UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549


FORM 10-Q


(Mark one)

x

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

 

 

For the quarterly period ended June 30, 2007

 

Or

 

 

 

o

 

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

 

 

 

For the transition period from                                  to                                

 

Commission file numbers:

001-32701

333-127115


EMERGENCY MEDICAL SERVICES CORPORATION

EMERGENCY MEDICAL SERVICES L.P.

(Exact name of Registrants as Specified in their Charters)

 

20-3738384

Delaware

 

20-2076535

(State or other jurisdiction of

 

(IRS Employer

incorporation or organization)

 

Identification Numbers)

 

 

 

6200 S. Syracuse Way, Suite 200

 

 

Greenwood Village, CO

 

80111

(Address of principal executive offices)

 

(Zip Code)

 

Registrants’ telephone number, including area code: 303-495-1200

Former name, former address and former fiscal year, if changed since last report:

Not applicable


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

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):

Large accelerated filer  o                                      Accelerated filer  x                                                         Non-accelerated filer  o

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange act).  Yes  o  No  x

Shares of class A common stock outstanding at August 3, 2007 – 9,288,848; shares of class B common stock outstanding at August 3, 2007 – 142,545; LP exchangeable units outstanding at August 3, 2007 – 32,107,500.

 




EMERGENCY MEDICAL SERVICES CORPORATION

INDEX TO QUARTERLY REPORT

ON FORM 10-Q

FOR THE THREE AND SIX MONTHS ENDED

JUNE 30, 2007

Part 1. Financial Information

 

 

 

 

 

 

 

Item 1.

 

Financial Statements (Unaudited):

 

 

 

 

 

 

 

 

 

Consolidated Statements of Operations and Comprehensive Income

 

 

 

 

 

 

 

 

 

Consolidated Balance Sheets

 

 

 

 

 

 

 

 

 

Consolidated Statements of Cash Flows

 

 

 

 

 

 

 

 

 

Notes to Consolidated Financial Statements

 

 

 

 

 

 

 

Item 2.

 

Management’s Discussion and Analysis of Financial Condition and Results of Operations

 

 

 

 

 

 

 

Item 3.

 

Quantitative and Qualitative Disclosures About Market Risk

 

 

 

 

 

 

 

Item 4.

 

Controls and Procedures

 

 

 

 

 

 

 

Part II. Other Information

 

 

 

 

 

 

 

Item 1.

 

Legal Proceedings

 

 

 

 

 

 

 

Item 1A.

 

Risk Factors

 

 

 

 

 

 

 

Item 2.

 

Unregistered Sales of Equity Securities and Use of Proceeds

 

 

 

 

 

 

 

Item 4.

 

Submission of Matters To A Vote of Security Holders

 

 

 

 

 

 

 

Item 6.

 

Exhibits

 

 

 

 

 

 

 

Signatures

 

 

 

 

 

2




EMERGENCY MEDICAL SERVICES CORPORATION

PART I. FINANCIAL INFORMATION

FOR THE THREE AND SIX MONTHS ENDED

JUNE 30, 2007

ITEM 1. FINANCIAL STATEMENTS (UNAUDITED)

Emergency Medical Services Corporation

Consolidated Statements of Operations and Comprehensive Income

(unaudited; in thousands, except share and per share data)

 

 

Three months ended June 30,

 

Six months ended June 30,

 

 

 

2007

 

2006

 

2007

 

2006

 

Net revenue

 

$

516,712

 

$

478,451

 

$

1,040,031

 

$

947,575

 

Compensation and benefits

 

357,309

 

330,927

 

712,241

 

656,974

 

Operating expenses

 

76,262

 

69,203

 

156,258

 

135,657

 

Insurance expense

 

17,476

 

20,566

 

37,777

 

44,796

 

Selling, general and administrative expenses

 

14,901

 

13,170

 

28,206

 

28,009

 

Depreciation and amortization expense

 

17,577

 

16,360

 

34,356

 

32,204

 

Restructuring charges

 

 

919

 

2,242

 

919

 

Income from operations

 

33,187

 

27,306

 

68,951

 

49,016

 

Interest income from restricted assets

 

1,660

 

1,362

 

3,375

 

2,685

 

Interest expense

 

(11,395

)

(11,445

)

(22,629

)

(22,737

)

Realized gain (loss) on investments

 

22

 

(306

)

59

 

(525

)

Interest and other income

 

532

 

780

 

1,189

 

1,132

 

Loss on early debt extinguishment

 

 

(193

)

 

(193

)

Income before income taxes and equity in earnings of unconsolidated subsidiary

 

24,006

 

17,504

 

50,945

 

29,378

 

Income tax expense

 

(9,012

)

(6,788

)

(19,474

)

(11,416

)

Income before equity in earnings of unconsolidated subsidiary

 

14,994

 

10,716

 

31,471

 

17,962

 

Equity in earnings of unconsolidated subsidiary

 

101

 

2

 

255

 

17

 

Net income

 

15,095

 

10,718

 

31,726

 

17,979

 

Other comprehensive income (loss), net of tax:

 

 

 

 

 

 

 

 

 

Unrealized holding gains (losses) during the period

 

(723

)

111

 

(425

)

(459

)

Comprehensive income

 

$

14,372

 

$

10,829

 

$

31,301

 

$

17,520

 

 

 

 

 

 

 

 

 

 

 

Basic earnings per common share

 

$

0.36

 

$

0.26

 

$

0.76

 

$

0.43

 

Diluted earnings per common share

 

$

0.35

 

$

0.25

 

$

0.74

 

$

0.42

 

Weighted average common shares outstanding, basic

 

41,544,901

 

41,497,245

 

41,533,093

 

41,497,238

 

Weighted average common shares outstanding, diluted

 

43,211,661

 

42,356,192

 

43,120,416

 

42,377,804

 

 

The accompanying notes are an integral part of these financial statements.

