Ontrak, Inc. - Quarter Report: 2007 June (Form 10-Q)
Table of Contents
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended June 30, 2007
Commission
File Number 001-31932
HYTHIAM, INC.
(Exact name of registrant as specified in its charter)
Delaware | 88-0464853 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) |
11150 Santa Monica Boulevard, Suite 1500, Los Angeles, California 90025
(Address of principal executive offices, including zip code)
(Address of principal executive offices, including zip code)
(310) 444-4300
(Registrants telephone number, including area code)
(Registrants telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by
Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for
such shorter period that the registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days.
Yes þ No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer,
or a non-accelerated filer. See definition of accelerated filer and large accelerated filer in
Rule 12b-2 of the Exchange Act (Check one):
Large accelerated filer o Accelerated filer þ Non-accelerated filer o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the
Exchange Act).
Yes o No þ
As of
August 7, 2007, there were 44,571,931 shares of registrants common stock, $0.0001 par
value, outstanding.
TABLE OF CONTENTS
2
Table of Contents
PART I FINANCIAL INFORMATION
Item 1. Financial Statements
HYTHIAM, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
(In thousands, except share data) | June 30, | December 31, | ||||||
2007 | 2006 | |||||||
ASSETS |
||||||||
Current assets |
||||||||
Cash and cash equivalents |
$ | 16,127 | $ | 5,701 | ||||
Marketable securities, at fair value |
12,970 | 37,746 | ||||||
Restricted cash |
122 | 82 | ||||||
Receivables, net |
1,813 | 637 | ||||||
Prepaids and other current assets |
1,000 | 383 | ||||||
Total current assets |
32,032 | 44,549 | ||||||
Long-term assets |
||||||||
Property and equipment, less accumulated depreciation of
$2,754,000 and $2,224,000, respectively |
4,363 | 3,711 | ||||||
Goodwill |
10,799 | | ||||||
Intangible assets, less accumulated amortization of
$1,081,000 and $591,000, respectively |
5,136 | 3,397 | ||||||
Deposits and other assets |
795 | 548 | ||||||
Total Assets |
$ | 53,125 | $ | 52,205 | ||||
LIABILITIES AND STOCKHOLDERS EQUITY |
||||||||
Current liabilities |
||||||||
Accounts payable and accrued liabilities |
$ | 8,539 | $ | 9,451 | ||||
Accrued claims payable |
5,183 | | ||||||
Accrued reinsurance claims payable |
2,526 | | ||||||
Income taxes payable |
47 | | ||||||
Total current liabilities |
16,295 | 9,451 | ||||||
Long-term liabilities |
||||||||
Long-term debt |
11,035 | | ||||||
Capital lease obligations |
387 | 183 | ||||||
Deferred rent and other long-term liabilities |
524 | 542 | ||||||
Total Liabilities |
28,241 | 10,176 | ||||||
Commitments and contingencies |
||||||||
Stockholders equity |
||||||||
Preferred stock, $.0001 par value; 50,000,000 shares authorized; no shares
issued and outstanding |
| | ||||||
Common stock, $.0001 par value; 200,000,000 shares authorized;
44,501,000 and 43,917,000 shares issued and 44,141,000
and 43,557,000 shares outstanding at June 30, 2007
and December 31, 2006, respectively |
5 | 4 | ||||||
Additional paid-in-capital |
125,614 | 119,764 | ||||||
Accumulated deficit |
(100,735 | ) | (77,739 | ) | ||||
Total Stockholders Equity |
24,884 | 42,029 | ||||||
Total Liabilities and Stockholders Equity |
$ | 53,125 | $ | 52,205 | ||||
See accompanying notes to condensed consolidated financial statements.
3
Table of Contents
HYTHIAM, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
Three Months Ended | Six Months Ended | |||||||||||||||
(In thousands, except per share amounts) | June 30, | June 30, | ||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Revenues |
||||||||||||||||
Behavioral health
managed care services |
$ | 9,159 | $ | | 16,765 | | ||||||||||
Healthcare services |
2,181 | 1,172 | 3,432 | 1,825 | ||||||||||||
Total revenues |
11,340 | 1,172 | 20,197 | 1,825 | ||||||||||||
Operating Expenses |
||||||||||||||||
Behavioral health managed care expenses |
9,348 | | 16,501 | | ||||||||||||
Cost of healthcare services |
423 | 266 | 759 | 433 | ||||||||||||
General and administrative expenses |
12,250 | 9,531 | 22,832 | 18,057 | ||||||||||||
Research and development |
729 | 454 | 1,740 | 1,304 | ||||||||||||
Depreciation and amortization |
610 | 315 | 1,157 | 629 | ||||||||||||
Total operating expenses |
23,360 | 10,566 | 42,989 | 20,423 | ||||||||||||
Loss from operations |
(12,020 | ) | (9,394 | ) | (22,792 | ) | (18,598 | ) | ||||||||
Other non-operating income, net |
29 | | 29 | | ||||||||||||
Interest income |
396 | 433 | 908 | 909 | ||||||||||||
Interest expense |
(641 | ) | | (1,114 | ) | | ||||||||||
Loss before provision for income taxes |
(12,236 | ) | (8,961 | ) | (22,969 | ) | (17,689 | ) | ||||||||
Provision for income taxes |
16 | 1 | 26 | 1 | ||||||||||||
Net loss |
$ | (12,252 | ) | $ | (8,962 | ) | $ | (22,995 | ) | $ | (17,690 | ) | ||||
Net loss per share basic and diluted |
$ | (0.28 | ) | $ | (0.23 | ) | $ | (0.52 | ) | $ | (0.45 | ) | ||||
Weighted average number of shares outstanding basic and diluted |
44,126 | 39,458 | 43,984 | 39,328 | ||||||||||||
See accompanying notes to condensed consolidated financial statements.
4
Table of Contents
HYTHIAM, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
Six Months Ended | ||||||||
June 30, | ||||||||
(In thousands) | 2007 | 2006 | ||||||
Operating activities |
||||||||
Net loss |
$ | (22,995 | ) | $ | (17,690 | ) | ||
Adjustments to reconcile net loss to net cash used in operating activities: |
||||||||
Depreciation and amortization |
1,156 | 629 | ||||||
Amortization of debt discount and issuance cost, included in interest
expense |
517 | | ||||||
Provision for doubtful accounts |
68 | 48 | ||||||
Deferred rent |
63 | (121 | ) | |||||
Share-based compensation expense |
1,405 | 1,434 | ||||||
Changes in current assets and liabilities, net of business acquired: |
||||||||
Receivables |
(350 | ) | (316 | ) | ||||
Prepaids and other current assets |
26 | (131 | ) | |||||
Accrued claims payable |
2,584 | | ||||||
Accounts payable |
(2,211 | ) | 1,612 | |||||
Net cash used in operating activities |
(19,737 | ) | (14,535 | ) | ||||
Investing activities |
||||||||
Purchases of marketable securities |
(35,797 | ) | (17,054 | ) | ||||
Proceeds from sales and maturities of marketable securities |
60,603 | 31,843 | ||||||
Cash paid related to acquisition of a business, net of cash acquired |
(4,760 | ) | | |||||
Restricted cash |
(39 | ) | (51 | ) | ||||
Purchases of property and equipment |
(477 | ) | (279 | ) | ||||
Deposits and other assets |
129 | 10 | ||||||
Cost of intellectual property |
(93 | ) | (110 | ) | ||||
Net cash provided by investing activities |
19,566 | 14,359 | ||||||
Financing activities |
||||||||
Cost related to issuance
of common stock |
(230 | ) | | |||||
Cost related to issuance
of debt and warrants |
(302 | ) | | |||||
Proceeds from issuance
of long term debt |
10,000 | | ||||||
Capital lease obligations |
(79 | ) | | |||||
Exercises of stock options and warrants |
1,208 | 810 | ||||||
Net cash provided by financing activities |
10,597 | 810 | ||||||
Net increase in cash and cash equivalents |
10,426 | 634 | ||||||
Cash and cash equivalents at beginning of period |
5,701 | 3,417 | ||||||
Cash and cash equivalents at end of period |
$ | 16,127 | $ | 4,051 | ||||
Supplemental disclosure of cash paid |
||||||||
Interest |
$ | 376 | $ | | ||||
Income taxes |
32 | | ||||||
Supplemental disclosure of non-cash activity |
||||||||
Common stock, options and warrants issued for outside services |
$ | 111 | $ | 320 | ||||
Property and equipment aquired through capital leases and other financing |
192 | | ||||||
Common stock issued for acquistion of Woodcliff Healthcare Investment
Partners, LLC |
2,084 | |
See accompanying notes to condensed consolidated financial statements.
5
Table of Contents
Hythiam, Inc. and Subsidiaries
Notes to Condensed Consolidated Financial Statements
(unaudited)
Notes to Condensed Consolidated Financial Statements
(unaudited)
Note 1. Basis of Consolidation and Presentation
The accompanying unaudited interim condensed consolidated financial statements for Hythiam,
Inc. (referred to herein as the Company, Hythiam, we, us or our) and our subsidiaries have been
prepared in accordance with the Securities and Exchange Commission (SEC) rules for interim
financial information and do not include all information and notes required for complete financial
statements. In the opinion of management, all adjustments, consisting of normal recurring accruals,
considered necessary for a fair presentation have been included. Interim results are not
necessarily indicative of the results that may be expected for the entire fiscal year. The
accompanying financial information should be read in conjunction with the financial statements and
the notes thereto in our most recent Annual Report on Form 10-K, from which the December 31, 2006
balance sheet has been derived.
Our consolidated financial statements include the accounts of the company, our
wholly-owned subsidiaries, Comprehensive Care Corporation (CompCare), and the accounts of The
PROMETA Center, Inc., a California professional corporation.
On January 12, 2007, we acquired all of the outstanding membership interest of Woodcliff
Healthcare Investment Partners, LLC, which owns 1,739,130 shares of common stock and 14,400 shares
of Series A Convertible Preferred Stock of CompCare. The conversion of the preferred stock would
result in us owning approximately 50.25% and 50.05% of the outstanding shares of CompCare based on
shares outstanding as of January 12, 2007 and June 30, 2007, respectively. The preferred stock has
voting rights and, combined with the common shares held by us, gives us voting control over
CompCare. We began consolidating CompCares accounts on January 13, 2007. See further discussion in
Note 3 Acquisition of Woodcliff and Controlling Interest in CompCare.
Based on the provisions of a management services agreement with the PROMETA Center, we have
determined that it is a variable interest entity, and that we are the primary beneficiary as
defined in Financial Accounting Standards Board (FASB) Interpretation No. 46R, Consolidation of
Variable Interest Entities, an Interpretation of Accounting Research Bulletin No. 51 (FIN 46R).
Accordingly, we are required to consolidate the revenues and expenses of the PROMETA Center.
All intercompany transactions and balances have been eliminated in consolidation. Certain
amounts in the consolidated financial statements for the three and six months ended June 30, 2006
have been reclassified to conform to the presentation for the three and six months ended June 30,
2007.
Note 2. Summary of Significant Accounting Policies
As discussed above, we began consolidating the accounts of CompCare on January 13, 2007. The
disclosures in this footnote as more fully set forth in our Annual Report on Form 10-K have been
expanded to include a description of the accounting policies related to the CompCare accounts that
are included in our consolidated financial statements as result of this acquisition.
Revenue Recognition
Managed care activities are performed by CompCare under the terms of agreements with health
maintenance organizations (HMOs), preferred provider organizations, and other health plans or
payers to provide contracted behavioral healthcare services to subscribing participants. Revenue
under a substantial portion of these agreements is earned monthly based on the number of qualified
participants regardless of services actually provided (generally referred to as capitation
arrangements). The information regarding qualified participants is supplied by CompCares clients
and CompCare reviews membership eligibility records and other reported information to verify its
accuracy in determining the amount of revenue to be recognized. Capitation agreements accounted for
97% of revenue, or $8.8 million and $16.2 million, respectively, for the three months ended June
30, 2007 and the period January 13 through June 30, 2007. The remaining balance of CompCares
revenues are earned on a fee-for-service basis and is recognized as services are rendered.
6
Table of Contents
Managed Care Expense Recognition
Managed care operating expense is recognized in the period in which an eligible member
actually receives services and includes an estimate of the cost of behavioral health services that
have been incurred but not yet reported (IBNR). See Accrued Claims Payable for a discussion of
claims incurred but not yet reported. CompCare contracts with various healthcare providers
including hospitals, physician groups and other managed care organizations either on a discounted
fee-for-service or a per-case basis. CompCare determines that a member has received services when
CompCare receives a claim within the contracted timeframe with all required billing elements
correctly completed by the service provider. CompCare then determines whether the member is
eligible to receive such services, the service provided is medically necessary and is covered by
the benefit plans certificate of coverage, and the service is authorized by one of its employees.
If all of these requirements are met, the claim is entered into CompCares claims system for
payment.
Accrued Claims Payable
The accrued claims payable liability represents the estimated ultimate net amounts owed for
all behavioral health managed care services provided through the respective balance sheet dates,
including estimated amounts for claims IBNR to CompCare. The accrued claims payable liability is
estimated using an actuarial paid completion factor methodology and other statistical analyses and
is continually reviewed and adjusted, if necessary, to reflect any change in the estimated
liability. These estimates are subject to the effects of trends in utilization and other factors.
However, actual claims incurred could differ from the estimated claims payable amount reported.
Although considerable variability is inherent in such estimates, CompCare management believes that
the unpaid claims liability of $5.2 million as of June 30, 2007 is adequate.
