Table of Contents

 

 

 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 10-Q

 


 

(Mark One)

 

x      QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended June 30, 2011

 

OR

 

o         TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the transition period from                  to                

 

Commission File Number 001-33993

 

CardioNet, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

Delaware

 

33-0604557

(State or Other Jurisdiction of Incorporation or Organization)

 

(I.R.S. Employer Identification Number)

 

227 Washington Street
Conshohocken, Pennsylvania

 

19428

(Address of Principal Executive Offices)

 

(Zip Code)

 

(610) 729-7000

(Registrant’s 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 x  No o

 

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

 

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

 

Large accelerated filer o

 

Accelerated filer x

 

 

 

Non-accelerated filer o

 

Smaller reporting company o

(Do not check if a smaller reporting company)

 

 

 

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes o  No x

 

As of August 1, 2011, 24,401,199 shares of the registrant’s common stock, $0.001 par value per share, were outstanding.

 

 

 



Table of Contents

 

CARDIONET, INC.

QUARTERLY REPORT ON FORM 10-Q FOR THE PERIOD ENDED JUNE 30, 2011

TABLE OF CONTENTS

 

 

 

Page
No.

PART I.

FINANCIAL INFORMATION

 

Item 1.

Financial Statements

2

Item 2.

Management’s Discussion and Analysis of Financial Condition and Results of Operations

14

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

18

Item 4.

Controls and Procedures

18

 

 

 

PART II.

OTHER INFORMATION

 

Item 1.

Legal Proceedings

19

Item 1A.

Risk Factors

20

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

20

Item 3.

Defaults Upon Senior Securities

20

Item 4.

Removed and Reserved

20

Item 5.

Other Information

20

Item 6.

Exhibits

21

 

 

 

SIGNATURES

 

22

 



Table of Contents

 

FORWARD-LOOKING STATEMENTS

 

This document includes certain forward-looking statements within the meaning of the “Safe Harbor” provisions of the Private Securities Litigation Reform Act of 1995 regarding, among other things, our growth prospects, the prospects for our products and our confidence in the Company’s future. These statements may be identified by words such as “expect,” “anticipate,” “estimate,” “intend,” “plan,” “believe,” “promises” and other words and terms of similar meaning. Such forward-looking statements are based on current expectations and involve inherent risks and uncertainties, including important factors that could delay, divert, or change any of them, and could cause actual outcomes and results to differ materially from current expectations. These factors include, among other things, the national rate set by the Centers for Medicare and Medicaid Services (“CMS”) for our mobile cardiovascular telemetry service, effectiveness of our cost savings initiatives, changes to insurance coverage and reimbursement levels for our products, the success of our sales and marketing initiatives, our ability to attract and retain talented executive management and sales personnel, our ability to identify acquisition candidates, acquire them on attractive terms and integrate their operations into our business, the commercialization of new products, market factors, internal research and development initiatives, partnered research and development initiatives, competitive product development, changes in governmental regulations and legislation, the continued consolidation of payors, acceptance of our new products and services and patent protection and litigation. For further details and a discussion of these and other risks and uncertainties, please see our public filings with the Securities and Exchange Commission, including our latest periodic reports on Form 10-K and 10-Q. We undertake no obligation to publicly update any forward-looking statement, whether as a result of new information, future events, or otherwise.

 

1



Table of Contents

 

PART I — FINANCIAL INFORMATION

Item 1. Financial Statements.

 

CARDIONET, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share amounts)

 

 

 

(Unaudited)

 

 

 

 

 

June 30, 2011

 

December 31, 2010

 

 

 

 

 

 

 

Assets

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

16,360

 

$

18,705

 

Short-term available-for-sale-investments

 

28,617

 

26,779

 

Accounts receivable, net of allowance for doubtful accounts of $8,453 and $11,779, at June 30, 2011 and December 31, 2010, respectively

 

26,276

 

24,978

 

Other receivables

 

2,845

 

3,041

 

Inventory

 

1,478

 

1,461

 

Prepaid expenses and other current assets

 

3,209

 

3,086

 

 

 

 

 

 

 

Total current assets

 

78,785

 

78,050

 

 

 

 

 

 

 

Property and equipment, net

 

17,563

 

22,000

 

Intangible assets, net

 

3,154

 

3,764

 

Goodwill

 

49,362

 

49,362

 

Other assets

 

3,384

 

3,516

 

 

 

 

 

 

 

Total assets

 

$

152,248

 

$

156,692

 

 

 

 

 

 

 

Liabilities and stockholders’ equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable

 

$

4,863

 

$

7,127

 

Accrued liabilities

 

9,642

 

9,881

 

Deferred revenue

 

550

 

408

 

 

 

 

 

 

 

Total current liabilities

 

15,055

 

17,416

 

 

 

 

 

 

 

Deferred tax liability

 

3,191

 

3,191

 

Deferred rent

 

971

 

1,157

 

 

 

 

 

 

 

Total liabilities

 

19,217

 

21,764

 

 

 

 

 

 

 

Stockholders’ equity:

 

 

 

 

 

Common stock, $0.001 par value; 200,000,000 shares authorized; 24,334,989 and 24,251,170 shares issued and outstanding at June 30, 2011 and December 31, 2010, respectively

 

24

 

24

 

Paid-in capital

 

250,421

 

247,747

 

Accumulated other comprehensive (loss) income

 

(5

)

8

 

Accumulated deficit

 

(117,409

)

(112,851

)

 

 

 

 

 

 

Total stockholders’ equity

 

133,031

 

134,928

 

 

 

 

 

 

 

Total liabilities and stockholders’ equity

 

$

152,248

 

$

156,692

 

 

See accompanying notes.

 

2



Table of Contents

 

CARDIONET, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(Unaudited)

(In thousands, except share and per share amounts)

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

 

2011

 

2010

 

2011

 

2010

 

Revenues:

 

 

 

 

 

 

 

 

 

Net patient service revenues

 

$

28,010

 

$

31,939

 

$

58,442

 

$

63,755

 

Product revenues

 

3,627

 

 

7,194

 

 

Total revenues

 

31,637

 

31,939

 

65,636

 

63,755

 

 

 

 

 

 

 

 

 

 

 

Cost of revenues:

 

 

 

 

 

 

 

 

 

Net patient service cost of revenues

 

11,176

 

11,835

 

22,883

 

23,584

 

Product cost of revenues

 

1,842

 

 

3,787

 

 

Total cost of revenues

 

13,018

 

11,835

 

26,670

 

23,584

 

 

 

 

 

 

 

 

 

 

 

Gross profit

 

18,619

 

20,104

 

38,966

 

40,171

 

Operating expenses:

 

 

 

 

 

 

 

 

 

General and administrative

 

8,985

 

8,548

 

18,660

 

18,225

 

Sales and marketing

 

7,395

 

6,876

 

15,460

 

14,873

 

Bad debt expense

 

2,902

 

4,484

 

5,292

 

9,124

 

Research and development

 

1,361

 

1,230

 

3,043

 

2,473

 

Integration, restructuring and other charges

 

1,014

 

1,128

 

1,138

 

3,073

 

 

 

 

 

 

 

 

 

 

 

Total expenses

 

21,657

 

22,266

 

43,593

 

47,768

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

(3,038

)

(2,162

)

(4,627

)

(7,597

)

Other income, net

 

36

 

20

 

73

 

24

 

 

 

 

 

 

 

 

 

 

 

Loss before income taxes

 

(3,002

)

(2,142

)

(4,554

)

(7,573

)

Income tax expense

 

(4

)

 

(4

)

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

(3,006

)

(2,142

)

(4,558

)

(7,573

)

 

 

 

 

 

 

 

 

 

 

Net loss per common share:

 

 

 

 

 

 

 

 

 

Basic and diluted

 

$

(0.12

)

$

(0.09

)

$

(0.19

)

$

(0.32

)

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic and diluted

 

24,401,199

 

24,083,080

 

24,350,037

 

24,010,839

 

 

See accompanying notes.

