prer14a
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
SCHEDULE 14A
Proxy Statement Pursuant to Section 14(a) of the
Securities Exchange Act of 1934
(Amendment No. 1)
Filed by the Registrant
þ
Filed by a Party other than the Registrant
o
Check the appropriate box:
þ Preliminary
Proxy Statement
o Confidential,
for Use of the Commission Only (as permitted by
Rule 14a-6(e)(2))
o Definitive
Proxy Statement
o Definitive
Additional Materials
o Soliciting
Material Pursuant to
§ 240.14a-12
BIOSCRIP, INC.
(Name of Registrant as Specified
In Its Charter)
(Name of Person(s) Filing Proxy
Statement, if other than the Registrant)
Payment of Filing Fee (Check the appropriate box):
o No
fee required.
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Fee computed on table below per Exchange Act
Rules 14a-6(i)(1)
and 0-11.
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(1)
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Title of each class of securities to which transaction applies:
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(2)
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Aggregate number of securities to which transaction applies:
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(3)
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Per unit price or other underlying value of transaction computed
pursuant to Exchange Act
Rule 0-11
(set forth the amount on which the filing fee is calculated and
state how it was determined):
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(4)
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Proposed maximum aggregate value of transaction:
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Fee paid previously with preliminary materials.
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Check box if any part of the fee is offset as provided by
Exchange Act
Rule 0-11(a)(2)
and identify the filing for which the offsetting fee was paid
previously. Identify the previous filing by registration
statement number, or the Form or Schedule and the date of its
filing.
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(1) |
Amount Previously Paid:
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(2) |
Form, Schedule or Registration Statement No.:
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,
2010
To the Stockholders of BioScrip, Inc.:
We cordially invite you to attend a special meeting of the
stockholders of BioScrip, Inc., or BioScrip, to be held at
executive offices located at 100 Clearbrook Road, Elmsford, New
York 10523
on ,
2010 at , local time.
On January 24, 2010, BioScrip entered into an Agreement and
Plan of Merger with Camelot Acquisition Corp., or Camelot, which
is a wholly owned subsidiary of BioScrip, Critical Homecare
Solutions Holdings, Inc., or CHS, Kohlberg Investors V,
L.P., as the stockholders representative, and the
stockholders of CHS, or the Stockholders. CHS is a privately
held company that is a leading provider of home infusion and
home nursing products and services to patients suffering from
chronic and acute medical conditions. At the effective time of
the merger, CHS will merge with and into Camelot, with Camelot
as the surviving entity. If the merger is completed, BioScrip
will:
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repay the net indebtedness of CHS, which was approximately
$132 million at December 31, 2009, and enter into
a new credit facility;
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pay cash consideration of $110 million, subject to
adjustment as described below;
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issue up to approximately 12.9 million shares of BioScrip
common stock, subject to adjustment as described below, of which
2,696,516 shares initially will be held in escrow to fund
indemnification payments, if any; and
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issue warrants to acquire 3,400,945 shares of BioScrip
common stock, exercisable at $10 per share and having a
five-year term.
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If the net indebtedness of CHS at the closing of the merger is
less than $132 million, then one-half of the difference
would be paid in cash to the Stockholders and the other half
would be paid in stock based on a value per share of $8.3441,
the 10-day
volume weighted trading average share price of BioScrips
common stock over the
10-day
period ended January 22, 2010. If the net indebtedness of
CHS exceeds $132 million, then the cash payment of
$110 million would be reduced by the amount of the excess.
In order to fund the cash consideration, repay existing
indebtedness of CHS and refinance indebtedness of BioScrip,
BioScrip has received a financing commitment from Jefferies
Finance LLC, or Jefferies Finance, pursuant to which Jefferies
Finance has committed to provide BioScrip with $375 million of
debt financing.
Pursuant to the rules of the Nasdaq Global Market, the
securities exchange on which BioScrips common stock is
listed, the issuance of BioScrips common stock in
connection with the merger, including the shares to be issued
upon exercise of the warrants, requires approval of
BioScrips stockholders because the issuance exceeds 20% of
the number of shares of BioScrip common stock outstanding prior
to the issuance.
At the special meeting, you will be asked to consider and vote
on a proposal to approve the issuance of shares of BioScrip
common stock, including shares of common stock to be issued upon
exercise of the warrants. You also may be asked to approve a
proposal to adjourn the special meeting of stockholders, for a
period of not more than 30 days, if necessary, to solicit
additional proxies in the event that there are not sufficient
votes at the time of the special meeting to approve the common
stock issuance proposal.
The board of directors of BioScrip has determined that the
Agreement and Plan of Merger and the merger are advisable and in
the best interests of BioScrip stockholders and has approved the
Agreement and Plan of Merger and the merger. Accordingly, the
board of directors of BioScrip recommends that you vote
FOR the proposal to approve the issuance of BioScrip
common stock and FOR the proposal to adjourn the
special meeting, if necessary, to enable us to solicit
additional proxies.
Your vote is very important. We cannot complete the merger
without the approval of the issuance of BioScrip common stock in
connection with the merger. This approval requires the
affirmative vote of the
holders of a majority of the common stock present in person or
represented by proxy at the special meeting at which a quorum is
present. Even if you plan to attend the special meeting, we
recommend that you submit your proxy before the special meeting
so that your vote will be counted if you later decide not to
attend the meeting. You can also vote your shares via the
Internet or by telephone as provided in the instructions set
forth on the enclosed proxy card. If you hold your shares in
street name through a broker, you should follow the
procedures provided by your broker.
The accompanying proxy statement explains the proposed merger in
greater detail. We urge you to carefully read this proxy
statement, including the annexes and information incorporated by
reference and the matters discussed under Risk
Factors beginning on page 24.
Sincerely,
Richard H. Friedman
Chairman and Chief Executive Officer
Neither the Securities and Exchange Commission nor any state
securities regulator has approved or disapproved the proposed
issuance of shares of BioScrip common stock in connection with
the merger or determined whether this proxy statement is
truthful or complete. Any representation to the contrary is a
criminal offense.
This proxy statement is
dated ,
2010 and is first being mailed to BioScrip stockholders on or
about ,
2010.
REFERENCE
TO ADDITIONAL INFORMATION
This proxy statement incorporates by reference important
business and financial information about BioScrip from documents
that are not included in or delivered with this proxy statement.
You may obtain documents that are incorporated by reference in
this proxy statement without charge by requesting them in
writing or by telephone from BioScrip at:
BioScrip, Inc.
100 Clearbrook Road
Elmsford, New York 10523
Attention: Corporate Secretary
In addition, you may also obtain these and other documents filed
with the Securities and Exchange Commission at BioScrips
website at www.bioscrip.com at the Investors section
under About Us.
Please note that copies of the documents provided to you will
not include exhibits, unless the exhibits are specifically
incorporated by reference in the documents or this proxy
statement.
In order to receive timely delivery of requested documents in
advance of the special meeting, you should make any written or
telephonic requests by no later
than ,
2010. Documents will be distributed within one business day of
receipt of such request.
For a more detailed description of the information incorporated
by reference in this proxy statement and how you may obtain it,
see the section entitled Where You Can Find More
Information on page 130.
NOTICE OF SPECIAL MEETING OF
STOCKHOLDERS
To be held
on ,
2010
To the Stockholders of BioScrip, Inc.:
A special meeting of stockholders of BioScrip, Inc., a Delaware
corporation (BioScrip), will be held at
BioScrips executive offices at 100 Clearbrook Road,
Elmsford, New York 10523
on , ,
2010
at ,
local time, for the following purposes:
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Proposal No. 1:
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To approve the issuance of up to approximately 12.9 million
shares of BioScrip common stock, par value $0.0001 per share
(subject to increase as described in the accompanying proxy
statement if net indebtedness of Critical Homecare Solutions
Holdings, Inc. (CHS) is less than $132 million
at closing), as well as 3,400,945 shares of common stock to
be issued upon exercise of warrants to be issued to the
stockholders and certain optionholders of CHS, pursuant to the
Agreement and Plan of Merger dated as of January 24, 2010,
by and among BioScrip, Camelot Acquisition Corp., which is a
wholly owned subsidiary of BioScrip, CHS, Kohlberg
Investors V, L.P., as stockholders representative,
and the stockholders of CHS.
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Proposal No. 2:
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To approve a proposal to adjourn the special meeting of BioScrip
stockholders for a period of not more than 30 days, if
necessary, to solicit additional proxies in the event that there
are not sufficient votes at the time of the special meeting of
BioScrip stockholders to approve Proposal No. 1.
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Please refer to the accompanying proxy statement for further
information with respect to the business to be transacted at the
special meeting of stockholders.
The close of business on February 8, 2010 has been fixed as
the record date for determining those BioScrip stockholders
entitled to notice of and to vote at the special meeting.
Accordingly, only stockholders of record at the close of
business on that date will receive this notice of, and be
eligible to vote at, the special meeting and any adjournments of
the special meeting.
If BioScrip is to complete the merger with CHS, then
BioScrips stockholders must approve
Proposal No. 1 relating to the issuance of BioScrip
common stock in accordance with the terms of the Agreement and
Plan of Merger.
The BioScrip board of directors recommends that you vote
FOR each of the above proposals.
Your vote is important. Please read the proxy
statement and the instructions on the enclosed proxy card and,
whether or not you plan to attend the special meeting in person
and no matter how many shares you own, please submit your proxy
promptly by telephone or via the Internet in accordance with the
instructions on the enclosed proxy card, or by completing,
dating and returning your proxy card in the envelope provided.
Returning your proxy by one of these three methods will not
prevent you from voting in person at the special meeting. It
will, however, help assure a quorum and to avoid added proxy
solicitations.
You may revoke your proxy at any time before the vote is taken
by delivering to the Secretary of BioScrip a written revocation
or a proxy with a later date (including a proxy by telephone or
via the Internet) or by voting your shares in person at the
special meeting, in which case your proxy would be disregarded.
By order of the Board of Directors
Barry A. Posner
Executive Vice President, Secretary and General
Counsel
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2010
TABLE OF
CONTENTS
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F-1
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A-1
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D-1
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iii
SUMMARY
TERM SHEET
The following is a summary of the proposed transaction
between BioScrip, Inc. (BioScrip) and Critical
Homecare Solutions Holdings, Inc. (CHS) pursuant to
which CHS will merge with and into a wholly owned subsidiary of
BioScrip. BioScrip is seeking stockholder approval of the
issuance of its common stock in connection with the merger with
CHS. This term sheet is a summary and does not contain all of
the information that may be important to you. You should
carefully read this entire document, including the annexes and
the other documents to which this document refers you, for a
more complete understanding of the matters being considered at
this special meeting. See the section entitled Where You
Can Find More Information beginning on page 130.
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On January 24, 2010, BioScrip entered into an Agreement and
Plan of Merger with Camelot Acquisition Corp.
(Camelot), which is a wholly owned subsidiary of
BioScrip, CHS, Kohlberg Investors V, L.P., as the
stockholders representative (the Stockholders
Representative), and the stockholders of CHS (the
Stockholders). CHS is a privately held company that
is a leading provider of home infusion and home nursing services
and products to patients suffering from chronic and acute
medical conditions. Pursuant to the Agreement and Plan of
Merger, at the effective time of the merger, CHS will merge with
and into Camelot, with Camelot as the surviving entity.
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If the merger is completed, BioScrip will:
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repay the net indebtedness of CHS, which was approximately
$132 million at December 31, 2009, and enter into
a new credit facility;
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pay cash consideration of $110 million, subject to
adjustment as described below;
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issue up to approximately 12.9 million shares of BioScrip
common stock, subject to adjustment as described below, of which
2,696,516 shares initially will be held in escrow to fund
indemnification payments, if any; and
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issue warrants to acquire 3,400,945 shares of BioScrip
common stock, exercisable at $10 per share and having a
five-year term.
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If the net indebtedness of CHS at closing of the merger is
$132 million and CHSs expenses incurred in connection
with the merger are $10 million, then the number of shares
of BioScrip common stock to be issued in connection with the
merger (in addition to shares issuable upon exercise of the
warrants being issued) would be approximately
12,655,600 shares, or approximately 24% of the then
outstanding common stock of BioScrip, assuming that no
outstanding options to purchase shares of CHSs common
stock, par value $0.001 per share, are exercised before the
closing of the merger. If the net indebtedness of CHS at the
closing of the merger is less than $132 million, then
one-half of the difference would be paid in cash to the
Stockholders and the other half would be paid in stock based on
a value per share of $8.3441, the
10-day
volume weighted trading average share price of BioScrips
common stock over the
10-day
period ended January 22, 2010. If the net indebtedness of
CHS exceeds $132 million, then the cash consideration of
$110 million would be reduced by the amount of the excess.
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In order to fund the cash consideration, repay existing
indebtedness of CHS and refinance indebtedness of BioScrip,
BioScrip has received a financing commitment from Jefferies
Finance LLC (Jefferies Finance), pursuant to which
Jefferies Finance has committed to provide BioScrip with
$375 million of debt financing.
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As consideration for the merger with CHS, each share of CHS
common stock issued and outstanding immediately prior to the
effective time of the merger will be converted into the right to
receive (i) a number of shares of BioScrip common stock,
par value $0.0001 per share, (ii) cash and
(iii) following the closing of the merger, its pro rata
share of any dividends or distributions of BioScrip common stock
made from the escrow fund, in each case calculated in accordance
with the terms of the Agreement and Plan of Merger. In addition,
at the closing of the merger, BioScrip will issue to the
Stockholders and certain optionholders of CHS a number of
warrants to purchase shares of BioScrip common stock. See
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The Agreement and Plan of Merger on page 53 for
a more detailed discussion of the merger consideration.
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In connection with the merger, BioScrip has entered into a
Stockholders Agreement with the Stockholders
Representative, the Stockholders and certain optionholders of
CHS. The Stockholders Agreement grants rights to such
parties, including with respect to the designation of nominees
for election to the BioScrip board of directors upon the closing
of the merger. The Stockholders Agreement also contains
transfer restrictions and standstill restrictions relating to
shares of BioScrips common stock that will be issued to
such parties in connection with the merger. In addition, the
Stockholders Agreement gives such parties rights with
respect to the registration under the Securities Act of 1933, as
amended (the Securities Act) of the shares of
BioScrip common stock to be issued to such parties, including
the shares to be issued upon exercise of the warrants pursuant
to the Agreement and Plan of Merger. See the section entitled
The Stockholders Agreement on page 68 for
a more detailed discussion.
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In connection with the merger, BioScrip has agreed to enter into
a Warrant Agreement with the Stockholders and certain
optionholders of CHS pursuant to which BioScrip will issue to
such parties warrants to purchase an aggregate of
3,400,945 shares of BioScrips common stock, subject
to adjustment in certain circumstances in accordance with the
terms of the Warrant Agreement. See the section entitled
The Warrant Agreement on page 72 for a more
detailed discussion.
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Also in connection with the merger, certain of BioScrips
directors and executive officers have entered into a Common
Stock Voting Agreement with CHS and the Stockholders
Representative, pursuant to which such directors and executive
officers have agreed, among other things, to vote their shares
of BioScrips common stock in favor of the proposal to
issue additional shares of BioScrips common stock in
connection with the merger. As of February 8, 2010, these
directors and executive officers collectively held shares
representing approximately 3.4% of BioScrips outstanding
common stock. See the section entitled The Common Stock
Voting Agreement on page 74 for a more detailed
discussion.
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In addition, BioScrip has agreed to enter into an Escrow
Agreement with U.S. Bank National Association, as escrow agent,
and the Stockholders Representative. The Escrow Agreement
will specify the respective rights and obligations of the
parties with respect to the escrow property, which will consist
of 2,696,516 shares of BioScrips common stock having
an aggregate value of $22.5 million (based on a value per
share of $8.3441), and all dividends and interest income earned
on the escrow property. The escrow property may be disbursed
(i) in the case that a purchase price adjustment is
required to be paid to BioScrip, or (ii) pursuant to
indemnification obligations of the Stockholders, in each case in
accordance with the terms of the Agreement and Plan of Merger.
See the section entitled The Escrow Agreement on
page 76 for a more detailed discussion.
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2
QUESTIONS
AND ANSWERS
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Q1: |
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What is the transaction? |
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A1: |
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BioScrip has entered into an Agreement and Plan of Merger with
Camelot, CHS, the Stockholders Representative and the
Stockholders. Pursuant to the Agreement and Plan of Merger, at
the effective time of the merger, CHS will merge with and into
Camelot, with Camelot as the surviving entity. If the merger is
completed, CHS and its subsidiaries would be subsidiaries of
Camelot. |
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Q2: |
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What am I being asked to vote on? |
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A2: |
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You are being asked to approve the issuance of up to
approximately 12.9 million shares of BioScrip common stock
(subject to increase as described in this proxy statement if net
indebtedness of CHS is less than $132 million at closing),
as well as up to an additional 3,400,945 shares of BioScrip
common stock to be issued upon exercise of the warrants, in
connection with the merger with CHS. The approval of the
issuance of BioScrip common stock is required to complete the
merger with CHS. |
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In addition, you may be asked to vote to approve an adjournment
of the special meeting for a period of not more than
30 days, if necessary, to solicit additional proxies in the
event that there are not sufficient votes at the time of the
special meeting to approve the issuance of BioScrip common
stock. The approval of the adjournment of the special meeting of
stockholders is not a condition to completing the merger. |
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Q3: |
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How does the BioScrip board of directors recommend that I
vote? |
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A3: |
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The BioScrip board of directors recommends that you vote
FOR the approval of the issuance of BioScrip common
stock in connection with the merger and FOR the
approval of an adjournment of the special meeting, if necessary,
to enable BioScrip to solicit additional proxies in favor of the
proposal to issue BioScrip common stock. Your vote is important. |
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Q4: |
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How will BioScrips directors and executive officers
vote their shares of BioScrip common stock in connection with
the proposals? |
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A4: |
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Certain BioScrip directors and executive officers, including our
chairman and chief executive officer, have entered into a Common
Stock Voting Agreement pursuant to which they have agreed to
vote their shares of BioScrip common stock in favor of each of
the proposals. As of February 8, 2010, these directors and
executive officers collectively held shares representing
approximately 3.4% of BioScrips outstanding common stock. |
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Q5: |
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Why is stockholder approval necessary for the issuance of
BioScrip common stock in connection with the merger? |
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A5: |
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BioScrips common stock is listed on the Nasdaq Global
Market (NASDAQ). NASDAQ rules require stockholder
approval before the issuance of common stock if the common stock
to be issued will have voting power equal to or greater than 20%
of the voting power outstanding before the issuance, or if the
number of shares of common stock to be issued will be equal to
or greater than 20% of the number of shares of common stock
outstanding before the issuance. |
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The shares of BioScrip common stock that will be issued in
connection with the merger, including the shares that will be
issued upon exercise of the warrants, exceed the thresholds
under NASDAQ rules and, therefore, the issuance requires the
approval of our stockholders. |
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Q6: |
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Why did BioScrip enter into the Agreement and Plan of
Merger? |
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A6: |
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Our board of directors believes that the merger with CHS will
provide substantial benefits to BioScrips business and
operations by, among other things, transforming BioScrip into
one of the largest home infusion providers in the U.S. For
additional information regarding BioScrips reasons for
entering into the Agreement and Plan of Merger, see the section
entitled The Transaction BioScrips
Reasons for the Transaction beginning on page 39. |
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Q7: |
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When is the merger expected to be completed? |
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A7: |
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BioScrip and CHS are working toward completing the merger as
soon as practicable. BioScrip currently expects that the merger
will close on or about March 31, 2010. In addition to
stockholder approval of the issuance of BioScrip common stock,
there are a number of additional conditions, including, but not
limited to, expiration or termination of the waiting period
under the
Hart-Scott-Rodino
Antitrust Improvements Act of 1976 (the HSR Act)
that must be satisfied before we can complete the transaction.
We have requested early termination of the waiting period
provided in the HSR Act. See the section entitled The
Agreement and Plan of Merger Conditions to Closing
the Transaction beginning on page 61 for a more
detailed discussion. |
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Q8: |
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Do I need to send in my stock certificates if the transaction
is completed? |
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A8: |
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No. You will not be required to exchange your certificates
representing shares of BioScrip common stock in connection with
this transaction. You will not receive any cash or securities in
connection with the merger. Instead, you will continue to hold
your existing shares of BioScrip common stock. |
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Q9: |
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Who can vote at the special meeting? |
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A9: |
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BioScrip has fixed the close of business on February 8,
2010 as the record date for the special meeting or any
adjournment thereof, and only the holders of BioScrips
common stock on the record date can vote at the special meeting. |
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Q10: |
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What do I need to do now? |
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A10: |
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After carefully reading and considering the information
contained in this proxy statement, please submit your proxy by
telephone or via the Internet in accordance with the
instructions set forth in the enclosed proxy card, or complete,
sign, date and mail your proxy card in the enclosed prepaid
envelope as soon as possible so that your shares may be voted at
the special meeting. See the section entitled The Special
Meeting How to Vote Your Shares on
page 31 and the section entitled The Special
Meeting Proxies; Counting Your Vote on
page 32 for a more detailed discussion. |
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Q11: |
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What happens if I do not vote? |
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A11: |
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The proposal to issue shares of BioScrips common stock
must be approved by the affirmative vote of the holders of a
majority of the shares of BioScrips common stock present
in person or represented by proxy at the special meeting at
which a quorum is present. The proposal to adjourn the special
meeting, if necessary, to solicit additional proxies in favor of
the common stock issuance proposal must be approved by the
affirmative vote of the holders of a majority of BioScrips
common stock present in person or represented by proxy at the
special meeting, whether or not a quorum is present. The failure
to vote on the proposals could have the same effect as a vote
cast against approval if it causes less than a majority of the
shares of BioScrip common stock present in person or by proxy to
be cast for the proposal. In addition, the failure to vote on
the proposals, by failing to either submit a proxy or attend the
special meeting, may make it more difficult to establish a
quorum at the special meeting. |
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Q12: |
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If my shares are held in street name by my
broker, will my broker vote my shares for me? |
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A12: |
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If your shares are held in the name of a bank or broker or other
nominee, you will receive separate instructions from your bank,
broker or other nominee describing how to vote your shares. The
availability of telephonic or Internet voting will depend on the
banks or brokers voting process. Please check with
your bank or broker and follow the voting procedures your bank
or broker provides. |
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You should instruct your bank, broker or other nominee how to
vote your shares. The rules applicable to broker-dealers do not
grant your broker discretionary authority to vote your shares
for the proposal to issue shares of BioScrip common stock or for
the proposal to adjourn the special meeting, if necessary, to
solicit additional proxies in favor of the BioScrip common stock
issuance proposal without receiving your instructions. As a
result, if your broker does not receive voting instructions from
you regarding the proposals, your shares will not be voted. |
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Q13: |
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May I change my vote after I have submitted a proxy by
telephone or via the Internet or mailed my signed proxy card? |
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A13: |
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Yes. You may change your vote at any time before your proxy is
voted at the special meeting. You can do this in several ways.
You can send a written notice stating that you want to revoke
your proxy, or you can complete and submit a new proxy card. If
you choose either of these methods, you must submit your notice
of revocation or your new proxy card to BioScrips
Secretary at BioScrip, Attention: Corporate Secretary, 100
Clearbrook Road, Elmsford, New York 10523. |
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You can also change your vote by submitting a proxy at a later
date by telephone or via the Internet, in which case your
later-submitted proxy will be recorded and your earlier proxy
revoked. |
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You can also attend the special meeting and vote in person.
Simply attending the special meeting, however, will not revoke
your proxy. To revoke your earlier proxy, you must vote at the
special meeting. |
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If you have instructed a broker to vote your shares, the
preceding instructions do not apply, and you must follow the
voting procedures received from your broker to change your vote. |
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Q14: |
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If I want to attend the special meeting, what do I do? |
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A14: |
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You should come to BioScrips executive offices at 100
Clearbrook Road, Elmsford, New York 10523
on ,
2010
at ,
local time. Stockholders of record as of the record date for the
special meeting (February 8, 2010) can vote in person
at the special meeting. A valid government issued identification
card will be required for entry to the special meeting. If your
shares are held in street name, then you are not the stockholder
of record and you must ask your bank, broker or other nominee
holder how you can vote at the special meeting. |
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Q15: |
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Who can help answer my questions? |
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A15: |
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If you have any questions or need assistance in voting your
shares, please call the firm assisting us in the solicitation of
proxies: |
MacKenzie Partners, Inc.
105 Madison Avenue
New York, NY 10016
Stockholders, Banks and Brokers call toll-free: (800) 322-2885
BioScrip,
Inc.
100 Clearbrook Road
Elmsford, New York 10523
Attention: Corporate Secretary
Telephone:
(914) 460-1600
5
SUMMARY
This summary highlights selected information from this proxy
statement. It does not contain all of the information that may
be important to you. You should carefully read this entire
document, including the annexes and the other documents to which
this document refers you, for a more complete understanding of
the matters being considered at the special meeting. See the
section entitled Where You Can Find More Information
beginning on page 130. Additionally, some of the statements
contained in, or incorporated by reference into, this proxy
statement are forward-looking statements. See the section
entitled Cautionary Statement Concerning Forward-Looking
Statements beginning on page 30. All references in
this proxy statement to dollars or $ are to U.S. dollars.
In this proxy statement, unless otherwise indicated, we refer to
accounting principles generally accepted in the
United States as GAAP. Except as the context
otherwise requires, references in this proxy statement to
BioScrip, we, our or
us are to BioScrip, Inc.
The
Transaction (see page 35)
On January 24, 2010, BioScrip entered into an Agreement and
Plan of Merger with Camelot, CHS, the Stockholders
Representative and the Stockholders. CHS is a privately held
company that is a leading provider of home infusion and home
nursing services and products to patients suffering from chronic
and acute medical conditions. At the effective time of the
merger, CHS will merge with and into Camelot, with Camelot as
the surviving entity. If the merger with CHS is completed, CHS
and its subsidiaries would be subsidiaries of Camelot. In
addition, if the merger is completed, each share of CHS common
stock, par value $0.001 per share, issued and outstanding at the
time of the merger will be converted into the right to receive
(i) a number of shares of BioScrips common stock, par
value $0.0001 per share, (ii) cash and (iii) following
the closing of the merger, its pro rata share of any dividends
or distributions of BioScrip common stock made from the escrow
fund, in each case calculated in accordance with the terms of
the Agreement and Plan of Merger. In addition, at the closing of
the merger, BioScrip, will issue to the Stockholders and certain
optionholders of CHS a number of warrants to purchase shares of
BioScrip common stock. See the section entitled The
Agreement and Plan of Merger beginning on page 53 for
a more detailed discussion.
BioScrip also has entered into a Stockholders Agreement
with the Stockholders Representative, the Stockholders and
certain optionholders of CHS. The Stockholders Agreement
grants rights to such parties, including the right to designate
up to two nominees for election to the BioScrip board of
directors upon the closing of the merger. The Stockholders
Agreement also contains transfer restrictions and standstill
restrictions relating to shares of BioScrips common stock
that will be issued to such parties in connection with the
merger. In addition, the Stockholders Agreement gives such
parties rights with respect to the registration under the
Securities Act of the shares of BioScrip common stock to be
issued to such parties, including the shares to be issued upon
exercise of the warrants, pursuant to the terms of the Agreement
and Plan of Merger. See the section entitled The
Stockholders Agreement on page 68 for a more
detailed discussion.
BioScrip also has agreed to enter into a Warrant Agreement with
the Stockholders and certain optionholders of CHS pursuant to
which BioScrip will issue to such parties warrants to purchase
an aggregate of 3,400,945 shares of BioScrips common
stock, subject to adjustment in certain circumstances in
accordance with the terms of the Warrant Agreement. See the
section entitled The Warrant Agreement on
page 72 for a more detailed discussion.
In addition, certain of BioScrips directors and executive
officers have entered into a Common Stock Voting Agreement with
CHS and the Stockholders Representative, pursuant to which
such directors and executive officers have agreed to vote their
shares in favor of the proposal to issue additional shares of
our common stock in connection with the merger with CHS, and to
vote their shares against any action that would impede, delay or
interfere with the approval and adoption of the merger with CHS.
Pursuant to the Common Stock Voting Agreement, the directors and
executive officers party thereto also have agreed that at the
first annual meeting of BioScrip stockholders following the
closing of the merger with CHS, they will each vote their shares
in favor of each nominee for director that has been designated
by the Stockholders Representative
6
or its affiliates in accordance with the terms of the Agreement
and Plan of Merger. See the section entitled The Common
Stock Voting Agreement on page 74 for a more detailed
discussion.
BioScrip also has agreed to enter into an Escrow Agreement with
U.S. Bank National Association, as escrow agent, and the
Stockholders Representative. The Escrow Agreement will
specify the respective rights and obligations of the parties
with respect to the escrow property, which will consist of
2,696,516 shares of our common stock having an aggregate
value of $22.5 million (based on a value per share of
$8.3441), and all dividends and interest income earned on the
escrow property. Under the terms of the Escrow Agreement, the
escrow property may be disbursed (i) if a purchase price
adjustment is required to be paid to BioScrip, or
(ii) pursuant to certain indemnification obligations of the
Stockholders, in each case in accordance with the terms of the
Agreement and Plan of Merger. The Escrow Agreement also will set
forth the process by which the parties may dispute the
disbursement of any shares of BioScrip common stock from the
escrow property. See the section entitled The Escrow
Agreement on page 76 for a more detailed discussion.
BioScrips
Reasons for the Transaction (see page 39)
Our board of directors has unanimously approved the merger with
CHS and determined that the merger and the other transactions
contemplated by the Agreement and Plan of Merger are advisable
and in the best interests of BioScrip and its stockholders, and
that the merger is fair to, and in the best interests of,
BioScrips stockholders. Accordingly, our board of
directors has recommended that you vote FOR the
issuance of shares of our common stock, based on its belief, in
consultation with BioScrips senior management, its
internal and outside legal counsel and its financial advisor,
that the merger with CHS will improve our competitive position
and ability to expand our operations, and will permit us to
benefit from an increased operating scale. The factors that our
board of directors and senior management considered in
connection with the merger are described in more detail under
the section entitled The Transaction
BioScrips Reasons for the Transaction.
Financing
Related to the Transaction (see page 48)
In order to fund the cash payments in respect of the merger and
refinance existing indebtedness of CHS (approximately
$132 million) and BioScrip, BioScrip has entered into a
commitment letter with Jefferies Finance, pursuant to which
Jefferies Finance has committed to provide BioScrip with
$375 million in debt financing comprised of
$150 million in senior credit facilities and
$225 million in other debt facilities.
The senior credit facilities to be provided by Jefferies Finance
consist of a $100 million term loan and a $50 million
revolving line of credit. The term loan matures five years after
funding and has a repayment schedule equal to 2.5%, 5.0%, 7.5%,
10.0% and 12.5% of its principal amount in years one through
five with the balance due at maturity. The revolving line of
credit will be available for five years after the closing of the
merger and $5 million of the revolving line of credit will
be available for letters of credit and swing line loans.
Interest on both the term loan and advances under the revolving
line of credit will be based on a base rate or Eurodollar rate
plus an applicable margin. The revolving line of credit will
also carry a commitment fee payable on the unused portion of the
credit line. Both the term loan and the revolving line of credit
will be guaranteed by all subsidiaries of BioScrip and be
secured by first priority security interests in substantially
all assets of BioScrip (including the capital stock of its
subsidiaries) and all such subsidiary guarantors. Definitive
documentation will include customary affirmative and negative
covenants and events of defaults, as well as financial covenants
relating to a maximum total leverage ratio and a minimum fixed
charge coverage ratio.
The other debt facilities are expected to be in the form of
$225 million in senior unsecured notes with a
51/2 year
term to be offered in a private placement to qualified
institutional buyers (as such term is defined in
Rule 144A of the Securities Act). The notes are expected to
be guaranteed by BioScrips subsidiaries, but will be
unsecured. Definitive documentation would be expected to include
customary affirmative and negative covenants and events of
default, but no financial covenants.
Closing of the credit facilities will be subject to standard
conditions precedent, including consummation of the transaction
contemplated by the merger agreement; delivery of financial
statements showing satisfaction of certain historical and pro
forma financial compliance tests; the execution of definitive
documentation; and the absence of any material adverse change.
7
The commitments of Jefferies Finance will terminate if the
merger is abandoned, if CHS accepts an alternative acquisition
proposal, or if the merger and financings have not closed by
June 30, 2010.
Jefferies Finance will act as sole administrative agent,
collateral agent, book-runner, lead arranger and syndication
agent with respect to the financing, and will receive certain
fees in connection therewith from BioScrip.
Jefferies Finance has reserved the right to require, after
consultation with BioScrip, at a time determined by Jefferies
Finance, that BioScrip cause the senior credit facilities to be
closed into escrow pursuant to the definitive debt documents,
with escrowed loan proceeds to be distributed to finance the
closing or pay in full all senior loans then made not later than
June 30, 2010.
Opinion
of BioScrips Financial Advisor (see
page 41)
Jefferies & Company, Inc. (Jefferies &
Company) was engaged to render an opinion to
BioScrips board of directors as to whether the
consideration to be paid by BioScrip pursuant to the Agreement
and Plan of Merger was fair, from a financial point of view, to
BioScrip. On January 24, 2010, Jefferies &
Company delivered to the board of directors its oral opinion,
which was subsequently confirmed in writing, that, as of the
date of its opinion, based upon and subject to the assumptions,
limitations, qualifications, and factors contained in its
opinion, the consideration (as defined in the opinion) to be
paid by BioScrip pursuant to the Agreement and Plan of Merger
was fair, from a financial point of view, to BioScrip. See the
section entitled The Transaction Opinion of
BioScrips Financial Advisor for a more detailed
description of Jefferies & Companys opinion.
The
Companies
BioScrip,
Inc.
BioScrip, Inc.
100 Clearbrook Road
Elmsford, New York 10523
BioScrip is a specialty pharmaceutical healthcare organization
that partners with patients, physicians, healthcare payors and
pharmaceutical manufacturers to provide access to medications
and management solutions to optimize outcomes for chronic and
other complex healthcare conditions. We offer comprehensive
support, dispensing and distribution, patient care management,
data reporting as well as a range of other complex therapy
management services for certain chronic health conditions. We
also provide traditional mail service pharmacy fulfillment, and
to a lesser extent, prescription discount card programs and
fully funded pharmacy benefit management services. We own and
operate 38 specialty pharmacies comprised of community
pharmacies, located in major metropolitan areas across the
United States, mail order pharmacies, and infusion pharmacies.
The patients we service typically have prescription or medical
drug coverage through commercial insurance, Medicare, Medicaid
and/or other
governmental programs, and we are primarily reimbursed by the
patients insurer. Our specialty programs are designed to
optimize the therapeutic outcomes for patients while achieving
plan sponsors
and/or
pharmaceutical manufacturers program goals. These goals
include appropriate utilization of therapies, improved patient
compliance and adherence rates, reduced expenditures through
discounted drug rates and utilization reporting. BioScrips
fiscal year 2008 revenues were $1.4 billion and as of
February 3, 2010, we had 882 full-time employees,
33 part-time employees and 403 per diem employees,
including 199 licensed pharmacists.
Critical
Homecare Solutions Holdings, Inc.
Critical Homecare Solutions Holdings, Inc.
Two Tower Bridge
One Fayette Street, Suite 150
Conshohocken, Pennsylvania 19428
8
CHS is a leading provider of comprehensive home infusion therapy
and home nursing products and services to patients suffering
from acute or chronic conditions. Home infusion therapy involves
the preparation, delivery, administration and clinical
monitoring of pharmaceutical treatments that are administered to
a patient via intravenous, subcutaneous, intramuscular and
intra-spinal methods. These therapies are prescribed when a
patients condition is so severe that it cannot be treated
effectively by oral medications. CHS operates in two business
segments: home infusion therapy and home nursing. Through its
home infusion therapy segment, CHS provides for infusion
pharmaceuticals, biopharmaceuticals, nutrients and related
services and equipment to patients in the home through 35
infusion locations servicing 22 states, primarily in the
eastern United States. Through its home nursing segment, CHS
provides nursing and therapy visits as well as private duty
nursing services to patients in the home through 33 home nursing
locations servicing six states. As of September 30, 2009,
CHS had approximately 15,000 active patients on service through
its branch network. CHS has relationships with a large number of
payors, including insurers, managed care organizations and
government payors. In the nine months ended September 30,
2009 and in the year ended December 31, 2008, CHS generated
net revenue of $187.5 million and $230.9 million,
respectively.
CHS was incorporated in Delaware on August 8, 2006 under
the name KCHS Holdings, Inc. and changed its name to Critical
Homecare Solutions Holdings, Inc. in 2007. CHS was formed by
Kohlberg Investors V, L.P., Kohlberg TE Investors V,
L.P., Kohlberg Offshore Investors V, L.P., Kohlberg
Partners V, L.P. and KOCO Investors V, L.P.
(collectively, the Kohlberg Entities) in connection
with the acquisition by CHS of Specialty Pharma, Inc.
(Specialty Pharma) and New England Home Therapies,
Inc. (New England Home Therapies). Specialty Pharma
is a comprehensive home infusion provider and specialty pharmacy
provider based in Connecticut. New England Home Therapies is a
Massachusetts-based provider of home infusion products and
services. CHS is a holding company that conducts substantially
all of its operations through its direct and indirect
subsidiaries. CHS is headquartered in Conshohocken, Pennsylvania.
Board of
Directors and Management of BioScrip Following the Transaction
(see page 49)
Following the transaction, the BioScrip board of directors will
be expanded to 10 directors from nine directors (with an
existing vacancy). The existing vacancy and the vacancy created
by the increase in the authorization of the additional
directorship will be filled by two directors designated by the
Stockholders Representative upon the closing of the
merger. We refer to the directors designated by the
Stockholders Representative as the Kohlberg Director
Designees. The two Kohlberg Director Designees will hold office
until the next annual meeting of BioScrips stockholders
and until their successors are duly elected and qualified,
unless sooner displaced.
For as long as the Stockholders Representative has the
right to designate one or more Kohlberg Director Designees
pursuant to the terms of the Stockholders Agreement, as
described in the section entitled The Stockholders
Agreement, and except as may be prohibited by applicable
law, at least one of the Kohlberg Director Designees will be
entitled to representation on each of the audit committee, the
management development and compensation committee and the
corporate strategy committee of BioScrips board of
directors.
The
Special Meeting of BioScrip Stockholders (see
page 31)
Time; Date; Place. We will hold a special
meeting of our stockholders at BioScrips executive offices
located at 100 Clearbrook Road, Elmsford, New York 10523
on , ,
2010
at ,
local time.
Purpose of the Meeting. At the special
meeting, you will be asked to vote on the proposals described
below. In addition, at the special meeting, we may transact such
other business as may properly come before the special meeting
or any properly reconvened special meeting following an
adjournment of the special meeting.
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The Issuance of Common Stock Proposal
(Proposal No. 1). You will be asked to
approve the issuance of up to approximately 12.9 million
shares of BioScrip common stock (subject to increase as
described in this proxy statement if the net indebtedness of CHS
is less than $132 million at closing), as well as
3,400,945 shares of common stock to be issued upon exercise
of warrants to be issued to the Stockholders and certain
optionholders of CHS, pursuant to the Agreement and Plan of
Merger. If the issuance of shares of BioScrips common
stock is approved, then in accordance with the Agreement
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and Plan of Merger, CHS will merge with and into Camelot, with
Camelot as the surviving entity. The approval of the issuance of
BioScrip common stock is a condition to the completion of the
merger with CHS.
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The Adjournment Proposal
(Proposal No. 2). You may be asked to
approve an adjournment of the special meeting for a period of
not more than 30 days, if necessary, to solicit additional
proxies in the event that there are not sufficient votes at the
time of the special meeting to approve Proposal No. 1.
The approval of the adjournment of the special meeting is not a
condition to completion of the merger with CHS.
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Record Date; Shares Entitled to
Vote. BioScrip has fixed the close of business on
February 8, 2010 as the record date for the determination
of holders of BioScrip common stock entitled to receive notice
of and to vote at the special meeting and any adjournment of the
special meeting. No other shares of BioScrip capital stock are
entitled to notice of and to vote at the special meeting. At the
close of business on the record date, BioScrip had outstanding
and entitled to vote 40,420,776 shares of common stock.
Required Votes. Votes cast by proxy or in
person at the special meeting will be tabulated by the inspector
of elections of the special meeting. The inspector of elections
also will determine whether or not a quorum is present. The
presence, in person or by proxy, of the holders of a majority of
the shares of common stock issued and outstanding as of the
record date for the special meeting is necessary to constitute a
quorum at the special meeting. Shares of common stock
represented at the special meeting in person or by proxy but not
voted will be counted for purposes of determining a quorum.
Accordingly, abstentions and broker non-votes
(shares as to which a broker or nominee has indicated that it
does not have discretionary authority to vote) on a particular
matter will be treated as shares that are present and entitled
to vote at the special meeting for purposes of determining the
presence of a quorum.
The proposal to approve the issuance of BioScrip common stock in
accordance with the terms of the Agreement and Plan of Merger,
must be approved by the affirmative vote of the holders of a
majority of the shares of BioScrip common stock present in
person or represented by proxy at the special meeting at which a
quorum is present. The proposal to adjourn the special meeting,
if necessary, to solicit additional proxies must be approved by
the affirmative vote of the holders of a majority of the shares
of BioScrip common stock present in person or represented by
proxy at the special meeting, whether or not a quorum is present.
The approval of the issuance of BioScrip common stock in
accordance with the terms of the Agreement and Plan of Merger is
a condition to the completion of the merger with CHS. As a
result, a vote against the proposal relating to the issuance of
BioScrip common stock effectively will be a vote against the
merger of BioScrip with CHS.
The approval of the proposal to adjourn the special meeting, if
necessary, to solicit additional proxies in favor of the
proposal to issue shares of BioScrip common stock is not a
condition to the completion of the merger with CHS.
Recommendation of the BioScrip Board of
Directors. The BioScrip board of directors has
unanimously determined that the merger with CHS is fair to and
in the best interests of BioScrip and its stockholders and
approved the issuance of BioScrip common stock in accordance
with the Agreement and Plan of Merger and the adjournment of the
special meeting, if necessary, to solicit additional proxies in
favor of the common stock issuance proposal.
The BioScrip board of directors recommends that you vote
FOR the approval of the issuance of BioScrip common
stock in accordance with the Agreement and Plan of Merger and
FOR the approval of the adjournment of the special
meeting, if necessary, to solicit additional proxies in favor of
the common stock issuance proposal.
The
Agreement and Plan of Merger (see page 53)
The Agreement and Plan of Merger, which is attached to this
proxy statement as Annex A, is described in more detail
beginning on page 53. We urge you to read the Agreement and
Plan of Merger in its entirety because this document is the
legal document governing the proposed merger with CHS.
10
Completion of the Merger with CHS is Subject to
Conditions. The obligations of BioScrip to
consummate the merger with CHS are subject to the satisfaction
or waiver of various conditions, including:
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BioScrips stockholders adopting and approving the proposal
to issue shares of BioScrip common stock at the special meeting
of stockholders called for this purpose;
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the representations and warranties of the Stockholders and CHS
being true and correct as of the date of closing, or, to the
extent they expressly relate to a specific date, then as of that
specific date, with only these exceptions which, individually or
in the aggregate, would not reasonably be expected to have a
material adverse effect;
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any waiting period under the HSR Act applicable to the merger
having terminated or expired;
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on the date of closing, there existing no injunction or other
order issued by any government authority or court of competent
jurisdiction which prohibits the consummation of the merger or
materially deprives BioScrip of the benefits of the merger;
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BioScrip having received payoff letters with respect to the
payment of the aggregate outstanding principal and accrued
interest and other amounts payable in respect of certain CHS
credit agreements and the release of any liens related thereto;
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all required licenses, permits, consents, authorizations,
approvals, qualifications and orders of governmental authorities
and certain other persons having been obtained;
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the Escrow Agreement having been executed and delivered by the
Stockholders Representative;
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the Stockholders Agreement having been executed and
delivered by each of the Stockholders and any holders of CHS
stock options, if any, receiving shares of BioScrips
common stock in connection with the merger with CHS;
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BioScrip having received the proceeds of the debt financing on
the specified terms;
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BioScrip having received the opinion of King &
Spalding LLP to the effect that the merger will be treated as a
reorganization within the meaning of
Section 368(a) of the Internal Revenue Code of 1986, as
amended (the Code);
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BioScrip having received the audited consolidated balance sheet
of CHS and its subsidiaries as of December 31, 2009 and the
related audited consolidated statements of income,
shareholders equity and cash flows of CHS and its
subsidiaries for the year then ended, together with the notes
and schedules thereto and an unqualified audit opinion of its
independent registered public accounting firm with respect
thereto;
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BioScrip having received the accountants consent and
comfort letters that have been reasonably requested
under the Agreement and Plan of Merger prior to the closing date
in connection with the debt financing;
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in the event that the Stockholders would receive BioScrip common
stock valued at the Applicable Stock Value (as defined below) as
a result of cash amounts that otherwise would have been paid to
the Stockholders causing the Threshold Percentage (as defined
below) to be lower than 40.5% at the time of such payments, the
Applicable Stock Value (as determined at 4:00 p.m. as of
the last trading day immediately preceding the scheduled date of
closing, and as adjusted for splits, conversions and reverse
splits) not being less than $5.2151. The term Applicable
Stock Value means the average of the high and low selling
prices of a share of BioScrips common stock quoted on
NASDAQ, as reported by The Wall Street Journal, for the
last trading day immediately before (1) January 24,
2010 if, as of the closing date, Temp. Reg.
section 1.368-1(e)(2)
has not expired or has been replaced by a regulation permitting
or requiring BioScrips common stock to be valued, for
purposes of applying the continuity of interest requirement
under Section 368 of the Code, on the last trading day
immediately before January 24, 2010, or (2) the date
of closing if the condition described in clause (1) above
is not satisfied as of such date. The term Threshold
Percentage means the quotient (expressed as a percentage)
obtained by dividing (i) the product of the aggregate
number of shares of BioScrips
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11
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common stock delivered to the Stockholders under the Agreement
and Plan of Merger (excluding the 2,969,516 shares to be
held in escrow) multiplied by the Applicable Stock Value (the
Non-Escrow Stock Consideration), by (ii) the
sum of (a) the Non-Escrow Stock Consideration, plus
(b) the aggregate amount of cash paid to the Stockholders,
plus (c) all amounts payable to the holders of CHSs
Series A Preferred Stock, $0.001 par value per share,
at the closing of the merger, plus (d) $15 million
(which represents the aggregate fair market value of the
warrants to be issued pursuant to the Warrant
Agreement); and
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CHS, the Stockholders Representative and the Stockholders
having satisfied other customary closing conditions.
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The obligations of CHS to effect the transactions contemplated
by the Agreement and Plan of Merger are conditioned on the
satisfaction or waiver of various conditions, including:
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the representations and warranties of BioScrip being true and
correct in all material respects as of the date of closing, or,
to the extent they expressly related to a specific date, then as
of the specific date, with only those exceptions which,
individually or in the aggregate, would not reasonably be
expected to have a material adverse effect;
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any waiting period under the HSR Act applicable to the merger
having terminated or expired;
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on the date of closing, there existing no injunction or other
order issued by any government authority or court of competent
jurisdiction which prohibits the consummation of the merger;
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all required licenses, permits, consents, authorizations,
approvals, qualifications and orders of governmental authorities
and certain persons having been obtained;
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the Escrow Agreement having been executed and delivered by the
Stockholders Representative and BioScrip;
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the Stockholders Agreement having been executed and
delivered by each of the Stockholders and any holders of CHS
stock options, if any, receiving shares of BioScrips
common stock in connection with the merger with CHS;
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BioScrip having received the proceeds of the debt financing on
the specified terms;
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the BioScrip stockholders having approved the proposal to issue
shares of BioScrip common stock;
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CHS having received the opinion of Paul, Weiss, Rifkind,
Wharton & Garrison LLP (Paul, Weiss) to
the effect that the merger will be treated as a
reorganization within the meaning of
Section 368(a) of the Code;
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the per share price (as determined at 4:00 pm as of the relevant
date) of BioScrips common stock on NASDAQ (as adjusted for
splits, conversions and reverse splits) not being less than
$5.2151 for the 10 trading days immediately preceding the
scheduled date of closing; and
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BioScrip having satisfied other customary closing conditions.
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BioScrip Financing. In addition to the
completion of all those conditions to the merger on the parts of
CHS and BioScrip to be performed as described above, the
financing offered by Jefferies Finance may be terminated by it
at any time prior to the closing upon the failure of certain
customary conditions precedent.
The Agreement and Plan of Merger May Be Terminated under
Certain Circumstances. The Agreement and Plan of
Merger may be terminated at any time prior to the closing,
whether before or after approval by BioScrip stockholders of the
issuance of BioScrip common stock in accordance with the terms
of the Agreement and Plan of Merger, in any of the following
ways:
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by mutual written consent of BioScrip and the Stockholders
Representative; or
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by either BioScrip or the Stockholders Representative if
the closing date has not occurred on or before June 30,
2010 (subject to extension by mutual agreement in the event of
regulatory or antitrust issues),
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12
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but only if the terminating party is not then in material breach
of any representation, warranty, covenant or other agreement
contained in the Agreement and Plan of Merger; or
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subject to BioScrips obligations relating to challenges to
the merger as violative of antitrust laws, by BioScrip or the
Stockholders Representative if a court of competent
jurisdiction or other governmental authority has issued an order
or injunction or taken any other action (which order, injunction
or action the parties will use their commercially reasonable
efforts to lift) permanently restraining, enjoining or otherwise
prohibiting the transactions contemplated under the Agreement
and Plan of Merger and such order or action has become final and
nonappealable; or
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by the Stockholders Representative, if neither CHS nor any
of the Stockholders is then in material breach of any term of
the Agreement and Plan of Merger, upon written notice to
BioScrip, upon a material breach of any representation, warranty
or covenant of BioScrip contained in the Agreement and Plan of
Merger such that the conditions to closing set forth in
Agreement and Plan of Merger cannot be satisfied and such breach
is not capable of being cured or has not been cured within
30 days after the giving of notice thereof by the
Stockholders Representative to BioScrip; or
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by BioScrip, if BioScrip is not then in material breach of any
term of the Agreement and Plan of Merger, upon written notice to
Stockholders Representative, upon a material breach of any
representation, warranty or covenant of CHS or the Stockholders
contained in the Agreement and Plan of Merger such that the
conditions to closing set forth in Agreement and Plan of Merger
cannot be satisfied and such breach is not capable of being
cured or has not been cured within 30 days after the giving
of notice thereof by BioScrip to the Stockholders
Representative; or
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by the Stockholders Representative or BioScrip if the
BioScrip stock issuance proposal has been submitted to the
BioScrip stockholders for adoption by written consent or at a
duly convened special meeting of stockholders (or adjournment
thereof) and the approval of the BioScrip stockholders was not
obtained.
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Indemnification. Subject to certain
limitations, from and after the closing date, each Stockholder
has agreed, on a several basis (and not joint or joint and
several), to indemnify and hold harmless BioScrip, its
affiliates and their respective officers, directors, employees,
stockholders, partners, and members (each, a BioScrip
Indemnitee) from and against any and all losses,
liabilities, expenses (including reasonable attorneys
fees), claims, suits, actions and damages (collectively,
Losses) arising from, or in connection with, any
(i) breach of any covenant or agreement made under the
Agreement and Plan of Merger by the Stockholders,
(ii) breach of any covenant or agreement made under the
Agreement and Plan of Merger by CHS or of its subsidiaries
(solely with respect to covenants and agreements to be made or
performed by CHS or any of its subsidiaries prior to the
closing) (the CHS Covenants) (other than breaches of
certain tax covenants and any Losses arising from taxes imposed
on CHS or any of its subsidiaries as a result of a breach of any
of the CHS Covenants, all of which are governed by a separate
tax indemnity described below), (iii) breach of any of
CHSs representations (other than breaches of the tax
representations which are governed by a separate tax indemnity
described below), (iv) breach of any of the representations
of the Stockholders, (v) any earnout or other amounts paid
to the sellers or any other parties in connection with that
certain Stock Purchase Agreement by and among Option Health,
Ltd. (d/b/a Optioncare of the Quad Cities), Kathy Budge (f/k/a
Kathy Goodwin) and Infusion Partners LLC, dated as of
June 10, 2009, and (vi) claims made in pending or
future suits, actions, investigations or other legal proceedings
in respect of that certain membership interest purchase
agreement dated as of June 20, 2008 by and between
Professional Home Care Services, Inc. and Alexander Infusion,
LLC, including the lawsuit filed by Alexander Infusion, LLC in
the Supreme Court of the State of New York, Nassau County, on or
around March 31, 2009. Each Kohlberg Entity will jointly
and severally indemnify and hold harmless the BioScrip
Indemnitees for any indemnification obligation of any Kohlberg
Entity pursuant to the Agreement and Plan of Merger.
Subject to certain limitations, BioScrip has agreed to indemnify
and hold harmless the Stockholders, and each of their respective
affiliates, officers, directors, employees, stockholders,
partners and members, and prior to the closing, CHS and any of
its subsidiaries and their respective officers, directors and
employees, from and against any Losses arising from or in
connection with (i) the breach of any representation or
warranty of
13
BioScrip or Camelot in the Agreement and Plan of Merger and
(ii) the breach of any covenant or agreement made by
BioScrip or Camelot in the Agreement and Plan of Merger.
The indemnification provided for under the Agreement and Plan of
Merger is described in more detail in the section entitled
The Agreement and Plan of Merger below.
The
Stockholders Agreement (see page 68)
The Stockholders Agreement, which is attached to this
proxy statement as Annex B, is described in more detail
beginning on page 68. We urge you to read the entire
Stockholders Agreement carefully because it is the legal
document governing important aspects of the relationship among
the parties to the Stockholders Agreement.
The Stockholders Agreement grants rights to the
Stockholders Representative and the parties to the
Stockholders Agreement, including with respect to the
designation of nominees for election to the BioScrip board of
directors upon the closing of the merger. The Stockholders
Agreement also contains transfer restrictions and standstill
restrictions relating to shares of our common stock that will be
issued to the Stockholders and certain optionholders of CHS in
connection with the merger.
In addition, the Stockholders Agreement gives rights with
respect to the registration under the Securities Act of the
shares of BioScrip common stock to be issued to the Stockholders
and certain optionholders of CHS, including the shares to be
issued in connection with the exercise of the warrants, pursuant
to the Agreement and Plan of Merger. Pursuant to the
Stockholders Agreement, the holders of the BioScrip common
stock issued in connection with the merger will be entitled to
unlimited registration rights on
Form S-3
(or any successor form then in effect), so long as BioScrip is
eligible to file a registration statement on
Form S-3
at the time of the exercise of any registration right, beginning
on the six month anniversary of the closing date of the merger
and BioScrip has agreed to use commercially reasonable efforts
to file such registration statement within a specified time and
to cause it to become effective as soon as possible after the
filing; and if at any time following the closing date of the
merger, BioScrip proposes for any reason to register its own
shares or shares held by any holder of shares of the BioScrip
common stock issued in connection with the merger (other than on
Form S-4
or
Form S-8),
then such stockholders will have unlimited pro rata
piggyback rights subject to underwriter cutbacks
that will be pro rata among all such holders. In either case,
the demand for registration rights will be subject to customary
limitations on the minimum amount to be registered and on the
right to demand a registration for a period of three months
following the exercise of the registration right. BioScrip will
bear all expenses (exclusive of underwriting commissions payable
by selling stockholders) of such
Form S-3
and piggyback registrations.
Unless otherwise terminated earlier in accordance with its
terms, the Stockholders Agreement will terminate upon the
written consent of BioScrip and the stockholders party to the
Stockholders Agreement holding not less than a majority of
the aggregate issued and outstanding shares of BioScrip common
stock beneficially owned by the stockholders. In addition, if
the Agreement and Plan of Merger is terminated in accordance
with its terms, then the Stockholders Agreement will
automatically, and without any further action of the parties to
the Stockholders Agreement, terminate and be of no further
force and effect.
The
Warrant Agreement (see page 72)
BioScrip has agreed to enter into a Warrant Agreement with the
Stockholders and certain optionholders of CHS pursuant to which
BioScrip will issue to such parties warrants to purchase an
aggregate of 3,400,945 shares of BioScrips common
stock, subject to adjustment as described in the Warrant
Agreement. The Warrant Agreement, which is attached as
Annex C, is described in more detail beginning on
page 72. We urge you to read the Warrant Agreement in its
entirety because it is a legal document governing important
aspects of the consideration paid to certain CHS stockholders
upon the consummation of the merger.
14
The
Common Stock Voting Agreement (see page 74)
Certain of our directors and executive officers have entered
into a Common Stock Voting Agreement with CHS and the
Stockholders Representative pursuant to which such
directors and executive officers have agreed to vote their
shares in favor of the proposal to issue shares of BioScrip
common stock, and to vote their shares against any action that
would impede, delay or interfere with the approval and adoption
the merger with CHS. Pursuant to the Common Stock Voting
Agreement, such directors and executive officers also agreed to
vote their shares in favor of each of the two Kohlberg Director
Designees at the first annual meeting of the BioScrip
stockholders following the closing of the merger with CHS.
Escrow
Agreement (see page 76)
We have agreed to enter into an Escrow Agreement with
U.S. Bank National Association, as escrow agent, and the
Stockholders Representative. The Escrow Agreement will
specify the respective rights and obligations of the parties
with respect to the escrow property, which will consist of
2,696,516 shares of our common stock having an aggregate
value of $22.5 million (based on a value per share of
$8.3441), and all dividends and interest income earned on the
escrow property. Under the terms of the Escrow Agreement, the
escrow property may be disbursed (i) in the case that a
purchase price adjustment is required to be paid, or
(ii) pursuant to indemnification obligations, in each case
in accordance with the terms of the Agreement and Plan of
Merger. The Escrow Agreement also will set forth the process by
which the parties may dispute the disbursement of any shares of
BioScrip common stock from the escrow property.
Regulatory
Approvals Required for the Merger with CHS (see
page 49)
Under the HSR Act and the rules and regulations promulgated
thereunder, BioScrips merger with CHS may not be
consummated until required information and materials have been
furnished to the Department of Justice (the DOJ) and
the Federal Trade Commission (the FTC), and certain
waiting period requirements have expired or been terminated. On
January 29, 2010, each of BioScrip and CHS filed a
Pre-Merger Notification and Report Form pursuant to the HSR Act
with the DOJ and the FTC. At any time before the closing of the
merger, the DOJ, the FTC or others could take action under the
antitrust laws with respect to the merger, including seeking to
enjoin the consummation of the merger, to rescind the merger or
to require the divestiture of certain assets of BioScrip or CHS.
There can be no assurance that a challenge to the merger on
antitrust grounds will not be made or, if such a challenge is
made, that it would not be successful.
CHS, through its subsidiaries, holds healthcare licenses,
permits and registrations with various state and federal
agencies, including home health agency licenses, pharmacy
licenses and registrations with the U.S. Drug Enforcement
Administration. In connection with the merger, certain of these
licenses, permits and registrations may need to be transferred
or new ones obtained to reflect the change in control of CHS.
Further, CHS, through its subsidiaries, participates in Medicare
and various state Medicaid programs. In connection with the
merger, some of these Medicare provider numbers may need to be
transferred or new ones obtained to reflect the change in
control of CHS. There could be interruption of cash flow and/or
loss of revenue during the pendency of any changes to CHSs
Medicare provider numbers.
Material
U.S. Federal Income Tax Consequences of the Merger (see
page 50)
BioScrip and CHS intend that the merger will be treated for
U.S. federal income tax purposes as a
reorganization within the meaning of
Section 368(a) of the Code and it is a condition to closing
that each of BioScrip and CHS receive an opinion of legal
counsel to that effect. If the merger qualifies as a
reorganization, (i) no gain or loss will be recognized by
BioScrip or CHS as a result of the merger, and (ii) a
U.S. holder of CHS common stock generally will recognize
any gain (but not loss) realized on the exchange of CHS common
stock for BioScrip common stock, cash and warrants to purchase
BioScrip common stock. However, the amount of the holders
taxable gain will not exceed the amount of cash received by the
holder on the exchange.
15
Anticipated
Accounting Treatment (see page 50)
The merger will be accounted for by BioScrip as an acquisition.
The aggregate consideration paid by BioScrip in connection with
the merger will be allocated to CHSs assets and
liabilities based on their fair values, with any excess being
treated as goodwill. CHSs assets, liabilities and results
of operations will be consolidated with the assets, liabilities
and results of operations of BioScrip after consummation of the
merger.
