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Center for Wound Healing, Inc. - FORM 10-K/A - October 13, 2009
UNITED
STATES
SECURITIES
AND EXCHANGE COMMISSION
Washington,
D.C. 20549
FORM
10-KSB/A
(Amendment
No. 1)
x ANNUAL REPORT UNDER
SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE
ACT OF 1934
For the
fiscal year ended June 30, 2008
¨ TRANSITION REPORT UNDER
SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE
ACT OF 1934
Commission
file number: 000-5137
THE
CENTER FOR WOUND HEALING, INC.
(Name of
Small Business Issuer in Its Charter)
Issuer's
telephone number, including area code: (914)
372-3150
Securities
registered under Section 12(b) of the Exchange Act:
None
Securities
registered under Section 12(g) of the Exchange Act:
Common
Stock, $0.001 par value per share
(Title of
Class)
Check
whether the issuer (1) filed all reports required to be filed by Section 13 or
15(d) of the exchange Act during the past 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
Check if
there is no disclosure of delinquent filers in response to Item 405 of
Regulation S-B contained in this form, and no disclosure will be contained, to
the best of registrant's knowledge, in definite proxy or information statements
incorporated by reference in Part III of this form 10-KSB or any amendment to
this Form 10-KSB. x
Indicate
by check mark whether the registrant is a shell company (as defined in Rule
12b-2 of the Exchange Act). Yes ¨ No
x
The
issuer's revenues for the year ended June 30, 2008 were
$26,357,619.
The
aggregate market value of the registrant's common stock held by non-affiliates
as of September 19, 2008 was approximately $8,190,333.
State the
number of shares outstanding of each of the issuer's classes of equity
securities, as of the latest practicable date. As of September 19, 2008, there
were 23,373,281 shares of common stock issued and outstanding.
DOCUMENTS
INCORPORATED BY REFERENCE: None.
Transitional
Small Business Disclosure Format (check one): Yes ¨ No x EXPLANATORY
NOTE
We filed
our Annual Report on Form 10-KSB for fiscal year ended June 30, 2008
with the Securities and Exchange Commission (the “SEC”) on September
25, 2008. We are filing this Amendment No. 1 on the Form 10-KSB/A on October
9th, 2009 to amend and restate our financial statements for fiscal year ended
June 30, 2008 and the related footnote disclosures to reflect the correction of
an accounting error, all as more fully described in the following
paragraph.
During
the preparation of its consolidated financial statements for the fiscal year
ended June 30, 2009, the Company discovered that the initial recording of a
financing transaction entered into on March 31, 2008 had incorrectly accounted
for certain elements of the transaction related to the pricing of warrants to
purchase shares of the Company’s common stock, the amortization of costs
associated with such financing, and the issuance of appropriate number of
warrants to a former debt holder and to Bison Capital Equity Partners II-A, L.P.
and Bison Capital Equity Partners II-B, L.P. (collectively, the “Bison Capital
Entities”), with which the Company consummated a financing transaction on March
31, 2008 (the “Bison Note”). As it effects the June 30, 2008 filing, it was
determined that the shareholders’ equity was understated and interest expense,
long-term liabilities and other assets were overstated. In conjunction
with its review of its accounting for warrants as described above, the Company
has issued warrants to purchase an additional 3,093,750 shares of common stock
to the former debt holder, which warrants were required to be issued as a result
of a January 2008 private financing that the Company undertook with other
investors, and the exercise price of all of the warrants held by such former
debt holder has been adjusted to $2.00 per share, and the Company also issued
warrants to purchase an additional 773,438 shares of common stock to the Bison
Capital Entities in accordance with the warrant agreement between the Bison
Capital Entities and the Company.
This
amendment No. 1 to our Annual Report on Form 10-KSB for the fiscal year ended
June 30, 2008 amends only the following items:
PART II,
Item 5 – Market for Common Equity, Related Stockholder Matters and Small
Business Issuer Purchases of Equity Securities
PART II,
Item 6 – Management’s Discussion and Analysis or Plan of Operation was amended
to reflect the corrections to the Company’s reported operating results and
financial position.
PART II,
Item 7 – Consolidated Financial Statements, and the Notes to the Consolidated
Financial Statements 2
THE
CENTER FOR WOUND HEALING, INC.
Report
on Form 10-KSB/A
For
the Fiscal Year Ended June 30, 2008
TABLE
OF CONTENTS
3
Forward-Looking
Statements
This
Report contains, in addition to historical information, forward-looking
statements regarding The Center for Wound Healing, Inc. (the “Company” or
“CFWH”), which represent the Company’s expectations or beliefs including, but
not limited to, statements concerning the Company’s operations, performance,
financial condition, business strategies, and other information and that involve
substantial risks and uncertainties. The Company’s actual results of operations,
some of which are beyond the Company’s control, could differ materially. For
this purpose, any statements contained in this Report that are not statements of
historical fact may be deemed to be forward-looking statements. Without limiting
the generality of the foregoing, words such as “may,” “will,” “expect,”
“believe,” “anticipate,” “intend,” “could,” “estimate,” or “continue” or the
negative or other variations thereof or comparable terminology are intended to
identify forward-looking statements. Factors that could cause or contribute to
such difference include, but are not limited to; limited history of operations;
need for additional financing; competition; dependence on management; and other
factors discussed herein and in the Company’s other filings with the Securities
and Exchange Commission.
PART
I
ITEM
1. DESCRIPTION OF
BUSINESS
As used
in this annual report, "we", "us", "our", "CFWH", "Company" or "our company"
refers to The Center for Wound Healing, Inc. and all of its subsidiaries and
affiliated companies.
Business
Development:
The
Center for Wound Healing, Inc. (“CFWH” or the “Company”), formerly known as
American Hyperbaric, Inc., was organized in the State of Florida on May 25,
2005. CFWH develops and manages comprehensive wound care centers, which are
marketed as “THE CENTER FOR WOUND HEALING tm” in
hospitals throughout the United States. These centers render the specialized
service of comprehensive wound care and hyperbaric medicine, and are developed
in partnerships with acute care hospitals. CFWH can be contracted to startup and
manage the wound care program or offer a turnkey operation including the
furnishing of hyperbaric oxygen chambers to hospitals. On December 9, 2005, CFWH
completed a “reverse acquisition” transaction with Kevcorp Services, Inc.
(“Kevcorp”), a publicly-held Nevada corporation, in which Kevcorp acquired all
the assets and assumed all of the liabilities of CFWH, in consideration for the
issuance of a majority of Kevcorp’s shares of common stock pursuant to an
Agreement and Plan of Reorganization. The transaction was a tax-free
reorganization. Following the reorganization, CFWH became a wholly-owned
subsidiary of Kevcorp. After this transaction closed, in December 2005 CFWH
amended its Articles of Incorporation and changed its name to The Center for
Wound Healing, Inc. CFWH is headquartered in Tarrytown, New York. Our principal
executive office is located at 155 White Plains Road, Suite 200, Tarrytown, NY
10591.
On April
7, 2006, we acquired the majority membership interests in 12 individual limited
liability companies (the “Twelve LLCs”) from the holders of these companies’
majority members (the “Majority Members”) pursuant to the rights granted to us
by the Majority Members of the Twelve LLCs in December 2005. As a condition
precedent to the purchase contract we closed on a financing transaction
resulting in $5,500,000 and $4,912,500 in gross and net cash proceeds,
respectively, to fulfill our operational and expansion plans.
On April
7, 2006, the Company simultaneously received $5.5 million in gross proceeds (the
“Secured Convertible Debenture” or “Debenture”) ($4,912,500 after placement
agent fees and other offering costs, plus an additional 150,000 common shares
issued to the placement agent), in exchange for its secured convertible
debenture issued to DKR Sound Shore Oasis Holding Fund Ltd (“Oasis”) ($5.1
million) and Harborview Master Fund LP ($0.4 million), together the
“Bondholders”. The Debenture was originally due on April 7, 2007. As provided in
the agreement, the due date was extended to September 7, 2007 since the shares
underlying the Oasis warrants were not registered. The debentures were
convertible at the option of the Bondholders into common shares, at $3 per
common share (subject to adjustment) at any time and in any amount prior to
maturity. As originally issued, the debenture bore interest at 8% per annum,
payable in cash or in common shares at the conversion price (subject to certain
eligibility requirements). $2,000,000 of the proceeds of the debenture was paid
to the Majority Members as partial consideration for the simultaneous
acquisitions of the Twelve LLCs previously discussed.
The
debenture agreement contained EBITDA (Earnings before Interest, Taxes,
Depreciation and Amortization) targets which, if not met, would result in a
downward adjustment to the conversion price although the conversion price could
not be less than $2.00 per share. As the Company failed to meet the
EBITDA targets as specified under the debenture, the conversion price was
reduced to its minimum of $2.00 per share.
Issuance
of the warrants to the holders of the $1.6 million of notes triggered certain
anti-dilution provisions under the warrant agreement related to 2,750,000
warrants outstanding at June 30, 2007. As the result, the Company issued
an additional 3,093,750 warrants to purchase shares of its common stock and
reduced the exercise price for all of the warrants to $2 per share.
In
addition, each Bondholder received a series of five year common stock purchase
warrants with exercise prices ranging from $4.00 to $5.00 per share (subject to
adjustment downward upon the occurrence of certain specified events) for an
aggregate of 2,750,000 common shares. If the Company failed to file a
registration statement by April 7, 2007, which it did, the holders of the
warrants received the option to exercise the warrants on a “cashless”
basis 4
Of these
warrants, 916,667, exercisable at $4.00 per common share, were exercisable on
their 11 month anniversary of issuance and were callable at the option of the
Company until exercisable. Since the Company did not exercise its call right,
the due date of the convertible debenture was extended to September 7, 2007. All
other warrants are immediately exercisable.
Because
the senior convertible debentures were immediately convertible, and could be
converted at a price on the date of sale ($3.00 per share) which was less than
the market value of the shares on that date ($4.00 per share), this transaction
included a beneficial conversion feature. In addition, the corresponding
warrants attached were determined to have fair values utilizing the
Black-Scholes option-pricing model in excess of the notes’ proceeds of
$5,500,000. Consequently, $2,108,240 was allocated to the beneficial conversion
feature and $3,391,760 to the warrants, using a relative valuation method to the
value of the senior convertible note and credited to additional paid-in capital.
The beneficial conversion feature, the fair value of the immediately convertible
warrants, and those warrants exercisable as of June 30, 2007, were charged to
interest expense and accreted to the senior convertible debenture in the
accompanying financial statements. As of June 30, 2007, there was no remaining
unamortized discount.
As part
of this agreement, the Company was required to file a Registration Statement
within 60 days of the date of closing of the shares and warrants associated with
the aforementioned $5.5 million 8% Secured Debenture. Since the Company failed
to do so, it incurred damages payable to each Bondholder equivalent to 1.5% of
the aggregate purchase price paid by each Bondholder for each month the
Registration Statement was not filed up to a maximum of 9% per Bondholder. The
maximum damages amounted to $495,000, which was fully accrued for in fiscal
2007.
