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8-K - FORM 8-K - Change Healthcare Holdings, Inc.d49043d8k.htm

Exhibit 99.1

 

CERTAIN INFORMATION TO BE PROVIDED TO PROSPECTIVE DEBT FINANCING SOURCES

 

Set forth below is certain information that will be provided to certain third parties in connection with debt financing by Emdeon Inc. for the previously announced acquisition of Altegra Health, Inc. through a senior secured incremental term loan facility and senior unsecured bridge loans.

 

REPORT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS

 

The Board of Directors

Altegra Health, Inc. and subsidiaries

 

We have audited the accompanying consolidated financial statements of Altegra Health, Inc. and subsidiaries, which comprise the consolidated balance sheet as of December 31, 2014, and the related consolidated statement of operations, comprehensive income, changes in stockholders’ equity, and cash flows for the year then ended, and the related notes to the consolidated financial statements.

 

Management’s Responsibility for the Financial Statements

 

Management is responsible for the preparation and fair presentation of these financial statements in conformity with U.S. generally accepted accounting principles; this includes the design, implementation, and maintenance of internal control relevant to the preparation and fair presentation of financial statements that are free of material misstatement, whether due to fraud or error.

 

Auditor’s Responsibility

 

Our responsibility is to express an opinion on these financial statements based on our audit. We conducted our audit in accordance with auditing standards generally accepted in the United States. Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement.

 

An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in the financial statements. The procedures selected depend on the auditor’s judgment, including the assessment of the risks of material misstatement of the financial statements, whether due to fraud or error. In making those risk assessments, the auditor considers internal control relevant to the entity’s preparation and fair presentation of the financial statements in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the entity’s internal control. Accordingly, we express no such opinion. An audit also includes evaluating the appropriateness of accounting policies used and the reasonableness of significant accounting estimates made by management, as well as evaluating the overall presentation of the financial statements.

 

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our audit opinion.

 

Opinion

 

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Altegra Health, Inc. and subsidiaries at December 31, 2014, and the consolidated results of their operations and their cash flows for the year then ended in conformity with U.S. generally accepted accounting principles.

 

/s/ ERNST & YOUNG LLP

 

Miami, Florida

April 24, 2015

 

1


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

 

CONSOLIDATED BALANCE SHEETS

 

     Unaudited
June  30,

2015
     December 31,
2014
 
Assets      

Current assets:

     

Cash and cash equivalents

   $ 9,510,366       $ 14,569,878   

Accounts receivable, net of allowance for doubtful accounts of $1,062,000 and $875,000, respectively

     59,235,729         46,954,040   

Prepaid expenses and other current assets

     3,514,420         2,075,855   

Income tax receivables

     —           205,406   

Deferred income tax assets

     1,308,577         1,734,360   
  

 

 

    

 

 

 

Total current assets

     73,569,092         65,539,539   
  

 

 

    

 

 

 

Property and equipment, net

     5,670,274         6,599,014   

Capitalized software costs, net

     26,543,970         28,227,335   

Goodwill

     161,665,659         161,665,659   

Other intangible assets, net

     84,746,417         89,375,936   

Deferred financing costs and other long-term assets

     1,875,621         1,932,319   
  

 

 

    

 

 

 

Total assets

   $ 354,071,033       $ 353,339,802   
  

 

 

    

 

 

 
Liabilities and stockholders’ equity      

Current liabilities:

     

Accounts payable

   $ 2,580,236       $ 3,978,496   

Accrued salaries and related expenses

     7,490,696         6,464,340   

Accrued expenses

     3,826,667         2,725,375   

Customer deposits

     2,102,245         2,363,163   

Deferred revenue

     6,294,080         8,352,530   

Income taxes payable

     1,762,603         —     

Current portion of senior term loans

     13,832,814         11,704,688   
  

 

 

    

 

 

 

Total current liabilities

     37,889,341         35,588,592   
  

 

 

    

 

 

 

Long-term debt:

     

Senior term loans

     140,241,987         147,676,590   
  

 

 

    

 

 

 

Total long-term debt

     140,241,987         147,676,590   
  

 

 

    

 

 

 

Deferred rent

     742,621         1,732,223   

Deferred compensation and other long-term liabilities

     214,077         220,419   

Deferred income tax liabilities

     12,337,602         12,808,729   
  

 

 

    

 

 

 

Total liabilities

     191,425,628         198,026,553   
  

 

 

    

 

 

 

Commitments and contingencies

     

Stockholders’ equity:

     

Preferred stock, $0.001 par value, 100,000 shares authorized, none issued and outstanding

     —           —     

Common stock, $0.001 par value, 3,500,000 shares authorized, 1,487,088 Shares issued and outstanding at June 30, 2015 and December 31, 2014, respectively

     1,486         1,486   

Additional paid-in capital

     162,179,667         159,507,299   

Accumulated surplus (deficit )

     426,949         (4,189,427

Accumulated comprehensive income (loss)

     21,446         (9,997
  

 

 

    

 

 

 

Total stockholders’ equity attributable to controlling interest

     162,629,548         155,309,361   

Noncontrolling interest

     15,857         3,888   
  

 

 

    

 

 

 

Total stockholders’ equity

     162,645,405         155,313,249   
  

 

 

    

 

 

 

Total liabilities and stockholders’ equity

   $ 354,071,033       $ 353,339,802   
  

 

 

    

 

 

 

 

See accompanying notes.

 

2


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF OPERATIONS

 

     Unaudited
Six Months Ended June 30,
    Year Ended
December 31,

2014
 
     2015     2014    

Total revenues

   $ 110,992,837      $ 91,791,622      $ 192,550,770   

Direct costs:

      

Payroll and personnel related

     28,091,596        27,894,207        56,135,664   

Other direct costs

     12,137,331        8,058,828        17,324,812   
  

 

 

   

 

 

   

 

 

 

Total direct costs

     40,228,927        35,953,035        73,460,476   
  

 

 

   

 

 

   

 

 

 

Gross profit

     70,763,910        55,838,587        119,090,294   

Operating expenses:

      

Advertising

     792,830        767,094        1,192,234   

Sales, general and administrative

     40,999,850        34,544,425        67,453,196   

Transaction fees

     —          933,769        980,239   

Stock-based compensation

     2,672,368        2,280,845        4,588,723   

Other expenses

     1,750,363        2,257,419        5,445,101   

Amortization and depreciation

     13,727,694        11,008,761        24,138,677   
  

 

 

   

 

 

   

 

 

 

Total expenses

     59,943,105        51,792,313        103,798,170   
  

 

 

   

 

 

   

 

 

 

Operating income

     10,820,805        4,046,274        15,292,124   
  

 

 

   

 

 

   

 

 

 

Other income and expenses:

      

Interest income

     9,532        176,044        28,887   

Interest expense

     (3,170,165     (3,122,501     (6,776,477
  

 

 

   

 

 

   

 

 

 

Income before income taxes

     7,660,172        1,099,817        8,544,534   

Income tax provision

     3,031,827        450,400        3,409,319   
  

 

 

   

 

 

   

 

 

 

Net income

     4,628,345        649,417        5,135,215   

Net income attributable to noncontrolling interest

     11,969        16,242        3,888   
  

 

 

   

 

 

   

 

 

 

Net income attributable to controlling interest

   $ 4,616,376      $ 633,175      $ 5,131,327   
  

 

 

   

 

 

   

 

 

 

 

See accompanying notes.

