e10vqza
U. S. SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
FORM 10-Q/A
(Amendment No. 1)
(Mark One)
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QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the Three Months Ended March 31, 2007
OR
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TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE EXCHANGE ACT |
Commission File Number: 001-15667
ACCESS PLANS USA, INC.
(Exact name of business issuer as specified in its Charter)
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OKLAHOMA
(State or other jurisdiction of
incorporation or organization)
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73-1494382
(I.R.S. Employer
Identification No.) |
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4929 WEST ROYAL LANE, SUITE 200
IRVING, TEXAS
(Address of principal executive offices)
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75063
(Zip Code) |
(866) 578-1665
(Issuers telephone number)
Indicate by check mark whether the Registrant: (1) has filed all reports required to be filed
by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or
for such shorter period that the Registrant was required to file such reports), and (2) has been
subject to such filing requirements for the past 90 days. Yes þ No o
Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated
filer, or a non-accelerated filer. See definition of accelerated filer and large accelerated in
Rule 12b-2 of the Exchange Act.
Large Accelerated filer: o Accelerated filer: o Non-accelerated filer: þ
Indicate by checkmark whether the Registrant is a shell company (as defined in Rule 12b-2 of
the Exchange Act). Yes o No þ
As of November 19, 2007 the Registrant had outstanding 20,269,145 shares of Common Stock, $.01 par
value.
ACCESS PLANS USA, INC.
FORM 10-Q/A
(Amendment No. 1)
For the Quarter Ended March 31, 2007
TABLE OF CONTENTS
EXPLANATORY NOTE
This Amendment No. 1 on Form 10-Q/A (the Report) is being filed to amend Access Plans USA,
Inc.s (the Company) Quarterly Report on Form 10-Q filed on May 15, 2007 (the Original Report),
for the three month period ended March 31, 2007. The purpose of the amendment is to reflect the
restatement of the Companys previously issued financial statement as of and for the three month
period ended March 31, 2007, and the notes related thereto, as described below. The information in
this Report is stated as of the date of the Original Report and does not reflect subsequent
results, events or developments. Such subsequent results, events or developments include, among
others, the information and events subsequently described in our Quarterly Reports on Form 10-Q.
For a description of such subsequent results, events or developments, please read our Exchange Act
Reports filed with the Securities and Exchange Commission since the date of the Original Report,
which update and supersede information contained in the Original Report and this Report.
Concurrently with the filing of this Quarterly Report on Form 10-Q/A, the Company is also filing a
Quarterly Report on Form 10-Q/A for the quarterly period ended June 30, 2007 to restate its
consolidated financial statements included therein.
This Report amends the Companys consolidated financial statements and related notes to
reflect a failure to record a portion of the Companys insurance commission expense related to one
of their insurance products. At the September 6, 2007 Audit Committee meeting, it was concluded
that the previously issued unaudited financial statements for the quarter ended March 31, 2007 were
not accurate and should not be relied upon. Additionally, in conjunction with the restatement of
those financial statements for the reason just stated, we have adjusted the accounting for certain
intangible assets acquired in the acquisition of Insurance Capital Management USA, Inc. (ICM) on
January 30, 2007 to give effect to the recently completed allocation of the purchase price of that
acquired company among various infinite life and finite life intangible assets and related
adjustments to amortization expense. For further information on the restatement, see Part I, Item 1
Financial Statements on page 3 in this report and Note 1 to the consolidated financial statements
included herein.
2
PART I FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS (UNAUDITED)
Our financial statements which are prepared in accordance with Regulation S-X are set forth in this
report beginning on page 23.
Restatement
During August 2007, subsequent to the filing of Form 10-Q for the quarters ended March 31,
2007 and June 30, 2007, we discovered that there was a failure, beginning in February of this year,
to record a portion of our insurance commission expense related to one of our insurance products in
the newly acquired insurance marketing division. The failure resulted from a change in the data
gathering process, relied upon for purposes of calculating agent commissions for the particular
insurance product. The errors were not detected on a timely basis due in part to transitions in
responsibility immediately following our merger-acquisition of the insurance marketing division in
January 2007. This resulted in an underpayment to the agents and an underreporting of commission
expense.
In conjunction with the acquisition of ICM, the Company evaluated whether a portion of the
purchase price should be allocated to identifiable intangible assets separate from goodwill based
on Statement of Financial Accounting Standards No. 141Business Combinations. Accordingly, we
determined that intangible assets arose in the ICM acquisition from two kinds of customer
relationships: 1) relationships with policyholders who had policies in force at the acquisition
date that were sold by ICM agents prior to the acquisition date (Customer Contracts) and 2)
relationships with independent agents who will write business with us because of the relationships
they have with members of ICM management (Agent Relationships). We used an income approach for
valuation of acquired in-force policies by calculating the net present value of the earnings stream
of those policies, adjusted for a projected policy declination rate. We used a similar income
approach for valuation of policies projected to be written in the future by those independent
agents who will write business with us because of the relationships they have with members of ICM
management by calculating the net present value of the earnings stream of those policies. The
intangible asset amount allocated for Customer Contracts is $1,800,000 and for Agent Relationships
is $1,900,000. These assets are being amortized on a straight-line basis over estimated lives of
three years and eight years, respectively.
The following table sets forth the effect of the restatement made to correct the error in our
reported first quarter 2007 commission expense, record the allocation of purchase price to finite
life intangibles and related deferred income taxes, record amortization of the value assigned to
finite life intangibles arising from the ICM acquisition, as described above, reclassify certain
deferred revenues and other minor adjustments.
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Three Months Ended March 31, 2007 |
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Previously |
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Restated |
Dollars in Thousands |
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Reported |
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Amount |
Balance Sheet: |
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Goodwill and other intangibles |
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$ |
20,750 |
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$ |
21,050 |
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Deferred tax asset |
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387 |
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Accrued commissions |
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623 |
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755 |
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Total assets |
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34,682 |
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34,595 |
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Other accrued liabilities |
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1,761 |
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1,788 |
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Deferred revenue, net |
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4.118 |
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Deferred commissions |
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3,662 |
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Deferred enrollment fees, net |
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435 |
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Current liabilities |
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10,145 |
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10,283 |
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Long-term deferred tax liability |
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46 |
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Total liabilities |
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10,545 |
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10,729 |
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Additional paid-in capital |
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36,899 |
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36,898 |
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Accumulated deficit |
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(15,460 |
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(15,730 |
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Total stockholders equity |
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24,137 |
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23,866 |
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Total liabilities and stockholders equity |
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34,682 |
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34,595 |
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Statement of Operations: |
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Commission expense |
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$ |
3,033 |
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$ |
3,163 |
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General and administrative |
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1,791 |
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1,931 |
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Total operating expenses |
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8,259 |
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8,529 |
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Operating loss |
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(59 |
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(329 |
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Net loss |
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(55 |
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(325 |
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Basic net loss per share |
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(0.00 |
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(0.02 |
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Diluted net loss per share |
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(0.00 |
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(0.02 |
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3
ITEM 2. MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion is qualified in its entirety by the more detailed information in our
2006 Annual Report on Form 10-K and the financial statements contained in this report, including
the notes thereto, and our other periodic reports filed with the Securities and Exchange Commission
since December 31, 2006 and our Schedule 14A Proxy Statement filed with the Commission on December
29, 2006 (collectively referred to as the Disclosure Documents). Certain forward-looking
statements contained in this report and in the Disclosure Documents regarding our business and
prospects are based upon numerous assumptions about future conditions that may ultimately prove to
be inaccurate and actual events and results may materially differ from anticipated results
described in the forward-looking statements. Our ability to achieve these results is subject to the
risks and uncertainties discussed in our Form 10-K and in our Proxy Statement. Any forward-looking
statements contained in this report represent our judgment as of the date of this report. We
disclaim, however, any intent or obligation to update these forward-looking statements. As a
result, the reader is cautioned not to place undue reliance on these forward-looking statements.
Access Plans USA, Inc. (Access Plans) develops and distributes quality affordable consumer
driven healthcare programs for individuals, families, affinity groups and employer groups across
the nation. Our products and programs are designed to deal with the rising costs of healthcare.
They include health insurance plans and non-insurance healthcare discount programs to provide
solutions for the millions of Americans who can no longer afford or do not have access to
traditional health insurance coverage.
The current organization of our business, including our new Insurance Marketing Division, is a
result of our January 30, 2007 merger with Insurance Capital Management USA, Inc. (ICM). As a
result of this merger, and to properly reflect our broadened mission of providing access to
affordable healthcare for all Americans, we changed our name from Precis, Inc. to Access Plans USA,
Inc. Beginning in 2007, our operations are organized under three business divisions:
Consumer Plan Division. Our Consumer Plan Division, which operates as The Capella Group, Inc.
(Capella) and was previously referred to as the Consumer Healthcare Savings segment, develops and
markets non-insurance medical discount programs and defined benefit plans through multiple
distribution channels.
Insurance Marketing Division. Our Insurance Marketing Division, which operates as Insuraco USA
LLC (Insuraco), provides web-based technology, specialty products and marketing of individual
health insurance products and related benefit plans, primarily through a broad network of
independent agency channels.
Regional Healthcare Division. Our Regional Healthcare Division, which operates as Access
HealthSource, Inc./Access Administrators, Inc. (AAI) and was previously referred to as the
Employer and Group Healthcare Services segment, offers third party claims administration, provider
network management, and utilization management services for employer groups that utilize partially
self funded strategies to finance their employee benefit programs.
Critical Accounting Policies
Basis of Presentation. The consolidated financial statements have been prepared in accordance
with generally accepted accounting principles and include the accounts of the Companys
wholly-owned subsidiaries, Capella, Insuraco, and AAI. All significant inter-company accounts and
transactions have been eliminated. Certain reclassifications have been made to prior period
financial statements to conform to the current presentation of the financial statements.
4
Use of Estimates. The preparation of financial statements in conformity with generally
accepted accounting principles requires management of the Company to make estimates and assumptions
that affect the amounts reported in the financial statements and accompanying notes. Certain
significant estimates are required in the evaluation of goodwill and intangible assets for
impairment. Actual results could differ from those estimates and such differences could be
material.
Fair Value of Financial Instruments. The recorded amounts of cash, short-term investments,
accounts receivable, income taxes receivable, notes receivable, accounts payable, accrued
liabilities, income taxes payable, capital lease obligations and short-term debt approximate fair
value because of the short-term maturity of these items.
Recently Issued Accounting Standards. On September 15, 2006, the Financial Accounting Standard
Board (FASB) issued SFAS No. 157, Fair Value Measurements, which provides enhanced guidance for
using fair value measurements in financial reporting. While the standard does not expand the use of
fair value in any new circumstance, it has applicability to several current accounting standards
that require or permit entities to measure assets and liabilities at fair value. This standard
defines fair value, establishes a framework for measuring fair value in U.S. Generally Accepted
Accounting Principles (GAAP) and expands disclosures about fair value measurements. Application
of this standard is required beginning in 2008. Management is currently assessing what impact, if
any, the application of this standard could have on the Companys financial statements.
Revenue Recognition. Revenue recognition varies based on source.
Consumer Plan Division Revenues. We recognize Care Entréetm program membership
revenues, other than initial enrollment fees, on each monthly anniversary date. Membership revenues
are reduced by the amount of estimated refunds. For members that are billed directly, the billed
amount is collected almost entirely by electronic charge to the members credit cards, automated
clearinghouse or electronic check. The settlement of those charges occurs within a day or two.
Under certain private label arrangements, the Companys private label partners bill their members
for the membership fees and the Companys portion of the membership fees is periodically remitted
to the Company. During the time from the billing of these private-label membership fees and the
remittance to it, the Company records a receivable from the private label partners and records an
estimated allowance for uncollectible amounts. The allowance of uncollectible receivables is based
upon review of the aging of outstanding balances, the credit worthiness of the private label
partner and its history of paying the agreed amounts owed.
Membership enrollment fees, net of direct costs, are deferred and amortized over the estimated
membership period that averages eight to ten months. Independent marketing representative fees, net
of direct costs, are deferred and amortized over the term of the applicable contract. Judgment is
involved in the allocation of costs to determine the direct costs netted against those deferred
revenues, as well as in estimating the membership period over which to amortize such net revenue.
The Company maintains a statistical analysis of the costs and membership periods as a basis for
adjusting these estimates from time to time.
Insurance Marketing Division Revenues. The revenue of our insurance marketing division is
primarily from sales commissions paid to it by the insurance companies it represents; these sales
commissions are generally a percentage of premium revenue. Commission income and policy fees, other
than enrollment fees and corresponding commission expense payable to agents, are generally
recognized at their gross amount, as earned on a monthly basis, until such time as the underlying
policyholder contract is terminated. Advanced commissions received are recorded as deferred
revenue. Initial enrollment fees are deferred and amortized over the estimated lives of the
respective programs. The estimated weighted average life for the programs sold ranges from eighteen
months to two years and is based upon the Companys historical policyholder contract termination
experience.
Regional Healthcare Division Revenues. AAIs principal sources of revenues include
administrative fees for third party claims administration, network provider fees for the preferred
provider network and utilization and management fees. These fees are based on monthly or per member
per month fee schedules under specified contractual agreements. Revenues from these services are
recognized in the periods in which the services are performed and when collection is reasonably
assured.
Commission Expense. Commissions on consumer plan revenues are accrued in the month in which a
member has enrolled in the Care Entréetm program. Commissions on insurance policy premiums
are generally recognized as incurred on a monthly basis until such time as the underlying
policyholder contract is terminated. Commissions on consumer plan revenues are only paid to the
Companys independent marketing representatives in the following month after the related membership
fees have been received by the Company. Advances of commissions up to one year are paid to agents
in the insurance marketing division based on certain insurance policy premium commissions. The
Company does not pay advanced commissions on consumer plan membership sales.
5
Stock Option Expense and Option-Pricing Model. Recognized compensation expense for stock
options granted to employees includes: (a) compensation cost for all share-based payments granted
prior to, but not yet vested, based on the grant date fair value estimated in accordance with the
original provisions of SFAS No. 123, and (b) compensation cost for all share-based payments granted
based on the grant date fair value estimated in accordance with the provisions of SFAS 123(R). The
Binomial Lattice option-pricing model is used to estimate the option fair values. The
option-pricing model requires a number of assumptions, of which the most significant are, expected
stock price volatility, the expected pre-vesting forfeiture rate and the risk-free interest rate.
Expected volatility was calculated based upon actual historical stock price movements over the most
recent periods ending March 31, 2007 equal to the expected option term. Expected pre-vesting
forfeitures were estimated based on actual historical pre-vesting forfeitures over the most recent
periods ending March 31, 2007 for the expected option term. The risk-free interest rate is based on
the interest rate of zero-coupon United States Treasury securities over the expected option term.
Income Taxes. Income taxes are provided for the tax effects of transactions reported in the
financial statements and consist of taxes currently due plus deferred taxes related primarily to
differences between the basis of assets and liabilities for financial and income tax reporting. The
net deferred tax assets and liabilities represent the future tax return consequences of those
differences, which will either be taxable or deductible when the assets and liabilities are
recovered or settled.
Accounts Receivable. Accounts receivable generally represent commissions and fees due from
insurance carriers and plan sponsors. Accounts receivable are reviewed on a monthly basis to
determine if any receivables will be potentially uncollectible. An allowance is provided for any
accounts receivable balance where recovery is considered to be doubtful. Bad debt is written off as
incurred.
Advanced Agent Commissions. The Companys insurance marketing subsidiary advances agent
commissions for certain insurance programs. Repayment of the advanced commissions is typically
accomplished by withholding earned commissions from the agent until such time as the outstanding
balance, plus accumulated interest, has been fully repaid. Advanced agent commissions are reviewed
on a quarterly basis to determine if any advanced agent commissions will likely be uncollectible.
An allowance is provided for any advanced agent commission balance where recovery is considered to
be doubtful. Any bad debt is written off as incurred. The Company believes all such balances will
be collected in full by the carriers and, accordingly, has not recorded any obligation attributable
to this contingent liability.
Fixed Assets. Property and equipment are carried at cost less accumulated depreciation and
amortization. Depreciation and amortization are provided using the straight-line method over the
estimated useful lives of the related assets for financial reporting purposes and principally on
accelerated methods for tax purposes. Leasehold improvements are depreciated using the
straight-line method over their estimated useful lives or the lease term, whichever is shorter.