On
February 28, 2007 Oasis issued a Default Notice to the Company because of the
Company’s failure to timely file its June 30, 2006 annual report on Form 10-KSB,
the cessation of the Company’s securities being listed or quoted on the
Over-the-Counter Bulletin Board of the NASD, and the Company’s failure to file a
Registration Statement within 60 days of the Registration Rights Agreement. As a
result of these defaults the Company incurred a $1,650,000 penalty (30% of the
principal amount of the debenture), as provided for in the Debenture Agreement.
On May 29, 2007 the Company, its debenture holders and Signature Bank negotiated
a restructuring of the Company’s senior secured loan and the secured debenture.
Among other things, the debenture holders withdrew their default notice and all
alleged defaults under both agreements were waived.
The restructured subordinated
debentures increased the principal amount of debentures for accrued interest on
the debentures through May 29, 2007 by $504,778 and the $495,000 in damages
referred to above. The interest rate on the restructured $6,499,778 in
indebtedness was increased from 8% to 9%. The revised debt required a $1,000,000
payment to the bondholders of which $800,000 was a principal reduction and
$200,000 was a “consent fee” to restructure the debentures; this payment was
made on June 21, 2007. The bondholders received an additional $1,650,000 as
“additional consideration” for amending the agreements. The consent fee and the
additional consideration were charged to operations as additional interest from
the restructure date to December 31, 2007, the initial maturity date of the
debentures. On the initial maturity date the Company exercised its option to
extend the maturity date to March 31, 2008 by paying a $1,200,000 in principal
payments and an additional consent fee of $300,000.
Pursuant
to the Third Amendment to the credit facility effective May 29, 2007, and to
three subsequent amendments, the bank extended the line’s maturity to April 15,
2008, and increased the revolving credit line to $6,500,000 at substantially the
same interest rates and secured by the same collateral. The Company also
received the proceeds from a $1,500,000 term loan payable in equal monthly
principal installments of $33,333 commencing September 1, 2007, with the balance
due April 15, 2008.
The
amended agreement required the Company to maintain certain financial covenants
and ratios, limited capital expenditures and additional indebtedness, and
prohibited dividends and distributions to minority interest without prior
approval. The Company was required to assign the aggregate proceeds of key man
life insurance of $7,500,000 on the life of the Company’s CEO, and two directors
personally guaranteed the bank debt.
On March
31, 2008, the Company completed a $20 million 15% senior secured subordinated
financing agreement with Bison Equity Capital Partners (“Bison”) (the “Bison
Note”) (the “Bison Financing”). The Company received $17.5 million, net of a
$2.5 million discount, and after providing for transaction fees, approximately
$12.8 million was used to retire in its entirety the Secured Convertible
Debenture, accrued interest and penalty; the Signature Bank term loan; the CFWH
Mezzanine loan and accrued interest, the December 2007 and January 2008 Bridge
Loan and accrued interest; and certain extended accounts payable and other
obligations.
As part
of the May 29, 2007 refinancing agreement with the Bondholders, the Company
agreed to pay the Bondholders $800,000 in principal and $200,000 as a consent
fee within 21 days of the agreement becoming effective. In order to raise
capital to effectuate this payment, the Company formed a new limited liability
company, CFWH Mezzanine, LLC (“Mezzanine”) and sold an aggregate total of 25% of
the membership interests in Mezzanine to private investors for an aggregate sum
of $1 million. The Company contributed to Mezzanine its rights to the proceeds
of certain specifically identified wound care centers the Company contemplated
opening in the near term and the minority investors were entitled to receive 25%
of the earnings of such centers. At the time the Company called for the
redemption of the minority ownership interests in Mezzanine, each investor had
the option to either receive payment for the principal or may convert his or her
principal investment into the Company’s common stock at a conversion price of $2
per share. The Mezzanine loan was retired in full from the proceeds of the Bison
Financing. 5
On June
16, 2006, the Company closed on a contribution agreement, effective June 1,
2006, to acquire Far Rockaway Hyperbaric, (“Far Rockaway”) for $5 million. The
consideration consisted of $1,000,000 in cash on closing, 615,385 shares of the
Company’s common stock valued at $3.25 per share, which carry piggyback
registration rights, based upon the closing price of the stock on the date of
the acquisition, a two year promissory note in the amount of $1,350,000 bearing
interest at 8% per annum, and a 60 day promissory note in the amount of $650,000
bearing interest at 8% per annum. The 60 day note was repaid on August 9, 2006,
and the two year note was retired in full on June 14, 2008.
Business
of Issuer:
Hyperbaric
Oxygen Treatment (“HBOT”) is a medical treatment administered by delivering
one-hundred percent (100%) oxygen at pressures greater than atmospheric (sea
level) pressure to a patient inside an enclosed chamber. This means that the
pressure is typically 2½ times greater than normal atmospheric pressure, causing
blood to carry larger amounts of oxygen, which is delivered to organs and
tissues in the body. The increased pressure combined with the increased oxygen
dissolves oxygen in the blood and throughout all body tissues and fluids at up
to 20 times normal concentration. By doing so, wounds, particularly infected
wounds, heal more quickly.
Hyperbaric
oxygen acts as a drug, eliciting varying levels of response at different
treatment depths, durations and dosages and has been proven effective as
adjunctive therapy for specifically indicated conditions. The amount of pressure
increase and the length of time under pressure are determined by the conditions
being treated. Treatment pressures are usually between two and three-times
atmospheric pressure and usually last from one to two hours at full
pressure.
The US
Food and Drug Administration (“FDA”) has approved HBOT to treat decompression
sickness, gangrene, brain abscess, air bubbles in the blood, and injuries in
which tissues are not getting enough oxygen. Oxygen is considered to be a drug
by the FDA that must be prescribed by a physician or a licensed health care
provider in order to help treat illnesses or health conditions.
HBOT does
not compete with or replace other treatment modalities, however, it is now
increasingly being used on an adjunctive basis in the management of a variety of
disorders refractory to standard medical and surgical care and has been shown to
be particularly effective in treating problem wounds, chronic bone infections,
and radiation injury. In general, people are using HBOT to help themselves heal
faster from surgeries and injuries.
We contract with hospitals to supply
hyperbaric oxygen chambers and manage wound care facilities offering the
services related to this treatment. Generally for each center we are provided
with appropriate space requirements by the institution. We are responsible for
the complete management of our services for each treatment scheduled including
non-medical staff and billing of patient services directly through the hospital
for inclusion in a patient’s overall billing. We also are responsible for
designing and installing the necessary leasehold improvements of the
hospital-provided space and supplying the appropriate number of hyperbaric
chambers, based upon anticipated demand. We generally either acquire the
chambers under three year lease financing transactions with $1 buyout
arrangements (treated as capitalized leases in our accompanying condensed
consolidated financial statements) or we rent the units from third parties for
which we pay a per use (treatment) fee. This has allowed us to leverage our
resources and maximize the number of centers that we can support. As our
operation grows, we have the ability to transfer chambers between institutions
in order to balance demand and maximize the use of our
resources.
CFWH has
entered into separate multi-year operating agreements to startup and manage the
wound care programs in 38 hospitals, which offer turnkey operations including
the furnishing of hyperbaric oxygen chambers to each hospital. For the period
ending June 30, 2008, CFWH had 35 of the 38 agreements operational; however, in
September 2008 we determined to close one underperforming center, which resulted
in a loss on abandonment accrual of $190,000 as of June 30, 2008. Although there
can be no assurance that we will be successful in each instance, our plan at
each center requires a multi-year committed contract term with a fixed and or
variable fee schedule based on paid hyperbaric treatments and wound care
procedures. This fee is adequate for us to recover our investment in leasehold
improvements (a sunk cost and non-transferable asset), our start-up costs,
including recruiting and training of personnel, and the amortization of chamber
lease financing.
CFWH is a
provider of contract services for wound care and hyperbaric medicine in the
United States. Through medical leadership based upon a multi-disciplinary team
of physicians and defined clinical standards, CFWH is committed to achieving
patient results while simultaneously providing both physicians and hospitals
professional and economic opportunities.
The goal
of present management and the physician-founders of CFWH is to bring HBOT into
the mainstream of wound and non-emergent treatment modalities. At the time of
CFWH’s inception, hyperbaric therapy was already well regarded in certain
emergency medical applications but was not a recognized modality in the
treatment of non-healing wounds, particularly within the vascular community.
CFWH has begun to form strong bonds with the vascular and podiatric communities
in order to integrate HBOT as a core modality.
CFWH’s
individualized therapies, established protocols and proactive care and case
management has proven successful in treating chronic wounds that have previously
resisted healing with outcomes exceeding national averages. In all of its
centers, CFWH utilizes a best practice model enhanced by nationally accepted
wound care algorithms to significantly improve the medical results for patients
with chronic non-healing wounds. 6
In
addition to wound healing management, CFWH also provides Hyperbaric Oxygen
Therapy as an adjunct treatment modality to enhance the body’s natural healing
abilities and to strengthen the body’s immune system. This is resulting in more
rapid and comprehensive healing powers for patients. HBOT is a simple,
non-invasive, painless treatment that has been proven to benefit patients
presenting with Center for Medicare and Medicaid Services approved indications,
including:
To
measure the effectiveness of our wound management program, CFWH has developed a
functional assessment scoring system to measure the healing of a wound. In
addition, CFWH has developed a proprietary tracking software and database of
over 1,000 patient outcomes that have been collected over the past four years.
In reviewing the data collected, CFWH has registered healing rates of close to
80% in 5-6 weeks of combination local wound care and HBOT. This group of
patients falls within the high risk category that would otherwise require
amputation. Instead, less than eight percent of this patient population will
undergo amputation. This is well below national benchmarks consistently
reporting amputation rates over 20% in the high risk group.
Competition:
Our
principal competition in the chronic wound care market consists of specialty
clinics that have been established by some hospitals or physicians.
Additionally, there are a number of private companies that provide wound care
services through an HBOT program format. In the market for disease management
products and services, we face competition from other disease management
entities, general health care facilities and service providers,
biopharmaceutical companies, pharmaceutical companies and other competitors.
Many of these companies have substantially greater capital resources and
marketing staffs, and greater experience in commercializing products and
services than we have. In addition, recently developed technologies, or
technologies that may be developed in the future, are or may be the basis for
products which compete with our chronic wound program. There can be no assurance
that we will be able to enter into co-marketing arrangements with respect to
these products or that we will be able to compete effectively against such
companies in the future.
As the
FDA issues formal approvals of HBOT as treatment for specific illness, both
physician and patient awareness will continue to increase as to the benefits of
using HBOT.
