SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM 10-K [X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 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 0-31014 HEALTHEXTRAS, INC. (Exact name of registrant as specified in its charter) Delaware 52-2181356 --------- ----------- (State or other jurisdiction of (I.R.S. Employer Identification Number) incorporation or organization) 2273 Research Boulevard, 2nd Floor, Rockville, Maryland 20850 (Address of principal executive offices, zip code) (301) 548-2900 (Registrant's phone number, including area code) Not Applicable ----------------------------- (Former name, former address and former fiscal year, if changed since last report) Securities registered pursuant to 12(b) of the Act: None Securities registered pursuant to 12(g) of the Act: Common Stock, $0.01 par value 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 by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of the registrant's knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K: ( __ ) The number of shares of Common Stock, par value $.01 per share, outstanding on March 26, 2001 was 29,186,157. As of March 26, 2001, assuming as fair value the last sale price of $5.09 per share on The Nasdaq Stock Market, the aggregate fair value of shares held by non-affiliates was approximately $43.0 million. DOCUMENTS INCORPORATED BY REFERENCE: The Company's Proxy Statement for its annual meeting of stockholders to be held in June, 2001, a definitive copy of which will be filed within 120 days of December 31, 2000, is incorporated by reference in Part III of this Report on Form 10-K. TABLE OF CONTENTS Page ---- PART I Item 1. Business...............................................3 Item 2. Properties.............................................8 Item 3. Legal Proceedings......................................8 Item 4. Submission of Matters for a Vote of Security Holders.......................................8 PART II Item 5. Market for Registrant's Common Equity and Related Stockholder Matters............................9 Item 6. Selected Financial Data...............................10 Item 7. Management's Discussion and Analysis of Financial Condition and Results of Operations.........11 Item 7A Quantitative and Qualitative Disclosures About Market Risk.....................................22 Item 8. Financial Statements and Supplementary Data...........22 Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure................22 PART III Item 10. Directors and Executive Officers of the Registrant............................................23 Item 11. Executive Compensation................................23 Item 12. Security Ownership of Certain Beneficial Owners and Management.................................23 Item 13. Certain Relationships and Related Transactions........23 PART IV Item 14. Exhibits, Financial Statement Schedules, and Reports on Form 8-K...............................24 SIGNATURES THIS FORM 10-K, INCLUDING THE DOCUMENTS INCORPORATED BY REFERENCE, CONTAINS CERTAIN FORWARD-LOOKING STATEMENTS, INCLUDING WITHOUT LIMITATION, STATEMENTS CONCERNING THE COMPANY'S OPERATIONS, ECONOMIC PERFORMANCE AND FINANCIAL CONDITION. THESE FORWARD-LOOKING STATEMENTS ARE MADE PURSUANT TO THE SAFE HARBOR PROVISIONS OF THE PRIVATE SECURITIES LITIGATION REFORM ACT OF 1995. THE WORDS "BELIEVE," "EXPECT," "ANTICIPATE" AND OTHER SIMILAR EXPRESSIONS GENERALLY IDENTIFY FORWARD-LOOKING STATEMENTS. READERS ARE CAUTIONED NOT TO PLACE UNDUE RELIANCE ON THESE FORWARD-LOOKING STATEMENTS, WHICH SPEAK ONLY AS OF THEIR DATES. THESE FORWARD-LOOKING STATEMENTS ARE BASED LARGELY ON THE COMPANY'S CURRENT EXPECTATIONS AND ARE SUBJECT TO A NUMBER OF RISKS AND UNCERTAINTIES, INCLUDING, WITHOUT LIMITATION, THOSE IDENTIFIED UNDER "MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS" AND ELSEWHERE IN THIS FORM 10-K, INCLUDING THE DOCUMENTS INCORPORATED BY REFERENCE. ACTUAL RESULTS COULD DIFFER MATERIALLY FROM RESULTS REFERRED TO IN THE FORWARD-LOOKING STATEMENTS. IN ADDITION, IMPORTANT FACTORS TO CONSIDER IN EVALUATING SUCH FORWARD-LOOKING STATEMENTS INCLUDE CHANGES IN EXTERNAL MARKET FACTORS, CHANGES IN THE COMPANY'S BUSINESS OR GROWTH STRATEGY OR AN INABILITY TO EXECUTE ITS STRATEGY DUE TO CHANGES IN ITS INDUSTRY OR THE ECONOMY GENERALLY. IN LIGHT OF THESE RISKS AND UNCERTAINTIES, THERE CAN BE NO ASSURANCES THAT THE RESULTS REFERRED TO IN THE FORWARD-LOOKING STATEMENTS CONTAINED IN THIS FORM 10-K WILL IN FACT OCCUR. THE COMPANY UNDERTAKES NO OBLIGATION TO PUBLICLY REVISE THESE FORWARD-LOOKING STATEMENTS TO REFLECT ANY FUTURE EVENTS OR CIRCUMSTANCES. 2 PART 1 ITEM 1. BUSINESS - ----------------- OVERVIEW HealthExtras, Inc. (the "Company" or "HealthExtras") is a leading provider of health and disability programs, that utilizes a variety of direct marketing channels to offer individuals, small businesses and employer groups customizable and affordable health and disability insurance programs. The Company has strategic relationships with nationally recognized insurance underwriters, and its marketing partners include many of the nation's largest financial institutions, along with leading affinity groups, associations, and Internet companies. Additionally, HealthExtras has a relationship with actor and advocate Christopher Reeve to promote its programs. We have contracted with insurance companies to underwrite the insurance components of our programs. As a result, we do not assume any insurance underwriting risk. The financial responsibility for the payment of claims resulting from a qualifying disability, or other event covered by the insurance features of our programs, is borne by third-party insurers. All of the insurance and service features included in our membership programs are supplied by outside vendors. As of December 31, 2000, we have enrolled over 450,000 program members. ACQUISITION OF INTERNATIONAL PHARMACY MANAGEMENT, INC. Effective November 1, 2000 the Company acquired control of International Pharmacy Management, Inc. ("IPM"). The acquisition is intended to accelerate our introduction of pharmacy benefits to individual and small business customers. Prescription drug costs continue to grow rapidly, reflecting both increased drug utilization and price inflation. These factors should contribute to an increasing opportunity to market cost effective programs to underserved market segments. IPM has developed and begun to market insurance products, underwritten like the Company's other products by third parties, to small employer groups. These prescription drug programs are reasonably priced compared to full service drug benefits and generally provide significant coverage for generic drugs, a contribution to the cost of brand drugs and a point of sale discount feature for the non-covered portion of the prescription. We believe that there will be a growing market for pharmacy benefits including potentially significant opportunities with Medicare eligibles. Pharmacy programs are attractive because the discount pricing and benefit administration are highly automated and reliable at the point of sale. The refinement and distribution of pharmacy benefits and services will be a major focus of our revenue growth strategy in the future. We believe this growth will be driven by traditional pharmacy benefit administration services marketed to employer groups as well as more direct consumer and small business offerings. The significant majority of IPM's current revenues are derived from pharmacy benefit management services marketed to health plan sponsors, including self-insured employers. These services allow customers to manage costs and to better understand the effect of pharmaceutical utilization on their membership. IPM's pharmacy benefit management products and services include plan design, administration of a network of over 50,000 retail pharmacies, electronic point-of-sale claims processing, mail order pharmacy services, formulary administration/management and other services. BUSINESS STRATEGY We are a multi-channel direct seller of health and disability benefit programs. In addition to traditional distribution channels, the Internet represents a more cost-effective marketing and operating platform for our business which can eliminate a significant percentage of the costs associated with commission-driven distribution systems. Accordingly, the Internet enhances our ability to provide access to affordable health and disability benefit programs. Elements of our strategy include: 3 Become a Recognized Leader In The Online Sale of Health and Disability Benefit Programs. We are moving aggressively to capture a significant share of the Internet segment of the health and disability market. We are positioned to promote membership features of HealthExtras, including health and disability benefits that historically have been relatively uneconomic to offer to consumers through traditional, commission-driven distribution channels. By leveraging our membership base to obtain group rates, we are able to offer benefits to members at a cost which we believe is less than they would have to pay individually for comparable benefits. Promote HealthExtras as the National Brand for Health and Disability Benefits. Through our exclusive association with Christopher Reeve, we have the opportunity to achieve recognizable brand identity for our membership programs. We intend to continue to expand our brand marketing through the selective use of the Internet, television, radio, and print activities. Develop Strategic Marketing Relationships. We have established strategic marketing relationships with many of the nation's largest credit card issuing banks for access to their customers. We have entered into marketing programs with selected Internet portals, insurance-related websites, and other websites with attractive demographic profiles. We have also entered into agreements with national insurance companies and direct insurance marketers to expand the distribution of our products. Continue to Develop and Arrange for the Sale of Additional Innovative Health and Disability Programs to Members. We are continuing to develop an expanded list of insurance and service options for inclusion in our membership programs. These additional products would provide flexibility in coverage amounts to our program members and address additional insurance needs. Specifically, our recent acquisition of Internal Pharmacy Management, Inc. should accelerate our introduction of consumer prescription drug benefits. STRATEGIC MARKETING RELATIONSHIPS We have established strategic marketing relationships with many of the nation's largest credit card issuing banks as well as leading direct marketers of insurance products for access to their customers. These partners are assisting us in establishing brand name recognition and driving traffic to our website with their installed bases of customers, which we estimate represent more than 70 million households. In addition, we have established marketing relationships with selected Internet content sites. These relationships drive traffic to our website and increase our brand name recognition. These arrangements provide for various marketing initiatives, including, telemarketing, statement inserts, statement messages, direct-response television, banner placements and e-mail. These communications feature Christopher Reeve, provide information about HealthExtras benefit programs and promote our website. In addition, our marketing partners may establish links from their websites to the HealthExtras website. HealthExtras compensates these partners based principally on a commission basis for the benefit programs purchased in response to these communications. Under the contracts that govern our relationships with our partners, they have the right to review and approve all marketing materials and to determine whether to market to customers. In general, HealthExtras pays for the marketing material used and generally compensates our marketing partners based on the purchases of HealthExtras benefit programs by their customers. The contracts are typically for a term of 12 months, with automatic annual renewal unless cancelled upon written notice 30 or 90 days prior to an anniversary date. Some contracts also provide for termination by either party without cause upon 30 or 90 days prior written notice. 4 Christopher Reeve has entered into an exclusive agreement to assist HealthExtras in developing products, making consumers aware of various catastrophic events that could threaten their families' security and promoting the HealthExtras brand. Mr. Reeve appears in a number of television, radio and print advertisements to promote HealthExtras programs and our website. We have an agreement with Cambria Productions, Inc. f/s/o Christopher Reeve, which had an initial three-year term from July 8, 1997. This agreement has been extended through June of 2005 with renewal provisions through 2010. PRODUCTS OFFERED Through membership in a HealthExtras program, participants have access to various combinations of health and disability benefits. Further, we seek to provide flexibility for members to customize the package of benefits included in their HealthExtras program to meet their individual needs. HealthExtras does not assume any underwriting risks for the benefits included in its programs. The principal benefits, which can be obtained through membership in HealthExtras, include: * Catastrophic accidental disability * Short-term income replacement * Pharmacy benefits * Accidental death and disability The significant majority of HealthExtras' revenue and membership to date is based on purchases of the catastrophic disability product. OTHER STRATEGIC RELATIONSHIPS Reliance National Insurance Company During 2000, HealthExtras was required to discontinue its relationship with Reliance National Insurance Company ("Reliance"). Reliance had been HealthExtras' primary underwriting partner and had issued insurance coverage for our catastrophic disability, organ transplant and excess medical programs. In general, our marketing partners require that our insurance underwriters maintain an A.M. Best claims paying rating of A-minus or better as a condition for marketing to their customers. When Reliance's rating was reduced and remained below this minimum standard we began the process of transitioning our members to other carriers; and in the case of the excess medical and organ transplant programs to termination of coverage. Effective September 1, 2000, we had successfully implemented these changes with a minimum of disruption or loss of business. United Payors & United Providers, Inc. (Now BCE Emergis Corporation) NETWORK ACCESS We continue to maintain a royalty agreement with BCE Emergis Corporation ("BCE"), formerly United Payors & United Providers, Inc., which provides us the ability to market access to their national network of hospitals, physicians, and other medical providers in conjunction with our health care products. Because Reliance was the sole underwriter of the insurance components of these programs, the termination of that relationship resulted in a complete loss of membership in programs to which the royalty was applicable. We are currently investigating alternative underwriting relationships and plan to reintroduce comparable programs as quickly as possible. ADMINISTRATIVE