UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM 8-K/A

CURRENT REPORT
Pursuant to Section 13 OR 15(d) of The Securities Exchange Act of 1934

Date of Report (Date of earliest event reported) September 30, 2014

NOBILIS HEALTH CORP.
(Exact name of registrant as specified in its charter)

British Columbia 000-55274 98-1188172
(State or other jurisdiction of (Commission File (IRS Employer Identification No.)
incorporation) Number)  

4120 Southwest Freeway, Suite 150, Houston, Texas 77027
(Address of principal executive offices) (Zip Code)
   
Registrant’s telephone number, including area code (713) 355-8614

N/A
(Former name or former address, if changed since last report.)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

[   ]  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
[   ]  Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
[   ]  Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
[   ]  Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

EXPLANATORY NOTE

Nobilis Health Corp. (the “Company”) is filing this Amendment No. 1 on Form 8-K/B (this “Amendment”) to its Current Report on Form 8-K/A filed with the Securities and Exchange Commission on March 21, 2015 (the “Original Filing”) in order to include additional financial information and revisions to the pro-forma as required under 8-04 of Regulation S-X and under 8-05 of Regulation S-X respectively.


ITEM 2.01        COMPLETION OF ACQUISITION OR DISPOSITION OF ASSETS

Effective September 2, 2014, Nobilis Health Corp. (the “Company”) formed First Nobilis, LLC, a Texas limited liability company (“First Nobilis”) for the purposes of owning and operating a hospital and surgery center, each located in southeast Houston. A third party, First Surgical Partners Holdings, Inc., (“First Surgical”) contributed certain assets and liabilities to the new entity in exchange for a 49% ownership interest which was accounted for as a business combination. Following this transaction, First Nobilis’ ownership is apportioned 51% - 49% between the Company and First Surgical respectively.

Nobilis also signed management agreements to manage the operations of the hospital and surgical center. Nobilis contributed a total of $7.5 million to First Nobilis, which was raised by a brokered private placement that was completed in September 2014, and First Surgical contributed tangible and intangible assets necessary to operate a licensed hospital and licensed surgery center in Texas. The Company and First Surgical both contributed to First Nobilis their particular knowledge and experience in healthcare administration and clinical care.

The unaudited pro forma financial information presents the combined results of operations for us and the portion acquired from First Surgical as if the acquisition had occurred at the beginning of the fiscal year 2013. The unaudited pro forma financial information has been prepared for comparative purposes only and does not purport to be indicative of the actual operating results that would have been recorded had the acquisition actually taken place at the beginning of the fiscal year 2013, and should not be taken as indicative of future consolidated operating results. Additionally, the unaudited pro forma financial results do not include any anticipated synergies or other expected benefits from the acquisition.


FIRST SURGICAL PARTNERS, INC.

 

CONSOLIDATED FINANCIAL STATEMENTS

Years ended December 31, 2013 and 2012
with Report of Independent Auditors

 

 



FIRST SURGICAL PARTNERS, INC.

CONSOLIDATED FINANCIAL STATEMENTS

Years Ended December 31, 2013 and 2012

 

Table of Contents

                     REPORT OF INDEPENDENT AUDITORS 1
   
                     CONSOLIDATED FINANCIAL STATEMENTS:
   
         Consolidated Balance Sheets 3
   
         Consolidated Statements of Operations 4
   
         Consolidated Statements of Stockholders’ Deficit 5
   
         Consolidated Statements of Cash Flows 6
   
                     NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 7
   
                   OTHER FINANCIAL INFORMATION:
   
         Consolidating Balance Sheets 28
   
         Consolidating Statements of Operations 30



REPORT OF INDEPENDENT AUDITORS

 

To the Board of Directors and Stockholders of First
Surgical Partners, Inc.

Report on Consolidated Financial Statements

We have audited the accompanying consolidated financial statements of First Surgical Partners, Inc. and subsidiaries which comprise the consolidated balance sheets as of December 31, 2013 and 2012, and the related consolidated statements of operations, stockholders’ deficit, and cash flows for the years then ended, and the related notes to the financial statements.

Management’s Responsibility for the Financial Statements

Management is responsible for the preparation and fair presentation of these consolidated financial statements in accordance with accounting principles generally accepted in the United States of America (“GAAP”); this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of consolidated financial statements that are free from material misstatement, whether due to fraud or error.

Auditor’s Responsibility

Our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits in accordance with auditing standards generally accepted in the United States of America (“GAAS”). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free from material misstatement.

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

  Dallas Fort Worth Houston An Independent Member of 

 


Opinion

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of First Surgical Partners, Inc. and subsidiaries as of December 31, 2013 and 2012, and the results of their operations and their cash flows for the years then ended in conformity with GAAP.

Going Concern

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note B to the financial statements, the Company had an accumulated deficit of $17,262,225 at December 31, 2013, and a loss from continuing operations of $1,679,818 for the year ended December 31, 2013. These conditions raise substantial doubt about its ability to continue as a going concern. The financial statements do not include any adjustments that might result from the outcome of this uncertainty. Our opinion is not modified with respect to that matter.

Report on Other Financial Information

Our audits were conducted for the purpose of forming an opinion on the basic consolidated financial statements taken as a whole. The accompanying consolidating balance sheets as of December 31, 2013 and 2012, and consolidating statements of operations for the years then ended, are presented for purposes of additional analysis and are not a required part of the basic consolidated financial statements. Such information is the responsibility of management and was derived from and relates directly to the underlying accounting and other records used to prepare the consolidated financial statements. Such information has been subjected to the auditing procedures applied in the audit of the consolidated financial statements and certain additional procedures, including comparing and reconciling such information directly to the underlying accounting and other records used to prepare the consolidated financial statements or to the consolidated financial statements themselves, and other additional procedures in accordance with GAAS. In our opinion, the information is fairly stated in all material respects in relation to the consolidated financial statements as a whole.


Houston, Texas
October 2, 2014


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATED BALANCESHEETS

    December 31,  
    2013     2012  
Assets            
Current assets:            
   Cash and cash equivalents $  895,499   $  41,343  
   Accounts receivable, net   8,094,125     7,857,746  
   Inventory   994,273     1,542,710  
   Prepaids and other current assets   239,248     313,878  
   Current deferred income tax assets   111,967     -  
   Income tax receivable   767,876     -  
Total current assets   11,102,988     9,755,677  
           
Property and equipment, net   9,727,342     12,532,500  
Noncurrent deferred income tax assets   2,415,893     2,079,655  
Other noncurrent assets   256,701     91,930  
           
Total assets $  23,502,924   $  24,459,762  
             
Liabilities and Stockholders' Deficit            
Current liabilities:            
   Accounts payable $  5,007,578   $  3,665,227  
   Due to related parties   8,289,723     5,270,566  
   Accrued expenses and other current liabilities   930,978     774,771  
   Lines of credit   -     2,383,903  
   Income taxes payable   -     343,042  
   Deferred income taxes   -     487,691  
   Current portion of long-term debt   2,651,935     2,352,278  
   Current portion of capital lease obligations   508,216     258,559  
Total current liabilities   17,388,430     15,536,037  
         
Long-term liabilities:        
   Long-term debt, net of current amount   18,126,844     18,556,884  
   Lines of credit, net of current amount   1,548,284     -  
   Capital lease obligations, net of current amount   856,567     437,165  
Total long-term liabilities   20,531,695     18,994,049  
Total liabilities   37,920,125     34,530,086  
             
Commitments and contingencies            
             
Stockholders' deficit:            
   Preferred stock, $0.0001 par value, 50,000,000 shares authorized,
       zero issued and outstanding
  -     -  
   Common stock, $0.0001 par value, 200,000,000 shares authorized, 
       36,512,132 and 40,973,393 shares issued and outstanding in 2013 
       and 2012, respectively
  3,651     4,097  
   Treasury stock, 4,461,261 shares in 2013   (4,570,722 )   -  
   Additional paid-in capital   7,412,095     7,412,095  
   Accumulated deficit   (17,262,225 )   (17,486,516 )
Total stockholders' deficit   (14,417,201 )   (10,070,324 )
         
Total liabilities and stockholders' deficit $  23,502,924   $  24,459,762  


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

    Year Ended December 31,  
    2013     2012  
         
Net revenue $  32,326,829   $  32,847,724  
         
Operating expenses:        
     Salaries and benefits   2,929,409     8,258,696  
     Medical supplies   7,289,958     7,829,537  
     Bariatric and gastro-esophageal program sponsorship fees   2,850,575     2,795,323  
     Legal and professional fees   981,040     1,405,557  
     Depreciation   1,583,262     1,742,647  
     Rent   1,897,243     1,957,260  
     Management fees   904,912     1,466,253  
     Staff leasing expense   8,778,032     3,038,533  
     Other operating expenses   5,255,827     5,153,149  
     Total operating expenses   32,470,258     33,646,955  
         
Other income (expense):        
     Interest expense, net   (1,511,558 )   (1,374,912 )
     Loss on litigation settlement   -     (5,095,000 )
     Gain (loss) on sale or disposal of property and equipment   (445,253 )   81,030  
     Other expenses   (111,937 )   (380,678 )
     Total other expense   (2,068,748 )   (6,769,560 )
Loss from continuing operations before income taxes   (2,212,177 )   (7,568,791 )
         
Income tax benefit   (532,359 )   (1,656,441 )
Loss from continuing operations   (1,679,818 )   (5,912,350 )
         
Income from discontinued operations, net of tax   508,718     1,284,856  
         
Net loss $  (1,171,100 ) $  (4,627,494 )


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' DEFICIT

Years Ended December 31, 2013 and 2012

                        Additional           Total  
    Common Stock     Treasury     Paid-in     Accumulated     Stockholders'  
    Shares     Amount     Stock     Capital     Deficit     Deficit  
                                     
Balance at December 31, 2011, restated   40,873,393   $  4,087   $  -   $  9,657,660   $  (12,859,022 ) $  (3,197,275 )
                                     
   Issuance of common shares   100,000     10     -     61,990     -     62,000  
   Dividends   -     -     -     (2,307,555 )   -     (2,307,555 )
   Net loss   -     -     -     -     (4,627,494 )   (4,627,494 )
                                     
Balance at December 31, 2012   40,973,393     4,097     -     7,412,095     (17,486,516 )   (10,070,324 )
                                     
   Stock repurchased   (4,461,261 )   (446 )   (4,570,722 )   -     -     (4,571,168 )
   Deconsolidation of First Surgical Woodlands, LP   -     -     -     -     1,395,391     1,395,391  
   Net loss   -     -     -     -     (1,171,100 )   (1,171,100 )
                                     
Balance at December 31, 2013   36,512,132   $  3,651   $  (4,570,722 ) $  7,412,095   $  (17,262,225 ) $  (14,417,201 )

See accompanying notes to consolidated financial statements.