Premium Deficiencies
Losses are accrued under capitated managed care contracts when it is probable that a loss has
been incurred and the amount of the loss can be reasonably estimated. The loss accrual analysis is
performed on a specific contract basis taking into consideration such factors as future contractual
revenue, projected future healthcare and maintenance costs, and each contracts specific terms
related to future revenue increases as compared to expected increases in healthcare costs. The
projected future healthcare and maintenance costs are estimated based on historical trends and
estimates of future cost increases.
At any time prior to the end of a contract or contract renewal, if a capitated contract is not
meeting its financial goals, CompCare generally has the ability to cancel the contract with 60 to
90 days written notice. Prior to cancellation, CompCare will usually submit a request for a rate
increase accompanied by supporting utilization data. Although historically CompCares clients have
been generally receptive to such requests, no assurance can be given that such requests will be
fulfilled in the future in CompCares favor. If a rate increase is not granted, CompCare has the
ability, in most cases, to terminate the contract as described above and limit its risk to a
short-term period.
On a quarterly basis, CompCare performs a review of the portfolio of its contracts for the
purpose of identifying loss contracts (as defined in the American Institute of Certified Public
Accountants Audit and Accounting Guide Health Care Organizations) and developing a contract loss
reserve, if applicable, for succeeding periods. During the three months ended June 30, 2007,
CompCare did not identify any contracts where it was probable that a loss had been incurred and for
which a loss could reasonably estimated.
Basic and Diluted Loss per Share
In accordance with Statement of Financial Accounting Standards (SFAS) 128, Computation of
Earnings Per Share, basic loss per share is computed by dividing the net loss to common
stockholders for the period by the weighted average number of common shares outstanding during the
period. Diluted loss per share is computed by dividing the net loss for the period by the weighted
average number of common and dilutive common equivalent shares outstanding during the period.
Common equivalent shares, consisting of 7,452,000 and 6,888,000 of incremental common shares
as of June 30, 2007 and 2006, respectively, issuable upon the exercise of stock options and
warrants have been excluded from the diluted earnings per share calculation because their effect is
anti-dilutive.
7
Table of Contents
Share-Based Compensation
The Hythiam, Inc. 2003 Stock Incentive Plan, as amended, and 2007 Stock Incentive Plan (the
Plans) provide for the issuance of up to 9 million shares of our common stock. Incentive stock
options (ISOs) under Section 422A of the Internal Revenue Code and non-qualified options (NSOs) are
authorized under the Plans. We have granted stock options to executive officers, employees, members
of our board of directors, and certain outside consultants. The terms and conditions upon which
options become exercisable vary among grants, however, option rights expire no later than ten years
from the date of grant and employee and board of director awards generally vest on a straight-line
basis over five and four years, respectively. At June 30, 2007, we had 6,294,000 stock options
outstanding (vested and unvested) and 2,105,000 shares reserved for future awards.
Total share-based compensation expense on a consolidated basis amounted to $914,000, $1.4
million, $339,000 and $1.4 million for the three and six months ended June 30, 2007 and 2006,
respectively.
Stock Options Employees and Directors
On January 1, 2006, we adopted SFAS 123 (Revised 2004), Share-Based Payment(SFAS 123R),
which requires the measurement and recognition of compensation expense for all share-based payment
awards made to employees and directors based on estimated fair values. SFAS 123R requires companies
to estimate the fair value of share-based payment awards to employees and directors on the date of
grant using an option-pricing model. The value of the portion of the award that is ultimately
expected to vest is recognized as expense over the requisite service periods in the consolidated
statements of operations. Prior to the adoption of SFAS 123R, we accounted for shared-based awards
to employees and directors using the intrinsic value method, in accordance with Accounting
Principles Board Opinion (APB) No. 25, Accounting for Stock Issued to Employees as allowed under
SFAS 123, Accounting for Stock-Based Compensation. Under the intrinsic value method, no
share-based compensation expense had been recognized in our consolidated statements of operations
for awards to employees and directors because the exercise price of our stock options equaled the
fair market value of the underlying stock at the date of grant.
We adopted SFAS 123R using the modified prospective method, which requires the application of
the new accounting standard as of January 1, 2006, the first day of our 2006 fiscal year. In
accordance with the modified prospective method, our consolidated financial statements for prior
periods have not been restated to reflect, and do not include, the impact of SFAS 123R. As a
result of adopting SFAS 123R on January 1, 2006, share-based compensation expense recognized under
SFAS 123R for employees and directors for the three and six months ended June 30, 2007 was $576,000
and $1.1 million, respectively, which impacted our basic and diluted loss per share by $.01 and
$.03, respectively, compared to $473,000 and $938,000, respectively, which impacted our basic and
diluted loss per share by $0.01 and $0.02, respectively, in the same periods last year.
Share-based compensation expense recognized in our consolidated statements of operations for
the three and six months ended June 30, 2007 and 2006 includes compensation expense for share-based
payment awards granted prior to, but not yet vested, as of January 1, 2006 based on the grant date
fair value estimated in accordance with the pro-forma provisions of SFAS 123, and for the
share-based payment awards granted subsequent to January 1, 2006 based on the grant date fair value
estimated in accordance with the provisions of SFAS 123R. For share-based awards issued to
employees and directors, share-based compensation is attributed to expense using the straight-line
single option method, which is consistent with our presentation of pro-forma share-based expense
required under SFAS 123 for prior periods. Share-based compensation expense recognized in our
consolidated statements of operations for the three and six months ended June 30, 2007 and 2006 is
based on awards ultimately expected to vest, reduced for estimated forfeitures. SFAS 123R requires
forfeitures to be estimated at the time of grant and revised, if necessary, in subsequent periods
if actual forfeitures differ from those estimates.
During the three and six months ended June 30, 2007 and 2006, we granted options for 42,000,
374,000, 24,000 and 620,000 shares, respectively, at the weighted average per share exercise price
of $7.34 $8.18, $8.56 and $6.52, respectively, the fair market value of our common stock at the
dates of grants. Options granted generally vest over five years.
8
Table of Contents
Employee and director stock option activity for the three and six months ended June 30, 2007 was as
follows:
Weighted Avg. | ||||||||
Shares | Exercise Price | |||||||
Balance, December 31, 2006 |
5,828,000 | $ | 4.32 | |||||
Granted |
332,000 | 8.29 | ||||||
Exercised |
(324,000 | ) | 3.38 | |||||
Cancelled |
(19,500 | ) | 7.59 | |||||
Balance, March 31, 2007 |
5,816,500 | 4.59 | ||||||
Granted |
41,500 | 7.34 | ||||||
Exercised |
(6,000 | ) | 6.42 | |||||
Cancelled |
(51,300 | ) | 6.69 | |||||
Balance, June 30, 2007 |
5,800,700 | $ | 4.59 | |||||
The estimated fair value of options granted to employees and directors during the three and
six months ended June 30, 2007 and 2006 was $200,000, $2.0 million, $123,000, and $2.4 million,
respectively, calculated using the Black-Scholes pricing model with the following assumptions:.
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Expected volatility |
66 | % | 58 | % | 66 | % | 58 | % | ||||||||
Risk-free interest rate |
4.58 | % | 5.00 | % | 4.57 | % | 4.49 | % | ||||||||
Weighted average
expected lives in
years |
6.5 | 6.5 | 6.5 | 6.5 | ||||||||||||
Expected dividend yield |
0 | % | 0 | % | 0 | % | 0 | % |
The expected volatility assumptions have been based on the historical volatility of our stock
and the stock of other public healthcare companies, measured over a period generally commensurate
with the expected term. The weighted average expected option term for the three and six months
ended June 30, 2007 reflects the application of the simplified method prescribed in SEC Staff
Accounting Bulletin No. 107, which defines the life as the average of the contractual term of the
options and the weighted average vesting period for all option tranches.
We have elected to adopt the detailed method provided in SFAS 123R for calculating the
beginning balance of the additional paid-in capital pool (APIC pool) related to the tax effects of
employee share-based compensation, and to determine the subsequent impact on the APIC pool and
consolidated statements of cash flows of the tax effects of employee share-based compensation
awards that are outstanding upon adoption of SFAS 123R.
As of June 30, 2007, there was $8.4 million of total unrecognized compensation costs related
to non-vested share-based compensation arrangements granted under the Plan. That cost is expected
to be recognized over a weighted-average period of three years.
Stock Options and Warrants Non-employees
We account for the issuance of options and warrants for services from non-employees in
accordance with SFAS 123 by estimating the fair value of warrants issued using the Black-Scholes
pricing model. This models calculations include the option or warrant exercise price, the market
price of shares on grant date, the weighted average risk-free interest rate, expected life of the
option or warrant, expected volatility of our stock and expected dividends.
For options and warrants issued as compensation to non-employees for services that are fully
vested and non-forfeitable at the time of issuance, the estimated value is recorded in equity and
expensed when the services are performed and benefit is received as provided by FASB Emerging
Issues Task Force No. 96-18 Accounting For Equity Instruments That Are Issued To Other Than
Employees For Acquiring Or In Conjunction With Selling Goods Or Services. For unvested shares, the
change in fair value during the period is recognized in expense using the graded vesting method.
9
Table of Contents
During the three and six months ended June 30, 2007 and 2006, we granted options and warrants
for 25,000, 40,000, 55,000 and 115,000 shares, respectively, to non-employees at weighted average
prices of $7.32, $7.58, $6.87 and $6.63, respectively. For the three and six months ended June 30,
2007, the share-based expense (benefit) relating to stock options and warrants granted to
non-employees was $282,000 and $134,000, respectively, compared to ($189,000) and $421,000 for the
three and six months ended June 30, 2006, respectively.
Non-employee stock option and warrant activity for the three and six months ended June 30, 2007 was
as follows:
Weighted Avg. | ||||||||
Shares | Exercise Price | |||||||
Balance, December 31, 2006 |
1,395,000 | $ | 3.72 | |||||
Granted |
15,000 | 8.00 | ||||||
Exercised |
(6,000 | ) | 3.77 | |||||
Cancelled |
(3,000 | ) | 7.00 | |||||
Balance, March 31, 2007 |
1,401,000 | 3.76 | ||||||
Granted |
25,000 | 7.32 | ||||||
Exercised |
(8,000 | ) | 5.72 | |||||
Cancelled |
(15,000 | ) | 8.00 | |||||
Balance, June 30, 2007 |
1,403,000 | $ | 3.76 | |||||
Common Stock
During the six months ended June 30, 2007 we issued 14,000 shares of common stock for
consulting services valued at $111,000. There were no shares issued for such services during the
three months ended June 30, 2007. During the three and six months ended June 30, 2006, we issued
28,000 and 40,000 shares of common stock, respectively, for consulting services, valued at $197,000
and $268,000, respectively. These costs are being amortized to share-based expense on a
straight-line basis over the related six month to one year service periods. Share-based expense
relating to all common stock issued for consulting services was $43,000, $95,000, $53,000 and
$77,000 for the three and six month periods ended June 30, 2007 and 2006, respectively.
Employee Stock Purchase Plan
In June 2006, we established a qualified employee stock purchase plan (ESPP), approved by our
stockholders, which allows qualified employees to participate in the purchase of designated shares
of our common stock at a price equal to 85% of the lower of the closing price at the beginning or
end of each specified stock purchase period. As of June 30, 2007, there were 11,868 shares of our
common stock issued pursuant to the ESPP. Share-based expense relating to the ESPP was $4,000 and
$8,000, respectively, for the three and six month periods ended June 30, 2007. There was no expense
in 2006 associated with the ESPP.
Stock Options CompCare Employees, Directors and Consultants
CompCares 1995 Incentive Plan and 2002 Incentive Plan (the CompCare Plans) provide for the
issuance of up to 1 million shares of CompCare common stock for each plan. ISOs, NSOs, stock
appreciation rights, limited stock appreciation rights, and restricted stock grants to eligible
employees and consultants are authorized under the CompCare Plans. CompCare issues stock options to
its employees and non-employee directors allowing them to purchase common stock pursuant to the
CompCare Plans. Options for ISOs may be granted for terms of up to ten years and are generally
exercisable in cumulative increments of 50% each six months. Options for NSOs may be granted for
terms of up to 13 years. The exercise price for ISOs must equal or exceed the fair market value of
the shares on the date of grant, and 65% in the case of other options. The Plans also provide for
the full vesting of all outstanding options under certain change of control events. As of June 30,
2007, under the 2002 Plan, there were 520,000 options available for grant and there were 440,000
options outstanding and exercisable. Additionally, as of June 30, 2007, under the 1995 Plan, there
were 485,375 options outstanding and exercisable. The 1995 Plan was terminated effective August 31,
2005 such that there are no further options available for grant under this plan.
10
Table of Contents
CompCare
also has a non-qualified stock option plan for its outside directors (the CompCare
Directors Plan). Each non-qualified stock option is exercisable at a price equal to the average of
the closing bid and asked prices of the common stock in the over-the-counter market for the last
preceding day there was a sale of the stock prior to the grant date. Grants of options vest in
accordance with vesting schedules established by CompCares Compensation and Stock Option
Committee. Upon joining the CompCare Board, directors receive an initial grant of 25,000 options.
Annually, directors are granted 15,000 options on the date of CompCares annual meeting. As of
June 30, 2007, under the CompCare Directors Plan, there
were 818,000 shares available for option
grants and there were 83,000 options outstanding and exercisable.
