e10vq
U. S. SECURITIES AND EXCHANGE COMMISSION
Washington, D. C. 20549
FORM 10-Q
(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 September 30, 2006
OR
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TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE EXCHANGE ACT |
Commission File Number: 001-15667
PRECIS, INC.
(Exact name of business issuer as specified in its Charter)
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OKLAHOMA
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73-1494382 |
(State or other jurisdiction of
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(I.R.S. Employer |
incorporation or organization)
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Identification No.) |
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2040 North Highway 360
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75050 |
Grand Prairie, Texas
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(Zip Code) |
(Address of principal executive offices) |
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(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 9, 2006 the Registrant had outstanding [13,512,763] shares of Common Stock,
$.01 par value.
PRECIS, INC.
FORM 10-Q
For the Quarter Ended September 30, 2006
TABLE OF CONTENTS
Throughout this report the first personal plural pronoun in the nominative case form we and
its objective case form us, its possessive and the intensive case forms our and ourselves and
its reflexive form ourselves, refer collectively to Precis, Inc., its subsidiaries, and their
executive officers and directors.
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 24.
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
2005 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, 2005 (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.
CONSUMER HEALTHCARE SAVINGS SOLUTIONS.
We offer savings on healthcare services throughout the United States to persons who are
uninsured or under-insured. These savings are offered by accessing the same preferred provider
organizations (PPOs) that are utilized by many insurance companies. These programs are sold through
a network marketing strategy under the name Care EntréeÔ and through third party marketers
under their own brand names. We design these programs to benefit healthcare providers as well as
the network members. Providers commonly give reduced or preferred rates to PPO networks in exchange
for steerage of patients. However, the providers must still file claim forms and wait 30 to 60 days
to be paid for their services. Our programs utilize these same networks to obtain the same savings
for the Care EntréeÔ program members. However, the healthcare providers are paid immediately
for their services and are not required to file claim forms. We provide transaction facilitation
services to both the program member and the healthcare provider.
Our Independent Marketing Representatives (IMRs) may enroll as representatives by paying an
enrollment fee and signing a standard representative agreement. We pay independent marketing
representatives commissions of 100% of the membership fees in the month of a membership sale for
the members they enroll. After the month of membership sales, we pay independent marketing
representatives 20% of the membership fees of members they enroll for the life of that members
enrollment. Independent marketing representatives can also recruit other representatives and earn
override commissions on sales made by those recruited representatives. We pay a total of up to 35%
in override commissions down through seven levels. In the month of membership sales, no override
commissions are paid to the representatives upline. In addition, we have established bonus pools
that allow independent marketing representatives who have achieved certain levels to receive
additional commissions measured by our revenues attributable to the Care EntréeTM
programs. The total regular or ongoing commission payout, including overrides on monthly membership
sales after the enrollment month and our contribution to the bonus pools, is up to 60% of qualified
membership sales.
We also design healthcare membership programs for employer groups and third party marketers.
Memberships in these programs are offered and sold by direct marketing through direct sales or
in-bound direct marketing. We believe that our clients, their members and the vendors of the
products and services offered through the programs, all benefit from our membership service
programs. The products and services are bundled, priced and marketed utilizing relationship
marketing strategies or inbound direct marketing to target the profiled needs of the clients
particular member base. Our memberships sold by third-party organizations are generally marketed
using the third-partys name or brand or under our wholesale brand For Your Good Health. We refer
to these programs and membership sales as wholesale programs or private label programs. While the
services offered to consumers by these private label programs are generally similar to the services
we offer through Care EntréeÔ, each of the private label programs can bundle our services to
fit the needs of their consumers.
3
In the third quarter of 2005, we began offering neutraceuticals, consisting of vitamins,
minerals and other nutritional supplements, under the Natrience brand. Neutraceutical sales
commenced in late September 2005, but were immaterial through June 30, 2006. Effective June 30,
2006, we discontinued its operations and wrote off the assets of this division.
EMPLOYER AND GROUP HEALTHCARE SERVICES
For governments and other large, self-funded employers seeking to reduce the cost of offering
healthcare benefits to their employees, we offer access to healthcare through our network of
providers and the efficient repricing of bills through our proprietary systems. We can offer these
services on a price based on either the number of participants per month or as a percentage of
savings on healthcare costs actually realized. Through our Subsidiary, Access HealthSource, Inc.
(Access), we provide a wide range of healthcare claims administration services and other cost
containment procedures that are frequently required by governments and other employers who have
chosen to self fund their healthcare benefits requirements. With the services of Access, we offer a
more complete suite of healthcare services. Access primary area of expertise is in the public
sector market.
ICM Merger-Acquisition
On November 8, 2006, we entered into an Agreement and Plan of Merger with Peter W. Nauert, and
the shareholders of Insurance Capital Management USA Inc., a Texas corporation (ICM). ICM is a
fully integrated technology driven national health insurance marketing organization. ICMs
operations principally consist of the sales and marketing of individual health insurance products
and related benefit plans, primarily through a broad network of independent agency channels. These
operations, which are consolidated under Insuraco USA, LLC, an intermediate holding company,
commenced generating revenue in 2004 and, after incurring start-up losses through 2005, are
generating earnings in 2006.
A
copy of the Agreement and Plan of Merger is attached to the Proxy Statement filed November 9, 2006, as Appendix A. Under that agreement, subject to approval by our shareholders, we and the
parties to the agreement agreed as follows.
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Effective September 29, 2006, ICM transferred its ownership of Insurance Producers Group
of America Agency (IPA) to Mr. Nauert and IPA will not be acquired by us. ICM has also
eliminated all other non-Insuraco activities. Accordingly, Precis will only acquire the
Insuraco operations. |
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The shareholders of ICM will cause ICM to merge with and into us and Insuraco and its
subsidiaries will become our wholly-owned subsidiaries. |
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At closing, we will issue and deliver a number of shares of our common stock to ICMs
shareholders determined by a formula that multiplies Insuracos adjusted earnings, before
interest, taxes, depreciation and amortization (EBITDA) (as further defined in the merger
agreement) for the nine-month period ended September 30, 2006 times 5.4051056 shares per
dollar of EBITDA. |
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We will issue and deliver, as more fully discussed in the Proxy Statement, additional
shares of our common stock to ICMs shareholders provided the acquired companies EBITDA
during four consecutive calendar quarters ending on or prior to December 31, 2007 exceeds
the EBITDA for the nine-month period ended September 30, 2006. |
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The maximum number of shares to be issued and delivered to the ICM shareholders is 6,756,382. |
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Peter W. Nauert will become our chief executive officer. |
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Andrew A. Boemi will become a member of our board of directors. |
ICM shareholders are not obligated to return any of the common stock shares issued and
delivered to them in conjunction with the merger-acquisition of ICM, if Insuraco and its
subsidiaries later achieve a lower level of Adjusted EBITDA.
4
Our Board of Directors believes the merger-acquisition of ICM and its subsidiaries will
benefit our other shareholders and us for a number of reasons:
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You and our other shareholders will own an interest in a larger and more diversified
company having a significantly increased potential for growth in revenue and return to
profitability. Although this will place you and our other shareholders at risk with regard
to the aspects of the business of ICM and its subsidiaries, the acquisition of ICM and its
subsidiaries will provide other sources of revenues, channels for distribution of our
products and services and potentially return us to profitability. Consequently, our success
and profitability will be more diversified and less dependent upon our current operations,
especially the dependence on our Care Entrée membership program. |
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We anticipate that we will obtain a significantly greater rate of return on our capital
resources through the use of our common stock shares to acquire ICM and its subsidiaries
and their business operations. |
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We believe that ICM and its established and developing marketing channels will
compliment and provide broader market channels for our Care Entrée program and
private-label healthcare savings programs. |
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Because of the decline since 2003 in the members in our Care Entrée program and the
accompanying losses from operations, we believe it is essential that additional marketing
channels be established for our healthcare savings programs and we believe ICM and its
subsidiaries will provide these additional marketing channels. |
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ICM and its subsidiaries, through their contractual arrangements with various insurance
companies, will provide a source of leading-edge insurance products that are not currently
available to us and that would require devotion of a substantial portion of our financial
and personnel resources, as well as time, to develop. |
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Management of ICM and its subsidiaries has proven experience in the development,
marketing and distribution of insurance products and financial services that we lack and
may be viewed as unique. |
Our expected or anticipated effects of the merger-acquisition, of course, are forward-looking and
there is no assurance that our expectations and anticipations will be realized.
CRITICAL ACCOUNTING POLICIES
Revenue Recognition
Healthcare Membership Revenues. We recognize our Care Entrée 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 automated clearinghouse, electronic check or by electronic charge
to the members credit cards. The settlement of those charges occurs within a day or two. Under
certain private label arrangements, our private label partners bill their members for the
membership fees and our portion of the membership fees is periodically remitted to us. During the
time from the billing of these private-label membership fees and the remittance to us, we record a
receivable from the private label partners and record 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.
We maintain a statistical analysis of the costs and membership periods as a basis for adjusting
these estimates from time to time.
Access Third Party Administration. Access principal sources of service 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 are paid to our independent marketing representatives in the
month following the month in which a member has enrolled in our Care Entrée program. Commissions
are paid in the month following the month in which we receive the related monthly membership fees.
We do not pay advanced commissions on membership sales. Commissions are based on established
commission schedules and are determined and accrued based upon the recognition of the related
healthcare membership revenue, as described above.
5
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. Leasehold
improvements are depreciated using the straight-line method over the shorter of their estimated
useful lives or the lease term.
The estimation of useful lives is based, in part, upon past experience with similar assets and
upon our plans for the utilization of the assets in the future. We periodically review fixed
assets, including software, whenever events or changes in circumstances indicate that their
carrying amounts may not be recoverable or their depreciation or amortization periods should be
accelerated. When any value impairment is determined to exist, the related assets are written down
to their fair market value. If we determine that the remaining useful life, based upon known events
and circumstances, should be shortened, the depreciation or amortization of the related asset is
adjusted on a prospective, going-forward basis based upon the shortened useful lives.
Intangible Asset Valuation. Our intangible assets as of June 30, 2006, consist primarily of
goodwill of $13,072,000. Goodwill represents the excess of acquisition costs over the fair value of
net identifiable assets acquired. Goodwill is not amortized. Additionally, intangible assets
include $1,190,000 of contracts, net of amortization, acquired as part of our acquisition of
Access. During the year ended December 31, 2005, our intangible assets were reduced by $12,900,000
to reflect the impairment of goodwill related to our acquisition of The Capella Group, Inc. and its
Care Entrée program in 2001.
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. During the three months ended June 30, 2006, we evaluated the probability of
recognizing the benefit of deferred tax assets through the reduction of taxes otherwise payable in
the future and recorded a $51,000 adjustment to our deferred tax asset valuation allowance to
offset a corresponding increase in deferred tax assets. In our opinion, it is more probable than
not that the net assets will be realized.
Recent Accounting Pronouncements
In December 2004, the Financial Accounting Standards Board (FASB) issued Statement of
Financial Accounting Standard SFAS No. 123(R), Share-Based Payment, SFAS 123(R) a revision to
SFAS No. 123, Accounting for Stock-Based Compensation. SFAS 123(R) eliminates the alternative to
record compensation expense using the intrinsic value method of accounting under Accounting
Principles Board Opinion 25 (Opinion 25) that was provided in SFAS No. 123 as originally issued.
Under Opinion 25, issuing stock options to employees generally resulted in the recognition of
no compensation cost if the options were granted with an exercise price equal to their fair value
at the date of grant. SFAS 123(R) requires companies to measure and record the cost of employee
services received in exchange for an award of equity instruments based on the fair value of the
award at the date of grant (with limited exceptions). That cost will be recognized over the period
during which an employee is required to provide service in exchange for the award (usually the
vesting period). No compensation cost is recognized for equity instruments for which employees do
not render the requisite service.
We adopted the modified prospective method of applying SFAS 123(R) as of January 1, 2006.
Under SFAS 123(R), we are required to recognize compensation expense, over the applicable vesting
period, based on the fair value of (1) any unvested awards subject to SFAS 123(R) existing as of
January 1, 2006, and (2) any new awards granted subsequent to the adoption date. See Note 2, Stock
Based Compensation in the Notes of our Unaudited Condensed Consolidated Financial Statements
appearing elsewhere in this Report for the effect of adoption on our consolidated financial
statements. The effect of this adoption is a stock-based compensation expense of $27,000 and
$17,000 for first quarter and second quarter 2006, respectively.
