UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

 

FORM 10-Q

 

 

 

xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934

EXCHANGE ACT OF 1934

For the quarterly period ended March 31, 20132014

OR

 

¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES

EXCHANGE ACT OF 1934

EXCHANGE ACT OF 1934

For the transition period from                             to

Commission file number 001-34504

 

 

ADDUS HOMECARE CORPORATION

(Exact name of registrant as specified in its charter)

 

 

 

Delaware 20-5340172

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification No.)

2401 South Plum Grove Road2300 Warrenville Rd.

Palatine, IllinoisDowners Grove, IL

 

6006760515

(Address of principal executive offices) (Zip code)

(847) 303-5300630-296-3400

(Registrant’s telephone number, including area code)

Not Applicable

(Former name, former address and former fiscal year, if changed since last report)

 

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes  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 during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    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 definition 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 ¨x
Non-accelerated filer ¨ (Do not check if a smaller reporting company)  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.

Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.

Common Stock $0.001 par value

Shares outstanding at May 2, 2013: 10,891,438April 18, 2014: 10,951,053

 

 

 


ADDUS HOMECARE CORPORATION

FORM 10-Q

INDEX

 

PART I.FINANCIAL INFORMATION

  3

Item 1. Financial Statements

  3

Condensed Consolidated Balance Sheets as of March 31, 20132014 (Unaudited) and December 31, 20122013

  3

Condensed Consolidated Statements of IncomeOperations (Unaudited) For the Three Months Ended March  31, 2013
2014 and 20122013

  4

Condensed Consolidated StatementStatements of Stockholders’ Equity (Unaudited) For the Three Months Ended March 31,
2013 2014

  5

Condensed Consolidated Statements of Cash Flows (Unaudited) For the Three Months Ended March  31, 2013
2014 and 20122013

  6

Notes to Condensed Consolidated Financial Statements (Unaudited)

  7

Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations

  15
17

Item 3. Quantitative and Qualitative Disclosures About Market Risk

  26

Item 4. Controls and Procedures

  3126

PART II.OTHER INFORMATION

  3227

Item 1. Legal Proceedings

  3227

Item 1A. Risk Factors

  3227

Item 6. Exhibits

  3428

PART I – FINANCIAL INFORMATION

 

Item 1.Financial Statements

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETSCONDENSED CONSOLIDATED BALANCE SHEETS

As of March 31, 20132014 and December 31, 20122013

(amounts and shares in thousands, except per share data)

   (Unaudited)   (Audited) 
   March 31,
2014
   December 31,
2013
 

Assets

    

Current assets

    

Cash

  $16,965    $15,565  

Accounts receivable, net of allowances of $4,210 and $4,140 at March 31, 2014 and December 31, 2013, respectively

   59,042     61,354  

Prepaid expenses and other current assets

   4,795     6,235  

Deferred tax assets

   8,326     8,326  
  

 

 

   

 

 

 

Total current assets

   89,128     91,480  
  

 

 

   

 

 

 

Property and equipment, net of accumulated depreciation and amortization

   3,897     2,634  
  

 

 

   

 

 

 

Other assets

    

Goodwill

   59,986     60,026  

Intangibles, net of accumulated amortization

   8,538     8,762  

Investments in joint ventures

   900     900  

Other assets

   93     132  
  

 

 

   

 

 

 

Total other assets

   69,517     69,820  
  

 

 

   

 

 

 

Total assets

  $162,542    $163,934  
  

 

 

   

 

 

 

Liabilities and stockholders’ equity

    

Current liabilities

    

Accounts payable

  $3,715    $4,633  

Accrued expenses

   38,834     41,945  

Deferred revenue

   5     59  
  

 

 

   

 

 

 

Total current liabilities

   42,554     46,637  
  

 

 

   

 

 

 

Deferred tax liabilities

   3,441     3,441  
  

 

 

   

 

 

 

Total liabilities

  $45,995    $50,078  
  

 

 

   

 

 

 

Stockholders’ equity

    

Common stock—$.001 par value; 40,000 authorized and 10,953 and 10,913 shares issued and outstanding as of March 31, 2014 and December 31, 2013, respectively

  $11    $11  

Additional paid-in capital

   83,409     83,072  

Retained earnings

   33,127     30,773  
  

 

 

   

 

 

 

Total stockholders’ equity

   116,547     113,856  
  

 

 

   

 

 

 

Total liabilities and stockholders’ equity

  $162,542    $163,934  
  

 

 

   

 

 

 

See accompanying Notes to Condensed Consolidated Financial Statements (Unaudited)

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

For the Three Months Ended March 31, 2014 and 2013

(amounts and shares in thousands, except per share data)

(Unaudited)

 

                              
   March 31,
2013
   December 31,
2012
 

Assets

    

Current assets

    

Cash

  $17,784    $1,737  

Accounts receivable, net of allowances of $4,361 and $4,466 at March 31, 2013 and December 31, 2012, respectively

   60,640     71,303  

Prepaid expenses and other current assets

   5,515     7,293  

Assets held for sale, net

   —       245  

Deferred tax assets

   7,258     7,258  
  

 

 

   

 

 

 

Total current assets

   91,197     87,836  
  

 

 

   

 

 

 

Property and equipment, net of accumulated depreciation and amortization

   2,476     2,489  
  

 

 

   

 

 

 

Other assets

    

Goodwill

   50,496     50,536  

Intangibles, net of accumulated amortization

   6,030     6,370  

Deferred tax assets

   —       2,328  

Investment in joint ventures

   900     —    

Other assets

   251     298  
  

 

 

   

 

 

 

Total other assets

   57,677     59,532  
  

 

 

   

 

 

 

Total assets

  $151,350    $149,857  
  

 

 

   

 

 

 

Liabilities and stockholders’ equity

    

Current liabilities

    

Accounts payable

  $4,818    $4,117  

Accrued expenses

   35,635     32,717  

Current maturities of long-term debt

   —       208  

Deferred revenue

   17     2,148  
  

 

 

   

 

 

 

Total current liabilities

   40,470     39,190  
  

 

 

   

 

 

 

Deferred tax liabilities

   3,097     —    

Long-term debt, less current maturities

   —       16,250  
  

 

 

   

 

 

 

Total liabilities

   43,567     55,440  
  

 

 

   

 

 

 

Commitments, contingencies and other matters

    

Stockholders’ equity

    

Common stock—$.001 par value; 40,000 authorized and 10,882 and 10,823 shares issued and outstanding as of March 31, 2013 and December 31, 2012, respectively

   11     11  

Additional paid-in capital

   82,883     82,778  

Retained earnings

   24,889     11,628  
  

 

 

   

 

 

 

Total stockholders’ equity

   107,783     94,417  
  

 

 

   

 

 

 

Total liabilities and stockholders’ equity

  $151,350    $149,857  
  

 

 

   

 

 

 
   For the Three Months Ended
March 31,
 
   2014  2013 

Net service revenues

  $71,683   $62,998  

Cost of service revenues

   53,015    47,200  
  

 

 

  

 

 

 

Gross profit

   18,668    15,798  

General and administrative expenses

   14,403    11,510  

Depreciation and amortization

   495    546  
  

 

 

  

 

 

 

Total operating expenses

   14,898    12,056  
  

 

 

  

 

 

 

Operating income from continuing operations

   3,770    3,742  
  

 

 

  

 

 

 

Interest income

   (2  —    

Interest expense

   156    208  
  

 

 

  

 

 

 

Total interest expense, net

   154    208  
  

 

 

  

 

 

 

Income from continuing operations before income taxes

   3,616    3,534  

Income tax expense

   1,262    847  
  

 

 

  

 

 

 

Net income from continuing operations

   2,354    2,687  
  

 

 

  

 

 

 

Discontinued operations:

   

(Loss) from home health business

   —      (537

Gain on sale of home health business, net of tax

   —      11,111  
  

 

 

  

 

 

 

Earnings from discontinued operations

   —      10,574  
  

 

 

  

 

 

 

Net income

  $2,354   $13,261  
  

 

 

  

 

 

 

Net income per common share

   

Basic income per share

   

Continuing operations

  $0.22   $0.25  

Discontinued operations

   —      0.98  
  

 

 

  

 

 

 

Basic income per share

  $0.22   $1.23  
  

 

 

  

 

 

 

Diluted income per share

   

Continuing operations

  $0.21   $0.25  

Discontinued operations

   —      0.98  
  

 

 

  

 

 

 

Diluted income per share

  $0.21   $1.23  
  

 

 

  

 

 

 

Weighted average number of common shares and potential common shares outstanding:

   

Basic

   10,850    10,778  

Diluted

   11,110    10,845  

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements.Statements (Unaudited)

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSCONDENSED CONSOLIDATED STATEMENTS OF INCOME STOCKHOLDERS’ EQUITY

For the Three Months Ended March 31, 2013 and 20122014

(amounts and shares in thousands, except per share data)thousands)

(Unaudited)

 

   For the Three Months Ended
March 31,
 
   2013  2012 

Net service revenues

  $62,998   $58,889  

Cost of service revenues

   47,200    43,865  
  

 

 

  

 

 

 

Gross profit

   15,798    15,024  

General and administrative expenses

   11,510    11,570  

Gain on sale of agency

   —      (495)

Depreciation and amortization

   546    631  
  

 

 

  

 

 

 

Total operating expenses

   12,056    11,706  
  

 

 

  

 

 

 

Operating income from continuing operations

   3,742    3,318  

Total interest expense

   208    404  
  

 

 

  

 

 

 

Income from continuing operations before income taxes

   3,534    2,914  

Income tax expense

   847    1,168  
  

 

 

  

 

 

 

Net income from continuing operations

   2,687    1,746  
  

 

 

  

 

 

 

Discontinued operations:

   

Loss from home health business, net of tax

   (537  (1,117

Gain on sale of home health business, net of tax

   11,111    —    
  

 

 

  

 

 

 

Earnings (losses) from discontinued operations

   10,574    (1,117
  

 

 

  

 

 

 

Net income

  $13,261   $629  
  

 

 

  

 

 

 

Net income (loss) per common share

   

Basic and diluted

   

Continuing operations

  $0.25   $0.16  

Discontinued operations

   0.98    (0.10
  

 

 

  

 

 

 

Basic and diluted income (loss) per share

  $1.23   $0.06  
  

 

 

  

 

 

 

Weighted average number of common shares and potential common shares outstanding:

   

Basic

   10,778    10,756  

Diluted

   10,845    10,760  
   Common Stock   Additional
Paid in
   Retained   Total
Stockholder
 
  Shares   Amount   Capital   Earnings   Equity 

Balance at December 31, 2013

   10,913    $11    $83,072    $30,773    $113,856  

Stock-based compensation

   —       —       123     —       123  

Shares issued

   40     0     214     —       214  

Net income

   —       —       —       2,354     2,354  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at March 31, 2014

   10,953    $11    $83,409    $33,127    $116,547  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements.Statements (Unaudited)

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSCONDENSED CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY CASH FLOWS

For the Three Months Ended March 31, 2014 and 2013

(amounts and shares in thousands)

(Unaudited)

 

   Common Stock   

Additional

Paid-In

   Retained   

Total

Stockholders’

 
   Shares   Amount   Capital   Earnings   Equity 

Balance at December 31, 2012

   10,823    $11    $82,778    $11,628    $94,417  

Issuance of shares of common stock under restricted stock award agreements

   59     —      —      —      —   

Stock-based compensation

   —      —      105     —      105  

Net income

   —      —      —      13,261     13,261  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at March 31, 2013

   10,882    $11    $82,883    $24,889    $107,783  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 
   For the Three Months Ended March 31, 
   2014  2013 

Cash flows from operating activities:

   

Net income

  $2,354   $13,261  

Adjustments to reconcile net income to net cash provided by operating activities:

   

Depreciation and amortization

   495    546  

Deferred income taxes

   —      5,425  

Stock-based compensation

   123    105  

Amortization of debt issuance costs

   39    47  

Provision for doubtful accounts

   1,170    813  

Gain on sale of home health business

   —      (18,838

Changes in operating assets and liabilities, net of acquired businesses:

   

Accounts receivable

   1,142    9,850  

Prepaid expenses and other current assets

   1,440    1,649  

Other assets

   (10  —    

Accounts payable

   (918  701  

Accrued expenses

   (3,111  (391

Deferred revenue

   (54  (143
  

 

 

  

 

 

 

Net cash provided by operating activities

   2,670    13,025  
  

 

 

  

 

 

 

Cash flows from investing activities:

   

Net proceeds from sale of Home Health Business

   —      19,659  

Purchases of property and equipment

   (1,484  (179
  

 

 

  

 

 

 

Net cash (used in) provided by investing activities

   (1,484  19,480  
  

 

 

  

 

 

 

Cash flows from financing activities:

   

Net repayments on term loan

   —      (208

Cash received from exercise of stock options

   214    —    

Net payments on revolving credit loan

   —      (16,250
  

 

 

  

 

 

 

Net cash provided by (used in) financing activities

   214    (16,458
  

 

 

  

 

 

 

Net change in cash

   1,400    16,047  

Cash, at beginning of period

   15,565    1,737  
  

 

 

  

 

 

 

Cash, at end of period

  $16,965   $17,784  
  

 

 

  

 

 

 

Supplemental disclosures of cash flow information:

   

Cash paid for interest

  $156   $213  

Cash paid for income taxes

   2,116    880  

Supplemental disclosures of non-cash investing and financing activities

   

Tax benefit related to the amortization of tax goodwill in excess of book basis

   40    40  

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTSOF CASH FLOWS

For the Three Months Ended March 31, 2013 and 2012

(amounts in thousands)

