þ | QUARTERLY REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
o | TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE EXCHANGE ACT |
OKLAHOMA |
73-1494382 |
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(State or other jurisdiction of
incorporation or organization) |
(I.R.S. Employer Identification No.) |
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4929 WEST ROYAL LANE, SUITE 200 IRVING, TEXAS (Address of principal executive offices)
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75063 (Zip Code) |
Large Accelerated filer: o | Accelerated filer: o | Non-accelerated filer: o | Smaller reporting company: þ |
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Certification of Interim President and Chief Executive Officer and Chief Financial
Officer Pursuant to Rule 13a-14(a) and 15d-14(a) |
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| Consumer Plan Division: Consumer Plan develops and markets non-insurance healthcare discount programs and association memberships that include defined benefit insurance features through multiple distribution channels. We offer wellness programs, prescription drug and dental discount programs, medical discount cards, limited benefit insured plans and supplemental programs. Our distribution channels currently include network marketing representatives, independent agents and consumer direct tele-sales call centers. We also market to internet portals and financial institutions and wholesale lease some of our programs. This Division operates through our wholly-owned subsidiaries, The Capella Group, Inc. (Capella) and Protective Marketing Enterprises, Inc. (PME). PME was acquired in October 2007, and operates a proprietary customer healthcare advocacy department and proprietary dental and vision networks that provide services at negotiated rates to members of our discount medical plans (program members) and to members of other plans that have contracted with us for access to our networks (network access members). PME also has a back-office support platform that includes billing, administration and commission disbursement systems. Prior to 2007, this Division was referred to as our Consumer Healthcare Savings segment. |
| Insurance Marketing Division: Insurance Marketing offers and sells individual major medical health insurance products and related benefit plans, including specialty insurance products, primarily through a national network of independent agents (AHCP Agency). We support AHCP agents with access to proprietary and private label products, leads for new sales, commission advance programs, incentive programs including an annual convention, web-based technology, and back-office support. Prior to the second quarter of 2008, this Division also included the results of ACP Agency (a broad network of independent agents that distributed Medicare supplement insurance programs to individuals) that is now reported as a discontinued operation, as further discussed below. This Division, which operates as Insuraco USA LLC (Insuraco), was acquired in January 2007 in connection with our merger with Insurance Capital Management USA, Inc. |
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| Regional Healthcare Division: Regional Healthcare provides third-party claims administration, healthcare provider network management, and utilization management services primarily for El Paso-based employer groups that utilize partially self-funded strategies to finance their employee benefit programs. Regional Healthcare also owns and manages a proprietary network of medical providers. Prior to 2007, this Division, which currently operates as Foresight TPA, was referred to as or Employer and Group Healthcare Services segment. |
{$ in thousands} | Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||
2008 | 2007(a) | Change | 2008 | 2007(a) | Change | ||||||||||||||||||||
Total revenue |
$ | 10,058 | $ | 9,065 | 11 | % | $ | 19,739 | $ | 16,363 | 21 | % | |||||||||||||
Direct expenses |
6,612 | 4,843 | 37 | % | 12,895 | 8,252 | 56 | % | |||||||||||||||||
Gross margin |
3,446 | 4,222 | -18 | % | 6,844 | 8,111 | -16 | % | |||||||||||||||||
Total operating expenses |
4,212 | 9,694 | -57 | % | 8,708 | 13,920 | -37 | % | |||||||||||||||||
Loss from continuing
operations before
income taxes |
$ | (766 | ) | $ | (5,472 | ) | $ | (1,864 | ) | $ | (5,809 | ) | |||||||||||||
Net loss |
$ | (325 | ) | $ | (5,452 | ) | $ | (1,369 | ) | $ | (5,777 | ) | |||||||||||||
a) Reclassified to conform to the current periods presentation. |
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{$ in thousands} | Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||
Total Revenue - by segment | 2008 | 2007(a) | Change | 2008 | 2007(a) | Change | |||||||||||||||||||
Consumer Plan |
$ | 4,092 | $ | 3,269 | 25 | % | $ | 7,998 | $ | 6,410 | 25 | % | |||||||||||||
Insurance Marketing |
5,267 | 4,077 | 29 | % | 10,190 | 6,447 | 58 | % | |||||||||||||||||
Regional Healthcare |
685 | 1,709 | -60 | % | 1,532 | 3,479 | -56 | % | |||||||||||||||||
Corporate |
14 | 10 | 19 | 27 | |||||||||||||||||||||
Total |
$ | 10,058 | $ | 9,065 | 11 | % | $ | 19,739 | $ | 16,363 | 21 | % | |||||||||||||
Gross margin - by segment |
|||||||||||||||||||||||||
Consumer Plan |
$ | 1,553 | $ | 1,420 | 9 | % | $ | 2,928 | $ | 2,948 | -1 | % | |||||||||||||
Insurance Marketing |
1,230 | 1,159 | 6 | % | 2,446 | 1,830 | 34 | % | |||||||||||||||||
Regional Healthcare |
655 | 1,639 | -60 | % | 1,458 | 3,318 | -56 | % | |||||||||||||||||
Corporate |
8 | 4 | * | 12 | 15 | * | |||||||||||||||||||
Total |
$ | 3,446 | $ | 4,222 | -18 | % | $ | 6,844 | $ | 8,111 | -16 | % | |||||||||||||
Income (loss) from continuing operations
before taxes - by Segment |
|||||||||||||||||||||||||
Consumer Plan |
$ | 116 | $ | (640 | ) | * | $ | (152 | ) | $ | (484 | ) | * | ||||||||||||
Insurance Marketing |
189 | (150 | ) | * | 371 | (231 | ) | * | |||||||||||||||||
Regional Healthcare |
(478 | ) | (4,085 | ) | * | (885 | ) | (3,819 | ) | * | |||||||||||||||
Corporate |
(593 | ) | (597 | ) | * | (1,198 | ) | (1,275 | ) | * | |||||||||||||||
Total |
$ | (766 | ) | $ | (5,472 | ) | * | $ | (1,864 | ) | $ | (5,809 | ) | * | |||||||||||
a) Reclassified to conform to the current periods presentation. | |||||||||||||||||||||||||
* Percent change not meaningful. |
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{$ in thousands} | Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||
