Attached files
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EX-31.2 - CERTIFICATION OF CHIEF FINANCIAL OFFICER - PHC INC /MA/ | exh31_2.htm |
EX-31.1 - CERTIFICATION OF CHIEF EXECUTIVE OFFICER - PHC INC /MA/ | exh31_1.htm |
EX-32.1 - CERTIFICATION PURSUANT TO - PHC INC /MA/ | exh32_1.htm |
EX-10.30 - LOAN SALE AGREEMENT - PHC INC /MA/ | exh10_30.htm |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
ý QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended December 31, 2010.
¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the transition period from ____________ to ___________
Commission file number
|
1-33323
|
PHC, INC.
(Exact name of registrant as specified in its charter)
Massachusetts
|
04-2601571
|
|
(State or other jurisdiction of
incorporation or organization)
|
(I.R.S. Employer Identification No.)
|
|
200 Lake Street, Suite 102, Peabody MA
|
01960
|
|
(Address of principal executive offices)
|
(Zip Code)
|
978-536-2777
(Registrant’s telephone number)
_____________________________________________________________________________________________
Indicate by check mark whether the registrant (1) filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 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 X No___
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yes ___ No ___
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
(Check one):
Large accelerated filer _________
|
Accelerated filer
|
___
|
|||
Non accelerated filer _________
|
Smaller reporting company
|
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
APPLICABLE ONLY TO CORPORATE ISSUERS
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
Number of shares outstanding of each class of common equity as of February 7, 2011:
Class A Common Stock
|
18,728,412
|
|
Class B Common Stock
|
775,021
|
1
PHC, Inc.
|
||||
PART I.
|
FINANCIAL INFORMATION
|
Page
|
||
Item 1.
|
Condensed Consolidated Financial Statements (unaudited)
|
|||
Condensed Consolidated Balance Sheets (unaudited)
|
||||
December 31, 2010 and June 30, 2010
|
3
|
|||
Condensed Consolidated Statements of Income
|
||||
(unaudited) - Three and six months ended December 31,
|
||||
2010 and December 31, 2009
|
4
|
|||
Condensed Consolidated Statements of Cash Flows
|
||||
(unaudited) – Six months ended December 31, 2010 and
|
||||
December 31, 2009
|
5
|
|||
Notes to Condensed Consolidated Financial Statements
|
||||
(unaudited)
|
6
|
|||
Item 2.
|
Management’s Discussion and Analysis of Financial
|
|||
Condition and Results of Operations
|
12
|
|||
Item 3.
|
Quantitative and Qualitative Disclosure About Market Risk
|
18
|
||
Item 4.
|
Controls and Procedures
|
19
|
||
PART II.
|
OTHER INFORMATION
|
|||
Item 2.
|
Repurchase of Treasury Stock
|
21
|
||
Item 4.
|
Submission of Matters to a Vote of Security Holders
|
21
|
||
Item 6.
|
Exhibits
|
22
|
||
Signatures
|
2
PART I. FINANCIAL INFORMATION
|
||||
Item 1. Financial Statements
|
||||
PHC, INC. AND SUBSIDIARIES
|
||||
CONDENSED CONSOLIDATED BALANCE SHEETS
|
||||
(unaudited)
|
||||
December 31,
|
June 30,
|
|||
2010
|
2010
|
|||
ASSETS
|
||||
Current assets:
|
||||
Cash and cash equivalents
|
$
|
2,759,472
|
$
|
4,540,278
|
Accounts receivable, net of allowance for doubtful accounts of $4,229,690 at
|
||||
December 31, 2010 and $3,002,323 at June 30, 2010
|
9,517,508
|
8,333,766
|
||
Prepaid expenses
|
550,445
|
490,662
|
||
Other receivables and advances
|
2,389,733
|
743,454
|
||
Deferred income tax assets – current
|
1,145,742
|
1,145,742
|
||
Total current assets
|
16,362,900
|
15,253,902
|
||
Restricted cash
|
512,197
|
512,197
|
||
Accounts receivable, non-current
|
50,434
|
17,548
|
||
Other receivables
|
55,822
|
58,169
|
||
Property and equipment, net
|
4,824,068
|
4,527,376
|
||
Deferred income tax assets – non-current
|
1,495,144
|
1,495,144
|
||
Deferred financing costs, net of amortization of $656,237 and $582,972 at
|
||||
December 31, 2010 and June 30, 2010
|
116,004
|
189,270
|
||
Goodwill
|
969,098
|
969,098
|
||
Other assets
|
2,082,182
|
2,184,749
|
||
Total assets
|
$
|
26,467,849
|
$
|
25,207,453
|
LIABILITIES AND STOCKHOLDERS’ EQUITY
|
||||
Current liabilities:
|
||||
Accounts payable
|
$
|
1,690,677
|
$
|
1,594,286
|
Current maturities of long-term debt
|
720,864
|
796,244
|
||
Revolving credit note
|
1,470,945
|
1,336,025
|
||
Current portion of obligations under capital leases
|
76,573
|
112,909
|
||
Accrued payroll, payroll taxes and benefits
|
1,864,231
|
2,152,724
|
||
Accrued expenses and other liabilities
|
1,099,402
|
1,040,487
|
||
Income taxes payable
|
424,549
|
23,991
|
||
Total current liabilities
|
7,347,241
|
7,056,666
|
||
Long-term debt, net of current maturities
|
82,558
|
292,282
|
||
Obligations under capital leases, net of current portion
|
--
|
19,558
|
||
Long-term accrued liabilities
|
689,721
|
582,953
|
||
Total liabilities
|
8,119,520
|
7,951,459
|
||
Stockholders’ equity:
|
||||
Preferred Stock, 1,000,000 shares authorized, none issued or outstanding
|
--
|
--
|
||
Class A common stock, $.01 par value, 30,000,000 shares authorized,
|
||||
19,887,505 and 19,867,826 shares issued at December 31, 2010 and June 30,
|
||||
2010, respectively
|
198,875
|
198,679
|
||
Class B common stock, $.01 par value, 2,000,000 shares authorized, 775,021
|
||||
issued and outstanding at December 31, 2010 and June 30,
|
||||
2010, each convertible into one share of Class A common stock
|
7,750
|
7,750
|
||
Additional paid-in capital
|
28,053,402
|
27,927,536
|
||
Treasury stock, 1,214,093 and 1,040,598 shares of Class A common stock at
|
||||
December 31, 2010 and June 30, 2010, respectively, at cost
|
(1,808,734)
|
(1,593,407)
|
||
Accumulated deficit
|
(8,102,964)
|
(9,284,564)
|
||
Total stockholders’ equity
|
18,348,329
|
17,255,994
|
||
Total liabilities and stockholders’ equity
|
$
|
26,467,849
|
$
|
25,207,453
|
See Notes to Condensed Consolidated Financial Statements.
3
PHC, INC. AND SUBSIDIARIES
|
||||||||
CONDENSED CONSOLIDATED STATEMENTS OF INCOME
|
||||||||
(Unaudited)
|
||||||||
Three Months Ended
|
Six Months Ended
|
|||||||
|
December 31,
|
December 31,
|
||||||
2010
|
2009
|
2010
|
2009
|
|||||
Revenues:
|
||||||||
Patient care, net
|
$
|
13,675,626
|
$
|
11,992,372
|
$
|
27,909,448
|
$
|
23,760,040
|
Contract support services
|
956,312
|
872,191
|
1,793,910
|
1,751,951
|
||||
Total revenues
|
14,631,938
|
12,864,563
|
29,703,358
|
25,511,991
|
||||
Operating expenses:
|
||||||||
Patient care expenses
|
7,421,100
|
6,439,782
|
14,444,822
|
12,878,345
|
||||
Cost of contract support services
|
815,383
|
741,504
|
1,523,158
|
1,468,981
|
||||
Provision for doubtful accounts
|
659,839
|
455,345
|
1,663,301
|
928,318
|
||||
Administrative expenses
|
5,007,094
|
4,714,227
|
10,107,163
|
9,366,744
|
||||
Total operating expenses
|
13,903,416
|
12,350,858
|
27,738,444
|
24,642,388
|
||||
Income from operations
|
728,522
|
513,705
|
1,964,914
|
869,603
|
||||
Other income (expense):
|
||||||||
Interest income
|
58,817
|
29,733
|
99,411
|
62,107
|
||||
Other income
|
48,526
|
74,305
|
87,514
|
123,661
|
||||
Interest expense
|
(81,609)
|
(80,885)
|
(161,941)
|
(161,478)
|
||||
Total other income
|
25,734
|
23,153
|
24,984
|
24,290
|
||||
Income before provision for income taxes
|
754,256
|
536,858
|
1,989,898
|
893,893
|
||||
Provision for income tax
|
251,270
|
248,619
|
808,297
|
382,050
|
||||
Net income
|
$
|
502,986
|
$
|
288,239
|
$
|
1,181,601
|
$
|
511,843
|
Basic net income per common share
|
$
|
0.03
|
$
|
0.01
|
$
|
0.06
|
$
|
0.03
|
Basic weighted average number of shares outstanding
|
19,462,818
|
19,800,509
|
19,497,457
|
19,899,029
|
||||
Diluted net income per common share
|
$
|
0.03
|
$
|
0.01
|
$
|
0.06
|
$
|
0.03
|
Diluted weighted average number of shares outstanding
|
19,593,689
|
19,855,419
|
19,587,845
|
20,012,602
|
See Notes to Condensed Consolidated Financial Statements.