(Unaudited)

   For the Three Months Ended March 31, 
   2013  2012 

Cash flows from operating activities

   

Net income

  $13,261   $629  

Adjustments to reconcile net income to net cash provided by operating activities

   

Depreciation and amortization

   546    634  

Deferred income taxes

   5,425    —    

Stock-based compensation

   105    67  

Amortization of debt issuance costs

   47    57  

Provision for doubtful accounts

   813    850  

Gain on sale of home health business

   (18,838  —   

Gain on sale of agency

   —     (495

Changes in operating assets and liabilities:

   

Accounts receivable

   9,850    (2,318

Prepaid expenses and other current assets

   1,649    631  

Accounts payable

   701    (1,546

Accrued expenses

   (391  137  

Deferred revenue

   (143  71  
  

 

 

  

 

 

 

Net cash provided by (used in) operating activities

   13,025    (1,283
  

 

 

  

 

 

 

Cash flows from investing activities

   

Net proceeds from sale of home health business

   19,659    —    

Net proceeds from sale of agency

   —      495  

Purchases of property and equipment

   (179  (288
  

 

 

  

 

 

 

Net cash provided by investing activities

   19,480    207  
  

 

 

  

 

 

 

Cash flows from financing activities

   

Net payments on term loan

   (208  (625

Net payments on credit facility

   (16,250  2000  

Payments on subordinated dividend notes

   —     (1,000
  

 

 

  

 

 

 

Net cash (used in) provided by financing activities

   (16,458  375  
  

 

 

  

 

 

 

Net change in cash

   16,047    (701

Cash, at beginning of period

   1,737    2,020  
  

 

 

  

 

 

 

Cash, at end of period

  $17,784   $1,319  
  

 

 

  

 

 

 

Supplemental disclosures of cash flow information

   

Cash paid for interest

  $213   $371  

Cash paid for income taxes

   880    963  

Supplemental disclosures of non-cash investing and financing activities

   

Tax benefit related to the amortization of tax goodwill in excess of book basis

   40    40  

See accompanying Notes to Unaudited Condensed Consolidated Financial Statements

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements

(amounts and shares in thousands)

(Unaudited)

1. Summary of Significant Accounting Policies

Basis of Presentation and Description of Business

The consolidated financial statements include the accounts of Addus HomeCare Corporation (“Holdings”) and its subsidiaries (together with Holdings, the “Company” or “we”). The Company provides home and community based services through a network of locations throughout the United States. These services are primarily performed in the homes of the consumers. The Company’s home and community based services include assistance to the elderly, chronically ill and disabled with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. Home and community based services are primarily performed under agreements with state and local governmental agencies.

Discontinued Operations

On February 7, 2013, subsidiaries of Holdings entered into an Asset Purchase Agreement with LHC Group, Inc. and certain of its subsidiaries (the “Home Health Purchase Agreement”). Pursuant to the Home Health Purchase Agreement, effective March 1, 2013, the purchasers agreed to acquireacquired substantially all the assets of the Company’s home health business in Arkansas, Nevada and South Carolina and 90% of its home health business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000.

The Company’s home health services were operated through licensed and Medicare certified offices that provided physical, occupational and speech therapy, as well as skilled nursing services to pediatric, adult infirm and elderly patients. Home health services were reimbursed from Medicare, Medicaid and Medicaid-waiver programs, commercial insurance and private payors (see note 2).

Principles of Consolidation

All intercompany balances and transactions have been eliminated in consolidation. Our investment in entities with less than 20% ownership or in which the Company does not have the ability to influence the operations of the investee are being accounted for using the cost method and are included in investmentinvestments in joint ventures.

Revenue Recognition

The Company generates net service revenues by providing services directly to consumers. The Company receives payments for providing services from federal, state and local governmental agencies, commercial insurers and private individuals. Our continuing operations, which includes the results of operations previously included in our home and community segment and agencies in three agenciesstates previously included in our home health segment, are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate specified in agreements or fixed by legislation and recognized as revenues at the time services are rendered. Home and community based service revenues are reimbursed by state, local and other governmental programs which are partially funded by Medicaid or Medicaid waiver programs, with the remainder reimbursed through private duty and insurance programs.

Laws and regulations governing the Medicaid and Medicare programs are complex and subject to interpretation. As a result, there is at least a reasonable possibility that recorded estimates may change in the near term. The Company believes that it is in compliance in all material respects with all applicable laws and regulations.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

Allowance for Doubtful Accounts

The Company establishes its allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. The Company estimates its provision for doubtful accounts primarily by aging receivables utilizing eight aging categories, and applying its historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In the Company’s evaluation of these estimates, it also considers delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. An allowance for doubtful accounts is maintained at a level management believes is sufficient to cover potential losses. However, actual collections could differ from our estimates.

Property and Equipment

Property and equipment are recorded at cost and depreciated over the estimated useful lives of the related assets by use of the straight-line method except for internally developed software which is amortized by the sum-of-years digits method. Maintenance and repairs are charged to expense as incurred. The estimated useful lives of the property and equipment are as follows:

Computer equipment

3 – 5 years

Furniture and equipment

5 – 7 years

Transportation equipment

5 years

Computer software

5 – 10 years

Leasehold improvements


Lesser of useful life or lease term, unless
probability of lease renewal is likely

Goodwill

The Company’s carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. (“Addus HealthCare”). In accordance with Accounting Standards Codification (“ASC”) Topic 350, “Goodwill and Other Intangible Assets,” goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. The Company may use a qualitative test, known as “Step 0” or a two-step quantitative method to determine whether impairment has occurred. In Step 0, the Company can elect to perform an optional qualitative analysis and based on the results skip the two step analysis. In 2013 and 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis.

Intangible Assets

The Company’s identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.

ASC Topic 350 requires that the fair value of intangible assets with indefinite lives be estimated and compared to the carrying value. The Company estimates the fair value of these intangible assets using the income approach. Intangible assets with finite lives are amortized using the estimated economic benefit method over the useful life and assessed for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable based on estimated undiscounted cash flows.recoverable. The Company recognizeswould recognize an impairment loss when the estimated fair value offuture non-discounted cash flows associated with the intangible asset is less than the carrying value. An impairment change would then be recorded for the excess of the carrying value over the fair value. The Company estimates the fair value of these intangible assets using the income approach. No impairment charge was recorded for the three months ended March 31, 20132014 or 2012.2013.

The income approach, which the Company uses to estimate the fair value of its intangible assets (other than goodwill), is dependent on a number of factors including estimates of future market growth and trends, forecasted revenue and costs, expected periods the assets will be utilized, appropriate discount rates and other variables. The Company bases its fair value estimates on assumptions the Company believes to be reasonable but which are unpredictable and inherently uncertain. Actual future results may differ from those estimates. In addition, the Company makes certain judgments about the selection of comparable companies used in the market approach in determining valuation.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

NotesWe also have indefinite-lived intangible assets that are not subject to Condensed Consolidated Financial Statements—(Continued)

(amountsamortization expense such as certificates of need and shares in thousands)

(Unaudited)

Long-Lived Assets

The Company reviews its long-livedlicenses to conduct specific operations within geographic markets. Our management has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and definite lived intangibles (except goodwillwe intend to renew and finite lived intangible assets, as described above)operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment whenever changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To determine if impairment exists, the Company compares the estimated future undiscounted cash flows from the related long-lived assets to the net carrying amount of such assets. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the estimated fair value of the asset, generally determined by discounting the estimated future cash flows.impairment. No impairment charge was recorded for the three months ended March 31, 20132014 or 2012.2013.

Workers’ Compensation Program

The Company’s workers’ compensation program has a $350 deductible component. The Company recognizes its obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. The future claims payments related to the workers’ compensation program are secured by letters of credit.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the statement of operations as interest income. The Company did not receive any prompt payment interest for the three months ended March 31, 2014 or 2013.

While the Company may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and the Company has determined that it will continue to recognize prompt payment interest income when received.

Interest Expense

The Company’s interest expense consists of interest costs on its credit facility and other debt instruments.

Income TaxesTax Expense

The Company accounts for income taxes under the provisions of ASC Topic 740, “Income Taxes.” The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in its financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of the Company’s assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC Topic 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.

Stock-based Compensation

The Company has two stock incentive plans, the 2006 Stock Incentive Plan (the “2006 Plan”) and the 2009 Stock Incentive Plan (the “2009 Plan”) that provide for stock-based employee compensation. The Company accounts for stock-based compensation in accordance with ASC Topic 718, “Stock Compensation.” Compensation expense is recognized on a graded method under the 2006 Plan and on a straight-line basis under the 2009 Plan over the vesting period of the awards based on the fair value of the options and restricted stock awards. Under the 2006 Plan, the Company historically used the Black-Scholes option pricing model to estimate the fair value of its stock based payment awards, but beginning October 28, 2009 under its 2009 Plan it began using an enhanced Hull-White Trinomial model. The determination of the fair value of stock-based payments utilizing the Black-Scholes model and the Enhanced Hull-White Trinomial model is affected by Holdings’ stock price and a number of assumptions, including expected volatility, risk-free interest rate, expected term, expected dividends yield, expected forfeiture rate, expected turn-over rate, and the expected exercise multiple.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

Net Income Per Common Share

Net income (loss) per common share, calculated on the treasury stock method, is based on the weighted average number of shares outstanding during the period. The Company’s outstanding securities that may potentially dilute the common stock are stock options and restricted stock awards.

Included in the Company’s calculation for the three months ended March 31, 20132014 were 715607 stock options outstanding, of which 517239 were out-of-the money and therefore anti-dilutive and 95dilutive. In addition, there were 53 restricted stock awards with 18 included in the weighted diluted shares outstanding.

Foroutstanding, 21 of which were dilutive for the three months ended March 31, 20122014.

Included in the Company had 775Company’s calculation for the three months ended March 31, 2013 were 715 stock options alloutstanding, of which 517 were out-of-the-money and therefore anti-dilutive. In addition, there were 95 restricted stock awards outstanding, 18 of which were out-of-the money and therefore anti-dilutive and 19 restricted stock awards with 4 included indilutive for the weighted diluted shares outstanding.three months ended March 31, 2013.

Estimates

The financial statements are prepared by management in conformity with GAAPGenerally Accepted Accounting Principles, “GAAP”, and include estimated amounts and certain disclosures based on assumptions about future events. Accordingly, actual results could differ from those estimates.

Fair Value of Financial Instruments

The Company’s financial instruments consist of cash, accounts receivable, payables and debt. The carrying amounts reported in the consolidated balance sheets for cash, accounts receivable, accounts payable and accrued expenses approximate fair value because of the short-term nature of these instruments. The carrying value of the Company’s long-term debt with variable interest rates approximates fair value based on instruments with similar terms.

The Company applies fair value techniques on a non-recurring basis associated with valuing potential impairment losses related to goodwill and indefinite-lived intangible assets and also when determining the fair value of contingent considerations. To determine the fair value in these situations, the Company uses Level 3 inputs such as discounted cash flows or if available, what a market participant would pay on the measurement date.

The Company utilizes the income approach to estimate the fair value of its intangible assets derived from acquisitions. In addition, discounted cash flows are used to estimate the fair value of the Company’s investment in joint ventures.

Recent Accounting Pronouncements

The Company does not believe any recently issued, but not yet effective, accounting standards will have a material effect on the Company’s consolidated financial position, results of operations, or cash flows.

2. Discontinued Operations

During December 2012, in anticipation of the sale of substantially all of the assets used in its home health business (the “Home Health Business”), the Company reported the operating results of the Home Health Business as discontinued operations in accordance with ASC 360-10-45, “Impairment or Disposal of Long-Lived Assets.” On February 7, 2013, the Company entered into the Home Health Purchase Agreement, pursuant to which subsidiaries of LHC Group, Inc. agreed to acquire substantially all the assets of the Home Health Business in Arkansas, Nevada and South Carolina and 90% of the Home Health Business in California and Illinois, with the Company retaining 10% ownership in such locations, for cash consideration of $20,000. The transaction was consummated effective March 1, 2013. In addition, the results of operations for an agency in Pennsylvania that was sold on December 30, 2013 and an agency in Idaho that was closed on November 30, 2012 are included in discontinued operations include one home health agency being held for sale and one home health agency that closed in January of 2013.operations.

The Company has included the financial results of the Home Health Business in discontinued operations for all periods presented. Assets sold to the purchasers are presented as assets held for sale, net, on the accompanying consolidated balance sheet as of December 31, 2012. In connection with the discontinued operations presentation, certain financial statement footnotes have also been updated to reflect the impact of discontinued operations.

The following table presents the net service revenues and earnings attributable to discontinued operations, which include the financial results for the three months ended March 31, 20132014 and 2012:2013:

 

   For the Three Months ended
March 31,
 
   2013  2012 

Net service revenues

  $6,476   $9,035  
  

 

 

  

 

 

 

Loss before income taxes

   (911  (1,847

Income tax benefit

   (374  (730
  

 

 

  

 

 

 

Net loss from discontinued operations

  $(537 $(1,117
  

 

 

  

 

 

 

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

   For the Three Months Ended March 31, 
   2014   2013 

Net service revenues

  $—      $6,476  
  

 

 

   

 

 

 

Loss before income taxes

   —       (911

Income tax benefit

   —       (374
  

 

 

   

 

 

 

Net loss from discontinued operations

   —       (537

The following table presents the net gain on the sale of the Home Health Business, which was recorded March 1, 2013.