SERVICES During 2000, the Company significantly reduced its reliance on BCE for personnel, information systems, and facilities support. Currently, HealthExtras subleases our office space and, through a utilization-based contract, accesses certain shared technology systems, including the communications grid. 5 COMPETITION Since HealthExtras programs incorporate insurance benefits, we consider that our programs compete with those of online and traditional providers of insurance products. The market for selling insurance products over the Internet is new, rapidly evolving and intensely competitive. Current and new competitors may be able to launch new websites at a relatively low cost. We also face competition from the traditional distributors of insurance, such as captive agents, independent brokers and agents, and direct distributors of insurance. Insurance companies and distributors of insurance products are increasingly competing with banks, securities firms and mutual fund companies that sell insurance or alternative products to similar consumers. Traditionally, regulation separated much of the activity in the financial services industry. However, recent regulatory changes have begun to permit other financial institutions to sell insurance also. We potentially face competition from unanticipated alternatives to our benefit programs from a number of large Internet companies and services that have expertise in developing online commerce and in facilitating Internet traffic, including America Online, Microsoft and Yahoo. These potential competitors could choose to compete with us directly or indirectly through affiliations with insurers, insurance agents and brokers and other electronic commerce companies. Other large companies with strong brand recognition, technical expertise and experience in Internet commerce could also seek to compete with us. Competition from these and other sources could harm our business, results of operations and financial condition. We believe that the principal competitive factors in our markets are price, brand recognition, marketing expertise, website accessibility, ability to fulfill customer purchase requests, customer service, reliability of delivery, ease of use, and technical expertise and capabilities. Many of our current and potential competitors, including Internet directories and search engines and traditional insurance agents and brokers, have longer operating histories, larger consumer bases, greater brand recognition and significantly greater financial, marketing, technical and other resources than we. Certain of these competitors may be able to secure products and services on more favorable terms than we can obtain. In addition, many of these competitors may be able to devote significantly greater resources than we for developing websites and systems, marketing and promotional campaigns, attracting traffic to their websites and attracting and retaining key employees. Any of the firms described above could seek to compete against us through traditional channels or by copying our products or business model. Increased competition may result in reduced operating margins, loss of market share and damage to our brand. We cannot assure you that we will be able to compete successfully against current and future competitors or that competition will not harm our business, results of operations and financial condition. As we expand pharmacy offerings, we will face additional industry specific competition. Competitors in this industry include other pharmacy benefit management companies, drug retailers, physician practice management companies, and insurance companies/health maintenance organizations. We may also experience competition from other sources in the future. Pharmacy benefit management companies compete primarily on the basis of price, service, reporting capabilities and clinical services. In most cases, the competitors listed above are large, profitable and well-established companies with substantially greater financial and marketing resources than our own. REGULATION Since the HealthExtras programs include insurance benefits, distribution of our programs must satisfy applicable legal requirements relating, among other things, to policy form and rate approvals, the licensing laws for insurance agents and insurance brokers, and the satisfaction by a HealthExtras member who receives the insurance benefit of requisite criteria, for example being a resident of a state which has approved the insurance policy. We believe we satisfy applicable requirements. The underwriter of the insurance benefits included in HealthExtras programs is responsible for obtaining regulatory approvals for those benefits. Independent licensed insurance agencies are responsible for the solicitation of insurance benefits involved in HealthExtras programs. 6 Complex laws, rules and regulations of each of the 50 states and the District of Columbia pertaining to insurance impose strict and substantial requirements on insurance coverage sold to consumers and businesses. These factors are also relevant to insured pharmacy programs marketed by HealthExtrasRx and underwritten by third-party insurers. Compliance with these laws, rules and regulations can be arduous and imposes significant costs. Each jurisdiction's insurance regulator typically has the power, among other things, to: * administer and enforce the laws and promulgate rules and regulations applicable to insurance, including the quotation of insurance premiums; * approve policy forms and regulate premium rates; * regulate how, by which personnel and under what circumstances an insurance premium can be quoted and published; and * regulate the solicitation of insurance and license insurance companies, agents and brokers who solicit insurance. State insurance laws and regulations are complex and broad in scope and are subject to periodic modification as well as differing interpretations. There can be no assurance that insurance regulatory authorities in one or more states will not determine that the nature of our business requires us to be licensed under applicable insurance laws. A determination to that effect or that we or our business partners are otherwise not in compliance with applicable regulations could result in fines, additional licensing requirements or inability to market our products in particular jurisdictions. Such penalties could significantly increase our general operating expenses and harm our business. In addition, even if the allegations in any regulatory or legal action against us turn out to be false, negative publicity relating to any such allegation could result in a loss of consumer confidence and significant damage to our brand. The distribution of our programs including an insurance component over the Internet subjects us to additional risk as most insurance laws and regulations have not been modified to clarify or amend their application to Internet transactions. Currently, many state insurance regulators and legislators are exploring the need for specific regulation of insurance sales over the Internet. Such regulation could dampen the growth of the Internet as a means of providing insurance services. Moreover, the application of laws governing general commerce on the Internet remains largely unsettled, even in areas where there has been some legislative action. It may take years to determine whether and how existing laws such as those governing insurance, intellectual property, privacy and taxation apply to the Internet. In addition, the growth and development of the market for electronic commerce may prompt calls for more stringent consumer protection laws and regulations that may impose additional burdens on companies conducting business over the Internet. Any new laws or regulations or new interpretations of existing laws or regulations relating to the Internet could harm our business. We believe that we are currently in compliance with applicable legal requirements. However, the future regulation of insurance sales via the Internet as a part of the new and rapidly growing electronic commerce business sector is unclear. If additional state or federal laws or regulations are adopted, they may have an adverse impact on us. One of the means by which the Company markets its programs is telemarketing, which it generally outsourced to third parties. Telemarketing has become subject to an increasing amount of Federal and state regulation as well as general public scrutiny in the past several years. For example such regulation limits the hours during which telemarketers may call consumers and prohibits the use of automated telephone dialing equipment to call certain telephone numbers. The Federal Telemarketing and Consumer Fraud and Abuse Prevention Act of 1994 and Federal Trade Commission ("FTC") regulations prohibit deceptive, unfair or abusive practices in telemarketing sales. Both the FTC and state attorneys general have authority to prevent certain telemarketing activities deemed by them to violate consumer protection. Some states have enacted laws and others are considering enacting laws targeted directly at regulating telemarketing practices, and there can be no assurance that any such laws, if enacted, will not adversely affect or limit the Company's current or future operations. Compliance with these regulations is generally the shared responsibility of the Company, its sub-contractors and its marketing partners. 7 EMPLOYEES As of December 31, 2000, we had 78 personnel whose services are devoted full time to HealthExtras or IPM. We have never had a work stoppage. A collective bargaining unit does not represent our personnel. We consider our relations with our personnel to be good. Our future success will depend, in part, on our ability to continue to attract, integrate, retain and motivate highly qualified technical and managerial personnel, for whom competition is intense. ITEM 2. PROPERTIES - ------------------- Our primary executive, administrative and operating offices are located in approximately 19,700 square feet of office space in Rockville, Maryland under a sublease that expires on March 31, 2004. Additionally, IPM's executive, administrative, and operating offices consist of approximately 6,800 square feet of office space in Birmingham, Alabama under a lease that expires on March 31, 2003. We believe that our office space is adequate for our existing needs and that suitable additional space on commercially reasonable terms will be available as required. ITEM 3. LEGAL PROCEEDINGS - -------------------------- From time to time we become subject to legal proceedings and claims in the ordinary course of business. Such legal proceedings and claims could include claims of alleged infringement of third party intellectual property rights, notices from state regulators that we may have violated state regulations, and employment related disputes. Such claims, even if without merit, could result in the significant expenditure of our financial and managerial resources. We are not aware of any legal proceedings or claims that we believe will, individually or in the aggregate, significantly harm our business, financial condition or results of operations in any material respect. ITEM 4. SUBMISSION OF MATTERS FOR A VOTE OF SECURITY HOLDERS - ------------------------------------------------------------- There were no matters submitted to a vote of security holders during the quarter ended December 31, 2000. 8 PART II ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS - ------------------------------------------------------------------------------ The common stock has been quoted on the Nasdaq National Market under the symbol "HLEX" since the Company's initial public offering on December 14, 1999. The following table sets forth for the period indicated the high and low sales prices for the common stock: High Low 1999 - ---- December 14 - December 31................... $ 12.38 $ 7.38 2000 - ---- First quarter............................... $ 11.97 $ 3.88 Second quarter.............................. $ 6.13 $ 3.31 Third quarter............................... $ 6.06 $ 2.50 Fourth quarter.............................. $ 6.00 $ 2.38 2001 - ---- First quarter (through March 26, 2001)...... $ 6.44 $ 3.25 On March 26, 2001 the last closing sale price of the common stock, as reported by the Nasdaq National Market was $5.09 per share. As of March 26, 2001, the Company had approximately 2,211 stockholders of record. The Company did not pay any cash dividends in 2000 and has no plans to do so in the foreseeable future. In connection with the establishment of the strategic relationship with UnumProvident Corporation, discussed under "Management's Discussion and Analysis of Financial Condition and Results of Operation", on October 10, 2000 the Company sold 1,302,600 shares of its common stock for net proceeds of $5,862,000 to an affiliate of UnumProvident. This sale was made in a private transaction in reliance upon the exemption from the registration requirements of the Securities Act of 1933 afforded by Section 4(2) of that Act. In connection with this sale, the Company entered into agreements related to registration rights and certain restrictions on transfers of the shares for two years. In connection with the establishment of a marketing relationship with J.C. Penney Life Insurance Company, the Company entered into a Warrant Agreement which could require the Company to issue to J.C. Penney warrants to purchase up to a maximum aggregate of 4.2 million shares of common stock at exercise prices ranging from $5.21 to $15.63 per share. Issuances of warrants is dependent upon specific annualized thresholds of revenue attributable to the marketing relationship, to be measured for the tweleve-month periods ending June 30, 2001, 2002 and 2003 and such revenue as a percentage of Company revenue for 2001 and 2002. The net proceeds to the Company from the December 17, 19999 initial public offering of the 5,500,000 shares of common stock were approximately $54.9 million after deducting underwriting discounts and offering expenses of approximately $4.2 million and $1.4 million, respectively. As of December 31, 2000, we had used approximately $26.0 million of the net proceeds. Of this amount, approximately $2.9 million was used to repay borrowings under a line of credit and approximately $2.3 million was used to repay a non-interest bearing loan from the Chairman of the Board of the Company. Approximately $7.5 million was used for the acquisition of International Pharmacy Management, Inc. The remainder was used to fund operating activities, in particular those relating to the Company's sales and marketing efforts. The amount of the net proceeds not used as of December 31, 2000 has been invested in short-term, investment grade, and interest bearing securities. 9 ITEM 6. SELECTED FINANCIAL DATA - -------------------------------- (In thousands except per share data) The following selected financial data has been derived from the audited financial statements of the Company and its predecessor companies. The selected financial data should be read in conjunction with "Management's Discussion and Analysis of Financial Condition and Results of Operations" and the audited consolidated financial statements, including notes thereto. For the Period October 23, 1996 (date of inception) to For the Years Ended December 31, -------------------------------- December 31, 1996 1997 1998 1999 2000 ---- ---- ---- ---- ---- Statement of Operations Data: Revenue............................... $ -- $ -- $ -- $ 5,327 $ 44,178 Direct expenses....................... -- -- -- 3,096 24,303 Product development and marketing........................ 