Advanzeon Solutions, Inc. - Quarter Report: 2007 February (Form 10-Q)
Table of Contents
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, DC 20549
FORM 10-Q
þ | Quarterly report pursuant to Section13 or 15(d) of the Securities Exchange Act of 1934 |
For the quarterly period ended February 28, 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 | (IRS Employer Identification No.) | |
or organization) |
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 April 11, 2007 | |
Common Stock, par value $.01 per share | 7,702,783 |
COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Index
PAGE | ||||||||
3 | ||||||||
4 | ||||||||
5 | ||||||||
Notes to Consolidated Financial Statements |
6-14 | |||||||
14-22 | ||||||||
23 | ||||||||
23 | ||||||||
23 | ||||||||
23 | ||||||||
24 | ||||||||
24 | ||||||||
24 | ||||||||
24 | ||||||||
24 | ||||||||
25 | ||||||||
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)
February 28, | May 31, | |||||||
2007 | 2006 | |||||||
(unaudited) | ||||||||
ASSETS |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | 6,374 | 5,463 | |||||
Restricted cash |
1 | 589 | ||||||
Accounts receivable, less allowance for doubtful accounts of $0 |
1,556 | 153 | ||||||
Other current assets |
551 | 477 | ||||||
Total current assets |
8,482 | 6,682 | ||||||
Property and equipment, net |
392 | 251 | ||||||
Note receivable |
40 | 55 | ||||||
Goodwill, net |
991 | 991 | ||||||
Other assets |
195 | 203 | ||||||
Total assets |
10,100 | 8,182 | ||||||
LIABILITIES AND STOCKHOLDERS DEFICIT |
||||||||
Current liabilities: |
||||||||
Accounts payable and accrued liabilities |
1,367 | 1,198 | ||||||
Accrued claims payable |
5,017 | 2,790 | ||||||
Accrued reinsurance claims payable |
2,526 | 2,526 | ||||||
Income taxes payable |
46 | 48 | ||||||
Total current liabilities |
8,956 | 6,562 | ||||||
Long-term liabilities: |
||||||||
Long-term debt |
2,244 | 2,244 | ||||||
Other liabilities |
166 | 119 | ||||||
Total long-term liabilities |
2,410 | 2,363 | ||||||
Total liabilities |
11,366 | 8,925 | ||||||
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 5,898,707, respectively |
77 | 59 | ||||||
Additional paid-in capital |
57,586 | 56,645 | ||||||
Accumulated deficit |
(59,649 | ) | (58,167 | ) | ||||
Total stockholders deficit |
(1,266 | ) | (743 | ) | ||||
Total liabilities and stockholders deficit |
$ | 10,100 | 8,182 | |||||
See accompanying notes to consolidated financial statements.
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COMPREHENSIVE 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 | Nine Months Ended | |||||||||||||||
February 28, | February 28, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Operating revenues |
$ | 7,369 | $ | 5,585 | 16,051 | $ | 18,642 | |||||||||
Costs and expenses: |
||||||||||||||||
Healthcare operating expenses |
7,060 | 4,579 | 15,122 | 16,074 | ||||||||||||
General and administrative expenses |
1,121 | 768 | 2,610 | 2,473 | ||||||||||||
Recovery of doubtful accounts |
(10 | ) | (55 | ) | (145 | ) | (91 | ) | ||||||||
Depreciation and amortization |
34 | 21 | 86 | 65 | ||||||||||||
8,205 | 5,313 | 17,673 | 18,521 | |||||||||||||
Operating (loss) income |
(836 | ) | 272 | (1,622 | ) | 121 | ||||||||||
Other income (expense): |
||||||||||||||||
Gain on sale of assets |
2 | | 2 | | ||||||||||||
Gain from property insurance claim |
| | 17 | | ||||||||||||
Loss from software development |
| (102 | ) | | (102 | ) | ||||||||||
Interest income |
24 | 19 | 73 | 47 | ||||||||||||
Interest expense |
(46 | ) | (45 | ) | (143 | ) | (139 | ) | ||||||||
Other non-operating income |
| 1 | 254 | 57 | ||||||||||||
(Loss) income before income taxes |
(856 | ) | 145 | (1,419 | ) | (16 | ) | |||||||||
Income tax expense |
5 | 16 | 43 | 44 | ||||||||||||
(Loss) income from continuing operations |
(861 | ) | 129 | (1,462 | ) | (60 | ) | |||||||||
Loss from discontinued operations |
| | (20 | ) | | |||||||||||
Net (loss) income attributable to common stockholders |
$ | (861 | ) | 129 | (1,482 | ) | (60 | ) | ||||||||
(Loss) income per common share basic |
||||||||||||||||
(Loss) income from continuing operations |
$ | (0.11 | ) | 0.02 | (0.22 | ) | (0.01 | ) | ||||||||
Loss from discontinued operations |
| | (0.00 | ) | | |||||||||||
Net (loss) income |
$ | (0.11 | ) | 0.02 | (0.22 | ) | (0.01 | ) | ||||||||
(Loss) income per common share diluted |
||||||||||||||||
(Loss) income from continuing operations |
$ | (0.11 | ) | 0.01 | (0.22 | ) | (0.01 | ) | ||||||||
Loss from discontinued operations |
| | (0.00 | ) | | |||||||||||
Net (loss) income |
$ | (0.11 | ) | 0.01 | (0.22 | ) | (0.01 | ) | ||||||||
Weighted average common shares outstanding: |
||||||||||||||||
Basic |
7,665 | 5,851 | 6,710 | 5,782 | ||||||||||||
Diluted |
7,665 | 10,443 | 6,710 | 5,782 | ||||||||||||
See accompanying notes to consolidated financial statements.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Consolidated Statements of Cash Flows
(Unaudited)
(Amounts in thousands)
(Unaudited)
(Amounts in thousands)
Nine Months Ended | ||||||||
February 28, | ||||||||
2007 | 2006 | |||||||
Cash flows from operating activities: |
||||||||
Loss from continuing operations |
$ | (1,462 | ) | (60 | ) | |||
Adjustments to reconcile loss from continuing operations to net cash
provided by (used in) operating activities: |
||||||||
Depreciation and amortization |
86 | 65 | ||||||
Gain on sale of assets |
(2 | ) | | |||||
Loss from software development |
| 102 | ||||||
Compensation expense stock options issued |
96 | | ||||||
Gain from property insurance claim |
(17 | ) | | |||||
Non cash expense stock issued |
35 | 26 | ||||||
Amortization of deferred revenue |
(3 | ) | (56 | ) | ||||
Changes in assets and liabilities: |
||||||||
Accounts receivable, net |
(1,403 | ) | 90 | |||||
Accounts receivable managed care reinsurance contract |
| 372 | ||||||
Other current assets, restricted cash, and other assets-non-current |
540 | (323 | ) | |||||
Accounts payable and accrued liabilities |
186 | (146 | ) | |||||
Accrued claims payable |
2,227 | (576 | ) | |||||
Accrued reinsurance claims payable |
| (442 | ) | |||||
Income taxes payable |
