Advanzeon Solutions, Inc. - Quarter Report: 2007 June (Form 10-Q)
Table of Contents
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-Q
þ | Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the quarterly period ended June 30, 2007. |
o | Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934
For the transition period from _____________ to _____________. Commission File Number 1-9927 |
COMPREHENSIVE CARE CORPORATION
(Exact name of registrant as specified in its charter)
Delaware | 95-2594724 | |
(State or other jurisdiction of incorporation or organization) |
(IRS Employer Identification No.) |
3405 W. Dr. Martin Luther King Jr. Blvd, Suite 101, Tampa, FL 33607
(Address of principal executive offices and zip code)
(813) 288-4808
(Registrants telephone number, including area code)
(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 þ No o
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated
filer, or a non-accelerated filer. See definition of accelerated filer and large accelerated
filer in Rule 12b-2 of the Exchange Act. (Check one):
Large Accelerated Filer o | Accelerated Filer o | Non-Accelerated Filer þ |
Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
Indicate the number of shares outstanding of each of the issuers classes of Common Stock, as
of the latest practicable date:
Class | Outstanding at August 6, 2007 | |
Common Stock, par value $.01 per share | 7,702,781 |
COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Index
PAGE | ||||||||
PART I FINANCIAL INFORMATION | ||||||||
3 | ||||||||
4 | ||||||||
5 | ||||||||
6-13 | ||||||||
13-21 | ||||||||
21 | ||||||||
21 | ||||||||
PART II OTHER INFORMATION | ||||||||
21-22 | ||||||||
22 | ||||||||
22 | ||||||||
22 | ||||||||
22 | ||||||||
22 | ||||||||
Item 6 Exhibits |
22 | |||||||
23 | ||||||||
EX-31.1 SECTION 302 CERTIFICATION OF THE CEO | ||||||||
EX-31.2 SECTION 302 CERTIFICATION OF THE CFO | ||||||||
EX-32.1 SECTION 906 CERTIFICATION OF THE CEO | ||||||||
EX-32.2 SECTION 906 CERTIFICATION OF THE CFO |
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COMPREHENSIVE
CARE CORPORATION AND SUBSIDIARIES
PART I FINANCIAL INFORMATION
Item 1. Consolidated Financial Statements
Consolidated Balance Sheets
(Amounts in thousands)
(Amounts in thousands)
June 30, | December 31, | |||||||
2007 | 2006 | |||||||
(unaudited) | ||||||||
ASSETS |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | 7,216 | 5,543 | |||||
Accounts receivable, less allowance for doubtful accounts of $1 and
$6, respectively |
101 | 163 | ||||||
Other current assets |
496 | 793 | ||||||
Total current assets |
7,813 | 6,499 | ||||||
Property and equipment, net |
373 | 377 | ||||||
Note receivable |
31 | 44 | ||||||
Goodwill, net |
991 | 991 | ||||||
Other assets |
150 | 203 | ||||||
Total assets |
9,358 | 8,114 | ||||||
LIABILITIES AND STOCKHOLDERS DEFICIT |
||||||||
Current liabilities: |
||||||||
Accounts payable and accrued liabilities |
1,783 | 1,201 | ||||||
Accrued claims payable |
5,183 | 2,746 | ||||||
Accrued reinsurance claims payable |
2,526 | 2,516 | ||||||
Income taxes payable |
46 | 50 | ||||||
Total current liabilities |
9,538 | 6,513 | ||||||
Long-term liabilities: |
||||||||
Long-term debt |
2,244 | 2,244 | ||||||
Other liabilities |
144 | 160 | ||||||
Total long-term liabilities |
2,388 | 2,404 | ||||||
Total liabilities |
11,926 | 8,917 | ||||||
Stockholders deficit: |
||||||||
Preferred stock, $50.00 par value; authorized 18,740 shares; 14,400
issued |
720 | 720 | ||||||
Common stock, $0.01 par value; authorized 30,000,000 shares; issued
and outstanding 7,702,783 and 7,655,283, respectively |
77 | 77 | ||||||
Additional paid-in capital |
57,587 | 57,503 | ||||||
Accumulated deficit |
(60,952 | ) | (59,103 | ) | ||||
Total stockholders deficit |
(2,568 | ) | (803 | ) | ||||
Total liabilities and stockholders deficit |
$ | 9,358 | 8,114 | |||||
See accompanying notes to consolidated financial statements.
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CARE CORPORATION AND SUBSIDIARIES
Consolidated Statements of Operations
(Unaudited)
(Amounts in thousands, except per share amounts)
(Unaudited)
(Amounts in thousands, except per share amounts)
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Operating revenues |
$ | 9,159 | 4,924 | 17,860 | 10,033 | |||||||||||
Costs and expenses: |
||||||||||||||||
Healthcare operating expenses |
9,348 | 4,161 | 17,611 | 8,308 | ||||||||||||
General and administrative expenses |
931 | 790 | 2,012 | 1,585 | ||||||||||||
Provision for (recovery of) doubtful accounts |
2 | 4 | (8 | ) | (52 | ) | ||||||||||
Depreciation and amortization |
38 | 22 | 76 | 43 | ||||||||||||
10,319 | 4,977 | 19,691 | 9,884 | |||||||||||||
Operating (loss) income before items shown below |
(1,160 | ) | (53 | ) | (1,831 | ) | 149 | |||||||||
Other income (expense): |
||||||||||||||||
Gain from sale of available-for-sale securities |
29 | | 29 | | ||||||||||||
Loss from software development |
| (21 | ) | | (123 | ) | ||||||||||
Loss on impairment investment in marketable securities |
| (17 | ) | | (17 | ) | ||||||||||
Interest income |
48 | 29 | 72 | 54 | ||||||||||||
Interest expense |
(48 | ) | (48 | ) | (95 | ) | (93 | ) | ||||||||
Other non-operating income |
| 10 | | 10 | ||||||||||||
Loss before income taxes |
(1,131 | ) | (100 | ) | (1,825 | ) | (20 | ) | ||||||||
Income tax expense |
14 | 35 | 24 | 49 | ||||||||||||
Net loss attributable to common stockholders |
(1,145 | ) | (135 | ) | (1,849 | ) | (69 | ) | ||||||||
Net loss per common share basic and diluted |
$ | (0.15 | ) | (0.02 | ) | (0.24 | ) | (0.01 | ) | |||||||
Weighted average common shares outstanding: |
||||||||||||||||
Basic |
7,703 | 5,892 | 7,692 | 5,875 | ||||||||||||
Diluted |
7,703 | 5,892 | 7,692 | 5,875 | ||||||||||||
See accompanying notes to consolidated financial statements.