Ordinary maintenance and repairs are charged to expense as incurred. Expenditures that extend the
physical or economic life of property and equipment are capitalized.
Acquisitions. On January 30, 2007, the Company completed its merger with Insurance Capital
Management USA, Inc. (ICM). Under the terms of the merger, the shareholders of ICM received
shares of Company common stock based on the adjusted earnings before income taxes, depreciation and
amortization (adjusted EBITDA) of ICM and its subsidiary companies. On January 30, 2007, the ICM
shareholders were issued 4,498,529 common stock shares of the Company. Further, the ICM
shareholders will receive an additional 2,257,853 common stock shares of the Company since the
acquired ICM companies achieved adjusted EBITDA of $1,250,000 over four consecutive calendar
quarters ending on December 31, 2006. The obligation to issue these stocks has been recorded in the
Companys balance sheet as stocks issuable pursuant to a business combination of $3,522,000.
Reclassifications. Certain prior period amounts have been reclassified to conform to the
current periods presentation.
Results of Operations
Consumer Plan Division. The operating results for our Consumer Plan Division were as follows:
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For the Three Months Ended March 31, |
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Dollar |
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Percent |
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Dollars in Thousands |
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2007 |
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2006 |
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Change |
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Change |
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Revenues |
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$ |
3,104 |
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$ |
4,145 |
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$ |
(1,041 |
) |
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(25.1 |
%) |
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Operating expenses: |
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Commissions |
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702 |
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1,133 |
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(431 |
) |
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(38.0 |
%) |
Cost of operations |
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1,276 |
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1,351 |
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(75 |
) |
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(5.6 |
%) |
Sales and marketing |
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205 |
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314 |
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(109 |
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(34.7 |
%) |
General and administrative |
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778 |
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1,082 |
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(304 |
) |
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(28.1 |
%) |
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Total operating expenses |
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2,961 |
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3,880 |
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(919 |
) |
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(23.7 |
%) |
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Operating income |
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$ |
143 |
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$ |
265 |
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|
$ |
(122 |
) |
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(46.0 |
%) |
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Percent of revenue: |
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Revenues |
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100 |
% |
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100 |
% |
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Operating expenses: |
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Commissions |
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|
22.6 |
% |
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|
27.3 |
% |
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Cost of operations |
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|
41.1 |
% |
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|
32.6 |
% |
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|
Sales and marketing |
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|
6.6 |
% |
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|
7.6 |
% |
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|
General and administrative |
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|
25.1 |
% |
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|
26.1 |
% |
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Total operating expenses |
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|
95.4 |
% |
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|
93.6 |
% |
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|
|
|
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|
Operating income |
|
|
4.6 |
% |
|
|
6.4 |
% |
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6
Service Revenues. Our Consumer Plan Division programs have been under continuing pressure from
increasing competition and regulatory scrutiny, as well as the unwillingness of some healthcare
providers to accept our savings cards based on concerns over assurance of payment. In late 2002, we
implemented an escrow account requirement to address provider concerns over assurance of payment.
While this feature had shown limited success in improving acceptance by providers, it made our
programs more complex and difficult to sell. As of December 2006, we discontinued these Personal
Medical Accounts (PMAs) and returned the funds that we held in those accounts to our customers.
In some of the states in which we have a significant number of members, especially Florida, Texas
and California, our healthcare savings products are under scrutiny by state regulators and
officials. This regulatory scrutiny has impaired our ability to market these products in those
states and elsewhere, further contributing to the decline in membership enrollments and increases
in terminated memberships. The table below reflects the decline in our Consumer Plan Division
program membership over the preceding eight fiscal quarters:
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1st Qtr |
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2nd Qtr |
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3rd Qtr |
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4th Qtr |
|
1st Qtr |
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2nd Qtr |
|
3rd Qtr |
|
4th Qtr |
|
1st Qtr |
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2005 |
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2005 |
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2005 |
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2005 |
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2006 |
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2006 |
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2006 |
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2006 |
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2007 |
Member Count End
of Qtr |
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51,895 |
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|
46,514 |
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|
41,958 |
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|
37,952 |
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|
|
37,281 |
|
|
|
35,823 |
|
|
|
34,020 |
|
|
|
31,826 |
|
|
|
30,649 |
|
Percent Change |
|
|
(8.88 |
%) |
|
|
(10.37 |
%) |
|
|
(9.79 |
%) |
|
|
(9.54 |
%) |
|
|
(1.77 |
%) |
|
|
(3.91 |
%) |
|
|
(5.03 |
%) |
|
|
(6.45 |
%) |
|
|
(3.70 |
%) |
Average revenue per
member, net of
sales and marketing
costs |
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$ |
25.70 |
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$ |
26.24 |
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$ |
26.16 |
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$ |
24.03 |
|
|
$ |
23.86 |
|
|
$ |
22.54 |
|
|
$ |
22.40 |
|
|
$ |
22.32 |
|
|
$ |
23.75 |
|
During the first quarter of 2007, the Consumer Plan Division concentrated resources on three
functions designed to increase sales later in the year: 1) new product development and product
packaging, in which new features were added to existing products and new product lines were
created, including defined benefit programs that provide limited insured benefits; 2)
identification and targeting of new distribution channels, including tele-sales call centers and a
new independent agent distribution program; and 3) enhanced systems applications to streamline
processing of business to facilitate a wider range of distribution channels and expand the
companys web-based technology capabilities.
Commissions. The decrease in commissions from first quarter 2006 to 2007 is due to the
decreased membership revenue discussed previously. The decrease in commissions as a percentage of
revenues is primarily due to reduced override commissions for terminated sales representatives.
Cost of Operations. The decrease in cost of operations from first quarter 2006 to 2007 was due
to reduction in personnel costs related to outsourcing customer service functions that was
implemented in December 2006 of $350,000 and a decrease in provider network fees related to
decreased revenue of $211,000, offset by an increase in customer service outsourcing fees of
$252,000 and short-term system enhancement costs for new applications to support new product
initiatives of $161,000. The increase in cost of operations as a percent of revenue is primarily
due to the increase in system cost as discussed previously.
Sales and Marketing Expenses. The decrease in sales and marketing expenses from first quarter
2006 to 2007 was primarily due to decreases in direct marketing activities.
General and Administrative Expenses. The decrease in general and administrative expenses from
first quarter 2006 to 2007 was primarily due to decreases in consulting and other operational costs
of $382,000 as the result of the office relocation and other management initiatives, offset by
increased legal costs of $101,000.
7
Insurance Marketing Division. The operating results for our Insurance Marketing Division were
as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended March 31, |
|
|
|
(Restated) |
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
Dollars in Thousands |
|
2007 |
|
|
2006 |
|
|
Change |
|
|
Change |
|
Revenues |
|
$ |
3,343 |
|
|
$ |
|
|
|
$ |
3,343 |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commissions |
|
|
2,455 |
|
|
|
|
|
|
|
2,455 |
|
|
|
100.0 |
% |
Cost of operations |
|
|
34 |
|
|
|
|
|
|
|
34 |
|
|
|
|
|
Sales and marketing |
|
|
634 |
|
|
|
|
|
|
|
634 |
|
|
|
100.0 |
% |
General and administrative |
|
|
245 |
|
|
|
|
|
|
|
105 |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
3,368 |
|
|
|
|
|
|
|
3,368 |
|
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating (loss) |
|
$ |
(25 |
) |
|
$ |
|
|
|
$ |
(25 |
) |
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent of revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
|
100 |
% |
|
|
0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commissions |
|
|
73.4 |
% |
|
|
0.0 |
% |
|
|
|
|
|
|
|
|
Cost of operations |
|
|
1.0 |
% |
|
|
0.0 |
% |
|
|
|
|
|
|
|
|
Sales and marketing |
|
|
19.0 |
% |
|
|
0.0 |
% |
|
|
|
|
|
|
|
|
General and administrative |
|
|
7.3 |
% |
|
|
0.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
100.7 |
% |
|
|
0.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating (loss) |
|
|
(0.7 |
)% |
|
|
0.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating results for the Insurance Marketing Division are included only from February 2007
forward, after the completion on January 30, 2007 of the acquisition of Insurance Capital
Management USA, Inc. However, ICMs 2006 results prior to acquisition are discussed below for
comparative purposes.
Service Revenues. Revenues for the months of February and March, 2007 reflected above averaged
$1,672,000 per month, compared to an average of $1,377,000 per month during the first quarter of
2006, prior to the acquisition, an increase of 21%.
Operating Income. Operating loss for the months of February and March, 2007 average $12,000
per month, compared to an average income of $64,000 per month during the first quarter of 2006, a
decrease of 119%. The decrease in operating income resulted from the amortization on other
intangible assets.
Regional Healthcare Division. The operating results for our Regional Healthcare Division were
as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended March 31, |
|
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
Dollars in Thousands |
|
2007 |
|
|
2006 |
|
|
Change |
|
|
Change |
|
Revenues |
|
$ |
1,736 |
|
|
$ |
1,916 |
|
|
$ |
(180 |
) |
|
|
(9.4 |
%) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
1,156 |
|
|
|
1,154 |
|
|
|
2 |
|
|
|
0.2 |
% |
Sales and marketing |
|
|
129 |
|
|
|
169 |
|
|
|
(40 |
) |
|
|
(23.7 |
%) |
General and administrative |
|
|
220 |
|
|
|
153 |
|
|
|
67 |
|
|
|
43.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
1,505 |
|
|
|
1,476 |
|
|
|
29 |
|
|
|
2.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
231 |
|
|
$ |
440 |
|
|
$ |
(209 |
) |
|
|
(47.5 |
%) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent of revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
|
100 |
% |
|
|
100 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
66.6 |
% |
|
|
60.2 |
% |
|
|
|
|
|
|
|
|
Sales and marketing |
|
|
7.4 |
% |
|
|
8.8 |
% |
|
|
|
|
|
|
|
|
General and administrative |
|
|
12.7 |
% |
|
|
8.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
86.7 |
% |
|
|
77.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
|
13.3 |
% |
|
|
23.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Service Revenues. The primary element of our Regional Healthcare Division is our wholly-owned
subsidiary, AAI, which we acquired in June 2004, through which we offer full third-party
administration services. Through AAI, we provide a wide range of
8
healthcare claims administration
services and other cost containment procedures that are frequently required by state and local
governmental entities and other large employers that have chosen to self fund their required
healthcare benefits. AAI helps us offer a more complete suite of healthcare service products. Also
through AAI, we provide individuals and employee groups access to preferred provider networks,
medical escrow accounts and full third-party administration capabilities to adjudicate and pay
medical claims.
Regional Healthcare Services revenues during first quarter 2007 decreased primarily due to
the decline in the number of lives covered under its plans.
Cost of Operations. The increase in cost of operations as a percent of revenue from first
quarter 2006 to first quarter 2007 is because fixed costs did not decline proportionately with the
revenue decline discussed above.
Sales and Marketing Expenses. The decrease in sales and marketing expenses from first quarter
2006 to first quarter 2007 was primarily due to decreases in sales and public relations activities.
AAI maintains direct relationships with its large self-funded clients in the El Paso market and
does not utilize advertising or outside sales forces.
General and Administrative Expenses. The increase in general and administrative expenses from
first quarter 2006 to first quarter 2007 was primarily due to severance costs related to a former
marketing officer and benefits costs of $54,000 in the first quarter of 2007. The increase in
general and administrative expenses as a percent of revenue from first quarter 2006 to first
quarter 2007 is because fixed costs did not decline proportionately with the revenue decline
discussed above.
Corporate and Other. The operating costs for our corporate and other activities were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended March 31, |
|
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
Dollars in Thousands |
|
2007 |
|
|
2006 |
|
|
Change |
|
|
Change |
|
Revenues |
|
$ |
17 |
|
|
$ |
32 |
|
|
$ |
(15 |
) |
|
|
(46.9 |
%) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commissions |
|
|
6 |
|
|
|
14 |
|
|
|
(8 |
) |
|
|
(57.1 |
%) |
General and administrative |
|
|
689 |
|
|
|
517 |
|
|
|
172 |
|
|
|
33.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
695 |
|
|
|
531 |
|
|
|
164 |
|
|
|
30.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating loss |
|
$ |
(678 |
) |
|
$ |
(499 |
) |
|
$ |
(179 |
) |
|
|
35.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Until December, 2006 we reported the financial results of our wholly-owned subsidiary Care
Financial of Texas, L.L.C. (Care Financial) as a separate segment, Financial Services. Financial
Services included two divisions Care Financial which offered high deductible and scheduled
benefit insurance policies and Care 125 which offered life insurance and annuities, along with
Healthcare Savings Accounts (HSAs), Healthcare Reimbursement Arrangements (HRAs) and medical and
dependent care Flexible Spending Accounts (FSAs). Care 125 was discontinued in December 2006 and
Care Financial is now included with Corporate and Other.
Service Revenues and Commissions. Revenues for Care Financial continue to decline as the
Company has de-emphasized this product line.
General and Administrative Expenses. The increase in general and administrative expenses from
first quarter 2006 to first quarter 2007 was primarily due to stock options awarded to officers and
directors of $260,000 during the first quarter 2007.
Income Tax Provision
SFAS 109, Accounting for Income Taxes, requires the separate recognition, measured at
currently enacted tax rates, of deferred tax assets and deferred tax liabilities for the tax effect
of temporary differences between the financial reporting and tax reporting bases of assets and
liabilities, and net operating loss carry forward balances for tax purposes. A valuation allowance
must be established for deferred tax assets if it is more likely than not that all or a portion
will not be realized. At December 31, 2006, we had a non-current deferred tax asset of $1,249,000
and a current deferred tax liability of $387,000. A valuation allowance of $862,000 reduced the
net non-current deferred tax asset to $387,000. The non-current deferred tax asset is primarily
due to the net operating loss carry-forward
that if not utilized will expire at various dates through 2026. At March 31, 2007, we had a
non-current deferred tax liability of $46,000 and a current deferred tax liability of $387,000.
The change in the non-current deferred tax amount as compared to December 31, 2006 is primarily due
to the acquisition of ICM.
On July 14, 2006, the FASB issued Interpretation No. 48 (FIN 48), Accounting for Uncertainty
in Income Taxes, an Interpretation of SFAS No. 109, Accounting for Income Taxes. FIN 48
prescribes guidance to address inconsistencies among
9
entities with the measurement and recognition
in accounting for income tax positions for financial statement purposes. Specifically, FIN 48
addresses the timing of the recognition of income tax benefits. FIN 48 requires the financial
statement recognition of an income tax benefit when the company determines that it is
more-likely-than-not that the tax position will be ultimately sustained. We adopted the provisions
of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes (FIN 48) on January 1,
2007. We have analyzed all filing positions in federal and state tax jurisdictions where we are
required to file income tax returns. Our major tax jurisdictions include the federal jurisdiction
and the state of Texas. Tax years open to examination include 2003 through 2006 for the federal
return. A federal audit for 2004 has been completed with no change to our tax liability. Texas tax
returns are open to examination for years 2002 through 2005. The Texas returns for Capella for the
years 2002-2005 are currently under examination. We believe that our income tax positions and
deductions will be sustained on audit. Accordingly, no reserves for uncertain income tax positions
have been recorded in the financial statements pursuant to FIN 48. We have elected to recognize
penalties and interest related to tax liabilities as a component of income tax expense and income
taxes payable. As of March 31, 2007, income taxes payable included $90,000 of accrued interest
expense and $26,000 of accrued penalties related to state tax liabilities. The statement of
operations for March 31, 2007 does not include any interest expense or penalties related to tax
liabilities. We plan to settle the state tax liabilities and pay any related interest and penalties
during 2007.
Liquidity and Capital Resources
Operating Activities. Net cash provided by operating activities for the quarters ended March
31, 2007 and 2006 was $358,000 and $615,000, respectively. The decrease in net cash provided by
operating activities of $257,000 was due primarily to a receipt of a state franchise tax refund of
$133,000 in first quarter of 2006.
Investing Activities. Net cash provided by investing activities for the quarter ended March
31, 2007 was $253,000 and net cash used in investing activities for the quarter ended March 31,
2006 was $748,000. The increase in net cash from investing activities of $1,001,000 was due
primarily to cash used in a business combination related to our acquisition of AAI of $701,000 in
the first quarter of 2006 and cash provided by the decrease in the requirement to maintain
restricted short-term investments of $320,000 in first quarter of 2007.