 

3


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS)

 

     Unaudited
Six Months Ended June 30,
     Audited
Year Ended
December 31,

2014
 
     2015      2014     

Net income

   $ 4,628,345       $ 649,417       $ 5,135,215   

Other comprehensive income (loss), net of tax:

        

Foreign currency income (loss)

     31,443         30,065         (9,997
  

 

 

    

 

 

    

 

 

 

Comprehensive income

     4,659,788         679,482         5,125,218   

Comprehensive income attributable to noncontrolling interest

     11,969         16,242         3,888   
  

 

 

    

 

 

    

 

 

 

Comprehensive income attributable to noncontrolling interest

   $ 4,647,819       $ 663,240       $ 5,121,330   
  

 

 

    

 

 

    

 

 

 

 

See accompanying notes.

 

4


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY

 

    Common Stock     Additional
Paid in
Capital
    Accumulated
Deficit
    Accumulated
Comprehensive

Income (Loss)
    Noncontrolling
Interests
    Total  
    Shares     Amount            

Balance at December 31, 2013—Audited

    1,476,888      $ 1,476      $ 152,368,586      $ (9,320,754   $ —        $ —        $ 143,049,308   

Acqusition of Outcome Health, LLC

    10,200        10        2,549,990        —          —          —          2,550,000   

Net Income

    —          —          —          5,131,327        —          3,888        5,135,215   

Other Comprehensive Loss

    —          —          —          —          (9,997     —          (9,997

Stock-based compensation

    —          —          4,588,723        —          —          —          4,588,723   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at December 31, 2014—Audited

    1,487,088        1,486        159,507,299        (4,189,427     (9,997     3,888        155,313,249   

Net Income (unaudited)

    —          —          —          4,616,376        —          11,969        4,628,345   

Other Comprehensive Income (unaudited)

    —          —          —          —          31,443        —          31,443   

Stock-based compensation (unaudited)

    —          —          2,672,368        —          —          —          2,672,368   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at June 30, 2015—Unaudited

    1,487,088      $ 1,486      $ 162,179,667      $ 426,949      $ 21,446      $ 15,857      $ 162,645,405   
 

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

 

5


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

 

CONSOLIDATED STATEMENTS OF CASH FLOWS

 

     Unaudited
Six Months Ended June 30,
    Year Ended
December 31,
2014
 
     2015     2014    

Operating activities

      

Net Income

   $ 4,628,345      $ 649,417      $ 5,135,215   

Adjustments to reconcile net income to net cash provided by operating activities:

      

Depreciation

     2,278,975        1,896,934        4,208,266   

Amortization of internally and externally developed software

     6,589,840        3,355,122        8,883,629   

Amortization of other identifiable intangible assets

     4,629,519        5,536,605        10,595,497   

Amortization of deferred finance costs

     229,360        220,100        451,285   

Provision for doubful accounts

     626,000        321,498        768,992   

Stock-based compensation

     2,672,368        2,280,845        4,588,723   

Deferred income tax asset and liabilities, net

     (45,344     118,901        742,922   

Changes in operating assets and liabilities, net of the effects of the acquisitions:

      

Accounts receivable and other receivables

     (12,907,689     (1,918,365     2,908,873   

Prepaid expenses and other current assets

     (1,611,227     (210,686     (46,204

Accounts payable and accrued expenses

     2,809,002        (3,558,466     (6,592,198

Deferred rent and revenue

     (3,308,970     (2,351,408     (2,570,507
  

 

 

   

 

 

   

 

 

 

Net cash provided by operating activities

     6,590,179        6,340,497        29,074,493   

Investing activities

      

Acquisition of Outcomes Health (net of cash)

     —          (81,275,722     (81,275,722

Purchase of property and equipment

     (1,350,235     (2,295,538     (3,602,782

Capitalized software costs

     (5,197,475     (4,793,685     (10,000,070

Proceeds from licensing of capitalized software

     291,000        351,000        672,000   
  

 

 

   

 

 

   

 

 

 

Net cash used in investing activities

     (6,256,710     (88,013,945     (94,206,574

Financing activities

      

Deferred financing Cost

     —          (526,959     (526,959

Proceeds (repayment) of senior term loans

     (5,306,477     86,775,000        75,046,423   

Repayment of capital lease obligations

     (117,949     (163,548     (227,568
  

 

 

   

 

 

   

 

 

 

Net cash (used in) provided by financing activities

     (5,424,426     86,084,493        74,291,896   

Effect of exchange rate on cash and cash equivalents

     31,445        30,065        (9,997
  

 

 

   

 

 

   

 

 

 

Net (decrease) increase in cash and cash equivalents

     (5,090,957     4,411,045        9,149,818   

Balance at beginning of period

     14,569,878        5,420,060        5,420,060   
  

 

 

   

 

 

   

 

 

 

Balance at end of period

   $ 9,510,366      $ 9,861,170      $ 14,569,878   
  

 

 

   

 

 

   

 

 

 

Supplemental disclosure of cash flow information

      

Interest paid

   $ 3,170,165      $ 3,126,259      $ 6,776,477   
  

 

 

   

 

 

   

 

 

 

Income taxes paid

   $ 1,109,164      $ 2,908,359      $ 3,040,651   
  

 

 

   

 

 

   

 

 

 

Supplemental disclosure of noncash investing activities

      

Issuance of common stock to acquire Outcomes Health

   $ —        $ 2,550,000      $ 2,550,000   
  

 

 

   

 

 

   

 

 

 

 

See accompanying notes

 

6


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

As of and for the year ended December 31, 2014

As of and for the six months ended June 30, 2015 and 2014 (unaudited)

 

1. Nature of Operations and Summary of Significant Accounting Policies

 

Nature of Operations

 

Altegra Health, Inc. (“AHI”), through its direct operating subsidiary Altegra Health Operating Company (“AHOC”) and its indirect subsidiaries Altegra Health Connections, LLC, f/k/a Outcomes Health Connections, LLC (“AHC”), Altegra Health Microsourcing Cooperatief, UA f/k/a Outcomes Health Microsourcing Cooperatief, UA (“AHMS”)—[90% owned by AHOC and 10% owned by Microsourcing International LTD], Altegra Health Operating Company—Puerto Rico, LLC (“AHOCPR”), and Altegra Health Philippines, Inc. (“AHPI”), collectively referred to as the “Company”.

