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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 10-Q

Quarterly Report under Section 13 or 15(d)
of the Securities Exchange Act of 1934

For the Quarterly Period Ended November 30, 2003

Commission File Number 000-19364

(AMERICAN HEALTHWAYS)

AMERICAN HEALTHWAYS, INC.

(Exact Name of Registrant as Specified in its Charter)
     
Delaware   62-1117144

 
(State or Other Jurisdiction of
Incorporation or Organization)
  (I.R.S. Employer
Identification No.)

3841 Green Hills Village Drive, Nashville, TN 37215


(Address of Principal Executive Offices) (Zip Code)

615-665-1122


(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 twelve months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes x No o

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

Yes x No o

As of January 9, 2004 there were outstanding 32,003,485 shares of the Registrant’s Common Stock, par value $.001 per share.

 


TABLE OF CONTENTS

CONSOLIDATED BALANCE SHEETS
CONSOLIDATED STATEMENTS OF OPERATIONS
CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY
CONSOLIDATED STATEMENTS OF CASH FLOWS
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Item 3. Quantitative and Qualitative Disclosures About Market Risk
Item 4. Controls and Procedures
Part II
Item 1. Legal Proceedings.
Item 2. Changes in Securities and Use of Proceeds.
Item 3. Defaults Upon Senior Securities.
Item 4. Submission of Matters to a Vote of Security Holders.
Item 5. Other Information.
Item 6. Exhibits and Reports on Form 8-K.
SIGNATURES
EX-10.1 EMPLOYMENT AGREEMENT - M KELLIHER 09/05/03
EX-11 EARNINGS PER SHARE RECONCILIATION
EX-31.1 SECTION 302 CERTIFICATION OF THE CEO
EX-31.2 SECTION 302 CERTIFICATION OF THE CFO
EX-32.1 SECTION 906 CERTIFICATION OF THE CEO & CFO


Table of Contents

Part I

Item 1. Financial Statements

AMERICAN HEALTHWAYS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands)

ASSETS

                       
          (Unaudited)    
          November 30,   August 31,
          2003   2003(1)
         
 
Current assets:
               
 
Cash and cash equivalents
  $ 35,007     $ 35,956  
 
Accounts receivable, net
               
     
Billed
    21,043       18,526  
     
Unbilled
    4,701       7,971  
 
Other current assets
    3,997       4,267  
 
Deferred tax asset
    1,105       758  
 
 
   
     
 
   
Total current assets
    65,853       67,478  
Property and equipment:
               
 
Leasehold improvements
    5,381       5,045  
 
Computer equipment and related software
    41,908       38,214  
 
Furniture and office equipment
    10,367       9,558  
 
 
   
     
 
 
    57,656       52,817  
 
Less accumulated depreciation
    (28,528 )     (25,166 )
 
 
   
     
 
 
    29,128       27,651  
Long-term deferred tax asset
    67        
Other assets
    2,131       182  
Intangible assets, net
    22,945       264  
Goodwill, net
    83,627       44,438  
 
 
   
     
 
 
  $ 203,751     $ 140,013  
 
   
     
 

(1)    Certain items have been reclassified to conform to current classifications.

See accompanying notes to the consolidated financial statements.

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AMERICAN HEALTHWAYS, INC.

CONSOLIDATED BALANCE SHEETS

(In thousands, except share and per share data)

LIABILITIES AND STOCKHOLDERS’ EQUITY

                     
        (Unaudited)    
        November 30,   August 31,
        2003   2003(1)
       
 
Current liabilities:
               
 
Accounts payable
  $ 3,130     $ 4,067  
 
Accrued salaries and benefits
    3,183       9,162  
 
Accrued liabilities
    4,532       2,790  
 
Contract billings in excess of earned revenue
    5,463       3,272  
 
Income taxes payable
    1,523       391  
 
Current portion of long-term debt
    12,516       389  
 
Current portion of long-term liabilities
    484       360  
 
   
     
 
   
Total current liabilities
    30,831       20,431  
Long-term debt
    45,613       109  
Long-term deferred tax liability
    2,380       2,380  
Other long-term liabilities
    5,247       4,662  
Stockholders’ equity:
               
 
Preferred stock $.001 par value, 5,000,000 shares authorized, none outstanding
           
 
Common stock $.001 par value, 40,000,000 shares authorized, 31,925,679 and 31,593,464 shares outstanding(2)
    32       32  
 
Additional paid-in capital(2)
    77,363       74,070  
 
Retained earnings
    42,285       38,329  
 
   
     
 
   
Total stockholders’ equity
    119,680       112,431  
 
   
     
 
 
  $ 203,751     $ 140,013  
 
   
     
 

(1)   Certain items have been reclassified to conform to current classifications.

