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SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
[X] Quarterly Report Pursuant To Section 13 Or 15(d) Of The Securities Exchange
Act Of 1934
FOR THE QUARTERLY PERIOD ENDED June 30, 2003
Or
[ ] 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: 0-21031
QUADRAMED CORPORATION
(Exact Name of Registrant as Specified in Its Charter)
DELAWARE 52-1992861
(State or Other Jurisdiction of (IRS Employer Identification No.)
Incorporation or Organization)
12110 SUNSET HILLS ROAD, SUITE 600,
RESTON, VIRGINIA 20190
(Address of Principal Executive Offices) (Zip Code)
(703) 709-2300
(Registrant's Telephone Number, Including Area Code)
Securities registered pursuant to Section 12(b) of the Act: NONE
Securities registered pursuant to Section 12(g) of the Act: Common Stock,
$0.01 Par Value Per Share
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 __ No X
Indicate by check mark whether the registrant is an accelerated filer as
defined in Rule 12b-2 of the Act. Yes X No __
As of August 31, 2003, there were 27,606,069 shares of the Registrant's
common stock outstanding, par value $0.01.
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QUADRAMED CORPORATION
REPORT ON FORM 10-Q
FOR THE QUARTER ENDED JUNE 30, 2003
TABLE OF CONTENTS
Page
----
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements (unaudited)
Interim Condensed Consolidated Balance Sheets as of June 30,
2003 and December 31, 2002....................................... 2
Interim Condensed Consolidated Statements of Operations for the
three and six months ended June 30, 2003 and 2002................ 3
Interim Condensed Consolidated Statements of Cash Flows for the six
months ended June 30, 2003 and 2002.............................. 4
Notes to Interim Condensed Consolidated Financial Statements....... 5
Item 2. Management's Discussion and Analysis of Financial Condition and
Results of Operations............................................ 13
Item 3. Quantitative and Qualitative Disclosures About Market Risk......... 33
Item 4. Controls and Procedures............................................ 33
PART II. OTHER INFORMATION
Item 2. Changes in Securities and Use of Proceeds.......................... 35
Item 5. Other Matters...................................................... 35
Item 6. Exhibits and Reports on Form 8-K................................... 35
Signatures................................................................. 37
PART I FINANCIAL INFORMATION
Item 1. Financial Statements
QUADRAMED CORPORATION
INTERIM CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands, except per share amounts)
(unaudited)
June 30, December 31,
ASSETS 2003 2002
----------- ------------
Current assets
Cash and cash equivalents $ 29,474 $ 23,663
Short-term investments 2,383 2,528
Accounts receivable, net of allowance for doubtful
accounts of $4,419 and $4,346, respectively 31,956 31,612
Unbilled receivables 4,381 3,475
Notes and other receivables 204 4,416
Prepaid expenses and other current assets 9,073 8,972
--------- ---------
Total current assets 77,471 74,666
Restricted cash 5,628 5,849
Property and equipment, net of accumulated depreciation
and amortization of $18,057 and $16,170 respectively 5,403 6,019
Capitalized software development costs, net of
accumulated amortization of $9,131 and $7,776,
respectively 4,892 5,670
Goodwill 18,445 18,445
Other intangible assets, net of accumulated amortization
of $14,480 and $13,316 respectively 8,110 9,275
Other long-term assets 7,458 7,003
--------- ---------
Total assets $ 127,407 $ 126,927
========= =========
LIABILITIES AND STOCKHOLDERS' EQUITY (DEFICIT)
Current liabilities
Accounts payable and accrued expenses $ 2,574 $ 3,586
Accrued payroll and related 6,804 6,942
Other accrued liabilities 6,674 6,509
Deferred revenue 47,055 39,492
--------- ---------
Total current liabilities 63,107 56,529
Long-term debt 70,582 73,719
Other long-term liabilities 4,261 3,914
--------- ---------
Total liabilities 137,950 134,162
--------- ---------
Stockholders' equity (deficit)
Preferred stock, $0.01 par, 5,000 shares authorized,
zero shares issued and outstanding -- --
Common stock, $0.01 par, 50,000 shares authorized,
27,402 and 26,965 shares issued and outstanding,
respectively 276 205
Additional paid-in-capital 288,962 275,631
Deferred compensation (406) (588)
Accumulated other comprehensive loss (250) (310)
Accumulated deficit (299,125) (282,173)
--------- ---------
Total stockholders' equity (deficit) (10,543) (7,235)
--------- ---------
Total liabilities and stockholders' equity
(deficit) $ 127,407 $ 126,927
========= =========
The accompanying notes are an integral part of these interim
condensed consolidated financial statements.
2
QUADRAMED CORPORATION
INTERIM CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(in thousands, except per share amounts)
(unaudited)
Three months ended Six months ended
June 30, June 30,
------------------ -----------------
2003 2002 2003 2002
---- ---- ---- ----
Revenue
Services and other $ 19,275 $ 19,855 $ 38,954 $ 38,855
Licenses 10,161 6,446 19,716 14,626
-------- -------- -------- --------
Total revenue 29,436 26,301 58,670 53,481
-------- -------- -------- --------
Cost of revenue
Cost of services and other 9,978 8,488 21,678 16,215
Cost of licenses 1,821 1,982 3,703 4,115
-------- -------- -------- --------
Total cost of revenue 11,799 10,470 25,381 20,330
-------- -------- -------- --------
Gross margin 17,637 15,831 33,289 33,151
-------- -------- -------- --------
Operating expenses
General and administration 10,450 6,719 23,981 14,542
Sales and marketing 5,549 5,112 11,310 10,287
Research and development 5,228 4,104 10,705 7,757
Amortization and other operating
charges 556 1,115 1,141 1,627
-------- -------- -------- --------
Total operating expenses 21,783 17,050 47,137 34,213
-------- -------- -------- --------
Loss from operations (4,146) (1,219) (13,848) (1,062)
-------- -------- -------- --------
Other income (expense)
Interest expense (3,042) (865) (4,105) (1,730)
Interest income 130 150 287 324
Other income (expense), net 784 (481) 714 (571)
-------- -------- -------- --------
Other income (expense) (2,128) (1,196) (3,104) (1,977)
-------- -------- -------- --------
Loss from continuing operations (6,274) (2,415) (16,952) (3,039)
Loss from discontinued operations -- (584) -- (1,288)
-------- -------- -------- --------
Net loss $ (6,274) $ (2,999) $(16,952) $ (4,327)
======== ======== ======== ========
Loss per share
Basic and Diluted
Continuing operations $ (0.23) $ (0.09) $ (0.63) $ (0.12)
Discontinued operations -- (0.02) -- (0.04)
-------- -------- -------- --------
Net $ (0.23) $ (0.11) $ (0.63) $ (0.16)
======== ======== ======== ========
Weighted average shares outstanding
Basic and diluted 27,171 26,941 27,094 26,390
======== ======== ======== ========
The accompanying notes are an integral part of these interim
condensed consolidated financial statements.
3
QUADRAMED CORPORATION
INTERIM CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(in thousands)
(unaudited)
Six months ended
June 30,
------------------------
2003 2002
---- ----
Cash flows from operating activities
Net loss from continuing operations $ (16,952) $ (3,039)
Adjustments to reconcile net loss to net cash
(used in) provided by operating activities:
Depreciation and amortization 6,023 4,462
Provision for bad debts 73 (429)
Write-off of assets -- 742
Other 103 231
Changes in assets and liabilities:
Accounts receivable (417) 2,911
Prepaid expenses and other (1,173) (2,111)
Accounts payable and accrued liabilities (618) (2,628)
Deferred revenue 7,563 5,724
--------- ---------
Cash (used in) provided by continuing
operations (5,398) 5,863
Cash used in discontinued operations -- (1,294)
--------- ---------
Cash (used in) provided by operating activities (5,398) 4,569
--------- ---------
Cash flows from investing activities
(Increase) decrease in restricted cash 221 (103)
Purchases of available-for-sale securities (620) (314)
Proceeds from sale of available-for-sale securities 679 277
Acquisitions of businesses -- (11,930)
Purchases of property and equipment (1,270) (1,776)
Proceeds from sale of assets 4,190 --
Capitalized software development costs (578) (1,408)
--------- ---------
Cash provided by (used in) investing activities 2,622 (15,254)
--------- ---------
Cash flows from financing activities
Issuances (repayments) of debt 8,480 (38)
Proceeds from issuance of common stock 107 1,864
--------- ---------
Cash provided by financing activities 8,587 1,826
--------- ---------
Net increase (decrease) in cash and cash
equivalents 5,811 (8,859)
Cash and cash equivalents, beginning of period 23,663 29,799
--------- ---------
Cash and cash equivalents, end of period $ 29,474 $ 20,940
========= =========
Supplemental disclosure of cash flow information
Cash paid for interest $ 1,854 $ 1,935
========= =========
Net cash (refunded) paid for taxes $ (4) $ 339
========= =========
Supplemental disclosure of non-cash investing and
financing transactions
Issuances (cancellations) of restricted common stock $ 86 $ --
========= =========
Issuance of warrants in connection with debt offering $ 13,209 $ --
========= =========
The accompanying notes are an integral part of these interim
condensed consolidated financial statements.
4
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
June 30, 2003
1. NATURE OF OPERATIONS
QuadraMed Corporation along with all significant business divisions and
subsidiaries, (the "Company" or "QuadraMed") is dedicated to improving
healthcare delivery by providing innovative healthcare information technology
and services. From clinical to patient information management and revenue cycle
to health information management, QuadraMed delivers real-world solutions that
help healthcare professionals deliver outstanding patient care with optimum
efficiency. QuadraMed was reincorporated in Delaware in 1996, having been
originally incorporated in California in 1993. QuadraMed is managed in three
distinct business segments which are as follows: Enterprise Division, Health
Information Management Software Division, and Financial Services Division. In
December 2002, QuadraMed sold its Health Information Management Services
Division. Results of operations for this division are reflected as
discontinued operations in the Statement of Operations.
2. BASIS OF PRESENTATION
Unaudited Interim Results
-------------------------
The condensed consolidated financial statements at June 30, 2003 and
December 31, 2002 and for the three and six months ended June 30, 2003 and 2002
have been prepared in accordance with accounting principles generally accepted
in the United States of America ("GAAP"). The interim financial information is
unaudited, but reflects all adjustments that are, in the opinion of management,
necessary for a fair presentation of QuadraMed's condensed consolidated
financial position, operating results, and cash flows for the interim periods.
