Psychiatric Solutions, Inc.
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SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


FORM 8-K/A

Amended Current Report
Pursuant to Section 13 or 15(d) of
the Securities Exchange Act of 1934

Date of Report (Date of earliest event reported): August 10, 2004 (June 1, 2004)


Psychiatric Solutions, Inc.

(Exact Name of Registrant as Specified in Its Charter)

         
Delaware   0-20488   23-2491707
(State or Other   (Commission File   (I.R.S. Employer
Jurisdiction of   Number)   Identification
Incorporation)       Number)

840 Crescent Centre Drive, Suite 460, Franklin, Tennessee 37067
(Address of Principal Executive Offices)

(615) 312-5700
(Registrant’s Telephone Number, including Area Code)

Not Applicable
(Former Name or Former Address, if Changed Since Last Report)



 


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Item 7. Financial Statements and Exhibits.

     On June 1, 2004, Psychiatric Solutions, Inc. (the “Company”) completed the acquisition of four freestanding psychiatric facilities from Heartland Healthcare (“Heartland”). The Company filed a Current Report on Form 8-K on June 2, 2004 in connection with the above referenced transaction. Item 7 of that Current Report is hereby amended and restated in its entirety as set forth below to include the financial statements and pro forma information required by Item 7 of Form 8-K:

  (a)   The Combined Financial Statements of Northern Healthcare Associates and Subsidiaries.
 
  (b)   Unaudited Pro Forma Condensed Combined Financial Statements for Psychiatric Solutions, Inc., Brentwood Health Management, LLC and Northern Healthcare Associates and Subsidiaries.
 
  (c)   Exhibits.

  2.1   Asset Purchase Agreement, dated April 23, 2004, by and among Psychiatric Solutions, Inc., Fort Lauderdale Hospital, Inc., Millwood Hospital, L.P., PSI Pride Institute, Inc., PSI Summit Hospital, Inc., Fort Lauderdale Hospital Management, LLC, Millwood Health, LLC, Pride Institute, LLC and Summit Health, LLC (previously filed as an exhibit to the Company’s Current Report on Form 8-K filed June 2, 2004).
 
  23.1 * Consent of Selznick & Company, LLP
 
  99.1   Press Release of Psychiatric Solutions, Inc., dated June 1, 2004 (previously filed as an exhibit to the Company’s Current Report on Form 8-K filed June 2, 2004).


*   Filed herewith

 


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SIGNATURES

     Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.

         
  PSYCHIATRIC SOLUTIONS, INC.
 
 
  By:   /s/ Jack E. Polson    
    Jack E. Polson   
Date: August 10, 2004    Chief Accounting Officer   
 


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Northern Healthcare Associates and Subsidiaries

Combined Financial Statements
Years Ended December 31, 2003 and 2002

 


Northern Healthcare Associates and Subsidiaries

Contents

         
    3  
Financial Statements:
       
    4  
    5  
    6  
    7-11  
 Ex-23.1 Consent of Selznick & Company, LLP

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(SELZNICK & COMPANY, LLP LOGO)

Certified Public Accountants
         
145 Bedford Road, Suite 201
  www.dselznick.com   Telephone: (914) 273-3700
Armonk, New York 10504
      Facsimile: (914) 273-9331

Independent Auditors’ Report

To the Partner’s,

Northern Healthcare Associates
Eden Prairie, MN

We have audited the accompanying combined balance sheets for Northern Healthcare Associates and Subsidiaries (“the Company”) as of December 31, 2003 and 2002 and the related combined statements of income and partners’ capital, and cash flows for the years then ended. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audit.

We conducted our audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Northern Healthcare Associates and Subsidiaries as of December 31, 2003 and 2002 and the results of its operations and its cash flows for the years then ended in conformity with accounting principles generally accepted in the United States of America.