Financing Activities. Net cash used in financing activities for the quarters ended March 31,
2007 and 2006 was $94,000 and $68,000, respectively. The increase in net cash used in financing
activities of $26,000 was primarily due to net decrease in short-term debt of $44,000, offset by
net decrease in capitalized lease payment obligation of $18,000.
On March 31, 2007 and December 31, 2006 we had working capital of $2,193,000 and $3,996,000,
respectively. This decline of $1,803,000 is due primarily to the increase in short-term debt that
was included in the acquired liabilities related to the ICM acquisition.
We have obtained revolving line of credit facilities and short-term notes from a commercial
banking institution. The proceeds are used to fund the advancing of agent commissions for certain
programs. These debt obligations are collateralized by certain future commissions and fees. At
March 31, 2007, the revolving line of credit facilities aggregated $1,250,000. Accordingly, we are
able to borrow an additional $392,000 provided that the borrowings are restricted to the funding of
advanced agent commissions. $827,000 of the total commercial bank borrowings of $1,760,000 mature
and become payable July 15, 2007. We are the primary party on the loan agreement but Peter Nauert,
our former Chairman, had executed a personal guarantee. Mr. Nauert passed away on August 19, 2007.
As a result, amounts outstanding to the commercial bank became due immediately. We are currently
working with the commercial bank and Mr. Nauerts estate to arrange alternative financing
arrangements. There is no assurance that we will be able to arrange alternative financing or that
we will have future borrowings available to us from the commercial bank or Mr. Nauerts estate on
terms satisfactory to us or advantageous to our stockholders. As a result, we may face substantial
difficulty in obtaining sufficient capital to finance our funding of advanced agent commissions.
As part of the ICM acquisition, we assumed a three-year loan that was obtained in November
2006, from a specialty lending corporation of which $600,000 remains outstanding at March 31, 2007.
$200,000 of the outstanding balance has been classified as short-term debt and the remaining
balance of $400,000 has been classified as long-term debt. The loan bears interest at prime plus
5.0%. We are the primary party on the loan agreement and Peter Nauert, our former Chairman, had
executed a personal guarantee. As stated above, Mr. Nauert passed away on August 19, 2007. As a result, amounts outstanding
to that lender became due immediately. We are currently working with the specialty lending
corporation and Mr. Nauerts estate to arrange alternative financing arrangements. There is no
assurance that we will be able to arrange alternative financing or that we will have future
borrowings available to us from the specialty lending corporation or Mr. Nauerts estate on terms
satisfactory to us or advantageous to our stockholders. As a result, we may face substantial
difficulty in obtaining sufficient capital to finance our funding of advanced agent commissions.
10
Other than our $188,000 capital lease obligations, we do not have any capital commitments. We
anticipate that our capital expenditures for 2007 will not significantly exceed the amount incurred
during 2006. We have pledged $1,100,000 of cash and investment securities to secure our
arrangements with banks and clearing agencies for clearing our credit card and automated clearing
house charges, which are the principal means of collecting revenue in our consumer card division.
Additionally, we may utilize capital for strategic acquisitions should such opportunities present
themselves. We require working capital to advance commissions to our agents prior to our receipt
of the underlying commission from the insurance carrier. Additionally, while we have generated
cash from operating activities in the past, the decline in revenues in certain of our operating
divisions or increases in the cost of our corporate activities may reduce cash provided from
operations or lead to the use of cash in operating activities. While we believe that we currently
have access to a sufficient amount of working capital to meet our needs, our ability to grow the
Insurance Marketing Division will depend on our ability to gain access to increasing amounts of
working capital sources. We believe that our existing cash and cash equivalents, and cash provided
by operations, will be sufficient to fund our normal operations and capital expenditures for the
next 12 months. However, growth in our Insurance Marketing Division, loss of access to borrowing
arrangements or losses incurred in operations may necessitate additional financing to fund future
advances or our operations.
Because our capital requirements cannot be predicted with certainty, there is no assurance
that we will not require any additional financing during the next 12 months, and if required, that
any additional financing will be available on terms satisfactory to us or advantageous to our
stockholders.
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
We do not have any investments in market risk sensitive instruments.
ITEM 4. CONTROLS AND PROCEDURES
Our Chief Executive Officer and our Chief Financial Officer are primarily responsible for
establishing and maintaining disclosure controls and procedures designed to ensure that information
required to be disclosed in our reports filed or submitted 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 rules and forms of the U.S. Securities and Exchange Commission. These
controls and procedures are designed to ensure that information required to be disclosed in our
reports filed or submitted under the Exchange Act is accumulated and communicated to our
management, including our principal executive and principal financial officers, or persons
performing similar functions, as appropriate to allow timely decisions regarding required
disclosure.
Furthermore, our Chief Executive Officer and our Chief Financial Officer are responsible for
the design and supervision of our internal controls over financial reporting that are then effected
by and through our board of directors, management and other personnel, to provide reasonable
assurance regarding the reliability of our financial reporting and the preparation of financial
statements for external purposes in accordance with generally accepted accounting principles. These
policies and procedures
|
|
|
pertain to the maintenance of records that, in reasonable detail, accurately and fairly
reflect the transactions and dispositions of our assets; |
|
|
|
|
provide reasonable assurance that transactions are recorded as necessary to permit
preparation of financial statements in accordance with generally accepted accounting
principles, and that our receipts and expenditures are being made only in accordance with
authorizations of our management and directors, and |
|
|
|
|
provide reasonable assurance regarding prevention or timely detection of unauthorized
acquisition, use or disposition of our assets that could have a material effect on our
financial statements. |
In connection with our quarter end close process and the preparation of this report, an
evaluation was performed under the supervision and with the participation of management, including
our Chief Executive Officer and our Chief Financial Officer, of the
effectiveness of the design and operation of our disclosure controls and procedures over
financial reporting. Based on that evaluation, the CEO and CFO had concluded that the Companys
disclosure controls and procedures were not effective at March 31, 2007, due to one material
weakness and one significant deficiency in internal control over financial reporting noted below.
Our management reported to our auditors and the audit committee of our board of directors that,
other than the changes being implemented to remediate the material weakness and significant
deficiency noted below, no other change in our disclosure controls and procedures and internal
control over financial reporting occurred during the first quarter of 2007 that would materially
affect or was reasonably likely to
11
materially affect our disclosure controls and procedures or
internal control over financial reporting. In conducting their evaluation of our disclosure
controls and procedures and internal controls over financial reporting, our management, including
our Chief Executive Officer and Chief Financial Officer, did not discover any fraud that involved
management or other employees who have a significant role in our disclosure controls and procedures
and internal controls over financial reporting. The discovery, in August 2007, of the failures in
February through June to completely and accurately record a portion of our insurance commission
expense related to one of our insurance products, as described above in Part I, Item 1 Financial
Statements (Unaudited), indicates that the remediation of the material weakness that we believed
had been accomplished was not completely effective. Furthermore, there were significant changes in
our disclosure controls and procedures, internal controls over financial reporting, or other
factors that could significantly affect our disclosure controls and procedures or internal controls
over financial reporting subsequent to the date of their evaluation consisting of corrective
actions necessary or taken to correct significant deficiencies in our internal controls and
disclosure controls and procedures. Therefore, based on this more recent information, the Interim
Chief Executive Officer and the Chief Financial Officer have now concluded that the Companys
disclosure controls and procedures were not effective at March 31, 2007, due the material weakness
in internal control over financial reporting noted below.
Changes to Internal Control over Financial Reporting
During the first quarter of 2007 and the subsequent evaluation of disclosure controls and
procedures effective as of March 31, 2007, management recognized a material weakness related to
processes and controls for the recording of insurance commission revenues and related insurance
commission expenses for the insurance marketing operation acquired during the quarter that were not
sufficient to provide for the timely and complete recording of insurance commission transactions,
and a significant deficiency related to processes and controls for recording stock option expense
pursuant to SFAS 123R that did not provide for timely recording of stock option expense.
We were unable to remediate these weaknesses before the end of the first quarter, although we
implemented partial remediation of the material weakness related to recording insurance commission
revenue and expense in the form of interim changes to internal control over financial reporting
that materially affected, or that is reasonably likely to materially affect, our internal control
over financial reporting during the first quarter. Also, we conducted additional procedures and
implemented interim manual control procedures which we believed at the time were sufficient to
assure the accuracy of the financial statements for the first quarter of 2007 contained in Form
10-Q as originally filed. However, the discovery during August 2007 of the failure to record a
portion of our insurance commission expense related to one of our insurance products, as described
in Item 1 above, revealed that those interim manual control procedures were not sufficient to
ensure that all commission related transactions were completely and accurately captured and
recorded. That processing failure resulted from a data input oversight causing a failure to record
a portion of our insurance commission expense for one of our insurance products in the newly
acquired insurance marketing division beginning in February this year. The data input oversight
resulted from a change in the data gathering process, relied upon for purposes of calculating agent
commissions for the particular insurance product. This operational data input oversight occurred
during transitions in responsibility during our merger-acquisition of the insurance marketing
division in January 2007 and was not detected on a timely basis. This resulted in an underpayment
to the agents and an underreporting of commission expense.
After the quarter end, management launched initiatives to put into operation new processes and
controls to address the material weakness and the significant deficiency described above.
Management believes that these new controls will remediate the deficiencies in the Companys
internal control over financial reporting that existed as of March 31, 2007, and that these
internal controls will be effective at the reasonable assurance level. However, since these
changes were implemented after the quarter end, these changes did not alter the conclusion of
management that our internal controls were not effective at the quarter end. Since the discovery
of the commission underpayment described above, we have also taken steps to consolidate the
disparate insurance marketing commission processing functions into a single unit and to implement
additional controls for the verification of commission calculations. However, we have not yet
concluded that the material weakness in internal control over financial reporting related to such
commission expenses has been fully remediated.
PART II OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
There are no new legal proceedings to report during the three months ended March 31, 2007.
There have been no developments on legal proceedings discussed in our 2006 annual report on Form
10-K.
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ITEM 1A. RISK FACTORS
Our Risk Factors
The matters discussed below and elsewhere in this report should be considered when evaluating
our business operations and strategies. Additionally, there may be risks and uncertainties that we
are not aware of or that we currently deem immaterial, which may become material factors affecting
our operations and business success. Many of the factors are not within our control. We provide no
assurance that one or more of these factors will not:
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adversely affect the market price of our common stock, |
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adversely affect our future operations, |
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adversely affect our business, |
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adversely affect our financial condition, |
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adversely affect our results of operations, |
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require significant reduction or discontinuance of our operations, |
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require us to seek a merger partner, or |
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require us to sell additional stock on terms that are highly dilutive to our
shareholders. |
THIS REPORT CONTAINS CAUTIONARY STATEMENTS RELATING TO FORWARD LOOKING INFORMATION.
We have included some forward-looking statements in this section and other places in this
report regarding our expectations. These forward-looking statements involve known and unknown
risks, uncertainties and other factors that may cause our actual results, levels of activity,
performance or achievements, or industry results, to be materially different from any future
results, levels of activity, performance or achievements expressed or implied by these
forward-looking statements. Some of these forward-looking statements can be identified by the use
of forward-looking terminology including believes, expects, may, will, should or
anticipates or the negative thereof or other variations thereon or comparable terminology, or by
discussions of strategies that involve risks and uncertainties. You should read statements that
contain these words carefully because they:
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discuss our future expectations, |
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contain projections of our future operating results or of our future financial condition,
or |
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state other forward-looking information. |
We believe it is important to discuss our expectations. However, it must be recognized that
events may occur in the future over which we have no control and which we are not accurately able
to predict. Any forward-looking statements contained in this report represent our judgment as of
the date of this report. We disclaim, however, any intent or obligation to update these
forward-looking statements. As a result, the reader is cautioned not to place undue reliance on
these forward-looking statements.
DURING THE FIRST QUARTER OF 2007 AND DURING 2006, 2005 AND 2004 WE INCURRED LOSSES FROM
OPERATIONS AND THESE LOSSES MAY CONTINUE.
During the three months ended March 31, 2007 and the years ended December 31, 2006, 2005 and
2004 we incurred losses from continuing operations of $ 325,000, $6,814,000, $13,229,000 and
$1,657,000, respectively and net losses of $ 325,000, $7,724,000,
$13,371,000 and $1,956,000, respectively. As part of those operating losses and net losses, we
incurred goodwill impairment charges of $6,866,000 including tax considerations of $426,000,
$12,900,000 and $2,000,000 in 2006, 2005 and 2004, respectively. In 2006, we recorded goodwill
impairment charges of $4,066,000 including tax considerations of $426,000 for AAI and $2,800,000
for Capella, respectively. In 2005, we recorded a goodwill impairment charge of $12,900,000 related
to Capella. In 2004, we recorded a goodwill impairment charge of $2,000,000 related to Foresight,
Inc. (Foresight). The operating loss before goodwill impairment charges in 2005 was primarily
attributable to the continuing costs associated with our Care Entréetm medical savings
program. There
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is no assurance that losses from our Care Entréetm medical savings program
will not continue or that our other operations will become or continue to be profitable in 2007 or
thereafter.
OUR REVENUES IN THE CONSUMER PLAN DIVISION ARE LARGELY DEPENDENT ON THE INDEPENDENT MARKETING
REPRESENTATIVES, WHOSE REDUCED SALES EFFORTS OR TERMINATION MAY RESULT IN SIGNIFICANT LOSS OF
REVENUES.
Our success and growth depend in large part upon our ability to attract, retain and motivate
the network of independent marketing representatives who principally market our Care
Entréetm medical savings program and the USA Healthcare Savings products that we are
introducing in 2007. Our independent marketing representatives typically offer and sell the Care
Entréetm program on a part-time basis, and may engage in other business activities. These
marketing representatives may give higher priority to other products or services, reducing their
efforts devoted to marketing our Care Entréetm program. Also, our ability to attract and
retain marketing representatives could be negatively affected by adverse publicity relating to our
Care Entréetm program and operations.
Under our network marketing system, the marketing representatives downline organizations are
headed by a relatively small number of key representatives who are responsible for a substantial
percentage of our total revenues. The loss of a significant number of marketing representatives,
including any key representatives, for any reason, could adversely affect our revenues and
operating results, and could impair our ability to attract new distributors.
A LARGE PART OF OUR CONSUMER PLAN DIVISION REVENUES ARE DEPENDENT ON KEY RELATIONSHIPS WITH A FEW
PRIVATE LABEL RESELLERS AND WE MAY BECOME MORE DEPENDENT ON SALES BY A FEW PRIVATE LABEL
RESELLERS.
Our revenues from sales of our independent marketing representatives have declined and
continue to decline. As a result, we have become more dependent on sales made by private label
resellers to whom we sell our discount medical programs. If sales made by our independent marketing
representatives continue to decline or if our efforts to increase sales through private label
resellers succeed, we may become more dependent on sales made by our private label resellers.
Because a large number of these sales may be made by a few resellers, our revenues and operating
results may be adversely affected by the loss of our relationship with any of those private label
resellers.
DEVELOPMENT AND MAINTENANCE OF RELATIONSHIPS WITH PREFERRED PROVIDER ORGANIZATIONS ARE CRITICAL
AND THE LOSS OF SUCH RELATIONSHIPS COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR BUSINESS.
As part of our business operations, we must develop and maintain relationships with preferred
provider organizations within each market area that our services are offered. Development and
maintenance of these relationships with healthcare providers within a preferred provider
organization is in part based on professional relationships and the reputation of our management
and marketing personnel. Because many members that receive healthcare services are self-insured and
responsible for payment for healthcare services received, failure to pay or late payments by
members may negatively affect our relationship with the preferred provider organizations.
Consequently, preferred provider organization relationships may be adversely affected by events
beyond our control, including departures of key personnel and alterations in professional
relationships and members failures to pay for services received. The loss of a preferred provider
organization within a geographic market area may not be replaced on a timely basis, if at all, and
may have a material adverse effect on our business, financial condition and results of operations.
WE CURRENTLY RELY HEAVILY ON ONE KEY PREFERRED PROVIDER ORGANIZATION AND THE LOSS OF OR A CHANGE
IN OUR RELATIONSHIP WITH THIS PROVIDER COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR BUSINESS.
