SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-Q/A (Amendment No. 1) (Mark One) [X] QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Quarterly Period Ended June 30, 2003 ------------- 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 CLAIMSNET.COM INC. (Exact name of registrant as specified in its charter) Delaware 75-2649230 (State or other jurisdiction of (I.R.S. Employer incorporation or organization) Identification No.) 12801 N. Central Expressway, Suite 1515 Dallas, Texas 75243 (Address of principal executive offices) (Zip Code) Registrant's telephone number, including area code: 972-458-1701 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 outstanding of each of the issuer's classes of common stock, as of the latest practicable date. Common Stock, $.001 par value, 23,701,180 shares outstanding as of March 26, 2004. 1 CLAIMSNET.COM INC. AND SUBSIDIARY TABLE OF CONTENTS PART I. FINANCIAL INFORMATION ITEM 1. Financial Statements Consolidated Balance Sheets as of June 30, 2003 (unaudited, restated) and December 31, 2002 Consolidated Statements of Operations (unaudited) for the Three Months Ended June 30, 2003 (restated) and 2002, and for the Six Months Ended June 30, 2003 (restated) and 2002 Consolidated Statements of Changes in Stockholders' Deficit for the Year Ended December 31, 2002 and the Six Months Ended June 30, 2003 (unaudited, restated) Consolidated Statements of Cash Flows (unaudited) for the Six Months Ended June 30, 2003 (restated) and 2002 Notes to Consolidated Financial Statements ITEM 2. Management's Discussion and Analysis of Financial Condition and Results of Operations ITEM 4. Controls and Procedures PART II. OTHER INFORMATION ITEM 6. Exhibits and Reports on Form 8-K SIGNATURES CERTIFICATIONS 2 PART I - FINANCIAL INFORMATION ITEM 1: FINANCIAL STATEMENTS CLAIMSNET.COM INC. AND SUBSIDIARIES CONSOLIDATED BALANCE SHEETS (In thousands, except share data) (Unaudited) June 30, December 31, 2003 2002 (Restated) --------- --------- ASSETS CURRENT ASSETS Cash and equivalents $ 122 $ 153 Accounts receivable, net of allowance for doubtful accounts of $3 and $33 as of June 30, 2003 and December 31, 2002, respectively 111 150 Prepaid expenses and other current assets 59 79 --------- --------- Total current assets 292 382 EQUIPMENT, FIXTURES AND SOFTWARE Computer hardware and software 1,685 1,685 Software development costs 1,938 1,922 Furniture and fixtures 108 108 Office equipment 25 25 --------- --------- 3,756 3,740 Accumulated depreciation and amortization (3,674) (3,601) --------- --------- Total equipment, fixtures and software 82 139 --------- --------- TOTAL ASSETS $ 374 $ 521 ========= ========= LIABILITIES AND STOCKHOLDERS' DEFICIT CURRENT LIABILITIES Notes payable to related parties - short term $ 151 $ 118 Accounts payable 151 486 Accrued severance -- 241 Accrued acquisition costs -- 500 Accrued payroll and other current liabilities 163 228 Deferred revenues 64 47 --------- --------- Total current liabilities 529 1,620 LONG TERM LIABILITIES Notes payable to related parties - long term 10 10 Notes payable - long term 25 25 --------- --------- Total long term liabilities 35 35 --------- --------- Total liabilities 564 1,655 STOCKHOLDERS' DEFICIT Preferred stock, $.001 par value; 4,000,000 shares authorized; 2,789 and 3,471 shares issued and outstanding as of June 30, 2003 and December 31, 2002, respectively (liquidation preference of $735 and $876 at June 30, 2003 and December 31, 2002, respectively) -- -- Common stock, $.001 par value; 40,000,000 shares authorized; 19,173,000 shares and 14,816,000 shares issued and outstanding as of June 30, 2003 and December 31, 2002, respectively 19 15 Additional capital 42,183 41,275 Accumulated deficit (42,392) (42,424) --------- --------- Total stockholders' deficit (190) (1,134) --------- --------- TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIT $ 374 $ 521 ========= ========= See notes to consolidated financial statements. 3 CLAIMSNET.COM INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF OPERATIONS (In thousands, except per share data) (Unaudited) Three Months Ended Six Months Ended June 30, June 30, ------------------------ ------------------------ 2003 2002 2003 2002 (Restated) (Restated) --------- --------- --------- --------- REVENUES $ 168 $ 338 $ 330 $ 653 Cost of Revenues 174 463 374 1,023 --------- --------- --------- --------- Gross Loss (6) (125) (44) (370) --------- --------- --------- --------- OPERATING EXPENSES: Research and development 4 81 14 176 Selling, general and administrative 506 527 817 1,287 --------- --------- --------- --------- Total operating expenses 510 608 831 1,463 --------- --------- --------- --------- LOSS FROM OPERATIONS (516) (733) (875) (1,833) OTHER INCOME (EXPENSE) Gain on settlement of liabilities 912 -- 916 -- Interest expense - related parties (3) (7) (5) (9) Interest expense - other (2) -- (4) -- --------- --------- --------- --------- Total other income (expense) 907 (7) 907 (9) --------- --------- --------- --------- NET INCOME (LOSS) $ 391 $ (740) $ 32 $ (1,842) --------- --------- --------- --------- NET INCOME (LOSS) PER COMMON SHARE - BASIC $ 0.02 $ (0.07) $ 0.00 $ (0.17) ========= ========= ========= ========= WEIGHTED AVERAGE COMMON SHARES OUTSTANDING - BASIC 17,730 11,175 16,533 11,158 ========= ========= ========= ========= NET INCOME (LOSS) PER COMMON SHARE - DILUTED $ 0.02 $ (0.07) $ 0.00 $ (0.17) ========= ========= ========= ========= WEIGHTED AVERAGE COMMON SHARES OUTSTANDING - DILUTED 22,136 11,175 20,097 11,158 ========= ========= ========= ========= See notes to consolidated financial statements. 