810 3,380 4,936 10,331 31,211 General and administrative............ 146 1,306 1,598 2,996 8,458 -------- ----- ----- -------- ---------- Operating loss........................ (956) (4,686) (6,534) (11,096) (19,794) Interest income (expense), net........ -- (556) (110) (351) 2,069 Other income (expense), net........... (5) 589 -- (73) 499 --------- -------- ---------- ------------- ---------- Net loss.............................. $ (961) $ (4,653) $ (6,644) $ (11,520) $ (17,226) ============ =========== =========== ============= =========== Basic and diluted net loss per share. $ -- $ -- $ -- $ (0.56) (0.62) Weighted average shares of common stock outstanding......... -- -- -- 20,588 28,010 Pro forma basic and diluted net loss . $ (0.05) $ (0.26) $ (0.38) $ -- $ -- per share (1).................... Pro forma weighted average shares of common stock outstanding (1)..... 17,680 17,680 17,680 -- -- December 31, ---------------------------------------------------------- 1996 1997 1998 1999 2000 ---- ---- ---- ---- ---- Balance Sheet Data: Cash and cash equivalents........... $ 3,526 $ 9,651 $ 219 $ 46,971 $ 28,921 Total assets........................ 4,226 12,710 4,608 53,662 52,044 Total liabilities................... 188 7,770 5,531 6,298 15,806 Total stockholders' (members') equity (deficit)........................... 4,038 4,940 (923) 47,364 36,239 -------------- (1) Reflects the formation of HealthExtras, Inc. and the Reorganization as if those events had taken place at the beginning of the period, except that no effect is given to the investment by Capital Z Healthcare Holding Corp. in HealthExtras prior to May 27, 1999. 10 ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS - ---------------------------------------------------------------------------- This Form 10-K may contain forward-looking statements (see "Certain Factors That May Affect Future Operating Results or Stock Prices") within the meaning of Section 21E of the Securities Exchange Act of 1934, as amended. These forward-looking statements involve a number of risks and uncertainties. We undertake no obligation to revise any forward-looking statements in order to reflect events or circumstances that may arise after the date of this report. Readers are urged to carefully review and consider the various disclosures made in this report and in our other filings with the Securities and Exchange Commission that attempt to advise interested parties of the risks and factors that may affect our business. OVERVIEW We expect to generate a significant portion of our revenue from the sale of membership programs which provide disability benefits. While product development has been ongoing for the past several years, we began revenue-generating activities in January 1999. Prior to that time, we were a development stage enterprise, which designed and test marketed various benefit combinations. To date, we have primarily focused on the distribution of our membership programs to our business partners' customers and building recognition of our program brand. Christopher Reeve is featured prominently in our online, television and print marketing campaigns to build brand awareness. Our objective is to affect a growing portion of our program distributions over the Internet. We believe our consumer research and marketing efforts have given us valuable insight into the consumer perceptions and preferences regarding the value and limitations of prevailing insurance products. Accordingly, we believe that our programs are well positioned to address the needs of our targeted market segments. As of December 31, 2000, more than 450,000 members had enrolled in our programs. Revenue is generated by payments for program benefits. The primary determinant of HealthExtras' revenue recognition is monthly program enrollment. In general, revenue is recognized based on the number of members enrolled in each reporting period multiplied by the applicable monthly fee for their specific membership program. The revenue recognized by HealthExtras includes the cost of the membership benefits, which are supplied by others, including the insurance components. Revenue from program payments received, and related direct expenses, are deferred to the extent that they are applicable to future periods or to any refund guarantee we offer. As of December 31, 2000, initial revenue was deferred for approximately 75,000 program members. Direct expenses consist principally of marketing and processing fees and the cost of benefits provided to program members. Direct expenses are a function of the level of membership during the period and the specific set of program features selected by members. The coverage obligations of our benefit suppliers and the related expense are determined monthly, as are the remaining direct expenses. HealthExtras frequently maintains a prepaid expense balance with respect to the features of its programs supplied by others. Where amounts are prepaid, direct expense is recognized based on the actual membership levels in each program. These prepaid amounts were $731,800 and $682,300 at December 31, 1999 and December 31, 2000, respectively. The carrying value of the prepayment is adjusted at the end of each quarter based on factors including enrollment levels in each product, enrollment trends, and the remaining portion of the unexpired prepayment period. In the event that a period of coverage was purchased in advance, and there were insufficient members to utilize the coverage, the value would expire and be expensed by HealthExtras without any related revenue. HealthExtras believes that current enrollment trends will allow the balance at December 31, 2000 to be fully utilized prior to expiration. Our limited history makes it difficult to evaluate our business and prospects. We have incurred substantial operating losses since our inception, and we intend to incur ongoing marketing and brand development expenses over the next several years. We anticipate that our operating losses will continue in the near term. There can be no assurance that we will generate significant revenues or profitability in the future. 11 RESULTS OF OPERATIONS YEAR ENDED DECEMBER 31, 2000 COMPARED TO YEAR ENDED DECEMBER 31, 1999 HealthExtras incurred an operating loss of $19.8 million for the year ended December 31 2000, consisting of a $19.7 million loss from the Company's core operations, and a $100,000 loss associated with IPM operations. Revenue of $44.2 million consisted of program member payments earned during the period of $39.3 million and sales revenue for 2000 generated by IPM's pharmacy benefit management services of $4.9 million from the acquisition date of November 1, 2000. Cash collections for program enrollments for the year ended December 31, 2000 totaled $38.8 million. HealthExtras incurred an operating loss of $11.1 million for the year ended December 31, 1999. Revenue of $5.3 million consisted of annual program member payments earned during the period. Cash collections for program enrollments through December 31, 1999 totaled $10.5 million. The increase in revenue and program receipts was primarily attributable to the net growth in our membership during the year ended December 31, 2000. Operating expenses for the year ended December 31, 2000 totaled $64.0 million. Direct expenses of $24.3 million, consisted of $19.8 million in costs for benefits included in our programs and fees payable to our distribution partners and $4.5 million in direct costs associated with IPM operations. These direct expenses represented 38% of operating expenses for the period. For the year ended December 31, 2000, HealthExtras incurred $31.2 million in product development and marketing expenses, or 49% of total operating expenses, $1.2 million of which was for the continuing creative development of promotional sales materials, $4.9 million for media production, including television, radio, Internet and print advertisements, $21.2 million for media distribution, $1.1 million in product endorsement costs, and $2.8 million in market research, product development, and other marketing-related expenses. General and administrative expenses for the year totaled $8.5 million or 13% of total operating expenses, $8.0 million of which was attributable to the Company's core operations and approximately $448,000 was associated with IPM operations. These expenses included $4.2 million in compensation and benefits, $653,000 in professional fees, $467,000 in facility costs, $308,000 in telephone and software costs, $380,000 in other personnel costs, $274,000 in travel expenses, and $702,000 in depreciation and amortization. Interest income for the period was approximately $2.1 million. Total operating expenses for the year ended December 31, 1999 totaled $16.4 million. Direct expenses of $3.1 million consisted of the cost of obtaining the benefits included in our programs, and marketing and other fees payable to our distribution partners. These direct expenses represented 19% of operating expenses for the year. For the year ended December 31, 1999, HealthExtras incurred $10.3 million in product development and marketing expenses, or 63% of total operating expense, $4.3 million of which was incurred for the continuing creative development of promotional and sales materials, including television and print advertisements, and $1.1 million of which was product endorsement costs. Media production expenses totaled $5.1 million for print and Internet advertisement production and distribution. General and administrative expenses for the year totaled $3.0 million or 18% of total operating expenses. These expenses included $1.7 million in compensation and benefits and $205,000 in professional services. Interest expense totaled $350,000. The increase in operating expenses was attributable to the net growth in our membership as well as expanded product development and marketing for the year ended December 31, 200. YEAR ENDED DECEMBER 31, 1999 COMPARED TO YEAR ENDED DECEMBER 31, 1998 HealthExtras incurred an operating loss of $11.1 million for the year ended December 31, 1999. Revenue of $5.3 million in 1999 consisted of annual program member payments earned during the period. Cash collections for program enrollments through December 31, 1999 totaled $10.5 million. There was no revenue in 1998. 12 Operating expenses for the year ended December 31, 1999 totaled $16.4 million. Direct expenses of $3.1 million consisted of the cost of obtaining the benefits included in our programs, and marketing and other fees payable to our distribution partners. These direct expenses represented 19% of operating expenses for that period. For the year ended December 31, 1999, HealthExtras incurred $10.3 million in product development and marketing expenses, or 63% of total operating expenses, $4.3 million of which was incurred for the continuing creative development of promotional and sales materials, including television and print advertisements, and $1.1 million of which was product endorsement costs. Media production expenses totaled $5.1 million for print and Internet advertisement production and distribution. General and administrative expenses for that period totaled $3.0 million or 18% of total operating expenses. These expenses included $1.7 million in compensation and benefits and $205,000 in professional services. Total operating expenses for the twelve months ended December 31, 1998 were $6.5 million. In 1998, total product development and marketing expenses were $4.9 million, representing 75% of total operating expenses. These expenses included $2.4 million for media development, consisting of $1.0 million in product endorsement costs, $631,000 in business partner marketing materials, $133,000 in test-marketing costs and approximately $650,000 in pre-production creative costs. Production-related expenses in 1998 total $1.1 million, of which $765,000 was in print advertisements and fulfillment materials and $330,000 was for the production of television and radio promotions. Also in 1998, $626,000 was devoted to market research and product development consulting. Additional costs of $237,000 of compensation expense, $324,000 in travel expense, and $220,000 of other costs were incurred as product development and marketing expenses. General and administrative expenses for the same period totaled $1.6 million, approximately 25% of total operating costs, and included approximately $630,000 in compensation and $224,000 in professional and consulting fees. LIQUIDITY AND CAPITAL RESOURCES In October 2000 we issued 1,302,600 shares of our common stock to an affiliate of UnumProvident in exchange for net proceeds of $5,862,000. This sale was completed in connection with a strategic relationship intended to accelerate and assist our development and introduction of UnumProvident's broad and attractive array of insurance products into our programs. This relationship will also allow us to collaborate on the use of the Internet to facilitate product distribution in the workplace market and establish a distribution platform with product offerings for individual consumers and small businesses not well served by traditional insurance distribution channels. Pursuant to this and related agreements, UnumProvident will be the preferred underwriter for various HealthExtras products. HealthExtras is using the proceeds from this private placement to implement jointly developed marketing initiatives with respect to current and planned disability, life, accidental death and disability, and long-term care products. The implementation plans will include the establishment of channel specific teams to address consumer and small business initiatives with financial institutions, associations, affinity groups and other membership organizations through direct mail, Internet, inserts, telemarketing, e-mails and other direct consumer marketing. In December 1999, we completed the sale to the public of 5,500,000 shares of the Company's common stock and received proceeds (net of underwriting commissions and expenses of $5.6 million) of approximately $54.9 million. As of December 31, 2000, we had $28.9 million in cash and cash equivalents, $21.4 million in working capital and no debt. The primary commitment of our capital resources is to fund expenditures relating to marketing and brand development we intend to incur over the next several years and to fund the operating losses we anticipate in the near term. We also will continue to selectively evaluate acquisition opportunities. We currently anticipate our available cash resources will be sufficient to meet our planned working capital, capital expenditures and business expansion requirements for approximately the next 24 months. There can be no assurance that we will not require additional capital prior to the expiration of that 24-month period. Even if such funds are not required, we may seek additional equity or debt financing. We cannot assure you that such financing will be available on acceptable terms, if at all, or that such financing will not be dilutive to our stockholders. 