Exhibit 99.2
HEALTHCARE HORIZONS, INC. AND SUBSIDIARIES
Unaudited Consolidated Financial Statements
Six Months Ended June 30, 2004 and 2003
HEALTHCARE HORIZONS, INC.
CONSOLIDATED BALANCE SHEETS
(dollars in thousands)
June 30, 2004
(Unaudited)
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Assets | | | |
Current assets | | | |
Cash and cash equivalents | | $ | 28,159 |
Investment securities | | | 10,617 |
Premium receivables, net of allowance for doubtful accounts of $6 | | | 6,255 |
Provider receivables, net of allowance for doubtful accounts of $382 | | | 395 |
Reinsurance claims receivable | | | 465 |
Other receivables | | | 1,380 |
Prepaid expenses | | | 903 |
Deferred tax asset | | | — |
Other | | | 100 |
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Total current assets | | | 48,274 |
Other assets: | | | |
Investment securities, restricted | | | 7,785 |
Property, plant & equipment, at cost, net of accumulated depreciation and amortization of $3,971 | | | 1,507 |
Goodwill, net | | | 7,321 |
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Total other assets | | | 16,613 |
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Total assets | | $ | 64,887 |
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Liabilities and Stockholders’ Equity | | | |
Current liabilities: | | | |
Healthcare services payable | | $ | 28,497 |
Accrued claim adjustment expense | | | 627 |
Premium tax payable | | | 978 |
Provider incentives payable | | | 28 |
Accrued expenses | | | 2,361 |
Accounts payable | | | 144 |
Current installments of long-term debt | | | 1,544 |
Current capitalized leases payable | | | 149 |
Income taxes payable | | | 1,318 |
Accrued compensation | | | 1,904 |
Unearned premiums | | | 687 |
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Total current liabilities | | | 38,237 |
Long-term debt, excluding current installments | | | 4,275 |
Long-term capitalized leases payable, excluding current portion | | | 517 |
Deferred tax liability | | | 476 |
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Total liabilities | | | 43,505 |
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Shareholders’ equity: | | | |
Common stock, voting $0.01 par value; authorized 5,000,000 shares, issued and outstanding 374,157 shares | | | 4 |
Additional paid-in capital | | | 4,734 |
Retained earnings | | | 16,644 |
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Total shareholders’ equity | | | 21,382 |
Commitments and contingencies | | | |
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Total liabilities and stockholders’ equity | | $ | 64,887 |
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See accompanying notes.
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HEALTHCARE HORIZONS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(amounts in thousands)
Six Months Ended June 30, 2004 and 2003
(Unaudited)
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| | 2004
| | | 2003
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Operating Revenue: | | | | | | | | |
Premiums earned | | $ | 179,178 | | | $ | 165,965 | |
Third party administration revenue | | | 838 | | | | 814 | |
Commissions and other operating revenue | | | 128 | | | | 182 | |
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Total operating revenue | | | 180,144 | | | | 166,961 | |
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Operating Expenses: | | | | | | | | |
Healthcare services and claims | | | 156,332 | | | | 142,730 | |
Salaries and benefits | | | 8,519 | | | | 8,640 | |
General and administrative | | | 10,216 | | | | 10,152 | |
Depreciation | | | 287 | | | | 234 | |
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Total operating expenses | | | 175,354 | | | | 161,756 | |
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Operating income | | | 4,790 | | | | 5,205 | |
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Other income (expense): | | | | | | | | |
Gain on sale of warrant to purchase common stock | | | 1,000 | | | | — | |
Interest expense | | | (137 | ) | | | (284 | ) |
Interest income | | | 201 | | | | 248 | |
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Total other income (expense) | | | 1,064 | | | | (36 | ) |
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Income before income taxes | | | 5,854 | | | | 5,169 | |
Income tax expense | | | (2,827 | ) | | | (1,975 | ) |
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Net income | | $ | 3,027 | | | $ | 3,194 | |
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See accompanying notes.
