UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
ý QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 2011.
¨ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from ____________ to ___________
Commission file number | 1-33323 |
PHC, INC.
(Exact name of registrant as specified in its charter)
Massachusetts | 04-2601571 | |
(State or other jurisdiction of incorporation or organization) | (I.R.S. Employer Identification No.) | |
200 Lake Street, Suite 102, Peabody MA | 01960 | |
(Address of principal executive offices) | (Zip Code) |
978-536-2777 |
(Registrant’s telephone number) |
_____________________________________________________________________________________________
Indicate by check mark whether the registrant (1) filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the past 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Yes X No___
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (section 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yes ___ No___
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See the definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.
Large accelerated filer __________ | Accelerated filer __________ | ||
Non accelerated filer __________ | Smaller reporting company _X__ |
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes ____ No X
APPLICABLE ONLY TO CORPORATE ISSUERS
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date.
Number of shares outstanding of each class of common equity as of May 3, 2011:
Class A Common Stock | 18,738,618 | |||
Class B Common Stock | 773,717 |
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PHC, Inc. | ||||
PART I. | FINANCIAL INFORMATION | Page | ||
Item 1. | Condensed Consolidated Financial Statements | |||
Condensed Consolidated Balance Sheets – March 31, | ||||
2011 and June 30, 2010 | 3 | |||
Condensed Consolidated Statements of Operations - | ||||
Three and nine months ended March 31, 2011 and March 31, 2010 | 4 | |||
Condensed Consolidated Statements of Cash Flows – | ||||
Nine months ended March 31, 2011 and March 31, 2010 | 5 | |||
Notes to Condensed Consolidated Financial Statements | 6 | |||
Item 2. | Management’s Discussion and Analysis of Financial Condition and | |||
Results of Operations | 13 | |||
Item 3. | Quantitative and Qualitative Disclosure About Market Risk | 20 | ||
Item 4. | Controls and Procedures | 22 | ||
PART II. | OTHER INFORMATION | |||
Item 1. | Legal Proceedings | |||
Item 6. | Exhibits | 23 | ||
Signatures |
2
PART I. FINANCIAL INFORMATION | ||||||||
Item 1. Financial Statements | ||||||||
PHC, INC. AND SUBSIDIARIES | ||||||||
CONDENSED CONSOLIDATED BALANCE SHEETS | ||||||||
(unaudited) | ||||||||
March 31, | June 30, | |||||||
2011 | 2010 | |||||||
ASSETS | ||||||||
Current assets: | ||||||||
Cash and cash equivalents | $ | 2,803,852 | $ | 4,540,278 | ||||
Accounts receivable, net of allowance for doubtful accounts of $4,667,466 at | ||||||||
March 31, 2011 and $3,002,323 at June 30, 2010 | 9,498,219 | 8,333,766 | ||||||
Prepaid expenses | 739,899 | 490,662 | ||||||
Other receivables and advances | 2,326,863 | 743,454 | ||||||
Deferred income tax assets – current | 1,145,742 | 1,145,742 | ||||||
Total current assets | 16,514,575 | 15,253,902 | ||||||
Restricted cash | -- | 512,197 | ||||||
Accounts receivable, non-current | 61,061 | 17,548 | ||||||
Other receivables | 48,970 | 58,169 | ||||||
Property and equipment, net | 4,748,712 | 4,527,376 | ||||||
Deferred income tax assets – non-current | 1,495,144 | 1,495,144 | ||||||
Deferred financing costs, net of amortization of $692,869 and $582,972 at | ||||||||
March 31, 2011 and June 30, 2010 | 79,372 | 189,270 | ||||||
Goodwill | 969,098 | 969,098 | ||||||
Other assets | 2,257,323 | 2,184,749 | ||||||
Total assets | $ | 26,174,255 | $ | 25,207,453 | ||||
LIABILITIES AND STOCKHOLDERS’ EQUITY | ||||||||
Current liabilities: | ||||||||
Accounts payable | $ | 1,529,546 | $ | 1,594,286 | ||||
Current maturities of long-term debt | 534,461 | 796,244 | ||||||
Revolving credit note | 1,473,557 | 1,336,025 | ||||||
Current portion of obligations under capital leases | 48,174 | 112,909 | ||||||
Accrued payroll, payroll taxes and benefits | 1,969,598 | 2,152,724 | ||||||
Accrued expenses and other liabilities | 1,248,817 | 1,040,487 | ||||||
Income taxes payable | -- | 23,991 | ||||||
Total current liabilities | 6,804,153 | 7,056,666 | ||||||
Long-term debt, net of current maturities | 69,774 | 292,282 | ||||||
Obligations under capital leases, net of current portion | -- | 19,558 | ||||||
Long-term accrued liabilities | 810,756 | 582,953 | ||||||
Total liabilities | 7,684,683 | 7,951,459 | ||||||
Commitments and contingent liabilities | ||||||||
Stockholders�� equity: | ||||||||
Preferred Stock, 1,000,000 shares authorized, none issued or outstanding | -- | -- | ||||||
Class A common stock, $.01 par value, 30,000,000 shares authorized, | ||||||||
19,950,211 and 19,867,826 shares issued at March 31, 2011 and June 30, | ||||||||
2010, respectively | 199,502 | 198,679 | ||||||
Class B common stock, $.01 par value, 2,000,000 shares authorized, 773,717 | ||||||||
and 775,021 issued and outstanding at March 31, 2011 and June 30, 2010, | ||||||||
each convertible into one share of Class A common stock | 7,737 | 7,750 | ||||||
Additional paid-in capital | 28,129,506 | 27,927,536 | ||||||
Treasury stock, 1,214,093 and 1,040,598 shares of Class A common stock at | ||||||||
March 31, 2011 and June 30, 2010, respectively, at cost | (1,808,734 | ) | (1,593,407 | ) | ||||
Accumulated deficit | (8,038,439 | ) | (9,284,564 | ) | ||||
Total stockholders’ equity | 18,489,572 | 17,255,994 | ||||||
Total liabilities and stockholders’ equity | $ | 26,174,255 | $ | 25,207,453 |
See Notes to Condensed Consolidated Financial Statements.
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PHC, INC. AND SUBSIDIARIES | ||||||||||||||||
CONDENSED CONSOLIDATED STATEMENTS OF INCOME | ||||||||||||||||
(Unaudited) | ||||||||||||||||
Three Months Ended | Nine Months Ended | |||||||||||||||
March 31, | March 31, | |||||||||||||||
2011 | 2010 | 2011 | 2010 | |||||||||||||
Revenues: | ||||||||||||||||
Patient care, net | $ | 14,061,773 | $ | 12,692,869 | $ | 41,971,221 | $ | 36,452,909 | ||||||||
Contract support services | 1,393,862 | 839,305 | 3,187,772 | 2,591,256 | ||||||||||||
Total revenues | 15,455,635 | 13,532,174 | 45,158,993 | 39,044,165 | ||||||||||||
Operating expenses: | ||||||||||||||||
Patient care expenses | 7,653,245 | 6,576,086 | 22,098,067 | 19,454,431 | ||||||||||||
Cost of contract support services | 1,019,957 | 733,603 | 2,543,115 | 2,202,584 | ||||||||||||
Provision for doubtful accounts | 684,904 | 547,810 | 2,348,205 | 1,476,128 | ||||||||||||
Administrative expenses | 5,121,327 | 4,893,235 | 15,228,490 | 14,259,979 | ||||||||||||
Legal settlement | 446,320 | -- | 446,320 | -- | ||||||||||||
Total operating expenses | 14,925,753 | 12,750,734 | 42,664,197 | 37,393,122 | ||||||||||||
Income from operations | 529,882 | 781,440 | 2,494,796 | 1,651,043 | ||||||||||||
Other income (expense): | ||||||||||||||||
Interest income | 86,215 | 39,023 | 185,626 | 101,130 | ||||||||||||
Other income (expense) | (179,335 | ) | 18,260 | (91,821 | ) | 141,921 | ||||||||||
Interest expense | (72,971 | ) | (80,520 | ) | (234,912 | ) | (241,998 | ) | ||||||||
Total other income (expense) | (166,091 | ) | (23,237 | ) | (141,107 | ) | 1,053 | |||||||||
Income before provision for income taxes | 363,791 | 758,203 | 2,353,689 | 1,652,096 | ||||||||||||
Provision for income taxes | 299,266 | 289,031 | 1,107,563 | 671,081 | ||||||||||||
Net income | $ | 64,525 | $ | 469,172 | $ | 1,246,126 | $ | 981,015 | ||||||||
Basic net income per common share | $ | -- | $ | 0.02 | $ | 0.06 | $ | 0.05 | ||||||||
Basic weighted average number of shares outstanding | 19,500,873 | 19,762,241 | 19,498,579 | 19,854,099 | ||||||||||||
Diluted net income per common share | $ | -- | $ | 0.02 | $ | 0.06 | $ | 0.05 | ||||||||
Diluted weighted average number of shares outstanding | 19,872,067 | 19,861,449 | 19,692,400 | 19,963,141 |
See Notes to Condensed Consolidated Financial Statements.
