10-Q 1 d681001d10q.htm FORM 10-Q Form 10-Q
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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 December 31, 2011

OR

 

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

For the transition period from              to                     

Commission File Number: 000-30326

 

 

FIRST PHYSICIANS CAPITAL GROUP, INC.

(Exact Name of Registrant as Specified in Its Charter)

 

 

 

DELAWARE   77-0557617

(State or Other Jurisdiction of

Incorporation or Organization)

 

(I.R.S. Employer

Identification No.)

433 North Camden Drive #810

Beverly Hills, California

  90210
(Address of principal executive offices)   (Zip Code)

(310) 860-2501

(Registrant’s Telephone Number, Including Area Code)

N/A

(Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report)

 

 

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

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).     x  Yes    ¨  No

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

 

Large accelerated filer   ¨    Accelerated filer   ¨
Non-accelerated filer   ¨  (Do not check if a smaller reporting company)    Smaller reporting company   x

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

 

Number of shares of common stock outstanding as of March 28, 2014

     23,909,507   

 

 

 


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EXPLANATORY NOTE

The last periodic report of First Physicians Capital Group, Inc. (the “Registrant”) filed with the Securities and Exchange Commission was the Form 10-Q for the Fiscal Quarter Ended December 31, 2010, filed February 22, 2011. In order to become current with all required quarterly and annual reports under the Section 13(a) of the Securities Exchange Act of 1934, the Registrant is filing this Form 10-Q for the Fiscal Quarter Ended December 31, 2011 concurrently with Form 10-Q’s for the Fiscal Quarters Ended March 31, 2011, June 30, 2011, March 31, 2012, June 30, 2012, December 31, 2012, March 31, 2013, June 30, 2013 and December 31, 2013, and Form 10-K’s for the Fiscal Years Ended September 30, 2011, September 30, 2012 and September 30, 2013.

TABLE OF CONTENTS

 

     Page  

PART I

     1   

FINANCIAL INFORMATION

     1   

Item 1. FINANCIAL STATEMENTS

     1   

Item 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

     12   

Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     14   

Item 4. CONTROLS AND PROCEDURES

     15   

PART II OTHER INFORMATION

     16   

Item 1. LEGAL PROCEEDINGS

     16   

Item 1A. RISK FACTORS

     16   

Item 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

     16   

Item 3. DEFAULTS UPON SENIOR SECURITIES

     16   

Item 4. MINE SAFETY DISCLOSURES

     16   

Item 5. OTHER INFORMATION

     16   

Item 6. EXHIBITS

     16   

SIGNATURES

     17   

EXHIBIT INDEX

     18   


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PART I

FINANCIAL INFORMATION

Item 1. FINANCIAL STATEMENTS

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands, except shares and per share data)

 

     December 31,
2011
    September 30,
2011
 
     (Unaudited)        

ASSETS

  

Current assets:

    

Cash and cash equivalents

   $ 494      $ 1,001   

Accounts receivable, net of allowance for uncollectible accounts

     6,402        4,055   

Prepaid expenses

     207        60   

Other current assets

     8        37   

Assets of discontinued operations

     20        12   
  

 

 

   

 

 

 

Total current assets

     7,131        5,165   

Property and equipment, net

     28        33   

Notes receivable

     22,343        24,493   

Other assets

     283        293   

Non current assets of discontinued operations

     41        41   
  

 

 

   

 

 

 

Total assets

   $ 29,826      $ 30,025   
  

 

 

   

 

 

 

LIABILITIES, PREFERRED STOCK AND STOCKHOLDERS’ DEFICIT

    

Current liabilities:

    

Accounts payable

   $ 1,108      $ 1,031   

Accrued expenses

     1,718        1,720   

Current maturities of long term debt

     3,087        4,102   

Liabilities of discontinued operations

     585        576   
  

 

 

   

 

 

 

Total current liabilities

     6,498        7,429   

Long term debt, net of current portion

     7,895        7,993   

Deferred gain

     15,850        18,050   
  

 

 

   

 

 

 

Total liabilities

     30,243        33,472   
  

 

 

   

 

 

 

Commitments and contingencies

    

Non-redeemable preferred stock:

    

Preferred stock Series 1-A ($0.01 par value, 2,802,000 shares authorized; 67,600 shares issued and outstanding as of December 31, 2011 and September 30, 2011)

     166        166   

Preferred stock Series 2-A ($0.01 par value, 1,672,328 shares authorized; 3,900 shares issued and outstanding as December 31, 2011 and September 30, 2011)

     25        25   
  

 

 

   

 

 

 

Total non-redeemable preferred stock

     191        191   

Redeemable preferred stock:

    

Preferred stock Series 5-A ($0.01 par value, 5,000,000 shares authorized; 9,000 shares issued and outstanding as of December 31, 2011 and September 30, 2011)

     7,832        7,832   

Preferred stock Series 6-A ($0.01 par value, 5,000 shares authorized; 4,875 shares issued and outstanding as of December 31, 2011 and September 30, 2011)

     4,381        4,381   
  

 

 

   

 

 

 

Total redeemable preferred stock

     12,213        12,213   

Stockholders’ deficit:

    

Common stock ($0.01 par value, 100,000,000 shares authorized; 15,049,507 shares issued and outstanding as of December 31, 2011 and September 30, 2011)

     153        153   

Additional paid-in-capital

     80,439        80,238   

Accumulated deficit

     (93,309     (96,138

Treasury stock, at cost (149,744 shares as of December 31, 2011 and September 30, 2011)

     (104     (104
  

 

 

   

 

 

 

Total stockholders’ deficit

     (12,821     (15,851
  

 

 

   

 

 

 

Total liabilities, preferred stock and stockholders’ deficit

   $ 29,826      $ 30,025   
  

 

 

   

 

 

 

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

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands except share and per share data)

(Unaudited)

 

     Three months ended  
     December 31,
2011
    December 31,
2010
 

Net revenue from services

   $ 3,978      $ 353   

Costs and expenses:

    

Selling, general and administrative expenses

     2,447        1,406   

Depreciation and amortization

     5        6   
  

 