Private Healthcare Systems (PHCS), a division of MultiPlan, Inc., is the preferred provider
organization through which most of our members obtain savings on medical services through our Care
Entréetm program. The loss of PHCS as a preferred provider
organization or a disruption of our members access to PHCS could affect our ability to retain
our members and could, therefore, adversely affect our business. While we currently enjoy a good
relationship with PHCS and MultiPlan, there are no assurances that we will continue to have a good
relationship with them in the future, or that MultiPlan, having recently acquired PHCS, may choose
to change its business strategy in a way that adversely affects us by either limiting or
terminating our members access to the PHCS network or by entering into agreements with our
competitors to provide their members access to PHCS.
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WE FACE COMPETITION FOR MARKETING REPRESENTATIVES AS WELL AS COMPETITIVE OFFERINGS OF HEALTHCARE
PRODUCTS AND SERVICES.
Within the healthcare savings membership industry competition for members is becoming more
intense. We offer membership programs that provide products and services similar to or directly in
competition with products and services offered by our network-marketing competitors as well as the
providers of such products and services through other channels of distribution. Some of our private
label resellers have chosen to sell a product that is competitive to ours in order to maintain
multiple sources for their products. Others may also choose to sell competing products.
Furthermore, marketing representatives have a variety of products that they can choose to market,
whether competing with us in the healthcare market or not.
Our business operations compete in two channels of competition. First, we compete based upon
the healthcare products and services offered. These competitors include companies that offer
healthcare products and services through membership programs much like our programs, as well as
insurance companies, preferred provider organization networks and other organizations that offer
benefit programs to their customers. Second, we compete with all types of network marketing
companies throughout the U.S. for new marketing representatives. Many of our competitors have
substantially larger customer bases and greater financial and other resources.
We provide no assurance that our competitors will not provide healthcare benefit programs
comparable or superior to our programs at lower membership prices or adapt more quickly to evolving
healthcare industry trends or changing industry requirements. Increased competition may result in
price reductions, reduced gross margins, and loss of market share, any of which could adversely
affect our business, financial condition and results of operations. There is no assurance that we
will be able to compete effectively with current and future competitors.
GOVERNMENT REGULATION MAY ADVERSELY AFFECT OR LIMIT OUR OPERATIONS.
Most of the discount medical programs that we offer through our Consumer Plan Division are
sold without the need for an insurance license by any federal, state or local regulatory licensing
agency or commission. In comparison, companies that provide insurance benefits and operate
healthcare management organizations and preferred provider organizations are regulated by state
licensing agencies and commissions. These regulations extensively cover operations, including scope
of benefits, rate formula, delivery systems, utilization review procedures, quality assurance,
enrollment requirements, claim payments, marketing and advertising. Several states have enacted
laws and regulations overseeing discount medical plans. We do not know the full extent of these
regulations and additional states may also impose regulation. Our need to comply with these
regulations may adversely affect or limit our future operations. The cost of complying with these
laws and regulations has and will likely continue to have a material effect on our financial
position.
Government regulation of health and life insurance, annuities and healthcare coverage and
health plans is a changing area of law and varies from state to state. Although we are not an
insurance company, the insurance companies from which we obtain our products and financial services
are subject to various federal and state regulations applicable to their operations. These
insurance companies must comply with constantly evolving regulations and make changes occasionally
to services, products, structure or operations in accordance with the requirements of those
regulations. We may also be limited in how we market and distribute our products and financial
services as a result of these laws and regulations.
AS A RESULT OF THE INTRODUCTION OF PERSONAL MEDICAL ACCOUNTS, OUR FINANCIAL POSITION AND RESULTS
OF OPERATIONS MAY CONTINUE TO BE ADVERSELY IMPACTED BY A DECREASE IN THE NUMBER OF HEALTHCARE
SAVINGS PROGRAM MEMBERSHIPS THAT WE CAN SELL AND MAINTAIN.
While we believe that the introduction of our Personal Medical Accounts (PMAs) was an
important product evolution, the initial impact of this introduction has negatively affected our
business. This impact is the result of additional difficulties in selling and maintaining
memberships in our program because of the added complexity. Although we have terminated our PMA
program, there is no assurance that we will be able to overcome these difficulties, and we may not
be able to increase the number of memberships that are sold and maintained. As a result, our
financial position and results of operations may be negatively affected.
THE FAILURE OF OUR NETWORK MARKETING ORGANIZATION TO COMPLY WITH FEDERAL AND STATE REGULATION
COULD RESULT IN ENFORCEMENT ACTION AND IMPOSITION OF PENALTIES, MODIFICATION OF OUR NETWORK
MARKETING SYSTEM, AND NEGATIVE PUBLICITY.
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Our network marketing organization is subject to federal and state laws and regulations
administered by the Federal Trade Commission and various state agencies. These laws and regulations
include securities, franchise investment, business opportunity and criminal laws prohibiting the
use of pyramid or endless chain types of selling organizations. These regulations are generally
directed at ensuring that product and service sales are ultimately made to consumers (as opposed to
other marketing representatives) and that advancement within the network marketing organization is
based on sales of products and services, rather than on investment in the company or other
non-retail sales related criteria.
The compensation structure of a network marketing organization is very complex. Compliance
with all of the applicable regulations and laws is uncertain because of:
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the evolving interpretations of existing laws and regulations, and |
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the enactment of new laws and regulations pertaining in general to network marketing
organizations and product and service distribution. |
Accordingly, there is the risk that our network marketing system could be found to not comply
with applicable laws and regulations that could:
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result in enforcement action and imposition of penalty, |
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require modification of the marketing representative network system, |
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result in negative publicity, or |
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have a negative effect on distributor morale and loyalty. |
Any of these consequences could have a material adverse effect on our results of operations as
well as our financial condition.
THE LEGALITY OF OUR NETWORK MARKETING ORGANIZATION IS SUBJECT TO CHALLENGE BY OUR MARKETING
REPRESENTATIVES, WHICH COULD RESULT IN SIGNIFICANT DEFENSE COSTS, SETTLEMENT PAYMENTS OR
JUDGMENTS, AND COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR RESULTS OF OPERATIONS AND FINANCIAL
CONDITION.
Our network marketing organization is subject to legality challenge by our marketing
representatives, both individually and as a class. Generally, these challenges would be based on
claims that our marketing network program was operated as an illegal pyramid scheme in violation
of federal securities laws, state unfair practice and fraud laws and the Racketeer Influenced and
Corrupt Organizations Act. Proceedings resulting from these claims could result in significant
defense costs, settlement payments, or judgments, and could have a material adverse effect on us.
WE MAY HAVE EXPOSURE AND LIABILITY RELATING TO NON-COMPLIANCE WITH THE HEALTH INSURANCE
PORTABILITY AND ACCOUNTABILITY ACT OF 1996 AND THE COST OF COMPLIANCE COULD BE MATERIAL.
In April 2003 privacy regulations promulgated by The Department of Health and Human Services
pursuant to the Health Insurance Portability and Accountability Act of 1996 (HIPAA). HIPAA
imposes extensive restrictions on the use and disclosure of individually identifiable health
information by certain entities. Also as part of HIPAA, the Department of Health and Human Services
has issued final regulations standardizing electronic transactions between health plans, providers
and clearinghouses. Healthcare plans, providers and claims administrators are required to conform
their electronic and data processing systems to HIPAA electronic transaction requirements. While we
believe we are currently compliant with these regulations, we cannot be certain of the extent to
which the enforcement or interpretation of these regulations will affect our business. Our
continuing compliance with these regulations, therefore, may have a significant impact on our
business operations and may be at material cost in the event we are
subject to these regulations. Sanctions for failing to comply with standards issued pursuant
to HIPAA include criminal and civil sanctions.
DISRUPTIONS IN OUR OPERATIONS DUE TO IMPLEMENTATION OF OUR MANAGEMENT INFORMATION SYSTEM MAY
OCCUR AND COULD ADVERSELY AFFECT OUR CLIENT RELATIONSHIPS.
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We recently transitioned to our new management information system. This is a proprietary
system and we do not rely on any third party for its support and maintenance. There is no assurance
that we will be able to continue operating without experiencing any disruptions in our operations
or that our relationships with our members, marketing representatives or providers will not be
adversely affected or that our internal controls will not be adversely affected.
WE HAVE MANY COMPETITORS AND MAY NOT BE ABLE TO COMPETE EFFECTIVELY WHICH MAY LEAD TO A LACK OF
REVENUES AND DISCONTINUANCE OF OUR OPERATIONS.
We compete with numerous well-established companies that design and implement membership
programs and other healthcare programs. Some of our competitors may be companies that have programs
that are functionally similar or superior to our programs. Most of our competitors possess
substantially greater financial, marketing, personnel and other resources than us. They may also
have established reputations relating to their programs.
Due to competitive market forces, we may experience price reductions, reduced gross margins
and loss of market share in the future, any of which would result in decreases in sales and
revenues. These decreases in revenues would adversely affect our business and results of operations
and could lead to discontinuance of operations. There can be no assurance that:
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we will be able to compete successfully; |
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our competitors will not develop programs that render our programs less marketable or
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we will be able to successfully enhance our programs when necessary. |
THE GOODWILL ACQUIRED PURSUANT TO OUR ACQUISITIONS OF CAPELLA, AAI AND ICM MAY BECOME FURTHER
IMPAIRED AND REQUIRE A WRITE-DOWN AND THE RECOGNITION OF AN IMPAIRMENT EXPENSE THAT MAY BE
SUBSTANTIAL.
In connection with our acquisitions of Capella, AAI and ICM, we recorded goodwill that had an
aggregate asset value of $17,485,000 at March 31, 2007. This carrying value has been reduced
through impairment charges of $6,866,000 including tax considerations of $426,000 in 2006,
$12,900,000 in 2005, and $2,000,000 in 2004. In the event that the goodwill is determined to be
further impaired for any reason, we will be required to write-down or reduce the value of the
goodwill and recognize an additional impairment expense. The impairment expense may be substantial
in amount and, in such case, adversely affect the results of our operations for the applicable
period and may negatively affect the market value of our common stock.
OUR SUBSIDIARY, AAI, DERIVES A LARGE PERCENTAGE OF ITS INCOME FROM A FEW KEY CLIENTS AND THE LOSS
OF ANY OF THOSE CLIENTS COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR RESULTS OF OPERATIONS AND
FINANCIAL CONDITION.
AAI provides full service third-party administration services to adjudicate and pay medical
claims for employers who have self-funded all or any portion of their healthcare costs. Their
primary market is governmental entities in the metropolitan area of El Paso, Texas, including
cities and school districts. There are a limited number of these types of entities within that
metropolitan area. During 2006 we incurred a $4,066,000 goodwill impairment charge including tax
considerations of $426,000 as a result of the reduction in the number of lives covered under plans
we administer. There is no assurance that AAI will obtain renewal or extension of those contracts
in 2007. The loss of any of these contractual relationships will adversely affect on our operating
results and the loss of more than one of these contractual relationships could have a material
adverse effect on our financial condition.
WE MAY FIND IT DIFFICULT TO INTEGRATE INSURACOS BUSINESS AND OPERATIONS WITH OUR BUSINESS AND
OPERATIONS.
Although we believe that Insuracos marketing and distribution of insurance products and
financial services will complement and fit well with our business and the need for marketing of our
healthcare savings programs and third-party claims administration services, Insuracos business is
new to us. Our unfamiliarity with this business may make it more difficult to integrate Insuracos
operations with ours. We will not achieve the anticipated benefits of the merger-acquisition unless
we successfully integrate the Insuraco operations. There can be no assurance that this will occur.
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WE ARE DEPENDENT ON THIRD PARTY SERVICE PROVIDERS AND THE FAILURE OF SUCH SERVICE PROVIDERS TO
ADEQUATELY PROVIDE SERVICES TO US COULD AFFECT OUR FINANCIAL RESULTS BECAUSE SUCH FAILURE COULD
AFFECT OUR RELATIONSHIP WITH OUR CUSTOMERS.
As a cost efficiency measure, we have entered into agreements with third parties for their
provision of services to us in exchange for a monthly fee normally calculated on a per member
basis. These services include the enrollment of members through different media, operation of a
member-services call center, claims administration, billing and collection services, and the
production and distribution of fulfillment member marketing materials. One of these is our
agreement with Lifeguard Emergency Travel, Inc. (Lifeguard) for the provision of these services
to many of our members and prospective members. As a result of these outsourcing agreements, we may
lose direct control over these key functions and operations. The failure by Lifeguard or any of our
other third party service providers to perform the services to the same or similar level of quality
that we could provide could adversely affect our relationships with our members, customers,
marketing representatives and our ability to retain and attract members, customers, marketing
representatives and, accordingly, have a material adverse effect on our financial condition and
results of operations.
THE AVAILABILITY OF OUR INSURANCE PRODUCTS AND FINANCIAL SERVICES ARE DEPENDENT ON OUR STRATEGIC
RELATIONSHIPS WITH VARIOUS INSURANCE COMPANIES AND THE UNAVAILABILITY OF THOSE PRODUCTS AND
SERVICES FOR ANY REASON MAY RESULT IN SIGNIFICANT LOSS OF REVENUES.
We are not an insurance company and only market and distribute insurance products and
financial services developed and offered by insurance companies. We must develop and maintain
relationships with insurance companies that provide products and services for a particular market
segment (the elderly, the young family, etc.) that we in turn make available to the independent
agents with whom they have contracted to sell the products and services to the individual consumer.
Of the eight insurance companies with whom Insuraco had strategic relationships prior to our
acquisition, more than 95% of 2006 and 2005 Insuracos revenue was attributable to the insurance
products and financial services offered by five of the companies. Thus, we are dependent on a
relatively small number of insurance companies to provide product and financial services for sale
through our channels.
Development and maintenance of relationships with the insurance companies may in part be based
on professional relationships and the reputation of our management and marketing personnel.
Consequently, the relationships with insurance companies may be adversely affected by events beyond
our control, including departures of key personnel and alterations in professional relationships.
Our success and growth depend in large part upon our ability to establish and maintain these
strategic relationships, contractual or otherwise, with various insurance companies to provide
their products and services, including those insurance products and financial services that may be
developed in the future. The loss or termination of these strategic relationships could adversely
affect our revenues and operating results. Furthermore, the loss or termination may also impair our
ability to maintain and attract new insurance agencies and their agents to distribute the insurance
products and services that we offer.
WE ARE DEPENDENT UPON INDEPENDENT INSURANCE AGENCIES AND THEIR AGENTS TO OFFER AND SELL OUR
INSURANCE PRODUCTS AND FINANCIAL SERVICES.
We are principally dependent upon independent insurance agencies and their agents to offer and
sell the insurance products and financial services that we offer and distribute. These insurance
agencies and their agents may offer and distribute insurance products and financial services that
are competitive with ours. These independent agencies and their agents may give higher priority and
greater incentives (financial or otherwise) to other insurance products or financial services,
reducing their efforts devoted to marketing and distribution of the insurance products and
financial services that we offer. Also, our ability to attract and retain independent insurance
agencies could be negatively affected by adverse publicity relating to our products and services or
our operations.
Furthermore, of the approximately 5,000 independent agents with whom Insuraco have active
distribution and marketing relationships, more than 80% of Insuracos revenues are attributable to
the product sales and financial services through approximately 1,000 independent insurance agents.
These agents report through approximately 20 independent general agencies. Thus, we are dependent
on a small number of independent insurance agencies for a very significant percentage of our total
insurance products and financial services revenue.
Development and maintenance of the relationships with independent insurance agencies and their
agents may in part be based on professional relationships and the reputation of our management and
marketing personnel. Consequently, these relationships may be adversely affected by events beyond
our control, including departures of key personnel and alterations in professional relationships.
The loss of a significant number of the independent insurance agencies (and their agents), as well
as the loss of a key agency or its
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agents, for any reason, could adversely affect our revenue and
operating results, or could impair our ability to establish new relationships or continue strategic
relationships with independent insurance agencies and their agents.
WE FACE INTENSE COMPETITION IN THE MARKET PLACE FOR OUR PRODUCTS AND SERVICES AS WELL AS
COMPETITION FOR INSURANCE AGENCIES AND THEIR AGENTS FOR THE MARKETING OF THE PRODUCTS AND
SERVICES OFFERED.
