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, 2014

 

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 000-55039

 

BioTelemetry, Inc.

(Exact Name of Registrant as Specified in its Charter)

 

Delaware

 

46-2568498

(State or Other Jurisdiction of Incorporation or Organization)

 

(I.R.S. Employer Identification Number)

 

 

 

1000 Cedar Hollow Road
Malvern, Pennsylvania

 

19355

(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  x  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 July 29, 2014, 26,458,841 shares of the registrant’s common stock, $0.001 par value per share, were outstanding.

 

 

 



Table of Contents

 

BIOTELEMETRY, INC.

QUARTERLY REPORT ON FORM 10-Q FOR THE PERIOD ENDED JUNE 30, 2014

TABLE OF CONTENTS

 

 

 

Page
No.

PART I.

FINANCIAL INFORMATION

 

Item 1.

Financial Statements

4

Item 2.

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

16

Item 3.

Quantitative and Qualitative Disclosures about Market Risk

21

Item 4.

Controls and Procedures

21

 

 

 

PART II.

OTHER INFORMATION

 

Item 1.

Legal Proceedings

22

Item 1A.

Risk Factors

22

Item 2.

Unregistered Sales of Equity Securities and Use of Proceeds

22

Item 3.

Defaults Upon Senior Securities

23

Item 4.

Mine Safety Disclosures

23

Item 5.

Other Information

23

Item 6.

Exhibits

24

 

 

 

SIGNATURES

 

25

 

2



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.  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 these expectations, and could cause actual outcomes and results to differ materially from current expectations.  These factors include, among other things, our ability to successfully integrate the Mednet, Biomedical Systems and Radcore businesses into our business and the effect such acquisitions will have on our results of operation, our ability to successfully negotiate a settlement to the Department of Justice investigation prior to any judicial action, effectiveness of our cost savings initiatives, relationships with our government and commercial payors, 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, patent protection, adverse regulatory action, and litigation success.  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.

 

3



Table of Contents

 

PART I — FINANCIAL INFORMATION

 

Item 1. Financial Statements.

 

BIOTELEMETRY, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share amounts)

 

 

 

(Unaudited)

 

 

 

 

 

June 30, 2014

 

December 31, 2013

 

 

 

 

 

 

 

ASSETS

 

 

 

 

 

Current assets:

 

 

 

 

 

Cash and cash equivalents

 

$

13,546

 

$

22,151

 

Accounts receivable, net of allowance for doubtful accounts of $9,801 and $7,555, at June 30, 2014 and December 31, 2013, respectively

 

15,702

 

11,437

 

Other receivables, net of allowance for doubtful accounts of $259 and $85 at June 30, 2014 and December 31, 2013, respectively

 

7,877

 

5,680

 

Inventory

 

2,970

 

2,554

 

Prepaid expenses and other current assets

 

1,670

 

2,433

 

Total current assets

 

41,765

 

44,255

 

Property and equipment, net

 

29,084

 

18,779

 

Intangible assets, net

 

16,963

 

7,312

 

Goodwill

 

29,503

 

16,469

 

Other assets

 

1,094

 

731

 

Total assets

 

$

118,409

 

$

87,546

 

 

 

 

 

 

 

LIABILITIES AND STOCKHOLDERS’ EQUITY

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable

 

$

14,439

 

$

8,718

 

Accrued liabilities

 

17,478

 

8,190

 

Current portion of capital leases

 

554

 

187

 

Current portion of long-term debt

 

450

 

 

Deferred revenue

 

2,903

 

1,945

 

Total current liabilities

 

35,824

 

19,040

 

Long-term debt

 

17,186

 

 

Deferred tax liability

 

1,258

 

767

 

Long-term portion of capital leases

 

589

 

469

 

Deferred rent

 

852

 

441

 

Total liabilities

 

55,709

 

20,717

 

 

 

 

 

 

 

Shareholders’ equity:

 

 

 

 

 

Common stock, $0.001 par value; 200,000,000 shares authorized; 26,421,886 and 25,812,754 shares issued and outstanding at June 30, 2014 and December 31, 2013, respectively

 

26

 

26

 

Paid-in capital

 

264,578

 

260,597

 

Accumulated deficit

 

(201,904

)

(193,794

)

Total stockholders’ equity

 

62,700

 

66,829

 

Total liabilities and stockholders’ equity

 

$

118,409

 

$

87,546

 

 

See accompanying notes.

 

4



Table of Contents

 

BIOTELEMETRY, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS AND COMPREHENSIVE INCOME (LOSS)

(Unaudited)

(In thousands, except share and per share amounts)

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

 

2014

 

2013

 

2014

 

2013

 

Revenues:

 

 

 

 

 

 

 

 

 

Patient service

 

$

34,160

 

$

24,910

 

$

63,454

 

$

49,615

 

Research services

 

5,245

 

5,252

 

10,085

 

10,124

 

Product

 

3,245

 

1,942

 

6,273

 

4,783

 

Total revenues

 

42,650

 

32,104

 

79,812

 

64,522

 

 

 

 

 

 

 

 

 

 

 

Cost of revenues:

 

 

 

 

 

 

 

 

 

Patient services

 

14,842

 

8,827

 

25,968

 

17,591

 

Research services

 

2,725

 

2,769

 

5,481

 

5,507

 

Product

 

1,470

 

1,012

 

3,106

 

2,383

 

Total cost of revenues

 

19,037

 

12,608

 

34,555

 

25,481

 

 

 

 

 

 

 

 

 

 

 

Gross profit

 

23,613

 

19,496

 

45,257

 

39,041

 

Operating expenses:

 

 

 

 

 

 

 

 

 

General and administrative

 

11,139

 

9,077

 

21,911

 

18,605

 

Sales and marketing

 

7,172

 

6,267

 

14,612

 

13,029

 

Bad debt expense

 

2,745

 

1,967

 

5,104

 

4,434

 

Research and development

 

1,958

 

1,882

 

3,747

 

3,502

 

Integration, restructuring and other charges

 

1,000

 

2,541

 

3,980

 

3,743

 

 

 

 

 

 

 

 

 

 

 

Total expenses

 

24,014

 

21,734

 

49,354

 

43,313

 

 

 

 

 

 

 

 

 

 

 

Loss from operations

 

(401

)

(2,238

)

(4,097

)

(4,272

)

Interest and other loss, net

 

(3,587

)

(61

)

(6,858

)

(114

)

 

 

 

 

 

 

 

 

 

 

Loss before income taxes

 

(3,988

)

(2,299

)

(10,955

)

(4,386

)

Benefit from income taxes

 

 

 

2,845

 

 

 

 

 

 

 

 

 

 

 

 

Net loss and comprehensive loss

 

(3,988

)

(2,299

)

(8,110

)

(4,386

)

 

 

 

 

 

 

 

 

 

 

Net loss per common share:

 

 

 

 

 

 

 

 

 

Basic and diluted

 

$

(0.15

)

$

(0.09

)

$

(0.31

)

$

(0.17

)

 

 

 

 

 

 

 

 

 

 

Weighted average number of common shares outstanding:

 

 

 

 

 

 

 

 

 

Basic and diluted

 

26,434,047

 

25,537,358

 

26,272,436

 

25,370,164

 

 

See accompanying notes.