 

The Company is a national provider of technology-enabled services and software that improve the financial and clinical performance of government-sponsored health plans and other healthcare organizations by aligning member health status with benefits and accurate reimbursement. Headquartered in Miami Lakes, Florida—with offices in Arizona, California, New Jersey, Minnesota, Illinois, Georgia, the Philippines and Puerto Rico, the Company’s integrated solution addresses the full continuum of revenue management, quality and compliance needs for its clients, which are primarily government-sponsored health plans, such as Medicare Advantage, Managed Medicaid plans, and Commercial Health Insurance Marketplace/Exchange Plans. The Company also serves other healthcare organizations, including risk-bearing provider entities, such as Accountable Care Organizations (ACOs), large provider groups and hospital systems.

 

The Company is a single-source provider of a diversified suite of technology-enabled services for health plans to monitor and manage member health status and risk adjustment, eligibility, enrollment and retention, member engagement, quality performance, and wellness. These offerings, combined with the Company’s advisory services for medical provider groups and other risk-bearing entities, enable the Company to deliver solutions that improve the financial and clinical performance of its clients while enhancing the quality of life for the individuals they serve.

 

The foundation of AHI is nine companies that started, prior to being acquired by AHI, as early as 1990, each with leading capabilities in their respective niches: The Coding Source, LLC (TCS), Dynamic Commerce Applications, Inc. (DCA), Social Service Coordinators, LLC (SSC), Austin Provider Solutions, Inc. (APS), Sinaiko Healthcare Consulting, Inc. (SHC), Warm Health, Inc. (WH), Healthcare Analytics (HCA)—[a division of Transunion Healthcare, LLC acquired by APS], Outcomes Health Information Systems, LLC (“OHIS”)—[merged into AHOC effective January 1, 2015, AHMS [developed as a Joint Venture for the creation of AHPI], AHPI and AHC. The merger and acquisition of these companies started in 2010 and was completed in 2014.

 

AHOC f/k/a Coding Source Holdings, Inc. is a wholly-owned subsidiary of AHI and was incorporated on June 17, 2010, under the laws of the State of Delaware, and began operations on August 2, 2010, through the acquisition of TCS and SHC. AHI f/k/a PlanRCM, Inc. was formed on December 17, 2010, under the laws of the State of Delaware, to serve as the parent holding company of (AHOC). AHI acquired SSC on January 3, 2011, APS on February 11, 2011 and DCA on April 5, 2011. The parent company, AHI, contributed its ownership interest in all subsidiaries to AHOC in exchange for Altegra Health stock.

 

AHOC acquired Warm Health on June 5, 2012, and Outcomes Health on January 10, 2014. APS acquired the Healthcare Analytics division of Transunion on March 4, 2013.

 

Principles of Consolidation

 

The consolidated financial statements include the accounts of all wholly owned subsidiaries. The consolidated financial statements also include all assets, liabilities, revenue, and expenses of OHMS Cooperatief

 

7


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

1. Nature of Operations and Summary of Significant Accounting Policies (continued)

 

U.A., which is controlled by the Company but not wholly owned. All material intercompany balances and transactions have been eliminated in consolidation. In August 2012, Outcomes Health entered into a Joint Venture agreement with Microsourcing International LTD. (MSI) to establish OHMS Cooperatief U.A., a cooperative with exclusion of liability under the laws of the Netherlands. Outcomes Health and MSI formed a joint venture for the purpose of providing outsourcing services in the Philippines. The Company accounts and discloses for this transaction in accordance with Accounting Standards Codification (ASC) ASC 805, Business Combinations, and ASC 810, Consolidation. Pursuant to the Joint Venture agreement, the Company controls a 90% ownership interest in the venture and consolidates the venture into the Company’s consolidated financial statements. The Company presents noncontrolling interests as a component of equity on its consolidated balance sheets and reports as noncontrolling interests “Net income attributable to noncontrolling interest” in the consolidated statements of operations.

 

Use of Estimates

 

The preparation of financial statements in conformity with U.S. generally accepted accounting principles (GAAP) requires management to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.

 

In the opinion of management, all adjustments (consisting of normal recurring adjustments) necessary for a fair presentation have been included in the unaudited interim financial statements for the six months ended June 30, 2015 and June 30, 2014. The results for the interim periods do not necessarily indicate the results that may be expected for any other interim period or for the full year. The unaudited interim financial statements should be read in conjunction with the consolidated financial statements and the related notes for the year ended December 31, 2014.

 

Fair Value

 

Due to their short maturities, management believes the carrying amounts of cash and cash equivalents, restricted deposits included in other long-term assets in the accompanying consolidated balance sheet, accounts receivable, and accounts payable approximated their fair values at December 31, 2014.

 

In evaluating estimated fair value information, considerable judgment is required to interpret the market data used to develop the estimates. The use of different market assumptions and/or different valuation techniques may have a material effect on the estimated fair value amounts recorded in the accompanying consolidated financial statements. Accordingly, the estimates of fair value presented herein may not be indicative of the amounts that could be realized in a current market exchange (see Note 9).

 

Revenue Recognition

 

Revenue from services provided to monitor and manage member health status, member engagement, decision analytics, care visits and assessments, and advisory services are recognized when the services are fully rendered. Implementation revenue for the setup of new technology enabled services is amortized over the estimated life of the client relationship with the Company. Clients are billed primarily on a monthly basis although certain clients may be invoiced and payments received prior to services being rendered based upon contractual terms. Any payments that are received prior to services being rendered are recorded as deferred revenue. Revenue from member engagement is recognized when services have been rendered or when the clients are eligible to receive increased payments from the Centers for Medicare and Medicaid Services (CMS). Billing

 

8


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

1. Nature of Operations and Summary of Significant Accounting Policies (continued)

 

for member engagement takes place when CMS reimburses the Company’s clients for the increase in capitation as a result of a successful approval.

 

ASC 605-25 Multi- Element Arrangements addresses how to determine whether an arrangement involving multiple deliverables contains more than one unit of accounting and how arrangement consideration should be measured and allocated to the separate units of accounting. Under this method, the Company analyzed deliverables present in customer contracts and determined the relative selling price for each. The selling price is determined based on vendor specific objective evidence, if available, third-party evidence if vendor-specific objective evidence is not available, or estimated selling price if neither vendor-specific objective evidence nor third party evidence is available. Revenue is recognized as services are completed for each separately identified deliverable within the contract based on the selling price for each deliverable.

 

The Company identified two deliverables that meet the definition of a separate unit of accounting as outlined in ASC 605-25. The first deliverable is medical record for chart retrieval. The selling price for medical record chart retrieval services was determined based on the Company’s average sales price for this service when provided to customers on a stand-alone basis. The Company recognizes revenue for medical chart retrieval services on a chart-by-chart basis as individual charts are retrieved and made available to the customer. The second deliverable is chart clinical reading or abstraction services. The selling price for clinical reading and abstraction services was determined based on the Company’s average sales price for this service when provided to customers on a stand-alone basis. The Company recognizes revenue for clinical reading and abstraction services on a chart-by-chart basis as individual charts are coded or abstracted and submitted to the customer.