CompCare
has adopted SFAS 123R, using the modified prospective method and used a Black-Scholes
valuation model to determine the fair value of options on the grant date. As a result of adopting
SFAS 123R, share-based compensation expense recognized for employees and directors for the three
months ended June 30, 2007 and for the period January 13 through June 30, 2007 was $9,000 and
$29,000, respectively,
CompCare stock option activity for the three month period ended June 30, 2007 was as follows:
Weighted Avg. | ||||||||
Shares | Exercise Price | |||||||
Balance, March 31, 2007 |
1,049,000 | $ | 1.35 | |||||
Granted |
| | ||||||
Exercised |
| | ||||||
Cancelled |
(40,000 | ) | 1.85 | |||||
Balance, June 30, 2007 |
1,009,000 | $ | 1.33 | |||||
No stock options were granted to CompCare board of director members or employees during the
three month period ended June 30, 2007. A total of 37,500 options were exercised during the
period January 13 through June 30, 2007, which had a total intrinsic value of $13,000. During the
three months ended June 30, 2007 and the period January 13 through June 30, 2007, 40,000 and
120,000 stock options granted to certain CompCare board of director members and employees,
respectively, were cancelled due to the recipients resignation from the CompCare board of
directors or CompCare.
At June 30, 2007, all CompCare stock options were vested.
Goodwill and Other Intangible Assets
In accordance with SFAS No. 141, Business Combinations (SFAS 141), the purchase price for
the CompCare acquisition was allocated to the fair values of the assets acquired, including
identifiable intangible assets, in accordance with our proportionate
share of ownership interest, and the excess amount of purchase price over the fair values of net
assets acquired resulted in goodwill that will not be deductible for tax purposes. As discussed in
Note 3 Acquisition of Woodcliff and Controlling Interest in CompCare, we believe
our association with CompCare creates synergies to facilitate the use of PROMETA treatment programs
by managed care treatment providers and to provide access to an infrastructure for our planned
disease management product offerings. Accordingly, the resulting goodwill has been assigned to our
healthcare services reporting unit. In accordance with SFAS No. 142 Goodwill and Other
Intangible Assets(SFAS 142), goodwill is not amortized, but instead is subject to impairment tests.
The change in the carrying amount of goodwill by reporting unit is as follows:
Behavioral | ||||||||||||
Healthcare | Health | |||||||||||
Services | Managed Care | Total | ||||||||||
Balance as of January 1, 2007 |
$ | | $ | | $ | | ||||||
Goodwill CompCare acquisition (Note 3) |
10,306,000 | 493,000 | 10,799,000 | |||||||||
Balance as of June 30, 2007 |
$ | 10,306,000 | $ | 493,000 | $ | 10,799,000 | ||||||
Identified intangible assets acquired as part of the CompCare acquisition include the
value of managed care contracts and marketing-related assets associated with its managed care
business, including the value of the healthcare provider network and the professional designation
from the National Council on Quality Association (NCQA). Such assets will be amortized on a
straight-line basis over their estimated remaining lives, which approximate the rate at which we
believe the economic benefits of these assets will be realized.
11
Table of Contents
As of June 30, 2007, the gross and net carrying amounts of intangible assets that are subject
to amortization are as follows:
Gross Carrying | Accumulated | Amortization | ||||||||||||||
Amount | Amortization | Net Balance | Period (in years) | |||||||||||||
Intellectual property |
$ | 4,081,000 | $ | (710,000 | ) | $ | 3,371,000 | 12 to 20 | ||||||||
Managed care contracts (Note 3) |
1,536,000 | (230,000 | ) | 1,306,000 | 3-7 | |||||||||||
Provider networks, NCQA (Note 3) |
600,000 | (141,000 | ) | 459,000 | 2-3 | |||||||||||
$ | 6,217,000 | $ | (1,081,000 | ) | $ | 5,136,000 | ||||||||||
In accordance with SFAS 142, we performed an impairment test on intellectual property as
of December 31, 2006 for our healthcare services reporting unit and also re-evaluated the useful
lives of the intellectual property intangible assets. Goodwill and
intangible assets will be tested for impairment as of
December 31, 2007. We determined that the estimated useful lives of intellectual property and other
intangible assets properly reflected the current remaining economic useful lives of these assets.
Estimated amortization expense for intangible assets for the current year and each of the next
four years ending December 31, is as follows:
2007 |
$ | 499,000 | ||
2008 |
915,000 | |||
2009 |
825,000 | |||
2010 |
296,000 | |||
2011 |
267,000 |
Minority Interest
Minority interest represents the minority stockholders proportionate share of the equity of
CompCare. As discussed in Note 3, we acquired a majority controlling interest in CompCare as part
of our Woodcliff acquisition, and we have the ability to control 50.05% of CompCares common stock
as of June 30, 2007 from our ownership of 1,739,130 shares of common stock and 14,400 shares of
CompCares Series A Convertible Preferred Stock (assuming conversion). Our ownership percentage as
of June 30, 2007 has decreased from the 50.25% as of the date of our acquisition due to additional
common stock issued by CompCare during the period. Our controlling interest requires that
CompCares operations be included in our consolidated financial statements, with the remaining
49.95% being attributed to minority stockholder interest. Due to CompCares accumulated deficit on
the date of our acquisition, a deficit minority stockholders balance in the amount of $544,000
existed at the time of the acquisition which was valued at zero, resulting in an increase in the
amount of goodwill recognized in the acquisition. The minority stockholders interest in any
further net losses will not be recorded due to the accumulated deficit. The unrecorded minority
stockholders interest in net loss amounted to $761,000 during the period January 13 through June
30, 2007. The minority stockholders interest in any future net income will first be credited to
goodwill to the extent of the original deficit interest, and will not be recognized in the
financial statements until the aggregate amount of such profits equals the aggregate amount of
unrecognized losses.
Recent Accounting Pronouncements
In June 2006, the FASB issued FASB Interpretation No. 48, Accounting for Uncertainty in
Income Taxes, (FIN 48) which clarifies the accounting for uncertainty in income taxes. FIN 48
requires that companies recognize in the consolidated financial statements the impact of a tax
position, if that position is more likely than not of being sustained on audit, based on the
technical merits of the position. FIN 48 also provides guidance on derecognition, classification,
interest and penalties, accounting in interim periods and disclosure. The provisions of FIN 48 are
effective for fiscal years beginning after December 15, 2006. We adopted FIN 48 effective on
January 1, 2007 with no impact to our financial statements.
In September 2006, The FASB issued SFAS No. 157, Fair Value Measurements, SFAS 157 which
defines fair value, establishes a framework for measuring fair value in generally accepted
accounting principles, and expands disclosures about fair value measurements. The statement is
effective for financial statements issued for fiscal years
12
Table of Contents
beginning after November 15, 2007, and interim periods within those fiscal years. We are
currently evaluating the statement to determine what, if any, impact it will have on our
consolidated financial statements.
In November 2006, the FASB issued FASB Staff Position No. EITF 00-19-2, Accounting for
Registration Payment Arrangements, which specifies that the contingent obligation to make future
payments or otherwise transfer consideration under a registration payment arrangement, whether
issued as a separate agreement or included as a provision of a financial instrument or other
agreement, should be separately recognized and measured. Additionally, this guidance further
clarifies that a financial instrument subject to a registration payment arrangement should be
accounted for in accordance with other applicable GAAP without regard to the contingent obligation
to transfer consideration pursuant to the registration payment arrangement. This guidance is
effective for financial statements issued for fiscal years beginning after December 15, 2006, and
interim periods within those fiscal years. We chose an early adoption of this guidance effective
for the fourth quarter of 2006 without a material impact to our consolidated financial statements.
In February 2007, the FASB issued Statement No. 159, The Fair Value Option for Financial
Assets and Financial Liabilities (SFAS 159) which provides that companies may elect to measure
specified financial instruments and warranty and insurance contracts at fair value on a
contract-by-contract basis, with changes in fair value recognized in earnings each reporting
period. The election, called the fair value option, will enable some companies to reduce the
variability in reported earnings caused by measuring related assets and liabilities differently.
Companies may elect fair-value measurement when an eligible asset or liability is initially
recognized or when an event, such as a business combination, triggers a new basis of accounting for
that asset or liability. The election is irrevocable for every contract chosen to be measured at
fair value and must be applied to an entire contract, not to only specified risks, specific cash
flows, or portions of that contract. SFAS 159 is effective as of the beginning of a companys
first fiscal year that begins after November 15, 2007. Retrospective application is not allowed.
Companies may adopt SFAS 159 as of the beginning of a fiscal year that begins on or before November
15, 2007 if the choice to adopt early is made after SFAS 159 has been issued and within 120 days of
the beginning of the fiscal year of adoption and the entity has not issued GAAP financial
statements for any interim period of the fiscal year that includes the early adoption date.
Companies are permitted to elect fair-value measurement for any eligible item within SFAS 159s
scope at the date they initially adopt SFAS 159. The adjustment to reflect the difference between
the fair value and the current carrying amount of the assets and liabilities for which a company
elects fair-value measurement is reported as a cumulative-effect adjustment to the opening balance
of retained earnings upon adoption. Companies that adopt SFAS 159 early must also adopt all of SFAS
157s requirements at the early adoption date. We are assessing the impact of adopting SFAS 159
and do not believe the adoption will have a material impact on our consolidated financial
statements.
Note 3. Acquisition of Woodcliff and Controlling Interest in CompCare
On January 12, 2007, we acquired all of the outstanding membership interests of Woodcliff in
exchange for $9 million in cash and 215,053 shares of our common stock. The purchase price was
equal to $667.27 per share of preferred stock and $0.80 per share of common stock of CompCare owned
by Woodcliff. Woodcliff had no other assets or liabilities at the date of the acquisition.
Woodcliff owns 1,739,130 shares of common stock and 14,400 shares of Series A Convertible Preferred
Stock of CompCare, the conversion of which would result in us owning approximately 50.25% and
50.05% of the outstanding shares of common stock of CompCare based on shares outstanding at January
12, 2007 and June 30, 2007, respectively. The preferred stock has voting rights and, combined with
the common shares held by us, gives us voting control over CompCare. The acquisition was accounted
for as a purchase, and we began consolidating CompCares results of operations on January 13, 2007.
We have dividend and liquidation preferences, anti-dilution protection, and the right to designate
a majority of the board of directors of CompCare. In addition, CompCare is required to obtain our
consent for a sale or merger involving a material portion of CompCares assets or business, and
prior to entering into any single or series of related transactions exceeding $500,000 or incurring
any debt in excess of $200,000. The remaining ownership interest in CompCare will be accounted for
as minority interest.
CompCare provides managed care services in the behavioral health and psychiatric fields.
CompCare manages the delivery of a continuum of psychiatric and substance abuse services to
commercial, Medicare and Medicaid members on behalf of employers, health plans, government
organizations, third-party claims administrators, and commercial and other group purchasers of
behavioral healthcare services. The customer base for CompCares services includes both private and
governmental entities. CompCares services are provided primarily by unrelated vendors on a
subcontract basis. Since February 2006, we have had a marketing agreement with CompCare under which
CompCare has the right to offer our PROMETA treatment programs as part of a disease management
offering to its customers and other mutually agreed parties on an exclusive basis. We believe our
association with CompCare creates synergies to facilitate the use of PROMETA treatment programs by
managed care treatment providers and to provide access to an infrastructure for our disease
management product offerings.
13
Table of Contents
On January 18, 2007, we entered into an Agreement and Plan of Merger with CompCare, which was
later amended and restated, pursuant to which we would acquire the remaining outstanding shares of
CompCare. However, we anticipate effectuating substantially all of the benefits of our relationship
with CompCare under our current operational structure, and we concluded that purchasing the
remaining common stock of CompCare was not necessary to achieve such benefits. Consequently, on
May 25, 2007, we mutually terminated the merger. CompCare will continue as our majority-owned,
controlled subsidiary for the foreseeable future.
In accordance with SFAS 141, the Woodcliff purchase price was allocated to the fair value of
CompCares assets and liabilities, including identifiable intangible assets, in accordance with our
proportionate share of ownership interest, and the excess of purchase price over the fair value of
net assets acquired resulted in goodwill. Goodwill related to this acquisition is not deductible
for tax purposes. In accordance with SFAS 142, goodwill is not amortized, but instead is subject to
impairment tests. Identified intangibles with definite useful lives are amortized on a
straight-line basis over their estimated remaining lives (see Note 2 Summary of Significant
Accounting Policies, under Goodwill and Other Intangible Assets).
The primary source of funds for the Woodcliff acquisition was a $10 million senior secured
note and warrant sold and issued to Highbridge International LLC (see Note 4 Long Term Debt).
The following table presents the allocation of the total acquisition cost, which includes the
purchase price and related acquisition expenses, to the assets acquired and liabilities assumed:
At January 12, | ||||
2007 | ||||
Cash and cash equivalents |
$ | 4,304,000 | ||
Other current assets |
1,840,000 | |||
Property and equipment |
389,000 | |||
Goodwill |
10,847,000 | |||
Intangible assets |
2,136,000 | |||
Other non-current assets |
237,000 | |||
Total assets |
$ | 19,753,000 | ||
Accounts payable and accrued liabilities |
$ | (1,285,000 | ) | |
Accrued claims payable |
(2,599,000 | ) | ||
Accrued reinsurance claims payable |
(2,526,000 | ) | ||
Long-term debt |
(1,978,000 | ) | ||
Other liabilities |
(217,000 | ) | ||
Total liabilities |
$ | (8,605,000 | ) | |
Total acquisition cost |
$ | 11,148,000 | ||
The
allocation of the total acquisition cost is based primarily on a valuation analysis of
identifiable intangible assets completed by an independent valuation specialist and could change,
depending on the resolution of contingencies related to assumed liabilities.