The preparation of condensed consolidated financial statements in conformity
with GAAP requires management to make estimates and assumptions that affect the
reported amounts of assets and liabilities at the date of the condensed
consolidated financial statements and the reported amounts of revenues and
expenses during the reporting periods.
These condensed consolidated financial statements have been prepared in
accordance with the instructions for a report on Form 10-Q as required by the
SEC, and therefore, do not include all information and notes normally provided
in annual financial statements. As a result, these condensed consolidated
financial statements should be read in conjunction with the consolidated
financial statements and notes thereto, together with management's discussion
and analysis of financial condition and results of operations, contained in
QuadraMed's annual report on Form 10-K for the fiscal year ended December 31,
2002. The results of operations for the three and six months ended June 30,
2003 are not necessarily indicative of the results for the fiscal year ending
December 31, 2003 or any other further periods.
3. RECENT ACCOUNTING PRONOUNCEMENTS
In November 2002, the FASB reached a consensus on EITF No. 00-21,
Accounting for Revenue Arrangements with Multiple Deliverables. The guidance
- --------------------------------------------------------------
in EITF 00-21 is effective for revenue arrangements entered into in fiscal
years beginning after June 15, 2003. This issue addresses certain aspects of
the accounting by a vendor for arrangements under which it will perform
multiple revenue-generating activities. Specifically, EITF 00-21 addresses how
to determine whether an arrangement involving multiple deliverables contains
more than one earnings process and, if it does, how to divide the arrangement
into separate units of accounting consistent with the identified earning
processes for revenue recognition purposes. EITF 00-21 also addresses how
arrangement consideration should be measured and allocated to the separate
units of accounting in the arrangement. QuadraMed adopted EITF 00-21 effective
June 15, 2003. The adoption did not have a material impact upon QuadraMed's
consolidated financial position or statement of operations.
In January 2003, the FASB issued FIN No. 46, Consolidation of Variable
-------------------------
Interest Entities. FIN 46 expands upon and strengthens existing accounting
- -----------------
guidance that addresses when a company should include in its financial
statements the assets, liabilities and activities of another entity. A variable
interest entity is a corporation, partnership, trust, or any other legal
structure used for business purposes that either (a) does not have equity
investors with voting rights or (b) has equity investors that do not provide
sufficient financial resources for the entity to support its activities. FIN
46 requires a variable interest entity to be consolidated by a company if that
company is subject to a majority of the risk of loss from the variable interest
entity's activities or is entitled to receive a majority of the entity's
residual returns or both. The consolidation requirements of FIN 46 apply
5
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
immediately to variable interest entities created after January 31, 2003. The
consolidation requirements apply to older entities in the first fiscal year or
interim period beginning after June 15, 2003. Disclosure requirements apply to
any financial statements issued after January 31, 2003. QuadraMed adopted the
provisions of FIN 46 effective June 15, 2003. The adoption did not have a
material impact upon QuadraMed's consolidated financial position or statement
of operations.
In April 2003, the FASB issued SFAS No. 149, Amendment of Statement 133 on
-----------------------------
Derivative Instruments and Hedging Activities. SFAS 149 amends and clarifies
- ---------------------------------------------
the accounting for derivative instruments, including certain derivative
instruments embedded in other contracts, and for hedging activities under SFAS
133, "Accounting for Derivative Instruments and Hedging Activities." SFAS 149
is generally effective for contracts entered into or modified after June 30,
2003 and for hedging relationships designated after June 30, 2003. QuadraMed
adopted the provisions of SFAS 149 on June 30, 2003. The adoption did not have
a material impact upon QuadraMed's consolidated financial position or statement
of operations.
In May 2003, the FASB issued SFAS No. 150, Accounting for Certain
----------------------
Financial Instruments with Characteristics of both Liabilities and Equity.
- -------------------------------------------------------------------------
SFAS 150 requires that certain financial instruments, which under previous
guidance were accounted for as equity, must now be accounted for as
liabilities. The financial instruments affected include mandatory redeemable
stock, certain financial instruments that require or may require the issuer to
buy back some of its shares in exchange for cash or other assets and certain
obligations that can be settled with shares of stock. SFAS 150 is effective for
all financial instruments entered into or modified after May 31, 2003, and
otherwise is effective at the beginning of the first interim period beginning
after June 15, 2003. QuadraMed adopted SFAS 150 effective June 15, 2003. The
adoption did not have a material impact upon QuadraMed's consolidated financial
position or statement of operations.
4. GOODWILL AND OTHER INTANGIBLE ASSETS
In June 2001, the FASB issued SFAS No. 142, Goodwill and Other Intangible
-----------------------------
Assets, effective for fiscal years beginning after December 15, 2001. Under
- ------
SFAS 142, goodwill and intangible assets deemed to have indefinite lives are to
be separately disclosed on the balance sheet, and no longer amortized but
subject to annual impairment tests. With the adoption of SFAS 142, QuadraMed
ceased amortization of goodwill as of January 1, 2002. Prior to this point,
goodwill was amortized using the straight-line method over its estimated useful
life.
SFAS 142 requires that goodwill be tested for impairment at the reporting
unit level (i.e., business segments) upon adoption and at least annually
thereafter using a two-step impairment analysis. In accordance with SFAS 142,
QuadraMed performed the first of the required two-step impairment tests of
goodwill and indefinite-lived assets as of January 1, 2002 utilizing an
independent appraiser. The test results showed no indicators of impairment as
of January 1, 2002.
As of January 1, 2003, QuadraMed re-engaged the same independent appraiser
to review the goodwill as of this date for impairment. Once again, the test
showed no indicators of impairment. QuadraMed will continue to perform the
tests of impairment for goodwill required by SFAS 142 on an annual basis or
more often, as necessary.
Except for capitalized software development costs, other intangible assets
are amortized on a straight-line basis over a period of five to ten years.
Capitalized software development costs are amortized on a straight-line basis
generally over a period of five years. These assets are reviewed annually for
impairment and written down to net realizable value, if necessary, in
accordance with SFAS No. 144, Impairment of Long-Lived Assets.
Amortization of other intangible assets for the three months ended June
30, 2003 and 2002 was $579,000 and $572,000, respectively, and six months ended
June 30, 2003 and 2002 was $1.2 million and $1.1 million, respectively.
6
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
5. LONG TERM DEBT
On March 4, 2003, QuadraMed's common stock was delisted from the Nasdaq
National Market. The delisting constituted a "Repurchase Event" under the
provisions of QuadraMed's 5.25% Convertible Subordinated Debentures Agreements
due 2005 (the "2005 Debt"). Upon such an event, the 2005 Debt grants to each
debenture holder the right, at the holder's option, to require QuadraMed to
repurchase all or any of the holder's debentures. On April 17, 2003, under the
terms of a refinance agreement with certain of the 2005 debt holders and new
investors, QuadraMed issued $71.0 million of its Senior Secured Notes due 2008
(the "2008 Debt"). The proceeds from the issuance of the 2008 Debt were used
to repurchase $61.8 million (plus $1.5 million in accrued interest) of the 2005
Debt required to be repurchased. Accordingly, the net proceeds as a result of
the issuance of the 2008 Debt less the costs (including fees) associated with
the repurchase of the 2005 Debt was $8.5 million, with $11.9 million of the
2005 Debt remaining outstanding. Additionally, the repurchase right on the
2005 Debt remaining outstanding expired on April 17, 2003.
The 2008 Debt bears interest at an initial rate of 10% which will be
reduced to 9% upon any relisting of QuadraMed's common stock on the Nasdaq,
including Nasdaq SmallCap or U.S. National Market and is secured by certain
intellectual property. The 2008 Debt contains certain events of default. These
events include: failure to timely repay principal or interest owed on the
debentures, default under any other borrowing, and bankruptcy. As part of the
transaction, QuadraMed also issued 11.6 million warrants to purchase common
stock of which 11.3 million were issued to debt holders and 283,000 as
compensation for services provided with the offering. The warrants have a term
of five years, an exercise price of $.01 per share and are subject to certain
anti-dilution provisions including dilution from the issuance of shares in
settlement of any existing litigation. QuadraMed valued the warrants using the
Black-Scholes valuation model using a volatility of 142%, expected life of 5
years, 2.74% risk-free interest rate and no dividend yield. The result was a
fair value of $12.9 million for the warrants issued to debt holders. This
amount was recorded as a discount to the debt and will be amortized to interest
expense ratably over the 5 year term of the debt. In addition, costs
associated with the debt offering totaled $1.0 million which will be amortized
to interest expense ratably over the same term. In June 2003, 283,000 warrants
were exercised.
6. RESTRICTED STOCK GRANTS
During the three and six months ended June 30, 2003 and 2002, QuadraMed
issued an aggregate of 75,000, 75,000, and no and 39,000 shares, respectively
of its common stock as restricted stock under QuadraMed's 1996 Stock Plan.
QuadraMed grants restricted shares to certain senior executives for no
consideration. All of the outstanding restricted shares fully vest at the
conclusion of a two to three-year period. QuadraMed has recorded the
difference between fair market value of the restricted shares on the date the
restricted stock purchase rights were granted, and the exercise price of such
shares on that date as deferred compensation within the Stockholders' Equity
(Deficit) section of the Consolidated Balance Sheet. In accordance with the
provisions of SFAS 123, QuadraMed amortizes this amount, pro rata over the
related service period as it expects the shares to fully vest. Any changes in
the expected or actual outcome of the grants are considered to be changes in
estimate and are accordingly, recognized in the period the change becomes
known. In March 2003, a senior executive of QuadraMed was terminated. In
accordance with the provisions of his employment agreements, 75,000 unvested
shares immediately vested upon his termination. Accordingly, QuadraMed
recognized the remaining $75,000 associated with the accelerated vesting as the
vesting was a known event. Compensation expense associated with the grants of
restricted stock totaling $102,000, $193,000, $135,000 and $266,000 was
recognized during the three and six months ended June 30, 2003 and 2002,
respectively. As of June 30, 2003, 407,000 restricted shares remained subject
to vesting.
