibility for management functions, including
decisions relative to the hiring and firing of personnel. As is the case with
the Debtors, when existing management is necessary to run the day-to-day
operations, the Chapter 11 trustee may retain and oversee this management.
After a Chapter 11 trustee is appointed, the debtor's Board of Directors
does not retain any management powers. While Mr. Adams has assumed the Board of
Directors' management rights and responsibilities, he is doing so, as of April
12, 2002, without any other changes to the company's management or
organizational structure.
On or about November 7, 2001, the Debtors filed a motion seeking to extend
the periods to file a plan or plans and solicit acceptances thereof to December
31, 2001 and March 4, 2002, respectively. The Bankruptcy Court granted the
motion to the extent that it extended exclusivity to January 2, 2002.
Thereafter, the Debtors' exclusivity period terminated.
OTHER BANKRUPTCY-RELATED DISCLOSURES
Under the Bankruptcy Code, certain claims against the Debtors in existence
prior to the filing date are stayed while the Debtors continue their operations
under the purview of a Chapter 11 trustee or as debtors-in-possession. These
claims are reflected in the Consolidated Balance Sheets as liabilities subject
to compromise. Additional Chapter 11 claims have arisen and may continue to
arise subsequent to the filing date from the rejection of executory contracts,
including certain leases, and from the determination by the Bankruptcy Court of
allowed claims for contingencies and other disputed amounts. Parties affected by
the rejections may file claims with the Bankruptcy Court in accordance with the
provisions of the Bankruptcy Code and applicable rules. Claims secured by the
Debtors' assets also are stayed, although the holders of such claims have the
right to petition the Bankruptcy Court for relief from the automatic stay to
permit such creditors to foreclose on the property securing their claims.
Additionally, certain claimants have sought relief from the Bankruptcy Court to
remove the automatic stay and continue pursuit of their claims against the
Debtors or the Debtors' insurance carriers.
The principal categories and balances of Chapter 11 bankruptcy claims
accrued in the Consolidated Balance Sheets and included in liabilities subject
to compromise are summarized as follows (in thousands):
DECEMBER 31, DECEMBER 31,
2001 2000
------------ ------------
Series A and Series B Notes in default and other long-term
debt obligations ............................................ $ 132,422 $ 153,422
Liabilities of discontinued operations subject to compromise .. 2,936 2,936
Earn-out obligation ........................................... 1,268 1,268
Accounts payable .............................................. 1,088 111
Accrued merger and restructuring costs (primarily severance
liabilities) ................................................ 468 468
Legal and professional liabilities ............................ 98 113
Other ......................................................... 764 809
------------ ------------
Total liabilities subject to compromise ..................... $ 139,044 $ 159,127
============ ============
Subsequent to December 31, 2000, one of the Debtors' creditors issued
pre-petition credit memoranda of approximately $1.1 million. These credits have
been filed as claims against the Debtors' estates in the bankruptcy proceedings
and have therefore been recorded as liabilities subject to compromise in the
company's Consolidated Balance Sheets.
In addition to the amounts disclosed in the table above, the holders of CI's
Series A Cumulative Preferred Stock continue to maintain a claim position within
the Debtors' bankruptcy proceedings in the aggregate amount of their cumulative
liquidation preference. Notwithstanding the debt to equity exchanges, the
aforementioned holders' priority in the Debtors' bankruptcy proceedings will be
no less than it was immediately prior to said exchanges.
Schedules were filed with the Bankruptcy Court setting forth the assets and
liabilities of the Debtors as of the filing date as shown by the Debtors'
accounting records. Differences between amounts shown by the Debtors and claims
filed by creditors are being investigated and resolved. The ultimate amount and
the settlement terms for such liabilities will be subject to a plan of
reorganization
F-15
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
and review by the Chapter 11 trustee. Therefore, it is not possible to fully or
completely estimate the fair value of the liabilities subject to compromise at
December 31, 2001 and 2000 due to the Debtors' Chapter 11 cases and the
uncertainty surrounding the ultimate amount and settlement terms for such
liabilities.
Reorganization expenses are items of expense or income that are incurred or
realized by the company as a result of the reorganization. These items include,
but are not limited to, professional fees, expenses related to key employee
retention plans, Office of the United States Trustee fees and other expenditures
incurred relating to the Chapter 11 proceedings, offset by interest earned on
cash accumulated related to the Debtors not paying their pre-petition
liabilities during the pendency of the Chapter 11 proceedings. The principal
components of reorganization expenses for the years ended December 31, 2001 and
2000 are as follows (in thousands):
DECEMBER 31, DECEMBER 31,
2001 2000
------------ ------------
Legal, accounting and consulting fees .......... $ 13,002 $ 5,299
Success bonus and retention plan expenses ...... 1,769 2,491
Resource Network Subsidiary settlement amount .. -- 500
Office of the United States Trustee fees ....... 41 21
Interest income ................................ (415) (47)
------------ ------------
Total reorganization expenses, net ........... $ 14,397 $ 8,264
============ ============
4. DISCONTINUED OPERATIONS
Following the November 1999 filing of voluntary bankruptcy petitions by the
Resource Network Subsidiaries and the plan to liquidate the R-Net division,
Coram accounted for such division as a discontinued operation and disclosed the
excess of R-Net's liabilities over its assets as Net Liabilities of Discontinued
Operations in the Consolidated Financial Statements. Coram also separately
reflected R-Net's operating results in the Consolidated Statements of Income as
Discontinued Operations; however, R-Net had no operating activity for the years
ended December 31, 2001 and 2000. The Loss from Operations of Discontinued
Operations of R-Net reflected in the company's Consolidated Statements of Income
for the year ended December 31, 1999 is as follows (in thousands):
Net revenue ...................................................... $ 74,432
========
Gross profit (loss) .............................................. $ (8,003)
========
Loss from operations of discontinued operations .................. $(28,411)
========
The $17.6 million Loss from Disposal of Discontinued Operations for the year
ended December 31, 1999 includes $1.5 million of loss from operations for the
period from the November 12, 1999 measurement date to December 31, 1999,
including $2.9 of net revenue during this period. The 1999 Loss from Operations
of Discontinued Operations also includes $5.5 million of reserves for severance,
litigation, facility costs and other wind-down costs, and $10.6 million for
asset impairment reserves.
The 2000 Loss from Disposal of Discontinued Operations of approximately $0.7
million includes additional reserves for litigation and other wind-down costs,
net of certain insurance recoveries, facility cost reserve reductions resulting
from the Debtors' bankruptcy proceedings, reserve adjustments due to changes in
the estimated amounts of legal and professional fees necessary to complete
R-Net's Chapter 11 bankruptcy proceedings and the $0.5 million settlement with
the Debtors for a certain substantive consolidation matter.
For the year ended December 31, 2001, Coram recorded a $0.3 million Loss
from Disposal of Discontinued Operations related to certain pending litigation
between the Official Committee of Unsecured Creditors of Coram Resource Network,
Inc. and Coram Independent Practice Association, Inc. and the Debtors and
several of their non-debtor subsidiaries (see Note 13 for further details).
F-16
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
The components of the net liabilities of discontinued operations included in
the Consolidated Balance Sheets are summarized as follows (in thousands):
DECEMBER 31,
--------------------
2001 2000
-------- --------
Cash ................................................... $ 1,146 $ 1,162
Intercompany receivable ................................ -- 500
Accounts payable ....................................... (29,566) (28,619)
Accrued expenses ....................................... (1,299) (1,512)
Other long-term liabilities ............................ -- (1,000)
-------- --------
(29,719) (29,469)
Net liabilities subject to compromise under
Debtors' Chapter 11 case ............................. 2,936 2,936
-------- --------
Net liabilities of Discontinued Operations ............. $(26,783) $(26,533)
======== ========
As of December 31, 2001, approximately $27.2 million of the liabilities
related to the discontinued operations was subject to compromise under the R-Net
Chapter 11 bankruptcy proceedings.
All of the R-Net locations have been closed in connection with the pending
liquidation of R-Net. Additionally, Coram employees who were members of the
Resource Network Subsidiaries' Board of Directors resigned during the year ended
December 31, 2000. Currently, only the Chief Restructuring Officer appointed by
the Bankruptcy Court remains on the Board of Directors to manage and operate the
liquidation of the R-Net business.
5. SALE OF CPS AND OTHER BUSINESSES
On July 31, 2000, the company completed the sale of substantially all of the
assets and assignment of certain related liabilities of the CPS business to
Curascript Pharmacy, Inc. and Curascript PBM Services, Inc. (collectively the
"Buyers") for a one-time cash payment of approximately $41.3 million. The Buyers
were effectively a management-led group that was financed by GTCR Golder Rauner,
L.L.C. The company's gain on the sale of the CPS business was approximately
$18.3 million. The cash proceeds, after related expenses, were applied to the
remaining principal balance under the company's revolving line of credit of
$28.5 million and an additional $9.5 million was applied to the principal
balance of the Series A Senior Subordinated Unsecured Notes. See Note 8 for
further details.
Pursuant to a contingent consideration arrangement related to one of the
company's operating subsidiaries, approximately $0.4 million was recognized as
incremental proceeds during the year ended December 31, 2000. The contingency
related to the operating activities of the subsidiary through June 30, 2000.
Upon payment of the contingent consideration, substantially all conditions of
the initial sale and purchase agreement were satisfied.
6. MERGER AND RESTRUCTURING RESERVES
As a result of the formation of Coram and the acquisition of substantially
all of the assets of the alternate site infusion business of Caremark, Inc., a
subsidiary of Caremark International, Inc. (the "Caremark Business"), during May
1995, the company initiated a restructuring plan (the "Caremark Business
Consolidation Plan") and charged approximately $25.8 million to operations as a
restructuring cost.
During January 1999, the company undertook an organizational realignment to
affect a functional reporting structure (the "Field Reorganization Plan") and
charged $1.0 million to operations as a restructuring cost. The Field
Reorganization Plan's restructuring cost related to severance payments, fringe
benefits and taxes for approximately 25 severed employees. This plan was
completed in the first quarter of the year ended December 31, 2000.
During July 1999, the company adopted a restructuring plan associated with
the reorganization of the R-Net call center operations responsible for managing
the Master Agreement with Aetna (the "R-Net Restructure Plan"). The R-Net
Restructure Plan resulted in an initial charge to operations of approximately
$5.1 million. In November 1999, prior to the R-Net decision to file voluntary
Chapter 11 bankruptcy petitions, the company re-evaluated the estimated cost to
complete the R-Net Plan and revised the initial charge to approximately $4.3
million, which consisted of accruals for restructuring of $2.8 million for
facility costs and $0.6 million for personnel reduction costs, and a loss on
impairment of long-lived assets charge of $0.9 million. As a result of the R-Net
liquidation described in Notes 1 and 4, these charges are included in the Loss
from Discontinued Operations for the year ended December 31,
F-17
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
1999 and the related restructuring accrual and impairment of long-lived assets
are reflected in the net liability of discontinued operations.
During December 1999, the company initiated an organizational restructure
and strategic repositioning plan (the "Coram Restructure Plan") and charged
approximately $4.8 million to operations as a restructuring cost. The Coram
Restructure Plan resulted in the closing of additional facilities and reduction
of personnel. In connection therewith, the company reserved for (i) personnel
reduction costs relating to severance payments, fringe benefits and taxes for
employees that have been or may be terminated and (ii) facility closing costs
that consist of rent, common area maintenance and utility costs for fulfilling
lease commitments of approximately fifteen branch and corporate facilities that
have been or may be closed or downsized. Reserves for facility closing costs are
offset by amounts arising from sublease arrangements, but not until such
arrangements are in the form of signed and executed contracts. As part of the
Coram Restructure Plan, the company informed certain reimbursement sites of
their estimated closure dates. Such operations were closed during the first half
of 2001, including the severance of approximately 80 related employees.
Under the Caremark Business Consolidation Plan and the Coram Restructure
Plan, the total charges through December 31, 2001, the estimate of total future
cash expenditures and the estimated total charges are as follows (in thousands):
CHARGES THROUGH DECEMBER 31, 2001 BALANCES AT DECEMBER 31, 2001
--------------------------------------- ------------------------------
ESTIMATED
CASH NON-CASH FUTURE CASH TOTAL
EXPENDITURES CHARGES TOTAL EXPENDITURES CHARGES
------------ ---------- ------------ ------------ ----------
Caremark Business Consolidation Plan:
Personnel reduction costs ....................... $ 11,300 $ -- $ 11,300 $ -- $ 11,300
Facility reduction costs ........................ 10,325 3,900 14,225 372 14,597
------------ ---------- ------------ ------------ ----------
Subtotal ..................................... 21,625 3,900 25,525 372 25,897
Coram Restructure Plan:
Personnel reduction costs ....................... 2,361 -- 2,361 104 2,465
Facility reduction costs ........................ 1,055 -- 1,055 575 1,630
------------ ---------- ------------ ------------ ----------
Subtotal ..................................... 3,416 -- 3,416 679 4,095
------------ ---------- ------------ ------------ ----------
Totals ............................................ $ 25,041 $ 3,900 $ 28,941 1,051 $ 29,992
============ ========== ============ ------------ ==========
Restructuring costs subject to compromise ............................ (468)
============
Accrued merger and restructuring costs per the Consolidated
Balance Sheets .................................................... $ 583
============
During the year ended December 31, 2001, significant items impacting the
restructuring reserves that were not subject to compromise are summarized as
follows (in thousands):
Balance at December 31, 2000 ......................................... $ 2,301
Activity during the year ended December 31, 2001:
Payments under the plans ......................................... (1,039)
Reversals principally due to changes in estimates
attributable to leased facilities (e.g., lease assumption by a
third party, etc.) and severance obligations ................... (679)
-------
Balance at December 31, 2001 ......................................... $ 583
=======
The company estimates that the future cash expenditures related to the
restructuring plans stated above will be made in the following periods: 62%
through December 31, 2002, 21% through December 31, 2003, 10% through December
31, 2004 and 7% thereafter.
F-18
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
7. PROPERTY AND EQUIPMENT
Property and equipment are summarized as follows (in thousands):
December 31,
-------------------
2001 2000
-------- --------
Work in process ................................. $ 1,526 $ --
Leasehold improvements .......................... 4,993 4,200
Computer equipment .............................. 6,281 3,455
Equipment and other ............................. 38,830 38,766
Furniture and fixtures .......................... 7,160 6,390
-------- --------
58,790 52,811
Less accumulated depreciation and amortization .. (43,760) (37,519)
-------- --------
$ 15,030 $ 15,292
======== ========
The above table includes immaterial amounts of equipment under capital
leases. The work in process balance includes software, computer equipment,
hardware and other costs capitalizable in accordance with SOP 98-1 (principally
related to upgrades of Coram's company-wide information systems).
8.DEBT OBLIGATIONS
Debt obligations are as follows (in thousands):
December 31,
---------------------
2001 2000
--------- ---------
Series A Senior Subordinated Unsecured Notes ................... $ 40,208 $ 61,208
Series B Senior Subordinated Unsecured Convertible Notes ....... 92,084 92,084
Accreditation note payable ..................................... 185 --
Other obligations, including capital leases, at interest rates
Ranging from 7.5% to 13.1% ................................... 155 333
--------- ---------
132,632 153,625
Less: Debt obligations subject to compromise ................... (132,422) (153,422)
Less: Current scheduled maturities ............................. (60) (179)
--------- ---------
$ 150 $ 24
========= =========
As a result of the Debtors' Chapter 11 Bankruptcy Court filings,
substantially all short and long-term debt obligations at the August 8, 2000
filing date have been classified as liabilities subject to compromise in the
accompanying Consolidated Balance Sheets in accordance with SOP 90-7. Under the
United States Bankruptcy Code, actions against the Debtors to collect
pre-petition indebtedness are subject to an automatic stay provision. As of
August 8, 2000, the company's principal credit and debt agreements included (i)
a Securities Exchange Agreement, dated May 6, 1998 (the "Securities Exchange
Agreement"), with Cerberus Partners, L.P., Goldman Sachs Credit Partners, L.P.
and Foothill Capital Corporation (collectively the "Holders") and the related
Series A Senior Subordinated Unsecured Notes (the "Series A Notes") and the
Series B Senior Subordinated Unsecured Convertible Notes (the "Series B Notes")
and (ii) a Senior Credit Facility with Foothill Income Trust L.P., Cerberus
Partners, L.P. and Goldman Sachs Credit Partners, L.P. (collectively the
"Lenders") and Foothill Capital Corporation as agent thereunder. Subsequent to
the petition date, the Debtors entered into a secured debtor-in-possession
financing agreement with an affiliate of Cerberus Partners, L.P. Pursuant to the
terms and conditions of the aforementioned credit and debt agreements, the
company is precluded from paying cash dividends or making other capital
distributions. Moreover, the Debtors' voluntary Chapter 11 filings caused events
of default to occur under the Securities Exchange Agreement and the Senior
Credit Facility, thereby terminating the Debtors' ability to make additional
borrowings under the Senior Credit Facility through its expiration on February
6, 2001.
