UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
x | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 | |||
For the Quarterly Period Ended June 30, 2003 | ||||
OR | ||||
o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Commission File Number 0-26762
PEDIATRIX MEDICAL GROUP, INC.
(Exact name of registrant as specified in its charter)
Florida (State or other jurisdiction of incorporation or organization) |
65-0271219 (I.R.S. Employer Identification No.) |
1301 Concord Terrace
Sunrise, Florida 33323
(Address of principal executive offices)
(Zip Code)
(954) 384-0175
(Registrants telephone number, including area code)
Not Applicable
(Former name, former address and fiscal year, if changed since last report)
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 (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes x No o
Indicate the number of shares outstanding of each of the issuers classes of common stock as of the latest practicable date:
Shares of Common Stock outstanding as of August 8, 2003: 23,030,940
PEDIATRIX MEDICAL GROUP, INC.
INDEX
Page | ||
PART I FINANCIAL INFORMATION | ||
ITEM 1. Financial Statements | 3 | |
Condensed
Consolidated Balance Sheets as of June 30, 2003 (Unaudited) and December 31, 2002 |
3 | |
Condensed
Consolidated Statements of Income for the Three and Six Months
Ended June 30, 2003 and 2002 (Unaudited) |
4 | |
Condensed
Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2003 and 2002 (Unaudited) |
5 | |
Notes to Condensed Consolidated Financial Statements | 6 | |
ITEM 2. Managements Discussion and Analysis of Financial Condition and Results of Operations | 11 | |
ITEM 3. Quantitative and Qualitative Disclosures About Market Risk | 14 | |
ITEM 4. Disclosure Controls and Procedures | 14 | |
PART II OTHER INFORMATION | ||
ITEM 1. Legal Proceedings | 15 | |
ITEM 4. Submission of Matters to a Vote of Security-Holders | 16 | |
ITEM 6. Exhibits and Reports on Form 8-K | 17 | |
SIGNATURES | 18 | |
EXHIBIT INDEX | 19 |
2
PART I FINANCIAL INFORMATION
Item 1. Financial Statements.
PEDIATRIX MEDICAL GROUP, INC.
June 30, | December 31, | ||||||||||
2003 | 2002 | ||||||||||
(in thousands) | |||||||||||
ASSETS |
|||||||||||
Current assets: |
|||||||||||
Cash and cash equivalents |
$ | 11,554 | $ | 73,195 | |||||||
Accounts receivable, net |
84,252 | 75,356 | |||||||||
Prepaid expenses |
3,075 | 6,083 | |||||||||
Income taxes receivable |
7,308 | | |||||||||
Deferred income taxes |
| 5,515 | |||||||||
Other assets |
1,633 | 1,206 | |||||||||
Total current assets |
107,822 | 161,355 | |||||||||
Property and equipment, net |
17,140 | 16,820 | |||||||||
Goodwill |
500,332 | 463,032 | |||||||||
Other assets, net |
14,660 | 7,472 | |||||||||
Total assets |
$ | 639,954 | $ | 648,679 | |||||||
LIABILITIES AND SHAREHOLDERS EQUITY |
|||||||||||
Current liabilities: |
|||||||||||
Accounts payable and accrued expenses |
$ | 73,357 | $ | 76,400 | |||||||
Current portion of long-term debt and
capital lease obligations |
625 | 504 | |||||||||
Income taxes payable |
| 4,896 | |||||||||
Deferred income taxes |
1,663 | | |||||||||
Total current liabilities |
75,645 | 81,800 | |||||||||
Line of credit |
17,000 | | |||||||||
Long-term debt and capital lease obligations |
2,382 | 1,985 | |||||||||
Deferred income taxes |
15,304 | 13,290 | |||||||||
Deferred compensation |
4,749 | 3,606 | |||||||||
Total liabilities |
115,080 | 100,681 | |||||||||
Commitments and contingencies |
|||||||||||
Shareholders equity: |
|||||||||||
Preferred stock; par value $.01 per share;
1,000,000 shares authorized; none issued |
| | |||||||||
Common stock; par value $.01 per share;
50,000,000 shares authorized; 27,582,831 and
27,004,938 shares issued, respectively |
276 | 270 | |||||||||
Additional paid-in capital |
407,076 | 392,321 | |||||||||
Treasury stock, at cost, 4,026,567 shares and
1,691,567 shares, respectively |
(124,767 | ) | (49,998 | ) | |||||||
Retained earnings |
242,289 | 205,405 | |||||||||
Total shareholders equity |
524,874 | 547,998 | |||||||||
Total liabilities and shareholders equity |
$ | 639,954 | $ | 648,679 | |||||||
The accompanying notes are an integral part of
these condensed consolidated financial statements.
3
PEDIATRIX MEDICAL GROUP, INC.
