UNITED STATES SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
x | QUARTERLY REPORT UNDER SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED DECEMBER 31, 2002 | |
OR |
||
o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Commission File Number 001-12115
CONTINUCARE CORPORATION
Florida (State or other jurisdiction of incorporation or organization) |
59-2716023 (I.R.S. Employer Identification No.) |
80 Southwest Eighth Street
Suite 2350
Miami, Florida 33130
(Address of principal executive offices)
(Zip Code)
(305) 350-7515
(Registrants telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months, and (2) has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant is an accelerated filer (as defined in RULE 12b-2 of the Exchange Act). Yes o No x
At February 5, 2003, the Registrant had 40,534,601 shares of $0.0001 par value common stock outstanding.
CONTINUCARE CORPORATION
INDEX
PART I. | FINANCIAL INFORMATION | |||
ITEM 1. | FINANCIAL STATEMENTS | |||
Condensed Consolidated Balance Sheets December 31, 2002 (Unaudited) and June 30, 2002. | 3 | |||
Condensed Consolidated Statements of Operations Three Months Ended December 31, 2002 (Unaudited) and 2001 (Unaudited) | 4 | |||
Condensed Consolidated Statements of Operations Six Months Ended December 31, 2002 (Unaudited) and 2001 (Unaudited) | 5 | |||
Condensed Consolidated Statements of Cash Flows Six Months Ended December 31, 2002 (Unaudited) and 2001 (Unaudited) | 6 | |||
Notes to Condensed Consolidated Financial Statements December 31, 2002 (Unaudited) | 7 | |||
ITEM 2. | MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS | 12 | ||
ITEM 3. | QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK | 21 | ||
ITEM 4. | CONTROLS AND PROCEDURES | 21 | ||
PART II. | OTHER INFORMATION | |||
ITEM 1. | LEGAL PROCEEDINGS | 22 | ||
ITEM 2. | CHANGES IN SECURITIES AND USE OF PROCEEDS | 22 | ||
ITEM 3. | DEFAULTS UPON SENIOR SECURITIES | 22 | ||
ITEM 4. | SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS | 22 | ||
ITEM 5. | OTHER INFORMATION | 22 | ||
ITEM 6. | EXHIBITS AND REPORTS ON FORM 8-K | 22 | ||
SIGNATURES | 23 |
2
PART I FINANCIAL INFORMATION
ITEM 1. FINANCIAL STATEMENTS
CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS
December 31, 2002 | June 30, 2002 | |||||||||||
(Unaudited) | ||||||||||||
ASSETS |
||||||||||||
Current assets |
||||||||||||
Cash and cash equivalents |
$ | 423,678 | $ | 344,276 | ||||||||
Accounts receivable, net of allowance for doubtful
accounts of $4,857,000 and $4,807,000, respectively |
280,029 | 94,967 | ||||||||||
Due from Medicare, net |
42,519 | | ||||||||||
Other receivables |
437,337 | 834,227 | ||||||||||
Due from HMOs, net of a liability for incurred but not
reported medical claims expense of approximately
$13,536,000 and $13,013,000, respectively |
1,052,355 | 1,431,379 | ||||||||||
Prepaid expenses and other current assets |
345,906 | 548,322 | ||||||||||
Total current assets |
2,581,824 | 3,253,171 | ||||||||||
Equipment, furniture and leasehold improvements, net |
518,209 | 584,372 | ||||||||||
Goodwill, net of accumulated amortization of approximately
$3,661,000 at December 31, 2002 and June 30, 2002 |
14,663,392 | 14,663,392 | ||||||||||
Managed care contracts, net of accumulated amortization of
approximately $1,540,000 and $1,364,000, respectively |
1,969,837 | 2,146,243 | ||||||||||
Cost in excess of intangible assets acquired, net of
accumulated amortization of approximately $4,016,000 and
$4,012,000, respectively |
12,405 | 15,788 | ||||||||||
Deferred financing costs, net of accumulated amortization
of approximately $3,415,000 and $2,985,000, respectively |
4,502 | 435,375 | ||||||||||
Other assets, net |
83,342 | 81,372 | ||||||||||
Total assets |
$ | 19,833,511 | $ | 21,179,713 | ||||||||
LIABILITIES AND SHAREHOLDERS EQUITY |
||||||||||||
Current liabilities |
||||||||||||
Accounts payable |
$ | 762,915 | $ | 688,061 | ||||||||
Accrued expenses |
1,898,682 | 2,004,480 | ||||||||||
Accrued salaries and benefits |
776,475 | 569,323 | ||||||||||
Credit Facility |
2,000,000 | 2,315,000 | ||||||||||
Due to Medicare, net |
| 350,991 | ||||||||||
Current portion of convertible subordinated notes payable |
1,421,896 | 273,896 | ||||||||||
Current portion of long term debt |
4,417,685 | 4,456,835 | ||||||||||
Current portion of related party notes payable |
63,854 | 63,854 | ||||||||||
Accrued interest payable |
8,107 | 10,708 | ||||||||||
Current portion of capital lease obligations |
77,700 | 107,479 | ||||||||||
Total current liabilities |
11,427,314 | 10,840,627 | ||||||||||
Capital lease obligations, less current portion |
45,170 | 42,171 | ||||||||||
Convertible subordinated notes payable, less current portion |
3,071,519 | 4,356,468 | ||||||||||
Long term debt, less current portion |
3,919,233 | 3,597,122 | ||||||||||
Related party notes payable, less current portion |
1,029,259 | 1,061,186 | ||||||||||
Total liabilities |
19,492,495 | 19,897,574 | ||||||||||
Commitments and contingencies |
||||||||||||
Shareholders equity |
||||||||||||
Common stock; $0.0001 par value; 100,000,000 shares
authorized 43,530,794 shares issued and 40,534,601
shares outstanding at December 31, 2002 and 42,630,794
shares issued and 39,634,601 shares outstanding at June
30, 2002 |
4,054 | 3,964 | ||||||||||
Additional paid-in capital |
59,634,524 | 59,511,614 | ||||||||||
Accumulated deficit |
(53,872,861 | ) | (52,808,738 | ) | ||||||||
Treasury stock (2,996,193 shares) |
(5,424,701 | ) | (5,424,701 | ) | ||||||||
Total shareholders equity |
341,016 | 1,282,139 | ||||||||||
Total liabilities and shareholders equity |
$ | 19,833,511 | $ | 21,179,713 | ||||||||
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
3
CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)
Three Months Ended December 31, | ||||||||||||
2002 | 2001 | |||||||||||
Medical services revenue, net |
$ | 26,979,327 | $ | 26,263,009 | ||||||||
Expenses |
||||||||||||
Medical services: |
||||||||||||
Medical claims |
20,181,292 | 19,908,092 | ||||||||||
Other |
3,486,767 | 3,336,405 | ||||||||||
Payroll and employee benefits |
1,631,313 | 1,417,004 | ||||||||||
Provision for bad debts |
24,736 | 22,946 | ||||||||||
Professional fees |
69,203 | 281,141 | ||||||||||
General and administrative |
1,574,825 | 1,243,445 | ||||||||||
Depreciation and amortization |
163,795 | 225,473 | ||||||||||
Subtotal |
27,131,931 | 26,434,506 | ||||||||||
Loss from operations |
(152,604 | ) | (171,497 | ) | ||||||||
Other income (expense)
|
||||||||||||
Interest income |
2,031 | 9,032 | ||||||||||
Interest expense |
(221,914 | ) | (423,995 | ) | ||||||||
Net loss |
$ | (372,487 | ) | $ | (586,460 | ) | ||||||
Basic and diluted loss per common share |
$ | (.01 | ) | $ | (.01 | ) | ||||||
Basic and diluted weighted average number of common shares outstanding |
40,500,905 | 39,459,601 | ||||||||||
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
4
CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (Unaudited)
Six Months Ended December 31, | ||||||||||||
2002 | 2001 | |||||||||||
Medical services revenue, net |
$ | 53,839,016 | $ | 49,993,303 | ||||||||
Expenses |
||||||||||||
Medical services: |
||||||||||||
Medical claims |
40,447,144 | 38,405,705 | ||||||||||
Other |
6,978,235 | 6,521,989 | ||||||||||
Payroll and employee benefits |
3,204,754 | 2,702,661 | ||||||||||
Provision for bad debts |
50,112 | 36,449 | ||||||||||
Professional fees |
328,471 | 507,532 | ||||||||||
General and administrative |
2,947,202 | 2,505,220 | ||||||||||
Depreciation and amortization |
339,009 | 683,783 | ||||||||||
Subtotal |
54,294,927 | 51,363,339 | ||||||||||
Loss from operations |
(455,911 | ) | (1,370,036 | ) | ||||||||
Other income (expense) |
||||||||||||
Interest income |
3,806 | 29,885 | ||||||||||
Interest expense |
(612,018 | ) | (815,979 | ) | ||||||||
Net loss |
$ | (1,064,123 | ) | $ | (2,156,130 | ) | ||||||
Basic and diluted loss per common share |
$ | (.03 | ) | $ | (.05 | ) | ||||||
Basic and diluted weighted average number of common shares outstanding |
40,102,536 | 39,459,601 | ||||||||||
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
5
CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)
Six Months Ended December 31, | ||||||||||
2002 | 2001 | |||||||||
CASH FLOWS FROM OPERATING ACTIVITIES |
||||||||||
Net loss |
$ | (1,064,123 | ) | $ | (2,156,130 | ) | ||||
Adjustments to reconcile net loss to cash provided by operating activities: |