Results of Operations | 2008 | 2007(a) | Change | 2008 | 2007(a) | Change | |||||||||||||||||||
Total revenue |
$ | 4,092 | $ | 3,269 | 25 | % | $ | 7,998 | $ | 6,410 | 25 | % | |||||||||||||
Direct expenses |
2,539 | 1,849 | 37 | % | 5,070 | 3,462 | 46 | % | |||||||||||||||||
Gross margin |
1,553 | 1,420 | 9 | % | 2,928 | 2,948 | -1 | % | |||||||||||||||||
Personnel costs |
855 | 527 | 62 | % | 1,740 | 1,037 | 68 | % | |||||||||||||||||
Other sales,
general and administrative expenses |
492 | 985 | -50 | % | 1,159 | 1,772 | -35 | % | |||||||||||||||||
Depreciation and amortization |
90 | 26 | 246 | % | 181 | 101 | 79 | % | |||||||||||||||||
Restructuring and severance |
- | 522 | * | - | 522 | * | |||||||||||||||||||
Total operating expenses |
1,437 | 2,060 | -30 | % | 3,080 | 3,432 | -10 | % | |||||||||||||||||
Operating income (loss) before
income taxes |
$ | 116 | $ | (640 | ) | * | $ | (152 | ) | $ | (484 | ) | * | ||||||||||||
Percent of revenue: |
|||||||||||||||||||||||||
Total revenue |
100 | % | 100 | % | 100 | % | 100 | % | |||||||||||||||||
Direct expenses |
62 | % | 57 | % | 63 | % | 54 | % | |||||||||||||||||
Gross margin |
38 | % | 43 | % | 37 | % | 46 | % | |||||||||||||||||
Personnel costs |
21 | % | 16 | % | 22 | % | 16 | % | |||||||||||||||||
Other sales,
general and administrative expenses |
12 | % | 30 | % | 15 | % | 28 | % | |||||||||||||||||
Depreciation and amortization |
2 | % | 1 | % | 2 | % | 2 | % | |||||||||||||||||
Restructuring and severance |
0 | % | 16 | % | 0 | % | 8 | % | |||||||||||||||||
Total operating expenses |
35 | % | 63 | % | 39 | % | 54 | % | |||||||||||||||||
Operating income (loss) before
income taxes |
3 | % | -20 | % | -2 | % | -8 | % | |||||||||||||||||
2008 | 2007 | |||||||||||||||||||||||
Selected Metrics | 2nd Qtr | 1st Qtr | 4th Qtr | 3rd Qtr | 2nd Qtr | 1st Qtr | ||||||||||||||||||
Program members: |
||||||||||||||||||||||||
New members enrolled |
17,621 | 25,912 | 12,789 | 6,771 | 7,483 | 6,461 | ||||||||||||||||||
Members at end of period |
49,709 | 55,535 | 39,737 | 27,902 | 28,965 | 30,649 | ||||||||||||||||||
Change from prior quarter |
-10 | % | 40 | % | 42 | % | -4 | % | -5 | % | ||||||||||||||
Network access members: |
||||||||||||||||||||||||
Members at end of period |
38,278 | 37,950 | 46,718 | |||||||||||||||||||||
Change from prior quarter |
1 | % | -19 | % | ||||||||||||||||||||
Total revenue |
$ | 4,092 | $ | 3,906 | $ | 4,238 | $ | 3,146 | $ | 3,269 | $ | 3,141 | ||||||||||||
Change from prior quarter |
5 | % | -8 | % | 35 | % | -4 | % | 4 | % | -2 | % | ||||||||||||
Direct expenses (a) |
2,539 | 2,531 | 2,503 | 1,904 | 1,849 | 1,613 | ||||||||||||||||||
Gross margin (a) |
1,553 | 1,375 | 1,735 | 1,242 | 1,420 | 1,528 | ||||||||||||||||||
Gross margin ratio |
38 | % | 35 | % | 41 | % | 39 | % | 43 | % | 49 | % | ||||||||||||
Change from prior quarter |
13 | % | -21 | % | 40 | % | -13 | % | -7 | % | -13 | % | ||||||||||||
Operating expenses (b) |
1,437 | 1,643 | 1,467 | 4,421 | 2,060 | 1,372 | ||||||||||||||||||
Operating
income (loss) before
income taxes (b) |
$ | 116 | $ | (268 | ) | $ | 268 | $ | (3,179 | ) | $ | (640 | ) | $ | 156 | |||||||||
a) Reclassified to conform to the current periods presentation. | ||||||||||||||||||||||||
b) Third quarter 2007 operating expenses include a $3,377,000 goodwill impairment charge. | ||||||||||||||||||||||||
* Percent change not meaningful. |
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{$ in thousands} | Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||
Results of Operations | 2008 | 2007(a) | Change | 2008 | 2007(a) | Change(b) | |||||||||||||||||||
Total revenue |
$ | 5,267 | $ | 4,077 | 29 | % | $ | 10,190 | $ | 6,447 | 32 | % | |||||||||||||
Direct expenses |
4,037 | 2,918 | 38 | % | 7,744 | 4,617 | 40 | % | |||||||||||||||||
Gross margin |
1,230 | 1,159 | 6 | % | 2,446 | 1,830 | 11 | % | |||||||||||||||||
Personnel costs |
499 | 492 | 1 | % | 966 | 797 | 1 | % | |||||||||||||||||
Other sales,
general and administrative expenses |
384 | 488 | -21 | % | 793 | 833 | -21 | % | |||||||||||||||||
Depreciation and amortization |
158 | 155 | 2 | % | 316 | 257 | 2 | % | |||||||||||||||||
Restructuring and severance |
- | 174 | * | - | 174 | * | |||||||||||||||||||
Total operating expenses |
1,041 | 1,309 | -20 | % | 2,075 | 2,061 | -16 | % | |||||||||||||||||
Operating income (loss) before
income taxes |
$ | 189 | $ | (150 | ) | * | $ | 371 | $ | (231 | ) | * | |||||||||||||
Percent of revenue: |
|||||||||||||||||||||||||
Total revenue |
100 | % | 100 | % | 100 | % | 100 | % | |||||||||||||||||
Direct expenses |
77 | % | 72 | % | 76 | % | 72 | % | |||||||||||||||||
Gross margin |
23 | % | 28 | % | 24 | % | 28 | % | |||||||||||||||||
Personnel costs |
9 | % | 12 | % | 9 | % | 12 | % | |||||||||||||||||
Other sales, general and
administrative expenses |
7 | % | 12 | % | 8 | % | 13 | % | |||||||||||||||||
Depreciation and amortization |
3 | % | 4 | % | 3 | % | 4 | % | |||||||||||||||||
Restructuring and severance |
0 | % | 4 | % | 0 | % | 3 | % | |||||||||||||||||
Total operating expenses |
19 | % | 32 | % | 20 | % | 32 | % | |||||||||||||||||
Operating income (loss) before
income taxes |
4 | % | -4 | % | 4 | % | -4 | % | |||||||||||||||||
2008 | 2007 | |||||||||||||||||||||||
Selected Metrics | 2nd Qtr | 1st Qtr | 4th Qtr | 3rd Qtr | 2nd Qtr(b) | 1st Qtr(c) | ||||||||||||||||||
Major medical insurance: |
||||||||||||||||||||||||
Submitted annualized premium |
$ | 20,182 | $ | 21,001 | $ | 17,094 | $ | 15,993 | $ | 14,143 | $ | 16,923 | ||||||||||||
Issued annualized premium |
$ | 15,488 | $ | 16,272 | $ | 13,545 | $ | 12,269 | $ | 10,314 | $ | 10,524 | ||||||||||||
New policies issued/sold |
4,859 | 5,300 | 3,817 | 3,555 | 2,945 | 3,327 | ||||||||||||||||||
Policies in-force at end of period |
19,161 | 17,820 | 16,449 | 15,317 | 14,353 | 13,665 | ||||||||||||||||||
Change from prior quarter |
8 | % | 8 | % | 7 | % | 7 | % | 5 | % | ||||||||||||||
Total revenue (a) |
$ | 5,267 | $ | 4,923 | $ | 4,468 | $ | 4,331 | $ | 4,077 | $ | 2,370 | ||||||||||||
Change from prior quarter |
7 | % | 10 | % | 3 | % | 6 | % | 15 | % | ||||||||||||||
Direct expenses (a) |
4,037 | 3,707 | 3,335 | 3,248 | 2,918 | 1,699 | ||||||||||||||||||
Gross margin (a) |
1,230 | 1,216 | 1,133 | 1,083 | 1,159 | 671 | ||||||||||||||||||
Gross margin ratio |
23 | % | 25 | % | 25 | % | 25 | % | 28 | % | 28 | % | ||||||||||||
Change from prior quarter |
1 | % | 7 | % | 5 | % | -7 | % | 15 | % | ||||||||||||||
Operating expenses (d) |
