UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-K
(Mark One)
[X] | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2005 |
or
[ ] | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE TRANSITION PERIOD FROM TO .
Commission File Number 0-13591
HEALTHAXIS INC.
(Exact name of Registrant as specified in its charter)
Pennsylvania | 7301 N. State Highway 161, Suite 300 Irving, Texas 75039 | 23-2214195 | ||||||||
(State or other jurisdiction of incorporation or organization) | (Address of principal executive offices including zip code) | (I.R.S. Employer Identification Number) | ||||||||
(972) 443-5000 | ||||||||||
(Registrant’s telephone number, including area code) |
Securities registered pursuant to Section 12(b) of the Act:
Title of each class | Name of each exchange on which registered | |||||
None | None |
Securities registered pursuant to Section 12(g) of the Act:
Common Stock, $.10 Par Value
Title of Class
Common Stock, $.10 Par Value
Title of Class
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act Yes [ ] No [X]
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act. Yes [ ] No [X]
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 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 if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the Registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendments to this Form 10-K: [ ]
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
Large accelerated filer [ ] Accelerated Filer [ ] Non-accelerated filer [X]
Large accelerated filer [ ] Accelerated Filer [ ] Non-accelerated filer [X]
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act). Yes [ ] No [X]
The aggregate market value of the voting stock held by non-affiliates of the Registrant was approximately $6,574,428 computed by reference to the price at which the common equity was last sold, or the average bid and ask price of such common equity, as of the last business day of the registrant’s most recently completed second fiscal quarter. Shares of the Common Stock held by each officer and director and by each person who owns 5% or more of the outstanding Common Stock have been excluded in that such persons may be deemed to be affiliates. This determination of affiliate status is not necessarily a conclusive determination for other purposes.
As of March 10, 2006, the Registrant had 6,088,855 shares of Common Stock outstanding.
DOCUMENTS INCORPORATED BY REFERENCE
The information required by Part III is incorporated by reference from the Registrant’s definitive proxy statement to be filed with the Commission pursuant to Regulation 14A not later than 120 days after the end of the fiscal year covered by this report.
Healthaxis Inc.
Table of Contents
Table of Contents
Page | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
PART I | ||||||||||
Item 1. | Business | 1 | ||||||||
Item 1A. | Risk Factors | 9 | ||||||||
Item 1B. | Unresolved Staff Comments | 17 | ||||||||
Item 2. | Properties | 17 | ||||||||
Item 3. | Legal Proceedings | 17 | ||||||||
Item 4. | Submission of Matters to a Vote of Security Holders | 17 | ||||||||
PART II | ||||||||||
Item 5. | Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities | 18 | ||||||||
Item 6. | Selected Financial Data | 19 | ||||||||
Item 7. | Management’s Discussion and Analysis of Financial Condition and Results of Operation | 20 | ||||||||
Item 7A. | Quantitative and Qualitative Disclosures About Market Risk | 30 | ||||||||
Item 8. | Financial Statements and Supplementary Data | 31 | ||||||||
Item 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure | 53 | ||||||||
Item 9A. | Controls and Procedures | 53 | ||||||||
Item 9B. | Other Information | 53 | ||||||||
PART III | ||||||||||
Item 10 | Directors and Executive Officers of the Registrant | 54 | ||||||||
Item 11. | Executive Compensation | 54 | ||||||||
Item 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters | 54 | ||||||||
Item 13. | Certain Relationships and Related Transactions | 54 | ||||||||
Item 14. | Principal Accountant Fees and Services | 54 | ||||||||
PART IV | ||||||||||
Item 15. | Exhibits, Financial Statement Schedules | 55 |
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PART I
Statements in this Annual Report on Form 10-K and in the Annual Report to Stockholders that are not purely historical facts, including statements regarding the Company’s anticipations, beliefs, expectations, hopes, intentions or strategies for the future, may be forward-looking statements within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended. All forward-looking statements are based upon information available currently to the Company. The Company undertakes no obligation to publicly update or revise any forward-looking statements, whether as a result of new information, future events or otherwise. All forward-looking statements involve known and unknown risks and uncertainties that could cause actual events or results to differ materially from the events or results described in the forward-looking statements. These risks and uncertainties include, without limitation, those set forth in this report under “Risk Factors.”
Item 1. | Business |
General
Healthaxis is a technology-enhanced provider of fully integrated solutions and services for health benefit administrators and health insurance claim processors. These solutions, which are comprised of software products and related business process services, are designed to assist health insurance payers, third party administrators (“TPA”), preferred provider organizations (“PPO”), and self-administered employer groups provide enhanced claims related services to members, employees, employers and providers at lower cost. These services are provided through the application of Healthaxis’ flexible technology on an Application Service Provider (“ASP”) basis. These technology solutions are complemented by Healthaxis’ web-based capabilities and Business Process Outsourcing (“BPO”) services, which are offered to the Company’s ASP clients and on a stand-alone basis. BPO solutions include the automated capture, imaging, storage and retrieval of electronic claims, attachments, and related correspondence, in addition to rules-based claims pre-adjudication and editing and automated PPO routing (via electronic data interchange or “EDI”) and repricing. Healthaxis uses its deep domain expertise in health insurance operations to surround the payment of a health insurance claim, to customize services to meet the specific needs of its customers and to produce value for those customers by tapping unrealized potential in the customers’ operations to achieve best results.
Healthaxis’ proprietary applications address the specific processing needs of the claims administration segment of the healthcare insurance industry in an efficient and cost-effective manner. Healthaxis, through its state-of-the-art applications, provides real-time interaction with plan documents, claim forms, enrollments and applications, as well as access to personalized eligibility and claims data. These Internet-enabled business applications enhance the transaction process and streamline the flow of information among the many systems employed by various constituents within the healthcare insurance industry.
Payer solutions are offered through readily configurable products, such as Insur-Claims, Insur-Admin, WebAxis Self-Service, WebAxis-Broker, WebAxis-Enroll, and various BPO services. All of Healthaxis’ products are supported by professional services offered on a consulting basis. Healthaxis is staffed by experienced health insurance and technology professionals who understand the health benefit payer world. Healthaxis draws upon this deep domain expertise and continually evolving technology applications to provide services and software solutions that enable its customers to:
• | Pay claims faster, more accurately and at a lower cost |
• | Reduce their internal administrative expenses |
• | Improve their customer service, and |
• | Provide competitive advantage and thereby accelerate their revenue growth. |
Healthaxis Inc. (the “Company” or “Healthaxis”) is a Pennsylvania corporation, which was organized in 1982. Healthaxis’ common stock trades on the NASDAQ Capital Market under the symbol “HAXS.” The operations of
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Healthaxis are conducted through its subsidiary, Healthaxis, Ltd., based in Irving, Texas. Unless otherwise indicated, or the context otherwise requires, all references in this document to the “Company,” “Healthaxis,” “we,” “our” or “us” include Healthaxis Inc. and all of its subsidiaries. Healthaxis maintains a website at www.healthaxis.com. The Healthaxis Code of Conduct can be found on the Healthaxis website. Information found on the Healthaxis website is not a part of this report.
Health Insurance Industry
Healthcare plan administration involves all types of healthcare providers, payers, managed care organizations, third party administrators (“TPA”), reinsurance carriers, preferred provider organizations (“PPO”), medical and dental claim review staffs, employers, and patients. Unlike other types of insurance, healthcare insurance administration frequently results in extensive interaction between the patient, the provider, the insurance carrier and the employer. Each of these participants must be able to share, process, and access data on a confidential basis in order to perform their respective roles in the healthcare system. The complexity, the fragmentation and the privacy regulations within the healthcare industry complicate this task.
Healthaxis believes that a significant amount of money is wasted each year through redundant procedures and excessive administrative costs of plan administrators and insurance carriers. As the overall healthcare industry has increased in size and complexity, the burden of gathering, processing, and managing the health insurance benefit administration and claims process has led to significant administrative bureaucracies, inefficiencies, and high costs. This burden places increasing strains on the profitability of the overall industry, as variable medical loss ratios, demographics, increased drug costs and several other factors can and have compressed margins. Management believes that the health insurance industry lags behind other transaction-intensive industries, such as the airline and financial services industries, in its use of information technology and appropriate outsourcing arrangements to increase efficiency and effectiveness and reduce administrative costs.
Healthaxis focuses on the payer side of this industry. Its target markets include commercial health insurance carriers, self-insured and self-administered employers, TPAs and PPOs. Dramatically increasing costs and market demands for more effective health insurance product designs are forcing payers to look outside of their own organizations for solutions. Management believes that IT outsourcing trends are continuing to grow, particularly around front-end paper claims, EDI processing, claims editing and repricing. Additionally, organizations are pushing for an increased ability to process claims without human intervention (auto-adjudication), which is increasing payers’ willingness to consider Application Service Provider claims solutions and other business process solutions that clean-up a claim and are more cost effective than traditional solutions.
In the past few years there has been increasing demand for robust Web functionality, particularly among purchasers (employers and brokers), many of whom have stated that interactive Web transactions and information will be a future requirement of doing business with healthcare payers. This includes the ability to conduct on-line enrollment, access plan documentation and review the status of claim submissions. Consumers and providers also continue to expect these solutions to be available from healthcare payers. The Web is no longer a differentiator, but a business “must have” to sustain a competitive market position. Management believes that Healthaxis’ web connectivity products and solutions are well positioned to support its customers in conjunction with the other solutions offered by Healthaxis.
Management believes that as healthcare payer organizations continue their competitive quest to provide better value to customers and stockholders, they are increasingly evaluating how to narrow their focus and to concentrate their attention on the activities that bring them the most value. They are beginning to outsource more functions that are less strategic. Healthaxis is positioning itself to perform more and more of these non-strategic functions for health benefit administrators and claims processors.
Business Strategy
Healthaxis’ mission is to draw upon its health insurance process expertise, its continually evolving technology applications, and rigorous process control in its production centers to provide health benefit administrators and claims processors with market leading, innovative and configurable web-based connectivity, benefits and claims
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applications solutions and business process outsourcing solutions. The Company focuses on solutions designed to enable its customers to:
• | Pay health insurance claims faster, more accurately and at a lower cost |
• | Reduce their internal administrative expenses |
• | Improve their customer service, and |
• | Provide competitive advantage in their markets and thereby accelerate their revenue growth. |
Our vision is for Healthaxis to be recognized as an entrepreneurial, technology enhanced BPO services company noted for its expertise, service excellence, creative solutions, customer relationships, profitability, and growth, with commensurate public market valuation.
Healthaxis’ strategy to achieve its mission and vision are:
• | To retain and grow existing customers by becoming their “strategic partner” rather than simply their operational partner. The achievement of this objective requires us to more fully understand our customers’ strategic goals, to develop unique support plans around these goals and to continue to enhance our technology and services to match our customers’ priorities. |
• | To grow our claims and administration solutions and BPO services market penetration by creating new service offerings that meet market demands and by strengthening our marketing and sales capabilities and distribution channels. |
• | To provide customers the option of on-shore, near-shore, and off-shore processing capabilities providing high quality results. |
• | To identify companies with complementary solutions and services that can provide attractive partnering arrangements or accretive acquisition and merger opportunities. |
• | To achieve improved profitability and cash flow by growing revenues, while managing costs diligently. |
• | To solidify Healthaxis as the company of choice for its employees through our value system and incentive programs, and by creating an environment of challenge, growth, opportunity, accountability, teamwork and choice. |
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Products and Target Markets
The Company has three groupings of products and services, which it sells into the following defined target markets:
Target Markets
Products/Solutions | Third Party Administrators | Health Insurance Payers | Managed Care Organizations | Self-Administered Employer Groups | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Benefit Administration and Claims Processing Systems | ||||||||||||||||||
Insur-Admin | X | X | ||||||||||||||||
Insur-Claims | X | X | ||||||||||||||||
Web Connectivity Products | ||||||||||||||||||
WebAxis — Self-Service Applications | ||||||||||||||||||
• Employee/member module | X | X | X | |||||||||||||||
• Employer module | X | X | X | |||||||||||||||
WebAxis-Broker | X | X | ||||||||||||||||
WebAxis-Enroll | X | X | X | |||||||||||||||
BPO Services | ||||||||||||||||||
• Mailroom | X | X | X | X | ||||||||||||||
• Imaging | X | X | X | X | ||||||||||||||
• Data capture | X | X | X | X | ||||||||||||||
• Claims pre-adjudication | X | X | X | X | ||||||||||||||
• EDI transaction management | X | X | X | X | ||||||||||||||
• Provider cleansing services | X | X | X | X | ||||||||||||||
• Claims editing | X | X | X | X | ||||||||||||||
• Claims re-pricing | X | X | X | X |
Benefit Administration and Claims Processing Systems
Healthaxis provides web-enabled systems for the administration and processing of health insurance claims (e.g., medical, dental, defined contribution, vision, disability, health reimbursement accounts, health spending accounts and flexible spending accounts) on an application service provider basis. The principal target market is third party administrators. The Company utilizes a technology platform built around IBM-based hardware and software. The software and processing capabilities are hosted in professionally managed facilities, with clients’ processing centers connected through various means.
Healthaxis’ associates come from within the industry and have extensive knowledge of the environments that use the Company’s solutions. This knowledge enables the Company to understand business issues and to provide technology solutions that assist in solving those issues. This same knowledge gives the Company the ability to understand support issues and to assist in providing resolution in an efficient manner, based on the needs of the individual client.
The primary competitors for this suite of products include TriZetto (RIMS) (Facets), Computer Sciences Corporation (TXEN), QCSI, Eldorado, Sunguard/SBPA (Relius) and LuminX. The Company believes that its products and services described below compare favorably with those of its competitors in both functionality and breadth.
Insur-Admin. Insur-Admin is a comprehensive benefits administration system that features enrollment, group and individual billing, and premium collection and reconciliation. Insur-Admin accommodates both interactive and batch enrollment for a wide spectrum of coverages. It allows organizations to track divisions, subdivisions, locations, health classifications, and work groups. Insur-Admin interfaces with a plastic identification card production system to produce identification cards. Insur-Admin manages aspects of the Consolidated Omnibus
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Budget Reconciliation Act (“COBRA”), including calculating and collecting COBRA premiums, tracking qualifying events, and issuing rights and qualification letters and billing coupon books. The system performs activities compliant under the Health Insurance Portability and Accountability Act (“HIPAA”), including capturing prior coverage credit days and issuing HIPAA certificates upon termination of coverage. Insur-Admin also manages medical and dependent care flexible savings accounts. Insur-Admin is web-enabled with compliant access being provided to employers, employees and providers for eligibility status and claims inquiry and to employers and employees for eligibility, life event changes and terminations. Insur-Admin can be implemented on a stand-alone basis or can be integrated with Healthaxis’ claim payment system, Insur-Claims.
Insur-Claims. Insur-Claims is a comprehensive paperless claim processing system for employer as well as consumer driven plans, including health, dental, vision, short-term disability, long-term disability, executive reimbursement, health reimbursement and health spending accounts, and medical and dependent care flexible spending accounts. A rules-based approach, which includes un-bundling and re-bundling edits, allows Insur-Claims to be fully customized and allows the system to handle complex benefit structures and provider reimbursement arrangements. Through user-defined rules and batch processing, Insur-Claims can achieve auto-adjudication rates of up to 80% for medical claims and up to 90% for dental claims. The system has extensive preferred provider organization capabilities and can perform preferred provider organization re-pricing functions. Insur-Claims facilitates utilization management, including pre-certifications, referrals and authorizations. Insur-Claims accepts electronic data interchange, or “EDI”, transactions and provides for automated adjudication of those transactions. Insur-Claims is web-enabled and can provide claim status inquiry, including access to processed “explanation of benefits” for the employee. Insur-Claims is based on a paperless workflow, which begins with the imaging of all documents. These document images are tied to patients and claims and provide fast and efficient client service resolution. In addition to this functionality, a Healthcare Reimbursement Account (HRA) capability, to meet the growing demand of Consumer Directed Health Plans, was developed by Healthaxis and implemented by customers in 2003.
Client output from utilizing the hosted software described above is typically printed documents, such as benefit checks, letters or “explanation of benefits.” The client may elect to print, handle and mail such documents. However, in most cases, these tasks are performed by Healthaxis or its designated partner, such as Advanced Business Fulfillment, as an additional billable service. The system also supports paperless output using electronic funds transfers and electronic explanation of benefits capabilities.
Web Connectivity Products
Healthaxis provides HIPAA compliant web-enabled platforms and solutions for the enrollment, sale, distribution and post-sale administration of insurance policies, including health, vision and dental insurance. Its target markets are health insurance carriers and third party administrators. A primary focus is bringing Web-based connectivity to legacy systems in a “bolt-on” fashion. Management believes that healthcare payers do not want to replace legacy systems and are seeking outsourced, e-business connectivity solutions. Due to the nature of the offerings and to the inherent differences in the back-end processing systems being served, solutions provided by Healthaxis are configurable and allow for a high degree of customization. Solutions may be hosted by Healthaxis or by the client.
The primary competitors for this suite of products include in-house solutions, TriZetto (Healthweb), Verilet, HealthTrio, Connecture, HealthX and eBenX.
The products and services provided in this suite of products are:
WebAxis-Employee/Member and Employer Self-Service. This solution allows plan members/employees and employers to have direct access to administrative and claims information via a HIPAA compliant and secure interface. Through an inquiry process, members/employees have access to coverage, demographics, eligibility, claims status, explanations of benefits, provider directories, plan new hire/change forms, and the ability to track their deductible and flexible spending accounts. WebAxis Self- Service provides employer groups with the same functionality that is provided to their employees, such as eligibility and claims status inquiry, plan documents and directories, plan change forms, and more.
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WebAxis-Broker. The Broker solution is a highly customizable distribution solution for online quoting and proposal management for small group products. This e-enabled solution permits brokers and agents to more effectively interact with their potential customers, as well as benefit from increased efficiency when working with the carrier. This product supports an expanded broker distribution base, increased consumer-direct sales, higher closing ratios, increased retention rates and opportunities to cross sell ancillary products, reduced turnaround/fulfillment timeframes, and a reduction in paper usage (handling, printing, and postage). The Broker solution is highly scalable and easily customized to fit a company’s existing “look & feel” to match their unique brand image
WebAxis-Enroll. Healthaxis’ enrollment solutions provide a 24/7, web-based, self-service environment for members/employees and enrollment administrators alike. These solutions are capable of supporting a wide range of benefit plans, including medical, dental, life, vision, medical and dependent care flexible spending accounts, and accident and disability. Other enrollment information can also be captured and managed including individual and dependent demographic information, other insurance, primary care physician and dental facilities, and beneficiaries.
Enrollment features also include online plan information and summary plan documents, online help, email capability to enrollment administrator, secure confirmation notifications, bulletin board of web links and supporting documents controlled by the enrollment administrator, secure access, and administration monitoring and reporting.
Business Process Outsourcing Services
Healthaxis performs imaging and data capture outsourcing services to convert paper transactions in the form of healthcare claims into electronic transactions. The resulting data is downloaded to the client’s internal claims adjudication database or, for those clients utilizing Healthaxis’ claim processing solutions, to Healthaxis’ data center for adjudication and payment. Claims also may be re-priced by Healthaxis or routed via electronic data interchange (“EDI”) to PPO organizations to be re-priced in accordance with provider discount agreements. Healthaxis performs claims pre-adjudication services utilizing rules-based software logic to scrub data prior to submission to a back-end adjudication system, in addition to claims editing services, which apply certain clinical logic for validating claims. Healthaxis also offers provider database cleansing services designed to clean-up a customer’s provider files, therefore saving data processing resources, increasing auto-pay rates and helping to ensure more accurate claims adjudication. As a complement to these imaging and data capture services, the Company provides mailroom services whereby it receives and sorts incoming healthcare claim forms prior to imaging. The target markets are health insurance carriers, third party administrators and preferred provider organizations. Its primary competitors in this area are Affiliated Computer Services, Emdeon/Dakota, Future Vision, GTESS, Sourcecorp, Docustream and Data Dimensions.
The Company utilizes a combination of advanced technologies, including the Company’s own proprietary systems, and underlying software technologies from nationally-known corporations. The Company operates production centers in favorable labor markets in Utah, Texas, Jamaica and India to efficiently capture and convert large volumes of claims. Healthaxis offers this service to its clients on a per-claim or per-image basis. This service complements all other Healthaxis products and services. In addition, it provides a good entry point with new carrier clients as it usually provides immediate cost savings to the client.
Sales and Marketing
The Company has developed relationships within the healthcare insurance industry as a result of its delivery of effective solutions to health insurance benefit clients for over 20 years. The Company’s sales and marketing staff generates sales leads through a variety of means designed to identify the most promising prospects. Once a prospect is identified, the Company makes a site visit to qualify the prospect and determine its specific needs. Once specific needs are identified, live demonstrations of the Company’s solutions are scheduled and specific return on investment calculations are performed. The team also responds to formal requests for proposals in situations where the prospect is bidding the work with multiple vendors.
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The Company derives a portion of its business through client referrals. In addition, it markets its services through a variety of media, including:
• | Web site |
• | A targeted direct mail program |
• | User conferences conducted exclusively for the Company’s clients |
• | Participation in regional and national industry conferences and trade shows |
• | Relationships developed with industry consultants and strategic partners |
• | Informational listings and authored articles in trade journals |
The Company has assembled its sales and marketing team with personnel having healthcare and technology specific knowledge, reputation and relationships to take advantage of the Company’s opportunities within each market segment.