The recognition of interest expense pursuant to SOP 90-7 is appropriate
during the Chapter 11 proceedings if it is probable that such interest will be
an allowed priority, secured or unsecured claim. The Debtors' Second Joint Plan
(see Note 3), which was denied by the Bankruptcy Court on December 21, 2001,
would have effectively eliminated all post-petition interest on pre-petition
borrowings. The final confirmed plan of reorganization put forth by the Debtors'
Chapter 11 trustee or any other interested party may have a similar effect on
post-petition interest; however, appropriate approvals thereof in accordance
with the Bankruptcy Code would be required.
Accreditation Note Payable. In August 2001, CI entered into an agreement
(the "ACHC Agreement") with the Accreditation Commission for Health Care, Inc.
("ACHC") whereby ACHC is to, among other things, provide national accreditation
for Coram as deemed appropriate by ACHC. Under the terms of the ACHC Agreement,
which commenced on the date that it was executed and
F-19
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
expires in November 2004, Coram made an upfront payment and is obligated to make
twelve equal non-interest bearing quarterly payments of approximately $17,000.
The total payments to be made under the ACHC Agreement will aggregate
approximately $0.3 million. In the event of breach or default by either of the
parties, CI and/or ACHC may immediately terminate the ACHC Agreement if the
breach or default is not cured within fifteen days of receipt of written notice
from the non-breaching party.
Debtor-In-Possession ("DIP") Financing Agreement. Effective August 30, 2000,
the Debtors entered into a secured debtor-in-possession financing agreement,
approved by the Bankruptcy Court on September 12, 2000, with Madeleine L.L.C.
("Madeleine"), an affiliate of Cerberus Partners, L.P. The DIP financing
agreement provided that the Debtors could access, as necessary, a line of credit
of up to $40 million for use in connection with the operation of their
businesses and the businesses of their subsidiaries. Maximum borrowings were
generally equal to the product of: (i) 65% of Net Eligible Accounts Receivable,
as defined, and (ii) 95%. The DIP financing agreement was secured by the capital
stock of the Debtors' subsidiaries, as well as the accounts receivable and
certain other assets held by the Debtors and their subsidiaries. No borrowings
were ever made under DIP financing agreement, which expired under its terms on
August 31, 2001. To secure the DIP financing agreement, the Debtors paid an
origination fee of 1% or $0.4 million in 2000, plus commitment fees on the
unused facility at the rate of 0.5% per annum, payable monthly in arrears,
totaling $0.1 million in 2000 and $0.2 million in 2001.
Senior Credit Facility. On August 20, 1998, the company entered into the
Senior Credit Facility, which provided for the availability of up to $60.0
million for acquisitions, working capital, letters of credit and other corporate
purposes. The terms of the agreement also provided for the issuance of letters
of credit of up to $25.0 million provided that available credit would not fall
below zero. In connection with the sale of CPS, effective July 31, 2000, the
company reduced its outstanding borrowing under the Senior Credit Facility by
$28.5 million, leaving outstanding only irrevocable letter of credit obligations
totaling $2.7 million. Furthermore, on September 21, 2000 and January 29, 2001,
the company permanently reduced the Senior Credit Facility commitment to $2.7
million and $2.1 million, respectively, in order to reduce the fees related to
commitments on which the company was not able to borrow against due to the
Debtors' bankruptcy proceedings. Effective February 6, 2001, the Lenders and the
company terminated the Senior Credit Facility. In connection with the
termination of the Senior Credit Facility and pursuant to orders of the
Bankruptcy Court, the company established new letters of credit through Wells
Fargo Bank Minnesota, NA ("Wells Fargo"). Such new letters of credit have been
reduced to approximately $1.1 million at December 31, 2001 and are fully secured
by interest-bearing cash deposits of the company held by Wells Fargo. Subsequent
to December 31, 2001, the irrevocable letters of credit were reduced to
approximately $0.9 million and the maturity dates thereon were extended to
February 2003.
The Senior Credit Facility provided for interest on outstanding indebtedness
at the rate of prime plus 1.5%, payable in arrears. Additionally, the terms of
the agreement provided for a fee of 1.0% per annum on the outstanding letter of
credit obligations, also payable in arrears. The Senior Credit Facility further
provided for additional fees to be paid on demand to any letter of credit issuer
pursuant to the application and related documentation under which such letters
of credit are issued. The Senior Credit Facility was secured by the capital
stock of the company's subsidiaries, as well as, the accounts receivable and
certain other assets held by the company and its subsidiaries. The Senior Credit
Facility contained other customary covenants and events of default.
Among other fees, the company incurred approximately $0.6 million upon
consummation of the Senior Credit Facility and was thereafter liable for
commitment fees on the unused facility at 0.375% per annum, due quarterly in
arrears. Additionally, the terms of the agreement provided for the issuance of
warrants to purchase up to 1.9 million shares of the company's common stock at
$0.01 per share, subject to customary anti-dilution adjustments (the "1998
Warrants"). The estimated fair value of the 1998 Warrants was determined on the
date of issuance and capitalized as deferred debt issuance costs. Such costs
were amortized ratably to interest expense over the life of the Senior Credit
Facility; however, contemporaneous with the permanent reduction of the borrowing
capacity on September 21, 2000, the company charged to interest expense
approximately $1.1 million of remaining deferred debt issuance costs related to
the Senior Credit Facility. The 1998 Warrants expired on February 6, 2001 when
the Senior Credit Facility was terminated.
Securities Exchange Agreement. In April 1998, the Securities Exchange
Agreement cancelled a previously outstanding subordinated rollover note, related
deferred interest and fees and related warrants to purchase up to 20% of the
outstanding common stock of the company on a fully diluted basis in an exchange
for the payment of $4.3 million in cash and the issuance by the company to the
Holders of (i) $150.0 million in principal amount of Series A Notes and (ii)
$87.9 million in principal amount of 8.0% Series B Notes. Additionally, the
Holders of the Series A Notes and the Series B Notes were given the right to
approve certain new debt and the right to name one member of the company's Board
of Directors. Such director was elected in June 1998 and reelected in August
1999; however, the designated board member resigned in July 2000 and has not
been replaced.
F-20
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
On April 9, 1999, the company entered into Amendment No. 2 (the "Note
Amendment") to the Securities Exchange Agreement with the Holders. Pursuant to
the Note Amendment, the outstanding principal amount of the Series B Notes is
convertible into shares of the company's common stock at a conversion price of
$2.00 per share (subject to customary anti-dilution adjustments). Prior to
entering into the Note Amendment, the Series B Notes were convertible into
common stock at a conversion price of $3.00 per share, which was subject to
downward (but not upward) adjustment based on prevailing market prices for the
company's common stock on April 13, 1999 and October 13, 1999. Based on reported
market closing prices for the company's common stock prior to April 13, 1999,
this conversion price would have been adjusted to below $2.00 on such date had
the company not entered into the Note Amendment. Pursuant to the Note Amendment,
the parties also increased the interest rate applicable to the Series A Notes
from 9.875% to 11.5% per annum.
On December 28, 2000, the Bankruptcy Court approved the Debtors' request to
exchange a sufficient amount of debt and related accrued interest for Coram,
Inc. Series A Cumulative Preferred Stock in order to maintain compliance with
the physician ownership and referral provisions of the Omnibus Budget
Reconciliation Act of 1993 (commonly referred to as "Stark II"). On December 29,
2000, the Securities Exchange Agreement was amended ("Amendment No. 4") and an
Exchange Agreement was simultaneously executed among the Debtors and the
Holders. Pursuant to such arrangements, the Holders agreed to exchange
approximately $97.7 million aggregate principal amount of the Series A Notes and
$11.6 million of aggregate contractual unpaid interest on the Series A Notes and
the Series B Notes as of December 29, 2000 for 905 shares of Coram, Inc. Series
A Cumulative Preferred Stock (see Note 11 for further details regarding the
preferred stock). Following the exchange, the Holders retained approximately
$61.2 million aggregate principal amount of the Series A Notes and $92.1 million
aggregate principal amount of the Series B Notes. Pursuant to Amendment No. 4,
the per annum interest rate on both the Series A Notes and the Series B Notes
was adjusted to 9.0%. Moreover, the Series A Notes' and Series B Notes' original
scheduled maturity dates of May 2001 and April 2008, respectively, were both
modified to June 30, 2001. Due to the Holders' receipt of consideration with a
fair value less than the face value of the exchanged principal and accrued
interest, the exchange transactions qualified as a troubled debt restructuring
pursuant to Statement of Financial Accounting Standards No. 15, Accounting by
Debtors and Creditors for Troubled Debt Restructurings ("SFAS No. 15"). In
connection therewith, the company recognized an extraordinary gain during the
fourth quarter of the year ended December 31, 2000 of approximately $107.8
million, net of tax.
On December 27, 2001, the Bankruptcy Court approved the Debtors' request to
exchange an additional amount of debt and related contractual unpaid interest
for Coram, Inc. Series A Cumulative Preferred Stock in an amount sufficient to
maintain compliance with the Stark II. In connection therewith, on December 31,
2001 the Securities Exchange Agreement was amended ("Amendment No. 5") and an
Exchange Agreement was simultaneously executed among the Debtors and the
Holders. Pursuant to such arrangements, the Holders agreed to exchange $21.0
million aggregate principal amount of the Series A Notes and approximately $1.9
million of aggregate contractual unpaid interest on the Series A Notes as of
December 31, 2001 for approximately 189.6 shares of Coram, Inc. Series A
Cumulative Preferred Stock. Following this second exchange, the Holders retain
approximately $40.2 million aggregate principal amount of the Series A Notes.
Pursuant to Amendment No. 5, the Series A Notes' and Series B Notes' scheduled
maturity date of June 30, 2001 have both been modified to June 30, 2002. Due to
the Holders receipt of consideration with a fair value less than the face value
of the exchanged principal and accrued interest, the exchange transactions
qualified as a troubled debt restructuring pursuant to SFAS No. 15. In
connection therewith, the company recognized an extraordinary gain during the
fourth quarter of the year ended December 31, 2001 of approximately $20.7
million.
Although the principal amounts under the Series A Notes and Series B Notes
were not paid on their scheduled maturity date of June 30, 2001 and the company
was in technical default of the Securities Exchange Agreement from that date
until the execution of Amendment No. 5, the Holders were stayed from any
remedies pursuant to the provisions of the United States Bankruptcy Code.
Moreover, the default was effectively cured by Amendment No. 5.
The Securities Exchange Agreement, pursuant to which the Series A Notes and
the Series B Notes were issued, contains customary covenants and events of
default. Upon the Debtors' Chapter 11 bankruptcy filings, the company was in
violation of certain covenants and conditions thereunder; however, such
bankruptcy proceedings have stayed any remedial actions by either the Debtors or
the Holders. Additionally, the company was not in compliance with other
covenants relating to certain contractual relationships its wholly-owned
Resource Network Subsidiaries had with certain parties that were contracted to
provide services pursuant to the Aetna Master Agreement, effective May 1, 1998,
and to other covenants relating to the capitalization of subsidiaries. The
company received waivers from its lenders regarding such events of
noncompliance. The voluntary filing of Chapter 11 bankruptcy petitions by the
Resource Network Subsidiaries caused further defaults under the Securities
Exchange Agreement; however, such defaults were waived by the Holders. In
connection with these waivers and the waivers provided for certain matters of
noncompliance under the Senior Credit Facility, the company and the Holders
entered into a Securities Credit Agreement amendment on November 15, 1999
F-21
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
pursuant to which the Holders agreed that no interest on the Series A Notes and
the Series B Notes would be due for the period from November 15, 1999 through
the earlier of (i) final resolution of the litigation with Aetna or (ii) May 15,
2000. The Aetna litigation was settled on April 20, 2000 and, as a result, the
obligation to pay interest on the Series A Notes and the Series B Notes resumed
on such date. However, due to the Debtors' Chapter 11 bankruptcy filings, no
interest has been paid subsequent to August 8, 2000.
Notwithstanding the aforementioned default for non-payment of principal on
the Series A Notes and the Series B Notes on June 30, 2001, subsequently cured
by Amendment No. 5, management believes that at December 31, 2001 the company
was in compliance with all covenants of the Securities Exchange Agreement.
However, there can be no assurances as to whether further covenant violations or
defaults will occur in future periods and whether any necessary waivers would be
granted.
The Series A Notes and the Series B Notes are scheduled to pay interest
quarterly in arrears in cash or, at the election of the company, through the
issuance of parri passu debt securities, except that the Holders can require the
company to pay interest in cash if the company exceeds a predetermined interest
coverage ratio. Notwithstanding the contractual terms of the Securities Exchange
Agreement, no interest is being paid subsequent to August 8, 2000 due to the
Debtors' ongoing bankruptcy proceedings. Pursuant to the troubled debt
restructuring rules promulgated under SFAS No. 15 and other accounting rules
under SOP 90-7, no interest expense was recognized in the company's consolidated
financial statements relative to the Series A Notes and the Series B Notes from
December 29, 2000 through December 31, 2001.
The Series A Notes and the Series B Notes are redeemable, in whole or in
part, at the option of the Holders in connection with any change of control of
the company (as defined in the Securities Exchange Agreement), if the company
ceases to hold and control certain interests in its significant subsidiaries, or
upon the acquisition of the company or certain of its subsidiaries by a third
party. In such instances, the notes are redeemable at 103% of the then
outstanding principal amount, plus accrued interest. Upon maturity of the Series
A Notes, the Series B Notes are also redeemable, at the option of the Holders,
at the outstanding principal amount thereof, plus accrued interest. In addition,
the Series A Notes are redeemable at 103% of the then outstanding principal
amount, plus accrued interest at the option of the company.
In connection with the disposition of CPS, effective July 31, 2000, the
company applied $9.5 million of the net cash proceeds derived therefrom to
prepay a portion of the principal amount outstanding under the Series A Notes.
The Holders of the Series A Notes waived the 103% prepayment premium thereby
permitting the company to reduce the then outstanding principal balance by the
full amount of the $9.5 million payment.
9.INCOME TAXES
The amount of income tax expense allocated to continuing operations,
discontinued operations and the extraordinary gains on troubled debt
restructurings is as follows (in thousands):
Years Ended December 31,
----------------------------
2001 2000 1999
-------- -------- --------
Continuing operations ................................ $ 150 $ 250 $ 440
Discontinued operations .............................. -- -- --
Extraordinary gains on troubled debt restructurings .. -- 400 --
-------- -------- --------
Total income tax expense ................... $ 150 $ 650 $ 440
======== ======== ========
The components of consolidated income tax expense attributable to continuing
operations are as follows (in thousands):
Years Ended December 31,
----------------------------
2001 2000 1999
-------- -------- --------
Current:
Federal ........................................... $ -- $ -- $ 41
State ............................................. 150 250 399
-------- -------- --------
Total current ............................. 150 250 440
-------- -------- --------
Deferred:
Federal ........................................... -- -- --
State ............................................. -- -- --
-------- -------- --------
Total deferred ............................ -- -- --
-------- -------- --------
Income tax expense ................................ $ 150 $ 250 $ 440
======== ======== ========
F-22
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
The following table reconciles the federal statutory rate to the effective
income tax expense rate attributable to continuing operations:
YEARS ENDED DECEMBER 31,
--------------------------------
2001 2000 1999
-------- -------- --------
Federal statutory rate ........................ (35.0)% (35.0)% (35.0)%
Valuation allowances .......................... (1.1) (12.2) 31.1
State income taxes, net of federal income tax
benefit ..................................... 0.5 2.0 0.4
Goodwill amortization ......................... 13.3 31.2 3.7
Reorganization expenses ....................... 22.3 20.2 --
Other ......................................... 0.8 (3.1) 0.4
-------- -------- --------
Effective income tax expense rate ............. 0.8% 3.1% 0.6%
======== ======== ========
The effective income tax rates for each of the years in the three year
period ended December 31, 2001 are higher than the statutory rate because the
company is not recognizing the deferred income tax benefits of annual losses.
The temporary differences, tax effected, which give rise to the company's
net deferred tax assets (liabilities) were as follows (in thousands):
December 31,
---------------------
2001 2000
--------- ---------
Deferred tax assets:
Goodwill ............................................. $ 40,356 $ 46,096
Restructuring costs .................................. 2,153 3,107
Net operating loss carryforwards ..................... 69,816 62,936
AMT credit carryforwards ............................. 4,113 4,213
Allowance for doubtful accounts ...................... 10,708 10,074
Intangible assets .................................... 3,812 3,585
Resource Network Subsidiaries' reserves .............. 5,227 6,475
Accrued interest ..................................... 2,866 451
Accrued bonuses ...................................... 7,345 6,535
Accrued vacation ..................................... 833 674
Other accruals ....................................... 2,489 2,806
Other ................................................ 1,308 1,350
--------- ---------
Total gross deferred tax assets .............. 151,026 148,302
Less valuation allowance ............................. (150,129) (146,177)
--------- ---------
Total deferred tax assets .................... 897 2,125
Deferred tax liabilities:
Property and equipment ............................... (435) (2,073)
Other ................................................ (462) (52)
--------- ---------
Total deferred tax liabilities ............... (897) (2,125)
--------- ---------
Net deferred tax asset (liability) ........... $ -- $ --
========= =========
Deferred tax assets have been limited to amounts expected to be recovered,
net of deferred tax liabilities that would otherwise become payable in the
carryforward period. As management believes that realization of the balance of
deferred tax assets is sufficiently uncertain at this time, they have been
wholly offset by valuation allowances at both December 31, 2001 and 2000.