Reclassifications
Certain prior period amounts have been reclassified for financial reporting purposes to
conform to the current periods presentation.
6
Results of Operations
Consumer Healthcare Savings
As discussed above, our Consumer Healthcare Savings segment, our 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 and private label programs. The
operating results for our Consumer Healthcare Savings segment were as follows:
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For the Three Months Ended |
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For the Nine Months Ended |
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September 30, |
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September 30, |
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Dollar |
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Percent |
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Dollar |
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Percent |
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(Dollars in Thousands) |
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2006 |
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2005 |
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Change |
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Change |
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2006 |
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2005 |
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Change |
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Change |
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Revenues |
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$ |
3,457 |
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$ |
4,912 |
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$ |
(1,455 |
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-29.6 |
% |
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$ |
11,283 |
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$ |
16,727 |
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$ |
(5,444 |
) |
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-32.5 |
% |
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Operating expenses: |
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Cost of operations |
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1,357 |
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1,932 |
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(575 |
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-29.8 |
% |
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4,214 |
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6,415 |
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(2,201 |
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-34.3 |
% |
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Sales and marketing |
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1,106 |
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1,413 |
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(307 |
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-21.7 |
% |
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3,769 |
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5,187 |
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(1,418 |
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-27.3 |
% |
General and
administrative |
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1,029 |
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1,248 |
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(219 |
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-17.5 |
% |
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3,235 |
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4,862 |
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(1,627 |
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-33.5 |
% |
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Total operating expenses |
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3,492 |
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4,593 |
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(1,101 |
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-24.0 |
% |
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11,218 |
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16,464 |
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(5,246 |
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-31.9 |
% |
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Operating income (loss) |
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$ |
(35 |
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$ |
319 |
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$ |
(354 |
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-111.0 |
% |
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$ |
65 |
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$ |
263 |
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$ |
(198 |
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-75.3 |
% |
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Percent of Revenue: |
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Revenues |
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100.0 |
% |
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100.0 |
% |
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100.0 |
% |
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100.0 |
% |
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Operating expenses: |
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Cost of operations |
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39.3 |
% |
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39.3 |
% |
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37.3 |
% |
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38.4 |
% |
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Sales and marketing |
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32.0 |
% |
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28.8 |
% |
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33.4 |
% |
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31.0 |
% |
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General and
administrative |
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29.8 |
% |
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25.4 |
% |
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28.7 |
% |
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29.1 |
% |
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Total operating expenses |
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101.1 |
% |
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93.5 |
% |
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99.4 |
% |
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98.5 |
% |
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Operating income (loss) |
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(1.1 |
)% |
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6.5 |
% |
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0.6 |
% |
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1.5 |
% |
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Certain prior period amounts have been reclassified to conform to the current periods
presentation.
Revenues. Our Care EntréeÔ Consumer Healthcare Savings 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 has shown success in improving
healthcare provider acceptance, it has made our programs more complex and difficult to sell. As of
September 30, 2006, the percentage of our
7
individual members who had made escrow deposits was
approximately 34% of the total individual healthcare membership base. This excludes our private
label programs, where the escrow features have not been mandated. In some of the states in which
we have a significant number of members, especially Florida, Texas, Illinois, and California, our
healthcare savings
products are under scrutiny and criticism by state regulators and officials. To address these
concerns, we have voluntarily removed the escrow features from our programs in California and
Illinois and expect to remove this feature from programs in other states in the near future. In
addition, administration of the escrow program in Florida has been modified so that the failure to
deposit money into the escrow does not restrict Care Entrée members from seeing a provider. 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. We are currently evaluating alternative products which we may be able to
offer in the future in place of the products with escrow features. The table below reflects the
decline in our Care EntréeÔ Consumer Healthcare Savings program membership over the preceding
two years:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Care Entrée Membership |
|
|
(Count at End of Quarter) |
|
|
3rd Qtr |
|
4th Qtr |
|
1st Qtr |
|
2nd Qtr |
|
3rd Qtr |
|
4th Qtr |
|
1st Qtr |
|
2nd Qtr |
|
3rd Qtr |
|
|
2004 |
|
2004 |
|
2005 |
|
2005 |
|
2005 |
|
2005 |
|
2006 |
|
2006 |
|
2006 |
Member count |
|
|
63,840 |
|
|
|
56,955 |
|
|
|
51,895 |
|
|
|
46,514 |
|
|
|
41,958 |
|
|
|
37,952 |
|
|
|
37,281 |
|
|
|
35,823 |
|
|
|
34,020 |
|
Percent change |
|
|
-14.44 |
% |
|
|
-10.78 |
% |
|
|
-8.88 |
% |
|
|
-10.37 |
% |
|
|
-9.79 |
% |
|
|
-9.55 |
% |
|
|
-1.77 |
% |
|
|
-3.91 |
% |
|
|
-5.03 |
% |
Average revenue per
member, net of
sales and marketing
costs |
|
$ |
25.69 |
|
|
$ |
25.02 |
|
|
$ |
25.70 |
|
|
$ |
26.24 |
|
|
$ |
26.16 |
|
|
$ |
24.03 |
|
|
$ |
23.86 |
|
|
$ |
22.54 |
|
|
$ |
22.18 |
|
During the third quarter of 2006, the decline in our member count increased primarily due to
decreases in IMR sales offset by resumption of sales from a major private label in January. This
trend resulted in a drop in average revenue per member, net of sales and marketing costs, for third
quarter 2006. Sales from private label programs have a lower gross profit margin than those of
IMRs.
Although the implementation of escrow requirements negatively impacted our membership base and
consequently our revenues and net earnings in 2004 through 2006, the escrow requirements were
necessary to provide some assurance of payment to the healthcare providers and, accordingly, their
continued willingness to provide healthcare services to our members. This strategic move was
critical to our long-term operational and financial viability in the health card savings market, as
many healthcare providers throughout the United States will no longer accept a health discount
card. We are currently exploring additional alternatives that may address the healthcare providers
concerns related to assurance of payment and that may be better received by potential members as
well as our current members. In conjunction with our due diligence and strategic planning
associated with our planned acquisition of Insuraco, a Fort Worth, Texas company providing
web-based technology, specialty products and marketing for the insurance and financial services
industry, which we disclosed in our Proxy Statement filed on November 9, 2006, we have accelerated
our development and evaluation of new products intended to provide access to affordable healthcare
for consumers, while reducing costs associated with providing such products.
Members escrow or cash-in-trust declined to $3,590,000 as of September 30, 2006 from
$5,585,000 as of December 31, 2005, primarily due to the termination of the Care Entrée program
escrow feature in California, Illinois and Louisiana.
Cost of Operations. For the three-month period ending September 30, 2006 and 2005, the
decrease in cost of operations was primarily due to a reduction of fixed costs of $357,000
primarily related to reduced personnel costs and termination of certain equipment leases due to
cost reductions initiatives that were taken during 2005, as well as decreased variable costs of
$218,000 primarily due to decreased provider network and bank fees related to decreased revenue in
our Consumer Healthcare Savings segment.
For the nine-month period ending September 30, 2006 and 2005, the decrease in cost of
operations was primarily due to a reduction of fixed costs of $1,211,000 primarily related to
reduced personnel costs and termination of certain equipment leases, described above, as well as
decreased variable costs of $990,000 primarily due to decreased provider network and bank fees
related to decreased revenue in our Consumer Healthcare Savings segment.
Sales and Marketing Expenses. The decrease in sales and marketing expenses from the third
quarter of 2005 to the third quarter of 2006 was primarily due to the decrease in commissions
related to the decreased membership revenue of the Care EntréeÔ program. The commission
decrease was accentuated by the departure of independent marketing
8
representatives from the upper
ranks of our multi-level marketing network through which our Care EntréeÔ program is offered
and elimination of the associated over-ride commissions, resulting in a lower percentage of
commissions as a percent of revenue. The decrease was partially offset by an increase in consulting
and other marketing costs of $155,000 for the three month period ending September 30, 2006 and
$333,000 for the nine month period of 2006 related to our Care EntréeÔ sales and marketing
initiatives. Increases in sales and marketing as a percentage of revenue for the three and nine
months of 2006 are primarily due to increases in our direct marketing and new product testing
activities.
General and Administrative Expenses. The increase in general and administrative expenses from
2005 to 2006 as a percentage of revenues is primarily due to the continued cost reduction measures
that began in 2005.
Employer and Group Healthcare Services
The primary element of our Employer and Group Healthcare Services segment is our wholly-owned
subsidiary, Access. Access 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. The operating
results for our Employer and Group Healthcare Services segment were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
For the Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
(Dollars in Thousands) |
|
2006 |
|
|
2005 |
|
|
Change |
|
|
Change |
|
|
2006 |
|
|
2005 |
|
|
Change |
|
|
Change |
|
Revenues |
|
$ |
1,827 |
|
|
$ |
2,217 |
|
|
$ |
(390 |
) |
|
|
-17.6 |
% |
|
$ |
5,686 |
|
|
$ |
6,436 |
|
|
$ |
(750 |
) |
|
|
-11.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
1,306 |
|
|
|
1,380 |
|
|
|
(74 |
) |
|
|
-5.4 |
% |
|
|
3,689 |
|
|
|
3,969 |
|
|
|
(280 |
) |
|
|
-7.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales and marketing |
|
|
206 |
|
|
|
181 |
|
|
|
25 |
|
|
|
13.8 |
% |
|
|
526 |
|
|
|
571 |
|
|
|
(45 |
) |
|
|
-7.9 |
% |
General and
administrative |
|
|
158 |
|
|
|
168 |
|
|
|
(10 |
) |
|
|
-6.0 |
% |
|
|
464 |
|
|
|
521 |
|
|
|
(57 |
) |
|
|
-10.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
1,670 |
|
|
|
1,729 |
|
|
|
(59 |
) |
|
|
-3.4 |
% |
|
|
4,679 |
|
|
|
5,061 |
|
|
|
(382 |
) |
|
|
-7.5 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
157 |
|
|
$ |
488 |
|
|
$ |
(331 |
) |
|
|
-67.8 |
% |
|
$ |
1,007 |
|
|
$ |
1,375 |
|
|
$ |
(368 |
) |
|
|
-26.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent of Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
71.5 |
% |
|
|
62.2 |
% |
|
|
|
|
|
|
|
|
|
|
64.9 |
% |
|
|
61.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Sales and marketing |
|
|
11.3 |
% |
|
|
8.2 |
% |
|
|
|
|
|
|
|
|
|
|
9.3 |
% |
|
|
8.9 |
% |
|
|
|
|
|
|
|
|
General and
administrative |
|
|
8.6 |
% |
|
|
7.6 |
% |
|
|
|
|
|
|
|
|
|
|
8.2 |
% |
|
|
8.1 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
91.4 |
% |
|
|
78.0 |
% |
|
|
|
|
|
|
|
|
|
|
82.4 |
% |
|
|
78.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
|
8.6 |
% |
|
|
22.0 |
% |
|
|
|
|
|
|
|
|
|
|
17.6 |
% |
|
|
21.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Certain prior period amounts have been reclassified to conform to the current periods
financial presentation.
9
Revenues. The primary element of our Employer and Group Healthcare Services segment is our
wholly-owned subsidiary, Access HealthSource, Inc. (Access), which we acquired in June 2004,
through which we offer full-third party administration services. Through Access we provide a wide
range of 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. Also through Access, we provide employee
groups access to preferred provider networks, medical escrow accounts and full third-party
administration capabilities to adjudicate and pay medical claims.
The decline in Employer and Group Healthcare Services revenues from the third quarter of 2006
to the third quarter of 2005 was due to the loss of two major customers in the latter part of 2005
and a third customer at the end of June 2006.
Cost of Operations. Cost of operations for the Employer and Group Healthcare Services segment
decreased primarily as a result of decrease in revenues discussed above.
Sales and Marketing. Sales and marketing expenses of the Employer and Group Healthcare
Services for the three and nine months ended September 30, 2006 increased primarily due to
increases in sales and public relations costs due to increased sales effort.
General and Administrative. General and administrative costs for the Employer and Group
Healthcare Services segment as a percentage of revenue increased primarily due to the decrease in
revenues.
Financial Services
During second quarter 2006, we reduced the costs associated with this segment, as we moved
toward an agency arrangement that will substantially reduce our fixed operating costs and
discontinued the consulting arrangement related to the management of the insurance sales force.