 

   

 

 

 

Total costs and expenses

     2,452        1,412   
  

 

 

   

 

 

 

Operating income (loss)

     1,526        (1,059

Other income (expense):

    

Other income

     —          2   

Interest expense

     (198     (76

Gain on retirement of note payable

     1,447        —     
  

 

 

   

 

 

 

Total other income (expense)

     1,249        (74
  

 

 

   

 

 

 

Net income (loss) from continuing operations before taxation

   $ 2,775      $ (1,133
  

 

 

   

 

 

 

Net income (loss) from discontinued operations, net of income taxes (including net gain from disposal of assets of $50 and $0, respectively. See Note 2. “Discontinued Operations”)

     54        (540
  

 

 

   

 

 

 

Net income (loss)

   $ 2,829      $ (1,673
  

 

 

   

 

 

 

Basic earnings (loss) per share of common stock:

    

Continuing operations

   $ 0.18      $ (0.08

Discontinued operations

     0.01        (0.03
  

 

 

   

 

 

 

Total basic earnings (loss) per share of common stock

   $ 0.19      $ (0.11
  

 

 

   

 

 

 

Diluted earnings (loss) per share of common stock:

    

Continuing operations

   $ 0.04      $ (0.08

Discontinued operations

     0.01        (0.03
  

 

 

   

 

 

 

Total diluted earnings (loss) per share of common stock

   $ 0.05      $ (0.11
  

 

 

   

 

 

 

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

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(Unaudited)

 

     Three months ended  
     December 31,
2011
    December 31,
2010
 

Cash flows from operating activities:

    

Net income (loss)

   $ 2,829      $ (1,673

Net income (loss) from discontinued operations

     54        (540
  

 

 

   

 

 

 

Net income (loss) from continuing operations

     2,775        (1,133

Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:

    

Gain on retirement of note payable

     (1,447     —     

Depreciation and amortization

     5        6   

Amortization of stock-based compensation

     201        258   

Bad debt provision

     1,221        6   

Changes in working capital components:

    

Accounts receivable

     (3,568     (243

Prepaid expenses

     (147     (327

Other assets

     39        (466

Accounts payable

     77        491   

Accrued expenses

     (55     15   
  

 

 

   

 

 

 

Net cash used in operating activities

     (899     (1,393

Net cash provided by discontinued operations’ operating activities

     5        2,185   
  

 

 

   

 

 

 

Net cash provided by (used in) operating activities

     (894     792   

Cash flows from financing activities:

    

Proceeds from long term debt

     460        —     

Payments on long term debt

     (73     (67
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     387        (67

Net cash used in discontinued operations’ financing activities

     —          (453
  

 

 

   

 

 

 

Net cash provided by (used in) financing activities

     387        (520
  

 

 

   

 

 

 

Net increase (decrease) in cash and cash equivalents

     (507     272   

Cash and cash equivalents at beginning of period

     1,001        535   
  

 

 

   

 

 

 

Cash and cash equivalents at end of period

   $ 494      $ 807   
  

 

 

   

 

 

 

Supplemental cash flow information:

    

Cash paid for interest

   $ 167      $ 171   

Cash paid for taxes

     —          —     

Non-cash transactions:

    

Note receivable given as consideration for payment of note payable

   $ 2,150      $ —     

Notes payable extinguished through assignment of notes receivable

   $ 1,500      $ —     

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

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

1. Summary of Significant Accounting Policies

Basis of Presentation

The accompanying unaudited condensed consolidated financial statements of First Physicians Capital Group, Inc., f/k/a Tri-Isthmus Group, Inc., a Delaware corporation (the “Company,” “we,” “us,” or “our,” depending on the context), as of December 31, 2011 and September 30, 2011 and for the three month periods ended December 31, 2011 and December 31, 2010, have been prepared on substantially the same basis as our annual consolidated financial statements and should be read in conjunction with our Annual Report on Form 10-K (the “Form 10-K”), filed with the United States Securities and Exchange Commission (the “SEC”) on April 4, 2014, and any amendments thereto, for the Fiscal Year Ended September 30, 2011 (the “Fiscal Year Ended September 30, 2011”). In the opinion of management, the accompanying condensed consolidated financial statements reflect all adjustments of a normal recurring nature considered necessary to present fairly the financial information included herein.

The consolidated financial statements include our accounts and the accounts of our subsidiaries. All significant inter-company balances and transactions have been eliminated.

The results as of September 30, 2011 have been derived from our audited consolidated financial statements for the fiscal year ended as of such date.

The unaudited consolidated results for interim periods are not necessarily indicative of expected results for the full fiscal year.

Future Funding

We had an accumulated deficit of approximately $93.3 million as of December 31, 2011. This deficit has been funded primarily through preferred stock and common stock, promissory notes and cash generated from operations.

At December 31, 2011, we had current liabilities of $6.5 million and current assets of $7.1 million.

Reclassifications

Certain reclassifications have been made to the prior period amounts in order to conform to the current period presentation.

Critical Accounting Policies

For critical accounting policies affecting us, see Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” of our Annual Report on Form 10-K for the Fiscal Year Ended September 30, 2011. Critical accounting policies affecting us have not changed materially since September 30, 2011.

Fair Value of Financial Instruments

Carrying amounts of certain of our financial instruments, including cash equivalents, accounts receivable and accounts payable approximate fair value due to their short maturities. Carrying value of notes payable and long-term debt approximate fair values as they bear market rates of interest. None of our financial instruments are held for trading purposes.

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED

 

Revenue Recognition

The Company has contracted billing rates for its management services which it bills as gross revenue as services are delivered. Gross billed revenues are then reduced by the Company’s estimate of allowances based on expected collections, which includes the provision for doubtful accounts, to arrive at net revenues. Net revenues may not represent amounts ultimately collected. The Company adjusts current period revenue for differences in estimated revenue recorded in prior periods and actual cash collections.