16
COMPARATIVE
HISTORICAL AND PRO FORMA PER SHARE DATA
The following table presents historical per share data for
BioScrip and CHS; pro forma per share data for BioScrip after
giving effect to the merger with CHS; and pro forma equivalent
per share data for CHS with respect to the portion of the merger
consideration that will be received in the form of shares of
BioScrip common stock. You should read this table in conjunction
with the historical audited and unaudited consolidated financial
statements of BioScrip that are filed with the Securities and
Exchange Commission (the SEC) and incorporated by
reference in this document and the historical consolidated
financial statements of CHS contained elsewhere in this
document. See the sections entitled Where You Can Find
More Information beginning on page 130 and
Critical Holding Solutions Holdings, Inc.
Managements Discussion and Analysis of Financial Condition
and Results of Operations beginning on page 99.
We are providing the unaudited pro forma combined condensed
financial data for informational purposes only. It does not
necessarily represent or indicate what the financial position
and results of operations of BioScrip would actually have been
had the merger with CHS and other pro form adjustments in fact
occurred at the dates indicated. It also does not necessarily
represent or indicate the future financial position or results
of operations BioScrip will achieve after the merger with CHS.
The accompanying unaudited per share data gives effect to the
merger with CHS assuming a purchase price of $110 million
in cash, the assumption of $132 million of CHS debt and the
issuance of BioScrip common stock and warrants. The pro forma
adjustments related to the merger with CHS are preliminary and
do not reflect the final purchase price, final debt components
or final allocation of the excess of the purchase price over the
net book value of the assets of CHS, as the process to assign a
fair value to the various tangible and intangible assets
acquired has only just commenced. The pro forma adjustments,
including the allocations of purchase price, are very
preliminary and have been made solely for the purpose of
providing unaudited pro forma consolidated financial
information. Final adjustments will result in modifications to
the final purchase price, debt components and allocation of the
purchase price, which will affect the value assigned to the
tangible or intangible assets and amount of interest expense and
depreciation and amortization expense recorded in the statement
of operations. The effect of the changes to the statements of
operations could be material. The pro forma financial
information is not necessarily indicative of the combined
results of operations or financial position that might have been
achieved for the dates or periods indicated, nor is it
necessarily indicative of the results of operations or financial
position that may occur in the future.
The pro forma per share data does not reflect revenue
opportunities and cost savings that we expect to realize after
the merger with CHS. No assurance can be given with respect to
the estimated revenue opportunities and operating cost savings
that are expected to be realized as a result of the merger with
CHS. The pro forma per share data does not reflect restructuring
or exit costs that may be incurred by BioScrip or CHS in
connection with the merger with CHS.
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CHS
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BioScrip
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BioScrip
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CHS
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Equivalent
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Historical
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Pro Forma
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Historical
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Pro Forma
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Net Income (loss) per common share basic:(A)
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Fiscal year ended December 31, 2008
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$
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(1.93
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)
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|
$
|
(1.51
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)
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$
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0.06
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$
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(0.21
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)
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Nine months ended September 30, 2009
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|
$
|
0.35
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|
$
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0.30
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$
|
0.11
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$
|
0.04
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Net Income (loss) per common share diluted:(A)
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Fiscal year ended December 31, 2008
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$
|
(1.93
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)
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|
$
|
(1.51
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)
|
|
$
|
0.06
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$
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(0.21
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)
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Nine months ended September 30, 2009
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$
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0.34
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$
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0.29
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$
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0.10
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$
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0.04
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Cash dividends per share:
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Fiscal year ended December 31, 2008
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$
|
0.00
|
|
|
$
|
0.00
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|
|
$
|
0.00
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|
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$
|
0.00
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Nine months ended September 30, 2009
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|
$
|
0.00
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|
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$
|
0.00
|
|
|
$
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0.00
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$
|
0.00
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Book value per share as of September 30, 2009
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$
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2.87
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$
|
4.36
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$
|
1.00
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$
|
0.61
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|
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(A) |
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CHS Historical amounts are based on CHS net income available to
common stockholders. |
17
PER SHARE
MARKET PRICE DATA
BioScrip common stock trades on NASDAQ under the symbol
BIOS. The following table shows the high and low
closing sale prices for BioScrip common stock for the periods
indicated, based on NASDAQ composite transactions.
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High
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Low
|
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Fiscal Year 2007
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|
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First Quarter
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3.85
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|
|
|
2.88
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Second Quarter
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|
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4.96
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|
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|
3.00
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Third Quarter
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6.84
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|
4.44
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Fourth Quarter
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9.82
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|
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6.35
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Fiscal Year 2008
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|
|
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First Quarter
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8.47
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|
|
|
5.65
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Second Quarter
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|
|
7.06
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|
|
|
2.55
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Third Quarter
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|
|
5.07
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|
|
|
1.94
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Fourth Quarter
|
|
|
5.00
|
|
|
|
1.26
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Fiscal Year 2009
|
|
|
|
|
|
|
|
|
First Quarter
|
|
|
2.84
|
|
|
|
1.35
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|
Second Quarter
|
|
|
5.99
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|
|
|
1.95
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Third Quarter
|
|
|
7.29
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|
|
|
5.26
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Fourth Quarter
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|
|
9.05
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|
|
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6.25
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Fiscal Year 2010
|
|
|
|
|
|
|
|
|
First Quarter (through February , 2010)
|
|
|
|
|
|
|
|
|
The closing sale price of BioScrips common stock as
reported on NASDAQ on January 22, 2010, the last trading
date before the public announcement of the proposed merger with
CHS, was $7.82 per share. The closing sale price of BioScrip
common stock as reported on NASDAQ on
February , 2010, the latest practicable date
before mailing of this proxy statement, was
$ per share. As of the record
date, there were 284 holders of record of BioScrip common stock
based on information provided by our transfer agent. The number
of stockholders of record does not reflect the actual number of
individual or institutional stockholders that own BioScrip
common stock because most stock is held in the name of nominees.
There are a substantially greater number of beneficial holders
of BioScrip common stock.
We have never declared or paid any cash dividends on our common
stock and we do not anticipate paying cash dividends on our
common stock in the foreseeable future.
18
SUMMARY
SELECTED HISTORICAL CONSOLIDATED
FINANCIAL DATA OF CRITICAL HOMECARE SOLUTIONS HOLDINGS,
INC.
We are providing the following financial information to assist
you in your analysis of the financial aspects of the merger. The
information is only a summary and should be read in conjunction
with each companys historical financial statements and
related notes thereto contained elsewhere herein. The historical
results included below and elsewhere in this document are not
indicative of the future performance of CHS, BioScrip or the
combined company following the merger.
The following table sets forth selected historical financial
data of CHS. The information presented below is only a summary.
You should read it together with CHSs Managements
Discussion and Analysis of Financial Condition and Results of
Operations and historical consolidated financial statements and
accompanying notes in this proxy statement.
CHS had no operations prior to the acquisitions of CHSs
predecessors in September 2006. For all periods prior to
September 2006, the information set forth below has been derived
from the following sources:
|
|
|
|
|
The consolidated statement of operations data for the years
ended December 31, 2004 and 2005 and the consolidated
balance sheet data as of December 31, 2004 and 2005 have
been derived from each of CHSs predecessors
consolidated financial statements and the related notes thereto.
|
|
|
|
The consolidated statement of operations data for the eight
months ended August 31, 2006 and the consolidated balance
sheet data as of August 31, 2006 have been derived from
each of CHSs predecessors audited consolidated
financial statements and the related notes thereto, which were
audited by Deloitte & Touche LLP, an independent
registered public accounting firm, and which are included
elsewhere in this proxy statement.
|
CHSs consolidated statement of operations data for the
four months ended December 31, 2006 and the years ended
December 31, 2007 and 2008 and the consolidated balance
sheet data as of December 31, 2006, 2007 and 2008 have been
derived from CHSs audited consolidated financial
statements and related notes thereto, which were audited by
Deloitte & Touche LLP, an independent registered
public accounting firm, and which are included elsewhere in this
proxy statement.
CHSs consolidated statements of operations data for the
nine months ended September 30, 2009 and 2008 and the
consolidated balance sheet data as of September 30, 2009
and 2008 have been derived from CHSs unaudited condensed
consolidated financial statements and the related notes thereto,
which are included elsewhere in this proxy statement and have
been prepared on the same basis as CHSs audited financial
statements. In the opinion of CHSs management, CHSs
unaudited consolidated financial statements include all
adjustments, consisting only of normal recurring adjustments,
necessary for a fair presentation of the information. CHSs
results of operations for the nine months ended
September 30, 2009 and 2008 are not necessarily indicative
of the results that can be expected for the full year or for any
future period. The financial data gives effect to various
acquisitions from the date of acquisition.
19
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Predecessor
|
|
|
Predecessor
|
|
|
|
CHS(1)
|
|
|
(New England Home Therapies)(1)
|
|
|
(Specialty Pharma)(1)
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
Period from
|
|
|
|
|
|
Period from
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
Fiscal Year Ended
|
|
|
September 1
|
|
|
January 1
|
|
|
Fiscal Year Ended
|
|
|
January 1
|
|
|
Fiscal Year Ended
|
|
|
|
September 30,
|
|
|
December 31,
|
|
|
December 31,
|
|
|
August 31,
|
|
|
December 31,
|
|
|
August 31,
|
|
|
December 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
2008
|
|
|
2007
|
|
|
2006
|
|
|
2006
|
|
|
2005
|
|
|
2004
|
|
|
2006
|
|
|
2005
|
|
|
2004
|
|
|
|
(in thousands, except per share amounts)
|
|
|
Statements of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue
|
|
$
|
187,457
|
|
|
$
|
166,746
|
|
|
$
|
230,868
|
|
|
$
|
193,853
|
|
|
$
|
16,897
|
|
|
$
|
13,217
|
|
|
$
|
17,266
|
|
|
$
|
15,374
|
|
|
$
|
19,741
|
|
|
$
|
29,287
|
|
|
$
|
26,575
|
|
Gross Profit
|
|
$
|
96,326
|
|
|
$
|
87,320
|
|
|
$
|
118,910
|
|
|
$
|
98,507
|
|
|
$
|
7,746
|
|
|
$
|
7,508
|
|
|
$
|
9,803
|
|
|
$
|
8,294
|
|
|
$
|
7,322
|
|
|
$
|
11,934
|
|
|
$
|
11,163
|
|
Terminated transaction costs(2)
|
|
$
|
|
|
|
$
|
2,187
|
|
|
$
|
3,580
|
|
|
$
|
4,379
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
(Loss) gain related to reorganization(3)
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
(56
|
)
|
|
$
|
9,144
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
Net (loss) income
|
|
$
|
11,650
|
|
|
$
|
6,183
|
|
|
$
|
5,967
|
|
|
$
|
1,612
|
|
|
$
|
286
|
|
|
$
|
647
|
|
|
$
|
1,006
|
|
|
$
|
9,564
|
|
|
$
|
(781
|
)
|
|
$
|
157
|
|
|
$
|
233
|
|
Income available to common stockholders
|
|
$
|
10,359
|
|
|
$
|
6,107
|
|
|
$
|
5,723
|
|
|
$
|
1,612
|
|
|
$
|
286
|
|
|
$
|
647
|
|
|
$
|
1,006
|
|
|
$
|
9,564
|
|
|
$
|
(1,132
|
)
|
|
$
|
(335
|
)
|
|
$
|
(220
|
)
|
Net income (loss) available to common stockholders per
share basic
|
|
$
|
0.11
|
|
|
$
|
0.07
|
|
|
$
|
0.06
|
|
|
$
|
0.02
|
|
|
$
|
0.01
|
|
|
$
|
323.68
|
|
|
$
|
503.02
|
|
|
$
|
4,781.78
|
|
|
$
|
(16.59
|
)
|
|
$
|
(4.91
|
)
|
|
$
|
(3.23
|
)
|
Net income (loss) available to common stockholders per
share diluted
|
|
$
|
0.10
|
|
|
$
|
0.06
|
|
|
$
|
0.06
|
|
|
$
|
0.02
|
|
|
$
|
0.01
|
|
|
$
|
323.68
|
|
|
$
|
503.02
|
|
|
$
|
4,781.78
|
|
|
$
|
(16.59
|
)
|
|
$
|
(4.91
|
)
|
|
$
|
(3.23
|
)
|
Weighted average shares outstanding used in computing:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
basic income (loss) per share
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
86,050
|
|
|
|
25,350
|
|
|
|
2
|
|
|
|
2
|
|
|
|
2
|
|
|
|
68
|
|
|
|
68
|
|
|
|
68
|
|
diluted income (loss) per share
|
|
|
104,424
|
|
|
|
95,941
|
|
|
|
96,857
|
|
|
|
86,840
|
|
|
|
25,350
|
|
|
|
2
|
|
|
|
2
|
|
|
|
2
|
|
|
|
68
|
|
|
|
68
|
|
|
|
68
|
|
Balance Sheet Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Working capital(4)
|
|
$
|
30,078
|
|
|
$
|
31,325
|
|
|
$
|
32,515
|
|
|
$
|
27,346
|
|
|
$
|
5,807
|
|
|
$
|
2,020
|
|
|
$
|
1,530
|
|
|
$
|
1,534
|
|
|
$
|
1,953
|
|
|
$
|
2,011
|
|
|
$
|
2,612
|
|
Short term debt (including capital leases)
|
|
$
|
8,090
|
|
|
$
|
5,280
|
|
|
$
|
5,989
|
|
|
$
|
3,214
|
|
|
$
|
1,041
|
|
|
$
|
716
|
|
|
$
|
881
|
|
|
$
|
729
|
|
|
$
|
1,953
|
|
|
$
|
2,635
|
|
|
$
|
3,007
|
|
Long term debt (including capital leases)
|
|
$
|
134,208
|
|
|
$
|
149,181
|
|
|
$
|
145,831
|
|
|
$
|
151,580
|
|
|
$
|
24,981
|
|
|
$
|
2,429
|
|
|
$
|
2,237
|
|
|
$
|
3,025
|
|
|
$
|
1,318
|
|
|
$
|
1,547
|
|
|
$
|
2,155
|
|
Total assets
|
|
$
|
312,251
|
|
|
$
|
301,473
|
|
|
$
|
306,880
|
|
|
$
|
288,270
|
|
|
$
|
61,512
|
|
|
$
|
7,230
|
|
|
$
|
6,474
|
|
|
$
|
5,504
|
|
|
$
|
11,731
|
|
|
$
|
13,922
|
|
|
$
|
15,133
|
|
Stockholders equity (deficit)
|
|
$
|
116,129
|
|
|
$
|
103,362
|
|
|
$
|
103,429
|
|
|
$
|
96,274
|
|
|
$
|
25,461
|
|
|
$
|
1,652
|
|
|
$
|
1,144
|
|
|
$
|
138
|
|
|
$
|
(1,456
|
)
|
|
$
|
(324
|
)
|
|
$
|
12
|
|
Book value per common share outstanding
|
|
$
|
1.3
|
|
|
$
|
1.1
|
|
|
$
|
1.1
|
|
|
$
|
1.1
|
|
|
$
|
1.0
|
|
|
$
|
826.0
|
|
|
$
|
572.0
|
|
|
$
|
69.0
|
|
|
$
|
(21.3
|
)
|
|
$
|
(4.7
|
)
|
|
$
|
0.2
|
|
Common shares outstanding at end of period
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
25,350
|
|
|
|
2
|
|
|
|
2
|
|
|
|
2
|
|
|
|
68
|
|
|
|
68
|
|
|
|
68
|
|
|
|
|
(1)
|
|
No dividends were declared by
CHSs predecessors or CHS for any of the periods presented.
|
(2)
|
|
2008 primarily reflects transaction
costs relative to the termination of CHSs proposed
acquisition by MBF Healthcare Acquisition Corp, which was
effective October 31, 2008. 2007 reflects stock issuance
costs, relative to the termination of CHSs initial public
offering on
Form S-1
with the SEC in January 2008.
|
(3)
|
|
Relates to New England Home
Therapies Plan of Reorganization, pursuant to the
provisions of Chapter 11 of the Bankruptcy Code, filed in
February 2004 for the restructuring of its outstanding creditor
claims.
|
(4)
|
|
Working capital includes current
portion of deferred tax assets, capital lease obligations and
long term debt.
|
20
SUMMARY
SELECTED HISTORICAL CONSOLIDATED
FINANCIAL DATA OF BIOSCRIP
The following information is being provided to aid in your
analysis of the financial aspects of the merger with CHS.
BioScrip derived its financial information from its audited
financial statements for fiscal years 2004 through 2008 and from
its unaudited financial statements for the nine months ended
September 30, 2009 and September 30, 2008. In the
opinion of BioScrips management, this unaudited interim
period information reflects all adjustments, consisting only of
normal recurring adjustments, necessary for a fair presentation
of the results of operations and financial condition for the
nine months ended September 30, 2009 and September 30,
2008. Results for interim periods should not be considered
indicative of results for any other periods or for the year.
The selected consolidated financial data presented below should
be read in conjunction with, and is qualified by reference to,
BioScrips historical audited and unaudited financial
statements and related notes and the section entitled
Managements Discussion and Analysis of Financial
Condition and Results of Operations contained in
BioScrips annual reports, quarterly reports and other
information on file with the SEC and incorporated by reference
into this document. See the section entitled Where You Can
Find More Information beginning on page 130. The 2005
information below includes Chronimed, Inc. beginning March, 2005
and Northland beginning October, 2005. The 2006 information
below includes Intravenous Therapy Services, Inc. beginning
March, 2006.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
|
|
September 30,
|
|
|
Fiscal Year Ended December 31,
|
|
|
|
2009
|
|
|
2008
|
|
|
2008
|
|
|
2007
|
|
|
2006
|
|
|
2005
|
|
|
2004
|
|
|
|
(in thousands, except per share amounts)
|
|
|
Statement of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue(1)
|
|
$
|
987,974
|
|
|
$
|
1,035,338
|
|
|
$
|
1,401,911
|
|
|
$
|
1,197,732
|
|
|
$
|
1,151,940
|
|
|
$
|
1,072,895
|
|
|
$
|
630,516
|
|
Gross profit
|
|
$
|
115,874
|
|
|
$
|
104,179
|
|
|
$
|
142,170
|
|
|
$
|
137,015
|
|
|
$
|
118,056
|
|
|
$
|
116,376
|
|
|
$
|
68,156
|
|
Merger related expenses(2)
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
58
|
|
|
$
|
4,575
|
|
|
$
|
|
|
Goodwill and intangible impairment(3)
|
|
$
|
|
|
|
$
|
|
|
|
$
|
93,882
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
25,165
|
|
|
$
|
|
|
Net (loss) income (4, 5, 6)
|
|
$
|
13,409
|
|
|
$
|
2,552
|
|
|
$
|
(74,032
|
)
|
|
$
|
3,317
|
|
|
$
|
(38,289
|
)
|
|
$
|
(23,847
|
)
|
|
$
|
7,033
|
|
Net (loss) income per common sharebasic
|
|
$
|
0.35
|
|
|
$
|
0.07
|
|
|
$
|
(1.93
|
)
|
|
$
|
0.09
|
|
|
$
|
(1.03
|
)
|
|
$
|
(0.70
|
)
|
|
$
|
0.32
|
|
Net (loss) income per common sharediluted (7)
|
|
$
|
0.34
|
|
|
$
|
0.07
|
|
|
$
|
(1.93
|
)
|
|
$
|
0.09
|
|
|
$
|
(1.03
|
)
|
|
$
|
(0.70
|
)
|
|
$
|
0.31
|
|
Weighted average common shares outstanding used in computing:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
basic (loss) income per share
|
|
|
38,807
|
|
|
|
38,359
|
|
|
|
38,417
|
|
|
|
37,647
|
|
|
|
37,304
|
|
|
|
34,129
|
|
|
|
22,245
|
|
diluted (loss) income per share (7)
|
|
|
39,345
|
|
|
|
39,187
|
|
|
|
38,417
|
|
|
|
38,491
|
|
|
|
37,304
|
|
|
|
34,129
|
|
|
|
22,702
|
|
Balance Sheet Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Working capital
|
|
$
|
76,153
|
|
|
$
|
55,296
|
|
|
$
|
58,844
|
|
|
$
|
49,213
|
|
|
$
|
37,023
|
|
|
$
|
67,488
|
|
|
$
|
13,968
|
|
Line of credit
|
|
$
|
39,584
|
|
|
$
|
55,024
|
|
|
$
|
50,411
|
|
|
$
|
33,778
|
|
|
$
|
52,895
|
|
|
$
|
7,427
|
|
|
$
|
7,303
|
|
Total assets(3, 6)
|
|
$
|
240,180
|
|
|
$
|
336,963
|
|
|
$
|
246,957
|
|
|
$
|
296,822
|
|
|
$
|
305,456
|
|
|
$
|
298,629
|
|
|
$
|
185,788
|
|
Stockholders equity(3, 6)
|
|
$
|
112,701
|
|
|
$
|
171,628
|
|
|
$
|
95,537
|
|
|
$
|
166,203
|
|
|
$
|
161,833
|
|
|
$
|
195,765
|
|
|
$
|
115,683
|
|
Book value per common share outstanding(3, 6)
|
|
$
|
2.87
|
|
|
$
|
4.47
|
|
|
$
|
2.47
|
|
|
$
|
4.35
|
|
|
$
|
4.32
|
|
|
$
|
5.28
|
|
|
$
|
5.19
|
|
Common shares outstanding at end of period
|
|
|
39,272
|
|
|
|
38,403
|
|
|
|
38,691
|
|
|
|
38,251
|
|
|
|
37,488
|
|
|
|
37,094
|
|
|
|
22,307
|
|
|
|
|
(1) |
|
Revenues in 2008 include Competitive Acquisition Program
(CAP) revenues of $54.0 million for the nine
months ended September 30, 2008 and $71.2 million for
the twelve months ended December 31, 2008. The CAP program
ended December 31, 2008. Revenues in 2008 also include
United Healthcare (UHC) HIV/AIDS and solid organ
transplant services of $83.7 million for the nine months
ended September 30, 2008 and $116.6 million for the
twelve months ended December 31, 2008. 2009 revenues |
21
|
|
|
|
|
include $23.3 million related to the UHC HIV/AIDS and solid
organ transplant services which were terminated in 2009. Certain
pharmacy benefit management customer contracts ended in 2007 and
prior years. Revenue related to these contracts was
$15 million, $76.8 million, $154.8 million and
$136.1 million in the years 2007, 2006, 2005 and 2004,
respectively. |
|
(2) |
|
Reflects merger, integration and re-branding expenses related to
the acquisition of Chronimed, Inc. on March 12, 2005. |
|
|
|
(3) |
|
2008 includes a $90.0 million non-cash charge related to
impairment of goodwill, and a $3.9 million non-cash charge
related to write-off of remaining intangible assets. 2005
includes a $6.6 million charge related to write-off of
non-compete agreements, trade names and customer lists due to
our rebranding strategy in the Specialty Services segment and an
$18.6 million charge, related to goodwill impairment in the
Traditional Pharmacy Services segment which includes pharmacy
benefit management services. These charges reduced book value by
$2.32 per common share as of December 31, 2008 and $0.68
per common share as of December 31, 2005. |
|
|
|
(4) |
|
Net income in 2004 includes a $0.5 million charge, net of
tax, related to a settlement with Value Options of Texas, Inc. |
|
(5) |
|
Net loss in 2005 includes a $4.3 million charge, net of
tax, to reflect an increase in the allowance for doubtful
accounts receivable created by lower than expected collections
during the merger integration period. |
|
|
|
(6) |
|
Net loss in 2006 includes a $25.7 million non-cash income
tax charge for the establishment of a valuation allowance
recorded against deferred tax assets. This adjustment reduced
book value by $0.68 per common share outstanding as of
December 31, 2006. |
|
|
|
(7) |
|
The 2008, 2006 and 2005 net loss per share excludes the
effect of common stock equivalents, as their inclusion would be
anti-dilutive. |
22
SELECTED
UNAUDITED PRO FORMA COMBINED CONDENSED
FINANCIAL DATA OF BIOSCRIP
The following table reflects the pro forma effect of the merger
with CHS on (1) the balance sheet data of BioScrip as of
September 30, 2009, (2) the statement of operations
data of BioScrip for the fiscal year ended December 31,
2008 and (3) the statement of operations data for BioScrip
for the nine months ended September 30, 2009.
This information is only a summary. You should read the
unaudited pro forma combined condensed financial statements and
other information and the accompanying notes that are included
elsewhere in this document. You should also read the historical
information and related notes of BioScrip that are incorporated
by reference into this document and the historical financial
statements and related notes for CHS contained elsewhere in this
document.
The unaudited pro forma combined condensed balance sheet data
shows the estimated effects of the merger with CHS as if it had
occurred on September 30, 2009. The unaudited pro forma
combined condensed statements of operations data for the year
ended December 31, 2008 and the nine month period ended
September 30, 2009 show the estimated effects of the merger
with CHS as if it had occurred on January 1, 2008. We are
providing the unaudited pro forma combined condensed financial
data for informational purposes only. It does not necessarily
represent or indicate what the financial position and results of
operations of BioScrip would actually have been had the merger
with CHS and other pro forma adjustments in fact occurred at the
dates indicated. It also does not necessarily represent or
indicate the future financial position or results of operations
BioScrip will achieve after the merger with CHS.
The pro forma financial information does not reflect revenue
opportunities and cost savings that we expect to realize after
the merger with CHS. No assurance can be given with respect to
the estimated revenue opportunities and operating cost savings
that are expected to be realized as a result of the merger with
CHS. The pro forma financial information also does not reflect
expenses relating to integration activities or exit costs that
may be incurred by BioScrip or CHS in connection with the merger
with CHS.
|
|
|
|
|
|
|
|
|
|
|
|
|
Pro Forma
|
|
|
Pro Forma
|
|
Year Ended
|
|
|
Nine Months Ended
|
|
December 31,
|
|
|
September 30, 2009
|
|
2008
|
|
|
(In thousands, except per share data)
|
|
Statement of Operations Data:
|
|
|
|
|
|
|
|
|
Revenue
|
|
$
|
1,175,431
|
|
|
$
|
1,632,779
|
|
Gross profit
|
|
$
|
212,200
|
|
|
$
|
261,080
|
|
Goodwill and intangible impairment
|
|
$
|
|
|
|
$
|
93,882
|
|
Net income (loss)
|
|
$
|
15,274
|
|
|
$
|
(77,784
|
)
|
Income (loss) per common share basic(A)
|
|
$
|
0.30
|
|
|
$
|
(1.51
|
)
|
Income (loss) per common share diluted(A)
|
|
$
|
0.29
|
|
|
$
|
(1.51
|
)
|
Balance Sheet Data:
|
|
|
|
|
|
|
|
|
Working capital
|
|
$
|
174,676
|
|
|
|
|
|
Total assets
|
|
$
|
669,779
|
|
|
|
|
|
Stockholders equity
|
|
$
|
227,701
|
|
|
|
|
|
|
|
|
(A) |
|
CHS Historical amounts are based on CHS net income available to
common stockholders. |
23
RISK
FACTORS
In addition to the other information included or incorporated
by reference in this proxy statement, you should carefully
consider the material risks described below in deciding whether
to vote for approval of the proposals presented in this proxy
statement. Additional risks and uncertainties not presently
known to us or that are not currently believed to be material,
if they occur, also may adversely affect BioScrip following the
merger.
Although
we expect that the merger with CHS will result in benefits to
BioScrip, we may not realize those benefits because of
integration difficulties.
Integrating the operations of the businesses of CHS successfully
or otherwise realizing any of the anticipated benefits of the
merger with CHS, including anticipated cost savings and
additional revenue opportunities, involves a number of potential
challenges. The failure to meet these integration challenges
could seriously harm our results of operations and the market
price of BioScrip common stock may decline as a result.
Realizing the benefits of the merger will depend in part on the
integration of information technology, operations and personnel.
These integration activities are complex and time-consuming and
we may encounter unexpected difficulties or incur unexpected
costs, including:
|
|
|
|
|
the inability of BioScrip to achieve the cost savings and
operating synergies anticipated in the merger, including
synergies relating to increased purchasing efficiencies and a
reduction in costs associated with the merger, which would
prevent BioScrip from achieving the positive earnings gains
expected as a result of the merger;
|
|
|
|
diversion of management attention from ongoing business concerns
to integration matters;
|
|
|
|
difficulties in consolidating and rationalizing information
technology platforms and administrative infrastructures;
|
|
|
|
complexities associated with managing the geographic separation
of the combined businesses and consolidating multiple physical
locations where management may determine consolidation is
desirable;
|
|
|
|
difficulties in integrating personnel from different corporate
cultures while maintaining focus on providing consistent, high
quality customer service;
|
|
|
|
challenges in demonstrating to customers of BioScrip and to
customers of CHS that the merger will not result in adverse
changes in customer service standards or business focus; and
|
|
|
|
possible cash flow interruption or loss of revenue as a result
of change of ownership transitional matters.
|
We may not successfully integrate the operations of the
businesses of CHS in a timely manner, and we may not realize the
anticipated net reductions in costs and expenses and other
benefits and synergies of the merger with CHS to the extent, or
in the timeframe, anticipated. In addition to the integration
risks discussed above, our ability to realize these net
reductions in costs and expenses and other benefits and
synergies could be adversely impacted by practical or legal
constraints on our ability to combine operations.
If the
merger is completed and BioScrip is unable to manage its growth
profitably, its business, financial results and stock price
could suffer.
BioScrips future financial results will depend in part on
its ability to profitably manage its growth on a combined basis
with CHS. Management will need to maintain existing customers
and attract new customers, recruit, retain and effectively
manage employees, as well as expand operations and integrate
customer support and financial control systems. We expect to
spend approximately $3 million of integration-related
capital
24
expenditures in the first 12 months after completion of the
transaction and to incur $5 million of integration-related
non-recurring expenses during that
12-month
period. If the integration-related expenses and capital
expenditure requirements are greater than anticipated, or if
BioScrip is unable to manage its growth profitably after the
merger, the financial results and market price of
BioScrips common stock may decline.
BioScrips
financing commitment for the merger is subject to certain
conditions and an expiration date, and therefore may not be
available to provide us with adequate financing to complete the
merger.
It is a condition to the completion of the merger that we will
have received financing in an amount sufficient to consummate
the merger. As described in The Transaction
Financing Related to the Transaction beginning on
page 48, we have received a commitment for such financing,
comprised of a senior secured term loan and, in the event we are
not successful in effecting an offering of senior unsecured
notes before the closing of the merger, borrowings under a
senior bridge loan facility. In addition, we have received a
commitment for a senior secured revolving credit facility which
will be available for borrowings by us after the closing of the
merger. However, the financing commitment will expire on
June 30, 2010, even if the merger has not been completed by
that date, and is subject to certain conditions, including the
negotiation of acceptable legal documentation. There can be no
assurance that all of these conditions will be satisfied or that
we will be able to obtain adequate financing if we do not
complete the merger prior to the expiration of our financing
commitment.
We
anticipate that the significant indebtedness that will be
incurred if we complete the merger will impose operating and
financial restrictions on us which, together with the resulting
debt service obligations, may significantly limit our ability to
execute our business strategy and increase the risk of default
under our debt obligations.
We intend to borrow or assume an aggregate of approximately
$325 million (not including up to $50 million that
would also be available under our new revolving credit facility)
in connection with the merger. We expect that the terms of our
new credit facilities that we will enter into in connection with
the merger will require us to comply with certain financial
covenants, including a maximum total leverage ratio and a
minimum fixed charge coverage ratio. In addition, the proposed
terms of our new indebtedness also include certain covenants
restricting or limiting our ability to, among other things:
|
|
|
|
|
incur indebtedness or liens;
|
|
|
|
make investments or capital expenditures;
|
|
|
|
engage in mergers, acquisitions or asset sales;
|
|
|
|
declare dividends or redeem or repurchase capital stock;
|
|
|
|
enter into transactions with affiliates;
|
|
|
|
modify our organizational documents; and
|
|
|
|
change our fiscal year.
|
These covenants may adversely affect our ability to finance
future operations or limit our ability to pursue certain
business opportunities or take certain corporate actions. The
covenants may also restrict our flexibility in planning for
changes in our business and the industry and make us more
vulnerable to economic downturns and adverse developments. The
documentation governing our new indebtedness has not been
finalized and, accordingly, the actual terms may further
restrict our operation of our business.
Following the completion of the merger, our ability to meet our
cash requirements, including our debt service obligations, will
be dependent upon our ability to substantially improve our
operating performance, which will be subject to general economic
and competitive conditions and to financial, business and other
factors affecting our operations, many of which are or may be
beyond our control. In addition, our credit
25
facilities have interest payments that are subject to variable
interest rates and are therefore dependent upon future
fluctuations in interest rates, which are beyond our control. We
cannot provide assurance that our business operations will
generate sufficient cash flows from operations to fund these
cash requirements and debt service obligations. If our operating
results, cash flow or capital resources prove inadequate, or if
interest rates increase significantly, we could face substantial
liquidity problems and might be required to dispose of material
assets or operations to meet our debt and other obligations. If
we are unable to service our debt, we could be forced to reduce
or delay planned expansions and capital expenditures, sell
assets, restructure or refinance our debt or seek additional
equity capital, and we may be unable to take any of these
actions on satisfactory terms or in a timely manner. Further,
any of these actions may not be sufficient to allow us to
service our debt obligations or may have an adverse impact on
our business. Our debt agreements may limit our ability to take
certain of these actions. Our failure to generate sufficient
operating cash flow to pay our debts or to successfully
undertake any of these actions could have a material adverse
effect on us.
In addition, the degree to which we may be leveraged as a result
of the indebtedness incurred in connection with the merger or
otherwise could materially and adversely affect our ability to
obtain additional financing for working capital, capital
expenditures, acquisitions, debt service requirements or other
purposes, could make us more vulnerable to general adverse
economic, regulatory and industry conditions, could limit our
flexibility in planning for, or reacting to, changes and
opportunities in the markets in which we compete, could place us
at a competitive disadvantage compared to our competitors that
have less debt or could require us to dedicate a substantial
portion of our cash flow to service our debt.
A
shortage of qualified registered nursing staff and other
caregivers could adversely affect our ability to attract, train
and retain qualified personnel and could increase operating
costs after the merger.
CHSs home nursing business relies significantly on its
ability to attract and retain caregivers who possess the skills,
experience and licenses necessary to meet the requirements of
its patients. CHS competes for personnel with other providers of
home health services. Our ability to attract and retain
caregivers after the merger will depend on several factors,
including our ability to provide these caregivers with
attractive assignments and competitive benefits and salaries.
There can be no assurance that BioScrip will be successful in
any of these areas. In addition, there are occasional shortages
of qualified health care personnel in some of the markets in
which CHS operates. As a result, we may face higher costs to
attract caregivers and we may have to provide them with more
attractive benefit packages than originally anticipated, either
of which could cause our profitability to decline. Finally, if
we expand CHSs operations into geographic areas where
health care providers historically have unionized, we cannot
assure you that negotiating collective bargaining agreements
will not have a negative effect on our ability to timely and
successfully recruit qualified personnel. Generally, if we are
unable to attract and retain caregivers, the quality of our
services may decline and we could lose patients and referral
sources.
Failure
to complete the merger could negatively impact the stock price
and the future business and financial results of
BioScrip.
Although we have agreed to use our reasonable efforts to obtain
stockholder approval of the proposal to issue shares of BioScrip
common stock, there is no assurance that this proposal will be
approved. If this proposal is not approved, and as a result the
merger is not completed:
|
|
|
|
|
the ongoing business of BioScrip may be adversely
affected; and
|
|
|
|
BioScrip may be required, under certain circumstances, to pay
CHS a termination fee of up to $1 million.
|
26
The
anticipated per share dilution and accretion and net reductions
in costs and expenses from the merger with CHS are based on
projections, which are uncertain.
The anticipated dilution of approximately $0.01 per diluted
share on an adjusted GAAP basis (without taking into account
transaction expenses and net reductions in costs and expenses of
approximately $8 million during the first 12 months
following the closing of the merger) is based on projections
that are uncertain. The anticipated accretion of approximately
$0.01 per diluted share and net reductions in costs and expenses
of approximately $5 million between 12 and 24 months
following the closing of the merger are also based on
projections that are uncertain. These projections are based on
assumptions and on preliminary information, which may prove to
be inaccurate. There can be no assurance that we will realize
the dilution or accretion per diluted share or the net
reductions in costs and expenses from the merger to the extent,
or in the time frame, anticipated. The market price of
BioScrips common stock may decline if the estimates are
not realized or we do not achieve the perceived benefits of the
merger as rapidly or to the extent anticipated.
The
announcement and pendency of the merger may cause disruptions in
the business of CHS, which could have an adverse effect on its
business, financial condition or results of operations and,
post-closing, BioScrips business, financial condition or
results of operations.
The announcement and pendency of the transaction could cause
disruptions in the business of CHS. Specifically:
|
|
|
|
|
current and prospective employees of CHS and its direct and
indirect subsidiaries may experience uncertainty about their
future roles with BioScrip, which might adversely affect the
ability of CHS to retain key personnel and attract new personnel;
|
|
|
|
|
|
current and prospective customers of CHS may experience
uncertainty about the ability of CHS to meet their needs, which
might cause customers to seek other suppliers for the products
and services provided by CHS; and
|
|
|
|
|
|
managements attention has been focused on the merger,
which may divert managements attention from the core
business of CHS and other opportunities that could have been
beneficial to CHS.
|
These disruptions could be exacerbated by a delay in the
completion of the merger or termination of the Agreement and
Plan of Merger and could have an adverse effect on the business,
financial condition or results of operations of CHS prior to the
completion of the merger and on BioScrip if the merger is
completed.
The
merger with CHS is subject to the receipt of consents and
approvals from government entities that may not be received or
that may impose conditions that could have an adverse effect on
BioScrip following the completion of the merger.
We cannot complete the merger unless we receive various
consents, orders, approvals and clearances from antitrust and
other authorities in the United States. While we believe that we
will receive the requisite regulatory approvals from these
authorities, there can be no assurance that such approvals will
be received. In addition, these authorities may impose
conditions on the completion of the merger with CHS or require
changes to the terms of the merger that could result in the
divestiture of certain assets of BioScrip or CHS. While we do
not currently expect that any such conditions or changes would
be imposed, there can be no assurance that they will not be, and
any such conditions or changes could have the effect of delaying
completion of the merger or imposing additional costs on or
limiting the revenues of BioScrip following the merger, any of
which may have an adverse effect on us following the merger. See
the sections entitled The Transaction
Regulatory Approvals Required for the Merger with CHS on
page 49 and The Agreement and Plan of
Merger Conditions to Closing the Transaction
beginning on page 61 for a more detailed discussion.
27
If the
market price of BioScrips common stock increases prior to
the completion of the merger with CHS, the market value of
BioScrips common stock to be issued in connection with the
merger will increase correspondingly and, therefore, we may pay
more than we intended for the CHS businesses.
The number of shares of BioScrips common stock to be
issued in connection with the merger with CHS will not be
adjusted in the event of any increase or decrease in the market
price of BioScrips common stock before the closing of the
merger. As a result, the market value of the shares to be issued
in connection with the merger, as reflected in the market price
of BioScrip common stock, may be substantially higher at the
time of the merger than the market value at the time we received
a fairness opinion from Jefferies & Company and the
BioScrip board of directors approved the merger. The market
price of BioScrips common stock may fluctuate due to,
among other things, changes in our business, operations or
prospects, market assessments of the likelihood of completion of
the merger, the timing of the completion of the merger, general
market and economic conditions and other factors. As of
January 22, 2010, the last trading day before the public
announcement of the proposed merger with CHS, the closing price
of BioScrips common stock was $7.82 per share and the
prior one-month average closing market price was $8.16 per share.
The
obligation of CHS to complete the merger is subject to the
satisfaction or waiver of certain conditions, including with
respect to the per share stock price of BioScrips common
stock.
The obligation of CHS to complete the merger is contingent upon,
among other things, the per share price of BioScrip common stock
on NASDAQ being greater than $5.2151 for the 10 trading days
immediately preceding the scheduled date of closing. If the per
share price of our common stock during this period is less than
$5.2151 and CHS chooses not to waive this condition, then we
will be unable to complete the merger and the per share market
price of our common stock could decrease as a result of our
inability to complete the merger.
Subject
to certain limitations, the Stockholders and certain
optionholders of CHS may sell BioScrip common stock beginning
six months following the closing of the merger with CHS, which
could cause BioScrips stock price to
decline.
The shares of BioScrip common stock that the Stockholders and
certain optionholders of CHS will receive following the
completion of the merger with CHS are restricted, but such
Stockholders and optionholders may sell the shares of BioScrip
common stock following the merger under certain circumstances.
We have entered into a Stockholders Agreement with the
Stockholders and certain optionholders of CHS, which will give
such parties unlimited registration rights on
Form S-3
beginning six months after the closing of the merger, so long as
BioScrip is eligible at the time of the exercise of any
registration rights to file a registration statement on
Form S-3.
In addition, if at any time following the closing date of the
merger BioScrip proposes for any reason to register its own
shares or shares held by any holder of shares of the BioScrip
common stock issued in connection with the merger, including the
shares issuable upon exercise of the warrants (other than a
registration on
Form S-4
or
Form S-8),
then such parties will have unlimited pro rata
piggyback rights subject to underwriter cutbacks
which will be pro rata among all such holders. The sale of a
substantial number of our shares by such parties or our other
stockholders within a short period of time could cause our stock
price to decline, make it more difficult for us to raise funds
through future offerings of BioScrip common stock or acquire
other businesses using BioScrip common stock as consideration.
You
will experience a reduction in percentage ownership and voting
power with respect to the BioScrip common stock you currently
own as a result of the merger with CHS.
In connection with the merger with CHS, we will issue up to
approximately 12.9 million shares of BioScrip common stock,
as well as up to 3,400,945 shares of common stock to be issued
upon exercise of the warrants. Therefore, following the
completion of the merger, you will experience a substantial
reduction in your respective percentage ownership interests and
effective voting power relative to your respective
28
percentage ownership interests in BioScrip common stock and
effective voting power prior to the merger. In addition, the
issuance of shares of our common stock could have an adverse
effect on the market price for our securities or on our ability
to obtain future public financing. If and to the extent the
shares are issued, you may experience dilution in your earnings.
BioScrips
issuance of common stock in the merger will increase the risk
that BioScrip could experience an ownership change
in the future that could significantly limit its ability to
utilize its net operating losses.
As of September 30, 2009, BioScrip had net operating losses
(NOLs) for U.S. federal income tax purposes of
approximately $29 million. BioScrips ability to
utilize its NOLs to offset future taxable income may be
significantly limited if BioScrip experiences an ownership
change as defined in Section 382 of the Code. In
general, an ownership change will occur if there is a cumulative
change in BioScrips ownership by 5-percent
shareholders that exceeds 50 percentage points over a
rolling three-year period. A corporation that experiences an
ownership change will generally be subject to an annual
limitation on its pre-ownership change NOLs equal to the value
of the corporation immediately before the ownership change,
multiplied by the long-term tax-exempt rate (subject to certain
adjustments). The annual limitation for a taxable year would be
increased by the amount of any recognized built-in
gains for such year and the amount of any unused annual
limitation in a prior year.
BioScrip will not experience an ownership change upon the
issuance of common stock in the merger. However, the issuance of
common stock in the merger, together with other issuances of
common stock during the applicable
3-year
period could cause an ownership change under Section 382 of
the Code. As a result, the issuance of BioScrip common stock in
the merger will increase the risk that BioScrip could experience
an ownership change during the
3-year
period following the merger.
Jefferies &
Company and its affiliate, Jefferies Finance, will receive the
substantial portion of their fees and other compensation only if
the merger with CHS and the associated financing are
consummated.
BioScrip engaged Jefferies & Company to act as its
exclusive financial advisor in connection with the merger, and
will pay Jefferies & Company a fee of $3 million,
$500,000 of which was payable upon delivery of its opinion to
the BioScrip board of directors that the consideration to be
paid by BioScrip pursuant to the Agreement and Plan of Merger
was fair, from a financial point of view, to BioScrip. The
remaining $2.5 million will be payable upon the
consummation of the merger. Jefferies & Company
delivered its opinion to the BioScrip board of directors on
January 24, 2010. Refer to the section entitled The
Transaction Opinion of BioScrips Financial
Advisor for a detailed description of the opinion of
Jefferies & Company. BioScrip also engaged Jefferies
Finance, an affiliate of Jefferies & Company, to
provide financing to BioScrip in connection with the closing of
the transactions contemplated by the Agreement and Plan of
Merger. Jefferies Finance will receive customary fees for its
services in connection therewith, a significant portion of which
will be received only if the financing is completed. In
addition, Jefferies Finance currently holds a portion of
CHSs outstanding debt, which will be repaid if the merger
is consummated. As such, Jefferies & Company and its
affiliate have a considerable financial interest in the merger
being consummated, the financing being completed and the
existing loans being repaid.
29
CAUTIONARY
STATEMENT CONCERNING FORWARD-LOOKING STATEMENTS
This proxy statement contains forward-looking
statements within the meaning of the Private Securities
Litigation Reform Act of 1995. Forward-looking statements relate
to expectations, beliefs, future plans and strategies,
anticipated events or trends and similar expressions concerning
matters that are not historical facts or that necessarily depend
upon future events. In some cases, you can identify
forward-looking statements by terms such as may,
will, should, could,
would, expect, plan,
anticipate, believe,
estimate, project, predict,
potential, and similar expressions. Without limiting
the generality of the preceding sentence, statements contained
in the sections Summary, The
Transaction BioScrips Reasons for the
Transaction, and The Transaction Opinion
of BioScrips Financial Advisor include
forward-looking statements. Forward-looking statements contained
in this proxy statement include projections of earnings,
revenues, synergies, accretion or other financial items; any
statements of the plans, strategies and objectives of management
for future operations, including the execution of integration
plans and the future management of BioScrip; approvals relating
to, and the closing of, the merger with CHS; any statements
regarding future economic conditions or performance; statements
of belief and any statement of assumptions underlying any of the
foregoing; and statements relating to BioScrip obtaining
financing.
The forward-looking statements contained in this proxy statement
reflect our current views about future events, are based on
assumptions, and are subject to known and unknown risks and
uncertainties. Many important factors could cause actual results
or achievements to differ materially from any future results or
achievements expressed in or implied by our forward-looking
statements, including the factors listed below. Many of the
factors that will determine future events or achievements are
beyond our ability to control or predict. Certain of these are
important factors that could cause actual results or
achievements to differ materially from the results or
achievements reflected in our forward-looking statements,
including, but not limited to:
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our high level of indebtedness;
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our ability to make interest and principal payments on our debt
and satisfy the other covenants contained in our senior secured
credit facility and other debt agreements;
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our ability to hire and retain key employees;
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changes in state or federal legislation or regulations,
including changes in pharmaceutical healthcare regulations;
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the outcome of lawsuits and governmental investigations;
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general economic conditions and inflation, interest rate
movements and access to capital;
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our ability to consummate the merger with CHS and realize the
benefits of the merger, including anticipated synergies, cost
savings and accretion to reported earnings estimated to result
from the merger;
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our revenues following the merger;
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the effect of competition among specialty pharmacy and home
health companies;
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the integration of the businesses of CHS with BioScrips
business and our ability to achieve anticipated synergies on the
time frame expected by management or at all; and
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other risks and uncertainties described from time to time in our
filings with the SEC.
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The forward-looking statements contained in this proxy statement
reflect our views and assumptions only as of the date of this
proxy statement. You should not place undue reliance on
forward-looking statements. Except as required by law, we assume
no responsibility for updating any forward-looking statements.
Our actual results, performance or achievements could differ
materially from the results expressed in, or implied by, these
forward-looking statements. Factors that could cause or
contribute to such differences are discussed in the section
entitled Risk Factors beginning on page 24 and
the section entitled Risk Factors included in our
Annual Report on
Form 10-K
for the fiscal year ended December 31, 2008, and risk
factors detailed in BioScrips most recent quarterly
reports on
Form 10-Q.
We qualify all of our forward-looking statements by these
cautionary statements. In addition, with respect to all of our
forward-looking statements, we claim the protection of the safe
harbor for forward-looking statements contained in the Private
Securities Litigation Reform Act of 1995.
30
THE
SPECIAL MEETING
Date,
Time and Place
A special meeting of BioScrip stockholders will be held
at
local time,
on ,
2010 at BioScrips executive offices at 100 Clearbrook
Road, Elmsford, New York 10523.
Purpose
of the Special Meeting
The purpose of the special meeting is to consider and vote on
the following proposals:
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Proposal No. 1
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To approve the issuance of up to approximately 12.9 million
shares of BioScrip common stock, par value $0.0001 per share
(subject to increase as described in this proxy statement if net
indebtedness of CHS is less than $132 million at closing), as
well as 3,400,945 shares of common stock to be issued upon
exercise of warrants to be issued to the Stockholders and
certain optionholders of CHS, pursuant to the Agreement and Plan
of Merger.
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Proposal No. 2
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To approve an adjournment of the special meeting of stockholders
for a period of not more than 30 days, if necessary, to
solicit additional proxies in the event that there are not
sufficient votes at the time of the special meeting of
stockholders to approve Proposal No. 1.
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The approval of Proposal No. 1 for the issuance
of BioScrip common stock is a condition to the completion of the
merger with CHS. Accordingly, if BioScrip is to complete the
merger with CHS, the stockholders must approve
Proposal No. 1.
At the special meeting, BioScrip stockholders will also be asked
to consider and vote on any other matter that may properly come
before the special meeting or any adjournment of the special
meeting. At this time, the BioScrip board of directors is
unaware of any matters, other than those set forth above, that
may properly come before the special meeting.
Record
Date; Shares Outstanding and Entitled to Vote
BioScrip has fixed the close of business on February 8,
2010 as the record date for the determination of holders of
BioScrip common stock entitled to notice of and to vote at the
special meeting and any adjournment of the special meeting. No
other shares of BioScrip capital stock are entitled to notice of
and to vote at the special meeting. At the close of business on
the record date, BioScrip had outstanding and entitled to
vote 40,420,776 shares of common stock.
How to
Vote Your Shares
If you hold your shares in your own name, you may submit
a proxy by telephone, via the Internet or by mail or vote by
attending the special meeting and voting in person.
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Submitting a Proxy by Telephone: You can
submit a proxy for your shares by telephone until
11:59 p.m. Eastern Time
on ,
2010 by calling the toll-free telephone number on the enclosed
proxy card. Telephone proxy submission is available
24 hours a day.
Easy-to-follow
voice prompts allow you to submit a proxy for your shares and
confirm that your instructions have been properly recorded. Our
telephone proxy submission procedures are designed to
authenticate stockholders by using individual control numbers.
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Submitting a Proxy via the Internet: You can
submit a proxy via the Internet until 11:59 p.m. Eastern
Time
on ,
2010 by accessing the web site listed on your proxy card and
following the instructions you will find on the web site.
Internet proxy submission is available 24 hours a day. As with
telephone proxy submission, you will be given the opportunity to
confirm that your instructions have been properly recorded.
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Submitting a Proxy by Mail: If you choose to
submit a proxy by mail, simply mark the enclosed proxy card,
date and sign it, and return it in the postage paid envelope
provided.
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By casting your vote in any of the three ways listed above, you
are authorizing the individuals listed on the proxy to vote your
shares in accordance with your instructions.
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If your shares are held in the name of a bank, broker or
other nominee, you will receive instructions from the holder
of record that you must follow for your shares to be voted.
Please follow their instructions carefully. Also, please note
that if the holder of record of your shares is a broker, bank or
other nominee and you wish to vote in person at the special
meeting, you must request a legal proxy from your bank, broker
or other nominee that holds your shares and present that proxy
and proof of identification at the special meeting.
How to
Change Your Vote
You will have the power to revoke your proxy at any time before
it is exercised by:
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Delivering a written notice of revocation to the Secretary of
BioScrip, dated later than the proxy, before the vote is taken
at the special meeting;
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Delivering a duly executed proxy to the Secretary of BioScrip
bearing a later date, before the vote is taken at the special
meeting;
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Submitting a proxy on a later date by telephone or via the
Internet (only your last telephone or Internet proxy will be
counted), before 11:59 p.m. Eastern Time
on ,
2010; or
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Attending the special meeting and voting in person. Your
attendance at the special meeting, in and of itself, will not
revoke the proxy.
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Any written notice of revocation, or later dated proxy, should
be delivered to:
BioScrip,
Inc.
100 Clearbrook Road
Elmsford, New York 10523
Attention: Corporate Secretary
Alternatively, you may hand deliver a written revocation notice,
or a later dated proxy, to the Secretary at the special meeting
before we begin voting.
If your shares of BioScrip common stock are held by a bank,
broker or other nominee, you must follow the instructions
provided by the bank, broker or other nominee if you wish to
change your vote.
Proxies;
Counting Your Vote
If you provide specific voting instructions, your shares will be
voted at the special meeting in accordance with your
instructions. If you hold shares in your name and sign and
return a proxy card or submit a proxy by telephone or via the
Internet without giving specific voting instructions, your
shares will be voted as follows:
FOR the approval of issuance of the shares
of BioScrip common stock, including the shares of common stock
to be issued upon exercise of the warrants, pursuant to the
Agreement and Plan of Merger; and
FOR the approval of an adjournment of the
special meeting, if necessary, to solicit additional proxies in
favor of the BioScrip common stock issuance proposal.
At this time, we are unaware of any matters, other than those
matters set forth above, that may properly come before the
special meeting. If any other matters properly come before the
special meeting, the persons named in the enclosed proxy, or
their duly constituted substitutes acting at the special meeting
or any adjournment of the special meeting, will be deemed
authorized to vote or otherwise act on such matters in
accordance with their judgment.
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The persons named in the enclosed proxy, or their duly
constituted substitutes acting at the special meeting or any
adjournment of the special meeting, may propose and vote for one
or more adjournments of the special meeting. Proxies solicited
may be voted only at the special meeting and any adjournment of
the special meeting and will not be used for any other BioScrip
meeting of stockholders.
BioScrips transfer agent, American Stock
Transfer & Trust Company LLC, will serve as proxy
tabulator and count the votes. The results will be certified by
the inspector of elections.
Abstentions
and Broker Non-Votes
An abstention occurs when a stockholder sends in a
proxy with explicit instructions to decline to vote regarding a
particular matter. Broker non-votes are shares held
by brokers or nominees for which voting instructions have not
been received from the beneficial owners or the persons entitled
to vote those shares and the broker or nominee does not have
discretionary voting power under rules applicable to
broker-dealers. Under rules applicable to broker-dealers,
neither the proposal to approve the issuance of BioScrip common
stock in accordance with the terms of the Agreement and Plan of
Merger nor the proposal to adjourn the special meeting, if
necessary, to enable BioScrip to solicit additional proxies in
favor of the BioScrip common stock issuance proposal is an item
on which brokerage firms may vote in their discretion on behalf
of their clients if such clients have not furnished voting
instructions within ten days of the special meeting.
Quorum
and Required Votes
In deciding all matters that come before the special meeting,
each holder of common stock as of the record date is entitled to
one vote per share of common stock. As of February 8, 2010,
the record date for the special meeting, there were
40,420,776 shares of BioScrip common stock outstanding.
Votes cast by proxy or in person at the special meeting will be
tabulated by the inspector of elections of the special meeting.
The inspector of elections also will determine whether or not a
quorum is present. The presence, in person or by proxy, of the
holders of a majority of the shares of common stock issued and
outstanding as of the record date for the special meeting is
necessary to constitute a quorum at the special meeting. Shares
of common stock represented at the special meeting in person or
by proxy but not voted will be counted for purposes of
determining a quorum. Accordingly, abstentions and broker
non-votes (shares as to which a broker or nominee
has indicated that it does not have discretionary authority to
vote) on a particular matter will be treated as shares that are
present and entitled to vote at the special meeting for purposes
of determining the presence of a quorum.
Proposal No. 1: Proposal No. 1
to approve the issuance of BioScrip common stock in accordance
with the terms of the Agreement and Plan of Merger requires the
affirmative vote of the holders of a majority of the shares of
BioScrip common stock present in person or represented by proxy
at the special meeting at which a quorum is present. Abstentions
with respect to this proposal will have the same effect as a
vote against the proposal. Failures to vote and broker
non-votes could have the same effect as votes cast
against approval if they cause less than a majority of the
shares of BioScrip common stock present, in person or by proxy,
to be cast on the proposal. The approval of
Proposal No. 1 is a condition to the completion of the
merger with CHS, and thus a vote against this proposal
effectively will be a vote against the merger with CHS.
Proposal No. 2: Proposal No. 2
to adjourn the special meeting, if necessary, to enable BioScrip
to solicit additional proxies in favor of
Proposal No. 1, requires the affirmative vote of the
holders of a majority of the shares of BioScrip common stock
present in person or represented by proxy at the special
meeting, whether or not a quorum is present. Abstentions with
respect to this proposal will have the same effect as a vote
against the proposal. Failures to vote and broker
non-votes could have the same effect as votes cast
against approval if they cause less than a majority of the
shares of BioScrip common stock present, in person or by proxy,
to be cast on the proposal. The approval of
Proposal No. 2 is not a condition to the completion of
the merger with CHS.
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The directors and executive officers of BioScrip and their
respective affiliates collectively owned approximately
4,505,242 shares as of February 8, 2010 (inclusive of
shares subject to stock options exercisable within 60 days
following that date). Such shares represented approximately
10.43% of BioScrips outstanding common stock (including
shares subject to stock options exercisable within 60 days
held by the directors and officers) as of such date. Each member
of the board of directors of BioScrip has advised BioScrip that
such member intends to vote all of the shares of BioScrip common
stock held, directly or indirectly, by such director in favor of
each of the above proposals. Certain of our directors and
executive officers have entered into a Common Stock Voting
Agreement with CHS and the Stockholders Representative,
pursuant to which they have agreed to vote their shares of
BioScrip common stock in favor of the proposal to approve the
issuance of BioScrip common stock in accordance with the terms
of the Agreement and Plan of Merger, and in favor of the
proposal to adjourn the special meeting, if necessary, to enable
BioScrip to solicit additional proxies in favor of the common
stock issuance proposal. As of February 8, 2010, these
directors and executive officers collectively held shares
representing approximately 3.4% of BioScrips outstanding
common stock.
As of the close of business on the record date for the special
meeting, CHS and its affiliates did not beneficially own any
shares of BioScrip common stock and, to the knowledge of CHS,
none of its directors or executive officers beneficially owned
any shares of BioScrip common stock.
Solicitation
of Proxies
BioScrip is soliciting proxies from its stockholders on behalf
of its board of directors and will pay for all costs incurred by
it in connection with the solicitation. In addition to
solicitation by mail, the directors, officers and employees of
BioScrip, CHS and their respective subsidiaries may solicit
proxies from stockholders of BioScrip in person or by telephone,
facsimile or other electronic methods without additional
compensation other than reimbursement for their actual expenses.
BioScrip has retained MacKenzie Partners, Inc., a proxy
solicitation firm, to assist it in the solicitation of proxies
for the special meeting. BioScrip will pay MacKenzie Partners,
Inc. a fee of $10,000 for its services. In addition, BioScrip
will reimburse MacKenzie Partners, Inc. for its reasonable
out-of-pocket
expenses.
Arrangements also will be made with brokerage firms and other
custodians, nominees and fiduciaries for the forwarding of
solicitation material to the beneficial owners of stock held of
record by such persons, and BioScrip will reimburse such
custodians, nominees and fiduciaries for their reasonable
out-of-pocket
expenses in connection therewith.
Recommendation
of the BioScrip Board of Directors
The BioScrip board of directors has unanimously determined that
the merger with CHS is fair to and in the best interests of
BioScrip and its stockholders and approved the issuance of
BioScrip common stock in accordance with the Agreement and Plan
of Merger. See the section entitled The
Transaction BioScrips Reasons for the
Transaction beginning on page 39 for a more detailed
discussion.
The BioScrip board of directors recommends that you vote
FOR approval of the issuance of BioScrip
common stock in accordance with the Agreement and Plan of Merger
and FOR approval of an adjournment of the
special meeting, if necessary, to enable BioScrip to solicit
additional proxies in favor of the common stock issuance
proposal.
34
THE
TRANSACTION
Background
of the Transaction
As part of their ongoing review of our company and its position
in its industry, our board of directors, directly and through
its corporate strategy committee, together with management
regularly reviews the strategic alternatives available to
BioScrip, including, among other things, possible strategic
combinations and acquisitions. Consistent with this periodic
review of its strategic alternatives, our board had previously
formed a corporate strategy committee, which is currently
comprised of the following directors: Messrs. Myron
Holubiak (chair), Richard H. Friedman, David R. Hubers and
Richard L. Robbins.
Beginning in the fall of 2008, members of BioScrips
management were in contact from time to time with
representatives of the Kohlberg Entities, in its capacity as
majority stockholders of CHS. In January 2009, Richard M. Smith,
our President, had contacted Gordon H. Woodward, a
representative of the Kohlberg Entities, concerning possible
strategic alternatives, and non-disclosure agreements were
executed by BioScrip and CHS. The Kohlberg Entities declined
offers to discuss strategic alternatives with BioScrip at that
time, but agreed to revisit the subject later in the year. In
August 2009, Mr. Smith again contacted
Mr. Woodward to discuss strategic opportunities between CHS
and BioScrip, and in September 2009, Mr. Woodward agreed to
participate in such discussions.
