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FORM 10-Q

 

SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

 

(Mark one)

ý

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

 

 

 

For the quarterly period ended January 31, 2005

 

 

o

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934

 

 

 

for the transition period from                             to                             

 

Commission file number: 0-23598

 

NWH, INC.

(Exact name of registrant as specified in its charter)

 

Delaware

 

13-3735316

(State or other jurisdiction of incorporation)

 

(IRS Employer Identification No.)

 

 

 

156 West 56 Street, Suite 2001, New York, NY

 

10019

(Address of principal executive offices)

 

(Zip Code)

 

(212) 582 1212

(Registrant’s telephone number, including area code)

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (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 ý   No o

 

Indicate by check mark whether the Registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act)

 

Yes o  No ý

 

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

 

Common Stock, $.01 par value: 2,924,631 shares as of March 15, 2005.

 

 



 

ITEM 1.          FINANCIAL STATEMENTS

 

NWH, Inc.

Index

 

 

Page(s)

 

 

Part I — Financial Information

 

 

 

Item 1.  Unaudited Condensed Consolidated Financial Statements

 

 

 

Condensed Consolidated Balance Sheets

3

 

 

Condensed Consolidated Statements of Operations

4

 

 

Condensed Consolidated Statements of Comprehensive Income (Loss)

5

 

 

Condensed Consolidated Statements of Cash Flows

6

 

 

Notes to Condensed Consolidated Financial Statements

7-10

 

 

2



 

NWH, Inc.

Condensed Consolidated Balance Sheets

 

 

 

 

January 31,

 

October 31,

 

 

 

2005

 

2004

 

 

 

(unaudited)

 

 

 

Assets

 

 

 

 

 

Current assets

 

 

 

 

 

Cash and cash equivalents

 

$

10,559,828

 

$

12,137,155

 

Marketable securities

 

14,988,574

 

14,926,737

 

Trade and other receivables

 

2,283,035

 

2,862,921

 

Prepaid expenses and other current assets

 

467,553

 

475,895

 

Deferred income taxes

 

130,000

 

 

Refundable income taxes

 

249,924

 

 

Total current assets

 

28,678,914

 

30,402,708

 

Property and equipment, net of accumulated depreciation of $3,163,383 and $3,054,359, respectively

 

706,533

 

750,474

 

Internally developed software, net of accumulated amortization of $2,447,071 and $2,195,888, respectively

 

2,301,198

 

2,313,785

 

Goodwill

 

3,762,187

 

3,762,187

 

Investments and other assets

 

1,066,238

 

1,065,453

 

Total assets

 

$

36,515,070

 

$

38,294,607

 

 

 

 

 

 

 

Liabilities and Stockholders’ Equity

 

 

 

 

 

Current liabilities:

 

 

 

 

 

Accounts payable and accrued expenses

 

$

2,049,295

 

$

2,376,072

 

Current portion of long-term debt

 

7,688

 

11,494

 

Income taxes payable

 

 

147,035

 

Dividends payable

 

1,462,316

 

1,462,316

 

Total current liabilities

 

3,519,299

 

3,996,917

 

 

 

 

 

 

 

Note payable

 

140,000

 

140,000

 

Deferred income taxes

 

668,792

 

692,792

 

Total liabilities

 

4,328,091

 

4,829,709

 

 

 

 

 

 

 

Stockholders’ equity

 

 

 

 

 

Preferred stock, $.01 par value: 1,000,000 shares authorized; no shares issued or outstanding

 

 

 

Common stock, $.01 par value: 20,000,000 shares authorized; 3,342,231 shares issued

 

33,422

 

33,422

 

Additional paid-in capital

 

23,195,991

 

23,195,991

 

Retained earnings

 

14,049,200

 

15,327,119

 

Treasury stock, 417,600 shares

 

(5,091,634

)

(5,091,634

)

Total stockholders’ equity

 

32,186,979

 

33,464,898

 

Total liabilities and stockholders’ equity

 

$

36,515,070

 

$

38,294,607

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

3



 

NWH, Inc.

Condensed Consolidated Statements of Operations (unaudited)

 

 

 

 

 

 

 

 

For the Three Months

 

 

 

Ended January 31,

 

 

 

2005

 

2004

 

 

 

 

 

 

 

Services revenue

 

$

4,647,780

 

$

4,186,310

 

 

 

 

 

 

 

Cost of services

 

2,345,381

 

2,185,650

 

Professional fees

 

326,256

 

218,528

 

General and administrative

 

2,058,520

 

1,845,786

 

Depreciation and amortization

 

87,209

 

66,214

 

 

 

 

 

 

 

Total expenses

 

4,817,366

 

4,316,178

 

 

 

 

 

 

 

Loss from operations

 

(169,586

)

(129,868

)

Other income (expense)

 

 

 

 

 

Loss on securities transactions, net

 

 

(179,577

)

Dividend income

 

 

68,536

 

Interest income

 

119,656

 

69,815

 

Interest expense

 

(3,673

)

(16,412

)

 

 

115,983

 

(57,618

)

 

 

 

 

 

 

Loss before benefit for income taxes

 

(53,603

)

(187,486

)

 

 

 

 

 

 

Benefit for income taxes

 

(238,000

)

(71,000

)

 

 

 

 

 

 

Net income (loss)

 

$

184,397

 

$

(116,486

)

 

 

 

 

 

 

Net income (loss) per common share

 

 

 

 

 

Basic

 

$

.06

 

$

(.04

)

 

 

 

 

 

 

Diluted

 

$

.06

 

$

(.04

)

 

 

 

 

 

 

Weighted average number of common shares outstanding

 

 

 

 

 

Basic

 

$

2,924,631

 

$

2,924,631

 

 

 

 

 

 

 

Diluted

 

$

2,928,141

 

$

2,924,631

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

 

4



 

NWH, Inc.