/s/ Selznick & Company, LLP

July 12, 2004

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Northern Healthcare Associates and Subsidiaries

Combined Balance Sheets

December 31, 2003

                         
                    Three
                    Months
                    Ended
    December 31,   March 31,
    2003
  2002
  2004
                    (Unaudited)
Assets
                       
Current assets:
                       
Cash and cash equivalents
  $ 1,379,640     $ 947,044     $ 1,692,823  
Patient accounts receivable, net of allowance for doubtful accounts and unbilled contractual allowance of $3,180,235, $2,751,114 and $5,056,192 at December 31, 2003, 2002 and March 31, 2004, respectively
    7,036,076       6,016,991       8,840,203  
Current portion of other receivable
    2,246,247       214,284       2,246,247  
Due from related parties
    601,937       525,195       709,671  
Prepaid expenses and other current assets
    694,046       449,062       327,991  
 
   
 
     
 
     
 
 
Total current assets
    11,957,946       8,152,576       13,816,935  
Property and equipment, net of accumulated depreciation
    1,940,192       2,092,210       1,877,208  
Other receivable, less current portion
          2,246,247        
Other assets
    184,046       224,062       462,475  
 
   
 
     
 
     
 
 
Total assets
  $ 14,082,184     $ 12,715,095     $ 16,156,618  
 
   
 
     
 
     
 
 
Liabilities and partners’ capital
                       
Current liabilities:
                       
Borrowing under accounts receivable facility purchase agreement
  $ 3,936,420     $ 3,942,845     $ 4,353,286  
Current maturities of long-term debt
    2,563,395       900,902       2,152,916  
Accounts payable and accrued expenses
    4,547,367       1,060,924       4,051,356  
Accrued payroll and other vacation benefits
    1,002,311       4,574,450       1,169,103  
Note payable - other
    100,000       200,000       100,000  
Due to third-party payors
    1,051,462       200,869       1,286,972  
Due to government agencies
    148,541       297,511       240,726  
 
   
 
     
 
     
 
 
Total current liabilities
    13,349,496       11,177,501       13,354,359  
Long-term debt, less current maturities
          2,060,274        
 
   
 
     
 
     
 
 
Total liabilities
    13,349,496       13,237,775       13,354,359  
 
   
 
     
 
     
 
 
Partners’ capital (deficit)
                       
Partners’ capital (deficit)
    495,033       (709,823 )     2,336,299  
Minority interest
    237,655       187,143       465,960  
 
   
 
     
 
     
 
 
Total partners’ capital (deficit)
    732,688       (522,680 )     2,802,259  
 
   
 
     
 
     
 
 
Total liabilities and partners’ capital
  $ 14,082,184     $ 12,715,095     $ 16,156,618  
 
   
 
     
 
     
 
 

See accompanying notes to combined financial statements.

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Northern Healthcare Associates and Subsidiaries

Combined Statements of Income and Partners’ Capital

Year Ended December 31, 2003

                         
                    Three
                    Months
                    Ended
    December 31,   March 31,
    2003
  2002
  2004
                    (Unaudited)
Revenues
  $ 44,770,353     $ 35,163,725     $ 13,358,635  
 
   
 
     
 
     
 
 
Operating expenses:
                       
Salaries and benefits
    22,127,017       18,766,928       5,860,141  
Professional fees
    5,671,638       4,866,422       1,743,111  
Other operating expenses
    3,386,083       2,856,795       933,879  
Bad debt expense
    3,159,633       1,903,861       783,029  
Supplies
    2,896,133       2,336,176       806,736  
Rent and lease expenses
    1,651,536       1,605,547       465,972  
Taxes, licenses and fee expense
    388,641       199,700       124,312  
Interest expense
    351,914       383,225       85,343  
Depreciation
    311,482       317,661       62,778  
Indigent care expense
    134,846       110,930       58,963  
 
   
 
     
 
     
 
 
Total expenses
    40,078,923       33,347,245       10,924,264  
 
   
 
     
 
     
 
 
Consolidated net income
    4,691,430       1,816,480       2,434,371  
Less: minority interest
    (464,432 )     (251,922 )     (293,104 )
 
   
 
     
 
     
 
 
Net income
    4,226,998       1,564,558       2,141,267  
Partners’ capital (deficit), beginning of year
    (709,823 )     (1,899,185 )     495,032  
Distributions to partners
    (3,022,142 )     (375,196 )     (300,000 )
 
   
 
     
 
     
 
 
Partners’ capital (deficit), end of year
  $ 495,033     $ (709,823 )   $ 2,336,299  
 
   
 
     
 
     
 
 

See accompanying notes to combined financial statements.