Instead of utilizing captive or wholly-owned insurance agencies for the offer and sale of its
products and services, we utilize independent insurance agencies and their agents as the principal
marketing and distribution channel. Competition for independent insurance agencies and their agents
is intense. Also, competition from products and services similar to or directly in competition with
the products and services that we offer is intense, including those products and services offered
and sold through the same channels utilized for distribution of our insurance products and
financial services. Under arrangements with the independent insurance agencies, the agencies and
their agents may offer and sell a variety of insurance products and financial services, including
those that compete with the insurance products and financial services that we offer.
Thus, our business operations compete in two channels of competition. First, we compete based
upon the insurance products and financial services offered. This competition includes products and
services of insurance companies that compete with the products and services of the insurance
companies that we offered and sell. Second, we compete with all types of marketing and distribution
companies throughout the U.S. for independent insurance agencies and their agents. Many of our
competitors have substantially larger bases of insurance companies providing products and services,
and longer-term established relationships with independent insurance agencies and agents for the
sale and distribution of products and services, as well as greater financial and other resources.
There is no assurance that our competitors will not provide insurance products and financial
services comparable or superior to those products and services that we offer at lower costs or
prices, greater sales incentives (financial or otherwise) or adapt more quickly to evolving
insurance industry trends or changing industry requirements. Increased competition may result in
reduced margins on product sales and services, less than anticipated sales or reduced sales, and
loss of market share, any of which could materially adversely affect our business and results of
operations. There can be no assurance that we will be able to compete effectively against current
and future competitors.
ON AUGUST 19, 2007, PETER W. NAUERT, OUR CHIEF EXECUTIVE OFFICER, ON WHOM WE WERE HIGHLY
DEPENDENT, PASSED AWAY AND THE CONSEQUENCES OF THE LOSS OF HIS SERVICES ARE CURRENTLY
INDETERMINABLE.
Restatement. We were highly dependent upon Peter W. Nauert, the Companys former Chief
Executive Officer and Chairman Mr. Nauerts management skills, reputation and contacts within the
insurance industry were key elements of our business plans. Mr. Nauert passed away August 19, 2007
after a brief illness. The ultimate effect and consequences of the loss of Mr. Nauerts services
are not currently determinable. The loss of Mr. Nauerts management skills, reputation and
insurance industry contacts may adversely affect the growth and success we expect to obtain from
our merger with ICM. See Item 2. Managements Discussion and Analysis of Financial Condition and
Results of Operations and Item 5. Other Information for discussion on officer changes.
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
a) None.
b) None.
c) On January 30, 2007, we completed our merger with Insurance Capital Management USA, Inc.
(ICM). Under the terms of the merger, the shareholders of ICM received shares of our common stock
based on the adjusted earnings before income taxes, depreciation and amortization (adjusted
EBITDA) of the ICM and its subsidiary companies. On January 30, 2007, the ICM shareholders were
issued 4,498,529 shares of our common stock. Further, the ICM shareholders will receive an
additional 2,257,853 shares of our common stock since the acquired ICM companies achieved adjusted
EBITDA of $1,250,000 over four consecutive
calendar quarters ending on December 31, 2006. The common stock shares were sold pursuant to
the registration exemptions available pursuant to Section 4(2) of the Securities Act of 1933, as
amended, and Rules 505 and 506 of Regulation D promulgated there under. The shareholders of ICM
qualified as accredited investors within the meaning of Rule 501(a). No commissions or other
remuneration was paid with respect to the issuance of the common stock to the ICM shareholder.
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The initial cost of the acquisition of $11,143,000 consisted of $10,540,000 of our common
stock (6,756,382 shares) and $603,000 of costs directly related to the acquisition. The initial
cost of the acquisition of $11,143,000 has been allocated to working capital of $(2,679,000), fixed
assets of $35,000, goodwill of $10,087,000 and intangible assets of $3,700,000. The allocation of
$10,087,000 to goodwill is considered appropriate as ICM strategically complements the Companys
current business by adding new distribution channels for our Care Entréetm and
private-label healthcare savings programs. ICM also has proven experience in the development,
marketing and distribution of insurance products and financial services and, through its
contractual arrangements with various insurance companies, will be a continuing source of
leading-edge insurance products. The acquired ICM companies currently operate as Insuraco USA LLC
(Insuraco) and constitute our Insurance Marketing Division.
d) None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
We held a special meeting of our shareholders on January 30, 2007. At this meeting, we asked
our shareholders to:
|
|
|
approve our merger with ICM pursuant to the applicable Agreement and Plan of Merger, |
|
|
|
|
approve a change to our Certificate of Incorporation to change our name to Access Plans
USA, Inc., and |
|
|
|
|
approve an amendment to our 2002 Non-Employee Stock Option Plan that added an additional
1,000,000 shares for issuance under the plan and extended the plans expiration date to
March 31, 2010. |
Of the 13,512,763 shares of our common stock outstanding as of the record date for the
meeting, 13,156,578 were represented and voted at the meeting. At the meeting, the Agreement and
Plan of Merger, the amendment to our Certificate of Incorporation, and the amendment to our 2002
Non-Employee Stock Option Plan were each approved by the holders of a majority of our outstanding
common stock shares.
The vote results were as follows:
|
|
|
|
|
|
|
|
|
For |
|
Against |
|
Abstain |
Agreement and Plan of Merger |
|
10,788,887 |
|
12,609 |
|
2,040 |
Amendment to Certificate of Incorporation |
|
13,137,588 |
|
17,550 |
|
1,440 |
Amendment to 2002 Non-Employee Stock
Option Plan |
|
10,309,451 |
|
17,550 |
|
1,440 |
ITEM 5. OTHER INFORMATION
On August 20, 2007 the Companys Board of Directors elected board member J. French Hill as
Chairman of the Board, and appointed Ian R. Stuart to serve as Interim President and Chief
Executive Officer. Mr. Stuart has served as the Companys Chief Operating Officer since January
30, 2007 and previously served as Chief Operating Officer and Chief Financial Officer of ICM from
October 2004 to our merger. Michael Owens, who was recently appointed the Companys Chief
Marketing Officer, will continue to fulfill the marketing roles that Mr. Nauert previously held
among the Companys subsidiaries. In addition, we named Michael Puestow, a veteran of the health
insurance and PPO industry, as our Vice President of Product Development. If, despite these
changes, we are unable to maintain the industry relationships that Mr. Nauert brought to us or if
we are unable to secure new financing of our commission advance program or restructure current
financing arrangements on terms that are favorable to us, a substantial negative impact on our
financial results and operations could result. See Item 1A. Risk Factors for more information.
20
ITEM 6. EXHIBITS
Exhibits will be provided upon request by the U.S. Securities and Exchange Commission.
|
|
|
Exhibit |
|
|
No. |
|
Description |
3.1
|
|
Registrants Amended and Restated Certificate of Incorporation,
incorporated by reference to Exhibit 3.1 of Registrants Form 10-K
filed with the Commission on April 2, 2007. |
|
|
|
3.2
|
|
Registrants Amended and Restated Bylaws incorporated by reference
to Exhibit 3.2 of Registrants Form 10-K filed with the Commission
on April 2, 2007. |
|
|
|
4.1
|
|
Form of certificate of the common stock of Registrant is
incorporated by reference to Exhibit 4.1 of Registrants Form 10-K
filed with the Commission on April 2, 2007. |
|
|
|
4.2
|
|
Precis, Inc. 1999 Stock Option Plan (amended and restated),
incorporated by reference to the Schedule 14A filed with the
Commission on June 23, 2003. |
|
|
|
4.3
|
|
Precis, Inc. 2002 IMR Stock Option Plan, incorporated by reference
to the Schedule 14A filed with the Commission on June 26, 2002. |
|
|
|
4.4
|
|
Precis, Inc. 2002 Non-Employee Stock Option Plan (amended and
restated), incorporated by reference to the Schedule 14A filed
with the Commission on December 29, 2006 |
|
|
|
31.1
|
|
Certification Pursuant to Rule 13a-14(a) and 15d-14(a) of Ian R.
Stuart as Interim Chief Executive Officer. |
|
|
|
31.2
|
|
Certification Pursuant to Rule 13a-14(a) and 15d-14(a) of Robert
L. Bintliff as Chief Financial Officer and Principal Accounting
Officer. |
|
|
|
32.1
|
|
Certification Pursuant to 18 U.S.C. Section 1350 as Adopted
Pursuant to Section 906 of Sarbanes-Oxley Act of Ian R. Stuart as
Interim Chief Executive Officer. |
|
|
|
32.2
|
|
Certification Pursuant to 18 U.S.C. Section 1350 as Adopted
Pursuant to Section 906 of Sarbanes-Oxley Act of Robert L.
Bintliff as Chief Financial Officer and Principal Accounting
Officer. |
21
SIGNATURES
In accordance with Section 13 or 15(d) of the Exchange Act, the Registrant caused this amended
report to be signed on its behalf by the undersigned, thereunto duly authorized.
|
|
|
|
|
|
ACCESS PLANS USA, INC.
(Registrant)
|
|
|
By: |
/s/ IAN R. STUART
|
|
|
|
Ian R. Stuart |
|
|
|
Interim Chief Executive Officer |
|
|
Date: November 19, 2007
|
|
|
|
|
|
|
|
|
By: |
/s/ ROBERT L. BINTLIFF
|
|
|
|
Robert L. Bintliff |
|
|
|
Chief Financial Officer and Principal Accounting Officer |
|
|
Date: November 19, 2007
22
INDEX TO FINANCIAL STATEMENTS
23
ACCESS
PLANS USA, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
AS OF MARCH 31, 2007 AND DECEMBER 31, 2006
|
|
|
|
|
|
|
|
|
|
|
As of |
|
|
|
|
|
|
March 31, |
|
|
As of |
|
|
|
2007 |
|
|
December 31, |
|
Dollars in Thousands |
|
(Unaudited) |
|
|
2006 |
|
|
|
(Restated) |
|
|
* |
|
ASSETS |
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
Cash and cash equivalents |
|
$ |
3,749 |
|
|
$ |
3,232 |
|
Unrestricted short-term investments |
|
|
200 |
|
|
|
200 |
|
Restricted short-term investments |
|
|
1,100 |
|
|
|
1,420 |
|
Accounts and notes receivable, net |
|
|
1,004 |
|
|
|
190 |
|
Advanced agent commissions |
|
|
5,156 |
|
|
|
|
|
Income taxes receivable, net |
|
|
236 |
|
|
|
246 |
|
Inventory |
|
|
14 |
|
|
|
20 |
|
Prepaid expenses |
|
|
1,017 |
|
|
|
1,492 |
|
|
|
|
|
|
|
|
Total current assets |
|
|
12,476 |
|
|
|
6,800 |
|
Fixed assets, net |
|
|
961 |
|
|
|
924 |
|
Goodwill and
other intangible assets, net ($17,485,000 and $7,466,000 in goodwill
and $3,565,000 and $5,000 in other intangible assets, respectively) |
|
|
21,050 |
|
|
|
7,471 |
|
Deferred tax asset |
|
|
|
|
|
|
387 |
|
Other assets |
|
|
108 |
|
|
|
662 |
|
|
|
|
|
|
|
|
Total assets |
|
$ |
34,595 |
|
|
$ |
16,244 |
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
737 |
|
|
$ |
178 |
|
Accrued commissions |
|
|
755 |
|
|
|
156 |
|
Other accrued liabilities |
|
|
1,788 |
|
|
|
1,458 |
|
Income taxes payable |
|
|
371 |
|
|
|
353 |
|
Deferred commissions |
|
|
3,662 |
|
|
|
|
|
Deferred enrollment fees, net |
|
|
435 |
|
|
|
82 |
|
Current portion of capital leases |
|
|
188 |
|
|
|
190 |
|
Short-term debt |
|
|
1,960 |
|
|
|
|
|
Deferred tax liability |
|
|
387 |
|
|
|
387 |
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
10,283 |
|
|
|
2,804 |
|
Capital lease obligations, net of current portion |
|
|
|
|
|
|
48 |
|
Long-term deferred tax liability |
|
|
46 |
|
|
|
|
|
Long-term debt |
|
|
400 |
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities |
|
|
10,729 |
|
|
|
2,852 |
|
Commitments and contingencies
|
|
|
|
|
|
|
|
|
Stockholders equity: |
|
|
|
|
|
|
|
|
Preferred stock, $1.00 par value, 2,000,000 shares authorized, none issued |
|
|
|
|
|
|
|
|
Common stock, $.01 par value, 100,000,000 shares authorized; 18,491,292
and 14,012,763 issued, respectively, and 18,011,292 and 13,512,763
outstanding, respectively |
|
|
185 |
|
|
|
140 |
|
Additional paid-in capital |
|
|
36,898 |
|
|
|
29,691 |
|
Stock issuable pursuant to a business combination |
|
|
3,522 |
|
|
|
|
|
Accumulated deficit |
|
|
(15,730 |
) |
|
|
(15,388 |
) |
Less: treasury stock (480,000 and 500,000 shares, respectively) |
|
|
(1,009 |
) |
|
|
(1,051 |
) |
|
|
|
|
|
|
|
Total stockholders equity |
|
|
23,866 |
|
|
|
13,392 |
|
|
|
|
|
|
|
|
Total liabilities and stockholders equity |
|
$ |
34,595 |
|
|
$ |
16,244 |
|
|
|
|
|
|
|
|
|
|
|
* |
|
Amounts are derived from the Companys audited financial statements. |
The accompanying notes are an integral part of these condensed consolidated financial statements.
24
ACCESS
PLANS USA, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE THREE MONTHS ENDED MARCH 31, 2007 AND 2006
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
|
March 31, |
|
Dollars in Thousands, except Earnings per Share |
|
2007 |
|
|
2006 |
|
|
|
(Restated) |
|
|
|
|
|
Service revenues |
|
$ |
8,200 |
|
|
$ |
6,093 |
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
Commissions |
|
|
3,163 |
|
|
|
1,147 |
|
Cost of operations |
|
|
2,466 |
|
|
|
2,505 |
|
Sales and marketing |
|
|
969 |
|
|
|
483 |
|
|
|
|
|
|
|
|
|
|
General and administrative |
|
|
1,931 |
|
|
|
1,752 |
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
8,529 |
|
|
|
5,887 |
|
|
|
|
|
|
|
|
Operating (loss) income |
|
|
(329 |
) |
|
|
206 |
|
|
|
|
|
|
|
|
Other expense: |
|
|
|
|
|
|
|
|
Interest income, net |
|
|
33 |
|
|
|
74 |
|
|
|
|
|
|
|
|
(Loss) earnings before taxes |
|
|
(296 |
) |
|
|
280 |
|
Provision for income taxes expense (benefit) |
|
|
29 |
|
|
|
(4 |
) |
|
|
|
|
|
|
|
(Loss) earnings from continuing operations |
|
|
(325 |
) |
|
|
284 |
|
Loss from discontinued operations, net of taxes |
|
|
|
|
|
|
(323 |
) |
|
|
|
|
|
|
|
Net loss |
|
$ |
(325 |
) |
|
$ |
(39 |
) |
|
|
|
|
|
|
|
(Loss) earnings per share: |
|
|
|
|
|
|
|
|
Basic Continuing operations |
|
$ |
(0.02 |
) |
|
$ |
0.02 |
|
|
|
|
|
|
|
|
Discontinued operations |
|
$ |
(0.00 |
) |
|
$ |
(0.02 |
) |
|
|
|
|
|
|
|
Diluted Continuing operations |
|
$ |
(0.02 |
) |
|
$ |
0.02 |
|
|
|
|
|
|
|
|
Discontinued operations |
|
$ |
(0.00 |
) |
|
$ |
(0.02 |
) |
|
|
|
|
|
|
|
Weighted average number of common shares
outstanding: |
|
|
|
|
|
|
|
|
Basic |
|
|
16,561,766 |
|
|
|
13,406,504 |
|
|
|
|
|
|
|
|
Diluted |
|
|
16,561,766 |
|
|
|
13,406,504 |
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these condensed consolidated financial statements.