Condensed Consolidated Statements of Comprehensive (Loss) Income (unaudited)

 

 

 

For the Three Months

 

 

 

Ended January 31,

 

 

 

2005

 

2004

 

 

 

 

 

 

 

Net income (loss)

 

$

184,397

 

$

(116,486

)

Other comprehensive income

 

 

 

 

 

Net unrealized holding gain on marketable securities arising during the period, net of income taxes of $-0- and $222,528, respectively

 

 

430,192

 

Reclassification adjustment for losses recognized in net income (loss), net of income taxes of $-0- and $(169,567), respectively

 

 

(332,604

)

 

 

 

 

 

 

Other comprehensive income

 

 

97,588

 

 

 

 

 

 

 

Comprehensive income (loss)

 

$

184,397

 

$

(18,898

)

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

 

5



 

NWH, Inc.

Condensed Consolidated Statements of Cash Flows (unaudited)

 

 

 

 

 

 

 

 

For the Three Months

 

 

 

Ended January 31,

 

 

 

2005

 

2004

 

 

 

 

 

 

 

Cash flows from operating activities

 

 

 

 

 

Net income (loss)

 

$

184,397

 

$

(116,486

)

Adjustments to reconcile net income (loss) to net cash used in operating activities:

 

 

 

 

 

Depreciation and amortization

 

406,526

 

383,669

 

Loss on securities transactions, net

 

 

180,542

 

Unrealized gain on securities transactions, net

 

 

(985

)

Accretion of interest

 

(61,837

)

 

Deferred income taxes

 

(154,000

)

(800,000

)

Bad debt expense

 

823

 

14,470

 

Changes in assets and liabilities

 

 

 

 

 

Trade and other receivables

 

579,063

 

118,432

 

Refundable income taxes

 

(249,924

)

 

Prepaid expenses and other current assets

 

8,342

 

(19,092

)

Investments and other assets

 

(47,104

)

(32,414

)

Accounts payable and accrued expenses

 

(326,777

)

(157,456

)

Income taxes payable

 

(147,035

)

(398,979

)

Net cash provided by (used in) operating activities

 

192,474

 

(828,299

)

Cash flows from investing activities

 

 

 

 

 

Acquisition of property and equipment

 

(65,083

)

(136,240

)

Increase in internally developed software

 

(238,596

)

(253,660

)

Proceeds from sale of marketable securities

 

 

 

4,144,784

 

Acquisition of written call options

 

 

(3,097,425

)

Proceeds from sale of written call options

 

 

950,600

 

Net cash (used in) provided by investing activities

 

(303,679

)

1,608,059

 

 

 

 

 

 

 

Cash flows from financing activities

 

 

 

 

 

Dividends paid

 

(1,462,316

)

(1,462,316

)

Principal payments of short-term and long-term debt

 

(3,806

)

(8,799

)

Principal payments of capital leases

 

 

(46,063

)

Net cash used in financing activities

 

(1,466,122

)

(1,517,178

)

 

 

 

 

 

 

Net decrease in cash and cash equivalents

 

(1,577,327

)

(737,418

)

Cash and cash equivalents

 

 

 

 

 

Beginning of period

 

12,137,155

 

29,309,192

 

End of period

 

$ 10,559,828

 

$ 28,571,774

 

 

See accompanying notes to unaudited condensed consolidated financial statements.

 

 

6



 

NWH, Inc.

Notes to Condensed Consolidated Financial Statements (unaudited)

 

 

1.     Basis of Presentation

 

The accompanying unaudited condensed consolidated financial statements of NWH, Inc. (the “Company”) have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”). Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States of America for complete financial statements. In the opinion of management, all adjustments, consisting solely of normal recurring accruals necessary for a fair presentation of the financial statements for these interim periods, have been recorded. Operating results for the interim period are not necessarily indicative of the results that may be expected for a full year. These financial statements should be read in conjunction with the consolidated financial statements and footnotes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended October 31, 2004.

 

2.     Reclassification

 

Certain reclassifications have been made in prior period’s financial statements to conform to classifications used in the current year.

 

3.     Critical Accounting Policies

 

The Company capitalizes purchased software which is ready for service and development costs for software incurred from the time the preliminary project stage is completed until the software is ready for use.  Under the provisions of Statement of Position 98-1, Accounting for the costs of Computer Software Developed or Obtained for Internal Use (SOP 98-1), the Company capitalizes costs associated with software developed or obtained for internal use when both the preliminary project stage is completed and Company management has authorized further funding for the project which it deems probable will be completed and used to perform the function intended.  Capitalized costs include only (1) external direct costs of materials and services consumed in developing or obtaining internal-use software, (2) payroll and payroll-related costs for employees who are directly associated with and who devote time to the internal-use software project, and (3) interest costs incurred, when material, while developing internal-use software,  Capitalization of such costs ceases no later than the pint at which the project is substantially complete and ready for its intended purpose.

 

Research and development costs and computer software maintenance costs related to software development are expensed as incurred.  Capitalized software development costs are amortized using the straight-line method generally over four years, not to exceed the expected life of the product.  The carrying value of capitalized software development costs is regularly reviewed by the Company, and a loss is recognized if the value of estimated undiscounted cash flow benefit related to the asset falls below the unamortized cost.

 

4.     Recently Issued Accounting Pronouncements

 

In December, 2004, the FASB issued FASB statement No. 123R, “Share-Based Payment” (FAS 123R), a revision of FASB statement No. 123, “Accounting for Stock-Based Compensation” which addresses financial accounting and reporting for costs accounted with stock-based compensation. FAS 123R addresses all forms of share-based payment (“SBP”) awards, including shares issued under employee stock purchase plans, stock options, restricted stock and stock appreciation rights. FAS 123R requires the Company to adopt the new accounting provisions beginning in our fourth quarter of 2005. Under the Modified Prospective Method, the Company does not anticipate recording any compensation expense at time of adoption since all options granted were fully vested.