||||||||||
Depreciation and amortization, including amortization
of deferred loan costs |
771,616 | 1,336,403 | ||||||||
Provision for bad debts |
50,112 | 36,449 | ||||||||
Director compensation paid through the issuance of restricted common
stock |
123,000 | | ||||||||
Changes in operating assets and liabilities: |
||||||||||
Increase in accounts receivable |
(235,174 | ) | (92,851 | ) | ||||||
Decrease in prepaid expenses and other current assets |
202,416 | 50,746 | ||||||||
Decrease in other receivables |
396,890 | 90,692 | ||||||||
Increase in other assets |
(1,970 | ) | (1,516 | ) | ||||||
Decrease in due from HMOs, net |
379,024 | 1,402,787 | ||||||||
Increase in due from Medicare |
301,290 | 265,739 | ||||||||
Increase (decrease) in accounts payable and accrued expenses |
176,208 | (419,274 | ) | |||||||
Decrease in accrued interest payable |
(2,601 | ) | (12,477 | ) | ||||||
Net cash provided by operating activities |
1,096,688 | 500,568 | ||||||||
CASH FLOWS FROM INVESTING ACTIVITY |
||||||||||
Property and equipment additions |
(61,013 | ) | (66,573 | ) | ||||||
Net cash used in investing activity |
(61,013 | ) | (66,573 | ) | ||||||
CASH FLOWS FROM FINANCING ACTIVITIES |
||||||||||
Payments on convertible subordinated notes |
(136,949 | ) | (136,948 | ) | ||||||
Payments on related party notes |
(31,927 | ) | (31,927 | ) | ||||||
Principal repayments under capital lease obligation |
(58,769 | ) | (54,226 | ) | ||||||
Third-party assumption of capital lease obligation |
(1,789 | ) | | |||||||
Net (decrease) increase in Credit Facility |
(315,000 | ) | 400,000 | |||||||
Advances from HMOs |
75,000 | | ||||||||
Payment on advances from HMOs |
(75,000 | ) | (300,000 | ) | ||||||
Repayments on acquisition liability |
(81,506 | ) | | |||||||
Repayments to Medicare per agreement |
(330,333 | ) | (254,451 | ) | ||||||
Net cash used in financing activities |
(956,273 | ) | (377,552 | ) | ||||||
Net increase in cash and cash equivalents |
79,402 | 56,443 | ||||||||
Cash and cash equivalents at beginning of period |
344,276 | 525,482 | ||||||||
Cash and cash equivalents at end of period |
$ | 423,678 | $ | 581,925 | ||||||
SUPPLEMENTAL SCHEDULE OF NONCASH INVESTING AND FINANCING ACTIVITIES: |
||||||||||
Note payable issued for refunds due to Medicare for overpayments |
$ | 694,800 | $ | 37,380 | ||||||
Purchase of furniture and fixtures with proceeds of capital lease obligations |
$ | 40,122 | $ | 36,252 | ||||||
THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
6
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2002
(Unaudited)
NOTE 1 UNAUDITED INTERIM INFORMATION
The accompanying unaudited condensed consolidated financial statements of Continucare Corporation (Continucare or the Company) have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the six- month period ended December 31, 2002 are not necessarily indicative of the results that may be expected for the year ended June 30, 2003. Except as otherwise indicated by the context, the terms the Company or Continucare mean Continucare Corporation and its consolidated subsidiaries.
The balance sheet at June 30, 2002 has been derived from the audited financial statements at that date but does not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements.
For further information, refer to the consolidated financial statements and footnotes thereto included in the Companys Annual Report on Form 10-K for the year ended June 30, 2002.
NOTE 2 GENERAL
Continucare, which was incorporated on February 1, 1996 as a Florida corporation, is a provider of integrated outpatient healthcare and home healthcare services in Florida. Continucares predecessor, Zanart Entertainment, Incorporated (Zanart) was incorporated in 1986. On August 9, 1996, a subsidiary of Zanart merged into Continucare Corporation (the Merger). As a result of the Merger, the shareholders of Continucare became shareholders of Zanart, and Zanart changed its name to Continucare Corporation.
In Fiscal 2000, the Company instituted a series of measures intended to reduce losses and to operate its core business model profitably. In spite of the measures instituted in Fiscal 2000, the Company experienced a deterioration in its claims loss ratio in the first and second quarters of both Fiscal 2001 and 2002. This resulted in operating losses and negative cash flow from operations which prevented the Company from reversing a significant working capital deficiency which originated in prior years. Negative changes in the claims loss ratio, such as were experienced in Fiscal 2001 and 2002, are due to increases in the utilization of health services as well as increases in medical costs without counterbalancing increases in premium revenues from the Companys Health Maintenance Organizations (HMOs) contracts. While the Company has not experienced a deterioration in its claims loss ratio in the first and second quarters of Fiscal 2003, there can be no assurance that such a deterioration will not occur during the remainder of Fiscal 2003. If such a deterioration does occur during the remainder of Fiscal 2003 that, compounded by the limited availability of additional financing through the credit facility, could significantly strain the Companys cash flow. Historically, the Company has been able to realize advantageous HMO benefit changes and premium increases in the third quarter of its fiscal year which have had a positive impact on profitability and cash flow. While we have been notified of HMO benefit changes that became effective January 1, 2003, it cannot currently be determined what impact the benefit changes will have on our profitability or cash flow, if any. There can be no assurance that any benefit changes or premium increases, if any, will be able to offset negative health cost trends.
In an effort to streamline its cost structure and stem operating losses, effective January 1, 2003, the Company has terminated the Medicare and Medicaid lines of business for all of the physician contracts associated with one of its independent practice associations (IPA). The terminated IPA, which consisted of 29 physicians, contributed approximately $4,488,000 in revenue while generating an operating loss of $249,387 during the six-month period ended December 31, 2002 and covered approximately 1,000 Medicare lives at December 31, 2002. There can be no assurances that the Company will achieve any financial benefits as a result of terminating these IPA contracts.
7
Although the financial statements have been prepared assuming that the Company will continue as a going concern, there is a significant uncertainty as to whether the Company will be able to fund its obligations and satisfy its debt obligations as they become due in Fiscal 2003. At December 31, 2002, the working capital deficit was approximately $8,845,000, total indebtedness accounted for approximately 94% of the Companys total capitalization and the Company had principal and interest of approximately $2,008,000 outstanding under the credit facility. (See Note 4.) The credit facility matures on March 31, 2003. The Company obtained this credit facility in Fiscal 2000 based on the personal guarantee of Dr. Phillip Frost and an entity controlled by Mr. Charles Fernandez, former members of the board of directors (collectively, the Guarantors). Dr. Frost and entities affiliated with Dr. Frost owned approximately 50% of our outstanding common stock as of December 31, 2002, assuming conversion of stock options and a convertible promissory note. Their guarantee is effective through the March 31, 2003 maturity date. Based on the Companys current cash flow projections, it appears unlikely that the Company will have sufficient funds available to fully repay the credit facility by March 31, 2003. While the Company intends to either extend or replace the credit facility, either in whole or in part, uncertainty exists as to whether the Company will be able to extend or replace the credit facility without either the Guarantors extending their guarantee or other individuals providing a personal guarantee. If personal guarantees are required, there can be no assurance that the Company will be able to obtain such guarantees. There can be no assurance that the Company will be successful in its attempts to either repay, extend or replace the credit facility and, if so, if this will occur on terms acceptable to the Company.