7. STOCK-BASED COMPENSATION
SFAS 123, Accounting for Stock Based Compensation, encourages, but does
---------------------------------------
not require, companies to record compensation cost for stock based employee
compensation plans at fair value. QuadraMed has chosen to continue to account
for stock based employee compensation using the intrinsic value method
prescribed in Accounting Principles Board (APB) Opinion No. 25, Accounting for
--------------
Stock Issued to Employees, and Related Interpretations. Accordingly,
- ------------------------------------------------------
compensation cost for stock options granted to employees is measured as the
excess, if any, of the quoted market price of QuadraMed's stock at the date of
the grant over the amount an employee must pay to acquire the stock.
7
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
QuadraMed has determined pro-forma information regarding net income and
earnings per share as if we had accounted for employee stock options under the
fair value method as required by SFAS No. 123. The fair value of these stock-
based awards to employees was estimated using the Black-Scholes option pricing
model. Please see below for assumptions used in the Black-Scholes option
pricing model. Had compensation cost for the Company's stock option plan and
employee stock purchase plan been determined consistent with SFAS No. 123, the
Company's reported net income (loss) and net earnings (loss) per share would
have been changed to the amounts indicated below (in thousands except per share
data):
Three months ended June 30,
----------------------------
2003 2002
---- ----
Net loss as reported $ (6,274) $ (2,999)
Add: Stock-based employee compensation expense
included in reported net loss, net of related
tax effects 102 139
Deduct: Total stock-based employee compensation
expense determined under fair value based method
for all awards, net of related tax effects (1,089) (1,609)
--------- ---------
Pro forma net loss $ (7,261) $ (4,469)
========= =========
Earnings per share:
Basic and diluted - as reported $ (0.23) $ (0.11)
========= =========
Basic and diluted - pro forma $ (0.27) $ (0.17)
========= =========
Six months ended June 30,
----------------------------
2003 2002
---- ----
Net loss as reported $ (16,952) $ (4,327)
Add: Stock-based employee compensation expense
included in reported net loss, net of related
tax effects 268 278
Deduct: Total stock-based employee compensation
expense determined under fair value based method
for all awards, net of related tax effects (2,214) (2,875)
--------- ---------
Pro forma net loss $ (18,898) $ (6,924)
========= =========
Earnings per share:
Basic and diluted - as reported $ (0.63) $ (0.16)
========= =========
Basic and diluted - pro forma $ (0.70) $ (0.26)
========= =========
The fair value of each option grant is estimated on the date of the grant
using the Black-Scholes option-pricing model with the following assumptions:
2003 2002
---- ----
Expected dividend yield -- --
Expected stock price volatility 140.99% 134.06%
Risk-free interest rate 2.74% 4.12%
Expected life of options 5 years 5 years
NET LOSS PER SHARE
Basic net loss per share is computed by dividing net loss by the weighted
average number of common shares outstanding during the period less restricted
shares of common stock. Diluted net loss per share is computed by dividing
income by the sum of the weighted average number of common shares, as adjusted
for restricted shares, and common equivalent shares outstanding during the
period. Common equivalent shares consist of shares issuable upon the exercise
8
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
of stock options and warrants (using the treasury stock method) and convertible
subordinated debentures (using the as-converted method). Common equivalent
shares are excluded from the diluted computation only if their effect is anti-
dilutive. As QuadraMed recorded net losses for each of the six-month periods
ended June 30, 2003 and 2002, no common equivalent shares were included in the
net loss per share calculation because they were anti-dilutive.
8. COMPREHENSIVE INCOME (LOSS)
The components of comprehensive income (loss) for the three and six months
ended June 30, 2003 and 2002 are as follows (in thousands):
Three months ended Six months ended
June 30, June 30,
------------------ -----------------
2003 2002 2003 2002
---- ---- ---- ----
Net income (loss) $ (6,274) $ (2,999) $(16,952) $ (4,327)
Unrealized gain (loss) on
available-for-sale securities,
net of taxes 42 29 41 (19)
Amortization of unrecognized pension
costs, net of taxes 52 52 103 103
-------- -------- -------- --------
Comprehensive income (loss) $ (6,180) $ (2,918) $(16,808) $ (4,243)
======== ======== ======== ========
9. SEGMENT REPORTING
QuadraMed aligns its operations into three business segments for
management reporting purposes. These segments are based on product
functionality and shared target markets. This alignment allows management to
more accurately measure financial performance by product/division and to
establish greater management accountability. QuadraMed's business segments are
(i) the Enterprise Division, (ii) the Health Information Management Software
Division, and (iii) the Financial Services Division. The operations and assets
of these segments are primarily located in the United States. QuadraMed reports
the Enterprise Division, the Health Information Management Software Division,
and the Financial Services Division as reportable segments in accordance with
SFAS No. 131, Disclosures about Segments of an Enterprise and Related
-------------------------------------------------------
Information. The accounting policies of the operating segments are the same as
- -----------
those described in the summary of significant accounting policies described in
notes to the financial statements in our Annual Report on Form 10-K for the
year ended December 31, 2002. The financial results for these operating
segments for prior periods have been reclassified to conform to the current
period presentation.
Selected results of operations for these business segments are provided to
QuadraMed's Chief Operating Decision Maker (CODM), who is the Chairman of the
Board and Chief Executive Officer.
9
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
Summary financial data by business segment as reported to the CODM is
presented below for the three and six months ended June 30, 2003 and 2002 (in
thousands):
Three months ended June 30, 2003
---------------------------------------------------
HIM Financial Consolidated
Description Enterprise Software Services Other (1) Total
- -------------------------- ---------- -------- -------- --------- -----
Total revenues $ 18,256 $ 8,921 $ 2,259 $ -- $ 29,436
Gross margin $ 11,193 $ 6,170 $ 274 $ -- $ 17,637
Interest income (expense),
net $ (1,761) $ (664) $ (548) $ 61 $ (2,912)
Segment assets $ 42,437 $ 35,135 $ 5,676 $ 44,159 $ 127,407
Total depreciation and
amortization (2) $ 1,326 $ 1,115 $ 433 $ 681 $ 3,555
- -------------------------------------
(1) Other includes non-allocated expenses for bad debt, legal costs,
restructuring charges and divested product lines for operating results and
non-allocable assets such as cash and cash equivalents and restricted cash,
investments, certain enterprise-wide intangible assets, etc. and assets of
divested product lines for segment assets.
(2) Total depreciation and amortization is comprised of capitalized and
acquired software amortization reflected in gross margin, equipment
depreciation, amortization of debt-offering costs as reflected in interest
expense, amortization of deferred compensation and amortization of other
intangibles.
Three months ended June 30, 2002
---------------------------------------------------
HIM Financial Consolidated
Description Enterprise Software Services Other (1) Total
- -------------------------- ---------- -------- -------- --------- -----
Total revenues $ 16,624 $ 6,147 $ 3,530 $ -- $ 26,301
Gross margin $ 10,506 $ 3,736 $ 1,589 $ -- $ 15,831
Interest income (expense),
net $ (441) $ (176) $ (139) $ 41 $ (715)
Segment assets $ 41,045 $ 48,298 $ 5,986 $ 32,338 $ 127,667
Total depreciation and
amortization (2) $ 492 $ 848 $ 147 $ 860 $ 2,347
- -------------------------------------
(1) Other includes non-allocated expenses for bad debt, legal costs,
restructuring charges and divested product lines for operating results and
non-allocable assets such as cash and cash equivalents and restricted cash,
investments, certain enterprise-wide intangible assets, etc. and assets of
divested product lines for segment assets.
(2) Total depreciation and amortization is comprised of capitalized and
acquired software amortization reflected in gross margin, equipment
depreciation, amortization of debt-offering costs as reflected in interest
expense, amortization of deferred compensation and amortization of other
intangibles.
9
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
Six months ended June 30, 2003
---------------------------------------------------
HIM Financial Consolidated
Description Enterprise Software Services Other (1) Total
- -------------------------- ---------- -------- -------- --------- -----
Total revenues $ 36,711 $ 16,794 $ 5,165 $ -- $ 58,670
Gross margin $ 21,101 $ 11,300 $ 888 $ -- $ 33,289
Interest income (expense),
net $ (2,004) $ (759) $ (625) $ (430) $ (3,818)
Segment assets $ 42,437 $ 35,135 $ 5,676 $ 44,159 $ 127,407
Total depreciation and
amortization (2) $ 2,270 $ 2,036 $ 650 $ 1,067 $ 6,023
- -------------------------------------
(1) Other includes non-allocated expenses for bad debt, legal costs,
restructuring charges and divested product lines for operating results and
non-allocable assets such as cash and cash equivalents and restricted cash,
investments, certain enterprise-wide intangible assets, etc. and assets of
divested product lines for segment assets.
(2) Total depreciation and amortization is comprised of capitalized and
acquired software amortization reflected in gross margin, equipment
depreciation, amortization of debt-offering costs as reflected in interest
expense, amortization of deferred compensation and amortization of other
intangibles.
Six months ended June 30, 2002
---------------------------------------------------
HIM Financial Consolidated
Description Enterprise Software Services Other (1) Total
- -------------------------- ---------- -------- -------- --------- -----
Total revenues $ 33,154 $ 13,073 $ 7,254 $ -- $ 53,481
Gross margin $ 21,005 $ 8,520 $ 3,626 $ -- $ 33,151
Interest income (expense),
net $ (862) $ (345) $ (273) $ 74 $ (1,406)
Segment assets $ 41,045 $ 48,298 $ 5,986 $ 32,338 $ 127,667
Total depreciation and
amortization (2) $ 934 $ 1,659 $ 278 $ 1,591 $ 4,462
- -------------------------------------
(1) Other includes non-allocated expenses for bad debt, legal costs,
restructuring charges and divested product lines for operating results and
non-allocable assets such as cash and cash equivalents and restricted cash,
investments, certain enterprise-wide intangible assets, etc. and assets of
divested product lines for segment assets.
(2) Total depreciation and amortization is comprised of capitalized and
acquired software amortization reflected in gross margin, equipment
depreciation, amortization of debt-offering costs as reflected in interest
expense, amortization of deferred compensation and amortization of other
intangibles.
10. MAJOR CUSTOMERS
For the three and six-month periods ended June 30, 2003 and 2002, no
single customer accounted for more than 10% of total revenues however, for the
three and six months ended June 30, 2003 and 2002 sales to the U. S. government
accounted for 20.1% and 22.1%, and 23.5% and 22.2%, respectively, of HIM
Software Division revenues.