 

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CARDIONET, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 

 

 

Six Months Ended
June 30,

 

 

 

2011

 

2010

 

Operating activities

 

 

 

 

 

Net loss

 

$

(4,558

)

$

(7,573

)

Adjustments to reconcile net loss to net cash provided by operating activities:

 

 

 

 

 

Depreciation

 

6,113

 

6,136

 

Provision for doubtful accounts

 

5,292

 

9,124

 

Stock-based compensation

 

2,380

 

1,866

 

Amortization of intangibles

 

610

 

246

 

Amortization of investment premium

 

261

 

98

 

(Decrease) increase in deferred rent

 

(186

)

(143

)

Other non-cash adjustments

 

 

(19

)

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(6,394

)

(2,453

)

Prepaid expenses and other current assets

 

(140

)

(1,360

)

Other assets

 

132

 

(194

)

Accounts payable

 

(2,264

)

(2,597

)

Accrued and other liabilities

 

(97

)

(459

)

 

 

 

 

 

 

Net cash provided by operating activities

 

1,149

 

2,672

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Purchases of property and equipment

 

(1,676

)

(2,726

)

Purchases of short-term available-for-sale investments

 

(28,335

)

(26,330

)

Sale or maturity of short-term available-for-sale investments

 

26,223

 

 

 

 

 

 

 

 

Net cash used in investing activities

 

(3,788

)

(29,056

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

Proceeds from the exercise of employee stock options and employee stock purchase plan contributions

 

294

 

1,182

 

 

 

 

 

 

 

Net cash provided by financing activities

 

294

 

1,182

 

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

(2,345

)

(25,202

)

Cash and cash equivalents — beginning of period

 

18,705

 

49,152

 

 

 

 

 

 

 

Cash and cash equivalents — end of period

 

$

16,360

 

$

23,950

 

 

 

 

 

 

 

Supplemental disclosure of cash flow information

 

 

 

 

 

Cash paid for interest

 

$

1

 

$

2

 

Cash paid for taxes

 

$

138

 

$

522

 

 

See accompanying notes.

 

4



Table of Contents

 

CARDIONET, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

(In thousands, except share and per share amounts)

 

1.     Summary of Significant Accounting Policies

 

Unaudited Interim Financial Data

 

The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles for interim financial information and the requirements of Form 10-Q and Article 10 of Regulation S-X. Accordingly, these consolidated financial statements do not include all of the information and footnotes necessary for a complete presentation of financial position, results of operations and cash flows.  In the opinion of management, these consolidated financial statements reflect all adjustments which are of a normal recurring nature and necessary for a fair presentation of CardioNet, Inc.’s (the “Company” or “CardioNet”) financial position as of June 30, 2011 and December 31, 2010, the results of operations for the three and six months ended June 30, 2011 and 2010, and cash flows for the six months ended June 30, 2011 and 2010.  The financial data and other information disclosed in these notes to the financial statements related to the three and six months ended June 30, 2011 and 2010 are unaudited. The results for the three and six months ended June 30, 2011 are not necessarily indicative of the results to be expected for any future period.

 

Net Loss

 

The Company computes net loss per share in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 260, Earnings Per Share.  The following summarizes the potential outstanding common stock of the Company at June 30, 2011 and 2010:

 

 

 

June 30,
2011

 

June 30,
2010

 

Common stock options and restricted stock units outstanding

 

2,610,168

 

2,121,437

 

Common stock options and restricted stock units available for grant

 

2,295,931

 

1,675,171

 

Common stock held by certain employees and unvested

 

 

2,396

 

Common stock

 

24,334,989

 

24,161,517

 

Total

 

29,241,088

 

27,960,521

 

 

Basic net loss per share is computed by dividing net loss by the weighted average number of common shares outstanding during the period. Diluted net loss per share is computed by giving effect to all potential dilutive common shares, including stock options and warrants, as applicable.

 

The following table presents the calculation of basic and diluted net loss per share:

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

 

2011

 

2010

 

2011

 

2010

 

 

 

(in thousands, except share and per share amounts)

 

Numerator:

 

 

 

 

 

 

 

 

 

Net loss

 

$

(3,006

)

$

(2,142

)

$

(4,558

)

$

(7,573

)

Denominator:

 

 

 

 

 

 

 

 

 

Weighted average shares used in computing diluted net loss per share

 

24,401,199

 

24,083,080

 

24,350,037

 

24,010,839

 

Basic and diluted net loss per share

 

$

(0.12

)

$

(0.09

)

$

(0.19

)

$

(0.32

)

 

If the outstanding vested options or restricted stock units were exercised or converted into common stock, the result would be anti-dilutive for the three and six months ended June 30, 2011 and 2010. Accordingly, basic and diluted net loss per share are identical for the three and six months ended June 30, 2011 and 2010.

 

5



Table of Contents

 

Comprehensive Loss

 

Comprehensive loss consists of net loss and all changes in stockholders’ equity from non-stockholder sources. The following summarizes the components of the Company’s comprehensive loss:

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

 

2011

 

2010

 

2011

 

2010

 

 

 

 

 

 

 

 

 

 

 

Net loss

 

$

(3,006

)

$

(2,142

)

$

(4,558

)

$

(7,573

)

Other comprehensive (loss) income:

 

 

 

 

 

 

 

 

 

Unrealized (loss) gain on securities

 

(4

)

(19

)

(13

)

(19

)

Total comprehensive loss

 

(3,010

)

(2,161

)

(4,571

)

(7,592

)

 

Cash and Cash Equivalents

 

Cash and cash equivalents are held in U.S. financial institutions or in custodial accounts with U.S. financial institutions. Cash equivalents are defined as liquid investments and money market funds with maturity from date of purchase of 90 days or less that are readily convertible into cash and have minimal interest rate risk.

 

Available-for-Sale Investments

 

Marketable securities that do not meet the definition of cash and cash equivalents are classified as available-for-sale. Available-for-sale securities are carried at fair value, based on quoted market prices and observable inputs, with unrealized gains and losses, reported as a separate component of stockholders’ equity. We classify securities as current or non-current assets on the consolidated balance sheet based on maturity dates. The amortized cost of debt securities is adjusted for amortization of premiums and accretions of discounts to maturity. Amortization of debt premiums and accretion of debt discounts are recorded in other income and expense. Realized gains and losses, and declines in value, that are considered to be other-than-temporary, are recorded in other income and expense. The cost of securities sold is based on specific identification.

 

Accounts Receivable

 

Receivables are recorded at the time revenue is recognized, net of contractual allowances. The Company makes estimates each quarter regarding the collectability of its receivables as of the balance sheet date. The estimates take into consideration the most recent information available to the Company, as well as cash collection trends and the aging of receivables. Receivables are presented on the balance sheet net of allowances for doubtful accounts. Receivables are written off when the Company believes the likelihood for collection is remote, the receivables have been fully reserved, and when the Company believes collection efforts have been fully exhausted and it does not intend to devote additional resources in attempting to collect. The Company performs write-offs quarterly. The Company wrote off $7,679 of receivables in the first half of 2011. The impact was a reduction of gross receivables and a reduction in the allowance for doubtful accounts. There was no impact on the net receivables reported on the balance sheet as of June 30, 2011, or bad debt expense reported on the statement of operations for the six months ended June 30, 2011, as a result of this write-off. Additionally, the Company recorded bad debt expense of $5,292 and $9,124 for the six months ended June 30, 2011 and 2010, respectively.

 

Goodwill

 

In accordance with ASC 350-20-35, Intangibles — Goodwill and Other, goodwill is reviewed for impairment annually, or when events arise that could indicate that impairment exists. To determine whether impairment exists, the Company estimates the fair value of the reporting unit using an income approach, generally a discounted cash flow methodology that includes assumptions for, among other things, forecasted income, cash flow, growth rates, income tax rates, expected tax benefits and long-term discount rates, all of which require significant judgment. The Company also considers comparable market data to assist in determining the fair value of its reporting unit. There are inherent uncertainties related to these factors and the judgment applied in the analysis. The Company believes that the combination of an income and a market approach provides a reasonable basis to estimate the fair value of the reporting unit. If the estimated fair value of the reporting unit is less than its carrying value, impairment may exist and additional analysis will be undertaken to determine the amount of impairment.

 

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Table of Contents

 

Stock-Based Compensation

 

ASC 718, Compensation — Stock Compensation, addresses the accounting for share-based payment transactions in which an enterprise receives employee services in exchange for (a) equity instruments of the enterprise or (b) liabilities that are based on the fair value of the enterprise’s equity instruments or that may be settled by the issuance of such equity instruments. ASC 718 requires that an entity measure the cost of equity-based service awards based on the grant-date fair value of the award and recognize the cost of such awards over the period during which the employee is required to provide service in exchange for the award (the vesting period). ASC 718 requires that an entity measure the cost of liability-based service awards based on current fair value that is re-measured subsequently at each reporting date through the settlement date. The Company accounts for equity awards issued to non-employees in accordance with ASC 505-50, Equity-Based Payments to Non-Employees.

