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TABLE OF CONTENTS
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
ý |
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the Quarterly Period Ended December 31, 2002
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 No. 1-6639
MAGELLAN HEALTH SERVICES, INC.
(Exact name of registrant as specified in its charter)
| Delaware | 58-1076937 | |
| (State of other jurisdiction of incorporation or organization) |
(IRS Employer Identification No.) | |
6950 Columbia Gateway Drive Suite 400 Columbia, Maryland |
21046 |
|
| (Address of principal executive offices) | (Zip code) |
(410) 953-1000
(Registrant's telephone number, including area code)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes ý No o
Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Exchange Act). Yes o No ý
The number of shares of the registrant's common stock outstanding as of January 31, 2003 was 35,318,926.
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
INDEX
2
Item 1.Financial Statements
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
(In thousands, except per share amounts)
| |
September 30, 2002 |
December 31, 2002 |
||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| ASSETS | ||||||||||
| Current assets: | ||||||||||
| Cash and cash equivalents | $ | 46,013 | $ | 62,488 | ||||||
| Accounts receivable, less allowance for doubtful accounts of $3,056 at September 30, 2002 and $3,749 at December 31, 2002 | 95,124 | 81,228 | ||||||||
| Restricted cash, investments and deposits | 124.740 | 127,318 | ||||||||
| Refundable income taxes | 2,095 | 1,966 | ||||||||
| Other current assets | 15,758 | 13,131 | ||||||||
| Total current assets | 283,730 | 286,131 | ||||||||
| Property and equipment | 86,773 | 85,659 | ||||||||
| Investments in unconsolidated subsidiaries | 13,220 | 12,183 | ||||||||
| Other long-term assets | 44,398 | 43,840 | ||||||||
| Goodwill, net | 502,334 | 502,334 | ||||||||
| Intangible assets, net | 73,625 | 68,770 | ||||||||
| $ | 1,004,080 | $ | 998,917 | |||||||
LIABILITIES AND STOCKHOLDERS' EQUITY |
||||||||||
| Current liabilities: | ||||||||||
| Accounts payable | $ | 19,178 | $ | 15,897 | ||||||
| Accrued liabilities | 233,813 | 217,837 | ||||||||
| Medical claims payable | 201,763 | 205,331 | ||||||||
| Debt in default and current maturities of capital lease obligations | 1,039,658 | 1,038,934 | ||||||||
| Total current liabilities | 1,494,412 | 1,477,999 | ||||||||
| Long-term capital lease obligations | 9,696 | 9,224 | ||||||||
Deferred credits and other long-term liabilities |
2,311 |
2,290 |
||||||||
| Minority interest | 641 | 683 | ||||||||
| Commitments and contingencies (See Note J) | ||||||||||
| Redeemable preferred stock | 67,692 | 69,043 | ||||||||
| Stockholders' equity: | ||||||||||
| Preferred stock, without par value Authorized9,793 shares at September 30, 2002 and December 31, 2002 |
||||||||||
| Issued and outstandingnone | | | ||||||||
| Common stock, par value $0.25 per share Authorized80,000 shares Issued 37,428 shares and outstanding 35,139 shares at September 30, 2002 and December 31, 2002 |
9,356 | 9,356 | ||||||||
| Other stockholders' equity | ||||||||||
| Additional paid-in capital | 354,097 | 352,718 | ||||||||
| Accumulated deficit | (914,866 | ) | (903,137 | ) | ||||||
| Warrants outstanding | 25,050 | 25,050 | ||||||||
| Common stock in treasury, 2,289 shares at September 30, 2002 and December 31, 2002 | (44,309 | ) | (44,309 | ) | ||||||
| Total stockholders' equity | (570,672 | ) | (560,322 | ) | ||||||
| $ | 1,004,080 | $ | 998,917 | |||||||
See accompanying notes.