On October 31, 2003, $1,148,000 of the outstanding principal balance of our Convertible Subordinated Notes Payable (the Notes) is due. Based on the Companys current cash flow projections, it appears unlikely that the Company will have sufficient funds available to make this principal payment. The Company has entered into discussions with the note holders to revise the maturity schedule of the Notes. However, there can be no assurances that the Company will be successful in its attempts to either repay the Notes or negotiate a revised maturity schedule and, if so, if this will occur on terms acceptable to the Company.
The Company plans to fund its capital commitments, operating cash requirements and satisfy its obligations from a combination of cash on hand and operating cash flow improvements realized from decreased utilization, HMO premium increases and advantageous HMO benefit changes. The Company continues to focus on strengthening its core business unit by enhancing its physician network, streamlining its operations and implementing measures to contain the rising costs of providing health services to its members. Such measures include, among other things, emphasizing preventive care, encouraging frequent health check-ups, monitoring compliance with drug therapies, entering into contracts with health care providers such as medical specialists and recommending that its members utilize hospitals and outpatient facilities that have favorable rate structures. There can be no assurances that such measures will provide sufficient cash flow to fund the Companys cash requirements in Fiscal 2003.
NOTE 3 CONVERTIBLE SUBORDINATED NOTES PAYABLE AND RELATED PARTY NOTES PAYABLE
On October 30, 1997, the Company issued $46,000,000 of 8% Convertible Subordinated Notes Payable originally due on October 31, 2002. Through a series of repurchases and troubled debt restructurings in Fiscal 2001 and 2000, the outstanding principal balance of the Notes at December 31, 2002 was approximately $3,913,000, of which $1,148,000 is due on October 31, 2003. The balance of the outstanding Notes on the balance sheet of approximately $4,493,00 includes interest accrued through December 31, 2002 of approximately $46,000 and the remaining interest of approximately $534,000 which will be payable in quarterly payments through the current maturity date of October 31, 2005.
Effective June 30, 2001, the Company completed a restructuring of the Notes, which resulted in, among other things, the issuance of a new convertible note (the New Note) with a principal balance of $912,195 to Frost Nevada Limited Partnership (Frost Nevada), an entity controlled by Dr. Phillip Frost, who was a director of the Company at the time of the restructuring. In July 2001, Frost Nevada transferred approximately 13% of the New Note in a private transaction to a group of six investors (the Related Party Notes). Mr. Angel, the Companys president and chief executive officer, and an entity controlled by Mr. Angel comprise 40% of this investor group. The balance of
8
the outstanding Related Party Notes on the balance sheet at December 31, 2002 of approximately $1,093,000, includes interest of approximately $181,000 which will be payable in quarterly payments through the current maturity date of October 31, 2005.
NOTE 4 CREDIT FACILITY
The Company has entered into a credit facility agreement (Credit Facility). The Credit Facility provides a revolving loan of $3,000,000 which is due and expires on March 31, 2003. Interest is payable monthly at 2.9% plus the 30-day Dealer Commercial Paper Rate which was 1.25% on December 31, 2002. All assets of the Company serve as collateral for the Credit Facility. In addition, the Credit Facility has been guaranteed by Dr. Phillip Frost and an entity controlled by Mr. Charles Fernandez, both of whom were Board members at the time the credit facility was obtained. At December 31, 2002, the outstanding principal and interest balance of the Credit Facility was $2,008,000.
NOTE 5 LOSS PER SHARE
Options and warrants to purchase the Companys common stock were not included in the computation of diluted loss per share because the effect would be antidilutive.
NOTE 6 DIRECTOR COMPENSATION
The Board of Directors granted 100,000 fully vested stock options to all Board members who served in that capacity during calendar years 2001 and 2002. Additionally 100,000 fully vested stock options were awarded to the two newly elected members of the Board. The stock options have an exercise price of $.36 and are valid for a ten year period. The Board members were given the opportunity to elect to receive this compensation in the form of restricted stock instead of stock options. On September 23, 2002, two of the Board members elected to receive their award in the form of stock options for their service in calendar years 2001 and 2002, a combined total of 400,000 options. Also on September 23, 2002, five of the Board members elected to receive their award in the form of restricted stock for their service in calendar years 2001 and 2002, a combined total of 800,000 shares of restricted stock. The value of the restricted stock awarded of $112,000 (based on the closing price of the Companys common stock on September 23, 2002) has been recorded as director compensation in the first quarter of Fiscal 2003.
During October 2002, the Board appointed Dr. Jack Nudel as a new member of the Board. At the time of this appointment, the Board granted 100,000 fully vested stock options to Dr. Nudel with the opportunity to elect to receive this compensation in the form of restricted stock. On October 30, 2002, Dr. Nudel elected to receive this award in the form of restricted stock. The value of the 100,000 shares of restricted stock awarded of $11,000 (based on the closing price of the Companys common stock on October 30, 2002) was recorded as director compensation in the second quarter of Fiscal 2003.
NOTE 7 CONTINGENCIES
The Company is a party to the case of JOAN LINDAHL v. HUMANA MEDICAL PLAN, INC., COLUMBIA HOSPITAL COPRORATION OF SOUTH BROWARD d/b/a WESTSIDE REGIONAL MEDICAL CENTER, INPHYNET CONTRACTING SERVICES, INC., CONTINUCARE MEDICAL MANAGEMENT, INC., LUIS GUERRERO AND JARSLAW PARKOLAP. This case was filed on January 24, 2002 in the Circuit Court of the 17th Judicial Circuit in and for Broward County, Florida and served on the companies and individuals in February 2003. The complaint alleges vicarious liability for medical malpractice and seeks damages in excess of $15,000. The Company intends to defend this case vigorously.
The Company is a party to the case of ELBA GONZALEZ AND EFRAIN PELLOT AS PERSONAL REPRESENTATIVES OF THE ESTATE OF NICHOLAS PELLOT, DECEASED, AND ELBA GONZALEZ AND EFRAIN PELLOT, INDIVIDUALLY AND JOINTLY AS SURVIVING PARENTS v. CONTINUCARE CORPORATION; MICHAEL J. CAVANAUGH, M.D.; GUYLENE KERNISANT, A.R.N.P.; DIAGNOSTIC TESTING GROUP, INC. AND JOHN H. SOKOLOWICZ, M.D. This case was filed on March 12, 2002 in the
9
Circuit Court of the 11th Judicial Circuit in and for Dade County, Florida and served on the companies and individuals in March 2002. The complaint alleges vicarious liability for medical malpractice and seeks damages in excess of $15,000. Trial has been set for June 2, 2003. The Company intends to defend this case vigorously.
Two subsidiaries of the Company are parties to the case of NANCY FEIT ET AL. v. KENNETH BLAZE, D.O. KENNETH BLAZE., D.O., P.A.; SHERIDAN HEALTHCORP, INC.; WAYNE RISKIN, M.D.; KAHN AND RISKIN, M.D., P.A.; CONTINUCARE PHYSICIAN PRACTICE MANAGEMENT, INC., D/B/A ARTHRITIS AND RHEUMATIC DISEASE SPECIALTIES, INC.; JAMES JOHNSON, D.C. AND JOHNSON & FALK, D.C., P.A. The case was filed in December, 1999 in the Circuit Court of the 17th Judicial Circuit in and for Broward County, Florida and served on the companies in April, 2000. The complaint alleges vicarious liability for medical malpractice and seeks damages in excess of $15,000. The Company filed its answer on May 3, 2000. Discovery is still proceeding at a slow pace. The Company has made a demand for assumption of defense and indemnification from Kahn and Riskin, M.D., P.A. and Wayne Riskin, M.D. The demand was initially rejected, but is currently being re-evaluated by their new attorney. The Company and the carriers for Kahn & Riskin, M.D. have been discussing apportionment of responsibilities. The Company intends to defend this case vigorously.
