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8-K - FORM 8-K - CBIZ, Inc. | l40987e8vk.htm |
EX-99.1 - EX-99.1 - CBIZ, Inc. | l40987exv99w1.htm |
EXHIBIT 99.2
CORPORATE PARTICIPANTS
Steven Gerard
CBIZ, Inc. Chairman & CEO
CBIZ, Inc. Chairman & CEO
Ware Grove
CBIZ, Inc. CFO
CBIZ, Inc. CFO
Jerry Grisko
CBIZ, Inc. President & COO
CBIZ, Inc. President & COO
CONFERENCE CALL PARTICIPANTS
Josh Vogel
Sidoti & Co. Analyst
Sidoti & Co. Analyst
Jim Macdonald
First Analysis Corp. Analyst
First Analysis Corp. Analyst
Robert Kirkpatrick
Cardinal Capital Partners Analyst
Ted Hillenmeyer
Northstar Partners Analyst
PRESENTATION
Welcome to the CBIZ third quarter 2010 results conference call. My name is Monica, and I will
be your operator for todays call. At this time, all participants are in a listen-only mode. Later,
we will conduct a question-and-answer session. Please note that this conference is being recorded.
I would now like to turn the call over to Steven Gerard. Mr. Gerard, you may begin.
Thank you, Monica, and good morning, everyone. And thank you for calling in to CBIZs third
quarter 2010 conference call.
Before I begin my comments, Id like to remind you of a few things. As with all of our conference
calls, this call is intended to answer the questions of our shareholders and analysts. If there are
media representatives on the call, youre welcome to listen in; however, I ask that if you have
questions you hold them until after the call, and well be happy to address them at that time.
This call is also being webcast and you can access the call over our website. You should have all
received a copy of the press release which we issued this morning. If you did not, you can access
that on our website or call our corporate office for a copy.
Finally, please remember that during the course of this call we may make forward-looking
statements. These statements represent managements intentions, hopes, beliefs, expectations, and
predictions of the future. Actual results can and sometimes do differ materially from those
projected in forward-looking statements. Additional information concerning the factors that would
cause actual results to differ materially from those in forward-looking statements is contained in
our SEC filings, Form 10-K and press releases.
Joining me this morning on the call is Jerry Grisko, our President and Chief Operating Officer, and
Ware Grove, our Chief Financial Officer.
Prior to the opening this morning, we were pleased to release our third quarter results. The third
quarter, which is typically a slow quarter for us, was a very strong quarter in 2010. With
relatively flat revenue, earnings per share from operations were $0.11 versus $0.09 after you
discount the $0.02 charge from the early retirement of debt. We saw strong operating
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performance from our Financial Services and Employee Services group and good cost-control measures
implemented in our MMP group. The third quarter also saw a significant number of other activities,
including the placement of $130 million of convertible notes to eliminate any refinancing risk for
next year when our old notes retire. And in the third quarter, we resolved the possible overhang
issue which has been frequently mentioned to us, resulting from the shares owned by our founder
Mike DeGroote, with the purchase of half of his shares and an option for the balance. The
combination of the shares purchased from Mr. DeGroote and the shares purchased in connection with
the convert will be highly accretive to our shareholders next year.
At this point, Id like to turn it over to Ware to go over the details, and then Ill come back
with more comment on whats going on in the market.
Thank you, Steve, and good morning, everyone. We had a lot of significant events occur in the
third quarter, and I want to run through the highlights of these items with you.
Let me start by reminding everyone that 2009 results are restated for the impact of discontinued
operations that occurred in the fourth quarter of 2009. Now, beyond the refinancing and share
repurchase transactions that we announced in September, I believe it is most important to note the
continued good performance of both our Financial Services and Employee Services business groups. We
continue to operate in an uncertain economic environment, but as you look at our results, you will
see that thanks to the hard work of the many people within our business units located across the
United States, both of these groups have increased their pretax income contributions and have
improved their gross margins for the third quarter and for the nine months ended September 30,
2010.