As discussed
in Note 2, goodwill was assigned to our healthcare services reportable segment and the
remaining net assets and intangible assets acquired were assigned to our behavioral health managed
care reportable segment.
Assuming the acquisition had occurred January 1, 2006, revenues, net loss and net loss per
share would have been $21.3 million, $23.5 million, and $0.53 for the six months ended June 30,
2007, and $11.9 million, $19.2 million and $0.49 for the six months ended June 30, 2006,
respectively. This pro forma information does not purport to represent what our actual results of
operations would have been if the acquisition had occurred as of the dates indicated or what
results would be for any future periods.
14
Table of Contents
Note 4. Long-Term Debt
On January 17, 2007, in connection with the Woodcliff acquisition, we entered into a
securities purchase agreement pursuant to which we agreed to issue and sell to Highbridge
International LLC (Highbridge) a $10 million senior secured note and a warrant to purchase up to
249,750 shares of our common stock (together, the Financing). Highbridge owns approximately 685,000
shares of our common stock. The note bears interest at a rate of prime plus 2.5%, interest payable
quarterly commencing on April 15, 2007 and matures on January 15, 2010. The current interest rate
in effect at June 30, 2007 was 10.75%. The note is redeemable at our option anytime prior to
maturity at a redemption price ranging from 103% to 110% of the principal amount during the first
18 months and is redeemable at the option of Highbridge beginning on July 17, 2008.
The warrant has a term of five years, and is exercisable at $12.01 per share, or 120% of the
$10.01 closing price of our common stock on January 16, 2007. The exercise price of the warrant
will be reduced and the number of shares will be adjusted if we sell or are deemed to have sold
shares at a price below $12.01 per share, and will be proportionately adjusted for stock splits or
dividends.
In connection with the Financing, we entered into a security agreement granting Highbridge a
first-priority perfected security interest in all of our assets now owned or thereafter acquired.
We also entered into a pledge agreement with Highbridge, as collateral agent, pursuant to which we
will deliver equity interests evidencing 65% of our ownership of our foreign subsidiaries. In the
event of a default, the collateral agent is given broad powers to sell or otherwise deal with the
pledged collateral. There are no material financial covenant provisions associated with this debt.
Total funds received of $10,000,000 were allocated to the warrant and the senior secured note
in the amounts of $1,380,000 and $8,620,000, respectively, in accordance with their relative fair
values as determined at the date of issuance. The value allocated to the warrant is being treated
as a discount to the note and is being amortized to interest expense over the 18 month period
between the date of issuance and the date that Highbridge has the right to redeem the note using
the effective interest method. As of June 30, 2007, the unamortized discount on the senior secured
notes is approximately $980,000. In addition, we paid a $150,000 origination fee and incurred
approximately $150,000 in other costs associated with the financing, which have been allocated to
the warrant and senior secured note in accordance with the relative fair values assigned to these
instruments, and are being deferred and amortized over the 18 month period between the date of
issuance and the date that Highbridge has the right to redeem the note.
Long term debt also includes 7.5% convertible subordinated debentures of CompCare with a
remaining principal balance of $2,244,000. As part of the purchase price allocation, an adjustment
of $266,000 was made at the date of acquisition to reduce the carrying value of this debt to its
estimated fair value. This adjustment is being treated as a discount and is being amortized over
the remaining contractual maturity term of the note using the effective interest method.
The following table shows the total principal amount, related interest rates and maturities of
long-term debt. No principal payments on our debt are due within one year as of June 30, 2007:
Senior secured note due January, 2010, interest payable quarterly at
prime plus 2.5%, net of $980,000 unamortized discount |
$ | 9,020,000 | ||
7.5% Convertible subordinated debentures due April, 2010, interest
payable semi-annually, net of $229,000 unamortized discount (1) |
2,015,000 | |||
Total Long-Term Debt |
$ | 11,035,000 | ||
(1) | At June 30, 2007, the debentures are convertible into 15,051 shares of CompCare common stock at a conversion price of $149.09 per share. |
Note 5. Segment Information
We conduct our operations through two business segments: healthcare services and behavioral
health managed care services.
Our healthcare services segment is focused on delivering solutions for those suffering from
alcohol, cocaine, methamphetamine and other substance dependencies by researching, developing,
licensing and commercializing innovative physiological, nutritional, and behavioral treatment
programs. Treatment with our PROMETA treatment programs, which integrate behavioral, nutritional,
and medical components, are available through physicians and other licensed treatment providers who
have entered into licensing agreements with us for the use of our treatment programs.
15
Table of Contents
Also included in this segment are licensed and
managed PROMETA Centers, which offer a range of addiction treatment services, including the PROMETA treatment programs for
dependencies on alcohol, cocaine and methamphetamines.
Our healthcare services segment also comprises international and government sector operations;
however, these operating segments are not separately reported as they do not meet any of the
quantitative thresholds under SFAS No. 131, Disclosures about Segments of an Enterprise and
Related Information.
The behavioral health managed care services segment is focused on providing managed care
services in the behavioral health and psychiatric fields, and principally includes the operations
of our majority-owned, controlled subsidiary, CompCare, which was acquired on January 12, 2007.
CompCare manages the delivery of a continuum of psychiatric and substance abuse services to
commercial, Medicare and Medicaid members on behalf of employers, health plans, government
organizations, third-party claims administrators, and commercial and other group purchasers of
behavioral healthcare services. The customer base for CompCares services includes both private
and governmental entities. We also plan to offer disease management programs for substance
dependence built around our proprietary PROMETA® treatment program for alcoholism and dependence to
stimulants as part of our behavioral health managed care services operations.
We evaluate segment performance based on total assets, revenues and net
income or loss before taxes. Our assets are included within each discrete reporting
segment. In the event that any services are provided to one reporting segment by the other, the
transaction is valued at the market price. No such services were provided during the three and six
months ended June 30, 2007.
Summary financial information for our two reportable segments and Corporate is as follows:
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Healthcare services |
||||||||||||||||
Revenues |
$ | 2,181,000 | $ | 1,172,000 | $ | 3,432,000 | $ | 1,825,000 | ||||||||
Loss before provision for income taxes |
(10,901,000 | ) | (8,961,000 | ) | (21,068,000 | ) | (17,689,000 | ) | ||||||||
Assets * |
42,740,000 | 41,481,000 | 42,740,000 | 41,481,000 | ||||||||||||
Behavioral health managed care services (1) |
||||||||||||||||
Revenues |
$ | 9,159,000 | $ | | $ | 16,765,000 | $ | | ||||||||
Loss before provision for income taxes |
(1,335,000 | ) | | (1,901,000 | ) | | ||||||||||
Assets * |
10,385,000 | | 10,385,000 | | ||||||||||||
Consolidated operations |
||||||||||||||||
Revenues |
$ | 11,340,000 | $ | 1,172,000 | $ | 20,197,000 | $ | 1,825,000 | ||||||||
Loss before provision for income taxes |
(12,236,000 | ) | (8,961,000 | ) | (22,969,000 | ) | (17,689,000 | ) | ||||||||
Total Assets * |
53,125,000 | 41,481,000 | 53,125,000 | 41,481,000 |
* | Assets are reported as of June 30. | |
(1) | Results for six months in this segment represent the period January 13 through June 30, 2007. |
16
Table of Contents
Note 6. Major Customers/Contracts
For the three months ended June 30, 2007 and the period January 13 through June 30,
2007, 87% and 86%, respectively, of revenue in our behavioral health managed care services segment
(70% and 72%, respectively, of consolidated revenues for the three and six months ended June 30,
2007) was concentrated in CompCares contracts with six health plans to provide behavioral
healthcare services under commercial, Medicare, Medicaid, and childrens health insurance plans
(CHIP). This includes the new Indiana HMO contract discussed below.
CompCare experienced the loss of a major contract to provide behavioral healthcare
services to the members of a Connecticut HMO effective December 31, 2005. This HMO had been a
customer since March 2001. This contract provided that CompCare, through its contract with this
HMO, receive additional funds directly from a state reinsurance program for the purpose of paying
providers. As of June 30, 2007 there were no further reinsurance amounts due from the state
reinsurance program. The remaining accrued reinsurance claims payable amount of $2.5 million at
June 30, 2007 is attributable to providers having submitted claims for authorized services having
incorrect service codes or otherwise incorrect information that has caused payment to be denied by
CompCare. In such cases, there are contractual and statutory provisions that allow the provider to
appeal a denied claim. If there is no appeal received by CompCare within the prescribed amount of
time, CompCare may not be required to make any further payments related to such claims. At June
30, 2007, management believes no further unpaid claims remain, but has not reduced the claims
liability since the statutory time limits have not expired relating to such claims.
In January 2007, CompCare began providing behavioral health services to approximately 250,000
Indiana Medicaid recipients pursuant to a contract with an Indiana HMO. The contract accounted for
approximately $3.9 million or 43% of behavioral health managed care services revenues for the three
months ended June 30, 2007, and $7.1 million or 42% of such revenues for the period January 13
through June 30, 2007 (or 35% of consolidated revenues for the three and six month period ended
June 30, 2007, respectively), and is for an initial term of two years with subsequent extensions by
mutual written agreement. Termination of the contract by either party may only be effected by
reason of failure to perform that has not been corrected within agreed upon timeframes.
The Companys contracts with its customers are typically for initial terms of one year with
automatic annual extensions, unless either party terminates by giving the requisite notice. Such
contracts generally provide for cancellation by either party with 60 to 90 days written notice
prior to the expiration of the then current terms.
Note 7. Related Party Transactions
Andrea Grubb Barthwell, M.D., a director, is the founder and chief executive officer
of a healthcare and policy consulting firm providing consulting services to us. For the three and
six months ended June 30, 2007 and 2006, we paid or accrued $39,000, $75,000, $66,000 and $93,000,
respectively.
In February 2006, we entered into an agreement with CompCare whereby CompCare would
have the exclusive right to market our substance abuse disease management program to its current
and certain mutually agreed upon prospective clients. The program is an integrated disease
management approach designed to offer less restrictive levels of care in order to minimize repeat
detoxifications. Under the agreement, CompCare will pay us license and service fees for each
enrollee who is treated. On January 12, 2007, we acquired a controlling interest in CompCare. As
of June 30, 2007, there had been no material transactions resulting from this agreement.
Note 8. Commitments and Contingencies
On January 12, 2007, the members of Woodcliff sold their outstanding membership
interests in Woodcliff to Hythiam. The change in membership interest of Woodcliff resulted in the
resignation of three existing CompCare board members, and the appointment of three new board
members. The transaction constitutes a change of ownership of CompCare and enables CompCares
chief executive officer to elect to terminate, at her sole discretion, her employment at any time
within one year following the change in control, which would entitle her to be paid a severance
benefit totaling $410,000.
In connection with a new behavioral managed care contract with an Indiana HMO,
CompCare is required to maintain a performance bond in the amount of $1,000,000.
Related to CompCares discontinued hospital operations, which were discontinued in 1999,
Medicare guidelines allow the Medicare fiscal intermediary to re-open previously filed cost
reports. The fiscal 1999 cost report, the final year that CompCare was required to file a cost
report, is being reviewed, in which case the intermediary may determine that additional amounts are
due to or from Medicare. CompCares management believes cost reports for fiscal years prior to
fiscal 1999 are closed and considered final.
Note 9. Subsequent Event
On August 8, 2007, we reached a settlement agreement with XINO Corporation to release 310,000
of the 360,000 shares of our common stock previously issued to XINO in 2003 in connection with our
acquisition of a patent for a treatment method for opiate addiction, which shares have been subject
to a stock pledge agreement pending the resolution of certain contingencies. In consideration for
a full release from the stock pledge agreement, XINO relinquished 50,000 of the previously issued
shares and has agreed not to sell or transfer any of its 310,000 shares for a period of time
following the settlement agreement. The fair market value of the 310,000 shares issued and released
to XINO was $2.4 million based on the closing stock price of $7.70 per share on August 8, 2007.
17
Table of Contents
In December 2005, we recorded an impairment charge of $272,000 to write off the capitalized
costs of intellectual property relating to the patent for which these shares were originally
issued. However, since these shares have been subject to a stock pledge agreement and their
release was conditional on certain events that have not occurred, the shares have been treated as
issued but not outstanding for financial reporting purposes, and the fair market value of these
shares had not previously been recorded. These shares will be
accounted for in our earnings per share calculation on a prospective
basis. Since our current business plan does not contemplate
utilizing this patent, we will record the fair market value of these shares as an additional
impairment charge in our financial statements for the three month period ending September 30, 2007.
Item 2. Managements Discussion and Analysis of Financial Condition and Results of Operations
The following discussion of our financial condition and results of operations should be read
in conjunction with our financial statements including the related notes, and the other financial
information included in this report. For ease of reference, we, us or our refer to Hythiam,
Inc., our wholly-owned subsidiaries, Comprehensive Care Corporation (CompCare), and The PROMETA
Center, Inc. unless otherwise stated.
Forward-Looking Statements
The forward-looking comments contained in this report involve risks and uncertainties. Our
actual results may differ materially from those discussed here due to factors such as, among
others, limited operating history, difficulty in developing, exploiting and protecting proprietary
technologies, intense competition and substantial regulation in the healthcare industry. Additional
factors that could cause or contribute to such differences can be found in the following
discussion, as well as in the Risks Factors set forth in Item 1A of Part I of our Annual Report
on Form 10-K filed with the Securities and Exchange Commission on March 15, 2007.