These efforts continued through the end of third quarter 2006 and have resulted in significantly
lower operating losses for our financial services segment.
The operating results for our Financial Services segment were as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
For the Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
(Dollars in Thousands) |
|
2006 |
|
|
2005 |
|
|
Change |
|
|
Change |
|
|
2006 |
|
|
2005 |
|
|
Change |
|
|
Change |
|
Revenues |
|
$ |
31 |
|
|
$ |
71 |
|
|
$ |
(40 |
) |
|
|
-56.3 |
% |
|
$ |
116 |
|
|
$ |
303 |
|
|
$ |
(187 |
) |
|
|
-61.7 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
1 |
|
|
|
23 |
|
|
|
(22 |
) |
|
|
-95.7 |
% |
|
|
1 |
|
|
|
55 |
|
|
|
(54 |
) |
|
|
-98.2 |
% |
|
Sales and marketing |
|
|
25 |
|
|
|
92 |
|
|
|
(67 |
) |
|
|
-72.8 |
% |
|
|
159 |
|
|
|
253 |
|
|
|
(94 |
) |
|
|
-37.2 |
% |
General and
administrative |
|
|
16 |
|
|
|
45 |
|
|
|
(29 |
) |
|
|
-64.4 |
% |
|
|
75 |
|
|
|
532 |
|
|
|
(457 |
) |
|
|
-85.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
42 |
|
|
|
160 |
|
|
|
(118 |
) |
|
|
-73.8 |
% |
|
|
235 |
|
|
|
840 |
|
|
|
(605 |
) |
|
|
-72.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
(11 |
) |
|
$ |
(89 |
) |
|
$ |
78 |
|
|
|
-87.6 |
% |
|
$ |
(119 |
) |
|
$ |
(537 |
) |
|
$ |
418 |
|
|
|
-77.8 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent of Revenue: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenues |
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
|
100.0 |
% |
|
|
100.0 |
% |
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
3.2 |
% |
|
|
32.4 |
% |
|
|
|
|
|
|
|
|
|
|
0.9 |
% |
|
|
18.2 |
% |
|
|
|
|
|
|
|
|
|
Sales and marketing |
|
|
80.6 |
% |
|
|
129.6 |
% |
|
|
|
|
|
|
|
|
|
|
137.1 |
% |
|
|
83.5 |
% |
|
|
|
|
|
|
|
|
General and
administrative |
|
|
51.6 |
% |
|
|
63.4 |
% |
|
|
|
|
|
|
|
|
|
|
64.7 |
% |
|
|
175.6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
135.4 |
% |
|
|
225.4 |
% |
|
|
|
|
|
|
|
|
|
|
202.7 |
% |
|
|
277.3 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
|
(35.6 |
)% |
|
|
(125.4 |
)% |
|
|
|
|
|
|
|
|
|
|
(102.7 |
)% |
|
|
(177.3 |
)% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Certain prior period amounts have been reclassified to conform to the current periods financial
presentation.
10
Corporate
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
For the Nine Months Ended |
|
|
|
September 30, |
|
|
September 30, |
|
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
|
|
|
|
|
|
|
|
|
Dollar |
|
|
Percent |
|
(Dollars in Thousands) |
|
2006 |
|
|
2005 |
|
|
Change |
|
|
Change |
|
|
2006 |
|
|
2005 |
|
|
Change |
|
|
Change |
|
General and administrative |
|
$ |
411 |
|
|
$ |
458 |
|
|
$ |
(47 |
) |
|
|
-10.3 |
% |
|
$ |
1,311 |
|
|
$ |
1,947 |
|
|
$ |
(636 |
) |
|
|
-32.7 |
% |
Goodwill impairment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
0.0 |
% |
|
|
|
|
|
|
9,900 |
|
|
|
(9,900 |
) |
|
|
-100.0 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
411 |
|
|
|
458 |
|
|
|
(47 |
) |
|
|
-10.3 |
% |
|
|
1,311 |
|
|
|
11,847 |
|
|
|
(10,536 |
) |
|
|
-88.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income (loss) |
|
$ |
(411 |
) |
|
$ |
(458 |
) |
|
$ |
47 |
|
|
|
-10.3 |
% |
|
$ |
(1,311 |
) |
|
$ |
(11,847 |
) |
|
$ |
10,536 |
|
|
|
-88.9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Certain prior period amounts have been reclassified to conform to the current periods financial
presentation.
General and Administrative Expenses. The decrease in general and administrative expenses
during the nine months ended September 30, 2006 compared to the nine months ended September 30,
2005 is due to a $800,000 charge resulting from severance compensation payable to former officers
in the second quarter of 2005. The decrease for the nine months ended is somewhat offset by
increased audit, audit-related and tax fees and new stock-based compensation expense in 2006.
Impairment of Goodwill. In 2005 we recorded an impairment loss related to The Capella Group,
Inc., and its Care EntréeÔ program of $9,900,000. This impairment charge was not allocated
to the Consumer Healthcare Savings operations.
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 September 30, 2006 and December 31, 2005, we had deferred tax assets of
$457,000 and $275,000, respectively, and deferred tax liabilities of $457,000 and $275,000,
respectively, primarily resulting from net operating loss carry-forward that if not utilized will
expire at various dates through 2020. We evaluate the probability of recognizing the benefit of
deferred tax assets through the reduction of taxes otherwise payable in the future and provide an
allowance against the carrying amount of such deferred tax assets if it is more probable than not
that some or all of the assets will not be realized.
Liquidity and Capital Resources
Operating Activities. Net cash used in operating activities for the three months ended
September 30, 2006 and 2005 was $293,000 and $639,000, respectively. The decrease in net cash used
of $346,000 is due primarily to severance and severance related (withholding taxes) payments of
$479,000 during the third quarter of 2005. The $1,189,000 increase in net cash provided by
operating activities for the nine months of 2006 to $1,579,000 as compared to the same period of
2005 of $390,000 is primarily related to federal income tax refund of $994,000 received in the
second quarter of 2006.
Investing Activities. Net cash used in investing activities for the three months ended
September 30, 2006 and 2005 was $76,000 and $569,000, respectively. The decrease in net cash used
of $493,000 is related to contingent cash payments relating to our acquisition of Access (including
earned contingent, purchase price consideration paid and delivered) of $525,000 in the third
quarter of 2005. No cash or common stock was required to be conveyed during the third quarter of
2006 related to Access acquisition. The decrease in net cash used in investing activities for the
nine months of 2006 as compared to the same period of 2005 of $256,000 is related to a decrease in
Access acquisition earned contingency payments of $461,000, offset by an increase in fixed asset s
purchases of $205,000 primarily related to Access office relocation in June 2006.
11
Financing Activities. Net cash used in financing activities for the three months ended
September 30, 2006 was $54,000, compared to $100,000 for the three months ended September 30, 2005.
The decrease in net cash used of $46,000 is related to the lower net payments on capital lease
obligations. The decrease in cash used in financing activities for the nine months of 2006 from
the same period of 2005 of $719,000 is related to treasury stock purchases of $369,000 in 2005 and
net lower payments on capital lease obligations of $350,000.
At September 30, 2006, June 30, 2006, March 31, 2006 and December 31, 2005, we had working
capital of $4,738,000, $5,205,000, $5,260,000 and $4,692,000, respectively. This slight increase in
working capital from December 31, 2005 to September 30, 2006 is due primarily to liquidation of
accrued Access purchase price consideration liability by the issuance of common stock value at
$521,000, offset by accrued acquisition expenses related to the pending merger-
acquisition of ICM of $212,000.
Other than our $289,000 capital lease obligations and our potential payment and delivery
obligations associated with the Access acquisition (which are indeterminable as of the date of this
report), we do not have any capital commitments. We anticipate that our capital expenditures for
2006 will not exceed the amount incurred during 2005. We believe that our existing cash and cash
equivalents will be sufficient to fund our normal operations and capital expenditures for the next
12 months. 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 acceptable to us or advantageous
to our stockholders.
Cautionary Statement 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:
|
|
|
Discuss our future expectations; |
|
|
|
|
Contain projections of our future operating results or of our future financial condition; or |
|
|
|
|
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. Readers are cautioned to consider the specific business risk factors described in our
Annual Report on Form 10-K for the fiscal year ended December 31, 2005 and not to place undue
reliance on the forward-looking statements contained herein, which speak only as of the date
hereof. We undertake no obligation to publicly revise forward-looking statements to reflect events
or circumstances that may arise after the date hereof.
12
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 Acting 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 Acting 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 accounting principles generally
accepted in the United States of America. 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 accounting principles generally
accepted in the United States of America, and that our receipts and expenditures are
being made only in accordance with authorizations of our management and 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 our Quarterly Report on
Form 10-Q as of September 30, 2006, an evaluation was performed under the supervision and with the
participation of management, including our Acting Chief Executive Officer and our Chief Financial
Officer, of the effectiveness of the design and operation of our disclosure controls and procedures
and internal control over financial reporting. Based on their evaluation of the effectiveness of
our disclosure controls and procedures and the control over financial reporting as of September 30,
2006, our management, including our Acting Chief Executive Officer and Chief Financial Officer,
concluded that our disclosure controls and procedures and internal control over financial reporting
were effective as of the evaluation date to provide reasonable assurance regarding managements
disclosure control objectives. In conducting their evaluation of our disclosure controls and
procedures and internal controls over financial reporting, our management, including our Acting
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 control over financial reporting and concluded that our disclosure controls and
procedures and internal controls over financial reporting were effective in all material respects
as of September 30, 2006. However, our evaluation of our disclosure controls and procedures and
internal controls over financial reporting during the second quarter of 2006 did reveal
significant deficiencies in our processes and controls related to determination of amounts due to
our vendors and independent marketing representatives in our consumer healthcare savings operation.
During the third quarter of 2006, we have implemented and continue to develop remedial controls
and processes to improve control over those transactions. Other than those changes to controls and
processes, there were no significant changes in our disclosure controls and procedures, internal
controls over financial reporting, or other factors that significantly affect our disclosure
controls and procedures or internal controls over financial reporting subsequent to the date of
their evaluation.
13
PART
II OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
In the normal course of business, we may become involved in litigation or in settlement
proceedings relating to claims arising out of our operations. Except as described below, we are not
a party to any legal proceedings, the adverse outcome of which, individually or in the aggregate,
could have a material adverse effect on our 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 and recently
convicted of securities fraud and related crimes), 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
our 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 our common stock for $9.37 per share.
David May was our 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 May and that these actions and inactions
constitute 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 our 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 our 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 plaintiffs have appealed the judgment and their arguments have been heard by the
Court of Appeals for the Second Judicial District of Texas. While we cannot offer any assurance as
to the outcome of the appeal, we believe that there exists no basis on which the judgment in our
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 Entrée discount health care 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 our
Care Entrée 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).
14
We fully settled all the claims brought by the California Foundation for Business Ethics, Inc.
With the Zermeno plaintiffs, we 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 our ability (and that of other healthcare discount programs) to do business in
California.
Management believes that we have complied with all applicable statues and regulations in the
state of California. Although management believes the Plaintiffs claims are without merit, we
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 Entrée, 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 Entrée directly and through
at least one other party that resells Care Entrées services to the public, violated certain
provisions of the Texas Deceptive Trade PracticesConsumer 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. Management believes
that the allegations are without merit and we are vigorously defending the lawsuit. 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.
Action by the California Department of Managed Health Care. The California Department of
Managed Health Care (the DMHC) is responsible for the administration and enforcement of the
Knox-Keene Health Care Service Act of 1975 (the Knox-Keene Act), a set of laws that regulate
health maintenance organizations or HMOs and impose licensing requirements on those organizations.
This licensing process is in part to ensure that the financial resources of the HMO are sufficient
to cover the cost of providing the promised healthcare. In 2001 the DMHC issued an interpretive
opinion (the Zingale Opinion) that concluded that the healthcare discount programs, like those
offered and sold by our subsidiary, The Capella Group, Inc. d/b/a Care Entrée, are not similar to
insurance programs that the Knox-Keene Act is intended to regulate and therefore the Knox-Keene Act
does not apply to healthcare discount programs. The DMHC rescinded that opinion in 2005.