5


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

    Year Ended December 31,  
    2013     2012  
Operating Activities            
   Net loss $  (1,171,100 ) $  (4,627,494 )
   Adjustments to reconcile net loss to net cash        
         provided by (used in) operating activities:        
         Depreciation   1,583,262     1,742,647  
         Amortization of deferred financing costs   1,488     19,512  
         Deferred income taxes   (530,749 )   (2,355,383 )
         (Gain) loss on the sale or disposal of property and equipment   445,253     (81,030 )
   Changes in operating assets and liabilities:            
         Accounts receivable   (2,598,595 )   2,399,134  
         Inventory   24,850     578,589  
         Prepaids and other current assets   61,518     (60,386 )
         Other noncurrent assets   (198,969 )   (64,907 )
         Accounts payable   2,346,856     (1,399,166 )
         Due to related parties   3,019,157     791,766  
         Accrued expenses and other current liabilities   419,012     1,118,983  
         Other long term liabilities   -     (117,894 )
         Income tax receivable/payable   (1,114,298 )   528,996  
Net cash provided by (used in) operating activities   2,287,685     (1,526,633 )
           
Investing Activities            
   Net change in cash due to deconsolidation of First Surgical Woodlands, LP   (301,235 )   -  
   Proceeds from the sale of property and equipment   10,311     -  
   Purchases of property and equipment   (955,694 )   (2,148,710 )
Net cash used in investing activities   (1,246,618 )   (2,148,710 )
           
Financing Activities            
   Proceeds from lines of credit   1,548,284     349,882  
   Repayments on lines of credit   (2,160,000 )   (507,430 )
   Proceeds from long-term debt   7,647,280     6,275,000  
   Repayment of long-term debt   (2,352,278 )   (1,305,115 )
   Repayment of capital lease obligations   (299,029 )   (135,819 )
   Dividends paid   -     (2,307,555 )
   Purchase of treasury stock   (4,571,168 )   -  
   Proceeds from issuance of common stock   -     62,000  
Net cash provided by (used in) financing activities   (186,911 )   2,430,963  
         
Net increase (decrease) in cash and cash equivalents   854,156     (1,244,380 )
Cash and cash equivalents at beginning of year   41,343     1,285,723  
         
Cash and cash equivalents at end of year $  895,499   $  41,343  
         
Noncash investing and financing activities        
         Settlement of liabilities through the sale of property and equipment $  -   $  2,341,320  
         
         Assets acquired through capital lease obligations $  968,087   $  763,259  
         
Supplemental Disclosure of Cash Flow Information        
   Cash paid during the year for interest $  1,726,232   $  1,745,744  
         
   Cash paid during the year for income taxes $  900,000   $  200,000  

See accompanying notes to consolidated financial statements.

 6


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

December 31, 2013 and 2012

A. Nature of Business

First Surgical Partners, Inc. (“FSPI”), including its subsidiaries, is an owner and operator of two ambulatory surgery centers, First Street Surgical Center, LP (“FSSC”) and First Surgical Woodlands, LP, (“FSW”) and a general acute care hospital, First Street Hospital, LP (“FSH”), all located in the greater Houston, Texas metro area. Procedures performed include non-life-threatening surgeries, such as bariatrics, reconstructive and cosmetic plastics, orthopedics, pain management, neurosurgery, and podiatry, which are often completed on an outpatient or short stay basis. The term “Company” means First Surgical Partners, Inc. and its wholly-owned subsidiaries.

Effective October 1, 2013, the Company completed a tax free reorganization where a stockholder of its parent, First Surgical Partners Holdings, Inc. (“FSPH”), exchanged his common shares in FSPH for all of the partnership units in the FSW that were owned by FSPI. See further discussion in footnote J and N.

B. Going Concern

The financial statements of the Company have been prepared on the basis of accounting principles applicable to a going concern, which contemplates the realization of assets and the satisfaction of liabilities in the normal course of business. The Company had an accumulated deficit of $17,262,225 at December 31, 2013, and a loss from continuing operations of $1,679,818 for the year ended December 31, 2013. These matters raise substantial doubt about the Company’s ability to continue as a going concern. The financial statements do not include any adjustments relating to the recoverability and classification of asset carrying amounts or the amount and classification of liabilities that might result should the Company be unable to continue as a going concern.

C. Summary of Significant Accounting Policies Basis of Accounting

The accounts are maintained and the accompanying consolidated financial statements have been prepared using the accrual basis of accounting in accordance with accounting principles generally accepted in the United States of America (“GAAP”).

Use of Estimates

The preparation of financial statements in conformity with GAAP requires management to make estimates and assumptions that affect certain reported amounts and disclosures. Accordingly, actual results could differ from these estimates.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

C. Summary of Significant Accounting Policies – continued Principles of

Consolidation

The accompanying consolidated financial statements were prepared in accordance with GAAP and include the accounts of the Company and its subsidiaries after elimination of intercompany balances and transactions. Accounting policies used by the Company and its subsidiaries reflect industry practices and conform to GAAP.

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. At December 31, 2013 and 2012, the Company had no such investments. The Company maintains deposits in several financial institutions, which may at times exceed amounts covered by insurance provided by the U.S. Federal Deposit Insurance Corporation (“FDIC”). The Company has not experienced any losses related to amounts in excess of FDIC limits.

Accounts Receivable

Accounts receivable are reported at estimated net realizable amounts for services rendered, and are due from federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies, worker’s compensation, employers, and patients.

Additions to the reserves for contractual allowances and reserves for bad debt are made by means of provisions for contractual adjustments and the provision for bad debts, respectively. The Company writes off contractual differences and uncollectible accounts against the allowances after exhausting collection efforts and adding subsequent recoveries. Net accounts receivable include only those amounts estimated to be collectible.

The Company performs an analysis of its historical cash collection patterns and considers the impact of any known material events in determining the reserves for contractual allowances and the reserves for bad debts. In performing the analysis, the Company considers the impact of any adverse changes in general economic conditions, business office operations, payer mix, and trends in federal or state governmental healthcare coverage.

Inventory

Inventory is stated at the lower of cost or market value. Cost is principally determined by the first-in, first-out method. Inventory is comprised of drugs and medical supplies.

Financing Costs

The Company amortizes financing costs over the life of the related debt. The related expense is included in interest expense within the consolidated statements of operations.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

C. Summary of Significant Accounting Policies – continued

Property and Equipment

Property and equipment are recorded at cost. Expenditures for maintenance and repairs are charged to expense as incurred. Additions and betterments that extend the life of the asset are capitalized. Assets under capital lease obligations are reported at the lower of fair value or the present value of the aggregate future minimum lease payments at the beginning of the lease term. In the case of sale, retirement, or disposal, the asset cost and related accumulated depreciation balances are removed from the respective accounts, and the resulting net amount, less any proceeds, is included in the consolidated statements of operations. Depreciation is provided over the estimated useful lives of the assets. The depreciable lives and depreciation methods used for each class of asset are as follows:

          Depreciation
  Class   Useful Life   Method
           
  Office equipment, furniture, and fixtures   3-7 years   200% double declining
  Medical equipment and instruments   5-7 years   Straight-line
  Leasehold improvements   5-30 years   Straight-line

Advertising

The Company expenses advertising costs as incurred. Advertising expense was $645,317 and $544,680 for the years ended December 31, 2013 and 2012, respectively, and is included in other operating expenses within the consolidated statements of operations.

Impairment of Long-Lived Assets

We assess the recoverability of long-lived assets, whenever events or changes in circumstances indicate we may not be able to recover the asset’s carrying amount. We measure the recoverability of long-lived assets by a comparison of the carrying amount of the asset to the expected net future cash flows to be generated by that asset. The Company presents an impairment charge as a separate line item within other income (expense) in the consolidated statements of operations, unless the impairment is associated with a discontinued operation. The Company did not recognize an impairment of long lived assets during either of the years ended December 31, 2013 and 2012.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

C. Summary of Significant Accounting Policies – continued

Bariatric and Gastro-Esophageal Program Sponsorship Fees

The Company has entered into certain bariatric and gastro-esophageal sponsorship agreements; these agreements require that the Company make available its facility for surgeries on prospective patients that are participants in the programs as well as for surgeries on other prospective patients that meet criteria for eligibility for the programs. At all times during the term of the agreement the Company is required to either furnish, at its expense, or reimburse amounts the provider of the programs expends for operation of the program, including office space, facilities, equipment, utilities, furniture, fixtures, office supplies, postage, courier services, and other outside services as may be reasonably required to operate the program. For the years ended December 31, 2013 and 2012, the Company incurred $2,850,575 and $2,795,323 of expenses from continuing operations, respectively.

Commitments and Contingencies

Accruals for loss contingencies arising from claims, assessments, litigation, environmental, and other sources are recorded when it is probable that a liability has been incurred and the amount can be reasonably estimated. These accruals are adjusted as additional information becomes available or circumstances change. During the year ended December 31, 2012, the Company recorded a loss of approximately $5,100,000 related to the settlement of litigation with Aetna Life Insurance Co. The settlement will be paid through a promissory note with equal monthly installments over a five-year period at a 3% interest rate, see further details regarding the promissory note in footnote G.

Fair Value of Financial Instruments

The carrying value of certain of the Company’s financial instruments, including accounts receivable, prepaids and other assets, accounts payable, due to related parties, accrued expenses and other liabilities approximates fair value due to the short maturity of these instruments. The carrying value of long-term debt, capital lease obligations, and lines of credit also approximates fair value given that they bear market rates of interest. None of these instruments are held for trading purposes.

Revenue Recognition

Revenues consist primarily of net patient service revenues that are recorded based upon established billing rates less allowances for contractual adjustments. Revenues are recorded during the period the healthcare services are provided, based upon the estimated amounts due from the patients and third- party payors, including federal and state agencies (under the Medicare and Medicaid programs), managed care health plans, commercial insurance companies, and employers. Estimates of contractual allowances under third-party payor arrangements are based upon the payment terms specified in the related contractual agreements. Third-party payor contractual payment terms are generally based upon predetermined rates per diagnosis, per diem rates, or discounted fee-for-service rates.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

C. Summary of Significant Accounting Policies – continued

Revenue Recognition – continued

The Company provides care to patients who are financially unable to pay for the healthcare services they receive, and because the Company does not pursue collection of amounts determined to qualify as charity care, such amounts are not recorded as revenues.

Income Taxes

The Company accounts for income taxes in accordance with Financial Accounting Standards Board (“FASB”) Accounting Standards Codification (“ASC”) 740, Income Taxes. The income tax accounting guidance results in two components of income tax expense: current and deferred. Current income tax expense reflects taxes to be paid or refunded for the current period by applying the provisions of the enacted tax law to the taxable income or excess of deductions over revenues. The Company determines deferred income taxes using the liability method. Under this method, the net deferred tax asset or liability is based on the tax effects of the differences between the book and tax bases of assets and liabilities, and enacted changes in tax rates and laws are recognized in the period in which they occur.