1,041 | 1,034 | 992 | 1,626 | 1,309 | 752 | ||||||||||||||||||
Operating
income (loss) before income taxes (d) |
$ | 189 | $ | 182 | $ | 141 | $ | (543 | ) | $ | (150 | ) | $ | (81 | ) | |||||||||
a) Reclassified to conform to the current periods presentation. | ||||||||||||||||||||||||
b) Year-to-date percent change adjusts for absence of activity for January 2007 (division acquired January 30, 2007). | ||||||||||||||||||||||||
c) Two months activity through March 31, 2007, except for annualized premium and new policies issued/sold. | ||||||||||||||||||||||||
d) Third quarter 2007 operating expenses include a $600,000 goodwill impairment charge. | ||||||||||||||||||||||||
* Percent change not meaningful. |
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{$ in thousands} | Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||
Results of Operations | 2008 | 2007(a) | Change | 2008 | 2007(a) | Change | |||||||||||||||||||
Total revenue |
$ | 685 | $ | 1,709 | -60 | % | $ | 1,532 | $ | 3,479 | -56 | % | |||||||||||||
Direct expenses |
30 | 70 | -57 | % | 74 | 161 | -54 | % | |||||||||||||||||
Gross margin |
655 | 1,639 | -60 | % | 1,458 | 3,318 | -56 | % | |||||||||||||||||
Personnel costs |
664 | 838 | -21 | % | 1,373 | 1,714 | -20 | % | |||||||||||||||||
Other sales,
general and administrative expenses |
452 | 768 | -41 | % | 928 | 1,278 | -27 | % | |||||||||||||||||
Depreciation and amortization |
17 | 26 | * | 42 | 53 | * | |||||||||||||||||||
Goodwill impairment charge |
- | 4,092 | * | - | 4,092 | * | |||||||||||||||||||
Total
operating expenses |
1,133 | 5,724 | * | 2,343 | 7,137 | * | |||||||||||||||||||
Operating (loss) before
income taxes |
$ | (478 | ) | $ | (4,085 | ) | * | $ | (885 | ) | $ | (3,819 | ) | * | |||||||||||
Percent of revenue: |
|||||||||||||||||||||||||
Total revenue |
100 | % | 100 | % | 100 | % | 100 | % | |||||||||||||||||
Direct expenses |
4 | % | 4 | % | 5 | % | 5 | % | |||||||||||||||||
Gross margin |
96 | % | 96 | % | 95 | % | 95 | % | |||||||||||||||||
Personnel costs |
97 | % | 49 | % | 90 | % | 49 | % | |||||||||||||||||
Other sales,
general and administrative expenses |
66 | % | 45 | % | 60 | % | 37 | % | |||||||||||||||||
Depreciation and amortization |
3 | % | 2 | % | 3 | % | 1 | % | |||||||||||||||||
Goodwill impairment charge |
0 | % | 239 | % | 0 | % | 118 | % | |||||||||||||||||
Total operating expense |
166 | % | 335 | % | 153 | % | 205 | % | |||||||||||||||||
Operating loss before
income taxes |
-70 | % | -239 | % | -58 | % | -110 | % | |||||||||||||||||
2008 | 2007 | |||||||||||||||||||||||
Selected Metrics | 2nd Qtr | 1st Qtr | 4th Qtr | 3rd Qtr | 2nd Qtr | 1st Qtr | ||||||||||||||||||
Covered employees |
11,253 | 11,067 | 25,612 | 28,215 | 29,666 | 31,005 | ||||||||||||||||||
Change from prior quarter |
2 | % | -57 | % | -9 | % | -5 | % | -4 | % | -1 | % | ||||||||||||
Total revenue |
$ | 685 | $ | 847 | $ | 1,580 | $ | 1,620 | $ | 1,709 | $ | 1,770 | ||||||||||||
Change from prior quarter |
-19 | % | -46 | % | -2 | % | -5 | % | -3 | % | 0 | % | ||||||||||||
Operating
income (loss) before income taxes (b) |
$ | (478 | ) | $ | (407 | ) | $ | 299 | $ | (44 | ) | $ | (4,085 | ) | $ | 266 | ||||||||
a) Reclassified to conform to the current periods presentation. | ||||||||||||||||||||||||
b) Second quarter 2007 operating expenses include a $4,092,000 goodwill impairment charge. | ||||||||||||||||||||||||
* Percent change not meaningful. |
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{$ in thousands} | Three Months Ended June 30, | Six Months Ended June 30, | |||||||||||||||||||||||
2008 | 2007(a) | Change | 2008 | 2007(a) | Change | ||||||||||||||||||||
Total revenue |
$ | 14 | $ | 10 | * | $ | 19 | $ | 27 | * | |||||||||||||||
Direct expenses |
6 | 6 | * | 7 | 12 | * | |||||||||||||||||||
Gross margin |
8 | 4 | * | 12 | 15 | * | |||||||||||||||||||
Personnel costs |
231 | 343 | -33 | % | 543 | 814 | -33 | % | |||||||||||||||||
Other sales, general and
administrative expenses |
205 | 256 | -20 | % | 500 | 471 | 6 | % | |||||||||||||||||
Depreciation and
amortization |
1 | 2 | * | 3 | 5 | * | |||||||||||||||||||
Restructuring and severance |
164 | - | * | 164 | - | * | |||||||||||||||||||
Total operating expenses |
601 | 601 | 0 | % | 1,210 | 1,290 | -6 | % | |||||||||||||||||
Operating (loss) before
income taxes |
$ | (593 | ) | $ | (597 | ) | * | $ | (1,198 | ) | $ | (1,275 | ) | * | |||||||||||
2008 | 2007 | |||||||||||||||||||||||
2nd Qtr | 1st Qtr | 4th Qtr | 3rd Qtr | 2nd Qtr | 1st Qtr | |||||||||||||||||||
Operating (loss) before income taxes |
$ | (593 | ) | $ | (605 | ) | $ | (595 | ) | $ | (546 | ) | $ | (597 | ) | $ | (678 | ) | ||||||
a) Reclassified to conform to the current periods presentation. |
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{$ in thousands} | 2008 | 2007 | ||||||||||||||||||||||
2nd Qtr | 1st Qtr | 4th Qtr | 3rd Qtr | 2nd Qtr | 1st Qtr | |||||||||||||||||||
Net cash flow provided by
(used in): |
||||||||||||||||||||||||
Operating activities (a): |
||||||||||||||||||||||||
Continuing operations |
$ | (766 | ) | $ | (1,309 | ) | $ | 692 | $ | 330 | $ | 106 | $ | 333 | ||||||||||
Discontinued operations |
874 | 54 | (70 | ) | 73 | (178 | ) | 17 | ||||||||||||||||
Total operating activity |
108 | (1,255 | ) | 622 | 403 | (72 | ) | 350 | ||||||||||||||||
Investing activities (a) |
453 | (608 | ) | (940 | ) | (31 | ) | 96 | 256 | |||||||||||||||
Financing activities (a) |
(185 | ) | 557 | (557 | ) | (651 | ) | 8 | (92 | ) | ||||||||||||||
Net change in unrestricted cash |
$ | 376 | $ | (1,306 | ) | $ | (875 | ) | $ | (279 | ) | $ | 32 | $ | 514 | |||||||||
Selected balance sheet metrics: |
||||||||||||||||||||||||
Unrestricted cash |
$ | 1,694 | $ | 1,318 | $ | 2,624 | $ | 3,499 | $ | 3,778 | $ | 3,746 | ||||||||||||
Unrestricted short-term
investments |
- | - | - | 11 | 11 | 200 | ||||||||||||||||||
Restricted short-term
investments |
1,154 | 1,735 | 1,231 | 1,100 | 1,100 | 1,100 | ||||||||||||||||||
Total cash and investments |
$ | 2,848 | $ | 3,053 | $ | 3,855 | $ | 4,610 | $ | 4,889 | $ | 5,046 | ||||||||||||
Short-term debt |
$ | 680 | $ | 736 | $ | 1,255 | $ | 1,812 | $ | 2,069 | $ | 1,960 | ||||||||||||
Long-term debt |
995 | 1,124 | - | - | 348 | 400 | ||||||||||||||||||
Total debt |
$ | 1,675 | $ | 1,860 | $ | 1,255 | $ | 1,812 | $ | 2,417 | $ | 2,360 | ||||||||||||
Working capital |
$ | 1,469 | $ | 1,292 | $ | 1,165 | $ | 1,552 | $ | 1,919 | $ | 2,841 | ||||||||||||
