Back to GetFilings.com
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT
OF 1934
For the Fiscal Year Ended December 31, 2000
-----------------
OR
[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)OF THE SECURITIES EXCHANGE
ACT OF 1934
For the Transition Period from _____________ to ______________
001-14665
COMMISSION FILE NUMBER
CLAIMSNET.COM INC.
------------------
(Exact name of registrant as specified in its charter)
Delaware 75-2649230
-------- ----------
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification No.)
12801 N. Central Expressway, Suite 1515
Dallas, Texas 75243
------------- -----
(Address of principal (Zip Code)
executive offices)
Registrant's telephone number, including area code: 972-458-1701
Indicate by check mark whether the registrant: (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes [X] No [ ]
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405
of Regulation S-K (229.405 of this chapter) is not contained, to the best of
registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K [ ]
The aggregate market value of the Common Stock of the registrants held by
non-affiliates of the registrant, based on the closing sales price on Nasdaq
SmallCap stock market on April 12, 2001 was $17,791,374.
Indicate the number of shares outstanding of each of the issuer's classes of
common stock, as of the latest practicable date. Common Stock, $.001 par value,
10,465,514 shares outstanding as of April 12, 2001.
DOCUMENTS INCORPORATED BY REFERENCE
None.
PART I
THIS REPORT CONTAINS FORWARD-LOOKING INFORMATION THAT INVOLVES RISKS AND
UNCERTAINTIES. OUR ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE ANTICIPATED
BY THE FORWARD-LOOKING INFORMATION. FACTORS THAT MAY CAUSE SUCH DIFFERENCES
INCLUDE, BUT ARE NOT LIMITED TO, THOSE DISCUSSED ELSEWHERE IN THIS REPORT
INCLUDING OUR ABILITY TO SECURE ADDITIONAL FUNDING, DEVELOP AND MAINTAIN
STRATEGIC PARTNERSHIPS OR ALLIANCES, INCREASE OUR CUSTOMER BASE, DEVELOP OUR
TECHNOLOGY AND TRANSACTION PROCESSING SYSTEM, RESPOND TO COMPETITIVE
DEVELOPMENTS, OR COMPLY WITH GOVERNMENT REGULATIONS. ANY FORWARD-LOOKING
STATEMENT THAT WE MAKE IS INTENDED TO SPEAK ONLY AS OF THE DATE ON WHICH WE MADE
THE STATEMENT. WE WILL NOT UPDATE ANY FORWARD-LOOKING STATEMENT TO REFLECT
EVENTS OR CIRCUMSTANCES THAT OCCUR AFTER THE DATE ON WHICH THE STATEMENT IS
MADE. THESE RISKS AND UNCERTAINTIES, AMONG OTHERS, MAY CAUSE OUR ACTUAL RESULTS
TO DIFFER MATERIALLY FROM THOSE DESCRIBED IN FORWARD-LOOKING STATEMENTS MADE IN
THIS REPORT OR PRESENTED ELSEWHERE BY MANAGEMENT FROM TIME TO TIME.
ITEM 1. BUSINESS
TRANSACTION PROCESSING BUSINESS
We are an electronic commerce company engaged in healthcare transaction
processing for the medical and dental industries by means of the Internet. Our
proprietary software, which was developed over the last seven years and resides
entirely on our servers, allows healthcare providers to prepare healthcare
claims interactively on the Internet and electronically transmits the claims to
us for processing. It also allows us to download claims from the healthcare
providers' computers directly to our servers. Our software provides real-time
editing of the claims data for compliance with the format and content
requirements of payers and converts the claims to satisfy payer's specific
processing requirements. We then electronically transmit processed claims on
behalf of healthcare providers directly or indirectly to medical and dental
payers that accept claims processing transmissions electronically. In addition,
our software provides for secure encryption of all claims data transmitted in
compliance with the regulations of the United States Health Care Financing
Administration. The payers to which claims processed by us are submitted,
primarily through clearinghouses operated by McKesson HBOC and ProxyMed, include
plans and affiliates of Aetna Life & Casualty Company, Inc., MetLife
Healthcare/Metropolitan Healthcare Corporation, Cigna Healthcare, Inc., The
Prudential Insurance Company of America, various Blue Shield/Blue Cross
organizations, and United Healthcare Corporation.
We believe that the following are significant advantages of our electronic
claims transmission services over other currently available services:
o the ability of healthcare providers utilizing their Web sites to
interactively process claims on the Internet and receive real time
edits prior to claim submission,
o the ease and availability of Claimsnet.com-provided training over the
Internet,
o the minimal software and processing power required for providers to
utilize our proprietary software,
o the scalability of our software allows us the ability to add
incremental services, such as patient statements, managed care
encounter forms, eligibility verification, electronic remittance
advices, and data modeling, through the same browser interface and Web
site as our claims processing services, and
o the ability to create multiple custom Web site formats to be promoted
by partners and sponsors without modification of the server-based
processing systems.
We believe that the improved claims processing procedure will result in a
sharply reduced average number of outstanding days revenue tied up in accounts
receivable, which should improve a provider's working capital. We believe that
the services offered by our competitors are generally based on legacy mainframe
technology, proprietary networks, and proprietary file formats, which limit the
ability of those competitors to offer interactive Internet-based processing
services on an economical basis. In addition, competitors' services generally
require extensive formal training, the installation of substantial software on
each healthcare provider's computer, and significant processing power.
We generate revenue from claim processing services by charging commercial
payers, or clearinghouses acting for commercial payers, a transaction fee for
certain claims submitted electronically and by charging healthcare providers a
subscription fee and certain transaction fees for use of our services. We also
offer patient statement processing services and real time eligibility
verification of patient benefit coverage for healthcare providers and generate
revenue by charging additional subscription and transaction fees for such
services. We use a subcontractor to print and mail the bar-coded and customized
statements along with a return envelope.
ELECTRONIC CLAIMS PROCESSING MARKET
The healthcare electronic claims processing market, including dental claims, has
been estimated by Health Data Management, an industry publication, to include
over 4.7 billion healthcare claim and HMO encounter form or claim submissions in
1999, of which, approximately 1.7 billion claims are submitted on paper forms.
Health Data Management estimates that electronic claims processing is currently
used to process approximately 43% of all medical outpatient claims and 17% of
all dental claims. We believe that, as a result of the low penetration of
electronic claims processing among healthcare providers and dentists, this
market presents an attractive opportunity for us to offer a low cost-effective
service. We intend to focus our marketing efforts on outpatient claims,
including claims of clinics, hospitals, physicians, dentists, and other
outpatient service providers, as we believe they are the underserved segments of
the market.
The number of non-electronic paper transactions in the HMO market is increasing
rapidly and we believe that HMO encounters are another underserved segment of
the outpatient claims processing market. Currently there is no formal
transmission document standard. Accordingly, we believe that the opportunity
exists for us to utilize our claims processing configuration to make available a
document scanning service using hypertext markup language (HTML). This will
enable us to convert an encounter form into a document that appears identical to
the printed version, yet is designed to reconfigure the data entered and present
it in a format that conforms to a payer's specific requirements.
Healthcare claims are traditionally processed by clearinghouses using a similar
operating structure to that which exists in the credit card industry. A merchant
that accepts a credit card for payment does not send payment requests directly
to the bank that issued the card, but sends the payment request to a
clearinghouse. The payment request is processed and transmitted to the
appropriate bank. Healthcare claim clearinghouses accept, sort, process, edit,
and then forward the claims to the appropriate payers, either electronically or
on paper. The major healthcare clearinghouses operate in a mainframe computer
environment. Furthermore, traditional clearinghouses process claims in off-line
batches and return edit results to the submitters in a subsequent batch
transmission. This operating configuration is both expensive and time consuming
due to the source code changes required to continuously process claims correctly
to meet payer requirements. In contrast, our healthcare transaction processing
software system on the Internet is designed to operate in a real-time, open
client-server configuration. This operating alternative can offer the provider a
method of bypassing the clearinghouse and communicating directly with the payer
in a rapid, accurate, and cost-effective manner. We believe that if the industry
evolves toward direct payer submission of claims or real-time adjudication of
claims, our software will be able to offer efficient access to payers and their
healthcare provider customers in a Health Information Portability and
Accountability Act (HIPAA)-compliant format.
BENEFIT MANAGEMENT BUSINESS
On April 18, 2000, we, through our wholly-owned subsidiary, HealthExchange.com,
Inc., a Delaware corporation ("HECOM"), acquired from VHx Company, a Nevada
corporation ("VHx"), selected properties and assets, including it's
HealthExchange.com name and trademark, and in-process research and development
(together, "HealthExchange").
HealthExchange(TM) is a set of Internet-based healthcare applications designed
to provide all four core health network constituents - self-insured employers,
health plans, doctors and employees/members (consumers), with highly customized
administrative services, health and disease management tools, and e-commerce
opportunities. Each application will be based on secure, scalable application
service provider technology that meets all currently proposed federal guidelines
for patient record confidentiality and security.
We believe that the design is unique. Together, the applications will provide a
comprehensive Internet-based solution aimed at reducing costs and enhancing
health plan members' health and overall experience. HealthExchange(TM) will
facilitate the flow of vital information and transactions among employers,
doctors, and health plans, and tie the employee/member into the benefit and
health management process in a personalized, confidential online relationship.
The result will be a reduction in health benefit administrative costs for
employers and health plans, and improved health outcomes and satisfaction for
employees/members.
Several factors have caused us to delay continued development of the
HealthExchange(TM) products, including lack of existing customer commitment to
continued product development, lack of market acceptance at this time, future
cash requirements to continue product development, and cost of sales and
marketing efforts to create a market niche.
On January 4, 2001, we adopted a refined business strategy plan that focuses on
near-term financial performance. The new plan dedicates our resources to the
implementation of services for existing partnerships, and selective growth
opportunities with near-term profit potential and long-term benefit. Our new
business plan does not allocate resources for the additional development of the
HealthExchange(TM) product at this time.
BENEFIT MANAGEMENT MARKET
According to the U.S. Bureau of the Census, approximately 225 million Americans
are covered by some form of health insurance. It was estimated by President
Clinton in his September 8, 1999 Remarks on Health Care Priorities that over 160
million of these people are enrolled in some form of managed care. Employers pay
for a large proportion of the cost of these health plans. We believe that the
complexity of managed care plans has increased the administrative burden and
related costs of healthcare and has negatively effected both member satisfaction
and provider satisfaction. This market presents a large and attractive
opportunity for cost-effective solutions that also lead to improved satisfaction
levels. We intend to focus our marketing efforts on managed care organizations,
including health maintenance organizations, preferred provider organizations,
and third party administrators.
BUSINESS STRATEGY
Our business strategy is as follows:
o to aggressively pursue and support strategic relationships with
companies that will in turn aggressively market electronic claims
processing and our other services to outpatient healthcare providers,
including clinics, hospitals, physicians, HMOs, third party
administrators, dentists, and other outpatient service providers;
o to continue to expand our services to include additional transaction
processing functions, such as HMO encounter forms, eligibility and
referral verifications, patient statements, and other healthcare
administrative services, in order to diversify sources of revenue;
o to license our technology for other applications, including stand-alone
purposes, Internet systems and private label use, and for original
equipment manufacturers.
There can be no assurance that any of our business strategies will succeed or
that any of our business objectives will be met with any success.
MARKETING EFFORTS
We have entered into several alliances with potentially strategic partners for
the marketing of our services and proprietary technology, including:
o an October 1999 agreement, superseded in March 2001 (described below),
granting a multi-year, non-exclusive, private label license to McKesson
HBOC ("McKesson") as to certain of our proprietary technology and
providing for us to manage McKesson's operation on a fully outsourced
basis and permitting us to use McKesson's extensive direct payer
connections to submit certain claims to selected payers.
o arrangements entered into in 2000 with business-to-business healthcare
transaction service providers, application service providers and other
internet service providers; such as Proxy Med Inc. ("Proxy Med"),
Passport Health Communications, Inc. ("Passport"), and Synertech, to
operate or provide each a co-branded version of our claims processing
application to be marketed by the other party either directly
throughout the United States or, in the case of Passport, as part of
its Passport OneSource(TM), its internet-based service delivering time
critical healthcare administration data to hospitals and physicians in
selected geographic areas.
The foregoing is in addition to several joint marketing arrangements with other
partners, including a department of Blue Cross/Blue Shield of Louisiana and an
affiliate of Premier Inc.
RECENT DEVELOPMENTS
In connection with the new business plan adopted on January 4, 2001, we
significantly reduced our work force and other operating expenses. In addition,
Mr. Bo W. Lycke, our Chairman of the Board, President, and Chief Executive
Officer, voluntarily agreed to defer one half of the salary due pursuant to his
employment agreement for an indefinite period of time.
In February 2001, we entered into a joint arrangement with Quality Care
Solutions, Inc. (QCSI), a leading provider of enterprise-wide solutions for
healthcare payer organizations to provide a co-branded version of our claim
processing application to QCSI and be able to submit claims directly to QCSI.
In March 2001, we borrowed $400,000 pursuant to a loan agreement with American
Medical Finance, Inc., a related party. Principal and interest, at 9.5% per
annum on the unpaid principal, are due in March 2002.
In March 2001, we completed the private placement of 400,000 shares of common
stock at $1.75 per share for net proceeds of $630,000.
On April 12, 2001, we entered into an agreement with McKesson which superseded
our October 1999 agreement. Under the new agreement, McKesson acquired 1,514,285
shares of common stock at $1.75 per share for net proceeds of $2,650,000, and
paid a one-time contract negotiation fee of $200,000. The $200,000 payment will
be amortized in income over the remaining term of the software license
agreement. The stock purchase warrant originally issued to McKesson in October
1999 to purchase 819,184 shares of common stock at $7.00 per share was cancelled
in April 2001. Additionally, the new agreement eliminates certain of our
operating requirements and future McKesson license and subscription fees. The
new agreement retains provisions for the payment of transaction fees by McKesson
and expands the scope of transactions that may be processed under the license
and the scope of other business opportunities which we and McKesson may jointly
pursue.
In the forgoing financing we provided certain rights to register resale of the
shares at our expense under the Securities Act of 1933.
HEALTHCARE TRANSACTION PROCESSING SOFTWARE AND SECURITY
Our healthcare transaction processing software is designed for in-patient and
out-patient healthcare providers, and dental claims. The software is modular,
providing valuable flexibility, and generally consists of the following
components:
o industry standard website management software,
o state-of-the-art commercial security and encryption software, and
o core processing software developed by us which provides claims review,
claims processing, hard-coding of claims, and a "table-based" software
coding of claims variables.
The expensive and time-consuming hard-coding routines required by traditional
systems have been replaced by a user friendly system that is table-based. This
permits payer-specific edits to meet the requirements of payers and avoids
expensive onsite software changes. Our personnel input new edits. Once
healthcare providers connect to our secure website, our software edits claims
on-line automatically, using a database containing more than 22,000 edit
variables. The direct provider-payer connections offered by our system are
designed to allow for immediate billing data and information exchange when it
becomes available from the payers. In the event that a particular payer cannot
accept submission of claims electronically, we either print and mail hard copies
of the claims to these payers and charge the provider for this additional
service or allow the provider to print and mail the claims.
During the initial application process, a new customer interacts with our
proprietary "Print Wizard," that downloads claim files from the provider's
practice management system. When connecting to the Internet, the provider's
browser encryption is automatically enabled at the client extranet site. The
user must "log-in" through a security firewall to reach the user's secure
extranet site of our healthcare transaction processing system. At this point,
all communications with the healthcare provider are automatically encrypted,
claims are extracted from the provider's PC, and editing begins. Only claims
containing errors are identified for editing. Once claims are edited, they are
queued with accurate claims for transmission to payers. Should a claim not be
acceptable electronically by a payer, the claim is automatically printed and
mailed by the payer gateways. This mailing service is optional to the providers.
To assure proper network operation and allow other revenue producing services,
such as custom reports, eligibility inquiries, and decision support tools, we
monitor all traffic through our private application server and firewall.
Our healthcare transaction processing software is a Web-based system, based upon
a client-server computing model, and includes a variety of different software
applications. Individual applications work together to provide the extraction
and encryption of claims from a provider's practice management system to our
Internet claims processing server, where editing and formatting occurs in a
secure environment. Our system then delivers the claims to the payer gateway.
The different software applications have been purchased, licensed, or developed
by us.
Our website is structured into three sections: "PUBLIC INTERNET," "CLIENT
EXTRANET," and "PRIVATE INTRANET." The PUBLIC INTERNET site provides company
background, product demonstrations, and customer enrollment forms. The CLIENT
EXTRANET provides a secure individual customer area for private customer
communication and encrypted claims transmission. The United States Health Care
Financing Administration has defined security requirements for Internet
communications including healthcare data. We operate in compliance with these
requirements. Traditional claims clearinghouses that use regular phone and
private data networks cannot provide this level of data security. The PRIVATE
INTRANET site is designed for internal communications, website operating
reports, customer support, and reporting.
With the exception of the commercial software, such as that provided by
Microsoft, we have either identified back-up sources for all the software used
or, in the event of a business failure by the licensing vendor, we own the
source code.
TRAINING AND HARDWARE REQUIREMENTS
The training for the various products and services offered by us is included in
the initial setup fee. User manuals and reference information is available
online through our client extranet to the provider, seven days a week, 24 hours
a day. The tutorial and other training documents are always available at our Web
home page, the location of which is http://www.claimsnet.com. After an initial
free period of unlimited service, we will charge users a fee for technical
support comparable to those charged by other healthcare software vendors.
No significant hardware investment by the customer is required in order to take
advantage of our services. The system requires the provider to use a 28,800 bps
or better asynchronous modem and a PC with Windows 3.11 or higher operating
system installed. An Internet Service Provider, such as AT&T Worldnet, MCI, and
Physicians' Online, offers local telecommunication to the Internet. Our
customers are responsible for obtaining and maintaining the Internet Service
Provider connection.
INTERNET/INTRANET
The processing configuration used by us requires limited electronic claims
processing software to reside at the level of the healthcare provider. All
editing and formatting takes place at our Internet application server site. From
the standpoint of the user, we believe our system has the latest software
version and all format changes available instantly. Our healthcare transaction
processing software has the effect of turning a provider's old or outdated
hardware into a terminal capable of operating in a 32-bit Windows environment.
Our processing does not take place on the Internet, but rather in an extranet
configuration. The main advantage of this approach is to assure that the
communication between our servers and a provider takes place in a
highly-controlled, secure, and encrypted environment.
The dual encryption utilized by us occurs at the browser software and
application server level. All processing and data storage occurs behind a
firewall, providing secure and controlled access to all data.
CUSTOMERS
We view our customers as (1) the healthcare providers submitting claims, (2) the
strategic partners and affiliates with which we jointly operate, and (3) the
payers accepting claims. We are currently processing claims for approximately
3,700 providers. The providers are geographically dispersed and represent a mix
of physician specialties and dentists. We are authorized to submit claims to
more than 2,000 payers that are also geographically dispersed and represent a
mix of commercial insurers, managed care organizations, third party
administrators, and Medicare and Medicaid carriers. Revenues from one strategic
partner represented 43% and 21%, respectively, of our total revenues for 2000
and 1999.
We require each healthcare provider using our services to enter into a standard
subscription agreement available on the home page of our website. This system
allows the healthcare provider to access, complete, and return the subscription
agreement on the Internet, and enables the provider to immediately access our
services. Each subscription agreement provides that the healthcare provider
shall pay us monthly all applicable fees and sets forth the nature of our
services and the terms and conditions under which they are to be rendered. The
contracts are terminable by the healthcare provider upon 30 days prior written
notice.
We also enter into agreements with the commercial medical and dental payers or
clearinghouses to which we submit processed claims. Generally, such agreements
provide for the payment of a fee per claim to be paid to us for certain payers
once certain minimum volume requirements have been met. As a result of the
varying submission requirements of many insurance and other plans within any
payer, we treat each plan as a separate payer with its own particular
requirements.