Marketing:
CFWH
conducts market awareness programs and advertising to promote the utilization of
its centers among medical professional, care givers, and patients. A
multifaceted marketing approach is used to create awareness of the Center’s
capabilities and to secure appropriate referrals. This approach is implemented
over several months and features:
7
Government
Regulation:
Our
operations and the marketing of our services are subject to extensive regulation
by numerous federal and state governmental authorities in the United States. We
believe that we are currently in substantial compliance with applicable laws,
regulations and rules. However, we cannot assure you that a governmental agency
or a third party will not contend that certain aspects of our business are
either subject to or are not in compliance with such laws, regulations or rules
or that the state or federal regulatory agencies or courts would interpret such
laws, regulations and rules in our favor. The sanctions for failure to comply
with such laws, regulations or rules could include denial of the right to
conduct business, significant fines and criminal and civil penalties.
Additionally, an increase in the complexity or substantive requirements of such
laws, regulations or rules could have a material adverse effect on our
business.
Any
change in current regulatory requirements or related interpretations by or
positions of, state officials where we operate could adversely affect our
operations within those states. In states where we are not currently located, we
intend to utilize the same approaches adopted elsewhere for achieving state
compliance. However, state regulatory requirements could adversely affect our
ability to establish operations in such other states.
Various
state and federal laws apply to the operations of health care providers
including, but are not limited to, the following:
Licensure:
Certain
health care providers are required to be licensed by various state regulatory
bodies. However, if we are found to not be in compliance, we could be subject to
fines and penalties or ordered to cease operations which could have an adverse
effect on our business.
False
Claims Act:
The Federal False Claims Act and some
state laws impose requirements in connection with the submission of claims for
payment for health care services and products, including prohibiting the knowing
submission of false or fraudulent claims and submission of false records or
statements to the United States government or state government. Such
requirements would apply to the hospital customers to which we provide wound
care management services. Not only are government agencies active in
investigating and enforcing actions with respect to applicable health laws, but
also health care providers are often subject to actions brought by individuals
on behalf of the government. As such "whistleblower" lawsuits are generally
filed under seal with a court to allow the government adequate time to
investigate and determine whether it will intervene in the action, health care
providers affected are often unaware of the suit until the government has made
its determination and the seal is lifted. The Federal False Claims Act provides
for penalties equal to three (3) times the actual amount of any overpayments
plus $11,000 per claim.
Fraud
and Abuse Laws:
The Anti-Kickback
Law
The
federal Anti-Kickback law prohibits the solicitation, payment, receipt or
offering of any direct or indirect remuneration in exchange for the referral of
Medicare and Medicaid patients or for purchasing, arranging for or recommending
the purchasing, leasing or ordering of Medicare or Medicaid covered services,
items or equipment. The Anti-Kickback law is an intent based statute, which
means that it is violated only if the party intends to induce the referral of
Medicare or Medicaid patients or the purchase, lease, or ordering of a good,
item, or services reimbursable by Medicare or Medicaid. Nevertheless, federal
courts have broadly construed the intent standard and held that it is satisfied
even if only one purpose of the referral is to induce a prohibited
referral.
The
Center for Medicare and Medicaid Studies (“CMS”) has promulgated regulations
containing “safe harbors” which protect certain activities from prosecution
under the federal Anti-Kickback law. A safe harbor immunizes from criminal or
civil penalties certain payment or business practices that are prohibited by the
Anti-Kickback law. In order to have protection under the safe harbor, a party
must comply with each requirement of the applicable safe harbor.
However,
falling outside a safe harbor does not mean the arrangement is illegal, but
means that the arrangement will be evaluated based on a facts and circumstances
test to determine whether the party intends to induce the referral of Medicare
or Medicaid patients or the purchase, lease, or ordering of a good, item or
service reimbursable by Medicare or Medicaid. While we believe that our
operations and marketing are in compliance with the Anti-Kickback law and
certain of the safe harbors, there are no assurances that the Office of
Inspector General ("OIG") OIG or other governmental authority will agree with
that belief.
The OIG
from time to time publishes its interpretations on various fraud and abuse
issues and about fraudulent or abusive activities OIG deems suspect and
potentially in violation of the federal laws, regulations and rules. If our
actions are found to be inconsistent with OIG's interpretations, such actions
could have a material adverse effect on our business. 8
Violations of these fraud and abuse
laws may result in fines and penalties as well as civil or criminal penalties
for individuals or entities, including exclusion from participation in the
Medicare or Medicaid programs. Several states have adopted similar laws that
cover patients in both private and government programs. Because the fraud and
abuse laws have been broadly interpreted, they limit the manner in which we can
operate our business and market our services to, and contract for services with,
other health care providers.
The
Stark Law:
Federal
and some state laws prohibit physician referrals to an entity in which the
physician or his or her immediate family members have a financial interest for
provision of certain designated health services that are reimbursed by Medicare
or Medicaid. Outpatient prescription drugs are one of the designated services.
We believe we have structured our operations to comply with these provisions but
no assurances can be given that a federal or state agency charged with
enforcement of the Stark Law, its regulations, or similar state laws might not
assert a contrary position. In addition, periodically, there are efforts to
expand the scope of these referral restrictions from its application to
government health care programs to all payors and to additional health services.
Certain states are considering adopting similar restrictions or expanding the
scope of existing restrictions. We cannot assure you that the federal
government, or other states in which we operate, will not enact similar or more
restrictive legislation or restrictions or interpret existing laws and
regulations in a manner that could harm our business.
Professional
Fee Splitting:
The laws
of many states prohibit physicians from sharing professional fees with
non-physicians and prohibit entities not solely owned by physicians, including,
us, from practicing medicine and from employing physicians to practice medicine.
The laws in most states regarding the corporate practice of medicine have been
subjected to judicial and regulatory interpretation and while we have attempted
to structure our relationships with physicians and our operations in a manner
that complies with these requirements, there is no assurance that various state
regulators will agree that we are in compliance.
Professional
Licenses:
State
laws prohibit the practice of medicine without a license. We believe that our
arrangements with physicians and physician groups are structured in a manner
that precludes a determination that we are practicing medicine. Nevertheless, a
state could consider our activities to constitute the practice of medicine. If
we are found to have violated these laws, we could face civil and criminal
penalties and be required to reduce, restructure or even cease our business in
that state.
HIPAA:
The Health Insurance Portability and
Accountability Act of 1996 (“HIPAA”) broadened the scope of certain fraud and
abuse laws by adding several criminal provisions for health care fraud offenses
that apply to all health benefit programs. HIPAA also added a prohibition
against incentives intended to influence decisions by Medicare beneficiaries as
to the provider from which they will receive services. In addition, HIPAA
created new enforcement mechanisms to combat fraud and abuse, including the
Medicare Integrity Program and an incentive program under which individuals can
receive up to $1,000 for providing information on Medicare fraud and abuse that
leads to the recovery of at least $100 of Medicare funds. Federal enforcement
officials now have the ability to exclude from Medicare and Medicaid any
investors, officers, and managing employees associated with business entities
that have committed health care fraud, even if the officer or managing employee
had no knowledge of the fraud.
HIPAA
also contains certain administrative simplification provisions that require the
use of uniform electronic data transmission standards for certain health care
claims and payment transactions submitted or received electronically. The United
States Department of Health and Human Services (“HHS”) has issued regulations
implementing the HIPAA administrative simplification provisions and compliance
with these regulations became mandatory for our facilities on October 16, 2003.
Although HHS temporarily agreed to accept noncompliant Medicare claims, CMS
stopped processing non-HIPAA-compliant Medicare claims beginning October 1,
2005. We believe that the cost of compliance with these regulations has not had
and is not expected to have a material adverse effect on our business, financial
condition, results of operations, and cash flows.
The
Administrative Simplification Provisions of HIPAA require HHS to adopt standards
to protect the security and privacy of health-related information. In February
2002, HHS issued final rules concerning the security standards, do not require
the use of specific technologies, e.g., no specific hardware or software is
required, but instead require health plans, health care clearinghouses and
health care providers to comply with certain minimum security procedures in
order to protect data integrity, confidentiality and availability. The
compliance deadline was April 2005. 9
With respect to the privacy standards,
HHS published final rules in December of 2000. However, on August 14, 2002, HHS
published final modifications to the privacy standards. The final modifications
eliminate the need for patient consent when the protected information is
disclosed for treatment payment issues or health care operations. In addition,
the final modifications clarified the requirements related to the
authorizations, marketing and minimum necessary disclosures of information. All
health care providers were required to be compliant with the new federal privacy
requirements no later than April 14, 2003. HIPAA privacy standards contain
detailed requirements regarding the use and disclosure of individually
identifiable health information. Improper use or disclosure of identifiable
health information covered by HIPAA privacy regulations can result in the
following fines and/or imprisonment: (i) civil money penalties for HIPAA privacy
violations are $100 per incident, up to $25,000, per person, per year, per
standard violated; (ii) a person who knowingly and in violation of HIPAA privacy
regulations obtains individually identifiable health information or discloses
individually identifiable health information to another person may be fined up
to $50,000 and imprisoned up to one year, or both; (iii) if the offense is
committed under false pretenses, the fine may be up to $100,000 and imprisonment
for up to five years; and (iv) if the offense is done with the intent to sell,
transfer or use individually identifiable health information for commercial
advantage, personal gain or malicious harm, the fine may be up to $250,000 and
imprisonment for up to ten years. We must meet the various HIPAA
standards by the deadlines noted above. The decentralized nature of our
operations could represent significant challenges to us in the implementation of
these standards. If we are found to not be in compliance, we could be subject to
fines, penalties and other actions which could have an adverse effect on our
business.
Confidentiality:
Under
federal and state laws, we must adhere to stringent confidentiality regulations
intended to protect the confidentiality of patient records. We believe our
operations are in compliance with these laws but we could be subject to claims
from patients as well as charges of violations from regulators and such claims
or charges could have a material adverse effect on our business.
Ongoing
Investigations:
Federal
and state investigations and enforcement actions continue to focus on the health
care industry, scrutinizing a wide range of items such as joint venture
arrangements and referral and billing practices. We believe our current and
planned activities are substantially in compliance with applicable legal
requirements. We cannot assure you, however, that a governmental agency or a
third party will not contend that certain aspects of our business are subject
to, or are not in compliance with, such laws, regulations or rules, or that
state or federal regulatory agencies or courts would interpret such laws,
regulations and rules in our favor, or that future interpretations of such laws
will not require structural or organizational modifications of our existing
business or have a negative impact on our business. Applicable laws and
regulations are very broad and complex, and, in many cases, the courts interpret
them differently, making compliance difficult. Although we try to comply with
such laws, regulations and rules, a violation could result in denial of the
right to conduct business, significant fines and criminal penalties.
Additionally, an increase in the complexity or substantive requirements of such
laws, regulations or rules, or reform of the structure of health care delivery
systems and payment methods, could have a material adverse effect on our
business.