3




Emergency Medical Services Corporation

Consolidated Balance Sheets

(in thousands, except share and per share data)

 

 

June 30,
2007

 

December 31,
2006

 

 

 

(Unaudited)

 

 

 

Assets

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

29,484

 

$

39,336

 

Insurance collateral

 

52,974

 

29,724

 

Trade and other accounts receivable, net

 

481,123

 

416,450

 

Parts and supplies inventory

 

18,403

 

18,089

 

Prepaids and other current assets

 

19,987

 

16,417

 

Current deferred tax assets

 

46,305

 

12,473

 

Total current assets

 

648,276

 

532,489

 

Non-current assets:

 

 

 

 

 

Property, plant and equipment, net

 

150,420

 

147,162

 

Intangible assets, net

 

63,265

 

66,789

 

Non-current deferred tax assets

 

98,006

 

103,370

 

Insurance collateral

 

142,772

 

163,300

 

Goodwill

 

273,763

 

272,328

 

Other long-term assets

 

28,884

 

32,779

 

Total assets

 

$

1,405,386

 

$

1,318,217

 

Liabilities and Equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable

 

$

69,513

 

$

65,172

 

Accrued liabilities

 

226,032

 

231,631

 

Current portion of long-term debt

 

4,641

 

4,159

 

Total current liabilities

 

300,186

 

300,962

 

Long-term debt

 

480,481

 

475,616

 

Insurance reserves and other long-term liabilities

 

205,890

 

155,599

 

Total liabilities

 

986,557

 

932,177

 

Equity:

 

 

 

 

 

Preferred stock ($0.01 par value; 20,000,000 shares authorized, 0 issued and outstanding)

 

 

 

Class A common stock ($0.01 par value; 100,000,000 shares authorized, 9,288,848 and 9,262,853 issued and outstanding in 2007 and 2006, respectively)

 

93

 

93

 

Class B common stock ($0.01 par value; 40,000,000 shares authorized, 142,545 issued and outstanding in 2007 and 2006)

 

1

 

1

 

Class B special voting stock ($0.01 par value; 1 share authorized, issued and outstanding in 2007 and 2006)

 

 

 

LP exchangeable units (32,107,500 shares issued and outstanding in 2007 and 2006)

 

212,361

 

212,361

 

Additional paid-in capital

 

115,959

 

114,471

 

Retained earnings

 

90,864

 

59,138

 

Accumulated other comprehensive loss

 

(449

)

(24

)

Total equity

 

418,829

 

386,040

 

Total liabilities and equity

 

$

1,405,386

 

$

1,318,217

 

 

The accompanying notes are an integral part of these financial statements.

4




Emergency Medical Services Corporation

Consolidated Statements of Cash Flows

(unaudited; in thousands)

 

 

Six months ended June 30,

 

 

 

2007

 

2006

 

Cash Flows from Operating Activities

 

 

 

 

 

Net income

 

$

31,726

 

$

17,979

 

Adjustments to reconcile net income to net cash provided by operating activities:

 

 

 

 

 

Depreciation and amortization

 

35,376

 

33,270

 

Gain on disposal of property, plant and equipment

 

(181

)

(717

)

Equity-based compensation expense

 

800

 

629

 

Equity in earnings of unconsolidated subsidiary

 

(255

)

(17

)

Loss on early debt extinguishment

 

 

193

 

Dividends received

 

416

 

 

Deferred income taxes

 

19,050

 

11,033

 

Changes in operating assets/liabilities, net of acquisitions:

 

 

 

 

 

Trade and other accounts receivable

 

(63,934

)

31,881

 

Parts and supplies inventory

 

(314

)

(164

)

Prepaids and other current assets

 

(3,570

)

(6,077

)

Accounts payable and accrued liabilities

 

162

 

15,418

 

Insurance accruals

 

4

 

8,987

 

Net cash provided by operating activities

 

19,280

 

112,415

 

Cash Flows from Investing Activities

 

 

 

 

 

Purchases of property, plant and equipment

 

(22,743

)

(28,555

)

Proceeds from sale of property, plant and equipment

 

291

 

259

 

Acquisition of businesses, net of cash received

 

(477

)

(840

)

Insurance collateral

 

(3,033

)

(12,515

)

Other investing activities

 

2,715

 

(194

)

Net cash used in investing activities

 

(23,247

)

(41,845

)

Cash Flows from Financing Activities

 

 

 

 

 

EMSC issuance of class A common stock

 

249

 

 

EMSC equity issuance costs

 

 

(912

)

Repayments of capital lease obligations and other debt

 

(3,391

)

(13,923

)

Increase in bank overdrafts

 

(2,743

)

(4,123

)

Net cash used in financing activities

 

(5,885

)

(18,958

)

Change in cash and cash equivalents

 

(9,852

)

51,612

 

Cash and cash equivalents, beginning of period

 

39,336

 

18,048

 

Cash and cash equivalents, end of period

 

$

29,484

 

$

69,660

 

 

 

 

 

 

 

Non-cash Activities

 

 

 

 

 

Re-financing of equipment under existing capital lease

 

$

8,038

 

$

 

 

The accompanying notes are an integral part of these financial statements.

5




Emergency Medical Services Corporation

Notes to Unaudited Consolidated Financial Statements

(in thousands, except share and per share data)

1.             General

Basis of Presentation of Financial Statements

The accompanying interim consolidated financial statements for Emergency Medical Services Corporation (“EMSC” or the “Company”) have been prepared in accordance with U. S. generally accepted accounting principles (“GAAP”) for interim reporting, and accordingly, do not include all of the disclosures required for annual financial statements. In the opinion of management, all adjustments considered necessary for fair presentation have been included. All such adjustments are of a normal, recurring nature. Operating results for the three and six month periods ended June 30, 2007 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2007. For further information, see the Company’s consolidated financial statements, including the accounting policies and notes thereto, included in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2006.