Three Months Ended | Six Months Ended | |||||||||||||||||||
June 30, | June 30, | |||||||||||||||||||
2003 | 2002 | 2003 | 2002 | |||||||||||||||||
(in thousands, except for per share data) | ||||||||||||||||||||
Net patient service revenue |
$ | 133,701 | $ | 116,223 | $ | 259,901 | $ | 223,505 | ||||||||||||
Operating expenses: |
||||||||||||||||||||
Practice salaries and benefits |
75,648 | 65,183 | 150,264 | 127,718 | ||||||||||||||||
Practice supplies and other
operating expenses |
4,718 | 3,954 | 8,783 | 7,443 | ||||||||||||||||
General and administrative expenses |
19,006 | 17,740 | 37,307 | 35,312 | ||||||||||||||||
Depreciation and amortization |
1,903 | 1,463 | 3,553 | 2,927 | ||||||||||||||||
Total operating expenses |
101,275 | 88,340 | 199,907 | 173,400 | ||||||||||||||||
Income from operations |
32,426 | 27,883 | 59,994 | 50,105 | ||||||||||||||||
Investment income |
81 | 222 | 220 | 375 | ||||||||||||||||
Interest expense |
(435 | ) | (287 | ) | (725 | ) | (570 | ) | ||||||||||||
Income before income taxes |
32,072 | 27,818 | 59,489 | 49,910 | ||||||||||||||||
Income tax provision |
12,187 | 10,851 | 22,605 | 19,467 | ||||||||||||||||
Net income |
$ | 19,885 | $ | 16,967 | $ | 36,884 | $ | 30,443 | ||||||||||||
Per share data: |
||||||||||||||||||||
Net income per common and
common equivalent share: |
||||||||||||||||||||
Basic |
$ | .84 | $ | .64 | $ | 1.53 | $ | 1.18 | ||||||||||||
Diluted |
$ | .82 | $ | .62 | $ | 1.49 | $ | 1.13 | ||||||||||||
Weighted average shares used in
computing net income per common
and common equivalent share: |
||||||||||||||||||||
Basic |
23,655 | 26,367 | 24,043 | 25,800 | ||||||||||||||||
Diluted |
24,327 | 27,426 | 24,705 | 27,022 | ||||||||||||||||
The accompanying notes are an integral part of
these condensed consolidated financial statements.
4
PEDIATRIX MEDICAL GROUP, INC.
Six Months Ended | ||||||||||||
June 30, | ||||||||||||
2003 | 2002 | |||||||||||
(in thousands) | ||||||||||||
Cash flows from operating activities: |
||||||||||||
Net income |
$ | 36,884 | $ | 30,443 | ||||||||
Adjustments to reconcile net income to net cash provided from
operating activities: |
||||||||||||
Depreciation and amortization |
3,553 | 2,927 | ||||||||||
Deferred income taxes |
9,192 | (7,600 | ) | |||||||||
Changes in assets and liabilities: |
||||||||||||
Accounts receivable |
(7,407 | ) | (4,338 | ) | ||||||||
Prepaid expenses and other assets |
2,903 | 1,058 | ||||||||||
Other assets |
271 | 458 | ||||||||||
Accounts payable and accrued expenses |
(3,202 | ) | (6,455 | ) | ||||||||
Income taxes |
(8,657 | ) | 15,016 | |||||||||
Net cash provided from operating activities |
33,537 | 31,509 | ||||||||||
Cash flows from investing activities: |
||||||||||||
Acquisition payments, net of cash acquired |
(46,197 | ) | (19,093 | ) | ||||||||
Purchase of property and equipment |
(2,340 | ) | (2,926 | ) | ||||||||
Net cash used in investing activities |
(48,537 | ) | (22,019 | ) | ||||||||
Cash flows from financing activities: |
||||||||||||
Borrowings on line of credit, net |
17,000 | | ||||||||||
Payments on capital lease obligations |
(89 | ) | (117 | ) | ||||||||
Proceeds from issuance of common stock |
11,217 | 27,799 | ||||||||||
Purchase of treasury stock |
(74,769 | ) | | |||||||||
Net cash (used in) provided from financing
activities |
(46,641 | ) | 27,682 | |||||||||
Net (decrease) increase in cash and cash equivalents |
(61,641 | ) | 37,172 | |||||||||
Cash and cash equivalents at beginning of period |
73,195 | 27,557 | ||||||||||
Cash and cash equivalents at end of period |
$ | 11,554 | $ | 64,729 | ||||||||
The accompanying notes are an integral part of
these condensed consolidated financial statements.
5
PEDIATRIX MEDICAL GROUP, INC.
June 30, 2003
(Unaudited)
1. Basis of Presentation:
The accompanying unaudited condensed consolidated financial statements of Pediatrix Medical Group, Inc. and the notes thereto presented in this Quarterly Report have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission applicable to interim financial statements, and do not include all disclosures required by accounting principles generally accepted in the United States of America for complete financial statements. In the opinion of management, these financial statements include all adjustments, consisting only of normal recurring adjustments, necessary for a fair presentation of the results of interim periods. The financial statements include all the accounts of Pediatrix Medical Group, Inc., and its subsidiaries combined with the accounts of the professional associations, corporations and partnerships (the PA Contractors) with which Pediatrix Medical Group, Inc. or one of its subsidiaries currently has specific management arrangements. The terms Pediatrix and the Company refer collectively to Pediatrix Medical Group, Inc., its subsidiaries and the PA Contractors. |
The consolidated results of operations for the interim periods presented in this Quarterly Report are not necessarily indicative of the results to be experienced for the entire fiscal year. The accompanying unaudited condensed consolidated financial statements and the notes thereto should be read in conjunction with the consolidated financial statements and the notes thereto included in the Companys Annual Report on Form 10-K for the year ended December 31, 2002, as filed with the Securities and Exchange Commission. |
2. Summary of Significant Accounting Policies:
Stock Options |
The Company accounts for stock-based compensation to employees using the intrinsic value method as prescribed by Accounting Principles Board Opinion No. 25, Accounting for Stock Issued to Employees, and related interpretations. Accordingly, no compensation expense for stock options issued to employees is reflected in the condensed consolidated statements of income, because the market value of the Companys stock equals the exercise price on the day options are granted. |
Had compensation expense been determined based on the fair value accounting provisions of Statement of Financial Accounting Standards No. 123 (FAS 123), Accounting for Stock-Based Compensation, the Companys net income and net income per share would have been reduced to the pro forma amounts below: |
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||
2003 | 2002 | 2003 | 2002 | |||||||||||||||||
(in thousands, except per share data) | ||||||||||||||||||||
Net income, as reported |
$ | 19,885 | $ | 16,967 | $ | 36,884 | $ | 30,443 | ||||||||||||
Deduct: Total stock-based employee
compensation expense determined
under fair value accounting rules,
net of related tax effect |
(1,874 | ) | (1,308 | ) | (4,562 | ) | (2,896 | ) | ||||||||||||
Pro forma net income |
$ | 18,011 | $ | 15,659 | $ | 32,322 | $ | 27,547 | ||||||||||||
Net income per share: |
||||||||||||||||||||
As reported: |
||||||||||||||||||||
Basic |
$ | .84 | $ | .64 | $ | 1.53 | $ | 1.18 | ||||||||||||
Diluted |
$ | .82 | $ | .62 | $ | 1.49 | $ | 1.13 | ||||||||||||
Pro forma: |
||||||||||||||||||||
Basic |
$ | .74 | $ | .57 | $ | 1.31 | $ | 1.02 | ||||||||||||
Diluted |
$ | .73 | $ | .55 | $ | 1.29 | $ | .99 |
6
PEDIATRIX MEDICAL GROUP, INC.