 

The Company’s income before and after income taxes for the six months ended June 30, 2011 and 2010, was reduced by $2,380 and $1,866, respectively, as a result of stock-based compensation expense incurred. The impact of stock-based compensation expense was $(0.10) and $(0.08) on basic and diluted earnings per share for the six months ended June 30, 2011 and 2010, respectively.

 

The Company estimates the fair value of its share-based awards to employees and directors using the Black-Scholes option valuation model. The Black-Scholes option valuation model requires the use of certain subjective assumptions. The most significant of these assumptions are the estimates of the expected volatility of the market price of the Company’s stock and the expected term of the award. The Company bases its estimates of expected volatility on a group of similar entities whose stock prices are publicly available. The expected term represents the period of time that stock-based awards granted are expected to be outstanding. Other assumptions used in the Black-Scholes option valuation model include the risk-free interest rate and expected dividend yield. The risk-free interest rate for periods pertaining to the contractual life of each option is based on the U.S. Treasury yield of a similar duration in effect at the time of grant. The Company has never paid, and does not expect to pay, dividends in the foreseeable future.

 

The Company utilized the Black-Scholes valuation model for estimating the fair value of stock options granted using the following weighted average assumptions:

 

 

 

Six Months Ended
June 30,

 

 

 

2011

 

2010

 

Expected dividend yield

 

0

%

0

%

Expected volatility

 

65

%

65

%

Risk-free interest rate

 

2.49

%

2.43

%

Expected life

 

6.25 years

 

6.25 years

 

 

Based on the Company’s historical experience of options that cancel before becoming fully vested, the Company has assumed an annualized forfeiture rate of 15% for all options. Under the true-up provision of ASC 718, the Company will record additional expense if the actual forfeiture rate is lower than estimated, and will record a recovery of prior expense if the actual forfeiture rate is higher than estimated.

 

Based on the above assumptions, the per share weighted average fair value of the options granted under the stock option plan for the six months ended June 30, 2011 and 2010 was $2.84 and $4.30, respectively.

 

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Table of Contents

 

The following table summarizes activity under all stock award plans from December 31, 2010 through June 30, 2011:

 

 

 

 

 

Options Outstanding

 

 

 

Shares

 

 

 

Weighted

 

 

 

Available

 

Number

 

Average

 

 

 

for Grant

 

of Shares

 

Exercise Price

 

Balance — December 31, 2010

 

1,649,723

 

2,102,376

 

$

12.18

 

Additional options available for grant

 

1,207,210

 

 

 

Granted

 

(534,055

)

534,055

 

4.76

 

Canceled

 

91,091

 

(91,091

)

22.44

 

Exercised

 

 

(34,012

)

14.39

 

 

 

 

 

 

 

 

 

Balance — March 31, 2011

 

2,413,969

 

2,511,328

 

$

9.70

 

 

 

 

 

 

 

 

 

Granted

 

(185,278

)

185,278

 

$

4.46

 

Canceled

 

67,240

 

(67,240

)

$

10.36

 

Exercised

 

 

(19,198

)

$

8.09

 

 

 

 

 

 

 

 

 

Balance — June 30, 2011

 

2,295,931

 

2,610,168

 

$

9.33

 

 

Per the plan documents, the 2008 Non-Employee Director Stock Option (NEDS) and Employee Stock Option (ESOP) Plans have an automatic increase in the shares available for grant every January the plans are active. The increase in the shares available for grant under the NEDS plan is equal to the lesser of the number of shares issuable upon the exercise of options granted during the preceding calendar year or such number of shares as determined by the Board of Directors. The increase in the shares available for grant under the ESOP plan is equal to 5% of the total shares outstanding at December 31, 2010.

 

Additional information regarding options outstanding is as follows:

 

 

 

June 30,
2011

 

June 30,
2010

 

Range of exercise prices (per option)

 

$0.70 - $31.18

 

$0.70 - $31.18

 

Weighted average remaining contractual life (years)

 

8.45

 

8.06

 

 

Employee Stock Purchase Plan

 

On March 17, 2011, 77,822 shares were purchased in accordance with the Employee Stock Purchase Plan (ESPP). Net proceeds to the Company from the issuance of shares of common stock under the ESPP for the six months ended June 30, 2011 were $286. In January 2011, the number of shares available for grant was increased by 241,442, per the ESPP plan documents. At June 30, 2011, approximately 544,764 shares remain available for purchase under the ESPP.

 

New Accounting Pronouncements

 

In May 2011, the FASB issued ASU 2011-04, Fair Value Measurement (Topic 820): Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in U.S. GAAP and IFRS. The new guidance results in a consistent definition of fair value and common requirements for measurement of and disclosure about fair value between U.S. GAAP and IFRS. The ASU is effective for interim and annual periods beginning on or after December 15, 2011, with early adoption prohibited. The new guidance changes certain fair value measurement principles and disclosure requirements. The Company does not expect the amendments to U.S. GAAP to have a material impact on its results of operations, cash flows, or financial position.

 

In June 2011, the FASB issued ASU 2011-05, Comprehensive Income (Topic 220): Presentation of Comprehensive Income. The ASU is effective for interim and annual periods beginning after December 15, 2011, with early adoption permitted. The new guidance eliminates the option to present the components of other comprehensive income as part of the statement of changes in stockholder’s equity and states that an entity has the option to present the total of comprehensive income, the components of income, and the components of other comprehensive income either in a single continuous statement of comprehensive income or in two separate but consecutive statements. Additionally, entities are required to present on the face of the financial statements reclassification adjustments for items that are reclassified from other comprehensive income to net income in the statement(s) where the components of net income and the components of other comprehensive are presented. The Company does not expect the amendments to U.S. GAAP to have material impact on its results of operations, cash flows, or financial position.

 

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In July 2011, the FASB issued ASU 2011-07, Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities. The ASU is effective for interim and annual periods beginning on or after December 15, 2011, with early adoption prohibited. The new guidance changes certain presentation and disclosure requirements for Patient Service Revenue.

 

2.              Available-for-Sale Investments

 

The Company invests its excess funds in securities issued by the U.S. government, corporations, banks, municipalities, financial holding companies and in money market funds comprised of these same types of securities. Cash and cash equivalents and available-for-sale investments are placed with high credit quality financial institutions. Additionally, the Company diversifies the investment portfolio in order to maintain safety and liquidity. The Company does not hold mortgage-backed securities. As of June 30, 2011, all of the investments will mature within one year. These investments are recorded at fair value, based on quoted market prices, with unrealized gains and losses reported as a separate component of stockholders’ equity.

 

Investments have been classified as available-for-sale investments. At June 30, 2011, available-for-sale investments are detailed as follows:

 

 

 

Amortized

 

Gross Unrealized

 

Gross Unrealized

 

Estimated

 

 

 

Cost

 

Gains

 

Losses

 

Fair Value

 

Short-term investments:

 

 

 

 

 

 

 

 

 

Corporate debt securities

 

$

24,113

 

$

2

 

$

(6

)

$

24,109

 

U.S. Treasury and agency debt securities

 

4,509

 

1

 

(2

)

4,508

 

Total

 

$

28,622

 

$

3

 

$

(8

)

$

28,617

 

 

At December 31, 2010, available-for-sale investments are detailed as follows:

 

 

 

Amortized

 

Gross Unrealized

 

Gross Unrealized

 

Estimated

 

 

 

Cost

 

Gains

 

Losses

 

Fair Value

 

Short-term investments:

 

 

 

 

 

 

 

 

 

Corporate debt securities

 

$

13,132

 

$

2

 

$

(5

)

$

13,129

 

U.S. Treasury and agency debt securities

 

13,639

 

11

 

 

13,650

 

Total

 

$

26,771

 

$

13

 

$

(5

)

$

26,779

 

 

Net unrealized gains on available-for-sale investments are included as a component of stockholders’ equity and comprehensive loss until realized from a sale or other-than-temporary impairment. Realized gains and losses from the sale of securities are determined on a specific identification basis. Purchases and sales of investments are recorded on their trade dates. The Company recorded realized gains for the six months ended June 30, 2011 and 2010 of $1 and $0, respectively. Dividend and interest income are recognized when earned. Interest income for the six months ended June 30, 2011 and 2010 was $335 and $119, respectively, which were partially offset by $261 and $98 related to amortization of investment premiums.