The consolidated financial statements of EMSC include those of its direct subsidiary, Emergency Medical Services L.P. (“EMS LP”), a Delaware limited partnership. EMS LP acquired American Medical Response, Inc. and its subsidiaries (“AMR”) and EmCare Holdings Inc. and its subsidiaries (“EmCare”) from Laidlaw International, Inc. (“Laidlaw”) on February 10, 2005, with an effective transaction date after the close of business January 31, 2005. On December 21, 2005, the Company effected a reorganization and issued class A common stock in an initial public offering.

The Company is party to a management agreement with a wholly-owned subsidiary of Onex Corporation, the Company’s principal equityholder. In exchange for an annual management fee of $1.0 million, the Onex subsidiary provides the Company with corporate finance and strategic planning consulting services. For each of the three and six months ended June 30, 2007 and 2006, the Company expensed $250 and $500, respectively, in respect of this fee.

Starting in the periods ended June 30, 2007, the Company reclassified income earned on insurance related assets as Interest Income from Restricted Assets in the accompanying consolidated statements of operations and comprehensive income; such income was previously reported as a component of insurance expense.

2.             Summary of Significant Accounting Policies

Consolidation

The consolidated financial statements include all wholly-owned subsidiaries of EMSC, including AMR and EmCare and their respective subsidiaries. All significant intercompany transactions and balances have been eliminated.

Use of Estimates

The preparation of financial statements requires management to make estimates and assumptions relating to the reporting of results of operations, financial condition and related disclosure of contingent assets and liabilities at the date of the financial statements. Actual results may differ from those estimates under different assumptions or conditions.

Insurance

Insurance collateral is comprised principally of government and investment grade securities and cash deposits with third parties and supports the Company’s insurance program and reserves. Certain of these investments, if sold or otherwise liquidated, would have to be replaced by other suitable financial assurances and are, therefore, considered restricted.

Insurance reserves are established for automobile, workers compensation, general liability and professional liability claims utilizing policies with both fully-insured and self-insured components. This includes the use of an

6




off-shore captive insurance program through a wholly-owned subsidiary for certain professional liability (malpractice) programs for EmCare. In those instances where the Company has obtained third-party insurance coverage, the Company generally retains liability for the first $1 to $2 million of the loss. Insurance reserves cover known claims and incidents within the level of Company retention that may result in the assertion of additional claims, as well as claims from unknown incidents that may be asserted arising from activities through the balance sheet date.

The Company establishes reserves for claims based upon an assessment of actual claims and claims incurred but not reported. The reserves are established based on quarterly consultation with third-party independent actuaries using actuarial principles and assumptions that consider a number of factors, including historical claim payment patterns (including legal costs) and changes in case reserves and the assumed rate of inflation in healthcare costs and property damage repairs.

The Company’s most recent actuarial valuation was completed in June 2007. As a result of this actuarial valuation, in the three and six months ended June 30, 2007 the Company recorded reductions in its provision for insurance liabilities of approximately $8.7 million and $13.8 million, respectively, related to its reserves for losses in prior years.  In the three months ended June 30, 2006, the Company recorded a reduction in its provision for insurance liabilities of approximately $5.0 million as a result of an actuarial valuation completed in June 2006.

The long-term portion of insurance reserves was $148.9 million and $150.0 million as of June 30, 2007 and December 31, 2006, respectively.

Trade and Other Accounts Receivable, net

The Company determines its allowances based on payor reimbursement schedules, historical write-off experience and other economic data. The allowances for contractual discounts and uncompensated care are reviewed monthly. Account balances are charged off against the uncompensated care allowance when it is probable the receivable will not be recovered. Write-offs to the contractual allowance occur when payment is received. The allowance for uncompensated care is related principally to receivables recorded for self-pay patients.

Revenue Recognition

Revenue is recognized at the time of service and is recorded net of provisions for contractual discounts and estimated uncompensated care. Provisions for contractual discounts and estimated uncompensated care as a percentage of gross revenue and gross revenue less contractual discount provisions, are as follows:

 

Three months ended
June 30,

 

Six months ended
June 30,

 

 

 

2007

 

2006

 

2007

 

2006

 

Gross revenue

 

100.0

%

100.0

%

100.0

%

100.0

%

Provision for contractual discounts

 

42.2

%

41.8

%

42.3

%

42.5

%

Provision for uncompensated care

 

20.1

%

20.1

%

19.8

%

19.2

%

After contractual discounts

 

34.8

%

34.6

%

34.3

%

33.4

%

 

Healthcare reimbursement is complex and may involve lengthy delays. Third-party payors are continuing their efforts to control expenditures for healthcare, including proposals to revise reimbursement policies. The Company has from time to time experienced delays in reimbursement from third-party payors. In addition, third-party payors may disallow, in whole or in part, claims for reimbursement based on determinations that certain amounts are not reimbursable under plan coverage, determinations of medical necessity, or the need for additional information. Laws and regulations governing the Medicare and Medicaid programs are very complex and subject to interpretation. As a result, there is a reasonable possibility that recorded estimates will change materially in the short-term. Retroactive adjustments may change the amounts realized from third-party payors and are considered in the recognition of revenue on an estimated basis in the period the related services are rendered. Such amounts are adjusted in future periods, as adjustments become known.  Retroactive adjustments recorded in the second quarter, which increased revenue, were 1.7% of consolidated net revenue for the three months ended June 30, 2007 compared to 1.0% of consolidated net revenue for the three months ended June 30, 2006.  Retroactive adjustments recorded in the six month period ended June 30, 2007, which increased revenue, were 2.0% of consolidated net revenue compared to

7




1.0% of consolidated net revenue for the six months ended June 30, 2006.

The Company also provides services to patients who have no insurance or other third-party payor coverage. In certain circumstances, federal law requires providers to render services to any patient who requires emergency care regardless of their ability to pay.