Deferred income tax expense results from changes in deferred tax assets and liabilities between periods. Deferred tax assets are reduced by a valuation allowance if, based on the weight of evidence available, it is more likely than not that some portion or all of a deferred tax asset will not be realized.

Uncertain tax positions are recognized if it is more likely than not, based on the technical merits, that the tax position will be realized or sustained upon examination. The term more likely than not means a likelihood of more than 50 percent; the terms examined and upon examination also include resolution of the related appeals or litigation processes, if any. A tax position that meets the more likely than not recognition threshold is initially and subsequently measured as the largest amount of tax benefit that has a greater than 50 percent likelihood of being realized upon settlement with a taxing authority that has full knowledge of all relevant information. The determination of whether or not a tax position has met the more likely than not recognition threshold considers the facts, circumstances, and information available at the reporting date and is subject to the management’s judgment. The Company had approximately $147,000 and $206,000 of uncertain tax positions within the net deferred tax assets on the consolidated balance sheets at December 31, 2013 and 2012, respectively.

The Company is no longer subject to examination by tax authorities for years prior to 2010. The Company incurred penalties or interest related to its federal tax returns during the years ended December 31, 2013 and 2012, of $112,103 and $381,085, respectively.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

D. Accounts Receivable

Accounts receivable consists of the following:

    December 31,  
    2013     2012  
             
Gross accounts receivable $ 26,409,538   $ 62,662,574  
Reserves for contractual allowances and bad debts   (18,315,413 )   (54,804,828 )
             
Accounts receivable, net $  8,094,125   $  7,857,746  

Our accounts receivable are significant, but are concentrated by type of payors. The concentration of net patient service accounts receivable by payor class, as a percentage of total net patient service accounts receivable as of the end of each of the reporting periods, is as follows:

    For the Year Ended December 31,  
    2013     2012  
         
Commercial   51%     76%  
Workman’s compensation   10%     4%  
Medicare   11%     7%  
Other   28%     13%  
             
             
Total   100%     100%  

Our patient service revenues are significant, but are concentrated by type of payors. The concentration of patient service revenues by payor class, as a percentage of total patient service revenues as of the reporting periods, is as follows:

    For the Year Ended December 31,  
    2013     2012  
         
Commercial   53%     52%  
Workman’s compensation   6%     5%  
Medicare   20%     20%  
Other   21%     23%  
             
             
Total   100%     100%  


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

E. Property and Equipment

Property and equipment consists of the following:

    December 31,  
    2013     2012  
           
Leasehold improvements $ 10,413,032   $ 12,119,600  
Medical equipment and instruments   10,077,841     11,718,933  
Office equipment, furniture, and fixtures   2,009,013     1,432,451  
Construction in progress   -     1,874,396  
    22,499,886     27,145,380  
Less: accumulated depreciation   (12,772,544 )   (14,612,880 )
           
Property and equipment, net $  9,727,342   $ 12,532,500  

As of December 31, 2013 and 2012, the Company had $1,785,995 and $817,908, respectively, of equipment under capital lease with accumulated amortization of $613,135 and $161,254, respectively, resulting in net assets under capital leases of $1,172,859 and $656,654, respectively. Amortization of assets acquired under capital leases is recognized over the expected life of the assets on a straight line basis and is included in depreciation expense within the accompanying statements of operations. The Company’s depreciation expense totaled $1,583,262 and $1,742,647 for the years ended December 31, 2013 and 2012, respectively.

During 2012 the Company sold property and equipment to a related party for $2,341,320. The Company did not receive cash in the transaction and $2,341,320 was applied to rent liabilities owed to the related party. In connection with this transaction the Company recorded a $81,030 gain on the sale of the property and equipment.

During 2013 the Company renegotiated an office lease and abandoned certain leasehold improvements attached to the renegotiated space. The loss on the disposal of the leasehold improvements was approximately $445,000.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

F. Lines of Credit

FSH entered into a letter loan agreement (“FSH Letter Loan Agreement”) with a financial institution on January 8, 2008. The FSH Letter Loan Agreement, as amended, provided for a $1,500,000 line of credit loan and a term loan (“2008 FSH Loan I”). The FSH Letter Loan Agreement provided for 2008 FSH Loan I to be secured by real property owned by First Street Holdings, LP (“FS Holdings”), and a related party to FSH and require FSH to maintain a debt service coverage ratio of 1.25 to 1.0. The line of credit called for monthly interest only payments. The effective rate of interest at December 31, 2012, was 5.75%. The line of credit loan originally matured on January 8, 2009, but was extended to December 31, 2013. The Company refinanced the line of credit with a different financial institution in 2013. The outstanding balance at December 31, 2013 and 2012, was $0 and $1,490,000, respectively. The Company recognized total interest expense of $106,733 and $85,786 during the years ended December 31, 2013 and 2012, respectively.

FSSC entered into a letter loan agreement (“FSSC Letter Loan Agreement”) with a financial institution on January 8, 2008. The FSSC Letter Loan Agreement provided for a $750,000 line of credit loan and a term loan (“2008 FSSC Loan I”). The FSSC Letter Loan Agreement provides for 2008 FSSC Loan I to be secured by real property owned by FS Holdings, a related party to the Company, as well as accounts receivable, inventory, fixtures, equipment and general intangibles; that the loans will be guaranteed personally by certain former partners of FSSC, who are current stockholders of the Company; and require FSSC to maintain a debt service coverage ratio of 1.25 to 1.0. The line of credit called for monthly interest only payments and the effective rate of interest at December 31, 2012, was 5.75%. The Company refinanced the line of credit with a different financial institution in 2013. The outstanding balance at December 31, 2013 and 2012, was $0 and $710,000, respectively. The Company recognized total interest expense of $52,601 and $41,765 during the years ended December 31, 2013 and 2012, respectively.

FSH and FSSC refinanced the loan agreements discussed above and entered into a new letter loan agreement (“2013 FSH & FSSC Letter Loan Agreement”) with a financial institution on December 20, 2013. The 2013 FSH & FSSC Letter Loan Agreement provides for a $2,000,000 and a $1,000,000 line of credit and three additional term loans (“2013 FSH Loan II”, “2013 FSH Loan III”, and “2013 FSSC Loan II”). The 2013 FSH & FSSC Letter Loan Agreement provides for 2013 FSH

Loan II, 2013 FSH Loan III, and 2013 FSSC Loan II to be secured by all assets owned by FSH and

FSSC. The $2,000,000 and $1,000,000 lines of credit loans call for monthly interest only payments and have effective rates of interest at December 31, 2013, of 3.75%. The principal for both lines of credit mature on December 20, 2015. The outstanding balance on the $2,000,000 and $1,000,00 lines of credit at December 31, 2013, was $1,265,741 and $282,543, respectively, and unused credit at December 31, 2013, was $734,259, and $717,457, respectively. The 2013 FSH & FSSC Letter Loan Agreement requires FSH and FSSC to maintain certain covenants related to fixed charge coverage ratio and tangible net worth. The Company was not in compliance with these covenants as of December 31, 2013, although, the Company received a waiver from the financial institution that is effective as of December 31, 2013.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

F. Lines of Credit – continued

FSW entered into a $250,000 revolving line of credit with a financial institution on September 18, 2009. The line of credit bore interest at 5.75% per annum. The line of credit was secured by all the equipment of FSW, the Company recognized total interest expense of $9,841 and $2,644 during the years ended December 31, 2013 and 2012, respectively. The outstanding balance at December 31, 2012, was $183,903. The line of credit was paid in full during 2013.

Aggregate future maturities of the lines of credit are as follows as of December 31, 2013: 2014

2015   1,548,284  
       
Thereafter   -  
       
Total $  1,548,284  

G. Long-Term Debt

    As of December 31,  
    2013     2012  
             
      First Surgical Partners, Inc.        
         2012 FSP Note Payable $  1,510,943   $  1,875,689  
     First Street Hospital, LP            
         2008 FSH Loan I   -     6,163,788  
         2010 FSH Construction Loan   -     4,135,166  
         2010 Equipment Loan   -     1,627,812  
         2012 Note   3,577,836     4,533,029  
         2013 FSH Loan II   10,430,000     -  
         2013 FSH Loan III   2,800,000     -  
First Street Surgical Center, LP            
         2008 FSSC Loan I   -     1,301,778  
         2013 FSSC Loan II   2,460,000     -  
      First Surgical Woodlands, LP            
         2012 FSW Construction Loan   -     1,271,900  
     Total Long-term debt   20,778,779     20,909,162  
     Less: current portion   (2,651,935 )   (2,352,278 )
             
     Long-term portion $  18,126,844   $  18,556,884  


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

G. Long-Term Debt – continued

First Surgical Partners, Inc.

In connection with the FSP Letter Loan Agreement, FSPI issued an unsecured promissory note in the original amount of $2,000,000 on September 25, 2012, to a financial institution (the “2012 FSP Note Payable”). The 2012 FSP Note Payable bears interest at 5.00% per annum and matures on September 25, 2017. The note calls for monthly interest and principal payments of $37,192. As of December 31, 2013 and 2012, the Company owed $1,510,943 and $1,875,689, respectively, and recognized total interest expense of $86,560 and $107,760 during the years ended December 31, 2013 and 2012, respectively.

First Street Hospital, LP

In connection with the FSH Letter Loan Agreement, FSH issued the 2008 FSH Loan I, a secured promissory note in the original amount of $7,822,256 on January 8, 2008. The 2008 FSH Loan I bore interest at 7.70% per annum and originally matured on January 8, 2013, and was extended to December 31, 2013. The note called for monthly interest and principal payments of $73,747, with a balloon payment due on December 31, 2013. The note was refinanced through the 2013 FSH & FSSC Letter Loan Agreement on December 20, 2013. The Company recognized total interest expense of $466,550 and $496,596 on the note during the years ended December 31, 2013 and 2012, respectively.

On May 4, 2010, FSH entered into a secured construction loan agreement (the “2010 FSH Construction Loan”) with a financial institution. The loan agreement provides for advance equal to 80% of the appraised value of the 2010 expansion of FSH’s facility. Total advances under the loan agreement were $4,439,150. The loan agreement was secured by real property owned by FSH, as well as accounts receivable, inventory, fixtures, equipment, and general intangibles. The loan was also guaranteed personally by certain former partners of FSH, who are current shareholders of the Company. The note bore interest at 6.50% per annum and originally matured on May 4, 2013, and was extended to December 31, 2013. The note was refinanced through the 2013 FSH & FSSC Letter Loan Agreement on December 20, 2013. The Company recognized total interest expense of $294,336 and $280,006 on the note during the years ended December 31, 2013 and 2012, respectively.

