1 - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- UNITED STATES 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 MARCH 31, 2000 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 000-19480 PER-SE TECHNOLOGIES, INC. (Exact name of Registrant as specified in its charter) DELAWARE 58-1651222 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 2840 MT. WILKINSON PARKWAY 30339 ATLANTA, GEORGIA (Zip code) (Address of principal executive offices) (770) 444-5300 REGISTRANT'S TELEPHONE NUMBER, INCLUDING AREA CODE NOT APPLICABLE (Former name, former address and former fiscal year, if changed since last report) Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the Registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes [X] No [ ] Indicate the number of shares of stock outstanding of each of the issuer's classes of common stock, as of the latest practicable date. CLASS OUTSTANDING AT MAY 5, 2000 ----- -------------------------- Common Stock 29,868,205 shares $0.01 par value Non-voting Common Stock 0 shares $0.01 par value - -------------------------------------------------------------------------------- - -------------------------------------------------------------------------------- 2 PER-SE TECHNOLOGIES, INC. FORM 10-Q FOR THE FISCAL QUARTER ENDED MARCH 31, 2000 PAGE ---- PART I: FINANCIAL INFORMATION Item 1. Financial Statements Consolidated Balance Sheets as of March 31, 2000 and December 31, 1999............................ 2 Consolidated Statements of Operations for the three months ended March 31, 2000 and 1999....... 3 Consolidated Statements of Cash Flows for the three months ended March 31, 2000 and 1999....... 4 Notes to Consolidated Financial Statements....... 5 Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations.............. 10 PART II: OTHER INFORMATION................................. 14 Item 1. Legal Proceedings................................ 14 Item 6. Exhibits and Reports on Form 8-K................. 15 Index to Exhibits......................................... 17 ------------------------------------ THIS FORM 10-Q AND OTHER STATEMENTS ISSUED OR MADE FROM TIME TO TIME BY PER-SE TECHNOLOGIES, INC. OR ITS REPRESENTATIVES CONTAIN STATEMENTS WHICH MAY CONSTITUTE "FORWARD-LOOKING STATEMENTS" WITHIN THE MEANING OF THE SECURITIES ACT OF 1933 AND THE SECURITIES EXCHANGE ACT OF 1934, AS AMENDED BY THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995. 15 U.S.C.A. SECTIONS 77Z-2 AND 78U-5 (SUPP. 1996). THOSE STATEMENTS INCLUDE STATEMENTS REGARDING THE INTENT, BELIEF OR CURRENT EXPECTATIONS OF PER-SE TECHNOLOGIES, INC. AND MEMBERS OF ITS MANAGEMENT TEAM AS WELL AS THE ASSUMPTIONS ON WHICH SUCH STATEMENTS ARE BASED. PROSPECTIVE INVESTORS ARE CAUTIONED THAT ANY SUCH FORWARD-LOOKING STATEMENTS ARE NOT GUARANTEES OF FUTURE PERFORMANCE AND INVOLVE RISKS AND UNCERTAINTIES, AND THAT ACTUAL RESULTS MAY DIFFER MATERIALLY FROM THOSE CONTEMPLATED BY SUCH FORWARD-LOOKING STATEMENTS. IMPORTANT FACTORS CURRENTLY KNOWN TO MANAGEMENT THAT COULD CAUSE ACTUAL RESULTS TO DIFFER MATERIALLY FROM THOSE IN FORWARD-LOOKING STATEMENTS ARE SET FORTH IN THE SAFE HARBOR COMPLIANCE STATEMENT FOR FORWARD-LOOKING STATEMENTS INCLUDED AS EXHIBIT 99.1 TO THE COMPANY'S ANNUAL REPORT ON FORM 10-K FILED MARCH 27, 2000, WHICH IS INCORPORATED HEREIN BY REFERENCE. THE COMPANY UNDERTAKES NO OBLIGATION TO UPDATE OR REVISE FORWARD-LOOKING STATEMENTS TO REFLECT CHANGED ASSUMPTIONS, THE OCCURRENCE OF UNANTICIPATED EVENTS OR CHANGES TO FUTURE OPERATING RESULTS OVER TIME. 3 PART I FINANCIAL INFORMATION ITEM 1. FINANCIAL STATEMENTS PER-SE TECHNOLOGIES, INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (UNAUDITED) (IN THOUSANDS, EXCEPT PAR VALUE DATA) MARCH 31, DECEMBER 31, 2000 1999 --------- ------------ CURRENT ASSETS: Cash and cash equivalents................................. $ 49,091 $ 74,354 Restricted cash........................................... 6,663 7,519 --------- --------- Total cash (Note 2).................................... 55,754 81,873 Accounts receivable, billed............................... 46,710 46,097 Accounts receivable, unbilled............................. 4,513 42,813 Other..................................................... 8,148 7,394 --------- --------- Total current assets................................... 115,125 178,177 Property and equipment, net................................. 32,483 34,103 Intangible assets........................................... 48,745 46,446 Other....................................................... 5,964 6,291 --------- --------- $ 202,317 $ 265,017 ========= ========= CURRENT LIABILITIES: Accounts payable.......................................... $ 8,100 $ 10,005 Accrued compensation...................................... 13,504 21,842 Accrued expenses.......................................... 16,478 26,449 Accrued litigation settlements............................ 3,087 4,043 Current portion of long-term debt......................... 2,179 2,138 --------- --------- 43,348 64,477 Deferred revenue.......................................... 19,419 20,396 --------- --------- Total current liabilities.............................. 62,767 84,873 Long-term debt.............................................. 175,000 175,000 Other obligations........................................... 3,588 3,704 --------- --------- Total liabilities...................................... 241,355 263,577 --------- --------- Stockholders' Equity: Preferred stock, no par value, 20,000 authorized; none issued................................................. -- -- Common stock, voting, $0.01 par value, 200,000 authorized, 29,868 and 29,575 issued and outstanding in 2000 and 1999, respectively..................................... 299 296 Common stock, non-voting, $0.01 par value, 600 authorized; none issued............................................ -- -- Paid-in capital........................................... 774,259 771,864 Warrants.................................................. 1,495 1,495 Accumulated deficit....................................... (815,091) (772,215) --------- --------- Total stockholders' (deficit) equity................... (39,038) 1,440 --------- --------- $ 202,317 $ 265,017 ========= ========= See notes to consolidated financial statements. 2 4 PER-SE TECHNOLOGIES, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) (IN THOUSANDS, EXCEPT PER SHARE DATA) THREE MONTHS ENDED MARCH 31, -------------------- 2000 1999 -------- -------- Revenue..................................................... $ 78,829 $ 81,374 -------- -------- Salaries and wages.......................................... 52,258 53,154 Other operating expenses.................................... 24,478 30,356 Depreciation................................................ 3,964 6,787 Amortization................................................ 2,419 2,267 Interest expense, net....................................... 3,653 3,904 -------- -------- Total expenses......................................... 86,772 96,468 -------- -------- Loss before income taxes.................................... (7,943) (15,094) Income tax benefit.......................................... (1,114) (524) -------- -------- Loss from continuing operations............................. (6,829) (14,570) -------- -------- Discontinued operations, net of tax: Income from discontinued operations....................... -- 304 Gain on sale of subsidiaries.............................. 1,654 470 -------- -------- 1,654 774 -------- -------- Loss before cumulative effect of accounting change.......... (5,175) (13,796) Cumulative effect of accounting change, net of tax.......... (37,684) -- -------- -------- Net loss............................................... $(42,859) $(13,796) ======== ======== Basic net (loss) income per common share: Loss from continuing operations........................... $ (0.23) $ (0.55) Income from discontinued operations, net of tax........... 0.06 0.03 Cumulative effect of accounting change, net of tax........ (1.27) -- -------- -------- Net loss.................................................. $ (1.44) $ (0.52) ======== ======== Weighted average shares outstanding......................... 29,757 26,309 ======== ======== See notes to consolidated financial statements. 3 5 PER-SE TECHNOLOGIES, INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) (IN THOUSANDS) THREE MONTHS ENDED MARCH 31, -------------------- 2000 1999 -------- -------- CASH FLOWS FROM OPERATING ACTIVITIES Net loss.................................................... $(42,859) $(13,796) Adjustments to reconcile net loss to net cash used for operating activities: Income from discontinued operations....................... -- (304) Depreciation and amortization............................. 6,383 9,054 Additional gain on sale of subsidiaries................... (1,654) (796) Cumulative effect of accounting change.................... 37,684 -- Changes in assets and liabilities, excluding effects of acquisitions and divestitures: Restricted cash........................................ 353 (8) Accounts receivable, billed............................ (541) (681) Accounts receivable, unbilled.......................... 616 1,654 Accounts payable....................................... (1,905) 1,733 Accrued compensation................................... (8,354) 678 Accrued expenses....................................... (9,519) (7,106) Accrued litigation settlements......................... (956) (515) Deferred revenue....................................... (977) 2,503 Other, net............................................. (613) 2,275 -------- -------- Net cash used for continuing operations................ (22,342) (5,309) Net cash used for discontinued operations.............. -- (5,952) -------- -------- Net cash used for operating activities............... (22,342) (11,261) -------- -------- CASH FLOWS FROM INVESTING ACTIVITIES Acquisitions, net of cash acquired.......................... (955) -- Purchases of property and equipment......................... (2,216) (2,112) Additional net proceeds from sale of subsidiaries........... 1,654 796 Proceeds from sale of property and equipment................ 21 373 Software development costs.................................. (1,773) (1,537) -------- -------- Net cash used for investing activities............... (3,269) (2,480) -------- -------- CASH FLOWS FROM FINANCING ACTIVITIES Proceeds from issuance of stock............................. 299 503 Proceeds from the exercise of stock options................. 82 48 Payments of debt............................................ (29) (40) Deferred financing costs.................................... (4) -- -------- -------- Net cash provided by financing activities............ 348 511 -------- -------- CASH AND CASH EQUIVALENTS Net change.................................................. (25,263) (13,230) Balance at beginning of period.............................. 74,354 54,409 -------- -------- Balance at end of period.................................... $ 49,091 $ 41,179 ======== ======== See notes to consolidated financial statements. 