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Northern Healthcare Associates and Subsidiaries

Combined Statements of Cash Flows

Year Ended December 31, 2003

                         
                    Three
                    Months
                    Ended
    December 31,   March 31,
    2003
  2002
  2004
                    (Unaudited)
Cash flows from operating activities:
                       
Net income before minority interest
  $ 4,691,430     $ 1,816,480     $ 2,434,371  
Adjustments to reconcile net income to net cash flow provided by operating activities:
                       
Depreciation and amortization
    311,482       317,661       62,778  
Recovery of contractual adjustments and doubtful accounts
    (429,121 )     (395,753 )     1,875,957  
Loss on disposal of assets
          351        
(Increase) decrease in:
                       
Patient accounts receivable
    (589,964 )     142,768       (4,533,556 )
Due from related parties
    77,519       (72,985 )     (59,245 )
Prepaid expenses and other current assets
    (244,984 )     (105,259 )     366,055  
Other assets
    58,986       (37,327 )     (297,399 )
Increase (decrease) in:
                       
Accounts payable and accrued expenses
    (27,083 )     506,579       (496,011 )
Accrued payroll and vacation benefits
    (58,613 )     140,558       166,792  
Due to third-party payors
    850,593       87,193       1,088,982  
Due to government agencies
    (148,970 )     156,083       92,185  
 
   
 
     
 
     
 
 
Net cash provided by operating activities
    4,491,275       2,556,349       700,909  
 
   
 
     
 
     
 
 
Cash flows from investing activities:
                       
Purchase of equipment
    (159,463 )     (254,431 )     206  
Collections of note receivable
    195,314       214,287       18,970  
 
   
 
     
 
     
 
 
Net cash provided by investing activities
    35,851       (40,144 )     19,176  
 
   
 
     
 
     
 
 
Cash flows from financing activities:
                       
Advances to related parties
    (154,261 )     (308,131 )     (48,489 )
Advance from affiliate
          184,401        
Repayments under accounts receivable facility purchase agreements, net
    (6,425 )     (654,176 )     416,866  
Proceeds from mortgage refinancing
    510,607              
Repayments of long-term debt
    (1,008,388 )     (508,783 )     (410,479 )
Distributions to partners
    (3,436,063 )     (437,566 )     (364,800 )
 
   
 
     
 
     
 
 
Net cash used in financing activities
    (4,094,530 )     (1,724,255 )     (406,902 )
 
   
 
     
 
     
 
 
Net increase in cash
    432,596       791,950       313,183  
Cash and cash equivalents, beginning of year
    947,044       155,094       1,379,640  
 
   
 
     
 
     
 
 
Cash and cash equivalents, end of year
  $ 1,379,640     $ 947,044     $ 1,692,823  
 
   
 
     
 
     
 
 
Supplemental disclosures of cash flow information
                       
Interest paid during the year
  $ 397,136     $ 594,557     $ 9,215  
Interest received during the year
  $ 163,387     $ 168,239     $ 15,111  

See accompanying notes to combined financial statements.

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Northern Healthcare Associates and Subsidiaries

Notes to Combined Financial Statements
         
1.
  Summary of Accounting Policies   Principles of Combination
 
       
      The accompanying combined financial statements include the accounts of Summit Health, LLC, and the consolidated financial statements of Northern Healthcare Associates, and its majority owned subsidiaries, Millwood Health, LLC and Fort Lauderdale Hospital Management, LLC, (collectively, the “Company”). All material inter-company transactions have been eliminated in combination. There are no cross collateral agreements between the Company and its affiliates for assets and liabilities.
 
       
      The accompanying unaudited combined condensed financial statements as of March 31, 2004 and for the three months ended March 31, 2004 were prepared in accordance with accounting principles generally accepted in the United States of America and all applicable financial statement rules and regulations of the Securities and Exchange Commission pertaining to interim financial information. The interim financial statements do not include all information or footnote disclosures required by accounting principles generally accepted in the United States of America for complete financial statements. All adjustments which are, in the opinion of management, of a normal recurring nature and are necessary for a fair presentation of the interim financial statements have been included. The results of operations for the three months ended March 31, 2004 are not necessarily indicative of the results to be expected for the full year.
 
