First Physicians Capital Group's first fiscal quarter Net Revenue from Services rises 32%

First Physicians Capital Group, Inc. (“FPCG” or the “Company”) (OTCBB: FPCG), an operator of healthcare services firms primarily in rural and suburban markets in the U.S., reported results for the Company’s first fiscal quarter ended December 31, 2009 and delivered today the following update to shareholders from FPCG’s CEO, David Hirschhorn.

Highlights for the first fiscal quarter were:

• Achieved Net Revenue from Services of $10.3 million and Adjusted EBITDA from Operations before corporate overhead of $0.8 million in the first quarter of Fiscal 2010.
• Completed the recapitalization of our Southern Plains Medical Center (SPMC) clinic through a sale-leaseback financing in January 2010.
• Retired short-term debt of $3.7 million associated with SPMC real estate with proceeds from SPMC recapitalization. SPMC received net cash proceeds of $0.7 million after closing costs. $1.5 million of restricted cash pledged as collateral was released and returned to us.
• Continued to receive strong financial support from our investor base with extension of maturities for 18-36 months on our convertible bridge loans issued between February and April 2009.
• Reduced total short-term debt by 88% post-SPMC recapitalization and convertible bridge loan maturity extensions.
• Continued reductions in operating expenses and corporate overhead at our Southern Plains Medical Group (SPMG) facilities in Oklahoma as well as at the holding company level.

To Our Shareholders:

A worldwide economic recession that created the most difficult business environment since the Great Depression made Fiscal 2009 (the fiscal year ending September 30, 2009) and the first quarter of Fiscal 2010 a challenging one for FPCG. The global recession had a major impact on the financial performance of companies around the world in virtually every industry, and FPCG was no exception. In addition to a very weak economy and extremely tight credit markets, we were uniquely affected by the uncertainty surrounding the entire healthcare sector as legislators in Washington, D.C. worked toward passage of a reform bill with far-reaching consequences.

Our response to all of this was to adopt a very cautious approach to managing our business. We slowed our growth, continued to implement aggressive cost control initiatives, and focused on enhancing the long-term stability of our balance sheet, with the ultimate goal of positioning ourselves for strong, sustainable growth in Fiscal 2010 and beyond. FPCG, along with the entire healthcare sector, faced a significant amount of uncertainty over the outcome of healthcare reform efforts in Washington. This had a significant impact on our discussions with several acquisition targets and their ability to decide on a course of action. While we believe the government will eventually resolve the current deadlock on healthcare reform, we expect the ongoing uncertainty will continue to make the deal process with our acquisition targets a complicated one.

Despite the challenges, we achieved a significant number of milestones during Fiscal 2009 and the first quarter of Fiscal 2010:

• Achieved Net Revenue from Services of $10.3 million and Adjusted EBITDA from Operations before corporate overhead of $0.8 million in the first quarter of Fiscal 2010.
• Achieved record Net Revenue from Services of $39.1 million in Fiscal 2009, a 32% year-over-year increase over $29.6 million in Fiscal 2008.
• Achieved $4.4 million in Adjusted EBITDA from Operations before corporate overhead in Fiscal 2009, a 40% year-over-year increase over $3.2 million in Fiscal 2008.
• Concluded Fiscal 2009 with total assets of $29.5 million, an 11% year-over-year increase over $26.5 million at the end of Fiscal 2008.
• Completed the buyout of the remaining 49% minority partner interest in our SPMG subsidiary in Oklahoma in December 2008.
• Closed on $8.4 million in bank financing under the USDA Loan Guaranty Program in December 2008, proceeds of which were primarily used to refinance acquisition debt related to the initial majority purchase of our SPMG subsidiary.
• Assembled a new management team at our SPMG subsidiary in November 2008 with a deep bench of experience and strong reputation in the Oklahoma market.
• Continued to receive strong financial support from our investor base evidenced by high participation rates in warrant exercises during the year and the closing of a convertible bridge loan from investors issued between February and April 2009, which maturity was extended for another 18 to 36 months into Fiscal 2011. The maturity extensions effectively reduced our short-term debt by $1.5 million.
• Completed the acquisition of The Chandler Clinic located near Stroud Regional Medical Center (one of SPMG’s 3 critical access hospitals) in May 2009.
• Began managing Liberty-Dayton Community Hospital in Liberty, Texas in October 2009.
• Secured $4.7 million in sale-leaseback financing under the USDA Loan Guaranty Program on our Southern Plains Medical Center (SPMC) clinic real estate in January 2010. Our wholly-owned First Physicians Realty Group subsidiary was the purchaser of the real estate along with a minority partner group of local Oklahoma investors.
• Proceeds from the SPMC sale-leaseback were used to pay-off short-term debt of $3.7 million associated with SPMC real estate. SPMC received net cash proceeds of $0.7 million after retirement of the debt and closing costs. $1.5 million of restricted cash pledged as security on the refinanced SPMC debt was released and returned to us. After the SPMC recapitalization and convertible bridge loan maturity extensions, we have reduced total short-term debt by 88%.
• Added an experienced financial services executive and banking veteran to our Board of Directors.
• Renamed our company to First Physicians Capital Group, Inc. and began trading with our new ticker symbol FPCG.OB on the OTC Bulletin Board.