 

5



Table of Contents

 

BIOTELEMETRY, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

(In thousands)

 

 

 

Six Months Ended
June 30,

 

 

 

2014

 

2013

 

Operating activities

 

 

 

 

 

Net loss

 

$

(8,110

)

$

(4,386

)

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

 

 

 

 

 

Provision for doubtful accounts

 

5,104

 

4,434

 

Depreciation

 

4,436

 

4,551

 

Stock-based compensation

 

1,968

 

1,711

 

Amortization of intangibles

 

1,559

 

1,193

 

Deferred income tax benefit

 

(2,869

)

 

Increase (decrease) in deferred rent

 

411

 

(172

)

Changes in operating assets and liabilities:

 

 

 

 

 

Accounts receivable

 

(7,585

)

(3,163

)

Inventory

 

(104

)

(789

)

Prepaid expenses and other assets

 

688

 

(1,724

)

Accounts payable

 

1,262

 

1,586

 

Accrued and other liabilities

 

7,109

 

921

 

 

 

 

 

 

 

Net cash provided by operating activities

 

3,869

 

4,162

 

 

 

 

 

 

 

Investing activities

 

 

 

 

 

Acquisition of business, net of cash acquired

 

(14,100

)

 

Purchases of property and equipment

 

(7,610

)

(3,425

)

 

 

 

 

 

 

Net cash used in investing activities

 

(21,710

)

(3,425

)

 

 

 

 

 

 

Financing activities

 

 

 

 

 

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

 

458

 

271

 

Issuance of long-term debt

 

17,830

 

 

Repayment of long-term debt

 

(8,798

)

 

Principal payments on capital lease obligations

 

(254

)

 

 

 

 

 

 

 

Net cash provided by financing activities

 

9,236

 

271

 

 

 

 

 

 

 

Net (decrease) increase in cash and cash equivalents

 

(8,605

)

1,008

 

Cash and cash equivalents — beginning of period

 

22,151

 

18,298

 

 

 

 

 

 

 

Cash and cash equivalents — end of period

 

13,546

 

19,306

 

Supplemental disclosure of cash flow information

 

 

 

 

 

Cash paid for interest

 

$

370

 

$

 

Cash paid for taxes

 

$

134

 

$

105

 

 

See accompanying notes.

 

6



Table of Contents

 

BIOTELEMETRY, 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 BioTelemetry, Inc.’s (the “Company” or “BioTelemetry”) financial position as of June 30, 2014 and December 31, 2013, the results of operations for the three and six months ended June 30, 2014 and 2013, and cash flows for the six months ended June 30, 2014 and 2013.  The financial data and other information disclosed in these notes to the financial statements related to the three and six months ended June 30, 2014 and 2013 are unaudited. The results for the three and six months ended June 30, 2014 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, 2014 and 2013:

 

 

 

June 30, 2014

 

June 30, 2013

 

Employee stock purchase plan estimated share options outstanding

 

88,094

 

50,477

 

Common stock options and restricted stock units outstanding

 

4,322,496

 

4,129,523

 

Common stock options and restricted stock units available for grant

 

3,105,541

 

2,429,098

 

Common stock

 

26,421,886

 

25,549,762

 

Total

 

33,938,017

 

32,158,860

 

 

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,

 

 

 

2014

 

2013

 

2014

 

2013

 

 

 

(in thousands, except share and per share amounts)

 

Numerator:

 

 

 

 

 

 

 

 

 

Net loss

 

$

(3,988

)

$

(2,299

)

$

(8,110

)

$

(4,386

)

Denominator:

 

 

 

 

 

 

 

 

 

Weighted average shares used in computing basic and diluted net loss per share

 

26,434,047

 

25,537,358

 

26,272,436

 

25,370,164

 

Basic and diluted net loss per share

 

$

(0.15

)

$

(0.09

)

$

(0.31

)

$

(0.17

)

 

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, 2014 and 2013. Accordingly, basic and diluted net loss per share are the same for the three and six months ended June 30, 2014 and 2013.

 

Fair Value of Financial Instruments

 

The fair value of financial instruments is defined as the amount at which the instrument could be exchanged in a current transaction between willing parties. The Company’s financial instruments consist primarily of cash and cash equivalents, accounts receivable, other receivables, accounts payable and long-term debt. With the exception of the long-term debt, the carrying value of these financial instruments approximates their fair value because of their short-term nature (classified as Level 1). For our long-term debt, based on the borrowing rates currently available to us, the carrying value also approximates fair value as of June 30, 2014 (classified as Level 2).  We did not have any Level 3 assets or liabilities for the periods ended June 30, 2014 and December 31, 2013.

 

7



Table of Contents

 

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.

 

Accounts Receivable

 

Accounts receivable related to the Patient Services segment 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 ultimate collection of accounts receivable may not be known for several months after services have been provided and billed. The Company records allowance for doubtful accounts based on the aging of receivables using historical payor 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 the aging of receivables by payor. Because of continuing changes in the healthcare industry and third party reimbursement, it is possible that the Company’s estimates of collectability could change, which could have a material impact on the Company’s operations and cash flows.

 

Accounts receivable related to the Product and Research Services segments are recorded at the time revenue is recognized, or when the services or products are billable, net of discounts. The Company estimates allowance for doubtful accounts on a specific account basis, and considers several factors in its analysis including customer specific information and aging of the account.

 

The Company writes off receivables when the likelihood for collection is remote 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 monthly basis.  In the Patient Services segment, the Company wrote off $2,851 and $4,637 of receivables for the six months ended June 30, 2014 and 2013, respectively.  The impact was a reduction of gross receivables and a reduction in the allowance for doubtful accounts.  There were no material write-offs in the Product and Research Services segments.  For the three and six months ended June 30, 2014, the Company recorded bad debt expense of $2,745 and $5,104, respectively.  For the three and six months ended June 30, 2013, the Company recorded bad debt expense of $1,967 and $4,434, respectively.

 

Inventory

 

Inventory consists of the following:

 

 

 

June 30,
2014

 

December 31,
2013

 

Raw materials and supplies

 

$

2,686

 

$

2,404

 

Finished goods

 

284

 

150

 

Total inventories

 

$

2,970

 

$

2,554

 

 

Inventories, which include purchased parts, materials, direct labor and applied manufacturing overhead, are stated at the lower of cost or net realizable value, with cost determined by use of the first-in, first-out method.

 

Goodwill

 

Goodwill is the excess of purchase price of an acquired business over the amounts assigned to assets acquired and liabilities assumed in a business combination. In accordance with ASC 350, Intangibles—Goodwill and Other, goodwill is reviewed for impairment annually, or when events arise that could indicate that impairment exists. The provisions of ASC 350 require that the Company perform a two-step impairment test. In the first step, the Company compares the fair value of its reporting units to the carrying value of the reporting units. If the carrying value of the net assets assigned to the reporting units exceeds the fair value of the reporting units, then the second step of the impairment test is performed in order to determine the implied fair value of the reporting units’ goodwill. If the carrying value of the reporting units’ goodwill exceeds its implied fair value, an impairment loss equal to the difference is recorded.

 

For the purpose of performing its goodwill impairment analysis, the Company considers its business to be comprised of three reporting units: Patient Services, Product and Research Services. The Company calculates the fair value of the reporting units utilizing a weighting of the income and market approaches. The income approach is based on 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 market approach utilizes the Company’s market data as well as market data from publicly traded companies that are similar to the Company. 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 its reporting units.

