FORM
10--Q
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
(Mark
One)
x |
QUARTERLY
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF
1934 |
For the
quarterly period ended March
31, 2005
OR
o |
TRANSITION
REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF
1934 |
For the
transition period from _______________________ to
__________________
Commission
file number 0-8527
|
DIALYSIS CORPORATION OF
AMERICA |
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|
(Exact name of registrant as
specified in its charter) |
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Florida |
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59-1757642 |
(State or other jurisdiction of
incorporation or organization) |
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(I.R.S. Employer Identification No.) |
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1344 Ashton Road, Hanover,
Maryland
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21076 |
(Address of principal executive
offices)
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(Zip
Code) |
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(410) 694-0500 |
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|
(Registrant’s telephone number, including
area code) |
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NOT APPLICABLE |
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(Former name, former address and former
fiscal year, if changed since last report) |
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Indicate
by check ü 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 or No
o
Indicate
by check ü whether
the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange
Act).
Yes
o or No
x
Common
Stock Outstanding
Common
Stock, $.01 par value - 8,661,815 shares as of April 30, 2005.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
INDEX
PART
I --
FINANCIAL
INFORMATION |
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|
|
The
Consolidated Financial Statements (Unaudited) for the three months ended
March 31, 2005 and March 31, 2004, include the accounts of the Registrant
and its subsidiaries. |
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Item
1. |
Financial
Statements |
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1) |
Consolidated
Statements of Income for the three months ended March 31, 2005 and March
31, 2004 (Unaudited). |
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2) |
Consolidated
Balance Sheets as of March 31, 2005 (Unaudited) and December 31,
2004. |
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3) |
Consolidated Statements of Cash Flows for the
three months ended March 31, 2005 and
March 31, 2004 (Unaudited). |
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4) |
Notes
to Consolidated Financial Statements as of March 31, 2005
(Unaudited). |
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Item
2. |
Management’s
Discussion and Analysis of Financial Condition and Results of
Operations |
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Item
3. |
Quantitative
and Qualitative Disclosures about Market Risk |
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Item
4. |
Controls
and Procedures |
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PART
II--OTHER
INFORMATION |
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Item
1. |
Legal
Proceedings |
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Item
2. |
Changes
in Securities, Use of Proceeds and Issuer Purchases of Equity
Securities |
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Item
6. |
Exhibits
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PART
I -- FINANCIAL INFORMATION
Item
1. Financial
Statements
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF INCOME
(UNAUDITED)
|
|
Three
Months Ended
March 31, |
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|
2005 |
|
2004 |
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Operating
revenues: |
|
|
|
|
|
Medical
service revenue |
|
$ |
10,484,101 |
|
$ |
8,409,524 |
|
Other
income |
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|
128,395 |
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|
217,045
|
|
|
|
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10,612,496 |
|
|
8,626,569
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Operating
costs and expenses: |
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|
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Cost
of medical services |
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|
6,542,601 |
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5,162,222 |
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Selling,
general and administrative expenses |
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3,243,761 |
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2,795,470 |
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Provision
for doubtful accounts |
|
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247,994 |
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148,295 |
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|
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10,034,356 |
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8,105,987 |
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Operating
income |
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578,140 |
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520,582
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Other
income (expense): |
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Interest
income on officer/director note |
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1,292 |
|
|
961 |
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Interest
expense on note and advances
payable
to parent |
|
|
(34,936 |
) |
|
(3,018 |
) |
Other
income, net |
|
|
31,855 |
|
|
22,294
|
|
|
|
|
(1,789 |
) |
|
20,237 |
|
Income
before income taxes, minority interest |
|
|
|
|
|
|
|
and
equity in affiliate earnings |
|
|
576,351 |
|
|
540,819 |
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|
|
|
|
|
|
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Income
tax provision |
|
|
308,803 |
|
|
216,108 |
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|
|
|
|
|
|
|
Income
before minority interest and equity in |
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affiliate
earnings |
|
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267,548 |
|
|
324,711 |
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|
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|
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|
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Minority
interest in income |
|
|
|
|
|
|
|
of
consolidated subsidiaries |
|
|
(63,270 |
) |
|
(55,832 |
) |
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Equity
in affiliate earnings |
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|
120,109 |
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|
19,033 |
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|
|
|
|
|
|
|
|
Net
income |
|
$ |
324,387 |
|
$ |
287,912 |
|
|
|
|
|
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|
|
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Earnings
per share: |
|
|
|
|
|
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Basic |
|
$ |
.04 |
|
$ |
.04 |
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Diluted |
|
$ |
.04 |
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$ |
.03 |
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See notes
to consolidated financial statements.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
CONSOLIDATED
BALANCE SHEETS
|
|
March
31, |
|
December
31, |
|
|
|
2005 |
|
2004(A)
|
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|
(Unaudited) |
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|
ASSETS |
|
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Current
assets: |
|
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|
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Cash
and cash equivalents |
|
$ |
642,913 |
|
$ |
601,603 |
|
Accounts
receivable, less allowance |
|
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|
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of
$1,916,000 at March 31, 2005; |
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$1,636,000
at December 31, 2004 |
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|
8,653,780 |
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|
8,592,476 |
|
Inventories |
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|
1,217,391 |
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1,297,782 |
|
Deferred
income tax asset |
|
|
720,000 |
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|
720,000 |
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Officer
loan and interest receivable |
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|
112,989 |
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|
111,696 |
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Prepaid
expenses and other current assets |
|
|
1,061,033 |
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|
1,223,023 |
|
Total
current assets |
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12,408,106 |
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12,546,580 |
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Property
and equipment: |
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Land
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519,716 |
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376,211 |
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Buildings
and improvements |
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2,366,048 |
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2,352,191 |
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Machinery
and equipment |
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8,164,369 |
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8,087,349 |
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Leasehold
improvements |
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4,698,399 |
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4,674,704 |
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15,748,532 |
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15,490,455 |
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Less
accumulated depreciation and amortization |
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6,871,908 |
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6,496,571 |
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|
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8,876,624 |
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8,993,884 |
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Goodwill |
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3,649,014 |
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|
3,649,014 |
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Other
assets |
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1,263,475 |
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1,300,236 |
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Total
other assets |
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4,912,489 |
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|
4,949,250 |
|
|
|
$ |
26,197,219 |
|
$ |
26,489,714 |
|
LIABILITIES
AND STOCKHOLDERS’ EQUITY |
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Current
liabilities: |
|
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|
Accounts
payable |
|
$ |
1,004,423 |
|
$ |
1,625,930 |
|
Accrued
expenses |
|
|
3,819,432 |
|
|
4,921,769 |
|
Note
payable and accrued interest payable to parent |
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|
2,468,404 |
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|
1,461,647 |
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Current
portion of long-term debt |
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|
485,000 |
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|
513,000 |
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Acquisition
liabilities - current portion |
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|
380,298 |
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|
380,298 |
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Total
current liabilities |
|
|
8,157,557 |
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|
8,902,644 |
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|
|
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Advances
from parent |
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|
498,081 |
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|
449,117 |
|
Long-term
debt, less current portion |
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|
1,477,144 |
|
|
1,585,936 |
|
Acquisition
liabilities, net of current portion |
|
|
380,297 |
|
|
380,297 |
|
Deferred
income tax liability |
|
|
559,000 |
|
|
559,000 |
|
Total
liabilities |
|
|
11,072,079 |
|
|
11,876,994 |
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|
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Minority
interest in subsidiaries |
|
|
1,338,232 |
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|
1,282,924 |
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Commitments
and Contingencies |
|
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|
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|
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Stockholders'
equity: |
|
|
|
|
|
|
|
Common
stock, $.01 par value, authorized 20,000,000 shares:
8,661,815
shares issued and outstanding at March 31, 2005;
8,485,815
shares issued and outstanding at December 31, 2004 |
|
|
86,618 |
|
|
84,858 |
|
Additional
paid-in capital |
|
|
5,088,111 |
|
|
4,957,146 |
|
Retained
earnings |
|
|
8,612,179 |
|
|
8,287,792 |
|
Total
stockholders' equity |
|
|
13,786,908 |
|
|
13,329,796 |
|
|
|
$ |
26,197,219 |
|
$ |
26,489,714 |
|
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|
(A)
Reference is made to the company’s Annual Report on Form 10-K for the year ended
December 31, 2004 filed with the Securities and Exchange Commission in March,
2005.