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Consolidated Statements of Cash Flows
(Unaudited)
(Amounts in thousands)
(Unaudited)
(Amounts in thousands)
Six Months Ended | ||||||||
June 30, | ||||||||
2007 | 2006 | |||||||
Cash flows from operating activities: |
||||||||
Net loss |
$ | (1,849 | ) | (69 | ) | |||
Adjustments to reconcile net loss to net cash provided by (used in) operating activities: |
||||||||
Depreciation and amortization |
76 | 43 | ||||||
Asset writedown eye care memberships |
62 | 63 | ||||||
Asset write-off |
3 | | ||||||
Compensation expense stock options issued |
40 | 8 | ||||||
Loss from software development |
| 123 | ||||||
Gain from sale of available-for-sale securities |
(29 | ) | | |||||
Loss on impairment investment in marketable securities |
| 17 | ||||||
Non cash expense stock issued |
25 | 27 | ||||||
Amortization of deferred revenue |
| (4 | ) | |||||
Changes in assets and liabilities: |
||||||||
Accounts receivable, net |
62 | (442 | ) | |||||
Accounts receivable managed care reinsurance contract |
| 454 | ||||||
Other current assets and other non-current assets |
288 | 250 | ||||||
Accounts payable and accrued liabilities |
604 | 141 | ||||||
Accrued claims payable |
2,437 | (1,162 | ) | |||||
Accrued reinsurance claims payable |
10 | (607 | ) | |||||
Income taxes payable |
(4 | ) | 16 | |||||
Other liabilities |
(19 | ) | | |||||
Net cash provided by (used in) continuing operations |
1,706 | (1,142 | ) | |||||
Net cash used in discontinued operations |
(20 | ) | | |||||
Net cash provided by (used in) continuing and discontinued operations |
1,686 | (1,142 | ) | |||||
Cash flows from investing activities: |
||||||||
Net proceeds from sale of available-for-sale securities |
30 | | ||||||
Payment received on notes receivable |
12 | | ||||||
Additions to property and equipment, net |
(46 | ) | (28 | ) | ||||
Net cash used in investing activities |
(4 | ) | (28 | ) | ||||
Cash flows from financing activities: |
||||||||
Proceeds from the issuance of common stock |
19 | 21 | ||||||
Repayment of debt |
(28 | ) | (32 | ) | ||||
Net cash used in financing activities |
(9 | ) | (11 | ) | ||||
Net increase (decrease) in cash and cash equivalents |
1,673 | (1,181 | ) | |||||
Cash and cash equivalents at beginning of period |
5,543 | 6,288 | ||||||
Cash and cash equivalents at end of period |
$ | 7,216 | 5,107 | |||||
Supplemental disclosures of cash flow information: |
||||||||
Cash paid during the six-month period for: |
||||||||
Interest |
$ | 95 | 93 | |||||
Income taxes |
$ | 30 | 32 | |||||
Non-cash operating, financing and investing activities: |
||||||||
Property acquired under capital leases |
$ | 34 | 136 | |||||
See accompanying notes to consolidated financial statements.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Note 1 Description of the Companys Business and Basis of Presentation
Comprehensive Care Corporation (the Company or CompCare) is a Delaware Corporation
organized in 1969. Unless the context otherwise requires, all references to the Company include
Comprehensive Behavioral Care, Inc. (CBC) and subsidiary corporations. The Company,
primarily through its wholly owned subsidiary, CBC, provides managed care services in the
behavioral health and psychiatric fields, which is its only operating segment. The Company manages
the delivery of a continuum of psychiatric and substance abuse services to commercial, Medicare,
Medicaid and Childrens Health Insurance Program
(CHIP) members on behalf of employers, health plans, government organizations,
third-party claims administrators, and commercial and other group purchasers of behavioral
healthcare services. The Company also provides prior and concurrent authorization for
physician-prescribed psychotropic medications for a major Medicaid
health maintenance organization (HMO) in Indiana and Michigan.
The managed care operations include administrative service agreements, fee-for-service agreements,
and capitation contracts. The customer base for its services includes both private and
governmental entities. The Companys services are provided primarily by unrelated vendors on a
subcontract basis.
The Companys Board of Directors approved on May 21, 2007 a change in the Companys fiscal
year end from May 31 to December 31, effective December 31, 2006. The purpose of the change is to
align the Companys fiscal year end with that of Hythiam, Inc. to obtain reporting efficiencies and
cost reductions. Hythiam purchased a majority, controlling interest in the Company through its
purchase of Woodcliff Healthcare Investment Partners LLC (Woodcliff) in January 2007. In
addition, a calendar year end will coincide with that of a new client that is estimated to provide
approximately 41% of our annual revenues during the 2007 calendar year. The seven months ended
December 31, 2006 was the Companys transition period. The Companys new fiscal year began January
1, 2007 and will end December 31, 2007.
Note 2 Summary of Significant Accounting Policies
The consolidated balance sheet as of June 30, 2007, the consolidated statements of operations
for the three and six months ended June 30, 2007 and 2006, and the consolidated statements of cash
flows for the six months ended June 30, 2007 and 2006 are unaudited and have been prepared in
accordance with accounting principles generally accepted in the United States of America for
interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation
S-X. In the opinion of management, all adjustments necessary for a fair presentation of such
consolidated financial statements have been included. Such adjustments consisted only of normal
recurring items. The results of operations for the six months ended June 30, 2007 are not
necessarily indicative of the results to be expected during the balance of the fiscal year.
The consolidated financial statements do not include all information and footnotes necessary
for a complete presentation of financial position, results of operations and cash flows in
conformity with accounting principles generally accepted in the United States of America. The
consolidated balance sheet as of December 31, 2006 has been derived from the audited, consolidated
financial statements at that date, but does not include all of the information and footnotes
required by accounting principles generally accepted in the United States of America for complete
financial statement presentation. Notes to consolidated financial statements included in Form 10-K
for the transition period ended December 31, 2006 are on file with the Securities and Exchange
Commission (SEC) and provide additional disclosures and a further description of accounting
policies.
Revenue Recognition
The Companys managed care activities are performed under the terms of agreements with health
maintenance organizations, preferred provider organizations, and other health plans or
payers to provide contracted behavioral healthcare services to subscribing participants. Revenue
under a substantial portion of these agreements is earned monthly based on the number of qualified
participants regardless of services actually provided (generally referred to as capitation
arrangements). The information regarding qualified participants is supplied by the Companys
clients and the Company reviews member eligibility records and other reported information to verify
its accuracy to determine the amount of revenue to be recognized. Such agreements accounted for
96.9%, or $17.3 million, of revenue for the six months ended June 30, 2007 and 96.8%, or $9.7
million, of revenue for the six months ended June 30, 2006. The remaining balance of the Companys
revenues is earned on a fee-for-service basis and is recognized as services are rendered.
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Healthcare Expense Recognition
Healthcare operating expense is recognized in the period in which an eligible member actually
receives services and includes an estimate of the cost of behavioral health services that have been
incurred but not yet reported. See Accrued Claims Payable for a discussion of claims incurred
but not yet reported. The Company contracts with various healthcare providers including hospitals,
physician groups and other licensed behavioral healthcare professionals either on a discounted
fee-for-service or a per-case basis. The Company determines that a member has received services
when the Company receives a claim within the contracted timeframe with all required billing
elements correctly completed by the service provider. The Company then determines that the member
is eligible to receive such services, the service provided is medically necessary and is covered by
the benefit plans certificate of coverage, and the service is authorized by one of our employees.
If all of these requirements are met, the claim is entered into the Companys claims system for
payment.
Accrued Claims Payable
The accrued claims payable liability represents the estimated ultimate net amounts owed for
all behavioral healthcare services provided through the respective balance sheet dates, including
estimated amounts for claims incurred but not yet reported (IBNR) to the Company. The unpaid
claims liability is estimated using an actuarial paid completion factor methodology and other
statistical analyses and is continually reviewed and adjusted, if necessary, to reflect any change
in the estimated liability. These estimates are subject to the effects of trends in utilization and
other factors. However, actual claims incurred could differ from the estimated claims payable
amount reported. Although considerable variability is inherent in such estimates, management
believes that the unpaid claims liability is adequate.
Premium Deficiencies
The Company accrues losses under its capitated contracts when it is probable that a loss has
been incurred and the amount of the loss can be reasonably estimated. The Company performs this
loss accrual analysis on a specific contract basis taking into consideration such factors as future
contractual revenue, projected future healthcare and maintenance costs, and each contracts
specific terms related to future revenue increases as compared to expected increases in healthcare
costs. The projected future healthcare and maintenance costs are estimated based on historical
trends and the Companys estimate of future cost increases.
At any time prior to the end of a contract or contract renewal, if a capitated contract is not
meeting its financial goals, the Company generally has the ability to cancel the contract with 60
to 90 days written notice. Prior to cancellation, the Company will usually submit a request for a
rate increase accompanied by supporting utilization data. Although the Companys clients have
historically been generally receptive to such requests, no assurance can be given that such
requests will be fulfilled in the future in the Companys favor. If a rate increase is not
granted, the Company has the ability, in most cases, to terminate the contract and limit its risk
to a short-term period.
On a quarterly basis, the Company performs a review of its portfolio of contracts for the
purpose of identifying loss contracts (as defined in the American Institute of Certified Public
Accountants Audit and Accounting Guide Health Care Organizations) and developing a contract loss
reserve, if applicable, for succeeding periods. During the three months ended June 30, 2007, the
Companys review did not identify any contracts where it was probable that a loss had been incurred
and for which a loss could reasonably be estimated.
Income Taxes
Under the asset and liability method of Statement of Financial Accounting Standards (SFAS) No.
109, Accounting for Income Taxes, deferred tax assets and liabilities are recognized for the
future tax consequences attributable to net operating loss carryforwards and to differences between
the financial statement carrying amounts of existing assets and liabilities and their respective
tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to
apply to taxable income in the years in which those temporary differences are expected to be
recovered or settled. Under SFAS No. 109, the effect of a change in tax rates on deferred tax
assets or liabilities is recognized in the consolidated statements of operations in the period that
included the enactment. A valuation allowance is established for deferred tax assets unless their
realization is considered more likely than not.
