UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
ý |
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended March 31, 2004 |
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OR |
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o |
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Commission file number 0-28701
HealthGate Data Corp.
(Exact name of registrant as specified in its charter)
Delaware (State or other jurisdiction of incorporation or organization) |
04-3220927 (I.R.S. Employer Identification No.) |
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25 Corporate Drive, Suite 310, Burlington, Massachusetts (Address of principal executive offices) |
01803 (Zip Code) |
Registrant's telephone number, including area code: (781) 685-4000
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 at least the past 90 days. Yes o No ý
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes o No ý
The number of shares outstanding of the registrant's common stock as of April 21, 2004 was 5,469,766.
HealthGate Data Corp.
FORM 10-Q
For the Quarter Ended March 31, 2004
INDEX
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Page |
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PART I. FINANCIAL INFORMATION | ||||
Item 1. |
Financial Statements |
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Condensed Consolidated Balance Sheets at March 31, 2004 and December 31, 2003 (unaudited) |
3 |
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Condensed Consolidated Statements of Operations for the three months ended March 31, 2004 and 2003 (unaudited) |
4 |
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Condensed Consolidated Statements of Cash Flows for the three months ended March 31, 2004 and 2003 (unaudited) |
5 |
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Notes to Condensed Consolidated Financial Statements |
6 |
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Item 2. |
Management's Discussion and Analysis of Financial Condition and Results of Operations |
13 |
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Item 3. |
Quantitative and Qualitative Disclosures about Market Risk |
26 |
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Item 4. |
Controls and Procedures |
26 |
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PART II. OTHER INFORMATION |
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Item 6. |
Exhibits and Reports on Form 8-K |
27 |
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Signatures |
28 |
2
PART I. FINANCIAL INFORMATION
HEALTHGATE DATA CORP.
CONDENSED CONSOLIDATED BALANCE SHEETS
(unaudited)
|
March 31, 2004 |
December 31, 2003 |
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Assets | ||||||||||
Current assets: | ||||||||||
Cash and cash equivalents | $ | 2,484,879 | $ | 3,431,230 | ||||||
Accounts receivable, including $15,000 and $0 from a related | ||||||||||
party and net of allowance for doubtful accounts of $2,278 and $1,818 at March 31, 2004 and December 31, 2003, respectively | 874,492 | 158,989 | ||||||||
Prepaid expenses and other current assets | 413,992 | 110,675 | ||||||||
Total current assets | 3,773,363 | 3,700,894 | ||||||||
Fixed assets, net | 249,312 | 281,524 | ||||||||
Intangible assets, net | 435,788 | 546,585 | ||||||||
Goodwill | 231,468 | 231,468 | ||||||||
Other assets | 318,760 | 318,613 | ||||||||
Total assets | $ | 5,008,691 | $ | 5,079,084 | ||||||
Liabilities and Stockholders' Equity |
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Current liabilities: | ||||||||||
Accounts payable | $ | 642,000 | $ | 375,309 | ||||||
Accrued expenses | 1,397,630 | 1,796,181 | ||||||||
Deferred revenue | 2,451,416 | 2,083,924 | ||||||||
Total current liabilities | 4,491,046 | 4,255,414 | ||||||||
Other long-term liabilities | 149,909 | 299,818 | ||||||||
Total liabilities | 4,640,955 | 4,555,232 | ||||||||
Commitments and contingencies (Notes 4 and 7) | | | ||||||||
Stockholders' equity: | ||||||||||
Common stock, $.03 par value; | ||||||||||
Authorized: 100,000,000 shares | ||||||||||
Issued and outstanding: 5,469,766 and 5,382,185 shares at | ||||||||||
March 31, 2004 and December 31, 2003, respectively | 164,092 | 161,465 | ||||||||
Additional paid in capital | 99,921,182 | 99,918,667 | ||||||||
Accumulated deficit | (99,717,538 | ) | (99,556,280 | ) | ||||||
Total stockholders' equity | 367,736 | 523,852 | ||||||||
Total liabilities and stockholders' equity | $ | 5,008,691 | $ | 5,079,084 | ||||||
The accompanying notes are an integral part of these condensed consolidated financial statements.
3
HEALTHGATE DATA CORP.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
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Three Months Ended March 31, 2004 |
Three Months Ended March 31, 2003 |
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Revenue, including revenue from related parties of of $3,750 and $0 | |||||||||
for the three months ended March 31, 2004 and March 31, 2003, respectively | $ | 1,511,661 | $ | 1,387,271 | |||||
Costs and expenses: | |||||||||
Cost of revenue | 412,814 | 833,914 | |||||||
Research and development | 378,582 | 508,570 | |||||||
Sales and marketing | 297,850 | 233,031 | |||||||
General and administrative | 615,400 | 879,513 | |||||||
Total costs and expenses | 1,704,646 | 2,455,028 | |||||||
Loss from operations |
$ |
(192,985 |
) |
$ |
(1,067,757 |
) |
|||
Interest and other income, net |
31,727 |
863,961 |
|||||||
Net loss | $ | (161,258 | ) | $ | (203,796 | ) | |||
Basic and diluted net loss per share |
$ |
(0.03 |
) |
$ |
(0.03 |
) |
|||
Shares used in computing basic and diluted net loss per share |
5,416,596 |
6,014,676 |
The accompanying notes are an integral part of these condensed consolidated financial statements.
4
HEALTHGATE DATA CORP.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
|
Three Months Ended March 31, 2004 |
Three Months Ended March 31, 2003 |
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Cash flows from operating activities: | ||||||||||
Net loss | $ | (161,258 | ) | $ | (203,796 | ) | ||||
Adjustments to reconcile net loss to net cash used in | ||||||||||
operating activities: | ||||||||||
Depreciation and amortization | 173,143 | 602,586 | ||||||||
Changes in assets and liabilities: | ||||||||||
Accounts receivable | (715,503 | ) | (660,078 | ) | ||||||
Prepaid expenses and other current assets | (303,317 | ) | 102,835 | |||||||
Other assets | (147 | ) | 20,833 | |||||||
Accounts payable | 266,691 | (424,050 | ) | |||||||
Accrued expenses | (398,551 | ) | (685,613 | ) | ||||||
Deferred revenue | 367,492 | 732,424 | ||||||||
Other long-term liabilities | (149,909 | ) | (98,706 | ) | ||||||
Net cash used in operating activities | (921,359 | ) | (613,565 | ) | ||||||
Cash flows from investing activities: |
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Purchases of fixed assets | | (40,564 | ) | |||||||
Expenditures for capitalized software | (30,134 | ) | (28,516 | ) | ||||||
Net cash used in investing activities | (30,134 | ) | (69,080 | ) | ||||||
Cash flows from financing activities: |
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Payment of capital lease obligation | | (5,821 | ) | |||||||
Purchase of common stock | 5,142 | | ||||||||
Net cash provided by (used in) financing activities | 5,142 | (5,821 | ) | |||||||
Net decrease in cash and cash equivalents |
(946,351 |
) |
(688,466 |
) |
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Cash and cash equivalents, beginning of period |
3,431,230 |
4,449,087 |
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Cash and cash equivalents, end of period | $ | 2,484,879 | $ | 3,760,621 | ||||||
Supplemental disclosure of cash flow information: |
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Cash paid for interest | $ | | $ | 1,000 |
The accompanying notes are an integral part of these condensed consolidated financial statements.
5
HEALTHGATE DATA CORP.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
1. Basis of Presentation and Financial Condition
HealthGate Data Corp. ("HealthGate" or the "Company") provides evidence-based decision support and risk containment solutions including clinical guidelines, order sets and point of care tools that help healthcare providers and payors improve quality, reduce variability of care and reduce costs. In conjunction with its Academic Medical Center Consortium comprised of Vanderbilt University Medical Center, Duke University Medical Center, Emory University Medical School and Oregon Health Sciences University, the Company creates clinical guidelines, order sets, and point of care tools that are based on clinical evidence. Additionally, HealthGate provides a suite of evidence-based patient education and consumer health content services that allow patients to be active participants in the delivery of their own care. These tools and content, when coupled with HealthGate's technology platform, can be integrated into a variety of healthcare information technology systems and accessed at the point of care.
On October 27, 2003, HealthGate acquired substantially all of the assets and certain liabilities of privately-held EBM Solutions, Inc. ("EBM Solutions"), a provider of evidence-based medical guidelines and care management applications. Under the terms of the agreement, HealthGate issued to EBM Solutions 752,048 shares of HealthGate's common stock and a warrant to purchase an additional 333,333 shares of HealthGate's common stock with an exercise price of $1.20 per HealthGate share. Certain stockholders of EBM Solutions concurrently purchased from HealthGate 333,333 shares of HealthGate common stock for $1.20 per share. HealthGate recorded the acquisition pursuant to the purchase accounting provisions of Statement of Financial Accounting Standards No. 141.
