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UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549


Form 10-Q

     
(Mark One)
   
þ
  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
 
    For the quarterly period ended March 31, 2004
 
or
 
o
  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
    For the transition period from           to

Commission File Number 0-22585


Trover Solutions, Inc.

(Exact Name of Registrant as Specified in its Charter)
     
Delaware   61-1141758
(State or Other Jurisdiction of
Incorporation or Organization)
  (I.R.S. Employer
Identification No.)
 
1600 Watterson Tower,
Louisville, Kentucky
(Address of Principal Executive Offices)
  40218
(Zip Code)

(Registrant’s Telephone Number, Including Area Code)

(502) 454-1340

      Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.     Yes þ          No o

      Indicate by check mark whether the Registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act).     Yes o          No þ

      As of May 12, 2004, 8,504,163 shares of the Registrant’s Common Stock, $0.001 par value were outstanding.




 

TABLE OF CONTENTS

PART I: FINANCIAL INFORMATION
Item 1. Financial Statements (Unaudited)
CONDENSED BALANCE SHEETS
CONDENSED STATEMENTS OF INCOME
CONDENSED STATEMENTS OF CASH FLOWS
NOTES TO CONDENSED 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: OTHER INFORMATION
Item 1. Legal Proceedings
Item 2. Changes in Securities, Use of Proceeds and Issuer Purchases of Equity Securities
Item 6. Exhibits and Reports on Form 8-K
SIGNATURES
EMPLOYMENT AGREEMENT
SECTION 302 CERTIFICATION OF THE CEO
SECTION 302 CERTIFICATION OF THE CFO
SECTION 906 CERTIFICATION OF THE CEO AND CFO

TROVER SOLUTIONS, INC.

FORM 10-Q

March 31, 2004

INDEX

      THIS FORM 10-Q AND OTHER STATEMENTS ISSUED OR MADE FROM TIME TO TIME BY TROVER SOLUTIONS, INC. OR MEMBERS OF ITS MANAGEMENT TEAM CONTAIN STATEMENTS WHICH MAY CONSTITUTE “FORWARD-LOOKING STATEMENTS” WITHIN THE MEANING OF THE SECURITIES ACT OF 1933 AND THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED BY THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995, 15 U.S.C.A. SECTIONS 77Z-2 AND 78U-5 (SUPP. 1996). THOSE STATEMENTS INCLUDE STATEMENTS REGARDING THE INTENT, BELIEF OR CURRENT EXPECTATIONS OF TROVER SOLUTIONS, INC. AND MEMBERS OF ITS MANAGEMENT TEAM, AS WELL AS THE ASSUMPTIONS ON WHICH SUCH STATEMENTS ARE BASED. PROSPECTIVE INVESTORS ARE CAUTIONED THAT ANY SUCH FORWARD-LOOKING STATEMENTS ARE NOT GUARANTEES OF FUTURE PERFORMANCE AND INVOLVE RISKS AND UNCERTAINTIES, AND THAT ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE CONTEMPLATED BY SUCH FORWARD-LOOKING STATEMENTS. IMPORTANT FACTORS CURRENTLY KNOWN TO MANAGEMENT THAT COULD CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY FROM THOSE IN FORWARD-LOOKING STATEMENTS ARE SET FORTH IN THE SAFE HARBOR COMPLIANCE STATEMENT FOR FORWARD-LOOKING STATEMENTS INCLUDED AS EXHIBIT 99.1 TO THE TROVER SOLUTIONS, INC. ANNUAL REPORT ON FORM 10-K FOR THE FISCAL YEAR ENDED DECEMBER 31, 2003, AND ARE HEREBY INCORPORATED HEREIN BY REFERENCE. TROVER SOLUTIONS, INC. UNDERTAKES NO OBLIGATION TO UPDATE OR REVISE FORWARD-LOOKING STATEMENTS TO REFLECT CHANGED ASSUMPTIONS OR CIRCUMSTANCES, THE OCCURRENCE OF UNANTICIPATED EVENTS OR CHANGES TO FUTURE OPERATING RESULTS OVER TIME.

i


 

PART I:     FINANCIAL INFORMATION

 
Item 1. Financial Statements (Unaudited)

TROVER SOLUTIONS, INC.

