HLTH CORPORATION
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C.
20549
Form 10-Q
|
|
|
þ
|
|
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE
SECURITIES EXCHANGE ACT OF 1934
|
|
|
For the quarterly period ended
March 31, 2009
|
or
|
o
|
|
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: 0-24975
HLTH CORPORATION
(Exact name of registrant as
specified in its charter)
|
|
|
Delaware
|
|
94-3236644
|
(State of
incorporation)
|
|
(I.R.S. employer identification
no.)
|
|
|
|
669 River Drive, Center 2
Elmwood Park, New Jersey
(Address of principal
executive office)
|
|
07407-1361
(Zip
code)
|
(201) 703-3400
(Registrants
telephone number including area code)
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
þ No
o
Indicate by check mark whether the registrant has submitted
electronically and posted on its corporate Web site, if any,
every Interactive Data File required to be submitted and posted
pursuant to Rule 405 of
Regulation S-T
during the preceding 12 months (or for such shorter period
that the registrant was required to submit and post such files).
Yes
o No
o
Indicate by check mark whether the registrant is a large
accelerated filer, an accelerated filer, a non-accelerated
filer, or a smaller reporting company. See the definitions of
large accelerated filer, accelerated
filer and smaller reporting company in
Rule 12b-2
of the Exchange Act. (Check one):
|
|
|
|
|
|
|
|
|
Large accelerated filer
þ
|
|
|
Accelerated filer
o
Non-accelerated filer
o
|
|
|
|
Smaller reporting company
o
|
|
(Do
not check if a smaller reporting company)
Indicate by check mark whether the registrant is a shell company
(as defined in
Rule 12b-2
of the Exchange Act).
Yes
o No
þ
As of May 4, 2009, there were 103,591,004 shares of
HLTH Common Stock outstanding (including unvested shares of
restricted HLTH Common Stock issued under our equity
compensation plans).
HLTH
CORPORATION
QUARTERLY
REPORT ON
FORM 10-Q
For the period ended March 31, 2009
TABLE OF
CONTENTS
WebMD®,
WebMD Health and Benefits
Managersm,
CME
Circle®,
eMedicine®,
MedicineNet®,
Medpulse®,
Medscape®,
Medsite®,
POREX®,
Publishers
Circle®,
RxList®,
Select Quality
Care®,
Summex®,
theheart.org®
and The Little Blue
Booktm
are trademarks of HLTH Corporation or its subsidiaries.
2
FORWARD-LOOKING
STATEMENTS
This Quarterly Report on
Form 10-Q
contains both historical and forward-looking statements. All
statements, other than statements of historical fact, are or may
be, forward-looking statements. For example, statements
concerning projections, predictions, expectations, estimates or
forecasts and statements that describe our objectives, future
performance, plans or goals are, or may be, forward-looking
statements. These forward-looking statements reflect
managements current expectations concerning future results
and events and can generally be identified by the use of
expressions such as may, will,
should, could, would,
likely, predict, potential,
continue, future, estimate,
believe, expect, anticipate,
intend, plan, foresee, and
other similar words or phrases, as well as statements in the
future tense.
Forward-looking statements involve known and unknown risks,
uncertainties and other factors that may cause our actual
results, performance or achievements to be different from any
future results, performance and achievements expressed or
implied by these statements. The following important risks and
uncertainties could affect our future results, causing those
results to differ materially from those expressed in our
forward-looking statements:
|
|
|
|
|
the failure to achieve sufficient levels of usage of
www.webmd.com and our other public portals;
|
|
|
|
failure to achieve sufficient levels of usage and market
acceptance of new or updated products and services;
|
|
|
|
difficulties in forming and maintaining relationships with
customers and strategic partners;
|
|
|
|
the inability to successfully deploy new or updated applications
or services;
|
|
|
|
the anticipated benefits from acquisitions not being fully
realized or not being realized within the expected time frames;
|
|
|
|
the inability to attract and retain qualified personnel;
|
|
|
|
adverse economic conditions and disruptions in the capital
markets;
|
|
|
|
general business or regulatory conditions affecting the
healthcare, information technology, Internet and plastics
industries being less favorable than expected; and
|
|
|
|
the other risks and uncertainties described in this Quarterly
Report on
Form 10-Q
under the heading Managements Discussion and
Analysis of Financial Condition and Results of
Operations Factors That May Affect Our Future
Financial Condition or Results of Operations.
|
These factors are not necessarily all of the important factors
that could cause actual results to differ materially from those
expressed in any of our forward-looking statements. Other
factors, including unknown or unpredictable ones, could also
have material adverse effects on our future results.
The forward-looking statements included in this Quarterly Report
are made only as of the date of this Quarterly Report. Except as
required by law or regulation, we do not undertake any
obligation to update any forward-looking statements to reflect
subsequent events or circumstances.
3
PART I
FINANCIAL INFORMATION
|
|
ITEM 1.
|
Financial
Statements
|
HLTH
CORPORATION
CONSOLIDATED
BALANCE SHEETS
(In thousands, except share and per share data,
unaudited)
|
|
|
|
|
|
|
|
|
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
ASSETS
|
|
|
|
|
|
|
|
|
Current assets:
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
552,483
|
|
|
$
|
629,848
|
|
Accounts receivable, net of allowance for doubtful accounts of
$1,694 at March 31, 2009 and $1,301 at December 31,
2008
|
|
|
90,835
|
|
|
|
93,082
|
|
Prepaid expenses and other current assets
|
|
|
44,551
|
|
|
|
44,740
|
|
Assets of discontinued operations
|
|
|
129,253
|
|
|
|
131,350
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
817,122
|
|
|
|
899,020
|
|
Investments
|
|
|
275,885
|
|
|
|
288,049
|
|
Property and equipment, net
|
|
|
56,492
|
|
|
|
56,633
|
|
Goodwill
|
|
|
202,104
|
|
|
|
202,104
|
|
Intangible assets, net
|
|
|
30,570
|
|
|
|
32,328
|
|
Other assets
|
|
|
21,918
|
|
|
|
23,600
|
|
|
|
|
|
|
|
|
|
|
TOTAL ASSETS
|
|
$
|
1,404,091
|
|
|
$
|
1,501,734
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY
|
|
|
|
|
|
|
|
|
Current liabilities:
|
|
|
|
|
|
|
|
|
Accrued expenses
|
|
$
|
33,849
|
|
|
$
|
54,595
|
|
Deferred revenue
|
|
|
84,574
|
|
|
|
79,613
|
|
Due to broker for repurchases of convertible notes
|
|
|
8,484
|
|
|
|
|
|
Liabilities of discontinued operations
|
|
|
98,506
|
|
|
|
100,771
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
225,413
|
|
|
|
234,979
|
|
1.75% convertible subordinated notes due 2023
|
|
|
273,483
|
|
|
|
350,000
|
|
31/8%
convertible notes due 2025, net of discount of $31,799 at
March 31, 2009 and $35,982 at December 31, 2008
|
|
|
250,201
|
|
|
|
264,018
|
|
Other long-term liabilities
|
|
|
19,899
|
|
|
|
21,816
|
|
Commitments and contingencies
|
|
|
|
|
|
|
|
|
Stockholders equity:
|
|
|
|
|
|
|
|
|
HLTH stockholders equity:
|
|
|
|
|
|
|
|
|
Preferred stock, $0.0001 par value; 5,000,000 shares
authorized; no shares outstanding
|
|
|
|
|
|
|
|
|
Common stock, $0.0001 par value; 900,000,000 shares
authorized; 458,376,157 shares issued at March 31,
2009; 458,284,729 shares issued at December 31, 2008
|
|
|
46
|
|
|
|
46
|
|
Additional paid-in capital
|
|
|
12,572,745
|
|
|
|
12,566,854
|
|
Treasury stock, at cost; 356,271,161 shares at
March 31, 2009; 356,910,193 shares at
December 31, 2008
|
|
|
(3,290,696
|
)
|
|
|
(3,292,997
|
)
|
Accumulated deficit
|
|
|
(8,776,203
|
)
|
|
|
(8,776,618
|
)
|
Accumulated other comprehensive loss
|
|
|
(11,888
|
)
|
|
|
(587
|
)
|
|
|
|
|
|
|
|
|
|
Total HLTH stockholders equity
|
|
|
494,004
|
|
|
|
496,698
|
|
Noncontrolling interest in WHC
|
|
|
141,091
|
|
|
|
134,223
|
|
|
|
|
|
|
|
|
|
|
Total stockholders equity
|
|
|
635,095
|
|
|
|
630,921
|
|
|
|
|
|
|
|
|
|
|
TOTAL LIABILITIES AND STOCKHOLDERS EQUITY
|
|
$
|
1,404,091
|
|
|
$
|
1,501,734
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes.
4
HLTH
CORPORATION
CONSOLIDATED
STATEMENTS OF OPERATIONS
(In thousands, except per share data, unaudited)
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Revenue
|
|
$
|
90,264
|
|
|
$
|
80,650
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
|
36,565
|
|
|
|
30,927
|
|
Sales and marketing
|
|
|
27,561
|
|
|
|
25,149
|
|
General and administrative
|
|
|
21,848
|
|
|
|
20,849
|
|
Depreciation and amortization
|
|
|
7,103
|
|
|
|
6,775
|
|
Interest income
|
|
|
2,262
|
|
|
|
11,936
|
|
Interest expense
|
|
|
6,536
|
|
|
|
6,525
|
|
Gain on repurchases of convertible notes
|
|
|
6,647
|
|
|
|
|
|
Gain on sale of EBS Master LLC
|
|
|
|
|
|
|
538,024
|
|
Impairment of auction rate securities
|
|
|
|
|
|
|
60,108
|
|
Other expense, net
|
|
|
269
|
|
|
|
4,144
|
|
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations before income tax
(benefit) provision
|
|
|
(709
|
)
|
|
|
476,133
|
|
Income tax (benefit) provision
|
|
|
(1,217
|
)
|
|
|
25,602
|
|
Equity in earnings of EBS Master LLC
|
|
|
|
|
|
|
4,007
|
|
|
|
|
|
|
|
|
|
|
Consolidated income from continuing operations
|
|
|
508
|
|
|
|
454,538
|
|
Consolidated income from discontinued operations (net of tax
of
$1,277 in 2009 and $2,722 in 2008)
|
|
|
517
|
|
|
|
3,057
|
|
|
|
|
|
|
|
|
|
|
Consolidated net income before noncontrolling interest
|
|
|
1,025
|
|
|
|
457,595
|
|
(Income) loss attributable to noncontrolling interest
|
|
|
(610
|
)
|
|
|
3,845
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
415
|
|
|
$
|
461,440
|
|
|
|
|
|
|
|
|
|
|
Amounts attributable to HLTH stockholders:
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations
|
|
$
|
(194
|
)
|
|
$
|
458,322
|
|
Income from discontinued operations
|
|
|
609
|
|
|
|
3,118
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
415
|
|
|
$
|
461,440
|
|
|
|
|
|
|
|
|
|
|
Basic (loss) income per common share:
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations
|
|
$
|
(0.00
|
)
|
|
$
|
2.52
|
|
Income from discontinued operations
|
|
|
0.00
|
|
|
|
0.01
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
0.00
|
|
|
$
|
2.53
|
|
|
|
|
|
|
|
|
|
|
Diluted (loss) income per common share:
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations
|
|
$
|
(0.00
|
)
|
|
$
|
2.03
|
|
Income from discontinued operations
|
|
|
0.00
|
|
|
|
0.01
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
0.00
|
|
|
$
|
2.04
|
|
|
|
|
|
|
|
|
|
|
Weighted-average shares outstanding used in computing (loss)
income per common share:
|
|
|
|
|
|
|
|
|
Basic
|
|
|
101,748
|
|
|
|
182,175
|
|
|
|
|
|
|
|
|
|
|
Diluted
|
|
|
101,748
|
|
|
|
228,159
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes.
5
HLTH
CORPORATION
CONSOLIDATED
STATEMENTS OF CASH FLOWS
(In thousands, unaudited)
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Cash flows from operating activities:
|
|
|
|
|
|
|
|
|
Consolidated net income before noncontrolling interest
|
|
$
|
1,025
|
|
|
$
|
457,595
|
|
Adjustments to reconcile consolidated net income before
noncontrolling
interest to net cash (used in) provided by operating activities:
|
|
|
|
|
|
|
|
|
Consolidated income from discontinued operations, net of tax
|
|
|
(517
|
)
|
|
|
(3,057
|
)
|
Depreciation and amortization
|
|
|
7,103
|
|
|
|
6,775
|
|
Equity in earnings of EBS Master LLC
|
|
|
|
|
|
|
(4,007
|
)
|
Non-cash interest expense
|
|
|
2,799
|
|
|
|
2,661
|
|
Non-cash advertising
|
|
|
1,753
|
|
|
|
1,558
|
|
Non-cash stock-based compensation
|
|
|
9,154
|
|
|
|
5,940
|
|
Deferred income taxes
|
|
|
(2,604
|
)
|
|
|
5,132
|
|
Gain on repurchases of convertible notes
|
|
|
(6,647
|
)
|
|
|
|
|
Gain on sale of EBS Master LLC
|
|
|
|
|
|
|
(538,024
|
)
|
Impairment of auction rate securities
|
|
|
|
|
|
|
60,108
|
|
Changes in operating assets and liabilities:
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
2,247
|
|
|
|
10,449
|
|
Prepaid expenses and other, net
|
|
|
(1,224
|
)
|
|
|
17,493
|
|
Accrued expenses and other long-term liabilities
|
|
|
(20,741
|
)
|
|
|
10,479
|
|
Deferred revenue
|
|
|
4,961
|
|
|
|
11,231
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by continuing operations
|
|
|
(2,691
|
)
|
|
|
44,333
|
|
Net cash provided by (used in) discontinued operations
|
|
|
2,001
|
|
|
|
(1,966
|
)
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by operating activities
|
|
|
(690
|
)
|
|
|
42,367
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
Proceeds from maturities and sales of available-for-sale
securities
|
|
|
600
|
|
|
|
104,518
|
|
Purchases of available-for-sale securities
|
|
|
|
|
|
|
(177,150
|
)
|
Purchases of property and equipment
|
|
|
(5,309
|
)
|
|
|
(2,651
|
)
|
Proceeds related to the sales of EBS Master LLC, EPS and
ACS/ACP, net of fees
|
|
|
250
|
|
|
|
598,935
|
|
Other
|
|
|
|
|
|
|
1,195
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by continuing operations
|
|
|
(4,459
|
)
|
|
|
524,847
|
|
Net cash used in discontinued operations
|
|
|
(829
|
)
|
|
|
(1,449
|
)
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by investing activities
|
|
|
(5,288
|
)
|
|
|
523,398
|
|
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
Proceeds from issuance of HLTH and WHC common stock
|
|
|
7,041
|
|
|
|
1,777
|
|
Repurchases of convertible notes
|
|
|
(78,183
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by continuing operations
|
|
|
(71,142
|
)
|
|
|
1,777
|
|
Net cash used in discontinued operations
|
|
|
|
|
|
|
(46
|
)
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by financing activities
|
|
|
(71,142
|
)
|
|
|
1,731
|
|
Effect of exchange rates on cash
|
|
|
(245
|
)
|
|
|
1,753
|
|
|
|
|
|
|
|
|
|
|
Net (decrease) increase in cash and cash equivalents
|
|
|
(77,365
|
)
|
|
|
569,249
|
|
Cash and cash equivalents at beginning of period
|
|
|
629,848
|
|
|
|
536,879
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents at end of period
|
|
$
|
552,483
|
|
|
$
|
1,106,128
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes.
6
HLTH
CORPORATION
(In thousands, except share and per share data,
unaudited)
|
|
1.
|
Background
and Basis of Presentation
|
Background
HLTH Corporation (HLTH or the Company)
is a Delaware corporation that was incorporated in December 1995
and commenced operations in January 1996 as Healtheon
Corporation. HLTHs Common Stock began trading on the
Nasdaq National Market under the symbol HLTH on
February 11, 1999 and now trades on the Nasdaq Global
Select Market. The Company changed its name to Healtheon/WebMD
Corporation in November 1999, to WebMD Corporation in September
2000, to Emdeon Corporation in October 2005 and to HLTH
Corporation in May 2007.
WebMD Health Corp.s (WHC) Class A Common
Stock began trading on the Nasdaq National Market under the
symbol WBMD on September 29, 2005 and now
trades on the Nasdaq Global Select Market. As of March 31,
2009, the Company owned 48,100,000 shares of WHC
Class B Common Stock, which represented 83.5% of the total
outstanding Class A Common Stock and Class B Common
Stock of WHC. WHC Class A Common Stock has one vote per
share, while WHC Class B Common Stock has five votes per
share. As a result, the WHC Class B Common Stock owned by
the Company represented, as of March 31, 2009, 95.9% of the
combined voting power of WHCs outstanding Common Stock.
All shares of WHC Class B Common Stock outstanding on
September 29, 2010 (the fifth anniversary of the closing
date of WHCs initial public offering) will automatically
be converted on a share-for-share basis for shares of WHC
Class A Common Stock.
Basis of
Presentation
The accompanying consolidated financial statements include the
consolidated accounts of HLTH Corporation and its subsidiaries
and have been prepared in United States dollars, and in
accordance with U.S. generally accepted accounting
principles (GAAP). The consolidated accounts include
100% of the assets and liabilities of the majority-owned WHC and
the ownership interests of the noncontrolling stockholders of
WHC are recorded as noncontrolling interest in WHC in the
accompanying consolidated balance sheets.
In addition, the accompanying consolidated financial statements
reflect the reclassification of the Companys Porex
segment, ViPS segment and WebMDs Little Blue Book print
directory business (LBB) as discontinued operations,
as a result of the Companys intention to sell its Porex
segment and LBB and due to the sale of its ViPS segment that was
completed on July 22, 2008 (the ViPS Sale). See
Note 2 for further details.
Effective January 1, 2009, the Company adopted Financial
Accounting Standards Boards (FASB) Staff
Position (FSP) Accounting Principles Board
(APB) Opinion
No. 14-1,
Accounting for Convertible Debt Instruments That May Be
Settled in Cash upon Conversion (Including Partial Cash
Settlement) (FSP APB
14-1)
and Statement of Financial Accounting Standards
(SFAS) No. 160, Noncontrolling Interests
in Consolidated Financial Statements an amendment of
ARB No. 51 (SFAS 160). As required
by FSP
APB 14-1
and SFAS 160, the Companys historical consolidated
financial statements have been retroactively adjusted to reflect
the adoption of these standards. These accounting standards and
the impact of their adoption on the historical financial
statements are more fully described in Note 14,
Adopted and Recently Issued Accounting
Pronouncements.
Interim
Financial Statements
The unaudited consolidated financial statements of the Company
have been prepared by management and reflect all adjustments
(consisting of only normal recurring adjustments) that, in the
opinion of management, are necessary for a fair presentation of
the interim periods presented. The results of operations for the
three months ended March 31, 2009 are not necessarily
indicative of the operating results to be expected for any
7
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
subsequent period or for the entire year ending
December 31, 2009. Certain information and note disclosures
normally included in financial statements prepared in accordance
with U.S. GAAP have been condensed or omitted under the
Securities and Exchange Commissions (the SEC)
rules and regulations.
The unaudited consolidated financial statements and notes
included herein should be read in conjunction with the
Companys audited consolidated financial statements and
notes for the year ended December 31, 2008, which are
included in the Companys Annual Report on
Form 10-K
filed with the SEC.
Accounting
Estimates
The preparation of financial statements in conformity with
U.S. GAAP requires management to make certain estimates and
assumptions that affect the amounts reported in the consolidated
financial statements and accompanying notes. The Company bases
its estimates on historical experience, current business
factors, and various other assumptions that the Company believes
are necessary to consider to form a basis for making judgments
about the carrying values of assets and liabilities, the
recorded amounts of revenue and expenses, and the disclosure of
contingent assets and liabilities. The Company is subject to
uncertainties such as the impact of future events, economic,
environmental and political factors, and changes in the
Companys business environment; therefore, actual results
could differ from these estimates. Accordingly, the accounting
estimates used in the preparation of the Companys
financial statements will change as new events occur, as more
experience is acquired, as additional information is obtained
and as the Companys operating environment changes. Changes
in estimates are made when circumstances warrant. Such changes
in estimates and refinements in estimation methodologies are
reflected in reported results of operations; if material, the
effects of changes in estimates are disclosed in the notes to
the consolidated financial statements. Significant estimates and
assumptions by management affect: the allowance for doubtful
accounts, the carrying value of long-lived assets (including
goodwill and intangible assets), the amortization period of
long-lived assets (excluding goodwill and indefinite lived
intangible assets), the carrying value, capitalization and
amortization of software and Web site development costs, the
carrying value of investments in auction rate securities, the
provision for income taxes and related deferred tax accounts,
certain accrued expenses, revenue recognition, contingencies,
litigation and related legal accruals and the value attributed
to employee stock options and other stock-based awards.
Seasonality
The timing of the Companys revenue is affected by seasonal
factors. Advertising and sponsorship revenue is seasonal,
primarily as a result of the annual budget approval process of
the advertising and sponsorship clients of the public portals.
This portion of revenue is usually the lowest in the first
quarter of each calendar year, and increases during each
consecutive quarter throughout the year. Additionally, private
portal licensing revenue is historically highest in the second
half of the year as new customers are typically added during
this period in conjunction with their annual open enrollment
periods for employee benefits.
Net
Income Attributable to HLTH Stockholders Per Common
Share
Basic (loss) income per common share and diluted (loss) income
per common share are presented in conformity with
SFAS No. 128, Earnings Per Share
(SFAS 128). In accordance with SFAS 128,
basic (loss) income per common share has been computed using the
weighted-average number of shares of common stock outstanding
during the period. Diluted (loss) income per common share has
been computed using the weighted-average number of shares of
common stock outstanding during the period, increased to give
effect to potentially dilutive securities and assumes that any
dilutive convertible notes were converted, only in the periods
in which such effect is dilutive. Additionally, for purposes of
calculating diluted (loss) income per common share of the
Company, the numerator has been adjusted to consider the effect
of potentially dilutive securities of WHC, which can dilute the
portion of WHCs net income (loss) otherwise retained by
the
8
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Company. The following table presents the calculation of basic
and diluted (loss) income per common share (shares in thousands)
for amounts attributable to HLTH stockholders:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Amounts Attributable to HLTH Stockholders:
|
|
|
|
|
|
|
|
|
Numerator:
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations Basic
|
|
$
|
(194
|
)
|
|
$
|
458,322
|
|
Interest expense on convertible notes, net of tax
|
|
|
|
|
|
|
3,921
|
|
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations Diluted
|
|
$
|
(194
|
)
|
|
$
|
462,243
|
|
|
|
|
|
|
|
|
|
|
Income from discontinued operations, net of tax
Basic and Diluted
|
|
$
|
609
|
|
|
$
|
3,118
|
|
|
|
|
|
|
|
|
|
|
Denominator:
|
|
|
|
|
|
|
|
|
Weighted-average shares Basic
|
|
|
101,748
|
|
|
|
182,175
|
|
Employee stock options, restricted stock and warrants
|
|
|
|
|
|
|
3,968
|
|
Convertible notes
|
|
|
|
|
|
|
42,016
|
|
|
|
|
|
|
|
|
|
|
Adjusted weighted-average shares after assumed
conversions Diluted
|
|
|
101,748
|
|
|
|
228,159
|
|
|
|
|
|
|
|
|
|
|
Basic (loss) income per common share:
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations
|
|
$
|
(0.00
|
)
|
|
$
|
2.52
|
|
Income from discontinued operations
|
|
|
0.00
|
|
|
|
0.01
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
0.00
|
|
|
$
|
2.53
|
|
|
|
|
|
|
|
|
|
|
Diluted (loss) income per common share:
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations
|
|
$
|
(0.00
|
)
|
|
$
|
2.03
|
|
Income from discontinued operations
|
|
|
0.00
|
|
|
|
0.01
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
0.00
|
|
|
$
|
2.04
|
|
|
|
|
|
|
|
|
|
|
The Company has excluded convertible subordinated notes and
convertible notes, as well as certain outstanding warrants,
restricted stock and stock options, from the calculation of
diluted (loss) income per common share during the periods in
which such securities were anti-dilutive. The following table
presents the total number of shares that could potentially
dilute (loss) income per common share in the future that were
not included in the computation of diluted income per common
share during the periods presented (shares in thousands):
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Options, restricted stock and warrants
|
|
|
44,028
|
|
|
|
35,059
|
|
Convertible notes
|
|
|
35,887
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
79,915
|
|
|
|
35,059
|
|
|
|
|
|
|
|
|
|
|
Income
Taxes
The income tax benefit of $1,217 and provision of $25,602 for
the three months ended March 31, 2009 and 2008,
respectively, represents taxes for federal, state and other
jurisdictions. For the three months ended March 31, 2009,
the gain on repurchases of convertible notes is provided for at
a lower effective tax rate than
9
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
the Companys ordinary operations, resulting in an income
tax benefit. For the three months ended March 31, 2008,
while the majority of the gain on the 2008 EBSCo Sale (as
defined in Note 4) was offset by net operating loss
carryforwards, certain alternative minimum taxes and other state
taxes were not offset, resulting in a provision of approximately
$24,000. Also, the income tax provision for the three months
ended March 31, 2008 excludes a benefit for the impairment
of auction rate securities, as it is currently not deductible
for tax purposes.
Reclassifications
Certain reclassifications have been made to the prior period
financial statements to conform to the current year presentation.
|
|
2.
|
Discontinued
Operations
|
WebMDs
Little Blue Book Print Directory Business
During March 2009, WebMDs Board of Directors decided to
divest the Companys LBB as it is not strategic to the rest
of WebMDs overall business, and initiated the process of
seeking a buyer for LBB. Accordingly, the financial information
for LBB has been reflected as discontinued operations in the
accompanying consolidated financial statements. Summarized
operating results for the discontinued operations of LBB are as
follows:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Revenue
|
|
$
|
572
|
|
|
$
|
1,032
|
|
Losses before taxes
|
|
|
715
|
|
|
|
700
|
|
The major classes of assets and liabilities of LBB are as
follows:
|
|
|
|
|
|
|
|
|
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Assets of discontinued operations:
|
|
|
|
|
|
|
|
|
Accounts receivable, net
|
|
$
|
395
|
|
|
$
|
1,058
|
|
Property and equipment, net
|
|
|
89
|
|
|
|
98
|
|
Goodwill
|
|
|
11,044
|
|
|
|
11,044
|
|
Intangible assets, net
|
|
|
298
|
|
|
|
362
|
|
Other assets
|
|
|
13
|
|
|
|
13
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
11,839
|
|
|
$
|
12,575
|
|
|
|
|
|
|
|
|
|
|
Liabilities of discontinued operations:
|
|
|
|
|
|
|
|
|
Accrued expenses
|
|
$
|
69
|
|
|
$
|
113
|
|
Deferred revenue
|
|
|
1,577
|
|
|
|
876
|
|
Deferred tax liability
|
|
|
1,570
|
|
|
|
1,570
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
$
|
3,216
|
|
|
$
|
2,559
|
|
|
|
|
|
|
|
|
|
|
ViPS
and Porex
In November 2007, the Company announced its intention to explore
potential sales transactions for its ViPS and Porex businesses
and in February 2008, the Company announced its intention to
divest these segments. On July 22, 2008, the ViPS business
was sold and the divestiture process for Porex remains ongoing.
Accordingly, the financial information for ViPS and Porex is
reflected as discontinued operations in the accompanying
consolidated financial statements.