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PHC, INC. AND SUBSIDIARIES | ||||||||
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS | ||||||||
(Unaudited) | ||||||||
For the Nine Months Ended March 31, | ||||||||
2011 | 2010 | |||||||
Cash flows from operating activities: | ||||||||
Net income | $ | 1,246,126 | $ | 981,015 | ||||
Adjustments to reconcile net income to net cash provided by | ||||||||
operating activities: | ||||||||
Depreciation and amortization | 832,789 | 863,010 | ||||||
Non-cash interest expense | 109,898 | 109,896 | ||||||
Earnings of unconsolidated subsidiary | (26,210 | ) | (65,545 | ) | ||||
Share-based compensation | 144,213 | 180,305 | ||||||
Provision for doubtful accounts | 2,348,205 | 1,476,128 | ||||||
Changes in: | ||||||||
Accounts receivable and other receivable | (4,188,180 | ) | (3,552,758 | ) | ||||
Prepaid expenses and other current assets | (249,237 | ) | (343,597 | ) | ||||
Other assets | 260,037 | 912 | ||||||
Accounts payable | (64,740 | ) | 171,657 | |||||
Accrued expenses and other liabilities | 229,016 | 820,382 | ||||||
Net cash provided by operating activities | 641,917 | 641,405 | ||||||
Cash flows from investing activities: | ||||||||
Acquisition of property and equipment | (892,951 | ) | (627,556 | ) | ||||
Purchase of licenses | (28,360 | ) | (22,210 | ) | ||||
Equity investment in unconsolidated subsidiary | 72,980 | 33,528 | ||||||
Investment in note receivable | (1,001,934 | ) | -- | |||||
Principal payments on note receivable | 59,733 | -- | ||||||
Net cash used in investing activities | (1,790,532 | ) | (616,238 | ) | ||||
Cash flows from financing activities: | ||||||||
Revolving debt, net | 137,532 | 419,353 | ||||||
Principal payments on long term debt | (568,584 | ) | (117,805 | ) | ||||
Proceeds from issuance of common stock | 58,568 | 38,805 | ||||||
Purchase of treasury stock | (215,327 | ) | (298,273 | ) | ||||
Net cash provided by (used in) financing activities | (587,811 | ) | 42,080 | |||||
Net increase (decrease) in cash and cash equivalents | (1,736,426 | ) | 67,247 | |||||
Beginning cash and cash equivalents | 4,540,278 | 3,199,344 | ||||||
Ending cash and cash equivalents | $ | 2,803,852 | $ | 3,266,591 | ||||
SUPPLEMENTAL CASH FLOW INFORMATION: | ||||||||
Cash paid during the period for: | ||||||||
Interest | $ | 125,091 | $ | 132,098 | ||||
Income taxes | 1,241,528 | 845,525 |
See Notes to Condensed Consolidated Financial Statements.
5
PHC, INC. and Subsidiaries
Notes to Condensed Consolidated Financial Statements
March 31, 2011
Note A - The Company
PHC, Inc. (the “Company”) is incorporated in the Commonwealth of Massachusetts. The Company is a national health care company, which operates subsidiaries specializing in behavioral health services including the treatment of substance abuse, which includes alcohol and drug dependency and related disorders and the provision of psychiatric services. The Company also operates help lines for employee assistance programs, call centers for state and local programs and provides management, administrative and online behavioral health services. The Company primarily operates under three business segments:
Behavioral health treatment services, including two substance abuse treatment facilities: Highland Ridge Hospital, located in Salt Lake City, Utah, which also treats psychiatric patients, and Mount Regis Center, located in Salem, Virginia, and eleven psychiatric treatment locations which include Harbor Oaks Hospital, a 71-bed psychiatric hospital located in New Baltimore, Michigan, Detroit Behavioral Institute, a 66-bed residential facility located in Detroit, Michigan, Seven Hills Hospital, a 55-bed psychiatric hospital in Las Vegas, Nevada and eight outpatient behavioral health locations (one in New Baltimore, Michigan operating in conjunction with Harbor Oaks Hospital, one in Monroeville, Pennsylvania operating as Wellplace, three in Las Vegas, Nevada operating as Harmony Healthcare and three locations operating as Pioneer Counseling Center in the Detroit, Michigan metropolitan area);
Call center and help line services (contract services), including two call centers: one operating in Midvale, Utah and one in Detroit, Michigan. The Company provides help line services through contracts with major railroads and a call center contract with the State of Michigan. The call centers both operate under the brand name, Wellplace; and
Behavioral health administrative services, including delivery of management and administrative and online services. The parent company provides management and administrative services for all of its subsidiaries and online services for its behavioral health treatment subsidiaries and its call center subsidiaries. It also provides behavioral health information through its website Wellplace.com.
Note B - Basis of Presentation
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America (“USGAAP”) for interim financial information and in accordance with the instructions to Form 10-Q and Rule 8-03 of Regulation S-X. Accordingly, they do not include all of the information and notes required by USGAAP for complete financial statements. The balance sheet at June 30, 2010 has been derived from the audited consolidated balance sheet at that date. In the opinion of management, all adjustments (consisting only of normal recurring adjustments) considered necessary for a fair presentation have been included. Operating results for the three and nine months ended March 31, 2011 are not necessarily indicative of the results that may be expected for the year ending June 30, 2011. The accompanying financial statements should be read in conjunction with the June 30, 2010 consolidated financial statements and notes thereto included in the Company’s Annual Report on Form 10-K, as filed with the Securities and Exchange Commission (“SEC”) on September 24, 2010.
Estimates and assumptions
The preparation of financial statements in conformity with USGAAP requires management to make estimates and assumptions that affect the reported amount of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting period. Actual results could differ from those estimates. Such estimates include patient care billing rates, realizability of receivables from third-party payors, rates for Medicare and Medicaid and the realization of deferred tax benefits and the valuation of goodwill, which represents a significant portion of the estimates made by management.
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Revenue Recognition
The Company bills for its inpatient behavioral healthcare services upon discharge and for its outpatient facilities daily. In all cases, the charges are contractually adjusted at the time of billing using adjustment factors based on agreements or contracts with the insurance carriers and the specific plans held by the individuals. This method may still require additional adjustment based on ancillary services provided and deductibles and copays due from the individuals which are estimated at the time of admission based on information received from the individual. Adjustments to these estimates are recognized as adjustments to revenue during the period identified, usually when payment is received.
The Company’s policy is to collect estimated co-payments and deductibles at the time of admission. Payments are made by way of cash, check or credit card. If the patient does not have sufficient resources to pay the estimated co-payment in advance, the Company’s policy is to allow payment to be made in three installments - one third due upon admission, one third due upon discharge and the balance due 30 days after discharge. At times, the patient is not physically or mentally stable enough to comprehend or agree to any financial arrangement. In this case, the Company will make arrangements with the patient once his or her condition is stabilized. At times, this situation will require the Company to extend payment arrangements beyond the three payment method previously outlined. Whenever extended payment arrangements are made, the patient, or the individual who is financially responsible for the patient, is required to sign a promissory note to the Company, which includes interest on the balance due.
Contract support service revenue is a result of fixed fee contracts to provide telephone support. Revenue for these services is recognized ratably over the service period. All revenues and receivables from our contract services division are based on a prorated monthly allocation of the total contract amount and usually paid within 30 days of the end of the month.
Note C- Stock Based Compensation
The Company has three active stock plans: a stock option plan, an employee stock purchase plan and a non-employee directors’ stock option plan.
The stock option plan provides for the issuance of a maximum of 2,400,000 shares of Class A common stock of the Company pursuant to the grant of incentive stock options to employees or nonqualified stock options to employees, directors, consultants and others whose efforts are important to the success of the Company. Subject to the provisions of this plan, the compensation committee of the Board of Directors (the “Board”) has the authority to select the optionees and determine the terms of the options including: (i) the number of shares, (ii) option exercise terms, (iii) the exercise or purchase price (which in the case of an incentive stock option will not be less than the market price of the Class A common stock as of the date of grant), (iv) type and duration of transfer or other restrictions and (v) the time and form of payment for restricted stock upon exercise of options. As of March 31, 2011, there were 1,421,313 options available for future grant under this plan.
The employee stock purchase plan provides for the purchase of Class A common stock at 85 percent of the fair market value at specific dates, to encourage stock ownership by all eligible employees. A maximum of 500,000 shares may be issued under this plan. As of March 31, 2011, there were 428,064 shares available for future purchase under this plan.
The non-employee director’s stock option plan provides for the grant of non-statutory stock options automatically at the time of each annual meeting of the Board. Under the plan, a maximum of 950,000 shares may be issued. Each outside director is granted an option to purchase 20,000 shares of Class A common stock, annually, at fair market value on the date of grant, vesting 25% immediately and 25% on each of the first three anniversaries of the grant and expiring ten years from the grant date. As of March 31, 2011, there were 530,000 options available for future grant under this plan.