3
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In thousands, except per share amounts)
| |
For the Three Months Ended December 31, |
|||||||
|---|---|---|---|---|---|---|---|---|
| |
2001(1) |
2002 |
||||||
| Net revenue | $ | 444,842 | $ | 445,890 | ||||
| Cost and expenses: | ||||||||
| Salaries, cost of care and other operating expenses | 395,093 | 391,433 | ||||||
| Equity in earnings of unconsolidated subsidiaries | (3,177 | ) | (2,138 | ) | ||||
| Depreciation and amortization | 11,190 | 14,380 | ||||||
| Interest, net | 22,409 | 24,323 | ||||||
| Special charges | 4,485 | 3,907 | ||||||
| 430,000 | 431,905 | |||||||
| Income from continuing operations before income taxes and minority interest | 14,842 | 13,985 | ||||||
| Provision for income taxes | 6,086 | 3,129 | ||||||
| Income from continuing operations before minority interest | 8,756 | 10,856 | ||||||
| Minority interest | 16 | 27 | ||||||
| Income from continuing operations | 8,740 | 10,829 | ||||||
| Discontinued operations: | ||||||||
| Income from discontinued operations net of income tax provision of $82 in 2001 and $433 in 2002 | 158 | 803 | ||||||
| Income on disposal of discontinued operations, including income tax provision of $442 in 2001 and $52 in 2002 | 820 | 97 | ||||||
| 978 | 900 | |||||||
| Income before cumulative effect of change in accounting principle | 9,718 | 11,729 | ||||||
| Cumulative effect of change in accounting principle, net of tax | (191,561 | ) | | |||||
| Net income (loss) | (181,843 | ) | 11,729 | |||||
| Preferred dividend requirement and amortization of redeemable preferred stock issuance costs | 1,218 | 1,379 | ||||||
| Income (loss) available to common stockholders | (183,061 | ) | 10,350 | |||||
| Other comprehensive loss | | | ||||||
| Comprehensive income (loss) | $ | (183,061 | ) | $ | 10,350 | |||
| Weighted average number of common shares outstandingbasic | 34,670 | 35,139 | ||||||
| Weighted average number of common shares outstandingdiluted | 42,075 | 41,439 | ||||||
| Income (loss) per common share available to common stockholdersbasic: | ||||||||
| Income from continuing operations | $ | 0.22 | $ | 0.27 | ||||
| Income from discontinued operations | $ | 0.03 | $ | 0.02 | ||||
| Cumulative effect of change in accounting principle | $ | (5.53 | ) | $ | | |||
| Net income (loss) | $ | (5.28 | ) | $ | 0.29 | |||
| Income (loss) per common share available to common stockholdersdiluted: | ||||||||
| Income from continuing operations | $ | 0.21 | $ | 0.26 | ||||
| Income from discontinued operations | $ | 0.02 | $ | 0.02 | ||||
| Cumulative effect of change in accounting principle | $ | (4.55 | ) | $ | | |||
| Net income (loss) | $ | (4.32 | ) | $ | 0.28 | |||
See accompanying notes.
4
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
| |
For the Three Months Ended December 31, |
|||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| |
2001 |
2002 |
||||||||
| Cash flows from operating activities: | ||||||||||
| Net income (loss) | $ | (181,843 | ) | $ | 11,729 | |||||
| Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||
| Gain on sale of assets | (1,262 | ) | | |||||||
| Depreciation and amortization | 11,190 | 14,380 | ||||||||
| Cumulative effect of change in accounting principle | 191,561 | | ||||||||
| Equity in earnings of unconsolidated subsidiaries | (3,177 | ) | (2,138 | ) | ||||||
| Non-cash interest expense | 1,231 | 1,642 | ||||||||
| Cash flows from changes in assets and liabilities, net of effects from sales and acquisitions of businesses: | ||||||||||
| Accounts receivable, net | (572 | ) | 13,896 | |||||||
| Restricted cash, investments and deposits | (8,861 | ) | (2,578 | ) | ||||||
| Other assets | 7,265 | 3,424 | ||||||||
| Accounts payable and other accrued liabilities | 4,817 | (19,257 | ) | |||||||
| Medical claims payable | (6,988 | ) | 3,568 | |||||||
| Income taxes payable and deferred income taxes | 6,760 | 129 | ||||||||
| Distributions received from unconsolidated subsidiaries | 2,828 | 3,175 | ||||||||