(2)   Restated to reflect the effect of the December 2003 two-for-one stock split.

See accompanying notes to the consolidated financial statements.

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AMERICAN HEALTHWAYS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(In thousands, except earnings per share data)

(Unaudited)

                   
      Three Months Ended
      November 30,
     
      2003   2002
     
 
Revenues
  $ 51,078     $ 37,538  
Cost of services
    34,144       24,626  
 
   
     
 
Gross margin
    16,934       12,912  
Selling, general and administrative expenses
    5,142       3,918  
Depreciation and amortization
    4,142       2,539  
Interest expense
    944       185  
 
   
     
 
Income before income taxes
    6,706       6,270  
Income tax expense
    2,750       2,571  
 
   
     
 
Net income
  $ 3,956     $ 3,699  
 
   
     
 
Earnings per share:(1)
               
 
Basic
  $ 0.12     $ 0.12  
 
Diluted
  $ 0.12     $ 0.11  
Weighted average common shares and equivalents:(1)
               
 
Basic
    31,790       30,793  
 
Diluted
    34,218       32,690  

(1)   Restated to reflect the effect of the December 2003 two-for-one stock split.

See accompanying notes to the consolidated financial statements.

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AMERICAN HEALTHWAYS, INC.

CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ EQUITY

For the Three Months Ended November 30, 2003

(In thousands)

(Unaudited)

                                           
                      Additional        
      Preferred   Common   Paid-in   Retained    
      Stock   Stock   Capital   Earnings   Total
     
 
 
 
 
Balance, August 31, 2003(1)
  $     $ 32     $ 74,070     $ 38,329     $ 112,431  
 
Exercise of stock options and other
                1,265             1,265  
 
Tax benefit of option exercises
                2,028             2,028  
 
Net income
                      3,956       3,956  
 
   
     
     
     
     
 
Balance, November 30, 2003
  $     $ 32     $ 77,363     $ 42,285     $ 119,680  
 
   
     
     
     
     
 

(1)   Restated to reflect the effect of the December 2003 two-for-one stock split.

See accompanying notes to the consolidated financial statements.

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AMERICAN HEALTHWAYS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(In thousands)

(Unaudited)

                     
        Three Months Ended
        November 30,
       
        2003   2002(1)
       
 
Cash flows from operating activities:
               
 
Net income
  $ 3,956     $ 3,699  
 
Adjustments to reconcile net income to net cash provided by operating activities, net of business acquisitions:
               
   
Depreciation and amortization
    4,142       2,539  
   
Amortization of deferred loan costs
    192       69  
   
Tax benefit of stock option exercises
    2,028       352  
   
Decrease (increase) in accounts receivable, net
    1,182       (3,026 )
   
Decrease (increase) in other current assets
    497       (726 )
   
Decrease in accounts payable
    (1,480 )     (2,251 )
   
Decrease in accrued salaries and benefits
    (6,599 )     (7,528 )
   
Increase in other current liabilities
    1,706       6,305  
   
Other
    488       391  
   
Decrease in other assets
    49       251  
   
Payments on other long-term liabilities
    (61 )      
 
   
     
 
 
Net cash flows provided by operating activities
    6,100       75  
 
   
     
 
Cash flows from investing activities:
               
   
Acquisition of property and equipment
    (3,061 )     (4,862 )
   
Business acquisitions, net of cash acquired
    (59,812 )      
 
   
     
 
 
Net cash flows used in investing activities
    (62,873 )     (4,862 )
 
   
     
 
Cash flows from financing activities:
               
   
Increase in restricted cash and cash equivalents
          (3,000 )
   
Proceeds from issuance of long-term debt, net of deferred loan costs
    57,685        
   
Exercise of stock options
    1,262       206  
   
Payments of long term-debt
    (3,123 )     (94 )
 
   
     
 
 
Net cash flows provided by (used in) financing activities
    55,824       (2,888 )
 
   
     
 
Net decrease in cash and cash equivalents
    (949 )     (7,675 )
Cash and cash equivalents, beginning of period
    35,956       23,924  
Cash and cash equivalents, end of period
  $ 35,007     $ 16,249  
 
   
     
 
Supplemental disclosure of cash flow information:
               
 
Cash paid during the period for interest
  $ 649     $ 13  
 
   
     
 
 
Cash paid during the period for income taxes
  $ 837     $ 15  
 
   
     
 

(1)   Certain items have been reclassified to conform to current classifications.