4
PHC, INC. AND SUBSIDIARIES
|
||||
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
|
||||
(Unaudited)
|
||||
For the Six Months Ended December 31,
|
||||
2010
|
2009
|
|||
Cash flows from operating activities:
|
||||
Net income
|
$
|
1,181,601
|
$
|
511,843
|
Adjustments to reconcile net income to net cash provided by
|
||||
(used in) operating activities:
|
||||
Depreciation and amortization
|
546,035
|
574,044
|
||
Non-cash interest expense
|
73,266
|
73,263
|
||
Earnings of unconsolidated subsidiary
|
(41,701)
|
(49,084)
|
||
Stock-based compensation
|
113,369
|
141,701
|
||
Provision for doubtful accounts
|
1,663,301
|
928,318
|
||
Changes in:
|
||||
Accounts receivable and other receivable
|
(3,521,928)
|
(2,174,866)
|
||
Prepaid expenses and other current assets
|
(59,782)
|
15,276
|
||
Other assets
|
12,841
|
19,557
|
||
Accounts payable
|
96,391
|
11,288
|
||
Accrued expenses and other liabilities
|
277,747
|
40,214
|
||
Net cash provided by operating activities
|
341,140
|
91,554
|
||
Cash flows from investing activities:
|
||||
Acquisition of property and equipment
|
(736,333)
|
(364,441)
|
||
Purchase of licenses
|
(25,209)
|
(22,210)
|
||
Equity investment in unconsolidated subsidiary
|
50,240
|
18,288
|
||
Investment in note receivable
|
(1,001,934)
|
--
|
||
Net cash used in investing activities
|
(1,713,236)
|
(368,363)
|
||
Cash flows from financing activities:
|
||||
Revolving debt, net
|
134,920
|
180,660
|
||
Principal payments on long term debt
|
(340,997)
|
(77,597)
|
||
Proceeds from issuance of common stock
|
12,694
|
29,455
|
||
Purchase of treasury stock
|
(215,327)
|
(272,658)
|
||
Net cash used in financing activities
|
(408,710)
|
(140,140)
|
||
Net decrease in cash and cash equivalents
|
(1,780,806)
|
(416,949)
|
||
Beginning cash and cash equivalents
|
4,540,278
|
3,199,344
|
||
Ending cash and cash equivalents
|
$
|
2,759,472
|
$
|
2,782,395
|
SUPPLEMENTAL CASH FLOW INFORMATION:
|
||||
Cash paid during the period for:
|
||||
Interest
|
$
|
88,753
|
$
|
88,210
|
Income taxes
|
426,825
|
351,525
|
See Notes to Condensed Consolidated Financial Statements.
5
PHC, INC. and Subsidiaries
Notes to Condensed Consolidated Financial Statements
December 31, 2010
Note A - The Company
PHC, Inc. (the “Company”) is incorporated in the Commonwealth of Massachusetts. The Company is a national health care company, which operates subsidiaries specializing in behavioral health services including the treatment of substance abuse, which includes alcohol and drug dependency and related disorders and the provision of psychiatric services. The Company also operates help lines for employee assistance programs, call centers for state and local programs and provides management, administrative and online behavioral health services. The Company primarily operates under three business segments:
Behavioral health treatment services, including two substance abuse treatment facilities: Highland Ridge Hospital, located in Salt Lake City, Utah, which also treats psychiatric patients, and Mount Regis Center, located in Salem, Virginia, and eleven psychiatric treatment locations which include Harbor Oaks Hospital, a 71-bed psychiatric hospital located in New Baltimore, Michigan, Detroit Behavioral Institute, a 66-bed residential facility located in Detroit, Michigan, a 55-bed psychiatric hospital in Las Vegas, Nevada and eight outpatient behavioral health locations (one in New Baltimore, Michigan operating in conjunction with Harbor Oaks Hospital, one in Monroeville, Pennsylvania operating as Wellplace, three in Las Vegas, Nevada operating as Harmony Healthcare and three locations operating as Pioneer Counseling Center in the Detroit, Michigan metropolitan area);
Call center and help line services (contract services), including two call centers: one operating in Midvale, Utah and one in Detroit, Michigan. The Company provides help line services through contracts with major railroads and a call center contract with the State of Michigan. The call centers both operate under the brand name, Wellplace; and
Behavioral health administrative services, including delivery of management and administrative and online services. The parent company provides management and administrative services for all of its subsidiaries and online services for its behavioral health treatment subsidiaries and its call center subsidiaries. It also provides behavioral health information through its website Wellplace.com.
Note B - Basis of Presentation
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“US GAAP”) for interim financial information and in accordance with the instructions to Form 10-Q and Rule 8-03 of Regulation S-X. Accordingly, they do not include all of the information and notes required by US GAAP for complete financial statements. The balance sheet at June 30, 2010 has been derived from the audited consolidated balance sheet at that date. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for a fair presentation have been included. Operating results for the three and six months ended December 31, 2010 are not necessarily indicative of the results that may be expected for the year ending June 30, 2011. The accompanying financial statements should be read in conjunction with the June 30, 2010 consolidated financial statements and notes thereto included in the Company’s 10-K, filed on September 24, 2010.
Estimates and assumptions
The preparation of financial statements in conformity with US GAAP requires management to make estimates and assumptions that affect the reported amount of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. Such estimates include patient care billing rates, realizability of receivables from third-party payors, rates for Medicare and Medicaid, the realization of deferred tax benefits and the valuation of goodwill, which represents a significant portion of the estimates made by management.
6
Revenue Recognition
The Company bills for its inpatient behavioral healthcare services upon discharge and for its outpatient facilities daily. In all cases, the charges are contractually adjusted at the time of billing using adjustment factors based on agreements or contracts with the insurance carriers and the specific plans held by the individuals. This method may still require additional adjustment based on ancillary services provided and deductibles and copays due from the individuals which are estimated at the time of admission based on information received from the individual. Adjustments to these estimates are recognized as adjustments to revenue during the period identified, usually when payment is received.
The Company’s policy is to collect estimated co-payments and deductibles at the time of admission. Payments are made by way of cash, check or credit card. If the patient does not have sufficient resources to pay the estimated co-payment in advance, the Company’s policy is to allow payment to be made in three installments - one third due upon admission, one third due upon discharge and the balance due 30 days after discharge. At times, the patient is not physically or mentally stable enough to comprehend or agree to any financial arrangement. In this case, the Company will make arrangements with the patient once his or her condition is stabilized. At times, this situation will require the Company to extend payment arrangements beyond the three payment method previously outlined. Whenever extended payment arrangements are made, the patient, or the individual who is financially responsible for the patient, is required to sign a promissory note to the Company, which includes interest on the balance due.
Contract support service revenue is a result of fixed fee contracts to provide telephone support. Revenue for these services is recognized ratably over the service period. All revenues and receivables from the Company’s contract services division are based on a prorated monthly allocation of the total contract amount and usually paid within 30 days of the end of the month.
Note C- Stock-Based Compensation
The Company has three active stock plans: a stock option plan, an employee stock purchase plan and a non-employee directors’ stock option plan.
The stock option plan provides for the issuance of a maximum of 2,400,000 shares of Class A common stock of the Company pursuant to the grant of incentive stock options to employees or nonqualified stock options to employees, directors, consultants and others whose efforts are important to the success of the Company. Subject to the provisions of this plan, the compensation committee of the Board of Directors (the “Board”) has the authority to select the optionees and determine the terms of the options including: (i) the number of shares, (ii) option exercise terms, (iii) the exercise or purchase price (which in the case of an incentive stock option will not be less than the market price of the Class A common stock as of the date of grant), (iv) type and duration of transfer or other restrictions and (v) the time and form of payment for restricted stock upon exercise of options.
The employee stock purchase plan provides for the purchase of Class A common stock at 85 percent of the fair market value at specific dates, to encourage stock ownership by all eligible employees. A maximum of 500,000 shares may be issued under this plan.
The non-employee director’s stock option plan provides for the grant of non-statutory stock options automatically at the time of each annual meeting of the Board. Under the plan, a maximum of 950,000 shares may be issued. Each outside director is granted an option to purchase 20,000 shares of Class A common stock, annually, at fair market value on the date of grant, vesting 25% immediately and 25% on each of the first three anniversaries of the grant and expiring ten years from the grant date.