4 6 PER-SE TECHNOLOGIES, INC. AND SUBSIDIARIES NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) NOTE 1 -- BASIS OF PRESENTATION The accompanying unaudited condensed consolidated financial statements of Per-Se Technologies, Inc. ("Per-Se" or the "Company") are presented in accordance with the requirements of Form 10-Q and Rule 10-01 of Regulation S-X. For further information, the reader of this Form 10-Q may wish to refer to the audited consolidated financial statements of the Company for the fiscal year ended December 31, 1999 included in the Company's Annual Report on Form 10-K filed March 27, 2000. The unaudited condensed financial information has been prepared in accordance with the Company's customary accounting policies and practices. In the opinion of management, all adjustments, consisting of normal recurring adjustments considered necessary for a fair presentation of results for the interim period, have been included. The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets, liabilities, revenues and expenses. Actual results could differ from those estimates. Basic net loss per common share is based on the weighted average number of shares of common stock outstanding during the period. Diluted net loss per common share is not presented as it is antidilutive. Stock options and warrants are the only securities issued that would have been included in the pro forma diluted earnings per share calculation. As more thoroughly discussed in Note 2, the Medaphis Services Corporation ("Hospital Services") and Impact Innovations Group ("Impact") segments have been presented as discontinued operations for all periods presented. NOTE 2 -- DIVESTITURES -- CASH RECEIPTS AND DISCONTINUED OPERATIONS On November 30, 1998, the Company completed the sale of Hospital Services to NCO Group, Inc. ("NCO") for initial consideration of $107.5 million. During the first quarter of 1999, the Company received additional consideration of $0.8 million based on the Hospital Services final closing balance sheet and payment on certain Hospital Services accounts receivable retained by Per-Se. The additional consideration resulted in the recognition of an additional gain of $0.5 million, net of tax of $0.3 million. In addition, Per-Se received a purchase price adjustment of $10.0 million cash from NCO in May 2000 based on Hospital Services' achievement of various operational targets in 1999. Receipt of that payment will be reflected in the Company's second quarter of 2000 financial statements. In 1999, the Company completed the sale of both divisions of Impact. After reviewing several alternatives for Impact throughout 1998, management concluded a sale of this segment would generate the greatest return to the stockholders and finalized its plan to sell Impact. The Company sold the commercial division of Impact to Complete Business Solutions, Inc. ("CBSI") effective April 15, 1999 for $14.4 million, net of the final closing balance sheet adjustment of $0.6 million which was paid on July 16, 1999. The government division of Impact was sold on December 17, 1999 to J3 Technology Services Corp. for $46.5 million, including a purchase price adjustment of $1.5 million received on March 30, 2000 based on the division's tangible net worth at closing. The purchase price adjustment resulted in the recognition of an additional gain of $1.5 million. Pursuant to APB No. 30, Reporting the Results of Operations -- Reporting the Effects of Disposal of a Segment of a Business, and Extraordinary, Unusual and Infrequently Occurring Events and Transactions, the consolidated financial statements of the Company have been presented to reflect both Hospital Services and Impact as discontinued operations for all periods presented. 5 7 The net operating results of these segments have been reported in the Consolidated Statements of Operations as "Income from discontinued operations" and the net cash flows have been reported in the Consolidated Statements of Cash Flows as "Net cash used for discontinued operations." Summarized financial information for the discontinued operations is as follows: FOR THE THREE MONTHS ENDED MARCH 31, 1999 (IN THOUSANDS) IMPACT ------- Revenue..................................................... $20,622 ======= Income from discontinued operations before income taxes..... 502 Income tax expense.......................................... 198 ------- Income from discontinued operations, net of tax............. $ 304 ======= NOTE 3 -- RECENT ACQUISITIONS On February 9, 2000, the Company acquired the outstanding capital stock of Knowledgeable Healthcare Solutions, Inc. ("KHS") for initial consideration of $3.0 million, consisting of $1.0 cash and $2.0 million of the Company's Common Stock. In addition, the purchase agreement provides for a purchase price adjustment of up to $6.0 million, payable in cash and the Company's Common Stock, should KHS meet certain operational targets over the next three years. KHS has developed a managed care software product that is used by Per-Se to provide business management services to numerous independent physician associations. The KHS acquisition was recorded using the purchase method of accounting and, accordingly, the purchase price has been allocated to the assets acquired and the liabilities assumed based on their estimated fair market value at the date of acquisition. Approximately $2.9 million of the purchase price has been allocated to intangible assets and will be amortized using the straight-line method over five years. The operating results of KHS, which were not material to the Company's operations, are included in the Company's Consolidated Statements of Operations from the date of acquisition. NOTE 4 -- CUMULATIVE EFFECT OF ACCOUNTING CHANGE On December 3, 1999, the Securities and Exchange Commission (the "Commission") issued Staff Accounting Bulletin Number 101, Revenue Recognition in Financial Statements ("SAB 101"). SAB 101 summarizes certain of the Commission's views in applying generally accepted accounting principles to revenue recognition in financial statements. SAB 101 provides interpretative guidance on the unbilled accounts receivable and related revenue recognition within the Company's industry. The Commission's guidance encourages the accounting change to be reflected by the Company's quarter ended March 31, 2000. Therefore, consistent with the Commission's guidance and changing industry practice, the Company began recognizing revenue in its Physician Services segment on an "as billed" basis January 1, 2000. The Company does not expect this change to significantly impact annual recognized revenue amounts. There is no effect on cash flow resulting from this change. The change in accounting method resulted in the elimination of $37.7 million of unbilled accounts receivable. The one-time, cumulative non-cash charge in the Company's March 31, 2000 statement of operations reflects the $22.7 million elimination of the unbilled accounts receivable on a net of tax basis and a corresponding $15.0 million increase in the Company's deferred tax valuation allowance. See Note 8 for further discussion of income taxes. 