While we did not achieve all of our strategic and financial goals in Fiscal 2009, we finished the year with positive momentum and a sound balance sheet. With the most recent financing related to the sale-leaseback of SPMC, we have completed the restructuring of our balance sheet from one that was heavily dependent on short-term maturities to one that is almost entirely comprised of long-term maturities at very attractive rates. In Fiscal 2010, as part of the next phase of our capital and operating plan, we expect to focus on working capital ratios and bringing them in line with target goals.

We believe the key to our long-term profitability is growth. As discussed in previous updates, we have built our platform with a focus on growth. While we continue to make our operations as efficient as possible, growth will ultimately drive our near term and long term profitability and return on capital. As of October 2009, we have reduced operating expenses outside of professional fees (e.g., accounting, legal and SOX compliance) by over $2.5 million per annum. We believe we are conservatively positioned from a cost structure standpoint for Fiscal 2010.

While we slowed our investment and acquisition activities to “let the dust settle” on healthcare reform and waited for capital costs to become reasonable and attractive again during Fiscal 2009, we are optimistic that Fiscal 2010 will present us with a number of attractive growth opportunities in the sector and in our markets. The rest of this letter will outline in more detail our major accomplishments in Fiscal 2009 and our strategic efforts to position ourselves for a strong Fiscal 2010.

Corporate Strategy Update

During the past three years, we have grown our business from net revenue of $2.5 million in Fiscal 2007 to $39.1 million in Fiscal 2009. (Note: Fiscal 2007 was a shorter eight-month transition period.) Over the same period, we have also accumulated a valuable real estate portfolio at attractive prices and with attractive financing. While we continue to aggressively reduce corporate overhead and implement cost savings throughout the organization, we are positioning ourselves to pursue several significant acquisitions and JV opportunities during this current and next fiscal year. Assuming we identify the right partner, we believe these potential transactions would allow us to fulfill our long-term strategy of using the “hub-and-spoke” model to develop a comprehensive integrated health system by providing a value-added referral base for larger health system partners in core urban areas near our facilities.

During the current and next fiscal year, we expect to continue to pursue our strategy of:

• Acquiring two to four businesses per year with a focus on the rural healthcare market;
• Enhancing the operational efficiency of our existing healthcare facilities; and,
• Securing attractive financing, including real estate-based solutions as appropriate, for our operating partners.

Operations

As previously announced, we have made very significant investments in assembling our management team and developing our operating infrastructure. We have also made significant investments in our dealmaking resources, including systems in place to perform transaction due diligence and execution. We believe that we can increase our healthcare facility business volumes both organically and through acquisitions without any significant further increases in our corporate overhead. We have put in place a platform capable of assimilating the future growth we are anticipating for the Company and expect future growth via internal operating improvements or the completion of new transactions to add positively to our bottom line without commensurate increases in expenses.

To measure our progress and growth, we have tracked the following general key metrics:

• Physicians in our Network – The current number of FPCG physician employee partners is 36 and has not seen a net change since the end of Fiscal 2008. We believe the number of our physicians will be a key indicator of our future success because each partner represents reliable, high-value long-term revenue for FPCG.
• Healthcare Facilities – We currently own and operate 7 facilities (1 in San Diego and 6 in Oklahoma), compared to 6 facilities at the end of Fiscal 2008.
• Number of Employees – We currently have 420 employees in California and Oklahoma compared to 442 at the end of December 2008. We expect our reported employment figures to drop for our existing operations going forward as a result of our ongoing cost reduction efforts.
• Admissions and Patient Days – Our hospitals admitted 1,555 patients over 7,215 total patient days in Fiscal 2009. This compares to 1,512 patients admitted over 6,767 total patient days in Fiscal 2008.
• Average Daily Census – Our hospitals saw average daily census of 20 patients in Fiscal 2009 versus 19 patients in Fiscal 2008.
• Patient Visits / Cases – Our medical clinics and surgery centers saw 77,633 patient visits and 1,857 cases, respectively, in Fiscal 2009.

Fiscal 2010 Outlook

While we have accomplished a great deal in the past 3 years, we remain cautiously optimistic given current economic conditions and ongoing uncertainty surrounding healthcare reform. Over the current and next fiscal year, as the investment environment continues to improve, we anticipate accelerating our investment program. FPCG continues to receive strong support from existing shareholders as we explore alternative financing strategies to create liquidity and fund future growth.

As always, we appreciate the support of our long-term shareholders, directors, advisors, partners and employees. Despite a challenging economic environment, we will continue to work aggressively to increase shareholder value.