(2 | ) | (1 | ) | ||||
Other liabilities |
32 | | ||||||
Net cash provided by (used in) continuing operations |
313 | (949 | ) | |||||
Net cash used in discontinued operations |
(20 | ) | (55 | ) | ||||
Net cash provided by (used in) continuing and discontinued
operations |
293 | (1,004 | ) | |||||
Cash flows from investing activities: |
||||||||
Net proceeds from sale of property and equipment |
2 | | ||||||
Proceeds from property insurance claim |
35 | | ||||||
Payment received on notes receivable |
14 | | ||||||
Additions to property and equipment, net |
(173 | ) | (13 | ) | ||||
Net cash used in investing activities |
(122 | ) | (13 | ) | ||||
Cash flows from financing activities: |
||||||||
Proceeds from the issuance of common and preferred stock |
804 | 3,481 | ||||||
Repayment of long-term debt |
(64 | ) | (38 | ) | ||||
Net cash provided by financing activities |
740 | 3,443 | ||||||
Net increase in cash and cash equivalents |
911 | 2,426 | ||||||
Cash and cash equivalents at beginning of period |
5,463 | 3,695 | ||||||
Cash and cash equivalents at end of period |
$ | 6,374 | 6,121 | |||||
Supplemental disclosures of cash flow information: |
||||||||
Cash paid during the nine-month period for: |
||||||||
Interest |
$ | 101 | 97 | |||||
Income taxes |
$ | 46 | 45 | |||||
Non-cash financing and investing activities: |
||||||||
Securities received through consulting agreement, net of other
comprehensive loss |
$ | | 4 | |||||
Property acquired under capital leases |
$ | 58 | | |||||
See accompanying notes to consolidated financial statements.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Note 1 Basis of Presentation
Comprehensive Care Corporation (the Company or CompCare) is a Delaware corporation
organized in 1969. The Company, primarily through its wholly owned subsidiary, Comprehensive
Behavioral Care, Inc. (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, and Medicaid members
on behalf of employers, health plans, government organizations, third-party claims administrators,
and commercial and other group purchasers of behavioral healthcare services. The customer base for
the Companys services includes both private and governmental entities. The Companys services are
provided primarily by unrelated vendors on a subcontract basis.
On January 12, 2007, Hythiam, Inc. (Hythiam), a healthcare services management company
focusing on solutions for those suffering from alcoholism and other substance dependencies, gained
a majority controlling interest in the Company by purchasing the membership interests of Woodcliff
Healthcare Investment Partners, LLC (Woodcliff). Woodcliff owns 1,739,130 shares of the
Companys common stock acquired in October 2006 and 14,400 shares of the Companys Series A
Convertible Preferred Stock acquired in June 2005. The Preferred Stock is convertible into
4,235,328 shares of the Companys common stock at the election of Woodcliff. Assuming conversion,
Woodcliff has the ability to control 5,974,458 shares or 50.05% of the Companys common stock based
on shares outstanding at April 11, 2007. Woodcliff has dividend and liquidation preferences,
anti-dilution protection, and the right to appoint a majority of the board of directors of the
Company. In addition, the Company is required to obtain Woodcliffs consent for a sale or merger
involving a material portion of the Companys 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 Woodcliff appointed board
members resigned and Hythiam appointed three new board members. On January 18, 2007, the Company
entered into a merger agreement with Hythiam, as amended on January 26, 2007, whereby Hythiam would
acquire the remaining outstanding shares of the Company in exchange for shares of Hythiam common
stock. However, two CompCare stockholder class action lawsuits have been filed in opposition to
the merger. While the final outcome of the litigation and the
proposed merger cannot be predicted at this time, Hythiam has publicly indicated that they would
be satisfied with their current equity stake. See Part IIOther Information, Item 1Legal Proceedings for discussion of the
lawsuits.
The consolidated balance sheet as of February 28, 2007, the consolidated statements of
operations for the three and nine months ended February 28, 2007 and 2006, and the consolidated
statements of cash flows for the nine months ended February 28, 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 nine months ended February 28, 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 at May 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 fiscal year ended May 31, 2006 are on file with the Securities and Exchange Commission
(SEC) and provide additional disclosures and a further description of accounting policies.
Note 2 Summary of Significant Accounting Policies
Restricted Cash
At February 28, 2007, restricted cash of $1,000 represents the amount of deposits required
under the terms of client contracts for the purpose of paying outstanding claims. At May 31, 2006,
such deposits totaled $514,000, which when combined with the Companys office lease security
deposit of $75,000, comprised the May 31, 2006 restricted cash balance of $589,000. All of the
claims payment deposits required at May 31, 2006 were disbursed following the end of the associated
contracts, and the office lease deposit was returned to the Company in June 2006 subsequent to the
end of the lease on May 31, 2006.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Revenue Recognition
The Companys managed care activities are performed under the terms of agreements with health
maintenance organizations (HMOs), 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 relies extensively on the accuracy of the client remittance and other
reported information to determine the amount of revenue to be recognized. Capitation agreements
accounted for 96.1% of revenue, or $15.4 million, for the nine months ended February 28, 2007 and
96.0% of revenue, or $17.9 million, for the nine months ended February 28, 2006. The remaining
balance of the Companys revenues is earned on a fee-for-service basis and is recognized as
services are rendered.