 

3.              Fair Value Measurements

 

ASC 820 defines fair value as an exit price that would be received from the sale of an asset or paid to transfer a liability in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a three-level hierarchy for disclosure that is based on the extent and level of judgment used to estimate the fair value of assets and liabilities.

 

·                  Level 1 — Valuations based on quoted prices for identical assets or liabilities in active markets at the measurement date. Since valuations are based on quoted prices that are readily and regularly available in an active market, valuation of these products does not entail a significant degree of judgment. The Company’s Level 1 assets consist of cash and money market funds, as well as U.S. Treasury and agency debt securities.

 

·                  Level 2 — Valuations based on quoted prices for similar assets and liabilities in active markets; quoted prices for identical or similar assets and liabilities in markets that are not active; or other inputs that are observable or can be corroborated by observable market data, such as alternative pricing sources with reasonable levels of price transparency. The Company’s

 

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Level 2 assets consist of fixed income securities such as corporate debt securities including commercial paper and corporate bonds.

 

·                  Level 3 — Valuations based on inputs that are unobservable and significant to the overall fair value measurement. The Company has not measured the fair value of any of the assets using Level 3 inputs.

 

No transfers were made into or out of the different category levels, nor did the Company categorize any of its investments as Level 3 at June 30, 2011 and December 31, 2010. The Company will continue to review the fair value inputs on a quarterly basis.

 

The fair value of the Company’s financial assets subject to the disclosure requirements of ASC 820 was determined using the following levels of inputs at June 30, 2011:

 

Fair Value Measurements at June 30, 2011

 

 

 

Level 1

 

Level 2

 

Level 3

 

Total

 

Assets:

 

 

 

 

 

 

 

 

 

Cash

 

$

9,116

 

$

 

$

 

$

9,116

 

Money market funds

 

7,244

 

 

 

7,244

 

Corporate debt securities

 

 

24,109

 

 

24,109

 

U.S. Treasury and agency debt securities

 

4,508

 

 

 

4,508

 

Total

 

$

20,868

 

$

24,109

 

$

 

$

44,977

 

 

The fair value of the Company’s financial assets subject to the disclosure requirements of ASC 820 was determined using the following levels of inputs at December 31, 2010:

 

Fair Value Measurements at December 31, 2010

 

 

 

Level 1

 

Level 2

 

Level 3

 

Total

 

Assets:

 

 

 

 

 

 

 

 

 

Cash

 

$

12,681

 

$

 

$

 

$

12,681

 

Money market funds

 

5,024

 

 

 

5,024

 

Corporate debt securities

 

 

14,129

 

 

14,129

 

U.S. Treasury and agency debt securities

 

13,650

 

 

 

13,650

 

Total

 

$

31,355

 

$

14,129

 

$

 

$

45,484

 

 

4.              Integration, Restructuring and Other Charges

 

The Company accounts for expenses associated with exit or disposal activities in accordance with ASC 420, Exit or Disposal Cost Obligations, and records the expenses in Integration, restructuring and other charges in its statement of operations, and records the related accrual in the Accrued expenses line of its balance sheet.

 

2011 Integration

 

During the six months ended June 30, 2011, the Company incurred charges related to the integration of operations in connection with the Biotel acquisition of $697. The Company expects the integration to be substantially completed by the end of 2011. The Company expects to incur approximately $850 in total costs associated with this integration. Additionally, the Company incurred other charges of $441 for the six months ended June 30, 2011, related primarily to legal costs associated with current litigation.

 

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A summary of the reserve activity related to the 2011 integration of Biotel operations as of June 30, 2011 is as follows:

 

 

 

Initial
Reserve
Recorded

 

Payments
through
June 30,
2011

 

Balance
as of
June 30,
2011

 

Severance and employee related costs

 

$

697

 

$

219

 

$

478

 

 

2010 Restructuring

 

During the first quarter of 2010, the Company undertook an initiative to streamline its sales and service organizations and reduce support costs company-wide. It also initiated plans to close its event monitoring facility in Georgia and consolidate it with the Company’s monitoring facilities in Pennsylvania and Minnesota. The Company realized cost efficiencies by undertaking these initiatives. The restructuring plan involved the elimination of approximately 100 positions. The restructuring activities were substantially complete as of December 31, 2010. The total cost of the restructuring plan was approximately $3,523, all of which resulted in cash charges. The Company incurred restructuring expenses of $2,563 for the six months ended June 30, 2010.

 

Other Charges

 

The Company incurred other charges of $510 for the six months ended June 30, 2010, including legal costs related to the Company’s defense of class-action and patent infringement lawsuits. Additional information regarding legal proceedings can be found in Note 6.

 

5.              Income Taxes

 

The income tax provision for interim periods is determined using an estimated annual effective tax rate adjusted for discrete items, if any, which are taken into account in the quarterly period in which they occur. The Company reviews and updates its estimated annual effective tax rate each quarter. For the six months ended June 30, 2011, the Company’s estimated annual effective tax rate was zero. The Company recorded $4 of tax expense for the six months ended June 30, 2011.

 

As of June 30, 2011, in accordance with ASC 740, the Company maintained a full valuation allowance against net deferred tax assets. The Company will continue to maintain a full valuation allowance until such time it can reasonably estimate the probability of realizing a benefit from the deferred tax assets. There has been no material change to the amount of unrecognized tax expense or benefit reported as of June 30, 2011.

 

6.              Segment Information

 

ASC 280, “Segment Reporting”, establishes standards for reporting information regarding operating segments in annual financial statements. Operating segments are identified as components of an enterprise for which separate discrete financial information is available for evaluation by the chief operating decision-maker, or decision-making group in making decisions on how to allocate resources and assess performance.

 

The Company aggregates its operations into two reportable business segments, service and products. The patient service business segment’s principal focus is on the diagnosis and monitoring of cardiac arrhythmias, or heart rhythm disorders, through its core Mobile Cardiac Outpatient Telemetry (MCOT), event and Holter services. The product business segment, which was developed through the Biotel acquisition in December 2010, focuses on the development, manufacturing, testing and marketing of medical devices and related software to medical companies, clinics and hospitals.

 

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Summarized financial information concerning the Company’s reportable segments is shown in the following table:

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

 

2011

 

2010

 

2011

 

2010

 

Revenues:

 

 

 

 

 

 

 

 

 

Service

 

$

28,010

 

$

31,939

 

$

58,442

 

$

63,755

 

Product

 

3,627

 

 

7,194

 

 

Total revenues

 

31,637

 

31,939

 

65,636

 

63,755

 

 

 

 

 

 

 

 

 

 

 

(Loss) before income taxes:

 

 

 

 

 

 

 

 

 

Service

 

(2,724

)

(2,142

)

(4,277

)

(7,573

)

Product

 

(278

)

 

(277

)

 

Total loss before income taxes

 

(3,002

)

(2,142

)

(4,554

)

(7,573

)

 

 

 

 

 

 

 

 

 

 

Depreciation and amortization:

 

 

 

 

 

 

 

 

 

Service

 

2,968

 

3,185

 

6,013

 

6,382

 

Product

 

342

 

 

710

 

 

Total depreciation and amortization

 

3,310

 

3,185

 

6,723

 

6,382

 

 

 

 

 

 

 

 

 

 

 

Capital expenditures:

 

 

 

 

 

 

 

 

 

Service

 

1200

 

1,248

 

1531

 

2,726

 

Product

 

80

 

 

145

 

 

Total capital expenditures

 

1,280

 

1,248

 

1,676

 

2,726

 

 

 

 

 

 

 

 

 

 

 

 

 

June 30,

 

December 31,

 

 

 

 

 

 

 

2011

 

2010

 

 

 

 

 

Total assets:

 

 

 

 

 

 

 

 

 

Service

 

149,274

 

153,402

 

 

 

 

 

Other

 

2,974

 

3,290

 

 

 

 

 

Total assets

 

152,248

 

156,692

 

 

 

 

 

 

7.  Legal Proceedings

 