In connection with the issuance of the 2010 FSH Construction Loan facility, on November 30, 2010, FSH entered into a secured promissory note (the “2010 Equipment Loan”) providing for a total principal amount of $1,863,062 with a financial institution. The 2010 Equipment Loan is also secured by real property owned by FSH, as well as accounts receivable, inventory, fixtures, equipment, and general intangibles. The 2010 Equipment Loan was also guaranteed personally by certain former partners of FSH, who are current shareholders of the Company. The note bore interest at 6.50% per annum and originally matured on November 30, 2013, and was extended to December 31, 2013. The note was refinanced through the 2013 FSH & FSSC Letter Loan Agreement on December 20, 2013. The Company recognized total interest expense of $97,839 and $115,448 on the note during the years ended December 31, 2013 and 2012, respectively.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

G. Long-Term Debt – continued

First Street Hospital, LP – continued

On July 1, 2012, FSH entered into a promissory note (the “2012 Note”) with an insurance carrier due to a litigation settlement. The 2012 Note’s initial principal was $5,000,000 and was guaranteed by FSPI. The note calls for monthly payments of $89,843, it bears interest at 3% per annum, and matures on July 1, 2017. As of December 31, 2013 and 2012, the Company owed $3,577,836 and $4,533,029, respectively on the 2012 Note. The Company recognized total interest expense of $122,928 and $72,090 on the note during the years ended December 31, 2013 and 2012, respectively.

On December 20, 2013, FSH entered into the 2013 FSH & FSSC Letter Loan Agreement. The agreement provided the Company with the 2013 FSH Loan II and 2013 FSH Loan III. As discussed above, proceeds from the notes were used to refinance outstanding debt. Total advances under the 2013 FSH Loan II agreement was $10,430,000. The note calls for monthly payments of $104,662, bears interest at 3.75% per annum, and matures on December 20, 2018. As of December 31, 2013, the Company owed $10,430,000 on the 2013 FSH Loan II. Total advances under the 2013 FSH Loan III agreement were $2,800,000. The note calls for monthly payments of $59,208, bears interest at 3.75% per annum, and matures on December 20, 2018. As of December 31, 2013, the Company owed $2,800,000 on the 2013 FSH Loan III.

First Street Surgical Center, LP

In connection with the FSSC Letter Loan Agreement, FSSC entered into a secured promissory note (the “2008 FSSC Loan I”) in the original amount of $1,652,030 on January 8, 2008 to a financial institution. The 2008 FSSC Loan I was secured by real property owned by FSSC. The 2008 FSSC Loan I was also guaranteed personally by current stockholders of the Company. The note bears interest at 7.70% per annum and originally matured on January 8, 2013. The note agreement was extended to December 31, 2013. The note called for monthly interest and principal payments of $15,575, with a balloon payment due on December 31, 2013. The note was refinanced through the 2013 FSH & FSSC Letter Loan Agreement on December 20, 2013. The Company recognized total interest expense of $98,534 and $104,878 on the note during the years ended December 31, 2013 and 2012, respectively.

On December 20, 2013, FSSC entered into the 2013 FSH & FSSC Letter Loan Agreement. The agreement provided the Company with the 2013 FSSC Loan II. Total advances under the loan were $2,460,000. The note calls for monthly payments of $59,208, bears interest at 3.75% per annum, and matures on December 20, 2018. As of December 31, 2013, the Company owed $2,460,000 on the 2013 FSSC Loan II.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

G. Long-Term Debt – continued

First Surgical Woodlands, LP

On August 31, 2012, FSW entered into a secured construction loan agreement (the “2012 FSW Construction Loan”) with a financial institution. The loan agreement provided for the 2012 expansion of FSW’s facility. Total advances under the loan agreement were $2,200,000. The loan agreement provided for the 2012 FSW Construction Loan to be secured by real property owned by FSW, as well as accounts, equipment and general intangibles. The note called for monthly payments beginning September 30, 2013, of $43,272, bears interest at 6.25% per annum, and matures on August 31, 2018. As of December 31, 2012, the Company owed $1,271,900, on the 2012 FSW Construction Loan and recognized total interest expense of $9,383 during the year ended December 31, 2012. As of October 1, 2013, FSW is no longer a subsidiary of the Company and the outstanding balance related to the loan was not included in the December 31, 2013, consolidated balance sheet.

On July 22, 2013, FSW entered into a secured promissory note (the “2013 FSW Loan”). Proceeds from the note were used to finance the privatization efforts of FSW. The 2013 FSW Loan is secured by the assets of FSW. Total advances under the loan agreement were $3,355,122. The note calls for monthly payments of $66,188, bears interest at 6.75% per annum, and matures on July 22, 2018. As of October 1, 2013, FSW is no longer a subsidiary of the Company and the outstanding balance related to the loan was not included in the December 31, 2013, consolidated balance sheet.

Aggregate future maturities of the notes payable are as follows as of December 31, 2013:

2014 $  2,651,935  
2015   2,829,092  
2016   2,880,230  
2017   2,289,544  
Thereafter   10,127,978  
   
Total $  20,778,779  

H. Commitments and Contingencies

The Company engages in a significant number of leasing transactions including medical equipment, computer equipment, and office & hospital space.

Leases meeting certain accounting criteria have been recorded as an asset and liability at the lower of fair value or the net present value of the aggregate future minimum lease payments at the inception of the lease. Interest rates used in computing the net present value of the lease payments ranged from 3.58% to 13.37%. The Company’s capital leases have maturity dates ranging from December 2014 through July 2018.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

H. Commitments and Contingencies – continued

The Company’s leased office and hospital space has terms of twenty years or less. As a result of escalating lease payments and tenant improvement allowances, the Company has recorded deferred rent of $184,273 and $125,065, as of December 31, 2013 and 2012, respectively.

Rent expense from continuing operations for the years ended December 31, 2013 and 2012, was $1,897,243 and $1,957,260, respectively. As discussed in Note J, beginning on September 17, 2006, FSH entered into a building lease with a related party, FS Holdings. These future payments are included in the future operating payments below.

Future minimum lease payment obligations as of December 31, 2013, approximate the following:

    Operating     Capital  
    Leases     Leases  
             
2014 $  1,075,874   $  521,279  
2015   1,068,306     513,720  
2016   1,079,083     309,403  
2017   1,091,004     309,403  
2018   1,062,973     67,340  
Thereafter   5,018,065     -  
       
Total $  10,395,305   $  1,721,145  
Less amount representing interest   (356,362 )
Present value of net minimum capital lease payments   1,364,783  
Less current installments of obligations under capital leases   (508,216 )
       
Obligations under capital leases, excluding current installments $  856,567  

I. Stockholders’ Equity

Holders of Common Stock are entitled to one vote per share, to receive dividends and, upon liquidation or dissolution, to receive all assets available for distribution to stockholders. The holders have no preemptive or other subscription rights and there are no redemption or sinking fund provisions with respect to such shares. Common Stock is subordinate to the preferred stock, if and when issued, with respect to dividend rights and rights upon liquidation, winding up, and dissolution of the Company.

On February 7, 2012, the Company declared a quarterly dividend on its Common Stock of $0.025 per share. The total dividend paid was $1,021,835. As the Company had no accumulated earnings at the date of declaration, this dividend was treated as a liquidating dividend and was recorded as a reduction of additional paid-in capital rather than accumulated deficit.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

I. Stockholders’ Equity – continued

On June 13, 2012, the Company declared a special dividend on its Common Stock of $0.02 per share. The total dividend paid was $735,721. As the Company had no accumulated earnings at the date of declaration, this dividend was treated as a liquidating dividend and was recorded as a reduction of additional paid-in capital rather than accumulated deficit.

On October 3, 2012, the Company declared a special dividend on its Common Stock of $0.013 per share. The total dividend paid was $549,999. As the Company had no accumulated earnings at the date of declaration, this dividend was treated as a liquidating dividend and was recorded as a reduction of additional paid-in capital rather than accumulated deficit.

On October 6, 2011, the Company adopted the FSPI 2011 Physician Purchase Plan (the “Plan”) providing physicians with the ability to purchase up to 3.0 million shares of the Company’s Common Stock through June 30, 2012, at a price per share of $0.62, based upon an independent valuation of the Company’s common stock as of March 31, 2011. During 2012, in connection with the Plan, the Company issued 100,000 shares of its Common Stock for total proceeds of $62,000.

During 2013 the Company repurchased 4,461,261 shares of their outstanding common stock for an average price of $1.02 per share. The Company paid approximately $4,571,000 in cash for the repurchased common stock.

Effective October 1, 2013, FSPH, the parent company of FSPI, completed a share exchange agreement with a former stockholder. In exchange for 3,189,384 shares of FSPH’s outstanding common stock, its 100% owned subsidiary, FSPI, would transfer all of the outstanding FSW units to the former stockholder of FSPH. As a result of this transaction FSW was deconsolidated as of October 1, 2013. See footnote N.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

J. Related Party Transactions

During the years ended December 31, 2013 and 2012, both FSH and FSW held management agreements with First Surgical Partners, LLC (“FSP”) (the former General Partner of the Company’s limited partnerships and the owners of which are the Company’s Chairman of the Board and the Company’s President and Chief Executive Officer) where the Company retained the services of FSP to assist the Company in managing and conducting day-to-day business and services. The FSW agreement was executed on February 1, 2005, with a term of five years and shall automatically renew for one additional two year period unless otherwise terminated. On March 13, 2012, FSW entered into an addendum to the February 1, 2005, agreement such that following the first renewal, which expired on February 2, 2012, the agreement renewed and will continue to renew for one year periods, unless otherwise terminated in writing by either party. The FSH agreement was executed on July 25, 2006, with a term of ten years and shall automatically renew for one additional two year period unless otherwise terminated. Each agreement calls for the payment by the partnerships to FSP a monthly fee equal to 5% of the net monthly collected revenues from the partnership’s cash collections. For the years ended December 31, 2013 and 2012, these fees from continuing operations totaled $904,912 and $1,466,253, respectively. As of December 31, 2013 and 2012, the Company had an outstanding balance of unpaid management fees totaling $4,339,006 and $3,731,150, respectively, included within due to related parties amount on the accompanying consolidated balance sheets.

On June 1, 2006, FSSC entered into a $700,000 long-term line of credit with the Company’s current Chairman of the Board. The line of credit bears interest at 6.0% per annum and is unsecured. As of December 31, 2013 and 2012, the Company owed $384,571 and $362,230, respectively on the line of credit, and recognized total interest expense of $22,342 and $21,044 during the years ended December 31, 2013 and 2012, respectively. Amounts due under this line of credit are reported within the current portion of the due to related parties amount within the accompanying consolidated balance sheets.