Under a September 1998 agreement with Electronic Data Interchange Services, a
department of Blue Cross/Blue Shield of Louisiana, we provide claim processing
services to Blue Cross/Blue Shield of Louisiana Network providers. Under this
agreement, we and Blue Cross/Blue Shield of Louisiana are to jointly promote our
services to the 9,600 network providers of Blue Cross/Blue Shield of Louisiana
through website links, Blue Cross/Blue Shield of Louisiana network communication
resources, educational seminars, telemarketing, and direct mail campaigns.
In a Development and Services Agreement with McKesson, originally entered into
in October 1999 and superseded by a new agreement on April 12, 2001, we granted
McKesson a multi-year, non-exclusive, private label license for certain of our
proprietary technology and agreed to manage McKesson's operation of the system
on a fully outsourced basis, with our being allowed to operate the system in the
way we determine to be the most efficient. McKesson is the leading provider of
information technology services in the worldwide healthcare market. Under the
agreement, we are to integrate our proprietary Internet-based claims processing
technology into selected McKesson's electronic commerce solutions for the
purposes of better serving the claims processing needs of the independent
physician practice market, and we are allowed to use McKesson's extensive direct
payer connections to submit certain claims to selected payers.
Under the April 2001 agreement, McKesson acquired 1,514,285 shares of common
stock at a cost of $2,650,000 and paid $200,000; and a three year warrant to
purchase 819,184 shares of our common stock at $7.00 per share, granted under
the October 1999 agreement, was cancelled. The April 2001 agreement granted
McKesson additional license rights for co-branding the services to third parties
and for an expanded set of transactions. McKesson will continue to pay
transaction fees for all transactions processed under the license, but will not
pay additional license fees and subscription fees that were included in the
October 1999 agreement.
Since October 2000 we have provided Passport with a co-branded version of our
claim processing application integrated into Passport OneSource (TM), Passport's
internet-based service delivering time critical healthcare administrative data.
Passport markets Passport OneSource, including the claim processing application,
to hospitals and physicians in selected geographic markets. We market Passport's
eligibility and referral verification services to our customers and we and
Passport cooperate on payer opportunities from time to time.
In 2001 we expect to provide Synertech, a premier application service provider
and administrative outsourcer for the healthcare industry, and its customers,
primarily payer organizations, with co-branded versions of our claim processing
application.
Under an arrangement entered into in September 2000 with ProxyMed, a leading
provider of business-to-business healthcare transaction services, linking more
than 50,000 physicians' offices to pharmacies, clinical laboratories, and
payers, we are to operate a co-branded version of our claim processing
application and ProxyMed is to market the service throughout the United States.
This arrangement also provides for us to use ProxyMed's extensive direct payer
connections to submit certain claims to selected payers.
In February 2001 we agreed with Quality Care Solutions, Inc. (QCSI), a leading
provider of enterprise-wide solutions for healthcare payer organizations, to
provide a co-branded version of our claim processing application to QCSI and be
able to submit claims directly to QCSI.
MARKETING
We believe that a direct sales and marketing campaign to the large and
fragmented healthcare provider community can be prohibitively expensive and
impractical at this time. We are, accordingly, pursuing a primary marketing
strategy of creating strategic partnerships with organizations that:
o are engaged in electronic claim processing and expect to benefit by
using our advanced technology,
o serve or are engaged in direct sales and marketing to the healthcare
market and desire to expand the products and services they offer to
their clients without incurring substantial costs by using our advanced
technology in a co-branded or private-label arrangement.
We have established valuable strategic relationships and are actively seeking
additional partners for alliances and joint ventures, including managed care
companies, Internet service and information providers, traditional healthcare
information systems providers, clearinghouses, payer organizations, and
consulting firms, each seeking solutions to the costly handling of healthcare
claims and other administrative transactions.
We also believe that there are opportunities for joint marketing with banks,
insurance companies, and pharmaceutical companies that desire online interfacing
with healthcare providers.
We believe that our strategic alliance marketing strategy will allow us to
capture a significant share of the claim processing market without a costly
direct sales and marketing effort as the healthcare industry adopts new
technology, either because of greater efficiencies or due to required compliance
with HIPAA mandates and other regulatory initiatives. If such a transition
continues to move at a relatively slow pace, we expect to benefit by conserving
expenses, or if it escalates dramatically due to HIPAA compliance deadlines or
for other reasons, we expect to benefit by having a broad provider distribution
network.
There can be no assurance that we will secure any additional alliances or joint
venture relations, or if we do, that such alliances or joint venture
relationships will be profitable.
COMPETITION
Several large companies such as WebMD, McKesson, National Data Corporation,
QuadraMed Corporation, PerSe Technologies, and ProxyMed dominate the claim
processing industry in which we operate. Each of these companies operates a
regional or national clearinghouse of medical and dental claims. In most cases,
these companies have large existing capital and software investments and focus
on large healthcare providers, such as hospitals and large clinics, or act as
wholesale clearinghouses for smaller electronic claims processing companies. We
estimate, based on information from various trade journals, that in addition to
these large competitors, there are approximately 300 or more small independent
electronic claims processing companies and clearinghouses which operate as local
sub-clearinghouses for the processing of medical and dental claims.
A number of additional companies such as MedUnite, Axolotl, Zirmed, RealMed, and
Merallis have announced that they intend to enter the claim processing industry.
Some of these companies have indicated a desire to primarily serve the payer
community and some are primarily focused on the provider community.
All of these companies are considered competitors for our provider clients that
subscribe to the Claimsnet.com-branded service. However, several of these
companies are already our strategic partners for co-branded or private label
solutions and many of the others are potential strategic partners.
While we compete with many other providers of electronic claims processing
services in some markets, we are not aware of any other companies that provide
healthcare electronic claims processing services in the same manner as those
provided by us.
We believe that our pricing structure and total cost is very competitive with
other providers of electronic claims processing services. We further believe
that some competitors and potential partners are constrained not only by capital
investments and existing hardware/software configurations, but also by existing
customer agreements. Despite these limitations, we anticipate that competition
will increase in the processing of claims on the Internet. No assurance can be
given that we will successfully compete in any market in which we conduct or may
conduct operations.
Some segments of the medical and dental claims processing industry are not
currently suited to the use of electronic claims processing, such as psychiatry
and surgery, each of which requires substantial documentation in addition to the
claim to be submitted. Accordingly, we have not designed our business plan to
address these market segments.
EMPLOYEES
As of December 31, 2000, we had a total of 52 full-time employees, of whom two
are executive officers, 39 are technical and service personnel, four are sales
and marketing personnel, and seven are administrative personnel. None of our
employees are represented by a labor organization. All of our employees have
been granted incentive stock options and we believe that our relations with our
employees are satisfactory.
RISK FACTORS
IN ADDITION TO THE OTHER INFORMATION IN THIS REPORT, THE FOLLOWING FACTORS
SHOULD BE CONSIDERED CAREFULLY IN EVALUATING OUR BUSINESS AND PROSPECTS.
WE HAVE A HISTORY OF NET LOSSES, LIMITED REVENUES, ANTICIPATE FURTHER LOSSES AND
HAVE A WORKING CAPITAL DEFICIT
We have incurred net losses since inception and expect to continue to operate at
a loss for the foreseeable future. For the period from our inception in April
1996 through December 1996 and the years ended December 31, 1997, 1998, 1999,
and 2000, we incurred net losses of $(2,781,000), $(4,663,000), $(8,858,000),
and $(17,695,000), respectively. As of December 31, 1997, 1998, 1999, and 2000,
we had working capital (deficits) of $36,000, $(1,089,000), $6,224,000, and
$(1,012,000), respectively. We generated revenues of $414,000 for the year ended
December 31, 1999, and $1,602,000 for the year ended 2000. See "Management's
Discussion and Analysis of Financial Condition and Results of Operations--In
General."
WE CANNOT PREDICT OUR FUTURE CAPITAL NEEDS AND WE MAY NOT BE ABLE TO SECURE
ADDITIONAL FINANCING
We believe that our available cash resources, together with anticipated revenues
from operations and the proceeds of recently completed financing activities,
will be sufficient to satisfy our capital requirements through December 31,
2001. Our belief is based on the existence of net working capital of $377,000 at
December 31, 2000, excluding deferred revenue of $899,000 and a $500,000
disputed accrued liability which we do not expect to require a cash settlement
in 2001; plus net cash proceeds of $3,880,000 received from transactions
described above, less (i)$3,849,000 of net cash operating losses for 2001 based
upon annualized actual results for January and February 2001, adjusted for the
effect of the restructured agreement with McKesson, and (ii)$90,000 for capital
expenditures. Some of these assumptions may prove to be incorrect. As a result,
financial resources may not be sufficient to satisfy our capital requirements
for this period. We are currently seeking additional funding. Management cannot
predict whether this additional financing will be in the form of equity or debt,
or be in another form. Necessary additional capital may not be available on a
timely basis or on acceptable terms, if at all. In any of these events, we may
be unable to implement current plans for expansion or to repay debt obligations
as they become due. If current plans can not be implemented, we may be forced to
significantly reduce operating expenses to a point which would be detrimental to
business operations, curtail research and development activities, sell certain
business assets or discontinue some or all of our business operations, or take
other actions which could be detrimental to business prospects and result in
charges which could be material to our operations and financial position. In the
event that any future financing should take the form of equity securities, the
holders of the common stock may experience additional dilution.
BECAUSE WE HAVE BEEN IN BUSINESS FOR A SHORT PERIOD OF TIME, THERE IS LIMITED
INFORMATION UPON WHICH YOU CAN EVALUATE OUR BUSINESS
We have a limited operating history upon which you may base an evaluation of us
and determine our prospects for achieving our intended business objectives. We
are prone to all of the risks inherent to the establishment of any new business
venture. Organized in April 1996, we were a development stage company through
March 31, 1997. We are currently processing claims for accounts representing
approximately 3,700 providers, some of which receive favorable pricing as early
stage clients. We have entered into agreements with clearinghouses providing
access to more than 2,000 payers. The revenues received or costs incurred under
these agreements are highly dependent upon transaction volumes. Additionally, we
endeavored to diversify our business during the year ended December 31, 2000,
through an asset acquisition, which due to delay in market readiness resulted in
a large non-recurring loss. We have also changed our sales and marketing
strategy from a direct sales model to a strategic partner distribution model.
Consequently, you should consider the likelihood of our future success to be
highly speculative in light of our limited operating history, our limited
resources and problems, expenses, risks, and complications frequently
encountered by similarly situated companies in the early stages of development,
particularly companies in new and rapidly evolving markets, such as electronic
commerce. To address these risks, we must, among other things:
o maintain and increase our strategic partnerships,
o maintain and increase our customer base,
o implement and successfully execute our business and marketing strategy,
o continue to develop and upgrade our technology and
transaction-processing systems,
o continually update and improve our Web site,
o provide superior customer service,
o respond to competitive developments, and
o attract, retain, and motivate qualified personnel.
We may not be successful in addressing these risks, and our failure to do so
could have a material adverse effect on our business, prospects, financial
condition, and results of operations.
WE EXPECT TO EXPERIENCE SIGNIFICANT FLUCTUATIONS IN OUR FUTURE OPERATING RESULTS
DUE TO A VARIETY OF FACTORS, MANY OF WHICH ARE OUTSIDE OUR CONTROL.
Our ability to achieve operating results will depend on several factors,
including:
o our ability to satisfy capital requirements,
o our ability to retain existing customers, attract new customers at a
steady rate, and maintain customer satisfaction,
o our ability to introduce new sites, service and products,
o the announcement or introduction of new sites, services, and products
by our competitors,
o price competition or price increases in our industry,
o the level of use of the Internet and online services and the rate of
market acceptance of the Internet and other online services for the
purchase of "business to business" services, such as those which we
offer,
o our ability to upgrade and develop our systems and infrastructure in a
timely and effective manner,
o the amount of traffic on our Web site,
o the incurrance of technical difficulties, system downtime, or Internet
brownouts,
o the amount and timing of operating costs and capital expenditures
relating to expansion of our business, operations, and infrastructure,
o our ability to comply with existing and added government regulation,
and
o general economic conditions and economic conditions specific to the
Internet, electronic commerce, and the medical claims processing
industry.
If we are unable to handle or satisfactorily respond to these factors, our
operating results may fall below the expectations of securities analysts and
investors. In this event, the market price of our common stock would likely be
materially adversely affected.
OUR MARKETING STRATEGY HAS NOT BEEN SUFFICIENTLY TESTED AND MAY NOT RESULT IN
SUCCESS
We have recently changed our marketing strategy from direct marketing to
reliance on the development and maintenance of strategic relationships with
companies that will aggressively market electronic claims processing and our
other services to outpatient healthcare providers. To date, we and our strategic
partners have conducted limited marketing efforts for such purpose. To penetrate
our market we will have to rely on our strategic partners to exert significant
efforts and devote material resources to create awareness of and demand for our
co-branded products and services. No assurance can be given that our strategic
partners will devote significant efforts and resources to, and be successful in,
these marketing services or that they will result in material sales of our
products and services. No representation can be made that our reliance on this
strategy will prove successful and that if not successful that we will have
adequate resources to attempt to engage in direct marketing of our products and
services or that such efforts will prove successful. Our failure to develop our
marketing capabilities, successfully market our products or services, or recover
the cost of our services will have a material adverse effect on our business,
prospects, financial condition, and results of operations.
IF WE ARE UNABLE TO UPGRADE OUR SYSTEMS, WE MAY BE UNABLE TO PROCESS AN
INCREASED VOLUME OF CLAIMS
A key element of our strategy is to generate a high volume of traffic on, and
use of, our Web site. If the volume of traffic on our Web site or the number of
claims submitted by customers substantially increases, we will have to expand
and further upgrade our technology, claims processing systems, and network
infrastructure to accommodate these increases or our systems may suffer from
unanticipated system disruptions, slower response times, degradation in levels
of customer service, impaired quality and speed of claims processing, and delays
in reporting accurate financial information. We may be unable to effectively
upgrade and expand our claims processing system or to integrate smoothly any
newly developed or purchased modules with our existing systems, which could have
a material adverse effect on our business, prospects, financial condition, and
results of operations.
BECAUSE WE DEPEND UPON A SINGLE SITE FOR OUR COMPUTER SYSTEMS WE ARE VULNERABLE
TO THE EFFECTS OF NATURAL DISASTERS, COMPUTER VIRUSES, AND SIMILAR DISRUPTIONS
Our ability to successfully receive and process claims and provide high-quality
customer service largely depends on the efficient and uninterrupted operation of
our computer and communications hardware systems. Our proprietary software
resides solely on our servers, most of which are located in a monitored server
facility in Washington, DC. Our systems and operations are in a secured facility
with hospital-grade electrical power, redundant telecommunications connections
to the Internet backbone, uninterruptible power supplies, and generator back-up
power facilities. Further, we maintain redundant systems at a separate facility
for backup and disaster recovery. Despite such safeguards, we remain vulnerable
to damage or interruption from fire, flood, power loss, telecommunications
failure, break-ins, earthquake, and similar events. In addition, we do not, and
may not in the future, carry sufficient business interruption insurance to
compensate us for losses that may occur. Despite our implementation of network
security measures, our servers are vulnerable to computer viruses, physical or
electronic break-ins, and similar disruptions, which could lead to
interruptions, delays, loss of data, or the inability to accept and process
customer claims. The occurrence of any of these events could have a material
adverse effect on our business, prospects, financial condition, and results of
operations.
WE RELY ON INTERNALLY DEVELOPED SYSTEMS WHICH ARE INEFFICIENT, WHICH MAY PUT US
AT A COMPETITIVE DISADVANTAGE
We use an internally developed system for our Web site and for a portion of our
claims processing software. As we developed these systems primarily to support
the rapid growth of claim submission volume and customer service and less on
traditional accounts, control, and reporting, these systems are inefficient and
require a significant amount of manual effort to prepare information for
financial and accounting reporting. Such manual effort is time-consuming and
costly and may place us at a competitive disadvantage when compared to
competitors with more efficient systems. We intend to continue to upgrade and
expand our claims processing systems and to integrate newly-developed and
purchased modules with our existing systems in order to improve the efficiency
of our reporting methods and support increased transaction volume, although we
are unable to predict whether these upgrades will improve our competitive
position.
WE HAVE LIMITED SENIOR MANAGEMENT RESOURCES, AND WE NEED TO ATTRACT AND RETAIN
HIGHLY SKILLED PERSONNEL; WE MAY BE UNABLE TO EFFECTIVELY MANAGE GROWTH WITH OUR
LIMITED RESOURCES
We expect the expansion of our business to place a significant strain on our
limited managerial, operational, and financial resources. We will be required to
expand our operational and financial systems significantly and to expand, train,
and manage our work force in order to manage the expansion of our operations.
Our failure to fully integrate our new employees into our operations could have
a material adverse effect on our business, prospects, financial condition, and
results of operations. Our ability to attract and retain highly skilled
personnel is critical to our operations and expansion. We face competition for
these types of personnel from other technology companies and more established
organizations, many of which have significantly larger operations and greater
financial, marketing, human, and other resources than we have. We may not be
successful in attracting and retaining qualified personnel on a timely basis, on
competitive terms, or at all. If we are not successful in attracting and
retaining these personnel, our business, prospects, financial condition, and
results of operations will be materially adversely affected.
WE DEPEND UPON OUR SENIOR MANAGEMENT AND THE LOSS OR UNAVAILABILITY OF ANY OF
THEM COULD PUT US AT A COMPETITIVE DISADVANTAGE
We currently depend upon the efforts and abilities of our senior executives. The
loss or unavailability of the services of any of these individuals for any
significant period of time could have a material adverse effect on our business,
prospects, financial condition, and results of operations. We have obtained,
own, and are the sole beneficiary of, key-person life insurance in the amount of
$2,000,000 on the life of Bo W. Lycke, our Chairman of the Board of Directors,
President, and Chief Executive Officer. This insurance may not continue to be
available to us on reasonable terms, or at all. Mr. Lycke and Messrs. Ward L.
Bensen and Robert H. Brown Jr., two of our Directors, serve as the Chairman of
the board of directors, a Director and Senior Vice President, and a Director,
respectively, of American Medical Finance, one of our affiliates. In addition,
our employment agreement with Mr. Lycke permits him to terminate the agreement
on 30 days' notice.
WE MAY BE UNABLE TO PROTECT OUR INTELLECTUAL PROPERTY RIGHTS AND WE MAY BE
LIABLE FOR INFRINGING THE INTELLECTUAL PROPERTY RIGHTS OF OTHERS
Our ability to compete effectively will depend on our ability to maintain the
proprietary nature of our services and technologies, including our proprietary
software and the proprietary software of others with which we have entered into
software licensing agreements. We hold no patents and rely on a combination of
trade secrets and copyright laws, nondisclosure, and other contractual
agreements and technical measures to protect our rights in our technological
know-how and proprietary services. In addition, we have been advised that
trademark and service mark protection of our corporate name is not available. We
depend upon confidentiality agreements with our officers, directors, employees,
consultants, and subcontractors to maintain the proprietary nature of our
technology. These measures may not afford us sufficient or complete protection,
and others may independently develop know-how and services similar to ours,
otherwise avoid our confidentiality agreements, or produce patents and
copyrights that would materially and adversely affect our business, prospects,
financial condition, and results of operations. We believe that our services are
not subject to any infringement actions based upon the patents or copyrights of
any third parties; however, our know-how and technology may in the future be
found to infringe upon the rights of others. Others may assert infringement
claims against us, and if we should be found to infringe upon their patents or
copyrights, or otherwise impermissibly utilize their intellectual property, our
ability to continue to use our technology could be materially restricted or
prohibited. If this event occurs, we may be required to obtain licenses from the
holders of their intellectual property, enter into royalty agreements, or
redesign our products so as not to utilize their intellectual property, each of
which may prove to be uneconomical or otherwise impossible. Licenses or royalty
agreements required in order for us to use this technology may not be available
on terms acceptable to us, or at all. These claims could result in litigation,
which could materially adversely affect our business, prospects, financial
condition, and results of operations.