On March 5, 2010, West Palm Beach Police Pension Fund filed a putative class action complaint in California Superior Court, San Diego County asserting claims for violations of Sections 11, 12 and 15 of the Securities Act of 1933, as amended, against CardioNet, nine current and former officers and directors of CardioNet and six underwriters of CardioNet’s initial public offering (IPO) and/or Secondary Offering (together with the IPO, the “Offerings”). The complaint filed also asserted claims for alleged violations of Sections 25401 and 25501 of the California Corporations Code against defendants James M. Sweeney and Fred Middleton. The plaintiff seeks to bring claims on behalf of all those who acquired the common stock of CardioNet pursuant and/or traceable to the Company’s Offerings. On March 10, 2010, plaintiff filed an Amended Complaint that deleted the claims for violations of the California Corporations Code. The claims are based on purported misrepresentations and omissions in the Registration Statements for the Offerings relating to alleged business decisions made by CardioNet that were supposedly not disclosed to investors and alleged misstatements concerning CardioNet’s business. On April 5, 2010, all defendants removed the case to the Southern District of California.  On April 7, 2010, defendants filed a Motion to Transfer the case to the Eastern District of Pennsylvania.  On April 23, 2010, the plaintiff moved to remand the case to state court. On March 24, 2011, the court granted the plaintiff’s Motion remanding the case to the Superior Court of the State of California. Upon remand, the parties agreed by stipulation that defendants’ response to the Amended Complaint would be due on or before May 12, 2011.  On May 12, 2011, defendants filed a demurrer seeking dismissal of the action for failure to state a cause of action.  Plaintiffs filed an opposition to the demurrer on July 11, 2011 and defendants  filed a reply on August 1, 2011.  The Court is scheduled to hear argument on the demurrer on September 2, 2011.  In addition, on May 10, 2011, plaintiff served discovery requests on defendants.  Defendants served timely responses to the discovery requests and objected to them on various grounds.  In conjunction with those objections, on May 25, 2011 defendants filed a motion for a protective order seeking a stay of discovery until the Court has decided defendants’ demurrer as provided for under the Private Securities Litigation Reform Act.  That motion has been fully briefed, and the Court is scheduled to hear oral argument on defendants’ motion for a protective order on August 5, 2011.  Consistent with the accounting for contingent liabilities, no accrual has been recorded in the financial statements. The Company believes that the claims are without merit and intends to defend the litigation vigorously.

 

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On September 25, 2009, LifeWatch Services, Inc. (“LifeWatch”), and Card Guard Scientific Survival, Ltd. (“Card Guard”), the licensee and owner, respectively, of U.S. Patent Nos. 7,542,878 B2 (“the ‘878 Patent”) and 5,730,143 (“the ‘143 Patent”) commenced a patent infringement action against CardioNet’s wholly owned subsidiary, Braemar Inc. (“Braemar”), and one of Braemar’s customers, eCardio Diagnostics, LLC (“eCardio”), in the District Court for the Northern District of Illinois, Case No. 09-CV-6001.  The action alleges that Braemar and eCardio had infringed the ‘878 and ‘143 Patents.  Braemar and eCardio have denied those allegations.  The Supply Agreement between Braemar and eCardio provides that Braemar will hold eCardio harmless from any liability it incurs in connection with a claim that Braemar’s products violate the intellectual property rights or infringe upon any patent of a third party.  Since the commencement of the action, LifeWatch and Card Guard have dismissed their claims relating to alleged infringement of the ‘878 Patent, Card Guard dropped out of the action, and LifeWatch has continued to pursue its claims relating to the alleged infringement of the ‘143 Patent.  The ‘143 Patent was in reexamination proceedings at the U.S. Patent Office from February 19, 2010 through April 26, 2011.  During the reexamination, LifeWatch amended all of the claims of the ‘143 Patent in response to the Patent Office’s rejection of all of the claims based on prior art.  On April 26, 2011, the Reexamination Certificate issued with the amended claims.  The Company believes that LifeWatch’s claims under the original ‘143 Patent and under the amended claims of the Reexamination Certificate are without merit and intends to defend the litigation vigorously.  The parties have completed briefing on claim construction issues.  A claim construction hearing date has been set by the Court for October 26, 2011.  Consistent with the accounting for contingent liabilities, no accrual has been recorded in the financial statements. The Company believes that the claims are without merit and intends to defend the litigation vigorously.

 

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.

 

The following discussion and analysis should be read in conjunction with our Annual Report on Form 10-K for the year ended December 31, 2010, and in conjunction with the accompanying quarterly unaudited condensed consolidated financial statements. This discussion contains certain forward-looking statements that involve risks and uncertainties. The Company’s actual results and the timing of certain events could differ materially from those discussed in these forward-looking statements as a result of certain factors, including, but not limited to, those set forth herein and elsewhere in this report and in the Company’s other filings with the Securities and Exchange Commission. See the “Forward-Looking Statements” section at the beginning of this report.

 

Company Background

 

CardioNet is a leading provider of ambulatory, continuous, real-time outpatient management solutions for monitoring relevant and timely clinical information regarding an individual’s health. The Company’s efforts have initially been focused on the diagnosis and monitoring of cardiac arrhythmias, or heart rhythm disorders, with a solution that it markets as Mobile Cardiac Outpatient Telemetry™ (MCOT™). The Company actively began developing its product platform in April 2000, and since that time, has devoted substantial resources in advancing its patient monitoring solutions. The platform successfully integrates a wireless data transmission network, internally developed software, FDA-cleared algorithms and medical devices, and a 24-hour monitoring service center. In addition to its MCOT service offerings, the Company offers event, Holter and pacemaker monitoring services.

 

The Company’s Conshohocken location has been an approved Independent Diagnostic Testing Facility (“IDTF”) by Medicare since it received 510(k) clearance for the first and second generation of its core MCOT devices in 2002. The CardioNet Monitoring Center commenced operations in Conshohocken, Pennsylvania in 2002, concurrent with its first FDA approval, and all of the Company’s MCOT arrhythmia monitoring activities are currently conducted at that location. The Company received FDA 510(k) clearance for the proprietary algorithm included in its third generation product, or C3, in October 2005. Subsequently in November 2006, the Company received FDA 510(k) clearance for its C3 system which it has incorporated as part of its monitoring solution. The Company received FDA 510(k) clearance for its next generation platform in April 2010 and expects the product to launch later this year. The Company continues to pursue innovation of new and existing medical solutions through investments in research and development.

 

In December 2010, the Company completed the acquisition of Biotel Inc. (“Biotel”), and its wholly owned subsidiaries, Braemar, Inc. (“Braemar”) and Agility Centralized Research Services, Inc. (“Agility”). The acquisition gave the Company the ability to develop, manufacture, test and market medical devices and related software to medical companies. Additionally, the acquisition gave the Company access to established customer relationships, entry into the clinical trial service business and the ability to diversify its product and service offerings.

 

Braemar is engaged in the manufacture and sale of event and Holter medical devices, as well as the repair of such devices. Braemar’s customers include distributors and other resellers, physicians, clinics and hospitals. Agility is involved primarily in contract research monitoring services. Its customers include universities, hospitals, physicians, and private companies that are involved in the research and testing of pharmaceuticals, products and medical procedures.

 

Reimbursement

 

Effective January 1, 2009, the American Medical Association (“AMA”) established the Category I CPT codes (93228 and 93229) that cover MCOT services. Highmark Medicare Services (“HMS”), a contract service provider for the Centers for Medicare and Medicaid Services (“CMS”), was responsible for setting the reimbursement rate on behalf of CMS for code 93229, which is the code for the technical component of our services. The new billing codes allow for automated claims adjudication, substantially simplifying the reimbursement process for physicians and payors compared to the previous process. Reimbursement prior to the use of the new CPT codes was obtained through non-specific billing codes which require various narratives that, in most cases, involve semi-automated or manual processing, as well as additional review by payors. On July 10, 2009, HMS announced a reduction in the reimbursement rate for our MCOT services to $754 per service, a reduction of approximately 33%. This new rate went into effect on September 1, 2009. The decline in reimbursement rate has had a negative impact on the Company’s revenue and operating results. The Company estimates that the rate reduction caused a reduction in revenue for the year ended December 31, 2010, of approximately $25.4 million. Several strategic initiatives have been implemented, including cost reduction initiatives, process improvement and facility consolidation in an effort to improve the Company’s operating performance given the reduced reimbursement rate.