10
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Porex
Summarized operating results for the discontinued operations of
Porex are as follows:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Revenue
|
|
$
|
18,253
|
|
|
$
|
23,761
|
|
Earnings before taxes
|
|
|
2,400
|
|
|
|
3,476
|
|
The major classes of assets and liabilities of Porex are as
follows:
|
|
|
|
|
|
|
|
|
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Assets of discontinued operations:
|
|
|
|
|
|
|
|
|
Accounts receivable, net
|
|
$
|
11,297
|
|
|
$
|
13,866
|
|
Inventory
|
|
|
11,835
|
|
|
|
11,978
|
|
Property and equipment, net
|
|
|
22,025
|
|
|
|
21,487
|
|
Goodwill
|
|
|
42,095
|
|
|
|
42,297
|
|
Intangible assets, net
|
|
|
24,700
|
|
|
|
24,724
|
|
Deferred tax asset
|
|
|
1,420
|
|
|
|
1,420
|
|
Other assets
|
|
|
4,042
|
|
|
|
3,003
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
117,414
|
|
|
$
|
118,775
|
|
|
|
|
|
|
|
|
|
|
Liabilities of discontinued operations:
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
$
|
2,326
|
|
|
$
|
1,601
|
|
Accrued expenses and other
|
|
|
6,850
|
|
|
|
6,654
|
|
Deferred tax liability
|
|
|
12,134
|
|
|
|
12,095
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
$
|
21,310
|
|
|
$
|
20,350
|
|
|
|
|
|
|
|
|
|
|
ViPS
On July 22, 2008, the Company completed the ViPS Sale to an
affiliate of General Dynamics Corporation. The Company received
cash proceeds of $223,175, net of a working capital adjustment,
professional fees and other expenses associated with the ViPS
Sale. In connection with the ViPS Sale, the Company recognized a
pre-tax gain of $96,969 and incurred approximately $1,472 of
professional fees and other expenses. Summarized operating
results for the discontinued operations of ViPS are as follows:
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31, 2008
|
|
|
Revenue
|
|
$
|
25,983
|
|
Earnings before taxes
|
|
|
2,851
|
|
EPS
On September 14, 2006, the Company completed the EPS Sale
to Sage Software, Inc. (Sage Software), an indirect
wholly owned subsidiary of The Sage Group plc. The Company has
certain indemnity obligations to advance amounts for reasonable
defense costs for initially ten, and now eight, former officers
and directors of EPS, who were indicted in connection with the
previously disclosed investigation by the United States Attorney
for the District of South Carolina (the
Investigation), which is more fully described in
Note 10 Commitments and Contingencies. In
connection with the EPS Sale, the Company agreed to indemnify
Sage
11
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Software relating to these indemnity obligations. During the
year ended December 31, 2007, based on information
available at that time, the Company determined a reasonable
estimate of the range of probable costs with respect to its
indemnification obligation and accordingly, recorded an
aggregate pre-tax charge of $73,347, which represented the
Companys estimate of the low end of the probable range of
costs related to this matter. The Company had reserved the low
end of the probable range of costs because no estimate within
the range was a better estimate than any other amount. That
estimate included assumptions as to the duration of the trial
and pre-trial periods, and the defense costs to be incurred
during these periods. During the three months ended
June 30, 2008 and again during the three months ended
December 31, 2008, the Company updated the estimated range
of its indemnification obligation based on new information
received during those periods, and as a result, recorded
additional pre-tax charges of $16,980 and $12,098, respectively,
each of which reflected increases in the low end of the probable
range of costs related to this matter. The probable range of
future costs with respect to this matter is estimated to be
approximately $36,400 to $56,400 as of March 31, 2009,
which includes costs that have been incurred prior to, but were
not yet paid, as of March 31, 2009. The ultimate outcome of
this matter is still uncertain, and the estimate of future costs
includes assumptions as to the duration of the trial and the
defense costs to be incurred during the remainder of the
pre-trial period and during the trial period. Accordingly, the
amount of cost the Company may ultimately incur could be
substantially more than the reserve the Company has currently
provided. If the recorded reserves are insufficient to cover the
ultimate cost of this matter, the Company will need to record
additional charges to its consolidated statement of operations
in future periods. The accrual related to this obligation was
$36,391 and $47,550 as of March 31, 2009 and
December 31, 2008, respectively, and is included within
liabilities of discontinued operations in the accompanying
consolidated balance sheets.
As of March 31, 2009, also included within liabilities of
discontinued operations related to this matter is $37,589, which
represents reimbursements received from the Companys
insurance carriers between July 31, 2008 and March 31,
2009. The Company deferred recognizing these insurance
reimbursements within the consolidated statement of operations
given the pending Coverage Litigation, which is described below
in Note 10. During January 2008, the Company also received
reimbursement of expense costs related to defense costs from two
insurance carriers in the amount of $14,625 (see Note 10
for additional information). This amount was received through a
settlement with these carriers, and accordingly, is not subject
to the pending Coverage Litigation.
Also included in income from discontinued operations for the
three months ended March 31, 2009 and 2008 is $109 and
$152, respectively, related to the reversal of certain sales and
use tax contingencies, which were indemnified by the Company for
Sage Software, resulting from the expiration of statutes of
limitations.
|
|
3.
|
Repurchases
of Convertible Notes
|
During the three months ended March 31, 2009, the Company
repurchased $76,517 principal amount of its
1.75% Convertible Subordinated Notes Due 2023
(1.75% Notes) for $71,623 in cash, which
includes $4,712 that was paid after March 31, 2009 and is
included in due to broker for repurchases of convertible notes
in the accompanying consolidated balance sheets as of
March 31, 2009. Also during the three months ended
March 31, 2009, the Company repurchased $18,000 principal
amount of its
31/8% Convertible
Notes Due 2025
(31/8% Notes)
for $15,044 in cash, which includes $3,772 that was paid after
March 31, 2009 and is included in due to broker for
repurchases of convertible notes in the accompanying
consolidated balance sheets as of March 31, 2009. The
Company recognized an aggregate gain of $6,647 related to the
repurchases of the 1.75% Notes and
31/8% Notes
during the three months ended March 31, 2009, which is
reflected as gain on repurchases of convertible notes in the
accompanying consolidated statement of operations. The gain
considers the write-off of remaining deferred issuance costs
outstanding at the time these notes were repurchased.
12
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
4.
|
Emdeon
Business Services
|
On February 8, 2008, the Company entered into a Securities
Purchase Agreement and simultaneously completed the sale of its
48% minority ownership interest in EBS Master LLC
(EBSCo), which was reflected as an investment
accounted for under the equity method, for $574,617 in cash, net
of professional fees and other expenses, to an affiliate of
General Atlantic LLC and affiliates of Hellman &
Friedman, LLC (the 2008 EBSCo Sale). In connection
with the 2008 EBSCo Sale, the Company recognized a gain of
$538,024 during the three months ended March 31, 2008.
The Companys share of EBSCos net earnings is
reported as equity in earnings of EBS Master LLC in the
accompanying consolidated statements of operations for the
period January 1, 2008 through February 8, 2008, the
closing date of the 2008 EBSCo Sale. The difference between the
equity in earnings of EBS Master LLC in the accompanying
consolidated statements of operations and 48% of the net income
of EBSCo is principally due to the amortization of the excess of
the fair value of EBSCos net assets as adjusted for in
purchase accounting, over the carryover basis of the
Companys investment in EBSCo. The following is summarized
financial information of EBSCo for the period January 1,
2008 through February 8, 2008:
|
|
|
|
|
|
|
For the Period
|
|
|
|
January 1, 2008
|
|
|
|
Through
|
|
|
|
February 8, 2008
|
|
|
Revenue
|
|
$
|
94,481
|
|
Cost of operations
|
|
|
44,633
|
|
Net income
|
|
|
5,551
|
|
Segment information has been prepared in accordance with
SFAS No. 131, Disclosures about Segments of an
Enterprise and Related Information
(SFAS 131). The accounting policies of the
segments are the same as the accounting policies for the
consolidated Company. The performance of the Companys
business is monitored based on earnings before interest, taxes,
non-cash and other items. Other items include: a gain on the
sale of our investment in EBS, an impairment charge related to
investments in auction rate securities, legal expenses incurred
by the Company, which reflect costs and expenses related to the
investigation by the United States Attorney for the
District of South Carolina and the SEC; the gain on the
repurchases of the Companys convertible notes; income
related to the reduction of certain sales and use tax
contingencies; and professional fees, primarily consisting of
legal, accounting and financial advisory services related to the
merger between HLTH and WHC, which was terminated in October
2008.
The WebMD segment and Corporate segment are described as follows:
|
|
|
|
|
WebMD provides health information services to consumers,
physicians and other healthcare professionals, employers and
health plans through WebMDs public and private online
portals and health-focused publications. WebMDs public
portals for consumers enable them to obtain health and wellness
information (including information on specific diseases or
conditions), check symptoms, locate physicians, store individual
healthcare information, receive periodic
e-newsletters
on topics of individual interest and participate in online
communities with peers and experts. WebMDs public portals
for physicians and healthcare professionals make it easier for
them to access clinical reference sources, stay abreast of the
latest clinical information, learn about new treatment options,
earn continuing medical education (CME) credit and
communicate with peers. WebMDs public portals generate
revenue primarily through the sale of advertising and
sponsorship products, including CME services. The sponsors and
advertisers include pharmaceutical, biotechnology, medical
device and consumer products companies. WebMDs private
portals enable employers and health plans to provide their
employees and plan members with access to personalized health
and benefit information and decision-support
|
13
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
|
|
technology that helps them make more informed benefit, provider
and treatment choices. WebMD provides related services for use
by such employees and members, including lifestyle education and
personalized telephonic health coaching. WebMD generates revenue
from its private portals through the licensing of these portals
to employers and health plans either directly or through
distributors. WebMD also provides
e-detailing
promotion and physician recruitment services for use by
pharmaceutical, medical device and healthcare companies. WebMD
also publishes WebMD the Magazine, a consumer magazine
distributed to physician office waiting rooms.
|
|
|
|
|
|
Corporate includes personnel costs and other expenses
related to executive personnel, legal, accounting, tax, internal
audit, risk management, human resources and certain information
technology functions, as well as other costs and expenses, such
as professional fees including legal and audit services,
insurance, costs of leased property and facilities,
telecommunication costs and software maintenance expenses.
Corporate expenses are net of $1,035 and $873 for the three
months ended March 31, 2009 and 2008, respectively, which
are costs allocated to WHC for services provided by the
Corporate segment. In connection with the sale of a 52% interest
in the Companys Emdeon Business Services segment during
2006 and the ViPS Sale, the Company entered into transition
services agreements whereby the Company provided ViPS and EBSCo
certain administrative services, including payroll, accounting,
purchasing and procurement, tax, and human resource services, as
well as information technology support. Additionally, EBSCo
provided certain administrative services to the Company. These
services were provided through the Corporate segment, and the
related transition services fees that the Company charged to
ViPS and EBSCo, net of the fee the Company paid to EBSCo, were
also included in the Corporate segment, which were intended to
approximate the cost of providing these services.
|
As a result of the Companys decision to divest LBB, the
Company eliminated the separate segment presentation for WebMD
Publishing and Other Services.
14
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Summarized financial information for the WebMD segment and the
Corporate segment and a reconciliation to consolidated income
from continuing operations are presented below:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Revenue
|
|
|
|
|
|
|
|
|
WebMD:
|
|
|
|
|
|
|
|
|
Advertising and sponsorship
|
|
$
|
65,428
|
|
|
$
|
56,482
|
|
Licensing
|
|
|
22,975
|
|
|
|
21,923
|
|
Print
|
|
|
1,861
|
|
|
|
2,245
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
90,264
|
|
|
$
|
80,650
|
|
|
|
|
|
|
|
|
|
|
Earnings before interest, taxes, non-cash and other
items
|
|
|
|
|
|
|
|
|
WebMD
|
|
$
|
18,688
|
|
|
$
|
16,332
|
|
Corporate
|
|
|
(3,427
|
)
|
|
|
(5,059
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
15,261
|
|
|
|
11,273
|
|
Interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
2,262
|
|
|
|
11,936
|
|
Interest expense
|
|
|
(6,536
|
)
|
|
|
(6,525
|
)
|
Income tax benefit (provision)
|
|
|
1,217
|
|
|
|
(25,602
|
)
|
Depreciation and amortization
|
|
|
(7,103
|
)
|
|
|
(6,775
|
)
|
Non-cash stock-based compensation
|
|
|
(9,154
|
)
|
|
|
(5,940
|
)
|
Non-cash advertising
|
|
|
(1,753
|
)
|
|
|
(1,558
|
)
|
Gain on repurchases of convertible notes
|
|
|
6,647
|
|
|
|
|
|
Equity in earnings of EBS Master LLC
|
|
|
|
|
|
|
4,007
|
|
Gain on sale of EBS Master LLC
|
|
|
|
|
|
|
538,024
|
|
Impairment of auction rate securities
|
|
|
|
|
|
|
(60,108
|
)
|
Other expense, net
|
|
|
(333
|
)
|
|
|
(4,194
|
)
|
|
|
|
|
|
|
|
|
|
Consolidated income from continuing operations
|
|
|
508
|
|
|
|
454,538
|
|
Consolidated income from discontinued operations, net of tax
|
|
|
517
|
|
|
|
3,057
|
|
|
|
|
|
|
|
|
|
|
Consolidated net income before noncontrolling interest
|
|
|
1,025
|
|
|
|
457,595
|
|
(Income) loss attributable to noncontrolling interest
|
|
|
(610
|
)
|
|
|
3,845
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH Corporation
|
|
$
|
415
|
|
|
$
|
461,440
|
|
|
|
|
|
|
|
|
|
|
|
|
6.
|
Stock-Based
Compensation
|
The Company has various stock-based compensation plans
(collectively, the Plans) under which directors,
officers and other eligible employees receive awards of options
to purchase HLTH Common Stock and restricted shares of HLTH
Common Stock. Additionally, WHC has two similar stock-based
compensation plans that provide for stock options and restricted
stock awards based on WHC Class A Common Stock. The Company
also maintained an Employee Stock Purchase Plan through
April 30, 2008, which provided employees with the ability
to buy shares of HLTH Common Stock at a discount. The following
sections of this note summarize the activity for each of these
plans.
15
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
HLTH
Plans
The Company had an aggregate of 2,745,547 shares of HLTH
Common Stock available for future grants under the Plans as of
March 31, 2009. In addition to the Plans, the Company has
granted options to certain directors, officers and key employees
pursuant to individual stock option agreements. At
March 31, 2009, there were options to purchase
4,104,881 shares of HLTH Common Stock outstanding to these
individuals. The terms of these grants are similar to the terms
of the options granted under the Plans and accordingly, the
stock option activity of these individuals is included in all
references to the Plans. Shares are issued from treasury stock
when options are exercised or restricted stock is granted.
Stock
Options
Generally, options under the Plans vest and become exercisable
ratably over periods ranging from three to five years based on
their individual grant dates subject to continued employment on
the applicable vesting dates. The majority of options granted
under the Plans expire within ten years from the date of grant.
Options are granted at prices not less than the fair market
value of HLTH Common Stock on the date of grant. The following
table summarizes activity for the Plans:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
Average
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
Remaining
|
|
|
Aggregate
|
|
|
|
|
|
|
Exercise Price
|
|
|
Contractual
|
|
|
Intrinsic
|
|
|
|
Shares
|
|
|
Per Share
|
|
|
Life (In Years)
|
|
|
Value (1)
|
|
|
Outstanding as of January 1, 2009
|
|
|
44,481,624
|
|
|
$
|
14.41
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
137,500
|
|
|
|
10.39
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(639,032
|
)
|
|
|
8.58
|
|
|
|
|
|
|
|
|
|
Cancelled
|
|
|
(1,063,123
|
)
|
|
|
19.31
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding as of March 31, 2009
|
|
|
42,916,969
|
|
|
$
|
14.36
|
|
|
|
3.1
|
|
|
$
|
22,818
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vested and exercisable at the end of the period
|
|
|
37,814,764
|
|
|
$
|
14.96
|
|
|
|
2.3
|
|
|
$
|
18,182
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
|
The aggregate intrinsic value is
based on the market price of HLTHs Common Stock on
March 31, 2009, which was $10.35, less the applicable
exercise price of the underlying option. This aggregate
intrinsic value represents the amount that would have been
realized if all of the option holders had exercised their
options on March 31, 2009.
|
The fair value of each option granted is estimated on the date
of grant using the Black-Scholes option pricing model,
considering the assumptions noted in the following table.
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Expected dividend yield
|
|
|
0
|
%
|
|
|
0
|
%
|
Expected volatility
|
|
|
0.38
|
|
|
|
0.33
|
|
Risk-free interest rate
|
|
|
1.50
|
%
|
|
|
2.82
|
%
|
Expected term (years)
|
|
|
3.84
|
|
|
|
3.81
|
|
Weighted average fair value of options granted during the period
|
|
$
|
3.20
|
|
|
$
|
3.92
|
|
Expected volatility is based on implied volatility from traded
options of HLTH Common Stock combined with historical volatility
of HLTH Common Stock. Prior to January 1, 2006, only
historical volatility was considered. The expected term
represents the period of time that options are expected to be
outstanding following their grant date, and was determined using
historical exercise data. The risk-free rate is based on the
U.S. Treasury yield curve for periods equal to the expected
term of the options on the grant date.
16
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Restricted
Stock Awards
HLTH Restricted Stock consists of shares of HLTH Common Stock
which have been awarded to employees with restrictions that
cause them to be subject to substantial risk of forfeiture and
restrict their sale or other transfer by the employee until they
vest. Generally, HLTH Restricted Stock awards vest ratably over
periods ranging from three to five years from their individual
award dates subject to continued employment on the applicable
vesting dates. The following table summarizes the activity of
non-vested HLTH Restricted Stock:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
|
|
|
Average
|
|
|
|
|
|
|
Grant Date
|
|
|
|
Shares
|
|
|
Fair Value
|
|
|
Balance as of January 1, 2009
|
|
|
1,212,624
|
|
|
$
|
9.94
|
|
Granted
|
|
|
6,000
|
|
|
|
9.46
|
|
Vested
|
|
|
(115,207
|
)
|
|
|
9.16
|
|
|
|
|
|
|
|
|
|
|
Balance as of March 31, 2009
|
|
|
1,103,417
|
|
|
$
|
10.02
|
|
|
|
|
|
|
|
|
|
|
Proceeds received from the exercise of options to purchase HLTH
Common Stock were $5,482 and $1,588 for the three months ended
March 31, 2009 and 2008, respectively. The intrinsic value
related to the exercise of these stock options, as well as the
fair value of shares of HLTH Restricted Stock that vested, was
$2,799 and $2,375 for the three months ended March 31, 2009
and 2008, respectively.
WebMD
Plans
During September 2005, WHC adopted the 2005 Long-Term Incentive
Plan (as amended, the WHC Plan). Additionally, in
connection with the acquisition of Subimo, LLC, in December
2006, WHC adopted the WebMD Health Corp. Long-Term Incentive
Plan for Employees of Subimo, LLC (as amended, the Subimo
Plan). The terms of the Subimo Plan are similar to the
terms of the WHC Plan but it has not been approved by WHC
stockholders. Awards under the Subimo Plan were made on the date
of the Companys acquisition of Subimo, LLC in reliance on
the NASDAQ Global Select Market exception to shareholder
approval for equity grants to new hires. No additional grants
will be made under the Subimo Plan. The WHC Plan and the Subimo
Plan are referred to below as the WebMD Plans. The
maximum number of shares of WHC Class A Common Stock that
may be subject to options or restricted stock awards under the
WebMD Plans was 14,980,574 as of March 31, 2009, subject to
adjustment in accordance with the terms of the WebMD Plans. WHC
had an aggregate of 2,068,457 shares of Class A Common
Stock available for future grants under the WebMD Plans at
March 31, 2009. Shares of WHC Class A Common Stock are
issued from WHCs treasury stock when options are exercised
or restricted stock is granted to the extent shares are
available in WHCs treasury, otherwise new Class A
Common Stock is issued in connection with these transactions.
17
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Stock
Options
Generally, options under the WebMD Plans vest and become
exercisable ratably over periods ranging from four to five years
based on their individual grant dates subject to continued
employment on the applicable vesting dates. The options granted
under the WebMD Plans expire within ten years from the date of
grant. Options are granted at prices not less than the fair
market value of WHCs Class A Common Stock on the date
of grant. The following table summarizes activity for the WebMD
Plans:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
Average
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
Remaining
|
|
|
Aggregate
|
|
|
|
|
|
|
Exercise Price
|
|
|
Contractual
|
|
|
Intrinsic
|
|
|
|
Shares
|
|
|
Per Share
|
|
|
Life (In Years)
|
|
|
Value (1)
|
|
|
Outstanding as of January 1, 2009
|
|
|
10,284,236
|
|
|
$
|
25.46
|
|
|
|
|
|
|
|
|
|
Granted
|
|
|
226,000
|
|
|
|
22.53
|
|
|
|
|
|
|
|
|
|
Exercised
|
|
|
(109,847
|
)
|
|
|
17.50
|
|
|
|
|
|
|
|
|
|
Cancelled
|
|
|
(278,275
|
)
|
|
|
29.03
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding as of March 31, 2009
|
|
|
10,122,114
|
|
|
$
|
25.39
|
|
|
|
8.6
|
|
|
$
|
11,804
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vested and exercisable at the end of the period
|
|
|
2,374,252
|
|
|
$
|
24.35
|
|
|
|
6.9
|
|
|
$
|
7,711
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
|
The aggregate intrinsic value is
based on the market price of WHCs Class A Common
Stock on March 31, 2009, which was $22.30, less the
applicable exercise price of the underlying option. This
aggregate intrinsic value represents the amount that would have
been realized if all of the option holders had exercised their
options on March 31, 2009.
|
The fair value of each option granted is estimated on the date
of grant using the Black-Scholes option pricing model,
considering the assumptions noted in the following table.
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Expected dividend yield
|
|
|
0
|
%
|
|
|
0
|
%
|
Expected volatility
|
|
|
0.57
|
|
|
|
0.43
|
|
Risk-free interest rate
|
|
|
1.33
|
%
|
|
|
2.31
|
%
|
Expected term (years)
|
|
|
3.4
|
|
|
|
3.3
|
|
Weighted average fair value of options granted during the period
|
|
$
|
9.31
|
|
|
$
|
11.51
|
|
Expected volatility is based on implied volatility from traded
options of WHC Class A Common Stock combined with
historical volatility of WHC Class A Common Stock. The
expected term represents the period of time that options are
expected to be outstanding following their grant date, and was
determined using historical exercise data of WHC employees who
were previously granted HLTH stock options. The risk-free rate
is based on the U.S. Treasury yield curve for periods equal
to the expected term of the options on the grant date.
18
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Restricted
Stock Awards
WHC Restricted Stock consists of shares of WHC Class A
Common Stock which have been awarded to employees with
restrictions that cause them to be subject to substantial risk
of forfeiture and restrict their sale or other transfer by the
employee until they vest. Generally, WHC Restricted Stock awards
vest ratably over periods ranging from four to five years from
their individual award dates subject to continued employment on
the applicable vesting dates. The following table summarizes the
activity of non-vested WHC Restricted Stock:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
|
|
|
Average
|
|
|
|
|
|
|
Grant Date
|
|
|
|
Shares
|
|
|
Fair Value
|
|
|
Balance as of January 1, 2009
|
|
|
706,009
|
|
|
$
|
25.22
|
|
Granted
|
|
|
5,000
|
|
|
|
21.82
|
|
Vested
|
|
|
(11,463
|
)
|
|
|
42.99
|
|
Forfeited
|
|
|
(21,283
|
)
|
|
|
31.82
|
|
|
|
|
|
|
|
|
|
|
Balance as of March 31, 2009
|
|
|
678,263
|
|
|
$
|
24.69
|
|
|
|
|
|
|
|
|
|
|
Proceeds received from the exercise of options to purchase WHC
Class A Common Stock were $1,922 and $589 for the three
months ended March 31, 2009 and 2008, respectively. The
intrinsic value related to the exercise of these stock options,
as well as the fair value of shares of WHC Restricted Stock that
vested, was $790 and $971 for the three months ended
March 31, 2009 and 2008, respectively.
Employee
Stock Purchase Plan
The Companys 1998 Employee Stock Purchase Plan, as amended
from time to time (the ESPP), allowed eligible
employees the opportunity to purchase shares of HLTH Common
Stock through payroll deductions, up to 15% of a
participants annual compensation with a maximum of
5,000 shares available per participant during each purchase
period. The purchase price of the stock was 85% of the fair
market value on the last day of each purchase period. The ESPP
provided for annual increases equal to the lesser of
1,500,000 shares, 0.5% of the outstanding common shares, or
a lesser amount determined by the Board of Directors. The ESPP
was terminated effective April 30, 2008 and there were no
shares issued under the ESPP during the three months ended
March 31, 2008.
Other
At the time of the WHC initial public offering and each year on
the anniversary of the initial public offering, WHC issued
shares of WHC Class A Common Stock to each non-employee
director with a value equal to their annual board and committee
retainers. The Company recorded $85 of stock-based compensation
expense during the three months ended March 31, 2009 and
2008 in connection with these issuances.
Additionally, the Company recorded stock-based compensation
expense of $279 during the three months ended March 31,
2008 in connection with a stock transferability right for shares
that were issued in connection with the acquisition of Subimo,
LLC by WHC.
19
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Summary
of Stock-Based Compensation Expense
The following table summarizes the components and classification
of stock-based compensation expense:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
HLTH Plans:
|
|
|
|
|
|
|
|
|
Stock options
|
|
$
|
2,066
|
|
|
$
|
1,944
|
|
Restricted stock
|
|
|
1,902
|
|
|
|
1,373
|
|
WHC Plans:
|
|
|
|
|
|
|
|
|
Stock options
|
|
|
4,550
|
|
|
|
2,406
|
|
Restricted stock
|
|
|
865
|
|
|
|
164
|
|
Employee Stock Purchase Plan
|
|
|
|
|
|
|
46
|
|
Other
|
|
|
88
|
|
|
|
350
|
|
|
|
|
|
|
|
|
|
|
Total stock-based compensation expense
|
|
$
|
9,471
|
|
|
$
|
6,283
|
|
|
|
|
|
|
|
|
|
|
Included in:
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
$
|
1,623
|
|
|
$
|
1,116
|
|
Sales and marketing
|
|
|
1,550
|
|
|
|
1,126
|
|
General and administrative
|
|
|
5,981
|
|
|
|
3,698
|
|
|
|
|
|
|
|
|
|
|
Consolidated income from continuing operations
|
|
|
9,154
|
|
|
|
5,940
|
|
Consolidated income from discontinued operations
|
|
|
317
|
|
|
|
343
|
|
|
|
|
|
|
|
|
|
|
Total stock-based compensation expense
|
|
$
|
9,471
|
|
|
$
|
6,283
|
|
|
|
|
|
|
|
|
|
|
As of March 31, 2009, approximately $18,168 and $74,935 of
unrecognized stock-based compensation expense related to
unvested awards (net of estimated forfeitures) is expected to be
recognized over a weighted-average period of approximately
2.2 years and 3.3 years, related to the HLTH Plans and
the WebMD Plans, respectively.
20
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The following is a summary of the change in stockholders
equity for the three months ended March 31, 2009 and 2008,
including a summary of total comprehensive loss for the period:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, 2009
|
|
|
|
HLTH
|
|
|
|
|
|
Total
|
|
|
|
Stockholders
|
|
|
Noncontrolling
|
|
|
Stockholders
|
|
|
|
Equity
|
|
|
Interest in WHC
|
|
|
Equity
|
|
|
Balance as of the beginning of the period
|
|
$
|
496,698
|
|
|
$
|
134,223
|
|
|
$
|
630,921
|
|
Comprehensive loss:
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
415
|
|
|
|
610
|
|
|
|
1,025
|
|
Net change in unrealized losses on securities
|
|
|
(10,583
|
)
|
|
|
(981
|
)
|
|
|
(11,564
|
)
|
Foreign currency translation losses
|
|
|
(718
|
)
|
|
|
|
|
|
|
(718
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive loss
|
|
|
(10,886
|
)
|
|
|
(371
|
)
|
|
|
(11,257
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of stock for option exercises and other issuances
|
|
|
5,214
|
|
|
|
1,827
|
|
|
|
7,041
|
|
Stock-based compensation expense
|
|
|
3,967
|
|
|
|
5,412
|
|
|
|
9,379
|
|
Repurchases of
31/8%
convertible notes, net of tax
|
|
|
(989
|
)
|
|
|
|
|
|
|
(989
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of the end of the period
|
|
$
|
494,004
|
|
|
$
|
141,091
|
|
|
$
|
635,095
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31, 2008
|
|
|
|
HLTH
|
|
|
|
|
|
Total
|
|
|
|
Stockholders
|
|
|
Noncontrolling
|
|
|
Stockholders
|
|
|
|
Equity
|
|
|
Interest in WHC
|
|
|
Equity
|
|
|
Balance as of the beginning of the period
|
|
$
|
642,808
|
|
|
$
|
131,353
|
|
|
$
|
774,161
|
|
Comprehensive income (loss):
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
|
461,440
|
|
|
|
(3,845
|
)
|
|
|
457,595
|
|
Unrealized losses on securities
|
|
|
(347
|
)
|
|
|
|
|
|
|
(347
|
)
|
Reversal of comprehensive loss related to EBS Master LLC
|
|
|
7,326
|
|
|
|
|
|
|
|
7,326
|
|
Foreign currency translation gains
|
|
|
3,354
|
|
|
|
|
|
|
|
3,354
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total comprehensive income (loss)
|
|
|
471,773
|
|
|
|
(3,845
|
)
|
|
|
467,928
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Issuance of stock for option exercises, ESPP and other issuances
|
|
|
1,308
|
|
|
|
469
|
|
|
|
1,777
|
|
Tax benefit realized from issuances of common stock and
valuation reversal
|
|
|
1,440
|
|
|
|
|
|
|
|
1,440
|
|
Stock-based compensation expense
|
|
|
3,318
|
|
|
|
2,837
|
|
|
|
6,155
|
|
Gain on issuance of WHC Class A common stock and other
|
|
|
583
|
|
|
|
(583
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance as of the end of the period
|
|
$
|
1,121,230
|
|
|
$
|
130,231
|
|
|
$
|
1,251,461
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated other comprehensive loss includes:
|
|
|
|
|
|
|
|
|
|
|
March 31,
|
|
|
December 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Foreign currency translation gains
|
|
$
|
7,373
|
|
|
$
|
8,091
|
|
Unrealized losses on securities, net
|
|
|
(19,261
|
)
|
|
|
(8,678
|
)
|
|
|
|
|
|
|
|
|
|
Total accumulated other comprehensive loss
|
|
$
|
(11,888
|
)
|
|
$
|
(587
|
)
|
|
|
|
|
|
|
|
|
|
21
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Deferred taxes are not included within accumulated other
comprehensive loss because a valuation allowance was maintained
for substantially all net deferred tax assets.
|
|
8.
|
Fair
Value of Financial Instruments and Non-Recourse Credit
Facilities
|
SFAS No. 157, Fair Value Measurements
(SFAS 157) defines fair value as the price that
would be received to sell an asset or paid to transfer a
liability in an orderly transaction between market participants
at the measurement date. Additionally, SFAS 157 requires
the use of valuation techniques that maximize the use of
observable inputs and minimize the use of unobservable inputs.