See notes
to consolidated financial statements.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF CASH FLOWS
(UNAUDITED)
|
|
|
Three
Months
Ended March 31, |
|
|
|
|
2005 |
|
|
2004 |
|
Operating
activities: |
|
|
|
|
|
Net
income |
|
$ |
324,387 |
|
$ |
287,912 |
|
Adjustments
to reconcile net income to net cash |
|
|
|
|
|
|
|
provided
by operating activities: |
|
|
|
|
|
|
|
Depreciation |
|
|
406,612 |
|
|
330,486 |
|
Amortization |
|
|
3,525 |
|
|
579 |
|
Bad
debt expense |
|
|
247,994 |
|
|
148,295 |
|
Deferred
income tax benefit |
|
|
--- |
|
|
(70,000 |
) |
Minority
interest |
|
|
63,270 |
|
|
55,832 |
|
Equity
in affiliate earnings |
|
|
(120,109 |
) |
|
(19,033 |
) |
Increase
(decrease) relating to operating activities from: |
|
|
|
|
|
|
|
Accounts
receivable |
|
|
(309,298 |
) |
|
(379,947 |
) |
Inventories |
|
|
80,391 |
|
|
(203,312 |
) |
Interest
receivable on officer loan |
|
|
(1,293 |
) |
|
(961 |
) |
Prepaid
expenses and other current assets |
|
|
161,990 |
|
|
(21,148 |
) |
Accounts
payable |
|
|
(621,507 |
) |
|
504,733 |
|
Accrued
interest on note payable to parent |
|
|
6,757 |
|
|
2,162 |
|
Accrued
expenses |
|
|
(1,102,337 |
) |
|
437,709 |
|
Income
taxes payable |
|
|
--- |
|
|
191,528 |
|
Net
cash (used in) provided by operating activities |
|
|
(859,618 |
) |
|
1,264,835 |
|
|
|
|
|
|
|
|
|
Investing
activities: |
|
|
|
|
|
|
|
Additions
to property and equipment, net of minor disposals |
|
|
(289,352 |
) |
|
(1,482,200 |
) |
Payments
received on physician affiliate loans |
|
|
3,042 |
|
|
--- |
|
Distribution
from affiliate |
|
|
160,878 |
|
|
20,400 |
|
Other
assets |
|
|
(28,537 |
) |
|
(4,998 |
) |
Net
cash used in investing activities |
|
|
(153,969 |
) |
|
(1,466,798 |
) |
|
|
|
|
|
|
|
|
Financing
activities: |
|
|
|
|
|
|
|
Advances
from parent |
|
|
48,964 |
|
|
51,401 |
|
Note
payable to parent |
|
|
1,000,000 |
|
|
485,008 |
|
Payments
on long-term debt |
|
|
(136,792 |
) |
|
(111,219 |
) |
Exercise
of stock options |
|
|
132,725 |
|
|
5,400 |
|
Capital
contributions by subsidiaries’ minority members |
|
|
10,000 |
|
|
--- |
|
Distribution
to subsidiary minority members |
|
|
--- |
|
|
(62,333 |
) |
Net
cash provided by (used in) financing activities |
|
|
1,054,897 |
|
|
368,257 |
|
|
|
|
|
|
|
|
|
Increase
(decrease) in cash and cash equivalents |
|
|
41,310 |
|
|
166,294 |
|
|
|
|
|
|
|
|
|
Cash
and cash equivalents at beginning of period |
|
|
601,603 |
|
|
1,515,202 |
|
|
|
|
|
|
|
|
|
Cash
and cash equivalents at end of period |
|
$ |
642,913 |
|
$ |
1,681,496 |
|
|
|
|
|
|
|
|
|
See notes
to consolidated financial statements.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL STATEMENTS
March 31,
2005
(Unaudited)
NOTE
1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Business
The
company is in one business segment, kidney dialysis operations, providing
outpatient hemodialysis services, home dialysis services, inpatient dialysis
services and ancillary services associated with dialysis treatments. The company
owns 21 operating dialysis centers located in Georgia, Maryland, New Jersey,
Ohio, Pennsylvania, South Carolina and Virginia, manages two other dialysis
facilities, one a 40% owned Ohio affiliate and the other an unaffiliated Georgia
center, and has five dialysis facilities under development; and has agreements
to provide inpatient dialysis treatments to nine hospitals. See
“Consolidation.”
Consolidation
The
consolidated financial statements include the accounts of Dialysis Corporation
of America and its subsidiaries, collectively referred to as the “company.” All
material intercompany accounts and transactions have been eliminated in
consolidation. The company is a 56% owned subsidiary of Medicore, Inc., our
parent. We have a 40% interest in an Ohio dialysis center which we manage, which
is accounted for on the equity method and not consolidated for financial
reporting purposes.
Stock
Split
On
January 28, 2004, the company effected a two-for-one stock split. All share and
per share data in the consolidated financial statements and notes have been
adjusted to reflect the two-for-one split.
Estimates
The
preparation of financial statements in conformity with accounting principles
generally accepted in the United States of America requires management to make
estimates and assumptions that affect the amounts reported in the financial
statements and accompanying notes. Actual results could differ from those
estimates.
The
company’s principal estimates are for estimated uncollectible accounts
receivable as provided for in our allowance for doubtful accounts, estimated
useful lives of depreciable assets, estimates for patient revenues from
non-contracted payors, and the valuation allowance for deferred tax assets based
on the estimated realizability of deferred tax assets. Our estimates are based
on historical experience and assumptions believed to be reasonable given the
available evidence at the time of the estimates. Actual results could differ
from those estimates.
Government
Regulation
A
substantial portion of the company’s revenues are attributable to payments
received under Medicare, which is supplemented by Medicaid or comparable
benefits in the states in which the company operates. Reimbursement rates under
these programs are subject to regulatory changes and governmental funding
restrictions. Laws and regulations governing the Medicare and Medicaid programs
are complex and subject to interpretation. The company believes that it is in
compliance with applicable laws and regulations and is not aware of any pending
or threatened investigations involving allegations of potential wrongdoing.
While no such regulatory inquiries have been made, 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 exclusions
from the Medicare and Medicaid programs.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES--Continued
Cash
and Cash Equivalents
The
company considers all highly liquid investments with a maturity of three months
or less when purchased to be cash equivalents. The carrying amounts reported in
the balance sheet for cash and cash equivalents approximate their fair values.
Although cash and cash equivalents are largely not federally insured, the credit
risk associated with these deposits that typically may be redeemed upon demand
is considered low due to the high quality of the financial institutions in which
they are invested.
Credit
Risk
The
company’s primary concentration of credit risk is with accounts receivable,
which consist of amounts owed by governmental agencies, insurance companies and
private patients. Receivables from Medicare and Medicaid comprised 49% of
receivables at March 31, 2005 and 52% at December 31, 2004.
Inventories
Inventories,
which consist primarily of supplies used in dialysis treatments, are valued at
the lower of cost (first-in, first-out method) or market value.
Prepaid
Expenses and Other Current Assets
Prepaid
expenses and other current assets is comprised as follows:
|
|
March
31, |
|
December
31, |
|
|
|
2005 |
|
2004 |
|
Vendor
volume discounts receivable |
|
$ |
194,105 |
|
$ |
382,757 |
|
Prepaid
expenses |
|
|
583,349 |
|
|
607,398 |
|
Prepaid
income taxes |
|
|
65,703 |
|
|
58,913 |
|
Other |
|
|
217,876 |
|
|
173,955 |
|
|
|
$ |
1,061,033 |
|
$ |
1,223,023 |
|
|
|
|
|
|
|
|
|
Accrued
Expenses
Accrued
expenses is comprised as follows:
|
|
March
31, |
|
December
31, |
|
|
|
2005 |
|
2004 |
|
Accrued
compensation |
|
$ |
588,233 |
|
$ |
1,306,892 |
|
Due
to insurance companies |
|
|
2,957,860 |
|
|
2,926,711 |
|
Other |
|
|
273,339 |
|
|
688,166 |
|
|
|
$ |
3,819,432 |
|
$ |
4,921,769 |
|
|
|
|
|
|
|
|
|
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES--Continued
Vendor
Concentration
The
company purchases erythropoietin (EPO) from one supplier which comprised 33% of
the company’s cost of sales for the first quarter of 2005 and 37% for the same
period of the preceding year. There is only one supplier of EPO in the United
States, and this supplier has received FDA approval for an alternative product
available for dialysis patients; but there are no other suppliers of any similar
drug available to dialysis treatment providers. Revenues from the administration
of EPO, which amounted to approximately $2,787,000 for the first quarter of 2005
and $2,430,000 for the same period of the preceding year, comprised 27% and 29%
of medical service revenue for these periods, respectively.
Revenue
Recognition
Net
revenue is recognized as services are rendered at the net realizable amount from
Medicare, Medicaid, commercial insurers and other third party payors. The
company occasionally provides dialysis treatments on a charity basis to patients
who cannot afford to pay. The amount is not significant.
Goodwill
Goodwill
represents cost in excess of net assets acquired. The company adopted Statement
of Financial Accounting Standards No. 142, “Goodwill and Other Intangible
Assets” (FAS 142) effective January 1, 2002. Under FAS 142, goodwill and
intangible assets with indefinite lives are no longer amortized but are reviewed
annually (or more frequently if impairment indicators are present) for
impairment. Pursuant to the provisions of FAS 142, the goodwill resulting from
the company's acquisition of minority interests in August, 2001 and June, 2003,
and the acquisition of Georgia dialysis centers in April, 2002 and April, 2003,
and acquisition of a Pennsylvania dialysis business at the close of business on
August 31, 2004, are not being amortized for book purposes and are subject to
the annual impairment testing provisions of FAS 142, which testing indicated no
impairment for goodwill.
Deferred
Expenses
Deferred
expenses, except for deferred loan costs, are amortized on the straight-line
method over their estimated benefit period with deferred loan costs amortized
over the lives of the respective loans. Deferred expenses of approximately
$77,000 at March 31, 2005 and $80,000 at December 31, 2004 are included in other
assets. Amortization expense was $3,525 for the three months ended March 31,
2005 and $579 for the same period of the preceding year.
Income
Taxes
Deferred
income taxes are determined by applying enacted tax rates applicable to future
periods in which the taxes are expected to be paid or recovered to differences
between financial accounting and tax basis of assets and
liabilities.
Stock-Based
Compensation
The
company follows the intrinsic method of Accounting Principles Board Opinion No.
25, “Accounting for Stock Issued to Employees” (APB 25) and related
Interpretations in accounting for its employee stock options because, as
discussed below, Financial Accounting Standards Board Statement No. 123,
“Accounting for Stock-Based
Compensation” (FAS 123) requires use of option valuation models that were not
developed for use in valuing
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES--Continued
employee
stock options. FAS 123 permits a company to elect to follow the intrinsic method
of APB 25 rather than the alternative fair value accounting provided under FAS
123, but requires pro forma net income and earnings per share disclosures as
well as various other disclosures not required under APB 25 for companies
following APB 25. The company has adopted the disclosure provisions required
under Financial Accounting Standards Board Statement No. 148, “Accounting for
Stock-Based Compensation - Transition and Disclosure” (FAS 148). Under APB 25,
because the exercise price of the company’s stock options equals the market
price of the underlying stock on the date of grant, no compensation expense was
recognized. See “New Pronouncements.”
Pro forma
information regarding net income and earnings per share is required by FAS 123
and FAS 148, and has been determined as if the company had accounted for its
employee stock options under the fair value method of those Statements. The fair
value for these options was estimated at the date of grant using a Black-Scholes
option pricing model with the following weighted-average assumptions for options
granted during 2004, 2003, 2002 and 2001, respectively: risk-free interest rate
of 3.83%, 1.44%, 3.73%, and 5.40%; no dividend yield; volatility factor of the
expected market price of the company’s common stock of 1.31, 1.07, 1.15, and
1.14, and a weighted-average expected life of 5 years, 4.7 years, 5 years, and 4
years.
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 input assumptions including the expected stock price volatility.
Because the company’s employee 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 measure of
the fair value of its employee stock options.