On September 10, 2009, Mr. Friedman, our chief
executive officer, and Mr. Smith met with
Mr. Woodward, Benjamin Mao and Ahmed Wahla of the Kohlberg
Entities to discuss BioScrips business generally and
interest in a possible transaction with CHS, as well as the due
diligence process and timing in connection with a possible
transaction.
In early October 2009, representatives of the Kohlberg Entities
and representatives of BioScrips management agreed on the
broad outlines of a potential transaction, subject to the
completion of mutual due diligence. The terms were reflected in
a non-binding letter of intent negotiated by them and their
legal counsel. The non-binding letter of intent, which was
executed on October 12, 2009, by BioScrip, CHS and the
Kohlberg Entities, provided, among other things:
1. for a purchase price of $420 million, consisting of
a combination of cash and BioScrip common stock in proportions
to be later determined by BioScrip and the Stockholders; and
2. that a portion of the purchase price consisting of
$7.5 million in cash and an amount of common stock equal to
$22.5 million would be placed into escrow as
BioScrips sole remedy for any indemnification obligation
of the Stockholders.
In addition, the letter of intent provided that the Stockholders
would deal exclusively with BioScrip regarding any proposed sale
of CHS until November 2, 2009.
After the letter of intent was executed, each of the parties
began conducting due diligence, including through management
presentations and access to online data rooms. BioScrip retained
a third party advisor to focus on the financial, tax, human
resources and information technology aspects, and utilized
King & Spalding LLP (King &
Spalding), corporate counsel, and Bryan Cave LLP
(Bryan Cave), healthcare regulatory counsel, for
legal and healthcare regulatory due diligence, respectively. The
Kohlberg Entities and CHS retained Paul, Weiss as corporate
counsel and Sonnenschein Nath & Rosenthal LLP as
healthcare regulatory counsel.
The corporate strategy committee of our board met on
October 16, 2009 for the purpose of having management brief
them on the proposed transaction with CHS, including a brief
summary of CHSs business, and to establish the general
procedures by which the committee would review the status of the
transaction on an ongoing basis and keep abreast of any
significant developments.
On October 16, 2009, Paul, Weiss provided to
representatives of BioScrip, King & Spalding and Bryan
Cave the initial draft of the merger agreement. At various dates
and times between October 16 and October 29, 2009, BioScrip
and its advisors discussed certain issues raised by the initial
draft of the merger agreement, including the scope, nature and
survival period of representations and warranties made on behalf
of the Kohlberg Entities, CHS and BioScrip, limitations on
certain actions between the date of execution of the merger
agreement and the closing date, the payment of expenses in the
event of termination of the merger
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agreement and certain limitations on indemnification. On
October 29, 2009, King & Spalding provided a
revised draft of the merger agreement to Paul, Weiss addressing
these and other issues.
On October 27, 2009, the corporate strategy committee of
our board held a meeting to hear back to back presentations from
representatives of Jefferies & Company and another
investment bank, and to discuss each firms view of the
proposed transaction and the terms of a proposed financing.
Management had also met with other investment banks to discuss
their respective views of the proposed transaction and terms of
a proposed financing, but had recommended to the corporate
strategy committee the two firms that management believed would
provide BioScrip with the best overall advice and committed debt
financing alternatives.
On October 29, 2009, the board of directors held a meeting
for the purpose of being introduced to the Jefferies &
Company and Jefferies Finance teams, and being updated on the
status of the proposed transaction. At this meeting,
representatives from Jefferies & Company and Jefferies
Finance presented an overview of the proposed merger, including
a proposed transaction timeline, discussion of potential
benefits and risks, a preliminary CHS valuation analysis and pro
forma merger analysis, and debt financing alternatives.
On October 30, 2009, Mr. Friedman and Mr. Smith
met with Samuel Frieder and Messrs. Woodward, Mao and
Wahla, representatives of the Kohlberg Entities, to discuss at a
high level the results of BioScrips preliminary financial
due diligence. At that meeting, management proposed a reduction
in purchase price to in the range of $340 million to
$350 million based on the results of such due diligence
relating to the valuation of CHS. This reduction was attributed
to, among other factors, BioScrips determination that it
would continue to utilize CHSs existing infrastructure
after the merger (thus reducing previously assumed cost savings)
and increased pro forma costs associated with the assumption of
CHS employees under BioScrips employee benefit plans. At
that time, Mr. Woodward declined to consider a reduction in
purchase price, and negotiations ceased.
On November 17, 2009, the corporate strategy committee of
our board met telephonically for the purpose of discussing how
to proceed following the cessation of negotiations with the
Kohlberg Entities and CHS. Management advised the committee
that, based on discussions with the Kohlberg Entities between
October 30, 2009 and November 17, 2009,
representatives of the Kohlberg Entities had indicated a
willingness to resume negotiations if certain outstanding issues
could be resolved.
On November 21, 2009, the engagement letter with Jefferies
& Company was executed.
The corporate strategy committee of our board held a meeting on
November 24, 2009 to be updated on the status of the
proposed transaction since the last board meeting. Members of
BioScrips management presented an overview of the
discussions and meetings with the Kohlberg Entities that had
occurred over the past several weeks, and noted that during that
time the Kohlberg Entities had signaled their willingness to
consider a purchase price in the range of $375 million to
$385 million and that BioScrip had made a non-binding offer
of $350 million ($110 million in cash, repayment of
$132 million of net debt and a 25.7% ownership interest in
BioScrip post-merger based on the November 20, 2009 stock
price of $7.64). Representatives of Jefferies & Company and
Jefferies Finance presented updated financial analyses of CHS
and updated information regarding BioScrips debt financing
alternatives. Management reported to the corporate strategy
committee on its updated financial analysis of CHS. After
discussion and deliberation, the corporate strategy committee
authorized management to proceed with an offer of
$350 million to the Kohlberg Entities. The corporate
strategy committee also discussed the debt financing fees
outlined in the engagement letter with Jefferies & Company,
and ratified its execution.
On December 4, 2009, BioScrips corporate strategy
committee held a meeting for the purpose of being updated on the
status of the negotiations on the proposed merger since the
November 24, 2009 meeting. Management reported to the
committee on the recent negotiations with the Kohlberg Entities
and CHS, and outlined the current terms of the proposed
transaction, including a purchase price of $365 million
consisting of:
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$110.0 million in cash;
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$118.2 million in BioScrip common stock, based on the
volume weighted average price of the common stock over the ten
day trading period ending on the last trading date prior to the
date of execution of the merger agreement;
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the repayment of $131.8 million in CHS net debt; and
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1.343 million warrants with a 5 year term exercisable
for BioScrip common stock at $10 per share (with a value of
approximately $5 million at 66% volatility).
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In addition, the escrow holdback for the offset of any of the
Stockholders and CHSs indemnity obligations was
reduced to $22.5 million consisting solely of BioScrip
common stock. Management also noted that they were still in
negotiations regarding the number of directors to be named by
the Kohlberg Entities to the BioScrip board. The corporate
strategy committee also discussed the lack of exclusivity since
the expiration of the letter of intent on November 2, 2009
(an extension of which had been requested by BioScrip and
refused by the Kohlberg Entities) and concluded that CHSs
agreement to reimburse BioScrip for transaction expenses
incurred after the date of such agreement of up to
$1 million in the event that CHS entered into a definitive
agreement with a third party on or before February 28, 2010
would be sufficient protection. On December 7, 2009, a
letter setting forth the agreement regarding expense
reimbursement was executed by BioScrip and CHS.
On December 7, 2009, Paul, Weiss circulated a list
describing the remaining issues and open points presented by
King & Spaldings October 30, 2009 draft of
the merger agreement. On December 8, 2009, management and
representatives of Jefferies & Company and King &
Spalding discussed how to respond to the numerous issues raised
by Paul, Weiss, and on December 9, 2009, lawyers from
King & Spalding and Paul, Weiss discussed
BioScrips positions and possible resolutions. Paul, Weiss
circulated a revised draft of the merger agreement to BioScrip
and King & Spalding on December 10, 2009.
On December 16, 2009, BioScrips board of directors
held a meeting. The purpose of the meeting was to provide the
board with an overview of the proposed transaction, including a
review of the key proposed terms from management and discussion
of the transaction rationale, to hear a presentation from
Jefferies & Company on its financial analysis of the
merger, including the financial impact based on a
$365 million transaction value, and for management to
provide an update on due diligence. At this meeting, the board
also discussed certain of the open issues under consideration
with respect to the merger. Stanley Rosenbaum, our chief
financial officer, also summarized the status of financial and
other due diligence performed by a third party advisor and
management, as well as the legal due diligence performed by
BioScrips in-house counsel, management, King &
Spalding and Bryan Cave.
On December 16, 2009, Barry Posner, our general counsel,
and representatives of King & Spalding and Bryan Cave
met telephonically to identify and discuss the more significant
issues for BioScrip raised in the December 10, 2009 version
of the merger agreement. Based on this discussion, on
December 17, 2009, King & Spalding circulated a
revised draft of the merger agreement to Paul, Weiss reflecting
BioScrips proposal on such issues.
On December 17, 2009, Mr. Friedman and
Mr. Woodward had a phone call to discuss the status of each
partys due diligence investigation and results, and
numerous open business issues.
Between December 18 and December 22, 2009, representatives
of BioScrip and its advisers and the Kohlberg Entities
personnel and representatives of Paul, Weiss discussed, at
various dates and times, the significant open issues in the
draft of the merger agreement circulated by King &
Spalding on December 17, 2009, as well as additional issues
uncovered during the due diligence process, and significant
progress was made during these negotiations. On
December 22, 2009, Mr. Friedman telephoned
Mr. Woodward to update Mr. Woodward on the results of
BioScrips financial due diligence. On December 23,
2009, Paul, Weiss circulated a revised draft of the merger
agreement, noting that certain issues remained open pending the
completion of BioScrips due diligence and financial
analysis of CHS.
During the period between December 23, 2009 and early
January 2010, BioScrip continued to finalize its diligence. On
January 5, 2010, at a meeting at the offices of Paul,
Weiss, teams from BioScrip, King & Spalding, Bryan
Cave, Jefferies & Company, the Kohlberg Entities, CHS,
Paul, Weiss and Sutherland Asbill & Brennan LLP,
special counsel to CHS, met to discuss results of
BioScrips diligence.
37
On January 6, 2010, there was a meeting between
Mr. Friedman and Messrs. Frieder and Woodward in
Mt. Kisco, New York, during which the parties discussed the
potential resolutions of remaining outstanding due diligence
matters with respect to the merger. At this meeting,
Mr. Friedman also proposed the concept of a minimal
earn-out feature to replace an equal amount of stock in the
merger consideration payable at the closing.
After consultation with the corporate strategy committee and
another BioScrip director, over the next two days BioScrip and
its advisors worked on fine-tuning an earn-out proposal, which
representatives from Jefferies & Company presented to the
Kohlberg Entities team on January 8, 2010.
Mr. Woodward advised Mr. Friedman that the Kohlberg
Entities would decline to accept this most recent proposal.
On January 10, 2010, management and representatives of
Jefferies & Company discussed revising its proposal by
eliminating the earn-out proposal and shifting
$12.5 million of equity consideration into warrants, with
the total value of the transaction to remain at
$365.0 million.
On January 10, 2010, Mr. Friedman, Mr. Smith and
representatives of Jefferies & Company met telephonically
with Mr. Woodward to discuss BioScrips new proposal.
The key terms of the proposal were: (1) cash in the amount
of $110.0 million, (2) repayment of CHS net debt of
$131.8 million, (3) issuance of BioScrip common stock
valued at $105.7 million, based on the average of the
volume-weighted average prices of BioScrips common stock
for the ten trading days immediately preceding the date of the
execution of the merger agreement, and (4) warrants valued
at $17.5 million, based on a $10.00 per share strike price,
a 5-year
term, and 66% share volatility. The parties agreed to shift
$10.0 million of equity consideration into warrants, so
that the total stock consideration would be $108.0 million
and total warrant consideration would be $15.0 million.
On January 13, 2010, BioScrip management and advisors from
King & Spalding met with representatives from the
Kohlberg Entities, CHS and Paul, Weiss at the offices of
King & Spalding to discuss and negotiate the remaining
outstanding open issues in the merger agreement. On
January 19, 2010, representatives from BioScrip,
King & Spalding, the Kohlberg Entities, CHS and Paul,
Weiss met telephonically to finalize the merger agreement and
ancillary transaction documents. On January 20, 2010,
Mr. Smith and Mr. Woodward finalized the terms of the
Kohlberg Entities post-merger stockholder rights,
including the number of directors that the Kohlberg Entities
were entitled to nominate.
On January 20, 2010, the corporate strategy committee of
our board of directors held a special telephonic meeting to
discuss the proposed acquisition terms and merger agreement and
invited all directors to participate. All of the members of the
board of directors were in attendance at this meeting. During
this meeting:
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Mr. Holubiak, the chair of the committee, outlined for the
directors the rationale for the merger and discussed the steps
that BioScrips management and the committee had taken
since October 2009 in connection with the transaction;
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Representatives of Jefferies & Company updated the board of
directors on developments in the transaction, including the pro
forma financial impact of the merger based on a
$365 million transaction value and the key underlying
assumptions thereof, the consideration to be paid to the
Stockholders in the merger and the sources thereof, a
Stockholder equity ownership analysis, an accretion/dilution
analysis on both a cash and GAAP basis, and the post-merger pro
forma leverage profile, and presented several case studies of
recent transformational health care transactions;
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Mr. Rosenbaum, our chief financial officer, discussed the
results of the due diligence review of CHS conducted by
BioScrip, a third party advisor and the law firms representing
BioScrip in the transaction, including the resolutions of
certain significant issues;
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Mr. Posner, our general counsel, answered all questions
regarding the key terms of the merger agreement as set forth in
a presentation prepared by King & Spalding; and
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Mr. Smith discussed developments in the post-merger
integration planning.
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38
Following consideration of all the relevant factors and subject
to the receipt of Jefferies & Companys fairness
opinion, the corporate strategy committee unanimously determined
to recommend the merger with CHS to BioScrips board of
directors.
At various dates and times between January 20 and
January 24, 2010, representatives of BioScrip and its
attorneys from King & Spalding and Bryan Cave met
telephonically with the Stockholders representatives and
attorneys from Paul, Weiss to finalize the terms of the merger
agreement and the related ancillary documents.
On January 24, 2010, our board of directors held a special
meeting to discuss the proposed acquisition terms and merger
agreement. During this meeting:
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Mr. Holubiak reported to the board of directors that the
corporate strategy committee had determined to recommend to the
board of directors that it approve CHS merger and the related
agreement and plan of merger.
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Representatives of Jefferies & Company updated the board of
directors on the transaction value based on the ten day volume
weighted average price of BioScrips common stock through
Friday, January 22, 2010; reviewed with the board its
financial analysis of the merger consideration; and rendered to
the board an oral opinion, confirmed by delivery of a written
opinion, dated January 24, 2010, to the effect that, as of
that date and based on and subject to the factors, assumptions,
limitations and other considerations to be described in the
written opinion, the merger consideration to be paid by BioScrip
pursuant to the Agreement and Plan of Merger was fair, from a
financial point of view, to BioScrip.
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Mr. Rosenbaum and representatives of Jefferies &
Company updated the board of directors on the terms of the debt
financing outlined in the commitment letter provided by
Jefferies Finance, and the state of the credit markets; and
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Mr. Friedman and Mr. Smith discussed the likely
financial impact of the merger upon our financial condition,
results of operations, cash flow and stockholders equity.
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After discussing the terms of merger agreement and all other
relevant matters, our board of directors unanimously determined
that the merger is advisable and in the best interests of
BioScrip and our stockholders, approved the Agreement and Plan
of Merger and its execution, authorized the debt financing
documents and recommended to the stockholders that they approve
the issuance of shares of our common stock and warrants in
connection with the merger at a special meeting.
On January 24, 2010, the parties thereto executed the
definitive Agreement and Plan of Merger, the Stockholders
Agreement and the Common Stock Voting Agreement.
On January 25, 2010, BioScrip issued a press release
announcing the approval of the merger.
On January 27, 2010, BioScrip filed a
Form 8-K
with the SEC announcing the execution of the Agreement and Plan
of Merger, the Stockholders Agreement and the Common Stock
Voting Agreement.
BioScrips
Reasons for the Transaction
Our board of directors believes that the merger with CHS will
provide substantial benefits to BioScrips business and
operations by, among other things, transforming BioScrip into
one of the largest home infusion providers in the U.S. In
making its determination to approve the merger and the other
transactions contemplated by the Agreement and Plan of Merger,
and to recommend approval of the BioScrip common stock issuance
proposal to our stockholders, our board of directors consulted
with our senior management team, our internal and outside legal
counsel and our financial advisor regarding the strategic and
operational aspects of the merger, and considered various
factors, including the following:
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historical information concerning the businesses, prospects,
financial performance and condition, operations, management and
the competitive position of CHS;
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39
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the anticipated financial condition, results of operations and
businesses of BioScrip after giving effect to the transaction;
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the fact that the merger with CHS is consistent with and will
further our strategic objective to be the clinical leader in
infusion, oral and injectable specialty pharmacy services and
care management programs and will transform BioScrip into one of
the largest home infusion providers in the U.S.;
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the fact that the merger with CHS will create one of the
countrys largest leading independent, broad-based
specialty distribution and home infusion and home health
providers, thereby providing us with a greater competitive edge
vis-à-vis our competitors;
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the expansion of BioScrips national footprint by creating
a specialty pharmacy and home infusion platform with the ability
to cross-sell all of our services to large national health
insurers on a national basis;
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the potential opportunities for growth and expansion as a result
of the concentration on higher margin therapies, resulting in
overall increased margins;
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broadened clinical experience;
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the opinion of Jefferies & Company and its
presentation dated January 24, 2010, to the board of
directors that, as of January 24, 2010, and based on and
subject to various assumptions made, matters considered and
limitations set forth in the opinion, the consideration to be
paid by BioScrip pursuant to the Agreement and Plan of Merger
was fair, from a financial point of view, to BioScrip. For a
more detailed description of the fairness opinion, see the
section entitled Opinion of BioScrips
Financial Advisor;
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the expected synergies of the merger, including purchasing and
volume discounts, and an expanded resource base and
infrastructure resulting from the acquisition of 35 additional
infusion centers, including 16 ambulatory infusion locations,
and 33 home health agency offices;
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the fact that, as a result of the merger, BioScrip will be
well-positioned to benefit from healthcare reform legislation
that alters the regulatory framework of the industries in which
we operate;
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the depth of experience of the combined management teams of
BioScrip and CHS, including specifically with respect to the
integration, operation and expansion of home infusion and home
health providers;
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the terms and conditions of the Agreement and Plan of Merger
generally, including the parties representations,
warranties and covenants and the circumstances in which BioScrip
would be entitled to indemnification for breaches of the
representations, warranties or covenants of CHS or its
stockholders;
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the terms and conditions of obtaining financing for the
transaction, including the costs and expenses of such financing
as contemplated under the commitment letter; and
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the results of financial, legal and operational due diligence on
CHS performed by our senior management, legal counsel and
financial advisor.
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Our board of directors also considered the potential risks that
the transaction poses to BioScrip and BioScrips
stockholders, including the risks described above in the section
entitled Risk Factors.
The foregoing discussion of the information and factors
considered by the board of directors of BioScrip is not
exhaustive. In view of the wide variety of factors, both
positive and negative, considered by our board of directors, the
board did not consider it practical to, nor did it attempt to
quantify, rank or otherwise seek to, assign relative weights to
the specific factors that it considered in reaching its
determination that the issuance of BioScrip common stock
pursuant to the Agreement and Plan of Merger is advisable and in
the best interests of BioScrips stockholders. Rather, our
board of directors viewed its determination as being based upon
the judgment of its members, in light of the totality of the
information presented and considered. In considering the factors
described above, individual members of our board of directors
may have given different weights to
40
different factors and may have applied different analyses to
each of the material factors considered by the board
collectively.
Consideration
If the merger is completed, BioScrip will:
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repay the net indebtedness of CHS, which was approximately
$132 million at December 31, 2009, and enter into
a new credit facility;
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pay cash consideration of $110 million, subject to
adjustment as described below;
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issue up to approximately 12.9 million shares of BioScrip
common stock, subject to adjustment as described below, of which
2,696,516 shares initially will be held in escrow to fund
indemnification payments, if any; and
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issue warrants to acquire 3,400,945 shares of BioScrip
common stock, exercisable at $10 per share and having a
five-year term.
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If the net indebtedness of CHS at closing of the merger is
$132 million and CHSs expenses incurred in connection
with the merger are $10 million, then the number of shares
of BioScrip common stock to be issued in connection with the
merger (in addition to shares issuable upon exercise of the
warrants being issued) would be approximately
12,655,600 shares, or approximately 24% of the then
outstanding common stock of BioScrip, assuming that no
outstanding options to purchase shares of CHSs common
stock are exercised before the closing of the merger. If the net
indebtedness of CHS at the closing of the merger is less than
$132 million, then one-half of the difference would be paid
in cash to the CHS stockholders and the other half would be paid
in stock based on a value per share of $8.3441, the
10-day
volume weighted trading average share price of the BioScrip
common stock over the
10-day
period ended January 22, 2010. If the net indebtedness of
CHS exceeds $132 million, then the cash payment of
$110 million would be reduced by the amount of the excess.
Opinion
of BioScrips Financial Advisor
Jefferies & Company was engaged to render an opinion
to the board of directors as to whether the consideration to be
paid by BioScrip pursuant to the Agreement and Plan of Merger
was fair, from a financial point of view, to BioScrip. On
January 24, 2010, Jefferies & Company delivered
to the board of directors its oral opinion, subsequently
confirmed in writing, that, as of the date of its opinion, based
upon and subject to the assumptions, limitations,
qualifications, and factors contained in its opinion, the
consideration (as defined in the opinion) to be paid by BioScrip
pursuant to the Agreement and Plan of Merger was fair, from a
financial point of view, to BioScrip.
The full text of Jefferies & Companys opinion,
which sets forth, among other things, the assumptions made,
matters considered and limitations on the scope of review
undertaken by Jefferies & Company in rendering its
opinion, is attached to this proxy statement as Annex D.
BioScrip encourages its stockholders to read the
Jefferies & Company opinion carefully and in its
entirety. Jefferies & Companys opinion was
provided to the BioScrip board of directors in connection with
its consideration of the merger and addresses only the fairness
to BioScrip, from a financial point of view and as of the date
of Jefferies & Companys opinion, of the
consideration (as defined in the opinion) to be paid by BioScrip
pursuant to the Agreement and Plan of Merger and does not
address any other aspect of the merger. Jefferies &
Companys opinion does not constitute a recommendation as
to how any BioScrip stockholder, or any other person, including
any CHS stockholder, should vote or act with respect to the
merger or any matter related thereto. The summary of
Jefferies & Companys opinion set forth in this
proxy statement is qualified in its entirety by reference to the
full text of the opinion.
In connection with its opinion, Jefferies & Company,
among other things:
(i) reviewed a draft dated January 22, 2010 of the
Agreement and Plan of Merger;
41
(ii) reviewed certain diligence information compiled at the
request of BioScrips management;
(iii) reviewed certain publicly available financial and
other information about CHS;
(iv) reviewed certain information furnished to
Jefferies & Company by BioScrips and CHSs
management, including financial forecasts and analyses, relating
to the business, operations and prospects of BioScrip
and/or CHS;
(v) held discussions with members of senior management of
BioScrip and CHS concerning the matters described in
clauses (iii) and (iv) above;
(vi) compared CHS to certain publicly traded companies that
Jefferies & Company deemed relevant;
(vii) compared the proposed financial terms of the merger
with the financial terms of certain other transactions that
Jefferies & Company deemed relevant;
(viii) considered the potential pro forma impact of the
merger; and
(ix) conducted such other financial studies, analyses and
investigations as Jefferies & Company deemed
appropriate.
In Jefferies & Companys review and analysis and
in rendering its opinion, Jefferies & Company assumed
and relied upon, but did not assume any responsibility to
independently investigate or verify, the accuracy and
completeness of all financial and other information that was
supplied or otherwise made available by BioScrip or CHS or that
was publicly available to Jefferies & Company
(including, without limitation, the information described
above), or that was otherwise reviewed by Jefferies &
Company. Jefferies & Company relied on assurances of
the management of BioScrip and CHS that they were not aware of
any facts or circumstances that would make such information
inaccurate or misleading. In its review, Jefferies &
Company did not obtain any independent evaluation or appraisal
of any of the assets or liabilities of, nor did
Jefferies & Company conduct a physical inspection of
any of the properties or facilities of CHS, nor was
Jefferies & Company furnished with any such
evaluations or appraisals or the results of any such physical
inspections, nor did Jefferies & Company assume any
responsibility to obtain any such evaluations or appraisals or
conduct any such physical inspections. Jefferies &
Company assumed that the representations and warranties of all
of the parties contained in the Agreement and Plan of Merger
were true and correct, that each of the parties would perform
all of the covenants and agreements required to be performed by
it under the Agreement and Plan of Merger and that all
conditions to the consummation of the merger would be satisfied
without waiver or amendment thereof.
With respect to the financial forecasts provided to and examined
by it, Jefferies & Companys opinion noted that
projecting future results of any company is inherently subject
to uncertainty. BioScrip and CHS informed Jefferies &
Company, however, and Jefferies & Company assumed,
that such financial forecasts were reasonably prepared on bases
reflecting the best currently available estimates and good faith
judgments of the management of BioScrip and CHS as to the future
financial performance of BioScrip or CHS, or the realization of
expected synergies as a result of the merger, as applicable.
Jefferies & Company expressed no opinion as to
BioScrips or CHSs financial forecasts or the
assumptions on which they were made.
Jefferies & Companys opinion was based on
economic, monetary, regulatory, market and other conditions
existing and which could be evaluated as of January 24,
2010. Jefferies & Company expressly disclaimed any
undertaking or obligation to advise any person of any change in
any fact or matter affecting Jefferies &
Companys opinion of which Jefferies & Company
may become aware after such date.
Jefferies & Company has made no independent
investigation of any legal or accounting matters affecting
BioScrip
and/or CHS,
and Jefferies & Company assumed the correctness in all
respects material to Jefferies & Companys
analysis of all legal and accounting advice given to BioScrip
and the BioScrip board of directors, including, without
limitation, advice as to the legal, accounting and tax
consequences of the terms of, and transactions contemplated by,
the Agreement and Plan of Merger to BioScrip.
Jefferies & Company was
42
advised by BioScrip that the merger would qualify as a tax-free
reorganization for federal income tax purposes.
Jefferies & Company assumed that the final form of the
Agreement and Plan of Merger would be substantially similar to
the last draft reviewed by it. In addition,
Jefferies & Company assumed that in the course of
obtaining the necessary regulatory or third party approvals,
consents and releases for the merger, no delay, limitation,
restriction or condition would be imposed that would have an
adverse effect on BioScrip, CHS or the contemplated benefits of
the merger.
Jefferies & Companys opinion was for the use and
benefit of the BioScrip board of directors in its consideration
of the merger, and Jefferies & Companys opinion
did not address the relative merits of the transactions
contemplated by the Agreement and Plan of Merger as compared to
any alternative transaction or opportunity that might be
available to BioScrip, nor did it address the underlying
business decision by BioScrip to engage in the merger or the
terms of the Agreement and Plan of Merger or the documents
referred to therein. Jefferies & Company expressed no
opinion as to the price at which shares of BioScrip common stock
will trade at any time. Jefferies & Companys
opinion speaks only as to the fairness from a financial point of
view, to BioScrip, as of the date of the opinion, of the
consideration to be paid by BioScrip pursuant to the Agreement
and Plan of Merger and does not address any other aspect of the
Agreement and Plan of Merger or any other agreement or
transaction contemplated thereby. Furthermore,
Jefferies & Company did not express any view or
opinion as to the fairness, financial or otherwise, of the
amount or nature of any compensation payable or to be received
by any of BioScrips or CHSs officers, directors or
employees, or any class of such persons, in connection with the
merger relative to the consideration.
In preparing its opinion, Jefferies & Company
performed a variety of financial and comparative analyses. The
preparation of a fairness opinion is a complex process involving
various determinations as to the most appropriate and relevant
quantitative and qualitative methods of financial analysis and
the applications of those methods to the particular
circumstances and, therefore, is not necessarily susceptible to
partial analysis or summary description. Jefferies &
Company believes its analyses must be considered as a whole.
Considering any portion of Jefferies & Companys
analyses or the factors considered by Jefferies &
Company, without considering all analyses and factors, could
create a misleading or incomplete view of the process underlying
the conclusion expressed in Jefferies & Companys
opinion. In addition, Jefferies & Company may have
given various analyses more or less weight than other analyses
and may have deemed various assumptions more or less probable
than other assumptions, so that the range of valuation resulting
from any particular analysis described below should not be taken
to be Jefferies & Companys view of CHSs
actual value. Accordingly, the conclusions reached by
Jefferies & Company are based on all analyses and
factors taken as a whole and also on the application of
Jefferies & Companys own experience and
judgment. In performing its analyses, Jefferies &
Company considered numerous assumptions with respect to industry
performance, general business, economic, monetary, regulatory,
market and other conditions and other matters, many of which are
beyond BioScrips, CHSs and Jefferies &
Companys control. The analyses performed by
Jefferies & Company are not necessarily indicative of
actual values or actual future results, which may be
significantly more or less favorable than suggested by such
analyses. In addition, analyses relating to the per share value
of BioScrip common stock do not purport to be appraisals or to
reflect the prices at which BioScrip common stock may actually
be sold. The analyses performed were prepared solely as part of
Jefferies & Companys analysis of the fairness,
from a financial point of view, of the merger consideration to
be paid by BioScrip pursuant to the Agreement and Plan of
Merger, and were provided to the BioScrip board of directors in
connection with the delivery of Jefferies &
Companys opinion.
The following is a summary of the material financial and
comparative analyses performed by Jefferies & Company
in connection with Jefferies & Companys delivery
of its opinion. The financial analyses summarized below include
information presented in tabular format. In order to fully
understand Jefferies & Companys financial
analyses, the tables must be read together with the text of each
summary. The tables alone do not constitute a complete
description of the financial analyses. Considering the data
described below without considering the full narrative
description of the financial analyses, including the
methodologies and assumptions underlying the analyses, could
create a misleading or incomplete view of Jefferies &
Companys financial analyses.
43
Transaction
Overview
For purposes of its opinion, Jefferies & Company noted
that the consideration pursuant to the Agreement and Plan of
Merger was based upon a total purchase price of $365,000,000 as
follows: (i) assumption of $132,000,000 of CHS net
indebtedness; (ii) $110,000,000 in cash (subject to
adjustment if CHS net indebtedness does not equal $132,000,000);
(iii) $108,000,000 of BioScrip common stock, (subject to
adjustment if CHS net indebtedness does not equal $132,000,000),
$22,500,000 of which (the escrow amount) will be
deposited into escrow; and (iv) warrants valued at
$15,000,000 (collectively, after taking into account the
assumptions in clauses (i) through (iii) of the
following sentence, the Consideration). For all
purposes in connection with its opinion, Jefferies &
Company was advised by BioScrip
and/or
assumed, among other things, that (i) CHSs net
indebtedness as of the closing will equal $132,000,000,
(ii) the escrow amount will be fully paid and (iii) a
value of $8.3441 per share of BioScrip common stock, resulting
in the payment of 12,943,277 shares of common stock in the
aggregate and 3,400,945 warrants. Further, Jefferies &
Company understood that if the Consideration is adjusted in
respect of any increase or decrease in CHS net indebtedness as
of the closing date, such adjustments will be made on a
dollar-for-dollar
basis corresponding to the actual increase or decrease in such
net indebtedness; thus, for all purposes of the opinion and
related analyses Jefferies & Company assumed that any
adjustments to the Consideration provided for in the Agreement
and Plan of Merger would have no net effect on the fairness,
from a financial point of view, to BioScrip, of the
Consideration to be paid by BioScrip pursuant to the Agreement
and Plan of Merger, and disregarded any such potential
adjustments.
CHS
Analysis
Comparable Public Company Analysis. Using
publicly available information and information provided by
BioScrip and CHS management, Jefferies & Company
analyzed the trading multiples of the following specialty
pharmacy/pharmacy benefit management and home nursing companies,
which it considered to have similar services, operating and
financial characteristics, and markets as compared to CHS:
Specialty Pharmacy/Pharmacy Benefit Management:
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BioScrip, Inc;
|
|
|
|
Catalyst Health Solutions, Inc.;
|
|
|
|
Express Scripts, Inc.;
|
|
|
|
MedcoHealth Solutions, Inc.;
|
|
|
|
SXC Health Solutions, Corp.
|
Home Nursing:
|
|
|
|
|
Amedisys, Inc.;
|
|
|
|
Almost Family, Inc.;
|
|
|
|
Gentiva Health Services, Inc.;
|
|
|
|
LHC Group, Inc.
|
In its analysis, Jefferies & Company derived and
compared multiples for the selected companies, calculated as
follows:
|
|
|
|
|
the enterprise value divided by estimated adjusted Earnings
Before Interest, Tax, Depreciation, and Amortization, or EBITDA,
for calendar year 2009 (Total Enterprise Value/CY2009E
EBITDA); and
|
|
|
|
the enterprise value divided by projected adjusted EBITDA for
calendar year 2010 (Total Enterprise Value/CY2010P
EBITDA).
|
44
This analysis indicated the following:
Comparable
Public Company Multiples
|
|
|
|
|
|
|
|
|
|
|
|
|
Benchmark
|
|
High
|
|
Low
|
|
Median
|
|
Total Enterprise Value/CY2009E EBITDA
|
|
|
16.3
|
x
|
|
|
6.7
|
x
|
|
|
11.5
|
x
|
Total Enterprise Value/CY2010P EBITDA
|
|
|
12.1
|
x
|
|
|
6.4
|
x
|
|
|
9.2
|
x
|
Using a reference range of 9.5x to 10.5x CHSs CY2009E
EBITDA, and 9.0x to 10.0x CHSs CY2010P EBITDA,
Jefferies & Company determined an implied total
enterprise value for CHS. This analysis indicated an implied
total enterprise value range for CHS of approximately
$384 million to $425 million using CY2009E EBITDA, and
$347 million to $385 million using CY2010P EBITDA.
No company utilized in the comparable company analysis is
identical to CHS. In evaluating the selected companies,
Jefferies & Company made judgments and assumptions
with regard to industry performance, general business, economic,
market and financial conditions and other matters, many of which
are beyond BioScrips, CHSs and Jefferies &
Companys control.
Comparable
Transaction Analysis
Using publicly available information, Jefferies &
Company examined the following transactions representing
acquisitions of specialty pharmacy/pharmacy benefit management
and home nursing companies announced since 2003. The
transactions considered, and the month and year each transaction
was announced, were as follows:
Specialty Pharmacy/Pharmacy Benefit Management:
|
|
|
|
|
Target
|
|
Acquiror
|
|
Month and Year Announced
|
|
Allion Healthcare, Inc.
|
|
H.I.G. Capital, LLC
|
|
October 2009
|
Biomed America, Inc.
|
|
Allion Healthcare, Inc.
|
|
March 2008
|
Critical Care Systems, Inc.
|
|
Accredo Health Group, Inc.
|
|
November 2007
|
Coram, Inc.
|
|
Apria Healthcare Group, Inc.
|
|
October 2007
|
HomeChoice Partners, Inc.
|
|
DaVita, Inc.
|
|
September 2007
|
Option Care, Inc.
|
|
Walgreen Co.
|
|
July 2007
|
CCS Medical Holdings, Inc./MP TotalCare Inc.
|
|
Warburg Pincus LLC
|
|
October 2005
|
Priority Healthcare Corp.
|
|
Express Scripts, Inc.
|
|
July 2005
|
Accredo Health, Inc.
|
|
MedcoHealth Solutions, Inc.
|
|
February 2005
|
CuraScript, Inc.
|
|
Express Scripts, Inc.
|
|
December 2003
|
45
Home Nursing:
|
|
|
|
|
Target
|
|
Acquiror
|
|
Month and Year Announced
|
|
Tender Loving Care Health Care Services, Inc.
|
|
Amedisys, Inc.
|
|
February 2008
|
Home Health Care Affiliates, Inc.
|
|
Gentiva Health Services, Inc.
|
|
February 2008
|
VistaCare, Inc.
|
|
Odyssey Healthcare, Inc.
|
|
January 2008
|
Encompass Home Health, Inc.
|
|
Thoma Cressey Bravo
|
|
August 2007
|
Integricare, Inc.
|
|
Amedisys, Inc.
|
|
August 2007
|
Pediatric Services of America, Inc.
|
|
Portfolio Logic Management LLC
|
|
April 2007
|
The Healthfield Group, Inc.
|
|
Gentiva Health Services, Inc.
|
|
January 2006
|
Housecall Medical Resources, Inc.
|
|
Amedisys, Inc.
|
|
July 2005
|
Tender Loving Care Health Care Services, Inc.
|
|
Arcapita Bank, Corp. Investment Arm
|
|
March 2004
|
Using publicly available estimates for each of these
transactions, Jefferies & Company reviewed the
applicable transaction value as a multiple of the target
companys last twelve months EBITDA (LTM
EBITDA) immediately preceding announcement of the
transaction (the Transaction Value/LTM EBITDA) as
well as the applicable transaction value as a multiple of the
target companys forward fiscal year estimate EBITDA
(FY EBITDA) immediately preceding announcement of
the transaction (the Transaction Value/ FY EBITDA).
In each case, the price paid in the transaction was adjusted for
the targets cash and debt at the time of acquisition when
such information was available.
This analysis indicated the following:
Comparable
Transaction Multiples
|
|
|
|
|
|
|
|
|
|
|
|
|
Benchmark
|
|
High
|
|
Low
|
|
Median
|
|
Transaction Value/LTM EBITDA
|
|
|
16.4
|
x
|
|
|
6.3
|
x
|
|
|
13.8
|
x
|
Transaction Value/FY EBITDA
|
|
|
15.7
|
x
|
|
|
6.0
|
x
|
|
|
10.7x
|
|
Using a reference range of 10.5x to 11.5x CHSs LTM EBITDA,
Jefferies & Company determined an implied transaction
value for CHS. This analysis indicated an implied transaction
value range for CHS of approximately $425 million to
$465 million. Using a reference range of 9.5x to 10.5x
CHSs FY EBITDA, this analysis indicated an implied
transaction value range for CHS of approximately
$366 million to $405 million.
No transaction utilized as a comparison in the comparable
transaction analysis is identical to the merger. In evaluating
the merger, Jefferies & Company made numerous
judgments and assumptions with regard to industry performance,
general business, economic, market, and financial conditions and
other matters, many of which are beyond BioScrips,
CHSs and Jefferies & Companys control.
Mathematical analysis, such as determining the average or the
median, is not in itself a meaningful method of using comparable
transaction data.
Discounted
Cash Flow Analysis
Jefferies & Company also employed a discounted cash
flow analysis for the purposes of its opinion with respect to
the merger. The discounted cash flow methodology values a target
company as the sum of its unlevered (before financing costs)
free cash flows over a forecast period and the target
companys terminal or residual value at the end of the
forecast period. Jefferies & Company used financial
forecasts for CHS, as estimated by BioScrips and
CHSs management, to perform a discounted cash flow with
respect to CHS. In conducting this analysis,
Jefferies & Company assumed that CHS would perform in
accordance with these forecasts.
46
Using a terminal EBITDA multiple range of 10.0x to 11.0x,
selected based on the trading multiples of the companies
included in Jefferies & Companys comparable
public company analysis, Jefferies & Company
determined an implied terminal value for CHS.
Jefferies & Company then discounted the cash flows
projected and the terminal value to present value using discount
rates ranging from 11.0% to 13.0%. These discount rates were
selected based on the weighted average cost of capital rate for
the companies included in Jefferies & Companys
comparable public company analysis. The resulting analysis
indicated an implied total enterprise value range for CHS of
approximately $356 million to $419 million.
Pro
Forma Merger Analysis
Jefferies & Company reviewed the impact of the merger
on earnings by comparing the earnings per share of BioScrip
common stock on a standalone basis projected by BioScrips
management to the pro forma earnings per share of the combined
company following the merger, using projections provided by
BioScrips management, projections prepared by CHSs
management and forecasts of synergies prepared by BioScrip
management. For purposes of this analysis, Jefferies &
Company assumed a closing date of the merger of March 31,
2010. Based on this analysis, the merger would be accretive to
BioScrips shareholders on a non-GAAP earnings per share
basis in 2010 and on both a GAAP and non-GAAP earnings per share
basis in 2011, in each case after taking into account of the
forecasts of synergies prepared by BioScrip management.
Miscellaneous
Jefferies & Companys opinion was one of many
factors taken into consideration by the BioScrip board of
directors in its consideration of the merger and should not be
considered determinative of the views of the BioScrip board of
directors with respect to the merger.
Jefferies & Company was selected by BioScrip based on
Jefferies & Companys qualifications, expertise
and reputation. Jefferies & Company is an
internationally recognized investment banking and advisory firm.
Jefferies & Company, as part of its investment banking
business, is regularly engaged in the valuation of businesses
and securities in connection with mergers and acquisitions,
negotiated underwritings, competitive biddings, secondary
distributions of listed and unlisted securities, private
placements, financial restructurings and other financial
services. Jefferies & Companys opinion was
authorized by the fairness committee of Jefferies &
Company.
Pursuant to an engagement letter between BioScrip and
Jefferies & Company dated November 21, 2009,
Jefferies & Company was engaged by BioScrip to act as
its financial advisor in connection with the merger and will
receive a fee of $3,000,000 for its services, $500,000 of which
was payable upon delivery of its opinion and the remainder of
which will be payable contingent upon consummation of the
merger. In addition, BioScrip has agreed to reimburse
Jefferies & Company for certain expenses incurred in
connection with its engagement. BioScrip also has agreed to
indemnify Jefferies & Company against liabilities
arising out of or in connection with the services rendered and
to be rendered by it pursuant to its engagement. Jefferies
Finance, an affiliate of Jefferies & Company, has also
been engaged to provide financing to BioScrip in connection with
the closing of the transactions contemplated by the Agreement
and Plan of Merger and will receive fees for its services in
connection therewith, a significant portion of which will only
be received if the closing of the merger takes place. Jefferies
Finance currently holds a portion of CHSs outstanding
debt, which will be repaid in connection with the closing of the
merger. Jefferies & Company maintains a market in the
securities of BioScrip, and in the ordinary course of
Jefferies & Companys business,
Jefferies & Company and its affiliates may trade or
hold securities of BioScrip or CHS
and/or their
respective affiliates for Jefferies & Companys
own account and for the accounts of Jefferies &
Companys customers and, accordingly, may at any time hold
long or short positions in those securities. In addition,
Jefferies & Company may seek to, in the future,
provide financial advisory and financing services to BioScrip,
CHS and/or
their respective affiliates, for which Jefferies &
Company would expect to receive compensation.
47
Financing
Related to the Transaction
In order to fund the cash payments in respect of the merger and
refinance existing indebtedness of CHS (approximately
$132 million) and BioScrip, BioScrip has entered into a
commitment letter with Jefferies Finance, pursuant to which
Jefferies Finance has committed to provide BioScrip with
$375 million in debt financing comprised of
$150 million in senior credit facilities and
$225 million in other debt facilities.
The senior credit facilities to be provided by Jefferies Finance
consist of a $100 million term loan and a $50 million
revolving line of credit. The term loan matures five years after
funding and has a repayment schedule with quarterly amortization
equal to 2.5%, 5.0%, 7.5%, 10.0% and 12.5% of its principal
amount in years one through five with the balance due at
maturity. The revolving line of credit will be available for
five years after the closing of the merger and $5 million
of the revolving line of credit will be available for letters of
credit and swing line loans. Interest on both the term loan and
advances under the revolving line of credit will be based on a
base rate or Eurodollar rate plus an applicable margin of 3.0%
and 4.0% respectively, and with the base rate and Eurodollar
rate having floors of 3.0% and 2.0% respectively. After default,
the interest rate may be increased to 2.0% over the rate
applicable to base rate loans. The revolving line of credit will
also carry a commitment fee of 0.75% per annum, payable
quarterly in arrears, on the unused portion of the credit line.
The senior credit facilities will be subject to mandatory
prepayment upon certain events occurring, including the issuance
of certain securities, the incurrance of certain debt and the
sale or other disposition of certain assets, and there will be
excess cash flow recapture. Both the term loan and the revolving
line of credit will be guaranteed by all subsidiaries of
BioScrip and be secured by first priority security interests in
substantially all assets of BioScrip (including the capital
stock of its subsidiaries) and all such subsidiary guarantors.
Definitive documentation will include customary affirmative and
negative covenants and events of defaults, as well as financial
covenants relating to a maximum total leverage ratio and a
minimum fixed charge coverage ratio.
The other debt facilities are expected to be in the form of
$225 million in senior unsecured notes with a
51/2 year
term to be offered in a private placement to qualified
institutional buyers (as such term is defined in
Rule 144A of the Securities Act). The notes are expected to
be guaranteed by BioScrips subsidiaries, but will be
unsecured. Definitive documentation would be expected to include
customary affirmative and negative covenants and events of
default, but no financial covenants. However, if BioScrip is
unsuccessful in selling the senior unsecured notes before the
closing of the merger, Jefferies Finance has committed to
provide a $225 million bridge loan facility. The bridge
loan would mature one year after funding and if not repaid at
maturity would be converted into a senior secured second lien
term loan with a maturity of
41/2
years after conversion. If so converted, the lenders would have
the right to exchange the term loan for exchange notes which
will include registration rights. Interest on the bridge loan
would be based on a Eurodollar rate, plus an applicable margin
that increases for each three-month period outstanding. Lenders
would have a put at 101% of the principal amount in the event of
a change of control of BioScrip. The bridge loan would be
guaranteed by all subsidiaries of BioScrip and be secured by
second priority security interests in substantially all assets
of BioScrip (including the capital stock of its subsidiaries)
and its subsidiaries. Definitive documentation would include
customary affirmative, negative covenants and events of default,
as well as financial covenants relating to a maximum total
leverage ratio and a minimum fixed charge coverage ratio.
Closing of the credit facilities will be subject to standard
conditions precedent, including consummation of the transaction
contemplated by the merger agreement; delivery of financial
statements showing satisfaction of certain historical and pro
forma financial compliance tests; the execution of definitive
documentation; and the absence of any material adverse change in
the business or financial condition of BioScrip or CHS, or in
the markets for loan syndication or high yield debt securities.
The commitments of Jefferies Finance will terminate if the
merger is abandoned; if CHS accepts an alternative acquisition
proposal; or if the merger and financings have not closed by
June 30, 2010.
Jefferies Finance will act as sole administrative agent,
collateral agent, book-runner, lead arranger and syndication
agent and, for a period of 270 days, BioScrip is
contractually obligated to select Jefferies Finance in the
foregoing capacities in connection with any refinancing or new
financing; and Jefferies Finance will receive certain fees in
connection therewith from BioScrip.
48
Jefferies Finance has reserved the right to require, after
consultation with BioScrip, at a time determined by Jefferies
Finance, that BioScrip cause the senior credit facilities to be
closed into escrow pursuant to the definitive debt documents,
with escrowed loan proceeds to be distributed to finance the
closing or pay in full all senior loans then made not later than
June 30, 2010.
Board of
Directors and Management of BioScrip Following the
Transaction
Following the transaction, the BioScrip board of directors will
be expanded to 10 directors from nine directors (with an
existing vacancy). The existing vacancy and the vacancy created
by the increase in the authorization of the additional
directorship will be filled by the two Kohlberg Director
Designees upon the closing of the merger. The two Kohlberg
Director Designees will hold office until the next annual
meeting of BioScrips stockholders and until their
successors are duly elected and qualified, unless sooner
displaced.
For as long as Stockholders Representative has the right
to designate one or more of the Kohlberg Director Designees
pursuant to the terms of the Stockholders Agreement, as
described in the section entitled The Stockholders
Agreement, and except as may be prohibited by applicable
law, at least one of the Kohlberg Director Designees will be
entitled to representation on each of the audit committee, the
compensation and management development committee and the
corporate strategy committee of the BioScrip board of directors.
The following table sets forth information regarding the current
directors of BioScrip who will continue to serve as directors on
our board and their positions after completion of the
transaction:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year First
|
|
Term as Director
|
Name
|
|
Age
|
|
Position with BioScrip
|
|
Became Director
|
|
Will Expire(1)
|
|
Richard H. Friedman
|
|
|
59
|
|
|
Chief Executive Officer and Chairman of the Board of Directors
|
|
|
1996
|
|
|
|
2010
|
|
Charlotte W. Collins
|
|
|
57
|
|
|
Director
|
|
|
2003
|
|
|
|
2010
|
|
Louis T. DiFazio
|
|
|
72
|
|
|
Director
|
|
|
1998
|
|
|
|
2010
|
|
Myron Z. Holubiak
|
|
|
63
|
|
|
Director
|
|
|
2005
|
|
|
|
2010
|
|
David R. Hubers
|
|
|
67
|
|
|
Director
|
|
|
2005
|
|
|
|
2010
|
|
Richard L. Robbins
|
|
|
69
|
|
|
Director
|
|
|
2005
|
|
|
|
2010
|
|
Stuart A. Samuels
|
|
|
68
|
|
|
Director
|
|
|
2005
|
|
|
|
2010
|
|
Richard M. Smith
|
|
|
50
|
|
|
Chief Operating Officer and Director
|
|
|
2009
|
|
|
|
2010
|
|
|
|
|
(1) |
|
Directors terms of office are scheduled to expire at the
annual meeting of stockholders to be held in the year indicated. |
Information about the current BioScrip directors can be found in
BioScrips proxy statement for its 2009 annual meeting of
stockholders, which is incorporated by reference herein.
Regulatory
Approvals Required for the Merger with CHS
Under the HSR Act and the rules and regulations promulgated
thereunder, BioScrips merger with CHS may not be
consummated until required information and materials have been
furnished to the DOJ and the FTC, and certain waiting period
requirements have expired or been terminated. On
January 29, 2010, each of BioScrip and CHS filed a
Pre-Merger Notification and Report Form pursuant to the HSR Act
with the DOJ and the FTC. At any time before the closing of the
merger, the DOJ, the FTC or others could take action under the
antitrust laws with respect to the merger, including seeking to
enjoin the consummation of the merger, to rescind the merger or
to require the divestiture of certain assets of BioScrip or CHS.
There can be no assurance that a challenge to the merger on
antitrust grounds will not be made or, if such a challenge is
made, that it would not be successful.
CHS, through its subsidiaries, holds healthcare licenses,
permits and registrations with various state and federal
agencies, including home health agency licenses, pharmacy
licenses and registrations with the
49
U.S. Drug Enforcement Administration. In connection with
the merger, certain of these licenses, permits and registrations
may need to be transferred or new ones obtained to reflect the
change in control of CHS. Further, CHS, through its
subsidiaries, participates in Medicare and various state
Medicaid programs. In connection with the merger, some of these
Medicare provider numbers may need to be transferred or new ones
obtained to reflect the change in control of CHS. There could be
interruption of cash flow and/or loss of revenue during the
pendency of any changes to CHSs Medicare provider numbers.
Anticipated
Accounting Treatment
The merger will be accounted for by BioScrip as an acquisition.
The aggregate consideration to be paid by BioScrip in connection
with the merger will be allocated to CHSs assets and
liabilities based on their fair values, with any excess being
treated as goodwill. CHSs assets, liabilities and results
of operations will be consolidated with the assets, liabilities
and results of operations of BioScrip after consummation of the
merger.
Material
U.S. Federal Income Tax Consequences of the Merger
The following discussion summarizes the material
U.S. federal income tax consequences of the merger. This
discussion does not address any tax consequences arising under
the laws of any state, local or foreign jurisdiction, or under
any U.S. federal laws other than those pertaining to income
tax. This discussion is based upon the Code, the Treasury
regulations promulgated under the Code and court and
administrative rulings and decisions, all as in effect on the
date hereof. These laws may change, possibly retroactively, and
any change could affect the accuracy of the statements and
conclusions set forth in this discussion.
The completion of the merger is conditioned on, among other
things, the receipt by BioScrip and CHS of tax opinions from
King & Spalding LLP and Paul, Weiss, Rifkind,
Wharton & Garrison LLP, respectively, dated as of the
closing date of the merger, to the effect that the merger will
be treated for United States federal income tax purposes as a
reorganization within the meaning of Section 368(a) of the
Code. These opinions will be based on certain customary
assumptions and representations provided by BioScrip and CHS.
These tax opinions will not be binding on the IRS. Neither
BioScrip nor CHS intends to request any ruling from the IRS as
to the U.S. federal income tax consequences of the merger.
Consequently, no assurance can be given that the IRS will not
assert, or that a court would not sustain, a position contrary
to any of those set forth below. In addition, if any of the
representations or assumptions upon which the opinions described
above are based is inconsistent with the actual facts, the
U.S. federal income tax consequences of the merger could be
adversely affected.
As a result of the merger qualifying as a
reorganization within the meaning of
Section 368(a) of the Code:
|
|
|
|
|
no gain or loss will be recognized by BioScrip or CHS as a
result of the merger;
|
|
|
|
a U.S. holder of CHS common stock generally will recognize
gain (but not loss) on the receipt of BioScrip common stock,
cash and warrants to purchase BioScrip common stock in exchange
for CHS common stock, with the amount of taxable gain limited to
the lesser of (i) the excess, if any, of the amount of cash
plus the fair market value of BioScrip common stock and warrants
received in the merger over the holders tax basis in CHS
common stock, and (ii) the amount of cash received by the
U.S. holder in the merger (excluding cash received in lieu
of fractional shares of BioScrip common stock); and
|
|
|
|
the amount of gain of a U.S. holder of CHS common stock in
excess of such limitation will not be taxable.
|
This summary of the material U.S. federal income tax
consequences of the merger and is not tax advice.
No
Appraisal Rights
Under applicable law, BioScrip stockholders do not have the
right to an appraisal of the value of their shares in connection
with the merger with CHS.
50
PROPOSAL NO. 1
APPROVAL
OF THE ISSUANCE OF BIOSCRIP COMMON STOCK
Under the terms of the Agreement and Plan of Merger, CHS will
merge with and into a wholly-owned subsidiary of BioScrip and as
a result will become an indirect wholly-owned subsidiary of
BioScrip. CHS is a privately held company that is a leading
provider of home infusion therapy and home nursing products and
services to patients suffering from chronic and acute medical
conditions.
If the merger is completed, we will:
|
|
|
|
|
repay the net indebtedness of CHS, which was approximately
$132 million at December 31, 2009, and enter into
a new credit facility;
|
|
|
|
pay cash consideration of $110 million, subject to
adjustment as described below;
|
|
|
|
issue up to approximately 12.9 million shares of BioScrip
common stock, subject to adjustment as described below, of which
2,696,516 shares initially will be held in escrow to fund
indemnification payments, if any; and
|
|
|
|
issue warrants to acquire 3,400,945 shares of BioScrip
common stock, exercisable at $10 per share and having a
five-year term.
|
If the net indebtedness of CHS at the closing of the merger is
$132 million and CHSs expenses incurred in connection
with the merger are $10 million, then the number of shares
of BioScrip common stock to be issued in connection with the
merger (in addition to shares issuable upon exercise of the
warrants being issued) would be approximately
12,655,600 shares, or approximately 24% of the then
outstanding common stock of BioScrip, assuming that no
outstanding options to purchase shares of CHSs common
stock are exercised before the closing of the merger. If the net
indebtedness of CHS at the closing of the merger is less than
$132 million, then one-half of the difference would be paid
in cash to the CHS stockholders and the other half would be paid
in stock, valued at $8.3441 per share, the
10-day
volume weighted trading average share price of BioScrips
common stock over the
10-day
period ended January 22, 2010. If the net indebtedness of
CHS exceeds $132 million, then the cash payment of
$110 million would be reduced by the amount of the excess.
In order to fund the cash payments and refinance existing
indebtedness of CHS and BioScrip, BioScrip has received a
financing commitment from Jefferies Finance, pursuant to which
Jefferies Finance has committed to provide senior credit
facilities in the amount of $150 million and a bridge loan
facility in the amount of $225 million on the terms and
subject to the conditions in the commitment letter. BioScrip
intends to offer $225 million in senior unsecured notes in
a private placement to qualified institutional
buyers (as such term is defined in Rule 144A of the
Securities Act). The bridge loan facility is expected to be
drawn only if BioScrip is unsuccessful in selling the senior
unsecured notes before the date on which the merger closes.
Under NASDAQ Rule 5635, a company listed on NASDAQ is
required to obtain stockholder approval before the issuance of
common stock if:
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the common stock to be issued will have voting power equal to or
greater than 20% of the voting power of the corporation
outstanding before the issuance; or
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the number of shares of common stock to be issued will be equal
to or greater than 20% of the number of shares of common stock
outstanding before the issuance.
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The shares of BioScrip common stock to be issued, including the
shares of common stock to be issued upon exercise of the
warrants to be issued to the Stockholders and certain
optionholders of CHS, exceed the thresholds under NASDAQ
Rule 5635 and, therefore, the issuance requires the
approval of our stockholders. Accordingly, you are being asked
to approve the proposal to issue shares of BioScrip common stock.
The shares of BioScrip common stock to be issued, including the
shares of common stock to be issued upon exercise of the
warrants, will not be registered under the Securities Act in
reliance on the exemption from registration provided by
Section 4(2) of the Securities Act and Rule 506
promulgated under the
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Securities Act, as the offer and sale of such securities does
not involve a public offering of the BioScrip common stock. The
Stockholders and optionholders who are receiving the securities
consist of eight investment funds and five individuals who are
officers of CHS. We have determined that each of the
Stockholders is an accredited investor within the
meaning of Rule 501(a) promulgated under the Securities
Act. Each Stockholder has represented in the Agreement and Plan
of Merger that he, she or it is an accredited
investor as defined in Rule 501(a) and has such
knowledge and experience in financial and business matters that
he, she or it is capable of evaluating the merits and risks of
the proposed investment in BioScrip common stock. The
certificates for the shares of common stock and warrants being
issued will bear legends that such securities have not been
registered and may not be sold or transferred in the absence of
an effective registration statement under the Securities Act and
applicable state securities laws or an exemption from
registration thereunder.
Effect of
the Proposed Issuance of Common Stock
The shares of BioScrip common stock to be issued pursuant to
Proposal No. 1 in connection with the merger, plus the
additional shares of common stock to be issued upon exercise of
the warrants, would be identical to the shares of common stock
now issued and outstanding, and this issuance would not affect
the rights of current holders of BioScrip common stock.
Vote
Required and Board of Directors Recommendation
Approval of the proposal to issue shares of BioScrip common
stock requires the affirmative vote of a majority of the shares
of BioScrip common stock present in person or represented by
proxy and entitled to vote at the special meeting at which a
quorum is present. Abstentions with respect to this proposal
will have the same effect as a vote against the proposal.
Failures to vote on this proposal and broker
non-votes could have the same effect as a vote cast
against approval of the proposal if they cause less than a
majority of the shares of BioScrip common stock present in
person or represented by proxy, to be cast for the proposal.
Accordingly, beneficial owners of BioScrip shares should
instruct their brokers or nominees how to vote. The approval
of Proposal No. 1 is a condition to the completion of
the merger with CHS and thus a vote against this proposal
effectively will be a vote against the merger with CHS.
The BioScrip board of directors has unanimously determined that
the merger with CHS is fair to and in the best interests of
BioScrip and its stockholders and has approved the issuance of
BioScrip common stock in accordance with the Agreement and Plan
of Merger and recommends that you vote FOR approval
of the BioScrip Stock Issuance.
For a more detailed description of the Agreement and Plan of
Merger and the transactions contemplated by the Agreement and
Plan of Merger, see the sections below entitled The
Agreement and Plan of Merger, The Stockholders
Agreement, The Warrant Agreement, The
Common Stock Voting Agreement and The Escrow
Agreement.
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THE
AGREEMENT AND PLAN OF MERGER
The following is a summary of the material provisions of the
Agreement and Plan of Merger and is qualified in its entirety by
reference to the Agreement and Plan of Merger, a copy of which
is attached to this proxy statement as Annex A and which we
incorporate by reference into this document. This summary may
not contain all of the information about the Agreement and Plan
of Merger that is important to you. We urge you to read the
entire Agreement and Plan of Merger carefully because it is the
legal document governing the proposed merger with CHS.
The description of the Agreement and Plan of Merger in this
proxy statement has been included to provide you with
information regarding its terms, and we recommend that you read
carefully the Agreement and Plan of Merger in its entirety.