In
2005, the DMHC initiated an investigation to determine the applicability of the Knox-Keene
Act to the membership programs we offer and sell to California residents through Capella. In July
2005, the DMHC issued a Cease and Desist Order, finding that Capellas Care Entrée discount program
is subject to the licensing requirements and regulation under the Knox-Keene Act, under the
jurisdiction of the DMHC. We agreed with and had relied upon the Zingale Opinion. Accordingly,
Capella contested the order in an administrative proceeding with the DMHC that is currently
pending as Case No.: DMHC No.:04-312; OAH No.: N2005-10-0840. On July 13, 2006, the Administrative
Law Judge hearing Capellas appeal issued a Proposed Decision, concluding , among things, that the
cease and desist order be upheld in part, and modified in part. While the Administrative Law Judge
found that Capella was entitled to rely on the Zingale Opinion and therefore should not be
penalized for its activities prior to the DMHCs rescission of the Zingale Opinion in 2005, the
judge found that the Knox-Keene Act does apply to our membership programs and the DMHC does have
jurisdiction over such programs.
On September 26, 2006, we entered into a Settlement Agreement with the DMHC. The agreement
allows us to continue to do business in California but requires us to pursue a Knox-Keene license.
We were not required to pay any penalties or restitution.
15
Investigation of National Center for Employment of the Disabled, Inc. and Access
HealthSource, Inc. In June 2004, we purchased Access HealthSource, Inc. (Access) and its
subsidiaries from National Center for Employment of the Disabled, Inc. (now known as Ready One
Industries, NCED). Robert Jones, the C.E.O. of NCED was elected to and served on our Board of
Directors until his March 2006 resignation. Frank Apodaca, our President and the President and
C.E.O. of Access HealthSource, Inc. 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 us allowed him to spend up to 20% of his time on matters related to
NCEDs operations. NCED is one of our greater than 10% shareholders as a result of shares it
received form our purchase of Access.
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 we believe that Access was not involved in the contracting for NCEDs federal contracts
and was not involved in NCEDs operations either before or after our acquisition of Access, the
investigation of NCED may lead to allegations that either Access or Mr. Apodaca were involved in
inappropriate or illegal activities. The investigation of NCED may also lead to other
investigations of Access contracting processes and operations. The investigation is in the
earlier stages and the outcomes are not currently determinable. There are currently no legal
actions related to this matter pending against Access or Mr. Apodaca. Because of these
investigations and any related allegations or charges and the associated unfavorable publicity,
Access may lose its local government clients. The loss of these clients and the resulting loss of
revenue could have a material adverse effect on our financial condition and results of operations.
Other Matters. In addition, we are responding to other claims arising in the ordinary
course of business. We intend to defend ourselves vigorously in these matters. Our management
believes that it is unlikely that the outcome of these other claims will have a material adverse
effect on our financial statements, although there can be no assurance in this regard.
ITEM 1A. RISK FACTORS
Before deciding to purchase, hold or sell our common stock, you should carefully consider the risks
described below, in addition to the other cautionary statements and risks described elsewhere and
the other information contained in our Annual Report on Form 10-K, filed with the Securities and
Exchange Commission on March 31, 2006, this Report and in our other filings with the SEC, including
subsequent reports on Forms 10-Q and 8-K. The risks and uncertainties described below are not the
only ones we face. Additional risks and uncertainties not presently known to us or that we
currently deem immaterial may also affect our business. If any of these known or unknown risks or
uncertainties actually occurs, our business, financial condition and results of operations could be
seriously be harmed.
Risks Related to Our Business
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:
|
|
|
adversely affect the market price of our common stock; |
|
|
|
|
adversely affect our future operations; |
|
|
|
|
adversely affect our business; |
|
|
|
|
adversely affect our financial condition; |
|
|
|
|
adversely affect our results of operations; |
|
|
|
|
require significant reduction or discontinuance of our operations; |
|
|
|
|
require us to seek a merger partner; or |
|
|
|
|
require us to sell additional stock on terms that are highly dilutive to our shareholders. |
16
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:
|
|
|
discuss our future expectations; |
|
|
|
|
contain projections of our future operating results or of our future financial condition; or |
|
|
|
|
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.
OUR REVENUES 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 Entrée
medical savings program. Our independent marketing representatives typically offer and sell the
Care Entrée 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 Entrée program. Also, our ability to attract and retain
marketing representatives could be negatively affected by adverse publicity relating to our Care
Entrée 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 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 number of 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
17
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, Inc. is the principal preferred provider organization through
which our members obtain savings on healthcare services through our Care Entrée program. The loss
of Private Healthcare Systems as a preferred provider organization or disruption of our members
access to this preferred provider organization could adversely affect our business. While we
currently enjoy a good relationship with Private Healthcare Systems, there are no assurances that
we will continue to have a good relationship with this network in the future, or that the network
may choose to partner with one of our competitors or compete directly with our Care Entrée
program.
WE FACE COMPETITION FOR MARKETING REPRESENTATIVES AS WELL AS COMPETITIVE OFFERINGS OF HEALTHCARE
PRODUCTS AND SERVICES.
Within the medical 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. Although not
permitted under the current agreements with our marketing representatives and private label
clients, in the future some of our clients may provide, either directly or through third parties,
programs that directly compete with our programs. 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.
WE MAY BECOME SUBJECT TO GOVERNMENT REGULATION MUCH LIKE AN INSURANCE COMPANY AND THIS REGULATORY
OVERSIGHT MAY ADVERSELY AFFECT OR LIMIT OUR OPERATIONS.
The membership and healthcare benefits we offer 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 state regulatory agencies and commissions have determined that
our Care Entrée programs are subject to governmental regulation. We do not know the full extent of
these regulations and additional states may also impose regulation. Our need to comply with these
regulation may adversely affect or limit our future operations.
18
WE HAVE A FIDUCIARY RESPONSIBILITY TO OUR MEMBERS THROUGH OUR TOTAL CARE AND ESSENTIAL CARE PROGRAM
OFFERINGS. IN THIS CAPACITY, WE COULD BE LIABLE FOR THE LOSS OF MEMBERS FUNDS DEPOSITED WITH US IN
ESCROW.
In the fourth quarter of 2002, we initiated a medical savings program through our Total Care
and Essential Care programs that were processed through our subsidiary Foresight, and are now
processed through our subsidiary Access Administrators, Inc., as a third-party administrator. Under
this medical savings program, funds collected from members are held in escrow for the benefit of
the member as a source of payment for healthcare services obtained through our Total Care and
Essential Care programs. Under the medical savings program we have a fiduciary responsibility to
our members for the funds held for their benefit much like a trustee. In the unforeseen event of a
loss of these funds while being held by us or our failure to implement and maintain adequate
internal controls, we will be responsible and liable to the affected members for any such loss,
including any consequential damages suffered by the members, which liability could be substantial.
AS A RESULT OF THE INTRODUCTION OF MEDICAL ESCROW 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 medical escrow accounts 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. 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.
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:
|
|
|
the evolving interpretations of existing laws and regulations; and |
|
|
|
|
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:
|
|
|
result in enforcement action and imposition of penalty; |
|
|
|
|
require modification of the marketing representative network system; |
|
|
|
|
result in negative publicity; or |
|
|
|
|
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.
19
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 with 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 NEW MANAGEMENT INFORMATION SYSTEM MAY
OCCUR AND COULD ADVERSELY AFFECT OUR CLIENT RELATIONSHIPS.
We recently transitioned to our new management information system. 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. Some of our competitors may be companies that have programs that are functionally similar
or superior to our membership programs. Most of our competitors possess substantially greater
financial, marketing, personnel and other resources than us. They may also have established
reputations relating to membership 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:
|
|
|
we will be able to compete successfully; |
|
|
|
|
our competitors will not develop membership programs that render our programs less
marketable or even obsolete; or |
|
|
|
|
we will be able to successfully enhance our programs when necessary. |
20
THE GOODWILL ACQUIRED PURSUANT TO OUR ACQUISITIONS OF THE CAPELLA GROUP AND ACCESS MAY BECOME
IMPAIRED AND REQUIRE A WRITE-DOWN AND THE RECOGNITION OF AN IMPAIRMENT EXPENSE WHICH MAY BE
SUBSTANTIAL.
In connection with our acquisitions of The Capella Group and Access, we recorded goodwill
that, at June 30, 2006, had an aggregate asset value of $13,072,000. 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 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.
WE MAY FAIL TO REALIZE SOME OR ALL OF THE ANTICIPATED BENEFITS OF OUR ACQUISITION OF ACCESS AND
THAT FAILURE COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR FINANCIAL CONDITION.
Our combined company may fail to realize some or all of the anticipated benefits and synergies
of our acquisition of Access as a result of, among other things, the failure of Access to renew or
maintain its existing service agreements. In addition, the integration of Access business and
operations with those of Precis may take longer than anticipated, may be more costly than
anticipated, and may have unanticipated adverse results relating to Access or Precis existing
businesses or customer base.
IF WE ISSUE SUBSTANTIAL SHARES OF OUR COMMON STOCK UPON ACCESS MEETING CERTAIN EBITDA TARGETS, OUR
SHAREHOLDERS COULD SUFFER DILUTION OF THEIR INVESTMENT AND OUR STOCK PRICE COULD DECLINE.
We will be required to issue up to 223,973 additional common stock shares in the event Access
attains certain levels of earnings before interest, taxes, depreciation and amortization during
2006. The issuance of these shares could have a substantial dilutive effect on our outstanding
common stock as of the date of this report and their market value. The issuance of additional
common stock may also adversely affect the terms under which we could obtain additional equity
capital.
OUR SUBSIDIARY, ACCESS, 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.
Access 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 El Paso, Texas metropolitan area, including cities
and school districts. There is a limited number of these types of entities in the El Paso
metropolitan area. A material portion of the revenues of Access is derived from its contractual
relationships with a few key governmental entities. The loss of any of these relationships would
adversely affect on our operating results and the loss of more than one of these relationships
could have a material adverse effect on our financial condition.
21
ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
(a) None.
(b) None.
(c) None.
(d) None.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None.
ITEM 5. OTHER INFORMATION
None.
ITEM 6. EXHIBITS
|
|
|
Exhibit |
|
|
No. |
|
Description |
|
3.1
|
|
Registrants Certificate of Incorporation, incorporated by reference to Exhibit 3.2 of Registrants
Form 8-K/A filed with the Commission on June 25, 2001. |
|
|
|
3.2
|
|
Registrants Bylaws as amended and restated on April 30, 2003 incorporated by reference to Exhibit 3.2
of Registrants Form 10-Q filed with the Commission on May 14, 2003. |
|
|
|
4.1
|
|
Form of certificate of the common stock of Registrant is incorporated by reference to Exhibit 1.1 of
Amendment to Registration Statement on Form 8-A, as filed with the Commission on July 31, 2001. |
|
|
|
4.2
|
|
Precis SmartCard, Inc. 1999 Stock Option Plan (amended and restated), incorporated by reference to the
Schedule 14A filed with the Commission on May 16, 2001. |
|
|
|
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, incorporated by reference to the Schedule 14A filed
with the Commission on June 26, 2002. |
|
|
|
31.1
|
|
Certification Pursuant to Rule 13a-14(a) and 15d-14(a) of Nicholas J. Zaffiris as Chairman of the Board
& Acting Chief Executive Officer. |
|
|
|
31.2
|
|
Certification Pursuant to Rule 13a-14(a) and 15d-14(a) of Robert L. Bintliff as Chief Financial Officer. |
|
|
|
32.1
|
|
Certification Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of Sarbanes-Oxley
Act of Nicholas J. Zaffiris as Chairman of the Board and Acting 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. |
22
SIGNATURES:
In accordance with the requirements of the Exchange Act, the Registrant caused this report to
be signed on its behalf by the undersigned, thereunto duly authorized.
|
|
|
|
|
|
PRECIS, INC.