A decision has been rendered in the case of WARREN GROSSMAN, M.D., ALAN REICH, M.D., AND RICHARD STRAIN, M.D. v. CONTINUCARE PHYSICIAN PRACTICE MANAGEMENT, INC. AND CONTINUCARE CORPORATION. On June 27, 2002, the court issued its ruling, dismissing all claims asserted by one of the Plaintiffs. The court found the Company had improperly terminated the employment contract of the other two Plaintiffs, but awarded each only nominal damages in the amount of One Dollar ($1) each. The Company has requested reimbursement for attorneys fees as to two of the Plaintiffs and requested the court to deny any request for attorney fees as to the other Plaintiff based on the award of only nominal damages. The Plaintiffs have also asserted a right to reimbursement of certain attorneys fees. The hearing to address these matters has been rescheduled for March 18, 2003.
On February 13, 1998, the Company acquired the stock of Rehab Management Systems, Inc., Integracare, Inc. and J.R. Rehab Associates, Inc. from Integrated Health Services, Inc. RMS operated numerous rehabilitation clinics in the States of Florida, Georgia, Alabama, North Carolina and South Carolina as a Medicare and Medicaid provider of outpatient services. On April 8, 1999, the Company sold substantially all the assets of RMS and the assumption of certain liabilities to Kessler Rehabilitation of Florida, Inc. (Kessler). On August 13, 1999, RMS was formally dissolved as a corporation with the state of Florida. During the second quarter of Fiscal 2002, the Company became aware that the Centers for Medicare and Medicaid Services (CMS) was pursuing IHS, Kessler and RMS for collection of principal and interest for certain alleged Medicare overpayments made to providers purchased from IHS or linked to the purchased entities through the use of a common provider number for services rendered during calendar years 1996, 1997 and 1998. The Company was aware of its obligation to CMS for any overpayments for services rendered by the Providers during calendar years 1997 and 1998. At the time the cost reports were completed and submitted to CMS for services rendered by the Providers during calendar years 1997 and 1998, the Company recorded an estimate for the overpayments indicated on those cost reports. When the Company purchased RMS, the purchase agreement included indemnification from IHS for any overpayments prior to calendar year 1997. Subsequent to the Companys purchase of RMS, IHS sought protection under Chapter 11 of the United States Bankruptcy Code and, as such, is protected from CMS and RMS efforts to collect on the Alleged Overpayments that relate to calendar year 1996. During the third quarter of Fiscal 2002, it became clear that CMS was pursuing the Company as the primary obligor for all of the Alleged Overpayments, including the calendar year 1996. While the Company disputes the validity of these claims, in an effort to expedite the resolution of these matters and halt CMS aggressive collection procedures which included the threat of withholding payments to the Companys home health agencies, the Company has entered into a memorandum of understanding for the 1996 cost report year and has recorded an approximately $2,441,000 Provision for Medicare Settlement Related to Terminated Operations during the quarter ended March 31, 2002. Under this Memorandum, the Company will make monthly payments of $10,000 for 24 months with the balance of the Memorandum due at the end of the term. The Company has retained the right to dispute the Alleged Overpayments and continues to review and evaluate all information available to determine the validity of CMS claims. During September 2002, the Company requested a reopening of the cost reports and supplied various documentation for cost report years 1996 and 1997 to demonstrate that the Alleged Overpayments
10
are incorrect. The accrual for all Alleged Overpayments is approximately $2,648,000 as of December 31, 2002, of which approximately $251,000 is reflected in current liabilities.
The Company is also involved in other legal proceedings incidental to its business that arise from time to time out of the ordinary course of businessincluding, but not limited to, claims related to the alleged malpractice of employed and contracted medical professionals, workers compensation claims and other employee-related matters, and minor disputes with equipment lessors and other vendors.
The Company has recorded a liability for the Alleged Overpayments as discussed above. Additionally, the Company has recorded an accrual for medical malpractice claims, which includes amounts for insurance deductibles and legal fees, based on managements estimate of the ultimate outcome of such claims. No other liabilities have been recorded for the above matters as it is not possible to estimate the liability, if any, that will result from the resolution of these matters.
NOTE 8 RECENT ACCOUNTING PRONOUNCEMENTS
In December 2002, the FASB issued SFAS No. 148 Accounting for Stock-Based Compensation- Transition and Disclosure- an amendment of FASB Statement No. 123 (FAS 148). This statement amends SFAS No. 123 Accounting for Stock Based Compensation (FAS 123) to provide alternative methods of voluntarily transitioning to the fair value based method of accounting for stock-based employee compensation. FAS 148 also amends the disclosure requirements of FAS 123 to require disclosure of the method used to account for stock-based employee compensation and the effect of the method on reported results in both annual and interim financial statements. The disclosure provisions will be effective for the Company s year ended June 30, 2003. The annual impact of a change to a fair value model has been previously disclosed in the Companys Annual Report on Form 10-K for the year ended June 30, 2002. The Company has not yet completed the final evaluation of the options presented by FAS 148. However, within this fiscal year, the Company expects to reach a determination of whether and, if so, when to change the Companys existing accounting for stock-based compensation to the fair value method in accordance with the transition alternatives of FAS 148.
11
ITEM 2. MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
Unless otherwise indicated or the context otherwise requires, all references in this Form 10-Q to we, us, our, Continucare or the Company refers to Continucare Corporation and its consolidated subsidiaries.
CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS
We caution our investors that certain important factors may affect our actual results and could cause such results to differ materially from any forward-looking statement which may have been deemed to have been made in this report or which are otherwise made by us or on our behalf. For this purpose, any statements contained in this report that are not statements of historical fact may be deemed to be forward-looking statements. Without limiting the generality of the foregoing, words such as may, will, expect, believe, anticipate, intend, plan, could, would, estimate, continue or pursue, or the negative other variations thereof or comparable terminology are intended to identify forward-looking statements. Such statements include, but are not limited to, statements regarding our ability to fund our obligations and satisfy our debt obligations as they become due, our plans for future capital expenditures and capital needs, and our ability to maintain our listing with the American Stock Exchange. Forward-looking statements involve risks and uncertainties that cannot be predicted or quantified and, consequently, actual results may differ materially from those expressed or implied by such forward-looking statements. Such risks and uncertainties include, but are not limited to, the risk of pricing pressures exerted on us by managed care organizations and the level of payments we receive under governmental programs or from other payors, risks relating to the recoverability of our goodwill and intangible assets, risks related to our ability to recruit and retain medical professionals, risks related to the collection of our home health agencies Medicare claims on a timely basis, and risks regarding our ability to expand our home health agencies into other counties. Other factors that may affect our future results include certain economic, competitive, governmental and other factors. We assume no responsibility to update our forward-looking statements as a result of new information, future events or otherwise. Additional information concerning these and other risks and uncertainties is contained our filings with the Securities and Exchange Commission, including the section entitled Risk Factors in our Annual Report on Form 10-K for the year ended June 30, 2002.
General
We are a provider of integrated outpatient healthcare and home healthcare services in Florida. As of December 31, 2002, we operated, owned and/or managed fifteen staff model clinics in south and central Florida; an Independent Practice Association (the IPA) with 35 physicians (the Managed Care Division); and four home health agencies. Our Managed Care Division provided managed care services for approximately 106,000 member months (members per month multiplied by the months for which services were available) during each of the six-month periods ended December 31, 2002 and 2001.
Effective January 1, 2003, we terminated the Medicare and Medicaid lines of business for all of the physician contracts associated with one of our independent practice associations. The terminated IPA, which consisted of 29 physicians, contributed approximately $4,488,000 in revenue while generating an operating loss of $249,387 during the six-month period ended December 31, 2002 and covered approximately 1,000 Medicare lives at December 31, 2002. While this termination is intended to streamline our cost structure and stem operating losses, there can be no assurances that we will achieve any financial benefits as a result of terminating these IPA contracts.
