1 SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D.C. 20549 --------------------------------------------------- FORM 10-Q (Mark One) [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the quarterly period ended January 31, 1997 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 0-20946 HEALTH MANAGEMENT SYSTEMS, INC. (Exact name of registrant as specified in its charter) New York 13-2770433 - ---------------------------------- --------------------------------------- State of Incorporation (I.R.S. Employer Identification Number) 401 Park Avenue South, New York, New York 10016 - -------------------------------------------------------------------------------- (Address of principal executive offices, zip code) (212) 685-4545 - -------------------------------------------------------------------------------- (Registrant's telephone number, including area code) Not Applicable - -------------------------------------------------------------------------------- (Former name, former address, and former fiscal year, if changed since last report.) Indicate by check x whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities and Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No_____ Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Class Outstanding at January 31, 1997 - ------------------------------- --------------------------------------- Common Stock, $.01 Par Value 17,677,805 Shares 2 HEALTH MANAGEMENT SYSTEMS, INC. INDEX TO FORM 10-Q QUARTER ENDED JANUARY 31, 1997 PART I FINANCIAL INFORMATION Page No. Item 1 Financial Statements Consolidated Balance Sheets as of January 31, 1997 1 (unaudited) and October 31, 1996 Consolidated Statements of Operations (unaudited) for the 2 three month periods ended January 31, 1997 and January 31, 1996 Consolidated Statement of Shareholders' Equity (unaudited) 3 for the three month period ended January 31, 1997 Consolidated Statements of Cash Flows (unaudited) for the 4 three month periods ended January 31, 1997 and January 31, 1996 Notes to Interim Consolidated Financial Statements 5 (unaudited) Item 2 Management's Discussion and Analysis of Results of Operations 6 and Financial Condition PART II OTHER INFORMATION 9 SIGNATURES 10 EXHIBIT INDEX 11 3 HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS ($ IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) January 31, October 31, 1997 1996 ------------ ------------ (Unaudited) ASSETS Current assets: Cash and cash equivalents $ 18,008 22,340 Short-term investments 17,299 17,181 Accounts receivable, net 44,983 42,730 Other current assets 6,564 4,706 ------------ ------------ Total current assets 86,854 86,957 Property and equipment, net 7,649 7,823 Intangible assets, net 5,211 5,257 Capitalized software costs, net 1,585 1,472 Investments in affiliates 6,808 6,824 Other assets 1,506 1,310 ------------ ------------ Total assets $ 109,613 109,643 ============ ============ LIABILITIES AND SHAREHOLDERS' EQUITY Current liabilities: Accounts payable and accrued expenses $ 12,868 19,359 Amounts payable to affiliates 740 902 Deferred revenue 4,305 4,975 Deferred income taxes 7,739 6,968 ------------ ------------ Total current liabilities 25,652 32,204 Other liabilities 3,165 2,770 Deferred income taxes 0 57 ------------ ------------ Total liabilities 28,817 35,031 ------------ ------------ Shareholders' equity: Preferred stock - $.01 par value; 5,000,000 shares authorized; none issued and outstanding 0 0 Common stock - $.01 par value; 45,000,000 shares authorized; 17,677,805 shares issued and outstanding at January 31, 1997; 17,520,991 shares issued and outstanding at October 31, 1996 177 175 Capital in excess of par value 66,882 62,541 Retained earnings 13,228 11,425 Unrealized appreciation on short-term investments 509 471 ------------ ------------ Total shareholders' equity 80,796 74,612 ------------ ------------ Commitments and contingencies Total liabilities and shareholders' equity $ 109,613 109,643 ============ ============ See accompanying notes to interim consolidated financial statements. 