 

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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.

 

As a result of stock-based compensation expense incurred, the Company’s loss before income taxes was increased by $965 and $1,968, respectively, during the three and six months ended June 30, 2014.  As a result of stock-based compensation expense incurred, the Company’s loss before income taxes was increased by $1,011 and $1,711 during the three and six months ended June 30, 2013, respectively.  For the three and six months ended June 30, 2014, the impact of stock-based compensation expense on basic and diluted earnings per share was $(0.04) and $(0.07).  For the three and six months ended June 30, 2013, the impact of stock-based compensation expense on basic and diluted earnings per share was $(0.04) and $(0.07).

 

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. For the six months ended June 30, 2014 and 2013, the Company based the estimates of expected volatility on the historical average of our stock price. 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,

 

 

 

2014

 

2013

 

Expected dividend yield

 

0

%

0

%

Expected volatility

 

62

%

60

%

Risk-free interest rate

 

1.85

%

1.28

%

Expected life

 

6.46

 

6.75

 

 

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, 2014 and 2013 was $4.96 and $1.47, respectively.

 

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Table of Contents

 

The following table summarizes activity under all stock award plans from December 31, 2013 through June 30, 2014:

 

 

 

 

 

Options Outstanding

 

 

 

Shares

 

 

 

Weighted

 

 

 

Available

 

Number

 

Average

 

 

 

for Grant

 

of Shares

 

Exercise Price

 

Balance — December 31, 2013

 

2,404,498

 

3,993,590

 

$

5.25

 

Additional options available for grant

 

1,291,200

 

 

 

Granted

 

(623,650

)

623,650

 

8.38

 

Canceled

 

68,044

 

(68,044

)

3.59

 

Exercised

 

 

(192,580

)

4.52

 

 

 

 

 

 

 

 

 

Balance — March 31, 2014

 

3,140,092

 

4,356,616

 

5.78

 

Granted

 

(125,985

)

125,985

 

8.20

 

Canceled

 

91,434

 

(91,434

)

4.51

 

Exercised

 

 

(68,671

)

4.55

 

 

 

 

 

 

 

 

 

Balance — June 30, 2014

 

3,105,541

 

4,322,496

 

$

5.91

 

 

The 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 ESOP plan is equal to 4% of the total shares outstanding at December 31, 2013.

 

Additional information regarding options outstanding is as follows:

 

 

 

June 30, 2014

 

June 30, 2013

 

Range of exercise prices (per option)

 

$

0.70 - $31.18

 

$

0.70 - $31.18

 

Weighted average remaining contractual life (years)

 

7.31

 

7.77

 

 

Employee Stock Purchase Plan

 

In 2014, 169,610 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, 2014 were $397. In January 2014, the number of shares available for grant was increased by 258,240, per the ESPP documents. At June 30, 2014, approximately 606,086 shares remain available for purchase under the ESPP.

 

Recent Accounting Pronouncements

 

In May 2014, the FASB issued ASU 2014-09, Revenue from Contracts with Customers, which provides guidance for revenue recognition.  The new standard will require revenue recognized to represent the transfer of promised goods or services to customers in an amount that reflects the consideration in which the company expects to receive in exchange for those goods or services.  The standard also requires new, expanded disclosures regarding revenue recognition and is effective for the annual reporting periods beginning after December 15, 2016.  The Company is currently evaluating the impact the adoption of this standard will have on the consolidated financial statements.

 

2.   Business Combination

 

Mednet Healthcare Technologies, Inc

 

On January 31, 2014, the Company, through its wholly owned subsidiary CardioNet, LLC (“CardioNet”), acquired Mednet Healthcare Technologies, Inc., Heartcare Corporation of America, Inc., Universal Medical, Inc., and Universal Medical Laboratory, Inc. (together, “Mednet”).  Mednet provides cardiac monitoring services and is an original equipment manufacturer of cardiac monitoring devices.  The acquisition gave the Company access to established customer relationships.  Upon the closing of the transaction, the Company acquired all of the issued and outstanding capital stock, and Mednet became a wholly-owned subsidiary of the Company.  The Company paid $5,500 in cash at closing and 96,649 shares of the Company’s common stock, valued at $705 at closing.  In addition, as a result of the acquisition, the Company assumed indebtedness from Mednet in the aggregate amount of $9,720, including interest.  The acquisition has been included within the consolidated results of operations and financial condition from the date of the acquisition.

 

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The amounts below represent the preliminary fair value estimates as of June 30, 2014 and are subject to subsequent adjustment as additional information is obtained during the measurement period. The primary areas of those preliminary estimates that were not yet finalized related to certain tangible assets and liabilities acquired, as well as identifiable intangible assets. The Company expects to complete the accounting for the Mednet acquisition within a year of the acquisition date.

 

Fair value of assets acquired:

 

 

 

Cash and cash equivalents

 

$

(199

)

Accounts receivable

 

3,879

 

Prepaid expenses and other current assets

 

355

 

Property and equipment

 

4,400

 

Goodwill

 

9,261

 

Intangible assets

 

8,490

 

Other assets

 

73

 

Total assets acquired

 

26,259

 

Liabilities assumed:

 

 

 

Accounts payable

 

5,927

 

Accrued expenses

 

994

 

Other liabilities

 

3,413

 

Long-term debt, capital leases, note payable and related interest

 

9,720

 

Total liabilities assumed

 

20,054

 

Net assets acquired

 

$

6,205

 

 

While the purchase price allocation has not been finalized, the estimated allocation of intangible assets is comprised of the following:

 

 

 

Estimated
Useful Life
(Years)

 

Fair Value

 

Customer relationships

 

13

 

$

5,800

 

Internally Developed Software

 

5

 

1,600

 

Covenants not to compete

 

5

 

390

 

Indefinite-lived trade name

 

 

 

700

 

Total intangible assets

 

 

 

$

8,490

 

 

Goodwill recorded in connection with this acquisition is attributable to the assembled workforce and synergies expected to arise from cost savings opportunities.  All of the recorded goodwill is included in the Patient Services segment.

 

The unaudited pro forma information below presents combined results of operations as if the acquisition had occurred at the beginning of the periods presented instead of January 31, 2014. The pro forma information presented below does not include anticipated synergies or certain other expected benefits of the acquisition and should not be used as a predictive measure of our future results of operations. Mednet contributed $6,164 and $10,636 in revenue for the three and six months ended June 30, 2014.

 

 

 

Three Months Ended June 30,

 

Six Months Ended June 30,

 

 

 

2014

 

2013

 

2014

 

2013

 

Revenue

 

$

42,650

 

$

38,831

 

$

83,310

 

$

78,656

 

Net Loss

 

$

(3,988

)

$

(3,396

)

$

(6,331

)

$

(3,155

)

Net loss per common share:

 

 

 

 

 

 

 

 

 

Basic and Diluted

 

$

(0.15

)

$

(0.13

)

$

(0.24

)

$

(0.12

)

Weighted average number of shares:

 

 

 

 

 

 

 

 

 

Basic

 

26,434,047

 

26,815,245

 

26,272,436

 

25,634,007

 

 

Biomedical Systems Corporation

 

On April 3, 2014, the Company, through its wholly-owned subsidiary CardioNet, LLC, completed the acquisition of substantially all of the assets of Biomedical Systems Corporation’s (“BMS”) cardiac event monitoring, Holter monitoring and mobile telemetry monitoring services.  The acquisition gave the Company access to internally developed Holter software and to established customer relationships.  The Company paid $8,000 in cash at closing and 62,859 shares of the Company’s common stock, valued at $650 at closing.  The acquisition has been included within the consolidated results of operations and financial condition from the date of the acquisition.