Total revenue in the third quarter grew from $175.8 million a year ago to $176.5 million in the
third quarter this year. Same unit revenue for CBIZ in the third quarter declined by 2.2%, or by
$3.8 million, compared with a third quarter a year ago. The majority of this decline can be
attributed to the Medical Management Professionals group, where same unit revenue declined by 8.1%,
or by $3.3 million in the third quarter. Same unit revenue in our Financial Services group was
essentially flat or declined by 0.4%. And in our Employee Services group, same unit revenue, again,
was essentially flat or declined by 0.6% in the third quarter compared with a year ago.
For the nine months ended September 30, 2010, same unit revenue for CBIZ declined by 4.4% compared
with a year ago. Our MMP group declined by 9.5%, Financial Services declined by 4.2%, and Employee
Services declined by 1.1% compared with the nine months ended a year ago.
Our Medical Management Professionals group continues to be challenged by the decline in medical
procedures and the related shifts in modality that has resulted in a decline in their revenue and
pre-tax income contributions for the nine months. During our second quarter conference call, we
commented that a number of cost-control measures had been taken within this group, and we are now
seeing the results with improved margins in the third quarter. As a result of these cost management
measures taken earlier in the year, pretax contribution from this group through the second half of
2010 is expected to be very close to the level achieved in the second half of 2009, despite the
continuing pressures on revenue.
Sequentially, we are seeing improved trends in both Financial and Employee Services groups. The
environment is still uncertain, however, and in Financial Services, we continue to see client
demand that is relatively soft with the volume of hours charged to clients still down slightly more
than 7% for the nine months this year compared with last year. We are seeing improvements in our
net yield on client engagements that are related to engagement efficiencies. Compared with a year
ago, the headcount in this group is down about 5%, and we are continuing to carefully manage all
costs within this group. Also, within Employee Services, continued high unemployment rates impacts
our Group Health Benefits business, and when combined with plan design changes that mitigate cost
increases to employers, this business is not growing at rates we have historically seen. Pricing in
Property and Casualty lines of coverage continues to be very soft, and that also impacts our
ability to grow this business.
On a more positive note, we are seeing a nice recovery in revenue related to our retirement
advisory business, as revenue in this service is driven by the underlying value of the assets in
the plans that we advise on, and we are experiencing growth in our Payroll services, our HR
Outsourcing services and also in our Executive Recruiting business.
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Now, as I mentioned earlier, on September 15th, we announced the purchase of 7.7 million shares
from Westbury Limited, which is related to our founder, Michael G. DeGroote, along with a
three-year option to purchase the 7.7 million share balance of Westbury share holdings.
Then, on September 27th, we announced that we closed on the issuance of $130 million of 4.875%
convertible notes that are due in October 2015. These new notes effectively provide funding to
retire the existing 3.125% notes outstanding that are callable in June of 2011. Many of the new
note purchasers were current holders of our 3.125% notes, and concurrent with the issuance of the
new notes, we used $60 million of the proceeds to retire a portion of the 3.125% notes. We also
used $40 million of the proceeds to immediately pay down balances outstanding on our bank credit
facility, and we used $25 million of the proceeds to purchase 4.6 million shares concurrent with
the issuance of these notes. I want to emphasize that the new 4.875% notes have the same net share
settlement feature that you may be familiar with in connection with our 3.125% notes. This means
that the $130 million principal value of these notes will be repaid in cash. At our option, shares
may be issuable for the potential conversion gain that occurs when the CBIZ share price exceeds
$7.41 per share.
Now, to summarize, looking at our balance sheet at September 30, 2010, you will see $119 million
outstanding on our $275 million unsecured bank credit facility. You will see $38.8 million
outstanding remaining on our 3.125% notes that are callable in June of 2011. And you will also see
$116 million balance outstanding for the 4.875% notes that are due in 2015.
The 4.875% notes are recorded at a discount on our balance sheet, and there will be a non-cash
amortization back to the $130 million par value over the next five years. As a result, these notes
will be amortized with an effective interest rate of 7.5%, which includes the 4.875% cash interest
payment plus the non-cash amortization. This rate of 7.5% is lower than the 7.8% effective rate
that we currently use on the 3.125% notes which are now being refinanced.