Equity Structure

On December 21, 2005, the Company effected a reorganization and issued 8.1 million shares of class A common stock in an initial public offering. Pursuant to the reorganization, EMS LP, the former top-tier holding company of AMR and EmCare, became the consolidated subsidiary of EMSC, a newly formed corporation. To effect the reorganization, the holders of the capital stock of the sole general partner of EMS LP contributed that capital stock to the Company in exchange for class B common stock; the general partner was merged into the Company and the Company became the sole general partner of EMS LP. Concurrently, the holders of class B units of EMS LP contributed their units to the Company in exchange for shares of the Company’s class A common stock, and the holders of certain class A units of EMS LP contributed their units to the Company in exchange for shares of the Company’s class B common stock.

The Company holds 22.7% of the equity interests in EMS LP. LP exchangeable units, held by persons affiliated with the Company’s principal equity holder, represent the balance of the EMS LP equity. The LP exchangeable units are exchangeable at any time, at the option of the holder, for shares of the Company’s class B common stock on a one-for-one basis. The holders of the LP exchangeable units have the right to vote, through the trustee holder of the Company’s class B special voting stock, at all stockholder meetings at which holders of the Company’s class B common stock or class B special voting stock are entitled to vote.

In the EMS LP partnership agreement, the Company has agreed to maintain the economic equivalency of the LP exchangeable units and the class B common stock, and the holders of the LP exchangeable units have no general voting rights. The LP exchangeable units, when considered with the class B special voting stock, have the same rights, privileges and characteristics of the Company’s class B common stock. The LP exchangeable units are intended to be economically equivalent to the class B common stock of the Company in that the LP exchangeable units carry the right to vote (by virtue of the class B special voting stock) with the holders of class B common stock as if one class, and entitle holders to receive distributions only if the equivalent dividends are declared on the Company’s class B common stock. Accordingly, the Company accounts for the LP exchangeable units as if the LP exchangeable units were shares of its common stock, including reporting the LP exchangeable units in the equity section of the Company’s balance sheet and including the number of outstanding LP exchangeable units in both its basic and diluted earnings per share calculations.

Recent Accounting Pronouncements

On January 1, 2007, the Company adopted the recognition and disclosure provisions of FASB Interpretation No. 48, “Accounting for Uncertainty in Income Taxes - an interpretation of FASB Statement No. 109” (“FIN 48”).  This interpretation addresses the determination of whether tax benefits claimed or expected to be claimed on a tax return should be recorded in the financial statements.  Under FIN 48, the Company may recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the financial statements from such a position should be measured based on the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. FIN 48 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods.

As a result of the implementation of FIN 48 at January 1, 2007, the Company recorded a $49.0 million liability with an offsetting increase to net current deferred tax assets.

In accordance with the Company’s accounting policy, EMSC recognized accrued interest and penalties related to unrecognized tax benefits as a component of tax expense, which is consistent with the recognition of these items in prior reporting periods.  As of January 1, 2007, the Company recorded a liability of approximately $4.8 million and $6.1 million for interest and penalties, respectively.  The liability for interest and penalties did not materially change as of June 30, 2007.

8




With limited exception, the Company is no longer subject to U.S. federal, state, and local income tax audits by taxing authorities for years through 2002.

3.             Accrued Liabilities

Accrued liabilities were as follows at June 30, 2007 and December 31, 2006:

 

June 30, 2007

 

December 31,
2006

 

Accrued wages and benefits

 

$

73,391

 

$

71,578

 

Accrued paid time-off

 

23,413

 

22,816

 

Current portion of self-insurance reserves

 

58,819

 

57,596

 

Accrued restructuring

 

2,723

 

5,738

 

Current portion of compliance and legal

 

3,872

 

4,910

 

Accrued billing and collection fees

 

5,035

 

5,085

 

Accrued profit sharing

 

17,863

 

19,695

 

Accrued interest

 

11,682

 

11,810

 

Other

 

29,234

 

32,403

 

Total accrued liabilities

 

$

226,032

 

$

231,631

 

 

4.             Long-Term Debt

Long-term debt consisted of the following at June 30, 2007 and December 31, 2006:

 

 

June 30, 2007

 

December 31,
2006

 

Senior subordinated notes due 2015 (10%)

 

$

250,000

 

$

250,000

 

Senior secured term loan due 2012 (7.36% at June 30, 2007)

 

225,320

 

226,472

 

Notes due at various dates from 2007 to 2022 with interest rates from 6% to 10%

 

2,426

 

1,856

 

Capital lease obligations due at various dates from 2007 to 2010 (see note 5)

 

7,376

 

1,447

 

 

 

485,122

 

479,775

 

Less current portion

 

(4,641

)

(4,159

)

Total long-term debt

 

$

480,481

 

$

475,616

 

 

5.             Commitments and Contingencies

Lease Commitments

The Company leases various facilities and equipment under operating lease agreements.

The Company also leases certain vehicles under a capital lease and during the first quarter of 2007 extended the terms of this capital lease for an additional three years. Assets under capital lease are capitalized using inherent interest rates at the inception of each lease. Capital leases are collateralized by the leased vehicles.

Services

The Company is subject to the Medicare and Medicaid fraud and abuse laws which prohibit, among other things, any false claims, or any bribe, kick-back or rebate in return for the referral of Medicare and Medicaid patients. Violation of these prohibitions may result in civil and criminal penalties and exclusion from participation in the Medicare and Medicaid programs. Management has implemented policies and procedures that management believes will assure that the Company is in substantial compliance with these laws and regulations but there can be no assurance the Company will not be found to have violated certain of these laws and regulations. From time to time, the Company receives requests for information from government agencies pursuant to their regulatory or investigational authority. Such requests can include subpoenas or demand letters for documents to assist the government in audits or investigations. The Company is cooperating with the government agencies conducting these investigations and is providing requested information to the government agencies. Other than the proceedings described below, management believes that the outcome of any of these investigations would not have a material

9




adverse effect on the Company.