In June 2006, the FASB issued Interpretation No. 48, Accounting for Uncertainty in Income
Taxes, (FIN 48) which clarifies the accounting for uncertainty in income taxes. FIN 48 requires
that companies recognize in the consolidated financial statements the impact of a tax position, if
that position is more likely than not of being
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sustained on audit, based on the technical merits of the position. FIN 48 also provides guidance on
derecognition, classification, interest and penalties, accounting in interim periods and
disclosure. The provisions of FIN 48 are effective for years beginning after December 15, 2006.
The Company adopted FIN 48 on January 1, 2007 with no impact on its consolidated financial
statements.
On January 12, 2007, the sale of Woodcliffs majority interest in the Company to Hythiam
constituted a change of ownership under IRS Section 382 rules, which impose limitations on the
ability to deduct prior period net operating losses on current federal tax returns. In the event
that the Company has two or more ownership changes, Section 1.382-5(d) also describes a potential
impact on the limitation for any losses attributable to the period preceding the earlier ownership
change. The Company has determined that the latest change of ownership does not change the
limitation of approximately $400,000 per year for net operating losses incurred prior to June 14,
2005, the date of the first change in control. Furthermore, the Companys ability to use net
operating losses incurred between June 15, 2005 and January 11, 2007 is limited to approximately
$490,000 per year. Net operating losses for periods prior to June 15, 2005 and for the
subsequent period of June 15, 2005 to January 11, 2007 may be deducted simultaneously subject to
the applicable limitations. Any unused portion of such limitations can be carried forward to the
following year. The Company may be subject to further limitation in the event that the Company
issues or agrees to issue substantial amounts of additional equity.
Stock Options
The Company issues stock options to its employees and non-employee directors
(optionees) allowing optionees to purchase the Companys common stock pursuant to
shareholder-approved stock option plans. The Company currently has two active incentive plans, the
1995 Incentive Plan and the 2002 Incentive Plan (collectively, the Plans), that provide for the
granting of stock options, stock appreciation rights, limited stock appreciation rights, and
restricted stock grants to eligible employees and consultants to the Company. Grants issued under
the Plans may qualify as incentive stock options (ISOs) under Section 422A of the Internal
Revenue Code. Options for ISOs may be granted for terms of up to ten years and are generally
exercisable in cumulative increments of 50% each six months. Options for non-statutory stock
options (NSOs) may be granted for terms of up to 13 years. The exercise price for ISOs must
equal or exceed the fair market value of the shares on the date of grant, and 65% in the case of
other options. The Plans also provide for the full vesting of all outstanding options under
certain change of control events. The maximum number of shares authorized for issuance is
1,000,000 under the 2002 Incentive Plan and 1,000,000 under the 1995 Incentive Plan. As of June 30,
2007, under the 2002 Incentive Plan, there were 520,000 options available for grant and there were
440,000 options outstanding and exercisable. Additionally, as of June 30, 2007, under the 1995
Incentive Plan, there were 485,375 options outstanding and exercisable. Effective August 31, 2005,
the 1995 Incentive Plan terminated such that there are no further options available for grant under
this plan.
The Company also has a non-qualified stock option plan for its outside directors (the
Directors Plan). Each non-qualified stock option is exercisable at a price equal to the average
of the closing bid and asked prices of the common stock in the over-the-counter market for the last
preceding day there was a sale of the stock prior to the grant date. Grants of options vest in
accordance with vesting schedules established by the Companys Compensation and Stock Option
Committee. Upon joining the Board, directors receive an initial grant of 25,000 options.
Annually, directors are granted 15,000 options on the date of the Companys annual meeting. As of
June 30, 2007, under the Directors Plan, there were 818,336 shares available for option grants and
there were 83,332 options outstanding and exercisable.
Prior to June 1, 2006, as permitted by Statement of Financial Accounting Standards (SFAS)
No. 148, Accounting for Stock-Based Compensation-Transitional Disclosure, the Company elected to
follow Accounting Principles Board Opinion No. 25, (APB 25) Accounting for Stock Issued to
Employees and related interpretations in accounting for its employee stock options. Under APB 25,
in the event that the exercise price of the Companys employee stock options is less than the
market price of the underlying stock on the date of grant, compensation expense is recognized.
Because all options granted under the Companys employee stock option plans had an exercise price
equal to the market value of the underlying common stock on the date of grant, no stock-based
employee compensation cost was reflected in net (loss) income.
Effective June 1, 2006, the Company adopted SFAS No. 123(R), Share-Based Payment, using the
modified prospective method, which requires companies to measure compensation cost for stock
options issued to employees or non-employee directors at fair value on the grant date and recognize
compensation cost over the service period for those options expected to vest. The Company uses a
Black-Scholes valuation model to determine the fair value of options on the grant date, which is
the same model previously utilized for footnote disclosures required under SFAS No. 148,
Accounting for Stock-Based Compensation-Transitional Disclosure. The following table illustrates
the
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effect on net (loss) income and (loss) income per share if the Company had applied the fair value
recognition provisions of SFAS No. 123R to stock-based employee compensation.
Three | ||||||||
Months | Six Months | |||||||
(in thousands except for per share information) | Ended | Ended | ||||||
6/30/06 | 6/30/06 | |||||||
Net loss as reported |
$ | (135 | ) | (69 | ) | |||
Add: |
||||||||
Total stock-based employee compensation expense included in
related net loss, net of related tax effects |
8 | 8 | ||||||
Deduct: |
||||||||
Total stock-based employee compensation expense determined
under fair value based method for all awards, net of related tax
effects |
(63 | ) | (138 | ) | ||||
Pro forma net loss |
$ | (190 | ) | (199 | ) | |||
Loss per common share: |
||||||||
Basic as reported |
(0.02 | ) | (0.01 | ) | ||||
Diluted as reported |
(0.02 | ) | (0.01 | ) | ||||
Basic pro forma |
(0.03 | ) | (0.03 | ) | ||||
Diluted pro forma |
(0.03 | ) | (0.03 | ) | ||||
A summary of activity throughout the quarter ended June 30, 2007 is as follows:
Weighted-Average | ||||||||||||||||
Weighted- | Remaining | Aggregate | ||||||||||||||
Average | Contractual | Intrinsic | ||||||||||||||
Options | Shares | Exercise Price | Term | Value | ||||||||||||
Outstanding at April 1, 2007 |
1,048,707 | $ | 1.35 | |||||||||||||
Granted |
| | ||||||||||||||
Exercised |
| | ||||||||||||||
Forfeited or expired |
(40,000 | ) | $ | 1.85 | ||||||||||||
Outstanding at June 30, 2007 |
1,008,707 | $ | 1.33 | 4.95 years | | |||||||||||
Exercisable at June 30, 2007 |
1,008,707 | $ | 1.33 | 4.95 years | |
The following table summarizes information about options granted, exercised, and vested
for the three months and six months ended June 30, 2007 and 2006.
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Options granted |
| | | 125,000 | ||||||||||||
Weighted-average grant-date fair value ($) |
| | | 1.43 | ||||||||||||
Options exercised |
| 26,333 | 37,500 | 26,333 | ||||||||||||
Total intrinsic value of exercised options ($) |
| 35,922 | 13,160 | 35,922 | ||||||||||||
Fair value of vested options ($) |
3,423 | 153,506 | 78,346 | 155,217 |
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Stock options were granted to Board of Director members and certain employees during the
six months ended June 30, 2006. No stock options were exercised during the three months ended June
30, 2007. A total of 37,500 options were exercised during the six months ended June 30, 2007.
Total intrinsic value of exercised options during the six months ended June 30, 2007 was $13,160.
Cash received from option exercise under all plans for the six months ended June 30, 2007 and 2006
was $19,000 and $21,000, respectively. For the three months and six months ended June 30, 2006,
26,333 options with a total intrinsic value of $35,922 were exercised. During the three months
ended June 30, 2007, 40,000 stock options granted to one board of director member were cancelled
due to the recipients resignation from the Board.
At June 30, 2007, all stock options were vested. The Company recognized approximately $7,100
of tax benefits attributable to stock-based compensation expense recorded during the six months
ended June 30, 2007. This benefit was fully offset by a valuation allowance of the same amount due
to the likelihood of future realization.
The following table lists the assumptions utilized in applying the Black-Scholes valuation
model. The Company uses historical data to estimate the expected term of the option. Expected
volatility is based on the historical volatility of the Companys traded stock. The Company did
not declare dividends in the past nor does it expect to do so in the near future, and as such it
assumes no expected dividend. The risk-free rate is based on the U.S. Treasury yield curve with
the same expected term as that of the option at the time of grant.
Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Volatility factor of the expected market price of the
Companys common stock |
| | | 107.0 | % | |||||||||||
Expected life (in years) of the options |
| | | 5 | ||||||||||||
Risk-free interest rate |
| | | 4.61 | % | |||||||||||
Dividend yield |
| | | 0 | % |
The Company did not grant any stock options during the three months ended June 30, 2007 or
2006, nor the six months ended June 30, 2007.
Per Share Data
In calculating basic loss per share, net loss is divided by the weighted average number of
common shares outstanding for the period. For the periods presented, diluted loss per share is
equivalent to basic loss per share. The following table sets forth the computation of basic and
diluted loss per share in accordance with SFAS No. 128, Earnings Per Share (amounts in thousands,
except per share data):
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Numerator: |
||||||||||||||||
Net loss |
$ | (1,145 | ) | (135 | ) | (1,849 | ) | (69 | ) | |||||||
Denominator: |
||||||||||||||||
Weighted average shares basic |
7,703 | 5,892 | 7,692 | 5,875 | ||||||||||||
Effect of dilutive securities: |
||||||||||||||||
Employee stock options |
| | | | ||||||||||||
Warrants |
| | | | ||||||||||||
Weighted average shares diluted |
7,703 | 5,892 | 7,692 | 5,875 | ||||||||||||
Loss per share basic and diluted |
$ | (0.15 | ) | (0.02 | ) | (0.24 | ) | (0.01 | ) | |||||||
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Authorized shares of common stock reserved for possible issuance for convertible debentures,
convertible preferred stock, stock options, and warrants are as follows at June 30, 2007:
Convertible debentures(a) |
15,051 | |||
Convertible preferred stock(b) |
4,235,328 | |||
Outstanding stock options(c) |
1,008,707 | |||
Outstanding warrants(d) |
406,000 | |||
Possible future issuance under stock option plans |
1,338,336 | |||
Total |
7,003,422 | |||
(a) The debentures are convertible into 15,051 shares of common stock at a conversion price of
$149.09 per share.
(b) The Series A Convertible Preferred Stock (Series A Preferred Stock) is convertible into
4,235,328 shares of common stock at a conversion rate of 294.12 common shares for each preferred
share.
(c) Options to purchase common stock of the Company have been issued to employees and non-employee
Board of Director members with exercise prices ranging from $.25 to $4.00.
(d) Warrants to purchase common stock of the Company have been issued to certain individuals or
vendors in exchange for consulting services. All such warrants were issued in lieu of cash
compensation and have five-year terms with exercise prices ranging from $1.09 to $5.00.
Note 3 Liquidity
During the six months ended June 30, 2007, net cash provided by continuing and
discontinued operations amounted to $1.7 million, primarily due to timing differences of monies
received from the Companys new major contract in Indiana that started January 1, 2007 and claims
received for payment from providers related to this contract (see Note 5 Major
Customers/Contracts). Cash flows attributed to investing activities consist primarily of $46,000
in outflows for additions to property and equipment offset by $30,000 in cash provided by proceeds
from available-for-sale securities. As of June 30, 2007, the Company had cash reserves of $7.2
million, a working capital deficit of $1.7 million and a stockholders deficit of $2.6 million.
Management believes the Company has sufficient cash reserves to sustain current operations and to
meet the Companys current obligations.
Note 4 Sources Of Revenue
The Companys revenue can be segregated into the following significant categories:
Three Months | Three Months | Six Months | Six Months | |||||||||||||
Ended | Ended | Ended | Ended | |||||||||||||
6/30/07 | 6/30/06 | 6/30/07 | 6/30/06 | |||||||||||||
Capitated contracts |
$ | 8,848 | $ | 4,762 | $ | 17,315 | $ | 9,714 | ||||||||
Non-capitated contracts |
311 | 162 | 545 | 319 | ||||||||||||
Total |
$ | 9,159 | $ | 4,924 | $ | 17,860 | $ | 10,033 | ||||||||
Capitated revenues include contracts under which the Company assumes the
financial risk for the costs of member behavioral healthcare services in exchange for a fixed, per
member per month fee. For non-capitated contracts, the Company may manage behavioral healthcare
programs or perform various managed care functions, such as clinical care management, provider
network development, and claims processing without assuming financial risk for member behavioral
healthcare costs.
Note 5 Major Customers/Contracts
(1) In January 2006, the Company received written notice from a Texas HMO client that the
HMO had determined to establish its own behavioral health unit and therefore was canceling services
provided by the Company effective May 31, 2006. The Company had served commercial, Medicaid, and
Childrens Health Insurance Program (CHIP) members under this contract, which accounted for
approximately 22.1%, or $2.2 million of the Companys operating revenues during the six months
ended June 30, 2006. The HMO had been a client of the Company since November 1998.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
(2) In January 2007 the Company began providing behavioral health services to
approximately 250,000 Indiana Medicaid recipients pursuant to a contract with an Indiana HMO. The
contract accounted for approximately $7.5 million or 42.1% of revenues for the six months ended
June 30, 2007, and is for an initial term of two years with subsequent extensions by mutual written
agreement. Termination of the contract by either party may only be effected by reason of failure
to perform that has not been corrected within agreed upon timeframes.
The Companys contracts with its customers are typically for initial terms of one year with
automatic annual extensions, unless either party terminates by giving the requisite notice. Such
contracts generally provide for cancellation by either party with 60 to 90 days written notice
prior to the expiration of the then current terms.
Note 6 Preferred Stock
As of June 30, 2007, there were 4,340 remaining shares of preferred stock authorized and
available to issue, and 14,400 outstanding shares of Series A Preferred Stock. All outstanding
shares were issued in June 2005 as a result of the sale of Series A Preferred Stock to Woodcliff
for approximately $3.4 million in net cash proceeds. The Series A Preferred Stock, acquired by
Hythiam in January 2007, is convertible into 4,235,328 shares of common stock at a conversion rate
of 294.12 common shares for each preferred share. Hythiam has the right to designate the majority
of the board of directors, has dividend and liquidation preferences, and anti-dilution protection.
In addition, the Company needs Hythiams consent for a sale or merger involving a material portion
of its assets or business, any single or series of related transactions exceeding $500,000, and
prior to incurring any debt in excess of $200,000.
The company is authorized to issue shares of Preferred Stock, $50.00 par value, in one or more
series, each series to have such designation and number of shares as the Board of Directors may fix
prior to the issuance of any shares of such series. Each series may have such preferences and
relative participation, optional or special rights with such qualifications, limitations or
restrictions stated in the resolution or resolutions providing for the issuance of such series as
may be adopted from time to time by the Board of Directors prior to the issuance of any such
series.
Note 7 Commitments and Contingencies
(1) The Company provided behavioral healthcare services to the members of a Connecticut
HMO from 2001 to 2005 under a contract that provided that the Company would also receive funds
directly from a state reinsurance program for the purpose of paying providers. At June 30, 2007,
$2.5 million of reinsurance claims payable remains and is attributable to providers having
submitted claims for authorized services having incorrect service codes or otherwise incorrect
information that has caused payment to be denied by the Company. In such cases, there are
contractual and statutory provisions that allow the provider to appeal a denied claim. If no
appeal is received by the Company within the prescribed amount of time, the Company may be required
to remit the reinsurance funds back to the appropriate party. At June 30, 2007, management believes
no further unpaid claims remain, but has not reduced the claims liability since the statutory
limits have not expired relating to such claims.
(2) In connection with the Companys new Indiana contract that started January 1, 2007,
the Company is required to maintain a performance bond in the amount of $1,000,000. In addition,
a $25,000 performance bond is maintained in relation to a Third Party Administrator license in
Maryland.
(3) Related to the Companys discontinued hospital operations, Medicare guidelines allow
the Medicare fiscal intermediary to re-open previously filed cost reports. The Companys fiscal
1999 cost report, the final year the Company was required to file a cost report is being reviewed,
in which case the intermediary may determine that additional amounts are due to or from Medicare.
Management believes cost reports for fiscal years prior to fiscal 1999 are closed and considered
final.