The Company follows the provisions of Financial Accounting Standards Board (“FASB”) Auditing Standards Codification (“ASC”) – “Compensation – Stock Compensation” (“ASC 718”). Under the provisions of ASC 718,
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the Company recognizes the fair value of stock compensation as expense, over the requisite service period of the individual grantees, which generally equals the vesting period. All of the Company’s stock compensation is accounted for as equity instruments and there have been no liability awards granted. Any income tax benefit related to stock compensation will be shown under the financing section of the statement of cash flows. Based on the Company’s historical voluntary turnover rates for individuals in the positions who received options in the period, there was no forfeiture rate assumed. It is assumed these options will remain outstanding for the full term of issue. Under the true-up provisions of ASC 718, a recovery of prior expense will be recorded if the actual forfeiture is higher than estimated. True-up provisions to date have not been material.
Under the provisions of ASC 718, the Company recorded stock-based compensation on its consolidated condensed statements of income of $30,844 and $38,603 for the three months ended March 31, 2011 and 2010, respectively and $144,213 and $180,304 for the nine months ended March 31, 2011 and 2010, respectively.
The Company had the following activity in its stock option plans for the nine months ended March 31, 2011:
Number Of Shares | Weighted-Average Exercise Price Per Share | Intrinsic Value At March 31, 2011 | ||||||||||
Balance – June 30, 2010 | 1,558,500 | $ | 1.89 | |||||||||
Granted | 110,000 | 1.64 | ||||||||||
Exercised | (67,000 | ) | 0.63 | |||||||||
Expired | (267,500 | ) | 2.33 | |||||||||
Balance – March 31, 2011 | 1,334,000 | $ | 1.85 | $ | 1,168,388 | |||||||
Exercisable | 1,043,685 | $ | 2.00 | $ | 782,158 |
The total intrinsic value of the options exercised during the nine months ended March 31, 2011 was $75,775.
The following table summarizes the activity of the Company’s stock options that have not vested for the nine months ended March 31, 2011.
Number Of Shares | Weighted- Average Fair Value | |||||||
Non-vested at July 1, 2010 | 369,128 | $ | 0.67 | |||||
Granted | 82,500 | 1.14 | ||||||
Expired | (13,125 | ) | 0.67 | |||||
Vested | (148,188 | ) | 0.69 | |||||
Non-vested at March 31, 2011 | 290,315 | $ | 0.80 |
The compensation cost related to the fair value of these shares of approximately $194,777 will be recognized as these options vest over the next three years.
The Company utilizes the Black-Scholes valuation model for estimating the fair value of the stock compensation granted. There were no options granted during the three months ended March 31, 2011 or March 31, 2010. The weighted-average fair value of the options granted for the nine months ended March 31, 2011 and March 31, 2010 was $1.14 and $0.63, respectively, using the following assumptions:
Nine Months Ended | |||||||
March 31, | |||||||
2011 | 2010 | ||||||
Average risk-free interest rate | 2.50% | 2.76% | |||||
Expected dividend yield | None | None | |||||
Expected life | 9.55 years | 6.46 years | |||||
Expected volatility | 61.61% | 60.66% |
The dividend yield of zero is based on the fact that the Company has never paid cash dividends and has no present intention to pay cash dividends. Expected volatility is based on the historical volatility of our common stock over the period commensurate with the expected life of the options. The risk-free interest rate is the U.S. Treasury rate on the date of grant. The expected life was calculated using the Company’s historical experience for the expected term of the option.
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Note D - Fair Value Measurements:
ASC 820-10-65, “Fair Value Measurements and Disclosures” (“ASC 820-10-65”), defines fair value, provides guidance for measuring fair value and requires certain disclosures. This statement applies under other accounting pronouncements that require or permit fair value measurements. The statement indicates, among other things, that a fair value measurement assumes that a transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. ASC 820-10-65 defines fair value based upon an exit price model. ASC 820-10-65 discusses valuation techniques, such as the market approach (comparable market prices), the income approach (present value of future income or cash flow), and the cost approach (cost to replace the service capacity of an asset or replacement cost). The statement utilizes a fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The following is a brief description of those three levels:
· | Level 1: Observable inputs such as quoted prices (unadjusted) in active markets for identical assets or liabilities. |
· | Level 2: Inputs, other than quoted prices, that are observable for the asset or liability, either directly or indirectly. These include quoted prices for similar assets or liabilities in active markets and quoted prices for identical or similar assets or liabilities in markets that are not active. |
· | Level 3: Unobservable inputs that reflect the reporting entity’s own assumptions. |
The following table presents information about the Company’s assets that are measured at fair value on a recurring basis as of March 31, 2011, and indicates the fair value hierarchy of the valuation techniques utilized to determine such fair value.
Quoted Prices | Significant Other | Significant | ||||||||||||||
In Active Markets | Observable Inputs | Unobservable Inputs | ||||||||||||||
Total | (Level 1) | (Level 2) | (Level 3) | |||||||||||||
Assets: | ||||||||||||||||
Money market funds | $ | 1,855,982 | $ | 1,855,982 | $ | -- | $ | -- | ||||||||
Total | $ | 1,855,982 | $ | 1,855,982 | $ | -- | $ | -- | ||||||||
As of March 31, 2011 and June 30, 2010, the fair value of the Company’s other financial instruments, which include cash and cash equivalents, accounts receivable, other receivables, notes receivable, accounts payable and long-term debt, approximate the carrying amounts of the respective asset and liability due to the short-term nature of these financial instruments and market rates and interest.
Note E - Business Segment Information
The Company’s behavioral health treatment services have similar economic characteristics, services, patients and clients. Accordingly, all behavioral health treatment services are reported on an aggregate basis under one segment. The Company’s segments are more fully described in Note A above. Residual income and expenses from closed facilities are included in the administrative services segment. The following summarizes the Company’s segment data:
Treatment Services | Contract Services | Administrative Services | Eliminations | Total | |||||||||||||
For the three months | |||||||||||||||||
ended March 31, 2011: | |||||||||||||||||
Revenue–external | |||||||||||||||||
customers | $ | 14,061,773 | $ | 1,393,862 | $ | -- | $ | -- | $ | 15,455,635 | |||||||
Revenues – intersegment | 1,076,042 | -- | 1,293,105 | (2,369,147 | ) | -- | |||||||||||
Segment net income (loss) | 1,326,963 | 377,935 | (1,640,373 | ) | -- | 64,525 | |||||||||||
Capital expenditures | 88,032 | 64,686 | 3,900 | -- | 156,618 | ||||||||||||
Depreciation & | |||||||||||||||||
amortization | 223,463 | 23,831 | 39,460 | -- | 286,754 | ||||||||||||
Interest expense | 34,627 | -- | 38,344 | -- | 72,971 | ||||||||||||
Provision for income taxes | -- | -- | 299,266 | -- | 299,266 |
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Note E – Business Segment Information (continued) |
Treatment Services | Contract Services | Administrative Services | Elimination | Total | ||||||||||||||||
For the three months ended | ||||||||||||||||||||
March 31, 2010: | ||||||||||||||||||||
Revenue–external | ||||||||||||||||||||
customers | $ | 12,692,869 | $ | 839,305 | $ | -- | $ | -- | $ | 13,532,174 | ||||||||||
Revenues – intersegment | 1,061,178 | -- | 1,249,998 | (2,311,176 | ) | -- | ||||||||||||||
Segment net income (loss) | 1,854,087 | 105,727 | (1,490,642 | ) | -- | 469,172 | ||||||||||||||
Capital expenditures | 259,233 | 1,275 | 2,608 | -- | 263,116 | |||||||||||||||
Depreciation & | ||||||||||||||||||||
amortization | 206,262 | 21,138 | 61,566 | -- | 288,966 | |||||||||||||||
Interest expense | 39,397 | -- | 41,123 | -- | 80,520 | |||||||||||||||
Provision for income taxes | -- | -- | 289,031 | -- | 289,031 | |||||||||||||||
For the nine months ended | ||||||||||||||||||||
March 31, 2011: | ||||||||||||||||||||
Revenue–external | ||||||||||||||||||||
customers | $ | 41,971,221 | $ | 3,187,772 | $ | -- | $ | -- | $ | 45,158,993 | ||||||||||
Revenues – intersegment | 3,161,348 | -- | 3,879,315 | (7,040,663 | ) | -- | ||||||||||||||
Segment net income (loss) | 5,214,709 | 661,482 | (4,630,065 | ) | -- | 1,246,126 | ||||||||||||||
Capital expenditures | 808,178 | 78,273 | 6,500 | -- | 892,951 | |||||||||||||||
Depreciation & | ||||||||||||||||||||
amortization | 650,322 | 63,794 | 118,673 | -- | 832,789 | |||||||||||||||
Interest expense | 117,788 | -- | 117,124 | -- | 234,912 | |||||||||||||||
Provision for income taxes | -- | -- | 1,107,563 | -- | 1,107,563 | |||||||||||||||
Identifiable assets | 18,832,582 | 1,148,204 | 6,193,469 | -- | 26,174,255 | |||||||||||||||
Goodwill and intangible | ||||||||||||||||||||
assets | 969,098 | -- | -- | -- | 969,098 | |||||||||||||||
For the nine months ended | ||||||||||||||||||||
March 31, 2010: | ||||||||||||||||||||
Revenue–external | ||||||||||||||||||||
Customers | $ | 36,452,909 | $ | 2,591,256 | $ | -- | $ | -- | $ | 39,044,165 | ||||||||||
Revenues – intersegment | 2,896,258 | -- | 3,749,994 | (6,646,252 | ) | -- | ||||||||||||||
Segment net income (loss) | 4,690,917 | 388,759 | (4,098,661 | ) | -- | 981,015 | ||||||||||||||
Capital expenditures | 516,458 | 17,847 | 93,251 | -- | 627,556 | |||||||||||||||
Depreciation & | ||||||||||||||||||||
amortization | 616,570 | 59,532 | 186,908 | -- | 863,010 | |||||||||||||||
Interest expense | 116,882 | -- | 125,116 | -- | 241,998 | |||||||||||||||
Provision for income taxes | -- | -- | 671,081 | -- | 671,081 | |||||||||||||||
At June 30, 2010: | ||||||||||||||||||||
Identifiable assets | 16,214,982 | 630,558 | 8,361,913 | -- | 25,207,453 | |||||||||||||||
Goodwill and intangible | ||||||||||||||||||||
assets | 969,098 | -- | -- | -- | 969,098 |
Note F - Recent Accounting Pronouncements |
Recently Issued Standards
During the quarter ended March 31, 2011, there were no recently issued accounting standards that are expected to have a material impact on our consolidated financial statements.