(Registrant)
|
|
Date: November 9, 2006 |
/s/ NICHOLAS J. ZAFFIRIS
|
|
|
Nicholas J. Zaffiris |
|
|
Chairman and Acting Chief Executive Officer |
|
|
|
|
|
Date: November 9, 2006 |
/s/ ROBERT L. BINTLIFF
|
|
|
Robert L. Bintliff |
|
|
Executive Vice President and Chief Financial
Officer and
Principal Accounting Officer |
|
|
23
INDEX TO FINANCIAL STATEMENTS
24
PRECIS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
AS OF SEPTEMBER 30, 2006 AND DECEMBER 31, 2005
(Dollars in Thousands, Except Share Information)
|
|
|
|
|
|
|
|
|
|
|
As of |
|
|
As of |
|
|
|
September 30, |
|
|
December 31, |
|
|
|
2006 |
|
|
2005 |
|
|
|
(unaudited) |
|
|
(1) |
|
ASSETS |
|
|
|
|
|
|
|
|
Current assets: |
|
|
|
|
|
|
|
|
Cash-in-trust |
|
$ |
3,590 |
|
|
$ |
5,585 |
|
Cash and cash equivalents |
|
|
5,442 |
|
|
|
6,261 |
|
Restricted cash |
|
|
1,170 |
|
|
|
|
|
Accounts and notes receivable, net |
|
|
165 |
|
|
|
263 |
|
Income taxes receivable |
|
|
357 |
|
|
|
1,046 |
|
Inventory |
|
|
54 |
|
|
|
332 |
|
Prepaid expenses |
|
|
559 |
|
|
|
1,467 |
|
|
|
|
|
|
|
|
Total current assets |
|
|
11,337 |
|
|
|
14,954 |
|
|
|
|
|
|
|
|
|
|
Fixed assets, net |
|
|
866 |
|
|
|
1,124 |
|
Goodwill |
|
|
13,072 |
|
|
|
13,072 |
|
Other intangible assets |
|
|
1,160 |
|
|
|
1,260 |
|
Deferred tax asset |
|
|
457 |
|
|
|
275 |
|
Other assets |
|
|
384 |
|
|
|
179 |
|
|
|
|
|
|
|
|
Total assets |
|
$ |
27,276 |
|
|
$ |
30,864 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY |
|
|
|
|
|
|
|
|
Current liabilities: |
|
|
|
|
|
|
|
|
Accounts payable |
|
$ |
206 |
|
|
$ |
467 |
|
Accrued commissions |
|
|
249 |
|
|
|
380 |
|
Accrued cost of business combinations |
|
|
212 |
|
|
|
1,170 |
|
Other accrued liabilities |
|
|
1,233 |
|
|
|
1,590 |
|
Franchise taxes payable |
|
|
382 |
|
|
|
507 |
|
Members liabilities |
|
|
3,590 |
|
|
|
5,585 |
|
Deferred fees |
|
|
76 |
|
|
|
47 |
|
Current portion of capital leases |
|
|
194 |
|
|
|
241 |
|
Deferred tax liability |
|
|
457 |
|
|
|
275 |
|
|
|
|
|
|
|
|
Total current liabilities |
|
|
6,599 |
|
|
|
10,262 |
|
|
|
|
|
|
|
|
|
|
Capital lease obligations, net of current portion |
|
|
95 |
|
|
|
238 |
|
|
|
|
|
|
|
|
Total liabilities |
|
|
6,694 |
|
|
|
10,500 |
|
|
|
|
|
|
|
|
|
|
Contingencies and commitments (Note 4) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Stockholders equity: |
|
|
|
|
|
|
|
|
Preferred stock, $1.00 par value, 2,000,000 shares authorized, none outstanding |
|
|
|
|
|
|
|
|
Common stock, $.01 par value, 100,000,000 shares authorized; 14,012,763 and
13,704,269 issued, and 13,512,763 and 13,204,269 outstanding, respectively |
|
|
140 |
|
|
|
137 |
|
Additional paid-in capital |
|
|
29,560 |
|
|
|
28,942 |
|
Accumulated deficit |
|
|
(8,067 |
) |
|
|
(7,664 |
) |
Less: treasury stock (500,000 shares) |
|
|
(1,051 |
) |
|
|
(1,051 |
) |
|
|
|
|
|
|
|
Total stockholders equity |
|
|
20,582 |
|
|
|
20,364 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities and stockholders equity |
|
$ |
27,276 |
|
|
$ |
30,864 |
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
Derived from the December 31, 2005 audited financial statements. |
See Accompanying Notes to Unaudited Condensed Consolidated Financial Statements
25
PRECIS, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
FOR THE THREE AND NINE MONTHS ENDED SEPTEMBER 30, 2006 AND 2005
(Dollars in Thousands, except Earnings per Share)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months |
|
|
For the Nine Months Ended |
|
|
|
2006 |
|
|
2005 |
|
|
2006 |
|
|
2005 |
|
Revenues |
|
$ |
5,315 |
|
|
$ |
7,200 |
|
|
$ |
17,085 |
|
|
$ |
23,466 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating expenses: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations |
|
|
2,664 |
|
|
|
3,335 |
|
|
|
7,904 |
|
|
|
10,439 |
|
Sales and marketing |
|
|
1,337 |
|
|
|
1,686 |
|
|
|
4,454 |
|
|
|
6,011 |
|
General and administrative |
|
|
1,614 |
|
|
|
1,919 |
|
|
|
5,085 |
|
|
|
7,862 |
|
Impairment charge for goodwill |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9,900 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses |
|
|
5,615 |
|
|
|
6,940 |
|
|
|
17,443 |
|
|
|
34,212 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating (loss) earnings |
|
|
(300 |
) |
|
|
260 |
|
|
|
(358 |
) |
|
|
(10,746 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other expense: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest income, net |
|
|
95 |
|
|
|
60 |
|
|
|
259 |
|
|
|
99 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) earnings before taxes |
|
|
(205 |
) |
|
|
320 |
|
|
|
(99 |
) |
|
|
(10,647 |
) |
Provision for income taxes (benefit) expense |
|
|
(20 |
) |
|
|
81 |
|
|
|
(485 |
) |
|
|
19 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) earnings from continuing operations |
|
|
(185 |
) |
|
|
239 |
|
|
|
386 |
|
|
|
(10,666 |
) |
Loss from discontinued
operations, net of taxes |
|
|
|
|
|
|
(109 |
) |
|
|
(789 |
) |
|
|
(81 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) earnings |
|
$ |
(185 |
) |
|
$ |
130 |
|
|
$ |
(403 |
) |
|
$ |
(10,747 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) earnings per share: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Continuing operations |
|
$ |
(0.01 |
) |
|
$ |
0.02 |
|
|
$ |
0.03 |
|
|
$ |
(0.87 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Discontinued operations |
|
$ |
|
|
|
$ |
(0.01 |
) |
|
$ |
(0.06 |
) |
|
$ |
(0.01 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Continuing operations |
|
$ |
(0.01 |
) |
|
$ |
0.02 |
|
|
$ |
0.03 |
|
|
$ |
(0.87 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Discontinued operations |
|
$ |
|
|
|
$ |
(0.01 |
) |
|
$ |
(0.06 |
) |
|
$ |
(0.01 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average number of common shares
outstanding: |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic |
|
|
13,512,763 |
|
|
|
12,556,332 |
|
|
|
13,477,733 |
|
|
|
12,241,476 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted |
|
|
13,512,763 |
|
|
|
12,563,902 |
|
|
|
13,477,733 |
|
|
|
12,241,476 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Accompanying Notes to Unaudited Condensed Consolidated Financial Statements
26
PRECIS, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY
(Dollars in Thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ADDITIONAL |
|
|
|
|
|
|
ACCUMULATED |
|
|
|
|
|
|
COMMON STOCK |
|
|
PAID-IN |
|
|
TREASURY |
|
|
EARNINGS |
|
|
|
|
|
|
SHARES |
|
|
AMOUNT |
|
|
CAPITAL |
|
|
STOCK |
|
|
(DEFICIT) |
|
|
TOTAL |
|
Balance, December 31, 2005
|
|
|
13,704,269 |
|
|
$ |
137 |
|
|
$ |
28,942 |
|
|
$ |
(1,051 |
) |
|
$ |
(7,664 |
) |
|
$ |
20,364 |
|
Issuance of stock in business
combinations (unaudited) |
|
|
308,494 |
|
|
|
3 |
|
|
|
518 |
|
|
|
|
|
|
|
|
|
|
|
521 |
|
Stock options (unaudited) |
|
|
|
|
|
|
|
|
|
|
100 |
|
|
|
|
|
|
|
|
|
|
|
100 |
|
Net loss (unaudited) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(403 |
) |
|
|
(403 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance, September 30, 2006 (unaudited) |
|
|
14,012,763 |
|
|
$ |
140 |
|
|
$ |
29,560 |
|
|
$ |
(1,051 |
) |
|
$ |
(8,067 |
) |
|
$ |
20,582 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See Accompanying Notes to Unaudited Condensed Consolidated Financial Statements
27
PRECIS, INC.
UNAUDITED CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Dollars in Thousands)
|
|
|
|
|
|
|
|
|
|
|
For the Nine Months |
|
|
|
Ended September 30, |
|
|
|
2006 |
|
|
2005 |
|
Operating activities: |
|
|
|
|
|
|
|
|
Net loss |
|
$ |
(403 |
) |
|
$ |
(10,747 |
) |
Adjustments to reconcile net loss to net cash provided by operating activities: |
|
|
|
|
|
|
|
|
Depreciation and amortization |
|
|
583 |
|
|
|
1,496 |
|
Loss on disposal of fixed assets |
|
|
3 |
|
|
|
15 |
|
Impairment of fixed assets |
|
|
186 |
|
|
|
|
|
Provision for losses on accounts and notes receivable |
|
|
55 |
|
|
|
345 |
|
Stock options expense |
|
|
100 |
|
|
|
|
|
Goodwill impairment |
|
|
|
|
|
|
9,900 |
|
Other non-cash items |
|
|
|
|
|
|
74 |
|
Changes in assets and liabilities: |
|
|
|
|
|
|
|
|
Accounts and notes receivable, net |
|
|
43 |
|
|
|
(320 |
) |
Income taxes receivable |
|
|
689 |
|
|
|
439 |
|
Inventory |
|
|
278 |
|
|
|
(7 |
) |
Prepaid expenses |
|
|
908 |
|
|
|
(167 |
) |
Deferred tax asset |
|
|
|
|
|
|
296 |
|
Other assets |
|
|
(18 |
) |
|
|
(59 |
) |
Accounts payable |
|
|
(261 |
) |
|
|
(103 |
) |
Accrued liabilities |
|
|
(488 |
) |
|
|
(561 |
) |
Deferred fees |
|
|
29 |
|
|
|
(112 |
) |
Income taxes payable |
|
|
(125 |
) |
|
|
(99 |
) |
|
|
|
|
|
|
|
Net cash provided by operating activities |
|
|
1,579 |
|
|
|
390 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Investing activities: |
|
|
|
|
|
|
|
|
Purchase of fixed assets |
|
|
(414 |
) |
|
|
(209 |
) |
Cash used in business combination |
|
|
(624 |
) |
|
|
(1,085 |
) |
Increase in restricted cash |
|
|
(1,170 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities |
|
|
(2,208 |
) |
|
|
(1,294 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Financing activities: |
|
|
|
|
|
|
|
|
Payments of capital leases |
|
|
(190 |
) |
|
|
(540 |
) |
Purchase of treasury stock |
|
|
|
|
|
|
(369 |
) |
|
|
|
|
|
|
|
Net cash used in financing activities |
|
|
(190 |
) |
|
|
(909 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net decrease in cash and cash equivalents |
|
|
(819 |
) |
|
|
(1,813 |
) |
Cash and cash equivalents at beginning of period |
|
|
6,261 |
|
|
|
8,283 |
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period |
|
$ |
5,442 |
|
|
$ |
6,470 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Supplemental disclosure: |
|
|
|
|
|
|
|
|
Income taxes recovered |
|
$ |
994 |
|
|
$ |
|
|
|
|
|
|
|
|
|
Interest paid |
|
$ |
25 |
|
|
$ |
51 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Non-cash investing and financing activities: |
|
|
|
|
|
|
|
|
Acquisition of fixed assets through capital leases, net of retirements |
|
$ |
(1 |
) |
|
$ |
507 |
|
|
|
|
|
|
|
|
Accrued cash consideration and stock issuance for accrued consideration on
business
combination |
|
$ |
521 |
|
|
$ |
1,250 |
|
|
|
|
|
|
|
|
Cash-in-trust collected, net of refunds and claims paid |
|
$ |
(1,995 |
) |
|
$ |
559 |
|
|
|
|
|
|
|
|
See Accompanying Notes to Unaudited Condensed Consolidated Financial Statements
28
PRECIS, INC.