 

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The amounts below represent the preliminary fair value estimates as of June 30, 2014 and are subject to subsequent adjustment as additional information is obtained during the measurement period. The primary areas of those preliminary estimates that were not yet finalized related to certain tangible assets and identifiable intangible assets. The Company will complete the accounting for the BMS acquisition within a year of the acquisition date.

 

Fair value of assets acquired:

 

 

 

Property and equipment

 

$

2,731

 

Goodwill

 

3,559

 

Intangible assets

 

2,360

 

Net assets acquired

 

$

8,650

 

 

While the purchase price allocation has not been finalized, the estimated allocation of intangible assets is comprised of the following:

 

 

 

Estimated
Useful Life
(Years)

 

Fair Value

 

Customer relationships

 

15

 

$

2,100

 

Covenants not to compete

 

7

 

260

 

Total intangible assets

 

 

 

$

2,360

 

 

Goodwill recorded in connection with this acquisition is attributable to synergies expected to arise from cost savings opportunities.  All of the recorded goodwill is included in the Patient Services segment.

 

Other Acquisitions

 

On June 3, 2014, the Company, through its wholly owned subsidiary CardioCore Lab, LLC (“CardioCore”), acquired the assets of RadCore Lab, LLC (“RadCore”), an imaging core lab serving the biopharmaceutical and medical device research market. This acquisition broadens the Companys offerings and adds new oncology, musculoskeletal and neurological imaging capabilities, supported by a state-of-the-art, cloud-based analysis platform. The Company paid $400 in cash at closing and 22,513 shares of the Company’s common stock, valued at $200 at closing.  While this acquisition provides growth potential, the acquisition of RadCore did not have a material effect on our financial condition, results of operations or cash flows.

 

3. Goodwill and Intangible Assets

 

Goodwill was recognized at the time of the Company’s acquisitions. The carrying amounts of goodwill as of June 30, 2014 and December 31, 2013 are $29,503 and $16,469, respectively.

 

The changes in the carrying amounts of goodwill by segment were as follows:

 

 

 

Reporting Segment

 

 

 

Patient
Services

 

Research
Services

 

Product

 

Total

 

Balance at December 31, 2013

 

$

1,577

 

$

11,735

 

$

3,157

 

$

16,469

 

Goodwill acquired during the year

 

12,820

 

214

 

 

13,034

 

Balance at June 30, 2014

 

$

14,397

 

$

11,949

 

$

3,157

 

$

29,503

 

 

At December 31, 2013, the Company performed its required annual impairment test of goodwill. Based on this impairment test, the Company determined that none of the reporting unit’s goodwill was impaired.

 

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The gross carrying amounts and accumulated amortization of the Company’s intangible assets as of June 30, 2014 and December 31, 2013 are as follows:

 

 

 

Estimated
Useful Life
(Years)

 

June 30,
2014

 

December 31,
2013

 

Customer relationships

 

5 - 15

 

$

10,000

 

$

2,100

 

Proprietary technology

 

3 - 5

 

5,600

 

4,000

 

Signed backlog

 

1 - 4

 

3,160

 

2,800

 

Unsigned backlog

 

4

 

600

 

600

 

Covenants not to compete

 

5 - 7

 

1,010

 

360

 

Total intangible assets, gross

 

 

 

20,370

 

9,860

 

Customer relationships accumulated amortization

 

 

 

(1,111

)

(722

)

Proprietary technology accumulated amortization

 

 

 

(2,649

)

(1,902

)

Signed backlog accumulated amortization

 

 

 

(1,671

)

(1,400

)

Unsigned backlog accumulated amortization

 

 

 

(275

)

(200

)

Covenants not to compete accumulated amortization

 

 

 

(201

)

(124

)

Total accumulated amortization

 

 

 

(5,907

)

(4,348

)

Indefinite-lived trade name

 

 

 

2,500

 

1,800

 

Total intangible assets, net

 

 

 

$

16,963

 

$

7,312

 

 

The estimated amortization expense for the next five years is summarized as follows at June 30, 2014:

 

Remainder of 2014

 

$

1,725

 

2015

 

3,095

 

2016

 

1,999

 

2017

 

1,295

 

2018

 

1,156

 

2019

 

791

 

Thereafter

 

4,402

 

Total

 

$

14,463

 

 

Amortization expense for the three months ended June 30, 2014 and 2013 was $871 and $574, respectively, and amortization expense for the six months ended June 30, 2014 and 2013 was $1,559 and $1,193, respectively.  The increase in amortization expense is primarily driven by the current year acquisitions.

 

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.

 

For the three and six months ended June 30, 2014 and 2013, the Company incurred expenses related to restructuring, integration and other activities. These expenses were primarily a result of the Company’s recent patent litigation, the Civil Investigative Demand, as well as the activities surrounding the Company’s acquisitions. A summary of these expenses is as follows:

 

 

 

Three Months Ended
June 30,

 

Six Months Ended
June 30,

 

 

 

2014

 

2013

 

2014

 

2013

 

Legal fees

 

$

285

 

$

2,144

 

$

2,734

 

$

2,682

 

Severance and employee related costs

 

593

 

187

 

755

 

740

 

Professional fees

 

122

 

210

 

491

 

321

 

Total

 

$

1,000

 

$

2,541

 

$

3,980

 

$

3,743

 

 

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, 2014, the Company’s estimated annual effective tax rate was zero. The Company recorded $2,869 of a tax benefit for the six months ended June 30, 2014 related to the Mednet acquisition that occurred in January 2014.

 

As of June 30, 2014, in accordance with ASC 740, the Company maintained a full valuation allowance against net deferred tax assets, with exception to the deferred tax liability recorded for indefinite lived intangibles. 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.

 

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6.              Credit Agreement

 

On August 29, 2012, the Company entered into a Credit and Security Agreement (“Credit Agreement”) with MidCap Financial, LLC to provide revolving loan borrowings with a loan commitment of up to $15,000, with an option by the Company to increase to a maximum loan commitment of $30,000. Interest on borrowings under the Credit Agreement is based on the London Interbank Offered Rate (“LIBOR”) plus an applicable margin of 4.75%. An unused line fee of 0.50% per annum is payable on any unused line balance, determined as the total loan commitment of $15,000 minus the average daily balance of the sum of the revolving loan borrowings outstanding during the preceding month. Furthermore, if the Company terminates the agreement at any point prior to the loan expiration date, the Company will incur a loan origination fee of 1.00% of the loan commitment due immediately preceding the termination. The Credit Agreement is secured by the Company’s personal property, inventory and other assets and expires in August 2016.  The Company withdrew $8,000 on April 3, 2014 to fund the BMS acquisition.  As of June 30, 2014, the Company’s outstanding balance on the credit agreement was $8,000.