| Other liabilities | (148 | ) | (21 | ) | ||||||
| Minority interest, net of dividends paid | 26 | 42 | ||||||||
| Other | 1,228 | 10 | ||||||||
| Total adjustments | 205,898 | 16,272 | ||||||||
| Net cash provided by operating activities | 24,055 | 28,001 | ||||||||
| Cash flows from investing activities: | ||||||||||
| Capital expenditures | (6,011 | ) | (8,421 | ) | ||||||
| Proceeds from sale of assets, net of transaction costs | 3,500 | | ||||||||
| Net cash used in investing activities | (2,511 | ) | (8,421 | ) | ||||||
| Cash flows from financing activities: | ||||||||||
| Payments on debt and capital lease obligations | (987 | ) | (1,196 | ) | ||||||
| Proceeds from exercise of stock options and warrants | 48 | | ||||||||
| Credit agreement amendment fees and other | (1,403 | ) | (1,909 | ) | ||||||
| Net cash used in financing activities | (2,342 | ) | (3,105 | ) | ||||||
| Net increase in cash and cash equivalents | 19,202 | 16,475 | ||||||||
| Cash and cash equivalents at beginning of period | 28,216 | 46,013 | ||||||||
| Cash and cash equivalents at end of period | $ | 47,418 | $ | 62,488 | ||||||
See accompanying notes.
5
MAGELLAN HEALTH SERVICES, INC. AND SUBSIDIARIES
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
December 31, 2002
(Unaudited)
NOTE ACompany Overview
Basis of Presentation
The accompanying unaudited condensed consolidated financial statements of Magellan Health Services, Inc. and Subsidiaries ("Magellan" or the "Company") have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q. Accordingly, they do not include all of the information and footnotes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments, consisting of normal recurring adjustments considered necessary for a fair presentation, have been included.
All references to fiscal years contained herein refer to periods of twelve consecutive months ending on September 30. Certain reclassifications have been made to fiscal 2002 amounts to conform to fiscal 2003 presentation.
These unaudited condensed consolidated financial statements should be read in conjunction with the Company's audited consolidated financial statements for the fiscal year ended September 30, 2002 and the notes thereto, which are included in the Company's Annual Report on Form 10-K/A.
Proposed Financial Restructuring
In light of its current financial condition, the Company has undertaken an effort to restructure its debt, which totaled approximately $1.0 billion as of December 31, 2002, and to improve its liquidity. The Company believes that its operations can no longer support its existing capital structure and that it must restructure its debt to levels that are more in line with its operations. Although the Company believes it has sufficient cash on hand to meets its current operating obligations, the Company does not have sufficient cash on hand or the ability to borrow under its senior secured bank credit agreement dated February 12, 1998, as amended (the "Credit Agreement"), to pay scheduled interest and to make contingent purchase price payments, which amounts are due in February 2003. In addition, as more fully described below, certain defaults exist under the Credit Agreement that have resulted in acceleration of the obligations thereunder and certain other events of default exist that could result in acceleration of the obligations thereunder and, as a result, the Company's other indebtedness could be accelerated.
The Company has retained Gleacher Partners, LLC ("Gleacher") as its financial advisor to assist it in its efforts to restructure its debt. The Company is currently in discussions with its lenders (the "Lenders") under the Credit Agreement and members of an ad hoc committee (the "Ad Hoc Committee") formed by the holders of its 9.375% Senior Notes due 2007 (the "Senior Notes") and the 9% Senior Subordinated Notes due 2008 (the "Subordinated Notes"). The Lenders and the Ad Hoc Committee have each retained separate financial and legal advisors to assist them in the restructuring process.