a) | Cash flows have been reclassified to conform to the current periods presentation; in prior quarters, net cash used to fund agent commission advances was presented as an investing activity and advance commissions received from insurance carriers was presented as a financing activity. Both are currently included in operating activities. |
■ | the funding of Regional Healthcare Divisions operating losses (in 2007, this Division generated positive operating cash flow); | |
■ | an increase in the amount of self-funding of agent advance commissions; | |
■ | funding certain Consumer Plan Division accelerated commission payments; and | |
■ | reversal of favorable fourth quarter 2007 expense payment timing variances. |
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| securing the release of additional restricted deposits; | |
| lessening the amount of self-funding of agent advance commissions; | |
| reducing operating cost expenditures; and | |
| generating positive cash-flow sales growth, particularly in our Consumer Plan Division. |
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| Insurance Marketing division commission processing: Our failure to receive timely, complete and accurate commission data from insurance carriers and, to carefully analyze all of the commission data processed for us by third-party service providers, could adversely impact our ability to accrue, record and report revenues or expenses in our financial statements in a materially correct manner. While we have established multiple compensating manual processes designed to mitigate these weaknesses, our progress with one major carrier has been insufficient to provide the assurance that the additional information received by us is adequate to fully assure that the commission revenues and expenses recorded and reported in our financial statements are materially correct. Additionally, we have not yet implemented an information management reporting system that will readily provide in-depth analysis of commission results and trends. We anticipate that remediation and elimination of this material weakness will be completed later this year. | |
| Information technology general controls: During our assessment of internal controls over our information technology functions, we determined that we had several weaknesses in both our internal information technology controls and those of the third-party service providers. We anticipate that completion of the transition of our legacy Capella discount card business onto the PME automated processing platforms during the 2008 third quarter, and implementation of a commission management reporting system later in the year, will provide the appropriate compensating controls for elimination of these weaknesses. |
| Foresight TPA dispute with Tenet. On May 30, 2008, Tenet Hospitals Limited d/b/a Sierra Medical Center and Providence Memorial Hospital and R.H.S.C. El Paso, Inc. d/b/a Rio Vista Physical Rehabilitation Hospital (collectively, Tenet) commenced an arbitration action against our Foresight TPA subsidiary. The Demand for Arbitration seeks, among other things, damages in excess of $5 million for an alleged breach by Foresight of the Exclusive Provider Organization Agreement (the EPO Agreement) between Foresight and Tenet. In essence, Tenet claims that Foresight TPA can only contract with Tenet facilities in benefit plans that utilize an exclusive provider organization. We strongly disagree with this position for several reasons, including our belief that we do not administer any benefit plans that utilize an exclusive provider organization. We have answered the demand and intend to vigorously defend our position. The arbitration remains pending before the American Arbitration Association Tribunal, Reference No. 70193Y0035308. | |
In addition, Tenet has taken a position with respect to a separate agreement between Foresight and Tenet that members of certain plans administered by Foresight are not entitled to healthcare discounts from Tenets facilities. We strongly disagree with this position as well. Because of this dispute, Tenet has notified us that it intends to terminate its agreement with us and seek payment from the plans we administer of certain amounts charged to plan members and not paid for by the plan. | ||
We intend to vigorously defend our positions in these matters; however, we cannot provide any favorable assurance of their outcome. An unfavorable outcome in the arbitration or Tenets successful enforcement of its position with respect to the facilities agreement would have a material adverse effect on our financial condition, results of operations and liquidity. | ||
| States General Life Insurance Company. With respect to the States General Life Insurance Matter described more fully in our Annual Report on Form 10-K, our Motion for Summary Judgment on various matters was granted on May 6, 2008. The order granting our motion dismissed the Special Deputy Receivers causes of action related to recovery from affiliates, fraudulent transfers, avoidable preferences and under the Uniform Fraudulent Transfer Act. While the granting of our motion does not summarily dismiss the case, it narrowed the issues significantly and makes it less likely that the Special Deputy Receiver will obtain any monetary recovery from us. |
14
| Clarification of certain commentary set forth in Item 7. Managements Discussion and Analysis of Financial Condition and Results of Operations, Liquidity and Capital Resources of our Form 10-K filing related to our inadvertent disclosure of a financial measure that was not in accordance with generally accepted accounting principles (i.e., non-GAAP). | |
| Amendment of the wording set forth in Item 9A. Controls and Procedures, Information Technology General Controls of our Form 10-K filing related to our inadvertent use of the word significant in our discussion of controls and procedures. |
| Modification of our statement of cash flows for the year ended December 31, 2007 and the quarter ended March 31, 2008 to include the change in commissions advanced to agents and commissions received from insurance carriers as operating activities. Previously, these changes were reflected as investing and financing activities, respectively. | |
| Inclusion, as an Exhibit, the preferability letter we obtained from our independent registered accountants in connection with the change in our annual goodwill impairment testing date from December 31 to September 30 of each year. | |