Intellectual
Property:
Our
success depends in part on our ability to maintain trade secret protection and
operate without infringing on or violating the proprietary rights of third
parties. In addition, we also rely, in part, on trade secrets, proprietary
know-how and technological advances which we seek to protect by measures, such
as confidentiality agreements with our employees, consultants and other parties
with whom we do business. We cannot assure you that these agreements will not be
breached, that we will have adequate remedies for any breach or that our trade
secrets and proprietary know-how will not otherwise become known, be
independently discovered by others or found to be unprotected. 10
Our
Subsidiaries:
Employees
The
Company consists of over 183 full-time employees coming from various
backgrounds. In addition to over 100 physicians accredited in hyperbaric
medicine, including some of the top physicians practicing in vascular surgery
today, the Company boasts a number of ex-hospital executives, registered nurses,
financial professionals, and business executives. To ensure and facilitate the
successful planning, implementation and continued operations of our numerous
wound care centers, our team also utilizes architects, engineers, contractors,
and healthcare attorneys. Currently, CFWH provides management and operations for
35 hospital-based hyperbaric and wound programs. 11
ITEM
2. Description of Properties:
Prior to
December 2007, our headquarters were located in Iselin, NJ. The corporate office
was moved to Tarrytown, NY in December 2007. The lease at the new facility
extends through November 30, 2012 at a starting base rate of $6,480 per
month.
Minimum
payments under non-cancelable operating lease obligations for office space at
June 30, 2008 are as follows:
Rent
expense under all operating leases in fiscal year ended June 30, 2008 was
$225,925 and $234,440 in 2007. In August 2007, the company entered into a lease
with Ephrata Community Hospital for the Hyperbaric Wound Care Services. This
lease will add lease obligations of $24,133 for 2009, $24,133 for 2010, $24,133
for 2011 and $16,088 for 2012. As of September 1, 2008, a new lease agreement
was entered in with Woodbridge Place Association. The remaining three years of
the existed lease was brought out for $100,000, and was replaced with a one year
lease for $25,809.
There is
no action, suit, proceeding, inquiry or investigation before or by any public
board, government agency, self-regulatory organization or body pending or, to
the knowledge of the executive officers of our company or any of our
subsidiaries, threatened against or affecting our company, our common stock, any
of our subsidiaries or of our company's or our company’s subsidiaries’ officers
or directors in their capacities as such, in which an adverse decision could
have a material adverse effect.
No matters were submitted to
shareholders for the quarter ended June 30, 2008. 12
PART
II
From
December 5, 2005 through November 15, 2006 our common stock was quoted on the
Over-The-Counter Bulletin Board system and the Financial Industry Regulatory
Authority (“FINRA”) Electronic Bulletin Board under the symbol "CFWH.PK." On
November 16, 2006, The Center for Wound Healing, Inc., as a result of being
unable to timely file its annual report on Form 10-KSB, was no longer being
quoted on the OTCBB. Our stock has continued to be reported on the “Pink Sheets”
under the symbol “CFWH.PK.”
The
closing price of our common stock on September 12, 2008, as reported on the
“Pink Sheets,” was $1.06 per share.
The
quotations set forth above reflect inter-dealer prices, without retail markup,
markdown, or commission, and may not necessarily represent actual
transactions.
Holders:
As of
September 19, 2008, there were approximately 64 shareholders of record of our
common stock.
Dividends:
We have
never declared or paid any cash dividends on our capital stock and do not
anticipate paying any cash dividends on our capital stock in the foreseeable
future. Instead, we intend to retain our earnings, if any, to finance the
expansion of our business. The declaration and payment of dividends in the
future, if any, will be determined by the board of directors in light of
conditions then existing, including our earnings, financial condition, capital
requirements and other factors. 13
Recent
sales of unregistered securities:
During
the period covered by this annual report, we have sold securities pursuant to
the following transactions, all of which were exempt from the registration
requirements of the Securities Act of 1933, as amended (the "Securities
Act").
In June
2007, the Company received the proceeds from $1,000,000 in securities
(“Mezzanine Loan”) from various investors (“Investors”). These securities were
classified as liabilities in the financial statements since the Company could
repay the Investors as described below. The securities gave the Investors an
aggregate 25% share of a newly formed entity, CFWH Mezzanine, LLC (“Mezzanine”).
Mezzanine operates a Hyperbaric and Wound Care facility at each of 10 new
hospitals (as determined by the Company). The Company contributed the hospital
contracts for these 10 facilities, manages Mezzanine and will pay any net
profits to Mezzanine, of which the Investors will receive a 25%
share.
The
Investors’ shares in Mezzanine were redeemable by the Company if the Company
paid the Investors 125% of the original subscription price within 180 days from
the signing of the agreement, or pays 130% of the original subscription price
within 210 days, or paid 150% of the original subscription price within 270
days, or 200% of the original subscription price within one year. If the Company
did not redeem the interest in Mezzanine within one year, the Company would have
lost the right to redeem the Investors interest in Mezzanine, and no money would
have been due to the Investors. The Investors had the option to convert their
interest in Mezzanine to shares of the Company’s stock at a conversion rate of
$2.00 invested per share, or 500,000 shares for a two year period expiring in
June 2009. After the closing on the Bison Note, the Company retired the
Mezzanine Loan.
In April
and May 2008 the Company issued 187,500 shares of its common stock in payment of
accrued interest on the above mezzanine loan.
In
December, 2007 and January, 2008 the Company raised a total of $1.6 million from
individual investors in the form of a short term unsecured note, (the “Bridge
Financing Note”) the terms of which provided the lenders with interest paid in
cash or in lieu of cash, warrants with an exercise price of $2. These funds were
used to fund the $1.5 million payment due the Bondholders on or before January
31, 2008 (of the $1.5 million, $1.2 million was used to retire principal and
$300 thousand was paid for a consent fee). Prior to the payment in full of the
Bondholders on March 31, 2008, the $1.6 million was held by an escrow agent and
shown as Restricted Cash on the Company’s balance sheet. Certain members of the
Company’s board of directors and officers of the Company participated in this
Bridge Financing and lent the Company $600 thousand of the total $1.6 million
raised.
On
January 25, 2008 the Company used $1.5 million of the Bridge Financing Note to
pay the Bondholders and $100 thousand for working capital purposes. On March 31,
2008 the entire $1.6 million Bridge Financing Note was paid in full from the
proceeds of the Bison financing.
On March
31, 2008, the Company entered into a financing agreement with Bison Capital
Equity Partners II-A, L.P. and Bison Capital Equity Partners II-B, L.P. and
issued a $20 million senior collateralized subordinated promissory note (“Senior
Collateralized Subordinated Note” or “Bison Note”). The Company
received proceeds of $17.5 million, net of a $2.5 million discount, and incurred
approximately $3.1 million of expenses related to this
transaction. The Company used proceeds to retire certain debts with
accrued interest, certain accounts payable and other obligations.
The
financial terms of the Bison Note are summarized as follows:
14
15
The offer
and sale of such shares of our common stock were effected in reliance on the
exemptions for sales of securities not involving a public offering, as set forth
in Rule 506 promulgated under the Securities Act and in Section 4(2) of the
Securities Act, based on the following: (a) the investors confirmed to us that
they were “accredited investors,” as defined in Rule 501 of Regulation D
promulgated under the Securities Act and had such background, education and
experience in financial and business matters as to be able to evaluate the
merits and risks of an investment in the securities; (b) there was no public
offering or general solicitation with respect to the offering; (c) the investors
were provided with certain disclosure materials and all other information
requested with respect to our company; (d) the investors acknowledged that all
securities being purchased were “restricted securities” for purposes of the
Securities Act, and agreed to transfer such securities only in a transaction
registered under the Securities Act or exempt from registration under the
Securities Act; and (e) a legend was placed on the certificates representing
each such security stating that it was restricted and could only be transferred
if subsequent registered under the Securities Act or transferred in a
transaction exempt from registration under the Securities Act.
Equity
Compensation Plan Information
The
following table gives information about our common stock that may be issued upon
the exercise of options, warrants or rights under our existing equity
compensation plan, the 2006 Stock Option Plan. The information in this table is
as of June 30, 2008.
16
ITEM 6. Management's Discussion and Analysis
of Financial Condition and Results of Operations
GENERAL
OVERVIEW
The
following Management’s Discussion and Analysis (“MD&A”) is intended to help
the reader understand our company. The MD&A is provided as a supplement to,
and should be read in conjunction with, our financial statements and the
accompanying notes (“Notes”).
FORWARD-LOOKING
INFORMATION
This
Annual Report on Form 10-KSB/A includes forward-looking statements within the
meaning of Section 27A of the Securities Act of 1933, as amended, and Section
21E of the Securities Exchange Act of 1934, as amended. We have based these
forward-looking statements on our current expectations and projections about
future events. These forward-looking statements are subject to known and unknown
risks, uncertainties and assumptions about us that may cause our actual results,
levels of activity, performance or achievements to be materially different from
any future results, levels of activity, performance or achievements expressed or
implied by such forward-looking statements. In some cases, you can identify
forward-looking statements by terminology such as “may,” “should,” “could,”
“would,” “expect,” “plan,” “anticipate,” “believe,” “estimate,” “continue,” or
the negative of such terms or other similar expressions. Actual operations and
results may differ materially from present plans and projections due to changes
in economic conditions, new business opportunities, changed business conditions,
and other developments. Other factors that could cause results to differ
materially are described in our filings with the Securities and Exchange
Commission.
There are
several factors that could cause actual results or events to differ materially
from those anticipated, and include, but are not limited to, general economic,
financial and business conditions, changes in and compliance with governmental
laws and regulations, including various state and federal government
regulations, our ability to obtain additional financing from outside investors
and/or bank and mezzanine lenders, and our ability to generate revenues
sufficient to achieve positive cash flow.
Readers
are cautioned not to place undue reliance on the forward-looking statements
contained herein, which speak only as of the date hereof. We believe the
information contained in this Form 10-KSB/A to be accurate as of the date
hereof. Changes may occur after that date. We will not update that information
except as required by law in the normal course of its public disclosure
practices.
Additionally,
the following discussion regarding our financial condition and results of
operations should be read in conjunction with the financial statements and
related notes contained in Item 7 of Part II of this Form
10-KSB/A. 17
GENERAL
The
Company develops and manages comprehensive wound care centers, which are
marketed as “THE CENTER FOR WOUND HEALING tm”
(“CFWH”) in hospitals throughout the United States. These centers render the
specialized service of hyperbaric medicine and are developed in partnerships
with acute care hospitals. We enter into separate multi-year operating
agreements to startup and manage the wound care program as well as offer a
turnkey operation including the furnishing of hyperbaric oxygen chambers to
hospitals. Although there can be no assurance that we will be successful in each
instance, our plans for each hospital center requires a multi-year committed
contract term adequate for us to recover our investment in leasehold
improvements (a sunk cost and non-transferable asset); our start-up costs,
including recruiting and training of personnel; and the amortization of chamber
lease financing. Generally, the hospital provides us with appropriate space for
each of our centers.
