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Advanzeon Solutions, Inc. - Annual Report: 2014 (Form 10-K)

 

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-K

 

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

For the fiscal years ended December 31, 2014 & 2013

 

  Transition report under section 13 or 15(d) of the Securities Act of 1934.

For the Transition period from ________ to ______.

 

Commission File Number: 1-9927

 

  ADVANZEON SOLUTIONS, INC.  

(Exact name of Registrant as specified in its charter)

     
Delaware   95-2594724

(State or other jurisdiction of

incorporation or organization)

 

(IRS Employer

Identification No.) 

     

2901 W. Busch Blvd.

Suite 701 

Tampa, FL

  33618
(Address of Principal Executive Offices)   (Zip Code)

 

813-517-8484

(Registrant’s telephone number including area code)

 

Securities to be registered pursuant to Section 12(b) of the Exchange Act:

 

 

 

Securities registered or to be registered pursuant to Section 12(g) of the Exchange Act:

(Title of class)

 

Common Stock, Par Value $0.01 per share

 

Indicate by check mark if the Registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.      Yes ☐ No ☒

 

Indicate by check mark if the Registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.      Yes ☐ No ☒

 

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 ☐ No ☒

 

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

 

Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K ☐

 

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

             
Large Accelerated Filer     Accelerated Filer  
       
Non-Accelerated Filer     Smaller Reporting Company  

 

As of May 4, 2018, the aggregate market value of the voting and non-voting common equity of the registrant held by non-affiliates of the registrant was $3,312,768 based on the latest transaction price as reported on the OTC Bulletin Board on such date. This calculation does not reflect a determination that certain persons are affiliates of the registrant for any other purposes.

 

The number of shares of the registrant’s common stock outstanding on May 4, 2018 was 63,063,685.

 

DOCUMENTS INCORPORATED BY REFERENCE

None.

 

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TABLE OF CONTENTS

             
            Page 
PART I        
    Item 1.   Business   3
    Item 1A.   Risk Factors   11
    Item 2.   Properties    17
    Item 3.   Legal Proceedings    18
    Item 4.       Mine Safety Disclosure    18
       
PART II        
    Item 5.   Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities   19
    Item 6.   Selected Financial Data   21
    Item 7.   Management’s Discussion and Analysis of Financial Condition and Results of Operations    21
    Item 7A.   Quantitative and Qualitative Disclosures About Market Risk   27
    Item 8.   Consolidated Financial Statements    27
    Item 9.   Changes in and Disagreements With Accountants on Accounting and Financial Disclosure    27
    Item 9A.   Controls and Procedures    28
       
PART III        
    Item 10.   Directors, Executive Officers and Corporate Governance   30 
    Item 11.   Executive Compensation   34 
    Item 12.   Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters   39 
    Item 13.   Certain Relationships and Related Transactions, and Director Independence   42 
    Item 14.   Principal Accountants’ Fees and Services   43 
       
PART IV        
    Item 15.   Exhibits   44 

 

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PART I

 

ITEM 1. BUSINESS

 

CAUTIONARY STATEMENT FOR THE PURPOSES OF THE “SAFE HARBOR” PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995: Certain information included in this Annual Report on Form 10-K and in our other reports, Securities and Exchange Commission (“SEC”) filings, statements, and presentations is forward looking within the meaning of the Private Securities Litigation Reform Act of 1995, including, but not limited to, our anticipated operating results, financial resources, increases in revenues, increased profitability, interest expense, predictions of anticipated healthcare costs, growth and expansion, and the ability to obtain new behavioral healthcare contracts. Such forward-looking information involves important risks and uncertainties that could significantly affect actual results and cause them to differ materially from expectations expressed herein and in our other reports, SEC filings, statements, and presentations. These risks and uncertainties include, among others, changes in local, regional, and national economic and political conditions, the effect of governmental regulation, competitive market conditions, varying trends in member utilization, our ability to manage healthcare operating expenses, the profitability of our capitated contracts, cost of care, seasonality, our ability to obtain additional financing, our ability to renegotiate or extend expiring customer contracts, the risk that any definitive agreements or additional business will result from letters of intent entered into by us, and other risks detailed from time to time in our SEC reports.

 

OVERVIEW

Fiscal year 2013

GENERAL

 

Established in 1969, Advanzeon Solutions, Inc., (formerly Comprehensive Care Corp.) (“Advanzeon”, “we” or the “Company”),through its wholly-owned subsidiary Comprehensive Behavioral Care, Inc., and its wholly-owned subsidiaries provided managed care services in the behavioral health and substance abuse fields. We primarily offered these services to commercial, Medicare, Medicaid, Children’s Health Insurance Program (“CHIP”) health plans, as well as self-insured companies. Our managed care operations include administrative service agreements, fee-for-service agreements, and capitation contracts.

 

The behavioral health and substance abuse services provided through our provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), and inpatient and crisis intervention services. In 2013, we had a network of approximately 60,000 contracted providers in the following areas: psychiatrists, psychologists, therapists, other licensed healthcare professionals, psychiatric hospitals, general medical facilities with psychiatric beds, residential treatment centers and other treatment facilities.

 

In 1999 we were awarded our first National Committee for Quality Assurance (“NCQA”) accreditation.

 

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MARKET OPPORTUNITIES

 

Advanzeon markets to regional health plans that do not have their own behavioral health network. These health plans will often contract with a managed behavioral healthcare organization (“MBHO”) to obtain access to behavioral healthcare professionals, claims processing, case management, better-integrated behavioral healthcare, and in some cases pharmacy management services. The health plans typically engage an MBHO like Advanzeon on a fixed fee paid on a per-member-per-month (“PMPM”) basis. Often, the PMPM will include the costs of care, which are the costs paid out to the providers and for pharmaceuticals, if applicable. Such an arrangement is known as an at-risk contract and the MBHO bears the risk/reward of the costs associated with higher or lower utilization of care. If the PMPM excludes the cost of care, the MBHO is essentially providing administrative services only (“ASO”). In such a case, the MBHO is not at risk of over/under utilization.

 

In fiscal year 2013, through our primary operating subsidiary, Comprehensive Behavioral Care, Inc. (“CBC”) and its subsidiaries, we provide managed behavioral healthcare, and substance abuse. Additionally, CBC provided analytic services for its health plan customers and self-insured companies to integrate medical claims data into actionable information so patient care can be coordinated cost effectively. We coordinate and manage the delivery of our services and products to:

 

commercial members;

 

Medicare members;

 

Medicaid members; and

 

CHIP member.

 

We provided services primarily through a network of contracted providers that includes:

 

psychiatrists;

 

psychologists;

 

therapists;

 

other licensed healthcare professionals;

 

psychiatric hospitals;

 

general medical facilities with psychiatric beds;

 

residential treatment centers; and

 

other treatment facilities.

 

The services provided through our provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient programs and crisis intervention services. We do not directly provide treatment or own any treatment facilities.

 

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We typically enter into contracts on an annual basis to provide managed behavioral healthcare and substance abuse, services to our clients’ members. Our arrangements with our clients fall into two broad categories:

 

●    at-risk arrangements where our clients pay us a fixed fee per member in exchange for our assumption of the financial risk of providing services; and

 

●    Administrative Service Only or ASO arrangements where we manage behavioral healthcare programs or perform various managed care services, such as clinical care management, provider network development, and claims processing without assuming financial risk for member behavioral healthcare costs. 

 

Under our at-risk arrangements, the number of covered members as reported to us by our clients determines the amount of premiums we receive, which is independent of the cost of services rendered to members. The amount of premiums we receive for each member is fixed by our contract at the beginning of its term. Under certain circumstances, these premiums may be subsequently adjusted up or down, or the contract terminated, generally at the commencement of each renewal period.

 

Our largest expense is the cost of the 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 costs based primarily on an increase in the number and frequency of our members seeking behavioral care services, but also inflationary factors, our profitability depends on our ability to predict and effectively manage healthcare operating costs in relation to the fixed premiums we receive under capitation arrangements. Providing services on an at-risk basis exposes us to the risk that our contracts may ultimately be unprofitable if we are unable to control or otherwise anticipate healthcare costs. Accrued claims payable and claims expense were our most significant critical accounting estimates.

 

We manage programs through which services are provided to recipients in eight] states. Our objective is to provide easily accessible, high quality behavioral healthcare and pharmacy services and products and to manage costs through measures such as the monitoring of hospital inpatient admissions, review of authorizations for various types of outpatient therapy and effective management of prescription drugs. Our goal is to combine access to quality behavioral healthcare services with effective management controls in order to ensure the most cost-effective use of healthcare resources.

 

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Our programs and services include:

 

●     fully integrated behavioral healthcare services;

 

●     analytic services for medical claims for medical integration of behavioral and medical care coordination;

 

●     case management/utilization review services;

 

●     administrative services management;

 

●     preferred provider network development;

 

●     management and physician advisor reviews; and

 

●     overall care management services.

 

SOURCES OF REVENUE

 

During our fiscal year ended December 31, 2013, the majority of our revenue was earned from at-risk contracts pursuant to which we provide managed behavioral healthcare and substance abuse to recipients, primarily through subcontracts with health plans that have historically outsourced these functions to MBHOs like us. In exchange for arranging behavioral health and substance abuse services, we generally receive a negotiated amount on a per-member per-month, or capitated, basis in exchange for providing these services. We then contract directly with behavioral healthcare providers that receive discounted fees at predetermined per-service, per-case or per-diem rates. During the latter part of 2013, we conducted a review of CBC’s operations and determined that we would not continue with the business. On December 30, 2013, we sold CBC which operated our ASO and at-risk contracts, see Note 11 of the Notes to the Consolidated Financial Statements.

 

Under at-risk behavioral contracts, our profit is a function of utilization and the amount of claims payments made to our network providers. We performed periodic reviews of our current client contracts to determine profitability. In the event a contract is not profitable, we may seek to revise the terms of the contract or to terminate the agreement in accordance with its terms.

 

During 2013, we provided services under at-risk arrangements for Medicare and commercial patients in 6 states. Such services generated approximately 87% of our managed care operating revenue.

 

Our Medicare, Medicaid and CHIP contracts were subject to agreements with our health plan clients whose contracts with the various governmental agencies may be subject to renegotiation at the election of the specific agency.

 

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Under our at-risk contracts, we assume the financial risk for the costs of member behavioral healthcare services in exchange for a fixed, per member per month fee. Under our ASO contracts, we 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.

 

MARKETING AND SALES

 

Our marketing and sales efforts are led by our management team. In addition, we utilized consultants for direct sales to commercial, Medicare Medicaid, and CHIP health plans, as well as self-insured companies and unions.

 

PROVIDER NETWORK

 

As of December 31, 2013, we had approximately 60,000 behavioral healthcare practitioners in our network located in 47 states. As a result of selling CBC, we had no provider network in 2014. However, as part of the sale of CBC, the Company has the ability to lease the network at a future date.

 

Our managed behavioral healthcare services are provided by contracted providers, including behavioral healthcare professionals and facilities. Our behavioral healthcare professionals included a variety of specialized behavioral healthcare personnel, such as:

 

●           psychiatrists;

 

●           psychologists;

 

●           therapists;

 

●           licensed clinical social workers;

 

●           substance abuse counselors; and

 

●           other licensed healthcare professionals.

 

The facilities we provide our services to include:

 

●           psychiatric hospitals;

 

●           general medical facilities with psychiatric beds;

 

●           residential treatment facilities; and

 

●           other treatment facilities.

 

Outpatient providers include both individual practitioners, as well as individuals who are members of group practices or other licensed centers or programs. Outpatient providers typically enter into contracts with us under whom they are generally paid on a discounted fee-for-service basis.

 

Our provider network also included contractual arrangements with intensive outpatient facilities, partial hospitalization facilities, community health centers, and other community-based facilities. Our contracts with facilities were on a per diem or discounted fee-for-service basis and, in some cases, on a “case rate” basis, whereby a fixed amount is paid irrespective of the amount of services provided. To help ensure quality of care, we credential and re-credential all professional providers with whom we contract in accordance with standards of the NCQA. After we sold CBC in December 2013, we no longer maintained a provider network in 2014.

 

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COMPETITION

 

The behavioral healthcare industry is very competitive and provides products and services that are price sensitive. Competitors include independent MBHOs as well as health plans and insurers with internal behavioral health units or subsidiaries. Many of these competitors have revenues, financial resources, and membership bases that are substantially larger than ours. The extent of competition results in significant pricing pressures which limits our revenue growth.

 

EFFECTS OF INFLATION AND CHANGES IN INTEREST RATES

 

Our business operations were subject to the effects of inflation, particularly as to the types of healthcare costs we cover on an at risk basis. However, to minimize the effect of inflation, some of our multi-year revenue contracts contained provisions for annual rate increases that average approximately three percent per year. Our largest expense, the cost of care provided by our contracted providers, is frequently tied to standard Medicaid, CHIP, and Medicare reimbursement rates set by governmental entities. To the extent these standard rates are increased periodically to reflect the effects of inflation, we may be adversely affected by rising prices, absent a sufficient compensating increase in our revenues from our customers. Although currently, all our debt instruments bear fixed interest rates, we have historically funded our operations with increased borrowings annually, often at higher than market interest rates as a result of our currently weak financial condition, cash flows and operating results, and, thus, unless we are successful in raising sufficient additional equity capital, we may be subject to the effects of changing interest rates.

 

SEASONALITY OF BUSINESS

 

Historically, we have experienced increased member utilization principally during the months of March, April and May and consistently low utilization by members during the months of June, July, and August. Such variations in member utilization impact our costs of care during these months, generally having a positive impact on our gross margins and operating profits during the June through August period and an adverse impact on our gross margins and operating profits during the months of March through May.

 

GOVERNMENT REGULATION

 

We are subject to extensive and evolving state and federal regulations relating to the nation’s mental health system, as well as changes in Medicaid and Medicare reimbursement that could have an effect on our profitability. These regulations range from licensure and compliance with regulations related to insurance companies and other risk-assuming entities, to licensure and compliance with regulations related to healthcare providers. These laws and regulations may vary considerably between states. As a result, we may be subject to the specific regulatory approach adopted by each state for regulation of managed care companies and for providers of behavioral healthcare treatment services. As of November 31, 2013, we held licenses or certificates to perform utilization review and/or third party administrator (“TPA”) services in:

 

  California;

 

  Connecticut;

 

  Florida;

 

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  Louisiana;

 

  Michigan;

 

  Missouri;

 

  Pennsylvania; and

 

  Texas.

 

ACCREDITATION

 

The NCQA provides information about the quality of national managed care plans to enable consumers to evaluate health plan performance. To develop standards that effectively evaluate the structure and function of medical and quality management systems in managed care organizations, NCQA has an extensive review and development process in conjunction with the managed care industry, healthcare purchasers, state regulators, and consumers. The Standards for Accreditation of MBHOs used by NCQA reviewers to evaluate an MBHO address the following areas: quality improvement, utilization management, credentialing, members’ rights and responsibilities, and preventative care. These standards validate that an MBHO is founded on principles of quality and is continuously improving the clinical care and services it provides. NCQA utilizes the Health Plan Employer Data and Information Set, which is a core set of industry-wide performance measurements developed by NCQA to respond to complex but clearly defined employer needs as standards for patient care and customer satisfaction.

 

In October 2011, we were awarded Full Accreditation by NCQA extending until October 2014. Full Accreditation is granted for a period of three years to those plans that have, according to the NCQA, excellent programs for continuous quality improvement and that meet NCQA’s rigorous standards.

 

NCQA accreditation was required by several of our client contracts and is frequently an important consideration to our prospective clients. We believe our NCQA accreditation is beneficial to our clients and their members we serve. After the sale of CBC, we no longer needed to maintain such accreditation.

 

MANAGEMENT INFORMATION SYSTEMS

 

All of our health plan information technology and systems operate on a single platform. This approach avoids the costs associated with maintaining multiple systems and improves productivity. The open architecture of the systems gives us the ability to transfer data from other systems thereby facilitating the integration of new health plan business. We use our information system for claims processing, utilization management, reporting, cost trending, planning, and analysis. The system also supports member and provider service functions, including:

 

  enrollment;

 

  member eligibility verification;

 

  provider rosters;

 

  claims status inquiries; and

 

  referrals and authorizations.

 

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We are subject to the requirements of the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). One of the purposes of HIPAA is to improve the efficiency and effectiveness of the healthcare system through standardization of the electronic data interchange of certain administrative and financial transactions and, also, to protect the security and privacy of protected health information. Entities subject to HIPAA include some healthcare providers and all healthcare plans.

 

We significantly enhanced our network by installing a storage area network and virtualizing our computer servers. This implementation brought in the current best practices approach and permitted a major overhaul of our information technology infrastructure. The technology centralizes storage management, increases the utilization of equipment, improves redundancy of the servers, reduces the overall hardware requirements, and facilitates growth, while driving down the total cost of ownership.

 

Fiscal year 2014

 

In January of 2014, we changed our name to Advanzeon Solutions, Inc.

 

During the fiscal year ended December 31, 2014, the fee we received from CBC was our only source of revenue. In January 2014, we entered into an agreement with CBC whereby we provided software and managerial oversight and facilities to CBC staff for the contracts held by CBC. Our only business in 2014 was servicing ASO contract for CBC.

 

   2014   2013 
         
At-risk contracts  $   $766,116 
           
Administrative services only contracts   535,863    2,415,673 
           
Total  $535,863   $3,181,789 

 

ADMINISTRATION AND EMPLOYEES

 

Our executive and administrative offices are located in Tampa, Florida, where we maintain operations, business development, accounting, reporting and information systems, and provider and member service functions. Provider management, account management, and certain clinical and utilization management functions are also performed by employees located in Michigan. As of December 31, 2013, we employed 15 full-time employees and one consultant for our day to day operation. As of December 31, 2014, we employed 2 full time employees. We also oversaw the operations of 13 full time CBC employees.

 

AVAILABLE INFORMATION

 

Our investors’ website can be found at www.advanzeonshareholders.com. We make available free of charge, through a link to the SEC internet site, our annual, quarterly, and current reports, and any amendments to these reports, as well as any beneficial ownership reports of officers and directors filed electronically on Forms 3, 4, and 5. Information contained on our website or linked through our website is not part of this Annual Report on Form 10-K. The public may read and copy any materials we file with the SEC at the SEC’s Public Reference Room at 100 F Street, NE, Washington, DC 20549. The public may obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. Additionally, the SEC maintains an internet site that contains reports, proxy and information statements, and other information regarding issuers that file electronically with the SEC, which can be found at http://www.sec.gov.

 

Our Board of Directors has two committees, an audit committee and a compensation and stock option committee. Each of these committees has a formal charter which was filed as an exhibit to our Annual Report on Form 10-K for the year ended December 31, 2009. Any references to our stockholder website and the SEC’s website above are intended to be inactive textual references only, and the contents of those Web sites are not incorporated by reference herein.

 

In addition, you may request a copy of the foregoing charters at no cost by writing us at the following address or telephoning us at the following telephone number:

 

Advanzeon Solutions, Inc.