Recently Adopted Standards
During the quarter ended March 31, 2011, we did not adopt any new accounting standards that had a material impact on our consolidated financial statements.
10
Note G –Income Taxes
FASB ASC 740, “Income Taxes” (“ASC 740”), prescribes a comprehensive model for the financial statement recognition, measurement, presentation, and disclosure of uncertain tax positions taken or expected to be taken in income tax returns. ASC 740 required that a change in judgment related to prior years’ tax positions be recognized in the quarter of the change. The Company recognized no material adjustment in the liability for unrecognized tax benefits.
We recognize interest and penalties related to uncertain tax positions in general and administrative expense. As of March 31, 2011, we have not recorded any provisions for accrued interest and penalties related to uncertain tax positions.
Tax years 2006-2009 remain open to examination by the major taxing authorities to which we are subject.
Note H – Restricted Cash
During the quarter ended December 31, 2008, certain litigation involving the Company and a terminated employee reached binding arbitration. As a result of this arbitration, the Arbitrator awarded the employee approximately $410,000 plus costs. In the calculation of the amount awarded, the Company believes the Arbitrator erroneously took into consideration an employment agreement that was not in question and not terminated by the Company. Based on this miscalculation, the Company’s attorney recommended an appeal, which the Company initiated. During the quarter ended March 31, 2010, the Michigan Court of Appeals denied the appeal. The Company then filed an appeal with the Michigan Supreme Court. Since the Company and its attorney expected a favorable outcome, no provision was made for this judgment; however, the Company placed $512,197 in escrow as required by the courts. Subsequent to quarter end the Michigan Supreme Court found in favor of the terminated employee requiring the Company to pay $446,320, which includes accrued interest, to the terminated employee to satisfy this judgment. This amount is shown as a legal settlement expense in operations of the quarter ended March 31, 2011 in the accompanying condensed consolidated statements of income.
Note I -Basic and Diluted Income Per Share:
Income per share is computed by dividing the income applicable to common shareholders by the weighted average number of shares of both classes of common stock outstanding for each fiscal year. Class B common stock has additional voting rights. All dilutive common stock equivalents are included in the calculation of diluted earnings per share.
The weighted average number of common shares outstanding used in the computation of earnings per share is summarized as follows:
Three months ended | Nine months ended | ||||||
March 31, | March 31, | ||||||
2011 | 2010 | 2011 | 2010 | ||||
Weighted average shares | |||||||
outstanding – basic | 19,500,873 | 19,762,241 | 19,498,579 | 19,854,099 | |||
Employee stock options | 362,083 | 99,208 | 188,815 | 109,042 | |||
Warrants | 9,111 | -- | 5,007 | -- | |||
Weighted average shares | |||||||
outstanding – fully diluted | 19,872,067 | 19,861,449 | 19,692,400 | 19,963,141 |
The following table summarizes securities outstanding as of March 31, 2011 and 2010, but not included in the calculation of diluted net earnings per share because such shares are anti-dilutive:
Three months ended | Nine months ended | ||||||
March 31, | March 31, | ||||||
2011 | 2010 | 2011 | 2010 | ||||
Employee stock options | 409,000 | 971,500 | 549,000 | 971,500 | |||
Warrants | 363,000 | 343,000 | 363,000 | 343,000 | |||
Total | 772,000 | 1,314,500 | 912,000 | 1,314,500 |
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Note J - Note Receivable |
On November 13, 2010, the Company, through its subsidiary Detroit Behavioral Institute, Inc., d/b/a Capstone Academy, a wholly owned subsidiary of the Company (“Capstone Academy”), purchased the rights under certain identified notes (the “Notes”) held by Bank of America and secured by the property leased by Capstone Academy for $1,250,000. The Notes were in default at the time of the purchase and the Company has initiated foreclosure proceedings in the courts. The Notes were purchased using cash flow from operations. The Company has recorded the value of the Notes in other receivables, current, in the accompanying condensed consolidated financial statements. The Company believes the value of the Notes are fully recoverable based on the current value of the property securing the Notes.
Note K – Material Definitive Agreement
On March 15, 2011, the Company entered into an Asset Purchase Agreement with Universal Health Services, Inc. to acquire substantially all of the operating assets (other than cash), and assume certain liabilities associated with, MeadowWood Behavioral Health, a fifty-eight bed behavioral health facility located in New Castle, Delaware, for $21.5 million in cash. The closing is contingent upon regulatory approval, including approval from the Federal Trade Commission and appropriate regulatory agencies of the State of Delaware. The Company expects the transaction to close in the last fiscal quarter of 2011.
The Company has also entered into a commitment letter with Jefferies Finance LLC, in order to finance the transaction. Jefferies Finance, LLC has agreed, subject to the terms and conditions of the commitment letter, to provide the financing for a new senior secured term loan of up to $23.5 million, which is intended to finance the transaction, and a $3.0 million senior secured revolving credit facility.
Note L – Other Expense
During the current fiscal year, the Company identified a failure with respect to prior year Average Deferral Percentage ("ADP") and Actual Contribution Percentage ("ACP") testing in the 401(k) plan. The Company does not consider this to be a material operational failure and is correcting by filing under the IRS' Employee Plans Compliance Resolution Program (Rev Proc 2008-50), with the assistance of counsel. During the current quarter, the Company determined that approximately $185,000 will be the non-voluntary contribution to the 401(k) plan required by the IRS in connection with this compliance failure and recorded this expense as other expense in the accompanying income statement.
Note M- Reclassifications
Certain prior period amounts have been reclassified to be consistent with the March 31, 2011 presentation.
Note N –Subsequent Events:
The Company evaluated subsequent events through May 10, 2011, which is the date these financial statements were available for issue, and did not find any unrecorded reportable subsequent events, except as discussed in Note H.
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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations.
CAUTIONARY STATEMENT FOR PURPOSES OF THE "SAFE HARBOR" PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995.
In addition to historical information, this report contains statements relating to future events or our future results. These statements are forward-looking statements within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended (the “Exchange Act”) and are subject to the Safe Harbor provisions created by the statute. Generally words such as “may”, “will”, “should”, “could”, “anticipate”, “expect”, “intend”, “estimate”, “plan”, “continue”, and “believe” or the negative of or other variation on these and other similar expressions identify forward-looking statements. These forward-looking statements are made only as of the date of this report. We do not undertake to update or revise the forward-looking statements, whether as a result of new information, future events or otherwise. Forward-looking statements are based on current expectations and involve risks and uncertainties and our future results could differ significantly from those expressed or implied by our forward-looking statements.
Overview
The Company presently provides behavioral health care services through two substance abuse treatment centers, two psychiatric hospitals, a residential treatment facility and eight outpatient psychiatric centers (collectively called "treatment facilities"). The Company’s revenue for providing behavioral health services through these facilities is derived from contracts with managed care companies, Medicare, Medicaid, state agencies, railroads, gaming industry corporations and individual clients. The profitability of the Company is largely dependent on the level of patient census and the payor mix at these treatment facilities. Patient census is measured by the number of days a client remains overnight at an inpatient facility or the number of visits or encounters with clients at outpatient clinics. Payor mix is determined by the source of payment to be received for each client being provided billable services. The Company’s administrative expenses do not vary greatly as a percentage of total revenue but the percentage tends to decrease slightly as revenue increases. The Company’s internet operation, Behavioral Health Online, Inc., continues to provide behavioral health information through its web site at Wellplace.com but its primary function is Internet technology support for the subsidiaries and their contracts. As such, the expenses related to Behavioral Health Online, Inc. are included as corporate expenses.