 

On November 2, 2010, CMS published The Medicare Program Final Rule establishing a national rate for the MCOT technology (CPT Code 93229). CMS valued the CPT code at 20.14 relative value units, which was multiplied by an annually determined conversion factor to establish the amounts paid under the physician fee schedule. Using the formula and values currently in place, the Company’s national rate is approximately $739 per service, which became effective January 1, 2011. This is a decrease of

 

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approximately 2% from the Company’s local carrier rate of $754 per service that was previously established by HMS. The 2% rate decline did not have a material impact on revenue for the three and six months ended June 30, 2011.

 

After receiving the CPT code in the first quarter of 2009, the Company received pressure from several commercial payors to renegotiate reimbursement rate contracts. This pressure led to a substantial decline in our average commercial reimbursement rates in the first half of 2009. During the second half of 2009 and throughout the first half of 2010 we saw commercial reimbursement rates stabilize. The Company experienced a decline in commercial reimbursement rates during the second half of 2010. However, the Company experienced an increase in the first half of 2011 as a result of fewer non-contracted commercial patients. The Company expects to experience some fluctuation in its average commercial reimbursement rates due to variations in payor mix. Overall, we expect the average commercial reimbursement rates to remain stable or decline over time.

 

We have successfully secured contracts with most national and regional commercial payors. As of June 30, 2010, we have 328 MCOT contracts with commercial payors, compared to 304 at December 31, 2010. The current estimated total of over 215 million covered lives for Medicare and commercial lives for which we had reimbursement contracts as of June 30, 2011 represents approximately 83% of the total covered lives in the United States. The MCOT contracts also cover event, Holter and pacemaker service pricing. In addition, as of June 30, 2011 there were approximately 189 contracts with commercial payors that pertained only to event, Holter and pacemaker service pricing, and did not cover MCOT. The majority of the remaining covered lives are insured by a small number of large commercial insurance companies that deemed MCOT to be experimental in nature and do not currently reimburse us for services provided to their beneficiaries.

 

Patient and Other Revenue

 

Patient revenue includes revenue from MCOT, event, Holter and pacemaker monitoring services. Other revenue includes revenue from product sales, product repairs, contract research services and all other revenue that is not patient related. The Company receives a significant portion of its revenue from third party commercial insurance organizations and governmental entities. It also receives reimbursement directly from patients through co-pay and self-pay arrangements. Revenue from non-contracted commercial payors is recorded at net realizable value based on historical payment patterns. Billings for services reimbursed by contract third party payors, including Medicare, are recorded as revenue net of contractual allowances. Adjustments to the estimated receipts, based on final settlement with the third party payors, are recorded upon settlement. If the Company does not have sufficient historical information regarding collectability from a given payor to support revenue recognition at the time of service, revenue is recognized when cash is received. Unearned amounts are appropriately deferred until service is performed.

 

Accounts Receivable

 

Receivables are recorded at the time revenue is recognized, net of contractual allowances and are presented on the balance sheet net of allowance for doubtful accounts. The Company performs analyses to evaluate the net realizable value of accounts receivable as of the balance sheet date. Specifically, the Company considers historical realization data, accounts receivable aging trends, other operating trends and relevant business conditions. Because of continuing changes in the health care industry and third party reimbursement, it is possible that our estimates could change, which could have a material impact on our operations and cash flows.

 

The ultimate collection of accounts receivable may not be known for several months after services have been provided and billed. The Company records bad debt expense based on the aging of the receivable using historical Company-specific data. The percentages and amounts used to record bad debt expense and the allowance for doubtful accounts are supported by various methods and analyses, including current and historical cash collections, and bad debt write-offs. The Company will write-off receivables when the likelihood for collection is remote, the receivables have been fully reserved, and when the Company believes collection efforts have been fully exhausted and it does not intend to devote additional resources in attempting to collect. The Company performs write-offs on a quarterly basis. The Company wrote off $7.7 million of receivables in the six months ended June 30, 2011. The impact was a reduction of gross receivables and a reduction in the allowance for doubtful accounts. There was no impact on the net receivables reported on the balance sheet as of June 30, 2011, or bad debt expense reported on the statement of operations for the three or six months ended June 30, 2011, as a result of this write-off.

 

Restructuring Activities

 

During the first half of 2011, the Company incurred charges related to the integration of operations in connection to the Biotel acquisition. The Company incurred integration costs of $1.1 million for the six months ended June 30, 2011 which consisted of $0.7 million of severance and other employee related expenses and $0.4 million of other charges.

 

During the first quarter of 2010, the Company undertook an initiative to streamline its sales and service organizations and reduce support costs Company-wide. It also initiated plans to close its event monitoring facility in Georgia and consolidate it with the Company’s monitoring facilities in Pennsylvania and Minnesota. The Company realized cost efficiencies by undertaking these

 

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initiatives. The total cost of the restructuring plan was approximately $3,523. The Company incurred restructuring expenses of $2,563 for the six months ended June 30, 2010. The restructuring activities were substantially complete as of December 31, 2010.

 

nPhase Supplier Agreement

 

The Company established a relationship with nPhase, formerly Qualcomm Inc., in May 2003. nPhase is the sole provider of wireless cellular data connectivity solutions and data hosting and queuing services for the Company’s monitoring network. The Company has no fixed or minimum financial commitment as it relates to network usage or volume activity. However, if the Company fails to maintain an agreed-upon number of active cardiac monitoring devices on the nPhase network or it utilizes the monitoring and communications services of a provider other than nPhase, nPhase has the right to terminate its relationship with the Company and/or the Company may be subject to penalties.

 

Results of Operations

 

Three Months Ended June 30, 2011 and 2010

 

Revenues.    Total revenues for the three months ended June 30, 2011 decreased to $31.6 million from $31.9 million for the three months ended June 30, 2010, a decrease of $0.3 million, or 0.9%. MCOT™ revenue declined $5.2 million primarily due to lower average reimbursement, as well as slightly lower volume which the Company is addressing through increased investment in sales and marketing. This decline in MCOT™ revenue was partially offset by the additional $3.6 million in revenue generated from product sales, product repairs and contract research services, as well as on increase in other patient revenue of $1.3 million for the three months ended June 30, 2011 compared to the three months ended June 30, 2010.

 

Gross Profit.    Gross profit decreased to $18.6 million for the three months ended June 30, 2011 from $20.1 million for the three months ended June 30, 2010. The decrease of $1.5 million, or 7.4%, was due primarily to a decrease in MCOT™ reimbursement rates and the inclusion of costs of goods sold related to the Biotel acquisition which carry a lower gross profit margin.  Gross profit as a percentage of revenue declined to 58.9% for the three months ended June 30, 2011 compared to 62.9% for the three months ended June 30, 2010.

 

General and Administrative Expense.    General and administrative expense was $9.0 million for the three months ended June 30, 2011 compared to $8.5 million for the three months ended June 30, 2010. The increase of $0.5 million, or 5.1%, was due primarily to higher payroll and other employee related costs, and higher amortization expense totaling $0.6 million related to the Biotel acquisition, offset by lower miscellaneous CardioNet expenses. As a percent of total revenues, general and administrative expense was 28.4% for the three months ended June 30, 2011 compared to 26.8% for the three months ended June 30, 2010.

 

Sales and Marketing Expense.    Sales and marketing expense was $7.4 million for the three months ended June 30, 2011 compared to $6.9 million for the three months ended June 30, 2010. The increase of $0.5 million, or 7.5%, was primarily due to higher payroll and other employee related expenses. As a percent of total revenues, sales and marketing expense was 23.4% for the three months ended June 30, 2011 compared to 21.5% for the three months ended June 30, 2010.

 

Bad Debt Expense.    Bad debt expense was $2.9 million for the three months ended June 30, 2011 compared to $4.5 million for the three months ended June 30, 2010. The decrease of $1.6 million, or 35.3%, was due primarily to improved cash collections that resulted in lower gross receivable balances moving into older aging brackets with higher reserve percentages. The bad debt expense recorded for the three months ended June 30, 2011 was based upon an evaluation of historical collection experience of accounts receivable, by age, for various payor classes. As a percentage of net patient service revenues, bad debt expense was 10.4% for the three months ended June 30, 2011 compared to 14.0% for the three months ended June 30, 2010.