 

7



 

5.     Marketable Securities

 

Marketable securities consist of the following as of January 31, 2005.

 

 

 

 

 

Unrealized

 

 

 

 

 

 

 

Holding

 

Fair

 

 

 

Cost

 

Gain

 

Value

 

 

 

 

 

 

 

 

 

United States treasury bill

 

$

14,988,574

 

 

$

14,988,574

 

 

 

 

6.     Stock Options

 

The Company adopted the disclosure-only provisions of SFAS No. 148, “Accounting for Stock-Based Compensation Transition and Disclosure an amendment of FAS 123.” This statement encourages, but does not require, companies to adopt a fair value based method for determining expense related to stock-based compensation. The Company continues to account for stock-based compensation using the intrinsic value method as prescribed under Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees,” and related Interpretations. Accordingly, no compensation cost has been recognized with regard to options granted under the Plan in the accompanying financial statements. The following table illustrates the effect on net income (loss) and earnings (loss) per share if the Company had applied the fair value recognition provisions of FAS 123 to stock-based employee compensation.

 

 

 

(unaudited)

 

 

 

Three Months Ended

 

 

 

January 31,

 

 

 

2005

 

2004

 

Net (loss) income

 

 

 

 

 

As reported

 

$

184,397

 

$

(116,486

)

Pro forma

 

184,397

 

(123,076

)

 

 

 

 

 

 

Net (loss) income per share

 

 

 

 

 

Basic — as reported

 

$

.06

 

$

(.04

)

Basic — pro forma

 

.06

 

(.04

)

Diluted — as reported

 

.06

 

(.04

)

Diluted — pro forma

 

.06

 

(.04

)

 

 

7.     Earnings Per Share

 

Basic earnings per share is computed as net income (loss)  divided by the weighted average number of common shares outstanding for the period. Diluted earnings per share includes the dilutive effect of the assumed exercise of stock options.

 

 

8



 

Reconciliation of the weighted average shares outstanding for basic and diluted earnings per share are as follows:

 

 

 

(unaudited)

 

 

 

Three Months Ended

 

 

 

January 31,

 

 

 

2005

 

2004

 

 

 

 

 

 

 

Basic EPS shares outstanding
(weighted average)

 

$

2,924,631

 

$

2,924,631

 

Effect of dilutive securities

 

3,510

 

***

 

Diluted EPS shares outstanding

 

2,928,141

 

2,924,631

 

 


*** Dilutive securities are excluded for the three month period ended January 31, 2004, since the inclusion of such shares would be antidilutive due to the net loss for the quarter then ended.  There were 140,000 and 190,769 shares that were excluded during the three month period ended January 31, 2005 and 2004, respectively.

 

8.     Segment Information

 

The company currently operates in two segments; the holding company, including certain investments which are not currently material, and in ENS.

 

 

 

NWH and

 

 

 

 

 

 

 

Other

 

ENS

 

Total

 

Three months ended January 31, 2005

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

 

 

 

 

 

 

Service

 

$

 —

 

$

 4,647,780

 

$

 4,647,780

 

Expenses

 

 

 

 

 

 

 

 

 

 

Cost of services, professional fees, and general and administrative

 

(580,905

(4,149,252

(4,730,157

)

Depreciation and amortization

 

(2,808

)

(84,401

)

(87,209

)

(Loss) income from operations

 

$

  (583,713

)

$

  414,127

 

$

  (169,586

)

Total assets

 

$

  25,410,358

 

$

  11,104,712

 

$

  36,515,070

)

 

 

 

 

 

 

 

 

Capital expenditure for property and equipment and internally developed software

 

$

  —

 

$

  303,679

 

$

  303,679

 

 

 

9



 

 

 

NWH and

 

 

 

 

 

 

 

Other

 

ENS

 

Total

 

Three months ended January 31, 2004

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revenues

 

 

 

 

 

 

 

Service

 

$

 —

 

$

 4,186,310

 

$

 4,186,310

 

Expenses

 

 

 

 

 

 

 

Cost of services, professional fees, and general and administrative

 

(502,763

)

(3,747,201

)

(4,249,964

)

Depreciation and amortization

 

(500

)

(65,714

)

(66,214

)

(Loss) income from operations

 

$

 (503,263

)

$

 373,395

 

$

 (129,868

)

Total assets

 

$

 35,830,125

 

$

 10,093,779

 

$

 45,923,904

 

 

 

 

 

 

 

 

 

Capital expenditure for property and equipment and internally developed software

 

$

 —

 

$

 476,050

 

$

 476,050

 

 

 

 

9.     Income Taxes

 

The benefit for income taxes for the quarter ending January 31, 2005 includes primarily the revision of a prior year tax estimate of 206,000.

 

10.   Dividends

 

On February 7, 2005, the Board of Directors of the Company declared a quarterly dividend of $0.30 per share, plus a special dividend of $0.20 per share.  The dividend, aggregating $0.50 per share, payable in cash on May 4, 2005 to stockholders of record at the close of business on April 29, 2005.

 

On November 5, 2004, the Board of Directors of the Company declared a quarterly dividend of $0.30 per share, plus a special dividend of $0.20 per share.  The dividend aggregating $0.50 payable in cash on February 4, 2005 to the shareholders of record at the close of business on January 28, 2005.

 

 

10



 

 

ITEM 2.                             MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 

NWH, Inc. (“NWH” or the “Company”) owns and operates Electronic Network Systems, Inc. (“ENS”), a payer services organization that connects healthcare payers and providers using state of the art proprietary software and telecommunications services for most healthcare payment and insurance validation transactions. The Company focuses its efforts on the development of ENS’ business and continues its business of acquiring and disposing of interests in healthcare and other business areas.

 

The Company was incorporated in Delaware under the name National Wireless Holdings Inc. on August 31, 1993.  The Company’s fiscal year ends on October 31.  ENS’ fiscal year ends on September 30.