P.O. Box 271485

Tampa, FL 33688

Attention: Investor Relations 

Tel: (813) 517-8484

 

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ITEM 1A. RISK FACTORS

 

You should carefully consider and evaluate all of the information in this Annual Report on Form 10-K, including the risk factors listed below. Risks and uncertainties in addition to those we describe below, that may not be presently known to us, or that we currently believe are immaterial, may also harm our business and operations in the future. If any of these risks occur, our business, and its future financial condition, results of operations and cash flows could be harmed, the price of shares of our common stock could decline, and future events and circumstances could differ significantly from those expected that are set forth in or underlie the forward-looking statements contained in this report.

 

Risks related to our industry

 

The industry is subject to extensive state and federal regulations, as well as diverse licensure requirements varying by state. Changes in regulations could affect the profitability of our contracts or our ability to retain clients or to gain new customers.

We are required to hold licenses or certificates to perform utilization review and/or TPA services in California, Connecticut, Florida, Louisiana, Missouri, Pennsylvania, and Texas. Additional utilization review or TPA licenses may be required in the future, and we may not qualify to obtain new licenses or renew existing licenses. In many states in which we provide services, entities that assume risk under contract with licensed insurance companies or health plans have not been considered by state regulators to be conducting an insurance or HMO business. As a result, we have not sought licensure as either an insurer or HMO in any state. If the regulatory positions of these states were to change, our business could be materially affected until such time, if any, as we are able to meet the regulatory requirements, if at all. Additionally, some states may decide to contract directly with enterprises such as ours for managed behavioral healthcare services, in which case they may also require us to meet or exceed regulatory net worth requirements that we may not readily be able to meet. Currently, we cannot quantify the potential effects of additional regulation, if any, of the managed care industry.

 

The status and future effect of healthcare reform in the U.S. is uncertain.

The Patient Protection and Affordable Care Act and the Healthcare and Education Reconciliation Act of 2010 contain provisions that may, among other things, reduce government payments for healthcare services, and is currently subject to political controversy and significant uncertainty. We cannot predict the effect of this legislation and any future changes therein on our business.

 

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Healthcare organizations could be adversely affected in 2013 and 2014 by costs associated with adoption of the new federally mandated ICD-10 standardized coding set for diagnoses.

The federal government will require that healthcare organizations adopt updated and expanded standardized code sets (known as ICD-10) effective October 2014 for documenting health diagnoses. These new standardized code will require us to make additional investments that could be significant.

 

We can be adversely affected by changes in federal, state and local healthcare policies, programs, funding and enrollments.

At December 31, 2014, all of our business was attributable to health plans serving Medicare, Medicaid, and CHIP members. We are unable to predict the impact on our operations of future regulations or legislation affecting these programs, or the healthcare industry in general, and future regulations or legislation may have a material adverse effect on us. Moreover, any reduction in government spending for such programs may also have a material adverse effect.

 

We are subject to federal statutes prohibiting false claims.

The Federal False Claims Act imposes civil penalties for knowingly making or causing to be made false claims with respect to governmental programs, such as Medicare and Medicaid, for services not rendered, or for misrepresenting actual services rendered, in order to obtain higher reimbursement. Although we do not directly provide services to beneficiaries of federally funded health programs and, accordingly, do not submit claims to the federal government, we do provide services to health plans that could become subject to allegations about false claims, which could, in turn, result in allegations against us as well.

 

Failure to adequately comply with HIPAA may result in penalties.

Our industry is subject to the security and privacy requirements of HIPAA relative to patients’ health information. Although we believe we are fully compliant with all HIPAA regulations, any assertions of lack of compliance with HIPAA regulations could result in penalties and have a material adverse effect on our ability to retain our customers or to gain new business.

 

The managed care industry is often subject to class action lawsuits and claims for professional liability that could increase our future costs and expenses.

In recent years, the managed care industry has been subjected to a greater number of lawsuits and claims of professional liability alleging negligence in performing utilization review and other managed care activities and for denial of payment for services. Such incidents could result in professional negligence or other claims against us causing us to incur fees and expend substantial resources in defense of such actions in excess of the limits of our professional liability insurance.

 

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Risks related to our business

 

In addition to all of the foregoing general industry-related risks that may particularly affect our business, we are also subject to the following more particular risks:

 

Our auditors have expressed substantial doubt about our ability to continue as a going concern.

We have experienced a significant decrease in operating revenues beginning January 1, 2013 due to the loss of our major contract in Puerto Rico on December 31, 2012. On December 30, 2013, we sold CBC which eliminated our revenue from at-risk contracts. The loss of these contracts and our inability to generate sufficient cash flow to meet our obligations and sustain our operations raised substantial doubt about our ability to continue as a going concern. Our financial statements have been prepared assuming we will continue as a going concern and do not include any adjustments that might result from the outcome of this uncertainty. Our future is dependent on our ability to execute our business and liquidity plans successfully. If we fail to do so for any reason, this will affect our ability to continue as a going concern in which event investors could lose their entire investment in the Company. Accordingly, in their audit report dated May 10, 2018 on our consolidated financial statements contained herein, our auditors expressed substantial doubt as to our ability to continue as a going concern. In addition, the auditors in their Report cited their inability to obtain sufficient appropriate evidential matter with regard to a cash receipts, cash disbursements and cutoff.

 

Dependence on our Chief Executive Officer.

We are dependent on the services of Mr. Clark A. Marcus, our Chief Executive Officer. The loss of his services would have a material adverse effect on the performance and growth of our business for some period of time. We do not have any “Key Man” insurance for Mr. Marcus.

 

The sale of CBC severely decreased our revenue stream.

In December 2013, we sold CBE. CBC held all of the at-risk contracts and ASO contracts and the provider network contracts which were the extent of our business operations. This action while limiting our losses severely decreased our cash flow. As a result, we will need to obtain additional sources of revenue or obtain financing from other sources. Our ability to support our cost structure could be adversely affected.

 

Our existing and potential managed care clients operate in a highly competitive environment and may be subject to a higher rate of merger, acquisition, and regulation than in other industries.

Our clients may decide to manage the behavioral healthcare benefits “in-house” and, as a result, discontinue contracting with us. For example, our Puerto Rico client terminated its contract with us as of December 31, 2012 and is now managing its members’ behavioral benefit internally. The loss of this contract resulted in a decrease of approximately 83% of our revenue. Additionally, our small to medium-sized health plan clients may be acquired by larger health plans, resulting in non-renewals of our contracts.

 

Our inability to renew, extend or replace expiring or terminated contracts in the near term could adversely affect our liquidity, profitability and financial condition.

Many of the contracts we service could be terminated immediately either for cause or without cause by the client upon notice of a specified time (typically between 60 and 120 days). The loss of one of these contracts could materially reduce our net revenue and have a material adverse effect on our liquidity, profitability and financial condition.

 

Many of our clients provide services to groups covered by Medicare, Medicaid and/or CHIP programs. Such federal and state controlled programs are susceptible to annual changes in reimbursement rates and eligibility requirements.

Any changes in Medicare, Medicaid, and/or CHIP reimbursement could ultimately affect us adversely through contract bidding and cost structures with the health plans affected by such change, especially if we are unable to adapt to the differing needs of our Medicare members and the Medicare regulations. Also, because governmental healthcare programs account for such a large portion of state budgets, efforts to contain overall government spending could result in a significant decrease in healthcare programs.

 

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Temporary reductions in governmental funding for Medicare, Medicaid and CHIP programs have previously had an adverse impact on us that could continue. In addition, states in which we operate may pass legislation that would further reduce our revenue from such sources or increase our claims expense through changes in the reimbursement rates, changes in the benefit covered, or in the number of eligible participants. We may be unable to reduce our costs to a level that would allow us to maintain current gross margins specific to our Medicare, Medicaid and CHIP programs.

 

We rely on the accuracy of eligibility lists provided by our clients to collect premiums and to pay claims. Any inaccuracies in those lists may cause our clients to recoup premium payments from us or for us to pay claims inappropriately.

Premium payments that we receive and claims payments that we make are based on eligibility lists that are produced and maintained by our clients. We are required to reimburse our clients for premiums received based on an eligibility list that the client may later discover contains individuals who were not eligible. Our review of all remittance files to identify potential duplicate members, members that should be terminated or members for which we have been paid an incorrect rate may not identify all such members and could result in repayment of premiums or claims that we paid incorrectly and for which we are unable to recover.

 

We must estimate the amount of claims incurred but not reported, and actual claims ultimately reported may differ materially.

Our costs of care include estimated amounts for claims incurred but not reported (“IBNR”). These estimates are subject to the effects of trends in utilization and other factors and at times may be inadequate.

 

We may be subject to regulatory fines and penalties.

From time to time, we receive notifications from various state agencies concerning our business and operations. Many of our contracts contain provisions stating that we are responsible for regulatory penalties or fines assessed to the client that are due to our noncompliance with a contractual requirement. Our inability to comply with these contractual or regulatory requirements may have a material adverse effect on our business.

 

A failure of our information systems could significantly impair our ability to serve our customers and manage our business.

An effective and secure information system, available at all times, is vital to our health plan customers and their members. We depend on our computer systems for significant service and management functions, such as providing membership verification, monitoring utilization, processing provider claims, and providing regulatory data and other client and managerial reports. Although our computer and communications hardware is protected by physical and software safeguards and other internal controls, it is still vulnerable to computer viruses and other technological threats, fire, storm, flood, power loss, telecommunications failures, or physical break-ins, and similar catastrophic events. We do not have 100% redundancy for all of our computer and telecommunications facilities. We also depend on a third-party provider of application services for our core business application. Any sustained disruption in their services to us would have a material negative effect on our business.

 

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We are subject to intense competition that may prevent us from gaining new customers or pricing our contracts at levels sufficient to achieve gross margins to ensure profitability.

We are continually pursuing new business. Many of our competitors are significantly larger and better capitalized than we are. Our smaller size and weak financial condition has been a deterrent to some prospective customers. Additionally, we will likely have difficulty in matching the financial resources expended on marketing by larger competitors. As a result, we may not be able to successfully compete in our industry in some respects, markets or instances.

 

We will require additional funding, and we cannot guarantee that we will find adequate sources of capital at acceptable terms in the future or that we will be able to continue as a going concern.

We cannot provide assurance that our available cash will be sufficient to fund our business. We will need to seek new financing, possibly including, which cannot be assured, additional debt or equity or financing (which could dilute current stockholders’ ownership interests), we also cannot provide assurance that such additional funding will be available on acceptable terms, if at all. Failure to achieve these goals may affect our ability to continue as a going concern.

 

We may be unsuccessful in obtaining required performance bonds or other security, and consequently may lose clients.

Some of our clients may require us to maintain performance bonds, restricted cash accounts, or other security with respect to our obligations to pay claims. Due to current market conditions or other factors, we may be unable to provide the security required by the client or prospect.

 

Claims brought against us could exceed our insurance coverage.

From time-to-time, we are subject to a variety of legal actions including provider disputes and breach of contract actions. Although we establish provisions for estimated litigation costs as we believe appropriate, we cannot provide assurance that our recorded provisions will be adequate to cover such costs. We maintain a program of insurance coverage against a broad range of risks related to our business. As part of this program of insurance, we are subject to certain deductibles and self-insured retentions. Our insurance limits or covered risks may not be sufficient to cover all judgments, settlements, or costs relating to future claims, suits or complaints. In addition, upon expiration of our insurance policies, we could find that sufficient.

 

We may be unable to attract and retain qualified personnel.

The success of our business is largely dependent on the skills, experience and performance of key members of our senior management team, such as our CEO, President, and Chief Financial Officer and others. We believe our ability to attract and retain highly skilled and qualified technical, managerial, and marketing personnel will determine whether we meet our goals. The market for highly skilled sales, marketing and support personnel is highly competitive as a result of the limited availability of technically qualified personnel with the requisite understanding of the markets which we serve. The inability to hire or retain qualified personnel may hinder our ability to implement our business strategy and may harm our business.

 

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Risks related to our common and preferred stock

 

Our Series C Convertible Preferred stockholders have significant rights and preferences over the holders of our common stock and may be deemed to operate as an anti-takeover device.

Our Series C Convertible Preferred stockholders are entitled to receive dividends when declared by our Board of Directors before dividends are paid on our common stock and also have a claim against our assets senior to the claim of the holders of our common stock in the event of our liquidation, dissolution or winding-up. The aggregate amount of that senior claim is currently $2,608,500. In addition, each Series C Convertible Preferred stockholder is entitled to vote together with the holders of our common stock on an “as converted” basis, and, voting together as a separate class, all holders have the right to elect five of our nine directors to our Board of Directors. The holders by their ability to control a majority of our Directors may be deemed to be an anti-takeover device.

 

The holders of our Series C Convertible Preferred Stock have other rights and preferences as detailed elsewhere in this report. These rights and preferences could adversely affect our ability to finance future operations, satisfy capital needs or engage in other business activities that may be in our interest.

 

Our Series D Convertible Preferred stockholders have significant rights and preferences over the holders of our common stock and may be deemed to operate as an anti-takeover device.

We also have a class of convertible preferred stock, Series D, for which 7,000 shares are authorized and 250 shares have been issued. Subject to certain conditions, the shares do not vest until the tenth anniversary of the grant date of January 4, 2012, at which time the each share will be convertible into 100,000 shares of common stock. Prior to vesting and thereafter, each Series D convertible preferred share is entitled to all voting, dividend, liquidation and other rights accorded a share of Series D convertible preferred stock. If a dividend is declared on the common stock, each share of Series D stock is entitled to receive a dividend equal to 50% of the dividend declared for the common stock as if the Series D stock had been converted. Despite their nonvested status, voting rights of each share nevertheless consist of the right to cast the number of votes equal to those of 500,000 shares of common stock. Unless otherwise required by applicable law, holders of shares of Series D have the right to vote together with holders of common stock as a single class on all matters submitted to a vote of our stockholders. The holders by virtue of their superior voting rights may be deemed to operate as an anti-takeover device.

 

We may raise additional funds in the future through issuances of securities and such additional funding may be dilutive to stockholders or impose operational restrictions.

To fund acquisitions, sales expansions and our operations, we may raise additional capital in the future through sales of shares of our common stock or securities convertible into shares of our common stock. Such additional financing may be dilutive to our stockholders, and debt financing, if available, may involve significant interest costs and/or restrictive covenants which may limit our operating flexibility.

 

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We are not subject to certain provisions of the Sarbanes-Oxley Act of 2002 and other requirements of the federal securities laws and regulations, and accordingly neither the Company nor its investors may receive the benefits and protections they were enacted to provide.

Since we are a smaller reporting entity, and since our common stock is not listed for trading on a national securities exchange, we are not subject to certain of the more robust requirements of the federal securities laws and regulations and the large stock exchanges, including, but not limited to many disclosure requirements of Regulation S-X, certain corporate governance rules and other provisions of the Sarbanes-Oxley Act of 2002, including Section 404(b), which, if applicable, would require our independent auditors to report on the Company’s internal control over financial reporting. The corporate governance rules that do not apply to us relate to independent director standards, director nomination procedures, audit and compensation committees standards, the use of an audit committee financial expert and the adoption of a code of ethics, some of which we nevertheless comply with voluntarily in some significant respects.

 

Applicable SEC rules governing the trading of “penny stocks” may limit the trading and liquidity of our common stock which, along with our small public capitalization may affect the trading price of our common stock and may subject us to securities litigation.

Our common stock is a “penny stock” as defined under Rule 3a51-1 of the Exchange Act and is accordingly subject to SEC rules and regulations that impose limitations upon the manner in which our common stock may be publicly traded. These regulations require the delivery, prior to any transaction involving a penny stock, of a disclosure schedule explaining the penny stock market and the associated risks. Under these regulations, certain brokers who recommend such securities to persons other than established customers or certain accredited investors must make a special written suitability determination regarding such a purchaser and receive such purchaser’s written agreement to a transaction prior to sale. These regulations may have the effect of limiting the trading activity of our common stock and reducing the liquidity of an investment in our common stock. In addition, the size of our public market capitalization is relatively small, resulting in highly limited trading volume in, and high volatility in the price of, our common stock.

 

We expect that our per share price will continue to be volatile for the indefinite future. In the past, securities class action litigation has often been initiated against a company by investors following periods of volatility in the market price of its securities. Accordingly we could be the target of similar litigation in the future. Securities litigation, if it were to occur, even if we were to successfully defend it, would likely result in substantial costs and divert management’s attention and other Company resources.

 

ITEM 2. PROPERTIES

 

We do not own any real property. During 2013 and the first part of 2014, we leased our Tampa corporate office and paid $218,250 in 2013 and $52,326 in 2014 in rent. In May 2014, we moved our offices to a smaller location in Tampa, Florida. The term of the lease is for 5 years beginning in May of 2014 and ending on June 30, 2019. We lease approximately 3,133 square feet. We currently pay approximately $7,697 per month. We consider the condition of our leased property to be average and adequate for our current needs. In our Tampa office we maintain clinical operations, business development, accounting, financial and regulatory reporting and other management information systems, and provider and member service functions. 

 

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ITEM 3. LEGAL PROCEEDINGS

 

In the ordinary conduct of our business, we are subject to periodic lawsuits and claims. Although we cannot predict with certainty the ultimate resolution of lawsuits and claims asserted against us, we do not believe that any currently pending legal proceedings to which we are a party could have a material adverse effect on our business, or our future results of operations, cash flows or financial condition except as described below as of April 23, 2018:

 

We initiated an action against Jerry Katzman, a former director, in July 2009 alleging that Mr. Katzman fraudulently induced us to enter into an employment agreement and, alternatively, that Mr. Katzman breached that alleged employment agreement and was rightfully terminated. In September 2010, the matter proceeded to a trial by jury. The jury found that Mr. Katzman did not fraudulently induce Advanzeon to enter into the contract but also found that Mr. Katzman was not entitled to damages. On defendant’s motion to amend the verdict due to inconsistency, the trial court set aside the jury verdict and awarded Mr. Katzman damages of approximately $1.3 million. The Company appealed the lower court’s decision and posted a collateralized appeal bond for approximately $1.3 million. On February 14, 2013, the 11th Circuit Court of Appeals of the State of Florida reversed the lower court’s judgment in favor of Katzman and remanded the case for a new trial on both liability and damages. The appellate court also taxed appellate costs in favor of Advanzeon against Katzman. The decision of the appellate court also reverses the lower court’s award of attorney’s fees previously awarded to Katzman against Advanzeon. To avoid litigating the case a second time, we began making payments in accordance with a Term Sheet. Katzman objected to the amounts we were paying monthly and filed suit in the Circuit Court of the Thirteenth Judicial Circuit in and for Hillsborough County Florida, Case No. 12-CA-2570, to find us in breach of the Term Sheet. On March 8, 2017 the Court determined that we had breached the Term Sheet and entered a Final Judgment in the amount of $866,052 bearing interest at the statutory rate. Management is in the process of securing a bond against the judgment. The case is currently on appeal in the Second District Court of Appeal, Florida, Case No. 2D17-1433. However the case remains active for execution (collection) on the judgment. Since filing the appeal the execution portion of the proceedings has been removed from the Circuit Court of the Thirteenth Judicial Circuit in and for Hillsborough County Florida and is now before the United States District Court, Middle District, Tampa Division, Case. No. 8:17-CV-2107-T-23AEP.