For
purposes of pro forma disclosures, the estimated fair value of options is
amortized to expense over the options’ vesting period. The company’s pro forma
information follows:
|
|
Three
Months Ended |
|
|
|
March
31, |
|
|
|
2005 |
|
2004 |
|
Net
income, as reported |
|
$ |
324,387 |
|
$ |
287,912 |
|
|
|
|
|
|
|
|
|
Stock-based
employee compensation expense
under
fair value method, net of related
tax
effects |
|
|
(47,621 |
) |
|
(17,162 |
) |
Pro
forma net income |
|
$ |
276,766 |
|
$ |
270,750 |
|
|
|
|
|
|
|
|
|
Earnings
per share: |
|
|
|
|
|
|
|
Basic,
as reported |
|
$ |
.04 |
|
$ |
.04 |
|
Basic,
pro forma |
|
$ |
.03 |
|
$ |
.03 |
|
Diluted,
as reported |
|
$ |
.04 |
|
$ |
.03 |
|
Diluted,
pro forma |
|
$ |
.03 |
|
$ |
.03 |
|
|
|
|
|
|
|
|
|
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES—Continued
Earnings
per Share
Diluted
earnings per share gives effect to potential common shares that were dilutive
and outstanding during the period, such as stock options, calculated using the
treasury stock method and average market price.
|
|
Three
Months Ended
March
31, |
|
|
|
2005 |
|
2004 |
|
Net
income |
|
$ |
324,387 |
|
$ |
287,912 |
|
|
|
|
|
|
|
|
|
Weighted
average shares-denominator basic computation |
|
|
8,536,793 |
|
|
8,158,058 |
|
Effect
of dilutive stock options |
|
|
592,861 |
|
|
763,894 |
|
Weighted
average shares, as adjusted-denominator
diluted
computation |
|
|
9,129,653 |
|
|
8,921,952 |
|
|
|
|
|
|
|
|
|
Earnings
per share: |
|
|
|
|
|
|
|
Basic
|
|
$ |
.04 |
|
$ |
.04 |
|
Diluted
|
|
$ |
.04 |
|
$ |
.03 |
|
|
|
|
|
|
|
|
|
The
company had various potentially dilutive securities during the periods
presented, including stock options. See Note 7.
Other
Income
Operating:
Other
operating income is comprised as follows:
|
|
Three
Months Ended |
|
|
|
March
31, |
|
|
|
2005 |
|
2004 |
|
Management
fee income |
|
$ |
128,395 |
|
$ |
82,862 |
|
Litigation
settlement |
|
|
--- |
|
|
134,183 |
|
|
|
$ |
128,395 |
|
$ |
217,045 |
|
|
|
|
|
|
|
|
|
Non-operating:
Other
non-operating income (expense) is comprised as follows:
|
|
Three
Months Ended |
|
|
|
March
31, |
|
|
|
2005 |
|
2004 |
|
Rental
income |
|
$ |
49,028 |
|
$ |
46,663 |
|
Interest
income |
|
|
16,263 |
|
|
8,589 |
|
Interest
(expense) |
|
|
(34,702 |
) |
|
(42,597 |
) |
Other |
|
|
1,266 |
|
|
9,639 |
|
Other
income, net |
|
$ |
31,855 |
|
$ |
22,294 |
|
|
|
|
|
|
|
|
|
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
1--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES—Continued
Estimated
Fair Value of Financial Instruments
The
carrying value of cash, accounts receivable and debt in the accompanying
financial statements approximate their fair value because of the short-term
maturity of these instruments, and in the case of debt because such instruments
either bear variable interest rates which approximate market or have interest
rates approximating those currently available to the company for loans with
similar terms and maturities.
Reclassification
Certain
prior year amounts have been reclassified to conform with the current year’s
presentation.
New
Pronouncements
On
November 24, 2004, the Financial Accounting Standards Board (FASB) issued
Statement of Financial Accounting Standards No. 151, “Inventory Costs” an
amendment of ARB No. 43, Chapter 4 (“FAS 151”). FAS 151 requires companies to
recognize as current period changes abnormal amounts of idle facility expense,
freight, handling costs and wasted materials (spoilage). FAS 151 also requires
manufacturers to allocate fixed production overheads to inventory based on
normal capacity of their production facilities. FAS 151 is effective for
inventory costs incurred during fiscal years beginning after June 15, 2005. The
company does not expect FAS 151 to have a significant effect on its consolidated
financial statements.
On
December 16, 2004, the FASB issued Statement of Financial Accounting Standards
No. 153, “Exchange of Nonmonetary Assets,” an amendment of APB Opinion No. 29
(“FAS 153”). The amendments made by FAS 153 are based on the principle that
exchanges of nonmonetary assets should be measured based on the fair value of
the assets exchanged. The amendments eliminate the narrow exception for
nonmonetary exchanges of similar productive assets and replace it with an
exception for exchanges of nonmonetary assets that do not have commercial
substance. Previous to FAS 153 some nonmonetary exchanges, although commercially
substantive, were recorded on a carryover basis rather than being based on the
fair value of the assets exchanged. FAS 153 is effective for nonmonetary assets
exchanges occurring in fiscal periods beginning after June 15, 2005. The company
does not expect FAS 153 to have a significant effect on its financial
statements.
On
December 16, 2004, the FASB issued Statement of Financial Accounting Standards
No. 123 (revised), “Share-Based Payment” (“FAS 123(R)”). FAS 123(R) requires
companies to recognize the fair value of stock option grants as a compensation
costs in their financial statements. Public entities, other than small business
issuers, on a calendar year need not comply with FAS 123(R) until the interim
financial statements for the first quarter of 2006 are filed with the SEC. In
addition to stock options granted after the effective date, companies will be
required to recognize a compensation cost with respect to any unvested stock
options outstanding as of the effective date equal to the grant date fair value
of those options (as previously disclosed in the notes to the financial
statements) with the cost related to the unvested options to be recognized over
the vesting period of the options. The company is in the process of determining
the impact that FAS 123(R) will have on its consolidated financial
statements.
NOTE
2--INTERIM ADJUSTMENTS
The
financial summaries for the three months ended March 31, 2005 and March 31, 2004
are unaudited and include, in the opinion of management of the company, all
adjustments (consisting of normal recurring accruals) necessary to present
fairly the earnings for such periods. Operating results for the three months
ended March 31, 2005 are not necessarily indicative of the results that may be
expected for the entire year ending December 31, 2005.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
2--INTERIM ADJUSTMENTS--Continued
While the
company believes that the disclosures presented are adequate to make the
information not misleading, it is suggested that these consolidated financial
statements be read in conjunction with the financial statements and notes
included in the company’s audited financial statements for the year ended
December 31, 2004.
NOTE
3--LONG-TERM DEBT
The
company through its subsidiary, DCA of Vineland, LLC, pursuant to a December 3,
1999 loan agreement obtained a $700,000 development loan with interest at 8.75%
through December 2, 2001, 1½% over the prime rate thereafter through December
15, 2002, and 1% over prime thereafter secured by a mortgage on the company’s
real property in Easton, Maryland. Outstanding borrowings were subject to
monthly payments of interest only through December 2, 2001, with monthly
payments thereafter of $2,917 principal plus interest through December 2, 2002,
and monthly payments thereafter of $2,217 plus interest with any remaining
balance due December 2, 2007. This loan had an outstanding principal balance of
approximately $603,000 at March 31, 2005 and $610,000 December 31,
2004.
In April
2001, the company obtained a $788,000 five-year mortgage through April, 2006, on
its building in Valdosta, Georgia with interest at 8.29% until March, 2002,
7.59% thereafter until December 16, 2002, and prime plus ½% with a minimum of
6.0% effective December 16, 2002. Payments are $6,800 including principal and
interest commencing May, 2001, with a final payment consisting of a balloon
payment and any unpaid interest due April, 2006. The remaining principal balance
under this mortgage amounted to approximately $665,000 at March 31, 2005 and
$675,000 at December 31, 2004.
The
equipment financing agreement is for financing for some of the kidney dialysis
machines for the company’s dialysis facilities. Payments under the agreement are
pursuant to various schedules extending through August, 2007. Financing under
the equipment purchase agreement is a non-cash financing activity, which is a
supplemental disclosure required by Financial Accounting Standards Board
Statement No. 95, “Statement of Cash Flows.” There was no financing under this
agreement during the first quarter of 2005 or the first quarter of 2004. The
remaining principal balance under this financing amounted to approximately
$695,000 at March 31, 2005 and $814,000 at December 31, 2004.
The prime
rate was 5.75% as of March 31, 2005 and 5.25% as of December 31, 2004. For
interest payments, see Note 11.
The
company’s two mortgage agreements contain certain restrictive covenants that,
among other things, restrict the payment of dividends above 25% of the company’s
net worth, require lenders’ approval for a merger, sale of substantially all the
assets, or other business combination of the company, and require maintenance of
certain financial ratios. The company was in compliance with the debt covenants
at March 31, 2005 and December 31, 2004.
NOTE
4--INCOME TAXES
Deferred
income taxes reflect the net tax effect of temporary differences between the
carrying amounts of assets and liabilities for financial reporting purposes and
the amounts used for income tax purposes. For financial reporting purposes, a
valuation allowance has been recognized to offset a portion of the deferred tax
assets.
For
income tax payments, see Note 11.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
5--TRANSACTIONS WITH PARENT
Our
parent provides certain financial and administrative services for us. Central
operating costs are charged on the basis of time spent. In the opinion of
management, this method of allocation is reasonable. The amount of expenses
allocated by the parent totaled approximately $50,000 for the three months ended
March 31, 2005 and for the same period of the preceding year, which is included
in selling, general and administrative expenses in the Consolidated Statements
of Operations.
We had an
intercompany advance payable to our parent of approximately $498,000 as of March
31, 2005 and $449,000 as of December 31, 2004, which bears interest at the
short-term Treasury Bill rate. Interest expense on intercompany advances payable
was approximately $2,000 and $1,000 for the three months ended March 31, 2005
and March 31, 2004, respectively. Interest is included in the intercompany
advance balance. Our parent has agreed not to require repayment of the
intercompany advance balance prior to April 1, 2005; therefore, the advance has
been classified as long-term at March 31, 2005.
On March
17, 2004, the company issued a demand promissory note to its parent for up to
$1,500,000 of financing for equipment purchases with annual interest of 1.25%
over the prime rate. The note was subsequently modified by increasing the
maximum amount of advances that can be made to $5,000,000, and by adding to the
purposes of the financing, working capital and other corporate needs. This note
had an outstanding balance of approximately $2,435,000 and an interest rate of
7.00% at March 31, 2005 and an outstanding balance of approximately $1,435,000
and an interest rate of 6.50% at December 31, 2004. The weighted average
interest rate on the note during the three months ended March 31, 2005 was 6.71%
and 5.25% for the same period of the preceding year. Interest expense on the
note amounted to approximately $33,000 for the three months ended March 31, 2005
and $2,000 for the same period of the preceding year. Accrued interest payable
on the note amounted to approximately $33,000 as of March 31, 2005 and $27,000
as of December 31, 2004.