 

ENS is a payer services organization that connects payers (i.e., insurance companies and third party administrators) and providers (i.e., doctors, group practices and other healthcare providers) using state of the art proprietary software and telecommunications services for most healthcare payment and insurance validation transactions.  ENS provides a state of the art technology platform for web based graphical user interfaces on a national basis, which enables its clients, both payers and providers, to comply fully with applicable regulatory requirements such as those imposed by HIPAA.  ENS’ service offerings address the full array of evolving industry needs in this focused area with a complete cycle of services from a single point of entry (a personal computer in the client’s office) for both providers and payers, compatible with multiple system and database operating environments.  These services include an Internet transactions portal, payer transactions hosting, electronic data interchange, Pre-adjudication software services (PASStm),  scanning, optical character recognition and data entry of paper claims and correspondence and mailroom services. ENS generates revenue through recurring subscriptions, flat or per transaction fees and revenue sharing.

 

Over 42,000 providers are connected to ENS’ e-commerce and Internet services which represents a 14.2% increase over the prior year.  Through payer arrangements, ENS also currently conducts daily paper to e-commerce claim conversion for another 185,000 healthcare providers.  ENS also experienced a 31.8% increase in contracted billable provider sites over the prior year.  All of ENS’ growth was obtained through internal sales versus acquisition.  As of March 10, 2005, ENS was connected to over 1,200 payers, including commercial healthcare plans, managed care organizations, Blue Cross/Blue Shield plans, Medicare, Medicaid and CHAMPUS.    Over 90% of all electronic claims received by ENS are directly submitted to contracted payers.

 

We focus on the current and future connectivity and transactions processing requirements of the healthcare industry.  We provide healthcare providers with a secure infrastructure for web-based and private network transactions consisting of, among others, electronic medical claims processing, electronic claims tracking and patient eligibility verification. We also provide health care payers e-commerce connectivity with their provider constituency as well as paper claims conversion, pre-adjudication, reporting, education and marketing support to increase utilization of e-commerce in this industry. Our strategy for the future is to facilitate the migration of provider and payer clients from their current inefficient, non-integrated transactions processing environments to efficient, seamlessly integrated applications utilizing the transactions processing

 

11



 

capabilities of Health-e Networkâ.  Traditional applications linked to on-all-the-time Internet capabilities or Application Service Provider (ASP) environments will be able to route real-time transactions to and from all payers utilizing Health-e Networkâ.   We believe that the transition to these new levels of integrated transactions processing capabilities will drastically change how the business of healthcare is conducted among healthcare participants. We plan to continue to expand this transactions infrastructure as management believes these applications will evolve into viable and widely used systems over the next three to five years.

 

ENS Services – Health-e Networkâ

 

ENS’ Health-e Networkâ suite of services addresses all of the healthcare industry’s administrative transaction processing needs, both e-commerce and paper.  As a provider of a full-cycle payer and provider e-commerce services, ENS enhances the providers’ and payers’ administrative efficiency.  The service offerings range from a front-end data capture/transmission software, to advanced pre-adjudication software, to simple mailroom services.  ENS currently provides e-commerce connectivity to over 1,200 payers for the e-commerce claims component of Health-e Networkâ and provides several payers with connectivity for the entire suite of HIPAA-mandated administrative transactions between payers and providers.

 

Health-e Networkâ includes the following:

 

                  Healthcare e-Commerce Transactions Processing  ENS delivers multiple applications that enable healthcare providers to conduct key healthcare transactions easily with many payers.  ENS provides these e-commerce applications through the Internet and on multiple operating systems.  ENS also delivers transaction processing capabilities to strategic partners, such as physician management software vendors which, with their own software, access payers to conduct electronic business transactions via use of ENS’ Software Developer’s Kit (SDK).  ENS currently processes and routes medical and hospital claims, eligibility requests and responses, claims status, claims tracking, claim payment remittance information, reporting, referral and authorization transactions.  ENS services support all of the HIPAA-defined transactions and deliver to providers various methods of conducting those transactions with payers.

 

                  Provider Connectivity (Xpedite™ ) enables ENS to identify the paper and manual transaction volumes of a payer’s provider groups, target high paper submitters, track internal progress, and market specifically to selected healthcare transaction submitters.  Based on payer specific criteria, ENS assigns different levels of internal resources to convert these providers to electronic business processes with the payer. The Xpediteä conversion program then goes beyond the sales process and combines efforts of all ENS internal departments.  The purpose of Xpediteä is to connect providers on behalf of payer organizations to make the participants more efficient through e-commerce.

 

                  Automated Document ServicesÔ (ADSÔ)  provides payers the complete front-end handling and conversion (imaging/scanning) of paper claims forms to an e-commerce format. Paper claims still constitute from 55-60% of provider claims volume industry-wide to commercial payers.  As the claims are converted to an electronic format, ENS captures the

 

12



 

names of all paper-submitting providers in order to convert them for other e-commerce services with the payer’s support.  Utilization of Health-e Networkâ (which includes ADSÔ) provides a payer with the opportunity to have 100% e-commerce claims receipts.  With ENS as their partner and core e-commerce strategy implementer, payers can increase e-commerce transactions from their provider constituency.

 

                  Pre-Adjudication Software SystemÔ (PASSÔ)  provides a single, HIPAA-compliant connectivity entry point to a payer for all claims transactions, including transactions received via the Internet, through private e-commerce networks, and received on paper. PASSä channels the claims by utilizing customized and algorithm-based logic, and conducts the vital claims processing function of provider and member matching, including real-time eligibility verification, a critical payer requirement for increased claims paying accuracy and efficiency. ENS’ PASSÔ is an open, flexible solution that is used with the vast majority of today’s payer operating environments.

