Form 10-Q/A
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM
10-Q/A
(Amendment No. 1)
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þ |
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 |
FOR THE QUARTERLY PERIOD ENDED JUNE 30, 2009
OR
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o |
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to
Commission File Number 000-30099
Alliance HealthCard, Inc.
(Exact name of registrant as specified in its charter)
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GEORGIA
(State or other jurisdiction of
incorporation or organization)
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58-2445301
(I.R.S. Employer
Identification No.) |
900 36th Avenue, Suite 105, Norman, OK 73072
(Address of principal executive offices and zip code)
Registrants telephone number, including area code: (405) 579-8525
3500 Parkway Lane, Suite 720, Norcross, Georgia 30092
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by
Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for
such shorter periods 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 Website, if any, every Interactive Data File required to be submitted and posted pursuant
to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for
such shorter period that the registrant was required to submit and post such files). Yes o No þ
Indicate by check mark whether registrant is a large accelerated filer, an accelerated filer, a
non-accelerated filer, or a small reporting company.
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Large accelerated filer o
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Accelerated filer o
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Non-accelerated filer o
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Smaller reporting company þ |
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
The number of shares outstanding of the Registrants common stock as of the latest practicable date
was:
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Class
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Outstanding at August 13, 2009 |
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Common Stock, $.001 par value
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21,633,705 |
Explanatory Note
Alliance HealthCard, Inc. is filing this Amendment No. 1 on Form 10-Q/A to
our Quarterly Report on Form 10-Q for the
quarter ended June 30, 2009, initially filed with the Securities and Exchange Commission on August 14, 2009.
The following sections of this Form 10-Q/A have been amended:
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Item 4 & 4T Controls and Procedures was revised to modify the disclosure
regarding the evaluation of
the effectiveness of the design and operation of our disclosure controls and procedures. |
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Dates for the signature and exhibit pages have been revised. |
PART I. FINANCIAL INFORMATION
Item 1. Financial Statements
Alliance HealthCard, Inc.
Condensed Consolidated Balance Sheets
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September 30, |
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2008 |
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June 30, |
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(Derived From |
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2009 |
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Audited |
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(Unaudited) |
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Statements) |
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Assets |
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Current assets: |
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Cash and cash equivalents |
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$ |
4,357,984 |
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$ |
3,012,683 |
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Restricted cash |
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499,136 |
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156,935 |
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Accounts receivable, net |
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4,000,077 |
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2,486,938 |
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Advanced agency commissions, net |
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6,890,619 |
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Prepaid expenses |
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57,995 |
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31,372 |
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Total current assets |
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15,805,811 |
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5,687,928 |
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Furniture and equipment, net |
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410,175 |
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165,020 |
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Goodwill |
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4,198,783 |
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2,534,152 |
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Other intangible assets, net |
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4,228,024 |
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1,708,883 |
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Deferred income taxes and other |
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2,000,738 |
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427,604 |
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Total assets |
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$ |
26,643,531 |
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$ |
10,523,587 |
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Liabilities and stockholders equity |
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Current liabilities: |
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Accounts payable |
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$ |
762,067 |
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$ |
927,101 |
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Income taxes payable |
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487,532 |
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Accrued salaries and benefits |
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186,873 |
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161,732 |
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Accrued commissions |
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867,674 |
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Unearned commissions |
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6,202,812 |
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Claims liability |
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1,155,500 |
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462,596 |
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Deferred revenue |
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1,067,078 |
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843,868 |
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Current portion notes payable |
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2,166,840 |
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2,289,663 |
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Liability for unrecognized tax benefit |
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166,000 |
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166,000 |
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Other accrued liabilities |
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2,939,234 |
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1,468,349 |
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Total current liabilities |
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16,001,610 |
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6,319,309 |
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Long term liabilities: |
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Notes payable, net of discount
and current portion shown above |
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448,420 |
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931,581 |
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Total liabilities |
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16,450,030 |
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7,250,890 |
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Stockholders equity: |
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Common stock, $.001 par value; 100,000,000
shares authorized; 21,633,705 and 14,833,127,
shares issued and outstanding at June 30, 2009
and September 30, 2008, respectively |
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21,633 |
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14,833 |
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Additional paid-in-capital |
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11,574,922 |
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6,808,721 |
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Retained deficit |
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( 1,403,054 |
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(3,550,857 |
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Total stockholders equity |
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10,193,501 |
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3,272,697 |
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Total liabilities and stockholders equity |
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$ |
26,643,531 |
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$ |
10,523,587 |
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See the accompanying notes to the condensed consolidated financial statements.
3
Alliance HealthCard, Inc.
Condensed Consolidated Statements of Operations
(Unaudited)
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Three Months Ended |
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Nine Months Ended |
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June 30, |
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June 30, |
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2009 |
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2008 |
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2009 |
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2008 |
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Net revenues |
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$ |
13,959,723 |
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$ |
5,366,253 |
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$ |
25,513,887 |
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$ |
15,421,698 |
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Direct costs |
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9,810,677 |
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2,871,701 |
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16,785,449 |
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8,296,110 |
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Gross profit |
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4,149,046 |
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2,494,552 |
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8,728,438 |
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7,125,588 |
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Marketing and sales expenses |
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573,321 |
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306,552 |
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1,169,800 |
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934,330 |
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General and administrative
expenses |
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2,042,799 |
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755,997 |
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3,868,891 |
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2,328,592 |
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Depreciation and amortization |
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276,180 |
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138,222 |
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554,087 |
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412,502 |
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Operating income |
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1,256,746 |
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1,293,781 |
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3,135,660 |
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3,450,164 |
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Other income (expense): |
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Other income |
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346,775 |
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346,775 |
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163,951 |
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Interest income |
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3,707 |
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19,477 |
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11,466 |
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44,844 |
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Interest (expense) |
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(47,111 |
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(54,733 |
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(141,479 |
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(167,458 |
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Total other income (expense): |
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303,371 |
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(35,256 |
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216,762 |
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41,337 |
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Income before income taxes |
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1,560,117 |
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1,258,525 |
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3,352,422 |
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3,491,501 |
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Deferred income tax benefit |
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(175,000 |
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Income taxes |
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697,652 |
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728,272 |
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1,379,619 |
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1,596,493 |
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Net income |
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$ |
862,465 |
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$ |
530,253 |
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$ |
2,147,803 |
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$ |
1,895,008 |
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Per share data: |
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Basic |
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$ |
0.04 |
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$ |
0.04 |
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$ |
0.13 |
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$ |
0.13 |
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Diluted |
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$ |
0.04 |
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$ |
0.04 |
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$ |
0.13 |
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$ |
0.12 |
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Basic weighted
average shares outstanding |
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21,633,705 |
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14,833,127 |
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16,528,614 |
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14,760,056 |
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Basic weighted diluted
average shares outstanding |
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21,636,384 |
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15,123,908 |
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16,533,690 |
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15,250,551 |
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See the accompanying notes to the condensed consolidated financial statements.
4
Alliance HealthCard, Inc.
Condensed Consolidated Statements of Cash Flows
(Unaudited)
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Nine Months Ended |
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June 30, |
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2009 |
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2008 |
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Cash flows from operating activities |
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Net income |
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$ |
2,147,803 |
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$ |
1,895,008 |
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Adjustments to reconcile net income to net cash provided by operating
activities: |
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Deferred tax benefit |
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(175,000 |
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13,272 |
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Depreciation and amortization |
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554,087 |
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412,502 |
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Amortization of loan discount to interest expense |
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115,927 |
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120,149 |
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Allowances for commissions and other doubtful accounts |
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82,033 |
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Stock option expenses |
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13,000 |
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18,470 |
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Change in operating assets and liabilities: |
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Receivables |
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(120,391 |
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(322,665 |
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Advanced agency commissions |
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(49,089 |
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Prepaid expenses and other assets |
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(19,307 |
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1,811 |
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Accounts payable |
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(597,511 |
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(214,072 |
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Income taxes payable |
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371,385 |
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Accrued salaries and benefits |
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25,141 |
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20,387 |
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Accrued commissions |
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282,693 |
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Unearned commissions |
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63,431 |
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Deferred revenue |
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(42,343 |
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(52,909 |
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Claims and other accrued liabilities |
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207,788 |
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720,104 |
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Net cash provided by operating activities |
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2,859,647 |
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2,612,057 |
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Cash flows from investing activities |
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Cash received from
acquisition |
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450,213 |
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Increase in restricted short-term investments |
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673 |
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Investment in LLC |
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(100,000 |
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Purchase of equipment |
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(29,381 |
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(77,097 |
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Net cash provided by (used in) investing activities |
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321,505 |
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(77,097 |
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Cash flows from financing activities |
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Repayments of long term debt |
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(1,835,851 |
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(1,736,130 |
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Repayment of line of credit |
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(149,980 |
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Stock options exercised |
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112,870 |
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Net cash (used in) financing activities |
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(1,835,851 |
) |
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(1,773,240 |
) |
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Net increase (decrease) in cash |
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1,345,301 |
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761,720 |
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Cash at beginning of period |
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3,012,683 |
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2,274,411 |
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Cash at end of period |
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$ |
4,357,984 |
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$ |
3,036,131 |
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See the accompanying notes to the condensed consolidated financial statements.
5
ALLIANCE HEALTHCARD, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
JUNE 30, 2009 AND 2008
(UNAUDITED)
NOTE 1 NATURE OF BUSINESS
Alliance HealthCard, Inc. (the Company) develops and distributes consumer membership plans and
consumer driven healthcare programs.
The Companys operations are currently organized under three business segments:
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Wholesale Plans plan offerings are customized membership marketing plans
primarily offered at rent-to-own retail stores. |
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Retail Plans plan offerings are primarily healthcare savings plans. These plans are
not insurance, but allow members access to a variety of healthcare networks to obtain
discounts from usual and customary fees. |
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Insurance Marketing Division markets individual major medical health insurance and
other insurance products through a national network of independent agents. |
NOTE 2 BASIS OF PRESENTATION
The following unaudited condensed consolidated financial statements have been prepared pursuant to
the rules and regulations of the Securities and Exchange Commission. Certain information and note
disclosures normally included in annual financial statements prepared in accordance with generally
accepted accounting principles have been condensed or omitted pursuant to those rules and
regulations, although the Company believes that the disclosures made are adequate to make the
information not misleading. It is suggested that these condensed consolidated financial statements
be read in conjunction with the financial statements and the notes thereto included in the
Companys latest shareholders annual report on Form 10K.
All adjustments that, in the opinion of management, are necessary for a fair presentation for the
periods presented have been reflected as required by Regulation S-X, Rule 10-01. All such
adjustments made during the nine months ended June 30, 2009 and 2008 are of a normal, recurring
nature.
We have evaluated subsequent events through the date the consolidated condensed financial
statements were issued on August 14, 2009.
RECENTLY ISSUED AND ADOPTED ACCOUNTING PRONOUNCEMENTS
In September 2006, Financial Accounting Standards Board (the FASB) issued Statement of Financial
Accounting Standards (SFAS) No. 157, Fair Value Measurements (SFAS 157). SFAS 157 defines fair
value, establishes a framework for measuring fair value in accordance with generally accepted
accounting principles, and expands disclosures about fair value measurements. This statement does
not require any new fair value measurements; rather, it applies other accounting pronouncements
that require or permit fair value measurements. The provisions of this statement are to be applied
prospectively as of the beginning of the fiscal year in which this statement is initially applied,
with any transition adjustment recognized as a cumulative-effect adjustment to the opening balance
of retained earnings. The provisions of SFAS 157 are effective for the fiscal years beginning after
November 15, 2007. The Company adopted SFAS 157 on October 1, 2008 without a material impact on our
consolidated financial statements.
6
In February 2007, FASB issued SFAS No. 159, The Fair Value Option for Financial Assets and
Financial Liabilities that permits companies to choose to measure many financial assets and
liabilities at fair value. Unrealized gains and losses on items for which the fair value option has
been elected are reported in earnings. SFAS 159 is effective for fiscal years beginning after
November 15, 2007. The Company adopted SFAS 159 on October 1, 2008 without a material impact on our
consolidated financial statements.
In December 2007, the FASB issued SFAS No. 141 (revised 2007), Business Combinations, which
replaces FASB Statement No. 141 (SFAS 141R). SFAS 141R established principles and requirements
for how an acquirer recognizes and measures in its financial statements the identifiable assets
acquired, the liabilities assumed, any non-controlling interest in the acquiree, and the goodwill
acquired. SFAS 141R also established disclosure requirements that enable users to evaluate the
nature and financial effects of the business combination. SFAS No. 141R is effective as of the
beginning of an entitys fiscal year that begins after December 15, 2008 (the Companys 2010 fiscal
year). SFAS 141R will have an effect on the Companys consolidated financial statements for any
business combinations that it may consummate during the Companys fiscal 2010 and thereafter.
In May 2008, the FASB issued SFAS No. 162, The Hierarchy of Generally Accepted Accounting Principle
that identifies the sources of generally accepted accounting principles in the United States.
SFAS162 is effective 60 days following the United States Securities and Exchange Commissions
approval of Public Company Accounting Oversight Board amendments to AU Section 411, The Meaning of
Present fairly in conformity with generally accepted accounting
principles. SFAS 162 became
effective on November 15, 2008. The adoption of SFAS 162 did not have a material effect on the
Companys reported financial position or results of operations.
In April 2009, the FASB issued Staff Position No. 107-1 which requires disclosures about fair value
of financial instruments for interim reporting periods of publicly traded companies as well as in
annual financial statements. This Staff Position also amends APB 28 to require those disclosures
in summarized financial reporting at interim reporting periods. This FSP is effective for interim
reporting periods ending after June 15, 2009. The adoption of FSP 107-1 as of June 30, 2009 did
not have a material effect on the Companys future reported financial position or results of
operations.