(Unaudited)
2. Summary of Significant Accounting Policies, Continued:
The fair value of each option or share to be issued is estimated on the date of grant using the Black-Scholes option-pricing model with the following weighted average assumptions used for grants in the three months ended June 30, 2003 and 2002: dividend yield of 0% for all years; expected volatility of 63% and 60%, respectively, and risk-free interest rates of 2.8% and 4.8%, respectively, for options with expected lives of five years (officers and physicians of the Company). A 3.8% risk-free interest rate assumption is used for options with expected lives of three years (all other employees of the Company) granted in the three months ended June 30, 2002. No options with an expected life of three years were granted in the three months ended June 30, 2003. Weighted average assumptions used for grants in the six months ended June 30, 2003 and 2002 are: dividend yield of 0% for all years; expected volatility of 63% and 60%, respectively, and risk-free interest rates of 2.9% and 4.7%, respectively, for options with expected lives of five years (officers and physicians of the Company) and 2.1% and 3.8%, respectively, for options with expected lives of three years (all other employees of the Company). |
Accounting Pronouncements |
In November 2002, FASB Interpretation No. 45 (FIN 45), Guarantors Accounting and Disclosure Requirements for Guarantees, Including Indirect Guarantees of Indebtedness of Others an Interpretation of FASB Statements No. 5, 57, and 107 and Rescission of FASB Interpretation No. 34, was issued. This statement elaborates on the disclosures to be made by a guarantor about its obligations under certain guarantees that it has issued. It also clarifies that a guarantor is required to recognize, at the inception of a guarantee, a liability for the fair value of the obligation undertaken in issuing the guarantee. The initial recognition and initial measurement provisions of the interpretation are applicable on a prospective basis to guarantees issued or modified after December 31, 2002 and the disclosure requirements are effective for interim and annual periods ending after December 15, 2002. The adoption of FIN 45 did not have a material impact on the Companys financial position or results of operations for the three and six months ended June 30, 2003. |
In January 2003, FASB Interpretation No. 46 (FIN 46), Consolidation of Variable Interest Entities an Interpretation of ARB No. 51, was issued. FIN 46 addresses consolidation by business enterprises of variable interest entities. The provisions of FIN 46 apply immediately to variable interest entities created after January 31, 2003, and to variable interest entities in which an enterprise obtains an interest after that date. It applies in the first fiscal year or interim period beginning after June 15, 2003, to variable interest entities in which an enterprise holds a variable interest that it acquired before February 1, 2003. The Company has lease arrangements with two entities that may be considered variable interest entities under FIN 46. The Company is currently evaluating whether these two entities will be subject to consolidation under the provisions of FIN 46. As of June 30, 2003, property and equipment related to these entities was approximately $15.9 million with associated liabilities of the same amount. |
3. Business Acquisitions:
The Company completed the acquisition of an independent laboratory specializing in newborn metabolic screening and two physician group practices during the six months ended June 30, 2003. Total consideration for the acquisitions, net of cash acquired, was approximately $46.0 million in cash. In connection with the acquisitions, the Company recorded assets totaling $7.8 million, assumed liabilities of approximately $927,000 and recorded goodwill of approximately $37.3 million. The Company has accounted for the acquisitions using the purchase method of accounting. The results of operations of the acquired practices have been included in the Companys consolidated financial statements from the dates of acquisition. |
7
PEDIATRIX MEDICAL GROUP, INC.
(Unaudited)
3. Business Acquisitions, Continued:
The following unaudited pro forma information combines the consolidated results of operations of the Company and the Companys 2002 and 2003 acquisitions, as if the transactions had occurred on January 1, 2002: |
Three Months Ended | Six Months Ended | ||||||||||||||||||||||||||||||||
June 30, | June 30, | ||||||||||||||||||||||||||||||||
2003 | 2002 | 2003 | 2002 | ||||||||||||||||||||||||||||||
(in thousands, except for per share data) | (in thousands, except for per share data) | ||||||||||||||||||||||||||||||||
Net patient service revenue |
$ | 135,755 | $ | 121,378 | $ | 265,598 | $ | 235,245 | |||||||||||||||||||||||||
Net income |
20,165 | 17,390 | 37,743 | 31,293 | |||||||||||||||||||||||||||||
Net income per share: |
|||||||||||||||||||||||||||||||||
Basic |
.85 | .66 | 1.57 | 1.21 | |||||||||||||||||||||||||||||
Diluted |
.83 | .63 | 1.53 | 1.16 |
4. Accounts Payable and Accrued Expenses:
Accounts payable and accrued expenses consist of the following: |
June 30, | December 31, | |||||||
2003 | 2002 | |||||||
(in thousands) | ||||||||
Accounts payable |
$ | 9,280 | $ | 10,131 | ||||
Accrued salaries and bonuses |
26,504 | 35,377 | ||||||
Accrued payroll taxes and benefits |
9,614 | 10,364 | ||||||
Accrued professional liability coverage |
18,173 | 14,607 | ||||||
Other accrued expenses |
9,786 | 5,921 | ||||||
$ | 73,357 | $ | 76,400 | |||||
5. Net Income Per Share:
Basic net income per share is calculated by dividing net income by the weighted average number of common shares outstanding during the applicable period. Diluted net income per share is calculated by dividing net income by the weighted average number of common and potential common shares outstanding during the applicable period. Potential common shares consist of the dilutive effect of convertible notes calculated using the if-converted method and outstanding options calculated using the treasury stock method. The calculation of diluted net income per share excludes the after-tax impact of interest expense related to convertible subordinated notes. |
8
PEDIATRIX MEDICAL GROUP, INC.