11. LITIGATION AND OTHER MATTERS
In October 2002, a series of securities law class action complaints were
filed in the United States District Court, California Northern District,
against QuadraMed and certain of its officers and directors. The plaintiffs in
these actions allege, among other things, violations of the Securities Exchange
Act of 1934 due to issuing a series of allegedly false and misleading
statements concerning its business and financial condition between May 11, 2000
and August 11, 2002. The complaints seek unspecified monetary damages and
other relief. These matters are at an early stage. No responses to the
complaints have yet been filed, and no discovery has taken place. QuadraMed
11
QUADRAMED CORPORATION
NOTES TO INTERIM CONDENSED CONSOLIDATED FINANCIAL STATEMENTS (continued)
June 30, 2003
intends to defend itself vigorously against these allegations. However, the
ultimate outcome of these matters cannot presently be determined.
On February 28, 2003, QuadraMed reported that the SEC issued a formal non-
public order of investigation concerning QuadraMed's accounting and financial
reporting practices for the period beginning January 1, 1998. QuadraMed
intends to continue to cooperate with the SEC and has complied with the SEC's
requests for information. QuadraMed cannot predict when the SEC will conclude
its inquiry, or the outcome and impact thereof.
12
Item 2. Management's Discussion and Analysis of Financial Condition and Results
of Operations
Cautionary Statement on Risks Associated With Forward-Looking Statements
------------------------------------------------------------------------
You should read the following discussion in conjunction with our Interim
Condensed Consolidated Financial Statements and related Notes. This Report
contains forward-looking statements within the meaning of the Private
Securities Litigation Reform Act of 1995 that are subject to risks and
uncertainties. The words "believe", "expect", "target", "goal", "project",
"anticipate", "predict", "intend", "plan", "estimate", "may", "will", "should",
"could", and similar expressions and their negatives are intended to identify
such statements. Forward-looking statements are not guarantees of future
performance, anticipated trends and growth in businesses, or other
characterizations of future events or circumstances and are to be interpreted
only as of the date on which they are made. We undertake no obligation to
update or revise any forward-looking statement. You should not place undue
reliance on these forward-looking statements. Our actual results could differ
materially from those anticipated in these forward-looking statements for many
reasons, including the risks faced by us described below and elsewhere in this
Report, and in other documents we file with the SEC from time to time.
Significant Accounting Policies and Estimates
- ---------------------------------------------
Our significant accounting policies have a considerable impact on
Management's Discussion and Analysis.
Principles of Consolidation
---------------------------
These consolidated financial statements, which include our accounts and
all our significant business divisions and subsidiaries, have been prepared in
conformity with (i) GAAP; and (ii) the rules and regulations of the SEC. All
significant intercompany accounts and transactions between us and our
subsidiaries have been eliminated in the consolidated financial statements.
Use of Estimates
----------------
Management's discussion and analysis of our financial condition and
results of operations are based upon our condensed consolidated financial
statements, which have been prepared in accordance with accounting principles
generally accepted in the United States of America. In preparing these
financial statements, we make estimates, assumptions, and judgments that affect
the reported amounts of assets and liabilities, contingent assets and
liabilities, revenues, and expenses. Significant estimates and assumptions
have been made regarding revenue recognition, the allowance for doubtful
account, investments, capitalized software, income taxes, restructuring,
pensions and other benefits, and contingencies and litigation and intangibles,
primarily goodwill and customer lists, resulting from our purchase business
combinations. We base our estimates, assumptions, and judgments on historical
experience and on various other assumptions believed to be reasonable under the
circumstances, the results of which form the basis for making judgments about
the carrying values of assets and liabilities that are not readily apparent
from other sources. Uncertainties inherent in these estimates include
projections of future operating results and the discount rates used to
determine the net present values of these future results and useful lives of
the acquired assets as well as technological advances. In addition, for our
fixed-price contracts, we make significant estimates within percentage-of-
completion accounting, including estimating total costs to be incurred as
calculated on a labor hour basis. We annually review and test our estimates,
specifically those related to the valuations of intangibles including acquired
software, goodwill, customer lists, trademarks and other intangibles, and
capitalized software. Actual results may differ materially from these
estimates.
Revenue Recognition
-------------------
Our revenue in the ordinary course of business is principally generated
from two sources: (i) licensing arrangements and (ii) services.
Our license revenue consists of fees for licenses of our software and
hosted services. Cost of license revenue primarily includes product, delivery
and royalty costs and facilities costs. Our service revenue consists of
maintenance, customer training and consulting services and fees for providing
management services such as accounts receivable and payment collection
outsourcing, specialized staffing, analytical services and seminars. Cost of
13
services consists primarily of salaries, benefits, and allocated costs related
to providing such services, labor costs for engineers performing implementation
services and technical support and training personnel.
We license our products through our direct sales force. Our license
agreements for such products do not provide for a right of return, and
historically product returns have not been significant.
We recognize revenue on our software products in accordance with Statement
of Position ("SOP") 97-2, Software Revenue Recognition, as amended by SOP 98-9,
----------------------------
Modification of SOP 97-2, Software Revenue Recognition, With Respect to Certain
-----------------------------------------------------
Transactions; SOP 81-1, Accounting for Performance of Construction-Type and
- ------------ ---------------------------------------------------
Certain Production-Type Contracts; and Staff Accounting Bulletin ("SAB") 101,
- ---------------------------------
Revenue Recognition in Financial Statements.
- -------------------------------------------
We recognize revenue when all of the following criteria are met:
persuasive evidence of an arrangement exists; delivery of the product has
occurred; no significant obligations by us with regard to implementation
remain; the fee is fixed and determinable; and, collectibility is probable.
Delivery is considered to have occurred when title and risk of loss have been
transferred to the customer, which generally occurs when media containing the
licensed programs is provided to a common carrier. We consider all
arrangements with payment terms extending beyond 180 days to be not fixed and
determinable, and revenue is recognized as payments become due from the
customer. If collectibility is not considered probable, revenue is recognized
when the fee is collected.
SOP 97-2, as amended, generally requires revenue earned on software
arrangements involving multiple elements to be allocated to each element based
on the relative fair values of the elements. Revenue recognized from multiple-
element arrangements is allocated to undelivered elements of the arrangement,
such as maintenance, support and professional services, based on the relative
fair values of the elements specific to us. Our determination of fair value of
each element in multi-element arrangements is based on vendor-specific
objective evidence ("VSOE"). We limit our assessment of VSOE for each element
to either the price charged when the same element is sold separately or the
price established by management, having the relevant authority to do so, for an
element not yet sold separately.
If evidence of fair value of all undelivered elements exists but evidence
does not exist for one or more delivered elements, then revenue is recognized
using the residual method. Under the residual method, the fair value of the
undelivered elements is deferred and the remaining portion of the arrangement
fee is recognized as revenue. Revenue from hosted applications is recognized
ratably over the term of the arrangement. The proportion of revenue recognized
upon delivery may vary from quarter to quarter depending upon the relative mix
of licensing arrangements and the availability of VSOE of fair value for
undelivered elements.
Certain of our perpetual and time-based licenses include unspecified
additional products and/or payment terms that extend beyond 12 months. We
recognize revenue from perpetual and time-based licenses that include
unspecified additional software products ratably over the term of the
arrangement.
Contract accounting is utilized for service revenue from fixed-price
contracts and those requiring significant software modification, development or
customization. In such instances, the arrangement fee is accounted for in
accordance with SOP 81-1, whereby the arrangement fee is recognized, generally
using the percentage-of-completion method measured on labor input costs. If
increases in projected costs-to-complete are sufficient to create a loss
contract, the entire estimated loss is charged to operations in the period the
loss first becomes known. The complexity of the estimation process and
judgment related to the assumptions, risks and uncertainties inherent with the
application of the percentage-of-completion method of accounting affect the
amounts of revenue and related expenses reported in its consolidated financial
statements. A number of internal and external factors can affect its
estimates, including labor rates, utilization, changes to specification and
testing requirements and collectibility of unbilled receivables.
Service revenues from software maintenance and support are recognized
ratably over the maintenance term, which in most cases is one year. Service
revenues from training, consulting and other service elements are recognized as
the services are performed.
Service revenues from providing management services such as accounts
receivable and payment collection outsourcing are recognized in accordance with
SAB 101. When all criteria for revenue recognition, as noted above, have been
met, revenue is recognized upon invoicing. If collectibility is not considered
probable, revenue is recognized when the fee is collected.
14
Accounts Receivable and Allowance for Doubtful Accounts
-------------------------------------------------------
Accounts receivable consist primarily of amounts due us from our normal
business activities. We maintain an allowance for doubtful accounts to reflect
the expected non-collection of accounts receivable based on past collection
history and specific risks identified within our portfolio. If the financial
condition of our customers were to deteriorate resulting in an impairment of
their ability to make payments, or if payments from customers are significantly
delayed, additional allowances might be required.
Intangible Assets
-----------------
Goodwill. In June 2001, the FASB issued SFAS No. 142, Goodwill and Other
-------- ------------------
Intangible Assets, effective for fiscal years beginning after December 15,
- -----------------
2001. Under SFAS 142, goodwill and intangible assets deemed to have indefinite
lives are to be separately disclosed on the balance sheet, and no longer
amortized but subject to annual impairment tests. With the adoption of SFAS
142, we ceased amortization of goodwill as of January 1, 2002. Prior to this
point, goodwill was amortized using the straight-line method over its estimated
useful life.
SFAS 142 requires that goodwill be tested for impairment at the reporting
unit level (i.e., business segments) upon adoption and at least annually
thereafter using a two-step impairment analysis. In accordance with SFAS 142,
we performed the first of the required two-step impairment tests of goodwill
and indefinite-lived assets as of January 1, 2002 utilizing an independent
appraiser. The test results showed no indicators of impairment as of January
1, 2002.
As of January 1, 2003, we re-engaged the same independent appraiser to
review the goodwill as of this date for impairment. Once again, the test
showed no indicators of impairment. We will continue to perform the tests of
impairment for goodwill required by SFAS 142 on an annual basis or more often,
as necessary.