The healthcare industry is subject to extensive federal, state and local regulation governing, among other things, licensure and certification, conduct of operations, audit and retroactive adjustment of prior government billings and reimbursement. In addition, there are on-going debates and initiatives regarding the restructuring of the health care system in its entirety. The extent of any regulatory changes and their impact on the Company’s business is unknown. The previous administration put forth proposals to mandate equality in the benefits available to those individuals suffering from mental illness (the “Parity Act”). The Parity Act is now law and its full implementation started January 1, 2011. This legislation has improved access to the Company’s programs but its total effect on behavioral health providers cannot yet be assessed at this early stage. Managed care has had a profound impact on the Company's operations, in the form of shorter lengths of stay, extensive certification of benefits requirements and, in some cases, reduced payment for services. The current economic conditions continue to challenge the Company’s profitability through increased uninsured patients in our fee for service business and increased utilization in our capitated business.
Critical Accounting Policies
The preparation of our financial statements in accordance with USGAAP, requires management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues, expenses and related disclosures. On an ongoing basis, we evaluate our estimates and assumptions, including but not limited to those related to revenue recognition, accounts receivable reserves, income tax valuation allowances, and the impairment of goodwill and other intangible assets. We base our estimates on historical experience and various other assumptions that we believe to be reasonable under the circumstances, the results of which form the basis for making judgments about the carrying values of assets and liabilities that are not readily apparent from other sources. Actual results may differ from these estimates under different assumptions or conditions.
13
Revenue recognition and accounts receivable:
Patient care revenues and accounts receivable are recorded at established billing rates or at the amount realizable under agreements with third-party payors, including Medicaid and Medicare. Revenues under third-party payor agreements are subject to examination and contractual adjustment, and amounts realizable may change due to periodic changes in the regulatory environment. Provisions for estimated third party payor settlements are provided in the period the related services are rendered. Differences between the amounts provided and subsequent settlements are recorded in operations in the period of settlement. Amounts due as a result of cost report settlements are recorded and listed separately on the consolidated balance sheets as “Other receivables.” The provision for contractual allowances is deducted directly from revenue and the net revenue amount is recorded as accounts receivable. The allowance for doubtful accounts does not include the contractual allowances.
The Company currently has two “at-risk” contracts. The contracts call for the Company to provide for all of the inpatient and outpatient behavioral health needs of the insurance carrier’s enrollees in a specified area for a fixed monthly fee per member per month. Revenues are recorded monthly based on this formula and the expenses related to providing the services under these contracts are recorded as incurred. The Company provides as much of the care directly and, through utilization review, monitors closely, all inpatient and outpatient services not provided directly. The contracts are considered “at-risk” because the cost of providing the services, including payments to third-party providers for services rendered, could equal or exceed the total amount of the revenue recorded.
All revenues reported by the Company are shown net of estimated contractual adjustment and charity care provided. When payment is made, if the contractual adjustment is found to have been understated or overstated, appropriate adjustments are made in the period the payment is received in accordance with the American Institute of Certified Public Accountants (“AICPA”) “Audit and Accounting Guide for Health Care Organizations.” Net contractual adjustments recorded in the nine months ended March 31, 2011 for revenue booked in prior years resulted in a decrease in net revenue of approximately $261,000. Net contractual adjustments recorded in the nine months ended March 31, 2010 for revenue booked in prior years resulted in a decrease in net revenue of approximately $83,500.
For the quarter and nine months ended March 31, 2011, a Medicare cost report settlement in the amount of $65,143 was recorded. For the quarter ended March 31, 2010, a Medicare cost report settlement in the amount of $68,277 was received. For the nine months ended March 31, 2010, a total of $92,267 in cost report settlements was recorded.
Net Revenue by Payor (in thousands) | ||||||||||||||||||||||||||
For the Three Months | For the Nine Months | For the Fiscal Year | ||||||||||||||||||||||||
Ended March 31, | Ended March 31, | Ended June 30, | ||||||||||||||||||||||||
2011 | 2010 | 2011 | 2010 | 2010 | ||||||||||||||||||||||
$ | % | $ | % | $ | % | $ | % | $ | % | |||||||||||||||||
Private Pay | $ | 1,169 | 8 | $ | 831 | 6 | $ | 3,441 | 8 | $ | 2,474 | 7 | $ | 3,495 | 7 | |||||||||||
Commercial | 9,290 | 66 | 8,132 | 64 | 27,130 | 65 | 24,195 | 66 | 32,915 | 66 | ||||||||||||||||
Medicare * | 1,441 | 10 | 1,094 | 9 | 4,656 | 11 | 2,099 | 6 | 3,237 | 7 | ||||||||||||||||
Medicaid | $ | 2,162 | 16 | $ | 2,636 | 21 | $ | 6,744 | 16 | $ | 7,685 | 21 | $ | 10,000 | 20 | |||||||||||
Net Revenue | $ | 14,062 | $ | 12,693 | $ | 41,971 | $ | 36,453 | $ | 49,647 |
* Includes Medicare settlement revenue as noted above
Accounts Receivable Aging (Net of allowance for bad debts- in thousands)
As of March 31, 2011
Payor | Current | Over 30 | Over 60 | Over 90 | Over 120 | Over 150 | Over 270 | Over 360 | Total | |||||||||||||||||||
Private Pay | $ | 66 | $ | 268 | $ | 253 | $ | 219 | $ | 169 | $ | 140 | $ | 212 | $ | 30 | $ | 1,357 | ||||||||||
Commercial | 3,420 | 870 | 301 | 204 | 125 | 88 | 146 | 16 | 5,170 | |||||||||||||||||||
Medicare | 511 | 185 | 101 | 40 | 38 | 42 | 37 | 3 | 957 | |||||||||||||||||||
Medicaid | 1,643 | 188 | 91 | 67 | 30 | 29 | 20 | 7 | 2,075 | |||||||||||||||||||
Total | $ | 5,640 | $ | 1,511 | $ | 746 | $ | 530 | $ | 362 | $ | 299 | $ | 415 | $ | 56 | $ | 9,559 |
14
As of June 30, 2010
Payor | Current | Over 30 | Over 60 | Over 90 | Over 120 | Over 150 | Over 270 | Over 360 | Total | |||||||||||||||||||||||||||
Private Pay | $ | -- | $ | 62 | $ | 45 | $ | 50 | $ | 60 | $ | 137 | $ | 13 | $ | 151 | $ | 518 | ||||||||||||||||||
Commercial | 3,074 | 795 | 529 | 364 | 285 | 374 | 27 | 52 | 5,500 | |||||||||||||||||||||||||||
Medicare | 349 | 82 | 19 | 4 | 7 | 23 | -- | -- | 484 | |||||||||||||||||||||||||||
Medicaid | 1,537 | 145 | 46 | 57 | 35 | 20 | 5 | 4 | 1,849 | |||||||||||||||||||||||||||
Total | $ | 4,960 | $ | 1,084 | $ | 639 | $ | 475 | $ | 387 | $ | 554 | $ | 45 | $ | 207 | $ | 8,351 |
The Company’s days sales outstanding (“DSO”) are significantly different for each type of service and each facility based on the payors for each service. Overall, the DSO for the combined operations of the Company were 64 days at March 31, 2011 and 61 days at June 30, 2010. The table below shows the DSO by segment for the same periods.
Period End | Treatment Services | Contract Services | ||||
03/31/2011 | 62 | 74 | ||||
06/30/2010 | 61 | 53 |
Contract support service revenue is a result of fixed fee contracts to provide telephone support. Revenue for these services is recognized ratably over the service period. Revenues and receivables from our contract services division are based on a prorated monthly allocation of the total contract amount and usually paid within 30 days of the end of the month. A recent large rate increase under one of these contracts artificially inflated the days outstanding calculation for the nine month period ended March 31, 2011.
Allowance for doubtful accounts:
The provision for bad debts is calculated based on a percentage of each aged accounts receivable category beginning at 0-5% on current accounts and increasing incrementally for each additional 30 days the account remains outstanding until the account is over 300 days outstanding, at which time the provision is 100% of the outstanding balance. These percentages vary by facility based on each facility’s experience in and expectations for collecting older receivables. The Company compares this required reserve amount to the current “Allowance for doubtful accounts” to determine the required bad debt expense for the period. This method of determining the required “Allowance for doubtful accounts” has historically resulted in an allowance for doubtful accounts of 20% or greater of the total outstanding receivables balance.