These inputs are prioritized below:
|
|
|
|
Level 1:
|
Observable inputs such as quoted market prices in active markets
for identical assets or liabilities, such as the Companys
equity securities reflected in the table below.
|
|
|
Level 2:
|
Observable market-based inputs or unobservable inputs that are
corroborated by market data.
|
|
|
Level 3:
|
Unobservable inputs for which there is little or no market data,
which require the use of the reporting entitys own
assumptions.
|
The Company did not have any Level 2 assets as of
March 31, 2009 and December 31, 2008. The following
table sets forth the Companys Level 1 and
Level 3 financial assets that were measured at fair value
on a recurring basis as of March 31, 2009 and
December 31, 2008:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2009
|
|
|
December 31, 2008
|
|
|
|
Fair Value Estimates Using
|
|
|
|
|
|
Fair Value Estimates Using
|
|
|
|
|
|
|
Level 1
|
|
|
Level 3
|
|
|
Total
|
|
|
Level 1
|
|
|
Level 3
|
|
|
Total
|
|
|
Financial assets carried at fair value:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Auction rate securities
|
|
$
|
|
|
|
$
|
274,069
|
|
|
$
|
274,069
|
|
|
$
|
|
|
|
$
|
286,552
|
|
|
$
|
286,552
|
|
Equity securities
|
|
|
1,816
|
|
|
|
|
|
|
|
1,816
|
|
|
|
1,497
|
|
|
|
|
|
|
|
1,497
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total financial assets carried at fair value
|
|
$
|
1,816
|
|
|
$
|
274,069
|
|
|
$
|
275,885
|
|
|
$
|
1,497
|
|
|
$
|
286,552
|
|
|
$
|
288,049
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The following table reconciles the beginning and ending balances
of the Companys Level 3 assets, which consist of the
Companys auction rate securities for the three months
ended March 31, 2009:
|
|
|
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
Fair value as of the beginning of the period
|
|
$
|
286,552
|
|
Redemptions
|
|
|
(600
|
)
|
Unrealized loss included in other comprehensive loss
|
|
|
(11,883
|
)
|
|
|
|
|
|
Fair value as of the end of the period
|
|
$
|
274,069
|
|
|
|
|
|
|
The Company holds investments in auction rate securities
(ARS) which have been classified as Level 3
assets as described above. The types of ARS holdings the Company
owns are backed by student loans, which are 97% guaranteed under
the Federal Family Education Loan Program (FFELP), and all had
credit ratings of AAA or Aaa when purchased. Historically, the
fair value of the Companys ARS holdings approximated face
value due to the frequent auction periods, generally every 7 to
28 days, which provided liquidity to these investments.
However, since February 2008, all auctions involving these
securities have failed. As a secondary market has yet to
develop, these investments have been classified to long-term
investments. The result of a failed auction is that these ARS
holdings will continue to pay interest in accordance with their
terms at each respective auction date; however, liquidity of the
securities will be limited until there is a successful auction,
22
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
the issuer redeems the securities, the securities mature or
until such time as other markets for these ARS holdings develop.
During the three months ended March 31, 2008, the Company
concluded that the estimated fair value of the ARS holdings no
longer approximated the face value due to the lack of liquidity.
The securities have been classified within Level 3 as their
valuation requires substantial judgment and estimation of
factors that are not currently observable in the market due to
the lack of trading in the securities.
The Company estimated the fair value of its ARS holdings using
an income approach valuation technique. Using this approach,
expected future cash flows were calculated over the expected
life of each security and were discounted to a single present
value using a market required rate of return. Some of the more
significant assumptions made in the present value calculations
were (i) the estimated weighted average lives for the loan
portfolios underlying each individual ARS, which ranged from 4
to 14 years as of March 31, 2008 and (ii) the
required rates of return used to discount the estimated future
cash flows over the estimated life of each security, which
considered both the credit quality for each individual ARS and
the market liquidity for these investments. As of March 31,
2008, the Company concluded the fair value of its ARS holdings
was $302,842, of which $141,044 relates to WHC, compared to a
face value of $362,950, of which $168,450 relates to WHC. The
impairment in value, or $60,108, of which $27,406 relates to
WHC, was considered to be
other-than-temporary
and, accordingly, was recorded as an impairment charge within
the consolidated statement of operations during the three months
ended March 31, 2008.
In making the determination that the impairment was
other-than-temporary,
the Company considered (i) the current market liquidity for
ARS, particularly student loan backed ARS, (ii) the
long-term maturities of the loan portfolios underlying each ARS
owned by the Company and (iii) the ability and intent of
the Company to hold its ARS investments until sufficient
liquidity returns to the auction rate market to enable the sale
of these securities or until the investments mature.
During the three months ended March 31, 2009, the Company
received $600, all of which relates to WHC, associated with the
partial redemption of certain of its ARS holdings, which
represented 100% of their face value. As a result, as of
March 31, 2009, the total face value of the Companys
ARS holdings was $354,400, of which $164,200 related to WHC,
compared to a fair value of $274,069, of which $127,033 related
to WHC. During the three months ended March 31, 2009, the
Company further reduced the carrying value of its ARS holdings
by $11,883, of which $5,930 relates to WHC. The Company assessed
this reduction to be temporary in nature, as this reduction in
value resulted from fluctuations in interest rate and discount
rate assumptions, and accordingly, this amount has been recorded
as an unrealized loss in other comprehensive loss in the
accompanying consolidated balance sheets. The Company may be
required to record additional losses in future periods if the
fair value of its ARS holdings deteriorates further.
Non-Recourse
Credit Facilities
On May 6, 2008, the Company and WHC each entered into a
non-recourse credit facility (the 2008 Credit
Facilities) with affiliates of Citigroup, secured by their
respective ARS holdings (including, in some circumstances,
interest payable on the ARS holdings), that would allow the
Company and WHC to borrow up to 75% of the face amount of the
ARS holdings pledged as collateral under the respective 2008
Credit Facilities. No borrowings were made under the 2008 Credit
Facilities.
On April 28, 2009, the Company entered into a new
non-recourse credit facility and WebMD entered into an amended
and restated facility, each with an affiliate of Citigroup
(collectively, the 2009 Credit Facilities),
replacing the 2008 Credit Facilities. As of the date of this
Quarterly Report, no borrowings have been made under either of
the 2009 Credit Facilities. The 2009 Credit Facilities are
secured by the respective borrowers ARS holdings
(including, in some circumstances, interest payable on the ARS
holdings). The Company and WHC can make borrowings under their
respective 2009 Credit Facilities until April 27, 2010. Any
borrowings outstanding under the 2009 Credit Facilities after
February 26, 2010 become demand loans, subject to
60 days
23
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
notice, with recourse only to the pledged collateral. Loan
proceeds may be used for general working capital purposes or
other lawful business purposes of the borrower (including
repurchases of its own securities), but not for purposes of
buying, trading or carrying other securities. The interest rate
applicable to borrowings under the 2009 Credit Facilities will
be the Open Federal Funds Rate plus 3.95%. The maximum that can
be borrowed under the respective 2009 Credit Facilities is 75%
of the face amount of the pledged ARS holdings. As of the date
of this Quarterly Report, the maximum the Company would be able
to borrow is $142,575 (based on its ARS holdings, excluding ARS
held by WHC) and the maximum WHC would be able to borrow is
$123,075 (based on its ARS holdings). Removals of ARS from the
pledged collateral (including upon their redemption or sale)
will reduce the amount available for borrowing under the
respective 2009 Credit Facilities.
The Companys 2009 Credit Facility is governed by a new
loan agreement and WebMDs 2009 Credit Facility is governed
by an amended and restated loan agreement, each of which
contains customary representations and warranties of the
borrower and certain affirmative covenants and negative
covenants relating to the pledged collateral. Under each of the
loan agreements, the borrower and the lender may, in certain
circumstances, cause the pledged collateral to be sold, with the
proceeds of any such sale required to be applied in full
immediately to repayment of amounts borrowed.
Intangible assets subject to amortization consist of the
following:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
March 31, 2009
|
|
|
December 31, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
Gross
|
|
|
|
|
|
|
|
|
Average
|
|
|
Gross
|
|
|
|
|
|
|
|
|
Average
|
|
|
|
Carrying
|
|
|
Accumulated
|
|
|
|
|
|
Remaining
|
|
|
Carrying
|
|
|
Accumulated
|
|
|
|
|
|
Remaining
|
|
|
|
Amount
|
|
|
Amortization
|
|
|
Net
|
|
|
Useful Life (a)
|
|
|
Amount
|
|
|
Amortization
|
|
|
Net
|
|
|
Useful Life (a)
|
|
|
Content
|
|
$
|
15,954
|
|
|
$
|
(14,790
|
)
|
|
$
|
1,164
|
|
|
|
1.5
|
|
|
$
|
15,954
|
|
|
$
|
(14,541
|
)
|
|
$
|
1,413
|
|
|
|
1.7
|
|
Customer relationships
|
|
|
34,057
|
|
|
|
(13,748
|
)
|
|
|
20,309
|
|
|
|
8.6
|
|
|
|
34,057
|
|
|
|
(12,872
|
)
|
|
|
21,185
|
|
|
|
8.8
|
|
Technology and patents
|
|
|
14,700
|
|
|
|
(13,870
|
)
|
|
|
830
|
|
|
|
0.6
|
|
|
|
14,700
|
|
|
|
(13,370
|
)
|
|
|
1,330
|
|
|
|
0.8
|
|
Trade names-definite lived
|
|
|
6,030
|
|
|
|
(2,227
|
)
|
|
|
3,803
|
|
|
|
7.2
|
|
|
|
6,030
|
|
|
|
(2,094
|
)
|
|
|
3,936
|
|
|
|
7.4
|
|
Trade names-indefinite lived
|
|
|
4,464
|
|
|
|
|
|
|
|
4,464
|
|
|
|
n/a
|
|
|
|
4,464
|
|
|
|
|
|
|
|
4,464
|
|
|
|
n/a
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$
|
75,205
|
|
|
$
|
(44,635
|
)
|
|
$
|
30,570
|
|
|
|
|
|
|
$
|
75,205
|
|
|
$
|
(42,877
|
)
|
|
$
|
32,328
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amortization expense was $1,758 and $2,446 for the three months
ended March 31, 2009 and 2008, respectively. Aggregate
amortization expense for intangible assets is estimated to be:
|
|
|
|
|
Years Ending December 31:
|
|
|
|
|
2009 (April 1st to December 31st)
|
|
$
|
4,550
|
|
2010
|
|
|
3,394
|
|
2011
|
|
|
2,628
|
|
2012
|
|
|
2,628
|
|
2013
|
|
|
2,628
|
|
Thereafter
|
|
|
10,278
|
|
|
|
10.
|
Commitments
and Contingencies
|
Litigation
Regarding Distribution of Shares in Healtheon Initial Public
Offering
Seven purported class action lawsuits were filed against Morgan
Stanley & Co. Incorporated and Goldman
Sachs & Co., underwriters of the initial public
offering of the Company (then known as Healtheon Corporation) in
the United States District Court for the Southern District of
New York in the summer and fall of 2001. Three of these suits
also named the Company and certain of its former officers and
directors as
24
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
defendants. Similar suits were filed in connection with over 300
other initial public offerings that occurred in 1999, 2000 and
2001.
The complaints against the Company and its former officers and
directors alleged violations of Section 10(b) of the
Securities Exchange Act of 1934 and
Rule 10b-5
under that Act and Section 11 of the Securities Act of 1933
because of failure to disclose certain practices alleged to have
occurred in connection with the distribution of shares in the
Healtheon initial public offering. Claims under
Section 12(a)(2) of the Securities Act of 1933 were also
brought against the underwriters. These claims were
consolidated, along with claims relating to over 300 other
initial public offerings, in the Southern District of New York.
After a lengthy mediation under the auspices of former United
States District Judge Nicholas Politan, the issuer defendants in
the consolidated action (including the Company), the
issuers insurance carriers, and the plaintiffs reached an
agreement on a settlement to resolve the matter among the
participating issuer defendants, their insurers, and the
plaintiffs. The Company, and virtually all of the approximately
260 other issuer defendants who were eligible to participate,
elected to participate in the settlement. Although the Company
believed that the claims alleged in the lawsuits were primarily
directed at the underwriters and, as they relate to the Company,
were without merit, the Company believed that the settlement was
beneficial to the Company because it would have reduced the
time, expense and risks of further litigation, particularly
since all the other eligible issuer defendants elected to
participate, the Companys insurance carriers strongly
supported the settlement, and the Companys insurance
carriers, not the Company, would have paid any funds required
under the settlement.
On June 10, 2004, plaintiffs submitted to the court a
Stipulation and Agreement of Settlement with Defendant Issuers
and Individuals. Although the district court had preliminarily
approved the settlement, the parties terminated this settlement
after the Second Circuit Court of Appeals reversed the district
courts certification of the classes in six related
focus cases in a ruling that was inconsistent with
the proposed settlement class. After termination of this
settlement, litigation proceeded in the six focus
cases but was stayed in the cases involving the other
issuers, including the Company.
After another lengthy mediation under the auspices of former
Judges Politan and Daniel Weinstein, all the parties to the
litigation reached a revised global settlement. This settlement
calls for the underwriters and the insurers for the issuers to
pay a total of $586 million to settle all of the
approximately 300 cases outstanding. The Company is not
obligated to provide any money to fund the settlement. As with
the previous proposed settlement, although the Company believes
that the claims alleged in the lawsuits were primarily directed
at the underwriters and, as they relate to the Company, are
without merit, the Company believes that the settlement is
beneficial to the Company because it will reduce the time,
expense and risks of further litigation, particularly since all
the other eligible issuer and underwriter defendants elected to
participate, the Companys insurance carriers strongly
support the settlement, and it requires no payment by the
Company.
The settlement, which was submitted to the court on
April 2, 2009, is subject to a number of contingencies,
including but not limited to statutory notice requirements and
certification of the settlement classes, and must be reviewed
and approved by the court.
Porex
Corporation v. Kleanthis Dean Haldopoulos, Benjamin T.
Hirokawa and Micropore Plastics, Inc.
On September 24, 2005, the Companys subsidiary, Porex
Corporation, filed a complaint in the Superior Court of Fulton
County against two former employees of Porex, Dean Haldopoulos
and Benjamin Hirokawa, and their corporation, Micropore
Plastics, Inc. (Micropore), alleging
misappropriation of Porexs trade secrets and breaches of
Haldopoulos and Hirokawas employment agreements, and
seeking monetary and injunctive relief. The lawsuit was
subsequently transferred to the Superior Court of DeKalb County,
Georgia. On October 24, 2005, the defendants filed an
Answer and Counterclaims against Porex. In the Answer and
Counterclaims, the defendants allege that Porex breached
non-disclosure and standstill agreements in
25
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
connection with a proposed transaction between Porex and
Micropore and engaged in fraud. The defendants also seek
punitive damages and expenses of litigation. On
February 13, 2006, the Superior Court granted a motion by
the defendants for summary judgment with respect to Porexs
trade secret claims, ruling that those claims are barred by the
statute of limitations. Porex appealed that ruling to the
Georgia Court of Appeals and, on March 27, 2007, the
Georgia Court of Appeals reversed the ruling of the Superior
Court. On April 16, 2007, the defendants filed a petition
for certiorari with the Georgia Supreme Court, requesting that
the Georgia Supreme Court review and reverse the March 27,
2007 decision of the Court of Appeals. On June 25, 2007,
the Georgia Supreme Court denied the defendants petition
for certiorari. On or about July 31, 2007, the Georgia
Court of Appeals formally returned the case to the Superior
Court for further proceedings, and the parties thereafter
proceeded with discovery. Discovery was suspended while the
parties engaged in settlement discussions. The parties did not
settle the matter, and discovery has now resumed. No trial date
has been set. In view of the scheduling order currently
governing the case, it is not expected that the case will be set
for trial until, at the earliest, the first quarter of 2010.
Porex plans to vigorously seek to enforce its rights in this
litigation.
Investigations
by United States Attorney for the District of South Carolina and
the SEC
As previously disclosed, the United States Attorney for the
District of South Carolina is conducting an investigation of the
Company, which the Company first learned about on
September 3, 2003. Based on the information available to
the Company, it believes that the investigation relates
principally to issues of financial accounting improprieties
relating to Medical Manager Corporation, a predecessor of the
Company (by its merger into the Company in September 2000), and,
more specifically, its Medical Manager Health Systems, Inc.
subsidiary. Medical Manager Health Systems was a predecessor to
Emdeon Practice Services, Inc., a subsidiary that the Company
sold to Sage Software in September 2006. The Company has been
cooperating and intends to continue to cooperate fully with the
U.S. Attorneys Office. As previously reported, the
Board of Directors of the Company has formed a special committee
consisting solely of independent directors to oversee this
matter with the sole authority to direct the Companys
response to the allegations that have been raised. As previously
disclosed, the Company understands that the SEC is also
conducting a formal investigation into this matter. In
connection with the EPS Sale, the Company agreed to indemnify
Sage Software with respect to this matter.
The United States Attorney for the District of South Carolina
announced on January 10, 2005, that three former employees
of Medical Manager Health Systems each had agreed to plead
guilty to one count of mail fraud and that one such employee had
agreed to plead guilty to one count of tax evasion for acts
committed while they were employed by Medical Manager Health
Systems. The three former employees include a Vice President of
Medical Manager Health Systems responsible for acquisitions who
was terminated for cause in January 2003; an executive who
served in various accounting roles at Medical Manager Health
Systems until his resignation in March 2002; and a former
independent Medical Manager dealer who was a paid consultant to
Medical Manager Health Systems until the termination of his
services in 2002. According to the Informations, Plea Agreements
and Factual Summaries filed by the United States Attorney in,
and available from, the District Court of the United States for
the District of South Carolina Beaufort Division, on
January 7, 2005, the three former employees and other then
unnamed co-schemers were engaged in schemes between 1997 and
2002 that included causing companies acquired by Medical Manager
Health Systems to pay the former vice president in charge of
acquisitions and co-schemers kickbacks which were funded through
increases in the purchase price paid by Medical Manager Health
Systems to the acquired companies and that included fraudulent
accounting practices to artificially inflate the quarterly
revenues and earnings of Medical Manager Health Systems when it
was an independent public company called Medical Manager
Corporation from 1997 through 1999, when and after it was
acquired by Synetic, Inc. in July 1999, and when and after it
became a subsidiary of the Company in September 2000. A fourth
former officer of Medical Manager Health Systems pled guilty to
similar activities later in 2005.
26
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The fraudulent accounting practices cited by the government in
the January 7, 2005 District Court filings included:
causing companies acquired by Medical Manager Health Systems to
reclassify previously recognized sales revenue as deferred
income so that such deferred income could subsequently be
reported as revenue by Medical Manager Health Systems and its
parents in later periods; fabricating deferred revenue entries
which could be used to inflate earnings when Medical Manager
Health Systems acquired companies; causing companies acquired by
Medical Manager Health Systems to inflate reserve accounts so
that these reserves could be reversed in later reporting periods
in order to artificially inflate earnings for Medical Manager
Health Systems and its parents; accounting for numerous
acquisitions through the pooling of interests method in order to
fraudulently inflate Medical Manager Health Systems
quarterly earnings, when the individuals involved knew the
transactions failed to qualify for such treatment; causing
companies acquired by Medical Manager Health Systems to enter
into sham purchases of software from Medical Manager Health
Systems in connection with the acquisition which purchases were
funded by increasing the purchase price paid by Medical Manager
Health Systems to the acquired company and using these
round trip sales to create fraudulent revenue for
Medical Manager Health Systems and its parents; and causing
Medical Manager Health Systems to book and record sales and
training revenue before the revenue process was complete in
accordance with GAAP and thereby fraudulently inflating Medical
Manager Health Systems reported revenues and earnings. According
to the Informations to which the former employees have pled
guilty, the fraudulent accounting practices resulted in the
reported revenues of Medical Manager Health Systems and its
parents being overstated materially between June 1997 and at
least December 31, 2001, and reported quarterly earnings
being overstated by at least one cent per share in every quarter
during that period.
The documents filed by the United States Attorney in January
2005 stated that the former employees engaged in their
fraudulent conduct in concert with senior
management, and at the direction of senior Medical
Manager officers. In its statement at that time, the
United States Attorney for the District of South Carolina stated
that the senior management and officers referred to in the
Court documents were members of senior management of the Medical
Manager subsidiary during the relevant time period.
On December 15, 2005, the United States Attorney announced
indictments of the following former officers and employees of
Medical Manager Health Systems: Ted W. Dorman, a former Regional
Vice President of Medical Manager Health Systems, who was
employed until March 2003; Charles L. Hutchinson, a former
Controller of Medical Manager Health Systems, who was employed
until June 2001; Maxie L. Juzang, a former Vice President of
Medical Manager Health Systems, who was employed until August
2005; John H. Kang, a former President of Medical Manager Health
Systems, who was employed until May 2001; Frederick B.
Karl, Jr., a former General Counsel of Medical Manager
Health Systems, who was employed until April 2000; Franklyn B.
Krieger, a former Associate General Counsel of Medical Manager
Health Systems, who was employed until February 2002; Lee A.
Robbins, a former Vice President and Chief Financial Officer of
Medical Manager Health Systems, who was employed until September
2000; John P. Sessions, a former President and Chief Operating
Officer of Medical Manager Health Systems, who was employed
until September 2003; Michael A. Singer, a former Chief
Executive Officer of Medical Manager Health Systems and a former
director of the Company, who was most recently employed by the
Company as its Executive Vice President, Physician Software
Strategies until February 2005; and David Ward, a former Vice
President of Medical Manager Health Systems, who was employed
until June 2005. The indictment charges the persons listed above
with conspiracy to commit mail, wire and securities fraud, a
violation of Title 18, United States Code, Section 371
and conspiracy to commit money laundering, a violation of
Title 18, United States Code, Section 1956(h). The
indictment charges Messrs. Sessions and Ward with
substantive counts of money laundering, violations of
Title 18, United States Code, Section 1957. The
allegations set forth in the indictment describe activities that
are substantially similar to those described above with respect
to the January 2005 plea agreements.
On February 27, 2007, the United States Attorney filed a
Second Superseding Indictment with respect to the former
officers and employees of Medical Manager Health Systems charged
under the prior Indictment,
27
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
other than Mr. Juzang. The allegations set forth in the
Second Superseding Indictment are substantially similar to those
described above. Mr. Robbins passed away on
September 27, 2008 and on October 15, 2008 the court
granted a motion to dismiss Mr. Robbins from the Second
Superseding Indictment.
On March 3, 2009 the trial court granted the motion of
defendant Charles Hutchinson for a transfer of venue to Tampa,
Florida. The effect of this order is that Mr. Hutchinson
will not stand trial with the other seven defendants in
Charleston, South Carolina but will be tried separately in
Tampa, Florida. A date for such trial has not yet been
scheduled. The trial of the other seven indicted former officers
and directors of Medical Manager Health Systems had been
scheduled for May 4, 2009 in Charleston. That trial date
has been postponed however because, on March 27, 2009, the
judge in the case removed himself from the case stating that in
light of his advanced age it would not be fair to the parties
for him to start what would likely be a lengthy trial. The trial
date has not yet been rescheduled.
Based on the information it has obtained to date, including that
contained in the court documents filed by the United States
Attorney in South Carolina, the Company does not believe that
any member of its senior management whose duties were not
primarily related to the operations of Medical Manager Health
Systems during the relevant time periods engaged in any of the
violations or improprieties described in those court documents.
The Company understands, however, that in light of the nature of
the allegations involved, the U.S. Attorneys office
has been investigating all levels of the Companys
management. The Company has not uncovered information that it
believes would require a restatement for any of the years
covered by its financial statements. In addition, the Company
believes that the amounts of the kickback payments referred to
in the court documents have already been reflected in the
financial statements of the Company to the extent required.
The Company has certain indemnity obligations to advance amounts
for reasonable defense costs for the initial ten, and now eight,
former officers and directors of EPS. During the years ended
December 31, 2008 and 2007, the Company recorded a pre-tax
charge of $29,078 and $73,347, respectively, related to its
estimated liability with respect to these indemnity obligations.
See Note 2 for a more detailed discussion regarding this
charge.
Directors &
Officers Liability Insurance Coverage Litigation
On July 23, 2007, the Company commenced litigation (the
Coverage Litigation) in the Court of Chancery of the
State of Delaware in and for New Castle County against ten
insurance companies in which the Company is seeking to compel
the defendant companies (collectively, the
Defendants) to honor their obligations under certain
directors and officers liability insurance policies (the
Policies). The Company is seeking an order requiring
the Defendants to advance
and/or
reimburse expenses that the Company has incurred and expects to
continue to incur for the advancement of the reasonable defense
costs of initially ten, and now eight, former officers and
directors of the Companys former EPS subsidiary who were
indicted in connection with the Investigation described above in
this Note 10. The Company subsequently has settled with two
of the insurance companies during January 2008, through which
the Company received an aggregate amount of $14,625. This amount
was included within (loss) income from discontinued operations
in the statement of operations during the three months ended
December 31, 2007 and was included within prepaid expenses
and other current assets in the accompanying consolidated
balance sheet as of December 31, 2007.
Pursuant to a stipulation among the parties, the Coverage
Litigation was transferred on September 13, 2007 to the
Superior Court of the State of Delaware in and for New Castle
County. The Policies were issued to the Company and to EPS, a
former subsidiary of the Company, which is a co-plaintiff with
the Company in the Coverage Litigation (collectively, the
Plaintiffs). EPS was sold in September 2006 to Sage
Software and has changed its name to Sage Software Healthcare,
Inc. (SSHI). In connection with the Companys
sale of EPS to Sage Software, the Company retained certain
obligations relating to the Investigation and agreed to
indemnify Sage Software and SSHI with respect to certain
expenses in connection with the Investigation. The Company
retained the right to assert claims and recover proceeds under
the Policies on behalf of SSHI.