(Unaudited)
5. Net Income Per Share, Continued:
The calculation of basic and diluted net income per share for the three and six months ended June 30, 2003 and 2002 are as follows: |
Three Months Ended | Six Months Ended | ||||||||||||||||
June 30, | June 30, | ||||||||||||||||
2003 | 2002 | 2003 | 2002 | ||||||||||||||
(in thousands, except for per share data) | |||||||||||||||||
Basic: |
|||||||||||||||||
Net income applicable to common stock |
$ | 19,885 | $ | 16,967 | $ | 36,884 | $ | 30,443 | |||||||||
Weighted average number of
common shares outstanding |
23,655 | 26,367 | 24,043 | 25,800 | |||||||||||||
Basic net income per share |
$ | .84 | $ | .64 | $ | 1.53 | $ | 1.18 | |||||||||
Diluted: |
|||||||||||||||||
Net income |
$ | 19,885 | $ | 16,967 | $ | 36,884 | $ | 30,443 | |||||||||
Interest expense on convertible
subordinated debt, net of tax |
7 | 8 | 13 | 16 | |||||||||||||
Net income applicable to common stock |
$ | 19,892 | $ | 16,975 | $ | 36,897 | $ | 30,459 | |||||||||
Weighted average number of
common shares outstanding |
23,655 | 26,367 | 24,043 | 25,800 | |||||||||||||
Weighted average number of
dilutive common stock equivalents |
642 | 1,024 | 632 | 1,187 | |||||||||||||
Dilutive effect of convertible
subordinated debt |
30 | 35 | 30 | 35 | |||||||||||||
Weighted average number of
common and common equivalent
shares outstanding |
24,327 | 27,426 | 24,705 | 27,022 | |||||||||||||
Diluted net income per share |
$ | .82 | $ | .62 | $ | 1.49 | $ | 1.13 | |||||||||
6. Common Stock Repurchase Program:
In November 2002, the Companys Board of Directors approved a common stock repurchase program (the Repurchase Program). Under this Repurchase Program, the Company was authorized to repurchase up to $50 million of its common stock in the open market, subject to market conditions and trading restrictions. The Company completed this repurchase during the three months ended March 31, 2003 by repurchasing approximately 1.6 million shares at a cost of approximately $50 million. In April 2003, the Companys Board of Directors authorized the repurchase of an additional $50 million of common stock. During the three months ended June 30, 2003, the Company repurchased approximately 730,000 shares at a cost of approximately $24.8 million. |
9
PEDIATRIX MEDICAL GROUP, INC.
(Unaudited)
7. Contingencies:
In June and July 2003, several purported federal securities law class actions were commenced against the Company, two of the Companys principal officers and the Companys Chairman of the Board in the United States District Court for the Southern District of Florida. The plaintiffs seek to represent all purchasers of the Companys common stock beginning on various dates in 2002 and ending on June 23, 2003, the date prior to the Companys announcement that it had been advised by a U.S. Attorneys Office that it is conducting an investigation with respect to the Companys Medicaid billing practices nationwide. The plaintiffs claim that the Company violated the antifraud provisions of the federal securities laws by issuing false and misleading statements concerning the Companys billing practices and results of operations. They are seeking unspecified damages and other relief. The Company believes the claims are without merit and intends to defend the cases vigorously. If the Company is unsuccessful in defending the claims, damages awarded could exceed the limits of the Companys insurance coverage and have a material adverse effect on the Companys business, financial condition, results of operations or the trading price of the Companys shares. |
On June 6, 2002, the Company received a written request from the Federal Trade Commission (FTC) to submit information on a voluntary basis in connection with an investigation of issues of competition related to the 2001 acquisition of Magella Healthcare Corporation and its business practices generally. On February 5, 2003, the Company received additional information requests from the FTC in the form of a Subpoena and Civil Investigative Demand. Pursuant to these requests, the FTC has requested documents and information relating to the acquisition and the Companys business practices in certain markets. The Company is cooperating fully with the FTC, but at this time cannot predict the outcome of the investigation and whether it will have a material adverse effect on the Companys business, financial condition, results of operations or the trading price of the Companys shares. |
In April 1999, the Company received requests from federal investigators for information related to its billing practices for services reimbursed by the TRICARE program for military dependents. In June 2003, the Company was advised by a U.S. Attorneys Office that it is conducting a similar civil investigation with respect to the Companys Medicaid billing practices nationwide. These investigations are active and ongoing. The Company believes that additional audits, inquiries and investigations from government agencies will continue to occur in the ordinary course of its business. The Company cannot predict whether any such pending or future audits, inquiries or investigations will have a material adverse effect on the Companys business, financial condition, results of operations or the trading price of the Companys shares. |
During the ordinary course of its business, the Company has become a party to pending and threatened legal actions and proceedings, most of which involve claims of medical malpractice. Although these actions and proceedings are generally expected to be covered by insurance, there can be no assurance that the Companys medical malpractice insurance coverage will be adequate to cover liabilities arising out of medical malpractice claims if the outcomes of such claims are unfavorable to the Company. The Company believes, based upon its review of these pending matters, that the expected resolutions of such legal actions and proceedings will not have a material adverse effect on its business, financial condition, results of operations or the trading price of the Companys shares. |
8. Subsequent Events:
Subsequent to June 30, 2003, the Company acquired two physician group practices for approximately $7.3 million in cash. The acquisitions will be accounted for by the Company using the purchase method of accounting. |
10
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations.