BECAUSE WE ARE NOT CURRENTLY PAYING CASH DIVIDENDS, INVESTORS MAY HAVE TO SELL
CLAIMSNET.COM SHARES IN ORDER TO REALIZE THEIR INVESTMENT
We have not paid any cash dividends on our common stock and do not intend to pay
cash dividends in the foreseeable future. We intend to retain future earnings,
if any, for reinvestment in the development and expansion of our business. Any
credit agreements which we may enter into with institutional lenders may
restrict our ability to pay dividends. Whether we pay cash dividends in the
future will be at the discretion of our Board of Directors and will be dependent
upon our financial condition, results of operations, capital requirements, and
any other factors that the board of directors decides is relevant. Holders of
our common stock may have to sell all or a part of these shares in order to
realize their investment.
SOME PROVISIONS OF OUR CERTIFICATE OF INCORPORATION AND BY-LAWS MAY DETER OUR
ACQUISITION
A number of provisions of our amended certificate of incorporation and Delaware
law may be deemed to have an anti-takeover effect. Our certificate of
incorporation and by-laws provide that our board of directors is divided into
two classes serving staggered two-year terms, resulting in approximately
one-half of the directors being elected each year and other provisions relating
to voting and the removal of the officers and directors. Further, our by-laws
contain provisions which regulate the introduction of business at annual
meetings of our stockholders by other than the board of directors. In addition,
we are subject to the anti-takeover provisions of Section 203 of the Delaware
General Corporation Law. In general, this statute prohibits a publicly held
Delaware corporation from engaging in a "business combination" with an
"interested stockholder" for a period of three years after the date of the
transaction in which the person became an interested stockholder, unless the
business combination is approved in a prescribed manner.
In addition, our certificate of incorporation, as amended, authorizes our board
of directors to issue up to 4,000,000 shares of preferred stock, which may be
issued in one or more series, the terms of which may be determined at the time
of issuance by the board of directors, without further action by stockholders,
and may include voting rights (including the right to vote as a series on
particular matters), preferences as to dividends and liquidation, conversion,
and redemption rights, and sinking fund provisions. We have no present plans for
the issuance of any series of preferred stock. However, the issuance of any such
preferred stock could materially adversely affect the rights of holders of
shares of our common stock and, therefore, could reduce the value of the common
stock. In addition, specific rights granted to future holders of preferred
stock, could be used to restrict our ability to merge with, or sell our assets
to, a third party. The ability of the board of directors to issue preferred
stock could have the effect of rendering more difficult, delaying, discouraging,
preventing, or rendering more costly an acquisition of us or a change in control
of us, thereby preserving our control by the current stockholders.
INTERNET SECURITY POSES RISKS TO OUR ENTIRE BUSINESS
The electronic submission of healthcare claims and other electronic healthcare
transaction processing services by means of our proprietary software involves
the transmission and analysis of confidential and proprietary information of the
patient, the healthcare provider, or both, as well as our own confidential and
proprietary information. The compromise of our security or misappropriation of
proprietary information could have a material adverse effect on our business,
prospects, financial condition, and results of operations. We rely on encryption
and authentication technology licensed from other companies to provide the
security and authentication necessary to effect secure Internet transmission of
confidential information, such as medical information. Advances in computer
capabilities, new discoveries in the field of cryptography, or other events or
developments may result in a compromise or breach of the technology used by us
to protect customer transaction data. Anyone who is able to circumvent our
security measures could misappropriate proprietary information or cause
interruptions in our operations. We may be required to expend significant
capital and other resources to protect against security breaches or to minimize
problems caused by security breaches. Concerns over the security of the Internet
and other online transactions and the privacy of users may also inhibit the
growth of the Internet and other online services generally, and the Web site in
particular, especially as a means of conducting commercial transactions. To the
extent that our activities or the activities of others involve the storage and
transmission of proprietary information, such as diagnostic and treatment data,
security breaches could damage our reputation and expose us to a risk of loss or
litigation and possible liability. Our security measures may not prevent
security breaches. Our failure to prevent these security breaches may have a
material adverse effect on our business, prospects, financial condition, and
results of operations.
WE WILL ONLY BE ABLE TO EXECUTE OUR BUSINESS PLAN IF ELECTRONIC COMMERCE
CONTINUES TO GROW
Our future revenues and any future profits are substantially dependent upon the
widespread acceptance and use of the Internet and other online services as an
effective medium of commerce by submitters of medical claims. Rapid growth in
the use of, and interest in, the Internet, the Web, and online services is a
recent phenomenon, and may not continue on a lasting basis. In addition,
customers may not adopt, and continue to use, the Internet and other online
services as a medium of commerce. Demand and market acceptance for recently
introduced services and products over the Internet are subject to a high level
of uncertainty, and few services and products have generated profits. For us to
be successful, the healthcare community must accept and use novel and cost
efficient ways of conducting business and exchanging information.
In addition, the public in general, and the healthcare industry in particular,
may not accept the Internet and other online services as a viable commercial
marketplace for a number of reasons, including potentially inadequate
development of the necessary network infrastructure or delayed development of
enabling technologies and performance improvements. To the extent that the
Internet and other online "business to business" services continue to experience
significant growth in the number of users, their frequency of use, or in their
bandwidth requirements, the infrastructure for the Internet and online services
may be unable to support the demands placed upon them. In addition, the Internet
or other online services could lose their viability due to delays in the
development or adoption of new standards and protocols required to handle
increased levels of Internet activity, or due to increased governmental
regulation. Changes in, or insufficient availability of, telecommunications
services to support the Internet or other online services also could result in
slower response times and adversely affect usage of the Internet and other
online services generally and our product and services in particular. If use of
the Internet and other online services does not continue to grow or grows more
slowly than we expect, if the infrastructure for the Internet and other online
services does not effectively support the growth that may occur, or if the
Internet and other online services do not become a viable commercial
marketplace, our business, prospects, financial condition, and results of
operations could be materially adversely affected.
WE MAY NOT BE ABLE TO ADAPT AS THE INTERNET, ELECTRONIC COMMERCE, AND CUSTOMER
DEMANDS CONTINUE TO EVOLVE
The Internet and the electronic commerce industry are characterized by:
o rapid technological change,
o changes in user and customer requirements and preferences,
o frequent new product and service introductions embodying new
technologies, and
o the emergence of new industry standards and practices that could render
our existing Web site and proprietary technology and systems obsolete.
Our success will depend, in part, on our ability to:
o enhance and improve the responsiveness and functionality of our online
claims processing services,
o license leading technologies useful in our business and to enhance our
existing services,
o develop new services and technology that address the increasingly
sophisticated and varied needs of our prospective or current customers,
and
o respond to technological advances and emerging industry standards and
practices on a cost-effective and timely basis.
The development of Web site and other proprietary technology will involve
significant technical and business risks. We may not be able to adapt
successfully to such demands. Our failure to respond in a timely manner to
changing market conditions or customer requirements would have a material
adverse effect on our business, prospects, financial condition, and results of
operations.
WE MAY NOT BE ABLE TO COMPETE EFFECTIVELY IN OUR INDUSTRY
The medical claims processing industry is highly competitive and is dominated by
a number of significantly larger companies with substantially greater resources
than we have. We may not successfully compete in any market in which we conduct
or may conduct operations. In addition, in certain market segments, including
psychiatry and surgery, we believe that we are not currently able to compete
with existing potential competitors and, accordingly, we have designed our
business plan to address other market segments.
REGULATORY AND LEGAL UNCERTAINTIES COULD HARM OUR BUSINESS
We are not currently subject to direct regulation by any government agency other
than laws or regulations applicable to electronic commerce, but we process
information which, by law, must remain confidential. The U.S. Health Care
Financing Administration has defined security requirements for Internet
communications including healthcare data. We operate in compliance in all
material respects with these requirements. Due to the increasing popularity and
use of the Internet and other online services, federal, state, and local
governments may adopt laws and regulations, or amend existing laws and
regulations, with respect to the Internet or other online services covering
issues such as user privacy, pricing, content, copyrights, distribution, and
characteristics and quality of products and services. Furthermore, the growth
and development of the market for electronic commerce may prompt calls for more
stringent consumer protection laws to impose additional burdens on companies
conducting business online. The adoption of any additional laws or regulations
may decrease the growth of the Internet or other online services, which could,
in turn, decrease the demand for our services and increase our cost of doing
business, or otherwise have a material adverse effect on our business,
prospects, financial condition, and results of operations. Moreover, the
relevant governmental authorities have not resolved the applicability to the
Internet and other online services of existing laws in various jurisdictions
governing issues such as property ownership and personal privacy, and it may
take time to resolve these issues definitively. Any new legislation or
regulation, the application of laws and regulations from jurisdictions whose
laws do not currently apply to our business, or the application of existing laws
and regulations to the Internet and other online services could have a material
adverse effect on our business, prospects, financial condition, and results of
operations.
THE MARKET PRICE FOR OUR COMMON STOCK MAY BE HIGHLY VOLATILE; WE MUST CONTINUE
TO SATISFY THE APPLICABLE REQUIREMENTS FOR OUR COMMON STOCK TO TRADE ON THE
NASDAQ SMALLCAP MARKET
The market price of our common stock has experienced, and may continue to
experience, significant volatility. Our operating results, announcements by us
or our competitors regarding acquisitions or dispositions, new procedures or
technology, changes in general conditions in the economy, and general market
conditions could cause the market price of our common stock to fluctuate
substantially. The equity markets have, on occasion, experienced significant
price and volume fluctuations that have affected the market prices for many
companies' common stock and have often been unrelated to the operating
performance of these companies.
Under the currently effective criteria for continued listing on the Nasdaq
SmallCap Market, a company must maintain (a) either (i) $2,000,000 in net
tangible assets, (ii) $500,000 net income in the last fiscal year, or (iii)
market capitalization of $35 million, (b) a minimum bid price of $1.00, and (c)
a public float of at least $1,000,000. If we cannot maintain the standards for
continued listing, our common stock could be subject to delisting from the
Nasdaq SmallCap Market. Trading, if any, in our common stock would then be
conducted in the over-the-counter market on the OTC Bulletin Board established
for securities that do not meet the Nasdaq SmallCap Market listing requirements
or in what are commonly referred to as the "pink sheets." As a result, an
investor may find it more difficult to dispose of, or to obtain accurate
quotations as to the price of, our shares.
THE MARKET FOR OUR COMMON STOCK MAY SUFFER IN THE EVENT OF DELISTING FROM THE
NASDAQ SMALLCAP MARKET AND IF OUR COMMON STOCK IS "PENNY STOCK"
If our common stock were to be delisted from the Nasdaq SmallCap Market, and no
other exclusion from the definition of a "penny stock" under the Exchange Act
were available, our common stock would be subject to the penny stock rules that
impose additional sales practice requirements on broker-dealers who sell these
securities to persons other than established customers and accredited investors.
Accredited investors are generally those investors with net worth in excess of
$1,000,000 or an annual income exceeding $200,000 or $300,000 together with a
spouse. For transactions covered by these rules, the broker-dealer must make a
special suitability determination for the purchase, and must have received the
purchaser's written consent to the transaction prior to sale. As a result,
delisting, if it were to occur, could materially adversely affect the ability of
broker-dealers to sell our common stock and the ability of purchasers of our
stock to sell their shares in the secondary market.
FUTURE SALES OF COMMON STOCK BY OUR EXISTING STOCKHOLDERS COULD ADVERSELY AFFECT
OUR STOCK PRICE
The market price of our common stock could decline as a result of sales of a
large number of shares of our common stock in the market, or the perception that
these sales could occur. These sales also might make it more difficult for us to
sell equity securities in the future at a time and at a price that we deem
appropriate.
CAUTIONARY NOTES REGARDING THE FORWARD-LOOKING STATEMENTS
This report contains, and incorporates by reference, forward-looking statements
regarding our plans and objectives for the future. These forward-looking
statements are based on current expectations that involve numerous risks and
uncertainties. Our plans and objectives are based on a successful execution of
our expansion strategy and are based upon a number of assumptions, including
assumptions relating to the growth in the use of the Internet and that there
will be no unanticipated material adverse change in our operations or business.
These assumptions involve judgments with respect to, among other things, future
economic, political, competitive, and market conditions, and future business
decisions, all of which are difficult or impossible to predict accurately and
many of which are beyond our control. Although we believe that the assumptions
underlying our forward-looking statements are reasonable, any of the assumptions
could prove inaccurate. The forward-looking statements included, or incorporated
by reference, in this report may prove to be inaccurate. In light of the
significant uncertainties inherent in these forward-looking statements, you
should not regard these statements as representations by us or any other person
that we will achieve our objectives and plans.
ITEM 2. PROPERTIES
We currently lease 8,735 square feet of office space at a rent of $15,546 per
month, at 12801 North Central Expressway, Suite 1515, Dallas, Texas 75243. The
lease expires December 31, 2001. We believe that, in the event alternative or
larger offices are required, such space is available at competitive rates. For
our servers, we utilize DIGEX Business Internet Solutions, including a
nationwide DS-3 backbone, a substantial dedicated Web server management
facility, and a 24 hour per day, 7 day per week Network Operations Center at a
cost of $28,500 per month.
ITEM 3. LEGAL PROCEDINGS
We are not currently party to any litigation proceedings.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
On October 20, 2000, the annual meeting of stockholders was held in Dallas,
Texas. The stockholders approved, by a vote of 5,632, 980 shares for and 89,634
shares against, with holders of 1,866,703 shares not voting and 37,271 shares
abstaining, the proposal to increase the number of shares issuable pursuant to
the 1997 Stock Option Plan by 750,000. The stockholders approved, by a vote of
5,669,533 for and 51,842 against, with holders of 1,866,703 not voting and
32,510 abstaining, the reservation of 1,427,076 shares of Common Stock of the
Company, for issuance upon the conversion of the Company's Series A Convertible
Redeemable Preferred Stock and Series B Convertible Redeemable Preferred Stock.
The stockholders elected, by a vote of 7,611,053 shares for and 9,535 shares
withheld, Bo W. Lycke, Ward L. Bensen, and Robert H. Brown, Jr., to serve as
Class I Directors for a two year period and until their successors are elected
and qualified. The stockholders also ratified, by a vote of 7,610,758 shares
for, and 6,530 shares against, with holders of 3,300 shares abstaining, the
selection of Ernst & Young LLP as independent auditors for the fiscal year
ending December 31, 2000.
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED SHAREHOLDER MATTERS
PRICE RANGE OF COMMON STOCK
The Common Stock of Claimsnet.com has been traded on the Nasdaq SmallCap Market
under the symbol "CLAI" and on the Boston Stock Exchange under the trading
symbol "CLA" since April 6, 1999. The following table sets forth, for the fiscal
periods indicated, the quarterly high and low per share sales prices, as
reported by Nasdaq:
HIGH LOW
-------- --------
1999
From April 6, 1999 through June 30,1999 $19.125 $ 7.563
Three months ended September 30, 1999 8.500 4.000
Three months ended December 31, 1999 12.625 4.000
2000
Three months ended March 31, 2000 $11.250 $ 6.500
Three months ended June 30,2000 9.500 2.000
Three months ended September 30, 2000 4.813 1.625
Three months ended December 31, 2000 3.750 1.063
2001
Three months ended March 31, 2001 $ 2.313 $ 1.063
The last reported sale price of the Common Stock on the Nasdaq SmallCap Market
on March 30, 2001 was $1.688 per share. As of September 14,2000, there were
2,192 holders of record of the Common Stock.
DIVIDEND POLICY
We have not paid any cash dividends on our Common Stock and, in view of net
losses and our operating requirements, do not intend to pay cash dividends in
the foreseeable future. If we achieve profitability, we intend to retain future
earnings, if any, for reinvestment in the development and expansion of our
business. Any credit agreements, which we may enter into with institutional
lenders, may restrict our ability to pay dividends. Whether we pay cash
dividends in the future will be at the discretion of our Board of Directors and
will be dependent upon our financial condition, results of operations, capital
requirements, and any other factors that the Board of Directors determines to be
relevant.
ITEM 6. SELECTED FINANCIAL DATA
The following selected financial data are derived from our consolidated
financial statements. The financial statements as of, and for the years ended
December 31, 2000 and 1999 have been audited by Ernst & Young LLP, independent
auditors. The financial statements as of, and for the year ended December 31,
1998, have been audited by King Griffin & Adamson, P.C., independent auditors.
The following selected financial data should be read in conjunction with
"Management's Discussion and Analysis of Financial Condition and Results of
Operations" and our consolidated financial statements and the related notes
appearing elsewhere in this form 10-K.
Year Ended December 31,
---------------------------------------------
2000 1999 1998
------------- ------------- -------------
STATEMENT OF OPERATIONS DATA:
- -----------------------------
Revenues ................................................. $ 1,602,000 $ 414,000 $ 155,000
------------- ------------- -------------
Total operating expenses ................................. 19,432,000 8,485,000 4,510,000
------------- ------------- -------------
Interest expense - affiliate ............................. 6,000 142,000 314,000
Interest expense - bridge debt ........................... - 967,000 -
Interest income .......................................... (141,000) (322,000) (6,000)
------------- ------------- -------------
Net loss ................................................. $(17,695,000) $ (8,858,000) $ (4,663,000)
============= ============= =============
Loss per weighted average common share outstanding
(basic and diluted) .................................... $ (2.16) $ (1.52) $ (1.41)
============= ============= =============
Weighted average common shares outstanding (basic
and diluted) ........................................... 8,174,000 5,811,000 3,309,000
============= ============= =============
Year Ended December 31,
---------------------------------------------
2000 1999 1998
------------- ------------- -------------
BALANCE SHEET DATA:
- -------------------
Current assets ........................................... $ 1,562,000 $ 7,176,000 $ 105,000
Total assets ............................................. 2,740,000 8,923,000 1,653,000
Working capital (deficit)................................. (1,012,000) 6,224,000 (1,089,000)
Long-term debt ........................................... - - 4,323,000
Accumulated deficit ...................................... (34,303,000) (16,608,000) (7,750,000)
Stockholders' equity (deficit) ........................... 166,000 7,971,000 (3,864,000)
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS AND OTHER PORTIONS OF THIS REPORT CONTAIN FORWARD-LOOKING INFORMATION
THAT INVOLVE RISKS AND UNCERTAINTIES. OUR ACTUAL RESULTS COULD DIFFER MATERIALLY
FROM THOSE ANTICIPATED BY THE FORWARD-LOOKING INFORMATION. FACTORS THAT MAY
CAUSE SUCH DIFFERENCES INCLUDE, BUT ARE NOT LIMITED TO, AVAILABILITY OF
FINANCIAL RESOURCES FOR LONG TERM NEEDS, PRODUCT DEMAND, MARKET ACCEPTANCE AND
OTHER FACTORS DISCUSSED ELSEWHERE IN THIS REPORT. THIS MANAGEMENT'S DISCUSSION
AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS SHOULD BE READ IN
CONJUNCTION WITH OUR CONSOLIDATED FINANCIAL STATEMENTS AND THE RELATED NOTES
INCLUDED ELSEWHERE IN THIS REPORT.
IN GENERAL
As of December 31, 2000, we had a working capital deficit of $(1,012,000) and
stockholders' equity of $166,000. We generated revenues of $1,602,000 for the
year ended December 31, 2000, $414,000 for the year ended December 31, 1999 and
$155,000 for the year ended December 31, 1998, incurred net losses since
inception and had an accumulated deficit of ($34,303,000) at December 31, 2000.
We expect to continue to operate at a loss for the foreseeable future. There can
be no assurance that we will ever achieve profitability. In addition, during the
year ended December 31, 2000, net cash used in operating activities was
$6,737,000.
We are in the early stage of operations and, as a result, the relationships
between revenue and cost of revenue, and operating expenses reflected in the
financial information included in this report do not represent future expected
financial relationships. Much of the cost of revenue and operating expenses
reflected in our consolidated financial statements are associated with people
costs, and not directly related to transaction volumes. Our expenses increased
with the escalation of sales and marketing activities and transaction volumes,
but at a much slower rate of increase than the corresponding revenue increase.
Research and development reported a significant one-time, non-recurring expense
due to delay in development of an asset acquisition made during the year.
Accordingly, we believe that, at our current stage of operations period to
period comparisons of results of operations are not meaningful.
BRIDGE FINANCING
In February, 1999 we issued $1,000,000 of Series A 12% Subordinated Notes
("Notes") along with 125,000 shares of common stock for proceeds of $892,000
(net of closing fees and cash financing expenses).