HealthGate's consolidated financial statements have been presented on the basis that it is a going concern, which contemplates the continuity of business, realization of assets and the satisfaction of liabilities in the ordinary course of business. At March 31, 2004, the Company had approximately $2,485,000 of cash and cash equivalents and negative working capital of approximately $718,000. The Company has incurred net losses in every fiscal year since inception. For the three months ended March 31, 2004, the Company incurred a net loss of approximately $161,000 and negative cash flows from operations of $921,000. Additionally, as of March 31, 2004, the Company had an accumulated deficit of approximately $99,718,000.
The Company has taken numerous actions to substantially reduce operating cash outflows. These actions included settling commissions owed under development and distribution agreement, workforce reductions, and amending or canceling several content arrangements. Management believes that these actions have not impaired the Company's ability to invest in its core business. If the Company does not achieve its forecasted revenue levels in the future, management is prepared to implement additional cost reductions.
Based on HealthGate's forecasted cash flows and its cash and cash equivalents on hand, the Company expects to have sufficient cash to finance its operations for at least the next twelve months. The Company's future beyond the next twelve months is dependent upon its ability to achieve break-even or positive cash flow, or raise additional financing. There can be no assurances that the Company will be able to do so.
HealthGate is subject to some of the risks and uncertainties common to technology companies, including rapid technological developments, reliance on continued development and acceptance of the electronic healthcare content industry and intense competition.
6
The accompanying unaudited condensed consolidated interim financial statements do not include all of the information and footnotes required by generally accepted accounting principles for complete financial statements, and should be read in conjunction with the audited financial statements included in HealthGate's Form 10-K for the year ended December 31, 2003. However, in the opinion of management, the accompanying interim financial statements have been prepared on the same basis as the audited financial statements, and include all adjustments, consisting only of normal recurring adjustments necessary for a fair presentation of the results of the interim periods presented. The operating results for the interim periods presented are not necessarily indicative of the results expected for the full fiscal year or any future period. Certain amounts in the prior period condensed consolidated financial statements have been reclassified to conform to the current period presentation.
2. Net Loss Per Share
Net loss per share is computed in accordance with Statement of Financial Accounting Standards No. 128, "Earnings Per Share" ("SFAS 128"). Basic net loss per share is computed by dividing net loss attributable to common stockholders by the weighted average number of shares of common stock outstanding. Diluted net loss per share does not differ from basic net loss per share since potential common shares from the assumed exercise of stock options and warrants are anti-dilutive for all periods presented. As of March 31, 2004, options to purchase 1,029,209 shares of the Company's common stock were outstanding, and warrants to purchase 363,333 shares of the Company's common stock were outstanding.
3. Revenue Recognition
HealthGate primarily derives revenue from licensing access to its content and tools. HealthGate also enters into publishing agreements with print publishers.
HealthGate records revenue in accordance with Staff Accounting Bulletin No. 104, "Revenue Recognition". Revenue from fixed fee services arrangements is recognized ratably over the term of the underlying agreement between HealthGate, the customer, and if applicable, HealthGate's authorized reseller, which generally ranges from one to three years. Revenue from usage fees is recognized when the service has been provided and the usage reporting from the customer has been received by HealthGate. HealthGate typically does business with its customers using standard contracts and does not begin to recognize revenue until such contract is signed by both parties. For arrangements in which HealthGate sells through a reseller, HealthGate does not recognize any revenue until an agreement has been finalized between HealthGate, its customer, and its authorized reseller and the content has been delivered. Revenue is not recognized under any circumstances unless collectibility is deemed probable. Accounts are evaluated for collectibility based on HealthGate's past collections experience, the customer's payment history and evaluation of the customer's financial condition. If collection is not deemed probable, revenue recognition does not begin until cash is received.
If consideration, including equity instruments, is given to a customer or reseller for which the Company does not receive a separate identifiable benefit with a determinable fair value, the Company characterizes the recognition of such consideration as a reduction in revenue to the extent there is cumulative revenue from such customer or reseller. Any excess recognition of such consideration is recorded as an expense.
7
Revenue from licensing content to print publishers for print distribution, including minimum royalties, is recognized upon delivery of the content as long as HealthGate has no material future obligations.
HealthGate rarely enters into multi-element service arrangements. When HealthGate does enter into such an arrangement, each element is accounted for separately over its respective service period, provided that there is stand alone value to the delivered service and objective evidence of fair value of at least the undelivered service. If these conditions are not met, the total value of the arrangement is recognized ratably over the entire service period. For all multi-element service arrangements to date, the fair values have not been objectively determinable. Therefore, all revenue under these contracts has been recognized ratably over the related service period.
4. Lease Exit Costs
HealthGate leases approximately 32,000 square feet of office space under a lease, which expires in June 2005. HealthGate's annual cost for this space is approximately $28 per square foot per year. During the fourth quarter of 2001, the Company committed to an exit plan to vacate approximately 20,000 square feet of excess space at its headquarters building. HealthGate finalized a sublease for a portion of this excess space in February 2002.
HealthGate's results of operations for the year ended December 31, 2001 included a charge of $1,880,000 as a result of these activities. This charge represents accrual of approximately $1,729,000 of expenses relating to HealthGate's continued liability under its lease and approximately $151,000 for the impairment of leasehold improvements on the space the Company vacated.
During 2003, the Company's subtenant defaulted on the sublease. As a result, the Company reevaluated the assumptions underlying the accrual and recorded additional lease exit costs of approximately $106,000 in the quarter ended June 30, 2003. During the quarter ended September 30, 2003, HealthGate finalized a sublease with a new tenant for a portion of the Company's excess space for the remaining term of HealthGate's office lease. As a result, the Company reevaluated the assumptions underlying the accrual. This analysis included significant estimates including the amount of rent that HealthGate believes will ultimately be collectible based on the tenant's limited operating history and current operating performance. This analysis resulted in a reduction in HealthGate's estimate of lease exit costs of approximately $29,000 in the quarter ended September 30, 2003. Total lease exit expenses were $77,000 for the year ended December 31, 2003.
The activity for the three months ended March 31, 2004 relating to the accrual is as follows:
Liability at December 31, 2003 | $ | 889,156 | ||
Payments | (149,909 | ) | ||
Payments received from tenant | 17,800 | |||
Liability at March 31, 2004 | 757,047 | |||
Less: current portion |
(607,138 |
) |
||
Other long-term liabilities | $ | 149,909 | ||
The charges and accruals included certain significant estimates and assumptions which will be monitored for changes in facts and circumstances. It is reasonably possible that changes in
8
circumstances and evaluation of assumptions may require adjustment to this charge in future periods, and the amount could be material.
5. Acquisitions
On February 12, 2002, HealthGate acquired from Random House, Inc. the assets of The Natural Pharmacist ("TNP"), a publisher of comprehensive evidence-based alternative and natural health content for consumers and healthcare professionals. The total purchase price of $393,000 consisted of $350,000 in cash and $43,000 in direct transactional costs. In accordance with the provisions of Statement of Financial Accounting Standards No. 141 ("SFAS No. 141"), the purchase price was allocated to the assets acquired based on their value at the date of acquisition, with $48,000 of the purchase price being allocated to accounts receivable and $345,000 allocated to purchased content. This purchased content asset is being amortized on a straight-line basis over the estimated three-year life of the underlying asset. The acquired assets have been reported in HealthGate's results of operations from the date of acquisition.
On October 27, 2003, HealthGate acquired substantially all the assets and certain liabilities of EBM Solutions, Inc. a Delaware corporation, pursuant to an Asset Purchase Agreement dated October 3, 2003.
Total consideration given by HealthGate consisted of 752,048 shares of HealthGate's common stock valued $0.69 per share based on the average market price of HealthGate's common stock on the OTCBB for the three days preceding and the three days succeeding the announcement of the proposed transaction, for a total value of $519,000. HealthGate also issued a warrant to EBM Solutions to purchase an additional 333,333 shares of HealthGate common stock at a price of $1.20 per share. The fair value of this warrant was determined to be $74,000 using the Black-Scholes option pricing model, based on the following assumptions: 100% volatility, a term of 18 months, and an interest rate of 2.35%. In connection with the acquisition, certain investors in EBM Solutions also purchased 333,333 shares of unregistered stock of HealthGate on the date of the closing of this transaction at a price per share of $1.20. These shares were valued at $233,000, using the closing price of HealthGate's common stock on the OTCBB on the date on which the shares were purchased. A warrant to purchase 30,000 shares of HealthGate's common stock at a price of $1.20 per share was also issued to a member of the Academic Medical Center Consortium in connection with this transaction. The fair value of this warrant was determined to be $7,000 using the Black-Scholes option pricing model, based on the following assumptions: 100% volatility, a term of 18 months, and an interest rate of 2.35%. HealthGate also incurred certain direct transaction costs in connection with this transaction of approximately $127,000. Based on these assumptions, total consideration given was calculated to be approximately
9
$960,000. The following table describes the purchase price allocation to the net assets based on their value at the date of acquisition, in accordance with the provisions of SFAS No. 141.