CONDENSED BALANCE SHEETS
(Unaudited)
(In thousands, except per share information)
                     
March 31, December 31,
2004 2003


ASSETS
Current assets:
               
 
Cash and cash equivalents
  $ 11,244     $ 11,174  
 
Restricted cash
    16,064       17,034  
 
Accounts receivable, less allowance for doubtful accounts of $551 at March 31, 2004 and $479 at December 31, 2003
    8,381       6,993  
Other current assets
    3,043       3,039  
     
     
 
   
Total current assets
    38,732       38,240  
     
     
 
Property and equipment, net
    5,558       5,813  
     
     
 
Goodwill, net
    29,146       29,146  
Identifiable intangibles, net
    3,220       3,315  
Other assets
    1,892       1,982  
     
     
 
   
Total assets
  $ 78,548     $ 78,496  
     
     
 
 
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
               
 
Trade accounts payable
  $ 542     $ 1,250  
 
Accrued expenses
    5,204       5,405  
 
Accrued bonuses
    1,262       1,581  
 
Funds due clients
    11,638       12,019  
 
Income taxes payable
    1,266       677  
 
Short-term borrowings
    4,000       4,000  
 
Deferred income tax liability
    361       354  
     
     
 
   
Total current liabilities
    24,273       25,286  
Other liabilities
    4,067       4,562  
     
     
 
   
Total liabilities
    28,340       29,848  
     
     
 
Commitments and contingencies
           
Stockholders’ equity:
               
 
Preferred stock, $.001 par value per share; 2,000 shares authorized; no shares issued or outstanding
           
 
Common stock, $.001 par value per share; 20,000 shares authorized; 8,495 and 8,477 shares outstanding at March 31, 2004 and December 31, 2003, respectively
    12       12  
 
Capital in excess of par value
    23,566       23,465  
 
Other
    (1,004 )     (988 )
 
Treasury stock at cost; 3,261 shares at March 31, 2004 and December 31, 2003
    (14,459 )     (14,459 )
 
Accumulated other comprehensive income
    (40 )     (51 )
 
Unearned compensation
    (26 )     (28 )
 
Retained earnings
    42,159       40,697  
     
     
 
   
Total stockholders’ equity
    50,208       48,648  
     
     
 
   
Total liabilities and stockholders’ equity
  $ 78,548     $ 78,496  
     
     
 

The accompanying notes are an integral part of the condensed financial statements.

1


 

TROVER SOLUTIONS, INC.

CONDENSED STATEMENTS OF INCOME
For the Three Months Ended March 31, 2004 and 2003
(Unaudited)
(In thousands, except per share information)
                   
Three Months Ended
March 31,

2004 2003


Claims revenues
  $ 15,937     $ 16,353  
Cost of revenues
    7,646       8,343  
     
     
 
 
Gross profit
    8,291       8,010  
     
     
 
Support expenses
    5,036       4,482  
Depreciation and amortization
    765       962  
     
     
 
 
Operating income
    2,490       2,566  
     
     
 
Interest income
    49       50  
Interest expense
    103       121  
     
     
 
 
Income before income taxes
    2,436       2,495  
Provision for income taxes
    974       998  
     
     
 
 
Net income
  $ 1,462     $ 1,497  
     
     
 
Earnings per common share (basic)
  $ 0.17     $ 0.18  
     
     
 
Earnings per common share (diluted)
  $ 0.17     $ 0.17  
     
     
 

The accompanying notes are an integral part of the condensed financial statements.

2


 

TROVER SOLUTIONS, INC.

CONDENSED STATEMENTS OF CASH FLOWS
For the Three Months Ended March 31, 2004 and 2003
(Unaudited)
(In thousands)
                         
Three Months Ended
March 31,

2004 2003


Cash flows from operating activities:
               
 
Net income
  $ 1,462     $ 1,497  
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
   
Depreciation and amortization
    994       1,141  
   
Other
    22       3  
   
Changes in operating assets and liabilities:
               
     
Restricted cash
    970       (1,190 )
     
Accounts receivable
    (1,388 )     601  
     
Other current assets
    (27 )     180  
     
Other assets
    (63 )     8  
     
Trade accounts payable
    (708 )     (419 )
     