| Additional information regarding the magnitude of the provision for litigation related matters that we recorded and reported at December 31, 2007 and March 31, 2008. | |
| Amended Exhibits 31.1 and 31.2 to our 2007 Annual Report on Form 10-K, and Form 10-Q report for the quarter ended March 31, 2008 related to our omission of certain parenthetical language. |
15
Exhibit | ||
No. | Description | |
3.1
|
Registrants Amended and Restated Certificate of Incorporation, incorporated by reference to Exhibit 3.1 of Registrants Form 10-K filed with the Commission on April 2, 2007. | |
3.2
|
Registrants Amended and Restated Bylaws incorporated by reference to Exhibit 3.2 of Registrants Form 10-K filed with the Commission on April 2, 2007. | |
4.1
|
Form of certificate of the common stock of Registrant is incorporated by reference to Exhibit 4.1 of Registrants Form 10-K filed with the Commission on April 2, 2007. | |
4.2
|
Precis, Inc. 1999 Stock Option Plan (amended and restated), incorporated by reference to the Schedule 14A filed with the Commission on June 23, 2003. | |
4.3
|
Precis, Inc. 2002 IMR Stock Option Plan, incorporated by reference to the Schedule 14A filed with the Commission on June 26, 2002. | |
4.4
|
Precis, Inc. 2002 Non-Employee Stock Option Plan (amended and restated), incorporated by reference to the Schedule 14A filed with the Commission on December 29, 2006. | |
31.1
|
Certification Pursuant to Rule 13a-14(a) and 15d-14(a) of Ian R. Stuart as Interim President and Chief Executive Officer. | |
31.2
|
Certification Pursuant to Rule 13a-14(a) and 15d-14(a) of Ian R. Stuart as Chief Financial Officer and Principal Accounting Officer. | |
32.1
|
Certification Pursuant to 18 U.S.C. Section 1350 as Adopted Pursuant to Section 906 of Sarbanes-Oxley Act of Ian R. Stuart as Interim President and 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 Ian Stuart as Chief Financial Officer and Principal Accounting Officer. |
16
ACCESS PLANS USA, INC. (Registrant) |
||||
Date: August 14, 2008 | By: | /s/ IAN R. STUART | ||
Ian R. Stuart | ||||
Interim President and Chief Executive Officer and Chief Financial Officer and Principal Accounting Officer |
||||
17
19 | ||||
20 | ||||
21 | ||||
22 | ||||
23 |
18
June 30, 2008 | December 31, | |||||||
(unaudited) | 2007(b) | |||||||
ASSETS |
||||||||
Cash and cash equivalents |
$ | 1,694 | $ | 2,624 | ||||
Restricted short-term investments |
1,154 | 1,231 | ||||||
Total cash and short-term investments |
2,848 | 3,855 | ||||||
Accounts receivable, net |
1,079 | 1,009 | ||||||
Income taxes receivable |
- | 70 | ||||||
Advanced agent commissions, net |
6,206 | 4,942 | ||||||
Prepaid expenses |
347 | 193 | ||||||
Deferred tax asset |
- | 23 | ||||||
Total current assets |
10,480 | 10,092 | ||||||
Fixed assets, net |
759 | 682 | ||||||
Goodwill, net |
5,489 | 5,489 | ||||||
Other intangible assets, net |
3,073 | 3,460 | ||||||
Other assets |
144 | 73 | ||||||
Assets of discontinued operation |
- | 1,022 | ||||||
Total assets |
$ | 19,945 | $ | 20,818 | ||||
LIABILITIES AND STOCKHOLDERS EQUITY |
||||||||
Accounts payable and accrued liabilities |
$ | 638 | $ | 563 | ||||
Accrued commissions payable |
574 | 479 | ||||||
Other accrued liabilities |
2,390 | 2,343 | ||||||
Income taxes payable |
211 | 267 | ||||||
Short-term debt |
680 | 1,255 | ||||||
Current portion of capital leases |
- | 48 | ||||||
Unearned commissions |
4,233 | 3,683 | ||||||
Deferred service fees and deferred enrollment fees, net of acquisition costs |
285 | 289 | ||||||
Total current liabilities |
9,011 | 8,927 | ||||||
Long-term debt |
995 | - | ||||||
Deferred tax liability |
- | 23 | ||||||
Liabilities of discontinued operation |
- | 611 | ||||||
Total liabilities |
10,006 | 9,561 | ||||||
Commitments
and contingencies (Note 9) |
||||||||
Preferred stock, $1.00 par value, 2,000,000 authorized shares; none issued |
- | - | ||||||
Common stock, $0.01 par value, 100,000,000 shares authorized;
20,749,145 issued and 20,269,145 outstanding |
207 | 207 | ||||||
Additional paid-in capital |
40,670 | 40,619 | ||||||
Accumulated deficit |
(29,929 | ) | (28,560 | ) | ||||
Less: Treasury stock, 480,000 shares |
(1,009 | ) | (1,009 | ) | ||||
Total stockholders equity |
9,939 | 11,257 | ||||||
Total liabilities and stockholders equity |
$ | 19,945 | $ | 20,818 | ||||
a) The accompanying notes are an integral part of these condensed consolidated financial statements | ||||||||
b) Reclassified to conform to the current periods presentation |
19
For the Three Months Ended | For the Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2008 | 2007(b) | 2008 | 2007(b) | |||||||||||||
Commission and service revenues |
$ | 9,844 | $ | 8,861 | $ | 19,339 | $ | 16,023 | ||||||||
Interest income |
214 | 204 | 400 | 340 | ||||||||||||
Total revenues |
10,058 | 9,065 | 19,739 | 16,363 | ||||||||||||
Commission expenses |
5,096 | 3,432 | 10,001 | 5,778 | ||||||||||||
Provider network fees and other direct costs |
1,461 | 1,332 | 2,809 | 2,348 | ||||||||||||
Interest expense |
55 | 79 | 85 | 126 | ||||||||||||
Total direct costs |
6,612 | 4,843 | 12,895 | 8,252 | ||||||||||||
Gross margin |
3,446 | 4,222 | 6,844 | 8,111 | ||||||||||||
Personnel costs, including benefits |
2,250 | 2,200 | 4,622 | 4,362 | ||||||||||||
Other sales, general and administrative expenses |
1,532 | 2,497 | 3,380 | 4,354 | ||||||||||||
Depreciation and amortization |
266 | 209 | 542 | 416 | ||||||||||||
Restructuring and severance charges |
164 | 696 | 164 | 696 | ||||||||||||
Goodwill impairment charge |
- | 4,092 | - | 4,092 | ||||||||||||
Total operating expenses |
4,212 | 9,694 | 8,708 | 13,920 | ||||||||||||
Loss from
continuing operations before income taxes |
(766 | ) | (5,472 | ) | (1,864 | ) | (5,809 | ) | ||||||||
Provision for income tax expense |
3 | 16 | 22 | 38 | ||||||||||||
Loss from continuing operations |
(769 | ) | (5,488 | ) | (1,886 | ) | (5,847 | ) | ||||||||
Income from discontinued operations, net |
444 | 36 | 517 | 70 | ||||||||||||
Net loss |
$ | (325 | ) | $ | (5,452 | ) | $ | (1,369 | ) | $ | (5,777 | ) | ||||
Basic and diluted net income (loss) per share: |
||||||||||||||||
Continuing operations |
$ | (0.04 | ) | $ | (0.29 | ) | $ | (0.09 | ) | $ | (0.33 | ) | ||||
Discontinued operations |
0.02 | 0.00 | 0.02 | 0.00 | ||||||||||||
Total |
$ | (0.02 | ) | $ | (0.29 | ) | $ | (0.07 | ) | $ | (0.33 | ) | ||||
Weighted average number of common shares
outstanding, basic and diluted |
20,269,145 | 18,780,451 | 20,269,145 | 17,677,237 | ||||||||||||