 

Gain before income taxes

  $18,838  

Income tax expenses

   7,727  
  

 

 

 

Net income (loss) from discontinued operations

  $11,111  
  

 

 

 

The only class of assets for discontinued operations reflected as assets held for sale, net, as of December 31, 2012 was as follows:

   December 31,
2012
 

Property and equipment, net of accumulated depreciation and amortization

  $245  

Gain before income taxes

  $18,838  

Income tax benefit

   (7,727
  

 

 

 

Net income from discontinued operations

   11,111  
  

 

 

 

Pursuant to the Home Health Purchase Agreement, the Company retained $4,115$120 and $7,123$625 of accounts receivable, net as of March 31, 20132014 and December 31, 2012.2013. In addition, the Company retained the related accrued expenses and accounts payable associated with the Home Health Business as of March 31, 2014 and December 31, 2012.2013.

3. Sale of Agency

During February 2012, the Company completed its sale of a home health agency located in Portland, OR for approximately $525 with net proceeds of approximately $495 after the payment of closing related expenses. The Company recorded a $495 pre-tax gain on the sale of the agency.

4. Goodwill and Intangible Assets

The Company’s carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare. In accordance with Accounting Standards Codification (“ASC”)ASC Topic 350, “Goodwill and Other Intangible Assets,” goodwill and intangible assets with indefinite useful lives are not amortized. The Company tests goodwill for impairment on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that impairment may have occurred.

Goodwill is required to be tested for impairment at least annually. The Company can elect to perform Step-0 an optional qualitative analysis and based on the results skip the remaining two steps. In 2013 and 2012, the Company elected to implement Step 0 and was not required to conduct the remaining two step analysis.

In performing its goodwill assessment for 2013 and 2012, the Company evaluated the following factors that affect future business performance: macroeconomic conditions, industry and market considerations, cost factors, overall financial performance, entity-specific events, reporting unit factors and company stock price. As a result of the assessmentthese assessments of these qualitative factors, the Company has concluded that it iswas more likely than not that the fair valuevalues of the Companyreporting unit goodwill as of December 31, 2012 exceeded its2013 exceed the carrying value.values of the unit. Accordingly, the first and second steps of the goodwill impairment test as described in FASB ASC 350-20-35, which includes estimating the fair valuevalues of the Company, arewere not considered necessary for the Company.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

necessary.

The Company did not record any impairment charges for the three months ended March 31, 20132014 or 2012.2013. The Company will perform its annual impairment test for fiscal 20132014 during the fourth quarter of 2013.2014.

The following is a summary of the goodwill activity for the three months ended March 31, 2013:2014:

 

Goodwill, at December 31, 2012

  $50,536  

Adjustments to previously recorded goodwill

   (40
  

 

 

 

Goodwill, at March 31, 2013

  $50,496  
  

 

 

 

Goodwill, at December 31, 2013

  $60,026  

Adjustments to previously recorded goodwill

   (40
  

 

 

 

Goodwill, at March 31, 2014

  $59,986  
  

 

 

 

Adjustments to the previously recorded goodwill are primarily credits related to amortization of tax goodwill in excess of book basis.

The Company’s identifiable intangible assets consist of customer and referral relationships, trade names, trademarks, state licenses and non-compete agreements. Amortization is computed using straight-line and accelerated methods based upon the estimated useful lives of the respective assets, which range from two to 25 years.

The Company also has indefinite-lived assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. The Company has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and the Company intends to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment using the cost approach. Under this method assumptions are made about the cost to replace the certificates of need. No impairment charges were recorded in the three months ended March 31, 20132014 and 2012.

The Company will perform its annual impairment test for fiscal 2013 during the fourth quarter of 2013.

The following is a summarycarrying amount and accumulated amortization of each identifiable intangible asset category consisted of the intangible assetsfollowing for continuing and indefinite-lived asset activity as ofdiscontinued operations at March 31, 2014 and December 31, 2013:

 

                                             
   Gross
Carrying
Amount
   Accumulated
Amortization
   Net Carrying
Amount
 

Customer and referral relationships

  $24,908    $20,318    $4,590  

Trade names and trademarks

   4,081     2,833     1,248  

State licenses

   150     —      150  

Non-competition agreements

   408     366     42  
  

 

 

   

 

 

   

 

 

 
  $29,547    $23,517    $6,030  
  

 

 

   

 

 

   

 

 

 
   Customer and
referral
relationships
  Trade names and
trade marks
  State Licenses   Non-competition
agreements
  Total 

Gross balance at December 31, 2013

  $26,346   $5,281   $150    $1,508   $33,285  

Accumulated amortization

   (21,138  (2,995       (390  (24,523
  

 

 

  

 

 

  

 

 

   

 

 

  

 

 

 

Net Balance at December 31, 2013

   5,208    2,286    150     1,118    8,762  

Gross balance at January 1, 2014

   26,346    5,281    150     1,508    33,285  

Additions

   50    —      —       —      50  

Accumulated amortization

   (21,363  (3,044  —       (390  (24,797
  

 

 

  

 

 

  

 

 

   

 

 

  

 

 

 

Net Balance at March 31, 2014

  $5,033   $2,237   $150    $1,118   $8,538  
  

 

 

  

 

 

  

 

 

   

 

 

  

 

 

 

ADDUS HOMECARE CORPORATIONAmortization expense for continuing and discontinued operations related to the identifiable intangible assets amounted to $274 and $339 for the three months ended March 31, 2014 and 2013, respectively. Goodwill and state licenses are not amortized pursuant to ASC Topic 350.

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

5.4. Details of Certain Balance Sheet Accounts

Prepaid expenses and other current assets consisted of the following:

                              
  March 31,
2013
   December 31,
2012
   March 31,
2014
   December 31,
2013
 

Prepaid health insurance

  $2,110    $4,062    $2,429    $3,192  

Prepaid workers’ compensation and liability insurance

   515     1,056     579     1,173  

Prepaid rent

   186     181     469     455  

Workers’ compensation insurance receivable

   1,531     953     311     821  

Other

   1,173     1,041     1,007     594  
  

 

   

 

   

 

   

 

 
  $5,515    $7,293    $4,795    $6,235  
  

 

   

 

   

 

   

 

 

Accrued expenses consisted of the following:

 

                              
  March 31,
2013
   December 31,
2012
   March 31,
2014
   December 31,
2013
 

Accrued payroll

  $9,591    $11,539    $13,983    $12,932  

Accrued workers’ compensation insurance

   13,527     12,452     12,974     13,347  

Accrued health insurance

   3,240     3,731  

Indemnification reserve (1)

   1,855     3,224  

Accrued payroll taxes

   2,418     1,481     2,132     1,755  

Accrued health insurance

   2,167     3,469  

Accrued amounts to purchaser

   1,988     —    

Accrued taxes

   3,078     1,223  

Accrued interest

   —       51  

Accrued professional fees

   1,296     1,319  

Amounts due to LHCG (2)

   942     2,196  

Current portion of contingent earn-out obligation (1)(3)

   689     689     1,100     1,100  

Other

   2,177     1,813     1,312     2,341  
  

 

   

 

   

 

   

 

 
  $35,635    $32,717    $38,834    $41,945  
  

 

   

 

   

 

   

 

 

 

(1)As a condition of the sale of the Home Health Business to LHC Group. Inc. (“LHCG”) the Company is responsible for any adjustments to Medicare and Medicaid billings prior to the closing. In connection with an internal evaluation of the Company’s billing processes, it discovered documentation errors in a number of claims that it had submitted to Medicare. Consistent with applicable law, the Company voluntarily remitted $1,840 to the government in March 2014. The Company, using its best judgment, has estimated a total of $1,855 for billing adjustments remaining.
(2)Amounts due to LHCG pursuant to a billing services arrangement between the Company and LHCG.
(3)The Company acquired certain assets of AdvantageCoordinated Home Health Systems, Inc. (“Advantage”) in July 2010.Care on December 1, 2013. The purchase agreement for the acquisition of Advantage contained a provision for earn-out paymentspayments. The contingent uponearn-out obligation has been recorded at its fair value of $1,100, which is the present value of the Company’s obligation of up to $2,250 based on probability- weighted estimates of the achievement of certain performance targets. The sellers of Advantage disagree with the Company’s calculation of the earn-out payment and the parties have agreed to have an arbitrator determine the amount of the second earn-out payment. The final earn-out payment is expected to be made during the second quarter of 2013.

ADDUS HOMECARE CORPORATIONThe Company provides health insurance coverage to qualified union employees providing home and community based services in Illinois through a Taft-Hartley multi-employer health and welfare plan under Section 302(c)(5) of the Labor Management Relations Act of 1947. The Company’s insurance contributions equal the amount reimbursed by the State of Illinois. Contributions are due within five business days from the date the funds are received from the State. Amounts due of $2,420 and $3,163 for health insurance reimbursements and contributions were reflected in prepaid insurance and accrued insurance at March 31, 2014 and December 31, 2013, respectively.

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

6.5. Long-Term Debt

Long-termThe Company had no long-term debt consistedoutstanding as of the following:March 31, 2014 and December 31, 2013.

                                    
   March 31,
2013
   December 31,
2012
 

Revolving credit loan

  $—      $16,250  

Term loan

   —       208  
  

 

 

   

 

 

 

Total

   —       16,458  

Less current maturities

   —       (208
  

 

 

   

 

 

 

Long-term debt

  $—      $16,250  
  

 

 

   

 

 

 

Senior Secured Credit Facility

The Company’s credit facility provides a $55.0 million$55,000 revolving line of credit expiring November 2, 2014 and includes a $15.0 million$15,000 sublimit for the issuance of letters of credit and previously included a $5.0 million$5,000 term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers’ obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings’ and the borrowers’ current and future tangible and intangible assets, including the shares of stock of the borrowers.

On July 26, 2010, the Company entered into an amendment to its credit facility, which provided for a new term loan component of the credit facility in the aggregate principal amount of $5,000 with a maturity date of January 5, 2013. The term loan was repaid when due on January 5, 2013.

On July 26, 2011, the Company entered into another amendment to its credit facility, which modified the Company’s maximum senior leverage ratio from 3.00 to 1.00 to 3.25 to 1.00 for each twelve month period ending on the last of day of each fiscal quarter beginning with the twelve month period ended June 30, 2011 and increased the advance multiple used to determine the amount of the borrowing base from 3.0 to 1.0 to 3.25 to 1.0.

During the fourth quarter of 2011, the lenders under the Company’s credit facility permitted the Company to add back approximately $1,800 to adjusted EBITDA for the purpose of determining availability under the credit facility. The effect of the add back was to increase availability by approximately $5,800 until March 1, 2012. On March 1, 2012, the add back allowance was reduced by $200 and was reduced by $200 on the first day of each month thereafter until the add back was eliminated, which resulted in a reduction in availability of $650 on the first day of each month thereafter until the add back was eliminated. The add-back was eliminated on December 1, 2012. During the second quarter of 2012, the lenders under the Company’s credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides the Company with increased flexibility in meeting this covenant. The credit facility contains customary affirmative, negative and financial covenants with which the Company was in compliance at March 31, 2013.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

The availability of funds under the revolving credit portion of the credit facility, as amended, is based on the lesser of (i) the product of adjusted EBITDA, as defined in the credit agreement facility, agreement, for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55,000 less the outstanding revolving loans and letters of credit. Interest on the revolving line of credit and term loan amounts outstanding under the revolving credit portion of the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest will beon the credit facility is paid monthly on or at the end of the relevant interest period, as determined in accordance with the credit facility agreement. The borrowers will payCompany pays a fee equal to 0.5% per annum of the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit will beare charged at a rate of 2.0% per annum payable monthly. On March 31, 2013 the interest rateThe Company did not have any amounts outstanding on the revolving credit loan facility was 4.8% (30 day LIBOR rate was 0.2%). Theand the total availability under the revolving credit loan facility was $47,590$42,600 as of March 31, 2014 and December 31, 2013.

The credit facility contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The credit facility also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum fixed charge coverage ratio, a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures, as well as restrictions on guarantees, indebtedness, liens, dividends, distributions, investments and loans, subject to customary carve outs, restrictions on the Company’s ability to enter into transactions other than in the ordinary course of business, a restriction on the ability to consummate more than three acquisitions in any calendar year, or for the purchase price of any one acquisition to exceed $500, in each case without the consent of the lenders, restrictions on mergers, transfers of assets, acquisitions, equipment, subsidiaries and affiliate transactions, subject to customary carve outs, and restrictions on fundamental changes and lines of business. The Company was in compliance with all of its credit facility covenants at March 31, 2013 compared to $27,137 at2014 and December 31, 2012.2013.

The Company has received a commitment letter to renew the credit facility for a period of five years on essentially the same terms as the expiring facility. If executed the term of the new facility will expire in November 2, 2019.

7.6. Income Taxes

A reconciliation of the continuing operations statutory federal tax rate of 35% and 34% for the three months ended March 31, 20132014 and 20122013 is summarized as follows:

 

   Three Months Ended
March  31,
 
   2013  2012 

Federal income tax a statutory rate

   35.0  34.0

State and local taxes, net of federal benefit

   6.1    5.9  

Jobs tax credits, net (1)

   (18.9  —    

Nondeductible meals and entertainment, other

   1.8    0.2  
  

 

 

  

 

 

 

Long-term debt

   24.0  40.1
  

 

 

  

 

 

 
   Three Months Ended
March 31,
 
   2014  2013 

Federal income tax at statutory rate

   35.0  35.0

State and local taxes, net of federal benefit

   6.0    6.1  

Jobs tax credits, net(1)

   (6.7  (18.9

Nondeductible meals and entertainment

   0.6    1.8  
  

 

 

  

 

 

 

Effective income tax rate

   34.9  24.0
  

 

 

  

 

 

 

 

(1)

Included in the jobs tax credit for the three months ended March 31, 2013 was a one timeone-time benefit of a 14.7% reduction infrom our statutory tax rate for the jobs tax credits earned in 2012 but not recorded until 2013. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable deduction in 2012.