Income Taxes:
The Company follows the liability method of accounting for income taxes, as set forth in ASC 740. ASC 740 prescribes an asset and liability approach, which requires the recognition of deferred tax liabilities and assets for the expected future tax consequences of temporary differences between the carrying amounts and the tax basis of the assets and liabilities. The Company’s policy is to record a valuation allowance against deferred tax assets unless it is more likely than not that such assets will be realized in future periods. During fiscal year 2010, the Company recorded a tax expense of $1,106,100. For the quarter and nine months ended March 31, 2011, the Company recorded estimated tax expense of $299,266 and $1,107,563, respectively, based on net income recorded to date and projected net income for the fiscal year.
In accordance with ASC 740, the Company may establish reserves for tax uncertainties that reflect the use of the comprehensive model for the recognition and measurement of uncertain tax positions. As of June 30, 2010 and March 31, 2011, the Company recorded a valuation allowance of $150,103 against its deferred tax asset. This amount relates to Arizona state net operating loss carryovers. Tax authorities periodically challenge certain transactions and deductions reported on our income tax returns. We do not expect the outcome of these examinations, either individually or in the aggregate, to have a material adverse effect on our financial position, results of operations, or cash flows.
15
Valuation of Goodwill and Other Intangible Assets:
Goodwill and other intangible assets are initially created as a result of business combinations or acquisitions. The Company makes significant estimates and assumptions, which are derived from information obtained from the management of the acquired businesses and the Company’s business plans for the acquired businesses in determining the value ascribed to the assets acquired. Critical estimates and assumptions used in the initial valuation of goodwill and other intangible assets include, but are not limited to: (i) future expected cash flows from services to be provided, (ii) customer contracts and relationships, and (iii) the acquired market position. These estimates and assumptions may be incomplete or inaccurate because unanticipated events and circumstances may occur. If estimates and assumptions used to initially value goodwill and intangible assets prove to be inaccurate, ongoing reviews of the carrying values of such goodwill and intangible assets may indicate impairment which will require the Company to record an impairment charge in the period in which the Company identifies the impairment.
Results of Operations
The following table illustrates our consolidated results of operations for the three months and nine months ended March 31, 2011 and 2010 (in thousands):
For the Three Months Ended | For the Nine Months Ended | |||||||||||||||||||||||||||||||
March 31, | March 31, | |||||||||||||||||||||||||||||||
2011 | 2010 | 2011 | 2010 | |||||||||||||||||||||||||||||
(in thousands) | ||||||||||||||||||||||||||||||||
Statements of | ||||||||||||||||||||||||||||||||
Operations Data: | Amount | % | Amount | % | Amount | % | Amount | % | ||||||||||||||||||||||||
Revenue | $ | 15,456 | 100.0 | $ | 13,532 | 100.0 | $ | 45,159 | 100.0 | $ | 39,044 | 100.0 | ||||||||||||||||||||
Cost and expenses: | ||||||||||||||||||||||||||||||||
Patient care expenses | 7,654 | 49.5 | 6,576 | 48.6 | 22,099 | 48.9 | 19,454 | 49.8 | ||||||||||||||||||||||||
Contract expenses | 1,020 | 6.6 | 734 | 5.4 | 2,543 | 5.6 | 2,203 | 5.7 | ||||||||||||||||||||||||
Provision for bad debts | 685 | 4.4 | 548 | 4.0 | 2,348 | 5.2 | 1,476 | 3.8 | ||||||||||||||||||||||||
Administrative expenses | 5,121 | 33.1 | 4,893 | 36.2 | 15,228 | 33.8 | 14,260 | 36.5 | ||||||||||||||||||||||||
Legal settlement | 446 | 2.9 | -- | -- | 446 | 1.0 | -- | -- | ||||||||||||||||||||||||
Interest expense | 73 | 0.5 | 80 | 0.6 | 235 | 0.5 | 242 | 0.6 | ||||||||||||||||||||||||
Other (income) expenses, | ||||||||||||||||||||||||||||||||
net | 93 | 0.6 | (57 | ) | (0.4 | ) | (94 | ) | (0.2 | ) | (243 | ) | (0.6 | ) | ||||||||||||||||||
Total expenses | 15,092 | 97.6 | 12,774 | 94.4 | 42,805 | 94.8 | 37,392 | 95.8 | ||||||||||||||||||||||||
Income before income | ||||||||||||||||||||||||||||||||
taxes | 364 | 2.4 | 758 | 5.6 | 2,354 | 5.2 | 1,652 | 4.2 | ||||||||||||||||||||||||
Income tax provision | 299 | 1.9 | 289 | 2.1 | 1,108 | 2.4 | 671 | 1.7 | ||||||||||||||||||||||||
Net income | $ | 65 | 0.5 | $ | 469 | 3.5 | $ | 1,246 | 2.8 | $ | 981 | 2.5 |
Results of Operations
Total net revenues from operations increased 14.2% to $15,455,635 for the three months ended March 31, 2011 from $13,532,174 for the three months ended March 31, 2010 and increased 15.7% to $45,158,993 for the nine months ended March 31, 2011 from $39,044,165 for the nine months ended March 31, 2010. This increase is due to increases in census at our in-patient facilities and a significant increase in contract support service revenue.
Net patient care revenue increased 10.8% to $14,061,773 for the three months ended March 31, 2011 from $12,692,869 for the three months ended March 31, 2010 and 15.1% to $41,971,221 for the nine months ended March 31, 2011 from $36,452,909 for the nine months ended March 31, 2010. This increase is primarily due to an overall increase in census at our inpatient facilities, including Seven Hills Hospital, Highland Ridge and Harbor Oaks. Census at our inpatient facilities increased 6.2% for the nine months ended March 31, 2011 compared to the same nine months last year. Included in the census are patients admitted to or being seen at our own facilities under capitated agreements held by sister companies. The revenues associated with these intercompany admissions and visits are eliminated in the consolidation, which may result in higher census and lower net revenue depending on the payor mix of other admissions.
16
Two key indicators of profitability of inpatient facilities are patient days, or census, and payor mix. Patient days is the product of the number of patients times length of stay. Increases in the number of patient days result in higher census, which coupled with a more favorable payor mix (more patients with higher paying insurance contracts or paying privately) will usually result in higher profitability. Therefore, patient census and payor mix are
monitored very closely. Census for the quarter ended March 31, 2011 increased 8.4% or 1,481 days for the quarter as a result of increased census at Seven Hills Hospital, Highland Ridge Hospital and Harbor Oaks.
Contract support services revenue provided by Wellplace increased 66.1% to $1,393,862 for the three months ended March 31, 2011 compared to $839,305 for the three months ended March 31, 2010 and 23.0% to $3,187,772 for the nine months ended March 31, 2011 from $2,591,256 for the nine months ended March 31, 2010. This increase is due to expansion of the Wayne County call center contract in December 2010, which increased services provided and payment under the contract.
Patient care expenses in our treatment centers increased 16.4% to $7,653,245 for the three months ended March 31, 2011 from $6,576,086 for the three months ended March 31, 2010 and 13.6% to $22,098,067 for the nine months ended March 31, 2011 from $19,454,431 for the nine months ended March 31, 2010. This increase in expenses is due to increased census as noted above and higher utilization under the capitated contracts. The majority of the increases in expenses relate to direct care expenses such as payroll, taxes, consultant services and contract expenses which includes payment to unrelated facilities for bed days under the contract that we are unable to provide internally. Payroll and service related expenses increased 15.7% to $5,768,992 for the three months ended March 31, 2011 from $4,984,301 for the same period a year ago and 16.0% to $17,114,884 for the nine months ended March 31, 2011 as compared to $14,747,943 for the same period a year ago. Payroll tax expense increased 23.3% to $526,807 for the three months ended March 31, 2011 from $427,132 for the three months ended March 31, 2010 and 17.3% to $1,229,478 for the nine months ended March 31, 2011 from $1,048,122 for the same period last year. Contract expenses related to the capitated contracts increased 3.3% to $1,418,373 for the three months ended March 31, 2011 from $1,373,585 for the three months ended March 31, 2010 and remained relatively stable at $3,998,876 for the nine months ended March 31, 2011 compared to $3,997,514 for the same period a year ago. Medical records expense increased to $137,664 for the three months ended March 31, 2011 from $840 for the same period a year ago and to $225,076 for the nine months ended March 31, 2011 from $840 for the same period a year ago. These expenses were included in consulting fees expenses in previous years when most facilities began outsourcing this service. Lab fees increased 27.6% to $94,308 for the three months ended March 31, 2011 from $73,885 for the same period a year ago and 23.9% to $284,443 for the nine months ended March 31, 2011 from $229,498 for the same period a year ago. Patient transportation expense decreased 19.5% to $56,548 for the three months ended March 31, 2011 from $70,219 for the same period a year ago and 11.8% to $165,129 for the nine months ended March 31, 2011 from $187,239 for the same period a year ago. Pharmacy expense decreased 8.7% to $192,558 for the quarter ended March 31, 2011 from $210,932 for the same period a year ago and 2.7% to $589,001 for the nine months ended March 31, 2011 from $605,464 for the same period a year ago.