The Company has had discussions with the Lenders, the Ad Hoc Committee and their separate financial and legal advisors and has distributed to them a draft term sheet with respect to a proposed financial restructuring. The proposed financial restructuring set forth in the draft term sheet contemplates an exchange of the Subordinated Notes for substantially all of the equity of the Company, a reinstatement of the Senior Notes with modification of certain interest payments from cash to
6
additional Senior Notes, reinstatement of the obligations under the Credit Agreement with modified amortization payments, and a modification of the Company's contingent purchase price obligations to Aetna Inc. ("Aetna") and an extension of the Company's customer contract with Aetna which currently expires December 31, 2003. The draft term sheet contemplates that the proposed financial restructuring will be effected through commencement of a chapter 11 case under the U.S. Bankruptcy Code and the subsequent consummation of a plan of reorganization. In addition, the draft term sheet contemplates that the providers of behavioral health services with whom the Company contracts, as well as the Company's customers and employees, will not be adversely affected by the restructuring, all debts owing to such parties will continue to be paid in the ordinary course of business, and that the Company will continue to operate in the ordinary course of business; however, there can be no assurance in this regard. Although the Company is pursuing the proposed restructuring, none of the parties has agreed or is obligated to implement the proposed restructuring or any other restructuring.
There can be no assurances that the Lenders, the holders of Senior Notes or Subordinated Notes or Aetna will agree to a restructuring of the Company's debt in a manner that will permit the Company to satisfy its foreseeable financial obligations. If a plan of restructuring satisfactory to the Company and its creditors cannot be effected, the Company may need to seek protection under the U.S. Bankruptcy Code.
If the proposed restructuring is completed and implemented through a chapter 11 bankruptcy proceeding, the Company will be subject to the provisions of Statement of Position 90-7, "Financial Reporting by Entities in Reorganization under the Bankruptcy Code" ("SOP 90-7"). Under this guidance, the Company may be required to implement "fresh start" reporting, among other provisions, upon its planned emergence from bankruptcy, which would establish a new basis of accounting for the reorganized company. The potential impact of SOP 90-7 on the Company's consolidated financial statements cannot be determined at this time.
Credit Agreement Defaults
In January 2003, the State of Tennessee's Department of Commerce and Insurance sought and received on an ex parte basis from the Chancery Court of the State of Tennessee (20th Judicial District, Davidson County), an order of seizure of Tennessee Behavioral Health, Inc. ("TBH"), one of the Company's subsidiaries (the "Tennessee Order"). As a result of the entry of the Tennessee Order, a default has occurred and is continuing under the Credit Agreement which has the effect of immediately accelerating the obligations under the Credit Agreement and giving the Lenders the right to exercise their remedies thereunder and under other agreements and documents related thereto (including guaranties and security agreements executed for the benefit of the Lenders). This acceleration also constitutes a default under the bond indentures governing the Company's Senior Notes and Subordinated Notes, which gives the holders of Senior Notes and the holders of Subordinated Notes the ability to accelerate the obligations under the Senior Notes and the Subordinated Notes, respectively, and to exercise their remedies thereunder. In February 2003, the Tennessee Order was dissolved and TBH is operating under an agreed notice of administrative supervision. Although the Tennessee Order has been dissolved, the default resulting from the entry of the order has not been waived, and therefore the obligations under the Credit Agreement remain accelerated. Furthermore, upon the expiration of certain waivers under the Credit Agreement as of January 15, 2003 (the "October Waiver" and the "January Waiver"), certain events of default exist with respect to certain financial covenants that could result in acceleration of the obligations thereunder and, as a result, acceleration of the Company's other indebtedness. In addition, defaults exist under the Credit Agreement as the Company has made investments in non-guarantor entities of the Company when such investments are prohibited during the existence of a default or event of default under the Credit Agreement. Such additional defaults could result in acceleration of the obligations of the Credit Agreement and, as a result, acceleration of the Company's other indebtedness.
7
The defaults and events of default under the Credit Agreement, as discussed above, result in the Company being unable to access additional borrowings or letters of credit under the Revolving Facility. In addition, on February 4, 2003 the Company received a letter from JPMorgan Chase Bank (in its capacity as administrative agent under the Credit Agreement) which invokes Sections 10.03 and 10.09 of the indenture relating to the Subordinated Notes. As a result, the Company will not make the scheduled interest payment on the Subordinated Notes which is due February 17, 2003.
In the event that the Lenders exercise their rights with respect to the acceleration of obligations that has occurred or exercise their right to accelerate the obligations as a result of the other events of default, or if the bondholders exercise their right to accelerate the obligations under the Senior Notes or Subordinated Notes due to either such acceleration under the Credit Agreement, the Company may need to seek protection under the U.S. Bankruptcy Code.