ADDUS HOMECARE CORPORATION

AND SUBSIDIARIES

Notes to Condensed Consolidated Financial Statements—(Continued)

(amounts and shares in thousands)

(Unaudited)

8.7. Segment Data

The Company has historically segregated its results into two distinct reporting segments: the home & community segment and the home health segment. As a result of the sale of the Home Health Business, the Company has reported the operating results for the Home Health Business in discontinued operations. Therefore, all of the Company’s operations are reported as one operating segment.

9.8. Commitments and Contingencies

Legal Proceedings

The Company is a party to legal and/or administrative proceedings arising in the ordinary course of its business. It is the opinion of management that the outcome of such proceedings will not have a material effect on the Company’s financial position and results of operations.

Indemnification Obligations

Pursuant to the Home Health Purchase Agreement, the Company is obligated to indemnify the purchasers for, among other things, (i) penalties, fines, judgments and settlement amounts arising from a violation of certain specified statutes, including the False Claims Act, the 19 Civil Monetary Penalties Law, the federal Anti-Kickback Statute, the Ethics in Patient Referral Act or any state law equivalent in connection with the operation of the Home Health Business prior to the closing, and (ii) any liability related to the failure of any reimbursement claim submitted to certain government programs for services rendered by the Home Health Business prior to the closing to meet the requirements of such government programs, or any violation prior to the closing of any health care laws. Such liabilities include amounts to be recouped by, or repaid to, such government programs as a result of improperly submitted claims for reimbursement or those discovered as a result of audits by investigative agencies. All services that the Company has provided that have been or may be reimbursed by Medicare are subject to retroactive adjustments and/or total denial of payments received from Medicare under various review and audit provisions included in the program regulations. The review period is generally described as six years from the date the services are provided but could be expanded to ten years under certain circumstances if fraud is found to have existed at the time of original billing. In the event that there are adjustments relating to the period prior to the closing, the Company may be required to reimburse the purchasers or the government for the amount of such adjustments, which could adversely affect the Company’s business and financial condition. The Company has not established a liability reserve for these obligations and at this time cannot determine the probability of requiring the reserve nor the estimated value of such reserve.

Employment Agreements

The Company has entered into employment agreements with certain members of senior management. The terms of these agreements are up to four years and include non-compete and nondisclosure provisions, as well as provide for defined severance payments in the event of termination.

10.9. Significant Payors

A substantial portion of the Company’s net service revenues and accounts receivables are derived from services performed for federal, state and local governmental agencies. One state governmental agency accounted for 59.5%55.1% and 55.1%59.5% of the Company’s net service revenues for the three months ended March 31, 20132014 and 2012,2013, respectively.

The related receivables due from Medicare and the state agency represented 5%0% and 68%64%, respectively, of the Company’s accounts receivable at March 31, 2013,2014, and 7%1% and 69%66%, respectively, of the Company’s accounts receivable at December 31, 2012.2013.

10. Concentration of Cash

Financial instruments that potentially subject the Company to significant concentrations of credit risk consist principally of cash. The Company maintains cash with financial institutions which, at times, may exceed federally insured limits. The Company believes it is not exposed to any significant credit risk on cash.

ITEM 2.MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

You should read the following discussion together with our unaudited condensed consolidated financial statements and the related notes. This discussion contains forward-looking statements about our business and operations. Our actual results may differ materially from those we currently anticipate.

Overview

We are a comprehensive provider of home and community based services, which are primarily social in nature, and are provided in the home, and focused on the dual eligible population. Our services include personal care and assistance with activities of daily living, and adult day care. Our consumers are individuals with special needs who are at risk of hospitalization or institutionalization, such as the elderly, chronically ill and disabled. Our payor clients include federal, state and local governmental agencies, commercial insurers and private individuals. We provide home and community based services through over 96128 locations across 1923 states to over 25,00029,000 consumers.

Effective March 1, 2013, we sold substantially all of the assets used in our home health business (the “HomeHome Health Business”)Business in Arkansas, Nevada and South Carolina, and 90% of the Home Health Business in California and Illinois, to subsidiaries of LHC Group, Inc. (the “Purchasers”)LHCG for a cash purchase price of approximately $20 million. We retained a 10% ownership interest in the Home Health Business in California and Illinois. The assets sold included 19 home health agencies and two hospice agencies in five states. On December 30, 2013 we sold one home health agency in Pennsylvania for $0.2 million. In November 2012, we ceased operations in a home health agency located in Idaho and abandoned efforts to sell this location in December 2013. Through theseour former home health agencies, we previously provided physical, occupational and speech therapy, as well as skilled nursing services, to pediatric, adult infirm and elderly patients. We are also holding as an asset for sale an agency located in Pennsylvania and we closed an agency in Idaho in January 2013. The results of the Home Health Business sold or held for sale are reflected as discontinued operations for all periods presented herein. Continuing operations include the results of operations previously included in our home & community segment and three agencies previously included in our home health segment. Following the sale of the Home Health Business, we manage and internally report our business in one segment.

We believe the sale of the Home Health Business substantially positions us for future growth. The sale allowsgrowth by allowing us to focus both management and financial resources to address changes in the home and community based services industry and to address the needs of managed care organizations as they become responsible for state sponsored programs. We have improved our financial performance by lowering our administrative costscapital structure and liquidity and are concentrating our efforts on the business that is growing and providing all of our profitability and disposing of the business that was unprofitable. We have improved our overall financial position by eliminating our debt and adding substantial amounts in cash reserves to our balance sheet. A summary of our results for the three months ended March 31, 20132014 and 20122013 are provided in the tabletables below:

 

  For the Three Months Ended
March 31,
     For the Three Months Ended
March 31,
 
  2013 2012 Percent Change   2014   2013 

Net service revenues – continuing operations

  $62,998   $58,889    7.0  $71,683    $62,998  

Net service revenues – discontinued operations

   6,476    9,035    (28.3)%    —       6,476  

Net income from continuing operations

   2,687    1,746    53.9   2,354     2,687  

Gain on sale of Home Health Business

   11,111    —      N/A  

Loss from discontinued operations

   (537  (1,117  (51.9
  

 

  

 

  

Earnings from discontinued operations

   —       10,574  

Net income

  $13,261   $629    N/A    $2,354    $13,261  
  

 

  

 

    

 

   

 

 

Total assets

  $162,542    $151,350  

The home and community based services we provide are primarily social in nature and include assistance with bathing, grooming, dressing, personal hygiene and medication reminders, and other activities of daily living. We provide these services on a long-term, continuous basis, with an average duration of approximately 17 months per consumer. Our adult day centers provide a comprehensive program of skilled and support services and designated medical services for adults in a community-based group setting. Services provided by our adult day centers include social activities, transportation services to and from the centers, the provision of meals and snacks, personal care and therapeutic activities such as exercise and cognitive interaction.

We utilize a coordinated care model that is designed to enhance consumer outcomes and satisfaction as well as lower the cost of acute care treatment and reduce service duplication. Through our coordinated care model, we utilize our home care aides to observe and report changes in the condition of our consumers for the purpose of early intervention in the disease process, thereby preventing or reducing the cost of medical services by avoiding emergency room visits, and/or reducing the need of hospitalization. These changes in condition are evaluated by appropriately trained managers and referred to appropriate medical personnel including the primary care physicians and managed care plans for treatment and follow-up. We will coordinate the services provided by our team with those of selected health care agencies. We believe this approach to the provision of care to our consumers and the integration of our services into the broader healthcare industry is particularly attractive to managed care providers and others who are ultimately responsible for the healthcare needs of our consumers and over time will increase our business with them.

Our ability to grow our net service revenues is closely correlated with the number of consumers to whom we provide our services. Our continued growth depends on our ability to maintain our existing payor client relationships, establish relationships with new payors, enter into new contracts and increase our referral sources. Our continued growth is also dependent upon the authorization by state agencies of new consumers to receive our services. We believe there are several market opportunities for growth. The U.S. population of persons aged 65 and older is growing, and the U.S. Census Bureau estimates that this population will more than double by 2050. Additionally, we believe the overwhelming majority of individuals in need of care generally prefer to receive care in their homes or community-based settings. Finally, we believe the provision of home and community based services is more cost-effective than the provision of similar services in an institutional setting for long-term care.

We have historically grown our business primarily through organic growth, complemented with selective acquisitions. Our acquisitions have historically been focused on facilitating entry into new states.

We acquired two home and community based businesses during 2013 and the first quarter of 2014 to further our presence in both existing states and to expand into new states. On November 1, 2013 we acquired two agencies located in South Carolina from the Medi Home Private Care Division of Medical Services of America, Inc. On January 24, 2014, we acquired an additional four agencies located in Tennessee and two agencies located in Ohio from the Medi Home Private Care Division of Medical Services of America, Inc. On December 1, 2013 we acquired the assets of Coordinated Home Health Care, LLC, a personal care business located in New Mexico, which included sixteen offices located in southern New Mexico. The combined purchase price for the foregoing acquisitions was $12.3 million at the close and a maximum of $2.3 million in future cash based on certain performance. The related acquisitions costs were $0.7 million for the Medi Home Private Care Division of Medical Services of America, Inc. and Coordinated Home Health Care, LLC deal.

On July 26, 2010, we entered into an Asset Purchase Agreement (the “Purchase Agreement”), pursuant to which we acquired the operations and certain assets of Advantage Health Systems, Inc., a South Carolina corporation (“Advantage”). Advantage is a provider of home and community based services in South Carolina and Georgia, which expanded our services across 19 states. The total consideration payable pursuant to the Purchase Agreement was $8.3 million, comprised of $5.1 million in cash, common stock consideration with a deemed value of $1.2 million resulting in the issuance of 248,000 common shares, a maximum of $2.0 million in future cash consideration subject to the achievement of certain performance targets set forth in an earn-out agreement and the assumption of certain specified liabilities. In April 2011, we paid the first earn-out payment of $0.5 million to the sellers of Advantage. During the fourth quarter of 2011 we completed a revaluation of the remaining contingent earn-out obligation and recorded a reduction of approximately $0.5 million with a remaining obligation of $0.7 million as of December 31, 2012. The sellers offinal earn-out payment was made to Advantage disagree with our calculation of the second earn-out payment. The dispute has been submitted to an arbitrator and the final payment is expected to be made during the second quarter offor approximately $0.5 million on September 20, 2013.

Business

The results of the Home Health Business sold are reflected as discontinued operations for all periods presented herein. Continuing operations include the results of operations previously included in our home & community segment and three agencies previously included in our home health segment. Following the sale of the Home Health Business, we manage and internally report our business in one segment.

WeAs of March 31, 2014, we provided our home and community based services through over 96in 128 locations across 19 states as of March23 states. For the year ended December 31, 2013, we provided our home and December 31, 2012.community based services in 121 locations across 21 states.

Our payor clients are principally federal, state and local governmental agencies. The federal, state and local programs under which they operate are subject to legislative, budgetary and other risks that can influence reimbursement rates. Our commercial insurance carrier payor clients are typically for profit companies and are continuously seeking opportunities to control costs. We are anticipating a transition of business with government payors to managed care organizations and are seeking to grow our business with them as well as our private duty business.

For the three months ended March 31, 20132014 and 20122013 our payor revenue mix for continuing operations was:

   For the Three Months ended
March 31,
 
   2013  2012 

State, local and other governmental programs

   95.0  95.3

Commercial

   1.1    0.9  

Private duty

   3.9    3.8  
  

 

 

  

 

 

 
   100.0  100.0
  

 

 

  

 

 

 

   Three Months Ended
March 31,
 
   2014  2013 

State, local and other governmental programs

   95.4  95.0

Commercial

   3.9    1.1  

Private duty

   0.7    3.9  
  

 

 

  

 

 

 
   100.0  100.0

We derive a significant amount of our net service revenues from our continuing operations in Illinois, which represented 65.5%61.5% and 61.9%65.5% of our total net service revenues from continuing operations for the three months ended March 31, 20132014 and 2012,2013, respectively.

A significant amount of our net service revenues from continuing operations are derived from one payor client, the Illinois Department on Aging, which accounted for 59.5%55.1% and 55.1%59.5% of our total net service revenues from continuing operations for the three months ended March 31, 20132014 and 2012,2013, respectively.

We also measure the performance of our business using a number of different metrics. We consider billable hours, billable hours per business day, revenues per billable hour and the number of consumers, or census.

On April 2, 2013, the Centers for Medicare and Medicaid Services published final regulations for implementation of the increased Federal Medical Assistance Percentage (“FMAP”) payments for the Medicaid program under the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2012 (collectively, both laws are referred to herein as the “Health Reform Act”). Under the Health Reform Act, the FMAP to states to cover individuals who are “newly eligible” is 100% for calendar years 2014-2016 and gradually decreases by 2020 to 90%. States that already covered individuals who otherwise became eligible for Medicaid under the Health Reform Act (“Expansion States”) will receive a much lower 2.2% FMAP increase. Expansion States will receive the enhanced FMAP payment for those individuals who previously did not qualify for Medicaid. The final rule, among other things, establishes methodologies for states to determine who is newly eligible. Thus, we expect that not all states in which we do business will receive enhanced FMAP payments or substantial enhanced FMAP payments.