Contract support services expenses increased 39.0% to $1,019,957 for the three months ended March 31, 2011 from $733,603 for the three months ended March 31, 2010 and 15.5% to $2,543,115 for the nine months ended March 31, 2011 from $2,202,584 for the nine months ended March 31, 2010. This increase is due to expansion of the Wayne County call center contract in December 2010, which increased services provided and payment under the contract. The contract change not only required additional staff to support but an increase in the required level of education of the support staff.
Provision for doubtful accounts increased 25.0% to $684,904 for the three months ended March 31, 2011 from $547,810 for the three months ended March 31, 2010 and increased 59.1% to $2,348,205 for the nine months ended March 31, 2011 from $1,476,128 for the nine months ended March 31, 2010. This bad debt expense is less than the Company’s projected cost of 5% of net revenues and is largely attributable to the overall increase in receivables as a result of increased patient care revenue. The Company’s policy is to maintain reserves based on the age of its receivables.
17
Administrative expenses increased 4.7% to $5,121,327 for the three months ended March 31, 2011 from $4,893,235 for the three months ended March 31, 2010 and 6.8% to $15,228,490 for the nine months ended March 31, 2011 from $14,259,979 for the nine months ended March 31, 2010. This includes approximately $250,000 in start up expenses related to Renaissance Recovery, the new 24 bed adolescent Chemical Dependency facility which opened subsequent to quarter end. Administrative payroll increased 10.1% for the quarter ended March 31, 2011 and 10.2% for the nine months ended March 31, 2011, respectively, compared to the same periods a year ago. Marketing expense increased 15.7% for the three months ended March 31, 2011 and 35.8% for the nine months ended March 31, 2011, compared to the same periods a year ago. Advertising expense increased 84.6% for the three months ended March 31, 2011 and 9.1% for the nine months ended March 31, 2011 as compared to the same period a year ago, as we advertised new programs and facilities. Employee benefits increased 22.4% for the three months ended March 31, 2011 and 30.1% for the nine months ended March 31, 2011 as compared to the same period a year ago.
A legal settlement expense of $446,320 was recorded in the quarter ended March 31, 2011 relating to the ruling by the Michigan Supreme Court in favor of a terminated employee, upholding the 2008 decision of the Arbitrator. Since, prior to the ruling of the Michigan Supreme Court, the Company believed the decision of the Arbitrator was reached in error, no charge was taken against income for the award until the final ruling of the Supreme Court in March 2011.
Interest income increased 120.9% to $86,215 for the three months ended March 31, 2011 from $39,023 for the three months ended March 31, 2010 and 83.6% to $185,626 for the nine months ended March 31, 2011 from $101,130 for the nine months ended March 31, 2010. This change is due to the interest paid and accrued related to the Notes acquired from Bank of America in November 2010.
Other income/expense decreased to an expense of $179,335 for the three months ended March 31, 2011 as compared to income of $18,260 for the three months ended March 31, 2010 and to an expense of $91,821 for the nine months ended March 31, 2011 from income of $141,921 for the nine months ended March 31, 2010. This decrease is due to approximately $185,000 recorded as an expense that is estimated by the Company to be required as a non-voluntary contribution to the 401(k) plan as a result of prior year compliance test failures. With the assistance of counsel, the Company has filed the IRS' Employee Plans Compliance Resolution Program (Rev Proc 2008-50) and is awaiting their response before taking further action toward resolution. The administration of the Company’s 401(k) plan is outsourced to an independent third party provider, who has the responsibility to assure timely completion of the compliance testing of the plan.
Interest expense decreased 9.4% to $72,971 for the three months ended March 31, 2011 from $80,520 for the three months ended March 31, 2010 and 2.9% to $234,912 for the nine months ended March 31, 2011 from $241,998 for the nine months ended March 31, 2010. This decrease is primarily due to minor decreases in long-term debt.
The Company’s income tax expense of $1,107,563 for the nine months ended March 31, 2011 is based on an estimated combined tax rate of approximately 47% for both Federal and State taxes calculated using income before taxes for the nine months and projected net income for the fiscal year. If this estimate is found to be high or low, adjustments will be made in the period of the determination.
There are no trends that the Company expects will have a material impact on the Company’s revenues or net income.
Liquidity and Capital Resources
The Companies’ net cash provided by operating activities was $641,917 for the nine months ended March 31, 2011 compared to $641,405 for the nine months ended March 31, 2010. Cash flow provided by operations in the nine months ended March 31, 2011 consists of net income of $1,246,126, non-cash activity including depreciation and amortization of $832,789, non–cash interest expense of $109,898, non-cash share based compensation charges of $144,213, provision for doubtful accounts of $2,348,205, offset by earnings from unconsolidated subsidiaries of
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$26,210. Cash was also provided by a $260,037 decrease in other assets and a $229,016 increase in accrued expenses and other liabilities offset by a $64,740 increase in accounts payable, a $4,188,180 increase in accounts receivable and a $249,237 increase in prepaid expenses.
Cash used in investing activities of $1,790,532 in the nine months ended March 31, 2011 consisted of $892,951 in capital expenditures, $28,360 used in the purchase of licenses and $1,001,934 used to acquire Notes receivable, offset by $72,980 received from the Company’s investment in unconsolidated subsidiaries and $59,733 received in payment of notes receivable, compared to $627,556 in capital expenditures, $22,210 used in the purchase of licenses offset by $33,528 received from the Company’s investment in unconsolidated subsidiaries during the same period last year. The Company expects similar capital expenditures going forward.
Cash used in financing activities of $587,811 in the nine months ended March 31, 2011 consisted of net proceeds from borrowings of $137,532 and proceeds from the issuance of common stock of $58,568, offset by payments on long term debt of $568,584 and the acquisition of treasury stock of $215,327.
A significant factor in the liquidity and cash flow of the Company is the timely collection of its accounts receivable. As of March 31, 2011, accounts receivable from patient care, net of allowance for doubtful accounts, increased 14.5% to $9,559,280 from $8,351,314 on June 30, 2010. This increase is a result of increased revenue from Seven Hills Hospital and Highland Ridge. The Company monitors increases in accounts receivable closely and, based on the aging of the receivables outstanding, is confident that the increase is not indicative of a payor problem. Over the years, we have increased staff, standardized some procedures for determining insurance eligibility and collecting receivables and established a more aggressive collection policy. The increased staff has allowed the Company to concentrate on current accounts receivable and resolve any issues before they become uncollectible. The Company’s collection policy calls for earlier contact with insurance carriers with regard to payment, use of fax and registered mail to follow-up or resubmit claims and earlier employment of collection agencies to assist in the collection process. Our collectors will also seek assistance through every legal means, including the State Insurance Commissioner’s office, when appropriate, to collect claims. In light of the current economy the Company has redoubled its efforts to collect accounts early. The Company will continue to closely monitor reserves for bad debt based on potential insurance denials and past difficulty in collections.
Contractual Obligations
The Company’s future minimum payments under contractual obligations related to capital leases, operating leases and term notes as of March 31, 2011 are as follows (in thousands):
YEAR ENDING | OPERATING | |||||||||||||||||||||||
March 31, | TERM NOTES | CAPITAL LEASES | LEASES | TOTAL* | ||||||||||||||||||||
Principal | Interest | Principal | Interest | |||||||||||||||||||||
2012 | $ | 534 | $ | 9 | $ | 48 | $ | 2 | $ | 3,469 | $ | 4,062 | ||||||||||||
2013 | 54 | 4 | -- | -- | 3,166 | 3,224 | ||||||||||||||||||
2014 | 16 | -- | -- | -- | 2,911 | 2,927 | ||||||||||||||||||
2015 | -- | -- | -- | -- | 2,605 | 2,605 | ||||||||||||||||||
2016 | -- | -- | -- | -- | 2,358 | 2,358 | ||||||||||||||||||
Thereafter | -- | -- | -- | -- | 5,877 | 5,877 | ||||||||||||||||||
Total | $ | 604 | $ | 13 | $ | 48 | $ | 2 | $ | 20,386 | $ | 21,053 |
* Total does not include the amount due under the revolving credit note of $1,473,557. This amount represents amounts advanced on the accounts receivable funding described below and is shown as a current note payable in the accompanying financial statements.
In October 2004, the Company entered into a revolving credit, term loan and security agreement with CapitalSource Finance, LLC to replace the Company’s primary lender and provide additional liquidity. Each of the Company’s material subsidiaries is a co-borrower under the agreement. This agreement was amended on June 13, 2007 to increase the amount available under the term loan, extend the term, decrease the interest rates and modify the covenants based on the Company’s current financial position. The agreement now includes a term loan in the amount of $3,000,000, with a balance of $1,473,557 at March 31, 2011, and an accounts receivable funding revolving credit agreement with a maximum loan amount of $3,500,000 and a current balance of $485,000. In
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conjunction with this refinancing, the Company paid $32,500 in commitment fees and approximately $53,000 in legal fees and issued a warrant to purchase 250,000 shares of Class A Common Stock at $3.09 per share valued at $456,880. The relative fair value of the warrants was recorded as deferred financing costs and is being amortized over the period of the loan as additional interest.