a) The accompanying notes are an integral part of these condensed consolidated financial statements | ||||||||||||||||
b) Reclassified to conform to the current periods presentation |
20
Additional | Total | |||||||||||||||||||
Common | Paid-In | Accumulated | Treasury | Stockholders' | ||||||||||||||||
Stock | Capital | Deficit | Stock | Equity | ||||||||||||||||
Balance, December
31, 2007 |
$ | 207 | $ | 40,619 | $ | (28,560 | ) | $ | (1,009 | ) | $ | 11,257 | ||||||||
Changes during the
six months
ended June 30, 2008: |
||||||||||||||||||||
Stock option
awards |
- | 51 | - | - | 51 | |||||||||||||||
Net loss |
- | - | (1,369 | ) | - | (1,369 | ) | |||||||||||||
Balance, June 30,
2008 |
$ | 207 | $ | 40,670 | $ | (29,929 | ) | $ | (1,009 | ) | $ | 9,939 | ||||||||
a) The accompanying notes are an integral part of these condensed consolidated financial statements |
21
For the Six Months Ended June 30, | ||||||||
2008 | 2007 (b) | |||||||
Cash flows from operating activities: |
||||||||
Net loss |
$ | (1,369 | ) | $ | (5,777 | ) | ||
Adjustments to reconcile net loss to net cash provided by (used in) operating activities: |
||||||||
(Income) from continuing operations |
(517 | ) | (70 | ) | ||||
Non-cash charges: |
||||||||
Stock option compensation charges |
51 | 316 | ||||||
Depreciation and amortization |
542 | 416 | ||||||
Provision for losses on accounts receivable and agent advances |
259 | 265 | ||||||
Loss on disposal and impairment of fixed assets |
- | 335 | ||||||
Goodwill impairment charge |
- | 4,092 | ||||||
Changes in operating assets and liabilities (net of business acquired): |
||||||||
Accounts receivable |
(179 | ) | (85 | ) | ||||
Income taxes receivable, net of payable |
14 | (34 | ) | |||||
Prepaid expenses and other assets |
(225 | ) | 1,627 | |||||
Accounts payable and accrued liabilities, including commissions |
217 | (28 | ) | |||||
Advanced agent commissions |
(1,414 | ) | (91 | ) | ||||
Unearned commissions |
550 | (439 | ) | |||||
Deferred service fees and deferred enrollment fees, net of acquisition costs |
(4 | ) | (88 | ) | ||||
Net cash provided by (used in) continuing operating activities |
(2,075 | ) | 439 | |||||
Net cash provided by (used in) discontinued operating activities |
928 | (161 | ) | |||||
Net cash provided by (used in) operating activities |
(1,147 | ) | 278 | |||||
Cash flows from investing activities: |
||||||||
Decrease in unrestricted short-term investments |
- | 320 | ||||||
Decrease in restricted short-term investments |
77 | 189 | ||||||
Purchase of fixed assets |
(232 | ) | (234 | ) | ||||
Cash acquired in business combination, net |
- | 77 | ||||||
Net cash provided by (used in) investing activities (c) |
(155 | ) | 352 | |||||
Cash flows from financing activities: |
||||||||
Payments of capital leases |
(48 | ) | (97 | ) | ||||
Increase in debt, net |
420 | 13 | ||||||
Net cash provided by (used) in financing activities (c) |
372 | (84 | ) | |||||
Net change in cash and cash equivalents |
(930 | ) | 546 | |||||
Cash and cash equivalents at beginning of period |
2,624 | 3,232 | ||||||
Cash and cash equivalents at end of period |
$ | 1,694 | $ | 3,778 | ||||
Supplemental disclosure: |
||||||||
Income taxes
paid, net of taxes recovered |
$ | 21 | $ | 62 | ||||
Interest
paid |
$ | 76 | $ | 126 | ||||
Non-cash investing and financing activities: |
||||||||
Stock issued in connection with business combination |
$ | - | $ | 10,540 | ||||
a) The accompanying notes are an integral part of these condensed consolidated financial statements | ||||||||
b) Reclassified to conform to the current periods presentation | ||||||||
c) All cash provided by (used in) investing and financing activity is attributable to continuing operations |
22
| Consumer Plan Division - develops and markets non-insurance healthcare discount programs and association memberships. Since October 1, 2007, the Consumer Plan Division has included the results of Protective Marketing Enterprises, Inc. which was acquired on that date. |
| Insurance Marketing Division - markets individual major medical health insurance products through AHCP Agency, a national network of independent agents. Prior to the second quarter of 2008, this division also included the results of ACP Agency (a broad network of independent agents that distributed Medicare insurance programs to individuals), which is now reported as a discontinued operation. The Insurance Marketing division was formed on January 30, 2007, the date the Company completed its merger with Insurance Capital Management USA, Inc. AHCP Agency and ACP Agency are wholly-owned subsidiaries. |
| Regional Healthcare Division - provides third-party claims administration, healthcare provider network management, and utilization management services primarily for El Paso based employer groups that utilize partially self-funded strategies to finance their employee benefit programs. The Division, which currently operates as Foresight TPA (Foresight), also owns and manages a proprietary network of medical providers. |
| Reclassification of the ACP Agencys financial position, results of operations and cash flows as a discontinued operation (see Note 3) |
| Reclassification of cash flows attributable to commission advances received from insurance carriers and paid to agents as an operating activity. These cash flows were previously classified as financing and investing cash flows, respectively. |
23
{$ in thousands} | Three Months Ended | Six Months Ended | ||||||||||||||
June 30, | June 30, | |||||||||||||||
2008 | 2007 | 2008 | 2007 | |||||||||||||
Total Revenue |
$ | 615 | $ | 1,325 | $ | 1,501 | $ | 2,371 | ||||||||
Income from discontinued operations |
$ | 62 | $ | 43 | $ | 138 | $ | 84 | ||||||||
Net gain on sale of override commissions |
385 | - | 385 | - | ||||||||||||
Provision for income taxes |
(3 | ) | (7 | ) | (6 | ) | (14 | ) | ||||||||
Income from discontinued operations, net |
$ | 444 | $ | 36 | $ | 517 | $ | 70 | ||||||||
{$ in thousands} | Three Months Ended | Six Months Ended | ||||||||||||||
June 30, | June 30, | |||||||||||||||
2008 | 2007 | 2008 | 2007 | |||||||||||||
Total Revenue |
$ | 10,058 | $ | 11,190 | $ | 19,739 | $ | 23,623 | ||||||||
Loss from continuing operations |
$ | (325 | ) | $ | (5,338 | ) | $ | (1,369 | ) | $ | (5,912 | ) | ||||
Basic and diluted net income (loss) per
share from continuing operations |
$ | (0.02 | ) | $ | (0.26 | ) | $ | (0.07 | ) | $ | (0.29 | ) | ||||
Weighted average number of common