6 8 NOTE 5 -- LEGAL MATTERS The Company is subject to claims and litigation in the ordinary course of its business. Within the Company's industry, federal and state civil and criminal laws govern medical billing and collection activities. These laws provide for various fines, penalties, multiple damages, assessments and sanctions for violations, including possible exclusion from Medicare, Medicaid and certain other federal and state healthcare programs. The Company and its clients have received, and the Company may continue to receive, official inquiries concerning billing and collection practices. On May 10, 1999, a motion by plaintiffs to reopen a putative class action complaint filed by Ernest Hecht and Stephen D. Strandberger was granted by the courts. During 1998, this case had been dismissed against Per-Se with prejudice and without leave to amend. The reinstated appeal is pending. The Company is unable to estimate the final outcome and any loss related to this matter. On January 8, 1997, the Commission notified the Company that it was conducting a formal, non-public investigation into, among other things, former officers and Company transactions including the restatements of the Company's consolidated financial statements for the three months and year ended December 31, 1995 and its unaudited balance sheets as of March 31, 1996 and June 30, 1996. The Company continues to monitor the investigation as it proceeds. The Company believes that it has meritorious defenses to the claims asserted in existing legal matters. There can be no assurance that existing or future claims, government investigations, including the Commission investigation, and legal matters will not have an adverse effect on the Company. Since the Company is unable to estimate a range of awards or losses, if any, on pending legal matters, no amounts have been reflected in the financial statements. NOTE 6 -- RESTRUCTURING AND OTHER CHARGES The description of the type and the amount of restructuring costs applied against each reserve in the quarter ended March 31, 2000 are as follows: RESERVE RESERVE BALANCE COSTS APPLIED BALANCE 12/31/99 AGAINST RESERVE 3/31/00 -------- --------------- ------- (IN THOUSANDS) Lease termination costs.................................. $3,528 $(266) $3,262 Severance................................................ 273 -- 273 ------ ----- ------ $3,801 $(266) $3,535 ====== ===== ====== NOTE 7 -- LONG-TERM DEBT Under the indenture governing the 9 1/2% $175 million of Senior Notes due 2005 (the "Notes"), the balance of the net sale proceeds, as defined, from the sale of Hospital Services, the commercial division of Impact, the government division of Impact or from the sale of any other asset having a fair value in excess of $1.0 million, must be invested in the Company's business within 360 days of receipt of proceeds related to the sale. To the extent that such net proceeds are not invested within 360 days, such amount constitutes "excess proceeds." If the aggregate amount of excess proceeds is greater than $10.0 million, the Company is required to offer to repurchase the Notes at par with such excess proceeds. As of May 15, 2000, aggregate excess proceeds did not exceed $10.0 million. NOTE 8 -- INCOME TAXES At March 31, 2000, the Company reassessed the recoverability of its deferred tax asset. Based on its analysis, the Company determined a full valuation allowance of $251.8 million against the deferred tax asset was required. The increase in the valuation allowance of $15.0 million is directly related to the elimination of the Company's unbilled accounts receivable (see Note 4) and, as such, was recorded against the cumulative 7 9 effect of accounting change. When it becomes more likely than not that the Company will generate sufficient taxable income to realize the deferred tax asset, the Company will adjust this valuation allowance accordingly. The Company recognized a $1.2 million tax benefit in the quarter ended March 31, 2000 related to a state income tax refund. NOTE 9 -- SEGMENT REPORTING The Company's reportable segments are strategic business units that offer different services and products. Per-Se provides its services and products through its three operating segments: Physician Services, Application Software and e-Health. Physician Services provides business management services to physicians and healthcare organizations, including clinical data collection, data input, medical coding, billing, contract management, cash collections and accounts receivable management. These services are designed to assist healthcare providers with the business management functions associated with the delivery of healthcare services, allowing physicians and hospital staff to focus on providing quality patient care. These services also assist physicians and healthcare organizations in improving cash flows and reducing administrative costs and burdens. The Application Software segment provides financial and clinical software including patient scheduling, staff management, clinical information systems and patient financial management software. These applications enable healthcare organizations to simultaneously optimize the quality of care delivered and the profitability of business operations. The e-Health segment offers Internet-enabled and private network connectivity to both integrated healthcare delivery networks and physician practices, including electronic claims processing, referral submissions, eligibility verification and other electronic and paper transaction processing. In addition, e-Health offers physician practice management software as an application service provider to physician practices. Per-Se evaluates each segment's performance based on operating profit or loss. The Company accounts for intersegment sales as if the sales were to third parties. 