       
      Organization and Description of Operations
 
       
      The Company maintains and operates psychiatric hospitals in Summit, New Jersey, Fort Lauderdale, Florida and Arlington, Texas, which operate under individual licenses for each facility. It also owns and operates a chemical dependency treatment center in Minnesota and provides management services to other medical facilities in Florida, Illinois, New Jersey, New York and Texas.
 
       
      Cash Equivalents
 
       
      For the purposes of the statement of cash flows, the Company considers all highly liquid debt instruments purchased with an original maturity of three months or less to be cash equivalents.
 
       
      Property and Equipment
 
       
      Property and equipment acquisitions are recorded at cost. Depreciation is calculated over the estimated useful life of the assets using the straight-line method.
 
       
 
      Net Patient Services Revenue
 
       
      The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its billed charges. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods, as final settlements are determined.

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Northern Healthcare Associates and Subsidiaries
Notes to Combined Financial Statements

         
1.
  Summary of Accounting Policies (continued)   Use of Estimates
      The preparation of financial statements in conformity with Generally Accepted Accounting Principles requires management to make estimates and assumptions that affect the reported amounts of the assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results may differ from those estimates.
 
       
      Reclassification
 
       
      Certain items on the prior year’s combined financial statements have been reclassified to be consistent with the current year presentation.
 
       
      Income Taxes
 
       
      The Company is treated as a partnership for Federal Income Tax purposes, but is subject to New Jersey Partnership Tax, Texas Franchise Tax and New York City Unincorporated Business Tax for state purposes. Consequently, the Federal tax effects of its income or losses are passed through to the partners, individually.
 
       
2.
  Net Patient Services Revenue   Payment arrangements with major third-party payors are summarized as follows:
 
       
 
      Medicare
 
       
      Inpatient services are paid based on a cost reimbursement methodology. The Company is reimbursed for cost reimbursable items at a tentative per diem rate with final settlement determined after submission of annual cost reports by the Company and audits thereof by a Medicare fiscal intermediary. The Company’s Medicare cost reports have not been audited by the Medicare fiscal intermediary at December 31, 2003. In the opinion of management, adequate provisions have been made for any adjustments that may result from such audits. Outpatient services are paid on a prospective payment system.
 
       
      Other
 
       
      The Company has also entered into payment agreements with certain commercial insurance carriers, health maintenance organizations (“HMO”) and preferred provider organizations (“PPO”). The basis for payment to the Company under these agreements includes predetermined rates and prospectively determined rates per patient day.
 
       
      Due to third party-payors at December 31, 2003 and 2002 was $1,015,462 and $200,869, respectively.
 
       
3.
  Concentrations of Credit Risk   Financial instruments that potentially subject the Company to concentrations of credit risk consist of cash and cash equivalents and patient accounts receivable. The Company maintains its cash balances in various financial institutions. The balances are insured up to $100,000 by the Federal Deposit Insurance Corporation (“FDIC”), and at times may exceed this limit. Credit risk with respect to receivables is considered low because a substantial portion of the receivables are from state Medicaid programs, commercial insurance carriers and HMO/PPO programs. Medicare represents approximately 32.6%, 20% and 20.9% of all net patient billings in the states of Florida, Texas and New Jersey, respectively.

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Northern Healthcare Associates and Subsidiaries
Notes to Combined Financial Statements

         
4.
  Professional Liability Insurance   The Company maintains professional malpractice liability insurance through a policy with limits of $1 million per claim and $3 million annual aggregate with a $5 million umbrella. There have been no claims filed as of December 31, 2003 that would, in the opinion of management, result in any uninsured liability to the Company.
 
       
5.
  Accounts Receivable Facility Purchase Agreement   In January 2001, the Company entered into an accounts receivable facility purchase agreement with Connecticut Bank of Commerce (the “Bank”), which was being accounted for as a financing agreement. Under this agreement, the Company could sell up to 85% of its interest in an unpaid receivable of an approved obligor that is less than 120 days old. Sales of the Company’s receivables under this agreement could not exceed $2,000,000 per entity. The arrangement is further collateralized by a security interest in all assets of each individual entity. Effective June 26, 2002, the FDIC took over all operations of the Bank. Interest is at 2% above the FDIC’s prime interest rate. On June 1, 2004, the amount due under this arrangement was paid (see note 15).
 