We are
responsible for the development and management of the wound care and hyperbaric
centers, including providing direct staff and billing support to ensure
hospitals are reimbursed appropriately. We also are responsible, at our expense,
for designing and installing necessary leasehold improvements of the
hospital-provided space and to supply the appropriate number of hyperbaric
chambers, which is based upon the anticipated demand for this type of treatment.
We acquire the chambers under both operating and capitalized lease financing
transactions with $1 buyout arrangements (treated as capitalized leases in our
accompanying audited consolidated financial statements). As our operation grows,
we have the ability to transfer chambers between institutions to balance demand
and maximize the use of our resources.
RESULTS
OF OPERATIONS:
The
Company was formed on May 25, 2005, and as discussed previously, began
operations with six centers on July 1, 2005. As more fully described in the
notes to our audited consolidated financial statements, the Company acquired the
interests of two additional LLCs effective January 1, 2006, and 12 additional
LLCs effective April 1, 2006. Our revenues vary based on the demand for
treatments and the utilization of wound care centers and hyperbaric chambers.
The demand from the hospitals for our services is dependent upon their abilities
to attract patients and their reputation in the medical communities and the
geographic areas they serve, as well as on the allowable rates and frequency of
reimbursement by health care insurance providers, managed care providers,
Medicare, Medicaid and others. We conduct market awareness programs and
advertising to promote the utilization of our centers among medical
professionals, care-givers and patients. Revenues fluctuate monthly with the
number of days per month that the hospitals in which we operate our centers are
open. 18
2007
RESTRUCTURING CHARGE
During
fiscal 2008 and fiscal 2007 management undertook a detailed evaluation of the
Company’s contracts and operations and concluded that in fiscal 2007 several
partnerships and joint ventures to which it was a party were not generating
sufficient earnings to merit the Company’s continued participation. Accordingly,
management decided to sever its involvement in these ventures and negotiated the
termination of its relationship with its joint venture partners. As a result of
its evaluation the Company recorded a noncash charge to operations of $2,076,266
in fiscal 2007. The major components of these noncash, nonrecurring charges
include:
19
REVENUES:
Revenues
for the years ended June 30, 2008 and 2007 were $26.4 million and $19.8 million,
respectively. The $6.6 million increase is attributable to revenues from centers
opened during the year and increased revenues from existing
centers.
OPERATING
EXPENSES:
Cost of services:
Cost of services, which are comprised principally of payroll and payroll related
costs for professional and nursing staff required to administer treatments at
our centers as well as depreciation relating to hyperbaric medical chambers and
leasehold improvements, was $13.2 million or 49.9% of total revenues for the
year ended June 30, 2008 compared with $11.6 million or 58.7% in the year ended
June 30, 2007. The increase of $1.5 million or 13.0% is primarily attributable
to the increased depreciation costs associated with the leasehold improvements
and the addition of the intangible asset amortization for the six wound care
centers opened during the year; and the change of terms for the amortization of
intangible assets related to two hospital contracts from nine years to the
remaining lives of the contracts of 4.5 years. The 8.8% decrease in cost of
services as a percent of revenue is a result of more efficient use of medical
chambers.
Sales and marketing:
Sales and marketing expense was $180 thousand or approximately 0.7% of total
revenues for the year ended June 30, 2008, approximately $100 thousand or 37.2%
less than the prior year. The decrease is mainly due to advertising programs
that were undertaken in 2007 and were not repeated in 2008.
General and
administrative: General and administrative expenses are comprised
primarily of payroll and payroll related costs, insurance and professional fees,
including legal, accounting and systems implementation costs. Fiscal 2008
general and administrative costs were $8.5 million, approximately 32.1% of total
revenues, compared with $11.8 million and 59.4% in fiscal 2007. The $3.3 million
or 28.2% year-over-year decrease in general and administrative costs is due to a
reduction in the use of consultants and temporary accounting services through
the establishment of an accounting department, and a reduction in noncash
compensation amortization from fewer options being granted in
2008. 20
Depreciation and
amortization: Depreciation and amortization expense related to our
corporate leasehold improvements aggregated $400 thousand or 1.7% of revenues in
fiscal 2008 compared with $60 thousand or 0.3% of revenues in the prior fiscal
year. The increase was mainly due to the amortization expense for the
development of the new electronic medical records application, and the
accounting system the Company has deployed.
Depreciation
related to hyperbaric medical chambers, contracts and leasehold improvements at
the facilities totaled $3.6 million or 13.7% of revenues in 2008 and $2.1
million or 10.6% in 2007. These costs are classified in Cost of
Services.
Bad debt expense: Bad
debt expense was $800 thousand or 3.0 % of total revenues for the year ended
June 30, 2008 compared with $1.0 million or 4.9% of fiscal 2007 total revenues.
The reduction was due to the Company having greater control of its accounts
receivable, the result of much greater focus during the year than in fiscal
2007.
Abandonment
and Impairment Loss: Abandonment and Impairment Loss was $190 thousand or 0.7%
of total revenues for fiscal 2008 compared with $2.1 million or 10.5% of fiscal
2007 total revenues. The decrease of $1.9 million is attributable to the company
having performed a detailed analysis in 2008 and 2007 resulting in the
elimination of several ventures that were not generating sufficient earnings to
merit further participation. Two of the centers eliminated in 2007 resulted in a
write-off of $1.5 million of intangible assets for the value of the contracts at
those centers.
OTHER
INCOME (EXPENSE):
Interest expense: The
Company incurred interest expense of $6.8 million or 25.7% of total revenues for
the year ended June 30, 2008 compared with $3.6 million and 18.1% in the fiscal
year ended June 30, 2007. The increase of $3.2 million is mostly attributable to
$2.0 million in financing costs paid to the 8% secured convertible debenture
holders, $600 thousand of interest charged for the Mezzanine Loan, $700 thousand
of interest charged for the Bridge Financing Note and $100 thousand of
amortization of the discount of the 15% Senior Secured Subordinated Promissory
Note, inclusive of related debt issuance cost amortization.
Minority interest in net
income or loss of consolidated subsidiaries: Minority interest was $154
thousand or 0.6% of total revenues for the year ended June 30, 2008 compared to
a $172 thousand or 0.9% income benefit in the prior fiscal year. This expense
varies directly with the results of operations of the entities having minority
interests.
Loss on disposal of property
and equipment: The loss on disposal of property and equipment was $69
thousand or 0.3% of total revenues compared with a loss of $29 thousand or 0.1%
in fiscal 2007.
Other Expense: Other
expenses in 2007 were comprised primarily of liquidating damages associated with
the prior secured debentures, which were retired in full on March 31,
2008.
INCOME
TAXES:
Income
tax for fiscal year 2008 was $20 thousand compared to income benefit of $1.5
million in fiscal 2007.
NET
LOSS:
For the
fiscal year ended June 30, 2008, the Company lost $3.9 million or $0.17 cents
per diluted share compared with a net loss of $9.4 million or $0.41 cents per
year loss incurred in fiscal 2007. The $5.5 million reduction is the result of
the aforementioned revenues and expense differences between the two fiscal
years.
LIQUIDITY
AND CAPITAL RESOURCES:
Operating Activities:
Net cash provided by operating activities was $2.2 million for the year ended
June 30, 2008. While our net loss was $3.9 million, substantial noncash expenses
were incurred during the year such as (a) depreciation and amortization of $4.0
million related to equipment, leasehold improvements, and certain hospital
contracts, (b) interest charged for the amortization of deferred financing costs
of $2.0 million, (c) interest accrued for convertible debenture and notes
payable of $1.1 million, (d) amortization of stock options of $1.5 million, (e)
interest charged for the beneficial conversion features of 8% senior convertible
debentures of $0.9 million, (f) warrants issued in payment of interest expense
of $0.56 million, and (g) $0.2 million for the abandonment of leasehold
improvements at one hospital that management determined was underperforming and
will be closed within the next several months. In addition, the allowance for
bad debts increased $0.7 million to a total of $2.9 million. Gross accounts
receivable increased $4.5 million for the year ended June 30, 2008, which was
anticipated as the number of centers operated by the Company increased from the
prior year. The growth in accounts payable and accrued expenses experienced
during the prior year ending June 30, 2007 was partially reversed in the current
year by $1.5 million. These impacts were partially offset by income tax refunds
collected of $0.9 million. 21
Investing Activities:
Net cash used in investing activities was $3.3 million for the year ended June
30, 2008. The primary use of cash was for the purchase of property and equipment
for new centers, including chambers and leasehold improvements.
Financing Activities:
Net cash provided by financing activities was $1.0 million for the year ended
June 30, 2008. As described in Part II, Item 5, the Company refinanced certain
existing debt on March 31, 2008 through the issuance of a 15% Senior Secured
Subordinated Promissory Note with Bison Equity Capital Partners from which we
received approximately $16 million in net proceeds after consideration of
related debt issuance costs. Additional proceeds were received from notes
payable of $1.6 million and $0.4 million from the issuance of common stock. The
total proceeds were used by (a) deferred financing costs of $1.6 million, (b)
repayment of $7.4 million of principal, interest and penalties associated with
the 8% senior convertible debentures, (c) repayment of certain notes and loans
of $5.0 million, and (d) repayment of the bank line of credit of $1.3 million.
In addition, we made disbursements of $1.7 million for the year ended June 30,
2008, of which $1.3 million was for payments on capital lease obligations and
$0.4 million was for distributions to minority members.
We participate in a working capital
accounts receivable financing and term loan arrangement with Signature Bank,
which matures March 31, 2010. The use of these funds will be required to support
our operations in the future and will be dependent upon satisfying borrowing
base requirements, among other covenants. We were in full compliance with all
the terms of the bank financing as of June 30, 2008. As of June 30, 2009, the
Company was in compliance with all required covenants except for the minimum
effective tangible net worth covenant, for which the Company has received a
waiver from the lender.
We
believe that the cash flows from operations and borrowings under the senior bank
line of credit will provide sufficient liquidity for the Company to be able to
finance our operations for at least the next 12 months from the date of filing
this Form 10-KSB/A, on October 9, 2009.
RECENT
ACCOUNTING PRONOUNCEMENTS
In May
2008, the FASB issued FSP APB 14-1, Accounting for Convertible Debt
Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash
Settlement), which specifies that issuers of convertible debt instruments
that may be settled in cash upon conversion should separately account for the
liability and equity components in a manner reflecting their nonconvertible debt
borrowing rate when interest costs are recognized in subsequent
periods. FSP APB 14-1 is effective for interim periods and fiscal
years beginning after December 15, 2008. The Company will adopt FSP
APB 14-1 effective July 1, 2009. The Company is currently assessing
the impact of FSP APB 14-1 on its financial statements.