shares outstanding, basic and diluted |
20,269,145 | 20,269,145 | 20,269,145 | 20,269,145 | ||||||||||||
24
{$ in thousands} | June 30, | December 31, | ||||||
2008 | 2007 | |||||||
Goodwill |
$ | 5,489 | $ | 5,489 | ||||
Intangible assets |
3,073 | 3,460 | ||||||
Goodwill and intangible assets |
||||||||
Attributable to ICM acquisition |
7,628 | 7,924 | ||||||
Attributable to PME acquisition |
934 | 1,025 | ||||||
Total |
$ | 8,562 | $ | 8,949 | ||||
{$ in thousands} | June 30, | December 31, | ||||||
2008 | 2007 | |||||||
Advances funded by: |
||||||||
Insurance carriers |
$ | 4,115 | $ | 3,750 | ||||
Speciality lending corporation |
1,546 | 452 | ||||||
Commercial bank |
- | 425 | ||||||
Self-funded |
1,095 | 715 | ||||||
Sub-total |
6,756 | 5,342 | ||||||
Allowance for doubtful recoveries |
(550 | ) | (400 | ) | ||||
Total advanced agent commissions |
$ | 6,206 | $ | 4,942 | ||||
{$ in thousands} | June 30, | December 31, | ||||||
2008 | 2007 | |||||||
Short-term debt |
$ | 680 | $ | 1,255 | ||||
Long-term debt |
995 | - | ||||||
Total debt: |
||||||||
Specialty lending corporation - loan |
$ | 1,546 | $ | 452 | ||||
Commercial bank - revolving lines of credit |
- | 425 | ||||||
Related party - promissory note |
129 | 378 | ||||||
Total debt |
$ | 1,675 | $ | 1,255 | ||||
25
a. | Foresight TPA dispute with Tenet: On May 30, 2008, Tenet Hospitals Limited d/b/a Sierra Medical Center and Providence Memorial Hospital and R.H.S.C. El Paso, Inc. d/b/a Rio Vista Physical Rehabilitation Hospital (collectively, Tenet) commenced an arbitration action against our Foresight TPA subsidiary. The Demand for Arbitration seeks, among other things, damages in excess of $5 million for an alleged breach by Foresight of the Exclusive Provider Organization Agreement (the EPO Agreement) between Foresight and Tenet. In essence, Tenet claims that Foresight TPA can only contract with Tenet facilities in benefit plans that utilize an exclusive provider organization. We strongly disagree with this position for several reasons, including our belief that we do not administer any benefit plans that utilize an exclusive provider organization. We have answered the demand and intend to vigorously defend our position. The arbitration remains pending before the American Arbitration Association Tribunal, Reference No. 70193Y0035308 | |
In addition, Tenet has taken a position with respect to a separate agreement between Foresight and Tenet that members of certain plans administered by Foresight are not entitled to discounts from Tenets facilities. We disagree with this position as well. Because of this dispute, Tenet has notified us that it intends to terminate its agreement with us and seek payment from the plans we administer of certain amounts charged to plan members and not paid for by the plan. | ||
We intend to vigorously defend our positions in these matters; however, we cannot provide any favorable assurance of their outcome. An unfavorable outcome in the arbitration or Tenets successful enforcement of its position with respect to the facilities agreement would have a material adverse effect on our financial condition and results of operation. | ||
b. | Investigation of National Center for Employment of the Disabled, Inc. and Access HealthSource, Inc. (Foresight): In June 2004, the Company acquired Foresight (formerly Access Healthsource, Inc.) and its subsidiaries from National Center for Employment of the Disabled, Inc. (now known as Ready One Industries, NCED). Robert E. Jones, the C.E.O. of NCED was elected to and served on our Board of Directors until his March 2006 resignation. Frank Apodaca served as the President and C.E.O. of Foresight from the date of our acquisition until September 3, 2007, on which date we terminated his employment. Mr. Apodaca, who had been placed on leave prior to the termination of his employment, also served as Chief Administrative Officer and a member of the Board of Directors of NCED. Mr. Apodaca also served as our President from June 10, 2004 to January 30, 2007. 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 holds 9.7% of our common stock as a result of shares it received from the acquisition of Foresight. | |
There is an ongoing federal investigation of Mr. Apodaca and Foresight, and there has been publicity in the El Paso, Texas area about the investigation. The investigation involves several elected public officials and over 20 companies that do business with local government entities in the El Paso area. Although no indictments have occurred, we believe that the investigation involves, among other things, allegations of corruption relating to contract procurement by Mr. Apodaca and Foresight and other companies from these local governmental entities. We can offer no assurance as to the outcome of the investigation. In addition to the negative financial effect from the loss of business, we have suffered and may continue to suffer as a result of the investigation and the adverse publicity surrounding the investigation. Our financial condition and the results of our operations will be materially affected should the investigation result in formal allegations of wrongdoing by Foresight. We may become obligated to pay fines or restitution and our ability to operate Foresight under licenses may be restricted or terminated. In addition, the publicity and financial effect resulting from the investigation may affect our other divisions reputation and ability to attract business, and secure financing. |
26
c. | State of Texas v The Capella Group, Inc. et al. The State of Texas filed a lawsuit against Capella and Equal Access Health, Inc. (including various names under which Equal Access Health, Inc. does business) on April 28, 2005. Equal Access Health was a third-party marketer of our discount medical card programs, but is otherwise not affiliated with us. The lawsuit alleges that Care Entréetm, directly and through at least one other party that formerly resold the services of Care Entréetms to the public, violated certain provisions of the Texas Deceptive Trade Practices Consumer Protection Act. The lawsuit seeks, among other things, injunctive relief, unspecified monetary penalties and restitution. We believe that the allegations are without merit and are vigorously defending this lawsuit. The lawsuit was filed in the 98th District Court of Travis County, Texas as case number GV501264. 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. | |