NOTES TO UNAUDITED 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 September 30, 2006 and 2005
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, 2005 Form 10-K filed with the
Securities and Exchange Commission. Certain prior period amounts have been reclassified to conform
to the current periods presentation.
Recent Accounting Pronouncements
In December 2004, the Financial Accounting Standards Board (FASB) issued Statement of
Financial Accounting Standard (SFAS) No. 123(R), Share-Based Payment, (SFAS 123(R)) a
revision to SFAS No. 123, Accounting for Stock-Based Compensation. SFAS 123(R) eliminates the
alternative to record compensation expense using the intrinsic value method of accounting under
Accounting Principles Board Opinion 25 (Opinion 25) that was provided in SFAS No. 123 as originally
issued.
Under Opinion 25, issuing stock options to employees generally resulted in the recognition of
no compensation cost if the options were granted with an exercise price equal to their fair value
at the date of grant. SFAS 123(R) requires companies to measure and record the cost of employee
services received in exchange for an award of equity instruments based on the fair value of the
award at the date of grant (with limited exceptions). That cost will be recognized over the period
during which an employee is required to provide service in exchange for the award (usually the
vesting period). No compensation cost is recognized for equity instruments for which employees do
not render the requisite service.
In April 2005, the Securities and Exchange Commission changed the effective date of SFAS
123(R) to fiscal years starting after June 15; however, early application was encouraged. The
Company adopted the modified version of the prospective application of SFAS 123(R) as of January 1,
2006 under which the Company is required to recognize compensation expense, over the applicable
vesting period, based on the fair value of (1) any unvested awards subject to SFAS 123(R) existing
as of January 1, 2006, and (2) any new awards granted subsequent to the adoption date. Refer to
Note 2, Common Stock Options for the effect of adoption on the Companys consolidated financial
statements.
Note 2 Common Stock Options
Adoption of SFAS 123(R)
Effective January 1, 2006, the Company adopted the fair value recognition provisions of SFAS
123(R) using the modified prospective transition method. In addition, the Securities and Exchange
Commission issued Staff Accounting Bulletin No. 107 Share-Based Payment (SAB 107) in March,
2005, which provides supplemental SFAS 123(R) application guidance based on the views of the SEC.
Under the modified prospective transition method, compensation cost recognized in the three months
ended September 30, 2006 includes: (a) compensation cost for all share-based payments granted prior
to, but not yet vested as of January 1, 2006, 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 beginning January 1, 2006, based on the grant date fair value
estimated in accordance with the provisions of SFAS 123(R). In accordance with the modified
prospective transition method, results for prior periods have not been restated.
29
The adoption of SFAS 123(R) resulted in stock compensation expense for the three-months and
nine-months ended September 30, 2006 of $56,000 and $100,000, respectively, which was recorded to
general and administrative expenses. This expense did not result in a change to earnings per share.
The Binomial Lattice option-pricing model was 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 September 30, 2006 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 September 30, 2006 for the expected option term. The risk-free interest rate is
based on interest rate of zero-coupon United States Treasury securities over the expected option
term.
Our prior pro-forma presentations used the Black-Scholes option pricing model. If we had
continued to use the Black-Scholes model the effect on the recorded expense would have been
immaterial.
Prior to the adoption of SFAS 123(R), the Company presented any tax benefits of deductions
resulting from the exercise of stock options within operating cash flows in the condensed
consolidated statements of cash flow. SFAS 123(R) requires tax benefits resulting from tax
deductions in excess of the compensation cost recognized for those options (excess tax benefits)
to be classified and reported as both an operating cash outflow and a financing cash inflow upon
adoption of SFAS 123(R).
Pro-Forma Stock Compensation Expense for the Quarterly Period Ended September 30, 2005
For the three-months and nine-months ended September 30, 2005, the Company applied the
intrinsic value method of accounting for stock options as prescribed by APB 25. Since all options
granted during the three-months and nine-months ended September 30, 2005 had an exercise price
equal to the closing market price of the underlying common stock on the grant date, no compensation
expense was recognized. If compensation expense had been recognized based on the estimated fair
value of each option granted in accordance with the provisions of SFAS 123 as amended by SFAS 148,
our net loss and net loss per share would have been reduced to the following pro-forma amounts (in
thousands, except per share amounts):
|
|
|
|
|
|
|
|
|
|
|
For the Three |
|
|
|
|
|
|
Months Ended |
|
|
For the Nine Months |
|
|
|
September 30, |
|
|
Ended September 30, |
|
(Dollars in Thousands, Except Earnings Per Share) |
|
2005 |
|
|
2005 |
|
(Loss) earnings from continuing operations |
|
$ |
239 |
|
|
$ |
(10,666 |
) |
Deduct: Total stock-based compensation expense determined under
fair value based method for all awards, net of related tax effects |
|
|
(39 |
) |
|
|
(77 |
) |
|
|
|
|
|
|
|
|
|
|
200 |
|
|
|
(10,743 |
) |
|
|
|
|
|
|
|
|
|
Gain on sale of operations, net of taxes |
|
|
|
|
|
|
|
|
Earning (loss) from discontinued operations |
|
|
(109 |
) |
|
|
(81 |
) |
|
|
|
|
|
|
|
Net (loss) earnings |
|
$ |
91 |
|
|
$ |
(10,824 |
) |
|
|
|
|
|
|
|
Pro forma net (loss) earnings |
|
$ |
91 |
|
|
$ |
(10,824 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Earnings (loss) per share: |
|
|
|
|
|
|
|
|
Basicas reported |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0 |
|
|
$ |
(0.87 |
) |
|
|
|
|
|
|
|
From sale of and discontinued operations |
|
$ |
(0 |
) |
|
$ |
(0.01 |
) |
|
|
|
|
|
|
|
Basicpro-forma |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0 |
|
|
$ |
(0.88 |
) |
|
|
|
|
|
|
|
From sale of and discontinued operations |
|
$ |
(0 |
) |
|
$ |
(0.01 |
) |
|
|
|
|
|
|
|
Dilutedas reported |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0 |
|
|
$ |
(0.87 |
) |
|
|
|
|
|
|
|
From sale of and discontinued operations |
|
$ |
(0 |
) |
|
$ |
(0.01 |
) |
|
|
|
|
|
|
|
Dilutedpro-forma |
|
|
|
|
|
|
|
|
From continuing operations |
|
$ |
0 |
|
|
$ |
(0.88 |
) |
|
|
|
|
|
|
|
From sale of and discontinued operations |
|
$ |
(0 |
) |
|
$ |
(0.01 |
) |
|
|
|
|
|
|
|
30
Pro-forma compensation expense under SFAS 123, among other computational differences, does not
consider potential pre-vesting forfeitures. Because of these differences, the pro-forma stock
compensation expense presented above for the three-months and nine-months ended September 30, 2005
under SFAS 123 and the stock compensation expense recognized during the current three-months and
nine-months ended September 30, 2006 under SFAS 123(R) are not directly comparable. In accordance
with the modified prospective transition method of SFAS 123(R), the prior comparative quarterly
results have not been restated.
Stock Options as of Nine Months Ended September 30, 2006
1999 Stock Option Plan.
For the benefit of our employees, directors and consultants, we have adopted the Précis Smart
Card Systems, Inc. 1999 Stock Option Plan (the stock option plan or the plan). The plan
provides for the issuance of options intended to qualify as incentive stock options for federal
income tax purposes to our employees and non-employees, including employees who also serve as our
directors. Qualification of the grant of options under the plan as incentive stock options for
federal
income tax purposes is not a condition of the grant and failure to so qualify does not affect
the ability to exercise the stock options. The number of shares of common stock authorized and
reserved for issuance under the plan is 1,400,000.
Our board of directors administers and interprets the plan (unless delegated to a committee)
and has authority to grant options to all eligible participants and determine the types of options
granted, the terms, restrictions and conditions of the options at the time of grant.
The exercise price of options may not be less than 85% of the fair market value of our common
stock on the date of grant of the option and to qualify as an incentive stock option may not be
less than the fair market value of common stock on the date of the grant of the incentive stock
option. Upon the exercise of an option, the exercise price must be paid in full, in cash, in our
common stock (at the fair market value thereof) or a combination thereof.
Options qualifying as incentive stock options are exercisable only by an optionee during the
period ending three months after the optionees employment termination. However, in the event of
death or disability of the optionee, the incentive stock options are exercisable for one year
following death or disability and in the event of the retirement of the optionee, the Board of
Directors may designate an additional period for exercise. In any event options may not be
exercised beyond the expiration date of the options. Options may be granted to our key management
employees, directors, key professional employees or key professional non-employee service
providers, although options granted non-employee directors do not qualify as incentive stock
options. No option may be granted after December 31, 2008. Options are not transferable except by
will or by the laws of descent and distribution.
All outstanding unvested options granted under the plan will become fully vested and
immediately exercisable if (i) within any 12-month period, we sell an amount of common stock that
exceeds 50% of the number of shares of common stock outstanding immediately before the 12-month
period or (ii) a change of control occurs. For purposes of the plan, a change of control is
defined as the acquisition in a transaction or series of transactions by any person, entity or
group (two or more persons acting as a partnership, limited partnership, syndicate or other group
for the purpose of acquiring our securities) of beneficial ownership of 50% or more (or less than
50% as determined by a majority of our directors) of either the then outstanding shares of our
common stock or the combined voting power of our then outstanding voting securities.
2002 Non-Employee Stock Option Plan.
Effective May 31, 2002 our board of directors approved the Précis, Inc. 2002 Non-Employee
Stock Option Plan (the 2002 Stock Option Plan), which was approved by our stockholders on July
29, 2002. Our employees who also serve as our directors are not eligible to receive stock option
under this plan. The purpose of the 2002 Stock Option Plan is to strengthen our ability to attract
and retain the services of individuals that serve as our non-employee directors, consultants and
other advisors that are essential to our long-term growth and financial success and thereby to
enhance stockholder value through the grant of stock options. The total number of shares of common
stock authorized and reserved for issuance upon exercise of options granted under the 2002 Stock
Option Plan is 500,000.
31
Our Board of Directors administers and interprets the 2002 Stock Option Plan and has authority
to grant options to eligible recipients and determine the basis upon which the options are to be
granted and the terms, restrictions and conditions of the options at the time of grant. Options
granted are exercisable in such amounts, at such intervals and upon such terms as the option grant
provides. The per share purchase price of the common stock under the options is determined by our
board of directors; however, the purchase price may not be less than the closing sale price of our
common stock on the date of grant of the option. Upon the exercise of an option, the stock purchase
price must be paid in full, in cash by check or in our common stock held by the option holder for
more than nine months or a combination of cash and common stock.
Options granted under the 2002 Stock Option Plan may not under any circumstance be exercised
after 10 years from the date of grant and no option may be granted after March 31, 2007. Options
are not transferable except by will, by the laws of descent and distribution, by gift or a domestic
relations order to a family member. Family member transfers include transfers to parents (and
in-laws), to nieces and nephews (adopted or otherwise) as well as trusts, foundations and other
entities principally for their benefit.
Expired options are returned to the Plan as they expire and again become available for grant.
Incentive stock options have a five-year term and non-qualified stock options have a five-year
term. A majority of the stock options vest 25% on the first anniversary date of the grant and 25%
each anniversary date thereafter, with the remaining stock options vesting immediately on the grant
date. As of September 30, 2006, all outstanding options were incentive stock options.
For the quarterly periods ended September 30, 2006 and 2005, the Company did not grant any
options under the 1999 Option Plan or the 2002 Non-Employee Stock Option Plan.
The following table summarizes stock options outstanding and changes during the nine-month
period ended September 30, 2006:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding Options |
|
|
|
|
|
|
|
|
|
|
Weighted Average |
|
|
|
|
|
|
|
|
|
|
|
|
Remaining |
|
|
|
|
Number of |
|
Weighted Average |
|
Contractual |
|
Aggregate |
|
|
Shares |
|
Exercise Price |
|
Term (in years) |
|
Intrinsic Value |
Options outstanding at January 1, 2006 |
|
|
1,301,354 |
|
|
$ |
3.48 |
|
|
|
N/A |
|
|
|
N/A |
|
Granted |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Exercised |
|
|
| |
|
|
|
|
|
|
|
|
|
|
|
|
Canceled or forfeited |
|
|
(86,500 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options outstanding at September 30, 2006 |
|
|
1,214,854 |
|
|
$ |
3.49 |
|
|
|
2.27 |
|
|
$ |
133,360 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options exercisable at September 30, 2006 |
|
|
885,354 |
|
|
$ |
3.78 |
|
|
|
2.27 |
|
|
$ |
88,460 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The total intrinsic value, or the difference between the exercise price and the market price on the
date of exercise is $0 since no options were exercised during the quarterly period ended September
30, 2006. 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 September 30,
2006 were 746,794. None were available under the 2002 Non-Employee Stock Option Plan.