Competition
Healthaxis believes it has an advantage over its competitors by offering a broader range of service offerings to the health insurance payer and third party administrator markets on an outsourced basis. The Company offers flexibility, customization, broad and deep industry expertise, the technology systems and services needed to process claims efficiently, and cost efficient production centers in Utah, Texas, Jamaica and India. Additionally, Healthaxis’ focus and expertise within the payer-side of the healthcare industry is an advantage when competing against companies who service multiple industries or multiple facets of the healthcare industry.
Healthaxis’ principal competitive factors are the breadth and quality of system and product offerings, features and functionality, service and support, processing capacity, the ability to successfully develop and deploy product improvements and the deep domain knowledge of its staff. The principal competitive factors for Healthaxis’ BPO services are price, quality and service level commitments, breadth of technical capability due to the functionality of its technology and its ability to offer cost effective on-shore, near-shore and off-shore delivery centers.
Healthaxis’ major competitors by product are as follows:
• | Benefit administration and claims processing systems — TriZetto (RIMS) (Facets), Computer Science Corporation (TXEN), QCSI, Eldorado, SPBA, and LuminX. |
• | Web connectivity products — Payer In-house Solutions, TriZetto (Healthweb), Verilet, HealthTrio, Connecture, HealthX and eBenX. |
• | BPO services — Affiliated Computer Services, WebMD/Dakota, Future Vision, GTESS, Sourcecorp and Data Dimensions. |
Technology Development
Healthaxis’ operations staff supports its products and clients through continuing research, development, evaluation and implementation of new technologies. Healthaxis uses a multi-disciplined team approach throughout the development phase of new products and product enhancements. In addition to project-specific tasks, the staff continues to enhance Healthaxis’ proprietary applications and to develop and test new solutions, including the testing and analysis of applications not yet available in the market. The operations staff spends approximately 30% of its time and effort on various phases of product development and enhancement.
Intellectual Property and Technology
Trademark and Copyright Protection. Healthaxis’ ability to compete is dependent to a significant degree upon its proprietary systems, technology, and intellectual property. Healthaxis relies upon a combination of trademark, copyright, confidentiality agreements and trade secret laws, as well as other measures to protect its proprietary rights.
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Healthaxis does not have any patents or patent applications and currently does not plan to file any patent applications. Healthaxis has applied for, or registered, the following trademarks with the U.S. Patent and Trademark Office: Healthaxis, Healthaxis.com, Insur-Voice, Insur-Image, Insur-Enroll, Insur-Admin, Insur-Claims, Insur-Dental, Insur-Report, Insur-PPO, and Smart Front-End. Healthaxis has decided not to file applications for these marks in foreign countries at this time. Healthaxis’ sales materials, content, and software are protected by copyright. The source code and design of Healthaxis’ software are protected through applicable trade secret law. Healthaxis also uses confidentiality agreements with its employees to further protect its source code and software.
Internet Technology. Healthaxis’ web services are based upon a distributed computing environment consisting of over 15 Compaq and IBM servers utilizing Microsoft Windows 2000 operating systems and VMware. The network is built on various other Microsoft applications for serving-up Internet information, applying certain business logic and storing information in relational databases. Additional software for performing workflow, print and PDF technology is obtained from Jetform. All transactions between Healthaxis and the client or end-user are secured and encrypted where applicable.
The above hardware and infrastructure reside in a Navisite data center utilized by Healthcare BPO Partners, which is contracted to host the data center and provide various related services. Navisite provides fully redundant routing and switching hardware delivered to Healthaxis on redundant (dual) Internet connections utilizing two Internet service providers.
Data Center Core Processing Environment. Healthaxis has connectivity to several customers via dedicated data lines and VPN connections. The Company’s computer operations reside in a fully redundant, Navisite data center in Vienna, Virginia. The facility houses the following processing equipment and systems:
• | 8 IBM RS6000 processors running on UNIX / AIX operating systems |
• | 15 Compaq and IBM servers running on Windows 2000 operating systems and VMware |
• | IBM 2.8 terra-byte FastT storage area network (SAN) |
A secondary facility is maintained at Healthaxis’ corporate office location in Irving, Texas. This location serves as the primary recovery facility and has an un-interruptible power system. It has network connections to external service providers, as well as two connections to the Navisite data center. All critical data is backed up and stored at an offsite facility in Maryland.
Privacy/Security Issues. Healthaxis believes a significant barrier to the popularity or acceptance of online insurance communications and sales is the secure transmission of confidential information over public networks. Healthaxis retains confidential client and patient claim information at its data center. Computer viruses, break-ins, or other security breaches, could lead to misappropriation of personal or proprietary information. These security breaches could also cause interruptions, delays, or cessation in service to Healthaxis’ clients. Healthaxis relies on encryption and authentication technology licensed from third parties to provide the security and authentication necessary to effect secure transmission of confidential information, such as names, addresses, social security numbers, consumer credit card numbers, and other private healthcare information. Healthaxis believes that it is in full compliance with HIPAA rules and regulations. Healthaxis carries general liability insurance (including errors and omissions coverage), although Healthaxis’ insurance may not be adequate to cover all costs that could be incurred in the defense of potential claims.
Regulation
Internet Related. Although there are currently few laws and regulations directly applicable to the Internet, it is possible that new laws and regulations will be adopted in the United States, and elsewhere, covering issues such as copyrights, privacy, pricing, sales taxes, and characteristics and quality of Internet services. The adoption of restrictive laws or regulations could expose companies utilizing the Internet in its business to regulation or restrictions. The application of existing laws and regulations governing Internet issues such as property ownership, libel and personal privacy is also subject to substantial uncertainty at this time. In addition, current or new
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government laws and regulations, or the application of existing laws and regulations, including laws and regulations governing issues such as property ownership, content, taxation, defamation, and personal injury, may expose companies engaged in business on the Internet to significant liabilities.
HIPAA. Pursuant to the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), the Department of Health and Human Services has issued a series of extensive regulations setting forth security, privacy and electronic transaction standards for all health plans, healthcare providers and clearinghouses to follow with respect to individually identifiable protected health information. HIPAA legislation and rule-making has had a significant impact on applications solutions and technology companies servicing the healthcare industry. HIPAA seeks to advance the improvement and efficiency of health care administrative and financial issues affecting the health care industry by standardizing the electronic exchange of health care administrative and financial data and additionally mandating the protection, security, and privacy of transmitted and stored patient protected health information. Healthaxis is affected by HIPAA as a business associate of various clients who are covered entities under HIPAA. As a business associate, Healthaxis is contractually obligated to ensure the protection and privacy of protected health information, which it transmits and stores. Certain states also impose obligations on business associates to be compliant with the HIPAA privacy rules. In addition, since Healthaxis’ customers must comply with HIPPA, Healthaxis products and services must contain features and functions that allow its customers to achieve such compliance. Healthaxis believes that it is in compliance with all applicable HIPAA requirements, and that its products and services currently allow its customers to comply with HIPAA. However, because HIPAA and its regulations have yet to be fully interpreted, Healthaxis’ products and services may require modification in the future. If we fail to offer products and services that permit our customers to comply with applicable terms and regulations, our business will suffer.
Employees
As of December 31, 2005, the Company has 210 employees, including 82 full-time professional employees, most of whom are based in Irving, Texas, and 128 production center employees who are located in Utah, Texas and Jamaica. The number of production center employees varies with business volume. None of Healthaxis’ employees is represented by a labor union or collective bargaining agreement. The Company considers its employee relations to be good.
Healthaxis’ future success depends on its ability to identify, attract, hire, train, retain, and motivate highly skilled technical, managerial, marketing, sales and customer service personnel. Competition for technically skilled personnel is dependent upon market conditions. The Company will continue its efforts to attract, integrate, and retain sufficiently qualified personnel, including software developers and other technical experts.
Item 1A. | Risk Factors |
This report and the annual report to shareholders contain some forward-looking statements within the meaning of the federal securities laws. Actual results and the timing of some events could differ materially from those projected in or contemplated by the forward-looking statements due to a number of factors, including, without limitation, those set forth below and elsewhere in this report. In addition to the other information in this report, the following factors, which may affect Healthaxis’ current position and future prospects, should be considered carefully in evaluating Healthaxis and an investment in its common stock.
Business Related Risks
Because we have a history of operating losses, it is difficult to evaluate our future prospects and to know when, if ever, Healthaxis will become profitable.
Our recent history of operating losses makes it difficult to evaluate our future prospects and to know when, if ever, we will become profitable. Furthermore, our prospects should be considered in light of the risks, expenses and difficulties frequently encountered by companies in new, unproven, competitive and rapidly evolving markets. While our cost reduction initiatives over the last few years have brought costs more in line with our revenue base,
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there can be no assurances that our cash resources will prove adequate, or that we will become profitable. These uncertainties could negatively affect our business prospects and our stock price. We may seek additional debt or equity financing for items including but not limited to capital equipment purchases, working capital needs, or to refinance existing debt. Depending on the type of financing available, such financing may be dilutive to our common shareholders and may not be on attractive terms.
A small number of clients account for a substantial portion of our business, and the loss of any one of them could have an adverse impact on our business and financial condition.
The business of a limited number of our clients represents a significant component of our continuing operations. For the year ended December 31, 2005, our four largest clients (American Administrative Group, NCAS Inc., HealthSCOPE Benefits, and UICI) accounted for an aggregate of 67% of revenues. One of these customers, which accounted for 14% of the 2005 revenue total, was purchased by another TPA in 2002 and had indicated that they would be winding down their use of the Healthaxis system during 2005 and migrating the processing to a system used by its parent company. Subsequently in 2005, we renegotiated our contract with the customer which we expect will result in incremental revenue in the second half of 2006. As a result, we may have a higher concentration of revenue in the future resulting from these same four customers.
Some of our client contracts contain a fixed-price component or minimal start-up fees, and because we sometimes incur costs in excess of our projections, we could experience decreased operating margins or increased operating losses.
Some of our client contracts contain a fixed-price component, typically involving the implementation of the contract specifications. This fixed price component is generally a small percentage of the total contract value. A lengthy implementation period for a large project makes it more difficult to accurately estimate the costs that we will incur. We can incur costs in excess of our projections and, as a result, could experience lower margins than expected or could incur losses with respect to a specific project. The nature of our fixed-price arrangements could result in decreased operating margins or increased operating losses, and could adversely affect our financial condition and results of operations. In addition, the start-up fees we are able to collect on certain contracts are minimal and may not cover the cost of implementation.
Our competitors may be more successful in attracting customers, which could result in decreased sales, a loss of revenue and a decrease in the value of our common stock.
We compete with a number of competitors in each of our product and market areas. We also compete with the internal information resources and systems of some of our prospective and existing clients. Our competitors could develop or offer solutions superior to those we offer. Some of our current and potential competitors are larger, better capitalized, have greater financial and operating resources and greater market share than we do. These competitors may be able to respond more quickly to changes in customer requirements or preferences. They may also be able to devote greater resources to claims processing services or to the development, promotion and sale of their products.
Errors in our application solutions or our data capture services could detract from the reliability and quality of our information systems, which, in turn, could result in decreased sales, liability for damage claims and a negative impact on our results of operations.
In the course of client acceptance testing, Healthaxis historically has experienced few application solutions errors. However, application solutions may contain undetected errors. These errors may result in loss of data, or a reduction in the ability to process transactions on a timely basis, which could result in the loss of existing business and future business, as well as the loss of, or delay in, market acceptance of Healthaxis’ application solutions. We have attempted to limit contractually, and through insurance coverage, damages arising from negligent acts, errors, mistakes or omissions in our application solutions, or in rendering services such as data capture. However, these contractual protections could be unenforceable or insufficient to protect us from liability for damages in connection with the successful assertion of one or more large lawsuits.
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Our future success significantly depends on the experience of our executive officers and key personnel, and the departure of several of them could impair our ability to do business and otherwise negatively impact the price of our common stock.
Our future success depends, in significant part, upon the continued services of our executive officers and key personnel. The loss of services of several of our executive officers or key employees could have a material adverse effect on our business, financial condition and results of operations. There can be no assurance that we will be able to retain our executive officers or key personnel. We presently have employment agreements with four of our executives and although these agreements have standard protective provisions, there can be no assurance that these executives will remain with the Company through the terms of the agreements. We do not have employment agreements with any other key personnel.
Our reliance on third party vendors could place us at risk for increased expenses, failure to meet our contractual obligations, and/or lost clients.
We rely in part upon third party vendors for the delivery of some of the services we contract to deliver to our clients. We have alternatives in each case, but the alternatives could be expensive and time consuming to implement. If any of these vendors ceased providing the product or service on which we rely, our business could be interrupted until such time as we are able to replace the product or service and integrate it with our own product and service offering. Such interruptions could be in violation of our service level commitments to our customers. The key third party vendors on which we rely include:
• | Emdeon — which prints and mails the majority of output from our claims system, namely beneficiary checks, explanation of benefits and letters. |
• | Gentran — which supplies software that supports our ability to receive and transmit transactions and files electronically. |
• | Navisite — which provides the data center facilities we contract through Healthcare BPO Partners. |
• | IBM — which provides critical hardware and operating system components used by our systems. |
• | Healthcare BPO Partners — which provides personnel and infrastructure that is utilized by the Company to provide business process outsourcing services and other software development and technical support services to support the Company’s operations. Healthcare BPO Partners is a related party due to common ownership by one of the Company’s significant shareholders. |
• | Ingenix — which provides usual and customary databases that are integrated with our Insur-Claims system and used by our customers for determining the reasonableness of a healthcare provider’s fees. |
• | IntelliClaim —which provides certain clinical logic and claims editing functionality used by our customers in the processing of health insurance claims. |
• | Microsoft — which provides operating system and applications software used by our systems. |
• | Navisite/Level3, Verizon/MCI, Netlojix and AT&T — which provide telecommunication lines and Internet gateways through which we connect to our clients. |
If we are unable to protect our proprietary technology, our competitors could use our proprietary technology to compete against us, which could negatively impact our revenues and otherwise result in our engaging in costly litigation.
Our success depends to some extent on our ability to protect the proprietary and confidential aspects of our solutions and the tradenames associated with them. Our solutions are not patented, and existing copyright laws offer only limited practical protection. The legal protections afforded to us, or the precautions we take, may be inadequate to prevent misappropriation of our technology or the tradenames associated with our solutions. Any infringement or misappropriation of our proprietary solutions or the related tradenames could have the effect of allowing competitors to use our proprietary information to compete against us, or result in costly litigation in order to protect
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our rights. In addition, these limited protections do not prevent independent third-party development of functionally equivalent or superior technologies, products, or services.
We may be subject to intellectual property infringement claims that could result in costly litigation and losses or decreased revenues.
Although we have no reason to believe at this time that we are subject to any intellectual property infringement claims, as competing healthcare information systems increase in complexity and overall capabilities, and the functionality of these systems further overlap, we could be subject to claims that our technology infringes on the proprietary rights of third parties. These claims, even if without merit, could subject us to costly litigation and could command the time and attention of our technical, legal, and management teams to defend. Further, if a court determined that we infringed on the intellectual property rights of a third party, we could be required to:
• | Develop non-infringing technology or tradenames; |
• | Obtain a license to the intellectual property; |
• | Stop selling the applications or using names that contain the infringing intellectual property, or pay substantial damage awards. |
If we cannot develop non-infringing technology or tradenames, or obtain a license on commercially reasonable terms, any of the above listed potential court-ordered requirements could adversely impact our operations and revenues.
Our failure to meet performance standards described in our service agreements could result in the termination of those agreements, the loss of other business and the imposition of penalties, any of which, in turn, could lead to decreased revenues and larger losses.
Many of our service agreements contain performance standards. Although we are unaware of any circumstances of material non-performance, Healthaxis could fail to meet some contractual performance standards related to turnaround times, availability, and quality standards set forth in its service agreements. Our failure to meet these standards could result in the eventual termination of these agreements, as well as financial penalties from current clients and decreased sales to potential clients. These penalties range from less than 1% to amounts that could be in excess of 50% of the aggregate amount payable under these agreements in certain circumstances. If we are unable to maintain performance standards, we could experience decreased sales, decreased revenues, and continued losses.
Our Jamaican operations could subject us to additional risks, including problems enforcing legal rights, expropriation, political or social instability, labor difficulties and tropical storms. If we encounter any of these problems in Jamaica, it is possible that our operations would be disrupted, that we would incur higher expenses and that we could fail to meet our contractual obligations owed to customers and other third parties.
We conduct imaging and data capture operations related to the conversion of insurance claims information to electronic form in Jamaica through an indirect subsidiary. For the year ended December 31, 2005, we earned 10% of our total revenues from our Jamaican operations. There is less government regulation in Jamaica than in the United States, and there may be more difficulty in enforcing Jamaican legal rights. Additionally, there is the possibility, although remote, of expropriation or confiscatory taxation, limitations on the removal of property or other assets, political or social instability, labor difficulties, or diplomatic developments that could affect our Jamaican operations and assets. While these factors have not to date had a material adverse impact on our business, if an adverse event occurred, it could materially disrupt our business operations, jeopardizing our ability to meet our contractual obligations and lead to higher expenses.
The proximity of our Jamaican operation to the ocean-front could expose our facility to damage from a tropical storm or other natural catastrophe. While we maintain insurance coverage on the facility and have also established back-up and business continuity plans, we could experience downtime and could incur additional expenses related to relocation or repair of the facility, should this occur.
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Currently, our Jamaican subsidiary is able to take advantage of the Jamaican labor market, which provides competent and inexpensive labor. As of December 31, 2005, our Jamaican subsidiary had approximately 99 employees. If the risks or problems posed by conducting operations in Jamaica require significant financial or managerial resources, or we are forced to relocate these operations on-shore or elsewhere off shore, our costs to reestablish these services could increase.
Our current and prospective customers may become reluctant to allow us to perform processing services in our Jamaican facility or through our India operations, thereby forcing us to relocate these services on-shore, which could increase our costs.
We conduct imaging and data capture operations related to the conversion of insurance claims information to electronic form in Jamaica through an indirect subsidiary and in India through Healthcare BPO Partners. There is a debate regarding the offshore outsourcing of jobs that could be performed in the United States. Certain of our customers or prospective customers could become reluctant to allow their processing to be performed in Jamaica or India. As a result, we could lose sales or be forced to relocate these operations on-shore, in which case our costs to provide these services could increase.
Acquisitions, which are part of our long-term business strategy, involve inherent risks that could compromise the success of our business and dilute the holdings of current shareholders.
As part of our long-term business strategy, we intend to consider and potentially pursue acquisitions of similar or complementary businesses to capitalize on the rapidly growing and fragmented health insurance claims services outsourcing market and to create a business process services company of breadth and scale. If we are not correct when we assess the value, strengths, weaknesses, liabilities and potential profitability of acquisition candidates, or if we are not successful in integrating the operations of the acquired businesses, the success of the combined business could be compromised. Any future acquisitions will be accompanied by the risks commonly associated with acquisitions. These risks include, among others, potential exposure to unknown liabilities of acquired companies and to acquisition costs and expenses; the difficulty and expense of integrating the operations and personnel of the acquired companies; the potential disruption to the business of the combined company and potential diversion of management’s time and attention; the impairment of relationships with and the possible loss of key employees and clients as a result of potential changes in management; potential future write-downs related to goodwill impairment in connection with acquisitions; and dilution to the shareholders of the combined company if the acquisition is financed partially or wholly with Healthaxis stock. In addition, asset classes, technologies or businesses of acquired companies may not be effectively assimilated into our business or have a positive effect on the combined company’s revenues or earnings. The combined company may also incur significant expense to complete acquisitions and to support the acquired asset classes and businesses. Further, any such acquisitions may be funded with cash, debt or equity, or we may seek financing for other purposes, any of which could have the effect of diluting the holdings or limiting the rights of shareholders. Depending upon the nature and structure of such acquisitions and financings, our shareholders may or may not be required to approve such acquisitions and financings. In some limited circumstances, our preferred shareholders would have the right to vote separately as a class on some mergers and consolidations that we may desire to pursue. Finally, we may not be successful in identifying attractive acquisition candidates or completing acquisitions on favorable terms.
In order to achieve and maintain compliance with new regulations, such as the Sarbanes-Oxley Act of 2002 and the corporate governance rules of The Nasdaq Stock Market, we are required to expend financial and managerial resources that increase our expense.
Recent accounting and reporting improprieties by public companies have resulted in increased legislation and regulation. The most prominent legislation to date is the Sarbanes-Oxley Act of 2002, which, among other things, places additional requirements on companies for the creation, documentation, testing and reporting of internal controls and processes. We will need to expend additional financial and managerial resources in order to comply with this legislation, as well as the enhanced corporate governance rules of The Nasdaq Stock Market.
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If we fail to maintain an effective system of internal controls in the future, we may not be able to accurately report our financial results or prevent fraud. As a result, investors may lose confidence in our financial reporting.
The Sarbanes-Oxley Act of 2002 requires that we report annually on the effectiveness of our internal control over financial reporting. Among other things, we must perform systems and processes evaluation and testing. We must also conduct an assessment of our internal controls to allow management to report on, and our independent registered public accounting firm to attest to, our assessment of our internal control over financial reporting, as required by Section 404 of the Sarbanes-Oxley Act. We are required to comply with the Act by the end of year 2007 and to issue the reports in the first quarter 2008. In the future, our continued assessment, or the subsequent assessment by our independent registered public accounting firm, could reveal significant deficiencies or material weaknesses in our internal controls, which may need to be disclosed in future Annual Reports on Form 10-K. We believe, at the current time, that we are taking all appropriate steps to mitigate these risks. However, potential disclosures of this type could cause investors to lose confidence in our financial reporting and may negatively affect the price of our common stock. Moreover, effective internal controls are necessary to produce reliable financial reports and to prevent fraud. If we have deficiencies in our internal controls over financial reporting, it may negatively impact our business and operations.