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HEALTHCARE HORIZONS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(dollars in thousands)
Six Months Ended June 30, 2004 and 2003
(Unaudited)
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| | 2004
| | | 2003
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Cash flows from operating activities | | | | | | | | |
Net income | | $ | 3,027 | | | $ | 3,194 | |
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Adjustments to reconcile net income to net cash used for operating activities: | | | | | | | | |
Depreciation and amortization | | | 287 | | | | 234 | |
Deferred taxes | | | 656 | | | | 253 | |
Provision of uncollectible accounts | | | 45 | | | | 20 | |
Change in assets and liabilities: | | | | | | | | |
Premiums receivable | | | (215 | ) | | | (1,724 | ) |
Provider receivables | | | 731 | | | | (317 | ) |
Reinsurance receivables | | | 271 | | | | (413 | ) |
Other receivables | | | (503 | ) | | | (259 | ) |
Prepaid expenses and other assets | | | 16 | | | | (663 | ) |
Healthcare services payable and accrued claim adjustment expenses | | | 297 | | | | (13,169 | ) |
Provider incentives payable | | | (1,865 | ) | | | (137 | ) |
Accounts payable, accrued expenses and premium taxes payable | | | (2,670 | ) | | | (1,146 | ) |
Income taxes payable | | | (1,144 | ) | | | 247 | |
Other liabilities | | | 212 | | | | (695 | ) |
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Total adjustments | | | (3,882 | ) | | | (17,769 | ) |
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Net cash used in operating activities | | | (855 | ) | | | (14,575 | ) |
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Cash flows from Investing activities | | | | | | | | |
(Purchase) sale of other investments | | | (658 | ) | | | (7,049 | ) |
(Purchases) sale of restricted assets | | | (76 | ) | | | (54 | ) |
Purchase of property, plant and equipment, net | | | (256 | ) | | | (643 | ) |
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Net cash used in investing activities | | | (990 | ) | | | (7,746 | ) |
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Cash flows from financing activities | | | | | | | | |
Repayment of long-term debt and capital lease obligations | | | (1,170 | ) | | | (1,163 | ) |
Proceeds from issuance of common stock | | | — | | | | 187 | |
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Net cash used in financing activities | | | (1,170 | ) | | | (976 | ) |
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Net decrease in cash and cash equivalents | | | (3,015 | ) | | | (23,297 | ) |
Cash and cash equivalents at beginning of period | | | 31,174 | | | | 32,720 | |
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Cash and cash equivalents at end of period | | $ | 28,159 | | | $ | 9,423 | |
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Supplemental cash flow information | | | | | | | | |
Cash paid for interest | | $ | 137 | | | $ | 284 | |
Cash paid for taxes | | $ | 3,258 | | | $ | 1,475 | |
Non cash financing activities: | | | | | | | | |
Property, plant and equipment acquired under capital leases | | $ | — | | | $ | 796 | |
See accompanying notes.
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HEALTHCARE HORIZONS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
(dollars in thousands)
June 30, 2004
(Unaudited)
1. The Reporting Entity
Healthcare Horizons, Inc. (the Company or HCH) provides services to managed healthcare organizations for the development, operation and management of healthcare delivery systems. The Company’s wholly-owned subsidiaries are HCH Administration (HCHA) and Cimarron Health Plan (CHP). HCHA provides third-party administration (TPA) services for both the self-insured and fully insured markets. CHP is a licensed health maintenance organization (HMO) in New Mexico.
2. Basis of Presentation
The unaudited consolidated financial statements have been prepared under the assumption that users of the financial data have either read or have access to our audited consolidated financial statements for the latest fiscal year ended December 31, 2003. Accordingly, certain note disclosures that would substantially duplicate the disclosures contained in the December 31, 2003 audited financial statements have been omitted. These unaudited consolidated interim financial statements should be read in conjunction with our December 31, 2003 audited financial statements included elsewhere in this Report on Form 8-K/A.