Cash | $ | 504,000 | ||
Accounts receivable | 190,000 | |||
Liabilities | (245,000 | ) | ||
Deferred revenue | (267,000 | ) | ||
Fixed assets | 13,000 | |||
Technology | 149,000 | |||
Medical guidelines | 173,000 | |||
Customer contracts | 212,000 | |||
Goodwill | 231,000 | |||
Allocation of Purchased Assets | $ | 960,000 | ||
HealthGate's consolidated financial statements include the cash flows and results of operations from the EBM Solutions acquisition subsequent to the acquisition date October 27, 2003. Despite HealthGate's good faith efforts, due to a lack of reliable, historical documentation concerning EBM Solutions' financial operations prior to its acquisition by HealthGate, HealthGate is unable to provide pro forma information regarding results of operations for the three months ended March 31, 2003.
6. Intangible Assets and Goodwill
Intangible assets are recorded at their fair market value at the date of acquisition and amortized over their useful lives. Purchased content acquired in February 2002, as part of the acquisition of certain assets of The Natural Pharmacist ("TNP"), is being amortized on a straight-lined basis over three years. Purchased content and customer relationships acquired as part of the acquisition of certain assets and liabilities of EBM Solutions are being amortized based on the greater of (a) the ratio that the current revenues for the related product bear to the total of current and anticipated future revenues for the product, or (b) the straight-line method over the estimated useful life of four years. Technology assets acquired as part of the EBM Solutions transaction were amortized on a straight-line basis over three months ending January 2004. Goodwill of $231,000 was recorded as part of the EBM Solutions transaction at the excess of the purchase consideration over the fair market value of net assets acquired and will be tested on at least an annual basis for impairment. All intangible assets are tested for impairment when a qualifying event occurs that suggests such an impairment may have occurred. Amortization of intangible assets was $110,000 and $29,000 for the three months ended March 31, 2004 and 2003, respectively.
7. Commitments and Contingencies
HealthGate has entered into agreements to license content for its services from various unrelated third parties. Future minimum license payments under these agreements as of March 31, 2004 totaled approximately $702,000.
In July 1999, HealthGate received a letter alleging that HealthGate's Web site induces users to infringe a patent held by a company (the "Holder"). In lieu of pursuing a patent infringement claim against HealthGate, the Holder offered to provide HealthGate with a license for unlimited use of the
10
patent for a one-time payment of between $50,000 and $150,000. There has been no recent activity on this matter and at this time, HealthGate is unable to predict its outcome.
From time to time HealthGate becomes subject to legal proceedings and claims arising in connection with its business. HealthGate does not believe that there were any asserted claims at March 31, 2004 that, if adversely decided, would have a material adverse effect on its results of operations, financial condition or liquidity.
HealthGate indemnifies its officers and directors for certain events or occurrences while the officer or director is, or was serving, at the Company's request in such capacity. The maximum potential amount of future payments that the Company could be required to make under these indemnification agreements is unlimited; however, HealthGate has a Director and Officer insurance policy that limits its exposure and enables the Company to recover a portion of any future amounts paid. HealthGate believes the estimated fair value of these indemnification agreements is minimal.
HealthGate warrants that the content that the Company licenses to its customers shall operate in accordance with the written specifications and documentation provided by HealthGate. If the licensed content failed to operate as specified, a customer would be entitled to a refund of a pro rata portion of the license fees paid to HealthGate. Since HealthGate recognizes such fees on a pro rata basis it is unlikely that the Company would experience significant claims under its product or services warranties in excess of amounts recorded as deferred revenue. As a result, the Company believes the estimated fair value of these warranties is minimal.
HealthGate enters into standard indemnification agreements in the ordinary course of business. Pursuant to these agreements, the Company indemnifies, holds harmless, and agrees to reimburse the indemnified party for losses suffered or incurred by the indemnified party, generally customers, in connection with any U.S. patent, or any copyright or other intellectual property infringement claim by any third party with respect to HealthGate's products. The term of these indemnification agreements is generally perpetual any time after execution of the agreement. The amount of future payments required under these indemnification agreements is generally limited to the amount of fees paid by the customer pursuant to the agreement. HealthGate has never incurred costs to defend lawsuits or settle claims related to these indemnification agreements. As a result, the Company believes the estimated fair value of these warranties is minimal.
8. Related Party Transactions and Other Income
In June 1999, HealthGate entered into a development and distribution agreement with GE Medical Systems ("GEMS"). The agreement, as amended, was terminated in June 2003. Under the terms of this agreement, GEMS could have sold HealthGate's standard CHOICE product and GEMS' branded enhanced versions of HealthGate's CHOICE product through its worldwide sales force into its worldwide customer base of hospitals and other patient care facilities. In February 2003, HealthGate entered into a settlement agreement that established commissions due under this development and distribution agreement relating to fiscal years 1999 through 2002. The settlement amount was approximately $818,000 less than HealthGate had previously accrued and was recorded as other income in the quarter ended March 31, 2003.
Vanderbilt University Medical Center is a member of the HealthGate's Academic Medical Center Consortium. In connection with the acquisition of EBM Solutions, Harry R. Jacobson, M.D. joined the
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Company's Board of Directors in October 2003. Dr. Jacobson is Vice Chancellor for Health Affairs and Professor of Medicine at Vanderbilt University Medical Center. For the three months ended March 31, 2004, net revenue from Vanderbilt University Medical Center was approximately $4,000.
9. Research and Development and Software Development Costs
Costs incurred in the research and development of HealthGate's content and products are expensed as incurred, except for certain software development costs. In accordance with the American Institute of Certified Public Accountants' Statement of Position 98-1, "Accounting for the Costs of Computer Software Developed or Obtained for Internal Use" ("SOP 98-1"), HealthGate capitalizes costs incurred during the application development stage of software developed for internal use. During the three months ended March 31, 2004 and 2003, development costs of approximately $30,000 and $29,000, respectively, were capitalized. These costs will be amortized to cost of revenue on a straight-line basis over the expected one-year life of the related software, once the software is complete and ready for its intended use.
10. Stock Based Compensation
HealthGate accounts for stock-based awards to employees using the intrinsic value method as prescribed by Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees," ("APB 25") and related interpretations. HealthGate has adopted the provisions of Statement of Financial Accounting Standards No. 123, "Accounting for Stock-Based Compensation," ("SFAS 123") and Statement of Financial Accounting Standards No. 148, "Accounting for Stock-Based Compensation," ("SFAS 148") for disclosure purposes only. All stock-based awards to non-employees are accounted for at their fair value in accordance with SFAS 123 and related interpretations.
The following table illustrates the effect on net loss and net loss per share if HealthGate had applied the fair value recognition provisions of SFAS 123 to stock-based employee compensation:
|
For the three months ended |
||||||||
---|---|---|---|---|---|---|---|---|---|
|
March 31, 2004 |
March 31, 2003 |
|||||||
Net loss as reported | $ | (161,258 | ) | $ | (203,796 | ) | |||
Add: stock-based employee compensation included in reported net loss | | | |||||||
Deduct: total stock-based compensation expense determined under the fair value method for all awards | (16,283 | ) | (21,224 | ) | |||||
Pro forma net loss | (177,541 | ) | (225,020 | ) | |||||
Basic and diluted net loss per share |
|||||||||
As reported | $ | (0.03 | ) | $ | (0.03 | ) | |||
Pro forma | (0.03 | ) | (0.04 | ) |
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Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations
Forward-Looking Statements
This report on Form 10-Q contains certain statements that are forward-looking and actual results may differ materially from those contemplated by the forward-looking statements. These forward-looking statements reflect management's current expectations, are based on many assumptions and are subject to certain risks and uncertainties. Factors that might cause or contribute to such differences are described further below under the caption "Risk Factors" and in the periodic reports and registration statements HealthGate files from time to time with the Securities and Exchange Commission, including HealthGate's most recent Form 10-K. Investors are cautioned not to place undue reliance on the forward-looking statements, which appear elsewhere in this report on Form 10-Q. HealthGate does not intend to update or publicly release any revisions to the forward-looking statements.