Accrued expenses
    (522 )     (2,616 )
     
Funds due clients
    (381 )     1,345  
     
Income taxes payable
    589       962  
     
Other liabilities
    (495 )      
     
     
 
       
Net cash provided by operating activities
    453       1,512  
     
     
 
Cash flows from investing activities:
               
 
Purchases of property and equipment
    (233 )     (546 )
 
Capitalization of internally developed software
    (234 )     (262 )
     
     
 
       
Net cash used in investing activities
    (467 )     (808 )
     
     
 
Cash flows from financing activities:
               
 
Repurchase of common stock
          (902 )
 
Issuance of common stock
    100       60  
 
Other
    (16 )     (15 )
     
     
 
       
Net cash provided by (used in) financing activities
    84       (857 )
     
     
 
Net decrease in cash and cash equivalents
    70       (153 )
Cash and cash equivalents, beginning of period
    11,174       2,269  
     
     
 
Cash and cash equivalents, end of period
  $ 11,244     $ 2,116  
     
     
 

The accompanying notes are an integral part of the condensed financial statements.

3


 

TROVER SOLUTIONS, INC.

NOTES TO CONDENSED FINANCIAL STATEMENTS
(Unaudited)
 
1. Organization and Basis of Presentation

      Trover Solutions, Inc., a Delaware corporation (the “Company”), was incorporated on June 30, 1988. The Company provides subrogation and certain other claims recovery and cost containment services, on an outsourcing basis, to the private healthcare payor industry and the property and casualty insurance industry. Its primary business is medical claims recovery, and its primary product is subrogation recovery, i.e., the Company identifies, investigates and recovers accident-related medical benefits incurred by its healthcare payor and insurance clients on behalf of their insureds, but for which other persons or entities have primary responsibility. The Company’s clients’ rights to recover the value of these medical benefits, arising by law or contract, are generally known as the right of subrogation and are generally paid from the proceeds of liability or workers’ compensation insurance. The Company’s other medical claims recovery services include (1) the auditing of the bills of medical providers, particularly hospitals, for accuracy, correctness and compliance with contract terms (“provider bill audit”), (2) the recovery of overpayments attributable to duplicate payments, failures to coordinate benefits and similar errors in payment (“overpayments”), and (3) the auditing of physician evaluation and management claims for consistency with medical records, in accordance with federal guidelines (“MD Audit”).

      The Company has three segments: (1) Healthcare Recovery Services, which encompasses its four healthcare recovery products: healthcare subrogation, provider bill audit, overpayments, and MD audit; (2) Property and Casualty Recovery Services, which is subrogation recovery services for property and casualty insurers, sold under the brand name TransPaC Solutions; and (3) Software, which is subrogation recovery software in a browser-based application service provider (ASP) form, sold under the name Troveris.

      The accompanying financial statements are presented in a condensed format and consequently do not include all of the disclosures normally required by accounting principles generally accepted in the United States of America or those normally made in the Company’s annual financial statements. Accordingly, for further information, the reader of this Form 10-Q may wish to refer to the Company’s audited financial statements as of and for the year ended December 31, 2003, contained in the Company’s Annual Report on Form 10-K for the fiscal year ended December 31, 2003, filed with the Securities and Exchange Commission on March 19, 2004.

      The financial information has been prepared in accordance with the Company’s customary accounting practices and is unaudited. In the opinion of management of the Company, the information presented reflects all adjustments necessary for a fair presentation of interim results. All such adjustments are of a normal and recurring nature.

 
2. Stock-Based Compensation

      In December 2002, the Financial Accounting Standards Board (FASB) issued Statement of Financial Accounting Standards (SFAS) No. 148, “Accounting for Stock-Based Compensation — Transition and Disclosure — an Amendment of SFAS 123” which provides alternative methods for a voluntary change to the fair value method of accounting for stock-based compensation and amends the disclosure requirements of SFAS 123. The Company has elected to continue to account for its stock-based compensation plans under Accounting Principles Board Opinion No. 25, “Accounting for Stock Issued to Employees” (APB No. 25), and related interpretations. The following disclosures are provided in accordance with SFAS 148.