8 10 Information concerning the operations in these reportable segments is as follows: THREE MONTHS ENDED MARCH 31, ------------------------- 2000 1999 --------- ------------ (IN THOUSANDS) Revenue: Physician Services........................................ $ 58,822 $ 61,457 Application Software...................................... 14,352 15,193 e-Health.................................................. 8,487 7,580 Eliminations.............................................. (2,832) (2,856) -------- -------- $ 78,829 $ 81,374 ======== ======== Operating profit (loss)(1): Physician Services........................................ $ 80 $ (2,839) Application Software...................................... (1,692) (2,668) e-Health.................................................. 905 (7) Corporate................................................. (3,583) (5,676) -------- -------- $ (4,290) $(11,190) ======== ======== Interest expense, net....................................... $ 3,653 $ 3,904 ======== ======== Loss before income taxes.................................... $ (7,943) $(15,094) ======== ======== Depreciation and amortization: Physician Services........................................ $ 3,332 $ 4,553 Application Software...................................... 1,764 1,713 e-Health.................................................. 610 615 Corporate................................................. 677 2,173 -------- -------- $ 6,383 $ 9,054 ======== ======== Capital expenditures: Physician Services........................................ $ 1,049 $ 1,242 Application Software...................................... 161 246 e-Health.................................................. 641 234 Corporate................................................. 365 390 -------- -------- $ 2,216 $ 2,112 ======== ======== AS OF ------------------------- MARCH 31, DECEMBER 31, 2000 1999 --------- ------------ (IN THOUSANDS) Identifiable Assets: Physician Services........................................ $ 78,171 $116,423 Application Software...................................... 40,012 39,265 e-Health.................................................. 19,244 18,904 Corporate................................................. 64,890 90,425 -------- -------- $202,317 $265,017 ======== ======== - --------------- (1) Includes depreciation and amortization expense; excludes interest expense, net. 9 11 ITEM 2. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS GENERAL Per-Se Technologies, Inc. ("Per-Se" or the "Company"), a corporation organized in 1985 under the laws of the State of Delaware, is a global leader in delivering technology-enabled business management services, financial and clinical software solutions and Internet-enabled connectivity and e-health solutions to healthcare providers. Per-Se delivers its services and products through its three operating segments: Physician Services, Application Software and e-Health. The Physician Services segment provides business management services to physicians and healthcare organizations, including clinical data collection, data input, medical coding, billing, contract management, cash collections and accounts receivable management. These services are designed to assist healthcare providers with the business management functions associated with the delivery of healthcare services, allowing physicians and hospital staff to focus on providing quality patient care. These services also assist physicians and healthcare organizations in improving cash flows and reducing administrative costs and burdens. The Application Software segment provides financial and clinical software including patient scheduling, staff management, clinical information systems and patient financial management software. These applications enable healthcare organizations to simultaneously optimize the quality of care delivered and the profitability of business operations. The e-Health segment offers Internet-enabled and private network connectivity to both integrated healthcare delivery networks and physician practices, including electronic claims processing, referral submissions, eligibility verification and other electronic and paper transaction processing. In addition, e-Health offers physician practice management software as an application service provider to physician practices. Per-Se markets its products and services primarily to integrated healthcare delivery networks, hospitals, physician practices, long-term care facilities, home health providers and managed care organizations. RESULTS OF OPERATIONS THREE MONTHS ENDED MARCH 31, 2000 AS COMPARED TO THREE MONTHS ENDED MARCH 31, 1999 Operating Profit (Loss). Operating profit (loss), which excludes interest expense, classified by the Company's different operating segments is as follows: THREE MONTHS ENDED MARCH 31, ------------------- 2000 1999 ------- -------- (IN THOUSANDS) Physician Services.......................................... $ 80 $ (2,839) Application Software........................................ (1,692) (2,668) e-Health.................................................... 