Overview
HealthGate Data Corp. ("HealthGate" or the "Company") provides evidence-based decision support and risk containment solutions including clinical guidelines, order sets and point of care tools that help healthcare providers and payors improve quality, reduce variability of care and reduce costs. Additionally, HealthGate provides a suite of evidence-based patient education and consumer health content services that allow patients to be active participants in the delivery of their own care. These tools and content, when coupled with HealthGate's technology platform, can be integrated into a variety of healthcare information technology systems and accessed at the point of care.
On October 27, 2003, HealthGate acquired substantially all of the assets and certain liabilities of privately-held EBM Solutions, Inc. ("EBM Solutions"), a provider of evidence-based medical guidelines and care management applications. In conjunction with the acquisition, HealthGate issued to EBM Solutions 752,048 shares of HealthGate's common stock and a warrant to purchase an additional 333,333 shares of HealthGate's common stock with an exercise price of $1.20 per HealthGate share. In connection with the acquisition, certain stockholders of EBM Solutions purchased from HealthGate 333,333 shares of HealthGate common stock for $1.20 per share. HealthGate recorded the acquisition pursuant to the purchase accounting provisions of Statement of Financial Accounting Standards No. 141.
HealthGate's management believes it has developed a scalable and sustainable business model. Investors should not use the Company's past results as a basis to predict future performance. The Company intends to continue to invest in its tools and content. The Company plans to manage its expenses in line with its revenue. However, HealthGate cannot assure investors that it will achieve significant revenue or profitability or, if significant revenue or profitability is achieved, that the Company will be able to sustain them.
At March 31, 2004, the Company had $2,485,000 of cash and cash equivalents and $718,000 of negative working capital, including $2,451,000 of deferred revenue. The Company has incurred substantial losses and negative cash flows from operations in every fiscal year since inception. In the three months ended March 31, 2004, the Company incurred a net loss of $161,000, and negative cash flows from operations of $921,000. Additionally, as of March 31, 2004, the Company had an accumulated deficit of $99,718,000.
The Company has taken numerous actions to reduce substantially operating cash outflows. These actions included settling commissions owed under development and distribution agreements, workforce reductions, and amending or canceling several content arrangements. Management believes that these actions have not impaired the Company's ability to invest in its core business. If the Company does not achieve its forecasted revenue levels in the future, management is prepared to implement additional cost reductions.
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Based on HealthGate's forecasted cash flows and its cash and cash equivalents on hand, the Company expects to have sufficient cash to finance its operations through the next twelve months. The Company's future beyond twelve months is dependent upon its ability to achieve break-even or positive cash flow, or raise additional financing. There can be no assurances that the Company will be able to do so.
Critical Accounting Policies and Significant Judgments and Estimates
HealthGate's discussion and analysis of its financial condition and results of operations are based upon HealthGate's consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of financial statements requires the Company to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. HealthGate evaluates its estimates on an on-going basis. HealthGate bases its estimates on assumptions that the Company believes to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.
The following critical accounting policies and significant judgments and estimates were used in the preparation of HealthGate's consolidated financial statements:
Revenue Recognition. HealthGate primarily derives revenue from licensing access to its content and tools.
HealthGate records revenue in accordance with Staff Accounting Bulletin No. 104, "Revenue Recognition". Revenue from services arrangements is recognized ratably over the terms of the underlying agreement between HealthGate, the customer, and if applicable, HealthGate's authorized reseller, which generally ranges from one to three years. Revenue from usage fees is recognized when the service has been provided and the usage reporting has been received by HealthGate. HealthGate typically does business with its customers using standard contracts and does not begin to recognize revenue until such contract is signed by both parties. For arrangements in which HealthGate sells through a reseller, HealthGate does not recognize any revenue until an agreement has been finalized between HealthGate, its customer, and its authorized reseller and the content has been delivered. Revenue is not recognized under any circumstances unless collectibility is deemed probable. Accounts are evaluated for collectibility based on HealthGate's past collections experience, the customer's payment history and evaluation of the customer's financial condition. If collection is not deemed probable, revenue recognition does not begin until cash is received.
Effective January 1, 2002, HealthGate adopted Emerging Issues Task Force Issue No. 01-09, "Accounting for Consideration Given by a Vendor to a Customer" ("EITF 01-09"). EITF 01-09 addresses whether a vendor should recognize consideration given to a customer as an expense or as an offset to revenue being recognized from that same customer. Consideration given to a customer is presumed to be a reduction in revenue unless both of the following conditions are met:
If both conditions are met, consideration paid to the customer may be recognized as expense.
Upon adopting EITF 01-09, HealthGate reviewed its agreements with both vendor and customer components that might be impacted. As a result, HealthGate has reclassified $17,000 and $0 for the
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Academic Medical Center Consortium fees from expense to a reduction in revenue for the three months ended March 31, 2004 and 2003, respectively. Identifying transactions that are within the scope of EITF 01-09, and determining whether those transactions meet the criteria for recognition as expense, requires HealthGate to make significant judgments. If HealthGate reached different conclusions, reported revenues could have been materially different.
In October 2002, HealthGate and HCA-Information Technology & Services Inc. ("HCA-Information") entered into a new content agreement. The term of the new agreement is from November 2002 through October 2004 and calls for HCA-Information to pay annual license fees to HealthGate of $1,100,000. The agreement covers up to 400 authorized entities and can be terminated by HCA-Information at any time with 60 days prior notice. The annual license fees are being recognized ratably over the term of the agreement. As of March 31, 2004, the Company was providing access to its content to 272 authorized entities under this agreement. The Company signed another agreement with HCA-Information effective March 2004 through February 2005 for access to the Company's HealthGateWay newsletter.
In 2002, HealthGate began entering into publishing agreements with print publishers. Revenue from licensing electronic content to print publishers for print distribution, including minimum royalties, is recognized upon delivery of the content as long as HealthGate has no material future obligations.
HealthGate rarely enters into multi-element service arrangements. When HealthGate does enter into such an arrangement, each element is accounted for separately over its respective service period, provided that there is stand alone value to the delivered service and objective evidence of fair value of at least the undelivered service. If these conditions are not met, the total value of the arrangement is recognized ratably over the entire service period. For all multi-element service arrangements to date, the fair value of each element has not been objectively determinable. Therefore, all revenue under these contracts has been recognized ratably over the related service period.
Software Development and Content Development Costs. Costs incurred in the research and development of HealthGate's products are expensed as incurred, except for certain software development costs. In accordance with the American Institute of Certified Public Accountants' Statement of Position 98-1, "Accounting for the Costs of Computer Software Developed or Obtained for Internal Use" ("SOP 98-1"), HealthGate capitalizes certain costs, primarily internal labor, incurred during the application development stage of software developed for internal use. These costs are amortized to cost of revenue on a straight-line basis over the expected one-year life of the related software, once the software is complete and ready for its intended purpose. For the three months ended March 31, 2003, amortization of software development costs was $233,000. During the three months ended March 31, 2003, development costs totaling $29,000 were capitalized relating to three projects which were placed in service during the second quarter of 2003. During the three months ended March 31, 2004, development costs totaling $30,000 were capitalized. These software projects are expected to be completed during 2004, and the Company will amortize these costs into cost of revenue on a straight-line basis over the estimated one-year life of the underlying software. Amortization of capitalized software for the three months ended March 31, 2004 totaled approximately $30,000. HealthGate has made significant judgments in estimating the useful life of the capitalized software to be one year. Operating results would be materially different if a different useful life were used.
Costs incurred in the research and development of HealthGate's tools and content, except for certain software development costs as described above, are expensed as incurred. The cost to develop proprietary tools and content and update existing tools and content is expensed as research and development costs in the period the costs are incurred. Operating results would be materially different if such costs were capitalized and amortized over the expected benefit period.
Lease Exit Costs. HealthGate leases approximately 32,000 square feet of office space under a lease that expires in June 2005. HealthGate's annual cost for this space is approximately $28 per square
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foot per year. During the fourth quarter of 2001, the Company committed to an exit plan to vacate approximately 20,000 square feet of excess space at its headquarters building, and began negotiating a sublease for a portion of this excess space that was finalized in February 2002. This first sublease was initially for approximately 10,800 square feet. Prior to its early termination, this first sublease was for the remaining term of HealthGate's lease with its landlord.