 

Cash and Cash Equivalents

 

Cash and cash equivalents consist primarily of cash and interest bearing deposits. The Company considers all highly liquid investments with a maturity of three months or less, when purchased, to be cash equivalents. The Company maintains its cash and cash equivalents at certain financial institutions in excess of amounts insured by federal agencies. Management does not believe that as a result of this concentration it is subject to any unusual financial risk beyond the normal risk associated with commercial banking relationships.

 

Accounts Receivable and Allowance for Doubtful Accounts

 

Accounts receivable represents fees for services provided to the Company’s clients, such as technology enabled services, member engagement services, advisory services, decision analytics, and care visits and assessments. The allowance for doubtful accounts reflects management’s best estimate of probable losses inherent in the accounts receivable balance. Management determines the allowance based on historical experience and other available information. The Company writes off specific accounts based on an ongoing review of collectability as well as management’s past experience with customers.

 

The allowance for doubtful accounts as of June 30, 2015 and December 31, 2014, was approximately $1,062,000 (unaudited) and $875,000, respectively. The provision for doubtful accounts is included in general and administrative expenses, and was approximately $626,000 (unaudited) and $321,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $769,000 for the year ended December 31, 2014.

 

Advertising

 

Advertising costs are expensed as incurred and were approximately $793,000 (unaudited) and $767,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $1,192,000 for the year ended December 31, 2014.

 

9


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

1. Nature of Operations and Summary of Significant Accounting Policies (continued)

 

Credit Risk and Concentration of Business

 

Credit is extended to customers based on an evaluation of their financial condition and collateral is generally not required. The Company performs ongoing credit evaluations of its customers and provides an allowance for doubtful accounts as appropriate.

 

For the year ended December 31, 2014, the Company derived approximately 39% of its total revenue from its top five customers, with the top customer representing 17% of total revenue. No other customer accounted for more than 8% of total revenue. The top five customers accounted for approximately 26% of total accounts receivable at December 31, 2014, with the top customer representing 6% of total accounts receivable. No other customer accounted for more than 5% of 2014 total accounts receivable as of December 31, 2014.

 

Deferred Rent

 

Rent expense is recognized on a straight-line basis, including any free rental periods and future escalations of rent over the life of the lease.)

 

Deferred rent liability represents the net adjustments to future rents as a result of using the straight-line method to recognize current expense. The liability is the net of adjustments to future rent receivable, under a sub-lease agreement, and future rents payable.

 

Property and Equipment

 

Property and equipment is stated at cost, less accumulated depreciation. Depreciation, including amortization of assets held under capital leases, is generally provided on the straight-line method over the estimated useful lives of the respective assets. Amortization of leasehold improvements is provided on the straight-line method over the shorter of the useful lives of the assets or the term of the lease. Capitalized lease assets are amortized over their estimated useful lives. Repairs and maintenance costs are charged to expense when incurred. The Company recognized depreciation expense of approximately $2,279,000 (unaudited) and $1,897,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $4,208,000 for the year ended December 31, 2014.

 

Goodwill and Intangible Assets

 

Goodwill represents the difference between the purchase price and the fair value of net assets acquired. The Company does not amortize goodwill; however, the Company performs an annual review for goodwill impairment each year. The Company did not record any impairment of goodwill for the year ended December 31, 2014. The Company evaluates goodwill for impairment annually and whenever events and changes in circumstances suggest that the carrying amount may not be recoverable.

 

The Company amortizes intangible assets with definitive lives on a straight-line basis over their estimated useful lives, ranging from 3 to 20 years. The Company reviews for impairment when events or changes in circumstances indicate that the carrying amount of such assets may not be recoverable. The Company uses the straight-line method of amortization as there is no reliably determinable pattern in which the economic benefits of our intangible assets are consumed or otherwise used up. Amortization of other identified intangible assets was approximately $4,630,000 (unaudited) and $5,537,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $10,595,000 for the year ended December 31, 2014.

 

10


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

1. Nature of Operations and Summary of Significant Accounting Policies (continued)

 

Impairment of Long-Lived Assets

 

Long-lived assets, such as property and equipment, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to estimated undiscounted future cash flows expected to be generated by the asset. If the carrying amount of an asset or group of assets exceeds the estimated future cash flows, then an impairment charge is recognized for the amount, if any, by which the carrying amount of the asset or group of assets exceeds their fair value.

 

Capitalized Software Costs

 

Costs incurred to obtain or develop software for internal use are capitalized. Once a project is substantially completed, further costs are expensed as incurred. If projects are not likely to be completed, existing balances are treated as impaired assets. Capitalized software costs are amortized over the expected useful life of the software which ranges from 1 to 7 years. Amortization expense was approximately $6,590,000 (unaudited) and $3,355,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $8,884,000 for the year ended December 31, 2014.

 

Deferred Financing Costs

 

Deferred financing costs represent costs associated with obtaining financing from several financial institutions. These costs are amortized over the term of the respective loans using the effective interest method and are included in interest expense in the accompanying consolidated statement of operations.

 

Company Owned Life Insurance

 

Company owned life insurance is recorded at the estimated amount that could be obtained on the surrender of the policies.

 

Derivative Financial Instrument

 

The Company records derivative financial instruments on its balance sheet at their fair value and the changes in the fair value are recognized in income when they occur, the only exception being derivatives that qualify as hedges. To qualify derivative instruments as a hedge, the Company is required to meet strict hedge effectiveness and contemporaneous documentation requirements at the initiation of the hedge and assess the hedge effectiveness on an ongoing basis over the life of the hedge.

 

On August, 2014, the Company’s interest rate swap expired. Prior to expiring, the instrument did not meet the documentation requirements to be accounted for as an effective hedge. Accordingly, the Company recognized all changes in fair values of the interest rate swap contract in its results of operations.

 

Income Taxes

 

The Company accounts for income taxes in accordance with ASC 740, Accounting for Income Taxes. Under this method, deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of assets and liabilities and their respective tax bases. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred

 

11


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

1. Nature of Operations and Summary of Significant Accounting Policies (continued)

 

tax assets and liabilities of a change in tax rates is recognized in operations in the period that includes the enactment date of a change in tax rates. Valuation allowances are established when necessary to reduce deferred tax assets to the amount expected to more likely than not be realized. Income tax expense is the tax payable for the period and the change during the period in the deferred assets and liabilities (see Note 8).

 

Share Based Compensation and Incentive Awards

 

The Company recognizes all share-based awards to employees, including grants of stock options, in the financial statements based on fair values in accordance with the provisions of ASC 718, Compensation-Stock Compensation. Because there is no observable market for the options, management must make critical estimates in determining the fair value at the grant date. Variations in the assumptions will have a direct impact on net income. Critical estimates in valuing the fair value at the grant date and the assumptions that marketplace participants would use in making estimates of fair value include: expected volatility, expected dividend yield, risk free interest rate, involuntary conversion due to change in control and expected exercise history of similar grants.

 

The estimates of the compensation costs under ASC 718 for these arrangements are based upon assumptions believed to be reasonable, but which are inherently uncertain and unpredictable. Assumptions may not reflect unanticipated events and changes in circumstances may occur (see Note 14).