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 managed care organizations 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 whether 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 accrued
claims payable 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 historically the Companys
clients have 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 to terminate the contract as described above 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 February 28, 2007,
the Company identified one contract that was not meeting its financial goals and entered into
negotiations to obtain a rate increase from the client. At February 28, 2007, the Company believes
no contract loss reserve for future periods is necessary for this contract. Annual revenues from
the contract are approximately $1.2 million.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
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 FASB Interpretation No. 48 (FIN 48), Accounting for
Uncertainty in Income Taxes, 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 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 fiscal years beginning after December 15, 2006. The Company will adopt FIN 48 on June
1, 2007, the beginning of its 2008 fiscal year, and is currently in the process of evaluating the
impact of implementation of FIN 48 on its consolidated financial statements.
On January 12, 2007, the sale of Woodcliffs majority interest in the Company to Hythiam, Inc.
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 or completes the merger with
Hythiam.
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 February 28, 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 February 28, 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 common
stocks fair market value as of the date of grant. Prior to amendment in February 2006, the Plan
awarded initial grants vesting in 25% increments beginning on the first anniversary of the date of
grant, and annual grants vesting 100% as of the first annual meeting of stockholders following the
date of grant, provided the individual remained a director as of those dates. Subsequent to
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
amendment, outside directors receive an initial grant upon joining the Board and annual grants at
each annual meeting of stockholders beginning with the 2006 annual meeting, each vesting in 20%
increments beginning on the first anniversary of the date of grant, provided the director continues
to serve on the Board on those dates. As further amended with the Boards and shareholder
approval, the maximum number of shares authorized for issuance under the Directors Plan was
increased from 250,000 to 1,000,000, and non-employee directors serving as of the amendment date
were granted a one-time award of 25,000 options. As of February 28, 2007, under the Directors
Plan, there were 778,336 shares available for option grants and there were 123,332 options
outstanding, of which 75,832 options were 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 effect on net income (loss) and income (loss) per share if the Company had applied the fair
value recognition provisions of SFAS No. 123R to stock-based employee compensation.
Three | Nine | |||||||
Months | Months | |||||||
Ended | Ended | |||||||
2/28/06 | 2/28/06 | |||||||
Net income (loss), as reported |
$ | 129 | (60 | ) | ||||
Add: |
||||||||
Total stock-based employee compensation expense included in
related net income (loss), net of related tax effects |
| | ||||||
Deduct: |
||||||||
Total stock-based employee compensation expense determined
under fair value based method for all awards, net of related tax
effects |
(105 | ) | (133 | ) | ||||
Pro forma net income (loss) |
$ | 24 | (193 | ) | ||||
Income (loss) per common share: |
||||||||
Basic as reported |
$ | 0.02 | (0.01 | ) | ||||
Diluted as reported |
$ | 0.01 | (0.01 | ) | ||||
Basic pro forma |
$ | 0.00 | (0.03 | ) | ||||
Diluted pro forma |
$ | 0.00 | (0.03 | ) | ||||
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A summary of activity throughout the quarter ended February 28, 2007 is as follows:
Weighted- | ||||||||||||||||
Average | Weighted-Average | |||||||||||||||
Exercise | Remaining | Aggregate | ||||||||||||||
Options | Shares | Price | Contractual Term | Intrinsic Value | ||||||||||||
Outstanding at December 1, 2006 |
1,308,707 | $ | 1.41 | |||||||||||||
Granted |
| | ||||||||||||||
Exercised |
(37,500 | ) | 0.51 | |||||||||||||
Forfeited or expired |
(222,500 | ) | 1.85 | |||||||||||||
Outstanding at February 28, 2007 |
1,048,707 | $ | 1.35 | 5.43 | | |||||||||||
Exercisable at February 28, 2007 |
1,001,207 | $ | 1.33 | 5.25 | |
The following table summarizes information about options granted, exercised, and vested for
the three months and nine months ended February 28, 2007 and 2006.
Three Months Ended | Nine Months Ended | |||||||||||||||
February 28, | February 28, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Options granted |
| | 125,000 | 189,666 | ||||||||||||
Weighted-average grant-date fair value |
| | $ | 1.31 | $ | 1.42 | ||||||||||
Options exercised |
37,500 | | 37,500 | 255,833 | ||||||||||||
Total intrinsic value of exercised options |
$ | 13,160 | | $ | 13,160 | $ | 375,087 | |||||||||
Fair value of vested options |
$ | 66,070 | * | $ | 1,711 | $ | 125,338 | * | $ | 43,795 | * |
* | Includes $66,070 representing the fair value of options vesting immediately due to a change in control of the Company on January 12, 2007. |
Stock options were granted to board of director members and certain employees during the
nine months ended February 28, 2007 and 2006. A total of 37,500 options were exercised during the
three and nine months ended February 28, 2007. Total intrinsic value of exercised options during
the three months and nine months ended February 28, 2007 and 2006 was $13,160. For the nine months
ended February 28, 2006, 255,833 options with total intrinsic value of $375,087 were exercised.
During the three months ended February 28, 2007, 222,500 stock options granted to certain board of
director members and employees were cancelled due to the recipients resignation from the Board or
the Company.
At February 28, 2007, there was approximately $56,000 of total unrecognized compensation cost
related to unvested options, which is expected to be recognized over a weighted-average period of
3.91 years. The Company recognized approximately $11,000 of tax benefits attributable to
stock-based compensation expense recorded during the nine months ended February 28, 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 has
not declared 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.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Three Months Ended | Nine Months Ended | |||||||||||||||
February 28, | February 28, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Volatility factor of the expected
market price of the
Companys common stock |
| | 93.0 | % | 95.0 - 106.0 | % | ||||||||||
Expected life (in years) of the options |
| | 5 | 5 | ||||||||||||
Risk-free interest rate |
| | 4.60 | % | 4.10 - 4.46 | % | ||||||||||
Dividend yield |
| | 0 | % | 0 | % |
No stock options were granted during the three months ended February 28, 2007 or 2006.