The term loan note carries interest at prime plus .75%, but not less than 6.25%, with twelve monthly reductions in available credit of $50,000 beginning July 1, 2007 and increasing to $62,500 on July 1, 2009 until the expiration of the loan. As of March 31, 2011, there were no funds available under the term loan. The Company believes refinancing of this term loan would be available if required for acquisitions.
The revolving credit note carries interest at prime (3.25% at March 31, 2011) plus 0.25%, but not less than 4.75% paid through lockbox payments of third party accounts receivable. The revolving credit term is three years, renewable for two additional one-year terms. The balance on the revolving credit agreement as of March 31, 2011 was $1,473,557. The balance outstanding as of March 31, 2011 for the revolving credit note is not included in the above table. The average interest rate paid on the revolving credit loan, which includes the amortization of deferred financing costs related to the financing of the debt, was 8.58%.
This agreement was amended on June 13, 2007 to modify the terms of the agreement. Advances are available based on a percentage of accounts receivable and the payment of principal is payable upon receipt of proceeds of the accounts receivable. The amended term of the agreement is for two years, automatically renewable for two additional one year terms. Upon expiration, all remaining principal and interest are due. The revolving credit note is collateralized by substantially all of the assets of the Company’s subsidiaries and guaranteed by PHC. Availability under this agreement is based on eligible accounts receivable and fluctuates with the accounts receivable balance and aging.
On February 5, 2009, the Company signed the first amendment to the amended and restated revolving credit term loan and security agreement as outlined above, to increase availability under its revolving credit line for six months or until the Pivotal sale was complete (the “overline”). The interest rate on the overline was prime plus 3.25% with an origination fee of $25,000. In addition to increasing the availability for borrowing as noted above, it provided for additional availability of $200,000 as part of this short-term borrowing. This overline was paid in full from operations prior to the closing of Pivotal.
Off Balance Sheet Arrangements
The Company has no off-balance-sheet arrangements that have or are reasonably likely to have a current or future effect on the Company's financial condition, changes in financial condition, revenue or expenses, results of operations, liquidity, capital expenditures or capital resources that is material to the Company.
Litigation
The Company is subject to various claims and legal action that arise in the ordinary course of business. In the opinion of management, the Company is not currently a party to any proceeding that would have a material adverse affect on its financial condition or results of operations.
Item 3. Quantitative and Qualitative Disclosure About Market Risk
The market price of our common stock could be volatile and fluctuate significantly in response to various factors, including:
· Differences in actual and estimated earnings and cash flows;
· Operating results differing from analysts’ estimates;
· Changes in analysts’ earnings estimates;
· Quarter-to-quarter variations in operating results;
· Changes in market conditions in the behavioral health care industry;
· Changes in general economic conditions; and
· Fluctuations in securities markets in general.
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Financial Risk
· Our interest expense is sensitive to changes in the general level of interest rates. With respect to our interest-bearing liabilities, all of our long-term debt outstanding is subject to rates at prime plus 0.25% and prime plus 0.75%, which makes interest expense increase with changes in the prime rate. On this debt, each 25 basis point increase in the prime rate will affect an annual increase in interest expense of approximately $1,700; however, the prime rate is currently lower than the base interest rate of 4.50% therefore the prime rate would have to increase 1.25% before there would be any interest expense increase.
· Failure to meet targeted revenue projections could cause us to be out of compliance with covenants in our debt agreements requiring a waiver from our lender. A waiver of the covenants may require our lender to perform additional audit procedures to assure the stability of their security, which could require additional fees.
Operating Risk
· Aging of accounts receivable could result in our inability to collect receivables. As our accounts receivable age and become uncollectible our cash flow is negatively impacted. Our accounts receivable from patient accounts (net of allowance for bad debts) were $9,559,280 at March 31, 2011 compared with $8,351,314 at June 30, 2010. As we expand, we will be required to seek payment from a larger number of payors and the amount of accounts receivable will likely increase. We have focused on better accounts receivable management through increased staff, standardization of some procedures for collecting receivables and a more aggressive collection policy in order to keep the change in receivables consistent with the change in revenue. We have also established a more aggressive reserve policy, allowing greater amounts of reserves as accounts age from the date of billing. If the amount of receivables, which eventually become uncollectible, exceeds such reserves, we could be materially adversely affected. The following chart represents our Accounts Receivable and Allowance for Doubtful Accounts at March 31, 2011 and June 30, 2010, respectively, and Bad Debt Expense for the nine months ended March 31, 2011 and the year ended June 30, 2010:
Accounts Receivable | Allowance for doubtful accounts | Bad Debt Expense | ||||||||
March 31, 2011 | $ | 14,226,746 | $ | 4,667,466 | $ | 2,348,205 | ||||
June 30, 2010 | 11,353,637 | 3,002,323 | 2,131,392 | |||||||
· The Company relies on contracts with more than ten clients to maintain patient census at its inpatient facilities and the loss of any of such contracts would impact our ability to meet our fixed costs. We have entered into relationships with large employers, health care institutions and labor unions to provide treatment for psychiatric disorders, chemical dependency and substance abuse in conjunction with employer-sponsored EAP. The employees of such institutions may be referred to us for treatment, the cost of which is reimbursed on a per diem or per capita basis. Approximately 20% of our total revenue is derived from these clients. No one of these large employers, health care institutions or labor unions individually accounts for 10% or more of our consolidated revenues, but the loss of any of these clients would require us to expend considerable effort to replace patient referrals and would result in revenue losses and attendant loss in income.
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Item 4. Controls and Procedures
Evaluation of Disclosure Controls and Procedures
We maintain disclosure controls and procedures designed to ensure that information required to be disclosed in our Exchange Act reports is recorded, processed, summarized and reported within the time periods specified within the SEC’s Rules and Forms, and that such information is accumulated and communicated to our management to allow timely decisions regarding required disclosure. In designing and evaluating the disclosure controls and procedures, our management recognized that any controls and procedures, no matter how well designed and operated, can provide only reasonable assurance of achieving the desired control objectives, and management was necessarily required to apply its judgment in evaluating the cost-benefit relationship of possible controls and procedures.
Our management does not expect that our disclosure controls or our internal controls over financial reporting will prevent all error and fraud. A control system, no matter how well conceived and operated, can provide only reasonable assurance that the objectives of a control system are met. Further, any control system reflects limitations on resources and the benefits of a control system must be considered relative to its costs. These limitations also include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of a simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of a control. A design of a control system is also based upon certain assumptions about potential future conditions and over time controls may become inadequate because of changes in conditions, or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and may not be detected.
At the end of the period covered by this report, we carried out an evaluation, under the supervision and with the participation of our chief executive officer and chief financial officer, of the effectiveness of the design and operation of our disclosure controls and procedures to meet the criteria referred to above. Based on the foregoing, our chief executive officer and chief financial officer concluded that our disclosure controls and procedures were effective.
Change in Internal Controls
During the three months ended March 31, 2011, there were no changes in our internal controls or in other factors that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.
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PART II. OTHER INFORMATION
Item 1. Legal Proceedings.
During the quarter ended December 31, 2008, certain litigation involving the Company and a terminated employee reached binding arbitration. As a result of this arbitration, the Arbitrator awarded the employee approximately $410,000 plus costs. In the calculation of the amount awarded, the Company believes the Arbitrator erroneously took into consideration an employment agreement that was not in question and not terminated by the Company. Based on this miscalculation, the Company’s attorney recommended an appeal, which the Company initiated. During the quarter ended March 31, 2010, the Michigan Court of Appeals denied the appeal. The Company then filed an appeal with the Michigan Supreme Court. Since the Company and its attorney expected a favorable outcome, no provision was made for this judgment; however, the Company placed $512,197 in escrow as required by the courts. Subsequent to quarter end the Michigan Supreme Court found in favor of the terminated employee requiring the Company to pay $446,320, which includes accrued interest, to the terminated employee to satisfy this judgment. This amount is reflected as a legal settlement expense in operations of the current quarter in the accompanying condensed consolidated Statements of Income.
Item 6. Exhibits
Exhibit List
Exhibit No. | Description |
31.1 | Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. |
31.2 | Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002. |
32.1 | Certification of Chief Executive Officer and Chief Financial Officer Pursuant to 18 U.S.C. 1350, as adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
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Signatures
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
PHC, Inc. | ||
Registrant | ||
Date: May 10, 2011 | /s/ Bruce A. Shear | |
Bruce A. Shear | ||
President | ||
Chief Executive Officer |
Date: May 10, 2011 | /s/ Paula C. Wurts | |
Paula C. Wurts | ||
Treasurer | ||
Chief Financial Officer |
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