Going Concern
The Company's liquidity and defaults under debt agreements as discussed above, raise substantial doubt about the Company's ability to continue as a going concern. Although the Company has had discussions with the Lenders, the Ad Hoc Committee and their separate financial and legal advisors and has distributed to them a draft term sheet with respect to a proposed restructuring, there can be no assurance that the Company will be able to successfully complete a restructuring of its capital structure. The ability of the Company to continue as a going concern is dependent upon a number of factors including, but not limited to, completion of a restructuring on satisfactory terms, retention of customers, behavioral health providers and employees, and the Company's continued ability to provide high quality services. The unaudited condensed consolidated financial statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classification of liabilities that may result from the outcome of this uncertainty.
NOTE BSummary of Significant Accounting Policies
Segments
The Company operates in the behavioral managed healthcare business, which it has divided into four reporting segments based on the types of services it provides and customers that it serves. The four segments of the Company are as follows: (i) Health Plan Solutions Group ("Health Plans"); (ii) Workplace Group ("Workplace"); (iii) Public Solutions Group ("Public"); and (iv) Corporate and Other. These segments are described in further detail in Note L"Business Segment Information."
On September 2, 1999, the Company's Board of Directors approved a formal plan to dispose of the businesses and interests that comprised the Company's healthcare provider and healthcare franchising business segments (the "Disposal Plan"). On October 4, 2000, the Company adopted a formal plan to dispose of the business and interest that comprised the Company's specialty managed healthcare business segment. On January 18, 2001, the Company's Board of Directors approved and the Company entered into a definitive agreement for the sale of National Mentor, Inc. ("Mentor"), which represented the business and interest that comprised the Company's human services business segment. On March 9, 2001, the Company consummated the sale of the stock of Mentor. As discussed in Note I"Discontinued Operations", the results of operations of the healthcare provider, healthcare franchising, specialty managed healthcare and human services business segments have been reported in the accompanying unaudited condensed consolidated financial statements as discontinued operations for all periods presented.
Use of Estimates
The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported
8
amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Significant estimates of the Company include, among other things, accounts receivable realizability, valuation allowances for deferred tax assets, valuation of goodwill and other intangible assets, medical claims payable and legal liabilities. Actual results could differ from those estimates.
Managed Care Revenue
Managed care revenue is recognized over the applicable coverage period on a per member basis for covered members. Managed care risk revenues earned for the three months ended December 31, 2001 and 2002 approximated $390.3 million and $392.0 million, respectively.
The Company has the ability to earn performance-based revenue, primarily under certain non-risk contracts. Performance-based revenue generally is based on the ability of the Company to manage care for its ASO clients below specified targets. For each such contract, the Company estimates and records performance-based revenue after considering the relevant contractual terms and the data available for the performance-based revenue calculation. Pro-rata performance-based revenue is recognized on a quarterly reporting basis during the term of the contract pursuant to the rights and obligations of each party upon termination of the contracts. The Company recognized performance revenue of approximately $3.4 million and $1.0 million for the three months ended December 31, 2001 and 2002, respectively.
The Company provides mental health and substance abuse services to the beneficiaries of TRICARE, under two separate subcontracts with health plans that contract with TRICARE. See discussion of these subcontracts in "Health Plans" above. The Company receives fixed fees for the management of the services, which are subject to certain bid price adjustments ("BPAs"). The BPAs are calculated in accordance with contractual provisions and are based on actual healthcare utilization from historical periods as well as changes in certain factors during the contract period. The Company has information to record, on a quarterly basis, reasonable estimates of the BPAs as part of its managed care risk revenues. These estimates are based upon information available, on a quarterly basis, from both the TRICARE program and the Company's information systems. Under the contract, the Company settles the BPAs at set intervals over the term of the contracts.
The Company recorded estimated liabilities of approximately $0.4 million and estimated receivables of $3.6 million as of December 31, 2001 and December 31, 2002, respectively, based upon the Company's interim calculations of the estimated BPAs and certain other settlements. Such amounts were recorded as adjustments to revenues. While management believes that the estimated TRICARE adjustments are reasonable, ultimate settlement resulting from adjustments and available appeal processes may vary from the amounts provided.
