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8-K - American CareSource Holdings, Inc.e608408_8k-acs.htm
 
 
American CareSource Reports First Quarter 2011 Results
 
DALLAS, TX – May 5, 2011 – American CareSource Holdings Inc. (NASDAQ: ANCI) today announced financial results for the quarter ended March 31, 2011. The Company reported revenue of $13.1 million and a net loss of $222,000, or $0.01 per diluted share. In the same quarter last year, the Company reported revenue of $14.4 million and net income of $1,000, or $0.00 per diluted share. Operating results in the first quarter of 2010 included severance costs of $143,000, or $0.01 per diluted share.  Contribution margin in the first quarter decreased to 11.4% compared to 13.7% in the year-ago quarter.

First quarter net revenue of $13.1 million was the result of 68,000 billed claims, a decrease from the $14.4 million of net revenue generated by 86,000 claims billed during the same period last year.  The lower claims volume was primarily the result of the continued decline of the Company’s two key client accounts.  Revenue and claims volume from those two accounts declined $4.1 million, or 34%, and 29,000 claims, or 47%, respectively.  The loss of a significant employer group by one of the Company’s two key clients, accounted for approximately $1.3 million of the decline, while the rest of the decline was the result of various competitive factors and the transition status of one of the accounts related to a business combination.  Claims volume from all other accounts was up 46% in the first quarter of 2011 compared to the prior year period.  The increase was directly related to the Company’s new client accounts added in 2010.

The Company added 13 new accounts in 2010 that contributed approximately $2.7 million of revenue, most of which was incremental in the first quarter of 2011, compared to the prior year period.  The accounts exited the first quarter with an annualized revenue run rate in excess of $12 million and reflect the Company’s sales strategy of focusing on direct payors and third-party administrators (“TPA’s”).  Two of the Company’s TPA accounts, signed and implemented late in the fourth quarter of 2010, gained momentum in the first quarter, and account for the increase in the annualized revenue run rate as compared to the fourth quarter of 2010.
 
The Company implemented one new client in the latter part of the first quarter of 2011.  Additionally, two new agreements were secured that are currently in implementation and are expected to contribute incremental revenue during the year.
 
 
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“While it is disappointing to see the decline in our two key accounts and the impact it had on our operating results, we continue to make solid progress within the direct-payor and TPA markets”, said David Boone, President and Chief Executive Officer of American CareSource Holdings. “Our annualized revenue run rate of newly implemented business continues to improve sequentially, which is an indication of our continued success in penetrating the market.  Our goal continues to be enhancing our pipeline with direct-payor and TPA business with which we can develop products and services that will influence benefit plan design, thereby creating a low-cost solution for the healthcare consumer.”

“I am pleased with the product development we have made to date that will leverage our comprehensive service provider network.  A solid growth opportunity exists within our top categories to offer products that truly create additional savings for our payor clients and benefits for the providers within our network such as steerage and volume,” Boone commented.

Adjusted EBITDA for the first quarter of 2011 was $231,000, compared to $552,000 reported for the same period last year. Impacting operating results for the period were lower contribution margins of $1.5 million, or 11.4% of revenues for the period, as compared to $2.0 million, or 13.7% of revenues during the prior year period.  The decline in contribution margin was primarily the result of a change in the mix of provider services generating revenue to lower margin specialties, in addition to the shift in revenue away from our traditional PPO relationships to TPA’s and direct payors.  However, lower selling, general and administrative expenses of $1.5 million compared to $1.8 million, helped partially offset the lower contribution margins.

At March 31, 2011, the Company reported cash and cash equivalents of $11.8 million, compared to $14.5 million reported December 31, 2010; there remains no debt outstanding.

 “Our cash position remains strong.  The decrease in cash and cash equivalents during the first quarter of 2011 from December 31, 2010 was expected and primarily related to normal working capital fluctuations”, said Matthew Thompson, Chief Financial Officer of American CareSource Holdings.  “We expect our cash balances to build over the course of the year, which will enable us to take the steps necessary to make the investments to grow revenues.”
 