Internet and Health Insurance Industry Related Risks
The substantial time required for us to convert a business opportunity into revenue depresses our potential near term growth rate.
Like other companies in the health information technology industry and business process outsourcing industry, it takes us a substantial amount of time to bid for the business of a new client, win the business of a new client, and, finally, convert that business into revenue. These time lags mean that even if we are successful in winning new client business, we may not benefit from the revenues derived from that business for several months. This lag in revenue realization may dampen our near-term potential growth rates.
When we provide web-based solutions, we are exposed to potential Internet access problems, which could adversely affect some of our software hosting services and negatively impact our operating results.
Some of our solutions rely on Internet access and are, therefore, subject to a number of risks, including risks associated with disruptions, delays or losses due to technical difficulties, natural causes, viruses or security breaches. These problems could adversely affect the success of some of our software hosting services because our ability to deliver these services to clients is dependent on the use of the Internet as a medium of effective communication. If we were to encounter these problems, we could lose revenues from clients or potential clients and could also incur additional costs, which would negatively impact our operating results.
Changes in the regulation or taxation of the Internet could depress our revenues and increase our
operating expenses.
operating expenses.
The Internet is subject to the risk of changing government regulation. A number of legislative and regulatory proposals are under consideration by federal, state, local and foreign governments and agencies. In particular, we could be subject to the governmental adoption of regulations that charge Internet access fees or impose taxes on subscriptions. Laws or regulations may also be adopted relating to liability for information retrieved from or transmitted over the Internet, on line content regulation, user privacy and the quality of products and services. New legal requirements or interpretations applicable to the Internet could depress our revenues through limitations on the use of the Internet for our solutions or prohibitions on the sale of a particular solution, increase our cost of doing business, or otherwise have a material adverse effect on our business.
In order to maintain compliance with applicable insurance regulations, we may need to expend financial and managerial resources that could increase our expenses.
The insurance industry is highly regulated and the regulations that govern our clients are subject to change. Changes in these regulations could require us to expend additional financial and managerial resources to revise our products and services in order to comply.
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If our software is not in compliance with HIPAA, then we could lose business; and if our internal operations are not HIPAA-compliant, then we could face possible liability claims.
We believe that we have met the HIPAA requirements currently in effect that are applicable to our internal operations and our clients. However, if we are unable to deliver applications solutions that achieve or maintain compliance with the applicable HIPAA rules in effect, or as they may be modified or implemented in the future, then clients could move business to other applications solutions providers whose systems are, or will be, HIPAA-compliant. As a result, our business could suffer. If our internal operations are not HIPAA-compliant, then we could also face contractual or potential other liability to the extent our business associate and other obligations require compliance. Certain states may also impose direct liability in the form of civil penalties for our failure to be HIPAA-compliant. In the event that we lose business to competitors, or are required to pay amounts as a result of contractual or other liability claims, the market price of our common stock could decline.
The insolvency of our customers, or the inability of our customers to pay for our services, would adversely affect our revenues and, hence, our results of operations.
Health insurance payer organizations are often required to maintain restricted cash reserves and satisfy strict balance sheet ratios promulgated by state regulatory agencies. Although this has not been a problem in the past, if insurance payer organizations are unable to pay for our services because of their need to maintain cash reserves or failure to maintain balance sheet ratios or solvency, our ability to collect fees for services rendered would be impaired, and our results of operations could be adversely affected.
The consolidation of health insurance payer organizations and benefits administrators could decrease the number or the size of our existing and potential customers, which could depress our revenue prospects.
There has been, and continues to be, acquisition and consolidation activity between insurance payer organizations and benefits administrators. Mergers or consolidations of payer organizations and/or benefits administrators in the future could decrease the number or the size of our existing and potential customers. A smaller market for our products and services could depress our revenue prospects.
Changes in government regulation of the healthcare industry could increase our expenses and otherwise adversely affect our clients’ businesses, which could, in turn, adversely affect our business.
During the past several years, the healthcare industry has been subject to increasing levels of government regulation of, among other things, reimbursement rates and some capital expenditures. In addition, proposals to reform the healthcare system have been considered by Congress. These proposals, if enacted, may further increase government involvement in healthcare, lower reimbursement rates and otherwise adversely affect the healthcare industry, which could adversely impact our clients’ business which could, in turn, adversely affect our business. The impact of regulatory developments in the healthcare industry is followed closely by us and by our retained legal counsel. However regulatory changes are complex and difficult to predict, and our business could be adversely affected by existing or new healthcare regulatory requirements or interpretations.
In addition, laws governing healthcare payers and benefits administrators are often not uniform among states. This could require us to undertake the expense and difficulty of tailoring our products and services in order for our customers to be in compliance with applicable newly enacted state and local laws and regulations, which could increase our cost of doing business
Capital Structure and Trading Market Risks
The shares of common stock and warrants to purchase shares of common stock currently held by Tak Investments, Inc. (“Tak Investments”) and the shares of preferred stock held by our preferred shareholders could enable either Tak Investments or the preferred shareholders to significantly influence or control the outcome of shareholder votes and otherwise pursue control transactions involving us.
As a result of a financing transaction closed in May 2005, Tak Investments currently owns 2,222,222 of our outstanding shares of common stock, representing 36.5% of the Company’s outstanding voting shares of common stock as of March 10, 2006 and beneficially owns 8,333,333, or 47.8% of the Company’s fully diluted shares of
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common stock. Further, if the warrants held by Tak Investments are fully exercised for the maximum number of shares of common stock provided thereunder, but no other common equivalents are exercised or converted into shares of common stock, Tak Investments would own 68.3% of the Company’s outstanding shares of common stock. Based on Tak Investments’ownership block, it will be able to exert substantial influence over, or actually control, the outcome of subsequent common shareholder votes. In addition, although our preferred shareholders currently have very limited voting rights, in the event that they convert their shares of preferred stock into shares of common stock, or exercise the warrants that they hold for shares of our common stock, those shares of common stock will have voting rights identical to our currently outstanding shares of common stock. If our preferred shareholders convert all of their shares of preferred stock, and exercise all of their warrants, they would collectively hold approximately 38.1% of our outstanding common stock (based on the number of our outstanding shares of common stock as of March 10, 2006, and assuming no conversion of any outstanding options, warrants, or other common equivalents and not taking into account the shares of common stock that may be issuable to Tak Investments upon exercise of its warrants). Considering the preceding assumptions, this ownership block of the preferred shareholders could result in their being able to significantly influence the outcome of all common shareholder votes, should the preferred shareholders vote in the same manner. Further, certain of our preferred shareholders hold a sufficiently large number of shares of preferred stock and warrants that, in the event of their conversion and exercise they could, acting alone, have some influence over the outcome of matters submitted to our common shareholders.
The Pennsylvania Business Corporation Law (or PBCL) contains provisions designed to protect the company and its shareholders from certain takeover transactions. Specifically, sections of the PBCL prohibit a person that acquires beneficial ownership of 20% or more of the voting power of a publicly held Pennsylvania corporation (such as Healthaxis), a so-called “interested shareholder,” from engaging in a business combination transaction with such a corporation, except in certain circumstances. A purpose of the statute is to prevent coercive second step transactions at an inadequate price to the other shareholders of the corporation. However, because our board of directors approved the financing transaction that we entered into with Tak Investments, and also the preferred stock modification transaction with our preferred shareholders on June 30, 2004 the PBCL business combination statute will not prohibit a business transaction between us and Tak Investments or certain of the preferred shareholders. No such transaction has been proposed to date, however Tak Investments or our preferred shareholders could initiate a takeover transaction involving us, and we would not be able to use the PBCL business combination statute to prevent such a transaction. Further, we have agreed with the preferred shareholders that we will not, for a period of time, establish a shareholder rights plan, “poison pill” or similar anti-takeover arrangements. See Management’s Discussion and Analysis of Financial Condition and Results of Operations — “Overview” for further information regarding both the Company’s business relationship with Tak Investments and the preferred shareholders.
Tak Investments’ contractual relationships with us subject our common shareholders to certain risks.
In addition to the risks to our common shareholders arising out of Tak Investments’ substantial beneficial ownership of our common stock, as long as Tak Investments maintains the required level of stock ownership specified in the Investor Rights Agreement entered into by the Company and Tak Investments, Tak Investments will have the right to nominate between one and three members to the Company’s Board of Directors, and will therefore be able to exert significant influence over the Company’s business. Simultaneously with our closing of certain financing transactions with Tak Investments in May 2005, we also entered into a five-year Remote Resourcing Agreement with Healthcare BPO Partners L.P., a company affiliated with Tak Investments and owned by Mr. Sharad Tak. Under the terms of this agreement, Healthcare BPO Partners is providing India-based personnel and infrastructure that we use to provide business process outsourcing services and other software development and technical support services to support our operations. Although we directly manage these personnel resources in accordance with our policies and procedures, these India-based operations are subject to the risks of non-US operations, similar to those faced by our Jamaica operations.
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The registration of the resale of the shares of a substantial amount of shares of our common stock by Tak Investments and by the holders of our Preferred Stock entails some risks, including the fact that the sale of shares of our common stock in the public market, or the possibility of these sales, could depress or lower our stock price.
We currently have effective registration statements on file with the Securities and Exchange Commission providing for the registration of the resale of a substantial number of our shares of common stock and are in the process of registering substantial additional shares on behalf of Tak Investments. The aggregate number of shares of our common stock that are currently, and likely in the future, registered for resale will exceed the number of shares of our common stock that are not so registered. Although some restrictions currently apply to the resale in the public market of such shares, a significant number of shares are and will be fully eligible for resale in the public market. The sale of such shares in the public market, or the perception that such sales may occur, could depress or lower our stock price.
Item 1B. | Unresolved Staff Comments |
None
Item 2. | Properties |
Healthaxis’ headquarters is located in a leased facility in Irving, Texas, a suburb of the Dallas metropolitan area. The Company owns no real property and conducts its business through the following leased facilities:
Address | Square Feet | Lease Expiration | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
7301 North State Highway 161, Suite 300, Irving, TX | 20,000 | June 2010 | ||||||||
670 East Main St, Castledale, UT | 5,450 | December 2007 | ||||||||
1-3 Pimento Way, Montego Freeport, Montego Bay, Jamaica | 6,500 | February 2008 |
The Company believes its existing facilities are suitable to conduct its present business and that its leased facilities are well maintained and in good operating condition and are adequate for its present and anticipated levels of operation.
Item 3. | Legal Proceedings |
The Company is involved in minimum litigation arising in the ordinary course of its business. Management is of the opinion that no currently pending litigation will have a material adverse effect on the results of operations or financial position of the Company.
Item 4. | Submission of Matters to a Vote of Security Holders |
None.
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PART II
Item 5. | Market For Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities. |
Price Range of Common Stock
Healthaxis’ common stock is listed and trades on the NASDAQ Capital Market under the symbol HAXS. The following table shows the range of quarterly high and low sale prices for Healthaxis common stock over the last two years.
2005 | 2004 | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
High | Low | High | Low | ||||||||||||||||
First Quarter | $ | 3.50 | $ | 2.00 | $ | 5.01 | $ | 2.48 | |||||||||||
Second Quarter | 2.33 | 1.41 | 4.60 | 2.10 | |||||||||||||||
Third Quarter | 1.94 | 1.30 | 3.19 | 1.95 | |||||||||||||||
Fourth Quarter | 1.71 | 1.10 | 4.25 | 1.47 |
On March 10, 2006, the closing price of Healthaxis common stock was $1.59. There were 108 shareholders of record as of March 10, 2006, although Healthaxis believes that the number of beneficial owners of its common stock is substantially greater.
Dividends
Healthaxis did not pay a cash dividend on its common stock in 2005 or 2004 and does not anticipate paying cash dividends on its common stock for the foreseeable future. Any payment of cash dividends on its common stock in the future will be at the discretion of the board of directors and subject to some limitations under the Pennsylvania Business Corporation Law and the Certificate of Designation of our Preferred Stock, and will depend upon factors such as the Company’s earning levels, capital requirements, financial condition and other factors deemed relevant by the board of directors. Healthaxis did, however, pay semi-annual dividends on its Preferred Stock at the stated rate of 2% per year, prior to modification of the terms of the Preferred Stock on June 30, 2004. Subsequent to the modification of the terms of the Preferred Stock, holders of the new Preferred Stock have the right to receive a nominal dividend of $.0001 per share semi-annually, aggregating to less than $1,000 per year in total to all holders of Preferred Stock, and otherwise on a pro-rata basis to the extent that dividends are paid to holders of common stock. Healthaxis did not pay a dividend on its Preferred Stock in 2005; the aggregate dividend payment on the Preferred Stock in 2004 was $223,000.
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Item 6. | Selected Financial Data. |
The following selected consolidated financial information has been derived from the consolidated financial statements of Healthaxis and should be read in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations,” as well as the consolidated financial statements and notes thereto included elsewhere in this report. The consolidated financial statements of Healthaxis have been audited by McGladrey & Pullen, LLP for 2005 and 2004 and by Ernst & Young LLP for 2003, 2002 and 2001. Healthaxis’ financial results include those of its subsidiaries. All information was previously restated to present as discontinued operations Healthaxis’ UICI outsourcing operations under the Services Agreement (effective June 17, 2002).
Years Ended December 31, | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | 2003 | 2002 | 2001 | |||||||||||||||||||
(In thousands, except per share data) | |||||||||||||||||||||||
Statement of Operations Data: | |||||||||||||||||||||||
Revenue | $ | 15,705 | $ | 16,162 | $ | 20,851 | $ | 19,816 | $ | 23,105 | |||||||||||||
Expenses: | |||||||||||||||||||||||
Cost of revenues | 14,489 | 15,905 | 19,573 | 21,355 | 24,557 | ||||||||||||||||||
Sales and marketing | 1,139 | 1,475 | 948 | 1,951 | 3,225 | ||||||||||||||||||
General and administrative | 2,566 | 3,489 | 3,298 | 3,745 | 13,492 | ||||||||||||||||||
Research and development | — | — | 30 | 366 | 1,479 | ||||||||||||||||||
Reversal of contingent tax liability | (979 | ) | — | — | — | — | |||||||||||||||||
Restructuring and impairment charges | 537 | — | — | 6,232 | 279,607 | ||||||||||||||||||
Loss on sale of building | — | — | — | — | 2,498 | ||||||||||||||||||
Amortization of intangibles | 84 | 1,032 | 1,296 | 1,300 | 12,471 | ||||||||||||||||||
Total expenses | 17,836 | 21,901 | 25,145 | 34,949 | 337,329 | ||||||||||||||||||
Operating loss | (2,131 | ) | (5,739 | ) | (4,294 | ) | (15,133 | ) | (314,224 | ) | |||||||||||||
Gain on extinguishments of debt | — | — | — | 16,388 | 1,681 | ||||||||||||||||||
Interest expense and other income, net | (120 | ) | (219 | ) | 30 | (427 | ) | (2,795 | ) | ||||||||||||||
Income (loss) before minority interest | (2,251 | ) | (5,958 | ) | (4,264 | ) | 828 | (315,338 | ) | ||||||||||||||
Minority interest in loss of subsidiary | — | — | — | — | 3,080 | ||||||||||||||||||
Income (loss) before provision for income taxes | (2,251 | ) | (5,958 | ) | (4,264 | ) | 828 | (312,258 | ) | ||||||||||||||
Income tax provision | — | — | — | — | — | ||||||||||||||||||
Income (loss) from continuing operations | (2,251 | ) | (5,958 | ) | (4,264 | ) | 828 | (312,258 | ) | ||||||||||||||
Loss from sale of discontinued operations | — | — | — | (3,564 | ) | — | |||||||||||||||||
Gain (loss) from discontinued operations | — | — | — | 850 | 1,686 | ||||||||||||||||||
Loss before cumulative effect of accounting change | (2,251 | ) | (5,958 | ) | (4,264 | ) | (1,886 | ) | (310,572 | ) | |||||||||||||
Cumulative effect of accounting change | — | — | — | (6,674 | ) | — | |||||||||||||||||
Net loss | (2,251 | ) | (5,958 | ) | (4,264 | ) �� | (8,560 | ) | (310,572 | ) | |||||||||||||
Less: Cash dividends on preferred stock | — | — | (690 | ) | (198 | ) | — | ||||||||||||||||
Less: Fair value of consideration transferred over carrying value of preferred stock | — | (3,973 | ) | — | — | — | |||||||||||||||||
Net loss applicable to common stock | $ | (2,251 | ) | $ | (9,931 | ) | $ | (4,954 | ) | $ | (8,758 | ) | $ | (310,572 | ) | ||||||||
Basic and diluted income (loss) per share of common stock: | |||||||||||||||||||||||
Continuing operations | $ | (0.44 | ) | $ | (3.48 | ) | $ | (1.05 | ) | $ | 0.12 | $ | (62.27 | ) | |||||||||
Discontinued operations | — | — | — | (.51 | ) | 0.34 | |||||||||||||||||
Cumulative effect charge | — | — | — | (1.24 | ) | — | |||||||||||||||||
Net loss | $ | (0.44 | ) | $ | (3.48 | ) | $ | (1.05 | ) | $ | (1.63 | ) | $ | (61.93 | ) | ||||||||
Weighted average common shares and equivalents used in computing basic and diluted (loss) income per share | 5,174 | 2,857 | 4,699 | 5,361 | 5,015 |
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As of December 31, | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | 2003 | 2002 | 2001 | |||||||||||||||||||
(In thousands, except per share data) | |||||||||||||||||||||||
Balance Sheet Data: | |||||||||||||||||||||||
Cash | $ | 4,729 | $ | 3,930 | $ | 7,887 | $ | 11,380 | $ | 13,149 | |||||||||||||
Total assets | 21,146 | 20,658 | 27,078 | 33,621 | 57,419 | ||||||||||||||||||
Notes payable (current portion) | 2,028 | 637 | 599 | — | — | ||||||||||||||||||
Notes payable (excluding current portion) | — | 2,041 | 2,697 | — | — | ||||||||||||||||||
Convertible debenture | — | — | — | — | 27,134 | ||||||||||||||||||
Preferred stock | 2,752 | 3,100 | 5,899 | 6,280 | — | ||||||||||||||||||
Total stockholders’ equity including preferred stock | 14,807 | 12,799 | 18,711 | 27,572 | 22,262 |
Item 7. | Management’s Discussion and Analysis of Financial Condition and Results of Operations. |
The following discussion contains forward looking statements that involve risks and uncertainties. Our actual results could differ materially form those discussed in the forward looking statements as a result of various factors, including those set forth under “Business — Risk Factors” elsewhere in this report or in the information incorporated by reference in this report. You should read the following discussion and analysis in conjunction with “Selected Consolidated Financial Data” included in this report, as well as our consolidated financial statements and related notes thereto appearing elsewhere in this report.
Overview
Healthaxis is a technology-enhanced provider of fully integrated solutions and services for health benefit administrators and health insurance claim processors. These solutions, which are comprised of software products and related business process services, are designed to assist health insurance payers, third party administrators (“TPA”) and preferred provider organizations (“PPO”) provide enhanced claims related services to members, employees, employers and providers at lower cost. These services are provided through the application of Healthaxis’ flexible technology on an Application Service Provider (“ASP”) basis. These technology solutions are complemented by Healthaxis’ web-based Business Process Outsourcing (“BPO”) services, which are offered to the Company’s ASP clients and on a stand-alone basis. BPO solutions include the automated capture, imaging, storage and retrieval of electronic claims, attachments, and related correspondence, in addition to rules-based claims pre-adjudication and editing and automated PPO routing (via electronic data interchange or “EDI”) and repricing. Healthaxis uses its deep domain expertise in health insurance operations to customize services to meet the specific needs of its customers and to produce value for those customers by tapping unrealized potential in the customers’ operations to achieve best results.
Revenue Model. The Company’s revenues consist primarily of application service provider (ASP) fees, transaction fees and professional service fees. The ASP services are substantially dependent on the Company’s proprietary software and agreements with customers contain a license for the use of the relevant software. However, the customer does not have the contractual right to take possession of the software. The customer’s access to the Company’s hosted software is through dedicated data lines or the Internet. With some exceptions, the Company has not historically licensed its benefits administration and claims processing software for installation on customers’ systems. No new such licenses were granted since 2003 and the only revenue since that time from such licenses were ongoing fees from past licenses that are payable based on customer usage. These revenue sources are described below.
A significant portion of the Company’s revenue is based on providing ASP services to our health insurance company, third-party administrator and self-insured plan customers. The ASP service includes a license to use our benefits administration and claims processing software, including hosting, maintenance and support, which is typically charged on a per-employee-per-month (PEPM), or per-member-per-month (PMPM) basis. In addition, the Company surrounds these hosted software-use rights with such BPO services as imaging, data capture and retrieval, EDI and print and mail services, as well as PPO routing and repricing services, and claims editing services. These services are typically charged on a transaction fee basis, such as per claim, per image and per document. Due to
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the long-term nature of the ASP arrangement and because all revenue elements included in the collective services are typically not sold separately, the ASP and BPO service revenues are recognized ratably over the term of the agreement and/or as transaction services are provided.
In preparation for providing services under these multi-year ASP contracts, the Company also usually agrees to perform certain start-up activities directly related to customizing and configuring the licensed software and loading insurance plan data for performance under the contract. The Company defers costs and revenues relating to these start-up activities and recognizes such costs and revenues ratably over the period of time expected to benefit from the start-up activities, which generally approximates the term of the ASP contract.