Stock options outstanding and currently exercisable at September 30, 2006 are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Options Outstanding |
|
Options Exercisable |
|
|
|
|
|
|
Weighted Average |
|
|
|
|
|
|
|
|
|
|
Number of |
|
Remaining |
|
|
|
|
|
Number of |
|
|
|
|
Options |
|
Contractual Life |
|
Weighted Average |
|
Options |
|
Weighted Average |
Range of Exercise Prices |
|
Outstanding |
|
(in years) |
|
Exercise Price |
|
Exercisable |
|
Exercise Price |
$ 1.05 1.75 |
|
|
212,000 |
|
|
|
3.72 |
|
|
$ |
1.32 |
|
|
|
127,000 |
|
|
$ |
1.25 |
|
1.75 3.55 |
|
|
524,066 |
|
|
|
2.46 |
|
|
$ |
2.72 |
|
|
|
371,566 |
|
|
$ |
2.71 |
|
3.55 5.25 |
|
|
348,550 |
|
|
|
1.74 |
|
|
$ |
4.34 |
|
|
|
256,550 |
|
|
$ |
4.49 |
|
5.25 above |
|
|
130,238 |
|
|
|
0.50 |
|
|
$ |
7.90 |
|
|
|
130,238 |
|
|
$ |
7.90 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,214,854 |
|
|
|
|
|
|
|
|
|
|
|
885,354 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total estimated unrecognized compensation cost from unvested stock options as of September 30,
2006 was approximately $89,788, which is expected to be recognized over a weighted average period
of approximately 1.35 years.
32
The average per share fair value of stock options granted during the quarterly periods ending
September 30, 2006 and 2005 was $0.00 and $0.00 respectively. The fair value was estimated as of
the grant date using the Black-Scholes option-pricing model in 2005 with the following assumptions:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended |
|
|
September 30 |
|
|
2006 |
|
2005 |
Volatility |
|
|
N/A |
|
|
|
N/A |
|
Expected option term |
|
|
N/A |
|
|
|
N/A |
|
Risk-free interest rate |
|
|
N/A |
|
|
|
N/A |
|
Expected dividend yield |
|
|
N/A |
|
|
|
N/A |
|
Note 3 Earnings Per Share
The Companys earnings per share data was computed as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended |
|
|
For the Nine Months Ended |
|
(Dollars in Thousands, Except Earnings Per Share) |
|
September 30, |
|
|
September 30, |
|
|
|
2006 |
|
|
2005 |
|
|
2006 |
|
|
2005 |
|
Basic loss per share |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) earnings from continuing operations |
|
$ |
(185 |
) |
|
$ |
239 |
|
|
$ |
386 |
|
|
$ |
(10,666 |
) |
Loss from discontinued operations, net of taxes |
|
|
|
|
|
|
(109 |
) |
|
|
(789 |
) |
|
|
(81 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) earnings |
|
$ |
(185 |
) |
|
$ |
130 |
|
|
$ |
(403 |
) |
|
$ |
(10,747 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per share |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average number of common shares outstanding during
the period |
|
|
13,512,763 |
|
|
|
12,556,332 |
|
|
|
13,477,733 |
|
|
|
12,241,476 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) earnings per share from continuing operations |
|
$ |
(0.01 |
) |
|
$ |
0.02 |
|
|
$ |
0.03 |
|
|
$ |
(0.87 |
) |
Loss per share from discontinued operations, net of taxes |
|
|
|
|
|
|
(0.01 |
) |
|
|
(0.06 |
) |
|
|
(0.01 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) earnings per share |
|
$ |
(0.01 |
) |
|
$ |
0.01 |
|
|
$ |
(0.03 |
) |
|
$ |
(0.88 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Diluted (loss) per share |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average number of common shares outstanding during
the period (1) |
|
|
13,512,763 |
|
|
|
12,556,332 |
|
|
|
13,477,733 |
|
|
|
12,241,476 |
|
Dilutive stock options |
|
|
|
|
|
|
7,570 |
|
|
|
40,868 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average number of common shares outstanding during
the period-assumed conversion |
|
|
13,512,763 |
|
|
|
12,563,902 |
|
|
|
13,518,601 |
|
|
|
12,241,476 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) earnings per share from continuing operations |
|
$ |
(0.01 |
) |
|
$ |
0.02 |
|
|
$ |
0.03 |
|
|
$ |
(0.87 |
) |
Loss per share from discontinued operations, net of taxes |
|
|
|
|
|
|
(0.01 |
) |
|
|
(0.06 |
) |
|
|
(0.01 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) earnings per share |
|
$ |
(0.01 |
) |
|
$ |
0.01 |
|
|
$ |
(0.03 |
) |
|
$ |
(0.88 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1) |
|
For the three-months and nine-months ended September 30, 2006, there were 74,303 and
40,868, respectively, in-the-money shares related to outstanding stock options. The
number of stock options and warrants that were considered out-of-the-money for purposes
of the diluted earnings per share calculation for the three months ended September 30,
2006 and 2005 was 1,002,854 and 1,489,764, respectively. |
Note 4 Contingencies
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 and
33
recently
convicted of securities fraud and related crimes), 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
our 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 our common stock for $9.37 per share.
David May was our 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 May and that these actions and inactions
constitute 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 our 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 our 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 plaintiffs have appealed the judgment and their arguments have been heard by the
Court of Appeals for the Second Judicial District of Texas. While we cannot offer any assurance as
to the outcome of the appeal, we believe that there exists no basis on which the judgment in our
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 Entrée discount health care 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 our
Care Entrée 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).
We fully settled all the claims brought by the California Foundation for Business Ethics, Inc.
With the Zermeno plaintiffs, we 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 our ability (and that of other healthcare discount programs) to do business in
California.
Management believes that we have complied with all applicable statues and regulations in the
state of California. Although management believes the Plaintiffs claims are without merit, we
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 Entrée, 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 Entrée directly and through
at least one other party that resells Care Entrées services to the public, violated certain
provisions of the Texas Deceptive Trade PracticesConsumer 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. Management believes
that
34
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. Management believes
that the allegations are without merit and we are vigorously defending the lawsuit. 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.
Action by the California Department of Managed Health Care. The California Department of
Managed Health Care (the DMHC) is responsible for the administration and enforcement of the
Knox-Keene Health Care Service Act of 1975 (the Knox-Keene Act), a set of laws that regulate
health maintenance organizations or HMOs and impose licensing requirements on those organizations.
This licensing process is in part to ensure that the financial resources of the HMO are sufficient
to cover the cost of providing the promised healthcare. In 2001 the DMHC issued an interpretive
opinion (the Zingale Opinion) that concluded that the healthcare discount programs, like those
offered and sold by our subsidiary, The Capella Group, Inc. d/b/a Care Entrée, are not similar to
insurance programs that the Knox-Keene Act is intended to regulate and therefore the Knox-Keene Act
does not apply to healthcare discount programs. The DMHC rescinded that opinion in 2005.
In
2005, the DMHC initiated an investigation to determine the applicability of the Knox-Keene
Act to the membership programs we offer and sell to California residents through Capella. In July
2005, the DMHC issued a Cease and Desist Order, finding that Capellas Care Entrée discount program
is subject to the licensing requirements and regulation under the Knox-Keene Act, under the
jurisdiction of the DMHC. We agreed with and had relied upon the Zingale Opinion. Accordingly,
Capella contested the order in an administrative proceeding with the DMHC that is currently
pending as Case No.: DMHC No.:04-312; OAH No.: N2005-10-0840. On July 13, 2006, the Administrative
Law Judge hearing Capellas appeal issued a Proposed Decision, concluding , among things, that the
cease and desist order be upheld in part, and modified in part. While the Administrative Law Judge
found that Capella was entitled to rely on the Zingale Opinion and therefore should not be
penalized for its activities prior to the DMHCs rescission of the Zingale Opinion in 2005, the
judge found that the Knox-Keene Act does apply to our membership programs and the DMHC does have
jurisdiction over such programs.
On September 26, 2006, we entered into a Settlement Agreement with the DMHC. The agreement
allows us to continue to do business in California but requires us to pursue a Knox-Keene license.
We were not required to pay any penalties or restitution.
Investigation of National Center for Employment of the Disabled, Inc. and Access
HealthSource, Inc. In June 2004, we purchased Access HealthSource, Inc. (Access) and its
subsidiaries from National Center for Employment of the Disabled, Inc. (now known as Ready One
Industries, NCED). Robert Jones, the C.E.O. of NCED was elected to and served on our Board of
Directors until his March 2006 resignation. Frank Apodaca, our President and the President and
C.E.O. of Access HealthSource, Inc. 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 us allowed him to spend up to 20% of his time on matters related to
NCEDs operations. NCED is one of our greater than 10% shareholders as a result of shares it
received form our purchase of Access.
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 we believe that Access was not involved in the contracting for NCEDs federal contracts
and was not involved in NCEDs operations either before or after our acquisition of Access, the
investigation of NCED may lead to allegations that either Access or Mr. Apodaca were involved in
inappropriate or illegal activities. The investigation of NCED may also lead to other
investigations of Access contracting processes and operations. The investigation is in the
earlier stages and the outcomes are not currently determinable. There are currently no legal
actions related to this matter pending against Access or Mr. Apodaca. Because of these
investigations and any related allegations or charges and the associated unfavorable publicity,
Access may lose its local government clients. The loss of these clients and the resulting loss of
revenue could have a material adverse effect on our financial condition and results of operations.
Vendor Overpayments
In the course of reviewing our processes and controls related to payments to vendors, who
provide certain benefits and network access that are included in our consumer healthcare savings
products, we have identified possible errors in the calculation of the number of our members for
which we owe those vendors. As the result, we may have underpaid certain vendors in the past and
may have overpaid certain other vendors during those same periods. At present, we believe that the
aggregate amount of underpayments to vendors is immaterial. We estimate that the aggregate amount
of overpayments is approximately $490,000. However, it is uncertain that the overpaid amounts can
or will be recovered and we are commencing negotiations with those vendors to resolve that
uncertainty. Accordingly, no recovery of such overpayments has been accrued in the financial
statements.
Other
The Company has an unused letter of credit in the amount of $1,500,000 obtained on commercial
terms in connection with the Companys electronic payment processes. Per its letter of credit
agreement the Company has pledged $750,000 in short-term investments and is required to maintain
$2,250,000 of unrestricted cash. The letter of credit expires June 1, 2007.
Also, the Company has a second arrangement obtained on commercial terms in connection with its
electronic payment processes, whereby $420,000 is pledged in short-term investments.
35
On June 18, 2004, the Company completed its acquisition of Access HealthSource, Inc.
(Access) from National Center for the Employment of the Disabled for a purchase price of
$3,666,000, consisting of 488,486 shares of common stock of the Company valued at $1,400,000 ($2.87
per share), and $2,000,000 in cash and acquisition cost of investment banking, valuation and legal
and accounting fees of $266,000. In addition to the purchase price consideration, there is a
contingency payout should the earnings before interest, taxes, depreciation and amortization
(EBITDA) of Access reach certain amounts after the closing of the transaction and before December
31, 2006. EBITDA, while not considered a measure under accounting principles generally accepted in
the United States of America, is the financial measurement utilized for the basis of the
contingency payout and additional purchase price payments are dependent on Access achieving certain
EBITDA levels. The maximum amount of the consideration that may be paid to the seller of Access,
including the closing date purchase price consideration and investment banking, valuation and legal
and accounting fees is $9,773,500. The amount of contingency payments and common stock deliveries
based upon EBITDA through December 31, 2006, will be based upon a 3.22 multiple of EBITDA of Access
determined on a quarterly basis, with effective adjustments as of December 31, 2004, 2005 and 2006.