28
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Prior to the filing of the Second Amended Complaint which is
discussed below, the Policies at issue in the Coverage
Litigation consisted of two separate groups of insurance
policies. Each group of policies consists of several layers of
coverage, with different insurers having agreed to provide
specified amounts of coverage at various levels. The first group
of policies was issued to EPS in the amount of $20,000 (the
EPS Policies) and the second group of policies was
issued to Synetic, Inc. (the former parent of EPS, which merged
into the Company) in the amount of $100,000, of which
approximately $3,600 was paid by the primary carrier with
respect to another unrelated matter (the Synetic
Policies). As of March 31, 2009, $68,628 has been
paid by insurance companies representing the EPS Policies and
the Synetic Policies through a combination of payment under the
terms of the Policies, payment under reservation of rights and
settlement. Of this amount, $37,589 has been reimbursed by the
insurance companies subsequent to the Courts order on
July 31, 2008 (described in more detail below). The Company
has deferred recognizing this amount as income given the fact
that the Coverage Litigation is ongoing and accordingly this
amount has been deferred on the balance sheet as of
March 31, 2009 within liabilities of discontinued
operations. As a result of these payments, the Company has
exhausted its coverage under the EPS Policies and has remaining
coverage under the Synetic Policies of approximately $39,000.
The carrier with the third level of coverage in the Synetic
Policies filed a motion for summary judgment in the Coverage
Litigation, which most of the carriers who have issued the
Synetic Policies joined, which sought summary judgment that any
liability to pay defense costs should be allocated among the
three sets of policies available to the Company (including the
policies with respect to which the Coverage Litigation relates
and a third set of policies the issuers of which had not yet
been named by the Company) such that the Synetic Policies would
only be liable to pay about $23,000 of the $96,400 total
coverage available under such policies. The Company filed its
opposition to the motion together with its motion for summary
judgment against such carrier and several other carriers who
have issued the Synetic Policies seeking to require such
carriers to advance payment of the defense costs that the
Company is obligated to pay while the Coverage Litigation is
pending. On July 31, 2008, the Superior Court for the State
of Delaware denied the motion filed by the carriers seeking
allocation and granted the Companys motion for partial
summary judgment to enforce the duty of such carriers to advance
and reimburse these costs.
Pursuant to the Courts order, the issuers of the Synetic
Policies have been reimbursing the Company for its costs.
On September 9, 2008 and February 4, 2009,
respectively, the eighth and ninth level carriers of the Synetic
Policies notified the Company that they believe that they were
not bound by the Courts July 31, 2008 order regarding
the duty of the Synetic carriers to advance and reimburse
defense costs. This resulted in the Company making a motion to
the Court on February 23, 2009 to require such eighth and
ninth level carriers to advance and reimburse defense costs. The
Company has since settled with the eighth level carrier. Under
the terms of the settlement such carrier will pay, in full and
final settlement, an
agreed-upon
percentage of the policy amount against each payment of defense
costs made by the Company if and when such policy becomes
implicated. The Companys motion is pending against the
ninth level carrier and, on April 15, 2009, such carrier
made a cross-motion for summary judgment claiming that, in light
of a policy endorsement applicable only to the ninth level
carrier, because of the time period during which the conspiracy
charged in the Second Superseding Indictment is alleged to have
taken place, the Synetic Policy issued by such carrier does not
cover the Companys indemnification obligations. The
Company believes that such carriers motion is without
merit and is preparing its response, although there can be no
assurance as to the outcome of the cross-motions.
On November 17, 2008, the Company filed a Second Amended
Complaint which added four new insurance companies as defendants
in the Coverage Action. These carriers are the issuers of a
third set of policies (the Emdeon Policies) that
provide coverage with respect to the Companys
indemnification obligations to the former officers and directors
of the Companys former EPS subsidiary who were indicted in
connection with the Investigation described above in this
Note 10. The carriers who issued the Emdeon
29
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Policies have moved for summary judgment asserting that
exclusions in the Emdeon Policies preclude coverage for the
Companys indemnification obligations. The Company believes
that these exclusions in the Emdeon Policies do not apply to the
Companys claim and intends to oppose such motions, but
there can be no assurance as to the outcome.
The insurance carriers assert that the Companys insurance
policies provide that under certain circumstances, amounts
advanced by the insurance companies in connection with the
defense costs of the indicted individuals, may have to be repaid
by the Company, although the $14,625 that the Company has
received in settlement from certain carriers is not subject to
being repaid and any amounts paid by the eighth level carrier of
the Synetic Policies will not have to be repaid. The Company has
obtained an undertaking from each indicted individual pursuant
to which, under certain circumstances, such individual has
agreed to repay defense costs advanced on such individuals
behalf.
There can be no assurance that the Company will ultimately
prevail in the Coverage Litigation or that the Defendants will
be required to provide funding on an interim basis pending the
resolution of the Coverage Litigation. The Company intends to
continue to satisfy its legal obligations to the indicted
individuals with respect to advancement of amounts for their
defense costs.
Other
In the normal course of business, the Company and its
subsidiaries are involved in various other claims and legal
proceedings. While the ultimate resolution of these matters has
yet to be determined, the Company does not believe that their
outcome will have a material adverse effect on the
Companys consolidated financial position, results of
operations or liquidity.
As a result of the completion of the integration of previously
acquired businesses and efficiencies that the Company continues
to realize from its infrastructure investments in WebMD,
combined with the continued reduction in shared services
performed within the Companys Corporate segment following
the divestures of EPS, EBS and ViPS, the Company recorded a
restructuring charge during the three months ended
December 31, 2008 of $7,416, of which $2,910 relates to
WebMD. This amount includes (i) $3,575 related to the
purchase of insurance for extended coverage during periods when
the Company owned the divested businesses, (ii) $3,391
related to severance and (iii) $450 of costs to consolidate
facilities and other exit costs. The remaining accrual related
to this charge was $1,876 and $7,071 and is reflected in accrued
expenses in the accompanying consolidated balance sheets as of
March 31, 2009 and December 31, 2008, respectively.
The decrease is the result of cash payments made during the
three months ended March 31, 2009.
|
|
12.
|
Related
Party Transaction
|
Fidelity
Human Resources Services Company LLC
In 2004, the Companys WebMD segment entered into an
agreement with Fidelity Human Resources Services Company LLC
(FHRS) to integrate the WebMDs private portals
product into the services FHRS provides to its clients. FHRS
provides human resources administration and benefits
administration services to employers. The Company recorded
revenue of $2,388 and $2,438 during the three months ended
March 31, 2009 and 2008, respectively. Included in accounts
receivable as of March 31, 2009 and December 31, 2008
was $2,476 and $2,070, respectively, related to the FHRS
agreement.
30
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Other expense, net consists of the following items:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
|
|
|
March 31,
|
|
|
|
|
|
|
2009
|
|
|
2008
|
|
|
|
|
|
Transition service fees (a)
|
|
$
|
64
|
|
|
$
|
50
|
|
|
|
|
|
Reduction of tax contingencies (b)
|
|
|
245
|
|
|
|
437
|
|
|
|
|
|
Legal expense (c)
|
|
|
(578
|
)
|
|
|
(372
|
)
|
|
|
|
|
Advisory expense (d)
|
|
|
|
|
|
|
(4,259
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other expense, net
|
|
$
|
(269
|
)
|
|
$
|
(4,144
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a)
|
|
Represents the net fees received
from ViPS and EBSCo in relation to their respective transition
services agreements.
|
|
(b)
|
|
Represents the reduction of certain
sales and use tax contingencies resulting from the expiration of
various statutes of limitations.
|
|
(c)
|
|
Represents the costs and expenses
incurred by the Company related to the investigation by the
United States Attorney for the District of South Carolina and
the SEC.
|
|
(d)
|
|
Represents professional fees,
primarily consisting of legal, accounting and financial advisory
services incurred by the Company related to the potential merger
of HLTH into WHC, which was terminated in October 2008.
|
|
|
14.
|
Adopted
and Recently Issued Accounting Pronouncements
|
FSP
APB
14-1
Effective January 1, 2009, the Company adopted FSP APB
14-1. The
adoption of FSP APB
14-1 affects
the accounting for the Companys
31/8% Convertible
Notes due 2025
(31/8%
Notes). FSP APB
14-1
required cash settled convertible debt to be separated into debt
and equity components at issuance and a value to be assigned to
each. The value assigned to the debt component will be the
estimated fair value, as of the issuance date, of a similar bond
without the conversion feature. The difference between the
bonds cash proceeds and this estimated fair value, which
was $61,300 at the time the
31/8%
Notes were issued during August 2005, represents a debt discount
and will be amortized to interest expense over the period from
issuance to August 2012 (when the
31/8%
Notes are first puttable at the option of the holder). The
following table reflects the interest expense recognized and
effective interest rate for the Companys
31/8%
Notes:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Contractual coupon interest
|
|
$
|
2,321
|
|
|
$
|
2,344
|
|
Amortization of debt discount
|
|
|
2,139
|
|
|
|
2,004
|
|
Amortization of debt issuance costs
|
|
|
296
|
|
|
|
278
|
|
|
|
|
|
|
|
|
|
|
Interest expense
|
|
$
|
4,756
|
|
|
$
|
4,626
|
|
|
|
|
|
|
|
|
|
|
Effective interest rate
|
|
|
7.4
|
%
|
|
|
7.4
|
%
|
FSP APB 14-1
requires retrospective application for all periods presented in
the Companys consolidated financial statements. The
adoption of this accounting principle resulted in a decrease to
the Companys net income attributable to HLTH stockholders
of $1,718 for the three months ended March 31, 2008 and an
aggregate increase to stockholders equity of $37,966 as of
December 31, 2008 however it did not have an impact on the
Companys cash flows.
31
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The effect of this change in accounting principle on the
consolidated balance sheet as of December 31, 2008 and the
consolidated statement of operation and cash flows for the three
months ended March 31, 2008 are summarized as follows:
|
|
|
|
|
|
|
|
|
|
|
Consolidated Balance Sheet
|
|
|
|
As Previously
|
|
|
As
|
|
|
|
Reported (a)
|
|
|
Adjusted
|
|
|
As of December 31, 2008:
|
|
|
|
|
|
|
|
|
Prepaid expenses and other current assets
|
|
$
|
41,169
|
|
|
$
|
44,740
|
|
Other assets
|
|
|
24,465
|
|
|
|
23,600
|
|
31/8%
convertible notes due 2025
|
|
|
300,000
|
|
|
|
264,018
|
|
Additional paid-in capital
|
|
|
12,507,729
|
|
|
|
12,566,854
|
|
Accumulated deficit
|
|
|
(8,755,459
|
)
|
|
|
(8,776,618
|
)
|
|
|
|
|
|
|
|
|
|
|
|
Consolidated Statement of
|
|
|
|
Operations
|
|
|
|
As Previously
|
|
|
As
|
|
|
|
Reported (a)
|
|
|
Adjusted
|
|
|
Three Months Ended March 31, 2008:
|
|
|
|
|
|
|
|
|
Interest expense
|
|
$
|
4,607
|
|
|
$
|
6,525
|
|
Income tax provision
|
|
|
25,802
|
|
|
|
25,602
|
|
Consolidated income from continuing operations
|
|
|
456,256
|
|
|
|
454,538
|
|
Consolidated net income before noncontrolling interest
|
|
|
459,313
|
|
|
|
457,595
|
|
Net income attributable to HLTH stockholders
|
|
|
463,158
|
|
|
|
461,440
|
|
|
|
|
|
|
|
|
|
|
Basic income per common share:
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$
|
2.52
|
|
|
$
|
2.52
|
|
Income from discontinued operations
|
|
|
0.02
|
|
|
|
0.01
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
2.54
|
|
|
$
|
2.53
|
|
|
|
|
|
|
|
|
|
|
Diluted income per common share:
|
|
|
|
|
|
|
|
|
Income from continuing operations
|
|
$
|
2.03
|
|
|
$
|
2.03
|
|
Income from discontinued operations
|
|
|
0.01
|
|
|
|
0.01
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
2.04
|
|
|
$
|
2.04
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Consolidated Statement of
|
|
|
|
Cash Flows
|
|
|
|
As Previously
|
|
|
As
|
|
|
|
Reported (a)
|
|
|
Adjusted
|
|
|
Three Months Ended March 31, 2008:
|
|
|
|
|
|
|
|
|
Consolidated net income before noncontrolling interest
|
|
$
|
459,313
|
|
|
$
|
457,595
|
|
Non-cash interest expense
|
|
|
743
|
|
|
|
2,661
|
|
Deferred income taxes
|
|
|
5,332
|
|
|
|
5,132
|
|
|
|
|
(a)
|
|
The previously reported balances
have been adjusted to reflect the reclassifications association
with the presentation of LBB as a discontinued operation and the
adoption of SFAS 160 (defined below).
|
32
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
SFAS 160
On January 1, 2009, the Company adopted SFAS 160,
which establishes accounting and reporting standards for
noncontrolling interests, previously called minority interests.
SFAS 160 requires that a noncontrolling interest be reported in
the Companys consolidated balance sheets within equity and
separate from the parent companys equity. Also,
SFAS 160 requires consolidated net income to be reported at
amounts inclusive of both the parents and noncontrolling
interests shares and, separately, the amounts of
consolidated net income attributable to the parent and
noncontrolling interest, all on the face of the consolidated
operating statement. In addition, discontinued operations and
continuing operations reflected as part of the noncontrolling
interest should be allocated between continuing operations and
discontinued operations for the calculation of earnings per
share. The presentation and disclosure requirements were applied
retrospectively. Other than the change in presentation of
noncontrolling interests, the adoption of SFAS 160 had no impact
on the Consolidated Financial Statements.
SFAS 141R
Effective January 1, 2009, the Company adopted
SFAS No. 141 (Revised 2007), Business
Combinations (SFAS 141R), a replacement
of SFAS No. 141. SFAS 141R provides that, upon
initially obtaining control, an acquirer shall recognize
100 percent of the fair values of acquired assets,
including goodwill, and assumed liabilities, with only limited
exceptions, even if the acquirer has not acquired
100 percent of its target. As a consequence, the step
acquisition model was eliminated. Additionally, SFAS 141R
changes current practice, in part, as follows:
(1) contingent consideration arrangements will be fair
valued at the acquisition date and included on that basis in the
purchase price consideration; (2) transaction costs will be
expensed as incurred, rather than capitalized as part of the
purchase price; (3) pre-acquisition contingencies, such as
legal issues, will generally have to be accounted for in
purchase accounting at fair value; and (4) in order to
accrue for a restructuring plan in purchase accounting, the
requirements in SFAS No. 146, Accounting for
Costs Associated with Exit or Disposal Activities, would
have to be met at the acquisition date. The adoption of
SFAS 141R had no material impact on the Companys
financial statements.
FSP
FAS 107-1
In April 2009, the FASB issued Staff Position
No. FAS 107-1
and APB
28-1,
Interim Disclosures about Fair Value of Financial
Instruments (FSP
FAS 107-1).
FSP
FAS 107-1
amends SFAS No. 107, Disclosures about Fair
Value of Financial Instruments, and requires disclosures
about fair value of financial instruments in interim reporting
periods. Such disclosures were previously required only in
annual financial statements. FSP
FAS 107-1
is effective for interim and annual reporting periods ending
after June 15, 2009. The adoption of FSP
FAS 107-1
is only expected to apply to financial statement disclosures.
FSP
FAS 157-4
In April 2009, the FASB issued Staff Position
No. FAS 157-4.
Determining Fair Value When the Volume and Level of
Activity for the Asset or Liability Have Significantly Decreased
and Identifying Transactions That Are Not Orderly
(FSP
FAS 157-4).
FSP 157-4
provides additional guidance for estimating fair value in
accordance with FASB Statement No. 157, Fair Value
Measurement, when the volume and level of activity for the
asset or liability have significantly decreased, as well as
guidance on identifying circumstances that indicate a
transaction is not orderly. FSP
FAS 157-4
is effective for interim and annual reporting periods ending
after June 15, 2009 and shall be applied prospectively. The
Company is currently evaluating the requirements of this
pronouncement and has not determined the impact, if any, that
the adoption will have on the Companys consolidated
financial statements.
33
HLTH
CORPORATION
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
FSP
FAS 115-2
In April 2009, the FASB issued Staff Position
No. FAS 115-2
and
FAS 124-2,
Recognition and Presentation of
Other-Than-Temporary
Impairments (FSP
FAS 115-2).
FSP
FAS 115-2
provides additional guidance to make
other-than-temporary
impairments more operational and to improve the financial
statement presentation of such impairments. FSP
FAS 115-2
is effective for interim and annual reporting periods ending
after June 15, 2009. The Company is currently evaluating
the requirements of this pronouncement and has not determined
the impact, if any, that the adoption will have on the
Companys consolidated financial statements.
34
|
|
ITEM 2.
|
Managements
Discussion and Analysis of Financial Condition and Results of
Operations
|
This Item 2 contains forward-looking statements with
respect to possible events, outcomes or results that are, and
are expected to continue to be, subject to risks, uncertainties
and contingencies, including those identified in this Item. See
Forward-Looking Statements on page 3.
Overview
Managements discussion and analysis of financial condition
and results of operations, or MD&A, is provided as a
supplement to the Consolidated Financial Statements and notes
thereto included elsewhere in this Quarterly Report and to
provide an understanding of our results of operations, financial
condition and changes in financial condition. Our MD&A is
organized as follows:
|
|
|
|
|
Introduction. This section provides a general
description of our company and operating segments, a description
of the impact to our MD&A from the adoption of certain
accounting pronouncements, background information on certain
trends and developments affecting our company, and a discussion
of how seasonal factors may impact the timing of our revenue.
|
|
|
|
Critical Accounting Estimates and
Policies. This section discusses those accounting
policies that are considered important to the evaluation and
reporting of our financial condition and results of operations,
and whose application requires us to exercise subjective or
complex judgments in making estimates and assumptions. In
addition, all of our significant accounting policies, including
our critical accounting policies, are summarized in Note 2
to the Consolidated Financial Statements contained in our 2008
Annual Report on
Form 10-K
filed with the Securities and Exchange Commission (which we
refer to as the SEC).
|
|
|
|
Results of Operations and Results of Operations by Operating
Segment. These sections provide our analysis and
outlook for the significant line items on our consolidated
statements of operations, as well as other information that we
deem meaningful to understand our results of operations on both
a consolidated basis and an operating segment basis.
|
|
|
|
Liquidity and Capital Resources. This section
provides an analysis of our liquidity and cash flows and
discussions of our contractual obligations and commitments, as
well as our outlook on our available liquidity of March 31,
2009.
|
|
|
|
Recent Accounting Pronouncements. This section
provides a summary of the most recent authoritative accounting
standards and guidance that have either been recently adopted by
our company or may be adopted in the future.
|
|
|
|
Factors That May Affect Our Future Financial Condition or
Results of Operations. This section describes
circumstances or events that could have a negative effect on our
financial condition or results of operations, or that could
change, for the worse, existing trends in some or all of our
businesses. The factors discussed in this section are in
addition to factors that may be described elsewhere in this
Quarterly Report.
|
In this MD&A, dollar amounts are in thousands, unless
otherwise noted.
Introduction
Our
Company
HLTH Corporation is a Delaware corporation that was incorporated
in December 1995 and commenced operations in January 1996 as
Healtheon Corporation. We changed our name to Healtheon/WebMD
Corporation in November 1999, to WebMD Corporation in September
2000, to Emdeon Corporation in October 2005 and to HLTH
Corporation in May 2007. Our Common Stock began trading on the
Nasdaq National Market under the symbol HLTH on
February 11, 1999 and now trades on the Nasdaq Global
Select Market.
As of March 31, 2009, we owned 83.5% of the outstanding
shares of capital stock of WebMD Health Corp. (which we refer to
as WHC) through our ownership of WHCs Class B Common
Stock. The remaining 16.5% of WHCs outstanding common
stock are shares of WHCs Class A Common Stock, which
trades on the Nasdaq
35
Global Select Market under the symbol WBMD.
Accordingly, as of March 31, 2009, our consolidated
financial statements reflect the noncontrolling
stockholders share of equity and net income (loss) of WHC.
Adjustments
to Reflect Certain Accounting Pronouncements
The information in this MD&A has been adjusted to reflect
the adoption, effective January 1, 2009, of Financial
Accounting Standards Boards Staff Position (which we refer
to as FSP) Accounting Principles Board Opinion
No. 14-1,
Accounting for Convertible Debt Instruments That May Be
Settled in Cash upon Conversion (Including Partial Cash
Settlement) (which we refer to as FSP APB 14-1) and
Statement of Financial Accounting Standards No. 160,
Noncontrolling Interests in Consolidated Financial
Statements an amendment of ARB No. 51
(which we refer to as SFAS 160). As required by FSP APB
14-1 and
SFAS 160, our historical consolidated financial statements
have been retroactively adjusted to reflect the adoption of
these standards. These accounting standards and the impact of
their adoption on the historical financial statements is more
fully described in Note 14, Adopted and Recently
Issued Accounting Pronouncements located in the Notes to
Consolidated Financial Statements elsewhere in the Quarterly
Report.
Segments
As a result of the planned sale of Porex and WebMDs Little
Blue Book print directory business (describe below
under Background Information on Certain Trends
and Developments Proposed Divesiture of WebMDs
Little Blue Book Print Directory Business), which are classified
as discontinued operations, our only remaining operating segment
is our WebMD segment. The following is a description of the
WebMD segment and our Corporate segment:
|
|
|
|
|
WebMD. WebMD is a leading provider of health
information services to consumers, physicians and other
healthcare professionals, employers and health plans through our
public and private online portals and health-focused
publications. WebMDs public portals for consumers enable
them to obtain health and wellness information (including
information on specific diseases or conditions), check symptoms,
locate physicians, store individual healthcare information,
receive periodic e-newsletters on topics of individual interest
and participate in online communities with peers and experts.
WebMDs public portals for physicians and healthcare
professionals make it easier for them to access clinical
reference sources, stay abreast of the latest clinical
information, learn about new treatment options, earn continuing
medical education (which we refer to as CME) credit and
communicate with peers. WebMD public portals generate revenue
primarily through the sale of advertising and sponsorship
products, including CME services. WebMD sponsors and advertisers
include pharmaceutical, biotechnology, medical device and
consumer products companies. WebMDs private portals enable
employers and health plans to provide their employees and
members with access to personalized health and benefit
information and decision-support technology that helps them to
make more informed benefit, treatment and provider decisions.
WebMD also provides related services for use by such employees
and members, including lifestyle education and personalized
telephonic health coaching. WebMD generates revenue from our
private portals through the licensing of these portals to
employers and health plans either directly or through
distributors. WebMD also distributes our online content and
services to other entities and generates revenue from these
arrangements through the sale of advertising and sponsorship
products and content syndication fees. WebMD also provides
e-detailing
promotion and physician recruitment services for use by
pharmaceutical, medical device and healthcare companies. WebMD
also publishes WebMD the Magazine, a consumer magazine
distributed to physician office waiting rooms.
|
|
|
|
Corporate. Corporate includes personnel costs
and other expenses related to executive personnel, legal,
accounting, tax, internal audit, risk management, human
resources and certain information technology functions, as well
as other costs and expenses such as professional fees including
legal and audit services, insurance, costs of leased property
and facilities, telecommunication costs and software maintenance
expenses. Corporate expenses are net of $1,035 and $873 for the
three months ended March 31, 2009 and 2008, respectively,
which are costs allocated to WebMD for services provided by the
Corporate segment. In connection with the sale of a 52% interest
in our Emdeon Business Services segment (which we refer to as
EBS) during 2006 and the sale of our ViPS segment, we entered
into
|
36
|
|
|
|
|
transition services agreements whereby we provided EBS and ViPS
certain administrative services, including payroll, accounting,
purchasing and procurement, tax, and human resource services, as
well as information technology support. Additionally, EBS
provided us certain administrative services. These services were
provided through the Corporate segment, and the related
transition services fees we charged to EBS and ViPS, net of the
fee we paid to EBS, are also included in the Corporate segment,
which were intended to approximate the cost of providing these
services.
|
Background
Information on Certain Trends and Developments
Trends Influencing the Use of Our
Services. Several key trends in the healthcare
and Internet industries are influencing the use of healthcare
information services of the types we provide or are developing.
Those trends are described briefly below:
|
|
|
|
|
Use of the Internet by Consumers and
Physicians. The Internet has emerged as a major
communications medium and has already fundamentally changed many
sectors of the economy, including the marketing and sales of
financial services, travel, and entertainment, among others. The
Internet is also changing the healthcare industry and has
transformed how consumers and physicians find and utilize
healthcare information.
|
|
|
|
|
|
Healthcare consumers increasingly seek to educate themselves
online about their healthcare related issues, motivated in part
by the continued availability of new treatment options and in
part by the larger share of healthcare costs they are being
asked to bear due to changes in the benefit designs being
offered by health plans and employers. The Internet has
fundamentally changed the way consumers obtain health and
wellness information, enabling them to have immediate access to
searchable information and dynamic interactive content to check
symptoms, assess risks, understand diseases, find providers and
evaluate treatment options. The Internet is the consumers
fastest growing health information resource, according to a
national study released in August 2008 by the Center for
Studying Health System Change. Researchers found that
32 percent of American consumers (approximately
70 million adults) conducted online health searches in
2007, compared with 16 percent in 2001. More than half of
those surveyed said the information changed their overall
approach to maintaining their health. Four in five said the
information helped them better understand how to treat an
illness or condition.
|
|
|
|
The Internet has also become a primary source of information for
physicians seeking to improve clinical practice and is growing
relative to traditional information sources, such as
conferences, meetings and offline journals.
|
|
|
|
|
|
Increased Online Marketing and Education Spending for
Healthcare Products. Pharmaceutical,
biotechnology and medical device companies spend large amounts
each year marketing their products and educating consumers and
physicians about them; however, only a small portion of this
amount is currently spent on online services. We believe that
these companies, which comprise the majority of the advertisers
and sponsors of our public portals, are becoming increasingly
aware of the effectiveness of the Internet relative to
traditional media in providing health, clinical and
product-related information to consumers and physicians, and
this increasing awareness will result in increasing demand for
our services. However, notwithstanding our general expectation
for increased demand, our advertising and sponsorship revenue
may vary significantly from quarter to quarter due to a number
of factors, many of which are not in our control, and some of
which may be difficult to forecast accurately, including general
economic conditions and the following:
|
|
|
|
|
|
The majority of our advertising and sponsorship contracts are
for terms of approximately four to twelve months. We have
relatively few longer term advertising and sponsorship contracts.
|
|
|
|
The time between the date of initial contact with a potential
advertiser or sponsor regarding a specific program and the
execution of a contract with the advertiser or sponsor for that
program may be subject to delays over which we have little or no
control, including as a result of budgetary constraints of the
advertiser or sponsor or their need for internal approvals.
|
37
Other factors that may affect the timing of contracting for
specific programs with advertisers and sponsors, or receipt of
revenue under such contracts, include: the timing of FDA
approval for new products or for new approved uses for existing
products; the timing of FDA approval of generic products that
compete with existing brand name products; the timing of
withdrawals of products from the market; the timing of roll-outs
of new or enhanced services on our public portals; seasonal
factors relating to the prevalence of specific health conditions
and other seasonal factors that may affect the timing of
promotional campaigns for specific products; and the scheduling
of conferences for physicians and other healthcare professionals.
|
|
|
|
|
Changes in Health Plan Design; Health Management
Initiatives. In a healthcare market where the
responsibility for healthcare costs and decision-making has been
increasingly shifting to consumers, use of information
technology (including personal health records) to assist
consumers in making informed decisions about healthcare has also
increased. We believe that through our WebMD Health and Benefits
Manager tools, including our personal health record application,
we are well positioned to play a role in this environment, and
these services will be a significant driver for the growth of
our private portals during the next several years. However, our
growth strategy depends, in part, on increasing usage of our
private portal services by our employer and health plan
clients employees and members, respectively. Increasing
usage of our services requires us to continue to deliver and
improve the underlying technology and develop new and updated
applications, features and services. In addition, we face
competition in the area of healthcare decision-support tools and
online health management applications and health information
services. Many of our competitors have greater financial,
technical, product development, marketing and other resources
than we do, and may be better known than we are. We also expect
that, for clients and potential clients in the industries most
seriously affected by recent adverse changes in general economic
conditions (including those in the financial services and
automotive industries), we may experience some reductions in
initial contracts, contract expansions and contract renewals for
our private portal services, as well as reductions in the size
of existing contracts.
|
The healthcare industry in the United States and relationships
among healthcare payers, providers and consumers are very
complicated. In addition, the Internet and the market for online
services are relatively new and still evolving. Accordingly,
there can be no assurance that the trends identified above will
continue or that the expected benefits to our businesses from
our responses to those trends will be achieved. In addition, the
market for healthcare information services is highly competitive
and not only are our existing competitors seeking to benefit
from these same trends, but the trends may also attract
additional competitors.