NOTE
6--OTHER RELATED PARTY TRANSACTIONS
The 20%
minority interest in DCA of Vineland, LLC was held by a company owned by the
medical director of that facility, who became a director of Dialysis Corporation
of America in 2001 and whose directorship ceased in June, 2003. This
physician was provided with the right to acquire up to 49% of DCA of Vineland.
In April, 2000, another company owned by this physician acquired an interest in
DCA of Vineland, resulting in Dialysis Corporation of America holding a 51%
ownership interest in DCA of Vineland and this physician’s companies holding a
combined 49% ownership interest of DCA of Vineland.
In July,
2000, one of the companies owned by this physician acquired a 20% interest in
DCA of Manahawkin, Inc. Under agreements with DCA of Vineland and DCA of
Manahawkin, this physician serves as medical director for each of those dialysis
facilities.
In May
2001, the company loaned its President $95,000 to be repaid with accrued
interest at prime minus 1% (floating prime) on or before maturity on May 11,
2006. This demand loan is collateralized by all of the President’s stock options
in the company, as well as common stock from exercise of the options and
proceeds from sale of such stock. Interest income on the loan amounted to
approximately $1,000 for the three months ended March 31, 2005 and for the same
period of the preceding year.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
6--OTHER RELATED PARTY TRANSACTIONS--Continued
Minority
members in subsidiaries in certain situations may fund a portion of required
capital contributions by issuance of an interest bearing note payable to the
company which minority members may repay directly or through their portion of
capital distributions of the subsidiary. The minority members funded in the
aggregate approximately $30,000 in capital contributions during the first
quarter of 2004, with no such funding during the first quarter of 2005, under
notes accruing interest at prime plus 2%, with an aggregate of approximately
$18,000 of distributions applied against the notes and accrued interest during
the first quarter of 2005, and $16,000 during the same period of the preceding
year. Interest income on the notes totaled approximately $10,000 for the three
months ended March 31, 2005 and $4,000 for the same period of the preceding
year. These represent non-cash investing activities, which is a supplemental
disclosure required by Financial Accounts Standards Board Statement No. 95,
“Statement of Cash Flows.” See Notes 10 and 11.
NOTE
7--STOCK OPTIONS
In June,
1998, the board of directors granted an option under the now expired 1995 Stock
Option Plan to a board member for 10,000 shares exercisable at $1.13 per share
through June 9, 2003. This option was exercised in June, 2003 with the company
receiving an $11,250 cash payment for the exercise price.
In April,
1999, we adopted a stock option plan pursuant to which the board of directors
granted 1,600,000 options exercisable at $.63 per share to certain of our
officers, directors, employees and consultants with 680,000 options exercisable
through April 20, 2000 and 920,000 options exercisable through April 20, 2004,
of which 120,000 options to date have been cancelled. In April, 2000, the
680,000 one-year options were exercised for which we received cash payment of
$3,400 and the balance in three-year promissory notes with the interest at 6.2%
and which maturity was extended to April 20, 2004. The notes were repaid with
91,800 shares of common stock with a fair market value of approximately $521,000
on February 9, 2004. Interest income on the notes amounted to approximately
$3,000 for the year ended December 31, 2004, all of which was earned during the
first quarter. In March, 2003, 155,714 of the remaining 800,000 options
outstanding were exercised for $97,322 with the exercise price satisfied by
director bonuses accrued in 2002. In January, 2004, 130,278 of these options
were exercised for $81,424 with the exercise price satisfied by director bonuses
accrued in 2003. In February, 2004, 158,306 of these options were exercised for
$98,941 with the exercise price satisfied by payment of 18,152 shares to the
company for cancellation. In March, 2004, 355,702 of these options were
exercised for $222,314 with the exercise price satisfied by the payment of
54,223 shares to the company. The exercises and share payments to the company
represent non-cash investing activity, which is a supplemental disclosure
required by Financial Accounting Standards Board Statement No. 95, “Statement of
Cash Flows.” See Note 11.
In
January, 2001, the board of directors granted to our Chief Executive Officer and
President a five-year option for 330,000 shares exercisable at $.63 per share
with 66,000 options vesting at January, 2001, and 66,000 options vesting
annually on January 1, 2002 to 2005. In January, 2004, 56,384 of these options
were exercised for $35,240 with the exercise price satisfied by a director bonus
accrued in 2003. In March, 2005, 150,000 of these options were exercised with
the company receiving a $93,750 cash payment for the exercise price, leaving
123,616 of these options outstanding.
In
September, 2001, the board of directors granted five-year options for an
aggregate of 150,000 shares exercisable at $.75 per share through September 5,
2006, to certain officers, directors and key employees. 30,000 of the options
vested immediately with the remaining 120,000 options to vest in equal
increments of 30,000 options each September 5, commencing September 5, 2002. In
March, 2003, 3,570 of these options were exercised for
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
7--STOCK OPTIONS--Continued
$2,678
with the exercise price satisfied by director bonuses accrued in 2002. In
January, 2004, 4,576 of these options were exercised for $3,432 with the
exercise price satisfied by director bonuses accrued in 2003. These exercises
represent non-cash investing activity, which is a supplemental disclosure
required by Financial Accounting Standards Board Statement No. 95, “Statement of
Cash Flows.” See Note 11. In January, 2004, 7,200 of these options were
exercised with the company receiving a $5,400 cash payment for the exercise
price. Of the 30,000 immediately exercisable options, 15,346 have been exercised
and 14,654 cancelled due to the resignation of a director in June, 2004. In
February, 2005, a portion of these options were exercised for 15,000 shares with
the company receiving a cash payment of $11,000. Of the remaining 105,000
options, 75,000 had vested as of March 31, 2005.
In May,
2002, the board of directors granted five-year options for an aggregate of
21,000 shares to certain of the company’s employees of which 1,000 were
outstanding and vested at March 31, 2005. These options are exercisable at $2.05
per share through May 28, 2007 and were registered with the SEC on a Form S-8
registration statement. Options for 14,000 shares have been cancelled as a
result of the termination of several employee option holders. During the first
quarter of 2005, 6,000 of these options were exercised with the Company
receiving $12,240 in cash payments for the exercise price.
In June,
2003, the board of directors granted to an officer a five-year option for 50,000
shares exercisable at $1.80 per share through June 3, 2008. The option vests
annually in increments of 12,500 shares on each June 4 from 2004 to 2007, with
12,500 of such options vested at March 31, 2005.
In
August, 2003, the board of directors granted a three-year option to a director
who serves on several of the company’s committees including the audit committee,
for 10,000 shares exercisable at $2.25 per share through August 18, 2006. The
option vests in two annual increments of 5,000 shares commencing on August 19,
2004.
In
January, 2004, the board of directors granted a five year option to an employee
for 20,000 shares exercisable at $3.09 per share through January 12, 2009. The
option vests in annual increments of 5,000 shares on each January 13 from 2005
through 2008. In February, 2005, a portion of this option was exercised for
5,000 shares with the company receiving a cash payment of $15,375, leaving
15,000 of these options (non-vested) outstanding.
In June,
2004, the board of directors granted 160,000 stock options to officers and
directors exercisable at $4.02 per share through June 6, 2009. 15,000 options
vested immediately and 145,000 options vest 25% annually commencing June 7,
2005.
In
August, 2004, the board of directors granted 50,000 incentive stock options to
an officer exercisable at $4.02 per share through August 15, 2009. The options
vest 25% annually commencing August 16, 2005.
On
January 28, 2004, the company affected a two-for-one stock split of its
outstanding common stock. All option amounts and exercise prices have been
adjusted to reflect the stock split. See Note 1. Split-adjusted option exercise
prices resulting in a fraction of a cent have been rounded up to the nearest
cent for purposes of these Notes to the Consolidated Financial
Statements.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
8--COMMITMENTS
The
company and its parent established a new 401(k) plan effective January, 2003,
with an eligibility requirement of one year of service and 21 year old age
requirement, which allows employees, in addition to regular employee
contributions, to elect to have a portion of bonus payments contributed. As an
incentive to save for retirement, the company will match 10% of an employee’s
contribution resulting from any bonus paid during the year and may make a
discretionary contribution with the percentage of any discretionary contribution
to be determined each year with only employee contributions up to 6% of annual
compensation considered when determining employer matching. Employer matching
expense amounted to $1,873 for the three months ended March 31, 2005 and $600
for the same period of the preceding year.
NOTE
9--ACQUISITIONS
Effective
as of the close of business on August 31, 2004, the company acquired a
Pennsylvania dialysis company for an estimated net purchase price of $1,521,000.
Of that amount, $761,000 is currently in escrow, with the balance of
approximately $760,000 to be paid in equal installments, each on the first and
second anniversary of the effective date of the purchase agreement. This
transaction resulted in $1,358,000 of goodwill representing the excess of the
net purchase price over the estimated $164,000 fair value of net assets
acquired, including an $83,000 valuation of an eight year non-competition
agreement that will be amortized over the life of the agreement. The goodwill is
not amortizable for tax purposes, since the transaction was a stock acquisition.
The initial allocation of purchase cost at fair value was based upon available
information and will be finalized as any contingent purchase amounts are
resolved and estimated fair values of assets are finalized. The company began
recording the results of operations for the acquired company as of the effective
date of the acquisition. The company’s decision to make this investment was
based on its expectation of future profitability resulting from its review of
the acquired company’s operations prior to making the acquisition. See Note
1.
The
following table summarizes the estimated fair values of the assets acquired and
liabilities assumed at the date of acquisition for the August 2004 Pennsylvania
acquisition:
Accounts
receivable, net |
|
$ |
215,825 |
|
Inventory
and other current assets |
|
|
79,383 |
|
Property,
plant and equipment, net |
|
|
88,231 |
|
Intangible
assets |
|
|
82,500 |
|
Goodwill |
|
|
1,357,681 |
|
|
|
|
|
|
Total
assets acquired |
|
|
1,823,620 |
|
Total
liabilities assumed |
|
|
302,429 |
|
|
|
|
|
|
Net
assets acquired |
|
$ |
1,521,191 |
|
|
|
|
|
|
NOTE
10--LOAN TRANSACTIONS
The
company has and may continue to provide funds in excess of capital contributions
to meet working capital requirements of its dialysis facility subsidiaries,
usually until they become self-sufficient. The operating agreements for the
subsidiaries provide for cash flow and other proceeds to first pay any such
financing, exclusive of any tax payment distributions. See Notes 6 and
11.