Periodically, while an ASP contract is in place, the Company also performs professional services upon request and recognizes the related revenue on a time and materials basis as services are performed. Such professional services are not sold in conjunction with a software license included in the original ASP contract or other revenue elements and, therefore, are accounted for separately from the ASP contact.
The Company uses contract accounting for contracts where significant software modification is performed or where services are performed that are essential to the functionality of the delivered software. Generally, contracts that include significant software modification are accounted for using the percentage of completion method with progress measured based on the cost-to-cost method. Contracts with significant customer acceptance provisions are recognized using the completed contract method upon achieving customer acceptance of the completed project. The Company currently has no contracts in progress for which contract accounting is being applied.
2005 Tak Investments Financing Transaction. Following approval by the Company’s common shareholders, on May 13, 2005 the Company closed a financing transaction with Tak Investments a corporation owned by Mr. Sharad Tak. Under the terms and conditions of the Stock and Warrant Purchase Agreement with Tak Investments (the “Purchase Agreement”), the Company issued to Tak Investments 2,222,222 shares of common stock at a per share purchase price of $2.25 for an aggregate initial investment of $5.0 million. Tak Investments also received three warrants (the “Warrants”) at the Closing. The first Warrant, which provides for an exercise price of $2.25 per share of common stock and a term of two years following registration of the underlying shares, permits the Company to call the exercise of up to 3,333,333 shares of common stock (for an aggregate of up to $7.5 million) under certain conditions, but only permits Tak Investments to exercise the Warrant for up to 2,222,222 shares of common stock (for an aggregate of $5.0 million). The Company’s ability to call the exercise of the first Warrant is subject to the satisfaction of certain conditions, including unanimous approval of such action by the Company’s Board of Directors (which requires the approval of Tak Investments’s designees to the Board, as referenced below). Tak Investments also received two additional warrants representing the right to purchase additional shares of common stock at prices of $2.70 and $3.15 per share. The number of shares of common stock subject to these two additional Warrants is dependent upon the amount ultimately exercised under the first Warrant, but could total up to an additional 2,777,778 shares of common stock and could provide additional cash to the Company of up to $8.1 million.
In connection with the Closing, the Company and Tak Investments entered into a number of related agreements. Under the terms of an Investor Rights Agreement, the securities purchased by Tak Investments are subject to limited transfer restrictions, and Tak Investments has the right to approve certain fundamental corporate activities, the right to participate in other Healthaxis equity financings and, depending upon the size of the Company’s Board of Directors and Tak Investments’s continuing ownership position in the Company, the right to designate one to three nominees for election to the Company’s Board of Directors. Currently, Tak Investments has one designee sitting on the Board of Directors. The parties also entered into a Registration Rights Agreement under which the Company agrees to file a registration statement covering the resale of the shares of common stock purchased under the Purchase Agreement or through exercise of the Warrants.
As a part of the closing, the Company also entered into a five year Remote Resourcing Agreement with Healthcare BPO Partners L.P., a company affiliated with Tak Investments and owned by Mr. Tak. Healthcare BPO Partners, based in Jaipur, India, provides personnel and infrastructure that is utilized by the Company to provide business process outsourcing services and other software development and technical support services to support the Company’s operations. The resources provided by Healthcare BPO Partners supplement the Company’s existing
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wholly-owned operations in Utah, Texas and Jamaica. As a part of the Resourcing Agreement, Healthcare BPO Partners also provides data center hosting services, at a Vienna Virginia facility, to Healthaxis.
2004 Preferred Stock Modification Transaction. Previously, the Company’s Series A Convertible Preferred Stock (“old”) had a stated value of $22.1 million and was convertible into 1,424,258 shares of Healthaxis common stock at a conversion price of $15.50 per share. The terms of the preferred stock provided that cumulative dividends be paid at the rate of 2%, or approximately $442,000 per year, payable semi-annually. In general, the Company could have paid the dividends either in cash or by issuing shares of common stock, although in some circumstances it was required to pay cash dividends. The terms of the preferred stock provided that, in some situations, the holders of the preferred stock could have forced Healthaxis to buy back their shares. The Company believed that the occurrence of the situations where it could be required to buy back shares of preferred stock was within its control. The preferred stock also contained, among other things, provisions providing the holders a preference in the payment of dividends and also a liquidation preference equal to at least the stated value of the preferred stock plus all accrued but unpaid dividends. The holders of the preferred stock did not have general voting rights, although they did have the right to vote separately as a class in connection with some matters.
Healthaxis entered into a Preferred Stock Modification Agreement on May 12, 2004. On June 30, 2004, Healthaxis consummated a transaction modifying the terms of its Series A Convertible preferred stock and providing for the issuance to its preferred shareholders of warrants to purchase shares of the Company’s common stock. Under the terms of the agreements with the preferred shareholders, the then existing shares of the preferred stock were convertible into an aggregate of 3,850,000 shares of the Company’s common stock. The preferred shareholders also received warrants with a term of five years entitling them to purchase up to 1,000,000 shares of common stock at an exercise price of $5.50 per share (subject to a cashless exercise feature that applies under some circumstances). The shares of common stock into which the shares of preferred stock have been, or are in the future, convertible and, with respect to which the warrants are exercisable, represent approximately 22% of our common stock on a fully diluted basis as of December 31, 2005. Holders of the preferred stock have no liquidation preference, no voting rights except as required by law, the right to receive a nominal dividend of $0.0001 per share semi-annually (aggregating to less than $1,000 per year in total) and otherwise on a pro-rata basis to the extent that dividends are paid to holders of common stock, limited anti-dilution rights in the context of stock splits, stock dividends and similar transactions, and no redemption rights. As required under the preferred stock modification agreements, Healthaxis has registered for resale the shares of common stock issuable upon conversion of the preferred stock or exercise of the warrants.
The new preferred stock is convertible into shares of common stock at the option of a preferred shareholder at any time, and in any amount. In the event of the transfer of shares of preferred stock in accordance with the terms of the agreements with the preferred shareholders, the preferred stock automatically converts into shares of common stock. Healthaxis may compel conversion of the preferred stock or exercise of the warrants granted to the preferred shareholders under certain circumstances.
Under the agreements with the preferred shareholders, Healthaxis agreed that it will not issue any equity securities in a transaction implying a pre-money valuation of Healthaxis of less than $14.5 million, or at a per share price of less than $2.15 (these restrictions do not apply to the grant of stock options to Healthaxis employees or directors in most circumstances).
Prior to conversion, the new preferred stock will only have the right to vote to the extent it is entitled to do so under applicable law. Under applicable law, the new preferred stock is entitled to vote separately as a class in certain instances, including in the event of a merger or consolidation that would effect some types of changes in the Company’s articles of incorporation. To the extent that applicable law entitles the new preferred stock to vote on a given merger or consolidation transaction, the preferred shareholders have agreed to vote their shares in favor of the merger or consolidation if the common shareholders approve the merger or consolidation and if the per share price to be received by the preferred shareholders in the merger or consolidation for each share of preferred stock is at least equal to what they would have received in the merger or consolidation if they had converted their shares of preferred stock into shares of common stock immediately prior to the merger or consolidation.
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2004 HCA Settlement. The Company previously had a contract for software licensing, development and systems implementation with the State of Washington Health Care Authority (“HCA”), which began in mid 2002. The Company was the prime contractor on the HCA project and utilized the services of an offshore development partner to perform a significant part of the work. A dispute arose under the HCA contract in late 2003, which was resolved by the Company and HCA in the second quarter of 2004. Both parties entered into an agreement to terminate the HCA contract. The Company also simultaneously entered into a cancellation agreement with its development partner canceling and terminating its master software services agreement with the development partner and the work order associated with subcontracted portions of the HCA project.
Under the terms of the agreement with HCA, the Company paid HCA $300,000 and transferred title to certain project documentation to HCA. The agreement also contains full mutual releases of all parties including HCA, Healthaxis and the development partner, and an express denial of liability or wrongdoing by all parties.
Under the terms of the agreement between the Company and its development partner, Healthaxis received $208,000 and any rights the development partner may have in the documentation being transferred by Healthaxis to HCA, resulting in a net cash payment by Healthaxis to HCA of $92,000. The agreement also contains full mutual releases between Healthaxis and the development partner, and an express denial of liability or wrongdoing by either party.
The Company entered into these agreements solely to avoid the potential time and cost of dispute resolution. The execution and funding of these agreements resolved all outstanding issues related to the HCA project. The net impact of these transactions is included in general and administrative expense.
2003 Repurchase of Securities Held by UICI. On September 30, 2003, the Company purchased all Healthaxis securities held by UICI for $3.9 million. The UICI holdings included 2,585,769 shares of Healthaxis common stock, or 48.3% of the Company’s then outstanding common stock; 1,424 shares of Series A Convertible Preferred Stock, or 6.1% of the then outstanding preferred stock; and warrants to purchase 22,240 shares of common stock. The repurchased securities were retired. The total purchase price of $3.9 million included $500,000 cash at closing, and a $3.4 million promissory note, which is due over three years and bears interest at 6%. The promissory note will be paid through deductions from the monthly invoices for BPO services provided by the Company to the Mega Life & Health Insurance Company (“Mega”), a UICI subsidiary. The amount of the monthly payment will be equal to the greater of one half of the Mega invoice amount for BPO services or $65,000. A balloon principal payment is due on September 30, 2006 if the note has not been paid through the monthly payments. The balance remaining to be paid as of December 31, 2005, was $2.0 million. The Company is presently exploring various means of extending the term or other financing to satisfy this commitment.
Results of Operations
Year ended December 31, 2005 compared to year ended December 31, 2004
(Table in thousands) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Year Ended Dec. 31, | |||||||||||||||
2005 | 2004 | Change | |||||||||||||
Revenues | $ | 15,705 | $ | 16,162 | $ | (457 | ) | ||||||||
Cost of revenues | 14,489 | 15,905 | (1,416 | ) | |||||||||||
Gross profit | $ | 1,216 | $ | 257 | $ | 959 | |||||||||
% of revenue | 8 | % | 2 | % |
Revenues were approximately $457,000 (3%) lower in the year ended December 31, 2005 compared to the same period in 2004. Data capture service revenue declined $670,000 primarily as a result of the loss of a data capture client and a trend toward our customers receipt of a higher volume of claims electronically rather than on paper forms. Recurring PEPM license fee revenue increased $308,000 primarily as the result of an increased number of lives covered with one of our larger customers, partially offset by a decline from a different customer that had
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planned to transition its business away from the Company due to an acquisition. That customer’s parent organization has now reversed its decision and is in the process of increasing its volume of business with the Company. Changes in transaction fees and professional service fees were insignificant as compared to the same period in 2004.
Cost of revenues includes all expenses directly associated with the production of revenue, and consists primarily of salaries and related benefits, rent, amortization and depreciation, system expenses such as maintenance and repair, as well as other related consumables. Cost of revenues declined $1.4 million (9%) in the year ended December 31, 2005 compared to the same period in 2004. Cost of revenues was 92% of revenues in the 2005 period compared to 98% in the 2004 period. Approximately $931,000 of the savings resulted from headcount reductions in January 2005 and approximately $282,000 of the decline related to facilities costs from the June 2005 headquarters office move.
(Table in thousands) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Year Ended Dec. 31, | |||||||||||||||
2005 | 2004 | Change | |||||||||||||
Sales and marketing expense | $ | 1,139 | $ | 1,475 | $ | (336 | ) | ||||||||
General and administrative expense | 2,566 | 3,489 | (923 | ) | |||||||||||
Reversal of contingent tax liability | (979 | ) | — | (979 | ) | ||||||||||
Lease Abandonment charge | 537 | — | 537 | ||||||||||||
Amortization of intangibles | 84 | 1,032 | (948 | ) | |||||||||||
Interest and other income, net | 116 | 25 | 91 | ||||||||||||
Interest expense | (236 | ) | (244 | ) | 8 |
Sales and marketing expenses consist primarily of employee salaries and related benefits, as well as promotional costs such as direct mailing campaigns, trade shows, media advertising and website development costs. These expenses decreased $336,000 (23%) in the year ended December 31, 2005 compared to the same period of 2004. The decrease is primarily due to reduced personnel expenses resulting from the January 2005 headcount reduction and lower commissions.
General and administrative expenses include executive management, accounting, legal and human resources compensation and related benefits, as well as expenditures for applicable overhead costs. These expenses decreased $923,000 (26%) in the year ended December 31, 2005 compared to the same period of 2004. The decrease was a result of higher than usual professional fees in 2004, reduced audit fees, and headcount reductions effected in January 2005. General and administrative expense in 2004 included $468,000 of legal, accounting and other professional fees associated with the preferred stock modification.
Reversal of contingent tax liability of $979,000 was recorded as a credit to the Statement of Operations in the second quarter of 2005 as a result of the expiration of the applicable statute of limitations period. There was no such credit in 2004.
Lease abandonment charge consists of expenses related to the Company’s former headquarters space, which was vacated in June 2005 in favor of a new office lease. The charge includes relocation costs incurred and the write-off of certain assets abandoned in the move, plus amounts paid for rent and certain rent related obligations of the former headquarters following the cease-use date. There was no such charge in 2004.
Amortization of intangibles includes the amortization of developed software and customer base acquired in the January 2001 Healthaxis merger. These expenses were reduced $948,000 (92%) in the year ended December 31, 2005 compared to the same period of 2004, as the intangibles were fully amortized in January 2005.
Interest and other income, net increased $91,000 in the year ended December 31, 2005 compared to the same period of 2004, due primarily to a) higher cash balances resulting from the sale of common stock combined with b) a reduced loss on sale of equipment.
Interest expense decreased $8,000 (3%) in the year ended December 31, 2005 compared to the same period of 2004 due to reduced interest payments under the note payable to UICI dated September 30, 2003, related to the Company’s purchase of UICI’s Healthaxis stock and warrants.
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Year ended December 31, 2004 compared to year ended December 31, 2003
(Table in thousands) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Year Ended Dec. 31, | |||||||||||||||
2004 | 2003 | Change | |||||||||||||
Revenues | $ | 16,162 | $ | 20,851 | $ | (4,689 | ) | ||||||||
Cost of revenues | 15,905 | 19,573 | (3,668 | ) | |||||||||||
Gross profit | $ | 257 | $ | 1,278 | $ | (1,021 | ) | ||||||||
% of revenue | 2 | % | 6 | % |
Revenues were down approximately $4.7 million (22%) in the year ended December 31, 2004 compared to the same period in 2003. Cessation of work on the ACS/State of Georgia project and the State of Washington project, related to the development of benefit administration platforms, accounted for $1.8 million of the reduction. Recurring PEPM license fee revenue declined $578,000 primarily as the result of customers in a terminated or in a run-off stage, while other reductions in the number of covered lives administered by our clients was largely offset by increased revenues from new data mining capabilities offered to the Company’s ASP customers. Transaction fees and other revenue decreased $963,000 as a result of the consolidation of print and mailings across certain customers, and as a result of the decreased number of covered lives. Bundling of checks to the same provider of medical services and combining multiple payers into the same envelope for mailing, resulted in this decreased print and mailing revenue. Professional service fees decreased $723,000 as a result of decreased customers’ dependence upon our technical staff and a decrease in the number of one-time projects, as compared to the same period in 2003. Data capture service revenue declined $654,000 as a result of lower claims volume and due to the reduced number of covered lives in certain customers that use our data capture services.
Cost of revenues includes all expenses directly associated with the production of revenue, and consists primarily of salaries and related benefits, rent, amortization and depreciation, system expenses such as maintenance and repair, as well as other related consumables. Cost of revenues declined $3.7 million (19%) in the year ended December 31, 2004 compared to the same period in 2003. Cost of revenues was 98% of revenues in the 2004 period compared to 94% in the 2003 period. Approximately $1.7 million of the cost decline was related to termination of contract labor and internal costs associated with the ACS/State of Georgia and the State of Washington projects, which were underway in 2003. An additional $524,000 of the decline was due to reduced amortization and depreciation expenses resulting from a decline in capital spending for property, plant and equipment over the last three years. The remaining reduction was largely the result of lower costs for salary, benefits, travel, facilities and other expenses associated with personnel.
(Table in thousands) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Year Ended Dec. 31, | |||||||||||||||
2004 | 2003 | Change | |||||||||||||
Sales and marketing expense | $ | 1,475 | $ | 948 | $ | 527 | |||||||||
General and administrative expense | 3,489 | 3,298 | 191 | ||||||||||||
Research and development expense | — | 30 | (30 | ) | |||||||||||
Amortization of intangibles | 1,032 | 1,296 | (264 | ) | |||||||||||
Interest and other income, net | 25 | 139 | (114 | ) | |||||||||||
Interest expense | (244 | ) | (109 | ) | 135 |
Sales and marketing expenses consist primarily of employee salaries and related benefits, as well as promotional costs such as direct mailing campaigns, trade shows, media advertising and website development costs. These expenses increased $527,000 (56%) in the year ended December 31, 2004 compared to the same period of 2003. The increase is primarily due to additional personnel and recruiting expenses related to sales and marketing management and staff additions in early 2004, as well as commissions on new 2004 sales.
General and administrative expenses include executive management, accounting, legal and human resources compensation and related benefits, as well as expenditures for applicable overhead costs. These expenses increased $191,000 (6%) in the year ended December 30, 2004 compared to the same period of 2003. The increase was
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primarily due to the $92,000 settlement on of the State of Washington project and $468,000 of legal, accounting and other professional fees associated with the preferred stock transaction completed in June 2004. These cost increases were partially offset by lower costs for facilities, personnel and insurance totaling $299,000 plus other smaller cost reductions.
Research and development expenses were reduced to zero in the year ended December 31, 2004 compared to $30,000 in the same period of 2003, as the Company has placed a greater emphasis on completing existing development projects and the maintenance of existing customer accounts.
Amortization of intangibles includes the amortization of developed software and customer base acquired in the January 2001 Healthaxis merger. These expenses were reduced $264,000 (20%) in the year ended December 31, 2004 compared to the same period of 2003, as certain acquired developed software was fully amortized in January 2004.
Interest and other income, net decreased $114,000 in the year ended December 31, 2004 compared to the same period of 2003, due primarily to lower balances on notes receivable resulting from the normal course of collections and a write-off of certain retired fixed assets no longer used in the business.
Interest expense increased $135,000 (124%) in the year ended December 31, 2004 compared to the same period of 2003 due to interest payments under the $3.4 million note payable to UICI dated September 30, 2003, related to the Company’s purchase of UICI’s Healthaxis stock and warrants.
Liquidity and Capital Resources
Overview of Cash Resources
At December 31, 2005, our cash and cash equivalents amounted to $4.7 million compared to $3.9 million at December 31, 2004. The sources and uses of cash during 2005 are described more fully in “Analysis of Cash Flows” below. The Company’s focus is on becoming profitable and generating positive cash flow. We believe that the Company will maintain sufficient liquidity to fund operations for at least the next 12 months. However, in the event that we are unable to maintain or increase our revenues, or effectively reduce our expenses to a level commensurate with our revenues, or raise additional capital, then our business would likely be adversely affected.
The Company is encumbered with certain costs of being a public company, which cause its overhead structure to be higher than that normally associated with a company its size. The Company’s general and administrative expenses as a percent of revenue were 16%, 22% and 16% during 2005, 2004 and 2003, respectively. Management believes the fixed costs of remaining a public company will continue to be a significant burden on operating results unless offsetting revenue growth is achieved. As previously discussed, the increased general and administrative expenses as a percentage of revenues in 2004 was primarily the result of higher legal, accounting, and other professional fees incurred in connection with the Preferred Stock Modification Agreement and as a result of reduced revenues.
As previously discussed, the Company has a note payable to UICI of approximately $2.0 million as of December 31, 2005. A balloon payment is due on September 30, 2006 if the note has not been paid through the monthly payments. The Company is presently exploring various means of extending the term or other financing to satisfy this commitment.
With regard to maintaining cash flow from current customers, we are dependent on a small number of clients to generate a significant amount of annual and quarterly revenues. We believe that the relationships with our customers are generally positive. For the year ended December 31, 2005, our four largest customers accounted for 67% of revenues from continuing operations. One of these customers, accounting for 14% of total 2005 revenue, has increased the scope and volume of services it obtains from us and it is likely that the total revenue from this customer will increase, and thus the concentration of revenue may increase. As part of the new contract with this customer, the Company will be required to expend substantial resources, in the form of both human and capital expenditures, during the implementation phase of the contract which is expected to extend over a period as long
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as the next 12 months. As a result, the Company expects a negative short-term impact on cash flow until deferred collection provisions present in the contract are fulfilled and on-going profits expected to be generated from the recurring revenue stream start to be realized. The Company does not believe that the short-term impact of this project implementation will impact the Company’s ability to maintain sufficient liquidity to fund operations for at least the next 12 months. The implementation effort and terms of this agreement are typical for Healthaxis’ contracts of this scope and nature.
New sales to other customers are expected to partially offset this increased concentration; our plans for generating new revenues are based upon recent additions to our sales staff and refinement of our marketing strategy. We believe that Healthaxis offers competitive, and competitively priced, products and services to its target markets. However, there can be no assurances that we will be successful in achieving our revenue growth goals.
Analysis of Cash Flows
Cash used in operating activities for the year ended December 31, 2005 was approximately $2.4 million as compared to $2.8 million and $1.2 million for the years 2004 and 2003, respectively. The decrease in cash used in 2005 as compared to 2004 resulted primarily from the reduced net loss of $3.7 million but this amount was mostly offset by adjustments due to depreciation and amortization of $1.1 million, changes in working capital of $1.1 million, and reversal of a contingent tax accrual of approximately $1.0 million. The increase in cash used in 2004 compared to 2003 was primarily due to a $1.7 million increase in the net loss and an $816,000 reduction in depreciation expenses from 2003, partially offset by an improvement in working capital of $840,000.