During the year ended December 31, 2005, Access performance resulted in an obligation to convey
quarterly cash payments totaling $2,232,000, plus the issuance of 1,656,997 common shares, valued
at $2,232,000. The number of shares issued was based upon the average trading price for the last
ten days of each quarter. The Company had no obligation for additional payments as of and for the
three months and nine months ended September 30, 2006 because Access failed to achieve the EBITDA
levels requiring additional payment and stock issuance. The cumulative purchase price, including
contingent payments made or earned through September 30, 2006, was $8,130,000. If Access achieves
those EBITDA levels and that, as a result, additional contingent payouts will be made. However, the
amount of payouts through December 31, 2006 is undeterminable as of September 30, 2006. The
contingency payout will be accounted for as a decrease in the Companys cash and cash equivalents
for the amount paid, an increase to stockholders equity for the fair value of shares issued and a
corresponding increase in goodwill for the value of the cash paid and stock issued.
Note 5Discontinued Operations
Effective June 30, 2006, we discontinued our nutraceutical line of business that consisted of
vitamins, minerals, and other nutritional supplements under the Natrience brand. Nutraceutical
sales commenced in late September 2005, but were immaterial through June 30, 2006. All assets
related to this business were written off effective June 30, 2006. Any remaining liabilities of
this business are considered not to be material.
Note 6Segmented Information
The Company discloses segment information in accordance with SFAS No. 131, Disclosure About
Segments of an Enterprise and Related Information, which 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 Company has three reportable segments: Consumer Healthcare Savings,
self-funded Employer and Group Healthcare Services and Financial Services. The Companys Membership
Programs segment was discontinued in 2005 and is not accordingly included below. The Companys
reportable segments are strategic divisions that offer different services and are managed
separately as each division requires different resources and marketing strategies. Our Consumer
Healthcare Savings segment, our 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. Our self-funded Employer and Group Healthcare Services segment 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. Our Financial Services segment provides high deductible and
scheduled benefit insurance policies, life insurance and annuities and health savings accounts,
healthcare reimbursement arrangements and medical and dependent care flexible spending accounts.
The accounting policies of the segments are consistent with those described in the summary of
significant accounting policies in Note 2 of the Companys audited financials included in its 2005
Form Annual Report on 10-K, intersegment sales were not material and all intersegment transfers are
eliminated. During 2005, the Company decreased the number of segments from four to three, excluding
its corporate activities and discontinued operations.
No one customer represents more than 5% of the Companys overall revenue. Therefore, the
Company does not believe it has a material reliance on any one customer. The Company operates in 47
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.
Certain prior period amounts have been reclassified to conform to the current periods
financial presentation.
36
The following table summarizes segment information (dollars in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Employer and |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
For the Three Months |
|
Consumer |
|
Group |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Including |
Ended September 30, |
|
Healthcare |
|
Healthcare |
|
Financial |
|
|
|
|
|
Continuing |
|
Discontinued |
|
Discontinued |
2006 |
|
Savings |
|
Services |
|
Services |
|
Corporate |
|
Operations |
|
Operations |
|
Operations |
Revenue (1) |
|
$ |
3,457 |
|
|
$ |
1,827 |
|
|
$ |
31 |
|
|
|
|
|
|
$ |
5,315 |
|
|
|
|
|
|
$ |
5,315 |
|
Operating (Loss) Income
(1) |
|
|
(35 |
) |
|
|
157 |
|
|
|
(11 |
) |
|
|
(411 |
) |
|
|
(300 |
) |
|
|
|
|
|
|
(300 |
) |
Interest Income |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
95 |
|
|
|
95 |
|
|
|
|
|
|
|
95 |
|
Goodwill
Impairment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and
Amortization |
|
|
111 |
|
|
|
29 |
|
|
|
5 |
|
|
|
|
|
|
|
145 |
|
|
|
|
|
|
|
145 |
|
Taxes (Benefit) (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(20 |
) |
|
|
(20 |
) |
|
|
|
|
|
|
(20 |
) |
Assets Acquired, net of
Disposals |
|
|
(136 |
) |
|
|
55 |
|
|
|
|
|
|
|
1 |
|
|
|
(80 |
) |
|
|
|
|
|
|
(80 |
) |
Intangible Assets (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14,232 |
|
|
|
14,232 |
|
|
|
|
|
|
|
14,232 |
|
Assets Held |
|
|
5,253 |
|
|
|
4,446 |
|
|
|
6 |
|
|
|
17,571 |
|
|
|
27,276 |
|
|
|
|
|
|
|
27,276 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Employer and |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
For the Three Months |
|
Consumer |
|
Group |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Including |
Ended September 30, |
|
Healthcare |
|
Healthcare |
|
Financial |
|
|
|
|
|
Continuing |
|
Discontinued |
|
Discontinued |
2005 |
|
Savings |
|
Services |
|
Services |
|
Corporate |
|
Operations |
|
Operations |
|
Operations |
Revenue (1) |
|
$ |
4,912 |
|
|
$ |
2,217 |
|
|
$ |
71 |
|
|
|
|
|
|
$ |
7,200 |
|
|
$ |
336 |
|
|
$ |
7,536 |
|
Operating (Loss) Income
(1) |
|
|
319 |
|
|
|
488 |
|
|
|
(89 |
) |
|
|
(458 |
) |
|
|
260 |
|
|
|
(89 |
) |
|
|
171 |
|
Interest Income |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
60 |
|
|
|
60 |
|
|
|
|
|
|
|
60 |
|
Goodwill
Impairment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and
Amortization |
|
|
175 |
|
|
|
74 |
|
|
|
6 |
|
|
|
|
|
|
|
255 |
|
|
|
2 |
|
|
|
257 |
|
Taxes (Benefit) (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
101 |
|
|
|
101 |
|
|
|
|
|
|
|
101 |
|
Assets Acquired, net of
Disposals |
|
|
57 |
|
|
|
8 |
|
|
|
|
|
|
|
|
|
|
|
65 |
|
|
|
|
|
|
|
65 |
|
Intangible Assets (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
16,197 |
|
|
|
16,197 |
|
|
|
|
|
|
|
16,197 |
|
Assets Held |
|
|
9,163 |
|
|
|
2,558 |
|
|
|
61 |
|
|
|
20,333 |
|
|
|
32,115 |
|
|
|
75 |
|
|
|
32,190 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Employer and |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
For the Nine months |
|
Consumer |
|
Group |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Including |
Ended September 30, |
|
Healthcare |
|
Healthcare |
|
Financial |
|
|
|
|
|
Continuing |
|
Discontinued |
|
Discontinued |
2006 |
|
Savings |
|
Services |
|
Services |
|
Corporate |
|
Operations |
|
Operations |
|
Operations |
Revenue (1) |
|
$ |
11,283 |
|
|
$ |
5,686 |
|
|
$ |
116 |
|
|
|
|
|
|
$ |
17,085 |
|
|
|
56 |
|
|
$ |
17,141 |
|
Operating (Loss)
Income (1) |
|
|
65 |
|
|
|
1,007 |
|
|
|
(119 |
) |
|
|
(1,311 |
) |
|
|
(358 |
) |
|
|
(789 |
) |
|
|
(1,147 |
) |
Interest Income |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
259 |
|
|
|
259 |
|
|
|
|
|
|
|
259 |
|
Goodwill
Impairment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and
Amortization |
|
|
282 |
|
|
|
46 |
|
|
|
10 |
|
|
|
|
|
|
|
338 |
|
|
|
|
|
|
|
338 |
|
Taxes (Benefit) (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(485 |
) |
|
|
(485 |
) |
|
|
|
|
|
|
(485 |
) |
Assets Acquired, net
of Disposals |
|
|
(228 |
) |
|
|
266 |
|
|
|
|
|
|
|
1 |
|
|
|
39 |
|
|
|
|
|
|
|
39 |
|
Intangible Assets (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14,232 |
|
|
|
14,232 |
|
|
|
|
|
|
|
14,232 |
|
Assets Held |
|
|
5,253 |
|
|
|
4,446 |
|
|
|
6 |
|
|
|
17,571 |
|
|
|
27,276 |
|
|
|
|
|
|
|
27,276 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Employer and |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
For the Nine months |
|
Consumer |
|
Group |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Including |
Ended September 30, |
|
Healthcare |
|
Healthcare |
|
Financial |
|
|
|
|
|
Continuing |
|
Discontinued |
|
Discontinued |
2005 |
|
Savings |
|
Services |
|
Services |
|
Corporate |
|
Operations |
|
Operations |
|
Operations |
Revenue (1) |
|
$ |
16,727 |
|
|
$ |
6,436 |
|
|
$ |
303 |
|
|
|
|
|
|
$ |
23,466 |
|
|
$ |
807 |
|
|
$ |
24,273 |
|
Operating (Loss)
Income (1) |
|
|
263 |
|
|
|
1,375 |
|
|
|
(537 |
) |
|
|
(11,847 |
) |
|
|
(10,746 |
) |
|
|
(46 |
) |
|
|
(10,792 |
) |
Interest Income |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
99 |
|
|
|
99 |
|
|
|
|
|
|
|
99 |
|
Goodwill
Impairment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
9,900 |
|
|
|
9,900 |
|
|
|
|
|
|
|
9,900 |
|
Depreciation and
Amortization |
|
|
1,267 |
|
|
|
208 |
|
|
|
16 |
|
|
|
|
|
|
|
1,491 |
|
|
|
5 |
|
|
|
1,496 |
|
Taxes (Benefit) (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
54 |
|
|
|
54 |
|
|
|
|
|
|
|
54 |
|
Assets Acquired, net
of Disposals |
|
|
608 |
|
|
|
17 |
|
|
|
2 |
|
|
|
|
|
|
|
627 |
|
|
|
|
|
|
|
627 |
|
Intangible Assets (2) |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
16,197 |
|
|
|
16,197 |
|
|
|
|
|
|
|
16,197 |
|
Assets Held |
|
|
9,163 |
|
|
|
2,558 |
|
|
|
61 |
|
|
|
20,333 |
|
|
|
32,115 |
|
|
|
75 |
|
|
|
32,190 |
|
|
|
|
(1) |
|
Certain prior period amounts have been reclassified to conform to the current periods
presentation. |
|
(2) |
|
Intangible assets, related impairments, interest income and income tax expense
(benefit) are not allocated to the assets and operations of the
related segment. |
37
Note 7Subsequent Events
On November 8, 2006, we entered into an Agreement and Plan of Merger with Peter W. Nauert, and
the shareholders of Insurance Capital Management USA Inc., a Texas corporation (ICM). ICM is a
fully integrated technology driven national health insurance marketing organization. ICMs
operations principally consist of the sales and marketing of individual health insurance products
and related benefit plans, primarily through a broad network of independent agency channels. These
operations, which are consolidated under Insuraco USA, LLC, an intermediate holding company,
commenced generating revenue in 2004 and, after incurring start-up losses through 2005, are
generating earnings in 2006.
A copy of the Agreement and Plan of Merger is attached to a Proxy Statement filed November 9,
2006, as Appendix A. Under that agreement, subject to approval by our shareholders, we and the
parties to the agreement agreed as follows:
|
|
|
Effective September 29, 2006, ICM transferred its ownership of Insurance Producers
Group of America Agency (IPA) to Mr. Nauert and IPA will not be acquired by us. ICM has
also eliminated all other non-Insuraco activities. Accordingly, Precis will only acquire
the Insuraco operations. |
|
|
|
|
The shareholders of ICM will cause ICM to merge with and into us and Insuraco and its
subsidiaries will become our wholly-owned subsidiaries. |
|
|
|
|
At closing, we will issue and deliver a number of shares of our common stock to ICMs
shareholders determined by a formula that multiplies Insuracos adjusted earnings, before
interest, taxes, depreciation and amortization (EBITDA) (as further defined in the
merger agreement) for the nine-month period ended September 30, 2006 times 5.4051056
shares per dollar of EBITDA. |
|
|
|
|
We will issue and deliver, as more fully discussed in the Proxy Statement, additional shares of our common stock to ICMs shareholders provided the acquired companies EBITDA
during four consecutive calendar quarters ending on or prior to December 31, 2007 exceeds
the EBITDA for the nine-month period ended September 30, 2006. |
|
|
|
|
The maximum number of shares to be issued and delivered to the ICM shareholders is 6,756,382. |
|
|
|
|
Peter W. Nauert will become our chief executive officer. |
|
|
|
|
Andrew A. Boemi will become a member of our board of directors. |
ICM shareholders are not obligated to return any of the common stock shares issued and
delivered to them in conjunction with the merger-acquisition of ICM, if Insuraco and its
subsidiaries later achieve a lower level of Adjusted EBITDA.
38