 

On February 21, 2014, the Company entered into a Credit and Security Agreement (the “Credit Agreement”) with The Bancorp Bank for an aggregate amount of $9,830.  The proceeds were used to pay off the assumed debt of $8,563 associated with the Mednet acquisition. The Loans bear interest at an annual rate of 3.25% until March 1, 2019, and thereafter will bear interest at an annual rate equal to the greater of (1) 3.25% or (2) the prime rate as published in the “Money Rates” section of The Wall Street Journal or the highest prime rate if more than one is published.  Beginning April 1, 2014, the principal amount of the Loans will be repaid, on a monthly basis, in installments of $38, plus accrued interest, until April 1, 2019, when the principal amount of the Loans will be repaid, on a monthly basis, in installments of $75, plus accrued interest, until paid in full on or before March 1, 2024 or such earlier date upon an acceleration of the Loans by Lenders upon an event of default or termination of the Borrowers.  As of June 30, 2014, the Company’s outstanding balance on the credit agreement was $9,636.

 

7.              Segment Information

 

The Company operates under three segments: Patient Services, Product and Research Services. The Patient Services 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™”), wEvent, event, Holter and Pacemaker monitoring services, as well as INR services in a healthcare setting.  INR monitoring is a measurement of blood coagulation in the circulatory system and is prescribed for patients on long term warfarin therapy.  The Product business segment focuses on the development, manufacturing, testing and marketing of medical devices to medical companies, clinics and hospitals.  The Research Services segment is engaged in central core laboratory services providing cardiac monitoring, imaging, scientific consulting and data management services for drug and medical device trials..  Intercompany revenue relating to the manufacturing of devices by the Product segment for the other segments is included on the intersegment revenue line.

 

Expenses that can be specifically identified with a segment have been included as deductions in determining pre-tax segment income. Any remaining expenses including research and development costs as well as the elimination of costs associated with intercompany revenue are included in Corporate and Other. Also included in Corporate and Other is the Department of Justice settlement, as well as net financing expenses and other income which consist principally of interest expense and other financing expenses less interest income.  The Company does not allocate assets to the individual segments.  Mednet and BMS are primarily included in the Patient Services segment; with the manufacturing and product sales parts of the businesses being included in the Product segment.  Radcore is included in the Research Services segment.

 

For the three months ended:

 

 

 

 

Patient
Services

 

Research
Services

 

Product

 

Corporate
and Other

 

Consolidated

 

June 30, 2014

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

$

34,160

 

$

5,245

 

$

3,245

 

 

$

42,650

 

Intersegment revenues

 

 

 

1,778

 

(1,778

)

 

Income (loss) before income taxes

 

6,472

 

233

 

1,512

 

(12,205

)

(3,988

)

Depreciation and amortization

 

2,124

 

910

 

130

 

78

 

3,242

 

Capital expenditures

 

3,442

 

271

 

38

 

 

3,751

 

 

 

 

Patient
Services

 

Research
Services

 

Product

 

Corporate
and Other

 

Consolidated

 

June 30, 2013

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

$

24,910

 

$

5,252

 

$

1,942

 

 

$

32,104

 

Intersegment revenues

 

 

 

1,671

 

(1,671

)

 

Income (loss) before income taxes

 

6,675

 

328

 

1,470

 

(10,772

)

(2,299

)

Depreciation and amortization

 

1,463

 

848

 

139

 

286

 

2,736

 

Capital expenditures

 

1,190

 

377

 

19

 

 

1,586

 

 

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For the six months ended:

 

 

 

Patient
Services

 

Research
Services

 

Product

 

Corporate
and Other

 

Consolidated

 

June 30, 2014

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

$

63,454

 

$

10,085

 

$

6,273

 

 

$

79,812

 

Intersegment revenues

 

 

 

4,815

 

(4,815

)

 

Income (loss) before income taxes

 

11,978

 

19

 

3,590

 

(26,542

)

(10,955

)

Depreciation and amortization

 

3,695

 

1,794

 

263

 

243

 

5,995

 

Capital expenditures

 

6,843

 

675

 

92

 

 

7,610

 

 

 

 

Patient
Services

 

Research
Services

 

Product

 

Corporate
and Other

 

Consolidated

 

June 30, 2013

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

$

49,615

 

$

10,124

 

$

4,783

 

 

$

64,522

 

Intersegment revenues

 

 

 

2,744

 

(2,744

)

 

Income (loss) before income taxes

 

12,358

 

181

 

2,860

 

(19,785

)

(4,386

)

Depreciation and amortization

 

2,763

 

1,854

 

282

 

845

 

5,744

 

Capital expenditures

 

2,134

 

1,211

 

80

 

 

3,425

 

 

8.              Civil Investigative Demand

 

On August 25, 2011, the Company received a Civil Investigative Demand (“CID”) issued by the U.S. Department of Justice, Western District of Washington. The CID states that it was issued as part of an investigation under the Federal False Claims Act and sought documents for the period January 1, 2007 through the date of the CID. The CID indicates that the investigation concerns allegations that the Company may have used inappropriate diagnosis codes when submitting claims for payment to Medicare for its real-time, MCOT™ services.  During the second quarter of 2014, the Company reached an agreement in principle for a potential settlement; however, the pending settlement is subject to satisfactory negotiation and completion of a settlement agreement.  As result, in addition to the $3,100 recorded in the first quarter of 2014, the Company recorded an additional non-operating charge of $3,300, reflecting an estimated total cash settlement amount of $6,400.  This reserve was recorded to Interest and other loss, net in the consolidated statements of operations and is included in Accrued liabilities on the balance sheet.  Additionally, the Company has incurred $1,720 in related legal and consulting expenses to date.

 

The final outcome of any current or future litigation or governmental or internal investigations, including the potential settlement described above, cannot be accurately predicted, nor can the Company predict any resulting penalties, fines or other sanctions that may be imposed at the discretion of federal or state regulatory authorities. The Company records accruals for such contingencies to the extent that it concludes it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated.

 

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Table of Contents

 

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, 2013, 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

 

BioTelemetry operates under three segments: Patient Services, Product and Research Services. The Patient Services segment is focused on the diagnosis and monitoring of cardiac arrhythmias, or heart rhythm disorders. The Company offers cardiologists and electrophysiologists with a full spectrum of solutions which provides them with a single source of cardiac monitoring services.  These services range from the differentiated Mobile Cardiac Outpatient Telemetry™ (“MCOT™”) service to wEvent, event, Holter, Pacemaker and International Normalized Ratio (“INR”) monitoring. INR monitoring is a measurement of blood coagulation in the circulatory system and is prescribed for patients on long-term warfarin therapy. The Product business segment focuses on the development, manufacturing, testing and marketing of medical devices to medical companies, clinics and hospitals. The Research Services segment is engaged in central core laboratory services providing cardiac monitoring, scientific consulting and data management services for drug and medical device trials.

 

As of July 31, 2013, we reorganized to create a holding company structure. CardioNet, Inc., which was previously the public company, became a wholly owned subsidiary of a newly formed entity, BioTelemetry, Inc., a Delaware corporation, and all the outstanding shares of stock of CardioNet, Inc. was exchanged, on a one for one basis, for stock of BioTelemetry, Inc. Our new holding company began trading on August 1, 2013 on NASDAQ under our same symbol “BEAT”.