 

Research and Development Expense.    Research and development expense was $1.4 million for the three months ended June 30, 2011 compared to $1.2 million for the three months ended June 30, 2010.  The increase of $0.2 million, or 10.7%, was due primarily to the inclusion of Biotel’s expenses. As a percent of total revenues, research and development expense was 4.3% for the three months ended June 30, 2011 compared to 3.9% for the three months ended June 30, 2010.

 

Integration, Restructuring and Other Charges.    The Company incurred integration and restructuring charges related to integration of Biotel operations of $0.6 million for the three months ended June 30, 2011, primarily relating to severance and employee related costs, travel and other costs. The Company incurred $0.4 million of other charges related primarily to legal fees incurred in connection with current litigation. Integration, restructuring and other charges were 3.2% of total revenues for the three months ended June 30, 2011.

 

The Company incurred restructuring costs of $0.9 million and other charges of $0.2 million for the three months ended June 30, 2010. The restructuring costs included $0.6 million of severance and employee related costs and $0.3 million of other charges related to the 2010 restructuring plan. The 2010 restructuring plan included the consolidation of the Company’s sales and service

 

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organizations, the closure of the Company’s event monitoring facility in Georgia and consolidation with its monitoring facilities in Pennsylvania and Minnesota, and an overall reduction of administrative costs Company-wide. Integration, restructuring and other charges were 3.5% of total revenues for the three months ended June 30, 2010. The other charges related to legal costs and other miscellaneous items.

 

Net Loss.    The Company incurred a net loss of $3.0 million for the three months ended June 30, 2011 compared to a net loss of $2.1 million for the three months ended June 30, 2010.

 

Six Months Ended June 30, 2011 and 2010

 

Revenues.    Total revenues for the six months ended June 30, 2011 increased to $65.6 million from $63.8 million for the six months ended June 30, 2010, an increase of $1.8 million, or 3.0%. The increase was primarily due to $7.2 million generated from product sales, product repairs and contract research services related to the Biotel acquisition, as well as an increase in other patient revenue of $1.5 million. The increase was offset by a decrease in MCOT™ patient service revenue of $6.9 million, due primarily to a decrease in average reimbursement rates and a slight decrease in volume for the six months ended June 30, 2011 compared to the six months ended June 30, 2010.

 

Gross Profit.    Gross profit decreased to $39.0 million for the six months ended June 30, 2011 from $40.2 million for the six months ended June 30, 2010. The decrease of $1.2 million, or 3.0%, was due primarily to a decline in MCOT™ patient service revenue and the inclusion of costs of goods sold related to the Biotel acquisition which carry a lower gross profit margin. Gross profit as a percentage of total revenue declined to 59.4% for the six months ended June 30, 2011 compared to 63.0% for the six months ended June 30, 2010.

 

General and Administrative Expense.    General and administrative expense was $18.7 million for the six months ended June 30, 2011 compared to $18.2 million for the six months ended June 30, 2010. The increase of $0.5 million, or 2.4%, was due primarily to higher payroll and other employee related expenses, amortization and miscellaneous expenses of $1.7 million related to the Biotel acquisition, offset by lower legal expenses of $0.9 million and other miscellaneous expenses of $0.3 million related to CardioNet operations. As a percent of total revenues, general and administrative expense was 28.4% for the six months ended June 30, 2011 compared to 28.6% for the six months ended June 30, 2010.

 

Sales and Marketing Expense.    Sales and marketing expense was $15.5 million for the six months ended June 30, 2011 compared to $14.9 million for the six months ended June 30, 2010. The increase of $0.6 million, or 3.9%, was due primarily to higher payroll and other employee related expenses and outside consulting services. As a percent of total revenues, sales and marketing expense was 23.6% for the six months ended June 30, 2011 compared to 23.3% for the six months ended June 30, 2010.

 

Bad Debt Expense.    Bad debt expense was $5.3 million for the six months ended June 30, 2011 compared to $9.1 million for the six months ended June 30, 2010. The decrease of $3.8 million, or 42.0%, was due primarily to improved cash collections that resulted in lower gross receivable balances moving into older aging brackets with higher reserve percentages. The bad debt expense recorded for the six months ended June 30, 2011 was based upon an evaluation of historical collection experience of accounts receivable, by age, for various payor classes. As a percentage of net patient service revenues, bad debt expense was 9.1% for the six months ended June 30, 2011 compared to 14.3% for the six months ended June 30, 2010.

 

Research and Development Expense.    Research and development expense was $3.0 million for the six months ended June 30, 2011 compared to $2.5 million for the six months ended June 30, 2010.  The increase of $0.5 million, or 23.0%, was primarily due to the inclusion of Biotel’s expenses. As a percent of total revenues, research and development expense was 4.6% for the six months ended June 30, 2011 compared to 3.9% for the six months ended June 30, 2010.

 

Integration, Restructuring and Other Charges.    The Company incurred integration and restructuring charges related to integration of Biotel operations of $0.7 million for the six months ended June 30, 2011, primarily relating to severance and employee related costs, travel and other costs. The Company incurred $0.4 million of other charges related primarily to legal fees incurred in connection with current litigation. Integration, restructuring and other charges were 1.7% of total revenues for the six months ended June 30, 2011.

 

The Company incurred restructuring costs of $2.6 million and other charges of $0.5 million for the six months ended June 30, 2010. The restructuring costs included $2.0 million of severance and employee related costs and $0.6 million of other charges related to the 2010 restructuring plan. The 2010 restructuring plan included the consolidation of the Company’s sales and service organizations, the closure of the Company’s event monitoring facility in Georgia and consolidation with its monitoring facilities in Pennsylvania and Minnesota, and an overall reduction of administrative costs company-wide. Integration, restructuring and other charges were 4.8% of total revenues for the six months ended June 30, 2010. The other charges related to legal costs and other miscellaneous items.

 

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Net Loss.    The Company incurred a net loss of $4.6 million for the six months ended June 30, 2011 compared to a net loss of $7.6 million for the six months ended June 30, 2010.

 

Liquidity and Capital Resources

 

The Company’s Annual Report on Form 10-K for the year ended December 31, 2010 includes a detailed discussion of our liquidity, contractual obligations and commitments. The information presented below updates and should be read in conjunction with the information disclosed in that Form 10-K.

 

As of June 30, 2011, our principal source of liquidity was cash and cash equivalents of $16.4 million, available-for-sale investments of $28.6 million and net accounts receivable of $29.1 million. The Company has no short or long-term debt and does not anticipate needing to secure financing from external sources for cash to operate the business. The Company had working capital of $63.7 million as of June 30, 2011, up from $60.6 million at December 31, 2010, driven mostly by higher net accounts receivable and lower accounts payable. We believe that our existing cash and cash equivalent balances will be sufficient to meet our anticipated cash requirements for the foreseeable future.

 

The Company generated $1.1 million of cash from operations for the six months ended June 30, 2011. Cash was used primarily to fund the Company’s ongoing operations during the six month period that resulted in a $4.6 million net loss, and to fund its net working capital requirements. The net loss and changes in working capital were partially offset by $14.5 million of non-cash items related to depreciation, amortization, provision for doubtful accounts and stock compensation expense.

 

The Company used $3.8 million of cash for investing activities for the six months ended June 30, 2011. This was driven primarily by the use of $1.7 million for the investment in medical devices and other property and equipment for use in its ongoing operations. In addition, the Company used $28.3 million of cash for the purchase of available-for-sale securities for the six months ended June 30, 2011, which was offset by $26.2 million of proceeds from the maturity of certain of its short term investments. The Company believes that if necessary the available-for-sale investments can be converted to cash in a short period of time.

 

If the Company determines that it needs to raise additional capital, such capital may not be available on reasonable terms, or at all. If the Company raises additional funds by issuing equity securities, its existing stockholders’ ownership will be diluted. If the Company raises additional funds by incurring debt financing, the terms of the debt may involve significant cash payment obligations as well as covenants and specific financial ratios that may restrict the ability to operate its business.

 

Item 3. Quantitative and Qualitative Disclosures about Market Risk.