Per Share Data
In calculating basic (loss) income per share, net (loss) income is divided by the weighted
average number of common shares outstanding for the period. Diluted (loss) income per share
reflects the assumed exercise or conversion of all dilutive securities, such as options, warrants,
and convertible preferred stock. No such exercise or conversion is assumed where the effect is
antidilutive, such as when there is a net loss. 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 | Nine Months Ended | |||||||||||||||
February 28, | February 28, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Numerator: |
||||||||||||||||
(Loss) income from continuing operations |
$ | (861 | ) | 129 | (1,462 | ) | (60 | ) | ||||||||
Loss from discontinued operations |
| | (20 | ) | | |||||||||||
Numerator for diluted (loss) income attributable to common
stockholders |
$ | (861 | ) | 129 | (1,482 | ) | (60 | ) | ||||||||
Denominator: |
||||||||||||||||
Weighted average shares |
7,665 | 5,851 | 6,710 | 5,782 | ||||||||||||
Effect of dilutive securities: |
||||||||||||||||
Warrants |
| 14 | | | ||||||||||||
Employee stock options |
| 342 | | | ||||||||||||
Convertible preferred stock |
| 4,236 | | | ||||||||||||
Denominator for diluted income (loss) per share-adjusted
weighted average shares after assumed exercises |
7,665 | 10,443 | 6,710 | 5,782 | ||||||||||||
(Loss) income per share basic |
$ | (0.11 | ) | 0.02 | (0.22 | ) | (0.01 | ) | ||||||||
(Loss) income per share diluted |
$ | (0.11 | ) | 0.01 | (0.22 | ) | (0.01 | ) | ||||||||
Authorized shares of common stock reserved for possible issuance for convertible debentures,
convertible preferred stock, stock options, and warrants are as follows at February 28, 2007:
Convertible debentures(a) |
15,051 | |||
Convertible preferred stock(b) |
4,235,328 | |||
Outstanding stock options(c) |
1,048,707 | |||
Outstanding warrants(d) |
406,000 | |||
Possible future issuance under stock option plans |
1,298,336 | |||
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. |
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
Note 3 Liquidity
During the nine months ended February 28, 2007, the Companys cash and cash equivalents
increased by $911,000. Net cash provided from continuing and discontinued operations amounted to
$293,000 primarily from a new contract in Indiana that started January 1, 2007. Cash used in
investing activities amounted to $122,000 primarily from $172,000 of outflows for additions to
property and equipment offset by $35,000 in cash provided by proceeds from a property insurance
claim. Cash provided from financing activities amounted to $740,000 primarily from the $785,000 of
net cash proceeds received by the Company from exercising a put option to Woodcliff for 1,739,130
shares of the Companys common stock. During the nine months ended February 28, 2007, the Company
incurred an operating loss of $1.6 million and a net loss of $1.4 million. As of February 28, 2007
the Company had a working capital deficit of $474,000 and a stockholders deficit of $1.3 million.
However, the Company expects positive cash flow from new contracts that started January 1, 2007 and
as a result, management believes the Company has sufficient cash reserves to sustain current
operations and to meet the Companys current obligations during 2007.
Note 4 Accounts Receivable
Accounts receivable increased by $1.4 million from May 31, 2006 to February 28, 2007 due
primarily to the February capitation payment from the Companys new client in Indiana received on
March 1, 2007.
Note 5 Sources Of Revenue
The Companys revenue can be segregated into the following significant categories:
Three Months | Three Months | Nine Months | Nine Months | |||||||||||||
Ended | Ended | Ended | Ended | |||||||||||||
02/28/07 | 02/28/06 | 02/28/07 | 02/28/06 | |||||||||||||
Capitated contracts |
$ | 7,173 | $ | 5,412 | $ | 15,430 | $ | 17,889 | ||||||||
Non-capitated contracts |
196 | 173 | 621 | 753 | ||||||||||||
Total |
$ | 7,369 | $ | 5,585 | $ | 16,051 | $ | 18,642 | ||||||||
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 6 Major Customers/Contracts
(1) Effective December 31, 2005, the Company experienced the loss of a major contract to
provide behavioral healthcare services to the members of a Connecticut HMO. This HMO had been a
customer since March 2001. The agreement represented approximately 18.0%, or $3.4 million of the
Companys operating revenue for the nine-month period ended February 28, 2006. Additionally, this
contract provided that the Company, through its contract with this HMO, receive additional funds
directly from a state reinsurance program for the purpose of paying providers. During the nine
months ended February 28, 2006, the Company filed reinsurance claims totaling approximately $1.2
million. Such claims represent cost reimbursements and, as such, were not included in the reported
operating revenues and were accounted for as reductions of healthcare operating expenses. As of
February 28, 2007 and May 31, 2006, there were no further reinsurance amounts due from the state
reinsurance program. The remaining accrued reinsurance claims payable amount of $2.5 million at
February 28, 2007 and May 31, 2006 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 there is no appeal received by the
Company within the prescribed amount of time, the Company may not be required to make any further
payments related to such claims. At February 28, 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.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
(2) 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 22.7%, or $5.4 million, and 22.2%, or $4.1 million of the Companys operating
revenues during the fiscal year ended May 31, 2006 and the nine months ended February 28, 2006,
respectively. The HMO had been a client of the Company since November 1998.
(3) During fiscal 2006, the Company began providing behavioral health services to the
members of a Medicare Advantage HMO in the states of Maryland, Pennsylvania, and Texas. Revenues
under the contracts accounted for $2.6 million, or 16.0%, and $1.4 million, or 7.6% of the
Companys revenues for the nine months ended February 28, 2007 and 2006, respectively. The
contracts are for an initial one-year term with automatic annual renewals unless either party
provides notice of cancellation at least 90 days prior to the expiration of the then current terms.
(4) 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 $2.4 million or 32.1% of revenues for the three months ended
February 28, 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 7 Preferred Stock
As of February 28, 2007, there are 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 is convertible
into 4,235,328 shares of common stock at a conversion rate of 294.12 common shares for each
preferred share. Woodcliff has the right to appoint the majority of the board of directors, has
dividend and liquidation preferences, and anti-dilution protection. In addition, the Company needs
Woodcliffs 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. As discussed in Note 1, on January 12, 2007, Hythiam, Inc. acquired a majority
control of the voting stock of the Company through its acquisition of Woodcliff and subsequently
appointed three new board members to replace three board members that resigned as a result of the
Woodcliff acquisition.