13 RECENT ACCOUNTING PRONOUNCEMENTS The U. S. Securities and Exchange Commission issued Staff Accounting Bulletin (SAB) No. 101, "Revenue Recognition in Financial Statements" during the year ended December 31, 2000. SAB No. 101, as amended, became effective during the year ended December 31, 2000 and did not have a significant impact on the Company's financial position or results of operation. In June 1998, the Financial Accounting Standards Board issued Statement on Financial Accounting Standards No. 133, "Accounting for Derivative Instruments and Hedging Activities." We will be required to adopt SFAS No. 133 for the quarter ending March 31, 2001. Because we do not currently hold any derivative financial instruments and do not expect to engage in hedging activities, adoption of SFAS No. 133 is expected to have no material impact on our financial condition or results of operations. INTEREST RATE AND EQUITY PRICE SENSITIVITY We are subject to interest rate risk on our short-term investments and equity price risk in our marketable securities. We have determined that a 10% move in the current weighted average interest rate of our short-term investments and/or a 10% move in the weighted average market price of our marketable securities would not have a material effect in our financial position, results of operations and cash flows in the next year. CERTAIN FACTORS THAT MAY AFFECT FUTURE OPERATING RESULTS FACTORS RELATED TO OUR BUSINESS Because we have a limited operating history, our business prospects are subject to a great deal of uncertainty While our product development efforts have been ongoing for the past two years, we only began revenue-generating activities in January 1999. This limited history of operating our business means that our business prospects are subject to a great deal of uncertainty and risks. We have not been profitable and may not become profitable in the future We have incurred operating losses since our inception. Because we plan to continue to significantly increase our operating expenses in an attempt to increase our member base, we will need to generate significantly higher revenues to achieve profitability. Even if we achieve profitability, we may not be able to maintain profitability in the future. In addition, as our business model evolves, we expect to introduce a number of new products and services that may or may not be profitable for us. Our future profitability is dependent, to a significant extent, upon increased consumer demand for additional products, which we are in the process of developing or may develop in the future Most of our revenue currently is derived from members purchasing membership programs, which include disability benefits. We believe our future profitability is dependent upon achieving substantial increases in sales of our programs, including those providing excess health insurance coverage and other benefits we are developing or may develop in the future. To the extent these products include insurance features, they generally will require regulatory approvals. If we do not achieve these increased sales, we may never achieve profitability. If the sale of our membership programs over the Internet does not achieve widespread consumer acceptance, we may never achieve profitability To date, we primarily have promoted our membership programs through mailings to credit card or other customers of banks and other entities. However, we intend to significantly increase the distribution of our programs over the Internet. Thus, our future profitability is dependent in large part on our ability to achieve widespread consumer acceptance of purchasing our programs over the Internet. The development of an online market for programs, such as those we offer, has only recently begun, is rapidly evolving and likely will be characterized by an increasing number of market entrants. Therefore, there is significant uncertainty with respect to the viability and growth potential of this market 14 There can be no assurance that an online market for our programs will develop or that consumers will significantly increase their use of the Internet for obtaining the types of products and services included in the programs that we sell. If an online market for these products fails to develop, or develops more slowly than we expect, or if our programs do not achieve widespread market acceptance, the prospects for our achieving profitable operations will be significantly reduced. If we lose one or more of our marketing relationships, our access to potential customers would decline and sales and revenues would suffer A significant majority of all of our program sales is attributable to two marketing partner relationships. If we lose one or more of these marketing relationships and are unable to replace them with other marketing outlets, our access to potential customers would decline and sales and revenue would suffer. Our membership growth is increasingly dependent on telemarketing A significant percentage of our membership growth during 2000 was attributable to telemarketing sales. These sales involve a much higher percentage of monthly rather than annual sales than was our previous experience. The combination of these factors is likely to result in higher initial cancellation rates and reduced enrollment persistency. Our pharmacy benefit management operations face significant competition The pharmacy benefit management industry is relatively consolidated and dominated by large companies with significant resources. Many of the large pharmacy benefit management companies are owned by large companies, including pharmaceutical manufacturers, which can provide them with significant purchasing power and other advantages, which we do not have. Competitors in this industry include other pharmacy benefit management companies, drug retailers, physician practice management companies, and insurance companies/health maintenance organizations. We may also experience competition from other sources in the future. Pharmacy benefit management companies compete primarily on the basis of price, service, reporting capabilities and clinical services. In most cases, the competitors referenced above are large, profitable and well-established companies with substantially greater financial and marketing resources than our resources. Our pharmacy benefit management business relies on real-time management information systems IPM operates an electronic network connecting approximately 50,000 retail pharmacies to process third-party claims. The systems that IPM utilizes are provided by a third-party. Because claims are adjudicated in real time, systems availability and reliability are key to meeting IPM customers' service expectations. Any interruption in real time service, either through systems availability or telecommunications disruptions can significantly damage the quality of service we provide. IPM depends on third-party proprietary software to perform all of its automated transaction processing. While IPM has not experienced significant or detrimental service interruptions, and has significant back-up database capability, there can be no assurance that the business will not be harmed by these service interruptions. If we are not able to achieve a high level of brand recognition and consumer demand for our programs, we will not achieve the level of revenues we need to be profitable There are a growing number of resources that offer consumers access to information regarding insurance coverage alternatives and product pricing. Our programs may be considered to compete with these and other distribution channels for insurance products. We believe that broader recognition of the HealthExtras brand and increased consumer demand for our programs are essential to our future success. To attempt to achieve that recognition and demand, we intend to continue to pursue an aggressive brand-enhancement strategy consisting of our traditional print advertising, as well as national radio and television advertising, online marketing and promotional efforts. This effort will require significantly greater expenditures than we have been able to make to date. If these expenditures do not result in a sufficient increase in revenues, we will not achieve profitability. 15 The loss of our relationship with Christopher Reeve to promote our programs could significantly impair our brand recognition and, thus, our ability to sell our programs Our agreement for Christopher Reeve to promote our programs currently expires in July 2002. The loss of the Christopher Reeve identification with our programs, upon termination of our contract or otherwise, could significantly reduce our ability to sell our programs. If we lose our relationships with our benefit providers, we could have difficulty meeting demand for the products and services included in the programs we sell We are dependent on the providers of benefits included in our programs. These benefits are provided pursuant to arrangements with Unum Life Insurance Company of America, The Chubb Group of Insurance Companies, Zurich American Insurance Company and others that may be terminated on relatively short notice. If we lose these relationships and are unable to replace them quickly and cost effectively, we would not be able to satisfy consumer demand for our programs. We may experience significant fluctuations in our quarterly results of operations, which will make it difficult for investors to make reliable period-to-period comparisons and may contribute to volatility in our stock price Our quarterly expenses have fluctuated significantly in the past, and we expect our quarterly revenues and expenses to continue to fluctuate significantly in the future. The causes for fluctuations could include, among other factors: * changes in acceptance levels for our benefit program by consumers; * our levels of marketing expenditures; * renewal rate experience for our benefit programs; * the initiation of new or increased distribution methods, services and products by our competitors; * price competition by insurance companies in their sale of insurance products; and * the level of Internet use to purchase insurance or similar type products. We believe that quarter-to-quarter comparisons of our operating results are not necessarily meaningful and not good indicators of our future performance. Due to the above-mentioned and other factors, it is possible that in one or more future quarters our operating results will fall below the expectations of securities analysts and investors. If this happens, the trading price of our common stock would likely decrease. If we do not manage our growth effectively, we will not be able to operate profitably We only began offering our programs this year, and we have been expanding our operations rapidly. Our growth strategy, if successful, will result in further expansion. We can achieve profitable operation, however, only if we are able to manage our growth effectively. Our growth in operations has placed significant demands on our management and other resources, which is likely to continue. Under these conditions, it is important for us to retain our existing management and to attract, hire and retain additional highly skilled and motivated officers, managers and employees and improve existing systems and/or implement new systems. We may not be successful in managing or expanding our operations or maintaining adequate management, financial and operating systems and controls. 16 If the providers of the benefits included in our programs fail to provide those benefits, we could become subject to liability claims by our program members We arrange for the provision by others of the benefits included in our member programs. If the firms with which we have contracted to provide those benefits fail to provide them as required, or are negligent or otherwise culpable in providing them, we could become involved in any resulting claim or litigation. FACTORS RELATED TO REGULATION If we fail to comply with all of the various and complex laws and regulations governing our products and marketing techniques, we could be subject to fines, additional licensing requirements or the inability to market in particular jurisdictions Complex laws, rules and regulations of each of the 50 states and the District of Columbia pertaining to insurance impose strict and substantial requirements on insurance coverage sold to consumers and businesses. Compliance with these laws, rules and regulations can be arduous and imposes significant costs. The underwriter of the insurance benefits included in HealthExtras programs is responsible for obtaining and maintaining regulatory approvals for those benefits. If the appropriate regulatory approvals for the insurance benefits included in our programs are not maintained, we would have to stop including those benefits. An independent licensed insurance agency is responsible for the solicitation of insurance benefits involved in HealthExtras programs. Each jurisdiction's insurance regulator typically has the power, among other things, to: * administer and enforce the laws and promulgate rules and regulations applicable to insurance, including the quotation of insurance premiums; * approve policy forms and regulate premium rates; * regulate how, by which personnel and under what circumstances, an insurance premium can be quoted and published; and * regulate the solicitation of insurance and license insurance companies, agents and brokers who solicit insurance. State insurance laws and regulations are complex and broad in scope and are subject to periodic modification as well as differing interpretations. There can be no assurance that insurance regulatory authorities in one or more states will not determine that the nature of our business requires us to be licensed under applicable insurance laws. A determination to that effect or that we or our business partners are not in compliance with applicable regulations could result in fines, additional licensing requirements or inability to market our programs in particular jurisdictions. Such penalties could significantly increase our general operating expenses and harm our business. In addition, even if the allegations in any regulatory or legal action against us turn out to be false, negative publicity relating to any such allegation could result in a loss of consumer confidence and significant damage to our brand. We believe that because many consumers and insurance companies are not yet comfortable with the concept of purchasing insurance online, the publicity relating to any such regulatory or legal issues could significantly reduce sales of our programs. 