 

Recent Acquisitions

 

On January 31, 2014, the Company, through its wholly owned subsidiary CardioNet, LLC (“CardioNet”), acquired Mednet Healthcare Technologies, Inc., Heartcare Corporation of America, Inc., Universal Medical, Inc., and Universal Medical Laboratory, Inc. (together, “Mednet”). Pursuant to the terms of the Purchase Agreement, CardioNet purchased all of the outstanding capital stock of the Mednet entities from the Seller for consideration of $5.5 million in cash and 96,649 shares of the Company’s common stock, valued at $0.7 million at closing. In addition, as a result of the acquisition, the Company, through CardioNet, assumed indebtedness from the Mednet entities in the aggregate amount of $9.7 million, including interest.

 

On April 3, 2014, the Company, through its wholly-owned subsidiary CardioNet, LLC, completed the acquisition of substantially all of the assets of the cardiac monitoring business of Biomedical Systems Corporation (“BMS”).  Pursuant to the terms of the Purchase Agreement, CardioNet acquired substantially all of the assets relating to BMS’s cardiac event monitoring, Holter monitoring and mobile telemetry monitoring services (other than certain ECG services and monitoring in connection with clinical trials) in consideration of $8.0 million in cash and $0.7 million of the Company’s common stock (based on the trailing average closing stock price for the 20 trading days ending immediately prior to the closing date).  Of this amount, $1.1 million (consisting of cash and shares of common stock) will be deposited in escrow for a period of 12 to 18 months as security for any breach of the representations, warranties and covenants of the Seller contained in the Purchase Agreement.  The $8.0 million cash was funded through the revolving loan commitment with Midcap Financial.

 

On June 3, 2014, the Company, through its wholly owned subsidiary CardioCore Lab, LLC (“CardioCore”), acquired the assets of RadCore Lab, LLC (“RadCore”), an imaging core lab serving the biopharmaceutical and medical device research market. This acquisition broadens the Companys offerings and adds new oncology, musculoskeletal and neurological imaging capabilities, supported by a state-of-the-art, cloud-based analysis platform. The Company paid $0.4 million in cash at closing and 22,513 shares of the Company’s common stock, valued at $0.2 million at closing.  While this acquisition provides growth potential, the acquisition of RadCore did not have a material effect on our financial condition, results of operations or cash flows.

 

Revenue Recognition

 

Patient Services

 

Patient Services revenue includes revenue from MCOT™, wEvent, event, Holter, Pacemaker and INR monitoring services. 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-pays and self-pay arrangements. Billings for services reimbursed by contracted third party payors, including Medicare, are recorded as revenue net of contractual allowances. Adjustments to the estimated receipts, based on final settlement with third party payors, are recorded upon settlement. If the Company does not have sufficient

 

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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. For the three months ended June 30, 2014 and 2013, revenue from Medicare as a percentage of the Company’s total revenue was 32.0% and 35.1%, respectively.  For the six months ended June 30, 2014 and 2013, revenue from Medicare as a percentage of the Company’s total revenue was 32.0% and 34.7%, respectively.

 

Research Services

 

Research Services revenue includes revenue for project management and core laboratory services. The Company’s Research Services revenue is provided on a fee for services basis, and revenue is recognized as the related services are performed. The Company also provides consulting services on a time and materials basis and this revenue is recognized as the services are performed. Site support revenue, consisting of equipment rentals and sales along with related supplies and logistics management, is recognized at the time of sale or over the rental period. Under a typical contract, customers pay a portion of the fee for these services upon contract execution as an upfront deposit, some of which is typically nonrefundable upon contract termination. Unearned revenues are deferred, and then recognized as the services are performed.

 

For arrangements with multiple deliverables, the revenue is allocated to each element (both delivered and undelivered items) based on their relative selling prices or management’s best estimate of their selling prices, when vendor-specific or third-party evidence is unavailable.

 

The Company records reimbursements received for out-of-pocket expenses incurred, including freight, as revenue in the accompanying consolidated statements of operations.

 

Product

 

Product revenue includes revenue from the sale and repair of medical devices to medical companies, clinics and hospitals. The Company’s product revenue is recognized at the time of sale.

 

Reimbursement-Patient Services

 

The Company is dependent on reimbursement for its Patient Services by government and commercial insurance payors. Medicare reimbursement rates for the Company’s MCOT™, wEvent, event, Holter, Pacemaker and INR monitoring services have been established nationally by the Centers for Medicare and Medicaid Services (“CMS”) and fluctuate periodically based on the CMS rate table published annually.

 

In addition to government reimbursement through Medicare, the Company has successfully secured contracts with most national and regional commercial payors for its MCOT™, wEvent, event, Holter, Pacemaker and INR monitoring services.

 

Accounts Receivable

 

Accounts receivable related to the Patient Services segment 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 ultimate collection of accounts receivable may not be known for several months after services have been provided and billed. The Company records allowance for doubtful accounts based on the aging of the receivable using historical payor 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 the aging of receivables by payor. Because of continuing changes in the healthcare industry and third party reimbursement, it is possible the Company’s estimates of collectability could change, which could have a material impact on operations and cash flows

 

Accounts receivable related to the Product and Research Services segments are recorded at the time revenue is recognized, or when products or services become billable. The Company estimates allowance for doubtful accounts on a specific account basis, and considers several factors in its analysis including customer specific information and aging of the account.

 

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 monthly basis.  The Company wrote off $2.9 million and $4.6 million of receivables for the six months ended June 30, 2014 and 2013.  The impact was a reduction of gross receivables and a reduction in the allowance for doubtful accounts.  There were no material write-offs in the Product and Research Services segments.  For the three and six months ended June 30, 2014, the Company recorded bad debt expense of $2.7 million and $5.1 million, respectively.  For the three and six months ended June 30, 2013, the Company recorded bad debt expense of $2.0 million and $4.4 million, respectively.

 

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Integration, Restructuring and Other Charges

 

During the three and six months ended June 30, 2014, the Company incurred $1.0 million and $4.0 million, respectively, of integration, restructuring and other charges.  Legal charges of $0.3 million and $2.7 million, respectively, related primarily to legal fees for patent litigation, as well as the Civil Investigative Demand.  The remaining expense is related to activities surrounding the Company’s acquisitions.

 

For the three and six months ended June 30, 2013, the Company incurred integration, restructuring and other charges of $2.5 million and $3.7 million, respectively.  The costs included legal charges of $2.1 million and $2.7 million, primarily relating to patent litigation, as well as the Civil Investigative Demand.  The remaining expenses related to internal restructuring activities including the creation of the Company’s holding company structure.

 

Results of Operations

 

Three Months Ended June 30, 2014 and 2013

 

Revenues.    Total revenues for the three months ended June 30, 2014 were $42.7 million compared to $32.1 million for the three months ended June 30, 2013, an increase of $10.6 million, or 32.8%.  Approximately $8.4 million of the increase resulted from the acquisitions of Mednet and BMS.  Excluding acquisitions, the remaining increase was due to increased volume in the Patient Services and Product segments which was partially offset by the previously announced price reduction from Medicare, as well as reduced rates from commercial contracts tied to Medicare.

 

Gross Profit.    Gross profit increased to $23.6 million for the three months ended June 30, 2014 from $19.5 million for the three months ended June 30, 2013. The increase of $4.1 million, or 21.1%, was primarily due to the acquisitions of Mednet and BMS.  Gross profit as a percentage of revenue decreased to 55.4% for the three months ended June 30, 2014 compared to 60.7% for the three months ended June 30, 2013.  The decrease in the gross profit percentage was related to the acquisitions, including the impact of a lower margin patient mix of 350 basis points and the impact of integration related activities of 230 basis points, of which 130 basis points will not reoccur.  The benefit of our increased volume in the base business substantially offset the impact of the reduced rates.