See accompanying notes to the consolidated financial statements.

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AMERICAN HEALTHWAYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(Unaudited)

(1)    Interim Financial Reporting

      The accompanying consolidated financial statements of American Healthways, Inc. and its subsidiaries (the “Company”) for the three months ended November 30, 2003 and 2002 are unaudited. However, in the opinion of the Company, all adjustments consisting of normal, recurring accruals necessary for a fair presentation have been reflected therein. Certain items in prior periods have been reclassified to conform to current classifications.

      Certain financial information, which is normally included in financial statements prepared in accordance with accounting principles generally accepted in the United States, but which is not required for interim reporting purposes, has been omitted. The accompanying consolidated financial statements should be read in conjunction with the financial statements and notes thereto included in the Company’s Annual Report on Form 10-K for the fiscal year ended August 31, 2003.

(2)    Business Segments

      The Company provides care enhancement and disease management services to health plans and hospitals. The Company’s reportable segments are the types of customers, hospital or health plan, who contract for the Company’s services. The segments are currently managed separately, and the Company evaluates performance based on operating profits of the respective segments. The Company supports both segments with shared support services, including information technology, marketing, and human resources.

      The accounting policies of the segments are the same as those used in the preparation of the Company’s consolidated financial statements. There are no intersegment sales. Income (loss) before income taxes by operating segment excludes general corporate expenses.

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Summarized financial information by business segment is as follows:

                     
        Three Months Ended
        November 30,
       
(In $000s)   2003   2002

 
 
Revenues:
               
 
Health plan contracts
  $ 47,714     $ 33,507  
 
Hospital contracts
    3,312       3,947  
 
Other revenue
    52       84  
 
   
     
 
 
  $ 51,078     $ 37,538  
 
   
     
 
Income (loss) before income taxes:
               
 
Health plan contracts
  $ 16,726     $ 11,932  
 
Hospital contracts
    737       753  
 
Shared support services
    (7,019 )     (5,246 )
 
   
     
 
   
Total segments
    10,444       7,439  
 
General corporate expenses
    (3,738 )     (1,169 )
 
   
     
 
 
  $ 6,706     $ 6,270  
 
   
     
 

(3)    Recently Issued Accounting Standards

      Consolidation of Variable Interest Entities

      In January 2003, the Financial Accounting Standards Board (“FASB”) issued Interpretation (“FIN”) No. 46, “Consolidation of Variable Interest Entities”. FIN No. 46 requires consolidation of variable interest entities (“VIE”) if certain conditions are met. The interpretation applies immediately to VIEs created after January 31, 2003, and to variable interests obtained in VIEs after January 31, 2003. FIN No. 46 generally applies to periods ending after March 15, 2004 for variable interest entities in which an enterprise holds a variable interest that it acquired before February 1, 2003. The adoption of FIN No. 46 did not have and is not expected to have a material impact on the Company’s financial position or results of operations.

      Derivative Instruments and Hedging Activities

      In April 2003, the FASB issued Statement of Financial Accounting Standards (“SFAS”) No. 149, “Amendment of Statement 133 on Derivative Instruments and Hedging Activities", which amends and clarifies accounting for derivative instruments, including certain derivative instruments embedded in other contracts, and for hedging activities that fall within the scope of SFAS No. 133, “Accounting for Derivative Instruments and Hedging Activities”. SFAS No. 149 amends SFAS No. 133 regarding implementation issues raised in relation to the application of the definition of a derivative. The amendments set forth in SFAS No. 149 require that contracts with comparable characteristics be accounted for similarly. This Statement is effective for contracts entered into or modified after June 30, 2003, with certain exceptions, and for hedging relationships designated after June 30, 2003. The adoption of SFAS No. 149 did not have a material impact on the Company’s financial position or results of operations.