4 CLAIMSNET.COM INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CHANGES IN STOCKHOLDERS' DEFICIT Year Ended December 31, 2002 and the Six Months Ended June 30, 2003 (Restated) (In thousands) (Unaudited) Number of Number of Preferred Common Total Shares Preferred Shares Additional Accumulated Stockholders' Outstanding Stock Outstanding Common Stock Capital Deficit Deficit ------------- ---------- ------------- ------------ ------------ ------------ ------------- Balances at January 1, 2002 -- $ -- 11,141 $ 11 $ 39,571 $(39,497) $ 85 Sale of preferred stock 3 -- -- -- 875 -- 875 Sale of common stock -- -- 3,675 4 731 -- 735 Issuance of warrants and options for services -- -- -- -- 98 -- 98 Net loss -- -- -- -- -- (2,927) (2,927) --------- ------ --------- --------- --------- --------- --------- Balances at December 31, 2002 3 -- 14,816 15 41,275 (42,424) (1,134) --------- ------ --------- --------- --------- --------- --------- Preferred stock converted into common stock -- -- 682 1 (1) -- -- Sale of common stock -- -- 2,325 2 460 -- 462 Issuance of common stock in payment of notes payable and accrued interest -- -- 350 -- 70 -- 70 Issuance of warrants and options for services -- -- -- -- 180 -- 180 Warrants exercised for common stock -- -- 1,000 1 199 -- 200 Net income (restated) -- -- -- -- -- 32 32 --------- ------ --------- --------- --------- --------- --------- Balances at June 30, 2003 (restated) 3 $ -- 19,173 $ 19 $ 42,183 $(42,392) $ (190) ========= ====== ========= ========= ========= ========= ========= See notes to consolidated financial statements. 5 CLAIMSNET.COM INC. AND SUBSIDIARIES CONSOLIDATED STATEMENTS OF CASH FLOWS (In thousands) (Unaudited) Six Months Ended June 30, 2003 2002 (Restated) -------- -------- CASH FLOWS FROM OPERATING ACTIVITIES: Net income (loss) $ 32 $(1,842) Adjustments to reconcile net income (loss) to net cash used in operating activities: Depreciation and amortization 73 269 Provision for doubtful accounts (8) 5 Stock options and warrants issued for services 180 53 Gain on settlement of liabilities (916) -- Changes in operating assets and liabilities: Accounts receivable 47 (75) Prepaid expenses and other current assets 19 34 Current liabilities (202) 212 -------- -------- Net cash used in operating activities (775) (1,344) -------- -------- CASH FLOWS FROM INVESTING ACTIVITIES: Purchases of property and equipment -- (15) Capitalized software development costs (16) (171) -------- -------- Net cash used in investing activities (16) (186) -------- -------- CASH FLOWS FROM FINANCING ACTIVITIES: Proceeds from notes payable to related parties 100 475 Payment of notes payable to related parties (2) (305) Proceeds from notes payable -- 50 Proceeds from issuance of common stock 662 200 Proceeds from issuance of preferred stock -- 826 -------- -------- Net cash provided by financing activities 760 1,246 -------- -------- NET DECREASE IN CASH AND EQUIVALENTS (31) (284) CASH AND EQUIVALENTS, BEGINNING OF PERIOD 153 531 -------- -------- CASH AND EQUIVALENTS, END OF PERIOD $ 122 $ 247 ======== ======== SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION Cash paid for interest $ -- $ 2 ======== ======== Pending equity investment from Directors $ -- $ 50 ======== ======== SUPPLEMENTAL DISCLOSURES OF NON-CASH FINANCING ACTIVITIES: Payment of notes payable and accrued interest through issuance of common stock $ 70 $ -- ======== ======== See notes to consolidated financial statements. 6 CLAIMSNET.COM INC. AND SUBSIDIARIES Notes to Consolidated Financial Statements 1. BASIS OF PRESENTATION In the opinion of management, the accompanying unaudited consolidated financial statements include all necessary adjustments (consisting of normal recurring accruals) and present fairly the consolidated financial position of Claimsnet.com inc. (the "Company") and subsidiaries as of June 30, 2003 and the results of their operations and cash flows for the three months and six months ended June 30, 2003 and 2002, in conformity with generally accepted accounting principles for interim financial information applied on a consistent basis. The results of operations for the three and six months ended June 30, 2003 are not necessarily indicative of the results to be expected for the full year. Certain information and footnote disclosures normally included in financial statements prepared in accordance with generally accepted accounting principles have been omitted. These financial statements should be read in conjunction with the audited consolidated financial statements and notes thereto included in the Company's Annual Report on Form 10-K for the year ended December 31, 2002, as filed with the Securities and Exchange Commission on April 1, 2003. 