On April 17, 2006, the Office of Inspector General for the United States Department of Health and Human Services, or OIG, finalized its draft report requesting that the Company’s Massachusetts subsidiary reimburse the Medicare program for approximately $1.8 million in alleged overpayments from Medicare for services performed between July 1, 2002 and December 31, 2002. The OIG claims that these payments were made for services that did not meet Medicare medical necessity and reimbursement requirements.   On December 10, 2006, AMR paid the $1.8 million in alleged overpayments.  However, the Company disagrees with the OIG’s finding and has filed an administrative appeal. If AMR is successful in the administrative appeal the Company may be entitled to repayment of all or part of the $1.8 million.

Other Legal Matters

On December 13, 2005, a lawsuit purporting to be a class action was commenced against AMR in Spokane, Washington in Washington State Court, Spokane County.  The complaint alleges that AMR billed patients and third party payors for transports it conducted between 1998 and 2005 at higher rates than contractually permitted.  The court has certified a class in this case, but the size and membership of the class has not been determined.  At this time, AMR does not believe that any incorrect billings are material in amount.

EmCare entered into a settlement agreement with respect to June Belt, et. al. v. EmCare, Inc. et. al. brought by a number of nurse practitioners and physician assistants under the Fair Labor Standards Act.  The suit was filed on February 25, 2003 in the Eastern District of Texas.  Pursuant to the settlement agreement, EmCare paid $1.7 million during the first quarter of 2007 in satisfaction of all claims in the lawsuit.

AMR and the City of Stockton, California, are parties to litigation regarding the terms and enforceability of a memorandum of understanding and a related joint venture agreement between the parties to present a joint bid in response to a request for proposals to provide emergency ambulance services in the County of San Joaquin, California. The suit was filed on June 28, 2005, in the United States District Court for the Eastern District of California. The parties were unable to agree on the final terms of a joint bid. AMR has been awarded the San Joaquin contract. While we are unable at this time to estimate the amount of potential damages, we believe that Stockton may claim as damages a portion of our profit on the contract or the profit Stockton might have realized had the joint venture proceeded.

6.             Restructuring Charges

The Company restructured certain billing functions of AMR and operations in the Los Angeles, California market during the first quarter of 2007 and recorded a restructuring charge of $2.2 million.  This restructuring charge included $0.2 million in lease termination and exit costs and $2.0 million related to termination benefits.

7.             Equity Based Compensation

The Company adopted the provisions of Statement of Financial Accounting Standards (“SFAS”) No. 123 (revised 2004) Share-Based Payment (“SFAS 123R”) on January 1, 2006 using the prospective transition method.  The stock options are valued using the Black-Scholes valuation method on the date of grant.

Under the Company’s Equity Option Plan, key employees were granted options that permit the individuals to purchase class A common shares and vest ratably generally over a period of four years. In addition, certain performance measures must be met for 50% of the options to become exercisable. Options with similar provisions were granted to non-employee directors. The Company recorded a compensation charge of $300 for each of the three months ended June 30, 2007 and 2006 and $600 for each of the six months ended June 30, 2007 and 2006.

In June 2006, the Board of Directors of the Company adopted an equity compensation program for non-employee directors of the Company, other than the Chair of the Compliance Committee (“Directors’ Plan”), which was subsequently approved by the stockholders of the Company in May 2007. Non-employee directors were granted 8,000 Restricted Stock Units (“RSUs”) on June 1, 2006, each RSU representing one share of the Company’s class A common stock. Immediately following each annual stockholder meeting, each non-employee director will receive a grant of RSUs having a fair market value of $100 on the date of grant, based on the closing price of the Company’s class A common stock on the business day immediately preceding the grant date. The Directors’ Plan allows

10




directors to defer income from the grant of RSUs. The RSUs vest immediately prior to the election of directors at the next following annual stockholder meeting, and will be paid in shares of the Company’s class A common stock (one share for each RSU). Each non-employee director (other than the Chair of the Compliance Committee) is also entitled to an annual cash retainer of $50 to be paid in four quarterly installments. In connection with this plan, the Company expensed $100 and $200 in the three and six months ended June 30, 2007, respectively.

On April 7, 2007, the Board of Directors of the Company approved the adoption of the EMSC Long-Term Incentive Plan (the “Plan”), subject to stockholder approval. The stockholders of EMSC approved the Plan at the Company’s 2007 Annual Meeting in May 2007.  The Plan provides for the grant of long-term incentives, including various equity-based incentives, to those persons with responsibility for the success and growth of the Company and its subsidiaries.  No future grants will be made under the Company’s previous Equity Option Plan referred to above.  On June 14, 2007, the Board of Directors of the Company granted 20,000 shares of restricted stock pursuant to the Plan, which shares vest ratably over a period of three years.  In addition, certain performance measures must be met for 50% of the shares to vest.

8.             Segment Information

The Company is organized around two separately managed business units: healthcare transportation services and emergency management services, which have been identified as operating segments. The healthcare transportation services reportable segment focuses on providing a full range of medical transportation services from basic patient transit to the most advanced emergency care and pre-hospital assistance. The emergency management services reportable segment provides outsourced business services to hospitals primarily for emergency departments, urgent care centers and for certain inpatient departments. The Chief Executive Officer has been identified as the chief operating decision maker (“CODM”) for purposes of SFAS No. 131 Disclosures about Segments of an Enterprise and Related Information (“SFAS 131”), as he assesses the performance of the business units and decides how to allocate resources to the business units.

Net income before equity in earnings of unconsolidated subsidiary, income tax expense, loss on early debt extinguishment, interest and other income, realized gain (loss) on investments, interest expense, interest income from restricted assets and depreciation and amortization (“Adjusted EBITDA”) is the measure of profit and loss that the CODM uses to assess performance, measure liquidity and make decisions. The accounting policies for reported segments are the same as for the Company as a whole.