The Company follows the provisions of Financial Accounting Standards Board (“FASB”) Auditing Standards Codification (“ASC”) – “Compensation – Stock Compensation” (“ASC 718”). Under the provisions of ASC 718, the Company recognizes the fair value of stock compensation as expense, over the requisite service period of the individual grantees, which generally equals the vesting period. All of the Company’s stock compensation is accounted for as equity instruments and there have been no liability awards granted. Any income tax benefit related to stock compensation will be shown under the financing section of the statement of cash flows. Based on the Company’s historical voluntary turnover rates for individuals in the positions who received options in the period, there was no forfeiture rate assumed. It is assumed these options will remain outstanding for the full term of issue. Under the true-up provisions of ASC 718, a recovery of prior expense will be recorded if the actual forfeiture is higher than estimated.
Under the provisions of ASC 718, the Company recorded stock-based compensation on its consolidated condensed statement of operations of $64,346 and $80,992 for the three months ended December 31, 2010 and 2009, respectively and $113,369 and $141,701 for the six months ended December 31, 2010 and 2009, respectively.
The Company had the following activity in its stock option plans for the six months ended December 31, 2010:
7
Number Of
|
Weighted-Average
|
Intrinsic Value At
|
|||
Shares
|
Exercise Price Per Share
|
December 31, 2010
|
|||
Balance – June 30, 2010
|
1,558,500
|
$
|
1.89
|
||
Granted
|
110,000
|
1.64
|
|||
Exercised
|
(12,000)
|
0.33
|
|||
Expired
|
(218,125)
|
2.46
|
|||
Balance – December 31, 2010
|
1,438,375
|
$
|
1.80
|
$
|
388,375
|
Exercisable
|
1,132,185
|
$
|
1.91
|
$
|
282,062
|
The total intrinsic value of the options exercised during the six months ended December 31, 2010 was $17,300.
The following table summarizes the activity of the Company’s stock options that have not vested for the six months ended December 31, 2010.
Number Of
|
Weighted- Average
|
||||
Shares
|
Fair Value
|
||||
Non-vested at July 1, 2010
|
369,128
|
$
|
0.67
|
||
Granted
|
82,500
|
1.14
|
|||
Expired
|
(13,125)
|
0.67
|
|||
Vested
|
(132,313)
|
0.71
|
|||
Non-vested at December 31, 2010
|
306,190
|
$
|
0.78
|
The compensation cost related to the fair value of these shares of approximately $225,621 will be recognized as these options vest over the next three years.
The Company utilizes the Black-Scholes valuation model for estimating the fair value of the stock compensation granted. The weighted-average fair values of the options granted under the stock option plans for the three months ended December 31, 2010 and December 31, 2009 was $1.14 and $0.58, respectively, and the weighted-average fair value of the options granted for the six months ended December 31, 2010 and December 31, 2009 was $1.14 and $0.58, respectively, using the following assumptions:
Three Months Ended
|
Six Months Ended
|
||||||
December 31,
|
December 31,
|
||||||
2010
|
2009
|
2010
|
2009
|
||||
Average risk-free interest rate
|
2.50%
|
2.76%
|
2.50%
|
2.76%
|
|||
Expected dividend yield
|
None
|
None
|
None
|
None
|
|||
Expected life
|
9.55 years
|
6.46 years
|
9.55 years
|
6.46 years
|
|||
Expected volatility
|
61.61%
|
60.66%
|
61.61%
|
60.66%
|
The dividend yield of zero is based on the fact that the Company has never paid cash dividends and has no present intention to pay cash dividends. Expected volatility is based on the historical volatility of our common stock over the period commensurate with the expected life of the options. The risk-free interest rate is the U.S. Treasury rate on the date of grant. The expected life was calculated using the Company’s historical experience for the expected term of the option.
Note D - Fair Value Measurements:
ASC 820-10-65, “Fair Value Measurements and Disclosures” (“ASC 820-10-65”), defines fair value, provides guidance for measuring fair value and requires certain disclosures. This statement applies under other accounting pronouncements that require or permit fair value measurements. The statement indicates, among other things, that a fair value measurement assumes that a transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. ASC 820-10-65 defines fair value based upon an exit price model. ASC 820-10-65 discusses valuation techniques, such as the market approach (comparable market prices), the income approach (present value of future income or cash flow), and the cost approach (cost to replace the service capacity of an asset or replacement cost). The statement utilizes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The following is a brief description of those three levels:
8
·
|
Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities.
|
·
|
Level 2: Inputs, other than quoted prices, that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active.
|
·
|
Level 3: Unobservable inputs that reflect the reporting entity’s own assumptions.
|
The following table presents information about the Company’s assets that are measured at fair value on a recurring basis as of December 31, 2011, and indicates the fair value hierarchy of the valuation techniques utilized to determine such fair value.
Quoted Prices
|
Significant Other
|
Significant
|
||||||||
In Active Markets
|
Observable Inputs
|
Unobservable Inputs
|
||||||||
Total
|
(Level 1)
|
(Level 2)
|
(Level 3)
|
|||||||
Assets:
|
||||||||||
Cash equivalents
|
$
|
1,915,340
|
$
|
1,915,340
|
$
|
--
|
$
|
--
|
||
Notes receivable
|
1,286,924
|
--
|
1,286,924
|
--
|
||||||
Total
|
$
|
3,202,264
|
$
|
1,915,340
|
$
|
1,286,924
|
$
|
--
|
||
Note E – Business Segment Information
The Company’s behavioral health treatment services have similar economic characteristics, services, patients and clients. Accordingly, all behavioral health treatment services are reported on an aggregate basis under one segment. The Company’s segments are more fully described in Note A above. Residual income and expenses from closed facilities are included in the administrative services segment. The following summarizes the Company’s segment data:
Treatment
|
Contract
|
Administrative
|
||||||||
Services
|
Services
|
Services
|
Eliminations
|
Total
|
||||||
For the three months
|
||||||||||
ended December 31, 2010:
|
||||||||||
Revenue–external
|
||||||||||
customers
|
$
|
13,675,626
|
$
|
956,312
|
$
|
-- |
$
|
--
|
$
|
14,631,938
|
Revenues – intersegment
|
1,031,517
|
--
|
1,293,105
|
(2,324,622)
|
--
|
|||||
Segment net income (loss)
|
1,747,513
|
135,986
|
(1,380,513)
|
--
|
502,986
|
|||||
Capital expenditures
|
367,047
|
8,284
|
--
|
--
|
375,331
|
|||||
Depreciation &
|
||||||||||
amortization
|
218,103
|
20,112
|
39,423
|
--
|
277,638
|
|||||
Interest expense
|
42,562
|
--
|
39,047
|
--
|
81,609
|
|||||
Income tax provision
|
--
|
--
|
251,270
|
--
|
251,270
|
|||||
For the three months ended
|
||||||||||
December 31, 2009:
|
||||||||||
Revenue–external
|
||||||||||
customers
|
$
|
11,992,372
|
$
|
872,191
|
$
|
--
|
$
|
--
|
$
|
12,864,563
|
Revenues – intersegment
|
1,007,920
|
--
|
1,249,998
|
(2,257,918)
|
--
|
|||||
Segment net income (loss)
|
1,538,056
|
130,722
|
(1,380,539)
|
--
|
288,239
|
|||||
Capital expenditures
|
85,570
|
10,051
|
19,264
|
--
|
114,885
|
|||||
Depreciation &
|
||||||||||
amortization
|
195,123
|
14,891
|
62,104
|
--
|
272,118
|
|||||
Interest expense
|
39,198
|
--
|
41,687
|
--
|
80,885
|
|||||
Income tax provision
|
--
|
--
|
248,619
|
--
|
248,619
|
9
Note E – Business Segment Information (continued)
Treatment
|
Contract
|
Administrative
|
||||||||
Services
|
Services
|
Services
|
Eliminations
|
Total
|
||||||
For the six months ended
|
||||||||||
December 31, 2010:
|
||||||||||
Revenue–external
|
||||||||||
customers
|
$
|
27,909,448
|
$
|
1,793,910
|
$
|
--
|
$
|
--
|
$
|
29,703,358
|
Revenues – intersegment
|
2,085,306
|
--
|
2,586,210
|
(4,671,516)
|
--
|
|||||
Segment net income (loss)
|
3,977,663
|
175,892
|
(2,971,954)
|
--
|
1,181,601
|
|||||
Capital expenditures
|
720,146
|
13,587
|
2,600
|
--
|
736,333
|
|||||
Depreciation &
|
||||||||||
amortization
|
426,859
|
39,963
|
79,213
|
--
|
546,035
|
|||||
Interest expense
|
83,161
|
--
|
78,780
|
--
|
161,941
|
|||||
Income tax provision
|
--
|
--
|
808,297
|
--
|
808,297
|
|||||
Identifiable assets
|
18,756,698
|
1,002,440
|
6,708,711
|
--
|
26,467,849
|
|||||
Goodwill and intangible
|
||||||||||
assets
|
969,098
|
--
|
--
|
--
|
969,098
|
|||||
For the six months ended
|
||||||||||
December 31, 2009:
|
||||||||||
Revenue–external
|
||||||||||
Customers
|
$
|
23,760,040
|
$
|
1,751,951
|
$
|
--
|
$
|
--
|
$
|
25,511,991
|
Revenues – intersegment
|
1,835,080
|
--
|
2,499,996
|
(4,335,076)
|
--
|
|||||
Segment net income (loss)
|
2,836,830
|
283,032
|
(2,608,019)
|
--
|
511,843
|
|||||
Capital expenditures
|
257,225
|
16,573
|
90,643
|
--
|
364,441
|
|||||
Depreciation &
|
||||||||||
amortization
|
410,308
|
38,394
|
125,342
|
--
|
574,044
|
|||||
Interest expense
|
77,485
|
--
|
83,993
|
--
|
161,478
|
|||||
Income tax provision
|
--
|
--
|
382,050
|
--
|
382,050
|
|||||
At June 30, 2010:
|
||||||||||
Identifiable assets
|
16,214,982
|
630,558
|
8,361,913
|
--
|
25,207,453
|
|||||
Goodwill and intangible
|
||||||||||
assets
|
969,098
|
---
|
--
|
--
|
969,098
|
|
Note F - Recent Accounting Pronouncements
|
Recently Issued Standards
During the quarter ended December 31, 2010, there were no recently issued accounting standards that are expected to have a material impact on our consolidated financial statements.