2. RESTATEMENT OF PREVIOUSLY REPORTED RESULTS The Company is amending and restating its Form 10-Q for the three and six months ended June 30, 2003. Subsequent to the issuance of the Company's financial results for the quarters ended March 31, June 30, and September 30, 2003, the Company, after consultation with its auditors, determined that certain implementation fees previously reported as revenue during the quarters did not meet the technical requirements to be accounted for as a separate unit of accounting, as defined in the Emerging Issues Task Force Issue No. 00-21, "Revenue Arrangements with Multiple Deliverables", and as further clarified by Staff Accounting Bulletin No. 104, "Revenue Recognition", as issued by the SEC on December 17, 2003. As a result, the implementation fees must be recognized as revenue ratably over the expected period of the customer business arrangement. Accordingly, the consolidated financial statements for the three and six months ended June 30, 2003, have been restated to defer implementation fees and recognize those fees over the expected life of the customer arrangement. The Company expenses costs related to implementation services as they are incurred. Therefore, the net loss for the three and six month periods ended June 30, 2003 increased by the same amount as the increase in the net revenue deferral, approximately $3,000 and $14,000, respectively. The revenue restatement also resulted in a restatement of deferred revenues at June 30, 2003. The restatement did not result in a change to the net loss per common share of $0.02 as previously reported for the three month period ended June 30, 2003 or the net income per common share of $0.00 as previously reported for the six month period ended June 30, 2003. 3. NEED FOR ADDITIONAL CAPITAL AND LIQUIDITY Management believes that available cash resources, together with anticipated revenues from operations and the proceeds of recently completed financing activities and funding commitments will not be sufficient to satisfy the Company's capital requirements past August 31, 2003. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. The Company may be unable to implement current plans for expansion or to repay debt obligations as they become due. If sufficient capital cannot be obtained, the Company may be forced to significantly reduce operating expenses to a point which would be detrimental to business operations, curtail research and development activities, sell business assets or discontinue some or all of its business operations, take other actions which could be detrimental to business prospects and result in charges which could be material to its operations and financial position, or cease operations altogether. In the event that any future financing should take the form of equity securities, the holders of the common stock and preferred stock may experience additional dilution. In the event of a cessation of operations, there may not be sufficient assets to fully satisfy all creditors, in which case the holders of equity securities will be unable to recoup any of their investment. 7 4. EQUITY TRANSACTIONS From January through June 2003, the Company completed the private placement of 2,675,000 shares of common stock to accredited investors at $0.20 per share, for net proceeds of $462,000. In connection with these private placements, the Company also issued warrants to the investors to purchase an aggregate of 2,675,000 shares of common stock. The warrants contain an exercise price of $0.20 per share and expire December 31, 2007. These private placements included 350,000 shares of common stock plus warrants to acquire an additional 350,000 shares of common stock purchased by National Financial Corporation, a related party, for net proceeds of $20,000 and retirement of debt of $50,000; 1,250,000 shares of common stock plus warrants to acquire an additional 1,250,000 shares of common stock purchased by Elmira United Corporation, which owned at the time more than 5% of the outstanding shares of common stock of the Company, for net proceeds of $250,000; a 5% shareholder who purchased 100,000 shares of common stock plus warrants to acquire an additional 100,000 shares of common stock for retirement of debt plus accrued interest of $20,000; and 50,000 shares of common stock plus warrants to acquire an additional 50,000 shares of common stock purchased by a director of the Company for net proceeds of $10,000. On April 7, 2003, Elmira United Corporation, a 5% shareholder, exercised a previously issued warrant to purchase 1,000,000 shares of the Company's common stock and tendered payment in the amount of $200,000. In May 2003, 682 shares of preferred stock were converted into 682,000 shares of common stock. 5. ISSUANCE OF WARRANTS In June 2003, the Company issued warrants to acquire an aggregate of 3,450,000 shares of common stock to employees. The warrants contain an exercise of $0.15 per share and expire in June 2013. In June 2003, the Company issued warrants to acquire an aggregate of 1,200,000 shares of common stock to two directors as compensaton for services outside of their director duties. The warrants were valued at $0.15 per warrant for a total charge of approximately $180,000 based on the Black-Scholes valuation method (using the following assumptions: life of ten years, risk free rate of 4.77%, no dividends during the term, and a volatility of 2.04). 6. GAIN ON SETTLEMENT OF LIABILITIES During March and April 2003, the Company entered into settlement agreements with various creditors, contingent upon the Company making payment within ten days of the date of agreement. When the agreed payment was made by the Company, the creditor released the Company from all other liabilities. The aggregate amount of the agreements entered into required payments totaling $217,000 to settle certain accounts payable, accrued severance and accrued acquisition cost liabilities totaling $1,134,000. Payments totaling $1,000 pursuant to the agreements were made prior to March 31, 2003, resulting in a gain on settlement of liabilities totaling $4,000. Payments totaling $216,000 pursuant to the agreements were made in April 2003, resulting in a gain on settlement of liabilities totaling $912,000. 