Except for its status as the contractual document that
establishes and governs the legal relations among the parties
with respect to the transaction, we do not intend for its text
to be a source of business or operational information about
BioScrip or CHS. That kind of information can be found elsewhere
in this proxy statement and in the documents incorporated herein
by reference. The Agreement and Plan of Merger contains
representations and warranties of the parties as of specific
dates and may have been used for the purposes of allocating risk
between the parties other than establishing matters as facts.
Those representations and warranties are qualified in several
important respects, which you should consider as you read them
in the Agreement and Plan of Merger, including contractual
standards of materiality that may be different from what may be
viewed as material to stockholders. Only the parties themselves
may enforce and rely on the terms of the Agreement and Plan of
Merger. As stockholders, you are not third party beneficiaries
of the Agreement and Plan of Merger and therefore may not
directly enforce or rely upon its terms and conditions and you
should not rely on its representations, warranties or covenants
as characterizations of the actual state of facts or condition
of BioScrip or CHS or any of their respective affiliates.
Moreover, information concerning the subject matter of the
representations and warranties may have changed since the date
of the Agreement and Plan of Merger and subsequently developed
or new information qualifying a representation or warranty may
have been included in this proxy statement.
General;
Structure of Transaction
On January 24, 2010, BioScrip entered into the Agreement
and Plan of Merger with Camelot, CHS, the Stockholders
Representative, and the Stockholders. Pursuant to the Agreement
and Plan of Merger, CHS will merge with and into Camelot, with
Camelot as the surviving entity.
Closing
of the Transaction
Unless the parties agree otherwise, the closing of the merger
with CHS will take place at the offices of King &
Spalding LLP, 1185 Avenue of the Americas, New York, New York,
on the second business day following the satisfaction or waiver
of all closing conditions, except for those conditions that, by
their nature, have to be satisfied at the closing, but subject
to the satisfaction or waiver of those conditions. See the
section below entitled Conditions to Closing
the Transaction beginning on page 61 for a more
detailed discussion of the conditions. The merger is expected to
be consummated promptly after the special meeting of
BioScrips stockholders described in this proxy statement.
Consideration
for the Transaction
If the merger is completed, BioScrip will:
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repay the net indebtedness of CHS, which was approximately
$132 million at December 31, 2009, and enter into
a new credit facility;
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pay cash consideration of $110 million, subject to
adjustment as described below;
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issue up to approximately 12.9 million shares of BioScrip
common stock, subject to adjustment as described below, of which
2,696,516 shares initially will be held in escrow to fund
indemnification payments, if any; and
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issue warrants to acquire 3,400,945 shares of BioScrip
common stock, exercisable at $10 per share and having a
five-year term.
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If the net indebtedness of CHS at the closing of the merger is
$132 million and CHSs expenses incurred in connection
with the merger are $10 million, then the number of shares
of BioScrip common stock to be issued in connection with the
merger (in addition to shares issuable upon exercise of the
warrants being issued) would be approximately
12,655,600 shares, or approximately 24% of the then
outstanding common stock of BioScrip, assuming that no
outstanding options to purchase shares of CHSs common
stock are exercised before the closing of the merger. If the net
indebtedness of CHS at the closing of the merger is less than
$132 million, then one-half of the difference will be paid
in cash to the Stockholders and the other half will be paid in
stock based on a value per share of $8.3441, the
10-day
volume weighted trading average share price of the BioScrip
common stock over the
10-day
period ended January 22, 2010. If the net indebtedness of
CHS exceeds $132 million, then the cash payment of
$110 million will be reduced by the amount of the excess.
Representations
and Warranties
The Agreement and Plan of Merger contains representations and
warranties of each of the Stockholders, CHS and BioScrip. These
representations are subject, in some cases, to specified
exceptions and qualifications contained in the Agreement and
Plan of Merger or in the information provided pursuant to
disclosure obligations set forth in the Agreement and Plan of
Merger. Some of the representations and warranties are qualified
as to materiality or material adverse
effect. For the purpose of the Agreement and Plan of
Merger, a material adverse effect with respect to
either CHS or BioScrip, as applicable, means a material adverse
effect on the business, results of operations, properties or
assets of CHS and its subsidiaries or BioScrip and its
subsidiaries, as applicable, taken as a whole, with certain
exclusions.
Representations
and Warranties of the Stockholders
The Agreement and Plan of Merger contains representations and
warranties of each of the Stockholders relating to, among other
things:
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with regard to those Stockholders that are not individuals,
proper organization and existence;
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with regard to those Stockholders that are not individuals,
enforceability of the Agreement and Plan of Merger;
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with regard to those Stockholders that are not individuals, due
authorization, execution and delivery of the Agreement and Plan
of Merger;
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absence of defaults or conflicts;
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authorizations and approvals;
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ownership of CHSs shares; and
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absence of plan to distribute BioScrips shares and
accredited investor status.
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Representations
and Warranties of CHS
The Agreement and Plan of Merger contains representations and
warranties of CHS relating to, among other things:
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proper corporate organization and existence;
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the capitalization of CHS;
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subsidiaries of CHS;
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enforceability of the Agreement and Plan of Merger;
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due authorization, execution and delivery of the Agreement and
Plan of Merger;
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absence of defaults or conflicts;
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authorizations and approvals;
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financial statements and undisclosed liabilities;
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intellectual property;
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compliance with laws;
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material contracts, agreements and instruments of CHS and its
subsidiaries;
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litigation;
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taxes;
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permits and licenses;
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participation in federal and state healthcare programs and third
party payor participation;
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healthcare regulatory matters;
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compliance with healthcare laws, including Medicare, Medicaid
and HIPAA, and billing practices;
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healthcare licenses;
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labor and employment matters;
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employee benefit plans;
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environmental matters;
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real property;
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insurance;
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transactions with affiliates;
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absence of certain changes or events;
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banks and power of attorneys;
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corporate records;
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accounts receivable;
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assets other than real property;
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brokers and intermediaries; and
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absence of sensitive payments by CHS, subsidiaries of CHS or
affiliates of CHS.
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Representations
and Warranties of BioScrip and Camelot
The Agreement and Plan of Merger contains representations and
warranties of BioScrip and Camelot relating to, among other
things:
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proper corporate organization and existence;
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enforceability of the Agreement and Plan of Merger;
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due authorization, execution and delivery of the Agreement and
Plan of Merger;
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capitalization of BioScrip;
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capitalization and operations of Camelot;
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Board of Director approvals;
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absence of defaults or conflicts;
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authorizations and consents;
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financial statements and undisclosed liabilities;
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absence of certain changes or events;
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permits and licenses;
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compliance with laws;
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absence of sensitive payments by BioScrip, subsidiaries of
BioScrip or affiliates of BioScrip;
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taxes;
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brokers and intermediaries;
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sufficiency of funds;
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litigation;
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SEC filings;
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healthcare and regulatory matters;
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employee benefit plans;
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insurance;
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absence of reliance on information provided by Stockholders;
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required shareholder vote; and
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the Investment Company Act of 1940, as amended (the
Investment Company Act).
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Covenants
The parties to the Agreement and Plan of Merger have various
obligations and responsibilities under the Agreement and Plan of
Merger, including, but not limited to, the following covenants:
Conduct of the Business of CHS. Subject to
certain exceptions, CHS has agreed, and has agreed to cause its
subsidiaries to agree, to (i) conduct its business and
operations in the ordinary course consistent with past
practices, (ii) use commercially reasonable efforts to
preserve intact its business organization and (iii) use
commercially reasonable efforts to retain the services of its
executive officers and key employees, and to preserve the
goodwill of its material customers and suppliers. In addition,
CHS and its subsidiaries will not take any of the following
actions without the prior written consent of BioScrip:
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issue, sell or pledge, or authorize or propose the issuance,
sale or pledge of additional shares of capital stock of any
class, or securities convertible into or exchangeable for
shares, rights, warrants or options to acquire shares or
convertible securities;
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redeem, purchase or otherwise acquire any outstanding shares of
capital stock of CHS or its subsidiaries;
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amend the organizational documents of CHS or any of its
subsidiaries;
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incur any indebtedness (other than ordinary course consistent
with past practice borrowings and other performance bonds or
letters of credit entered into in the ordinary course of
business consistent with past practice);
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increase in any material manner the compensation of any
employees or directors except as may be required under existing
employment agreements or increases for
rank-and-file
employees as a granted in the ordinary course of business
consistent with past practice;
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pay or agree to pay any pension, retirement allowance, retention
or severance benefit or other employees benefit not provided for
under the terms of an employee benefit plan of CHS other than in
the ordinary course of business consistent with past practice;
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enter into, adopt or amend any employment, bonus, severance or
retirement contract or adopt any employee benefit plan other
than in the ordinary course of business consistent with past
practice or as required by law;
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other than in the ordinary course of business consistent with
past practice, sell, lease, transfer or otherwise dispose of or
subject to any lien (other than a permitted lien) any material
property or asset;
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acquire any business, by merger or consolidation, purchase of
substantial assets or equity interests, or by any other manner,
in a single transaction or a series of related transactions;
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other than in the ordinary course of business consistent with
past practice, make any loans, advances or capital
contributions, except for travel and other normal business
expenses to officers and employees;
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make any change in any method of accounting other than those
required by GAAP;
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other than in the ordinary course of business consistent with
past practice, amend or modify certain material contracts;
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other than in the ordinary course of business consistent with
past practice, make any capital expenditures in excess of
$250,000 individually or $1,000,000 in the aggregate in any
fiscal quarter;
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other than in the ordinary course of business consistent with
past practice, make any payment of its accounts payable or take
receipt of its accounts receivable, or otherwise make any change
in the treatment or handling of either of them;
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declare, pay or otherwise make any dividend or distribution to
the Stockholders; and
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authorize, propose or agree in writing to take any of the
foregoing actions.
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Conduct of the Business of BioScrip. Subject
to certain exceptions, BioScrip has agreed, and has agreed to
cause its subsidiaries to agree, to (i) conduct its
business and operations in the ordinary course consistent with
past practices, (ii) use commercially reasonable efforts to
preserve intact its business organization and (iii) use
commercially reasonable efforts to retain the services of its
executive officers and key employees, and to preserve the
goodwill of its material customers and suppliers. In addition,
BioScrip and its subsidiaries will not take any of the following
actions without the prior written consent of the
Stockholders Representative:
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issue, sell or pledge, or authorize or propose the issuance,
sale or pledge of additional shares of capital stock of any
class, or securities convertible into or exchangeable for
shares, rights, warrants or options to acquire shares or
convertible securities;
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redeem, purchase or otherwise acquire any outstanding shares of
capital stock of BioScrip and its subsidiaries;
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amend the organizational documents of BioScrip or any of its
subsidiaries;
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adopt any amendment to the Rights Agreement, dated
December 3, 2002, by and between BioScrip and American
Stock Transfer & Trust Company, as Rights Agent,
as amended (the Rights Agreement), other than the
amendment expressly required by the Agreement and Plan of Merger;
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incur any indebtedness (other than in connection with debt
financing for the merger with CHS, ordinary course consistent
with past practice borrowings and other performance bonds or
letters of credit entered into in the ordinary course of
business consistent with past practice);
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other than in the ordinary course of business consistent with
past practice, sell, lease, transfer or otherwise dispose of or
subject to any lien (other than a permitted lien) any material
property or asset;
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acquire any business, by merger or consolidation, purchase of
substantial assets or equity interests, or by any other manner,
in a single transaction or a series of related transactions;
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declare, pay or otherwise make any dividend or distribution to
its stockholders; and
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authorize, propose or agree in writing to take any of the
foregoing actions.
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Access to Information. CHS and BioScrip each
have agreed to give the other party and its authorized
representatives reasonable access during normal business hours
to its books, records, offices, and other facilities and
properties, as CHS or BioScrip, as the case may be, may from
time to time reasonably request. Any such access must be
conducted in a manner that does not materially interfere with
the businesses or operations of CHS or BioScrip, as the case may
be. In addition, all information accessed by CHS or BioScrip or
their respective representatives will be treated as confidential
by the party accessing such information.
Public Announcements. No party to the
Agreement and Plan of Merger will issue or cause to be published
a press release or other public announcement regarding the
transaction without the prior written consent of the
Stockholders Representative and BioScrip. If, upon advice
of counsel, any party is required by law to issue a press
release or other public announcement, then such party will use
reasonable efforts to allow the other parties reasonable time to
comment on such release or announcement in advance of its
issuance.
HSR Act Filings and other Public Filings. If
required by law, each party to the Agreement and Plan of Merger
has agreed to file, within five business days from the date of
the Agreement and Plan of Merger, all notifications and
information required by the HRS Act. In addition, as promptly as
practicable but in no event later than five business days from
the date of the Agreement and Plan of Merger, each party will
make or cause to be made all filings and submissions and obtain
all authorizations and consents related to the consummation of
the merger with CHS required by applicable law. Each of the
parties agrees to cooperate with the other parties to furnish
the necessary information required by any such filings to the
other parties or to any governmental entity. BioScrip has agreed
to take any action as may be required, to the extent any such
action does not materially deprive BioScrip of the benefits of
the merger with CHS, to resolve any challenge to the merger as
violative of any antitrust laws.
Resignations. CHS has agreed to cause to be
delivered to BioScrip on the closing date of the merger such
resignations of members of its board of directors and the boards
of directors of its subsidiaries as BioScrip may request in
writing at least two days prior to the closing date.
Further Assurances. Each party to the
Agreement and Plan of Merger has agreed to execute such
documents and perform such further acts as may be reasonably
required to carry out the provisions of the Agreement and Plan
of Merger and the transactions contemplated thereby.
Debt Financing. CHS has agreed to provide, and
has agreed to cause its subsidiaries to provide, reasonable
cooperation in connection with BioScrips arrangement of
the debt financing contemplated by the Agreement and Plan of
Merger or any alternative financing arrangement or any
registered public offering or any private offering made in
connection with the CHS merger, including assisting in the
preparation of any required offering materials.
Letters of Credit. BioScrip, at its sole cost
and expense, has agreed to replace at the time of the closing of
the merger all of the letters of credit of CHS and its
subsidiaries existing as of the closing date. Existing letters
of credit at the time of the execution of the Agreement and Plan
of Merger aggregate approximately $2.3 million.
Termination of Affiliate Obligations. On or
before the date of closing of the merger, except for liabilities
relating to employment relationships and the payment of
compensation and benefits in the ordinary course of business
consistent with past practices, all liabilities and obligations
between CHS or its subsidiaries, on the one hand, and one or
more of its affiliates or Stockholders, on the other hand, will
be terminated in full, without any liability for CHS or its
subsidiaries following the closing of the transaction.
Exclusivity. Until the earlier of the closing
date of the merger and the termination of the Agreement and Plan
of Merger, the Stockholders and CHS have agreed not to, and have
agreed to cause CHSs subsidiaries and their respective
directors, officers, employees, equity holders or advisors not
to, solicit, encourage or enter into any negotiation,
discussion, contract, agreement, instrument, arrangement or
understanding with any party
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with respect to the sale of shares or all or substantially all
the assets of CHS or its subsidiaries, or any merger,
recapitalization or similar transaction with respect to CHS or
its subsidiaries or their respective businesses.
Employee Matters. The Agreement and Plan of
Merger requires BioScrip to take into account the service of
certain employees of CHS and its subsidiaries for purposes of
participation, coverage, vesting and level of benefits, as
applicable, under all severance payment plans, employee benefit
plans, programs and policies of BioScrip and its subsidiaries
(including CHS and its subsidiaries) from and after the closing
date of the merger to the same extent as such service was taken
into account under corresponding benefit plans, programs and
policies of CHS immediately prior to the closing date, unless
such service credit would result in duplication of any benefits.
Restrictive Covenants of the Kohlberg Entities and Robert
Cucuel. The Agreement and Plan of Merger provides
that for a period of three years from the date of closing, each
of the Kohlberg Entities and Robert Cucuel (each on their own
behalf) may not, and will cause their affiliates not to,
directly or indirectly recruit or otherwise solicit or induce
any member of senior management, key employee or officer of CHS
or its subsidiaries to terminate his or her employment or other
relationship with CHS or any of its subsidiaries, or hire any
such person who has ceased to be employed or otherwise engaged
by CHS or any of its subsidiaries during the preceding six
months, subject to certain exceptions. The Kohlberg Entities and
Mr. Cucuel also have agreed, for a period of three years
from the date of closing, to keep confidential all information
regarding BioScrip and its subsidiaries furnished to the
Kohlberg Entities in connection with the merger of CHS, and all
analyses, compilations, forecasts and other documents and
records prepared by the Kohlberg Entities or their affiliates,
directors, officers, employees and representatives which contain
or are based on such information, and will cause their
affiliates and representatives to keep such confidential
information confidential. In addition, Mr. Cucuel has
agreed, for a period of one year after the date of closing and
subject to a one year extension as described below, that he will
not (except to BioScrip in his capacity as a consultant after
the date of closing) provide services substantially similar to
those he performed for CHS or its subsidiaries or for certain of
the Stockholders within the last year of his employment with CHS
to any business which provides or offers home infusion therapy
services or home nursing services in the United States, or
solicit, contact or call upon any customer, potential customer,
physician or hospital in the United States that competes with
CHS or its subsidiaries at the time of the closing.
Mr. Cucuel and CHS have agreed to enter, before the date of
closing, into a separation and transition services agreement
pursuant to which, among other things, Mr. Cucuel will
provide certain consulting services on a non-exclusive basis to
BioScrip for one year immediately following the closing date,
with a one year extension at BioScrips election, which
extension will also extend Mr. Cucuels
non-competition covenant for an additional one year period.
Indemnification of Officers and Directors. The
organizational documents of BioScrip will continue to contain
provisions no less favorable with respect to indemnification
than are set forth in such organizational documents as of the
date of the Agreement and Plan of Merger. From and after the
closing, BioScrip will, (i) to the fullest extent permitted
by law, indemnify and hold harmless each present and former
director and officer of CHS and its subsidiaries against all
costs and expenses, judgments, fines, losses, claims, damages,
liabilities and settlement amounts paid in connection with any
claim, action, suit, proceeding or investigation (whether
arising before or after the closing), arising out of or
pertaining to any action or omission in their capacity as an
officer, director, employee, fiduciary or agent, occurring on or
before the closing and (ii) subject to certain conditions,
advance the expenses incurred by any indemnified party in
connection with any such matter to the fullest extent permitted
by law. In addition, for six years following the closing date,
BioScrip will maintain a directors and officers
liability insurance policy covering those persons who are
currently covered by CHSs directors and
officers liability insurance policy with coverage in an
amount and scope at least as favorable as CHSs existing
coverage, so long as such coverage does not, in the aggregate,
exceed 200% of the annual premium currently paid by CHS for such
coverage.
Proxy Statement; Special Meeting. The
Agreement and Plan of Merger requires BioScrip to call and hold
a special meeting of stockholders as promptly as practicable to
approve and adopt the BioScrip stock issuance proposal. BioScrip
agreed, as promptly as practicable, to file with the SEC a proxy
statement, containing the recommendation of the BioScrip board
of directors that its stockholders vote in favor of the BioScrip
stock issuance proposal, respond promptly to any SEC comments
with respect to the preliminary
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proxy statement, mail a definitive proxy statement to BioScrip
stockholders and solicit proxies from its stockholders for
approval of the BioScrip stock issuance proposal. CHS has agreed
to cooperate with BioScrip in connection with the preparation
and filing of this proxy statement, including providing BioScrip
promptly upon request with the information concerning CHS and
its subsidiaries required to be included in this proxy statement.
8-K
Filing. At least five days prior to closing of
the merger, BioScrip has agreed to prepare a draft
Form 8-K
announcing the closing, together with, or incorporating by
reference, CHSs financial statements, in form and
substance reasonably acceptable to CHS and its accountant and in
a format acceptable for EDGAR filing. Prior to the closing,
BioScrip and CHS will prepare the press release announcing the
consummation of the merger with CHS.
Required Information. In connection with the
preparation of the press release announcing the merger with CHS,
and for such other reasonable purposes, CHS and BioScrip each
have agreed, upon request by the other, to furnish the other
with all information concerning themselves, their respective
directors, officers and stockholders and such other matters as
may be reasonably necessary or advisable in connection with the
transactions set forth in the Agreement and Plan of Merger, or
any other statement, filing, notice or application made by or on
behalf of CHS or BioScrip to any third party
and/or any
governmental authority in connection with the transactions set
forth in the Agreement and Plan of Merger.
Qualification as a Reorganization. Each party
to the Agreement and Plan of Merger has agreed to use its
reasonable best efforts to cause the merger with CHS to qualify
as a reorganization under Section 368(a) of the Code, and
will not, without the prior written consent of the other parties
to the Agreement and Plan of Merger, knowingly take any actions
or cause any actions to be taken which could prevent the merger
with CHS from qualifying as a reorganization under
Section 368(a) of the Code.
Tax Matters. During the period from the date
of the Agreement and Plan of Merger to the closing date, CHS and
its subsidiaries have agreed to: (i) prepare and timely
file all required tax returns; (ii) consult with BioScrip
with respect to all income tax and other material returns filed
after the date of the Agreement and Plan of Merger;
(iii) fully and timely pay all taxes due and payable in
respect of such returns filed after the date of the Agreement
and Plan of Merger; (iv) properly reserve for all taxes
payable by them in a manner consistent with past practice;
(v) promptly notify BioScrip of any legal action or audit
pending or threatened against CHS or any of its subsidiaries in
respect of any tax matter, and not settle or compromise any such
legal action or audit, or consent to any extension or waiver of
the limitations period applicable to any tax claim or assessment
without BioScrips prior consent (which consent will not be
unreasonably withheld or delayed); (vi) not make or revoke
any tax election, amend any tax return or adopt or change a tax
accounting method or period without BioScrips prior
consent (which consent will not be unreasonably withheld or
delayed); and (vii) terminate any tax allocation agreement,
tax sharing agreement or other similar agreement to which CHS or
any of its subsidiaries is a party such that there are no
further liabilities or obligations thereunder.
No Securities Transactions. CHS, the
Stockholders (except for the institutional stockholders of CHS)
and their respective affiliates, directors, officers, employees,
agents and representatives have agreed not to, directly or
indirectly, engage in any transactions involving the securities
of BioScrip prior to the time of the making of a public
announcement of the transactions contemplated by the Agreement
and Plan of Merger.
BioScrip Financing Obligations. BioScrip has
agreed to use its commercially reasonable efforts to perform all
of its obligations under the Debt Financing Documents (as
defined in the Agreement and Plan of Merger) and satisfy all
conditions precedent to the funding thereunder that are within
its control. In the event that the debt financing is not
available to consummate the merger with CHS, BioScrip will use
its commercially reasonable efforts to obtain alternative
financing, but not on financial terms less favorable, taken as a
whole, or other terms materially less favorable, taken as a
whole, to BioScrip than those set forth in the Debt Financing
Documents. Neither BioScrip nor its affiliates will, without the
prior written consent of CHS, waive, terminate, amend, modify or
supplement, (i) the Debt Financing Documents to materially
decrease the aggregate amount of the facilities thereunder or
the amount of the facilities available at closing to fund the
merger with CHS, (ii) in any material respect, the terms or
conditions of the commitment letter entered into between
BioScrip and Jefferies Finance or any market flex
provisions contained in the Debt Financing
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Documents, (iii) the conditions precedent to the initial
borrowing set forth in the exhibits and attachments to the
commitment letter entered into between BioScrip and Jefferies
Finance and any other letters or documents which constitute the
Debt Financing Documents or (iv) the representations,
warranties, covenants or defaults set forth in the exhibits and
attachments to the commitment letter entered into between
BioScrip and Jefferies Finance and any other letters or
documents (other than the commitment letter entered into between
BioScrip and Jefferies Finance), if such amendment, modification
or supplement would result in the failure to satisfy a condition
to the funding of the debt financing at closing.
Board Designation. The Agreement and Plan of
Merger provides that BioScrip will appoint two individuals
designated by the Stockholders Representative to serve as
directors on the board of directors of BioScrip.
Conditions
to Closing the Transaction
Consummation of the merger is conditioned on BioScrips
stockholders adopting and approving the proposal to issue shares
of BioScrip common stock at the special meeting of stockholders
called for this purpose.
In addition, the obligation of BioScrip to effect the
transactions contemplated by the Agreement and Plan of Merger is
conditioned on the satisfaction or waiver of various other
conditions, including:
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the representations and warranties of the Stockholders and CHS
being true and correct as of the date of closing, or, to the
extent they expressly relate to a specific date, then as of that
specific date, with only these exceptions which, individually or
in the aggregate, would not reasonably be expected to have a
material adverse effect.
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CHS and the Stockholders having performed and complied in all
material respects with the agreements and covenants required by
the Agreement and Plan of Merger to be performed and complied
with on or before the closing;
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the Stockholders Representative and CHS having delivered
the appropriate officers certificates to BioScrip;
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any waiting period under the HSR Act applicable to the merger
having terminated or expired;
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on the date of closing, there existing no injunction or other
order issued by any government authority or court of competent
jurisdiction which prohibits the consummation of the merger or
materially deprives BioScrip of the benefits of the merger;
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BioScrip having received payoff letters with respect to the
payment of the aggregate outstanding principal, and accrued
interest and other amounts payable in respect of certain CHS
credit agreements and the release of any liens related thereto;
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BioScrip having received either (a) a statement by CHS
certifying that it is not, and has not been during the time
period specified, a United States real property holding
corporation or (b) a certificate of non-foreign status from
each Stockholder;
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all required licenses, permits, consents, authorizations,
approvals, qualifications and orders of governmental authorities
and certain other persons having been obtained;
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CHS having delivered to BioScrip a certificate of the Secretary
of CHS;
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the Escrow Agreement having been executed and delivered by the
Stockholders Representative;
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the Stockholders Agreement having been executed and
delivered by each of the Stockholders and any holders of CHS
stock options, if any, receiving shares of BioScrips
common stock in connection with the merger with CHS;
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BioScrip having received the proceeds of the debt financing on
the specified terms;
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BioScrip having received the opinion of King &
Spalding LLP to the effect that the merger will be treated as a
reorganization within the meaning of
Section 368(a) of the Code;
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BioScrip having received the audited consolidated balance sheet
of CHS and its subsidiaries as of December 31, 2009 and the
related audited consolidated statements of income,
shareholders equity and cash flows of CHS and its
subsidiaries for the year then ended, together with the notes
and schedules thereto and an unqualified audit opinion of its
independent registered public accounting firm with respect
thereto;
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BioScrip having receive the accountants consent and
comfort letters that have been reasonably requested
under the Agreement and Plan of Merger prior to the closing date
in connection with the debt financing; and
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in the event that the Stockholders would receive BioScrip common
stock valued at the Applicable Stock Value as a result of cash
amounts that otherwise would have been paid to the Stockholders
causing the Threshold Percentage to be lower than 40.5% at the
time of such payments, the Applicable Stock Value (as determined
at 4:00 p.m. as of the last trading day immediately
preceding the scheduled date of closing, and as adjusted for
splits, conversions and reverse splits) not being less than
$5.2151.
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The obligation of CHS to effect the transactions contemplated by
the Agreement and Plan of Merger is conditioned on the
satisfaction or waiver of various conditions, including:
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the representations and warranties of BioScrip being true and
correct in all material respects as of the date of closing, or,
to the extent they expressly related to a specific date, then as
of the specific date, with only those exceptions which,
individually or in the aggregate, would not reasonably be
expected to have a material adverse effect;
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BioScrip and Camelot having performed and complied with the
agreements and covenants required by the Agreement and Plan of
Merger to be performed and complied with;
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BioScrip having delivered the appropriate officers
certificate to CHS;
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any waiting period under the HSR Act applicable to the merger
having been terminated or expired;
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on the date of closing, there existing no injunction or other
order issued by any government authority or court of competent
jurisdiction which prohibits the consummation of the merger;
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all required licenses, permits, consents, authorizations,
approvals, qualifications and orders of governmental authorities
and certain persons having been obtained;
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BioScrip having delivered to CHS a certificate of the Secretary
of BioScrip;
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the Escrow Agreement having been executed and delivered by the
Stockholders Representative and BioScrip;
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the Stockholders Agreement having been executed and
delivered by each of the Stockholders and any holders of CHS
stock options, if any, receiving shares of BioScrips
common stock in connection with the merger with CHS;
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BioScrip having received the proceeds of the debt financing on
the specified terms;
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the BioScrip stockholders having approved the BioScrip stock
issuance proposal;
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CHS having received the opinion of Paul, Weiss to the effect
that the merger will be treated as a reorganization
within the meaning of Section 368(a) of the Code; and
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the per share price (as determined at 4:00 pm as of the relevant
date) of BioScrips common stock on NASDAQ (as adjusted for
splits, conversions and reverse splits) not being less than
$5.2151 for the 10 trading days immediately preceding the
scheduled date of closing.
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Indemnification
Subject to certain limitations, from and after the closing date,
each Stockholder has agreed, on a several basis (and not a joint
or joint and several basis), to indemnify and hold harmless any
BioScrip Indemnitee from and against any and all Losses arising
from, or in connection with, any (i) breach of any covenant
or agreement made under the Agreement and Plan of Merger by the
Stockholders, (ii) breach of any CHS Covenant (other than
breaches of certain tax covenants and any Losses arising from
taxes imposed on CHS or any of its subsidiaries as a result of a
breach of any of the CHS Covenants, all of which are governed by
a separate tax indemnity described below), (iii) breach of
any of CHSs representations (other than breaches of the
tax representations which are governed by a separate tax
indemnity described below), (iv) breach of any of the
representations of the Stockholders, (v) any earnout or
other amounts paid to the sellers or any other parties in
connection with that certain Stock Purchase Agreement by and
among Option Health, Ltd. (d/b/a Optioncare of the Quad Cities),
Kathy Budge (f/k/a Kathy Goodwin) and Infusion Partners LLC,
dated as of June 10, 2009, and (vi) claims made in
pending or future suits, actions, investigations or other legal
proceedings in respect of that certain membership interest
purchase agreement dated as of June 20, 2008 by and between
Professional Home Care Services, Inc. and Alexander Infusion,
LLC, including the lawsuit filed by Alexander Infusion, LLC in
the Supreme Court of the State of New York, Nassau County, on or
around March 31, 2009. Each Kohlberg Entity will jointly
and severally indemnify and hold harmless the BioScrip
Indemnitees for any indemnification obligation of any Kohlberg
Entity pursuant to the Agreement and Plan of Merger.
Subject to certain limitations, BioScrip has agreed to indemnify
and hold harmless the Stockholders, each of such
Stockholders respective affiliates, officers, directors,
employees, stockholders, partners and members, and prior to the
closing, CHS and any of its subsidiaries and their respective
officers, directors and employees (each, a Stockholder
Indemnitee, and together with the BioScrip Indemnitees,
the Indemnitees and each an Indemnitee),
from and against any Losses arising from or in connection with
(i) the breach of any representation or warranty of
BioScrip or Camelot in the Agreement and Plan of Merger and
(ii) the breach of any covenant or agreement made by
BioScrip in the Agreement and Plan of Merger.
Generally the cumulative indemnification obligations of the
Stockholders, on the one hand, or BioScrip, on the other hand,
in the aggregate will not exceed an amount equal to the then
available escrow fund (the Escrow Fund) established
under the Escrow Agreement, as described below in the section
entitled The Escrow Agreement (the Cap).
However, any and all breaches constituting Unrestricted Claims
will not be subject to the Cap. Unrestricted Claims
refer any indemnity claims made with respect to: (i) any
Specified Representations, (ii) any intentional or willful
breaches by CHS of any covenants or agreements set forth in the
Agreement and Plan of Merger, and (iii) any breach of any
covenant or agreement made under the Agreement and Plan of
Merger to be made or performed by the Stockholders following
closing, and (iv) the tax indemnity. Specified
Representations refer to each of the representations and
warranties regarding the organization of the Stockholders, the
due authorization, execution and delivery of the Agreement and
Plan of Merger by the Stockholders, the enforceability of the
Agreement and Plan of Merger, organization and qualification of
CHS, the capitalization of CHS, subsidiaries of CHS, the binding
obligations of CHS, the taxes and tax returns of CHS, absence of
brokers used by CHS and BioScrip in connection with the merger,
the organization of BioScrip and Camelot, the due authorization,
execution and delivery of the Agreement and Plan of Merger by
BioScrip and Camelot, the capitalization of BioScrip and the
capitalization and operations of Camelot. The aggregate amount
of Losses paid by any Stockholder will not exceed the amount of
proceeds actually received by such Stockholder under the
Agreement and Plan of Merger, except that with respect to each
Kohlberg Entity, the aggregate amount of Losses paid by any
Kohlberg Entity or all of the Kohlberg Entities will not exceed
the amount of proceeds actually received by all of the Kohlberg
Entities under the Agreement and Plan of Merger.
No indemnification claims for Losses will be asserted by the
Stockholder Indemnitees or the BioScrip Indemnitees unless
(i) any individual Loss or group or series of related
Losses exceed $50,000 (the DeMinimis Losses), and
(ii) the aggregate amount of Losses that would otherwise be
payable (which will not include for such purposes DeMinimis
Losses) exceeds $1,500,000 (the Basket Amount). A
Stockholder Indemnitee or a BioScrip Indemnitee, as the case may
be, will be entitled to receive only amounts for Losses (which
will include for such purposes DeMinimis Losses) in excess of
the Basket Amount up to the Cap.
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Claims (i) with respect to the earnout or other amounts
paid to the sellers or any other parties in connection with that
certain Stock Purchase Agreement by and among Option Health,
Ltd. (d/b/a Optioncare of the Quad Cities), Kathy Budge (f/k/a
Kathy Goodwin) and Infusion Partners LLC, dated as of
June 10, 2009, (ii) under the tax indemnity,
(iii) with respect to breaches of the covenants and
agreements in the Agreement and Plan of Merger (other than with
respect to pending or future suits, actions, investigations or
other legal proceedings in respect of that certain membership
interest purchase agreement dated as of June 20, 2008 by
and between Professional Home Care Services, Inc. and Alexander
Infusion, LLC, including the lawsuit filed by Alexander
Infusion, LLC in the Supreme Court of the State of New York,
Nassau County, on or around March 31, 2009) and
(iv) with respect to the Specified Representations will not
be subject to the Basket Amount, but instead will be recoverable
from dollar one.
The cumulative indemnification obligations of the Stockholders
(other than for Unrestricted Claims) will be recoverable solely
from the Escrow Fund (as will be reduced from time to time to
reflect payments, if any, made from time to time from the Escrow
Fund in accordance with the terms and conditions of the Escrow
Agreement). BioScrip has agreed, for itself and the BioScrip
Indemnitees, that: (i) a BioScrip Indemnitee must first
assert any claim for indemnification against the then available
Escrow Fund in accordance with the terms of the Escrow Agreement
and (ii) if the amount recoverable by a BioScrip Indemnitee
in respect of a breach of a covenant or a representation of a
Stockholder pertaining to any Unrestricted Claim exceeds the
amount of the then available Escrow Fund or if the Escrow
Agreement has terminated pursuant to its terms, then (a) a
BioScrip Indemnitee may assert such claim solely against that
Stockholder who is in breach of the Unrestricted Claim, and no
other Stockholder will have any liability with respect to such
Unrestricted Claim, and (b) in the case of an Unrestricted
Claim that is a covenant or representation of CHS, against the
Stockholders on a several basis based on their respective
transaction percentages as set forth in the Agreement and Plan
of Merger (and not on a joint or joint and several basis), for
the amount of Losses not recovered by such BioScrip Indemnitee
from the then available Escrow Fund. In the case of any such
claim against a Kohlberg Entity, (i) the BioScrip
Indemnitees may assert a claim against any Kohlberg Entity for
any breach by any other Kohlberg Entity of any Unrestricted
Claim that is a breach of a Stockholder covenant and
(ii) each Kohlberg Entity will be liable based upon the
aggregate transaction percentage as set forth in the Agreement
and Plan of Merger of all Kohlberg Entities for the amount of
Losses not recovered by such BioScrip Indemnitee for such
Unrestricted Claims.
In connection with any release (or holdback by the escrow agent)
of shares of BioScrips stock held in the escrow account,
the escrow agent will release to the applicable party on such
release date (or holdback in the Escrow Account on such date)
such number of shares of BioScrips stock having an
aggregate value (with each share of BioScrips stock based
on a value per share of $8.3441) equal to the aggregate amount
to be released (or held back) on such applicable date.
No Indemnitee will be entitled to be indemnified for special,
consequential or punitive damages, including diminution in
value, multiple of earnings or profits theory, business
interruptions, or loss of business opportunity or reputation
damages (except to the extent included in a third party claim).
No party will be obligated to indemnify any other person with
respect to (i) any representation, warranty, covenant or
condition specifically waived in writing by the other party on
or prior to the closing, (ii) any Losses with respect to
any matter if such matter was included in the calculation of the
final purchase price (to the extent so included), including in
the calculation of net indebtedness of CHS, (iii) any
Losses for which a notice of a claim was not duly delivered
prior to the end of the applicable survival period and
(iv) any Losses to the extent which there is a related
amount expressly reserved against in CHSs financial
statements. The representations and warranties, other than the
Specified Representations, of the Stockholders, CHS and BioScrip
will survive until the eighteen month anniversary of the date of
closing of the merger. The Specified Representations will
survive the date of closing for the applicable statute of
limitations.
None of the limitations on the indemnification obligations of
the parties to the Agreement and Plan of Merger will apply to
claims based on fraud or intentional breaches. Representations
and warranties of CHS and the Stockholders contained in the
Agreement and Plan of Merger and any right of indemnification
with respect thereto will not be affected by any investigation
conducted for or on behalf of, or any knowledge possessed or
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acquired at any time by, BioScrip or its affiliates, employees,
or representatives concerning any circumstance, action, omission
or event relating to the accuracy or performance of any
representation, warranty, covenant or obligation with respect
thereto.
Tax
Indemnity and Procedures
The Stockholders on a several basis have agreed to indemnify the
BioScrip Indemnitees from and against any Losses as a result of:
(i) taxes of CHS or its subsidiaries for any taxable period
(or portion thereof) ending on or before the closing date;
(ii) taxes imposed or sought to be imposed as a result of
the breach of any tax covenant, representation or warranty;
(iii) taxes with respect to any obligation to contribute to
the payment of a tax determined on a consolidated or other group
basis with respect to a group of corporations that includes or
included CHS or any of its subsidiaries at any time on or before
the closing date; and (iv) taxes incurred after the closing
date related to certain tax returns.
The indemnification obligations described in the previous
paragraph will survive the closing and will continue in full
force and effect until after the applicable statute of
limitations. These indemnification obligations are not subject
to the Cap, the DeMinimis Loss exception or the Basket Amount.
Each Kohlberg Entity has agreed to jointly and severally
indemnify and hold harmless BioScrip for any indemnification
obligation of any Kohlberg Entity pursuant to the tax
indemnities provided for in the Agreement and Plan of Merger.
From and after the closing date, BioScrip has agreed to
indemnify the Stockholders and their affiliates against and hold
harmless from any and all taxes for periods beginning on the
closing date other than amounts for which BioScrip is entitled
to be indemnified by the Stockholders as described above, and
such indemnification will survive the closing and continue in
full force and effect until the expiration of the applicable
statute of limitations.
The Stockholders have agreed to prepare, at the
Stockholders expense, and BioScrip has agreed to timely
file, all tax returns of CHS or any of its subsidiaries with
respect to any taxable period ending on or before the closing
date. The Stockholders will pay any taxes due in respect of such
tax returns. BioScrip has the right to review and comment on
such tax returns, and any disputes will be resolved by an
independent accounting firm mutually acceptable to the
Stockholders and BioScrip. With respect to the income tax
returns for the period ending on the closing date, the
Stockholders Representative will have the sole discretion
regarding whether the net operating loss generated in such
period (if any) will be carried back or carried forward.
BioScrip has agreed to timely prepare and file all tax returns
of CHS or any of its subsidiaries for taxable years or periods
ending after the closing date. Tax returns that are required to
be filed by or with respect to CHS or its subsidiaries for
taxable periods that begin before and end after the closing date
are required to be prepared consistently with past practice to
the extent permitted by applicable law. The Stockholders
Representative will have the right to review and comment on such
tax returns, and any disputes will be resolved by an independent
accounting firm mutually acceptable to the Stockholders and
BioScrip.
Except to the extent required by law, neither BioScrip nor any
of its affiliates will (or will cause or permit any of its
subsidiaries to) amend, refile or otherwise modify any tax
return relating in whole or in part to CHS or its subsidiaries
with respect to any taxable period ending before the closing
date (or with respect to any taxable period that begins before
and ends after the closing date) without the written consent of
the Stockholders which consent will not be unreasonably withheld
or delayed.
The Stockholders will be entitled to any credits and refunds
(including interest received thereon) in respect of any taxable
period ending before the closing date to the extent such credits
or refunds do not arise from or relate to the
carryback of a tax item from a period beginning
after the closing date to a taxable period ending before the
closing date. BioScrip will cause such refund to be paid to the
Stockholders promptly following receipt. If the
Stockholders Representative determines that CHS and its
subsidiaries will carry back the net operating losses (if any)
as described above, BioScrip will cause Camelot (as successor to
CHS) to file appropriate refund claims within a reasonable
period after Camelot files such tax returns. Camelot (as
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successor to CHS) will be entitled to any other refunds
(including any interest received thereon) in respect of any
federal, state, local or foreign tax liability of CHS or any
subsidiary.
BioScrip has agreed that it will not, without the prior consent
of the Stockholders (which will not be unreasonably withheld or
delayed), make, or cause or permit to be made, any tax election,
or adopt or change any method of tax accounting, or undertake
any other extraordinary action on the closing date, that would
materially affect the taxes of the Stockholders or CHS or any of
its subsidiaries prior to the closing date.
Termination
The Agreement and Plan of Merger may be terminated on or prior
to the date of closing of the CHS merger as follows:
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by mutual written consent of BioScrip and the Stockholders
Representative; or
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by either BioScrip or the Stockholders Representative if
the closing date has not occurred on or before June 30,
2010 (subject to extension by mutual agreement in the event of
regulatory or antitrust issues), but only if the terminating
party is not then in material breach of any representation,
warranty, covenant or other agreement contained in the Agreement
and Plan of Merger; or
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subject to BioScrips obligations relating to challenges to
the merger as violative of antitrust laws, by BioScrip or the
Stockholders Representative if a court of competent
jurisdiction or other governmental authority has issued an order
or injunction or taken any other action (which order, injunction
or action the parties will use their commercially reasonable
efforts to lift) permanently restraining, enjoining or otherwise
prohibiting the transactions contemplated under the Agreement
and Plan of Merger and such order or action has become final and
nonappealable; or
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by the Stockholders Representative, if neither CHS nor any
of the Stockholders is then in material breach of any term of
the Agreement and Plan of Merger, upon written notice to
BioScrip, upon a material breach of any representation, warranty
or covenant of BioScrip contained in the Agreement and Plan of
Merger such that the conditions to closing set forth in
Agreement and Plan of Merger cannot be satisfied and such breach
is not capable of being cured or has not been cured within
30 days after the giving of notice thereof by the
Stockholders Representative to BioScrip; or
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by BioScrip, if BioScrip is not then in material breach of any
term of the Agreement and Plan of Merger, upon written notice to
Stockholders Representative, upon a material breach of any
representation, warranty or covenant of CHS or the Stockholders
contained in the Agreement and Plan of Merger such that the
conditions to closing set forth in Agreement and Plan of Merger
cannot be satisfied and such breach is not capable of being
cured or has not been cured within 30 days after the giving
of notice thereof by BioScrip to the Stockholders
Representative; or
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by the Stockholders Representative or BioScrip if the
BioScrip stock issuance proposal has been submitted to the
BioScrip stockholders for adoption by written consent or at a
duly convened special meeting of stockholders (or adjournment
thereof) and the approval of the BioScrip stockholders was not
obtained.
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Effect of
Termination
In the event of termination of the Agreement and Plan of Merger
by the parties in accordance with the provisions described above
under the heading Termination, the
Agreement and Plan of Merger will become void and of no further
force and effect, and none of the parties to the Agreement and
Plan of Merger will have any liability in respect of such
termination, except that nothing in the Agreement and Plan of
Merger will relieve CHS or the Stockholders from any liability
for any intentional or willful breach of the provisions of the
Agreement and Plan of Merger prior to the termination of the
Agreement and Plan of Merger. Certain provisions, including the
treatment of confidential information, will survive the
termination of the Agreement and Plan of Merger.
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If the Agreement and Plan of Merger is terminated by BioScrip or
the Stockholders Representative for failure to obtain
BioScrip stockholder approval upon a vote taken thereon, or
after June 30, 2010, and at the time of such termination
approval of the BioScrip stock issuance proposal has not been
obtained, then BioScrip will pay CHS up to $1,000,000 in fees
and expenses incurred in connection with the Agreement and Plan
of Merger and the merger with CHS after December 7, 2009
within two business days of BioScrips receipt of notice of
the amount of such expenses. If BioScrip fails to pay such
expenses when due, BioScrip will pay to CHS all of CHSs
costs and expenses (including attorneys fees) in
connection with efforts to collect such expenses and interest at
a rate equal to Citibanks Prime Lending Rate.
Fees and
Expenses
Except as expressly provided in the Agreement and Plan of
Merger, all costs and expenses incurred in connection with
Agreement and Plan of Merger and the transactions contemplated
by the Agreement and Plan of Merger will be paid by the party
incurring such costs and expenses. CHS has agreed to pay certain
expenses on the closing date from the cash portion of the
purchase price, including: (i) all fees and expenses of CHS
or any Stockholder related to the transactions contemplated by
Agreement and Plan of Merger, including the fees and expenses of
Paul, Weiss, Rifkin, Wharton & Garrison LLP and the
fees and expenses of CHSs independent registered public
accounting firm and all other applicable independent registered
public accounting firms attributable to any of CHSs
financial statements included in this proxy statement or any
registered public offering or private offering of BioScrip made
in connection with the transactions contemplated by the
Agreement and Plan of Merger, (ii) 50% of any conveyance
taxes, (iii) all amounts payable under the Management
Agreement, dated as of September 19, 2006, between KCHS
Holdings, Inc., a Delaware Corporation, CHS, and
Kohlberg &Company, LLC, a Delaware limited liability
company, as amended by the letter agreement dated
January 8, 2007, (iv) any transaction bonus,
discretionary bonus, stay put or other compensatory
payments to be made to any optionholder or current or former
employee, board member or consultant of CHS or any of its
subsidiaries at closing as a result of the execution of the
Agreement and Plan of Merger or consummation of the merger or at
the discretion of CHS or any of its subsidiaries (other than any
payments, including severance, due as a result of any action
taken by BioScrip or any of its affiliates from and after the
closing date and any stay put or bonus or similar
payments made to any employee of CHS or its subsidiaries after
the closing date, all of which will be borne entirely by
BioScrip), and (v) all amounts payable in respect of the
termination of the affiliate obligations described above under
the heading Covenants Termination
of Affiliate Obligations.
Amendments
The Agreement and Plan of Merger may not be amended except in
writing signed on behalf of each of the parties thereto.
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THE
STOCKHOLDERS AGREEMENT
Concurrently with entering into the Agreement and Plan of
Merger, BioScrip entered into a Stockholders Agreement
with the Stockholders Representative, Kohlberg
Partners V, L.P., Kohlberg Offshore Investors V, L.P.,
Kohlberg TE Investors V, L.P., KOCO Investors V, L.P.
(collectively, the Kohlberg Stockholders), Robert
Cucuel, Mary Jane Graves, Nitin Patel, Joey Ryan, Colleen
Lederer, Blackstone Mezzanine Partners II L.P., Blackstone
Mezzanine Holdings II L.P. and S.A.C. Domestic Capital
Funding, Ltd. (collectively with the Kohlberg Stockholders, the
CHS Stockholders). The following is a summary of the
material provisions of the Stockholders Agreement and is
qualified in its entirety by reference to the Stockholders
Agreement, a copy of which is attached to this proxy statement
as Annex B and which we incorporate by reference into this
document. This summary may not contain all of the information
about the Stockholders Agreement that is important to you.
We urge you to read the entire Stockholders Agreement
carefully because it is the legal document governing important
aspects of the relationship among BioScrip and the CHS
Stockholders.
General
The Stockholders Agreement, which becomes effective upon
the closing of the merger, governs the CHS Stockholders
ownership interest in BioScrip following consummation of the
merger. Based upon the shares of BioScrip common stock
outstanding as of February 8, 2010, the shares of BioScrip
common stock to be issued to the CHS Stockholders pursuant to
the Agreement and Plan of Merger will represent approximately
24% of the total issued and outstanding common stock of BioScrip
immediately after the completion of the merger.
Board
Representation
Pursuant to the terms of the Stockholders Agreement, for
as long as the Kohlberg Stockholders
and/or their
affiliates beneficially own in the aggregate: (a) at least
50% of the shares of BioScrips common stock received by
the Kohlberg Stockholders at the closing of the merger pursuant
to the Agreement and Plan of Merger (as adjusted for any splits,
conversions and reverse splits on or after the closing) (the
Initial Kohlberg Shares), the Stockholders
Representative will be entitled to designate two nominees for
election by BioScrips stockholders to the board of
directors of BioScrip; and (b) at least 15% (but less than
50%) of the Initial Kohlberg Shares, the Stockholders
Representative will be entitled to designate one nominee for
election by BioScrips stockholders to the board of
directors of BioScrip. If at any time the Kohlberg Stockholders
and/or their
affiliates beneficially own in the aggregate less than 15% of
the Initial Kohlberg Shares, then the Stockholders
Representative will not have the right to designate any nominees
for election to BioScrips board of directors.
For as long as the Stockholders Representative has the
right to nominate one or more directors in accordance with the
Stockholders Agreement, the number of directors on
BioScrips board of directors will be fixed at 10. BioScrip
has agreed to include any person nominated by the
Stockholders Representative in each slate of nominees
recommended by BioScrips board of directors in connection
with any stockholders meeting at which directors are to be
elected and to use commercially reasonable efforts to ensure
such nominees are elected as directors.
Upon the death, disability, retirement, resignation or removal
(with or without cause) of any director nominated by the
Stockholders Representative, the Stockholders
Representative will be entitled to designate the replacement
director for such director.
Until the Stockholders Representative ceases to have the
right to designate one or more directors in accordance with the
Stockholders Agreement, except as may be prohibited by
law, at least one of the directors nominated by the
Stockholders Representative will be entitled to
representation on each of the audit committee, the compensation
committee and the corporate strategy committee of
BioScrips board of directors.
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Transfer
Restrictions
Under the terms of the Stockholders Agreement, for a
period of two years from the closing date of the merger, none of
the CHS Stockholders may make or solicit any sale, assignment,
transfer, distribution or other disposition of any shares of
BioScrips common stock, except for sales or transfers made:
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pursuant to one or more registered secondary public offerings in
connection with the exercise of the registration rights
described below under the heading Registration
Rights;
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pursuant to one or more private placements exempt from the
registration requirements of the Securities Act and the rules
and regulations promulgated thereunder, including Rule 144
under the Securities Act (subject to BioScrips right to
receive from the Stockholder making such transfer an opinion of
counsel reasonably acceptable in form and substance to BioScrip
that registration under the Securities Act is not required in
connection with such transfer);
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in the case of any CHS Stockholder who is an individual, to a
member of such CHS Stockholders immediate family or to a
trust, corporation, partnership or limited liability company,
all of the beneficial interests in which are held by such CHS
Stockholder or by one or more members of such CHS
Stockholders immediate family;
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to any of such CHS Stockholders affiliates; or
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in the case of Blackstone Mezzanine Partners II, L.P.,
Blackstone Mezzanine Holdings II, L.P. and S.A.C. Domestic
Capital Funding, Ltd. (the Institutional
Stockholders), in connection with a pledge or collateral
assignment of shares of BioScrips common stock to a third
party lender or other financing source, or any foreclosure or
other exercise of rights or remedies by a permitted pledgee or
assignee whereby shares of BioScrips common stock are
further sold, assigned or conveyed.
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Before effecting any of the permitted transfers described above,
a CHS Stockholder must provide at least five business days
written notice to BioScrip specifying in reasonable detail the
terms and conditions of such transfer. Any transferee of any
shares of BioScrip common stock permitted under the
Stockholders Agreement is referred to as a Permitted
Transferee. Any Permitted Transferee (other than a family
member) that beneficially owns more than 5% of the issued and
outstanding shares of BioScrips common stock, will be
subject to the restrictions, including the transfer
restrictions, set forth in the Stockholders Agreement, and
BioScrip has the right to require any Permitted Transferee that
beneficially owns more than 5% of the issued and outstanding
shares of BioScrip common stock to execute a joinder to the
Stockholders Agreement.
Any disposition of or the creation of any encumbrance on any
shares of BioScrips common stock in violation of the terms
and conditions of the Stockholders Agreement will be null
and void, and the purported transferee of any such dispositions
or the purported holder of any such encumbrances will have no
rights or privileges with respect to such shares of common stock.
Standstill
Restrictions
Under the terms of the Stockholders Agreement, until the
later of (a) the third anniversary of the closing date of
the merger and (b) the date upon which the
Stockholders Representative is no longer entitled to
designate any nominees for director, except as expressly
contemplated by the Stockholders Agreement or permitted in
writing pursuant to a resolution of a majority of the directors
of BioScrip, none of the CHS Stockholders (other than the
Institutional Stockholders) or any directors, officers or
controlled affiliates (or any directors or officers of such
controlled affiliates) of any such CHS Stockholder may take any
of the following actions:
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effect, offer, propose or cause or participate in, or assist any
other person to effect, offer or propose or participate in
(i) any acquisition or any proposal to acquire any debt or
equity securities of BioScrip after the closing (other than
through the exercise of warrants as described under the section
entitled The Warrant Agreement or the options to
purchase CHS common stock that will be assumed by BioScrip at
the closing of the merger with CHS and converted into options to
purchase BioScrip common stock (each, a Roll Over
Option)); (ii) any tender or exchange offer for debt
or equity securities of BioScrip; (iii) any merger,
consolidation, share exchange or business combination
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involving BioScrip or any material portion of its business or
any purchase of all or any substantial part of the assets of
BioScrip; (iv) any recapitalization, restructuring,
liquidation, dissolution or other extraordinary transaction with
respect to BioScrip or any material portion of its business; or
(v) any solicitation of proxies with respect to BioScrip or
any action resulting in such person or entity becoming a
participant in any election contest with respect to BioScrip;
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propose or make any recommendation with respect to any matter
for submission to a vote of stockholders of BioScrip;
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form, join or participate in a group with respect to any shares
of BioScrips common stock, other than any group consisting
solely of a CHS Stockholder and its affiliates;
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grant any proxy with respect to any share of BioScrip common
stock to any person or entity not designated by BioScrip, other
than a revocable proxy authorizing a representative of a CHS
Stockholder to vote at a meeting of stockholders of BioScrip in
the ordinary course of business;
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deposit any shares of BioScrips common stock in a voting
trust or subject any such shares to any arrangement or agreement
with respect to the voting of such shares, except for agreement
solely among the CHS Stockholders and BioScrip and except for
the permitted transfers described above under the heading
Transfer Restrictions;
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execute any written stockholder consent with respect to BioScrip;
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take any other action to seek to affect the control of BioScrip
(other than in connection with any director nominated by the
Stockholders Representative acting in accordance with such
directors fiduciary duties);
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enter into any discussions, negotiations, arrangements or
understandings with any person with respect to any of the
restrictions described above, or advise, or advise, assist,
encourage or seek to persuade others to take any action with
respect to the restrictions described above;
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disclose to any person any intention, plan or arrangement
inconsistent with the restrictions described above that would
result in any CHS Stockholder or BioScrip being required to make
any such disclosure in any filing (other than a filing required
under Sections 13 or 16 of the Securities Exchange Act of
1934, as amended (the Exchange Act) in connection
with a permitted transfer) with a governmental authority or
exchange or being required by applicable law to make a public
announcement with respect thereto; or
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request BioScrip or any of its affiliates, directors, officers,
employees, representatives, advisors or agents, directly or
indirectly, to amend or waive in any respect the
Stockholders Agreement or the certificate of incorporation
or the bylaws of BioScrip or any of its affiliates.
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Registration
Rights
The Stockholders Agreement provides for certain
registration rights of the shares held by the CHS Stockholders,
including (i) the aggregate issued and outstanding shares
of BioScrip common stock beneficially owned by the CHS
Stockholders, (ii) any other securities issued and issuable
with respect to any such shares by BioScrip or by way of a stock
dividend or stock split or in connection with a combination of
shares, recapitalization, merger, consolidation or other
reorganization, including any such securities issued or issuable
by BioScrip and (iii) BioScrip common stock issued upon the
exercise of the warrants (as adjusted from time to time in
accordance with their terms) (collectively, the
Stockholder Shares).
Demand
Registration
At any time after the six month anniversary of the closing date
of the merger, holders of then-outstanding Stockholder Shares
will have the right to require BioScrip to effect unlimited
registrations of Stockholder Shares. Each request for
registration must be made for Stockholders Shares having a
market value of at least $25 million, based on the closing
price of BioScrips common stock on the business day prior
to the day such
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registration request is made. The demand registration rights
granted in the Stockholders Agreement are subject to
customary restrictions, such as limitations on the number of
shares to be included in any underwritten offering imposed by
the underwriter.
Piggyback
Registration
BioScrip also has agreed to provide the CHS Stockholders with
piggyback registration rights, such that if at any time BioScrip
proposes register any shares under the Securities Act in
connection with a public offering (subject to certain
exceptions), then BioScrip will give each of the CHS
Stockholders written notice of such registration as soon as
practicable but in no event less than 30 days prior to such
registration, and must include in such registration all
Stockholder Shares requested in writing to be included therein.
The piggyback registration rights granted in the
Stockholders Agreement are subject to customary
restrictions, such as limitations on the number of shares to be
included in any underwritten offering imposed by the underwriter.
Expenses
BioScrip has agreed to pay all registration expenses, including
the legal fees of one counsel for the selling CHS Stockholders,
to be selected by the holders of a majority of the Stockholder
Shares to be included in such registration, other than
underwriting discounts or commissions on the sale of stockholder
shares.
As a condition to including Stockholder Shares in any
registration, the participating CHS Stockholders and BioScrip
have agreed to execute a customary underwriting agreement or
similar agreement in a form reasonably acceptable to BioScrip
and the underwriter(s), if any, for such offering containing
customary indemnification and holdback provisions. No CHS
Stockholder will be required to incur indemnification
obligations which are in excess of the net proceeds received by
such CHS Stockholder pursuant to such registration or which
relates to information not supplied by such CHS Stockholder for
inclusion in the registration statement.
Postponement
of Demand Registration
Under the Stockholders Agreement, BioScrip is entitled to
postpone not more than once in any
12-month
period, for a reasonable period of time not to exceed
90 days, the filing of a registration statement if in the
good faith judgment of the board of directors of BioScrip (in
consultation with outside advisors), such registration and
offering would be reasonably expected to materially and
adversely affect or materially interfere with any bona fide
material financing of BioScrip or any material transaction under
consideration by BioScrip, or would require disclosure of
material non-public information which would materially and
adversely affect BioScrip if disclosed prematurely. BioScrip
will provide notice to any applicable CHS Stockholders of its
decision to postpone filing a registration statement, which
notice will include the reasons for the postponement and an
estimation of the anticipated delay.
Restrictions
on Other Agreements
Without the written consent of the CHS Stockholders holding not
less than a majority of the Stockholder Shares (which consent
may be given or withheld in the sole discretion of such CHS
Stockholders), BioScrip is not permitted to grant any rights
relating to the registration of its securities if the exercise
thereof interferes with or is inconsistent with or will delay
(or could reasonably be expected to interfere with or be
inconsistent with or delay) the exercise and enjoyment by the
CHS Stockholders of any of the demand registration rights
described above under the heading Demand
Registration.
Transfer
of Registration Rights
The registration rights described above may be assigned, in
whole or in part, to any Permitted Transferee (which Permitted
Transferee will be bound by the obligations of the
Stockholders Agreement), but are not assignable by such
Permitted Transferee to any subsequent transferee.
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Subsequent
Issuances and Purchases
All shares of BioScrips common stock (or any other series
or class of capital stock of BioScrip) that are issued to or
purchased by any CHS Stockholder after the closing of the merger
with CHS, including without limitation, any shares obtained by
exercise of a warrant or stock option (other than a Roll Over
Option) or pursuant to any stock dividend, stock split or
similar change, will become immediately subject to the terms of
the Stockholders Agreement without further action by any
party to the Stockholders Agreement.
Effect of
Termination of the Agreement and Plan of Merger
The Stockholders Agreement will terminate automatically
upon the termination of the Agreement and Plan of Merger in
accordance with its terms.
Termination
Unless otherwise terminated earlier in accordance with its
terms, the Stockholders Agreement will terminate upon the
written consent of BioScrip and CHS Stockholders holding not
less than a majority of the Stockholder Shares.
Amendment
The Stockholders Agreement may not be amended, waived,
discharged or terminated except by a written instrument signed
by BioScrip and CHS Stockholders holding not less than a
majority of the Stockholder Shares.