Components of our Statements of Operations

Net Service Revenues

We generate net service revenues from continuing operations by providing our services directly to individuals. We receive payment for providing such services from our payor clients, including federal, state and local governmental agencies, commercial insurers and private individuals.

Net service revenues from continuing operations are typically generated based on services rendered and reimbursed on an hourly basis. Our net service revenues from continuing operations were generated principally through reimbursements by state, local and other governmental programs which are partially funded by Medicaid programs, and to a lesser extent from private duty and insurance programs. Net service revenues from continuing operations are principally provided based on authorized hours, determined by the relevant agency, at an hourly rate, which is either contractual or fixed by legislation, and recognized as net service revenues at the time services are rendered.

Cost of Service Revenues

We incur direct care wages, payroll taxes and benefit-related costs from continuing operations in connection with providing our services. We also provide workers’ compensation and general liability coverage for these employees.

Employees are also reimbursed for their travel time and related travel costs.

General and Administrative Expenses

Our general and administrative expenses from continuing operations consist of expenses incurred in connection with our activities and as part of our central administrative functions.

Our general and administrative expenses from continuing operations consist principally of supervisory personnel, care coordination and office administration costs. These expenses include wages, payroll taxes and benefit-related costs; facility rent; operating costs such as utilities, postage, telephone and office expenses; and bad debt expense. We have initiated efforts to centralize administrative tasks currently conducted at the branch locations. The costs related to these initiatives are included in the general and administrative expenses from continuing operations. Other centralized expenses from continuing operations include administrative departments of accounting, information systems, human resources, billing and collections and contract administration, as well as national program coordination efforts for marketing and private duty. These expenses primarily consist of compensation, including stock-based compensation, payroll taxes, and related benefits; legal, accounting and other professional fees; rents and related facility costs; and other operating costs such as software application costs, software implementation costs, travel, general insurance and bank account maintenance fees.

Depreciation and Amortization Expenses

We amortize our intangible assets with finite lives, consisting of customer and referral relationships, trade names, trademarks and non-compete agreements, principally on accelerated methods based upon their estimated useful lives. Depreciable assets consist

principally of furniture and equipment, network administration and telephone equipment, and operating system software. Depreciable and leasehold assets are depreciated or amortized on a straight-line method over their useful lives or, if less and if applicable, their lease terms.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption,of operations as interest income. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received. The state amended its prompt payment interest terms, effective July 1, 2011, which changed the measurement period for outstanding invoices from a 60-day to a 90-day outstanding period. We believe this change in terms will reduce future amounts paid for prompt payment interest.

Interest Expense

Interest expense from continuing operations consists of interest costs on our credit facility and other debt instruments.

Income Tax Expense

All of our income from continuing operations is from domestic sources. We incur state and local taxes in states in which we operate. The differences from the federal statutory rate of 35%35.0% in 2014 and 2013 are principally due to state taxes and the use of federal employment tax credits.

Gain on Sale of the Home Health Business, Net of Tax

Gain on sale of the home health business, net of tax consists of the results of the gain, net of tax we recorded for selling our Home Health Business effective March 1, 2013.

Discontinued Operations

Discontinued operations consists of the results of operations, net of tax for our Home Health Business that was sold effective March 1, 2013 and the results of operations of assets held for sale.an agency in Pennsylvania that was sold on December 30, 2013 and an agency in Idaho that was closed in November 2012.

Results of Operations

Three Months Ended March 31, 20132014 Compared to Three Months Ended March 31, 20122013

The following table sets forth, for the periods indicated, our unaudited consolidated results of operations.

  For the Three Months Ended March 31,     For the Three Months Ended March 31,     
  2013 2012 Change   2014 2013 Change 
  Amount % of
Net Service
Revenues
 Amount % of
Net Service
Revenues
 Amount %   Amount % Of
Net  Service
Revenues
 Amount   % Of
Net Service
Revenues
 Amount % 
  (in thousands, except percentages)   (in thousands, except percentages) 

Net service revenues

  $62,998    100.0 $58,889    100.0 $4,109    7.0  $71,683    100.0 $62,998     100.0 $8,685    13.8

Cost of service revenues

   47,200    74.9    43,865    74.5    3,335    7.6     53,015    74.0    47,200     74.9    5,815    12.3  
  

 

   

 

   

 

    

 

   

 

    

 

  

Gross profit

   15,798    25.1    15,024    25.5    774    5.2     18,668    26.0    15,798     25.1    2,870    18.2  

General and administrative expenses

   11,510    18.3    11,570    19.6    (60  (0.5   14,403    20.1    11,510     18.3    2,893    25.1  

Gain on sale of agency

   —      —      (495  (0.8  495    (100.0

Depreciation and amortization

   546    0.9    631    1.1    (85  (13.5   495    0.7    546     0.9    (51  (9.3
  

 

   

 

   

 

    

 

   

 

    

 

  

Total operating expenses

   12,056    19.1    11,706    19.9    350    3.0     14,898    20.8    12,056     19.1    2,842    23.6  
  

 

   

 

   

 

    

 

   

 

    

 

  

Operating income from continuing operations

   3,742    5.9    3,318    5.6    424    12.8     3,770    5.3    3,742     5.9    28    0.7  

Total interest expense

   208    0.3    404    0.7    (196  (48.5
  

 

   

 

    

 

  

Interest income

   (2  —      —       —      (2 

Interest expense

   156    0.2    208     0.3    (52 
  

 

   

 

    

 

  

Total interest expense, net

   154    0.2    208     0.3    (54  (26.0
  

 

   

 

   

 

    

 

   

 

    

 

  

Income from continuing operations before income taxes

   3,534    5.6    2,914    4.9    620    21.3     3,616    5.0    3,534     5.6    82    2.3  

Income tax expense

   847    1.3    1,168    2.0    (321  (27.5   1,262    1.8    847     1.3    415    49.0  
  

 

   

 

   

 

    

 

   

 

    

 

  

Net income from continuing operations

   2,687    4.3    1,746    3.0    941    53.9     2,354    3.3    2,687     4.3    (333  (12.4
  

 

   

 

   

 

    

 

   

 

    

 

  

Discontinued operations:

               

Loss from home health business, net of tax

   (537  (0.9  (1,117  (1.9  580    (51.9

Gain on sale of the home health business, net of tax

   11,111    17.6    —      —      11,111    *  
  

 

   

 

   

 

  

Net income from discontinued operations

   10,574    16.8    (1,117  (1.9  11,691    *  

Earnings from home health business, net of tax

   —      —      10,574     16.8    (10,574  (100.0
  

 

   

 

   

 

    

 

   

 

    

 

  

Net income

  $13,261    21.0 $629    1.1 $12,632    *  $2,354    3.3 $13,261     21.0 $(10,907  (82.2)% 
  

 

   

 

   

 

    

 

   

 

    

 

  

Business Metrics

               

Average billable census

   25,817     24,525     1,292    5.3   29,497     25,817      3,680    14.3

Billable hours (in thousands)

   3,714     3,470     244    7.0     4,236     3,714      522    14.1  

Average Billable hours per census per month

   48     47     1    2.1     48     48      —      —    

Billable hours per business day

   58,031     53,354     4,677    8.8     67,243     58,031      9,212    15.9  

Revenues per billable hour

  $16.96    $16.97    $(0.01  (0.1)%   $16.92    $16.96     $(0.04  (0.2)% 
        

 

*Percentage information not meaningful

Net service revenues from state, local and other governmental programs accounted for 95.0%95.4% and 95.3%95.0% of net service revenues for the three months ended March 31, 20132014 and 2012,2013, respectively. Private duty and, to a lesser extent, commercial payors accounted for the remainder of net service revenues.

Net service revenues increased $4.1$8.7 million, or 7.0%13.8%, to $63.0$71.7 million for the three months ended March 31, 20132014 compared to $58.9$63.0 million for the same period in 2012.2013. The increase was primarily due to a 5.3%14.3% increase in average billable census, increaseof which 8.0% is same store census growth and a6.3% is related 7.0% increase in billable hours.to acquisitions.

Gross profit, expressed as a percentage of net service revenues, decreasedincreased to 26.0% for the first quarter of 2014, compared to 25.1% for the three months ended March 31, 2013, from 25.5%same period in 2012. This decrease as a percent of revenue of 0.4% is2013. The increase was primarily due to an increase in auto claim expenses, partially offset by an increase in the average billed hours per census per month while leveraging the fixed wage cost for field staff.lower than anticipated worker’s compensation and unemployment tax expense and recent acquisitions providing higher margins.

General and administrative expenses, expressed as a percentage of net service revenues decreasedincreased to 19.1%20.1% for the three months ended March 31, 2013,2014, from 19.9%18.3% for the three months ended March 31, 2012.2013. General and administrative expenses decreasedincreased to $11.5$14.4 million as compared to $11.6$11.5 million for the three months ended March 31, 20132014 and 2012,2013, respectively. The decreaseincrease in general and administrative expenses was due to a decreasean increase in our bad debt expenseacquisition expenses, legal and consulting fees and personnel costs for the three months ended 2013March 31, 2014 as compared to 2012.2013.

Depreciation and amortization, expressed as a percentage of net service revenues, decreased to 0.9% from 1.1%0.7% for the three months ended March 31, 2013 and 2012, respectively.first quarter of 2014, from 0.9% for the same period in 2013. Amortization of intangibles, which are principally amortized using accelerated methods, totaled $0.3 million and $0.4 million for the three months ended March 31, 20132014 and 2012, respectively.2013.

Interest Income

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption, interest income. We received no prompt payment interest for the three months ended March 31, 2014 or 2013. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received. The state amended its prompt payment interest terms, effective July 1, 2011, which changed the measurement period for outstanding invoices from a 60-day to a 90-day outstanding period. We believe this change in terms will reduce future amounts paid for prompt payment interest. We did not receive any prompt payment interest income for the three months ended March 31, 2013 or 2012.

Interest Expense, Net

Interest expense wasremained the same at $0.2 million and $0.4 million for the three months ended March 31, 20132014 and 2012, respectively. Interest expense decreased $0.2 million primarily due to a reduction in outstanding debt.2013.

Income Tax Expense (Benefit)

Our effective tax rates from continuing operations for the three months ended March 31, 2014 and 2013 were 34.9% and 2012 were 24.0% and 40.1%, respectively. The principal difference between the Federal and State statutory rates and our effective tax rate is Federal employment opportunity tax credits. The Federal employment opportunity tax credits were reinstated in 2013 and were not an allowable deduction in 2012.2013.

Discontinued Operations

During the fourth quarter of fiscal year 2012, we announced that we were pursuing strategic alternatives for our Home Health Business, and in FebruaryEffective March 1, 2013, we entered intosold substantially all of the Home Health Purchase Agreement. Following the sale,assets used in our home health business as described in Item 1. Therefore, we have segregated the Home Health Business operating results and presented them separately as discontinued operations for all periods presented (see note 2 –2– “Discontinued Operations” of the Notes to the Consolidated Financial Statements included elsewhere herein).

TheSee table below that depicts the results of discontinued operations.

 

  For the Three Months Ended March 31,     For the Three Months ended March 31, 
  2013 2012 Change   2014 2013 
  Amount % of Net
Service
Revenues
 Amount % of Net
Service
Revenues
 Amount %   Amount   % of  Net
Service
Revenues
 Amount % of  Net
Service
Revenues
 
  (in thousands, except percentages)   (in thousands, except percentages) 

Net service revenues

  $6,476    100.0 $9,035    100.0 $(2,559  (28.3)%   $—       —   $6,476    100.0

Cost of service revenues

   3,713    57.3    5,418    60.0    (1,705  (31.5   —       —      3,713    57.3  
  

 

   

 

   

 

    

 

    

 

  

Gross profit

   2,763    42.7    3,617    40.0    (854  (23.6   —       —      2,763    42.7  

General and administrative expenses

   3,674    56.7    5,461    60.4    (1,787  (32.7   —       —      3,674    56.7  

Depreciation and amortization

   —      —     3    0.0    (3  (100.0
  

 

   

 

   

 

    

 

    

 

  

Operating income (loss) from discontinued operations

   (911  (14.1  (1,847  (20.4  936    (50.7

Operating loss from discontinued operations

   —       —      (911  (14.1
  

 

   

 

   

 

    

 

    

 

  

Income tax (benefit)

   (374  (5.8  (730  (8.1  356    (48.8

Income tax benefit

   —       —      (374  (5.8
  

 

   

 

   

 

    

 

    

 

  

Loss from home health business, net of tax

  $(537  (8.3)%  $(1,117  (12.4)%  $580    (51.9)% 

Net loss from discontinued operations

  $—       —   $(537  (8.3)% 
  

 

   

 

   

 

    

 

    

 

  

No revenues or expenses were recorded for the three month period related to the Home Health Business as the business has wound down. The losses for the three months ended March 31, 2013 were primarily due to reduced sales, higher costs to treat consumers and our inability to reduce fixed general and administrative costs at a rate consistent with revenue declines.

Liquidity and Capital Resources

Overview

Our primary sources of liquidity are cash from operations and borrowings under our credit facility. At March 31, 20132014 and December 31, 2012,2013, we had cash balances of $17.8$17.0 million and $1.7$15.6 million, respectively. The increase in cash balance between

As of March 31 2014 and December 31, 20122013, we had no balances outstanding under the revolving credit portion of our credit facility. After giving effect to the amount drawn on our credit facility, approximately $12.4 million of outstanding letters of credit and borrowing limits based on an advanced multiple of adjusted EBITDA, we had $42.6 million available for borrowing under the credit facility as of March 31, 2013 is primarily attributable to2014 and December 31, 2013.