(4) The Company has insurance for a broad range of risks as it relates to its business
operations. The Company maintains managed care errors and omissions, professional and general
liability coverage. These policies are written on a claims-made basis and are subject to a
$100,000 per claim self-insured retention. The managed care errors and omissions and professional
liability policies include limits of liability of $1 million per claim and $3 million in the
aggregate. The general liability has a limit of liability of $5 million per claim and $5 million in
the aggregate. The Company is responsible for claims within the self-insured retentions or if the
policy limits are exceeded. Management is not aware of any claims that could have a material
adverse impact on the Companys consolidated financial statements.
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(5) On January 12, 2007, the members of Woodcliff sold their outstanding membership
interests in Woodcliff to Hythiam. Following the change in membership interest of Woodcliff, three
existing Company board members formerly nominated by Woodcliff resigned, and the Board of Directors
appointed three new board members proposed by Hythiam. The acquisition by Hythiam of the
Woodcliff membership interests constitutes a change of control pursuant to the terms of the
Companys employment agreement with its Chief Executive Officer (CEO), which would entitle the
CEO to be paid a severance benefit equal to twenty-four months base salary totaling $410,000 if she
elects to terminate, at her sole discretion, her employment at any time within one year following
the change in control.
(6) Two class action lawsuits and a complaint have been filed against the Company in the
Delaware Court of Chancery. Until the actions are withdrawn or settled, the Company may incur
further legal defense fees and may be subject to awards of plaintiffs attorney fees or other fees,
the amounts of which are not presently known or reasonably estimable. See Part I, Item 3, Legal
Proceedings for a description of these matters.
Note 8 Related Party Transactions
In August 2005, the Companys principal operating subsidiary, Comprehensive Behavioral Care,
Inc. (CBC), entered into a marketing agreement with Health Alliance Network, Inc. (HAN) whereby
CBC appointed HAN as its primary representative and marketing agent for commercial business. Two
shareholders of HAN held membership interests in Woodcliff, the owner of a controlling interest in
the Company. On January 12, 2007, the members of Woodcliff sold 100% of their outstanding
membership interests in Woodcliff to Hythiam. For the three and six months ended June 30, 2007,
CBC paid HAN $18,000 and $36,000, respectively, and $9,000 and $54,000, for the three and six
months ended June 30, 2006, respectively.
In February 2006, CBC entered into an agreement with Hythiam whereby CBC would have the
exclusive right to market Hythiams substance abuse disease management program to its current and
certain mutually agreed upon prospective clients. The program is an integrated disease management
approach designed to offer less restrictive levels of care in order to minimize repeat
detoxifications. Under the agreement, CBC will pay Hythiam license and service fees for each
enrollee who is treated. David Schuster, then a director, held the position of Vice President of
Corporate Development for Hythiam during the period coinciding with the negotiation and initial
term of the agreement. Mr. Schuster resigned as a director on June 25, 2007. As of June 30, 2007
there had been no material transactions resulting from this agreement. On January 12, 2007, Hythiam
acquired a controlling interest in the Company.
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
In addition to historical information, the following information contains forward-looking
statements as defined under federal securities laws. Such statements include, but are not limited
to, statements concerning the Companys anticipated operating results, financial resources,
increases in revenues, increased profitability, interest expense, growth and expansion, and the
ability to obtain new behavioral healthcare contracts. These statements are based on current
expectations, estimates and projections about the industry and markets in which Comprehensive Care
Corporation (CompCare or the Company) operates, and managements beliefs and assumptions.
Forward-looking statements are not guarantees of future performance and involve certain known and
unknown risks and uncertainties that could cause actual results to differ materially from those
expressed or implied by such statements. Such risks and uncertainties include, but are not limited
to, changes in local, regional, and national economic and political conditions, the effect of
governmental regulation, competitive market conditions, varying trends in member utilization, our
ability to manage healthcare operating expenses, our ability to achieve expected results from new
business, the profitability of our capitated contracts, cost of care, seasonality, the Companys
ability to obtain additional financing, and other risks detailed herein and from time to time in
the Companys SEC reports. The following discussion should be read in conjunction with the
accompanying consolidated financial statements and notes thereto of CompCare appearing elsewhere
herein.
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COMPREHENSIVE
CARE CORPORATION AND SUBSIDIARIES
OVERVIEW
GENERAL
We are a Delaware corporation organized in 1969. Unless the context otherwise requires, all
references to us include our wholly owned operating subsidiary, Comprehensive Behavioral Care,
Inc.SM (1) (CBC) and subsidiary corporations.
Primarily through CBC, we provide managed care services in the behavioral health and
psychiatric fields, which is our only operating segment. We coordinate and manage the delivery of a
continuum of psychiatric and substance abuse services to:
| Commercial members | ||
| Medicare members | ||
| Medicaid members | ||
| Childrens Health Insurance Program (CHIP) members |
on behalf of:
| employers | ||
| health plans | ||
| government organizations | ||
| third-party claims administrators | ||
| commercial purchasers | ||
| other group purchasers of behavioral healthcare services |
Our customer base includes both private and governmental entities. We provide services
primarily by a contracted network of providers that includes:
| psychiatrists | ||
| psychologists | ||
| therapists | ||
| other licensed healthcare professionals | ||
| psychiatric hospitals | ||
| general medical facilities with psychiatric beds | ||
| residential treatment centers | ||
| other treatment facilities |
The services provided through our provider network include outpatient programs (such as
counseling or therapy), intermediate care programs (such as intensive outpatient programs and
partial hospitalization services), and inpatient and crises intervention services. We do not
directly provide treatment or own any provider of treatment services.
We typically enter into contracts on an annual basis to provide managed behavioral healthcare
and substance abuse treatment to our clients members. Our arrangements with our clients fall into
two broad categories: capitation arrangements, where our clients pay us a fixed fee per member, and
fee-for-service and administrative service arrangements where we may manage behavioral healthcare
programs or perform various managed care services. We derived 96.9% or $17.3 million of our
revenues from capitation arrangements for the six months ended June 30, 2007. Under capitation
arrangements, we receive premiums from our clients based on the number of covered members as
reported to us by our clients. The amount of premiums we receive for each member is fixed at the
beginning of the contract term. These premiums may be subsequently adjusted, up or down, generally
at the commencement of each renewal period.
Our largest expense is the cost of behavioral health services that we provide, which is based
primarily on our arrangements with healthcare providers. Since we are subject to increases in
healthcare operating expenses based on an increase in the number and frequency of our members
seeking behavioral care services, our profitability depends on our ability to predict and
effectively manage healthcare operating expenses in relation to the fixed premiums we
(1) | Comprehensive Behavioral Care, Inc. is a registered service mark of the Company. |
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
receive under capitation arrangements. Providing services on a capitation basis exposes us to the
risk that our contracts may ultimately be unprofitable if we are unable to anticipate or control
healthcare costs. Estimation of healthcare operating expense is our most significant critical
accounting estimate. See Managements Discussion and Analyses of Financial Condition and Results
of Operations Critical Accounting Estimates.
RECENT DEVELOPMENTS
On January 12, 2007, Hythiam, Inc., a healthcare services management company focusing on
solutions for those suffering from alcoholism and other substance dependencies, gained a majority,
controlling interest in us by purchasing the membership interests of Woodcliff Healthcare
Investment Partners, LLC, now a wholly owned subsidiary of Hythiam. Since February 2006, we have
had a marketing agreement with Hythiam under which we have the right to offer its
PROMETA® treatment programs as part of a disease management offering to our customers
and other mutually agreed parties on an exclusive basis.
Hythiam owns 1,739,130 shares of our common stock and 14,400 shares of our Series A
Convertible Preferred Stock. The Preferred Stock is convertible into 4,235,328 shares of our
common stock. Assuming conversion, Hythiam has the ability to control 5,974,458 shares or 50.05%
of our common stock based on shares outstanding at August 6, 2007. Hythiam has dividend and
liquidation preferences, anti-dilution protection, and the right to appoint a majority of our board
of directors. In addition, we are required to obtain Hythiams consent for a sale or merger
involving a material portion of our assets or business, and prior to entering into any single or
series of related transactions exceeding $500,000 or incurring any debt in excess of $200,000.
After Hythiam acquired Woodcliff, three of our existing board members resigned and our board
appointed three new directors proposed by Hythiam.