 

Recent Accounting Pronouncements

 

In January 2014 the FASB issued Accounting Standards Update (ASU) ASU 2014-02, Accounting for Goodwill (a consensus of the Private Company Council). ASU 2014-02 provides eligible private companies (as defined) with an alternative to amortize goodwill on a straight-line basis over 10 years (or less if an entity can demonstrate that another useful life is more appropriate) and to perform a one-step impairment test, at either the entity level or the reporting unit level, when an event or circumstance indicates that the fair value of the entity or the reporting unit may be below its carrying amount. The accounting alternative, if elected, should be applied prospectively to goodwill existing as of the beginning of the period of adoption and new goodwill recognized within annual periods beginning after December 15, 2014 and interim periods within annual periods beginning after December 15, 2015. Early adoption is permitted. The Company does not plan to elect this accounting alternative.

 

In May 2014, FASB issued a comprehensive new revenue recognition standard that will supersede nearly all existing revenue recognition guidance under generally accepted accounting principles in the United States. The core principal of the new standard is that a company will recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. In July 2015 the FASB delayed the effective date of the new revenue recognition standard. For nonpublic entities the new standard is effective for annual periods beginning after December 15, 2018, and interim periods within annual periods beginning after December 15, 2019. Early adoption is permitted no earlier than 2017. The Company has not yet selected the method of adoption and determined what impact, if any, the adoption of the new standard will have on its consolidated financial position, results of operations or cash flows.

 

In December 2014, FASB issued guidance that allows private companies to simplify their accounting by recognizing fewer intangible assets in a business combination and certain other transactions. A private company can now choose to limit the customer-related intangibles it recognizes separately to those that are capable of being sold or licensed independently from the other assets of the business. Under the alternative, private

 

12


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

1. Nature of Operations and Summary of Significant Accounting Policies (continued)

 

companies also wouldn’t separately recognize noncompetition agreements. Companies that elect the new alternative will be required to elect the goodwill accounting alternative in (ASU) 2014-02, which requires goodwill to be amortized over a period of 10 years or less. However, companies that elect the goodwill accounting alternative would not be required to elect the intangible assets accounting alternative. The decision to adopt the alternative must be made when the first qualifying transaction occurs after December 15, 2015. If such transaction occurs in the first fiscal year beginning after December 15, 2015, the adoption of the alternative will be effective for that fiscal year’s annual financial reporting and all interim and annual periods thereafter. If such transaction occurs in fiscal years beginning after December 15, 2016, the adoption of the alternative will be effective in the interim period that includes the date of that first qualifying transaction and subsequent interim and annual periods. A company that elects the alternative must apply it to all future qualifying transactions. The adoption of this guidance will have no impact on the Company’s consolidated financial statements.

 

In April 2015, the FASB issued an accounting standards update that changes the presentation of debt issuance costs in financial statements. Under the new guidance, an entity presents such costs in the balance sheet as a direct deduction from the related debt liability rather than as an asset.

 

Amortization of the costs is reported as interest expense. This guidance is effective for fiscal years beginning after December 15, 2015, and interim periods beginning after December 15, 2016, with early application permitted. Other than the change in presentation, this accounting standards update will not have an impact on the Company’s consolidated financial position, results of operations or cash flows.

 

2. Acquisitions

 

On January 10, 2014, the Company purchased OHIS and OHC to solidify and expand Altegra’s position as a leader in providing solutions that enhance quality, strengthen compliance and improve the overall performance of healthcare organizations. The Company delivered to the seller approximately $82,607,000 in cash and $2,550,000 in the Company’s stock. Transaction costs of $980,000 were paid and expensed in connection with the acquisition. The purchase price related to the acquisition of OHIS and OHC was allocated to the estimated fair values of the acquired tangible and intangible assets and the assumed liabilities. There was a $2,000,000 subsequent purchase price settlement in favor of the seller primarily due to higher level of working capital that was acquired as part of the consummation of the business. The following table summarizes the estimated fair value of the net assets acquired and liabilities assumed at the date of acquisition:

 

Working Capital

   $  4,671,000   

Property Plant & Equipment

     2,062,000   

Intangible Assets:

  

Customer Relationships

     23,100,000   

Trademarks

     100,000   

Favorable Leasehold Interest

     1,490,000   

Capitalized Software Costs

     7,100,000   
  

 

 

 

Total Intangible Assets

     31,790,000   

Capital Lease Liability

     (577,000

Goodwill

     49,211,000   
  

 

 

 

Total Purchase Price

   $ 87,157,000   
  

 

 

 

 

13


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

3. Goodwill and Intangible Assets

 

The Company’s goodwill and intangible assets consist of the following at December 31, 2014:

 

            Amortization
Period
     Weighted
Average
Amortization
Period
 
Customer Relationships      $116,255,000         4–20 years         15.2 years   
Trademarks      3,775,000         5 years         5.0 years   
Non-Compete Agreements      1,110,000         3–7 years         5.3 years   
Favorable Leasehold      1,490,000         3 years         3 years   
Capitalized Software      53,984,650         1–7 years         4.8 years   
Goodwill      161,665,659         
  

 

 

       
     338,280,309         
Accumulated Amortization      (59,011,379)         
  

 

 

       
Net Goodwill and Intangible Assets      $279,268,930         
  

 

 

       

 

The change in the carrying amount of goodwill as of June 30, 2015 is as follow:

 

Balance as of December 31, 2014

   $  161,665,659   

Activity (unaudited)

     —     
  

 

 

 

Balance as of June 30, 2015

   $ 161,665,659   
  

 

 

 

 

Goodwill is not subject to amortization, but is assessed for impairment annually or more frequently if certain indicators of impairment are present. There was no impairment to the Company’s goodwill during 2014. The weighted-average amortization period is approximately 10.5 years for intangible assets.

 

The estimated remaining amortization expense of intangible assets for the next five years as of December 31, 2014 is as follows:

 

2015

   $  13,696,657   

2016

     12,864,144   

2017

     12,287,657   

2018

     9,576,229   

2019

     7,577,803   

 

4. Property and Equipment

 

Property and equipment at December 31, 2014, is as follows:

 

Computer and Office Equipment

   $  11,981,970   

Furniture, Fixtures and Leasehold Improvements

     4,070,027   
  

 

 

 

Total Property and Equipment

     16,051,997   

Less Accumulated Depreciation

     (9,452,983
  

 

 

 
   $ 6,599,014   
  

 

 

 

 

14


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

5. Capitalized Software Costs

 

The Company capitalizes costs incurred in the internal and external development of software programs that are used to maintain medical record coding projects, several member eligibility screening tools, and internal data base solutions. Total expenditures for development for the six months ended June 30, 2015 and June 30, 2014, were approximately $5,197,000 (unaudited) and $4,794,000 (unaudited), respectively, and $10,000,000 for the year ended December 31, 2014.

 

The total amount of amortization expense of capitalized computer software cost was approximately $6,590,000 (unaudited) and $3,355,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $8,884,000 for the year ended December 31, 2014, and is included in amortization and depreciation.