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
11--SUPPLEMENTAL CASH FLOW INFORMATION
The
following amounts represent (rounded to the nearest thousand) non-cash financing
and investing activities and other cash flow information in addition to
information disclosed in Notes 3 and 6:
|
|
Three
Months Ended |
|
|
|
March
31, |
|
|
|
2005 |
|
2004 |
|
Interest
paid (see Notes 3 and 5) |
|
$ |
63,000 |
|
$ |
41,000 |
|
Income
taxes paid (see Note 4) |
|
|
319,000 |
|
|
97,000 |
|
Options
exercise bonus (191,238 shares) (see Note 7) |
|
|
--- |
|
|
120,000 |
|
Subsidiary
minority member capital
contributions
funded by notes (see Note 6) |
|
|
--- |
|
|
30,000 |
|
Subsidiary
minority member distributions applied
against
notes and accrued interest (see Note 6) |
|
|
18,000 |
|
|
16,000 |
|
Share
payment (514,008 options exercised; 72,375 shares paid) |
|
|
|
|
|
|
|
for
stock option exercises (see Note 7) |
|
|
--- |
|
|
321,000 |
|
Payment
on notes receivable with 91,800 shares |
|
|
|
|
|
|
|
of
common stock (see Note 7) |
|
|
--- |
|
|
521,000 |
|
|
|
|
|
|
|
|
|
NOTE
12--STOCKHOLDERS’ EQUITY
The
changes in stockholders’ equity for the three months ended March 31, 2005 are
summarized as follows:
|
|
Common
Stock |
|
Additional
Paid-in
Capital |
|
Retained
Earnings |
|
Total |
|
Balance
at December 31, 2004 |
|
$ |
84,858 |
|
$ |
4,957,146 |
|
$ |
8,287,792 |
|
$ |
13,329,796 |
|
Exercise
of stock options |
|
|
1,760 |
|
|
130,965 |
|
|
--- |
|
|
132,725 |
|
Net
income |
|
|
--- |
|
|
--- |
|
|
324,387 |
|
|
324,387 |
|
Balance
March 31, 2005 |
|
$ |
86,618 |
|
$ |
5,088,111 |
|
$ |
8,612,179 |
|
$ |
13,786,908 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NOTE
13--AFFILIATE FINANCIAL INFORMATION
The
following amounts represent certain operating data of the company’s 40% owned
Ohio affiliate that is accounted for in the equity method and not consolidated
for financial reporting purposes (see Note 1):
|
|
Three
Months Ended |
|
|
|
March
31, |
|
|
|
2005 |
|
2004 |
|
Revenues |
|
$ |
766,000 |
|
$ |
406,000 |
|
Gross
profit |
|
$ |
476,000 |
|
$ |
167,000 |
|
Net
income |
|
$ |
300,000 |
|
$ |
48,000 |
|
|
|
|
|
|
|
|
|
DIALYSIS
CORPORATION OF AMERICA AND SUBSIDIARIES
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
March
31, 2005
(Unaudited)
NOTE
13--AFFILIATE FINANCIAL INFORMATION--Continued
The
following amounts are from the balance sheet of the company’s 40% owned Ohio
affiliate:
|
|
March
31, |
|
December
31, |
|
|
|
2005 |
|
2004 |
|
Current
assets |
|
$ |
882,455 |
|
$ |
945,321 |
|
Non-current
assets |
|
|
154,105 |
|
|
160,504 |
|
Total
assets |
|
$ |
1,036,560 |
|
$ |
1,105,825 |
|
|
|
|
|
|
|
|
|
Current
liabilities |
|
$ |
277,227 |
|
$ |
244,570 |
|
Non-current
liabilities |
|
|
--- |
|
|
--- |
|
Capital |
|
|
759,333 |
|
|
861,255 |
|
Total
liabilities and capital |
|
$ |
1,036,560 |
|
$ |
1,105,825 |
|
|
|
|
|
|
|
|
|
NOTE
14--ACQUISITION OF PARENT COMAPNY
On March
15, 2005 the company and its parent, Medicore, Inc., jointly announced they have
agreed to terms whereby Medicore, which owns approximately 56% of the company,
will merge into the company for a total consideration of approximately 5,289,000
shares of the company’s common stock. Upon completion of the merger, it is
anticipated that each Medicore shareholder will receive .68 shares of the
company’s common stock for each share of Medicore common stock, and Medicore’s
ownership in the company of approximately 4,821,000 of the company’s common
stock will be retired resulting in approximately 9,000,000 shares of the company
to remain outstanding. Completion of the transaction is subject to satisfactory
tax and fairness opinions and shareholder approval of each company.
The
merger is intended to simplify the corporate structure and enable the ownership
of the control interest in the company to be in the hands of the public
shareholders. The merger will provide the company with additional capital
resources to continue to build its dialysis business. Several litigations have
recently been initiated against the company’s directors and its parent relating
to the proposed merger. See Part II, Item 1, “Legal Proceedings.”
Item
2. Management's
Discussion and Analysis of Financial Condition and Results of
Operations
Cautionary
Notice Regarding Forward-Looking Information
The
statements contained in this quarterly report on Form 10-Q for the quarter ended
March 31, 2005, that are not historical are forward-looking statements within
the meaning of Section 27A of the Securities Act of 1933 as amended (the
“Securities Act”), and Section 21E of the Securities Exchange Act of 1934 (the
“Exchange Act”). In addition, from time to time, we or our representatives have
made or may make forward looking statements, orally or in writing, and in press
releases. The Private Securities Litigation Reform Act of 1995 contains certain
safe harbors for forward-looking statements. Certain of the forward-looking
statements include management’s expectations, intentions, beliefs and strategies
regarding the growth of our company and our future operations, the proposed
acquisition of our parent public company, Medicore, Inc. pursuant to a stock for
stock merger transaction (see Note 14 to the “Notes to Consolidated Financial
Statements”), the character and development of the dialysis industry,
anticipated revenues, our need for and sources of funding for expansion
opportunities and construction, expenditures, costs and income, our business
strategies and plans for future operations, and similar expressions concerning
matters that are not considered historical facts. Forward-looking statements
also include our statements regarding liquidity, anticipated cash needs and
availability, and anticipated expense levels in this Item 2, “Management’s
Discussion and Analysis of Financial Condition and Results of Operations,”
commonly known as MD&A. Words such as “anticipate,” “estimate,” “expects,”
“projects,” “intends,” “plans” and “believes,” and words and terms of similar
substance used in connection with any discussions of future operating or
financial performance identify forward-looking statements. Such forward-looking
statements, like all statements about expected future events, are based on
assumptions and are subject to substantial risks and uncertainties that could
cause actual results to materially differ from those expressed in the
statements, including the general economic, market and business conditions,
opportunities pursued or not pursued, competition, changes in federal and state
laws or regulations affecting the company and our operations, and other factors
discussed periodically in our filings. Many of the foregoing factors are beyond
our control. Among the factors that could cause actual results to differ
materially are the factors detailed in the risks discussed in the “Risk Factors”
section beginning on page 21 of our annual report on Form 10-K for the year
ended December 31, 2004. If any of such events occur or circumstances arise that
we have not assessed, they could have a material adverse effect upon our
revenues, earnings, financial condition and business, as well as the trading
price of our common stock, which could adversely affect your investment in our
company. Accordingly, readers are cautioned not to place too much reliance on
such forward-looking statements. All subsequent written and oral forward-looking
statements attributable to us or persons acting on our behalf, are expressly
qualified in their entirety by the cautionary statements contained in this
quarterly report. You should read this quarterly report, with any of the
exhibits attached and the documents incorporated by reference, completely and
with the understanding that the company’s actual results may be materially
different from what we expect.
The
forward-looking statements speak only as of the date of this quarterly report,
and except as required by law, we undertake no obligation to rewrite or update
such statements to reflect subsequent events.
MD&A
is our attempt to provide a narrative explanation of our financial statements,
and to provide our shareholders and investors with the dynamics of our business
as seen through our eyes as management. Generally, MD&A is intended to cover
expected effects of known or reasonably expected uncertainties, expected effects
of known trends on future operations, and prospective effects of events that
have had a material effect on past operating results.
Overview
Dialysis
Corporation of America provides dialysis services, primarily kidney dialysis
treatments through 23 outpatient dialysis centers, including a 40% owned Ohio
affiliate and one unaffiliated dialysis center which it manages, to patients
with chronic kidney failure, also know as end-stage renal disease or ESRD. We
provide dialysis treatments to dialysis patients of nine hospitals and medical
centers through acute inpatient dialysis services agreements with those
entities. We provide homecare services, including home peritoneal
dialysis.
The
following table shows the number of in-center, home peritoneal and acute
inpatient treatments performed by us through the dialysis centers we operate,
including the two centers we manage, one in which we have a 40% ownership
interest, and those hospitals and medical centers with which we have inpatient
acute service agreements for the periods presented:
|
|
Three Months Ended March 31, |
|
|
|
2005 |
|
2004 |
|
In
center |
|
|
35,944 |
|
|
27,749 |
|
Home
peritoneal |
|
|
3,950 |
|
|
2,380 |
|
Acute |
|
|
2,355 |
|
|
2,179 |
|
|
|
|
42,249(1 |
) |
|
32,308(1 |
) |
|
|
|
|
|
|
|
|
_______________
(1) Treatments
by the two managed centers included: in-center treatments of 3,603 and 2,883
respectively, for the three months ended March 31, 2005 and March 31, 2004; no
home peritoneal treatments; and acute treatments of 65 and 12, respectively, for
the three months ended March 31, 2005 and March 31, 2004.
We also
provide ancillary services associated with dialysis treatments, including the
administration of EPO for the treatment of anemia in our dialysis patients. EPO
is currently available from only one manufacturer, and no alternative drug has
been available to us for the treatment of anemia in our dialysis patients. If
our available supply of EPO were reduced either by the manufacturer or due to
excessive demand, our revenues and net income would be adversely affected. The
manufacturer of EPO increased its price in early 2003, and could implement
further price increases which would adversely affect our net income. This
manufacturer has developed another anemia drug that could possibly substantially
reduce our revenues and profit from the treatment of anemia in our
patients.