Proposed Divestiture of the Little Blue Book Print Directory
Business. In March 2009, WebMDs Board of
Directors decided to divest WebMDs Little Blue Book Print
Directory Business (which we refer to as LBB) as it is not
strategic to WebMDs overall business. As a result of our
intentions to divest and our expectation that this divesture
will be completed within one year, we reflected LBB as
discontinued operations within the consolidated financial
statements contained elsewhere in this Quarterly Report. The
revenue and operating results of LBB had previously been
reflected within our operating segment WebMD Publishing and
Other Services. As a result of the decision to divest LBB, we
eliminated the separate segment presentation for WebMD
Publishing and Other Services. We are currently reporting
revenue as (i) advertising and sponsorship,
(ii) licensing and (iii) print, and are reporting
WebMD as one operating segment.
Repurchases of Convertible Notes. During the
three months ended March 31, 2009, we repurchased $76,517
principal amount of our 1.75% Convertible Subordinated
Notes Due 2023 (which we refer to as 1.75% Notes) for
$71,623 in cash, which includes $4,712 that was paid after
March 31, 2009. Also during the three months ended
March 31, 2009, we purchased $18,000 principal amount of
our
31/8% Convertible
Notes Due 2025 (which we refer to as
31/8% Notes)
for $15,044 in cash, which includes $3,772 that was paid after
March 31, 2009. We recognized an aggregate gain of $6,647
related to the repurchases of the 1.75% Notes and
31/8% Notes
during the three months ended March 31, 2009. The gain
considers the write-off of remaining deferred issuance costs
outstanding at the time these notes were repurchased.
Non-Recourse Credit Facilities. On May 6,
2008, HLTH and WHC each entered into a non-recourse credit
facility (the 2008 Credit Facilities) with
affiliates of Citigroup, secured by their respective ARS
holdings
38
(including, in some circumstances, interest payable on the ARS
holdings), that would allow HLTH and WHC to borrow up to 75% of
the face amount of the ARS holdings pledged as collateral under
the respective 2008 Credit Facilities. No borrowings were made
under the 2008 Credit Facilities. A description of our ARS is
included under Critical Accounting Estimates
and Policies Fair Value of Investments below.
On April 28, 2009, HLTH entered into a new non-recourse
credit facility and WHC entered into an amended and restated
facility, each with an affiliate of Citigroup (collectively, we
refer to as the 2009 Credit Facilities, replacing the 2008
Credit Facilities. As of the date of this Quarterly Report, no
borrowings have been made under either of the 2009 Credit
Facilities. The 2009 Credit Facilities are secured by the
respective borrowers ARS holdings (including, in some
circumstances, interest payable on the ARS holdings). HLTH and
WHC can make borrowings under their respective 2009 Credit
Facilities until April 27, 2010. Any borrowings outstanding
under the 2009 Credit Facilities after February 26, 2010
become demand loans, subject to 60 days notice, with
recourse only to the pledged collateral. Loan proceeds may be
used for general working capital purposes or other lawful
business purposes of the borrower (including repurchases of its
own securities), but not for purposes of buying, trading or
carrying other securities. The interest rate applicable to
borrowings under the 2009 Credit Facilities will be the Open
Federal Funds Rate plus 3.95%. The maximum that can be borrowed
under the respective 2009 Credit Facilities is 75% of the face
amount of the pledged ARS holdings. As of the date of this
Quarterly Report, the maximum that HLTH would be able to borrow
is $142,575 (based on its ARS holdings, excluding ARS held by
WHC) and the maximum WHC would be able to borrow is $123,075
(based on its ARS holdings). Removals of ARS from the pledged
collateral (including upon their redemption or sale) will reduce
the amount available for borrowing under the respective 2009
Credit Facilities. HLTHs 2009 Credit Facility is governed
by a new loan agreement and WHCs 2009 Credit Facility is
governed by an amended and restated loan agreement, each of
which contains customary representations and warranties of the
borrower and certain affirmative covenants and negative
covenants relating to the pledged collateral. Under each of the
loan agreements, the borrower and the lender may, in certain
circumstances, cause the pledged collateral to be sold, with the
proceeds of any such sale required to be applied in full
immediately to repayment of amounts borrowed.
Directors & Officers Liability Insurance Coverage
Litigation. On July 23, 2007, we commenced
litigation (which we refer to as the Coverage Litigation) in the
Court of Chancery of the State of Delaware in and for New Castle
County against ten insurance companies in which we are seeking
to compel the defendant companies (which we refer to as the
Defendants) to honor their obligations under certain directors
and officers liability insurance policies (which we refer to as
the Policies). We are seeking an order requiring the Defendants
to advance
and/or
reimburse expenses that we have incurred and expect to continue
to incur for the advancement of the reasonable defense costs of
initially ten, and now eight, former officers and directors of
our former EPS subsidiary who were indicted in connection with
the previously disclosed investigation by the United States
Attorney for the District of South Carolina (which we refer to
as the Investigation) described in Note 10,
Commitments and Contingencies located in Notes to
Consolidated Financial Statements elsewhere in this Quarterly
Report. We subsequently have settled with two of the insurance
companies during January 2008, through which we received an
aggregate amount of $14,625.
Pursuant to a stipulation among the parties, the Coverage
Litigation was transferred on September 13, 2007 to the
Superior Court of the State of Delaware in and for New Castle
County. The Policies were issued to our company and to EPS, our
former subsidiary, which is our co-plaintiff in the Coverage
Litigation (which we refer to collectively as the Plaintiffs).
EPS was sold in September 2006 to Sage Software and has changed
its name to Sage Software Healthcare, Inc. (which we refer to as
SSHI). In connection with our sale of EPS to Sage Software, we
retained certain obligations relating to the Investigation and
agreed to indemnify Sage Software and SSHI with respect to
certain expenses in connection with the Investigation. We
retained the right to assert claims and recover proceeds under
the Policies on behalf of SSHI.
Prior to the filing of the Second Amended Complaint which is
discussed below, the Policies at issue in the Coverage
Litigation consisted of two separate groups of insurance
policies. Each group of policies consists of several layers of
coverage, with different insurers having agreed to provide
specified amounts of coverage at various levels. The first group
of policies was issued to EPS in the amount of $20,000 (which we
refer to as the EPS Policies) and the second group of policies
was issued to Synetic, Inc. (the former parent of EPS,
39
which merged into the HLTH) in the amount of $100,000, of which
approximately $3,600 was paid by the primary carrier with
respect to another unrelated matter (which we refer to as the
Synetic Policies). As of March 31, 2009, $68,628 has been
paid by insurance companies representing the EPS Policies and
the Synetic Policies through a combination of payment under the
terms of the Policies, payment under reservation of rights and
settlement. Of this amount, $37,589 has been reimbursed by the
insurance companies subsequent to the Courts order on
July 31, 2008 (described in more detail below). As a result
of these payments, we have exhausted our coverage under the EPS
Policies and have remaining coverage under the Synetic Policies
of approximately $39,000.
The carrier with the third level of coverage in the Synetic
Policies filed a motion for summary judgment in the Coverage
Litigation, which most of the carriers who have issued the
Synetic Policies joined, which sought summary judgment that any
liability to pay defense costs should be allocated among the
three sets of policies available to our company (including the
policies with respect to which the Coverage Litigation relates
and a third set of policies the issuers of which had not yet
been named by our company) such that the Synetic Policies would
only be liable to pay about $23,000 of the $96,400 total
coverage available under such policies. We filed our opposition
to the motion together with its motion for summary judgment
against such carrier and several other carriers who have issued
the Synetic Policies seeking to require such carriers to advance
payment of the defense costs that we are obligated to pay while
the Coverage Litigation is pending. On July 31, 2008, the
Superior Court for the State of Delaware denied the motion filed
by the carriers seeking allocation and granted our motion for
partial summary judgment to enforce the duty of such carriers to
advance and reimburse these costs.
Pursuant to the Courts order, the issuers of the Synetic
Policies have been reimbursing our company for its costs.
On September 9, 2008 and February 4, 2009,
respectively, the eighth and ninth level carriers of the Synetic
Policies notified our company that they believe that they were
not bound by the Courts July 31, 2008 order regarding
the duty of the Synetic carriers to advance and reimburse
defense costs. This resulted in our company making a motion to
the Court on February 23, 2009 to require such eighth and
ninth level carriers to advance and reimburse defense costs. We
have since settled with the eighth level carrier. Under the
terms of the settlement such carrier will pay, in full and final
settlement, an
agreed-upon
percentage of the policy amount against each payment of defense
costs we make if and when such policy becomes implicated. Our
motion is pending against the ninth level carrier and, on
April 15, 2009, such carrier made a cross-motion for
summary judgment claiming that, in light of a policy endorsement
applicable only to the ninth level carrier, because of the time
period during which the conspiracy charged in the Second
Superseding Indictment is alleged to have taken place, the
Synetic Policy issued by such carrier does not cover our
indemnification obligations. We believe that such carriers
motion is without merit and are preparing our response, although
there can be no assurance as to the outcome of the cross-motions.
On November 17, 2008, we filed a Second Amended Complaint
which added four new insurance companies as defendants in the
Coverage Action. These carriers are the issuers of a third set
of policies (which we refer to as the Emdeon Policies) that
provide coverage with respect to our indemnification obligations
to the former officers and directors of our former EPS
subsidiary who were indicted in connection with the
Investigation described above in Note 10, Commitments
and Contingencies located in Notes to the Consolidated
Financial Statements elsewhere in this Quarterly Report. The
carriers who issued the Emdeon Policies have moved for summary
judgment asserting that exclusions in the Emdeon Policies
preclude coverage for our indemnification obligations. We
believe that these exclusions in the Emdeon Policies do not
apply to our claim and intends to oppose such motions, but there
can be no assurance as to the outcome.
The insurance carriers assert that our insurance policies
provide that under certain circumstances, amounts advanced by
the insurance companies in connection with the defense costs of
the indicted individuals, we may have to repay, although the
$14,625 that we have received in settlement from certain
carriers is not subject to being repaid and any amounts paid by
the eighth level carrier of the Synetic Policies will not have
to be repaid. We have obtained an undertaking from each indicted
individual pursuant to which, under certain circumstances, such
individual has agreed to repay defense costs advanced on such
individuals behalf.
40
There can be no assurance that we will ultimately prevail in the
Coverage Litigation or that the Defendants will be required to
provide funding on an interim basis pending the resolution of
the Coverage Litigation. We intend to continue to satisfy our
legal obligations to the indicted individuals with respect to
advancement of amounts for their defense costs.
Indemnification Obligations to Former Officers and Directors
of EPS. We have certain indemnity obligations to
advance amounts for reasonable defense costs for initially ten,
and now eight, former officers and directors of EPS, who were
indicted in connection with the Investigation. In connection
with the EPS Sale, we agreed to indemnify Sage Software relating
to these indemnity obligations. During the year ended
December 31, 2007, based on information available at that
time, we determined a reasonable estimate of the range of
probable costs with respect to its indemnification obligation
and accordingly, recorded an aggregate pre-tax charge of
$73,347, which represented our estimate of the low end of the
probable range of costs related to this matter. We have reserved
the low end of the probable range of costs because no estimate
within the range was a better estimate than any other amount.
That estimate included assumptions as to the duration of the
trial and pre-trial periods, and the defense costs to be
incurred during these periods. During the three months ended
June 30, 2008 and again during the three months ended
December 31, 2008, we updated the estimated range of our
indemnification obligation based on new information received
during those periods, and as a result, recorded additional
pre-tax charges of $16,980 and $12,098, respectively, each of
which reflected increases in the low end of the probable range
of costs related to this matter. The probable range of future
costs with respect to this matter is estimated to be
approximately $36,400 to $56,400 as of March 31, 2009 which
includes costs that have been incurred prior to, but were not
yet paid, as of March 31, 2009. The ultimate outcome of
this matter is still uncertain, and the estimate of future costs
includes assumptions as to the duration of the trial and the
defense costs to be incurred during the remainder of the
pre-trial period and during the trial period. Accordingly, the
amount of cost we may ultimately incur could be substantially
more than the reserve we have currently provided. If the
recorded reserves are insufficient to cover the ultimate cost of
this matter, we will need to record additional charges to our
consolidated statement of operations in future periods. The
accrual related to this obligation was $36,391 and $47,550 as of
March 31, 2009 and December 31, 2008.
Seasonality
The timing of our revenue is affected by seasonal factors.
Advertising and sponsorship revenue is seasonal, primarily due
to the annual budget approval process of the advertising and
sponsorship clients of our public portals. This portion of our
revenue is usually the lowest in the first quarter of each
calendar year, and increases during each consecutive quarter
throughout the year. Additionally, our private portal licensing
revenue is historically higher in the second half of the year as
new customers are typically added during this period in
conjunction with their annual open enrollment periods for
employee benefits. The timing of revenue in relation to the
expenses of the WebMD segment, much of which do not vary
directly with revenue, has an impact on cost of operations,
sales and marketing and general and administrative expenses as a
percentage of revenue in each calendar quarter.
Critical
Accounting Estimates and Policies
Our discussion and analysis of HLTHs financial condition
and results of operations are based upon our Consolidated
Financial Statements and Notes to Consolidated Financial
Statements, which were prepared in conformity with
U.S. generally accepted accounting principles. The
preparation of financial statements requires us to make certain
estimates and assumptions that affect the amounts reported in
the consolidated financial statements and accompanying notes. We
base our estimates on historical experience, current business
factors, and various other assumptions that we believe are
necessary to consider in order to form a basis for making
judgments about the carrying values of assets and liabilities,
the recorded amounts of revenue and expenses, and disclosure of
contingent assets and liabilities. We are subject to
uncertainties such as the impact of future events, economic,
environmental and political factors, and changes in our business
environment; therefore, actual results could differ from these
estimates. Accordingly, the accounting estimates used in
preparation of our financial statements will change as new
events occur, as more experience is acquired, as additional
information is obtained and as our operating environment
changes. Changes in estimates are made when circumstances
warrant. Such changes in estimates and refinements in estimation
methodologies are reflected in
41
reported results of operations; if material, the effects of
changes in estimates are disclosed in the notes to our
consolidated financial statements.
We evaluate our estimates on an ongoing basis, including those
related to revenue recognition, short-term and long-term
investments, income taxes and tax contingencies, collectibility
of customer receivables, long-lived assets including goodwill
and other intangible assets, software and Web site development
costs, certain accrued expenses, contingencies, litigation and
related legal accruals and the value attributed to employee
stock options and other stock-based awards.
We believe the following reflects our critical accounting
policies and our more significant judgments and estimates used
in the preparation of our consolidated financial statements:
|
|
|
|
|
Revenue Recognition Revenue from advertising
is recognized as advertisements are delivered or as publications
are distributed. Revenue from sponsorship arrangements, content
syndication and distribution arrangements, and licenses of
healthcare management tools and private portals as well as
related health coaching services are recognized ratably over the
term of the applicable agreement. Revenue from the sponsorship
of CME is recognized over the period WebMD substantially
completes its contractual deliverables as determined by the
applicable agreements. When contractual arrangements contain
multiple elements, revenue is allocated to each element based on
its relative fair value determined using prices charged when
elements are sold separately. In certain instances where fair
value does not exist for all the elements, the amount of revenue
allocated to the delivered elements equals the total
consideration less the fair value of the undelivered elements.
In instances where fair value does not exist for the undelivered
elements, revenue is recognized when the last element is
delivered.
|
|
|
|
Long-Lived Assets Our long-lived assets
consist of property and equipment, goodwill and other intangible
assets. Goodwill and other intangible assets arise from the
acquisitions we have made. The amount assigned to intangible
assets is subjective and based on our estimates of the future
benefit of the intangible assets using accepted valuation
techniques, such as discounted cash flow and replacement cost
models. Our long-lived assets, excluding goodwill and indefinite
lived intangible assets, are amortized over their estimated
useful lives, which we determine based on the consideration of
several factors including the period of time the asset is
expected to remain in service. We evaluate the carrying value
and remaining useful lives of long-lived assets, excluding
goodwill and indefinite lived intangible assets, whenever
indicators of impairment are present. We evaluate the carrying
value of goodwill and indefinite lived intangible assets
annually, or whenever indicators of impairment are present. We
use a discounted cash flow approach to determine the fair value
of goodwill and indefinite lived intangible assets. Long-lived
assets held for sale are reported at the lower of cost or fair
value less cost to sell. There was no impairment of goodwill or
indefinite lived intangible assets noted as a result of our
impairment testing in 2008.
|
|
|
|
Fair Value of Investments We hold investments
in ARS which are backed by student loans, which are 97%
guaranteed under the Federal Family Education Loan Program
(FFELP), and which had credit ratings of AAA or Aaa when
purchased. Historically, the fair value of our ARS investments
approximated face value due to the frequent auction periods,
generally every 7 to 28 days, which provided liquidity to
these investments. However, since February 2008, all auctions
involving these securities have failed. As a secondary market
has yet to develop, these investments have been reclassified to
long-term investments. The result of a failed auction is that
these ARS will continue to pay interest in accordance with their
terms at each respective auction date; however, liquidity of the
securities will be limited until there is a successful auction,
the issuer redeems the securities, the securities mature or
until such time as other markets for these ARS develop. We
cannot be certain regarding the amount of time it will take for
an auction market or other markets to develop. Accordingly,
during the three months ended March 31, 2008, we concluded
that the estimated fair value of the ARS no longer approximated
the face value due to the lack of liquidity and accordingly, we
recorded an other-than-temporary impairment as of March 31,
2008.
|
42
As of and subsequent to March 31, 2008, we estimated the
fair value of our ARS holdings using an income approach
valuation technique. Using this approach, expected future cash
flows are calculated over the expected life of each security and
are discounted to a single present value using a market required
rate of return. Some of the more significant assumptions made in
the present value calculations include (i) the estimated
weighted average lives for the loan portfolios underlying each
individual ARS and (ii) the required rates of return used
to discount the estimated future cash flows over the estimated
life of each security, which considered both the credit quality
for each individual ARS and the market liquidity for these
investments.
Our ARS have been classified as Level 3 assets in
accordance with Statement of Financial Accounting Standards
(which we refer to as SFAS) No. 157, Fair Value
Measurements, as their valuation requires substantial
judgment and estimation of factors that are not currently
observable in the market due to the lack of trading in the
securities. If different assumptions were used for the various
inputs to the valuation approach including, but not limited to,
assumptions involving the estimated lives of the ARS
investments, the estimated cash flows over those estimated
lives, and the estimated discount rates applied to those cash
flows, the estimated fair value of these investments could be
significantly higher or lower than the fair value we determined.
We continue to monitor the market for ARS as well as the
individual ARS investments we own. We may be required to record
additional losses in future periods if the fair value of our ARS
deteriorates further.
|
|
|
|
|
Sale of Subsidiary Stock Our WHC subsidiary
issues its Class A Common Stock in various transactions,
which results in a dilution of our percentage ownership in WHC.
We account for the sale of WHC Class A Common Stock in
accordance with the SECs Staff Accounting
Bulletin No. 51 Accounting for Sales of Stock by
a Subsidiary, as amended by SFAS No. 160,
Noncontrolling Interests in Consolidated Financial
Statements an amendment of ARB No. 51
(which we refer to as SFAS 160). The difference between the
carrying amount of our investment in WHC before and after the
issuance of WHC Class A Common Stock is considered either a
gain or loss and is reflected as a component of our
stockholders equity. During the three months ended
March 31, 2009 and 2008, WHC stock options exercised and
restricted stock awards were released in accordance with
WHCs equity plans. The issuance of these shares resulted
in an aggregate gain of $757 during the three months ended
March 31, 2008. We did not recognize any such gain during
the three months ended March 31, 2009. Our ownership in WHC
decreased to 83.5% as of March 31, 2009 from 83.6% as of
December 31, 2008.
|
|
|
|
Stock-Based Compensation On January 1,
2006, we adopted SFAS No. 123, (Revised 2004):
Share-Based Payment (which we refer to as SFAS 123R),
which replaces SFAS No. 123, Accounting for
Stock-Based Compensation (which we refer to as
SFAS 123) and supersedes Accounting Principles Board
(which we refer to as APB) Opinion No. 25, Accounting
for Stock Issued to Employees (which we refer to as APB
25). SFAS 123R requires all share-based payments to
employees, including grants of employee stock options, to be
recognized as compensation expense over the service period
(generally the vesting period) in the Consolidated Financial
Statements based on their fair values. The fair value of each
option granted is estimated on the date of grant using the
Black-Scholes option pricing model. The assumptions used in this
model are expected dividend yield, expected volatility,
risk-free interest rate and expected term. We elected to use the
modified prospective transition method. Under the modified
prospective transition method, awards that were granted or
modified on or after January 1, 2006 are measured and
accounted for in accordance with SFAS 123R. Unvested stock
options and restricted stock awards that were granted prior to
January 1, 2006 will continue to be accounted for in
accordance with SFAS 123, using the same grant date fair
value and same expense attribution method used under
SFAS 123, except that all awards are recognized in the
results of operations over the remaining vesting periods. The
impact of forfeitures that may occur prior to vesting is also
estimated and considered in the amount recognized for all
stock-based compensation beginning January 1, 2006. As of
March 31, 2009, approximately $18,168 and $74,935 of
unrecognized stock-based compensation expense related to
unvested awards (net of estimated forfeitures) is expected to be
recognized over a
|
43
|
|
|
|
|
weighted-average period of approximately 2.2 years and
3.3 years, related to the HLTH and WHC stock-based
compensation plans, respectively.
|
|
|
|
|
|
Deferred Taxes Our deferred tax assets are
comprised primarily of net operating loss carryforwards. Subject
to certain limitations, these loss carryforwards may be used to
offset taxable income in future periods, reducing the amount of
taxes we might otherwise be required to pay. A significant
portion of our deferred tax assets are reserved for through a
valuation allowance. In determining the need for a valuation
allowance, management determined the probability of realizing
deferred tax assets, taking into consideration factors including
historical operating results, expectations of future earnings
and taxable income. Management will continue to evaluate the
need for a valuation allowance, and in the future, should
management determine that realization of the net deferred tax
asset is more likely than not, some or all of the remaining
valuation allowance will be reversed, and our effective tax rate
may be reduced by such reversal.
|
|
|
|
Tax Contingencies Our tax contingencies are
recorded to address potential exposures involving tax positions
we have taken that could be challenged by tax authorities. These
potential exposures result from applications of various
statutes, rules, regulations and interpretations. Our estimates
of tax contingencies reflect assumptions and judgments about
potential actions by taxing jurisdictions. We believe that these
assumptions and judgments are reasonable; however, our accruals
may change in the future due to new developments in each matter
and the ultimate resolution of these matters may be greater or
less than the amount that we have accrued. Consistent with our
historical financial reporting, we have elected to reflect
interest and penalties related to uncertain tax positions as
part of the income tax provision.
|
44
Results
of Operations
The following table sets forth our consolidated statements of
operations data and expresses that data as a percentage of
revenue for the periods presented (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
|
$
|
|
|
%
|
|
|
$
|
|
|
%
|
|
|
Revenue
|
|
$
|
90,264
|
|
|
|
100.0
|
|
|
$
|
80,650
|
|
|
|
100.0
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
|
36,565
|
|
|
|
40.5
|
|
|
|
30,927
|
|
|
|
38.3
|
|
Sales and marketing
|
|
|
27,561
|
|
|
|
30.5
|
|
|
|
25,149
|
|
|
|
31.2
|
|
General and administrative
|
|
|
21,848
|
|
|
|
24.3
|
|
|
|
20,849
|
|
|
|
25.9
|
|
Depreciation and amortization
|
|
|
7,103
|
|
|
|
7.9
|
|
|
|
6,775
|
|
|
|
8.4
|
|
Interest income
|
|
|
2,262
|
|
|
|
2.5
|
|
|
|
11,936
|
|
|
|
14.8
|
|
Interest expense
|
|
|
6,536
|
|
|
|
7.2
|
|
|
|
6,525
|
|
|
|
8.1
|
|
Gain on repurchases of convertible notes
|
|
|
6,647
|
|
|
|
7.4
|
|
|
|
|
|
|
|
|
|
Gain on sale of EBS Master LLC
|
|
|
|
|
|
|
|
|
|
|
538,024
|
|
|
|
667.1
|
|
Impairment of auction rate securities
|
|
|
|
|
|
|
|
|
|
|
60,108
|
|
|
|
74.5
|
|
Other expense, net
|
|
|
269
|
|
|
|
0.3
|
|
|
|
4,144
|
|
|
|
5.1
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) income from continuing operations before income tax
(benefit) provision
|
|
|
(709
|
)
|
|
|
(0.8
|
)
|
|
|
476,133
|
|
|
|
590.4
|
|
Income tax (benefit) provision
|
|
|
(1,217
|
)
|
|
|
(1.4
|
)
|
|
|
25,602
|
|
|
|
31.8
|
|
Equity in earnings of EBS Master LLC
|
|
|
|
|
|
|
|
|
|
|
4,007
|
|
|
|
5.0
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Consolidated income from continuing operations
|
|
|
508
|
|
|
|
0.6
|
|
|
|
454,538
|
|
|
|
563.6
|
|
Consolidated income from discontinued operations
|
|
|
517
|
|
|
|
0.5
|
|
|
|
3,057
|
|
|
|
3.8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Consolidated net income before noncontrolling interest
|
|
|
1,025
|
|
|
|
1.1
|
|
|
|
457,595
|
|
|
|
567.4
|
|
(Income) loss attributable to noncontrolling interest
|
|
|
(610
|
)
|
|
|
(0.6
|
)
|
|
|
3,845
|
|
|
|
4.8
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH stockholders
|
|
$
|
415
|
|
|
|
0.5
|
|
|
$
|
461,440
|
|
|
|
572.2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue is derived from advertising, sponsorship (including
online CME services),
e-detailing
promotion and physician recruitment services, content
syndication and distribution, and licenses of private online
portals to employers, healthcare payers and others, along with
related services including lifestyle education and personalized
telephonic coaching. We also derive revenue from advertisements
in WebMD the Magazine. Our customers include
pharmaceutical, biotechnology, medical device and consumer
products companies, as well as employers and health plans.
Cost of operations consists of costs related to services and
products we provide to customers and costs associated with the
operation and maintenance of our public and private portals.
These costs relate to editorial and production, Web site
operations, non-capitalized Web site development costs, and
costs related to the production and distribution of our
publications. These costs consist of expenses related to
salaries and related expenses, non-cash stock-based
compensation, creating and licensing content,
telecommunications, leased properties and printing and
distribution.
Sales and marketing expense consists primarily of advertising,
product and brand promotion, salaries and related expenses, and
non-cash stock-based compensation. These expenses include items
related to salaries and related expenses of account executives,
account management and marketing personnel, costs and expenses
for marketing programs, and fees for professional marketing and
advertising services. Also included in sales and marketing
expense are the non-cash advertising expenses discussed below.
General and administrative expense consists primarily of
salaries, non-cash stock-based compensation and other
salary-related expenses of administrative, finance, legal,
information technology, human resources and
45
executive personnel. These expenses include costs of general
insurance and costs of accounting and internal control systems
to support our operations.
Our discussions throughout MD&A make references to certain
non-cash expenses. The following is a summary of our principal
non-cash expenses:
|
|
|
|
|
Non-cash advertising expense. Expense related
to the use of WebMDs prepaid advertising inventory that
WHC received from News Corporation in exchange for equity
instruments we issued in connection with an agreement we entered
into with News Corporation in 1999 and subsequently amended in
2000. This non-cash advertising expense is included in sales and
marketing expense as WebMD uses the asset for promotion of
WebMDs brand.
|
|
|
|
Non-cash stock-based compensation
expense. Expense related to the awards of all
share-based payments to employees and non-employee directors,
including grants of employee stock options. Non-cash stock-based
compensation expense is reflected in the same expense captions
as the related salary cost of the respective employee.
|
The following table is a summary of our non-cash expenses
included in the respective statements of operations captions.
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Advertising expense included in:
|
|
|
|
|
|
|
|
|
Sales and marketing
|
|
$
|
1,753
|
|
|
$
|
1,558
|
|
|
|
|
|
|
|
|
|
|
Stock-based compensation expense included in:
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
$
|
1,623
|
|
|
$
|
1,116
|
|
Sales and marketing
|
|
|
1,550
|
|
|
|
1,126
|
|
General and administrative
|
|
|
5,981
|
|
|
|
3,698
|
|
|
|
|
|
|
|
|
|
|
Consolidated income from continuing operations
|
|
|
9,154
|
|
|
|
5,940
|
|
Consolidated income from discontinued operations
|
|
|
317
|
|
|
|
343
|
|
|
|
|
|
|
|
|
|
|
Total stock-based compensation expense
|
|
$
|
9.471
|
|
|
$
|
6,283
|
|
|
|
|
|
|
|
|
|
|
The following discussion includes a comparison of the results of
operations for the three months ended March 31, 2009 and
2008.