7. LOANS FROM RELATED PARTY In May 2003, the Company entered into an unsecured short-term loan agreement with NFC, a related party, pursuant to which NFC loaned the Company an aggregate amount of $100,000. In June 2003, The Company repaid a portion of this note in the aggregate amount of $32,000 by issuing 160,000 share of Company common stock and warrants to purchase 160,000 shares of Company common stock. Also in June 2003, an aggregate of $2,000 plus accrued interest on the note was paid. In June 2003, The Company also repaid a second note to NFC in the principal amount of $18,000 by issuing to the shareholder 90,000 shares of Company common stock and warrants to purchase 90,000 shares of Company common stock. Also in June 2003, all accrued interest on the note was paid. In June 2003, the Company retired a portion of an outstanding note with J.R. Schellenberg, a related party, in the principal amount of $15,000 plus $5,000 accrued interest thereon by issuing to Mr. Schellenberg 100,000 shares of Company common stock and warrants to purchase 100,000 shares of Company common stock in a private placement as more fully described in Note 3. The remaining principal amount of $35,000 plus interest, at 9.5% per annum on the unpaid principal, is due on demand. 8 8. STOCK-BASED COMPENSATION The Company accounts for its stock-based employee compensation plan using the intrinsic value-based method prescribed by Accounting Principles Board Opinion No. 25, "Accounting for Stock Issued to Employees," and related interpretations. As such, compensation expense is recorded on the date of grant to the extent the current market price of the underlying stock exceeds the exercise price. The Company recorded no compensation expense associated with options issued to employees during the three and six months ended June 30, 2003 and 2002. Had the Company determined compensation based on the fair value at the grant date for its stock options under SFAS 123 "Accounting for Stock-Based Compensation," as amended by SFAS No. 148 "Accounting for Stock-Based Compensation - Transition and Disclosure," net income (loss) and net income (loss) per share would have been affected as indicated below (in thousands, except per share amounts): Three Months Ended Six Months Ended June 30, June 30, 2003 2002 2003 2002 (Restated) (Restated) -------- -------- ------- ---------- Net income (loss), as reported $ 391 $ (740) $ 32 $ (1,842) Stock-based compensation expense: Included in reported net income (loss) -- -- -- -- Determined using the fair value method (17) (92) (17) (183) -------- -------- ------- ---------- Pro forma net income (loss) $ 374 $ (832) $ 15 $ (2,025) -------- -------- ------- ---------- Net income (loss) per share - basic As reported $ 0.02 $ (0.07) $ 0.00 $ (0.17) Pro forma $ 0.02 $ (0.08) $ 0.00 $ (0.18) Net income (loss) per share - diluted As reported $ 0.02 $ (0.07) $ 0.00 $ (0.17) Pro forma $ 0.02 $ (0.08) $ 0.00 $ (0.18) 9. SUBSEQUENT EVENTS In July 2003, the Company completed the private placement of 475,000 shares of common stock to accredited investors at $0.20 per share, for net proceeds of $80,000 cash and $15,000 in services performed by a director of the Company outside of his director duties. In connection with these private placements, the Company also issued warrants to the investors to purchase an aggregate of 475,000 shares of common stock. The warrants contain an exercise price of $0.20 per share and expire December 31, 2007. These private placements included 250,000 shares of common stock plus warrants to acquire an additional 250,000 shares of common stock purchased by Elmira United Corporation, which owned at the time more than 5% of the outstanding shares of common stock of the Company. 9 ITEM 2. Management's Discussion and Analysis of Financial Condition and Results of Operations MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS AND OTHER PORTIONS OF THIS REPORT CONTAIN FORWARD-LOOKING INFORMATION THAT INVOLVE RISKS AND UNCERTAINTIES. OUR ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THOSE ANTICIPATED BY THE FORWARD-LOOKING INFORMATION. FACTORS THAT MAY CAUSE SUCH DIFFERENCES INCLUDE, BUT ARE NOT LIMITED TO, AVAILABILITY OF FINANCIAL RESOURCES FOR LONG TERM NEEDS, PRODUCT DEMAND, MARKET ACCEPTANCE AND OTHER FACTORS DISCUSSED ELSEWHERE IN THIS REPORT. THIS MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS SHOULD BE READ IN CONJUNCTION WITH OUR CONSOLIDATED FINANCIAL STATEMENTS AND THE RELATED NOTES INCLUDED ELSEWHERE IN THIS REPORT. GENERAL OVERVIEW As of June 30, 2003, we had a working capital deficit of $(237,000) and stockholders' deficit of $(190,000). We generated revenues of $330,000 for the six months ended June 30, 2003 and $653,000 for the six months ended June 30, 2002. We have incurred net losses since inception and had an accumulated deficit of $(42,392,000) at June 30, 2003. We expect to continue to operate at a loss for the near future. There can be no assurance that we will ever achieve profitability. We have only been in operation since 1996, and have operated under