As of December 31, 2001, the company had net operating loss carryforwards
("NOLs") for federal income taxes of approximately $176.8 million, which are
available to offset future federal taxable income and expire in varying amounts
in the years 2002 through 2021. This NOL balance includes approximately $35.7
million generated prior to the Four-Way Merger and such amount is subject to an
annual usage limitation of approximately $4.5 million. In addition, the ability
to utilize the full amount of the $176.8 million of NOLs is uncertain due to
income tax rules related to the exchange of debt and related accrued interest
for Coram, Inc. Series A Cumulative Preferred Stock in December 2000 (see Note
11).
As a result of the issuance of Coram, Inc. Series A Cumulative Preferred
Stock in December 2000, the company effectuated a deconsolidation of its group
for federal income tax purposes. Accordingly, subsequent to December 29, 2000,
income tax returns will be filed with Coram, Inc. as the parent company of the
new consolidated group and Coram Healthcare Corporation will file its own
separate income tax returns. The issuance of the preferred stock also caused an
ownership change at Coram, Inc. for federal income tax purposes. However, Coram,
Inc. currently operates under the jurisdiction of the Bankruptcy Court and it
meets certain bankruptcy related conditions of the Internal Revenue Code
("IRC"). The bankruptcy provisions of Section 382 of the IRC impose limitations
on the utilization of NOLs and other tax attributes. The extraordinary gains on
troubled debt restructurings that resulted from the issuance of Coram, Inc.
Series A Cumulative Preferred Stock during the years ended December, 31 2001 and
December 31, 2000 are generally not subject to tax pursuant to the cancellation
of debt provisions included in IRC Section 108.
F-23
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
In January 1999, the Internal Revenue Service ("IRS") completed an
examination of the company's federal income tax return for the year ended
September 30, 1995 and proposed substantial adjustments to the prior tax
liabilities. The company previously agreed to adjustments of $24.4 million that
only affect available NOLs. The issues involve the deductibility of warrants,
write-off of goodwill and the ability of the company to categorize certain NOLs
as specified liability losses and offset income in prior years. The alleged
deficiency totaled approximately $12.7 million (obtained from federal income tax
refunds), plus interest and penalties to be determined. In May 1999, the company
received a statutory notice of deficiency with respect to the proposed
adjustments seeking to recover the amount of taxes previously refunded. In
August 1999, the company filed a petition with the United States Tax Court ("Tax
Court") contesting the notice of deficiency. The IRS responded to the petition
and requested the petition be denied. The Tax Court proceeding is currently
stayed by reason of the Debtors' bankruptcy proceedings.
Pursuant to standard IRS procedures, the resolution of the issues contained
in the Tax Court petition were assigned to the administrative appeals function
of the IRS. The company has tentatively reached a settlement agreement with the
IRS Appeals office on the aforementioned issues. The settlement, if approved by
the Joint Committee of Taxation and, if necessary, the Debtor's Chapter 11
trustee and the Bankruptcy Court, would result in a federal tax liability of
approximately $9.9 million, plus interest. In connection therewith, the
accompanying Consolidated Financial Statements include long-term liability
reserves for the proposed settlement, including approximately $5.9 million and
$1.1 million of incremental interest expense recorded during the years ended
December 31, 2001 and 2000, respectively. The federal income tax adjustments
would also give rise to additional state tax liabilities. If the company is not
able to negotiate an installment plan with the IRS with respect to the proposed
settlement amount or if the Joint Committee of Taxation or the Bankruptcy Court
or the Chapter 11 trustee do not approve the proposed settlement amount, the
financial position and liquidity of the company could be materially adversely
affected.
10. RELATED PARTY TRANSACTIONS
A director of the company also served on the Board of Directors of Sabratek
Corporation ("Sabratek") from October 1992 through August 23, 1999. During 1999,
the company purchased equipment and supplies aggregating approximately $2.8
million from Sabratek. Sabratek filed for Chapter 11 bankruptcy protection on
December 17, 1999 and, in connection therewith, Coram filed a $1.3 million proof
of claim in Sabratek's bankruptcy proceedings for vendor rebates earned but not
paid. In January 2000, the assets and certain liabilities of Sabratek's Device
Business were acquired by Baxter Healthcare Corporation ("Baxter"). Baxter
subsequently filed a proof claim of approximately $0.3 million in the Debtors'
bankruptcy proceedings for products purchased from Sabratek. Management
continues to evaluate the validity of Baxter's proof of claim. No assurances can
be given regarding the recoverability of the company's proof of claim against
Sabratek. Notwithstanding the separate proofs of claim filings, Baxter and the
company have an ongoing business relationship involving drugs, supplies and
pumps sold by Baxter to the company.
The company's Chairman, Chief Executive Officer and President, Daniel D.
Crowley, owns Dynamic Healthcare Solutions, LLC ("DHS"), a management consulting
firm from which the company purchased services. For the years ended December 31,
2000 and 1999, the company paid approximately $0.7 million and $0.2 million,
respectively, to DHS for consulting services and reimbursable expenses.
Effective with the Debtors' Chapter 11 filings in the Bankruptcy Court, DHS
employees who were then serving as consultants to Coram terminated their
employment with DHS and became full time Coram employees. Since January 1, 2001,
DHS has continued to bill the Company the actual costs it attributes to the DHS
Sacramento, California location where Mr. Crowley and other persons are located
and perform services for or on behalf of the company. Subsequent to December 31,
2001 and through April 12, 2002, approximately $0.1 million was further paid to
DHS for overhead costs.
Effective August 2, 2000, the company's Board of Directors approved a
contingent bonus to Mr. Crowley. Under the agreement, subject to certain
material terms and conditions, Mr. Crowley is to be paid $1.8 million following
the successful refinancing of the company's debt. In connection therewith and
the debt to preferred stock exchange discussed in Notes 3 and 8, the company
recorded a $1.8 million reorganization expense for the success bonus in 2000.
The success bonus will not be payable until such time as the Debtors' Chapter 11
trustee or another interested party's plan of reorganization is fully approved
by the Bankruptcy Court. Mr. Crowley is also entitled to a performance bonus
based on overall company performance and he participates in the company's key
employee retention plan. In connection with the Debtors' Second Joint Plan, Mr.
Crowley voluntarily offered to accept a $7.5 million reduction in certain
performance bonuses, contingent on the confirmation and consummation of the
Second Joint Plan. As discussed in Note 3, the Debtors' Second Joint Plan was
denied by the Bankruptcy Court on December 21, 2001. The company cannot predict
what, if any, reduction in Mr. Crowley's incentive, retention or success
bonuses, which are accrued in the Consolidated Financial Statements, will be
proposed in a new plan of reorganization submitted by the Chapter 11 trustee or
any other interested party.
F-24
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
Effective August 1, 1999, Mr. Crowley and Cerberus Capital Management, L.P.
(an affiliate of Cerberus Partners, L.P. ("Cerberus"), a party to the company's
debtor-in-possession financing agreement, Senior Credit Facility and Securities
Exchange Agreement), executed an employment agreement whereby Mr. Crowley is
paid approximately $1 million per annum plus potential performance-related
bonuses, equity options and fringe benefits. The services rendered by Mr.
Crowley to Cerberus include, but are not limited to, providing business and
strategic healthcare investment advice to executive management at Cerberus and
its affiliates. Mr. Crowley and Cerberus agreed to suspend their contract and
all related obligations immediately after the Bankruptcy Court's denial of the
Second Joint Plan of reorganization on December 21, 2001, and the contract
remains suspended through April 12, 2002. Moreover, Mr. Crowley was the Chairman
of the Board of Directors of Winterland Productions, Inc. ("Winterland"), a
privately held affinity merchandise company in which an interest was owned by an
affiliate of Cerberus. On January 2, 2001, Winterland voluntarily filed for
protection under Chapter 11 of the United States Bankruptcy Code in the Northern
District of California. On December 12, 2001, such bankruptcy court approved the
sale of substantially all of the assets of Winterland to Signatures Network,
Inc. Since that date, Winterland has been liquidated and Mr. Crowley is no
longer a director or officer of the company.
As further discussed in Note 13, in November 2001 the Official Committee of
Unsecured Creditors of Coram Resource Network, Inc. and Coram Independent
Practice Association, Inc. brought an adversary proceeding in the Bankruptcy
Court against, among other defendants, the Debtors and certain of their
operating subsidiaries, as well as, several related parties, including Foothill
Capital Corporation, Foothill Income Trust, L.P., Goldman Sachs Credit Partners,
L.P., Cerberus, one of Cerberus' principals, current management, former
management and former members of the company's Board of Directors.
11. MINORITY INTERESTS
The following summarizes the minority interests in consolidated joint
ventures and preferred stock issued by a subsidiary (in thousands):
December, 31,
--------------------
2001 2000
--------- ---------
Series A Cumulative Preferred Stock of Coram, Inc
(hereinafter referred to as the "Preferred Stock") ........ $ 5,618 $ 5,522
Majority-owned companies ........................................ 672 456
--------- ---------
Total minority interests ........................................ $ 6,290 $ 5,978
========= =========
On December 29, 2000, CI, a wholly-owned subsidiary of Coram Healthcare
Corporation, executed an Exchange Agreement with the parties to CI's Securities
Exchange Agreement (collectively the "Holders") (see Note 8 for further details)
to exchange approximately $97.7 million of the Series A Notes and approximately
$11.6 million of contractual but unpaid interest on the Series A Notes and the
Series B Notes in exchange for 905 shares of Preferred Stock, $0.001 par value
per share, having an aggregate liquidation preference of approximately $109.3
million. The shares of Preferred Stock were issued to the Holders on a pro rata
basis. Through an independent valuation, it was determined that the 905 shares
of Preferred Stock had a fair value of approximately $6.1 million and such
amount, offset by certain legal and other closing costs, net to approximately
$5.5 million.
On December 31, 2001, CI executed a second Exchange Agreement with the
Holders (see Note 8 for further details) to exchange $21.0 million of the Series
A Notes and approximately $1.9 million of contractual but unpaid interest on the
Series A Notes for approximately 189.6 shares of Preferred Stock, having a
liquidation preference of approximately $22.9 million. Such shares of Preferred
Stock were issued to the Holders on a pro rata basis. Utilizing an updated
independent valuation, it was determined that the aggregate issued and
outstanding Preferred Stock, consisting of approximately 1,241.1 shares at
December 31, 2001, had a fair value of approximately $1.9 million. Approximately
$0.3 million of fair value was allocated to the shares issued in conjunction
with the second Exchange Agreement. Net of certain legal and other closing
costs, the cumulative minority interest attributable to the Preferred Stock at
December 31, 2001 is approximately $5.6 million.
The authorized CI Preferred Stock consists of 10,000 shares, and the only
shares issued and outstanding at December 31, 2001 are those issued to the
Holders pursuant to the two aforementioned Exchange Agreements and any
corresponding in-kind dividends. So long as any shares of the Preferred Stock
are outstanding, the Holders are entitled to receive preferential dividends at a
rate of 15% per annum on the liquidation preference amount. Dividends are
payable on a quarterly basis on the last business day of each calendar quarter.
Prior to the effective date of the Debtors' plan of reorganization, dividends
are to be paid in the form of additional shares of Preferred Stock having a
liquidation preference amount equal to such dividend amount. Subsequent to the
effective date of a plan of reorganization, dividends will be payable, at CI's
election, in cash or shares of common stock of CI having a fair value equal to
such cash dividend payment, as determined by a consensus of investment banking
firms acceptable to the Holders. In the event of default,
F-25
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
the dividend rate shall increase to 16% per annum until such time that the event
of default is cured. All dividends are to include tax indemnities and gross-up
provisions (computed subsequent to the company's tax fiscal year end in
connection with the preparation of the company's income tax returns) as are
appropriate for transactions of this nature. In-kind dividends earned during the
year ended December 31, 2001, exclusive of any tax indemnities and gross-up
provisions, aggregated approximately 146.5 shares and had a liquidation
preference of approximately $17.7 million.
The organizational documents and other agreements underlying the Preferred
Stock include usual and customary affirmative and negative covenants for a
security of this nature, including, but not limited to (i) providing timely
access to certain financial and business information; (ii) authorization to
communicate with the company's independent certified public accountants with
respect to the financial condition and other affairs of the company; (iii)
maintaining tax compliance; (iv) maintaining adequate insurance coverage; (v)
adherence to limitations on transactions with affiliates; (vi) adherence to
limitations on acquisitions or investments; (vii) adherence to limitations on
the liquidation of assets or businesses; and (viii) adherence to limitations on
entering into additional indebtedness.
The organizational documents and other agreements underlying the Preferred
Stock also include special provisions regarding the Preferred Stock's voting
rights. These provisions include terms and conditions pertaining to certain
triggering events whereby the Preferred Stock voting rights would become
effective. Generally, such triggering events include notice of a meeting,
distribution of a written consent in lieu of a meeting, or entry of an order of
court compelling a meeting, of the stockholders or the Board of Directors of CI
or CHC: (i) to approve appointment, removal or termination of any member of the
Board of Directors of CI or CHC; or (ii) to approve any change in the rights of
any person to do so. Triggering events related to a notice of a meeting or the
distribution of a written consent of the stockholders or Board of Directors of
CI cannot occur without a majority of the independent directors of CHC
previously approving such meeting or written consent. Substantial consummation
of a plan of reorganization will also constitute a triggering event.
Subsequent to the occurrence of a triggering event, each share of Preferred
Stock will be entitled to one vote and shall entitle the holder thereof to vote
on all matters voted on by the holders of CI common stock, voting together as a
single class with other shares entitled to vote, at all meetings of the
stockholders of CI. As of December 31, 2001, the Holders had contingent voting
rights aggregating approximately 55.4% of CI's total voting power. As of such
date, upon the occurrence of a triggering event, the Holders would have also had
the right to appoint four of the seven directors to CI's Board of Directors (a
quorum in meetings of the Board of Directors would have been constituted by the
presence of a majority of the directors, at least two of whom must have been
directors appointed by the Holders). Prior to the occurrence of a triggering
event, the Holders have the right to appoint two directors to CI's Board of
Directors. However, on April 12, 2002, the Holders executed a waiver, whereby
they agreed to permanently and irrevocably waive their rights to collectively
exercise, upon the occurrence of a triggering event, in excess of 49% of the
voting rights of the aggregate of all classes of common and preferred shares and
any other voting securities (the "Waiver"), regardless of the number of shares
issued and outstanding. Additionally, pursuant to this permanent and irrevocable
waiver of rights, the Holders can only elect or appoint up to a number of
directors that constitutes less than half of the total number of directors of
CI. Alternatively, if the holders of the Preferred Stock elect no Board of
Directors' representation, then each of the three Holders shall have the right
to appoint an observer to CI's Board of Directors. The Waiver can only be
modified or amended with the written consent of the Debtors.
The Preferred Stock is redeemable at the option of CI, in whole or in part,
at any time, on not less than thirty days prior written notice, at the
liquidation preference amount plus any contractual but unpaid dividends.
Redemption may be made in the form of cash payments only. As of April 12, 2002,
the aggregate Preferred Stock liquidation preference was approximately $155.4
million.
12. STOCK-BASED COMPENSATION
The company has elected to follow Accounting Principles Board Opinion No.
25, Accounting for Stock Issued to Employees ("APB 25") and related
Interpretations in accounting for its employee stock options as permitted under
Statement of Financial Accounting Standards No. 123, Accounting for Stock-Based
Compensation ("Statement 123").
In connection with the Four-Way Merger, the company assumed the outstanding
obligations under the various stock option and stock purchase plans of the
Merged Entities. No further options will be granted under these plans, unless so
determined by the company's Board of Directors or the Chapter 11 trustee. In
addition, the company implemented the 1994 Coram Healthcare Corporation Stock
Option/Stock Issuance Plan (the "1994 Plan") and the Coram Employee Stock
Purchase Plan (the "Purchase Plan"). The Purchase Plan was suspended in December
1999; however, at December 31, 2001, 0.4 million common shares are reserved for
future issuance under the Purchase Plan.
F-26
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
The 1994 Plan contains three separate incentive programs which provide for
the granting of stock options to certain officers, key employees, consultants
and non-employee members of the company's Board of Directors. Coram's 1994 Plan
has authorized the grant of options for up to 10.0 million shares of the
company's common stock. Options granted under the 1994 Plan may constitute
either incentive stock options, non-statutory options or stock appreciation
rights based on the type of incentive program utilized. For each of the
incentive programs, options may be granted at exercise prices ranging from 85%
to 100% of the fair market value of the company's stock at the date of grant.