Revenue
Our total revenue increased 11.9% to $90,264 from $80,650 in the
prior year period. This increase is primarily due to higher
revenue from our public portals. A more detailed discussion
regarding changes in revenue is included below under
Results of Operations by Operating
Segment.
Costs
and Expenses
Cost of Operations. Cost of operations
increased to $36,565 from $30,927 in the prior year period. As a
percentage of revenue, cost of operations was 40.5% in 2009,
compared to 38.3% in 2008. Included in cost of operations in
2009 was non-cash expense related to stock-based compensation of
$1,623 compared to $1,116 in 2008. The increase in non-cash
expenses during the three month period compared to last year
were primarily related to stock options and restricted stock
awards granted to our employees in December 2008. Cost of
operations excluding such non-cash expense was $34,942 or 38.7%
of revenue, compared to $29,811 or 37.0% of revenue last year.
The increase in absolute dollars, as well as the increase as a
percentage of revenue, was primarily attributable to
approximately $2,800 of higher staffing costs and approximately
$1,300 of licensing expense associated with creating and
licensing content for our sponsorship arrangements and our Web
sites. Additionally, the increase is related to approximately
$600 in costs related to our personalized telephonic coaching
services primarily due to higher staffing levels to support that
part of our business.
46
Sales and Marketing. Sales and marketing
expense increased to $27,561 from $25,149 in the prior year
period. As a percentage of revenue, sales and marketing expense
was 30.5% in 2009, compared to 31.2% in 2008. Included in sales
and marketing expense in 2009 and 2008 was non-cash expense
related to advertising of $1,753 and $1,558, respectively, and
stock-based compensation of $1,550 and $1,126, respectively. The
increase in non-cash stock- based compensation expense was
primarily related to stock options and restricted stock awards
granted to our employees in December 2008. Sales and marketing
expense, excluding such non-cash expense, was $24,258 or 26.9%
of revenue, compared to $22,465 or 27.9% of revenue last year.
The increase in absolute dollars was primarily attributable to
an increase in compensation related costs due to increased
staffing and sales commissions related to higher revenue.
General and Administrative. General and
administrative expense increased to $21,848 from $20,849 in the
prior year period. As a percentage of revenue, general and
administrative expenses was 24.3% in 2009, compared to 25.9% in
2008. Included in general and administrative expenses in 2009
and 2008, was non-cash stock-based compensation of $5,981 and
$3,698. The increase in non-cash stock-based compensation
expense was primarily due to stock options and restricted stock
awards granted to our employees in December 2008.
General and administrative expense, excluding non-cash
stock-based compensation expense discussed above, was $15,867 or
17.6% of revenue, compared to $17,151 or 21.3% of revenue in the
prior year period. Approximately $1,600 of the decrease in
absolute dollars was attributable to lower personnel related
expenses in our corporate segment as a result of lower headcount
for the three months ended March 31, 2009, compared to the
prior year period. This decrease was offset by an increase of
approximately $300 in our WebMD segment for the three months
ended March 31, 2009, as compared to last year.
Depreciation and Amortization. Depreciation
and amortization expense increased to $7,103, compared to $6,775
in the prior year period. The increase in depreciation and
amortization expense was primarily due to approximately $1,000
increase in depreciation expense relating to capital
expenditures in 2008 and 2009 in our WebMD segment, partially
offset by a decrease in amortization expense of approximately
$700 related to certain intangible assets becoming fully
amortized.
Interest Income. Interest income decreased to
$2,262 from $11,936 in the prior year period. The decrease was
due to lower average rates of return and lower average
investment balances during the three months ended March 31,
2009, as compared to the prior year period.
Interest Expense. Interest expense of $6,536
was consistent with interest expense of $6,525 in the prior year
period. Interest expense in the three months ended
March 31, 2009 and 2008 included $2,799 and $2,661,
respectively, related to the amortization of the debt discount
for our
31/8% Notes
and the amortization of the debt issuance costs for both our
1.75% Notes and our
31/8% Notes.
Gain on Repurchases of Convertible
Notes. During the three months ended
March 31, 2009, we repurchased $76,517 principal amount of
our 1.75% Convertible Notes for $71,623 and $18,000
principal amount of our
31/8% Convertible
Notes for $15,044. We recognized a net gain on the repurchase of
these notes of $6,647 which considers the write-off of the
related portion of unamortized deferred issuance costs.
Gain on Sale of EBS Master LLC. The gain on
sale of EBS Master LLC of $538,024 for the three months ended
March 31, 2008 represented a gain recognized in connection
with the sale of our equity investment in EBS Master LLC.
Impairment of Auction Rate
Securities. Impairment of auction rate securities
represents a charge of $60,108 related to an other-than
temporary reduction of the fair value of our auction rate
securities during the three months ended March 31, 2008.
Other Expense, Net. Other expense, net was
$269, compared to $4,144 in the prior year period. Included in
other expense, net was $578 and $372 for the three months
ended March 31, 2009 and 2008, respectively, of external
legal costs and expenses we incurred related to the
investigation by the United States Attorney for the District of
South Carolina and the SEC and $245 and $437 for the three
months ended March 31, 2009 and 2008, respectively, related
to the reversal of certain sales and use tax contingencies
resulting from the expiration of various statutes of
limitations. Also included in other expense, net for the three
months ended
47
March 31, 2008 was $4,259 of advisory expenses for
professional fees, primarily consisting of legal, accounting and
financial advisory services related to the potential merger
transaction with WHC, which was terminated in October 2008.
Income Tax (Benefit) Provision. The income tax
benefit of $1,217 and provision of $25,602 for the three months
ended March 31, 2009 and 2008, respectively, represents
taxes for federal, state and other jurisdictions. For the three
months ended March 31, 2009, the gain on repurchases of
convertible notes is provided for at a lower effective tax rate
than our ordinary operations, resulting in an income tax
benefit. For the three months ended March 31, 2008, while
the majority of the gain on the 2008 sale of EBS Master LLC was
offset by net operating loss carryforwards, certain alternative
minimum taxes and other state taxes were not offset,
representing approximately $24,000 of the income tax provision.
Also, the income tax provision for the three months ended
March 31, 2008 excludes a benefit for the impairment of
ARS, as it is currently not deductible for tax purposes.
Consolidated Income from Discontinued Operations, Net of
Tax. Income from discontinued operations was $517
and $3,057 for the three months ended March 31, 2009 and
2008. Income from discontinued operations primarily represents
the net operating results of our Porex segment and LBB for the
three months ended March 31, 2009 and March 31, 2008,
as well as the net operating results for our ViPS segment for
the three months ended March 31, 2008.
(Income) Loss Attributable to Noncontrolling
Interest. Noncontrolling interest expense of $610
for the three months ended March 31, 2009, compared to
income of $3,845 in the prior year period, represents the
noncontrolling stockholders proportionate share of net
income (loss) for WHC. (Income) loss attributable to
noncontrolling interest fluctuates based on the net income or
loss reported by WHC, combined with changes in the percentage
ownership of WHC held by the noncontrolling shareholders.
Net Income Attributable To HLTH
Stockholders. Net income attributable HLTH
stockholders was $415 for the three months ended March 31,
2009, compared to $461,440 in the prior year period. Net income
attributable to HLTH stockholders was significantly higher in
the prior year period, due to the gain on sale of EBS Master
LLC, offset by an impairment charge of $60,108 related to our
ARS.
Results
of Operations by Operating Segment
We monitor the performance of our segments based on earnings
before interest, taxes, non-cash and other items. Other items
include: a gain on the repurchases of our convertible notes; a
gain on the sale of our investment in EBS; an impairment charge
related to investments in auction rate securities; legal
expenses we incurred, which reflect costs and expenses related
to the investigation by the United States Attorney for the
District of South Carolina and the SEC; income related to the
reduction of certain sales and use tax contingencies; and
professional fees, primarily consisting of legal, accounting and
financial advisory services, related to the merger between HLTH
and WHC, which was terminated in October 2008.
48
Summarized financial information for our WebMD segment and
Corporate segment and a reconciliation to consolidated income
from continuing operations is presented below:
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended
|
|
|
|
March 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
Revenue
|
|
|
|
|
|
|
|
|
WebMD:
|
|
|
|
|
|
|
|
|
Advertising and sponsorship
|
|
$
|
65,428
|
|
|
$
|
56,482
|
|
Licensing
|
|
|
22,975
|
|
|
|
21,923
|
|
Print
|
|
|
1,861
|
|
|
|
2,245
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
90,264
|
|
|
$
|
80,650
|
|
|
|
|
|
|
|
|
|
|
Earnings before interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
WebMD
|
|
$
|
18,688
|
|
|
$
|
16,332
|
|
Corporate
|
|
|
(3,427
|
)
|
|
|
(5,059
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
15,261
|
|
|
|
11,273
|
|
Interest, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
Interest income
|
|
|
2,262
|
|
|
|
11,936
|
|
Interest expense
|
|
|
(6,536
|
)
|
|
|
(6,525
|
)
|
Income tax benefit (provision)
|
|
|
1,217
|
|
|
|
(25,602
|
)
|
Depreciation and amortization
|
|
|
(7,103
|
)
|
|
|
(6,775
|
)
|
Non-cash stock-based compensation
|
|
|
(9,154
|
)
|
|
|
(5,940
|
)
|
Non-cash advertising
|
|
|
(1,753
|
)
|
|
|
(1,558
|
)
|
Gain on repurchases of convertible notes
|
|
|
6,647
|
|
|
|
|
|
Equity in earnings of EBS Master LLC
|
|
|
|
|
|
|
4,007
|
|
Gain on sale of EBS Master LLC
|
|
|
|
|
|
|
538,024
|
|
Impairment of auction rate securities
|
|
|
|
|
|
|
(60,108
|
)
|
Other expense, net
|
|
|
(333
|
)
|
|
|
(4,194
|
)
|
|
|
|
|
|
|
|
|
|
Consolidated income from continuing operations
|
|
|
508
|
|
|
|
454,538
|
|
Consolidated income from discontinued operations, net of tax
|
|
|
517
|
|
|
|
3,057
|
|
|
|
|
|
|
|
|
|
|
Consolidated net income before noncontrolling interest
|
|
|
1,025
|
|
|
|
457,595
|
|
(Income) loss attributable to noncontrolling interest
|
|
|
(610
|
)
|
|
|
3,845
|
|
|
|
|
|
|
|
|
|
|
Net income attributable to HLTH Corporation
|
|
$
|
415
|
|
|
$
|
461,440
|
|
|
|
|
|
|
|
|
|
|
The following discussion is a comparison of the results of
operations for our WebMD segment and Corporate segment for the
three months ended March 31, 2009 to the three months ended
March 31, 2008:
WebMD
Revenue.
|
|
|
|
|
Advertising and Sponsorship. Advertising and
sponsorship revenue increased $8,946 or 15.8% compared to the
prior year period. The increase in advertising and sponsorship
revenue was primarily attributable to an increase in the number
of brands and sponsored programs promoted on our sites. The
number of such programs grew to 751 compared to 628 in the prior
year period. In general, pricing remained relatively stable for
our online advertising programs and was not a significant source
of the revenue increase. Substantially all of our advertising
and sponsorship revenue is generated through our public portals.
|
49
|
|
|
|
|
Licensing. Licensing revenue increased $1,052
or 4.8% compared to the prior year period. This increase was due
to an increase in the number of companies using our private
portal platform to 134 from 122 in the prior year period. In
general, pricing remained relatively stable for our private
portal licenses and was not a significant source of the revenue
increase. We also have approximately 140 additional customers
who purchase stand-alone decision support services from us.
Substantially all of our advertising and sponsorship revenue is
generated through our public portals.
|
|
|
|
Print. Print revenue was $1,861 compared to
$2,245 in the prior year period, a decrease of $384. WebMD
the Magazine and other print products are reflected in print
revenue.
|
Earnings Before Interest, Taxes, Non-Cash and Other
Items. Earnings before interest, taxes, non-cash
and other items was $18,688 or 20.7% of revenue, compared to
$16,332 or 20.3% of revenue in the prior year period. This
increase as a percentage of revenue was primarily due to higher
revenue from the increase in number of brands and sponsored
programs in our public portals as well as the increase in
companies using our private online portal, without incurring a
proportionate increase in overall expenses.
Corporate
Earnings Before Interest, Taxes, Non-Cash and Other
Items. Corporate expenses decreased to $3,427 or
3.8% of revenue, compared to $5,059 or 6.3% of revenue in the
prior year period. The decrease in our Corporate segment, in
whole dollars, is primarily due to lower personnel related
expenses due to lower headcount during the three months ended
March 31, 2009, lower professional services fees and lower
insurance expenses reflecting the continued decrease in our
corporate infrastructure.
Liquidity
and Capital Resources
Cash used in operating activities from our continuing operations
was $2,691 for the three months ended March 31, 2009,
compared to cash provided by operating activities from our
continuing operations of $44,333 for the prior year period. The
$47,024 decrease in cash flow from continuing operations as
compared to a year ago relates to changes in working capital
which can be impacted by the timing of the cutoff of
compensation accruals, payments of annual insurance premiums,
other expense accruals, the billing and collection of
receivables from our customers and the timing of estimated tax
payments in relation to the quarters end.
Cash used in investing activities from our continuing operations
was $4,459 for the three months ended March 31, 2009,
compared to cash provided by operating activities from our
continuing operations of $524,847 for the prior year period.
Cash provided by investing activities from our continuing
operations for the three months ended March 31, 2008
included $574,617 of proceeds received from the 2008 EBSCo Sale,
as well as the $23,333 we received, which was released from
escrow, from the sale of our EPS segment, which was sold in the
later part of 2006. Also included in cash provided by investing
activities from our continuing operations for the three months
ended March 31, 2009 are proceeds of $600 from sales of our
available for sale securities, compared to net disbursements of
$72,632 from purchases, net of maturities and sales, in the
prior year period.
Cash used in financing activities from our continuing operations
was $71,142 for the three months ended March 31, 2009,
compared to cash provided by financing activities from our
continuing operations of $1,777 for the prior year period. Cash
used in financing activities for the three months ended
March 31, 2009 included $78,183 in cash paid to repurchase
a portion of our 1.75% Notes and
31/8% Notes.
In addition, cash used in financing activities for the three
months ended March 31, 2009 and 2008, included proceeds of
$7,041 and $1,777, respectively, from the issuance of HLTH
Common Stock and WHC Class A Common Stock resulting from
the exercises of employee stock options.
Included in our consolidated statements of cash flows are cash
flows from discontinued operations of our ViPS segment, Porex
segment and LBB. Our cash flows provided by operating activities
from discontinued operations for the three months ended
March 31, 2009 included an aggregate of $5,881 related to
our Porex segment and LBB business, respectively, while cash
flows provided by operating activities from discontinued
operations for the three months ended March 31, 2008
included an aggregate of $4,799 related to our ViPS
50
segment, Porex segment and LBB. Also, included in cash flows
from discontinued operations used in operating activities for
the three months ended March 31, 2009 and 2008 is $3,880
and $6,765, respectively in payments made in connection with
legal costs and expenses incurred related to the investigation
by the United States Attorney for the District of South Carolina
and the SEC, net of the receipt of insurance reimbursements
related to our Director & Officer Liability Insurance
Coverage during the three months ended March 31, 2009.
As of March 31, 2009, we had $552,483 in consolidated cash
and cash equivalents, and we owned investments in ARS with a
face value of $354,400 and a fair value of $274,069. While
liquidity for our ARS investments is currently limited, HLTH
recently entered into a new non-recourse credit facility with
Citigroup and WebMD recently entered into an amended
non-recourse credit facility with Citigroup in April 2009 that
will allow each of us to borrow up to 75% of the face amount of
our ARS holdings through April 2010. See
Introduction Background Information on Certain
Trends and Developments Non-Recourse Credit
Facilities and Critical Accounting
Estimates and Policies Fair Value of
Investments. Potential future cash commitments include our
anticipated 2009 capital expenditure requirements for the full
year which we currently estimate to be up to $25,000. Our
anticipated capital expenditures relate to improvements that
will be deployed across WebMDs public and private portal
web sites in order to enable us to service future growth in
unique users, page views and private portal customers, as well
as to create new sponsorship areas for our customers.
Based on our plans and expectations as of the date of this
Quarterly Report and taking into consideration issues relating
to the liquidity of our ARS investments, we believe that our
available cash resources and future cash flow from operations
will provide sufficient cash resources to meet the cash
commitments of our 1.75% Notes and our
31/8%
Notes and to fund our currently anticipated working capital and
capital expenditure requirements for up to twenty-four months.
Our future liquidity and capital requirements will depend upon
numerous factors, including retention of customers at current
volume and revenue levels, our existing and new application and
service offerings, competing technological and market
developments, and potential future acquisitions. In addition,
our ability to generate cash flow is subject to numerous factors
beyond our control, including general economic, regulatory and
other matters affecting us and our customers. We plan to
continue to enhance the relevance of our online services to our
audience and sponsors and will continue to invest in
acquisitions, strategic relationships, facilities and
technological infrastructure and product development. We intend
to grow each of our existing businesses and enter into
complementary ones through both internal investments and
acquisitions. We may need to raise additional funds to support
expansion, develop new or enhanced applications and services,
respond to competitive pressures, acquire complementary
businesses or technologies or take advantage of unanticipated
opportunities. If required, we may raise such additional funds
through public or private debt or equity financing, strategic
relationships or other arrangements. 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.
Future indebtedness may impose various restrictions and
covenants on us that could limit our ability to respond to
market conditions, to provide for unanticipated capital
investments or to take advantage of business opportunities.
Recent
Accounting Pronouncements.
In April 2009, the Financial Accounting Standards Board (which
we refer to as FASB) issued Staff Position
No. FAS 107-1
and APB
28-1,
Interim Disclosures about Fair Value of Financial
Instruments (which we refer to as FSP
FAS 107-1).
FSP
FAS 107-1
amends SFAS No. 107, Disclosures about Fair
Value of Financial Instruments, and requires disclosures
about fair value of financial instruments in interim reporting
periods. Such disclosures were previously required only in
annual financial statements. FSP
FAS 107-1
is effective for interim and annual reporting periods ending
after June 15, 2009. The adoption of FSP
FAS 107-1
is only expected to apply to financial statement disclosures.
In April 2009, the FASB issued Staff Position
No. FAS 157-4.
Determining Fair Value When the Volume and Level of
Activity for the Asset or Liability Have Significantly Decreased
and Identifying Transactions That Are Not Orderly (which
we refer to as FSP
FAS 157-4).
FSP 157-4
provides additional guidance for estimating fair value in
accordance with FASB Statement No. 157, Fair Value
Measurement, when the volume and level of activity for the
asset or liability have significantly decreased, as well as
guidance on
51
identifying circumstances that indicate a transaction is not
orderly. FSP
FAS 157-4
is effective for interim and annual reporting periods ending
after June 15, 2009 and shall be applied prospectively. We
are currently evaluating the requirements of this pronouncement
and have not determined the impact, if any that the adoption
will have on our consolidated financial statements.
In April 2009, the FASB issued Staff Position
No. FAS 115-2
and
FAS 124-2,
Recognition and Presentation of
Other-Than-Temporary
Impairments (which we refer to as FSP
FAS 115-2).
FSP
FAS 115-2
provides additional guidance to make
other-than-temporary
impairments more operational and to improve the financial
statement presentation of such impairments. FSP FAS 115-2 is
effective for interim and annual reporting periods ending after
June 15, 2009. We are currently evaluating the requirements
of this pronouncement and have not determined the impact, if any
that the adoption will have on our consolidated financial
statements.
Factors
That May Affect Our Future Financial Condition or Results of
Operations
This section describes circumstances or events that could have a
negative effect on our financial results or operations or that
could change, for the worse, existing trends in some or all of
our businesses. The occurrence of one or more of the
circumstances or events described below could have a material
adverse effect on our financial condition, results of operations
and cash flows or on the trading prices of the common stock and
convertible notes that we have issued or securities we may issue
in the future. The risks and uncertainties described in this
Quarterly Report are not the only ones facing us. Additional
risks and uncertainties that are not currently known to us or
that we currently believe are immaterial may also adversely
affect our business and operations.
Risks
Related to Our WebMD Operations and the Healthcare Content We
Provide
If we are
unable to provide content and services that attract and retain
users to The WebMD Health Network on a consistent basis, our
advertising and sponsorship revenue could be reduced
Users of The WebMD Health Network have numerous other
online and offline sources of healthcare information services.
Our ability to compete for user traffic on our public portals
depends upon our ability to make available a variety of health
and medical content, decision-support applications and other
services that meet the needs of a variety of types of users,
including consumers, physicians and other healthcare
professionals, with a variety of reasons for seeking
information. Our ability to do so depends, in turn, on:
|
|
|
|
|
our ability to hire and retain qualified authors, journalists
and independent writers;
|
|
|
|
our ability to license quality content from third
parties; and
|
|
|
|
our ability to monitor and respond to increases and decreases in
user interest in specific topics.
|
We cannot assure you that we will be able to continue to develop
or acquire needed content, applications and tools at a
reasonable cost. In addition, since consumer users of our public
portals may be attracted to The WebMD Health Network as a
result of a specific condition or for a specific purpose, it is
difficult for us to predict the rate at which they will return
to the public portals. Because we generate revenue by, among
other things, selling sponsorships of specific pages, sections
or events on The WebMD Health Network, a decline in user
traffic levels or a reduction in the number of pages viewed by
users could cause our revenue to decrease and could have a
material adverse effect on our results of operations.
Developing
and implementing new and updated applications, features and
services for our public and private portals may be more
difficult than expected, may take longer and cost more than
expected and may not result in sufficient increases in revenue
to justify the costs
Attracting and retaining users of our public portals and clients
for our private portals requires us to continue to improve the
technology underlying those portals and to continue to develop
new and updated applications, features and services for those
portals. If we are unable to do so on a timely basis or if we
are unable to implement new applications, features and services
without disruption to our existing ones, we may lose potential
users and clients.
52
We rely on a combination of internal development, strategic
relationships, licensing and acquisitions to develop our portals
and related applications, features and services. Our development
and/or
implementation of new technologies, applications, features and
services may cost more than expected, may take longer than
originally expected, may require more testing than originally
anticipated and may require the acquisition of additional
personnel and other resources. There can be no assurance that
the revenue opportunities from any new or updated technologies,
applications, features or services will justify the amounts
spent.
We face
significant competition for our healthcare information products
and services
The markets for healthcare information products and services are
intensely competitive, continually evolving and, in some cases,
subject to rapid change.
|
|
|
|
|
Our public portals face competition from numerous other
companies, both in attracting users and in generating revenue
from advertisers and sponsors. We compete for users with online
services and Web sites that provide health-related information,
including both commercial sites and
not-for-profit
sites. We compete for advertisers and sponsors with:
health-related Web sites; general purpose consumer Web sites
that offer specialized health
sub-channels;
other high-traffic Web sites that include both
healthcare-related and non-healthcare-related content and
services; search engines that provide specialized health search;
and advertising networks that aggregate traffic from multiple
sites. Our public portals also face competition from offline
publications and information services.
|
|
|
|
Our private portals compete with: providers of healthcare
decision-support tools and online health management
applications, including personal health records; wellness and
disease management vendors; and health information services and
health management offerings of healthcare benefits companies and
their affiliates.
|
Many of our competitors have greater financial, technical,
product development, marketing and other resources than we do.
These organizations may be better known than we are and have
more customers or users than we do. We cannot provide assurance
that we will be able to compete successfully against these
organizations or any alliances they have formed or may form.
Since there are no substantial barriers to entry into the
markets in which our public portals participate, we expect that
competitors will continue to enter these markets.
Failure
to maintain and enhance the WebMD brand could have a
material adverse effect on our business
We believe that the WebMD brand identity that we
have developed has contributed to the success of our business
and has helped us achieve recognition as a trusted source of
health and wellness information. We also believe that
maintaining and enhancing that brand is important to expanding
the user base for our public portals, to our relationships with
sponsors and advertisers and to our ability to gain additional
employer and healthcare payer clients for our private portals.
We have expended considerable resources on establishing and
enhancing the WebMD brand and our other brands, and
we have developed policies and procedures designed to preserve
and enhance our brands, including editorial procedures designed
to provide quality control of the information we publish. We
expect to continue to devote resources and efforts to maintain
and enhance our brands. However, we may not be able to
successfully maintain or enhance awareness of our brands, and
events outside of our control may have a negative effect on our
brands. If we are unable to maintain or enhance awareness of our
brand, and do so in a cost-effective manner, our business could
be adversely affected.
Our
online businesses have a limited operating history
Our online businesses have a limited operating history and
participate in relatively new markets. These markets, and our
online businesses, have undergone significant changes during
their short history and can be expected to continue to change.
Many companies with business plans based on providing healthcare
information and related services through the Internet have
failed to be profitable and some have filed for bankruptcy
and/or
ceased operations. Even if demand from users exists, we cannot
assure you that our businesses will continue to be profitable.
53
Our
failure to attract and retain qualified executives and employees
may have a material adverse effect on our business
Our business depends largely on the skills, experience and
performance of key members of our management team. We also
depend, in part, on our ability to attract and retain qualified
writers and editors, software developers and other technical
personnel and sales and marketing personnel. Competition for
qualified personnel in the healthcare information services and
Internet industries is intense. We cannot assure you that we
will be able to hire or retain a sufficient number of qualified
personnel to meet our requirements, or that we will be able to
do so at salary and benefit costs that are acceptable to us.
Failure to do so may have an adverse effect on our business.
The
timing of our advertising and sponsorship revenue may vary
significantly from quarter to quarter and is subject to factors
beyond our control, including regulatory changes affecting
advertising and promotion of drugs and medical devices and
general economic conditions
Our advertising and sponsorship revenue, which accounted for
approximately 75% of our total revenue for the year ended
December 31, 2008, may vary significantly from quarter to
quarter due to a number of factors, many of which are not in our
control, and some of which may be difficult to forecast
accurately, including potential effects on demand for our
services as a result of regulatory changes affecting advertising
and promotion of drugs and medical devices and general economic
conditions. The majority of our advertising and sponsorship
programs are for terms of approximately four to twelve months.
We have relatively few longer term advertising and sponsorship
programs. We cannot assure you that our current advertisers and
sponsors will continue to use our services beyond the terms of
their existing contracts or that they will enter into any
additional contracts.
The time between the date of initial contact with a potential
advertiser or sponsor regarding a specific program and the
execution of a contract with the advertiser or sponsor for that
program may be lengthy, especially for larger contracts, and may
be subject to delays over which we have little or no control,
including as a result of budgetary constraints of the advertiser
or sponsor or their need for internal approvals. Other factors
that could affect the timing of contracting for specific
programs with advertisers and sponsors, or receipt of revenue
under such contracts, include:
|
|
|
|
|
the timing of FDA approval for new products or for new approved
uses for existing products;
|
|
|
|
the timing of FDA approval of generic products that compete with
existing brand name products;
|
|
|
|
the timing of withdrawals of products from the market;
|
|
|
|
the timing of rollouts of new or enhanced services on our public
portals;
|
|
|
|
seasonal factors relating to the prevalence of specific health
conditions and other seasonal factors that may affect the timing
of promotional campaigns for specific products; and
|
|
|
|
the scheduling of conferences for physicians and other
healthcare professionals.
|
We may be
unsuccessful in our efforts to increase advertising and
sponsorship revenue from consumer products companies
Most of our advertising and sponsorship revenue has, in the
past, come from pharmaceutical, biotechnology and medical device
companies. We have been focusing on increasing sponsorship
revenue from consumer products companies that are interested in
communicating health-related or safety-related information about
their products to our audience. However, many consumer products
companies have increased the portion of their promotional
spending used on the Internet, we cannot assure you that these
advertisers and sponsors will find our consumer Web sites to be
as effective as other Web sites or traditional media for
promoting their products and services. If we encounter
difficulties in competing with the other alternatives available
to consumer products companies, this portion of our business may
develop more slowly than we expect or may fail to develop. In
addition, revenues from consumer products companies are more
likely to reflect general
54
economic conditions, and to be reduced to a greater extent
during economic downturns or recessions, than revenues from
pharmaceutical, biotechnology and medical device companies.