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
8 Commitments and Contingencies
(1) In connection with the Companys new Indiana contract, 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.
(2) 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.
(3) The Company is marketing eye care memberships it acquired in November 2004. As of
February 28, 2007 no memberships had been sold. As such, the Company believes it is probable that
it will not recover its full investment of $125,000 and accordingly recorded in the fourth quarter
of fiscal 2006 a valuation reserve of 50%, or $62,500, to reduce the carrying value of the
memberships to managements best estimate of recoverable value. If the Companys marketing plan is
not successful with respect to selling these memberships, it may have to write off the remaining
amount the Company paid to acquire them. There can be no assurance the Company will sell a
quantity of memberships at prices that will allow the Company to recover the $125,000 cost.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
(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 financial condition or results of operations.
(5) On January 12, 2007, the members of Woodcliff sold their outstanding membership
interests in Woodcliff to Hythiam (see Item II Recent Developments). The change in membership
interest of Woodcliff resulted in the resignation of three existing Company board members formerly
nominated by Woodcliff, and the appointment of three new board members. The acquisition by
Hythiam of the Woodcliff membership interests may constitute 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. The Company is also reviewing, with the advice of legal
counsel, whether or not four former directors of the Company are entitled to receive a severance
payment of $40,000 each as a result of the change in control.
Note 9 Discontinued Operations
In December 2006 the Company was notified of an adjustment to its
fiscal 1998 Medicare cost report for its Aurora, Colorado hospital facility that was sold by the
Company during fiscal 1999. The result of the adjustment, as determined by the Medicare
intermediary, is a charge of approximately $20,000, which is included in the accompanying financial
statements under discontinued operations.
Note 10 Related Party Transactions
In August 2005, the Companys principal operating subsidiary, 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, as described in Note 1. For the three and nine months ended February 28, 2007, CBC paid
HAN $12,000 and $40,549 respectively, and for the three and nine months ended February 28, 2006,
$45,000 and $178,000, 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. As of February 28, 2007 there had been no material transactions resulting
from this agreement. On January 12, 2007, Hythiam acquired 100% of the outstanding membership
interests of Woodcliff, the owner of 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,
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
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.
OVERVIEW
GENERAL
Comprehensive Care Corporation is a Delaware corporation organized in 1969. The Company,
primarily through its wholly owned subsidiary, Comprehensive Behavioral Care, Inc., provides
managed care services in the behavioral health and psychiatric fields, which is its only operating
segment. We manage the delivery of a continuum of psychiatric and substance abuse services to
commercial, Medicare, and Medicaid members on behalf of employers, health plans, government
organizations, third-party claims administrators, and commercial and other group purchasers of
behavioral healthcare services. The customer base for our services includes both private and
governmental entities. Our services are provided primarily by unrelated vendors on a subcontract
basis.
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 $15.4 million, or 96.1% of our
revenues from capitation arrangements for the nine months ended February 28, 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 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.
We currently depend, and expect to continue to depend in the near future, upon a relatively
small number of customers for a significant percentage of our operating revenues. A significant
reduction in sales to any of our large customers or a customer exerting significant pricing and
margin pressures on us would have a material adverse effect on our results of operations and
financial condition. In the past, some of our customers have terminated their arrangements with us
or have significantly reduced the amount of services requested from us. There can be no assurance
that present or future customers will not terminate their arrangements with us or significantly
reduce the amount of services requested from us. Any such termination of a relationship or
reduction in use of our services would have a material adverse effect on our results of operations
or financial condition (see Note 6 Major Customers/Contracts to the unaudited, consolidated
financial statements).
RECENT DEVELOPMENTS
Change in Control
On January 12, 2007, the members of Woodcliff sold their outstanding membership interests in
Woodcliff to Hythiam, a healthcare services management company. Woodcliff owns 1,739,130 shares of
our common stock acquired in October 2006 and 14,400 shares of our Series A Convertible Preferred
Stock acquired in June 2005, the conversion of which into 4,235,328 common shares would result in
Woodcliff owning 50.05% of our voting stock, based on shares outstanding as of April 11, 2007. By
virtue of Woodcliffs preferred stock ownership, Woodcliff has dividend and liquidation
preferences, anti-dilution protection, and the right to appoint the majority of the board of
directors. In addition, we are required to obtain Woodcliffs 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
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
incurring any debt in excess of $200,000. Subsequent to the acquisition of Woodcliff, Hythiam
appointed three new board members to replace three Woodcliff appointed board members that resigned
as a result of the change in ownership of Woodcliff.
On January 18, 2007, we entered into an Agreement and Plan of Merger (the Agreement) with
Hythiam, as amended on January 26, 2007, whereby the Company would merge with a newly formed,
wholly-owned subsidiary of Hythiam, with the Company 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 planned to acquire the
remaining outstanding shares of CompCare in exchange for Hythiam common stock. However, two
stockholder class action lawsuits were filed January 23 and February 1, 2007, respectively, seeking
to enjoin the proposed merger (See Part II, Item 1 Legal Proceedings). Depending on various
factors, including without limitation, the development of the proceedings, the costs and expenses
associated with the proceedings, and the outcome of discussions with the plaintiffs, if any, it is
unclear as of the date of this report whether the merger will proceed or if the Agreement will be
terminated by the parties. In the event that the merger is terminated, we would continue as a
majority-owned, controlled subsidiary of Hythiam for the foreseeable
future, and Hythiam has publicly indicated that they would be
satisfied with their current equity stake. For further
information concerning this proposed transaction, see the Form 8-K filed by the Company on January
18, 2007 and the Form 8-K/A filed January 31, 2007, both available at the SECs website at
www.sec.gov.
The amended Agreement with Hythiam provided for a proxy statement and a special meeting of our
stockholders to vote on whether to approve the merger. We filed a preliminary proxy with the SEC
on February 2, 2007, and did not file a definitive proxy and consequently did not hold the special
meeting that had been tentatively scheduled for March 23, 2007 as indicated in the preliminary
proxy.