several different business strategies. As a result, the relationships between revenue and cost of revenue, and operating expenses reflected in the financial information included in this report may not represent future expected financial relationships. Much of the cost of revenue and operating expenses reflected in our consolidated financial statements are associated with people costs, and not directly related to transaction volumes. Our expenses decreased for the year ended December 31, 2002 due to staffing and other cost reductions and further expense reductions were effected at the beginning of 2003. In 2002 we recognized a significant gain on sale of certain business assets and a significant one-time expense due to the impairment of in-process software development. In 2003, we realized a gain of $916,000 from the settlement of certain liabilities. The majority of our revenues in prior years were generated by contracts which have either terminated or were assigned through an asset sale in September 2002. Our operating expenses in prior years included a significant one-time charge related to termination of a business agreement and significant costs associated with an asset acquisition and the subsequent impairment of purchased assets. Accordingly, we believe that, at our current stage of operations, period to period comparisons of results of operations are not meaningful. PRIVATE PLACEMENTS, OPTIONS AND WARRANTS From January through June 2003, we completed the private placement of 2,675,000 shares of common stock to accredited investors at $0.20 per share, for net proceeds of $462,000 and the extinguishment of $70,000 of notes payable and accrued interest. In connection with these private placements, we also issued warrants to the investors to purchase an aggregate of 2,675,000 shares of common stock. The warrants contain an exercise price of $0.20 per share and expire December 31, 2007. These private placements included 350,000 shares of common stock plus warrants to acquire an additional 350,000 shares of common stock purchased by National Financial Corporation, a related party for net proceeds of $20,000 and retirement of debt of $50,000; 1,250,000 shares of common stock plus warrants to acquire an additional 1,250,000 shares of common stock purchased by Elmira United Corporation, which owned at the time more than 5% of the outstanding shares of our common stock, for net proceeds or $250,000; a 5% shareholder who purchased 100,000 shares of common stock plus warrants to acquire an additional 100,000 shares of common stock for retirement of debt plus accrued interest of $20,000; and 50,000 shares of common stock plus warrants to acquire an additional 50,000 shares of common stock purchased by a member of our Board of Directors for net proceeds of $10,000. In May 2003, 682 shares of preferred stock were converted into 682,000 shares of our common stock. In April 2003, Elmira United Corporation, a 5% shareholder, exercised a previously issued warrant to purchase 1,000,000 shares of our common stock and tendered payment in the amount of $200,000. 10 The Company used $217,000 of the proceeds from the April 2003 transactions to make payments pursuant to creditor agreements, as described in Note 5 to the consolidated financial statements. None of the above sales of securities involved the use of an underwriter and except as indicated no commissions were paid in connection with the sale of any securities. The certificates evidencing the common stock issued in each of the transactions referenced above were appropriately legended. The offer and sale of the securities in each of the transactions referenced above was exempt from registration under the Securities Act of 1933 by virtue of Section 4(2) thereof and the rules promulgated thereunder. Each of the offerees and investors in such private placements provided representations to us that the offeree or investor is an "accredited investor," as defined in Rule 501 under the Act, as well as highly sophisticated (some of whom were existing stockholders of us at the time of such transaction.) The shares subject to the options have been registered under the Act. PLAN OF OPERATIONS Our recently modified business strategy is as follows: o to utilize our state of the art technology to help large healthcare organizations achieve more efficient and less costly administrative operations; o to market our services directly to the payer community and its trading partners; o to aggressively pursue and support strategic relationships with companies that will in turn aggressively market our services to large volume healthcare organizations, including insurers, HMO's, third party administrators, provider networks, re-pricing organizations, clinics, hospitals, laboratories, physicians and dentists; o to provide total claim management services to payer organizations, including internet claim submission, paper claim conversion to electronic transactions, and receipt of EDI transmissions; o to continue to expand our product offerings to include additional transaction processing solutions, such as HMO encounter forms, eligibility and referral verifications, claim status inquiries, electronic remittance advices, claim attachments, and other healthcare administrative services, in order to diversify sources of revenue; and o to license our technology for other applications, including stand-alone purposes, Internet systems