In April 2009, FASB issued FSP SFAS 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 SFAS 157-4 affirms that the objective of fair value when the market for an
asset is not active is the price that would be received to sell the asset in an orderly
transaction, and clarifies and includes additional factors for determining whether there has been a
significant decrease in market activity for an asset when the market for that asset is not active.
FSP SFAS 157-4 requires an entity to base its conclusions about whether a transaction was not
orderly on the weight of the evidence. FSP SFAS 157-4 also amended SFAS 157, Fair Value
Measurements, to expand certain disclosure requirements. This FSP shall be effective for interim
and annual reporting periods ending after June 15, 2009, and fiscal years beginning after December
15, 2008 and interim periods within those fiscal years and shall be
applied prospectively. Adoption of this FSP SFAS 157-4 as of June 30, 2009 did not have a material
impact on the Companys consolidated financial statements.
7
In April 2009, the FASB issued FASB Staff Position FAS 115-2, FAS 124-2, and EITF 99-20-2,
Recognition and Presentation of Other-Than-Temporary Impairments (FSP FAS 115-2, FAS 124-2, and
EITF 99-20-2). FSP FAS 115-2, FAS 124-2, and EITF 99-20-2 provide additional guidance to provide
greater clarity about the credit and noncredit component of an- other-than-temporary impairment
event and to more effectively communicate when an other-than-temporary impairment event has
occurred. This FSP applies to debt securities. This FSP shall be effective for interim and annual
reporting periods ending after June 15, 2009, and shall be applied prospectively. Adoption of
these standards is not expected to have a material impact on the Companys consolidated financial
statements.
In May 2009, the FASB issued SFAS 165, Subsequent Events. SFAS 165 provides guidance on
managements assessment of subsequent events. SFAS 165 clarifies that management must evaluate, as
of each reporting period, events or transactions that occur after the balance sheet date through
the date that the financial statements are issued or are available to be issued. Management must
perform its assessment for both interim and annual financial reporting periods and disclose the
date through which an entity has evaluated subsequent events and the basis for that date. SFAS 165
is effective for interim and annual periods ending after June 15, 2009. The Company has included
this disclosure in this filing (see note 2).
Recently Issued Accounting Pronouncements Not Yet Adopted
In December 2007, the FASB issued SFAS No. 160, Non-controlling Interests in Consolidated Financial
Statements an amendment of Accounting Research Bulletin No. 51 , which establishes accounting and
reporting standards for ownership interests in subsidiaries held by parties other than the parent,
the amount of consolidated net income attributable to the parent and to the non-controlling
interest, changes in a parents ownership interest and the valuation of retained non-controlling
equity investments when a subsidiary is deconsolidated. SFAS 160 also establishes reporting
requirements that provide sufficient disclosures that clearly identify and distinguish between the
interests of the parent and the interests of the non-controlling owners. SFAS 160 is effective as
of the beginning of an entitys fiscal year that begins after December 15, 2008 (the Companys 2010
fiscal year). The adoption of SFAS 160 is not expected to have a material effect on the Companys
future reported financial position or results of operations.
In March 2008 the FASB issued SFAS No. 161, Disclosures about Derivative Instruments and Hedging
Activities as an amendment to SFAS No. 133, Accounting for Derivative Instruments and Hedging
Activities. SFAS 161 requires that objectives for using derivative instruments be disclosed in
terms of underlying risk and accounting designation. SFAS 161 is effective for financial statements
issued for fiscal years beginning after November 15, 2008. The adoption of SFAS 161 is not expected
to have a material effect on the Companys future reported financial position or results of
operations.
In May 2008, the FASB issued SFAS No. 163, Accounting for Financial Guarantee Insurance Contracts,
an Interpretation of FASB Statement No. 60 (SFAS 163). The scope of SFAS 163 is limited to
financial guarantee insurance (and reinsurance) contracts, as described in SFAS 163, issued by
enterprises included within the scope of FASB Statement 60. Accordingly, SFAS 163 does not apply to
financial guarantee contracts issued by enterprises excluded from the scope of FASB Statement 60 or
to some insurance contracts that seem similar to financial guarantee insurance contracts issued by
insurance enterprises (such as mortgage guaranty insurance or credit insurance on trade
receivables). SFAS 163 also does not apply to financial guarantee insurance contracts that are
derivative instruments included within the scope of FASB Statement No. 133, Accounting for
Derivative Instruments and Hedging Activities. The adoption of FAS 163 is not expected to have a
material effect on the Companys future reported financial position or results of operations. SFAS
163 is effective for financial statements issued for fiscal years
beginning after December 15, 2008 and all interim periods within
those fiscal years.
8
In June 2009, the FASB issued SFAS 168, The FASB Accounting Standards Codification TM and the
Hierarchy of Generally Accepted Accounting Principles. SFAS 168 establishes the FASB Accounting
Standards Codification TM (Codification) as the source of authoritative U.S. GAAP recognized by the
FASB to be applied by nongovernmental entities. Once the Codification is in effect, all of its
content will carry the same level of authority, effectively superseding SFAS 162. SFAS 168 is
effective for financial statements issued for interim and annual periods ending after September 15,
2009. Adoption of SFAS 168 is not expected to have a material impact on the Companys financial
statements.
NOTE 3 SIGNIFICANT ACCOUNTING POLICIES
Accounts Receivable and Credit Policies
Accounts receivable are recorded net of the allowance for doubtful accounts established to provide
for losses on uncollectible accounts based on managements estimates and historical collection
experience. The allowance for doubtful accounts was $159,452 and $5,632 respectively at June 30,
2009 and September 30, 2008. We recorded bad debt expense of $12,034 for the quarter ended June 30,
2009.
Advanced Agent Commissions
For our Insurance Marketing division, the allowance for doubtful recoveries is determined based
primarily upon estimates of the future commissions expected to be earned by the insurance agents
to whom advances are outstanding and, where applicable, the agents responsible for the management
of those agents. The allowance for doubtful recoveries was $1,501,860 at June 30, 2009. If
estimates of the future commissions to be earned are less than insurance agents outstanding
balance, an allowance for doubtful recoveries is established. The Company recognized bad debt
expense on advanced agent commissions of $70,000 during the quarter ended at June 30, 2009.
The allowance for doubtful recoveries reflects significant judgment regarding the estimates used in
the determination of the allowance. Accordingly, subsequent actual results may differ from the
assumptions and estimates incorporated into the analysis at June 30, 2009.
Revenue Recognition
The Company recognizes revenue in accordance with Securities and Exchange Commission Staff
Accounting Bulletin No. 104, Revenue Recognition, corrected copy which requires that four basic
criteria must be met before revenue can be recognized: (1) persuasive evidence of an arrangement
exists; (2) delivery has occurred or services have been rendered; (3) the sellers price to the
buyer is fixed or determinable; and, (4) collectability is reasonably assured.
Our revenue recognition varies based on source.
Wholesale and Retail Plans membership fees are paid to the Company on a weekly, monthly or annual
basis and fees paid in advance are recorded as deferred revenue and recognized monthly over the
applicable membership term.
Insurance Marketing revenue reflects commissions and fees reported to us by insurance companies
for policies sold by the divisions agents. Commissions and fees collected are recognized as
earned on a monthly basis until such time as the underlying contract is reported to the division as
terminated. Revenue also includes interest income earned on commissions advanced to the divisions
agents.
Unearned commissions comprise commission advances received from insurance carriers but not yet
earned. Additionally, enrollment fees received are recorded as deferred revenue and amortized over
the expected weighted average life of the policies sold which currently approximates eighteen
months. Deferred revenue is reported net of related policy acquisition costs, principally lead and
marketing credits, which are capitalized and amortized over the same weighted average life, to the
extent such deferred costs do not exceed the related gross deferred revenue. Any excess costs are
expensed as incurred.
Commission Expense
Commission expense is based on the applicable rates applied to membership revenues billed, or
insurance commissions collected, and are recognized as incurred on a monthly basis until such time
as the underlying program member or insurance policy is terminated.
The Insurance Marketing division advances agent commissions, up to nine months, for certain
insurance programs. Collection of the commissions advanced (plus accrued interest) is accomplished
by withholding amounts earned by the agent on the policy upon which
the advance was made. In the event of early termination of the underlying policy, the division
seeks to recover the unpaid advance balance by withholding advanced and earned commissions on other
policies sold by the agent. The division also has the contractual right to pursue other sources of
recovery, including recovery from the agents managing the agent to whom advances were made.
9
Cash and Cash Equivalents
Cash and cash equivalents consist primarily of cash on deposit or cash investments purchased with
original maturities of three months or less.
Restricted Short-Term Investments
Restricted short term investments represent investments with original maturities of one year or
less pledged to obtain bonds for regulatory licenses and processing and collection arrangements for
credit card and automated clearing house payments.
Investment in LLC
In accordance with SFAS 115, Accounting for Certain Investments in Debt and Equity Securities, the
Company follows the cost method for all investments in non controlled entities. The cost method
requires the investment to be recorded at cost plus any related guaranteed debt or other
contingency. Any earnings are recorded in the period received.
NOTE 4 MERGERS AND ACQUISITIONS
On April 1, 2009, the Company completed its acquisition of Access Plans USA, Inc., (Access
Plans). Access Plans markets health insurance and develops and distributes consumer driven
discount plans on a variety of health related services such as medical, dental, pharmacy and vision
care and manages its own proprietary dental and vision networks.
The Company issued 6,800,578 shares of its common stock in exchange for the outstanding common
stock of Access Plans USA.
The
allocation of the acquisition cost between assets acquired,
liabilities assumed and intangibles has been performed and recorded
using estimates based on the best information available at the time
of allocation. For example, a significant estimate relates to the
collectability of advanced agency commissions and therefore the
allocation presented herein may change during the allocation period
as more precise information becomes available. The allocation period
is defined by SFAS 141 as a period not to exceed one year from the
consummation of a business combination. The following table presents
the initial allocation of the acquisition costs to the fair values of
the assets acquired and the liabilities assumed:
|
|
|
|
|
Current assets |
|
$ |
9,086,216 |
|
Property and equipment |
|
|
289,000 |
|
Other assets |
|
|
1,345,254 |
|
Intangible assets |
|
|
3,000,000 |
|
Goodwill |
|
|
1,664,631 |
|
|
|
|
|
Total assets acquired |
|
|
15,385,101 |
|
|
|
|
|
Current liabilities assumed |
|
|
9,887,746 |
|
Long-term liabilities assumed |
|
|
728,855 |
|
|
|
|
|
Total liabilities assumed |
|
|
10,616,601 |
|
|
|
|
|
Net assets acquired |
|
$ |
4,768,500 |
|
|
|
|
|
The following un-audited pro forma consolidated results of operations have been prepared as if the
acquisition of Access Plans USA, Inc. had occurred on October 1, 2008.
|
|
|
|
|
|
|
Nine Months |
|
|
|
Ended June 30, |
|
Statement of Operations Data: |
|
|
|
|
|
|
|
|
|
Total revenue |
|
$ |
24,428,743 |
|
Operating income |
|
|
(1,219,335 |
) |
Net income |
|
|
(1,164,697 |
) |
Diluted earnings per share |
|
$ |
(0.07 |
) |
Weighted average number of diluted common shares outstanding |
|
|
16,533,690 |
|
10
The pro forma information is presented for informational purposes only and is not necessarily
indicative of the results of operations that actually would have been achieved had the acquisition
been consummated as of that time, nor is it intended to be a projection of future results.
The Company accounts for recorded goodwill and other intangible assets in accordance with SFAS No.
142, Goodwill and Other Intangible Assets (SFAS 142). In accordance with SFAS 142, the Company
does not amortize goodwill. Management evaluates goodwill for impairment for each reporting
period. If considered impaired goodwill will be written down to fair value and a corresponding
impairment loss recognized. The Company has recorded $3,000,000 for intangible assets and
$1,664,631 for goodwill in connection with the acquisition consummated on April 1, 2009.
NOTE 5 GOODWILL AND INTANGIBLE ASSETS
The Company accounts for acquisitions of businesses in accordance with SFAS No. 141, Business
Combinations (SFAS 141). Goodwill in such acquisitions represents the excess of the cost of a
business acquired over the net of the amounts assigned to assets acquired, including identifiable
intangible assets and liabilities assumed. SFAS 141 specifies criteria to be used in determining
whether intangible assets acquired in a business combination must be recognized and reported
separately from goodwill. Amounts assigned to goodwill and other identifiable intangible assets are
based on independent appraisals or internal estimates. Customer lists and other intangible assets
acquired in an acquisition are capitalized and amortized over the estimated useful lives of the
customer lists.
Intangible assets acquired in the acquisition of Access Plans were valued at $3,000,000 consisting
of the following:
|
|
|
|
|
|
|
|
|
|
|
Value |
|
|
Estimated Life |
|
In-force books of business |
|
$ |
1,200,000 |
|
|
5 Years |
Agency relationships |
|
$ |
1,500,000 |
|
|
8 Years |
Proprietary programs |
|
$ |
300,000 |
|
|
8 Years |
Amortization of intangible assets related to Access Plans totaled $105,300 for the three months
ended June 30, 2009.
Customer lists acquired in 2007 were valued at $2,500,000 and are being amortized over 60 months,
the estimated useful life of that list. Amortization of customer lists totaled $375,003 and
$375,003, respectively, for the nine months ended June 30, 2009 and 2008.
The Company accounts for recorded goodwill and other intangible assets in accordance with SFAS No.
142, Goodwill and Other Intangible Asset (SFAS 142). In accordance with SFAS 142, we do not
amortize goodwill. Management evaluates goodwill for impairment at least annually at fiscal year
end. If considered impaired goodwill will be written down to fair value and a corresponding
impairment loss recognized. The Company has recorded $3,000,000 for intangible assets and
$1,664,631 for goodwill in connection with the acquisition consummated on April 1, 2009.