THE
WARRANT AGREEMENT
Pursuant to the Agreement and Plan of Merger, BioScrip has
agreed to enter into a Warrant Agreement at the closing of the
merger with the Stockholders and certain optionholders of CHS.
The following is a summary of the material provisions of the
Warrant Agreement and is qualified in its entirety by reference
to the form of Warrant Agreement, a copy of which is attached to
this proxy statement as Annex C and which we incorporate by
reference into this document. This summary may not contain all
of the information about the Warrant Agreement that is important
to you. We urge you to read the entire Warrant Agreement
carefully because it is the legal document governing the
warrants to purchase shares of our common stock.
General
In connection with the consummation of the merger with CHS,
BioScrip will issue warrants representing the right to purchase,
in the aggregate, 3,400,945 shares of BioScrips
common stock, subject to adjustment as set forth below and
described more fully in the Warrant Agreement.
Exercise
of Warrants and Exercise Price
The warrants may be exercised at any time prior to the fifth
anniversary of the closing of the merger (the expiration
time) upon the payment of the exercise price for each
share of common stock with respect to which the warrants are
then being exercised. The initial exercise price is equal to
$10.00 per common share, subject to adjustment as described
below and as described more fully in the Warrant Agreement. Upon
the exercise of any warrants, a warrant holder may pay the
applicable exercise price in cash or by net exercise
such that the holder becomes entitled to receive, after notice
to BioScrip, instead of the number of shares of BioScrip common
stock such holder would have otherwise received had the exercise
price been paid in cash, the number of shares of BioScrip common
stock equal to the product of (i) the number of shares of
BioScrip common stock issuable upon such exercise; multiplied by
(ii) the quotient of (A) the last reported sale price
per share of BioScrip common stock at the time of such exercise,
minus the per share exercise price at the time of such exercise;
divided by (B) the last reported sale price per share of
BioScrip common stock at the time of such exercise.
Any warrants issued under the Warrant Agreement will be fully
exercised pursuant to the terms thereof, without the need for
any action by the holder of such warrants, immediately prior to
the expiration time if the resulting value upon such automatic
exercise would be greater than zero.
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Upon the timely exercise of the warrants, BioScrip has agreed to
cause (i) certificates representing the whole number of
shares of common stock then being purchased to be delivered to,
or registered in such name or names as may be designated by, the
warrant holder and (ii) cash, if any, to be paid in lieu of
fractional shares to the warrant holder.
Agreements
of BioScrip
Under the terms of the Warrant Agreement, BioScrip will make
certain agreements, including the following:
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to keep adequate reserves of authorized and unissued shares or
treasury shares so as to permit the exercise in full of all
warrants issued under the Warrant Agreement into BioScrip common
stock;
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to take all such action as may be necessary to ensure that all
shares of BioScrip common stock delivered upon the exercise of
any warrant will be (i) duly and validly authorized and
issued and fully paid and nonassessable, free of any preemptive
rights or liens and (ii) issued without violation of any
applicable law;
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subject to certain exceptions, to pay any and all taxes and
charges that may be payable in respect of the initial issuance
and delivery of each warrant certificate and each share of
BioScrip common stock issued upon the exercise of any warrant;
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upon any holders exercise of warrants, to cause such
holder to become a record holder of the shares of BioScrip
common stock issued upon such exercise;
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except as otherwise set forth in the Stockholders
Agreement described above in the section entitled The
Stockholders Agreement, that prior to the exercise
of any warrants, the holder of such warrants will not be
entitled to any rights of a stockholder of BioScrip with respect
to the common stock into which such warrants will be
exercisable; and
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not to avoid or seek to avoid the observance or performance of
any of the terms of the Warrant Agreement by amendment of its
charter or bylaws or through any reorganization, transfer of
assets, consolidation, merger, scheme of arrangement,
dissolution, issue or sale of securities, or any other voluntary
action, and to at all times in good faith carry out the
provisions of the Warrant Agreement.
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Anti-Dilution
Adjustments
Under the Warrant Agreement, if BioScrip declares and pays a
dividend on its common stock in shares of BioScrip common stock,
or effects a stock split, reverse stock split, subdivision,
combination or reclassification of its common stock, then the
number of shares of common stock issuable upon exercise of the
warrants at the time of the record date of such dividend, stock
split, reverse stock split, subdivision, combination or
reclassification will be proportionately adjusted so that the
holder of such warrants after such date will be entitled to
purchase the number of shares of common stock which such holder
would have owned or been entitled to receive in respect of the
shares subject to such warrants after such date had such
warrants been exercised immediately before such date. In such
event, the exercise price in effect at the time of the effective
date of such split, reverse split, subdivision, combination or
reclassification also will be adjusted to take into account the
new number of common shares issuable upon exercise of a
holders warrants.
If BioScrip issues or sells any shares of its common stock for a
consideration per share of less than 90% of the last reported
sale price per share immediately prior to such issuance or sale,
then immediately upon the effective time of such issuance or
sale, the number of shares of BioScrip common stock issuable
upon exercise of any warrants will be increased to account for
such issuance or sale below the market price per share. This
adjustment mechanism does not apply to certain types of common
stock issuances, including (i) issuances of BioScrip common
stock upon the conversion of any then-outstanding common stock
equivalents, (ii) issuances of BioScrip common stock for
which the Warrant Agreement otherwise provides adjustment,
(iii) issuances of BioScrip common stock to employees of
BioScrip or its subsidiaries that have been approved by
BioScrips board of directors and (iv) the issuance of
BioScrip common stock pursuant to the terms of the Rights
Agreement.
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If BioScrip fixes a record date to make a dividend or
distribution to all holders of its common stock of securities,
evidences of indebtedness, assets, cash, rights or warrants
(excluding dividends of BioScrip common stock), in each such
case, the exercise price in effect before such record date will
be reduced in accordance with the terms of the Warrant Agreement
immediately thereafter and the number of shares of common stock
issuable upon the exercise of any warrants will be increased, to
account for such dividend or distribution. In the event that
after the record date for such dividend or distribution is set,
no dividend or distribution occurs, then the exercise price and
the number of shares of BioScrip common stock issuable upon
exercise of any warrants will be readjusted to the original
exercise price and number of shares of BioScrip common stock
issuable upon such exercise as though such record date had never
been set.
If BioScrip undertakes any consolidation, merger (subject to
certain exceptions) or sale of substantially all of its assets
or any reclassification of its common stock (other than any
reclassification described in the first paragraph of this
subsection), then a warrant holders right to receive
shares of BioScrip common stock upon the exercise of any
warrants will be converted into the right to exercise such
warrants to acquire the number of shares of stock or other
security or property (including cash) which the BioScrip common
stock issuable at the time of such consolidation, merger, sale
of assets or reclassification upon exercise of such warrants
immediately prior to the consolidation, merger, sale of assets
or reclassification would have been entitled to receive upon
consummation of such consolidation, merger, sale of assets or
reclassification. BioScrip has agreed not to enter into or be a
party to any business combination unless the successor of
BioScrip (if any) assumes in writing all of the obligations of
BioScrip under the Warrant Agreement.
Under the Warrant Agreement, BioScrip will agree to provide
notice to the warrant holders of any event that would give rise
to an adjustment in the number of shares of common stock or the
type of consideration received upon the exercise of the warrants
and/or an
adjustment in the exercise price of the warrants. In addition,
BioScrip will agree to take all actions necessary to legally and
validly issue the BioScrip common stock that warrant holders are
entitled to receive upon exercise of the warrants, including
obtaining regulatory, national securities exchange or
stockholder approvals.
Amendment
The Warrant Agreement generally may be amended only with the
written consent of BioScrip and the holders of warrants
representing at least a majority of BioScrip common stock
issuable upon exercise of the warrants issued and outstanding
(excluding warrants directly or indirectly held by BioScrip or
its affiliates). However, the provisions governing (i) the
exercise of warrants, (ii) amendment or waiver of the
Warrant Agreement, (iii) the anti-dilution adjustments or
(iv) any defined term used in the Warrant Agreement may be
amended only upon the prior written consent of all holders of
the warrants then outstanding (excluding warrants directly or
indirectly held by BioScrip or its affiliates). No amendment of
any of the provisions relating to the exercise price or the
number of shares or kind of BioScrip common stock that may be
purchased upon exercise of each warrant, and no change
accelerating the occurrence of the expiration time, shall be
effective as to a holder of warrants unless consented to in
writing by such holder.
Relationship
to Stockholders Agreement
The holders of the warrants will be subject in all respects to
the terms of the Stockholders Agreement described above
under the section entitled The Stockholders
Agreement. By its acceptance of a warrant certificate,
each warrant holder will agree to be bound by the provisions of
the Stockholders Agreement, to the extent applicable.
THE
COMMON STOCK VOTING AGREEMENT
Concurrently with the Agreement and Plan of Merger, CHS, the
Stockholders Representative and certain directors and
executive officers of BioScrip entered into a Common Stock
Voting Agreement (the Voting Agreement). A copy of
the Voting Agreement is attached as Exhibit 10.2 to our
current report on
Form 8-K
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filed with the SEC on January 27, 2010. This summary may
not contain all of the information about the Voting Agreement
that is important to you. We urge you to read to entire Voting
Agreement carefully because it is the legal document relating to
how certain directors and executive officers of BioScrip will
vote their common stock in connection with the proposals
described in this proxy statement.
General
On January 24, 2010, CHS, the Stockholders
Representative, Richard H. Friedman, Barry A. Posner, Richard M.
Smith and Stanley G. Rosenbaum entered into the Voting
Agreement. In this description, we refer to
Messrs. Friedman, Posner, Smith and Rosenbaum collectively
as the Management Stockholders and to each
individually as a Management Stockholder.
Agreement
of Management Stockholders to Vote
Pursuant to the Voting Agreement, each of the Management
Stockholders has agreed to the following:
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that at any time that BioScrip conducts a meeting of, or
otherwise seeks a vote or consent of, its stockholders for the
purpose of approving and adopting the transactions contemplated
by the Agreement and Plan of Merger, such Management Stockholder
will vote, or provide a consent with respect to, all of the
shares of BioScrip common stock then owned by such Management
Stockholder (the Shares) (i) in favor of the
transactions contemplated by the Agreement and Plan of Merger
and (ii) against any action or agreement that would compete
with, impede, delay or interfere with the approval and adoption
of the transactions contemplated by the Agreement and Plan of
Merger; and
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that at the first annual meeting of BioScrips stockholders
following the closing of the merger with CHS, such Management
Stockholder will vote his shares in favor of each of the
director nominees designated by the Stockholders
Representative.
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Covenants
The Management Stockholders have various obligations and
responsibilities under the Voting Agreement, including, but not
limited to, the following covenants:
No Inconsistent Agreements. Each Management
Stockholder has agreed that he will not enter into any agreement
or grant a proxy or power of attorney with respect to his Shares
that is inconsistent with the Voting Agreement.
No Encumbrances. Each Management Stockholder
has agreed that he will not by any action or omission cause any
encumbrances, rights of first refusal, agreements or limitations
on his Shares or voting rights with respect to his Shares.
No Transfer. Each Management Stockholder has
agreed that he will not, directly or indirectly, for as long as
the Voting Agreement is in effect, offer for sale, sell,
transfer, give, assign or otherwise dispose of (each, a
Transfer) or agree to Transfer, any Shares, other
than to another Management Stockholder or to a person who agrees
to be bound by the Voting Agreement. Any certificated Shares so
Transferred will contain a legend (set forth in the Voting
Agreement) regarding the transfer restrictions described in this
paragraph.
No Groups. Each Management Stockholder has
agreed that he will not, and will cause each of his affiliates
not to, become a member of a group (as such term is
used in Section 13(d) of the Exchange Act) with respect to
any Shares or other voting securities of BioScrip for purposes
of opposing or competing with the transactions contemplated by
the Agreement and Plan of Merger.
No Public Statements. Each Management
Stockholder has agreed that he will not, and will cause each of
his affiliates, agents, advisors and representatives (other than
BioScrip and its directors, officers,
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agents, employees, stockholders, advisors or representatives)
not to, issue any press release or make any public statements
with respect to the Voting Agreement, the Agreement and Plan of
Merger or any of the transactions contemplated by the Agreement
and Plan of Merger without the prior written consent of CHS, the
Stockholders Representative and BioScrip.
Commercially Reasonable Efforts. Each
Management Stockholder has agreed to use commercially reasonably
efforts to provide any necessary information and material with
respect to all filings made by him with any governmental
authority in connection with the Voting Agreement and the
Agreement and Plan of Merger and the transactions contemplated
therein.
Termination
The Voting Agreement will terminate upon the earlier to occur of
(i) the completion of the first annual meeting of the
BioScrip stockholders following the closing of the merger and
(ii) the termination of the Agreement and Plan of Merger in
accordance with its terms.
Specific
Performance
Each of the parties to the Voting Agreement has acknowledged
that irreparable damage would occur in the event that the
provisions of the Voting Agreement are not performed in
accordance with its terms and that money damages would be
insufficient for any breach of the Voting Agreement.
Accordingly, the Voting Agreement entitles the parties to
specific performance of the terms of the Voting Agreement, in
addition to any other remedy at law or in equity.
Amendment
The Voting Agreement may not be amended except by an instrument
in writing signed on behalf of each of the parties thereto.
THE
ESCROW AGREEMENT
Pursuant to the Agreement and Plan of Merger, BioScrip has
agreed to enter into an Escrow Agreement with U.S Bank National
Association, as escrow agent (the Escrow Agent), and
the Stockholders Representative. This summary may not
contain all of the information about the Escrow Agreement that
is important to you. A copy of the form of Escrow Agreement is
attached as Exhibit A to Exhibit 2.1 to our current
report on Form 8-K filed with the SEC on January 27,
2010. We urge you to read the entire Escrow Agreement carefully
because it is the legal document governing a portion of the
consideration to be paid to the Stockholders in connection with
the merger.
General
The Escrow Agreement specifies the respective rights and
obligations with respect to (i) 2,696,516 shares of
BioScrip common stock having an aggregate value of
$22.5 million (based on a value per share of $8.3441) (the
escrow property), and (ii) any dividends and
income earned on the escrow property (the escrow property
interest). At the closing of the merger with CHS, BioScrip
will deposit the escrow property in an escrow account with the
Escrow Agent in partial satisfaction of payment of the final
purchase price pursuant to the terms of the Agreement and Plan
of Merger and for the sole purposes of satisfying (a) the
Stockholders obligation, if any, to pay BioScrip a
post-closing purchase price adjustment and
(b) indemnification obligations, if any, in each case as
required by the Agreement and Plan of Merger.
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Role of
the Escrow Agent
Under the Escrow Agreement, the Escrow Agent is required to
maintain a separate account for the escrow property interest,
and is required to invest the escrow property interest, from
time to time as directed by the Stockholders
Representative, in permitted investments. Any escrow property
interest will accrue for the benefit of the Stockholders, and
BioScrip will not be entitled to receive any amount from the
escrow property interest account. In addition, the Escrow Agent
is required to exercise all rights associated with the BioScrip
common stock held as escrow property (including any voting
rights) as directed by the Stockholders Representative,
provided that any such rights must be exercised in a manner
consistent with the terms of the Escrow Agreement and the
Agreement and Plan of Merger.
Payment
of Purchase Price Adjustment
If a purchase price adjustment is required to be paid to
BioScrip pursuant to the terms of the Agreement and Plan of
Merger, then the Stockholders Representative and BioScrip
must give joint written notice to the Escrow Agent directing the
disposition of the escrow property to BioScrip. Within three
business days of receiving a notice of disposition, the Escrow
Agent will disburse such number of shares of BioScrip common
stock from the escrow property to BioScrip having an aggregate
value as set forth in such disposition notice.
Indemnification
Payments
If BioScrip intends to assert a claim against the escrow
property for Losses pursuant to the terms of the Agreement and
Plan of Merger as described above in the section entitled
The Agreement and Plan of Merger
Indemnification, BioScrip must deliver a notice of such
claim to the Escrow Agent and the Stockholders
Representative before the termination of the applicable survival
period for such claim. After the delivery of a claim notice, the
Stockholders Representative will have 30 days to
object to BioScrips right to indemnification or the amount
of indemnification sought. If no such objection is received,
then the Escrow Agent will deliver to BioScrip such number of
shares of BioScrip common stock from the escrow property having
an aggregate value (based on a value per share of $8.3441) equal
to the lesser of (i) the amount of the available escrow
property and (ii) the amount specified in BioScrips
claim notice. If the Stockholders Representative submits
an objection to BioScrips claim notice, then the Escrow
Agent will deliver to BioScrip such number of shares of BioScrip
common stock from the escrow property having an aggregate value
(based on a value per share of $8.3441) equal to the amount that
is not in dispute, and continue to hold in escrow such number of
shares having an aggregate value equal to the amount in dispute
until receiving either (a) a joint statement from BioScrip
and the Stockholders Representative directing the
disposition of the amount in dispute or (b) an order from a
court of competent jurisdiction directing the disposal of the
amount in dispute.
In the event that the number of shares of BioScrip common stock
in the escrow property is insufficient to pay the amount of the
purchase price adjustment in favor of BioScrip or any
indemnification claim for which the escrow property is the sole
and exclusive remedy in full (other than Unrestricted Claims),
BioScrip will not be entitled to collect any amounts in excess
of the then-available escrow property, and no Stockholder will
be liable for any shortfall.
Final
Distribution of Escrow Property
The Escrow Agreement will provide that, except as may otherwise
be directed by the Stockholders Representative, the Escrow
Agent will release all shares of BioScrip common stock remaining
in the escrow property to the Stockholders Representative
for the benefit of the Stockholders, on the 18 month
anniversary of the closing of the merger. The Escrow Agent is
required to retain in the remaining escrow property a number of
shares of BioScrip common stock having an aggregate value, to
the extent available, equal to any amount then payable to
BioScrip pursuant to an indemnification claim plus any
additional amount of indemnification losses claimed in good
faith by BioScrip and disputed in good faith by the
Stockholders Representative in accordance with the
objection procedure described above.
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Fees and
Expenses
BioScrip and the Stockholders will agree to promptly reimburse
the Escrow Agent for all
out-of-pocket
costs and expenses reasonably incurred by it with respect to the
Escrow Agreement, including reasonable fees of legal counsel.
All fees and expenses required to be paid under the Escrow
Agreement will be paid fifty percent by BioScrip and fifty
percent by the Stockholders Representative, on behalf of
the Stockholders.
Indemnification
of Escrow Agent
Under the Escrow Agreement, BioScrip, on the one hand, and the
Stockholders Representative, on the other hand, on an
equal basis, will agree to hold harmless and indemnify the
Escrow Agent, its directors, officers, employees and agents from
and against all obligations, liabilities, claims, suits,
judgments, losses, damages, costs or expenses of any kind or
nature, including without limitation, reasonable attorneys
fees, which may be imposed on, incurred by, or asserted against
any of them in connection with the Escrow Agreement or the
Escrow Agents duties thereunder, except to the extent
arising from the Escrow Agents gross negligence or willful
misconduct. To the extent the Escrow Agent is entitled to
indemnification, fees or expenses under the Escrow Agreement and
such indemnification, fees or expenses are not timely paid, the
Escrow Agreement will have a lien for the payment of such
indemnification, expenses or fees upon the escrow property.
Amendment
The Escrow Agreement may be amended only with the written
consent of BioScrip, the Stockholders Representative and
the Escrow Agent, which in the case of the Escrow Agent such
consent may not be unreasonably withheld.
* * *
THE BOARD
OF DIRECTORS
HAS UNANIMOUSLY APPROVED THE ISSUANCE OF BIOSCRIP
COMMON STOCK AND RECOMMENDS THAT YOU
VOTE FOR PROPOSAL NO 1.
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PROPOSAL NO. 2
APPROVAL
OF POSSIBLE ADJOURNMENT OF THE SPECIAL MEETING
You may be asked to vote to approve a proposal to adjourn the
special meeting for a period of not more than 30 days, if
necessary, to solicit additional proxies in the event that there
are not sufficient votes at the time of the special meeting to
approval Proposal No. 1. We currently do not intend to
propose adjournment of the special meeting of stockholders if
there are sufficient votes to approve Proposal No. 1.
Vote
Required
The affirmative vote of the holders of a majority of the shares
of BioScrip common stock present in person or represented by
proxy at the special meeting, whether or not a quorum is
present, is required to approve the adjournment of the special
meeting of stockholders. Abstentions with respect to this
proposal will have the same effect as a vote against the
proposal. Failures to vote and broker non-votes
could have the same effect as votes cast against approval if
they cause less than a majority of the shares of BioScrip common
stock present, in person or by proxy, to be cast in favor of the
proposal.
THE BOARD
OF DIRECTORS RECOMMENDS THAT STOCKHOLDERS VOTE FOR
THE
PROPOSAL TO ADJOURN THE SPECIAL MEETING, IF NECESSARY, TO
SOLICIT ADDITIONAL PROXIES IF THERE ARE NOT SUFFICIENT VOTES IN
FAVOR OF PROPOSAL NO. 1.
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CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. BUSINESS DESCRIPTION
Overview
CHS is a leading provider of comprehensive home infusion therapy
and home nursing products and services to patients suffering
from acute or chronic conditions. CHS provides infusion
pharmaceuticals, biopharmaceuticals, nutrients and related
services and equipment to patients in the home through its 35
infusion locations servicing 22 states, primarily in the
eastern United States. CHS also provides nursing and therapy
visits and private duty nursing services to patients in the home
through its 33 home nursing locations servicing six states. As
of September 30, 2009, CHS had approximately 15,000 active
patients on service through its branch network. CHS has
relationships with a large number of payors, including insurers,
managed care organizations and government payors. In the nine
months ended September 30, 2009 and in the year ended
December 31, 2008, CHS generated net revenue of
$187.5 million and $230.9 million, respectively.
CHS operates in two business segments, home infusion therapy and
home nursing:
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Through its home infusion therapy segment, CHS delivers complex
intravenous pharmaceutical products and corresponding clinical
support services to patients. CHS delivers and provides infusion
services to patients with chronic conditions requiring long-term
infusion care services, such as pain management and parenteral
nutrition, and acute conditions requiring short-term infusion
care services, such as antibiotic therapy, post-operative pain
management, chemotherapy and obstetrical therapy. In the nine
months ended September 30, 2009, the home infusion therapy
segment represented approximately 74% of CHSs net revenue.
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Through its home nursing segment, CHS provides skilled nursing
and other therapy services to adult and pediatric patients.
These services include skilled nursing, physical therapy,
occupational and speech therapy, medical social work and home
health aide services. Home nursing services are delivered to
recovering, disabled, chronically ill or terminally ill patients
in need of medical, nursing or therapeutic treatment, and
assistance with essential activities of daily living. In the
nine months ended September 30, 2009, the home nursing
segment represented approximately 26% of CHSs net revenue.
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CHS believes its differentiated business model allows its
branches, supported by regional and corporate resources, to
respond to local needs and provide customized and cost-efficient
services to its patients. Its local branches are staffed by
integrated teams of highly trained clinicians that ensure the
delivery of high quality care to its patients. Its national home
health care platform and centralized infrastructure provide the
complementary structure and support necessary to operate in a
complex regulatory environment and gives it the purchasing power
needed to obtain better rates for pharmaceuticals and ancillary
supplies. All of its locations are accredited by the
Accreditation Commission for Health Care, Inc.
CHS offers substantial benefits to patients, payors and
physicians:
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Patients CHS improves its patients
quality of life by allowing them to remain at home while
receiving the necessary medications, supplies and services for
their treatment. It also helps patients manage their conditions
through ongoing caregiver counseling and education regarding
their treatment and provides ongoing monitoring to encourage
patients to comply with their prescribed therapy.
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Payors CHS offers payors a comprehensive
approach to meeting their home health care service needs and
help them reduce their costs. Providing infusion pharmacy
services in the patients home is generally more
cost-effective than providing these therapies in an acute or
sub-acute
setting. Furthermore, CHS is responsive to payors service
needs and provide them with customer satisfaction survey
results, which assists them in meeting National Committee for
Quality Assurance standards.
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Physicians CHS assists physicians with the
administration of time-intensive and costly care management
support. CHSs patient monitoring and educational programs
can help improve patient compliance with therapy protocols. CHS
also provides physicians with important ongoing feedback related
to their patients medical conditions, enabling them to
better understand their patients conditions.
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CHSs
History
CHS was incorporated by the Kohlberg Entities in Delaware on
August 8, 2006 under the name KCHS Holdings, Inc., and
changed its name to Critical Homecare Solutions Holdings, Inc.
in 2007. CHSs business operations began with the
acquisition of all of the capital stock of Specialty Pharma and
New England Home Therapies in September 2006. CHS has
subsequently completed ten additional acquisitions. CHS
presently leases 35 infusion locations and 33 home nursing
locations servicing a total of 22 states.
Specialty Pharma. CHS acquired all of the
outstanding shares of Specialty Pharma, a comprehensive home
infusion and specialty pharmacy provider, effective
September 1, 2006, and paid a total consideration of
approximately $34.9 million, consisting of
$30.9 million in cash and the assumption of
$4.0 million in liabilities.
New England Home Therapies. CHS acquired all
of the outstanding shares of New England Home Therapies, a
Massachusetts-based provider of home infusion products and
services, effective September 1, 2006. CHS paid a total
consideration of approximately $21.2 million, consisting of
$18.5 million in cash and the assumption of
$2.7 million in liabilities. Under an earn out provision in
the acquisition agreement, CHS was required to pay the former
owners of New England Home Therapies additional consideration in
the amount of $435,000. The additional consideration was
reflected in its December 31, 2007 financial statements as
an addition to goodwill and was paid in December 2007.
CHS financed a portion of the acquisitions of Specialty Pharma
and New England Home Therapies by borrowings under its first
lien credit facility and financed the remainder with the
proceeds of the issuance of shares of its common stock to the
Kohlberg Entities.
Deaconess Enterprises, Inc. CHS acquired all
of the outstanding shares of Deaconess, one of the largest
providers of comprehensive infusion and nursing services in the
United States, effective January 1, 2007 for a total
consideration of approximately $170.7 million, consisting
of $156.1 million in cash and the assumption of
$14.6 million in liabilities. CHS financed the acquisition
of Deaconess by borrowings under its credit facilities and from
the proceeds of the sale of 57,500,000 shares of its common
stock to the Kohlberg Entities and certain other third party
investors, which shares were sold for an aggregate of
$57.5 million.
Infusion Solutions, Inc. CHS acquired all of
the outstanding shares of Infusion Solutions, a New
Hampshire-based infusion services provider, effective
March 1, 2007 for a total consideration of approximately
$9.1 million, consisting of $8.4 million in cash and
the assumption of $0.7 million in liabilities. CHS financed
the acquisition of Infusion Solutions by borrowings under its
first lien credit facility. Infusion Solutions had net revenue
of approximately $6.8 million in 2006.
Applied Health Care, LLC. Effective
June 1, 2007, CHS acquired all of the outstanding
membership interests in Applied, a Texas provider of infusion,
specialty pharmacy and other services, for a total consideration
of approximately $9.3 million, consisting of
$8.7 million in cash and the assumption of
$0.6 million in liabilities. Under an earn-out provision in
the acquisition agreement, CHS was required to pay the former
owners of Applied additional consideration of $1.1 million.
This additional consideration was reflected in its June 30,
2008 financial statements as goodwill and was paid in August
2008. CHS financed the acquisition of Applied from a portion of
the proceeds of the sale of 8,048,079 shares of its common
stock to the Kohlberg Entities and certain other third party
investors and members of its management, which shares were sold
for an aggregate of approximately $10.5 million.
Infusion Partners of Brunswick &
Melbourne. Effective July 1, 2007, CHS
acquired Infusion Partners of Brunswick, LLC, a provider of home
infusion and specialty pharmacy services in Georgia, and
Infusion Partners of Melbourne, LLC, a provider of home
infusion, respiratory and nutritional services in Florida, for a
total consideration of approximately $11.4 million,
consisting of $11.0 million in cash and the assumption of
$0.4 million in liabilities. CHS financed the acquisitions
of Infusion Partners of Brunswick & Melbourne by
borrowings under its first lien credit facility. Infusion
Partners of Brunswick & Melbourne had net revenue of
approximately $5.6 million in 2006.
East Goshen Pharmacy, Inc. Effective
August 1, 2007, CHS acquired East Goshen Pharmacy, a
provider of home infusion services in Delaware and Pennsylvania,
for a total consideration of approximately
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$6.4 million, consisting of $5.9 million in cash and the
assumption of $0.5 million in liabilities. CHS financed the
acquisition of East Goshen Pharmacy by borrowings under its
first lien credit facility.
Wilcox Medical, Inc. Effective April 1,
2008, CHS acquired Wilcox Medical, a provider of home infusion
services in Vermont, for a total consideration of approximately
$4.6 million, consisting of $3.8 million in cash and
the assumption of $0.8 million in liabilities. CHS financed
the acquisition of Wilcox Medical through the proceeds of the
sale to investment funds managed by the Kohlberg Entities of
4,000 shares of preferred stock for a total consideration
of $4.0 million.
Infusion Partners of Lexington. Effective
September 1, 2008, CHS acquired Infusion Partners of
Lexington, a provider of home infusion and nursing services in
Kentucky, for a total consideration of approximately
$6.8 million, consisting of $6.5 million in cash and
the assumption of $0.3 million in liabilities. CHS financed
the acquisition of Infusion Partners of Lexington through the
proceeds of the sale of 6,036 shares of preferred stock,
which shares were sold for a total consideration of
$6.0 million. The majority of the preferred shares were
issued and sold to investment funds managed by the Kohlberg
Entities.
National Health Infusion, Inc. Effective
December 1, 2008, CHS acquired National Health Infusion, a
provider of home infusion services in Florida, for a total
consideration of approximately $4.5 million, consisting of
$4.2 million in cash and the assumption of
$0.3 million in liabilities. CHS financed the acquisition
of National Health Infusion through the issuance of
4,000 shares of preferred stock for a total consideration
of $4.0 million. The majority of the preferred shares were
issued to investment funds managed by the Kohlberg Entities.
Option Health, Ltd. Effective June 1,
2009, CHS acquired Option Health, a provider of home infusion
and nursing services in Illinois and Iowa, for a total
consideration of approximately $9.4 million, consisting of
$6.3 million in cash, the assumption of $0.8 million
in liabilities and a note payable in the amount of
$2.3 million. The purchase agreement allows for an
additional earn-out payment to the former owner of Option Health
that may range between $0 and $1.0 million based on the
operating results of the acquired business during the one-year
period beginning 60 days following the acquisition. A
transition consulting agreement allows for additional bonus
payments to the former owner of Option Health of up to $100,000
based on the operating results of the acquired business during
the one-year period following acquisition. CHS recorded goodwill
of $1.0 million in its financials in June 2009 to account
for the fair market value of the earn-out payment liability and
the bonus payment liability. CHS financed the acquisition of
Option Health through the proceeds of the sale of
5,000 shares of preferred stock for a total consideration
of $5.0 million. The majority of the preferred shares were
issued and sold to investment funds managed by the Kohlberg
Entities.
On November 15, 2002, New England Home Therapies, one of
CHSs predecessor entities, filed a voluntary petition for
relief under Chapter 11 of the United States Code (the
Bankruptcy Code), after its accounts receivable
financier, National Century Financial Enterprises, Inc.
(National Century), defaulted on its contracted
accounts receivable financing arrangement with New England Home
Therapies. From that time until reorganization, New England Home
Therapies and National Century continued in possession of their
respective properties and operated and managed their respective
businesses as
debtors-in-possession
pursuant to Sections 1107 and 1108 of the Bankruptcy Code.
New England Home Therapies sought and obtained various orders
from the bankruptcy court in order to stabilize its business and
minimize the disruption caused by its bankruptcy proceedings.
New England Home Therapies plan of reorganization was
filed on February 18, 2004 and was approved by the
bankruptcy court on April 15, 2004 with the consent of all
of New England Home Therapies creditors. In connection
with this plan of reorganization, an agreement was reached with
certain creditors that, in the event of the sale or liquidation
of New England Home Therapies within four years of the plan of
reorganization, a portion of the debt forgiven as part of the
plan of reorganization would become due and payable to its
creditors. In connection with CHSs acquisition of New
England Home Therapies, the stockholders from whom CHS purchased
New England Home Therapies settled this claim.
New England Home Therapies did not apply fresh-start accounting
as its stockholders remained intact both before and after the
reorganization.
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CHSs
Strengths
CHS believes that it has a number of competitive strengths,
including:
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A leading presence in the market for home infusion therapy
products and services. CHS believes it is one of
the leading providers by revenue of home infusion therapy
products and services. CHS expects that its increasing scale
will enhance its ability to achieve operating efficiency in
areas such as regulatory compliance and operating systems,
increase its purchasing power with suppliers and pharmaceutical
wholesalers and manufacturers and improve its competitive
positioning for national payor contracts.
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A focus and reputation for high quality clinical
care. CHS believes it has a reputation for high
quality care and responsiveness to patient needs. All of its
locations are accredited by the Accreditation Commission for
Health Care, Inc. Each of its branches has an integrated team of
nurses, pharmacists and therapists that have extensive clinical
expertise and a commitment to serving the needs of its patients.
Additionally, CHS has deployed clinical programs and believes
these initiatives have improved quality of care and risk
management through the implementation of best practices, which
helps actively manage clinical compliance across all of its
branch locations.
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An attractive therapeutic focus within the home infusion
market. CHS focuses on providing high value
infusion therapies and specialty drugs that require complex
clinical management. Many of its product offerings and services
are designed to treat chronic conditions that require frequent
drug administration, such as total parenteral nutritional,
cancer and hemophilia. In addition to the recurring therapy
requirement, these conditions require ongoing caregiver
counseling and education regarding patient treatment and ongoing
monitoring to encourage patients to comply with the prescribed
therapy, including programs for enteral and total parenteral
nutrition and pediatric infusion patients.
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CHSs business model combines the advantages of a
national platform with the benefits of a local clinical services
model. CHSs business model balances the
benefits of promoting local responsibility and accountability
for quality of care and operating results with the efficiencies
gained from centralizing key administrative functions.
CHSs home infusion pharmacies and nursing locations carry
locally recognized branding and tailor their respective
marketing efforts to address the specific needs of the
communities, referral sources, patients and payors they serve.
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Demonstrated ability to identify and integrate acquired
businesses. CHS has a demonstrated track record
of identifying, evaluating, acquiring and integrating companies
in the home health market. CHS attributes part of its success in
integrating these companies to its managements ability to
identify leading home infusion companies, operational knowledge
and a disciplined approach to due diligence. CHS utilizes a
comprehensive post-acquisition strategic plan developed to
facilitate the integration of acquired businesses that includes
maintaining local brand names, selectively altering product mix,
centralizing accounting, purchasing and contracting functions,
and transitioning acquired targets onto its information
technology platform.
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BioScrips
Strategy for CHS
BioScrips goal is to be the leading provider of home
infusion and home nursing services in the United States. Its
business strategy to achieve this goal and capitalize on its
many opportunities includes:
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Continuing to focus on CHSs core high value
therapies. BioScrip intends to continue
CHSs focus on delivering its core high value therapies,
such as anti-infective, total parenteral and enteral nutrition
therapies. CHS has significant clinical experience with these
therapies, which BioScrip believes are best managed and
delivered on a local basis to patients in their homes due to the
complexity and frequency of pharmaceutical administration and
need for continued professional monitoring. These therapies
collectively represented approximately 51% of CHSs
infusion revenue in the twelve months ended September 30,
2009. BioScrip also intends to continue to expand CHSs
portfolio of high value therapies as additional infusible
pharmaceuticals come to market.
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Continuing to operate a local clinical model that emphasizes
customized patient care. Each of CHSs
branches utilizes a coordinated team comprised of nurses,
therapists and pharmacists designed to locally administer and
monitor the medical care of its patient population that
frequently suffer from chronic diseases. These local teams are
given the flexibility to customize patient care, which BioScrip
believes assures the responsiveness, quality and personal touch
that BioScrips patients expect.
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Continuing to pursue a sales and marketing approach that
targets both local and regional referral sources and payor
contracts. Growing its business will require
BioScrip to maintain strong relations with local and regional
referral sources, patients and managed care payors.
BioScrips sales and marketing strategy focuses on
establishing and expanding these relationships. CHS currently
has over 85 sales representatives and a large number of payors.
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Expanding CHSs relationships with national managed care
organizations. BioScrip intends to leverage
CHSs current relationships, geographic coverage, clinical
expertise and reputation, as well as corporate infrastructure,
regulatory expertise and contacts, in order to expand its
relationships with national managed care organizations and
pursue national contracts with these organizations. CHS also
offers clinical disease management for CHS home care therapies,
which enhances its relationships with and make it attractive to
managed care organizations.
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Pursuing acquisitions of leading independent home infusion
therapy providers in contiguous and other strategic
markets. BioScrip believes that a substantial
portion of the home infusion market consists of independent home
infusion providers, and it believes that industry dynamics in
the currently fragmented home infusion market favor consolidated
providers and the operational efficiencies that come with scale.
BioScrip plans to pursue strategic acquisitions of leading
independent home infusion providers with established track
records in markets contiguous to its existing operations.
BioScrip believes acquisitions in contiguous markets can be
efficiently integrated into its existing operations and added to
its existing managed care contracts and payor and patient
platforms. BioScrip also intends to selectively pursue strategic
acquisitions where they can increase its presence in an existing
market or where entering a new geographic area presents a
compelling opportunity for BioScrip.
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CHSs
Products and Services
Home
Infusion Therapy
CHS is a leading provider of home infusion therapy services in
the United States, and its focus has been to grow this segment
of its business organically and through acquisitions. Home
infusion therapy involves the preparation, delivery,
administration and clinical monitoring of pharmaceutical
treatments that are administered to a patient via intravenous
(into the vein), subcutaneous (into the fatty layer under the
skin), intramuscular (into the muscle) and intra-spinal (into
the membranes around the spinal cord) methods. These therapies
are prescribed when a patients condition is so severe that
it cannot be treated effectively by oral medications.
Diseases commonly requiring infusion therapy include infections
that are unresponsive to oral antibiotics, cancer and
cancer-related pain, dehydration and gastrointestinal diseases
or disorders that prevent normal functioning of the
gastrointestinal system. Other conditions treated with infusion
therapies may include chronic diseases like congestive heart
failure, Crohns disease, hemophilia, immune deficiencies,
multiple sclerosis, rheumatoid arthritis, growth disorders and
genetic enzyme deficiencies.
CHSs home infusion therapy services primarily involve the
intravenous administration of medications treating a wide range
of acute and chronic health conditions, such as infections,
nutritional deficiencies and cancer. CHSs services are
most typically provided in the patients home but may also
be provided at clinics, the physicians office or at one of
its ambulatory infusion centers. For the nine months ended
September 30, 2009, its revenue payor mix for its home
infusion therapy segment was 62% from managed care organizations
and other third party payors, 20% from Medicaid and 18% from
Medicare. Revenue from managed care organizations and other
third party payors includes a limited amount of revenue pursuant
to health plans
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operated by private payors on behalf of governmental payors,
such as Medicare Advantage Plans and Medicare Part D.
CHS provides a wide selection of home infusion therapy products
to meet the diverse needs of its payors and patients. CHS
organizes its products into three tiers, with its first tier
products comprising the core of its home infusion therapy
business.
First
Tier Products
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Therapy Type
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Description
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Antibiotic and Anti-infective Therapy
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Providing intravenous medication for infections related to
diseases such as HIV/AIDS, wounds, cancer, osteomyelitis and the
kidney and urinary tract
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Enteral Nutrition
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Delivering nutritional formulas by a tube directly into the
stomach or colon
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Total Parenteral Nutrition
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Providing life-sustaining nutrients intravenously to patients
with digestive or gastro-intestinal problems, most of whom have
chronic conditions requiring treatment for life
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Second
Tier Products
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Therapy Type
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Description
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Chemotherapy
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Administering pharmaceuticals intravenously or orally to destroy
cancer cells; CHS also provides BEAM Therapy, a four day
pre-chemotherapy treatment given in advance of stem cell
transplantation
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Intravenous Immune Globulins (IVIG) Therapy
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Administrating blood derivative products to patients with immune
deficiency or altered immune status, who usually must receive
therapy for life
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Pain Management
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Providing analgesic pharmaceuticals by intravenous or continuous
injection therapy, delivered by a pump, to reduce pain and to
manage symptoms resulting from either malignant or nonmalignant
diseases
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Third
Tier Products
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Therapy Type
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Description
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Respiratory Syncytial Virus (RSV) Prevention
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RSV is a major cause of respiratory disease in young children
and infants. Treatment commonly consists of monthly injections
of
Synagis®,
a specialty pharmaceutical distributed throughout the RSV
season, which lasts from approximately October through
April
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Respiratory Therapy/Home Medical Equipment
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Providing oxygen systems, continuous or bi-level positive airway
pressure devices, nebulizers, home ventilators, respiratory
devices, respiratory medications and other medical equipment
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Patients generally are referred to CHS by physicians, hospital
discharge planners, managed care organizations and other
referral sources. CHSs medications are mixed and dispensed
under the supervision of a registered pharmacist, and the
therapy is typically delivered in the home of the patient by a
registered nurse or trained caregiver. Depending on the
preferences of the patient or the payor, these services may also
be provided at an ambulatory infusion center, physicians
office or another alternate site.
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Home
Nursing
CHS conducts its home nursing and therapy services operations
through licensed and Medicare-certified agencies. CHSs
health care professionals provide medically necessary health
care services to adult and pediatric patients in their homes,
including those suffering from chronic and acute illnesses,
those in recovery from surgical procedures and those who require
monitoring or care for other reasons. CHSs key services
and program offerings are skilled nursing, specialty nursing,
which includes wound care, oncology nursing and infusion
nursing, rehabilitation services, which includes physical
therapy, occupational therapy and speech language pathology,
medical social services and home health aid services. CHSs
services are provided by trained nurses, physical, occupational
and speech therapists, infusion specialists, wound care
specialists and social workers. CHSs home nursing
offerings also include private duty nursing care, in which
CHSs nurses provide services on an hourly or shift basis,
and intermittent nursing care, in which CHSs nurses
provide services on an irregular basis or for a limited period
of time. CHSs nurses provide medical care to these
patients through pain and symptom management, wound treatment
and management, medication management, infusion therapy
services, skilled assessment and observations of patients
through home visits and telemonitoring and education to patients
and family caregivers.
CHSs typical home nursing location employs registered
nurses, licensed practical nurses, physical, occupational and
speech therapists, infusion specialists and wound care
specialists. For the nine months ended September 30, 2009,
its revenue payor mix for the home nursing segment was 15% from
managed care organizations and third party payors, 52% from
Medicare and 33% from Medicaid.
Geographic
and Branch Overview
CHS is headquartered in Conshohocken, Pennsylvania, and has 35
infusion locations and 33 home nursing locations. CHSs
home infusion locations are primarily located in the eastern
United States, and CHSs home nursing locations are
primarily located in the southeastern United States.
Sales and
Marketing
CHS currently has over 85 sales representatives. CHSs
sales and marketing efforts are geared primarily toward
development of strong relationships with key referral sources,
such as physicians, hospital discharge planners, case managers,
long-term care facilities and other health care professionals,
primarily through regular contact with the referral sources.
These sources typically refer patients to a panel of providers
when they are discharged from the hospital or leave the
physicians office. CHSs relationship-building
process typically includes certain in-service programs, patient
education programs and other programs designed to meet the
specific needs of the referral sources and their patients. CHS
does not make substantial use of television, radio or print
advertising.
With respect to CHSs home nursing services, adult nursing
has a dedicated sales staff focused on promoting its disease
management programs, clinical outcomes and highly trained and
proficient staff. Private duty nursing does not utilize sales
representatives and does not invest in direct sales and
marketing, but instead receives the majority of its referrals
through the case managers of TennCare. Accordingly, its primary
marketing effort lies in maintaining a strong relationship with
TennCare program directors and case managers.
CHSs
Suppliers
CHS obtains the pharmaceuticals and medical supplies and
equipment that it provides to its patients through
pharmaceutical wholesalers, manufacturers and distributors. Most
of the pharmaceuticals that CHS purchases are available from
multiple sources, and it believes the pharmaceuticals are
available in sufficient quantities to meet CHSs needs and
the needs of its patients. These products are generally
available from the vendors within
one-to-two
business days. Accordingly, CHS is not required to maintain high
levels of inventory, in terms of days of inventory on hand. RSV
treatment therapy, a non-first tier therapy for CHS, utilizes
pharmaceuticals that are only available through a pharmaceutical
wholesaler with an agreement with the manufacturer and may be
subject to limits on distribution. Accordingly, it has been
important for CHS to establish and maintain good working
relations with the manufacturer and wholesaler in order to
assure
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sufficient supply to meet its patients needs. IVIG
therapy, another non-first tier therapy, utilizes
pharmaceuticals that are available from more than one vendor.
However, there have been periodic shortages of the product in
the past. Accordingly, CHS has from
time-to-time
purchased additional days of inventory. These inventory
purchases are evaluated relative to CHSs projected
requirements and overall availability of the product in order to
minimize the risk of product expiration. CHS has a favorable
relationship with one vendor through its agreement with its
buying group to procure this product.
CHS utilizes certain national and local delivery companies as an
important part of the local and national distribution of its
products and services, particularly in the delivery of certain
specialty pharmaceutical products. However, additional carriers
are available in the event of a service disruption.
Competition
In each of CHSs markets, it competes with a variety of
national, regional and local providers. However, in the home
infusion industry the majority of infusion services are offered
by local, independent providers; the home nursing market tends
to be dominated by the local providers. CHS believes that
competition in each of its service lines is based on quality of
care and reputation.
In home infusion therapy, CHSs national competitors
include Option Care, Inc. (a subsidiary of Walgreen Co.), Apria
Healthcare Group Inc. (which includes its subsidiary, Coram,
Inc.), Critical Care Systems, Inc. (a subsidiary of Medco Health
Solutions, Inc.) and Omnicare, Inc. Within each market, however,
CHSs main competitors continue to be local independent
providers, as the industry remains highly fragmented. There are
only a small number of regional competitors, none of whom CHS
believes are currently a competitive threat within its
geographic service areas.
With respect to CHSs home nursing services, it competes
primarily with Gentiva Health Services, Inc., Almost Family,
Inc., Amedisys, Inc. and LHC Group, Inc. on a national level.
The home nursing segment is highly fragmented with many
competing local providers in our areas of service.
In each market, some of CHSs current competitors have, and
potential future competitors may have, greater financial,
operational, marketing and managerial resources than CHS. CHS
believes it has been able to successfully compete based on its
reputation, the strength of its growing presence in the eastern
United States and its ability to effectively market its services
at the national, regional and local levels and that these
factors place CHS in a strong position against existing and
potential competitors.
Payor
Arrangements
CHS receives payment for its services and medications pursuant
to provider agreements with managed care organizations,
government sources, such as Medicare and Medicaid programs, and
commercial insurance. For the nine months ended
September 30, 2009, CHSs revenue payor mix in its
home infusion therapy segment was 62% from managed care
organizations and other third party payors, 20% from Medicaid
and 18% from Medicare. For the nine months ended
September 30, 2009, CHSs revenue payor mix in its
home nursing segment was 15% from managed care organizations and
other third party payors, 52% from Medicare and 33% from
Medicaid. Revenue from managed care organizations and other
third party payors includes a limited amount of revenue pursuant
to health plans operated by private payors on behalf of Medicare
and Medicaid, such as home infusion therapy revenue under
Medicare Advantage plans and Medicare Part D. CHS believes
that neither of its segments are dependent on any one
governmental managed care organization or non-governmental third
party payor.
CHS currently has relationships with a large number of managed
care organizations and other third party payors to provide
infusion therapy services. These relationships are primarily at
the local or regional level. A key element of CHSs
business strategy is to leverage its relationships, geographic
coverage, clinical expertise and reputation in order to gain
national contracts with payors. CHSs infusion services
contracts typically provide for it to receive a fee for
preparing and delivering medications to patients in their homes.
Pricing is typically negotiated in advance on the basis of
average wholesale price (AWP) minus some percentage
of contractual discount, or average sales price
(ASP) plus some percentage of contractual discount,
which is
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the typical means of negotiating pricing in the industry. In
addition, CHS typically receives a per diem payment for the
service component of care provided to patients in connection
with infusion services.
AWP and ASP information is published by First DataBank and
certain other private companies, including Medi-Span. As a
result of the settlement of
class-action
lawsuits brought against First DataBank and Medi-Span, effective
September 26, 2009, First DataBank and Medi-Span agreed to
reduce the
mark-up
factor applied to Wholesale Acquisition Cost (WAC),
on which AWP is based, from 1.25 to 1.20 for the approximately
1,400 drug codes that were the subject of the lawsuits. These
AWP publishers also similarly reduced the
mark-up
factor on all other national drug codes on which they had marked
up AWP. This voluntary reduction affected approximately 18,000
national drug codes. First DataBank and Medi-Span also have
indicated that, within the next two years, they will discontinue
publication of AWP information. In response to this change, a
number of pharmacy benefit managers and third-party payors made
adjustments to existing contracts with network pharmacy
providers in order to preserve the economic structure of those
agreements. The majority of the state Medicaid agencies did not
make any such adjustments, the consequence of which is lowered
reimbursement levels. The impact of the AWP rollback to CHS is
estimated to be an annual reduction in net revenue of between
$1.6 million and $1.8 million.
Most of CHSs home nursing services are provided to
beneficiaries of government sponsored programs. The majority of
its skilled home nursing services are reimbursed by Medicare,
based on the prospective payment system rates per
episode, which vary by the complexity of patient condition.
Typically, CHS receives predetermined payment based on a
60-day
episode of skilled nursing care, assuming the nurses have made a
minimum of five visits to the patient during that period.
CHSs pediatric and adult private duty nursing services are
generally billed on an hourly basis and are reimbursed primarily
through one of a number of managed care organizations contracted
by the TennCare program to administer these services on behalf
of state residents who qualify for such benefits. The services
are reimbursed on a per diem basis based on pre-established
guidelines and payment schedules.
CHS bills payors and tracks all of its accounts receivable
through computerized billing systems. These systems allow
CHSs billing staff the flexibility to review and edit
claims in the system before they are submitted to payors. Claims
are submitted to payors either electronically or through the
mail. CHS utilizes electronic claim submission whenever possible
to expedite claim review and payment, and to minimize errors and
omissions.
Government
Regulation
The health care industry is subject to extensive regulation by a
number of governmental entities at the federal, state and local
level. The industry is also subject to frequent regulatory
change. Laws and regulations in the health care industry are
extremely complex and, in many instances, the industry does not
have the benefit of significant regulatory or judicial
interpretation. Moreover, CHSs business is impacted not
only by those laws and regulations that are directly applicable
to it but also by certain laws and regulations that are
applicable to CHSs managed care and other clients. CHS is
also subject to periodic audits and requests for information by
Medicare, Medicaid and third party agents, and the oversight
agencies for these programs have various rights and remedies
they can assert against CHS if they determine CHS has
overcharged the programs or failed to comply with program
requirements. If CHS fails to comply with the laws and
regulations that are directly applicable to its business, CHS
could suffer civil
and/or
criminal penalties, and it could be excluded from participating
in Medicare, Medicaid and other federal and state health care
programs, which would have an adverse impact on its business.
Medicare
and Medicaid Reimbursement
Many of the products or services that CHS provides are
reimbursed by Medicare and Medicaid and are therefore subject to
extensive government regulation. Medicare is a federally funded
program that provides health insurance coverage for qualified
persons age 65 or older and for some disabled persons. The
Medicare Program currently consists of four parts: Medicare
Part A, which covers, among other things, inpatient
hospital, skilled nursing facility, home nursing and certain
other types of health care services; Medicare Part B,
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which covers physicians services, outpatient services,
items and services provided by medical suppliers, and a limited
number of prescription drugs; Medicare Part C, which
generally allows beneficiaries to enroll in private health care
plans (known as Medicare Advantage plans); and Medicare
Part D, established by the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (the Medicare
Modernization Act), which provides for a voluntary
prescription drug benefit.
The Medicaid Program provides medical benefits to groups of
low-income people, some who may have no medical insurance or
inadequate medical insurance. Although the federal government
establishes general guidelines for the program, Medicaid is a
state administered program and each state sets its own
guidelines regarding eligibility and services, subject to
certain minimum federal requirements.
Congress often enacts legislation that affects, positively or
negatively, the reimbursement rates of Medicare providers and
that also may impact Medicaid providers. Generally, Medicare
provider payment modifications occur in the context of budget
reconciliation; however, Medicare changes also may occur in the
context of broader health care policy legislation, including the
health care reform legislation currently under consideration by
Congress. In the last five years, Congress has reduced Medicare
reimbursement for various providers, including Medicare
Part A certified home health agencies, and Medicare
Part B suppliers. Recent legislation that has affected
CHSs Medicare reimbursement rates for both home health and
home infusion therapy includes primarily the Medicare
Modernization Act and the Deficit Reduction Act of 2005 (the
Deficit Reduction Act).
Home
Infusion Therapy Segment
CHSs home infusion therapy segment involves the delivery
of complex intravenous pharmaceutical products and corresponding
clinical support services to patients with chronic conditions
requiring long-term infusion care services, such as pain
management, parenteral nutrition and diabetic therapy, and acute
conditions requiring short-term infusion care services, such as
antibiotic therapy, post-operative pain management, chemotherapy
and obstetrical therapy. As part of CHSs home infusion
therapy segment, CHS also provides certain rental equipment,
such as infusion pumps, that is necessary in connection with the
provision of these infusion products.
Medicare, which represented approximately 18% of CHSs home
infusion therapy net revenue for the nine months ended
September 30, 2009, covers certain home infusion therapy
primarily through its Part B benefit, as described below.
Current Reimbursement Rules: Enteral nutrients
are covered as a Medicare Part B benefit. Medicare pays for
no more than a one-month supply of enteral nutrients for any one
prospective billing period. Payment for Medicare covered enteral
nutrients is generally split 80% by Medicare and 20% by the
beneficiary. A physician must certify that enteral nutrition
therapy is medically necessary for a Medicare beneficiary.
Infusion pumps are covered as equipment capable of withstanding
repeated use when medically necessary to ameliorate
illness or injury or to improve functioning of a malformed body
part. Medical supplies and accessories necessary for the
proper functioning of the equipment also are covered. Drugs and
biologicals that must be put directly into the equipment to
assure proper functioning are also covered. Although Medicare
covers drugs and biologicals when used with an infusion pump,
coverage decisions are often made at the local carrier level.
Medicare rules instruct carriers to cover the cost of external
infusion pumps in specific medical circumstances.
Inhalation drugs are used for the assessment, diagnostic
evaluation, treatment, management, and monitoring of patients
with deficiencies and abnormalities of cardiopulmonary function.
Medicare reimbursement for inhalation drugs has been set at ASP
plus 6% since 2006.
Respiratory therapy that is furnished to a beneficiary for use
in the home is covered under the Medicare Part B program,
whether furnished on a rental basis or purchased. Payment for
RT/HME, prosthetics, orthotics, and supplies is made under a fee
schedule. Payment is limited to the lower of the actual charge
for the equipment or the fee schedule amount. After the supplier
transfers title to the beneficiary for an item of RT/HME,
maintenance and servicing payments may be made by the Medicare
program for parts and labor not
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covered by the suppliers or manufacturers warranty.
These payments will be made if the Secretary of HHS determines
that they are reasonable and necessary.
Oxygen provided in the home is covered by Medicare under the
RT/HME benefit. Payment is made on a monthly basis, however,
since January 1, 2006, a
36-month cap
on the monthly payments for stationary and portable oxygen
equipment applies. Payments for maintenance and servicing (for
parts and labor not covered by the suppliers or
manufacturers warranty) will be made if the Secretary of
HHS determines them to be reasonable and necessary. The
36-month cap
did not impact net revenue until the period beginning
January 1, 2009, at which time CHS estimates it resulted in
an approximate $20,000 per month decrease in net revenue.
Recent Legislative Changes to Medicare
Reimbursement: The Medicare Modernization Act and
the Deficit Reduction Act have changed some of the medical
reimbursement rules applicable to CHSs home infusion
segment. The Medicare Modernization Act set reimbursement for
inhalation drugs at 85% of AWP in 2004, set forth the ASP plus
6% methodology that has been in use since 2006, and also set
reimbursement for infusion drugs at 95% of AWP.
The Deficit Reduction Act capped monthly payments for oxygen
equipment at 36 months. In addition, the Medicare
Modernization Act authorized a competitive bidding program for
determining Medicare reimbursement rates for certain items of
durable medical equipment, including enteral nutrients, supplies
and equipment, and certain RT/HME products. CMS has the
discretion to determine which products will be subject to
competitive bidding. The statute requires that the first round
of competitive bidding occur in ten metropolitan areas around
the country. The second round of competitive bidding will be
conducted in 70 additional geographic areas. CMS released the
final rule implementing this program on April 10, 2007, and
the program was set to go into effect on July 1, 2008.
However, the Medicare Improvements for Patients and Providers
Act (MIPPA) further delayed the program by
18 months and required CMS to rebid the first round of the
program.
CHS submitted bids in metropolitan areas where CHS has
operations when CMS re-opened the bidding process again in late
2009, subject to the requirements of MIPPA. Winners of the round
one bids are expected to be announced by September 2010. If
CHSs bid is not accepted in these areas, it could
negatively affect its revenue and its results of operations. The
statute requires reimbursement for items and services subject to
the competitive bidding program to be lower than the prices
currently reimbursed by Medicare. The Secretary of HHS has the
authority to apply competitively bid prices nationwide in the
third round of the program. This authority, if used, could
effectively create a nationwide competitive bidding program in
the third round of the program, and all covered products and
services nationwide would be reimbursed at competitively bid
prices. In the final rule implementing the competitive bidding
program, HHS noted its intention to use this authority. Applying
competitively bid prices nationwide could have an adverse impact
on CHSs operations. It is unclear what impact, if any,
competitive bidding may have on CHSs operations in the
affected areas.
In the future, Congress could enact additional changes to
Medicare reimbursement, including enacting annual payment
updates below statutory levels, modifying the competitive
bidding program and reducing reimbursement rates.
Quality Standards/Accreditation: As mandated
by the Medicare Modernization Act, in August 2006, CMS issued
quality standards for suppliers, which are being applied by
independent accredited organizations approved by CMS. As
modified by MIPPA, all Medicare suppliers had to be accredited
before October 1, 2009. CHS is accredited by the
Accreditation Commission for Health Care, Inc.
Medicare Parts B and D: CHSs infusion
therapy segment is impacted by the Medicare Part D program.
In connection with the enactment of the Medicare Modernization
Act, CMS promulgated a substantial volume of new regulations
implementing the federal governments Voluntary
Prescription Drug Benefit Program, known as Medicare
Part D. CMS has attempted to clarify issues regarding
coverage of infused drugs under Medicare Part D and the
relationship with existing coverage under Medicare Part B.
In certain cases, both Medicare Parts B and D will cover
identical infused drugs. CMS has stated that coverage is
generally determined by the diagnosis and the method of drug
delivery. For example, parenteral nutrition is covered under
Medicare Part B for patients with a non-functioning
digestive tract. In all other situations, Medicare
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Part D covers parenteral nutrition. Confusion regarding the
appropriate coverage of infusion therapy could adversely affect
CHSs business.
Both the U.S. Department of Health and Human Services
(HHS) Office of the Inspector General
(OIG) and CMS continue to issue guidance with regard
to the Medicare Part D program and compliance with related
federal laws and regulations by Part D sponsors and their
subcontractors. The receipt of federal funds made available
through this program by CHS, its affiliates, or clients may be
subject to compliance with these new regulations as well as the
established laws and regulations governing the federal
governments payment for health care goods and services.
There are many uncertainties about the financial and regulatory
risks of participating in the Medicare Part D program and
these risks could negatively impact CHSs business in
future periods.
Home Infusion and the
111th Congress: Legislation has been
introduced in the House and Senate that would establish Medicare
coverage of home infusion therapy and home infusion drugs under
Medicare Part B and consolidate coverage under Part D.
As noted above, Medicare currently covers home infusion therapy
for selected therapies primarily through the durable medical
equipment benefit. It is anticipated that these bills would
expand Medicare beneficiary access to the majority of home
infusion therapies but there can be no guarantees as to what
will be contained in any final legislation, should it be passed.
Health care reform legislation currently before Congress does
not change Medicare reimbursement for home infusion therapy or
home infusion drugs.
Regulatory Changes for Home Infusion: Under
Medicare Part D, the ingredient costs and dispensing fees
associated with the provision of home infusion therapies are
covered under Medicare. Under Medicare Part B, no separate
reimbursement of these costs is available. For eligible Medicare
beneficiaries, the cost of equipment and supplies associated
with infused covered Medicare Part D drugs will continue to
be reimbursed on a limited basis under Medicare Part A or
Part B, as applicable, and the cost of professional
services associated with infused covered Medicare Part D
drugs will continue to be reimbursed on a limited basis under
Medicare Part A. For beneficiaries who are dually eligible
for benefits under Medicare and a state Medicaid program,
Medicaid covered infused drugs will be reimbursed under
individual state coverage guidelines if coverage is denied by
Medicare.