Recently Adopted Standards
During the quarter ended December 31, 2010, we did not adopt any new accounting standards that had a material impact on our consolidated financial statements.
Note G –Income Taxes
FASB ASC 740, “Income Taxes” (“ASC 740”), prescribes a comprehensive model for the financial statement recognition, measurement, presentation, and disclosure of uncertain tax positions taken or expected to be taken in income tax returns. ASC 740 required that a change in judgment related to prior years’ tax positions be recognized in the quarter of the change. The Company recognized no material adjustment in the liability for unrecognized tax benefits.
We recognize interest and penalties related to uncertain tax positions in general and administrative expense. As of December 31, 2010, we have not recorded any provisions for accrued interest and penalties related to uncertain tax positions.
Tax years 2006-2009 remain open to examination by the major taxing authorities to which we are subject.
10
Note H – Restricted Cash
During the quarter ended December 31, 2008, certain litigation involving the Company and a terminated employee reached binding arbitration. As a result of this arbitration, the Arbitrator awarded the employee approximately $410,000 plus costs. In the calculation of the amount awarded, the Company believes the Arbitrator erroneously took into consideration an employment agreement that was not in question and not terminated by the Company. Based on this miscalculation, the Company’s attorney recommended an appeal, which the Company initiated. During the quarter ended March 31, 2010, the Michigan Court of Appeals denied the appeal. The Company has now filed an appeal with the Michigan Supreme Court. Since the Company and its attorney expect a favorable outcome, no provision has been made for this judgment in the accompanying financial statements; however, the Company has placed $512,197 in escrow as required by the courts. This amount is shown as restricted cash on the accompanying condensed consolidated balance sheet.
Note I -Basic and Diluted Income Per Share:
Income per share is computed by dividing the income applicable to common shareholders by the weighted average number of shares of both classes of common stock outstanding for each fiscal year. Class B common stock has additional voting rights. All dilutive common stock equivalents are included in the calculation of diluted earnings per share.
The weighted average number of common shares outstanding used in the computation of earnings per share is summarized as follows:
Three months ended
|
Six months ended
|
||||||
December 31,
|
December 31,
|
||||||
2010
|
2009
|
2010
|
2009
|
||||
Weighted average shares
|
|||||||
outstanding – basic
|
19,462,818
|
19,800,509
|
19,497,457
|
19,899,029
|
|||
Employee stock options
|
127,331
|
54,910
|
88,730
|
113,573
|
|||
Warrants
|
3,540
|
--
|
1,658
|
--
|
|||
Weighted average shares
|
|||||||
outstanding – fully diluted
|
19,593,689
|
19,855,419
|
19,587,845
|
20,012,602
|
The following table summarizes securities outstanding as of December 31, 2010 and 2009, but not included in the calculation of diluted net earnings per share because such shares are anti-dilutive:
Three months ended
|
Six months ended
|
||||||
December 31,
|
December 31,
|
||||||
2010
|
2009
|
2010
|
2009
|
||||
Employee stock options
|
582,811
|
1,311,500
|
675,311
|
996,500
|
|||
Warrants
|
363,000
|
343,000
|
363,000
|
343,000
|
|||
Total
|
945,811
|
1,654,500
|
1,038,311
|
1,339,500
|
|||
|
Note J - Note Receivable
|
On November 13, 2010, the Company, through its subsidiary Detroit Behavioral Institute, Inc., d/b/a Capstone Academy, a wholly owned subsidiary of the Company (“Capstone Academy”), purchased the rights under certain identified notes (the “Notes”) held by Bank of America and secured by the property leased by Capstone Academy for $1,250,000. The Notes were in default at the time of the purchase and the Company has initiated foreclosure proceedings in the courts. The Notes were purchased using cash flow from operations. The Company has recorded the value of the Notes in other receivables, current, on the accompanying condensed consolidated financial statements. The Company believes the value of the Notes are fully recoverable based on the current value of the property. For additional information regarding the transaction see the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on November 18, 2010.
Note K- Reclassifications
Certain prior period amounts have been reclassified to be consistent with the December 31, 2010 presentation.
11
Note L –Subsequent Events:
The Company evaluated subsequent events through February 14, 2011, which is the date these financial statements were available for issue, and did not find any reportable subsequent events.
12
Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
CAUTIONARY STATEMENT FOR PURPOSES OF THE "SAFE HARBOR" PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995.
In addition to historical information, this report contains statements relating to future events or our future results. These statements are 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 (the “Exchange Act”) and are subject to the Safe Harbor provisions created by the statute. Generally words such as “may”, “will”, “should”, “could”, “anticipate”, “expect”, “intend”, “estimate”, “plan”, “continue”, and “believe” or the negative of or other variation on these and other similar expressions identify forward-looking statements. These forward-looking statements are made only as of the date of this report. We do not undertake to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise. Forward-looking statements are based on current expectations and involve risks and uncertainties and our future results could differ significantly from those expressed or implied by our forward-looking statements.
Overview
The Company presently provides behavioral health care services through two substance abuse treatment centers, two psychiatric hospitals, a residential treatment facility and eight outpatient psychiatric centers (collectively called "treatment facilities"). The Company’s revenue for providing behavioral health services through these facilities is derived from contracts with managed care companies, Medicare, Medicaid, state agencies, railroads, gaming industry corporations and individual clients. The profitability of the Company is largely dependent on the level of patient census and the payor mix at these treatment facilities. Patient census is measured by the number of days a client remains overnight at an inpatient facility or the number of visits or encounters with clients at outpatient clinics. Payor mix is determined by the source of payment to be received for each client being provided billable services. The Company’s administrative expenses do not vary greatly as a percentage of total revenue but the percentage tends to decrease slightly as revenue increases. The Company’s internet operation, Behavioral Health Online, Inc., continues to provide behavioral health information through its web site at Wellplace.com but its primary function is Internet technology support for the subsidiaries and their contracts. As such, the expenses related to Behavioral Health Online, Inc. are included as corporate expenses.
The healthcare industry is subject to extensive federal, state and local regulation governing, among other things, licensure and certification, conduct of operations, audit and retroactive adjustment of prior government billings and reimbursement. In addition, there are on-going debates and initiatives regarding the restructuring of the health care system in its entirety. The extent of any regulatory changes and their impact on the Company’s business is unknown. The previous administration put forth proposals to mandate equality in the benefits available to those individuals suffering from mental illness (the “Parity Act”). The Parity Act is now law and its implementation started January 1, 2010. This legislation has improved access to the Company’s programs but its total effect on behavioral health providers cannot yet be assessed since implementation is not yet complete. Managed care has had a profound impact on the Company's operations, in the form of shorter lengths of stay, extensive certification of benefits requirements and, in some cases, reduced payment for services. The current economic conditions continue to challenge the Company’s profitability through increased uninsured patients in our fee for service business and increased utilization in our capitated business.
Critical Accounting Policies
The preparation of our financial statements in accordance with US GAAP, requires management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosures. On an on-going basis, we evaluate our estimates and assumptions, including but not limited to those related to revenue recognition, accounts receivable reserves, income tax valuation allowances, and the impairment of goodwill and other intangible assets. We base our estimates on historical experience and various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.