All options granted expire ten years from the date of grant and become
exercisable at varying dates depending upon the incentive program utilized.
Until the appointment of the Chapter 11 trustee, the 1994 Plan was administered
by a committee of the Board of Directors, which had the authority to determine
the employees to whom awards would be made and the incentive program to be
utilized.
Pro forma information regarding net losses from continuing operations and
net losses per share is required by Statement 123, and has been determined as if
the company had accounted for its employee stock options granted subsequent to
December 31, 1994 under the fair value method of that accounting pronouncement.
The fair value for the options granted in 2000 and 1999 was estimated at the
date of grant using a Black-Scholes multiple option pricing model with the
following assumptions: risk free interest rates ranging from 6.42% to 6.59% for
2000 and from 5.28% to 6.03% for 1999, volatility factors of the expected market
price of the company's common stock ranging from 1.0 to 2.0 for 2000 and equal
to 0.95 for 1999. For both 2000 and 1999, the expected lives of the options are
one year past vesting and the dividend yield is 0%. No stock options were
granted in 2001.
The Black-Scholes option valuation model was developed for use in estimating
the fair value of traded options which have no vesting restrictions and are
fully transferable. In addition, option valuation models require the input of
highly subjective assumptions, including the expected stock price volatility.
Because the company's stock options have characteristics significantly different
from those of traded options, and because changes in the subjective input
assumptions can materially affect the fair value estimate, in management's
opinion, the existing models do not necessarily provide a reliable single
measure of the fair value of its employee stock options.
For purposes of pro forma disclosures, the estimated fair value of the
options is amortized to expense over the options' vesting period. Because
compensation expense associated with an award is recognized over the vesting
period, the impact on pro forma net loss from continuing operations disclosed
below may not be representative of compensation expense in future pro forma
years. The company's pro forma information is as follows (in thousands, except
for earnings per share information):
YEARS ENDED DECEMBER 31,
------------------------------------
2001 2000 1999
---------- ---------- ----------
Pro forma net loss from continuing operations .. $ (19,637) $ (8,947) $ (70,295)
Pro forma loss net from continuing operations
per common share (basic and diluted) ......... $ (0.40) $ (0.18) $ (1.42)
A summary of the company's stock option activity and related information for
the years ended December 31 is as follows (in thousands, except per share
amounts):
2001 2000 1999
------------------------- ------------------------- -------------------------
WEIGHTED- WEIGHTED- WEIGHTED-
AVERAGE AVERAGE AVERAGE
EXERCISE EXERCISE EXERCISE
OPTIONS PRICE OPTIONS PRICE OPTIONS PRICE
----------- ----------- ----------- ----------- ----------- -----------
Outstanding--beginning of year ...... 7,341 $ 2.18 9,904 $ 2.42 9,221 $ 2.77
Granted:
Price equal to fair value ...... -- -- 1,133 0.59 3,302 1.41
Forfeited ...................... (1,108) 2.36 (3,696) 2.33 (2,619) 2.41
----------- ----------- -----------
Outstanding--end of year ............ 6,233 2.15 7,341 2.18 9,904 2.42
=========== =========== ===========
Exercisable at end of year .......... 5,099 4,924 5,669
=========== =========== ===========
Weighted-average fair value of
Options granted during the year:
Price equal to fair value ......... $ -- $ 0.42 $ 0.91
=========== =========== ===========
F-27
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
Exercise prices for options outstanding and the weighted-average remaining
contractual life of those options at December 31, 2001 are as follows:
OPTIONS OUTSTANDING OPTIONS EXERCISABLE
---------------------------------------------------- ------------------------------
WEIGHTED-AVERAGE
RANGE OF NUMBER REMAINING WEIGHTED-AVERAGE NUMBER WEIGHTED-AVERAGE
EXERCISE PRICES OUTSTANDING CONTRACTUAL LIFE EXERCISE PRICE EXERCISABLE EXERCISE PRICE
- --------------- ----------- ---------------- ---------------- ----------- ---------------
$0.33-$0.69 ....... 651,666 8.16 $0.58 238,221 $0.58
0.75-0.75 ......... 1,000,000 7.91 0.75 666,666 0.75
0.81-1.69 ......... 783,500 7.52 1.12 576,957 1.17
2.00-2.25 ......... 828,279 6.86 2.14 649,774 2.15
2.38-2.63 ......... 723,980 4.96 2.59 722,417 2.59
3.40-3.40 ......... 2,200,000 3.78 3.40 2,200,000 3.40
4.38-20.58 ........ 45,216 5.21 5.83 45,216 5.83
----------- -----------
0.33-20.58 ........ 6,232,641 5.93 2.15 5,099,251 2.42
=========== ===========
Common shares reserved for future issuance include approximately 1.0 million
shares related to options outside of the 1994 Plan. Certain warrants issued by
the Merged Entities prior to the Four-Way-Merger to purchase 1,193 shares of
common stock for $12.58 per share are still outstanding and have no expiration
date.
The Debtors' Second Joint Plan of reorganization, which was denied by the
Bankruptcy Court on December 21, 2001, would have effectively eliminated all
options and warrants to purchase CHC stock because CHC would be dissolved as
soon as practicable after the effective date of the plan and all equity
interests in CHC would be completely eliminated. Another plan put forth by the
Chapter 11 trustee or other interested parties may have a similar effect,
however, appropriate approvals thereof in accordance with the Bankruptcy Code
would be required (see Note 3).
13. COMMITMENTS AND CONTINGENCIES
Leases. The company leases office and other operating space and equipment
under various operating and capital leases. The leases provide for monthly
rental payments, including real estate taxes and other operating costs. Total
rental expense for the years ended December 31, 2001, 2000 and 1999 was
approximately $9.7 million, $10.3 million and $12.2 million, respectively,
exclusive of amounts charged to restructuring reserves. At December 31, 2001 the
aggregate future minimum lease commitments were as follows (in thousands):
CAPITAL OPERATING
YEARS ENDING DECEMBER 31, LEASES LEASES
- ------------------------------------------------------------- -------- -------
2002 ........................................................ $ 11 $10,120
2003 ........................................................ 11 9,095
2004 ........................................................ 6 7,080
2005 ........................................................ -- 5,026
2006 ........................................................ -- 2,087
Thereafter .................................................. -- 903
------- -------
Total minimum lease payments .......................... 28 $34,311
=======
Less amounts representing interest .......................... (3)
-------
Net minimum lease payments .................................. $ 25
=======
Capital lease obligations are included in other debt obligations (see Note 8
for further details). Operating lease obligations are net of sublease rentals.
Operating lease obligations include $0.8 million, less $0.1 million of sublease
rentals, accrued as part of the restructuring costs under the Caremark Business
Consolidation Plan and the Coram Restructure Plan (see Note 6 for further
details). Certain operating leases of the company provide for standard
escalations of lease payments as the lessors' maintenance costs and taxes
increase. As a result of the Debtors' Chapter 11 bankruptcy proceedings, certain
lease agreements are subject to automatic stay provisions, which preclude the
parties under such agreements from taking remedial action in response to any
defaults. Moreover, no amounts are included in the table above for lease
rejections that have been approved by the Bankruptcy Court (see Note 3 for
further details).
Employee Benefit Plans. The Merged Entities provided various defined
contribution plans that were available to their employees. Management merged
these benefit plans in 1995. Eligible employees include individuals over the age
of 21 who have completed six months of benefit-eligible service with the
company. Through September 30, 1999, the company offered a matching contribution
of 50% of the first 6% of the employee's eligible salary. Effective October 1,
1999, Coram amended its defined contribution benefit plan to make the employer
match discretionary and, in connection therewith, no matching contributions have
been made since the plan amendment date. Employee contributions vest immediately
and the company's matching contributions vest over a five year period.
F-28
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
All matching contributions have been in the form of CHC common stock. During the
year ended December 31, 1999, the company's matching contributions to the plan
were approximately $1.3 million.
LITIGATION
Bankruptcy Proceedings. On August 8, 2000, the Debtors filed voluntary
petitions for relief under Chapter 11 of the United States Bankruptcy Code with
the United States Bankruptcy Court for the District of Delaware In Re Coram
Healthcare Corporation and Coram, Inc., Case No. 00-3299 (MFW) and 00-3300 (MFW)
(collectively the "Chapter 11 Cases"). The proceedings have been consolidated
for administrative purposes only by the Bankruptcy Court and are being
administered under the docket of In Re Coram Healthcare Corporation, Case No.
00-3299 (MFW). None of the Debtors' other subsidiaries are debtors in the
proceedings. See Note 3 for further details.
Except as may otherwise be determined by the Bankruptcy Court overseeing the
Chapter 11 Cases, the protection afforded by Chapter 11 generally provides for
an automatic stay relative to any litigation proceedings pending against either
or both of the Debtors. All such claims will be addressed through the
proceedings applicable to the Chapter 11 Cases. The automatic stay would not,
however, apply to actions brought against the company's non-debtor subsidiaries.
Official Committee of the Equity Security Holders' Matters. A committee of
persons claiming to own shares of the company's publicly traded common stock
(the "Equity Committee") objected to the Restated Joint Plan and the Second
Joint Plan, contending, among other things, that the company valuations upon
which the Restated Joint Plan and the Second Joint Plan were premised and the
underlying projections and assumptions were flawed. At various times during
2001, the Debtors and the Equity Committee reviewed certain company information
regarding, among other things, the Equity Committee's contentions. In connection
therewith, on July 30, 2001, the Equity Committee filed a motion to terminate
the Debtors' exclusivity period and file its own plan of reorganization. The
Equity Committee's exclusivity motion was denied by the Bankruptcy Court.
Additionally, in February 2001, the Equity Committee filed a motion with the
Bankruptcy Court seeking permission to bring a derivative lawsuit directly
against the company's Chief Executive Officer, a former member of the Board of
Directors and Cerberus (a party to the company's debtor-in-possession financing
agreement, Senior Credit Facility and Securities Exchange Agreement). The Equity
Committee's proposed lawsuit alleged a collusive plan whereby the named parties
conspired to devalue the company for the benefit of the company's creditors
under the Securities Exchange Agreement. On February 26, 2001, the Bankruptcy
Court ruled that the Equity Committee's motion would not be productive at that
time and, accordingly, the motion was denied without prejudice. In January 2002,
the Equity Committee filed a substantially similar motion with the Bankruptcy
Court, which additionally named Cerberus' principal and the company's other
noteholders. On February 12, 2002, in connection with the authorization of the
Chapter 11 trustee, the Bankruptcy Court again denied the renewed motion without
prejudice.
Management cannot predict whether any future objections of the Equity
Committee will be forthcoming or if they might impact confirmation of any plan
of reorganization proposed by the Chapter 11 trustee or any other interested
party. Management also cannot predict if any other actions taken by the Equity
Committee will have consequences adverse to the company.
Resource Network Subsidiaries' Bankruptcy. On August 19, 1999, a small group
of parties with claims against the Resource Network Subsidiaries filed an
involuntary bankruptcy petition under Chapter 11 of the Bankruptcy Code against
Coram Resource Network, Inc. in the Bankruptcy Court. On November 12, 1999, the
Resource Network Subsidiaries filed voluntary petitions under Chapter 11 of the
Bankruptcy CodeBankruptcy Court, Case No. 99-2889 (MFW). The two proceedings
were consolidated by stipulation of the parties and the case is pending under
the docket of In Re Coram Resource Network, Inc. and Coram Independent Practice
Association, Inc., Case No. 99-2889 (MFW). The Resource Network Subsidiaries are
now being liquidated pursuant to these proceedings.
On September 11, 2000, the Resource Network Subsidiaries filed a motion in
the Debtors' Chapter 11 proceedings seeking, among other things, to have both
the Debtors' and the Resource Network Subsidiaries' bankruptcy proceedings
substantively consolidated into one proceeding. If this motion had been granted,
the Chapter 11 proceedings involving the Resource Network Subsidiaries and the
Chapter 11 estate and proceedings involving the Debtors would have been combined
such that the assets and liabilities of the Resource Network Subsidiaries would
have been joined with the assets and liabilities of the Debtors, the liabilities
of the combined entity would have been satisfied from combined funds and all
intercompany claims would have been eliminated. Furthermore, the creditors of
both proceedings would have voted on any reorganization plan for the combined
entities. The Resource Network Subsidiaries and the Debtors engaged in discovery
related to this substantive consolidation motion and then reached a settlement
F-29
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
agreement in November 2000. The settlement agreement was approved by the
Bankruptcy Court in December 2000 and, in connection therewith, the Debtors made
a payment of $0.5 million to the Resource Network Subsidiaries in January 2001.
Notwithstanding the withdrawal of the substantive consolidation motion, the
Resource Network Subsidiaries still maintain proofs-of-claim in excess of $41
million against each of the Debtors' estates and the company maintains a claim
of approximately the same amount against the Resource Network Subsidiaries'
estate. Additionally, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed objections to confirmation of the Debtors'
Second Joint Plan, as well as, a motion to lift the automatic stay in the
Debtors' bankruptcy proceedings to pursue their claims against the Debtors.
Through April 12, 2002, the Bankruptcy Court has not granted any relief from the
automatic stay provisions of the Bankruptcy Code in favor of the Resource
Network Subsidiaries' estates.
In November 2001, the Official Committee of Unsecured Creditors of the
Resource Network Subsidiaries filed an adversary complaint in the Bankruptcy
Court, both on its own behalf and as assignee for causes of action that may
belong to the Resource Network Subsidiaries, which named as defendants the
Debtors, several non-debtor subsidiaries, several current and former directors,
current executive officers of CHC and several other current and former employees
of the company. This complaint also named as defendants Cerberus, Goldman Sachs
Credit Partners, L.P., Foothill Capital Corporation and Foothill Income Trust,
L.P., the Debtors' principal lenders. The complaint alleges that the defendants
violated various state and federal laws in connection with alleged wrongdoings
related to the operation and corporate structure of the Resource Network
Subsidiaries, including, among other allegations, breach of fiduciary duty,
conversion of assets and preferential payments at the detriment of the Resource
Network Subsidiaries' estates, misrepresentation and fraud, conspiracy,
fraudulent concealment and a pattern of racketeering activity. The complaint
seeks damages in the amount of approximately $56 million and additional monetary
and non-monetary damages, including the disallowance of the Debtors'
proofs-of-claim against the Resource Network Subsidiaries, punitive damages and
attorneys' fees. The Debtors objected to the complaint in the Bankruptcy Court
because management believes that the complaint constitutes an attempt to
circumvent the automatic stay protecting the estates of the Debtors; however,
the non-debtor subsidiaries have no such protection and, accordingly, they plan
to vigorously contest the allegations. The company notified its insurance
carrier of the complaint and intends to avail itself of any appropriate
insurance coverage for its directors and officers, who are also vigorously
contesting the allegations. Principally due to the early stages of this matter
and the issues pending before the Bankruptcy Court, the company cannot predict
the outcome of this case nor can it predict the scope and nature of any
indemnification that the directors and officers may have with the company's
insurance carrier.
The ultimate outcome of the aforementioned claims related to the Resource
Network Subsidiaries' bankruptcy cannot be predicted with any degree of
certainty.
TBOB Enterprises, Inc. On July 17, 2000, TBOB Enterprises, Inc. ("TBOB")
filed an arbitration demand against CHC (TBOB Enterprises, Inc. f/k/a Medical
Management Services of Omaha, Inc. against Coram Healthcare Corporation, in the
American Arbitration Association office in Dallas, Texas). In its demand, TBOB
claims that the company breached its obligations under an agreement entered into
by the parties in 1996 relating to a prior earn-out obligation of the company
that originated from the acquisition of the claimant's prescription services
business in 1993 by a wholly-owned subsidiary of the company. The company
operated the business under the name Coram Prescription Services ("CPS") and the
assets of the CPS business were sold on July 31, 2000. See Note 5 for further
details. TBOB alleges, among other things, that the company impaired the
earn-out payments due TBOB by improperly charging certain expenses to the CPS
business and failing to fulfill the company's commitments to enhance the value
of CPS by marketing its services. The TBOB demand alleges damages of more than
$0.9 million. TBOB contends that this amount must be paid in addition to the
final scheduled earn-out payment of approximately $1.3 million that was due in
March 2001. Furthermore, pursuant to the underlying agreement with TBOB,
additional liabilities may result from post-petition interest on the final
scheduled earn-out payment. In accordance with SOP 90-7, such interest,
estimated to aggregate approximately $0.2 million as of December 31, 2001, using
the contractual rate of 18%, has not been recorded in the company's Consolidated
Financial Statements because TBOB's claim for interest may ultimately not be
sustainable. TBOB reiterated its monetary demand through a proof of claim filed
against CHC's estate for the aggregate amount of approximately $2.2 million (the
scheduled earn-out payment plus the alleged damages). Any action relating to the
final $1.3 million earn-out payment scheduled for March 2001, the alleged
damages of $0.9 million and any interest accrued thereon have been stayed by
operation of the Bankruptcy Code. On July 5, 2001, the company received a letter
from TBOB's legal counsel requesting that the aforementioned arbitration remain
in abeyance pending resolution of the bankruptcy proceedings. Management does
not believe that final resolution of this matter will have a material adverse
impact on the company's financial position or results of operations.