The following table shows gross revenues and allowances for the three months ended December 31, 2011 and 2010 (in thousands):

 

     Three months ended  
     December 31,     December 31,  
     2011     2010  

Revenue from services

   $ 5,199      $ 359   

Allowances

     (1,221     (6
  

 

 

   

 

 

 

Net revenue

   $ 3,978      $ 353   
  

 

 

   

 

 

 

Allowances percentage

     23     2
  

 

 

   

 

 

 

The Company computes its estimate of by taking into account collections received for the services performed and also estimating amounts collectible for the services performed within the last twelve months.

2. Discontinued Operations

As of December 31, 2011 and 2010, the operating assets of RHA Tishomingo, RHA Anadarko, RHA Stroud, SPMC, Del Mar, Point Loma, and SPA, have been recorded as assets held for sale and the liabilities as liabilities of operations held for sale. We have reclassified the results of operations of RHA Tishomingo, LLC, RHA Anadarko, RHA Stroud, SPMC, Del Mar, Point Loma, and SPA for all periods presented, to discontinued operations.

The results of discontinued operations for the three months ended December 31, 2011 and 2010 are as follows (in thousands):

 

     Three Months ended  
     December 31,
2011
     December 31,
2010
 

Net revenue from services

   $ 5       $ 7,241   

Costs and expenses:

     

Selling, general and administrative expenses

     1         7,033   

Depreciation and amortization

     —           345   
  

 

 

    

 

 

 

Total costs and expenses

     1         7,378   

Operating income (loss)

     4         (137

Other income

     —           17   

Interest expense

     —           (300

Non-controlling interests

     —           (120
  

 

 

    

 

 

 

Net income (loss) before income taxes

     4         (540

Taxation

     —           —     
  

 

 

    

 

 

 

Total income (loss) from discontinued operations

   $ 4       $ (540
  

 

 

    

 

 

 

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED

 

3. Net Income (Loss) Per Share

 

     Three months ended  
     (in thousands)  
     December 31,      December 31,  
   2011      2010  

Numerator for basic and diluted earnings (loss) per share:

     

Net income (loss) attributable to continuing operations

   $ 2,775       $ (1,133

Net income (loss) attributable to discontinued operations

     54         (540

Denominator for basic earnings (loss) per share — weighted average shares

     15,049,507         15,049,507   

Numerator for diluted earnings (loss) per share:

     

Net income (loss) attributable to continuing operations

     2,828         (1,133

Net income (loss) attributable to discontinued operations

     54         (540

Denominator for diluted earnings (loss) per share — weighted average shares

     62,844,872         15,049,507   

Basic earnings (loss) per share of common stock:

     

Continuing operations

   $ 0.18       $ (0.08

Discontinued operations

     0.01         (0.03
  

 

 

    

 

 

 

Total basic earnings (loss) per share of common stock

   $ 0.19       $ (0.11
  

 

 

    

 

 

 

Diluted earnings (loss) per share of common stock:

     

Continuing operations

   $ 0.04       $ (0.08

Discontinued operations

     0.01         (0.03
  

 

 

    

 

 

 

Total diluted earnings (loss) per share of common stock

   $ 0.05       $ (0.11
  

 

 

    

 

 

 

For the three month periods ended December 31, 2011 and 2010, stock options outstanding to purchase 7,260,000 and 8,616,184 common shares respectively and warrants outstanding to purchase 4,637,913 and 4,731,513 common shares respectively, had strike prices above market value and so are considered “out-of-the-money,” and were therefore excluded from the computation of diluted net income (loss) per share.

For the three month period ended December 31, 2011, the following potential common shares outstanding were included in the computation of diluted net income per share; 67,600 Series 1-A Convertible Preferred Stock convertible into 33,493 common shares, 3,900 Series 2-A Convertible Preferred Stock convertible into 1,872 common shares, 9,000 Series 5-A Convertible Preferred Stock convertible into 28,800,000 common shares, 4,875 Series 6-A Convertible Preferred Stock convertible into 15,600,000 common shares, and $2,100,000 of 2009 Bridge Financing convertible into 3,360,000 common shares. For the three month period ended December 31, 2011, interest expense of $53,000 related to the convertible debt was added back to net income attributable to continuing operations for the computation of diluted net income per share. For the three month period ended December 31, 2010, these potential common shares outstanding were excluded from the computation of diluted net loss per share as their effect is anti-dilutive.

4. Accounts Receivable

Accounts receivable consisted of the following (in thousands):

 

     December 31,     September 30,  
     2011     2011  

Gross patient accounts receivable

   $ 12,095      $ 8,432   

Reserves for bad debt

     (5,559     (4,338

Reserves for contractual allowances

     (134     (39
  

 

 

   

 

 

 

Patient accounts receivable, net

   $ 6,402      $ 4,055   
  

 

 

   

 

 

 

5. Other Current Assets

Other current assets consisted of the following (in thousands):

 

     December 31,
2011
     September 30,
2011
 

Other current assets:

     

Deposits

   $ 7       $ 7   

Other receivables

     1         30   
  

 

 

    

 

 

 

Total other assets

   $ 8       $ 37   
  

 

 

    

 

 

 

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED

 

6. Property and Equipment

Property and equipment consisted of the following (in thousands):

 

     December 31,
2011
    September 30,
2010
 

Property and equipment:

    

Computer hardware

   $ 130      $ 130   

Accumulated depreciation

     (102     (97
  

 

 

   

 

 

 

Property and equipment, net

   $ 28      $ 33   
  

 

 

   

 

 

 

7. Long-term Debt

Long-term debt consists of the following (in thousands):

 

     December 31, 2011     September 30, 2011  

Note payable secured by real estate, $27,513 payable monthly, including interest based on Wall Street Journal prime plus 2% adjusted quarterly, floor of 7%, rate is currently 7%, matures November 2028

   $ 3,253      $ 3,278   

Note payable secured by real estate, $34,144 payable monthly, including interest based on Wall Street Journal prime plus 2% adjusted quarterly, floor of 7%, rate is currently 7%, matures November 2028

     3,147        3,181   

Note payable, 5% interest payable quarterly, matured on or before December 11, 2011