 

                  HIPAA Payer Portal and Hosting (Health-e XchangeÔ) ENS’ transactions infrastructure receives data from providers in virtually any file format and translates to any healthcare Payers’ file specifications, facilitating HIPAA transactions compliance.  ENS delivers transactions compliance for Providers, Payers, and Application Service Providers.  ENS provides compliance, connectivity, and routing on all HIPAA-defined administrative healthcare transactions with a participating Payer including: healthcare claims or encounter information; health plan eligibility; healthcare claim status; referral certification and authorization; healthcare payment and remittance advice; health plan enrollments; and health plan premium payments.

 

ENS also provides transaction hosting for Payers so they can outsource their transaction processing needs.  ENS’ transaction hosting capabilities provide for compliance, connectivity, routing, and processing of the transaction for the Payer on the following HIPAA-defined administrative healthcare transactions: health plan eligibility; healthcare claim status; referral certification and authorization

 

                  Real Time Transaction Processing for eligibility, claim status and referrals is an ENS service that provides physician practices with immediate access to participating payers plus various regional and governmental payers for determining member plan eligibility.  This service is delivered over the Internet and receives constant updating.

 

                  Electronic Claims Tracking (ECTÔ) provides immediate Internet-based tracking of both e-commerce claims and, for those payers utilizing Health-e Networkâ, up-dated status on the paper claims that have been converted to an e-commerce format. ENS believes that this is the first tool that affords providers the opportunity to utilize an Internet application to track claims forwarded to payers electronically.

 

                  Direct-Payer e-Commerce provides network connectivity for HIPAA-defined transactions to and from payer organizations from existing physicians and gateways.

 

                  Customer Service.  As an adjunct to its transaction processing services, we maintain customer service facilities with help desks for real-time customer inquiries. We offer on-line

 

13



 

and personal technical support.  Client support employs a modern call tracking and response system that is directly connected to the processing center.

 

As of March 10, 2005, in excess of 42,000 physicians were actively submitting electronic healthcare transactions via Health-e Networkâ suite of services with an additional 407 contracted provider sites scheduled to be installed during the remainder of calendar 2005.

 

In addition to ENS, the Company may continue to seek acquisitions in telecommunications, healthcare and other strategically linked areas.  The Company may acquire or invest in other businesses.

 

Forward-Looking Statements

 

Certain statements contained in this Quarterly Report on Form 10-Q, including, without limitation, statements containing the words “believes,” “anticipates,” “expects” and words of similar import, constitute “forward-looking statements” as defined in the Private Securities Litigation Reform Act of 1995 or by the Securities and Exchange Commission in its rules, regulations and releases, regarding the Company’s financial and business prospects and capital requirements.  Such forward-looking statements involve known and unknown risks, uncertainties and other factors that may cause the actual results, performance or achievements of the Company, or industry results, to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements.  Such factors include, among others, the following: the limited nature of the Company’s operations and the risk of the Company’s failure to acquire additional businesses; the uncertain acceptance of Health-e Networkâ; competition; existing government regulations and changes in, or the failure to comply with, government regulations; the ability of the Company to sustain, manage or forecast its growth; dependence on significant customers and the potential loss thereof; the ability to attract and retain qualified personnel; risk of technological obsolescence, and other factors referenced in this Quarterly Report on Form 10-Q including, without limitation, in “Management’s Discussion and Analysis of Financial Condition and Results of Operations”.  Certain of these factors are discussed in more detail in the Company’s Annual Report on Form 10-K for the year ended October 31, 2004, including, without limitation, under the caption “Business” and Exhibit 99.1 thereto.  Given these uncertainties, undue reliance should not be placed on such forward-looking statements.  The Company disclaims any obligation to update any such factors or to publicly announce the result of any revisions to any of the forward-looking statements contained or incorporated by reference herein to reflect future events or developments.

 

Results of Operations

 

Three months ended January 31, 2005 as compared to three months ended January 31, 2004:

 

Services Revenue:

Services revenue increased from $4,186,310 for the three months ended January 31, 2004 to $4,647,780 for the three months ended January 31, 2005 (approximately 11%), reflecting ENS’ increased sales.  See below for a discussion of ENS results of operations.

 

14



 

Cost of Services:

Cost of services increased from $2,227,058 for the three months ended January 31, 2004 to $2,345,381 for the three months ended January 31, 2005 (approximately 5.3%), reflecting costs related to increased sales at ENS.  See below for a discussion of ENS’ results of operations.

 

Professional Fees:

Professional fees increased from $218,528 in the three months ended January 31, 2004 to $326,256 in the three months ended January 31, 2005 (approximately 49.3%) as a result of arbitration proceedings with a major customer over additional business opportunities and higher compliance and governance expenses related to the Sarbanes Oxley Act of 2002.  The professional fees relating to the Company independent of ENS’ business increased from $183,828 in the three months ended January 31, 2004 to $235,256 in the three months ended January 31, 2005, reflecting higher levels of transaction activity and higher compliance and governance expenses relating to the Sarbanes Oxley Act of 2002.

 

General and Administrative:

General and administrative expense increased from $1,804,378 in the three months ended January 31, 2004 to $2,058,520 in the three months ended January 31, 2005 (approximately 14.1%), reflecting business growth in EDI transactions with providers and payers.  The general and administrative expenses relating to the operations of the Company, independent of ENS’ business, increased from $318,935 in the three months ended January 31, 2004 to $345,649 in the three months ended January 31, 2005.

 

Depreciation and Amortization:

Depreciation and amortization increased from $66,214 in the three months ended January 31, 2004 to $87,209 in the three months ended January 31, 2005, primarily due to the amortization of additional software development projects.

 

Loss from Operations:

As a result of the foregoing events, loss from operations increased from a loss of ($129,868) in the three months ended January 31, 2004 to a loss of ($169,586) in the three months ended January 31, 2005.