and private label use, and for original equipment manufacturers. We anticipate that our primary source of revenues will be fees paid by payers and vendors for private-label or co-branded licenses and services. Historically, our primary source of revenues was fees paid by users for insurance claims and patient statement services, and fees from medical and dental payers for processing claims electronically. We expect most of our revenues to be recurring in nature. Our principal costs to operate are anticipated to be technical and customer support services, sales and marketing, research and development, acquisition of capital equipment, and general and administrative expenses. We intend to continue to develop and upgrade our technology and transaction-processing systems and continually update and improve our website to incorporate new technologies, protocols, and industry standards. No assurance can be given that our development and upgrading efforts will be successful. Selling, general and administrative expenses include all corporate and administrative functions that serve to support our current and future operations and we hope will provide an infrastructure to support future growth. Major items in this category include management and staff salaries and benefits, travel, professional fees, network administration, business insurance, and rent. 11 CRITICAL ACCOUNTING POLICIES REVENUE RECOGNITION We generally enter into services agreements with our customers to provide access to our hosted software platform for processing of customer transactions. We operate the software application for all customers and the customers are not entitled to ownership of our software at any time during or at the end of the agreements. The end users of our software application access our hosted software platform or privately hosted versions of our software application via the internet with no additional software required to be located on the customer's systems. Customers pay implementation fees, transaction fees and time and materials charges for additional services. Revenues primarily include fees for implementation and transaction fees, which may be subject to monthly minimum provisions. Customer agreements may also provide for development fees related to private labeling of our software platform (i.e. access to our servers through a web site which is in the name of and/or has the look and feel of the customer's other web sites) and some customization of the offering and business rules. We account for our service agreements by combining the contractual revenues from development, implementation, license, support and certain additional service fees and recognizing the revenue ratably over the expected period of performance. We currently use an estimated expected business arrangement term of three years which is currently the term of the typical contracts signed by our customers. We do not segment these services and use the underlying contractual terms to recognize revenue because we do not have objective and reliable evidence of fair value to allocate the arrangement consideration to the deliverables in the arrangement. To the extent that implementation fees are received in advance of recognizing the revenue, we defer these fees and record deferred revenue. We recognize service fees for transactions and some additional services as the services are performed. We expense the costs associated with our customer service agreements as those costs are incurred. SOFTWARE FOR SALE OR LICENSE We begin capitalizing costs incurred in developing a software product once technological feasibility of the product has been determined. Capitalized computer software costs include direct labor, labor-related costs and interest. The software is amortized over its expected useful life of 3 years or the contract term, as appropriate. Management periodically evaluates the recoverability, valuation, and amortization of capitalized software costs to be sold, leased, or otherwise marketed. As part of this review, management considers the expected undiscounted future net cash flows. If they are less than the stated value, capitalized software costs will be written down to fair value. RESULTS OF OPERATIONS FOR THREE AND SIX MONTHS ENDED JUNE 30, 2003 COMPARED TO THREE AND SIX MONTHS ENDED JUNE 30, 2002 REVENUES Revenues in the three months ended June 30, 2003 (the "2003 second quarter") were $168,000 compared to $338,000 in the three months ended June 30, 2002 (the "2002 second quarter"), representing a decrease of 50%. Revenues of $308,000 during the 2002 second quarter were generated by our Internet-based healthcare provider clients, under contracts which were sold in September 2002. Revenues for the 2003 second quarter from recurring revenue sources totaled $162,000 and represented 96% of total revenues. Revenues from non-recurring sources totaled $6,000 and were related to support and other fees. Revenues in the six months ended June 30, 2003 (the "2003 first half") were $330,000 compared to $653,000 in the six months ended June 30, 2002 (the "2002 first half"), representing a decrease of 49%. Revenues of $593,000 during the 2002 first half were generated by our Internet-based healthcare provider clients, under contracts which were sold in September 2002. Revenues for the 2003 first half from recurring revenue sources totaled $315,000 and represented 95% of total revenues. Revenues from