The 125,000 shares of common stock issued with the Notes were valued at $850,000
($6.80 per share) and were recorded at that amount with a corresponding charge
to debt discount. The Notes were repaid from the proceeds of the initial public
offering which occurred on April 6, 1999 and the debt discount was amortized
over the period from issuance to repayment, resulting in an $850,000 charge to
interest expense during the year ended December 31, 1999. Debt issuance costs of
$108,000 were also capitalized and amortized over the period the Notes were
outstanding, resulting in a charge of $108,000 to interest expense in 1999. Cash
interest expense of $9,000 was also recorded for the two month period the Notes
were outstanding.
INITIAL PUBLIC OFFERING
On April 6, 1999, we consummated an initial public offering of 2,500,000 shares
of common stock at a price of $8.00 per share. The underwriters exercised, in
full, the right to sell an additional 375,000 shares under the underwriters'
overallotment option on May 21, 1999. The aggregate net proceeds (after
deducting the underwriting discount and offering expenses payable by us) were
approximately $19.5 million. We repaid from the net proceeds (i) approximately
$5,100,000 of outstanding principal and accrued interest on the 9.5% note
payable and line of credit facility with American Medical Finance, Inc., a
related party, and (ii) approximately$1,000,000 of outstanding principal and
accrued interest under the Series A 12% Subordinated Notes.
In connection with the initial public offering, we granted certain employees and
non-employees options to purchase 420,000 shares of common stock under the 1997
Stock Option Plan of which 27,000 were subject to options granted to
non-employees. The options contain exercise prices of between $7.00 and $8.80
per share and expire on the tenth anniversary of the grant. The employee options
become exercisable ratably over the first four anniversaries of the grant. The
non-employee options were issued for past services, are fully vested, and become
exercisable ratably over the first four anniversaries of the grant. The options
granted to non-employees require a charge to earnings equal to the imputed value
of the options, which is estimated at $5.73 per option using the Black-Scholes
valuation method. Therefore, we recognized a one-time expense of $155,000
related to the past services.
We also granted non-employee directors options to purchase 80,000 shares of
common stock under the Non-Employee Director's Plan. The non-employee director
options were issued at a price of $8.00 per share. Under the terms as originally
granted, options for 50,000 shares of common stock were to vest ratably over the
first two anniversaries of the grant, and options for 30,000 shares of common
stock were to vest ratably at the end of each three-month period of the option
term. On May 21, 1999 the Board of Directors, at the recommendation of the
Compensation Committee, voted to modify the vesting period for all outstanding
non-employee director options such that the options became fully vested on May
21, 1999. All options expire on the tenth anniversary of the grant. The
modification did not result in a charge to earnings as it resulted in a de
minimus change in the fair value of the options.
Also in connection with the initial public offering, we issued warrants to
purchase an aggregate of 20,000 shares of common stock at a price of $8.80 per
share, exercisable between the first and fifth anniversaries of the date of
grant. The warrants, which are fully vested and were issued for past services,
resulted in one-time expense of $121,400 based on an estimated value of $6.07
per share using the Black-Scholes valuation method. Therefore, we accrued and
recognized a one-time expense of $121,400 related to the issuance of warrants.
In November 1999, we granted certain employees and non-employees
options to purchase 62,500 shares of common stock under the 1997 Stock Option
Plan, of which options for 5,000 shares were granted to a non-employee. The
options were issued at an exercise price of $8.00 per share, the market price on
the date of grant, expire on the tenth anniversary of the grant, and vest
ratably over the first four anniversaries of the grant.
In October 2000, upon completion of our annual meeting, options exercisable for
an aggregate of 25,000 shares of common stock were granted under the Directors'
Plan. The option exercise price of $2.375 was the fair market value of a share
of the outstanding common stock on the date the options were granted.
PRIVATE PLACEMENTS
In August 2000, we completed a private placement of 270,000 shares of common
stock at $3.50 per share for net proceeds of $927,000. In connection with the
financing, we also issued warrants to purchase 270,000 shares of common stock at
a price of $4.60 per share for a period of one year and warrants to purchase
270,000 shares of common stock at a price of $5.60 for a period of two years.
In June 2000, we completed a private placement of 1,000,000 shares of common
stock for net proceeds of $2,982,000.
In June 2000, we granted certain employees ten-year warrants to purchase 178,250
shares of common stock at a price of $3.00 per share, the market price on the
date of grant. They become exercisable in June 2001.
In May 2000, we sold at a price of $3.00 per share, 100,000 shares of common
stock to American Medical Finance, Inc., a related party and the owner of record
of 381,603 shares of common stock prior to the transaction. Bo W. Lycke, the
Chairman of the Board, President and Chief Executive Officer of the Company,
Robert H. Brown, Jr., a Director of the Company, and Ward L. Bensen, a Director
of the Company, control 71.1%, 17.7%, and 11.2%, respectively, of the
outstanding common stock of American Medical Finance, Inc.
In April 2000, we issued 1,200,000 shares valued at $6,376,000 to acquire
certain assets from VHx Company. In December 2000, pursuant to provisions of the
asset purchase agreement, we withdrew from escrow and returned to our treasury
888,000 shares at a value of $1,415,000, and we issued 244,000 shares valued at
$389,000 from treasury stock to JDH, a major creditor, in satisfaction of debt
owed by VHx Company.
In the forgoing financing we provided certain rights to register resale of the
shares at our expense under the Securities Act of 1933.
PLAN OF OPERATIONS
Our business strategy is as follows:
o to aggressively pursue and support strategic relationships with
companies that will in turn aggressively market electronic claims
processing and our other services to outpatient healthcare providers,
including clinics, hospitals, physicians, HMOs, third party
administrators, dentists, and other outpatient service providers;
o to continue to expand our services to include additional transaction
processing functions, such as HMO encounter forms, eligibility and
referral verifications, patient statements, and other healthcare
administrative services, in order to diversify sources of revenue;
o to license our technology for other applications, including stand-alone
purposes, Internet systems, private label use, and original equipment
manufacturers.
We anticipate that our primary source of revenues will be fees paid by strategic
partners for private-label and co-branded licenses and services, fees paid by
users for insurance claim and patient statement services, and fees from medical
and dental payers for delivering claims electronically. We expect most of our
revenues to be recurring in nature.
Our principal operating costs are anticipated to be processing fees for certain
transactions, technical and customer support, research and development,
acquisition of capital equipment, and general and administrative expenses. We
intend to continue to develop and upgrade our technology and
transaction-processing systems and continually update and improve our website to
incorporate new technologies, protocols, and industry standards. Selling,
general and administrative expenses include all corporate and administrative
functions that serve to support our current and future operations and provide an
infrastructure to support future growth. Major items in this category include
management and staff salaries and benefits, travel, professional fees, network
administration, business insurance, and rent.
RESULTS OF OPERATIONS
COMPARISON OF THE YEARS ENDED DECEMBER 31, 2000 AND 1999
REVENUES
Revenues increased 287% to $1,602,000 in 2000 from $414,000 in 1999. Revenues of
$523,000 and $87,000, respectively, during 2000 and 1999 are related to
percentage of completion revenue recognition of the McKesson Development and
Services Agreement and revenues of $1,079,000 and $327,000, respectively during
2000 and 1999, are related to our Internet-based clients. Increased revenues
from internet-based clients are attributable to volume and pricing improvements
and increased customer interest in the patient statement product. Revenues from
recurring revenue sources for 2000 represented 57% of total revenues. Recurring
revenues were comprised of $644,000 from transaction-based fees and $273,000
from subscription fees. Revenues from non-recurring sources totaled $162,000 and
were related to setup, support, and other fees. Revenues under the McKesson
Development and Services Agreement accounted for approximately 43% of 2000
revenues and 21% of 1999 revenues.
Transactions processed by us increased 88% to 5,283,000 in 2000 from 2,809,000
in 1999. All of the increase was attributable to internal growth in the number
of accounts and healthcare providers subscribing to our services. Additionally,
88% of all transactions were for physician and dental claim submission services
and 12% were from patient statement processing. We had 399 accounts processing
transactions for 3,696 providers at December 31, 2000 compared with 365 accounts
and 3,001 providers at December 31, 1999, representing increases of 9% and 23%,
respectively.
Transaction-based revenue averaged $.12 per transaction and $.07 per transaction
for the years ended December 31, 2000 and 1999, respectively, representing an
increase of 71%. Pricing changes implemented early in the year on certain
transactions and the growth in statement transactions contributed to the
improvement. We expect the average revenue per transaction to continue to
increase in future periods for several reasons. Revenue per transaction for the
2,543,000 commercial electronic claims averaged $.04 during 2000 as compared to
1,649,000 claims which averaged $.02 during 1999. We expect commercial
electronic claim prices to increase due to additional payer rebate contracts
with volume-based pricing structures. Revenue per transaction for the 1,803,000
Medicare and Medicaid claims averaged $.09 during 2000, compared to 842,000
Medicare and Medicaid claims which averaged $.01 during 1999. This increase
resulted from the implementation of a new pricing structure charging a per
transaction fee to a broader group of customers. Average revenue per transaction
for the 310,000 paper claims was $.48 during the year compared to 287,000 paper
claims at $.47 for the prior year. Patient statement volumes increased to
626,000 in 2000 from approximately 30,000 in 1999. Patient statement revenues
averaged $.34 per transaction in 2000.
COST OF REVENUES
Cost of revenues were $2,724,000 in 2000 compared to $1,665,000 for the prior
year. The three components of cost of revenues are data center expenses,
transaction processing expenses, and customer support operation expenses. Data
center expenses were $394,000 for the year ended December 31, 2000 compared with
$324,000 for 1999, an increase of 22%. Transaction processing expenses were
$498,000 in 2000 compared to $208,000 in 1999, representing a 139% increase.
Customer support operations expense increased by 62% to $1,832,000 in 2000 from
$1,133,000 in 1999, while the number of accounts and providers served at the end
of each year increased by 9% and 23%, respectively. The increases in customer
support operations expense were primarily attributable to increased staffing.
RESEARCH AND DEVELOPMENT
Research and development expenses were $2,087,000 in 2000, compared with
$1,005,000 in 1999, representing an increase of 108%. Research and development
expenses are comprised of personnel costs and related expenses. No internal use
software costs were capitalized in the current year compared to $161,000
capitalized during 1999. Development efforts during 2000 were concentrated on
development of the McKesson project started during 1999 and additional
development of HealthExchange(TM) products which have not yet reached
marketability. Development efforts during 1999 relating to our proprietary
software system represented continuous incremental enhancements, which are
individually and simultaneously implemented for all clients on our
centralized operating system. No costs were capitalized for these development
efforts. Development costs capitalized during 1999 were related to several
internal infrastructure system projects.
SOFTWARE AMORTIZATION
Software amortization expenses decreased 34% to $482,000 in 2000 from $729,000
in 1999. This decrease reflects completion of software development amortization
in 2000.
SELLING, GENERAL AND ADMINISTRATIVE
Selling, general and administrative expenses were $5,297,000 in 2000, compared
with $5,086,000 in 1999, an increase of 4%. The $211,000 increase includes a
$913,000 increase for other general and administrative expenses, primarily
related to salaries and benefits for additional employees and increases in
professional and insurance fees. Offsetting this increase were decreases of
$380,000 in sales and marketing expenses and $46,000 in technology
infrastructure and support expenses and a one-time charge of $276,000 in 1999
for the cost of past services related to the grant of stock options and warrants
to non-employees. The sales and marketing decrease primarily reflects reduced
marketing efforts during 2000.
OTHER INCOME (EXPENSE)
Interest expense was $6,000 for 2000 compared with $1,109,000 in 1999. Included
in the 1999 expense was $850,000 related to amortization of debt discount
related to bridge financing, $108,000 related to amortization of deferred
financing costs and $9,000 of cash interest at 12% per annum. Interest of
$142,000 was paid to affiliates in 1999. Interest income of $141,000 and
$322,000 was provided in 2000 and 1999, respectively, from investment of the net
proceeds from the April 6, 1999 Initial Public Offering.
COMPARISON OF THE YEARS ENDED DECEMBER 31, 1999 AND 1998
REVENUES
Revenues increased 167% to $414,000 in 1999 from $155,000 in 1998. Revenues of
$87,000 during 1999 (21% of total revenues) are related to percentage of
completion revenue recognition of the McKesson Development and Services
Agreement and revenues of $327,000 (79% of revenue) are related to our
internet-based clients. Although we provided internet-based services during
1998, there were no related revenues recognized because we waived fees as an
introductory promotional offer for our initial clients. Revenues for 1998 were
exclusively derived from the remaining business of Medica Systems, Inc.
(Medica), which was acquired by us in June 1997. The acquisition was made
primarily for the value of Medica's claims processing software technology. A
majority of Medica's revenues related to business that was not transferable to
our internet-based system. Nearly all of the Medica business was phased out
during 1998. Revenues from recurring revenue sources for 1999 represented 61% of
total revenues. Recurring revenues were comprised of $199,000 from
transaction-based fees and $53,000 from subscription fees. Revenues from
non-recurring sources totaled $75,000 and were related to setup, support, and
other fees. Transactions processed by us increased 302% to 2,809,000 in 1999
from 699,000 in 1998, attributable to internal growth in the number of accounts
and healthcare providers subscribing to our services. Additionally, 99.1% of all
transactions were for physician and dental claim submission services. We had 365
accounts processing transactions for 3,001 providers at December 31, 1999
compared with 175 accounts and 1,364 providers at December 31, 1998,
representing increases of 109% and 120%, respectively.
Transaction-based revenue averaged $.07 per transaction for 1999. Revenue per
transaction for the 1,649,000 commercial electronic claims averaged $.02 during
1999 and revenue per transaction for the 842,000 Medicare and Medicaid claims
averaged $.01for the year. Revenue per transaction for the 287,000 paper claims
averaged $.47 during 1999.
We processed approximately 31,000 patient statements during 1999, representing
1% of total transactions during the period.
COST OF REVENUES
Cost of revenues were $1,665,000 in 1999 compared to $649,000 for the prior
year. The three components of cost of revenues are data center expenses,
transaction processing expenses, and customer support operation expenses. Data
center expenses were $324,000 for 1999 compared with $114,000 for 1998, an
increase of 184%. Transaction processing expenses were $208,000 in 1999 compared
to $110,000 in 1998, representing a 89% increase. Customer support operations
expense increased by 167% to $1,133,000 in 1999 from $425,000 in 1998, while the
number of accounts and providers served at the end of each year increased by
109% and 120%, respectively. The increases in customer support operations
expense were primarily attributable to increased staffing.
RESEARCH AND DEVELOPMENT
Research and development expenses were $1,005,000 in 1999, compared with
$531,000 in 1998, representing an increase of 89%. Research and development
expenses are comprised of personnel costs and related expenses. Internal use
software costs of $161,000, all related to several internal infrastructure
system projects, were capitalized during 1999 while no costs were capitalized
during 1998. Development efforts during both periods relating to our proprietary
software system represented continuous incremental enhancements, which are
individually and simultaneously implemented for all clients on our centralized
operating system. No costs were capitalized for these development efforts.
SOFTWARE AMORTIZATION
Software amortization expenses increased 8% to $729,000 in 1999 from $672,000 in
1998 as a result of additional amortization for internal use software costs
capitalized in 1999.
SELLING, GENERAL AND ADMINISTRATIVE
Selling, general and administrative expenses were $5,086,000 in 1999, compared
with $2,658,000 in 1998, an increase of 91%. The $2,428,000 increase includes a
$1,413,000 increase in sales and marketing expenses and a $192,000 increase in
technology infrastructure and support expenses, both of which are primarily
related to personnel costs and related expenses. The sales and marketing
increase also reflects marketing efforts during 1999. A one-time charge of
$276,000 for the cost of past services related to the grants of stock options
and warrants to non-employees contributed to the increase. Other general
administrative expenses increased by $547,000, primarily due to increases in
office rent, telephone expenses, employee recruiting expenses, outside
professional fees, and employment agreement contractual increases.
OTHER INCOME (EXPENSE)
Interest expense was $1,109,000 in 1999 compared with $314,000 in 1998. Included
in the 1999 expense was $850,000 of amortization of debt discount related to
bridge financing, $108,000 of amortization of deferred financing costs and
$9,000 of cash interest at 12% per annum. Interest of $142,000 was paid to
affiliates in 1999 and $314,000 in 1998. Interest income of $322,000 in 1999
arose from investment of the net proceeds from the April 6, 1999 initial public
offering. Interest income of $6,000 was earned in 1998.
LIQUIDITY AND CAPITAL RESOURCES
Net cash used in operating activities was $6,737,000 in 2000, compared with
$6,451,000 in 1999 and $2,994,000 in 1998. The acquisition of HECOM assets in
the second quarter of 2000 was responsible for $10,649,000 of our $17,695,000
net loss. The following table presents HECOM's impact on our
consolidated statement of operations:
Revenue $ 58,000
---------------
Cost of revenue 21,000
Research and development 944,000
Purchased research and development
and write-off of intangible assets 8,430,000
Amortization of intangibles 412,000
Selling, general and administrative 900,000
---------------
Total operating expenses 10,707,000
---------------
NET LOSS $ 10,649,000
===============
The increase in net cash used in operating activities for 1999 from 1998 was
primarily due to increased selling, general and administration expenses.
Net cash provided by investing activities was $621,000 in 2000 compared to net
cash used in investing activities in 1999 of $5,306,000. Cash was provided by
the sale of $3,832,000 marketable securities and collection of employee loans.
Primary uses in 2000 consisted of the purchase of $2,978,000 of intangible
assets and research and development from the VHx Company, and the purchase of
$258,000 in property and equipment.
Net cash provided by financing activities in 2000 was $4,227,000 as a result of
sales in: May 2000 of 100,000 shares of common stock to American Medical
Finance, Inc. for $300,000; June 2000, in a private placement of 1,000,000
shares of common stock for $3,000,000; and August 2000 of 270,000 shares of
common stock at $3.50 per share for net proceeds of $927,000. In connection with
the financing, we issued warrants to purchase 270,000 shares of common stock at
a price of $4.60 per share for a period of one year and warrants to purchase
270,000 shares of common stock at a price of $5.60 per share for a period of two
years.
Net cash used in investing activities was $5,306,000 in 1999 and $120,000 in
1998. Primary uses in 1999 consisted of the net purchases of $3,832,000 of
marketable securities and the purchases of $1,313,000 in property and equipment.
In addition, we purchased operating licenses and began implementation for
several internal support systems during 1999. In connection with the
implementation of such systems, we capitalized $161,000 of internal development.
In March 2001, we entered into the following financing transactions:
(i) a one year loan from American Medical Finance, Inc., a related party,
in the amount of $400,000 bearing interest at 9.5% per annum, and
(ii) a private placement of 400,000 shares of common stock at $1.75 per
share for net proceeds of $630,000.
On April 12, 2001, we sold 1,514,285 shares of common stock at $1.75 per share
to McKesson for net proceeds of $2,650,000, and received a one time contract
renegotiation fee of $200,000 as part of an agreement which superseded our
October 1999 agreement. The stock purchase warrant originally issued to McKesson
in October 1999 was cancelled in April 2001. Additionally, the new agreement
eliminates certain of our operating requirements and future McKesson license and
subscription fees. The new agreement retains provisions for the payment of
transaction fees by McKesson and expands the scope of transactions that may be
processed under the license and the scope of other business opportunities which
we and McKesson may jointly pursue.
In the forgoing financing we provided certain rights to register resale of the
shares at our expense under the Securities Act of 1933.