     —          1,500   

Bridge notes payable, 10% interest, matures on or before June 2014

     3,784        3,324   

Note payable, 9% interest per annum and matures in February 2016

     318        332   

Revolving line of credit, 5% interest per annum

     380        380   

Note payable, 10% interest per annum and matures in September 2014

     100        100   
  

 

 

   

 

 

 

Total

     10,982        12,095   
  

 

 

   

 

 

 

Less current maturities of long term debt

     (3,087     (4,102
  

 

 

   

 

 

 

Total long term debt

   $ 7,895      $ 7,993   
  

 

 

   

 

 

 

In August 2011, the holder of the $1.5 million note payable and 4.25 million of the Company’s outstanding common stock, filed a law suit for performance and repayment of the loan. In December 2011, in full settlement of the lawsuit and satisfaction of the $1.5 million note payable, the lender accepted assignment and receipt of the $2.15 million notes receivable the Company had received in July 2011 as consideration for the sale of the SPMC medical records, and cash totaling $91,000. Additionally, as part of the settlement, the lender agreed to transfer the 4.25 million common stock back to the Company.

The following chart shows scheduled principal payments due as of December 31, 2011 on long-term debt for the next five years and thereafter (in thousands):

 

December 31,

   Payments  

2012

   $ 3,087   

2013

     1,836   

2014

     516   

2015

     449   

2016

     429   

Thereafter

     4,665   
  

 

 

 

Total

   $ 10,982   
  

 

 

 

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED

 

8. Warrants

Outstanding exercisable warrants consisted of the following as of December 31, 2011:

 

     Remaining      Exercise         

Description

   Life      Price      Warrants  

July 16, 2007 Preferred Stock Series 5-A warrants issued to investor

     6 months       $ 0.45         50,000   

September 30, 2008 Preferred Stock Series 5-A warrants issued to placement agent

     1.2 years         0.5         436,250   

February 6, 2009 warrants issued in connection with notes payable

     1 months         0.5         1,125,000   

February 6, 2009 warrants issued in connection with notes payable

     1 months         0.75         750,000   

March 3, 2009 warrants issued in connection with notes payable

     2 months         0.5         375,000   

March 16, 2009 warrants issued issued to Medical Advisory Board

     4 months         0.625         125,000   

March 3, 2009 warrants issued in connection with notes payable

     2 months         0.75         250,000   

March 31, 2009 warrants issued in connection with notes payable

     4 months         0.5         112,500   

March 31, 2009 warrants issued in connection with notes payable

     4 months         0.75         75,000   

April 14, 2009 warrants issued in connection with notes payable

     4 months         0.5         37,500   

April 14, 2009 warrants issued in connection with notes payable

     3 months         0.75         25,000   

June 8, 2009 Preferred Stock Series 6-A warrants issued to investor

     2.2 years         0.50         210,000   

June 10, 2009 warrants issued to Medical Advisory Board

     2.2 years         0.63         150,000   

November 6, 2009 warrants issued in connection with notes payable

     1 months         0.5         375,000   

November 6, 2009 warrants issued in connection with notes payable

     1 months         0.75         250,000   

December 3, 2009 warrants issued in connection with notes payable

     2 months         0.5         125,000   

December 3, 2009 warrants issued in connection with notes payable

     2 months         0.75         83,331   

December 31, 2009 warrants issued in connection with notes payable

     3 months         0.5         37,500   

December 31, 2009 warrants issued in connection with notes payable

     3 months         0.75         24,999   

January 14, 2010 warrants issued in connection with notes payable

     3 months         0.5         12,500   

January 14, 2010 warrants issued in connection with notes payable

     3 months         0.75         8,333   
        

 

 

 
           4,637,913   

A summary of our stock warrant activity and related information at December 31, 2011 and September 30, 2011 is as follows:

 

                 Weighted-Average  
     Number of Shares of Common Stock     Exercise Price Per Share  
     Three months     Fiscal year     Three months      Fiscal year  
     ended     Ended     ended      ended  
     December 31,     September 30,     December 31,      September 30,  
     2011     2011     2011      2011  

Warrants outstanding at beginning of the period

     4,731,513        7,949,013      $ 0.58       $ 0.51   

Issued

     —          —          —           —     

Exercised

     —          —          —           —     

Cancelled or expired

     (93,600     (3,217,500   $ 0.50       $ 0.38   
  

 

 

   

 

 

   

 

 

    

 

 

 

Warrants outstanding at end of the period

     4,637,913        4,731,513      $ 0.59       $ 0.58   
  

 

 

   

 

 

   

 

 

    

 

 

 

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED

 

9. Stock Options

The following summarizes information for stock options outstanding as of December 31, 2011:

 

                  Weighted-Average  
     Number of Options     Exercise Price Per Share  
     Three Months Ended      Fiscal Year Ended     Three Months Ended      Fiscal Year Ended  
     December 31,      September 30,     December 31,      September 30,  
     2011      2011     2011      2011  

Options outstanding at beginning of the period

     7,260,000         8,659,082      $ 0.61       $ 0.62   

Granted

          

— at above fair market value

     —           —          —           —     

— at fair market value

     —           —          —           —     

— at below fair market value

     —           —          —           —     

Exercised

     —           —          —           —     

Cancelled

     —           —          —           —     

Forfeited

     —           (1,399,082     —           0.62   
  

 

 

    

 

 

   

 

 

    

 

 

 

Options outstanding at end of the period

     7,260,000         7,260,000      $ 0.61       $ 0.61   
  

 

 

    

 

 

   

 

 

    

 

 

 

Options vested/exercisable at end of the period

     4,470,000         4,370,000      $ 0.61       $ 0.61   
  

 

 

    

 

 

   

 

 

    

 

 

 

 

                   Weighted-average  
            Weighted-average      remaining  

Exercise price

   Number of options      exercise price      contractual life  

$0.40

     360,000       $ 0.40         2.00   

$0.63

     6,900,000       $ 0.63         3.44   

10. Subsequent Events

2012 Bridge Financing

Beginning in February 2012, we entered into a staggered bridge financing transaction (the “2012 Bridge Financing”) whereby we entered into three promissory notes, in the aggregate principal amount of $1,279,000 (the “2012 Bridge Notes”), with three investors (the “2012 Lenders”) with maturity dates of June 30, 2014. The 2012 Bridge Loans funded as follows; $340,000, $320,000, $390,000 and $229,000 in February, March, April, and May of 2012 respectively. All of the 2012 Bridge Financing was considered a related party transaction. The 2012 Bridge Notes were paid in full in the Fiscal Year Ended September 30, 2013.