In June
2008, the FASB ratified Emerging Issues Task Force Issue No. (“EITF”) 07-5,
“Determining Whether an Instrument (or an Embedded Feature) Is Indexed to an
Entity’s Own Stock” (EITF 07-5). EITF 07-5 provides that an entity should use a
two step approach to evaluate whether an equity-linked financial instrument (or
embedded feature) is indexed to its own stock, including evaluating the
instrument’s contingent exercise and settlement provisions. It also clarifies on
the impact of foreign currency denominated strike prices and market-based
employee stock option valuation instruments on the evaluation. EITF 07-5 is
effective for fiscal years beginning after December 15, 2008. The Company is
currently assessing the impact of EITF 07-5 on its consolidated financial
position and results of operations.
In
June 2008, the FASB issued FSP Emerging Issues Task Force
(EITF) No. 03-6-1, “Determining Whether Instruments Granted in
Share-Based Payment Transactions Are Participating Securities.” Under
the FSP, unvested share-based payment awards that contain rights to receive
nonforfeitable dividends (whether paid or unpaid) are participating securities,
and should be included in the two-class method of computing EPS. The FSP is
effective for fiscal years beginning after December 15, 2008, and interim
periods within those years. The Company does not expect the adoption of FSP EITF
No. 03-6-1 to have a material effect on its consolidated financial
statements.
In
September 2007, the FASB issued SFAS No. 157, “Fair Value Measurements”
(“SFAS No. 157”). SFAS No. 157 defines fair value, establishes a
framework for measuring fair value in accordance with generally accepted
accounting principles, and expands disclosures about fair value measurements.
This statement does not require any new fair value measurements; rather, it
applies under other accounting pronouncements that require or permit fair value
measurements. The provisions of this statement are to be applied prospectively
as of the beginning of the fiscal year in which this statement is initially
applied, with any transition adjustment recognized as a cumulative-effect
adjustment to the opening balance of retained earnings. The provisions of SFAS
No. 157 are effective for the fiscal years beginning after
November 15, 2007; therefore, the Company anticipates adopting this
standard as of July 1, 2008. The Company does not believe adoption of SFAS
157 will have a material impact on its financial position, results of operations
or cash flows.
In
February 2007, the FASB issued SFAS No. 159, The Fair Value Option for
Financial Assets and Financial Liabilities. Under the provisions of SFAS
No. 159, the Company may choose to carry many financial assets and
liabilities at fair values, with changes in fair value recognized in earnings.
The company will adopt the pronouncement effective for periods beginning after
July 1, 2008. The Company is currently evaluating the impact of adopting
this pronouncement on its consolidated financial statements, but does not expect
it to have a material effect. 22
In
December 2007, the FASB issued SFAS NO. 160, “Noncontrolling Interests in
Consolidated Financial Statements—an amendment of ARB No. 51”. The
objective of this Statement is to improve the relevance, comparability, and
transparency of the financial information that a reporting entity provides in
its consolidated financial statements by establishing accounting and reporting
standards that require the following changes. The ownership interests in
subsidiaries held by parties other than the parent be clearly identified,
labeled, and presented in the consolidated statement of financial position
within equity, but separate from the parent’s equity. The amount of consolidated
net income attributable to the parent and to the noncontrolling interest must be
clearly identified and presented on the face of the consolidated statement of
income. When a subsidiary is deconsolidated, any retained noncontrolling equity
investment in the former subsidiary is initially measured at fair value. The
gain or loss on the deconsolidation of the subsidiary is measured using the fair
value of any noncontrolling equity investment rather than the carrying amount of
that retained investment and entities provide sufficient disclosures that
clearly identify and distinguish between the interest of the parent and the
interest of the noncontrolling owners. The changes to current practice resulting
from the application of SFAS No. 160 is effective for financial statements
issued for fiscal years beginning after December 15, 2008, and interim
periods within those fiscal years. The adoption of SFAS No. 160 before
December 15, 2008 is prohibited. The Company has not determined the effect
that may result from the adoption of SFAS No. 160 on its financial
statements.
In
December 2007, the FASB issued SFAS No. 141(R), “Business
Combinations – Revised” that improves the relevance, representational
faithfulness, and comparability of the information that a reporting entity
provides in its financial reports about a business combination and its effects.
To accomplish that, this statement establishes principles and requirements how
the acquirer recognizes and measures in its financial statement the identifiable
assets acquired, the liabilities assumed, and any noncontrolling interest in the
acquiree, recognizes and measures the goodwill acquired in the business
combination or a gain from a bargain purchase, and determines what information
to disclose to enable users of the financial statements to evaluate the nature
and financial effects of the business combination. The changes to current
practice resulting from the application of SFAS No. 141(R) are effective
for financial statements issued for fiscal years beginning after
December 15, 2008. The adoption of SFAS No. 141(R) before
December 15, 2008 is prohibited. The Company has not determined the effect,
if any, that may result from the adoption of SFAS No. 141(R) on its
financial statements.
Management
does not believe that any other recently issued but not yet effective accounting
pronouncement, if adopted, would have a material effect on the accompanying
financial statements. 23
ITEM 7. FINANCIAL
STATEMENTS
THE
CENTER FOR WOUND HEALING, INC.
24
REPORT OF
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the
Board of Directors and
Stockholders
of The Center for Wound Healing, Inc
We have
audited the accompanying consolidated balance sheets of The Center for Wound
Healing, Inc. as of June 30, 2008 (as restated) and 2007, and the related
consolidated statements of operations, stockholders’ equity, and cash flows for
each of the years in the two-year period ended June 30, 2008. The Center for
Wound Healing, Inc.’s management is responsible for these consolidated financial
statements. Our responsibility is to express an opinion on these consolidated
financial statements based on our audits.
We
conducted our audits in accordance with the standards of the Public Company
Accounting Oversight Board (United States). Those standards require that we plan
and perform the audits to obtain reasonable assurance about whether the
consolidated financial statements are free of material misstatement. The company
is not required to have, nor were we engaged to perform, an audit of its
internal control over financial reporting. Our audit included consideration of
internal control over financial reporting as a basis for designing audit
procedures that are appropriate in the circumstances, but not for the purpose of
expressing an opinion on the effectiveness of the company’s internal control
over financial reporting. Accordingly, we express no such opinion. An audit also
includes examining, on a test basis, evidence supporting the amounts and
disclosures in the consolidated financial statements, assessing the accounting
principles used and significant estimates made by management, as well as
evaluating the overall financial statement presentation. We believe that our
audits provide a reasonable basis for our opinion.
In our
opinion, the consolidated financial statements referred to above present fairly,
in all material respects, the consolidated financial position of The Center for
Wound Healing, Inc. as of June 30, 2008 (as restated) and 2007, and the
consolidated results of its operations, stockholders’ equity and its cash flows
for each of the years in the two-year period ended June 30, 2008, in conformity
with accounting principles generally accepted in the United States of
America.
As
described in Note 2 “Restatement of Consolidated Financial Statements” to the
financial statements, the Company has restated its June 30, 2008 consolidated
financial statements.
25
THE
CENTER FOR WOUND HEALING, INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED BALANCE SHEET
AS OF
JUNE 30,
The
accompanying notes are an integral part of these financial
statements. 26
THE
CENTER FOR WOUND HEALING, INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF OPERATIONS
For the
years ended June 30,
The
accompanying notes are an integral part of these financial
statements. 27
THE
CENTER FOR WOUND HEALING, INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
For
The Years Ended June 30,
The
accompanying notes are an integral part of these financial
statements.
28
THE
CENTER FOR WOUND HEALING, INC. AND SUBSIDIARIES
CONDENSED
CONSOLIDATED STATEMENTS OF CASH FLOWS
For
The Years Ended June 30,
The
accompanying notes are an integral part of these financial
statements. 29
THE
CENTER FOR WOUND HEALING, INC. AND SUBSIDIARIES
CONSOLIDATED
STATEMENTS OF STOCKHOLDERS' EQUITY
FOR THE
YEARS ENDED JUNE 30, 2008 AND 2007
(As
Restated)
The
accompanying notes are an integral part of these financial
statements. 30
NOTES
TO CONSOLIDATED FINANCIAL STATEMENTS
JUNE
30, 2008 AND 2007
Note
1 - Organization and Nature of Business
The
Center for Wound Healing, Inc. (“CFWH” or the “Company”) (formerly known as
American Hyperbaric, Inc.) was organized in the State of Florida on May 25,
2005. CFWH develops and manages comprehensive wound care centers, which are
marketed as “THE CENTER FOR WOUND HEALING tm” primarily in the mid-Atlantic and
northeastern parts of the country. These centers render the specialized service
of hyperbaric medicine. They are developed in partnerships with acute care
hospitals. CFWH can be contracted to startup and manage the wound care program
as well as offer a turnkey operation including the furnishing of hyperbaric
oxygen chambers to hospitals.
As of
June 30, 2008, CFWH operates thirty-five (35) wound care and hyperbaric centers
with various institutions. Such centers operate as either a wholly-owned limited
liability company of CFWH or CFWH owns the majority interest in the limited
liability company. CFWH is headquartered in Tarrytown, New York. Currently, the
Company has signed agreements to open and manage three (3) additional wound care
and hyperbaric centers.
Note
2 - Summary of Significant Accounting Policies
a.
Principles of
Consolidation. The accompanying consolidated financial statements include
the accounts of CFWH and its wholly-owned and majority-owned subsidiaries
(collectively, the "Company"). Acquisitions of entities under common control are
accounted for under the pooling method of accounting at their historical costs
in accordance with Statement of Financial Accounting Standards (“SFAS”) No.141,
“Business Combinations”. All other acquisitions of majority ownership interests
are accounted for under the purchase method of accounting and reflect the fair
value of net assets acquired at the date of acquisition. All intercompany
profits, transactions, and balances have been eliminated. Minority interests in
the net assets and earnings or losses of the Company’s majority-owned
subsidiaries are reflected in the caption “Minority interest in consolidated
subsidiaries” in the accompanying consolidated balance sheet and the caption
“Minority interest in net loss of consolidated subsidiaries” in the accompanying
consolidated statement of operations. Minority interest adjusts the Company's
consolidated results of operations to reflect only the Company's share of the
earnings or losses of the majority owned LLCs and adjust the Company’s net
assets to reflect only the Company’s share of the net assets of the
majority-owned LLCs.