Cash used in investing activities for the year ended December 31, 2005 was $1.0 million as compared to $891,000 and $1.1 million for the same periods in 2004 and 2003, respectively. The Company’s investing activities continue to be primarily in the areas of developing software enhancements, contract start-up activities and the acquisition of property, equipment and software. The increase in cash used in 2005 compared to 2004 resulted primarily from the purchase of new equipment to improve operational efficiency. The decrease in cash used in 2004 compared to 2003 was primarily due to a reduction in expenditures for purchased property, equipment and software, partially offset by increased expenses related to internally developed software and job start-up expenses.
Cash provided by financing activities for the year ended December 31, 2005 was $4.3 million as compared to a use of $223,000 for the same period in 2004 and a use of $1.2 million in 2003. The cash provided by financing activities in 2005 resulted from the sale of common stock to Tak Investments as previously discussed. The decrease in cash used in 2004 compared to 2003 was due to a $467,000 reduction in payments on preferred stock dividends resulting from amending and restating the terms of the preferred stock agreements completed in June 2004. The initial $500,000 payment to UICI for purchasing Healthaxis’ stock and warrants in 2003 also contributed to the increased expenditures in that year. Subsequent principal and interest payments of $793,000 and $799,000 in 2005 and 2004, respectively, were netted against accounts receivable and therefore are reflected as a non-cash financing activity in the Consolidated Statements of Cash Flows. See “Overview — Repurchase of Securities Held by UICI” above.
Lease and other commitments
Healthaxis has certain capital and operating lease commitments over the next five years. These leases are primarily for office space and data processing equipment. In April 2005, the Company entered into a lease for approximately 20,000 square feet of office space located at 7301 North State Highway 161, Irving, Texas. The new lease was entered into to provide space for the relocation of the Company’s corporate headquarters from the former location at 5215 North O’Connor Blvd, Irving, Texas, where the Company occupied approximately 31,300 square feet. Lease payments on the new lease started on January 1, 2006, which coincides with the termination of the North O’Connor Blvd. lease on December 31, 2005. The new lease also provides terms under which ownership of certain furniture and equipment will be conveyed to the Company in April 2007, provided that the Company has met its obligations under the lease at that time. As previously discussed, the Company accrued a lease abandonment charge, based upon the future lease payment obligation as of the cease-use date plus other relocation expenses. Based upon the reduced square footage and the lower rental rate per square foot of the new facility, the Company expects a cash savings of over $700,000 per year, including lease expenses, utilities, parking, and property taxes, commencing in January 2006.
27
Contractual Obligations
The following table summarizes the Company’s known contractual obligations (in $000s) as of December 31, 2005:
Total | Less than 1 Year | 1–3 Years | 3–5 Years | After 5 Years | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Long term debt obligations (1) | $ | 2,027 | $ | 2,027 | $ | — | $ | — | $ | — | ||||||||||||
Operating lease obligations (2) | 1,596 | 404 | 728 | 464 | — | |||||||||||||||||
Purchase obligations (3) | 250 | 150 | 100 | — | — | |||||||||||||||||
Other long-term liabilities (4) | 899 | 116 | 181 | 185 | 417 | |||||||||||||||||
Total | $ | 4,772 | $ | 2,697 | $ | 1,009 | $ | 649 | $ | 417 |
(1) | Long-term debt obligations relate to the promissory note payable to UICI, excluding related interest. |
(2) | Operating lease obligations consist primarily of leases of office space and various data processing equipment. |
(3) | Purchase obligations consist primarily of contractual obligations for estimated future payments related to the licensing of various software modules that are integrated into Healthaxis’ products. |
(4) | Other long-term liabilities consist of estimated payments anticipated for funding of post-retirement benefits for a group of former executives of the Company. The benefits consist primarily of medical and dental insurance. |
The Company’s commitments to make payments in addition to these contractual commitments are the other accounts payable and short-term liabilities reflected on the Consolidated Balance Sheets.
Critical Accounting Policies
General
Our discussion and analysis of Healthaxis’ financial condition and results of operations are based upon our consolidated financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.
Critical accounting policies are those which are most important to the financial statement presentation and that require the most difficult, subjective complex judgments. We believe the following critical accounting policies include the more significant judgments and estimates used in the preparation of our consolidated financial statements.
Revenue Recognition
See “Overview — Revenue Model” above.
Capitalized Software
Healthaxis incurs development costs that relate primarily to the development of new products and major enhancements to existing services and products. All development costs related to software development projects incurred prior to the time of completing analysis, design and a detailed project plan are expensed. Costs incurred after completion of the project plan are capitalized until the software is released into production and made available to customers on our system. Once released into production, the capitalized costs are then amortized over the estimated useful life of the asset.
28
Goodwill and Other Intangible Assets
Effective January 1, 2002, the Company adopted Statements of Financial Accounting Standards (“SFAS”) No. 142 “Goodwill and Other Intangible Assets”, which requires companies to stop amortizing goodwill and certain intangible assets with an indefinite useful life. Instead, SFAS No. 142 requires that goodwill and intangible assets deemed to have an indefinite useful life be reviewed for impairment upon adoption of SFAS No. 142 (January 1, 2002), annually thereafter and upon the occurrence of any event that indicates potential impairments. The Company performs its annual impairment review during the fourth quarter of each year based upon an October 1 date. The Company does not have any intangible assets with an indefinite life.
SFAS No. 142 prescribes a two-phase process for impairment testing of goodwill. The first phase screens for potential impairment, while the second phase (if necessary), measures the impairment. Goodwill is potentially impaired if the net book value of a reporting unit exceeds its estimated fair value. The Company has a single reporting unit, as defined by SFAS No. 142, for purposes of analyzing goodwill. In calculating the impairment charges, the fair value of the reporting unit is estimated using a discounted cash flow methodology. The significant assumptions used in these calculations include discount rates and estimated future growth rates and operating margins. A change in any of these assumptions could significantly impact the estimated fair value of the reporting unit.
Impairment of Long-Lived Assets
In 2002, the Company adopted SFAS No. 144, “Accounting for the Impairment or Disposal of Long-Lived Assets” (‘SFAS 144”), which supersedes SFAS No. 121, “Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to be disposed of.” In accordance with SFAS 144, the Company records impairment losses on long-lived assets when events and circumstances indicate that such assets are not recoverable and impaired such that the estimated fair value of the asset is less than its recorded amount. Conditions that would necessitate an impairment assessment included material adverse changes in operations, significant adverse differences in actual results in comparison with initial valuation forecasts prepared at the time of acquisition, a decision to abandon acquired products, services or technologies, or other significant adverse changes that would indicate the carrying amount of the recorded asset might not be recoverable.
The Company reviews its long-lived assets and certain intangible assets for impairment on a quarterly basis or whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets held and used is generally measured by a comparison of the carrying amount of an asset to undiscounted pre-tax future net cash flows expected to be generated by that asset. An impairment loss is recognized for the amount by which the carrying amount of the assets exceeds the fair value of the assets estimated using discounted cash flows.
Income Taxes
Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that the deferred tax assets will not be realized. As a result of the capital transactions of both Healthaxis and its subsidiaries, including the Insurdata Merger, the HAXS Merger, the re-purchase of all Healthaxis stock and warrants from UICI and the modification to the Preferred Stock agreements, the utilization of NOL carryforwards is limited. Additionally, the utilization of these NOL’s, if available, to reduce future income taxes is dependent on the generation of sufficient taxable income prior to their expiration. As it is considered more likely than not that the deferred tax assets will not be realized, the Company has established a valuation allowance for all net deferred tax assets.
Post Retirement Benefits
We have an obligation to provide certain post retirement benefits to a group of retirees formerly employed by a predecessor of the Company. The benefits are lifetime health and life insurance coverage. Because this obligation exists until the death of the participants, actuarial calculations, which include the use of estimates, are
29
used to determine the carrying value of the liability. These estimates include the life expectancy of the participants, a discount rate to calculate the present value of the expected future costs, and growth rates to project anticipated future increases in the cost of the benefits provided. The amount necessary to satisfy this obligation may, therefore, be different than the amount accrued. The most sensitive variable in the calculation is the life expectancy of the participants. The Company uses current mortality tables to project life expectancy. As mortality rates do not change rapidly, the Company does not expect to have material changes to the calculation and therefore to the estimated liability.
Contingent Liabilities
Healthaxis’ policy is to record contingent liabilities that are both measurable and probable. In assessing whether or not to record a contingent liability, both of these criteria may be subjective. The final amount paid, if any, could be different than the amount we have accrued.
Recent Accounting Pronouncements
See Note 1 to the Consolidated Financial Statements herein for a discussion of the impact on the Company’s financial statements of new accounting standards.
Item 7A. | Quantitative and Qualitative Disclosures About Market Risk. |
Exposure to market risk for changes in interest rates relate primarily to short-term investments. The Company does not use derivative financial instruments. The primary objective of its investment activities is to preserve principal while maximizing yields without significantly increasing risk. Due to the nature of the Company’s investments, we believe that there is no material risk exposure.
Our cash equivalents and other investment instruments are exposed to financial market risk due to fluctuation in interest rates, which may affect our interest income. These instruments are not entered into for trading purposes. We do not expect our interest income to be significantly affected by a sudden change in market interest rates.
The dividend rate on our old preferred stock was fixed at 2%, while the dividend rate on our new preferred stock as described in “Overview — Preferred Stock” above, is fixed at a nominal rate of $0.0001 per share of the new preferred stock, payable semi-annually (aggregating less than $1,000 in dividend payments to all preferred shareholders annually). The interest rate on our note payable is fixed at 6%. The fair value of these instruments is therefore subject to fluctuation as market interest rates change.
30
Item 8. | Financial Statements and Supplementary Data |
Page | ||||||
---|---|---|---|---|---|---|
Report of Independent Registered Public Accounting Firm | 32 | |||||
Report of Independent Registered Public Accounting Firm | 33 | |||||
Consolidated Balance Sheets — December 31, 2005 and 2004 | 34 | |||||
Consolidated Statements of Operations Years ended December 31, 2005, 2004 and 2003 | 35 | |||||
Consolidated Statements of Changes in Stockholders’ Equity Years ended December 31, 2005, 2004 and 2003 | 36 | |||||
Consolidated Statements of Cash Flows Years ended December 31, 2005, 2004 and 2003 | 37 | |||||
Notes to Consolidated Financial Statements | 38 |
31
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors
Healthaxis Inc. and Subsidiaries
Dallas, Texas
Healthaxis Inc. and Subsidiaries
Dallas, Texas
We have audited the consolidated balance sheets of Healthaxis Inc. and Subsidiaries (the “Company”) as of December 31, 2005 and 2004, and the related consolidated statements of operations, changes in stockholder’s equity and cash flows for the years then ended. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audits.
We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Healthaxis Inc. and Subsidiaries as of December 31, 2005 and 2004, and the results of their operations and their cash flows for the years then ended in conformity with U.S. generally accepted accounting principles.
/s/ McGladrey & Pullen, LLP
Dallas, Texas
March 8, 2006
March 8, 2006
32
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
The Board of Directors and Stockholders
Healthaxis Inc.
Healthaxis Inc.
We have audited the accompanying consolidated statement of operations, consolidated statement of changes in stockholders’ equity and consolidated statement of cash flows of Healthaxis Inc. and subsidiaries for the year ended December 31, 2003. These financial statements are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements based on our audit.
We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audit provides a reasonable basis for our opinion.
In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated results of operations and cash flows of Healthaxis Inc. and subsidiaries for the year ended December 31, 2003, in conformity with U.S. generally accepted accounting principles.
/s/ Ernst & Young LLP
Dallas, Texas
March 24, 2004
March 24, 2004
33
HEALTHAXIS INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(Dollars in thousands except share data)
CONSOLIDATED BALANCE SHEETS
(Dollars in thousands except share data)
December 31, | ||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | |||||||||||||
ASSETS | ||||||||||||||
Current assets: | ||||||||||||||
Cash and cash equivalents | $ | 4,729 | $ | 3,930 | ||||||||||
Accounts receivable, net of allowance for doubtful accounts of $7 and $48, respectively | 2,256 | 2,368 | ||||||||||||
Prepaid expenses | 628 | 635 | ||||||||||||
Total current assets | 7,613 | 6,933 | ||||||||||||
Property, equipment and software, less accumulated depreciation and amortization of $5,943 and $6,661, respectively | 1,726 | 1,654 | ||||||||||||
Contract start-up costs, less accumulated amortization of $1,681 and $1,199, respectively | 451 | 655 | ||||||||||||
Customer base, less accumulated amortization of $4,214 and $4,130, respectively | — | 84 | ||||||||||||
Goodwill | 11,276 | 11,276 | ||||||||||||
Other assets | 80 | 56 | ||||||||||||
Total assets | $ | 21,146 | $ | 20,658 | ||||||||||
LIABILITIES AND STOCKHOLDERS’ EQUITY | ||||||||||||||
Current liabilities: | ||||||||||||||
Accounts payable | $ | 1,318 | $ | 1,238 | ||||||||||
Accrued liabilities | 788 | 674 | ||||||||||||
Deferred revenues | 626 | 923 | ||||||||||||
Note payable, current portion | 2,028 | 637 | ||||||||||||
Current portion, post retirement and employment liabilities | 106 | 135 | ||||||||||||
Current portion, capital lease obligations | 234 | — | ||||||||||||
Total current liabilities | 5,100 | 3,607 | ||||||||||||
Note payable | — | 2,041 | ||||||||||||
Post retirement and employment liabilities | 793 | 794 | ||||||||||||
Capital lease obligations | 40 | — | ||||||||||||
Other liabilities | 406 | 1,417 | ||||||||||||
Total liabilities | 6,339 | 7,859 | ||||||||||||
Commitments and contingencies | ||||||||||||||
Stockholders’ Equity: | ||||||||||||||
Preferred stock, par value $1.00: authorized 100,000,000 shares: | ||||||||||||||
Series A Convertible, Issued and outstanding 2,751,658 and 3,100,000 shares, respectively (no liquidation preference) | 2,752 | 3,100 | ||||||||||||
Common stock, par value $.10: authorized 1,900,000,000 shares, Issued and outstanding 6,088,855 and 3,518,291 shares, respectively | 609 | 352 | ||||||||||||
Note receivable from employees | (23 | ) | (23 | ) | ||||||||||
Additional paid-in capital | 448,571 | 444,221 | ||||||||||||
Accumulated deficit | (437,102 | ) | (434,851 | ) | ||||||||||
Total stockholders’ equity | 14,807 | 12,799 | ||||||||||||
Total liabilities and stockholders’ equity | $ | 21,146 | $ | 20,658 |
See notes to consolidated financial statements
34
HEALTHAXIS INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
(Dollars in thousands except share data)
CONSOLIDATED STATEMENTS OF OPERATIONS
(Dollars in thousands except share data)
Years Ended December 31, | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | 2003 | |||||||||||||
Revenue | $ | 15,705 | $ | 16,162 | $ | 19,422 | |||||||||
Revenue from affiliates | — | — | 1,429 | ||||||||||||
Total | 15,705 | 16,162 | 20,851 | ||||||||||||
Expenses: | |||||||||||||||
Costs of revenues | 14,489 | 15,905 | 19,573 | ||||||||||||
Sales and marketing | 1,139 | 1,475 | 948 | ||||||||||||
General and administrative | 2,566 | 3,489 | 3,298 | ||||||||||||
Research and development | — | — | 30 | ||||||||||||
Reversal of contingent tax liability | (979 | ) | — | — | |||||||||||
Restructuring and impairment charges | 537 | — | — | ||||||||||||
Amortization of intangibles | 84 | 1,032 | 1,296 | ||||||||||||
Total expenses | 17,836 | 21,901 | 25,145 | ||||||||||||
Operating loss | (2,131 | ) | (5,739 | ) | (4,294 | ) | |||||||||
Interest income and other income (expense) | 116 | 25 | 139 | ||||||||||||
Interest expense | (236 | ) | (244 | ) | (109 | ) | |||||||||
(120 | ) | (219 | ) | 30 | |||||||||||
Net loss | (2,251 | ) | (5,958 | ) | (4,264 | ) | |||||||||
Less: Cash dividends on preferred stock | — | — | (690 | ) | |||||||||||
Less: Fair value of consideration transferred over carrying value of preferred stock | — | (3,973 | ) | — | |||||||||||
Net loss attributable to common stockholders | $ | (2,251 | ) | $ | (9,931 | ) | $ | (4,954 | ) | ||||||
Income (loss) per share of common stock (basic and diluted) | $ | (0.44 | ) | $ | (3.48 | ) | $ | (1.05 | ) | ||||||
Weighted average common shares and equivalents used in computing loss per share — basic and diluted | 5,174,159 | 2,856,532 | 4,699,244 |
See notes to consolidated financial statements
35
HEALTHAXIS INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
(Dollars and shares in thousands)
CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS’ EQUITY
(Dollars and shares in thousands)
Preferred Stock | Common Stock | ||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Shares | Amount | Shares | Amount | Additional Paid-In Capital | Accumulated Deficit | Employee Note Receivables | Total | ||||||||||||||||||||||||||||
Balance, December 31, 2002 | 23 | $ | 6,280 | 5,365 | $ | 536 | $ | 445,421 | $ | (424,629 | ) | $ | (36 | ) | $27,572 | ||||||||||||||||||||
Net loss | (4,264 | ) | (4,264) | ||||||||||||||||||||||||||||||||
Preferred stock dividends | (690 | ) | (690) | ||||||||||||||||||||||||||||||||
Common stock received for payment on note receivable | (12 | ) | (41 | ) | (41) | ||||||||||||||||||||||||||||||
Employee stock option compensation | 34 | 34 | |||||||||||||||||||||||||||||||||
Repurchase of UICI stock and warrants | (1 | ) | (381 | ) | (2,586 | ) | (259 | ) | (3,260 | ) | (3,900) | ||||||||||||||||||||||||
Balance, December 31, 2003 | 22 | 5,899 | 2,767 | 277 | 441,464 | (428,893 | ) | (36 | ) | 18,711 | |||||||||||||||||||||||||
Net loss | (5,958 | ) | (5,958) | ||||||||||||||||||||||||||||||||
Modification of Preferred Stock | 3,828 | (2,049 | ) | 2,049 | — | ||||||||||||||||||||||||||||||
Conversion of Preferred Stock to Common | (750 | ) | (750 | ) | 750 | 75 | 675 | — | |||||||||||||||||||||||||||
Repayment of employee notes | 13 | 13 | |||||||||||||||||||||||||||||||||
Exercise of Stock Options | 1 | — | |||||||||||||||||||||||||||||||||
Employee stock option compensation | — | — | — | — | 33 | — | — | 33 | |||||||||||||||||||||||||||
Balance, December 31, 2004 | 3,100 | 3,100 | 3,518 | 352 | 444,221 | (434,851 | ) | (23 | ) | 12,799 | |||||||||||||||||||||||||
Net loss | (2,251 | ) | (2,251) | ||||||||||||||||||||||||||||||||
Sale of Common Stock | 2,222 | 222 | 4,034 | 4,256 | |||||||||||||||||||||||||||||||
Conversion of Preferred Stock to Common | (348 | ) | (348 | ) | 349 | 35 | 313 | — | |||||||||||||||||||||||||||
Stock option compensation | — | — | — | — | 3 | — | — | 3 | |||||||||||||||||||||||||||
Balance, December 31, 2005 | 2,752 | $ | 2,752 | 6,089 | $ | 609 | $ | 448,571 | $ | (437,102 | ) | $ | (23 | ) | $14,807 |
See notes to consolidated financial statements
36
HEALTHAXIS INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Dollars in thousands)
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Dollars in thousands)
Years Ended December 31, | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | 2003 | |||||||||||||
Cash flows from operating activities | |||||||||||||||
Net loss | $ | (2,251 | ) | $ | (5,958 | ) | $ | (4,264 | ) | ||||||
Adjustments to reconcile net loss to net cash used in operating activities: | |||||||||||||||
Depreciation and amortization | 1,478 | 2,626 | 3,442 | ||||||||||||
Bad debt reserve expense | (41 | ) | 9 | 55 | |||||||||||
Reversal of contingent tax accrual | (979 | ) | — | — | |||||||||||
Stock option compensation | 3 | 33 | 34 | ||||||||||||
Loss on disposition of assets | 6 | 53 | 15 | ||||||||||||
Changes in operating assets and liabilities: | |||||||||||||||
Accounts receivable | (497 | ) | 82 | 110 | |||||||||||
Prepaid expenses | 7 | (30 | ) | (32 | ) | ||||||||||
Other assets | (24 | ) | 9 | 70 | |||||||||||
Costs in excess of billings | — | — | 384 | ||||||||||||
Accounts payable and accrued liabilities | 194 | 359 | (509 | ) | |||||||||||
Deferred revenues | (297 | ) | 35 | (825 | ) | ||||||||||
Post retirement and employment liabilities | — | (11 | ) | (26 | ) | ||||||||||
Other liabilities | (42 | ) | (50 | ) | 382 | ||||||||||
Net cash used in operating activities | (2,443 | ) | (2,843 | ) | (1,164 | ) | |||||||||
Cash flows from investing activities | |||||||||||||||
Software and contract start-up costs capitalized | (278 | ) | (649 | ) | (475 | ) | |||||||||
Proceeds from the sale of property and equipment | 9 | — | — | ||||||||||||
Collection on notes receivable, net | — | 101 | 183 | ||||||||||||
Purchases of property, equipment and software and internally developed capitalized software | (745 | ) | (343 | ) | (847 | ) | |||||||||
Net cash used in investing activities | (1,014 | ) | (891 | ) | (1,139 | ) | |||||||||
Cash flows from financing activities | |||||||||||||||
Buyback of shares from UICI | — | — | (500 | ) | |||||||||||
Proceeds from the issuance of common stock | 4,256 | — | — | ||||||||||||
Payment of preferred stock dividends | — | (223 | ) | (690 | ) | ||||||||||
Net cash provided by (used in) financing activities | 4,256 | (223 | ) | (1,190 | ) | ||||||||||
Increase (decrease) in cash and cash equivalents | 799 | (3,957 | ) | (3,493 | ) | ||||||||||
Cash and cash equivalents, beginning of year | 3,930 | 7,887 | 11,380 | ||||||||||||
Cash and cash equivalents, end of year | $ | 4,729 | $ | 3,930 | $ | 7,887 | |||||||||
Supplemental disclosure of cash flow information: | |||||||||||||||
Interest paid | $ | 29 | $ | 3 | $ | 14 | |||||||||
Non-cash financing activities: | |||||||||||||||
Exchange of convertible preferred stock for new convertible preferred stock | $ | — | $ | 2,049 | $ | — | |||||||||
Accounts receivable applied to note and interest payable in lieu of cash | $ | 793 | $ | 799 | $ | 138 |
See notes to consolidated financial statements
37
Healthaxis Inc. and Subsidiaries
Notes To Consolidated Financial Statements
Notes To Consolidated Financial Statements
Note 1 — Organization and Summary of Significant Accounting Policies
Healthaxis Inc. (“Healthaxis”), formerly Provident American Corporation, is a Pennsylvania corporation organized in 1982. Healthaxis is a technology-enhanced provider of fully integrated solutions and services for health benefit administrators and health insurance claim processors. These solutions, which are comprised of software products and related business process services, are designed to assist health insurance payers, third party administrators (“TPA”), preferred provider organizations (“PPO”), and self-administered employer groups provide enhanced claims related services to members, employees, employers and providers at lower cost. These services are provided through the application of Healthaxis’ flexible technology on an Application Service Provider (“ASP”) basis. These technology solutions are complemented by Healthaxis’ web-based capabilities and Business Process Outsourcing (“BPO”) services, which are offered to the Company’s ASP clients and on a stand-alone basis. BPO solutions include the automated capture, imaging, storage and retrieval of electronic claims, attachments, and related correspondence, in addition to rules-based claims pre-adjudication and editing and automated PPO routing (via electronic data interchange or “EDI”) and repricing.