 

6. Customer Deposits

 

Customer deposits represent retainer fees received from various clients not yet applied to current services rendered. By contract, the Company generally applies the deposit to specified open invoices that the client identifies. In practice, much of the deposits are rolled-over into new projects for the same clients.

 

7. Pension Plan Payable and Employee Benefit Plans

 

Altegra Health has a 401(k) retirement plan (the Retirement Plan) for its employees. Employees are eligible to participate in the Retirement Plan once they have completed 500 hours of service within the first six consecutive months of employment and are at least 21 years of age. Employees not meeting the 500-hour service requirement are eligible to participate in the Retirement Plan once the employee is credited with six months of service. All matching contributions to the Retirement Plan made by the Company are discretionary. The acquired Company, Outcomes Health, maintains a similar plan that was merged with Altegra Health effective on January 1, 2015. Employees under Outcomes Heath in 2014 are eligible to participate in the Retirement Plan once they have completed three months of service and are at least 21 years of age. Lastly, in order to maintain a safe harbor status the Company has adopted a matching contribution that qualifies under ERISA.

 

Altegra Health also sponsors a nonqualified deferred compensation plan (the Plan) for the benefit of certain members of management and other highly compensated employees. The Plan allows participants to make elective deferrals each pay period. Altegra Health may make discretionary matching contributions. The Company recognized deferred compensation liabilities of approximately $211,000 in the accompanying consolidated balance sheets as of June 30, 2015 (unaudited) and $174,000 as of December 31, 2014.

 

8. Income Taxes

 

Income tax expense was $3.0 million for the six months ended June 30, 2015, an increase of $2.6 million, as compared to the same period in 2014. The primary driver of the increase was an increase in pre-tax income for both periods as the effective tax rate was relatively stable between periods. The effective tax rate for the six months ended June 30, 2015 was 39.64% as compared to 40.95% for the six months ended June 30, 2014. In arriving at these rates, management considers a variety of factors, including forecasted full-year pre-tax results, the U.S. federal rate of 35%, expected nondeductible expenses, and estimated state income taxes.

 

Management maintains the position to indefinitely reinvest the foreign earnings of AHPI. No material adjustments related to indefinitely reinvested foreign earnings are expected to occur within the next 12 months.

 

15


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

8. Income Taxes (continued)

 

The components of income tax expense (benefit) for the year ended December 31, 2014 are as follows:

 

Current:

  

Federal

   $ 2,236,365   

State

     430,002   
  

 

 

 
     2,666,367   

Deferred:

  

Federal

     777,309   

State

     (34,357
  

 

 

 
     742,952   
  

 

 

 

Total

   $ 3,409,319   
  

 

 

 

 

The reconciliation of the expected income tax expense with the actual income tax expense reported for the year ended December 31, 2014, computed on income before income taxes at the federal statutory rate is as follows:

 

Pretax Book Income at Statutory Rate

     35.00 

Permanent Differences

     1.61

Rate Differential

     (1.29 )% 

State Taxes, Net

     5.16

Other

     (0.58 )% 
  

 

 

 
     39.90
  

 

 

 

 

Deferred income tax assets and liabilities reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. ASC 740 requires a valuation allowance to reduce the deferred tax assets reported if, based on the weight of evidence, it is more likely than not that some portion or all of the deferred tax assets will not be realized. After consideration of all the evidence, management has determined that no valuation allowance is necessary at December 31, 2014.

 

At December 31, 2014 the Company had federal net operating losses of $1,696,051 which begin to expire in 2027. The deductibility of these loss carry forwards is limited under IRC Sec. 382.

 

16


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

8. Income Taxes (continued)

 

Year-end deferred tax assets (liabilities) as of December 31, 2014 consist of the following:

 

     2014  

Current Deferred Income Tax Assets:

  

Accrued Expenses

   $ 452,950   

Deferred Rent and Client Retainers

     1,281,410   
  

 

 

 

Total Current Deferred Income Tax Assets

     1,734,360   

Noncurrent Deferred Income Tax Assets:

  

Bad Debt Allowance

     306,027   

Net Operating Losses

     843,618   

Stock-based Compensation

     4,977,583   

Deferred Financing Costs

     692,144   

Deferred Revenue

     64,477   

Other

     29,918   
  

 

 

 

Gross noncurrent deferred income tax assets

     6,913,767   
  

 

 

 

Valuation allowance

     (250,000
  

 

 

 

Total net noncurrent deferred income tax assets

     6,663,767   

Noncurrent Deferred Income Tax Liabilities:

  

Fixed Assets

     (1,299,520

Intangible Assets

     (18,172,976
  

 

 

 

Total Noncurrent Deferred Income Tax Liabilities

     (19,472,496
  

 

 

 

Net Deferred Liabilities

   $ (11,074,369
  

 

 

 

 

During 2014, the Company initially recorded a $250,000 deferred tax asset associated with net operating losses generated by its foreign subsidiaries. Management believes it is more likely than not that the deferred tax asset associated with these losses will not be realized. As such, Management has recorded a related valuation allowance of $250,000 against the foreign net operating loss deferred tax asset.

 

At December 31, 2014 the Company had no amounts recorded for uncertain tax positions and does not expect any material changes in uncertain tax benefits during the next 12 months. The Company recognizes interest and penalties related to income tax matters in other expense. No amounts of interest and penalties were recorded at December 31, 2014.

 

9. Fair Value Measurements

 

The fair value of an asset or liability is the price that would be received to sell an asset or transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. The Company utilizes a fair value hierarchy that maximizes the use of observable inputs and minimizes the use of unobservable inputs when measuring fair value and defines three levels of inputs that may be used to measure fair value. Level 1 inputs are quoted prices in active markets for identical assets or liabilities. Level 2 inputs are observable inputs other than quoted prices included in Level 1 that are observable for the asset or liability, either directly or indirectly, including quoted prices for similar assets or liabilities in active markets, quoted prices in markets that are not active, inputs other than quoted prices that are observable for the asset or liability, or inputs derived from observable market data. Level 3 inputs are unobservable inputs that are supported by little or no market activity and are significant to the fair value of the assets or liabilities.

 

17


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

9. Fair Value Measurements (continued)

 

As of December 31, 2014, the Company had satisfied all contingent consideration related to prior acquisitions and the most recent acquisition Outcomes Health excluded any current or future contingencies that would otherwise be noted in this section.

 

10. Commitments

 

The Company entered into lease agreements to lease office space and equipment. Certain of these leases include options to renew as well as rent escalation clauses. The Company’s policy is to purchase equipment and not enter into capital leases, however for the acquired Company Outcomes Health there were lease agreements deemed capital that were transferred as part of the consummation of the business. For two office space leases, the Company is required to maintain irrevocable standby letters of credit in lieu of a security deposit.

 

During July 2014, the Company sent a notice to vacate to the lessor of one of the Company’s remote offices located in California and pursuant to the lease term paid and expensed a lease termination fee of $846,000.