The following discussion highlights the principal factors affecting our financial condition and results of operations, as well as our liquidity and capital resources for the periods described. This discussion should be read in conjunction with our unaudited condensed consolidated financial statements as of June 30, 2003, and for the three and six months ended June 30, 2003 and 2002, and the notes thereto, presented in this Quarterly Report, and Managements Discussion and Analysis of Financial Condition and Results of Operations (including the discussion of our critical accounting policies) and our consolidated financial statements and the notes thereto contained in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission. The consolidated results of operations for the interim periods reported are not necessarily indicative of the results to be experienced for the entire fiscal year. As used herein, us, we and our refer to Pediatrix Medical Group, Inc. and its subsidiaries and the professional associations, corporations and partnerships (the PA Contractors) with which Pediatrix Medical Group, Inc. or one of its subsidiaries has specific management arrangements.
The matters discussed in Managements Discussion and Analysis of Financial Condition and Results of Operations contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Statements that are not historical facts are forward-looking and are based on estimates, forecasts and assumptions involving risks and uncertainties that could cause actual results or outcomes to differ materially from those expressed in the forward-looking statements. See Caution Concerning Forward-Looking Statements below.
Results of Operations
Three Months Ended June 30, 2003 as Compared to Three Months Ended June 30, 2002
Our net patient service revenue increased $17.5 million, or 15.0%, to $133.7 million for the three months ended June 30, 2003, as compared to $116.2 million for the same period in 2002. Of this $17.5 million increase, $4.9 million, or 28.0%, was primarily attributable to physician and newborn screening services which we provide as a result of acquisitions. Same unit patient service revenue increased $12.6 million, or 11.1%, for the three months ended June 30, 2003. The increase in same unit net patient service revenue was primarily the result of: (i) an increase in neonatal intensive care patient days of 7.0%; (ii) increased reimbursement for our services due to the changes in billing codes introduced by the American Medical Association in early 2003; (iii) price increases implemented on January 1, 2003; (iv) increased revenue from volume growth in perinatal services and other services including hearing screens and newborn nursery services provided in existing practices; and (v) improved managed care contracting. Same units are those units at which we provided services for the entire current period and the entire comparable period.
Practice salaries and benefits increased $10.5 million, or 16.1%, to $75.6 million for the three months ended June 30, 2003, as compared to $65.2 million for the same period in 2002. The increase was attributable to: (i) costs associated with new physicians and other staff to support new unit growth and volume growth at existing units; (ii) an increase in incentive compensation as a result of same unit growth and operational improvements at the physician practice level; and (iii) an increase in professional liability and group insurance costs.
Practice supplies and other operating expenses increased $764,000, or 19.3%, to $4.7 million for the three months ended June 30, 2003, as compared to $4.0 million for the same period in 2002. The increase was attributable to new units at which we provide services as a result of acquisitions and our recent acquisition of a metabolic screening laboratory.
General and administrative expenses include all salaries, benefits, supplies and other operating expenses not specifically related to the day-to-day operations of our physician group practices, including billing and collection functions. General and administrative expenses increased $1.3 million, or 7.1%, to $19.0 million for the three months ended June 30, 2003, as compared to $17.7 million for the same period in 2002. This $1.3 million increase was primarily due to salaries and benefits as a result of the continued growth of the Company and increased group health insurance costs.
Depreciation and amortization expense increased by $440,000, or 30.1%, to $1.9 million for the three months ended June 30, 2003, as compared to $1.5 million for the same period in 2002. This $440,000 increase is attributable to: (i) the purchase of computer hardware and software, furniture, equipment and improvements at our corporate headquarters and our regional offices, and (ii) amortization of identifiable intangible assets related to our acquisitions.
Income from operations increased $4.5 million, or 16.3%, to $32.4 million for the three months ended June 30, 2003, as compared to $27.9 million for the same period in 2002. Our operating margin increased 0.3 percentage points to 24.3% for the three months ended June 30, 2003, as compared to 24.0% for the same period in 2002. The increase in operating margin is directly attributable to a reduction in general and administrative expenses as a percent of revenue.
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We recorded net interest expense of $354,000 for the three months ended June 30, 2003, as compared to net interest expense of $65,000 for the same period in 2002. The increase in net interest expense is primarily due to the use of cash on hand and borrowings under our line of credit for acquisitions and to repurchase our common stock.
Our effective income tax rates were 38.0% and 39.0% for the three months ended June 30, 2003 and 2002, respectively.
Net income increased to $19.9 million for the three months ended June 30, 2003, as compared to $17.0 million for the same period in 2002.
Diluted net income per common and common equivalent share was $0.82 on weighted average shares of 24.3 million for the three months ended June 30, 2003, as compared to $0.62 on the weighted average shares of 27.4 million for the same period in 2002. The net decrease in weighted average shares outstanding was due to the weighted average impact of approximately 3.6 million shares purchased under our repurchase program, offset in part by an increase in outstanding shares due to stock option exercises and shares issued under our employee stock purchase plans.