Major Contract
On December 8, 2006, CompCare entered into a contract with a health plan to provide behavioral
healthcare services to approximately 250,000 Medicaid recipients in Indiana. The contract started
on January 1, 2007 and is estimated to generate approximately $14 million to $15 million in annual
revenues, or approximately 41% of our anticipated annual revenues of between $35 million and $36
million. As this agreement commenced in January only two months of
revenue from this contract are included in the quarter ended February
28, 2007, but additional start-up costs for this agreement were
incurred in December 2006 and are reported in the quarter.
Providing services under a new contract for populations at risk that have not met been managed
previously necessitates the adjustment to the new level of management
and approval called for in the managed care agreements. It typically
takes time and resources to facilitate the adjustment to the new
environment by the providers and other participants in the system. As
a result, we anticipate that we will incur greater costs at the
beginning of this contract and lower costs in the future as the
population becomes more accustomed to managed care.
There was a high level of outpatient authorizations granted during the first month of the
contract for transitional services to members that were currently receiving treatment or had
previously received treatment prior to the start of the contract. In response we hired additional
personnel and contracted for more psychiatrist services. In addition, to help us better manage the
care for new members seeking treatment, we reduced the amount of initial authorizations so that we
could better evaluate the needs of the member. All of these measures have reduced authorizations
granted in subsequent months. However, it is unknown at this time how many of the authorizations
granted during the first month of the contract will ultimately be utilized by our members.
Due to this uncertainty, the Company has accrued as claims expense an amount equivalent to approximately 100%
of the revenue that it has earned during the first two months of the contract.
The
premiums for this agreement were based on actuarial assumptions on
the level of utilization of benefits by members covered under this
new managed care behavioral program and have limited historical
basis. The premiums based on these assumptions may be insufficient to
cover the benefits provided and we may be unable to obtain offsetting
rate increases. Contract premiums have been set based on anticipated
significant savings and on types of utilization management that may
not be possible, which may cause disagreements with providers that
divert management resources and that may have an adverse impact on
our financial statements.
Results of Operations
For the nine months ended February 28, 2007, we reported a net loss of $1,482,000, or $0.22
loss per share (basic and diluted). In comparison, we reported a net loss of $60,000, or $0.01
loss per share (basic and diluted), for the nine months ended February 28, 2006.
Included as other non-operating income in the statement of operations for the nine months
ended February 28, 2007 is $250,000 representing amounts owed to the Company under a life insurance
policy. The Company is entitled to the insurance benefits as the result of a settlement of claims
against the seller of four corporations we purchased in 1996.
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
The following tables summarize our operating results from continuing operations for the three
and nine months ended February 28, 2007 and 2006 (amounts in thousands):
The Three Months Ended February 28, 2007 Compared to the Three Months Ended February 28,
2006:
Three Months Ended | ||||||||
February 28, | ||||||||
2007 | 2006 | |||||||
Operating revenues: |
||||||||
Capitated contracts |
$ | 7,173 | 5,412 | |||||
Non-capitated sources |
196 | 173 | ||||||
Total operating revenues |
7,369 | 5,585 | ||||||
Operating expenses: |
||||||||
Healthcare operating expenses: |
||||||||
Claims expense (1) |
5,838 | 3,560 | ||||||
Other healthcare operating expenses (1) |
1,222 | 1,019 | ||||||
Total healthcare operating expenses |
7,060 | 4,579 | ||||||
General and administrative expenses |
1,121 | 768 | ||||||
Bad Debt (recovery of doubtful accounts) |
(10 | ) | (55 | ) | ||||
Depreciation and amortization |
34 | 21 | ||||||
Total operating expenses |
8,205 | 5,313 | ||||||
Operating (loss) income |
$ | (836 | ) | 272 | ||||
(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. |
We reported an operating loss of $836,000 and a net loss of $861,000, or $0.11 loss per share
(basic and diluted), for the quarter ended February 28, 2007 compared to operating income of
$272,000 and net income of $129,000, or $0.02 earnings per basic share and $0.01 earnings per
diluted share, for the quarter ended February 28, 2006.
Operating revenues from capitated contracts increased 32.5%, or approximately $1.8 million, to
$7.2 million for the three months ended February 28, 2007 compared to $5.4 million for the three
months ended February 28, 2006. The increase is primarily attributable to $2.4 million in revenue
from a new client in Indiana and $0.2 million of revenue from a new Michigan client. We also
received increased revenue totaling $0.9 million from three existing customers operating in
Maryland, Texas and Michigan. This was partially offset by the loss of $1.9 million in revenue
from clients in Connecticut and Texas. Revenue from non-capitated sources increased 13.3% or
approximately $23,000, to $196,000 for the three months ended February 28, 2007, compared to
$173,000 for the three months ended February 28, 2006 due to additional revenue from existing
customers in Florida and Connecticut.
Claims expense on capitated contracts increased approximately $2.3 million or 64.0% for the
three months ended February 28, 2007 as compared to the three months ended February 28, 2006 due to
higher capitated revenues. Claims expense as a percentage of capitated revenues increased from
65.8% for the three months ended February 28, 2006 to 81.4% for the three months ended February 28,
2007 due primarily to expected increased utilization of covered services by members during the
first two months under our new Indiana contract. Other healthcare expenses, attributable to
servicing both capitated contracts and non-capitated contracts, increased 19.9%, or approximately
$203,000, due primarily to increases in staffing in response to the aforementioned increase in
revenues in Indiana.
General and administrative expenses increased by 46.0%, or approximately $353,000, for the
three months ended February 28, 2007 as compared to the three months ended February 28, 2006. The
increase is attributable to costs and expenses resulting from our proposed merger with Hythiam,
which include $205,000 in legal, valuation, accounting and other professional fees and $147,000
attributable to expensing the remaining prepaid board of director fees paid to directors who
resigned upon Hythiams purchase of Woodcliff. This transaction also caused an immediate net
vesting of certain stock options, resulting in expense of $24,000. An additional expense of
$50,000 was incurred for legal services in defending the Company against two class action lawsuits
related to the proposed merger. These increases in general and administrative costs were offset
by a $44,000 reduction in building rent and a
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COMPREHENSIVE CARE CORPORATION AND SUBSIDIARIES
$25,000 reduction in travel costs. General and administrative expense as a percentage of operating
revenue increased from 13.8% for the three months ended February 28, 2006 to 15.2% for the three
months ended February 28, 2007, due to the aforementioned higher general and administrative
expenses for the three months.