OVERVIEW
General
We provide behavioral health management services to health plans, employers, criminal justice, and government
agencies through a network of licensed and company managed providers. We approach the management of
behavioral health disorders with a focus on using the latest medical and health technology towards improved outcomes
and out-patient treatment. We also research, develop,
license and commercialize innovative and proprietary physiological, nutritional, and behavioral
treatment programs. We offer disease management programs for substance dependence built around our
proprietary PROMETA® treatment programs for alcoholism and dependence to cocaine and
methamphetamines. The PROMETA treatment programs, which integrate behavioral, nutritional, and
medical components, are available through licensed treatment
providers and company managed PROMETA Centers.
CompCare Acquisition
Effective January 12, 2007, we acquired a 50.25% controlling interest in Comprehensive Care
Corporation (CompCare) through the acquisition of Woodcliff Healthcare Investment Partners, LLP.
Our consolidated financial statements include the business and operations of CompCare subsequent to
this date.
CompCare provides managed care services in the behavioral health and psychiatric fields.
CompCare manages the delivery of a continuum of psychiatric and substance abuse services to
commercial, Medicare and Medicaid members on behalf of employers, health plans, government
organizations, third-party claims administrators, and commercial and other group purchasers of
behavioral healthcare services. The customer base for CompCares services includes both private
and governmental entities.
Segment Reporting
We currently operate within two reportable segments: healthcare services and behavioral health
managed care services. Our healthcare services segment focuses on providing licensing,
administrative and management services to licensees that administer PROMETA and other treatment
programs, including PROMETA Centers that are licensed and/or managed by us. Our behavioral health
managed care services segment currently represents the operations of CompCare and focuses on
providing managed care services in the behavioral health, psychiatric and substance abuse fields.
Substantially all of our revenues and assets are earned or located within the United States.
18
Table of Contents
Operations
Healthcare Services
Under our licensing agreements, we provide physicians and other licensed treatment providers
access to our PROMETA treatment programs, education and training in the implementation and use of
the licensed technology and marketing support. We receive a fee for the initial training and
start-up services associated with new licensing agreements, plus fees for the licensed technology
and related services generally on a per patient basis. As of June 30, 2007, we had 84 licensed
commercial sites throughout the United States, an increase of 38% and 110% over the number of
licensed sites at December 31, 2006 and June 30, 2006, respectively. 42 and 47 of these sites,
respectively, were treating patients in the three and six months ended June 30, 2007. During the
current quarter, we continued to increase our market penetration by entering into license
agreements for seventeen new sites.
We launched a new nationwide team of field personnel in early 2007 to increase the awareness
and benefits of PROMETA among physicians and other healthcare professionals specializing in the
treatment of substance dependence, and we believe that the number of patients treated by our
licensees will increase over time as a result of these efforts.
PROMETA Centers
In December 2005, we entered into a business service management agreement with The PROMETA
Center, Inc., a professional corporation owned by David E. Smith, M.D., in which we manage the
business components of the medical practice at PROMETA Centers in Santa Monica and San Francisco,
California, and license the PROMETA treatment programs and use of the name in exchange for
management and licensing fees. The practice has a focus on offering treatment with the PROMETA
treatment programs for dependencies on alcohol, cocaine and methamphetamines, but also offers
medical interventions for other substance dependencies. The Santa Monica PROMETA Center opened in
December 2005 and the San Francisco PROMETA Center opened in January 2007. The financial results of
these two PROMETA Centers are included in our consolidated financial statements under accounting
standards applicable to variable interest entities. In addition, we have a licensing and
administrative services agreement with the Canterbury Institute, LLC (Canterbury), which manages a
PROMETA Center medical practice opened in New Jersey in January 2007, and plans to manage a second
center to be opened in Southern Florida in the second half of 2007. As part of the agreement, we
will receive a 10% share of Canterburys profits in each Canterbury licensed center, in addition to
fees for licensing and administrative services. Revenues from the PROMETA Centers accounted for
approximately 26% and 31% of our consolidated healthcare service revenues for the three and six
months ended June 30, 2007, respectively.
Research and Development
To date, we have spent approximately $8 million related to research and development, including
$1.0 million and $2.0 million in the three and six months ended June 30, 2007, respectively, in
funding for commercial pilots and unrestricted grants for a number of clinical research studies by
researchers in the field of substance dependence and leading research institutions to evaluate the
efficacy of PROMETA in treating alcohol and stimulant dependence. We plan to spend and additional
$2 million for the remainder of 2007, and approximately $2.3 million in 2008 for unrestricted
research grants and commercial pilots.
Pilot programs are used in conjunction with drug court systems, state programs and managed
care organizations to allow such programs to evaluate the outcomes and cost effectiveness of the
PROMETA treatment programs. The focus of these pilot programs is to
assist such organizations
in assessing the impact on their population, and as a result, the method, manner, timing, participants and
metrics may change and develop over time, based on initial results from the particular program,
other pilots, and research studies. We generally do not provide updates on status after a pilot is
initially announced.
International
We have limited operations in Europe, and our international operations to date have not yet
been significant.
Behavioral Health Managed Care Services
Our consolidated subsidiary, CompCare, typically enters into contracts on an annual basis to
provide managed behavioral healthcare and substance abuse treatment to clients members.
Arrangements with clients fall into two broad categories: capitation arrangements, where clients
pay CompCare a fixed fee per member per month, and fee-for-service and administrative service
arrangements where CompCare may manage behavioral healthcare programs or perform
various managed care services. Approximately $8.8 million, or 97% of CompCares revenues for the
three months ended June 30, 2007 and $16.2 million, or 97% for the period January 13 through June
30, 2007 were derived from capitation arrangements. Under capitation arrangements, CompCare
receives premiums from clients based on the number of covered members as reported by the clients.
The amount of premiums received for each member is fixed at
19
Table of Contents
the beginning of the contract term.
These premiums may be subsequently adjusted, up or down, generally at the commencement of each
renewal period.
Effective
January 1, 2007, CompCare commenced a contract with a health plan to provide
behavioral healthcare services to approximately 250,000 Medicaid recipients in Indiana. This
contract is anticipated to generate approximately $14 million to $15 million in annual revenues, or
approximately 40% of CompCares anticipated annual revenues.
Seasonality of Business
Historically, CompCares managed care plans have experienced increased member utilization
during the months of March, April and May, and consistently lower utilization by members during the
months of June, July, and August. Such variations in member utilization impact the costs of care
during these months, generally having a negative impact on gross margins and operating profits
during the former period, and a positive impact on gross margins and operating profits during the
latter period. Member utilization costs have been higher than expected during the period January 13
through June 30, 2007, and CompCare is attempting to address the high utilization costs incurred
through rate increases with certain clients. The managed care plans may continue to experience
increased utilization costs in subsequent quarters.
Concentration of Risk
For the three months ended June 30, 2007 and for the period January 13 through June 30, 2007,
87% and 86%, respectively, of behavioral health managed care services revenue (or 70% and 72%,
respectively, of our consolidated revenues for the three and six months ended June 30, 2007) was
concentrated in contracts with six health plans to provide behavioral healthcare services under
commercial, Medicare, Medicaid, and childrens health insurance plans (CHIP). This includes the
new Indiana Medicaid HMO contract, which represented approximately 43% and 42% of behavioral health
managed care services revenue for the three months ended June 30, 2007 and for the period January
13 through June 30, 2007, respectively (or 35% of our consolidated revenues for the three and six
months ended June 30, 2007). The term of each contract is generally for one year and is
automatically renewable for additional one-year periods unless terminated by either party by giving
the requisite written notice. The loss of one or more of these clients, unless replaced by new
business, would have an adverse impact on the financial condition of CompCare.
Recent Developments
On July 19, 2007, CompCare received a notice of termination from an existing client in Texas,
which, if CompCare is not successful in resolving differences or obtaining an extension, will
result in termination effective November 30, 2007. This client accounted for approximately 9% of
behavioral health managed care services revenues for the period January 13 through June 30, 2007
and has been a customer since 1998.
On August 1, 2007, CompCare began providing behavioral healthcare services to approximately
23,000 Medicare members of an existing client in Pennsylvania. Such services are estimated to
generate between $4.5 and $5.0 million in annual revenues.
How We Measure Our Results
Our healthcare services revenues are generated from fees that we charge to hospitals,
healthcare facilities and other healthcare providers that license our PROMETA treatment programs,
and from patient service revenues related to our licensing and management services agreement with
the PROMETA Center. Our technology license and management services agreements provide for an
initial fee for training and other start-up related costs, plus a combined fee for the licensed
technology and other related services, generally set on a per-treatment basis, and thus a
substantial portion of our revenues is closely related to the number of patients treated. Patients
treated by the PROMETA Center generate higher average revenues per patient than our other licensed
sites due to consolidation of its gross patient revenues in our financial statements. Key
indicators of our financial performance are the number of facilities and healthcare providers that
contract with us to license our technology and the number of patients that are treated by those
providers using the PROMETA treatment programs. Additionally, our financial results will depend on
our ability to expand the adoption of
PROMETA among government and other third party payer groups, and our ability to effectively
price these products, and manage general, administrative and other operating costs.
20
Table of Contents
For behavioral health managed care services, our largest expense is CompCares cost of
behavioral health managed care services that it provides, which is based primarily on its
arrangements with healthcare providers. Since CompCares costs are subject to increases in
healthcare operating expenses based on an increase in the number and frequency of the members
seeking behavioral health care services, CompCares profitability depends on its ability to predict
and effectively manage healthcare operating expenses in relation to the fixed premiums itreceives
under capitation arrangements. Providing services on a capitation basis exposes CompCare to the
risk that its contracts may ultimately be unprofitable if CompCare is unable to anticipate or
control healthcare costs. Estimation of healthcare operating expense is one of our most
significant critical accounting estimates. See Managements Discussion and Analyses of Financial
Condition and Results of Operations Critical Accounting Estimates.
We currently depend upon a relatively small number of customers for a significant percentage
of our behavioral health managed care operating revenues. A significant reduction in sales to any
of CompCares large customers or a customer exerting significant pricing and margin pressures on
CompCare would have a material adverse effect on our consolidated results of operations and
financial condition. In the past, some of CompCares customers have terminated their arrangements
or have significantly reduced the amount of services requested. There can be no assurance that
present or future customers will not terminate their arrangements or significantly reduce the
amount of services requested. Any such termination of a relationship or reduction in use of our
services would have a material adverse effect on our consolidated results of operations or
financial condition (see Note 6 Major Customers/Contracts).
RESULTS OF OPERATIONS
Table of Summary Consolidated Financial Information
The table below and the discussion that follows summarize our results of consolidated
operations and certain selected operating statistics for the three and six months ended June 30,
2007 and 2006:
Three Months Ended | Six Months Ended | |||||||||||||||
(In thousands) | June 30, | June 30, | ||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Revenues |
||||||||||||||||
Behavioral health managed care
services |
$ | 9,159 | $ | | $ | 6,765 | $ | | ||||||||
Healthcare services |
2,181 | 1,172 | 3,432 | 1,825 | ||||||||||||
Total revenues |
11,340 | 1,172 | 20,197 | 1,825 | ||||||||||||
Operating Expenses |
||||||||||||||||
Behavioral health managed care expenses |
9,348 | | 16,501 | | ||||||||||||
Cost of healthcare services |
423 | 266 | 759 | 433 | ||||||||||||
General and adminstrative expenses |
12,250 | 9,531 | 22,832 | 18,057 | ||||||||||||
Research and development |
729 | 454 | 1,740 | 1,304 | ||||||||||||
Depreciation and amortization |
610 | 315 | 1,157 | 629 | ||||||||||||
Total operating expenses |
23,360 | 10,566 | 42,989 | 20,423 | ||||||||||||
Loss from operations |
(12,020 | ) | (9,394 | ) | (22,792 | ) | (18,598 | ) | ||||||||
Other non-operating income, net |
29 | | 29 | | ||||||||||||
Interest income |
396 | 433 | 908 | 909 | ||||||||||||
Interest expense |
(641 | ) | | (1,114 | ) | | ||||||||||
Loss before provision for income taxes |
$ | (12,236 | ) | $ | (8,961 | ) | $ | (22,969 | ) | $ | (17,689 | ) | ||||
Summary of Consolidated Operating Results
For the three months ended June 30, 2007, the loss before provision for income taxes amounted
to $12.2 million compared to a net loss of $9.0 million for the same period in 2006. For the six
months ended June 30, 2007, the loss
21
Table of Contents
before provision for income taxes amounted to $23 million
compared to a net loss of $17.7 million for the same period in 2006. We acquired a majority
controlling interest in CompCare, resulting from our acquisition of Woodcliff Healthcare Investment
Partners, LLC on January 12, 2007, and began including its results in our consolidated financial
statements subsequent to that date. These results are reported in our behavioral health managed
care services segment. Approximately $1.1 million and $1.5 million of the net loss for the three
and six months ended June 30, 2007, respectively, is attributable to CompCares operations.
Excluding the impact of CompCare, revenues increased by $1 million and $1.6 million (86% and
88%, respectively), during the three and six months ended June 30, 2007 compared to the same
periods in 2006. Additionally, such revenues for the three months ended June 30, 2007 increased by
$930,000, or 74%, on a sequential quarter basis when compared to the three months ended March 31,
2007.