Reimbursement Considerations
Our home health agencies (HHAs) receive reimbursement from the Medicare and Medicaid programs, insurers, self-funded benefit plans for home health agencies and other third-party payors. The Medicare and Medicaid programs are subject to statutory and regulatory changes, retroactive and prospective rate adjustments, administrative rulings and funding restrictions, any of which could have the effect of limiting or reducing
12
reimbursement levels. Although we derived less than 3% of our net medical services revenue directly from the Medicare and Medicaid programs in the six-month period ended December 31, 2002, a substantial portion of our managed care revenues are based upon Medicare reimbursable rates. Any changes that limit or reduce Medicare reimbursement levels could have a material adverse effect on our business. Further, significant changes may be made in the Medicare program, which could have a material adverse effect on our business, results of operations, prospects, financial results, financial condition or cash flows. In addition, the Congress of the United States may enact unfavorable legislation, which could adversely affect operations by, for example, decreasing Medicare reimbursement rates.
Effective October 1, 2000, our Medicare HHA services became subject to the prospective pay system (PPS). Under PPS, we are reimbursed a fixed fee per treatment unit. If we have costs greater than the fixed fee amount, we will incur losses for our Medicare HHA services. Effective October 1, 2002, we became subject to a 15% reduction to the cost limits and per-patient limits that were in place as of September 30, 1999 as a result of the Balanced Budget Act of 1997. This reduction has negatively impact our home health Medicare reimbursement. In addition, future changes in reimbursement rates could have a material adverse effect on our business, financial condition or results of operations.
Most services provided by a HHA must be billed by the HHA, and outside suppliers may not bill the Medicare program directly for services provided by the supplier under arrangements with the HHA. Instead, the HHA must provide most home health services either directly or pursuant to an arrangement with an outside supplier if the HHA bills Medicare directly. The Centers for Medicare and Medicaid Services (CMS) clarifies that the law is silent regarding the specific terms of HHA payments to outside suppliers and does not authorize Medicare to impose any such requirements. To the extent that our HHAs utilize outside providers for the provision of applicable home health services, we believe we are in compliance with the consolidated billing requirements. Additionally, to the extent that we use outside providers, our cost to obtain such services may be greater than the reimbursement provided by the Medicare program, especially if Medicare reimbursement decreases but the cost of such services to us increases or stays constant.
Payments per visit from managed care organizations typically have been lower than cost-based reimbursement from Medicare and reimbursement from other payors for nursing and related patient services. In addition, payors and employer groups are exerting pricing pressure on home health care providers, resulting in reduced profitability. Such pricing pressures could have a material adverse effect on our business, results of operations, prospects, financial results, financial condition or cash flows.
Accounting Policies
GeneralThe preparation of financial statements in conformity with accounting principles generally accepted in the United States requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. Changes in estimates are charged or credited to operations as the estimates are revised.
We have adopted accounting policies which we believe will result in an accurate presentation of our financial position. We consider critical accounting policies to be those that require more significant judgments and estimates in the preparation of our financial statements and include the following: (1) revenue recognition; (2) recording the cost of health care services; and (3) consideration of impairment of intangible assets.
Revenue recognitionRevenue is recorded in the period services are rendered as determined by the respective contract.
Under our contracts with HMOs, we receive a percentage of premium (POP) that is paid by or on behalf of each covered life that chooses our physicians as their primary care physicians in exchange for assuming responsibility for the provision of medical services. To the extent that patients require more frequent or expensive care, our revenue under a contract may be insufficient to cover the costs of care provided. When it is probable that expected future
13
health care costs and maintenance costs under a contract or group of existing contracts will exceed anticipated POP revenue on those contracts, we recognize losses on our prepaid healthcare services with HMOs. No contracts are considered loss contracts at December 31, 2002 because we have the right to terminate unprofitable physicians and close unprofitable centers under our managed care contracts.
Amounts received for treatment of individuals covered by Medicare, Medicaid and other contracted reimbursement programs, which may be based on the cost of services provided or predetermined rates, are generally less than the established billing rates of our facilities. Final determination of amounts received from Medicare and Medicaid is subject to review and audit by the appropriate agencies. Differences between amounts recorded as estimated settlements and the audited amounts are reflected as adjustments to revenues in the period the final determination is made.
Recording the cost of health care servicesThe cost of health care services provided or contracted for is accrued in the period in which the services are provided. On a monthly basis we provide for claims incurred but not reported based on past experience together with current factors. Estimates are adjusted as changes in these factors occur and such adjustments are reported in the period of determination. An actuarial calculation has been completed and indicates that claims incurred but not reported as of December 31, 2002 are between approximately $12,192,000 and $13,851,000. As of December 31, 2002, we have recorded a liability of approximately $13,536,000 for claims incurred but not reported. Although considerable variability is inherent in such estimates, we believe that the amounts accrued for incurred but not reported medical claims are adequate.
Consideration of impairment of costs in excess of net tangible assetsWe evaluate the recovery of the carrying amount of costs in excess of net tangible assets acquired by determining if a permanent impairment has occurred. This evaluation is done annually or more frequently if indicators of permanent impairment arise. Indicators of a permanent impairment include, among other things, significant adverse change in legal factors or the business climate, an adverse action by a regulator, unanticipated competition, loss of key personnel or allocation of goodwill to a portion of business that is to be sold. As we operate in a single segment of business, that of managing the provision of outpatient health care and health care related services in the State of Florida, management has determined that we have a single reporting unit and perform the annual impairment calculation for goodwill on an entity level. In performing the impairment test, we compare our fair value, as determined by the current market value of our common stock, to the current carrying value of the total assets, including goodwill and intangible assets. We perform our annual impairment test on May 1st of each year. In addition to the annual impairment test, we are required to perform an impairment test any time an indicator of impairment occurs, such as those noted above. At such time as an impairment is determined, the intangible assets are written off during that period. Although considerable care is taken to ensure that impairment losses are recorded when indicators of impairment occur, material differences could occur if changes in the impairment indicators arise in the future.
RESULTS OF OPERATIONS
The following discussion and analysis should be read in conjunction with the unaudited condensed consolidated financial statements and notes thereto appearing elsewhere in this Form 10-Q.
THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF CONTINUCARE FOR THE THREE-MONTH PERIOD ENDED DECEMBER 31, 2002 AS COMPARED TO THE THREE- MONTH PERIOD ENDED DECEMBER 31, 2001.
Revenue
Medical services revenues increased 2.7% from approximately $26,263,000 for the three-month period ended December 31, 2001 to approximately $26,979,000 for the three-month period end December 31, 2002. The increase was primarily the result of increases in the premium revenue per member and negotiated increases in the percentage of premium revenue we receive for certain of our members. These increases were offset by an approximately 5.7% decrease in member months during the three-month period ended December 31, 2002.
14
Revenue generated by our managed care entities under our contracts with Humana Medical Plans, Inc. (Humana) was 70% and 66% of medical services revenue for the three-month period ended December 31, 2002 and 2001, respectively. Revenue generated by our managed care entities under our contracts with Vista of South Florida, Inc. and its affiliated companies (Vista), formerly Foundation Health Corporation Affiliates, was 26% and 29% of medical services revenue for the three-month periods ended December 31, 2002 and 2001, respectively. Revenue generated by our home health agencies was approximately 4% and 5% of medical services revenue during the three-month periods ended December 31, 2002 and 2001, respectively, and consisted primarily of Medicare reimbursement.
Expenses
Medical services expenses for the three-month period ended December 31, 2002 were approximately $23,668,000 or 87.7% of medical services revenue compared to approximately $23,244,000 or 88.5% of medical services revenue for the three-month period ended December 31, 2001. Medical services expense includes medical claims expense as well as other direct costs associated with providing medical services.