1 4 HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) ($ IN THOUSANDS, EXCEPT PER SHARE AMOUNTS) Three months ended January 31, ---------------------------- 1997 1996 ------------ ------------ Revenue: Trade $ 21,308 23,467 Affiliates 964 2,152 ------------ ------------ 22,272 25,619 Cost of services: Compensation 11,659 11,755 Data processing 1,793 2,165 Occupancy 2,143 1,708 Other 3,350 4,292 ------------ ------------ 18,945 19,920 ------------ ------------ Operating margin before amortization of intangibles 3,327 5,699 Amortization of intangibles 46 55 ------------ ------------ Operating income 3,281 5,644 Other income: Net interest income 441 251 Merger related costs (500) 0 Equity in (loss) earnings of affiliate (16) 123 ------------ ------------ (75) 374 Income before income taxes 3,206 6,018 Income tax expense (1,403) (2,408) ------------ ------------ Net income $ 1,803 3,610 ============ ============ Earnings per share data: Net income per weighted average share of common stock outstanding $ 0.10 0.20 ============ ============ Weighted average shares outstanding 18,236 18,180 ============ ============ See accompanying notes to interim consolidated financial statements. 2 5 HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENT OF SHAREHOLDERS' EQUITY (UNAUDITED) ($ IN THOUSANDS) Unrealized Common Stock Capital In Appreciation Total ----------------------- Par Excess Of Retained on Short-term Shareholders' Shares Value Par Value Earnings Investments Equity ---------- ---------- ---------- ---------- ---------- ---------- Balance at October 31, 1996, as originally reported 17,348,841 $ 174 57,583 18,301 471 76,529 Adjustments for Quality Standards in Medicine, Inc. ("QSM") pooling of interests 172,150 1 4,958 (6,876) 0 (1,917) Balance at October 31, 1996, as restated 17,520,991 175 62,541 11,425 471 74,612 Net income 0 0 0 1,803 0 1,803 Stock option activity 31,975 0 156 0 0 156 Employee Stock Purchase Plan activity 36,989 1 430 0 0 431 Stock issued to retire QSM debt 87,850 1 1,181 1,182 Disqualifying dispositions 0 0 2,574 0 0 2,574 Appreciation on short-term investments 0 0 0 0 38 38 ========== ========== ========== ========== ========== ========== Balance at January 31, 1997 17,677,805 $ 177 66,882 13,228 509 80,796 ========== ========== ========== ========== ========== ========== See accompanying notes to interim consolidated financial statements. 3 6 HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) ($ IN THOUSANDS) Three months ended January 31, --------------------------- 1997 1996 ----------- ----------- Operating activities: Net income $ 1,803 3,610 Adjustments to reconcile net income to net cash provided by operating activities: Depreciation and amortization 729 729 Software capitalization (305) (279) Amortization of intangibles 46 55 Provision for doubtful accounts (17) 283 Deferred tax expense 561 355 Equity in loss (earnings) of affiliate 16 (123) Changes in assets and liabilities: Increase in accounts receivable (2,236) (5,440) Decrease(increase) in other current assets 716 (471) Decrease in accounts payable and accrued expenses (5,309) (2,243) Decrease in amounts payable to affiliates (162) 0 (Decrease)increase in deferred revenue (670) 1,246 Increase in other assets and liabilities, net 352 911 ----------- ----------- Total adjustments (6,279) (4,977) ----------- ----------- Net cash used in operating activities (4,476) (1,367) ----------- ----------- Investing activities: Capital asset expenditures (363) (560) Proceeds from sale of short-term investments (80) (244) ----------- ----------- Net cash used in investing activities (443) (804) ----------- ----------- Financing activities: Proceeds from issuance of common stock 431 1,567 Proceeds from exercise of stock options 156 1,521 Proceeds from issuance of notes payable 0 148 ----------- ----------- Net cash provided by financing activities 587 3,236 ----------- ----------- Net increase (decrease) in cash and cash equivalents (4,332) 1,065 Cash and cash equivalents at beginning of period 22,340 10,825 =========== =========== Cash and cash equivalents at end of period $ 18,008 11,890 =========== =========== See accompanying notes to interim consolidated financial statements. 4 7 HEALTH MANAGEMENT SYSTEMS, INC. NOTES TO INTERIM CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) 1. INTERIM UNAUDITED FINANCIAL INFORMATION Health Management Systems, Inc. ("HMS" or the "Company") management is responsible for the accompanying unaudited interim consolidated financial statements and the related information included in these notes to the interim consolidated financial statements. In the opinion of management, the interim consolidated financial statements reflect all adjustments, consisting of normal recurring adjustments, necessary for the fair presentation of the Company's financial position and results of operations and cash flows for the periods presented. Results of operations of interim periods are not necessarily indicative of the results to be expected for the entire year. The Company completed an acquisition during the first quarter of fiscal year 1997. The acquisition transaction was accounted for using the pooling of interests method