Principles of consolidation
The consolidated financial statements include the accounts of the Company and its subsidiaries. All significant intercompany accounts and transactions have been eliminated.
Use of estimates
The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of revenues, expenses, assets, and liabilities and disclosure of contingencies. Actual results could differ from those estimates.
Cash equivalents
Cash equivalents consist of highly liquid investments with maturities of three months or less from date of purchase. The Company maintains its cash accounts at several commercial banks. Cash accounts at each bank often exceed amounts that are insured by the Federal Deposit Insurance Corporation.
Accounts Receivable
Accounts receivable consist primarily of customer billings and unbilled receivables pending billings in accordance with contract terms. An allowance for doubtful accounts is maintained based upon the Company’s history and a periodic review of the accounts. Better than expected collection experience resulted in a reversal of $41,000 of bad debt expense for the year ended December 31, 2005. Amounts charged to bad debt expense during the years ended December 31, 2004 and 2003 were $9,000, and $55,000, respectively. As individual accounts are deemed to be uncollectable, they are deducted from the allowance for doubtful accounts. Nothing was deducted during the year ended December 31, 2005 but amounts deducted as such during the years ended December 31, 2004 and 2003 were $5,000, and $206,000, respectively.
Property, equipment and software
Property, equipment and software are recorded at cost. Expenditures for improvements that increase the estimated useful lives of the assets are capitalized. Expenditures for repairs and maintenance are charged to operations as incurred. Depreciation and amortization are provided using the straight-line method over the estimated useful lives of the assets ranging from 1 to 7 years.
Contract Start-up costs
Healthaxis capitalizes costs, including direct labor and fringe benefits, directly attributable to start-up activities for ASP arrangement based long-term contracts. Such costs are amortized ratably over the life of the respective contract. All other start-up costs are expensed as incurred. Contract start-up costs capitalized during the years ended
38
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
December 31, 2005, 2004, and 2003 totaled $278,000, $390,000, and $171,000, respectively. Healthaxis recorded amortization expense relating to contract start-up costs of $482,000, $494,000, and $561,000, during the years ended December 31, 2005, 2004, and 2003, respectively.
Capitalized software
Healthaxis incurs development costs that relate primarily to the development of new products and major enhancements to existing services and products. All development costs related to internal use software development projects incurred prior to the time of completing analysis, design and a detailed project plan are expensed. Costs incurred after completion of the project plan are capitalized until the software is released into production and made available to customers on our system. These costs are included in property, equipment and software.
Healthaxis has in the past incurred development costs that relate primarily to the development of software to be sold, leased or otherwise marketed. All development costs related to such projects incurred prior to the time a project has reached technological feasibility are expensed. Technological feasibility is determined only after completion of a detailed program design or working model. Software development costs incurred subsequent to reaching technological feasibility are capitalized up to the point of product marketability. These costs are included in capitalized software.
Healthaxis capitalized $318,000, $259,000, and $304,000, in software development costs during the years ended December 31, 2005, 2004, and 2003, respectively. All software development costs capitalized are amortized on a straight-line basis over the remaining economic life of the product (generally three years). Healthaxis recorded amortization expense relating to capitalized software development costs totaling $406,000, $561,000, and $816,000, during the years ended December 31, 2005, 2004, and 2003, respectively. Estimated future amortization expense is $209,000, $121,000, and $101,000 for years 2006, 2007 and 2008 respectively.
Customer Base
Healthaxis’ customer base was recorded as a result of a business combination transaction and is being amortized over a period of four years. Healthaxis recorded amortization expense relating to the customer base costs totaling $84,000, $1.0 million, and $1.0 million, during the years ended December 31, 2005, 2004, and 2003, respectively. The balance has been fully amortized as of December 31, 2005.
Goodwill
Statement of Financial Accounting Standards (“SFAS”) No. 142 “Goodwill and Other Intangible Assets”, requires that goodwill and intangible assets deemed to have an indefinite useful life be reviewed for impairment, annually and upon the occurrence of any event that indicates potential impairments. The Company performs its annual impairment review during the fourth quarter of each year based upon an October 1 date. The Company does not have any intangible assets with an indefinite life.
Impairment of long-lived assets
The Company reviews its long-lived assets and certain intangible assets for impairment on a quarterly basis or whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. Recoverability of assets held and used is generally measured by a comparison of the carrying amount of an asset to undiscounted pre-tax future net cash flows expected to be generated by that asset. An impairment loss is recognized for the amount by which the carrying amount of the assets exceeds the fair value of the assets estimated using discounted cash flows.
Stock-Based Compensation
The Company has elected to continue to utilize the accounting method prescribed by APB Opinion No. 25 “Accounting for Stock Issued to Employees” (APB 25), and provide the disclosure requirements of SFAS No. 123, “Accounting for Stock-Based Compensation” (SFAS 123), as amended by SFAS No. 148, “Accounting for Stock-
39
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Based Compensation — Transition and Disclosure” (“SFAS 148”). Although the Company selected an accounting policy which requires only the excess of the market value of its common stock over the exercise price of options granted to be recorded as compensation expense (intrinsic method), pro forma information regarding net loss is required as if the Company had accounted for its employee stock options under the fair value method of SFAS 123. Pro forma net loss applicable to the options granted is not likely to be representative of the effects on reported net loss for future years. The fair value for these options is estimated at the date of grant using a Black-Scholes option pricing model. Stock compensation determined under the intrinsic method is recognized over the vesting period using the straight-line method.
Had compensation cost for the Company’s stock option grants been determined based on the fair value at the date granted in accordance with the provisions of SFAS 123, the Company’s net loss and net loss per common share would have been increased to the following pro forma amounts:
(Table in thousands, except per share data) | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | 2003 | |||||||||||||
Net loss attributable to common shareholders | $ | (2,251 | ) | $ | (9,931 | ) | $ | (4,954 | ) | ||||||
Stock based compensation expense recorded under the intrinsic value method | 3 | 33 | 34 | ||||||||||||
Pro forma stock based compensation expense computed under the fair value method | (508 | ) | (1,256 | ) | (1,616 | ) | |||||||||
Pro forma net loss applicable to common stock | $ | (2,756 | ) | $ | (11,154 | ) | $ | (6,536 | ) | ||||||
Loss per share of common stock, basic and diluted: | |||||||||||||||
As reported | $ | (0.44 | ) | $ | (3.48 | ) | $ | (1.05 | ) | ||||||
Pro forma | $ | (0.53 | ) | $ | (3.91 | ) | $ | (1.39 | ) |
The fair value of the options and warrants granted are estimated on the date of grant using the Black-Scholes option pricing model. The major assumptions used include no dividends paid, a weighted average expected life of two to seven years, expected stock volatility of 60% to 122% and risk free interest rates ranging from 2.75% to 4.85%. The weighted-average grant-date fair value of options granted during 2005 with an exercise price equal to market price was $0.80 and the weighted-average grant-date fair value of options granted in 2005 with an exercise price greater than market price was $1.14.
Revenue recognition
The Company’s revenues consist primarily of application service provider (ASP) fees, transaction fees and professional service fees. The ASP services are substantially dependent on the Company’s proprietary software and agreements with customers contain a license for the use of the relevant software. However, the customer does not have the contractual right to take possession of the software. The customer’s access to the Company’s hosted software is through dedicated data lines or the internet. With some exceptions, the Company has not historically licensed its benefits administration and claims processing software for installation on customers’ systems. No new such licenses were granted since 2003 and the only revenue since that time from such licenses were ongoing fees from past licenses that are payable based on customer usage. These revenue sources are described below.
A significant portion of the Company’s revenue is based on providing ASP services to our health insurance company, third-party administrator and self-insured plan customers. The ASP service includes a license to use our benefits administration and claims processing software, including hosting, maintenance and support, which is typically charged on a per-employee-per-month (PEPM), or per-member-per-month (PMPM) basis. In addition, the Company surrounds these hosted software-use rights with such BPO services as imaging, data capture and retrieval, EDI and print and mail services, as well as PPO routing and repricing services, and claims editing services. These services are typically charged on a transaction fee basis, such as per claim, per image and per document. Due to the long-term nature of the ASP arrangement, and because all revenue elements included in the collective services are typically not sold separately, the ASP and BPO service revenues are recognized ratably over the term of the agreement and/or as transaction services are provided.
40
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
In preparation for providing services under these multi-year ASP contracts, the Company also usually agrees to perform certain start-up activities directly related to customizing and configuring the licensed software and loading insurance plan data for performance under the contract. The Company defers costs and revenues relating to these start-up activities and recognizes such costs and revenues ratably over the period of time expected to benefit from the start-up activities, which generally approximates the term of the ASP contract.
Periodically, while an ASP contract is in place, the Company also performs professional services upon request and recognizes the related revenue on a time and materials basis as services are performed. Such professional services are not sold in conjunction with a software license included in the original ASP contract or other revenue elements and, therefore, are accounted for separately from the ASP contract.
The Company uses contract accounting for contracts where significant software modification is performed or where services are performed that are essential to the functionality of the delivered software. Generally, contracts that include significant software modification are accounted for using the percentage of completion method with progress measured based on the cost-to-cost method. Contracts with significant customer acceptance provisions are recognized using the completed contract method upon achieving customer acceptance of the completed project. The Company currently has no contracts in progress for which contract accounting is being applied.
Income taxes
Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes. Deferred tax assets are reduced by a valuation allowance when, in the opinion of management, it is more likely than not that the deferred tax assets will not be realized.
Basic and diluted loss per share of common stock
Basic loss per share is computed only on the weighted average number of common shares outstanding during the respective periods. Diluted earnings per share is computed to show the dilutive effect, if any, of convertible preferred stock, stock options and warrants using the treasury stock method based on the average market price of the stock during the respective periods. The effect of including the convertible preferred stock, stock options and warrants, totaling 11,347,687 and 5,290,430 as of December 31, 2005 and 2004 respectively, into the computation of diluted earnings per share would be anti-dilutive. Accordingly, these items have not been included in the computation. Following is a summary of these securities:
As of December 30, | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | ||||||||||
Options | 1,366,843 | 1,076,359 | |||||||||
Warrants | 7,229,186 | 1,114,071 | |||||||||
Preferred stock | 2,751,658 | 3,100,000 | |||||||||
Total common shares if converted | 11,347,687 | 5,290,430 |
Reclassifications of prior year amounts
Certain prior year amounts have been reclassified to conform with the 2005 presentations.
Stock Split
During 2003, the Company completed a 1-for-10 reverse stock split of its $.10 par value common stock. All references to the number of shares and per share amounts have been adjusted to reflect the reverse split for all periods presented.
41
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Concentrations of Credit Risk and Fair Value of Financial Instruments
The Company’s customers are dispersed across many different geographical areas within the United States. During the year ended December 31, 2005, four customers accounted for 67% of revenues with each customer representing more than 10% as follows:
Customer A | 23 | % | ||||
Customer B | 20 | % | ||||
Customer C | 14 | % | ||||
Customer D | 10 | % |
At December 31, 2005, accounts receivable from Customer B accounted for $660,000 or 29% of the accounts receivable balance. This customer is making payments in accordance with the terms of their contract. The Company does not require collateral from its customers. Most customer contracts provide Healthaxis the ability to discontinue monthly ASP services in the event of non-payment, which could be detrimental to the customer. As a result, historical bad debts have not been material. An allowance for doubtful accounts is maintained for estimated losses on specific accounts. Management estimates the allowance for each account, if any, considering the historical payment history of the customer. Generally, uncollectable accounts are charged off when the account becomes nine months old, and the customer has indicated its intent to not pay.
The carrying amount of cash and cash equivalents, accounts receivable, notes receivable, notes receivable from employees, accounts payable, notes payable and accrued liabilities approximates fair value due to the short maturities of these instruments. The Company has no derivative financial instruments.
Segments
The business of the Company consists of services related to the processing of benefits claims for U.S. customers, which falls within a single industry and geographic segment. The Company produces consolidated information on the operations (excluding sales, general and administrative), which is regularly reviewed by the executive management committee of the Company in assessing performance and as an aid in making decisions about how resources are to be allocated.
Recent accounting pronouncements
In December 2004 the FASB issued a revision of Statement of Financial Accounting Standards No. 123 (SFAS 123R), “Accounting for Stock-Based Compensation”. This statement supersedes APB Opinion No. 25 (APB 25), ”Accounting for Stock Issued to Employees”. Historically, the Company has accounted for employee stock based compensation using the intrinsic method under APB 25 as further described inStock-Based Compensation above. SFAS 123R requires that the compensation cost relating to share-based payment transactions, including grants of employee stock options, be recognized in the financial statements. The effect of the statement will be to require entities to measure the cost of employee services received in exchange for stock options based upon the grant-date fair value of the award, and to recognize the cost over the period the employee is required to provide services for the award. The Company is required to adopt FAS 123R for the fiscal year beginning January 1, 2006, and anticipates doing so under the modified prospective method.
As of December 31, 2005, the Company had no outstanding unvested options that would result in future compensation expense, therefore there is no immediate impact of this Statement. The future impact of this Statement will depend upon various factors including our future compensation strategy. The pro-forma costs presented in the table above and in prior filings for the Company have been calculated using a Black-Scholes option pricing model and may not be indicative of the amount which should be expected in the future.
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HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Note 2 — Property, Equipment and Software
Property, equipment and software, at cost, consist of the following:
(Table in thousands) December 31, | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Useful Lives (Years) | 2005 | 2004 | |||||||||||||
Computer equipment | 3 | $ | 4,700 | $ | 4,459 | ||||||||||
Office furniture and equipment | 7 | 377 | 1,005 | ||||||||||||
Leasehold improvements | 3–5 | 171 | 434 | ||||||||||||
Computer software | 1–3 | 2,421 | 2,417 | ||||||||||||
7,669 | 8,315 | ||||||||||||||
Less accumulated depreciation and amortization | (5,943 | ) | (6,661 | ) | |||||||||||
$ | 1,726 | $ | 1,654 |
Property, equipment, and software depreciation and amortization expense totaled $486,000, $562,000, and $1.1 million for the years ended December 31, 2005, 2004 and 2003 respectively.
Note 3 — Accrued Liabilities and Other Liabilities
Accrued liabilities and other liabilities consist of the following:
(Table in thousands) December 31, | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | ||||||||||
Salaries, benefits and payroll taxes | $ | 413 | $ | 590 | |||||||
Taxes | 385 | 1,362 | |||||||||
Other | 396 | 139 | |||||||||
1,194 | 2,091 | ||||||||||
Less other long-term liabilities | (406 | ) | (1,417 | ) | |||||||
Accrued liabilities | $ | 788 | $ | 674 |
Other long-term liabilities at December 31, 2005 and 2004 consist of a contingent tax liability and customer deposits.
Note 4 — Note Payable
On September 30, 2003, the Company purchased all Healthaxis securities held by a major shareholder, UICI, for $3.9 million. In conjunction with the purchase, the Company entered into a promissory note in the amount of $3.4 million, which is due over three years and bears interest at 6%. The promissory note will be paid through deductions from the monthly invoices for BPO services provided by the Company to the Mega Life & Health Insurance Company (“Mega”), a UICI subsidiary. The amount of the monthly payment will be equal to the greater of one half of the Mega invoice amount for BPO services or $65,000. A balloon principal payment is due at the maturity of the note on September 30, 2006, if the note has not been paid through the monthly payments.
Note 5 — Post Retirement and Post Employment Liabilities and Employee Benefit Plans
Healthaxis has an obligation to provide certain post retirement benefits, primarily lifetime health, dental and life insurance coverage, to a group of individuals consisting of three former executives and 17 retired employees of a predecessor company. Because this obligation exists until the death of the participants, actuarial calculations, which include the use of estimates, are used to determine the carrying value of the liability. These estimates include a life expectancy of 85 years, a discount rate of 5.3% to 6% to calculate the present value of the expected future costs, a 3% to 3.5% annual growth factor for life insurance and a range of 6%–13% annual growth factor for medical insurance. It is reasonably possible that these estimates could change in the near term. The effect of
43
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
a one-percentage-point increase or decrease in the assumed health care cost trend rate results in an approximate $36,000 increase and $36,000 decrease, respectively, on the accumulated post retirement obligation.
Changes in the post retirement and post employment liabilities were as follows:
(Table in thousands) | ||||||
---|---|---|---|---|---|---|
Balance at January 1, 2004 | $ | 940 | ||||
Interest cost | 54 | |||||
Service cost | 58 | |||||
Benefits paid | (123 | ) | ||||
Balance at December 31, 2004 | 929 | |||||
Interest cost | 54 | |||||
Service cost | 58 | |||||
Benefits paid | (142 | ) | ||||
Balance at December 31, 2005 | $ | 899 |
At December 31, 2005 and 2004, the unamortized, unrecognized net obligation existing at the date of the initial application of SFAS No. 106 “Employers’ Accounting for Postretirement Benefits Other Than Pensions” was $61,000 and $119,000 respectively. The amortization of this transition liability was $58,000 per year for the years ended December 31, 2005, 2004, and 2003, and is included as a component of service cost.
Benefits expected to be paid for each of the next five years and in aggregate thereafter are as follows:
(Table in thousands) | ||||||
---|---|---|---|---|---|---|
2006 | $ | 116 | ||||
2007 | 89 | |||||
2008 | 91 | |||||
2009 | 93 | |||||
2010 | 92 | |||||
Thereafter | 418 |
The Company estimates contributions to be paid under the plan in 2006 will be $116,000, which represents the amount for premiums and other payments under the plan. There are no plan assets related to these post retirement benefit plans.
The Company sponsors a defined contribution retirement savings plan under section 401(k) of the Internal Revenue Code covering substantially all employees. All contributions are subject to limitations imposed by IRS regulations. The total benefit expense under this plan amounted to $142,000, $153,000, and $32,000, for the years ended December 31, 2005, 2004, and 2003, respectively.
44
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Note 6 — Income Taxes
Significant components of deferred taxes consisted of the following:
(Table in thousands) December 31, | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | ||||||||||
Deferred tax assets: | |||||||||||
Allowance for doubtful accounts | $ | 2 | $ | 17 | |||||||
Post employment retirement benefits | 315 | 325 | |||||||||
Net operating and capital loss carryforwards | 53,228 | 52,342 | |||||||||
Accrued expenses and deferred revenues | 181 | 590 | |||||||||
Total deferred tax assets | 53,726 | 53,274 | |||||||||
Deferred tax liabilities: | |||||||||||
Customer base | — | (29 | ) | ||||||||
Capitalized software development costs | (81 | ) | (475 | ) | |||||||
Other, net | (239 | ) | (348 | ) | |||||||
Total deferred tax liabilities | (320 | ) | (852 | ) | |||||||
Deferred tax asset before valuation allowance | 53,406 | 52,422 | |||||||||
Valuation allowance | (53,406 | ) | (52,422 | ) | |||||||
Net deferred tax asset | $ | — | $ | — |
The Company’s net operating loss carryforward amounts of $149.0 million begin to expire in 2018 and fully expire in 2026.