Investments
in unconsolidated affiliates are accounted for using the equity method of
accounting. Under the equity method, the Company recognizes its share of the
earnings and losses of the unconsolidated affiliates as they accrue. The equity
method is used when the Company holds more than a 20% interest in the
affiliates, but does not have significant control. The Company had a 40%
ownership interest in an entity, Bayonne Hyperbaric LLC, which it accounted for
under the equity method. In August 2007, the Company acquired the additional 40%
of Bayonne Hyperbaric LLC (See Note 15 – Subsequent Events). A third
individual own the remaining 20% interest in Bayonne Hyperbaric LLC. The Company
had a 49% interest in one affiliate that it consolidates because it has
significant control over the entity. This entity, Raritan Bay Hyperbaric LLC,
was owned 51% by two individuals who were also the majority members who sold
their Far Rockaway Hyperbaric, LLC interest to the Company effective June 1,
2006 In addition, the Company had several consulting/lease agreements with these
two individuals which were terminated as part of a settlement agreement
effective August, 2007(See Note 14 – Commitments and Contingencies and Note
15 – Subsequent Events).
b. Restatement
of Consolidated Financial Statements:
The condensed consolidated financial statements have been
restated for the year ended June 30, 2008 to reflect the correction
of errors in the accounting for the warrant issuance and warrant valuation, and
the debt issuance costs associated with the Company’s 15% Senior Secured
Subordinated Promissory Note (the “Bison Note”).
The
number of warrants to be issued were initially reported to be 7,168,488, and
included a fair-value of $0.48 per warrant, were exercisable at $5.00 per share,
used a ten year life in their fair-value computation and carried standard
anti-dilution and registration rights provisions yielding a total warrant
valuation of $3,431,341, which served to discount the Bison Note and
correspondingly increase additional paid-in capital for the same amount. The
number of warrants issuable and their fair-value have been properly calculated
in this amended filing at 7,941,926 and $8,391,893 (prior to the reduction for
allocation of amended debt issuance costs of $1,180,368),
respectively. Additionally, the amended filing adjusted the warrants
contractual life to the correct term of 7 years (See the tables set forth below
and Note 12 for additional information on the restatement). During the year
ended June 30, 2008, the Company had originally recorded $2,717,064, in deferred
expenses, in relation to the debt issuance costs associated with the Bison Note.
This amended filing records a reduction to the previously capitalized debt
issuance costs of $1,180,368 attributable to the warrant’s relative fair value
as a component of the total debt proceeds received, effectively restating the
deferred debt issuance costs to $1,536,696. 31
The
effect of the restatement on the Company’s consolidated financial statements as
of June 30, 2008, and for the fiscal year ended June 30, 2008 are shown
below:
32
33
34
b.
Revenue
Recognition. Patient service revenue is recognized when the service is
rendered and the amount due is estimable, in accordance with the terms of the
individual contracts with hospitals. Generally, the contracts provide for a flat
fee per patient treatment, which may be derived from amounts allowable by third
party payers. Although revenue is recognized at the time of service, the
hospitals are usually not billed for the service until the hospital is paid by
the third party payers. As a result, the accounts receivable of the Company
include amounts not yet billed to the hospitals. As of June 30, 2008 and 2007
approximately $9.7 million and $5.6 million of Accounts Receivable were
unbilled, respectively.
c.
Cash and Cash
Equivalents. Cash equivalents are defined as short-term investments with
original maturities of three months or less.
d.
Property and
Equipment. Property and equipment are recorded at cost. The Company
provides for depreciation of property and equipment over their estimated useful
lives using the straight-line method. Hyperbaric chambers are depreciated over
seven years. Leasehold improvements, primarily located at hospitals, are
amortized on a straight-line basis over the lesser of the remaining term of the
hospital contract or the economic life of the improvement.
Hospital
chamber installation costs are included in Other Assets until the chambers are
operational. When chambers become operational, the total costs are transferred
to Property and Equipment and depreciated.
Maintenance
and repairs are charged to operating expenses as they are incurred. Improvements
and betterments which extend the lives of the assets are capitalized. The cost
and accumulated depreciation of assets retired or otherwise disposed of are
relieved from the appropriate accounts and any profit or loss on the sale or
disposition of such assets is credited or charged to income.
e.
Leases. Leases
are classified as capital leases or operating leases in accordance with the
terms of the underlying lease agreements. Capital leases are recorded as assets
and the related obligations as liabilities at the lower of fair market value or
present value. Such assets are amortized on a basis consistent with the
provisions of Statement of Financial Accounting Standards Board No. 13,
“Accounting for Leases,” as amended. The lease payments under capital leases are
applied as a reduction of the obligation and interest expense. Assets associated
with capitalized leases are included in property and equipment.
The lease
expense for rent, which may have a rent holiday included, is straight lined over
the initial life of the rent agreement.
f.
Long-Lived
Assets. The Company adopted the provisions of Financial Accounting
Standards Board Statement No. 144, “Accounting for the Impairment or Disposal of
Long-Lived Assets,” which requires management to review the Company’s long-lived
assets for impairment whenever events or changes in circumstances indicate the
carrying value may not be recoverable. Impairment is measured by comparing the
carrying value of the long-lived assets to the estimated undiscounted future
cash flows expected to result from use of the assets and their ultimate
disposition. In December 2006, management determined that its interest in
Southampton Hyperbaric, LLC was valueless and both the Company and the other
members abandoned the facility which resulted in a charge to operation of
approximately $260,000. Additionally, management’s review of its long-lived
assets resulted in an additional impairment loss of $1,817,000 charge to
operations in the fourth quarter of fiscal 2007. 35
g.
Advertising
Costs. Advertising costs are expensed as incurred. Advertising expense
incurred for the twelve months ended June 30, 2008 and 2007 were $15 thousand
and $81 thousand, respectively.
h.
Accounts
Receivable. Accounts receivable have been reduced for all known bad debts
and allowances. In accordance with terms of the underlying contracts, CFWH
records revenues upon rendering of patient services. Generally, the hospital is
invoiced by CFWH when the hospital has collected its related fee from the
patient or third party payers. Earned revenues not yet billed to a hospital are
also reflected in accounts receivable. An allowance for doubtful accounts has
been recorded in the accompanying consolidated financial statements based on
historical trends and management estimates. Accounts are written off only after
exhaustive efforts at collection.
i.
Income Taxes.
The Company uses the asset and liability method of accounting for income taxes
in accordance with FAS 109, “Accounting for Income Taxes”. Under the asset and
liability method, deferred tax assets and liabilities are recognized for the
future tax consequences attributable to differences between the financial
statement carrying amounts and the tax bases of existing assets and liabilities.
A valuation allowance against deferred tax assets is provided when it is more
likely than not that the deferred tax asset will not be fully
realized.
j.
Use of
Estimates. The preparation of financial statements in conformity with
generally accepted accounting principles requires management to make estimates
and assumptions that affect the reported amounts of assets and liabilities and
the disclosure of commitments and contingencies, if any, at the date of the
financial statements, and revenue and expenses during the reporting period.
Actual results could differ from those estimates. Significant estimates made by
management include the collectability of accounts receivable, the impairment of
long-lived and intangible assets, and the fair value of stock and warrants
issued.
k.
Concentrations.
The Company places its temporary cash investments primarily with one high
credit-quality financial institution. At June 30, 2008 such investments were in
excess of the FDIC insurance limit by approximately $15,000.
There are
a limited number of manufacturers of hyperbaric chambers. All hyperbaric
chambers to date have been supplied by one vendor.
l.
Fair Value of
Financial Instruments. The carrying amounts of current assets and current
liabilities approximate fair value due to the short-term maturities of the
instruments. The carrying amounts of capital lease obligations approximate their
fair values and the current interest rates on such instruments approximate
current market interest rates on similar instruments. See Notes 10 and 11 on the
carrying value of debt issued.
m.
Stock Based
Compensation. The Company applies FASB Statement No. 123 R, "Share Based
Payment" in accounting for its stock-based compensation plans. Statement 123R
requires all share payments to employees, including grants of employee stock
options, to be recognized as an expense based on fair values measured on award
grant dates. The compensatory amount of stock options issued to employees that
was charged to operations was $1.5 million in 2008 and $2.3 million in
2007.
n.
Earnings Per
Share. Basic net earnings (loss) per share is calculated based on the
weighted average number of common shares outstanding for each period. Common
shares issuable upon the exercise of warrants and options outstanding that could
potentially dilute basic EPS in the future were not included in the computation
of diluted EPS because to do so would have been anti-dilutive for the periods
presented.
o.
Deferred Financing
Costs . All costs associated with the placement of Company debt is
deferred and written off over the term of the debt.
p.
Goodwill.
Goodwill in the amount of $447,531 was acquired as a result of the June 1, 2006
acquisition of Far Rockaway. In December 2007, as part of the Warantz settlement
(see Note 10), the company recorded additional goodwill of $304,426. In
accordance with SFAS 142, “Goodwill and Other Intangible Assets”, Goodwill is
not amortized but reviewed for possible impairment at least annually or more
frequently upon the occurrence of an event or when circumstances indicate that a
reporting unit’s carrying amount may be greater than its fair value. As of the
fiscal year ended June 30, 2008, no impairment of Goodwill has
occurred.
q.
Amortization of
Intangibles. The intangibles with finite lives are amortized over the
estimated useful lives of these assets. The Company’s major intangible assets
are comprised of hospital and treatment center contracts acquired by the
Company. These contracts are amortized over a period of two to nine years
representing the lives of the contract. Results for the years ending June 30,
2008 and 2007 include $1,613,150 and $503,615, respectively, in amortization
expense. These assets are evaluated by management at least annually. In 2008,
management completed a review of its intangibles and determined that one
hospital’s contract was impaired, resulting in a charge to operations of
$189,992. During fiscal 2007, management conducted a review of all its
intangible assets and determined that contracts at five hospitals were deemed
impaired and will cease operations at those locations. The intangibles at these
locations were charged to operations in 2007 as part of the $2.1 million loss on
abandonments. Included in the 2007 charge is $233,000 for the contract with
Victory Memorial Hospital.
36
RECENT
ACCOUNTING PRONOUNCEMENTS
In May
2008, the FASB issued FSP APB 14-1, Accounting for Convertible Debt
Instruments That May Be Settled in Cash upon Conversion (Including Partial Cash
Settlement), which specifies that issuers of convertible debt instruments
that may be settled in cash upon conversion should separately account for the
liability and equity components in a manner reflecting their nonconvertible debt
borrowing rate when interest costs are recognized in subsequent
periods. FSP APB 14-1 is effective for interim periods and fiscal
years beginning after December 15, 2008. The Company will adopt FSP
APB 14-1 effective July 1, 2009. The Company is currently assessing
the impact of FSP APB 14-1 on its financial statements.
In June
2008, the FASB ratified Emerging Issues Task Force Issue No. (“EITF”) 07-5,
“Determining Whether an Instrument (or an Embedded Feature) Is Indexed to an
Entity’s Own Stock” (EITF 07-5). EITF 07-5 provides that an entity should use a
two step approach to evaluate whether an equity-linked financial instrument (or
embedded feature) is indexed to its own stock, including evaluating the
instrument’s contingent exercise and settlement provisions. It also clarifies on
the impact of foreign currency denominated strike prices and market-based
employee stock option valuation instruments on the evaluation. EITF 07-5 is
effective for fiscal years beginning after December 15, 2008. The Company is
currently assessing the impact of EITF 07-5 on its consolidated financial
position and results of operations.