      The Company has various stock-based compensation plans including stock option plans and an employee stock purchase plan. No stock-based employee compensation cost is reflected in net income as all options granted under those plans had an exercise price equal to the market value of the underlying common stock on the date of grant. The following table illustrates the effect on net income and earnings per share if the

4


 

TROVER SOLUTIONS, INC.

NOTES TO CONDENSED FINANCIAL STATEMENTS — (Continued)

Company had applied the fair value recognition provisions of SFAS No. 123, “Accounting for Stock-Based Compensation” to stock-based employee compensation (dollars in thousands, except per share results):

                 
Three Months
Ended March 31,

2004 2003


Net income as reported
  $ 1,462     $ 1,497  
Less: total stock-based employee compensation expense determined under fair value based method for all awards, net of related tax effects
    (37 )     (155 )
     
     
 
Proforma net income
  $ 1,425     $ 1,342  
     
     
 
Earnings per common share:
               
As reported (basic)
  $ 0.17     $ 0.18  
As reported (diluted)
    0.17       0.17  
Proforma (basic)
    0.17       0.16  
Proforma (diluted)
    0.16       0.15  

      The effects of applying SFAS No. 123 in the pro forma disclosures are not likely to be representative of the effects on pro forma net income or earnings per common share for future years because variables such as option grants, option exercises, and stock price volatility included in the disclosures may not be indicative of actual future activity.

 
3. Earnings Per Common Share

      Reconciliations of the average number of common shares outstanding used in the calculation of earnings per common share and earnings per common share assuming dilution are as follows (dollars and shares in thousands, except per share results):

                   
Three Months
Ended March 31,

2004 2003


Weighted average number of common shares outstanding
    8,492       8,481  
Add: Dilutive stock options
    339       242  
     
     
 
Number of common shares outstanding (diluted)
    8,831       8,723  
     
     
 
Net earnings for earnings per common share (basic and diluted)
  $ 1,462     $ 1,497  
     
     
 
Earnings per common share:
               
 
Basic
  $ 0.17     $ 0.18  
     
     
 
 
Diluted
  $ 0.17     $ 0.17  
     
     
 

      Basic earnings per common share were computed based on the weighted-average number of shares outstanding during the period. The dilutive effect of stock options was calculated using the treasury stock method. Options to purchase 879,502 and 950,402 shares for the three months ended March 31, 2004 and 2003, respectively, were not included in the computation of diluted earnings per common share because their effect would be anti-dilutive.

 
4. Income Taxes

      For the three months ended March 31, 2004 and 2003, the Company accrued income taxes at a 40.0% effective tax rate.

5


 

TROVER SOLUTIONS, INC.

NOTES TO CONDENSED FINANCIAL STATEMENTS — (Continued)

 
5. Related Party Transactions

      The Company has entered into a contract for legal services with a professional service corporation, Sharps & Associates, PSC, an entity owned solely by one of the Company’s officers, Douglas R. Sharps. This arrangement exists solely for the benefit of the Company. Its purpose is to minimize the costs of legal services purchased by the Company on behalf of its clients. Mr. Sharps receives no financial or other personal benefit from his ownership of the firm. All payments to Sharps & Associates, PSC are reviewed and approved by the Audit Committee of the Company’s Board of Directors. For the three months ended March 31, 2004 and 2003, approximately $895,000 and $830,000, respectively, was paid to this law firm for such legal services, including all employees and expenses.

      On February 12, 1999, the Board of Directors approved a loan in the amount of $350,000 to Patrick B. McGinnis, the Chairman and Chief Executive Officer of the Company, in exchange for a full recourse promissory note in the same amount from Mr. McGinnis. On June 30, 2000, at the direction of the Board of Directors and in accordance with terms authorized by it, the Company loaned Mr. McGinnis an additional $500,000. Under these terms, the $500,000 loan to Mr. McGinnis was combined with his existing debt to the Company of $350,000 of principal and $36,520 of accrued interest. Mr. McGinnis delivered to the Company his full recourse promissory note in the amount of $886,520, bearing interest at a fixed rate of 6.62% per annum (the applicable Federal mid-term rate in effect for tax purposes at the date of the note), compounded annually (the “Amended Promissory Note”), and the Company cancelled the old promissory note evidencing the prior debt. The Amended Promissory Note provides for mandatory prepayments from certain of the proceeds received by Mr. McGinnis from his sale of the Company’s securities and any related transactions. At March 31, 2004 and December 31, 2003, the promissory note of $886,520 and accrued interest of $117,540 and $101,237, respectively, were outstanding. Mr. McGinnis used the proceeds of these loans to repay debts originally incurred by him to pay income taxes related to the ordinary income deemed to have been received by him on account of Common Stock granted to him by the former shareholder of the Company in connection with the initial public offering of the Company’s stock in May 1997, and to purchase additional stock in the initial public offering. The balance of the Amended Promissory Note at March 31, 2004 and December 31, 2003 is included in “Other” in the Stockholders’ Equity section of the accompanying balance sheets.