Significant Customers
Net revenues from two of the Company's customers each exceeded 10 percent of consolidated net revenues in each of the quarters ended December 31, 2001 and 2002, respectively.
Net revenue from Aetna approximated $78.8 million and $54.8 million for the quarters ended December 31, 2001 and 2002, respectively. The decline in Aetna revenue of approximately $24.0 million from fiscal 2002 to fiscal 2003 was mainly due to decreased membership as a result of Aetna intentionally reducing its membership levels during calendar year 2002 in an effort to exit less profitable businesses. Aetna has announced its expectation that its membership may be further reduced through calendar year 2003. The Company is not fully aware of which members Aetna anticipates will terminate in the future, if any, or which products such members currently receive. Therefore, the Company cannot reasonably estimate the amount by which revenue will be further reduced as a result of the membership reduction. The current Aetna contract extends through December 31, 2003.
9
Both the Company and Premier Behavioral Systems of Tennessee, LLC ("Premier"), a joint venture in which the Company has a fifty percent interest, separately contract with the State of Tennessee to manage the behavioral healthcare benefits for the State's TennCare program. In addition, the Company contracts with Premier to provide certain services to the joint venture. The Company's direct TennCare contract (exclusive of Premier) accounted for approximately $60.0 million and $63.0 million of consolidated net revenue for the quarters ended December 31, 2001 and 2002, respectively, and such contract expires on December 31, 2003. Such revenue amounts include revenue recognized by the Company associated with services performed on behalf of Premier totaling $33.6 million and $34.6 million for the quarters ended December 31, 2001 and 2002, respectively. As discussed above, the State of Tennessee's Department of Commerce and Insurance sought and received the Tennessee Order on an ex parte basis to seize Tennessee Behavioral Health, Inc., the subsidiary of the Company that holds the direct contract with the State of Tennessee. After discussions between the parties, the Tennessee Order has been dissolved and TBH is operating under an agreed notice of supervision. Under this agreement, the State may exercise additional supervision over TBH's affairs.
In addition, the Company derives a significant portion of its revenue from contracts with various counties in the state of Pennsylvania (the "Pennsylvania Counties"). Although these are separate contracts with individual counties, they all pertain to the Pennsylvania Medicaid program. In fiscal 2002, the Company entered into contracts with two additional Pennsylvania Counties, which increased the revenue related to this program. Revenues from the Pennsylvania Counties in the aggregate totaled $36.0 million and $56.2 million for the quarters ended December 31, 2001 and 2002, respectively.
Property and Equipment
Property and equipment are stated at cost, except for assets that have been impaired, for which the carrying amount is reduced to estimated fair value. Expenditures for renewals and improvements are capitalized to the property accounts. Replacements and maintenance and repairs that do not improve or extend the life of the respective assets are expensed as incurred. Internal-use software is capitalized in accordance with American Institute of Certified Public Accountants ("AICPA") Statement of Position 98-1, "Accounting for Cost of Computer Software Developed or Obtained for Internal Use." Amortization of capital lease assets is included in depreciation expense. Depreciation is provided on a straight-line basis over the estimated useful lives of the assets, which is generally two to ten years for buildings and improvements, three to ten years for equipment and three to five years for capitalized internal-use software.
Goodwill
As of October 1, 2001, the Company early adopted Financial Accounting Standards Board ("FASB") Statement of Financial Accounting Standards ("SFAS") No. 142, "Goodwill and Other Intangible Assets" ("SFAS 142"). Under SFAS 142, the Company no longer amortizes goodwill over its estimated useful life. Instead, the Company is required to test the goodwill for impairment based upon fair values at least on an annual basis. In accordance with the early adoption of SFAS 142, the Company assigned the book value of goodwill to its reporting units, and performed an initial impairment test as of October 1, 2001.