905 (7) Corporate................................................... (3,583) (5,676) ------- -------- $(4,290) $(11,190) ======= ======== Physician Services' significant increase in operating profit for the three months ended March 31, 2000 as compared to the operating loss for the same period in 1999 is attributable to management's efforts to reduce costs by streamlining processes and reducing the overall headcount of this segment. The reduction in Application Software's operating loss for the three months ended March 31, 2000 as compared to the three months ended March 31, 1999 is a result of lower operating expenses. e-Health's operating profit for the three months ended March 31, 2000 as compared to an operating loss for the three months ended March 31, 1999 is primarily due to the segment's increase in revenue. 10 12 The decrease in the Company's overhead is related to management's continued commitment to reduce costs where feasible and create more efficient processes. Revenue. Revenue classified by the Company's different reportable segments is as follows: THREE MONTHS ENDED MARCH 31, ------------------- 2000 1999 ------- -------- (IN THOUSANDS) Physician Services.......................................... $58,822 $ 61,457 Application Software........................................ 14,352 15,193 e-Health.................................................... 8,487 7,580 Eliminations................................................ (2,832) (2,856) ------- -------- $78,829 $ 81,374 ======= ======== Physician Services' revenue decreased slightly in the first quarter of 2000 as compared to the same period in 1999. The decline is primarily attributable to Per-Se and client-initiated discontinuances throughout 1999. Client discontinuances initiated by the Company are a result of management's ongoing review and evaluation process of unprofitable or marginally profitable clients that yield returns unacceptable to management. However, the rate of client-initiated discontinuances continues to decrease. The discontinuances were partially offset by the addition of new business during the first quarter of 2000. Application Software's revenue decreased slightly in the first quarter of 2000 as compared to the same period in 1999. The decrease is attributable to higher as sold revenue in the first quarter of 1999 and client-initiated implementation delays in the first quarter of 2000. e-Health's revenue increased 12% in the first quarter of 2000 as compared to the same period in 1999. The increase is a result of greater external claims processing. Approximately 56% of the increase is attributable to increases in volume at the Company's statement processing center ("Laser Center"). Interest. Net interest expense was $3.7 million in the first quarter of 2000 as compared with $3.9 million in the first quarter of 1999. The decrease is attributable to interest income of $0.9 million generated from the short-term investment of cash offset by slightly greater debt outstanding and interest related to the deferred portion of a prior period legal settlement. Income Taxes. At March 31, 2000, the Company reassessed the recoverability of its deferred tax asset. Based on its analysis, the Company determined a full valuation allowance of $251.8 million against the deferred tax asset was required, an increase of $15.0 million from December 31, 1999. The adjustment is directly related to the elimination of the Company's unbilled accounts receivable (see Cumulative Effect of Accounting Change discussion below) and, as such, was recorded against the cumulative effect of accounting change. When it becomes more likely than not that the Company will generate sufficient taxable income to realize the deferred tax asset, the Company will adjust this valuation allowance accordingly. The Company recognized a $1.2 million tax benefit in the quarter ended March 31, 2000 related to a state income tax refund. 11 13 Discontinued Operations. Summarized financial information for the discontinued operations for the three-month period ended March 31, 1999 is as follows: FOR THE THREE MONTHS ENDED MARCH 31, 1999 (IN THOUSANDS) IMPACT ------- Revenue..................................................... $20,622 ======= Income from discontinued operations before income taxes..... 502 Income tax expense.......................................... 198 ------- Income from discontinued operations, net of tax............. $ 304 ======= On November 30, 1998, the Company completed the sale of Hospital Services to NCO Group, Inc. ("NCO") for initial consideration of $107.5 million. During the first quarter of 1999, the Company received additional consideration of $0.8 million based on the Hospital Services final closing balance sheet and payment on certain Hospital Services accounts receivable retained by Per-Se. The additional consideration resulted in the recognition of an additional gain of $0.5 million, net of tax of $0.3 million. In addition, Per-Se received a purchase price adjustment of $10.0 million cash from NCO in May 2000 based on Hospital Services' achievement of various operational targets in 1999. Receipt of that payment will be reflected in the Company's second quarter of 2000 financial statements. In 1999, the Company completed the sale of both divisions of Impact. After reviewing several alternatives for Impact throughout 1998, management concluded a sale of this segment would generate the greatest return to the stockholders and finalized its plan to sell Impact. The Company sold the commercial division of Impact to Complete Business Solutions, Inc. ("CBSI") effective April 15, 1999 for $14.4 million, net of the final closing balance sheet adjustment of $0.6 million which was paid on July 16, 1999. The government division of Impact was sold on December 17, 1999 to J3 Technology Services Corp. for $46.5 million, including a purchase price adjustment of $1.5 million received in March 2000 based on the division's tangible net worth at closing. The purchase price adjustment resulted in the recognition of an additional