       
6.
  Property and Equipment   Property and equipment consists of the following:
                 
    2003
  2002
Land
  $ 130,000     $ 130,000  
Building and improvements
    1,240,345       1,216,024  
Leasehold improvements
    219,021       211,421  
Furniture and fixtures
    797,492       683,655  
Fixed equipment
    890,887       876,961  
Machinery and equipment
    101,541       99,499  
 
   
 
     
 
 
Total
    3,379,286       3,217,560  
Less: accumulated depreciation
    1,436,831       1,125,350  
 
   
 
     
 
 
 
  $ 1,942,455     $ 2,092,210  
 
   
 
     
 
 
         
      Depreciation expense was $311,482 in 2003 and $317,661 in 2002.
 
       
7.
  Other Receivable   In March of 2000, Fort Lauderdale Hospital Management LLC, made an investment in a limited liability company. The principal asset of this limited liability company is a secured note receivable. The receivable was collected after the sale of the Company’s assets (see Note 15).
 
       
8.
  Leases   The Company’s subsidiaries lease facilities and equipment under various operating agreements with outside entities. The Company owns the Minnesota facility and leases office space in New York, Texas, Florida and New Jersey. The lease terms expire between March 2005 and April 2020. The leases provide for annual basic rental payments of $1,219,764 plus all ad valorem and real property taxes. Lease expense for the period ending December 31, 2003 was $1,651,536. Minimum lease payments under this arrangement as of December 31, 2003 are as follows:
         
Years ended December 31, 2004
  $ 1,444,764  
2005
    994,764  
2006
    813,652  
2007
    752,088  
2008
    741,678  
 
   
 
 
Thereafter
    8,258,928  
 
   
 
 
 
  $ 13,005,874  
 
   
 
 

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Northern Healthcare Associates and Subsidiaries
Notes to Combined Financial Statements

         
9.
  Debt   Debt at December 31, 2003 and 2002 consists of the following:
                 
    2003
  2002
Mortgage note payable with a financial lending institution, collateralized by the building owned by Northern Healthcare Associates, LLC, payable in monthly installments of principle and interest at a fixed rate of 6%, originally maturing September 2018. The collateral is limited to the assets of the borrowing entity subject to the terms of the note.
  $ 505,290     $ 348,605  
Loan payable to the FDIC (see notes 5 and 15) collateralized by the general assets of Fort Lauderdale Hospital Management, LLC, payable in quarterly installments of $53,571, including interest at prime plus 1%, originally maturing March 2007. The collateral is limited to the assets of the borrowing entity subject to the terms of the note.
    696,436       1,017,860  
Loan payable to the FDIC (see notes 5 and 15), collateralized by certain property and equipment of Fort Lauderdale Hospital Management, LLC, payable in monthly installments of $1,667, including interest at 12%, originally maturing July 2005. The collateral is limited to the assets of the borrowing entity subject to the terms of the note.
    40,000       51,667  
Loan payable to the FDIC (see notes 5 and 15) collateralized by the general assets of the Millwood Health, LLC, payable in monthly installments of principle and interest at the Wall Street Journal prime rate plus 2%, originally maturing April 2008. The collateral is limited to the assets of the borrowing entity subject to the terms of the note
    557,147       685,715  
Loan payable to the FDIC (see notes 5 and 15) collateralized by the general assets of the Summit Health, LLC, payable in monthly installments of principle and interest at the Wall Street Journal prime rate plus 2%, originally maturing March 2006. The collateral is limited to the assets of the borrowing entity subject to the terms of the note
    739,374       820,625  
Other
    25,148       36,704  
 
   
 
     
 
 
Total
    2,563,395       2,961,176  
Less: current maturities
    2,563,395       900,902  
 
   
 
     
 
 
Total
  $     $ 2,060,274  
 
   
 
     
 
 
         
      On June 1, 2004, upon the sale of the assets of the Company, all of the short-term debt was paid (see note 15).