 

Our cash and cash equivalents as of June 30, 2011 were $16.4 million and consisted primarily of cash and money market funds with maturities of less than 90 days. The Company also has $28.6 million of available-for-sale securities with maturities of less than one year. The Company believes that if necessary these securities can be converted to cash in a short period of time. The primary objective of our investment activities is to preserve our capital for the purpose of funding operations while, at the same time, maximizing the income we receive from our investments without significantly increasing risk. To achieve this objective, our investment policy allows us to maintain a portfolio of cash equivalents and short term investments in a variety of securities including money market funds and corporate debt securities. Due to the short term nature of our investments, we believe we have no material exposure to interest rate risk.

 

Item 4. Controls and Procedures.

 

Evaluation of Disclosure Controls and Procedures

 

The Company maintains disclosure controls and procedures designed to ensure information required to be disclosed in Company reports filed under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), is recorded, processed, summarized, and reported within the time periods specified in the SEC’s rules and forms.  Disclosure controls and procedures are designed to provide reasonable assurance that information required to be disclosed in Company reports filed under the Exchange Act is accumulated and communicated to management, including the Company’s Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.

 

The Company’s management, with the participation of the Company’s Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company’s disclosure controls and procedures pursuant to Rule 13a-15(b) of the Exchange Act as of the end of the period covered by this report.  Based on that evaluation, the Company’s Chief Executive Officer and Chief Financial Officer have concluded that the Company’s disclosure controls and procedures were effective as of June 30, 2011 to ensure that information required to be disclosed in Company reports filed under the Exchange Act is (i) recorded, processed, summarized and

 

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reported within the time periods specified in the SEC rules and forms and (ii) accumulated and communicated to management, including the Company’s principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

 

Changes in Internal Control over Financial Reporting

 

There were no changes in the Company’s internal control over financial reporting during the three months ending June 30, 2011, that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

PART II - OTHER INFORMATION.

 

Item 1.  Legal Proceedings.

 

On March 5, 2010, West Palm Beach Police Pension Fund filed a putative class action complaint in California Superior Court, San Diego County asserting claims for violations of Sections 11, 12 and 15 of the Securities Act of 1933, as amended, against CardioNet, nine current and former officers and directors of CardioNet and six underwriters of CardioNet’s initial public offering (IPO) and/or Secondary Offering (together with the IPO, the “Offerings”). The complaint filed also asserted claims for alleged violations of Sections 25401 and 25501 of the California Corporations Code against defendants James M. Sweeney and Fred Middleton. The plaintiff seeks to bring claims on behalf of all those who acquired the common stock of CardioNet pursuant and/or traceable to the Company’s Offerings. On March 10, 2010, plaintiff filed an Amended Complaint that deleted the claims for violations of the California Corporations Code. The claims are based on purported misrepresentations and omissions in the Registration Statements for the Offerings relating to alleged business decisions made by CardioNet that were supposedly not disclosed to investors and alleged misstatements concerning CardioNet’s business. On April 5, 2010, all defendants removed the case to the Southern District of California.  On April 7, 2010, defendants filed a Motion to Transfer the case to the Eastern District of Pennsylvania.  On April 23, 2010, the plaintiff moved to remand the case to state court. On March 24, 2011, the court granted the plaintiff’s Motion remanding the case to the Superior Court of the State of California. Upon remand, the parties agreed by stipulation that defendants’ response to the Amended Complaint would be due on or before May 12, 2011.  On May 12, 2011, defendants filed a demurrer seeking dismissal of the action for failure to state a cause of action.  Plaintiffs filed an opposition to the demurrer on July 11, 2011 and defendants filed a reply on August 1, 2011.  The Court is scheduled to hear argument on the demurrer on September 2, 2011.  In addition, on May 10, 2011, plaintiff served discovery requests on defendants.  Defendants served timely responses to the discovery requests and objected to them on various grounds.  In conjunction with those objections, on May 25, 2011 defendants filed a motion for a protective order seeking a stay of discovery until the Court has decided defendants’ demurrer as provided for under the Private Securities Litigation Reform Act.  That motion has been fully briefed, and the Court is scheduled to hear oral argument on defendants’ motion for a protective order on August 5, 2011.  Consistent with the accounting for contingent liabilities, no accrual has been recorded in the financial statements. The Company believes that the claims are without merit and intends to defend the litigation vigorously.

 

On September 25, 2009, LifeWatch Services, Inc. (“LifeWatch”), and Card Guard Scientific Survival, Ltd. (“Card Guard”), the licensee and owner, respectively, of U.S. Patent Nos. 7,542,878 B2 (“the ‘878 Patent”) and 5,730,143 (“the ‘143 Patent”) commenced a patent infringement action against CardioNet’s wholly owned subsidiary, Braemar Inc. (“Braemar”), and one of Braemar’s customers, eCardio Diagnostics, LLC (“eCardio”), in the District Court for the Northern District of Illinois, Case No. 09-CV-6001.  The action alleges that Braemar and eCardio had infringed the ‘878 and ‘143 Patents.  Braemar and eCardio have denied those allegations.  The Supply Agreement between Braemar and eCardio provides that Braemar will hold eCardio harmless from any liability it incurs in connection with a claim that Braemar’s products violate the intellectual property rights or infringe upon any patent of a third party.  Since the commencement of the action, LifeWatch and Card Guard have dismissed their claims relating to alleged infringement of the ‘878 Patent, Card Guard dropped out of the action, and LifeWatch has continued to pursue its claims relating to the alleged infringement of the ‘143 Patent.  The ‘143 Patent was in reexamination proceedings at the U.S. Patent Office from February 19, 2010 through April 26, 2011.  During the reexamination, LifeWatch amended all of the claims of the ‘143 Patent in response to the Patent Office’s rejection of all of the claims based on prior art.  On April 26, 2011, the Reexamination Certificate issued with the amended claims.  The Company believes that LifeWatch’s claims under the original ‘143 Patent and under the amended claims of the Reexamination Certificate are without merit and intends to defend the litigation vigorously.  The parties have completed briefing on claim construction issues.  A claim construction hearing date has been set by the Court for October 26, 2011.  Consistent with the accounting for contingent liabilities, no accrual has been recorded in the financial statements. The Company believes that the claims are without merit and intends to defend the litigation vigorously.

 

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Item 1A.  Risk Factors.

 

In evaluating an investment in our common stock, investors should consider carefully, among other things, the risk factors previously disclosed in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2010, as well as the information contained in this Quarterly Report and our other reports and registration statements filed with the SEC. There have been no material changes from the risk factors previously disclosed under “Risk Factors” in Part I, Item 1A of our Annual Report on Form 10-K for the year ended December 31, 2010.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

Not applicable.

 

Item 3. Defaults Upon Senior Securities

 

Not applicable.

 

Item 4. Removed and Reserved

 

Item 5. Other Information

 

Not applicable.

 

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Item 6.  Exhibits.

 

EXHIBIT INDEX

 

Exhibit
Number

 

 

 

 

 

31.1

 

Certification of Chief Executive Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated under the Securities and Exchange Act of 1934, as amended.

31.2

 

Certification of Chief Financial Officer pursuant to Rules 13a-14(a) and 15d-14(a) promulgated under the Securities and Exchange Act of 1934, as amended.

32.1

 

Certification of Chief Executive Officer and Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS*

 

XBRL Instance Document

101.SCH*

 

XBRL Taxonomy Extension Schema Document

101.CAL*

 

XBRL Taxonomy Extension Calculation Linkbase Document

101.LAB*

 

XBRL Taxonomy Label Linkbase Document

101.PRE*

 

XBRL Taxonomy Presentation Linkbase Document

101.DEF*

 

XBRL Taxonomy Definition Linkbase Document

 


* Pursuant to applicable securities laws and regulations, we are deemed to have complied with the reporting obligation relating to the submission of interactive data files in such exhibits and are not subject to liability under any anti-fraud provisions of the federal securities laws as long as we have made a good faith attempt to comply with the submission requirements and promptly amend the interactive data files after becoming aware that the interactive data files fail to comply with the submission requirements. Users of this data are advised that, pursuant to Rule 406T, these interactive data files are deemed not filed and otherwise are not subject to liability.

 

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CardioNet, Inc.

 

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.

 

 

CARDIONET, INC.

 

 

 

 

Date: August 9, 2011

By:

/s/ Heather C. Getz

 

 

Heather C. Getz, CPA

 

 

Chief Financial Officer

 

 

(Principal Financial Officer and authorized officer of the

 

 

Registrant)

 

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