The Company has determined that its reporting units are identical to its reporting segments. In the first quarter of fiscal 2002, the Company recorded an impairment charge of $207.8 million, before taxes ($191.6 million after taxes), to write-down the balance of goodwill related to the Workplace reporting unit to estimated fair value, based on independently appraised values. This initial impairment charge was recognized by the Company as a cumulative effect of a change in accounting principle, separate from operating results, in the Company's unaudited condensed consolidated statement of operations for the first quarter of fiscal 2002. The results of operations previously reported for the quarter ended
10
December 31, 2001 have been restated herein, as permitted, to reflect the cumulative effect of the adoption of SFAS 142.
Intangible Assets
At December 31, 2002, the Company had identifiable intangible assets (primarily customer agreements and lists, provider networks and trademarks and copyrights) of approximately $68.8 million, net of accumulated amortization of $51.4 million. During the quarter ended December 31, 2002, management reevaluated the estimated useful lives of the Company's intangible assets, which resulted in reducing the remaining useful lives of certain customer agreements and lists and provider networks. Such reductions were made reflective of management's updated best estimates, given the Company's current business environment. The effect of these changes in remaining useful lives was to increase amortization expense for the current year quarter by $1.8 million and to reduce net income for the current year quarter by $1.8 million or $0.04 per diluted share. The remaining estimated useful lives at December 31, 2002, of the customer agreements and lists, provider networks, and trademarks and copyrights range from one to eighteen years.
Long-lived Assets
Long-lived assets, including property and equipment and intangible assets to be held and used, are currently reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount should be addressed pursuant to SFAS No. 121, "Accounting for Impairment of Long-Lived Assets and for Long-Lived Assets to Disposed Of." Pursuant to this guidance, impairment is determined by comparing the carrying value of these long-lived assets to management's best estimate of the future undiscounted cash flows expected to result from the use of the assets and their eventual disposition. The cash flow projections used to make this assessment are consistent with the cash flow projections that management uses internally to assist in making key decisions, including the development of the proposed financial restructuring. In the event an impairment exists, a loss is recognized based on the amount by which the carrying value exceeds the fair value of the asset, which is generally determined by using quoted market prices or the discounted present value of expected future cash flows. The Company believes that no such impairment existed as of December 31, 2002. The Company's assessment under SFAS 121 also included goodwill prior to adoption of SFAS 142 on October 1, 2001. In the event that there are changes in the planned use of the Company's long-term assets or its expected future undiscounted cash flows are reduced significantly, the Company's assessment of its ability to recover the carrying value of these assets would change. In addition, in the event the proposed financial restructuring is implemented through consummation of a plan of reorganization pursuant to a bankruptcy proceeding, the Company may be required to apply fresh start reporting under which its assets and liabilities would be recorded at their then fair values. This could result in a significant write-down of the Company's remaining long-lived assets.
Medical Claims Payable
Medical claims payable represent the liability for healthcare claims reported but not yet paid and claims incurred but not yet reported ("IBNR") related to the Company's managed healthcare businesses. The IBNR portion of medical claims payable is estimated based on past claims payment experience for member groups, enrollment data, utilization statistics, authorized healthcare services and other factors. This data is incorporated into contract specific actuarial reserve models. Although considerable variability is inherent in such estimates, management believes the liability for medical claims payable is adequate. Medical claims payable balances are continually monitored and reviewed. Changes in assumptions for care costs caused by changes in actual experience could cause these estimates to change in the near term.
11
Income Taxes
The Company files a consolidated federal income tax return for the Company and its wholly owned consolidated subsidiaries. The Company accounts for income taxes in accordance with SFAS No. 109, "Accounting for Income Taxes". The deferred tax assets and/or liabilities are determined by multiplying the differences between the financial reporting and tax reporting bases for assets and liabilities by the enacted tax rates expected to be in effect when such differences are recovered or settled. The effect on deferred taxes of a change in tax rates is recognized in income in the period that includes the enactment date. Valuation allowances on deferred tax assets are estimated based on the Company's assessment of the realizability of such amounts. The Company's financial restructuring activities and financial condition result in uncertainty as to the Company's ability to realize its net operating loss carryforwards and other deferred tax assets. Accordingly, the Company recorded significant additional valuation allowances on deferred tax assets in fiscal 2002. The Company's net deferred tax assets were fully reserved as of September 30, 2002 and December 31, 2002.