On April 1, 2003, FSSC entered into a building lease with a related party. The building lease was for an initial term of 10 years from the commencement date followed by an option to extend the initial ten year term by two consecutive five year terms. The lease agreement called for minimum monthly lease payments of $23,000 per month, subject to escalation to reflect increases in the consumer price index. For the years ended December 31, 2013 and 2012, FSSC incurred $348,648 and $342,238, respectively, in lease expense on this lease. As of December 31, 2013 and 2012, the Company had accrued rent on this lease totaling $856,182 and $507,533, respectively, within the due to related parties amount within the accompanying consolidated balance sheets.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

J. Related Party Transactions – continued

On September 17, 2006, FSH entered into a building lease with a related party, FS Holdings. The building lease was for an initial term of 10 years from the commencement date followed by an option to extend the initial ten year term by two consecutive ten year terms. During 2010 the hospital expanded its square footage by 23,000, adding 14 beds and two operating rooms. The expansion was opened for surgical procedures on December 15, 2010. The expansion project was funded 100% by FSH. In May 2012 the finalized expansion agreement was enacted and as part of the final expansion agreement, FS Holdings agreed to reimburse the hospital for the cost of the shell of the expansion of $1,765,095 and the builder’s allowance of $576,225 for a total of $2,341,320, as discussed in footnote E. For the years ended December 31, 2013 and 2012, FSH incurred $1,118,208 and $1,176,248, respectively, in lease expense on this lease. As of December 31, 2013 and 2012, the Company had accrued rent on this lease totaling $854,245 and $21,239, respectively, within the due to related parties amount within the accompanying consolidated balance sheets.

As of December 31, 2013 and 2012, the Company had accrued unpaid distributions related to limited partner earnings prior to the acquisition of the Company of its subsidiaries to its Chairman of the Board and its President and Chief Executive Officer totaling $940,300, included within the due to related parties amount in the accompanying consolidated balances sheets.

On March 16, 2012, FSH entered into an agreement with First Surgical Partners, LLC (the former General Partner of the Company’s limited partnerships and the owners of which are the Company’s Chairman of the Board and the Company’s President and Chief Executive Officer) for an operating advance of $150,000. The note bears interest of 6% per annum and the entire balance plus accrued interest was due on March 15, 2013, in a single payment of $159,241. The operating advance is currently due on demand and as of December 31, 2013 and 2012, FSH owed $123,453 and $150,000, respectively, within the due to related parties amount in the accompanying consolidated balance sheets.

As of December 31, 2013, FSSC and FSPI had a current related party payable for $634,764 and $33,749, respectively, which is owed to the Company’s former consolidated subsidiary, FSW. The total balance of $668,513 for these amounts owed to FSW is within the due to related parties amount in the accompanying consolidated balance sheets.

As of December 31, 2013, FSSC had a current receivable balance due from a related company, owned by the Company’s Chairman of the Board, for 2012 taxes paid on behalf of the related party’s retail center. As of December 31, 2012, FSSC had a receivable balance of $21,250 offsetting the due to related parties amount in the accompanying consolidated balance sheets. This amount was repaid in full during 2013.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

K. Income Taxes

The components of the benefit for income taxes from continuing operations consist of the following:

    Year Ended December 31,  
    2013     2012  
         
Current tax expense (benefit):        
   Federal $  (193,003 ) $  269,509  
   State   191,393     429,433  
Total current tax expense (benefit)   (1,610 )   698,942  
         
Deferred tax benefit:        
   Federal   (501,085 )   (2,156,433 )
   State   (29,664 )   (198,950 )
Total deferred tax benefit   (530,749 )   (2,355,383 )
         
Total benefit for income taxes $  (532,359 ) $  (1,656,441 )

The difference between the reported provision for income taxes and taxes determined by applying the applicable U.S. federal statutory income tax rate to income before taxes from continuing operations is reconciled as follows:

    Year Ended December 31,  
    2013     2012  
         
Income tax benefit at federal statutory rate $  (602,855 ) $  (2,279,768 )
State tax expense, net   188,834     196,048  
Permanent differences   84,060     154,768  
FIN 48 liability   (58,985 )   205,929  
Other   (143,413 )   66,582  
             
Benefit for income taxes $  (532,359 ) $  (1,656,441 )


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

K. Income Taxes – continued

Deferred income taxes reflect the net effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and amounts used for income tax purposes. Significant components of deferred tax liabilities and assets at December 31, 2013 and 2012, are presented below:

    December 31,  
    2013     2012  
             
Deferred tax assets:            
   Deferred rent obligation $  53,176   $  43,348  
   Property and equipment   22,406     -  
   Accrued liabilities   97,963     43,928  
   AMT credits   63,580     63,580  
   Net operating loss carryforward   2,329,906     2,422,166  
Total deferred tax assets   2,567,031     2,573,022  
         
Deferred tax liabilities:        
   Cash basis accounts receivable   -     (524,143 )
   Property and equipment   -     (408,523 )
   Prepaid expense   (39,171 )   (47,453 )
   Intangible assets   -     (939 )
Total deferred tax liabilities   (39,171 )   (981,058 )
         
Net deferred tax assets $  2,527,860   $  1,591,964  

As of December 31, 2013, the Company had net operating loss carryforwards for federal income tax purposes of $6,852,668. If not used to reduce taxable income in future periods, portions of the net operating loss carryforwards will begin to expire in 2031.

L. Employee Benefit Plan

Substantially all of the Company’s employees are eligible to enroll in Company sponsored healthcare plans, including coverage for medical and dental benefits. Our primary healthcare plans are national plans administered by third-party administrators. The Company’s employer matching contribution equals 100% on the first 4% of each participant’s compensation which is deferred as an elective deferral. The Safe Harbor matching contribution is paid on a payroll by payroll basis. Employees are 100% vested in the Plan after meeting all eligibility requirements and becoming a participant. During 2013 and 2012, costs from continuing operations associated with these plans, net of amounts paid by employees, totaled $128,529 and $126,615, respectively. These amounts were included in salaries and benefits within the accompanying consolidated statements of operations.


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

M. Litigation

From time to time, the Company may become involved in various lawsuits and legal proceedings, which arise in the ordinary course of business. However, litigation is subject to inherent uncertainties, and an adverse result in these or other matters may arise from time to time that may harm our business. Except for the litigation settled in 2012 that is discussed in footnote C, the Company is not currently aware of any legal proceedings or claims that it believes will have, individually or in the aggregate, a material adverse effect on its business, financial condition, or operating results.

N. Discontinued Operations

Effective October 1, 2013, the Company completed a tax free reorganization where a stockholder of its parent, FSPH, exchanged his common shares in FSPH for all of the partnership units in the FSW that were owned by FSPI. Accordingly, the operations of FSW for the period ending October 1, 2013, and the year ended December 31, 2012, are presented as discontinued operations in the accompanying consolidated statements of operations.

  Period ended     Year ended  
  October 1,     December 31,  
    2013     2012  
             
Income from discontinuing operations $  563,580   $  1,393,781  
Income tax expense   (54,862 )   (104,397 )
         
Net income from discontinued operations $  508,718   $  1,289,384  
         
Net revenue from discontinued operations $  4,618,406   $  6,635,174  

Below is a summary of the net assets for FSW as of December 31, 2012 and as finally reported on the deconsolidation date of October 1, 2013:


FIRST SURGICAL PARTNERS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

N. Discontinued Operations – continued

          December  
    October 1,     31,  
    2013     2012  
         
             Cash $  301,235   $  14,057  
             Accounts receivable, net   4,781,083     1,197,078  
             Inventory   523,587     390,590  
             Prepaids and other current assets   13,112     22,639  
             Property and equipment, net   2,690,112     1,869,817  
             Other assets   32,711     20,452  
         
         Total assets $  8,341,840   $  3,514,633  
         
             Accounts payable $  1,004,505   $  974,651  
             Accrued expenses   262,805     215,399  
             Long-term debt   5,649,287     1,455,804  
             Deferred tax liabilities   401,767     -  
             Other long-term liabilities   -     5,704  
         Total liabilities   7,318,364     2,651,558  
         
         Net assets $  1,023,476   $  863,075  

O. Correction of Errors

Retained earnings as of January 1, 2012, has been reduced by $14,395,129 to correct errors made in 2011 related to the accounts receivable contractual allowance, accrued rent payable, and income tax expense. The error had no effect on net loss for 2012.

P. Subsequent Events

The Company has performed an evaluation of subsequent events through October 2. 2014, which is the date the accompanying consolidated financial statements were available for issuance.

On September 3, 2014, Northstar Healthcare Inc. (“Northstar”) announced that it reached an agreement with FSPI to form a new entity to manage and operate FSH and FSSC. Under the agreement, Northstar and FSPI will form a new limited liability company to assume the operations of FSH and FSSC. The new entity will be owned 51% by Northstar and 49% by FSPI. Northstar will manage the operations of the hospital and surgical center under a management agreement. Northstar will contribute $7.5 million to the new entity which will be raised by an anticipated brokered private placement. Closing of the transaction is conditional on the successful completion of the private placement and other customary conditions.


 

 

OTHER FINANCIAL INFORMATION

 

 

 


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATING BALANCE SHEET

December 31, 2013

                First Street                    
          First Surgical     Surgical     First              
    First Street     Woodlands,     Center,     Surgical     Intercompany        
    Hospital, LP      LP**     LP     Partners, Inc.     Eliminations     Consolidated  
Assets                                    
Current assets:                            
   Cash and cash equivalents $  244,035   $  -   $  137,220   $  514,244   $  -   $  895,499  
   Accounts receivable, net   6,987,881     -     1,106,244     -     -     8,094,125  
   Inventory   707,359     -     286,914     -     -     994,273  
   Prepaids and other current assets   170,845     -     51,289     17,114     -     239,248  
   Current deferred income tax assets   -     -     -     111,967     -     111,967  
   Income tax receivable   (86,898 )   -     (19,611 )   874,385     -     767,876  
Total current assets   8,023,222     -     1,562,056     1,517,710     -     11,102,988  
                                     
Investment in subsidiaries   -     -     -     5,313,432     (5,313,432 )   -  
                                     
Property and equipment, net   8,739,992     -     987,350     -     -     9,727,342  
Noncurrent deferred income tax assets   -     -     -     2,415,893     -     2,415,893  
Other noncurrent assets   211,542     -     45,159     -     -     256,701  
                                   
Total assets   16,974,756     -     2,594,565     9,247,035     (5,313,432 )   23,502,924  
                                   
                                     
Liabilities and Stockholders' Equity (Deficit)                            
Current liabilities:                                
   Accounts payable $  4,015,974   $  -   $  818,264   $  173,340   $  -   $  5,007,578  
   Due to related parties   6,205,457     -     1,449,502     634,764     -     8,289,723  
   Accrued expenses and other current liabilities   760,243     -     170,735     -     -     930,978  
   Current portion of long-term debt   2,135,479     -     150,333     366,123     -     2,651,935  
   Current portion of capital lease obligations   485,206     -     23,010     -     -     508,216  
Total current liabilities   13,602,359     -     2,611,844     1,174,227     -     17,388,430  
                                     
Long-term liabilities:                                    
   Long-term debt, net of current amount   14,672,356     -     2,309,667     1,144,821     -     18,126,844  
   Lines of credit   1,265,741     -     282,543     -     -     1,548,284  
   Capital lease obligations, net of current amount   841,949     -     14,618     -     -     856,567  
Total liabilities   30,382,405     -     5,218,672     2,319,048     -     37,920,125  
                                     