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Northern Healthcare Associates and Subsidiaries
Notes to Combined Financial Statements

         
10.
  Note Payable - Other   During 2003, an advance of $200,000 was made by a party related to one of the partners of Millwood Health, LLC. The loan is personally guaranteed by the partners of Millwood Health, LLC. It was payable in full, plus interest and administrative fees of $20,000, on February 6, 2003. On February 26, 2003 a payment was made in the amount of $100,000 and the remaining $100,000, payable in March, 2004 with interest of $5,000, was extended.
 
       
11.
  Due to Government Agencies   Fort Lauderdale Hospital Management, LLC is subject to compliance with the Health Care Consumer Protection and Awareness Act of 1984. This Act created a fund for the treatment of indigent patients. Fort Lauderdale Hospital Management, LLC is assessed an amount equal to 1.5% of net inpatient service revenues. The Hospital’s expense was $134,846 for the year ended December 31, 2003. The unpaid assessments at December 31, 2003 totaled $148,541 and at December 31, 2002 totaled $297,511.
 
       
12.
  Retirement Plan   The Company has established a 401(k) retirement plan for all employees who meet certain eligibility criteria such as age, term of employment, etc. Eligible employees may elect to contribute to the plan, a portion of their gross salary (subject to Federal tax law limits). The Company currently matches 25% of the employee’s contribution up to 4% of the employees’ wages. Amounts contributed to the plan by employees are fully vested when contributed. The contributions to these plans in 2003 and 2002 were $48,710 and $39,640, respectively.
 
       
13.
  Commitments and Contingencies   The Company is subject to compliance with laws and regulations of various governmental agencies. Recently, governmental review of compliance with these laws and regulations has increased, resulting in fines and penalties of noncompliance by individual health care providers. While no outstanding regulatory actions exist at December 31, 2003 for the Company, compliance with these laws and regulations is subject to future government review, interpretation or actions which are unknown and unasserted at this time.
 
       
14.
  Related Party Transactions   Related party transactions consist of the following:
                 
    2003
  2002
Due from affiliates
  $ 650,426     $ 727,945  
Due to members
    (48,489 )     (202,750 )
 
   
 
     
 
 
 
  $ 601,937     $ 525,195  
 
   
 
     
 
 
         
15.
  Subsequent Event (Unaudited)   On June 1, 2004, substantially all of the Company’s net assets were purchased by Psychiatric Solutions, Inc., a leading provider of behavioral health care services, for approximately $47 million.

11


Table of Contents

UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL INFORMATION

     The following table sets forth the unaudited pro forma condensed combined financial data for Psychiatric Solutions, Inc. (the “Company”), Brentwood Health Management, LLC (“Brentwood”), and Northern Healthcare Associates and Subsidiaries (“Heartland”) as a combined company, giving effect to the acquisitions as if they occurred on the dates indicated and after giving effect to the pro forma adjustments discussed herein. The acquisitions of Brentwood and Heartland occurred on March 1, 2004 and June 1, 2004, respectively. The unaudited pro forma condensed combined balance sheet as of March 31, 2004 has been derived from the Company’s and Heartland’s historical balance sheets, adjusted to give effect to the acquisition as if it occurred on March 31, 2004. The pro forma condensed combined income statement for the three months ended March 31, 2004 and the year ended December 31, 2003 gives effect to the acquisitions above as if they occurred at the beginning of the respective periods presented.

     The adjustments necessary to fairly present the unaudited pro forma condensed combined financial information have been made based on available information and in the opinion of management are reasonable. Assumptions underlying the pro forma adjustments are described in the accompanying notes, which should be read in conjunction with this unaudited pro forma condensed combined financial information. The pro forma adjustments are preliminary and revisions to the preliminary purchase price allocations may have a significant impact on the pro forma adjustments.

     The unaudited pro forma condensed financial information is for comparative purposes only and does not purport to represent what our financial position or results of operations would actually have been had the events noted above in fact occurred on the assumed dates or to project our financial position or results of operations for any future date or future period.