The total debt reflected on the balance sheet at September 30 was about $274 million when you
combine these three instruments. Considering the $53 million used for the Westbury share purchase
and the related option and the $25.1 million used for the share repurchase in connection with the
new convertible notes, we used $78 million of capital for share purchases in these transactions.
Results for the third quarter include a charge of approximately $2 million included in other income
or loss, or approximately $0.02 per share, for the early redemption of the $60 million of the
3.125% notes related to the accounting for the non-cash interest amortization in connection with
these notes. The impact of this charge on our pretax income margin in the third quarter was 113
basis points. Our results for the nine months ended September 30 include the charge for the early
redemption of these notes and also include a charge of approximately $1.5 million recorded in
operating expenses for the integration costs associated with the acquisition of Goldstein Lewin, a
financial services firm located in Boca Rotan, Florida, that was acquired in January of 2010.
Together, the impact of these two items was approximately 62 basis points on reported pre-tax
margin, or approximately $0.04 earnings per share for the results recorded for the nine months
ended September 30, 2010.
Now, youll also see that we continue to manage our general administrative expenses very carefully,
and as a percent of revenue, we are continuing to leverage these expenses. Through the first half
of this year, we had commented that a higher level of legal expenses had caused a temporary
increase in these expensive, and in the third quarter we received a cash payment on one of the
favorable judgments we had previously mentioned, so this recovery is now reflected in the G&A
expenses recorded for the nine months ended September 30, 2010.
Cash flow continues to be strong for the first nine months of 2010. Operating cash flow has been
about $40 million for the first nine months of 2010. Excluding the impact of the non-cash
restructuring costs and excluding the impact of the non-cash debt discount amortization costs,
EBITDA for the first nine months has been about $75 million when you adjust for these items.
Capital spending was approximately $650,000 in the third quarter and has been approximately $2.1
million for the nine months ended September 30.
Cash earnings per share, which served to illustrate the impact of major non-cash items on earnings
was $0.24 per share for the third quarter, compared with $0.21 per share a year ago. And for the
nine months ended this year, cash earnings per share was $0.87 per share compared with $0.84 per
share for the nine months a year ago. The margin on cash earnings to revenue improved by 33 basis
points this year compared with last year for the nine months.
As a result of the share purchase activity, the diluted share count is expected to be about 58.4
million shares at year-end 2010. And it is expected to be approximately 50 million shares at
year-end 2011. The accretive impact to earnings per
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share in 2011 that is expected from the transactions I just described is expected to be
approximately $0.05 per share for the full year 2011.
We think the financing structure we now have in place not only has provided an accretive impact to
shareholders through the share purchases completed, but also provides us with the flexibility to
continue to address acquisition opportunities as they arise. We continue to review a pipeline of
potential acquisitions, and we continue to approach this with the same discipline that weve always
used over the past six years. Our first priority for the use of capital has always been focused on
making strategic acquisitions. Considering our option to purchase an additional 7.7 million shares
from Westbury Limited in the next three years, we intend to focus additional cash flow more toward
strategic acquisitions rather than making additional open market share repurchases.
Now, looking toward the balance of this year, we expect both Financial and Employee Services
business groups to continue to perform well as they have for the first nine months compared with
2009. With the cost management measures taken in the MMP group, while we expect continued softness
in revenue for this business through the fourth quarter, we expect that margins will continue to
improve, and pretax contribution will be relatively flat in the fourth quarter compared to fourth
quarter a year ago.
So excluding the impact of the non-cash charges related to restructuring and the early debt
retirement that were described earlier, for the full year 2010, we continue to expect to achieve
earnings per share within a close range of the $0.52 reported for 2009. We also continue to expect
that EBITDA, again excluding the two items I mentioned, will be within a very close range of the
$85 million that was recorded for 2009.
So with these comments, let me conclude, and Ill turn it back over to Steve.
Thank you, Ware.
Weve covered a lot of information in a relatively short period of time, so Id like to open it up
for questions. I want to reiterate that the acquisition pipeline remains very strong. Were
confident that we will complete the normal 3 to 6 transactions we do each year, and any of those
that might come obviously would come between now and year-end.