As a result of the Company’s numerous capital transactions, the utilization of NOL carryforwards is limited. Additionally, the utilization of these NOL’s, if available, to reduce future income taxes is dependent on the generation of sufficient taxable income prior to their expiration. As it is considered more likely than not that the deferred tax assets will not be realized, the Company has established a valuation allowance for all net deferred tax assets.
The reconciliation of the recorded income tax provision to the benefit expected by applying the appropriate statutory income tax rate (35%) to the loss before income taxes is as follows:
(Table in thousands) Years Ended December 31, | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | 2004 | 2003 | |||||||||||||
Amount computed at statutory rate | $ | (788 | ) | $ | (2,085 | ) | $ | (1,492 | ) | ||||||
Change in valuation allowance | 779 | 2,065 | 3,383 | ||||||||||||
Expiration/adjustment of net operating losses | — | — | (1,690 | ) | |||||||||||
Other permanent differences | 9 | 20 | (201 | ) | |||||||||||
Total income tax benefit | $ | — | $ | — | $ | — |
Note 7 — Stockholders’ Equity
2005 Tak Investments Financing Transaction. Following approval by the Company’s common shareholders, on May 13, 2005 the Company closed a financing transaction with Tak Investments a corporation owned by Mr. Sharad Tak. Under the terms and conditions of the Stock and Warrant Purchase Agreement with Tak Investments (the “Purchase Agreement”), the Company issued to Tak Investments 2,222,222 shares of common stock at a per share purchase price of $2.25 for an aggregate initial investment of $5.0 million. Tak Investments also received three warrants (the “Warrants”) at the Closing. The first Warrant, which provides for an exercise price of $2.25 per share of common stock and a term of two years following registration of the underlying shares, permits the Company
45
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
to call the exercise of up to 3,333,333 shares of common stock (for an aggregate of up to $7.5 million) under certain conditions, but only permits Tak Investments to exercise the Warrant for up to 2,222,222 shares of common stock (for an aggregate of $5.0 million). The Company’s ability to call the exercise of the first Warrant is subject to the satisfaction of certain conditions, including unanimous approval of such action by the Company’s Board of Directors (which requires the approval of Tak Investments’s designees to the Board, as referenced below). Tak Investments also received two additional warrants representing the right to purchase additional shares of common stock at prices of $2.70 and $3.15 per share. The number of shares of common stock subject to these two additional Warrants is dependent upon the amount ultimately exercised under the first Warrant, but could total up to an additional 2,777,778 shares of common stock and could provide additional cash to the Company of up to $8.1 million.
In connection with the Closing, the Company and Tak Investments entered into a number of related agreements. Under the terms of an Investor Rights Agreement, the securities purchased by Tak Investments are subject to limited transfer restrictions, and Tak Investments has the right to approve certain fundamental corporate activities, the right to participate in other Healthaxis equity financings and, depending upon the size of the Company’s Board of Directors and Tak Investments’s continuing ownership position in the Company, the right to designate one to three nominees for election to the Company’s Board of Directors. Currently, Tak Investments has one designee sitting on the Board of Directors. The parties also entered into a Registration Rights Agreement under which the Company agrees to file a registration statement covering the resale of the shares of common stock purchased under the Purchase Agreement or through exercise of the Warrants.
As a part of the closing, the Company also entered into a five year Remote Resourcing Agreement with Healthcare BPO Partners L.P., a company affiliated with Tak Investments and owned by Mr. Tak. Healthcare BPO Partners, based in Jaipur, India, provides personnel and infrastructure that is utilized by the Company to provide business process outsourcing services and other software development and technical support services to support the Company’s operations. The resources provided by Healthcare BPO Partners supplement the Company’s existing wholly-owned operations in Utah, Texas and Jamaica. As a part of the Resourcing Agreement, Healthcare BPO Partners also provides data center hosting services, at a Vienna Virginia facility, to Healthaxis.
2004 Preferred Stock Modification Transaction. Previously, the Company’s Series A Convertible Preferred Stock (“old”) had a stated value of $22.1 million and was convertible into 1,424,258 shares of Healthaxis common stock at a conversion price of $15.50 per share. The terms of the preferred stock provided that cumulative dividends be paid at the rate of 2%, or approximately $442,000 per year, payable semi-annually. In general, the Company could have paid the dividends either in cash or by issuing shares of common stock, although in some circumstances it was required to pay cash dividends. The terms of the preferred stock provided that in some situations the holders of the preferred stock could have forced Healthaxis to buy back their shares. The Company believed that the occurrence of the situations where it could be required to buy back shares of preferred stock was within its control. The preferred stock also contained, among other things, provisions providing the holders a preference in the payment of dividends and also a liquidation preference equal to at least the stated value of the preferred stock plus all accrued but unpaid dividends. The holders of the preferred stock did not have general voting rights, although they did have the right to vote separately as a class in connection with some matters. After purchasing the preferred stock held by UICI during 2003, the recorded value as of December 31, 2003 was $5.9 million.
Healthaxis entered into a Preferred Stock Modification Agreement on May 12, 2004. On June 30, 2004, Healthaxis consummated a transaction modifying the terms of its Series A Convertible preferred stock and providing for the issuance to its preferred shareholders of warrants to purchase shares of the Company’s common stock. Under the terms of the agreements with the preferred shareholders, shares of the preferred stock (“new”) were convertible into an aggregate of 3,850,000 shares of the Company’s common stock. The preferred shareholders also received warrants with a term of five years entitling them to purchase up to 1,000,000 shares of common stock at an exercise price of $5.50 per share (subject to a cashless exercise feature that applies under some circumstances). The shares of common stock into which the shares of preferred stock have been or in the future are convertible and with respect to which the warrants are exercisable, represent approximately 22% of the common stock on a fully diluted basis as of December 31, 2005. Holders of the preferred stock have no liquidation preference, no voting rights except
46
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
as required by law, the right to receive a nominal dividend of $0.0001 per share semi-annually (aggregating less than $1,000 per year in total) and otherwise on a pro-rata basis to the extent that dividends are paid to holders of common stock, limited anti-dilution rights in the context of stock splits, stock dividends and similar transactions, and no redemption rights.
The new preferred stock is convertible into shares of common stock at the option of a preferred shareholder at any time, and in any amount. In the event of the transfer of shares of preferred stock in accordance with the terms of the agreements with the preferred shareholders, the preferred stock automatically converts into shares of common stock. Healthaxis may compel conversion of the preferred stock or exercise of the warrants granted to the preferred shareholders under some circumstances.
Under the agreements with the preferred shareholders, Healthaxis agreed that it will not issue any equity securities in a transaction implying a pre-transaction valuation of Healthaxis of less than $14.5 million or at a per share price of less than $2.15 (these restrictions do not apply to the grant of stock options to Healthaxis employees or directors in most circumstances).
Prior to conversion, the new preferred stock will only have the right to vote to the extent it is entitled to do so under applicable law. Under applicable law, the new preferred stock is entitled to vote separately as a class in certain instances, including in the event of a merger or consolidation that would effect some types of changes in the Company’s articles of incorporation. To the extent that applicable law entitles the new preferred stock to vote on a given merger or consolidation transaction, the preferred shareholders have agreed to vote their shares in favor of the merger or consolidation if the common shareholders approve the merger or consolidation and if the per share price to be received by the preferred shareholders in the merger or consolidation for each share of preferred stock is at least equal to what they would have received in the merger or consolidation if they had converted their shares of preferred stock into shares of common stock immediately prior to the merger or consolidation.
As required under the preferred stock modification agreements, Healthaxis has registered for resale the shares of common stock issuable upon conversion of the preferred stock or exercise of the warrants. The Company filed a Form S-3 Registration Statement on September 2, 2004 to register for resale the shares of common stock issuable upon conversion of the preferred stock or exercise of the warrants. On October 28, 2004 the Securities and Exchange Commission declared the Registration Statement effective.
The Company recorded this transaction based upon the calculation of the fair value of the new preferred stock and warrants. The calculated fair value of the new preferred stock is $8.9 million (3,850,000 shares multiplied by the $2.32 closing sale price of the Company’s common stock on the day of the transaction). The Company estimated the fair value of the warrants to be $940,000 using the Black-Scholes pricing model. The total calculated fair value of the new preferred stock and warrants is therefore $9.9 million. The $4.0 million difference between the calculated fair value of the new preferred stock and warrants and the carrying value of the old preferred stock of $5.9 million is analogous to a dividend to the preferred stockholders and has been recorded as such in the Company’s Consolidated Statement of Operations.
Additionally, while the old preferred stock had a 2% annual dividend payable semi-annually in January and July, the new preferred stock provides for the payment of a nominal semi-annual dividend (aggregating less than $1,000 per year to all preferred shareholders). In the first quarter of 2004, the Company accrued the $110,000 dividend payable in accordance with the terms of the old preferred stock, but this accrual was reversed in the second quarter of 2004 as a result of the completion of the transaction described above. This amount is also netted out of the net loss applicable to common shareholders on the consolidated statement of operations.
2003 Repurchase of Securities Held by UICI. On September 30, 2003, the Company purchased all Healthaxis securities held by UICI for $3.9 million. The UICI holdings included 2,585,769 shares of Healthaxis common stock, or 48% of the Company’s outstanding common stock; 1,424 shares of Series A Convertible Preferred Stock, or 6% of the outstanding preferred stock; and warrants to purchase 22,240 shares of common stock. The repurchased securities were retired. The total purchase price of $3.9 million included $500,000 cash at closing, and a $3.4 million promissory note (See Note 4). To obtain the required approval of this transaction from the Series A Preferred
47
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
shareholders, the Company agreed to reduce the conversion price of the remaining preferred shares from $26.25 to $15.50. The repurchase of the preferred shares held by UICI reduced the total liquidation value of the outstanding Series A Preferred stock from $23.5 million to $22.1 million.
Reverse Stock Split
On August 19, 2003, the Board of Directors authorized a 1-for-10 reverse stock split of the Company’s $.10 par value common stock. As a result of the reverse split, the number of shares outstanding on that date was reduced from 53,528,557 to 5,353,361. To gain the required approval of this transaction from the Series A Preferred shareholders, the Company paid a one-time consent fee equal to 1 percent, or $235,000, of the then outstanding Series A Preferred stock liquidation value. The payment has been included in dividends on preferred stock.
All references in the accompanying financial statements to the number of common shares and per share amounts for prior periods were previously restated to reflect the reverse stock split.
Note 8 — Stock Options and Warrants
From 1996 through 1999, Healthaxis maintained several stock option plans that provided for option grants to directors and key employees of Healthaxis and its subsidiaries. In addition, certain Healthaxis option plans provided for grants to non-employee field representatives and agents related to Healthaxis’ discontinued insurance operations. During 2000, no options were granted and all such plans became inactive. The total number of options outstanding under these plans as of December 31, 2005 is 362,510.
On January 26, 2001, the Healthaxis shareholders approved the 2000 Stock Option Plan (“2000 Plan”). Under the 2000 Plan, employees, officers and directors of Healthaxis, as well as certain consultants, were eligible to receive Healthaxis options. Nonqualified or incentive stock options may be granted. The plan was administered by the Compensation Committee, which is appointed by the Company’s Board of Directors. The Compensation Committee determined such things as the number of options to be granted to each participant, the exercise price, the vesting schedule and the expiration date. Options awarded under this plan include a mandatory Confidentiality and Non-Interference attachment, whereby the recipient agrees to certain covenants as a prerequisite to receiving the option award. The total number of options outstanding under the 2000 Plan as of December 31, 2005 is 888,483.
On June 29, 2005, the Healthaxis shareholders approved the Healthaxis Inc. 2005 Stock Incentive Plan (the “2005 Plan”) as a complete amendment and restatement of the Healthaxis 2000 Plan. Under the 2005 Plan, employees, non-employee directors, executive officers, consultants and advisors of the Company are eligible to receive Healthaxis stock-based awards. Such awards may include incentive stock options, nonstatutory stock options, stock appreciation rights, stock units and performance shares, and restricted stock awards. The 2005 Plan is administered by the Compensation Committee, which determines such things as the type of award to be granted to each participant, quantity, exercise price, vesting schedule, and expiration date. The 2005 Plan prohibits the grant of a stock option with an exercise price less than the fair market value of the Company’s stock on the date of grant. The total number of options outstanding under the 2005 Plan as of December 31, 2005 is 115,850.
During 2005, the Compensation Committee of the Board of Directors approved the acceleration of vesting of all unvested options. No stock-based employee compensation cost is reflected in the Company’s net loss, as all options granted under these plans had an exercise price greater than or equal to the market value of the underlying common stock on the date of grant. At the time of the acceleration, the Company had a total of 1,400,856 employee and director stock options outstanding, of which 1,098,061 were vested and 302,795 were unvested. All of the unvested options are governed by the 2005 Plan. The Compensation Committee of the Board of Directors has authority to accelerate vesting of options governed by the 2005 Plan. Upon the request of the Company’s Board of Directors, the Compensation Committee reviewed details regarding the terms, including the exercise price, and number of shares subject to options issued under the Plan. After conducting such a review, the Compensation Committee took action to immediately vest of all of the 302,795 previously unvested options, all of which were out-of-the-money (had an exercise price that was greater than the closing price of the Company’s common stock on that date). This action was taken in consideration of the interest of the Company’s shareholders in not having
48
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
the Company’s earnings impacted by the approximately $181,000 in compensation expense that the Company would otherwise have recorded over four years beginning in the first quarter of 2006, upon the adoption of FAS 123(R). The Board of Directors and the Compensation Committee also weighed the potential detrimental effect of early vesting on the employee retention value of the current vesting schedules for the affected options and employees in taking this action.
During the period 1998 through 2001, the Company issued a total of 207,781 warrants in connection with marketing and carrier agreements related to the Company’s now discontinued website operations, and to employees, consultants and agents of the Company. Of that total, 40,020 are outstanding as of December 31, 2005. During 2004, the Company issued 1,020,000 warrants associated with the Company’s new preferred stock (See Note 7), all of which are outstanding as of December 31, 2005.
In 2005, the Company issued a) a total of 6,166,666 warrants in connection with the sale of stock to Tak Investments as described in Note 7 and b) 2,500 warrants to Communities Foundation of Texas, a public charity created in accordance with the IRS Code as a vehicle for charitable giving. All of the warrants issued in 2005 were outstanding as of December 31, 2005.
The following table summarizes the changes in outstanding Healthaxis stock options and warrants:
Stock Options | Warrants | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Number of Shares | Weighted Average Exercise Price | Number of Shares | Weighted Average Exercise Price | ||||||||||||||||
Outstanding at January 1, 2003 | 856,305 | $ | 20.70 | 197,741 | $ | 43.10 | |||||||||||||
Granted | 186,856 | 3.40 | — | — | |||||||||||||||
Exercised | — | — | — | — | |||||||||||||||
Forfeited | (46,335 | ) | 10.25 | — | — | ||||||||||||||
Expired | (60,299 | ) | 34.03 | (37,089 | ) | 44.81 | |||||||||||||
Outstanding at December 31, 2003 | 936,527 | 16.89 | 160,652 | 42.65 | |||||||||||||||
Granted | 359,700 | 2.33 | 1,020,000 | 5.50 | |||||||||||||||
Exercised | (699 | ) | 3.43 | — | — | ||||||||||||||
Forfeited | (61,011 | ) | 8.25 | — | — | ||||||||||||||
Expired | (158,158 | ) | 22.63 | (66,581 | ) | 63.86 | |||||||||||||
Outstanding at December 31, 2004 | 1,076,359 | 11.67 | 1,114,071 | 7.26 | |||||||||||||||
Granted | 448,050 | 1.91 | 6,169,166 | 2.55 | |||||||||||||||
Exercised | — | — | — | — | |||||||||||||||
Forfeited | (84,196 | ) | 4.16 | — | — | ||||||||||||||
Expired | (73,370 | ) | 30.00 | (54,051 | ) | 36.04 | |||||||||||||
Outstanding at December 31, 2005 | 1,366,843 | $ | 7.95 | 7,229,186 | $ | 3.03 |
Options/Warrants exercisable at December 31, | Number of Options | Weighted Avg. Exercise Price of Options | Warrants | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2003 | 744,280 | $ | 19.54 | 160,652 | ||||||||||
2004 | 758,828 | 15.30 | 1,114,071 | |||||||||||
2005 | 1,366,843 | 7.95 | 4,475,460 |
49
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Following is a summary of the status of stock options outstanding at December 31, 2005:
Outstanding Options | Exercisable Options | ||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Exercise Price Range | Number | Weighted Average Remaining Contractual Life | Weighted Average Exercise Price | Number | Weighted Average Exercise Price | ||||||||||||||||||
$ 1.72 – $ 2.25 | 441,750 | 9.50 | $ | 1.91 | 441,750 | $ | 1.91 | ||||||||||||||||
$ 2.26 – $ 5.00 | 422,183 | 8.06 | $ | 2.61 | 422,183 | $ | 2.61 | ||||||||||||||||
$ 5.01 – $10.00 | 234,310 | 4.21 | $ | 8.21 | 234,310 | $ | 8.21 | ||||||||||||||||
$10.00 – $87.50 | 268,600 | 2.20 | $ | 26.03 | 268,600 | $ | 26.03 |
Total expensed stock based compensation for the years ended December 31, 2005, 2004, and 2003 totaled $3,000, $33,000, and $34,000, respectively.
Note 9 — Related Party and Certain Transactions
Healthcare BPO Partners
As described in Note 7, the Company entered into a five year Remote Resourcing Agreement with Healthcare BPO Partners L.P., a company affiliated with Tak Investments and owned by Mr. Tak. Healthcare BPO Partners, based in Jaipur India, provides personnel and infrastructure that is utilized by the Company to provide business process outsourcing services and other software development and technical support services to support the Company’s operations. The resources provided by Healthcare BPO Partners supplement the Company’s existing wholly-owned operations in Utah, Texas and Jamaica. As a part of the Resourcing Agreement, Healthcare BPO Partners also provides data center hosting services, at a Vienna Virginia facility, to Healthaxis. For the year ended December 31, 2005, the Company incurred costs of $376,000 related to the Resourcing Agreement and at December 31, 2005, the Company had accounts payable to Healthcare BPO Partners of $135,000.
UICI
Historically, Healthaxis conducted a significant amount of business with a major shareholder, UICI. Prior to September 30, 2003, UICI owned a significant portion of the Company’s outstanding common stock, and also owned preferred stock and warrants. The repurchase of all such securities from UICI is described in Note 7. As of December 31, 2003, UICI owned no Healthaxis securities and is no longer a related party.
Healthaxis previously provided services to a number of UICI subsidiaries and affiliates pursuant to various written agreements. These services included the use of certain of its proprietary workflow and business applications, as well as systems integration and technology management. The most significant of these agreements was the Services Agreement. Healthaxis has previously reported the revenues and expenses associated with the Services Agreement as those from the UICI Outsourcing segment. In June 2002, the Company and UICI terminated the Services Agreement. Notwithstanding, Healthaxis continues to provide products and services to UICI aside from the terminated Services Agreement.
For the years ended December 31, 2005, 2004, and 2003, UICI and its subsidiaries and affiliates accounted for $1.5 million (10%), $1.6 million (10%), and $1.8 million (9%), respectively, of the Company’s revenues from continuing operations. The 2003 amount includes $1.4 million of revenue prior to September 30, at which time UICI sold its holdings in Healthaxis and is no longer considered an affiliate. As of December 31, 2005 and 2004, Healthaxis had accounts receivable due from UICI and its subsidiaries and affiliates totaling $135,000 and $111,000, respectively. These amounts represented 6% and 5% of the Company’s total accounts receivable at December 31, 2005 and 2004, respectively.
Netlojix Communications, Inc., a telephone company in which Ronald L. Jensen, former Chairman of UICI and a former director of one of the Company’s subsidiaries, and parties affiliated with Mr. Jensen own a controlling
50
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
interest, provides telephone and data line services to the Company pursuant to written agreements which expire in September 2005 and December 2006. For the years ended December 31, 2005, 2004 and 2003, Healthaxis paid Netlojix Communications, Inc. approximately $110,000, $118,000, and $158,000, respectively, for services under this agreement.
Transactions with Digital Insurance
In connection with the sale of the retail website operations to Digital Insurance, Healthaxis and Digital Insurance entered into various agreements including an asset purchase agreement, a software license agreement and a consulting agreement. While there was no revenue recognized by the Company in the year ended December 31, 2005, revenue recognized during the years ended December 31, 2004 and 2003 under these agreements, as subsequently amended, totaled $30,000, and $133,000, respectively.
Note 10 — Commitments and Contingencies
Legal Proceedings
The Company is involved in normal litigation, including that arising in the ordinary course of business. Management is of the opinion that no pending litigation will have a material adverse effect on the results of operations or financial position of the Company.
Operating Lease Obligations
The Company leases office space and various pieces of equipment under operating leases expiring in various years through 2010. Rental expense for the years ended December 31, 2005, 2004, and 2003 was $846,000, $1.2 million, and $1.2 million, respectively. Future minimum rent payments under capital and operating leases through lease termination for each of the next five years and in the aggregate are as follows:
(Table in thousands) | ||||||
---|---|---|---|---|---|---|
2006 | $ | 403 | ||||
2007 | 423 | |||||
2008 | 305 | |||||
2009 | 309 | |||||
2010 | 155 | |||||
$ | 1,595 |
Note 11 — Real Estate Lease
In April 2005, the Company entered into a lease for approximately 20,000 square feet of office space located at 7301 North State Highway 161, Irving, Texas. The new lease was entered into for the purpose of relocating the corporate headquarters from the Company’s prior location at 5215 North O’Connor Blvd, Irving, Texas, where the Company occupied approximately 31,300 square feet. Lease payments on the new lease started on January 1, 2006, which coincided with the termination of the North O’Connor Blvd. lease on December 31, 2005.