 

During 2014, approximately $410,000 of irrevocable standby letters of credit was issued by a financial institution. On April 30, 2015, an additional $200,000 of irrevocable standby letter of credit was issued by a financial institution in support of the new lease agreement for the relocation of its corporate office. The standby letters of credit are collateralized by the Company’s revolving credit facility.

 

Minimum annual lease payments including rental revenues from subleases are as follows:

 

     Minimum
Payments
     Deduct
Sublease
Rentals
    Net Lease
Commitments
 

For year ending December 31,

       

2015

   $ 4,133,593       $ (99,132   $ 4,034,461   

2016

     2,063,116         —          2,063,116   

2017

     372,634         —          372,634   

2018

     299,667         —          299,667   

2019

     248,491         —          248,491   

Thereafter

     169,185         —          169,185   

 

Rent expense was approximately $1,470,000 (unaudited) and $2,219,000 (unaudited) for the six months ended June 30, 2015 and June 2014, respectively, and $3,892,000, for the year ended December 31, 2014. The Company records minimum rent expenses on a straight-line basis over the terms of the leases. There were no material changes to the minimum annual lease payments or rental revenues from subleases since December 31, 2014, other than changes due to the passage of time and a new lease agreement for the relocation of the Company’s corporate office in connection with the expiration of the lease for its current location in December 2014.

 

The new lease agreement was entered into on April 2, 2015, and provides for annual rent payments of approximately $1.1 million per year over an eleven year term, which commences on November 1, 2015, unless the tenant occupies the premises to conduct its business prior to November 1, 2015.

 

18


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

10. Commitments (continued)

 

Minimum annual capital payments mainly for computer equipment are as follows:

 

     Minimum
Payments
 

For year ending December 31,

  

2015

   $ 229,654   

2016

     31,944   

Thereafter

     —     

 

11. Contingencies

 

The Company is involved from time to time in various claims and legal actions arising in the ordinary course of business. The Company has established what management believes to be adequate reserves for pending legal matters. In the opinion of management, after consultation with outside counsel, the claims or actions to which the Company is a party are not expected to have a material adverse effect, individually or in the aggregate, on the Company’s financial position or results of operations.

 

On December 10, 2010 and February 4, 2013, two separate collective class action complaints were filed against Social Service Coordinators, LLC in the U.S. District Court for the Eastern District of California alleging the Company refused to pay overtime compensation and to provide other benefits required by law. A mediation to settle all wage and hour related current and future disputes was held on April 16, 2014. These two cases were settled (subject to court approval) for a total of $4,900,000, including Plaintiff’s attorney fees and costs. The Company is required to separately pay all employer-side payroll taxes associated with the Class Fund. A total of $5,040,000, including payroll taxes, was accrued as of December 31, 2013. The Company paid the full amount during 2014, as agreed upon in the settlement.

 

12. Related-Party Transactions

 

The Company is party to an advisory services agreement with an affiliate of an indirect major shareholder for the affiliate to provide certain management and advisory services to the Company.

 

The Company incurred approximately $262,000 (unaudited) for each of the six months ended June 30, 2015 and June 30, 2014, and $525,000 for the year ended December 31, 2014.

 

On January 3, 2013, the Company entered into a property lease agreement with a realty company whose individual majority owner is also a minority shareholder of the Company. The Company incurred rent expense related to this property of approximately $523,000 (unaudited) and $524,000 (unaudited) for the six months ended June 30, 2015 and June 30, 2014, respectively, and $1,040,000 for the year ended December 31, 2014.

 

13. Debt

 

On January 3, 2011, the Company previously known as Coding Source Holdings (CSH) entered into a Note Purchase Agreement and a Revolving Credit and Term Loan Agreement with SunTrust Bank as Administrative Agent and Fifth Third Bank as Syndication Agent for a term loan amount of $55,000,000, Morgan Stanley for subordinated debt of $25,000,000, and a revolver in the amount of $15,000,000. This debt was to have a total term of 60 months and was scheduled to mature on January 3, 2016.

 

19


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

13. Debt (continued)

 

On August 10, 2012, the Company entered into an Amended and Restated Revolving Credit and Term Loan Agreement with SunTrust Bank as the Administrative Agent, Fifth Third Bank as the Syndication Agent and CapitalSource Bank, Capital One Bank and RBS Citizens, N.A. as the Co-Documentation Agents for a term loan amount of $90,000,000, and revolver amount of $30,000,000. The Amended and Restated Revolving Credit and Term Loan Agreement is secured by substantially all assets of the Company. The Amended and Restated Revolving Credit and Term Loan Agreement contains certain covenants that among other things, restrict additional indebtedness and obligations, and require the achievement of certain financial covenants.

 

On January 10, 2014, the Company entered into an incremental Term Loan Agreement with SunTrust Bank as the Administrative Agent, Fifth Third Bank as the Syndication Agent and Capital One, RBS Citizens, Cadence Bank, Brown Brothers Harriman & Co., Siemens Financial Services, Synovus Bank, CapitalSource Bank, Regions Bank, and Sabadell United Bank as the lenders. The purpose of this amendment was to raise an additional $82,500,000 in capital for the purchase of Outcomes Health, LLC that took place on the same date of the incremental loan agreement. The Term Loan Agreement continues to be secured by substantially all assets of the Company and contains certain covenants that among other things, restrict additional indebtedness, and require the achievement of certain financial covenants during the duration of the debt agreement.

 

Pursuant to ASC 470-50-40-17(b), the Company capitalized fees of $0.53 million paid to holders of the old Term Loan associated with the modified debt. The fees are being amortized over the term of the modified debt using the effective interest rate method. In addition, $0.60M of fees were paid to the administrative agent, who is also a “lender”. These fees were paid as compensation to an agent. Therefore, these amounts represent third party costs that were expensed instead of recorded as a discount on the new debt.

 

This amended debt arrangement has a 60 month term and is scheduled to mature on June 21, 2018. The Revolving Credit and Term Loan Agreement gives the Company the option of electing Base Rate Loans or Eurodollar Loans. At June 30, 2015 (unaudited) and December 31, 2014, there was no outstanding balance on the revolving line of credit except for the outstanding letter of credits. The term loans bore interest at 3.75% plus the Eurodollar one month rate of 0.18%. The term loan has quarterly repayments of $3,192,188.

 

The term loan has quarterly repayments of $3,192,188 (unaudited) on June 30, 2015 and at the end of each quarter thereafter. As part of the Revolving Credit and Term Loan Agreement, the Company has the ability to draw upon the full $30,000,000 revolver provided the Company is in compliance with all of the financial covenants. At June 30, 2015 (unaudited) and December 31, 2014, there was no outstanding balance on the revolving line of credit except for the outstanding letter of credits as referenced under Section 10—Commitments. The Company incurred $131,000 in commitment fees for the year ended December 31, 2014 for the unused portion of the revolving line of credit.