25
ACCESS
PLANS USA, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY
FOR THE THREE MONTHS ENDED MARCH 31, 2007
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ADDITIONAL |
|
|
|
|
|
|
|
|
|
|
ACCUM- |
|
|
|
|
|
|
COMMON STOCK |
|
|
PAID-IN |
|
|
STOCK |
|
|
TREASURY |
|
|
ULATED |
|
|
|
|
Dollars in Thousands |
|
SHARES |
|
|
AMOUNT |
|
|
CAPITAL |
|
|
ISSUABLE |
|
|
STOCK |
|
|
DEFICIT |
|
|
TOTAL |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Restated) |
|
|
(Restated) |
|
Balance, December 31, 2006
(audited) |
|
|
13,512,763 |
|
|
$ |
140 |
|
|
$ |
29,691 |
|
|
$ |
|
|
|
$ |
(1,051 |
) |
|
$ |
(15,388 |
) |
|
$ |
13,392 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of stock in
business combinations |
|
|
4,498,529 |
|
|
|
45 |
|
|
|
6,973 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
7,018 |
|
Stock issuable pursuant
to a business
combination |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
3,522 |
|
|
|
|
|
|
|
|
|
|
|
3,522 |
|
Treasury stock adjustment |
|
|
|
|
|
|
|
|
|
|
(25 |
) |
|
|
|
|
|
|
42 |
|
|
|
(17 |
) |
|
|
|
|
Stock option awards |
|
|
|
|
|
|
|
|
|
|
259 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
259 |
|
Net loss |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(325 |
) |
|
|
(325 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance, March 31, 2007 |
|
|
18,011,292 |
|
|
$ |
185 |
|
|
$ |
36,898 |
|
|
$ |
3,522 |
|
|
$ |
(1,009 |
) |
|
$ |
(15,730 |
) |
|
$ |
23,866 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these condensed consolidated financial statements.
26
ACCESS
PLANS USA, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
FOR THE THREE MONTHS ENDED MARCH 31, 2007 AND 2006
|
|
|
|
|
|
|
|
|
|
|
For the Three Months |
|
|
|
Ended March 31, |
|
Dollars in Thousands |
|
2007 |
|
|
2006 |
|
|
|
(Restated) |
|
|
|
|
|
Operating activities: |
|
|
|
|
|
|
|
|
Net loss |
|
$ |
(325 |
) |
|
$ |
(39 |
) |
Adjustments to reconcile net (loss) to net cash provided
by operating activities: |
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
250 |
|
|
|
209 |
|
Provision for losses on accounts and notes receivable |
|
|
(19 |
) |
|
|
12 |
|
Other non-cash item and loss on disposal of fixed assets |
|
|
32 |
|
|
|
|
|
Stock options expense |
|
|
259 |
|
|
|
27 |
|
Changes in operating assets and liabilities (net of
business acquired): |
|
|
|
|
|
|
|
|
Accounts and notes receivable, net |
|
|
120 |
|
|
|
5 |
|
Advanced agent commissions |
|
|
(361 |
) |
|
|
|
|
Income taxes receivable |
|
|
10 |
|
|
|
(4 |
) |
Inventory |
|
|
6 |
|
|
|
75 |
|
Prepaid expenses |
|
|
475 |
|
|
|
870 |
|
Other assets |
|
|
(12 |
) |
|
|
37 |
|
Accounts payable |
|
|
111 |
|
|
|
(153 |
) |
Accrued liabilities |
|
|
(196 |
) |
|
|
(552 |
) |
Deferred revenues |
|
|
(10 |
) |
|
|
(5 |
) |
Income taxes payable |
|
|
18 |
|
|
|
133 |
|
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
358 |
|
|
|
615 |
|
|
|
|
|
|
|
|
Investing activities: |
|
|
|
|
|
|
|
|
Decrease in restricted short-term investments |
|
|
320 |
|
|
|
|
|
Purchase of fixed assets |
|
|
(144 |
) |
|
|
(124 |
) |
Cash acquired (used) in business combination |
|
|
77 |
|
|
|
(624 |
) |
|
|
|
|
|
|
|
Net cash provided by (used in) investing activities |
|
|
253 |
|
|
|
(748 |
) |
|
|
|
|
|
|
|
Financing activities: |
|
|
|
|
|
|
|
|
Payments of capital leases |
|
|
(50 |
) |
|
|
(68 |
) |
Payments of short-term debt, net |
|
|
(44 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(94 |
) |
|
|
(68 |
) |
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash equivalents |
|
|
517 |
|
|
|
(201 |
) |
Cash and cash equivalents at beginning of period |
|
|
3,232 |
|
|
|
6,261 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period |
|
$ |
3,749 |
|
|
$ |
6,060 |
|
|
|
|
|
|
|
|
Supplemental disclosure: |
|
|
|
|
|
|
|
|
Interest paid |
|
$ |
48 |
|
|
$ |
11 |
|
|
|
|
|
|
|
|
Non-cash investing and financing activities: |
|
|
|
|
|
|
|
|
Issuance of stock in business combination |
|
$ |
7,018 |
|
|
$ |
521 |
|
|
|
|
|
|
|
|
Cash-in-trust
refunded and claims paid, net of amounts collected |
|
$ |
|
|
|
$ |
(261 |
) |
|
|
|
|
|
|
|
The accompanying notes are an integral part of these condensed consolidated financial statements.
27
ACCESS PLANS USA, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
Note 1 Interim Financial Information
The accompanying condensed consolidated financial statements are unaudited, but include all
adjustments (consisting only of normal recurring adjustments) which are, in the opinion of
management, necessary for a fair presentation of the financial position at such dates and of the
operations and cash flows for the periods then ended. The financial information is presented in a
condensed format, and it does not include all of the footnote disclosure normally included in
financial statements prepared in accordance with accounting principles generally accepted in the
United States of America. Operating results for the three months ended March 31, 2007 and 2006 are
not necessarily indicative of results that may be expected for the entire year. The preparation of
financial statements requires management to make estimates and assumptions that affect the reported
amounts of assets and liabilities and disclosure of contingent assets and liabilities and reported
amounts of revenues and expenses during the reporting periods under consideration. Actual results
could differ materially from such assumptions and estimates. The accompanying condensed
consolidated financial statements and related footnotes should be read in conjunction with the
Companys audited financial statements, included in its December 31, 2006 Form 10-K filed with the
Securities and Exchange Commission. Certain prior period amounts have been reclassified to conform
to the current periods presentation.
Restatement. During August 2007, subsequent to the filing of Form 10-Q for the quarters ended
March 31, 2007 and June 30, 2007, we discovered that there was a failure beginning in February
this year to record a portion of our insurance commission expense related to one of our insurance
products in the newly acquired insurance marketing division. The failure resulted from a change in
the data gathering process, relied upon for purposes of calculating agent commissions for the
particular insurance product. The errors were not detected on a timely basis due in part to
transitions in responsibility immediately following our merger-acquisition of the insurance
marketing division in January 2007. This resulted in an underpayment to the agents and an
underreporting of commission expense. The accompanying consolidated financial statements are
restated to correct the error in recording insurance commission expense.
In conjunction with the acquisition of ICM, the Company evaluated whether a portion of the
purchase price should be allocated to identifiable intangible assets separate from goodwill based
on Statement of Financial Accounting Standards No. 141Business Combinations. Accordingly, we
determined that intangible assets arose in the ICM acquisition from two kinds of customer
relationships: 1) relationships with policyholders who had policies in force at the acquisition
date that were sold by ICM agents prior to the acquisition date (Customer Contracts) and 2)
relationships with independent agents who will write business with us because of the relationships
they have with members of ICM management (Agent Relationships). We used an income approach for
valuation of acquired in-force policies by calculating the net present value of the earnings stream
of those policies, adjusted for a projected policy declination rate. We used a similar income
approach for valuation of policies projected to be written in the future by those independent
agents who will write business with us because of the relationships they have with members of ICM
management by calculating the net present value of the earnings stream of those policies. The
intangible asset amount allocated for Customer Contracts is $1,800,000 and for Agent Relationships
is $1,900,000. These assets are being amortized on a straight-line basis over estimated lives of
three years and eight years, respectively.
The following table sets forth the effect of the restatement made to correct the error in our
reported first quarter 2007 commission expense, record the allocation of purchase price to finite
life intangibles and related deferred income taxes, record amortization of the value assigned to
finite life intangibles arising from the ICM acquisition, as described above, reclassify certain
deferred revenues and record other minor adjustments.
28
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, 2007 |
|
|
Previously |
|
Restated |
Dollars in Thousands |
|
Reported |
|
Amount |
Balance Sheet: |
|
|
|
|
|
|
|
|
Goodwill and other intangibles |
|
$ |
20,750 |
|
|
$ |
21,050 |
|
Deferred tax asset |
|
|
387 |
|
|
|
|
|
Total assets |
|
|
34,682 |
|
|
|
34,595 |
|
Accrued commissions |
|
|
623 |
|
|
|
755 |
|
Other accrued liabilities |
|
|
1,761 |
|
|
|
1,788 |
|
Deferred revenue, net |
|
|
4,118 |
|
|
|
|
|
Deferred commissions |
|
|
|
|
|
|
3,662 |
|
Deferred enrollment fees, net |
|
|
|
|
|
|
435 |
|
Current liabilities |
|
|
10,145 |
|
|
|
10,283 |
|
Long-term deferred tax liability |
|
|
|
|
|
|
46 |
|
Total liabilities |
|
|
10,545 |
|
|
|
10,729 |
|
Additional paid-in capital |
|
|
36,899 |
|
|
|
36,898 |
|
Accumulated deficit |
|
|
(15,460 |
) |
|
|
(15,730 |
) |
Total stockholders equity |
|
|
24,137 |
|
|
|
23,866 |
|
Total liabilities and
stockholders equity |
|
|
34,682 |
|
|
|
34,595 |
|
|
Statement of Operations: |
|
|
|
|
|
|
|
|
Commission expense |
|
$ |
3,033 |
|
|
$ |
3,163 |
|
General and administrative |
|
|
1,791 |
|
|
|
1,931 |
|
Total operating expenses |
|
|
8,259 |
|
|
|
8,529 |
|
Operating loss |
|
|
(59 |
) |
|
|
(329 |
) |
Net loss |
|
|
(55 |
) |
|
|
(325 |
) |
Basic net loss per share |
|
|
(0.00 |
) |
|
|
(0.02 |
) |
Diluted net loss per share |
|
|
(0.00 |
) |
|
|
(0.02 |
) |
Note 2 Summary of Significant Accounting Policies
Basis of Presentation. The consolidated financial statements have been prepared in accordance
with generally accepted accounting principles and include the accounts of the Companys
wholly-owned subsidiaries, Capella, Insuraco, and AAI. All significant inter-company accounts and
transactions have been eliminated. Certain reclassifications have been made to prior period
financial statements to conform to the current presentation of the financial statements.
Use of Estimates. The preparation of financial statements in conformity with generally
accepted accounting principles requires management of the Company to make estimates and assumptions
that affect the amounts reported in the financial statements and accompanying notes. Certain
significant estimates are required in the evaluation of goodwill and intangible assets for
impairment. Actual results could differ from those estimates and such differences could be
material.
Fair Value of Financial Instruments. The recorded amounts of cash, short-term investments,
accounts receivable, income taxes receivable, notes receivable, accounts payable, accrued
liabilities, income taxes payable, capital lease obligations and short-term debt approximate fair
value because of the short-term maturity of these items.
Recently Issued Accounting Standards. On September 15, 2006, the FASB issued SFAS No. 157,
Fair Value Measurements, which provides enhanced guidance for using fair value measurements in
financial reporting. While the standard does not expand the use of fair value in any new
circumstance, it has applicability to several current accounting standards that require or permit
entities to measure assets and liabilities at fair value. This standard defines fair value,
establishes a framework for measuring fair value in GAAP
29
and expands disclosures about fair value measurements. Application of this standard is
required beginning in 2008. Management is currently assessing what impact, if any, the application
of this standard could have on the Companys financial statements.
Revenue Recognition. Revenue recognition varies based on source.
Consumer Plan Division Revenues. The Company recognizes its Care Entréetm program
membership revenues, other than initial enrollment fees, on each monthly anniversary date.
Membership revenues are reduced by the amount of estimated refunds. For members that are billed
directly, the billed amount is collected almost entirely by electronic charge to the members
credit cards, automated clearinghouse or electronic check. The settlement of those charges occurs
within a day or two. Under certain private label arrangements, the Companys private label partners
bill their members for the membership fees and the Companys portion of the membership fees is
periodically remitted to the Company. During the time from the billing of these private-label
membership fees and the remittance to it, the Company records a receivable from the private label
partners and records an estimated allowance for uncollectible amounts. The allowance of
uncollectible receivables is based upon review of the aging of outstanding balances, the credit
worthiness of the private label partner and its history of paying the agreed amounts owed.
Membership enrollment fees, net of direct costs, are deferred and amortized over the estimated
membership period that averages eight to ten months. Independent marketing representative fees, net
of direct costs, are deferred and amortized over the term of the applicable contract. Judgment is
involved in the allocation of costs to determine the direct costs netted against those deferred
revenues, as well as in estimating the membership period over which to amortize such net revenue.
The Company maintains a statistical analysis of the costs and membership periods as a basis for
adjusting these estimates from time to time.
Insurance Marketing Division Revenues. The revenue of our insurance marketing division is
primarily from sales commissions paid to it by the insurance companies it represents; these sales
commissions are generally a percentage of premium revenue. Commission income and policy fees, other
than initial enrollment fees, and corresponding commission expense payable to agents, are generally
recognized at their gross amount, as earned on a monthly basis, until such time as the underlying
policyholder contract is terminated. Advanced commissions received are recorded as unearned
insurance commissions. Initial enrollment fees are deferred and amortized over the estimated lives
of the respective programs. The estimated weighted average life for the programs sold ranges from
eighteen months to two years and is based upon the Companys historical policyholder contract
termination experience.
Regional Healthcare Division Revenues. AAIs principal sources of revenues include
administrative fees for third party claims administration, network provider fees for the preferred
provider network and utilization and management fees. These fees are based on monthly or per member
per month fee schedules under specified contractual agreements. Revenues from these services are
recognized in the periods in which the services are performed and when collection is reasonably
assured.
Commission Expense. Commissions on consumer plan revenues are accrued in the month in which a
member has enrolled in the Care Entréetm program. Commissions on insurance policy premiums
are generally recognized as incurred on a monthly basis until such time as the underlying
policyholder contract is terminated. Commissions on consumer plan revenues are only paid to the
Companys independent marketing representatives in the following month after the related membership
fees have been received by the Company. Advances of commissions up to one year are paid to agents
in the insurance marketing division based on certain insurance policy premium commissions. The
Company does not pay advanced commissions on consumer plan membership sales.
Stock Option Expense and Option-Pricing Model. Recognized compensation expense for stock
options granted to employees includes: (a) compensation cost for all share-based payments granted
prior to, but not yet vested, based on the grant date fair value estimated in accordance with the
original provisions of SFAS No. 123, and (b) compensation cost for all share-based payments granted
based on the grant date fair value estimated in accordance with the provisions of SFAS 123(R). The
Binomial Lattice option-pricing model is used to estimate the option fair values. The
option-pricing model requires a number of assumptions, of which the most significant are, expected
stock price volatility, the expected pre-vesting forfeiture rate and the risk-free interest rate.
Expected volatility was calculated based upon actual historical stock price movements over the most
recent periods ending March 31, 2007 equal to the expected option term. Expected pre-vesting
forfeitures were estimated based on actual historical pre-vesting forfeitures over the most recent
periods ending March 31, 2007 for the expected option term. The risk-free interest rate is based on
the interest rate of zero-coupon United States Treasury securities over the expected option term.
Income Taxes. Income taxes are provided for the tax effects of transactions reported in the
financial statements and consist of taxes currently due plus deferred taxes related primarily to
differences between the basis of assets and liabilities for financial and income tax reporting. The
net deferred tax assets and liabilities represent the future tax return consequences of those
differences, which will either be taxable or deductible when the assets and liabilities are
recovered or settled.