Total operating expenses for the three months ended June 30, 2007 increased by $3.7 million on
a sequential quarter basis when compared to the three months ended March 31, 2007, due primarily to
increased claims & other expenses for behavioral health managed care contracts, increased
share-based compensation expense and other outside services and support cost for healthcare
services. As discussed above, CompCares managed care plans typically experience increased member
utilization during the months of March, April and May, which accounts for the increased claims and
other expense for behavioral health managed care contracts. Total share based compensation expense
amounted to $914,000 for the three months ended June 30, 2007 and $491,000 for the three months
ended March 31, 2007. For the three and six months ended June 30, 2006, such expense totaled
$339,000 and $1.1 million, respectively.
We incurred approximately $561,000 and $964,000 of interest expense during the three and six
months ended June 30, 2007 associated with the CompCare acquisition-related financing with
Highbridge that consisted of the issuance of a $10 million senior secured note and warrants to
purchase up to 249,750 shares of our common stock.
Reconciliation of Segment Results
The following table summarizes and reconciles the loss from operations of our reportable
segments to the loss before provision for income taxes from our consolidated statements of
operations for three and six months ended June 30, 2007 and 2006:
Three Months Ended | Six Months Ended | |||||||||||||||
(In thousands) | June 30, | June 30, | ||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Healthcare services |
$ | (10,901 | ) | $ | (8,961 | ) | $ | (21,068 | ) | $ | (17,689 | ) | ||||
Behavioral health
managed care
services |
(1,335 | ) | | (1,901 | ) | | ||||||||||
Loss before provision for income taxes |
$ | (12,236 | ) | $ | (8,961 | ) | $ | (22,969 | ) | $ | (17,689 | ) | ||||
22
Table of Contents
Healthcare Services
The following table summarizes the operating results for healthcare services for the three and six
months ended June 30, 2007 and 2006:
Three Months Ended | Six Months Ended | |||||||||||||||
(In thousands, except patient treatment data) | June 30, | June 30, | ||||||||||||||
2007 | 2006 | 2007 | 2006 | |||||||||||||
Revenues |
||||||||||||||||
U.S. licensees |
$ | 1,308 | $ | 800 | $ | 1,928 | $ | 1,247 | ||||||||
PROMETA Centers |
574 | 372 | 1,076 | 578 | ||||||||||||
Other revenues |
299 | | 428 | | ||||||||||||
Total revenues |
2,181 | 1,172 | 3,432 | 1,825 | ||||||||||||
Operating Expenses |
||||||||||||||||
Cost of healthcare services |
422 | 265 | 759 | 432 | ||||||||||||
General and
administrative expenses |
||||||||||||||||
Salaries and benefits |
5,557 | 3,642 | 11,057 | 7,438 | ||||||||||||
Other expenses |
5,766 | 5,890 | 10,080 | 10,620 | ||||||||||||
Research and development |
729 | 454 | 1,740 | 1,304 | ||||||||||||
Depreciation and amortization |
383 | 315 | 716 | 629 | ||||||||||||
Total operating expenses |
12,857 | 10,566 | 24,352 | 20,423 | ||||||||||||
Loss from operations |
$ | (10,676 | ) | $ | (9,394 | ) | $ | (20,920 | ) | $ | (18,598 | ) | ||||
Interest income |
348 | 433 | 840 | 909 | ||||||||||||
Interest expense |
(573 | ) | | (988 | ) | | ||||||||||
Loss before
provision for
income taxes |
$ | (10,901 | ) | $ | (8,961 | ) | $ | (21,068 | ) | $ | (17,689 | ) | ||||
PROMETA Patients treated |
||||||||||||||||
U.S. licensees |
154 | 132 | 247 | 202 | ||||||||||||
PROMETA Centers |
62 | 43 | 117 | 69 | ||||||||||||
Other |
33 | | 40 | | ||||||||||||
249 | 175 | 404 | 271 | |||||||||||||
Average revenue per patient treated (1) |
||||||||||||||||
U.S. licensees |
$ | 6,049 | $ | 5,927 | $ | 6,039 | $ | 5,971 | ||||||||
PROMETA Centers |
8,492 | 8,662 | 8,728 | 8,389 | ||||||||||||
Other |
3,955 | | 3,758 | | ||||||||||||
Overall average |
6,380 | 6,601 | 6,592 | 6,587 |
(1) | The average revenue per patient treated excludes administrative fees and other non-PROMETA patient revenues. |
Revenues
Revenues for the three months ended June 30, 2007 increased $1.0 million, or 86% compared to
the three months ended June 30, 2006, and increased by $930,000, or 74%, over the first quarter of
2007. The increase was attributable to the increase in the number of patients treated at our U.S.
licensed sites and at the PROMETA Centers, administrative fees from new licensees and revenues from
the commencement of operations in Europe. The number of licensed sites that contributed to revenues
increased to 42 in the three months ending June 30, 2007 from 20 in the three months ending June
30, 2006 and 30 in the first quarter 2007, including two new PROMETA Centers that were opened in
San Francisco and New Jersey in January 2007. The average revenue per patient treated at U.S.
licensed sites and PROMETA Centers did not materially change in 2007 when compared to 2006. There
were no significant changes in
23
Table of Contents
our licensing fees per patient charged to our licensees between the
periods. The average revenue for patients treated at the PROMETA Centers is higher than our other
licensed sites due to the consolidation of their gross patient revenues in
our financial statements. Other revenues in 2007 consisted of revenues from our international
operations and third-party payers.
For the six months ended June 30, 2007, our net revenues increased by $1.6 million, or 88%,
from $1.8 million in the same period last year, due to an increase in the number of patients
treated and expansion of the number of contributing licensees. During the first half of 2007, the
number of patients treated increased by 49% and the number of licensed sites contributing to
revenue increased to 47 compared to 24 sites in the same period last year. Our overall average
revenue per patient treated during the first half of 2007 remained relatively unchanged when
compared to the same period last year. Other revenues in 2007 consisted of revenues from our
international operations and third-party payers.
Operating Expenses
Our total operating expenses increased by $2.3 million and $3.9 million, respectively, in the
three and six months ended June 30, 2007 compared to the same periods in 2006, as we launched our
new sales field organization, expanded the number of licensees, strengthened and expanded our
management and support teams, funded clinical research studies and invested in development of
additional markets for our services, including managed care, statewide agencies, criminal justice
systems and other third-party payers as well as international opportunities.
Cost of healthcare services consists of royalties we pay for the use of the PROMETA treatment
program, and the PROMETA Centers labor costs for its physician and nursing staff, continuing care
expense, medical supplies and treatment program medicine costs for patients treated at the PROMETA
Centers. The increase in these costs primarily reflects the increase in revenues from the PROMETA
Centers, including the new center opened in San Francisco in January 2007.
General and administrative expenses consist primarily of salaries and benefits expense and
other operating expense, including advertising, legal, audit, insurance, rent, travel and
entertainment, investor relations, marketing, business development and other professional
consulting costs. General and administrative expenses increased by $1.8 million and $3.1 million,
respectively, during the three and six months ended June 30, 2007 when compared to the same periods
in 2006, due mainly to an increase in salaries and benefits expenses and support and occupancy
costs, partially offset by reductions in certain costs related to outside services and advertising
expenses. Salaries and benefits expenses increased by $1.9 million and $3.6 million, respectively,
for the three and six months ended June 30, 2007 compared to the same periods in 2006, due to the
increase in personnel from 92 employees at June 30, 2006 to approximately 150 employees at
June 30, 2007, as we have added managers and staff in the field to support our licensed sites, increased our
corporate staff to support our rapid growth in operations, research, sales and marketing efforts,
new business initiatives and general and administrative functions. Support and occupancy costs,
such as insurance, rent and travel costs, increased by $864,000 and $1.5 million, respectively, in
the three and six months ended June 30, 2007 compared to the same periods in 2006 due to the growth
of our business and the resulting overall increase in staffing and corporate infrastructure to
support this growth. Costs related to outside services, such as consulting expense and non-cash
charges related to the issuance of common stock, stock options and warrants for services received
from non-employees decreased by $242,000 and $940,000, respectively, for the three and six months
ended June 30, 2007 when compared to the same periods in 2006. Advertising expense declined by
$750,000 and $1.1 million, respectively, in the three and six months ended June 30, 2007 compared to
the same periods in 2006, primarily due to increased costs for a drug addiction awareness campaign
for PROMETA in the first half of 2006.
Research and development expense increased by $275, 000 and $436,000, respectively, in the
three and six months ended June 30, 2007 compared to the same periods in 2006 due to an increase in
funding for unrestricted grants for research studies to evaluate the clinical effectiveness of our
PROMETA treatment programs and the commencement of additional commercial pilot studies. We plan to
spend approximately $2 million for the remainder of 2007 for such studies.
Interest Income
Interest income for both the three and six month periods ending June 30, 2007 decreased
compared to the same periods in 2006 due primarily to a decrease in the invested balance of
marketable securities.
Interest Expense
Interest expense primarily relates to the $10 million senior secured note issued on January
17, 2007 to finance the CompCare acquisition, accrued at a rate equal to prime plus 2.5% (currently
10.75%). For the three and six months ended June 30, 2007, interest expense includes $293,000 and
$481,000, respectively, in amortization of the $1.4 million discount resulting from the value
allocated to the stock warrant issued with the debt.
24
Table of Contents
Behavioral Health Managed Care Services
The following table summarizes the operating results for behavioral health managed care
services for the three months ended June 30, 2007 and the period January 13 through June 30, 2007,
which consisted entirely of the operations of CompCare subsequent to our acquisition of a
controlling interest in CompCare on January 12, 2007. CompCares operating results for prior
periods are not included in our consolidated financial statements.
Three months | For the period | |||||||
(Dollar amounts in thousands) | ended | Jan 13 through | ||||||
June 30, 2007 | June 30, 2007 | |||||||
Revenues |
||||||||
Capitated contracts |
$ | 8,848 | $ | 16,245 | ||||
Non-capitated contracts |
311 | 520 | ||||||
Total revenues |
9,159 | 16,765 | ||||||
Operating Expenses |
||||||||
Claims expense |
7,550 | 13,541 | ||||||
Other behavioral health managed care services expense |
1,798 | 2,959 | ||||||
Total healthcare operating expense |
9,348 | 16,500 | ||||||
General and
administrative expenses |
928 | 1,697 | ||||||
Depreciation and amortization |
227 | 441 | ||||||
Loss from operations |
$ | (1,344 | ) | $ | (1,873 | ) | ||
Other non-operating income, net |
29 | 29 | ||||||
Interest income |
48 | 68 | ||||||
Interest expense |
(68 | ) | (125 | ) | ||||
Loss before provision for income taxes |
$ | (1,335 | ) | $ | (1,901 | ) | ||
Total membership |
1,143,000 | 1,143,000 | ||||||
Medical Loss Ratio (1) |
85 | % | 83 | % |
(1) | Medical loss ratio reflects claims expenses as a percentage of revenue of capitated contracts. |
Revenues
Revenues for the three months ended June 30, 2007 and the period January 13 through June 30,
2007 include $3.9 million and $7.1 million, respectively, attributable to the new HMO client in
Indiana now with 292,000 Medicaid recipients. This contract started on January 1, 2007 and is
estimated to generate approximately $14 million to $15 million in annual revenues, or approximately
40% of anticipated annual behavioral health managed care services revenues. The premiums for this
agreement were based on actuarial assumptions on the level of utilization of benefits by members
covered under this new managed care behavioral health program and have limited historical basis.
The premiums based on these assumptions may be insufficient to cover the benefits provided and
CompCare may be unable to obtain offsetting rate increases. Contract premiums have been set based
on anticipated significant savings and on types of utilization management that may not be possible,
which may cause disagreements with providers that divert management resources and that may have an
adverse impact on our consolidated financial statements in future periods.
Operating Expenses
Claims expense as a percentage of capitated revenues amounted to 85% and 83%, respectively,
for the three months ended June 30, 2007 and the period January 13 through June 30, 2007, and
reflects increased member utilization during the months of March, April and May due to historical
seasonality and from higher utilization of services by members during the initial months under the
new contract with the Indiana HMO client. Providing services under a new contract for populations
at risk that have not yet been managed previously necessitates the adjustment to an increased
level of management and approval called for in the managed care agreements. It typically takes
time and resources to facilitate the adjustment to the new environment by the providers and other
participants in the system. As a result, higher utilization and related claims costs is being
incurred at the beginning of this contract compared to what we expect to
incur in the future as the population becomes more accustomed to managed care. There has been
higher utilization during the first six months of the contract for services to members that were
currently receiving treatment or had previously received treatment prior to the start of the
contract. In response, CompCare hired additional personnel and
25
Table of Contents
contracted for more psychiatrist
services. In addition, to help better manage the care for new members
seeking treatment, the higher amount of initial authorizations experienced in the first month of the
contract were reduced so that the needs of the members could be better evaluated.
All of these measures have reduced authorizations granted in subsequent months. CompCare
intends to take additional steps to further increase management of this population, including
working with providers to facilitate appropriate levels of care and more strictly apply benefit
definitions. Due to the factors discussed above, claims expense as a percentage of revenues for
this contract amounted to 96% and 97%, respectively, for the three months ended June 30 and the
period January 13 through June 30, 2007.
Other healthcare expenses, which are attributable to servicing both capitated and
non-capitated contracts, were 19.6% and 17.6%, respectively, of operating revenue for the three
months ended June 30, 2007 and for the period January 13 through June 30, 2007.