Commitments and contingencies                                    
                                   
Stockholders' equity (deficit)   (13,407,649 )   -     (2,624,107 )   6,927,987     (5,313,432 )   (14,417,201 )
                                   
Total liabilities and stockholders' equity (deficit) $  16,974,756   $  -   $  2,594,565   $  9,247,035   $  (5,313,432 ) $  23,502,924  

** Effective October 1, 2013, First Surgical Woodlands, LP was no longer a consolidated entity, see Note N.


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATING BALANCE SHEET

December 31, 2012

                First Street                    
    First Street     First Surgical     Surgical Center,     First Surgical     Intercompany        
    Hospital, LP     Woodlands, LP     LP     Partners, Inc.     Eliminations     Consolidated  
Assets                                    
Current assets:                        
   Cash and cash equivalents $  15,558   $  14,057   $  1,192   $  10,536   $  -   $  41,343  
   Accounts receivable, net   6,031,677     1,197,078     603,122     -     25,869     7,857,746  
   Inventory   873,694     390,590     278,426     -     -     1,542,710  
   Prepaids and other current assets   205,378     22,639     71,283     14,578     -     313,878  
Total current assets   7,126,307     1,624,364     954,023     25,114     25,869     9,755,677  
                                     
Investment in subsidiaries   -     -     -     13,739,487     (13,739,487 )   -  
                                   
Property and equipment, net   9,520,930     1,869,817     1,141,753     -     -     12,532,500  
Noncurrent deferred income tax assets   -     -     -     2,079,655     -     2,079,655  
Other noncurrent assets   49,869     20,452     21,609     -     -     91,930  
                                   
Total assets   16,697,106     3,514,633     2,117,385     15,844,256     (13,713,618 )   24,459,762  
                                   
Liabilities and Stockholders' Equity (Deficit)                                    
Current liabilities:                        
   Accounts payable $  2,292,121   $  770,360   $  530,633   $  46,244   $  25,869   $  3,665,227  
   Due to related parties   4,095,114     130,689     1,044,763     -     -     5,270,566  
   Accrued expenses and other current liabilities   402,706     147,955     204,110     20,000     -     774,771  
   Lines of credit   1,490,000     183,903     710,000     -     -     2,383,903  
   Income taxes payable   255,193     73,148     41,522     (26,821 )   -     343,042  
   Deferred income taxes   -     -     -     487,691     -     487,691  
   Current portion of long-term debt   1,050,500     -     1,301,778     -     -     2,352,278  
   Current portion of capital lease obligations   223,915     -     -     34,644     -     258,559  
Total current liabilities   9,809,549     1,306,055     3,832,806     561,758     25,869     15,536,037  
                                     
Long-term liabilities:                                    
   Long-term debt, net of current amount   15,814,271     1,271,901     66,833     1,403,879     -     18,556,884  
   Capital lease obligations, net of current amount   -     -     -     437,165     -     437,165  
Total liabilities   25,623,820     2,577,956     3,899,639     2,402,802     25,869     34,530,086  
                                     
Commitments and contingencies                                    
                                     
Stockholders' equity (deficit)   (8,926,714 )   936,677     (1,782,254 )   13,441,454     (13,739,487 )   (10,070,324 )
                                   
Total liabilities and stockholders' equity (deficit) $  16,697,106   $  3,514,633   $  2,117,385   $  15,844,256   $  (13,713,618 ) $  24,459,762  


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

Year ended December 31, 2013

          First Surgical     First Street                        
    First Street     Woodlands,     Surgical     First Surgical     Discontinued     Intercompany        
    Hospital, LP     LP**     Center, LP     Partners, Inc.     Operations     Eliminations     Consolidated  
                                       
Net revenue $  27,894,448   $  4,618,404   $  4,432,381   $  -   $  (4,618,404 ) $  -   $  32,326,829  
                                       
Operating expenses:                              
     Salaries and benefits   2,477,834     -     451,575     -     -     -     2,929,409  
     Medical supplies   6,305,759     736,843     984,199     -     (736,843 )   -     7,289,958  
     Bariatric and gastro-esophageal 
          program sponsorship fees
  2,850,575     -     -     -     -     -     2,850,575  
     Legal and professional fees   311,972     74,791     1,350     667,718     (74,791 )   -     981,040  
     Depreciation   1,433,954     192,594     149,308     -     (192,594 )   -     1,583,262  
     Rent   1,553,010     610,527     344,233     -     (610,527 )   -     1,897,243  
     Management fees   904,912     201,507     -     -     (201,507 )   -     904,912  
     Staff leasing expense   6,957,756     1,810,665     1,820,276     -     (1,810,665 )   -     8,778,032  
     Other operating expenses   4,276,801     311,782     935,082     43,944     (311,782 )   -     5,255,827  
     Total operating expenses   27,072,573     3,938,709     4,686,023     711,662     (3,938,709 )   -     32,470,258  
                                         
Other income (expense):                                          
     Interest expense, net   (1,266,917 )   (116,116 )   (158,081 )   (86,560 )   116,116     -     (1,511,558 )
     Loss on sale or disposal of 
          property and equipment
  (445,253 )   -     -     -     -     -     (445,253 )
     Other expenses   -     -     (2,150 )   (109,787 )   -     -     (111,937 )
     Total other income (expense)   (1,712,170 )   (116,116 )   (160,231 )   (196,347 )   116,116     -     (2,068,748 )
                                       
Income (loss) from continuing operations before income taxes   (890,295 )   563,579     (413,873 )   (908,009 )   (563,579 )   -     (2,212,177 )
                                       
Income tax expense (benefit)   (81,398 )   54,861     (2,300 )   (448,661 )   (54,861 )   -     (532,359 )
                                       
Income (loss) from continuing operations   (808,897 )   508,718     (411,573 )   (459,348 )   (508,718 )   -     (1,679,818 )
                                       
Income from discontinued operations, net of tax   -     -     -     -     508,718     -     508,718  
                                       
Net income (loss) $  (808,897 ) $  508,718   $  (411,573 ) $  (459,348 ) $  -   $  -   $  (1,171,100 )

** Effective October 1, 2013, First Surgical Woodlands, LP was no longer a consolidated entity. The consolidating statement of operations includes activity for First Surgical Woodlands, LP for the period January 1, 2013 through October 1, 2013, see Note N.


FIRST SURGICAL PARTNERS, INC.

CONSOLIDATING STATEMENT OF OPERATIONS

Year ended December 31, 2013

          First Surgical     First Street                        
    First Street     Woodlands,     Surgical     First Surgical     Discontinued     Intercompany        
    Hospital, LP     LP     Center, LP     Partners, Inc.     Operations     Eliminations     Consolidated  
                                       
Net revenue $  28,011,082   $  6,635,174   $  4,836,642   $  -   $  (6,635,174 ) $  -   $  32,847,724  
                                       
Operating expenses:                              
     Salaries and benefits   6,368,454     1,323,632     1,890,242     -     (1,323,632 )   -     8,258,696  
     Medical supplies   6,615,448     1,188,970     1,214,089     -     (1,188,970 )   -     7,829,537  

     Bariatric and gastro-esophageal 
          program sponsorship fees

  2,795,323     -     -     -     -     -     2,795,323  
     Legal and professional fees   363,300     45,971     11,039     1,031,218     (45,971 )   -     1,405,557  
     Depreciation   1,590,629     197,171     152,018     -     (197,171 )   -     1,742,647  
     Rent   1,574,586     872,902     382,674     -     (872,902 )   -     1,957,260  
     Management fees   1,466,253     357,431     -     -     (357,431 )   -     1,466,253  
     Staff leasing expense   2,417,117     682,434     621,416     -     (682,434 )   -     3,038,533  
     Other operating expenses   3,759,367     563,343     1,198,285     195,497     (563,343 )   -     5,153,149  
     Total operating expenses   26,950,477     5,231,854     5,469,763     1,226,715     (5,231,854 )   -     33,646,955  
                                         
Other income (expense):                                          
     Interest expense, net   (1,113,461 )   (14,067 )   (153,691 )   (107,760 )   14,067     -     (1,374,912 )
     Loss on litigation settlement   (5,095,000 )   -     -     -     -     -     (5,095,000 )
     Gain (loss) on sale or disposal of 
          property and equipment
  81,030     -     -     -     -     -     81,030  
     Other expenses   (54 )   -     -     (380,624 )   -     -     (380,678 )
     Total other income (expense)   (6,127,485 )   (14,067 )   (153,691 )   (488,384 )   14,067     -     (6,769,560 )
                                       
Income (loss) from continuing operations before income taxes   (5,066,880 )   1,389,253     (786,812 )   (1,715,099 )   (1,389,253 )   -     (7,568,791 )
                                       
Income tax expense (benefit)   304,483     104,397     46,488     (2,007,412 )   (104,397 )   -     (1,656,441 )
                                       
Income (loss) from continuing operations   (5,371,363 )   1,284,856     (833,300 )   292,313     (1,284,856 )   -     (5,912,350 )
                                       
Income from discontinued operations, net of tax   -     -     -     -     1,284,856     -     1,284,856  
                                       
Net income (loss) $  (5,371,363 ) $  1,284,856   $  (833,300 ) $  292,313   $  -   $  -   $  (4,627,494 )


 

 

FIRST SURGICAL PARTNERS, INC.