NOTE 6 SUPPLEMENTAL CASH FLOWS INFORMATION
Cash payments for interest and income taxes for the nine months ended June 30, 2009 and 2008 are as
follows:
|
|
|
|
|
|
|
|
|
|
|
2009 |
|
|
2008 |
|
|
|
|
|
|
|
|
|
|
Cash paid for interest to related parties |
|
$ |
48,694 |
|
|
$ |
39,730 |
|
Cash paid for income taxes |
|
$ |
1,375,673 |
|
|
$ |
1,088,923 |
|
|
|
|
|
|
|
|
|
|
Non cash transactions are as follows: |
|
|
|
|
|
|
|
|
Issuance of stock options to consultants |
|
$ |
13,000 |
|
|
$ |
18,470 |
|
Acquisition of Access Plans, net of cash received |
|
$ |
(346,344 |
) |
|
|
|
|
11
NOTE 7 NOTES PAYABLE TO RELATED PARTIES
Three promissory notes were issued to shareholders on March 1, 2007 in the aggregate principal
amount of $7,147,000 and bear interest at 1% per annum. The principal amounts of these notes were
discounted to $6,666,447 with an effective interest rate of 7% to adjust for the below market
interest rate. Principal and accrued interest are payable in 12 consecutive quarterly installments
commencing on May 15, 2007 and on each August 14, November 14, February 14 and May 15 of each year
thereafter and in full on February 14, 2010, if not previously paid. Any payment of principal and
interest is applied first to accrued interest and the balance in reduction of outstanding
principal. Notwithstanding the foregoing and any other provision in the notes, in the event that
the consolidated earnings before interest, income taxes, depreciation and amortization of the
Company, determined in accordance with generally accepted accounting principles for each of the
fiscal years ending on September 30, 2007, 2008 and 2009 (Actual EBITDA) shall be less than Four
Million Two Hundred Thousand Dollars ($4,200,000) (the Targeted EBITDA), then the principal
amount of these notes will be reduced by an amount equal to the percentage by which the Actual
EBITDA for each such period is less than the Targeted EBITDA, and the adjusted principal balance of
these notes will then be amortized over the remaining term of the notes in accordance with the
payment terms.
Furthermore, the principal amount of these notes will be reduced dollar-for-dollar by any loss
incurred by the Companys subsidiary, BMS Insurance Agency, L.L.C., resulting from contingent
commissions held by Caribbean American Property Insurance Company (CAPIC) pending receipt of a
non-resident license from the Puerto Rico Department of Insurance. Any net proceeds of BMS
Insurance Agency, L.L.C. attributable to pre-closing periods shall inure on a pro-rata basis to the
benefit of the note holders. After any decrease or increase in the principal amount of these notes
related to post-closing payments to or from CAPIC, the adjusted principal balance of these notes
will be amortized over the remaining term of the notes in accordance with the foregoing payment
terms. In accordance with these provisions, the principal of the notes was reduced by $247,073 as
of September 30, 2007. The notes further provide that recovery of any net proceeds of BMS Insurance
Agency, L.L.C. attributable to pre-closing periods will inure on a pro-rata basis to the benefit of
the note holders. As a result of the settlement agreement completed on March 13, 2008 with CAPIC,
BMS Insurance Agency, L.L.C. received proceeds of $34,280 which resulted in a pro rata increase in
the outstanding principal amounts of these notes.
For financial reporting purposes, the issuance of these notes in 2007 was treated as a dividend to
the former BMS shareholders.
Pursuant to discussions between the note holders and our disinterested directors, on January 10,
2008 the original notes were cancelled and replaced by new notes reflecting the unpaid principal
balance but modifying the measurement periods to be deferred by one year to the fiscal years ending
September 30, 2008 and September 30, 2009 and converted to quarterly reviews thereafter.
Management felt that these deferred periods more appropriately tie the payment obligations to the
Companys performance because the initial period did not reflect an entire year and also contained
several merger related one-time expenses. Several additional provisions were added to allow for
adjustments if necessary. The new notes were issued in the aggregate amount of $5,113,177
representing the unpaid principal balances on the original notes on that date before the above
described note adjustments.
Principal and interest payments made on these notes (net of discount) were $1,738,764 and
$1,775,859, respectively, for the nine months ended June 30, 2009 and 2008. Principal payments due
on these notes for the Companys 2009 and 2010 fiscal years are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal |
|
|
Discount |
|
|
Net |
|
Fiscal Year Ended September 30, |
|
Payments |
|
|
Applied |
|
|
Amount Due |
|
2009 (remaining payments) |
|
$ |
720,545 |
|
|
$ |
32,203 |
|
|
$ |
688,342 |
|
2010 |
|
$ |
1,013,910 |
|
|
$ |
82,329 |
|
|
$ |
931,581 |
|
NOTE 8 OTHER LONG TERM DEBT
During March 2008, Access Plans USA, Inc. obtained a loan of $1,605,000 from Commission Funding
Group (CFG), a specialty corporation. The current CFG loan matures March 2011, and the principal
is repayable in equal monthly installments. The interest rate, which is variable, together with
the origination fee amortization charge, was currently 10% at June 30, 2009, the minimum rate
provided by the loan agreement. The loan may be prepaid without penalty. Collateral provided to
CFG includes rights, only in the event of a default, to certain Insurance Marketing commissions
from insurance carriers.
12
Principal and interest payments made on this loan were $155,404 for the three months ended June 30,
2009. Principal payments due on this loan for the Companys 2009, 2010 and 2011 fiscal years are
as follows:
|
|
|
|
|
|
|
Principal |
|
Fiscal Year Ended September 30, |
|
Payments |
|
2009 (remaining payments) |
|
$ |
131,542 |
|
2010 |
|
$ |
561,051 |
|
2011 |
|
$ |
302,744 |
|
NOTE 9 ADVANCED AGENT COMMISSIONS
Advanced agent commissions at June 30, 2009 consist of:
|
|
|
|
|
Advances funded by: |
|
|
|
|
Insurance carriers |
|
$ |
6,202,812 |
|
Specialty lending corporation |
|
|
995,337 |
|
Commercial bank |
|
|
|
|
Self-funded |
|
|
1,194,330 |
|
|
|
|
|
Sub-total |
|
|
8,392,479 |
|
Allowance for doubtful recoveries |
|
|
(1,501,860 |
) |
|
|
|
|
Advanced agent commissions, net |
|
$ |
6,890,619 |
|
|
|
|
|
The allowance for doubtful recoveries was determined based primarily upon estimates of the recovery
of future commissions expected to be earned by the agents to whom advances are outstanding and,
where applicable, the agents responsible for the management. The Company recognized bad debt
expense on advanced agent commissions of $70,000 for the nine months ended June 30, 2009.
NOTE 10 INVESTMENT IN LLC
On December 30, 2008, the Company invested in an entity whose purpose is to invest in
Oklahoma-based small business ventures or in Oklahoma-based rural small business ventures. Such
investment is expected to generate tax credits that will be allocated to the Company and can be
used to offset Oklahoma state income tax.
On December 30, 2008, the Company invested $100,000 and executed a non-recourse debt agreement in
the principal amount of $768,704. The debt agreement is completely non-recourse to the Company for
any amounts in excess of the capital investment of $100,000. Because the debt agreement is
non-recourse and has been guaranteed by other parties, it has not been reflected in these financial
statements.
NOTE 11 INCOME TAXES
Components of income tax expense for the nine months ended June 30, 2009 and 2008 are as follows:
|
|
|
|
|
|
|
|
|
|
|
2009 |
|
|
2008 |
|
Current income tax expense |
|
|
|
|
|
|
|
|
Federal |
|
$ |
1,218,319 |
|
|
$ |
1,301,298 |
|
State |
|
|
161,300 |
|
|
|
295,195 |
|
|
|
|
|
|
|
|
Total current income tax expense |
|
|
1,379,619 |
|
|
|
1,596,493 |
|
|
|
|
|
|
|
|
Deferred income tax (benefit) |
|
|
|
|
|
|
|
|
Federal |
|
|
20,780 |
|
|
|
|
|
State |
|
|
4,130 |
|
|
|
|
|
State Tax Credit |
|
|
(200,000 |
) |
|
|
|
|
|
|
|
|
|
|
|
Total deferred income tax (benefit) |
|
|
(175,000 |
) |
|
|
|
|
|
|
|
|
|
|
|
Net income tax expense |
|
$ |
1,204,619 |
|
|
$ |
1,596,493 |
|
|
|
|
|
|
|
|
As discussed in Note 10, the Company invested in a rural economic development fund with the State
of Oklahoma. Upon completion of the investment, the fund provides an immediately available
Oklahoma state income tax credit of approximately $200,000 and this amount has been recorded as a
deferred income tax credit for the nine months ended June 30, 2009.
13
NOTE 12 CLAIMS LIABILITY
The Company has entered into contractual arrangements to administer certain membership programs
for its clients, primarily in the rental purchase industry. For some clients, the administration
duties include reimbursing the client for certain expenses they incur in the operation of a
particular membership program. Under these arrangements, the Company is responsible for
reimbursing the client when (under the terms of the agreement with its customer) it waives rental
payments required of the clients customer under specifically defined and limited circumstances,
such as when their customer becomes unemployed for a stated period of time or when the Companys
client provides product service to its customer. It is our policy to reserve the necessary funds
in order to meet the anticipated reimbursement obligation owed to our clients in the event our
reimbursement obligations require payment in the future. The Companys obligations for these
reimbursements do not have any kind of a tail that extends beyond Companys clients payment
obligations following termination of the contractual arrangement or agreement with the Companys
client or the clients customer. As of June 30, 2009 and September 30, 2008 we recorded an
estimated incurred but not reported reimbursements obligation of $1,155,500 and $462,596,
respectively.
NOTE 13 FINANCIAL INSTRUMENTS
In September 2006, the FASB issued SFAS No. 157, Fair Value Measurements (SFAS 157) in order to
establish a single definition of fair value and a framework for measuring fair value in accordance
with generally accepted accounting principles GAAP that is intended to result in increased
consistency and comparability in fair value measurements. SFAS 157 also expands disclosures about
fair value measurements. SFAS 157 applies whenever other authoritative literature requires (or
permits) certain assets or liabilities to be measured at fair value, but does not expand the use of
fair value. SFAS 157 was originally effective for financial statements issued for fiscal years
beginning after November 15, 2007, and interim periods within those years with early adoption
permitted. In early 2008, the FASB issued Staff Position (FSP) FAS-157-2, Effective Date of
FASB Statement No. 157 that delays by one year, the effective date of SFAS 157 for all
non-financial assets and non-financial liabilities, except those that are recognized or disclosed
at fair value in the financial statements on a recurring basis (at least annually). The delay
pertains to items including, but not limited to, non-financial assets and non-financial liabilities
initially measured at fair value in a business combination and non-financial assets recorded value
for impairment assessment under SFAS No. 144, Accounting for the Impairment or Disposal of
Long-Lived Assets.
The carrying value of financial instruments including cash, receivables, accounts payable, accrued
expenses and debt, approximates their fair value at June 30, 2009 and 2008 due to the relatively
short-term nature of these instruments.
On October 1, 2008, the Company adopted the portion of SFAS No. 157, Fair Value Measurements (SFAS
157) that was not delayed by FASB Staff Position FAS 157-2 (FSP FAS 157-2). FSP FAS 157-2
delays the effective date of SFAS 157 as it applies to non-financial assets and liabilities that
are not required to be measured at fair value on a recurring (at least annual) basis. As a result
of the delay, SFAS 157 will be applied to the Companys non-financial assets and liabilities
effective on April 1, 2009. 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 (also referred to as an exit price). SFAS 157 also establishes a
three-level fair value hierarchy for classifying financial instruments that is based on whether the
inputs to the valuation techniques used to measure fair value are observable or unobservable. The
three levels of the SFAS 157 fair value hierarchy are described below:
Level 1: Quoted prices (unadjusted) in active markets for identical assets or liabilities.
Level 2: Observable market-based inputs other than quoted prices in active markets for identical
assets or liabilities
Level 3: Unobservable inputs
As of June 30, 2009, the Company did not have any financial assets or liabilities that were
measured at fair value on a recurring basis subsequent to initial recognition.
NOTE 14 LOAN COMMITMENT
In
connection with the acquisition of Access Plans, (Note 4. Mergers and Acquisitions), we entered
into a Loan Agreement on February 9, 2009. Under the Loan Agreement, Alliance agreed to loan Access
Plans USA, Inc. up to $300,000. As a result of the merger acquisition of Access Plans USA, Inc. the
outstanding debt became an inter-company item and accordingly was eliminated.
14
NOTE 15 OTHER INCOME
The Company has recognized other income of $346,775 from a release of a liability related to a
contract termination in April 2009.
NOTE 16 SEGMENT REPORTING
Historically, the Company pursued similar marketing strategies for our Wholesale and Retail Plans
Divisions and thus the divisions were managed at a corporate level rather than on a segment basis.
Effective with the acquisition of Access Plans USA, Inc. on April 1, 2009, the Company began
pursuing distinct marketing strategies and developed separate management teams for each division.
The Companys operations now consist of the following segments; a) Wholesale Plans; b) Retail
Plans; c) Insurance Marketing; and d) Corporate.