2013 Bridge Financing

Beginning in November 2013, we entered into a staggered bridge financing transaction (the “2013 Bridge Financing”) whereby we entered into four (4) promissory notes, with interest of 10% per annum, in the aggregate principal amount of $650,000 (the “2013 Bridge Notes”), with 4 investors, each note maturing June 30, 2014. The 2013 Bridge Loans funded as follows; $450,000 and $200,000 in November 2013 and January 2014, respectively.

Three of the investors, SMP Investments I, LLC (SMP), Anthony J. Ciabottoni, and William Houlihan each hold a 10% or greater voting interest and are considered related parties. The fourth investor, Blue Ridge Investments, LLC is wholly owned by Richardson Sells, a member of the Board, and is therefore also considered a related party. The four lenders contributed $300,000, $125,000, $125,000, and $100,000, respectively.

Bridge Note Extensions

In January 2014, each 2011 Bridge Lender agreed to extend the maturity date(s) of their respective Notes with the same terms and conditions contained in the originally executed Notes and related extensions until June 2014. Also in January 2014, each 2009 Bridge Lender agreed to extend the maturity date(s) of their respective Notes with the same terms and conditions contained in the originally executed Notes and related extensions until June of 2014. Three of the Bridge Lenders, SMP, Anthony Ciabattoni, and William A. Houlihan each hold a 10% or greater voting interest and are considered related parties to this transaction.

 

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FIRST PHYSICIANS CAPITAL GROUP, INC.

NOTES TO THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS - CONTINUED

 

In addition, as part of the 2009 Bridge Notes extensions, in January 2014 the Company issued “penny” warrants to SMP for the purchase of up to 8,500,000 shares of Common Stock at an initial exercise price of $0.01 per share and exercisable for a period of five years from the date of issuance. SMP was one of the original 2009 Bridge Financing lenders. SMP holds a 10% or greater voting interest and is considered a related party. In March 2014, SMP exercised its warrant to purchase 8,500,000 shares of common stock for an aggregate purchase price of $85,000. The $85,000 proceeds were received by the company in Fiscal Year 2013, and were recorded as a liability until such time as the Company was able to accept the warrants.

Series 5-A and 6-A Convertible Preferred Stock Waiver

In February 2014, a majority of the Series 5-A Convertible Preferred Stock and Series 6-A Convertible Preferred Stock holders consented to waive their rights to demand registration. As a result of the majority consent, demand registration rights for all of the stockholders of the two classes of stock, were waived.

Warrant Exercise

In March 2014, we accepted two warrant exercises in the amount of 150,000 and 210,000 shares of Common Stock, at an exercise price of $0.625 and $0.50 per share respectively, for an aggregate purchase price of $198,000 from two investors. The $198,000 proceeds had been received by the company in Fiscal Year 2011, and were recorded as a liability until such time as the Company was able to accept the warrants.

Warrant Issuance

The 2011 Bridge Financing had attached warrants to purchase an aggregate of 2,278,079 shares of our Common Stock with an exercise price of $0.3125, maturing five years from date of issuance. These warrants were issued January 1, 2014. Three of the 2011 Bridge Lenders, SMP, Anthony J. Ciabattoni, and William A. Houlihan, each hold a 10% or greater voting interest and are considered related parties to this transaction and received in aggregate 1,746,080 of the warrants.

The 2012 Bridge Financing had attached warrants to purchase an aggregate of 4,092,800 shares of our Common Stock with an exercise price of $0.3125, maturing five years from date of issuance. These warrants were issued January 1, 2014. The 2012 Bridge Lenders, SMP, Anthony J. Ciabattoni, and William A. Houlihan each hold a 10% or greater voting interest and are considered related parties to this transaction.

Series 7-A Convertible Preferred Stock

On December 5, 2013, the Company filed a Certificate of Designation of Rights and Preferences of Series 7-A Convertible Preferred Stock authorizing the issuance of up to 7,000 Series 7-A Convertible Preferred Stock. As part of the consideration for entering into the 2011 Bridge Financing, all of the 2011 Bridge Lenders were granted the option to convert their current holdings if any, of Series 5-A Preferred Convertible Stock, 6-A Preferred Convertible Stock and Common Stock (collectively the “Exchanged Securities”), into Series 7-A Convertible Preferred Stock. Upon election to convert, each lender would receive the number of Series 7-A Convertible Preferred Stock equal to the initial consideration paid for their Exchanged Securities divided by $1,000. In connection with the conversion, each 2011 Bridge Lender shall receive warrants to purchase a number of shares of Common Stock of the Company in an amount equal to 1,120 multiplied by the aggregate number of shares of Series 7-A Preferred issued. Such issued warrants shall have an exercise price of $0.3125, and shall expire five years from date of issuance. The Company has received notification from all the 2011 Bridge Lenders of their intent to convert, as appropriate, their holdings of Exchanged Securities to Series 7-A Convertible Preferred Stock, which will result in the issuance of an aggregate of 5,998 Series 7-A Preferred Stock and warrants to purchase 6,717,760 shares of Common Stock. Three of the 2011 Bridge Lenders, SMP, Anthony J. Ciabattoni, and William A. Houlihan, each hold a 10% or greater voting interest and will be considered related parties to this transaction.

Litigation

In June 2011, the Company vacated office space in Oklahoma City, Oklahoma prior to the expiration of the lease, at which time the landlord proceeded with litigation to collect outstanding lease payments. In December 2013, both parties entered into a settlement agreement under which the Company agreed to make a one-time payment of $65,000 in full satisfaction of all amounts due under the lease terms.