The consolidated financial statements include the accounts of the Company and all majority owned subsidiaries. In the opinion of management, all adjustments considered necessary for a fair presentation of the results as of the date and for the interim periods presented, which consist solely of normal recurring adjustments, have been included. All significant inter-company balances and transactions have been eliminated in consolidation. The consolidated results of operations presented for the interim periods are not necessarily indicative of the results for a full year.
3. Stock-Based Compensation
We account for stock-based compensation under the recognition and measurement principles (the intrinsic-value method) prescribed in Accounting Principles Board (APB) Opinion No. 25,Accounting for Stock Issued to Employees, and related interpretations. Compensation cost for stock options is reflected in net income and is measured as the excess of the market price of the Company’s stock at the date of grant over the amount an employee must pay to acquire the stock. We have adopted the disclosure provisions required by SFAS No. 148,Accounting for Stock-Based Compensation—Transition and Disclosure.
The following table illustrates the effect on net income and earnings per share as if we had applied the fair value recognition provisions to stock-based employee compensation permitted by SFAS No. 148 for the six months ended June 30, 2004 and 2003:
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| | 2004
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Net income, as reported | | $ | 3,027 | | | $ | 3,194 | |
Reconciling items (net of related tax effects): | | | | | | | | |
Add: Stock-based employee compensation expense determined under the intrinsic-value based method for all awards | | | — | | | | — | |
Deduct: Stock-based employee compensation expense determined under the fair-value based method for all awards | | | (4 | ) | | | (4 | ) |
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Net adjustment | | | (4 | ) | | | (4 | ) |
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Net income, as adjusted | | $ | 3,023 | | | $ | 3,190 | |
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HEALTHCARE HORIZONS, INC.
Health Care Services Payable
The following table shows the components of the change in healthcare services and provider incentives payable for the six months ended June 30, 2004 and 2003:
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| | 2004
| | | 2003
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Balances at beginning of period | | $ | 30,054 | | | $ | 35,979 | |
Components of medical care costs related to | | | | |
Current year | | | 157,174 | | | | 144,277 | |
Prior years | | | (842 | ) | | | (1,547 | ) |
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Total medical care costs | | | 156,332 | | | | 142,730 | |
Payments for medical care costs related to: | | | | |
Current year | | | 130,071 | | | | 122,664 | |
Prior years | | | 27,790 | | | | 32,985 | |
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Total paid | | | 157,861 | | | | 155,649 | |
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Balances at end of period | | $ | 28,525 | | | $ | 23,060 | |
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5. Gain on Sale of Warrants to Purchase Common Stock
The gain on sale of warrants to purchase common stock for the six months ended June 30, 2004 represents $1,000 of income recorded upon the sale of certain warrants for the purchase of the common stock of an unaffiliated entity.
6. Income Tax Expense
Income tax expense for the six months ended June 30, 2004 was increased by the write off of approximately $532 in deferred tax assets resulting from an analysis of the Company’s deferred tax and net operating loss carry forward positions as of June 30, 2004.
7. Commitments and Contingencies
Commitments
During 2001, we modified an agreement with the University of New Mexico Hospital (UNMH) under which we provide certain administrative services to UNMH. In connection with the modification, UNMH prepaid annual contract fees of $450,000 to us and deferred a scheduled fee increase beyond its normally expected effective date. In return, we agreed to pay a sum (the Change Payment) to UNMH in the event of certain events occurring before June 27, 2007. Those events were a change in control of the Company, a sale of all or substantially all of our assets or the assets of CHP, or a merger into another entity where the Company is not the survivor (a Corporate Transaction). The Change Payment would be equal to $1,800 in the event of a change in control; or 7% of the fair market value of consideration received by HCH or its shareholders, not less than $1,200 and not to exceed $5,000, in the event of a Corporate Transaction. No amounts have been recorded in the consolidated financial statements for this contingent liability. In July 2004, a liability arose and was settled pursuant to this agreement as a result of the closing of our merger agreement with Molina Healthcare, Inc. See Note 8.