We used $16.3 million of the cash receivedproceeds from the purchasers for oursale of the Home Health Business and increased collections onto pay down the outstanding accounts receivable which were offset by payments onamount of the revolving credit facility during the first quarter of 2013. In addition, in consideration for our linelender’s consent to the sale of the Home Health Business, we agreed to work in good faith to negotiate an amendment to our credit and term loan.

facility to amend certain provisions of the credit agreement. Cash flows from operating activities represent the inflow of cash from our payor clients and the outflow of cash for payroll and payroll taxes, operating expenses, interest and taxes. Due to its revenue deficiencies and financing issues, the State of Illinois has reimbursed us on a delayed basis with respect to our various agreements including with our largest payor, the Illinois Department on Aging. The open receivable balance from the State of Illinois decreased by $8.0$0.7 million, from $44.4 million as of December 31, 2013 to $45.2$43.7 million as of March 31, 2013 from $53.2 million as of December 31, 2012.2014.

The State of Illinois continues to reimburse us on a delayed basis. These payment delays have adversely impacted, and may further adversely impact our liquidity and may result in the need to increase borrowings under our credit facility. Delayed reimbursements from our other state payors have also contributed to the increase in our receivable balances.

Our credit facility provides a $55.0 million revolving line of credit expiring November 2, 2014, includes a $15.0 million sublimit for the issuance of letters of credit and previously included a $5.0 million term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers’ obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings’ and the borrowers’ current and future tangible and intangible assets, including the shares of stock of the borrowers.

Our credit facility provides (i) maximum aggregate amount of revolving loans available to us of $55.0 million, (ii) maximum senior debt leverage ratio of 3.00 to 1.0 for the twelve (12) month period ending March 31, 2010 and each twelve (12) month period ending on the last day of each fiscal quarter thereafter and (iii) advance multiple of 3.25 used to determine the amount of the borrowing base.

On July 26, 2010, we entered into an amendment to our credit facility, which provided for a new term loan component of the credit facility in the aggregate principal amount of $5,000 with a maturity date of January 5, 2013. The term loan was repaid when due on January 5, 2013.

On July 26, 2011, we entered into another amendment to our credit facility, which modified our maximum senior leverage ratio from 3.00 to 1.00 to 3.25 to 1.00 for each twelve month period ending on the last of day of each fiscal quarter beginning with the twelve month period ended June 30, 2011 and increased the advance multiple used to determine the amount of the borrowing base from 3.0 to 1.0 to 3.25 to 1.0.

During the fourth quarter of 2011, the lenders under our credit facility permitted us to add back approximately $1.8 million to adjusted EBITDA for the purpose of determining availability under the credit facility. The effect of the add back was to increase availability by approximately $5.8 million until March 1, 2012. On March 1, 2012, the add back allowance was reduced by $0.2 million and was reduced by $0.2 million on the first day of each month thereafter until the add back was eliminated, which resulted in a reduction in availability of $0.65 million on the first day of each month thereafter until the add back was eliminated. The add-back was eliminated on December 1, 2012.

During the second quarter of 2012, the lenders under our credit facility agreed to a modified interpretation of the credit facility as it relates to the calculation of the fixed charge ratio, which provides us with increased flexibility in meeting this covenant. The credit facility contains customary affirmative, negative and financial covenants with which we were in compliance at March 31, 2013.

As of March 31, 2013 we had no outstanding amount on our revolving credit facility other than letters of credit. After giving effect to the amount drawn on our credit facility, approximately $7.4 million of outstanding letters of credit, borrowing limits based on an advanced multiple of adjusted EBITDA and the Fourth Amendment, we had $47.6 million available for borrowing under the credit facility as of March 31, 2013. In order to obtain consent from our lender for the sale of the Home Health Business we agreed to work in good faith to negotiate and enter into an amendment to the credit facility to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment.

We believe the available borrowings under our credit facility which, when taken together with existing cash reserves and cash from operations, will be sufficient to cover our working capital needs for at least the next 12 months and provide resources, subject to any necessary lender consent, to enter into and complete select acquisitions. While our growth plan is not dependent on the completion of acquisitions, if we do not have sufficient cash resources or availability under our credit facility, or we are otherwise prohibited from making acquisitions, our growth could be limited unless we obtain additional equity or debt financing or unless we obtain the necessary consents from our lenders.

Cash Flows

The following table summarizes our cash flows for the three months ended March 31, 2013 and 2012:

   Three Months Ended
March 31,
 
   2013  2012 

Net cash provided by (used in) operating activities

  $13,025   $(1,283

Net cash provided by investing activities

   19,480    207  

Net cash (used in) provided by financing activities

   (16,458  375  

Three Months Ended March 31, 2013 Compared to Three Months Ended March 31, 2012

Net cash provided by operating activities was $13.0 million for the three months ended March 31, 2013, compared to cash used in operations of $(1.3) million for the same period in 2012. This increase in cash provided by operations was primarily due to an increase in cash from changes in net working capital and an increase in operating income before depreciation and amortization generated for the three months ended March 31, 2013 as compared to the same period in 2012.

Net cash provided by investing activities was $19.5 million for the three months ended March 31, 2013. Our investing activities for the three months ended March 31, 2013 were $19.7 million in net proceeds received from the sale of the Home Health Business and the purchase of $0.2 million of property and equipment. Our investing activities for the three months ended March 31, 2012 were $0.5 million in net proceeds received for the sale of an agency and $0.3 million in capital expenditures.

Net cash used in financing activities was $16.5 million for the three months ended March 31, 2013 as compared to net cash provided by financing activities $0.4 million for the three months ended March 31, 2012. Our financing activities for the three months ended March 31, 2013 were primarily driven by net payments of $16.2 million on the revolving credit portion of our credit facility, and $0.2 million in payments on our term loan. Our financing activities for the three months ended March 31, 2012 were primarily driven by $2.0 million in borrowings on the revolving credit portion of our credit facility, offset by $1.0 million in payments on subordinated dividend notes, and $0.6 million in payments on our term loan.

Outstanding Accounts Receivable

Outstanding accounts receivable, net of the allowance for doubtful accounts, decreased by $10.7 million as of March 31, 2013 as compared to December 31, 2012. The decrease in accounts receivable is primarily attributable to the consistent payments we received from the State of Illinois during the first quarter of 2013 and to a lesser extent the winding down of our Home Health Business.

We establish our allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. Our provision for doubtful accounts is estimated and recorded primarily by aging receivables utilizing eight aging categories and applying our historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In our evaluation of these estimates, we also consider other factors including: delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, regulatory requirements for submitting Medicare billing including face-to-face and physical therapy documentation, resubmission of bills with required documentation and disputes with specific payors.

Our collection procedures include review of account agings and direct contact with our payors. We have historically not used collection agencies. An uncollectible amount, not governed by amount or aging, is written off to the allowance account only after reasonable collection efforts have been exhausted.

The following tables detail our accounts receivable before reserves by payor category, showing Illinois governmental payors separately, and segment and the related allowance amount at March 31, 2013 and December 31, 2012:

   March 31, 2013 
   0-90 Days  91-180 Days  181-365 Days  Over
365 Days
  Total 
   (in thousands, except percentages) 

Continuing operations

      

Illinois governmental based programs

  $39,098   $3,484   $1,341   $911   $44,834  

Other state, local and other governmental programs

   10,541    888    543    231    12,203  

Private duty and commercial

   1,874    449    214    335    2,872  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   51,513    4,821    2,098    1,477    59,909  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % continuing operations

   86.0  8.0  3.5  2.5 

Discontinued operations

      

Medicare

   2,309    1,050    164    —     3,523  

Other state, local and other governmental programs

   303    41    25    4    373  

Private duty and commercial

   521    192    135    14    862  

Illinois governmental based programs

   125    121    38    50    334  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   3,258    1,404    362    68    5,092  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

  $54,771   $6,225   $2,460   $1,545   $65,001  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % of total

   84.2  9.6  3.8  2.4 

Allowance for doubtful accounts

      $4,361  

Reserve as % of gross accounts receivable

       6.7
   December 31, 2012 
   0-90 Days  91-180 Days  181-365 Days  Over
365 Days
  Total 
   (in thousands, except percentages) 

Continuing operations

      

Illinois governmental based programs

  $38,339   $13,374   $1,076   $126   $52,915  

Other state, local and other governmental programs

   10,248    845    610    329    12,032  

Private duty and commercial

   1,936    360    127    401    2,824  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   50,523    14,579    1,813    856    67,771  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % continuing operations

   74.5  21.5  2.7  1.3 

Discontinued operations

      

Medicare

   4,751    955    188    —     5,894  

Other state, local and other governmental programs

   340    109    58    —     507  

Private duty and commercial

   965    211    164    30    1,370  

Illinois governmental based programs

   128    19    35    45    227  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   6,184    1,294    445    75    7,998  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

  $56,707   $15,873   $2,258   $931   $75,769  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % of total

   74.9  20.9  3.0  1.2 

Allowance for doubtful accounts

      $4,466  

Reserve as % of gross accounts receivable

       5.9

We calculate our continuing operations days sales outstanding (“DSO”) by taking the accounts receivable outstanding net of the allowance for doubtful accounts divided by the total net service revenues for the last quarter, multiplied by the number of days in that quarter. Our DSOs from continuing operations were 81 days and 92 days at March 31, 2013 and December 31, 2012, respectively. The DSOs for our largest payor, the Illinois Department on Aging, at March 31, 2013 and December 31, 2012 were 99 days and 122 days, respectively.

Indebtedness

Credit Facility

Our credit facility provides a $55.0 million revolving line of credit expiring November 2, 2014, and includes a $15.0 million sublimit for the issuance of letters of credit and previously included a $5.0 million term loan that matured and was paid on January 5, 2013. Substantially all of the subsidiaries of Holdings are co-borrowers, and Holdings has guaranteed the borrowers’ obligations under the credit facility. The credit facility is secured by a first priority security interest in all of Holdings’ and the borrowers’ current and future tangible and intangible assets, including the shares of stock of the borrowers.

The availability of funds under the revolving credit portion of the credit facility, as amended, is based on the lesser of (i) the product of adjusted EBITDA, as defined, for the most recent 12-month period for which financial statements have been delivered under the credit facility agreement multiplied by the specified advance multiple, up to 3.25, less the outstanding senior indebtedness and letters of credit, and (ii) $55.0 million less the outstanding revolving loans and letters of credit. Interest on the revolving line of credit and term loan amounts outstanding under the credit facility is payable either at a floating rate equal to the 30-day LIBOR, plus an applicable margin of 4.6% or the LIBOR rate for term periods of one, two, three or six months plus a margin of 4.6%. Interest on the credit facility will beis paid monthly on or at the end of the relevant interest period, as determined in accordance with the credit facility agreement. The borrowers willWe pay a fee equal to 0.5% per annum of the unused portion of the revolving portion of the credit facility. Issued stand-by letters of credit will beare charged at a rate of 2.0% per annum payable monthly. We did not have any amounts outstanding on our credit facility as of March 31, 2014 or December 31, 2013 and the total availability under the revolving credit loan facility was $47.6 million.$42.6 million as of March 31, 2014.

The credit facility contains customary affirmative covenants regarding, among other things, the maintenance of records, compliance with laws, maintenance of permits, maintenance of insurance and property and payment of taxes. The credit facility also contains certain customary financial covenants and negative covenants that, among other things, include a requirement to maintain a minimum fixed charge coverage ratio, a requirement to stay below a maximum senior leverage ratio and a requirement to stay below a maximum permitted amount of capital expenditures, as well as restrictions on guarantees, indebtedness, liens, dividends, distributions, investments and loans, subject to customary carve outs, restrictions on Holdings’ and the borrowers’our ability to enter into transactions other than in the ordinary course of business, a restriction on the ability to consummate more than three acquisitions in any calendar year, or for the purchase price of any one acquisition to exceed $0.5 million, in each case without the consent of the lenders, restrictions on mergers, transfers of assets, acquisitions, equipment, subsidiaries and affiliate transactions, subject to customary carve outs, and restrictions on fundamental changes and lines of business. We were in compliance with all of our credit facility covenants at March 31, 2014 and December 31, 2013.

DuringWe have received a commitment letter to renew our credit facility for a period of five years on essentially the second quartersame terms as the expiring facility. If executed, the term of 2012, the lendersnew facility will expire in November 2019.

While our growth plan is not dependent on the completion of acquisitions, if we do not have sufficient cash resources or availability under our credit facility, agreedor we are otherwise prohibited from making acquisitions, our growth could be limited unless we obtain additional equity or debt financing or unless we obtain the necessary consents from our lenders. We believe the available borrowings under our credit facility which, when taken together with cash from operations, will be sufficient to cover our working capital needs for at least the next 12 months.

Cash Flows

The following table summarizes our cash flows for the three months ended March 31, 2014 and 2013:

   For the Three Months Ended
March 31,
 
   2014  2013 
   in thousands 

Net cash provided by operating activities

  $2,670   $13,025  

Net cash (used in) provided by investing activities

   (1,484  19,480  

Net cash provided by (used in) financing activities

   214    (16,458

Three Months Ended March 31, 2014 Compared to Three Months Ended March 31, 2013

Net cash provided by operating activities was $2.7 million for the three months ended March 31, 2014, compared to cash provided by operations of $13.0 million for the same period in 2013. This decrease in cash provided by operations was primarily due to a modified interpretation ofdecrease in cash from changes in net working capital for the credit facilitythree months ended March 31, 2014 as it relatescompared to the calculationsame period in 2013.