INTERIM CONSOLIDATED FINANCIAL STATEMENTS

June 30, 2014

Unaudited

 

 

 


33

FIRST SURGICAL PARTNERS, INC.
INTERIM CONSOLIDATED BALANCE SHEETS (UNAUDITED)
AS OF JUNE 30, 2014 AND DECEMBER 31, 2013

    June 30, 2014     December 31, 2013  
             
Assets            
Current assets:            
     Cash and cash equivalents $  662,269   $  895,499  
     Accounts receivable, net   6,002,328     8,094,125  
     Note receivable, related parties   190,951     -  
     Inventory   835,756     994,273  
     Prepaids and other current assets   168,151     239,248  
     Current deferred income tax assets   -     111,967  
     Income tax receivable   -     767,876  
Total current assets   7,859,455     11,102,988  
             
Property and equipment, net   8,970,494     9,727,342  
Noncurrent deferred income tax assets   2,527,860     2,415,893  
Other noncurrent assets   224,142     256,701  
             
Total assets $  19,581,951   $  23,502,924  
             
Liabilities and Stockholders' Deficit            
Current liabilities:            
     Accounts payable $  12,288,061   $  5,007,578  
     Due to related parties   19,764     8,289,723  
     Accrued expenses and other current liabilities   925,344     930,978  
     Income taxes payable   215,740     -  
     Current portion of long-term debt   366,123     2,651,935  
     Current portion of capital lease obligations   750,722     508,216  
Total current liabilities   14,565,754     17,388,430  
             
Long-term liabilities:            
     Long-term debt, net of current amount   19,542,167     18,126,844  
     Lines of credit   2,988,284     1,548,284  
     Capital lease obligations, net of current amount   -     856,567  
Total long-term liabilities   22,530,451     20,531,695  
Total liabilities   37,096,205     37,920,125  
             
Stockholders' deficit:            
     Common stock, $0.0001 par value, 200,000,000 shares authorized, 
          36,512,132 and 40,973,393 shares issued and outstanding in 2013 
          and 2012, respectively
  3,626     3,651  
     Treasury stock, 4,461,261 shares in 2013   (4,827,601 )   (4,570,722 )
     Additional paid-in capital   7,412,095     7,412,095  
     Accumulated deficit   (20,102,376 )   (17,262,225 )
Total stockholders' deficit   (17,514,256 )   (14,417,201 )
             
Total liabilities and stockholders' deficit $  19,581,949   $  23,502,924  


34

FIRST SURGICAL PARTNERS, INC.
INTERIM CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2014 AND 2013

    For the three months ended June 30,     For the six months ended June 30,  
    2014     2013     2014     2013  
                         
Net revenue $  8,747,842   $  9,029,272   $  12,594,889   $  17,836,184  
                         
Operating expenses:                        
     Salaries and benefits   631,054     738,211     1,271,384     1,476,695  
     Medical supplies   2,104,562     1,493,256     3,905,793     3,021,443  
     Bariatric and gastro-esophageal program
           sponsorship fees
  675,000     718,575     1,425,000     1,350,575  
     Legal and professional fees   118,187     72,430     246,621     359,889  
     Depreciation   379,299     394,553     756,847     786,860  
     Rent   497,499     433,666     988,133     863,545  
     Management fees   -     310,296     -     741,863  
     Staff leasing expense   2,215,860     2,130,743     4,328,357     4,278,690  
     Other operating expenses   1,167,322     1,651,160     2,577,063     3,379,392  
     Total operating expenses   7,788,783     7,942,890     15,499,198     16,258,952  
                         
Other expense (income):                        
     Interest expense, net   258,264     369,811     541,467     746,370  
     Loss on sale or disposal of property and 
           equipment
  -     495,326     -     554,053  
     Other income   -     (1 )   (666,225 )   (165 )
     Total other expense (income)   258,264     865,136     (124,758 )   1,300,258  
                         
Loss from continuing operations before income taxes   700,795     221,246     (2,779,551 )   276,974  
                         
Income tax expense   26,627     307,881     53,254     698,559  
                         
Net loss $  674,168   $  (86,635 ) $  (2,832,805 ) $  (421,585 )


35

FIRST SURGICAL PARTNERS, INC.
INTERIM CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
FOR THE THREE AND SIX MONTHS ENDED JUNE 30, 2014 AND 2013

    For the three months ended June 30,     For the six months ended June 30,  
    2014     2013     2014     2013  
                         
                         
                         
Operating Activities                        
Net loss $  674,168   $  (86,635 ) $  (2,832,805 ) $  (421,585 )
Adjustments to reconcile net loss to net cash provided by (used in) operating                        
     Depreciation   379,299     394,553     756,847     786,860  
     Deferred income taxes   -     (66,073 )   -     (3,380 )
     (Gain) on the sale or disposal of property and
          equipment
  -     443,948     -     443,948  
Changes in operating assets and liabilities:                        
     Accounts receivable   (792,250 )   (1,807,111 )   2,091,797     (1,913,610 )
     Inventory   89,973     (219,833 )   158,517     (198,886 )
     Prepaids and other current assets   (19,416 )   (8,826 )   71,098     138,722  
     Other noncurrent assets   11,365     250,373     32,559     536,326  
     Accounts payable   185,718     641,251     (1,187,768 )   548,358  
     Accrued expenses and other current liabilities   (47,788 )   268,582     (5,637 )   422,147  
     Other long term liabilities   -     -     -     -  
     Income tax receivable/payable   22,778     281,484     983,616     281,484  
Net cash provided by operating activities   503,847     91,713     68,224     620,384  
                         
Investing Activities                        
     Proceeds from the sale of property and equipment   -     10,311     -     10,311  
     Purchases of property and equipment   -     (35,938 )   -     (141,155 )
Net cash used for investing activities   -     (25,627 )   -     (130,844 )
                         
Financing Activities                        
     Proceeds from lines of credit   30,000     (49,182 )   1,440,000     1,732,982  
     Repayment of long-term debt   (687,939 )   (389,015 )   (870,489 )   (2,364,505 )
     Repayment of capital lease obligations   31,917     (55,877 )   (614,061 )   (130,634 )
     Purchase of treasury stock   (62,334 )   -     (256,904 )   -  
Net cash used for financing activities   (688,356 )   (494,074 )   (301,454 )   (762,157 )
                         
Net decrease in cash and cash equivalents   (184,509 )   (427,988 )   (233,230 )   (272,617 )
Cash and cash equivalents at beginning of year   846,778     182,657     895,499     27,286  
                         
Cash and cash equivalents at end of year $  662,269   $  (245,331 ) $  662,269   $  (245,331 )
                         
Non-cash investing and financing activities                        
     Assets acquired through capital lease obligations $  -   $  173,730   $  -   $  966,138  
                         
Supplemental Disclosure of Cash Flow Information                        
     Cash paid for the year for interest $  (258,264 ) $  369,811   $  541,467   $  746,370  
     Cash paid for the year for income taxes $  -   $  -   $  -   $  -  


36

NOTES TO THE INTERIM CONSOLIDATED FINANCIAL STATEMENTS

NOTE 1 — NATURE OF OPERATIONS AND SIGNIFICANT ACCOUNTING POLICIES

First Surgical Partners, Inc. (“FSPI”), including its subsidiaries, was owner and operator of an ambulatory surgery center, First Street Surgical Center, LP (“FSSC”) and a general acute care hospital, First Street Hospital, LP (“FSH”), each located in the greater Houston, Texas metro area.

Effective September 2, 2014, FSPI contributed certain assets and liabilities of FSSC and FSH to First Nobilis, LLC, a Texas limited liability company (“First Nobilis”) in exchange for a 49% ownership interest in First Nobilis. Following this transaction, First Nobilis’ ownership is apportioned 51% - 49% between the Nobilis Health Corp. and First Surgical respectively. Nobilis Health Corp. is an non-affiliated third party which owns and manages healthcare facilities.

Effective October 1, 2013, the Company completed a tax free reorganization where a stockholder of its parent, First Surgical Partners Holdings, Inc. (“FSPH”), exchanged his common shares in FSPH for all of the partnership units in the First Surgical Woodlands, LP, (“FSW”) that were owned by FSPI. These carve-out financial statements exclude FSW’s financial information for dates before the tax free reorganization. The operations of FSW were previously presented as discontinued operations.

The unaudited consolidated financial statements of FSPI included herein have been prepared without audit. Certain information and disclosures normally included in the financial statements prepared in accordance with generally accepted accounting principles in the United States of America have been condensed or omitted, although the Company believes that the disclosures made are adequate to make the information presented not misleading. These unaudited financial statements reflect all adjustments that, in the opinion of management, are necessary to present fairly the results of operations for the interim periods presented. All adjustments are of a normal nature. The results of operations for the three and six month periods are not necessarily indicative of the results that may be expected for the full year. These unaudited financial statements should be read in conjunction with FSPI’s consolidated financial statements as of and for the year ended December 31, 2013.

NOTE 2 — SUBSEQUENT EVENTS

Management has evaluated subsequent events through March 27, 2015, the date which the financial statements were issued. Except for the transaction with First Nobilis discussed in Note 1, there were no other subsequent events requiring adjustment or disclosure in these financial statements.


37

Nobilis Health Corp.
Unaudited Pro Forma Interim Consolidated Balance Sheet
Six Months Ended June 30, 2014
(In thousands)

    Nobilis     First Surgical     Pro Forma       Pro Forma  
    Health Corp.     Partners, Inc.     Adjustments       Consolidated  
                           
ASSETS                          
                           
CURRENT ASSETS:                          
Cash $  4,188   $  662   $  (662 ) (b) $  4,188  
                           
Trade accounts receivable, net   9,745     6,002     507   (a)   16,254  
Medical supplies   888     836     (238 ) (a)   1,486  
Note receivable   -     191     (191 ) (b)   -  
Prepaid expenses and other current assets   830     168     (168 ) (b)   830  
       Total current assets   15,651     7,859     (752 )     22,758  
                           
PROPERTY AND EQUIPMENT — Net   7,564     8,970     (8,970 ) (b)   7,564  
INTANGIBLE ASSETS   1,097     -     4,910   (a)   6,007  
GOODWILL   1,953     -     1,249   (a)   3,202  
NONCURRENT DEFERRED INCOME TAX ASSETS   -     2,528     (2,528 ) (b)   -  
NOTE RECEIVABLE   150     -     -       150  
INVESTMENT IN ASSOCIATE   150     -     -       150  
OTHER LONG -TERM ASSETS   237     225     (225 ) (b)   237  
TOTAL ASSETS $  26,802   $  19,582   $  (6,316 )   $  40,068  
                           
LIABILITIES AND EQUITY                          
                           
CURRENT LIABILITIES:                          
Trade accounts payable $  2,894   $  12,288   $  (6,228 ) (a) $  8,954  
Accrued liabilities   1,930     925     (925 ) (b)   1,930  
Income taxes payable   -     216     (216 ) (b)   -  
Current portion of long-term debt   1,693     366     (366 ) (b)   1,693  
Short-term portion of capital leases   51     751     -       802  
Other current liabilities   5     20     (20 ) (b)   5  
       Total current liabilities   6,573     14,566     (7,755 )     13,384  
                           
LONG-TERM PORTION OF CAPITAL LEASES   137     -     -       137  
LINES OF CREDIT   -     2,988     (2,988 ) (b)   -  
LONG-TERM DEBT, NET OF CURRENT PORTION   1,525     19,542     (20,293 ) (b)   774  
       Total liabilities   8,235     37,096     (31,036 )     14,295  
                           
SHAREHOLDERS’ EQUITY:                          
Common stock   -     4     (4 ) (c)   -  
Treasury stock   -     (4,828 )   4,828   (c)   -  
Additional paid in capital   151,854     7,412     (7,412 ) (c)   151,854  
Accumulated deficit   (140,321 )   (20,102 )   20,102   (c)   (140,321 )
Accumulated other comprehensive income   51     -     -       51  
       Total shareholders’ equity   11,584     (17,514 )   17,514       11,584  
NON-CONTROLLING INTERESTS   6,983     -     7,206   (d)   14,189  
       Total equity   18,567     (17,514 )   24,720       25,773  
TOTAL LIABILITIES AND EQUITY $  26,802   $  19,582   $  (6,316 )   $  40,068  


38

Nobilis Health Corp.
Unaudited Pro Forma Annual Consolidated Statement of Operations
Six Months Ended June 30, 2013
(In thousands)

    Nobilis     First Surgical     Pro Forma       Pro Forma  
    Health Corp.     Partners, Inc.     Adjustments       Consolidated  
                           