For purposes of calculating exit costs, HealthGate included the difference between the rate the Company is currently obligated to pay and the rate that the subtenant agreed to pay for the space it is renting. The Company also included an impairment of leasehold improvements on the space being vacated, taxes and utilities related to the subleased space. HealthGate also estimated the amount of sublease payments that will ultimately be collected. Additionally, HealthGate assumed that it would not be able to locate a subtenant for its remaining unused space and included the rent expense for that space for the remainder of the lease. HealthGate's charge also included the estimated cost of building out the space for its subtenant and legal and professional costs of completing the sublease.
HealthGate's calculation included significant estimates including the amount of sublease payments that will be collected, HealthGate's inability to rent the remaining excess space, the amount of charges that will actually be incurred and the rate that HealthGate would be charged for taxes and utilities by its landlord over the remaining term of its lease. If HealthGate had made different assumptions, it could have resulted in a different charge being recorded in 2001. Also, these estimates and assumptions will require monitoring on a quarterly basis for changes in circumstances. As a result, assumptions may require adjustment, which could affect the amount accrued and generate a future charge or credit to this line item in future periods, and the amount could be material.
During the quarter ended June 30, 2003, the Company's first subtenant defaulted on the sublease. As a result, the Company reevaluated the assumptions underlying the accrual and recorded additional lease exit costs of approximately $106,000 in the quarter ended June 30, 2003.
During the quarter ended September 30, 2003, HealthGate finalized a sublease with a new subtenant for a portion of the Company's excess space for the remaining term of HealthGate's office lease. As a result, the Company reevaluated the assumptions underlying the accrual. This analysis included significant estimates including the amount of rent that HealthGate believes will ultimately be collectible based on the new subtenant's limited operating history and current operating performance. This analysis resulted in a reduction in HealthGate's estimate of lease exit costs of approximately $29,000 in the quarter ended September 30, 2003. No adjustments to lease exit costs were made in the quarter ended March 31, 2004.
Acquisition of EBM Solutions. On October 27, 2003, HealthGate acquired substantially all the assets and certain liabilities of EBM Solutions Inc., a Delaware corporation, pursuant to an Asset Purchase Agreement dated October 3, 2003.
Total consideration given by HealthGate consisted of 752,048 shares of HealthGate's common stock valued $0.69 per share based on the average market price of HealthGate's common stock on the OTCBB for the three days preceding and the three days succeeding the announcement of the proposed transaction, for a total value of $519,000. HealthGate also issued a warrant to EBM Solutions to purchase an additional 333,333 shares of HealthGate common stock at a price of $1.20 per share. The fair value of this warrant was determined to be $74,000 using the Black-Scholes option pricing model, based on the following assumptions: 100% volatility, a term of 18 months, and an interest rate of 2.35%. In connection with the acquisition, certain investors in EBM Solutions also purchased 333,333 shares of unregistered stock of HealthGate on the date of the closing of this transaction at a price per share of $1.20. These shares were valued at $233,000, using the closing price of HealthGate's common stock on the OTCBB on the date on which the shares were purchased. A warrant to purchase 30,000 shares of HealthGate's common stock at a price of $1.20 per share was also issued to a member of the Academic Medical Center Consortium in connection with this transaction. The fair value of this
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warrant was determined to be $7,000 using the Black-Scholes option pricing model, based on the following assumptions: 100% volatility, a term of 18 months, and an interest rate of 2.35%. HealthGate also incurred certain direct transaction costs in connection with this transaction of approximately $127,000. Based on these assumptions, total consideration was calculated to be approximately $960,000.
In accordance with the provisions of SFAS No. 141, the purchase price was allocated to the net assets acquired based on their value at the date of acquisition. HealthGate received approximately $504,000 in cash, including $400,000 of proceeds from the purchase of 333,333 shares of HealthGate's common stock by certain investors in EBM Solutions. Approximately $190,000 of the purchase price was allocated to accounts receivable based on HealthGate's estimate of the net realizable value of the receivables acquired from EBM Solutions. HealthGate also examined the fixed assets acquired as part of the transaction, and assigned them a value of approximately $13,000. HealthGate also assumed approximately $245,000 in liabilities for accounts payable and accrued expenses in connection with this transaction, and approximately $267,000 in deferred revenue for liability to perform under EBM Solutions' contracts. The values assigned to these liabilities were based on the amounts and nature of liabilities as described in the Asset Purchase Agreement.
With the assistance of an independent valuation company, HealthGate identified and valued the intangible assets acquired as part of this transaction. Those intangible assets were determined to be purchased tools and content, customer contracts, technology assets and goodwill.
Purchased content, which consists of the medical guidelines developed by EBM Solutions, were valued at approximately $173,000 using the income approach. This valuation required HealthGate to estimate the future revenue stream from these guidelines, the direct expenses to obtain and support that revenue stream and the anticipated rate of attrition of that revenue. All future net cash flows were then discounted and tax effected to arrive at a valuation as of the closing date of the transaction. HealthGate estimated the useful life of the purchased content to be four years and is amortizing the cost based on the greater of (a) the ratio that the current revenues for the related product bear to the total of current and anticipated future revenues for the product, or (b) the straight-line method over the remaining estimated life of the product.
Customer contracts, which consist of the estimated fair value of EBM Solutions' customer relationships, were valued at approximately $212,000 using the income approach. This valuation required HealthGate to estimate the future revenue stream from these customers, the direct expenses to fulfill the service obligations to those customers and anticipated rate of attrition for those customer contracts. All future net cash flows were then discounted and tax effected to arrive at a valuation as of the closing date of the transaction. HealthGate estimated the useful life of the customer contracts to be four years and is amortizing the cost based on the greater of (a) the ratio that the current revenues for the related product bear to the total of current and anticipated future revenues for the product, or (b) the straight-line method over the remaining estimated life of the product.
Technology assets, which consist of the application development and implementation costs incurred by EBM Solutions to create their content management tools, were valued at approximately $149,000 using a replacement cost methodology. HealthGate estimated the useful life of the technology assets to be three months and amortized these costs into cost of revenue over three months on a straight-line basis. The useful life of this asset was determined by the amount of time it took HealthGate to transition the EBM Solutions' customers onto HealthGate's technology platform.
The resulting difference between the consideration given to acquire the EBM Solutions net assets and the identified tangible and intangible net assets acquired was recorded as goodwill in the amount of $231,000. This value will not be amortized, but rather will be evaluated on at least an annual basis for impairment.
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Identifying and valuing assets in accordance with SFAS 141 requires certain judgments and estimates including assumptions about future revenues, future expenses, future tax rates and appropriate discount rates. Valuing the warrants included in the purchase price also required certain significant judgments and estimates, including the term, volatility and interest rates that were used in the Black-Scholes valuation model. If different assumptions and estimates had been made, the values arrived at may have been significantly different.
Despite HealthGate's good faith efforts, due to a lack of reliable, historical documentation concerning EBM Solutions' financial operations prior to its acquisition by HealthGate, HealthGate is unable to provide pro forma information regarding results of operations for the three months ended March 31, 2003.
Results of Operations
Comparison of the Three Months Ended March 31, 2004 with the Three Months Ended March 31, 2003
Revenue
Total revenue for the three months ended March 31, 2004 increased by $124,000 or 9% to $1,512,000 compared to total revenue of $1,387,000 for the three months ended March 31, 2003. This increase is primarily attributable to revenues from evidence-based medical guidelines acquired as part of the acquisition of the assets and certain liabilities of EBM Solutions. Substantially all of the revenue in both periods was derived from licensing access to content and tools.
In October 2002, HealthGate and HCA-Information entered into a new content agreement. The term of the new agreement is from November 2002 through October 2004 and calls for HCA-Information to pay annual license fees to HealthGate of $1,100,000. The agreement covers up to 400 authorized users and can be terminated by HCA-Information at any time with 60 days prior notice. The annual license fees are being recognized ratably over the term of the agreement. The Company signed another agreement with HCA-Information effective March 2004 through February 2005 for access to the Company's HealthGateWay newsletter. Revenue from HCA-Information was $275,000 during each of the three months ended March 31, 2004 and 2003.
The three months ended March 31, 2004 included revenue of $275,000 (18%) from HCA-Information and $230,000 (15%) from Veterans Administration, serviced by HealthGate as a subcontractor to PlanetGov, the current prime contractor to Veterans Administration. The three months ended March 31, 2003 included revenue of $275,000 (20%) from HCA-Information. No other customers accounted for more than 10% of the Company's revenue for the periods.
For the three months ended March 31, 2004, net related party revenue was $4,000 from Vanderbilt University Medical Center. There was no related party revenue for the quarter ended March 31, 2003.