In
June 2008, the FASB issued FSP Emerging Issues Task Force
(EITF) No. 03-6-1, “Determining Whether Instruments Granted in
Share-Based Payment Transactions Are Participating Securities.” Under
the FSP, unvested share-based payment awards that contain rights to
receive nonforfeitable dividends (whether paid or unpaid) are participating
securities, and should be included in the two-class method of computing EPS. The
FSP is effective for fiscal years beginning after December 15, 2008, and
interim periods within those years. The Company does not expect the adoption of
FSP EITF No. 03-6-1 to have a material effect on its consolidated financial
statements.
In
September 2007, the FASB issued SFAS No. 157, “Fair Value Measurements”
(“SFAS No. 157”). SFAS No. 157 defines fair value, establishes a
framework for measuring fair value in accordance with generally accepted
accounting principles, and expands disclosures about fair value measurements.
This statement does not require any new fair value measurements; rather, it
applies under other accounting pronouncements that require or permit fair value
measurements. The provisions of this statement are to be applied prospectively
as of the beginning of the fiscal year in which this statement is initially
applied, with any transition adjustment recognized as a cumulative-effect
adjustment to the opening balance of retained earnings. The provisions of SFAS
No. 157 are effective for the fiscal years beginning after
November 15, 2007; therefore, the Company anticipates adopting this
standard as of July 1, 2008. The Company does not believe adoption of SFAS
157 will have a material impact on its financial position, results of operations
or cash flows.
In
February 2007, the FASB issued SFAS No. 159, The Fair Value Option for
Financial Assets and Financial Liabilities. Under the provisions of SFAS
No. 159, the Company may choose to carry many financial assets and
liabilities at fair values, with changes in fair value recognized in earnings.
The company will adopt the pronouncement effective for periods beginning after
July 1, 2008. The Company is currently evaluating the impact of adopting
this pronouncement on its consolidated financial statements, but does not expect
it to have a material effect.
In
December 2007, the FASB issued SFAS NO. 160, “Noncontrolling Interests in
Consolidated Financial Statements—an amendment of ARB No. 51”. The
objective of this Statement is to improve the relevance, comparability, and
transparency of the financial information that a reporting entity provides in
its consolidated financial statements by establishing accounting and reporting
standards that require the following changes. The ownership interests in
subsidiaries held by parties other than the parent be clearly identified,
labeled, and presented in the consolidated statement of financial position
within equity, but separate from the parent’s equity. The amount of consolidated
net income attributable to the parent and to the noncontrolling interest must be
clearly identified and presented on the face of the consolidated statement of
income. When a subsidiary is deconsolidated, any retained noncontrolling equity
investment in the former subsidiary is initially measured at fair value. The
gain or loss on the deconsolidation of the subsidiary is measured using the fair
value of any noncontrolling equity investment rather than the carrying amount of
that retained investment and entities provide sufficient disclosures that
clearly identify and distinguish between the interest of the parent and the
interest of the noncontrolling owners. The changes to current practice resulting
from the application of SFAS No. 160 is effective for financial statements
issued for fiscal years beginning after December 15, 2008, and interim
periods within those fiscal years. The adoption of SFAS No. 160 before
December 15, 2008 is prohibited. The Company has not determined the effect
that may result from the adoption of SFAS No. 160 on its financial
statements.
In
December 2007, the FASB issued SFAS No. 141(R), “Business
Combinations – Revised” that improves the relevance, representational
faithfulness, and comparability of the information that a reporting entity
provides in its financial reports about a business combination and its effects.
To accomplish that, this statement establishes principles and requirements how
the acquirer recognizes and measures in its financial statement the identifiable
assets acquired, the liabilities assumed, and any noncontrolling interest in the
acquiree, recognizes and measures the goodwill acquired in the business
combination or a gain from a bargain purchase, and determines what information
to disclose to enable users of the financial statements to evaluate the nature
and financial effects of the business combination. The changes to current
practice resulting from the application of SFAS No. 141(R) are effective
for financial statements issued for fiscal years beginning after
December 15, 2008. The adoption of SFAS No. 141(R) before
December 15, 2008 is prohibited. The Company has not determined the effect,
if any, that may result from the adoption of SFAS No. 141(R) on its
financial statements. 37
Management
does not believe that any other recently issued but not yet effective accounting
pronouncement, if adopted, would have a material effect on the accompanying
financial statements.
Note 3 – Private Placements and
Common Stock
a.
In July 2006, two individuals were granted 50,000 options each in connection
with agreeing to serve as members of the Company’s Board of
Directors.
b.
In August 2006, 50,000 options were granted to a company with whom the Company
entered into a consulting agreement.
c.
During the period, August through November 2006, four employees were granted a
total of 245,000 options in connection with accepting employment with the
Company; one of those employees subsequently resigned which resulted in the
expiration of 175,000 options.
d.
In January 2007, the Company issued an aggregate of 1,000,000 options to its
CEO. The options vest in varying amounts over varying terms. Part of these
options requires the attainment of certain performance goals by the Company. The
fair value of the options at the date of grants, as determined by the
Black-Scholes option pricing model, is $2,721,447 which is being charged to
operations ratably over the period the grants vest. $975,185 and $1,338,045 was
charged to operations in 2008 and 2007. On July 21, 2008 the Company’s board of
directors approved the CEO’s Amended and Restated Employment Agreement. As part
of that Agreement, the CEO was granted an additional 750,000 options at the then
fair market value. In addition, the aforementioned 1,000,000 options were
re-priced to the fair market value as of July 21, 2008. There is no effect of
the option re-pricing on the Company’s June 30, 2008 financial results; the
noncash costs of these options will be reflected in the Company’s September 30,
2008 10Q report.
e.
In March 2007, 42,667 options were granted to an independent contractor in
connection with its marketing activities on behalf of the Company.
f.
In June 2007, the Company received the proceeds from $1,000,000 in securities
(“Mezzanine Loan”) from various investors (“Investors”). These securities were
classified as liabilities in the financial statements since the Company could
repay the Investors as described below. The securities gave the Investors an
aggregate 25% share of a newly formed entity, CFWH Mezzanine, LLC (“Mezzanine”).
Mezzanine operates a Hyperbaric and Wound Care facility at each of 10 new
hospitals (as determined by the Company). The Company contributed the hospital
contracts for these 10 facilities, manages Mezzanine and will pay any net
profits to Mezzanine, of which the Investors will receive a 25%
share.
The
Investors’ shares in Mezzanine were redeemable by the Company if the Company
paid the Investors 125% of the original subscription price within 180 days from
the signing of the agreement, or pays 130% of the original subscription price
within 210 days, or paid 150% of the original subscription price within 270
days, or 200% of the original subscription price within one year. If the Company
did not redeem the interest in Mezzanine within one year, the Company would have
lost the right to redeem the Investors interest in Mezzanine, and no money would
have been due to the Investors. The Investors had the option to convert their
interest in Mezzanine to shares of the Company’s stock at a conversion rate of
$2.00 invested per share, or 500,000 shares for a two year period expiring in
June 2009. After the closing on the Bison Note (see Note 12), the Company
retired the Mezzanine Loan.
In April
and May 2008 the Company issued 187,500 shares of its common stock in payment of
accrued interest on the above mezzanine loan.
g.
In December, 2007 and January, 2008 the Company raised a total of $1.6 million
from individual investors in the form of a short term unsecured note, (the
“Bridge Financing Note”) the terms of which provided the lenders with interest
paid in cash or in lieu of cash, warrants with an exercise price of $2. These
funds were used to fund the $1.5 million payment due the Bondholders on or
before January 31, 2008 (of the $1.5 million, $1.2 million was used to retire
principal and $300 thousand was paid for a consent fee). Prior to the payment in
full of the Bondholders on March 31, 2008, the $1,600,000 was held by an escrow
agent and shown as Restricted Cash on the Company’s balance sheet. Certain
members of the Company’s board of directors and officers of the Company
participated in this Bridge Financing and lent the Company $600,000 of the total
$1.6 million raised.
On
January 25, 2008 the Company used $1.5 million of the Bridge Financing Note to
pay the Bondholders and $100 thousand for working capital purposes. On March 31,
2008 the entire $1.6 million Bridge Financing Note was paid in full from the
proceeds of the Bison financing. In May 2008 a bridge financing note holder
purchased 200,000 shares of the Company’s common stock for $400,000 in
cash.
h. On
March 31, 2008, the Company entered into a financing agreement with Bison
Capital Equity Partners II-A, L.P. and Bison Capital Equity Partners II-B, L.P.
and issued a $20 million senior collateralized subordinated promissory note
(“Senior Collateralized Subordinated Note” or “Bison Note”). The
Company received proceeds of $17.5 million, net of a $2.5 million discount, and
incurred approximately $3.1 million of expenses related to this
transaction. The Company used proceeds to retire certain debts with
accrued interest, certain accounts payable and other
obligations. 38
Under the
terms of the Bison Note, the Company has to pay monthly cash interest at 12% per
annum starting from October 2008 and 6% non-cash interest, which is added to the
principal amount. Upon fulfillment by the Company of certain
conditions, the non-cash interest is reduced to 3% and, provided no event of
default has occurred, the Company can further defer scheduled payments of cash
interest for up to 12 months. The Company met the required conditions
in September 2008 and therefore the non-cash interest rate reset at 3% and
payments of cash interest were deferred until October 31, 2009. The
interest rate increases by 2% upon an event of default and if such default is
not cured within a certain period of time or waived by the Bison Note holders,
the outstanding principal balance and accrued interest become due and
payable.
The Bison
Note is redeemable by annual payments of $2.5 million starting from the second
anniversary and until the fifth year at which point the Company is required to
retire the remaining balance. The Bison Note and other obligations
under the security purchase agreement are collateralized by a lien granted by
the Company and its subsidiaries on substantially all of their assets, including
all stock held by either the Company or its subsidiaries. The Bison
Note is subordinated to the Bank Debt.
Additionally,
the Company entered into a common stock warrant agreement with the holders of
the Bison Note and issued warrants to purchase 7,941,926 shares of its common
shares with an exercise price of $5 per share and a seven year
term. 4,765,156 or 60% of the warrants vested immediately and the
remaining warrants vest monthly over a three year period. Under the
terms of the common stock warrant agreement, part of the unvested warrants might
be canceled, provided the Company meets certain EBITDA targets and required
Bison Note redemption conditions.
The
Company determined the relative fair value of warrants to be $7,055,355 and
recorded such amortization as a discount to the Bison Note in addition to $2.5
million discount. Additionally, based on the relative fair values of
the Bison Note and warrants the Company allocated $3.1 million of expenses
related to the transaction as follows: $1.7 million to deferred expenses and
$1.4 million to additional paid-in capital. The Company amortizes the
deferred financing cost, and debt discount and records interest expense using
the interest method rate, which it determined to be 37%.
The
following table summarizes the assumptions used in valuing options issued by us
during the periods ended June 30, 2008 and 2007.
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