Revenue recognition and accounts receivable:
Patient care revenues and accounts receivable are recorded at established billing rates or at the amount realizable under agreements with third-party payors, including Medicaid and Medicare. Revenues under third-party payor agreements are subject to examination and contractual adjustment, and amounts realizable may change due to periodic changes in the regulatory environment. Provisions for estimated third party payor settlements are provided in the period the related services are rendered. Differences between the amounts provided and subsequent settlements are recorded in operations in the period of settlement. Amounts due as a result of cost report settlements are recorded and listed separately on the consolidated balance sheets as “Other receivables.” The provision for contractual allowances is deducted directly from revenue and the net revenue amount is recorded as accounts receivable. The allowance for doubtful accounts does not include the contractual allowances.
13
The Company currently has two “at-risk” contracts. The contracts call for the Company to provide for all of the inpatient and outpatient behavioral health needs of the insurance carrier’s enrollees in a specified area for a fixed monthly fee per member per month. Revenues are recorded monthly based on this formula and the expenses related to providing the services under these contracts are recorded as incurred. The Company provides as much of the care directly and, through utilization review, monitors closely, all inpatient and outpatient services not provided directly. The contracts are considered “at-risk” because the cost of providing the services, including payments to third-party providers for services rendered, could equal or exceed the total amount of the revenue recorded.
All revenues reported by the Company are shown net of estimated contractual adjustment and charity care provided. When payment is made, if the contractual adjustment is found to have been understated or overstated, appropriate adjustments are made in the period the payment is received in accordance with the American Institute of Certified Public Accountants (“AICPA”) “Audit and Accounting Guide for Health Care Organizations.” Net contractual adjustments recorded in the six months ended December 31, 2010 for revenue booked in prior years resulted in a decrease in net revenue of approximately $154,000. Net contractual adjustments recorded in the fiscal year ended June 30, 2010 for revenue booked in prior years resulted in a decrease in net revenue of approximately $72,200.
For the six months ended December 31, 2010, no third party cost report settlements were expected or recorded. During fiscal 2010, all cost reports through fiscal 2009 were finalized and net payment of $92,267 was recorded in final settlement for all years through fiscal 2009.
Net Revenue by Payor (in thousands)
|
|||||||||||||||
For the Three Months
|
For the Six Months
|
For the Fiscal Year
|
|||||||||||||
Ended December 31,
|
Ended December 31,
|
Ended June 30,
|
|||||||||||||
2010
|
2009
|
2010
|
2009
|
2010
|
|||||||||||
$
|
%
|
$
|
%
|
$
|
%
|
$
|
%
|
$
|
%
|
||||||
Private Pay
|
$
|
1,206
|
9
|
$
|
808
|
7
|
$
|
2,271
|
8
|
$
|
1,643
|
7
|
$
|
3,495
|
7
|
Commercial
|
8,701
|
63
|
8,177
|
68
|
17,841
|
64
|
16,063
|
68
|
32,915
|
66
|
|||||
Medicare *
|
1,622
|
12
|
569
|
5
|
3,216
|
12
|
1,005
|
4
|
3,237
|
7
|
|||||
Medicaid
|
$
|
2,147
|
16
|
$
|
2,438
|
20
|
$
|
4,581
|
16
|
$
|
5,049
|
21
|
$
|
10,000
|
20
|
Net Revenue
|
$
|
13,676
|
$
|
11,992
|
$
|
27,909
|
$
|
23,760
|
$
|
49,647
|
* Includes Medicare settlement revenue as noted above
Accounts Receivable Aging (Net of allowance for bad debts- in thousands)
As of December 31, 2010
Over
|
Over
|
Over
|
Over
|
Over
|
Over
|
Over
|
||||||||||||
Payor
|
Current
|
30
|
60
|
90
|
120
|
150
|
270
|
360
|
Total
|
|||||||||
Private Pay
|
$
|
22
|
$
|
17
|
$
|
48
|
$
|
42
|
$
|
34
|
$
|
48
|
$
|
130
|
$
|
27
|
$
|
368
|
Commercial
|
3,110
|
1,237
|
635
|
461
|
271
|
162
|
220
|
29
|
6,125
|
|||||||||
Medicare
|
358
|
201
|
141
|
126
|
107
|
23
|
56
|
3
|
1,015
|
|||||||||
Medicaid
|
1,547
|
270
|
150
|
37
|
26
|
11
|
19
|
--
|
2,060
|
|||||||||
Total
|
$
|
5,037
|
$
|
1,725
|
$
|
974
|
$
|
666
|
$
|
438
|
$
|
244
|
$
|
425
|
$
|
59
|
$
|
9,568
|
As of June 30, 2010
Over
|
Over
|
Over
|
Over
|
Over
|
Over
|
Over
|
||||||||||||||||
Payor
|
Current
|
30
|
60
|
90
|
120
|
150
|
270
|
360
|
Total
|
|||||||||||||
Private Pay
|
$
|
--
|
$
|
62
|
$
|
45
|
$
|
50
|
$
|
60
|
$
|
137
|
$
|
13
|
$
|
151
|
$
|
518
|
||||
Commercial
|
3,074
|
795
|
529
|
364
|
285
|
374
|
27
|
52
|
5,500
|
|||||||||||||
Medicare
|
349
|
82
|
19
|
4
|
7
|
23
|
--
|
--
|
484
|
|||||||||||||
Medicaid
|
1,537
|
145
|
46
|
57
|
35
|
20
|
5
|
4
|
1,849
|
|||||||||||||
Total
|
$
|
4,960
|
$
|
1,084
|
$
|
639
|
$
|
475
|
$
|
387
|
$
|
554
|
$
|
45
|
$
|
207
|
$
|
8,351
|
14
The Company’s days sales outstanding (“DSO”) are significantly different for each type of service and each facility based on the payors for each service. Overall, the DSO for the combined operations of the Company were 65 days at December 31, 2010 and 61 days at June 30, 2010. The table below shows the DSO by segment for the same periods.
Period
|
Treatment
|
Contract
|
||||
End
|
Services
|
Services
|
||||
12/31/2010
|
63
|
88
|
||||
06/30/2010
|
61
|
53
|
Contract services DSO’s fluctuate dramatically by the delay in payment of a few days for any of our large contracts. A delay in payment from a major contract occurred when two payments routinely paid by the end of the month were not received until January 21, 2011.
Contract support service revenue is a result of fixed fee contracts to provide telephone support. Revenue for these services is recognized ratably over the service period. Revenues and receivables from our contract services division are based on a prorated monthly allocation of the total contract amount and usually paid within 30 days of the end of the month.
Allowance for doubtful accounts:
The provision for bad debts is calculated based on a percentage of each aged accounts receivable category beginning at 0-5% on current accounts and increasing incrementally for each additional 30 days the account remains outstanding until the account is over 300 days outstanding, at which time the provision is 100% of the outstanding balance. These percentages vary by facility based on each facility’s experience in and expectations for collecting older receivables. The Company compares this required reserve amount to the current “Allowance for doubtful accounts” to determine the required bad debt expense for the period. This method of determining the required “Allowance for doubtful accounts” has historically resulted in an allowance for doubtful accounts of 20% or greater of the total outstanding receivables balance.
Income Taxes:
The Company follows the liability method of accounting for income taxes, as set forth in ASC 740. ASC 740 prescribes an asset and liability approach, which requires the recognition of deferred tax liabilities and assets for the expected future tax consequences of temporary differences between the carrying amounts and the tax basis of the assets and liabilities. The Company’s policy is to record a valuation allowance against deferred tax assets unless it is more likely than not that such assets will be realized in future periods. During fiscal year 2010, the Company recorded a tax expense of $1,106,100. For the quarter and six months ended December 31, 2010, the Company recorded estimated tax expense of $251,270 and $808,297, respectively, based on net income and projected net income for the fiscal year.
In accordance with ASC 740, the Company may establish reserves for tax uncertainties that reflect the use of the comprehensive model for the recognition and measurement of uncertain tax positions. As of June 30, and December 31, 2010, the Company recorded a valuation allowance of $150,103 against its deferred tax asset. This amount relates to Arizona state net operating loss carryovers. Tax authorities periodically challenge certain transactions and deductions reported on our income tax returns. We do not expect the outcome of these examinations, either individually or in the aggregate, to have a material adverse effect on our financial position, results of operations, or cash flows.