Reportable business segment information follows.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine Months Ended June 30, |
|
Segment net revenues |
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
Wholesale Plans |
|
$ |
5,021 |
|
|
$ |
4,655 |
|
|
$ |
14,707 |
|
|
$ |
13,355 |
|
Retail Plans |
|
|
4,479 |
|
|
|
1,864 |
|
|
|
8,723 |
|
|
|
5,357 |
|
Insurance Marketing |
|
|
5,653 |
|
|
|
|
|
|
|
5,653 |
|
|
|
|
|
Eliminations |
|
|
(1,193 |
) |
|
|
(1,153 |
) |
|
|
(3,569 |
) |
|
|
(3,290 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
13,960 |
|
|
$ |
5,366 |
|
|
$ |
25,514 |
|
|
$ |
15,422 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine Months Ended June 30, |
|
Segment operating income |
|
2009 |
|
|
2008 |
|
|
2009 |
|
|
2008 |
|
Wholesale Plans |
|
$ |
508 |
|
|
$ |
1,100 |
|
|
$ |
1,856 |
|
|
$ |
3,036 |
|
Retail Plans |
|
|
860 |
|
|
|
417 |
|
|
|
1,863 |
|
|
|
1,100 |
|
Insurance Marketing |
|
|
114 |
|
|
|
|
|
|
|
114 |
|
|
|
|
|
Corporate |
|
|
(225 |
) |
|
|
(223 |
) |
|
|
(697 |
) |
|
|
(686 |
) |
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
1,257 |
|
|
$ |
1,294 |
|
|
$ |
3,136 |
|
|
$ |
3,450 |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
6/30 |
|
|
9/30 |
|
Segment Assets |
|
2009 |
|
|
2008 |
|
Wholesale Plans |
|
$ |
5,762 |
|
|
$ |
5,302 |
|
Retail Plans |
|
|
8,490 |
|
|
|
5,222 |
|
Insurance Marketing |
|
|
12,392 |
|
|
|
|
|
Corporate |
|
|
|
|
|
|
|
|
Eliminations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
26,644 |
|
|
$ |
10,524 |
|
|
|
|
|
|
|
|
15
|
|
|
ITEM 2. |
|
MANAGEMENTS DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS |
Throughout the remainder of this report the first personal plural pronoun in the nominative case
form we and its objective case form us, its possessive and the intensive case forms our and
ourselves and its reflexive form ourselves refer collectively to Alliance HealthCard, Inc.,
its subsidiaries and their executive officers and directors.
Certain information included in this Quarterly Report on Form 10-Q contains, and other reports or
materials filed or that we may file with the Securities and Exchange Commission (as well as
information included in oral statements or other written statements made or to be made by us or our
management) contain or will contain, forward-looking statements within the meaning of Section 21E
of the Securities Exchange Act of 1934, as amended, Section 27A of the Securities Act of 1933, as
amended. Some of these forward-looking statements can be identified by the use of forward-looking
terminology including believes, expects, may, will, should or anticipates or the
negative thereof or other variations thereon or comparable terminology, or by discussions of
strategies that involve risks and uncertainties. Such forward-looking statements may relate to
financial results and plans for future business activities, and are thus prospective. Such
forward-looking statements are subject to risks, uncertainties and other factors that could cause
actual results to differ materially from future results expressed or implied by such
forward-looking statements. Among the important factors that could cause actual results to differ
materially from those indicated by such forward-looking statements are competitive pressures, loss
of significant customers, the mix of revenue, changes in pricing policies, delays in revenue
recognition, lower-than-expected demand for our products and services, business conditions in the
integrated healthcare delivery network market, general economic conditions, and the risk factors
detailed from time to time in our periodic reports and registration statements filed with the
United States Securities and Exchange Commission. Any forward-looking statements made are only as
of the date made and are subject to change as may be reported.
Overview
We are a leading provider of consumer membership plans, healthcare savings membership plans and a
leading marketer for individual major medical health insurance products. Through working with our
wholesale and retail clients, we design and build membership plans that contain benefits
aggregated from our vendors that appeal to our clients customers. For our major medical health
insurance products, we offer and sell these products through a national network of independent
agents.
Our current operations are organized under three business divisions.
Wholesale Plans
Our Wholesale Plans agreements with our clients deliver customized membership marketing plans that
leverage their brand name and customer relationship and typically their payment mechanism, and
offer benefits that appeal to their customers. The value provided by our plans to our clients,
includes increased customer attraction and retention, plus incremental fee income with no risk or
capital cost. By implementing these plans repetitively, our management team is uniquely qualified
to efficiently assist our clients in achieving their goals, while avoiding operational and
marketing pitfalls.
Our plans are primarily offered at rent-to-own retail stores. Nationwide there are approximately
8,500 locations serving approximately 3.0 million households according to the Association of
Progressive Rental Organizations. It is estimated that the two largest rent-to-own industry
participants account for approximately 4,800 of the total number of stores, and the majority of
the remainder of the industry consists of operations with fewer than 50 stores. The industry has
been consolidating and is expected to continue, resulting in an increased concentration of stores
in the two largest rent-to-own industry participants.
The rent-to-own industry serves a highly diverse customer base. According to the Association of
Progressive Rental Organizations, approximately 73% of rent-to-own customers have household incomes
between $15,000 and $50,000 per year. The rent-to-own industry serves a wide variety of customers
by allowing them to obtain merchandise that they might otherwise be unable to obtain due to
insufficient cash resources or a lack of access to credit. The Association of Progressive Rental
Organizations also estimates that 95% of customers have high school diplomas. According to an April
2000 Federal Trade Commission study, 75% of rent-to-own customers were satisfied with their
experience with rent-to-own transactions. The study noted that customers gave a wide variety of
reasons for their satisfaction, including the ability to obtain merchandise they otherwise could
not; the low payments; the lack of a credit check; the convenience and flexibility of the
transaction; the quality of the merchandise; the quality of the maintenance, delivery, and other
services; the friendliness and flexibility of the store employees; and the lack of any problems or
hassles.
16
We currently deliver membership plans to over 200 companies, including retail purchase dealers,
insurance companies, financial institutions, retail merchants, and consumer finance companies.
At June 30, 2009, our wholesale plans were offered at approximately 5,000 locations. Of the
locations at June 30, 2009, 2,900 locations were operated or franchised by Rent-A-Center under the
brands Rent-A-Center, Get It Now, and ColorTyme, Rent-A-Center, Inc., a Nasdaq (symbol
RCII) traded company, is the largest rent-to-own company in the United States, Puerto Rico and
Canada. Our revenue attributable to the contractual arrangements with Rent-A-Center was
approximately $2.9 million, (21% of total revenue) and $8.8 million, (35% of total revenue) during
the three and nine months ended June 30, 2009, compared to $2.97 million, (54% of total revenue)
and $8.6 million, (56% of total revenue) during the three and nine months ended June 30, 2008.
Furthermore, our contracts with Rent-A-Center and other rent-to-own companies accounted for $5.0
million, (36% of total revenue) and $14.7 million, (58% of total revenue) during the three and nine
months ended June 30, 2009, compared to $4.7 million, (65% of total revenue) and $13.4 million,
(87% of total revenue) during the three and nine months ended June 30, 2008. Our growth in
wholesale plans revenue is dependent in significant part on an increase in the number of
rent-to-own locations at which these plans are offered and the rental and sale performances of
those locations. Although our revenue from wholesale plans continues to grow, we expect this
revenue source to decline as a percentage of total revenues as we diversify our revenue sources.
Although we have long-term contracts with Rent-A-Center and other rent-to-own companies, loss of
any, especially Rent-A-Center would have a significant impact on our revenues, profitability and
our ability to negotiate discounts with our vendors.
Retail Plans
Our Retail Plans offerings are primarily healthcare savings plans. These plans are not insurance,
but allow members access to a variety of healthcare networks to obtain discounts from usual and
customary fees. We offer wellness programs, prescription drug and dental discount programs,
medical discount cards, and limited benefit insured plans. Our members pay providers the
discounted rate at the time services are provided to them. These plans are designed to serve the
markets in which individuals either have no health insurance or limited healthcare benefits. Our
revenue attributable to retail plans was approximately $4.5 million, (32% of total revenue) and
$8.7 million, (34% of total revenue) during the three and nine months ended June 30, 2009,
compared to $1.9 million, (35% of total revenue) and $5.4 million, (35% of total revenue) during
the three and nine months ended June 30, 2008.
In addition to our wholesale and retail offerings, certain clients may choose to include our
benefits with their own membership plan offering. In these instances, the client bears the cost
of marketing and fulfillment, and we provide customer service. These offerings are designed to
enhance our clients existing offering and improve their product value relative to their
competition and in some instances to improve their customer retention. While these plans provide
lower periodic member fees, we incur limited implementation costs and receive higher revenue
participation rates. Our additional distribution channels also include network marketing
representatives, independent agents and consumer direct sales call centers. We also market to
internet portals and financial institutions.
In order to deliver our membership offerings, we contract with a number of different vendors to
provide various products and services to our members. The majority of these vendor relationships
involve the vendor providing our members access to their network or providers or their locations
and our members obtain a discount at the time of service. We have vendor relationships with
medical networks, automotive service companies, insurance companies, travel related entities and
food and entertainment consumer discount providers. Our vendors value the relationship with us
because we deliver many customers to them without incremental capital cost or risk on their part
and these relationships are governed by multi-year agreements and aggregated volume scaling.
Insurance Marketing
Our Insurance Marketing division offers and sells individual major medical health insurance
products and related benefit plans, including specialty insurance products, primarily through a
national network of independent agents. We support our agents with access to proprietary and
private label products, leads for new sales, commission advance programs, incentive programs,
including an annual convention, web-based technology, and back-office support.
We generate most of our revenue in this segment from commissions paid to us by health insurance
carriers whose health insurance policies we have sold. Commission and fee revenue represented 96%
of our total revenue in this segment for the three months ended June 30, 2009. The remainder of
our revenue is primarily attributable to interest earned on commissions advanced to our agents.
17
Critical Accounting Policies
Use of Estimates
The preparation of financial statements in conformity with generally accepted accounting
principles requires management to make estimates and assumptions that affect the amounts reported
in the financial statements and the accompanying notes. Actual results may
differ from those estimates and the differences may be material to the financial statements.
Significant estimates include our claims liability (see Note 12 Claims Liability of the
financial statements above) and the discounted future cash flows used to evaluate our goodwill for
impairment.
Goodwill and Intangible Assets
We account for acquisitions of businesses in accordance with Statement of Financial Accounting
Standards (SFAS) No. 141, Business Combinations. Goodwill in such acquisitions represents the
excess of the cost of a business acquired over the net of the amounts assigned to assets
acquired, including identifiable intangible assets and liabilities assumed. SFAS 141 specifies
criteria to be used in determining whether intangible assets acquired in a business combination
must be recognized and reported separately from goodwill. Amounts assigned to goodwill and other
identifiable intangible assets are based on independent appraisals or internal estimates.
Intangible assets deemed acquired in connection with Access Plans, were valued at $3,000,000 and
are being amortized over the estimated useful life of those assets (See Note 5 Goodwill and
Intangible Assets of the financial statements above). Customer lists acquired in an acquisition
are capitalized and amortized over the estimated useful lives of the customer lists. Customer lists
deemed acquired in 2007 were valued at $2,500,000 and are being amortized over 60 months, the
estimated useful life of the list. Amortization expense totaled $230,301 and $125,001, respectively
for the quarters ended June 30, 2009 and 2008 and $480,303 and $375,003, respectively for the nine
months ended June 30, 2009 and 2008.
We account for recorded goodwill and other intangible assets in accordance with SFAS No. 142,
Goodwill and Other Intangible Assets (SFAS 142). In accordance with SFAS 142, we do not amortize
goodwill. Management evaluates goodwill for impairment at least annually on September 30 of each
year, our fiscal year end. If considered impaired goodwill will be written down to fair value and
a corresponding impairment loss recognized. For the periods ended June 30, 2009 and 2008 we
recognized no impairment related to our goodwill.
We evaluate the recoverability of identifiable intangible assets whenever events or changes in
circumstances indicate that an intangible assets carrying amount may not be recoverable. These
circumstances include: (1) a significant decrease in the market value of an asset, (2) a
significant adverse change in the extent or manner in which an asset is used, or (3) an
accumulation of costs significantly in excess of the amount originally expected for the
acquisition of an asset. We measure the carrying amount of the asset against the estimated
undiscounted future cash flows associated with it. Should the sum of the expected future net cash
flows be less than the carrying value of the asset being evaluated, an impairment loss would be
recognized. The impairment loss would be calculated as the amount by which the carrying value of
the asset exceeds its fair value. The fair value is measured based on quoted market prices, if
available. If quoted market prices are not available, the estimate of fair value is based on
various valuation techniques, including the discounted value of estimated future cash flows. The
evaluation of asset impairment requires us to make assumptions about future cash flows over the
life of the asset being evaluated. These assumptions require significant judgment and actual
results may differ from assumed and estimated amounts. For the periods ended June 30, 2009 and
2008 we recognized no impairment losses related to our intangible assets.
Stock Based Compensation
In accordance with the provisions of SFAS No. 123 (revised 2004) Share-Based Payment (SFAS
123R), we measure stock based compensation expense using the modified prospective method. Under
the modified prospective method, stock-based compensation cost is measured at the grant date
based on the fair value of the award and is recognized as expense on a straight-line basis over
the requisite service or vesting period.
The provisions of SFAS 123R became effective on January 1, 2006. As permitted, prior to the
effectiveness of SFAS 123R, we elected to adopt only the disclosure provisions of SFAS No. 123,
Accounting for Stock-based Compensation.
Income Taxes
We adopted SFAS No. 109, Accounting for Income Taxes that requires, among other things, a liability
approach to calculating deferred income taxes. The objective is to measure a deferred income tax
liability or asset using the tax rates expected to apply to taxable income in the periods in which
the deferred income tax liability or asset is expected to be settled or realized. Any resulting net
deferred income tax assets should be reduced by a valuation allowance sufficient to reduce such
assets to the amount that is more likely than not to be realized.
In 2006, FASB issued Interpretation 48, Accounting for Uncertainty in Income Taxes (FIN 48),
an interpretation of FASB Statement No. 109, Accounting for Income Taxes. FIN 48, which clarifies
the application of SFAS 109 by defining a criterion that an individual income tax position must
meet for any part of the benefit of that position to be recognized in an enterprises financial
statements and provides guidance on measurement, de-recognition, classification, accounting for
interest and penalties, accounting in interim periods, disclosure and transition. In accordance
with the transition provisions, we adopted FIN 48 on January 1, 2007.
18
Revenue Recognition
We recognize revenue in accordance with Securities and Exchange Commission Staff Accounting
Bulletin No. 104, Revenue Recognition, corrected copy which requires that four basic criteria
must be met before revenue can be recognized: (1) persuasive evidence of an arrangement exists; (2)
delivery has occurred or services have been rendered; (3) the sellers price to the buyer is fixed
or determinable; and, (4) collectability is reasonably assured.