Lengthy
sales and implementation cycles for our private online portals
make it difficult to forecast our revenues from these
applications and may have an adverse impact on our
business
The period from our initial contact with a potential client for
a private online portal and the first purchase of our solution
by the client is difficult to predict. In the past, this period
has generally ranged from six to twelve months, but in some
cases has been longer. Potential sales may be subject to delays
or cancellations due to a clients internal procedures for
approving large expenditures and other factors beyond our
control, including the effect of general economic conditions on
the willingness of potential clients to commit to licensing our
private portals. The time it takes to implement a private online
portal is also difficult to predict and has lasted as long as
six months from contract execution to the commencement of live
operation. Implementation may be subject to delays based on the
availability of the internal resources of the client that are
needed and other factors outside of our control. As a result, we
have limited ability to forecast the timing of revenue from new
clients. This, in turn, makes it more difficult to predict our
financial performance from quarter to quarter.
During the sales cycle and the implementation period, we may
expend substantial time, effort and money preparing contract
proposals, negotiating contracts and implementing the private
online portal without receiving any related revenue. In
addition, many of the expenses related to providing private
online portals are relatively fixed in the short term, including
personnel costs and technology and infrastructure costs. Even if
our private portal revenue is lower than expected, we may not be
able to reduce related short-term spending in response. Any
shortfall in such revenue would have a direct impact on our
results of operations.
Our
ability to provide comparative information on hospital cost and
quality depends on our ability to obtain the required data on a
timely basis and, if we are unable to do so, our private portal
services would be less attractive to clients
We provide, in connection with our private portal services,
comparative information about hospital cost and quality. Our
ability to provide this information depends on our ability to
obtain comprehensive, reliable data. We currently obtain this
data from a number of public and private sources, including the
Centers for Medicare and Medicaid Services (CMS), many
individual states and the Leapfrog Group. We cannot provide
assurance that we would be able to find alternative sources for
this data on acceptable terms and conditions. Accordingly, our
business could be negatively impacted if CMS or our other data
sources cease to make such information available or impose terms
and conditions for making it available that are not consistent
with our planned usage. In addition, the quality of the
comparative information services we provide depends on the
reliability of the information that we are able to obtain. If
the information we use to provide these services contains errors
or is otherwise unreliable, we could lose clients and our
reputation could be damaged.
Our
ability to renew existing licenses with employers and health
plans will depend, in part, on our ability to continue to
increase usage of our private portal services by their employees
and plan members
In a healthcare market where a greater share of the
responsibility for healthcare costs and decision-making has been
increasingly shifting to consumers, use of information
technology (including personal health records) to assist
consumers in making informed decisions about healthcare has also
increased. We believe that through our WebMD Health and Benefits
Manager platform, including our personal health record
application, we are well positioned to play a role in this
consumer-directed healthcare environment, and these services
will be a significant driver for the growth of our private
portals during the next several years. However, our growth
strategy depends, in part, on increasing usage of our private
portal services by our employer and health plan clients
employees and members, respectively. Increasing usage of our
services requires us to continue to deliver and improve the
underlying technology and develop new and updated applications,
features and services. In addition, we face competition in the
area of healthcare decision-support tools and online health
management applications and health information services. Many of
our competitors have greater financial, technical, product
development, marketing and other resources than we do, and may
be better known than we
55
are. We cannot provide assurance that we will be able to meet
our development and implementation goals, nor that we will be
able to compete successfully against other vendors offering
competitive services and, as a result, may experience static or
diminished usage for our private portal services and possible
non-renewals of our license agreements.
We may be
subject to claims brought against us as a result of content we
provide
Consumers access health-related information through our online
services, including information regarding particular medical
conditions and possible adverse reactions or side effects from
medications. If our content, or content we obtain from third
parties, contains inaccuracies, it is possible that consumers,
employees, health plan members or others may sue us for various
causes of action. Although our Web sites contain terms and
conditions, including disclaimers of liability, that are
intended to reduce or eliminate our liability, the law governing
the validity and enforceability of online agreements and other
electronic transactions is evolving. We could be subject to
claims by third parties that our online agreements with
consumers and physicians that provide the terms and conditions
for use of our public or private portals are unenforceable. A
finding by a court that these agreements are invalid and that we
are subject to liability could harm our business and require
costly changes to our business.
We have editorial procedures in place to provide quality control
of the information that we publish or provide. However, we
cannot assure you that our editorial and other quality control
procedures will be sufficient to ensure that there are no errors
or omissions in particular content. Even if potential claims do
not result in liability to us, investigating and defending
against these claims could be expensive and time consuming and
could divert managements attention away from our
operations. In addition, our business is based on establishing
the reputation of our portals as trustworthy and dependable
sources of healthcare information. Allegations of impropriety or
inaccuracy, even if unfounded, could harm our reputation and
business.
Expansion
to markets outside the United States will subject us to
additional risks
One element of our growth strategy is to seek to expand our
online services to markets outside the United States.
Generally, we expect that we would accomplish this through
partnerships or joint ventures with other companies having
expertise in the specific country or region. However, our
participation in international markets will still be subject to
certain risks beyond those applicable to our operations in the
United States, such as:
|
|
|
|
|
difficulties in staffing and managing operations outside of the
United States;
|
|
|
|
fluctuations in currency exchange rates;
|
|
|
|
burdens of complying with a wide variety of legal, regulatory
and market requirements;
|
|
|
|
variability of economic and political conditions, including the
extent of the impact of recent adverse economic conditions in
markets outside the United States;
|
|
|
|
tariffs or other trade barriers;
|
|
|
|
costs of providing and marketing products and services in
different markets;
|
|
|
|
potentially adverse tax consequences, including restrictions on
repatriation of earnings; and
|
|
|
|
difficulties in protecting intellectual property.
|
56
Risks
Related to the Internet and Our Technological
Infrastructure
Any
service interruption or failure in the systems that we use to
provide online services could harm our business
Our online services are designed to operate 24 hours a day,
seven days a week, without interruption. However, we have
experienced and expect that we will in the future experience
interruptions and delays in services and availability from time
to time. We rely on internal systems as well as third-party
vendors, including data center providers and bandwidth
providers, to provide our online services. We may not maintain
redundant systems or facilities for some of these services. In
the event of a catastrophic event with respect to one or more of
these systems or facilities, we may experience an extended
period of system unavailability, which could negatively impact
our relationship with users. In addition, system failures may
result in loss of data, including user registration data,
content, and other data critical to the operation of our online
services, which could cause significant harm to our business and
our reputation.
To operate without interruption or loss of data, both we and our
service providers must guard against:
|
|
|
|
|
damage from fire, power loss and other natural disasters;
|
|
|
|
communications failures;
|
|
|
|
software and hardware errors, failures and crashes;
|
|
|
|
security breaches, computer viruses and similar disruptive
problems; and
|
|
|
|
other potential service interruptions.
|
Any disruption in the network access or co-location services
provided by third-party providers to us or any failure by these
third-party providers or our own systems to handle current or
higher volume of use could significantly harm our business. We
exercise little control over these third-party vendors, which
increases our vulnerability to problems with services they
provide.
Any errors, failures, interruptions or delays experienced in
connection with these third-party technologies and information
services or our own systems could negatively impact our
relationships with users and adversely affect our brand and our
business and could expose us to liabilities to third parties.
Although we maintain insurance for our business, the coverage
under our policies may not be adequate to compensate us for all
losses that may occur. In addition, we cannot provide assurance
that we will continue to be able to obtain adequate insurance
coverage at an acceptable cost.
Implementation
of additions to or changes in hardware and software platforms
used to deliver our online services may result in performance
problems and may not provide the additional functionality that
was expected
From time to time, we implement additions to or changes in the
hardware and software platforms we use for providing our online
services. During and after the implementation of additions or
changes, a platform may not perform as expected, which could
result in interruptions in operations, an increase in response
time or an inability to track performance metrics. In addition,
in connection with integrating acquired businesses, we may move
their operations to our hardware and software platforms or make
other changes, any of which could result in interruptions in
those operations. Any significant interruption in our ability to
operate any of our online services could have an adverse effect
on our relationships with users and clients and, as a result, on
our financial results. We rely on a combination of purchasing,
licensing, internal development, and acquisitions to develop our
hardware and software platforms. Our implementation of additions
to or changes in these platforms may cost more than originally
expected, may take longer than originally expected, and may
require more testing than originally anticipated. In addition,
we cannot provide assurance that additions to or changes in
these platforms will provide the additional functionality and
other benefits that were originally expected.
57
If the
systems we use to provide online portals experience security
breaches or are otherwise perceived to be insecure, our business
could suffer
We retain and transmit confidential information, including
personal health records, in the processing centers and other
facilities we use to provide online services. It is critical
that these facilities and infrastructure remain secure and be
perceived by the marketplace as secure. A security breach could
damage our reputation or result in liability. We may be required
to expend significant capital and other resources to protect
against security breaches and hackers or to alleviate problems
caused by breaches. Despite the implementation of security
measures, this infrastructure or other systems that we interface
with, including the Internet and related systems, may be
vulnerable to physical break-ins, hackers, improper employee or
contractor access, computer viruses, programming errors,
denial-of-service
attacks or other attacks by third parties or similar disruptive
problems. Any compromise of our security, whether as a result of
our own systems or the systems that they interface with, could
reduce demand for our services and could subject us to legal
claims from our clients and users, including for breach of
contract or breach of warranty.
Our
online services are dependent on the development and maintenance
of the Internet infrastructure
Our ability to deliver our online services is dependent on the
development and maintenance of the infrastructure of the
Internet by third parties. The Internet has experienced a
variety of outages and other delays as a result of damages to
portions of its infrastructure, and it could face outages and
delays in the future. The Internet has also experienced, and is
likely to continue to experience, significant growth in the
number of users and the amount of traffic. If the Internet
continues to experience increased usage, the Internet
infrastructure may be unable to support the demands placed on
it. In addition, the reliability and performance of the Internet
may be harmed by increased usage or by
denial-of-service
attacks. Any resulting interruptions in our services or
increases in response time could, if significant, result in a
loss of potential or existing users of and advertisers and
sponsors on our Web sites and, if sustained or repeated, could
reduce the attractiveness of our services.
Customers who utilize our online services depend on Internet
service providers and other Web site operators for access to our
Web sites. All of these providers have experienced significant
outages in the past and could experience outages, delays and
other difficulties in the future due to system failures
unrelated to our systems. Any such outages or other failures on
their part could reduce traffic to our Web sites.
Third
parties may challenge the enforceability of our online
agreements
The law governing the validity and enforceability of online
agreements and other electronic transactions is evolving. We
could be subject to claims by third parties that the online
terms and conditions for use of our Web sites, including
disclaimers or limitations of liability, are unenforceable. A
finding by a court that these terms and conditions or other
online agreements are invalid could harm our business.
We could
be subject to breach of warranty or other claims by clients of
our online portals if the software and systems we use to provide
them contain errors or experience failures
Errors in the software and systems we use could cause serious
problems for clients of our online portals. We may fail to meet
contractual performance standards or client expectations.
Clients of our online portals may seek compensation from us or
may seek to terminate their agreements with us, withhold
payments due to us, seek refunds from us of part or all of the
fees charged under those agreements or initiate litigation or
other dispute resolution procedures. In addition, we could face
breach of warranty or other claims by clients or additional
development costs. Our software and systems are inherently
complex and, despite testing and quality control, we cannot be
certain that they will perform as planned.
We attempt to limit, by contract, our liability to our clients
for damages arising from our negligence, errors or mistakes.
However, contractual limitations on liability may not be
enforceable in certain circumstances or may otherwise not
provide sufficient protection to us from liability for damages.
We maintain liability insurance coverage, including coverage for
errors and omissions. However, it is possible that claims could
exceed the amount of our applicable insurance coverage, if any,
or that this coverage may not continue
58
to be available on acceptable terms or in sufficient amounts.
Even if these claims do not result in liability to us,
investigating and defending against them would be expensive and
time consuming and could divert managements attention away
from our operations. In addition, negative publicity caused by
these events may delay or hinder market acceptance of our
services, including unrelated services.
Risks
Related to the Healthcare Industry, Healthcare Regulation and
Internet Regulation
Developments
in the healthcare industry could adversely affect our
business
Most of our revenue is derived from the healthcare industry and
could be affected by changes affecting healthcare spending. We
are particularly dependent on pharmaceutical, biotechnology and
medical device companies for our advertising and sponsorship
revenue. General reductions in expenditures by healthcare
industry participants could result from, among other things:
|
|
|
|
|
government regulation or private initiatives that affect the
manner in which healthcare providers interact with patients,
payers or other healthcare industry participants, including
changes in pricing or means of delivery of healthcare products
and services;
|
|
|
|
consolidation of healthcare industry participants;
|
|
|
|
reductions in governmental funding for healthcare; and
|
|
|
|
adverse changes in business or economic conditions affecting
healthcare payers or providers, pharmaceutical, biotechnology or
medical device companies or other healthcare industry
participants.
|
Even if general expenditures by industry participants remain the
same or increase, developments in the healthcare industry may
result in reduced spending in some or all of the specific market
segments that we serve or are planning to serve. For example,
use of our products and services could be affected by:
|
|
|
|
|
changes in the design of health insurance plans;
|
|
|
|
a decrease in the number of new drugs or medical devices coming
to market; and
|
|
|
|
decreases in marketing expenditures by pharmaceutical or medical
device companies, including as a result of governmental
regulation or private initiatives that discourage or prohibit
advertising or sponsorship activities by pharmaceutical or
medical device companies.
|
In addition, our customers expectations regarding pending
or potential industry developments may also affect their
budgeting processes and spending plans with respect to products
and services of the types we provide.
The healthcare industry has changed significantly in recent
years and we expect that significant changes will continue to
occur. However, the timing and impact of developments in the
healthcare industry are difficult to predict. We cannot assure
you that the markets for our products and services will continue
to exist at current levels or that we will have adequate
technical, financial and marketing resources to react to changes
in those markets.
Government
regulation of healthcare creates risks and challenges with
respect to our compliance efforts and our business
strategies
The healthcare industry is highly regulated and is subject to
changing political, legislative, regulatory and other
influences. Existing and new laws and regulations affecting the
healthcare industry could create unexpected liabilities for us,
could cause us to incur additional costs and could restrict our
operations. Many healthcare laws are complex, and their
application to specific products and services may not be clear.
In particular, many existing healthcare laws and regulations,
when enacted, did not anticipate the healthcare information
services that we provide. However, these laws and regulations
may nonetheless be applied to our products and services. Our
failure to accurately anticipate the application of these laws
and regulations, or
59
other failure to comply, could create liability for us, result
in adverse publicity and negatively affect our businesses. Some
of the risks we face from healthcare regulation are as follows:
|
|
|
|
|
Regulation of Drug and Medical Device Advertising and
Promotion. The WebMD Health Network provides
services involving advertising and promotion of prescription and
over-the-counter
drugs and medical devices. If the Food and Drug Administration
(FDA) or the Federal Trade Commission (FTC) finds that any
information on The WebMD Health Network or in WebMD
the Magazine violates FDA or FTC regulations, they may take
regulatory or judicial action against us
and/or the
advertiser or sponsor of that information. State attorneys
general may also take similar action based on their states
consumer protection statutes. Any increase or change in
regulation of drug or medical device advertising and promotion
could make it more difficult for us to contract for sponsorships
and advertising. Members of Congress, physician groups and
others have criticized the FDAs current policies, and have
called for restrictions on advertising of prescription drugs to
consumers and increased FDA enforcement. We cannot predict what
actions the FDA or industry participants may take in response to
these criticisms. It is also possible that new laws would be
enacted that impose restrictions on such advertising. In
addition, recent private industry initiatives have resulted in
voluntary restrictions, which advertisers and sponsors have
agreed to follow. Our advertising and sponsorship revenue could
be materially reduced by additional restrictions on the
advertising of prescription drugs and medical devices to
consumers, whether imposed by law or regulation or required
under policies adopted by industry members.
|
|
|
|
Anti-kickback Laws. There are federal and
state laws that govern patient referrals, physician financial
relationships and inducements to healthcare providers and
patients. The federal healthcare programs anti-kickback
law prohibits any person or entity from offering, paying,
soliciting or receiving anything of value, directly or
indirectly, for the referral of patients covered by Medicare,
Medicaid and other federal healthcare programs or the leasing,
purchasing, ordering or arranging for or recommending the lease,
purchase or order of any item, good, facility or service covered
by these programs. Many states also have similar anti-kickback
laws that are not necessarily limited to items or services for
which payment is made by a federal healthcare program. These
laws are applicable to manufacturers and distributors and,
therefore, may restrict how we and some of our customers market
products to healthcare providers, including
e-details.
Any determination by a state or federal regulatory agency that
any of our practices violate any of these laws could subject us
to civil or criminal penalties and require us to change or
terminate some portions of our business and could have an
adverse effect on our business. Even an unsuccessful challenge
by regulatory authorities of our practices could result in
adverse publicity and be costly for us to respond to.
|
|
|
|
Medical Professional Regulation. The practice
of most healthcare professions requires licensing under
applicable state law. In addition, the laws in some states
prohibit business entities from practicing medicine. If a state
determines that some portion of our business violates these
laws, it may seek to have us discontinue those portions or
subject us to penalties or licensure requirements. Any
determination that we are a healthcare provider and have acted
improperly as a healthcare provider may result in liability to
us.
|
Government
regulation of the Internet could adversely affect our
business
The Internet and its associated technologies are subject to
government regulation. However, whether and how existing laws
and regulations in various jurisdictions, including privacy and
consumer protection laws, apply to the Internet is still
uncertain. Our failure, or the failure of our business partners
or third-party service providers, to accurately anticipate the
application of these laws and regulations to our products and
services and the manner in which we deliver them, or any other
failure to comply with such laws and regulations, could create
liability for us, result in adverse publicity and negatively
affect our business. In addition, new laws and regulations, or
new interpretations of existing laws and regulations, may be
adopted with respect to the Internet and online services,
including in areas such as: user privacy, confidentiality,
consumer protection, pricing, content, copyrights and patents,
and characteristics and quality of products and services. We
cannot predict how these laws or regulations will affect our
business.
60
Internet user privacy and the use of consumer information to
track online activities are major issues both in the United
States and abroad. For example, in February 2009, the FTC
published Self Regulatory Principles to govern the tracking of
consumers activities online in order to deliver
advertising targeted to the interests of individual consumers
(sometimes referred to as behavioral advertising). These
principles serve as guidelines to industry. In addition, there
is the possibility of proposed legislation and enforcement
activities relating to behavioral advertising. We have privacy
policies posted on our Web sites that we believe comply with
applicable laws requiring notice to users about our information
collection, use and disclosure practices. We also notify users
about our information collection, use and disclosure practices
relating to data we receive through offline means such as paper
health risk assessments. We cannot assure you that the privacy
policies and other statements we provide to users of our
products and services, or our practices will be found sufficient
to protect us from liability or adverse publicity in this area.
A determination by a state or federal agency or court that any
of our practices do not meet applicable standards, or the
implementation of new standards or requirements, could adversely
affect our business.
We face
potential liability related to the privacy and security of
personal health information we collect from or on behalf of
users of our services
Privacy and security of personal health information,
particularly personal health information stored or transmitted
electronically, is a major issue in the United States. The
Privacy Standards and Security Standards under the Health
Insurance Portability and Accountability Act of 1996 (or HIPAA)
establish a set of national privacy and security standards for
the protection of individually identifiable health information
by health plans, healthcare clearinghouses and healthcare
providers (referred to as covered entities) and their business
associates. Currently, only covered entities are directly
subject to potential civil and criminal liability under these
Standards. However, the American Recovery and Reinvestment Act
of 2009 (ARRA) amends the HIPAA Privacy and Security
Standards and makes certain provisions applicable to those
portions of our business, such as those managing employee or
plan member health information for employers or health plans,
that are business associates of covered entities. Currently, we
are bound by certain contracts and agreements to use and
disclose protected health information in a manner consistent
with the Privacy Standards and Security Standards. Beginning on
February 17, 2010, some provisions of the HIPAA Privacy and
Security rules will apply directly to us. Currently, depending
on the facts and circumstances, we could potentially be subject
to criminal liability for aiding and abetting or conspiring with
a covered entity to violate the Privacy Standards or Security
Standards. As of February 17, 2010 we will be directly
subject to HIPAAs criminal and civil penalties. We cannot
assure you that we will adequately address the risks created by
these Standards.
We are unable to predict what changes to these Standards might
be made in the future or how those changes, or other changes in
applicable laws and regulations, could affect our business. Any
new legislation or regulation in the area of privacy of personal
information, including personal health information, could affect
the way we operate our business and could harm our business.
Failure
to maintain CME accreditation could adversely affect Medscape,
LLCs ability to provide online CME offerings
Medscape, LLCs continuing medical education (or CME)
activities are planned and implemented in accordance with the
current Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education, or ACCME, which
oversees providers of CME credit, and other applicable
accreditation standards. ACCMEs standards for commercial
support of CME are intended to ensure, among other things, that
CME activities of ACCME-accredited providers, such as Medscape,
LLC, are independent of commercial interests, which
are defined as entities that produce, market, re-sell or
distribute healthcare goods and services, excluding certain
organizations. Commercial interests, and entities
owned or controlled by commercial interests, are
ineligible for accreditation by the ACCME. The standards also
provide that accredited CME providers may not place their CME
content on Web sites owned or controlled by a commercial
interest. In addition, accredited CME providers may not
ask commercial interests for speaker or topic
suggestions, and are also prohibited from asking
commercial interests to review CME content prior to
delivery.
61
From time to time, ACCME revises its standards for commercial
support of CME. As a result of certain past ACCME revisions, we
adjusted our corporate structure and made changes to our
management and operations intended to allow Medscape, LLC to
provide CME activities that are developed independently from
programs developed by its sister companies, which may not be
independent of commercial interests. We believe that
these changes allow Medscape, LLC to satisfy the applicable
standards.
In June 2008, the ACCME published for comment several proposals,
including the following:
|
|
|
|
|
The ACCME stated that due consideration should be given to
eliminating commercial support of CME.
|
|
|
|
The ACCME proposed that: (a) accredited providers must not
receive communications from commercial interests announcing or
prescribing any specific content that would be a preferred, or
sought-after, topic for commercially supported CME (e.g.,
therapeutic area, product-line, patho-physiology); and
(b) receiving communications from commercial interests
regarding a commercial interests internal criteria for
providing commercial support would also not be permissible.
|
The comment period for these proposals ended on
September 12, 2008, and the ACCME has determined not to
take any action as to these proposals at this point. However, in
April 2009, the ACCME published for comment several other
proposals, including the following:
|
|
|
|
|
Commercial Support-Free
Designation. In order to clarify the distinction
between CME that does include relationships with industry from
CME that does not include relationships with industry, the ACCME
is considering creating a new designation and review process for
CME providers that wish to identify their program of CME as one
that does not utilize funds donated by commercial interests. The
designation would be termed: Commercial
Support-Free. The ACCME has indicated that a range of
standards for Commercial Support-Free CME are
possible, including for example: (1) the CME provider not
accepting any commercial support for any CME activity, or any
part of its CME program; and (2) the CME provider not using
funds from advertising or promotion, paid by commercial
interests, to underwrite the costs of CME.
|
|
|
|
Independent CME Funding Entity. The ACCME is
considering creating a granting entity that would accept
unrestricted donations for the purpose of funding CME. The funds
would be distributed to ACCME recognized and accredited
organizations for development and presentation of
ACCME-compliant CME. The ACCME is proposing for comment that the
entity would: (1) be independent of the ACCME; (2) not
provide funds to the ACCME; (3) be managed by its own
governance structure; (4) establish its own granting
criteria reflecting practice gaps established through methods
consistent with ACCMEs content validation policies; and
(5) fund CME done for U.S. learners.
|
The comment period for these proposals ends on May 21,
2009. We cannot predict the ultimate outcome of the process,
including what other alternatives may be considered by ACCME as
a result of comments it has received. The elimination of, or
restrictions on, commercial support for CME could adversely
affect the volume of sponsored online CME programs implemented
through our Web sites.
Medscape, LLCs current ACCME accreditation expires at the
end of July 2010. In order for Medscape, LLC to renew its
accreditation, it will be required to demonstrate to the ACCME
that it continues to meet ACCME requirements. If Medscape, LLC
fails to maintain its status as an accredited ACCME provider
(whether at the time of such renewal or at an earlier time as a
result of a failure to comply with existing or additional ACCME
standards), it would not be permitted to accredit CME activities
for physicians and other healthcare professionals. Instead,
Medscape, LLC would be required to use third parties to provide
such CME-related services. That, in turn, could discourage
potential supporters from engaging Medscape, LLC to develop CME
or education-related activities, which could have a material
adverse effect on our business.
Government
regulation and industry initiatives could adversely affect the
volume of sponsored online CME programs implemented through our
Web sites or require changes to how Medscape, LLC offers
CME
CME activities may be subject to government oversight or
regulation by Congress, the FDA, the Department of Health and
Human Services, the federal agency responsible for interpreting
certain federal laws
62
relating to healthcare, and by state regulatory agencies.
Medscape, LLC
and/or the
sponsors of the CME activities that Medscape, LLC accredits may
be subject to enforcement actions if any of these CME activities
are deemed improperly promotional, potentially leading to the
termination of sponsorships.
During the past several years, educational activities, including
CME, directed at physicians have been subject to increased
governmental scrutiny to ensure that sponsors do not influence
or control the content of the activities. For example, the
U.S. Senate Finance Committee conducted an investigation of
the sponsorship of CME activities, including an examination of
the ACCMEs role in ensuring that CME activities are
independent from the influence of their supporters. In response,
pharmaceutical companies and medical device companies have
developed and implemented internal controls and procedures that
promote adherence to applicable regulations and requirements. In
implementing these controls and procedures, supporters of CME
may interpret the regulations and requirements differently and
may implement varying procedures or requirements. These controls
and procedures:
|
|
|
|
|
may discourage pharmaceutical companies from providing grants
for independent educational activities;
|
|
|
|
may slow their internal approval for such grants;
|
|
|
|
may reduce the volume of sponsored educational programs that
Medscape, LLC produces to levels that are lower than in the
past, thereby reducing revenue; and
|
|
|
|
may require Medscape, LLC to make changes to how it offers or
provides educational programs, including CME.
|
In addition, future changes to laws, regulations or
accreditation standards, or to the internal compliance programs
of supporters or potential supporters, may further discourage,
significantly limit, or prohibit supporters or potential
supporters from engaging in educational activities with
Medscape, LLC, or may require Medscape, LLC to make further
changes in the way it offers or provides educational activities.
Risks
Related to Porex
Porexs
success depends upon demand for its products, which in some
cases ultimately depends upon
end-user
demand for the products of Porexs customers
Demand for Porexs products may change materially as a
result of economic or market conditions and other trends that
affect the industries in which Porex participates. In addition,
because a significant portion of Porexs products are
components that are eventually integrated into or used with
products manufactured by customers for resale to end-users, the
demand for these product components is dependent on product
development cycles and marketing efforts of these other
manufacturers, as well as variations in their inventory levels,
which are factors that we are unable to control. Accordingly,
the amount of Porexs sales to manufacturer customers can
be difficult to predict and subject to wide
quarter-to-quarter
variances. Porexs sales to manufacturer customers that
sell products used by consumers have been adversely affected by
economic conditions during recent months. We cannot predict how
long that adverse effect will continue and it could, depending
on future economic conditions, become worse in future periods.
Porex
faces significant competition for its products
Porex operates in highly competitive markets. The competitors
for Porexs porous plastic products include other producers
of porous plastic materials as well as companies that
manufacture and sell products made from materials other than
porous plastics that can be used for the same purposes as
Porexs products. For example, Porexs porous plastic
pen nibs compete with felt and fiber tips manufactured by a
variety of suppliers worldwide. Other Porex porous plastic
products compete, depending on the application, with membrane
material, porous metals, metal screens, fiberglass tubes,
pleated paper, resin-impregnated felt, ceramics and other
substances and devices. Porex also competes with in-house design
and manufacturing capabilities of its OEM customers. Some of
Porexs competitors may have greater financial, technical,
product development, marketing and other resources than Porex
does. We cannot provide assurance that Porex will be able to
63
compete successfully against these companies or against
particular products they provide or may provide in the future.
Porexs
product offerings must meet changing customer
requirements
Porexs products are, in general, used in applications that
are affected by technological change. To satisfy its customers,
Porex must develop and introduce, in a timely manner, products
that meet changing customer requirements at competitive prices.