Valuation of Goodwill and Other Intangible Assets:
Goodwill and other intangible assets are initially created as a result of business combinations or acquisitions. The Company makes significant estimates and assumptions, which are derived from information obtained from the management of the acquired businesses and the Company’s business plans for the acquired businesses in determining the value ascribed to the assets acquired. Critical estimates and assumptions used in the initial valuation of goodwill and other intangible assets include, but are not limited to: (i) future expected cash flows from services to be provided, (ii) customer contracts and relationships, and (iii) the acquired market position. These estimates and assumptions may be incomplete or inaccurate because unanticipated events and circumstances may occur. If estimates and assumptions used to initially value goodwill and intangible assets prove to be inaccurate, ongoing reviews of the carrying values of such goodwill and intangible assets may indicate impairment which will require the Company to record an impairment charge in the period in which the Company identifies the impairment.
15
Results of Operations
The following table illustrates our consolidated results of operations for the three months and six months ended December 31, 2010 and 2009 (in thousands):
For the Three Months Ended
|
For the Six Months Ended
|
|||||||||||||||
December 31,
|
December 31,
|
|||||||||||||||
2010
|
2009
|
2010
|
2009
|
|||||||||||||
(in thousands)
|
||||||||||||||||
Statements of
|
||||||||||||||||
Operations Data:
|
Amount
|
%
|
Amount
|
%
|
Amount
|
%
|
Amount
|
%
|
||||||||
Revenue
|
$
|
14,632
|
100.0
|
$
|
12,865
|
100.0
|
$
|
29,703
|
100.0
|
$
|
25,512
|
100.0
|
||||
Cost and expenses:
|
||||||||||||||||
Patient care expenses
|
7,421
|
50.7
|
6,440
|
50.1
|
14,445
|
48.6
|
12,878
|
50.5
|
||||||||
Contract expenses
|
815
|
5.6
|
742
|
5.8
|
1,523
|
5.1
|
1,469
|
5.8
|
||||||||
Provision for bad debts
|
660
|
4.5
|
455
|
3.5
|
1,663
|
5.6
|
928
|
3.6
|
||||||||
Administrative expenses
|
5,007
|
34.2
|
4,714
|
36.6
|
10,107
|
34.0
|
9,367
|
36.7
|
||||||||
Interest expense
|
82
|
0.6
|
81
|
0.6
|
162
|
0.5
|
162
|
0.6
|
||||||||
Other (income) expenses,
|
||||||||||||||||
net
|
(107)
|
(0.7)
|
(104)
|
(0.8)
|
(187)
|
(0.5)
|
(186)
|
(0.7)
|
||||||||
Total expenses
|
13,878
|
94.9
|
12,328
|
95.8
|
27,713
|
93.3
|
24,618
|
96.5
|
||||||||
Income before income
|
||||||||||||||||
taxes
|
754
|
5.1
|
537
|
4.2
|
1,990
|
6.7
|
894
|
3.5
|
||||||||
Income tax provision
|
251
|
1.7
|
249
|
1.9
|
808
|
2.7
|
382
|
1.5
|
||||||||
Net income
|
$
|
503
|
3.4
|
$
|
288
|
2.3
|
$
|
1,182
|
4.0
|
$
|
512
|
2.0
|
Total net revenue from operations increased 13.7% to $14,631,938 for the three months ended December 31, 2010 from $12,864,563 for the three months ended December 31, 2009 and increased 16.4% to $29,703,358 for the six months ended December 31, 2010 from $25,511,991 for the six months ended December 31, 2009.
Net patient care revenue increased 14.0% to $13,675,626 for the three months ended December 31, 2010 from $11,992,372 for the three months ended December 31, 2009 and increased 17.5% to $27,909,448 for the six months ended December 31, 2010 from $23,760,040 for the six months ended December 31, 2009. These increases in revenue are due primarily to an increase in census for the quarter ended December 31, 2010 of 59% at Seven Hills Hospital and 65% at our Chemical Dependency unit at Harbor Oaks, partially offset by a decrease in census at our Capstone facility and a seasonal decline in census at our other inpatient facilities. Census at our inpatient facilities increased 5.0% for the six months ended December 31, 2010 compared to the same six months last year. Included in the census are patients admitted to or being seen at our facilities under our capitated agreements. The revenues associated with these intercompany admissions and visits are eliminated in the consolidation which may result in higher census and lower net revenue depending on the payor mix of other admissions.
Two key indicators of profitability of inpatient facilities are patient days, or census, and payor mix. Patient days is the product of the number of patients times length of stay. Increases in the number of patient days result in higher census, which coupled with a more favorable payor mix (more patients with higher paying insurance contracts or paying privately), will usually result in higher profitability. Therefore, patient census and payor mix are monitored very closely.
Contract support services revenue provided by Wellplace increased 9.6% to $956,312 for the three months ended December 31, 2010 compared to $872,191 for the three months ended December 31, 2009 and 2.4% to $1,793,910 for the six months ended December 31, 2010 from $1,751,951 for the six months ended December 31, 2009. This increase in the quarter ended December 31, 2010 is due to expansion of the Wayne County call center contract which increased services provided and payment under the contract.
16
The Company expects to increase this revenue through new contracts for Employee Assistance Programs (“EAP”) and by expanding the services provided to Wayne County.
Patient care expenses in our treatment centers increased 15.2% to $7,421,100 for the three months ended December 31, 2010 from $6,439,782 for the three months ended December 31, 2009 and 12.2% to $14,444,822 for the six months ended December 31, 2010 from $12,878,345 for the six months ended December 31, 2009. This increase in expenses is due to increased census at Seven Hills Hospital in Las Vegas and the Harbor Oaks Hospital Chemical Dependency Unit and higher utilization under the capitated contracts, with the majority of the increases in direct care expenses. Payroll and service related expenses increased 18.6% to $5,774,823 for the three months ended December 31, 2010 from $4,869,592 for the three months ended December 31, 2009 and 16.2% to $11,345,892 for the six months ended December 31, 2010 from $9,763,642 for the same period a year ago. Payroll tax expenses increased 15.7% to $368,503 for the three months ended December 31, 2010 from $318,514 for the three months ended December 31, 2009 and 13.2% to $702,671 for the six months ended December 31, 2010 from $620,990 for the same period a year ago. During the quarter ended December 31, 2010, two of the Company’s operations began using an outside service in place of employees for medical records transcription resulting in new expenses of $87,412 for the quarter and six months ended December 31, 2010. Contract expenses related to the capitated contracts decreased 7.3% to $1,308,199 for the three months ended December 31, 2010 from $1,410,839 for the three months ended December 31, 2009 and 1.7% to $2,580,503 for the six months ended December 31, 2010 from $2,623,929 for the same period a year ago due to an increase in in-patient services provided internally. Food expenses increased 11.6% to $305,443 for the three months ended December 31, 2010 from $273,633 for the three months ended December 31, 2009 and 12.7% to $608,387 for the six months ended December 31, 2010 from $539,664 for the same period a year ago. Pharmacy expenses decreased 8.6% to $198,807 for the three months ended December 31, 2010 from $217,488 for the three months ended December 31, 2009 and 0.5% to $396,443 for the six months ended December 31, 2010 from $394,532 for the same period a year ago. Laboratory fees increased 21.8% to $96,964 for the three months ended December 31, 2010 from $79,638 for the three months ended December 31, 2009 and 22.2% to $190,195 for the six months ended December 31, 2010 from $155,613 for the same period a year ago. Laundry expense increased 6.5% to $23,288 for the three months ended December 31, 2010 from $21,868 for the three months ended December 21, 2009 and 12.0% to $47,442 for the six months ended December 31, 2010 from $42,348 for the same period a year ago. All of the increases in patient care expenses are a direct result of increases in census and the comparisons period over period are expected to reflect similar increases as the census grows in the new facilities and programs.
Contract support services expenses related to Wellplace increased 10.0% to $815,383 for the three months ended December 31, 2010 from $741,504 for the three months ended December 31, 2009 and 3.7% to $1,523,158 for the six months ended December 31, 2010 from $1,468,981 for the six months ended December 31, 2009. This increase is the result of the expansion of the Wayne County call center contract.
Administrative expenses increased 6.2% to $5,007,094 for the quarter ended December 31, 2010 from $4,714,227 for the quarter ended December 31, 2009 and 7.9% to $10,107,163 for the six months ended December 31, 2010 from $9,366,744 for the six months ended December 31, 2009. Payroll expenses increased 11.4% for the quarter ended December 31, 2010 and 10.2% for the six months ended December 31, 2010. Related payroll taxes increased 25.0% for the quarter ended December 31, 2010 and 24.0% for the six month ended December 31, 2010. Workers compensation insurance expense increased 232.0% for the quarter ended December 31, 2010 and 60.9% for the six months ended December 31, 2010. This increase was due to an insurance refund received in the prior year. Marketing expense increased 101.4% for the quarter ended December 31, 2010 and 47.1% for the six months ended December 31, 2010 as compared to the same periods last year as we continue to market the new facilities and the new program at Harbor Oaks. Fees and licenses increased for the quarter and six months ended December 31, 2010 as compared to the prior period because of a refund of fees and licenses received in the same period a year ago that related to the prior year.