d. | Zermeno v Precis, Inc. 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., 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 under case number BC 300788. | |
The Zermeno plaintiffs are former members of the Care Entréetm discount healthcare program who allege that they (for themselves and for the general public) are entitled to injunctive, declaratory, and equitable relief under California Health and Safety Code § 445 (Section 445). That provision governs medical referral services. The plaintiffs also sought relief under Business and Professions Code § 17200, Californias Unfair Competition Law (Section 17200). | ||
On December 21, 2007, we received a favorable verdict. The plaintiffs have indicated that they plan to appeal. A negative result in this case could have a material affect on our financial condition and would limit our ability (and that of other healthcare discount programs) to do business in California. | ||
We believe that we have complied with all applicable statues and regulations in the state of California. Although we believe the Plaintiffs claims are without merit, we cannot provide any assurance regarding the outcome or results of this litigation. | ||
e. | States General Life Insurance Company. In February 2005, States General Life Insurance Company (SGLIC) was placed in permanent receivership by the Texas Insurance Commission (The State of Texas v States General Life Insurance Company, Cause No. GV-500484, in the 126th District Court of Travis County, Texas.) Pursuant to letters dated October 19, 2006, the Special Deputy Receiver (the SDR) of SGLIC asserted certain claims against ICM, its subsidiaries, Peter W. Nauert, ICMs Chairman and Chief Executive Officer, and G. Scott Smith, a former Executive Officer of ICM, totaling $2,839,000. The SDR is seeking recovery of certain SGLIC funds that it alleges were inappropriately transferred and paid to or for the benefit of ICM, its subsidiaries and Messrs. Nauert and Smith. These claims are based upon assertions of Texas law violations, including prohibitions against self-dealing, participation in breach of fiduciary duty and preferential and fraudulent transfers. Mr. Nauert was in control and Chairman of the Board of SGLIC when it was placed in receivership by the Texas Insurance Commission. The Company, its subsidiaries and Messrs. Nauert and Smith intend to exercise their full rights in defense of the SDRs asserted claims. The SDR filed its own action against SGLIC, pending in the 126th District Court of Travis County, Texas under cause No. GV-500484 and against Messrs. Nauert and Smith, ICM, certain subsidiaries of ICM and other parties, in the 126th District Court of Travis County, Texas under cause No. D-1-GN-06-4697. Access Plans has been named as a defendant in this action as a successor-in-interest to ICM. | |
On May 6, 2008 our Motion for Summary Judgment on various matters was granted. The order granting our motion dismissed the Special Deputy Receivers causes of action related to recovery from affiliates, fraudulent transfers, avoidable preferences and under the Uniform Fraudulent Transfer Act. While the granting of our motion does not summarily dismiss the case, it narrowed the issues significantly and makes it less likely that the Special Deputy Receiver will obtain any monetary recovery from us | ||
In connection with the Companys acquisition of ICM and its subsidiaries, Mr. Nauert and the Peter W. Nauert Revocable Trust have agreed to fully indemnify ICM and the Company against any losses resulting from this matter. Although the Company can provide no assurance, we believe that the ultimate outcome of these claims and lawsuits will not have a material adverse effect on the Companys consolidated financial condition, results of operation, or liquidity. |
27
{$ in thousands} | Three Months Ended June 30, 2008 | |||||||||||||||||||
Consumer | Insurance | Regional | Corporate | |||||||||||||||||
Plan | Marketing | Healthcare | and Other | Total | ||||||||||||||||
Total revenue |
$ | 4,092 | $ | 5,267 | $ | 685 | $ | 14 | $ | 10,058 | ||||||||||
Income (loss) from continuing operations
before income taxes |
116 | 189 | (478 | ) | (593 | ) | $ | (766 | ) | |||||||||||
Provision for income tax (benefit)
expense |
(13 | ) | 7 | 9 | 3 | |||||||||||||||
Income/(loss) from continuing operations |
$ | 129 | $ | 182 | $ | (487 | ) | $ | (593 | ) | $ | (769 | ) | |||||||
Total assets held |
$ | 2,291 | $ | 15,669 | $ | 338 | $ | 1,647 | $ | 19,945 | ||||||||||
{$ in thousands} | Three Months Ended June 30, 2007 | |||||||||||||||||||
Consumer | Insurance | Regional | Corporate | |||||||||||||||||
Plan | Marketing | Healthcare | and Other | Total | ||||||||||||||||
Total revenue |
$ | 3,269 | $ | 4,077 | $ | 1,709 | $ | 10 | $ | 9,065 | ||||||||||
Income (loss) from continuing operations
before income taxes |
(640 | ) | (150 | ) | (4,085 | ) | (597 | ) | $ | (5,472 | ) | |||||||||
Provision for income tax (benefit)
expense |
(4 | ) | - | 12 | 8 | 16 | ||||||||||||||
Income/(loss) from continuing operations |
$ | (636 | ) | $ | (150 | ) | $ | (4,097 | ) | $ | (605 | ) | $ | (5,488 | ) | |||||
Total assets held |
$ | 4,399 | $ | 13,777 | $ | 914 | $ | 4,492 | $ | 23,582 | ||||||||||
{$ in thousands} | Six Months Ended June 30, 2008 | |||||||||||||||||||
Consumer | Insurance | Regional | Corporate | |||||||||||||||||
Plan | Marketing | Healthcare | and Other | Total | ||||||||||||||||
Total revenue |
$ | 7,998 | $ | 10,190 | $ | 1,532 | $ | 19 | $ | 19,739 | ||||||||||
Income (loss) from continuing operations
before income taxes |
(152 | ) | 371 | (885 | ) | (1,198 | ) | $ | (1,864 | ) | ||||||||||
Provision for income tax (benefit)
expense |
5 | 15 | 14 | (12 | ) | 22 | ||||||||||||||
Income/(loss) from continuing operations |
$ | (157 | ) | $ | 356 | $ | (899 | ) | $ | (1,186 | ) | $ | (1,886 | ) | ||||||
{$ in thousands} | Six Months Ended June 30, 2007 | |||||||||||||||||||
Consumer | Insurance | Regional | Corporate | |||||||||||||||||
Plan | Marketing | Healthcare | and Other | Total | ||||||||||||||||
Total revenue |
$ | 6,410 | $ | 6,447 | $ | 3,479 | $ | 27 | $ | 16,363 | ||||||||||
Income (loss) from continuing operations
before income taxes |
(484 | ) | (231 | ) | (3,819 | ) | (1,275 | ) | $ | (5,809 | ) | |||||||||
Provision for income tax (benefit)
expense |
- | - | 24 | 14 | 38 | |||||||||||||||
Income/(loss) from continuing operations |
$ | (484 | ) | $ | (231 | ) | $ | (3,843 | ) | $ | (1,289 | ) | $ | (5,847 | ) | |||||
28