In June 2005, the Company substantially completed the move of its headquarters and incurred certain costs related to the relocation of personnel and equipment and recorded a lease abandonment charge of $500,000 as of the cease-use date in the second quarter 2005. This charge consists of relocation costs incurred to date and the write-off of certain assets abandoned in the move, plus a $440,000 accrual for the future rent and rent related obligations of the former headquarters. The accrued rent and rent related obligations were paid on a monthly basis through December 31, 2005 in accordance with the lease terms. As of December 31, 2005, the Company had fulfilled its obligations and had no remaining balance in the accrued liability. Additional expenses related to the abandonment, such as the Company’s pro-rata share of utility costs and equipment de-installation charges were expensed as incurred in the lease abandonment charge. For the year ended December 31, 2005, the lease abandonment charge was $537,000.
51
HEALTHAXIS INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS — (Continued)
Lease payment obligations under the new lease start in January 2006 and end in June 2010. Rental expense is based upon the total rental payments taken on a straight-line basis over the 63-month term of the lease, including the rent abatement period from April to December 2005. The new lease also provides terms under which ownership of certain furniture and equipment will be conveyed to the Company in April 2007, providing that the Company has met its obligations under the lease at that time. A capital lease obligation of $254,000 was recorded in the second quarter of 2005 to recognize that portion of the total payments, which are allocated to the acquisition of the furniture and equipment. Allocation of the total lease payment between the office space and the furniture and equipment acquisition was based upon a third-party appraisal of the fair market value of the furniture and equipment.
Note 12 — Quarterly Results of Operations (unaudited)
The following is a tabulation of the Company’s quarterly results of operations for the years ended December 31, 2005 and 2004:
(Table in thousands, except per share amounts) | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
2005 | |||||||||||||||||||||||
Q1 | Q2 | Q3 | Q4 | Total | |||||||||||||||||||
Revenue | $ | 4,126 | $ | 4,011 | $ | 3,843 | $ | 3,725 | $ | 15,705 | |||||||||||||
Operating expenses | 5,037 | 4,284 | 4,332 | 4,183 | 17,836 | ||||||||||||||||||
Operating loss | (911 | ) | (273 | ) | (489 | ) | (458 | ) | (2,131 | ) | |||||||||||||
Interest expense and other income, net | (47 | ) | (52 | ) | (22 | ) | 1 | (120 | ) | ||||||||||||||
Net loss | $ | (958 | ) | $ | (325 | ) | $ | (511 | ) | $ | (457 | ) | $ | (2,251 | ) | ||||||||
Net loss per share of common stock (basic and diluted) | $ | (0.26 | ) | $ | (0.07 | ) | $ | (0.09 | ) | $ | (0.08 | ) | $ | (0.44 | ) |
2004 | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Q1 | Q2 | Q3 | Q4 | Total | |||||||||||||||||||
Revenue | $ | 4,249 | $ | 3,894 | $ | 3,942 | $ | 4,077 | $ | 16,162 | |||||||||||||
Operating expenses | 5,890 | 5,723 | 5,220 | 5,068 | 21,901 | ||||||||||||||||||
Operating loss | (1,641 | ) | (1,829 | ) | (1,278 | ) | (991 | ) | (5,739 | ) | |||||||||||||
Interest expense and other income, net | (37 | ) | (48 | ) | (50 | ) | (84 | ) | (219 | ) | |||||||||||||
Net loss | $ | (1,678 | ) | $ | (1,877 | ) | $ | (1,328 | ) | $ | (1,075 | ) | $ | (5,958 | ) | ||||||||
Net loss per share of common stock (basic and diluted) | $ | (0.65 | ) | $ | (2.07 | ) | $ | (0.48 | ) | $ | (0.34 | ) | $ | (3.48 | ) |
52
Item 9. | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure. |
On September 20, 2004, the Audit Committee of Healthaxis voted to dismiss Ernst & Young LLP as the Company’s independent public accountants, effective immediately. During the previous two calendar years ended December 31, 2003 and December 31, 2002 and the interim periods of calendar year 2004 through the date of dismissal, the Company had no disagreements with Ernst & Young LLP on any matter of accounting principles or practices, financial statement disclosures, or auditing scope or procedure, which if not resolved to the satisfaction of Ernst & Young LLP, would have caused it to make reference to the subject matter thereof in the report on the financial statements of the Company for such annual periods. There were no other reportable events (as defined in paragraphs (A) through (D) of Regulation S-K Item 304 (a)(1)(v)) during the calendar years ended December 31, 2003 and 2002 and from January 1, 2004 through the aforementioned dismissal date.
On September 20, 2004, the Audit Committee of Healthaxis Inc. approved the engagement of McGladrey & Pullen, LLP as the independent registered accountants, replacing Ernst & Young LLP. Through the date of this report, there have been no disagreements with McGladrey & Pullen, LLP on matters of accounting or financial disclosure.
Item 9A. | Controls and Procedures |
As of December 31, 2005, the Company carried out an evaluation, under the supervision and with the participation of management, including the Company’s Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company’s disclosure controls and procedures pursuant to Securities Exchange Act Rule 13a-15(b). Based on that evaluation, the Chief Executive Officer and the Chief Financial Officer have concluded that these disclosure controls and procedures were effective as of December 31, 2005 to provide reasonable assurance that information required to be disclosed by the Company in reports filed or submitted by it under the Securities and Exchange Act of 1934 is recorded, processed, summarized, and reported within the time periods specified in the Securities and Exchange Commission rules and forms, and to provide reasonable assurance that information required to be disclosed by the Company is accumulated and communicated to the Company’s management, including the Company’s Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding disclosure.
There were no changes in the Company’s internal controls over financial reporting that occurred during the quarter ended December 31, 2005 that have materially affected, or are reasonably likely to materially affect, the Company’s internal controls over financial reporting.
Limitations on Effectiveness of Controls
A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. The likelihood of achieving the objectives of a control system is affected by limitations inherent in such controls and procedures, including the fact that human judgment in decision-making can be faulty and that breakdowns in internal controls can occur because of human failures such as simple errors or mistakes or intentional circumvention of the established process. The Company’s management, including the Chief Executive Officer and Chief Financial Officer, does not expect that the Company’s disclosure controls or internal controls for financial reporting will prevent all error and all fraud. Due to the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected.
Item 9B. | Other Information |
The Company is a party to a Change in Control Employment Agreement dated January 1, 2002 with James W. McLane, its Chairman and former Chief Executive Officer (the “Agreement”). The Agreement was amended pursuant to a First Amendment dated January 1, 2003 and a Second Amendment dated May 13, 2005 (the “Second Amendment”). On November 19, 2005, the Company’s Compensation Committee, on behalf of the Company, and Mr. McLane reached an oral agreement to modify the Agreement, as amended. Under the terms of this oral
53
agreement, effective as of January 1, 2006, Mr. McLane ceased to be an employee and now provides consulting services to the Company. The Company has agreed to pay Mr. McLane a consulting fee of $10,000 per month through June 30, 2006. Mr. McLane continues to serve as Chairman of the Board and, effective July 1, 2006 and thereafter, Mr. McLane will receive a $5,000 fee in his capacity as Chairman for each meeting of the Board of Directors attended, unless an alternative arrangement is agreed to at that time. These changes in Mr. McLane’s duties and compensatory arrangements were made at Mr. McLane’s initiative and recommendation. As a result of the Company’s and Mr. McLane’s mutual agreement to these changes, Mr. McLane’s “Employment Period” under the Agreement, as amended, ceased as of December 31, 2005. Further, Mr. McLane waived entitlement to any severance payments arising as a result of his termination of employment under Section 5(a)(i) of the Agreement. Consistent with the Agreement and the Second Amendment, the stock options held by Mr. McLane will remain exercisable for extended periods of thirty-six (36) months, and Mr. McLane will be entitled to certain other benefits, as specified in the Agreement.
PART III
Item 10. | Directors and Executive Officers of the Registrant |
The information required by this Item is incorporated by reference to Healthaxis’ definitive Proxy Statement to be filed with the Securities and Exchange Commission pursuant to Regulation 14A within 120 days after the end of the fiscal year covered by this report (the “Healthaxis Proxy Statement”).
Item 11. | Executive Compensation |
The information required by this Item is incorporated by reference to the Healthaxis Proxy Statement.
Item 12. | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters |
The information required by this Item is incorporated by reference to the Healthaxis Proxy Statement.
Item 13. | Certain Relationships and Related Transactions |
The information required by this Item is incorporated by reference to the Healthaxis Proxy Statement.
Item 14. | Principal Accountant Fees and Services |
The information required by this Item is incorporated by reference to the Healthaxis Proxy Statement.
54
PART IV
Item 15. | Exhibits, Financial Statement Schedules |
(a) | The following consolidated financial statements of Healthaxis Inc. are included in Item 8: |
(1) | List of Financial Statements: |
Page | ||||||
---|---|---|---|---|---|---|
Report of Independent Registered Public Accounting Firm | 32 | |||||
Report of Independent Registered Public Accounting Firm | 33 | |||||
Consolidated Balance Sheets — December 31, 2005 and 2004 | 34 | |||||
Consolidated Statements of Operations — Years ended December 31, 2005, 2004, and 2003 | 35 | |||||
Consolidated Statements of Changes in Stockholders’ Equity — Years ended December 31, 2005, 2004, and 2003 | 36 | |||||
Consolidated Statements of Cash Flows — Years ended December 31, 2005, 2004, and 2003 | 37 | |||||
Notes to Consolidated Financial Statements | 38 |
(2) | Financial Statement Schedules: |
All schedules for which provision is made in the applicable accounting regulations of the Securities and Exchange Commission are not required under the related instructions or are inapplicable and therefore have been omitted.
(3) | Exhibits: |
The Exhibits listed on the accompanying Exhibit Index immediately following the Financial Statement Schedules are filed as part of, and are incorporated by reference into, this Report.
55
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the Company has duly caused this amendment to this report to be signed on its behalf by undersigned, thereunto duly authorized.
Healthaxis Inc. | ||||||
Date: March 29, 2006 | By: /s/ John M. Carradine John M. Carradine Chief Executive Officer (Duly Authorized Officer) |
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS that each of Healthaxis, Inc., a Pennsylvania corporation, and the undersigned directors and officers of Healthaxis, Inc. hereby constitutes and appoints John M. Carradine and Ronald K. Herbert, or any one of them, its, his or her true and lawful attorney-in-fact and agent, for it, him or her and in its, his or her name, place and stead, in any and all capacities, with full power to act alone, to sign any and all amendments to this Report, and to file each such amendment to the Report, with all exhibits thereto, and any and all other documents in connection therewith, with the Securities and Exchange Commission, hereby granting unto said attorney-in-fact and agent full power and authority to do and perform any and all acts and things requisite and necessary to be done in and about the premises as fully to all intents and purposes as it, he or she might or could do in person, hereby ratifying and confirming all that said attorney-in-fact and agent may lawfully do or cause to be done by virtue hereof.
Signature | Title | Date | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
/s/ James W. McLane James W. McLane | Chairman of the Board of Directors | March 29, 2006 | ||||||||
/s/ John M. Carradine John M. Carradine | Chief Executive Officer (principal executive officer) and Director | March 29, 2006 | ||||||||
/s/ Ronald K. Herbert Ronald K. Herbert | Chief Financial Officer (principal financial and accounting officer) | March 29, 2006 | ||||||||
/s/ James J. Byrne James J. Byrne | Director | March 29, 2006 | ||||||||
/s/ John W. Coyle John W. Coyle | Director | March 29, 2006 | ||||||||
/s/ Thomas L. Cunningham Thomas L. Cunningham | Director | March 29, 2006 | ||||||||
/s/ Adam J. Gutstein Adam J. Gutstein | Director | March 29, 2006 | ||||||||
/s/ Kevin F. Hickey Kevin F. Hickey | Director | March 29, 2006 | ||||||||
/s/ Barry L. Reisig Barry L. Reisig | Director | March 29, 2006 |
56
EXHIBIT INDEX
(Pursuant to Item 601 of Regulation S-K)
(Pursuant to Item 601 of Regulation S-K)
Exhibit Number | Description of Exhibits | |||||
---|---|---|---|---|---|---|
3.1 | Amended and Restated Articles of Incorporation of the Registrant. Incorporated by reference to Exhibit 3.1 to Registrant’s Form 8-K dated January 30, 2001. | |||||
3.2 | Amended and Restated Certificate of Designation of Series A Convertible Preferred Stock of Healthaxis Inc. dated June 30, 2004. Incorporated by reference to Exhibit 10.2 to registrant’s Form 10-Q for the quarterly period ended June 30, 2004. | |||||
3.3 | Articles of Amendment to the Company’s Amended and Restated Articles of Incorporation, incorporated by reference to Exhibit 3.1 of Form 8-K filed on August 19, 2003 | |||||
3.4 | Second Amended and Restated Bylaws dated February 25, 2004. Incorporated by reference to Exhibit 3.5 to registrant’s Form 10-K for the year ended December 31, 2003. | |||||
4.1 | Amended and Restated Certificate of Designation of Series A Convertible Preferred Stock of Healthaxis Inc. dated June 30, 2004. (see Exhibit 3.2 above). | |||||
4.2 | Specimen Stock Certificate, incorporated by reference to Exhibit 4.1 of Form 8-K filed on August 19, 2003. | |||||
10.1† | Amendment to Amended and Restated Option Agreement, dated as of September 9, 1999. Incorporated by reference to Exhibit (10)(K) to Registrant’s Annual Report on form 10-K for the year ended December 31, 1999. | |||||
10.2† | Amendment and Restatement of the Registrant’s Stock Option Plan for Directors, effective July 16, 1996. Incorporated by reference to Exhibit (10)(JJ) to Registrant’s Annual Report on Form 10-K for the year ended December 31, 1996. | |||||
10.3† | Registrant’s Amended and Restated Stock Option Plan for Executives, dated December 11, 1996. Incorporated by reference to Exhibit (10)(LL) to Registrant’s Annual Report on Form 10-K for the year ended December 31, 1996. | |||||
10.4† | Registrant’s 2000 Stock Option Plan. Incorporated by reference to Exhibit (10)(PPP) to Registrant’s Annual Report on Form 10-K for the year ended December 31, 1999. | |||||
10.5† | Amended and Restated Healthaxis.com 1998 Stock Option Plan. Incorporated by reference to Exhibit 10.5 to Registrant’s Form 10-K for the period ended December 31, 2004. | |||||
10.6† | Employment Agreement between Healthaxis.com, Inc., Registrant and James McLane. Incorporated by reference to Exhibit 10.1 to Registrant’s Form 8-K filed January 3, 2001. | |||||
10.7† | Change in Control Employment Agreement between James. W. McLane and Registrant dated as of January 1, 2002. Incorporated by reference to Exhibit 10.66 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2001. | |||||
10.8† | Change in Control Employment Agreement between John Carradine and Registrant dated as of January 1, 2002. Incorporated by reference to Exhibit 10.67 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2001. | |||||
10.9† | Change in Control Employment Agreement between Jonathan B. Webb and Registrant dated as of January 1, 2002. Incorporated by reference to Exhibit 10.69 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2001. | |||||
10.10† | First Amendment to change in Control Employment Agreement between James W. McLane and Registrant effective January 1, 2003. Incorporated by reference to Exhibit 10.77 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2002. |
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Exhibit Number | Description of Exhibits | |||||
---|---|---|---|---|---|---|
10.11† | First Amendment to change in Control Employment Agreement between John M. Carradine and Registrant effective January 1, 2003. Incorporated by reference to Exhibit 10.78 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2002. | |||||
10.12† | First Amendment to change in Control Employment Agreement between Jonathan B. Webb and Registrant effective January 1, 2003. Incorporated by reference to Exhibit 10.79 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2002. | |||||
10.13† | Change in Control Employment Agreement between Jimmy D. Taylor and Registrant dated as of February 25, 2004. Incorporated by reference to Exhibit 10.84 to Registrant’s Annual Report on Form 10-K for the period ended December 31, 2003. | |||||
10.14 | Purchase Agreement, dated as of September 30, 2003 between the Company and UICI. Incorporated by reference to Exhibit 10.1 to Registrant’s Form 10-Q for the quarterly period ended September 30, 2003. | |||||
10.15 | Promissory Note, made by the Company, payable to UICI. Incorporated by reference to Exhibit 10.2 to Registrant’s Form 10-Q for the quarterly period ended September 30, 2003. | |||||
10.16 | Preferred Stock Modification Agreement dated May 12, 2004 between Healthaxis Inc. and certain Preferred Shareholders. Incorporated by reference from Appendix A to the Registrant’s Definitive Proxy Statement dated June 1, 2004. | |||||
10.17 | Investor Rights Agreement dated as of June 30, 2004 between Healthaxis Inc. and certain Preferred Stockholders. Incorporated by reference to Exhibit 10.3 to Registrant’s Form 10-Q for the quarterly period ended June 30, 2004. | |||||
10.18 | Registration Rights Agreement dated as of June 30, 2004 between Healthaxis Inc. and certain Preferred Shareholders. Incorporated by reference to Exhibit 10.4 to Registrant’s Form 10-Q for the quarterly period ended June 30, 2004. | |||||
10.19 | Form of Warrant dated as of June 30, 2004 and executed by Healthaxis Inc. in favor of Brown Simpson Partners I, Ltd. (490,306 common shares), OTAPE LLC (58,072 common shares), LB I Group Inc. (387,117 common shares) and The Pennsylvania State University (64,505 common shares). Incorporated by reference to Exhibit 10.5 to Registrant’s Form 10-Q for the quarterly period ended June 30, 2004. | |||||
10.20 | Rights Agreement dated as of November 13, 1998 between American Online, Inc. and Registrant. Incorporated by reference to Exhibit 10.23 to Registrant’s Form 10-K for the year ended December 31, 2004. | |||||
10.21 | Sublease Agreement effective April 1, 2005 between BearingPoint, Inc. and Registrant. Incorporated by reference to Exhibit 10.1 to Registrant’s Form 10-Q for the quarterly period ended March 31, 2005. | |||||
10.22 | Stock and Warrant Purchase Agreement dated as of February 23, 2005, between Healthaxis Inc. and Tak Investments, Inc. Incorporated by reference to Exhibit 10.1 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.23 | Warrant (#1) executed by Healthaxis Inc. in favor of Tak Investments, Inc. for up to 3,333,333 common shares. Incorporated by reference to Exhibit 10.2 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.24 | Warrant (#2) executed by Healthaxis Inc. in favor of Tak Investments, Inc. for up to 1,388,889 common shares. Incorporated by reference to Exhibit 10.3 to Registrant’s Form 8-K filed May 17, 2005. |
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Exhibit Number | Description of Exhibits | |||||
---|---|---|---|---|---|---|
10.25 | Warrant (#3) executed by Healthaxis Inc. in favor of Tak Investments, Inc. for up to 1,388,889 common shares. Incorporated by reference to Exhibit 10.4 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.26 | Investor Rights Agreement dated as of May 13, 2005 between Healthaxis Inc. and Tak Investments, Inc. Incorporated by reference to Exhibit 10.5 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.27 | Registration Rights Agreement dated as of May 13, 2005 between Healthaxis Inc. and Tak Investments, Inc. Incorporated by reference to Exhibit 10.6 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.28 | Remote Resourcing Agreement dated as of May 13, 2005 between Healthaxis, Ltd. and Healthcare BPO Partners, L.P. Incorporated by reference to Exhibit 10.7 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.29† | Amendment to Change in Control Employment Agreement dated May 13, 2005 between Healthaxis, Ltd. and James W. McLane. Incorporated by reference to Exhibit 10.8 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.30† | Amendment to Change in Control Employment Agreement dated May 13, 2005 between Healthaxis, Ltd. and John M. Carradine. Incorporated by reference to Exhibit 10.9 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.31† | Amendment to Change in Control Employment Agreement dated May 13, 2005 between Healthaxis, Ltd. and J. Brent Webb. Incorporated by reference to Exhibit 10.10 to Registrant’s Form 8-K filed May 17, 2005. | |||||
10.32† | Employment Agreement between Registrant and Larry Thompson. Incorporated by reference to Exhibit 10.1 to Registrant’s Form 8-K filed May 18, 2005. | |||||
10.33† | Healthaxis 2005 Stock Incentive Plan. Incorporated by reference to Appendix A to Registrant’s definitive Proxy Statement filed June 1, 2005. | |||||
10.34† | Employment Agreement between Registrant and Ronald K. Herbert, filed herewith. | |||||
10.35† | Oral Agreement between Registrant and James W. McLane dated November 19, 2005 modifying terms of Mr. McLane’s Change in Control Agreement, filed herewith. | |||||
21.1 | Subsidiaries of Registrant. (a) Healthaxis.com, Inc. (b) Healthaxis Managing Partner, LLC. (c) Healthaxis Limited Partner, LLC (d) Healthaxis, Ltd. (e) Healthaxis Imaging Services, LLC. (f) Satellite Image Systems (Jamaica) Limited | |||||
23.1 | Consent of McGladrey and Pullen, LLP. | |||||
23.2 | Consent of Ernst & Young LLP. | |||||
24.1 | Power of Attorney (see signature age) | |||||
31.1 | Certification of Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith. | |||||
31.2 | Certification of Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002, filed herewith. | |||||
32.1 | Certification of Chief Executive Officer and Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, filed herewith. |
† | Management contract or compensatory plan. |
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