Provision for doubtful accounts increased 44.9% to $659,839 for the three months ended December 31, 2010 from $455,345 for the three months ended December 31, 2009 and 79.2% to $1,663,301 for the six months ended December 31, 2010 from $928,318 for the six months ended December 31, 2009. This bad debt expense is less than the Company’s projected cost of 5% of net revenue and is largely attributable to the overall increase in receivables as a result of increased patient care revenue. The Company’s policy is to maintain reserves based on the age of its receivables.
Interest income increased 97.8% to $58,817 for the three months ended December 31, 2010 from $29,733 for the three months ended December 31, 2009 and 60.1% to $99,411 for the six months ended December 31, 2010 from $62,107 for the six months ended December 31, 2009. This change is due to the interest paid and accrued related to the Notes acquired from Bank of America in November 2010. For additional information regarding the transaction, see the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on November 18, 2010.
Other income / expense decreased 34.7% to $48,526 for the three months ended December 31, 2010 from $74,305 for the three months ended December 31, 2009 and 29.2% to $87,514 for the six months ended December 31, 2010 from $123,661 for the six months ended December 31, 2009. This decrease is the result of fewer requests for medical records at our facilities.
17
Interest expense increased 0.9% to $81,609 for the three months ended December 31, 2010 from $80,885 for the three months ended December 31, 2009 and 0.3% to $161,941 for the six months ended December 31, 2010 from $161,478 for the six months ended December 31, 2009. This minimal change is due to changes in interest rates as the interest rate on our revolving credit line and our long term debt is tied to the Prime rate.
The Company’s income tax expense of $808,297 for the six months ended December 31, 2010 is based on an estimated combined tax rate of approximately 41% for both federal and state taxes calculated using net income for the six months and projected net income for the fiscal year. If this estimate is found to be high or low, adjustments will be made in the period of the determination.
There are no trends that the Company expects will have a material impact on the Company’s revenues or net income.
Liquidity and Capital Resources
The Company’s net cash provided by operating activities was $341,140 for the six months ended December 31, 2010 compared to $91,554 provided by in operating activities for the six months ended December 31, 2009. Cash flow provided by operations in the six months ended December 31, 2010 consists of net income of $1,181,601 plus depreciation and amortization of $546,035, non–cash interest expense of $73,266, non-cash share based charges of $113,369, provision for doubtful accounts of $1,663,301, an increase in prepaid expenses of $59,782 and a decrease in other assets of $12,841, a decrease in accrued expenses and other liabilities of $277,747, an increase in accounts payable of $96,391 and an increase in accounts receivable of $3,521,928.
Cash used in investing activities in the six months ended December 31, 2010 consisted of $736,333 in capital expenditures, $25,209 used in the purchase of licenses and $1,001,934 used to acquire Notes receivable, offset by $50,240 received from the Company’s investment in unconsolidated subsidiaries, compared to $364,441 in capital expenditures, $22,210 used in the purchase of licenses offset by $18,288 received from the Company’s investment in unconsolidated subsidiaries during the same period last year. The Company expects similar capital expenditures going forward.
Cash used in financing activities of $408,710 in the six months ended December 31, 2010 consisted of proceeds from borrowings of $134,920 and proceeds from the issuance of common stock of $12,694, offset by payments on long term debt of $340,997 and the acquisition of treasury stock of $215,327.
A significant factor in the liquidity and cash flow of the Company is the timely collection of its accounts receivable. As of December 31, 2010, accounts receivable from patient care, net of allowance for doubtful accounts, increased 14.6% to $9,567,942 from $8,351,314 on June 30, 2010. This increase is a result of increased revenue from Seven Hills Hospital and Harbor Oaks Hospital. The Company monitors increases in accounts receivable closely and, based on the aging of the receivables outstanding, is confident that the increase is not indicative of a payor problem. Over the years, we have increased staff, standardized some procedures for determining insurance eligibility and collecting receivables and established a more aggressive collection policy. The increased staff has allowed the Company to concentrate on current accounts receivable and resolve any issues before they become uncollectible. The Company’s collection policy calls for earlier contact with insurance carriers with regard to payment, use of fax and registered mail to follow-up or resubmit claims and earlier employment of collection agencies to assist in the collection process. Our collectors will also seek assistance through every legal means, including the State Insurance Commissioner’s office, when appropriate, to collect claims. In light of the current economy the Company has redoubled its efforts to collect accounts early. The Company will continue to closely monitor reserves for bad debt based on potential insurance denials and past difficulty in collections.
Contractual Obligations
The Company’s future minimum payments under contractual obligations related to capital leases, operating leases and term notes as of December 31, 2010 are as follows (in thousands):
YEAR ENDING
|
OPERATING
|
||||||||||||||
December 31,
|
TERM NOTES
|
CAPITAL LEASES
|
LEASES
|
TOTAL*
|
|||||||||||
Principal
|
Interest
|
Principal
|
Interest
|
||||||||||||
2011
|
$
|
721
|
$
|
10
|
$
|
77
|
$
|
4
|
$
|
3,294
|
$
|
4,106
|
|||
2012
|
53
|
5
|
--
|
--
|
3,082
|
3,140
|
|||||||||
2013
|
29
|
1
|
--
|
--
|
2,808
|
2,838
|
|||||||||
2014
|
--
|
--
|
--
|
--
|
2,545
|
2,545
|
|||||||||
2015
|
--
|
--
|
--
|
--
|
2,359
|
2,359
|
|||||||||
Thereafter
|
--
|
--
|
--
|
--
|
6,471
|
6,471
|
|||||||||
Total
|
$
|
803
|
$
|
16
|
$
|
77
|
$
|
4
|
$
|
20,559
|
$
|
21,459
|
18
* Total does not include the amount due under the revolving credit note of $1,470,945. This amount represents accounts receivable funding as described below and is shown as a current note payable in the accompanying financial statements.
In October 2004, the Company entered into a revolving credit, term loan and security agreement with CapitalSource Finance, LLC to replace the Company’s primary lender and provide additional liquidity. Each of the Company’s material subsidiaries is a co-borrower under the agreement. This agreement was amended on June 13, 2007 to increase the amount available under the term loan, extend the term, decrease the interest rates and modify the covenants based on the Company’s current financial position. The agreement now includes a term loan in the amount of $3,000,000, with a balance of $672,500 at December 31, 2010, and an accounts receivable funding revolving credit agreement with a maximum loan amount of $3,500,000 and a current balance of $1,470,945. In conjunction with this refinancing, the Company paid $32,500 in commitment fees and approximately $53,000 in legal fees and issued a warrant to purchase 250,000 shares of Class A Common Stock at $3.09 per share valued at $456,880. The relative fair value of the warrants was recorded as deferred financing costs and is being amortized over the period of the loan as additional interest.
The term loan note carries interest at prime plus 0.75%, but not less than 6.25%, with twelve monthly reductions in available credit of $50,000 beginning July 1, 2007 and increasing to $62,500 on July 1, 2009 until the expiration of the loan. As of December 31, 2010, there were no funds available under the term loan. The Company believes refinancing of this term loan would be available if required for acquisitions.
The revolving credit note carries interest at prime (3.25% at December 31, 2010) plus 0.25%, but not less than 4.75% paid through lockbox payments of third party accounts receivable. The revolving credit term is three years, renewable for two additional one-year terms. The balance on the revolving credit agreement as of December 31, 2010 was $1,470,945. For additional information regarding this transaction, see the Company’s Current Report on Form 8-K filed with the Securities and Exchange Commission on October 22, 2004. The balance outstanding as of December 31, 2010 for the revolving credit note is not included in the above table. The average interest rate paid on the revolving credit loan, which includes the amortization of deferred financing costs related to the financing of the debt, was 8.81%.
This agreement was amended on June 13, 2007 to modify the terms of the agreement. Advances are available based on a percentage of accounts receivable and the payment of principal is payable upon receipt of proceeds of the accounts receivable. The amended term of the agreement is for two years, automatically renewable for two additional one year terms. Upon expiration, all remaining principal and interest are due. The revolving credit note is collateralized by substantially all of the assets of the Company’s subsidiaries and guaranteed by PHC. Availability under this agreement is based on eligible accounts receivable and fluctuates with the accounts receivable balance and aging.
Off Balance Sheet Arrangements
The Company has no off-balance-sheet arrangements that have or are reasonably likely to have a current or future effect on the Company's financial condition, changes in financial condition, revenue or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to the Company.
Litigation
The Company is subject to various claims and legal action that arise in the ordinary course of business. In the opinion of management, the Company is not currently a party to any proceeding that would have a material adverse affect on its financial condition or results of operations.