 

 

Three months ended June 30,

 

Six months ended June 30,

 

 

 

2007

 

2006

 

2007

 

2006

 

Healthcare Transportation Services

 

 

 

 

 

 

 

 

 

Revenue

 

$

295,304

 

$

293,860

 

$

603,412

 

$

589,172

 

Segment Adjusted EBITDA

 

23,364

 

24,444

 

48,309

 

47,603

 

Emergency Management Services

 

 

 

 

 

 

 

 

 

Revenue

 

221,408

 

184,591

 

436,619

 

358,403

 

Segment Adjusted EBITDA

 

29,060

 

20,584

 

58,373

 

36,302

 

Total

 

 

 

 

 

 

 

 

 

Total revenue

 

516,712

 

478,451

 

1,040,031

 

947,575

 

Total Adjusted EBITDA

 

52,424

 

45,028

 

106,682

 

83,905

 

Reconciliation of Adjusted EBITDA to Net Income

 

 

 

 

 

 

 

 

 

Adjusted EBITDA

 

$

52,424

 

$

45,028

 

$

106,682

 

$

83,905

 

Depreciation and amortization expense

 

(17,577

)

(16,360

)

(34,356

)

(32,204

)

Interest expense

 

(11,395

)

(11,445

)

(22,629

)

(22,737

)

Realized gain (loss) on investments

 

22

 

(306

)

59

 

(525

)

Interest and other income

 

532

 

780

 

1,189

 

1,132

 

Loss on early debt extinguishment

 

 

(193

)

 

(193

)

Income tax expense

 

(9,012

)

(6,788

)

(19,474

)

(11,416

)

Equity in earnings of unconsolidated subsidiary

 

101

 

2

 

255

 

17

 

Net income

 

$

15,095

 

$

10,718

 

$

31,726

 

$

17,979

 

 

11




9.             Guarantors of Debt

EMS LP financed the acquisition of AMR and EmCare in part by issuing $250.0 million principal amount of senior subordinated notes and borrowing $370.2 million under its senior secured credit facility. Its wholly-owned subsidiaries, AMR HoldCo, Inc. (f/k/a EMSC Management, Inc.) and EmCare HoldCo, Inc., are the issuers of the senior subordinated notes and the borrowers under the senior secured credit facility. As part of the transaction, AMR and its subsidiaries became wholly-owned subsidiaries of AMR HoldCo, Inc. and EmCare and its subsidiaries became wholly-owned subsidiaries of EmCare HoldCo, Inc. The senior subordinated notes and the senior secured credit facility include a full, unconditional and joint and several guarantee by EMSC, EMS LP and EMSC’s domestic subsidiaries. The senior subordinated notes and senior secured credit facility do not include a guarantee by the Company’s captive insurance subsidiary. All of the operating income and cash flow of EMSC, EMS LP, AMR HoldCo, Inc. and EmCare HoldCo, Inc. is generated by AMR, EmCare and their subsidiaries. As a result, funds necessary to meet the debt service obligations under the senior secured notes and senior secured credit facility described above are provided by the distributions or advances from the subsidiary companies, AMR and EmCare. Investments in subsidiary operating companies are accounted for on the equity method. Accordingly, entries necessary to consolidate EMSC, EMS LP, AMR HoldCo, Inc., EmCare HoldCo, Inc. and all of their subsidiaries are reflected in the Eliminations/Adjustments column. Separate complete financial statements of the issuers, EMS LP and subsidiary guarantors would not provide additional material information that would be useful in assessing the financial composition of the issuers, EMS LP or the subsidiary guarantors. The condensed consolidating and combining financial statements for EMSC, EMS LP, the issuers, the guarantors and the non-guarantor are as follows:

Consolidating Statement of Operations

For the three months ended June 30, 2007

 

 

EMSC

 

EMSLP

 

Issuer
AMR
HoldCo, Inc.

 

Issuer
EmCare
HoldCo, Inc.

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantor

 

Eliminations/
Adjustments

 

Total

 

Net revenue

 

$

 

$

 

$

 

$

 

$

516,712

 

$

6,867

 

$

(6,867

)

$

516,712

 

Compensation and benefits

 

 

 

 

 

357,309

 

 

 

357,309

 

Operating expenses

 

 

 

 

 

76,262

 

 

 

76,262

 

Insurance expense

 

 

 

 

 

17,454

 

6,889

 

(6,867

)

17,476

 

Selling, general and administrative expenses

 

 

 

 

 

14,901

 

 

 

14,901

 

Depreciation and amortization expense

 

 

 

 

 

17,577

 

 

 

17,577

 

Income from operations

 

 

 

 

 

33,209

 

(22

)

 

33,187

 

Interest income from restricted assets

 

 

 

 

 

1,660

 

 

 

1,660

 

Interest expense

 

 

 

 

 

(11,395

)

 

 

(11,395

)

Realized gain on investments

 

 

 

 

 

 

22

 

 

22

 

Interest and other income

 

 

 

 

 

532

 

 

 

532

 

Income before income taxes

 

 

 

 

 

24,006

 

 

 

24,006

 

Income tax expense

 

 

 

 

 

(9,012

)

 

 

(9,012

)

Income before equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

14,994

 

 

 

14,994

 

Equity in earnings of unconsolidated subsidiaries

 

15,095

 

15,095

 

2,050

 

13,045

 

101

 

 

(45,285

)

101

 

Net income

 

$

15,095

 

$

15,095

 

$

2,050

 

$

13,045

 

$

15,095

 

$

 

$

(45,285

)

$

15,095

 

 

12




Consolidating Statement of Operations

For the three months ended June 30, 2006

 

 

EMSC

 

EMS LP

 

Issuer
AMR
HoldCo, Inc.

 

Issuer
EmCare
HoldCo, Inc.