17 One of the means by which the Company markets its programs is telemarketing, which it generally outsourced to third parties. Telemarketing has become subject to an increasing amount of Federal and state regulation as well as general public scrutiny in the past several years. For example such regulation limits the hours during which telemarketers may call consumers and prohibits the use of automated telephone dialing equipment to call certain telephone numbers. The Federal Telemarketing and Consumer Fraud and Abuse Prevention Act of 1994 and Federal Trade Commission ("FTC") regulations prohibit deceptive, unfair or abusive practices in telemarketing sales. Both the FTC and state attorneys general have authority to prevent certain telemarketing activities deemed by them to violate consumer protection. Some states have enacted laws and others are considering enacting laws targeted directly at regulating telemarketing practices, and there can be no assurance that any such laws, if enacted, will not adversely affect or limit the Company's current or future operations. Compliance with these regulations is generally the shared responsibility of the Company, its sub-contractors and its marketing partners. The Company maintains operational controls to ensure that its marketing practices conform with applicable state and federal regulations. Regulation of the sale of insurance over the Internet and of electronic commerce generally is unsettled, and future laws, regulations and interpretations could hinder our ability to offer programs over the Internet The distribution of our programs including an insurance component over the Internet subjects us to additional risk as most insurance laws and regulations have not been modified to clarify or amend their application to Internet transactions. Currently, many state insurance regulators and legislators are exploring the need for specific regulation of insurance sales over the Internet. Such regulation could dampen the growth of the Internet as a means of providing insurance services. Moreover, the application of laws governing general commerce on the Internet remains largely unsettled, even in areas where there has been some legislative action. It may take years to determine whether and how existing laws such as those governing insurance, intellectual property, privacy and taxation apply to the Internet. In addition, the growth and development of the market for electronic commerce may prompt calls for more stringent consumer protection laws and regulations that may impose additional burdens on companies conducting business over the Internet. Any new laws or regulations or new interpretations of existing laws or regulations relating to the Internet could hinder our ability to offer programs over the Internet. We could be subject to legal liability based upon the information on our website Our members may rely upon the information published on our website regarding insurance coverage, exclusions, limitations and ratings, and the other benefits included in our programs. To the extent that the information we provide is not accurate, we could be liable for damages. These types of claims could be time-consuming and expensive to defend, divert management's attention, and could cause consumers to lose confidence in our service. As a result, these types of claims, whether or not successful, could harm our business. Our pharmacy benefit management business must comply with a range of State and Federal regulatory requirements Various forms of legislation and government regulations affect or could affect providers of pharmacy benefit management services. Among the most prominent forms of such regulation are the following: Open Network Legislation. Numerous states have adopted "any willing provider" legislation, which requires pharmacy network sponsors to admit for network participation any retail pharmacy willing to meet a healthcare plan's price and other terms. 18 Anti-Remuneration Legislation. "Anti-kickback" statutes at the federal and state level prohibit an entity from paying or receiving any compensation to induce the referral of healthcare plan beneficiaries or the purchase of items or services for which payment may be made under such healthcare plans. Additionally, state and federal regulations have been the basis for investigations and multi-state settlements relating to financial incentives provided by pharmaceutical manufacturers to retail pharmacies in connection with pharmaceutical switching programs. To our knowledge, these laws have not been applied to prohibit pharmacy benefit management companies from receiving amounts from pharmaceutical manufacturers in connection with pharmaceutical purchasing and formulary management programs, to prohibit therapeutic substitution programs conducted by independent pharmacy benefit management companies, or to prohibit contractual relationships such a we have regarding these types of programs. Patient Choice. Some states have enacted legislation that prohibits the plan sponsor from implementing certain restrictive design features, and many states have introduced legislation to regulate various aspects of managed care plans, including provisions relating to the pharmacy benefit. Legislation has been introduced in some states to prohibit or restrict therapeutic substitution, or to require coverage of all FDA approved drugs. Other states mandate coverage of certain benefits or conditions. Such legislation does not generally apply to us, but it may apply to certain of our customers, such as HMOs and health insurers. If such legislation were to become widespread and broad in scope, it could have the effect of limiting the economic benefits achievable through pharmacy benefit management and consequently make our services less attractive. Consumer Protection Legislation. Most states have consumer protection laws that have been the basis for investigations and multi-state settlements relating to financial incentives provided by drug manufacturers to retail pharmacies in connection with drug switching programs. We believe that our contractual relationships with drug manufacturers and retail pharmacies do not include the features that were viewed by adversely by enforcement authorities. However, no assurance can be given that we will not be subject to scrutiny or challenge under one or more of these laws. Licensure. Many states have licensure or registration laws governing certain types of ancillary healthcare organizations, including preferred provider organizations, third party administrators and utilization review organizations. These laws differ significantly from state to state, and the application of such laws to the activities of pharmacy benefit managers is often unclear. We have registered under such laws in those states in which we have concluded such registration is required. Confidential Information. Most of our activities involve the receipt or use by us of confidential, medical information concerning individual members, including the transfer of the confidential information to the member's health benefit plan. In addition, we use aggregated population data for research and analysis purposes. Legislation has been proposed at the federal level and in several states to restrict the use and disclosure of confidential medical information the enactment of such legislation could require significant changes to a our business operations. Licensure. Our mail service pharmacy is duly licensed and in good standing, in accordance with the laws and regulations of the State of Alabama. Other Regulation. Many of the states into which we deliver pharmaceuticals have laws and regulations that require out-of-state mail service pharmacies to register with the board of pharmacy or similar regulatory body in the state. These states generally permit the mail service pharmacy to follow the laws of the state within which the mail service pharmacy is located. We have registered in every state in which, to our knowledge, such registration is required. Other statutes and regulations impact our mail service operations. Federal statutes and regulations govern the labeling, packaging, transportation, delivery, advertising and adulteration of prescription drugs and the dispensing of controlled substances. 19 FACTORS RELATED TO THE INTERNET AND ELECTRONIC COMMERCE If we experience failures of, or capacity constraints in, our systems or the systems of third parties on which we rely, sales of our programs likely would be reduced and our reputation could be damaged We use both internally developed and third party systems to operate the Internet aspects of our business. If the number of users of our service increases substantially, we will need to significantly expand and upgrade our technology, transaction processing systems and network infrastructure. We do not know whether we will be able to accurately project the rate or timing of any increases, or expand and upgrade our systems and infrastructure to accommodate any increases in a timely manner. Our ability to facilitate transactions successfully and provide high quality customer service also depends on the efficient and uninterrupted operation of our computer and communications hardware systems. Our service has experienced periodic system interruptions, and it is likely that these interruptions will continue to occur from time to time. Additionally, our systems and operations are vulnerable to damage or interruption from human error, natural disasters, power loss, telecommunication failures, break-ins, sabotage, computer viruses, acts of vandalism and similar events. We may not carry sufficient business interruption insurance to compensate for losses that could occur. Any system failure that causes an interruption in service or decreases the responsiveness of our service would impair our revenue-generating capabilities, and could damage our reputation and our brand name. If we are unable to safeguard the security and privacy of our program members' information, our reputation would be damaged and we could be subject to litigation and liability A significant barrier to electronic commerce and online communications has been the need for secure transmission of confidential information over the Internet. Our ability to secure the transmission of confidential information over the Internet is essential in maintaining consumer confidence in our service. In addition, because we handle confidential and sensitive information about our program members, any security breaches would damage our reputation and could expose us to litigation and liability. We cannot guarantee that our systems will prevent security breaches. 20 ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK - ---------------------------------------------------------------------------- (Included in Management's Discussion and Analysis of Financial Condition and Results of Operations) ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA - ---------------------------------------------------- Our audited Financial Statements are contained in a separate section of this Annual Report on Form 10-K on pages F-1 through F-17, attached hereto. ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLSOURE - ----------------------------------------------------------------------------- None 21 PART III ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT - ----------------------------------------------------------- Information required under this item is contained in the section entitled "Executive Officers and Directors" in our 2000 Proxy Statement and is incorporated herein by reference. ITEM 11. EXECUTIVE COMPENSATION - ------------------------------- Information required under this item is contained in the sections entitled "Directors Compensation" and "Executive Compensation" in our 2000 Proxy Statement and is incorporated herein by reference. ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT - ----------------------------------------------------------------------- Information required under this item is contained in the section entitled "Stock Ownership" in our 2000 Proxy Statement and is incorporated herein by reference. ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS - ------------------------------------------------------- Information required under this item is contained in the section entitled "Certain Transactions" in our 1999 Proxy Statement and is incorporated herein by reference. 22 PART IV ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K - ------------------------------------------------------------------------- (a) Documents filed as part of this report (1) Financial Statements Report of Independent Accountants Balance Sheets as of December 31, 1999 and 2000 Statements of Operations and Comprehensive Loss for the years ended December 31, 1998, 1999 and 2000 Statements of Stockholders' (Members') Equity (Deficit) for the years ended December 31, 1998 1999 and 2000 Statements of Cash Flows for the years ended December 31, 1998, 1999 and 2000 Notes to Financial Statements (2) All schedules have been omitted because they are not applicable, not required or the information is included elsewhere in the Company's financial statements or notes thereto. (b) Reports on Form 8-K The Company filed a Current Report on Form 8-K dated November 12, 2000 reporting items in connection with the Securities Purchase Agreement entered into by the Company. 23 (c) Exhibits The following exhibits are filed as part of this report unless noted otherwise: Exhibit No. Description - --------------- ----------------------------------------------------------- 2.1 Form of Reorganization Agreement by and among HealthExtras, Inc., HealthExtras, LLC and Capital Z Healthcare Holding Corp (1) 3.1(a) Certificate of Incorporation of HealthExtras, Inc (1) 3.1(b) Form of Amended and Restated Certificate of Incorporation (1) 3.2 Bylaws of HealthExtras, Inc. (1) 4.1 Specimen Stock Certificate of HealthExtras, Inc. 4.2 Form of Stockholders' Agreement (1) 10.1 Form of Employment Agreement between HealthExtras, Inc. and David T. Blair (1) 10.2 Form of Employment Agreement between HealthExtras, Inc. and certain Executive Officers (1) 10.3 Program Administrator's Agreement by and between HealthExtras LLC and Reliance National Insurance Company (1) 10.4 Agreement between United Payors & United Providers, Inc. and HealthExtras, Inc. 10.5 Agreement by and between United Payors & United Providers, Inc. and HealthExtras, LLC. re: network access(1) 10.6 Agreement by and between Cambria Productions, Inc. f/s/o Christopher Reeve and HealthExtras, Inc. (1) (2) 10.7 Indemnification Agreement (1) 10.8 Sublease Agreement by and between United Payors & United Providers, Inc. and HealthExtras, Inc. 10.9 Form of HealthExtras, Inc. 1999 Stock Option Plan (1) 10.10 Form of Registration Rights Agreement (1) 10.11 Securities Purchase Agreement by and among HealthExtras, Inc., as the Purchaser, and TD Javelin Capital Fund, L.P., Meriken Nominees, LTD, et. al, as the Sellers (3) 10.12 Form of HealthExtras, Inc. 2000 Stock Option Plan (filed herewith) 10.13 Form of HealthExtras, Inc. 2000 Directors' Stock Option Plan (filed herewith) 10.14 Warrant Agreement by and among HealthExtras, Inc. and J.C. Penney Life Insurance Company (filed herewith) 10.15 Amended Agreement by and between Cambria Productions, Inc. f/s/o Christopher Reeve and HealthExtras, Inc. (filed herewith) 27.1 Financial Data Schedule - -------------- (1) Incorporated herein by reference into this document from the Exhibits to the Form S-1 Registration Statement, as amended, Registration No. 333-83761, initially filed on July 26, 1999. (2) Confidential treatment requested for portion of agreement pursuant to Section 406 of Regulation C. promulgated under the Securities Act of 1933, as amended. (3) Incorporated herein by reference into this document from the Exhibits to the Form 8-K initially filed on November 21, 2000. 