Item 3. Quantitative and Qualitative Disclosure About Market Risk
The market price of our common stock could be volatile and fluctuate significantly in response to various factors, including:
·
|
Differences in actual and estimated earnings and cash flows;
|
·
|
Operating results differing from analysts’ estimates;
|
·
|
Changes in analysts’ earnings estimates;
|
·
|
Quarter-to-quarter variations in operating results;
|
·
|
Changes in market conditions in the behavioral health care industry;
|
·
|
Changes in general economic conditions; and
|
·
|
Fluctuations in securities markets in general.
|
19
Financial Risk
·
|
Our interest expense is sensitive to changes in the general level of interest rates. With respect to our interest-bearing liabilities, all of our long-term debt outstanding is subject to rates at prime plus 0.25% and prime plus 0.75%, which makes interest expense increase with changes in the prime rate. On this debt, each 25 basis point increase in the prime rate will affect an annual increase in interest expense of approximately $1,700; however, the prime rate is currently lower than the base interest rate of 4.50% therefore the prime rate would have to increase 1.25% before there would be any interest expense increase.
|
·
|
Failure to meet targeted revenue projections could cause us to be out of compliance with covenants in our debt agreements requiring a waiver from our lender. A waiver of the covenants may require our lender to perform additional audit procedures to assure the stability of their security, which could require additional fees.
|
Operating Risk
·
|
Aging of accounts receivable could result in our inability to collect receivables. As our accounts receivable age and become uncollectible our cash flow is negatively impacted. Our accounts receivable from patient accounts (net of allowance for bad debts) were $9,567,942 at December 31, 2010 compared with $8,351,314 at June 30, 2010. As we expand, we will be required to seek payment from a larger number of payors and the amount of accounts receivable will likely increase. We have focused on better accounts receivable management through increased staff, standardization of some procedures for collecting receivables and a more aggressive collection policy in order to keep the change in receivables consistent with the change in revenue. We have also established a more aggressive reserve policy, allowing greater amounts of reserves as accounts age from the date of billing. If the amount of receivables, which eventually become uncollectible, exceeds such reserves, we could be materially adversely affected. The following chart represents our Accounts Receivable and Allowance for Doubtful Accounts at December 31, 2010 and June 30, 2010, respectively, and Bad Debt Expense for the six months ended December 31, 2010 and the year ended June 30, 2010:
|
Accounts
|
Allowance for
|
Bad Debt
|
||||||
Receivable
|
doubtful accounts
|
Expense
|
||||||
December 31, 2010
|
$
|
13,797,632
|
$
|
4,229,690
|
$
|
1,663,301
|
||
June 30, 2010
|
11,353,637
|
3,002,323
|
2,131,392
|
·
|
The Company relies on contracts with more than ten clients to maintain patient census at its inpatient facilities and the loss of any of such contracts would impact our ability to meet our fixed costs. We have entered into relationships with large employers, health care institutions and labor unions to provide treatment for psychiatric disorders, chemical dependency and substance abuse in conjunction with employer-sponsored EAP. The employees of such institutions may be referred to us for treatment, the cost of which is reimbursed on a per diem or per capita basis. Approximately 20% of our total revenue is derived from these clients. No one of these large employers, health care institutions or labor unions individually accounts for 10% or more of our consolidated revenues, but the loss of any of these clients would require us to expend considerable effort to replace patient referrals and would result in revenue losses and attendant loss in income.
|
Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
We maintain disclosure controls and procedures designed to ensure that information required to be disclosed in our Exchange Act reports is recorded, processed, summarized and reported within the time periods specified within the SEC’s Rules and Forms, and that such information is accumulated and communicated to our management to allow timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, our management recognized that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management was necessarily required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
Our management does not expect that our disclosure controls or our internal controls over financial reporting will prevent all error and fraud. A control system, no matter how well conceived and operated, can provide only reasonable assurance that the objectives of a control system are met. Further, any control system reflects limitations on resources and the benefits of a control system must be considered relative to its costs. These limitations also include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of a control.
20
A design of a control system is also based upon certain assumptions about potential future conditions and over time controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and may not be detected.
At the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of our chief executive officer and chief financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures to meet the criteria referred to above. Based on the foregoing, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective.
Change in Internal Controls
During the three months ended December 31, 2010, there were no changes in our internal controls or in other factors that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
21
PART II. OTHER INFORMATION
Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
Repurchase of Class A Common Stock
During the quarter ended December 31, 2010, the Company purchased equity securities as follows:
Total Number of
|
Maximum Number
|
||||||||
Total
|
Average
|
Shares Purchased
|
of Shares
|
||||||
Number of
|
Price
|
as part of Publicly
|
that May Yet be
|
||||||
Shares
|
Paid per
|
Announced Plans
|
Purchased Under the
|
||||||
Period
|
Purchased
|
Share
|
or Programs
|
Plans or Programs
|
|||||
October 1, 2010 –
|
|||||||||
October 31, 2010
|
53,790
|
$
|
1.335
|
53,740
|
846,170
|
||||
November 1, 2010 –
|
|||||||||
November 30, 2010
|
--
|
$
|
--
|
--
|
846,170
|
||||
December 1, 2010 –
|
|||||||||
December 31, 2010
|
19,615
|
$
|
1.528
|
19,615
|
826,555
|
||||
TOTAL
|
73,405
|
$
|
1.396
|
73,355
|
826,555
|
The 73,355 shares of PHC class A common stock were repurchased pursuant to a repurchase plan which was approved by PHC’s Board of Directors in June, 2010. The repurchase plan was publicly announced on June 14, 2010 and is effective for the fiscal year ending June 30, 2011. The plan allows for the purchase of 1,000,000 shares of PHC class A common stock on the open market during the 2011 fiscal year based on market conditions, opportunity and excess cash availability. In addition to the price per share, the Company paid approximately $1,800 in brokerage fees related to the purchases made during the quarter ended December 31, 2010.
There were no sales of unregistered securities during the period.
Item 4. Submission of Matters to a Vote of Security Holders
The Company’s annual meeting of stockholders was held on December 16, 2010. In addition to the election of directors (with regards to which (i) proxies were solicited pursuant to Regulation 14A under the Exchange Act, (ii) there was no solicitation in opposition to the management’s nominees as listed on the proxy statement, and (iii) all of such nominees were elected), the shareholders voted to approve the amendment to increase the number of shares of Class A Common Stock available for issuance under the 2004 Non-Employee Director Stock Option Plan from 350,000 shares to 950,000 shares; to approve the amendment to increase the number of shares of Class A Common Stock available for issuance under the 2003 Stock Purchase and Option Plan from 1,900,000 shares to 2,400,000 shares and to ratify the selection of BDO USA, LLP, Registered Public Accounting firm, to audit the Company’s books and records for the fiscal year ending June 30, 2011. No other matters were brought before the shareholders. The following table provides the total vote information on each matter voted upon during the 2010 annual meeting:
DIRECTOR
|
VOTE
|
|||||||||||
FOR
|
WITHHELD
|
UNVOTED
|
||||||||||
Class A Directors
|
||||||||||||
Donald E. Robar
|
6,439,174
|
290,678
|
11,991,925
|
|||||||||
Howard W. Phillips
|
6,656,840
|
73,012
|
11,991,925
|
|||||||||
Class B Directors
|
||||||||||||
Bruce A. Shear
|
721,259
|
--
|
53,762
|
|||||||||
William F. Grieco
|
721,259
|
--
|
53,762
|
|||||||||
David E. Dangerfield
|
721,259
|
--
|
53,762
|
|||||||||
Douglas J. Smith
|
721,259
|
--
|
53,762
|
22
PROPOSAL
|
VOTE
|
|||||||||||
FOR
|
AGAINST
|
ABSTAINED
|
||||||||||
To amend the 2004 Non-
|
||||||||||||
Employee Director Stock
|
||||||||||||
Option Plan
|
9,219,845 | 742,619 | 373,683 | |||||||||
To amend the 2003 Stock
|
||||||||||||
Purchase and Option Plan
|
9,161,696
|
801,268
|
373,183
|
|||||||||
To ratify the selection of BDO
|
||||||||||||
USA, LLP
|
20,285,750
|
8,550
|
301,440
|
|||||||||
Item 6. Exhibits
Exhibit List
Exhibit No.
|
Description
|
10.30
|
Loan Sale Agreement by and between Bank of America, N.A. and Detroit Behavioral Institute, Inc.
|
31.1
|
Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
31.2
|
Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
32.1
|
Certification of Chief Executive Officer and Chief Financial Officer Pursuant to 18 U.S.C. 1350, as
|
adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
|
23
Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
PHC, Inc.
|
||
Registrant
|
||
Date: February 14, 2011
|
/s/ Bruce A. Shear
|
|
Bruce A. Shear
|
||
President
|
||
Chief Executive Officer
|
Date: February 14, 2011
|
/s/ Paula C. Wurts
|
|
Paula C. Wurts
|
||
Treasurer
|
||
Chief Financial Officer
|