F-30
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
Internal Revenue Service Negotiations. CHC and the Internal Revenue Service
have been negotiating over a notice of deficiency issued by the Internal Revenue
Service. See Note 9 for further details.
Aetna U.S. Healthcare, Inc. On June 30, 1999, the company filed a complaint
(the "Coram Complaint") against Aetna in the United States District Court for
the Eastern District of Pennsylvania setting forth claims against Aetna for
fraud, misrepresentation, breach of contract and rescission relating to the
Master Agreement between the parties for ancillary network management services
through the Resource Network Subsidiaries. On June 30, 1999, the company
received a copy of a complaint (the "Aetna Complaint") that had been filed by
Aetna on June 29, 1999 in the Court of Common Pleas of Montgomery County,
Pennsylvania. The Aetna Complaint sought specific performance, injunctive relief
and declaratory relief to compel the company to perform under the Master
Agreement, including the payment of compensation to the healthcare providers
that had rendered and continued to render services to Aetna's health plan
members. As stated in the Aetna Complaint, Aetna disputed the company's right to
terminate the Master Agreement. The company removed the Aetna Complaint to
federal court. On July 20, 1999, Aetna filed a counterclaim against the company
in the federal court lawsuit brought by the company. In its counterclaim, Aetna
sued the company for, among other allegations, breach of the Master Agreement
and fraudulent misrepresentation, contending the company never intended to
perform under the Master Agreement, defamation, interference with contractual
relations with providers and interference with prospective contractual relations
with other companies that allegedly bid for the Master Agreement.
On April 20, 2000, the company and Aetna reached an amicable resolution to
the then outstanding disputes and, in connection therewith, all claims and
counterclaims amongst the parties were dismissed from the courts of appropriate
jurisdiction. The final resolution of these matters did not have a material
effect on the company's consolidated financial position or results of
operations. The impact of this dispute resolution has been charged to
discontinued operations in the accompanying consolidated financial statements
for the year ended December 31, 2000.
Alan Furst et. al. v. Stephen Feinberg, et. al. A complaint was filed in the
United States District Court for the District of New Jersey on November 8, 2000
and an Amended Class Action Complaint was filed on November 15, 2000, alleging
that certain current and former officers and directors of the company and the
company's principal lenders, Cerberus Partners, L.P., Foothill Capital
Corporation and Goldman Sachs & Co., implemented a scheme to perpetrate a fraud
upon the stock market regarding the common stock of CHC. A second Amended Class
Action Complaint (the "Second Amended Complaint") was filed on March 21, 2001,
which removed all of the officers and directors of the company as defendants,
except the company's Chief Executive Officer and another current member of the
Board of Directors and continued to name Cerberus Partners, L.P., Foothill
Capital Corporation and Goldman Sachs & Co. as defendants. The plaintiffs allege
that the defendants artificially depressed the trading price of the company's
publicly traded shares and created the false impression that stockholders'
equity was decreasing in value and was ultimately worthless. The plaintiffs
further allege that members of the class sustained total investment losses of
$50 million or more. On June 14, 2001, a third Amended Class Action Complaint
(the "Third Amended Complaint") was filed naming the same defendants as the
Second Amended Complaint. The plaintiffs' allegations in the Third Amended
Complaint were substantially similar to the allegations in the Second Amended
Complaint; however, the Third Amended Complaint eliminated references to the
corporate assets of Coram. The defendants filed motions to dismiss the Third
Amended Complaint, as they believe the claims are inadequately pleaded and
meritless. These motions have not yet been adjudicated. The company notified its
insurance carrier of the lawsuit and intends to avail itself of any appropriate
insurance coverage for its directors and officers, who are vigorously contesting
the allegations. The company cannot predict the outcome of this case nor can it
predict the scope and nature of any indemnification that the directors and
officers may have with the company's insurance carrier.
General. Management of the company and its subsidiaries intends to
vigorously defend the company in the matters described above. Nevertheless, due
to the uncertainties inherent in litigation, including possible indemnification
of other parties, the ultimate disposition of such matters cannot presently be
determined. Adverse outcomes in some or all of the proceedings could have a
material adverse effect on the financial position, results of operations and
liquidity of the company.
The company and its subsidiaries are also parties to various other legal
actions arising out of the normal course of their businesses, including employee
claims, reviews of cost reports submitted to Medicare and examinations by
regulators such as Medicare and Medicaid fiscal intermediaries and the Centers
for Medicare and Medicaid Services ("CMS") (formerly the Health Care Financing
Administration). Management believes that the ultimate resolution of such other
actions will not have a material adverse effect on the financial position,
results of operations or liquidity of the company.
PricewaterhouseCoopers LLP. On July 7, 1997, the company filed suit against
Price Waterhouse LLP (now known as PricewaterhouseCoopers LLP) in the Superior
Court of San Francisco, California, seeking damages in excess of $165.0 million.
As
F-31
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
part of the settlement that resolved a case filed by the company against
Caremark International, Inc. and Caremark, Inc. (collectively "Caremark"),
Caremark assigned and transferred to the company all of Caremark's claims and
causes of action against Caremark's independent auditors, PricewaterhouseCoopers
LLP, related to the lawsuit filed by the company against Caremark. This
assignment of claims includes claims for damages sustained by Caremark in
defending and settling its lawsuit with the company. The case was dismissed from
the California court because of inconvenience to witnesses with a right to
re-file in Illinois. The company re-filed the lawsuit in state court in Illinois
and PricewaterhouseCoopers LLP filed a motion to dismiss the company's lawsuit
on several grounds, but its motion was denied on March 15, 1999.
PricewaterhouseCoopers LLP filed an additional motion to dismiss the lawsuit in
May 1999, and that motion was dismissed on January 28, 2000. On April 19, 2001,
PricewaterhouseCoopers LLP filed a motion for partial summary judgement with
regard to a portion of Caremark's claims; however, this motion was subsequently
denied. The lawsuit is currently in the discovery stage and a trial is scheduled
to commence after June 22, 2002. There can be no assurance of any recovery from
PricewaterhouseCoopers LLP or its insurance carriers.
Government Regulation. Under the physician ownership and referral provisions
of the Omnibus Budget Reconciliation Act of 1993 (commonly referred to as "Stark
II"), it is unlawful for a physician to refer patients for certain designated
health services reimbursable under the Medicare or Medicaid programs to an
entity with which the physician and/or the physician's family, as defined under
Stark II, has a financial relationship, unless the financial relationship fits
within an exception enumerated in Stark II or regulations promulgated
thereunder. A "financial relationship" under Stark II is defined broadly as an
ownership or investment interest in, or any type of compensation arrangement in
which remuneration flows between the physician and the provider. The company has
financial relationships with physicians and physician owned entities in the form
of medical director agreements and service agreements pursuant to which the
company provides pharmacy products. In each case, the relationship has been
structured, based upon advice of legal counsel, using an arrangement management
believes to be consistent with the applicable exceptions set forth in Stark II.
In addition, the company is aware of certain referring physicians (or their
immediate family members) that have had financial interests in the company
through ownership of shares of the company's common stock. The Stark II law
includes an exception for the ownership of publicly traded stock in companies
with equity above certain levels. This exception of Stark II requires the
issuing company to have stockholders' equity of at least $75 million either as
of the end of its most recent fiscal year or on average over the last three
fiscal years. Due principally to the extraordinary gains on troubled debt
restructurings (see Note 8), at December 31, 2001 the company's stockholders'
equity was above the required level. However, in light of the company's
recurring operational losses during each of the years in the three year period
ended December 31, 2001, management's ability to maintain an appropriate level
of stockholders' equity at December 31, 2002, for compliance as of January 1,
2003, cannot be reasonably assured. The penalties for failure to comply with
Stark II include, among other things, non-payment of claims and civil penalties
that could be imposed upon the company and, in some instances upon the referring
physician, regardless of whether the company intended to violate the law.
Management has been advised by legal counsel that a company whose stock is
publicly traded has, as a practical matter, no reliable way to implement and
maintain an effective compliance plan for addressing the requirements of Stark
II other than complying with the public company exception. Accordingly, if the
company's common stock remains publicly traded and its stockholders' equity
falls below the required levels, the company would be forced to cease accepting
referrals of patients covered by Medicare or Medicaid programs or run a
significant risk of noncompliance with Stark II. Because referrals of the
company's patients with such government-sponsored benefit programs comprise
approximately 25% of the company's consolidated net revenue for the year ended
December 31, 2001, discontinuing the acceptance of patients with
government-sponsored benefit programs would have a material adverse effect on
the financial condition, results of operations and cash flows of the company.
Additionally, ceasing to accept such referrals could materially adversely affect
the company's business reputation in the market as it may cause the company to
be a less attractive provider to which a physician could refer his or her
patients. The company previously requested a Stark II waiver from the Health
Care Financing Administration, but such waiver request was denied.
14. FAIR VALUE OF FINANCIAL INSTRUMENTS
The financial instruments included in the company's current assets and
current liabilities (excluding the current portion of long-term debt and
liabilities subject to compromise) are reflected in the financial statements at
amounts approximating their fair value due to their short-term nature.
The company's ability to borrow is limited. At December 31, 2001 and 2000,
total long-term debt, including current maturities, had a carrying value of
approximately $132.6 million and $153.6 million, respectively. As a result of
the Debtors' Chapter 11 filings under the United States Bankruptcy Code and in
accordance with the provisions of SOP 90-7, the company classified the Series A
Notes and
F-32
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
the Series B Notes as liabilities subject to compromise in the Consolidated
Balance Sheets. See Notes 3 and 8 for further details of the Debtors' bankruptcy
proceedings and the components of long-term debt, respectively. As of December
31, 2001 and 2000, due to the Chapter 11 bankruptcy proceedings and the absence
of an approved plan of reorganization, the fair value of the company's long-term
debt cannot be reasonably estimated.
15. QUARTERLY RESULTS (IN THOUSANDS, EXCEPT PER SHARE DATA) (UNAUDITED)
The quarterly results have been restated from the amounts previously
reported by the company on Form 10-Q in order to provide for consistent
presentation herein whereby the R-Net division is reflected as Discontinued
Operations.
FOURTH THIRD SECOND FIRST
QUARTER QUARTER QUARTER QUARTER
--------- --------- --------- ---------
Year Ended December 31, 2001
Net revenue ........................................................... $ 106,183 $ 93,762 $ 98,938 $ 94,746
========= ========= ========= =========
Gross profit .......................................................... $ 34,217 $ 25,111 $ 29,778 $ 25,248
========= ========= ========= =========
Loss from continuing operations before extraordinary gain on
troubled debt restructuring ......................................... $ (7,777) $ (7,110) $ (1,139) $ (3,215)
Income (loss) from discontinued operations ............................ (250) -- -- --
Extraordinary gain on troubled debt restructuring ..................... 20,706 -- -- --
--------- --------- --------- ---------
Net income (loss) ..................................................... $ 12,679 $ (7,110) $ (1,139) $ (3,215)
========= ========= ========= =========
Earnings (Loss) Per Share:
Basic and Diluted:
Loss from continuing operations .................................... $ (0.17) $ (0.14) $ (0.02) $ (0.06)
Loss from discontinued operations .................................. (0.01) -- -- --
Extraordinary gain on troubled debt restructuring .................. 0.42 -- -- --
--------- --------- --------- ---------
Net income (loss) .................................................. $ 0.24 $ (0.14) $ (0.02) $ (0.06)
========= ========= ========= =========
FOURTH THIRD SECOND FIRST
QUARTER QUARTER QUARTER QUARTER
--------- --------- --------- ---------
Year Ended December 31, 2000
Net revenue ........................................................... $ 96,934 $ 102,866 $ 130,224 $ 134,796
========= ========= ========= =========
Gross profit .......................................................... $ 27,669 $ 27,199 $ 34,155 $ 34,141
========= ========= ========= =========
Income (loss) from continuing operations before extraordinary gain on
Troubled debt restructuring ......................................... $ (12,238) $ 9,200 $ (3,864) $ (1,489)
Income (loss) from discontinued operations ............................ 2,495 324 (98) (3,383)
Extraordinary gain on troubled debt restructuring, net of tax ......... 107,772 -- -- --
--------- --------- --------- ---------
Net income (loss) ..................................................... $ 98,029 $ 9,524 $ (3,962) $ (4,872)
========= ========= ========= =========
Earnings (Loss) Per Share:
Basic:
Income (loss) from continuing operations ........................... $ (0.25) $ 0.18 $ (0.08) $ (0.03)
Income (loss) from discontinued operations ......................... 0.05 0.01 -- (0.07)
Extraordinary gain on troubled debt restructuring, net of tax ...... 2.17 -- -- --
--------- --------- --------- ---------
Net income (loss) .................................................. $ 1.97 $ 0.19 $ (0.08) $ (0.10)
========= ========= ========= =========
Diluted:
Income (loss) from continuing operations ........................... $ (0.25) $ 0.17 $ (0.08) $ (0.03)
Income (loss) from discontinued operations ......................... 0.05 0.01 -- (0.07)
Extraordinary gain on troubled debt restructuring, net of tax ...... 2.17 -- -- --
--------- --------- --------- ---------
Net income (loss) .................................................. $ 1.97 $ 0.18 $ (0.08) $ (0.10)
========= ========= ========= =========
FOURTH THIRD SECOND FIRST
QUARTER QUARTER QUARTER QUARTER
--------- --------- --------- ---------
Year Ended December 31, 1999
Net revenue ........................................................... $ 134,338 $ 132,939 $ 129,571 $ 124,348
========= ========= ========= =========
Gross profit .......................................................... $ 25,700 $ 30,569 $ 28,421 $ 27,628
========= ========= ========= =========
Loss from continuing operations ....................................... $ (45,530) $ (7,210) $ (10,152) $ (5,902)
Income (loss) from discontinued operations ............................ (15,748) (7,957) (27,841) 5,517
--------- --------- --------- ---------
Net loss .............................................................. $ (61,278) $ (15,167) $ (37,993) $ (385)
========= ========= ========= =========
Earnings per share:
Basic and Diluted:
Loss from continuing operations .................................... $ (0.91) $ (0.15) $ (0.21) $ (0.12)
Income (loss) from discontinued operations ......................... (0.32) (0.16) (0.56) 0.11
--------- --------- --------- ---------
Net loss ........................................................... $ (1.23) $ (0.31) $ (0.77) $ (0.01)
========= ========= ========= =========
F-33
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
In the fourth quarter of 2001, Coram recognized an impairment of goodwill
and other long-lived assets of $3.3 million, incremental bad debt expense of
approximately $5.6 million (principally specific reserves related to certain
payers and an overall deterioration in cash collections, accounts receivable and
DSO (see Note 2 for further details)), expense of approximately $0.7 million
related to a temporary change in the company's policy regarding the carryover of
earned vacation and sick time (selling, general and administrative expenses) and
an extraordinary gain on troubled debt restructuring of approximately $20.7
million. See Notes 8 and 11 for further details.
In the fourth quarter of 2000, Coram recognized an impairment of goodwill
and other long-lived assets of $8.3 million, a success bonus accrual of $1.8
million (reorganization expense), a recovery of a non-operating receivable of
approximately $2.0 million (other income), life insurance proceeds of $1.0
million (other income), an escrow deposit receivable reserve of approximately
$0.7 million (other expense) and an extraordinary gain on troubled debt
restructuring of approximately $107.8 million, net of tax. In addition, in the
fourth quarter's discontinued operations, Coram recognized $1.3 million in
facility cost reserve reductions as a result of the Debtors' bankruptcy
proceedings and $0.8 million in legal and professional fee reserve reductions
due to changes in the estimated amounts necessary to complete the Resource
Network Subsidiaries' Chapter 11 bankruptcy proceedings. See Notes 2, 4, 8 and
11.
In fourth quarter of 1999, Coram initiated three restructuring plans and
charged $5.8 million to continuing operations as restructuring charges and
recognized an impairment of goodwill and other long-lived assets of $9.1
million.
16. INDUSTRY SEGMENT AND GEOGRAPHIC AREA OPERATIONS
Management regularly evaluates the operating performance of the company by
reviewing results on a product or service basis. The company's reportable
segments are Infusion and CPS. Infusion is the company's base business, which
derives its revenue primarily from alternate site infusion therapy and related
services (including non-intravenous home health products such as durable medical
equipment and respiratory therapy services). CPS, which was divested by the
company on July 31, 2000, primarily provided specialty mail-order pharmacy and
pharmacy benefit management services. The other non-reportable segment
principally represents centralized management, administration and clinical
support for clinical research trials.