 

In a related matter to the Katzman litigation, on January 10, 2017, the Company brought an action against Melanie Damian et al. Case number 17-CA-00252, Thirteenth Judicial Circuit Court, Hillsborough County, FL. The Company alleges wrongful collection practices including wrongful garnishment of bank accounts.

 

The Company has filed a claim for money it maintains is owed by Universal Health Care Insurance Company. In re: The Receivership of Universal Health Care Insurance Company. Case number 2013-CA-00358 and Case number 2013-CA-00375 in the Second Judicial Circuit Court, Leon County, FL. The objection to the claim by the receivership was heard April 4, 2018.

 

In Michael Ross et.al v. Advanzeon Solutions, Inc., Plaintiff is suing the Company for money it claims is owed pursuant to a promissory note. The Company is filing a motion for summary judgment. Case Number 16-CA-005737, Thirteenth Judicial Circuit Court Hillsborough County, FL. Filed April 7, 2015.

 

In Advanzeon Solutions, Inc. v. Mayer Hoffman et. al.., Case Number 16-CA-005737 Thirteenth Judicial Circuit Court Hillsborough County, FL., the Company has sued Defendants for damages for breach of audit services contract. The Judge ruled in favor of Defendants motion for summary judgment, but no judgment has been entered. The Company will file for a rehearing of the summary judgment and or an appeal. Filed June 17, 2016.

 

In a matter entitled Pharmacy Value Management Solutions, Inc. vs Young & Son Tax and Accounting, LLC, Charles Young Sr., Charles Young Jr. and Jay Jacques, the Company brought this action for damages for among other things breach of accounting service contract, mandatory injunction, return of documents and conversion of accounting funds held in the accountants’ trust account. The case is in the initial stage. Case Number 18-CA-000960 Thirteenth Judicial Circuit, Hillsborough County, FL. Filed March 31, 2018.

 

ITEM 4. MINE SAFETY DISCLOSURES

 

Not applicable.

 

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PART II

 

ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY RELATED STOCKHOLDER MATTERS AND ISSUER PURCHASE OF EQUITY SECURITIES 

 

  (a)

Market Information - Our common stock is traded on the OTCBB under the symbol CHCR. The following table sets forth the range of high and low bid quotations for the common stock, as reported by the OTCBB, for the fiscal quarters indicated. The market quotations reflect inter-dealer prices without retail mark-up, mark-down or commissions and may not necessarily represent actual transactions.

 

The below quotations, as determined through a query of Yahoo Finance, reflect inter-dealer prices, without retail mark-up, mark-down or commission and may not necessarily represent actual transactions:

  

 

   High   Low 
         
Year ended December 31, 2014          
    4th quarter, ended December 31, 2014  $0.12   $0.05 
    3rd quarter, ended September 30, 2014  $0.12   $0.02 
    2nd quarter, ended June 30, 2014  $0.06   $0.02 
    1st quarter, ended March 31, 2014  $0.08   $0.02 
           
Year ended December 31, 2013          
    4th quarter, ended December 31, 2013  $0.13   $0.03 
    3rd quarter, ended September 30, 2013  $0.19   $0.09 
    2nd quarter, ended June 30, 2013  $0.19   $0.07 
    1st quarter, ended March 31, 2014  $0.02   $0.05 

 

  (b) Holders - As of May 4, 2018, we had 520 holders of record of our common stock.

 

  (c) Dividends - We did not pay any cash dividends on our common stock during the years ended December 31, 2014 or 2013 and do not contemplate the initiation of payment of any cash dividends in the foreseeable future. In the event that we do pay dividends, the holders of record of our Series C Convertible Preferred Stock and Series D Convertible Preferred Stock are entitled to receive such dividends in preference to the holders of our common stock, when and if declared by our Board of Directors. If declared, holders of our Series C Convertible Preferred Stock will receive dividends in an amount equal to the amount that would have been payable had the Series C Convertible Preferred Stock been converted into shares of our common stock immediately prior to the declaration of such dividend. Holders of our Series D Convertible Preferred Stock will receive dividends in an amount equal to 50% of the amount that would have been payable had the Series D Convertible Preferred Stock been converted into shares of our common stock. No dividends shall be authorized, declared, paid or set apart for payment on any class or series of our stock ranking, as to dividends, on a parity with or junior to the Series C Convertible Preferred Stock for any period unless full cumulative dividends have been, or contemporaneously are, authorized, declared, paid or set apart in trust for such payment on the Series C Convertible Preferred Stock. In addition, as long as a majority of the 10,434 shares of our Series C Convertible Preferred Stock are outstanding, we cannot declare or pay any dividend or other distribution with respect to any equity securities without the affirmative vote of holders of at least 50% of the outstanding shares of Series C Convertible Preferred Stock.

 

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  (d) Securities Authorized for Issuance under Equity Compensation Plans - The equity compensation plan information contained in Item 12 of Part III of this Annual Report on Form 10-K is incorporated herein by reference.

 

UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

During the three month period ended March 30, 2013, the Company issued 325,000 shares to various individuals for consulting services performed during the period. The shares issued were valued at $0.24 per share or an aggregate price of $77,005. We believe that Section 4(2) of the Securities Act of 1933, as amended, was available because these transactions did not involve a public offering and there was no general solicitation or general advertising involved in these transactions. We placed legends on the stock certificates stating that the securities were not registered under the Securities Act and set forth the restrictions on their transferability and sale.

 

During the three month period ended June 30, 2013, the Company issued 1,420,588 shares to various individuals for consulting services performed during the period. The shares issued were valued at $0.07 - $0.12 per share or an aggregate price of $171,946. The Company also issued 1,119,078 shares as payments for accrued interest. The shares issued were valued at $0.10-$0.24 per share or an aggregate price of $132,219. We believe that Section 4(2) of the Securities Act of 1933, as amended, was available because these transactions did not involve a public offering and there was no general solicitation or general advertising involved in these transactions. We placed legends on the stock certificates stating that the securities were not registered under the Securities Act and set forth the restrictions on their transferability and sale.

 

During the three month period ended September 30, 2013, the Company issued 721,400 shares to various individuals for consulting services performed during the period. The shares issued were valued at $0.10 per share or an aggregate price of $72,140. The Company also issued 25,783 shares as payments for accrued interest. The shares issued were valued at $0.10 per share or an aggregate price of $2,578. We believe that Section 4(2) of the Securities Act of 1933, as amended, was available because these transactions did not involve a public offering and there was no general solicitation or general advertising involved in these transactions. We placed legends on the stock certificates stating that the securities were not registered under the Securities Act and set forth the restrictions on their transferability and sale.

 

Based on certain representations and warranties of the purchasers in their respective subscription agreements, we relied on Section 3(a)(9) and Section 4(2) of the Securities Act of 1933, as amended (the “Securities Act”), for an exemption from the registration requirements of the Securities Act for the sales and issuances described above. These shares, and the shares underlying the warrants, have not been registered under the Securities Act and may not be sold in the United States absent registration or an applicable exemption from the registration requirements of the Securities Act. No underwriting discounts or commissions were given or paid in connection with the sales described above. We intend to use the net proceeds from the sales and issuances described above for product and sales expansion and for working capital purposes.

 

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ITEM 6. SELECTED FINANCIAL DATA

 

Not applicable.

 

ITEM 7. MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

This report includes forward-looking statements, the realization of which may be affected by certain important factors discussed previously above under Item 1A, “Risk Factors.”

 

OVERVIEW

 

Advanzeon manages the delivery of a continuum of behavioral healthcare, substance abuse, and drug management services for commercial, Medicare, Medicaid, and CHIP members on behalf of health plans. It also provides these services to employees of self-insured companies and members of unions. Our managed care operations included at-risk contracts, administrative service agreements, and fee-for-service agreements. The customer base for our services was primarily health plans that contract with governmental entities. Our clinical services were provided by unrelated contracted providers on a fee for service or subcontracted basis. In December 2013, we sold our wholly owned subsidiary, Comprehensive Behavioral Care, Inc., (“CBC”) which handled all of our at-risk contracts, ASO contracts and held the provider network contracts. In January 2014, we entered in an agreement with CBC whereby we oversaw administrative services for CBC’s contract services. We conducted no other revenue generating operations in 2014. In 2014, we continued our plan to market our Pharmacy Savings Management Program. In October 2013, we established a wholly-owned subsidiary, Pharmacy Value Management System (“PVMS”). The purpose of PVMS was to act as a strategic partner to Pharmacy Benefit Mangers (“PBM”) PVMS would contract with health plans, self-insured entities, unions and Taft-Hartley health and welfare funds whereby we would offer to manage on an at-risk basis prescription drug programs. We would secure a bond to cover our guaranteed savings. PVMS would enter into agreements with smaller PBM’s whereby they would agree to the discounts we would provide. After working on the program for most of 2014, we determined that we did not have the financial resources to successfully implement the program. In the fourth of quarter of 2014, we began working on a business model for the virtual treatment of Obstructive Sleep Apnea or OSA.

 

SOURCES OF REVENUE

 

A quantitative summary of our revenues by source category for 2014 and 2013 follows:

 

   2014   2013 
         
At-risk contracts  $   $766,116 
           
Administrative services only contracts   535,863    2,415,673 
           
Total  $535,863   $3,181,789 

 

Fiscal years ended December 31, 2013 and 2014.

 

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Results of Operations

 

Revenues for the fiscal year ended December 31, 2014, were $535,863 compared to revenues of $3,181,789 for the comparable period ending December 31, 2013. At-risk contract revenue totaled $766,116 in 2013. In December 2013, we sold CBC which held all of our at-risk and ASO contracts. For the fiscal year ended December 31, 2014, all of our revenues were derived from the fee we received from CBC for servicing, on an ASO basis, their contracts which totaled $535,863. For the comparable period ending December 31, 2013, revenue from the ASO contracts totaled $460,619. The decrease in revenue is attributable to the sale of CBC in December 2013.

 

Selling, general and administrative expense decreased from $5,229,607 in fiscal year 2013, to $$1,399,814 in the fiscal year ending December 31, 2014. This decrease was largely due to the sale of CBC. Approximately $2.4 million of the decrease was due to the sale of CBC. Another $1.2 million in expense reduction was due to the closing of our Puerto Rico operations.

 

Other Income (Expense) components changed as follows:

 

Interest expense decreased $512,390 from $1,881,193 to $1,369,803 due primarily to reduced average balances outstanding and reduced amortization of debt discount.

 

Gain on sale of subsidiary was $9,270,336 and did not exist in 2014. On December 30, 2013, The Company sold its wholly-owned subsidiary, Comprehensive Behavioral Care, Inc. (“CBC”). The sales price was $100.00 and the buyer received all of the issued and outstanding equity of CBC. As part of the transaction, the Company was entitled to receive any sums owing or payable to the Company or its subsidiaries for work or event occurring prior to the date of the sale. On January 1, 2014, the Company and CBC entered into an arrangement whereby the Company agreed to provide administrative services only for contracts held by CBC. These services consisted of the performance of clinical management, utilization management, claims administration, intensive case management, discharge planning and referral. In return CBC agreed to pay a monthly fee based on the number of employees/members covered on a client by client basis. The initial term is three years with provisions for subsequent one year renewals that has occurred every year since since commencement. Also on January 1, 2014, the Company and CBC entered into an agreement whereby the Company could lease the access to the Network Providers. The initial term was two years with provisions for subsequent one year term renewals. The Company agreed to pay a fixed rate per member, per month. See Note 11 Sale of Comprehensive Behavioral Care, Inc. for more detail.

 

Legal settlement was $1,185,000 in 2014 and did not exist in 2013. The Company’s subsidiary, CompCare de Puerto Rico (“Puerto Rico”) entered into an agreement with MAPRE Life Insurance Company of Puerto Rico (“MAPFRE”) whereby the Company made available to MAPFRE’s Medicare Advantage beneficiaries its network of providers for behavioral, and mental health amongst other services effective December 1, 2008. From that time until August 13, 2012, the Company claimed that overpayments for medical costs were made and requested reimbursement. An arbitration case was filed, and the parties settled on June 12, 2014 for a settlement of $1,150,000, which was received by the Company. This settlement is recorded as part of Other Income on the face of the financial statements.

 

Liquidity and Capital Resources

 

During the fiscal year ended December 31, 2013, we funded our operations from revenues and a line of credit. For the fiscal year ended December 31, 2014, we funded our operations from revenues and private borrowings. We will continue to fund our operations from these sources until we are able to produce operating revenue sufficient to cover our cost structure. In the event we are not able to secure such funding, our operations will be adversely affected.

 

Short Term: We funded our operations with revenues from sales and private borrowings. We could not access commercial lines of credit during 2014.

 

Our customer base primarily includes regional health plans that do not have their own behavioral network. We provide services primarily through a network of contracted providers that includes:

 

  psychiatrists;

 

  psychologists;

 

  therapists;

 

  other licensed healthcare professionals;

 

  psychiatric hospitals;

 

  general medical facilities with psychiatric beds;

 

  residential treatment centers; and

 

  other treatment facilities.

 

The services provided through our provider network include outpatient programs (such as counseling or therapy), intermediate care programs (such as intensive outpatient programs and partial hospitalization services), inpatient programs and crisis intervention services. We do not directly provide treatment or own any treatment facility.

 

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We typically enter into contracts on an annual basis to provide managed behavioral healthcare and substance abuse services to our customers’ members. Our arrangements with our clients fall into two broad categories:

 

  At-risk arrangements under which our clients pay us a fixed fee per member in exchange for our assumption of the financial risk of providing services; and

 

  ASO arrangements where we manage behavioral healthcare programs or perform various managed care services, such as clinical care management, provider network development, and claims processing without assuming financial risk for member behavioral healthcare costs.

 

Under at-risk arrangements, the number of covered members as reported to us by our clients determines the amount of premiums we receive, which is independent of the cost of services rendered to members. The amount of premiums we receive for each member is fixed by our contract at the beginning of our contract term. Under certain circumstances these premiums may be subsequently adjusted up or down, or the contract terminated, 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 at-risk arrangements. Providing services on an at-risk basis exposes us to the risk that our contracts may ultimately be unprofitable if we are unable to control or otherwise anticipate healthcare costs. Accrued claims payable and claims expense are our most critical accounting estimates. See “Critical Accounting Policies and Estimates” below.

 

During 2013, we managed programs through which services were provided to recipients in 8 states. Our objective is to provide easily accessible, high quality behavioral healthcare services and to manage costs through measures such as the monitoring of hospital inpatient admissions and the review of authorizations for various types of outpatient therapy. Our goal is to combine access to quality behavioral healthcare services with effective management controls in order to ensure the most cost-effective use of healthcare resources.

 

Our programs and services include:

 

  management of prescription drugs on an at-risk basis for health plans, self-insured companies, and unions;

 

  fully integrated behavioral healthcare and pharmacy management services;

 

  analytic services for medical and pharmacy claims for medical integration of behavioral and medical care coordination;

 

  case management/utilization review services;

 

  administrative services management;

 

  preferred provider network development;

 

  management and physician advisor reviews; and

 

  overall care management services.

 

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Debt Modification

Throughout 2013 and 2014, we negotiated agreements with several creditors to modify the due dates of previously matured and unpaid promissory notes. Under the modified terms, the maturity dates for various notes were extended as follows and are now in default.

 

Note Amount Original Maturity Date New Maturity Date
$ 100,000 3/16/2013 3/16/2014
$ 1,400,000 9/16/2013 None established
$ 625,000 9/16/2013 None established
$ 37,000 5/15/2013 4/15/2014
$ 265,657 5/15/2013 4/15/2014
$ 10,375 5/15/2013 4/15/2014
$ 25,606 5/15/2013 4/15/2014
$ 58,124 5/15/2013 4/15/2014
$ 92,948 5/15/2013 4/15/2014
$ 800,940 5/15/2013 4/15/2014
$ 68,475 4/15/2013 4/15/2014
$ 5,188 4/15/2013 4/15/2014
$ 72,625 1/28/2014 1/15/2015
$ 11,309 4/15/2014 10/15/2015
$ 51,875 1/30/2014 2/15/2015

 

In June 2014, we settled an arbitration matter for $1,150,000. Of the proceeds we paid fees of $150,000 and used the remaining $1,000,000 for the repayment of a portion of our outstanding debt. See Note 12 Legal Settlement of the notes to the consolidated financial statements.

 

ACCOUNTING POLICIES AND ESTIMATES

 

Preparation of our consolidated financial statements requires us to make significant estimates and judgments to develop the amounts reflected and disclosed in the consolidated financial statements. 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 our revenue recognition, accrued claims payable, premium deficiencies and claims expense, goodwill, and income taxes are critical to the preparation of our consolidated financial statements.

 

Revenue recognition. In 2013, the majority of our managed care activities were performed under at-risk arrangements pursuant to terms of agreements primarily with health plans to provide contracted behavioral healthcare and pharmacy management services to subscribing members. In December 2013, we sold CBC which held our at-risk agreements. For the year ended December 31, 2013 such agreements accounted for approximately 24% or $766,116 of our revenue. Revenue under these agreements is earned continuously over time regardless of services actually provided and, therefore, is recognized monthly based on the number of qualified members. The information regarding qualified members is supplied by our clients, and we review member eligibility records and other reported information to verify its accuracy and determine the amount of revenue to be recognized. The remaining balance of our revenues is earned and recognized as services are delivered on a non-risk basis. In 2014, all of our revenue was earned and recognized as services delivered on a non-risk basis.

 

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Accrued claims payable. Claims expense, a major component of cost of revenue, is recognized in the period in which an eligible plan member actually receives services and includes a provision for claims incurred but not reported (“IBNR”). We contracted with various healthcare providers including hospitals, physician groups and other licensed behavioral healthcare professionals either on a discounted fee-for-service or a per-case basis. 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 the member is eligible to receive the service, the service provided is medically necessary and is covered by the benefit plan’s certificate of coverage, and the service is authorized by one of our employees, if required. If all of these requirements are met, the claim is entered into our claims system for payment.

 

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 IBNR. We have used the same methodology and assumptions for estimating the IBNR portion of the accrued claims liability for the last three years ending in December 2013.

 

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 estimates would increase claims expense and could adversely affect our ability to achieve and sustain improvements in profitability and positive cash flow. Although considerable variability is inherent in such estimates, we believe that our unpaid claims liability is adequate.

 

Whenever we believe it is probable that a future loss will be incurred under our managed care contracts based on a perceived contractual premium deficiency, and we expect to be unable to cancel our obligation or renegotiate, and the amount of the loss can be reasonably estimated, we also provide for such expected losses. We perform this loss accrual analysis on a contract-by-contract basis by taking into consideration various factors such as future contractual revenue, estimated future healthcare and maintenance costs, and each contract’s specific terms related to future revenue increases as compared to expected increases in healthcare costs. The estimated future healthcare and maintenance costs are based on historical trends and expected future cost increases.

 

Accrued claims payable consists primarily of amounts established for reported claims and IBNR claims, which are unpaid through the respective balance sheet dates. Our policy is to record management’s 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 industry accepted 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 management’s best estimate of the accrued claims payable balance. However, estimating IBNR claims involved a significant amount of judgment by our management.