NET REVENUE $  9,983   $  17,836           $ 27,819  
                           
GENERAL AND ADMINISTRATIVE EXPENSES   9,369     16,259     (1,529 ) (e)   25,332  
                93   (f)      
                1,140   (g)      
                           
INCOME FROM OPERATIONS   614     1,577     296       2,487  
                           
OTHER EXPENSE (INCOME):                          
Interest expense   44     746     (746 ) (e)   44  
Other expense (income), net   (12 )   554     -       542  
   Total other expense (income)   32     1,300     (746 )     586  
                           
NET INCOME BEFORE INCOME TAXES AND NONCONTROLLING INTERESTS   582     277     1,042       1,901  
                           
INCOME TAX   51     699     (699 ) (e)   51  
NET INCOME (LOSS) BEFORE NONCONTROLLING INTERESTS   531     (422 )   1,741       1,850  
                           
NET INCOME ATTRIBUTABLE TO NONCONTROLLING INTERESTS   1,798     -     816   (h)   2,614  
                           
NET (LOSS) ATTRIBUTABLE TO NOBILIS HEALTH CORP $  (1,267 ) $  (422 ) $  925     $ (764 )
NET (LOSS) PER BASIC COMMON SHARE $  (0.03 )               $ (0.02 )
NET (LOSS) PER FULLY DILUTED COMMON SHARE $  (0.03 )               $ (0.02 )
WEIGHTED AVERAGE SHARES OUTSTANDING (BASIC)   36,265,705                   36,265,705  
WEIGHTED AVERAGE SHARES OUTSTANDING (FULLY DILUTED)   36,265,705                   36,265,705  


39

Nobilis Health Corp.
Unaudited Pro Forma Annual Consolidated Statement of Operations
Year Ended December 31, 2013
(In thousands)

    Nobilis     First Surgical     Pro Forma       Pro Forma  
    Health Corp.     Partners, Inc.     Adjustments       Consolidated  
                           
NET REVENUE $  31,128   $  32,327           $ 63,455  
                           
GENERAL AND ADMINISTRATIVE EXPENSES   26,452     32,470     (2,488 ) (e)   58,899  
                185   (f)      
                2,280   (g)      
                           
INCOME FROM OPERATIONS   4,676     (143 )   23       4,556  
                           
OTHER (INCOME) EXPENSE:                          
Gain on bargain purchase   (2,392 )   -     -       (2,392 )
Interest expense (income)   97     1,512     (1,512 ) (e)   97  
Other expense, net   120     557     -       677  
   Total other (income) expense   (2,175 )   2,069     (1,512 )     (1,618 )
                           
NET INCOME (LOSS) BEFORE INCOME TAXES                          
 AND NONCONTROLLING INTERESTS   6,851     (2,212 )   1,535       6,174  
                           
INCOME TAX EXPENSE (BENEFIT)   177     (532 )   532   (e)   177  
NET INCOME (LOSS) BEFORE NONCONTROLLING INTERESTS   6,674     (1,680 )   1,003       5,997  
                           
NET INCOME ATTRIBUTABLE TO NONCONTROLLING INTERESTS   5,476     -     30   (h)   5,506  
                           
NET INCOME (LOSS) FROM CONTINUING OPERATIONS   1,198     (1,680 )   973       491  
                           
NET INCOME FROM DISCONTINUED OPERATIONS   -     509     (509 ) (e)   -  
                           
NET INCOME (LOSS) ATTRIBUTABLE TO NOBILIS HEALTH CORP $  1,198   $  (1,171 ) $  464     $ 491  
NET INCOME PER BASIC COMMON SHARE $  0.03                 $ 0.01  
NET INCOME PER FULLY DILUTED COMMON SHARE $  0.03                 $ 0.01  
WEIGHTED AVERAGE SHARES OUTSTANDING (BASIC)   36,793,950                   36,793,950  
WEIGHTED AVERAGE SHARES OUTSTANDING (FULLY DILUTED)   37,637,662                   37,637,662  


40

Nobilis Health Corp.
Unaudited Pro Forma Interim Consolidated Statement of Operations
Six Months Ended June 30, 2014
(In thousands)

      Nobilis     First Surgical     Pro Forma       Pro Forma  
    Health Corp.     Partners, Inc.     Adjustments       Consolidated  
                           
NET REVENUE $  27,235   $  12,595           $ 39,830  
                           
GENERAL AND ADMINISTRATIVE EXPENSES   23,355     15,499     (757 ) (e)   39,330  
                93   (f)      
                1,140   (g)      
                           
INCOME (LOSS) FROM OPERATIONS   3,880     (2,904 )   (476 )     500  
                           
OTHER EXPENSE (INCOME):                          
Interest expense   71     541     (541 ) (e)   71  
Other expense (income), net   (24 )   (666 )   -       (690 )
   Total other expense (income)   47     (125 )   (541 )     (619 )
                           
NET INCOME (LOSS) BEFORE INCOME TAXES AND NONCONTROLLING INTERESTS   3,833     (2,779 )   65       1,119  
                           
INCOME TAX   238     53     (53 ) (e)   238  
NET INCOME (LOSS) BEFORE NONCONTROLLING INTERESTS   3,595     (2,832 )   118       881  
                           
NET INCOME ATTRIBUTABLE TO NONCONTROLLING INTERESTS   3,864     -     (1,047 ) (h)   2,817  
                           
NET LOSS ATTRIBUTABLE TO NOBILIS HEALTH CORP $  (269 ) $  (2,832 ) $  1,165     $ (1,936 )
NET LOSS PER BASIC COMMON SHARE $  (0.01 )               $ (0.04 )
NET LOSS PER FULLY DILUTED COMMON SHARE $  (0.01 )               $ (0.04 )
WEIGHTED AVERAGE SHARES OUTSTANDING (BASIC)   43,301,603                   43,301,603  
WEIGHTED AVERAGE SHARES OUTSTANDING (FULLY DILUTED)   43,301,603                   43,301,603  


41

Notes to the Unaudited Pro Forma Consolidated Financial Statements

The unaudited pro forma consolidated balance sheet and statement of operations give effect to the following transactions, assumptions and adjustments as if they had occurred on January 1, 2013.

The fair value of the intangible assets were determined by independent third party valuation experts. The carrying amounts of all other net assets contributed to First Nobilis approximate their fair values due to their short term nature.

The fair values of assets acquired and liabilities assumed relating to the acquisition is as follows:

    September 1, 2014  
Assets:      
         Accounts receivable $  6,509  
         Inventory   598  
Intangibles:      
         Trade name   1,200  
         Physician relationships   4,000  
         Goodwill   1,249  
Total Assets Acquired: $  13,556  
       
Liabilities and Equity:      
         Accounts payable $  6,060  
         Unfavorable lease   290  
Total Liabilities and Equity $  6,350  

Pro Forma Adjustments to the Unaudited Consolidated Balance Sheet:

  a)

Adjustments represent the allocation of the purchase price consideration reflecting the estimated fair value of the net assets acquired on September 1, 2014.

  b)

Adjustments represent the carve-out of assets and liabilities which are not specifically identifiable to the acquired business.

  c)

Equity balances of acquiree are eliminated.

  d)

Value of the 49% ownership interest given in consideration for acquiring the net assets.

Pro Forma Adjustments to the Unaudited Consolidated Statement of Operations:

  e)

Adjustments represent the carve-out of costs not directly associated in the revenue producing activity of the business acquired. The following table summarizes the excluded costs (in thousands):


      June 30,     December 31,     June 30,  
      2013     2013     2014  
                     
  Management service fees (1)   742     905     -  
  Depreciation (2)   787     1,583     757  
  Interest (3)   746     1,512     541  
  Tax expense (benefit) (4)   699     (532 )   53  
  Losses from Discontinued Operations (5)   -     509     -  

Notes:

  (1)

Management service fees are solely related to fees paid by First Surgical in exchange for various management services pertaining to hospital and surgery center operations. In conjunction with the acquisition, the Company entered into a Management Services Agreement (“MSA”) with First Nobilis to provide these same management services for the new entity. Monthly MSA fees are determined based on a fixed percentage of cash collections. The management fee expenses and revenues are eliminated through consolidation with a remaining impact to non-controlling interest for the 49% of entity which is attributable to First Surgical. The pre-existing management service fees have been adjusted out of the pro forma and replaced with the monthly MSA fees. Incremental modifications have been made to the non-controlling interest balance of $170,000, $362,000 and $283,000 for the periods ending June 30, 2013, December 31, 2013 and June 30, 2014, respectively which were included as part of the non-controlling interest adjustment performed in note (h), as seen below.



42

  (2)

Title to all medical equipment was retained by First Surgical and was not included as part of the purchase price allocation. As depreciation expense remains the burden of First Surgical, this expense has been adjusted out of the pro forma. In conjunction with the acquisition, the Company entered into an operating lease agreement with First Surgical to lease the medical equipment for a monthly fee of $190,000, as illustrated in adjustment (g) seen below.

  (3)

Interest expense is solely related to outstanding debt balances held by First Surgical. Responsibility and liability for such debt was retained by First Surgical and no debt balances were included as part of the purchase price allocation. As interest remains the burden of First Surgical, this expense has been adjusted out of the pro forma. No additional debt was incurred specifically for the operation of First Nobilis.

  (4)

The Company did not acquire First Surgical’s legal entity, but only acquired certain assets and liabilities. As such, all federal tax burdens remain with First Surgical. The assets and liabilities acquired are now part of the Company’s newly formed entity, First Nobilis, a Texas limited liability company. First Nobilis is taxed as a partnership for federal income tax purposes whereby all income and losses are to be included in the tax returns of the individual partners. As a partner with a 51% ownership interest, the Company has the ability to offset any tax implications with pre-existing net operating losses.

  (5)

Income from discontinued operations resulted from a discontinued entity which First Surgical had previously owned and operated prior to the acquisition with Nobilis. As no assets and liabilities of this discontinued entity were part of the purchase price allocation, all income related to the discontinued entity has been adjusted out of the pro forma.


  f)

To record amortization expense associated with the intangible assets acquired through the purchase. This expense has been separately calculated and adjusted for each of the periods ending June 30, 2013, December 31, 2013 and June 30, 2014.

  g)

To reflect the monthly lease of $190,000 which the Company pays First Surgical to utilize their medical equipment, as previously mentioned in adjustment (e) as seen above. This expense has been separately calculated and adjusted for each of the periods ending June 30, 2013, December 31, 2013 and June 30, 2014.

  h)

To reflect non-controlling interest of the 49% minority ownership which belongs to First Surgical. This balance has been separately calculated and adjusted for each of the periods ending June 30, 2013, December 31, 2013 and June 30, 2014.



43

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 hereunto duly authorized.

NOBILIS HEALTH CORP.

 

/s/ Harry Fleming  
Harry Fleming  
President and Director  
   
Date: March 30, 2015