Earnings Release Conference Call
 
As previously announced, American CareSource management will review its unaudited first quarter 2011 financials during a conference call scheduled for May 6, 2011 at 10:30 AM Eastern Time.

The dial-in numbers are as follows:
Conference dial-in:                      (888) 254-3563
International dial-in                     (913) 312-0977
Conference ID:                             3928563
Webcast:                                       http://ir.anci-care.com/events.cfm

 
An online audio replay of the conference call will be available one hour following the conclusion of the live broadcast on the company's website, www.anci-care.com, for one year.
 
 
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About American CareSource Holdings, Inc.
 
American CareSource Holdings is the first national, publicly traded ancillary care network services company. The Company offers a comprehensive national network of over 5,000 ancillary service providers at more than 36,000 sites through its subsidiary, Ancillary Care Services. Ancillary Care Services provides ancillary health care services through its network that offers cost effective alternatives to physician and hospital-based services. This market is estimated at $574 billion and has grown to 30% of total national health expenditures (as derived from 2006 data published by the Center for Medicare and Medicaid Services, National Health Statistics Group, U.S. Department of Commerce and Bureau of Economic Analysis and Census).  These providers offer services in 30 categories including laboratories, dialysis centers, free-standing diagnostic imaging centers, non-hospital surgery centers, as well as durable medical equipment such as orthotics and prosthetics and others.  The Company's ancillary network and management provides a complete outsourced solution for a wide variety of health care payors and plan sponsors including self-insured employers, indemnity insurers, PPOs, HMOs, third party administrators and both federal and local governments. For additional information, please visit www.anci-care.com.
 
ANCI-F
 
Safe Harbor Statement Under the Private Securities Litigation Reform Act of 1995:
 
Any statements that are not historical facts contained in this release, including with respect to the Company’s plans, objectives and expectations for future operations, projections of the Company’s future operating results or financial condition, and expectations regarding the health care industry and economic conditions, are forward-looking statements.  Substantial risks and uncertainties could cause actual results to differ materially from those indicated by such forward-looking statements, including, but not limited to, the Company’s dependence on its two largest clients and recent declines in their business, the Company’s inability to attract or maintain providers or clients or achieve its financial results, changes in national health care policy, federal or state regulation, and/or rates of reimbursement including without limitation the impact of the newly-enacted Patient Protection and Affordable Care Act, Health Care and Educational Affordability Reconciliation Act and medical loss ratio regulations, general economic conditions (including the recent economic downturns and increases in unemployment), lower than anticipated demand for ancillary services, pricing, market acceptance/preference, the Company’s ability to integrate with its clients, consolidation in the industry that may affect the Company’s key clients, changes in the business decisions by significant clients, increased competition, decisions by service providers in our network to terminate their agreements with us, the Company’s inability to manage growth, implementation and performance difficulties, and other risk factors detailed from time to time in the Company’s periodic filings with the Securities and Exchange Commission.  Except as otherwise required by law, the Company undertakes no obligation to update or revise these forward-looking statements.
 
 
Company & Investor Contact
Rich Cockrell
The Cockrell Group
Tel: 404.942.3369
rich.cockrell@thecockrellgroup.com
 
 
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AMERICAN CARESOURCE HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(unaudited)
(amounts in thousands except per share data)
 
   
Three months ended
 
   
March 31,
 
   
2011
   
2010
 
             
Net Revenues
  $ 13,077     $ 14,371  
                 
Cost of revenues:
               
Provider payments
    9,809       10,414  
Administrative fees
    672       769  
Claims administration and provider development
    1,107       1,220  
Total cost of revenues
    11,588       12,403  
                 
Contribution margin
    1,489       1,968  
                 
Selling, general and administrative expenses
    1,537       1,795  
Depreciation and amortization
    190       182  
Total operating expenses
    1,727       1,977  
                 
Operating loss
    (238 )     (9 )
                 