 

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Income taxes. Computing our provision for income taxes involves significant judgment and estimates particularly in relation to the determination of a valuation allowance for deferred tax assets (primarily from net operating loss carryforwards). See Note 14 to the consolidated financial statements. As further discussed in Item9A Controls and Procedures, during the fourth quarter of 2013, there was a departure of the entire fiscal management department including the Chief Financial Officer. As a result, management did not have access to any of the financial records of the Company. Consequently, the Company has not filed any federal, state, or local income returns since 2012. The financial statements do not reflect any fines or penalties that may result from not filing the various income tax returns.

 

Stock-based compensation. We issue various stock-based compensation awards to our employees and members of our Board of Directors. We account for the awards in accordance with ASC 718 “Compensation – Stock Compensation” and 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 us to use certain variable assumptions for input, to calculate the fair value of a stock award on the grant date. These assumptions, which are set forth in Note 2 to our consolidated financial statements 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 developing our assumptions as follows:

 

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 based on the optionees’ position, whether managerial or clerical, and length of service and turnover rate. Where possible, we analyze exercise and post-vesting termination behavior. For any group without sufficient information, we estimate the expected term of the options granted by averaging the vesting term and the contractual term of the options.

 

Expected Forfeiture Rate

We generally separate our option awards into two groups: employee and non-employee awards. The historical data of each group are analyzed independently to estimate the forfeiture rate of options at the time of grant. These estimates are revised in subsequent periods if actual forfeitures differ from estimated forfeitures.

 

Risk-free interest rate

We estimate the risk-free interest rate by reference to the interest rate for a U.S. Treasury constant maturity security with the same estimated term as the stock based award being issued.

 

Expected dividends

No dividends are expected to be paid for the expected life of the instruments; therefore, we assume a dividend rate of zero.

 

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RECENT ACCOUNTING PRONOUNCEMENTS

 

No recent accounting pronouncements have been issued that are not yet effective and have not been early adopted that we believe will have a significant effect on our consolidated financial in future periods.

 

ITEM 7A QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

We have no material exposure to changing interest rates as the interest rates on our short term and long-term debt are fixed. Additionally, we do not use derivative financial instruments for investment or trading purposes and our investments are generally limited to cash deposits.

 

ITEM 8. CONSOLIDATED FINANCIAL STATEMENTS

 

Our audited financial statements may be found beginning on Page 55, appearing elsewhere in this report.

 

ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE.

 

On July 15, 2016, the Company was informed that its Independent registered public accounting firm Mayer Hoffman McCann P.C. (“MHM”) had resigned. On November 7, 2016, the Audit Committee of the Board of Directors of the Company unanimously recommended and authorized the engagement of Isdaner & Company, LLC (“Isdaner”) to serve as the Company’s independent registered public accounting firm to audit the Company’s consolidated financial statements for the 2013, 2014 and 2015 fiscal years and to perform a review of the Company’s condensed consolidated interim financial statements for the first, second and third quarters of fiscal 2016, and to perform an audit of the Company’s consolidated financial statements for the fiscal year ended December 31, 2016. The Board of Directors unanimously accepted and approved the action of the Audit Committee. The appointment was effective November 7, 2016.

 

Except as cited below , no audit report of MHM on the Company’s consolidated financial statements for either of the two fiscal years ending December 31, 2012, and 2011,( which are the last fiscal years to be audited), contained an adverse opinion or a disclaimer of opinion, or was qualified or modified as to uncertainty, audit scope or accounting principles. Such reports were modified to raise substantial doubt about the Company’s ability to continue as a going concern.

 

During the last two years for which an audit report was issued, 2012 and 2011, on the Company’s consolidated financial statements preceding MHM’s resignation, there was no disagreement (as described in Item 304(a)(1)(iv) of Regulation S-K and the related instructions) with MHM on any matter of accounting principles, financial statement or auditing scope or procedures which, if not resolved to the satisfaction of MHM, would have caused MHM to make reference to the matter in their report(s).

 

On December 19, 2016, the Company and Isdaner & Company, LLP (“Isdaner”) mutually agreed to terminate their relationship and the Company accepted their resignation. On the same date, the Audit Committee of the Board of Directors of the Company unanimously recommended and authorized the engagement of Louis Plung & Company, LLP (“Louis Plung”) to serve as the Company’s independent registered public accounting firm to audit the Company’s consolidated financial statements for the 2013, 2014 and 2015 fiscal years. The appointment was effective December 19, 2016. Isdaner issued no audit report on the Company’s consolidated financial statements having only been appointed on November 7, 2016.

 

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Prior to the engagement of Isdaner or Louis Plung neither the Company nor anyone on its behalf consulted Isdaner or Louis Plung regarding, (i) the application of accounting principles to a specific transaction, either completed or proposed or the type of audit opinion that might be rendered on the Company’s consolidated financial statements and no written report or oral advice was provided by Isdaner or Louis Plung to the Company that Isdaner or Louis Plung concluded was an important factor considered by the Company in reaching a decision as to accounting, auditing or financial reporting issue, or (ii) any matter that was either the subject of a disagreement (as described in Item 304(a)1)(iv) of Regulation S-K and related instructions) or a reportable event (as described in Item 304(a)(1)(iv) of Regulation S-K). 

 

ITEM 9A. CONTROLS AND PROCEDURES

 

During the fourth quarter of 2013, there was a departure of the entire fiscal management department including the Chief Financial Officer. As a result, management did not have access to any of the financial records of the Company and was unable to perform an evaluation of the effectiveness of the design and operations of our disclosure controls and procedures, as defined in Rules 13a-15(e) and 15d-15(e) under the Exchange Act.

 

Management was unable to conclude that, as of the evaluation date, such disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports we file or submit under the Exchange Act are recorded, processed, summarized and reported within the time periods specified in the rules and forms of the SEC, and is accumulated and communicated to our management, including our Chief Executive Officer and our Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

 

Management’s Annual Report on Internal Control over Financial Reporting

 

In connection with our assessment of internal control over financial reporting, we identified a material weakness in our internal control over financial reporting relating to our accounting of December 31, 2014 and 2013.

 

A material weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that material misstatements of the annual or interim financial statements will not be prevented or detected. Beginning in June 2016, significant internal control, informational systems, and process improvements have been implemented in our accounting system. However, we determined that control deficiencies existed related to

 

  Cash receipt process

 

  Cash disbursements process

 

  Financial closing process

 

  Related party transactions

 

  Management information systems

 

  Management use of estimates

 

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The control deficiencies did not result in a material misstatement to our consolidated financial statements in any period presented.

 

The material weakness in our internal control over financial reporting did adversely affect our ability to provide timely and accurate financial information.

 

In December 2012, we hired a financial consultant who, working with two staff members, oversaw our accounts payable and accounts receivables. This consultant then became our acting CFO during 2014 and through 2015. During this period, management did not have access to the Company’s general ledger software program.

 

In July, 2016, the Company retained an outside accounting firm and was eventually able to access its general ledger. The Company is in the process of completing the development of a system of internal controls covering the areas listed above.

 

Our management is responsible for establishing and maintaining an adequate system of internal control over financial reporting. Our system of internal control over financial reporting is designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation of financial statements for external purposes in accordance with accounting principles generally accepted in the United States of America.

 

Our internal control over financial reporting includes those policies and procedures that:

 

  pertain to the maintenance of records that, in reasonable detail, accurately and fairly reflect our transactions and dispositions of our assets;
  provide reasonable assurance that our transactions are recorded as necessary to permit preparation of our financial statements in accordance with accounting principles generally accepted in the United States of America, and that our receipts and expenditures are being made only in accordance with authorizations of our management and our directors; and
  provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use, or disposition of our assets that could have a material effect on the financial statements.

 

Because of its inherent limitations, a system of internal control over financial reporting can provide only reasonable assurance and may not prevent or detect misstatements. Furthermore, because of changes in conditions, effectiveness of internal controls over financial reporting may vary over time. Our system contains self-monitoring mechanisms, and actions are taken to correct deficiencies as they are identified.

 

Our management conducted an evaluation of the effectiveness of the system of internal control over financial reporting based on the framework in Internal Control-Integrated Framework issued by the Committee of Sponsoring Organizations of the Treadway Commission. Based on this evaluation, our management concluded that our system of internal control over financial reporting was ineffective as of December 31, 2014 and 2013. As noted in their report, our independent auditors were unable to obtain sufficient appropriate evidential matter related to cash receipts, cash disbursements and cutoff.

 

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PART III

 

ITEM 10. DIRECTORS, EXECUTIVE OFFICERS AND CORPORATE GOVERNANCE

 

The following table lists our executive officers and directors serving as of December 31, 2013 and December 31, 2014. Each director is serving a term that will expire at our next shareholder meeting. There are no family relationships among any of our directors or executive officers.

 

NAME     AGE     POSITION  
Clark A. Marcus 75 Chairman of the Board, Chief Executive Officer and Director
Mark T. Heidt 64 President, Director
James L. Koenig 59 Chief Financial Officer; Chief Accounting Officer
Arnold B. Finestone, Ph.D. 87 Director, Audit Committee Chairman and Compensation and Stock Option Committee Member
Sharon Kay Ray 58 Director and Compensation and Stock Option Committee Member
Arthur K. Yeap 61 Director, Audit Committee Member, and Compensation and Stock Option Committee Chairman
Jairo Estrada 59 Director
Stephen M. Kreitzer 72 Director

 

CLARK A. MARCUS

 

Clark A. Marcus was appointed as our Co-Chief Executive Officer, a director and Chairman of the Board on May 11, 2009. In September, 2010, he assumed the position of sole Chief Executive Officer. Mr. Marcus was formerly Chairman and Chief Executive Officer of Core from September 2008 to January 2009. Prior to that, he was a founder, Chairman and Chief Executive Officer at The Amacore Group, Inc., a public company and marketer of healthcare related memberships, from September 1993 to August 2008. Mr. Marcus has been a practicing attorney since 1968 and was a senior partner in the New York law firms of Victor & Marcus and Marcus & Marcus. He currently serves on the U.S. Chamber of Commerce Corporate Leadership Advisory Council. Mr. Marcus contributes to the Board of Directors through his unique expertise in the healthcare industry, legal expertise, decades of experience in building and operating companies as well as proven leadership skills in guiding public companies.

 

ARNOLD B FINESTONE, Ph.D.

 

Arnold B. Finestone was appointed to our Board of Directors on January 21, 2009. He is a business management consultant and formerly served on the Board of Directors of The Amacore Group, Inc., a public company and marketer of healthcare related memberships. He has served on the Boards of public companies and start-up business ventures since 1985. From 1982 to 1985, he was President of Dartco, Inc., a subsidiary of Dart & Kraft Inc., which was engaged in marketing and manufacturing of high-performance engineering plastics for consumer, industrial, and military uses. From 1970 to 1982, he served as Executive Vice President of the Chemical–Plastics Group of Dart Industries and Dart & Kraft, Inc. From 1957 to 1970, he was Vice President and Director of Planning, Development and Marketing for Foster Grant, Inc. Dr. Finestone’s qualifications to sit on our Board of Directors include his financial expertise, which qualify him as our “Audit Committee Chairman and “financial expert,” and his extensive governance and executive experience, including executive level roles in complex organizations. In April 2018, Mr. Finestone was appointed as our Chief Financial Officer.

 

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SHARON KAY RAY

 

Sharon Kay Ray was appointed to our Board of Directors on January 21, 2009. Since March 1989 she has served as a regional marketing representative for Novo Nordisk, a multi-national pharmaceutical company, and as a special marketing consultant for a number of public and non-public corporations. Within the last five years Ms. Ray served on the Board of Directors of The Amacore Group, Inc. a public company and marketer of healthcare related memberships. Ms. Ray brings to the Board of Directors a unique marketing perspective that provides strategic insight into the promotion of our healthcare related consumer products.

 

ARTHUR K. YEAP

 

Arthur K. Yeap joined our Board of Directors on January 21, 2009. Since 1983, Mr. Yeap has served as Chief Executive Officer of Novo Group, consultants and manufacturers in the USA and Asia of audio, green lighting and LED Display products for professional use. He also has been a principal investigator on the staff of the University of California at Berkeley, engaged in research in perception and hearing for advanced military and consumer uses of the Internet. From 1996 to 1999, he was Director of Marketing, Consumer Products, for ITV Corporation. From 1995 to 1996 Mr. Yeap was Chief Engineer for WYSIWYG Networks. Mr. Yeap was a member of the Board of Directors of the Golden Gate Regional Center, which provides services and state funding for the mentally handicapped from 1992-1996 and served as its Chairperson from 1996-1997. He served on the Board of Trustees of Grace Cathedral in San Francisco, and is currently on the Board of Clausen House in Oakland, a nonprofit agency serving individuals with special needs. Mr. Yeap provides valuable managerial knowledge to the Board of Directors as well as experience in strategic product development and operations, with a focus on information technology and systems.

 

JAIRO ESTRADA

 

Jairo Estrada joined our Board of Directors in March 2013. Mr. Estrada is the chairman of N.S.C. of Puerto Rico, a manufacturing company serving the pharmaceutical industry. He is the former chairman of the Board of directors of Telafonas Publicas of Puerto Rico. He is also the former chairman of Choice-Tele Co. Mr. Estrada is a founder and shareholder in World Extend, an on demand enterprise application deployment system that provides high level security on client access using an external browser without the need for VPN’s. Mr. Estrada resigned in November 2014.

 

STEPHEN M. KREITZER, M.D.

 

Dr. Kreitzer, who is a graduate of the Albert Einstein College of Medicine of the Yeshiva University, completed his fellowship training at the Harvard Medical School. He is Board Certified in Internal Medicine, Pulmonary Medicine and Sleep Medicine and has been in practice for over 30 years in Tampa, Florida. Dr. Kreitzer currently serves as the Medical Director of the Sleep Laboratory at Memorial Hospital of Tampa, as well as the Chief of Pulmonary Medicine. He has previously been Chief of Pulmonary Medicine at St. Joseph’s Hospital in Tampa. He chairs the Medical Ethics Committee at Memorial Hospital and previously served on the Board of Censors of the Hillsborough County Medical Association. He also served as a Major in the United States Air Force and has conducted over 100 clinical FDA approved trials besides authoring numerous articles in his field. Dr. Kreitzer has been voted “Top Doctor” by his peers in both sleep medicine and pulmonary medicine in the Tampa-St. Petersburg-Clearwater Florida area for 2016 and 2017.

 

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MARK T. HEIDT

 

Mr. Heidt joined our Board of Directors in September 2014. Prior to his appointment; he served as a consultant to the Company since January 2014. Prior to that time he was the owner and manager of BEC Worldwide, LLC, a national advertising, marketing and management company. Mr. Heidt contributes to the Board with over thirty years of experience in mass marketing, media placement and advertising placement with a specialty in infomercial design.

 

Section 16(a) Beneficial Ownership Reporting Compliance

 

Under Section 16(a) of the Securities Exchange Act of 1934, as amended, an officer, director or greater than 10% stockholder of our outstanding common stock must file with the SEC initial reports of ownership and reports of changes in ownership of our equity securities. Such persons are required by SEC regulations to furnish us with copies of all such reports they file. Based solely upon a review of Section 16(a) reports furnished to us, we believe all such entities or persons subject to the Section 16(a) reporting requirements have complied with applicable filing requirements during 2014, with the exception of the following:

 

Mr. Mark Heidt became our President and a Director in September 2014. He filed his Form 3 in January 2017.

 

Mr. James Koenig became our CFO in February 2014. He filed his Form 3 in September 2017. Mr. Koenig resigned as our chief financial officer in April 2018.

 

Board Leadership Structure

 

Our Board is led by its Chairman, Mr. Marcus, who is also CEO of the Company. We believe that having our CEO serve as Chairman of the Board provides us with unified leadership and direction and strengthens the ability of the CEO to develop and implement strategic initiatives and respond efficiently to various situations. The Board is aware of the potential conflicts that may arise when an insider chairs the Board, but believes any such conflicts are offset by the fact that independent directors comprise a majority of the Board and each of its committees. The committees facilitate deeper analysis of various matters and promote regular monitoring of our activities in their advisory role to the Board. At present, the Board believes that its current structure effectively maintains independent oversight of management and that having an independent director as Chair is unnecessary. The Board has the ability to quickly adjust its leadership structure should business or managerial conditions change.

 

Governance and Nominating Committee

 

Our Board does not utilize a separate Governance and Nominating Committee. Instead, our full Board performs the functions that are normally the responsibility of a Governance and Nominating Committee. In considering candidates for open Board positions, diversity of background and personal experience is considered by the Board in assembling a group of individuals that will work well together in overseeing our affairs. Although we do not have a formal diversity policy, the Board considers, among other things, diverse business experiences, the candidate’s range of experiences with public companies, and racial and gender diversity in evaluating Board candidates. While diversity in background in directors is important, it does not necessarily outweigh other attributes or factors the Board may consider in evaluating any particular candidate.

 

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Code of Ethics

 

We have adopted a code of ethics applicable to all of our employees, including our principal executive officer, principal financial and accounting officer and persons performing similar functions. The text of this code of ethics can be found on our website at www.Advanzeon.com. We intend to post notice on our website of any waiver from, or amendment to, any provision of our code of ethics.

 

Audit Committee

 

Although we are not required to have an Audit Committee, we maintain one whose primary function is to assist the Board of Directors (“the Board”) in the oversight of the integrity of our financial statements, the effectiveness of our internal control over financial reporting, the identification and management of risk, and in evaluation of the performance of our independent auditor. As of December 31, 2014, the Audit Committee of our Board consisted of Arnold B. Finestone, (Chairman) and Arthur K. Yeap. The Board of Directors has determined that, although not applicable in our case, all members of the Committee nevertheless were independent as defined in Section 303A of the New York Stock Exchange’s listing standards and SEC Rule 10A-3, and that Dr. Finestone qualifies as a “financial expert,” as defined by Item 407(d)(5) of Regulation S-K.

 

Compensation and Stock Option Committee

 

The purpose of the Compensation and Stock Option Committee is to determine, or recommend to the Board for determination, the direct and indirect compensation of the CEO and all other officers and to administer any incentive compensation plans from which stock options and other stock based awards may be granted. At December 31, 2014, the Compensation and Stock Option Committee of our Board consisted of Arthur K. Yeap (Chairman), Sharon Kay Ray, and Arnold B. Finestone.

 

Compensation Consultants

 

We did not use any compensation consultants during 2014 or 2013.

 

Indemnification matters

 

In connection with our indemnification program for executive officers and directors, Mr. Marcus, Mr. Kulbick, and Mr. Landis, as well as nine current, key management employees, directors, or subsidiary directors, 26 former directors, and 19 former officers, are entitled to indemnification pursuant to Indemnification Agreements.

 

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ITEM 11. EXECUTIVE COMPENSATION

 

Summary Compensation Table

 

The following table sets forth the cash and non-cash compensation for our named executive officers during the 2014 and 2013 fiscal years.

 

Principal Position  Year   Salary
($)(1)
 
         
Clark A. Marcus   2014   $1,525,280 
Chairman of the Board and   2013   $1,224,305 
Chief Executive Officer          
           
Mark T. Heidt   2014   $90,000 
President (eff. 9/12/14)   2013     
           
Ramon Martinez   2014     
President (eff. 4/29/13-3/28/14)   2013   $37,010 
           
Robert Kulbick   2013   $24,231 
President (eff. 11/28/11-5/1/13)          
           
James L. Koenig   2014     
Acting Chief Financial Officer          
(eff. 2/11/14)          
           
Kyle Chastain   2014     
Acting Chief Financial Officer   2013   $2,150 
(eff. 12/17/13-2/11/14)          
           
Robert J. Landis   2013   $184,792 
Chief Financial Officer          
(resigned eff. 9/20/13)          

 

  (1) Amounts represent salary earned, which may have been paid during the year indicated or deferred until a future year.