Costs and Expenses
Cost of Revenue. Cost of revenue consists primarily of costs involved with providing services, royalties associated with licensed content, related equipment and software costs, as well as amortization of acquired intangible assets. Cost of revenue decreased by $421,000 to $413,000 in the three months ended March 31, 2004 from $834,000 in the three months ended March 31, 2003. This decrease of approximately 50% primarily relates to lower depreciation and amortization expense in the current quarter resulting from completion of amortization of capitalized software development costs for software which amortization was completed in the first quarter of 2003. Because of lower costs in the current quarter, cost of revenue as a percentage of total revenue decreased from 60% for the three months ended March 31, 2003 to 27% for the three months ended March 31, 2004. The Company currently expects expenses related to cost of revenue to be relatively consistent for the remainder of 2004.
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Research and Development. Research and development expenses consist primarily of salaries and related costs associated with the development and support of the Company's service offerings. These expenses decreased by $130,000 to $379,000 for the three months ended March 31, 2004 from $509,000 for the three months ended March 31, 2003, due primarily to savings in salaries and related costs for technical and development personnel made possible through operating efficiencies. During the three months ended March 31, 2004, approximately $30,000 of software development costs were capitalized. These costs will be amortized into cost of revenue over the one-year estimated life of the related software, once that software is complete and ready for its intended use. During the three months ended March 31, 2003, software development costs totaling $29,000 were capitalized. These costs began being amortized into cost of revenue over the one-year estimated life of the related software in the second quarter of 2003.
Sales and Marketing. Sales and marketing expenses consist primarily of salaries, commissions, and related costs for sales and marketing personnel, as well as the cost of advertising. These expenses increased by $65,000 to $298,000 in the three months ended March 31, 2004 from $233,000 in the three months ended March 31, 2003. The current quarter includes increases in salaries and related costs relating to addition of sales and marketing personnel in the first quarter of 2004, partially offset by lower depreciation expense.
General and Administrative. General and administrative expenses consist primarily of salaries and related costs for executive and administrative personnel, as well as legal, accounting and insurance costs. These expenses decreased by $265,000 to $615,000 in the three months ended March 31, 2004 from $880,000 in the three months ended March 31, 2003. This decrease primarily relates to cost containment measures that resulted in savings in salaries, hosting services and investor relations.
Interest and Other Income, Net. Interest and other income (net) includes interest income, interest expense, and other income. Interest income for the three months ended March 31, 2004 was $7,000 compared to $13,000 for the three months ended March 31, 2003. The decrease is the result of lower invested cash balances and lower interest rates in the current period. Interest expense for the three months ended March 31, 2003 was $1,000. There was no interest expense for the three months ended March 31, 2004. Other income, net for the three months ended March 31, 2003 was $852,000 versus $25,000 for the three months ended March 31, 2004. In February 2003, HealthGate entered into a settlement agreement that established commissions due under a development and distribution agreement related to fiscal years 1999 through 2002. The settlement amount was approximately $818,000 less than HealthGate had previously accrued and was recorded as other income in the three months ended March 31, 2003.
Income Taxes. HealthGate has incurred significant losses for all periods from inception through March 31, 2004. A valuation allowance has been recorded for the entire deferred tax asset as a result of uncertainties regarding the utilization of the asset due to the Company's lack of earnings history.
Liquidity and Capital Resources
For the three months ended March 31, 2004, cash used in operating activities was $921,000. The Company's net loss of $161,000, reduced for non-cash expenses including depreciation and amortization of $173,000, was a net source of operating cash of $12,000. Increases in accounts receivable were a use of $716,000 in operating cash. Increases in prepaid expenses relating to prepayment of an annual insurance policy and prepayment of certain annual content license fees were a use of $303,000 in operating cash. Net changes in other operating assets and liabilities resulted in a net increase in operating cash of $86,000.
For the three months ended March 31, 2003, cash used in operating activities was $614,000. The Company's net loss of $204,000, reduced for non-cash expenses including depreciation and amortization
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of $603,000, was a net source of operating cash of $399,000. Increases in accounts receivable primarily due to a government contract signed in February 2004 resulted in a decrease in operating cash of $660,000, and decreases in prepaid expenses and other assets related to an insurance policy resulted in a source of $124,000 of operating cash. Decreases in accounts payable, accrued expenses and other long-term liabilities primarily related to the settlement of commissions owed under a development and distribution agreement resulted in a use of approximately $1,208,000 of operating cash. Increases in deferred revenue due to a government contract signed in February 2004 resulted in a source of operating cash of $732,000.
The Company used net cash in investing activities for capitalized software development costs of $30,000 in the three months ended March 31, 2004. Net cash used in investing activities for the three months ended March 31, 2003 was $69,000. The Company used $29,000 for capitalized software development costs and used $40,000 to purchase fixed assets.
Cash provided by financing activities in the three months ended March 31, 2004 was $5,000, which consisted of proceeds from the exercise of common stock options. Cash used in financing activities in the three months ended March 31, 2003 was $6,000, which consisted of the payment of obligations under capital lease arrangements.
The following table sets forth HealthGate's contractual obligations by period:
Contractual Obligations |
AprDec 2004 |
13 years |
More than 3 years |
Total |
||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Operating leases | $ | 830,000 | $ | 584,000 | $ | | $ | 1,414,000 | ||||
Content licensing obligations | 243,000 | 459,000 | | 702,000 |
At March 31, 2004, the Company had $2,485,000 of cash and cash equivalents and $718,000 of negative working capital, including $2,451,000 of deferred revenue. The Company has incurred substantial losses and negative cash flows from operations in every fiscal year since inception. In the three months ended March 31, 2004, the Company incurred a net loss of $161,000 and negative cash flows from operations of $921,000. Additionally, as of March 31, 2004, the Company had an accumulated deficit of $99,718,000.
The Company has taken numerous actions to substantially reduce operating cash outflows. These actions included settling amounts owed under development and distribution agreements, workforce reductions, and amending or canceling several content arrangements. Further, if the Company does not achieve its forecasted revenue levels in the future, management is prepared to implement additional cost reductions.
Based on the Company's current forecasted cash flows and its cash and cash equivalents on hand, the Company expects to have sufficient cash to finance its operations through at least the next twelve months. The Company's future beyond the next twelve months is dependent on its ability to achieve break even or positive cash flow, or raise additional financing. There can be no assurance that the Company will be able to do so.
Risk Factors
HealthGate's business involves significant risks and uncertainties. HealthGate operates in a highly competitive and rapidly evolving electronic healthcare content industry. The risks and uncertainties described below are some of those that HealthGate currently believe may affect the Company.
Failure to generate sufficient revenues, or raise additional capital will have a material adverse effect on HealthGate's long-term viability and its ability to achieve its intended business objectives. At March 31, 2004, the Company had $2,485,000 of cash and cash equivalents and $718,000 of negative working capital, including $2,451,000 of deferred revenue. The Company has incurred substantial losses and
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negative cash flows from operations in every fiscal year since inception. In the three months ended March 31, 2004, the Company incurred a net loss of $161,000 and negative cash flows from operations of $921,000. Additionally, as of March 31, 2004, the Company had an accumulated deficit of $99,718,000.
HealthGate continues to take actions to reduce operating cash outflows. These actions include settling commissions owed under development and distribution agreements, workforce and amending or canceling several content arrangements. Other cost savings were made possible through process improvements, development of additional proprietary content and focusing on content sales and services. If the Company does not achieve its forecasted revenue levels in the future, management is prepared to implement additional cost reductions.
The Company's future liquidity and capital requirements will depend upon numerous factors, including the success of existing and new content and tools, and continued cost containment. Based on the Company's current forecasted cash flows and its cash and cash equivalents on hand, the Company currently anticipates its cash resources will be sufficient to finance its operations for at least the next twelve months. The Company's future beyond the next twelve months is dependent on its ability to maintain break-even or positive cash flow, or raise additional financing. The Company may need to raise additional funds to support expansion, develop new or enhanced applications and services, respond to competitive pressures, acquire complementary businesses or technologies, or take advantage of unanticipated opportunities. The Company may be required to raise additional funds through private financing, strategic relationships or other arrangements. There can be no assurance that additional funding, if needed, will be available on terms acceptable to the Company, or at all.
The success of the Company's business will depend on HealthGate's ability to sell its current tools and content products and develop new products. HealthGate licenses access to content and tools on an individual resource basis so that customers can choose specific content elements that meet their needs. HealthGate also generates revenue from customers who license HealthGate's content on a pre-packaged basis, such as the Company's Health Library and the CHOICE Web site products, which offer customers a generalized selection of HealthGate's more popular tools content resources. During 2002, HealthGate released HealthGate OnSite which enables customers to download HealthGate's content files and host them on their own servers. In March 2003, HealthGate released The HealthGateWay, a web-based newsletter tool that allows customers to publish a customized electronic newsletter integrating the content they license from HealthGate with the customer's local news stories and features. In October, 2003 the Company acquired Clinical Guidelines from EBM Solutions. The Company believes that these products will allow HealthGate's customers to provide their patients with complete, consistent and up-to-date healthcare information. These and other future new product initiatives involve some initial investment with no assurance of success.