Six Months Ended June 30, 2003 as Compared to Six Months Ended June 30, 2002
Our net patient service revenue increased $36.4 million, or 16.3%, to $259.9 million for the six months ended June 30, 2003, as compared to $223.5 million for the same period in 2002. Of this $36.4 million increase, $9.0 million, or 24.7%, was primarily attributable to physician and newborn screening services which we provide as a result of acquisitions. Same unit patient service revenue increased $27.4 million, or 12.5%, for the six months ended June 30, 2003. The increase in same unit net patient service revenue was primarily the result of: (i) an increase in neonatal intensive care patient days of 6.3%; (ii) increased reimbursement for our services due to the changes in billing codes introduced by the American Medical Association in early 2003; (iii) increased revenue from volume growth in perinatal services and other services including hearing screens and newborn nursery services provided in existing practices; (iv) price increases implemented on January 1, 2003; and (v) improved managed care contracting. Same units are those units at which we provided services for the entire current period and the entire comparable period.
Practice salaries and benefits increased $22.5 million, or 17.7%, to $150.3 million for the six months ended June 30, 2003, as compared to $127.7 million for the same period in 2002. The increase was attributable to: (i) costs associated with new physicians and other staff to support new unit growth and volume growth at existing units; (ii) an increase in incentive compensation as a result of same unit growth and operational improvements at the physician practice level; (iii) an increase in professional liability and group insurance costs; and (iv) an increase in payroll taxes related to increased incentive compensation payouts.
Practice supplies and other operating expenses increased $1.4 million, or 18.0%, to $8.8 million for the six months ended June 30, 2003, as compared with $7.4 million for the same period in 2002. The increase was attributable to new units at which we provide services as a result of acquisitions and our recent acquisition of a metabolic screening laboratory.
General and administrative expenses include all salaries, benefits, supplies and other operating expenses not specifically related to the day-to-day operations of our physician group practices, including billing and collection functions. General and administrative expenses increased $2.0 million, or 5.6%, to $37.3 million for the six months ended June 30, 2003, as compared to $35.3 million for the same period in 2002. This $2.0 million increase was primarily due to salaries and benefits as a result of the continued growth of the Company and increased group health insurance costs. General and administrative expenses for the six months ended June 30, 2002 include settlement costs of $1.3 million related to a Colorado Medicaid investigation.
Depreciation and amortization expense increased by $626,000, or 21.4%, to $3.6 million for the six months ended June 30, 2003, as compared to $2.9 million for the same period in 2002. This $626,000 increase is attributable to: (i) the purchase of computer hardware and software, furniture, equipment and improvements at our corporate headquarters and our regional offices, and (ii) amortization of identifiable intangible assets related to our acquisitions.
Income from operations increased $9.9 million, or 19.7%, to $60.0 million for the six months ended June 30, 2003, as compared with $50.1 million for the same period in 2002. Our operating margin increased 0.7 percentage points to 23.1% for the six months ended June 30, 2003, as compared to 22.4% for the same period in 2002. The increase in operating margin is directly attributable to a reduction in general and administrative expenses as a percent of revenue.
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We recorded net interest expense of $505,000 for the six months ended June 30, 2003, as compared with net interest expense of $195,000 for the same period in 2002. The increase in net interest expense is primarily due to the use of cash on hand and borrowings under our line of credit for acquisitions and to repurchase our common stock.
Our effective income tax rates were 38.0% and 39.0% for the six months ended June 30, 2003 and 2002, respectively.
Net income increased to $36.9 million for the six months ended June 30, 2003, as compared to $30.4 million for the same period in 2002.
Diluted net income per common and common equivalent share was $1.49 on weighted average shares of 24.7 million for the six months ended June 30, 2003, as compared to $1.13 on the weighted average shares of 27.0 million for the same period in 2002. The net decrease in weighted average shares outstanding was due to the weighted average impact of approximately 3.1 million shares purchased under our repurchase program, offset in part by an increase in outstanding shares due to stock option exercises and shares issued under our employee stock purchase plans.
Liquidity and Capital Resources
As of June 30, 2003, we had approximately $11.6 million of cash and cash equivalents on hand as compared to $73.2 million at December 31, 2002. For the six months ended June 30, 2003, the Company generated cash flow from operations of $33.5 million. Additionally, we had working capital of approximately $32.2 million at June 30, 2003, a decrease of $47.4 million from working capital of $79.6 million at December 31, 2002. The decrease in working capital is primarily due to the use of cash for acquisitions and the repurchase of common stock (as more fully discussed below) offset by cash generated by operations.
In November 2002, our Board of Directors approved a common stock repurchase program (the Repurchase Program). Under our Repurchase Program, we were authorized to repurchase up to $50 million of our common stock in the open market, subject to market conditions and trading restrictions. During the three months ended March 31, 2003, we repurchased approximately 1.6 million shares at a cost of approximately $50 million under the Repurchase Program. In April 2003, our Board of Directors authorized an increase in the Repurchase Program for an additional $50 million. Under the additional authorization we repurchased approximately 730,000 shares of our common stock at a cost of approximately $24.8 million during the three months ended June 30, 2003. We completed this repurchase in July 2003 by repurchasing an additional 640,000 shares at a cost of approximately $25.2 million.
The Company currently has a line of credit in the amount of $100 million which matures August 14, 2004 (the Line of Credit). At our option, the Line of Credit bears interest at either the prime rate or the Eurodollar rate plus an applicable margin rate ranging from 2% to 2.75%. The Line of Credit is collateralized by substantially all of our assets. We are subject to certain financial covenants and restrictions specified in our Line of Credit, including covenants that require us to maintain a minimum level of net worth and earnings and a restriction on the payment of dividends and certain other distributions, as specified therein. At June 30, 2003, we were in compliance with such financial covenants and restrictions. The outstanding balance under our Line of Credit at June 30, 2003 was $17.0 million. We had no outstanding balance under our Line of Credit at December 31, 2002.