 

As part of the definitive agreement entered into with Emdeon, Inc. as referenced in the Subsequent Events section, it is required that debt will be retired at closing in connection with the acquisition by Emdeon, Inc.Aggregate maturities required of long-term debt as of December 31, 2014 are due in future years as follows:

 

2015

   $ 11,704,688   

2016

     15,960,938   

2017

     19,701,563   

2018

     112,014,089   
  

 

 

 
   $ 159,381,278   
  

 

 

 

 

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ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

14. Stock Based Compensation

 

The Company maintains compensation plans for officers, other employees, and non-employee members of the Board of Directors (the Plan). The Plan allows the Company to grant equity-based compensation awards, including stock options. Under the Plan, the Board of Directors is authorized to grant options to purchase up to 243,484 ordinary shares. On February 15, 2015 the Company granted 25,824 options to a senior executive. As of June 30, 2015 the updated number of grants is 238,609 (unaudited), with no significant forfeitures in this period. As part of the definitive agreement with Emdeon Inc., all outstanding options will be accelerated and satisfied upon the consummation of the acquisition, as referenced in the subsequent events footnote (see Note 17). All outstanding options will be accelerated and satisfied upon the consummation of the acquisition.

 

In 2014, all options awarded were exercisable for a period up to five years. During 2014, the Company recorded approximately $4,589,000 of stock-based compensation expense. As of December 31, 2014, there was approximately $11,423,000 of unrecognized compensation cost related to the stock options granted under the Plan. That cost is expected to be recognized over a weighted-average period of approximately 5 years. Under the Plan, 20% of the options vest on the first anniversary date and the remaining options vest in equal monthly installments on the last day of each calendar month over the remaining four years. Options under the Plan may be exercised over a period not in excess of 10 years from the date of the grant.

 

The Company estimates the fair value of each stock option on the date of grant using a Black- Scholes option-pricing formula, applying the following assumptions, and amortizes the fair value to expense over the option’s vesting period using the straight-line attribution approach for employees and non-employee directors with most of the compensation expense being recorded during the initial periods of vesting:

 

     2014

Risk-Free Interest Rate

   2.22%—2.71%

Expected Life

   10 years

Expected Dividends

   N/A

Expected Volatility

   38.80—39.50

Forfeiture Rate

   3.60%—9.05%

 

Risk-Free Interest Rate.    The risk-free rate is based on U.S. Treasury zero-coupon issues with remaining terms similar to the expected term on the options.

 

Expected Life.    The expected term of grant was based on the contractual term of the stock option and expected employee exercise and post-vesting employment termination trends. Forfeitures are estimated based on historical experience.

 

Dividend Yield.    The Company used an expected dividend yield of 0% in the valuation model.

 

Volatility.    Since the Company is a private entity with limited historical data regarding the volatility of its common stock, the expected volatility used for the year ended December 31, 2014 is based on volatility of similar entities, referred to as “guideline” companies. The Company considered factors such as industry, stage of life cycle and size in identifying the “guideline” companies.

 

Forfeitures.    ASC 718 requires the Company to estimate forfeitures at the time of grant and revise those estimates in subsequent periods if actual forfeitures differ from those estimates. The Company estimates forfeitures of stock options and recognizes compensation cost only for those awards expected to vest. Forfeiture rates are determined for all employees and non-employee directors based on historical experience and our

 

21


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

14. Stock Based Compensation (continued)

 

estimate of future vesting. Estimated forfeiture rates are adjusted from time to time based on actual forfeiture experience. The following table summarizes the changes in the number of shares of common stock under option and grant date fair value for the year ended December 31, 2014:

 

     Shares     Weighted
Average
Exercise
Price
     Weighted
Average
Remaining
Contractual
Term
(years)
     Aggregate
Intrinsic
Value
Exercisable
     Weighted
Average
Grant
Date Fair
Value
 

Outstanding at December 31, 2013

     155,295      $ 202.08         8.0         96.99         106.51   

Granted

     63,940        283.64         10.0         157.48         125.97   

Forfeited

     (5,643     207.24         —           —           110.02   
  

 

 

   

 

 

    

 

 

    

 

 

    

 

 

 

Outstanding at December 31, 2014

     213,592      $ 226.36         7.0       $ 115.25       $ 111.11   
  

 

 

   

 

 

    

 

 

    

 

 

    

 

 

 

Vested

     115,565      $ 206.96         7.0         N/A         N/A   
  

 

 

   

 

 

    

 

 

    

 

 

    

 

 

 

 

As of December 31, 2014 there were 213,592 options outstanding of which 115,565 were vested and exercisable, respectively.

 

15. Shareholders’ Equity

 

Authorized Capital Stock.    The total number of shares of stock which the Company has authority to issue is 3,600,000 shares, consisting of 3,500,000 shares of Common Stock, with a par value of $.001 per share, and 100,000 shares of Preferred Stock, with a par value of $.001 per share. In accordance with the provisions of § 242(b)(2) of the Delaware General Corporation Law (DGCL), the number of authorized shares of any class or classes of stock may be increased or decreased by the affirmative vote of the holders of a majority of the issued and outstanding shares of stock of the Company entitled to vote thereon irrespective of the class vote requirements set forth in § 242(b)(2) of the DGCL (but, in the case of any decrease, not below the number of outstanding shares of any such class or classes plus that number of shares of such class or classes required to be reserved for issuance upon conversion, exchange or exercise of any option, warrant, or convertible or exchangeable security of any class or series).

 

Classes of Common Stock.    Of the 3,500,000 shares of Common Stock which the Company is authorized to issue, 1,750,000 shares are Voting Common Stock and 1,750,000 shares are Non-Voting Common Stock.

 

16. Guarantees

 

The Company limits its warranties to customers in its contracts. The Company typically disclaims all warranties with respect to the services performed and warrants only that work that will be performed by qualified personnel in a professional manner, that the Company will complete the work in a timely fashion, and that the Company’s systems are free from material errors.

 

As permitted or required under certain jurisdictions, the Company has certain obligations to indemnify its current and former officers and directors for certain events or occurrences while the officer or director is, or was serving, at the Company’s request in such capacities. The maximum liability under these obligations is unlimited; however, the Company’s insurance policies serve to limit its exposure. The Company believes that the estimated fair value of these indemnification obligations is minimal.

 

22


ALTEGRA HEALTH, INC. AND SUBSIDIARIES

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (continued)

 

17a. Subsequent Events

 

The Company has evaluated subsequent events through April 24, 2015, the date the financial statements were available to be issued and determined that there were no subsequent events requiring recognition in the financial statements and there were no non-recognized subsequent events requiring disclosure, except as noted above.

 

17b. Subsequent Events (Unaudited)

 

On July 3, 2015, the Company entered into a definitive agreement to be acquired by Emdeon Inc., a privately held company, for approximately $910 million (unaudited) in cash subject to certain post-closing adjustments. Any cash on hand immediately prior to consummation of the acquisition is expected to be distributed to the stockholders of the Company. Emdeon has obtained debt and equity financing commitments to support the acquisition and anticipates paying the purchase price from a combination of available cash and proceeds from new debt and equity offerings. The acquisition is subject to customary closing conditions, including expiration or early termination of the waiting period under the Hart-Scott-Rodino Act, and is expected to close in the third quarter of 2015.

 

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