gain of $1.5 million. For the three months ended March 31, 1999, income from discontinued operations before income taxes includes the reversal of a $1.1 million lease abandonment reserve which was no longer necessary due to the sale of the commercial division of Impact. Cumulative Effect of Accounting Change. On December 3, 1999, the Securities and Exchange Commission (the "Commission") issued Staff Accounting Bulletin Number 101, Revenue Recognition in Financial Statements ("SAB 101"). SAB 101 summarizes certain of the Commission's views in applying generally accepted accounting principles to revenue recognition in financial statements. SAB 101 provides interpretative guidance on the unbilled accounts receivable and related revenue recognition within the Company's industry. The Commission's guidance encourages the accounting change to be reflected by the Company's quarter ended March 31, 2000. Therefore, consistent with the Commission's guidance and changing industry practice, the Company began recognizing revenue in its Physician Services segment on an "as billed" basis January 1, 2000. The Company does not expect this change to significantly impact annual recognized revenue. There is no effect on cash flow resulting from this change. The change in accounting method resulted in the elimination of $37.7 million of unbilled accounts receivable. The one-time, cumulative non-cash charge in the Company's March 31, 2000 statement of operations reflects the $22.7 million elimination of the unbilled accounts receivable on a net of tax basis and a corresponding $15.0 million increase in the Company's deferred tax valuation allowance. 12 14 LIQUIDITY AND CAPITAL RESOURCES The Company had working capital of $52.4 million at March 31, 2000, including $49.1 million of unrestricted cash and cash equivalents. The $40.9 million decrease in working capital from December 31, 1999 is primarily the result of the timing of payments on accruals, the payment of semi-annual interest payments required under the $175 million of 9 1/2% Senior Notes due 2005 (the "Notes") and investment in the Company's operations. The Company completed its divestiture of non-core operations in December 1999. The Company sold Hospital Services on November 30, 1998 for $103.2 million net proceeds. In February 1999, the Company received additional proceeds of $0.5 million based on Hospital Services' tangible net worth at closing. In addition, Per-Se received a purchase price adjustment of $10.0 million cash from NCO in May 2000 based on Hospital Services' achievement of various operational targets in 1999. The Company sold the commercial division of Impact effective April 15, 1999 for $14.4 million, net of the final closing balance sheet adjustment of $0.6 million that was paid on July 16, 1999. The Company sold the government division of Impact on December 17, 1999 for approximately $46.5 million, including a purchase price adjustment of $1.5 million received in March 2000 based on the division's tangible net worth at closing. Under the Indenture governing the Notes, the balance of the net proceeds, as defined, from the sale of Hospital Services, the two divisions of Impact or the sale of any other asset having a fair value in excess of $1.0 million, must be invested in the Company's business within 360 days of receipt of proceeds related to the sale. To the extent that such net proceeds are not invested within 360 days, such amount constitutes "excess proceeds." If the aggregate of excess proceeds is greater than $10.0 million, the Company is required to offer to repurchase the Notes at par with such excess proceeds. As of March 31, 2000, uninvested net proceeds related to the sale of non-core operations and other assets totaled approximately $61.4 million. The net proceeds are the result of various asset sales and, as such, under the Indenture, must be invested in the Company's business by varying points in time during 2000. In addition, the Company will have to invest a minimum of approximately $47.2 million by December 11, 2000 to preclude the Company's obligation to make an offer to repurchase the Notes at par in the first quarter of 2001. As of May 15, 2000, aggregate excess proceeds did not exceed $10.0 million. The Company believes that its current cash flow is sufficient to permit the Company to meet its operating expenses, service its debt requirements as they become due in the next twelve months and for the long term and to invest in the business. 13 15 PART II: OTHER INFORMATION ITEM 1. LEGAL PROCEEDINGS The Company is subject to claims and litigation in the ordinary course of its business. Within the Company's industry, federal and state civil and criminal laws govern medical billing and collection activities. These laws provide for various fines, penalties, multiple damages, assessments and sanctions for violations, including possible exclusion from Medicare, Medicaid and certain other federal and state healthcare programs. The Company and its clients have received, and the Company may continue to receive, official inquiries concerning billing and collection practices. On May 10, 1999, a motion by plaintiffs to reopen a putative class action complaint filed by Ernest Hecht and Stephen D. Strandberger was granted by the courts. During 1998, this case had been dismissed against Per-Se with prejudice and without leave to amend. The reinstated appeal is pending. The Company is unable to estimate the final outcome and any loss related to this matter. On January 8, 1997, the Commission notified the Company that it was conducting a formal, non-public investigation into, among other things, former officers and Company transactions including the restatements of the Company's consolidated financial statements for the three months and year ended December 31, 1995 and its unaudited balance sheets as of March 31, 1996 and June 30, 1996. The Company continues to monitor the investigation as it proceeds. The Company believes that it has meritorious defenses to the claims asserted in existing legal matters. There can be no assurance that existing or future claims, government investigations, including the Commission investigation, and legal matters will not have an adverse effect on the Company. Since the Company is unable to estimate a range of awards or losses, if any, on pending legal matters, no amounts have been reflected in the financial statements. 