Our revenue recognition varies based on source.
Wholesale and Retail Plans membership fees are paid to us on a weekly, monthly or annual basis and
fees paid in advance are recorded as deferred revenue and recognized monthly over the applicable
membership term.
Insurance Marketing revenue reflects commissions and fees reported to us by insurance companies
for policies sold by the divisions agents. Commissions and fees collected are recognized as
earned on a monthly basis until such time as the underlying contract is reported to the division as
terminated. Revenue also includes interest income earned on commissions advanced to the divisions
agents.
Unearned commissions comprise commission advances received from insurance carriers but not yet
earned. Additionally, enrollment fees received are recorded as deferred revenue and amortized over
the expected weighted average life of the policies sold which currently approximates eighteen
months. Deferred revenue is reported net of related policy acquisition costs, principally lead and
marketing credits, which are capitalized and amortized over the same weighted average life, to the
extent such deferred costs do not exceed the related gross deferred revenue. Any excess costs are
expensed as incurred.
Commission Expense
Commission expense is based on the applicable rates applied to membership revenues billed or
insurance commissions collected, and are recognized as incurred on a monthly basis until such time
as the underlying program member or insurance policy is terminated.
The Insurance Marketing division advances agent commissions, up to nine months, for certain
insurance programs. Collection of the commissions advanced (plus accrued interest) is accomplished
by withholding amounts earned by the agent on the policy upon which the advance was made. In the
event of early termination of the underlying policy, the division seeks to recover the unpaid
advance balance by withholding advanced and earned commissions on other policies sold by the agent.
This division also has the contractual right to pursue other sources of recovery, including
recovery from the agents managing the agent to whom advances were made.
Advanced agent commissions are reviewed and an allowance is provided for those balances where
recovery is considered doubtful. This allowance requires judgment and is based primarily upon
estimates of the recovery of future commissions expected to be earned by the agents with
outstanding balances and, where applicable, the agents responsible for their management. Advances
are written off when determined to be non-collectible.
The Company recognizes revenue in accordance with Securities and Exchange Commission Staff
Accounting Bulletin No. 104, Revenue Recognition, corrected copy, that requires four basic criteria
be met before revenue can be recognized: (1) persuasive evidence of an arrangement exists; (2)
delivery has occurred or services have been rendered; (3) the sellers price to the buyer is fixed
or determinable; and, (4) collectability is reasonably assured.
Results of Operations
A summary of our results of operations for the three and nine months ended June 30, 2009 and 2008
is set forth below. The financial statements appearing elsewhere in this report provide additional
related information. Certain reclassifications have been made to prior period financial statements
to conform to the current presentation of the financial statements. The operating results for
Access Plans acquired on April 1, 2009 are for the three months ended June 30, 2009.
19
The following table sets forth selected results of our operations for the three and nine
months ended June 30, 2009 and 2008. The following information was derived and taken from our
unaudited financial statements appearing elsewhere in this report.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the Three Months Ended June 30, |
|
|
For the Nine Months Ended June 30, |
|
(Dollars in thousands) |
|
2009 |
|
|
2008 |
|
|
Change |
|
|
2009 |
|
|
2008 |
|
|
Change |
|
Net revenues |
|
$ |
13,960 |
|
|
$ |
5,366 |
|
|
|
160 |
% |
|
$ |
25,514 |
|
|
$ |
15,422 |
|
|
|
65 |
% |
Direct costs |
|
|
9,811 |
|
|
|
2,872 |
|
|
|
242 |
% |
|
|
16,785 |
|
|
|
8,296 |
|
|
|
102 |
% |
Operating expenses |
|
|
2,892 |
|
|
|
1,200 |
|
|
|
141 |
% |
|
|
5,593 |
|
|
|
3,676 |
|
|
|
52 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
|
1,257 |
|
|
|
1,294 |
|
|
|
(3 |
%) |
|
|
3,136 |
|
|
|
3,450 |
|
|
|
(9 |
%) |
Net other income (expense) |
|
|
303 |
|
|
|
(36 |
) |
|
|
* |
|
|
|
217 |
|
|
|
41 |
|
|
|
* |
|
Provision for income taxes |
|
|
698 |
|
|
|
728 |
|
|
|
(4 |
%) |
|
|
1,380 |
|
|
|
1,596 |
|
|
|
(14 |
%) |
Deferred income taxes |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(175 |
) |
|
|
|
|
|
|
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income |
|
$ |
862 |
|
|
$ |
530 |
|
|
|
63 |
% |
|
$ |
2,148 |
|
|
$ |
1,895 |
|
|
|
13 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Discussion of Three Month Periods Ended June 30, 2009 and 2008
Net revenues increased $8.6 million, or 160% during the three months ended June 30, 2009 (the 2009
3rd quarter), compared with the three months ended June 30, 2008 (the 2008
3rd quarter). The increase in net revenues was attributable to the following.
|
|
|
Growth in Wholesale Plans revenue of 8% attributable to existing growth for a major
client and the addition of new rent to own locations; |
|
|
|
An increase for Retail Plans revenue of 140% primarily attributable to the acquisition
of the Retail Plans segment of Access Plans; |
|
|
|
Insurance Marketing revenue of $5.7 million, our new segment from the acquisition of
Access Plans. |
Direct costs increased $6.9 million, or 242% during the 2009 3RD quarter compared with
the 2008 3rd quarter. The increase in direct cost was attributable to the following.
|
|
|
Our Wholesale Plans division experienced an increase of 32% primarily related to our
clients waiver of rental payments and product service expenses. We entered into
contractual arrangements to administer certain membership programs for clients, primarily
in the rental purchase industry. For approximately 3,100 (78%) of our point of sale
locations, the administration duties include reimbursing the client for certain expenses
they incur in the operation of the program. Those expenses are primarily related to the
clients waiver of rental payments under defined circumstances such as when their customer
becomes unemployed for a stated period of time. It is our policy to reserve the necessary
funds in order to reimburse our clients as those obligations become due in the future. The
increase is primarily attributable to: a) changes in the economy; b) program changes; and
c) enhanced reporting efforts at our client locations. |
|
|
|
Growth in direct costs for our Retail Plans division was primarily attributable to the
Retail Plans division from Access Plans; |
|
|
|
Direct costs for our Insurance Marketing division were $4.7 million during the 2009
3rd
quarter from Access Plans. |
Marketing and sales expenses increased $0.3 million primarily attributable to the acquisition of
Access Plans.
Depreciation and amortization expense increased 100% for the 2009 3rd quarter
attributable to the amortization of intangible assets acquired by us from Access Plans.
General and administrative expenses increased $1.3 million during the 2009 3rd quarter
compared with the third quarter of 2008. The increase was primarily attributable to the following.
|
|
|
Wholesale Plans expenses increased 15% primarily due to additional compensation for new
employees, health insurance premium expense and additional travel expenses related to the
Access Plans acquisition; |
|
|
|
Retail Plans expenses increased 288% with the majority of the increase related to the
acquisition of the Retail Plan division of Access Plans. Additional costs were also
incurred for travel and legal expenses related to the Access Plans acquisition. |
|
|
|
Insurance Marketings expenses were $.4 million for the 2009 3rd quarter from
Access Plans. |
20
Other income, net increased $0.2 million during the 2009 3rd quarter compared with the
2008 3rd quarter. The increase was primarily attributable to income earned from a
non-recurring transaction during the 2009 3rd quarter. Interest expense incurred for
promissory notes was $0.05 million for each of the three months ended June 30, 2009 and 2008.
Discussion of Nine Month Periods Ended June 30, 2009 and 2008
Net revenues increased $10.1 million, or 65% during the nine months ended June 30, 2009 (the 2009
period) compared with the same period in 2008 (the 2008 period). The increase in net revenues
was due to the following.
|
|
|
Wholesale Plans of approximately $1.4 million attributable to new rent to own locations
plus membership growth from existing locations. |
|
|
|
Retail Plans of approximately $3.4 million consisting of $2.3 million related to the
acquisition of the Retail Plans division of Access Plans. The remaining $1.1 million was
attributable to 3 new contracts for our existing Retail Plans division. |
|
|
|
Insurance Marketing at $5.7 million generated by Access
Plans. |
Direct
costs increased $8.5 million, or 102% during the 2009 period compared with the 2008 period.
The increase in direct cost was due to the following.
|
|
|
Our Wholesale Plans direct cost increased 29% primarily related to our clients waiver
of rental payments and product service expenses. The Company has entered into contractual
arrangements to administer certain membership programs for clients, primarily in the rental
purchase industry. For approximately 3,100 (78%) of our point of sale locations, the
administration duties include reimbursing the client for certain expenses they incur in the
operation of the program. Those expenses are primarily related to the clients waiver of
rental payments under defined circumstances such as when their customer becomes unemployed
for a stated period of time. It is our policy to reserve the necessary funds in order to
reimburse our clients as those obligations become due in the future. The increase is
primarily attributable to: a) changes in the economy; b) program changes; and c) enhanced
reporting efforts at our client locations. |
|
|
|
Retail Plans direct costs increased 56% primarily attributable to the addition of
Access Plans existing Retail Plan division. |
|
|
|
Direct cost for Insurance Marketing was $4.7 million during the three months, April 1,
2009 thru June 30, 2009 from Access Plans. |
Marketing and sales expenses increased $.2 million or 25% during the 2009 period compared with the
2008 period. The increase was due to the following.
|
|
|
A decrease in expense of $.1 million related to convention and commission expense for
our Wholesale Plans segment; |
|
|
|
Marketing and sales expenses for our Insurance Marketing
segment was $.3 million from Access Plans |
Depreciation and amortization expense increased $.1 million during the 2009 period compared with
the 2008 period related to the amortization of intangible assets acquired from Access Plans.
General and administrative expenses increased $1.5 million or 66% during the 2009 period compared
with the 2008 period. The increase was due to the following.
|
|
|
Wholesale Plans expenses increased 16% to $.9 million from additional compensation
expense for new employees, an increase for our health insurance premiums and additional
legal and travel expenses related to the acquisition of Access Plans. |
|
|
|
Retail Plans expenses increased 112% to $1.9 million with the majority of the increase
for the Retail Plans division of Access Plans. Additional costs were also incurred for
travel and legal expenses related to the acquisition. |
|
|
|
Insurance Marketing expenses were $.4 million for the three months ended June 30, 2009
from Access Plans. |
Other income increased $.2 million for the 2009 period compared with the 2008 period. The increase
was primarily attributable to income earned from a non-recurring transaction during the 2009 period
of $.3 million. Interest expense incurred for promissory notes was $.2 million and $.1 million,
respectively for the 2009 period and 2008 period. The increase in interest expense was
attributable to the acquisition of Access Plans.
For the nine months ended June 30, 2009 we recorded an income tax provision of $1.2 million
consisting of income tax expense of $1.4 million, offset by a deferred income tax benefit of $0.2
million related to a tax credit available to utilize in payment of Oklahoma income tax. We
invested in a rural economic development fund with the State of Oklahoma that provides an
immediately available
state income tax credit of approximately $200,000. See Note 6 Investment in LLC in the notes to
financial statements appearing above.
21
Liquidity and Capital Resources
We had unrestricted cash of $4.4 million and $3.0 million at June 30, 2009 and September 30, 2008,
respectively. Our working capital deficit was $.2 million at June 30, 2009 and $0.6 million at
September 30, 2008. The improvement of $.4 million was due to the following:
|
|
|
Access Plans net deficit of $.5 million; |
|
|
|
Other changes, exclusive of Access Plans, are as follows; |
|
|
|
|
Cash and accounts receivable increased $.8 million as a result of new business; |
|
|
|
|
Accounts payable decreased $.3 million due to a one-time non-recurring transaction; |
|
|
|
|
Notes payable, short-term, to related parties decreased $.5 million; |
|
|
|
|
Claims liability increased $.7 million due to the upward trend of our claims and product
services expenses; |
Our current liabilities include an estimated current portion of notes payable to related parties
and other debt acquired from the acquisition. The amount of note obligations due to related parties
will be adjusted in the event that our consolidated earnings before interest, income taxes,
depreciation and amortization, determined in accordance with generally accepted accounting
principles, for the fiscal year ending on September 30, 2009 (Actual EBITDA) exceeds $4,200,000
(the Targeted EBITDA). If the Targeted EBITDA level is not achieved, the principal amounts of
these notes will be reduced by the aggregate amount equal to the percentage by which the Actual
EBITDA for the fiscal year is less than the Targeted EBITDA and the adjusted principal balance of
these notes will then be amortized and payable over the remaining terms of the notes. Principal
and interest payments made on these notes (net of discount) were $1,738,764 and $1,775,859,
respectively for the nine months ended June 30, 2009 and 2008. Principal payments due on these
notes for the next two fiscal years are as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Principal |
|
|
Discount |
|
|
Net |
|
Fiscal Year Ended September 30, |
|
Payments |
|
|
Applied |
|
|
Amount Due |
|
2009 (remaining payments) |
|
$ |
720,545 |
|
|
$ |
32,203 |
|
|
$ |
688,342 |
|
2010 |
|
$ |
1,013,910 |
|
|
$ |
82,329 |
|
|
$ |
931,581 |
|
Principal and interest payments made on other long term debt, acquired from Access Plans, was
$155,404 for the three months ended June 30, 2009. Principal payments due on this loan for the
next three fiscal years are as follows:
|
|
|
|
|
|
|
Principal |
|
Fiscal Year Ended September 30, |
|
Payments |
|
2009 (remaining payments) |
|
$ |
131,542 |
|
2010 |
|
$ |
561,051 |
|
2011 |
|
$ |
302,744 |
|
Cash provided by operating activities was $2.9 million during the nine months ended June 30, 2009
compared to $2.6 million for the same period in 2008. The increase was primarily due to:
|
|
|
An increase in net income of $.2 million directly related to Access Plans; |
|
|
|
An increase in other operating activities for the acquisition of Access Plans of $.2
million; |
|
|
|
A long-term investment of $0.1 million creating an additional deferred tax credit of $.2
million; and |
|
|
|
Other changes of $0.1 million |
Cash provided and (used) by investing activities was $0.3 million and ($.1) million, respectively
during the nine months ended June 30, 2009 and 2008. Net assets acquired from Access Plans were
$4.8 million. On December 30, 2008 we invested $100,000 (and executed a non-recourse debt
agreement in the principal amount of $768,704) in an entity whose purpose is to invest in
Oklahoma-based small business ventures or in Oklahoma-based rural small business ventures. This
investment is expected to generate tax credits of approximately $200,000 that may be used to offset
Oklahoma state income tax.