Net cash used in investing activities was $1.5 million for the three months ended March 31, 2014. Our investing activities for the three months ended March 31, 2014 was a purchase of $1.5 million of property and equipment. Our investing activities for the fixed charge ratio, which provides us with increased flexibilitythree months ended March 31, 2013 were $19.5 million in meeting this covenant. In order to obtain consentnet proceeds received from our lender for the sale of the Home Health Business we agreed to work in good faith to negotiate and enter into an amendment to the credit facility to amend certain provisions including a reduction in the maximum revolving loan limit and revolving loan commitment.

Dividend Notes

Prior to the completionpurchase of our IPO, we had 37,750 shares of series A preferred stock issued and outstanding, all of which were converted into shares of our common stock on November 2, 2009. Shares of our series A preferred stock accumulated dividends each quarter at a rate of 10%, compounded annually. We accrued these undeclared dividends because the holders had the option to convert their shares of series A preferred stock into common stock at any time with the accumulated dividends payable in cash or a note payable. Our series A preferred stock was converted into 4,077,000 shares of common stock in connection with the completion of our IPO on November 2, 2009. We paid $0.2 million of property and equipment.

Net cash provided by financing activities was $0.2 million for the $13.1three months ended March 31, 2014 as compared to net used by financing activities of $16.5 million outstanding accumulated dividendsfor the three months ended March 31, 2013. Our financing activities for the three months ended March 31, 2014 were primarily driven by the exercise of employee stock options. Our financing activities for the three months ended March 31, 2013 were primarily driven by net payments of $16.2 million on the revolving credit portion of our credit facility, and $0.2 million in payments on our term loan.

Outstanding Accounts Receivable

Gross accounts receivable as of November 2, 2009 withMarch 31, 2014 and December 31, 2013 was approximately $63.3 and $65.5 million, respectively. Outstanding accounts receivable, net of the remaining $12.9allowance for doubtful accounts, decreased by $2.3 million being converted into 10% junior subordinated promissory notes, whichas of March 31, 2014 as compared to December 31, 2013. The decrease in accounts receivable is primarily attributable to an increase in payments we refer to asreceived from the dividend notes. The dividends notes were subordinated and junior to all obligations under our credit facility. Our dividend notes were repaid in fullState of Illinois during the fourthfirst three months of 2014 and to a lesser extent the winding down of our Home Health Business.

We establish our allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. Our provision for doubtful accounts is estimated and recorded primarily by aging receivables utilizing eight aging categories and applying our historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In our evaluation of these estimates, we also consider other factors including: delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems and resubmission of bills with required documentation and disputes with specific payors.

Our collection procedures include review of account agings and direct contact with our payors. We have historically not used collection agencies. An uncollectible amount, not governed by amount or aging, is written off to the allowance account only after reasonable collection efforts have been exhausted.

The following tables detail our accounts receivable before reserves by payor category, showing Illinois governmental payors separately, and the related allowance amount at March 31, 2014 and December 31, 2013:

   March 31, 2014 
   0-90 Days  91-180 Days  181-365 Days  Over
365 Days
  Total 
   (in thousands, except percentages) 

Continuing Operations

      

Illinois governmental based programs

  $41,388   $990   $618   $ 712   $43,708  

Other state, local and other governmental programs

   13,536    1,423    1,051    83    16,093  

Private duty and commercial

   2,724    370    127    110    3,331  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   57,648    2,783    1,796    905    63,132  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % continuing operations

   91.4  4.4  2.8  1.4 

Medicare

   —      —      120    —      120  

Other state, local and other governmental programs

   —      —      —      —      —    

Private duty and commercial

   —      —      —      —      —    

Illinois governmental based programs

   —      —      —      —      —    
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   —      —      120    —      120  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

  $57,648   $2,783   $1,916   $905   $63,252  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % of total

   91.2  4.4  3.0  1.4 

Allowance for doubtful accounts

      $4,210  

Reserve as % of gross accounts receivable

       6.7
   December 31, 2013 
   0-90 Days  91-180 Days  181-365 Days  Over
365 Days
  Total 
      (in thousands, except percentages)    

Continuing Operations

      

Illinois governmental based programs

  $40,584   $2,912   $430   $ 483   $44,409  

Other state, local and other governmental programs

   14,551    1,659    914    116    17,240  

Private duty and commercial

   2,586    380    142    112    3,220  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   57,721    4,951    1,486    711    64,869  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % continuing operations

   89.0  7.6  2.3  1.1 

Medicare

   —      —      744    —      744  

Other state, local and other governmental programs

   —      —      —      —      —    

Private duty and commercial

   —      —      (119  —      (119

Illinois governmental based programs

   —      —      —      —      —    
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 
   —      —      625    —      625  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Total

  $57,721   $4,951   $2,111   $711   $65,494  
  

 

 

  

 

 

  

 

 

  

 

 

  

 

 

 

Aging % of total

   88.1  7.6  3.2  1.1 

Allowance for doubtful accounts

      $4,140  

Reserve as % of gross accounts receivable

       6.3

We calculate our continuing operations days sales outstanding (“DSO”) by taking the accounts receivable outstanding net of the allowance for doubtful accounts divided by the total net service revenues for the last quarter, multiplied by the number of 2012.days in that quarter. Our DSOs from continuing operations were 79 days and 85 days at March 31, 2014 and December 31, 2013, respectively. The DSOs for our largest payor, the Illinois Department on Aging, at March 31, 2014 and December 31, 2013 were 91 days and 97 days, respectively.

Off-Balance Sheet Arrangements

As of March 31, 2013,2014, we did not have any off-balance sheet guarantees or arrangements with unconsolidated entities.

Critical Accounting Policies and Estimates

The discussion and analysis of our financial condition and results of operations are based on our consolidated financial statements prepared in accordance with accounting principles generally accepted in the United States. The preparation of the financial statements requires us to make estimates and assumptions that affect the reported amounts of assets and liabilities, revenues and

expense and related disclosures. We base our estimates and judgments on historical experience and other sources and factors that we believe to be reasonable under the circumstances; however, actual results may differ from these estimates. We consider the items discussed below to be critical because of their impact on operations and their application requires our judgment and estimates.

Revenue Recognition

The majority of our revenues for the three months ended March 31, 20132014 and 20122013 from continuing operations are derived from Medicaid and Medicaid waiver programs under agreements with various state and local authorities. These agreements provide for a service term from one year to an indefinite term. Services are provided based on authorized hours, determined by the relevant state or local agency, at an hourly rate specified in the agreement or fixed by legislation. Services to other payors, such as private or commercial clients, are provided at negotiated hourly rates and recognized in net service revenues as services are provided. We provide for appropriate allowances for uncollectible amounts at the time the services are rendered.

The Illinois Department on Aging initiated technical changes to the method for reimbursing providers effective May 1, 2013. We estimate that first quarter net service revenues would have been reduced by approximately $0.6 million with no corresponding reduction in the cost of service revenues, if such changes had been in effect beginning January 1, 2013.

Accounts Receivable and Allowance for Doubtful Accounts

We are paid for our services primarily by state and local agencies under Medicaid or Medicaid waiver programs, Medicare, commercial insurance companies and private individuals. While our accounts receivable are uncollateralized, our credit risk is somewhat limited due to the significance of governmental payors to our results of operations. Laws and regulations governing the governmental programs in which we participate are complex and subject to interpretation. Amounts collected may be different than amounts billed due to client eligibility issues, insufficient or incomplete documentation, services at levels other than authorized and other reasons unrelated to credit risk.

Legislation enacted in Illinois entitles designated service program providers to receive a prompt payment interest penalty based on qualifying services approved for payment that remain unpaid after a designated period of time. As the amount and timing of the receipt of these payments are not certain, the interest income is recognized when received and reported in the income statement caption, interest income. We did not receive any prompt payment interest infor the three months ended March 31, 2013 and 2012, respectively.2014 or 2013. While we may be owed additional prompt payment interest, the amount and timing of receipt of such payments remains uncertain and we have determined that we will continue to recognize prompt payment interest income when received.

We establish our allowance for doubtful accounts to the extent it is probable that a portion or all of a particular account will not be collected. Our allowance for doubtful accounts is estimated and recorded primarily by aging receivables utilizing eight aging categories and applying our historical collection rates to each aging category, taking into consideration factors that might impact the use of historical collection rates or payor groups, with certain large payors analyzed separately from other payor groups. In our evaluation of these estimates, we also consider delays in payment trends in individual states due to budget or funding issues, billing conversions related to acquisitions or internal systems, resubmission of bills with required documentation and disputes with specific payors. Historically, we have not experienced any write-off of accounts as a result of a state operating with budget deficits. While we regularly monitor state budget and funding developments for the states in which we operate, we consider losses due to state credit risk on outstanding balances as remote. We believe that our recorded allowance for doubtful accounts is sufficient to cover potential losses; however, actual collections in subsequent periods may require changes to our estimates.

Goodwill and Other Intangible Assets

Our carrying value of goodwill is the residual of the purchase price over the fair value of the net assets acquired from various acquisitions including the acquisition of Addus HealthCare, Inc. (“Addus HealthCare”). InInc, accordance with ASC Topic 350, “Goodwill and Other Intangible Assets ,” goodwill and intangible assets with indefinite useful lives are not amortized. Goodwill and indefinite lived intangible assets are required to be tested for impairment at least annually. We test goodwill for impairment at the reporting unit level on an annual basis, as of October 1, or whenever potential impairment triggers occur, such as a significant change in business climate or regulatory changes that would indicate that an impairment may have occurred. We may use a qualitative test, known as “Step 0” or a two-step quantitative method to determine whether impairment has occurred. We can elect to perform Step-0Step 0 an optional qualitative analysis and based on the results skip the remaining two steps. In 2012,2013, we elected to implement Step 0. The results of our Step 0 assessment indicated that it was more likely than not that the fair value of our reporting unit exceeded its carrying value and therefore we concluded that there were not required to conductno impairments for the remaining two step analysis.

We did not record anyyear ended December 31, 2013. No impairment charges were recorded for the three months ended March 31, 2013 and 2012.2013.

Long-Lived Assets

We review our long-lived assets and indefinitefinite lived intangibles for impairment whenever changes in circumstances indicate that the carrying amount of an asset may not be recoverable. To determine if impairment exists, we compare the estimated future undiscounted cash flows from the related long-lived assets to the net carrying amount of such assets. If the carrying amount of an asset exceeds its estimated future cash flows, an impairment charge is recognized for the amount by which the carrying amount of the asset exceeds the estimated fair value of the asset, generally determined by discounting the estimated future cash flows. No impairments wereimpairment charge was recorded for the year ended December 31, 2013 or the three months ended March 31, 2014.

Indefinite-lived Assets

We also have indefinite-lived assets that are not subject to amortization expense such as certificates of need and licenses to conduct specific operations within geographic markets. Our management has concluded that certificates of need and licenses have indefinite lives, as management has determined that there are no legal, regulatory, contractual, economic or other factors that would limit the useful life of these intangible assets and we intend to renew and operate the certificates of need and licenses indefinitely. The certificates of need and licenses are tested annually for impairment. No impairment was recorded for the year ended December 31, 2013 and 2012.or the three months ended March 31, 2014.

Workers’ Compensation Program

Our workers’ compensation insurance program has a $0.35 million deductible component. We recognize our obligations associated with this program in the period the claim is incurred. The cost of both the claims reported and claims incurred but not reported, up to the deductible, have been accrued based on historical claims experience, industry statistics and an actuarial analysis performed by an independent third party. We monitor our claims quarterly and adjust our reserves accordingly. These costs are recorded primarily in the cost of services caption in the consolidated statement of income.operations. Under the agreement pursuant to which we acquired Addus HealthCare, claims under our workers’ compensation insurance program that relate to December 31, 2005 or earlier are the responsibility of the selling shareholders in the acquisition, subject to certain limitations. In August 2010, the FASB issued Accounting Standards Update No 2010-24, Health Care Entities (Topic 954), “Presentation of Insurance Claims and Related Insurance Recoveries” (“ASU 2010-24”), which clarifies that companies should not net insurance recoveries against a related claim liability. Additionally, the amount of the claim liability should be determined without consideration of insurance recoveries. As of March 31, 20132014 and December 31, 2012,2013, we recorded $1.5$0.3 and $1.0$0.8 million in workers’ compensation insurance recovery receivables and a corresponding increase in its workers’ compensation liability. The workers’ compensation insurance recovery receivable is included in our prepaid expenses and other current assets on the balance sheet.

Income Taxes

We account for income taxes under the provisions of ASC Topic 740, “Accounting for Income Taxes.” The objective of accounting for income taxes is to recognize the amount of taxes payable or refundable for the current year and deferred tax liabilities and assets for the future tax consequences of events that have been recognized in our financial statements or tax returns. Deferred taxes, resulting from differences between the financial and tax basis of our assets and liabilities, are also adjusted for changes in tax rates and tax laws when changes are enacted. ASC 740 also requires that deferred tax assets be reduced by a valuation allowance if it is more likely than not that some portion or all of the deferred tax asset will not be realized. ASC Topic 740, also prescribes a recognition threshold and measurement process for recording in the financial statements uncertain tax positions taken or expected to be taken in a tax return. In addition, ASC Topic 740 provides guidance on derecognition, classification, accounting in interim periods and disclosure requirements for uncertain tax positions.