General and administrative expenses for the period January 13 through June 30, 2007 reflect
approximately $239,000 in costs and expenses resulting from the acquisition and proposed merger
between Hythiam and CompCare, and for legal services in defense against two class action lawsuits
related to the proposed merger.
Depreciation and amortization for the three months ended June 30, 2007 and for the period
January 13 through June 30, 2007 includes $189,000 and $371,000, respectively of amortization
related to the fair value attributed to managed care contracts and other identifiable intangible
assets acquired as part of the CompCare acquisition.
Interest
Expense
Interest
expense relates to the $2.0 million in 7.5% convertible subordinated debentures at CompCare
and includes approximately $19,000 and $36,000, respectively, of amortization related to the
purchase price allocation adjustment related to the CompCare acquisition.
LIQUIDITY AND CAPITAL RESOURCES
We have financed our operations, since inception, primarily through the sale of shares of our
common stock in public and private placement stock offerings. The following table sets forth a
summary of our equity offering proceeds, net of expenses, since our inception (in millions):
Date | Transaction Type | Amount | ||||
September 2003
|
Private Placement
|
$ | 21.3 | |||
December 2004
|
Private Placement
|
21.3 | ||||
November 2005
|
Public Offering
|
40.2 | ||||
December 2006
|
Private Placement
|
24.4 | ||||
$ | 107.2 | |||||
As of June 30, 2007, we had a balance of approximately $29.1 million in cash, cash equivalents
and marketable securities, of which approximately $7.2 million is held by CompCare. We received $10
million in proceeds from the
issuance of a secured note to finance the cash portion of our acquisition cost to acquire a
controlling interest in CompCare, and we received an additional $1.2 million of proceeds from
exercises of stock options and warrants during the six months ended June 30, 2007.
26
Table of Contents
Since we are a growing business, our prior operating costs are not necessarily representative
of our expected future operating costs. As we continue to grow, we expect our monthly cash
operating expenditures to increase in future periods. For the remainder of 2007, we anticipate that
our cash operating expenditures will average approximately $3.6 million per month, excluding
research and development costs and costs incurred by CompCare. We plan to spend approximately
$2.0 million for the remainder of 2007 and
approximately $2.3 million in 2008 for research and development studies and commercial pilots
currently underway or planned this year. CompCare expects positive net cash flow from new contracts that started January 1, 2007 and as a
result, CompCare believes it will have positive cash flow during 2007 and sufficient cash reserves
to sustain its current operations and to meet its current obligations.
For the remainder of 2007, we expect our capital expenditures to be approximately $600,000,
primarily for the purchase of computers and office equipment for an increase in staff and
additional investments in the development of our information systems. Capital spending for the remainder of 2007 related to CompCare is not expected to be material. Our
future capital requirements will depend upon many factors, including progress with our marketing
efforts, the time and costs involved in preparing, filing, prosecuting, maintaining and enforcing
patent claims and other proprietary rights, the necessity of, and time and costs involved in
obtaining, regulatory approvals, competing technological and market developments, and our ability
to establish collaborative arrangements, effective commercialization, marketing activities and
other arrangements.
We expect to continue to incur negative cash flows and net losses for at least the next twelve
months. Based upon our current plans, including anticipated revenues, we believe that our existing
cash reserves may not be sufficient to meet our operating expenses and capital requirements before
we begin to generate positive cash flows. Accordingly, we most likely will seek additional funds
through the sale of shares of preferred or common stock or through public or private financing.
Our ability to meet our obligations as they become due and payable will depend on our ability to
delay or reduce operating expenses, sell securities, borrow funds or some combination thereof. We
may seek additional funding through public or private financing or through collaborative
arrangements with strategic partners. We may also seek to raise additional capital through public
or private financing in order to increase the amount of our cash reserves on hand. We may not be
successful in raising necessary funds on acceptable terms, or at all.
CompCare Acquisition and Financing
In January 2007, we acquired all of the outstanding membership interests of Woodcliff
Healthcare Investment Partners, LLC for $9 million in cash and 215,053 shares of our common stock.
Woodcliff owns 1,739,130 shares of common stock and 14,400 shares of Series A Convertible Preferred
Stock of CompCare, the conversion of which would result in us owning over 50% the outstanding
shares of common stock of CompCare. The preferred stock has voting rights and, combined with the
common shares held by us, gives us voting control over CompCare. The preferred stock gives us
significant rights, including:
| the right to designate the majority of CompCares board of directors | ||
| dividend and liquidation preferences, and | ||
| anti-dilution protection. |
In addition, without our consent, CompCare is prevented from engaging in any of the
following transactions:
| any sale or merger involving a material portion of assets or business | ||
| any single or series of related transactions in excess of $500,000, and | ||
| incurring any debt in excess of $200,000. |
Following our acquisition of Woodcliff, in January 2007, we entered into an Agreement and
Plan of Merger with CompCare which was later amended and restated, pursuant to which we would
acquire the remaining outstanding shares of CompCare with CompCare to survive after the
proposed merger as our wholly-owned subsidiary. However, we anticipate effectuating substantially
all of the benefits of our relationship with CompCare under our current operational structure, and
we have concluded that purchasing the remaining common stock of CompCare is not in our
best interest. Consequently, on May 25, 2007, we mutually terminated the merger. CompCare
will continue as our majority-owned, controlled subsidiary for the foreseeable future.
27
Table of Contents
In January 2007, to finance the Woodcliff acquisition, we entered into a Securities Purchase
Agreement pursuant to which we sold to Highbridge International LLC (a) $10 million original
principal amount of senior secured notes and (b) warrants to purchase up to 249,750 shares of our
common stock. The note bears interest at a rate of prime plus 2.5%, interest payable quarterly
commencing on April 15, 2007, and matures on January 15, 2010, with an option of Highbridge to
demand redemption of the Notes after 18 months from date of issuance.
In connection with the Financing, we entered into a security agreement granting Highbridge a
first-priority perfected security interest in all of our assets now owned or thereafter acquired.
We also entered into a pledge agreement with Highbridge, as collateral agent, pursuant to which we
will deliver equity interests evidencing 65% of our ownership of our foreign subsidiaries. In the
event of a default, the collateral agent is given broad powers to sell or otherwise deal with the
pledged collateral.
The acquisition of Woodcliff and a majority controlling interest in CompCare is not expected
to require any material amount of additional cash investment or expenditures in 2007 by us, other
than expenditures expected to be made by CompCare from its existing cash reserves and cash flow
from its operations. We expect positive net cash flow from the new managed care contracts that
started in January 2007 and as a result, management believes that CompCare will generate positive
cash flow from operations for 2007 and will have sufficient cash reserves to sustain current
operations and to meet current obligations.
The unpaid claims liability for managed care services is estimated using an actuarial paid
completion factor methodology and other statistical analyses. These estimates are subject to the
effects of trends in utilization and other factors. Any significant increase in member utilization
that falls outside of our estimations would increase healthcare operating expenses and may impact
the ability for these plans to achieve and sustain profitability and positive cash flow. Although
considerable variability is inherent in such estimates, we believe that the unpaid claims liability
is adequate. However, actual results could differ from the $5.2 million claims payable amount
reported as of June 30, 2007.
LEGAL PROCEEDINGS
On January 23 and February 1, 2007, we were named as a
defendant in two class action lawsuits filed in the Delaware
Chancery Court, seeking to prevent us from consummating our
Agreement and Plan of Merger with CompCare. On May 25,
2007, the parties mutually terminated the merger agreement. The
plaintiffs counsel have agreed to dismiss the lawsuits,
but have not yet done so. In addition, they may seek to recover
legal fees incurred before the merger was terminated.
From time to time, we may be involved in litigation relating to claims arising out of our
operations in the normal course of business. As of the date of this report, we are not currently
involved in any legal proceeding that we believe would have a material adverse effect on our
business, financial condition or operating results.
CONTRACTUAL OBLIGATIONS AND COMMERCIAL COMMITMENTS
The following table sets forth a summary of our material contractual obligations and
commercial commitments as of June 30, 2007 (in thousands):
More | ||||||||||||||||||||
Less than | 3 - 5 | than 5 | ||||||||||||||||||
Contractual Obligations | Total | 1 year | 1 - 3 years | years | years | |||||||||||||||
Long-term debt obligations |
$ | 15,712 | $ | 1,246 | $ | 14,466 | $ | | $ | | ||||||||||
Claims
payable (1) |
5,183 | 5,183 | | | | |||||||||||||||
Reinsurance
claims payable (2) |
2,526 | 2,526 | | | | |||||||||||||||
Capital lease obligations |
633 | 225 | 318 | 90 | | |||||||||||||||
Operating
lease obligations (3) |
4,866 | 1,500 | 2,636 | 730 | | |||||||||||||||
Contractual commitments for
clinical studies |
3,907 | 3,907 | | | | |||||||||||||||
$ | 32,827 | $ | 14,587 | $ | 17,420 | $ | 820 | $ | | |||||||||||
(1) | These claim liabilities represent the best estimate of benefits to be paid under capitated contracts and consist of reserves for claims and IBNR. Because of the nature of such contracts, there is typically no minimum contractual commitment associated with covered claims. Both the amounts and timing of such payments are estimates, and the actual claims paid could differ from the estimated amounts presented. | |
(2) | This item represents a potential liability to providers relating to denied claims for a terminated contract. Management believes no further unpaid claims remain, but has not reduced the liability since the statutory time limits have not expired relating to such claims (See Note 6 Major Customer/Contracts). | |
(3) | Operating lease commitments for Hythiam and CompCares corporate office facilities and two PROMETA Centers, including deferred rent liability. |
OFF BALANCE SHEET ARRANGEMENTS
As of June 30, 2007, we had no off-balance sheet arrangements.
CRITICAL ACCOUNTING ESTIMATES
Our discussion and analysis of our financial condition and results of operations is based upon
our consolidated financial statements, which have been prepared in accordance with accounting
principles generally accepted in the United States of America. The preparation of these
consolidated financial statements requires us to make significant
28
Table of Contents
estimates and judgments to
develop the amounts reflected and disclosed in the consolidated financial statements, most notably
the estimate for claims incurred but not yet reported (IBNR). On an on-going basis, we evaluate
the appropriateness of our estimates and we maintain a thorough process to review the application
of our accounting policies. We base our estimates on historical experience and on various other
assumptions that we believe to be reasonable under the circumstances. Actual results may differ
from these estimates under different assumptions or conditions.
We believe our accounting policies specific to behavioral health managed care services revenue
recognition, accrued claims payable and claims expense for managed care services, managed care
services premium deficiencies, the impairment assessments for goodwill and other intangible assets,
and share-based compensation expense involve our most significant judgments and estimates that are
material to our consolidated financial statements (see Note 2 Summary of Significant Accounting
Policies to the unaudited, consolidated financial statements).
Managed Care Services Revenue Recognition
We provide managed behavioral healthcare and substance abuse services to recipients, primarily
through subcontracts with HMOs. Revenue under the vast majority of these agreements is earned and
recognized monthly based on the number of covered members as reported to us by our clients
regardless of whether services actually provided are lesser or greater than anticipated when we
entered into such contracts (generally referred to as capitation arrangements). The
information regarding qualified participants is supplied by CompCares clients and CompCare reviews
membership eligibility records and other reported information to verify its accuracy in determining
the amount of revenue to be recognized. Consequently, the vast majority of our revenue is
determined by the monthly receipt of covered member information and the associated payment from the
client, thereby removing uncertainty and precluding us from needing to make assumptions to estimate
monthly revenue amounts.
We may experience adjustments to our revenues to reflect changes in the number and eligibility
status of members subsequent to when revenue is recognized. Subsequent adjustments to our revenue
have not been material.
Accrued Claims Payable and Claims Expense
Managed care operating expenses are composed of claims expense and other healthcare expenses.
Claims expense includes amounts paid to hospitals, physician groups and other managed care
organizations under capitated contracts. Other healthcare expenses include items such as
information systems, provider contracting, case management and quality assurance, attributable to
both capitated and non-capitated contracts.
The cost of behavioral health services is recognized in the period in which an eligible member
actually receives services and includes an estimate of IBNR. CompCare contracts with various
healthcare providers including hospitals, physician groups and other managed care organizations
either on a discounted fee-for-service or a per-case basis. CompCare determines that a member has
received services when it receives a claim within the contracted timeframe with all required
billing elements correctly completed by the service provider. CompCare then determines whether (1)
the member is eligible to receive such services, (2) the service provided is medically necessary
and is covered by the benefit plans certificate of coverage, and (3) the service has been
authorized by one of CompCares employees. If all of these requirements are met, the claim is
entered into CompCares claims system for payment and the associated cost of behavioral health
services is recognized.
Accrued claims payable consists primarily of CompCares reserves established for reported
claims and IBNR, which are unpaid through the respective balance sheet dates. CompCares policy is
to record managements best estimate of IBNR. The IBNR liability is estimated monthly using an
actuarial paid completion factor methodology and is continually reviewed and adjusted, if
necessary, to reflect any change in the estimated liability as more information becomes available.
In deriving an initial range of estimates, CompCares management uses an actuarial model that
incorporates past claims payment experience, enrollment data and key assumptions such as trends in
healthcare costs and seasonality. Authorization data, utilization statistics, calculated completion
percentages and qualitative factors are then combined with the initial range to form the basis of
managements best estimate of the accrued claims payable balance.