CMS finalized a rule codifying prior clarifications of CMS
policies associated with the prescription drug benefit and
providing certain other clarifications of these policies in
2008. This rule codifies CMS expectations of Medicare
Part D sponsors regarding providing adequate access to home
infusion pharmacies for infused covered drugs and proposing
standards with respect to timeliness of delivery of drugs. In
addition, in 2005, CMS published a final rule implementing its
inherent reasonableness authority, which allows CMS
or a Medicare contractor to increase or decrease payment amounts
by up to 15% per year for certain products and services covered
by Medicare when the existing payment amount is determined by
CMS to be grossly excessive or grossly deficient. CMS could
invoke its inherent reasonableness authority to reduce or
increase reimbursement levels for certain of CHSs
products, which could have a positive or adverse effect on
CHSs results of operations. A reduction in payments
received from or a loss of coverage under Medicare could result
in similar actions being taken by private payors, which could
have a material adverse effect on CHSs results of
operations. CMS has rarely exercised this authority in the last
10 years.
Home Infusion and Medicaid: Budgetary concerns
in many states have resulted in, and may continue to result in,
reductions to Medicaid reimbursement as well as delays in
payment of outstanding claims. Any reductions to or delays in
collecting amounts reimbursable by state Medicaid programs for
CHSs products or services, or changes in regulations
governing such reimbursements, could cause CHSs revenue
and profitability to decline and increase its working capital
requirements.
Home
Nursing Segment
Current Medicare Reimbursement for Home Health
Agencies: Home health agencies, including ours,
are reimbursed under the Medicare program on a prospective
payment system. Home health services include:
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physical, occupational, and speech therapy;
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medical social work; and
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home health aide services.
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Medicares home health prospective payment system is
comprised of a set payment for each
60-day
episode of care, a case-mix adjustment based on a patients
medical condition and service needs, an outlier payment for high
cost patients and a low-utilization adjustment for patients who
require only a few visits. Patients are assigned to case mix
resource groups based on clinical and functional status and
service use.
Medicare beneficiaries must be homebound to be eligible to
receive covered home health services. In general, a beneficiary
is considered homebound under Medicare rules if
he/she has a
condition due to an injury or illness that restricts
his/her
ability to leave the residence except with the aid of supportive
devices (such as a wheelchair or crutches) or if leaving home is
not medically advised.
To be covered by the Medicare program, skilled services must be
provided in accordance with a physicians orders and they
must be reasonable and necessary for the treatment of the
beneficiarys illness or injury or for the restoration or
maintenance of the function affected by the illness or injury.
The amount, frequency and duration of the services must also be
reasonable and consistent with the patients particular
medical needs. Medicare beneficiaries do not pay any co-payments
for home health services.
Payments under the home health prospective payment system are
updated annually by the increase in the home health market
basket. On August 29, 2007, CMS issued a final rule to
update and refine the home health prospective payment system for
calendar year 2008. Among its significant changes, the final
rule reduced the national standardized
60-day
episode rate for calendar year 2008 and also implemented similar
reductions to the
60-day
episode payment rate for 2009 through 2011. This rule also
implemented a reduction in the national standardized
60-day
episode payment rate of 2.75% in 2008 to account for changes in
case mix not attributable to a patients actual condition.
This reduction continued in 2009 and will continue through 2010.
CHS expects these changes to have an immaterial impact on its
business and its results of operations.
It is anticipated that legislative and other efforts to reduce
the overall costs of health care in the United States will
continue and that there will continue to be pressure on
reimbursement rates. Although CHS monitors reimbursement
developments closely, it cannot at this time predict with any
degree of certainty what those efforts will entail or what
effect, if any, they will have on its business and results of
operations.
Potential Areas of Future Congressional
Scrutiny: In the future, Congress could enact
changes to Medicare reimbursement affecting home health
services, including reducing the annual payment updates to below
the current statutory levels, making other modifications for
home health agencies in rural areas, adding beneficiary
co-payments, requiring additional quality reporting or
performance requirements and making broad-based changes to
reimbursement for post-acute care settings (which includes
nursing homes, inpatient rehabilitation facilities and long term
care).
Home Health and the
111th Congress: Congress is currently
debating comprehensive health care reform legislation. Competing
bills that have passed the House of Representatives and the
Senate contain significant payment reductions and policy changes
affecting Medicare reimbursement to home health agencies. While
Congress must reconcile differences between these two health
care reform bills, any final bill may include payment reductions
and policy changes that adversely affect CHSs business.
Home Nursing and Medicaid: CHS is also
sensitive to possible changes in state Medicaid programs as it
does business with several state Medicaid programs. Budgetary
concerns in many states have resulted in, and may continue to
result in, reductions to Medicaid reimbursement and Medicaid
eligibility as well as delays in payment of outstanding claims.
Any reductions to or delays in collecting amounts reimbursable
by state Medicaid programs for CHSs products or services,
or changes in regulations governing such reimbursements, could
cause CHSs revenue and profitability to decline and
increase its working capital requirements.
As examples, effective August 1, 2008, CHSs contract
with Amerigroup Community Care was amended to reduce the private
duty nursing rate. Furthermore, TennCare, CHSs largest
Medicaid customer representing
92
approximately 7.0% of CHSs net revenue for the nine months
ended September 30, 2009, has experienced substantial
financial challenges since its inception in 1994. In 2002, the
State of Tennessee proposed, but later withdrew, limitations on
home health services. Since mid-2005, the State of Tennessee has
restructured TennCare significantly and has disenrolled
approximately 323,000 persons not required to be covered by
federal Medicaid law. Additionally, the State of Tennessee has
recently mandated that certain patients who were previously
subject to traditional TennCare private duty nursing benefits be
shifted to an agency that contracts with the Tennessee
Department of Mental Retardation Services (DMRS).
CHS has, to date, elected not to become a provider under the
DMRS benefit. Due to a lack of DMRS providers and pending
appeals that are underway, this change has not had a significant
impact on CHSs business. This change or similar changes in
benefits designed to reduce Medicaid program budgetary
constraints may, however, have an adverse impact on CHSs
patient population and results of operations in the future.
Government
Investigations
The OIG is the organization charged with protecting the
integrity of HHS programs, including Medicare, as well as the
health and welfare of the beneficiaries of those programs. In
2005 and 2006, the OIG released several audit reports of
individual home health agencies. The OIG has continued to
display interest in the segments in which CHS operates and there
may be more OIG activity in this area in coming years.
Professional
Licensure
Nurses, pharmacists and certain other health care professionals
employed by CHS are required to be individually licensed or
certified under applicable state law. CHS performs criminal and
other background checks on employees and is required under state
licensure to ensure that its employees possess all necessary
licenses and certifications. CHS believes that its employees
comply in all material respects with applicable licensure laws.
Pharmacy
Licensing and Registration
State laws require that each of CHSs pharmacy locations be
licensed as an in-state pharmacy to dispense pharmaceuticals in
that state. Certain states also require that CHSs pharmacy
locations be licensed as an
out-of-state
pharmacy if those locations deliver prescription pharmaceuticals
into those states from locations outside of the state. CHS
believes that its pharmacy locations comply with all state
licensing laws applicable to these businesses. If CHSs
pharmacy locations become subject to additional licensure
requirements, are unable to maintain their required licenses or
if states place burdensome restrictions or limitations on
pharmacies, CHSs ability to operate in some states would
be limited, which could have an adverse impact on its business.
Laws enforced by the Drug Enforcement Administration, as well as
some similar state agencies, require CHSs pharmacy
locations to individually register in order to handle controlled
substances. A separate registration is required at each
principal place of business where CHS dispenses controlled
substances. Federal and state laws also require that CHS follow
specific labeling, reporting and record- keeping requirements
for controlled substances. CHS maintains federal and state
controlled substance registrations for each of its facilities
that require such registration and follows procedures intended
to comply with all applicable federal and state requirements
regarding controlled substances.
Many states in which CHS operates also require home infusion
companies to be licensed as home health agencies. CHS believes
it is in material compliance with these laws, as applicable.
Home
Health Agency Licensing
Home health agencies operate under licenses granted by the
health authorities of their respective states. Home health
agencies are surveyed for compliance with licensure regulation
on a periodic basis, generally every 24 to 36 months.
Certain states, including some in which CHS operates, carefully
restrict new entrants into the market based on demographic
and/or
competitive changes. If CHSs home health agencies become
subject to new licensure requirements, are unable to maintain
required licenses or if states place burdensome restrictions or
limitations on home health agencies or home nursing agencies,
CHSs subsidiaries ability to
93
operate in some states would be limited, which could have an
adverse impact on its business. CHS, through its subsidiaries,
operates its home health business through Medicare certified,
licensed agencies and believes it is in compliance with all
current licensure laws and regulations.
Food,
Drug and Cosmetic Act
Certain provisions of the federal Food, Drug and Cosmetic Act
govern the handling and distribution of pharmaceutical products.
This law exempts many pharmaceuticals and medical devices from
federal labeling and packaging requirements as long as they are
not adulterated or misbranded and are dispensed in accordance
with, and pursuant to, a valid prescription. CHS believes that
it complies in all material respects with all applicable
requirements.
Fraud and
Abuse Laws Anti-Kickback Statute
Subject to certain statutory and regulatory exceptions
(including exceptions relating to certain managed care,
discount, bona fide employment arrangements, group purchasing
and personal services arrangements), federal
anti-kickback law prohibits the knowing and willful
offer or payment of any remuneration to induce or reward the
referral of an individual or the purchase, lease or order (or
the arranging for or recommending of the purchase, lease or
order) of healthcare items or services paid for in whole or in
part by Medicare, Medicaid or other government-funded healthcare
programs (including both traditional Medicaid
fee-for-service
programs as well as Medicaid managed care programs). Violation
of the federal anti-kickback statute could subject CHS to
criminal
and/or civil
penalties including suspension or exclusion from Medicare and
Medicaid programs and other government-funded healthcare
programs. A number of states also have enacted anti-kickback
laws that sometimes apply not only to state-sponsored healthcare
programs but also to items or services that are paid for by
private insurance and self-pay patients. State anti-kickback
laws can vary considerably in their applicability and scope and
sometimes have fewer statutory and regulatory exceptions than
the federal law. CHSs management carefully considers the
importance of such anti-kickback laws when structuring its
operations, and believes that it is in compliance with these
laws.
The federal anti-kickback law has been interpreted broadly by
courts, the OIG and other administrative bodies. Because of the
broad scope of those statutes, federal regulations establish
certain safe harbors from liability. Safe harbors exist for
certain properly reported discounts received from vendors,
certain investment interests held by a person or entity, and
certain properly disclosed payments made by vendors to group
purchasing organizations, as well as for other transactions or
relationships. Nonetheless, a practice that does not fall within
a safe harbor is not necessarily unlawful, but may be subject to
scrutiny and challenge. In the absence of an applicable
exception or safe harbor, a violation of the statute may occur
even if only one purpose of a payment arrangement is to induce
patient referrals or purchases. Among the practices that have
been identified by the OIG as potentially improper under the
statute are certain product conversion or
switching programs in which benefits are given by
drug manufacturers to pharmacists or physicians for changing a
prescription (or recommending or requesting such a change) from
one drug to another. Anti-kickback laws have been cited as a
partial basis, along with state consumer protection laws
discussed below, for investigations and multi-state settlements
relating to financial incentives provided by drug manufacturers
to retail pharmacies in connection with such programs. CHS
attempts to structure its business relationships to satisfy an
applicable safe harbor. In those situations, however, where a
business relationship does not fully satisfy the elements of a
safe harbor, or where no safe harbor exists, CHS attempts to
satisfy as many elements of an applicable safe harbor as
possible. The OIG is authorized to issue advisory opinions
regarding the interpretation and applicability of the
anti-kickback law, including whether an activity constitutes
grounds for the imposition of civil or criminal sanctions. CHS
has not, however, sought any such advisory opinions regarding
its business relationships.
Fraud and
Abuse Laws False Claims Act
A range of federal civil and criminal laws target false claims
and fraudulent billing activities. One of the most significant
is the Federal False Claims Act (the False Claims
Act), which imposes civil penalties for knowingly making
or causing to be made false claims in order to secure a
reimbursement from government-sponsored programs, such as
Medicare and Medicaid. Investigations or actions commenced under
the False
94
Claims Act may be brought either by the government or by private
individuals on behalf of the government, through a
whistleblower or qui tam action. The
False Claims Act authorizes the payment of a portion of any
recovery to the individual bringing suit. Such actions are
initially required to be filed under seal pending their review
by the DOJ. If the government intervenes in the lawsuit and
prevails, the whistleblower (or plaintiff filing the initial
complaint) may share with the Federal Government in any
settlement or judgment. If the government does not intervene in
the lawsuit, the whistleblower plaintiff may pursue the action
independently. The False Claims Act generally provides for the
imposition of civil penalties and for treble damages, resulting
in the possibility of substantial financial penalties for small
billing errors that are replicated in a large number of claims,
as each individual claim could be deemed to be a separate
violation of the False Claims Act.
Some states also have enacted statutes similar to the False
Claims Act which may include criminal penalties, substantial
fines, and treble damages. In recent years, federal and state
governments have launched several initiatives aimed at
uncovering practices that violate false claims or fraudulent
billing laws. Under Section 1909 of the Social Security
Act, which became effective January 1, 2007, if a state
false claim act meets certain requirements as determined by the
OIG in consultation with the U.S. Attorney General, the
state is entitled to an increase of ten percentage points in its
share of any amounts recovered under a state action brought
under such a law. A number of states, including states in which
CHS operates, have adopted their own false claims statutes as
well as statutes that allow individuals to bring qui tam
actions. CHS believes that it has procedures in place to ensure
the accuracy of its claims. This legislation has led to
increased auditing activities by state healthcare regulators. As
a result, CHS may be subject to an increased number of audits.
While CHS believes that it is in compliance with Medicaid and
Medicare billing rules and requirements, there can be no
assurance that regulators would agree with the methodology
employed by CHS in billing for its products and services and a
material disagreement between CHS and these governmental
agencies on the manner in which CHS provides products or
services could have a material adverse effect on its business
and operations, its financial position and its results of
operations.
The False Claims Act also has been used by the federal
government and private whistleblowers to bring enforcement
actions under so-called fraud and abuse laws like
the federal anti-kickback statute and the federal self-referral
law, commonly known as the Stark Law. Such actions
are not based on a contention that an entity has submitted
claims that are facially invalid. Instead, such actions are
based on the theory that when an entity submits a claim, it
either expressly or impliedly certifies that it has provided the
underlying services in compliance with applicable laws, and
therefore that services provided and billed for during an
anti-kickback statute or Stark Law violation result in false
claims, even if such claims are billed accurately for
appropriate and medically necessary services. The availability
of the False Claims Act to enforce alleged fraud and abuse
violations has increased the potential for such actions to be
brought, and which often are costly and time-consuming to defend.
Federal
Ethics in Patient Referrals Law (Stark Law)
The Stark Law prohibits physicians from referring Medicare
patients for designated health services (which
include, among other things, outpatient prescription drugs,
durable medical equipment and supplies and home health services)
to an entity with which the physician, or an immediate family
member of the physician, has a direct or indirect financial
relationship, unless the financial relationship is structured to
meet an applicable exception. Possible penalties for violation
of the Stark Law include denial of payment, refund of amounts
collected in violation of the statute, civil monetary penalties
and program exclusion. CHS management carefully considers the
Stark Law and its accompanying regulations in structuring its
financial relationships with physicians and believes that it is
in compliance with the Stark Law and the regulations promulgated
thereunder.
In addition to the Stark Law, many of the states in which CHS
operates have comparable restrictions on the ability of
physicians to refer patients for certain services to entities
with which they have a financial relationship. Certain of these
state statutes mirror the Stark Law while others may be more
restrictive. CHS attempts to structure all of its business
relationships with physicians to comply with any applicable
state self-referral laws.
95
Health
Insurance Portability and Accountability Act of 1996
Most of CHSs activities involve the receipt, use and
disclosure of confidential medical, pharmacy or other
health-related information concerning individuals, including the
disclosure of the confidential information to an
individuals health benefit plan. In addition, CHS uses
aggregated and blinded (anonymous) data for research and
analysis purposes.
On April 14, 2003 the final regulations issued by HHS,
regarding the privacy of individually identifiable health
information (the Privacy Regulations) pursuant to
the Health Insurance Portability and Accountability Act of 1996
(HIPAA) took effect. The Privacy Regulations are
designed to protect the medical information of a healthcare
patient or health plan enrollee that could be used to identify
the individual. CHS refers to this information as protected
health information (PHI). The Privacy Regulations
apply directly to certain entities known as covered
entities, which include health plans, health care
clearinghouses and healthcare providers who conduct certain
healthcare transactions electronically. In addition, the Privacy
Regulations require covered entities to enter into contracts
requiring their business associates to agree to
certain restrictions regarding the use and disclosure of PHI.
The Privacy Regulations apply to PHI maintained in any format,
including both electronic and paper records, and impose
extensive restrictions on the way in which covered entities (and
indirectly their business associates) may use and disclose PHI.
In addition, the Privacy Regulations also give patients
significant rights to understand and control how their PHI is
used and disclosed. Often, use and disclosure of PHI must be
limited to the minimum amount necessary to achieve the purpose
of the use or disclosure. Certain of CHSs businesses are
covered entities directly subject to the Privacy Regulations,
and others of CHSs businesses are business
associates of covered entities.
Since October 16, 2003, CHS and its predecessors have been
subject to compliance with the rules governing transaction
standards and code sets issued by HHS pursuant to HIPAA (the
Transactions Standards). The Transactions Standards
establish uniform standards to be utilized by covered entities
in the electronic transmission of health information in
connection with certain common healthcare financing
transactions, such as healthcare claims. Under the Transactions
Standards, any party transmitting or receiving health
transactions electronically must send and receive data in a
single format, rather than the large number of different data
formats currently used. The Transactions Standards apply to CHS
in connection with submitting and processing healthcare claims.
The Transactions Standards also apply to many of CHSs
payors and to CHSs relationships with those payors.
In addition, in February 2003, HHS issued final regulations
governing the security of PHI pursuant to HIPAA (the
Security Standards). The Security Standards impose
substantial requirements on covered entities and their business
associates regarding the storage, utilization of, access to and
transmission of electronic PHI.
The requirements imposed by the Privacy Regulations, the
Transactions Standards, and the Security Standards are extensive
and have required substantial cost and effort to assess and
implement. CHS has taken and will continue to take steps that it
believes are reasonable to ensure that its policies and
procedures are in compliance with the Privacy Regulations, the
Transactions Standards and the Security Standards. The
requirements imposed by HIPAA have increased CHSs burden
and costs of regulatory compliance (including our health
improvement programs and other information-based products),
altered CHSs reporting and reduced the amount of
information CHS can use or disclose if Members do not authorize
such uses or disclosures.
Most states also have enacted health information privacy laws
which restrict the use and disclosure of patient health
information. In addition, several states recently have enacted
pharmacy-related privacy legislation that applies not only to
patient records but that also prohibits the transfer or use for
commercial purposes of pharmacy data that identifies
prescribers. In response to concerns about identity theft, many
states also have adopted so-called security breach
notification laws that may impose requirements regarding the
safeguarding of personal information such as social security
numbers and bank and credit card account numbers, and that
impose an obligation to notify persons when their personal
information has or may have been accessed by an unauthorized
person. Many of these laws apply to CHSs business and have
and will continue to increase CHSs burden and costs of
privacy and security related regulatory compliance.
96
On February 17, 2009, the American Recovery and
Reinvestment Act of 2009 (ARRA) was enacted, and
included Title XIII, the Health Information Technology for
Economic and Clinical Health Act (the HITECH Act).
The HITECH Act modified certain provisions of the HIPAA Privacy
and Security Rules, and included additional requirements meant
to protect the privacy and security of health information,
including, but not limited to, a new federal breach notification
obligation applicable to HIPAA covered entities and their
business associates. HHS, as required by the HITECH Act, has
issued a regulation setting forth the breach notification
obligations applicable to covered entities and their business
associates (the HHS Breach Notification Rule). The
various requirements of the HITECH Act and the HHS Breach
Notification Rule have different compliance dates, some of which
have passed and some of which will occur in the future. With
respect to those requirements whose compliance dates have
passed, CHS believes that it is in compliance with these
provisions. With respect to those requirements whose compliance
dates are in the future, CHS is in the process of implementing
these new requirements or has done so already, and believes that
it will be in compliance with these requirements on or before
the applicable compliance date.
Enforcement
Efforts and Investigations
Both federal and state government agencies have heightened and
coordinated civil and criminal enforcement efforts as part of
numerous ongoing investigations of health care companies, as
well as their executives and managers. These investigations
relate to a wide variety of topics, including referral and
billing practices.
Legal
Proceedings
Due to the nature of its business, CHS is involved in lawsuits
that arise in the ordinary course of business. CHS does not
believe that any lawsuit to which it currently is a party will
have a material adverse effect on its business, financial
condition, results of operations or liquidity.
Facilities
CHSs operations are conducted through 35 infusion
locations and 33 home nursing locations servicing
22 states, as well as its corporate headquarters in
Conshohocken, Pennsylvania. CHS currently leases its corporate
headquarters under a lease with a term that expires in May 2012
with an option to renew for an additional term of three years.
CHS maintains its infusion and home nursing locations for
multiple operational and regulatory reasons. CHSs
operational staff, including customer service representatives,
intake personnel, clinical supervisors, reimbursement personnel,
pharmacists, technicians, warehouse personnel, managers and
other support staff are housed in CHSs locations. In
addition, CHSs infusion locations operate pharmacies,
including clean rooms for the preparation of customized
pharmaceutical treatments for its patients. CHSs locations
also store medical records, IT infrastructure, other ancillary
products, supplies and equipment required for the administration
of its services. CHS leases nearly all of these properties, and
most of its lease terms are for a term of one to three years,
while some of the properties are leased on a
month-to-month
basis.
CHS believes that its facilities are generally adequate for
current and anticipated future use, although it may from time to
time lease additional facilities as operations require.
Intellectual
Property
CHS and its subsidiaries own and use a variety of trademarks and
service marks, including Critical Homecare Solutions, Infinity
Critical Homecare Solutions, CHS Critical Homecare Solutions,
Infusion Partners, Infusion Care, Infusion Solutions, Infusion
Care Systems, NE-HT, Wilcox Home Infusion, and Deaconess
HomeCare, each of which have either been registered at the state
or federal level or are being used pursuant to common law rights.
97
Insurance
CHSs business of providing home infusion therapy and
nursing services exposes it to litigation and potential
liability for damages. CHS currently maintains insurance for
general and professional liability claims in the amount of
$1.0 million per claim and $3.0 million in aggregate
per policy year, plus $10.0 million in umbrella coverage.
Accordingly, the maximum coverage for a first claim in any
policy year is $11.0 million, and the maximum aggregate
coverage for all claims in a policy year is $13.0 million.
These policies provide coverage on a claims-made or occurrence
basis and have certain exclusions from coverage. These insurance
policies generally must be renewed annually. There can be no
assurance that CHSs insurance coverage will be adequate to
cover liability claims that may be asserted against it.
CHSs employee health insurance policy has a $175,000
reinsurance and CHSs workers compensation insurance policy
has a $350,000 deductible per claim with an aggregate stop loss
of approximately $1.4 million per year. CHSs
professional liability and special liability insurance policies
contain deductibles of $50,000 and $25,000, respectively. In
addition, CHS has limited coverage for its property insurance
due to the location of many of its infusion and nursing
locations in the Gulf Coast region. For the properties that are
covered, the deductible on our property insurance policies is
$10,000 per claim, with higher deductibles and recovery limits
applicable to certain other losses, such as wind and flood
damage, for properties in certain high-hazard counties. These
policies, which generally must be renewed annually, also include
coverage for business interruption.
Employees
As of September 30, 2009, CHS employed 2,219 persons,
with 1,660 of those employees representing full-time
equivalents. CHSs home infusion segment employed
817 persons, and its home nursing segment employed
1,364 persons. CHSs employees are not unionized, and
CHS believes that its relations with its employees are positive.
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CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. MANAGEMENTS DISCUSSION
AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS
The following information should be read in conjunction with the
financial statements and related notes thereto of CHS included
elsewhere in this proxy statement. The following discussion may
contain forward-looking statements that reflect the plans,
estimates and beliefs of CHS and that are subject to known and
unknown risks and uncertainties. The actual results could differ
materially from those discussed in these forward-looking
statements. Factors that could cause or contribute to these
differences include, but are not limited to, those discussed
below and elsewhere in this proxy statement, particularly in
Risk Factors and Cautionary Statement
Concerning Forward-Looking Statements.
CHSs historical financial data discussed below reflects
the historical results of operations and financial position of
Critical Homecare Solutions Holdings, Inc. and its consolidated
subsidiaries and its predecessors, Specialty Pharma and New
England Home Therapies. Because of the limited time that has
passed since CHSs formation and its subsequent acquisition
activity, it may be difficult to evaluate CHSs future
business prospects based on its prior operating results and
those of the companies it has acquired and its historical
results of operations should not be considered indicative of
what its future results of operations will be.
Overview
CHS is a leading provider of comprehensive home infusion therapy
services to patients suffering from acute or chronic conditions.
CHS operates in two business segments, home infusion therapy and
home nursing. Through CHSs home infusion therapy segment,
CHS delivers and provides complex intravenous pharmaceutical
products and corresponding clinical support services to patients
with chronic conditions requiring long-term infusion care
services and acute conditions requiring short-term infusion care
services. Through CHSs home nursing segment, it provides
skilled nursing and other therapy services, including physical
therapy, occupational and speech therapy, medical social work
and home health aide services, to recovering, disabled,
chronically ill or terminally ill adult and pediatric patients
in need of medical, nursing or therapeutic treatment, and
assistance with essential activities of daily living.
CHS estimates that a substantial portion of the home infusion
market consists of independent home infusion providers, and it
believes that industry dynamics in the currently fragmented home
infusion market favor consolidated providers and the operational
efficiencies that come with scale.
CHSs business, and its industry in general, is subject to
known material uncertainties, in both the short and long term,
that could impact CHSs results of operations, such as
uncertainties relating to federal and state regulation of
CHSs industry and uncertainties related to CHSs
ability to receive reimbursement from its governmental and
non-governmental payors. CHSs management seeks in the
ordinary course of its business to avoid or mitigate the effects
of these uncertainties, if any, on its business. All of
CHSs internal policies and procedures are designed to
cause its operations to be in compliance with the federal and
state regulations to which its business and industry are
subject. In addition, CHSs management maintains regular
contact with industry consultants and outside counsel to
evaluate any developments in federal or state regulations that
could affect CHS and to identify ways CHS can mitigate the
effect of any such developments on its results of operations.
The
Company
CHS was incorporated in Delaware on August 8, 2006, but its
predecessors, Specialty Pharma and New England Home Therapies,
have been in the home health care business since 2002 and 2000,
respectively. Effective September 1, 2006, CHS acquired all
of the outstanding shares of each its predecessors. CHS paid a
total consideration of approximately $34.9 million,
consisting of $30.9 million in cash and the assumption of
$4.0 million in liabilities, for Specialty Pharma and
approximately $21.2 million, consisting of
$18.5 million in cash and the assumption of
$2.7 million in liabilities, for New England Home
Therapies. CHS financed a portion of the purchase prices of the
acquisitions of its predecessors with borrowings under its first
lien credit facility. CHS financed the remainder of the purchase
prices of its acquisitions of its Predecessors with the proceeds
of the issuance of 25,350,000 shares of CHSs common
stock to the Kohlberg Entities and certain
99
members of CHSs management, which shares were sold for an
aggregate of $25.2 million. CHS recorded the acquisition of
each of its predecessors under the purchase method of
accounting. The results of the acquired operations are included
in CHSs financial statements beginning September 1,
2006.
Since the acquisitions of CHSs predecessors, it has
acquired and begun or completed integration of the following
entities:
|
|
|
|
|
|
|
Date of
|
|
Entity
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|
Business
|
|
Service
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Acquisition
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Acquired
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Segment(s)
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Areas
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January 2007
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Deaconess
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Home Infusion, Home Nursing
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Alabama, Georgia, Louisiana, Michigan, Mississippi, Ohio,
Pennsylvania, Tennessee, Texas
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March 2007
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Infusion Solutions
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Home Infusion
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New Hampshire, Massachusetts
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June 2007
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Applied
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Home Infusion
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Texas
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July 2007
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Infusion Partners of Brunswick
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Home Infusion
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Georgia
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July 2007
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Infusion Partners of Melbourne
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Home Infusion
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Florida
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August 2007
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East Goshen Pharmacy
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Home Infusion
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Pennsylvania
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April 2008
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Wilcox Medical
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Home Infusion
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Vermont
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September 2008
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Infusion Partners of Lexington
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Home Infusion
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Kentucky
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December 2008
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National Health Infusion
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Home Infusion
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Florida
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June 2009
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Option Health
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Home Infusion, Home Nursing
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Illinois, Iowa
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CHS completed the acquisition of Deaconess effective
January 1, 2007 for a total final consideration of
approximately $170.7 million, consisting of
$156.1 million in cash and the assumption of
$14.6 million in liabilities. CHS financed the acquisition
of Deaconess with borrowings under its first lien credit
facility and second lien term loan and from the proceeds of the
sale of 57,500,000 shares of its common stock to the
Kohlberg Entities and certain other third party investors, which
shares were sold for an aggregate of $57.5 million. See
Liquidity and Capital Resources
Credit Facilities for a more complete discussion of the
terms of CHSs first lien credit facility and second lien
term loan.
CHS financed the acquisitions of Infusion Solutions, Infusion
Partners of Brunswick, Infusion Partners of Melbourne and East
Goshen Pharmacy with borrowings under its first lien credit
facility. CHS financed the acquisition of Applied from a portion
of the proceeds of the sale of 8,048,079 shares of its
common stock to the Kohlberg Entities, certain other third party
investors and members of CHSs management, which shares
were sold for an aggregate of approximately $10.5 million.
The acquisition of Wilcox Medical was funded through the
issuance of 4,000 shares of preferred stock for a total
consideration of $4.0 million. The acquisition of Infusion
Partners of Lexington was funded through the issuance of
6,000 shares of preferred stock for total consideration of
$6.0 million. The acquisition of National Health Infusion
was funded through the issuance of 4,000 shares of
preferred stock for total consideration of $4.0 million.
The acquisition of Option Health was funded through the issuance
of 5,000 shares of preferred stock for total consideration
of $5.0 and the issuance of a note payable of $2.3 million.
See Critical Homecare Solutions Holdings, Inc. Business
Description for a more detailed discussion of its
formation and acquisition history.
CHSs
Revenue and Expenses
Net Revenue. CHS generates almost all of its
revenue from reimbursement by government and third-party payors
for goods and services provided to patients. CHS receives
payment for goods and services from a
100
number of sources, including managed care organizations,
government sources, such as Medicare and Medicaid programs, and
commercial insurance. For the nine months ended
September 30, 2009, CHS had a payor mix of 49% from managed
care organizations and other third party payors, 28% from
Medicare and 23% from Medicaid. See Critical
Accounting Policies and Estimates for a discussion of
CHSs revenue recognition policies.
As noted further in Critical Homecare Solutions Holdings,
Inc. Business Description Government
Regulation and in Critical Homecare Solutions
Holdings, Inc. Business Description Medicare and Medicaid
Reimbursement, certain changes in government regulation
and policies are anticipated to have a negative impact on future
revenue of CHS. In July 2008, Congress passed the Medicare
Improvements for Patients and Providers Act of 2008
(MIPPA), which delayed the Durable Medical
Equipment, Prosthetics, Orthotics and Supplies
(DMEPOS) competitive bidding program authorized
under the Medicare Modernization Act during 2008. The bidding
began October 21, 2009 and the program is scheduled to take
effect on January 1, 2011. The long-term impact of the
competitive bidding program cannot be determined at this point
in time.
AWP and ASP information is published by First DataBank and
certain other private companies, including Medi-Span. As a
result of the settlement of
class-action
lawsuits brought against First Databank and Medi-Span, effective
September 26, 2009, First DataBank and Medi-Span agreed to
reduce the
mark-up
factor applied to WAC, on which AWP is based, from 1.25 to 1.20
for the approximately 1,400 national drug codes that were the
subject of the lawsuits. These AWP publishers also similarly
reduced the
mark-up
factor on all other national drug codes on which they had marked
up AWP . This voluntary reduction affected represented
approximately 18,000 national drug codes. First DataBank and
Medi-Span also have indicated that, within the next two years,
they will discontinue publication of AWP information in the
future. In response to this change, a number of pharmacy benefit
managers and third-party payors made adjustments to existing
contracts with network pharmaceutical providers in order to
preserve the economic structure of those agreements. The
majority of the state Medicaid agencies did not make any such
adjustments, the consequence of which is lowered reimbursement
levels. The impact of the AWP rollback to CHS is estimated to be
an annual reduction in net revenue of between $1.6 million
and $1.8 million.
Cost of Revenue. Cost of revenue consists of
two components: cost of goods and cost of services. Cost of
goods consists of the actual cost of pharmaceuticals and other
medical supplies dispensed to patients, but does not reflect
depreciation. Cost of services consists of all other costs
directly related to the production of revenue, including the
salary and benefit costs for the pharmacists, nurses and
contracted workers directly involved in providing service to the
patient.
Selling, Distribution, and Administrative
Expenses. Selling expenses relate primarily to
salaries, benefits, and payroll taxes related to CHSs
sales and marketing representatives. Distribution costs are
included in selling, distribution, and administrative expenses
and represent the cost incurred to deliver product or services
to the end users. Included are salary and benefit costs related
to drivers and dispatch personnel and amounts paid to courier
and other outside shipping vendors. Administrative expense
represents CHSs overhead costs and consists of salaries
and related taxes and benefits, payroll taxes, rent and
insurance.
Critical
Accounting Policies and Estimates
Use of Estimates. The preparation of
consolidated financial statements in accordance with accounting
principles generally accepted in the United States of America
require management to make estimates and assumptions that affect
the amounts reported in CHSs financial statements and
accompanying notes. Actual results could vary from estimates.
The items in CHSs financial statements that it believes
are the most dependent on the application of significant
estimates and judgments are as follows:
Revenue Recognition. Patient revenue is
recorded in the period during which goods are shipped or
delivered or the services are provided. When both goods and
services are provided, revenue is recognized upon confirmation
that both the services were provided and the goods were
delivered to the patient. When only goods are provided to the
patient and the patient has the means to use the goods without
requiring nursing or other related services, the revenue is
recognized upon confirmation of the delivery of the goods.
101
When only services are provided, revenue is recognized upon
confirmation that the services have been provided. CHSs
agreements with payors may include a provision for the use of a
per diem payment for certain infusion services
provided to patients. The per diem arrangement may include a
variety of both goods and services, including, but not limited
to, rental of medical equipment, care coordination services and
medical supplies. Because CHS receives a single price for both
goods and services in one combined billing, it cannot split
revenue on its statements of income between product revenue and
service revenue.
The Multiple-Element Arrangements Subtopic of the FASB
Accounting Standards Codification addresses situations in which
multiple products
and/or
services are delivered at different times under one arrangement
with a customer and provides guidance in determining whether
multiple deliverables should be used as separate units of
accounting. CHS provides a variety of therapies to patients, the
majority of which have multiple deliverables, such as the
delivery of drugs and supplies and the provision of related
nursing services to train and monitor patient administration of
the drugs. After applying the criteria from the final model in
the Multiple-Element Arrangements Subtopic of the FASB
Accounting Standards Codification, CHS concluded that separate
units of accounting do exist in its revenue arrangements with
multiple deliverables.
CHSs revenue recognition policy is designed to recognize
revenue when each deliverable is provided to the patient. For
example, revenue from drug sales is recognized upon confirmation
of the delivery of the products, and revenue from nursing
services is recognized upon receipt of nursing notes confirming
the service has been provided. In instances in which the amount
allocable to the delivered item is contingent upon delivery of
additional items, CHS recognizes revenue after all the
deliverables in the arrangement have been provided. In instances
that a per diem is provided for daily usage of supplies and
equipment, revenue is recognized on a per diem basis.
The amounts billed to third-party payors and patients are
directly offset by appropriate allowances to give recognition to
third-party payor arrangements. Net revenue recognition and
allowances for uncollectible billings require CHS to use
estimates. Once known, any changes to these estimates are
reflected in CHSs statement of operations.
Both of CHSs segments utilize billing and accounts
receivable systems that are highly automated. While certain
inputs into the system may be manual, the significant portion of
the billing and accounts receivable process is automated. In
CHSs infusion segment, the majority of its acquisitions
were utilizing CHSs platform application prior to
acquisition. Integration efforts for these systems have only
required a migration from the divisions separate
applications to the company-wide instance. The migration is not
considered to be high risk, as very little user education is
required since the applications are identical. As of September
2009, all divisions have converted or migrated to the
company-wide CPR+ application.
CHS has selected the automated billing and accounts receivable
system used by its adult nursing division as our platform
application for nursing segment. CHSs private duty nursing
division converted to this system on October 1, 2007. With
this conversion, the majority of CHSs nursing operations
are now on a single platform.
Self pay revenue represented 1% of net revenue for the nine
months ended September 30, 2009, while self pay represented
5.1% of accounts receivable as of September 30, 2009. The
collections of co-insurance due from the patient and other
self-pay amounts are pursued directly by the local operations.
The amount of self pay is not material for the infusion segment
and only applies for a small number of payors for nursing.
Additionally, self pay billings are minimized as CHSs
policy requires insurance verification before service is
rendered, unless the patient is admitted and requires service at
night, on a weekend or on a holiday. The frequency of these
exceptions is not material and has not resulted in a significant
amount of self pay net revenue. CHSs policy is to make
effort to collect the known and identified self-pay components
of the billing arrangement at the time of delivery of care. When
the payment cannot be obtained at the point of delivery, CHS
performs
follow-up
billings and contacts with the patients. When these efforts are
not successful and the account has been written off as a bad
debt, CHS may engage outside collection agencies to assist in
the pursuit of collection. CHS does not determine its bad debt
provision separately for self pay as self pay is not material
and is not considered to be a key metric of its business.
102
Home
infusion
In CHSs home infusion segment, infusion therapy and
related health care service revenue are reported at the
estimated net realizable amounts from patients and third-party
payors. Pricing is typically negotiated in advance on the basis
of AWP minus some percentage of contractual discount or ASP plus
some percentage of contractual discount, which is the typical
means of negotiating pricing in the industry. AWP and ASP
information is published by First Databank and certain other
private companies.
Due to the nature of the industry and the reimbursement
environment in which CHS operates, certain estimates are
required to record net revenue and accounts receivable at their
net realizable values. Inherent in these estimates is the
possibility that they will have to be revised or updated as
additional information becomes available. Specifically, the
complexity of many third-party billing arrangements and the
uncertainty of reimbursement amounts for certain services from
certain payors may result in adjustments to amounts originally
recorded.
Billings to payors for whom CHS is an
out-of-network
provider represented approximately 7% of net revenue for the
year ended September 30, 2009 and are generally submitted
at CHSs usual customary charges. However, these payors
typically pay at amounts that are less than CHSs usual
customary charges. CHS estimates the net realizable revenue on
out-of-network
billings based on its historical experience as well as estimated
realizable amounts provided by the respective payor upon patient
intake and insurance verification. CHS provides contractual
reserves at the time of revenue recognition for the estimated
differences between its initial billings for
out-of-network
patients. The actual difference between the initial estimate and
the amount paid by the payor is recorded at the point of cash
application, claim denial or account review.
Net revenue from payors for whom CHS is contracted as an
in network provider is generally recognized at the
contracted fee schedule amount. Revenue is recorded at the
billing amount, which represents the amount of revenue that is
expected to be realized per the contractual terms. Revenue from
in-network
commercial and other payors represented 59% of net revenue for
the twelve months ended September 30, 2009.
Revenue from Medicare represented approximately 18% of net
revenue for the nine months ended September 30, 2009 and
14% for the nine months ended September 30, 2008 and is
recognized at the published fee schedules. Revenue from various
state Medicaid programs represented approximately 20% of net
revenue for the nine months ended September 30, 2009 and
16% for the nine months ended September 30, 2008 and is
also recognized at the published fee schedule amount. Estimated
differences between the amounts initially recognized as net
revenue and actual are reserved for at the time of revenue
recognition based on historical experience and typically relate
to non-covered or denied services.
Home
nursing
In CHSs home nursing segment, revenue is recognized as the
treatment plan is administered to the patient and is recorded at
amounts estimated to be received under reimbursement or payment
arrangements with payors. Net revenue to be reimbursed by
contracts with third-party payors are recorded at an amount to
be realized under these contractual arrangements.
Approximately 52% of nursing net revenue for the nine months
ended September 30, 2009 was related to Medicare billings.
Under the prospective payment system for Medicare reimbursement,
net revenue is recorded based on a reimbursement rate which
varies on the severity of the patients condition, service
needs and certain other factors. Revenue is recognized ratably
over a
60-day
episode period and is subject to adjustment during this period
if there are significant changes in the patients condition
during the treatment period or if the patient is discharged but
readmitted to another agency within the same
60-day
episode period.
Medicare billings under the prospective payment system are
initially recognized as deferred revenue and are subsequently
recognized as revenue over the
60-day
episode period. The process for recognizing revenue under the
Medicare program is based on certain assumptions and judgments,
the appropriateness of the clinical assessment of each patient
at the time of certification, and the level of adjustments to
the fixed reimbursement
103
rate relating to patients who receive a limited number of
visits, have significant changes in condition or are subject to
certain other factors during the episode.
For non-Medicare payors, CHS has established contractual
reserves for the amounts initially billed to the payors relative
to the amounts expected to be realized. These estimates are
based on CHSs historical experience or specific
contractual requirements identified for certain payors.
Differences between the estimates and the actual contractual
adjustments are typically recorded at the time of cash posting,
claim denial or account review.
Home Nursing and Medicaid: CHS is sensitive to
possible changes in state Medicaid programs as it does business
with several state Medicaid programs. Budgetary concerns in many
states have resulted in, and may continue to result in,
reductions to Medicaid reimbursement and Medicaid eligibility as
well as delays in payment of outstanding claims. Any reductions
to or delays in collecting amounts reimbursable by state
Medicaid programs for CHSs products or services, or
changes in regulations governing such reimbursements, could
cause CHSs revenue and profitability to decline and
increase its working capital requirements.
As examples, effective August 1, 2008, CHSs contract
with Amerigroup Community Care (Amerigroup) was
amended to reduce the private duty nursing rate. Furthermore,
TennCare, CHSs largest Medicaid customer representing
approximately 7.0% of CHSs net revenue for the nine months
ended September 30, 2009, has experienced substantial
financial challenges since its inception in 1994. In 2002, the
State of Tennessee proposed, but later withdrew, limitations on
home health services. Since mid-2005, the State of Tennessee has
restructured TennCare significantly and has disenrolled
approximately 323,000 persons not required to be covered by
federal Medicaid law. These disenrollments impacted our private
duty nursing beginning September 7, 2008. The decrease in
the Amerigroup reimbursement rate and the new restrictions on
private duty nursing eligibility resulted in a decrease in net
revenue of $4.6 million for the nine months ending
September 30, 2009, with a corresponding decrease of
$1.1 million in operating expenses, for a net decrease in
operating income of $3.5 million.
The State of Tennessee has recently mandated that certain
patients who were previously subject to traditional TennCare
private duty nursing benefits be shifted to an agency that
contracts with the DMRS. CHS has, to date, elected not to become
a provider under the DMRS benefit. Due to a lack of DMRS
providers and pending appeals that are underway, this change has
not had a significant impact on CHSs business. This change
or similar changes in benefits designed to reduce Medicaid
program budgetary constraints may, however, have an adverse
impact on CHSs patient population and results of
operations in the future.
Accounts Receivable and Allowances for Doubtful
Accounts. CHSs accounts receivable consist
of amounts owed by various governmental agencies, insurance
companies and private patients. Management performs periodic
analyses to evaluate accounts receivable balances to ensure that
recorded amounts reflect net realizable values. Although CHS has
a significant concentration of receivables from Medicare and
Medicaid, it does not believe there are any significant credit
risks associated with the receivables from Medicare and Medicaid
and other state administered programs.
CHSs accounts receivable are reported net of contractual
adjustments. Generally, CHS bills third-party payors based on
the contractual charges or usual customary charges for goods and
services provided and then contractually adjusts the revenue
down to the anticipated collectible amount based on its
interpretation of the terms of the applicable managed care
contract, fee schedule or other arrangement with the payor.
CHS has established an allowance for doubtful accounts to report
accounts receivable at the estimated net realizable amounts to
be received from third-party payors. Increases to this reserve
are reflected as a provision for bad debt in CHSs
statement of operations. CHS generates accounts receivable aging
reports from its billing systems and utilizes these reports to
help it monitor the condition of its outstanding receivables and
evaluate the performance of its billing and reimbursement staff.
CHS also utilize these aging reports, combined with historic
write-off statistics generated from its billing systems, to
determine its allowance for doubtful accounts. CHS regularly
performs an analysis of the collectability of accounts
receivable and considers such factors as prior collection
experience and the age of the receivables.
104
CHS does not require its patients or other payors to carry
collateral for any amounts owed to CHS for services provided.
Other than as discussed above, CHSs concentration of
credit risk relating to accounts receivable is limited due to
its diversity of patients and payors. Further, CHS generally
does not provide charity care.
The following table details CHSs accounts receivable
balances by aging category, excluding unbilled accounts
receivable and contractual allowances, at September 30,
2009 and December 31, 2008 (in thousands):
|
|
|
|
|
|
|
|
|
|
|
September 30,
|
|
|
December 31,
|
|
Aging Category
|
|
2009
|
|
|
2008
|
|
|
< 31 days
|
|
$
|
18,420
|
|
|
$
|
22,216
|
|
31-60 days
|
|
|
6,375
|
|
|
|
8,123
|
|
61-90 days
|
|
|
4,371
|
|
|
|
5,549
|
|
> 90 days
|
|
|
14,680
|
|
|
|
21,755
|
|
|
|
|
|
|
|
|
|
|
Total accounts receivable, gross
|
|
|
43,846
|
|
|
|
57,643
|
|
Allowance for uncollectible accounts
|
|
|
(6,435
|
)
|
|
|
(9,675
|
)
|
Allowance for contractual adjustments
|
|
|
(882
|
)
|
|
|
(982
|
)
|
Unbilled and other
|
|
|
6,063
|
|
|
|
5,085
|
|
|
|
|
|
|
|
|
|
|
Total accounts receivable, net
|
|
$
|
42,592
|
|
|
$
|
52,071
|
|
|
|
|
|
|
|
|
|
|
The aging by payor as of September 30, 2009 is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Aging Category
|
|
Medicare
|
|
|
Medicaid
|
|
|
Commercial and Other
|
|
|
Self Pay
|
|
|
< 31 days
|
|
$
|
4,716
|
|
|
$
|
3,761
|
|
|
$
|
9,483
|
|
|
$
|
459
|
|
31-60 days
|
|
|
1,695
|
|
|
|
1,494
|
|
|
|
2,938
|
|
|
|
249
|
|
61-90 days
|
|
|
1,239
|
|
|
|
819
|
|
|
|
2,048
|
|
|
|
265
|
|
> 90 days
|
|
|
1,777
|
|
|
|
3,092
|
|
|
|
8,554
|
|
|
|
1,257
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total accounts receivable, gross
|
|
$
|
9,427
|
|
|
$
|
9,166
|
|
|
$
|
23,023
|
|
|
$
|
2,230
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Days sales outstanding, net of reserves, were 64 and 73 at
September 30, 2009 and at December 31, 2008,
respectively.
The accounts receivable aging summary does not include unbilled
accounts receivable, which include billings on hold until the
delivery of all contingent components has been completed (in the
case of certain per diems), billings on hold pending receipt of
documentation required by the third-party payor and billings
pending prior approval from the third-party payor.
As noted above, the majority of CHSs accounts receivable
is due from third-party payors, including Medicare, Medicaid,
commercial and governmental payors. The majority of these payors
are billed electronically. Additionally, CHS receives payment
electronically from a large number of its payors. Hard copy
bills are generated from CHSs automated collection system
and distributed to third-party payors that are not billed
electronically and to self-pay patients. CHSs collection
activities occur at the branch level, with the billing and
collection activities of certain small branches performed by
larger branches located in the same geographic area. Each branch
maintains certain discretion regarding collection activities.
These activities include research of the reasons certain claims
are denied by third-party payors, resubmission of claims to
third-party payors, rebilling and distribution of statements for
self-pay and
follow-up
phone calls to third-party payors and self-pay patients. When
CHSs staff has followed these procedures and has
determined that certain amounts are uncollectible, the amounts
may be written-off, subject to certain required internal
approvals. CHS generally does not use a threshold or dollar
amount in determining whether to pursue collection or to write
off accounts. Write-offs are generally specifically identified,
with each write-off posted to the accounts receivable system.
Write-offs that meet the requirements of collection
agencies policies are turned over to collection agencies
for the further pursuit of payment.
105
For the nine months ended September 30, 2009 and for the
nine months ended September 30, 2008, a hypothetical change
of 100 basis points in the bad debt provision as a
percentage of net revenue would have impacted net income before
income taxes by approximately $1.9 million and
$1.7 million, respectively.
Goodwill and Intangible Assets. Goodwill
represents the excess of the cost of acquisitions over the fair
value of net assets acquired. Goodwill is not amortized and is
reviewed annually for impairment utilizing a two-step process.
The first step of the impairment test requires the
identification of the reporting units, and comparison of the
fair value of each of these reporting units to the respective
carrying value. The fair value of the reporting units is
determined based on valuation techniques using the best
information that is available, such as a multiple of earnings
before interest, taxes, depreciation and amortization or
discounted cash flow projections. If the carrying value is less
than the fair value, no impairment exists and the second step is
not performed. If the carrying value is higher than the fair
value, there is an indication that impairment may exist and the
second step must be performed to compute the amount of the
impairment. In the second step, the impairment is computed by
comparing the implied fair value of reporting unit goodwill with
the carrying amount of that goodwill. Generally accepted
accounting practices require goodwill to be tested for
impairment annually and when an event occurs or circumstances
change such that it is reasonably possible that an impairment
may exist. CHS to performs its annual testing in the fourth
quarter of each year. There were no impairment losses recognized
for the nine months ended September 30, 2009 or the year
ended December 31, 2008.
Intangible assets consist primarily of non-compete agreements,
trademarks related to brand names arising from acquisitions,
licenses and certificates of need. CHS records intangible assets
at their estimated fair value at the date of acquisition and
amortizes the related cost of the asset over the period of
expected benefit. The fair value of intangible assets assigned
to CHSs acquisitions during the first year subsequent to
the acquisition is based on a preliminary determination and is
subject to adjustment pending a final determination of purchase
price and a final valuation of the assets acquired and
liabilities assumed. Definite life purchased intangibles are
reviewed for impairment whenever events or changes in
circumstances indicate that the carrying amount of an asset may
not be recoverable from estimated future cash flows. In
accordance with generally accepted accounting practices,
intangible assets with indefinite lives are reviewed for
impairment annually or when an event occurs or circumstances
change such that it is reasonably possible that an impairment
may exist. There were no impairment losses recognized for the
nine months ended September 30, 2009 or the year ended
December 31, 2008.
Non-compete agreements are amortized on a straight-line basis
over the estimated life of each agreement, which ranges from one
to five years. The trademarks associated with Deaconess HomeCare
have limited lives of five years, and these trademarks are being
amortized over the estimated useful life. Trademarks with
indefinite lives are not amortized but are periodically reviewed
for impairment. Licenses are being amortized over a period of
one to two years. Certificates of need have indefinite lives and
are not amortized but are periodically reviewed for impairment.
Self-insurance. CHS is self-insured up to
certain limits for workers compensation costs and employee
medical benefits. CHS has purchased stop-loss coverage to limit
its exposure to significant individual workers
compensation or employee medical claims. Self-insured losses are
accrued for known and anticipated claims based upon certain
assumptions and historical claim payment patterns as well as
estimates of claims incurred but not yet reported based on
historical industry trends. These assumptions take into
consideration the historical average claim volume, the average
cost for settled claims, current trends in claim costs, changes
in CHSs business and workforce, and general economic
factors. CHSs self-insurance accruals are reviewed on a
quarterly basis, or more frequently if factors dictate a more
frequent review is warranted. CHSs valuation is performed
on an annual basis.
Projections of future loss are inherently uncertain because of
the random nature of insurance claim occurrences and could be
significantly affected if future occurrences and claims differ
from historical trends.
Income taxes. CHS accounts for income taxes
under the liability method in accordance with generally accepted
accounting practices. CHS recognizes deferred tax assets and
liabilities for the expected future tax consequences of events
that have been included in its financial statements or tax
returns. Deferred tax assets
106
and liabilities are determined based on the difference between
the financial statement and tax basis of assets and liabilities
using enacted tax rates in effect for the year in which the
differences are expected to reverse. CHS estimates the degree to
which tax assets and loss carryforwards will result in a benefit
based on expected profitability by tax jurisdiction.
CHS determines if a valuation allowance is required or not on
the basis of an assessment of whether it is more likely than not
that a deferred tax asset will be realized. This assessment
takes into consideration tax planning strategies, including
levels of historical taxable income and assumptions regarding
the availability and character of future taxable income over the
periods in which the deferred tax assets are deductible. The
effect of a change in judgment concerning the reliability of
deferred tax assets would be included in income from operations.
Results
of Operations
Nine
months ended September 30, 2009 compared to the nine months
ended September 30, 2008
Net
revenue (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
|
|
September 30,
|
|
|
Increase/Decrease
|
|
|
|
2009
|
|
|
2008
|
|
|
$
|
|
|
%
|
|
|
Home infusion
|
|
$
|
138,497
|
|
|
$
|
117,165
|
|
|
$
|
21,332
|
|
|
|
18.2
|
%
|
Home nursing
|
|
|
48,960
|
|
|
|
49,581
|
|
|
|
(621
|
)
|
|
|
(1.3
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$
|
187,457
|
|
|
$
|
166,746
|
|
|
$
|
20,711
|
|
|
|
12.4
|
%
|
Net revenue increased from $166.7 million for the nine
months ended September 30, 2008 to $187.5 million for
the nine months ended September 30, 2009, an increase of
$20.7 million or 12.4%. This change included an increase of
$21.3 million, or 18.2%, in infusion revenue from 2008 to
2009, during which time net revenue increased from
$117.2 million to $138.5 million. The increase was the
result of organic growth and the acquisition of Wilcox effective
April 1, 2008, Infusion Partners of Lexington effective
September 1, 2008, National Health Infusion effective
December 1, 2008 and Option Health effective June 1,
2009.
In July 2008, Congress passed MIPPA, which delayed round one of
the Medicare DMEPOS competitive bidding program authorized under
the Medicare Modernization Act for 18 months but also
imposed a 9.5% nationwide reduction on all items subject to the
competitive bidding process. The fee schedules of certain
commercial payors were also impacted by the Medicare rate
reduction, as the fee schedules are linked to the Medicare fee
schedules. CHS estimates the 9.5% reduction for Medicare and
certain commercial payors negatively impacted net revenue for
the nine months ending September 30, 2009 by
$0.6 million. Additionally, the Medicare cap on
reimbursement for certain oxygen equipment impacted net revenue
for the first time, beginning January 1, 2009. CHS
estimates the cap has resulted in a decrease in net revenue of
$0.2 million for the nine months ending September 30,
2009.
Nursing revenue decreased from $49.6 million to
$49.0 million for the nine months ended September 30,
2008 to September 30, 2009, a decrease of $0.6 million
or 1.3%. The decrease relates to certain restrictions that
TennCare placed on eligibility for private duty services
effective September 7, 2008. Additionally, Amerigroup
Community Care, one of two, third-party administrators for
TennCare in Middle Tennessee for private duty nursing, decreased
its private duty nursing rate effective August 1, 2008. The
resulting reduction in private duty nursing hours and rates
contributed to a $4.6 million, or 24.7%, decrease in
private duty nursing revenue, from $18.5 million for the
nine months ending September 30, 2008 to $13.9 million
for the nine months ending September 30, 2009. This
decrease in private duty nursing revenue was partially offset by
increases in skilled nursing revenue.
107
Cost of
goods (excluding depreciation and amortization) (dollars in
thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
September 30,
|
|
Increase/Decrease
|
|
|
2009
|
|
2008
|
|
$
|
|
%
|
|
Total
|
|
$
|
59,597
|
|
|
$
|
47,198
|
|
|
$
|
12,399
|
|
|
|
26.3
|
%
|
Percentage of net revenue
|
|
|
31.8
|
%
|
|
|
28.3
|
%
|
|
|
|
|
|
|
|
|
Total cost of goods (excluding depreciation and amortization)
increased from $47.2 million for the nine months ended
September 30, 2008 to $59.6 million for the nine
months ended September 30, 2009, an increase of
$12.4 million or 26.3%. The increase can be attributed to
the increase in product sales as noted above. Cost of goods
represented 43.0% of infusion net revenue for the nine months
ended September 30, 2009, as compared to 40.3% for the nine
months ended September 30, 2008. Cost of goods represents
pharmaceuticals and supplies related to the infusion business.
Cost of goods as a percentage of revenue increased in 2009 as a
result of changes in CHSs payor and therapy mix.
Cost of
services provided (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
September 30,
|
|
Increase/Decrease
|
|
|
2009
|
|
2008
|
|
$
|
|
%
|
|
Total
|
|
$
|
31,534
|
|
|
$
|
32,228
|
|
|
$
|
(694
|
)
|
|
|
(2.2
|
)%
|
Percentage of net revenue
|
|
|
16.8
|
%
|
|
|
19.3
|
%
|
|
|
|
|
|
|
|
|
Total cost of services provided decreased from
$32.2 million for the nine months ended September 30,
2008 to $31.5 million for the nine months ended
September 30, 2009, a decrease of $0.7 million or
2.2%. Cost of services provided represented 19.3% of total net
revenue for the nine months ended September 30, 2008 and
16.8% of total net revenue for the nine months ended
September 30, 2009. Salaries and wages related to the
private duty nursing business decreased by $1.4 million for
the nine months ended September 30, 2009 due to the
increased restrictions on TennCare patient eligibility and
resulting patient volume decrease.
Selling,
distribution and administrative expenses (dollars in
thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
September 30,
|
|
Increase/Decrease
|
|
|
2009
|
|
2008
|
|
$
|
|
%
|
|
Total
|
|
$
|
68,959
|
|
|
$
|
63,645
|
|
|
$
|
5,314
|
|
|
|
8.3
|
%
|
Percentage of net revenue
|
|
|
36.8
|
%
|
|
|
38.2
|
%
|
|
|
|
|
|
|
|
|
Total selling, distribution and administrative expenses
increased from $63.6 million for the nine months ended
September 30, 2008 to $69.0 million for the nine
months ended September 30, 2009, an increase of
$5.3 million or 8.3%. The increase related primarily to
salaries, payroll taxes and benefits, and contract labor, which
increased from $41.0 million to $46.5 million (an
increase of $5.5 million) and bad debt expense, which
increased from $3.8 million to $4.7 million (an
increase of $0.9 million). These increases were partially
offset by a $2.1 decrease in transaction expenses related to the
stock purchase agreement terminated in October 2008. Selling,
distribution and administrative expenses as a percentage of net
revenue decreased from 38.2% in 2008 to 36.8% in 2009 as CHS
gained more operating efficiencies from its increased scale.
Interest
and other financing costs (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
September 30,
|
|
Increase/Decrease
|
|
|
2009
|
|
2008
|
|
$
|
|
%
|
|
Total
|
|
$
|
5,493
|
|
|
$
|
9,231
|
|
|
$
|
(3,738
|
)
|
|
|
(40.5
|
)%
|
Percentage of net revenue
|
|
|
2.9
|
%
|
|
|
5.5
|
%
|
|
|
|
|
|
|
|
|
Interest and other financing costs decreased from
$9.2 million for the nine months ended September 30,
2008 to $5.5 million for the nine months ended
September 30, 2009, a decrease of $3.7 million or
40.5%. As
108
a percentage of net revenue, interest and other financing costs
decreased from 5.5% to 2.9% from 2008 to 2009. Total
interest-bearing debt decreased from $151.8 million at
September 30, 2008 to $142.3 million at
September 30, 2009, while the weighted-average interest
rate for the periods decreased from 7.1% to 4.3% from 2008 to
2009.