Change in Management

Effective November 18, 2013, David Hirschhorn resigned (i) as Chief Executive Officer, Chairman of the Board of Directors (the “Board”) and as a member of the Board of First Physicians Capital Group, Inc., a Delaware corporation (the “Registrant”), and (ii) from any and all other positions and in all other capacities in which he served as an officer or director of the Registrant or any of the Registrant’s subsidiaries. Mr. Hirschhorn had no disagreements with the Registrant on any matter related to the Registrant’s operations, policies or practices.

On November 21, 2013, the Board appointed Sean J. Kirrane to the position of Chief Executive Officer of the Registrant, to serve until his successor is duly appointed and qualified or until his earlier resignation or removal. Mr. Kirrane has no family relationship with any officer or director of the Registrant or any of its subsidiaries.

 

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Item 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The following discussion and analysis of our financial condition and results of operations should be read in conjunction with the condensed consolidated financial statements and the related notes appearing elsewhere in this Quarterly Report on Form 10-Q (this “Form 10-Q”).

FORWARD LOOKING STATEMENTS

The discussion in this Form 10-Q contains forward-looking statements that may be subject to protection under the Private Securities Litigation Reform Act of 1995 and such statements should not be unduly relied upon. Forward-looking statements can be identified by the use of words such as “may,” “will,” “could,” “should,” “anticipates,” “believes,” “estimates,” “expects,” “intends,” “plans” and variations thereof or of similar expressions. All forward-looking statements included in this Form 10-Q are based on information available to us on the date hereof. We assume no obligation to update any such forward-looking statements. Our actual results in future periods could differ materially from those indicated in such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to:

 

    our ability to obtain ongoing financing, manage our cash resources, control expenses and continue as a going concern;

 

    impact of our indebtedness on our ability to invest in the ongoing needs and growth of our business;

 

    significant past operating losses, potential future losses and limited ongoing revenue;

 

    changes in government regulation, particularly healthcare laws;

 

    possession of significant voting control over us by the holders of our Series 5-A Preferred Stock and Series 6-A Convertible Preferred Stock;

 

    increased competition in the industry, geography and the segments in which we compete;

 

    our ability to attract and retain employees and key members of management;

 

    changes in economic and industry conditions;

 

    reliance on third parties to provide services critical to our operations;

 

    potential dilution of existing stockholders if we raise capital by issuing additional capital stock;

 

    availability of appropriate prospective acquisitions or investment opportunities;

 

    significant costs and obligations as a result of being a public company;

 

    continued positive relationships with our customers;

 

    deterioration in the collectability of our accounts;

 

    major man-made or natural disasters;

 

    compliance with applicable laws and regulations and cost of potential legal actions such as litigation or investigations;

 

    inadequacy of our insurance coverage and fluctuating insurance requirements and costs;

 

    impact of a potential requirement to record asset impairment charges in the future;

 

    failure of our information technology system or the breach of our network security;

 

    impact on our disclosure of use the scaled disclosure option available to smaller reporting companies; and

 

    volatility in the price of our common stock.

OVERVIEW

References to “we,” “us,” “our,” “Tri-Isthmus Group,” “FPCG” or the “Company” refer to First Physicians Capital Group, Inc. and its subsidiaries. We maintain our executive offices at 433 North Camden Drive, #810, Beverly Hills, California 90210. Our telephone number is +1 (310) 860-2501.

We invest in and provide financial and managerial services to healthcare facilities in non-urban markets. We promote quality medical care by offering improved access and breadth of services. We unlock the value of our investments by developing strong, long-term and mutually-beneficial relationships with our physicians and the communities they serve.

 

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Information in this Form 10-Q is current as of March 28, 2014 unless otherwise specified.

STRATEGY

During the Fiscal Year Ended September 30, 2010, we shifted our strategy away from majority ownership in healthcare delivery companies to a focus on the provision of management, financial, and ancillary healthcare and IT services to the rural and community hospital market. We expect to maintain and/or acquire minority ownership in selected healthcare delivery companies that complement our management services and financing activities. We may also invest in, acquire or partner with other companies that provide similar services in our markets.

In pursuit of this reorganization, we undertook an initiative to divest ourselves of underperforming facilities and reduce or outsource administrative functions to better align cost structures and business volume. As a result of the initiative, during the Fiscal Year Ended September 30, 2011, we successfully divested ourselves of our majority owned hospitals, and obtained contracts to provide the healthcare management services to several hospital clients.

We currently have 4 operating subsidiaries which are First Physicians Business Solutions, LLC First Physicians Resources, LLC, First Physicians Services, LLC and First Physicians Realty Group. First Physicians Business Solutions, LLC provides an array of management services to include hospital operations management, revenue cycle management, IT, finance and human resources. First Physicians Services provides ancillary service oversight and management solutions for lab, pharmacy, and emergency departments in rural hospital settings. First Physicians Resources, LLC provides medical and back office staffing solutions to our hospital clientele. First Physicians Realty Group is our real estate subsidiary that owns healthcare related properties and leases them to clients. We currently have contracts to provide financial and back office services to two hospital clients.

MATERIAL CHANGES IN RESULTS OF OPERATIONS

REVENUE

Net revenue from services was $4.0 million for the three month period ended December 31, 2011, compared to $0.4 million for the three month period ended December 31, 2010, representing an increase of $3.6 million, or 900.0% resulting primarily from the hospital management and staff leasing agreements entered into the third quarter of the Fiscal Year Ended September 30, 2011.

SELLING, GENERAL AND ADMINISTRATIVE EXPENSES

Selling, general and administrative expenses increased by $1.1 million, to $2.5 million in the three month period ended December 31, 2011 from $1.4 million in the three month period ended December 31, 2010, representing a 78.6% increase resulting primarily from additional operating costs incurred related to the hospital management and staff leasing agreements entered into the third quarter of the Fiscal Year Ended September 30, 2011. Amortization of stock-based compensation is included in selling, general and administrative expenses.

PROVISION FOR DOUBTFUL ACCOUNTS

Provision for doubtful accounts increased to $1.2 million in the three month period ended December 31, 2011 from six thousand dollars in the three month period ended December 31, 2010, representing an increase of $1.2 million. The increase is primarily the result of the significant increase in revenue earned in the three month period ended December 31, 2011 compared to three month period ended December 31, 2010.