With respect to the transaction with the DeGroote interests, that was an issue which has been on
our radar for quite some time. An opportunity came up to resolve an issue that we knew we would
resolve some day, and I believe a very fair transaction has been entered into for both the company
and for the DeGroote interests. And I would remind our listeners that Mr. DeGroote today remains
the largest single shareholder with almost 15% of our shares.
With that, let me stop and take questions of our shareholders and analysts and then return at the
end.
Q & A
Thank you. Well now begin the question-and-answer session. (OPERATOR INSTRUCTIONS.) Our first
question comes from Josh Vogel of Sidoti & Company. Please go ahead.
Thank you. Good morning, Steve and Ware.
Hey Josh.
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Hey Josh.
Just a couple questions here. I guess the first in Financial Services, I know that
historically, especially pre-recession, you see project-based work start to fill the channel late
in the year. That obviously wasnt around in late 08 and 09, but I was wondering if youre
starting to see project-based demand start to fill up today.
I think in the second quarter call, I commented that we were seeing glimmers of light on the
horizon, but it was too early to call victory. I dont think its dramatically changed from that.
Were seeing higher levels of interest, more RFPs, more activity in terms of preliminary stage, but
nothing that I could at this point say, Yes, weve returned to the good old days of stronger
project work in the third and fourth quarter.
Okay. Now, also, Im not sure if youve seen it or not, but we are seeing some nice demand
pickup from staffing companies that place financial services professionals on a temp basis. Im
curious here are you possibly losing out on some opportunities, or are you seeing some of your
clients looking to go the way of the temp, or is this just different work that they do altogether?
Im not aware that were seeing any significant loss of business due to people being placed by
temp agencies. The temp agencies are a good barometer, I think, of what small business owners are
thinking about. Theyre not ready to hire, but they may be adding some more people on a temporary
basis. But those people are not typically people that would do the work we do anyway. When youre
talking about tax work and financial planning work and stuff, maybe temps do part of it, but they
typically look to their accountant for that. So I dont think at that point thats having a
negative impact on us in any way.
Okay. Thats what I figured.
Now, in MMP I know you took some cost-cutting maneuvers. I was wondering if maybe you could explain
what maybe some expenses that you called out here. And also, margins were still a lot stronger
there than what I expected, and I was curious maybe some radiology work picked back up, or not.
I was just curious if you can give some thoughts there.
The primary problem in MMP has been the revenue decline, which has been driven by lower level
of procedures and then, within the procedures that were done, a much lower level of the high
modality, the high payment procedures. The reaction was an aggressive program to make sure we had
right-sized each of our units. We were off-shoring as much as we could where there was a pickup in
margin. Weve implemented new processing systems in certain locations, which should make us more
efficient.
So its really a combination of all of the actions. Because MMP has over 70 locations, some of
which are quite small, and some are large processing centers. The action plan in each one, by
definition, just has to be different. In addition, we have
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four different specialties, and while radiology has been the primary issue with respect to volume
and price, actually the number of procedures in emergency is actually up a little bit.
So its not something where I can just give you a one answer with one cost. I think the cost
cutting and the right sizing and all of the activities have contributed to a better performance or
the performance that they have today. Were still not back to the margins we saw historically, and
our game plan is to get the organization at least back to where they were and then, hopefully, on a
more upward swing.
Okay. Thats helpful. Thank you. And just lastly, if you could remind me, I notice Employee
Services was down a little bit sequentially. Is that just seasonality?
Yes, hi, Josh. This is Ware. Theres a little bit of seasonality built into this business
related to some of the carrier payments that we get that are typically received and recorded in the
first half versus the second half. Thats essentially it. Most of the other business are pretty
steady state throughout the balance of the year.
Okay, great. Thanks a lot.
Our next question comes from Jim Macdonald of First Analysis. Please go ahead.
Good morning, guys.
Hey Jim.
I just want to clarify. So your $0.52 guidance, does that count this quarter as $0.11 or
$0.09?