non-recurring sources totaled $15,000 and were related to support and other fees. 12 COST OF REVENUES Cost of revenues in the 2003 second quarter was $174,000, compared with $463,000 in the 2002 second quarter, representing a decrease of 62%. The four ordinary components of cost of revenues are data center expenses, transaction processing expenses, customer support operation expenses and software amortization. Data center expenses decreased to $61,000 for the 2003 second quarter compared with $69,000 for the 2002 second quarter. Transaction processing expenses were $1,000 in the 2003 second quarter compared to $136,000 in the 2002 second quarter, nearly a 100% decrease. Customer support operations expense decreased by 43% to $107,000 in the 2003 second quarter from $187,000 in the 2002 second quarter. The decreases in third party transaction processing expenses and customer support operations expense were primarily attributable to the assignment of contracts with a majority of our healthcare provider clients in September 2002. Software amortization and development project amortization expenses decreased 93% to $5,000 in the 2003 second quarter from $71,000 in the 2002 second quarter. This decrease reflects completion in 2002 of amortization for earlier versions of software for customer use. Cost of revenues in the 2003 first half was $374,000, compared with $1,023,000 in the 2002 first half, representing a decrease of 63%. The four ordinary components of cost of revenues are data center expenses, transaction processing expenses, customer support operation expenses and software amortization. Data center expenses decreased to $124,000 for the 2003 first half compared with $164,000 for the 2002 first half. Transaction processing expenses were $2,000 in the 2003 first half compared to $273,000 in the 2002 first half, nearly a 100% decrease. Customer support operations expense decreased by 52% to $212,000 in the 2003 first half from $444,000 in the 2002 first half. The decreases in third party transaction processing expenses and customer support operations expense were primarily attributable to the assignment of contracts with a majority of our healthcare provider clients in September 2002. Software amortization and development project amortization expenses decreased 75% to $36,000 in the 2003 first quarter from $142,000 in the 2002 first half. This decrease reflects completion in 2002 of amortization for earlier versions of software for customer use. OPERATING EXPENSES Research and development expenses were $4,000 in the 2003 second quarter, compared with $81,000 in the 2002 second quarter, representing a decrease of 95%. Research and development expenses were $14,000 in the 2003 first half, compared with $176,000 in the 2002 first half, representing a decrease of 92%. Research and development expenses are comprised of personnel costs and related expenses. Research and development efforts were substantially curtailed at the beginning of 2003, while the 2002 costs were related to continuous incremental enhancements to our proprietary software system. Software development expenses of $64,000 and $171,000 were capitalized during the 2002 second quarter and 2002 first half, respectively for development efforts required to comply with provisions of the Health Insurance Portability and Accountability Act of 1996 ("HIPAA"). In December 2002, we terminated the ongoing HIPAA remediation in-process development project in order to pursue a more cost-effective development alternative and we recognized an impairment charge at that time. During the 2003 first quarter, we began development of the alternative HIPAA remediation project and capitalized development costs of $10,000 and $16,000 during the 2003 second quarter and 2003 first half, respectively. Selling, general and administrative expenses were $506,000 in the 2003 second quarter, compared with $527,000 in the 2002 second quarter, a decrease of 4%. Selling, general and administrative expenses were $817,000 in the 2003 first half, compared with $1,287,000 in the 2002 first half, a decrease of 37%. The reduction is a result of cost containment measures including staff reductions, salary reductions and other cost containment measures. A one-time charge of $162,000 was recorded in the 2002 first half pursuant to a severance agreement with our former chief executive officer, of which $50,000 related to the issuance of options and warrants. A one-time charge of $195,000 was recorded in the 2003 second quarter for services performed by two of our directors outside of their director duties, of which $180,000 related to the issuance of warrants. 