24 SIGNATURES Pursuant to the requirements of Section 13 or 15(d) of the Securities Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized. HEALTHEXTRAS, INC. Date April 2, 2001 By: /s/ David T. Blair ------------------------------- David T. Blair Chief Executive Officer and Director Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated: Date April 2, 2001 By: /s/ Thomas L. Blair ------------------------------- Thomas L. Blair Chairman of The Board Date April 2, 2001 By: /s/ David T. Blair ------------------------------- David T. Blair Chief Executive Officer and Director Date April 2, 2001 By: /s/ Michael P. Donovan ------------------------------- Michael P. Donovan Chief Financial Officer and Chief Accounting Officer Date April 2, 2001 By: /s/ Edward S. Civera ------------------------------- Edward S. Civera Director Date April 2, 2001 By: /s/ Bette B. Anderson ------------------------------- Bette B. Anderson Director Date April 2, 2001 By: /s/ William E. Brock ------------------------------- William E. Brock Director Date April 2, 2001 By: /s/ Thomas J. Graf ------------------------------- Thomas J. Graf Director Date April 2, 2001 By: /s/ Julia M. Lawler ------------------------------- Julia M. Lawler Director Date April 2, 2001 By: /s/ Karen E. Shaff ------------------------------- Karen E. Shaff Director Date April 2, 2001 By: /s/ Frederick H. Graefe ------------------------------- Frederick H. Graefe Director Report of Independent Accountants To the Board of Directors and Stockholders of HealthExtras, Inc.: In our opinion, the accompanying consolidated balance sheets, and the related consolidated statements of operations and comprehensive loss, of changes in stockholders' (members') equity (deficit) and of cash flows, present fairly, in all material respects, the financial position of HealthExtras, Inc. and its subsidiaries (the "Company") at December 31, 2000 and 1999, and the results of their operations and their cash flows for each of the three years in the period ended December 31, 2000, in conformity with accounting principles generally accepted in the United States of America. These financial statements are the responsibility of the Company's management; our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits of these statements in accordance with auditing standards generally accepted in the United States of America, which require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion. PricewaterhouseCoopers LLP McLean, Virginia February 21, 2001 F-1 HealthExtras, Inc. Consolidated Balance Sheets December 31, December 31, 1999 2000 ----------- ------------ ASSETS Current assets: Cash and cash equivalents ................... $ 46,971,106 $ 28,921,312 Marketable securities of a related party .... 664,984 -- Accounts receivable, net of allowance for ... 62,795 3,799,270 doubtful accounts of $453,954 in 2000 Deferred charges: Direct .................................... 1,203,854 3,050,603 Marketing and promotion ................... 2,316,491 508,447 Other current assets ........................ 240,153 731,061 ------------ ------------ Total current assets .................... 51,459,383 37,010,693 Fixed assets, net ............................. 1,904,847 4,588,153 Goodwill, net of accumulated amortization of $102,473 in 2000 ..................... -- 9,120,104 Other assets .................................. 297,853 1,325,156 ------------ ------------ Total assets ............................ $ 53,662,083 $ 52,044,106 ============ ============ LIABILITIES & Stockholders' Equity Current liabilities: Accounts payable and accrued expenses ....... $ 1,060,777 $ 7,555,031 Purchase consideration due for IPM........... -- 956,075 Other current liabilities ................... -- 22,876 Deferred revenue ............................ 5,237,210 7,121,349 ------------ ------------ Total current liabilities ............... 6,297,987 15,655,331 Long-term liabilities ......................... -- 150,211 ------------ ------------ Total liabilities ....................... 6,297,987 15,805,542 ------------ ------------ Stockholders' equity: Preferred stock, $0.01 par value, 5,000,000 shares authorized, none issued .......... -- -- Common stock, $0.01 par value, 100,000,000 shares authorized, 27,600,000 and 28,902,600 shares issued and outstanding at December 31, 1999 and 2000, respectively 276,000 289,026 Additional paid-in capital .................. 48,045,635 54,149,068 Accumulated deficit ......................... (719,976) (17,946,192) Deferred compensation ....................... (370,232) (253,338) Accumulated other comprehensive income ...... 132,669 -- ------------ ------------ Total stockholders' equity .............. 47,364,096 36,238,564 ------------ ------------ Total liabilities and stockholders' equity................................ $ 53,662,083 $ 52,044,106 ============ ============ The accompanying notes are an integral part of these financial statements F-2 HealthExtras, Inc. Consolidated Statements of Operations and Comprehensive Loss For the years ended December 31, 1998 1999 2000 ----------- ------------ ------------- Revenue ................................ $ -- $ 5,326,527 $ 44,178,040 ----------- ------------ ------------- Direct expenses ........................ -- 3,095,397 24,302,775 Product development and marketing ...... 4,935,831 10,331,163 31,210,649 General and administrative ............. 1,597,660 2,996,345 8,458,533 ----------- ------------ ------------- Total operating expenses ......... 6,533,491 16,422,905 63,971,957 ----------- ------------ ------------- Operating loss ................... (6,533,491) (11,096,378) (19,793,917) Interest income (expense), net (includes imputed interest applicable to related-party transactions of $238,479 and $268,064 for the years ended December 31, 1998 and 1999, respectively) .............. (110,273) (350,487) 2,068,421 Other income (expense), net ............ (100) (73,234) 499,280 ----------- ------------ ------------- Net loss ......................... (6,643,864) (11,520,099) (17,226,216) Unrealized holding gains (losses) on marketable securities arising during the period .................... 542,189 (479,270) -- Reclassification adjustment for realized gains included in net loss .. -- -- (132,669) ------------ ------------ ------------- Comprehensive loss ............... $ (6,101,675) $(11,999,369) $ (17,358,885) ============ ============ ============= Basic and diluted net loss per share ... $ -- $ (0.56) $ (0.62) Weighted average shares of common stock outstanding (in thousands) .......... -- 20,588 28,010 Pro forma basic and diluted net loss per share ........................... $ (0.38) $ -- $ -- Pro forma weighted average shares of common stock outstanding (in thousands) ...................... 17,680 -- -- The accompanying notes are an integral part of these financial statements F-3 HealthExtras, Inc. Statement of Changes in Stockholders' (Members') Equity (Deficit) For the Years Ended December 31, 1998, 1999 and 2000 HealthExtras LLC HealthExtras, Inc. ------------------------ ----------------------------------------------------------------------- Accumulated Common Stock Accumulated Other ------------ Other Members Comprehensive Additional Comprehensive Capital Income Paid In Income Accumulated Deferred (deficit) Loss Shares Amount Capital (Loss) Deficit Compensation Total ------- -------- ---------- -------- ----------- ----------- ------------ ------------ ----------- Balance at December 31, 1997 4,870,153 69,750 -- -- -- -- -- -- 4,939,903 Unrealized gain on marketable securities -- 542,189 -- -- -- -- -- -- 542,189 Noncash interest expense 238,479 -- -- -- -- -- -- -- 238,479 Net loss (6,643,864) -- -- -- -- -- -- -- (6,643,864) ----------- -------- ------ ------- ------- ----- ------- --------- ---------- Balance at December 31, 1998 (1,532,232) 611,939 -- -- -- -- -- -- (923,293) Grant of effective member interests to management, net of deferred compensation of $370,232 97,341 -- -- -- -- -- -- -- 97,341 Capital contribution by new member 5,000,000 -- -- -- -- -- -- -- 5,000,000 Unrealized gain (loss) on marketable securities -- (491,817) -- -- -- 12,547 -- -- (479,270) Noncash interest expense and loan guarantee fees 268,063 -- -- -- -- -- -- -- 268,063 Net loss for the period from January 1, 1999 to December 16, 1999 (see Note 1) (10,800,123) -- -- -- -- -- -- -- (10,800,123) Reorganization, December 17, 1999 (see Note 1) 6,969,951 (120,122) 22,100,000 221,000 (6,820,719) 120,122 -- (370,232) -- Net proceeds from initial public offering (see Note 1) -- -- 5,500,000 55,000 54,866,354 -- -- -- 54,921,354 Net loss for the period from December 17, 1999 to December 31, 1999 -- -- -- -- -- -- (719,976) -- (719,976) -------- ----- ---------- ------- --------- ------- --------- -------- --------- Balance at December 31, 1999 -- -- 27,600,000 276,000 48,045,635 132,669 (719,976) (370,232) 47,364,096 ------- --------- ---------- ------- ---------- ------- --------- ---------- ------------ Amortization of deferred compensation -- -- -- -- -- -- -- 116,894 116,894 Warrants expected to be issued in connection with the marketing agreement -- -- -- -- 254,129 -- -- -- 254,129 Net proceeds from private placement -- -- 1,302,600 13,026 5,849,304 -- -- -- 5,862,330 Reclassification adjustment for realized gains included in net loss -- -- -- -- -- (132,669) -- -- (132,669) Net loss for the period -- -- -- -- -- -- (17,226,216) -- (17,226,216) -------- ------ ---------- ------- ----------- -------- ------------ -------- ----------- Balance at December 31, 2000 $ -- $ -- 28,902,600 $289,026 $54,149,068 $ -- $(17,946,192) $(253,338) $36,238,564 ========== ========== ========== ======== =========== ======== ============== ========= ============ The accompanying notes are an integral part of these financial statements F-4 HealthExtras, Inc. Consolidated Statements of Cash Flows For the years ended December 31 1998 1999 2000 ------------ ------------ ------------ Cash flows from operating activities: Net loss ....................................... $ (6,643,864) $(11,520,099) $(17,226,216) Depreciation expense ........................... -- 89,889 599,337 Noncash compensation expense and fees .......... -- 97,341 371,023 Noncash interest expense ....................... 238,479 268,064 -- Amortization of goodwill ....................... -- -- 102,473 Gain on sale of marketable securities .......... -- -- (551,735) CHANGES IN ASSETS AND LIABILITIES, NET OF EFFECTS FROM PURCHASE OF IPM IN 2000: Accounts receivable .......................... -- (62,795) (780,522) Other assets ................................. 20,000 (538,006) (89,823) Deferred charges ............................. 230,700 (976,045) (38,705) Accounts payable and accrued expenses ........ 73,901 630,381 2,189,998 Accrued benefit expense ...................... 546,562 (546,562) -- Marketing expenses payable ................... (1,015,713) (1,012,000) -- Contribution payable ......................... 9,091 (200,000) -- Deferred revenue ............................. 257,746 4,979,464 1,884,138 ------------ ------------ ------------ Net cash used in operating activities ...... (6,283,098) (8,790,368) (13,540,032) ------------ ------------ ------------ Cash flows from investing activities: Capital expenditures ............................ -- (1,994,736) (3,061,247) Payment for purchase of IPM, net of cash acquired................................... -- -- (7,406,398) Maturity (purchase) of certificate of deposit ... (700,000) 700,000 -- Purchases of available for sale securities ...... (338,341) -- -- Sales of available for sale securities .......... -- -- 1,084,050 Other assets acquired ........................... -- -- (988,500) ------------ ------------ ------------ Net cash used in investing activities ....... (1,038,341) (1,294,736) (10,372,095) ------------ ------------ ------------ Cash flows from financing activities: Proceeds from (repayment of) line of credit .... 1,750,000 (1,750,000) -- Capital contribution ............................ -- 5,000,000 -- Borrowings from (repayment to) member, net ...... (3,860,282) (1,334,429) -- Net proceeds from sale of common stock .......... -- 54,921,354 5,862,333 ------------ ------------ ------------ Net cash provided by (used in) financing activities................................... (2,110,282) 56,836,925 5,862,333 ------------ ------------ ------------ Net increase (decrease) in cash and cash equivalents ....................................... (9,431,721) 46,751,821 (18,049,794) Cash and cash equivalents at the beginning of period ........................................ 9,651,006 219,285 46,971,106 ------------ ------------ ------------- Cash and cash equivalents at the end of period ..... $ 219,285 $ 46,971,106 $ 28,921,312 ============ ============ ============ Supplemental disclosure: Cash paid for interest ........................... $ 3,248 $ 181,729 $ -- The accompanying notes are an integral part of these financial statements F-5 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1. ORGANIZATION HealthExtras, Inc. (the "Company" or "HealthExtras") is a Delaware corporation organized on July 9, 1999 and the successor to certain predecessor companies (the "Predecessor Companies") The Predecessor Companies include: Sequel Newco, Inc., Sequel Newco Joint Venture (the Joint Venture), Health Extras Partnership (HEP), Sequel Newco, LLP (SN LLP) and HealthExtras LLC. Through December 31, 1998, the Company was considered to be a development stage enterprise. The Company commenced business operations with its health benefits program on November 1, 1998; however, all operating revenues were deferred and were recognized in 1999 in order to coincide with the program member benefits. On December 17, 1999, in connection with the closing of the initial public offering of 5,500,000 shares of the Company's common stock at an initial public offering price of $11.00 per share, HealthExtras LLC was merged into the Company with the Company being the surviving entity (the "Reorganization") and the members of HealthExtras LLC received an aggregate 22,100,000 shares of the Company's common stock in exchange for their member interests. The net proceeds received by the Company from the initial public offering (net of underwriting commissions and expenses of $5.6 million) were approximately $54.9 million. 2. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Principles of consolidation The accompanying consolidated financial statements include the accounts of HealthExtras, Inc. and its wholly owned subsidiaries. All intercompany accounts and transactions have been eliminated. Cash and cash equivalents Cash and cash equivalents consist of cash and investments in highly liquid instruments with maturities of three months or less when purchased. At December 31, 2000, the Company held $164,878 in restricted cash as a prepayment from a client for pharmacy benefit management services. Marketable securities Prior to 1999, the Company purchased certain marketable securities of a related entity. Management considered all of the common stock purchased to be available for sale as defined by SFAS No. 115, "Accounting for Certain Investments in Debt and Equity Securities." Available for sale securities are reported at fair value, with net unrealized gains and losses reported as a component of other comprehensive loss. In 2000, the Company sold its shares in the related entity. The historical cost, gross unrealized holding gain, realized holding gain, and proceeds from sale of marketable securities available for sale are as follows: 1999 2000 ---- ---- Historical cost, as of December 31....... $ 532,315 - Realized gain on sale of securities...... - 551,735 Proceeds from sale of securities......... - 1,084,050 Gross unrealized holding gain............ 132,669 - F-6 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS Fixed assets Fixed assets are stated at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the assets, which range from three to seven years. Leasehold improvements are amortized using the straight-line method over the shorter of the estimated lives of the assets or the lease term. The Company capitalizes costs incurred for software for internal use that is still in the application development stage in accordance with Statement of Position 98-1, "Accounting for the Costs of Computer Software Developed or Obtained for Internal Use". Other assets At December 31, 2000 other assets is largely comprised of the Company's interest in a joint venture relating to the fractional ownership interest in two aircraft used for corporate business purposes with a carrying value of $976,144, net of amortization of $12,356. Maintenance and service costs associated with the aircraft are expensed as incurred. Concentration of credit risk Financial instruments that potentially subject the Company to significant concentrations of credit risk consist principally of cash and cash equivalents and accounts receivable. The Company maintains its cash and cash equivalents in bank accounts, which, at times, may exceed federally insured amounts. The Company has not experienced any losses related to its cash or cash equivalents and believes it is not exposed to any significant credit risk on its cash or cash equivalents. Accounts receivable consists principally of amounts due from companies whose payment history is monitored regularly. The Company monitors the balances of individual accounts to establish appropriate reserves. The Company has not experienced significant losses related to receivables in the past Use of estimates 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 and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Contributions Contributions made, including unconditional promises to give, are recognized as expenses in the period made or promised. Goodwill Goodwill represents the excess of acquisition costs over the fair value of net assets acquired and is amortized on a straight-line basis over its estimated useful life of 15 years. Income taxes Prior to the Reorganization, no provision for federal or state income taxes was made in the accompanying financial statements since the Company was treated as a partnership for federal and state income tax purposes. Upon the Reorganization, the Company became subject to federal and state income taxes. The Company records deferred tax assets and liabilities based on temporary differences between the financial statement and the tax bases of assets and liabilities using enacted tax rates in effect in the year in which the differences are expected to reverse. The Company has recorded a full valuation allowance against the Company's deferred tax assets due to the uncertainty as to their ultimate realization. F-7 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS Net loss per share Basic net loss per share is based on the weighted average number of shares outstanding during the year. Diluted net loss per share is based on the weighted average number of shares and dilutive common stock equivalent shares outstanding during the year. All outstanding stock options at December 31, 2000 were excluded from the computation of diluted net loss per share because the exercise price of the stock options exceeded the average market price of the common shares, and therefore, were antidilutive. Pro forma basic and diluted net loss per share and weighted average shares outstanding reflect the formation of HealthExtras, Inc. and merger with HealthExtras, LLC in exchange for Company common stock as if the merger was effective January 1, 1998. Pro forma weighted average basic net loss per share is computed based on the number of outstanding shares of common stock. Pro forma diluted net loss per share adjusts the pro forma basic shares weighted average for the potential dilution that could occur if stock options or warrants, if any, were exercised. Pro forma diluted net loss per share is the same as pro forma basic net loss per share because there were no dilutive securities outstanding at December 31, 1998. Revenue and direct expense recognition The primary determinant of revenue recognition is monthly program enrollment. In general, revenue is recognized based on the number of members enrolled in each reporting period multiplied by the applicable monthly fee for their specific membership program. The revenue recognized by HealthExtras includes the cost of membership features supplied by others, including the insurance components. Direct expenses consist of the costs that are a direct function of a period of membership and a specific set of program features. The coverage obligations of our benefit suppliers and the related expense are determined monthly, as are the remaining direct expenses. Revenue from program benefits and related direct expenses (principally marketing and processing fees and the cost of the benefits provided to program members) are initially deferred during the period which a program member is generally entitled to obtain a refund. If a member requests a refund, HealthExtras retains any interest earned on funds held during the refunded membership period. Revenue and direct expenses attributable to the initial deferral are recognized in the subsequent month. After the initial deferral period, revenue is recognized as earned and direct expenses as incurred. IPM's revenues from sales of prescription drugs by pharmacies in the Company's nationwide network and related claims processing fees are recognized when the claims are adjudicated. Pharmacy claims are adjudicated at the point-of-sale using the Company's on-line claims processing system. When IPM has an independent obligation to pay its network pharmacy providers, the Company includes payments from plan sponsors for these benefits as revenues and payments to its pharmacy providers as direct expense. Rebate revenues earned under arrangements with manufacturers are recognized as they are earned in accordance with contractual agreements. Certain of these revenues are based on estimates, which are subject to final settlement with the contracted party. Revenues from the dispensing of pharmaceuticals from the Company's mail service pharmacy are recognized when each prescription is shipped. HealthExtras has historically maintained a prepaid balance for the benefits included in its programs. The carrying value of the prepayment is adjusted at the end of each quarter based on factors including enrollment levels in each product, enrollment trends, and the remaining portion of the unexpired prepayment period. In the event that a period of coverage was purchased in advance, and there were insufficient members to utilize the coverage, the value would expire and be expensed by HealthExtras without any related revenue. HealthExtras believes that current enrollment levels will allow the balance at December 31, 2000 to be fully utilized prior to expiration. F-8 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS HealthExtras' members always enroll for an annual period but may chose to pay either annually or in monthly installments. There is no interest charged under the monthly option but members who pay annually receive a reduced rate that reflects lower administrative, transaction and maintenance costs. Marketing agreements The Company defers the amount of payments under marketing and similar agreements. Expense is recognized straight-line over the term of the agreements. Segment reporting The Company operates in two market segments as a provider of supplemental health and disability benefit programs to individuals and, commencing with the acquisition of IPM in November 2000, as a provider of pharmacy benefit management services. HealthExtras' membership is highly concentrated in groups represented by two of its marketing partners, which accounted for 26% and 21% of our revenue for 2000. We anticipate that these relationships will produce an increasing percentage of revenue in 2001. The following table presents financial data by segment for the year ended December 31, 2000. Pharmacy benefit management ("PBM") services operating results are from the acquisition date of November 1, 2000. Supplemental Health and Disability PBM Total ------------- ----------- ------------ Revenue $ 39,300,891 $ 4,877,149 $ 44,178,040 Operating Expenses 58,983,554 4,988,403 63,971,957 Net loss 17,122,208 104,008 17,226,216 Total assets 47,795,234 4,248,872 52,044,106 Common stock warrants The Company records direct expense for the fair market value of common stock warrants expected to be issued to a marketing partner through 2003. The Company estimates the value of the warrants at each balance sheet date using an appropriate equity pricing model with assumptions consistent with those used in preparing the Company's fair value stock option compensation disclosures. During 2000, the Company recorded $254,129 in direct expense related to common stock warrants expected to be issued subsequent to June 30, 2001. 3. BUSINESS COMBINATION On November 1, 2000, the Company acquired a controlling interest in International Pharmacy Management, Inc. through a purchase of all of the issued and outstanding voting preferred stock and the majority of outstanding common stock warrants of IPM. The preferred stock and warrants represented approximately 70% of the voting control of IPM. The preferred stock and related warrants were purchased for an aggregate cash consideration of $6.5 million. Following the purchase of the voting preferred shares, the Company tendered for all the issued and outstanding common stock and options of IPM. Substantially all of the common stock and options were tendered or were committed to be tendered by December 31, 2000. The total consideration payable for securities tendered totaled $1.6 million in cash and 77,300 shares of the Company's common stock with a fair market value of $347,850. As of December 31, 2000, $956,075 of such consideration (including all of the common stock valued at $347,850) was included as a liability in the accompanying balance sheet. The acquisition was accounted for as a purchase, with the purchase prices allocated to the assets acquired and liabilities assumed based upon their respective estimated fair values at the dates of acquisition. IPM will conduct its business under the name of "HealthExtrasRx" going forward. F-9 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS The acquisition resulted in goodwill of approximately $9.2 million determined as follows. The assets acquired were net of an allowance for doubtful accounts of $454,000. Total consideration............ $ 8,638,123 ------------ Total assets acquired.......... 3,891,238 Total liabilities assumed...... 4,475,692 ------------ Net liabilities assumed........ 584,454 ------------ Goodwill....................... $ 9,222,577 ============ The following unaudited pro forma consolidated results of operations for the years ended December 31, 1999 and 2000 are presented as though IPM had been acquired at the beginning of 1999, after giving effect to purchase accounting adjustments relating to the amortization of goodwill. Results are in thousands, except for per share data. 1999 2000 ---- ---- Revenue....................................... $ 23,634 $ 65,239 Net loss available to common shareholders........................ $ (13,316) $(18,580) Net loss per share - basic and diluted........ $ (0.65) $ (0.66) Weighted average shares - basic and diluted... 20,588 28,010 The pro forma results of operations are not necessarily indicative of the results that would have occurred had IPM's acquisition been consummated as of January 1, 1999, nor are they necessarily indicative of future operating results. 4. FIXED ASSETS Fixed assets consist of the following: 1999 2000 ---------- ---------- Computer equipment ........................ $ 451,118 $2,039,328 Software development costs ................ -- 886,367 Furniture, fixtures and office equipment .. 88,217 770,271 Medical equipment ........................ -- 85,362 Leasehold improvements .................... 1,455,401 1,778,526 ---------- ---------- Total fixed assets ...................... 1,994,736 5,559,854 Accumulated depreciation and amortization (89,889) (971,701) ---------- ---------- Fixed assets, net ......................... $1,904,847 $4,588,153 ========== ========== Depreciation expense for the year ended December 31, 1999 and 2000 was $89,889 and $599,337, respectively. F-10 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 5. INCOME TAXES A summary of the components of deferred income taxes at December 31, 1999 and 2000 computed at an effective tax rate of 38.6% as follows: 1999 2000 ----------- ----------- Deferred tax assets (liabilities): Accrued expenses.................................. $ -- $ 96,550 Allowance for doubtful accounts................... -- 175, 317 Deferred charges.................................. (464,928) (1,178,143) Deferred revenue.................................. 2,022,610 2,750,227 Net operating loss carryforwards.................. 5,473 7,332,863 Capital loss carryforward......................... -- 38,620 Valuation allowance............................... (1,563,155) (9,215,434) ----------- ------------ Net deferred tax asset........................ $ -- $ -- ============= ========== The Company has net operating loss carryforwards of approximately $18,987,218 at December 31, 2000, available for carryforward to future periods. The carryforwards expire at various times beginning in 2010 through 2020. The effective tax rate varies from the U.S. Federal Statutory tax rate principally due to the following: 1999 2000 ------- ------ U.S. Federal Statutory tax rate............ (34.0%) (34.0%) State tax, net of federal benefit........... (4.6) (4.6) Non-deductible expenses..................... -- 1.5 Valuation allowance......................... 