The Nine Months Ended February 28, 2007 Compared to the Nine Months Ended February 28,
2006:
Nine Months Ended | ||||||||
February 28, | ||||||||
2007 | 2006 | |||||||
Operating revenues: |
||||||||
Capitated contracts |
$ | 15,430 | $ | 17,889 | ||||
Non-capitated sources |
621 | 753 | ||||||
Total operating revenues |
16,051 | 18,642 | ||||||
Operating expenses: |
||||||||
Healthcare operating expenses: |
||||||||
Claims expense (1) |
12,138 | 12,820 | ||||||
Other healthcare operating expenses (1) |
2,984 | 3,254 | ||||||
Total healthcare operating expense |
15,122 | 16,074 | ||||||
General and administrative expenses |
2,610 | 2,473 | ||||||
Recovery of doubtful accounts |
(145 | ) | (91 | ) | ||||
Depreciation and amortization |
86 | 65 | ||||||
Total operating expenses |
17,673 | 18,521 | ||||||
Operating loss |
$ | (1,622 | ) | $ | 121 | |||
(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. |
We reported an operating loss of $1.6 million and a net loss of $1.5 million, or $0.22
loss per share (basic and diluted), for the nine months ended February 28, 2007 compared to an
operating income of $121,000 and a net loss of $60,000, or $0.01 loss per share (basic and
diluted), for the nine months ended February 28, 2006.
Capitated contract revenues decreased 13.7%, or approximately $2.5 million, to approximately
$15.4 million for the nine months ended February 28, 2007 compared to $17.9 million for the nine
months ended February 28, 2006. The decrease is primarily attributable to the loss of $3.4 million
in revenue from a client in Connecticut and $4.1 million from a client in Texas. The capitated
revenue decrease was partially offset by $1.8 million in additional business from four existing
customers operating in Maryland, Pennsylvania, Texas and Michigan, and $0.4 million in revenue from
a new customer operating in Michigan and $2.4 million in revenue from two months of service to a
new Indiana client. Non-capitated revenue declined 17.5%, or approximately $132,000, to
approximately $0.6 million for the nine months ended February 28, 2007, compared to approximately
$0.8 million for the nine months ended February 28, 2006. The decrease is attributable to the loss
of a management services only customer in Michigan offset by additional business from existing
customers in Texas, Florida, and Connecticut.
Claims expense on capitated contracts decreased approximately $0.7 million or 5.3% for the
nine months ended February 28, 2007 as compared to the nine months ended February 28, 2006 due to
lower capitated revenues. Claims expense as a percentage of capitated revenues increased from
71.7% for the nine months ended February 28, 2006 to 78.7% for the nine months ended February 28,
2007 due primarily to expected increased utilization of covered services by our members during the
first two months under our new Indiana contract. Other healthcare expenses, which are incurred to
service both capitated and non-capitated contracts, decreased approximately $270,000, or 8.3%, due
primarily to workforce reductions in response to the aforementioned decrease in revenues in
Connecticut and Texas as well as the closure of our Michigan office.
General and administrative expenses increased by $137,000, or 5.5%, for the nine months ended
February 28, 2007 as compared to the nine months ended February 28, 2006. The increase is
attributable primarily to expenses related to the proposed Hythiam merger and include $205,000 in
legal, valuation, accounting and other professional fees and $147,000 attributable to expensing the
remaining prepaid board of director fees paid to directors who resigned upon Hythiams purchase of
Woodcliff. In addition, $50,000 in legal costs were incurred to defend the Company against two
class action lawsuits filed in opposition to the Companys acceptance of Hythiams merger proposal.
The increase in general and administrative expenses was offset by a decrease in consulting expense
of
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$146,000 and a reduction in building rent of $118,000. General and administrative expense as a
percentage of operating revenue increased from 13.3% for the nine months ended February 28, 2006 to
16.3% for the nine months ended February 28, 2007 due to the net increase in general and
administrative expenses.
Recoveries of doubtful accounts increased by $54,000 for the nine months ended February 28,
2007 when compared to the nine months ended February 28, 2006 due to the recovery of a receivable
written off in past years.
Seasonality of Business
Historically, we have experienced consistently low utilization by members during our first
fiscal quarter, which comprises the months of June, July, and August, and increased member
utilization during our fourth fiscal quarter, which comprises the months of March, April and May.
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 first fiscal quarter
and a negative impact on our gross margins and operating profits during the fourth quarter.
During the second and third quarters of our 2007 fiscal year, we experienced higher than expected
member utilization costs as compared to the second and third quarters of the previous fiscal year.
We have attempted to address the high utilization costs incurred through rate increases with
certain of our clients. We may continue to experience increased utilization costs in subsequent
quarters.
Concentration of Risk
For the nine months ended February 28, 2007, 84.1% of our operating revenue was concentrated
in contracts with seven health plans to provide behavioral healthcare services under commercial,
Medicare, Medicaid, and CHIP plans. This includes our new Indiana contract, which represented
approximately 14.7% of our revenue for the nine months ended February 28, 2007 and 32.1% of our
revenue for the three months ended February 28, 2007. For the same period of the prior fiscal year,
86.9% of our operating revenue was concentrated in contracts with eight 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 nine months ended February 28, 2007, our cash and cash equivalents increased by
$911,000. Net cash provided from continuing and discontinued operations amounted to $293,000,
primarily from the new Indiana contract that started January 1, 2007. Cash used in investing
activities amounted to $122,000 primarily from $173,000 of outflows for additions to property and
equipment offset by $35,000 in cash provided by proceeds from a property insurance claim. Cash
provided from financing activities amounted to $740,000 primarily from the $785,000 of net cash
proceeds received by the Company from exercising a put option to Woodcliff for 1,739,130 shares of
our common stock.