We believe that our available cash resources, together with anticipated revenues
from operations and the proceeds of recently completed financing activities,
will be sufficient to satisfy our capital requirements through December 31,
2001. Our belief is based on the existence of net working capital of $377,000 at
December 31, 2000, excluding deferred revenue of $899,000 and a $500,000
disputed accrued liability which we do not expect to require a cash settlement
in 2001; plus net cash proceeds of $3,880,000 received from transactions
described above, less (i)$3,849,000 of net cash operating losses for 2001 based
upon annualized actual results for January and February 2001, adjusted for the
effect of the restructured agreement with McKesson, and (ii)$90,000 for capital
expenditures. Some of these assumptions may prove to be incorrect. As a result,
financial resources may not be sufficient to satisfy our capital requirements
for this period. We are currently seeking additional funding. Management cannot
predict whether this additional financing will be in the form of equity or debt,
or be in another form. Necessary additional capital may not be available on a
timely basis or on acceptable terms, if at all. In any of these events, we may
be unable to implement current plans for expansion or to repay debt obligations
as they become due. If current plans can not be implemented, we may be forced to
significantly reduce operating expenses to a point which would be detrimental to
business operations, curtail research and development activities, sell certain
business assets or discontinue some or all of our business operations, or take
other actions which could be detrimental to business prospects and result in
charges which could be material to our operations and financial position. In the
event that any future financing should take the form of equity securities, the
holders of the common stock may experience additional dilution.
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
THE FOLLOWING DISCUSSION AND ANALYSIS ABOUT MARKET RISK DISCLOSURES MAY CONTAIN
"FORWARD-LOOKING STATEMENTS" WITHIN THE MEANING OF SECTION 27A OF THE SECURITIES
ACT AND SECTION 21E OF THE EXCHANGE ACT. SUCH STATEMENTS INCLUDE DECLARATIONS
REGARDING OUR INTENT, BELIEF OR CURRENT EXPECTATIONS AND OUR MANAGEMENT AND
INVOLVE RISKS AND UNCERTAINTIES. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM
THOSE PROJECTED IN THE FORWARD-LOOKING STATEMENTS.
We believe that our available cash resources, together with anticipated revenues
from operations and the proceeds of recently completed financing activities,
will be sufficient to satisfy our capital requirements through December 31,
2001. Our belief is based on the existence of net working capital of $377,000 at
December 31, 2000, excluding deferred revenue of $889,000 and a $500,000
disputed accrued liability which we do not expect to require a cash settlement
in 2001; plus net cash proceeds of $3,880,000 received from transactions
described above, less (i)$3,849,000 of net cash operating losses for 2001 based
upon annualized actual results for January and February 2001, adjusted for the
effect of the restructured agreement with McKesson, and (ii)$90,000 for capital
expenditures. Some of these assumptions may prove to be incorrect. As a result,
financial resources may not be sufficient to satisfy our capital requirements
for this period. We are currently seeking additional funding. Management cannot
predict whether this additional financing will be in the form of equity or debt,
or be in another form. Necessary additional capital may not be available on a
timely basis or on acceptable terms, if at all. In any of these events, we may
be unable to implement current plans for expansion or to repay debt obligations
as they become due. If current plans can not be implemented, we may be forced to
significantly reduce operating expenses to a point which would be detrimental to
business operations, curtail research and development activities, sell certain
business assets or discontinue some or all of our business operations, or take
other actions which could be detrimental to business prospects and result in
charges which could be material to our operations and financial position. In the
event that any future financing should take the form of equity securities, the
holders of the common stock may experience additional dilution.
We operate in the United States and are not subject to foreign currency
fluctuations and run away inflation.
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
Below is an index of financial statements. The financial statements required by
this item begin at page F-1 hereof.
Page
------
Independent Auditors' Report F-1
Independent Auditors' Report F-2
Consolidated Balance Sheets - December 31, 2000 and 1999 F-3
Consolidated Statements of Operations for the Years Ended
December 31, 2000, 1999 and 1998 F-4
Consolidated Statements of Changes in Stockholders'
Equity (Deficit) for the Years Ended December 31,
2000, 1999 and 1998 F-5
Consolidated Statements of Cash Flows for the Years Ended
December 31, 2000, 1999 and 1998 F-6
Notes to Consolidated Financial Statements F-8
INDEPENDENT AUDITORS' REPORT
The Board of Directors and Shareholders
Claimsnet.com, inc.
We have audited the accompanying consolidated balance sheets of
Claimsnet.com, inc. and subsidiaries as of December 31, 2000, and 1999, and the
related consolidated statements of operations, stockholders' equity (deficit)
and cash flows for each of the two years in the period ended December 31, 2000.
These financial statements are the responsibility of the Company's management.
Our responsibility is to express an opinion on these financial statements based
on our audits.
We conducted our audits in accordance with auditing standards generally
accepted in the United States. Those standards require that we plan and perform
the audit to obtain reasonable assurance about whether the financial statements
are free of material misstatement. An audit includes examining, on a test basis,
evidence supporting the amounts and disclosures in the financial statements. An
audit also includes assessing the accounting principles used and significant
estimates made by management, as well as evaluating the overall financial
statement presentation. We believe that our audits provide a reasonable basis
for our opinion.
In our opinion, the consolidated financial statements referred to above
present fairly, in all material respects, the consolidated financial position of
Claimsnet.com, inc. and subsidiaries at December 31, 2000, and 1999, and the
consolidated results of their operations and their cash flows for each of the
two years in the period ended December 31, 2000, in conformity with accounting
principles generally accepted in the United States.
/S/ Ernst & Young LLP
Dallas, Texas
February 2, 2001, except for Notes A and J
as to which the date is April 13, 2001
F-1
REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS
Board of Directors
Claimsnet.com inc.
We have audited the accompanying consolidated statements of operations,
stockholders' deficit, and cash flows of Claimsnet.com, inc. and subsidiary for
the year ended December 31, 1998. These financial statements are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these financial statements based on our audit.
We have conducted our audit in accordance with generally accepted auditing
standards. Those standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.
We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the results of operations and cash flows of
Claimsnet.com, inc. and subsidiary for the year ended December 31, 1998 in
conformity with generally accepted accounting principles.
/S/ KING GRIFFIN & ADAMSON, P.C.
Dallas, Texas
January 22, 1999
F-2
CLAIMSNET.COM INC. AND SUBSIDIARY
CONSOLIDATED BALANCE SHEETS
(In Thousands, Except Share Data)
December 31,
---------------------
2000 1999
--------- ---------
ASSETS
CURRENT ASSETS
Cash and equivalents $ 1,132 $ 3,021
Marketable securities - 3,832
Accounts receivable, net of allowance
for doubtful accounts of $29 and $26
in 2000 and 1999, respectively 307 98
Interest receivable - 100
Prepaid expenses and other current assets 123 125
--------- ---------
Total current assets 1,562 7,176
EQUIPMENT, FIXTURES AND SOFTWARE
Computer hardware and software 1,875 1,617
Software development costs 1,923 1,923
Furniture and fixtures 125 109
Office equipment 25 25
Leasehold improvements - 31
--------- ---------
3,948 3,705
Accumulated depreciation and amortization (2,770) (1,983)
--------- ---------
Total equipment, fixtures and software 1,178 1,722
OTHER ASSETS - 25
--------- ---------
TOTAL ASSETS $ 2,740 $ 8,923
========= =========
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
Accounts payable $ 163 $ 489
Accrued expenses 1,522 463
Deferred revenues 889 -
--------- ---------
TOTAL CURRENT LIABILITIES 2,574 952
COMMITMENTS AND CONTINGENCIES
STOCKHOLDERS' EQUITY
Preferred stock, $.001 par value; 4,000,000
shares authorized, no shares
issued or outstanding
Common stock, $.001 par value; 40,000,000
shares authorized; 8,551,000 shares and
6,625,000 shares outstanding as of December
31, 2000 and 1999, respectively 9 7
Additional capital 35,486 24,572
Accumulated deficit (34,303) (16,608)
Treasury stock, 644,000 shares, at cost (1,026) -
--------- ---------
Total stockholders' equity 166 7,971
--------- ---------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY $ 2,740 $ 8,923
========= =========
The accompanying notes are an integral part of these consolidated financial
statements.
F-3
CLAIMSNET.COM INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF OPERATIONS
(In Thousands, Except Per Share Data)
Year Ended December 31,
---------------------------------
2000 1999 1998
--------- --------- ---------
REVENUES $ 1,602 $ 414 $ 155
Cost of revenues 2,724 1,665 649
--------- --------- ---------
Gross loss (1,122) (1,251) (494)
--------- --------- ---------
OPERATING EXPENSES:
Research and development 2,087 1,005 531
Purchased research and development and write-off of
purchased intangibles and other assets 8,430 - -
Amortization of software and intangibles 894 729 672
Selling, general and administrative 5,297 5,086 2,658
--------- --------- ---------
LOSS FROM OPERATIONS (17,830) (8,071) (4,355)
--------- --------- ---------
OTHER INCOME (EXPENSE)
Interest expense-affiliate (6) (142) (314)
Interest expense-bridge debt - (967) -
Interest income 141 322 6
--------- --------- ---------
Total Other Income (Expense) 135 (787) (308)
--------- --------- ---------
NET LOSS $(17,695) $ (8,858) $ (4,663)
========= ========= =========
NET LOSS PER SHARE - BASIC AND DILUTED $ (2.16) $ (1.52) $ (1.41)
========= ========= =========
WEIGHTED AVERAGE COMMON SHARES
OUTSTANDING (Basic and diluted) 8,174 5,811 3,309
========= ========= =========
The accompanying notes are an integral part of these consolidated financial statements.
F-4
CLAIMSNET.COM INC. AND SUBSIDIARY
CONSOLIDATED STATEMENT OF CHANGES IN
STOCKHOLDERS' EQUITY (DEFICIT)
(In Thousands)
Total
Number of Common Additional Accumulated Treasury Stockholders'
Shares Stock Capital Deficit Stock Equity (Deficit)
--------- --------- --------- --------- --------- ---------
Balances at January 1, 1998 3,111 $ 3 $ 1,407 $ (3,087) $ - $ (1,677)
Sale of stock for cash 514 1 2,475 - - 2,476
Net loss - - - (4,663) - (4,663)
--------- --------- --------- --------- --------- ---------
Balances at December 31, 1998 3,625 4 3,882 (7,750) - (3,864)
--------- --------- --------- --------- --------- ---------
Issuance of common stock with Series A 12%
Subordinated Notes 125 - 850 - - 850
Non-employee stock option grants - - 155 - - 155
Issuance of common stock warrants - - 121 - - 121
Sale of common stock in initial public
offering 2,875 3 19,512 - - 19,515
Amortization of common stock warrants issued
in connection with development agreement - - 52 - - 52
Net loss - - - (8,858) - (8,858)
--------- --------- --------- --------- --------- ---------
Balances at December 31, 1999 6,625 7 24,572 (16,608) - 7,971
--------- --------- --------- --------- --------- ---------
Sale of common stock 1,370 1 4,226 - - 4,227
Issuance of common stock for asset purchase 1,200 1 6,375 - - 6,376
Return to treasury of stock issued for
asset purchase (888) - - - (1,415) (1,415)
Issuance from treasury of common stock for
settlement of acquired obligation 244 - - - 389 389
Amortization of deferred sales discount - - 313 - - 313
Net loss - - - (17,695) - (17,695)
--------- --------- --------- --------- --------- ---------
Balances at December 31, 2000 8,551 $ 9 $ 35,486 $(34,303) $ (1,026) $ 166
========= ========= ========= ========= ========= =========
The accompanying notes are an integral part of these consolidated financial statements.
F-5
CLAIMSNET.COM INC. AND SUBSIDIARY
CONSOLIDATED STATEMENT OF CASH FLOWS
(In Thousands)
Year Ended December 31,
---------------------------------
2000 1999 1998
--------- --------- ---------
CASH FLOWS FROM OPERATING ACTIVITIES:
Net loss $(17,695) $ (8,858) $ (4,663)
Adjustments to reconcile net loss to net cash
used by operating activities:
Depreciation and amortization 787 858 707
Common stock issued for services - 276 -
Provision for doubtful accounts 27 65 34
Amortization of intangibles 412 - -
Purchased research and development and write off of
purchased intangibles 8,415 - -
Write-off of property and equipment 15 - -
Amortization of debt discount and deferred financing costs - 958 -
Offering costs written off - - 412
Amortization of prepaid sales discount 313 52 -
Changes in operating assets and liabilities, net of acquisitions:
Increase in accounts receivable (236) (121) (62)
Increase (decrease) in prepaid expenses and other current assets 103 (206) (9)
Increase in accounts payable, accrued expenses
and other current liabilities 1,122 525 587
--------- --------- ---------
Net cash used in operating activities (6,737) (6,451) (2,994)
--------- --------- ---------
CASH FLOWS FROM INVESTING ACTIVITIES:
Purchase of marketable securities - (5,757) -
Proceeds from sale of marketable securities 3,832 1,925 -
Purchase of intangible assets and research and development (2,978) - -
Employee loan 25 - (25)
Purchase of property and equipment (258) (1,313) (95)
Capitalized cost of internal software development - (161) -
--------- --------- ---------
Net cash provided by (used in) investing activities 621 (5,306) (120)
--------- --------- ---------
CASH FLOWS FROM FINANCING ACTIVITIES:
Increase in line of credit - affiliate - 911 1,530
Payments of notes and line of credit - affiliate - (5,234) -
Issuance of Series A 12% Subordinated Notes - 892 -
Payment of Series A 12% Subordinated Notes - (1,000) -
Payment of contingent notes - (350) -
Proceeds from issuance of common stock 4,227 19,515 2,025
Payments of deferred offering costs - - (792)
--------- --------- ---------
Net cash provided by financing activities 4,227 14,734 2,763
--------- --------- ---------
NET INCREASE (DECREASE) IN CASH AND EQUIVALENTS (1,889) 2,977 (351)
CASH AND EQUIVALENTS, BEGINNING OF YEAR 3,021 44 395
--------- --------- ---------
CASH AND EQUIVALENTS, END OF YEAR $ 1,132 $ 3,021 $ 44
========= ========= =========
F-6
CLAIMSNET.COM INC. AND SUBSIDIARY
CONSOLIDATED STATEMENTS OF CASH FLOWS (CONTINUED)
(In Thousands)
Year Ended December 31,
---------------------------------
2000 1999 1998
--------- --------- ---------
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION
NON CASH TRANSACTIONS:
Common stock issued in connection with Series A
12% Subordinated Notes $ - $ 850 $ -
========= ========== =========
Conversion of portion of line of credit - affiliate
to equity $ - $ - $ 450
========= ========== =========
Common stock warrants issued in connection with development
and services agreement $ - $ 1,700 $ -
========= ========== =========
Issuance of common stock for intangible assets and research
and development $ 6,376 $ - $ -
========= ========== =========
Return to treasury of stock issued for asset purchase $ (1,415) $ - $ -
========= ========== =========
Issuance from treasury of common stock for settlement of
acquired obligation $ 389 $ - $ -
========= ========== =========
The accompanying notes are an integral part of these consolidated financial statements.
F-7
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE A--ORGANIZATION, BACKGROUND AND LIQUIDITY
Claimsnet.com inc. ("Claimsnet.com" or the "Company") is a Delaware corporation
originally formed in April 1996. The Company owns, operates and licenses
software used for processing medical insurance claims on the internet.
In 1996, the Company acquired all the internet software, licenses, intellectual
property rights and technology developed by an affiliated company, American
Medical Finance ("American Medical Finance"). American Medical Finance is
affiliated through common stockholders, and as a stockholder of the Company. On
June 2, 1997, the Company acquired Medica Systems, Inc., which owned the
CyberClaim software source code previously licensed to the Company for use in
conjunction with the software purchased from American Medical Finance.
The Company completed an initial public offering in April 1999, for 2,875,000
shares of common stock at $8.00 per share including the underwriter's
overallotment of 375,000 shares.
During 2000, the Company made private placements of 1,370,000 shares of common
stock at prices between $3.00 and $3.50 per share.
In April 2000, the Company formed a wholly owned subsidiary, HealthExchange.com
(HECOM), to purchase certain research and development and other assets from VHx
Company. (See Note C)
In March 2001, the Company entered into a twelve-month loan agreement with
American Medical Finance, Inc., a related party, in the amount of $400,000
bearing interest at 9.5% per annum.
In March 2001, the Company completed the private placement of 400,000 shares of
common stock at $1.75 per share for net proceeds of $630,000.
On April 12, 2001, the Company entered into an agreement with McKessonHBOC
("McKesson") that superseded its October 1999 agreement. Under the new
agreement, McKesson acquired 1,514,285 shares of common stock at $1.75 per
share, for net proceeds of $2,650,000, and paid a one-time contract
renegotiation fee of $200,000. The $200,000 payment will be amortized to income
over the remaining term of the software license agreement. The stock purchase
warrant originally issued to McKesson in October 1999 was cancelled in April
2001. Additionally, the new agreement eliminates certain Claimsnet operating
requirements and future McKesson license and subscription fees. The new
agreement retains provisions for the payment of transaction fees by McKesson and
expands the scope of transactions that may be processed under the license and
the scope of other business opportunities which Claimsnet and McKesson may
jointly pursue.
The Company has generated losses since inception and has had negative cash flow
from operations. Through 2000, the Company generated minimal revenues and relied
on an initial public offering, private equity placements, and funding from an
affiliate to fund its operations and development activities. In 2001 the Company
has acquired additional funding from a one year loan, a private placement of
common stock, and a sale to McKesson of shares of common stock in conjunction
with a contract restructuring. The Company's business strategy has been refined
to focus on existing partnerships and selective growth opportunities with
near-term profit potential and long-term benefit in order to improve near-term
financial performance.
F-8
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE A--ORGANIZATION, BACKGROUND AND LIQUIDITY (CONTINUED)
Management believes that available cash resources, together with anticipated
revenues from operations and the proceeds of recently completed funding will be
sufficient to satisfy the Company's capital requirements through December 31,
2001. This belief is based on the existence of net working capital of $377,000
at December 31, 2000, excluding deferred revenue of $899,000 and a $500,000
disputed liability which has been accrued and which the Company does not expect
to require a cash settlement in 2001; plus net cash proceeds of $3,880,000
received from transactions described above, less (i)$3,849,000 of net cash
operating losses for 2001 based upon annualized actual results for January and
February 2001, adjusted for the effect of the restructured agreement with
McKesson, and (ii) $90,000 for capital expenditures. Some of these assumptions
may prove to be incorrect. As a result, financial resources may not be
sufficient to satisfy capital requirements for this period. The Company is
currently seeking additional funding. Management cannot predict whether this
additional financing will be in the form of equity or debt, or be in another
form. Necessary additional capital may not be available on a timely basis or on
acceptable terms, if at all. In any of these events, the Company may be unable
to implement current plans for expansion or to repay debt obligations as they
become due. If current plans can not be implemented, the Company may be forced
to significantly reduce operating expenses to a point which would be detrimental
to business operations, curtail research and development activities, sell
certain business assets or discontinue some or all of the Company's business
operations, or take other actions which could be detrimental to business
prospects and result in charges which could be material to the Company's
operations and financial position. In the event that any future financing should
take the form of equity securities, the holders of the common stock may
experience additional dilution.
NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
CONSOLIDATION
The accompanying financial statements include the accounts of Claimsnet.com and
its subsidiary. All material intercompany accounts and transactions from that
date have been eliminated in consolidation.
CASH EQUIVALENTS
Cash equivalents include time deposits, certificates of deposits and all highly
liquid debt instruments with original maturities of 3 months or less when
purchased.
MARKETABLE SECURITIES
Management determines the appropriate classification of securities at the time
of purchase and reevaluates such designations as of each balance sheet date. In
1999 the Company classified all investments in debt securities as
held-to-maturity because the Company had the positive intent and perceived
ability to hold the securities to maturity. Held-to-maturity securities are
stated at amortized cost, adjusted for amortization of premiums and accretion of
discounts to maturity. Such amortization is included in investment income.
Interest on securities classified as held-to-maturity is included in investment
income.
FAIR VALUE OF FINANCIAL INSTRUMENTS
Accounts receivable are considered to be equivalent to market value, as stated
net of allowance for doubtful accounts.
F-9
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
REVENUE
Monthly subscription fee revenue is recognized ratably over the applicable
subscription period. Claim processing revenues are recognized when the claims
are processed. Customer support fees are recognized when support services are
rendered. Project development revenues are recognized on a percentage of
completion basis.
Software license revenues are recognized upon execution of a contract and
delivery of software, provided that the license fee is fixed and determinable;
no significant production, modification, or customization of the software is
required; and collection is considered probable by management.