Medical claims represent the costs of medical services provided by providers other than us but which are to be paid by us for individuals covered by our percentage of premium contracts with HMOs. Claims expense was approximately $20,181,000 and $19,908,000 for the three-month periods ended December 31, 2002 and 2001, respectively, or 77.6% and 79.7% of medical services revenues derived from our managed care entities. The annualized claims ratio for Fiscal 2002 was 81.8%. Our claim loss ratio varies due to fluctuations in utilization, medical costs and premium revenues.
Other direct costs include the salaries and benefits of health professionals providing the services, capitation payments to our contracted IPA physicians, and other costs necessary to operate our facilities. Other direct costs were approximately $3,487,000 and $3,336,000 for the three-month periods ended December 31, 2002 and 2001, respectively, or 12.9% and 12.7% of medical services revenues.
Payroll and employee benefits for administrative personnel was approximately $1,631,000 for the three-month period ended December 31, 2002, or 6.0% of revenues, compared to approximately $1,417,000 or 5.4% of revenue for the three-month period ended December 31, 2001. The increase in payroll and employee benefits during the three-month period ended December 31, 2002 is primarily due to the following: (i) director compensation of $11,000 during the three-month period ended December 31, 2002; (ii) the filling of the general counsel position which had been vacant during the three-month period ended December 31, 2001; and (iii) annual salary increases.
Professional fees were approximately $69,000 for the three-month period ended December 31, 2002 as compared to approximately $281,000 for the three-month period ended December 31, 2001. The decrease in professional fees is due to various litigation that was significantly resolved or settled prior to the second quarter of Fiscal 2003 and to a payment from our directors and officers insurance carrier reimbursing us for certain legal expenses incurred in prior periods.
General and administrative expenses for the three-month period ended December 31, 2002 were approximately $1,575,000 or 5.8% of revenues compared to approximately $1,243,000 or 4.7% of revenues for the three-month period ended December 31, 2001. During the three-month period ended December 31, 2001, we adjusted our accruals for various liabilities, including a settlement for a liability related to a closed subsidiary. The adjustment of these liabilities resulted in a reduction of approximately $200,000 of general and administrative expenses during the three-month period ended December 31, 2001. No similar transaction occurred during the three-month period ended December 31, 2002.
Depreciation and amortization decreased approximately 27.4% to approximately $164,000 for the three-month period ended December 31, 2002 from approximately $225,000 for the three-month period ended December 31, 2001. The decrease is due primarily to certain intangible assets which became fully amortized during the second quarter of Fiscal 2002.
15
Loss from Operations
Loss from operations for the three-month period ended December 31, 2002 was approximately $153,000 or 0.6% of total revenues, compared to a loss from operations of $171,497 or 0.7% of total revenues for the three-month period ended December 31, 2001.
Interest Expense
Interest expense was approximately $222,000 for the three-month period ended December 31, 2002 as compared to approximately $424,000 for the three-month period ended December 31, 2001. The decrease is due to certain deferred financing costs which became fully amortized during the second quarter of Fiscal 2003.
Net Loss
Net loss for the three-month period ended December 31, 2002 was $372,487 compared to a net loss of $586,460 for the three-month period ended December 31, 2001.
Recent Development
Effective January 1, 2003, we terminated the Medicare and Medicaid lines of business for all of the physician contracts associated with one of our independent practice associations (IPA). The terminated IPA, which consisted of 29 physicians, contributed approximately $2,020,000 in revenue while generating an operating loss of $97,900 during the three-month period ended December 31, 2002 and covered approximately 1,000 Medicare lives at December 31, 2002. While this termination is intended to streamline our cost structure and stem operating losses, there can be no assurances that we will achieve any financial benefits as a result of terminating this line of business.
THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF CONTINUCARE FOR THE SIX-MONTH PERIOD ENDED DECEMBER 31, 2002 AS COMPARED TO THE SIX- MONTH PERIOD ENDED DECEMBER 31, 2001.
Revenue
Medical services revenues increased 7.7% from approximately $49,993,000 for the six-month period ended December 31, 2001 to approximately $53,839,000 for the six-month period end December 31, 2002. The increase was primarily the result of increases in the premium revenue per member and negotiated increases in the percentage of premium revenue we receive for certain of our members.
Revenue generated by our managed care entities under our contracts with Humana was 70% and 66% of medical services revenue for the six-month period ended December 31, 2002 and 2001, respectively. Revenue generated by our managed care entities under our contracts with Vista, was 27% and 29% of medical services revenue for the six-month periods ended December 31, 2002 and 2001, respectively. Revenue generated by our home health agencies was approximately 3% and 5% of medical services revenue during the six-month periods ended December 31, 2002 and 2001, respectively, and consisted primarily of Medicare reimbursement.
Expenses
Medical services expenses for the six-month period ended December 31, 2002 were approximately $47,425,000 or 88.1% of medical services revenue compared to approximately $44,928,000 or 89.9% of medical services revenue for the six-month period ended December 31, 2001. Medical services expense includes medical claims expense as well as other direct costs associated with providing medical services.
Medical claims represent the costs of medical services provided by providers other than us but which are to be paid by us for individuals covered by our percentage of premium contracts with HMOs. Claims expense was approximately $40,447,000 and $38,406,000 for the six-month periods ended December 31, 2002 and 2001,
16
respectively, or 77.9% and 80.9% of medical services revenues derived from our managed care entities. The annualized claims ratio for Fiscal 2002 was 81.8%. Our claim loss ratio varies due to fluctuations in utilization, medical costs and premium revenues.
Other direct costs include the salaries and benefits of health professionals providing the services, capitation payments to our contracted IPA physicians, and other costs necessary to operate our facilities. Other direct costs were approximately $6,978,000 and $6,522,000 for the six-month periods ended December 31, 2002 and 2001, respectively, or 13.0% and 13.1% of medical services revenues.
Payroll and employee benefits for administrative personnel was approximately $3,205,000 for the six-month period ended December 31, 2002, or 6.0% of revenues, compared to approximately $2,703,000 or 5.4% of revenue for the six-month period ended December 31, 2001. The increase in payroll and employee benefits during the six-month period ended December 31, 2002 is primarily due to the following: (i) director compensation of $123,000 during the six-month period ended December 31, 2002; (ii) the filling of the general counsel position which had been vacant during the six-month period ended December 31, 2001; and (iii) annual salary increases.
Professional fees were approximately $328,000 for the six-month period ended December 31, 2002 as compared to approximately $508,000 for the six-month period ended December 31, 2001. The decrease in professional fees is due to various litigation that was significantly resolved or settled prior to the second quarter of Fiscal 2003 and to a payment from our directors and officers insurance carrier reimbursing us for certain legal expenses incurred in prior periods.
General and administrative expenses for the six-month period ended December 31, 2002 were approximately $2,947,000 or 5.5% of revenues compared to approximately $2,505,000 or 5.0% of revenues for the six-month period ended December 31, 2001. During the three-month period ended December 31, 2001, we adjusted our accruals for various liabilities, including a settlement for a liability related to a closed subsidiary. The adjustment of these liabilities resulted in a reduction of approximately $200,000 of general and administrative expenses during the three-month period ended December 31, 2001. No similar transaction occurred during the six-month period ended December 31, 2002.
Depreciation and amortization decreased approximately 50.4% to approximately $339,000 for the six-month period ended December 31, 2002 from approximately $684,000 for the six-month period ended December 31, 2001. The decrease is due primarily to certain intangible assets which became fully amortized during the first and second quarters of Fiscal 2002.
Loss from Operations
Loss from operations for the six-month period ended December 31, 2002 was approximately $456,000 or 0.8% of total revenues, compared to a loss from operations of approximately $1,370,000 or 2.7% of total revenues for the six-month period ended December 31, 2001.
Interest Expense
Interest expense was approximately $612,000 for the three-month period ended December 31, 2002 as compared to approximately $816,000 for the three-month period ended December 31, 2001. The decrease is due to certain deferred financing costs which became fully amortized during the second quarter of Fiscal 2003.
Net Loss
Net loss for the six-month period ended December 31, 2002 was approximately $1,064,000 compared to a net loss of approximately $2,156,000 for the six-month period ended December 31, 2001.