ITEM 3.QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Historically, we have been exposed to market risk due to fluctuation in interest rates. As of March 31, 2014, we have had no outstanding long-term indebtedness and therefore no current exposure.

ITEM 4.CONTROLS AND PROCEDURES

ITEM 4. CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

Our management, with the participation of our Chief Executive Officer and our Chief Financial Officer, evaluated the effectiveness of our disclosure controls and procedures as of March 31, 2013.2014. The term “disclosure controls and procedures,” as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934, as amended (the “Exchange Act”), means controls and other procedures of a company that are designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act, is recorded, processed, summarized, and reported, within the time periods specified in the SEC’s rules and forms. Disclosure controls and procedures include, without limitation, controls and procedures designed to ensure that information required to be disclosed by a company in the reports that it files or submits under the Exchange Act is accumulated and communicated to the company’s management, including its principal executive and principal financial officers, as appropriate to allow timely decisions regarding required disclosure. Management recognizes that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving their objectives and management necessarily applies its judgment in evaluating the cost-benefit relationship of possible controls and procedures.

Based on the evaluation of our disclosure controls and procedures, as of March 31, 2013,2014, our Chief Executive Officer and Chief Financial Officer concluded that, as of such date, our disclosure controls and procedures were effective.not effective due to the material weaknesses identified in Management’s Annual Report on Internal Control Over Financial Reporting, which have not been completely remediated. We had one material weakness in information technology controls due to an aggregation of deficiencies relating to segregation of duties, user access, and change management controls in key information technology systems. We had a second material weakness in payroll processes due to an aggregation of deficiencies relating to the information technology deficiencies described above, ineffective controls over payroll changes, and ineffective review and monitoring controls. To remediate these material weaknesses, we have engaged an expert consultant in information technology controls to assist in improving the design and effectiveness of controls in this area. In addition, we are redesigning human resources and payroll process controls that will remediate deficiencies identified in payroll in advance of the implementation of a comprehensive payroll and human resources information system.

In light of the material weaknesses, we performed additional analysis and other post-closing procedures to ensure that our financial statements were prepared in accordance with generally accepted accounting principles. Accordingly, we believe that the financial statements included in this report fairly present, in all material respects, our financial condition, results of operations, changes in shareholder’s equity and cash flows for the periods presented.

Changes in Internal Control overOver Financial Reporting

There was no change in our internal control over financial reporting identified in connection with the evaluation required by Rule 13a-15(d) and 15d-15(d) of the Exchange Act that occurred during the period covered by this report that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Given We have engaged an expert consultant in information technology controls to assist in improving the recent increasedesign and effectiveness of controls in our share price, it is likelythis area. In addition, we are redesigning human resources and payroll process controls that we will be required to comply with Section 404remediate deficiencies identified in payroll in advance of the Sarbanes-Oxley Act during 2013.implementation of a comprehensive payroll and human resources information system.

PART II – OTHER INFORMATION

Item 1.Legal Proceedings

Item 1. Legal Proceedings

Legal Proceedings

The Company is a party to legal and/or administrative proceedings arising in the ordinary course of its business. It is the opinion of management that the outcome of such proceedings will not have a material effect on the Company’s financial position and results of operations.

Item 1A.Risk Factors

Item 1A. Risk Factors

Investing in our common stock involves a high degree of risk. In addition to the other information set forth in this quarterly report on Form 10-Q, you should carefully consider the risk factors discussed under the caption “Risk Factors” set forth in Part I, Item 1A, of our Annual Report on Form 10-K for the year ended December 31, 2012. Except as set forth below, there2013. There have been no material changes to the risk factors previously disclosed under the caption “Risk Factors” in our Annual Report on Form 10-K. Additional risks and uncertainties not currently known to us or that we currently deem to be immaterial also may materially adversely affect our business, financial condition or operating results.

Changes to Medicaid, Medicaid waiver or other state and local medical and social programs could adversely affect our net service revenues and profitability.

For the year ended December 31, 2012, we derived approximately 95% of our net service revenues from continuing operations from agreements that are directly or indirectly paid for by state and local governmental agencies, such as Medicaid funded programs and Medicaid waiver programs. Governmental agencies generally condition their agreements with us upon a sufficient budgetary appropriation. If a governmental agency does not receive an appropriation sufficient to cover its contractual obligations with us, it may terminate an agreement or defer or reduce the amount of the reimbursement we receive. Almost all the states in which we operate are facing budgetary shortfalls due to the current economic downturn and the rising costs of health care, and as a result, have made, are considering or may consider making changes in their Medicaid, Medicaid waiver or other state and local medical and social programs. The Deficit Reduction Act of 2005 permits states to make benefit cuts to their Medicaid programs, which could affect the services for which states contract with us. Changes that states have made or may consider making to address their budget deficits include:

limiting increases in, or decreasing, reimbursement rates;

redefining eligibility standards or coverage criteria for social and medical programs or the receipt of home and community based services under those programs;

increasing the consumer’s share of costs or co-payment requirements;

decreasing the number of authorized hours for recipients;

slowing payments to providers;

increasing utilization of self-directed care alternatives or “all inclusive” programs; or

shifting beneficiaries to managed care programs.

Certain of these measures have been implemented by, or are proposed in, states in which we operate. For example, California has considered a number of proposals, including potential changes in eligibility standards or hours utilization and Illinois has delayed payments to providers. In 2012, we derived approximately 64% of our total net service revenues from continuing operations from services provided in Illinois, 7% of our total net service revenues from continuing operations from services provided in California and 7% of our total net service revenues from continuing operations from services provided in Washington. Because a substantial portion of our business is concentrated in these states, any significant reduction in expenditures that pay for our services in these states and other states in which we do business may have a disproportionately negative impact on our future operating results. Provisions in the Health Reform Act increase eligibility for Medicaid, which may cause a reallocation of Medicaid funding. It is difficult to predict at this time what the effect of these changes would be on our business. If changes in Medicaid policy result in a reduction in available funds for the services we offer, our net service revenues could be negatively impacted.

Further, in an effort to control escalating Medicaid costs, states are increasingly requiring Medicaid beneficiaries to enroll in managed care plans. Under a health reform bill signed into law in January 2012, Illinois set a goal to increase the percentage of Medicaid beneficiaries in Medicaid managed care plans from the current 8% to 50% by 2015. The difficulty of getting healthcare providers to agree to sign up for the plans, however, has proved to be a stumbling block to managed care enrollment. States are also increasingly requiring Medicaid beneficiaries to work with case managers.

On April 2, 2013, the Centers for Medicare and Medicaid Services published final regulations for implementation of the increased FMAP payments for the Medicaid program under the Health Reform Act. Under the Health Reform Act, the FMAP to states to cover individuals who are “newly eligible” is 100% for calendar years 2014-2016 and gradually decreases by 2020 to 90%. Expansion States will receive a much lower 2.2% FMAP increase. Expansion States will receive the enhanced FMAP payment for those individuals who previously did not qualify for Medicaid. The final rule, among other things, establishes methodologies for states to determine who is newly eligible. Thus, we expect that not all states in which we do business will receive enhanced FMAP payments or substantial enhanced FMAP payments. We are not able at this time to determine the impact these changes will have on our business.

The Governor of Illinois has reported that state revenue is not sufficient to keep up with pension and Medicaid obligations. On February 22, 2012, the Governor of Illinois released his proposed budget for fiscal year 2013. He called for a $2.7 billion cut to the state’s $14 billion Medicaid program. Options to reach that goal include rate reduction and reform, eliminating some services, implementing utilization controls, and restricting Medicaid eligibility so that fewer people can qualify. On March 7, 2013 the Illinois Department on Aging released a letter to all providers notifying them that it was projecting it would run out of appropriations for home and community based services by March 15, 2013. We were notified shortly thereafter that substantially all billings for our services beginning on March 1, 2013 would be held for approval pending additional appropriations. While there are bills drafted to provide supplemental appropriation to the Illinois Department on Aging, those bills have not been introduced. The Governor’s budget for fiscal year 2014 was introduced on March 6, 2013 and included funding for the Illinois Department on Aging. It is not clear whether fiscal year 2013 bills will be payable with fiscal year 2014 appropriations. Absent passage of the supplemental appropriation or approval of the fiscal year 2014 budget by the General Assembly, we are at risk of not being reimbursed for services provided from March 1, 2013 through June 30, 2013. Because a substantial portion of our business is concentrated in these programs, any significant reduction in expenditures that pay for our services would have a disproportionately negative impact on our future operating results.

In February 2012, CMS agreed to allow Illinois to move forward on at least one of two efforts to combat Medicaid fraud. In January 2013, Illinois began a program to verify annually the income and residency of Medicaid beneficiaries. If Illinois identifies non-resident Medicaid beneficiaries and removes them from the Medicaid rolls or prevents non-resident individuals from becoming Medicaid beneficiaries, or if Illinois identifies Medicaid applicants or Medicaid beneficiaries who do not meet income requirements and prevents them from becoming Medicaid beneficiaries or removes beneficiaries from the Medicaid rolls, the number of consumers we serve in Illinois could be reduced, which could negatively affect our business and results of operations.

The federal government implemented in March 2013 certain budgetary reductions commonly known as sequestration. Reimbursement or authorizations for services under our programs with federal and state contracts may be reduced as a result of these actions, which could negatively impact our business and the results of operations.

Item 2.Unregistered Sales of Equity Securities and Use of Proceeds

None

Item 5.Other Information

None

Item 6. Exhibits

Item 6.Exhibits

 

3.1  Amended and Restated Certificate of Incorporation of the Company dated as of November 2, 2009 (filed on November 20, 2009 as Exhibit 3.1 to the Company’s Quarterly Report on Form 10-Q and incorporated by reference herein)
3.2  Amended and Restated Bylaws of the Company, as amended by the First Amendment to the Amended and Restated Bylaws*Bylaws (filed on May 9, 2013 as Exhibit 3.2 to the Company’s Quarterly Report on Form 10-Q and incorporated by reference herein)
4.1  Form of Common Stock Certificate (filed on October 2, 2009 as Exhibit 4.1 to Amendment No. 4 to the Company’s Registration Statement on Form S-1 and incorporated by reference herein)
10.1Asset Purchase Agreement, dated as of February 7, 2013, by and among Addus HealthCare, Inc., its subsidiaries identified therein, LHC Group, Inc. and its subsidiaries identified therein (filed on March 6, 2013 as Exhibit 99.1 to the Company’s Current Report on Form 8-K)
31.1  Certification of Chief Executive Officer Pursuant to Rule 13-14(a)13a-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
31.2  Certification of Chief Financial Officer Pursuant to Rule 13-14(a)13a-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
32.1  Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
32.2  Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
101  Financial statements from the quarterly report on Form 10-Q of Addus HomeCare Corporation for the quarter ended September 30, 2012,March 31, 2014, filed on November 1, 2012,May 7, 2014, formatted in XBRL: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Income, (iii) Consolidated Statements of Stockholders’ Equity, (iv) Consolidated Statements of Cash Flows, and (v) the Notes to Condensed Consolidated Financial Statements, tagged as blocks of text.Statements.

 

*Filed herewith
**Furnished herewith

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.

 

  ADDUS HOMECARE CORPORATION
Date: May 9, 20137, 2014 By: 

/S/ MARKMARK S. HEANEYHEANEY

  

Mark S. Heaney

President and Chief Executive Officer

(As Principal Executive Officer)

Date: May 9, 20137, 2014 By: 

/S/ DENNISDENNIS B. MEULEMANSMEULEMANS

  

Dennis B. Meulemans

Chief Financial Officer

(As Principal Financial Officer)

Item 6.Exhibits

Exhibits

 

3.1  Amended and Restated Certificate of Incorporation of the Company dated as of November 2, 2009 (filed on November 20, 2009 as Exhibit 3.1 to the Company’s Quarterly Report on Form 10-Q and incorporated by reference herein)
3.2  Amended and Restated Bylaws of the Company, as amended by the First Amendment to the Amended and Restated Bylaws*Bylaws (filed on May 9, 2013 as Exhibit 3.2 to the Company’s Quarterly Report on Form 10-Q and incorporated by reference herein)
4.1  Form of Common Stock Certificate (filed on October 2, 2009 as Exhibit 4.1 to Amendment No. 4 to the Company’s Registration Statement on Form S-1 and incorporated by reference herein)
10.1Asset Purchase Agreement, dated as of February 7, 2013, by and among Addus HealthCare, Inc., its subsidiaries identified therein, LHC Group, Inc. and its subsidiaries identified therein (filed on March 6, 2013 as Exhibit 99.1 to the Company’s Current Report on Form 8-K)
31.1  Certification of Chief Executive Officer Pursuant to Rule 13-14(a)13a-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
31.2  Certification of Chief Financial Officer Pursuant to Rule 13-14(a)13a-14(a) of the Securities Exchange Act of 1934 as Adopted Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002*
32.1  Certification of Chief Executive Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
32.2  Certification of Chief Financial Officer Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002**
101  Financial statements from the quarterly report on Form 10-Q of Addus HomeCare Corporation for the quarter ended September 30, 2012,March 31, 2014, filed on November 1, 2012,May 7, 2014, formatted in XBRL: (i) Consolidated Balance Sheets, (ii) Consolidated Statements of Income, (iii) Consolidated Statements of Stockholders’ Equity, (iv) Consolidated Statements of Cash Flows, and (v) the Notes to Condensed Consolidated Financial Statements, tagged as blocks of text.Statements.

 

*Filed herewith
**Furnished herewith

 

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