of accounting. Accordingly, the historical financial statements have been retroactively restated for all periods presented to reflect the financial position, results of operations, and cash flows for the new consolidated entity. For further details see Note 2 to the Interim Consolidated Financial Statements. These interim consolidated financial statements should be read in conjunction with the audited consolidated financial statements of the Company as of and for the year ended October 31, 1996 included in the Company's Annual Report on Form 10-K for such year as filed with the Securities and Exchange Commission (the "Commission"). However, the reader should be aware that the October 31, 1996 financial statements have been retroactively restated as noted in the preceding paragraph. 2. MERGER WITH QUALITY STANDARDS IN MEDICINE, INC. ("QSM") On November 25, 1996, the Company acquired all the outstanding stock of QSM in exchange for 260,000 of the Company's stock in a merger transaction which was accounted for using the pooling of interests method of accounting. 3. SUPPLEMENTAL CASH FLOW DISCLOSURES Cash paid for income taxes during the quarters ended January 31, 1997 and 1996 was $129,000 and $1,896,000, respectively. The Company recorded significant non-cash transactions during the quarters ended January 31, 1997 and 1996. The non-cash transactions included the issuance of 87,850 shares of the Company's common stock to settle $1,182,000 of QSM notes payable plus accrued interest in the quarter ended January 31, 1997. Additionally, the Company recorded $2,574,000 and $407,000 for the quarters ended January 31, 1997 and 1996 as disqualified dispositions related to certain compensatory stock option exercises, which has the effect of reducing the Company's tax liability with an offsetting increase to shareholders' equity. 5 8 ITEM 2--MANAGEMENT'S DISCUSSION AND ANALYSIS OF RESULTS OF OPERATIONS AND FINANCIAL CONDITION--THREE MONTH PERIODS ENDED JANUARY 31, 1997 AND 1996 OPERATING RESULTS THREE MONTHS ENDED JANUARY 31, 1997 Revenue for the quarter ended January 31, 1997 was $22,272,000, a decrease of $3,347,000 or 13% from the comparable period in 1996. The Company's proprietary services, Retroactive Claims Reprocessing (RCR)sm, Comprehensive Account Management Services (CAMS)sm, and Third Party Liability Recovery (TPLR)sm, accounted for $14,512,000 or 65% of the Company's consolidated revenue for the first quarter of 1997, compared to $19,385,000 or 76% of consolidated revenue for the comparable period in 1996. Revenue from core proprietary services (proprietary service revenue excluding affiliates) decreased 21% from the comparable period in 1996 principally due to the Company's inability to repeat the strong results in a number of non-recurring TPLR engagements in the quarter ended January 31, 1996. The Company's Electronic Data Interchange (EDI) services revenue was $1,844,000 for the first quarter of 1997, a decrease of $153,000 or 8% from the comparable period in 1996. Revenue from Managed Care Support (MCS) services was $5,916,000, an increase of $1,679,000 or 40% over the comparable period in 1996. Cost of services for the first quarter of 1997 was $18,945,000, a decrease of $975,000 or 5% from the comparable period in 1996. Compensation expense, the Company's largest expense component, totalled $11,659,000, a decrease of $96,000 or 1% over the comparable prior period. The slight decrease in compensation expense was primarily the result of lower bonus and profit sharing expense accruals offset by an increase in salary expense. Salaries increased by 11% due primarily to a 19% growth in the average number of employees, offset by salary savings associated with employee turnover. Data processing expense for the first quarter of 1997 was $1,793,000, a decrease of $372,000 or 17% from the comparable period in 1996. This decrease was attributable to savings associated with the postponement of discretionary purchases. Occupancy expense for the first quarter of 1997 was $2,143,000, an increase of $435,000 or 25% over the comparable period in 1996. This increase reflects the additional rent and depreciation expense for expansion at the New York corporate facility and expansion in satellite offices. Other operating expense for the first quarter of 1997 was $3,350,000, a decrease of $942,000 or 22% from the comparable period in 1996. This decrease was principally attributable to lower levels of costs associated with revenue producing projects and professional fees. Operating margin before amortization of intangible assets for the quarter ended January 31, 1997 was $3,327,000, a decrease of $2,372,000 or 42% from the $5,699,000 amount realized in the comparable period in 1996. The Company's operating margin rate during the first quarter of 1997 was 15%, compared to the 22% rate experienced in the comparable period in 1996. Net interest income of $441,000 in the first quarter of 1997 increased by $190,000 from $251,000 in the comparable period in 1996. Additionally, QSM merger related costs of $500,000 were incurred in the 6 9 first quarter of 1997, compared to none in the comparable period in 1996. The Company reported equity in the loss of affiliate of $16,000 during the first quarter of 1997 as compared to a profit of $123,000 for the comparable period in 1996. The Company's income tax expense for the first quarter of 1997 was $1,403,000, resulting in an effective tax rate of approximately 43.8%. This compares to income tax expense of $2,408,000 and an effective tax rate of approximately 40.0% for the comparable period in 1996. The decrease in income tax expense was primarily due to the Company's lower pre-tax profit. The increase in effective tax rate was primarily attributable to an abnormally low tax rate in 1996 due to the non-taxability of income from CDR Associates, Inc., which was an S corporation prior to its merger with the Company in April 1996. Net income for the three month period ended January 31, 1997 decreased to $1,803,000, a 50% decrease compared to $3,610,000 reported in the comparable prior year period. After excluding the QSM merger-related costs, net income decreased by 36%, from $3,610,000 to $2,303,000. The Company's performance translates to earnings per share for the three month period ended January 31, 1997 of $0.10, a decrease of $0.10 or 50% from the $0.20 per share reported in the comparable period in 1996. After excluding the QSM merger-related costs, earnings per share decreased by $0.07, or 35%. 7 10 LIQUIDITY AND CAPITAL RESOURCES At January 31, 1997, the Company had $61,202,000 in net working capital, an increase of $6,449,000 over the level at October 31, 1996. The Company's principal sources of liquidity at January 31, 1997 consisted of cash, cash equivalents, and short-term investments aggregating $35,307,000, net accounts receivable of $44,983,000, and an unused $40,000,000 line of credit. Accounts receivable at January 31, 1997 reflected an increase of $2,253,000 or 5% over the October 31, 1996 balance. There has been no significant change in the nature, age, or composition of the Company's accounts receivable portfolio. * * * * * This document contains forward-looking statements. Such statements by their nature entail various risks, reflecting the dynamic, complex, and rapidly changing nature of the health care industry. Results actually achieved may differ materially from those currently anticipated. The various risks include but are not necessarily limited to: (i) the continued ability of HMS to grow internally or by acquisition, (ii) the success experienced in integrating acquired businesses into the HMS group of companies, (iii) changing conditions in the health care industry which could simplify the reimbursement process and/or data management requirements associated with the health care transfer payment process and adversely affect HMS's business, (iv) government regulatory and political pressures which could reduce the rate of growth of health care expenditures, (v) competitive actions by other companies, and (vi) other risks, as noted in HMS's registration statements and periodic reports filed with the Commission. 8 11 HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES PART II--OTHER INFORMATION Item 1 Legal Proceedings--No material legal proceedings are pending Item 2 Changes in Securities--None Item 3 Defaults Upon Senior Securities--Not applicable Item 4 Submission of Matters to a Vote of Security Holders--None Item 5 Other Information--None Item 6 Exhibits and Reports on Form 8-K (a) Exhibits--See Exhibit Index (b) Reports on Form 8-K Current Report on Form 8-K, dated November 25, 1996 - Item 5. Other Matters, Item 7. Financial Statements and Exhibits Current Report on Form 8-K, dated December 31, 1996 - Item 5. Other Matters 9 12 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. Date: March 13, 1997 HEALTH MANAGEMENT SYSTEMS, INC. -------------------------------- (Registrant) /s/Phillip Siegel -------------------------------- Phillip Siegel Vice President and Chief Financial Officer 10 13 HEALTH MANAGEMENT SYSTEMS, INC. AND SUBSIDIARIES EXHIBIT INDEX EXHIBIT NUMBER DESCRIPTION OF EXHIBIT 11 Computations of Earnings Per Share 27 Financial Data Schedule 11