A key element of the Company's strategy is to continue sales and licensing into the hospital market as well as to expand sales and licensing into other healthcare markets, such as payors and pharmaceutical companies, and to continue entering into agreements with print publishers. HealthGate continually evaluates its products and services and looks to develop new products and services that meet the needs of its customers. HealthGate's ability to sell its existing products and services and develop new products and services is necessary for the Company to increase its sales and licensing. If HealthGate is unable to increase sales and licensing, the Company's business prospects, results of operations and the market price of the Company's common stock could be adversely affected.
HealthGate's business prospects may suffer if the Company is not able to keep up with the rapid technological developments in the electronic healthcare content industry. The electronic healthcare content industry is characterized by rapid technological developments, evolving industry standards, changes in user and customer requirements and frequent new service and product introductions and enhancements. The introduction of new technology or the emergence of new industry standards and
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practices could render the Company's systems and, in turn, its products and services, obsolete and unmarketable or require the Company to make significant unanticipated investments in research and development to upgrade its systems in order to maintain the marketability of its products. To be successful, in addition to maintaining the depth and breadth of its content repository, the Company must continue to license or develop leading technology, enhance its existing products and services and respond to emerging industry standards and practices on a timely and cost-effective basis. The Company has been able to effectively adopt and implement new technologies to date, however, there can be no assurances that the Company could continue to do so. If the Company is unable to successfully respond to these developments, particularly in light of the rapid technological changes in the electronic healthcare content industry generally and the highly competitive market in which it operates, the Company's business, results of operations and the market price of the Company's common stock could be adversely affected.
A significant portion of HealthGate's revenue has historically been derived from a few customers and the loss of any of these customers could adversely affect the Company's business unless the Company finds other significant customers. Historically, HealthGate has generated a substantial portion of its revenue from a few customers. In the three months ended March 31, 2004 one customer, HCA-Information, accounted for 18% and one customer, Veterans Administration, serviced by HealthGate as a subcontractor to PlanetGov, the current prime contractor to Veterans Administration, accounted for 15% of the Company's total revenue.
In October 2002, HealthGate and HCA-Information entered into a new agreement. The term of the new agreement is from November 2002 through October 2004 and calls for HCA-Information to pay annual license fees to HealthGate of $1,100,000. The agreement covers up to 400 authorized entities and can be terminated by HCA-Information at any time with 60 days prior notice. The annual license fees are being recognized ratably over the term of the agreement. The Company signed another agreement with HCA-Information effective March 2004 through February 2005 for access to the Company's HealthGateWay newsletter.
The loss of HCA-Information, Veterans Administration, or any other significant customer or HealthGate's failure to obtain new significant customers and sources of revenues could adversely affect the Company's business.
HealthGate's quarterly operating results may fluctuate, which could affect the market price of HealthGate's common stock in a manner unrelated to the Company's long-term performance. The Company's quarterly revenue, expenses and operating results may fluctuate in the future, which could affect the market price of the common stock in a manner unrelated to the Company's long-term operating performance. Quarterly fluctuations could result from a number of factors, including:
Although HealthGate does not plan a major increase in spending related to operations, the expense levels are in part based on the Company's expectations concerning future revenue and these expense levels are predominately fixed in the short-term. If the Company has lower revenue than expected, HealthGate may not be able to reduce spending in the short-term in response. Any shortfall in revenue would have a direct impact in HealthGate's results of operations. In this event, the price of the Company's common stock may fall.
HealthGate faces intense competition in licensing its tools and content and may not be able to compete effectively. The market for healthcare content products and services is intensely competitive and rapidly changing. With only moderate barriers to entry in a rapidly evolving industry, there are now
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several content providers offering users similar healthcare tools and content, products and services, and there are many other companies that provide general healthcare content. The Company expects that competition will continue to grow. HealthGate competes, directly and indirectly, for customers, consumers, content and service providers, and acquisition candidates with other electronic healthcare content companies. Some of the Company's competitors may enjoy competitive advantages including: greater resources that can be devoted to the development, promotion and sale of their products and services, longer operating histories, greater brand recognition and larger customer bases.
HealthGate is not current in its filings with the Securities and Exchange Commission. As indicated on the cover page of this Quarterly Report on Form 10-Q, HealthGate has not filed all reports required to be filed by Section 13 or Section 15(d) of the Securities Exchange Act of 1934. Despite HealthGate's good faith efforts, due to the lack of documentation concerning EBM Solutions' financial operations prior to its acquisition by HealthGate, HealthGate was unable to provide audited historical financial statements of EBM Solutions and related pro forma information in an amendment to Form 8-K that was due to be filed with the Securities and Exchange Commission on or before January 12, 2004. Although certain financial information about EBM Solutions is contained in HealthGate's audited financial statements for the year ended December 31, 2003, such information does not satisfy the requirements of Form 8-K. As a result of the failure to file the historical EBM Solutions financial statements and related pro forma information as required by SEC Form 8-K, HealthGate is not eligible to use SEC Forms S-2 or S-3, the SEC will not declare effective any HealthGate registration statements and HealthGate may not make offerings under Rules 505 and 506 of Regulation D where any purchasers are not accredited investors (as defined in Rule 501(a)). Accordingly, HealthGate's ability to have public offerings of shares of its stock or have offerings of its shares of stock to unaccredited investors under Regulation D will be limited.
The performance of HealthGate's Web sites and computer systems is critical to its business and the business will suffer if the Company experiences system failures. The performance of HealthGate's Web sites and computer systems is critical to the Company's reputation and ability to attract and retain customers. HealthGate provides products and services based on sophisticated computer and telecommunications software and systems, which may contain undetected errors or failures when introduced into the Company's existing systems. HealthGate has experienced three minor unscheduled service interruptions since 1998. The Company cannot guarantee that it will not experience more significant service interruptions in the future. The Company is also dependent upon Web browsers and Internet service providers to provide Internet users access to its Web sites. Many of them have experienced significant outages in the past and could experience outages, delays and other difficulties in the future due to system failures. The Company also depends on certain information providers to deliver information and data feeds to it on a timely basis. HealthGate Web sites could experience disruptions or interruptions in service due to the failure or delay in the transmission or receipt of this information. System errors or failures that cause a significant interruption in the availability of the Company's content or an increase in response time on the Company's Web sites could cause it to lose potential or existing users, customers, advertisers or subscribers and could result in damage to its reputation or a decline in the Company's stock price.
Since March 1999, HealthGate has housed all of the Company's central computer facility servers at an independent Internet Data Center in Waltham, Massachusetts presently operated by Cable & Wireless. HealthGate does not presently maintain fully redundant systems at separate locations, so the Company's operations depend on Cable & Wireless' ability to protect the systems in its data center against damage from fire, power loss, water damage, telecommunications failure, vandalism and similar events. Although Cable & Wireless provides comprehensive facilities management services, including human and technical monitoring of all production servers, Cable & Wireless does not guarantee that HealthGate's Internet access will be uninterrupted, error-free or secure. Cable & Wireless has received US Bankruptcy Court approval for the proposed sale of its hosting and IP solutions assets to SAVVIS
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Communications Corporation. The sale transaction closed in March 2004. HealthGate does not anticipate any service disruption as a result of this transaction.
HealthGate has also developed a disaster recovery plan to respond to system failures. HealthGate cannot guarantee that its disaster recovery plan is capable of being implemented successfully. HealthGate cannot guarantee that the Company's insurance will be adequate to compensate it for all losses that may occur as a result of any system failure.
HealthGate's business prospects may suffer if it is not able to successfully retain key personnel. HealthGate had 31 employees as of March 31, 2004. HealthGate's future success depends on the Company's ability to retain, train and motivate existing employees, and to identify, attract, and hire highly skilled technical, managerial, editorial, sales and customer service personnel. The Company cannot guarantee that it will be able to retain or attract skilled personnel.
HealthGate may be subject to liability for information retrieved from the Company's content repository. As a publisher and distributor of online information, HealthGate may be subject to third party claims for defamation, negligence, copyright or trademark infringement or other theories based on the nature and content of information supplied by the Company. These types of claims have been brought, sometimes successfully, against online service providers in the past. HealthGate could be subject to liability with respect to content that may be accessible through the Company's content repository or client Web sites. For example, claims could be made against HealthGate if material deemed inappropriate for viewing by children could be accessed through its Web site or if a professional, patient or consumer relies on healthcare information accessed through HealthGate to their detriment. Even if any of the kinds of claims described above do not result in liability to the Company, HealthGate could incur significant costs in investigating and defending against them and in implementing measures to reduce its exposure to this kind of liability. The Company's insurance may not cover potential claims of this type or may not be adequate to cover all costs incurred in defense of potential claims or to indemnify HealthGate for all liability that may be imposed.