 

General and Administrative Expense.    General and administrative expense was $11.1 million for the three months ended June 30, 2014 compared to $9.1 million for the three months ended June 30, 2013. The increase of $2.0 million, or 22.7%, was due primarily to the additional expense associated with the Mednet and BMS acquisitions as well as the addition of the Company’s 401K match.  As a percent of total revenue, general and administrative expense was 26.1% for the three months ended June 30, 2014 compared to 28.3% for the three months ended June 30, 2013.

 

Sales and Marketing Expense.    Sales and marketing expense was $7.2 million for the three months ended June 30, 2014 compared to $6.3 million for the three months ended June 30, 2013. The increase of $0.9 million, or 14.4%, was primarily related to the inclusion of expenses associated with the Mednet and BMS acquisitions.  As a percent of total revenue, sales and marketing expense was 16.8% for the three months ended June 30, 2014 compared to 19.5% for the three months ended June 30, 2013.

 

Bad Debt Expense.    Bad debt expense was $2.7 million for the three months ended June 30, 2014 compared to $2.0 million for the three months ended June 30, 2013.  The increase of $0.7 million, or 39.6%, was due to increased revenue related primarily to the acquisitions of Mednet and BMS.  The bad debt expense recorded was based upon an evaluation of historical collection experience of accounts receivable by payor class, the age of the receivables, as well as specific payor circumstances. As a percentage of total revenue, bad debt expense was 6.4% for the three months ended June 30, 2014 compared to 6.1% for the three months ended June 30, 2013. Substantially all of the Company’s bad debt expense relates to the Patient Services segment.

 

Research and Development Expense.    Research and development expense was $2.0 million for the three months ended June 30, 2014 compared to $1.9 million for the three months ended June 30, 2013.  As a percent of total revenue, research and development expense was 4.6% for the three months ended June 30, 2014 compared to 5.9% for the three months ended June 30, 2013.

 

Integration, Restructuring and Other Charges.    During the three months ended June 30, 2014, the Company incurred $1.0 million of integration, restructuring and other charges.  Legal charges of $0.3 million related primarily to legal fees for patent litigation as well as the Civil Investigative Demand.  The remaining expense is related to activities surrounding the Company’s acquisitions.  For the three months ended June 30, 2014, integration, restructuring and other charges were 2.3% of total revenue.

 

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For the three months ended June 30, 2013, the Company incurred total integration, restructuring and other charges of $2.5 million.  The total costs included charges of $2.1 million primarily relating to legal fees associated with patent litigation, as well as the Civil Investigative Demand.  The remaining expenses related to internal restructuring activities including the creation of the Company’s holding company structure.  For the three months ended June 30, 2013, integration, restructuring and other charges were 7.9% of total revenues.

 

Interest and Other Loss, net.    Interest and other loss, net was $3.6 million for the three months ended June 30, 2014. The Company recorded a non-operating charge of $3.3 million as a potential settlement cost with the Department of Justice and $0.3 million related primarily to interest expense and financing fees.

 

Income Taxes.    The Company’s estimated annual effective tax rate was zero for the three months ended June 30, 2014 and 2013.

 

Net Loss.    The Company incurred a net loss of $4.0 million for the three months ended June 30, 2014 compared to a net loss of $2.3 million for the three months ended June 30, 2013.

 

Six Months Ended June 30, 2014 and 2013

 

Revenues.    Total revenues for the six months ended June 30, 2014 were $79.8 million compared to $64.5 million for the six months ended June 30, 2013, an increase of $15.3 million, or 23.7%.  Approximately $12.9 million of the increase resulted from the acquisitions of Mednet and BMS.  Excluding acquisitions, the remaining increase was due to increased patient volume which was partially offset by the previously announced price reduction from Medicare, as well as reduced rates from commercial contracts tied to Medicare.

 

Gross Profit.    Gross profit increased to $45.2 million for the six months ended June 30, 2014 from $39.0 million for the six months ended June 30, 2013. The increase of $6.2 million, or 15.9%, was primarily due to the acquisitions of Mednet and BMS.  Gross profit as a percentage of revenue decreased to 56.7% for the six months ended June 30, 2014 compared to 60.5% for the six months ended June 30, 2013.  Impacting the 2014 gross profit percentage were the acquisitions, including the mix of patient volume of 200 basis points and duplicative labor expense of 50 basis points related to integration activities including the planned relocation of certain business functions.  The Company’s gross profit percentage also declined due to the reduction in the reimbursement rates which was partially offset by the increased patient volume in the base business.

 

General and Administrative Expense.    General and administrative expense was $21.9 million for the six months ended June 30, 2014 compared to $18.6 million for the six months ended June 30, 2013. The increase of $3.3 million, or 17.8%, was due primarily to an increase in expense of $3.4 million related to the Mednet and BMS acquisitions offset by lower facility and consulting expense in the base business.  As a percent of total revenue, general and administrative expense was 27.5% for the six months ended June 30, 2014 compared to 28.8% for the six months ended June 30, 2013.

 

Sales and Marketing Expense.    Sales and marketing expense was $14.6 million for the six months ended June 30, 2014 compared to $13.0 million for the six months ended June 30, 2013. The increase of $1.6 million, or 12.1%, was primarily related to the Mednet and BMS acquisitions, as well as an increase in higher employee related expenses in the base business.   As a percent of total revenue, sales and marketing expense was 18.3% for the six months ended June 30, 2014 compared to 20.2% for the six months ended June 30, 2013.

 

Bad Debt Expense.    Bad debt expense was $5.1 million for the six months ended June 30, 2014 compared to $4.4 million for the six months ended June 30, 2013.  The increase of $0.7 million, or 15.1%, was due to increased revenue related primarily to the acquisitions of Mednet and BMS.  This increase was offset by a decrease in the base Patient Services business due to increased overall collections due to process improvements.  The bad debt expense recorded was based upon an evaluation of historical collection experience of accounts receivable by payor class, the age of the receivables, as well as specific payor circumstances. As a percentage of total revenue, bad debt expense was 6.4% for the six months ended June 30, 2014 compared to 6.9% for the six months ended June 30, 2013.  Substantially all of the Company’s bad debt expense relates to the Patient Services segment.

 

Research and Development Expense.    Research and development expense was $3.7 million for the six months ended June 30, 2014 compared to $3.5 million for the six months ended June 30, 2013.  As a percent of total revenue, research and development expense was 4.7% for the six months ended June 30, 2014 compared to 5.4% for the six months ended June 30, 2013.

 

Integration, Restructuring and Other Charges.    During the six months ended June 30, 2014, the Company incurred $4.0 million of integration, restructuring and other charges.  Legal charges of $2.7 million primarily related to patent litigation, as well as the Civil Investigative Demand.  The remaining expense is related to activities surrounding the Company’s acquisitions.  For the six months ended June 30, 2014, integration, restructuring and other charges were 5.0% of total revenue.