ESRD
patients must either obtain a kidney transplant or obtain regular dialysis
treatments for the rest of their lives. Due to a lack of suitable donors and the
possibility of transplanted organ rejection, the most prevalent form of
treatment for ESRD patients is hemodialysis through a kidney dialysis machine.
Hemodialysis patients usually receive three treatments each week with each
treatment lasting between three and five hours on an outpatient basis. Although
not as common as hemodialysis in an outpatient facility, home peritoneal
dialysis is an available treatment option, representing the third most common
type of ESRD treatment after outpatient hemodialysis and kidney
transplantation.
Approximately
60% of our medical service revenues are derived from Medicare and Medicaid
reimbursement for the three months ended March 31, 2005 compared to 57% for the
same period of the preceding year, with rates established by the Center for
Medicare and Medicaid Services, or CMS, and which rates are subject to
legislative changes. Over the last two years, Medicare reimbursement rates have
not increased. Congress has approved a 1.6% composite rate increase for 2005.
Also for 2005, Medicare has modified the way it reimburses dialysis providers,
which includes revision of pricing for separately billable drugs and biologics,
with an add-on component to make the change budget-neutral. Effective April 1,
2005, CMS also implemented a case-mix adjustment payment methodology which is
designed to pay differential composite service rates based upon a variety of
patient characteristics. If the case-mix adjustment is not properly implemented
it could adversely affect the Medicare reimbursement rates. This change is
designed to be budget neutral as well. Dialysis is typically reimbursed at
higher rates from private payors, such as a patient’s insurance carrier, as well
as higher payments received under negotiated contracts with hospitals for acute
inpatient dialysis services.
The
following table shows the breakdown of our revenues by type of payor for the
periods presented:
|
|
Three Months Ended March 31, |
|
|
|
2005 |
|
2004 |
|
Medicare |
|
|
51 |
% |
|
49 |
% |
Medicaid
and comparable programs |
|
|
9 |
|
|
8 |
|
Hospital
inpatient dialysis services |
|
|
6 |
|
|
7 |
|
Commercial
insurers and other private payors |
|
|
34 |
|
|
36 |
|
|
|
|
100 |
% |
|
100 |
% |
|
|
|
|
|
|
|
|
Our
medical service revenues are derived primarily from four sources: outpatient
hemodialysis services, home peritoneal dialysis services, inpatient hemodialysis
services and ancillary services. The following table shows the breakdown of our
medical service revenues (in thousands) derived from our primary revenue sources
and the percentage of total medical service revenue represented by each source
for the periods presented:
|
|
Three
Months Ended March 31, |
|
|
|
2005 |
|
2004 |
|
Outpatient
hemodialysis services |
|
$ |
5,371 |
|
|
51 |
% |
$ |
3,806 |
|
|
45 |
% |
Home
peritoneal dialysis services |
|
|
779 |
|
|
8 |
|
|
423 |
|
|
5 |
|
Inpatient
hemodialysis services |
|
|
629 |
|
|
6 |
|
|
589 |
|
|
7 |
|
Ancillary
services |
|
|
3,705 |
|
|
35 |
|
|
3,592 |
|
|
43 |
|
|
|
$ |
10,484 |
|
|
100 |
% |
$ |
8,410 |
|
|
100 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The
healthcare industry is subject to extensive regulation by federal and state
authorities. There are a variety of fraud and abuse measures to combat waste,
including anti-kickback regulations and extensive prohibitions relating to
self-referrals, violations of which are punishable by criminal or civil
penalties, including exclusion from Medicare and other governmental programs.
Unanticipated changes in healthcare programs or laws could require us to
restructure our business practices which, in turn, could materially adversely
affect our business, operations and financial condition. We have developed a
Corporate Integrity Program to assure that we provide the highest level of
patient care and services in a professional and ethical manner consistent with
applicable federal and state laws and regulations. Among the different programs
is our Compliance Program, which has been implemented to assure our compliance
with fraud and abuse laws and to supplement our existing policies relating to
claims submission, cost report preparation, initial audit and human resources,
all geared towards a cost-efficient operation beneficial to patients and
shareholders.
Dialysis
Corporation of America’s future
growth depends primarily on the availability of suitable dialysis centers for
development or acquisition in appropriate and acceptable areas, and our ability
to manage the development costs for these potential dialysis centers while
competing with larger companies, some of which are public companies or divisions
of public companies with greater numbers of personnel and financial resources
available for acquiring and/or developing dialysis centers in areas targeted by
us. Additionally, there is intense competition for qualified nephrologists who
would serve as medical directors of dialysis facilities, and be responsible for
the supervision of those dialysis centers. There is no assurance as to when any
new dialysis centers or inpatient service contracts with hospitals will be
implemented, or the number of stations, or patient treatments such center or
service contract may involve, or if such center or service contract will
ultimately be profitable. It has been our experience that newly established
dialysis centers, although contributing to increased revenues, have adversely
affected our results of operations in the short term due to start-up costs and
expenses and a smaller patient base.
Results
of Operations
The
following table shows our results of operations (in thousands) and the
percentage of medical service revenue represented by each line item for the
periods presented:
|
|
Three Months Ended March 31, |
|
|
|
2005 |
|
2004 |
|
Medical
service revenue |
|
$ |
10,484 |
|
|
100.0 |
% |
$ |
8,410 |
|
|
100.0 |
% |
Other
income |
|
|
128 |
|
|
1.2 |
% |
|
217 |
|
|
2.6 |
% |
Total
operating revenues |
|
|
10,612 |
|
|
101.2 |
% |
|
8,627 |
|
|
102.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost
of medical services |
|
|
6,542 |
|
|
62.4 |
% |
|
5,162 |
|
|
61.4 |
% |
Selling,
general and administrative expenses |
|
|
3,244 |
|
|
30.9 |
% |
|
2,796 |
|
|
33.2 |
% |
Provision
for doubtful accounts |
|
|
248 |
|
|
2.4 |
% |
|
148 |
|
|
1.8 |
% |
Total
operating costs and expenses |
|
|
10,034 |
|
|
95.7 |
% |
|
8,106 |
|
|
96.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating
income |
|
|
578 |
|
|
5.5 |
% |
|
521 |
|
|
6.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other
income (expense), net |
|
|
(2 |
) |
|
0.0 |
% |
|
20 |
|
|
.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income
before income taxes, minority interest |
|
|
|
|
|
|
|
|
|
|
|
|
|
and
equity in affiliate earnings |
|
|
576 |
|
|
5.5 |
% |
|
541 |
|
|
6.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income
tax provision |
|
|
309 |
|
|
2.9 |
% |
|
216 |
|
|
2.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income
before minority interest and |
|
|
|
|
|
|
|
|
|
|
|
|
|
equity
in affiliate earnings |
|
|
267 |
|
|
2.5 |
% |
|
325 |
|
|
3.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Minority
interest in income of |
|
|
|
|
|
|
|
|
|
|
|
|
|
consolidated
subsidiaries |
|
|
(63 |
) |
|
(0.6 |
%) |
|
(56 |
) |
|
(0.7 |
%) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Equity
in affiliate earnings |
|
|
120 |
|
|
1.1 |
% |
|
19 |
|
|
0.2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net
income |
|
$ |
324 |
|
|
3.1 |
% |
$ |
288 |
|
|
3.4 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating
income increased approximately $ 58,000
(11%) for the three months ended March 31, 2005, compared to the same period of
the preceding year. For this same period, income before income taxes, minority
interest and equity in affiliate earnings increased $36,000 (7%), and net income
increased $36,000 (13%).
Medical
service revenues increased approximately $2,075,000 (25%) for the three months
ended March 31, 2005, compared to the preceding year with the increase largely
attributable to a 31% increase in total dialysis treatments performed by the
company from 29,413 during the first quarter of 2004 to 38,581 during the first
quarter of 2005. This increase reflects increased revenues of approximately
$411,000 for our Pennsylvania dialysis centers, including revenues of $592,000
for the two centers included in our acquisition of Keystone Kidney Care;
decreased revenues of $16,000 for our New Jersey centers; increased revenues of
$108,000 for our Georgia centers; increased revenues of approximately $396,000
for our Maryland centers; increased revenues of approximately $69,000 for our
Ohio center; increased revenues of approximately $408,000 for our Virginia
centers; and increased revenues of approximately $699,000 for our South Carolina
center. Some of our patients carry commercial insurance which may require an out
of pocket co-pay by the patient, which is often uncollectible by us. This co-pay
is typically limited, and therefore may lead to our under-recognition of revenue
at the time of service. We routinely recognize these revenues as we become aware
that these limits have been met.
Other
operating income decreased by approximately $89,000 for the three months ended
March 31, 2005, compared to the same period of the preceding year. There was an
increase in management fee income of $45,000 for the first quarter of 2005
compared to the same period of the preceding year pursuant to management
services agreements with our 40% owned Toledo, Ohio affiliate and an
unaffiliated Georgia center. There was a gain on litigation settlement of
$134,000 during the first quarter of 2004.
Cost of
medical services sales as a percentage of sales increased to 62% for the three
months ended March 31, 2005, compared to 61% for the same period of the
preceding year, reflecting payroll costs and supply costs as a percentage of
medical service sales.
Approximately
27% of our medical services revenues for the three months ended March 31, 2005,
and 29% for the same period of the preceding year was derived from the
administration of EPO to our dialysis patients. This drug is only available from
one manufacturer in the United States. Price increases for this product without
our ability to increase our charges would increase our costs and thereby
adversely impact our earnings. We cannot predict the timing, if any, or extent
of any future price increases by the manufacturer, or our ability to offset any
such increases. Beginning this year, Medicare will reimburse dialysis providers
for the ten most utilized ESRD drugs at an amount equal to the cost of such
drugs as determined by the Inspector General of HHS, with complimentary
increases in the composite rate. Management believes these changes will have
little impact on the company’s average Medicare revenue per
treatment.
Selling,
general and administrative expenses, those corporate and facility costs not
directly related to the care of patients, including, among others,
administration, accounting and billing, increased by approximately $448,000
(16%) for the three months ended March 31, 2005, compared to the same period of
the preceding year. This increase reflects operations of our new dialysis
centers in Pennsylvania, South Carolina, Virginia, and Maryland, and increased
support activities resulting from expanded operations. Selling, general and
administrative expenses as a percentage of medical services revenues decreased
to approximately 31% for the three months ended March 31, 2005, compared to 33%
for the same period of the preceding year.