HealthGate's business depends on its ability to provide a comprehensive library of healthcare information. A significant portion of HealthGate's content and tools is proprietary. HealthGate licenses the rest of its content from third parties. Although these licenses have initial terms that range from one year to three years and are renewable, they are generally non-exclusive and a number of these licenses permit cancellation by the content provider upon 30 to 90 days notice. Although HealthGate currently considers its relationships with its third party content vendors to be good, the Company cannot guarantee that it will be able to continue to license its present content or be able to develop or license sufficient additional content to provide a diverse and comprehensive library.
HealthGate's business may be adversely affected if the Company is not able to effectively protect its intellectual property rights. HealthGate regards its trademarks, service marks, copyrights, trade secrets and similar intellectual property as important to its business, and the Company relies upon trademark and copyright law, trade secret protection and confidentiality and/or license agreements with its employees, customers, strategic partners and others to protect its rights in this property. HealthGate has registered the Company's "HealthGate," "CHOICE," "activePress," and its HealthGate logo trademarks in the United States. On February 12, 2002, HealthGate acquired the U.S. registered trademark for "The Natural Pharmacist." On October 27, 2003, HealthGate acquired the U.S. registered trademarks for "EBMSolutions" and "EBMPact." HealthGate has pending applications for "HealthGate OnSite," and "The HealthGateWay." In order to limit unauthorized use of its intellectual property, HealthGate began conducting regular external Web audits in 2002. Effective trademark, copyright and trade secret protection may not be available in every country in which HealthGate products and services are distributed or made available through the Internet. Therefore, HealthGate cannot guarantee that the steps it has taken to protect its proprietary rights will be adequate to prevent infringement or misappropriation by third parties or will be adequate under the laws of some foreign
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countries, which may not protect HealthGate's proprietary rights to the same extent, as do the laws of the United States.
Although HealthGate believes that its proprietary rights do not infringe on the intellectual property rights of others, other parties may assert infringement claims against the Company or claim that the Company has violated a patent or infringed a copyright, trademark or other proprietary rights belonging to them. These claims, even if they are without merit, could result in HealthGate spending a significant amount of time and money to dispose of them. In July 1999, HealthGate received a letter from a company (the "Holder") claiming ownership of a patent that claims exclusive rights to all electronic methods of on-demand remote retrieval of graphic and audiovisual information. The letter asserted that the use of HealthGate's Web site, www.healthgate.com, induces users to infringe the patent. In the letter, the Holder offered to license the patent perpetually and retroactively to HealthGate for a one-time fee of between $50,000 and $150,000 depending upon the number of "hits" per day on the Company's web site. There has been no recent activity on this matter and at this time, HealthGate is unable to predict its outcome.
HealthGate's business may be adversely affected if the Company is unable to continue to license software that is necessary for the development of product and service enhancements. HealthGate relies on a variety of technologies that are licensed from third parties, including the Company's database software and Internet server software, which is used in HealthGate's computer network to perform key functions. These third party licenses may not be available to HealthGate on commercially reasonable terms in the future. The loss of or inability to maintain any of these licenses could delay the introduction of software enhancements, interactive tools and other features until equivalent technology could be licensed or developed.
Government regulation of the Internet may result in increased costs of using the Internet, which could adversely affect HealthGate's business. Currently, there are a number of laws that regulate communications or commerce on the Internet. Several telecommunications carriers have petitioned the Federal Communications Commission to regulate Internet service providers and online service providers in a manner similar to long distance telephone carriers and to impose access fees on these providers. Regulation of this type, if imposed, could substantially increase the cost of communicating on the Internet and adversely affect the Company's business, results of operations and the market price of the Company's common stock.
Tax treatment of companies engaged in Internet commerce may adversely affect the Internet industry and HealthGate. Tax authorities on the federal, state, and local levels are currently reviewing the appropriate tax treatment of companies engaged in Internet commerce. New state tax regulations may subject HealthGate to additional state sales, income and other taxes. In November 2001, the federal law that placed a temporary moratorium on certain types of taxation on Internet commerce was extended through and expired in November 2003. Bills have been proposed in both the United States House of Representatives and Senate to extend the moratorium on taxation. HealthGate cannot predict whether such bills will become law or the effect of current attempts at taxing or regulating commerce over the Internet. It is also possible that the governments of other states and foreign countries also might attempt to regulate HealthGate's transmission of content. Any new legislation, regulation or application or interpretation of existing laws would likely increase HealthGate's cost of doing business and may adversely affect its results of operations and the market price of the Company's common stock.
HealthGate may be subject to liability for claims that the distribution of medical information constitutes practicing medicine over the Internet. States and other licensing and accrediting authorities prohibit the unlicensed practice of medicine. HealthGate does not believe that its publication and distribution of healthcare information online constitutes practicing medicine. However, HealthGate cannot guarantee that one or more states or other governmental bodies will not assert claims contrary
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to its belief. Any claims of this nature could result in HealthGate spending a significant amount of time and money to defend and dispose of them.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
HealthGate is not subject to any meaningful market risks related to currency, commodity prices or similar matters. HealthGate is sensitive to short-term interest rate fluctuations to the extent that such fluctuations impact the interest income HealthGate receives from its investments. To minimize this risk, HealthGate maintains its portfolio of cash equivalents and short-term investments in a variety of securities, including commercial paper, other short-term debt securities and money market funds. In general, money market funds are not subject to market-risk because the interest paid on such funds fluctuates with the prevailing interest rate. In addition, HealthGate invests in relatively short-term securities. HealthGate does not use derivative financial instruments in its investment portfolio. HealthGate limits its default risk by purchasing only investment grade securities. As of March 31, 2004, approximately $2,170,000 of the Company's investments were in money market funds. Cash and cash equivalents were approximately $2,485,000 at March 31, 2004.
Item 4. Controls and Procedures
For several years HealthGate has had internal controls and disclosure procedures in place to ensure that HealthGate's periodic reports as filed with the U.S. Securities and Exchange Commission are accurate. Following enactment of the Sarbanes-Oxley Act of 2002, HealthGate has focused on further improving and clarifying (including documenting) its disclosure controls and procedures. Among HealthGate's disclosure controls and procedures are written certifications from employees at the end of each quarter, the adoption of a Code of Ethics, the establishment of a Disclosure Committee and written notice to all employees of their ability to make confidential reports to HealthGate's counsel concerning HealthGate's operations.
Management of HealthGate, including HealthGate's Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of the Company's disclosure controls and procedures (as defined in Exchange Act Rule 13a-15(e)) as of March 31, 2004. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that HealthGate's disclosure controls and procedures are effective. There were no changes in HealthGate's internal controls over financial reporting that occurred during the three months ended March 31, 2004 that have materially affected, or is likely to materially affect, the Company's control over financial reporting.
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Item 6. Exhibits and Reports on Form 8-K
31.1 Rule 13a-14(a) Certification of William S. Reece, Chief Executive Officer
31.2 Rule 13a-14(a) Certification of Veronica Zsolcsak, Chief Financial Officer
32.1 Section 1350 Certification of William S. Reece, Chief Executive Officer
32.2 Section 1350 Certification of Veronica Zsolcsak, Chief Financial Officer
On January 12, 2004, HealthGate filed Amendment No. 1 to its Current Report on Form 8-K (date of earliest event reported: October 27, 2003) concerning HealthGate's good faith efforts and inability to file the required financial statements of EBM Solutions, Inc. and related pro forma information required by Item 7 of Form 8-K.
On January 23, 2004, HealthGate filed Amendment No. 2 to its Current Report on Form 8-K (date of earliest event reported: October 27, 2003) concerning HealthGate's good faith efforts and inability to file the required financial statements of EBM Solutions, Inc. and related pro forma information required by Item 7 of Form 8-K.
On March 2 2004, HealthGate filed a Current Report on Form 8-K that included a press release announcing results for the year and quarter ended December 31, 2003.
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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.
HEALTHGATE DATA CORP. | |||
Dated: May 12, 2004 |
By: |
/s/ WILLIAM S. REECE William S. Reece Chairman of the Board of Directors and Chief Executive Officer |
|
Dated: May 12, 2004 |
By: |
/s/ VERONICA ZSOLCSAK Veronica Zsolcsak Chief Financial Officer and Treasurer |
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