SOFTWARE FOR SALE OR LICENSE
The Company begins capitalizing costs incurred in developing a software product
once technological feasibility of the product has been determined. Software
development costs capitalized through December 31, 2000 were $1,923,000.
Capitalized computer software costs include direct labor, labor-related costs
and interest. The software is amortized over its expected useful life of 3
years. Amortization expense related to internally developed software totaled
$224,000, $649,000 and $629,000 for 2000, 1999 and 1998, respectively.
Management periodically evaluates the recoverability, valuation, and
amortization of capitalized software costs to be sold, leased, or otherwise
marketed. As part of this review, management considers the expected undiscounted
future net cash flows. If they are less than the stated value, capitalized
software costs will be written down to fair value.
EQUIPMENT, FIXTURES AND INTERNAL USE SOFTWARE
Equipment and fixtures are stated at cost. Depreciation is provided using the
straight line method over the estimated useful lives of the depreciable assets
which range from three to seven years. Maintenance and repairs are expensed as
incurred. Significant replacements and betterments are capitalized. Depreciation
expense related to equipment and fixtures totaled $304,000, $141,000 and $57,000
in 2000, 1999 and 1998, respectively.
Effective January 1, 1999 the Company adopted Statement of Position 98-1,
"Accounting for the Costs of Computer Software Developed or Obtained for
Internal Use." Software purchases of $79,000 in 2000 and $559,000 in 1999,
related to software utilized in several of the Company's internal support
systems, and internal development costs in 1999 of $161,000 were capitalized in
compliance with this Statement.
The software is amortized over its expected useful life of three years.
Amortization expense related to costs of software developed or obtained for
internal use totaled $258,000, $68,000 and $21,000 in 2000, 1999 and 1998.
Leasehold improvement costs are capitalized and amortized over the remaining
lease term. Costs incurred in 2000 and 1999 were $3,000 and $42,000,
respectively. Amortization totaled $34,000 and $11,000 in 2000 and 1999,
respectively.
INTANGIBLE ASSETS
The purchase price of HECOM assets acquired from VHx in April 2000 (see Note C)
was allocated to intangible assets and research and development based upon
appraisals provided by an independent valuation firm. The appraisals utilized
standard appraisal methodologies, projecting cash flows over the estimated
useful lives of the assets, net of additional investment needs, and considering
the stage of completion of software development projects. Intangible assets
included trademarks and non-compete agreements. Initial results of the valuation
valued intangibles at $3,700,000 and amortization commenced using straight-line
method of depreciation, with a four year expected life. Amortization of $412,000
was recorded in 2000 prior to total impairment. Subsequent re-valuations, due to
contractual and strategic revisions resulted in a charge for the full impairment
of intangibles.
F-10
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
INCOME TAXES
Deferred income taxes are provided for the tax effects of differences between
the carrying amounts of assets and liabilities for financial reporting purposes
and the amounts used for income tax purposes. Valuation reserves are provided
for the deferred tax assets when realization of the assets is not reasonably
assured.
LOSS PER SHARE
Basic net loss per share is computed by dividing net loss by the weighted
average number of common shares outstanding for the period. Diluted net loss per
share is computed by dividing net loss by the weighted average number of common
shares and dilutive common stock equivalents outstanding for the period. Common
stock equivalents, representing options and warrants totaling approximately
2,329,000 shares at December 31, 2000 are not included in the diluted loss per
share as they would be antidilutive. As such, diluted and basic loss per share
are the same.
COMPREHENSIVE INCOME
In June 1997, the FASB issued Statement of Financial Accounting Standards No.
130, "Reporting Comprehensive Income" (SFAS 130). SFAS 130 requires that total
comprehensive income (loss) be disclosed with equal prominence as net income
(loss). The Company's comprehensive loss is equal to its net losses for all
periods presented.
STOCK-BASED COMPENSATION
The Company accounts for employee stock options in accordance with Accounting
Principles Board Opinion No. 25 (APB 25), "Accounting for Stock Issued to
Employees". Under APB 25, the Company recognizes no compensation expense related
to employee stock options when options are granted with exercise prices at the
estimated fair value of the stock on the date of grant, as determined by the
Board of Directors. The Company provides the supplemental disclosures required
by Financial Accounting Standard No. 123 (FAS 123), "Accounting for Stock-Based
Compensation", which assumes the recognition of compensation expense based on
the fair value of options on the grant date. The Company follows the provisions
of FAS 123 and Emerging Issues Task Force No. 96-18, "Accounting for Equity
Instruments That Are Issued to Other Than Employees for Acquiring or in
Connection with Selling Goods or Services", for equity instruments granted to
nonemployees.
SEGMENT REPORTING
The Company operated during all periods in a single segment when applying the
management approach defined in Statement of Financial Accounting Standards No.
131, "Disclosures about Segments of an Enterprise and Related Information".
CONCENTRATION OF CREDIT RISK AND SIGNIFICANT CUSTOMERS
One customer represented 43% and 21% of the Company's total revenue for 2000 and
1999, respectively. The Company does not generally require collateral.
Management provides an allowance for doubtful accounts which reflects its
estimate of uncollectible receivables.
USE OF ESTIMATES AND ASSUMPTIONS
Management uses estimates and assumptions in preparing financial statements in
accordance with generally accepted accounting principles. Those estimates and
assumptions affect the reported amounts of assets and liabilities, the
disclosure of contingent assets and liabilities, and the reported amounts of
revenues and expenses. Actual results could vary from the estimates that were
used.
F-11
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE B--SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
RECENT ACCOUNTING PRONOUNCEMENTS
In June 1998, the Financial Accounting Standards Board issued Standard No. 133
"Accounting for Derivative Instruments and Hedging Activities". SFAS 133
establishes accounting and reporting standards for derivative instruments,
including certain derivative instruments embedded in other contracts,
(collectively referred to as derivatives) and for hedging activities. SFAS 133
is effective for all fiscal quarters of all fiscal years beginning after June
15, 2000. In management's opinion, Claimsnet's adoption of SFAS 133 will not
have a material impact on its financial position or results of operations.
ADVERTISING COSTS
Advertising costs are expensed as incurred. Advertising expense totaled
$230,000, $579,000 and $99,000 for the years ended December 31, 2000, 1999 and
1998, respectively.
RECLASSIFICATION
Certain 1999 and 1998 amounts have been reclassified to conform with the 2000
presentation.
NOTE C--HEALTHEXCHANGE ASSET ACQUISITION
On April 18, 2000, Claimsnet.com, through its newly formed, wholly-owned
subsidiary, HealthExchange.com, Inc., a Delaware corporation ("HECOM"), executed
an asset purchase agreement (the "Asset Purchase Agreement") with VHx Company, a
Nevada corporation ("VHx"), whereby HECOM acquired selected properties and
assets of VHx, including the HealthExchange.com name and HealthExchange.com
trademarks, related to all efforts of VHx to develop products and services
designed to use Internet technology to facilitate and improve interaction
between physicians, health plans, employers and their members in exchange for
(i) 1,200,000 shares of common stock, par value $.001 per share, which were held
in escrow, (ii) the assumption of certain liabilities, and (iii) the
cancellation of a $2 million advance owed by VHx to the Company. In addition,
the Company issued additional consideration comprised of 13,767 shares of Series
A 8% Convertible Redeemable Preferred Stock , stated value of $725.60 per share,
and 13,767 shares of Series B 8% Convertible Redeemable Preferred Stock, stated
value of $725.60 per share (the Preferred Stock).
The Preferred Stock is contingent upon the completion of specified milestones,
described below, by March 31, 2001. The Preferred Stock is either (i) cancelled
in the event that the milestones are not satisfied or (ii) convertible into
common stock in the event that the milestones are satisfied.
The performance milestone for the Series A Preferred Stock is the existence of
1,000,000 lives covered by the business operation attributable to assets
acquired. The performance milestone for the Series B Preferred Stock is the
recognition of revenue from 6,000,000 member-months attributable to assets
acquired. Neither performance milestone was satisfied by March 31, 2001.
Therefore, both series of Preferred Stock will be cancelled.
F-12
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE C--HEALTHEXCHANGE (CONTINUED)
One of the significant assets acquired, an agreement with John Deere Health
("JDH") for development of an Enterprise Care Management System, required the
parties to negotiate mutually agreeable business terms for delivery of the
system after acceptance of beta testing. The Company and JDH were unable to
reach such an agreement. Additionally, the asset purchase agreement contained
provisions related to the satisfaction of pre-existing financial obligations due
to JDH by VHx within 180 days of the acquisition and also contained certain
provisions in the event that such obligations were not satisfied by VHx. VHx was
unable to satisfy the JDH obligations within the 180 days. As a result, the
Company exercised its rights pursuant to the asset purchase agreement and
reclaimed 888,000 of the 1.2 million shares of common stock back into treasury
stock. The fair market value of the common shares returned to the Company was
$1,415,000 as of the date of the agreement. Contemporaneously, the Company,
HECOM, and JDH reached an agreement in December 2000 by which the parties agreed
to cancel all pre-existing agreements and JDH agreed to forgive all unpaid
obligations in exchange for 244,000 shares of Claimsnet common stock which was
valued at $389,000 at the date of the agreement.
The Company retained an independent valuation firm to evaluate the
HealthExchange asset purchase and recommend the allocation of purchase price to
the various assets acquired. The appraisals utilized standard appraisal
methodologies, projecting cash flows over the estimated useful lives of the
assets, net of additional investment needs, and considering the stage of
completion of software development projects. A blended state and federal
effective tax rate of 40% was applied to the cash flows. These cash flows were
discounted to their present value using discount rates between 60 and 70
percent, reflective of development products at similar risk. The initial results
of the valuation valued the intangible assets at $3,700,000 after charges to
in-process technology of $6,154,000, recorded in the quarter ended June 30,
2000.
In November 2000, as a result of revised expectations, the Company reevaluated
the HealthExchange asset purchase using the same valuation methodologies and
determined that there had been an impairment of the assets acquired. The revised
valuation valued the intangible assets acquired at $400,000.
In December 2000, in anticipation of the sluggish growth in potential customers,
and future cash requirements to continue product development, the Company
decided to postpone further development of the HealthExchange(TM) products and
terminate the Atlanta facility. The residual value of intangible assets was
written off.
As a result of the revised valuation of intangible assets acquired and the
revised agreement and return of escrowed shares described above, the Company
recognized charges of $3,288,000 for impairment of assets, $15,000 for write off
of fixed assets and a reduction to purchased research and development expense of
$1,026,000. Amortization of $412,000 related to the acquisition has been
recognized during the twelve months ended December 31, 2000.
The Company and JDH also entered into a separate business agreement whereby the
Company will continue to provide limited services to JDH and its clients at fair
market value for a period not to exceed eighteen months.
The following table reflects the impact of HECOM upon the Company's current year
operations:
Revenue $ 58,000
---------------
Cost of sales 21,000
Research and development 944,000
Purchased research and development
and write-off of intangible assets 8,430,000
Amortization of intangibles 412,000
Selling, general and administrative 900,000
---------------
Total operating expenses 10,707,000
---------------
NET LOSS $ 10,649,000
===============
F-13
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE D--MARKETABLE SECURITIES
Securities classified in 1999 as held-to-maturity debt securities were converted
to cash in 2000 to fund operations. Of the $3,832,000 outstanding at December
31, 1999, $2,232,000 matured and $1,600,000 were sold prior to maturity,
incurring a $7,000 loss.
NOTE E--INCOME TAXES
There was no provision or benefit for federal or state income taxes for the two
years ended December 31, 2000.
The differences between the actual income tax benefit and the amount computed by
applying the statutory federal tax rate to the loss before incomes taxes are as
follows:
December 31,
2000 1999
------------- -------------
Benefit computed at federal statutory rate $ (6,016,300) $ (3,012,000)
Permanent differences 60,591 167,000
State income tax benefit, net of federal
tax effect at state statutory rate (520,249) (263,000)
Increase in valuation reserve 6,475,958 3,108,000
------------- -------------
$ -- $ --
============= =============
The components of the deferred tax assets and liabilities are as follows:
December 31,
2000 1999
------------- -------------
Deferred tax assets:
Net operating loss carryforwards $ 9,135,592 $ 6,058,525
Intangible assets 3,263,712 -
Fixed assets - 29,738
Allowance for doubtful accounts 10,721 9,871
------------- -------------
Total deferred tax assets 12,410,025 6,098,134
Valuation allowance for deferred tax assets (12,362,092) (5,886,134)
------------- -------------
Deferred tax liabilities:
Equipment and fixtures (47,933) (212,000)
------------- -------------
Deferred income tax assets, net of
deferred tax liabilities $ -- $ --
============= =============
F-14
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE E--INCOME TAXES (CONTINUED)
At December 31, 2000, the Company has approximately $24,700,000 of federal net
operating loss carryforwards, which begin to expire in 2011. The Company has
approximately $24,700,000 of state net operating losses as of December 31, 2000.
At December 31, 2000, the Company has recorded a valuation allowance against its
net deferred tax assets because management believes that, after considering all
the available objective evidence, the realization of the assets is not
reasonably assured.
As a result of stock issued during 2000, the Company may have experienced an
ownership change as defined in Internal Revenue Code section 382. As a result,
the Company's ability to use net operating loss carryforwards and certain other
deductions to offset future taxable income may be limited. The annual limit is
an amount equal to the value of the Company at the date of an ownership change
multiplied by approximately 5%.
NOTE F--RELATED PARTY TRANSACTIONS
In 2000, American Medical Finance, a related party, acquired 100,000 shares of
Claimsnet.com at $3.00 per share. As a result, American Medical Finance owns a
total 482,000 shares of the Company's common stock or 5.6% of the outstanding
shares at December 31, 2000.
In March 2001, the Company entered into a loan agreement in the amount of
$400,000 with American Medical Finance, Inc. Principal and interest, at 9.5% per
annum on the unpaid principal, are due in March 2002.
NOTE G--STOCKHOLDERS' EQUITY
In 2000, the Company sold 1,370,000 shares of common stock in private placement
to various investors at prices between $3.00 and $3.50 per share for proceeds of
$4,227,000. In connection with the financing, the Company issued warrants to
purchase 270,000 shares of common stock at a price of $4.60 for a period of one
year and warrants to purchase 270,000 shares of common stock at a price of $5.60
for a period of two years.
The Company also issued 1,200,000 shares valued at $6,376,000 for the purchase
of assets from VHx Company. Subsequent adjustments pursuant to provisions of the
asset purchase agreement resulted in the return of 888,000 shares to treasury
stock at a value of $1,415,000 and the issuance from treasury stock of 244,000
shares at a value of $389,000 to JDH in forgiveness of all the unpaid
obligations of VHx Company to JDH under a development agreement.
In October 2000, upon completion of the Company's annual meeting and pursuant to
the terms of the Directors' Plan, options exercisable for an aggregate of 25,000
shares of common stock were granted under the Directors' Plan. The option
exercise price of $2.375 was the fair market value of the common stock on the
date the options were granted.
F-15
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE G--STOCKHOLDERS' EQUITY (CONTINUED)
In June 2000, the Company granted certain employees warrants to purchase 178,250
shares of common stock at $3.00 per share, the market price on the date of
grant. The warrants expire on the 10th anniversary of the grant, and become
exercisable one year from the grant date.
In 1999 the Company issued $1,000,000 of Series A 12% Subordinated Notes (see
Note C) along with 125,000 shares of common stock for net proceeds of
approximately $892,000 (net of closing fees and cash financing expenses). The
notes and all accrued interest were due upon the earlier of the first day
subsequent to the close of the Company's initial public offering or one year
from the date of issuance. The 125,000 shares of common stock issued with the
Notes were valued at $850,000 ($6.80 per share) and were recorded at that amount
with a corresponding charge to debt discount. The Notes were repaid in April
1999 from the proceeds of the initial public offering which occurred on April 6,
1999 and the debt discount was amortized over the period from issuance to
repayment, resulting in an $850,000 charge to interest expense. Debt issuance
costs of $108,000 were capitalized as deferred financing costs and amortized to
interest expense over the period the Notes were outstanding.
In connection with the Company's initial public offering, 2,875,000
shares of common stock were sold in April and May 1999 at a price of $8.00 per
share. The net proceeds to the Company (after deducting the underwriting
discounts and offering expenses payable by the Company) were approximately $19.5
million. The Company also issued underwriter warrants to purchase an aggregate
of 250,000 shares of common stock at a price of $13.20 per share, exercisable
between the first and fourth anniversaries of the date of grant.
In connection with the initial public offering, the Company granted employees
and non-employees options to purchase 420,000 shares of common stock under the
1997 Stock Option Plan, 27,000 of which were granted to non-employees. Total
shares authorized for grant under the 1997 Plan are 1,307,692. The options were
granted at prices between $7.00 and $8.80 per share, expire on the tenth
anniversary of the grant, and the employee options vest ratably over the first
four anniversaries of the grant. The non-employee options were granted for past
services, are fully vested, and become exercisable ratably over the first four
anniversaries of the grant. The options granted to non-employees required a
charge to earnings equal to the imputed value of the options as of March 31,
1999, which was estimated at $5.73 per option using the Black-Scholes valuation
method and resulted in a one-time expense of $155,000.
The Company also granted non-employee directors options to purchase 80,000
shares of common stock under the Non-Employees and Director's Plan. The
non-employee director options were issued with an exercise price of $8.00 per
share. In May 1999, the board of directors voted to accelerate the vesting of
the directors' option shares from one year to immediate vesting. The Company did
not record a charge for the acceleration as it determined the modification
resulted in a de minimus change in fair value. All options expire on the tenth
anniversary of the date of the grant. Total shares authorized for grant under
this Plan are 111,538.
Also in connection with the initial public offering, the Company issued warrants
to purchase an aggregate of 20,000 shares of common stock at a price of $8.80
per share, exercisable between the first and fifth anniversaries of the date of
grant. The warrants are fully vested and were issued for past services and,
therefore, required a charge to earnings equal to the imputed value of the
warrants, which was estimated at $6.07 per share using the Black-Scholes
valuation method. Therefore, the Company recognized a one-time expense of
$121,400 as of March 31, 1999 related to the issuance of warrants.
F-16
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE G--STOCKHOLDERS' EQUITY (CONTINUED)
In November 1999, the Company granted certain employees and non-employees
options to purchase 62,500 shares of common stock under the 1997 Stock Option
Plan, 5,000 of which were granted to a non-employee. The options provide for an
exercise price of $8.00 per share, the market price on the date of grant, expire
on the tenth anniversary of the grant, and vest ratably over the first four
anniversaries of the grant.
In October 1999 Claimsnet.com entered into a Development and Services Agreement
(the "Agreement") with McKesson, whereby the Company has granted McKesson a
multi-year, non-exclusive, private label license for certain of the Company's
proprietary technology and has agreed to manage McKesson's operation of the
system on a fully outsourced basis. In connection with the Agreement, the
Company issued McKesson a warrant to purchase 819,184 shares of common stock at
an exercise price of $7.00 per share. The fair market value of the Company's
Common Stock on the date the warrant was granted was $4.25 a share. The warrant
is immediately exercisable and can be exercised at any time through October 27,
2002. The imputed value of the warrant, which was estimated at approximately
$1,700,000 using the Black-Scholes valuation method, is being amortized ratably
over the life of the agreement as a direct reduction of revenues generated by
the Agreement. (See Note J-Subsequent Events, for March 2001 restructuring of
the agreement.)
During 1998, the Company consummated a private offering of 20 units, each unit
consisting of 11,967 shares of common stock, for aggregate gross proceeds of
$1,000,000 in the form of $550,000 cash and $450,000 debt cancellation related
to a portion of the line of a credit-affiliate. Also, during the period from
July to October 1998, the Company consummated an additional private offering of
29.5 units, each unit consisting of 9,295 shares of the Company's common stock
for aggregate gross proceeds of $1,475,000.
In July 1998, the Company issued warrants to acquire an aggregate of 11,154
shares of common stock to a non-employee. Such warrants are exercisable for a
period of four years commencing one year following the initial public offering
at a price per share equal to 110% of the initial public offering price of $8.00
per share.