Management uses earnings before interest expense, income taxes, depreciation
and amortization ("EBITDA") for purposes of performance measurement. Corporate
costs are allocated on a revenue basis. EBITDA excludes net reorganization
expenses, merger and restructuring charges and results from discontinued
operations. The measurement basis for segment assets includes net accounts
receivable, inventories, net property and equipment and other current assets.
F-34
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
Summary information by segment is as follows (in thousands):
As of and for the
Years Ended December 31,
---------------------------------
2001 2000 1999
--------- --------- ---------
INFUSION
Revenue from external customers ............... $ 392,954 $ 400,601 $ 432,823
Intersegment revenue .......................... 145 1,217 22,284
Interest income ............................... 140 84 78
Equity in net income of unconsolidated joint
ventures .................................... 730 759 442
Segment EBITDA profit ......................... 25,893 38,631 3,174
Segment assets ................................ 117,793 108,861 131,893
Segment asset expenditures .................... 5,862 3,271 5,302
CPS
Revenue from external customers ............... $ -- $ 61,377 $ 86,625
Intersegment revenue .......................... -- 11 2,452
Interest income ............................... -- -- --
Equity in net income of unconsolidated joint
ventures .................................... -- -- --
Segment EBITDA profit (loss) .................. -- (1,903) (5,600)
Segment assets ................................ -- -- 24,003
Segment asset expenditures .................... -- 256 1,645
ALL OTHER
Revenue from external customers ............... $ 675 $ 2,842 $ 1,748
Intersegment revenue .......................... -- -- --
Interest income ............................... -- -- --
Equity in net income of unconsolidated joint
ventures .................................... -- -- --
Segment EBITDA profit (loss) .................. (337) 535 145
Segment assets ................................ 29 212 492
Segment asset expenditures .................... -- -- --
A reconciliation of the company's segment revenue, segment EBITDA profit
(loss) and segment assets to the corresponding amounts in the Consolidated
Financial Statements are as follows (in thousands):
AS OF AND FOR THE
YEARS ENDED DECEMBER 31,
---------------------------------
2001 2000 1999
--------- --------- ---------
NET REVENUE
Total for reportable segments ........................................... $ 393,099 $ 463,206 $ 544,184
Other revenue ........................................................... 675 2,842 1,748
Elimination of intersegment revenue ..................................... (145) (1,228) (24,736)
--------- --------- ---------
Total consolidated revenue .............................................. $ 393,629 $ 464,820 $ 521,196
========= ========= =========
LOSS FROM CONTINUING OPERATIONS BEFORE INCOME TAXES, MINORITY
INTERESTS AND EXTRAORDINARY GAINS ON TROUBLED DEBT RESTRUCTURINGS
Total EBITDA profit (loss) for reportable segments ...................... $ 25,893 $ 36,728 $ (2,426)
Other EBITDA profit (loss) .............................................. (337) 535 145
Goodwill amortization expense ........................................... (9,822) (10,227) (10,784)
Depreciation and other amortization expense ............................. (10,105) (10,032) (10,598)
Losses on impairment of long-lived assets ............................... (3,255) (8,323) (9,100)
Interest expense ........................................................ (6,652) (26,788) (29,763)
Gains on sales of businesses ............................................ -- 18,649 --
Restructuring expense ................................................... -- -- (5,831)
Reorganization expenses, net ............................................ (14,397) (8,264) --
All other income, net ................................................... 215 152 1,473
--------- --------- ---------
Loss from continuing operations before income taxes, minority interests
and extraordinary gains on troubled debt restructurings ................ $ (18,460) $ (7,570) $ (66,884)
========= ========= =========
ASSETS
Total assets for reportable segments .................................... $ 117,793 $ 108,861 $ 155,896
Other assets ............................................................ 218,673 236,515 246,855
--------- --------- ---------
Consolidated total assets ............................................ $ 336,466 $ 345,376 $ 402,751
========= ========= =========
For each of the years presented, the company's primary operations and assets
were within the United States. The company maintains an infusion operation in
Canada; however, the assets and revenue generated from this business are not
material to the company's consolidated operations.
F-35
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
17. DEBTOR/NON-DEBTOR FINANCIAL STATEMENTS
The following Condensed Consolidating Financial Statements as of and for the
years ended December 31, 2001 and 2000 are presented in accordance with SOP 90-7
(in thousands):
CONDENSED CONSOLIDATING BALANCE SHEET
AS OF DECEMBER 31, 2001
DEBTORS NON-DEBTORS ELIMINATIONS CONSOLIDATED
---------- ----------- ------------ ------------
ASSETS
Current assets:
Cash and cash equivalents ............................................. $ 20,796 $ 543 $ -- $ 21,339
Cash limited as to use ................................................ 185 84 -- 269
Accounts receivable, net .............................................. -- 88,567 -- 88,567
Inventories ........................................................... -- 13,557 -- 13,557
Deferred income taxes, net ............................................ -- 178 -- 178
Other current assets .................................................. 2,990 1,833 -- 4,823
---------- ----------- ------------ -----------
Total current assets .......................................... 23,971 104,762 -- 128,733
Property and equipment, net ............................................. 3,639 11,391 -- 15,030
Deferred income taxes, net .............................................. -- 719 -- 719
Other deferred costs and intangible assets, net ......................... 271 5,999 -- 6,270
Goodwill, net ........................................................... -- 180,871 -- 180,871
Investment in and advances to wholly-owned subsidiaries, net ............ 231,642 -- (231,642) --
Other assets ............................................................ 3,559 1,284 -- 4,843
---------- ----------- ------------ -----------
Total assets .................................................. $ 263,082 $ 305,026 $ (231,642) $ 336,466
========== =========== ============ ===========
LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities not subject to
compromise:
Accounts payable ...................................................... $ 11,642 $ 12,500 $ -- $ 24,142
Accrued compensation and related liabilities .......................... 17,926 8,423 -- 26,349
Current maturities of long-term debt .................................. 51 9 -- 60
Income taxes payable .................................................. 1 315 -- 316
Deferred income taxes ................................................. -- 462 -- 462
Accrued merger and restructuring costs ................................ 435 148 -- 583
Accrued reorganization costs .......................................... 7,742 -- -- 7,742
Other accrued liabilities, including interest payable ................. 2,299 4,187 (250) 6,236
---------- ----------- ------------ -----------
Total current liabilities not subject to compromise .................. 40,096 26,044 (250) 65,890
Total current liabilities subject to compromise ......................... 139,044 -- -- 139,044
---------- ----------- ------------ -----------
Total current liabilities ............................................... 179,140 26,044 (250) 204,934
Long-term liabilities not subject to compromise:
Long-term debt, less current maturities ............................... 135 15 -- 150
Minority interests in consolidated joint ventures and preferred
stock issued by a subsidiary ....................................... 5,618 672 -- 6,290
Income taxes payable .................................................. -- 17,784 -- 17,784
Other liabilities ..................................................... -- 1,901 -- 1,901
Deferred income taxes ................................................. -- 435 -- 435
Net liabilities of discontinued operations .............................. -- 26,533 250 26,783
---------- ----------- ------------ -----------
Total liabilities ............................................. 184,893 73,384 -- 258,277
Net assets, including amounts due to Debtors ............................ -- 231,642 (231,642) --
Total stockholders' equity .............................................. 78,189 -- -- 78,189
---------- ----------- ------------ -----------
Total liabilities and stockholders' equity .................... $ 263,082 $ 305,026 $ (231,642) $ 336,466
========== =========== ============ ===========
F-36
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
CONDENSED CONSOLIDATING BALANCE SHEET
AS OF DECEMBER 31, 2000
DEBTORS NON-DEBTORS ELIMINATIONS CONSOLIDATED
---------- ------------- ------------- --------------
ASSETS
Current assets:
Cash and cash equivalents ............................................. $ 26,831 $ 428 $ -- $ 27,259
Cash limited as to use ................................................ 233 154 -- 387
Accounts receivable, net .............................................. -- 77,387 -- 77,387
Inventories ........................................................... -- 12,796 -- 12,796
Deferred income taxes, net ............................................ -- 428 -- 428
Other current assets .................................................. 2,823 1,936 -- 4,759
---------- ------------- ------------- --------------
Total current assets .......................................... 29,887 93,129 -- 123,016
Property and equipment, net ............................................. 437 14,855 -- 15,292
Deferred income taxes, net .............................................. -- 1,697 -- 1,697
Other deferred costs and intangible assets, net ......................... -- 8,448 -- 8,448
Goodwill, net ........................................................... -- 193,855 -- 193,855
Investment in and advances to wholly-owned subsidiaries, net ............ 244,361 -- (244,361) --
Other assets ............................................................ 2,117 951 -- 3,068
---------- ------------- ------------- --------------
Total assets .................................................. $ 276,802 $ 312,935 $ (244,361) $ 345,376
========== ============= ============= ==============
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities not subject to compromise:
Accounts payable ...................................................... $ 9,024 $ 12,426 $ -- $ 21,450
Accrued compensation and related liabilities .......................... 17,029 7,569 -- 24,598
Current maturities of long-term debt .................................. -- 179 -- 179
Income taxes payable .................................................. 428 345 -- 773
Deferred income taxes ................................................. -- 52 -- 52
Accrued merger and restructuring costs ................................ 1,036 1,265 -- 2,301
Accrued reorganization costs .......................................... 4,831 -- -- 4,831
Other accrued liabilities, including interest payable ................. 2,827 4,022 -- 6,849
---------- ------------- ------------- --------------
Total current liabilities not subject to compromise .................. 35,175 25,858 -- 61,033
Total current liabilities subject to compromise ......................... 159,127 -- -- 159,127
---------- ------------- ------------- --------------
Total current liabilities ............................................... 194,302 25,858 -- 220,160
Long-term liabilities not subject to compromise:
Long-term debt, less current maturities ............................... -- 24 -- 24
Minority interests in consolidated joint ventures and preferred
stock issued by a subsidiary ....................................... 5,522 456 -- 5,978
Income taxes payable .................................................. -- 11,903 -- 11,903
Other liabilities ..................................................... -- 1,727 -- 1,727
Deferred income taxes ................................................. -- 2,073 -- 2,073
Net liabilities of discontinued operations .............................. -- 26,533 -- 26,533
---------- ------------- ------------- --------------
Total liabilities ............................................. 199,824 68,574 -- 268,398
Net assets, including amounts due to Debtors ............................ -- 244,361 (244,361) --
Total stockholders' equity .............................................. 76,978 -- -- 76,978
---------- ------------- ------------- --------------
Total liabilities and stockholders' equity .................... $ 276,802 $ 312,935 $ (244,361) $ 345,376
========== ============= ============= ==============
F-37
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
CONDENSED CONSOLIDATING STATEMENT OF INCOME
FOR THE YEAR ENDED DECEMBER 31, 2001
DEBTORS NON-DEBTORS ELIMINATIONS CONSOLIDATED
-------- ----------- ------------ ------------
Net revenue ..................................................................... $ -- $ 393,629 $ -- $ 393,629
Cost of service ................................................................. -- 279,275 -- 279,275
-------- ----------- ------------ ------------
Gross profit .................................................................... -- 114,354 -- 114,354
Operating expenses:
Selling, general and administrative expenses .................................. 18,076 65,760 -- 83,836
Provision for estimated uncollectible accounts ................................ -- 17,533 -- 17,533
Amortization of goodwill ...................................................... -- 9,822 -- 9,822
Restructuring cost recovery ................................................... -- (679) -- (679)
Losses on impairments of long-lived assets .................................... -- 3,255 -- 3,255
-------- ----------- ------------ ------------
Total operating expenses .............................................. 18,076 95,691 -- 113,767
-------- ----------- ------------ ------------
Operating income (loss) from continuing operations .............................. (18,076) 18,663 -- 587
Other income (expenses):
Interest income ............................................................... 1,075 141 -- 1,216
Interest expense .............................................................. (734) (5,918) -- (6,652)
Equity in net income of wholly-owned subsidiaries ............................. 12,891 -- (12,891) --
Equity in net income of unconsolidated joint ventures ......................... -- 730 -- 730
Gains on dispositions of property and equipment, net .......................... -- 1 -- 1
Other income, net ............................................................. -- 55 -- 55
-------- ----------- ------------ ------------
Income (loss) from continuing operations before reorganization expenses, income
taxes, minority interests and extraordinary gain on troubled
debt restructuring ............................................................ (4,844) 13,672 (12,891) (4,063)
Reorganization expenses, net .................................................... 14,397 -- -- 14,397
-------- ----------- ------------ ------------
Income (loss) from continuing operations before income taxes, minority
interests and extraordinary gain on troubled debt restructuring ............. (19,241) 13,672 (12,891) (18,460)
Income tax expense ............................................................ -- 150 -- 150
Minority interests in net income of consolidated joint ventures ............... -- 631 -- 631
-------- ----------- ------------ ------------
Income (loss) from continuing operations before extraordinary gain on
troubled debt restructuring ................................................... (19,241) 12,891 (12,891) (19,241)
-------- ----------- ------------ ------------
Discontinued Operations:
Loss from disposal ............................................................ (250) -- -- (250)
-------- ----------- ------------ ------------
Total discontinued operations ................................................... (250) -- -- (250)
-------- ----------- ------------ ------------
Extraordinary gain on troubled debt restructuring ............................... 20,706 -- -- 20,706
-------- ----------- ------------ ------------
Net income ...................................................................... $ 1,215 $ 12,891 $ (12,891) $ 1,215
======== =========== ============ ============
F-38
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
CONDENSED CONSOLIDATING STATEMENT OF INCOME
FOR THE YEAR ENDED DECEMBER 31, 2000
DEBTORS NON-DEBTORS ELIMINATIONS CONSOLIDATED
------- ----------- ------------ ------------
Net revenue ..................................................................... $ -- $ 464,820 $ -- $ 464,820
Cost of service ................................................................. -- 341,656 -- 341,656
------- ----------- ------------ ------------
Gross profit .................................................................... -- 123,164 -- 123,164
Operating expenses:
Selling, general and administrative expenses .................................. 27,231 63,098 -- 90,329
Provision for estimated uncollectible accounts ................................ -- 9,773 -- 9,773
Amortization of goodwill ...................................................... -- 10,227 -- 10,227
Restructuring cost recovery ................................................... -- (322) -- (322)
Losses on impairments of long-lived assets .................................... -- 8,323 -- 8,323
------- ----------- ------------ ------------
Total operating expenses .............................................. 27,231 91,099 -- 118,330
------- ----------- ------------ ------------
Operating income (loss) from continuing operations .............................. (27,231) 32,065 -- 4,834
Other income (expenses):
Interest income ............................................................... 991 -- -- 991
Interest expense .............................................................. (26,754) (34) -- (26,788)
Equity in net income of wholly-owned subsidiaries ............................. 51,915 -- (51,915) --
Equity in net income of unconsolidated joint ventures ......................... -- 759 -- 759
Gains on sales of businesses .................................................. -- 18,649 -- 18,649
Gains/(losses) on dispositions of property and equipment, net ................. 9 (233) -- (224)
Other income, net ............................................................. 281 2,192 -- 2,473
------- ----------- ------------ ------------
Income (loss) from continuing operations before reorganization expenses, income
taxes, minority interests and extraordinary gain on troubled
debt restructuring ............................................................ (789) 53,398 (51,915) 694
Reorganization expenses, net .................................................... 8,264 -- -- 8,264
------- ----------- ------------ ------------
Income (loss) from continuing operations before income taxes, minority
interests and extraordinary gain on troubled debt restructuring ............... (9,053) 53,398 (51,915) (7,570)
Income tax expense ............................................................ -- 250 -- 250
Minority interests in net income of consolidated joint ventures ............... -- 571 -- 571
------- ----------- ------------ ------------
Income (loss) from continuing operations before extraordinary gain on
troubled debt restructuring ................................................... (9,053) 52,577 (51,915) (8,391)
------- ----------- ------------ ------------
Discontinued Operations:
Loss from disposal ............................................................ -- (662) -- (662)
------- ----------- ------------ ------------
Total discontinued operations ................................................... -- (662) -- (662)
------- ----------- ------------ ------------
Extraordinary gain on troubled debt restructuring, net of taxes ................. 107,772 -- -- 107,772
------- ----------- ------------ ------------
Net income ...................................................................... $98,719 $ 51,915 $ (51,915) $ 98,719
======= =========== ============ ============
F-39
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS - (CONTINUED)
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED DECEMBER 31, 2001
DEBTORS NON-DEBTORS CONSOLIDATED
------------ ------------ ------------
Net cash provided by (used in) continuing operations before
reorganization expenses .................................. $ (16,442) $ 30,635 $ 14,193
Net cash used by reorganization expenses .................... (10,776) -- (10,776)
------------ ------------ ------------
Net cash provided by (used in) continuing operations (net
of reorganization expenses) .............................. (27,218) 30,635 3,417
------------ ------------ ------------
Cash flows from investing activities:
Purchases of property and equipment ...................... (2,949) (4,638) (7,587)
Cash advances from wholly-owned subsidiaries ............. 25,359 (25,359) --
Other .................................................... 6 68 74
------------ ------------ ------------
Net cash provided by (used in) investing activities ......... 22,416 (29,929) (7,513)
------------ ------------ ------------
Cash flows from financing activities:
Principal payments of debt obligations ................... (117) (179) (296)
Deposits to collateralize letter of credits .............. (1,116) -- (1,116)
Cash distributions to minority interests ................. -- (412) (412)
------------ ------------ ------------
Net cash used in financing activities ....................... (1,233) (591) (1,824)
------------ ------------ ------------
Net decrease in cash from continuing operations ............. $ (6,035) $ 115 $ (5,920)
============ ============ ============
Net cash used in discontinued operations .................... $ -- $ -- $ --
============ ============ ============
CONDENSED CONSOLIDATING STATEMENT OF CASH FLOWS
FOR THE YEAR ENDED DECEMBER 31, 2000
DEBTORS NON-DEBTORS CONSOLIDATED
------------ ------------ ------------
Net cash provided by (used in) continuing operations before
reorganization expenses ............................................. $ (26,598) $ 70,742 $ 44,144
Net cash used by reorganization expenses ............................... (1,581) -- (1,581)
------------ ------------ ------------
Net cash provided by (used in) continuing operations (net
of reorganization expenses) ......................................... (28,179) 70,742 42,563
------------ ------------ ------------
Cash flows from investing activities:
Purchases of property and equipment ................................. (90) (3,437) (3,527)
Proceeds from sales of businesses ................................... -- 41,513 41,513
Cash advances from wholly-owned subsidiaries ........................ 103,120 (103,120) --
Other ............................................................... -- (189) (189)
------------ ------------ ------------
Net cash provided by (used in) investing activities .................... 103,030 (65,233) 37,797
------------ ------------ ------------
Cash flows from financing activities:
Proceeds from promissory notes and other debt obligations ........... 1,500 -- 1,500
Principal payments of debt obligations .............................. (55,130) (432) (55,562)
Cash paid for debtor-in-possession financing costs (post-petition) . (536) -- (536)
Cash distributions to minority interests ............................ -- (1,405) (1,405)
------------ ------------ ------------
Net cash used in financing activities .................................. (54,166) (1,837) (56,003)
------------ ------------ ------------
Net increase in cash from continuing operations ........................ $ 20,685 $ 3,672 $ 24,357
============ ============ ============
Net cash used in discontinued operations ............................... $ -- $ (3,731) $ (3,731)
============ ============ ============
F-40
CORAM HEALTHCARE CORPORATION
(DEBTOR-IN-POSSESSION)
SCHEDULE II -- VALUATION AND QUALIFYING ACCOUNTS
(IN THOUSANDS)
BALANCE AT CHARGED TO CHARGED TO BALANCE AT
BEGINNING COSTS AND OTHER END OF
DESCRIPTION OF PERIOD EXPENSES ACCOUNTS DEDUCTIONS PERIOD
------------ ------------ ------------ ----------- ------------
Year ended December 31, 2001:
Reserves and allowances deducted from asset accounts:
Allowance for uncollectible accounts ............ $ 17,912 $ 17,533 $ 316(6) $ (16,304)(1) $ 19,457
Allowance for long-term receivable .............. 739 -- -- -- 739
Valuation allowance for inventories ............. 250 -- -- -- 250
Year ended December 31, 2000:
Reserves and allowances deducted
from asset accounts:
Allowance for uncollectible accounts ............ $ 30,920 $ 9,773 $ (3,137)(2) $ (19,644)(1) $ 17,912
Allowance for long-term receivable .............. 1,072 739(5) -- (1,072)(3) 739
Valuation allowance for inventories ............. 525 -- -- (275)(4) 250
Year ended December 31, 1999:
Reserves and allowances deducted
from asset accounts:
Allowance for uncollectible accounts ............ $ 14,297 $ 28,310 $ 472 $ (12,159)(1) $ 30,920
Allowance for long-term receivable .............. 1,763 -- -- (691) 1,072
Valuation allowance for inventories ............. -- 525 -- -- 525
(1) Accounts receivable written off, net of recoveries.