 

Gain (Loss) on Securities Transactions, Net:

We realized a loss on securities transactions for the three months ended January 31, 2004 of ($179,557) as compared to no net gain or loss for the three months ended January 31, 2005, as we had already disposed of our remaining holdings of BellSouth common stock prior to the start of fiscal 2005.  Under Financial Accounting Standards Board Statement No. 133 “Accounting for Derivative Instruments and Hedging Activities,” unrealized gains and losses related to written call options and short sales are recorded in the Statement of Income.  Further, unrealized gains and losses on BellSouth common stock, are recorded through Other Comprehensive (Loss) Income and are only recorded in the Statement of Income when realized upon ultimate sale. The realized and unrealized gain on derivative transactions decreased from a loss of $947,512 for the three months ended January 31, 2004 to no gain or loss for the three months ended January 31, 2005.  The unrealized gain on Bell South common stock, reflected in Other Comprehensive Income, net of income taxes, for the three months ended January 31, 2004 was a gain of $97,588

 

15



 

as compared to no gain or loss for the three months ended January 31, 2005.

 

Interest and Dividend Income:

Interest income increased from $69,815 for the three months ended January 31, 2004 to $119,656 for the three months ended January 31, 2005, primarily as a result of higher interest rates and changes in cash levels and our investment in treasury bills with the proceeds of the disposition of our remaining Bell South common stock.  Dividend income decreased from $68,536 for the three months ended January 31, 2004 to $0 for the three months ended January 31, 2005, due to our disposition of our remaining BellSouth common stock prior to the start of fiscal 2005.

 

Interest Expense:

Interest expense decreased from $16,412 in the three months ended January 31, 2004 to $3,673 in the three months ended January 31, 2005, primarily due to a decrease in the average amount of debt outstanding.

 

Other Income (Expense):

We realized ($57,618) of other expense during the three months ended January 31, 2004, which was primarily attributable to our loss on securities transactions, net, while during the three months ended January 31, 2005, we realized other income of $115,983, reflecting our interest income net of interest expense.

 

Loss Before Benefit for Income Taxes:

We realized a loss before (benefit) provision for income taxes of ($187,486) for the three months ended January 31, 2004, primarily as a result of losses/gains on options and short positions and sales of Bell South stock, while for the three months ended January 31, 2005, the loss before (benefit) provision for income taxes decreased to ($53,603).  These results are primarily attributable to our increased loss from operations in fiscal 2005 due to increased service revenues which were offset by increased general and administrative expenses and professional fees, as described above, as well as the loss on securities transactions, net, in fiscal 2004.

 

Benefit for Income Taxes:

The benefit for income taxes was $71,000 for the three months ended January 31, 2004, as compared to $238,000 for the three months ended January 31, 2005.  The benefit for income taxes for the quarter ending January 31, 2005 includes primarily the revision of a prior year tax estimate of $206,000.

 

Net Income (Loss):

Net income increased from a loss of ($116,486) for the three months ended January 31, 2004 to income of $184,397 for the three months ended January 31, 2005 as a result of the foregoing events.

 

ENS—Results of Operations:

 

ENS - Three months ended December 31, 2004 as compared to three months ended December 31, 2003:

 

16



 

Services Revenue:

Services revenue increased from $4,186,310 in the three months ended December 31, 2003 to $4,647,780 in the three months ended December 31, 2004 (approximately 11%), primarily due to growth in sales to providers and related payer income.

 

Cost of Services:

Cost of services increased from $2,227,058 in the three months ended December 31, 2003 to $2,345,381 in the three months ended December 31, 2004 (approximately 5.3%), reflecting costs related to increased sales to providers and related payer income.  Included in cost of services for the three months ended December 31, 2003 and December 31, 2004 is amortization of software costs and depreciation of equipment of $317,455 and $319,317, respectively.

 

Professional Fees:

Professional fees increased from $34,700 in the three months ended December 31, 2003 to $91,000 in the three months ended December 31, 2004 (approximately 162.2%) as a result of arbitration proceedings with a major customer over additional business opportunities and higher compliance and governance expenses relating to the Sarbanes Oxley Act of 2002.

 

General and Administrative:

General and administrative expense increased from $1,033,179 in the three months ended December 31, 2003 to $1,126,699 in the three months ended December 31, 2004 (approximately 9.0%) reflecting business growth in EDI transactions with providers and payers.  This amount excludes selling and advertising in the amount of $486,969 and $677,202, and includes professional fees of $34,700 and $91,000, for the three months ended December 31, 2003 and 2004, respectively.

 

Depreciation and Amortization:

Depreciation and amortization increased from $65,714 in the three months ended December 31, 2003 to $84,401 in the three months ended December 31, 2004 (approximately 28.4%), primarily due to amortization of additional software development projects.

 

Income (Loss) from Operations:

As a result of the foregoing events, income from operations increased from income of $373,395 in the three months ended December 31, 2003 to income of $414,127 in the three months ended December 31, 2004.  We believe ENS will continue profitable operations throughout 2005.

 

Interest Expense:

Interest expense, exclusive of interest payable to NWH, decreased from $8,406 in the three months ended December 31, 2003 to $3,472 (approximately 58.7%) in the three months ended December 31, 2004, primarily due to a decrease in the average amount of debt outstanding during the quarter ended December 31, 2004.  For the three months ended December 31, 2003 and December 31, 2004, $81,000 and $79,026 respectively, of interest expensed by ENS to the Company was eliminated in consolidation.

 

EBITDA:

EBITDA increased from $756,564 for the three months ended December 31, 2003 to $817,845 for the three months ended December 31, 2004, primarily as a result of increased business levels. 

 

17



 

We provide EBITDA (earnings before interest, taxes, depreciation and amortization) information as a guide to the operating performance of ENS.  EBITDA, which is not a term recognized under generally accepted accounting principles, is calculated as the net income plus net interest, income taxes (benefit), depreciation and amortization. Included in depreciation and amortization for the purpose of calculating EBITDA is depreciation of equipment and amortization of software costs.  EBITDA as calculated by the Company may not be comparable to calculations of similarly titled items reported by other companies.