STOCK BASED COMPENSATION ARRANGEMENTS
The Company's 1997 stock option plan provides for the issuance to employees,
officers, directors, and consultants of incentive and/or non-qualified options
to acquire 1,307,692 shares of common stock. The options are to be issued at
fair market value, as defined, and generally vest 25% each year from the date of
the option grant. Options generally expire 10 years from the date of grant and
automatically expire on termination of employment.
The Company's Directors' Plan provides for the issuance to non-employee
directors of options to acquire 111,538 shares of common stock. The options are
to be issued at fair market value, as defined, and vest on the first anniversary
from the date of the option grant. Options generally expire 10 years from the
date of grant and automatically expire one year from the date upon which the
participant ceases to be a Director.
F-17
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE G--STOCKHOLDERS' EQUITY (CONTINUED)
The following table summarizes the stock option activity related to the Company:
NUMBER OF PER SHARE WEIGHTED AVERAGE
SHARES EXERCISE EXERCISE PRICE
------------ ------------ ------------
Outstanding options-January 1, 1999 - $ - $ -
Granted 562,500 7.00-8.80 8.03
Cancelled (41,500) 8.00 8.00
------------ ------------ ------------
Outstanding options-December 31, 1999 521,000 7.00-8.80 8.03
Granted 220,000 2.38-8.00 7.36
Expired (213,462) 7.00-8.00 7.44
------------ ------------ ------------
Outstanding options-December 31, 2000 527,538 $ 2.38-8.80 $ 7.67
============ ============ ============
Options exercisable-December 31, 2000 150,463 $ 7.00-8.80 $ 7.94
============ ============ ============
Outstanding options as of December 31, 2000, had a weighted average remaining
contractual life of approximately 8.7 years and a weighted average fair value at
issuance of $4.66 based on the Black-Scholes value method. Options available for
grant under the Company's 1997 Stock Option Plan at December 31, 2000, were
885,154, and under the Company's Directors' Plan were 6,538.
The following table summarizes the warrant activity related to employee grants:
NUMBER OF PER SHARE WEIGHTED AVERAGE
SHARES EXERCISE EXERCISE PRICE
------------ ------------ ------------
Outstanding employee warrants-January 1, 2000 - - -
Granted 178,250 $ 3.00 $ 3.00
Expired (33,800) 3.00 3.00
------------ ------------ ------------
Outstanding employee warrants-December 31, 2000 144,450 $ 3.00 $ 3.00
============ ============ ============
Employee warrants exercisable-December 31, 2000 - - -
============ ============ ============
Outstanding employee warrants as of December 31,2000, had a weighted average
contractual life of approximately 9.4 years and a weighted average fair value at
issuance of $2.53 based on the Black-Scholes value method.
SFAS No. 123 requires the disclosure of pro forma net loss and net loss per
share as if the Company had adopted the fair value method since inception. The
Company's calculations for employee grants were made using a Black-Scholes model
using the following assumptions: expected life, four years; risk free rate of
5.64 to 7 percent; no dividends during the expected term; and a volatility of
0.8 to 1.355. If the computed values of all the Company's stock based awards
were amortized to expense over the vesting period of the awards as specified
under SFAS No. 123, net loss would have been $17,226,000 ($2.11 per basic and
diluted share) for the year ended December 31, 2000 and $9,200,000 ($1.58 per
basic and diluted share) for the year ended December 31, 1999.
F-18
CLAIMSNET.COM INC. AND SUBSIDIARY
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
DECEMBER 31, 2000, 1999 AND 1998
NOTE H--COMMITMENTS AND CONTINGENCIES
The Company leases office space under a lease agreement that expires on December
31, 2001. Rent expense totaled $492,000, $248,000 and $116,000 for the years
ended December 31, 2000, 1999 and 1998, respectively. Rent expense commitments
for the year ended December 31, 2001 are $193,000.
From time to time in the normal course of business, the Company is a party to
various matters involving claims or possible litigation. Management believes the
ultimate resolution of these matters will not have a material adverse effect on
the Company's financial position or results of operations.
NOTE I--RETIREMENT PLAN
The Company utilizes a third party for the processing and administration of its
payroll and benefits. Under the agreement, the third party is legally a
co-employer of all of the Company's employees, which are covered by the third
party's 401(k) retirement plan. Under the plan, employer contributions are
discretionary. The Company has made no contributions to the plan through
December 31, 2000.
NOTE J--SUBSEQUENT EVENTS
In January 2001, the Company unveiled a refined business strategy focused on
existing partnerships and selective growth opportunities with near-term profit
potential and long-term benefit in order to improve near-term financial
performance and preserve capital. The Company's new business plan does not
allocate resources for the additional development of the HealthExchange(TM)
product at this time.
In January 2001, the Company granted employees options to purchase an aggregate
of 385,500 shares of common stock under the 1997 Stock Option Plan. The options
were issued at a price of $1.25 per share, the market price on the date of
grant, expire on the tenth anniversary of the grant, and vest on the first
anniversary of the grant.
In March 2001, the Company entered into a loan agreement with American Medical
Finance, Inc., a related party, in the amount of $400,000. Principal and
interest, at 9.5% per annum on the unpaid principal, are due in March 2002.
In March 2001, the Company completed the private placement of 400,000 shares of
common stock at $1.75 per share for net proceeds of $630,000.
On April 12, 2001, the Company entered into an agreement with McKesson which
superseded the October 1999 Agreement. Under the new agreement, McKesson
acquired 1,514,285 shares of common stock at $1.75 per share for net proceeds of
$2,650,000, and paid a one-time contract renegotiation fee of $200,000. The
stock purchase warrant originally issued to McKesson in October 1999 was
cancelled in April 2001. Additionally, the new agreement eliminates certain
Claimsnet operating requirements and future McKesson license and subscription
fees. The new agreement retains provisions for the payment of transaction fees
by McKesson and expands the scope of transactions that may be processed under
the license and the scope of other business opportunities which Claimsnet and
McKesson may jointly pursue.
F-19
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE
On August 10, 1999 we discontinued the engagement of King Griffin & Adamson
P.C., which served as our independent auditors since 1996. The report issued by
King Griffin & Adamson P.C. on our financial statements for the year ended
December 31, 1998 did not contain an adverse opinion nor a disclaimer of
opinion, and was not qualified or modified as to uncertainty, audit scope or
accounting principles. Based on the recommendation of our Audit Committee of the
Board of Directors, the Board approved the decision to change independent
auditors. In connection with its audit for the year ended December 31, 1998 and
through August 10, 1999, there were no disagreements with King Griffin & Adamson
P.C. on any matter of accounting principles or practices, financial statement
disclosure, or auditing scope or procedure, which disagreements, if not resolved
to the satisfaction of King Griffin & Adamson P.C., would have caused King
Griffin & Adamson P.C. to make reference thereto in their Report on the
financial statements for such years or such interim periods. King Griffin &
Adamson P.C. furnished us with a letter addressed to the Commission stating
whether or not it agrees with the above statements. A copy of such letter, dated
August 16, 1999, is filed as Exhibit 16.1 to our Report on Form 8-K, dated
August 10, 1999.
We engaged Ernst & Young LLP as our new independent auditors as of August 10,
1999. Our Board of Directors approved the engagement on May 21, 1999. Through
August 10, 1999, we verbally consulted with Ernst & Young LLP only regarding
issues related to 1999 matters and, specifically, to matters related to a bridge
financing transaction, matters related to the issuance of stock options and
stock warrants to non-employees, and general matters related to the presentation
of interim financial results. The recommendations of Ernst & Young LLP were
adopted by us and disclosed in our Reports on Form 10-Q dated May 17, 1999 and
August 16,1999. The previous independent auditors were verbally consulted on the
matter related to a bridge financing transaction and were not in disagreement
with the views of management and Ernst & Young LLP. We had allowed Ernst & Young
LLP to review the aforementioned Report on Form 8-K before it was filed with the
Commission. Ernst & Young LLP has not furnished us with a letter containing any
new information, clarification, or disagreement with the information set forth
herein.
PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
MANAGEMENT
Our directors and executive officers, their ages, and their positions held with
us are as follows:
NAME AGE POSITION
- --------- ------ --------------
Bo W. Lycke ..................... 55 Chairman of the Board of Directors, President,
Chief Executive Officer, and Class I Director
Paul W. Miller ................. 44 Senior Vice President, Chief Operating Officer,
and Chief Financial Officer
Patricia Davis .................. 45 Vice President of Business Development
Abbas R. Kafi .................. 48 Vice President of Information Systems
Ward L. Bensen ................. 58 Class I Director, Treasurer
Robert H. Brown, Jr ............. 47 Class I Director
Sture Hedlund ................... 62 Class II Director
John C. Willems, III ............ 45 Class II Director
Wescott W. Price, III ........... 61 Class II Director
The following is certain summary information with respect to our executive
officers and directors.
BO W. LYCKE has served as our Chairman of the Board of Directors, President, and
Chief Executive Officer since our inception. In 1990, Mr. Lycke founded American
Medical Finance for the purpose of financing and processing medical accounts
receivable and, since such time, has served as the Chairman of the Board of
Directors thereof. During the period from 1983 to 1990, Mr. Lycke was involved
in a variety of entrepreneurial undertakings in the fields of satellite antenna
manufacturing, precious metal scrap recovery, and independent radio programming
production. He also has extensive experience as a director of several private
companies. In 1972, Mr. Lycke founded, and from 1973 to 1983, was president and
director, of Scanoil, Inc., a company engaged in domestic and international oil
futures trading, as well as chartering and operating ocean-going oil tankers.
From 1971 to 1983 Mr. Lycke also served as a President and director of various
domestic operating subsidiaries of the Volvo Automotive/Beijer Group, the
indirect owner of Scanoil, Inc.
PAUL W. MILLER is a Certified Public Accountant and has served as our Chief
Operating Officer since October 2000 and Chief Financial Officer since November
1997. From September 1995 to October 1997, Mr. Miller served as Chief Financial
Officer and Vice President of Quality Management Services for Sweetwater Health
Enterprises, Inc., a NCQA accredited credentials verification organization and
commercial software firm serving the managed healthcare industry. From April
1991 to May 1995, Mr. Miller served as Chief Financial Officer and Secretary of
Quantra Corporation, formerly, Melson Technologies, an information systems
company serving the commercial real estate industry. From January 1984 to
February 1991, Mr. Miller held a variety of financial and operations management
positions in the independent clinical laboratory industry with SmithKline
Beecham Clinical Laboratories, Inc. and Nichols Institute Laboratories North
Texas, Ltd. Mr. Miller began his career in 1978 in the audit division of Arthur
Andersen & Company.
PATRICIA DAVIS has served as our Senior Vice President of Business Development
and joined us in October 1999. She has over 15 years of health industry
management experience. From December 1996 to September 1999 Ms. Davis was the
director of quality management services for Caredata.com, a leading healthcare
intelligence provider and Internet content destination. From November 1993 to
November 1996, Ms. Davis was the region sales/service manager for Quest
Diagnostics, one of the leading clinical and research development laboratories.
Prior to Quest Diagnostics, Ms. Davis held positions managing operations, client
services, sales and multi-site information systems for several of the largest
companies in the $35 billion clinical laboratory industry, including Nichols
Institute and SmithKline Beecham Clinical Laboratories. Ms. Davis began her
career in 1980 at International Clinical Laboratories.
ABBAS R. KAFI has served as our Chief Technology Officer since August 2000 and
was our Vice President of Information Systems from July 1998 until August 2000.
Mr. Kafi has over 17 years of software development and information systems
management experience. From August 1996 to July 1998 Mr. Kafi served as Senior
Director, Business Systems Development and Operations for Citizens
Communications, Inc. in Dallas, Texas, where he was responsible for supporting
services for 1.2 million customers nationwide. From September 1995 to August
1996, Mr. Kafi served as Executive Director of Information Technology for
PrimeCo Personal Communications, L.P., Dallas, Texas, during its start up
period. At PrimeCo, Mr. Kafi was responsible for designing, developing, and
implementing a state of the art client/server environment capable of supporting
4.0 million subscribers nationwide. Mr. Kafi's prior experience includes
software development and management positions with Value-Added Communication,
USDATA Corporation, Harris Corporation, and American Micro Products.
WARD L. BENSEN has been a director since April 1996 and has served as our
Treasurer since inception. He has served as a director, and since June 1994, as
Senior Vice President of American Medical Finance where he is primarily
responsible for its marketing efforts in the western United States and
receivables acquisitions nationwide. From March 1993 until September 1993, Mr.
Bensen was Vice President of Investment, and marketed investment programs for
both Prudential Securities and Shearson Lehman Brothers, and, from 1991 to 1993,
provided specialized investment banking services as a partner of John Casey and
Associates, a contract wholesale securities marketing firm. From 1984 to 1991,
he served as Division Vice President for Jones International Securities and
prior thereto, held various positions with Shearson American Express, The Safeco
Insurance Co. and Procter & Gamble.
ROBERT H. BROWN, JR. has served as a director of our Company since April 1996
and had been a director of American Medical Finance since 1990. Since January
1999, Mr. Brown has served as President and Chief Executive Officer of Frost
Securities, Inc. From July 1998 to January 1999, Mr. Brown served as President
and Chief Executive Officer of RHB Capital, LLC, a Dallas-based private
investment firm. From 1990 to 1998, Mr. Brown was employed by Dain Rauscher,
Inc., a regional investment banking and brokerage firm, as an Executive Vice
President. Mr. Brown was Senior Vice President of TM Capital Corporation during
1989. From 1985 to 1989, Mr. Brown was a Vice President of Thompson McKinnon
Securities, where he was responsible for all corporate finance activities in the
southwestern United States. Mr. Brown also serves as a director of Emerson Radio
Inc.
STURE HEDLUND has served as a director of our Company since 1998. Since January
1987, Mr. Hedlund has also served as Chairman of the board of directors of
Scandinavian Merchant Group AB, a Swedish corporation engaged in venture capital
investing. From 1993 to April 5, 2001, Mr. Hedlund served as a director of
Ortivus AB, a public company engaged in the business of medical technology, and
was a director of Ortivus Medical AB, a subsidiary of Ortivus AB, engaged in the
manufacture of heart monitoring devices.
JOHN C. WILLEMS, III has served as a director of our Company since 1998 and has
been our legal counsel since April 1996. Since September 1993, Mr. Willems has
been an attorney with the law firm of McKinley, Ringer & Zeiger, PC, in Dallas,
Texas, practicing in the area of business law. From January 1992 to August 1993,
Mr. Willems was an attorney in the law firm of Settle & Pou, PC, also located in
Dallas, Texas.
WESTCOTT W. PRICE, III has served as a director of our Company since April 1999.
Mr. Price is the former President, Chief Executive Officer and Vice Chairman of
the board of directors of FHP International Corporation ("FHP"), a publicly-held
managed healthcare company. During his fifteen-year tenure at FHP, it's annual
revenues grew from under $50 million to over $4 billion. In February 1997, FHP
was acquired for $2.1 billion. Before joining FHP in 1981, Mr. Price served as
President and Chief Executive Officer of Wm. Flaggs, Inc., a restaurant chain.
From 1970 to 1973, Mr. Price was the Chief Operating Officer of California
Medical Centers, a publicly-held long-term care and retail pharmacy-operating
company in Los Angeles. Mr. Price has in the past served on various boards,
including Health Maintenance Life Insurance Company and Talbert Medical
Management Company, a physician practice management company with revenues of
$460 million. He currently serves as a director of Scripps Health, a non-profit
hospital operating company, and of StorComm, Inc., as well as other private
companies. Mr. Price is a member of the Advisory Board for the School of
Medicine at the University of California-Irvine.
STRUCTURE OF THE BOARD OF DIRECTORS
The board of directors is divided into two classes with each class consisting
of, as nearly as possible, one-half of the total number of directors
constituting the entire board of directors. The board of directors currently
consists of three members in class I and three members in class II. The Class I
directors currently are Messrs. Lycke, Bensen, and Brown, whose terms of expire
at the 2002 annual meeting of stockholders. The Class II directors currently are
Messrs. Hedlund, Price, and Willems, whose terms expire at the 2001 annual
meeting of stockholders. Each class is elected for a term of two years.
There are no family relationships among our directors and executive officers.
ITEM 11. EXECUTIVE COMPENSATION
The following table sets forth the compensation paid or accrued by us for
services rendered in all capacities during the years ended December 31, 2000,
1999 and 1998 by the chief executive officer and each of the other most highly
compensated executive officers of our Company who received compensation of at
least $100,000 during the year ended December 31, 2000.
SUMMARY COMPENSATION TABLE
ANNUAL COMPENSATION
NAME AND PRINCIPAL POSITION YEAR SALARY BONUS
- --------------------------- ------- ----------- ----------
Bo W. Lycke .............................................................. 2000 $ 263,173 $ 11,891
Chairman of the Board of Directors, President, and Chief 1999 258,390 -
Executive Officer 1998 108,333 -
Terry A. Lee(1) .......................................................... 2000 231,729 3,868
Former Executive Vice President and Chief Operating Officer 1999 140,865 15,000
1998 125,000 -
Paul W. Miller(2) ........................................................ 2000 130,192 7,723
Senior Vice President, Chief Operating Officer, and Chief 1999 106,345 31,487
Financial Officer 1998 100,000 20,000
Abbas R. Kafi ............................................................ 2000 139,462 2,759
Senior Vice President and Chief Technology Officer 1999 125,000 15,512
1998 55,288 -
Patricia Davis(3) ........................................................ 2000 109,680 3,482
Senior Vice President of Sales and Operations 1999 19,961 850
(1) Mr. Lee served as Executive Vice President and Chief Operating Officer
from September 1997 to June 2000. Mr. Lee's salary for the year ended
December 31, 2000 includes $162,500 pursuant to a severance agreement.
(2) Mr. Miller was appointed Chief Operating Officer in October 2000.
(3) Ms. Davis joined us in October 1999.
DIRECTOR COMPENSATION
During the year ended December 31, 2000, directors received no compensation for
their services other than reimbursement of expenses relating to attending
meetings of the board of directors.
DIRECTORS' STOCK OPTION PLAN (THE "DIRECTORS' PLAN")
In April 1998, we adopted the Directors' Plan to tie the compensation of outside
(non-employee) directors to future potential growth in our earnings, and
encourage them to remain on our board of directors, to provide them with an
increased incentive to make significant and extraordinary contributions to our
long-term performance and growth, and to align their interests through the
opportunity for increased stock ownership, with the interests of our
stockholders. Only outside directors are eligible to receive options under the
Directors' Plan.
An aggregate of 111,538 shares of common stock are reserved for issuance to
participants under the Directors' Plan. In the event of any changes in the
common stock by reason of stock dividends, split-ups, recapitalization, mergers,
consolidations, combinations, or other exchanges of shares and the like,
appropriate adjustments will be made by the board of directors to the number of
shares of common stock available for issuance under the Directors' Plan, the
number of shares subject to outstanding options, and the exercise price per
share of outstanding options, as necessary substantially to preserve option
holders' economics interests in their options.
In April 1999, upon the closing of the initial public offering, options
exercisable for an aggregate of 80,000 shares of common stock were granted under
the Directors' Plan. The option exercise price of $8.00 was not less than the
fair market value of a share of the issued common stock on the date the options
were granted. The options became fully vested in May 1999.
In October 2000, upon completion of our annual meeting, options exercisable for
an aggregate of 25,000 shares of common stock were granted under the Directors'
Plan. The option exercise price of $2.375 was the fair market value of a share
of the outstanding common stock on the date the options were granted.
The period for exercising an option ends ten years from the date the option is
granted. With the exception of those options issued in April 1999 which were
fully exercisable in May 1999, fifty percent of the options granted become
exercisable on the first anniversary of the date of grant with the remainder
becoming exercisable on the second anniversary of the date of grant. During the
period an option is exercisable, the option holder may pay the purchase price
for the share subject to the option in cash or, under some circumstances, make
this payment by surrender of shares of common stock, valued at their then fair
market value on the date of exercise, or by a combination of cash and shares.
Shares subject to an option which has not been exercised at the expiration,
termination, or cancellation of an option will be available for future grants
under the Directors' Plan, but shares surrendered as payment for an option, as
described above will not again be available for use under the Directors' Plan.