 


Table of Contents

Unaudited Pro Forma Condensed Combined Balance Sheet
March 31, 2004

                                 
    Psychiatric           Pro Forma   Pro Forma
    Solutions
  Heartland
  Adjustments
  Combined
ASSETS
Current assets:
                               
Cash
  $ 34,176     $ 1,693     $ (21,808 ) (1)   $ 14,061  
Accounts receivable
    65,278       8,840             74,118  
Prepaids and other
    6,762       3,284       (3,116 ) (2)     6,930  
 
   
 
     
 
     
 
     
 
 
Total current assets
    106,216       13,817       (24,924 )     95,109  
Property and equipment, net
    175,851       1,877             177,728  
Cost in excess of net assets acquired
    70,501             42,229   (3)     112,730  
Contracts, net
    2,614                   2,614  
Other assets
    16,685       462             17,147  
 
   
 
     
 
     
 
     
 
 
Total assets
  $ 371,867     $ 16,156     $ 17,305     $ 405,328  
 
   
 
     
 
     
 
     
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
                               
Accounts payable and accrued expenses
  $ 52,567     $ 6,748     $ (1,287 ) (4)   $ 58,028  
Current portion of long-term debt
    1,100       6,606       (6,606 ) (5)     1,100  
 
   
 
     
 
     
 
     
 
 
Total current liabilities
    53,667       13,354       (7,893 )     59,128  
Long-term debt, less current portion
    190,816             28,000   (6)     218,816  
Other liabilities
    10,801       466       (466 ) (7)     10,801  
 
   
 
     
 
     
 
     
 
 
Total liabilities
    255,284       13,820       19,641       288,745  
Series A convertible preferred stock
    25,617                   25,617  
Stockholders’ equity:
                               
Common stock
    120                   120  
Additional paid-in capital
    91,412                   91,412  
Other stockholders’ (deficit) equity
    (566 )     2,336       (2,336 ) (8)     (566 )
 
   
 
     
 
     
 
     
 
 
Total stockholders’ equity
    90,966       2,336       (2,336 )     90,966  
 
   
 
     
 
     
 
     
 
 
Total liabilities and stockholders’ equity
  $ 371,867     $ 16,156     $ 17,305     $ 405,328  
 
   
 
     
 
     
 
     
 
 

 


Table of Contents

Unaudited Pro Forma Condensed Combined Income Statement
For the three months ended March 31, 2004

                                                 
    Psychiatric           Pro Forma           Pro Forma   Pro Forma
    Solutions
  Brentwood
  Adjustments
  Heartland
  Adjustments
  Combined
Revenue
  $ 107,584     $ 5,612     $     $ 13,359     $     $ 126,555  
Salaries, wages and employee benefits
    58,995       2,977             5,860       (119 )  (13)     67,713  
Professional fees
    12,056       395             1,743             14,194  
Supplies
    6,941       285             807             8,033  
Rentals and leases
    1,783       356       (319 )  (9)     466             2,286  
Other operating expenses
    12,862       746             1,118             14,726  
Provision for bad debts
    2,027       370             783             3,180  
Depreciation and amortization
    2,117       30       132   (10)     63             2,342  
Interest expense
    4,456       2       106   (11)     85       183   (11)     4,832  
Loss on refinancing long-term debt
    6,407                               6,407  
Minority interest
                      293       (293 ) (12)      
 
   
 
     
 
     
 
     
 
     
 
     
 
 
 
    107,644       5,161       (81 )     11,218       (229 )     123,713  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
(Loss) income before income taxes
    (60 )     451       81       2,141       229       2,842  
(Benefit from) provision for income taxes
    (23 )           202   (14)           901   (14)     1,080  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Net (loss) income
    (37 )     451       (121 )     2,141       (672 )     1,762  
Accrued preferred stock dividends
    323                               323  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Net (loss) income available to common stockholders
  $ (360 )   $ 451     $ (121 )   $ 2,141     $ (672 )   $ 1,439  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Earnings per share:
                                               
Basic
  $ (0.03 )                                   $ 0.12  
 
   
 
                                     
 
 
Diluted
  $ (0.03 )                                   $ 0.10  
 
   
 
                                     
 
 
Shares used in computing per share amounts:
                                               
Basic
    11,958                                       11,958  
Diluted
    11,958                                       17,231  

Unaudited Pro Forma Condensed Combined Income Statement
For the year ended December 31, 2003