Well, the $0.52 guidance, just to be clear, does exclude the two items that we talked about
the debt retirement costs and the restructuring costs on the acquisition.
Okay. So it counts this quarter as an $0.11 quarter.
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Well, if you take the $0.02 out on the debt retirement costs, you could get from $0.09 to
$0.11, yes.
Just wanted to make sure. So that sort of implies not much profit next quarter. Is that
accurate?
No. Heres the dilemma. The dilemma is this. Weve been saying in a range of $0.52. Initially,
that range had some downside to it and perhaps some upside. Its looking like were in a range of
$0.52 with more optimism on the upside than the downside, but its too early to give anything more
specific than that. A lots going to depend on what we do in the next 30 to 40 days.
So what we basically did was reiterate prior guidance with a tilt on the upside rather than the
original tilt, which could have been on the downside.
And the legal recovery in the quarter, how much was that and was that subtracted out of G&A or
something?
Yes, Jim, that was about $1 million, and yes, it was subtracted out of G&A for the quarter
and, of course, for the nine months. So for the nine months, its more of a normal run rate. I
think thats the way to look at it.
Yes, and I think thats an important point. When we announced the first quarter, we said,
Look, G&A is higher because of unusual legal expenses that we thought was more of a timing issue.
And I dont know how many people really believed that, but we were confident in it. And thats all
this has been. We spent some money. We got the money back. So the way to look at our expenses,
really, is much more on a year-to-date basis.
Okay, and those to be clear, I think we included those and left those in, the ongoing
numbers, and presumably well leave this benefit in for the $0.11, just thinking about it.
That is correct. The only exceptions are the two I mentioned.
So your same-store sales are still negative, and of course a big part of that is MMP. But when
can you see do you expect to go same-store negative next year?
We are just now in the beginnings of our budget process for next year. Its too early to call.
I am expecting that the markets that were in are going to be stable next year as opposed to us
digging out of the markets for the last 18 months. So we will
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give guidance at the next call when we give our year-end numbers. Well have our plans done by
then. But Im certainly hopeful that we will see growth in our businesses next year.
Just one more and then Ill come back in later. Financial Services was basically negative, Id
say, in terms of your commentary, but the number was stronger than I was looking for. Any reasons
for the relative strength in Financial Services this quarter?
Well, first of all, I dont mean my comments to be negative. The question that was asked was
are we seeing any significant pickup in the project-related work which affects the third and fourth
comment, and my comment was there seems to be more activity, but it hasnt turned yet into
business. I think the primary reason for the improvement in Financial Services on a revenue line
was the acquisition that we made in the beginning of the year of the Goldstein Lewin firm in
Florida, and that accounts for most of the revenue pickup on a year-to-date basis.
Although it went from minus 5.5% same-store last quarter to minus 0.4% this quarter, so I
know its still down, but
Jim, were clearly heading in the right direction, and were heading in the right direction
actually in all three of our businesses. Given the somewhat lumpiness that comes in third quarter
and fourth quarter Financial Services, I just dont have I think its too early to call victory.
I just think that each of our businesses are performing well given the environment theyre in, and
we are in fact heading in the right direction.
If you look at the MMP numbers sequentially quarter over quarter, the negative drag on the
procedures is getting better each quarter, and the actual negative procedure count on a same-store
basis in MMP, for example, is 1.5% or 1.2% percent.
So each business is heading correctly, and I think well have a better view of next year as we get
to the end of this year.
Okay. Ill jump back in. Thanks.
(OPERATOR INSTRUCTIONS.) Your next question comes from Robert Kirkpatrick of Cardinal Capital
Partners.
Good morning, gentlemen.
Good morning, Rob.
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Could you please talk a little bit about the M&A market and whether theres a rush for the
gates to beat anything on a tax basis by the end of the year?
Our M&A pipeline is very strong. As I said before, well do the usual number of transactions
that we do. I dont believe theres a rush to the door because people are worried about capital
gains tax. From time to time its mentioned, but were not seeing any more than we normally see. We
just have a very full pipeline of deals we can do. Typically, when these issues come up and it
came up a couple years ago also theres always the thought that people will be rushing, but it
never actually happened, and it hasnt happened yet this year.