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantor

 

Eliminations/
Adjustments

 

Total

 

Net revenue

 

$

 

$

 

$

 

$

 

$

478,451

 

$

9,440

 

$

(9,440

)

$

478,451

 

Compensation and benefits

 

 

 

 

 

330,927

 

 

 

330,927

 

Operating expenses

 

 

 

 

 

69,203

 

 

 

69,203

 

Insurance expense

 

 

 

 

 

20,872

 

9,134

 

(9,440

)

20,566

 

Selling, general and administrative expenses

 

 

 

 

 

13,170

 

 

 

13,170

 

Depreciation and amortization expense

 

 

 

 

 

16,360

 

 

 

16,360

 

Restructuring charge

 

 

 

 

 

919

 

 

 

919

 

Income from operations

 

 

 

 

 

27,000

 

306

 

 

27,306

 

Interest income from restricted assets

 

 

 

 

 

1,362

 

 

 

1,362

 

Interest expense

 

 

 

 

 

(11,445

)

 

 

(11,445

)

Realized loss on investments

 

 

 

 

 

 

(306

)

 

(306

)

Interest and other income

 

 

 

 

 

780

 

 

 

780

 

Loss on early debt extinguishment

 

 

 

 

 

(193

)

 

 

(193

)

Income before income taxes

 

 

 

 

 

17,504

 

 

 

17,504

 

Income tax expense

 

 

 

 

 

(6,788

)

 

 

(6,788

)

Income before equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

10,716

 

 

 

10,716

 

Equity in earnings of unconsolidated subsidiaries

 

10,718

 

10,718

 

3,222

 

7,496

 

2

 

 

(32,154

)

2

 

Net income

 

$

10,718

 

$

10,718

 

$

3,222

 

$

7,496

 

$

10,718

 

$

 

$

(32,154

)

$

10,718

 

 

Consolidating Statement of Operations

For the six months ended June 30, 2007

 

 

EMSC

 

EMS LP

 

Issuer
AMR
HoldCo, Inc.

 

Issuer
EmCare
HoldCo, Inc.

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantor

 

Eliminations/
Adjustments

 

Total

 

Net revenue

 

$

 

$

 

$

 

$

 

$

1,040,031

 

$

15,507

 

$

(15,507

)

$

1,040,031

 

Compensation and benefits

 

 

 

 

 

712,241

 

 

 

712,241

 

Operating expenses

 

 

 

 

 

156,258

 

 

 

156,258

 

Insurance expense

 

 

 

 

 

37,718

 

15,566

 

(15,507

)

37,777

 

Selling, general and administrative expenses

 

 

 

 

 

28,206

 

 

 

28,206

 

Depreciation and amortization expense

 

 

 

 

 

34,356

 

 

 

34,356

 

Restructuring charge

 

 

 

 

 

2,242

 

 

 

2,242

 

Income from operations

 

 

 

 

 

69,010

 

(59

)

 

68,951

 

Interest income from restricted assets

 

 

 

 

 

3,375

 

 

 

3,375

 

Interest expense

 

 

 

 

 

(22,629

)

 

 

(22,629

)

Realized gain on investments

 

 

 

 

 

 

59

 

 

59

 

Interest and other income

 

 

 

 

 

1,189

 

 

 

1,189

 

Income before income taxes

 

 

 

 

 

50,945

 

 

 

50,945

 

Income tax expense

 

 

 

 

 

(19,474

)

 

 

(19,474

)

Income before equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

31,471

 

 

 

31,471

 

Equity in earnings of unconsolidated subsidiaries

 

31,726

 

31,726

 

4,876

 

26,850

 

255

 

 

(95,178

)

255

 

Net income

 

$

31,726

 

$

31,726

 

$

4,876

 

$

26,850

 

$

31,726

 

$

 

$

(95,178

)

$

31,726

 

 

13




Consolidating Statement of Operations

For the six months ended June 30, 2006

 

 

EMSC

 

EMS LP

 

Issuer
AMR
HoldCo, Inc.

 

Issuer
EmCare
HoldCo, Inc.

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantor

 

Eliminations/
Adjustments

 

Total

 

Net revenue

 

$

 

$

 

$

 

$

 

$

947,575

 

$

19,305

 

$

(19,305

)

$

947,575

 

Compensation and benefits

 

 

 

 

 

656,974

 

 

 

656,974

 

Operating expenses

 

 

 

 

 

135,657

 

 

 

135,657

 

Insurance expense

 

 

 

 

 

45,321

 

18,780

 

(19,305

)

44,796

 

Selling, general and administrative expenses

 

 

 

 

 

28,009

 

 

 

28,009

 

Depreciation and amortization expense

 

 

 

 

 

32,204

 

 

 

32,204

 

Restructuring charge

 

 

 

 

 

919

 

 

 

919

 

Income from operations

 

 

 

 

 

48,491

 

525

 

 

49,016

 

Interest income from restricted assets

 

 

 

 

 

2,685

 

 

 

2,685

 

Interest expense

 

 

 

 

 

(22,737

)

 

 

(22,737

)

Realized loss on investments

 

 

 

 

 

 

(525

)

 

(525

)

Interest and other income

 

 

 

 

 

1,132

 

 

 

1,132

 

Loss on early debt extinguishment

 

 

 

 

 

(193

)

 

 

(193

)

Income before income taxes

 

 

 

 

 

29,378

 

 

 

29,378

 

Income tax expense

 

 

 

 

 

(11,416

)

 

 

(11,416

)

Income before equity in earnings of unconsolidated subsidiaries

 

 

 

 

 

17,962

 

 

 

17,962

 

Equity in earnings of unconsolidated subsidiaries

 

17,979

 

17,979

 

5,351

 

12,628

 

17

 

 

(53,937

)

17

 

Net income

 

$

17,979

 

$

17,979

 

$

5,351

 

$

12,628

 

$

17,979

 

$

 

$

(53,937

)

$

17,979

 

 

14




Consolidating Balance Sheet

As of June 30, 2007

 

 

EMSC

 

EMS LP

 

Issuer
AMR
HoldCo, Inc.