Capitalized Software. Software development costs are capitalized upon the
--------------------
establishment of technological feasibility. In accordance with SFAS No. 86,
Accounting for the Costs of Computer Software to be Sold, Leased, or Otherwise
- ------------------------------------------------------------------------------
Marketed, we establish technological feasibility upon completion of a detailed
- --------
program design determined on a project-by-project basis, which substantiates
that the computer software product can be produced in accordance with its
design specifications. Software development costs are capitalized based upon
an assessment of their recoverability. This assessment requires considerable
judgment by management with respect to various factors, including, but not
limited to, anticipated future gross margins, estimated economic lives, and
changes in software and hardware technology. Amortization is based on the
greater of the ratio that current revenues bear to total and anticipated future
revenues for the applicable product, or the straight-line method over the
remaining estimated economic life of the product, generally five years, and is
charged to cost of licenses.
Other Intangible Assets. Other intangible assets primarily relate to
-----------------------
acquired software, trademarks and customer lists acquired in our purchase
business combinations. On January 1, 2002, we adopted the provisions of SFAS
No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets, which
--------------------------------------------------------------
generally requires impairment losses to be recorded on long-lived assets
(excluding goodwill) used in operations, such as property, equipment and
improvements, and intangible assets, when indicators of impairment are present
and the undiscounted cash flows estimated to be generated by those assets are
less than the carrying amount of the assets. The provisions of this statement
did not have a significant impact on our financial condition or operating
results.
Recent Accounting Pronouncements
--------------------------------
In November 2002, the FASB reached a consensus on EITF No. 00-21,
Accounting for Revenue Arrangements with Multiple Deliverables. The guidance
- --------------------------------------------------------------
in EITF 00-21 is effective for revenue arrangements entered into in fiscal
years beginning after June 15, 2003. This issue addresses certain aspects of
the accounting by a vendor for arrangements under which it will perform
multiple revenue-generating activities. Specifically, EITF 00-21 addresses how
to determine whether an arrangement involving multiple deliverables contains
more than one earnings process and, if it does, how to divide the arrangement
into separate units of accounting consistent with the identified earning
processes for revenue recognition purposes. EITF 00-21 also addresses how
arrangement consideration should be measured and allocated to the separate
units of accounting in the arrangement. We adopted EITF 00-21 effective June
15, 2003. The adoption did not have a material impact upon our consolidated
financial position or statement of operations.
15
In January 2003, the FASB issued FIN No. 46, Consolidation of Variable
-------------------------
Interest Entities. FIN 46 expands upon and strengthens existing accounting
- -----------------
guidance that addresses when a company should include in its financial
statements the assets, liabilities and activities of another entity. A variable
interest entity is a corporation, partnership, trust, or any other legal
structure used for business purposes that either (a) does not have equity
investors with voting rights or (b) has equity investors that do not provide
sufficient financial resources for the entity to support its activities. FIN
46 requires a variable interest entity to be consolidated by a company if that
company is subject to a majority of the risk of loss from the variable interest
entity's activities or is entitled to receive a majority of the entity's
residual returns or both. The consolidation requirements of FIN 46 apply
immediately to variable interest entities created after January 31, 2003. The
consolidation requirements apply to older entities in the first fiscal year or
interim period beginning after June 15, 2003. Disclosure requirements apply to
any financial statements issued after January 31, 2003. We adopted the
provisions of FIN 46 effective June 15, 2003. The adoption did not have a
material impact upon our consolidated financial position or statement of
operations.
In April 2003, the FASB issued SFAS No. 149, Amendment of Statement 133 on
-----------------------------
Derivative Instruments and Hedging Activities. SFAS 149 amends and clarifies
- ---------------------------------------------
the accounting for derivative instruments, including certain derivative
instruments embedded in other contracts, and for hedging activities under SFAS
133, "Accounting for Derivative Instruments and Hedging Activities." SFAS 149
is generally effective for contracts entered into or modified after June 30,
2003 and for hedging relationships designated after June 30, 2003. We adopted
the provisions of SFAS 149 on June 30, 2003. The adoption did not have a
material impact upon our consolidated financial position or statement of
operations
In May 2003, the FASB issued SFAS No. 150, Accounting for Certain
----------------------
Financial Instruments with Characteristics of both Liabilities and Equity.
- -------------------------------------------------------------------------
SFAS 150 requires that certain financial instruments, which under previous
guidance were accounted for as equity, must now be accounted for as
liabilities. The financial instruments affected include mandatory redeemable
stock, certain financial instruments that require or may require the issuer to
buy back some of its shares in exchange for cash or other assets and certain
obligations that can be settled with shares of stock. SFAS 150 is effective for
all financial instruments entered into or modified after May 31, 2003, and
otherwise is effective at the beginning of the first interim period beginning
after June 15, 2003. We adopted SFAS 150 effective June 15, 2003. The
adoption did not have a material impact upon QuadraMed's consolidated financial
position or statement of operations.
16
Results of Operations
The following table sets forth selected data for the indicated periods.
Percentages are expressed as a percentage of total revenues.
Three months ended June 30, Six months ended June 30,
----------------------------------- -----------------------------------
2003 2002 2003 2002
---- ---- ---- ----
Revenue
Services and other $ 19,275 65.5% $ 19,855 75.5% $ 38,954 66.4% $ 38,855 72.7%
Licenses 10,161 34.5 6,446 24.5 19,716 33.6 14,626 27.3
-------- ----- -------- ----- -------- ----- -------- -----
Total revenue 29,436 100.0 26,301 100.0 58,670 100.0 53,481 100.0
-------- ----- -------- ----- -------- ----- -------- -----
Cost of revenue
Cost of services and
other 9,978 33.9 8,488 32.3 21,678 37.0 16,215 30.3
Cost of licenses 1,821 6.2 1,982 7.5 3,703 6.3 4,115 7.7
-------- ----- -------- ----- -------- ----- -------- -----
Total cost of
revenue 11,799 40.1 10,470 39.8 25,381 43.3 20,330 38.0
-------- ----- -------- ----- -------- ----- -------- -----
Gross margin 17,637 59.9 15,831 60.2 33,289 56.7 33,151 62.0
-------- ----- -------- ----- -------- ----- -------- -----
Operating expenses
General and
administration 10,450 35.5 6,719 25.6 23,981 40.9 14,542 27.2
Sales and marketing 5,549 18.8 5,112 19.4 11,310 19.3 10,287 19.3
Research and
development 5,228 17.8 4,104 15.6 10,705 18.2 7,757 14.5
Amortization and other
operating charges 556 1.9 1,115 4.2 1,141 1.9 1,627 3.0
-------- ----- -------- ----- -------- ----- -------- -----
Total operating
expenses 21,783 74.0 17,050 64.8 47,137 80.3 34,213 64.0
======== ===== ======== ===== ======== ===== ======== =====
Revenue
-------
Services and Other. Services and other revenue consists of professional
------------------
services, such as implementation services and training, maintenance, which
consists of technical support and product upgrades, hardware, reimbursable
expenses and other service revenue. Professional services are typically
provided over a period of three months to six months for the HIM software
division and up to two years for the Enterprise division. These services are
provided subsequent to the signing of a software license arrangement and depend
in large part on the Company's software license revenues. The Company's
maintenance revenues depend on both the Company's software license revenues and
renewals of maintenance agreements by the Company's existing customer base.
Services and other revenue was $19.3 million for the three months ended June
30, 2003, a decrease of $580,000 or 2.9% from $19.9 million for the three
months ended June 30, 2002. For the six months ended June 30, 2003, services
and other revenue was $39.0 million, an increase of $99,000 or less than 1%
from $38.9 million in the first six months of 2002.
For the three months ended June 30, 2003, the decrease in absolute dollar
amount of services and other revenue was primarily due the decrease in
professional services from our Financial Services division. This business has
continued to decline due to the decrease in the quality of assignments and
average lower contract fees. For the six months ended June 30, 2003, the
increase in services and other revenue was primarily due to the sale of
hardware from the Enterprise division and professional services in the HIM
Software division offset by the decrease in our professional services from our
Financial Services division.
Licenses. License revenue consists of license and third-party software
--------
sales. The Company markets its products through its direct sales force.
License revenue in the three months ended June 30, 2003 was $10.2 million, an
increase of $3.7 million or 57.6% from $6.4 million in the corresponding period
of 2002. For the six months ended June 30, 2003, license revenue was $19.7
million, an increase of $5.1 million or 34.8% compared to $14.6 million in the
first six months of 2002.
The increase in absolute dollar amount of license revenue was due to
growth in both the Enterprise and HIM software divisions. The Enterprise
division grew in the second quarter of 2003, due to the Affinity suite of
products and purchase of Pharmacy Data Systems, Inc. (PDS) in June 2002. The
HIM software division grew due to new and migration sales and recognition of
17
deferred revenue. In the second quarter of 2002, some Quantim coding contracts
included a specified upgrade clause, therefore revenue was deferred to
subsequent quarters. Overall, the increase in absolute dollar amount of
license revenue for the six months ended June 30, 2003, was primarily due to
the increase in software license revenue for both the Enterprise and HIM
software divisions.
Cost of Revenue
---------------
Cost of Services and Other. Cost of services and other consists of
--------------------------
salaries and related expenses associated with services performed for customer
support, consulting services as well as third-party hardware costs. Cost of
services and other for the quarter ended June 30, 2003 was $10.0 million, an
increase of $1.5 million or 17.6% more than the $8.5 million recorded in the
corresponding period of 2002. As a percentage of services and other revenue,
cost of services and other was 51.8% and 42.8% for the three months ended June
30, 2003 and 2002, respectively. Cost of services and other for the six months
ended June 30, 2003 was $21.7 million, an increase of $5.5 million or 33.7%
more than the $16.2 million recorded in the corresponding period of 2002.
In absolute dollars, the increase in the three months ended June 30, 2003,
was primarily due to salaries and related costs. This increase was primarily
attributable to the Enterprise division. In absolute dollars, the increase for
the six months ended June 30, 2003 was primarily due to salaries, hardware and
other operating expenses. The majority of the increases were reflected as part
of the Enterprise division.
Cost of Licenses. Cost of licenses consists of third party royalties,
----------------
amortization of capitalized software, production costs and third party
software. Cost of licenses in the three months ended June 30, 2003 was $1.8
million, a decrease of $161,000 or 8.1% compared to $2.0 million for the same
period of 2002. As a percentage of license revenues, cost of licenses was
17.9% and 30.7% for the three months ended June 30, 2003 and 2002,
respectively. For the six months ended June 30, 2003, cost of licenses was
$3.7 million, a decrease of $412,000 or 10.0% from $4.1 million from the same
period of 2002.