17
Recent Development
Effective January 1, 2003, we terminated the Medicare and Medicaid lines of business for all of the physician contracts associated with one of our independent practice associations (IPA). The terminated IPA, which consisted of 29 physicians, contributed approximately $4,488,000 in revenue while generating an operating loss of $249,387 during the six-month period ended December 31, 2002 and covered approximately 1,000 Medicare lives at December 31, 2002. While this termination is intended to streamline our cost structure and stem operating losses, there can be no assurances that we will achieve any financial benefits as a result of terminating this line of business.
LIQUIDITY AND CAPITAL RESOURCES
Although our financial statements have been prepared assuming we will continue as a going concern, there is a significant uncertainty as to whether we will be able to fund our obligations and satisfy our debt obligations as they become due in Fiscal 2003. At December 31, 2002, the working capital deficit was approximately $8,845,000, total indebtedness accounted for approximately 94% of our total capitalization and we had principal and interest of approximately $2,008,000 outstanding under the credit facility. (See Note 4 of the condensed consolidated financial statements.) The credit facility matures on March 31, 2003. We obtained this credit facility in Fiscal 2000 based on the personal guarantee of Dr. Phillip Frost and an entity controlled by Mr. Charles Fernandez, former members of the board of directors (collectively, the Guarantors). Dr. Frost and entities affiliated with Dr. Frost, owned approximately 50% of our outstanding common stock as of December 31, 2002, assuming conversion of stock options and a convertible promissory note. Their guarantee is effective through the March 31, 2003 maturity date. Based on our current cash flow projections, it appears unlikely that we will have sufficient funds available to fully repay the credit facility by March 31, 2003. While we intend to either extend or replace the credit facility, either in whole or in part, uncertainty exists as to whether we will be able to extend or replace the credit facility without either the Guarantors extending their guarantee or other individuals providing a personal guarantee. If personal guarantees are required, there can be no assurance that we will be able to obtain such guarantees. There can be no assurance that we will be successful in our attempts to either repay, extend or replace the credit facility and, if so, if this will occur on terms acceptable to us.
On October 31, 2003, $1,148,000 of the outstanding principal balance of our Convertible Subordinated Notes Payable (the Notes) is due. Based on our current cash flow projections, it appears unlikely that we will have sufficient funds available to make this principal payment. We have entered into discussions with the note holders to revise the maturity schedule of the Notes. However, there can be no assurances that we will be successful in our attempts to either repay the Notes or negotiate a revised maturity schedule and, if so, if this will occur on terms acceptable to us.
In Fiscal 2000, we instituted a series of measures intended to reduce losses and to operate our core business model profitably. In spite of the measures instituted in Fiscal 2000, we experienced a deterioration in our claims loss ratio in the first and second quarters of both Fiscal 2001 and 2002. This resulted in operating losses and negative cash flow from operations, which prevented us from reversing a significant working capital deficiency which originated in prior years. Negative changes in the claims loss ratio, such as we experienced in Fiscal 2001 and 2002, are due to increases in the utilization of health services as well as increases in medical costs without counterbalancing increases in premium revenues from the HMOs. While we have not experienced a deterioration in our claims loss ratio in the first and second quarters of Fiscal 2003, there can be no assurance that such a deterioration will not occur during the remainder of Fiscal 2003. If such a deterioration does occur during the remainder of Fiscal 2003 that, compounded by the limited availability of additional financing through the credit facility, could significantly strain our cash flow. Historically, we have been able to realize advantageous HMO benefit changes and premium increases in the third quarter of our fiscal year which have had a positive impact on profitability and cash flow. While we have been notified of HMO benefit changes that became effective on January 1, 2003, it cannot currently be determined what impact the benefit changes will have on our profitability or cash flow, if any. There can be no assurances that any benefit changes or premium increases, if any, will be able to offset negative health cost trends and allow us to meet our cash requirements in Fiscal 2003.
18
We plan to fund our capital commitments, operating cash requirements and satisfy our obligations from a combination of cash on hand and operating cash flow improvements realized from decreased utilization, HMO premium increases and advantageous HMO benefit changes. We continue to focus on strengthening our core business unit by enhancing our physician network, streamlining our operations and implementing measures to contain the rising costs of providing health services to our members. Such measures include, among other things, emphasizing preventive care, encouraging frequent health check-ups, monitoring compliance with drug therapies, entering into our own contracts with health care providers such as medical specialists and recommending that our members utilize hospitals and outpatient facilities that have favorable rate structures. If we cannot continue to improve our controls and procedures for managing our costs, our business, results of operations, and cash flow may be materially adversely affected and we may be unable to meet our financial obligations as they become due.
If we are unable to satisfy our cash requirements, we may be required to take certain steps, such as borrowing additional funds, restructuring our indebtedness, selling assets, selling equity, reducing or delaying capital expenditures or payments to trade creditors and forgoing certain business opportunities. If we need additional capital to repay our obligations or fund operations, there can be no assurances that such capital can be obtained or, if obtained, that it will be on terms acceptable to us. The incurring or assumption of additional indebtedness could result in the issuance of additional equity and/or debt which can have a dilutive effect on current shareholders and a significant effect on our operations.
Our net loss was approximately $1,064,000 for the six-month period ended December 31, 2002. Net cash provided by operations for the six-month period ended December 31, 2002 was approximately $1,095,000. The following were the most significant items which are reflected in our net loss but did not impact our cash flows from operations during the six-month period ended December 31, 2002:
| Depreciation and amortization, including the amortization of deferred loan costs, reduced net income by approximately $772,000, without reducing cash from operations. | ||
| The increase in due to/from Medicare was approximately $301,000. This increase reflects the receivable from Medicare generated from our current home health operations as offset by amounts due to Medicare from overpayments in prior years for filed cost reports. This net increase in due from Medicare reduced our net loss for the six-month period ended December 31, 2002, but did not impact the cash flows from operations in same six-month period. | ||
| Increases in accounts payable and accrued expenses reduced net income by approximately $176,000, without reducing cash from operations. | ||
| During the six-month period ended December 31, 2002, we recorded $123,000 in director compensation which was paid through the issuance of 900,000 shares of restricted common stock. This director compensation reduced net income without reducing cash from operations. | ||
| Increases in accounts receivable of approximately $235,000 reduced our net loss during the six-month period ended December 31, 2002, but did not impact the cash flows from operations in the same six-month period. | ||
| Decreases in prepaid expenses and other current assets of approximately $202,000 reduced our net income during the six-month period ended December 31, 2002, but did not impact the cash flows from operations in the same six-month period. |
The above items were offset by the following items which did not impact our net loss during the six-month period ended December 31, 2002, but did increase cash from operations during the same six-month period:
| Our net receivable from HMOs decreased by approximately $379,000 and did not impact our net loss but did provide cash during the six-month period ended December 31, 2002. | ||
| Decreases in other receivables of approximately $397,000 did not impact our net loss but did provide cash during the six-month period ended December 31, 2002. |
19
Our cash used in investing activities was approximately $61,000 for the six-month period ended December 31, 2002, primarily for the purchase of equipment. Our cash used in financing activities for the six-month period ended December 31, 2002 was approximately $954,000, primarily due to net repayments of $315,000 on our credit facility and payments of various notes payable of approximately $639,000.
Approximately 3% of our medical services revenue during the three-month period ended December 31, 2002 was derived from our HHAs. Effective October 1, 2000, two of our HHAs, which primarily provide services to patients eligible under the Medicare program, began to be reimbursed by Medicare under the prospective payment system. Under PPS, we are paid a predetermined fee for services provided to patients for every 60-day period for which care is rendered. On October 1, 2002, a 15% reduction to the cost limits and per-patient limits that were in place as of September 30, 1999 became effective as a result of the Balanced Budget Act of 1997. This reduction resulted in a decrease in the predetermined fees under PPS, on average, by approximately 4% to 6% in the localities in which we operate our HHAs. We continue to take steps to operate effectively and efficiently under PPS predetermined fee schedule. This reduction in the reimbursement under PPS predetermined fee schedule had a negative impact on our business, results of operations and cash flow.