NOTE CSupplemental Cash Flow Information
Below is supplemental cash flow information related to the three months ended December 31, 2001 and 2002 (in thousands):
| |
Three Months Ended December 31, |
|||||
|---|---|---|---|---|---|---|
| |
2001 |
2002 |
||||
| Income tax paid (refunds received) | $ | (161 | ) | $ | 71 | |
| Interest paid | $ | 13,277 | $ | 16,175 | ||
NOTE DGoodwill and Intangible Assets, Net
Goodwill
Goodwill represents the excess of the cost of businesses acquired over the fair value of the net identifiable assets at the date of acquisition and is not amortized in accordance with SFAS 142. See Note B"Summary of Significant Accounting PoliciesGoodwill". The Company's goodwill was approximately $502.3 million at both September 30, 2002 and December 31, 2002. The net book value of goodwill was impacted by $623.7 million of impairment charges (before taxes) recorded during fiscal 2002.
In December 1997, the Company purchased HAI from Aetna for approximately $122.1 million, excluding transaction costs. In addition, the Company incurred the obligation to make contingent purchase price payments to Aetna which may total up to $60.0 million annually over the five-year period subsequent to closing. The Company paid $60.0 million to Aetna for each of the first four years subsequent to closing, including $60.0 million paid in fiscal 2002, and accrued the final payment in June 2002. This payment is due in February of 2003. As part of the Company's restructuring plan discussed in Note A"Company Overview", the Company is seeking modification of its remaining contingent purchase price obligation to Aetna.
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Intangible assets acquired were identified at the time of acquisition and were valued based upon independent appraisals at that time. The following is a summary of acquired intangibles and the net book value at December 31, 2002 (in thousands):
| Asset |
Gross Carrying Amount |
Accumulated Amortization |
Net Carrying Amount |
||||||
|---|---|---|---|---|---|---|---|---|---|
| Customer agreements and lists | $ | 109,975 | $ | (46,967 | ) | $ | 63,008 | ||
| Provider networks | 6,210 | (1,050 | ) | 5,160 | |||||
| Trademarks and copyrights | 3,984 | (3,382 | ) | 602 | |||||
| $ | 120,169 | $ | (51,399 | ) | $ | 68,770 | |||
Amortization expense for the quarter ended December 31, 2002 was $4.9 million.
NOTE ELong-Term Debt and Capital Lease Obligations
Information with regard to the Company's long-term debt and capital lease obligations at September 30, 2002 and December 31, 2002 is as follows (in thousands):
| |
September 30, 2002 |
December 31, 2002 |
|||||
|---|---|---|---|---|---|---|---|
| Credit Agreement: | |||||||
| Revolving Facility (4.9375% at December 31, 2002) due through fiscal 2004 | $ | 45,000 | $ | 45,000 | |||
| Term Loan Facility (5.6875% to 5.9375% at December 31, 2002) due through fiscal 2006 | 116,127 | 115,762 | |||||
| 9.375% Senior Notes due fiscal 2008 | 250,000 | 250,000 | |||||
| 9.0% Senior Subordinated Notes due fiscal 2008 | 625,000 | 625,000 | |||||
| 1.20% to 10.0% capital lease obligations due through fiscal 2014 | 13,227 | 12,396 | |||||
| 1,049,354 | 1,048,158 | ||||||
| Less amounts due within one year | 18,123 | 22,140 | |||||
| Less long-term amounts classified as current (see below) | 1,021,535 | 1,016,794 | |||||
| $ | 9,696 | $ | 9,224 | ||||
In addition, at February 7, 2003, the Company had outstanding $75.3 million of letters of credit and $14.1 million of surety bonds.
See Note A"Company Overview" for discussion regarding the existence of defaults under the Credit Agreement that have resulted in the acceleration of the obligations thereunder. All of the Company's long-term debt from the Credit Agreement, Senior Notes and Subordinated Notes has been classified as a current liability in the accompanying unaudited condensed consolidated balance sheets due to such acceleration under the Credit Agreement and acceleration rights under the Indentures for the Senior Notes and Subordinated Notes.
The Credit Agreement, as amended, provides for a Term Loan Facility in