30
On July 14, 2006, the FASB issued Interpretation No. 48 (FIN 48), Accounting for Uncertainty
in Income Taxes, an Interpretation of SFAS No. 109, Accounting for Income Taxes. FIN 48
prescribes guidance to address inconsistencies among entities with the measurement and recognition
in accounting for income tax positions for financial statement purposes. Specifically, FIN 48
addresses the timing of the recognition of income tax benefits. FIN 48 requires the financial
statement recognition of an income tax benefit when the company determines that it is
more-likely-than-not that the tax position will be ultimately sustained. The company adopted the
provisions of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes (FIN 48) on
January 1, 2007. The company has analyzed all filing positions in federal and state tax
jurisdictions where it is required to file income tax returns. Major tax jurisdictions of the
company include the federal jurisdiction and the state of Texas. Tax years open to examination
include 2003 through 2006 for the federal return. A federal audit for 2004 has been completed with
no change to the companys tax liability. Texas tax returns are open to examination for years 2002
through 2005. The Texas returns for Capella for the years 2002-2005 are currently under
examination. The company believes that its income tax positions and deductions will be sustained on
audit. Accordingly, no reserves for uncertain income tax positions have been recorded in the
financial statements pursuant to FIN. The company has elected to recognize penalties and interest
related to tax liabilities as a component of income tax expense and income taxes payable. As of
March 31, 2007, income taxes payable included $90,000 of accrued interest expense and $26,000 of
accrued penalties related to state tax liabilities. The statement of operations for March 31, 2007
does not include any interest expense or penalties related to tax liabilities. The company plans to
settle the state tax liabilities and pay any related interest and penalties during 2007.
Accounts Receivable. Accounts receivable generally represent commissions and fees due from
insurance carriers and plan sponsors. Accounts receivable are reviewed on a monthly basis to
determine if any receivables will be potentially uncollectible. An allowance is provided for any
accounts receivable balance where recovery is considered to be doubtful. Bad debt is written off as
incurred.
Advanced Agent Commissions. The Companys insurance marketing subsidiary advances agent
commissions for certain insurance programs. Repayment of the advanced commissions is typically
accomplished by withholding earned commissions from the agent until such time as the outstanding
balance, plus accumulated interest, has been fully repaid. Advanced agent commissions are reviewed
on a quarterly basis to determine if any advanced agent commissions will likely be uncollectible.
An allowance is provided for any advanced agent commission balance where recovery is considered to
be doubtful. Any bad debt is written off as incurred.
Fixed Assets. Property and equipment are carried at cost less accumulated depreciation and
amortization. Depreciation and amortization are provided using the straight-line method over the
estimated useful lives of the related assets for financial reporting purposes and principally on
accelerated methods for tax purposes. Leasehold improvements are depreciated using the
straight-line method over their estimated useful lives or the lease term, whichever is shorter.
Ordinary maintenance and repairs are charged to expense as incurred. Expenditures that extend the
physical or economic life of property and equipment are capitalized.
Acquisitions. On January 30, 2007, the Company completed its merger with Insurance Capital
Management USA, Inc. (ICM). Under the terms of the merger, the shareholders of ICM received
shares of Company common stock based on the adjusted earnings before income taxes, depreciation and
amortization (adjusted EBITDA) of the ICM and its acquired companies. On January 30, 2007, the
ICM shareholders were issued 4,498,529 of common stock shares of the Company. Further, the ICM
shareholders will receive an additional 2,257,853 common stock shares of the Company since the
acquired ICM companies achieved adjusted EBITDA of $1,250,000 over four consecutive calendar
quarters ending on December 31, 2006. The obligation to issue these stocks has been recorded in the
Companys balance sheet as stocks issuable pursuant to a business combination of $3,522,000.
Intangible Asset Valuation. In conjunction with the acquisition of ICM, the Company evaluated
whether a portion of the purchase price should be allocated to identifiable intangible assets
separate from goodwill based on Statement of Financial Accounting Standards No. 141Business
Combinations. Accordingly, we determined that intangible assets arose in the ICM acquisition from
two kinds of customer relationships: 1) relationships with policyholders who had policies in force
at the acquisition date that were sold by ICM agents prior to the acquisition date (Customer
Contracts) and 2) relationships with independent agents who will write business with us because of
the relationships they have with members of ICM management (Agent Relationships). We used an
income approach for valuation of acquired in-force policies by calculating the net present value of
the earnings stream of those policies, adjusted for a projected policy declination rate. We used a
similar income approach for valuation of policies projected to be written in the future by those
independent agents who will write business with us because of the relationships they have with
members of ICM management by calculating the net present value of the earnings stream of those
policies. The intangible asset amount
31
allocated for Customer Contracts is $1,800,000 and for Agent Relationships is $1,900,000. These
assets are being amortized on a straight-line basis over estimated lives of three years and eight
years, respectively.
Reclassifications. Certain prior period amounts have been reclassified to conform to the
current periods presentation.
Note 3 Business Acquisition
On January 30, 2007, the Company completed its merger with Insurance Capital Management USA,
Inc. (ICM). Under the terms of the merger, the shareholders of ICM received shares of Company
common stock based on the adjusted earnings before income taxes, depreciation and amortization
(adjusted EBITDA) of ICM and its subsidiary companies. On January 30, 2007, the ICM shareholders
were issued 4,498,529 of common stock shares of the Company. Further, the ICM shareholders will
receive an additional 2,257,853 common stock shares of the Company since the acquired ICM companies
achieved adjusted EBITDA of $1,250,000 over four consecutive calendar quarters ending on December
31, 2006. The obligation to issue these stocks has been recorded in the Companys balance sheet as
stocks issuable pursuant to a business combination of $3,522,000.
The initial cost of the acquisition of $11,143,000 consists of $10,540,000 of our common stock
(6,756,382 shares) and $603,000 of costs directly related to the acquisition. The initial cost of
the acquisition was allocated as follows:
|
|
|
|
|
|
|
As of January 31, 2007 |
|
Dollars in Thousands |
|
(Unaudited) |
|
Cash |
|
$ |
77 |
|
Accounts receivable |
|
|
915 |
|
Advanced agent commissions |
|
|
3,443 |
|
Other assets |
|
|
37 |
|
Fixed assets |
|
|
35 |
|
Goodwill |
|
|
10,087 |
|
Deferred tax asset |
|
|
862 |
|
Intangible assets, net |
|
|
3,700 |
|
Accounts payable and accrued liabilities |
|
|
(1,640 |
) |
Deferred revenue, net |
|
|
(2,674 |
) |
Short-term debt |
|
|
(2,404 |
) |
Deferred tax liability |
|
|
(1,295 |
) |
|
|
|
|
Total |
|
$ |
11,143 |
|
|
|
|
|
|
First issuance of common stock |
|
|
7,018 |
|
Second issuance of common stock |
|
|
3,522 |
|
Acquisition cost |
|
|
603 |
|
|
|
|
|
|
|
$ |
11,143 |
|
|
|
|
|
The allocation of $10,087,000 to goodwill was considered appropriate as ICM strategically
complements the Companys current business by adding new distribution channels for our Care
Entréetm and private-label healthcare savings programs. ICM also has proven experience in
the development, marketing and distribution of insurance products and financial services and,
through its contractual arrangements with various insurance companies, will be a continuing source
of leading-edge insurance products.
32
The following financial condensed results of operations presents the Companys acquisition of
ICM prepared on a pro-forma basis:
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
|
March 31, |
|
|
|
Unaudited |
|
Dollars in Thousands |
|
2007 |
|
|
2006 |
|
|
|
(Restated) |
|
|
|
|
|
Service revenues |
|
$ |
9,866 |
|
|
$ |
10,229 |
|
|
|
|
|
|
|
|
Net (loss) earnings |
|
$ |
(411 |
) |
|
$ |
(132 |
) |
|
|
|
|
|
|
|
(Loss) earnings per share: |
|
|
|
|
|
|
|
|
Basic Continuing operations |
|
$ |
(0.02 |
) |
|
$ |
0.01 |
|
|
|
|
|
|
|
|
Discontinued operations |
|
$ |
|
|
|
$ |
(0.02 |
) |
|
|
|
|
|
|
|
Diluted Continuing operations |
|
$ |
(0.02 |
) |
|
$ |
0.01 |
|
|
|
|
|
|
|
|
Discontinued operations |
|
$ |
|
|
|
$ |
(0.02 |
) |
|
|
|
|
|
|
|
Weighted average number of common
shares outstanding: |
|
|
|
|
|
|
|
|
Basic |
|
|
18,011,292 |
|
|
|
17,905,033 |
|
|
|
|
|
|
|
|
Diluted |
|
|
18,011,292 |
|
|
|
17,905,033 |
|
|
|
|
|
|
|
|
Note 4 Advanced Agent Commissions
Advanced agent commissions consist of:
|
|
|
|
|
|
|
As of March 31, |
|
|
|
2007 |
|
Dollars in Thousands |
|
Unaudited |
|
Programs funded by: |
|
|
|
|
Commercial bank |
|
$ |
1,760 |
|
Other debt |
|
|
600 |
|
Advances received from insurance carriers |
|
|
2,963 |
|
|
|
|
|
Sub-total |
|
|
5,323 |
|
Provision for doubtful recoveries |
|
|
(167 |
) |
|
|
|
|
Total advanced agent commissions |
|
$ |
5,156 |
|
|
|
|
|
Note 5 Short-term and Long-term Debt
The Companys short-term and long-term debt consists of:
|
|
|
|
|
|
|
As of March 31, |
|
|
|
2007 |
|
Dollars in Thousands |
|
Unaudited |
|
Short-term debt: |
|
|
|
|
Commercial bank revolving lines of credit |
|
$ |
858 |
|
Commercial bank short-term notes |
|
|
902 |
|
Loan from specialty lending corporation |
|
|
200 |
|
|
|
|
|
Total short-term debt |
|
$ |
1,960 |
|
|
|
|
|
Long-term debt: |
|
|
|
|
Loan from specialty lending corporation |
|
$ |
400 |
|
|
|
|
|
Total long-term debt |
|
$ |
400 |
|
|
|
|
|
The Company has obtained revolving line of credit facilities and short-term notes from a
commercial bank. The proceeds are used to fund the advancing of agent commissions for certain
programs. These debt obligations are collateralized by certain future commissions and fees. At
March 31, 2007, the revolving line of credit facilities aggregated $1,250,000. Accordingly, the
Company is able to borrow an additional $392,000 provided that such borrowings are restricted to
the funding of advanced agent commissions. $827,000 of the total commercial bank borrowings of
$1,760,000 mature July 15, 2007. The remaining balance of $933,000 has scheduled maturity dates in
2008 and is expected to be fully paid prior to March 31, 2008. Interest is charged at prime plus
1.5% We are the primary party on the loan agreement but Peter Nauert, our former Chairman, had
executed a personal guarantee. Mr. Nauert passed away on August 19, 2007. As the result, amounts
outstanding to the commercial bank became due immediately. We are currently working with the
commercial bank and Mr. Nauerts estate to arrange alternative financing arrangements. There is no
assurance that we will be able to arrange alternative financing or that we will have future
borrowings available to us from the commercial bank or Mr. Nauerts estate on terms satisfactory to
us or advantageous to our stockholders. As a result, we may face substantial difficulty in
obtaining sufficient capital to finance our funding of advanced agent commissions.
As part of the ICM acquisition, the Company assumed a three-year loan that was obtained in
November 2006, from a specialty lending corporation in the amount of $600,000. The loan bears
interest at prime plus 5.0%. We are the primary party on the loan agreement and Peter Nauert, our former Chairman,
had executed a personal guarantee. As stated above, Mr. Nauert passed away on
33
August 19, 2007. As the result, amounts outstanding to that lender became due immediately. We
are currently working with the specialty lending corporation and Mr. Nauerts estate to arrange
alternative financing arrangements. There is no assurance that we will be able to arrange
alternative financing or that we will have future borrowings available to us from the specialty
lending corporation or Mr. Nauerts estate on terms satisfactory to us or advantageous to our
stockholders. As a result, we may face substantial difficulty in obtaining sufficient capital to
finance our funding of advanced agent commissions.
$200,000 of the outstanding balance has been classified as short-term debt and the balance of
$400,000 has been classified as long-term debt.
Note 6 Common Stock Options
First Quarter 2007 Stock Option Information. Total estimated unrecognized compensation cost
from unvested stock options as of March 31, 2007 was approximately $125,000, which is expected to
be recognized over a weighted average period of approximately 1.71 years.
The following table summarizes stock options outstanding and changes during the quarterly
period ended March 31, 2007:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding Options |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average |
|
|
|
|
|
|
|
|
|
|
Weighted |
|
|
Weighted |
|
|
Remaining |
|
|
|
|
|
|
|
|
|
|
Average |
|
|
Average |
|
|
Contractual |
|
|
Aggregate |
|
|
|
Number of |
|
|
Exercise |
|
|
Fair |
|
|
Term |
|
|
Intrinsic |
|
|
|
Shares |
|
|
Price |
|
|
Value |
|
|
(in years) |
|
|
Value |
|
Outstanding at January 1, 2007 |
|
|
1,427,354 |
|
|
$ |
2.21 |
|
|
$ |
1.39 |
|
|
|
2.9 |
|
|
$ |
1,166,509 |
|
Granted |
|
|
222,500 |
|
|
|
2.06 |
|
|
|
1.23 |
|
|
|
5.0 |
|
|
|
229,615 |
|
Exercised |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Forfeited |
|
|
(97,738 |
) |
|
|
3.91 |
|
|
|
1.70 |
|
|
|
|
|
|
|
(210,683 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding at March 31, 2007 |
|
|
1,552,116 |
|
|
|
2.11 |
|
|
|
1.34 |
|
|
|
2.2 |
|
|
$ |
1,185,441 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vested (exercisable) |
|
|
972,866 |
|
|
|
2.25 |
|
|
|
1.50 |
|
|
|
2.5 |
|
|
$ |
730,690 |
|
Non-Vested |
|
|
579,250 |
|
|
|
1.88 |
|
|
|
1.09 |
|
|
|
3.9 |
|
|
|
454,751 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding at March 31, 2007 |
|
|
1,552,116 |
|
|
|
2.11 |
|
|
|
1.34 |
|
|
|
2.2 |
|
|
$ |
1,185,441 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
No stock options were exercised in the period ended March 31, 2007. The Company did not
realize any tax deductions related to the exercise of stock options during the quarter. The Company
will record such deductions to deferred tax assets and/or additional paid in capital when realized.
Shares available for grant under the 1999 Option Plan as of March 31, 2007 were 472,794. Under the
2002 Non-Employee Stock Option Plan 852,500 shares were available.
Stock options outstanding and currently exercisable at March 31, 2007 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding |
|
Options Exercisable |
|
|
|
|
|
|
Weighted |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average |
|
Weighted |
|
|
|
|
|
Weighted |
|
|
|
|
|
|
Remaining |
|
Average |
|
|
|
|
|
Average |
Range of exercise |
|
|
|
|
|
Life |
|
Exercise |
|
|
|
|
|
Exercise |
prices |
|
Outstanding |
|
(in years) |
|
Price |
|
Outstanding |
|
Price |
$1.05 to $1.75
|
|
|
172,000 |
|
|
|
2.71 |
|
|
$ |
1.22 |
|
|
|
127,000 |
|
|
$ |
1.25 |
|
$1.76 to $3.55
|
|
|
1,305,566 |
|
|
|
2.28 |
|
|
|
2.10 |
|
|
|
778,066 |
|
|
|
2.22 |
|
$3.56 to $5.25
|
|
|
74,550 |
|
|
|
0.15 |
|
|
|
4.39 |
|
|
|
67,800 |
|
|
|
4.41 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,552,116 |
|
|
|
2.22 |
|
|
|
2.11 |
|
|
|
972,866 |
|
|
|
2.25 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Note 7 Related Party Transactions
Mr. Frank Apodaca, AAIs Chief Operating Officer, had an agreement with Ready One Industries,
formerly National Center for Employment of the Disabled (NCED). NCED is the party from whom the
Company acquired AAI in June 2004. This agreement between Mr. Apodaca and NCED predates the
Companys acquisition of AAI and entitles him to 10% of the proceeds (stock or cash) from the sale
of
AAI. Pursuant to this agreement, as of December 31, 2006, Mr. Apodaca has received 214,548 of
the Companys shares and is entitled to receive $223,000 from NCED.
34
The office space we lease for our AAI operation in El Paso was owned by NCED through January
2007. Total payments of $24,000 were paid to NCED under this agreement in first quarter 2007. AAI
also earned revenue from NCED of $74,000 and $231,000 in first quarter 2007 and 2006, respectively.