In absolute dollars, the decrease in cost of license for the three months
ended June 30, 2003 was primarily due to a decrease in royalty expense from the
HIM Software division. The decrease for the six months ended June 30, 2003 was
primarily due to a decrease in royalty expense in the government sector and
operating system software offset by an increase in amortization of capitalized
software.
Operating Expenses
------------------
General and Administration. General and administration expense consists
--------------------------
of compensation and benefit costs for executive, finance, legal, information
technology, and administrative personnel. General and administration expense in
the three months ended June 30, 2003 was $10.5 million, an increase of $3.7
million or 55.5% compared to $6.7 million in the same period of 2002. As a
percentage of revenue, general and administration expense was 35.5% for the
three months ended June 30, 2003 as compared to 25.6% in the same quarter of
2002. For the six months ended June 30, 2003, general and administration
expense was $24.0 million, an increase of 64.9% from $14.5 million in the
comparable period in 2002. As a percentage of total revenue, general and
administration expense increased to 40.9% for the six months ended June 30,
2003 from 27.2% in the six months ended June 30, 2002.
The increase in general and administration expense for the three months
and six months ended June 30, 2003 was primarily due to an increase in
accountants', consultants' and attorneys' fees, retention bonuses and employee
benefits as part of the restatement process in the current period of $2.2
million and $6.5 million for the six months ended June 30, 2003. We expect
this expense will decrease in the following quarters.
Sales and Marketing. Sales and marketing expense includes costs
-------------------
associated with our sales and marketing personnel and product marketing
personnel and consists primarily of compensation and benefits, commissions and
bonuses, promotional and advertising expenses. Sales and marketing expense in
the three months ended June 30, 2003 was $5.5 million, an increase of $437,000
or 8.6% compared to $5.1 million in the corresponding period of 2002. As a
percentage of revenue, sales and marketing expense was 18.8% for the three
months ended June 30, 2003 as compared to 19.4% in the same quarter of 2002.
For the six months ended June 30, 2003, sales and marketing expense was $11.3
million, an increase of $1.0 million or 9.9% compared to $10.3 million compared
to the first half of 2002. As a percentage of total revenue, sales and
marketing expense remained at 19.3% for the six months ended June 30, 2003
18
compared to the same period in 2002. In absolute dollars, the increase in
sales and marketing expense for the three months and six months ended June 30,
2003 was primarily due to an increase in salaries and bonus expense reduced by
marketing expenses.
Research and Development. Research and development expense includes costs
------------------------
associated with the development of new products, enhancements of existing
products for which technological feasibility has not been achieved, and quality
assurance activities, and primarily includes compensation and benefits expense.
Research and development costs for the three months ended June 30, 2003 was
$5.2 million an increase of $1.1 million or 27.4% compared to $4.1 million in
the same period of 2002. As a percentage of revenue, research and development
costs were 17.8% for the three months ended June 30, 2003 compared to 15.6% in
the same quarter of 2002. For the six months ended June 30, 2003, research and
development costs were $10.7 million, an increase of $2.9 million or 38.0%
from $7.8 million in the first half of 2002.
The increase in research and development expense was primarily due to
product development efforts for the continued development of both the Affinity
and HIM software suite of products. The level of research and development
investments increased in the first six months of 2003 with the funding of
development. During the six months ended June 30, 2003, we capitalized
approximately $580,000 in software development costs compared to approximately
$1.4 million in the first six months of 2002.
Amortization and Other Operating Charges. Amortization and other
----------------------------------------
operating charges represented amortization of identifiable intangible assets
and in process research and development. Amortization and other operating
charges for the three months ended June 30, 2003 was $556,000, a decrease of
$559,000 compared to $1.1 million in the same period of 2002. The expense for
the second quarter of 2003 was for the amortization of identifiable intangible
assets. For the same period in 2002, the charges consisted of amortization of
identifiable intangible assets, acquired software and in-process research and
development in connection with the PDS acquisition in June 2002.
Other Income (Expense)
---------------------
Other Income (Expense), Net. Net other expense was $2.1 million and $1.2
---------------------------
million for the three months ended June 30, 2003 and 2002, respectively. For
the six months ended June 30, 2003 and 2002, net other income (expense) was
$3.1 million and $2.0 million, respectively. The increase for the three and
six months ended was due to the interest expense on the new debentures entered
into April 2003, which have a current interest rate of 9%, and amortization of
the associated warrants, offset by other non-operating income.
Income Taxes
------------
Provision for Income Taxes. There was no provision for income taxes for
--------------------------
the three and six months ended June 30, 2003 and 2002. For financial reporting
purposes, a 100% valuation allowance has been recorded against our deferred tax
assets under SFAS No. 109, Accounting for Income Taxes.
---------------------------
Liquidity and Capital Resources
- -------------------------------
Balance Sheet and Cash Flows
----------------------------
Cash and cash equivalents were $29.5 million as of June 30, 2003 and $23.7
million as of December 31, 2002, an increase of $5.8 million or 24.6% during
the period. Cash flows used by operating activities were $5.4 million for the
six months ended June 30, 2003. These amounts primarily resulted from a net
loss of $17.0 million for the six months ended June 30, 2003, offset by
depreciation and amortization of $6.0 million and an increase in deferred
revenue of $7.6 million. Cash flows from investing activities of $2.6 million
resulted from a $2.7 million payment received for the HIM Services sale and
$1.5 million earn-out payment associated with the EZ-CAP sale offset by $1.3
million in fixed asset purchases. In addition, $8.5 million was provided from
the restructuring of the long term debt.
Cash flows provided from operations for the three months ended June 30,
2003 was $1.0 million, including $2.2 million related to the restatement and
$5.2 million on research and development.
19
We expect that cash provided by operating activities may fluctuate in
future periods as a result of a number of factors, including fluctuations in
our operating results, specifically the timing of our accounts receivable
collections, and the timing of other payments. In the six months ended June
30, 2003 the company paid $6.5 million related to the restatement. These
expenses will not continue at this rate in future quarters. In the six months
ended June 30, 2003 the Company invested $10.7 million in research and
development of its software products. The Company expects to continue to
invest in research and development in the future.
Commitments
-----------
The following table summarizes financial data for our contractual
obligations and other commercial commitments, including interest obligations,
as of June 30, 2003 (in thousands):
Payments Due by Period
---------------------------------------
Less
than 1 1-3 3-5 After 5
Contractual Obligations Total year years years years
- --------------------------- -------- --------- --------- --------- ---------
Long-term debt $118,396 $ 7,726 $ 33,753 $ 76,917 $ --
Operating leases 28,016 4,912 7,782 10,277 5,045
Other long-term obligations 1,449 483 966 -- --
-------- -------- -------- -------- --------
Total contractual cash
obligations $147,861 $ 13,121 $ 42,501 $ 87,194 $ 5,045
======== ======== ======== ======== ========
Other Commercial Commitments
- ----------------------------
Standby letters of credit(1) $ 4,148 $ 1,100 $ -- $ 2,620 $ 428
-------- -------- -------- -------- --------
Total commercial commitments $ 4,148 $ 1,100 $ -- $ 2,620 $ 428
======== ======== ======== ======== ========
- --------------------------------
(1) The 3-5 years amount of $2.6 million is for an existing surety bond
requirement on December 31, 2002. Actual requirements may be less as work is
completed towards the underlying contract.
As of June 30, 2003, we had $11.9 million in outstanding 5.25% Convertible
Subordinated Debentures due 2005 and $71.0 million in outstanding 10.0% Senior
Secured Notes due 2008 (the "2008 Debt"). The 2008 Debt bears interest at an
initial rate of 10% which will be reduced to 9% upon any relisting of
QuadraMed's common stock on the Nasdaq SmallCap or National Market and is
secured by certain intellectual property of QuadraMed. However, we may be
obligated to redeem the 2005 and 2008 debentures earlier than the maturity
dates based upon certain events of default occurring as defined within the
debenture agreements. These events include, failure to timely repay principal
or interest owed on the debentures, default under any other borrowing, and
bankruptcy.
In addition, as of June 30, 2003, we had approximately $28.0 million in
minimum operating lease commitments that will be repaid through 2011. Finally,
we have a Supplemental Executive Retirement Plan ("SERP") that will require
total payments from 2008 through 2027 estimated at $7.8 million. We owe annual
premiums of $483,000 on the SERP through 2005 to fund our obligations.
We believe that we will have sufficient liquidity and capital resources to
fund our scheduled debt and other obligations through the next twelve months.
Business Risks
- --------------
Factors that have affected our results of operations in the past and are
likely to affect our results of operations in the future, include the
following:
Our Vendors, Suppliers and Customers May React Adversely to the Lack of
-----------------------------------------------------------------------
Timely SEC Filings of Our Historical Financial Statements.
- ---------------------------------------------------------
Our future success depends in large part on the support of our vendors and
suppliers, who may react adversely to the lack of timely SEC filings of our
20
historical financial statements. The restatement of our historical financial
statements has resulted in negative publicity about us, which may cause some of
our potential customers to defer purchases of our products. Our vendors and
suppliers may re-examine their willingness to do business with us, to develop
critical interfaces for us or to supply software and services if they lose
confidence in our ability to fulfill our commitments.
We Are Currently the Target of Securities Litigation and May Be the Target
--------------------------------------------------------------------------
of Further Actions, Which May Be Costly and Time Consuming to Defend.
- --------------------------------------------------------------------
In October 2002, a series of securities law class action complaints were
filed in the United States District Court, California Northern District,
against us and certain of our officers and directors. The plaintiffs in these
actions allege, among other things, violations of the Securities Exchange Act
of 1934 due to issuing a series of allegedly false and misleading statements
concerning our business and financial condition between May 11, 2000 and August
11, 2002. The complaints seek unspecified monetary damages and other relief.
The ultimate outcome of these matters cannot presently be determined and
may require significant commitment of our financial and management resources
and time, which may seriously harm our business, financial condition and
results of operations. We cannot assure you that any of the allegations
discussed above can be resolved without costly and protracted litigation, and
the outcome may have a materially adverse impact upon our financial position,
results of operations and cash flows.
In addition, securities class action litigation has often been brought
against a company following a decline in the market price of its securities.