We maintain professional liability coverage that indemnifies us and our health care professionals on a claims-made basis for losses incurred related to medical malpractice litigation with a portion of self insurance retention. We record a liability for self-insured deductibles and an estimated liability for malpractice claims incurred but not reported based on an actuarial valuation. Effective May 1, 2003, we obtained professional liability coverage that expires April 30, 2004 with terms substantially similar to our previous policy. Such coverage includes an increase in premium costs as compared to our prior policies.
Our annual capital expenditures have typically been for computer hardware and software, furniture, equipment and improvements at the corporate headquarters and our regional offices. During the six months ended June 30, 2003, capital expenditures amounted to approximately $2.3 million.
We anticipate that funds generated from operations, together with cash on hand, and funds available under our Line of Credit, will be sufficient to meet our working capital requirements, finance our required capital expenditures and meet our contractual obligations for at least the next 12 months.
Caution Concerning Forward-Looking Statements
Certain information included or incorporated by reference in this Quarterly Report may be deemed to be forward looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. Such forward looking statements may include, but are not limited to, statements
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relating to our objectives, plans and strategies, and all statements (other than statements of historical facts) that address activities, events or developments that we intend, expect, project, believe or anticipate will or may occur in the future are forward looking statements. Such statements are often characterized by terminology such as believe, hope, may, anticipate, should, intend, plan, will, expect, estimate, project, positioned, strategy and similar expressions. These statements are based on assumptions and assessments made by our management in light of their experience and their perception of historical trends, current conditions, expected future developments and other factors they believe to be appropriate. Any forward-looking statements in this Quarterly Report are made as of the date hereof. We disclaim any duty to update or revise any such statements, whether as a result of new information, future events or otherwise. Forward-looking statements are not guarantees of future performance and are subject to risks and uncertainties that could cause actual results, developments and business decisions to differ materially from those contemplated by such forward-looking statements.
Some of the factors that may cause actual results, developments and business decisions to differ materially from those projected or anticipated by such forward-looking statements, as more fully discussed under the section entitled Risk Factors in our most recent Annual Report on Form 10-K filed with the Securities and Exchange Commission, include pending and future investigations by federal and state government authorities of our billing or other practices (including the previously disclosed investigation by a U.S. Attorneys Office regarding our Medicaid billing practices nationwide and an investigation by the Federal Trade Commission); unfavorable regulatory or other changes or conditions in geographic areas where our operations are concentrated; determinations that we failed to comply with applicable health care laws and regulations; limitations, reductions or retroactive adjustments to reimbursement amounts or rates by government-sponsored health care programs; audits by third party payors with respect to our billings for services; failure of physicians affiliated with us to appropriately record and document the services that they provide; our failure to find suitable acquisition candidates or successfully integrate any future or recent acquisitions; our failure to successfully implement our strategy of diversifying our operations; impairment of long-lived assets, such as goodwill; federal and state health care reform, including changes in the interpretation of government-sponsored health care programs; our failure to successfully recruit additional and retain existing qualified physicians; pending and future malpractice and other lawsuits (including the previously disclosed shareholder class action lawsuits); our failure to manage growth effectively and to maintain effective and efficient information systems; our failure to collect reimbursements from third party payors in a timely manner; cancellation or non-renewal of our arrangements with hospitals, or renewal of such arrangements on less favorable terms; loss of our affiliated physicians privileges or ability to provide services in hospitals, or hospitals entering into arrangements with physicians not affiliated with us; and increased competition in the health care industry.
Item 3. Quantitative and Qualitative Disclosures about Market Risk.
Our Line of Credit and certain operating lease agreements are subject to market risk and interest rate changes. The total amount available under our Line of Credit is $100 million. At our option, the Line of Credit bears interest at either the prime rate or the Eurodollar rate plus an applicable margin rate ranging from 2% to 2.75%. The leases bear interest at LIBOR-based variable rates. The outstanding principal balance on the Line of Credit was $17.0 million at June 30, 2003. The outstanding balances related to the operating leases totaled approximately $15.9 million at June 30, 2003. Considering the total outstanding balances under these instruments at June 30, 2003 of approximately $32.9 million, a 1% change in interest rates would result in an impact to pre-tax earnings of approximately $329,000 per year.
Item 4. Disclosure Controls and Procedures.
We carried out an evaluation, under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of the end of the period covered by this report. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that our disclosure controls and procedures are effective to ensure that information required to be disclosed by us in the reports that we file under the Exchange Act is accumulated and communicated to management, including the Companys Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure. There have been no significant changes in our internal controls or in other factors that could significantly affect internal controls subsequent to the date of our evaluation, including any significant actions regarding any deficiencies.
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PART II OTHER INFORMATION
Item 1. Legal Proceedings.
In June and July 2003, several purported federal securities law class actions were commenced against us, two of our principal officers and our Chairman of the Board in the United States District Court for the Southern District of Florida. The plaintiffs seek to represent all purchasers of our common stock beginning on various dates in 2002 and ending on June 23, 2003, the date prior to our announcement that we had been advised by a U.S. Attorneys Office that it is conducting an investigation with respect to our Medicaid billing practices nationwide. The plaintiffs claim that we violated the antifraud provisions of the federal securities laws by issuing false and misleading statements concerning our billing practices and results of operations. They are seeking unspecified damages and other relief. We believe the claims are without merit and intend to defend the cases vigorously. If we are unsuccessful in defending the claims, damages awarded could exceed the limits of our insurance coverage and have a material adverse effect on our business, financial condition, results of operations or the trading price of our shares.
On June 6, 2002, we received a written request from the Federal Trade Commission (FTC) to submit information on a voluntary basis in connection with an investigation of issues of competition related to the 2001 acquisition of Magella Healthcare Corporation and our business practices generally. On February 5, 2003, we received additional information requests from the FTC in the form of a Subpoena and Civil Investigative Demand. Pursuant to these requests, the FTC has requested documents and information relating to the acquisition and our business practices in certain markets. We are cooperating fully with the FTC, but at this time cannot predict the outcome of the investigation and whether it will have a material adverse effect on our business, financial condition, results of operations or the trading price of our shares.