Okay. And Steve, could you comment generally on what youre seeing in the economy. Given that
CBIZ pushes so much in terms of small and medium businesses, Id be curious as to your comments on
that.
Were seeing stability but a continued great deal of uncertainty as to the possible impact of
healthcare, the possible impact of tax changes, the possible impact of an energy bill, and
uncertainty as to whats going to happen next week in the elections. So I think our clients are
stable. I think theyre looking more positive theyre looking up instead of down, which is good
news for us and good news for the economy.
But again, I think its too early to say that theyre pulling the trigger. Youre not seeing it in
the employment numbers. Youre not seeing it in any kind of capital spending numbers or information
that we get with respect to what our clients are thinking of. So theyre stable. Theyre looking
more positive. Theyre waiting for some degree of clarity as to what next year is going to happen
to them from external things they cant control, such as taxes. So slightly better, but I
wouldnt call it in the good column yet.
And each of the last couple of quarters, youve commented on how healthcare reform could
affect CBIZs business. Any further comments on that these days?
Nothing with respect to the MMP business. I think the one thing that has come up last week was
the decision by the insurance commissioners of the United States to recommend to Health & Human
Services a package which defined what was in what they called the medical loss ratio, the MLR. And
included in that was the exclusion of broker commissions from the calculation.
You may remember that the government has said certain medical loss ratio hurdles of the amount of
money that they have to pay out on claims, whether youre a large group or a small group. And the
exclusion of broker commissions in the calculation has raised a question as to what carriers are
going to do with broker commission.
The best read we have now is and I think I commented on this in the past is we expected the
rules to come out the way they appear to be coming out. We believe that the carriers will look hard
at protecting and encouraging and enticing their major brokers, of which we are with most of our
carriers, and will probably change the commission structure for brokers that are not as important
to them or not primary brokers. But all of that still has to be played out.
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So nothing new with respect to reimbursements at this point on the MMP side, but a few other issues
have now popped up on the group health side.
Okay, and then a couple for Ware. Ware, bad debt expense in the quarter was about $1 million
again?
Yes, were accruing, in the quarter, about 75 basis points against revenue. Year-to-date, its
between 60 and 65 basis points, which is historically where were at on a collective basis for
CBIZ.
Okay. And then the non-cash interest expense on the new debt should be, in dollar terms, about
equal to that of the old debt, a lower rate but a higher principal amount. Is that a fair
assessment?
Yeah. Without getting into all the math, it will be the difference between the 4.875% and the
7.5% rate. So we can do the math and come up with a pretty close approximation.
Great. Thank you so much, gentlemen. Appreciate it and appreciate everybodys work and
results.
Thanks, Rob.
(OPERATOR INSTRUCTIONS.) Our next question comes from Ted Hillenmeyer of Northstar Partners.
Hi guys. Ware, can you give us what the share count you expect to have in Q4? Because I dont
think the benefit of some of those buybacks affected it for the entire quarter in Q3.
Youre right, Ted. There wasnt much impact in the third quarter and year-to-date. In the
fourth quarter, I think that the share count is going to be close to 50 million shares. And then
for the full year, thatll make the weighted average share count about 58.5 million shares for this
year.
And it will remain at that 50 million, basically, for 2011 unless you take out the other
DeGroote shares?
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Yes, thats our projection right now. We expect approximately 50 million shares in 2011.
And then I missed Steve, I think you mentioned MMPs did you say it was the same-store
rate that was down 1.5% to 2% and the rest
Yes, Ted, that was the procedure count for what we call the mature clients, which tend to be
the clients that last year over year.
So what were seeing is still a decline in procedures, but the declining rates appear to be less.
Weve also seen in the last couple of months a slight uptick in the higher modality procedures. But
again, were still running negatively, certainly this year over last year.
So the difference between the 1.5% to 2% and the same-store sales rate down 8% is the pricing
of those procedures or also loss of customers?
Yes. Well, its a combination. The revenue is a combination of lower pricing and the net
between lost and new accounts, but thats right.