OTHER INCOME (EXPENSE)

Other income (expense) increased $1.3 million to $1.2 million income for the three month period ended December 31, 2011, compared to $0.1 million expense for the three month period ended December 31, 2010. The increase resulted primarily from a $1.4 million net gain on retirement of notes payable.

 

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INTEREST EXPENSE

Interest expense increased $122,000 to $198,000 for the three month period ended December 31, 2011, compared to $76,000 for the three month period ended December 31, 2010. The $122,000 increase resulted primarily from the increase in debt outstanding as of December 31, 2011 as compared to December 31, 2010.

MATERIAL CHANGES IN FINANCIAL CONDITION — AT DECEMBER 31, 2011, COMPARED TO SEPTEMBER 30, 2011:

CASH AND CASH EQUIVALENTS

Our cash and cash equivalents totaled $0.5 million as of December 31, 2011, compared to $1.0 million at September 30, 2011, a decrease of $0.5 million. This represents a decrease of 50% which was primarily the result of the increase in long term debt of net $0.4 million.

ACCOUNTS RECEIVABLE

As of December 31, 2011, accounts receivables, net of allowances for contractual discounts and uncollectible accounts totaled $6.4 million, an increase of $2.3 million from $4.1 million at September 30, 2011. This 56.1% increase was primarily due to the $3.6 million increase in revenue for the quarter.

LONG-TERM DEBT

Long-term debt decreased $1.1 million to $11.0 million at December 31, 2011 from $12.1 million at September 30, 2011. This 9% decrease reflects increased borrowings of $0.4 million offset by the settlement of litigation in which a portion of our notes receivable was given in payment of the $1.5 million note payable.

LIQUIDITY AND CAPITAL RESOURCES

We have funded operations primarily through cash flows from operations, short term bridge financing and the sales of certain of our businesses. We estimate that based on current plans and assumptions, that our available cash and cash flows from operations will be sufficient to satisfy our cash requirements under our present operating expectations, without further financing, for the next 12 months.

As of December 31, 2011, we had a stockholders’ deficit of $12.8 million, as compared to a stockholders’ deficit of $16.0 million as of September 30, 2011. The decrease in stockholders’ deficit arose primarily from net operating income for the quarter.

During the three month period ended December 31, 2011 there was $0.9 million cash used by operating activities, which was primarily the result of an increase in trade accounts receivable, compared to $0.8 million cash used by operating activities for the three month period ended December 31, 2010, which was primarily the result of operating losses for the same period.

Cash provided by financing activities totaled $387,000 in the three month period ended December 31, 2011, which was the result of proceeds from bridge notes of $460,000 offset by $73,000 cash payments on notes payable. Cash used in financing activities of $67,000 in the three month period ended December 31, 2010 was the result of payments on notes payable.

Prior to the current fiscal year, we have sustained operating losses since our inception and have an accumulated deficit of approximately $93.3 million as of December 31, 2011 compared to an accumulated deficit of $96.1 million as of September 30, 2011. The decrease in accumulated deficit in the current period was the result of net income of $2.8 million. The deficit has been funded primarily through preferred stock and common stock, promissory notes and cash generated from operations.

We are not aware of any trends, demands, events or uncertainties that will result in a material change in our liquidity or capital resources, nor do we expect any changes in the cost of our capital resources or the mix and relative cost of our capital resources.

Item 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Not applicable.

 

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Item 4. CONTROLS AND PROCEDURES

(a) Evaluation of Disclosure Controls and Procedures: As of the end of the period covered by this report an evaluation was carried out by our management, including our Chief Executive Officer and Principal Accounting Officer, of the effectiveness of our disclosure controls and procedures as defined in Rules 13a-15(e) and 15d-15(e) of the Securities Exchange Act of 1934, as amended. Based on this evaluation, our Chief Executive Officer and Principal Accounting Officer concluded that our controls and procedures contained evidence of a material weakness as of the end of the fiscal quarter ended December 31, 2011.

(b) Changes in Internal Control Over Financial Reporting: There have been no changes in our internal control over financial reporting during the fiscal quarter ended December 31, 2011 that have a material effect on our internal control over financial reporting.

 

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PART II

OTHER INFORMATION

Item 1. LEGAL PROCEEDINGS

None.

Item 1A. RISK FACTORS

Because we are smaller reporting company, we are not required to disclose the information required by this item.

Item 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

None.

Item 3. DEFAULTS UPON SENIOR SECURITIES

None.

Item 4. MINE SAFETY DISCLOSURES

None.

Item 5. OTHER INFORMATION

None.

Item 6. EXHIBITS

See Exhibit index following the Signatures page.

 

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SIGNATURES

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

 

Date: April 4, 2014  

First Physicians Capital Group, Inc.

(Registrant)

 

By:

 

/s/ Sean Kirrane

   

Sean Kirrane

   

Chief Executive Officer, Chief Financial Officer and authorized signatory.

(Principal Executive Officer and Principal Accounting Officer)

 

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EXHIBIT INDEX

 

Exhibit No.

  