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(4)    Stock-Based Compensation

      In December 2002, the FASB issued SFAS No. 148, “Accounting for Stock-Based Compensation – Transition and Disclosure – an Amendment of FASB Statement No. 123”. SFAS No. 148 amends SFAS No. 123, “Accounting for Stock-Based Compensation,” to provide alternative methods of transition for a voluntary change to the fair value based method of accounting for stock-based employee compensation. In addition, SFAS No. 148 amends the disclosure requirements of SFAS No. 123 to require prominent disclosures in both annual and interim financial statements about the method of accounting for stock-based employee compensation and the effect of the method used on reported results. SFAS No. 148 is effective for annual and interim periods beginning after December 15, 2002. The adoption of SFAS No. 148 did not have a material impact on the Company’s financial position or results of operations. The Company has elected to continue to measure compensation for stock options issued to its employees and outside directors pursuant to Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees” and has adopted the disclosure requirements of SFAS No. 123 and SFAS No. 148. Accordingly, no compensation expense has been recognized in connection with the issuance of stock options. The following table illustrates the effect on net income and earnings per share if the Company had applied the fair value recognition provisions of SFAS No. 123 to stock-based employee compensation.

                   
      Three Months Ended
      November 30,
     
(In $000s, except per share data)   2003   2002

 
 
Net income, as reported
  $ 3,956     $ 3,699  
Deduct: Total stock-based employee compensation expense determined under fair value based method for all awards, net of related tax effects
    (1,103 )     (820 )
 
   
     
 
Pro forma net income
  $ 2,853     $ 2,879  
 
   
     
 
Earnings per share: (1)
               
 
Basic — as reported
  $ 0.12     $ 0.12  
 
Basic — pro forma
  $ 0.09     $ 0.09  
 
Diluted — as reported
  $ 0.12     $ 0.11  
 
Diluted — pro forma
  $ 0.08     $ 0.09  

(1)   Restated to reflect the effect of the December 2003 two-for-one stock split.

(5)    Business Acquisitions

      On September 5, 2003, the Company completed the acquisition of StatusOne Health Systems, Inc. (“StatusOne”) through the merger of a wholly-owned subsidiary of the Company with and into StatusOne in accordance with the terms of an Agreement and Plan of Merger (the “Merger Agreement”). The addition of StatusOne expands the Company’s product offerings and provides for additional opportunities for initiating and expanding total-population care management programs with health plans.

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      The aggregate purchase price paid by the Company was approximately $65.4 million, which was funded through a $60 million term loan and cash of $5.4 million, including acquisition costs of approximately $0.4 million. In addition, pursuant to an earn-out agreement (the “Earn-Out Agreement”), the Company is obligated to pay the former stockholders of StatusOne up to $12.5 million in additional purchase price, payable either in cash or common stock at the Company’s discretion, if StatusOne achieves certain revenue targets during the one-year period immediately following the acquisition (the “Earn-Out Period”). At the closing, the Company delivered $5 million of the purchase price into an escrow account under the terms and conditions of a separate escrow agreement to secure certain obligations of the former stockholders under the terms of the Merger Agreement.

      The allocation of the StatusOne purchase price, shown below, is preliminary and subject to adjustments, primarily related to any additional purchase price attributable to StatusOne’s results during the Earn-Out Period.

             
(In $000s)    

   
Fair value of net assets acquired
  $ 2,589  
Intangible assets:
       
 
Acquired technology
    10,163  
 
Customer contracts
    9,137  
 
Trade name
    4,344  
 
Goodwill
    39,189  
 
   
 
   
Total purchase price
  $ 65,422  
 
   
 

      The results of operations of StatusOne were consolidated with those of the Company beginning September 5, 2003. The unaudited pro forma results of operations as if the transaction had occurred on September 1, 2002 are as follows:

           
      Three Months Ended
(In $000s, except per share data)   November 30, 2002

 
Revenues
  $ 42,379  
Net income
  $ 3,500  
Earnings per share:(1)
       
 
Basic
  $ 0.11  
 
Diluted
  $ 0.11  

(1)   Reflects the effect of the December 2003 two-for-one stock split.

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(6)    Intangible and Other Assets

      Intangible assets subject to amortization at November 30, 2003 consist of the following:

                         
    Gross Carrying   Accumulated    
    Amount   Amortization   Net
   
 
 
(In $000s) Acquired technology
  $ 10,163     $ 508     $ 9,655