I reported in the last two calls that 2009 was the first year in MMPs history where the dollar
amount of new business did not exceed the dollar amount of lost business, and that was because we
lost most of the business due to the doctor groups disbanding or losing their contracts or other
things happening with them. And because of the uncertainty around the federal governments
healthcare, people werent making changes. So we are carrying through 2010 the negative delta
between the new business and lost business from last year.
And when you go to Q4 in 2011, do you know what your expectation is just for number of
customers year over year?
Im sorry 2010 or 11?
Q4 2010 into 2011. Is there a point where you lap the loss of these customers?
Sure. And as Ware pointed out earlier, this year the number of new customers the dollar
revenue from new customers exceeds the dollar revenue from lost customers. So we do expect as we go
into next year to lap last years problem.
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Okay. And then, I think lastly, can you just give me an update on expected payments for earn
outs?
Yes, Ted, earn outs this year are running roughly $20 million, and were essentially through
those. For next year, weve scheduled and this is assuming full payment on all earn outs
approximately $28 million. In 2012, its approximately $22 million. Then it drops off after that in
2013 to approximately $4 million.
Okay, great. Thanks.
(OPERATOR INSTRUCTIONS.) We have a follow-up question from Jim Macdonald of First Analysis.
Yes, just a follow-up on the MMP questions. What are you looking at for the pricing
environment for procedures for next year? Any other changes on the downside?
This is an industry that will continue to have competitive pricing pressure. Again, were too
soon in our budget process to have the view on next year, so thats the internal view. There has
been no serious announcements by anybody on reimbursement rates for next year, and I think thats
probably the direction of your question. We havent seen anything official from the committee that
advises Medicare/Medicaid, and they havent come out with anything. And we dont have any feedback
from carriers at this point that there are dramatic changes.
That information tends to roll out when it comes, that information tends to roll out between now
and year-end, and in some years it actually comes out after year-end on a retroactive basis. And
again, part of this is going to depend on what Congress is prepared to do with recommendations as
theyre handed out. So theres been no news and no change on that.
And in terms of the pricing issue, how much would you say is reduced reimbursement rates from
the government versus competition versus a mix to lower cost procedures?
I think I would be guessing off the top I think we have all that information. If its all
right with you, why dont we do a little bit better look at it and provide that to you? Ive got
rough numbers, but I dont want to mislead you in it.
Okay. Just a couple other cleanup items. The receivables looked a bit high this quarter. Any
thoughts there?
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Yes, were watching them carefully as we always do. Our DSOs have slipped backwards a little
bit this year. Were looking at our collection activities. Were looking at our bad debt accruals,
as we talked about earlier. We think were fine, but were continuing to manage it carefully. Steve
and I review it, all the key outstanding balances with each practice group.
The important thing is our cash flow continues to be good, and while you could say that theres
some slippage on the receipt side because of the DSO increase, were managing the cost side very
carefully too. So were kind of where we thought we would be in terms of net operating cash flow at
this point this year.
And could you give me an update or tell us when we might get an update on the MHM lawsuit?
There has been no significant change from the information we reported in the Q that came out
this summer. Theres the usual legal wrangling and motions filed and things going in and out, but
no material change in the status of that suit.
And do you expect anything to happen in the near term?
Im hopeful that we will prevail as we move forward, but I have learned the hard way that
these things take much, much longer than they should, so I dont have a view as to whether we will
have any as to when well have more clarity. These things are just agonizingly slow.
Okay, thanks a lot.
(OPERATOR INSTRUCTIONS.) We have no further questions in queue. Would you like to make any
closing remarks.
Yes, thank you. Id like to thank everyone who called in. Id specifically and particularly
like to thank all of our associates who listen in to these calls. These have been difficult
quarters. The results we posted today are strong, and theyre strong because of the hard work and
the dedication and the commitment that all of you have.
So I really want to, again, thank you for your contributions to these results. And for everyone
else, we look forward to speaking to you when we release full-year numbers after the end of the
year.
Thank you all very much.
Thank you. Ladies and gentlemen, this concludes todays conference. Thank you for
participating. You may now disconnect.
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