On
January 18, 2007, we entered into an Agreement and Plan of
Merger (the Merger Agreement) with Hythiam, as amended
on January 26, 2007, whereby we would merge with a newly formed, wholly-owned subsidiary of
Hythiam, with CompCare surviving the merger as a wholly-owned subsidiary of Hythiam. Our board of
directors approved the merger subject to approval by a majority interest of our stockholders. To
complete the merger, Hythiam would acquire our remaining outstanding shares in exchange for Hythiam
common stock. On January 23, 2007 and February 1, 2007, respectively, two stockholder class action
lawsuits were filed in Delaware Chancery Court seeking to enjoin the proposed merger. See Part II,
Item 1 Legal Proceedings for a discussion of these lawsuits.
On May 21, 2007, our Board of Directors approved a change in our fiscal year end from May 31
to December 31, effective December 31, 2006, to align our fiscal year end with that of Hythiam to
obtain reporting efficiencies and cost reductions. In addition, a calendar year end will coincide
with that of a new client that is estimated to provide approximately 41% of our annual revenues
during the 2007 calendar year. The seven months ended December 31, 2006 is our transition period
and our new fiscal year began January 1, 2007 and will end December 31, 2007.
On
May 25, 2007, we mutually agreed to terminate the Merger Agreement, releasing all parties
from any and all liabilities and further obligations arising under the agreement. For the
foreseeable future we will continue as a majority-owned, controlled subsidiary of Hythiam, which
has publicly indicated that it has determined that it can effectuate substantially all of the
benefits of its relationship with us under the current operational structure.
On July 19, 2007, we received from an existing client in Texas a notice of termination, which,
if we are not successful in reinstating or obtaining an extension, will result in termination of
our contract effective November 30, 2007. This client accounted for 8.6%, or $1.5 million, of our
revenues for the six months ended June 30, 2007 and has been a customer since 1998.
On August 1, 2007, we began providing behavioral healthcare services to approximately 23,000
Medicare members from an existing client in Pennsylvania. Such services are estimated to generate
between $4.5 and $5.0 million in annual revenues.
Results of Operations
For the six months ended June 30, 2007, we reported a net loss of $1.8 million, or $0.24 loss
per share (basic and diluted). In comparison, we reported a net loss of $69,000, or $0.01 loss per
share (basic and diluted), for the six months ended June 30, 2006.
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CARE CORPORATION AND SUBSIDIARIES
Our marketing efforts to sell the eye care memberships we acquired in November 2004 have not
been successful. At May 31, 2006, we recorded a valuation reserve of 50%, or $62,500, to reduce
the carrying value of the memberships to our best estimate of recoverable value. Our marketing
efforts have continued during calendar 2007 but have yet to result in sales of the memberships.
During the quarter ended June 30, 2007, a further valuation reserve was recorded to reduce the
remaining carrying value to zero.
The following tables summarize the Companys operating results from continuing operations for
the three and six months ended June 30, 2007 and 2006 (amounts in thousands):
The
Three Months Ended June 30, 2007 Compared to the Three Months Ended June 30, 2006:
Three Months Ended | ||||||||
June 30, | ||||||||
2007 | 2006 | |||||||
Operating revenues: |
||||||||
Capitated contracts |
$ | 8,848 | 4,762 | |||||
Non-capitated sources |
311 | 162 | ||||||
Total operating revenues |
9,159 | 4,924 | ||||||
Operating expenses: |
||||||||
Healthcare operating expenses: |
||||||||
Claims expense(1) |
7,550 | 3,140 | ||||||
Other healthcare operating expenses(1) |
1,798 | 1,021 | ||||||
Total healthcare operating expenses |
9,348 | 4,161 | ||||||
General and administrative expenses |
931 | 790 | ||||||
Bad Debt |
2 | 4 | ||||||
Depreciation and amortization |
38 | 22 | ||||||
Total operating expenses |
10,319 | 4,977 | ||||||
Operating loss |
$ | (1,160 | ) | (53 | ) | |||
(1) Claims expense reflects the cost of revenue of capitated contracts, and other healthcare
operating expense reflects the cost of revenue of capitated and non-capitated contracts.
Operating revenues from capitated contracts increased 85.8%, or approximately $4.1 million, to
$8.8 million for the quarter ended June 30, 2007 compared to $4.7 million for the quarter ended
June 30, 2006. The increase is primarily attributable to the addition of a new major client in
Indiana, which accounted for $3.9 million, and a new client in Michigan, which accounted for
approximately $219,000. Additional business from three existing customers in Michigan and Texas
also increased revenues by approximately $851,000. This is offset by the loss of one major
customer in Texas, which accounted for approximately $879,000 for the three months ending June 30,
2006. Revenue from non-capitated sources increased 92.0% or approximately $149,000, to $311,000
for the quarter ended June 30, 2007, compared to $162,000 for the quarter ended June 30, 2006. The
increase is primarily due to additional business in Texas from an existing client.
Claims expense on capitated contracts increased approximately $4.4 million or 140.4% for the
three months ended June 30, 2007 as compared to the three months ended June 30, 2006 due to higher
capitated revenues. Claims expense as a percentage of capitated revenues increased from 65.9% for
the three months ended June 30, 2006 to 85.3% for the three months ended June 30, 2007 due
primarily to increased utilization of covered services by members of our new Indiana contract.
Other healthcare expenses, attributable to servicing both capitated contracts and non-capitated
contracts, increased 76.1%, or approximately $777,000 due primarily to workforce additions in
response to the aforementioned increase in revenues in Indiana.
General and administrative expenses increased by 17.8%, or approximately $141,000 for the
quarter ended June 30, 2007 as compared to the quarter ended June 30, 2006. The increase in
general and administrative expense is primarily attributable to recruitment fees paid in
conjunction with the hiring of a new Chief Development Officer and fees for the audit of our
December 31, 2006 financial statements due to our change in fiscal year. General and
administrative expense as a percentage of operating revenue decreased from 16.0% for the quarter
ended June 30, 2006 to 10.2% for the quarter ended June 30, 2007, due to higher operating revenues.
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The Six Months Ended June 30, 2007 Compared to the Six Months Ended June 30, 2006:
Six Months Ended | ||||||||
June 30, | ||||||||
2007 | 2006 | |||||||
Operating revenues: |
||||||||
Capitated contracts |
$ | 17,315 | $ | 9,714 | ||||
Non-capitated sources |
545 | 319 | ||||||
Total operating revenues |
17,860 | 10,033 | ||||||
Operating expenses: |
||||||||
Healthcare operating expenses: |
||||||||
Claims expense(1) |
14,464 | 6,305 | ||||||
Other healthcare operating expenses(1) |
3,147 | 2,003 | ||||||
Total healthcare operating expense |
17,611 | 8,308 | ||||||
General and administrative expenses |
2,012 | 1,585 | ||||||
Recovery of doubtful accounts |
(8 | ) | (52 | ) | ||||
Depreciation and amortization |
76 | 43 | ||||||
Total operating expenses |
19,691 | 9,884 | ||||||
Operating (loss) income |
$ | (1,831 | ) | $ | 149 | |||
(1) Claims expense reflects the cost of revenue of capitated contracts, and other healthcare
operating expense reflects the cost of revenue of capitated and non-capitated contracts.
Capitated contract revenues increased 78.2%, or approximately $7.6 million, to
approximately $17.3 million for the six months ended June 30, 2007 compared to $9.7 million for the
six months ended June 30, 2006. The increase is primarily attributable to the addition of a new
major client in Indiana, which accounted for $7.5 million, and a new client in Michigan, which
accounted for approximately $438,000. Additional business from four existing customers in
Michigan, Maryland and Texas also increased revenues by approximately $2.1 million. This is offset
by the loss of one major customer in Texas, which accounted for approximately $2.2 million for the
six months ending June 30, 2006. Non-capitated revenue increased 70.8%, or approximately $226,000,
to approximately $545,000 for the six months ended June 30, 2007, compared to approximately
$319,000 for the six months ended June 30, 2006. The increase is primarily due to additional
business in Texas from an existing client.
Claims expense on capitated contracts increased approximately $8.2 million or 129.4% for the
six months ended June 30, 2007 as compared to the six months ended June 30, 2006 due to higher
capitated revenues. Claims expense as a percentage of capitated revenues increased from 64.9% for
the six months ended June 30, 2006 to 83.5% for the six months ended June 30, 2007 due primarily to
increased utilization of covered services by members of our new Indiana contract. Other healthcare
expenses, which are incurred to service both capitated and non-capitated contracts, increased
approximately $1.1 million, or 57.1%, due primarily to workforce additions in response to the
aforementioned increase in revenues in Indiana.