The uncertainty of the currently pending investigation and litigation could
lead to more volatility in our stock price. We may in the future be the target
of securities class action claims similar to those described above.
We Are Subject to a Formal SEC Inquiry as a Result of the Restatement of
------------------------------------------------------------------------
Our Financial Statements.
- ------------------------
Following our August 12, 2002 announcement that we intended to restate
prior period financial statements, the staff of the San Francisco District
Office of the SEC requested certain information concerning the anticipated
restatement as part of an informal, preliminary inquiry.
On February 28, 2003, we reported that the SEC had issued a formal non-
public order of investigation concerning our accounting and financial reporting
practices for the period beginning January 1, 1998. We have cooperated fully
with the SEC and have complied fully with all requests for information by the
SEC. We intend to continue such cooperation and compliance. We cannot predict
when the SEC will conclude its inquiry, or the outcome and impact thereof.
Our Common Stock Has Been Delisted from the Nasdaq Stock Market.
---------------------------------------------------------------
We received a notice from the Nasdaq Stock Market that required us to file
Forms 10-Q for the quarters ended June 30, and September 30, 2002 as well as
restated financial statements for the years ended December 31, 2001, 2000 and
1999 and the quarter ended March 31, 2002. Our trading symbol as of August 22,
2002 was amended from "QMDC" to "QMDCE", as a result of the delinquent filings.
We requested an appeals hearing before a Nasdaq Listing Qualifications Panel
(the "Panel"). The Panel notified us on February 6, 2003, that Nasdaq would
continue to list our common shares on the Nasdaq National Market until February
28, 2003, by which date we must file our Quarterly Report on Form 10-Q for the
interim periods ended June 30, 2002 and September 30, 2002 and our amended SEC
filings for the years ended December 31, 2001, 2000 and 1999 and the interim
period ended March 31, 2002. Further, we were required to file timely all
other annual and periodic reports with the SEC and evidence our continued
compliance with all requirements for continued listing on the Nasdaq National
Market upon the filing of these documents as well as an ability to sustain
compliance with those requirements over the long term. We were unable to meet
these requirements in a timely manner, and on March 4, 2003, our common stock
was delisted from the Nasdaq National Market. As of the date of this report,
we have filed with the SEC all annual and periodic reports required under the
Exchange Act. Although we intend to comply with all other listing requirements
and to apply for relisting on the Nasdaq Small Cap or National Market as soon
as practicable, we can offer no assurances that we will be relisted on either
market.
21
The delisting constituted a "Repurchase Event" under the provisions of our
Convertible Subordinated Debentures. Upon such an event, our Debentures
provide the holders with the individual option to redeem the Debentures (see
below). In addition, the delisting of our common stock may have an adverse
reaction on our operating results and ultimately, our financial condition.
Our Debentures Have Been Partially Refinanced with Notes that Are Subject
-------------------------------------------------------------------------
to New Terms.
- ------------
We issued Debentures through a public offering on May 1, 1998 that mature
on May 1, 2005 in the principal amount of $115 million (the "2005 Notes"). Our
net proceeds from the offering were $110.8 million. The 2005 Notes bear
interest at 5.25% per annum and are convertible into common stock at any time
prior to the redemption or final maturity, initially at the conversion price of
$33.25 per share (resulting in an initial conversion ratio of 30.075 shares per
$1,000 principal amount).
We are obligated to provide holders of the 2005 Notes with notice of and
the holders have the individual option to redeem the 2005 Notes should we, (i)
cease to be traded on a U.S. national securities exchange or cease to be
approved for trading on a U.S. automated over-the-counter securities market; or
(ii) experience defined Changes of Control, including a merger in which we are
not the surviving entity or our shareholders do not control 50% of the new
entity, the sale of substantially all of our assets, a liquidation, or if there
is a substantial change in the board of directors over a two-year period.
Additionally, we are obligated to redeem the 2005 Notes upon defined Events of
Default, including failure to timely repay principal or interest under the 2005
Notes, default under any other borrowing, and bankruptcy. On March 4, 2003,
our common stock was delisted from the Nasdaq Stock Market, and a repurchase
event was triggered.
On April 17, 2003, we closed the partial refinancing of our 2005 Notes. In
conjunction with our repurchase of $61.8 million of our outstanding 2005 Notes
pursuant to our offer to repurchase such Notes previously announced on March
19, 2003, we issued $71 million of our Senior Secured Notes due 2008 (the "2008
Notes"), together with warrants to purchase 11,303,842 shares of our common
stock. Investors in the 2008 Notes included certain holders of 2005 Notes as
well as new investors. Additional warrants to purchase 2,047,978 shares of our
common stock will be issued to holders of the 2008 Notes if we do not file a
registration statement within 90 days after receiving a request from the
holders on or after the date that is 270 days after April 17, 2003, the date of
issuance of the 2008 Notes. We also issued warrants to purchase 282,596 shares
of our common stock to Philadelphia Brokerage Corporation as consideration in
connection with the transaction. The warrants have a term of five years, have
an exercise price of $0.01 per share and are subject to certain anti-dilution
provisions including dilution from any issuance of shares in settlement of
existing litigation.
The 2008 Notes bear an initial interest rate of 10%, which interest rate
is required to be reduced to 9% upon the listing of the Company's common stock
for trading on a U.S. national securities exchange or upon the common stock's
relisting on the Nasdaq National Market or the Nasdaq SmallCap Market. The
terms of the 2008 Notes provide that interest is initially payable 6% in cash
and 4% in additional notes for the first year and payable entirely in cash
thereafter. The 2008 Notes are also secured by certain of our intellectual
property.
The terms of the new debt could result in increased dilution to existing
shareholders as a result of the warrants issued and potential future issuances.
In addition, the higher rate of interest on the new debt will result in
increased interest costs.
Provisions in Our Certificate of Incorporation and Bylaws and Delaware Law
--------------------------------------------------------------------------
Could Delay or Discourage a Takeover which Could Adversely Affect the Price of
- ------------------------------------------------------------------------------
Our Common Stock.
- ----------------
Our board of directors has the authority to issue up to 5 million shares
of preferred stock and to determine the price, rights, preferences, privileges,
and restrictions, including voting rights, of those shares without any further
vote or action by holders of our common stock. If preferred stock is issued,
the voting and other rights of the holders of our common stock may be subject
to, and may be adversely affected by, the rights of the holders of our
preferred stock. The issuance of preferred stock may have the effect of
delaying or preventing a change of control of the Company that could have been
at a premium price to our stockholders.
22
Certain provisions of our certificate of incorporation and bylaws could
discourage potential takeover attempts and make attempts to change management
by stockholders difficult. Our board of directors, which is classified into
three classes of directors serving staggered, three-year terms, has the
authority to impose various procedural and other requirements that could make
it more difficult for our stockholders to effect certain corporate actions. In
addition, our certificate of incorporation provides that directors may be
removed only by the affirmative vote of the holders of two-thirds of the shares
of our capital stock entitled to vote. Any vacancy on our board of directors
may be filled only by a vote of the majority of directors then in office.
Further, our certificate of incorporation provides that the affirmative vote of
two-thirds of the shares entitled to vote, voting together as a single class,
subject to certain exceptions, is required for certain business combination
transactions. These provisions, and certain other provisions of our
certificate of incorporation, could have the effect of delaying or preventing
(i) a tender offer for our common stock or other changes of control of the
Company that could be at a premium price, or (ii) changes in our management.
In addition, certain provisions of Delaware law could have the effect of
delaying or preventing a change in control of the Company. Section 203 of the
Delaware General Corporation Law, for example, prohibits a Delaware corporation
from engaging in any business combination with any interested stockholder for a
period of three years from the date the person became an interested stockholder
unless certain conditions are met.
The Trading Price of Our Common Stock Has Been, and Is Expected to
------------------------------------------------------------------
Continue to Be, Volatile.
- ------------------------
The Nasdaq SmallCap Market on which our common stock was listed, the "Pink
Sheets" over-the-counter market, where our stock currently trades, and stock
markets in general, have historically experienced extreme price and volume
fluctuations that have affected companies unrelated to their individual
operating performance. The trading price of our common stock has been and is
likely to continue to be volatile due to such factors as:
o Variations in quarterly results of operations;
o Announcements of new products or acquisitions by our competitors;
o Governmental regulatory action;
o Resolution of pending or unasserted litigation, including the existing
shareholder lawsuits;
o Developments or disputes with respect to proprietary rights; and
o General trends in our industry and overall market conditions.
Movements in prices of equity securities in general may also affect the
market price of our common stock.
Future Sales of a Substantial Number of Shares of Our Common Stock Could
------------------------------------------------------------------------
Cause the Price of the Stock to Decrease or Fluctuate Substantially.
- -------------------------------------------------------------------
Our existing stockholders hold a significant number of shares of common
stock that may be sold in the future under Rule 144 of the Securities Act or
through the exercise of registration rights. Sales of a substantial number of
the aforementioned shares in the public markets or the prospect of such sales
could adversely affect or cause substantial fluctuations in the market price of
our common stock and debt securities and impair our ability to raise additional
capital through the sale of our securities.
Future Sales of Our Common Stock in the Public Market or Warrant or Option
--------------------------------------------------------------------------
Exercises and Sales Could Lower Our Stock Price.
- -----------------------------------------------
A substantial number of the unissued shares of our common stock are
subject to outstanding stock options and warrants. In addition, our
outstanding 2005 Notes may be converted into shares of common stock. We cannot
predict the effect, if any, that future sales of shares of common stock, or the
availability of shares of common stock for future sale, will have on the market
price of our common stock. Sales of substantial amounts of common stock,
23
including shares issued upon the exercise of stock options or warrants or the
conversion of our outstanding 2005 Notes, or the perception that such sales
could occur, may adversely affect prevailing market prices for our common
stock.
We Face Product Development Risks Associated with Rapid Technological
---------------------------------------------------------------------
Changes.
- -------
The healthcare software market is highly fragmented and characterized by
ongoing technological developments, evolving industry standards, and rapid
changes in customer requirements. Our success depends on our ability to timely
and effectively:
o Offer a broad range of software products;
o Enhance existing products and expand product offerings;
o Respond promptly to new customer requirements and industry standards;
o Remain compatible with popular operating systems and develop products that
are compatible with the new or otherwise emerging operating systems; and
o Develop new interfaces with competing HIS vendors to fully integrate our
Quantim product suite in order to maximize features and functionality of
the new products.