 

Interest receivable by the Company from ENS was $24,371 at January 31, 2005, while $1,258,985 of previously accrued interest has been converted to principal and is due December 31, 2005, for a total outstanding loan to the Company of $5,763,356, including accrued interest.  On December 3, 2004 and January 17, 2005, $500,000 and $200,000, respectively, of the amount owed by ENS to the Company under these loans was paid.  These payments are reflected in the total outstanding loan as of January 31, 2005. The outstanding balance under this loan agreement including interest has been eliminated from the consolidated Financial Statements.

 

Use of Non-GAAP Financial Measures:

 

Certain disclosures in this document include “non-Generally Accepted Accounting Principles “non-GAAP”) financial measures.”  A non-GAAP financial measure is defined as a numerical measure of a company’s financial performance that excludes or includes amounts so as to be different than the most directly comparable measure calculated and presented in accordance with GAAP in the Consolidated Statements of Earnings, Balance Sheets or Statements of Cash Flows of the Company.  As required by the SEC’s recently issued Regulation G, a reconciliation of EBITDA (earnings before interest, taxes, depreciation and amortization) with the most directly comparable GAAP measure follows:

 

EBITDA:

We define EBITDA as net income plus net interest, income taxes (benefit), depreciation and amortization.  We believe that the most directly comparable GAAP financial measure to EBITDA is net income.  In the discussion of ENS’ EBITDA above, the difference between EBITDA and ENS’ net income (which does not include provision for taxes) (i) for the three months ended December 31, 2003, $756,564 and $288,165, respectively, consisted of $85,230 of net interest, $317,455 of depreciation and amortization of software costs and depreciation of equipment included in costs of services and $65,714 of depreciation and amortization and (ii) for the three months ended December 31, 2004, $817,845 and $340,416, respectively, consisted primarily of $73,711 of net interest $319,317 of depreciation and amortization of software costs and depreciation of equipment included in costs of services and $84,401 of depreciation and amortization.

 

EBITDA is presented as additional information because we believe it is a useful indicator of an entity’s debt capacity and its ability to service its debt.  EBITDA is not a substitute for operating income, net earnings or cash flows from operating activities, as determined in accordance with generally accepted accounting principles.  EBITDA is not a complete net cash flow measure because it is a financial performance measure that does not include reductions for cash payments for an entity’s obligation to service its debt, fund its working capital and capital expenditures, and pay its income taxes.  EBITDA is not a complete measure of an entity’s profitability because

 

18



 

it does not include costs and expenses for interest and income taxes and depreciation and amortization.  Rather EBITDA is a potential indicator of an entity’s ability to fund these cash requirements.  EBITDA, as we define it may differ from similarly named measures used by other entities and, consequently, could be misleading unless all entities calculate and define EBITDA in the same manner.

 

LIQUIDITY AND CAPITAL RESOURCES

 

As of January 31, 2005 we had approximately $25.5 million in cash and cash equivalents and marketable securities, as well as our interest in ENS.  Our assets have been used for, and are currently reserved to fund development of our current businesses, acquisitions of healthcare e-commerce businesses,  and development and acquisition of new technologies and businesses in other areas.  Such amount, with earnings thereon, is expected to be sufficient to implement this business plan through October 2005, or for a shorter period if we determine to invest a substantial portion of our assets in major acquisitions, equity investments or stock repurchases.  We actively seek to acquire or invest in healthcare e-commerce or other businesses in telecommunications, media or in unrelated areas.  We may also dispose of assets from time to time.  We have no specific arrangements with respect to any such acquisitions, dispositions or investments at the present time.  There can be no assurance that any such acquisitions, dispositions or investments will be made.

 

Our board of directors authorized the repurchase of up to 20% of our common stock because we believe, under current market conditions, the repurchase is a favorable investment.  Through January 31, 2005, the Company has repurchased an aggregate of 417,600 shares for a total cost of $5,091,634.  The repurchased shares will also be available for issuance upon exercise of outstanding options.  We did not repurchase any shares in fiscal 2004 or the first quarter of fiscal 2005.

 

In each of the previous six quarters (commencing in July 2003), the Board of Directors of the Company declared a quarterly dividend of $0.30 per share plus a special dividend of $0.20 per share, with each such dividend being paid in cash to all holders of record as of the close of business on a specific date.  On November 8, 2004, the Board of Directors of the Company declared a quarterly dividend of $0.30 per share plus a special dividend of $0.20 per share.  The dividend, aggregating $0.50 per share, was paid in cash on February 4, 2005, to holders of record at the close of business on January 28, 2005.  On February 7, 2005, the Board of Directors of the Company declared a quarterly dividend of $0.30 per share plus a special dividend of $0.20 per share.  The dividend, aggregating $0.50 per share, will be payable in cash on May 4, 2005, to holders of record at the close of business on April 29, 2005.  The Company reviews its dividend policy on a quarterly basis.

 

During the fiscal year ended October 31, 2004, we settled our option liabilities on BellSouth common stock, sold our remaining holdings of BellSouth common stock and invested cash in U.S. government treasury bills.

 

During the first quarter of 2005, the Company spent $303,679 on fixed assets, including $238,596 for internally developed software and $65,083 for computer and office equipment required for increased claims processing, new payer contracts and other business growth.

 

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Operating overhead costs of ENS have increased at a slower rate than revenue as a result of cost cutting measures and production efficiencies gained. We anticipate increased revenues in the near future.  The combination of these factors going forward will improve overall profitability, allowing ENS to sustain itself on cash flows from its operations without further investment from NWH.

 

ENS - Liquidity and Capital Resources:

 

ENS’ historical losses were financed principally through equity investments by the Company and loans from the Company, and these loans totaled $5,938,985 through December 31, 2004 (including previously accrued interest that had been converted to principal, but not accounting for a reduction of $200,000 of principal that was paid by ENS on January 17, 2005).  ENS plans additional investment in its technology enhancements, including further development and implementation of XpediteTM, its full contact management operating system; its Internet claims processing system; hosting of new HIPAA transactions;  ECT, an Internet based full claims tracking system; additional payer connectivity; and enhancements to broaden the transactions processing infrastructure.