Provision
for income taxes (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
|
September 30,
|
|
Increase/Decrease
|
|
|
2009
|
|
2008
|
|
$
|
|
%
|
|
Total
|
|
$
|
7,239
|
|
|
$
|
5,574
|
|
|
$
|
1,665
|
|
|
|
29.9
|
%
|
Percentage of net revenue
|
|
|
3.9
|
%
|
|
|
3.3
|
%
|
|
|
|
|
|
|
|
|
The provision for income taxes increased from $5.6 million
for the nine months ended September 30, 2008 to
$7.2 million for the nine months ended September 30,
2009. The provision represented 38.3% and 47.4% of income before
taxes for the nine months ended September 30, 2009 and
2008, respectively. The decrease in the tax rate as a percentage
of income before taxes is primarily due to certain state income
tax planning measures adopted by CHS effective January 1,
2009.
Year
ended December 31, 2008 compared to the year ended
December 31, 2007
Net
revenue (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
|
|
December 31,
|
|
|
Increase/Decrease
|
|
|
|
2008
|
|
|
2007
|
|
|
$
|
|
|
%
|
|
|
Home infusion
|
|
$
|
164,693
|
|
|
$
|
131,356
|
|
|
$
|
33,337
|
|
|
|
25.4
|
%
|
Home nursing
|
|
|
66,175
|
|
|
|
62,497
|
|
|
|
3,678
|
|
|
|
5.9
|
|
Total
|
|
$
|
230,868
|
|
|
$
|
193,853
|
|
|
$
|
37,015
|
|
|
|
19.1
|
%
|
Net revenue increased from $193.9 million for the year
ended December 31, 2007 to $230.9 million for the year
ended December 31, 2008, an increase of $37.0 million
or 19.1%. This change included an increase of
$33.3 million, or 25.4%, in infusion revenue from 2008 to
2009, during which time net revenue increased from
$131.4 million to $164.7 million. The increase was the
result of organic growth and the acquisition of Wilcox Medical
effective April 1, 2008, Infusion Partners of Lexington
effective September 1, 2008 and National Health Infusion
effective December 1, 2008. The acquisitions resulted in an
increase in infusion locations from 33 at December 31, 2007
to 36 at December 31, 2008. Nursing revenue increased from
$62.5 million for the year ended December 31, 2007 to
$66.2 million for 2008, an increase of $3.7 million or
5.9%. The increase in nursing net revenue resulted from organic
growth, as CHS did not acquire any nursing business during the
period. While skilled nursing revenue increased by
$3.9 million, or 9.9%, from the year ended
December 31, 2007 to the year ended December 31, 2008,
private duty nursing revenue remained relatively flat,
contributing $23.6 million in net revenue in 2007 as
compared to $23.4 million in 2008. Private duty nursing net
revenue was impacted by certain restrictions that TennCare
placed on eligibility for private duty services effective
September 7, 2008. Additionally, Amerigroup Community Care,
one of two, third-party administrators for TennCare in Middle
Tennessee for private duty nursing, decreased its private duty
nursing rate effective August 1, 2008.
Cost of
goods (excluding depreciation and amortization) (dollars in
thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
December 31,
|
|
Increase/Decrease
|
|
|
2008
|
|
2007
|
|
$
|
|
%
|
|
Total
|
|
$
|
69,593
|
|
|
$
|
52,755
|
|
|
$
|
16,838
|
|
|
|
31.9
|
%
|
Percentage of net revenue
|
|
|
30.1
|
%
|
|
|
27.2
|
%
|
|
|
|
|
|
|
|
|
Total cost of goods (excluding depreciation and amortization)
increased from $52.8 million for the year ended
December 31, 2007 to $69.6 million for the year ended
December 31, 2008, an increase of $16.8 million
109
or 31.9%. The increase can be attributed to the increase in
product sales as noted above. Cost of goods represented 42.3% of
infusion net revenue for the year ended December 31, 2008,
as compared to 40.2% for the year ended December 31, 2007.
Cost of goods as a percentage of revenue increased in 2008 as a
result of changes in CHSs payor and therapy mix. Cost of
goods represents pharmaceuticals and supplies related to the
infusion business.
Cost of
services provided (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
December 31,
|
|
Increase/Decrease
|
|
|
2008
|
|
2007
|
|
$
|
|
%
|
|
Total
|
|
$
|
42,365
|
|
|
$
|
42,591
|
|
|
$
|
(226
|
)
|
|
|
(0.5
|
)%
|
Percentage of net revenue
|
|
|
18.4
|
%
|
|
|
22.0
|
%
|
|
|
|
|
|
|
|
|
Total cost of services provided decreased from
$42.6 million for the year ended December 31, 2007 to
$42.4 million for the year ended December 31, 2008, a
decrease of $0.2 million or 0.5%. Cost of services provided
represented 22.0% of total net revenue for the year ended
December 31, 2007 and 18.4% of total net revenue for the
year ended December 31, 2008.
Selling,
distribution and administrative expenses (dollars in
thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
December 31,
|
|
Increase/Decrease
|
|
|
2008
|
|
2007
|
|
$
|
|
%
|
|
Total
|
|
$
|
88,650
|
|
|
$
|
72,071
|
|
|
$
|
16,579
|
|
|
|
23.0
|
%
|
Percentage of net revenue
|
|
|
38.4
|
%
|
|
|
37.2
|
%
|
|
|
|
|
|
|
|
|
Total selling, distribution and administrative expenses
increased from $72.1 million for the year ended
December 31, 2007 to $88.7 million for the year ended
December 31, 2008, an increase of $16.6 million or
23.0%. The increase related primarily to salaries, payroll taxes
and benefits, and contract labor, which increased from
$47.1 million to $57.9 million (an increase of
$10.8 million), patient mileage expense, which increased
from $1.5 million to $3.7 million (an increase of
$2.2 million) and bad debt expense, which increased from
$4.6 million to $6.2 million (an increase of
$1.6 million). The increase in bad debt expense relates to
the overall growth in the business and the bad debt provision
for certain legacy accounts receivable balances. Selling,
distribution and administrative expenses as a percentage of net
revenue increased from 37.2% in 2007 to 38.4% in 2008.
Terminated
transaction costs (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
December 31,
|
|
Increase/Decrease
|
|
|
2008
|
|
2007
|
|
$
|
|
%
|
|
Total
|
|
$
|
3,580
|
|
|
$
|
4,379
|
|
|
$
|
(799
|
)
|
|
|
(18.2
|
)%
|
Percentage of net revenue
|
|
|
1.8
|
%
|
|
|
2.3
|
%
|
|
|
|
|
|
|
|
|
Terminated transaction costs for the year ending
December 31, 2008 represents expense related to CHSs
termination of a stock purchase agreement in October 2008. In
2007, CHS expensed $4.4 million related to its 2007 public
offering, which was withdrawn in January 2008.
Interest
and other financing costs (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
December 31,
|
|
Increase/Decrease
|
|
|
2008
|
|
2007
|
|
$
|
|
%
|
|
Total
|
|
$
|
12,114
|
|
|
$
|
15,324
|
|
|
$
|
(3,210
|
)
|
|
|
(20.9
|
)%
|
Percentage of net revenue
|
|
|
5.2
|
%
|
|
|
7.9
|
%
|
|
|
|
|
|
|
|
|
110
Interest and other financing costs decreased from
$15.3 million for the year ended December 31, 2007 to
$12.1 million for the year ended December 31, 2008, a
decrease of $3.2 million or 20.9%. As a percentage of net
revenue, interest and other financing costs decreased from 7.9%
to 5.2% from 2007 to 2008. Total interest-bearing debt decreased
from $154.8 million at December 31, 2007 to
$151.8 million at December 31, 2008, while the
weighted-average interest rate for the periods decreased from
9.4% for 2007 to 7.0% for 2008.
Provision
for income taxes (dollars in thousands)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
|
December 31,
|
|
Increase/Decrease
|
|
|
2008
|
|
2007
|
|
$
|
|
%
|
|
Total
|
|
$
|
4,979
|
|
|
$
|
2,328
|
|
|
$
|
2,651
|
|
|
|
113.9
|
%
|
Percentage of net revenue
|
|
|
2.2
|
%
|
|
|
1.2
|
%
|
|
|
|
|
|
|
|
|
The provision for income taxes increased from $2.3 million
for the year ended December 31, 2007 to $5.0 million
for the year ended December 31, 2008. The provision
represented 45.5% and 59.1% of income before taxes for the year
ended December 31, 2008 and 2007, respectively. The
decrease in the tax rate as a percentage of income before taxes
is primarily due to certain state income tax planning measures
adopted by CHS in early 2008. The tax rate was higher in 2007
due to certain costs that were not deductible for state income
tax purposes.
Year
ended December 31, 2007
Net
revenue
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
December 31, 2007
|
|
|
|
Amount
|
|
|
% of Total
|
|
|
|
(Dollars in thousands)
|
|
|
Net Revenue:
|
|
|
|
|
|
|
|
|
Home infusion
|
|
$
|
131,356
|
|
|
|
67.8
|
%
|
Home nursing
|
|
|
62,497
|
|
|
|
32.2
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$
|
193,853
|
|
|
|
100.0
|
%
|
|
|
|
|
|
|
|
|
|
CHSs net revenue was $193.9 million for the year
ended December 31, 2007. Its home infusion net revenue
totaled $131.4 million, or 67.8% of its net revenue for the
period. Net revenue in CHSs home infusion segment for the
year ended December 31, 2007 benefited from its
acquisitions of Deaconess in January 2007, Infusion Solutions in
March 2007, Applied in June 2007, Infusion Partners of Brunswick
and Infusion Partners of Melbourne in July 2007 and East Goshen
Pharmacy in August 2007. During this period, CHSs
operations grew from 10 locations in four states to 33 locations
in 14 states.
CHSs home nursing net revenue totaled $62.5 million,
or 32.2% of its net revenue for the period. Net revenue in its
home nursing segment during this period is solely attributable
to CHSs acquisition of Deaconess in January 2007. During
the year ended December 31, 2007, CHSs home nursing
segment provided over 348,000 nursing and therapy visits and
over 590,000 private duty nursing hours to patients in the home.
As of December 31, 2007, CHS had 3,162 active nursing
patients in three states.
Cost of
goods and cost of services
Cost of goods for CHSs home infusion segment was
$52.8 million for the year ended December 31, 2007, or
40.2% of its home infusion segment net revenue. Cost of goods
relates solely to CHSs home infusion segment and consisted
primarily of the cost of pharmaceuticals, supplies and
equipment. As noted above, CHSs net revenue benefited
during the period from the acquisitions of Deaconess, Infusion
Solutions, Applied, Infusion Partners of Brunswick, Infusion
Partners of Melbourne and East Goshen Pharmacy. This resulted in
a corresponding increase in the cost of goods and services
provided during the period. As of
111
December 31, 2007, CHS employed 688 employees and
operated 33 home infusion locations in its home infusion segment.
Cost of services for CHSs home infusion segment consisted
primarily of direct patient care salaries, payroll taxes,
employee benefits and contract labor, which totaled
$13.6 million and accounted for 10.4% of net revenue in
this segment during this period. This growth was the result of
organic growth as well as CHSs acquisition of Deaconess,
Infusion Solutions, Applied, Infusion Partners of Brunswick,
Infusion Partners of Melbourne and East Goshen Pharmacy during
this period.
Cost of services for CHSs home nursing segment consisted
primarily of direct patient care salaries, payroll taxes,
employee benefits and contract labor, which totaled
$29.0 million and accounted for 46.4% of net revenue in
this segment during this period. As of December 31, 2007,
CHS operated 32 home nursing locations in its home nursing
segment. As noted above, CHS acquired all of the business in its
home nursing segment through the Deaconess acquisition.
Selling,
distribution and administrative expense
Selling, distribution and administrative expense for the year
ended December 31, 2007 was $72.1 million, or 37.3% of
net revenue. Selling, distribution and administrative expense
consists primarily of $42.5 million of salaries, payroll
taxes and benefits, $4.6 million of provision for bad debt
and $4.5 million of employee travel, which accounted for
21.9%, 2.4% and 2.3%, respectively, of net revenue during this
period.
CHSs selling, distribution and administrative costs
increased as a result of the acquisitions of Deaconess, Infusion
Solutions, Applied, Infusion Partners of Brunswick, Infusion
Partners of Melbourne and East Goshen Pharmacy.
Depreciation
and amortization
Depreciation and amortization expense for the year ended
December 31, 2007 was $3.4 million, or 1.8% of net
revenue. Depreciation expense for this period related to
property and equipment totaled $3.0 million, and
amortization of capital lease assets totaled $0.4 million.
Stock
issuance expense
Stock issuance expense for the year ended December 31, 2007
was $4.4 million, or 2.3% of net revenue. Stock issuance
costs related to CHSs withdrawal of filing its initial
public offering with the SEC.
Interest
expense
Interest expense for the year ended December 31, 2007 was
$15.3 million, or 7.9% of net revenue. Interest expense
reflects primarily the cost of CHSs borrowings under its
first lien credit facility and its second lien term loan during
the period. The effective rate of these borrowings for the year
ended December 31, 2007 was 9.39%. CHSs indebtedness
increased due to its borrowings for the acquisitions of
Deaconess, Infusion Solutions, Infusion Partners of Brunswick
and Melbourne and East Goshen Pharmacy. CHS financed
approximately 72% of the cash purchase price payable at closing
for the Deaconess, Infusion Solutions acquisitions, Infusion
Partners of Brunswick and Melbourne and East Goshen Pharmacy,
while it financed approximately 54% of the cash purchase price
payable at closing for the New England Home Therapies and
Specialty Pharma acquisitions.
Other
income
Other income for the year ended December 31, 2007 was
$0.6 million, or less than 1% of net revenue.
Provision
for income taxes
Provision for income taxes for the year ended December 31,
2007 was $2.3 million, or 1.2% of net revenue. This
represents an effective tax rate of 59.1% and includes federal
and state income tax provisions.
112
CHSs effective tax rate is based on expected income,
statutory tax rates and tax planning opportunities available to
it in the various jurisdictions in which it operates.
Seasonality
Although CHSs results of operations are not affected to a
material extent by seasonal variations in demand for its
products or services, a small number of its products, however,
are subject to fluctuations in demand due to seasonality. For
example, Respiratory Synctial Virus (RSV) treatments
are of a seasonal nature because RSV season lasts from
approximately October through April each year. As a result,
CHSs net revenue from Synagis is higher during the first
and fourth quarters of each year than during the second and
third quarters of each year. Net revenue from Synagis accounted
for approximately 5.0% and 2.7% of total net revenue for the
nine months ended September 30, 2009 and 2008, respectively.
Liquidity
and Capital Resources
Overview
CHS has financed its operations primarily through cash provided
by operating activities, private sales of shares of CHSs
common and preferred stock and borrowings under its First Lien
Facility and its Second Lien Term Loan. These sources of
financing have been CHSs principal sources of liquidity to
date. See Critical Homecare Solutions Holdings, Inc.
Management Discussion and Analysis of Financial Condition and
Results of Operations The Company for more
information regarding the private sales of shares of CHSs
common and preferred stock, which were completed in connection
with acquisitions completed by CHS. See Credit
Facilities for a discussion of the terms of CHSs
First Lien Facility and Second Lien Term Loan, which are to be
repaid in connection with the acquisition.
CHS believes that its existing cash on hand, cash generated from
operating activities and available borrowings under its First
Lien Facility will be sufficient to satisfy its currently
anticipated cash requirements at least through the next
12 months and thereafter.
CHS is a holding company with no material business operations.
CHSs most significant asset is the capital stock of its
subsidiary Critical Homecare Solutions, Inc., which is itself a
holding company. CHS conducts virtually all of its business
operations through the direct and indirect subsidiaries of
Critical Homecare Solutions, Inc. Accordingly, CHSs only
material sources of cash are dividends or other distributions or
payments that are derived from earnings and cash flow generated
by these subsidiaries. In addition, CHSs credit facilities
have restricted the ability of Critical Homecare Solutions, Inc.
to make dividends or other distributions to CHS. Critical
Homecare Solutions, Inc. has been dependent on its subsidiaries
to generate sufficient funds to service its substantial
indebtedness, which is secured by substantially all of
CHSs assets, including the common stock of Critical
Homecare Solutions, Inc.s subsidiaries.
Cash
Flows
As of September 30, 2009, CHS had cash and cash equivalents
of $6.9 million.
Net cash flow provided by operating activities increased to
$22.3 million for the nine months ended September 30,
2009 from $5.6 million for the nine months ended
September 30, 2008. This $16.7 million increase was
primarily due to a change in operating activities and accounts
receivable during the respective periods. The change in cash
provided by operating activities is due primarily to
acquisitions completed during the respective periods, a decrease
in accounts receivable and a decrease in interest and other
financing costs. Cash flows for the nine months ended
September 30, 2009 include results for the Wilcox Medical
acquisition effective April 1, 2008 and the Infusion
Partners of Lexington acquisition effective September 1,
2008. In addition, cash flows for the nine months ended
September 20, 2009 include results for the National Health
Infusion acquisition effective December 1, 2008 and the
Option Health acquisition effective June 1, 2009. Interest
and other financing costs decreased due to additional repayments
of long-term debt and a decrease in the weighted-average
interest rate from 7.14% for the nine months ending
September 30, 2008 to 4.33% for the nine months ended
September 30, 2009. Accounts receivable provided net cash
of $5.9 million for the nine months ending
September 30, 2009, whereas accounts receivable for the
nine months ending
113
September 30, 2008 used $4.4 million in net cash. Days
sales outstanding, net of reserves, decreased from 75 days
at September 30, 2008 to 64 days at September 30,
2009.
Net cash used in investing activities decreased to
$8.7 million for the nine months ended September 30,
2009 from $15.2 million for the nine months ended
September 30, 2008. This $6.5 million decrease
primarily resulted from a decrease in payments for business
acquisitions and a decrease in repayment of amounts due to
sellers. These changes were due to a decrease in the number of
business acquisitions from 2008 to 2009. During the nine months
ended September 30, 2009, CHS acquired one business for
cash of $6.3 million. During the nine months ended
September 30, 2008, CHS acquired two businesses for cash of
$10.3 million.
Net cash used in financing activities was $7.0 million for
the nine months ended September 30, 2009 compared to net
cash provided of $9.5 million for the nine months ended
September 30, 2008. This $16.5 million decrease was
primarily due to decreased proceeds from borrowings, decreased
proceeds from the issuance of preferred stock and increased
repayment of long-term debt. Proceeds from borrowings and
proceeds from the issuance of preferred stock decreased due to
decreased payments for business acquisitions. Repayment of
long-term debt increased by $5.7 million as increased cash
provided by operating activities allowed CHS to repay all
borrowings under its revolving credit facility in 2009.
Capital Expenditures. CHS had capital
expenditures of $2.4 million during the nine months ended
September 30, 2009 and $2.5 million during the nine
months ended September 30, 2008. Capital expenditures in
each period related primarily to purchases of medical equipment
and vehicles.
In the absence of future significant acquisitions, CHS expects
to incur approximately $700,000 of additional non-acquisition
related capital expenditures during the remainder of 2009 and
$4.0 million in 2010. CHS expects capital expenditures will
be primarily to purchase medical equipment and vehicles. In the
Agreement and Plan of Merger, CHS has agreed that it will not
make capital expenditures of more than $1 million in any
quarter without the approval of BioScrip.
Credit
Facilities
CHS financed a portion of its operations through its first lien
credit facility and second lien term loan.
Components of the facility include a first-priority senior
secured $116.0 million Term Loan A facility (Term
Loan A), a first-priority senior secured
$20.0 million revolving credit facility (the
Revolver and, collectively with Term Loan A, the
First Lien Facilities), and a second-priority senior
secured $34.0 million Term Loan B facility (Term Loan
B or Second Lien Facility).
Borrowings under the First Lien Facilities are secured by
substantially all of CHSs assets. Second Lien Facility
borrowings are secured on a second-priority basis, subordinate
only to the First Lien Facilities, by substantially all the
assets of CHS. In connection with the closing of the merger,
BioScrip, on behalf of CHS, will repay all borrowings
outstanding under the First Lien Facilities and the Second Lien
Facility, and the facilities shall be cancelled and all liens
under such facilities will be released.
As of September 30, 2009, CHS had $105.6 million of
outstanding borrowings under Term Loan A and $34.0 million
of outstanding borrowings under Term Loan B. As of
September 30, 2009 there were no outstanding borrowings
under the Revolver.
The weighted-average interest rate for the nine months ended
September 30, 2009 and 2008 was 4.33% and 7.14%,
respectively. The effective interest rate, after considering
amortization of deferred financing fees, approximated 4.85% and
7.62% for the nine months ended September 30, 2009 and
2008, respectively.
Term Loan A matures in January 2012 and principal is repayable
in quarterly installments of $1.4 million each in 2009 that
escalate to $2.9 million in 2011, with the balance due at
maturity. Interest on Term Loan A is based on the banks
Alternative Base Rate (as defined by the respective agreement)
plus the applicable margin of 1.5% to 2.5%, or the LIBOR rate
plus the applicable margin of 2.75% to 3.75%. The applicable
margin is subject to varying increments based on changes in
leverage.
Term Loan B matures in January 2013, and is not subject to
scheduled amortization. Interest on the Term Loan B is based on
the banks Alternative Base Rate (as defined by the
respective agreement), plus the applicable margin of 5.25%, or
the LIBOR rate plus the applicable margin of 6.50%.
114
The Revolver includes a facility for up to $4.0 million of
standby letters of credit. A commitment fee is payable quarterly
at 0.5% per annum of the undrawn portion of the Revolver. The
Revolver is a component of the First Lien Facilities and bears
interest at the rates established in the related first lien
agreements. Outstanding letters of credit totaled
$2.4 million as of September 30, 2009.
Amounts borrowed on the Term Loan A and Term Loan B that are
repaid or prepaid may not be re-borrowed. Amounts repaid under
the Revolver may be re-borrowed.
CHS is required under the terms of the First Lien Facilities and
the Second Lien Facility to maintain certain financial ratio
covenants, including the following:
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|
|
minimum adjusted EBITDA, which requires that CHSs adjusted
EBITDA for the most recently completed four fiscal quarters
exceed certain thresholds. CHSs minimum adjusted EBITDA is
tested on a quarterly basis. As of September 30, 2009,
CHSs First Lien Facility required that it maintain
adjusted EBITDA of $31.3 million and its Second Lien Term
Loan required that it maintain adjusted EBITDA of
$27.3 million.
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a maximum total leverage ratio, which requires that CHSs
ratio of consolidated indebtedness to its adjusted EBITDA for
the most recently completed four fiscal quarters not exceed
certain thresholds. The maximum total leverage ratio is tested
on a quarterly basis. As of September 30, 2009, CHSs
First Lien Facility required that this ratio not exceed
3.75:1.00 and its Second Lien Term Loan required that this ratio
not exceed 4.00:1.00.
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a fixed charge coverage ratio, which requires that CHSs
ratio of (i) adjusted EBITDA for the most recently
completed four fiscal quarters less capital expenditures, income
tax expense and dividends paid to it by Critical Homecare
Solutions, Inc. to (ii) the sum of cash interest expense
and all scheduled debt repayments exceed certain thresholds. The
fixed charge coverage ratio is tested on a quarterly basis. As
of September 30, 2009, CHSs First Lien Facility
required that this ratio exceed 1.10:1.00 and its Second Lien
Term Loan required that this ratio exceed 1.00:1.00.
|
In addition, it is a condition of any borrowing under CHSs
revolving credit facility under its First Lien Facility that it
be in material compliance with the provisions of, and not be in
default under, its First Lien Facility. As of September 30,
2009, CHS was in compliance with all of the financial and other
covenants under its credit facilities.
Note
Payable
In June 2009, CHS issued a $2.25 million 8% note due
on December 31, 2010. Interest is payable quarterly in
arrears. The note is subordinated in right of payment to all
existing senior indebtedness. The note was used as partial
consideration for the purchase of Option Health, Ltd.
Commitments
and Contingencies
The following table sets forth CHSs contractual
obligations as of September 30, 2009.
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|
|
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|
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|
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|
|
|
|
|
|
|
|
|
|
Payments Due by Period
|
|
|
|
|
|
|
2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
(3 months)
|
|
|
2010
|
|
|
2011
|
|
|
2012
|
|
|
Thereafter
|
|
|
|
(In thousands)
|
|
|
Long Term Debt Obligations
|
|
$
|
141,902
|
|
|
$
|
1,445
|
|
|
$
|
10,917
|
|
|
$
|
11,556
|
|
|
$
|
83,984
|
|
|
$
|
34,000
|
|
Interest-Long Term Debt Obligations*
|
|
|
15,267
|
|
|
|
1,523
|
|
|
|
5,887
|
|
|
|
5,384
|
|
|
|
2,396
|
|
|
|
77
|
|
Capital Lease Obligations
|
|
|
395
|
|
|
|
42
|
|
|
|
140
|
|
|
|
116
|
|
|
|
78
|
|
|
|
19
|
|
Operating Lease Obligations
|
|
|
8,213
|
|
|
|
864
|
|
|
|
3,001
|
|
|
|
2,112
|
|
|
|
1,474
|
|
|
|
762
|
|
Interest-Capital Lease Obligations
|
|
|
29
|
|
|
|
2
|
|
|
|
10
|
|
|
|
9
|
|
|
|
6
|
|
|
|
2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$
|
165,806
|
|
|
$
|
3,876
|
|
|
$
|
19,955
|
|
|
$
|
19,177
|
|
|
$
|
87,938
|
|
|
$
|
34,860
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* |
|
Computed using interest rates in effect as of September 30,
2009. |
115
On January 8, 2007, Critical Homecare Solutions, Inc.
issued a $0.7 million letter of credit against CHSs
First Lien Facility to secure its performance on its
workers compensation policy. This letter of credit has a
term of one year, and was renewed for an additional year in
January 2008 for an increase of $1.1 million for a total of
$1.8 million. On September 26, 2007, CHS issued a
letter of credit against the First Lien Facilities in the amount
of $75,000 securing CHSs performance under a vehicle lease
agreement that was executed in the fourth quarter of 2007. The
letter of credit expires on August 7, 2010.
On January 8, 2009, CHS issued a letter of credit against
the First Lien Facilities in the amount of $480,000 to secure
its performance on its workers compensation policy written
by a new carrier.
Inflation
CHS is impacted by rising costs for certain inflation-sensitive
operating expenses such as vehicle fuel, labor and employee
benefits. CHS believes that inflation will not have a material
effect on its business but may have an impact on its future
financial results.
Off-Balance
Sheet Arrangements
As of September 30, 2009, CHS had no off-balance sheet
arrangements or obligations.
Quantitative
and Qualitative Disclosures About Market Risk
Interest
rate risk
Based on the variable-rate debt in CHSs debt portfolio at
September 30, 2009, a one percent increase or decrease in
interest rates would increase or decrease, respectively,
CHSs interest expense by $1.4 million on an annual
basis.
116
UNAUDITED
PRO FORMA COMBINED FINANCIAL INFORMATION OF BIOSCRIP
The following unaudited pro forma combined financial information
has been prepared to assist you in your analysis of the
financial effects of the merger of BioScrip with CHS. The
unaudited pro forma combined financial information was prepared
using the historical consolidated financial statements of
BioScrip and CHS. This information should be read in conjunction
with, and is qualified in its entirety by, the consolidated
financial statements and accompanying notes of BioScrip and CHS
included in or incorporated by reference into this proxy
statement.
The accompanying unaudited pro forma combined financial
information gives effect to the merger with CHS, assuming a
purchase price of $242 million in cash, which will be used
to retire approximately $132 million of CHS debt, and the
issuance of BioScrip common stock and warrants. The assumed
preliminary fair value of the common stock is $108 million,
based on a price per share of $8.3441, and the value of the
warrants is $15 million, for total merger consideration of
$365 million. The pro forma adjustments related to the
merger with CHS are preliminary and do not reflect the final
purchase price, final debt components or final allocation of the
excess of the purchase price over the fair value of the assets
and liabilities of CHS, as the process to assign a fair value to
the various tangible and intangible assets acquired and
liabilities assumed has only just commenced. BioScrip has not
had sufficient time to completely evaluate the significant
identifiable assets and liabilities assumed of CHS, and in
particular CHSs unique identifiable intangible assets.
Accordingly, the pro forma adjustments, including the
allocations of purchase price, are very preliminary and have
been made solely for the purpose of providing unaudited pro
forma consolidated financial information. Final adjustments will
result in modifications to the final purchase price, debt
components and allocation of the purchase price, which will
affect the fair value assigned to the tangible or intangible
assets and amount of interest expense, depreciation and
amortization expense, and other recorded in the statement of
operations. The effect of the changes to the statements of
operations could be material. The unaudited pro forma financial
information is not necessarily indicative of the combined
results of operations or financial position that might have been
achieved for the dates or periods indicated, nor is it
necessarily indicative of the results of operations or financial
position that may occur in the future.
The historical consolidated financial information has been
adjusted in the unaudited pro forma combined financial
information to give effect to pro forma events that are
(1) directly attributable to the merger, (2) factually
supportable, and (3) with respect to the statements of
operations, expected to have a continuing impact on the combined
results. The pro forma information does not reflect revenue
opportunities and cost savings that we expect to realize after
the merger with CHS. No assurance can be given with respect to
the estimated revenue opportunities and operating cost savings
that are expected to be realized as a result of the merger with
CHS. The pro forma financial information also does not reflect
expenses related to integration activity or exit costs that may
be incurred by BioScrip or CHS in connection with this merger.
The unaudited pro forma combined balance sheet assumes that the
merger with CHS took place on September 30, 2009 and
combines BioScrips unaudited September 30, 2009
balance sheet with the unaudited balance sheet of CHS as of
September 30, 2009. The unaudited pro forma combined
statements of operations for the fiscal year ended
December 31, 2008 and the nine months ended
September 30, 2009 assume that the merger with CHS took
place on January 1, 2008. The unaudited pro forma combined
statement of operations for the fiscal year ended
December 31, 2008 combines BioScrips audited
consolidated statement of operations for the fiscal year ended
December 31, 2008 with CHSs audited consolidated
statement of operations for the fiscal year ended
December 31, 2008. The unaudited pro forma combined
statement of operations for the nine months ended
September 30, 2009 combines BioScrips unaudited
consolidated statement of operations for the nine months ended
September 30, 2009 with CHSs unaudited consolidated
statement of operations for the nine months ended
September 30, 2009.
117
BIOSCRIP
INC
UNAUDITED
PRO FORMA COMBINED BALANCE SHEET
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BioScrip
|
|
|
CHS
|
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|
|
|
|
|
|
|
Historical
|
|
|
Historical
|
|
|
Preliminary
|
|
|
|
|
|
|
September 30,
|
|
|
September 30,
|
|
|
Pro Forma
|
|
|
Pro Forma
|
|
|
|
2009
|
|
|
2009
|
|
|
Adjustments
|
|
|
Combined
|
|
|
|
(in thousands, except for per share amounts)
|
|
|
ASSETS
|
Current assets
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
|
|
|
$
|
6,857
|
|
|
$
|
23,416
|
(A)
|
|
$
|
30,273
|
|
Receivables, net
|
|
|
147,326
|
|
|
|
42,592
|
|
|
|
|
|
|
|
189,918
|
|
Inventory
|
|
|
47,833
|
|
|
|
3,935
|
|
|
|
|
|
|
|
51,768
|
|
Prepaid expenses and other current assets
|
|
|
3,866
|
|
|
|
2,571
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|
|
|
|
|
|
|
6,437
|
|
Deferred tax assets
|
|
|
|
|
|
|
3,662
|
|
|
|
|
|
|
|
3,662
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
199,025
|
|
|
|
59,617
|
|
|
|
23,416
|
|
|
|
282,058
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Property and equipment, net
|
|
|
15,674
|
|
|
|
7,254
|
|
|
|
|
|
|
|
22,928
|
|
Goodwill
|
|
|
24,498
|
|
|
|
220,350
|
|
|
|
83,537
|
(B)
|
|
|
328,385
|
|
Intangible assets
|
|
|
|
|
|
|
21,605
|
|
|
|
|
|
|
|
21,605
|
|
Deferred financing fees
|
|
|
|
|
|
|
1,605
|
|
|
|
10,395
|
(C)
|
|
|
12,000
|
|
Other assets
|
|
|
983
|
|
|
|
1,820
|
|
|
|
|
|
|
|
2,803
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
240,180
|
|
|
$
|
312,251
|
|
|
$
|
117,348
|
|
|
$
|
669,779
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY
|
Current liabilities
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Line of credit
|
|
$
|
39,584
|
|
|
$
|
|
|
|
$
|
(39,584
|
)(A)
|
|
$
|
|
|
Current portion of long term debt
|
|
|
|
|
|
|
7,945
|
|
|
$
|
(5,445
|
)(D)
|
|
|
2,500
|
|
Current portion of capital lease obligations
|
|
|
|
|
|
|
145
|
|
|
|
|
|
|
|
145
|
|
Accounts payable
|
|
|
62,909
|
|
|
|
2,905
|
|
|
|
|
|
|
|
65,814
|
|
Claims payable
|
|
|
4,228
|
|
|
|
|
|
|
|
|
|
|
|
4,228
|
|
Income taxes payable
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Amounts due to plan sponsors
|
|
|
5,951
|
|
|
|
|
|
|
|
|
|
|
|
5,951
|
|
Accrued expenses and other current liabilities
|
|
|
10,200
|
|
|
|
18,544
|
|
|
|
|
|
|
|
28,744
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
122,872
|
|
|
|
29,539
|
|
|
|
(45,029
|
)
|
|
|
107,382
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deferred taxes
|
|
|
1,095
|
|
|
|
7,339
|
|
|
|
|
|
|
|
8,434
|
|
Income taxes payable long term
|
|
|
3,512
|
|
|
|
|
|
|
|
|
|
|
|
3,512
|
|
Capital lease obligations
|
|
|
|
|
|
|
250
|
|
|
|
|
|
|
|
250
|
|
Long term debt
|
|
|
|
|
|
|
133,958
|
|
|
|
188,542
|
(E)
|
|
|
322,500
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
127,479
|
|
|
|
171,086
|
|
|
|
143,513
|
|
|
|
442,078
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CHS Preferred stock
|
|
|
|
|
|
|
25,036
|
|
|
|
(25,036
|
)(F)
|
|
|
|
|
Stockholders equity
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Common stock in excess of par value
|
|
|
4
|
|
|
|
91
|
|
|
|
(91
|
)(G)
|
|
|
4
|
|
Treasury stock, shares at cost
|
|
|
(10,366
|
)
|
|
|
|
|
|
|
|
|
|
|
(10,366
|
)
|
Additional paid-in capital
|
|
|
252,274
|
|
|
|
96,524
|
|
|
|
26,476
|
(H)
|
|
|
375,274
|
|
Accumulated (deficit) earnings
|
|
|
(129,211
|
)
|
|
|
19,514
|
|
|
|
(27,514
|
)(I)
|
|
|
(137,211
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total stockholders equity
|
|
|
112,701
|
|
|
|
116,129
|
|
|
|
(1,129
|
)
|
|
|
227,701
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total liabilities and stockholders equity
|
|
$
|
240,180
|
|
|
$
|
312,251
|
|
|
$
|
117,348
|
|
|
$
|
669,779
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes to unaudited pro forma combined financial
information including Note 6
for an explanation of the preliminary pro forma adjustments
118
BIOSCRIP
INC
UNAUDITED
PRO FORMA COMBINED STATEMENT OF OPERATIONS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BioScrip
|
|
|
CHS
|
|
|
|
|
|
|
|
|
|
Historical
|
|
|
Historical
|
|
|
|
|
|
|
|
|
|
Fiscal Year Ended
|
|
|
Fiscal Year Ended
|
|
|
Preliminary
|
|
|
|
|
|
|
December 31,
|
|
|
December 31,
|
|
|
Pro Forma
|
|
|
Pro Forma
|
|
|
|
2008
|
|
|
2008
|
|
|
Adjustments
|
|
|
Combined
|
|
|
|
(in thousands, except for per share amounts)
|
|
|
Revenue(1)
|
|
$
|
1,401,911
|
|
|
$
|
230,868
|
|
|
|
|
|
|
$
|
1,632,779
|
|
Cost of revenue
|
|
|
1,259,741
|
|
|
|
111,958
|
|
|
|
|
|
|
|
1,371,699
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit
|
|
|
142,170
|
|
|
|
118,910
|
|
|
|
|
|
|
|
261,080
|
|
Selling, general and administrative expenses
|
|
|
116,904
|
|
|
|
82,409
|
|
|
|
|
|
|
|
199,313
|
|
Bad debt expense
|
|
|
4,667
|
|
|
|
6,241
|
|
|
|
|
|
|
|
10,908
|
|
Goodwill and intangible impairment charges
|
|
|
93,882
|
|
|
|
|
|
|
|
|
|
|
|
93,882
|
|
Terminated transaction costs
|
|
|
|
|
|
|
3,580
|
|
|
|
|
|
|
|
3,580
|
|
Depreciation and amortization
|
|
|
10,234
|
|
|
|
3,615
|
|
|
|
|
|
|
|
13,849
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) income from operations
|
|
|
(83,517
|
)
|
|
|
23,065
|
|
|
|
|
|
|
|
(60,452
|
)
|
Interest expense, net
|
|
|
2,711
|
|
|
|
12,119
|
|
|
|
16,198
|
(A)
|
|
|
31,028
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Loss) income before income taxes
|
|
|
(86,228
|
)
|
|
|
10,946
|
|
|
|
(16,198
|
)
|
|
|
(91,480
|
)
|
Tax (benefit) provision
|
|
|
(12,196
|
)
|
|
|
4,979
|
|
|
|
(6,479
|
)(B)
|
|
|
(13,696
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) income
|
|
|
(74,032
|
)
|
|
|
5,967
|
|
|
|
(9,719
|
)
|
|
|
(77,784
|
)
|
Cumulative preferred stock dividends
|
|
|
|
|
|
|
(244
|
)
|
|
|
244
|
(C)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) income available to common stockholders
|
|
$
|
(74,032
|
)
|
|
$
|
5,723
|
|
|
$
|
(9,475
|
)
|
|
$
|
(77,784
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net (loss) income available to common stockholders per share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$
|
(1.93
|
)
|
|
$
|
0.06
|
|
|
|
|
|
|
$
|
(1.51
|
)
|
Diluted
|
|
$
|
(1.93
|
)
|
|
$
|
0.06
|
|
|
|
|
|
|
$
|
(1.51
|
)
|
Weighted average common shares outstanding
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
|
38,417
|
|
|
|
90,898
|
|
|
|
|
|
|
|
51,360
|
|
Diluted
|
|
|
38,417
|
|
|
|
96,857
|
|
|
|
|
|
|
|
51,360
|
|
See accompanying notes to unaudited pro forma combined financial
information including Note 7
for an explanation of the preliminary pro forma adjustments
119
BIOSCRIP
INC
UNAUDITED
PRO FORMA COMBINED STATEMENT OF OPERATIONS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BioScrip
|
|
|
CHS
|
|
|
|
|
|
|
|
|
|
Historical
|
|
|
Historical
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
Nine Months Ended
|
|
|
Preliminary
|
|
|
|
|
|
|
September 30,
|
|
|
September 30,
|
|
|
Pro Forma
|
|
|
Pro Forma
|
|
|
|
2009
|
|
|
2009
|
|
|
Adjustments
|
|
|
Combined
|
|
|
|
(in thousands, except for per share amounts)
|
|
|
Revenue(1)
|
|
$
|
987,974
|
|
|
$
|
187,457
|
|
|
|
|
|
|
$
|
1,175,431
|
|
Cost of revenue
|
|
|
872,100
|
|
|
|
91,131
|
|
|
|
|
|
|
|
963,231
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Gross profit
|
|
|
115,874
|
|
|
|
96,326
|
|
|
|
|
|
|
|
212,200
|
|
Selling, general and administrative expenses
|
|
|
90,739
|
|
|
|
64,274
|
|
|
|
|
|
|
|
155,013
|
|
Bad debt expense
|
|
|
5,410
|
|
|
|
4,685
|
|
|
|
|
|
|
|
10,095
|
|
Depreciation and amortization
|
|
|
3,596
|
|
|
|
2,986
|
|
|
|
|
|
|
|
6,582
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income from operations
|
|
|
16,129
|
|
|
|
24,381
|
|
|
|
|
|
|
|
40,510
|
|
Interest expense, net
|
|
|
1,471
|
|
|
|
5,492
|
|
|
|
16,308
|
(A)
|
|
|
23,271
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes
|
|
|
14,658
|
|
|
|
18,889
|
|
|
|
(16,308
|
)
|
|
|
17,239
|
|
Tax provision (benefit)
|
|
|
1,249
|
|
|
|
7,239
|
|
|
|
(6,523
|
)(B)
|
|
|
1.965
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
13,409
|
|
|
|
11,650
|
|
|
|
(9,785
|
)
|
|
|
15,274
|
|
Cumulative preferred stock dividends
|
|
|
|
|
|
|
(1,291
|
)
|
|
|
1,291
|
(C)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income available to common stockholders
|
|
$
|
13,409
|
|
|
$
|
10,359
|
|
|
$
|
(8,494
|
)
|
|
$
|
15,274
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income available to common stockholders per share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
$
|
0.35
|
|
|
$
|
0.11
|
|
|
|
|
|
|
$
|
0.30
|
|
Diluted
|
|
$
|
0.34
|
|
|
$
|
0.10
|
|
|
|
|
|
|
$
|
0.29
|
|
Weighted average common shares outstanding:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Basic
|
|
|
38,807
|
|
|
|
90,898
|
|
|
|
|
|
|
|
51,750
|
|
Diluted
|
|
|
39,345
|
|
|
|
104,424
|
|
|
|
|
|
|
|
52,288
|
|
See accompanying notes to unaudited pro forma combined financial
information including Note 7
for an explanation of the preliminary pro forma adjustments
120
BIOSCRIP,
INC.
NOTES TO
UNAUDITED PRO FORMA COMBINED FINANCIAL INFORMATION
|
|
1.
|
Description
of Transaction
|
On January 24, 2010, BioScrip entered into an Agreement and
Plan of Merger with Camelot, CHS, the Stockholders
Representative, and the Stockholders. CHS is a privately held
company that is a leading provider of home infusion therapy and
home nursing products and services to patients suffering from
chronic and acute medical conditions. Pursuant to the Agreement
and Plan of Merger, at the effective time of the merger, CHS
will merge with and into Camelot, with Camelot as the surviving
entity.
If the merger is completed, BioScrip will:
|
|
|
|
|
repay the net indebtedness of CHS, which is approximately
$132 million at December 31, 2009;
|
|
|
|
pay cash consideration of $110 million;
|
|
|
|
issue 12,655,649 shares of BioScrip common stock of which
2,696,516 shares initially will be held in escrow to fund
indemnification payments, if any; and
|
|
|
|
issue warrants to acquire 3,400,945 shares of BioScrip
common stock, exercisable at $10 per share over a five-year
period.
|
In order to fund the cash payments and refinance existing
indebtedness of CHS and BioScrip, BioScrip has entered into a
commitment letter with Jefferies Finance, pursuant to which
Jefferies Finance has committed to provide BioScrip with
$375 million in debt financing, comprised of
$150 million senior credit facilities and $225 million
in other debt facilities.
As consideration for the acquisition of CHS, each share of CHS
common stock issued and outstanding immediately prior to the
effective time of the merger will be converted into the right to
receive (i) a number of shares of BioScrip common stock,
par value $0.0001 per share, (ii) cash and
(iii) following the closing of the merger, its pro rata
share of any dividends or distributions of BioScrip common stock
made from the escrow fund, in each case calculated in accordance
with the terms of the Agreement and Plan of Merger. In addition,
at the closing, BioScrip will issue to the Stockholders and
certain optionholders of CHS a number of warrants to purchase
shares of BioScrip common stock.
The unaudited pro forma combined financial information is based
on the historical financial statements of BioScrip and CHS and
prepared and presented pursuant to the regulations of the
Securities and Exchange Commission regarding pro forma financial
information. The pro forma adjustments include the application
of the acquisition method under Accounting Standards
Codification (ASC) Topic 805, Business Combinations, with
respect to the merger.
ASC Topic 805 requires, among other things, that identifiable
assets acquired and liabilities assumed be recognized at their
fair values as of the acquisition date, which is presumed to be
the closing date of the merger.
The merger is expected to be closed on or around March 31,
2010. Accordingly, the pro forma adjustments reflected in the
accompanying unaudited pro forma combined financial information
may be materially different from the actual acquisition
accounting adjustments required as of the acquisition date. In
addition, ASC Topic 805 establishes that the value of
equity-related consideration transferred in a business
combination be measured as of the acquisition date. Depending on
the magnitude of changes in the value of BioScrip common stock
between this filing date and the acquisition date, the aggregate
value of the merger consideration paid to the stockholders could
differ from the amount assumed in this unaudited pro forma
combined financial information.
121
BIOSCRIP,
INC.
NOTES TO
UNAUDITED PRO FORMA COMBINED FINANCIAL
INFORMATION (Continued)
Under ASC Topic 820, Fair Value Measurements and Disclosures,
fair value is defined 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. ASC 820 specifies a hierarchy of valuation
techniques based on the nature of the inputs used to develop the
fair value measures. This is an exit price concept for the
valuation of the asset or liability. In addition, market
participants are assumed to be unrelated buyers and sellers in
the principal or the most advantageous market for the asset or
liability. Fair value measurements for an asset assume the
highest and best use by these market participants. Many of these
fair value measurements can be highly subjective and it is also
possible that other professionals, applying reasonable judgment
to the same facts and circumstances, could develop and support a
range of alternative estimated amounts.
Total merger-related transaction costs to be incurred by
BioScrip are expected to be $20 million, which includes
approximately $12 million of costs associated with the
issuance of debt. Under ASC Topic 805, merger-related
transaction costs (such as advisory, legal, valuation and other
professional fees) are not included as components of
consideration transferred but are accounted for as expenses in
the periods in which the costs are incurred. The unaudited pro
forma combined balance sheet reflects anticipated merger-related
transaction costs to be incurred by BioScrip which are estimated
to be approximately $8 million and assumed to be paid in
connection with the closing of the merger. Costs associated with
debt issuance will be amortized over the life of the underlying
debt instrument.
The historical consolidated financial information has been
adjusted in the unaudited pro forma combined financial
information to give effect to pro forma events that are
(1) directly attributable to the merger, (2) factually
supportable, and (3) with respect to the statements of
earnings, expected to have a continuing impact on the combined
results. The pro forma financial information does not reflect
revenue opportunities and cost savings that we expect to realize
after the merger with CHS. No assurance can be given with
respect to the estimated revenue opportunities and operating
cost savings that are expected to be realized as a result of the
merger with CHS. The pro forma financial information also does
not reflect non-recurring charges related to integration
activity or exit costs that may be incurred by BioScrip or CHS
in connection with the merger.
Certain CHS amounts have been reclassified to conform to
BioScrips presentation. These reclassifications had no
effect on previously reported net earnings. There were no
material transactions between BioScrip and CHS during the
periods presented in the unaudited pro forma combined financial
information that would need to be eliminated.
Upon completion of the merger, BioScrip will perform a detailed
review of CHSs accounting policies and procedures. As a
result of that review, BioScrip may identify differences between
the accounting policies and procedures of the two companies
that, when conformed, may have a material impact on the future
operating results. Any differences from unifying the accounting
policies of the combine companies cannot be reasonably estimated
at this time so no adjustment to pro forma combined financial
statements have been made.
|
|
4.
|
Estimate
of Consideration Expected to be Transferred and Purchase Price
to be Allocated
|
A preliminary estimate of consideration expected to be
transferred to effect the merger and the aggregate purchase
price to be allocated is presented in the table below.
122
BIOSCRIP,
INC.
NOTES TO
UNAUDITED PRO FORMA COMBINED FINANCIAL
INFORMATION (Continued)
|
|
|
|
|
|
|
(In thousands)
|
|
|
Cash payable as merger consideration(a)
|
|
$
|
110,000
|
|
Assumption and refinance of CHS debt(a)
|
|
|
132,000
|
|
Value of BioScrip common stock issued as merger consideration(b)
|
|
|
108,000
|
|
Value of BioScrip warrants issued as merger consideration(b)
|
|
|
15,000
|
|
|
|
|
|
|
Estimate of merger consideration to acquire the shares of CHS
|
|
$
|
365,000
|
|
|
|
|
|
|
|
|
|
(a) |
|
BioScrip has received a financing commitment from Jefferies
Finance pursuant to which Jefferies Finance has committed to
provide BioScrip with $375 million in debt financing,
comprised of $150 million in senior credit facilities and
$225 million in other debt facilities. BioScrip expects to
fund the cash payments, repay existing indebtedness of CHS and
refinance indebtedness of BioScrip, with newly borrowed funds
including a $100 million, 5 year term loan and the
issuance of $225 million in senior unsecured five and a
half year notes. |
|
(b) |
|
The estimated value of BioScrip shares issuable as merger
consideration is based upon the
10-day
weighted average of the closing common stock price as of
January 22, 2010 of $8.3441 per share. Accordingly, the
unaudited pro forma combined financial information assumes that
BioScrip will issue 12,655,649 shares and roll over stock
options with a combined value of approximately $108 million
in connection with the merger. Warrants are valued at
$15 million based on 3,400,945 issued, exercisable at $10
per share over a five year period. If the common stock value of
BioScrip falls below 62.5% of the weighted average stock value
of $8.3441 used to value the common stock for the 10 trading
days immediately preceding the scheduled date of closing, or
$5.2151 per share, a condition of CHS closing the merger
agreement would not be satisfied. |
|
|
5.
|
Estimate
of Assets to be Acquired and Liabilities to be Assumed
|
The following is a discussion of the adjustments made in
connection with the preparation of the unaudited pro forma
combined financial information. Each of these adjustments
represents very preliminary estimates of the fair values of
CHSs assets and liabilities and periodic amortization of
such adjustments to the extent applicable. Actual adjustments
will be made when the merger is completed and will be based on
the fair value of CHSs assets and liabilities at that
time. Accordingly, the actual adjustments to CHSs assets
and liabilities and the related amortization of such adjustments
may differ materially from the estimates reflected in the
unaudited pro forma combined financial information.
The following is a preliminary estimate of the assets to be
acquired and the liabilities to be assumed by BioScrip upon
merger, reconciled to the estimate of consideration expected to
be transferred:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Book value of CHS net assets acquired as of September 30,
2009:
|
|
$
|
141,165
|
|
Debt paid down prior to closing by CHS
|
|
|
6,857
|
|
Write off of CHS deferred financing costs
|
|
|
(1,605
|
)
|
Record goodwill adjustment
|
|
|
83,537
|
|
CHS debt to be repaid at closing
|
|
|
135,046
|
|
|
|
|
|
|
Purchase price allocated
|
|
$
|
365,000
|
|
|
|
|
|
|
Debt: Debt shown as paid down prior to
closing is estimated as the cash balance available as of
September 30, 2009 in the unaudited pro forma combined
financial information. Under the terms of the agreement, any
amounts in excess of $132 million not paid down prior to
closing will be deducted from the $110 million cash payment
due to stockholders. As of September 30, 2009, the unpaid
balance in the
123
BIOSCRIP,
INC.
NOTES TO
UNAUDITED PRO FORMA COMBINED FINANCIAL
INFORMATION (Continued)
unaudited pro forma combined financial information is estimated
to be $135.046 million. The actual amount at closing is
expected to more closely approximate $132 million.
Goodwill: Goodwill is calculated as the
excess of the merger date fair value of the consideration
expected to be transferred over the values assigned to the
identifiable assets acquired and liabilities assumed. Goodwill
is not amortized but rather is subject to an annual impairment
test.
Intangible assets: Intangible assets
are not adjusted in the pro forma information. Further analysis
must be performed to value those assets at fair value and
allocate purchase price to those assets. As such, the value of
intangible assets may differ significantly from the unaudited
pro forma combined financial information. Amortization recorded
in the statements of operations may also differ based on the
valuation of intangible assets.
Income taxes: No adjustments to the tax
basis of CHSs assets and liabilities are expected as a
result of the merger.
|
|
6.
|
Adjustments
to Unaudited Pro Forma Combined Balance Sheet:
|
(A) The sources and uses of funds relating to the proposed
merger transaction are as follows:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Sources:
|
|
|
|
|
Debt expected to be issued in connection with the merger (See
Note 4(a))
|
|
$
|
325,000
|
|
Uses:
|
|
|
|
|
Cash consideration to stockholders of CHS
|
|
|
(106,954
|
)
|
Assumption and refinance of CHS debt
|
|
|
(135,046
|
)
|
Repay BioScrip line of credit
|
|
|
(39,584
|
)
|
Estimated transaction-related expenses
|
|
|
(20,000
|
)
|
|
|
|
|
|
Net adjustment of cash and cash equivalents
|
|
$
|
23,416
|
|
|
|
|
|
|
(B) Reflects adjustments for goodwill (See Note 5):
|
|
|
|
|
|
|
(In thousands)
|
|
|
Eliminate CHSs historical goodwill
|
|
$
|
(220,350
|
)
|
Record transaction goodwill
|
|
|
303,887
|
|
|
|
|
|
|
Goodwill adjustment
|
|
$
|
83,537
|
|
|
|
|
|
|
(C) Reflects adjustments to deferred financing fees:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Debt financing fees
|
|
$
|
12,000
|
|
Write-off of existing CHS deferred financing costs
|
|
|
(1,605
|
)
|
|
|
|
|
|
Deferred financing fees adjustment
|
|
$
|
10,395
|
|
|
|
|
|
|
(D) Reflects adjustments related to short term debt:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Elimination of CHS short-term debt
|
|
$
|
(7,945
|
)
|
Reclassification of short term portion of newly issued debt
|
|
|
2,500
|
|
|
|
|
|
|
Short term debt adjustment
|
|
$
|
(5,445
|
)
|
|
|
|
|
|
124
BIOSCRIP,
INC.
NOTES TO
UNAUDITED PRO FORMA COMBINED FINANCIAL
INFORMATION (Continued)
(E) Reflects adjustments related to long term debt:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Debt expected to be issued by BioScrip in connection with the
merger (See Note 4(a))
|
|
$
|
325,000
|
|
Elimination of existing CHS long term debt
|
|
|
(133,958
|
)
|
Reclassification of short term portion of newly issued debt
|
|
|
(2,500
|
)
|
|
|
|
|
|
Long term debt adjustment
|
|
$
|
188,542
|
|
|
|
|
|
|
(F) Reflects adjustment to eliminate CHS preferred stock.
(G) Reflects adjustment to eliminate CHS common stock.
(H) Reflects adjustments to additional paid-in capital:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Eliminate CHS existing paid-in capital
|
|
$
|
(96,524
|
)
|
Issuance of BioScrip common stock
|
|
|
108,000
|
|
Issuance of BioScrip warrants
|
|
|
15,000
|
|
|
|
|
|
|
Additional paid-in capital adjustment
|
|
$
|
26,476
|
|
|
|
|
|
|
(I) Reflects adjustment to retained earnings:
|
|
|
|
|
|
|
(In thousands)
|
|
|
Eliminate CHS retained earnings
|
|
$
|
(19,514
|
)
|
Impact of transaction closing costs expensed at time of closing
|
|
|
(8,000
|
)
|
|
|
|
|
|
Retained earnings adjustment
|
|
$
|
(27,514
|
)
|
|
|
|
|
|
|
|
7.
|
Adjustments
to Unaudited Pro Forma Combined Statements of
Earnings:
|
(A) Interest expense adjustments:
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
Nine Months Ended
|
|
|
|
December 31, 2008
|
|
|
September 30, 2009
|
|
|
|
(In thousands)
|
|
|
Estimated interest on new debt
|
|
$
|
29,313
|
|
|
|
21,985
|
|
Amortization of deferred financing costs
|
|
|
1,715
|
|
|
|
1,286
|
|
Eliminate interest cost on BioScrip line of credit
|
|
|
(2,711
|
)
|
|
|
(1,471
|
)
|
Eliminate CHS interest on debt
|
|
|
(12,119
|
)
|
|
|
(5,492
|
)
|
|
|
|
|
|
|
|
|
|
Total interest adjustments
|
|
$
|
16,198
|
|
|
|
16,308
|
|
|
|
|
|
|
|
|
|
|
BioScrip expects to fund the cash component of the merger
consideration and refinancing of CHS long-term debt with newly
borrowed funds. BioScrip currently expects that the amounts
borrowed in connection with the transaction will be through
notes issued in the capital markets with maturities of five and
a half years and through a five year term loan. Based on current
capital market conditions, the blended interest cost of the debt
facilities is expected to be approximately 9.00%.
BioScrips ability to access such debt markets may be
restricted or costs may be materially greater than the costs
assumed in the unaudited pro forma combined information.
BioScrip has obtained commitments from Jefferies Finance to
provide the funding necessary to close the transaction.
125
BIOSCRIP,
INC.
NOTES TO
UNAUDITED PRO FORMA COMBINED FINANCIAL
INFORMATION (Continued)
A change of one percentage point in the costs associated with
estimated borrowed funds to be used to fund the transaction
would result in a change of approximately $3.2 million per
annum to the pre-tax pro forma earnings. Costs incurred in
connection with the issuance of merger related debt will be
deferred and amortized over the term of the debt. The amount of
such costs is expected to be approximately $12 million.
(B) Reflects the income tax effects of pro forma
adjustments at the expected combined statutory rate of 40%.
(C) Reflects the elimination of CHS preferred stock
dividends.
126
SECURITY
OWNERSHIP OF CERTAIN BENEFICIAL OWNERS
AND MANAGEMENT OF BIOSCRIP
The following table sets forth, as of February 8, 2010
(unless otherwise indicated), certain information concerning the
beneficial shareholdings of (a) each director,
(b) each of our named executive officers (as
such term is defined in Item 402(a)(3) of
Regulation S-K
under the Exchange Act), (c) each holder of more than five
percent of BioScrip common stock and (d) all directors and
executive officers as a group (based on 40,420,776 shares
of common stock outstanding as of February 8, 2010). Each
of the persons named below has sole voting power and sole
investment power with respect to the shares set forth opposite
his or her name, except as otherwise noted.
|
|
|
|
|
|
|
|
|
|
|
Number of Shares
|
|
|
Name and Address of Beneficial Owner(1)
|
|
Beneficially Owned(2)(3)
|
|
Percent of Class(3)
|
|
Heartland Advisors, Inc.
|
|
|
5,861,565
|
(4)
|
|
|
14.50
|
%
|
789 North Water Street
Milwaukee, WI
53202-3508
|
|
|
|
|
|
|
|
|
FMR LLC
|
|
|
2,849,423
|
(5)
|
|
|
7.05
|
%
|
82 Devonshire Street
Boston, MA 02109
|
|
|
|
|
|
|
|
|
BlackRock, Inc.
|
|
|
2,286,335
|
(6)
|
|
|
5.66
|
%
|
40 E. 52nd
Street
New York, NY 10022
|
|
|
|
|
|
|
|
|
Essex Investment Management Company, LLC
|
|
|
2,169,832
|
(7)
|
|
|
5.37
|
%
|
125 High Street,
29th
Floor
Boston, MA
02110-2702
|
|
|
|
|
|
|
|
|
Richard H. Friedman
|
|
|
2,411,944
|
(8)
|
|
|
5.77
|
%
|
Richard M. Smith
|
|
|
155,000
|
(9)
|
|
|
*
|
|
Barry A. Posner
|
|
|
384,388
|
(10)
|
|
|
*
|
|
Stanley G. Rosenbaum
|
|
|
378,167
|
(11)
|
|
|
*
|
|
Russel J. Corvese
|
|
|
220,646
|
(12)
|
|
|
*
|
|
Charlotte W. Collins
|
|
|
48,800
|
(13)
|
|
|
*
|
|
Louis T. DiFazio
|
|
|
41,000
|
(14)
|
|
|
*
|
|
Myron Z. Holubiak
|
|
|
66,100
|
(15)
|
|
|
*
|
|
David R. Hubers
|
|
|
181,700
|
(16)
|
|
|
*
|
|
Richard L. Robbins
|
|
|
88,500
|
(17)
|
|
|
*
|
|
Stuart A. Samuels
|
|
|
108,700
|
(18)
|
|
|
*
|
|
All Directors and Executive Officers as a group (18 persons)
|
|
|
4,505,242
|
(19)
|
|
|
10.43
|
%
|
|
|
|
* |
|
Percentage less than 1% of class. |
|
(1) |
|
Except as otherwise indicated, all addresses are
c/o BioScrip,
Inc., 100 Clearbrook Road, Elmsford, NY 10523. |
|
(2) |
|
The inclusion in this table of any shares of BioScrip common
stock as beneficially owned does not constitute an admission of
beneficial ownership of those shares. Except as otherwise
indicated, each person has sole voting power and sole investment
power with respect to all such shares beneficially owned by such
person. |
|
|
|
(3) |
|
Shares deemed beneficially owned by virtue of the right of an
individual to acquire them within 60 days after
February 8, 2010 upon the exercise of an option to purchase
shares of BioScrip common stock are treated as outstanding for
purposes of determining beneficial ownership and the percentage
beneficially owned by such individual. |
|
|
|
(4) |
|
Based on information contained in Schedule 13G filed with
the SEC on February 10, 2010 by Heartland Advisors, Inc.,
referred to herein as Heartland. Heartland advises
that it is an investment advisor registered with the SEC.