General and administrative expenses increased by $427,000, or 26.9%, for the six months ended
June 30, 2007 as compared to the six months ended June 30, 2006. The increase in general and
administrative expense is primarily attributable to the expensing of prepaid fees paid to former
directors following their resignation. Additionally, $135,000 of legal fee expense was incurred
related to the proposed merger with Hythiam and with two class action lawsuits brought by two
minority shareholders. General and administrative expense as a percentage of operating revenue
decreased from 15.8% for the six months ended June 30, 2006 to 11.3% for the six months ended June
30, 2007.
Seasonality of Business
Historically, we have experienced increased member utilization during the months of
March, April and May, and consistently low utilization by members during the months of June, July,
and August. Such variations in member utilization impact our costs of care during these months,
generally having a positive impact on our gross margins and operating profits during the June
through August period and a negative impact on our gross margins and operating profits during the
months of March through May. Corresponding with historical patterns, we experienced higher
utilization costs during the period March 2007 through May 2007. Utilization costs exceeding
expectations and not
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attributable to seasonality are addressed through a rate increase request to the applicable client.
We may continue to experience increased utilization costs in subsequent periods.
Concentration of Risk
For the six months ended June 30, 2007, 86.2% of our operating revenue was
concentrated in contracts with six health plans to provide behavioral healthcare services under
commercial, Medicare, Medicaid, and CHIP plans. For the same period of the prior year, 86.4% of
our operating revenue was concentrated in contracts with seven health plans. The term of each
contract is generally for one year and is automatically renewable for additional one-year periods
unless terminated by either party by giving the requisite written notice. The loss of one or more
of these clients, unless replaced by new business, would negatively affect the financial condition
of the Company.
Liquidity and Capital Resources
During the six months ended June 30, 2007, our cash and cash equivalents increased by $1.7
million, primarily due to timing differences of monies received from our new Indiana contract that
started January 1, 2007 and claims received for payment from our providers related to this
contract. Cash flows attributed to investing activities consist primarily of $46,000 in outflows
for additions to property and equipment offset by $30,000 in cash provided by proceeds from
available-for-sale securities.
For the six months ended June 30, 2006, our cash and cash equivalents decreased by $1.2
million due primarily to payment of claims following the end of a major Connecticut contract on
December 31, 2005 and the termination of a major Texas contract on May 31, 2006. Cash used in
investing activities amounted to $28,000 for additions to property and equipment.
At June 30, 2007, cash and cash equivalents were approximately $7.2 million. Although we had
a working capital deficit of $1.7 million and a stockholders deficit of $2.6 million at June 30,
2007, we expect positive net cash flow from new contracts that started January 1, 2007 and as a
result, management believes we will have positive cash flow during 2007 and sufficient cash
reserves to sustain current operations and to meet our current obligations.
Our unpaid claims liability is estimated using an actuarial paid completion factor methodology
and other statistical analyses. These estimates are subject to the effects of trends in
utilization and other factors. Any significant increase in member utilization that falls outside
of our estimations would increase healthcare operating expenses and may impact our ability to
achieve and sustain profitability and positive cash flow. Although considerable variability is
inherent in such estimates, we believe that our unpaid claims liability is adequate. However,
actual results could differ from the $5.2 million claims payable amount reported as of June 30,
2007.
Critical Accounting Estimates
Our discussion and analysis of our financial condition and results of operations is based upon
our consolidated financial statements, which have been prepared in accordance with accounting
principles generally accepted in the United States of America. The preparation of these
consolidated financial statements requires us to make significant estimates and judgments to
develop the amounts reflected and disclosed in the consolidated financial statements, most notably
our estimate for claims incurred but not yet reported (IBNR). On an on-going basis, we evaluate
the appropriateness of our estimates and we maintain a thorough process to review the application
of our accounting policies. We base our estimates on historical experience and on various other
assumptions that we believe to be reasonable under the circumstances. Actual results may differ
from these estimates under different assumptions or conditions.
We believe our accounting policies specific to revenue recognition, accrued claims payable,
premium deficiencies, goodwill, and stock compensation expense involve our most significant
judgments and estimates that are material to our consolidated financial statements (see Note 1
Description of the Companys Business and Basis Presentation to the unaudited, consolidated
financial statements).
Revenue Recognition
We provide managed behavioral healthcare and substance abuse services to recipients, primarily
through subcontracts with HMOs. Revenue under the vast majority of these agreements is earned and
recognized monthly based on the number of covered members as reported to us by our clients
regardless of whether services actually provided are lesser or greater than anticipated when we
entered into such contracts (generally referred to as capitation
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arrangements). The information regarding the number of covered members is supplied by our
clients and we review membership eligibility records and other reported information to verify its
accuracy in calculating the amount of revenue to be recognized. Consequently, the vast majority of
our revenue is determined by the monthly receipt of covered member information and the associated
payment from the client, thereby removing uncertainty and precluding us from needing to make
assumptions to estimate monthly revenue amounts.
We may experience adjustments to our revenues to reflect changes in the number and eligibility
status of members subsequent to when revenue is recognized. Subsequent adjustments to our revenue
have not been material.
Accrued Claims Payable and Claims Expense
Healthcare operating expenses are composed of claims expense and other healthcare expenses.
Claims expense includes amounts paid to hospitals, physician groups and other managed care
organizations under capitated contracts. Other healthcare expenses include items such as
information systems, case management and quality assurance, attributable to both capitated and
non-capitated contracts.
The cost of behavioral health services is recognized in the period in which an eligible member
actually receives services and includes an estimate of IBNR (as defined below). We contract with
various healthcare providers including hospitals, physician groups and other managed care
organizations either on a discounted fee-for-service or a per-case basis. We determine that a
member has received services when we receive a claim within the contracted timeframe with all
required billing elements correctly completed by the service provider. We then determine whether
(1) the member is eligible to receive such services, (2) the service provided is medically
necessary and is covered by the benefit plans certificate of coverage, and (3) the service has
been authorized by one of our employees. If all of these requirements are met, the claim is
entered into our claims system for payment and the associated cost of behavioral health services is
recognized.
Accrued claims payable consists primarily of reserves established for reported claims and
claims incurred but not yet reported (IBNR), which are unpaid through the respective balance
sheet dates. Our policy is to record managements best estimate of IBNR. The IBNR liability is
estimated monthly using an actuarial paid completion factor methodology and is continually reviewed
and adjusted, if necessary, to reflect any change in the estimated liability as more information
becomes available. In deriving an initial range of estimates, we use an actuarial model that
incorporates past claims payment experience, enrollment data and key assumptions such as trends in
healthcare costs and seasonality. Authorization data, utilization statistics, calculated
completion percentages and qualitative factors are then combined with the initial range to form the
basis of managements best estimate of the accrued claims payable balance.
At June 30, 2007, the initial range of accrued claims payable was between $4.9 million and
$5.3 million. Based on the information available, we determined our best estimate of the accrued
claims liability to be $5.2 million. Approximately $2.2 million of the $5.2 million accrued claims
payable balance at June 30, 2007 is attributable to our new major contract in Indiana that started
January 1, 2007. As of June 30, 2007 we have accrued as claims expense approximately 97.6% of the
revenue from this contract. Of this amount, seventy percent has been paid and thirty percent is
included in our accrued claims payable balance at June 30, 2007. Due to limited historical claims
payment data, we have estimated the IBNR for this contract primarily by using estimated completion
factors based on authorization data.
At December 31, 2006, the initial accrued claims payable range was between $2.6 and $2.9
million, and our best estimate was determined to be $2.7 million. We have used the same methodology
and assumptions for estimating the IBNR portion of the accrued claims liability for each fiscal
quarter-end.
Accrued claims payable at June 30, 2007 and December 31, 2006 comprises approximately $1.1
million and, $0.7 million, respectively, of submitted and approved claims, which had not yet been
paid, and $4.1 million and, $2.0 million for IBNR claims, respectively.