(2) Reclassify certain reserves and adjustments for the disposition of the
Coram Prescription Services division.
(3) Fully reserved vendor rebate receivables written off.
(4) Obsolete inventories written off during the year ended December 31, 2000.
(5) Full reserve for escrow deposit receivable related to dispositions of
lithotripsy partnerships.
(6) Revenue adjustments.
S-1
Included as exhibits are the items listed on the Exhibit Index. The
registrant will furnish a copy of any of the exhibits listed below upon payment
of $5.00 per exhibit to cover the costs to the registrant of furnishing such
exhibit.
EXHIBIT
NUMBER EXHIBIT
------- -------
2.1 -- Agreement and Plan of Merger dated as of February 6, 1994,
by and Among the registrant, T2, Curaflex, HealthInfusion,
Medisys, T2 Acquisition company, CHS Acquisition company, HII
Acquisition company and MI Acquisition company (Incorporated
by reference to Exhibit 2.1 of Registration No. 33-53957 on
Form S-4).
2.2 -- First Amendment to Agreement and Plan of Merger dated as of
May 25, 1994, by and among the registrant, T2, Curaflex,
HealthInfusion, Medisys, T2 Acquisition company, CHS
Acquisition company, HII Acquisition company and MI
Acquisition company (Incorporated by reference to Exhibit 2.2
of Registration No. 33-53957 on Form S-4).
2.3 -- Second Amendment to Agreement and Plan of Merger dated as
of July 8, 1994 by and among the registrant, T2, Curaflex,
HealthInfusion, Medisys, T2 Acquisition company, CHS
Acquisition company, HII Acquisition company and MI
Acquisition company (Incorporated by Reference to Exhibit 2.3
of the registrant's Current Report on Form 8-K dated as of
July 15, 1994).
2.4 -- Asset Sale and Note Purchase Agreement, (the "Asset
Purchase Agreement") among the registrant, Caremark
International Inc. and Caremark Inc. dated as of January 29,
1995 (Incorporated by reference to Exhibit C of the
registrant's Current Report on Form 8-K dated April 6,
1995).(a)
2.5 -- Agreement and Plan of Merger among the registrant, CHC
Acquisition Corp. and Lincare Holdings Inc., (the "Lincare
Merger Agreement") dated as of April 17, 1995 (Incorporated by
reference to Exhibit B of the registrant's Current Report on
Form 8-K dated May 2, 1995).(a)
2.6 -- Agreement and Plan of Merger entered into as of October 19,
1996, Among Coram Healthcare Corporation, Integrated Health
Services, Inc. and IHS Acquisition XIX, Inc. (Incorporated by
reference to Exhibit 2.1 of the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 1996).
2.7 -- Purchase Agreement by and between Integrated Health
Services, Inc., T2 Medical, Inc., Coram Healthcare Corporation
of Greater New York and Coram Healthcare Corporation.
(Incorporated by reference to Exhibit 2 of the registrant's
Current Report on Form 8-K dated as of August 20, 1997).
2.8 -- Side Agreement dated as of September 30, 1997 among Coram
Healthcare Corporation, T2 Medical, Inc., Coram Healthcare
Corporation of Greater New York and Integrated Health
Services, Inc. (Incorporated by reference to Exhibit 2.1 of
the registrant's Current Report on Form 8-K dated as of
September 30, 1997).
2.9 -- Purchase Agreement by and between Curaflex Health Services,
Inc., Coram Healthcare Corporation, Curascript Pharmacy, Inc.,
Curascript PBM Services, Inc. and GTCR Fund VI, L.P., dated
July 31, 2000. (Incorporated by reference to Exhibit 2.1 of
the registrant's Current Report on Form 8-K dated as of July
31, 2000).
2.10 -- Debtor-In-Possession Financing Agreement dated August 30,
2000, by and among Coram Healthcare Corporation and Coram,
Inc. and Madeleine L.L.C. (Incorporated by reference to
Exhibit 2.1 of the registrant's Current Report on Form 8-K
dated as of September 13, 2000).
EXHIBIT
NUMBER EXHIBIT
------- -------
3.1 -- Certificate of Incorporation of registrant, as amended,
through May 1, 1994 (Incorporated by reference to Exhibit 3.1
of Registration No. 33-53957 on Form S-4).
3.2 -- Bylaws of registrant (Incorporated by reference to Exhibit
3.2 of Registration No. 33-53957 on Form S-4).
3.3 -- Certificate of Amendment of the registrant's Certificate of
Incorporation (Incorporated by reference to Exhibit 3.3 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 1997).
4.1 -- Form of Common Stock Certificate for the registrant's
common stock, $0.001 par value per share. (Incorporated by
reference to Exhibit 4.1 of the registrant's Annual Report on
Form 10-K for the year ended December 31, 1994).
4.2 -- Form of Common Stock Certificate for the registrant's
common stock, par value $0.001, including legend thereon in
respect of the Stockholder Rights Agreement. (Incorporated by
reference to Exhibit 4.2 of the registrant's Annual Report on
Form 10-K for the year ended December 31, 1997).
4.3 -- Form of Certificate of Designation, Preferences and Rights
of the registrant's Series X Participating Preferred Stock
(filed as Exhibit A to the Stockholder Rights Agreement, which
was filed as Exhibit 1 to the registrant's Current Report on
Form 8-K dated as of June 25, 1997, and which exhibit is
hereby incorporated by reference thereto).
4.4 -- Form of Certificate of Designation, Preferences and
Relative, Participating, Optional and Other Special rights of
Preferred Stock and Qualifications, Limitations and
Restrictions Thereof, dated December 29, 2000. (Incorporated
by reference to Exhibit 4.1 of the registrant's Current Report
on Form 8-K dated as of December 28, 2000).
10.1 -- Amended and Restated Credit Agreement dated as of February
10, 1995, by and among Curaflex, T2, HealthInfusion, Medisys,
and HMSS as Co-Borrowers, Toronto Dominion (Texas), Inc., as
Agent (the "Amended Credit Agreement") (Incorporated by
reference to Exhibit 10.1 of the registrant's Annual Report on
Form 10-K for the year ended December 31, 1994).(a)
10.2 -- Form of Employment Agreement between the registrant and
Charles A. Laverty (Incorporated by reference to Exhibit 10.1
of Registration No. 33-53957 on Form S-4).
10.3 -- Form of Severance/Non-Compete Agreement between the
registrant and Miles E. Gilman (Incorporated by reference to
Exhibit 10.2 of Registration No. 33-53957 on Form S-4).
10.4 -- Form of Severance/Non-Compete Agreement between the
registrant and William J. Brummond (Incorporated by reference
to Exhibit 10.3 of Registration No. 33-53957 on Form S-4).
10.5 -- Form of Severance/Non-Compete Agreement between the
registrant and Tommy H. Carter (Incorporated by reference to
Exhibit 10.4 of Registration No. 33-53957 on Form S-4).
10.6 -- Form of Indemnification Agreement between the registrant
and each of the registrant's directors and certain executive
officers. (Incorporated by reference to Exhibit 10.6 of the
registrant's Form 10-K for the year ended December 31, 1994).
10.7 -- Registrant's 1994 Stock Option/Stock Issuance Plan and
related Forms of agreements (Incorporated by reference to
Exhibit 10.15 of Registration No. 33-53957 on Form S-4).
10.8 -- Registrant's Employee Stock Purchase Plan (Incorporated by
reference to Exhibit 10.16 of Registration No. 33-53957 on
Form S-4).
EXHIBIT
NUMBER EXHIBIT
------- -------
10.9 -- 401(k) Plan of T2 Medical, Inc. dated December 8, 1989
(Incorporated herein by Reference to Exhibit 10(s) of T2
Annual Report on Form 10-K for the fiscal year ended September
30, 1989, filed with the Commission on or about December 29,
1988.)
10.10 -- 1988 Stock Option Plan of T2 Medical, Inc., as amended and
restated as of July 31, 1990 and as further amended as of (i)
August 20, 1991; (ii) November 12, 1991; and (iii) July 6,
1992 (Incorporated by reference to Exhibit 10.18 of
Registration No. 33-53957 on Form S-4).
10.11 -- Curaflex 1989 Stock Option Plan (Incorporated by reference
to Exhibit 10.53 of Registration No. 33-53957 on Form S-4).
10.12 -- Curaflex Amended 1990 Stock Option Plan (Incorporated by
reference to Exhibit 10.54 of Registration No. 33-53957 on
Form S-4).
10.13 -- Curaflex Directors' Nonqualified Stock Option Plan
(Incorporated by reference to Exhibit 10.59 of Registration
No. 33-53957 on Form S-4).
10.14 -- Clinical Homecare Ltd. 1990 Incentive Stock Option Plan, as
amended (Incorporated by reference to Exhibit 10.61 of
Registration No. 33-53957 on Form S-4).
10.15 -- Clinical Homecare Ltd. 1990 Stock Option Plan, as amended
(Incorporated by reference to Exhibit 10.62 of Registration
No. 33-53957 on Form S-4).
10.16 -- 1989 Stock Option Plan of Medisys (Incorporated by
reference to Exhibit 10.85 of Registration No. 33-53957 on
Form S-4).
10.17 -- Form of Non-Plan Option Agreement of Medisys (Incorporated
by Reference to Exhibit 10.86 of Registration No. 33-53957 on
Form S-4).
10.18 -- Credit Agreement among Coram Healthcare Corporation, Coram,
Inc., the Lenders named therein and Chemical Bank, as
Administrative Agent, Collateral Agent and Fronting Bank (the
"Senior Credit Facility") dated as of April 6, 1995.
(Incorporated by reference to Exhibit D of the registrant's
Current Report on Form 8-K dated April 6, 1995).(a)
10.19 -- First Amendment and Waiver to the Credit Agreement, dated
as of August 9, 1995, together with exhibits hereto, among the
registrant, Coram Inc., each Subsidiary Guarantor (as defined
therein), the Financial Institutions party thereto (as defined
therein), and Chemical Bank as Agent. (Incorporated by
reference to Exhibit 10.19 of the registrant's Quarterly
Report on Form 10-Q for the quarter ended September 30,
1995).(a)
10.20 -- Second Amendment to the Credit Agreement dated as of
September 7, 1995, by and among the registrant, Coram Inc.,
each Subsidiary Guarantor (as defined therein), the Financial
Institutions party thereto (as defined therein), and Chemical
Bank as Agent. (Incorporated by reference to Exhibit 10.20 of
the registrant's Quarterly Report on Form 10-Q for the quarter
ended September 30, 1995).(a)
10.21 -- Third Amendment and Limited Waiver to the Credit Agreement,
dated as of September 29, 1995, by and among the registrant,
Coram Inc., each Subsidiary Guarantor (as defined therein),
the Financial Institutions party thereto (as defined therein),
and Chemical Bank as Agent (Incorporated by reference to
Exhibit 10.21 of the registrant's Quarterly Report on Form
10-Q for the quarter ended September 30, 1995).(a)
10.22 -- Fourth Amendment and Limited Waiver to the Credit Agreement
and First Amendment to Security Documents dated as of October
13, 1995, together with selected exhibits thereto, by and
among the registrant, Coram Inc., each Subsidiary Guarantor
(as defined therein), the Financial Institutions party thereto
(as defined therein) and Chemical Bank as Agent (Incorporated
by reference to the company's Current Report on Form 8-K as
filed October 24, 1995).
EXHIBIT
NUMBER EXHIBIT
------- -------
10.23 -- Warrant Agreement dated as of October 13, 1995, among the
registrant, Coram Inc., and the other parties specified
therein (Incorporated by reference to the company's Current
Report on Form 8-K as filed October 24, 1995).
10.24 -- Amendment and Limited Waiver to Bridge Securities Purchase
Agreement, dated as of October 13, 1995, by and among the
registrant, Coram Inc. and Donaldson, Lufkin & Jenrette.
(Incorporated by reference to Exhibit 10.24 of the
registrant's Quarterly Report on Form 10-Q for the quarter
ended September 30, 1995).(a)
10.25 -- Form of Employment Agreement, Amendment No. 1 and Amendment
No. 2 dated as of April 23, 1999, of Employment Agreement
between the registrant and Donald J. Amaral. (Incorporated by
reference to Exhibit 10.25 and 10.04 of the registrant's
Quarterly Report on Form 10-Q for the quarters ended September
30, 1995, June 30, 1998, and September 30, 1999,
respectively).
10.26 -- Securities Purchase Agreement ("Securities Purchase
Agreement") and Form of Subordinated Bridge Note, dated as of
April 6, 1995, among Coram Inc., Coram Funding, Inc. and the
registrant (Incorporated by reference to Exhibit E of the
registrant's Current report on Form 8-K dated April 6,
1995).(a)
10.27 -- Exclusive Distribution Agreement--Healthcare Products and
Biomedical Equipment and Services Agreement between Medical
Specialties Distributors, Inc. ("MSD") and Coram, dated as of
June 1, 1996. (Incorporated by reference to Exhibit 10.1 of
the registrant's Quarterly Report on Form 10-Q/A Amendment No.
1 for the quarter ended June 30, 1996).