Unless earlier terminated, the Directors' Plan will terminate on December 31,
2007.
EMPLOYMENT AGREEMENTS
In April 1997, we entered into an employment agreement with Mr. Lycke providing
that, commencing with the public offering on April 6, 1999 and expiring on
December 31, 2002, Mr. Lycke will serve as our Chairman of the board of
directors, President, and Chief Executive Officer at a base salary equal to
$250,000, increasing by 5% per annum subject to increase by the board of
directors, and any bonuses as may be determined by the board of are directors.
In the event of a change in control of our Company, as defined in the employment
agreement, all options previously granted to Mr. Lycke which are unvested
automatically vest immediately. Upon a termination of Mr. Lycke's employment
following a change in control, unless Mr. Lycke voluntarily terminates his
employment for other than listed reasons described in the employment agreement,
we are required to pay Mr. Lycke a lump sum severance payment equal to one-half
his then current annual salary. In addition, if Mr. Lycke's employment is
terminated (1) upon his death, (2) by us due to disability, (3) by us without
cause, or (4) by Mr. Lycke upon our default or an unremedied adverse change in
duties, as defined in the agreement, we are required to pay Mr. Lycke a lump sum
severance payment equal to the balance of his salary for the remainder of the
term computed at the then current annual rate. Mr. Lycke may terminate his
employment at any time upon at least 30 days written notice to us. Upon the
termination of such agreement, Mr. Lycke is subject to a non-compete,
non-disturbance, and non-interference provisions for one year.
In September 1996, we entered into an employment agreement, which was amended in
March 1997, March 1998 and June 1999, with Mr. Lee, then our Executive Vice
President and Chief Operating Officer, providing that, for an initial term of
two years subject to annual extension, Mr. Lee will devote his full business
time and efforts to our Company for a base salary per annum of $150,000 plus
bonus for achieving designated milestones. In addition and according to this
agreement, Mr. Lee was issued 46,385 shares of common stock on March 26, 1997.
Mr. Lee was entitled to participate in insurance and other benefit plans
established by us for our employees. In January 1998, Mr. Lee was granted an
option to purchase an aggregate of 109,189 shares of common stock at a price of
$3.89 per share from Messrs. Lycke and Brown and American Medical Finance. In
June 2000, pursuant to a severance agreement with Mr. Lee, Mr. Lee resigned as
an executive officer and member of the board of directors and provided us a
general release related to his employment. He received severance of $162,500 and
a general release. Mr. Lee was restricted from competing with us for a period of
six months from termination.
1997 STOCK OPTION PLAN
In April 1997, our board of directors and stockholders adopted the 1997 Plan.
The 1997 Plan provides for the grant of options to purchase up to 1,307,692
shares of common stock to our employees, officers, directors, and consultants.
Options may be either "incentive stock options" or non-qualified options under
the Federal tax laws. Incentive stock options may be granted only to our
employees, while non-qualified options may be issued to non-employee directors,
consultants, and others, as well as to our employees.
The 1997 Plan is administered by "disinterested members" of the board of
directors or the compensation committee, who determine, among other things, the
individuals who shall receive options, the period during which the options may
be exercised, the number of shares of common stock issuable upon the exercise of
each option, and the option exercise price.
Subject to some exceptions, the exercise price per share of common stock subject
to an incentive option may not be less than the fair market value per share of
common stock on the date the option is granted. The per share exercise price of
the common stock subject to a non-qualified option may be established by the
board of directors, but shall not, however, be less than 85% of the fair market
value per share of common stock on the date the option is granted. The aggregate
fair market value of common stock for which any person may be granted incentive
stock options which first become exercisable in any calendar year may not exceed
$100,000 on the date of grant.
No stock option may be transferred by an optionee other than by will or the laws
of descent and distribution, and, during the lifetime of an optionee, the option
will be exercisable only by the optionee. In the event of termination of
employment or engagement other than by death or disability, the optionee will
have no more than three months after such termination during which the optionee
shall be entitled to exercise the option to the extent exercisable at the time
of termination, unless otherwise determined by the board of directors. Upon
termination of employment or engagement of an optionee by reason of death or
permanent and total disability, the optionee's incentive stock options remain
exercisable for one year to the extent the options were exercisable on the date
of such termination. Options may not be granted under the 1997 Plan beyond a
date ten years from the effective date of the 1997 Plan. Subject to some
exceptions, holders of incentive stock options granted under the 1997 Plan
cannot exercise these options more than ten years from the date of grant.
Options granted under the 1997 Plan generally provide for the payment of the
exercise price in cash and may provide for the payment of the exercise price by
delivery to us of shares of common stock already owned by the optionee having a
fair market value equal to the exercise price of the options being exercised, or
by a combination of these methods.
Any unexercised options that expire or that terminate upon an employee's ceasing
to be employed by us become available again for issuance under the 1997 Plan.
The following table summarizes the stock option activity related to the Company:
NUMBER OF PER SHARE WEIGHTED AVERAGE
SHARES EXERCISE EXERCISE PRICE
------------ ------------ ------------
Outstanding options-January 1, 1999 - $ - $ -
Granted 562,500 7.00-8.80 8.03
Cancelled (41,500) 8.00 8.00
------------ ------------ ------------
Outstanding options-December 31, 1999 521,000 7.00-8.80 8.03
Granted 220,000 2.38-8.00 7.36
Expired (213,462) 7.00-8.00 7.44
------------ ------------ ------------
Outstanding options-December 31, 2000 527,538 $ 2.38-8.80 $ 7.67
============ ============ ============
Options exercisable-December 31, 2000 150,463 $ 7.00-8.80 $ 7.94
============ ============ ============
Outstanding options as of December 31, 2000, had a weighted average remaining
contractual life of approximately 8.7 years and a weighted average fair value at
issuance of $4.66 based on the Black-Scholes value method.
The following table summarizes the warrant activity related to employee grants:
NUMBER OF PER SHARE WEIGHTED AVERAGE
SHARES EXERCISE EXERCISE PRICE
------------ ------------ ------------
Outstanding employee warrants-January 1, 2000
Granted 178,250 $ 3.00 $ 3.00
Expired (33,800) 3.00 3.00
------------ ------------ ------------
Outstanding employee warrants-December 31, 2000 144,450 $ 3.00 $ 3.00
============ ============ ============
Employee warrants exercisable-December 31, 2000 - - -
============ ============ ============
Outstanding employee warrants as of December 31,2000, had a weighted average
contractual life of approximately 9.4 years and a weighted average fair value at
issuance of $2.53 based on the Black-Scholes value method.
No options or warrants were exercised during 2000. The following table sets
forth information with respect to options and warrants granted during 2000 to
the individuals set forth in the Summary Compensation Table above:
INDIVIDUAL GRANTS
Number of % of Total Potential Realizable
Securities Options and Value at Assumed Annual
Underlying Warrants Rates of Stock Price
Options and Granted to Exercise Appreciation for Option Alternative
Warrants Employees in Price or Warrant Term (1) Grant Date
Name Granted Fiscal Year ($/Share) Expiration Date 5% 10% Value (2)
- --------------------------------------------------------------------------------------------------------------------
Bo W. Lycke 22,500 6.0% $ 3.00 June 2, 2010 $ 42,450 $107,578 $ -
Terry A. Lee - - - - - - -
Paul W. Miller 12,000 3.2 3.00 June 2, 2010 22,640 57,375 -
Abbas R. Kafi 20,000 5.4 8.00 April 18, 2010 100,623 255,000 -
12,000 3.2 3.00 June 2, 2010 22,640 57,375 -
Patricia Davis 12,000 3.2 3.00 June 2, 2010 22,640 57,375 -
(1) In accordance with the rules of the Securities and Exchange Commission
(the "Commission"), shown are the gains or "option spreads" that would
exist for the options or warrants granted, based on the assumed rates
of annually compounded stock price appreciation of 5% and 10% from the
date the option or warrant was granted over the full option or warrant
term, without adjustment for the present valuation of such potential
future option or warrant spread.
(2) The alternative grant date value is based upon the actuarial value of
the options at the date of grant as estimated using the Black-Sholes
method.
Our calculations for employee grants were made using a Black Scholes valuation
model using the following average assumption: expected life, four years; risk
free rate of 5.64 to 7%; no dividends during the expected term; and a volatility
of 0.8 to 1.355.
We account for our stock based awards to employees using the intrinsic value
method in accordance with APB 25, "Accounting for Stock Issued to Employees,"
and its related interpretations.
DIRECTORS' LIMITATION OF LIABILITY
Our certificate of incorporation and by-laws include provisions to (1) indemnify
the directors and officers to the fullest extent permitted by the Delaware
General Corporation Law, including circumstances under which indemnification is
otherwise discretionary and (2) eliminate the personal liability of directors
and officers for monetary damages resulting from breaches of their fiduciary
duty, except for liability for breaches of the duty of loyalty, acts, or
omissions not in good faith or which involve intentional misconduct or a knowing
violation of law, violations under Section 174 of the Delaware General
Corporation Law, or for any transaction from which the director derived an
improper personal benefit. We believe that these provisions are necessary to
attract and retain qualified persons as directors and officers.
We provide directors and officers liability insurance coverage of $10,000,000.
Insofar as indemnification for liability arising under the Securities Act may be
permitted to our directors, officers, and controlling persons as stated in the
foregoing provisions or otherwise, we have been advised that, in the opinion of
the Commission, this indemnification is against public policy as expressed in
the Securities Act and is, therefore, unenforceable.
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
The following table sets forth, as of December 31, 2000,
o each person who is known by us to be the beneficial owner of more than
5% of the outstanding common stock,
o each director and each of our executive officers, named in the
compensation table under Item 11,
o all our directors and executive officers as a group, and
o the number of shares of common stock beneficially owned by each such
person and such group and the percentage of the outstanding shares
owned by each such person and such group.
As used in the table below and elsewhere in this report, the term BENEFICIAL
OWNERSHIP with respect to a security consists of sole or shared voting power,
including the power to vote or direct the vote, and/or sole or shared investment
power, including the power to dispose or direct the disposition, with respect to
the security through any contract, arrangement, understanding, relationship, or
otherwise, including a right to acquire such power(s). Except as otherwise
indicated, the stockholders listed in the table have sole voting and investment
powers with respect to the shares indicated. Beneficial ownership includes
shares issuable upon exercise of options exercisable within sixty days of
December 31, 2000.
Except as otherwise noted below, the address of each of the persons in the table
is c/o Claimsnet.com inc., 12801 N. Central Expressway, Suite 1515, Dallas,
Texas 75243.
Unless otherwise noted, beneficial ownership consists of sole ownership, voting,
and investment power with respect to all common stock shown as beneficially
owned by them.
SHARES BENEFICIALLY OWNED
-------------------------
NAME AND ADDRESS NUMBER OF PERCENT
OF BENEFICIAL OWNER SHARES OWNED
- ---------------------------------- ---------- ----------
Bo W. Lycke (1) (2) (6) ............................ 1,737,993 20.3%
Terry A. Lee (6) (12) .............................. 160,573 1.9
Paul W. Miller (5) ................................. 14,100 *
Abbas R. Kafi (8) ................................. 3,000 *
Ward L. Bensen (1) (3) ............................. 701,904 8.2
Robert H. Brown, Jr. (1) (4) (6) ................... 802,354 9.4
Sture Hedlund (7) .................................. 117,008 1.4
John C. Willems, III (9) ........................... 14,277 *
Westcott W. Price III (10) ......................... 55,000 *
Patricia Davis (11) ................................ 2,100 *
American Medical Finance ........................... 481,603 5.6
12801 N. Central Expressway
Suite 1515, Dallas, Texas 75243
McKesson HBOC, Inc. (14)............................ 819,184 9.6
One Post Street
San Francisco, California 94104
Sinclair Restructuring Fund ........................ 1,000,000 11.7
One Post Street
San Francisco, California 94104
All our directors and executive officers as a
group (10) persons) (13) ........................... 2,416,638 29.0
* Less than one percent.
(1) Includes 481,603 shares of common stock owned of record by American
Medical Finance, 16,333 shares of which are subject to an option it
granted to Terry A. Lee. Mr. Lycke serves as the Chairman of the Board
of Directors of American Medical Finance. Messrs. Lycke, Bensen, and
Brown are stockholders of American Medical Finance owning 71.1%, 11.2%,
and 17.7% of the outstanding capital stock of American Medical Finance,
respectively. Therefore, Messrs. Lycke, Bensen, and Brown may be deemed
to beneficially own the shares of common stock owned by American
Medical Finance.
(2) Consists of 1,246,390 shares of common stock owned of record by Mr.
Lycke, 74,325 shares of which are subject to an option he granted to
Terry A. Lee, 10,000 shares which Mr. Lycke has the right to acquire,
and 481,603 shares of Common Stock owned of record by American Medical
Finance.
(3) Consists of 195,301 shares of common stock owned of record by Mr.
Bensen, 25,000 shares which Mr. Bensen has the right to acquire, and
481,603 shares of common stock owned of record by American Medical
Finance.
(4) Consists of 310,751 shares of common stock owned of record by Mr.
Brown, 18,531 shares of which are subject to an option he granted to
Terry A. Lee, 10,000 shares which Mr. Brown has the right to acquire,
and 481,603 shares of common stock owned of record by American Medical
Finance.
(5) Consists of 1,600 shares of common stock owned of record by Mr. Miller
and 12,500 shares which Mr. Miller has the right to acquire.
(6) Includes options granted by Bo Lycke, Robert H. Brown, Jr. and American
Medical Finance to Terry A. Lee to purchase an aggregate of 109,189
shares of common stock at an exercise price of $3.88 per share.
(7) Consists of 82,157 shares of common stock owned of record by Mr.
Hedlund, 12,884 shares of common stock owned by Scandinavian Export
Services, AB and 11,967 shares of common stock owned by Scandinavian
Merchant Group, AB, and 10,000 shares which Mr. Hedlund has the right
to acquire.
(8) Consists of 3,000 shares which Mr. Kafi has the right to acquire.
(9) Consists of 9,277 shares of common stock owned of record by Mr. Willems
and 5,000 shares which Mr. Willems has the right to acquire.
(10) Consists of 25,000 shares of common stock owned of record by Mr. Price
and 30,000 shares which Mr. Price has the right to acquire.
(11) Consists of 100 shares of common stock owned of record by Ms. Davis and
2,000 shares which Ms. Davis has the right to acquire.
(12) Consists of 46,384 shares of common stock owned of record by Mr. Lee,
5,000 shares which Mr. Lee has the right to acquire from the Company
and 109,189 shares which Mr. Lee has the right to acquire from Mr.
Lycke, Mr. Brown and American Medical Finance.
(13) Includes an aggregate of 115,275 shares which they have a right to
acquire.
(14) Consists of 819,184 shares which they have a right to acquire.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Bo W. Lycke, our Chairman of the Board, President, and Chief Executive Officer,
Ward L. Bensen, a Director, and Robert H. Brown, Jr., a Director, are,
respectively, the Chairman of the Board, a Director and Senior Vice President,
and a Director, and owners, respectively, of 71.1%, 11.2%, and 17.7% of the
outstanding capital stock of American Medical Finance. They devoted minimal time
to winding up the business and affairs of American Medical Finance for
approximately three months following the initial public offering.
On July 31, 1996, we acquired all of the Internet software, licenses,
intellectual property rights, and technology developed by American Medical
Finance in exchange for a promissory note in the amount of $3,740,000. On
September 19, 1997, American Medical Finance reduced the principal amount of the
note to $2,000,000 and contributed the remaining $1,740,000 in principal amount
of this note to our capital. The note accrued interest of 9.50% per annum and
was collateralized by all of our Internet software, intellectual property
rights, Internet technology and technology rights, including software
development costs. We utilized a portion of the net proceeds of the April 6,
1999 initial public offering to satisfy this obligation.
Upon the consummation of the acquisition transaction with American Medical
Finance, it agreed to provide us with a credit line of up to $2,000,000 to
facilitate additional development of our services and technology. During June
1998, American Medical Finance purchased nine units in our private placement,
each unit consisting of 11,967 shares of common stock, or an aggregate of
107,704 shares. As consideration for the purchase, American Medical Finance
cancelled $450,000 of the principal balance then outstanding under the credit
line. Part of the proceeds of the initial public offering was used to repay the
outstanding principal of $2,254,000 of the line of credit and $273,000 of
accrued interest.
In March 2001, we borrowed $400,000 pursuant to a loan agreement with American
Medical Finance, Inc. Principal and interest, at 9.5% per annum on the unpaid
principal, are due in March 2002.
All future transactions between us and our officers, directors, and 5%
stockholders will be on terms no less favorable to us than can be obtained from
unaffiliated third parties and will be approved by a majority of our independent
and disinterested directors.
PART IV
ITEM 14. EXHIBITS
The following exhibits are filed herewith:
2.1* Asset purchase agreement, dated as of March 23, 2000, related to
the acquisition of VHX.
3.1** Certificate of Incorporation
3.1(a)** Form of Certificate of Amendment to Certificate of Incorporation
3.2** Bylaws, as amended
4.1** Form of warrant issued to Cruttenden Roth Inc.
4.2** Form of Common Stock Certificate
10.1** Employment Agreement, dated as of April 8, 1997 between
Claimsnet.com inc. and Bo W. Lycke
10.2** 1997 Stock Option Plan, as amended through October 19, 2000
10.2(a) Amendment dated October 20, 2000 to 1997 Stock Option Plan
10.3** Form of Indemnification Agreement
10.4** Agreement and Plan of Merger, dated June 2, 1997, among
Claimsnet.com inc. (formerly, American NET Claims), ANC Holdings,
Inc., Medica Systems, Inc., and the stockholders of Medica Systems
Inc.
10.5*** Employment Agreement, dated as of September 17, 1996, between
Claimsnet.com inc. and Terry A. Lee, as amended as of March 26,
1997, April 6, 1998 and June 7, 1999.
10.5(a)**** Severance Agreement with Mr. Lee
10.6** Service Agreement, dated August 5, 1997, between American Medical
Finance and Claimsnet.com inc.
10.7** Form of Agreement, dated September 14, 1998, between Claimsnet.com
and BlueCross BlueShield of Louisiana
10.8** Form of Non-Employee Director's Plan
10.10***** Development and Services Agreement, dated April 12,2001, between
Claimsnet.com and McKesson/HBOC superseding October 1999 Agreement.
10.11***** Agreement dated March 9, 2001 between Claimsnet.com and American
Medical Finance related to $400,000 loan
16.1** Letter from King Griffin & Adamson P.C. as to change in certifying
accountant to Ernst & Young LLC, dated August 16, 1999 and filed on
Form 8K.
- -----------------
* Incorporated by reference to the corresponding exhibit filed by the
Registrant with its Current Report on Form 8-K, dated March 23,
2000.
** Incorporated by reference to the corresponding exhibit filed by the
Registrant with the registration statement on Form S-1
(Registration No. 333-36209).
*** Incorporated by reference to the corresponding exhibit filed by the
Registrant with its Annual Report on Form 10-K for the year ended
December 31, 1999.
**** Incorporated by reference to the corresponding exhibit filed by the
Registrant with its Current Report on Form 8-K dated June 28, 2000.
***** To be filed by amendment.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the
Registrant has duly caused this report to be signed on its behalf by the
undersigned, thereunto duly authorized.
CLAIMSNET.COM INC.
(Registrant)
By: /s/ Bo W. Lycke
-----------------------------
Bo W. Lycke
President and
Chief Executive Officer, on
behalf of the Registrant
By: /s/ Paul W. Miller
-----------------------------
Paul W. Miller
Chief Financial Officer and
Chief Operating Officer
By: /s/ Ward L. Bensen
-----------------------------
Ward L. Bensen
Class I Director, Treasurer
By: /s/ Robert H. Brown, Jr.
-----------------------------
Robert H. Brown, Jr.
Class I Director
By: /s/ Sture Hedlund
-----------------------------
Sture Hedlund
Class II Director
By: /s/ John C. Willems, III
-----------------------------
John C. Willems, III
Class II Director
By: /s/ Westcott W. Price, III
-----------------------------
Westcott W. Price, III
Class II Director
April 16, 2001