In April 1999, we received requests from federal investigators for information related to our billing practices for services reimbursed by the TRICARE program for military dependents. In June 2003, we were advised by a U.S. Attorneys Office that it is conducting a similar civil investigation with respect to our Medicaid billing practices nationwide. These investigations are active and ongoing. We believe that additional audits, inquiries and investigations from government agencies will continue to occur in the ordinary course of our business. We cannot predict whether any such pending or future audits, inquiries or investigations will have a material adverse effect on our business, financial condition, results of operations or the trading price of our shares.
During the ordinary course of our business, we have become a party to pending and threatened legal actions and proceedings, most of which involve claims of medical malpractice. Although these actions and proceedings are generally expected to be covered by insurance, there can be no assurance that our medical malpractice insurance coverage will be adequate to cover liabilities arising out of medical malpractice claims if the outcomes of such claims are unfavorable to us. We believe, based upon our review of these pending matters, that the expected resolutions of such legal actions and proceedings will not have a material adverse effect on our business, financial condition, results of operations or the trading price of our shares.
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PEDIATRIX MEDICAL GROUP, INC.
Item 4. Submission of Matters to a Vote of Security-Holders.
At the Companys Annual Meeting of Shareholders on June 4, 2003, the shareholders voted on and elected the following directors: |
Against | Broker | |||||||||||||||
Name | For | or Withheld | Abstained | Non-Vote | ||||||||||||
Cesar L. Alvarez |
17,396,984 | 7,194,343 | 0 | 0 | ||||||||||||
Waldemar A. Carlo, M.D. |
16,898,203 | 7,693,124 | 0 | 0 | ||||||||||||
John K. Carlyle |
17,510,462 | 7,080,865 | 0 | 0 | ||||||||||||
Michael B. Fernandez |
17,573,684 | 7,017,643 | 0 | 0 | ||||||||||||
Roger K. Freeman, M.D. |
18,295,625 | 6,295,702 | 0 | 0 | ||||||||||||
Paul G. Gabos |
18,297,504 | 6,293,823 | 0 | 0 | ||||||||||||
Roger J. Medel, M.D. |
18,297,825 | 6,293,502 | 0 | 0 |
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PEDIATRIX MEDICAL GROUP, INC.
Item 6. Exhibits and Reports on Form 8-K.
(a) Exhibits.
See Exhibit Index. |
(b) Reports on Form 8-K.
Form 8-K, filed and dated May 6, 2003, reporting Item 9 (Regulation FD Disclosure of Results of Operations and Financial Condition) related to a press release reporting earnings for the first quarter ended March 31, 2003. |
Form 8-K, filed and dated May 14, 2003, reporting Item 5 (Other Events) related to the acquisition of Neo Gen Screening, Inc. |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
PEDIATRIX MEDICAL GROUP, INC | ||
Date: August 11, 2003 | By: /s/ Roger J. Medel, M.D. | |
|
||
Roger J. Medel, M.D., President and Chief | ||
Executive Officer (principal executive officer) | ||
Date: August 11, 2003 | By: /s/ Karl B. Wagner | |
|
||
Karl B. Wagner, Chief Financial Officer | ||
(principal financial officer) |
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EXHIBIT INDEX
Exhibit No. |
Description | |
|
||
3.1 | Amended and Restated Articles of Incorporation of Pediatrix Medical Group, Inc., (incorporated by reference to Exhibit 3.1 to Pediatrixs Registration Statement on Form S-1 (Registration No. 33-95086)). | |
3.2 | Amendment and Restated Bylaws of Pediatrix Medical Group, Inc., (incorporated by reference to Exhibit 3.2 to Pediatrixs Quarterly Report on Form 10-Q for the period ended June 30, 2000). | |
3.3 | Articles of Designation of Series A Junior Participating Preferred Stock (incorporated by reference to Exhibit 3.1 to Pediatrixs current report on Form 8-K dated March 31, 1999). | |
4.1 | Rights Agreement, dated as of March 31, 1999, between Pediatrix Medical Group, Inc., and BankBoston, N.A., as rights agent including the form of Articles of Designations of Series A Junior Participating Preferred Stock and the form of Rights Certificate (incorporated by reference to Exhibit 4.1 to Pediatrixs current report on Form 8-K dated March 31, 1999). | |
10.1 | Amendment No. 4 to Amended and Restated Credit Agreement, dated as of April 21, 2003, among Pediatrix Medical Group, Inc., certain professional contractors, Fleet National Bank, U.S. Bank National Association, and HSBC Bank USA (incorporated by reference to Exhibit 10.24 to Pediatrixs Quarterly Report on Form 10-Q for the period ended March 31, 2003). | |
10.2+ | Amendment No. 5 to Amended and Restated Credit Agreement, dated as of May 13, 2003, among Pediatrix Medical Group, Inc., certain professional contractors, Fleet National Bank, U.S. Bank National Association, and HSBC Bank USA. | |
10.3+ | Separation and Severance Agreement dated as of May 30, 2003, by and between Brian T. Gillon and Pediatrix Medical Group, Inc. | |
10.4+ | Consulting Services Agreement, dated as of May 30, 2003, by and between Pediatrix Medical Group, Inc. and Brian T. Gillon. | |
10.5+ | Pediatrix Medical Group, Inc.s Amended and Restated Stock Option Plan dated as of June 4, 2003. | |
31.1+ | Certification of Chief Executive Officer, Pursuant to Exchange Act Rule 13a-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. | |
31.2+ | Certification of Chief Financial Officer, Pursuant to Exchange Act Rule 13a-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. | |
32+ | Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
+ | Filed herewith. |
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