 

Although we believe that ENS may need to obtain additional financing to accelerate its strategic business plan, based upon existing contracts with physicians, other providers, payers and management companies and current expense levels, management expects ENS to continue profitable operations, established in the third quarter of fiscal 2001, through fiscal 2005.

 

TABULAR DISCLOSURE OF CONTRACTUAL OBLIGATIONS

 

 

 

Payments due by period

 

Contractual
Obligations

 

Total

 

Less than
1 year

 

1-3 years

 

3-5 years

 

More than 5
years

 

Long-Term Debt Obligations

 

 

 

 

 

 

Capital Lease Obligations

 

$

7,688

 

$

7,688

 

 

 

 

Operating Lease Obligations

 

$

286,287

 

$

285,550

 

$

737

 

 

 

Purchase Obligations

 

 

 

 

 

 

Other Long-Term Liabilities Reflected on the Registrant’s Balance Sheet under GAAP

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

$

297,781

 

$

293,238

 

$

737

 

 

 

 

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CRITICAL ACCOUNTING POLICIES

 

ENS capitalizes purchased software which is ready for service and development costs for software incurred from the time the preliminary project stage is completed until the software is ready for use.  Under the provisions of Statement of Position 98-1, Accounting for the Costs of Computer Software Developed or Obtained for Internal Use (SOP 98-1), the Company capitalizes costs associated with software developed or obtained for internal use when both the preliminary project stage is completed and Company management has authorized further funding for the project which it deems probable will be completed and used to perform the function intended.  Capitalized costs include only (1) external direct costs of materials and services consumed in developing or obtaining internal-use software, (2) payroll and payroll-related costs for employees who are directly associated with and who devote time to the internal-use software project, and (3) interest costs incurred, when material, while developing internal-use software.  Capitalization of such costs ceases no later than the point at which the project is substantially complete and ready for its intended purpose.

 

Research and development costs and computer software maintenance costs related to software development are expensed as incurred.  Capitalized software development costs are amortized using the straight-line method generally over four years, not to exceed the expected life of the product.  The carrying value of capitalized software development costs is regularly reviewed by the Company, and a loss is recognized if the value of estimated undiscounted cash flow benefit related to the asset falls below the unamortized cost.

 

RECENT ACCOUNTING PRONOUNCEMENTS

 

In December, 2004, the FASB issued FASB statement No. 123R, “Share-Based Payment” (FAS 123R), a revision of FASB statement No. 123, “Accounting for Stock-Based Compensation” which addresses financial accounting and reporting for costs accounted with stock-based compensation.  FAS 123R addresses all forms of share-based payment (“SBP”) awards, including shares issued under employee stock purchase plans, stock options, restricted stock and stock appreciation rights.  FAS 123R requires the Company to adopt the new accounting provisions beginning in our fourth quarter of 2005.  Under the Modified Prospective Method, we do not anticipate recording any compensation expense at time of adoption since all options granted were fully vested.

 

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ITEM 3.                             QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

 

The primary objective of our investment activities, other than activities relating to ENS and potential acquisitions, is to preserve principal and maintain liquidity, while at the same time maximizing the yield we receive from our investment portfolio.

 

Changes in prevailing interest rates will cause the yield on our investments and the costs of shorts and options to fluctuate.  To minimize this risk, we maintain our portfolio of cash equivalents, short-term investments and marketable securities in commercial paper, non-government debt securities, money market funds, highly liquid U.S. Treasury notes and federal agency notes and other low risk investments.  We view these high grade securities within our portfolio as having similar market risk characteristics. The weighted-average interest rate of the portfolio was 1.3% at January 31, 2005.

 

Currently almost all our revenues and expenses are denominated in U.S. dollars and, as a result, we have experienced no significant foreign exchange gains and losses to date.  We conduct only limited transactions in foreign currencies, and we do not anticipate that foreign exchange gains or losses will be significant in the foreseeable future.  We have not engaged in foreign currency hedging activities to date.

 

ITEM 4.                             CONTROLS AND PROCEDURES

 

As of January 31, 2005, an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures was carried out under the supervision and with the participation of the Company’s management.  Based on that evaluation, management has concluded that the Company’s disclosure controls and procedures are effective to ensure that material information relating to the Company and its consolidated subsidiaries is made known to them, as of January 31, 2005.  There have been no changes in the Company’s internal control over financial reporting during the fiscal quarter ended January 31, 2005 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

 

PART II - OTHER INFORMATION

 

Item 1.

 

LEGAL PROCEEDINGS

 

 

 

 

 

The Company is engaged in an arbitration with a major customer over additional business opportunities.

 

 

 

Item 2.

 

UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

 

 

 

 

 

Not applicable.

 

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Item 3.

 

DEFAULTS UPON SENIOR SECURITIES

 

 

 

 

 

Not applicable.

 

 

 

Item 4.

 

SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

 

 

 

 

 

Not applicable.

 

 

 

Item 5.

 

OTHER INFORMATION

 

 

 

 

 

Not applicable.

 

 

 

Item 6.

 

EXHIBITS

 

(a)

 

Exhibits:

 

 

 

 

Exhibit 31:

 

Certification of Periodic Report by Principal Executive Officer and Principal Financial Officer under Section 302 of the Sarbanes Oxley Act of 2002

 

 

 

 

 

 

 

Exhibit 32:

 

Certification of Periodic Report by Principal Executive Officer and Principal Financial Officer under Section 906 of the Sarbanes Oxley Act of 2002

 

23



 

SIGNATURE

 

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.

 

 

Date:  March 17, 2005

 

 

 

NWH, INC.

 

 

(Registrant)

 

 

 

By:

/s/ Terrence S. Cassidy

 

 

Terrence S. Cassidy, President and Principal
Accounting Officer

 

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