For the nine months ended February 28, 2006, our cash and cash equivalents increased by $2.4
million. A net amount of $3.5 million in proceeds was provided by financing activities during the
period, attributable primarily to issuance of 14,400 shares of Series A Preferred Stock to
Woodcliff in June 2005. This inflow was offset by cash used in continuing and discontinued
operations, which totaled $1.0 million due primarily to establishing a $500,000 restricted cash
account in accordance with the terms of a client contract and the payment of accrued claims
payable.
At February 28, 2007, cash and cash equivalents were approximately $6.4 million. During the
nine months ended February 28, 2007, we incurred a net loss of $1.5 million. As of February 28,
2007, we had a working capital deficit of $474,000 and a stockholders deficit of $1.3 million. We
expect positive net cash flow from the new contracts that started January 1, 2007 and as a result,
management believes the Company will have positive cash flow during
2007 and sufficient cash reserves to sustain current operations and to meet the Companys 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 $5.0 million claims payable amount reported as of February 28,
2007.
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Related-Party Transactions
In August 2005, the Companys principal operating subsidiary, Comprehensive Behavioral Care,
Inc. (CBC), entered into a marketing agreement (the 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, as described in Note 1. See
Note 8 Commitments and Contingencies for a discussion of the terms and conditions of the
Marketing Agreement.
Currently, CBC, the Companys primary operating subsidiary, has an agreement with Hythiam
whereby CBC has the exclusive right to market Hythiams substance abuse disease management program
to its current and certain mutually agreed upon prospective clients. On January 12, 2007, Hythiam
acquired 100% of the outstanding membership interests of Woodcliff, the owner of a controlling
interest in the Company. For a description of this and our other related-party transactions, see
Note 10 Related Party Transactions to our unaudited, consolidated financial statements.
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 and
claims expense, premium deficiencies, goodwill, and stock compensation expense involve our most
significant judgments and estimates that are material to our consolidated financial statements (see
Note 2 Summary of Significant Accounting Policies 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 arrangements). The information
regarding the number of covered members is supplied by our clients and we rely extensively on the
accuracy of this information when 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 the Company 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, provider contracting, 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). The Company
contracts with various healthcare providers including hospitals, physician groups and other managed
care organizations either on a
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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 February 28, 2007, the initial range of accrued claims payable was between $5.0 million and
$5.2 million. Based on the information available, we determined our best estimate of the accrued
claims liability to be $5.0 million. Approximately $2.2 million of the $5.0 million accrued claims
payable balance at February 28, 2007 is attributable to our new major contract in Indiana that
started January 1, 2007. As of February 28, 2007 we have accrued as claims expense approximately
100% of the revenue from this contract. Of this amount, five percent has been paid and ninety-five
percent is included in our accrued claims payable balance at February 28, 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 May 31, 2006, the initial accrued claims payable range was between $2.6 and $2.8 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 February 28, 2007 and May 31, 2006 comprises approximately $0.6
million and, $1.1 million, respectively, of submitted and approved claims, which had not yet been
paid, and $4.4 million and $1.7 million for IBNR claims, respectively.
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 future operations and financial condition of the Company:
| 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
February 28, 2007, could increase our claims expense by approximately $192,000 and increase our net
loss per share by $0.03 per share as illustrated in the table below:
Change in Healthcare Costs:
(Decrease) | ||
(Decrease) | Increase | |
Increase | In Claims Expense | |
(5%)
|
($206,000) | |
5% | $192,000 |
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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 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 February 28, 2007, we identified
one contract that was not meeting its financial goals and entered into negotiations to obtain a
rate increase from the client. At February 28, 2007, we believe no contract loss reserve for
future periods is necessary for this contract. Annual revenues from the contract are
approximately $1.2 million.
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.
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 our 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. 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.
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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 the Companys 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, our internal controls over financial reporting.
PART II OTHER INFORMATION
Item 1. Legal Proceedings
The Company, its six board members, and three former board members were named as defendants in
two class action lawsuits filed by two shareholders of the Company on January 23 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 completing
the acquisition of the 49.95% common shares (Minority Shareholders) of CompCare that it does not
currently own (either directly or through its wholly owned subsidiary, Woodcliff). 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. The
Company and each of its board members deny any and all allegations of wrongdoing and intend to
defend such action. We have recorded $50,000 of expense in the current quarter for estimated legal
costs incurred in defending this claim. We believe that our Directors and Officers Liability
Insurance policy will cover all amounts, if any, that exceed the Companys $100,000 deductible.
From time to time, the Company and its subsidiaries may be parties to, and their property may
be subject to, ordinary, routine litigation incidental to their business. Claims may exceed
insurance policy limits and the Company or any one of its subsidiaries 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 Annual Report on Form 10-K for the fiscal year ended May 31,
2006 have not materially changed other than as set forth below.
We may be unsuccessful in managing our new Indiana Medicaid contract, or the contract may be
significantly more costly than anticipated.
We may be unsuccessful in managing our new Indiana Medicaid contract that started January 1,
2007, which comprised 32.1% of our operating revenues for the three-month period ending February
28, 2007. Providing services under a new contract for populations at risk that have not been
managed previously exposes us to the risk it may be unprofitable. There is a limited historical
basis for the actuarial assumptions about the utilization of benefits by members covered under this
new managed care behavioral program, and premiums based on these assumptions may be insufficient to
cover the benefits provided and we may be unable to obtain offsetting rate increases. Contract
premiums have been set based on anticipated significant savings and on types of utilization
management that may not be possible, which may cause disagreements with providers, diverting
management resources and having an adverse impact on our financial results.
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Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
On January 4, 2007, we issued an aggregate of 10,000 shares of our common stock in exchange
for marketing services provided to us by two vendors who accepted the shares in lieu of a total of
$25,500 in cash compensation. The foregoing sales of securities were made in reliance upon the
exemptions from the registration provisions of the Securities Act of 1933, as amended, provided for
by Section 4(2) thereof for transactions not involving a public offering.
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 | ||||||
April 11, 2007 |
||||||
By | /s/ MARY JANE JOHNSON | |||||
Mary Jane Johnson | ||||||
President and Chief Executive Officer | ||||||
(Principal Executive Officer) | ||||||
By | /s/ ROBERT J. LANDIS
|
|||||
Chairman, Chief Financial Officer and Treasurer | ||||||
(Principal Financial and Accounting Officer) |
25