 

Executive Employment Agreements

 

Chairman and Chief Executive Officer

 

On May 11, 2009, we executed an employment agreement with our Chairman of the Board and CEO, Clark Marcus. Mr. Marcus’ employment contract has a term of three years and includes an initial base salary of $700,000 per annum. As of December 31, 2014, the base salary for Mr. Marcus was $1,407,951.This compensation may, at our election, be accrued, in whole or in part, until such time as we receive financing and/or generate sufficient cash flows with which to pay Mr. Marcus his stated compensation, after the payment of our operating expenses. At December 31, 2014, we had accrued approximately $2,171,368 of compensation and bonuses to Mr. Marcus.

  

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Upon execution of the agreement in 2009, Mr. Marcus was paid an $80,000 signing bonus. In addition, Mr. Marcus is entitled to receive a special annual bonus in an amount equal to one percent of our pre-tax profits from the preceding year (as determined by the application of generally accepted accounting principles), up to the first $1,000,000 of such profits; plus an additional sum equal to two percent of our pre-tax profits for all sums over $1,000,000. Mr. Marcus may also receive a bonus determined at the discretion of the Board of Directors.

 

In November 2011, the Compensation and Stock Option Committee modified Mr. Marcus’ employment agreement to state that it will not be deemed to have begun until all outstanding, deferred salary and bonus amounts have been paid, at which time the employment agreement will then proceed for a term of five years. In addition, Mr. Marcus will receive an annual increase on January 1st of each year the contract is effective, with such increase equal to the greater of 15% or the percentage change in the Consumer Price Index for the Tampa Bay metropolitan area for the preceding year. Furthermore, the Company will continue to pay the premiums on Mr. Marcus’ life insurance policies existing and following the termination of his employment through his 81st birthday.

 

In the event Mr. Marcus’ employment is terminated without cause, or Mr. Marcus terminates his employment within 12 months from a change in control, we will pay to Mr. Marcus a lump sum amount equal to the aggregate of (i) accrued unpaid salary, if any; (ii) accrued but unpaid expenses, if any; (iii) accrued but unpaid bonuses, if any; (iv) unissued warrants, if any; and (v) the total compensation which would have been paid to Mr. Marcus through five full years of compensation from the date of termination.

 

President

 

On November 6, 2011, Robert R. Kulbick was appointed by the Board to serve as our President effective November 28, 2011 Upon hiring, he was also paid a signing bonus of $50,000 and given an option to purchase 300,000 shares of our common stock. 

 

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Outstanding Equity Awards at Year-End

 

The following table sets forth all outstanding equity awards held by our named executive officers as of December 31, 2014.  

 

          [Update]  
    Number of shares underlying
unexercised options,

warrants
 

Option of

 Warrant

Exercise Price

($)

 

Option or

Warrant

Expiration

Date

 
Name    

Exercisable

 (#)

Unexercisable

(#)

     
                 
Clark A. Marcus   6,500,000     0.25   11/21/2021  
    4,000,000     0.50   12/31/2018 (1)
    1,000,000     0.25   11/21/2021  
                 
Mark T. Heidt   0            
                 
James Koenig   100,000 (2)   0.25   2/4/2017  
                 
Total 2014 11,600,000            

 

  (1) Subsequent to December 31, 2015, Mr. Marcus transferred a total of 1,050,000 warrants. In April 2015, the term of the warrants was extended to December 31, 2018, and the exercise price was reduced to $0.6 per warrant. Also in April 2015, Mr. Marcus was granted an additional 5,000,000 warrants with a term ending in April 2020. The exercise price is $0.6.
  (2) Mr. Koenig was granted 1,500,000 additional warrants in April 2015. The exercise price is $0.6 per warrant and the warrants expire on April 28, 2020. Also, 100,000 of the warrants owed to Mr. Koenig was extended to December 2018 and the exercise price was reduced to $.06.

 

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Director Compensation

 

The following table provides information regarding compensation earned by non-employee directors during years ended December 31, 2013 and 2014. 

 

 Name   Year   Fees
Earned
(1)
 
         
Arnold B. Finestone, Ph.D.   2014   $90,000 
    2013    90,000 
           
Jairo Estrada (2)   2014     
    2013     
           
Sharon Kay Ray   2014    30,000 
    2013    30,000 
           
Joshua I. Smith   2013    96,000 
           
Arthur K. Yeap   2014    30,000 
    2013    30,000 
           
D. Pitts   2014    12,000 
    2013   $12,000 

 

  (1) Amounts represent fees earned for service as a director on our Board of Directors and as a member of one or more Board committees. Three of our directors are paid a monthly fee. Dr. Finestone is paid $7,500 per month; Ms. Ray is paid $7,500 per month and Mr. Yeap is paid $2,500 per month. Mr. Joshua Smith, a former director, was paid $8,000 per month. Each of the above-named persons agreed in October, 2013, to waive off on payments by the Company of any existing accrued fees and/or future fees until further notice. As of December, 31, 2014, the total amount of accrued compensation for all of the named individuals was $99,000

 

  (2) Mr. Estrada was appointed in March 2013, and resigned in August 2014.

 

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Members of the Board of Directors who are also executive officers or employees of the Company receive no compensation for serving as directors. Outstanding stock option and warrant awards for each non-employee director as of December 31, 2014 are as follows:

 

   Number of Common
Shares
Underlying Awards:
 
Name  Options (#)   Warrants (#) 
Arnold B. Finestone, Ph.D.   1,025,000    1,500,000(1)
           
Sharon Kay Ray   775,000    0 
           
Arthur Yeap   775,000    0 
           
Jairo Estrada   0    0 

 

  (1) In April 2015, Dr. Finestone, Ph.D. was awarded an additional 500,000 warrants.

 

- 38 -

 

 

 

ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS

 

Equity Compensation Plan Information

 

The following table summarizes share and exercise price information with respect to the Plans (including individual compensation arrangements) under which our equity securities are authorized for issuance as of December 31, 2013 and 2014:

 

       (a)   (b)   (c)
Plan category  Year   Number of
securities to
be issued upon
exercise
of outstanding
options,
warrants and rights
   Weighted
average
exercise price of
outstanding
options,
warrants and rights
   Number of securities
remaining
available for future
issuance
under equity
compensation
plans (excluding
securities
reflected in column (a))
                
Equity compensation plans   2014    0    0    
approved by stockholders   2013    7,322,000    .30   2,678,000
                   
Equity compensation plans not approved by stockholders   2014    3,399,000    .36   0

  

*Equity compensation plans not approved by stockholders consist of:

 

  warrants to purchase shares of common stock issued to key employees as incentive compensation,
  warrants to purchase shares of common stock issued to consultants in exchange for financial advisory, or investment banking services in lieu of cash compensation,
  warrants to purchase shares of common stock issued to certain note holders of the Company and to a client in exchange for a cash advance.

 

- 39 -

 

  

Security Ownership of Certain Beneficial Owners

 

The following table sets forth, as of April 23, 2018, the name, address, stock ownership and voting power of each person or group of persons known by us who is not a director or a named executive officer of the Company to own beneficially more than five percent of the outstanding shares of our common stock. Unless otherwise indicated, each of the stockholders has sole voting and investment power with respect to shares beneficially owned.

 

Name and Address of Beneficial Owner  Common 
stock owned 
directly
   Common
stock
acquirable (1)
   Total
common
stock
beneficially
owned
   Percent of
Voting
Common
Stock
Outstanding
 
                 
Howard Jenkins   26,885,714    9,000,000    35,885,714(2)   49.80%
c/o Advanzeon Solutions, Inc.                    
2901 W. Busch Blvd., Suite 701                    
Tampa, Florida 33618                    
                     
Bernard C. Sherman   0    14,712,500    14,712,500(3)   18.92%
150 Signet Dr.                    
Weston, Ontario Canada M9L 1T9                    
                     
Lloyd I. Miller   602,100    5,121,100    5,723,100(4)   7.51%
222 Lakeview Ave., Suite 100-365                    
West Palm Beach, Florida 33401                    
                     
Benjamin B. West   4,000,000    50,000    4,050,000(5)   6.42%
c/o Advanzeon Solutions, Inc.                    
2901 W. Busch Blvd, Suite 701                    
Tampa, Florida 33618                    
                     
Joshua I. Smith   1,922,829    2,525,000    4,447,829(6)   6.78%
c/o Advanzeon Solutions, Inc.                    
2901 W. Busch Blvd, Suite 701                    
Tampa, Florida 33618                    

 

  (1) Includes common stock acquirable through the conversion of equity instruments convertible into common stock and the exercise of options and warrants to acquire common stock.

 

  (2) Information obtained from Form 13D/A dated June 4, 2010, filed on July 29, 2010 and Company records.

 

  (3) Information obtained from Form 13G/A dated November 14, 2011, filed on December 9, 2011 and Company records.

 

  (4) Information obtained from Form 13G/A dated February 5, 2015, filed on February 5, 2015. Of the 5,162,600 shares beneficially owned, Mr. Miller has sole voting and investment power over 4,790,808 shares and shared voting and investment power over 371,792 shares.

 

  (5) Information obtained from Form 13G/A dated December 31, 2011, filed on February 14, 2012.

 

- 40 -

 

  

  (6) Information obtained from Company records. Does not include 5,000,000 shares obtainable from the conversion of the 50 shares of the Series D Convertible Preferred Stock. The Series D Convertible Preferred Stock vests in 10 years from the date of grant. Early vesting can occur if (a) the Grantee’s service as a member of the Board of Directors is terminated by the Company, or (b) by mutual agreement between the Company and the Grantee, or (c) by the Grantee for Good Reason, which is defined to mean without the Grantee’s express written consent, a material breach of any material provision of any agreement between the Company or a successor and the Grantee which breach is not cured within 30 days after notice, or (d) due to the Grantee’s death or disability before the vesting date.

 

Security Ownership of Management

 

The following table sets forth, as of May 4, 2018, information concerning the beneficial ownership of our common stock by each director of the Company and the named executive officers and all directors and executive officers as a group, as of December 31, 2014. According to rules adopted by the SEC, a person is the “beneficial owner” of securities if he or she has, or shares, the power to vote such securities or to direct their investment. Unless otherwise indicated, each of the stockholders has sole voting and investment power with respect to shares beneficially owned.

 

Name of Beneficial Owner  Shares
Beneficially
Owned
   Percent of Common
Stock Outstanding
 
         
Clark A. Marcus (1)(5)   15,502,000    19.74%
Arnold B. Finestone, Ph.D. (2)(5)   3,102,171    4.66%
Sharon Kay Ray (3)(5)   1,175,000    1.83%
Arthur K. Yeap (3)(5)   1,175,000    1.83%
Mark T. Heidt (4)   1,000,000    1.56%
James L. Koenig (4)   1,600,000    2.47%
Stephen M. Kreitzer, M.D. (6)   1,200,000    1.84%
           
All directors and named executive officers as a group
(7 persons)
   24,754,171    28.35%

 

 

  (1) Includes 70,000 shares of common stock held directly, 1,000,000 shares subject to options that are presently exercisable, and 14,450,000 million shares acquirable with warrants that are presently exercisable. Of this amount, 4,000,000 warrants that were to expire June 30, 2015, were extended in April 2015, until December 31, 2018. Does not include 10,000,000 shares obtainable from the conversion of 100 shares of the Series D Convertible Preferred Stock.

 

  (2) Includes 1,025,000 shares subject to options that are presently exercisable, 2.0 million shares acquirable with a warrant that is presently exercisable, and 77,171 shares obtainable from the conversion of 244 Series C Convertible Preferred Stock shares that are presently convertible. . Does not include 5,000,000 shares obtainable from the conversion of 50 shares of the Series D Convertible Preferred Stock.

 

  (3) Includes 322,829 shares of common stock held directly, 775,000 shares subject to options that are presently exercisable, and 77,171 shares obtainable from the conversion of 244 Series C Convertible Preferred Stock shares that are presently convertible. Does not include 2,500,000 shares obtainable from the conversion of 25 shares of the Series D Convertible Preferred Stock.

 

- 41 -

 

  

  (4) Represents warrants to purchase common stock. In April 2015, 100,000 warrants held by Mr. Koenig which were to expire February 4, 2017, were extended to December 31, 2018.

 

  (5)

The Series D Convertible Preferred Stock vests in 10 years from the date of grant. Early vesting can occur if (a) the Grantee’s service as a member of the Board of Directors is terminated by the Company, or (b) by mutual agreement between the Company and the Grantee, or (c) by the Grantee for Good Reason, which is defined to mean without the Grantee’s express written consent, a material breach of any material provision of any agreement between the Company or a successor and the Grantee which breach is not cured within 30 days after notice, or (d) due to the Grantee’s death or disability before the vesting date. 

 

 

 

 

(6) Appointed as a Director on April 26, 2018. Represents warrants to purchase common stock. Does not include a convertible promissory note in the principle amount of $100,000. At the option of the holder all or any part of the principle and any unpaid interest may be converted into shares of our common stock. The conversion rate shall be the lessor of (i) 15% below the average daily closing bid price of our common stock for the immediate preceding twenty business days or (ii) $0.11.

 

ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS, AND DIRECTOR INDEPENDENCE

 

Transactions with Related Persons

 

In connection with an employment agreement with our Chairman and CEO, Clark A. Marcus, we have accrued compensation and bonuses payable to Mr. Marcus of approximately $2,171,368 as of December 31, 2014.

 

Although we do not have a separate, written policy over the review and approval of related party transactions, the Company’s authority guidelines that delineate the responsibilities of management and the Board of Directors state that all related party transactions shall be reviewed and approved by the Board. Such review procedures require management to conduct an initial review of the transaction and submit its recommendation to the full Board. The Board will then review management’s recommendation, and based on such factors as materiality, business purpose, comparability to other arms-length transactions, and effect on the Company’s business, will approve or deny management’s request to enter into the transaction or relationship.

 

Director Independence

 

Although we are not listed on the New York Stock Exchange, and therefore not subject to its requirements, we nevertheless have used the definition of “independent” set forth in Section 303A of the New York Stock Exchange listing standards for the purpose of determining the independence of our directors and members of a committee of our Board of Directors. Such standards define an independent director, generally, as one who has no material relationship with us, has not been employed by us within the last three years, has not received compensation from us in excess of $120,000 other than director and committee fees, is not related to a person who is a partner or employee of our external auditor, is not related to any of our officers, and is not an officer or owner of a business having transactions with us that exceed the greater of $1 million or 2% of our consolidated gross revenues.

 

- 42 -

 

 

The following is a list of individuals that served as a director at any point during the period covered by this Annual Report on Form 10-K and that were considered independent:

 

  Arnold B. Finestone
  Joshua I. Smith (1)
  Sharon Kay Ray
  Arthur K. Yeap
  Jairo Estrada (2)

 

There were no transactions, relationships, or arrangements considered by the Board of Directors in determining that a director is independent other than those described immediately above under the caption “Transactions with Related Persons.”

 

(1) Mr. Smith resigned as a director in September of 2013. 

(2) Mr. Estrada resigned as a director in August of 2014.

 

ITEM 14. PRINCIPAL ACCOUNTANTS’ FEES AND SERVICES

 

Audit and Related Fees

 

The firm of Luis Plung & Company, LLP (“Louis Plung”) currently serves as our independent registered public accounting firm to perform audits and to prepare our income tax returns. The Audit Committee approved 100% of the services described below for audit fees.

 

Audit Fees. The aggregate fees billed by Louis Plung for services relative to audits of our annual consolidated financial statements conducted during 2014 and 2013 were $28,333 for each year.

 

Policy on Audit Committee Pre-Approval of Audit and Permissible Non-Audit Services of Independent Auditors

 

The Audit Committee’s policy is to pre-approve all audit and permissible non-audit services provided by our independent registered public accounting firm and assure that the provision of such services does not impair the firm’s independence. These services may include audit services, audit-related services, tax services and other services. Management is required to periodically report to the Audit Committee regarding the extent of services provided by the independent registered public accounting firm in accordance with this pre-approval, and the fees for the services performed to date.

 

- 43 -

 

 

 

PART IV

 

ITEM 15 EXHIBITS [UPDATE]

 

(a) 1. Consolidated Financial Statements - Included in Part II of this report:  
    Report of Independent Registered Public Accounting Firm 52
    Consolidated Balance Sheets as of December 31, 2014 and 2013 54
    Consolidated Statements of Operations for the years ended December 31, 2014 and 2013 56
    Consolidated Statements of Stockholders’ Equity Deficiency for the years ended December 31, 2014 and 2013 57
    Consolidated Statements of Cash Flows for the years ended December 31, 2014 and 2013 58
    Notes to Consolidated Financial Statements 59
  2. Consolidated Financial Statement Schedules: None.  
       