Note 8 Risk Concentration
Currently, over 95% of the Companys insurance marketing division revenue is derived from
insurance products underwritten by five insurance carriers. The Company believes all of these
insurance carriers to be financially sound, based in part upon A.M. Best ratings of B+ or better,
and that all accounts due from these carriers will be collected in full. If the Companys
relationship with one or more of these carriers was severed, the revenue impact would be nominal in
the short term, but could be significant over the long term. However, management believes the
Company has the ability to replace carriers with little or no difficulty.
Note 9 Commitments and Contingencies
Legal Proceedings. In the normal course of business, the Company may become involved in
litigation or in settlement proceedings relating to claims arising out of the Companys operations.
Except as described below, the Company is not a party to any legal proceedings, the adverse outcome
of which, individually or in the aggregate, could have a material adverse effect on the Companys
business, financial condition and results of operations.
Kirk, et al v Precis, Inc. and David May. On September 8, 2003, the case styled Robert Kirk,
Individually and D/B/A US Asian Advisors, LLC, Eugene M. Kennedy, P.A., Stewart & Associates,
CPAs, P.A. and Kimberly Decamp, Plaintiffs vs. Precis, Inc. and David May, Defendants was
initiated in the District Court of Tarrant County, Texas, Case No. 236 201 468 03. The plaintiffs
Robert Kirk (doing business as US Asian Advisors, LLC or U.S. Asian Capital Investors, LLC),
Kimberly Decamp and Stewart & Associates, CPAs, P.A. held warrants exercisable for the purchase of
9,000, 48,000 and 4,000 shares, respectively, of the Companys common stock for $9.00 per share on
or before February 8, 2005. The plaintiffs Eugene M. Kennedy, P.A. and Kimberly Decamp held stock
options that expired on June 30, 2003, and that were exercisable for 15,000 and 170,000 shares,
respectively, of the Companys common stock for $9.37 per share. David May served as the Companys
Secretary and Vice President and General Counsel through January 5, 2004.
The plaintiffs alleged that they were not allowed to exercise their stock options and warrants
in May 2003 due to actions and inactions of Mr. May and that these actions and inactions
constituted fraud, misrepresentation, negligence and legal malpractice. All communications with Mr.
May were through the plaintiffs broker, Burt Martin Arnold Securities, Inc. Plaintiffs sought
damages equal to the difference between the exercise price of the stock options or warrants and the
market value of the Companys common stock on May 7, 2002 (presumably the closing sale price of
$15.75) or an aggregate sum of $1,592,050, plus exemplary damages and costs.
On July 13, 2005, the court entered a judgment in the Companys favor, ordering that the
plaintiffs take nothing by way of their lawsuit. The order set aside a previous jury verdict in
favor of the plaintiffs. The trial courts judgment was affirmed by the Court of Appeals for the
Second Judicial District of Texas. The plaintiffs may appeal the appellate courts decision to the
Texas Supreme Court. While the Company cannot offer any assurance as to the outcome of the appeal,
the Company believes that there exists no basis on which the judgment in the Companys favor will
be overturned.
Zermeno v Precis The case styled Manuela Zermeno, individually and on behalf of the general
public; and Juan A. Zermeno, individually and on behalf of the general public v Precis, Inc., an
Oklahoma corporation and Does 1 through 100, inclusive was filed on August 14, 2003 in the
Superior Court of the State of California for the County of Los Angeles.
A second case styled California Foundation for Business Ethics, Inc., a California non-profit
corporation, v Precis, Inc., and Does 1 through 100, inclusive was filed on September 9, 2003, in
the Superior Court of the State of California for the County of Los Angeles.
The two above cases were removed to the United States District Court for the Central District
of California and consolidated by order of the court, on December 4, 2003.
The Zermeno plaintiffs are former members of the Care Entréetm discount healthcare
program who allege that they (for themselves and for the general public) are entitled to
injunctive, declaratory, and equitable relief. Plaintiffs First Amended Complaint set forth three
distinct claims under California law. Plaintiffs first cause of action alleged that the operation
of the Companys Care
35
Entréetm program violates Health and Safety Code §445 (Section
445) that governs medical referral services. Next, Plaintiffs alleged that they are entitled to
damages under Civil Code §§1812.119 and 1812.123, which are part of the broader statutory scheme
governing the operation of discount buying organizations, Civil Code 1812. 100 et. Seq. (Section
1812.100). Plaintiffs third cause of action sought relief under Business and Professions Code §
17200, Californias Unfair Competition Law (Section 17200).
The Company fully settled all the claims brought by the California Foundation for Business
Ethics, Inc. With the Zermeno plaintiffs, the Company settled the causes of action related to Civil
Code §§ 1812.100. The claim under Section 445 and the related claim under Section 17200 remain
pending and have been assigned to the Superior Court of California, Los Angeles County under case
number BC 300788. A negative result in this case would have a material affect on the Companys
financial condition and would limit the Companys ability (and that of other healthcare discount
programs) to do business in California.
Management believes that the Company has complied with all applicable statues and regulations
in the state of California. Although management believes the Plaintiffs claims are without merit,
the Company cannot provide any assurance regarding the outcome or results of this litigation.
State of Texas v The Capella Group, Inc. et al. The State of Texas filed a lawsuit against our
subsidiary, The Capella Group, Inc. d/b/a Care Entréetm and Equal Access Health, Inc.
(including various names under which Equal Access Health, Inc. does business) on April 28, 2005.
Equal Access Health is a third party marketer of our discount medical card programs, but is
otherwise not affiliated with our subsidiaries or us. The lawsuit alleges that Care
Entréetm, directly and through at least one other party that resells Care
Entréetms services to the public, violated certain provisions of the Texas Deceptive
Trade Practices -Consumer Protection Act. The lawsuit seeks, among other things, injunctive relief,
unspecified monetary penalties and restitution. We believe that the allegations are without merit
and are vigorously defending this lawsuit. The lawsuit was filed in the 98th District Court of
Travis County, Texas as case number GV501264. We have always insisted that our programs be sold in
an honest and forthright manner and have worked to protect the interests of consumers in Texas and
all other states. Unfavorable findings in this lawsuit could have a material adverse effect on our
financial condition and results of operations. No assurance can be provided regarding the outcome
or results of this litigation.
Investigation of National Center for Employment of the Disabled, Inc. and Access HealthSource,
Inc. (AAI). In June 2004 the Company acquired AAI and its subsidiaries from National Center for
Employment of the Disabled, Inc. (now known as Ready One Industries, NCED). Robert E. Jones, the
C.E.O. of NCED, was elected to and served on the Companys Board of Directors until his March 2006
resignation. Frank Apodaca, the President and C.E.O. of AAI served as Chief Administrative Officer
for NCED. He also served on the Board of Directors of NCED until his resignation in March 2006.
Until July 2006, his employment agreement with the Company allowed him to spend up to 20% of his
time on matters related to NCEDs operations. NCED is one of the Companys greater than 10%
shareholders as a result of shares it received from the Companys acquisition of AAI.
NCED provides services to the United States government under various contracts that were
awarded to NCED under a federal program that encouraged the use of facilities whose work force is
composed of 75% or more disabled workers. In 2006, investigations into NCED revealed that it may
not have employed a
sufficient number of disabled workers to meet the programs requirements. Although the Company
believes that AAI was not involved in the contracting for NCEDs federal contracts and was not
involved in NCEDs operations either before or after the Companys acquisition of AAI, the
investigation of NCED may lead to allegations that either AAI or Mr. Apodaca was involved in
inappropriate or illegal activities. The investigation of NCED may also lead to other
investigations of AAIs contracting processes and operations. There are currently no legal actions
related to this matter pending against AAI or Mr. Apodaca. Because of these investigations and any
related allegations or charges and the associated unfavorable publicity, AAI may lose its local
government clients. The loss of these clients and the resulting loss of revenue could have a
material adverse effect on the Companys financial condition and result of operations.
States General Life Insurance Company. In February 2005, States General Life Insurance Company
(SGLIC) was placed in permanent receivership by the Texas Insurance Commission (The State of
Texas v States General Life Insurance Company, Cause No. GV-500484, in the 126th District Court of
Travis County, Texas.) Pursuant to letters dated October 19, 2006, the Special Deputy Receiver (the
SDR) of SGLIC asserted certain claims against ICM, its subsidiaries, Peter W. Nauert, ICMs
Chairman and Chief Executive Officer, and G. Scott Smith, a former Executive Officer of ICM,
totaling $2,839,000. The SDR is seeking recovery of certain SGLIC funds that it alleges were
inappropriately transferred and paid to or for the benefit of ICM, its subsidiaries and Messrs.
Nauert and Smith. These claims are based upon assertions of Texas law violations, including
prohibitions against self-dealing, participation in breach of fiduciary duty and preferential and
fraudulent transfers. Mr. Nauert was in control and Chairman of the Board of SGLIC when it was
placed in receivership by the Texas Insurance Commission. The Company, its subsidiaries and Messrs.
Nauert and Smith intend to exercise their full rights in defense of the SDRs asserted claims. The
SDR filed its own action against
36
SGLIC, pending in the 126th District Court of Travis County, Texas
under cause No. GV-500484 and against Messrs. Nauert and Smith, ICM, certain subsidiaries of ICM
and other parties, in the 126th District Court of Travis County, Texas under cause No.
D-1-GN-06-4697. Access Plans has been named as a defendant in this action as a
successor-in-interest to ICM.
In connection with our merger-acquisition of ICM and its subsidiaries, Mr. Nauert and the
Peter W. Nauert Revocable Trust have agreed to fully indemnify ICM and us against any losses
resulting from this matter.
Restricted Short-Term Investments. In order to arrange for the processing and collection of
credit card and automated clearing house payments to it from its customers, the company has pledged
cash and short-term investments in the aggregate amounts of $1,100,000 and $250,000 as of March,
2007 and 2006, respectively.
Employment Agreements. We have entered into employment agreements with only two of our
executive officers. If both of them terminate without cause or through a change of ownership, the
Company may be obligated to pay them approximately $450,000 in the aggregate.
Note 10 Discontinued Operations
Discontinued operations are as follows:
Financial Services Care 125. In the first quarter of 2004, the Company initiated Care 125, a
division of AAI, to provide health savings accounts (HSAs), Healthcare Reimbursement Arrangements
(HRAs) and medical and dependent care Flexible Spending Accounts (FSAs). Care125 services would
allow employers to offer additional benefits to their employees and give employees additional tools
to manage their healthcare and dependent care expenses. Additionally, Care125 programs and the
Companys medical savings programs could be sold together by agents and brokers with whom the
Company has contracted to offer a more complete benefit package to employers. The Company
discontinued this division in December 2006. This operation had net losses in the first quarter
2007 and 2006 of $0 and $72,000, respectively.
Vergance. In the third quarter of 2005, the Company began offering neutraceuticals through the
Vergance marketing group of the Companys Consumer Healthcare Services division. Neutraceutical
sales consisting of vitamins, minerals and other nutritional supplements, under the Natrience brand
commenced in late September 2005, but were immaterial through June 30, 2006. Effective June 30,
2006, the Company discontinued its operations and wrote off the assets of this division. This
operation had net income in the first quarter 2007 and 2006 of $0 and $250,000, respectively.
Note 11 Segmented Information
The Company discloses segment information in accordance with SFAS No. 131, Disclosure About
Segments of an Enterprise and Related Information, that requires companies to report selected
segment information on a quarterly basis and to report certain entity-wide disclosures about
products and services, major customers, and the material countries in which the entity holds assets
and reports revenues. The Companys reportable segments are strategic divisions that offer
different services and are managed separately as each division requires different resources and
marketing strategies. The Companys Consumer Plan Division, the Companys largest segment, offers
savings on healthcare services to persons who are un-insured, under-insured, or who have elected to
purchase only high deductible or limited benefit medical insurance policies, by providing access to
the same preferred provider organizations (PPOs) that are utilized by many insurance companies and
employers who self-fund at least a portion of their employees healthcare risk. These programs are
sold primarily through a network marketing strategy. The Companys Insurance Marketing Division
provides web-based technology, specialty products and marketing of individual health insurance
products and related benefit plans, primarily through a broad network of independent agency
channels. The Companys Regional Healthcare Division provides a wide range of healthcare claims
administration services and other cost containment procedures that are frequently required by
governments and other large employers who have chosen to self fund their healthcare benefits
requirements. In prior years, the Company reported the financial results of the Companys
wholly-owned subsidiary Care Financial of Texas, L.L.C. (Care Financial) in a separate segment,
Financial Services. Financial Services included two divisions Care Financial which offered high
deductible and scheduled benefit insurance policies and Care 125 which offered life insurance and
annuities, along with Healthcare Savings Accounts (HSAs), Healthcare Reimbursement Arrangements
(HRAs) and medical and dependent care Flexible Spending Accounts (FSAs). Care 125 was discontinued
in December 2006 and Care Financial is included with Corporate and Other.
37
The accounting policies of the segments are consistent with those described in the summary of
significant accounting policies in Note 2 and in the Companys December 31, 2006 Form 10-K Annual
Report. Intersegment sales are not material and all intersegment transfers are eliminated.
No one customer represents more than 10% of the Companys overall revenue. However, a material
portion of the revenues of AAI is derived from its contractual relationships with a few key
governmental entities. The Company operates in substantially all of the fifty states in the U.S.
but not in any foreign countries.
The Company evaluates segment performance based on revenues and income before provision for
income taxes. The Company does not allocate income taxes or unusual items to the segments. The
table on this page and the following page summarizes segment information:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, 2007 |
|
|
Consumer |
|
Insurance |
|
Regional |
|
Corporate and |
|
Continuing |
Dollars in Thousands |
|
Plan |
|
Marketing |
|
Healthcare |
|
Other |
|
Operations |
|
|
|
|
|
|
(Restated) |
|
|
|
|
|
|
|
|
|
(Restated) |
Revenue (1)
|
|
$ |
3,104 |
|
|
$ |
3,343 |
|
|
$ |
1,736 |
|
|
$ |
17 |
|
|
$ |
8,200 |
|
Operating income (loss) (1)
|
|
|
143 |
|
|
|
(25 |
) |
|
|
231 |
|
|
|
(678 |
) |
|
|
(329 |
) |
Interest expense (income) (2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(33 |
) |
|
|
(33 |
) |
Depreciation and amortization
|
|
|
75 |
|
|
|
140 |
|
|
|
28 |
|
|
|
7 |
|
|
|
250 |
|
Taxes (benefit) (2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
29 |
|
|
|
29 |
|
Assets acquired, net of
disposals
|
|
|
109 |
|
|
|
|
|
|
|
(36 |
) |
|
|
|
|
|
|
73 |
|
Intangible assets (2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
21,050 |
|
|
|
21,050 |
|
Assets held (2)
|
|
|
5,004 |
|
|
|
19,752 |
|
|
|
8,273 |
|
|
|
1,566 |
|
|
|
34,595 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, 2006 |
|
|
Consumer |
|
Insurance |
|
Regional |
|
Corporate and |
|
Continuing |
Dollars in Thousands |
|
Plan |
|
Marketing |
|
Healthcare |
|
Other |
|
Operations |
Revenue (1)
|
|
$ |
4,145 |
|
|
$
|
|
$ |
1,916 |
|
|
$ |
32 |
|
|
$ |
6,093 |
|
Operating income (loss) (1)
|
|
|
265 |
|
|
|
|
|
440 |
|
|
|
(499 |
) |
|
|
206 |
|
Interest expense (income) (2)
|
|
|
|
|
|
|
|
|
|
|
|
|
(74 |
) |
|
|
(74 |
) |
Depreciation and amortization
|
|
|
149 |
|
|
|
|
|
55 |
|
|
|
5 |
|
|
|
209 |
|
Taxes (benefit) (2)
|
|
|
|
|
|
|
|
|
|
|
|
|
(4 |
) |
|
|
(4 |
) |
Assets acquired, net of
disposals
|
|
|
102 |
|
|
|
|
|
22 |
|
|
|
|
|
|
|
124 |
|
Intangible assets (2)
|
|
|
|
|
|
|
|
|
|
|
|
|
14,297 |
|
|
|
14,297 |
|
Assets held (2)
|
|
|
3,595 |
|
|
|
|
|
11,486 |
|
|
|
13,801 |
|
|
|
28,882 |
|
|
|
|
(1) |
|
Certain prior period amounts have been reclassified to conform to the current periods
presentation. |
|
(2) |
|
Intangible assets and income tax expense (benefit) are not allocated to the assets and
operations of the related segment. |
38