 

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For the six months ended June 30, 2013, the Company incurred integration, restructuring and other charges of $3.7 million, respectively.  The costs included other charges of $2.7 million primarily relating to legal fees associated with patent litigation, as well as the Civil Investigative Demand.  The remaining expenses related to internal restructuring activities including the creation of the Company’s holding company structure.  Integration, restructuring and other charges were 5.8% of total revenue for the six months ended June 30, 2013.

 

Interest and Other Loss, net.    Interest and other loss, net was $6.9 million for the six months ended June 30, 2014. The Company recorded a non-operating charge of $6.4 million as a potential settlement cost with the Department of Justice and $0.5 million related primarily to interest expense and financing fees.

 

Income Taxes.    The Company’s estimated annual effective tax rate was zero for the six months ended June 30, 2014 and 2013.  The Company recorded $2.9 million of a tax benefit for the six months ended June 30, 2014 related to the Mednet acquisition that occurred in January 2014.

 

Net Loss.    The Company incurred a net loss of $8.1 million for the six months ended June 30, 2014 compared to a net loss of $4.4 million for the six months ended June 30, 2013.

 

Liquidity and Capital Resources

 

The Company’s Annual Report on Form 10-K for the year ended December 31, 2013 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, 2014, the Company’s principal source of liquidity was cash and cash equivalents of $13.5 million and net accounts receivable of $23.6 million. The Company had working capital of $5.9 million as of June 30, 2014.

 

In connection with the Company’s acquisition of the Mednet entities, the Company entered into a promissory note in the principal amount of $9.8 million.  The Company used $8.6 million to repay the assumed debt for Mednet and $1.2 million to fund Mednet’s working capital needs.  As of June 30, 2014, the Company’s outstanding balance on the note was $9.6 million.

 

The Company used $8.0 million from its existing credit facility with Midcap Financial in connection with the purchase of the cardiac monitoring business of BMS on April 3, 2014.  As of June 30, 2014, the Company’s outstanding balance on the credit agreement was $8.0 million which provides the Company access to borrowings up to $15.0 million.

 

The Company had $3.9 million of cash provided by operations for the six months ended June 30, 2014.  The Company’s ongoing operations during the six month period resulted in a loss of $8.1 million, which included $13.1 million of non-cash items related to bad debt, depreciation, amortization and stock compensation expense, as well as $6.4 million relating to the potential settlement cost with the Department of Justice.  These items were offset by a $2.9 million tax benefit related to the Mednet acquisition and $4.6 million of cash used primarily for working capital.

 

The Company used $5.7 million for the purchase of Mednet, $8.0 million for the purchase of BMS, $0.4 million for the purchase of Radcore and $7.6 million for capital purchases, primarily related to the investment in medical devices in the Patient and Research Services segments for use in its ongoing operations for the six months ended June 30, 2014.

 

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.

 

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Item 3. Quantitative and Qualitative Disclosures about Market Risk.

 

The Company’s cash balance as of June 30, 2014 was $13.5 million. As the Company does not invest in any short-term or long-term securities, the Company believes there is 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, 2014 to ensure that information required to be disclosed in Company reports filed under the Exchange Act is (i) recorded, processed, summarized and 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 six months ended June 30, 2014, that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

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PART II - OTHER INFORMATION.

 

Item 1.  Legal Proceedings.

 

From time to time, in the ordinary course of business and like others in the industry, the Company receives requests for information from government agencies in connection with their regulatory or investigational authority. Such requests can include subpoenas or demand letters for documents to assist the government in audits or investigations.  The Company reviews such requests and notices and take appropriate action.  The Company has been subject to certain requests for information and investigations in the past and could be subject to such requests for information and investigations in the future.

 

On August 25, 2011, the Company received a Civil Investigative Demand (“CID”) issued by the U.S. Department of Justice, Western District of Washington. The CID states that it was issued as part of an investigation under the Federal False Claims Act and sought documents for the period January 1, 2007 through the date of the CID. The CID indicates that the investigation concerns allegations that the Company may have used inappropriate diagnosis codes when submitting claims for payment to Medicare for its real-time, MCOT™ services.  During the second quarter of 2014, the Company reached an agreement in principle for a potential settlement; however, the pending settlement is subject to satisfactory negotiation and completion of a settlement agreement.  As result, in addition to the $3.1 million recorded in the first quarter of 2014, the Company recorded an additional non-operating charge of $3.3 million, reflecting an estimated total cash settlement amount of $6.4 million.  This reserve was recorded to Interest and other loss, net in the consolidated statements of operations and is included in Accrued liabilities on the balance sheet.  Additionally, the Company has incurred $1.7 million in related legal and consulting expenses to date.

 

The final outcome of any current or future litigation or governmental or internal investigations, including the potential settlement described above, cannot be accurately predicted, nor can the Company predict any resulting penalties, fines or other sanctions that may be imposed at the discretion of federal or state regulatory authorities. The Company records accruals for such contingencies to the extent that it concludes it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. It is possible that the outcome of such matters could potentially have a material adverse impact on the Company’s future results of operations, financial position, and cash flows.

 

Item 1A.  Risk Factors.

 

In evaluating an investment in BioTelemetry common stock, investors should consider carefully, among other things, the risk factors previously disclosed in Part I, Item 1A of the Annual Report on Form 10-K for the year ended December 31, 2013, as amended and supplemented by the risk factors set forth below, which could materially affect our business, financial condition or future results.  As well as, the information contained in this Quarterly Report and other reports and registration statements filed by the Company with the SEC.

 

Investigations, requests for information, audits or denials of our claims by government agencies and private payors could reduce our revenues and have an adverse effect on our results of operations.

 

As part of our business operations, we submit claims on behalf of patients directly to, and receive payments from, Medicare, Medicaid, and other third-party payors. We are subject to extensive government regulation, including requirements for submitting reimbursement claims under appropriate codes and maintaining certain documentation to support our claims. Medicare contractors, Medicaid agencies and similar state regulatory agencies periodically conduct pre and post-payment reviews and other audits of claims and are under increasing pressure to more closely scrutinize healthcare claims and supporting documentation. We have been and are currently subject to pre and post-payment reviews as well as audits of claims under CMS Recovery Audit Program and may experience such reviews and audits of claims in the future. In addition, state agencies may conduct investigations or submit requests for information relating to claims data submitted to private payors. For example, in the second quarter 2014, the Mednet entities were served with a subpoena by the New Jersey Department of Banking and Insurance Bureau of Fraud Deterrence, requesting claims data submitted to private payors.  The Company has responded to requests for information from the State of New Jersey and continues to cooperate regarding this inquiry. Responding to these investigations, requests for information, reviews and audits of our claims requires considerable time and effort and corresponding costs.  Any of these events could result in material delays in payment, material recoupments or denials, the commencement of civil legal proceedings, or result in our exclusion from participation in the Medicare or Medicaid or similar programs, all of which would have an adverse effect on our results of operations.

 

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

 

Not applicable.

 

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Item 3.  Defaults Upon Senior Securities

 

Not applicable.

 

Item 4.  Mine Safety Disclosures

 

Not applicable.

 

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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BioTelemetry, 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.

 

 

 

BIOTELEMETRY, INC.

 

 

 

 

 

 

 

 

Date: August 1, 2014

 

By:

/s/ Heather C. Getz

 

 

 

Heather C. Getz, CPA

 

 

 

Senior Vice President and Chief Financial Officer

 

 

 

(Principal Financial Officer and authorized officer of the Registrant)

 

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