13 OTHER INCOME (EXPENSE) Interest expense of $5,000 and $9,000 was incurred in the 2003 second quarter and 2003 first half, respectively, on financing fees and affiliate debt compared with $7,000 and $9,000 in the 2002 second quarter and 2002 first half, respectively. A $916,000 gain on settlement of liabilities was recognized during the 2003 first half related to settlement agreements with several creditors such agreements being consummated during March and April 2003. LIQUIDITY AND CAPITAL RESOURCES Net cash used in operating activities of $775,000 in the 2003 first half was primarily related to net income of $32,000, plus depreciation of $73,000 and non-cash expense of $180,000 from issuance of options and warrants, less a reduction of $8,000 in the allowance for doubtful accounts, changes in working capital of $136,000, offset by a non-cash gain of $916,000 from settlement of liabilities. Net cash used in operating activities of $1,344,000 in the 2002 first half was primarily related to net losses of $1,842,000, less: depreciation of $269,000, provision of $5,000 for doubtful accounts, non-cash expense of $53,000 from issuance of options and warrants, and net changes in working capital of $171,000. Net cash used in investing activities in the 2003 first half was $16,000 related to the cost of software development capitalized during the year. Net cash used in investing activities in the 2002 first half was $186,000, of which $15,000 was used for the purchase of property and equipment and $171,000 was the cost of software development capitalized during the year. Net cash provided by financing activities in the 2003 first half was $760,000, of which $662,000 was related to the issuance of common stock and $98,000 related to proceeds of $100,000 from debt financing, offset by $2,000 used to repay debt. Net cash provided by financing activities in the 2002 first half was $1,246,000 resulting from the issuance of preferred stock for net proceeds of $826,000, the issuance of common stock for net proceeds of $200,000 and proceeds of $525,000 from debt financing, offset by $305,000 used to repay debt. We believe that our available cash resources, together with anticipated revenues from operations and the proceeds of recently completed financing activities and funding commitments will not be sufficient to satisfy our capital requirements past August 31, 2003. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. In any of these events, we may be unable to implement current plans for expansion or to repay debt obligations as they become due. If sufficient capital cannot be obtained, we may be forced to significantly reduce operating expenses to a point which would be detrimental to business operations, curtail research and development activities, sell certain business assets or discontinue some or all of our business operations, take other actions which could be detrimental to business prospects and result in charges which could be material to our operations and financial position, or cease operations altogether. In the event that any future financing should take the form of equity securities, the holders of the common stock and preferred stock may experience additional dilution. In the event of a cessation of operations, there may not be sufficient assets to fully satisfy all creditors, in which case the holders of equity securities will be unable to recoup any of their investment. 14 CERTAIN FACTORS THAT MAY AFFECT FUTURE RESULTS INFORMATION CONTAINED OR INCORPORATED BY REFERENCE IN THIS QUARTERLY REPORT ON FORM 10-Q AND IN OTHER SEC FILINGS BY THE COMPANY CONTAINS "FORWARD-LOOKING STATEMENTS" WITHIN THE MEANING OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995. SUCH FORWARD-LOOKING STATEMENTS ARE SUBJECT TO VARIOUS RISKS AND UNCERTAINTIES THAT COULD CAUSE ACTUAL RESULTS TO VARY MATERIALLY FROM THOSE PROJECTED IN SUCH FORWARD-LOOKING STATEMENTS. THESE RISKS AND UNCERTAINTIES ARE DISCUSSED IN MORE DETAIL IN THE COMPANY'S ANNUAL REPORT ON FORM 10-K WHICH WAS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON APRIL 1, 2003. NO ASSURANCE CAN BE GIVEN THAT FUTURE RESULTS COVERED BY THE FORWARD-LOOKING STATEMENTS WILL BE ACHIEVED. ITEM 4. Controls and Procedures (a) Evaluation of Disclosure Controls and Procedures Within the 90 days prior to the date of this report, the Company carried out an evaluation, under the supervision and with the participation of the Company's management, including the Company's Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of the Company's disclosure controls and procedures pursuant to Exchange Act Rule 13a-14. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that the Company's disclosure controls and procedures are effective in gathering, analyzing and disclosing information needed to satisfy the Company's disclosure obligations under the Exchange Act. (b) Changes in Internal Controls There were no significant changes in the Company's internal controls or in other factors that could significantly affect those controls since the most recent evaluation of such controls. 15 PART II - OTHER INFORMATION ITEM 6. EXHIBITS AND REPORTS ON FORM 8-K (b) REPORTS: During the quarter ended June 30, 2003, the Company filed Reports on Form 8-K dated April 8, 2003, and April 15, 2003, containing information under item 5. The following Additional Exhibits are filed herewith: 31.1 Certification pursuant to Exchange Act Rules 13a-15(e) and 15d-15(e) of the President and Chief Executive Officer 31.2 Certification pursuant to Exchange Act Rules 13a-15(e) and 15d-15(e) of the Chief Financial Officer 32.1 Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, of the President and Chief Executive Officer 32.2 Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002, of the Chief Financial Officer - -------------------------------------------------------------------------------- 16 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. CLAIMSNET.COM INC. (Registrant) By: /s/ Don Crosbie ----------------------------- Don Crosbie President and Chief Executive Officer, on behalf of the Registrant By: /s/ Paul W. Miller ---------------------------- Paul W. Miller Chief Financial Officer April 1, 2004 17