Cash used by financing activities was $1.8 million during the nine months ended June 30, 2009 and
2008 attributable to notes to related parties and other long term debt associated with the
acquisition.
22
We expect to meet our obligations as they become due through available cash and funds generated
from our operations. We expect to generate positive working capital through our operations.
However, there are no assurances that we will be able to achieve a level of revenues adequate to
generate sufficient cash flow from operations to support our capital commitments and working
capital requirements. Our principal capital commitments during the next 12 months primarily involve
payments of our indebtedness obligations under the related-party promissory notes of approximately
$1,734,000 plus interest of $8,469 as of June 30, 2009. Our payment obligations under the
related-party promissory notes are based upon our achievement of Actual EBITDA from operations in
excess of $4,200,000. Accordingly, our payment obligations under the related-party promissory
notes are wholly contingent upon achievement of minimum operating results during the 12-month
period ending March 31, 2010 and if not achieved, the amount of these payment obligations would be
reduced. We also acquired other capital commitments of approximately $1,124,000 related to the
Access Plans acquisition with principal capital commitments during the next 12 months of
approximately $547,000 plus interest of $75,000.
The following table sets forth revenue, gross margin and operating income by segment.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine Months Ended June 30, |
|
($ in thousands) |
|
2009 |
|
|
2008 |
|
|
% Change |
|
|
2009 |
|
|
2008 |
|
|
% Change |
|
Total Revenue by segment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wholesale Plans |
|
$ |
5,021 |
|
|
$ |
4,655 |
|
|
|
8 |
% |
|
$ |
14,707 |
|
|
$ |
13,355 |
|
|
|
10 |
% |
Retail Plans (a) |
|
|
4,479 |
|
|
|
1,864 |
|
|
|
140 |
% |
|
|
8,723 |
|
|
|
5,357 |
|
|
|
63 |
% |
Insurance Marketing |
|
|
5,653 |
|
|
|
|
|
|
|
* |
|
|
|
5,653 |
|
|
|
|
|
|
|
* |
|
Corporate |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Eliminations |
|
|
(1,193 |
) |
|
|
(1,153 |
) |
|
|
* |
|
|
|
(3,569 |
) |
|
|
(3,290 |
) |
|
|
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
13,960 |
|
|
$ |
5,366 |
|
|
|
160 |
% |
|
$ |
25,514 |
|
|
$ |
15,422 |
|
|
|
65 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin by segment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wholesale Plans (a) |
|
$ |
919 |
|
|
$ |
1,557 |
|
|
|
-41 |
% |
|
$ |
3,244 |
|
|
$ |
4,442 |
|
|
|
-27 |
% |
Retail Plans (a) |
|
|
2,308 |
|
|
|
937 |
|
|
|
146 |
% |
|
|
4,562 |
|
|
|
2,683 |
|
|
|
70 |
% |
Insurance Marketing |
|
|
922 |
|
|
|
|
|
|
|
* |
|
|
|
922 |
|
|
|
|
|
|
|
* |
|
Corporate |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
4,149 |
|
|
$ |
2,494 |
|
|
|
66 |
% |
|
$ |
8,728 |
|
|
$ |
7,125 |
|
|
|
22 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income by segment |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Wholesale Plans (a) |
|
$ |
508 |
|
|
$ |
1,100 |
|
|
|
-54 |
% |
|
$ |
1,856 |
|
|
$ |
3,036 |
|
|
|
-39 |
% |
Retail Plans (a) |
|
|
860 |
|
|
|
417 |
|
|
|
106 |
% |
|
|
1,863 |
|
|
|
1,100 |
|
|
|
69 |
% |
Insurance Marketing |
|
|
114 |
|
|
|
|
|
|
|
* |
|
|
|
114 |
|
|
|
|
|
|
|
* |
|
Corporate |
|
|
(225 |
) |
|
|
(223 |
) |
|
|
1 |
% |
|
|
(697 |
) |
|
|
(686 |
) |
|
|
2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total |
|
$ |
1,257 |
|
|
$ |
1,294 |
|
|
|
-3 |
% |
|
$ |
3,136 |
|
|
$ |
3,450 |
|
|
|
-9 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
|
Percent change not meaningful |
|
(a) |
|
Gross of eliminations |
23
Wholesale Plans Division. The operating results for our Wholesale Plan Division are set forth
below.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine
Months Ended June 30, |
|
($ in thousands) |
|
2009 |
|
|
2008 |
|
|
Change |
|
|
2009 |
|
|
2008 |
|
|
Change |
|
Results of Operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
$ |
5,021 |
|
|
$ |
4,655 |
|
|
|
8 |
% |
|
|
14,707 |
|
|
|
13,355 |
|
|
|
10 |
% |
Direct expenses (a) |
|
|
4,102 |
|
|
|
3,105 |
|
|
|
32 |
% |
|
|
11,464 |
|
|
|
8,913 |
|
|
|
29 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin |
|
|
919 |
|
|
|
1,550 |
|
|
|
-41 |
% |
|
|
3,243 |
|
|
|
4,442 |
|
|
|
-27 |
% |
Marketing and sales expenses |
|
|
126 |
|
|
|
201 |
|
|
|
-37 |
% |
|
|
496 |
|
|
|
634 |
|
|
|
-22 |
% |
Depreciation and amrtization |
|
|
10 |
|
|
|
11 |
|
|
|
-9 |
% |
|
|
31 |
|
|
|
30 |
|
|
|
3 |
% |
General and administrative expenses |
|
|
275 |
|
|
|
238 |
|
|
|
15 |
% |
|
|
860 |
|
|
|
742 |
|
|
|
16 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
508 |
|
|
$ |
1,100 |
|
|
|
-54 |
% |
|
$ |
1,856 |
|
|
$ |
3,036 |
|
|
|
-39 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent of revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
100 |
% |
|
|
100 |
% |
|
|
|
|
|
|
100 |
% |
|
|
100 |
% |
|
|
|
|
Direct expenses |
|
|
82 |
% |
|
|
67 |
% |
|
|
|
|
|
|
78 |
% |
|
|
67 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin |
|
|
18 |
% |
|
|
33 |
% |
|
|
|
|
|
|
22 |
% |
|
|
33 |
% |
|
|
|
|
Marketing and sales expenses |
|
|
3 |
% |
|
|
4 |
% |
|
|
|
|
|
|
3 |
% |
|
|
5 |
% |
|
|
|
|
Depreciation and amrtization |
|
|
0 |
% |
|
|
0 |
% |
|
|
|
|
|
|
0 |
% |
|
|
0 |
% |
|
|
|
|
General and administrative expenses |
|
|
5 |
% |
|
|
5 |
% |
|
|
|
|
|
|
6 |
% |
|
|
6 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
|
10 |
% |
|
|
24 |
% |
|
|
|
|
|
|
13 |
% |
|
|
23 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
Gross of eliminations |
24
Retail
Plans Division. The operating results for our Retail Plans
Division are set forth below.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine Months Ended June 30, |
|
($ in thousands) |
|
2009 |
|
|
2008 |
|
|
Change |
|
|
2009 |
|
|
2008 |
|
|
Change |
|
Results of Operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue (a) |
|
$ |
4,479 |
|
|
$ |
1,864 |
|
|
|
140 |
% |
|
|
8,723 |
|
|
|
5,357 |
|
|
|
63 |
% |
Direct expenses |
|
|
2,171 |
|
|
|
927 |
|
|
|
136 |
% |
|
|
4,160 |
|
|
|
2,674 |
|
|
|
56 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin |
|
|
2,308 |
|
|
|
937 |
|
|
|
144 |
% |
|
|
4,563 |
|
|
|
2,683 |
|
|
|
70 |
% |
Marketing and sales expenses |
|
|
113 |
|
|
|
106 |
|
|
|
7 |
% |
|
|
338 |
|
|
|
300 |
|
|
|
13 |
% |
Depreciation and amrtization |
|
|
192 |
|
|
|
127 |
|
|
|
51 |
% |
|
|
448 |
|
|
|
382 |
|
|
|
17 |
% |
General and administrative expenses |
|
|
1,143 |
|
|
|
287 |
|
|
|
289 |
% |
|
|
1,914 |
|
|
|
901 |
|
|
|
112 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
860 |
|
|
$ |
417 |
|
|
|
106 |
% |
|
$ |
1,863 |
|
|
$ |
1,100 |
|
|
|
69 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Percent of revenue |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue |
|
|
100 |
% |
|
|
100 |
% |
|
|
|
|
|
|
100 |
% |
|
|
100 |
% |
|
|
|
|
Direct expenses |
|
|
48 |
% |
|
|
49 |
% |
|
|
|
|
|
|
48 |
% |
|
|
50 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin |
|
|
52 |
% |
|
|
51 |
% |
|
|
|
|
|
|
52 |
% |
|
|
50 |
% |
|
|
|
|
Marketing and sales expenses |
|
|
3 |
% |
|
|
6 |
% |
|
|
|
|
|
|
4 |
% |
|
|
6 |
% |
|
|
|
|
Depreciation and amrtization |
|
|
4 |
% |
|
|
7 |
% |
|
|
|
|
|
|
5 |
% |
|
|
7 |
% |
|
|
|
|
General and administrative expenses |
|
|
26 |
% |
|
|
16 |
% |
|
|
|
|
|
|
22 |
% |
|
|
17 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
|
19 |
% |
|
|
22 |
% |
|
|
|
|
|
|
21 |
% |
|
|
21 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(a) |
|
Gross of eliminations |
25
Insurance Marketing Division. The operating results for our Insurance Marketing Division, acquired
as part of Access Plans on April 1, 2009 are set forth below.
|
|
|
|
|
|
|
Three Months |
|
|
|
Ended |
|
($ in thousands) |
|
June 30, 2009 |
|
Results of Operations |
|
|
|
|
Total revenue |
|
$ |
5,653 |
|
Direct expenses |
|
|
4,730 |
|
|
|
|
|
Gross margin |
|
|
923 |
|
Marketing and sales expenses |
|
|
335 |
|
Depreciation and amrtization |
|
|
75 |
|
General and administrative expenses |
|
|
399 |
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
114 |
|
|
|
|
|
|
|
|
|
|
Percent of revenue |
|
|
|
|
Total revenue |
|
|
100 |
% |
Direct expenses |
|
|
84 |
% |
|
|
|
|
Gross margin |
|
|
16 |
% |
Marketing and sales expenses |
|
|
6 |
% |
Depreciation and amrtization |
|
|
1 |
% |
General and administrative expenses |
|
|
7 |
% |
|
|
|
|
|
|
|
|
|
Operating income |
|
|
2 |
% |
|
|
|
|
Corporate. The operating results for our Corporate segment are set forth below.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine Months Ended June 30, |
|
($ in thousands) |
|
2009 |
|
|
2008 |
|
|
Change |
|
|
2009 |
|
|
2008 |
|
|
Change |
|
Results of Operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue (a) |
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Direct expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Marketing and sales expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amrtization |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General and administrative expenses |
|
|
225 |
|
|
|
223 |
|
|
|
1 |
% |
|
|
697 |
|
|
|
686 |
|
|
|
2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
(225 |
) |
|
$ |
(223 |
) |
|
|
1 |
% |
|
$ |
(697 |
) |
|
$ |
(686 |
) |
|
|
2 |
% |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
26
Eliminations For informational purposes only.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended June 30, |
|
|
Nine Months Ended June 30, |
|
($ in thousands) |
|
2009 |
|
|
2008 |
|
|
Change |
|
|
2009 |
|
|
2008 |
|
|
Change |
|
Results of Operations |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue (a) |
|
$ |
(1,193 |
) |
|
$ |
(1,153 |
) |
|
|
* |
|
|
|
(3,569 |
) |
|
|
(3,290 |
) |
|
|
* |
|
Direct expenses |
|
|
(1,193 |
) |
|
|
(1,153 |
) |
|
|
* |
|
|
|
(3,569 |
) |
|
|
(3,290 |
) |
|
|
* |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross margin |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Marketing and sales expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amrtization |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
General and administrative expenses |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Operating income |
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
$ |
|
|
|
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
ITEM 3. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
During the nine months ended June 30, 2009 we did not have any risks associated with market risk
sensitive instruments or portfolio securities.
ITEM 4 AND ITEM 4T. CONTROLS AND PROCEDURES
Evaluation of Disclosure Controls and Procedures
Our Chief Executive Officer and Chief Financial Officer are responsible primarily for establishing and maintaining
disclosure controls and procedures designed to ensure that information required to be disclosed in our reports filed or
submitted under the Securities and Exchange Act of 1934, as amended (the Exchange Act) is recorded, processed,
summarized and reported within the time periods specified in the rules and forms of the U.S. Securities and Exchange
Commission. These controls and procedures are designed to ensure that information required to be disclosed in our
reports filed or submitted under the Exchange Act is accumulated and communicated to our management, including our
principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow
timely decisions regarding required disclosure.
Furthermore, our Chief Executive Officer and Chief Financial Officer are responsible for the design and supervision of
our internal controls over financial reporting that are then effected by and through our board of directors, management
and other personnel, to provide reasonable assurance regarding the reliability of our financial reporting and the
preparation of financial statements for external purposes in accordance with generally accepted accounting principles.