At June 30, 2007, CompCares management determined its best estimate of the accrued claims
liability to be $5.2 million. Approximately $2.2 million of the $5.2 million accrued claims
payable balance at June 30, 2007 is attributable to the new major HMO contract in Indiana that
started January 1, 2007. As of June 30, 2007 CompCare has accrued as claims expense approximately
97% of the revenue from this contract. Of this amount, 70% had been paid and 30% is included in
the accrued claims payable balance at June 30, 2007. Due to limited historical claims payment data,
29
Table of Contents
CompCares management estimated the IBNR for this contract primarily by using estimated completion
factors based on authorization data.
Accrued claims payable at June 30, 2007 comprises approximately $1.1 million of submitted and
approved claims, which had not yet been paid, and $4.1 million for IBNR claims.
Many aspects of the managed care business are not predictable with consistency, and therefore,
estimating IBNR claims involves a significant amount of management judgment. Actual claims
incurred could differ from the estimated claims payable amount presented. The following are
factors that would have an impact on our future operations and financial condition:
| Changes in utilization patterns | ||
| Changes in healthcare costs | ||
| Changes in claims submission timeframes by providers | ||
| Success in renegotiating contracts with healthcare providers | ||
| Adverse selection | ||
| Changes in benefit plan design | ||
| The impact of present or future state and federal regulations |
A 5% increase or decrease in assumed healthcare cost trends from those used in the
calculations of IBNR at June 30, 2007, could increase or decrease our claims expense by
approximately $84,000.
Share-based expense
Commencing January 1, 2006, we implemented the accounting provisions of SFAS 123R on a
modified-prospective basis to recognize share-based compensation for employee stock option awards
in our statements of operations for future periods. We accounted for the issuance of stock, stock
options and warrants for services from non-employees in accordance with SFAS 123, Accounting for
Stock-Based Compensation. We estimate the fair value of options and warrants issued using the
Black-Scholes pricing model. This models calculations include the exercise price, the market price
of shares on grant date, weighted average assumptions for risk-free interest rates, expected life
of the option or warrant, expected volatility of our stock and expected dividend yield.
The amounts recorded in the financial statements for share-based expense could vary
significantly if we were to use different assumptions. For example, the assumptions we have made
for the expected volatility of our stock price have been made using volatility averages of other
public healthcare companies, since we have a limited history as a public company and our actual
stock price volatility would not be meaningful. If we were to use the actual volatility of our
stock price, there may be a significant variance in the amounts of share-based expense from the
amounts reported. For example, based on the 2007 assumptions used for the Black-Scholes pricing
model, a 50% increase in stock price volatility would have increased the fair values of options by
approximately 25%.
Impairment of intangible assets
We have capitalized significant costs, and plan to capitalize additional costs, for acquiring
patents and other intellectual property directly related to our products and services. We will
continue to evaluate our intangible assets for impairment on an ongoing basis by assessing the
future recoverability of such capitalized costs based on estimates of our future revenues less
estimated costs. Since we have not recognized significant revenues to date, our estimates of future
revenues may not be realized and the net realizable value of our capitalized costs of intellectual
property may become impaired.
RECENT ACCOUNTING PRONOUNCEMENTS
In June 2006, the FASB issued FASB Interpretation No. 48, Accounting for Uncertainty in
Income Taxes, (FIN 48) which clarifies the accounting for uncertainty in income taxes. FIN 48
requires that companies recognize in the consolidated financial statements the impact of a tax
position, if that position is more likely than not of being sustained
on audit, based on the technical merits of the position. FIN 48 also provides guidance on
derecognition, classification, interest and penalties, accounting in interim periods and
disclosure. The provisions of FIN 48 are effective for fiscal years beginning after December 15,
2006. We adopted FIN 48 effective on January 1, 2007 with no impact to our financial statements.
30
Table of Contents
In September 2006, The FASB issued SFAS No. 157, Fair Value Measurements, SFAS 157 which
defines fair value, establishes a framework for measuring fair value in generally accepted
accounting principles, and expands disclosures about fair value measurements. The statement is
effective for financial statements issued for fiscal years beginning after November 15, 2007, and
interim periods within those fiscal years. We are currently evaluating the statement to determine
what, if any, impact it will have on our consolidated financial statements.
In November 2006, the FASB issued FASB Staff Position No. EITF 00-19-2, Accounting for
Registration Payment Arrangements, which specifies that the contingent obligation to make future
payments or otherwise transfer consideration under a registration payment arrangement, whether
issued as a separate agreement or included as a provision of a financial instrument or other
agreement, should be separately recognized and measured. Additionally, this guidance further
clarifies that a financial instrument subject to a registration payment arrangement should be
accounted for in accordance with other applicable GAAP without regard to the contingent obligation
to transfer consideration pursuant to the registration payment arrangement. This guidance is
effective for financial statements issued for fiscal years beginning after December 15, 2006, and
interim periods within those fiscal years. We chose an early adoption of this guidance effective
for the fourth quarter of 2006 without a material impact to our financial statements.
In February 2007, the FASB issued Statement No. 159, The Fair Value Option for Financial
Assets and Financial Liabilities (SFAS 159), which provides that companies may elect to measure
specified financial instruments and warranty and insurance contracts at fair value on a
contract-by-contract basis, with changes in fair value recognized in earnings each reporting
period. The election, called the fair value option, will enable some companies to reduce the
variability in reported earnings caused by measuring related assets and liabilities differently.
Companies may elect fair-value measurement when an eligible asset or liability is initially
recognized or when an event, such as a business combination, triggers a new basis of accounting for
that asset or liability. The election is irrevocable for every contract chosen to be measured at
fair value and must be applied to an entire contract, not to only specified risks, specific cash
flows, or portions of that contract. SFAS 159 is effective as of the beginning of a companys
first fiscal year that begins after November 15, 2007. Retrospective application is not allowed.
Companies may adopt SFAS 159 as of the beginning of a fiscal year that begins on or before November
15, 2007 if the choice to adopt early is made after SFAS 159 has been issued and within 120 days of
the beginning of the fiscal year of adoption and the entity has not issued GAAP financial
statements for any interim period of the fiscal year that includes the early adoption date.
Companies are permitted to elect fair-value measurement for any eligible item within SFAS 159s
scope at the date they initially adopt SFAS 159. The adjustment to reflect the difference between
the fair value and the current carrying amount of the assets and liabilities for which a company
elects fair-value measurement is reported as a cumulative-effect adjustment to the opening balance
of retained earnings upon adoption. Companies that adopt SFAS 159 early must also adopt all of SFAS
157s requirements at the early adoption date. We are assessing the impact of adopting SFAS 159
and do not believe the adoption will have a material impact on our consolidated financial
statements.
Item 3. | Quantitative and Qualitative Disclosures About Market Risk |
We invest our cash in short term commercial paper, certificates of deposit, money market
accounts and marketable securities. We consider any liquid investment with an original maturity of
three months or less when purchased to be cash equivalents. We classify investments with maturity
dates greater than three months when purchased as marketable securities, which have readily
determined fair values as available-for-sale securities. Our investment policy requires that all
investments be investment grade quality and no more than ten percent of our portfolio may be
invested in any one security or with one institution. At June 30, 2007, our investment portfolio
consisted of investments in highly liquid, high grade commercial paper, variable rate securities
and certificates of deposit.
Investments in both fixed rate and floating rate interest earning instruments carry a degree
of interest rate risk. Fixed rate securities may have their fair market value adversely impacted
due to a rise in interest rates, while floating rate securities with shorter maturities may produce
less income if interest rates fall. The market risk associated with our investments in debt
securities is substantially mitigated by the frequent turnover of the portfolio.
Item 4. | Controls and Procedures |
We have evaluated, with the participation of our chief executive officer and
our chief financial officer, the effectiveness of our system of disclosure
controls and procedures as of the end of the period covered by this report.
Based on this evaluation our chief executive officer and our chief financial
officer have determined that they are effective in connection with the
preparation of this report. There were no changes in the internal
controls over financial reporting that occurred during the quarter ended June
30, 2007 that have materially affected, or are reasonably likely to materially
affect, our internal control over financial reporting.
31
Table of Contents
PART II OTHER INFORMATION
Item 1A. | Risk Factors |
Our results of operations and financial condition are subject to numerous risks and
uncertainties described in our Annual Report on Form 10-K for 2006, filed on March 15, 2007, and
incorporated herein by reference. You should carefully consider these risk factors in conjunction
with the other information contained in this report. Should any of these risks materialize, our
business, financial condition and future prospects could be negatively impacted. As of June 30,
2007, there have been no material changes to the disclosures made on the above-referenced Form
10-K.
Item 2. | Unregistered Sales of Equity Securities and Use of Proceeds |
In March 2007, we issued 13,840 shares of common stock to consultants providing investor
relations services valued at $111,000. These securities were issued without registration pursuant
to the exemption afforded by Section 4(2) of the Securities Act of 1933, as a transaction by us not
involving any public offering.
Item 4. | Submission of Matters to a Vote of Security Holders |
Our annual meeting of stockholders was held on June 15, 2007. There were 37,527,972 shares
present in person or by proxy. Our stockholders elected all of the boards nominees for director
and approved the 2007 Stock Incentive Plan. The stockholders voted at the meeting as follows:
Proposal One : Election of Directors
Seven nominees of the Board of Directors were elected for one-year terms expiring on the date
of the annual meeting in 2008.
For | Withheld | |||||||
Terren S. Peizer |
31,387,787 | 6,140,185 | ||||||
Leslie F. Bell, Esq. |
35,814,373 | 1,713,599 | ||||||
Richard A. Anderson |
31,319,719 | 6,208,253 | ||||||
Ivan M. Lieberburg, Ph.D., M.D. |
35,844,505 | 1,683,467 | ||||||
Andrea Grubb Barthwell., M.D. |
31,332,171 | 6,195,801 | ||||||
Marc G. Cummins |
35,473,601 | 2,054,371 | ||||||
Christopher S. Hassan |
31,360,968 | 6,167,004 |
Proposal Two : 2007 Stock Incentive Plan
For |
20,061,572 | |||
Against |
6,838,874 | |||
Abstain |
26,521 | |||
Non votes |
10,601,005 |
Item 5. | Other Information |
On August 6, 2007, our Senior Executive Vice Presidents and our Chief Financial Officer were
granted a bonus of $5,000 each.
II-1
Table of Contents
CAUTIONARY STATEMENT CONCERNING FORWARD-LOOKING INFORMATION
This report contains forward-looking statements within the meaning of the Private Securities
Litigation Reform Act of 1995 with respect to the financial condition, results of operations,
business strategies, operating efficiencies or synergies, competitive positions, growth
opportunities for existing products, plans and objectives of management, markets for stock of
Hythiam and other matters. Statements in this report that are not historical facts are hereby
identified as forward-looking statements for the purpose of the safe harbor provided by Section
21E of the Exchange Act and Section 27A of the Securities Act. Such forward-looking statements,
including, without limitation, those relating to the future business prospects, revenues and income
of Hythiam, wherever they occur, are necessarily estimates reflecting the best judgment of the
senior management of Hythiam on the date on which they were made, or if no date is stated, as of
the date of this report. These forward-looking statements are subject to risks, uncertainties and
assumptions, including those described in the Risk Factors in Item 1 of Part I of our most recent
Annual Report on Form 10-K, filed with the SEC, that may affect the operations, performance,
development and results of our business. Because the factors discussed in this report could cause
actual results or outcomes to differ materially from those expressed in any forward-looking
statements made by us or on our behalf, you should not place undue reliance on any such
forward-looking statements. New factors emerge from time to time, and it is not possible for us to
predict which factors will arise. In addition, we cannot assess the impact of each factor on our
business or the extent to which any factor, or combination of factors, may cause actual results to
differ materially from those contained in any forward-looking statements.
You should understand that the following important factors, in addition to those discussed
above and in the Risk Factors could affect our future results and could cause those results to
differ materially from those expressed in such forward-looking statements:
| the anticipated results of clinical studies on our treatment programs, and the publication of those results in medical journals | ||
| plans to have our treatment programs approved for reimbursement by third-party payors | ||
| plans to license our treatment programs to more healthcare providers | ||
| marketing plans to raise awareness of our PROMETA treatment programs | ||
| anticipated trends and conditions in the industry in which we operate, including regulatory changes | ||
| our future operating results, capital needs, and ability to obtain financing | ||
| CompCares ability to estimate claims, predict utilization and manage its contracts |
We undertake no obligation to publicly update or revise any forward-looking statements,
whether as a result of new information, future events or any other reason. All subsequent
forward-looking statements attributable to the Company or any person acting on our behalf are
expressly qualified in their entirety by the cautionary statements contained or referred to herein.
In light of these risks, uncertainties and assumptions, the forward-looking events discussed in
this report may not occur.
Item 6. | Exhibits |
Exhibit 31.1 Certification of Chief Executive Officer pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
Exhibit 31.2 Certification of Chief Financial Officer pursuant to Section 302 of the
Sarbanes-Oxley Act of 2002
Exhibit 32.1 Certification of Chief Executive Officer pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002
Exhibit 32.2 Certification of Chief Financial Officer pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002
II-2
Table of Contents
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has
duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
HYTHIAM, INC. |
||||
Date: August 9, 2007 | By: | /S/ TERREN S. PEIZER | ||
Terren S. Peizer | ||||
Chief Executive Officer (Principal Executive Officer) |
||||
Date: August 9, 2007 | By: | /S/ CHUCK TIMPE | ||
Chuck Timpe | ||||
Chief Financial Officer (Principal Financial Officer) |
||||
Date: August 9, 2007 | By: | /S/ MAURICE HEBERT | ||
Maurice Hebert | ||||
Corporate Controller (Principal Accounting Officer) |
II-3