Provision
for doubtful accounts increased approximately $100,000 for the three months
ended March 31, 2005, compared to the same period of the preceding year.
Medicare bad debt recoveries of $177,000 were recorded during the three months
ended March 31, 2005, with no such recoveries recorded during the same period of
the preceding year. Without the effect of the Medicare bad debt recoveries, the
provision would have amounted to 4% of sales for the three months ended March
31, 2005 compared to 2% for the same period of the preceding year. The provision
for doubtful accounts reflects our collection experience with the impact of that
experience included in accounts receivable presently reserved, plus recovery of
accounts previously considered uncollectible from our Medicare cost report
filings. The provision for doubtful accounts is determined under a variety of
criteria, primarily aging of the receivables and payor mix. Accounts receivable
are estimated to be uncollectible based upon various criteria including the age
of the receivable, historical collection trends and our understanding of the
nature and collectibility of the receivables, and are reserved for in the
allowance for doubtful accounts until they are written off.
Other
non-operating income (expense) increased approximately $10,000 for the three
months ended March 31, 2005, compared to the same period of the preceding year.
This includes an increase in interest income of $8,000, an increase in rental
income of $2,000, a decrease in miscellaneous other income of $8,000 and a
decrease in interest expense to unrelated parties of $8,000 with the effect of
decreased average non-inter-company borrowings more than offsetting an increase
in average interest rates. Interest expense to our parent, Medicore, Inc.,
increased $32,000 for the three months ended March 31, 2005 compared to the same
period of the preceding year as a result of an increase in the intercompany
advance payable to our parent and borrowings under a demand promissory note
payable to our parent. The prime rate was 5.75% at March 31, 2005, and 5.25% at
December 31, 2004. See Notes 1, 3 and 5 of “Notes to the Consolidated Financial
Statements.”
Although
operations of additional centers have resulted in additional revenues, certain
of these centers are still in the developmental stage and, accordingly, their
operating results will adversely impact our overall results of operations until
they achieve a patient count sufficient to sustain profitable
operations.
Minority
interest represents the proportionate equity interests of minority owners of our
subsidiaries whose financial results are included in our consolidated results.
Equity in affiliate earnings represents our proportionate interest in the
earnings of our 40% owned Ohio affiliate. See Notes 1 and 13 to “Notes to
Consolidated Financial Statements.”
Liquidity
and Capital Resources
Working
capital totaled approximately $4,251,000 at March 31, 2005, which reflected an
increase of $607,000 (17%) during the three months ended March 31, 2005.
Included in the changes in components of working capital was an increase in cash
and cash equivalents of $41,000, which included net cash used in operating
activities of $860,000; net cash used in investing activities of $154,000
(including additions to property and equipment of $289,000, and distributions of
$161,000 received from our 40% owned Ohio affiliate; and net cash provided by
financing activities of $1,055,000 (including an increase in advances payable to
our parent of $49,000, an increase in notes payable to our parent of $1,000,000,
debt repayments of $137,000, receipts of $133,000 from the exercise of stock
options, and capital contributions of $10,000 by a subsidiary minority member).
See Notes 1 and 11 to “Notes to Consolidated Financial Statements.”
Our
Easton, Maryland building has a mortgage to secure a development loan for our
Vineland, New Jersey subsidiary, which loan is guaranteed by us. This loan had a
remaining principal balance of $603,000 at March 31, 2005 and $610,000 at
December 31, 2004. In April, 2001, we obtained a $788,000 five-year mortgage on
our building in Valdosta, Georgia, which had an outstanding principal balance of
approximately $665,000 at March 31, 2005 and $675,000 at December 31, 2004. See
Note 3 to “Notes to Consolidated Financial Statements.”
We have
an equipment financing agreement for kidney dialysis machines for some of our
facilities, which had an outstanding balance of approximately $695,000 at March
31, 2005, and $814,000 at December 31, 2004. There was no additional equipment
financing under this agreement during the first quarter of 2005 or the first
quarter of the preceding year. See Note 3 to “Notes to Consolidated Financial
Statements.”
During
the first quarter of 2005, we borrowed approximately $1,000,000 under a demand
promissory note to our parent with $2,435,000 outstanding at March 31, 2005 and
$1,435,000 at December 31, 2004. See Note 5 to “Notes to Consolidated Financial
Statements.”
We opened
centers in Ashland, Virginia; Warsaw, Virginia; Aiken, South Carolina;
Pottstown, Pennsylvania; and Rockville, Maryland during 2004, and acquired
Keystone Kidney Care with two dialysis facilities in Pennsylvania effective as
of the close of business on August 31, 2004. We are in the process of developing
a new dialysis center in each of Maryland and Ohio, and three new dialysis
centers in South Carolina.
On March 15, 2005, the company and its
parent, Medicore, Inc., issued a joint press release announcing their agreement
to terms for a merger of Medicore into the company. The proposed merger is
subject to finalizing an Agreement and Plan of Merger, the receipt of
satisfactory tax and fairness opinions, the filing of a registration statement
containing a proxy statement/prospectus with the SEC, and the approval of
shareholders of each of Medicore and our company. This transaction will enable
the control interest in the company to be in the hands of the public
stockholders and provide the company with additional capital resources to
expand. See Note 14 to “Notes to Consolidated Financial Statements.” See Item 1,
"Legal Proceedings" under Part II - "Other Information" of this quarterly
report.
Capital
is needed primarily for the development of outpatient dialysis centers. The
construction of a 15 station facility, typically the size of our dialysis
facilities, costs in the range of $750,000 to $1,000,000, depending on location,
size and related services to be provided, which includes equipment and initial
working capital requirements. Acquisition of an existing dialysis facility is
more expensive than construction, although acquisition would provide us with an
immediate ongoing operation, which most likely would be generating income.
Although our expansion strategy focuses primarily on construction of new
centers, we have expanded through acquisition of dialysis facilities and
continue to review potential acquisitions. Development of a dialysis facility to
initiate operations takes four to six months and usually up to 12 months or
longer to generate income. We consider some of our centers to be in the
developmental stage since they have not developed a patient base sufficient to
generate and sustain earnings.
We are
seeking to expand our outpatient dialysis treatment facilities and inpatient
dialysis care and are presently in different phases of negotiations with
physicians for the development of additional outpatient centers. Such expansion
requires capital. We have been funding our expansion through internally
generated cash flow and financing from our parent, Medicore, Inc. See Note 5 to
“Notes to Consolidated Financial Statements.” Our future expansion may require
us to seek outside financing. While we anticipate that financing will be
available either from a financial institution or our parent company, including
the proposed merger of our parent with our company providing us with cash
estimated at $4 million to $5 million, no assurance can be given that we will be
successful in implementing our growth strategy, that the proposed merger will be
completed, or that adequate financing will be available to support our
expansion.
New
Accounting Pronouncements
In
November , 2004, the FASB issued Statement of Financial Accounting Standards No.
151, “Inventory Costs,” an amendment of ARB No. 43, Chapter 4 (“FAS 151”). FAS
151 requires companies to recognize as current-period charges abnormal amounts
of idle facility expense, freight, handling costs, and wasted materials
(spoilage). FAS 151 is effective for inventory costs incurred during fiscal
years beginning after June 15, 2005. The company does not expect FAS 151 to have
a significant effect on its consolidated financial statements. See Note 1 to
“Notes to Consolidated Financial Statements.”
In
December, 2004, the FASB issued Statement of Financial Accounting Standards No.
153, “Exchanges of Non-monetary Assets,” an amendment of APB Opinion No. 29
(“FAS 153”). The amendments made by FAS 153 are intended to assure that
non-monetary exchanges of assets that are commercially substantive are based on
the fair value of the assets exchanged. FAS 153 is effective for non-monetary
assets exchanges occurring in fiscal periods beginning after June 15, 2004. The
company does no expect FAS 153 to have a significant effect on its financial
statements. See Note 1 to “Notes to Consolidated Financial
Statements.”
In
December 16, 2004, the FASB issued Statement of Financial Accounting Standards
No. 123 (revised), “Share-Based Payment” (“FAS 123(R)”). FAS 123(R) requires
companies to recognize the fair value of stock option grants as a compensation
costs in their financial statements. The company will be required to
comply with the provisions of FAS 123(R) effective with its interim financial
statements for the first quarter of 2006. The company is in the process of
determining the impact that FAS 123 will have on its consolidated financial
statements. See Note 1 to “Notes to Consolidated Financial
Statements.”
Critical
Accounting Policies and Estimates
The SEC
has issued cautionary advice to elicit more precise disclosure in this Item 7,
MD&A, about accounting policies management believes are most critical in
portraying our financial results and in requiring management’s most difficult
subjective or complex judgments.
The
preparation of financial statements in conformity with accounting principles
generally accepted in the United States of America requires management to make
judgments and estimates. On an on-going basis, we evaluate our estimates, the
most significant of which include establishing allowances for doubtful accounts,
a valuation allowance for our deferred tax assets and determining the
recoverability of our long-lived assets. The basis for our estimates are
historical experience and various assumptions that are believed to be reasonable
under the circumstances, given the available information at the time of the
estimate, the results of which form the basis for making judgments about the
carrying values of assets and liabilities that are not readily available from
other sources. Actual results may differ from the amounts estimated and recorded
in our financial statements.
We
believe the following critical accounting policies affect our more significant
judgments and estimates used in the preparation of our consolidated financial
statements.
Revenue
Recognition:
Revenues
are recognized net of contractual provisions at the expected collectable amount.
We receive payments through reimbursement from Medicare and Medicaid for our
outpatient dialysis treatments coupled with patients’ private payments,
individually and through private third-party insurers. A substantial portion of
our revenues are derived from the Medicare ERSD program, which outpatient
reimbursement rates are fixed under a composite rate structure, which includes
the dialysis services and certain supplies, drugs and laboratory tests. Certain
of these ancillary services are reimbursable outside of the composite rate.
Medicaid reimbursement is similar and supplemental to the Medicare program. Our
acute inpatient dialysis operations are paid under contractual arrangements,
usually at higher contractually established rates, as are certain of the private
pay insurers for outpatient dialysis. We have developed a sophisticated
information and computerized coding system, but due to the complexity of the
payor mix and regulations, we sometimes receive more or less than the amount
expected when the services are provided. We reconcile any differences at least
quarterly.