Description

  2.1*    Membership Interest Purchase Agreement (filed as Exhibit 2.1 to the Form 8-K, as filed with the SEC on November 5, 2007)
  3.1*    Certificate of Incorporation (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on November 14, 2000)
  3.2*    Amended and Restated Bylaws dated October 25, 2002 (filed as Exhibit 3.2 to the Form 8-K, as filed with the SEC on October 28, 2002)
  3.3*    Certificate of Designation of Rights and Preferences of Series 2-A Convertible Preferred Stock filed November 8, 2000 (filed as Exhibit 4.1 to the Form 8-K, as filed with the SEC on November 14, 2000)
  3.4*    Certificate of Merger filed November 8, 2000, merging Vsource, Inc. (a Nevada corporation) with and into the Vsource, Inc. (a Delaware corporation) (filed as Exhibit 4.2 to the Form 8-K, as filed with the SEC on November 14, 2000)
  3.5*    Agreement and Plan of Merger dated as of December 14, 2000, among the Registrant, OTT Acquisition Corp., Online Transaction Technologies, Inc. and its Shareholders (filed as Exhibit 10.11 to the Form 10-Q, as filed with the SEC on December 15, 2000)
  3.6*    Certificate of Designation of Rights and Preferences of Series 3-A Convertible Preferred Stock filed June 20, 2001 (filed as Exhibit 4.1 to the Form 8-K, as filed with the SEC on July 2, 2001)
  3.7*    Amendment to Certificate of Incorporation, dated January 16, 2002 (filed as Exhibit 3.3 to the Form 8-K, as filed with the SEC on January 23, 2002)
  3.8*    Certificate of Designation of Rights and Preferences of Series 4-A Convertible Preferred Stock (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on October 28, 2002)
  3.9*    Amendment to Certificate of Incorporation, dated November 20, 2002 (filed as Exhibit 3.1 to the Form 10-Q for the period ended October 31, 2002, as filed with the SEC on December 5, 2002)
  3.10*    Certificate of Designation of Rights and Preferences of Series 5-A Convertible Preferred Stock (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on July 21, 2005)
  3.11*    Amendment to Certificate of Incorporation, dated December 16, 2005 (filed as Exhibit 3.5 to the Form 10-Q for the period ended October 31, 2005, as filed with the SEC on December 20, 2005)
  3.12*    Certificate of Amendment to the Certificate of Designation of Rights and Preferences Series 5-A Convertible Preferred Stock filed January 10, 2008 (filed as Exhibit B to the Form of Series 5-A Preferred Stock and Warrant Purchase Agreement, filed as Exhibit 10.52 herein)
  3.13*    Certificate of Designation of Rights and Preferences of Series 6-A Convertible Preferred Stock filed April 2, 2008 (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on April 3, 2008)

 

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Exhibit No.

  

Description

  3.14*    Certificate of Amendment to the Certificate of Designation of Rights and Preferences of Series 5-A Convertible Preferred Stock filed May 15, 2008 (filed as Exhibit 4.2 to the Form 10-Q, as filed with the SEC on May 20, 2008)
  3.15*    Certificate of Amendment to the Certificate of Designation of Rights and Preferences of Series 6-A Convertible Preferred Stock filed May 15, 2008 (filed as Exhibit B to the Form of Series 6-A Preferred Stock and Warrant Purchase Agreement, filed as Exhibit 10.54 herein)
  3.16*    Amendment to Certificate of Incorporation, dated September 29, 2009 (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on October 1, 2009)
  3.17*    Certificate of Decrease of Shares Designated as Series 7-A Convertible Preferred Stock, dated and filed January 22, 2010 (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on January 28, 2010)
  3.18*    Certificate of Designation of Rights and Preferences of Series 7-A Convertible Preferred Stock (filed as Exhibit 3.1 to the Form 8-K, as filed with the SEC on December 12, 2013)
  4.1*    Certificate of Decrease of Shares Designated as Series 1-A Convertible Preferred Stock (filed as Exhibit 4.1 to the Form 8-K, as filed with the SEC on July 13, 2005)
  4.2*    Certificate of Decrease of Shares Designated as Series 2-A Convertible Preferred Stock (filed as Exhibit 4.2 to the Form 8-K, as filed with the SEC on July 13, 2005)
  4.3*    Certificate of Decrease of Shares Designated as Series 3-A Convertible Preferred Stock (filed as Exhibit 4.3 to the Form 8-K, as filed with the SEC on July 13, 2005)
  4.4*    Certificate of Decrease of Shares Designated as Series 4-A Convertible Preferred Stock (filed as Exhibit 4.4 to the Form 8-K, as filed with the SEC on July 13, 2005)
  4.5*    Series 5-A Preferred Stock and Warrant Purchase Agreement, dated as of July 7, 2005, by and among Vsource, Inc. and the investors listed therein (filed as Exhibit 4.1 to the Form 8-K, as filed with the SEC on July 21, 2005)
  4.6*    Form of Warrant (filed as Exhibit 4.2 to Form 8-K, filed with the SEC on July 21, 2005)
  4.7*    Form of Warrant (filed as Exhibit 4.2 to Form 8-K, filed with the SEC on August 23, 2005)
  4.8*    Series 5-A Preferred Stock and Warrant Purchase Agreement, dated as of September, 18, 2006, by and among First Physicians Capital Group, Inc. and certain Series 5-A Preferred Stock Investors (filed as Exhibit 4.1 to the Form 8-K, as filed with the SEC on September 22, 2006)
  4.9*    Form of Warrant (filed as Exhibit 4.2 to Form 8-K, filed with the SEC on September 22, 2006)
  4.10*    Amended and Restated Articles of Organization of Rural Hospital Acquisition LLC (filed as Exhibit 4.1 to the Form 8-K, as filed with the SEC on November 5, 2007)
  4.11*    Amended and Restated Operating Agreement Rural Hospital Acquisition LLC (filed as Exhibit 4.2 to the Form 8-K, as filed with the SEC on November 5, 2007)
  4.12*    Form of Extension of Warrant, dated July 18, 2007 (filed as Exhibit 4.1 to Form 8-K as filed with the SEC on December 18, 2008)

 

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Exhibit No.

 

Description

31.1   Certification Pursuant to Rule 13a-14(d) promulgated under the Securities Exchange Act of 1934
32.1   Certification Pursuant to 18 U.S.C. 1350
101.INS**   XBRL Instance Document
101.SCH**   XBRL Taxonomy Extension Schema
101.CAL**   XBRL Taxonomy Extension Calculation Linkbase
101.DEF**   XBRL Taxonomy Extension Definition Linkbase
101.LAB**   XBRL Taxonomy Extension Label Linkbase
101.PRE**   XBRL Taxonomy Extension Presentation Linkbase

 

* Previously filed with the SEC as indicated, and hereby incorporated herein by reference.
** Pursuant to Rule 406T of Regulation S-T, these interactive data files are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933 or Section 18 of the Securities Exchange Act of 1934 and otherwise are not subject to liability.

 

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