Our management, under the supervision and with the participation of the Chief Executive Officer and Chief Financial
Officer, carried out an evaluation of the effectiveness of the design and operation of our disclosure controls and
procedures (as defined in Rule 13a-15(e) and 15d-15(e) of the Exchange Act) as of June 30, 2009. Because we did not
complete our assessment of the reliability and effectiveness of our internal controls and procedures over financial
reporting as of September 30, 2008 until August 12, 2009, our management was unable to issue its report on the
effectiveness of our internal controls at June 30, 2009. This has resulted in a significant deficiency in our internal
controls and caused the design and operation of our disclosure controls and procedures (as defined in Rule 13a-15(e)
and 15d-15(e) of the Exchange Act) as of June 30,, 2009 to be ineffective.
Furthermore, because we failed to include managements report within our Annual Report on Form 10-K for the fiscal year
ended September 30, 2008, that report was materially deficient and we are therefore not timely in our reporting
obligations under the Exchange Act. Prior to the completion of our assessment of the reliability and effectiveness of
our internal controls and procedures over financial reporting on August 12, 2009, we are not positioned to know whether
we need to implement corrective controls and procedures; therefore, our internal controls and procedures over financial
reporting were ineffective on June 30, 2009. During the three months ended June 30, 2009, we continued to utilize the
same accounting system and internal controls over financial reporting that we utilized before and following the
enactment of Sarbanes-Oxley Act of 2002.
On August 12, 2009 we completed all required testing of our accounting system and internal controls over financial
reporting and implemented and were not required to make corrective requirements and our management, including our Chief
Executive Officer and Chief Financial Officer, issue managements report in accordance with the requirements of Section
404 of Sarbanes-Oxley and Regulation S-X.
27
Managements Annual Report on Internal Control Over Financial Reporting
Management, including our Chief Executive Officer and Chief Financial Officer, is responsible for establishing and
maintaining adequate internal control over financial reporting. Our internal control over financial reporting is a
process designed to provide reasonable assurance regarding the reliability of financial reporting and the preparation
of our financial statements for external purposes in accordance with generally accepted accounting principles. Internal
control over financial reporting is defined in Rules 13a-15(f) and 15d-15(f) promulgated under the Exchange Act.
Management, including our Chief Executive Officer and Chief Financial Officer, completed its assessment of the
effectiveness of our internal control over financial reporting as of September 30, 2008 on August.12, 2009 using the
criteria set forth by the Committee of Sponsoring Organizations of the Treadway Commission (COSO) in Internal
Control-Integrated Framework. Until completion of that assessment, a significant deficiency in our internal controls
over financial reporting existed and caused the design and operation of our disclosure controls and procedures (as
defined in Rule 13a-15(e) and 15d-15(e) of the Exchange Act) as of June 30, 2009 to be ineffective. This deficiency
was considered to be a material weakness in our internal controls over the financial reporting process in accordance
with Auditing Standard No. 5 because we did not exhibit appropriate oversight to ensure that timely documentation and
testing of internal controls over the financial reporting process was completed as required by Section 404 of the
Sarbanes Oxley Act of 2002 and Regulation S-X. A material weakness is a significant deficiency in one or more of the
internal control components that alone or in the aggregate precludes our internal controls from reducing to an
appropriately low level of risk that material misstatements in our financial statements will not be prevented or
detected on a timely basis.
Notwithstanding the above, management believes and our Chief Executive Officer and Chief Financial Officer concluded
that the consolidated financial statements included in this report, fairly present, in all material respects, our
financial condition, results of operations and cash flows for the periods presented in accordance with generally
accepted accounting principles.
28
PART II. OTHER INFORMATION
ITEM 1. LEGAL PROCEEDINGS.
Except as provided below, since our 2008 Annual Report for the year ended September 30, 2008 on
Form 10-K there have been no new material legal proceedings, and there have been no material
developments in legal proceedings reported by us in the Form 10-K. The following legal
proceedings all involve the subsidiaries of Access Plans USA, Inc. which was acquired by us in a
merger on April 1, 2009.
William Andrew Rivell, M.D. and Alan B. Whitehouse, M.D., individually and on behalf of all persons
similarly situated, v. Private Health Care Systems and The Capella Group, Inc.; Civil Action File
No: CV106-176. was filed and remains pending in the United States District Court for the Southern
District of Georgia, Augusta Division. The plaintiffs in this case allege that the contracts
entered into by medical providers with our subsidiary, The Capella Group, Inc. (Capella) through
Capellas relationship with the Private Health Care Systems network of providers (PHCS) did not
allow for the use of the providers names to market a discount medical plan whereby payment for
services is made at the point of service by the consumer, and not by a third party payor such as an
insurance company. We vigorously contest this assertion and intend to defend this case. The
Plaintiffs are, however, seeking certification of this case as a class action on behalf of all
similarly-situated physicians nationwide. If the plaintiffs succeed with such certification and
ultimately prevail in the case, it could have a material adverse affect on our financial condition
and our results of operation. The case was originally instituted on November 17, 2006, but was
thereafter dismissed by the District Court. The United States Court of Appeals for the Eleventh
Circuit vacated such dismissal and remanded the case to the District Court on March 24, 2008. On
October 30, 2008 The Harford Accident and Indemnity Co. assumed payment of defense costs pursuant
to a reservation of rights letter issued on that date. The Hartford has since filed a declaratory
judgment action against the Capella Group, Inc. asking the court to determine the respective rights
of the parties.
Hartford Accident and Indemnity Insurance Company v. The Capella Group, Inc. D/b/a
Care Entrée; Civil Action File No: 4:09-cv-295 was filed on May 27, 2009 and remains pending in the
United States District Court for the Northern District of Texas, Ft. Worth Division. The Plaintiff
seeks a declaratory judgment asking the court to determine the respective rights of the parties
related to insurance coverage relating to a civil action, Rivell v. Capella Group, Inc. which is
described more fully above. We have filed an answer and counterclaim disputing the Plaintiffs
claims that the insurance policy does not provide coverage and asserting that we are entitled to
damages for breach of contract. We vigorously contest Plaintiffs assertion and intend to defend
the case and pursue our counterclaim. If the plaintiffs ultimately prevail in the case, it could
have a material adverse affect on our financial condition and our results of operation.
Zermeno v Precis, Inc. The case styled Manuela Zermeno, individually and on behalf of the general
public; and Juan A. Zermeno, individually and on behalf of the general public v Precis, Inc., and
Does 1 through 100, inclusive was filed on August 14, 2003 in the Superior Court of the State of
California for the County of Los Angeles under case number BC 300788.
The Zermeno plaintiffs are former members of the Care Entrée discount healthcare program who allege
that they (for themselves and for the general public) are entitled to injunctive, declaratory, and
equitable relief under Section 445 of the California Health and Safety Code. That Section governs
medical referral services. The plaintiffs also sought relief under Section 17200 of the Business
and Professions Code, Californias Unfair Competition Law.
On December 21, 2007, we received a verdict in our favor. The plaintiffs have appealed and both
parties have filed briefs. A negative result in this case would have a material affect our
financial condition and would limit our ability (and that of other healthcare discount programs) to
do business in California.
We believe that we have complied with all applicable statues and regulations in the state of
California. Although we believe the Plaintiffs claims are without merit, we cannot provide any
assurance regarding the outcome or results of this litigation.
29
States General Life Insurance Company. In February 2005, States General Life Insurance Company
(SGLIC) was placed in permanent receivership by the Texas Insurance Commission (The State of
Texas v. States General Life Insurance Company, Cause No. GV-500484, 126th District Court, Travis
County, Texas.). Pursuant to letters dated October 19, 2006, the Special Deputy Receiver (the
SDR) of SGLIC asserted certain claims against ICM, its subsidiaries, Peter W. Nauert, ICMs
Chairman andExecutive Officer, and G. Scott Smith, a former Executive Officer of ICM, totaling
$2,839,000. The SDR is seeking recovery of certain SGLIC funds that it alleges were inappropriately
transferred and paid to or for the benefit of ICM, its subsidiaries and Messrs. Nauert and Smith.
These claims are based upon assertions of Texas law violations, including prohibitions against
self-dealing, participation in breach of fiduciary duty and preferential and fraudulent transfers.
Mr. Nauert was in control and Chairman of the Board of SGLIC when it was placed in receivership by
the
Texas Insurance Commission. We, our subsidiaries, the estate of Mr. Nauert and Mr. Smith intend to
exercise their full rights in defense of the SDRs asserted claims. The SDR filed its own action
against SGLIC, pending in the 126th District Court of Travis County, Texas under cause No.
GV-500484 and against Messrs. Nauert and Smith, ICM, certain subsidiaries of ICM and other parties,
in the 126th District Court of Travis County, Texas under cause No. D-1-GN-06-4697. We have been
named as a defendant in this action as a successor-in-interest to ICM. In connection with the merger
of our subsidiary Access Plans USA, Inc. with ICM, Mr. Nauert and the Peter W. Nauert Revocable
Trust agreed to fully indemnify ICM and Access Plans against any losses resulting from this
matter. If the plaintiffs ultimately prevail in the case, it could have a material adverse affect
on our financial condition and our results of operation.
At June 30, 2009, we accrued $522,000, inclusive of defense costs, for the resolution of the above
matters and other pending litigation matters. While it is possible that we may incur costs in
excess of this amount, we are unable to provide a reasonable estimate of the range of additional
costs that may be incurred.
ITEM 1A. RISK FACTORS
OUR RISK FACTORS
As a result of the merger with Access Plans USA, Inc. on April 1, 2009 and the resulting
addition of new and different business models we have risk factors in addition to the risk factors
reported in our 2008 Annual Report for the year ended September 30, 2008 on Form 10-K , as stated
in this section. The matters discussed below and elsewhere in this report should be considered
when evaluating our business operations and strategies. Additionally, there may be risks and
uncertainties that we are not aware of or that we currently deem immaterial, which may become
material factors affecting our operations and business success. Many of the factors are not within
our control. We provide no assurance that one or more of these factors will not:
|
|
|
adversely affect the market price of our common stock, |
|
|
|
adversely affect our future operations, |
|
|
|
adversely affect our business, |
|
|
|
adversely affect our financial condition, |
|
|
|
adversely affect our results of operations, |
|
|
|
require significant reduction or discontinuance of our operations, |
|
|
|
require us to seek a merger partner, or |
|
|
|
require us to sell additional stock on terms that are highly dilutive to
our shareholders. |
THIS REPORT CONTAINS CAUTIONARY STATEMENTS RELATING TO FORWARD-LOOKING INFORMATION.
We have included some forward-looking statements in this section and other places in this
report regarding our expectations. These forward-looking statements involve known and unknown
risks, uncertainties and other factors that may cause our actual results, levels of activity,
performance or achievements, or industry results, to be materially different from any future
results, levels of activity, performance or achievements expressed or implied by these
forward-looking statements. Some of these forward-looking statements can be identified by the
use of forward-looking terminology including believes, expects, may, will, should or
anticipates or the negative thereof or other variations thereon or comparable terminology, or
by discussions of strategies that involve risks and uncertainties. You should read statements
that contain these words carefully because they:
|
|
|
discuss our future expectations, |
|
|
|
contain projections of our future operating results or of our future
financial condition, or |
|
|
|
|
state other forward-looking information. |
30
We believe it is important to discuss our expectations. However, it must be recognized that events
may occur in the future over which we have no control and which we are not accurately able to
predict. Any forward-looking statements contained in this report represent our judgment as of the
date of this report. We disclaim, however, any intent or obligation to update these forward-looking
statements. As a result, the reader is cautioned not to place undue reliance on these
forward-looking statements.
WE RELY ON OUR INSURANCE CARRIER PARTNERS TO ACCURATELY AND REGULARLY PREPARE COMMISSION
REPORTS, AND IF THESE REPORTS ARE INACCURATE OR NOT SENT TO US IN A TIMELY MANNER, OUR RESULTS OF
OPERATIONS COULD SUFFER.
Our Insurance Marketing Division generates revenues primarily from the receipt of commissions
paid to us by insurance companies based upon the insurance policies sold to consumers through
agents with which we have contracted. These revenues are in the form of first year and renewal
commissions that vary by company and product. In calculating the amount of commission earned by us
and in accounting for commission paid to us by insurance companies, we rely on data not under our
control, including data provided to us by the insurance company and premium collection and payment
service providers engaged by the insurance company to calculate and pay commissions. The data that
we receive may fluctuate as the insurance company or its collection and payment service providers
make adjustments to their reports of policies sold. We have implemented our own processes to
evaluate the data that we receive to help confirm that it is consistent with the number and types
of policies that we believe have been sold. However, it is difficult for us to independently
determine whether carriers are reporting all commissions due to us, primarily because the majority
of our members terminate their policies by discontinuing their premium payments to the carrier
instead of informing us of the cancellation. Because we cannot always rely on the accuracy or
timeliness of the data that we receive from the insurance company or its payment service providers,
our financial reports are subject to adjustment and we may not collect and recognize revenue that
we are entitled, both of which would harm our business, operating results and financial condition.
The same data from insurance carriers or their payment service providers is used to calculate the
balances of advanced commissions owed by us to the insurance carrier or owed to us by agents.
Because we cannot always rely on the accuracy or timeliness of the data that we receive from the
insurance company or its payment service, our calculation of these balances may fluctuate and
resulting adjustments may adversely affect our business, operating results and financial condition.
Our processing and recording of commission revenues earned and commission expenses payable to
agents are key determinants of material revenues and expenses reported in our financial statements.
This processing and recording of commission revenue and expense, together with the accurate and
timely disbursement of commission payments to agents, is dependent upon our timely receipt of
complete and accurate information about such commissions from the insurance carriers whose policies
we sell. Our failure to receive such commission information in a timely, complete and accurate
fashion could adversely impact our ability to pay commissions in a timely and accurate manner or to
state revenues or expenses in our financial statements in a materially correct manner.