Allowance
for Doubtful Accounts:
We
maintain an allowance for doubtful accounts for estimated losses resulting from
the inability of our patients or their insurance carriers to make required
payments. Based on historical information, we believe that our allowance is
adequate. Changes in general economic, business and market conditions could
result in an impairment in the ability of our patients and the insurance
companies to make their required payments, which would have an adverse effect on
cash flows and our results of operations. The allowance for doubtful accounts is
reviewed monthly and changes to the allowance are updated based on actual
collection experience. We use a combination of percentage of sales and the aging
of accounts receivable to establish an allowance for losses on accounts
receivable.
Valuation
Allowance for Deferred Tax Assets: The carrying value of deferred tax assets
assumes that we will be able to generate sufficient future taxable income to
realize the deferred tax assets based on estimates and assumptions. If these
estimates and assumptions change in the future, we may be required to adjust our
valuation allowance for deferred tax assets which could result in additional
income tax expense.
Long-Lived
Assets: We state our property and equipment at acquisition cost and compute
depreciation for book purposes by the straight-line method over estimated useful
lives of the assets. In accordance with SFAS No. 144, “Accounting for the
Impairment or Disposal of Long-Lived Assets,” long-lived assets are reviewed for
impairment whenever events or changes in circumstances indicate the carrying
amount of the asset may not be recoverable. Recoverability of assets to be held
and used is measured by comparison of the carrying amount of an asset to the
future cash flows expected to be generated by the asset. If the carrying amount
of the asset exceeds its estimated future cash flows, an impairment charge is
recognized to the extent the carrying amount of the asset exceeds the fair value
of the asset. These computations are complex and subjective.
Goodwill
and Intangible Asset Impairment: In assessing the recoverability of our goodwill
and other intangibles we must make assumptions regarding estimated future cash
flows and other factors to determine the fair value of the respective assets.
This impairment test requires the determination of the fair value of the
intangible asset. If the fair value of the intangible asset is less than its
carrying value, an impairment loss will be recognized in an amount equal to the
difference. If these estimates or their related assumptions change in the
future, we may be required to record impairment charges for these assets. We
adopted Statement of Financial Accounting Standards No. 142, “Goodwill and Other
Intangible Assets,” (FAS 142) effective January 1, 2002, and are required to
analyze goodwill and indefinite lived intangible assets for impairment on at
least an annual basis.
Impact
of Inflation
Inflationary
factors have not had a significant effect on our operations. A substantial
portion of our revenue is subject to reimbursement rates established and
regulated by the federal government. These rates do not automatically adjust for
inflation. Any rate adjustments relate to legislation and executive and
Congressional budget demands, and have little to do with the actual cost of
doing business. Therefore, dialysis services revenues cannot be voluntarily
increased to keep pace with increases in nursing and other patient care costs.
Increased operating costs without a corresponding increase in reimbursement
rates may adversely affect our earnings in the future.
Item
3. Quantitative and Qualitative Disclosures About Market
Risk
We do not
consider our exposure to market risks, principally changes in interest rates, to
be significant.
Sensitivity
of results of operations to interest rate risks on our investments is managed by
conservatively investing funds in liquid interest bearing accounts of which we
held approximately $636,000 at March 31, 2005.
Interest
rate risk on debt is managed by negotiation of appropriate rates for equipment
financing and other fixed rate obligations based on current market rates. There
is an interest rate risk associated with our variable rate debt obligations,
which totaled approximately $3,703,000 at March 31, 2005, including our demand
promissory note payable to our parent, Medicore, which amounted to approximately
$2,435,000 at March 31, 2005.
We have
exposure to both rising and falling interest rates. Assuming a relative 15%
decrease in rates on our period-end investments in interest bearing accounts and
a relative 15% increase in rates on our period-end variable rate debt would have
resulted in a negative impact of approximately $6,000 on our results of
operations for the quarter ended March 31, 2005.
We do not
utilize financial instruments for trading or speculative purposes and do not
currently use interest rate derivatives.
Item
4. Controls and Procedures
(a)
Disclosure
Controls and Procedures.
As of the
end of the period of this quarterly report on Form 10-Q for the first quarter
ended March 31, 2005, management carried out an evaluation, under the
supervision and with the participation of our President and Chief Executive
Officer, and the Vice President of Finance and Chief Financial Officer, of the
effectiveness of the design and operation of our disclosure controls and
procedures pursuant to Rule 13a-15 of the Exchange Act. The disclosure controls
and procedures are designed to provide reasonable assurance that information
required to be disclosed by our company in the reports that it files under the
Exchange Act is recorded, processed, summarized and reported within required
time periods specified by the SEC’s rules and forms, and that such information
is
accumulated
and communicated to our management. Based upon that evaluation, our President
and Chief Executive officer, and our Vice President of Finance and Chief
Financial Officer concluded that as of the end of the period, our disclosure
controls and procedures provided reasonable assurance that the disclosure
controls and procedures are effective in timely alerting them to material
information relating to us, including our consolidated subsidiaries, required to
be included in our periodic SEC filings.
(b) Internal
Control Over Financial Reporting.
There
were no significant changes in our internal control over financial reporting
that occurred during our most recent fiscal quarter or subsequent to the
evaluation as described in subparagraph (a) above that materially affected, or
are reasonably likely to materially affect, our control over financial
reporting.
PART
II -- OTHER INFORMATION
Item
1. Legal
Proceedings.
In April,
2005, three law suits were filed, two in the Circuit Court of the Eleventh
Judicial Circuit in and for Miami - Dade County of Florida as putative class and
derivative actions, and one in the Circuit Court for Anne Arundel County,
Maryland, as a putative derivative action, each by alleged holders of the
company’s shares, against the company’s directors and its parent, Medicore,
alleging breaches of fiduciary duty in connection with the proposed merger of
Medicore with the company. See Note 14 to “Notes to Consolidated Financial
Statements.” These actions were previously reported in the company’s current
reports on Form 8-K. The parties have agreed to consolidate the two Florida
actions and have tentatively agreed to stay the Maryland action. The company has
filed motions to stay the Florida action and enlarge the time to respond. The
motion to stay is based upon the company’s and Medicore’s assertions that
plaintiffs prematurely filed their actions without making demand on the
company’s board of directors to take action or conduct an investigation, which
failure of demand on the board is a violation of Florida law. The company’s
position is that Florida law provides the company’s board of directors with the
authority to decide whether initiating derivative litigation is in the best
interest of the company. The company believes the class and derivative actions
are without merit, and the matters will be defended vigorously by the company on
behalf of the board of directors, and by our parent on its own
behalf.
Item
2. Changes
in Securities, Use of Proceeds and Issuer Purchases of Equity
Securities.
Equity
Securities Sold by the Company During the First Quarter Ended March 31, 2005 and
Not Registered Under the Securities Act
The only
sale of equity securities by the company during the first quarter ended March
31, 2005 that was not registered under the Securities Act was through the
issuance of 150,000 shares of common stock pursuant to an option exercise at
$.625 per share for an aggregate of $93,750 by Stephen W. Everett, President and
Chief Executive Officer of the company.
Purchase
of Equity Securities By or On Behalf of the Company During the First Quarter
Ended March 31, 2005
The
company has a common stock repurchase program, which was announced in September,
2000, for the repurchase of up to 600,000 shares at the then current market
price of approximately $.90 (post January, 2004 split, $.45) per share. The
repurchase program was reiterated in September, 2001, and continues. The maximum
number of shares that may yet be purchased under the plan is 240,000 shares.
There were no repurchases of any equity securities during the first quarter
months of January, February and March, 2005. Repurchases are unlikely at the
current market prices. The closing price of our common stock on May 11, 2005 was
$18.77.
Item
6. Exhibits
Part I
Exhibits
31 Rule
13a-14(a)/15d-14(a) Certifications
|
31.1 |
Certifications
of the Chief Executive Officer pursuant to Rule 13a-14(a) of the
Securities Exchange Act of 1934. |
|
31.2 |
Certifications
of Chief Financial Officer pursuant to Rule 13a-14(a) of the Securities
Exchange Act of 1934. |
32 Section
1350 Certifications
|
32.1 |
Certifications
of the Chief Executive Officer and the Chief Financial Officer pursuant to
Rule 13a-14(b) of the Securities Exchange Act of 1934 and U.S.C. Section
1350. |
Part II
Exhibits
3 Articles
of Incorporation and Bylaws
|
3.1 |
Articles
of Incorporation (incorporated by reference to the company’s registration
statement on Form SB-2 dated December 22, 1995, as amended February 9,
1996, April 15, 1996, registration no. 33-80877-A (“Registration
Statement”), Part II, Item 27). |
|
3.2 |
By-laws
(incorporated by reference to the company’s Registration Statement, Part
II, Item 27). |
|
4.1 |
Form
of Common stock Certificate (incorporated by reference to the company’s
Registration Statement, Part II, Item 27). |
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.
|
|
|
|
DIALYSIS CORPORATION OF
AMERICA |
|
|
|
|
By: |
/s/ DON WAITE |
|
DON WAITE, Vice President of Finance and |
|
Chief Financial
Officer |
|
|
Dated: May
16, 2005 |
|
EXHIBIT
INDEX
Exhibit
No.
Part I
Exhibits
31 Rule
13a-14(a)/15d-14(a) Certifications
|
31.1 |
Certifications
of the Chief Executive Officer pursuant to Rule 13a-14(a) of the
Securities Exchange Act of 1934. |
|
31.2 |
Certification
of Chief Financial Officer pursuant to Rule 13a-14(a) of the Securities
Exchange Act of 1934. |
32 Section
1350 Certifications
|
32.1 |
Certifications
of the Chief Executive Officer and the Chief Financial Officer pursuant to
Rule 13a-14(b) of the Securities Exchange Act of 1934 and U.S.C. Section
1350. |
Part II
Exhibits
3 Articles
of Incorporation and Bylaws
|
3.1 |
Articles
of Incorporation (incorporated by reference to the company’s registration
statement on Form SB-2 dated December 22, 1995, as amended February 9,
1996, April 15, 1996, registration no. 33-80877-A (“Registration
Statement”), Part II, Item 27). |
|
3.2 |
By-laws
(incorporated by reference to the company’s Registration Statement, Part
II, Item 27). |
|
4.1 |
Form
of Common stock Certificate (incorporated by reference to the company’s
Registration Statement, Part II, Item 27). |