  3. Exhibits:  

 

Exhibit
Number
  Description and Reference
     
     
   3.0(i)  Amended and Restated Certificate of Incorporation. (filed herewith)
     
    3.1   Amended and Restated Bylaws, as amended July 20, 2000. (4)
     
    3.2   Amendment to Amended and Restated Bylaws, effective June 14, 2005. (3)
     
    3.3   Amendment to Amended and Restated Bylaws, effective October 28, 2005. (8)
     
    3.4   Amendment to Amended and Restated Bylaws, effective January 12, 2007.(13)
     
    3.5   Certificate of Designation, Rights and Preferences of Series D Convertible Preferred Stock of the Company, dated March 31, 2009. (14)
     
    3.6   Amendment to Amended and Restated Bylaws, effective May 11, 2009. (15)
     
    3.7   Certificate of Designation, Rights and Preferences of Series C Convertible Preferred Stock dated June 23, 2009.(16)
     
    3.8   Certificate of Amendment to the Amended and Restated Certificate of Incorporation dated January 12, 2012.(33)
     
    4.1   Form of Common Stock Certificate. (7)
     
    4.2   Subscription Agreement dated February 23, 2009 between the Company and Howard M. Jenkins (18)

 

- 44 -

 

 

    4.3   Subscription Agreement dated February 26, 2009 between the Company and Harry Ross (20)
     
    4.4   Form of warrant to purchase Series D Preferred Stock issued by the Company on March 31, 2009 (14)
     
    4.5   Form of warrant to purchase Series D Preferred Stock issued by the Company on May 13, 2009 (15)
     
    4.6   Form of 10% Senior Promissory Note issued by the Company to Lloyd I. Miller, III (22)
   
    4.7   Warrant to purchase Common Stock dated April 30, 2010 issued by the Company to Lloyd I. Miller, III (22)
   
    4.8   Subscription Agreement dated April 14, 2010 between the Company and Howard Jenkins (23)
   
    4.9   Convertible promissory note dated June 4, 2010 issued by the Company to Howard Jenkins (23)
   
    4.10   Warrant to purchase Common Stock dated June 4, 2010 issued by the Company to Howard Jenkins (23)
   
    4.11   Form of 10% Senior Promissory Note issued by the Company to the James A. & Rosemary L. Meyer Trust (24)
   
    4.12   Form of warrant to purchase Common Stock issued by the Company to the James A. & Rosemary L. Meyer Trust (24)
   
    4.13   Form of 10% Senior Promissory Note issued by the Company to the Schwarting Revocable Trust (24)
   
    4.14   Form of warrant to purchase Common Stock issued by the Company to the Schwarting Revocable Trust (24)
   
    4.15   Form of 10% Senior Promissory Note issued by the Company to the Linda S. Vogt Indenture Trust (25)
   
    4.16   Form of warrant to purchase Common Stock issued by the Company to the Linda S. Vogt Indenture Trust (25)
   
    4.17   Subscription Agreement dated July 27, 2010 between the Company and Howard Jenkins (26)
   
    4.18   Form of warrant to purchase Common Stock dated June 30, 2010 issued by the Company to Clark Marcus and Giuseppe Crisafi (27)
   
    4.19   Form of warrant to purchase Common Stock dated September 18, 2010 issued by the Company to MSO of Puerto Rico, Inc. (27)
   
    4.20   Form of Subscription Agreement dated August 30, 2011 between the Company and Sherfam Inc. and two individuals. (30)
   
    4.21   Form of Convertible Promissory Note dated August 30, 2011 issued by the Company to Sherfam Inc. and two individuals. (30)

  

- 45 -

 

 

    4.22   Form of Addendum to Promissory Note dated August 30, 2011 issued by the Company to Sherfam Inc. and two individuals. (30)
   
    4.23   Form of Warrant to Purchase Shares of Common Stock of the Company issued by the Company to Sherfam Inc. and two individuals. (30)
   
    4.24   Loan Extension Agreement dated March 15, 2013 between the Company and Sherfam Inc. (33)
   
  10.1   Form of Stock Option Agreement. *(1)
   
  10.2   Advanzeon Solutions, Inc. 1995 Incentive Plan, as amended on November 17, 1998. (5)
   
  10.3   Amended and Restated Non-Employee Directors’ Stock Option Plan. *(2)
   
  10.4   Amendment No. 1 to Advanzeon Solutions, Inc. Amended and Restated Non-Employee Directors’ Stock Option Plan, effective as of March 23, 2006.* (9)
   
  10.5   Advanzeon Solutions, Inc. 2002 Incentive Plan as amended. *(6)
   
  10.6   Lease Agreement between Comprehensive Behavioral Care, Inc. and Highwoods/Florida Holdings, L.P., dated November 12, 2008. (11)
   
  10.7   Merger Agreement, dated as of January 20, 2009, among Advanzeon Solutions, Inc., Advanzeon Acquisition, Inc. and Core Corporate Consulting Group, Inc. (12)
   
  10.8   Employment Agreement dated March 5, 2009 between the Company and Robert J. Landis.*(13)
   
  10.9   Employment Agreement dated May 11, 2009 between the Company and Clark A. Marcus.* (15)
   
  10.10   Callable Convertible Promissory Note dated June 24, 2009 between Advanzeon Solutions, Inc. and Howard Jenkins(19)
   
  10.11   Advanzeon Solutions, Inc. 2009 Equity Compensation Plan*(17)
   
  10.12   Agreement of Exchange and Issuance of Senior Notes and Warrants dated April 30, 2010 between the Company and Lloyd I. Miller, III (22)
   
  10.13   Agreement of Exchange and Issuance of Senior Notes and Warrants dated June 14, 2010 between the Company and the James A. & Rosemary L. Meyer Trust (24)
   
  10.14   Agreement of Exchange and Issuance of Senior Notes and Warrants dated June 14, 2010 between the Company and the Schwarting Revocable Trust (24)
   
  10.15   Agreement of Exchange and Issuance of Senior Notes and Warrants dated June 17, 2010 between the Company and the Linda S. Vogt Indenture Trust (25)
   
  10.16   Agreement for the Provision of Services dated September 18, 2010 between Advanzeon de Puerto Rico, Inc. and MMM Healthcare, Inc. and PMC Medicare Choice, Inc. (29)
   
  10.17   Amendment effective May 10, 2011 to the Agreement for the Provision of Services dated September 18, 2010 between Advanzeon de Puerto Rico, Inc. and MMM Healthcare, Inc. and PMC Medicare Choice, Inc. (33)

 

- 46 -

 

  

  10.18   Second Amendment to the Agreement for the Provision of Services with an effective date of March 1, 2012, by and between Advanzeon de Puerto Rico, Inc. and MSO of Puerto Rico, Inc. (31)
   

  10.19

  Third Amendment to the Agreement for the Provision of Services with an effective date of May 1, 2012, by and between Advanzeon de Puerto Rico, Inc. and MSO of Puerto Rico, Inc. (32)
     
10.20   Lease between Twin Lakes Office Park and Advanzeon solutions, Inc. dated May 23, 2014.(filed herewith)
     
  14.1   Code of Business Conduct and Ethics (Revised). (10)
   
  16   Letter dated November 19, 2010 from Kirkland, Russ, Murphy &Tapp. PA (“KRMT”) to the U.S. Securities and Exchange Commission stating its agreement with the Company’s statements made concerning KRMT in the Company’s Form 8-K disclosure under Item 4.01 “Changes in Registrant’s Certifying Accountant.” (28)
   
  21.1   List of the Company’s active subsidiaries (filed herewith).
   
  23.1   Consent of Louis Plung & Company dated May 10, 2018 (filed herewith). 
   
 31.1   Advanzeon Solutions, Inc. CEO Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith).
   
31.2   Advanzeon Solutions, Inc. CFO Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith).
   
32.1   Advanzeon Solutions, Inc. CEO Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith).
   
32.2   Advanzeon Solutions, Inc. CFO Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith).
   
  99.1   Audit Committee Charter (33)
   
  99.2   Compensation and Stock Option Committee Charter (33)
   
101   The following materials from Advanzeon Solutions, Inc.’s Annual Report on Form 10-K for the years ended December 31, 2013 and 2014, formatted in eXtensible Business Reporting Language (XBRL): (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Operations, (iii) Consolidated Statements of Stockholder’s Equity Deficiency, (iv) Consolidated Statements of Cash Flows, and (v) Notes to Consolidated Financial Statements, tagged as blocks of text. Pursuant to Rule 406T of Regulation S-T, the Interactive Data Files on Exhibit 101 hereto are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933, as amended, are deemed not filed for purposes of Section 18 of the Securities and Exchange Act of 1934, as amended, and otherwise are not subject to liability under those sections.

 

- 47 -

 

 

* Management contract or compensatory plan or arrangement with one or more directors or executive officers.

(1) Filed as an exhibit to the Company’s Form 10-K for the fiscal year ended May 31, 1988.

(2) Filed as an exhibit to the Company’s Form 8-K dated November 9, 1995.

(3) Filed as an exhibit to the Company’s Form 8-K dated June 14, 2005.

(4) Filed as an exhibit to the Company’s Form 10-K for the fiscal year ended May 31, 2000.

(5) Filed as an exhibit to the Company’s Form 8-K dated November 25, 1998.

(6) Filed as Appendix A to the Company’s definitive proxy statement on Schedule 14A filed on January 28, 2005.

(7) Filed as an exhibit to Form S-8 (File No. 333-108561) filed on September 5, 2003.

(8) Filed as an exhibit to the Company’s Form 8-K, dated November 3, 2005.

(9) Filed as an exhibit to the Company’s Form 10-K for the fiscal year ended May 31, 2006.

(10) Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 2007.

(11) Filed as an exhibit to the Company’s Form 8-K, dated November 12, 2008.

(12) Filed as an exhibit to the Company’s Form 8-K, dated January 16, 2009.

(13) Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 2008.

(14) Filed as an exhibit to the Company’s Form 8-K, dated March 31, 2009.

(15) Filed as an exhibit to the Company’s Form 10-Q for the quarterly period ended March 31, 2009.

(16) Filed as an exhibit to the Company’s Form 8-K, dated June 17, 2009.

(17) Filed as an exhibit to the Company’s Form 10-Q for the quarterly period ended September 30, 2009.

(18) Filed as an exhibit to the Company’s Form 8-K, dated February 25, 2009.

(19) Filed as an exhibit to the Company’s Form 8-K, dated June 24, 2009.

(20) Filed as an exhibit to the Company’s Form 8-K/A, dated January 16, 2009 and filed April 6, 2009.

(21) Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 2009.

(22) Filed as an exhibit to the Company’s Form 8-K, dated May 6, 2010.

(23) Filed as an exhibit to the Company’s Form 8-K, dated June 10, 2010.

(24) Filed as an exhibit to the Company’s Form 8-K, dated June 15, 2010.

(25) Filed as an exhibit to the Company’s Form 8-K, dated June 22, 2010.

(26) Filed as an exhibit to the Company’s Form 8-K, dated July 28, 2010.

(27) Filed as an exhibit to the Company’s Form 10-Q for the quarterly period ended June 30, 2010.

(28) Filed as an exhibit to the Company’s Form 8-K, dated November 19, 2010.

 

- 48 -

 

 

(29) Filed as an exhibit to the Company’s Form 10-Q/A for the quarterly period ended September 30, 2010.

(30) Filed as an exhibit to the Company’s Form 8-K, dated August 30, 2011.

(31) Filed as an exhibit to the Company’s Form 8-K, dated March 5, 2012.

(32) Filed as an exhibit to the Company’s Form 8-K, dated June 25, 2012.

(33) Filed as an exhibit to the Company’s Form 10-K for the year ended December 31, 2012.

 

- 49 -

 

 

SIGNATURES

 

Pursuant to the requirements of Sections 13 or 15(d) 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, May 18, 2018.

  

        ADVANZEON SOLUTIONS, INC.  
           
  By:     /s/ CLARK A. MARCUS  
       

Chief Executive Officer and Chairman

(Principal Executive Officer)

 
           
      By: /s/ ARNOLD B. FINESTONE  
       

Chief Financial Officer and Chief Accounting Officer

(Principal Financial and Accounting Officer) 

 


 

Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the Company and in the capacities and on the dates so indicated.

 

SIGNATURE   TITLE   DATE
     
/s/ CLARK A. MARCUS   Chief Executive Officer and Chairman (Principal Executive Officer)   May 18, 2018
Clark A. Marcus        
    Chief Financial Officer and Chief Accounting Officer    
 /s/ ARNOLD B. FINESTONE, Ph.D.   (Principal Financial and Accounting Officer)   May 18, 2018
Arnold B. Finestone, Ph.D.    
         
/s/ ARTHUR K. YEAP   Director   May 18, 2018
Arthur K. Yeap        
         
/s/ SHARON KAY RAY   Director   May 18, 2018
Sharon Kay Ray        
         
/s/ JAMES L. KOENIG   Director   May 18, 2018
James L. Koenig        
         
/s/ MARK T. HEIDT   Director   May 18, 2018
Mark T. Heidt        
         
/s/ STEPHEN M. KEITZER, MD.        
Stephen M. Keitzer, M.D.   Director   May 18, 2018
         

 

- 50 -

 

 

 

 

ADVANZEON SOLUTIONS, INC.

 

FINANCIAL STATEMENTS AND 

INDEPENDENT AUDITORS’ REPORT 

December 31, 2014 and 2013 

 

- 51 -

 

 

 

 

REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

 

To the Board of Directors and Stockholders

Advanzeon Solutions, Inc.

 

Disclaimer of Opinion on the Financial Statements

 

We were engaged to audit the accompanying balance sheets of Advanzeon Solution Inc. (the “Company”) as of December 31, 2014 and 2013, and the related statements of operations, stockholders’ deficiency and cash flows, for the years then ended and the related notes (collectively referred to as the “financial statements”). As described in the following paragraph, because the Company was unable to provide sufficient appropriate evidential matter with regard to cash receipts, cash disbursements, and cutoff, we were not able to obtain sufficient appropriate audit evidence to provide a basis for an audit opinion on the financial statements, and we do not express, an opinion on these financial statements.

 

Basis for Disclaimer of Opinion

 

During the fourth quarter of 2013, there was a departure of the entire fiscal management department including the Chief Financial Officer. As a result, management did not have access to any of the financial records of the Company wand was unable to provide appropriate evidential matter to support the Company’s financial statements as of for the years ended December 31, 2014 and 2013.

 

These financial statements are the responsibility of the Company’s management. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable rules and regulations of the Securities and Exchange Commission and the PCAOB.

 

The accompanying consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 6 and to the consolidated financial statements, the Company has suffered recurring losses from operations and has not generated sufficient cash flows from operations to fund its working capital requirements. This raises substantial doubt about the Company’s ability to continue as a going concern. Management’s plans in regard to these matters are also described in Note 6. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.

 

We have served as the Company’s auditor since December 2016.

 

Pittsburgh, Pennsylvania 

May 10, 2018

 

- 52 -

 

 

ADVANZEON SOLUTIONS, INC.

 

CONSOLIDATED BALANCE SHEETS 

December 31, 2014 and 2013

 

ASSETS
         
    2014    2013 
           
CURRENT ASSETS          
Cash  $11,533   $324,324 
Accounts Receivable   271,459    711,478 
Other   122,995    118,165 
Total current assets   405,987    1,153,967 
           
NON-CURRENT ASSETS          
     Property and equipment, net   1,652    26,652 
      Other        44,582 
 Total Non-currents assets   75,263    71,234 
           
TOTAL ASSETS  $407,639   $1,225,201 

 

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

 

- 53 -

 

ADVANZEON SOLUTIONS, INC.

 

Consolidated BALANCE SHEETS 

December 31, 2014 and 2013

 

LIABILITIES AND STOCKHOLDERS’ DEFICIENCY
           
    2014    2013 
CURRENT LIABILITIES          
Notes payable:          
Related parties  $3,040,405   $3,000,000 
Other          
           
Current portion of long-term debt   4,661,625    5,155,186 
Borrowings under lines of credit   926,167    602,617 
Account payable   543,047    641,090 
Accrued claims payable   648,313    1,302,825 
Other accrued expenses   7,533,334    6,234,983 
           
Total current liabilities   17,352,981    16,936,611 
           
Long-term debt, net of current portion   90,000    90,000 
           
TOTAL LIABILITIES   17,442,891    17,026,611 
           
STOCKHOLDERS’ DEFICIENCY          
Preferred stock, $50,000 per value, non-cumulative   521,700    521,700 
Series C Convertible, 14,400 shares authorized; 10,424 shares issued and outstanding        
Other series, 981,260 shares authorized; none issued        
Common stock, $0.01 per value; 500,000 shares authorized; 63,063,685 shares issued and outstanding   630,637    630,637 
Additional paid-in capital   27,235,067    27,235,067 
Accumulated deficit   (45,422,656)   (44,188,816)
Total stockholders’ deficiency   (17,035,253)   (15,801,413)
           
TOTAL LIABILITIES AND STOCKHOLDERS’ DEFICIENCY  $407,638   $1,225,197 

 

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

 

- 54 -

 

 

ADVANZEON SOLUTIONS, INC.

 

CONSOLIDATED STATEMENTS OF OPERATIONS 

For the Years Ended December 31, 2014 and 2013

 

   2014   2013 
         
Managed care revenues  $535,863   $3,125,693 
Costs and expenses:          
Costs of revenues       1,086,000 
General and administrative   1,549,814    5,183,825 
Goodwill impairment        
Depreciation and amortization   25,000    33,148 
Total costs and expenses   1,574,814    6,302,973 
           
Operating loss   (1,038,951)   (3,177,280)
Other income (expense):          
Interest expense   (1,344,889)   (1,880,955)
Gain on sale of subsidiary (See Note 11)       10,969,615 
Legal settlement (See Note 12)   1,150,000     
Income taxes       (59,100)
Net loss attributable to common stockholders  $(1,233,840)  $5,852,281 

 

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

 

- 55 -

 

 

ADVANZEON SOLUTIONS, INC.

 

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ DEFICIENCY 

December 31, 2014 and 2013

 

   Preferred Stock Number of Shares   Preferred Stock Amount   Common Stock Number of Shares   Common Stock Amount   Additional Paid-in Capital   Accumulated Deficit   Total 
                             
Balance at December 31, 2012   10,434    521,700    59,451,836    594,518    25,981,680    (50,041,097)   (22,943,198)
                                    
Stock issued to non-employees for consulting services           2,466,988    24,670    296,421        321,091 
                                    
Stock issued for payment of interest           1,144,861    11,449    123,348        134,797 
                                    
Warrants issued to employees                   102,687        102,687 
                                    
Warrants issued to non-employees for services                   164,361        164,361 
                                    
Warrants issued in connection with debt financings                   6,247        6,247 
                                    
Issuance of unvested Series D preferred stock                   343,856        343,856 
                                    
Issuance of stock options                   216,467        216,467 
                                    
Net income                       5,852,281    5,852,281 
                                    
Balance at December 31, 2013   10,434    521,700    63,063,685    630,637    27,235,066    (44,188,816)   (15,801,413)
                                    
Net loss                       (1,233,840)   (1,309,926)
                                    
Balance at December 31, 2014   10,434   $521,700    63,063,685   $630,637   $27,235,066   $(45,422,656)  $(17,035,253)

 

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

 

- 56 -

 

 

ADVANZEON SOLUTIONS, INC.

 

STATEMENTS OF CASH FLOWS 

For the Years Ended December 31, 2014 and 2013

  

   2014   2013 
CASH FLOWS FROM OPERATING ACTIVITIES        
Net income (loss)  $(1,233,840)  $5,852,281 
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:          
Depreciation   25,000    33,148 
Bad Debts        28 ,000 
Gain on sale of subsidiary        (10,969,615)
Discount amortization on notes payable   56,631    153,887 
Stock-based compensation          
Changes in assets and liabilities:          
Accounts receivable   440,018    3,021,868, 
Other current assets   (4,830)   30,065 
Other assets   44,582    107,295 
Accounts payable   (98,043)   (422,816)
Accrued claims payable   (654,512)   2,238,600 
Other accrued expenses   1,298,441    (1,182,623)
Net cash provided by (used in) operating activities   (126,552)   (1,109,910)
           
CASH FLOWS FROM INVESTING ACTIVITIES          
Net cash used in investing activities        
           
CASH FLOWS FROM FINANCING ACTIVITIES          
Net proceeds from line of credit, net   323,550    602,617 
Accrued interest added to debt balances   934      
Proceeds from borrowings   573,870    979,998 
Increase in related party debt   40,405     
Repayment of debt   (1,125,000)   (1,068,381)
Net cash (used in) provided by financing activities   (186,241)   514,234 
           
Net decrease in cash   (14,103)   (595,676)
           
Cash - Beginning of Year        920,000 
    25,644      
CASH - END OF YEAR          
    11,531    324,324 
Supplemental disclosures of cash flow information:          
Cash paid during the year for:          
Interest  $   $ 
Income taxes  $   $ 

 

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

 

- 57 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Note 1 DESCRIPTION OF THE COMPANY’S BUSINESS AND BASIS OF PRESENTATION

 

The consolidated financial statements include the accounts of Advanzeon Solutions, Inc and its wholly owned subsidiaries, each with their respective subsidiaries (collectively referred to herein as, the “Company,” “Advanzeon,” “we”, “us,” or “our”).