Legal
We have been named in a lawsuit certified as a class action by a group of pharmacies claiming that the pharmacies are entitled under New Mexico law to reimbursement rates in excess of those paid by our contracted pharmacy benefit managers. The amounts claimed are significant. Though it is reasonably possible that we may eventually be found liable for some amount of the plaintiff’s claims, we contend, based on consultation with legal counsel, that we are not liable for such reimbursement. We have not contracted directly with the plaintiffs, but have instead contracted with pharmacy benefit managers who in turn contract with the pharmacies. We are vigorously contesting these claims and are currently unable to estimate the amount of our future liability, if any.
We are involved in other legal actions in the ordinary course of business. These actions, when finally concluded and determined, will not, in the opinion of management, have a material adverse effect on our consolidated financial position, results of operations or cash flows.
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HEALTHCARE HORIZONS, INC.
Regulatory Capital and Dividend Restrictions
At June 30, 2004 CHP was required to maintain a net worth as defined of approximately $16,132 and was in compliance with such requirement. Currently, the New Mexico insurance statutes require that CHP maintain a defined minimum net worth. The statutes do not require compliance with the risk-based capital (RBC) standards established by the National Association of Insurance Commissioners. Such requirements, if adopted by New Mexico, may increase the minimum capital required of CHP.
Without prior approval of the New Mexico Department of Insurance, dividends from CHP to the Company are limited by the laws of the State of New Mexico to an amount that is based on restrictions relating to statutory surplus. No dividends were paid by CHP to the Company during the six months ended June 30, 2004 and 2003.
8. Subsequent Events
On February 23, 2004 the Company announced that it had entered into an agreement and plan of merger with Molina Healthcare, Inc. (MHI) of Long Beach, California in which MHI would acquire all of the outstanding common stock of the Company in a cash transaction. That transaction closed on July 1, 2004. The acquisition was effected in accordance with the Agreement and Plan of Merger dated as of February 23, 2004, by and among the Company, Molina Healthcare, Inc., a Delaware corporation, Molina NM Acquisition Corp., a Delaware corporation, and the Company’s principal shareholders. Under the terms of the merger agreement, Molina NM Acquisition Corp. merged into Health Care Horizons, with Health Care Horizons as the surviving corporation.
The consideration for the merger was $69,660, subject to adjustments. At the close of the acquisition, MHI extinguished $5,800 of Health Care Horizons bank debt. As of the effective time of the merger, each share of the Company’s common stock was converted into the right to receive in cash the merger consideration (as defined in the merger agreement), divided by the number of shares of the Company’s common stock outstanding as of the closing. All of the outstanding common stock of Molina NM Acquisition Corp. was converted into 100 shares of Health Care Horizons common stock. Effective as of August 1, 2004, CHP changed its name to Molina Healthcare of New Mexico, Inc.
Upon closing of the transaction, the contingent liability described in Note 7 became due and payable. The liability was extinguished by the payment of $4,243 by the shareholders of the Company (the Shareholders) from the proceeds received upon the sale of the Company.
On May 12, 2004 the Company and MHI announced that they had reached a definitive agreement to transfer the Company’s commercial membership to Lovelace Sandia Health System, Inc. (Lovelace) following the consummation of the purchase of the Company by MHI. Effective August 1, 2004 the Company transferred its commercial membership to Lovelace in accordance with the terms of the agreement, receiving $13,977 in cash. MHI also incurred $265 in direct transaction costs. The Company will receive additional cash proceeds for each member who transferred to Lovelace between May 3, 2004 and July 31, 2004. In connection with the transfer of Federal employees to buyer under the Federal Employee Health Benefits Program Contract, the Company could receive additional consideration up to $2,325 should the United States Office of Personnel Management (OPM) consent to the Divestiture Transaction prior to October 31, 2004. If such consent is obtained after October 31, 2004, the Company will receive no compensation.
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