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Many aspects of our business are not predictable with consistency, and therefore, estimating
IBNR claims involves a significant amount of management judgment. Actual claims incurred could
differ from the estimated claims payable amount presented. The following are factors that would
have an impact on our future operations and financial condition:
| Changes in utilization patterns | ||
| Changes in healthcare costs | ||
| Changes in claims submission timeframes by providers | ||
| Success in renegotiating contracts with healthcare providers | ||
| Occurrence of catastrophes | ||
| Changes in benefit plan design | ||
| The impact of present or future state and federal regulations |
A 5% increase in assumed healthcare cost trends from those used in our calculations of IBNR at
June 30, 2007, could increase our claims expense by approximately $84,000 and reduce our net
results per share by $0.01 per share as illustrated in the table below:
Change in Healthcare Costs: | ||
(Decrease) | ||
(Decrease) | Increase | |
Increase | In Claims Expense | |
(5%)
|
($86,000) | |
5% | $84,000 |
Premium Deficiencies
We accrue losses under our capitated contracts when it is probable that a loss has been
incurred and the amount of the loss can be reasonably estimated. We perform this loss accrual
analysis on a specific contract basis taking into consideration such factors as future contractual
revenue, projected future healthcare and maintenance costs, and each contracts specific terms
related to future revenue increases as compared to expected increases in healthcare costs. The
projected future healthcare and maintenance costs are estimated based on historical trends and our
estimate of future cost increases.
At any time prior to the end of a contract or contract renewal, if a capitated contract is not
meeting its financial goals, we generally have the ability to cancel the contract with 60 to 90
days written notice. Prior to cancellation, we will usually submit a request for a rate increase
accompanied by supporting utilization data. Although our clients have historically been generally
receptive to such requests, no assurance can be given that such requests will be fulfilled in the
future in the our favor. If a rate increase is not granted, we have the ability to terminate the
contract and limit our risk to a short-term period.
On a quarterly basis, we perform a review of our portfolio of contracts for the purpose of
identifying loss contracts (as defined in the American Institute of Certified Public Accountants
Audit and Accounting Guide Health Care Organizations) and developing a contract loss reserve, if
applicable, for succeeding periods. During the three months ended June 30, 2007, we did not
identify any contracts where it was probable that a loss had been incurred and for which a loss
could reasonably be estimated.
Goodwill
We evaluate at least annually the amount of our recorded goodwill by performing an impairment
test that compares the carrying amount to an estimated fair value. In estimating the fair value,
management makes its best assumptions regarding future cash flows and a discount rate to be applied
to the cash flows to yield a present, fair value of equity. As a result of such tests, management
believes there is no material risk of loss from impairment of goodwill. However, actual results
may differ significantly from managements assumptions, resulting in potentially adverse impact to
our consolidated financial statements.
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Stock Compensation Expense
We issue stock-based awards to our employees and members of our Board of Directors.
Effective June 1, 2006, we adopted SFAS 123R and elected to apply the modified-prospective method
to measure compensation cost for stock options at fair value on the grant date and recognize
compensation cost on a straight-line basis over the service period for those options expected to
vest. We use the Black-Scholes option pricing model, which requires certain variables for input to
calculate the fair value of a stock award on the grant date. These variables include the expected
volatility of our stock price, award exercise behaviors, the risk free interest rate, and expected
dividends. We use significant judgment in estimating expected volatility of the stock, exercise
behavior and forfeiture rates.
Expected Volatility
We estimate the volatility of the share price by using historical data of our traded stock in combination with managements expectation of the extent of fluctuation in future stock prices. We believe our historical volatility is more representative of future stock price volatility and as such it has been given greater weight in estimating future volatility.
We estimate the volatility of the share price by using historical data of our traded stock in combination with managements expectation of the extent of fluctuation in future stock prices. We believe our historical volatility is more representative of future stock price volatility and as such it has been given greater weight in estimating future volatility.
Expected Term
A variety of factors are considered in determining the expected term of options granted. Options granted are grouped by their homogeneity, based on the optionees position, whether managerial or clerical, and length of service and turnover rate. Where possible, we analyze exercise and post-vesting termination behavior. For any group without sufficient information, we estimate the expected term of the options granted by averaging the vesting term and the contractual term of the options.
A variety of factors are considered in determining the expected term of options granted. Options granted are grouped by their homogeneity, based on the optionees position, whether managerial or clerical, and length of service and turnover rate. Where possible, we analyze exercise and post-vesting termination behavior. For any group without sufficient information, we estimate the expected term of the options granted by averaging the vesting term and the contractual term of the options.
Expected Forfeiture Rate
We generally separate our option awards into two groups: employee and non-employee awards. The historical data of each group are analyzed independently to estimate the forfeiture rate of options at the time of grant. These estimates are revised in subsequent periods if actual forfeitures differ from estimated forfeitures.
We generally separate our option awards into two groups: employee and non-employee awards. The historical data of each group are analyzed independently to estimate the forfeiture rate of options at the time of grant. These estimates are revised in subsequent periods if actual forfeitures differ from estimated forfeitures.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
While we currently have market risk sensitive instruments, we have no significant exposure to
changing interest rates as the interest rate on our long-term debt is fixed. Additionally, we do
not use derivative financial instruments for investment or trading purposes and our investments are
generally limited to cash deposits.
Item 4. Controls and Procedures
Under the supervision and with the participation of our Chief Executive Officer and Chief
Financial Officer, we have evaluated the effectiveness of the design and operation of our
disclosure controls and procedures as of the end of the period covered by this report, and, based
on their evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that
these disclosure controls and procedures are effective. There have been no changes in our internal
controls over financial reporting identified in connection with this evaluation that occurred
during the period covered by this report and that have affected, or are reasonably likely to
materially affect, the Companys internal controls over financial reporting.
PART II OTHER INFORMATION
Item 1. Legal Proceedings
We and nine current and former board members were named as defendants in two class action
lawsuits filed by two shareholders on January 23, 2007 and February 1, 2007, respectively. In the
similar complaints, filed in the Chancery Court of Delaware, the plaintiffs seek permanent
injunctive and other equitable relief to prevent Hythiam from acquiring 49.95% of our outstanding
common shares that it does not currently own (either directly or through its wholly owned
subsidiary, Woodcliff) from the remaining minority shareholders. The plaintiffs allege that the
consideration being proposed to the minority shareholders by Hythiam is inadequate, through
coercive means, without fair process and through material misleading information.
On May 25, 2007, we mutually terminated the Agreement and Plan of Merger. The plaintiffs
counsel has acknowledged that the lawsuits are now moot and has agreed to dismiss them, but has not
yet done so.
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On June 15, 2007, a complaint was filed against us by two stockholders in the Delaware Court
of Chancery. The complaint seeks an order compelling us to deliver copies of requested books and
records pursuant to Section 220 of the Delaware General Corporation Law. In addition, the
complaint seeks payment of reasonable fees and expenses to the plaintiffs and such other further
relief that the Court may deem just and proper. We filed an answer to the complaint on July 11,
2007, in which we contend that the demand made by the plaintiffs does not comply with the form and
manner of making a demand for inspection under Section 220 that the plaintiffs failed to set forth
or establish a proper purpose for inspection, and that the documents the plaintiffs seek to inspect
are overly broad. We have offered to produce appropriate documents pursuant to a reasonable
protective order, to which the plaintiffs have refused to agree.
From time to time, we may be party to, and our property may be subject to, ordinary, routine
litigation incidental to our business. Claims may exceed insurance policy limits and we may have
exposure to a liability that is not covered by insurance. We are not aware of any such lawsuits
that could have a material adverse impact on our consolidated financial statements.
Item 1A. Risk Factors
The Risk Factors included in our Transition Report on Form 10-K for the seven months ended
December 31, 2006 have not materially changed.
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Not Applicable.
Item 3. Defaults Upon Senior Securities
Not applicable.
Item 4. Submission of Matters to a Vote of Security Holders
Not applicable.
Item 5. Other Information
Not applicable.
Item 6. Exhibits
EXHIBIT | ||||
NUMBER | DESCRIPTION | |||
31.1 | Comprehensive Care Corporation CEO Certification pursuant to Section 302
of the Sarbanes-Oxley Act of 2002 |
|||
31.2 | Comprehensive Care Corporation CFO Certification pursuant to Section 302
of the Sarbanes-Oxley Act of 2002 |
|||
32.1 | Comprehensive Care Corporation CEO Certification pursuant to 18 U.S.C.
Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |
|||
32.2 | Comprehensive Care Corporation CFO Certification pursuant to 18 U.S.C.
Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 |
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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the Company has duly
caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
COMPREHENSIVE CARE CORPORATION | ||||||
August 9, 2007 | ||||||
By | /s/ MARY JANE JOHNSON |
|||||
Mary Jane Johnson President and Chief Executive Officer (Principal Executive Officer) |
||||||
By | /s/ ROBERT J. LANDIS |
|||||
Robert J. Landis Chairman, Chief Financial Officer and Treasurer (Principal Financial and Accounting Officer) |
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