 

Nature of Operations - We provide managed care services in the behavioral health, substance abuse, and pharmacy management fields for commercial, Medicare, Medicaid and Children’s Health Insurance Program (“CHIP”) members primarily on behalf of health plans. Our managed care operations include administrative service agreements, fee-for-service agreements, and capitation contracts. The customer base for our services includes both private and governmental entities. Our services are provided by unrelated vendors on a subcontract basis.

 

Note 2 SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

 

BASIS OF ACCOUNTING AND PRINCIPLES OF CONSOLIDATION

 

Going Concern Basis - The consolidated financial statements are prepared on the basis that the Company will continue its operations as a going concern. As a result of certain conditions described in Note 6, our  ability to continue as a going concern will be dependent upon the success of management’s plans, as set forth also in Note 6, and is subject to significant uncertainty.

 

The Company has elected to not adopt the option available under United States generally accepted accounting principles (“GAAP”) to measure any eligible financial instruments or other items at fair market value at this time. Accordingly, the Company measures all of its assets and liabilities on the historical cost basis of accounting, except as otherwise required by GAAP.

 

- 58 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Inter-company accounts and transactions have been eliminated in consolidation. Certain minor reclassifications of prior period amounts have been made to conform to the current year presentation.

 

Use of Estimates - The preparation of the consolidated financial statements in conformity with GAAP requires management to make estimates that affect the reported amounts. Actual results could differ from these estimates. Estimates involved in the determination of an allowance for doubtful accounts receivable and accrued claims payable, including incurred but not reported, are considered by management as particularly susceptible to material change in the next year. Other significant estimates relate to stock-based compensation, valuation of goodwill, warrants and beneficial conversion features.

 

Accounts Receivable - Accounts and notes receivable are carried net of an allowance at their estimated collectible value. Since customer credit is generally extended on a short-term basis, accounts receivable do not bear interest and are uncollateralized. We manage credit risk and determine necessary allowances by evaluating customers’ credit worthiness before extending credit and periodically for collectability, based primarily on customers’ past credit history and current financial conditions and general economic conditions, results of prior collection efforts, the relative strength of our relationship therewith and, in the event of a dispute, its legal position and the estimated cost of proposed collection proceedings. Management has not established a policy for when to charge off uncollectible accounts receivable or to use external collection agencies and makes such decisions on a case-by-case basis. The maximum losses that the Company would incur if a customer failed to pay would be limited to the carrying value of the receivable after any related allowances provided.

 

Property and Equipment - Property and equipment (Note 3) is stated at cost less accumulated depreciation. Depreciation and amortization are computed using the straight-line method over the estimated useful lives ranging from 2 to 12 years. Leasehold improvements are amortized over the shorter of the lease term or the asset’s useful life.

 

Accrued Claims Payable - Accrued claims payable includes estimated claims incurred but not yet reported (“IBNR”) to us, and any provisions for losses under our managed care 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 contract-by-contract basis taking into consideration such factors as future contractual revenue, estimated future healthcare and maintenance costs, and each contract’s specific terms related to future revenue increases as compared to expected increases in healthcare costs. Future healthcare and maintenance costs are estimated based on historical trends and expected future cost increases.

 

Generally, we have the ability to cancel a managed care contract with 60 to 120 days’ written notice or to request a renegotiation of terms under certain circumstances, if the contract is not meeting our financial goals. Prior to a cancellation, we typically submit a request for a rate increase accompanied by supporting utilization data. Although historically, our clients have been generally receptive to such requests, no assurance can be given that such requests will be fulfilled in our favor in the future. If a rate increase is not granted, we have the ability, in some cases, to terminate the contract and thereby limit our exposure to risk.

 

- 59 -

 

  

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Fair Value Measurements - The carrying amounts of cash, accounts receivable and accounts payable approximate their estimated fair value due to the short-term nature of these instruments. Since our other financial liabilities are not traded in an open market, we generally use a present value technique, which is a level 3 input, as defined in GAAP, to measure the estimated fair value of these financial instruments, except for valuing stock options and warrants (see below). The rate used for discounting expected cash flows is a risk-free rate adjusted for systematic and unsystematic risk.

 

Due to the inherent nature of related party transactions, we have not attempted to estimate the fair value of liabilities payable to related parties of the Company. As such, promissory notes payable with carrying values of $3,000,000 and $3, 000,000, respectively, at December 31, 2014 and 2013, are excluded from the following table. The carrying amounts and estimated fair values of other financial instruments (all are liabilities) at December 31, 2014 and 2013, are as follows (in thousands):

 

   December 31, 
   2014   2013 
   Carrying
Amount
   Estimated Fair
Value
   Carrying
Amount
   Estimated Fair
Value
 
Promissory notes  $   $   $   $ 
Zero-coupon promissory Notes                
Debentures   3,586,004        3,586,004     
Senior promissory notes   1,771,013        1,771,013     
Long-term promissory notes                 
Less unamortized discount   (55,200)       (111,831)    
   $5,301,817   $   $5,245,186   $ 

 

Revenue Recognition - Revenue under our contractual agreements to provide behavioral healthcare and pharmacy management services to subscribing members is earned regardless of services actually provided and, therefore, recognized monthly based on the number of qualified members. The information regarding qualified members is supplied by our clients subject to our periodic review of their member eligibility records and other reported information to verify its accuracy and determine the amount of revenue to be recognized.

 

- 60 -

 

  

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Cost of Revenues - Costs of revenues consist of two major components: claims costs and healthcare operating expense. Claims costs are recognized in the period in which an eligible member actually receives services and includes an estimate for costs of behavioral health services that have been incurred but not yet reported.

 

Legal Defense Costs - We accrue an estimate of incurred legal defense costs to be incurred in connection with pending disputes and litigation matters as part of our estimated minimum probable losses (see Note 7).

 

Income Taxes - We are subject to the income tax jurisdictions of the U.S. and multiple state tax jurisdictions. However, our provisions for income taxes for 2013 and 2014 include only state income taxes (see Note 11).

 

Management has evaluated our tax positions taken or to be taken on income tax returns that remain subject to examination (i.e., tax years 2008 and thereafter federally), and has concluded that there have been no uncertain tax positions (as defined in GAAP) taken that require recognition or disclosure in the consolidated financial statements. In the event of any income tax-related interest or penalties are incurred, they would be included in general and administrative expense.

 

Stock Options and Warrants - We grant stock options and warrants (see Note 8) to our employees, non-employee directors, note holders and certain consultants and clients allowing them to purchase our common stock pursuant to approved terms. The estimated value of the warrants issued with debt instruments is recorded as a discount on notes payable and amortized as interest expense over the term of the notes using the effective interest method.

 

We use a Black-Scholes valuation model to estimate the fair value of options and warrants on the measurement date and for determining the allocation of the relative values of debt and warrants. In applying the model, we use level 3 inputs, as defined by GAAP, consisting of historical data and management judgment to estimate the expected terms of the instruments. Expected volatility is based on the historical volatility of our traded stock. We do not expect to pay dividends for the period of the expected life of the instruments, and therefore we assume no expected dividend. The assumed risk-free rates used are based on the U.S. Treasury yield curve with the same expected terms as those of the equity instruments at the time of grant.

 

The following table lists the assumptions utilized in applying the Black-Scholes valuation model for options and warrants.

 

 

- 61 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

    Year ended December 31,  
    2014     2013  
             
Expected volatility     160 %     160 %
Expected life (in years) of options     3 %     4 %
Expected life (in years) of warrants     2-3 %     2-3 %
Risk-free interest rate range, options     0 %     0 %
Risk-free interest rate range, warrants     0 %     0 %
Expected dividend yield     0 %     0 %

 

PER SHARE DATA

 

For the periods presented, since losses would produce anti-dilution, no diluted loss per common share is presented. The following table sets forth the computation of basic loss per common share (amounts in thousands, except per share data):

 

   Year ended December 31, 
   2014   2013 
         
Numerator:          
Net loss attributable to common stockholders  $3,632,451   $7,146,162 
Denominator:  $63,063,685   $61,589,316 
Weighted average common shares          
Basic loss per share attributable to common stockholders  $(0.06)  $(0.12)

 

Note 3 PROPERTY AND EQUIPMENT

 

Property and equipment, net, consists of the following at December 31:

 

   2014   2013 
Furniture and equipment  $336,242   $336,492 
Less accumulated depreciation and amortization   261,229    155,229 
Property and equipment – net  $75,263   $181,263 

 

Depreciation expense for 2013 and 2014 is $105,907 and $106, 000 respectively. 

 

Note 4Intangible Assets

 

There are no intangible assets for 2013 and 2014. 

 

 

- 62 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Note 5 RELATED PARTY NOTES PAYABLE

 

Related party notes payable consists of the following at December 31, 2014 and 2013:

 

   2014   2013 
Convertible Promissory Note payable dated June 4, 2010 for $2,000,000 bearing interest at 24% payable quarterly in arrears, with a maturity date of June 4, 2011. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.25 per share. The note may be prepaid upon providing five days written notice.  $2,000,000   $2,000,000 
           
Eighteen Month Promissory note payable dated November 8, 2011 for $1,000,000 bearing interest at 14% payable quarterly, with a maturity date of May 8, 2013.   1,000,000    1,000,000 
           
Various borrowings during 2014   40,405     
           
   $3,040,405   $3,000,000 

 

Note 6 NOTES PAYABLE

 

Notes payable consists of the following at December 31, 2014 and 2013:

 

    2014     2013  
             
14% Senior Promissory Note payable dated April 15, 2010, as amended on July 13, 2012, for $14,525 bearing interest at 14%, with a maturity date of April 15, 2014. In case of default, the default interest rate is 18%.   $ 14,525     $ 14,525  
                 
Note payable dated April 10, 2010, as amended on April 15, 2012, for $5,188 bearing interest at 14%, with a maturity date of April 15, 2014. In case of default, the default interest rate is 18%.     5,188       5,188  
                 
14% Senior Note payable dated April 15, 2010, as amended on April 15, 2013, for $1,290,650 bearing interest at 14%, with a maturity date of April 15, 2014. The Lender owns warrants to purchase a total of 5,162,600 shares of common stock issued by the Company pursuant to two warrant agreements.     1,290,650       1,290,650  
                 
Promissory Note payable dated January 31, 2012, as amended on April 30, 2013, for $100,000, plus interest at 14%, with a maturity date of October 31, 2013. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.25 per share.     100,000       100,000  
                 
Convertible Promissory Note payable for $230,000 dated February 28, 2013, as amended on August 31, 2013. Amount of loan amended to $245,000 including interest in arrears of $15,000. Interest accrues at 14% and loan matures on November 30, 2013. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.25 per share.     245,000       245,000  
                 
Promissory Note payable dated June 13, 2013, for $100,000, plus interest at 14%, with a maturity date of December 13, 2014. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.25 per share.     100,000       100,000  
                 
Subtotal   $ 1,755,363     $ 1,755,363  

 

- 63 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

             
    2014     2013  
             
Subtotal from page 67   $ 1,755,363     $ 1,755,363  
                 
Senior Note payable dated April 15, 2010, as amended on September 10, 2012, for $10,375 bearing interest at 14%, with an amended maturity date of October 15, 2015. Lender agreed to forgive past due interest of $1,867.50 and note has been converted to a 7% Senior Note, effective April 15, 2014. The lender accepted $933.75 of the interest forgiveness in cash and the remaining $933.75 was added to the loan balance.     11,309       10,375  
                 
14% Senior Note payable, dated April 15, 2010, as amended on July 30, 2012, for $15,563 bearing interest at 14%, with a maturity date of April 15, 2013. In case of default, the default interest rate is 18%.     15,563       15,563  
                 
Senior Note payable dated April 15, 2010, as amended on July 13, 2012, for $72,625 initially bearing interest at 14%, with an amended maturity date of January 15, 2015. Lender agreed to forgive past due interest of $5,083.75 and note has been converted to a 7% Senior Note, effective October 15, 2013.     72,625       72,625  
                 
14% Senior Note payable dated April 15, 2010, as amended on July 6, 2012, for $264,563 bearing interest at 14%, with a maturity date of April 15, 2013. In case of default, the default interest rate is 18%. Per terms of the amendment, the Company agreed to pay the Kennedy Estate $13,228 in cash as compensation and consideration for agreeing to the terms of the amendment to the loan agreement.     264,563       264,563  
                 
Convertible Promissory Note payable dated March 2, 2012, as amended on March 2, 2013, for $50,000 bearing interest at 7% payable quarterly in arrears, with a maturity date of March 2, 2014. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.50 per share. The note may be prepaid upon providing five days written notice.     50,000       50,000  
                 
14% Senior Note payable dated April 15, 2010, as amended on July 6, 2012, for $68,475 bearing interest at 14%, with an amended maturity date of April 15, 2014. In case of default, the default interest rate is 18%.     68,475       68,475  
                 
Subtotal   $ 2,237,898     $ 2,236,964  

 

- 64 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

    2014     2013  
             
Subtotal from page 68   $ 2,237,898     $ 2,236,964  
                 
Promissory note payable for $250,000, bearing interest at 9%, payable, in conjunction with the note listed below, in the amount of $10,000 per month, beginning October 1, 2011     289,000       189,000  
                 
Promissory note payable for $200,000, bearing interest at 8.5%, payable, in conjunction with note listed above, in the amount of $10,000 per month, beginning October 1, 2011.     90,000       190,000  
                 
Subordinated Debentures     487,000       537,000  
                 
Convertible Promissory Note payable dated March 16, 2013 for $100,000 bearing interest at 10% payable quarterly in arrears, with a maturity date of March 16, 2014. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.25 per share. The note may be prepaid upon providing five days written notice. As additional consideration, a separate three-year warrant agreement was issued which entitles Paul Dorn to purchase 25,000 shares of common stock at $.15 per share. The warrants vest immediately.     100,000       100,000  
                 
Note payable dated August 1, 2012, bearing interest at 12%.     25,000       25,000  
                 
10% Senior Promissory Note payable dated November 3, 2010, for $1,037.50 bearing interest at 10%, payable semiannually, with a maturity date of April 15, 2012. The note may be prepaid upon providing five days written notice.     1,038       1,038  
                 
10% Senior Promissory Note payable dated November 3, 2010, for $15,562.50 bearing interest at 10%, payable semiannually, with a maturity date of April 15, 2012. The note may be prepaid upon providing five days written notice.     15,563       15,563  
                 
Subtotal   $ 3,245,499     $ 3,294,565  

 

- 65 -

 

 

ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

    2014     2013  
             
Subtotal from page 69   $ 3,245,499     $ 3,294,565  
                 
Twenty-four Month Convertible Promissory Note payable dated February 7, 2012 for $100,000, bearing interest at 12% payable quarterly in arrears, with a maturity date of February 7, 2014. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.25 per share. The note may be extended for an additional six months.     100,000       100,000  
                 
Eighteen Month Convertible Promissory Note payable dated August 30, 2011 for $1,400,000. Extended through January 15, 2014 per terns of an Extension and Forbearance Agreement. Lender is also granted a first lien security interest over all existing and future assets for CompCare de Puerto Rico, Inc, including the arbitration claim against MAPFRE Life Insurance Co. filed on August 10, 2012 at December 2`, 2013. $1,000.000 of proceeds was applied to this debt in 2014 upon receipt of the proceeds from MAFRE     400,000       1,400,000  
                 
Eighteen Month Convertible Promissory Note payable dated November 14, 2011 for $625,000. Extended through January 15, 2014 per terns of an Extension and Forbearance Agreement which requires payments of $75,000 each on September 13, 2013 and January 6, 2014. Lender is also granted a first lien security interest over all existing and future assets of CompCare de Puerto Rico, Inc, including the arbitration claim against MAPFRE Life Insurance Co. filed on August 10, 2012 at December 31, 2012.     475,000       550,000  
                 
14% Senior Promissory Note payable dated October 24, 2012, for $7,262.50 bearing interest at 14%, payable semiannually, with a maturity date of April 15, 2013. The note may be prepaid upon providing five days written notice.     7,263       7,263  
                 
14% Senior Promissory Note payable dated November 30, 2012, for $5,187.50 bearing interest at 14%, payable semiannually, with an amended maturity date of April 15, 2014. The note may be prepaid upon providing five days written notice.     5,188       5,188  
                 
Subtotal   $ 4,232,950     $ 5,357,016  

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

    2014     2013  
             
Subtotal from page 70   $ 4,232,950     $ 5,357,016  
                 
Convertible Promissory Note payable to dated October 6, 2014, for $100,000, bearing interest at 12%, with a maturity date of the earliest of October 6, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the acquisition of all of the Company’s assets. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.11per share. The note may be prepaid at any time without penalty. The note is subordinated in right of payment to all other notes.     100,000        
Convertible Promissory Note payable dated January 6, 2014, for $50,000, bearing interest at 18%, with a maturity date of the earliest of January 6, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is subordinated in right of payment to all other notes.     50,000        
Convertible Promissory Note payable dated January 23, 2014, for $67,000, bearing interest at 18%, with a maturity date of the earliest of January 23, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is subordinated in right of payment to all other notes.     67,000        
                 
Subtotal  $4,449,950   $5,357,016 

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

    2014     2013  
             
Subtotal from page 71   $ 4,449,950     $ 5,357,016  
                 
Convertible Promissory Note payable dated February 25, 2014, for $45,000, bearing interest at 18%, with a maturity date of the earliest of February 25, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is subordinated in right of payment to all other notes.     45,000        
                 
Convertible Promissory Note payable dated April 14, 2014, for $23,000, bearing interest at 18%, with a maturity date of the earliest of April 14, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is subordinated in right of payment to all other notes.     23,000        
                 
Convertible Promissory Note payable dated April 21, 2014, for $37,000, bearing interest at 18%, with a maturity date of the earliest of April 21, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is subordinate in right of payment to all other notes.     37,000        
                 
Convertible Promissory Note payable dated July 1, 2014, for $50,000, bearing interest at 18%, with a maturity date of the earliest of April 14, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is senior in right of payment to all other notes.     50,000        
                 
Subtotal   $ 4,604,950     $ 5,357,016  

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

         
   2014   2013 
         
Subtotal from page 72   4,604,950    8,357,016 
           
Convertible Promissory Note payable dated September 9, 2014, for $50,000, bearing interest at 12%, with a maturity date of the earliest of March 9, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s common stock at a conversion price of $.11 per share. The note may be prepaid at any time without penalty. The note is subordinated in right of payment to all other notes.   50,000     
           
Convertible Promissory Note payable dated July 17, 2014, for $100,000, bearing interest at 18%, with a maturity date of the earliest of July 17, 2015, the first closing of the Series A-1 Preferred Equity, or an Acquisition Transaction, i.e. the sale of all of the Company’s assets or by a merger. The face value of the debt can be converted to the Company’s Series A-1 preferred stock at the applicable price per share at the date of conversion. The note may be prepaid at any time without penalty. The note is senior in right of payment to all other notes   100,000     
           
7½% Senior Note payable dated January 30, 2014, for $51,875 bearing interest at 7½%, with a maturity date of February 15, 2015. This note was issued in exchange for the $50,000 in 7½% Convertible Subordinated Debentures plus accrued interest of $1,875. The note may be prepaid upon providing five days written notice.   51,875     
           
   $4,806,825   $5,357,016 
           
Less Discounts on Notes   (55,200)   (111,831)
           
Total notes payable   4,751,625    5,245,185 
           
Less: long term portion   (90,000)   (90,000)
           
Current notes payable  $4,661,625   $5,155,185 

 

Note 7 BORROWINGS REVOLVING LINE OF CREDIT

 

The Company has a $2 million revolving line of credit with a financial institution. Interest on this line of credit is prime plus .25%. The prime rate at December 31, 2014 and 2013 was 3.25%. The outstanding balance on the revolving line of credit was $926,167 and $602,617 at December 31, 2014 and 2013, respectively. Interest is payable monthly, and principal is payable on demand. The revolving line of credit is collateralized by a first lien security interest in the Company’s account receivable.