Other Income
    14       36  
                 
Income (loss) before income taxes
    (224 )     27  
Income tax provision (benefit)
    (2 )     26  
Net Income (loss)
  $ (222 )   $ 1  
                 
Earnings (loss) per common share:
               
Basic
  $ (0.01 )   $ 0.00  
Diluted
  $ (0.01 )   $ 0.00  
                 
Basic and diluted weighted average common shares outstanding
    16,962       16,203  
 
Reconciliation of non-GAAP financial measures to reported GAAP financial measures:
             
                 
   
Three months ended
 
   
March 31,
 
      2011       2010  
                 
Operating loss
  $ (238 )   $ (9 )
Depreciation and amortization
    190       182  
EBITDA
    (48 )     173  
Non-cash stock-based compensation expense
    229       186  
Other non-cash charges
    50       50  
Severance costs
    -       143  
EBITDA, as adjusted
  $ 231     $ 552  
 
 
 

 
 
AMERICAN CARESOURCE HOLDINGS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(amounts in thousands)
 
   
(unaudited)
       
             
   
March 31, 2011
   
December 31, 2010
 
ASSETS
           
             
Current assets:
           
Cash and cash equivalents
  $ 11,787     $ 14,512  
Accounts receivable, net
    6,731       5,510  
Prepaid expenses and other current assets
    777       769  
Total current assets
    19,295       20,791  
                 
Property and equipment, net
    1,782       1,824  
                 
Other assets:
               
Other non-current assets
    829       949  
Intangible assets, net
    993       1,025  
Goodwill
    4,361       4,361  
                 
TOTAL ASSETS
  $ 27,260     $ 28,950  
                 
LIABILITIES and SHAREHOLDERS' EQUITY
               
                 
Current Liabilities:
               
Due to service providers
  $ 5,214     $ 6,718  
Accounts payable and accrued liabilities
    1,269       1,446  
Total current liabilities
    6,483       8,164  
                 
Other Liabilities
    -       -  
                 
SHAREHOLDERS' EQUITY
               
Common stock
    170       169  
Additional paid-in capital
    21,814       21,602  
Accumulated deficit
    (1,207 )     (985 )
      20,777       20,786  
                 
TOTAL LIABILITIES AND EQUITY
  $ 27,260     $ 28,950  
 
 
 

 
 
AMERICAN CARESOURCE HOLDINGS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(unaudited)
(amounts in thousands)
 
   
Three months ended
 
   
March 31,
 
   
2011
   
2010
 
Cash flows from operating activities:
           
Net income (loss)
  $ (222 )   $ 1  
Adjustments to reconcile net income (loss) to net cash
               
used by operations:
               
Stock-based compensation expense
    229       186  
Depreciation and amortization
    190       182  
Unrealized gain on warrant derivative
    -       (14 )
Amortization of long-term client agreement
    62       62  
Client administration fee expense related to warrants
    50       50  
Deferred income taxes
    (5 )     6  
Changes in operating assets and liabilities:
               
Accounts receivable
    (1,221 )     244  
Prepaid expenses and other assets
    5       37  
Accounts payable and accrued liabilities
    (193 )     (47 )
Due to service providers
    (1,504 )     (1,658 )
Net cash used by operating activities
    (2,609 )     (951 )
                 
Cash flows from investing activities:
               
Investment in software development costs
    (116 )     (127 )
Investment in property and equipment
    -       (139 )
Net cash used in investing activities
    (116 )     (266 )
                 
Net decrease in cash and cash equivalents
    (2,725 )     (1,217 )
Cash and cash equivalents at beginning of period
    14,512       11,868  
                 
Cash and cash equivalents at end of period
  $ 11,787     $ 10,651  
                 
Supplemental cash flow information:
               
                 
Cash paid for taxes
  $ -     $ 40  
                 
Supplemental non-cash financing activity:
               
                 
Income tax withholdings on exercise of equity incentives
  $ 16     $ 19