To do this, Porex must:
|
|
|
|
|
develop new uses of existing porous plastics technologies and
applications;
|
|
|
|
innovate and develop new porous plastics technologies and
applications;
|
|
|
|
commercialize those technologies and applications;
|
|
|
|
manufacture at a cost that allows it to price its products
competitively;
|
|
|
|
manufacture and deliver its products in sufficient volumes and
on time;
|
|
|
|
accurately anticipate customer needs; and
|
|
|
|
differentiate its offerings from those of its competitors.
|
We cannot assure you that Porex will be able to develop new or
enhanced products or that, if it does, those products will
achieve market acceptance. If Porex does not introduce new
products in a timely manner and make enhancements to existing
products to meet the changing needs of its customers, some of
its products could become obsolete over time, in which case
Porexs customer relationships, revenue and operating
results would be negatively impacted.
Potential
new or enhanced Porex products may not achieve sufficient sales
to be profitable or justify the cost of their
development
We cannot be certain, when we engage in Porex research and
development activities, whether potential new products or
product enhancements will be accepted by the customers for whom
they are intended. Achieving market acceptance for new or
enhanced products may require substantial marketing efforts and
expenditure of significant funds to create awareness and demand
by potential customers. In addition, sales and marketing efforts
with respect to these products may require the use of additional
resources for training our existing Porex sales forces and for
hiring and training additional salespersons. There can be no
assurance that the revenue opportunities from new or enhanced
products will justify amounts spent for their development and
marketing. In addition, there can be no assurance that any
pricing strategy that we implement for any new or enhanced Porex
products will be economically viable or acceptable to the target
markets.
Porex may
not be able to source the raw materials it needs or may have to
pay more for those raw materials
Some of Porexs products require high-grade plastic resins
with specific properties as raw materials. While Porex has not
experienced any material difficulty in obtaining adequate
supplies of high-grade plastic resins that meet its
requirements, it relies on a limited number of sources for some
of these plastic resins. If Porex experiences a reduction or
interruption in supply from these sources, it may not be able to
access alternative sources of supply within a reasonable period
of time or at commercially reasonable rates, which could have a
material adverse effect on its business and financial results.
In addition, the prices of some of the raw materials that Porex
uses depend, to a great extent, on the price of petroleum. As a
result, increases in the price of petroleum could have an
adverse effect on Porexs margins and on the ability of
Porexs porous plastics products to compete with products
made from other raw materials.
64
Disruptions
in Porexs manufacturing operations could have a material
adverse effect on its business and financial results
Any significant disruption in Porexs manufacturing
operations, including as a result of fire, power interruptions,
equipment malfunctions, labor disputes, material shortages,
earthquakes, floods, computer viruses, sabotage, terrorist acts
or other force majeure, could have a material adverse effect on
Porexs ability to deliver products to customers and,
accordingly, its financial results.
Porex may
not be able to keep third parties from using technology it has
developed
Porex uses proprietary technology for manufacturing its porous
plastics products and its success is dependent, to a significant
extent, on its ability to protect the proprietary and
confidential aspects of its technology. Although Porex owns
certain patents, it relies primarily on non-patented proprietary
manufacturing processes. To protect its proprietary processes,
Porex relies on a combination of trade secret laws, license
agreements, nondisclosure and other contractual provisions and
technical measures, including designing and manufacturing its
porous molding equipment and most of its molds in-house. Trade
secret laws do not afford the statutory exclusivity possible for
patented processes. There can be no assurance that the legal
protections afforded to Porex or the steps taken by Porex will
be adequate to prevent misappropriation of its technology. In
addition, these protections do not prevent independent
third-party development of competitive products or services.
The
nature of Porexs products exposes it to product liability
claims that may not be adequately covered by indemnity
agreements or insurance
The products sold by Porex, whether sold directly to end-users
or sold to other manufacturers for inclusion in the products
that they sell, expose it to potential risk of product liability
claims, particularly with respect to Porexs life sciences,
clinical, surgical and medical products. In addition, Porex is
subject to the risk that a government authority or third party
may require it to recall one or more of its products. Some of
Porexs products are designed to be permanently implanted
in the human body. Design defects and manufacturing defects with
respect to such products sold by Porex or failures that occur
with the products of Porexs manufacturer customers that
contain components made by Porex could result in product
liability claims
and/or a
recall of one or more of Porexs products. Porex believes
that it carries adequate insurance coverage against product
liability claims and other risks. We cannot assure you, however,
that claims in excess of Porexs insurance coverage will
not arise. In addition, Porexs insurance policies must be
renewed annually. Although Porex has been able to obtain
adequate insurance coverage at an acceptable cost in the past,
we cannot assure you that Porex will continue to be able to
obtain adequate insurance coverage at an acceptable cost.
In most instances, Porex has indemnity arrangements with its
manufacturing customers. These indemnity arrangements generally
provide that these customers would indemnify Porex from
liabilities that may arise from the sale of their products that
incorporate Porex components to, or the use of such products by,
end-users. While Porex generally seeks contractual
indemnification from its customers, any such indemnification is
limited, as a practical matter, to the creditworthiness of the
indemnifying party. If Porex does not have adequate contractual
indemnification available, product liability claims, to the
extent not covered by insurance, could have a material adverse
effect on its business and its financial results.
Porexs
manufacturing and marketing of medical devices is subject to
extensive regulation by the FDA and its failure to meet
regulatory requirements could require it to pay fines, incur
other costs or close facilities
Porexs Surgical Products Group manufactures and markets
medical devices, such as reconstructive and aesthetic surgical
implants used in craniofacial applications and post-surgical
drains. In addition, Porex manufactures and markets blood serum
filters as a medical device for use in laboratory applications.
These products are subject to extensive regulation by the FDA
under the FDC Act. The FDAs regulations govern, among
other things, product development, testing, manufacturing,
labeling, storage, premarket clearance (referred to as 510(k)
clearance), premarket approval (referred to as PMA approval),
advertising and promotion, and sales and distribution. In
addition, the Porex facilities and manufacturing techniques used
for
65
manufacturing medical devices generally must conform to
standards that are established by the FDA and other government
agencies, including those of European and other foreign
governments. These regulatory agencies may conduct periodic
audits or inspections of such facilities or processes to monitor
Porexs compliance with applicable regulatory standards. If
the FDA finds that Porex has failed to comply with applicable
regulations, the agency can institute a wide variety of
enforcement actions, including: warning letters or untitled
letters; fines and civil penalties; unanticipated expenditures
to address or defend such actions; delays in clearing or
approving, or refusal to clear or approve, products; withdrawal
or suspension of approval of products; product recall or
seizure; orders for physician notification or device repair,
replacement or refund; interruption of production; operating
restrictions; injunctions; and criminal prosecution. Any adverse
action by an applicable regulatory agency could impair
Porexs ability to produce its medical device products in a
cost-effective and timely manner in order to meet customer
demands. Porex may also be required to bear other costs or take
other actions that may have a negative impact on its future
sales of such products and its ability to generate profits.
Some of
the companies to which Porex supplies its products are subject
to extensive regulation by the FDA and their failure to meet
regulatory requirements could adversely affect Porexs
business
Some of Porexs customers are medical device manufacturers
that use Porex products to make finished medical devices of
their own. Those customers are subject to extensive regulation
by the FDA
and/or
equivalent foreign regulatory authorities. Those regulatory
agencies may conduct periodic audits or inspections of their
facilities to monitor their compliance with applicable
regulatory standards. If the FDA finds that a Porex
customers facility has failed to comply with applicable
regulations, the agency can institute, against such customer,
any of the enforcement actions identified in the risk factor
directly above regarding regulation of Porex. Any adverse action
by an applicable regulatory agency could impair the
customers ability to produce products and thus could
decrease demand for Porexs products or require Porex to
bear additional costs.
In addition, modifications to Porexs customers
products may require new regulatory approvals or clearances,
including 510(k) clearances or premarket approvals, or require
them to recall or cease marketing the modified devices until
these clearances or approvals are obtained. The FDA may not
approve or clear these product modifications for the indications
that are necessary or desirable for successful
commercialization. Indeed, the FDA may refuse Porexs
customers requests for 510(k) clearance or premarket
approval of new products, new intended uses or modifications to
existing products. Failure of such customers to receive
clearance or approval for new or modified products could reduce
or delay their purchases of Porexs products.
Economic,
political and other risks associated with Porexs
international sales and geographically diverse operations could
adversely affect Porexs operations and financial
results
Since Porex sells its products worldwide, its business is
subject to risks associated with doing business internationally.
In addition, Porex has manufacturing facilities in the United
Kingdom, Germany and Malaysia. Accordingly, Porexs
operations and financial results could be harmed by a variety of
factors, including:
|
|
|
|
|
changes in foreign currency exchange rates;
|
|
|
|
changes in a specific countrys or regions political
or economic conditions, particularly in emerging markets;
|
|
|
|
trade protection measures and import or export licensing
requirements;
|
|
|
|
changes in tax laws;
|
|
|
|
differing protection of intellectual property rights in
different countries; and
|
|
|
|
changes in regulatory requirements.
|
Environmental
regulation could adversely affect Porexs
business
Porex is subject to foreign and domestic environmental laws and
regulations and is subject to scheduled and random checks by
environmental authorities. Porexs business involves the
handling, storage and disposal of materials that are classified
as hazardous. Although Porexs safety procedures for
handling, storage and
66
disposal of these materials are designed to comply with the
standards prescribed by applicable laws and regulations, Porex
may be held liable for any environmental damages that result
from Porexs operations. Porex may be required to pay
fines, remediation costs and damages, which could have a
material adverse effect on its results of operations.
Risks
Applicable to Our Entire Company and to Ownership of Our
Securities
Negative
conditions in the market for certain auction rate securities may
result in us incurring a loss on such investments
As of March 31, 2009, HLTH had a total of approximately
$354.4 million (face value) of investments in certain
auction rate securities (ARS), of which approximately
$164.2 million (face value) is attributable to WHC. Those
ARS had a fair value of $274.1 million, of which
$127.0 million is attributable to WHC. The types of ARS
investments that HLTH owns are backed by student loans, 97% of
which are guaranteed under the Federal Family Education Loan
Program (FFELP), and all had credit ratings of AAA or Aaa when
purchased. HLTH and its subsidiaries do not own any other type
of ARS investments.
Since February 2008, negative conditions in the regularly held
auctions for these securities have prevented holders from being
able to liquidate their holdings through that type of sale. In
the event HLTH needs to or wants to sell its ARS investments, it
may not be able to do so until a future auction on these types
of investments is successful or until a buyer is found outside
the auction process. If potential buyers are unwilling to
purchase the investments at their carrying amount, HLTH would
incur a loss on any such sales. In addition, the credit ratings
on some of the ARS investments in our portfolio have been
downgraded, and there may be additional such rating downgrades
in the future. If uncertainties in the credit and capital
markets continue, these markets deteriorate further or ARS
investments in our portfolio experience additional credit rating
downgrades, there could be further fair value adjustments or
other-than-temporary
impairments in the carrying value of our ARS investments.
The
ongoing investigations by the United States Attorney for the
District of South Carolina and the SEC could negatively impact
our company and divert management attention from our business
operations
The United States Attorney for the District of South Carolina is
conducting an investigation of our company. Based on the
information available to HLTH as of the date of this Annual
Report, we believe that the investigation relates principally to
issues of financial accounting improprieties for Medical Manager
Corporation, a predecessor of HLTH (by its merger into HLTH in
September 2000), and Medical Manager Health Systems, a former
subsidiary of HLTH; however, we cannot be sure of the
investigations exact scope or how long it may continue. In
addition, HLTH understands that the SEC is conducting a formal
investigation into this matter. Adverse developments in
connection with the investigations, if any, including as a
result of matters that the authorities or HLTH may discover,
could have a negative impact on our company and on how it is
perceived by investors and potential investors and customers and
potential customers. In addition, the management effort and
attention required to respond to the investigations and any such
developments could have a negative impact on our business
operations.
HLTH intends to continue to fully cooperate with the authorities
in this matter. We believe that the amount of the expenses that
we will incur in connection with the investigations will
continue to be significant and we are not able to determine, at
this time, what portion of those amounts may ultimately be
covered by insurance or may ultimately be repaid to us by
individuals to whom we are advancing amounts for their defense
costs. In connection with the sale of Emdeon Practice Services
to Sage Software, we have agreed to indemnify Sage Software with
respect to this matter.
If
certain transactions occur with respect to our capital stock,
limitations may be imposed on our ability to utilize our net
operating loss carryforwards and tax credits to reduce our
income taxes
As of December 31, 2008, we had net operating loss (NOL)
carryforwards of approximately $800 million for federal
income tax purposes and federal tax credits of approximately
$42 million, which excludes the impact of any unrecognized
tax benefits. If certain transactions occur with respect to our
capital stock,
67
including issuances, redemptions, recapitalizations, exercises
of options, conversions of convertible debt, purchases or sales
by 5%-or-greater shareholders and similar transactions, that
result in a cumulative change of more than 50% of the ownership
of our capital stock, over a three-year period, as determined
under rules prescribed by the U.S. Internal Revenue Code
and applicable Treasury regulations, an annual limitation would
be imposed with respect to our ability to utilize our NOL
carryforwards and federal tax credits. The tender offer made by
HLTH for its common stock that began on October 27, 2008
resulted in a cumulative change of more than 50% of the
ownership of our capital, as determined under rules prescribed
by the U.S. Internal Revenue Code and applicable Treasury
regulations. As a result of the ownership change, there will be
an annual limitation imposed on our ability to utilize our NOL
carryforwards and federal tax credits. Because substantially all
of our NOL carryforwards are reserved for by a valuation
allowance, we would not expect the annual limitation on the
utilization of our NOL carryforwards to significantly reduce our
net deferred tax assets, although the timing of our cash flows
may be impacted to the extent any such annual limitation
deferred the utilization of our NOL carryforwards to future tax
years.
We may
not be successful in protecting our intellectual property and
proprietary rights
Intellectual property and proprietary rights are important to
our businesses. The steps that we take to protect our
intellectual property, proprietary information and trade secrets
may prove to be inadequate and, whether or not adequate, may be
expensive. We rely on a combination of trade secret, patent and
other intellectual property laws and confidentiality procedures
and non-disclosure contractual provisions to protect our
intellectual property. We cannot assure you that we will be able
to detect potential or actual misappropriation or infringement
of our intellectual property, proprietary information or trade
secrets. Even if we detect misappropriation or infringement by a
third party, we cannot assure you that we will be able to
enforce our rights at a reasonable cost, or at all. In addition,
our rights to intellectual property, proprietary information and
trade secrets may not prevent independent third-party
development and commercialization of competing products or
services.
Third
parties may claim that we are infringing their intellectual
property, and we could suffer significant litigation or
licensing expenses or be prevented from selling products or
services
We could be subject to claims that we are misappropriating or
infringing intellectual property or other proprietary rights of
others. These claims, even if not meritorious, could be
expensive to defend and divert managements attention from
our operations. If we become liable to third parties for
infringing these rights, we could be required to pay a
substantial damage award and to develop non-infringing
technology, obtain a license or cease selling the products or
services that use or contain the infringing intellectual
property. We may be unable to develop non-infringing products or
services or obtain a license on commercially reasonable terms,
or at all. We may also be required to indemnify our customers if
they become subject to third-party claims relating to
intellectual property that we license or otherwise provide to
them, which could be costly.
Acquisitions,
business combinations and other transactions may be difficult to
complete and, if completed, may have negative consequences for
our business and our securityholders
We may seek to acquire or to engage in business combinations
with companies engaged in complementary businesses. In addition,
we may enter into joint ventures, strategic alliances or similar
arrangements with third parties. These transactions may result
in changes in the nature and scope of our operations and changes
in our financial condition. Our success in completing these
types of transactions will depend on, among other things, our
ability to locate suitable candidates and negotiate mutually
acceptable terms with them, as well as the availability of
financing. Significant competition for these opportunities
exists, which may increase the cost of and decrease the
opportunities for these types of transactions.
Financing for these transactions may come from several sources,
including:
|
|
|
|
|
cash and cash equivalents on hand and marketable securities;
|
|
|
|
proceeds from the incurrence of indebtedness by HLTH or its
subsidiaries; and
|
68
|
|
|
|
|
proceeds from the issuance of additional common stock, preferred
stock, convertible debt or other securities of HLTH or its
subsidiaries.
|
Our issuance of additional securities could:
|
|
|
|
|
cause substantial dilution of the percentage ownership of our
stockholders at the time of the issuance;
|
|
|
|
cause substantial dilution of our earnings per share;
|
|
|
|
subject us to the risks associated with increased leverage,
including a reduction in our ability to obtain financing or an
increase in the cost of any financing we obtain;
|
|
|
|
subject us to restrictive covenants that could limit our
flexibility in conducting future business activities; and
|
|
|
|
adversely affect the prevailing market price for our outstanding
securities.
|
We do not intend to seek securityholder approval for any such
acquisition or security issuance unless required by applicable
law or regulation or the terms of existing securities.
Our
business will suffer if we fail to successfully integrate
acquired businesses and technologies or to assess the risks in
particular transactions
We have in the past acquired, and may in the future acquire,
businesses, technologies, services, product lines and other
assets. The successful integration of the acquired businesses
and assets into our operations, on a cost-effective basis, can
be critical to our future performance. The amount and timing of
the expected benefits of any acquisition, including potential
synergies between HLTH and the acquired business, are subject to
significant risks and uncertainties. These risks and
uncertainties include, but are not limited to, those relating to:
|
|
|
|
|
our ability to maintain relationships with the customers of the
acquired business;
|
|
|
|
our ability to cross-sell products and services to customers
with which we have established relationships and those with
which the acquired businesses have established relationships;
|
|
|
|
our ability to retain or replace key personnel;
|
|
|
|
potential conflicts in payer, provider, strategic partner,
sponsor or advertising relationships;
|
|
|
|
our ability to coordinate organizations that are geographically
diverse and may have different business cultures; and
|
|
|
|
compliance with regulatory requirements.
|
We cannot guarantee that any acquired businesses will be
successfully integrated with our operations in a timely or
cost-effective manner, or at all. Failure to successfully
integrate acquired businesses or to achieve anticipated
operating synergies, revenue enhancements or cost savings could
have a material adverse effect on our business, financial
condition and results of operations.
Although our management attempts to evaluate the risks inherent
in each transaction and to value acquisition candidates
appropriately, we cannot assure you that we will properly
ascertain all such risks or that acquired businesses and assets
will perform as we expect or enhance the value of our company as
a whole. In addition, acquired companies or businesses may have
larger than expected liabilities that are not covered by the
indemnification, if any, that we are able to obtain from the
sellers.
We may
not be able to raise additional funds when needed for our
business or to exploit opportunities
Our future liquidity and capital requirements will depend upon
numerous factors, including the success of our service
offerings, market developments, and repurchases of our common
stock. We may need to raise additional funds to support
expansion, develop new or enhanced applications and services,
respond to competitive pressures, acquire complementary
businesses or technologies or take advantage of unanticipated
69
opportunities. In addition, holders of the
1.75% Convertible Subordinated Notes due 2023 issued by
HLTH may, at their option, require HLTH to repurchase their
Notes on certain specified dates (the earliest of which is
June 15, 2010) and holders of the
31/8% Convertible
Notes due 2025 issued by HLTH may, at their option, require HLTH
to repurchase their Notes on certain specified dates (the
earliest of which is September 1, 2012), in each case at a
price equal to 100% of the principal amount being repurchased.
If required, we may raise such additional funds through public
or private debt or equity financing, strategic relationships or
other arrangements. There can be no assurance that such
financing will be available on acceptable terms, if at all, or
that such financing will not be dilutive to our stockholders.
As widely reported, financial markets have been experiencing
extreme disruption recently, including volatility in the prices
of securities and severely diminished liquidity and availability
of credit. Until this disruption in the financial markets is
resolved, financing will be even more difficult to get on
acceptable terms and we could be forced to cancel or delay
investments or transactions that we would otherwise have made.
Our
decision to sell Porex may have a negative impact on that
business
As a result of our plan to divest Porex, the financial results
and operations of that business may be adversely affected by the
diversion of management resources to the sale process and by
uncertainty regarding the outcome of the process. For example,
the uncertainty of who will own Porex in the future could lead
Porex to lose or fail to attract employees, customers or
business partners. Although we have taken steps to address these
risks, there can be no assurance that any such losses or
distractions will not adversely affect the operations or
financial results of Porex and, as a result, the sale price that
we may receive for Porex.
70
|
|
ITEM 3.
|
Quantitative
and Qualitative Disclosures about Market Risk
|
Interest
Rate Sensitivity
The primary objective of our investment activities is to
preserve principal and maintain adequate liquidity, while at the
same time maximizing the yield we receive from our investment
portfolio.
Changes in prevailing interest rates will cause the fair value
of certain of our investments to fluctuate, such as our
investments in auction rate securities that generally bear
interest at rates indexed to LIBOR. As of March 31, 2009,
the fair market value of our auction rate securities was
$274.1 million. However, the fair values of our cash and
money market investments, which approximate $552.5 million
at March 31, 2009, are not subject to changes in interest
rates.
HLTH and WHC, its majority owned subsidiary, have each entered
into a non-recourse credit facility (which we refer to as the
Credit Facilities) with an affiliate of Citigroup that is
secured by their respective ARS holdings (including, in some
circumstances, interest payable on the ARS holdings), that will
allow HLTH and WHC to borrow up to 75% of the face amount of the
ARS holdings pledged as collateral under the respective Credit
Facilities. The interest rate applicable to such borrowings is
the Open Federal Funds Rate plus 3.95%. No borrowings have been
made under either of the Credit Facilities to date.
The
31/8% Notes
and the 1.75% Notes that we have issued have fixed interest
rates; changes in interest rates will not impact our financial
condition or results of operations.
Exchange
Rate Sensitivity
Currently, substantially all of our sales and expenses are
denominated in United States dollars; however, certain of our
Porex subsidiaries (currently reflected as discontinued
operations) are exposed to fluctuations in foreign currency
exchange rates, primarily the rate of exchange of the United
States dollar against the Euro. This exposure arises primarily
as a result of translating the results of Porexs foreign
operations to the United States dollar at exchange rates that
have fluctuated from the beginning of the accounting period.
Porex has not engaged in foreign currency hedging activities to
date. Foreign currency translation (losses) gains were
($0.7) million and $3.4 million for the three months
ended March 31, 2009 and 2008, respectively. We believe
that future exchange rate sensitivity related to Porex will not
have a material effect on our financial condition or results of
operations.
|
|
ITEM 4.
|
Controls
and Procedures
|
As required by Exchange Act
Rule 13a-15(b),
HLTH management, including the Chief Executive Officer and Chief
Financial Officer, conducted an evaluation of the effectiveness
of HLTHs disclosure controls and procedures, as defined in
Exchange Act
Rule 13a-15(e),
as of March 31, 2009. Based on that evaluation, the Chief
Executive Officer and Chief Financial Officer concluded that
HLTHs disclosure controls and procedures were effective as
of March 31, 2009.
In connection with the evaluation required by Exchange Act
Rule 13a-15(d),
HLTH management, including the Chief Executive Officer and Chief
Financial Officer, concluded that no changes in HLTHs
internal control over financial reporting occurred during the
first quarter of 2009 that have materially affected, or are
reasonably likely to materially affect, HLTHs internal
control over financial reporting.
71
PART II
OTHER INFORMATION
ITEM 1. Legal
Proceedings
The information relating to legal proceedings contained in
Note 10 to the Consolidated Financial Statements included
in Part I, Item 1 of this Quarterly Report is
incorporated herein by this reference.
|
|
ITEM 2.
|
Unregistered
Sales of Equity Securities and Use of Proceeds
|
(c) The following table provides information about
purchases by HLTH during the three months ended March 31,
2009 of equity securities that are registered by us pursuant to
Section 12 of the Exchange Act:
Issuer
Purchases of Equity Securities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Maximum Number (or
|
|
|
|
|
|
|
|
|
|
|
|
|
Approximate
|
|
|
|
|
|
|
|
|
|
Total Number of
|
|
|
Dollar Value) of
|
|
|
|
|
|
|
|
|
|
Shares Purchased as
|
|
|
Shares that May Yet
|
|
|
|
Total Number of
|
|
|
|
|
|
Part of Publicly
|
|
|
Be Purchased Under
|
|
|
|
Shares
|
|
|
Average Price
|
|
|
Announced Plans or
|
|
|
the Plans or
|
|
Period
|
|
Purchased (1)
|
|
|
Paid per Share
|
|
|
Programs (2)
|
|
|
Programs (2)
|
|
|
1/01/09 - 1/31/09
|
|
|
|
|
|
$
|
|
|
|
|
|
|
|
$
|
41,553,120
|
|
2/01/09 - 2/28/09
|
|
|
21,216
|
|
|
|
11.44
|
|
|
|
|
|
|
|
41,553,120
|
|
3/01/09 - 3/31/09
|
|
|
2,563
|
|
|
|
10.30
|
|
|
|
|
|
|
|
41,553,120
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
23,779
|
|
|
|
11.31
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
|
Represents shares withheld from
HLTH Restricted Stock that vested during the respective periods
in order to satisfy withholding tax requirements related to the
vesting of the awards. The value of these shares was determined
based on the closing price of HLTH Common Stock on the date of
vesting.
|
|
(2)
|
|
Relates to the repurchase program
that we announced in December 2006, at which time HLTH was
authorized to use up to $100 million to purchase shares of
its common stock from time to time. For additional information,
see Note 17 to the Consolidated Financial Statements
included in our 2008 Annual Report on Form 10-K filed with the
Securities and Exchange Commission.
|
The exhibits listed in the accompanying Exhibit Index on
page E-1
are filed or furnished as part of this Quarterly Report.
72
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of
1934, the registrant has duly caused this report to be signed on
its behalf by the undersigned thereunto duly authorized.
HLTH
Corporation
Mark D. Funston
Executive Vice President and
Chief Financial Officer
Date: May 11, 2009
73
EXHIBIT INDEX
|
|
|
|
|
Exhibit No.
|
|
Description
|
|
|
3
|
.1
|
|
Eleventh Amended and Restated Certificate of Incorporation of
the Registrant, as amended (incorporated by reference to
Exhibit 3.1 to the Registrants Quarterly Report on
Form 10-Q
for the quarter ended September 30, 2004)
|
|
3
|
.2
|
|
Certificate of Ownership and Merger Amending the
Registrants Eleventh Amended and Restated Certificate of
Incorporation to Change the Registrants Name to HLTH
Corporation (incorporated by reference to Exhibit 3.1 to
Registrants Current Report on
Form 8-K
filed on May 21, 2007)
|
|
3
|
.3
|
|
Amended and Restated Bylaws of Registrant, as currently in
effect (incorporated by reference to Exhibit 3.2 of the
Registrants Quarterly Report on
Form 10-Q
for the quarter ended September 30, 2004)
|
|
10
|
.1
|
|
Loan Agreement, dated as of April 28, 2009, between
Citigroup Global Markets Inc. and HLTH Corporation
|
|
10
|
.2
|
|
Amended and Restated Loan Agreement, dated as of April 28,
2009, between Citigroup Global Markets Inc. and WebMD Health
Corp. (incorporated by reference to Exhibit 10.1 of WebMD
Health Corp.s Quarterly Report on
Form 10-Q
for the quarter ended March 31, 2009)
|
|
10
|
.3*
|
|
Letter Agreement, dated as of February 19, 2009, between
the Registrant and Charles A. Mele (incorporated by reference to
Exhibit 10.57 of the Registrants Annual Report on
Form 10-K
for the year ended December 31, 2008)
|
|
10
|
.4*
|
|
Amendment No. 1 to WebMD Supplemental Bonus Program
Trust Agreement (incorporated by referenced to
Exhibit 10.58 to Amendment No. 1, filed on
April 30, 2009, to WebMD Health Corp.s Annual Report
on
Form 10-K
for the year ended December 31, 2008)
|
|
31
|
.1
|
|
Rule 13a-14(a)/15d-14(a)
Certification of Chief Executive Officer of Registrant
|
|
31
|
.2
|
|
Rule 13a-14(a)/15d-14(a)
Certification of Chief Financial Officer of Registrant
|
|
32
|
.1
|
|
Section 1350 Certification of Chief Executive Officer of
Registrant
|
|
32
|
.2
|
|
Section 1350 Certification of Chief Financial Officer of
Registrant
|
|
|
|
* |
|
Agreement relates to executive compensation. |
E-1