 

Note 8. COMMITMENTS AND CONTINGENCIES

 

The Company lease its corporate office space under an operating lease. In May 2014, the Company moved its corporate office and entered into a new operating lease. The terms of the lease are for 5 years beginning on May 1, 2014 and ending June 30, 2019 with a monthly lease payment of $7,697. The lease contains an annual escalation clause and a provision for payment of real estate taxes, insurance, and maintenance and repair expenses. Total rental expense for the lease was approximately $82,000 and $218,000, respectively, for 2014 and 2013.

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Future minimum payments under the non-cancelable operating lease with initial or remaining terms of one year or more consist of the following at December 31, 2014.

 

2015  $92,364 
2016   92,364 
2017   92,634 
2018   92,364 
2019   46,182 
   $415,630 

 

  b. Economic conditions and related risks, concentrations and uncertainties

 

At December 31, 2014, we had a working capital deficiency of approximately $17.1 million and a stockholders’ equity deficiency of approximately $17.2 million resulting from a history of operating losses. There can be no assurance that we will be able to find such financing in amounts or on terms acceptable to us, if at all, or that we will be able to achieve or sustain profitable operations and positive operating cash flows in the near term. Although subject to the general economic conditions, management believes that our current cash position will likely not be sufficient to meet our current levels of operations in the short term, our ability to achieve our business objectives and continue as a going concern for a reasonable period of time may be dependent upon the success of our plans to obtain sufficient debt or equity financing.

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Note 9. LITIGATION

 

In the ordinary conduct of the Company business, they are subject to periodic lawsuits and claims. Although management cannot predict with certainty the ultimate resolution of lawsuits and claims asserted against the Company, management does not believe that any currently pending legal proceedings to which the Company is a party could have a material adverse effect on the Company, or the Company’s future results of operations, cash flows or financial condition except as described below:

 

The Company initiated an action against Jerry Katzman, a former director, in July 2009 alleging that Mr. Katzman fraudulently induced us to enter into an employment agreement and, alternatively, that Mr. Katzman breached that alleged employment agreement and was rightfully terminated. In September 2010, the matter proceeded to a trial by jury. The jury found that Mr. Katzman did not fraudulently induce Advanzeon to enter into the contract but also found that Mr. Katzman was not entitled to damages. On defendant’s motion to amend the verdict due to inconsistency, the trial court set aside the jury verdict and awarded Mr. Katzman damages of approximately $1.3 million. The Company appealed the lower court’s decision and posted a collateralized appeal bond for approximately $1.3 million. On February 14, 2013, the 11th Circuit Court of Appeals of the State of Florida reversed the lower court’s judgment in favor of Katzman and remanded the case for a new trial on both liability and damages. The appellate court also taxed appellate costs in favor of Advanzeon against Katzman. The decision of the appellate court also reverses the lower court’s award of attorney’s fees previously awarded to Katzman against Advanzeon. To avoid litigating the case a second time, we began making payments in accordance with a Term Sheet. Katzman objected to the amounts we were paying monthly and filed suit in the Circuit Court of the Thirteenth Judicial Circuit in and for Hillsborough County Florida, Case No. 12-CA-2570, to find us in breach of the Term Sheet. On March 8, 2017 the Court determined that we had breached the Term Sheet and entered a Final Judgment in the amount of $866,052 bearing interest at the statutory rate. Management is in the process of securing a bond against the judgment. The case is currently on appeal in the Second District Court of Appeal, Florida, Case No. 2D17-1433. However, the case remains active for execution (collection) on the judgment. Since filing the appeal the execution portion of the proceedings has been removed from the Circuit Court of the Thirteenth Judicial Circuit in and for Hillsborough County Florida and is now before the United States District Court, Middle District, Tampa Division, Case. No. 8:17-CV-2107-T-23AEP.

 

In a related matter to the Katzman litigation, on January 10, 2017, the Company brought an action against Melanie Damian et al. Case number 17-CA-00252, Thirteenth Judicial Circuit Court, Hillsborough County, FL. The Company alleges wrongful collection practices including wrongful garnishment of bank accounts.

 

The Company has filed a claim for money it maintains is owed by Universal Health Care Insurance Company. In re: The Receivership of Universal Health Care Insurance Company. Case number 2013-CA-00358 and Case number 2013-CA-00375 in the Second Judicial Circuit Court, Leon County, FL. The objection to the claim by the receivership was heard April 4, 2018.

 

In Michael Ross et.al v. Advanzeon Solutions, Inc., Plaintiff is suing the Company for money it claims is owed pursuant to a promissory note. The Company is filing a motion for summary judgment. Case Number 16-CA-005737, Thirteenth Judicial Circuit Court Hillsborough County, FL. Filed April 7, 2015.

 

In Advanzeon Solutions, Inc. v. Mayer Hoffman et. al.., Case Number 16-CA-005737 Thirteenth Judicial Circuit Court Hillsborough County, FL., the Company has sued Defendants for damages for breach of audit services contract. The Judge ruled in favor of Defendants motion for summary judgment, but no judgment has been entered. The Company will file for a rehearing of the summary judgment and or an appeal. Filed June 17, 2016.

 

In a matter entitled Pharmacy Value Management Solutions, Inc. vs Young & Son Tax and Accounting, LLC, Charles Young Sr., Charles Young Jr. and Jay Jacques, the Company brought this action for damages for among other things breach of accounting service contract, mandatory injunction, return of documents and conversion of accounting funds held in the accountants’ trust account. The case is in the initial stage. Case Number 18-CA-000960 Thirteenth Judicial Circuit, Hillsborough County, FL. Filed March 31, 2018.

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Note 10 EQUITY INSTRUMENTS

 

Our Series C preferred stock is currently convertible into common stock at the rate of 316.28 common shares for each share of Series C preferred, adjustable for any dilutive issuances of common occurring in the future. Series C preferred shares vote with the common stockholders on an as-converted basis. The shares are nonparticipating except that dividends, when declared by our Board of Directors on the common stock, must be paid on the Series C stock on an as-converted basis before any dividends are paid on our common stock. The Series C is also cumulative with respect to dividends on common stock and junior series of preferred stock. Other significant rights and preferences of the Series C preferred include:

 

  the right to vote as a separate class to appoint five directors of the Company, and

 

  liquidation preferences, whereby the Series C holders have a claim against our assets senior to the claim of the holders of our common stock in the event of our liquidation, dissolution or winding-up (the value of the liquidation preference is $250 per share, or approximately $2,608,500 million at December 31, 2014 and 2013).

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

We also have a class of convertible preferred stock, Series D, for which 7,000 shares are authorized and 250 shares were issued during the year ended December 31, 2014. The shares, which were granted in January 2012, do not vest until the tenth anniversary of the grant date. Such shares were issued in exchange for the cancelation of 120 previously granted warrants to purchase Series D shares. Once vested, a Series D preferred share will be convertible at any time into 100,000 shares of common stock, subject to adjustment in the event of any common stock dividend, split, combination thereof or other similar recapitalization, without additional consideration. Prior to vesting and thereafter, each Series D convertible preferred share is entitled to all voting, dividend, liquidation and other rights accorded a share of Series D convertible preferred stock. As to dividends, the Series D stock is noncumulative. If a dividend is declared on the common stock, each share of Series D stock is entitled to receive a dividend equal to 50% of the dividend declared for the common stock as if the Series D stock had been converted. Despite their nonvested status, voting rights of each share nevertheless consist of the right to cast the number of votes equal to those of 500,000 shares of common stock. Unless otherwise required by applicable law, holders of shares of Series D have the right to vote together with holders of common stock as a single class on all matters submitted to a vote of our stockholders.

 

STOCK INCENTIVE COMPENSATION PLANS

 

WARRANTS:

 

To Purchase Common Stock

 

During the three month period ended March 30, 2013, the Company issued 325,000 shares to various individuals for consulting services performed during the period. The shares issued were valued at $0.24 per share or an aggregate price of $77,005. We believe that Section 4(2) of the Securities Act of 1933, as amended, was available because these transactions did not involve a public offering and there was no general solicitation or general advertising involved in these transactions. We placed legends on the stock certificates stating that the securities were not registered under the Securities Act and set forth the restrictions on their transferability and sale.

 

During the three month period ended June 30, 2013, the Company issued 1,420,588 shares to various individuals for consulting services performed during the period. The shares issued were valued at $0.07 - $0.12 per share or an aggregate price of $171,946. The Company also issued 1,119,078 shares as payments for accrued interest. The shares issued were valued at $0.10-$0.24 per share or an aggregate price of $132,219. We believe that Section 4(2) of the Securities Act of 1933, as amended, was available because these transactions did not involve a public offering and there was no general solicitation or general advertising involved in these transactions. We placed legends on the stock certificates stating that the securities were not registered under the Securities Act and set forth the restrictions on their transferability and sale.

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

During the three month period ended September 30, 2013, the Company issued 721,400 shares to various individuals for consulting services performed during the period. The shares issued were valued at $0.10 per share or an aggregate price of $72,140. The Company also issued 25,783 shares as payments for accrued interest. The shares issued were valued at $0.10 per share or an aggregate price of $2,578. We believe that Section 4(2) of the Securities Act of 1933, as amended, was available because these transactions did not involve a public offering and there was no general solicitation or general advertising involved in these transactions. We placed legends on the stock certificates stating that the securities were not registered under the Securities Act and set forth the restrictions on their transferability and sale.

 

A summary of warrant activity for 2014 and 2013 follows:

 

Warrants  Shares  

Weighted-

Average
Exercise Price

  

Weighted-
Average
Remaining

Contractual

Term

 

Aggregate

Instrinsic

Value

 
                
Outstanding at January 1, 2013   35,957,583    0.33   4.26 years  $ 
Granted   8,320,000    0.24   3.38 years  $ 
Reclassified                  
Forfeited, expired or cancelled                  
Outstanding at December 31, 2013   44,277,583    0.31         
Granted   3,399,000    0.27         
Forfeited, expired, or cancelled   (3,212,599)   0.25         
Outstanding at December 31, 2014   44,463,984    0.31         
Exercisable at December 31, 2014   44,463,984    0.31   3.47 years     

    

We recognized approximately $2.5 million and $2.6 million of compensation costs during 2014 and 2013, respectively.

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

Due to the significant uncertainty of future realization (Note 6), we did not recognize the effect of approximately $624,000 of potential tax benefits attributable to equity-based expense recorded for warrants issued to key employees for 2011.  

 

OPTIONS:

 

From time-to-time, we grant stock options as compensation for services to our employees, non-employee directors and certain consultants (“grantees”) allowing grantees to purchase our common stock pursuant to stockholder-approved stock option plans. We currently have three active incentive qualified option plans, the 1995 Incentive Plan, the 2002 Incentive Plan and the 2009 Equity Compensation Plan (collectively, the “Plans”), that provide for the granting of stock options, stock appreciation rights, limited stock appreciation rights, restricted preferred stock, and common stock grants to grantees. Grants issued under the Plans may qualify as incentive stock options (“ISOs”) under Section 422A of the Internal Revenue Code of 1986, as amended. Options for ISOs may be granted for terms of up to ten years. The vesting of options issued under the 1995 and 2002 plans generally occurs after six months for one-half of the options and after 12 months for the remaining options. For the 2009 Equity Compensation Plan, the vesting period is determined by our Compensation and Stock Option Committee. The exercise price for ISOs must equal or exceed the fair market value of the underlying shares on the date of grant. The Plans also provide for the full vesting of all outstanding options under certain change of control events. The maximum number of common shares authorized for issuance under the plans is 52,000,000. As of December 31, 2013 and 2014, the information regarding the options is set forth below.

 

   2014   2013 
Shares available   52,000,000    52,000,000 
Options outstanding (Directors and employees)   6,322,000    6,322,000 
Options exercisable   6,046,334    6,046,334 

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS

 

In addition, under our Non-employee Directors’ Stock Option Plan, we are authorized to issue non-qualified stock options to our non-employee directors for up to 1,000,000 common shares. Each non-qualified stock option is exercisable at a price equal to the average of the closing bid and asked prices of the common stock in the over-the-counter market for the most recent preceding day there was a sale of the stock prior to the grant date. Grants of options vest in accordance with vesting schedules established by our Board of Directors’ Compensation and Stock Option Committee. Upon joining our Board of Directors, directors receive an initial grant of 25,000 options for common shares. Annually, directors are granted 15,000 options for common shares on the date of our annual meeting. As of December 31, 2014, there were 2,678,000 shares available for option grants and 10,000,000 options for common shares outstanding under the non-qualified directors’ plan, Amount of which were exercisable.

 

A summary of activity for 2014 and 2013 follows:

 

   Options  

Weighted-

Average

Exercise Price

  

Weighted-

Average

Remaining

Contractual Term

 

Aggregate

Instrinsic

Value

 
                
Outstanding at January 1, 2013   6,261,334    0.33   8.25 years    
Granted   300,000    0.25         
Forfeited, expired or cancelled   -10,000    0.25        
                   
Outstanding at December 31, 2013   6,551,334    0.28   9.85  years    
Granted   0              
Forfeited, expired or cancelled   -143,834    .25        
                   
Outstanding at December 31, 2014   6,407,500    .28   9.85  years     
                  
Exercisable at December 31, 2014   0              

   

The following table summarizes information about options granted and vested during the years ended December 31.

 

   2014   2013 
         
Options granted   0    300,000 
Weighted-average grant-date fair value ($)   N/A    0.07 
Options vested   0    40,000 
Fair value of vested options ($)   N/A   $2,800 

 

During 2014 and 2013, we granted options for common shares to employees, non-employee directors and consultants.

 

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ADVANZEON SOLUTIONS, INC.

 

NOTES TO FINANCIAL STATEMENTS   

 

A summary of common stock options outstanding and exercisable as of December 31, 2014 follows:

 

Options
Outstanding
   Exercise
Price
Range
   Weighted-
Average
Exercise Price
   Weighted-
Average
Remaining
Contractual
Term
   Options
Exercisable
   Weighted-
Average
Exercise Price
of
Exercisable
Options
 6,407,500    .28     .25-.65    9.85    0    N/A

 

Note 11 SALE OF COMPREHENSIVE BEHAVIORAL CARE, INC

 

On December 30, 2013, The Company sold its wholly-owned subsidiary, Comprehensive Behavioral Care, Inc. (“CBC”). The sales price was $100.00 and the buyer received all of the issued and outstanding equity of CBC. As part of the transaction, the Company was entitled to receive any sums owing or payable to the Company or its subsidiaries for work or event occurring prior to the date of the sale. On January 1, 2014, the Company and CBC entered into an arrangement whereby the Company agreed to provide administrative services only for contracts held by CBC. These services consisted of the performance of clinical management, utilization management, claims administration, intensive case management, discharge planning and referral. In return CBC agreed to pay a monthly fee based on the number of employees/members covered on a client by client basis. The initial term is three years with provisions for subsequent one year renewals that has occurred every year since since commencement. Also on January 1, 2014, the Company and CBC entered into an agreement whereby the Company could lease the access to the Network Providers. The initial term was two years with provisions for subsequent one year term renewals. The Company agreed to pay a fixed rate per member, per month.

 

Pursuant to the terms of the sale, the existing receivables of the Company went to the acquirer with the exception of the outstanding Accounts receivable at the date of sale for a total consideration of $100. The Company recorded a gain on sale of CBC of $9,270,336 as follows:

 

Cash received on sale  $100 
      
Assets and liabilities transferred to purchaser     
Accounts payable   891,725 
Accrued claims payable   9,557,575 
Other accrued expenses   767,725 
Other current assets   (32,719)
Property and equipment – net   (61,670)
Other long-term assets   (153,122)
     Total net transfer   10,969,715 
      
Gain on sale  $10,969,615 

 

Note 12LEGAL SETTLEMENT

 

The Company’s subsidiary, CompCare de Puerto Rico (“Puerto Rico”) entered into an agreement with MAPRE Life Insurance Company of Puerto Rico (:MAPFRE”) whereby the Company made available to MAPFRE’s Medicare Advantage beneficiaries its network of providers for behavioral, and mental health amongst other services effective December 1, 2008. From that time until August 13, 2012, the Company claimed that overpayments for medical costs were made and requested reimbursement. An arbitration case was filed, and the parties settled on June 12, 2014 for a settlement of $1,150,000, which was received by the Company. This settlement is recorded as part of Other Income on the face of the financial statements. Of the proceeds, $150,000 was paid as fees and $1,000,000 for the repayment of outstanding debt.

 

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Note 13 RELATED PARTY TRANSACTION

 

We recognized interest expense of approximately $620,000 and $616,000 during 2014 and 2013, respectively, in connection with loans from related parties of the Company.

 

Employment agreement with Chief Executive Officer and Directors compensation - In accordance with the employment agreement between the Company and our Board Chairman and CEO, Clark Marcus, we are obligated to pay to Mr. Marcus a total of approximately $10.9 million in base salary over the next five years. In addition, we will pay on his behalf approximately a total of $68,000 in health insurance premiums and $603,000 in life insurance premiums, also over the next five years. This compensation may, at our election, be only accrued but not paid, in whole or in part, until such time as we receive financing and/or generate sufficient cash flows, after the payment of our operating expenses, with which to pay Mr. Marcus his agreed compensation.

 

In the event Mr. Marcus’ employment is terminated without cause, or Mr. Marcus voluntarily terminates his employment within one year following a change in control, if any, we will be obligated to pay to Mr. Marcus any accrued but unpaid bonuses and the total compensation that would have been paid to him for five full years following the date of termination. In connection with this employment agreement, we have accrued compensation payable of $ 1,640,280 and $832,479 included in accrued expenses as of December 31, 2014 and 2013, respectively.

 

Note 14 INCOME TAXES

 

The Company did not provide for income taxes with respect to differences between financial loss and taxable loss arising from the timing of when certain transactions are recorded for book purposes versus tax purpose. The Company has not filed any federal or state income returns since 2012. The financial statements do not reflect any fines or penalties that may or may result from not filing the various income tax returns.  

 

Note 15 GOING CONCERN

 

During the fiscal year ended December 31, 2013, we funded our operations from revenues and a line of credit. For the fiscal year ended December 31, 2014, we funded our operations from revenues and the line of credit. We will continue to fund our operations from these sources until we are able to produce operating revenue sufficient to cover our cost structure. In the event we are not able to secure such funding, our operations will be adversely affected.

 

Note 16 SUBSEQUENT EVENTS

 

Other than the events discussed elsewhere above, no events were identified by management that in our opinion require accounting recognition or disclosure in these financial statements.

 

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