14 16 ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (A) Exhibits EXHIBIT NUMBER DOCUMENT -------------- -------- 2.1 -- Stock Purchase Agreement dated as of October 15, 1998, between Registrant and NCO Group, Inc. (incorporated by reference to Exhibit 2.1 to Quarterly Report on Form 10-Q for the quarter ended September 30, 1998). 2.2 -- Stock Purchase Agreement dated as of April 20, 1999, among Complete Business Solutions, Inc., E-Business Solutions.com, Inc., Impact Innovations Holdings, Inc. and Registrant (incorporated by reference to Exhibit 2.1 to Current Report on Form 8-K filed on May 5, 1999). 2.3 -- Stock Purchase Agreement dated as of November 4, 1999, among J3 Technology Services Corp., Impact Innovations Holdings, Inc., Impact Innovations Government Group, Inc. and Registrant (incorporated by reference to Exhibit 2.3 to Quarterly Report on Form 10-Q for the quarter ended September 30, 1999). 3.1 -- Restated Certificate of Incorporation of Registrant (incorporated by reference to Exhibit 3.1 to Annual Report on Form 10-K for the year ended December 31, 1999). 3.2 -- Restated By-laws of Registrant (incorporated by reference to Exhibit 3.2 to Annual Report on Form 10-K for the year ended December 31, 1999). 4.1 -- Indenture dated as of February 20, 1998, among Registrant, as Issuer, the Subsidiary Guarantors named in the Indenture and State Street Bank and Trust Company, as Trustee (including form of note) (incorporated by reference to Exhibit 10.3 to Current Report on Form 8-K filed on March 3, 1998). 4.2 -- Warrant Agreement dated as of July 8, 1998, between Registrant and SunTrust Bank, Atlanta, as Warrant Agent (including form of warrant certificate) (incorporated by reference to Exhibit 4.2 to Registration Statement on Form 8-A filed on July 21, 1998). 4.3 -- Rights Agreement dated as of February 11, 1999, between Registrant and American Stock Transfer & Trust Company (including form of rights certificates) (incorporated by reference to Exhibit 4 to Current Report on Form 8-K filed on February 12, 1999). 4.4 -- First Amendment to Rights Agreement dated as of February 11, 1999, between Registrant and American Stock Transfer & Trust Company, entered into as of May 4, 2000. 27 -- Financial Data Schedule (for SEC use only) 99.1 -- Safe Harbor Compliance Statement for Forward-Looking Statements (incorporated by reference to Exhibit 99.1 to Annual Report on Form 10-K for the year ended December 31, 1999). (B) Reports on Form 8-K The Company did not file any reports on Form 8-K during the quarter ended March 31, 2000. 15 17 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. Per-Se Technologies, Inc. (Registrant) By: /s/ WAYNE A. TANNER -------------------------------------- Wayne A. Tanner Executive Vice President and Chief Financial Officer By: /s/ MARY C. BLACKADAR -------------------------------------- Mary C. Blackadar Vice President and Controller (Principal Accounting Officer) Dated: May 15, 2000 16 18 INDEX TO EXHIBITS EXHIBIT NUMBER DOCUMENT -------------- -------- 2.1 -- Stock Purchase Agreement dated as of October 15, 1998, between Registrant and NCO Group, Inc. (incorporated by reference to Exhibit 2.1 to Quarterly Report on Form 10-Q for the quarter ended September 30, 1998). 2.2 -- Stock Purchase Agreement dated as of April 20, 1999, among Complete Business Solutions, Inc., E-Business Solutions.com, Inc., Impact Innovations Holdings, Inc. and Registrant (incorporated by reference to Exhibit 2.1 to Current Report on Form 8-K filed on May 5, 1999). 2.3 -- Stock Purchase Agreement dated as of November 4, 1999, among J3 Technology Services Corp., Impact Innovations Holdings, Inc., Impact Innovations Government Group, Inc. and Registrant (incorporated by reference to Exhibit 2.3 to Quarterly Report on Form 10-Q for the quarter ended September 30, 1999). 3.1 -- Restated Certificate of Incorporation of Registrant (incorporated by reference to Exhibit 3.1 to Annual Report on Form 10-K for the year ended December 31, 1999). 3.2 -- Restated By-laws of Registrant (incorporated by reference to Exhibit 3.2 to Annual Report on Form 10-K for the year ended December 31, 1999). 4.1 -- Indenture dated as of February 20, 1998, among Registrant, as Issuer, the Subsidiary Guarantors named in the Indenture and State Street Bank and Trust Company, as Trustee (including form of note) (incorporated by reference to Exhibit 10.3 to Current Report on Form 8-K filed on March 3, 1998). 4.2 -- Warrant Agreement dated as of July 8, 1998, between Registrant and SunTrust Bank, Atlanta, as Warrant Agent (including form of warrant certificate) (incorporated by reference to Exhibit 4.2 to Registration Statement on Form 8-A filed on July 21, 1998). 4.3 -- Rights Agreement dated as of February 11, 1999, between Registrant and American Stock Transfer & Trust Company (including form of rights certificates) (incorporated by reference to Exhibit 4 to Current Report on Form 8-K filed on February 12, 1999). 4.4 -- First Amendment to Rights Agreement dated as of February 11, 1999, between Registrant and American Stock Transfer & Trust Company, entered into as of May 4, 2000. 27 -- Financial Data Schedule (for SEC use only) 99.1 -- Safe Harbor Compliance Statement for Forward-Looking Statements (incorporated by reference to Exhibit 99.1 to Annual Report on Form 10-K for the year ended December 31, 1999). 17