Our performance depends in large part upon our ability to provide the
increasing functionality required by our customers through the timely
development and successful introduction of new products and enhancements to our
existing suite of products. We may not successfully, or in a timely manner,
develop, acquire, integrate, introduce, or market new products or product
enhancements. Product enhancements or new products developed by us also may
not meet the requirements of hospitals or other healthcare providers and payers
or achieve or sustain market acceptance. Our failure to either estimate
accurately the resources and related expenses required for a project, or to
complete our contractual obligations in a manner consistent with the project
plan upon which a contract was based, could have a material adverse effect on
our business, financial condition, and results of operations. In addition, our
failure to meet a customer's expectations in the performance of our services
could damage our reputation and adversely affect our ability to attract new
business.
Our Inability to Protect Our Intellectual Property Could Lead to
----------------------------------------------------------------
Unauthorized Use of Our Products, which Could Have an Adverse Effect on Our
- ---------------------------------------------------------------------------
Business.
- --------
We rely on a combination of trade secret, copyright and trademark laws,
nondisclosure, non-compete, and other contractual provisions to protect our
proprietary rights. In 2001, we filed our first patent application covering
our developed technology, the Affinity CPOE software application. Measures
taken by us to protect our intellectual property may not be adequate, and our
competitors could independently develop products and services that are
substantially equivalent or superior to our products and services. Any
infringement or misappropriation of our proprietary software and databases
could put us at a competitive disadvantage in a highly competitive market and
could cause us to lose revenues, incur substantial litigation expense, and
divert management's attention from other operations.
We depend on licenses from a number of third-party vendors for certain
technology used to develop and operate our products. Most of these licenses
expire within three to five years. Such licenses can be renewed only by mutual
consent and may be terminated if we breach the license terms and fail to cure
the breach within a specified time period. If such licenses are terminated, we
may not be able to continue using the technology on commercially reasonable
terms or at all. As a result, we may have to discontinue, delay or reduce
product shipments until equivalent technology is obtained, which could have a
material adverse effect on our business, financial condition, and results of
operations. Most of our third-party licenses are non-exclusive and competitors
may obtain the same or similar technology. In addition, if vendors choose to
discontinue support of the licensed technology, we may not be able to modify or
adapt our products.
24
Intellectual property litigation is increasingly common in the software
industry. The risk of an infringement claim against us may increase over time
as the number of competitors in our industry segment grows and the
functionality of products overlaps. Third parties could assert infringement
claims against us in the future. Regardless of the merits, we could incur
substantial litigation expenses in defending any such asserted claim. In the
event of an unfavorable ruling on any such claim, a license or similar
agreement may not be available to us on reasonable terms, if at all.
Infringement may also result in significant monetary liabilities that could
have a material adverse effect on our business, financial condition, and
results of operations. We may not be successful in the defense of these or
similar claims.
The Nature of Our Products Makes Us Particularly Vulnerable to Undetected
-------------------------------------------------------------------------
Errors or Bugs that Could Reduce Revenues, Market Share or Demand for Our
- -------------------------------------------------------------------------
Products and Services.
- ---------------------
Products such as those we offer may contain errors or failures, especially
when initially introduced or when new versions are released. Although we
conduct extensive testing on our products, software errors have been discovered
in certain enhancements and products after their introduction. Despite such
testing by us and by our current and potential customers, products under
development, enhancements, or shipped products may contain errors or
performance failures, resulting in, among other things:
o Loss of customers and revenue;
o Delay in market acceptance;
o Diversion of resources;
o Damage to our reputation; or
o Increased service and warranty costs.
Any of these consequences could have a material adverse effect on our
business, financial condition, and results of operations.
If Our Products Fail to Accurately Assess, Process, or Collect Healthcare
-------------------------------------------------------------------------
Claims or Administer Managed Care Contracts, We Could Be Subject to Costly
- --------------------------------------------------------------------------
Litigation and Be Forced to Make Costly Changes to Our Products.
- ---------------------------------------------------------------
Some of our products and services are used in the payment, collection,
coding, and billing of healthcare claims and the administration of managed care
contracts. If our employees or products fail to accurately assess, process, or
collect these claims, customers could file claims against us. Our insurance
coverage may not be adequate to cover such claims. A successful claim that is
in excess of, or is not covered by, insurance coverage could adversely affect
our business, financial condition, and results of operations. Even a claim
without merit could result in significant legal defense costs and could consume
management time and resources. In addition, claims could increase our premiums
such that appropriate insurance could not be found at commercially reasonable
rates. Furthermore, if we were found liable, we may have to significantly
alter one or more of our products, possibly resulting in additional
unanticipated research and development expenses.
We May Be Required to Make Substantial Changes to Our Products if They
----------------------------------------------------------------------
Become Subject to FDA Regulation, which Could Require a Significant Capital
- ---------------------------------------------------------------------------
Investment.
- ----------
Computer products used or intended for use in the diagnosis, cure,
mitigation, treatment, or prevention of disease or other conditions or that
affect the structure or function of the body are subject to regulation by the
FDA under the Federal Food, Drug and Cosmetic Act. At present, none of our
software products are so regulated. In the future, the FDA could determine
that some of our products, because of their predictive aspects, are clinical
decision tools and subject them to regulation. Compliance with FDA regulations
could be burdensome, time consuming, and expensive. Other new laws and
regulations affecting healthcare software development and marketing also could
25
be enacted in the future. If so, it is possible that our costs and the length
of time for product development and marketing could increase and that other
unforeseeable consequences could arise.
Governmental Regulation of the Confidentiality of Patient Health
----------------------------------------------------------------
Information Could Result in Our Customers Being Unable to Use Our Products
- --------------------------------------------------------------------------
Without Significant Modification, which Could Require Us to Expend Substantial
- ------------------------------------------------------------------------------
Amounts.
- -------
There is substantial state and federal regulation of the confidentiality
of patient health information and the circumstances under which such
information may be used by, disclosed to or processed by us as a consequence of
our contacts with various health care providers. Although compliance with
these laws and regulations is presently the principal responsibility of the
hospital, physician, or other healthcare provider, regulations governing
patient confidentiality rights are dynamic and rapidly evolving. Changes may
be made which require us to change our systems and our methods which could
require significant expenditure of capital and decrease future business
prospects. Additional federal and state legislation governing the
dissemination of individually identifiable information have been proposed and
may be adopted, which may also significantly affect our business.
The Health Insurance Portability and Accountability Act of 1996 ("HIPAA")
is a federal law that affects the use, disclosure, transmission and storage of
individually identifiable health information. As directed by HIPAA, the United
States Department of Health and Human Services ("HHS") must promulgate
standards and implementation guidelines for certain electronic health
transactions, code sets, data security, unique identification numbers, and
privacy of individually identifiable health information. HHS has made several
regulatory proposals, which are in various stages of development.
First, HHS has published a final regulation governing transaction and
code-set standards that had a compliance date of October 16, 2002. If a
covered entity (health care providers that transmit certain covered
transactions in electronic form, health plans and health care clearinghouses)
or its agent file an extension by October 16, 2003, the covered entity would
receive an additional year to comply with the HIPAA transaction and code sets
requirements.
Second, HHS has published a final HIPAA privacy rule which had a
compliance date of April 14, 2003. The HIPAA privacy rule is complex and far
reaching. Similar to the HIPAA transaction and code sets rule, the HIPAA
privacy rule applies to covered entities. Covered entities are required to
execute a contract with any business associate that performs certain services
on the covered entity's behalf. We may be implicated by the HIPAA privacy rule
as a business associate of a covered entity. The HIPAA privacy rule and state
healthcare privacy regulations could materially restrict the ability of
healthcare providers to disclose individually identifiable health information
from patient records using our products and services or could require us to
make substantial capital expenditures to be in compliance. Accordingly, the
HIPAA Privacy Rule and state privacy laws may significantly impact our
product's use in the health care delivery system and therefore decrease our
revenue, increase working capital requirements and decrease future business
prospects.
Third, HHS published the final HIPAA security rule with a compliance date
of April 20, 2005. The HIPAA security rule applies to the use, disclosure,
transmission, storage and destruction of electronic protected health
information by covered entities. Covered entities must implement stringent
security measures to ensure the confidentiality of the electronic protected
health information, and to protect against the unauthorized use of the
electronic protected health information. Implementing such measures will
require us to expend substantial capital due to required product, service, and
procedure changes.
Government Regulation to Adopt and Implement ICD-10-CM and ICD-10-PCS
---------------------------------------------------------------------
Medical Code Set Standards.
- --------------------------
Prominent HIM organizations are calling on the Department of Health and
Human Services (HHS) and the healthcare industry to take action to adopt and
implement ICD-10-CM and ICD-10-PCS code sets, rules, and guidelines as a
replacement for current ICD-9-CM guidelines used in our software products.
Adoption of these new code sets would require us to change our systems and our
methods which could require a significant expenditure of R & D capital and
decrease future business prospects for our current product line.
26
Government Regulation of the Health Care Delivery System May Affect Health
--------------------------------------------------------------------------
Care Providers' Discretionary Spending.
- --------------------------------------
During the past several years, the healthcare industry has been subject
to, among other things, increasing levels of governmental regulation of
reimbursement rates and certain capital expenditures. Certain proposals to
reform the healthcare system have been and are being considered by Congress.
These proposals, if enacted, could change the operating environment for our
clients in ways that could have a negative impact on our business, financial
condition, and results of operations. We are unable to predict what, if any,
changes will occur.
Changes in Procurement Practices of Hospitals Have and May Continue to
----------------------------------------------------------------------
Have a Negative Impact on Our Revenues.
- --------------------------------------
A substantial portion of our revenues has been and is expected to continue
to be derived from sales of software products and services to hospitals.
Consolidation in the healthcare industry, particularly in the hospital and
managed care markets, could decrease the number of existing or potential
purchasers of products and services and could adversely affect our business.
In addition, the decision to purchase our products often involves a committee
approval. Consequently, it is difficult for us to predict the timing or
outcome of the buying decisions of our customers or potential customers. In
addition, many healthcare providers are consolidating to create IDNs with
greater regional market power. These emerging systems could have greater
bargaining power, which may lead to decreases in prices for our products, which
could adversely affect our business, financial condition, and results of
operations.
Changes in the Healthcare Financing and Reimbursement System Could