10.28 -- Medical Specialties Master Service Agreement between MSD
and Coram, dated as of June 1, 1996. (Incorporated by
reference to Exhibit 10.2 of the registrant's Quarterly Report
on Form 10-Q/A Amendment No. 1 for the quarter ended June 30,
1996).
10.29 -- Medical Specialties Master Rental Agreement between MSD and
Coram, dated as of June 1, 1996. (Incorporated by reference to
Exhibit 10.3 of the registrant's Quarterly Report on Form
10-Q/A Amendment No. 1 for the quarter ended June 30, 1996).
10.30 -- Coram Healthcare Litigation Memorandum of Understanding
between all Parties to In re Coram Healthcare Corp. Securities
Litigation, Master File No. 95-N-2074 and Shevde v. Sweeney et
al., Civil Action No. 96-N-722, dated as of August 5, 1996.
(Incorporated by reference to Exhibit 10.4 of the registrant's
Quarterly Report on Form 10-Q/A Amendment No. 1 for the
quarter ended June 30, 1996).
10.31 -- Fifth Amendment to the Credit Agreement dated as of
February 6, 1996, by and among the registrant, Coram Inc.,
each Subsidiary Guarantor (as defined therein), the Financial
Institutions party thereto (as described therein), and
Chemical Bank as Agent. (Incorporated by reference to Exhibit
99.1 of the registrant's Quarterly Report on Form 10-Q for the
quarter ended March 31, 1996).(a)
10.32 -- Sixth Amendment to Credit Agreement dated as of April 19,
1996, by and among the registrant, Coram Inc., each Subsidiary
Guarantor (as defined therein), the Financial Institutions
party thereto (as described therein), and Chemical Bank as
Agent. (Incorporated by reference to Exhibit 99.2 of the
registrant's Quarterly Report on Form 10-Q for the quarter
ended March 31, 1996).(a)
10.33 -- Seventh Amendment to Credit Agreement dated as of July 3,
1996, by and among the registrant, Coram Inc., each Subsidiary
Guarantor (as defined therein), the Financial Institutions
party thereto (as described therein), and Chemical Bank as
EXHIBIT
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Agent. (Incorporated by reference to Exhibit 99.1 of the
registrant's Quarterly Report on Form 10-Q/A Amendment No. 1
for the quarter ended June 30, 1996).(a)
10.34 -- Eighth Amendment to Credit Agreement dated as of December 3,
1996, by and among the registrant, Coram Inc., each Subsidiary
Guarantor as defined therein), the Financial Institutions (as
described therein), and Chase Manhattan Bank as Agent.
(Incorporated by reference to Exhibit 10.34 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 1996).(a)
10.35 -- Ninth Amendment and Limited Waiver to the Credit Agreement
dated as of March 14, 1997, by and among the registrant, Coram
Inc., each Subsidiary Guarantor (as defined therein), the
Financial Institutions party thereto (as described therein),
and Chase Manhattan Bank as Agent. (Incorporated by reference
to Exhibit 10.35 of the registrant's Annual Report on Form
10-K for the year ended December 31, 1996).(a)
10.36 -- Amended Agreement, dated as of March 28, 1997, by and among
the Registrant, Coram Inc. and Donaldson, Lufkin & Jenrette.
(Incorporated by reference to Exhibit 10.36 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 1996).(a)
10.37 -- Sabratek Corporation and Coram Healthcare Exclusive Supply
Agreement for IV Infusion Pumps, IV Disposable Sets and
Related Items, dated as of February 26, 1997. (Incorporated by
reference to Exhibit 10.37 of the registrant's Annual Report
on Form 10-K for the year ended December 31, 1996).
10.38 -- Amendment to 9% Subordinated Convertible Debenture and
Notice of Conversion dated as of June 30, 1996, by and among
the Registrant, Coram Inc., and the other parties specified
therein (Incorporated by reference to the company's report on
Form 8-K as filed on July 12, 1996).
10.39 -- Tenth Amendment to Credit Agreement dated June 2, 1997, by
and Among the registrant, Goldman Sachs Credit Partners L.P.,
Coram, Inc., each Subsidiary Guarantor (as defined therein)
and The Chase Manhattan Bank, as administrative agent and
collateral agent for the Lenders named therein, to that
certain Credit Agreement dated as of April 6, 1995, by and
among the registrant, Coram, Inc, each Subsidiary Guarantor
(as defined therein), the Financial Institutions named therein
and the Chase Manhattan Bank, as collateral agent for the
Lenders named therein (Incorporated by reference to Exhibit 99
of the registrant's Current Report on Form 8-K dated as of
June 2, 1997).(a)
10.40 -- Letter Agreement of March 29, 1998 by and among Cerberus
Partners, L.P., Goldman Sachs Credit Partners, L.P. and
Foothill Capital Corporation on the one hand, and Coram
Healthcare Corporation, on the other, deferring the payment of
interest and fees pursuant to (i) the Securities Purchase
Agreement dated as of April 6, 1995 and (ii) the Letter
Agreement dated March 28, 1997 between Coram Funding, Inc. and
Coram Healthcare Corporation. (Incorporated by reference to
Exhibit 10.40 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 1997).
10.41 -- Prime Vendor Agreement and Letter Amendment, dated October
14, 1999, between Coram Healthcare Corporation and Cardinal
Health, Inc. Certain portions of the Prime Vendor Agreement
have been omitted pursuant to a request for confidential
treatment. The entire Prime Vendor Agreement has been filed
confidentially with the Securities and Exchange Commission.
(Incorporated by reference to Exhibit 10.1 of the registrant's
Quarterly Report on Form 10-Q for the quarters ended September
30, 1998 and 1999, respectively).
10.42 -- Amendment No. 1 and Waiver to the Securities Exchange
Agreement among the registrant, Cerberus Partners, L.P.,
Goldman Sachs Credit Partners L.P. and Foothill Capital
Corporation. (Incorporated by reference to Exhibit 10.01 of
the registrant's Quarterly Report on Form 10-Q for the quarter
ended June 30, 1998).
10.43 -- Promissory Notes and Security Agreement dated July 21, 1998
among the registrant and Foothill Capital Corporation, as
collateral agent for Cerberus Partners, L.P., Goldman Sachs
Credit Partners L.P. and Foothill Partners III, L.P. and their
respective successors and assigns. (Incorporated by reference
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to Exhibit 10.02 of the registrant's Quarterly Report on Form
10-Q for the quarter ended June 30, 1998).
10.44 -- Request for Deferral of Interest Payment under the Series B
Convertible Subordinated Notes due 2008 and the related
Securities Exchange Agreement, dated May 6, 1998, by and
between Coram, Inc., Coram Healthcare Corporation, Cerberus
Partners, L.P., Goldman Sachs Credit Partners, L.P. and
Foothill Capital Corporation, as amended (Incorporated by
reference to Exhibit 10.03 of the registrant's Quarterly
Report on Form 10-Q for the quarter ended June 30, 1998).
10.45 -- Securities Exchange Agreement among the registrant,
Cerberus Partners, L.P., Goldman Sachs Credit Partners, L.P.
and Foothill Capital Corporation. (Incorporated by reference
to Exhibit 10.01 of the registrant's Quarterly Report on Form
10-Q for the quarter ended March 31, 1998).(a)
10.46 -- Form of Letter of Credit required by the Master Agreement
by and between the registrant and its applicable affiliates
and Aetna U.S. Healthcare, Inc. and its applicable affiliates
(Incorporated by reference to Exhibit 10.02 of the
registrant's Quarterly Report on Form 10-Q for the quarter
ended March 31, 1998).
10.47 -- Addendum amendment to Sabratek Corporation and Coram
Healthcare Exclusive Supply Agreement for IV Infusion pumps,
IV Disposable Sets and Related Items, dated as of February 26,
1997, as of December 7, 1998. (Incorporated by reference to
Exhibit 10.47 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 1998).
10.48 -- Employment Agreements between Coram Healthcare Corporation and
Richard M. Smith, dated as of April 26, 1999 and November 11,
1999, respectively. (Incorporated by reference to Exhibits
10.4 and 10.2, respectively, of the registrant's Quarterly
Report on Form 10-Q for the quarter ended September 30, 1999).
10.49 -- Employment Agreement, between Coram Healthcare Corporation and
Wendy L. Simpson, dated as of April 26, 1999. (Incorporated by
reference to Exhibit 10.5 of the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 1999).
10.50 -- Employment Agreement, between Coram Healthcare Corporation and
Joseph D. Smith, dated as of April 26, 1999. (Incorporated by
reference to Exhibit 10.6 of the registrant's Quarterly Report
on Form 10-Q for the quarter ended September 30, 1999).
10.51 -- Employment Agreement, between Coram Healthcare Corporation and
Daniel D. Crowley, dated as of November 30, 1999, together
with Amendment No. 1 thereto. (Incorporated by reference to
Exhibit 10.51 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 2000).
10.52 -- Employment Agreement, between Coram Healthcare Corporation and
Allen J. Marabito, dated as of November 30, 1999, together
with amendment No. 1 thereto. (Incorporated by reference to
Exhibit 10.52 of the registrant's Annual Report on Form 10-K
for the year ended December 31, 2000).
10.53 -- First Amendment to Prime Vendor Agreement, dated as of January
1, 2000 by and between the company and Cardinal Health, Inc.
(Incorporated by reference to Exhibit 10.53 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 2000).
10.54 -- Second Amendment to Employment Agreement, between the
company and Daniel D. Crowley, dated as of April 6, 2000.
(Incorporated by reference to Exhibit 10.1 of the registrant's
Quarterly Report on Form 10-Q for the quarter ended March 31,
2000).
10.55 -- Settlement agreement entered into by and among Coram
Resource Network, Inc., Coram Independent Practice
Association, Inc., Coram Healthcare Corporation and Coram,
Inc. (Incorporated by reference to Exhibit 10.1 of the
registrant's Current Report on Form 8-K dated as of November
17, 2000).
10.56 -- Amendment No. 4, dated December 29, 2000, in respect of the
Securities Exchange Agreement dated as of May 6, 1998, among
Coram Healthcare Corporation, Coram, Inc., Cerberus Partners,
L.P., Goldman Sachs Credit Partners, L.P. and Foothill Capital
Corporation. (Incorporated by reference to Exhibit 10.1 of the
registrant's Current Report on Form 8-K dated as of December
28, 2000).
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10.57 -- Exchange Agreement, dated December 29, 2000, among Coram,
Inc., Goldman Sachs Credit Partners, L.P., Cerberus Partners,
L.P. and Foothill Capital Corporation. (Incorporated by
reference to Exhibit 10.2 of the registrant's Current Report
on Form 8-K dated as of December 28, 2000).
10.58 -- Third Amendment to Employment Agreement, between Coram
Healthcare Corporation and Daniel D. Crowley, dated August 2,
2000. (Incorporated by reference to Exhibit 10.58 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 2000).
10.59 -- Employment Agreement, between Coram, Inc. and Scott R. Danitz,
dated August 1, 2000. (Incorporated by reference to Exhibit
10.59 of the registrant's Annual Report on Form 10-K for the
year ended December 31, 2000).
10.60 -- Employment Agreement, between Coram Healthcare Corporation and
Vito Ponzio, Jr, dated April 26, 1999. (Incorporated by
reference to Exhibit 10.60 of the registrant's Annual Report
on Form 10-K for the year ended December 31, 2000).
10.61 -- Consulting Services Agreement, between Coram Healthcare
Corporation and Joseph D. Smith, dated June 30, 2000.
(Incorporated by reference to Exhibit 10.61 of the
registrant's Annual Report on Form 10-K for the year ended
December 31, 2000).
10.62 -- Consulting Services Agreement, between the company and
Donald J. Amaral, dated May 16, 2000. (Incorporated by
reference to Exhibit 10.62 of the registrant's Annual Report
on Form 10-K for the year ended December 31, 2000).
10.63 -- Exchange Agreement and related schedules dated as of December
31, 2001, among Coram Inc., Goldman Sachs Credit Partners,
L.P., Cerberus Partners, L.P. and Foothill Capital
Corporation. (Incorporated by reference to Exhibits 99.4 and
99.4a through 99.4f of the registrant's Current Reports on
Form 8-K and Form 8-K/A dated as of January 10, 2002 and
January 14, 2002, respectively).
10.64 -- Amendment No. 1 to Stockholder Agreement, dated as of December
31, 2001, among Coram, Inc., Goldman Sachs & Co., Cerberus
Partners, L.P. and Foothill Capital Corporation. (Incorporated
by reference to Exhibits 99.5 of the registrant's Current
Reports on Form 8-K and Form 8-K/A dated as of January 10,
2002 and January 14, 2002, respectively).
10.65 -- Amendment No. 5 to Securities Exchange Agreement, dated as of
December 31, 2001, among Coram, Inc., Coram Healthcare
Corporation, Goldman Sachs Credit Partners, L.P., Cerberus
Partners, L.P. and Foothill Capital Corporation. (Incorporated
by reference to Exhibits 99.6 and 99.6a through 99.6.b of the
registrant's Current Report on Form 8-K and Form 8-K/A dated
as of January 10, 2002 and January 14, 2002, respectively).
10.66 -- Certificate of Amendment of the Certificate of Designation
of Coram Inc., as filed with the Secretary of State of the
State of Delaware on December 31, 2001, related to changes in
the Coram, Inc., Series A Cumulative Preferred Stock voting
rights. (Incorporated by reference to Exhibits 99.7 of the
registrant's Current Reports on Form 8-K and Form 8-K/A dated
as of January 10, 2002 and January 14, 2002, respectively).
10.67 -- Bylaws of Coram, Inc., as amended and restated on December 31,
2001. (Incorporated by reference to Exhibits 99.8 of the
registrant's Current Reports on Form 8-K and Form 8-K/A dated
as of January 10, 2002 and January 14, 2002, respectively).
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10.68 -- Product Purchase Agreement, dated September 1, 2001,
between Coram, Inc. and FFF Enterprises, Inc. Certain
portions of the Product Purchase Agreement have been omitted
pursuant to a request for confidential treatment. The entire
Product Purchase Agreement has been filed confidentially
with the Securities and Exchange Commission.*
10.69 -- Prime Vendor Agreement, dated April 19, 2001, between Coram
Healthcare Corporation and Cardinal Distribution, Inc.*
10.70 -- I.V. Systems Division Purchase Agreement, dated October 23,
2000, between Coram, Inc., and Baxter Healthcare Corporation.
Certain portions of the I.V. Systems Division Purchase
Agreement have been omitted pursuant to a request for
confidential treatment. The entire I.V. Systems Division
Purchase Agreement has been filed confidentially with the
Securities and Exchange Commission.*
10.71 -- Letter Amendment, dated October 25, 2000, between Coram,
Inc., and Baxter Healthcare Corporation. Certain portions of
the Letter Amendment have been omitted pursuant to a request
for confidential treatment. The entire Letter Amendment has
been filed confidentially with the Securities and Exchange
Commission.*
10.72 -- Amendment to I.V. Systems Division Purchase Agreement, dated
January 28, 2002, between Coram, Inc., and Baxter Healthcare
Corporation.*
10.73 -- Therapeutics Purchase Agreement, dated January 7, 2002,
between Coram, Inc., and Baxter Healthcare Corporation.
Certain portions of the Agreement have been omitted pursuant
to a request for confidential treatment. The entire Agreement
has been filed confidentially with the Securities and Exchange
Commission.*
10.74 -- Hemophilia Product Volume Commitment Agreement, dated
December 19, 2001, between Coram, Inc., and Baxter Healthcare
Corporation. Certain portions of the Hemophilia Product Volume
Commitment Agreement have been omitted pursuant to a request
for confidential treatment. The entire Hemophilia Product
Volume Commitment Agreement has been filed confidentially with
the Securities and Exchange Commission.*
20.1 -- Stockholder Rights Agreement (the "Stockholder Rights
Agreement"), dated as of June 25, 1997, between Coram
Healthcare Corporation and BankBoston, N.A., which includes
the form of Certificate of Designation, Preferences and Rights
setting forth the terms of the Series X Participating
Preferred Stock, par value $0.001 per share, as Exhibit A, the
Summary of Stockholder Rights Agreement as Exhibit B and the
form of Right Certificate as Exhibit C. Pursuant to the
Stockholder Rights Agreement, printed Right Certificates will
not be mailed until as soon as practicable after the earlier
of the tenth business day after public announcement that a
person or group has become an Acquiring Person or the tenth
business day after a person commences, or announces its
intention to commence, a tender offer or exchange offer the
Consummation of which would result in such person becoming an
Acquiring Person. (Incorporated by reference Exhibit 1 of the
registrant's Current Report on Form 8-K dated as of June 25,
1997).
21.1 -- Subsidiaries of the registrant.*
23.1 -- Consent of Ernst & Young LLP.*
(a) Certain exhibits and schedules of this Exhibit have been omitted. The
registrant agrees to furnish supplementally any omitted schedule or
exhibit to the Securities and Exchange Commission.
* Filed herewith.