Prior to the implementation of PPS, our HHAs were reimbursed for services provided based on a reasonable cost methodology. We were reimbursed for cost reimbursable items at a tentative rate with final settlement determined after submission of annual cost reports and subsequent audits by CMS. Changes in the estimated settlements we recorded may be adjusted in future periods as final settlements are determined and may have a material adverse affect on our results of operations and cash flow. See Note 5 in our Consolidated Financial Statements in our Annual Report on Form 10-K for the year ended June 30, 2002 regarding amounts currently due to CMS.
One of our HMO contracts requires that we fund a claims reserve out of operating profits of certain of our staff model clinics. At December 31, 2002, this required reserve was fully funded. The HMO can only draw upon this reserve in the event that the staff model clinics in question have incurred an account deficit and that we are unable or unwilling to satisfy the HMOs demand to fund the deficit. At no time during the six-month period ended December 31, 2002 were the staff model clinics in question in an account deficit position.
At December 31, 2002, we were not in compliance with the repayment terms of a contract modification note with an HMO. The balance of $3,850,000 outstanding at December 31, 2002 has been classified as a current liability in our consolidated financial statements. On February 14, 2003, we signed a Letter of Intent with the HMO whereby we will manage an Independent Physician Network ("IPN") for the HMO in the South Florida area and, simultaneously, the HMO will restructure the terms of the contract modification note. Upon execution of final documents memorializing these transactions, the contract modification note will be cancelled. If the above transactions are consummated as currently detailed in the Letter of Intent, a portion of the gain on the extinguishment of debt will be deferred and recognized as services are provided under the IPN agreement. There can be no assurances that these transactions will be completed on terms acceptable to us.
Other factors that could affect our liquidity and cash flow which are also discussed in our Annual Report on Form 10-K for the year ended June 30, 2002 include: (i) increasing costs of health care services; (ii) loss of a material contract; (iii) decreases in reimbursement rates by third-party payors; (iv) retroactive cost report adjustments; (v) adverse governmental regulation, (vi) damage awards under pending or future litigation; and (vii) increased insurance costs.
On July 30, 2002, the American Stock Exchange notified us it had completed its review of our listing qualifications and has accepted our plan to regain compliance with continued listing standards by December 31, 2003. The plan includes quarterly milestones. If we do not show progress in obtaining these milestones or if we are unable to regain compliance with the continued listing standards by December 31, 2003, our common stock may be delisted from the Exchange. As of the date of this filing, we are still below the continued listing requirements of the Exchange with respect to requirements which include the need for us to maintain stockholders equity of at least $4 million and not sustain losses from continuing operations and/or net losses in two of our three most recent fiscal years. We are unable to guarantee that the Exchange will continue to list our common stock.
20
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
At December 31, 2002, we had only cash equivalents, invested in high grade, very short-term securities, which are not typically subject to material market risk. We have loans outstanding at fixed rates. For loans with fixed interest rates, a hypothetical 10% change in interest rates would have no impact on our future earnings and cash flows related to these instruments. A hypothetical 10% change in interest rates would have an immaterial impact on the fair value of these instruments. Our Credit Facility is interest rate sensitive. A 100 basis point adverse movement (increase) in interest rates would have immaterially increased our net loss for the six-month periods ended December 31, 2002 and 2001. We have no material risk associated with foreign currency exchange rates or commodity prices.
ITEM 4. CONTROLS AND PROCEDURES
Our Chief Executive Officer and Chief Financial Officer have evaluated the effectiveness of the design and operation of our disclosure controls and procedures within the last ninety days and have concluded that the disclosure controls and procedures are effective in timely alerting them to material information relating to the Company and its subsidiaries required to be included in our periodic filings with the Securities and Exchange Commission. There were no significant changes in our internal controls or in other factors that could significantly affect these controls subsequent to the last day they were evaluated by our Chief Executive Officer and Chief Financial Officer, nor were there any corrective actions required with regard to significant deficiencies and material weaknesses.
21
PART II OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS
See Note 7 of our Condensed Consolidated Financial Statements.
ITEM 2. CHANGES IN SECURITIES AND USE OF PROCEEDS
On October 30, 2002, an aggregate amount of 100,000 shares of our common stock were awarded to a new member of our Board of Directors in consideration for serving on our Board of Directors. The common stock was issued in reliance upon the exemption from registration provided by Section 4(2) of the Securities Act of 1933, as amended. The value of the restricted stock award of $11,000 was recorded as director compensation in the current quarter based on the closing price of our common stock on October 30, 2002.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES
Not Applicable
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
None
ITEM 5. OTHER INFORMATION
Not Applicable
ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K
(a) Exhibits
99.1 | Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. | |||||
99.2 | Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
(b) Reports on Form 8-K
None.
22
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
CONTINUCARE CORPORATION | ||
Dated: February 14, 2003 | By: /s/ Spencer J. Angel | |
|
||
Spencer J. Angel Chief Executive Officer and President |
||
By: /s/ Janet L. Holt | ||
|
||
Janet L. Holt Chief Financial Officer |
23
CERTIFICATION
I, Spencer J. Angel, Chief Executive Officer of Continucare Corporation (the Company), certify that:
1. I have reviewed this quarterly report on Form 10-Q of the Company;
2. Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary in order to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report;
3. Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the Company as of, and for, the periods presented in this quarterly report;
4. The Companys Chief Financial Officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the Company and we have:
(a) designed such disclosure controls and procedures to ensure that material information relating to the Company, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared; |
(b) evaluated the effectiveness of the Companys disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the Evaluation Date); and |
(c) presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date; |
5. The Companys Chief Financial Officer and I have disclosed, based on our most recent evaluation, to the Companys auditors and to the audit committee of the Companys board of directors:
(a) all significant deficiencies in the design or operation of internal controls which could adversely affect the Companys ability to record, process, summarize and report financial data and have identified for the Companys auditors any material weaknesses in internal controls; and |
(b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Companys internal controls; and |
6. The Companys Chief Financial Officer and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.
Date: February 14, 2003 | By: /s/ Spencer J. Angel | |
|
||
SPENCER J. ANGEL Chief Executive Officer, Chief Operating Officer and President |
CERTIFICATION
I, Janet L. Holt, Chief Financial Officer of Continucare Corporation (the Company), certify that:
1. I have reviewed this quarterly report on Form 10-Q of the Company;
2. Based on my knowledge, this quarterly report does not contain any untrue statement of a material fact or omit to state a material fact necessary in order to make the statements made, in light of the circumstances under which such statements were made, not misleading with respect to the period covered by this report; and
3. Based on my knowledge, the financial statements, and other financial information included in this quarterly report, fairly present in all material respects the financial condition, results of operations and cash flows of the Company as of, and for, the periods presented in this quarterly report.
4. The Companys Chief Executive Officer and I are responsible for establishing and maintaining disclosure controls and procedures (as defined in Exchange Act Rules 13a-14 and 15d-14) for the Company and we have:
(a) designed such disclosure controls and procedures to ensure that material information relating to the Company, including its consolidated subsidiaries, is made known to us by others within those entities, particularly during the period in which this quarterly report is being prepared; |
(b) evaluated the effectiveness of the Companys disclosure controls and procedures as of a date within 90 days prior to the filing date of this quarterly report (the Evaluation Date); and |
(c) presented in this quarterly report our conclusions about the effectiveness of the disclosure controls and procedures based on our evaluation as of the Evaluation Date; |
5. The Companys Chief Executive Officer and I have disclosed, based on our most recent evaluation, to the Companys auditors and to the audit committee of the Companys board of directors:
(a) all significant deficiencies in the design or operation of internal controls which could adversely affect the Companys ability to record, process, summarize and report financial data and have identified for the Companys auditors any material weaknesses in internal controls; and |
(b) any fraud, whether or not material, that involves management or other employees who have a significant role in the Companys internal controls; and |
6. The Companys Chief Executive Officer and I have indicated in this quarterly report whether or not there were significant changes in internal controls or in other factors that could significantly affect internal controls subsequent to the date of our most recent evaluation, including any corrective actions with regard to significant deficiencies and material weaknesses.
Date: February 14, 2003 | By: /s/ Janet L. Holt | |
|
||
JANET L. HOLT Chief Financial Officer |
EXHIBIT INDEX
Description | Exhibit Number | |||
Certification Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 | 99.1 | |||
Certification Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 | 99.2 |