                                                 
    Psychiatric           Pro Forma           Pro Forma   Pro Forma
    Solutions
  Brentwood
  Adjustments
  Heartland
  Adjustments
  Combined
Revenue
  $ 293,665     $ 31,425     $     $ 44,770     $     $ 369,860  
Salaries, wages and employee benefits
    153,498       16,913             22,127       (476 )  (13)     192,062  
Professional fees
    33,293       653             5,672             39,618  
Supplies
    17,074       1,719             2,896             21,689  
Rentals and leases
    4,109       2,110       (1,942 ) (9)     1,652             5,929  
Other operating expenses
    44,569       3,981             3,909             52,459  
Provision for bad debts
    6,315       1,835             3,160             11,310  
Depreciation and amortization
    5,754       419       555   (10)     311             7,039  
Interest expense
    14,781       39       1,360   (11)     352       1,888   (11)     18,420  
Loss on refinancing long-term debt
    4,856                               4,856  
Change in valuation of put warrants
    960                               960  
Change in reserve of stockholder notes
    (545 )                             (545 )
Minority interest
          150       (150 ) (12)     464       (464 ) (12)      
 
   
 
     
 
     
 
     
 
     
 
     
 
 
 
    284,664       27,819       (177 )     40,543       948       354,797  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Income before income taxes
    9,001       3,606       177       4,227       (948 )     16,063  
Provision for income taxes
    3,785             1,438   (14)           1,246   (14)     6,469  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Net income
    5,216       3,606       (1,261 )     4,227       (2,194 )     9,594  
Accrued preferred stock dividends
    811                               811  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Net income available to common stockholders
  $ 4,405     $ 3,606     $ (1,261 )   $ 4,227     $ (2,194 )   $ 8,783  
 
   
 
     
 
     
 
     
 
     
 
     
 
 
Earnings per share:
                                               
Basic
  $ 0.53                                     $ 1.05  
 
   
 
                                     
 
 
Diluted
  $ 0.44                                     $ 0.82  
 
   
 
                                     
 
 
Shares used in computing per share amounts:
                                               
Basic
    8,370                                       8,370  
Diluted
    11,749                                       11,749  


Table of Contents

NOTES TO UNAUDITED PRO FORMA CONDENSED COMBINED FINANCIAL STATEMENTS
(Dollars in thousands)

(1)   Excludes Heartland’s cash on hand of $1,693 because this was not purchased by the Company. Also, includes $20,115 cash paid for the acquisition of Heartland by the Company.
 
(2)   Excludes $3,116 of notes receivable and other current assets at Heartland not purchased by the Company.
 
(3)   The preliminary estimated purchase price of Heartland is as follows:
         
Total assets acquired by the Company:
       
Total assets of Heartland at March 31, 2004
  $ 16,156  
Less cash, prepaids and other assets not acquired by the Company
    (4,809 )
 
   
 
 
Total assets acquired by the Company
    11,347  
Heartland liabilities assumed
    (5,461 )
Goodwill/unallocated purchase price
    42,229  
 
   
 
 
Total preliminary estimated purchase price
  $ 48,115  
 
   
 
 

(4)   Excludes estimated third party settlements of $1,287 not assumed by the Company.
 
(5)   Excludes debt of $6,606 not assumed by the Company.
 
(6)   Includes $28,000 drawn by the Company on its revolving line of credit to purchase Heartland.
 
(7)   Eliminates $466 of Heartland’s pre-acquisition minority interest.
 
(8)   Eliminates $2,336 of Heartland’s pre-acquisition stockholders’ equity.
 
(9)   Eliminates Brentwood’s related party rent payments for land and buildings purchased by the Company as part of the acquisition.
 
(10)   Increases depreciation expense to reflect the purchase the land and buildings of Brentwood by the Company.
 
(11)   Reflects additional interest expense for $17,000 borrowed through the Company’s revolving line of credit for the purchase of Brentwood. The balance of the purchase price for Brentwood was paid with the Company’s cash on hand. Reflects additional interest expense for $28,000 borrowed through the Company’s revolving line of credit for the purchase of Heartland. The balance of the purchase price for Heartland was paid with the Company’s cash on hand.
 
(12)   Eliminates minority interests not assumed in conjunction with the acquisitions of Brentwood and Heartland.
 
(13)   Reflects the elimination of salaries allocated from Heartland’s corporate office, which was not acquired.
 
(14)   Reflects additional income tax provision to give effect to the incremental earnings of the acquisitions of Brentwood and Heartland.