 

Issuer
EmCare
HoldCo, Inc.

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantor

 

Eliminations/
Adjustments

 

Total

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

 

$

 

$

 

$

 

$

29,321

 

$

163

 

$

 

$

29,484

 

Insurance collateral

 

 

 

 

 

26,214

 

44,408

 

(17,648

)

52,974

 

Trade and other accounts receivable, net

 

 

 

 

 

480,032

 

1,091

 

 

481,123

 

Parts and supplies inventory

 

 

 

 

 

18,403

 

 

 

18,403

 

Other current assets

 

 

 

 

 

17,154

 

3,074

 

(241

)

19,987

 

Current deferred tax assets

 

 

 

 

 

43,142

 

3,163

 

 

46,305

 

Current assets

 

 

 

 

 

614,266

 

51,899

 

(17,889

)

648,276

 

Non-current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property, plant, and equipment, net

 

 

 

 

 

150,420

 

 

 

150,420

 

Intercompany receivable

 

2,653

 

113,400

 

282,540

 

193,064

 

 

 

(591,657

)

 

Intangible assets, net

 

 

 

 

 

63,265

 

 

 

63,265

 

Non-current deferred tax assets

 

 

 

 

 

99,137

 

(1,131

)

 

98,006

 

Insurance collateral

 

 

 

 

 

57,262

 

85,510

 

 

142,772

 

Goodwill

 

 

 

 

 

273,305

 

458

 

 

273,763

 

Other long-term assets

 

 

 

7,856

 

3,555

 

17,473

 

 

 

28,884

 

Investment and advances in subsidiaries

 

416,176

 

302,776

 

211,845

 

90,917

 

6,271

 

 

(1,027,985

)

 

Assets

 

$

418,829

 

$

416,176

 

$

502,241

 

$

287,536

 

$

1,281,399

 

$

136,736

 

$

(1,637,531

)

$

1,405,386

 

Liabilities and Equity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current liabilities:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounts payable

 

$

 

$

 

$

 

$

 

$

69,397

 

$

116

 

$

 

$

69,513

 

Accrued liabilities

 

 

 

6,426

 

5,256

 

183,776

 

30,574

 

 

226,032

 

Current portion of long-term debt

 

 

 

1,656

 

744

 

2,241

 

 

 

4,641

 

Current liabilities

 

 

 

8,082

 

6,000

 

255,414

 

30,690

 

 

300,186

 

Long-term debt

 

 

 

282,314

 

190,605

 

7,562

 

 

 

480,481

 

Other long-term liabilities

 

 

 

 

 

124,004

 

99,775

 

(17,889

)

205,890

 

Intercompany

 

 

 

 

 

591,657

 

 

(591,657

)

 

Liabilities

 

 

 

290,396

 

196,605

 

978,637

 

130,465

 

(609,546

)

986,557

 

Equity:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class A common stock

 

93

 

 

 

 

 

30

 

(30

)

93

 

Class B common stock

 

1

 

 

 

 

 

 

 

1

 

Partnership equity

 

212,361

 

325,761

 

189,394

 

22,967

 

212,361

 

 

(750,483

)

212,361

 

Additional paid-in capital

 

115,959

 

 

 

 

 

6,690

 

(6,690

)

115,959

 

Retained earnings

 

90,864

 

90,864

 

22,451

 

68,413

 

90,850

 

 

(272,578

)

90,864

 

Comprehensive income (loss)

 

(449

)

(449

)

 

(449

)

(449

)

(449

)

1,796

 

(449

)

Equity

 

418,829

 

416,176

 

211,845

 

90,931

 

302,762

 

6,271

 

(1,027,985

)

418,829

 

Liabilities and Equity

 

$

418,829

 

$

416,176

 

$

502,241

 

$

287,536

 

$

1,281,399

 

$

136,736

 

$

(1,637,531

)

$

1,405,386

 

 

15




Consolidating Balance Sheet

As of December 31, 2006

 

 

EMSC

 

EMS LP

 

Issuer
AMR
HoldCo, Inc.

 

Issuer
EmCare
HoldCo, Inc.

 

Subsidiary
Guarantors

 

Subsidiary
Non-Guarantor

 

Eliminations/
Adjustments

 

Total

 

Assets

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cash and cash equivalents

 

$

 

$

 

$

 

$

 

$

39,329

 

$

7

 

$

 

$

39,336

 

Insurance collateral

 

 

 

 

 

24,912

 

4,812

 

 

29,724

 

Trade and other accounts receivable, net

 

 

 

 

 

415,290

 

1,160

 

 

416,450

 

Parts and supplies inventory

 

 

 

 

 

18,089

 

 

 

18,089

 

Other current assets

 

 

 

 

 

16,972

 

394

 

(949

)

16,417

 

Current deferred tax assets

 

 

 

 

 

9,310

 

3,163

 

 

12,473

 

Current assets

 

 

 

 

 

523,902

 

9,536

 

(949

)

532,489

 

Non-current assets:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Property, plant, and equipment, net

 

 

 

 

 

147,162

 

 

 

147,162

 

Intercompany receivable

 

400

 

114,165

 

282,691

 

193,177

 

 

 

(590,433

)

 

Intangible assets, net

 

 

 

 

 

66,789

 

 

 

66,789

 

Non-current deferred tax assets

 

 

 

 

 

104,501

 

(1,131

)

 

103,370

 

Insurance collateral

 

 

 

 

 

59,599

 

103,701

 

 

163,300

 

Goodwill

 

 

 

 

 

271,870

 

458

 

 

272,328

 

Other long-term assets

 

 

 

8,590

 

3,838

 

20,351

 

 

 

32,779

 

Investment and advances in subsidiaries

 

385,640

 

271,475

 

206,969

 

64,492

 

6,696

 

 

(935,272

)

 

Assets

 

$

386,040

 

$

385,640

 

$

498,250