      On June 30, 2000, pursuant to Board authorization and in accordance with the terms of the Amended Promissory Note, the Company and Mr. McGinnis entered into a deferred compensation agreement (the “Agreement”). Under the Agreement, 50% of the amount otherwise payable to Mr. McGinnis under the Company’s Management Group Incentive Compensation Plan is to be deferred until the Amended Promissory Note is paid in full, with such deferred compensation then being paid in full to Mr. McGinnis within 30 days thereafter. The Company has full right of set-off against any deferred compensation under the Agreement should Mr. McGinnis default under the Amended Promissory Note. At the election of Mr. McGinnis, the payment of the deferred compensation, upon payment of the Amended Promissory Note, may be extended for a period of not more than ten years. At March 31, 2004 and December 31, 2003, the amount of deferred compensation was $182,012, with accrued interest of $22,542 and $19,323, respectively.

      Effective January 1, 2003, the Company entered into an employment agreement with Mr. McGinnis. Upon signing the employment agreement, Mr. McGinnis received a bonus of $200,000. The bonus is subject to full or partial reimbursement by Mr. McGinnis to the Company, based on the date of termination, if Mr. McGinnis terminates his employment with the Company during the initial three-year term of his employment. The bonus payment was recorded in “Other Current Assets” on the accompanying Balance Sheets and is being amortized over the term of the agreement. The unamortized balance March 31, 2004 and December 31, 2003 was $116,667 and $133,333, respectively.

6


 

TROVER SOLUTIONS, INC.

NOTES TO CONDENSED FINANCIAL STATEMENTS — (Continued)

 
6. Property and Equipment

      The property and equipment consists of the following at March 31, 2004 and December 31, 2003 (in thousands):

                     
March 31, December 31,
2004 2003


Property and equipment, at cost:
               
 
Furniture and fixtures
  $ 3,126     $ 3,126  
 
Office equipment
    1,414       1,410  
 
Computer equipment
    7,880       7,734  
 
Software
    10,929       10,614  
 
Leasehold improvements
    1,889       1,886  
     
     
 
      25,238       24,770  
 
Accumulated depreciation and amortization
    (19,680 )     (18,957 )
     
     
 
   
Property and equipment, net
  $ 5,558     $ 5,813  
     
     
 
 
7. Goodwill and Other Intangible Assets

      The Company accounts for goodwill under FAS 142, under which goodwill is not amortized but instead is assessed for impairment at least annually. The Company performs its annual impairment review during the second quarter of each year. The review performed during the quarter ended June 30, 2003 did not result in an impairment charge for the Company. The Company’s reporting units are generally consistent with the operating segments underlying the segments identified in Note 15. “Segment Information”. All recorded goodwill and other intangible assets relate to the Healthcare Recovery Services segment.

      The carrying value of goodwill, net, was approximately $29.1 million at December 31, 2003 and 2002. There were no goodwill impairment losses recorded during the three months ended March 31, 2004.

      All of the Company’s intangible assets (other than goodwill, net) are subject to amortization. The details of the Company’s intangible assets at March 31, 2004 and December 31, 2003 are as follows (in thousands):

                                                   
March 31, 2004 December 31, 2003


Accumulated Accumulated
Cost Amortization Net Cost Amortization Net






Client lists
  $ 4,900     $ 1,680     $ 3,220     $ 4,900     $ 1,599     $ 3,301  
Backlog
    570       570             570       560