OUR REVENUES IN THE RETAIL PLANS DIVISION ARE LARGELY DEPENDENT ON THE INDEPENDENT MARKETING
REPRESENTATIVES, WHOSE REDUCED SALES EFFORTS OR TERMINATION MAY RESULT IN SIGNIFICANT LOSS OF
REVENUES.
Part of our success and growth depends in part upon our ability to attract, retain and
motivate the network of independent marketing representatives who principally market our USA
Healthcare Savings and Care Entrée medical savings programs. Our independent marketing
representatives typically offer and sell these programs on a part-time basis, and may engage in
other business activities. These marketing representatives may give higher priority to other
products or services, reducing their efforts devoted to marketing our programs. Also, our ability
to attract and retain marketing representatives could be negatively affected by adverse publicity
relating to our programs and operations.
Under our network marketing system, the marketing representatives down line organizations are
headed by a relatively small number of key representatives who are responsible for a substantial
percentage of our total revenues. The loss of a significant number of marketing representatives,
including any key representatives, for any reason, could adversely affect our revenues and
operating results, and could impair our ability to attract new distributors.
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A LARGE PART OF OUR RETAIL PLANS DIVISION REVENUES ARE DEPENDENT ON KEY RELATIONSHIPS WITH A
FEW PRIVATE LABEL RESELLERS AND WE MAY BECOME MORE DEPENDENT ON SALES BY A FEW PRIVATE LABEL
RESELLERS.
Our revenues from sales of our independent marketing representatives have declined and
continue to decline. As a result, we have become more dependent on sales made by private label
resellers to whom we sell our discount medical programs. If sales made by our independent marketing
representatives continue to decline or if our efforts to increase sales through private label
resellers succeed, we may become more dependent on sales made by our private label resellers.
Because a large number of these sales may be made by a few resellers, our revenues and operating
results may be adversely affected by the loss of our relationship with any of those private label
resellers.
THE FAILURE OF OUR NETWORK MARKETING ORGANIZATION TO COMPLY WITH FEDERAL AND STATE REGULATION
COULD RESULT IN ENFORCEMENT ACTION AND IMPOSITION OF PENALTIES, MODIFICATION OF OUR NETWORK
MARKETING SYSTEM, AND NEGATIVE PUBLICITY.
Our network marketing organization is subject to federal and state laws and regulations
administered by the Federal Trade Commission and various state agencies. These laws and regulations
include securities, franchise investment, business opportunity and criminal laws prohibiting the
use of pyramid or endless chain types of selling organizations. These regulations are generally
directed at ensuring that product and service sales are ultimately made to consumers (as opposed to
other marketing representatives) and that advancement within the network marketing organization is
based on sales of products and services, rather than on investment in the company or other
non-retail sales related criteria.
The compensation structure of a network marketing organization is very complex. Compliance with all
of the applicable regulations and laws is uncertain because of:
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the evolving interpretations of existing laws and regulations, and |
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the enactment of new laws and regulations pertaining in general to
network marketing organizations and product and service distribution. |
Accordingly, there is the risk that our network marketing system could be found to not comply with
applicable laws and regulations that could:
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result in enforcement action and imposition of penalty, |
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require modification of the marketing representative network system, |
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result in negative publicity, or |
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have a negative effect on distributor morale and loyalty. |
Any of these consequences could have a material adverse effect on our results of operations as
well as our financial condition.
THE LEGALITY OF OUR NETWORK MARKETING ORGANIZATION IS SUBJECT TO CHALLENGE BY OUR MARKETING
REPRESENTATIVES, WHICH COULD RESULT IN SIGNIFICANT DEFENSE COSTS, SETTLEMENT PAYMENTS OR JUDGMENTS,
AND COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR RESULTS OF OPERATIONS AND FINANCIAL CONDITION.
Our network marketing organization is subject to legality challenge by our marketing
representatives, both individually and as a class. Generally, these challenges would be based on
claims that our marketing network program was operated as an illegal pyramid scheme in violation
of federal securities laws, state unfair practice and fraud laws and the Racketeer Influenced and
Corrupt Organizations Act. Proceedings resulting from these claims could result in significant
defense costs, settlement payments, or judgments, and could have a material adverse effect on us.
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ADVERTISING AND PROMOTIONAL ACTIVITIES OF OUR INDEPENDENT MARKETING REPRESENTATIVES AND
PRIVATE-LABEL CUSTOMERS ARE SUBJECT TO AND MAY VIOLATE FEDERAL AND STATE REGULATION CAUSING US TO
BE SUBJECT TO THE IMPOSITION OF CIVIL PENALTIES, FINES, INJUNCTIONS AND LOSS OF STATE LICENSES.
The Federal Trade Commission (FTC) and most states regulate advertising, product claims, and
other consumer matters, including advertising of our healthcare savings products. All advertising,
promotional and solicitation materials used by our independent marketing representatives and
private label customers must be approved by us prior to use. While we have not been the target of
FTC enforcement action for the advertising of, or product claims related to, our healthcare savings
products, there can be no assurance that the FTC will not question our advertising or other
operations in the future. In addition, there can be no assurance that a state will not interpret
our product claims presumptively valid under federal law as illegal under that states regulations,
or that future FTC regulations or decisions, will not restrict the permissible scope of the claimed
savings. We are subject to the risk of claims by our independent marketing representatives and
private label customers and those under private label arrangements may file actions on their own
behalf, as a class or otherwise, and may file complaints with the FTC or state or local consumer
affairs offices. These agencies may take action on their own initiative against us for alleged
advertising or product claim violations. A complaint because of a practice of one independent
marketing representative or private label customer, whether or not that practice was authorized by
us, could result in an order affecting some or all of our independent marketing representatives and
private label customers in the particular state, and an order in one state could influence courts
or government agencies in other states considering similar matters. Proceedings resulting from
these complaints may result in significant defense costs, settlement payments or judgments and
could have a material adverse effect on our operations.
DISRUPTIONS IN OUR OPERATIONS DUE TO OUR RELIANCE ON OUR MANAGEMENT INFORMATION SYSTEM MAY
OCCUR AND COULD ADVERSELY AFFECT OUR CLIENT RELATIONSHIPS.
We manage certain information related to our Retail Plans Division membership on an
administrative proprietary information system. Because it is a proprietary system, we do not rely
on any third party for its support and maintenance. There is no assurance that we will be able to
continue operating without experiencing any disruptions in our operations or that our relationships
with our members, marketing representatives or providers will not be adversely affected or that our
internal controls will not be adversely affected.
THE RECORDED GOODWILL ASSOCIATED WITH OUR ACQUISITION OF ACCESS PLANS USA, INC. MAY BECOME
IMPAIRED AND REQUIRE A SUBSTANTIAL WRITEDOWN AND THE RECOGNITION OF AN IMPAIRMENT EXPENSE.
In connection with our acquisition of Access Plans USA, Inc., we recorded goodwill that had a
net aggregate asset value of $1,664,631 at April 1, 2009. In the event that the goodwill is
determined to be impaired for any reason, we will be required to write-down or reduce the value of
the goodwill and recognize an impairment expense. The impairment expense may be substantial in
amount and, in such case, adversely affect the results of our operations for the applicable period
and may negatively affect the market value of our common stock.
WE MAY FIND IT DIFFICULT TO INTEGRATE ACCESS PLANS USA, INC.S BUSINESSES AND OPERATIONS WITH
OUR BUSINESS AND OPERATIONS.
Although we believe that Access Plans USA, Inc.s marketing and distribution of discount
medical and insurance products will complement and fit well with our business, Access Plans USA,
Inc.s insurance agency business is relatively new to us. Our unfamiliarity with this business may
make it more difficult to integrate those operations with ours. We will not achieve the anticipated
benefits of the merger-acquisition unless we successfully integrate Access Plans USA, Inc.
operations. There can be no assurance that this will occur. Similarly, we believe that Access
Plans USA, Inc.s marketing and distribution of dental and vision network access and non-insurance
medical discount programs will complement and fit well with our Retail Plans Division. We will not
achieve the anticipated benefits of that acquisition unless we successfully integrate the Access
Plans USA, Inc.s operations. There can be no assurance that this will occur.
THE AVAILABILITY OF OUR INSURANCE PRODUCTS AND FINANCIAL SERVICES ARE DEPENDENT ON OUR
STRATEGIC RELATIONSHIPS WITH VARIOUS INSURANCE COMPANIES AND THE UNAVAILABILITY OF THOSE PRODUCTS
AND SERVICES FOR ANY REASON MAY RESULT IN SIGNIFICANT LOSS OF REVENUES.
We are not an insurance company and only market and distribute insurance products and
financial services developed and offered by insurance companies. We must develop and maintain
relationships with insurance companies that provide products and services for a particular market
segment (the elderly, the young family, etc.) that we in turn make available to the independent
agents with whom they have contracted to
sell the products and services to the individual consumer. We are dependent on a relatively small
number of insurance companies to provide product and financial services for sale through our
channels.
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Development and maintenance of relationships with the insurance companies may in part be based on
professional relationships and the reputation of our management and marketing personnel.
Consequently, the relationships with insurance companies may be adversely affected by events beyond
our control, including departures of key personnel and alterations in professional relationships.
Our success and growth depend in large part upon our ability to establish and maintain these
strategic relationships, contractual or otherwise, with various insurance companies to provide
their products and services, including those insurance products and financial services that may be
developed in the future. The loss or termination of these strategic relationships could adversely
affect our revenues and operating results. Furthermore, the loss or termination may also impair our
ability to maintain and attract new insurance agencies and their agents to distribute the insurance
products and services that we offer.
WE
ARE DEPENDENT UPON INDEPENDENT INSURANCE AGENCIES AND THEIR AGENTS TO OFFER AND SELL OUR INSURANCE PRODUCTS AND FINANCIAL SERVICES.
We are principally dependent upon independent insurance agencies and their agents to offer and
sell the insurance products and financial services that we offer and distribute. These insurance
agencies and their agents may offer and distribute insurance products and financial services that
are competitive with ours. These independent agencies and their agents may give higher priority and
greater incentives (financial or otherwise) to other insurance products or financial services,
reducing their efforts devoted to marketing and distribution of the insurance products and
financial services that we offer. Also, our ability to attract and retain independent insurance
agencies could be negatively affected by adverse publicity relating to our products and services or
our operations.
We are dependent on a small number of independent insurance agencies for a very significant
percentage of our total insurance products and financial services revenue. Development and
maintenance of the relationships with independent insurance agencies and their agents may in part
be based on professional relationships and the reputation of our management and marketing
personnel. Consequently, these relationships may be adversely affected by events beyond our
control, including departures of key personnel and alterations in professional relationships. The
loss of a significant number of the independent insurance agencies (and their agents), as well as
the loss of a key agency or its agents, for any reason, could adversely affect our revenue and
operating results, or could impair our ability to establish new relationships or continue strategic
relationships with independent insurance agencies and their agents.
WE FACE INTENSE COMPETITION IN THE MARKETPLACE FOR OUR PRODUCTS AND SERVICES AS WELL AS
COMPETITION FOR INSURANCE AGENCIES AND THEIR AGENTS FOR THE MARKETING OF THE PRODUCTS AND SERVICES
OFFERED.
Instead of utilizing captive or wholly-owned insurance agencies for the offer and sale of our
products and services, we utilize independent insurance agencies and their agents as the principal
marketing and distribution channel. Competition for independent insurance agencies and their agents
is intense. Also, competition from products and services similar to or directly in competition with
the products and services that we offer is intense, including those products and services offered
and sold through the same channels utilized for distribution of our insurance products and
financial services. Under arrangements with the independent insurance agencies, the agencies and
their agents may offer and sell a variety of insurance products and financial services, including
those that compete with the insurance products and financial services that we offer.
Thus, our
business operations compete in two channels of competition. First, we compete
based upon the insurance products and financial services offered. This competition includes
products and services of insurance companies that compete with the products and services of the
insurance companies that we offer and sell. Second, we compete with all types of marketing and
distribution companies throughout the U.S. for independent insurance agencies and their agents.
Many of our competitors have substantially larger bases of insurance companies providing products
and services, and longer-term established relationships with independent insurance agencies and
agents for the sale and distribution of products and services, as well as greater financial and
other resources.
There is no assurance that our competitors will not provide insurance products and financial
services comparable or superior to those products and services that we offer at lower costs or
prices, greater sales incentives (financial or otherwise) or adapt more quickly to evolving
insurance industry trends or changing industry requirements. Increased competition may result in
reduced margins on product sales and services, less than anticipated sales or reduced sales, and
loss of market share, any of which could materially adversely affect our business and results of
operations. There can be no assurance that we will be able to compete effectively against current
and future competitors.
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ITEM 2. UNREGISTERED SALES OF EQUITY SECURITIES AND USE OR PROCEEDS.
There are no items to report under this item.
ITEM 3. DEFAULTS UPON SENIOR SECURITIES.
There are no items to report under this item.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS.
No matters were submitted to a vote of security holders during the nine months ended June 30, 2009.
ITEM 5. OTHER INFORMATION.
Three are no items to report under this item.
ITEM 6. EXHIBITS
Exhibit 31.1 Certification Pursuant to Rule 13a-14(a) under the Securities Exchange act of 1934,
as amended
Exhibit 31.2 Certification Pursuant to Rule 13a-14(a) under the Securities Exchange act of 1934,
as amended.
Exhibit 32.1 Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906
of the Sarbanes-Oxley Act of 2002
Exhibit 32.2 Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906
of the Sarbanes-Oxley Act of 2002
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 hereunto duly authorized.
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Alliance HealthCard, Inc.
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October 15, 2009 |
By: |
/s/ Danny Wright
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Chief Executive Officer |
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(Principal Executive Officer) |
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October 15, 2009 |
By: |
/s/ Rita McKeown
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Rita McKeown |
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Chief Financial Officer
(Principal Financial and Accounting Officer) |
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