38.5 37.0 Other....................................... .1 .1 ---- ---- Effective tax rate.......................... --% --% ==== ==== 6. STOCKHOLDERS' EQUITY Stock (member interests) grants In February 1999, certain management employees were granted effective member interests aggregating 1.87% (equivalent to 413,333 common shares, post Reorganization) of the Company, after giving effect to an existing commitment to sell a 20% interest in the Company to a third party for $5,000,000 cash. Such grants vest over a four-year period commencing March 1, 1999. The Company recorded the estimated fair value of such interests of $467,573 ($1.13 per post Reorganization common share) as stockholders' equity and deferred compensation expense. During 1999 and 2000, amortization of deferred compensation expense amounted to $97,341 and $116,894, respectively. The remainder of the deferred compensation expense will be amortized over the vesting period for the interests. Stock option plans During 2000, the Board of Directors adopted the HealthExtras, Inc. 2000 Stock Option Plan ("2000 SOP") and the HealthExtras, Inc. Directors' Stock Option Plan (Directors' SOP), subject to shareholder approval. The maximum number of the Company's common shares reserved for issuance pursuant to the grant of options under the 2000 SOP and the Directors' SOP are 1,000,000 and 200,000 shares respectively. Under the 2000 SOP, options granted vest ratably over a period of four years from the date of grant. The Directors' SOP provides for options granted to be exercisable on the first anniversary date of the date of grant. The maximum contractual life of all stock options granted under the 2000 SOP and the Directors' SOP is ten years. F-11 HEALTEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS Under the 2000 SOP, options to purchase 320,000 shares of Company's common stock were issued at a price of $4.63 in 2000. Under the Directors' SOP, options to purchase 30,000 shares of the Company's common stock were issued at a price of $4.63. None of these stock options are exercisable and all remain outstanding as of December 31, 2000. During 1999, in connection with the Reorganization and initial public offering, the Company established the HealthExtras, Inc. 1999 Stock Option Plan ("1999 SOP"). The maximum number of shares of the Company's common stock reserved for issuance pursuant to the grant of options under the 1999 SOP is 4,000,000 shares. All officers, employees and independent contractors of the Company are eligible to receive option awards. A Committee of the Board of Directors determines award amounts, option prices and vesting periods, subject to the provisions of the 1999 SOP. Stock options granted under the 1999 SOP vest ratably over a period of four years and the contractual life of all of the stock options is ten years. The following table summarized stock option activity under all plans for the two years ended December 31. 2000: Number of Shares of Common Stock ------------------- Price per Weighted Average Options Share Exercise Price ---------- ------------ ----------------- Initial grant of stock options, and Balance, December 31, 1999 2,956,000 $ 13.20 $ 13.20 Granted 1,463,000 $ 4.06 - 5.63 $ 4.58 Exercised -- -- -- Forfeited (163,500) 13.20 13.20 ---------- -------------- --------- Balance, December 31, 2000 4,255,500 4.06 to $13.20 10.31 Exercisable, December 31, 2000 698,125 13.20 13.20 The following table summarized information about the outstanding and exercisable options and warrants at December 31, 2000: Outstanding Exercisable ---------------------------------------- ------------------------- Weighted Average Remaining Weighted Weighted Range of Contractual Average Average Exercise Prices Number Life (Years) Exercise Price Number Exercise Price --------------- ------ ------------ -------------- -------------- $4.06 - $5.63 1,463,000 9.6 $4.58 -- -- $13.20 2,792,500 9.0 $13.20 698,125 $13.20 ------ --------- --- ------ ------- ------ $4.06 to $13.20 4,255,500 9.2 $10.31 698,125 $13.20 During 1995, the Financial Accounting Standards Board issued Financial Accounting Standard No. 123 ("FAS 123"), Accounting for Stock-Based Compensation. This pronouncement requires that the Company calculate the fair value of stock options and shares issued under employee stock purchase plans at the date of grant using an option-pricing model. The Company has elected the "pro forma, disclosure only" option permitted under FAS 123, instead of recording a charge to operations. The following table reflects pro forma net loss and net loss per share for the year ended December 31, 2000 and 1999 had the Company elected to adopt the fair value approach of FAS 123: F-12 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 1999 2000 ---------- ----------- Net loss As reported........................ $11,520,099 $17,226,216 Pro forma.......................... 11,693,258 21,894,402 Net loss per share As reported - basic and diluted.... $ 0.56 $ 0.62 Pro forma - basic and diluted...... 0.57 0.78 The exercise price of each option granted in 1999 and 2000 was no less than the market price of the Company's common stock at the date of grant. The grant date fair value of each option granted was $5.70 and $3.47 per share, in 1999 and 2000, respectively. The estimated fair value of each option was calculated using the modified American Black-Scholes economic option-pricing model. The following table summarizes the weighted-average of the assumptions used for stock options granted during 2000 1999 2000 --------- ---------- Risk-free interest rate............ 4.7% 6.2% Expected years until exercise...... 5 years 5 years Expected volatility................ 61.3% 95.9% Dividend yield..................... -- -- Warrant Agreement During 2000, the Company entered into an agreement whereby warrants to acquire up to 4.2 million shares of common stock may be issued to a marketing partner at exercise prices ranging from $5.21 to $15.63 per share. The issuance of these warrants is contingent on the marketing partner exceeding specific annualized revenue thresholds to be measured for the twelve-month periods ending June 30, 2001, 2002, and 2003 as well as relative revenue contributions for the years ending December 31, 2001 and 2002. The maximum contractual life of the warrants from the date of grant is five years. Private Placement In October of 2000 the Company issued 1,302,600 shares of our common stock to an affiliate of UnumProvident Corporation in exchange for net proceeds of $5,862,000. Pursuant to this and related agreements, UnumProvident will be the preferred underwriter for various HealthExtras products. The purchase price was based on the average closing price of the Company's stock for the 20 days prior to the closing of the agreement. 7. BANK LINE OF CREDIT In 1998, the Company entered into a credit facility with a bank totaling $2,000,000 and bearing interest at the prime rate which was guaranteed by United Payors & United Providers, Inc. (now BCE). As of December 31, 1999, all amounts due under the credit facility had been paid and the Company terminated the credit facility in January 2000. Loan guarantee fees were imputed based on the monthly amounts outstanding under the credit line at an annual rate of 2%. The imputed loan guarantee fees have been recorded as interest expense in the statement of operations and as members' capital. Such fees amounted to $45,453 for the year ended December 31, 1999. F-13 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 8. LEASE COMMITMENTS The Company entered into an agreement dated December 22, 1999, to lease office space under a non-cancelable sublease agreement with United Payors & United Providers, Inc. The sublease agreement provides for annual escalations and for the payment by the Company of its proportionate share of the increase in the costs of operating the building. In connection with the acquisition of IPM, the Company has committed to make payments for the lease of office space used for IPM's executive, administrative, and operating use. For financial reporting purposes, the Company recognizes rent expense on a straight-line basis over the term of the lease. The future minimum payments due under this lease are as follows: 2001.................. $ 717,053 2002.................. 746,205 2003.................. 687,193 2004.................. 280,000 ---------- Total............. $2,430,451 ========== Facility lease expense for the years ended December 31, 1999 and 2000, was $60,000 and $363,000, respectively. 9. COMMITMENTS In 2000, the Company extended one of two marketing agreements entered into during 1997, whereby the Company has committed to total non-refundable payment of $5 million due in equal installments over a five-year term in exchange for an individual's participation in various marketing campaigns. Under the agreement, the Company has the option to extend the agreement for another five-year period, which would result in an additional commitment of $7.7 million. Under the marketing agreement, the Company must pay annual fees of $1.00 per program member that subscribes to the benefits promoted by the individuals when program members exceed one million. Such payments are for the current five-year term of the marketing agreement and shall continue for a 10-year period thereafter. The Company is party to a royalty agreement, which runs through December 31, 2003 related to access to a national network of hospitals and physicians for members enrolled in health care programs. The rates payable for health care members increases from $1.00 per month in the first year to a maximum of $1.50 per month in the fourth year of enrollment. There are currently no enrollees in programs which provide health care benefits featuring network access. Accordingly no royalty payments are currently being expensed. Should the Company reintroduce health care products with network access features, it would recognize expense under the terms of the agreement. In 1999 the Company made payments of approximately of $529,000 under this agreement. During 1998, the Company entered into various agreements with participating companies requiring aggregate payments by the Company of $1,260,900, whereby the Company guaranteed minimum enrollment in its programs. The Company has historically maintained a prepaid expense balance with respect to benefit features of its programs. Direct expense is recognized based on the actual membership levels in each program. The deferred amount at the end of each quarter is adjusted to reflect advances, if any, made during the period, expenses recognized and remaining coverage periods and membership levels to which such advances can be applied. The Company deferred expense recognition of $731,786 in minimum and advance payments at December 31, 1999, with respect to these commitments in order to match related future revenue recognition. The Company has entered into three-year employment agreements with certain executive officers. The annual base salaries under these agreements range from $165,000 to $210,000, and one executive will be entitled to a bonus equal to one percent of the Company's annual after-tax profits. The Company's minimum aggregate payments under these employment agreements are expected to be $680,000 annually. F-14 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS In the ordinary course of business, the Company may become subject to legal proceedings and claims. The Company is not aware of any legal proceedings or claims, which, in the opinion of management, will have a material adverse effect on the financial condition or results of operations of the Company. 10. 401(K) SAVINGS PLAN In April 2000, the Company authorized the establishment of an employee 401(k) Savings Plan (the "401(k)"). The 401(k) benefit is available to all of the Company employees subject to certain service requirements. For 2000, the Company matched the first $1,000 of the employee's contribution and 50% thereafter subject to statutory limits. The Company's contribution vests ratably over 5 years for each employee. For 2000, the Company expensed $85,989. 11. RELATED PARTY TRANSACTIONS During 2000, the Company entered into a joint venture with Southern Aircraft Leasing Corporation, owned by the Chairman of the Board of the Company, whereby the Company invested $988,500 for a fractional interest of approximately 45% in two aircraft used for corporate business purposes. For corporate business purposes, the Company also utilizes the services of an aircraft owned by Southern Aircraft Leasing Corporation. For the years ended December 31, 1998, 1999 and 2000, the Company paid $97,638, $156,185, and $109,575 respectively, for utilizing the services of this aircraft. The Company held available for sale securities in a corporation for which the Chairman of the Board of the Company was the Chairman of the Board and Co-Chief Executive Officer. Investments held were $664,984 as of December 31, 1999. All of these securities were sold in March 2000 for aggregate proceeds of $1,084,050, resulting in a gain of $551,735. The Chairman of the Board of the Company, from time to time, loaned the Company funds, in excess of his pro-rata share of capital contributions, in order to fund operating expenses. Interest was imputed on the monthly outstanding balance of the loan at an annual rate of 10%. The imputed interest was recorded as interest expense in the statement of operations and as stockholders' equity. Imputed interest expense amounted to $173,868, and $150,109 for the years ended December 31, 1998, and 1999, respectively. All funds advanced were repaid as of December 31, 1999. Effective January 1, 1999, the Company entered into an agreement with United Payors & United Providers, Inc. ("UP&UP"), a corporation for which the Chairman of the Board of the Company was the Chairman of the Board and Co-Chief Executive Officer, whereby UP&UP provided administrative services for the Company and was reimbursed for the costs incurred. Prior to January 1, 1999, the Company had an unwritten arrangement with UP&UP to provide similar services. The amount paid by the Company for such services were $866,000, $3.3 million and $1.2 million, for the years ended December 31, 1998, 1999 and 2000, respectively. Under a revised agreement dated December 22, 1999, services to be provided by UP&UP subsequent to March 31, 2000, are limited primarily to services relating to information technology and communications and are paid on a cost plus fee basis. The amount paid for these services under the revised agreement was $829,000 for the year ended December 31, 2000. From time to time the Company owed UP&UP for the costs of administrative services. Such amounts payable did not bear interest. Interest on amounts due UP&UP was imputed at an annual rate of 10% and was recorded as interest expense in the statement of operations and as stockholders' equity. Such expense amounted to $64,611 and $72,501 for the years ended December 31, 1998 and 1999, respectively. F-15 HEALTHEXTRAS, INC. NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 12. SUPPLEMENTAL DISCLOSURE OF QUARTERLY RESULTS OF OPERATION Quarterly results of operations for the years ended December 31, 2000 and 1999 (in thousands, except per share amounts): First Second Third Fourth Quarter Quarter Quarter Quarter ------- ------- ------- ------- 2000 QUARTERLY OPERATING RESULTS (unaudited) Revenue ................................... $ 5,253 $ 8,098 $10,784 $20,043 ------- ------ ------ ------ Operating loss............................. (7,877) (5,240) (3,905) (2,771) Net loss ............................. (6,645) (4,740) (3,427) (2,414) Basic & diluted net loss per common share.. $ (0.24) $ (0.17) $ (0.12) $ (0.08) 1999 QUARTERLY OPERATING RESULTS (unaudited) Revenue ................................... $ 256 $ 765 $ 1,572 $ 2,733 ------- ------ ------ ------ Operating loss............................. (2,143) (1,517) (2,879) (4,557) Net loss ............................. (2,181) (1,669) (2,960) (4,719) Basic & diluted net loss per common share.. $ -- $ -- $ -- $ (0.20) Pro forma basic and diluted net loss per common share........................ $( 0.12) $( 0.09) $ (0.13) $ --