Heartland, by virtue of its investment discretion and voting
authority granted by certain clients, which may be revoked at
any time, and William J. Nasgovitz, President and principal |
127
|
|
|
|
|
shareholder of Heartland, share dispositive and voting power
with respect to the shares held by Heartlands clients and
managed by Heartland. Heartland and Mr. Nasgovitz each
specifically disclaim beneficial ownership of these shares and
disclaim the existence of a group. |
|
|
|
(5) |
|
Based on information contained in Schedule 13G filed with
the SEC on February 16, 2010 by FMR LLC, referred to herein
as FMR. FMR advises that it is a parent holding
company. FMRs wholly owned subsidiary, Fidelity
Management & Research Company, an investment adviser
registered with the SEC, is the beneficial owner of
1,452,000 shares of BioScrip common stock. FMRs
indirect wholly owned subsidiary, Pyramis Global Advisors, LLC,
an investment adviser registered with the SEC, is the beneficial
owner of 26,810 shares of BioScrip common stock. FMRs
indirect wholly owned subsidiary, Pyramis Global Advisors
Trust Company, a bank, is the beneficial owner of
1,089,113 shares of BioScrip common stock. FIL Limited,
referred to herein as FIL, is a qualified
institution and is the beneficial owner of 281,500 shares
of BioScrip common stock. FMR and FIL are of the view that they
are not acting as a group for purposes of
Section 13(d) under the Exchange Act. FMR filed the
Schedule 13G with the SEC on a voluntary basis as if all of
the shares were beneficially owned by it and FIL on a joint
basis. |
|
|
|
(6) |
|
Based on information contained in Schedule 13G filed with
the SEC on January 29, 2010 by BlackRock, Inc., referred to
herein as BlackRock. BlackRock advises that it is a
parent holding company or control person in accordance with
Rule 13d-i(b)(l)(ii)(G)
of the Exchange Act. |
|
|
|
(7) |
|
Based on information contained in Schedule 13G filed with
the SEC on January 25, 2010 by Essex Investment Management
Company, LLC, referred to herein as Essex. Essex
advises that it is an investment advisor registered with the SEC. |
|
|
|
(8) |
|
Includes 1,395,865 shares issuable upon exercise of the
vested portion of options held by Mr. Friedman. Excludes
225,000 shares subject to the unvested portion of options
held by Mr. Friedman. Includes 250,000 shares of
BioScrip common stock owned by the Richard H. Friedman Grantor
Retained Annuity Trust. Mr. Friedman is a trustee of the
trust. |
|
|
|
(9) |
|
Includes 35,000 shares issuable upon exercise of the vested
portion of options held by Mr. Smith. Excludes
70,000 shares subject to the unvested portion of options
held by Mr. Smith. |
|
|
|
(10) |
|
Includes 334,262 shares issuable upon exercise of the
vested portion of options held by Mr. Posner. Excludes
133,750 shares subject to the unvested portion of options
held by Mr. Posner. |
|
|
|
(11) |
|
Includes 193,410 shares issuable upon exercise of the
vested portion of options held by Mr. Rosenbaum. Excludes
146,874 shares subject to the unvested portion of options
held by Mr. Rosenbaum. |
|
|
|
(12) |
|
Includes 177,808 shares issuable upon exercise of the
vested portion of options to purchase BioScrip common stock held
by Mr. Corvese. Excludes 112,500 shares subject to the
unvested portion of options held by Mr. Corvese. Does not
include 239,460 shares of BioScrip common stock held in the
Corvese Irrevocable Trust 1992, of which
Mr. Corvese is a trustee. Mr. Corvese disclaims
beneficial ownership of such shares of BioScrip common stock. |
|
|
|
(13) |
|
Includes 35,000 shares issuable upon exercise of the vested
portion of options to purchase BioScrip common stock held by
Ms. Collins. |
|
|
|
(14) |
|
Includes 25,000 shares issuable upon exercise of the vested
portion of options held by Dr. DiFazio. |
|
|
|
(15) |
|
Includes 52,600 shares issuable upon exercise of the vested
portion of options held by Mr. Holubiak. |
|
|
|
(16) |
|
Includes 92,200 shares issuable upon exercise of the vested
portion of options held by Mr. Hubers. Also includes
16,000 shares of BioScrip common stock held by the David R.
Hubers Grantor Retained Annuity Trust; 25,000 shares of
BioScrip common stock held by the David R. Hubers Revocable
Trust; and 12,940 shares of BioScrip common stock held by
the Hubers Grandchildrens Trust. Mr. Hubers is a
trustee of these trusts. |
|
|
|
(17) |
|
Includes 25,000 shares subject to the vested portion of
options held by Mr. Robbins. |
|
|
|
(18) |
|
Includes 92,200 shares issuable upon exercise of the vested
portion of options held by Mr. Samuels. |
|
|
|
(19) |
|
Includes 2,756,313 shares issuable upon exercise of the
vested portion of options. Excludes 1,146,038 shares
subject to the unvested portion of options. |
128
FUTURE
BIOSCRIP STOCKHOLDER PROPOSALS
Whether or not the merger with CHS is completed, BioScrip will
hold its regular annual meeting of stockholders in 2010.
BioScrips By-Laws require timely advance written notice of
stockholder nominations of director candidates and of any other
proposals to be presented at an annual meeting of stockholders.
Notice is considered timely if it is delivered to the secretary
at the principal executive offices of BioScrip not less than
90 days and not more than 120 days prior to the first
anniversary of the annual meeting held in 2009. In the event
that the date of the 2010 annual meeting is advanced by more
than 30 days or delayed by more than 60 days from such
anniversary date, notice by the stockholder must be delivered
not earlier than the 120th day prior to such annual meeting
and not later than the close of business on the later of the
90th day prior to such annual meeting or the tenth day
following the day on which public announcement of the date of
the annual meeting is first made. Accordingly, unless the 2010
annual meeting is advanced or delayed, notice will be considered
timely for the annual meeting of stockholders to be held in 2010
if it has been received not later than the close of business on
January 28, 2010 and not earlier than the close of business
on December 29, 2009.
In addition, the By-Laws require that such written notice set
forth: (i) for each person whom the stockholder proposes to
nominate for election or re-election to the Board of Directors,
(a) the name, age, business address and residence address
of the person, (b) the principal occupation or employment
of the person, (c) the class or series and number of shares
of BioScrips capital stock which are directly or
indirectly owned beneficially or of record by the person,
(d) the date such shares were acquired and the investment
intent of such acquisition, and (e) all other information
relating to such person that is required to be disclosed in
solicitations of proxies for the election of directors, or as
otherwise required, in each case pursuant to Regulation 14A
under the Exchange Act, including, without limitation, such
persons written consent to be named in the proxy statement
as a nominee and to serve as director if elected; and
(ii) as to the stockholder giving the notice, (u) the
name and address of such stockholder, as they appear on
BioScrips books and records, (v) the class and number
of shares of BioScrips capital stock that are beneficially
owned by such stockholder, (w) a description of all
agreements, arrangements or understandings between such
stockholder and each such person that such stockholder proposes
to nominate as a director and any other person or persons
(naming such person or persons) pursuant to which the nomination
or nominations are to be made by such stockholder, (x) a
representation that such stockholder intends to appear in person
or by proxy at the meeting to nominate the persons named in its
notice, (y) all information relating to such person that is
required to be disclosed in solicitations of proxies for the
election of directors, or as otherwise required, in each case
pursuant to Regulation 14A under the Exchange Act, and
(z) a representation as to whether such stockholder intends
to deliver a proxy statement
and/or form
of proxy to holders of at least the percentage of
BioScrips outstanding capital stock required to approve
the nomination
and/or
otherwise to solicit proxies from stockholders in support of the
nomination.
In the case of other proposals by stockholders at an annual
meeting, the By-Laws require that such written notice set forth
as to each matter such stockholder proposes to bring before the
annual meeting: (a) a brief description of the business
desired to be brought before the annual meeting; (b) the
reasons for conducting such business at the annual meeting;
(c) the name and address, as they appear on BioScrips
books, of such stockholder; (d) the class and number of
shares of BioScrips stock that is beneficially owned by
such stockholder; (e) any material interest of such
stockholder in such business; (f) a representation that
such stockholder intends to appear in person or by proxy at the
meeting to nominate the persons named in its notice; and
(g) a representation as to whether such stockholder intends
to deliver a proxy statement
and/or form
of proxy to holders of at least the percentage of
BioScrips outstanding capital stock required to approve
the nomination
and/or
otherwise to solicit proxies from stockholders in support of the
nomination.
Stockholder proposals intended to be presented at the 2010
annual meeting must have been received by the Company at its
principal executive offices at 100 Clearbrook Road, Elmsford, NY
10523, Attention: Corporate Secretary, no later than
November 27, 2009, in order to be eligible for inclusion in
BioScrips proxy statement and proxy card relating to that
meeting. Upon receipt of any proposal, BioScrip will determine
whether to include such proposal in accordance with regulations
governing the solicitation of proxies.
129
IMPORTANT
NOTICE REGARDING DELIVERY
OF STOCKHOLDER DOCUMENTS
If you and other residents with the same last name at your
mailing address own shares of BioScrips common stock in
street name, your broker or bank may have sent you a notice that
your household will receive only one annual report and proxy
statement for each company in which you hold stock through that
broker or bank. This practice of sending only one copy of proxy
materials is known as householding. If you received
a householding communication, your broker will send one copy of
this proxy statement to stockholders to your address unless
contrary instructions were given by any stockholder at that
address. If you received more than one copy of the proxy
materials for the special meeting and you wish to reduce the
number of reports you receive in the future and save BioScrip
the cost of printing and mailing these reports, your broker will
discontinue the mailing of reports on the accounts you select if
you mark the designated box on your proxy card, or follow the
instructions provided when you vote over the Internet.
You may revoke your consent to householding at any time by
calling
800-542-1061.
The revocation of your consent to householding will be effective
30 days following its receipt. In any event, if your
household received a single set of proxy materials for the
special meeting, but you would prefer to receive your own copy,
we will send a copy to you if you address your written request
to BioScrip, Inc., Corporate Secretary, 100 Clearbrook Road,
Elmsford, NY 10523 or contact BioScrip, Inc. Investor Relations
at
914-460-1600.
WHERE YOU
CAN FIND MORE INFORMATION
We are subject to the informational requirements of the Exchange
Act. Accordingly, we file annual, quarterly and current reports,
proxy statements and other information with the SEC. We also
furnish to our stockholders annual reports, which include
financial statements audited by our independent certified public
accountants and other reports which the law requires us to send
to our stockholders. The public may read and copy any reports,
proxy statements or other information that we file at the
SECs public reference room at 100 F Street,
N.E., Room 1580, Washington, D.C. 20549. The public
may obtain information on the public reference room by calling
the SEC at
1-800-SEC-0330.
Our SEC filings are also available to the public from commercial
document retrieval services and at the web site maintained by
the SEC at www.sec.gov. You may obtain a copy of any of these
documents, at no cost, by writing or telephoning us at the
following address:
BioScrip, Inc.
100 Clearbrook Road
Elmsford, NY 10523
Attention: Corporate Secretary
(914)-460-1600
Our common stock is listed on the Nasdaq Global Market under the
symbol BIOS. You can read and copy reports, proxy
statements and other information about us at the NASDAQs
offices at One Liberty Plaza, 165 Broadway, New York, N.Y. 10006.
The SEC allows us to incorporate by reference into
this proxy statement information that we file with the SEC. This
means we can disclose important information to you by referring
you to the documents containing this information. The
information we incorporate by reference is considered to be part
of this proxy statement, except for any information superseded
by information contained directly in this proxy statement, and
information that we file later with the SEC will automatically
update and supersede information contained in documents filed
earlier with the SEC or contained in this proxy statement. This
proxy statement incorporates by reference the documents filed by
us listed below and any future filings we make with the SEC
under Sections 13(a), 13(c), 14 or 15(d) of the Exchange
Act from the date of this proxy statement to the date of the
special meeting; provided, however, that we are not
incorporating, in each case, any documents or information deemed
to have been furnished and not filed in accordance with SEC
rules:
|
|
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|
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Our annual report on
Form 10-K
for the fiscal year ended December 31, 2008, which we filed
with the SEC on March 5, 2009;
|
130
|
|
|
|
|
Our 2009 annual meeting proxy statement on Schedule 14A,
which we filed with the SEC on March 27, 2009;
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|
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Our quarterly reports on
Form 10-Q
for the fiscal quarters ended September 31, 2009,
March 31, 2009 and June 30, 2009, which we filed with
the SEC on November 2, 2009 (as amended on December 2,
2009), May 5, 2009 and August 4, 2009,
respectively; and
|
|
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Our current reports on
Form 8-K,
which we filed with the SEC on January 1, 2009,
March 4, 2009, July 9, 2009, July 30, 2009,
August 18, 2009, August 26, 2009, September 10,
2009, October 30, 2009, December 31, 2009 and
January 27, 2010.
|
You may also obtain copies of any document incorporated by
reference in this proxy statement, without charge, by requesting
them in writing or by telephone at the following address:
BioScrip, Inc.
100 Clearbrook Road
Elmsford, NY 10523
Attention: Corporate Secretary
(914)-460-1600
Any request for documents should be made
by ,
2010 to ensure timely delivery of the documents. Documents will
be distributed within one business day of receipt of such
request.
You should rely only on the information we have provided to you
in voting your shares at the special meeting. We have not
authorized any person to provide information or make any
representation about the merger with CHS other than that
provided in this proxy statement or in any of the materials we
have incorporated by reference in this proxy statement. We have
not authorized anyone to provide you with different information.
You should not assume that the information in this proxy
statement is accurate as of any date other than the date of this
proxy statement or that any information contained in any
document we have incorporated by reference is accurate as of any
date other than the date of the document incorporated by
reference.
On January 15, 2010, Deloitte & Touche LLP
(Deloitte) informed CHS, by notice to a CHS
director, that Deloitte had concluded that it was not currently
independent with respect to CHS. CHS understands from Deloitte
that this conclusion by Deloitte was a result of a communication
to Deloitte from Kohlberg Capital Corporation. Thus,
Deloittes notification did not relate to any action or
activity of CHS. The Kohlberg Entities, which are associated
with Kohlberg & Company, L.L.C.
(Kohlberg & Co.), control CHS through
their ownership of a majority of all of the equity of CHS. Two
of CHSs directors are Partners of Kohlberg & Co.
and also serve on the board of directors and own shares of
Kohlberg Capital Corporation. On January 20, 2010, as a
result of Deloittes conclusion regarding its independence,
CHS dismissed Deloitte as its registered public accounting firm.
Both the Board of Directors of CHS and the Boards Audit
Committee approved the decision to dismiss Deloitte.
Deloittes reports on CHSs financial statements for
each of the fiscal years ended December 31, 2007 and
December 31, 2008 did not contain any adverse opinion or
disclaimer of opinion and were not qualified or modified as to
uncertainty, audit scope or accounting principles. Furthermore,
during the Companys two most recent fiscal years and the
subsequent interim period preceding the dismissal of Deloitte,
there were no disagreements with Deloitte on any matter of
accounting principles or practices, financial statement
disclosure, or auditing scope or procedure, which disagreements,
if not resolved to the satisfaction of Deloitte, would have
caused Deloitte to make reference thereto in connection with its
reports on the consolidated financial statements of CHS for the
fiscal year ended December 31, 2007 or the fiscal year
ended December 31, 2008.
CHS has subsequently retained PricewaterhouseCoopers LLP as its
independent registered public accounting firm.
131
INDEX TO
THE CRITICAL HOMECARE SOLUTIONS HOLDINGS, INC. AND
ACQUIRED
COMPANY CONSOLIDATED FINANCIAL STATEMENTS
|
|
|
|
|
|
|
Page
|
|
Critical Homecare Solutions Holdings, Inc.
|
|
|
|
|
Audited Consolidated Financial Statements
|
|
|
|
|
|
|
|
F-2
|
|
|
|
|
F-3
|
|
|
|
|
F-4
|
|
|
|
|
F-5
|
|
|
|
|
F-6
|
|
|
|
|
F-7
|
|
|
|
|
F-27
|
|
|
|
|
F-28
|
|
|
|
|
F-29
|
|
|
|
|
F-30
|
|
|
|
|
F-31
|
|
|
|
|
F-32
|
|
|
|
|
|
|
Unaudited Condensed Consolidated Financial Statements
|
|
|
|
|
|
|
|
F-52
|
|
|
|
|
F-53
|
|
|
|
|
F-54
|
|
|
|
|
F-55
|
|
|
|
|
F-56
|
|
|
|
|
|
|
Specialty Pharma, Inc.
|
|
|
|
|
Audited Consolidated Financial Statements
|
|
|
|
|
|
|
|
F-75
|
|
|
|
|
F-76
|
|
|
|
|
F-77
|
|
|
|
|
F-78
|
|
|
|
|
F-79
|
|
|
|
|
F-80
|
|
|
|
|
|
|
New England Home Therapies, Inc.
|
|
|
|
|
Audited Financial Statements
|
|
|
|
|
|
|
|
F-91
|
|
|
|
|
F-92
|
|
|
|
|
F-93
|
|
|
|
|
F-94
|
|
|
|
|
F-95
|
|
|
|
|
F-96
|
|
|
|
|
|
|
Deaconess Enterprises, Inc
|
|
|
|
|
Audited Consolidated Financial Statements
|
|
|
|
|
|
|
|
F-103
|
|
|
|
|
F-104
|
|
|
|
|
F-105
|
|
|
|
|
F-106
|
|
|
|
|
F-107
|
|
F-1
INDEPENDENT
AUDITORS REPORT
To the Board of Directors of
Critical Homecare Solutions Holdings, Inc.
Conshohocken, Pennsylvania
We have audited the accompanying consolidated balance sheets of
Critical Homecare Solutions Holdings, Inc. and subsidiaries (the
Company) as of December 31, 2008 and 2007, and
the related consolidated statements of operations,
stockholders equity, and cash flows for the years then
ended. These financial statements are the responsibility of the
Companys management. Our responsibility is to express an
opinion on these financial statements based on our audits.
We conducted our audits in accordance with auditing standards
generally accepted in the United States of America. Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. An audit includes consideration
of internal control over financial reporting as a basis for
designing audit procedures that are appropriate in the
circumstances, but not for the purpose of expressing an opinion
on the effectiveness of the Companys internal control over
financial reporting. Accordingly, we express no such opinion. An
audit also includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial
statements, assessing the accounting principles used and
significant estimates made by management, as well as evaluating
the overall financial statement presentation. We believe that
our audits provide a reasonable basis for our opinion.
In our opinion, such consolidated financial statements present
fairly, in all material respects, the financial position of
Critical Homecare Solutions Holdings, Inc. and its subsidiaries
as of December 31, 2008 and 2007, and the results of their
operations and their cash flows for the years then ended in
conformity with accounting principles generally accepted in the
United States of America.
/s/ Deloitte & Touche LLP
April 22, 2009
F-2
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
ASSETS
|
CURRENT ASSETS:
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
263,840
|
|
|
$
|
1,679,521
|
|
Accounts receivable net of allowance for doubtful
accounts of $9,674,715 and $5,167,950 in 2008 and 2007,
respectively
|
|
|
52,071,131
|
|
|
|
45,474,288
|
|
Inventories
|
|
|
4,579,824
|
|
|
|
3,633,628
|
|
Deferred tax assets
|
|
|
4,972,876
|
|
|
|
5,967,608
|
|
Prepaids and other current assets
|
|
|
1,331,989
|
|
|
|
2,318,068
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
63,219,660
|
|
|
|
59,073,113
|
|
PROPERTY AND EQUIPMENT Net
|
|
|
7,282,604
|
|
|
|
6,722,465
|
|
GOODWILL
|
|
|
210,736,927
|
|
|
|
196,792,548
|
|
INTANGIBLE ASSETS Net
|
|
|
21,859,929
|
|
|
|
21,422,836
|
|
DEFERRED FINANCING FEES Net
|
|
|
2,088,563
|
|
|
|
2,728,642
|
|
OTHER ASSETS
|
|
|
1,692,701
|
|
|
|
1,530,562
|
|
|
|
|
|
|
|
|
|
|
TOTAL
|
|
$
|
306,880,384
|
|
|
$
|
288,270,166
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY
|
CURRENT LIABILITIES:
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
$
|
3,629,593
|
|
|
$
|
5,603,924
|
|
Accrued expenses
|
|
|
21,086,837
|
|
|
|
22,909,956
|
|
Current portion of long-term debt
|
|
|
5,800,000
|
|
|
|
2,975,000
|
|
Current portion of capital lease obligations
|
|
|
188,963
|
|
|
|
238,459
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
30,705,393
|
|
|
|
31,727,339
|
|
Long-term debt, net of current portion
|
|
|
145,600,000
|
|
|
|
151,400,000
|
|
Long-term capital lease obligations net of current
portion
|
|
|
231,387
|
|
|
|
180,224
|
|
Deferred tax liabilities
|
|
|
6,878,519
|
|
|
|
8,688,915
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
183,415,299
|
|
|
|
191,996,478
|
|
|
|
|
|
|
|
|
|
|
COMMITMENTS AND CONTINGENCIES (Note 11)
|
|
|
|
|
|
|
|
|
Preferred stock, $0.001 par value
5,000,000 shares authorized; 20,036 and 0 shares
issued and outstanding as of December 31, 2008 and 2007,
respectively (with a liquidation preference of $20,280,403 as of
December 31, 2008)
|
|
|
20,036,500
|
|
|
|
|
|
STOCKHOLDERS EQUITY:
|
|
|
|
|
|
|
|
|
Common stock, $0.001 par value
100,000,000 shares authorized; 90,898,079 issued and
outstanding as of December 31, 2008 and 2007, respectively
|
|
|
90,898
|
|
|
|
90,898
|
|
Additional paid-in capital
|
|
|
95,473,651
|
|
|
|
94,285,521
|
|
Retained earnings
|
|
|
7,864,036
|
|
|
|
1,897,269
|
|
|
|
|
|
|
|
|
|
|
Total stockholders equity
|
|
|
103,428,585
|
|
|
|
96,273,688
|
|
|
|
|
|
|
|
|
|
|
TOTAL
|
|
$
|
306,880,384
|
|
|
$
|
288,270,166
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-3
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
NET REVENUE
|
|
$
|
230,868,353
|
|
|
$
|
193,853,167
|
|
COSTS AND EXPENSES:
|
|
|
|
|
|
|
|
|
Cost of goods (excluding depreciation and amortization)
|
|
|
69,592,953
|
|
|
|
52,754,941
|
|
Cost of services provided
|
|
|
42,364,898
|
|
|
|
42,591,044
|
|
Selling, distribution, and administrative expenses
|
|
|
82,408,769
|
|
|
|
67,505,376
|
|
Provision for doubtful accounts
|
|
|
6,240,975
|
|
|
|
4,566,504
|
|
Depreciation and amortization
|
|
|
3,615,079
|
|
|
|
3,405,507
|
|
Terminated transaction costs
|
|
|
3,580,085
|
|
|
|
4,378,810
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
207,802,759
|
|
|
|
175,202,182
|
|
|
|
|
|
|
|
|
|
|
OPERATING INCOME
|
|
|
23,065,594
|
|
|
|
18,650,985
|
|
INTEREST AND OTHER FINANCING COSTS
|
|
|
(12,113,501
|
)
|
|
|
(15,324,249
|
)
|
OTHER INCOME (EXPENSE) Net
|
|
|
(6,586
|
)
|
|
|
613,017
|
|
|
|
|
|
|
|
|
|
|
INCOME BEFORE INCOME TAXES
|
|
|
10,945,507
|
|
|
|
3,939,753
|
|
PROVISION FOR INCOME TAXES
|
|
|
4,978,740
|
|
|
|
2,328,217
|
|
|
|
|
|
|
|
|
|
|
NET INCOME
|
|
|
5,966,767
|
|
|
|
1,611,536
|
|
CUMULATIVE PREFERRED STOCK DIVIDENDS
|
|
|
(243,903
|
)
|
|
|
|
|
INCOME AVAILABLE TO COMMON SHAREHOLDERS
|
|
$
|
5,722,864
|
|
|
$
|
1,611,536
|
|
|
|
|
|
|
|
|
|
|
BASIC EARNINGS PER COMMON SHARE
|
|
$
|
0.06
|
|
|
$
|
0.02
|
|
|
|
|
|
|
|
|
|
|
DILUTED EARNINGS PER COMMON SHARE
|
|
$
|
0.06
|
|
|
$
|
0.02
|
|
|
|
|
|
|
|
|
|
|
WEIGHTED AVERAGE NUMBER OF COMMON SHARES OUTSTANDING:
|
|
|
|
|
|
|
|
|
Basic
|
|
|
90,898,079
|
|
|
|
86,050,106
|
|
|
|
|
|
|
|
|
|
|
Diluted
|
|
|
96,857,146
|
|
|
|
86,840,355
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-4
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additional
|
|
|
|
|
|
|
|
|
|
Common Stock
|
|
|
Subscription
|
|
|
Paid-in
|
|
|
Retained
|
|
|
|
|
|
|
Shares
|
|
|
Amount
|
|
|
Receivable
|
|
|
Capital
|
|
|
Earnings
|
|
|
Total
|
|
|
BALANCE December 31, 2006
|
|
|
25,350,000
|
|
|
$
|
25,350
|
|
|
$
|
(175,000
|
)
|
|
$
|
25,324,650
|
|
|
$
|
285,733
|
|
|
$
|
25,460,733
|
|
Issuance of common stock at fair value January 2007
|
|
|
57,500,000
|
|
|
|
57,500
|
|
|
|
|
|
|
|
57,442,500
|
|
|
|
|
|
|
|
57,500,000
|
|
Issuance of common stock at fair value June 2007
|
|
|
8,048,079
|
|
|
|
8,048
|
|
|
|
|
|
|
|
10,454,452
|
|
|
|
|
|
|
|
10,462,500
|
|
Stock subscription receivable
|
|
|
|
|
|
|
|
|
|
|
175,000
|
|
|
|
|
|
|
|
|
|
|
|
175,000
|
|
Compensation expense related to issuance of stock options
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,063,919
|
|
|
|
|
|
|
|
1,063,919
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,611,536
|
|
|
|
1,611,536
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BALANCE December 31, 2007
|
|
|
90,898,079
|
|
|
|
90,898
|
|
|
|
|
|
|
|
94,285,521
|
|
|
|
1,897,269
|
|
|
|
96,273,688
|
|
Compensation expense related to issuance of stock options
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,188,130
|
|
|
|
|
|
|
|
1,188,130
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,966,767
|
|
|
|
5,966,767
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BALANCE December 31, 2008
|
|
|
90,898,079
|
|
|
$
|
90,898
|
|
|
$
|
|
|
|
$
|
95,473,651
|
|
|
$
|
7,864,036
|
|
|
$
|
103,428,585
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-5
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
CASH FLOWS FROM OPERATING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Net income
|
|
$
|
5,966,767
|
|
|
$
|
1,611,536
|
|
Adjustments to reconcile net income to net cash provided by
(used in) operating activities:
|
|
|
|
|
|
|
|
|
Provision for doubtful accounts
|
|
|
6,240,975
|
|
|
|
4,566,504
|
|
Depreciation and amortization
|
|
|
3,615,079
|
|
|
|
3,405,507
|
|
Write-off of stock issuance costs
|
|
|
83,653
|
|
|
|
4,378,810
|
|
Amortization and write-off of deferred financing fees
|
|
|
766,672
|
|
|
|
1,511,334
|
|
Write-off of preacquisition costs
|
|
|
417,175
|
|
|
|
|
|
Provision for deferred taxes
|
|
|
(287,624
|
)
|
|
|
(179,485
|
)
|
Loss (gain) on fixed asset dispositions
|
|
|
65,329
|
|
|
|
(267,689
|
)
|
|
|
|
|
|
|
|
|
|
Compensation expense related to issuance of stock options
|
|
|
1,188,130
|
|
|
|
1,063,919
|
|
|
|
|
|
|
|
|
|
|
Change in operating assets and liabilities net of
effects of acquisitions:
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(11,000,866
|
)
|
|
|
(15,389,605
|
)
|
Inventories
|
|
|
(743,558
|
)
|
|
|
551,874
|
|
Prepaids and other current assets
|
|
|
1,105,566
|
|
|
|
(1,414,337
|
)
|
Other assets
|
|
|
(250,212
|
)
|
|
|
(5,718,463
|
)
|
Accounts payable and accrued expenses
|
|
|
(5,358,192
|
)
|
|
|
4,470,186
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
1,808,894
|
|
|
|
(1,409,909
|
)
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM INVESTING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Payments for businesses acquisitions net of cash
acquired
|
|
|
(15,627,218
|
)
|
|
|
(176,858,426
|
)
|
Repayment of amounts due to sellers
|
|
|
(481,963
|
)
|
|
|
(11,394,577
|
)
|
Cash paid for preacquisition costs
|
|
|
(404,212
|
)
|
|
|
(15,416
|
)
|
Cash paid for property and equipment
|
|
|
(3,667,653
|
)
|
|
|
(3,128,048
|
)
|
Proceeds from disposition of fixed assets
|
|
|
300,959
|
|
|
|
270,727
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(19,880,087
|
)
|
|
|
(191,125,740
|
)
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM FINANCING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Proceeds from borrowings
|
|
|
6,750,000
|
|
|
|
165,500,000
|
|
Repayment of long-term debt and capital lease obligations
|
|
|
(9,999,573
|
)
|
|
|
(36,862,362
|
)
|
Payment of deferred financing fees
|
|
|
(131,415
|
)
|
|
|
(3,407,197
|
)
|
Proceeds from issuance of preferred stock
|
|
|
20,036,500
|
|
|
|
|
|
Proceeds from issuance of common stock
|
|
|
|
|
|
|
67,962,500
|
|
Proceeds from stock subscription
|
|
|
|
|
|
|
175,000
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by financing activities
|
|
|
16,655,512
|
|
|
|
193,367,941
|
|
|
|
|
|
|
|
|
|
|
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS
|
|
|
(1,415,681
|
)
|
|
|
832,292
|
|
CASH AND CASH EQUIVALENTS Beginning of period
|
|
|
1,679,521
|
|
|
|
847,229
|
|
|
|
|
|
|
|
|
|
|
CASH AND CASH EQUIVALENTS End of period
|
|
$
|
263,840
|
|
|
$
|
1,679,521
|
|
|
|
|
|
|
|
|
|
|
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:
|
|
|
|
|
|
|
|
|
Cash paid during the year for:
|
|
|
|
|
|
|
|
|
Interest
|
|
$
|
11,714,245
|
|
|
$
|
12,789,009
|
|
|
|
|
|
|
|
|
|
|
Income taxes
|
|
$
|
5,368,153
|
|
|
$
|
3,850,581
|
|
|
|
|
|
|
|
|
|
|
SUPPLEMENTAL DISCLOSURE OF NON-CASH TRANSACTIONS:
|
|
|
|
|
|
|
|
|
Capital lease obligations incurred to acquire property and
equipment
|
|
$
|
276,240
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements
F-6
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
|
|
1.
|
OVERVIEW,
BASIS OF PRESENTATION, AND SIGNIFICANT ACCOUNTING
POLICIES
|
Critical Homecare Solutions Holdings, Inc. and subsidiaries (CHS
or the Company) provides infusion therapy and home
nursing services through a network of company-owned locations.
The Company contracts with managed care organizations and
physicians to become their specialty and infusion pharmacy,
dispensing and delivering pharmaceuticals, assisting with
clinical compliance information, and providing pharmacy
consulting services. The Company also contracts with managed
care organizations, third-party payors, hospitals, physicians,
and other referral sources to provide pharmaceuticals and
complex compounded solutions to patients for intravenous
delivery in the patients homes or other non-hospital
settings. Many of the Companys locations provide other
healthcare services, such as nursing, respiratory therapy, and
durable medical equipment rentals and sales.
The Company commenced operations on September 1, 2006, and
is primarily owned by certain investment funds managed by
Kohlberg and Co, L.L.C. (Kohlberg). In addition,
certain members of the Companys management own shares of
the Company, the total of which represents less than 1% of the
total outstanding shares as of December 31, 2008. The
Company did not declare any dividends during the years ended
December 31, 2008 and 2007.
In connection with its formation, on September 1, 2006, the
Company acquired all of the stock of Specialty Pharma, Inc.
(SPI) and its wholly owned subsidiary, Professional Home Care
Services, Inc. (PHCS), and all of the stock of New England Home
Therapies, Inc. (NEHT). In 2007, the Company acquired the stock
of Deaconess Enterprises, Inc. (DEI), Infusion Solutions, Inc.
(ISI), Applied Health Care, Inc. (AHC), Infusion Partners of
Brunswick, Inc. (IPB), Infusion Partners of Melbourne, Inc.
(IPM) and East Goshen Pharmacy, Inc. (EGP). In 2008, the Company
acquired the stock of Wilcox Medical, Inc. (WC), Optioncare of
Lexington (OCL) and National Health Infusion (NHI). See
Note 2 for further discussion regarding the Companys
acquisitions. The financial position and operating results of
the acquired operations are included in the accompanying
consolidated financial statements of the Company since the
respective dates of acquisition.
As of December 31, 2008, the Company operated 69 locations
in 17 states.
During the fiscal year 2008, the Company was engaged in a
proposed transaction related to the sale of all of its
outstanding common and preferred shares. The Company entered
into a definitive stock purchase agreement on February 6,
2008, with MBF Healthcare Acquisition Corp. (MBH), a publicly
traded special purpose acquisition company and withdrew the
filing of its initial public offering on
Form S-1
with the SEC. Pursuant to the terms of the original agreement
and subsequent amendments, MBH was to acquire all of the
outstanding common stock of the Company. The stock purchase
agreement for MBHs proposed acquisition of the Company was
mutually terminated as of October 31, 2008, by MBH and
Kohlberg, in its capacity as the representative of the
stockholders of the Company.
Basis of Presentation The accompanying
consolidated financial statements have been prepared in
accordance with accounting principles generally accepted in the
United States of America and include the accounts of the Company
and its wholly-owned subsidiaries. All intercompany accounts and
transactions have been eliminated in consolidation.
Cash and Cash Equivalents Cash and cash
equivalents include cash on deposit with various financial
institutions. The Company considers all highly liquid
investments with original maturities of three months or less to
be cash equivalents. The Companys cash equivalents are
stated at cost, which approximates market value.
Financial Instruments The Company has cash
and cash equivalents, short-term receivables and payables, and
long-term debt obligations, including capital leases. The
carrying value of cash and cash equivalents, accounts
receivables, and accounts payables approximate their current
value. Borrowings under the Companys secured credit
facilities and other long-term debt obligations (see
Note 6) include debt with
F-7
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
variable interest rates, totaling $151,400,000 at
December 31, 2008. The Company believes the carrying value
of its long-term debt approximates current market value.
Accounts Receivable and Allowance for Doubtful
Accounts The Companys accounts receivable
consists of amounts owed by various governmental agencies,
insurance companies, and private patients. Management performs
periodic analyses to evaluate accounts receivable balances to
ensure that recorded amounts reflect net realizable values. The
Company does not believe there are any significant credit risks
associated with the receivables from Medicare and Medicaid and
other state administered programs.
Accounts receivable are reported net of contractual adjustments.
Generally, the Company bills third-party payors based on the
contractual charges or usual and customary charges for goods and
services provided and then adjusts the revenue down to the
anticipated collectible amount. The adjustment is based on
interpretation of the terms of the applicable managed care
contract, fee schedule, or other arrangement with the payor.
The Company has established an allowance for doubtful accounts
to report accounts receivable at the estimated net realizable
amounts to be received from third-party payors and patients.
Increases to this reserve are reflected as a provision for
doubtful accounts in the accompanying consolidated statements of
operations. The Company generates accounts receivable aging
reports from its billing systems and utilizes these reports to
monitor the condition of outstanding receivables and evaluate
the performance of billing and reimbursement staff. The Company
also utilizes these aging reports, combined with historic
write-off statistics generated from the billing systems, to
determine the allowance for doubtful accounts. The Company
regularly performs an analysis of the collectability of accounts
receivable and considers factors such as prior collection
experience and the age of the receivables.
The Company does not require its patients or other payors to
carry collateral for any amounts owed for services provided.
Other than as discussed below, the Companys concentration
of credit risk relating to accounts receivable is limited due to
the diversity of patients and payors. Further, the Company
generally does not provide charity care.
Inventories Inventories, which consist
primarily of pharmaceuticals and medical supplies, are stated at
the lower of cost (determined using the
first-in,
first-out method) or market. The largest component of inventory
is pharmaceuticals, which have fixed expiration dates. The
Company normally obtains next day delivery of the
pharmaceuticals that it orders. The Companys pharmacies
monitor inventory levels and check expiration dates regularly.
Pharmaceuticals that are approaching expiration and are deemed
unlikely to be used before expiration are returned to either the
vendor or manufacturer for credit, or are transferred to another
Company pharmacy that needs them. If the pharmaceuticals cannot
be either returned or transferred before expiration, the
Companys policy requires them to be disposed of
immediately and in accordance with Drug Enforcement
Administration guidelines. Due to the high rate of turnover of
the Companys pharmaceutical inventory and the policies
related to handling expired or expiring items, the
Companys pharmacies typically do not carry obsolete
inventory.
Prepaids and Other Current Assets Prepaid
expenses and other current assets consist primarily of prepaid
insurance, rent, and other current assets.
Property and Equipment Net
Property and equipment are carried at cost. Expenditures for
major improvements are capitalized. Maintenance and repairs are
expensed as incurred. Upon retirement or disposal of an asset,
the related cost and accumulated depreciation are removed from
the respective accounts and any gain or loss is recorded in
current earnings. Property and equipment under capital leases
are stated at the lesser
F-8
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
of fair value or the present value of future minimum lease
payments at inception of the lease. Depreciation is recognized
on a straight-line basis. Estimated useful lives for the
principal asset categories are as follows:
|
|
|
|
|
Useful Life
|
|
Medical equipment
|
|
13 months to 5 years
|
Leasehold improvements
|
|
Base term of lease or useful life, whichever is shorter
|
Equipment, vehicles, and other assets
|
|
3 to 5 years
|
Building
|
|
20 years
|
Property and equipment are reviewed for impairment whenever
events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable. Recoverability of
assets to be held and used is measured by a comparison of the
carrying amount of an asset to estimated undiscounted future
cash flows expected to be generated by the asset. If the
carrying amount of an asset exceeds its estimated future cash
flows, an impairment charge is recognized for the amount by
which the carrying amount of the asset exceeds the fair value of
the asset. The Company did not recognize any impairment losses
during the years ended December 31, 2008 and 2007.
Goodwill and Intangible Assets Goodwill
represents the excess of the cost of acquisitions over the fair
value of net assets acquired. In accordance with Financial
Accounting Standards Board (FASB) Statement of
Financial Accounting Standards (SFAS) No. 142,
Goodwill and Other Intangible Assets
(SFAS No. 142), goodwill is not
amortized and is reviewed annually at a reporting unit level for
impairment utilizing a two-step process. SFAS No. 142
requires goodwill to be tested for impairment annually and when
an event occurs or circumstances change such that it is
reasonably possible that an impairment may exist. There were no
impairment losses recognized during the years ended
December 31, 2008 and 2007.
Intangible assets consist primarily of non-compete agreements,
trademarks related to brand names arising from acquisitions,
licenses, and certificates of need. The Company records
intangible assets at their estimated fair value at the date of
acquisition and amortizes the related cost of the asset over the
period of expected benefit. The fair value of intangible assets
assigned during the first year subsequent to an acquisition is
based on a preliminary determination and is subject to
adjustment pending a final determination of purchase price and a
final valuation of the assets acquired and liabilities assumed.
In accordance with FASB SFAS No. 144, Accounting
for the Impairment or Disposal of Long-Lived Assets
(SFAS No. 144), definite-lived
intangibles are reviewed for impairment whenever events or
changes in circumstances indicate that the carrying amount of an
asset may not be recoverable from estimated future cash flows.
In accordance with SFAS No. 142, intangible assets
with indefinite lives are reviewed for impairment annually or
when an event occurs or circumstances change such that it is
reasonably possible that an impairment may exist. There were no
impairment losses recognized during the years ended
December 31, 2008 and 2007.
Non-compete agreements are amortized on a straight-line basis
over the estimated life of each agreement, which ranges from one
to five years. The ISI trademark and certain of the trademarks
associated with DEI have limited lives of two and five years,
respectively, as determined by contractual rights to use the
brand names. These trademarks are being amortized over the
estimated useful lives. Trademarks with indefinite lives are not
amortized but are periodically reviewed for impairment. Licenses
are being amortized over a period of one to two years.
Certificates of need have indefinite lives and are not amortized
but are periodically reviewed for impairment.
Deferred Financing Fees Net
Deferred financing fees are stated at cost and are amortized
using a method that approximates the effective interest method
over the expected life of the related debt instrument.
Amortization of the deferred financing fees is recorded as
interest and other financing costs in the accompanying
consolidated statements of operations. In the event of debt
modification, the unamortized balance of deferred financing fees
is tested for debt extinguishment treatment in accordance with
generally accepted accounting principles.
F-9
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Revenue Recognition The Company generates
almost all of its revenue from reimbursement by government and
other third-party payors for services provided to patients. The
Company receives payment for services and medications from a
number of sources, including managed care organizations,
government sources, such as Medicare and Medicaid programs, and
commercial insurance. For the years ended December 31, 2008
and 2007, the Company had a payor mix of 51% and 51% from
managed care organizations and non-governmental third party
payors, respectively, 25% and 29% from Medicare, respectively,
and 24% and 20% from Medicaid, respectively. At
December 31, 2008, Medicare and Medicaid represented 23%
and 22% of accounts receivable, respectively. At
December 31, 2007, Medicare and Medicaid represented 16%
and 24% of accounts receivable, respectively.
Patient revenue is recorded in the period during which the
services are provided, and is directly offset by appropriate
allowances to give recognition to third-party payor
arrangements. Net revenue recognition and allowances for
uncollectible billings require the use of estimates. Once known,
any changes to these estimates are reflected in the results of
operations.
In the Companys home infusion segment, infusion therapy
and related health care services revenue is reported at the
estimated net realizable amounts from patients and third-party
payors for goods sold and services rendered. The Companys
agreements with payors occasionally specify receipt of a
per-diem payment for infusion therapy services that
are provided to patients. This per-diem payment
includes multiple components of care provided to the patient,
including, but not limited to, rental of medical equipment, care
coordination services, delivery of goods to the patient, and
medical supplies. Per-diem revenue is recognized
over the course of the period the components of care are
provided.
In certain situations, revenue components are recorded
separately. In other situations, revenue components are billed
and reimbursed on a per-diem or contract basis whereby the
insurance carrier pays the Company a combined amount for
treatment. Because the reimbursement arrangements in these
situations are based on a per-diem or contract amount, the
Company does not maintain records that provide a breakdown
between the revenue components. Due to the nature of the
industry and the reimbursement environment in which the Company
operates, certain estimates are required to record net revenue
and accounts receivable at their net realizable values. Inherent
in these estimates is the possibility that they will have to be
revised or updated as additional information becomes available.
Specifically, the complexity of many third-party billing
arrangements and the uncertainty of reimbursement amounts for
certain services from certain payors may result in adjustments
to amounts originally recorded. Such adjustments are typically
identified and recorded at the point of cash application, claim
denial, or account review.
In the Companys home nursing segment, revenue represents
the estimated net realizable amounts from patients, third-party
payors and others for patient services rendered and products
provided. Such revenue is recognized as the treatment plan is
administered to the patient and is recorded at amounts estimated
to be received under reimbursement or payment arrangements with
payors. Net revenues to be reimbursed by contracts with
third-party payors are recorded at an amount to be realized
under these contractual arrangements.
Under the prospective payment system for Medicare reimbursement,
net revenues are recorded based on a reimbursement rate which
varies based on the severity of the patients condition,
service needs, and certain other factors. Revenue is recognized
ratably over a
60-day
episode period and is subject to adjustment during this period
if there are significant changes in the patients condition
during the treatment period or if the patient is discharged but
readmitted to another agency within the same
60-day
episodic period. Medicare billings under the prospective payment
system are initially recognized as deferred revenue and are
subsequently recognized as revenue over the
60-day
episode period. The process for recognizing revenue under the
Medicare program is based on certain assumptions and judgments,
the appropriateness of the clinical assessment of each patient
at the time of certification, and the level of adjustments to
the fixed reimbursement
F-10
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
rate relating to patients who receive a limited number of
visits, have significant changes in condition or are subject to
certain other factors during the episode.
Deferred revenue of $3,088,033 and $3,051,950 relating to the
home nursing Medicare Prospective Payment System (PPS) program
and to certain infusion monthly equipment rentals was recorded
in accrued expenses in the consolidated balance sheets as of
December 31, 2008 and 2007, respectively.
Multiple Deliverables Emerging Issues Task
Force (EITF)
No. 00-21,
Revenue Arrangements with Multiple Deliverables
(EITF
No. 00-21)
addresses situations in which multiple products
and/or
services are delivered at different times under one arrangement
with a customer and provides guidance in determining whether
multiple deliverables should be viewed as separate units of
accounting. The Company provides a variety of therapies to
patients, the majority of which have multiple deliverables, such
as the delivery of drugs and supplies and the provision of
related nursing services to train and monitor patient
administration of the drugs. After applying the criteria from
the final model in EITF Issue
No. 00-21,
the Company concluded that separate units of accounting do exist
in its revenue arrangements with multiple deliverables.
The Companys revenue recognition policy is designed to
recognize revenue when each deliverable is provided to the
patient. For example, revenue from drug sales is recognized upon
confirmation of the delivery of the products, and revenue from
nursing services is recognized upon receipt of nursing notes
confirming the service has been provided. In instances in which
the amount allocable to the delivered item is contingent upon
delivery of additional items, the Company recognizes revenue
after all the deliverables in the arrangement have been
provided. In instances that a per-diem is provided for daily
usage of supplies and equipment, revenue is recognized on a pro
rata basis.
Cost of Goods and Cost of Services Provided
Cost of goods consists of the actual cost of pharmaceuticals and
other medical supplies dispensed to patients. Cost of services
provided consists of certain operating costs related to pharmacy
operations, nursing and respiratory services. These costs
include employee salary and benefits and contract labor directly
involved in providing service to the patient.
Distribution Expenses Distribution expenses
are included in selling, distribution and administrative
expenses in the accompanying consolidated statements of
operations and totaled $6,493,156 and $5,266,281 for the years
ended December 31, 2008 and 2007, respectively. Such
expense represents the delivery costs related to the end user.
Included are salary and benefit costs related to drivers and
dispatch personnel and amounts paid to courier and other outside
shipping vendors.
Terminated Transaction Costs In contemplation
of the stock purchase agreement, the Company withdrew the filing
of its initial public offering on
Form S-1
with the Securities and Exchange Commission (SEC) in January
2008. The Company expensed $83,653 and $4,378,810 in stock
issuance costs during the years ended December 31, 2008 and
2007, respectively.
The stock purchase agreement for MBHs proposed acquisition
of the Company was mutually terminated as of October 31,
2008, by MBH and Kohlberg, in its capacity as the representative
of the stockholders of the Company. The Company expensed
$3,496,432 in terminated transaction costs related to MBHs
proposed acquisition of the Company during the year ended
December 31, 2008.
Income Taxes The Company uses the liability
method of accounting for income taxes in accordance with
SFAS No. 109, Accounting for Income Taxes
(SFAS No. 109). Accordingly, deferred
tax liabilities and assets are determined based on the
difference between the financial statement and tax bases of
assets and liabilities, using enacted tax rates in effect for
the year in which the differences are expected to reverse. The
Company recognizes accrued interest and penalties related to
unrecognized tax benefits as a component of tax expense. Current
income taxes are based on the years taxable income for
federal and state income tax reporting purposes.
F-11
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Company adopted the provisions of FASB Interpretation
FIN No. 48, Accounting for Uncertainty in Income
Taxes (FIN 48), on January 1, 2007.
Previously, the Company had accounted for tax contingencies in
accordance with SFAS No. 5, Accounting for
Contingencies (SFAS No. 5). As
required by FIN No. 48, which clarifies
SFAS No. 109, the Company recognizes the financial
statement benefit of a tax position only after determining that
the relevant tax authority would more likely than not sustain
the position following an audit. For tax positions meeting the
more-likely-than-not threshold, the amount recognized in the
financial statements is the largest benefit that has a greater
than 50 percent likelihood of being realized upon ultimate
settlement with the relevant tax authority. At the adoption
date, the Company applied FIN No. 48 to all tax
positions for which the statute of limitations remained open.
There was no impact to the consolidated financial statements
upon implementation of FIN No. 48.
Self Insurance The Company is self-insured up
to certain limits for workers compensation costs and
employee medical benefits. The Company has purchased stop-loss
coverage to limit its exposure to significant individual
workers compensation or employee medical claims.
Self-insured losses are accrued for known and anticipated claims
based upon certain actuarial assumptions and historical claim
payment patterns.
Use of Estimates The preparation of
consolidated financial statements in conformity with generally
accepted accounting principles requires management to make
estimates and assumptions that affect the reported amounts of
assets, liabilities, revenues, and expenses in the accompanying
consolidated financial statements.
Significant items subject to such estimates and assumptions
include but are not limited to revenue recognition, goodwill and
intangibles, the allowance for doubtful accounts, the valuation
of stock option grants, and self-insurance reserves for
workers compensation costs and employee medical benefits.
Actual results could differ from those estimates.
New Accounting Pronouncements In February
2007, the FASB issued SFAS No. 159, The Fair Value
Option for Financial Assets and Financial Liabilities
(SFAS No. 159). SFAS No. 159
provides companies with an option to report selected financial
assets and liabilities at fair value and establishes
presentation and disclosure requirements designed to facilitate
comparisons between companies that choose different measurement
attributes for similar types of assets and liabilities.
SFAS No. 159 was effective on January 1, 2008.
The Company did not adopt the fair value option for any
financial assets or liabilities; thus this statement did not
have an impact on the Companys financial position, results
of operations, or cash flows.
In September 2006, the FASB issued SFAS No. 157,
Fair Value Measurements
(SFAS No. 157). SFAS No. 157
defines fair value, establishes a framework for consistently
measuring fair value under U.S. generally accepted
accounting principles and expands disclosures about fair value
measurements. The Company adopted the provisions of
SFAS No. 157 on January 1, 2008. The adoption of
this statement for financial assets and liabilities did not have
a material effect on the Companys financial position,
results of operations, or cash flows.
In February 2008, the FASB issued FASB Staff Position
(FSP)
No. FAS 157-2,
Effective Date of FASB Statement No. 157 (FSP
FAS 157-2),
which delays the effective date of SFAS No. 157 for
all nonfinancial assets and nonfinancial liabilities, except for
items that are recognized or disclosed at fair value in the
financial statements on a recurring basis (at least annually).
Management has deferred application of SFAS No. 157
for all nonfinancial assets and nonfinancial liabilities, except
for items that are recognized or disclosed at fair value in the
financials statements on a recurring basis, until fiscal years
beginning after November 15, 2008. The Company does not
anticipate that the adoption of this statement will have a
material impact on the Companys financial position,
results of operations, or cash flows.
In April 2008, the FASB issued FSP
No. FAS 142-3,
Determining the Useful Life of Intangible Assets
(FSP
FAS 142-3).
FSP
FAS 142-3
amends the factors that should be considered in developing
renewal or extension assumptions used to determine the useful
life of a recognized intangible asset under
SFAS No. 142,
F-12
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Goodwill and Other Intangible Assets. The intent of FSP
FAS 142-3
is to improve the consistency between the useful life of a
recognized intangible asset under SFAS 142 and the period
of expected cash flows used to measure the fair value of the
asset under SFAS No. 141 (revised 2007), Business
Combinations (SFAS No. 141(R)) and
other applicable accounting literature. FSP
FAS 142-3
is effective for financial statements issued for fiscal years
beginning after December 15, 2008. The Company does not
anticipate that the adoption of this statement will have a
material impact on the Companys financial position,
results of operations, or cash flows.
In March 2008, the FASB issued SFAS No. 161,
Disclosures about Derivative Instruments and Hedging
Activities (SFAS No. 161).
SFAS No. 161 amends and expands disclosure
requirements of FASB SFAS No. 133, Accounting for
Derivative Instruments and Hedging Activities
(SFAS No. 133), including, reasons for
the use of derivative instruments, related accounting, and
affect on consolidated financial statements.
SFAS No. 161 is effective for financial statements
issued for fiscal years beginning after November 15, 2008.
The Company does not anticipate that the adoption of this
statement will have a material impact on the Companys
financial position, results of operations, or cash flows.
In December 2007, the FASB issued SFAS No. 141 (R),
Business Combinations, which replaces
SFAS No. 141. SFAS No. 141(R) requires an
acquiring entity to recognize all the assets acquired and
liabilities assumed in a transaction at the acquisition-date
fair value with limited exceptions. In addition,
SFAS No. 141(R) requires acquisition costs to be
expensed as incurred, in-process research and development to be
recorded at fair value as an indefinite-lived intangible asset
at the acquisition date, restructuring costs associated with a
business combination to be generally expensed subsequent to the
acquisition date, and changes in deferred tax asset valuation
allowances and income tax uncertainties after the acquisition
date generally to affect income tax expense.
SFAS No. 141(R) also includes a substantial number of
new disclosure requirements. SFAS No. 141(R) is
effective prospectively, except for taxes, for financial
statements issued for fiscal years beginning after
December 15, 2008. The Company anticipates that the
prospective application of the provisions of
SFAS No. 141(R) could have a material impact on the
fair values assigned to assets and liabilities of future
acquisitions upon adoption on January 1, 2009.
On December 22, 2008, the Company acquired all of the
outstanding stock of NHI, a provider of home infusion services
with one location in the state of Florida. The total
consideration to complete the acquisition was $4,489,347, which
was financed with cash of $4,233,070 and the assumption of
$256,277 of liabilities. As of December 31, 2008, $237,094
is due to the sellers to settle the post-closing determination
of certain assets and liabilities relative to established
targets. The effective date of the NHI acquisition was
December 1, 2008.
On September 23, 2008, the Company acquired all of the
outstanding stock of OCL, a provider of home infusion and
nursing services with one location in the state of Kentucky. The
total consideration to complete the acquisition was $6,774,049,
which was financed with cash of $6,481,585 and the assumption of
$292,464 of liabilities. The effective date of the OCL
acquisition was September 1, 2008.
On April 23, 2008, the Company acquired all of the
outstanding stock of WC, a provider of home infusion with two
locations in the state of Vermont. The total consideration to
complete the acquisition was $4,493,549, which was financed with
cash of $3,769,190 and the assumption of $724,359 of
liabilities. The effective date of the WC acquisition was
April 1, 2008. The purchase agreement allows for additional
purchase price adjustments up to $275,000 based on the operating
results of the acquired business during the one-year period
following the acquisition.
On August 3, 2007, the Company acquired all of the
outstanding stock of EGP, a provider of home infusion services
in Delaware and Pennsylvania. The total consideration to
complete the acquisition of EGP
F-13
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
was $6,361,574, which was financed with cash of $5,839,741 and
the assumption of $521,833 of liabilities. The effective date of
the EGP acquisition was August 1, 2007.
On July 25, 2007, the Company acquired all of the
outstanding stock of IPM and IPB in separate acquisitions. IPM
and IPB provide home infusion, specialty, and pharmacy services
in Florida and Georgia, respectively. The total consideration to
complete the acquisitions was $11,357,039, financed with cash of
$11,006,933 and the assumption of $350,106 of liabilities. The
effective date of the IPM and IPB acquisitions was July 1,
2007.
On June 27, 2007, the Company acquired all of the
outstanding shares of AHC, a provider of home infusion therapy
services with operations in the state of Texas. The total
consideration to complete the acquisition was $9,274,160 and was
financed with cash of $8,736,784 and the assumption of $537,376
of liabilities. As part of the purchase agreement, the Company
was required to remit to the sellers additional consideration to
the extent that the acquired business continued to treat two of
its patients with a specific therapy during the twelve-month
period following the acquisition date. The sellers earned
approximately $1,050,000 in connection with the aforementioned
therapy. The effective date of the AHC acquisition was
June 1, 2007.
On March 14, 2007, the Company acquired all of the
outstanding shares of ISI, a provider of infusion therapy
services in New Hampshire. The total consideration to complete
the acquisition was $9,094,503, financed with cash of
$8,355,700, and the assumption of $738,803 of liabilities. The
effective date of the ISI acquisition was March 1, 2007.
On January 8, 2007, the Company acquired all of the
outstanding shares of DEI, a provider of infusion therapy
services, adult and pediatric home health care services, and
private duty nursing services with 44 operating locations in
nine states. The total consideration to complete the acquisition
was $170,732,123, financed with cash of $156,142,018 and the
assumption of $14,590,105 of liabilities. The effective date of
the DEI acquisition was January 1, 2007.
Each of these acquisitions was performed to expand our
geographic footprint and increase our offerings of services.
These acquisitions were recorded under the purchase method of
accounting, and accordingly, the financial position and
operating results of the acquired operations are included in the
consolidated financial statements of the Company subsequent to
the date of their respective acquisitions.
The initial purchase price has been allocated to assets acquired
and liabilities assumed based on estimated fair values. The
purchase price allocations for NHI, OCL, and WC are preliminary
and are subject to adjustment, which may be material, pending a
final determination of income tax allocations, contingent
consideration, and acquisition-related costs. The allocated fair
value of assets acquired and liabilities assumed as of
December 31, 2008, is summarized in the table below.
Amounts due to sellers for cash represents the Companys
liability for the sellers cash, which is due to the
sellers as of the effective date of each transaction, per the
terms of the respective purchase agreements.
F-14
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
NHI
|
|
|
OCL
|
|
|
WC
|
|
|
EGP
|
|
|
IPM and IPB
|
|
|
AHC
|
|
|
ISI
|
|
|
DEI
|
|
|
Cash
|
|
$
|
59,663
|
|
|
$
|
|
|
|
$
|
75,475
|
|
|
$
|
66,631
|
|
|
$
|
736,875
|
|
|
$
|
860,354
|
|
|
$
|
110,693
|
|
|
$
|
10,103,801
|
|
Accounts receivable
|
|
|
201,401
|
|
|
|
1,227,474
|
|
|
|
532,805
|
|
|
|
491,927
|
|
|
|
395,440
|
|
|
|
748,069
|
|
|
|
1,043,206
|
|
|
|
22,118,045
|
|
Inventories
|
|
|
21,428
|
|
|
|
155,142
|
|
|
|
181,210
|
|
|
|
222,533
|
|
|
|
60,730
|
|
|
|
148,480
|
|
|
|
261,158
|
|
|
|
1,746,228
|
|
Deferred income taxes
|
|
|
67,611
|
|
|
|
118,337
|
|
|
|
165,318
|
|
|
|
|
|
|
|
|
|
|
|
271,385
|
|
|
|
252,074
|
|
|
|
3,828,053
|
|
Other assets
|
|
|
1,554
|
|
|
|
|
|
|
|
7,193
|
|
|
|
500
|
|
|
|
5,126
|
|
|
|
12,282
|
|
|
|
6,930
|
|
|
|
782,469
|
|
Property and equipment
|
|
|
6,331
|
|
|
|
93,004
|
|
|
|
61,947
|
|
|
|
78,029
|
|
|
|
24,696
|
|
|
|
140,122
|
|
|
|
130,373
|
|
|
|
2,427,296
|
|
Intangible assets
|
|
|
213,600
|
|
|
|
628,500
|
|
|
|
26,500
|
|
|
|
55,000
|
|
|
|
44,000
|
|
|
|
785,042
|
|
|
|
170,600
|
|
|
|
14,715,000
|
|
Goodwill
|
|
|
3,977,422
|
|
|
|
4,551,592
|
|
|
|
3,518,576
|
|
|
|
5,528,598
|
|
|
|
10,857,071
|
|
|
|
7,168,780
|
|
|
|
7,230,162
|
|
|
|
132,117,444
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total identifiable assets
|
|
|
4,549,010
|
|
|
|
6,774,049
|
|
|
|
4,569,024
|
|
|
|
6,443,218
|
|
|
|
12,123,938
|
|
|
|
10,134,514
|
|
|
|
9,205,196
|
|
|
|
187,838,336
|
|
Accounts payable and accrued expenses
|
|
|
256,277
|
|
|
|
292,464
|
|
|
|
724,359
|
|
|
|
521,833
|
|
|
|
350,106
|
|
|
|
537,376
|
|
|
|
738,803
|
|
|
|
14,465,105
|
|
Long-term debt and capital lease obligations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
125,000
|
|
Deferred income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15,013
|
|
|
|
30,024
|
|
|
|
|
|
|
|
|
|
|
|
7,002,412
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total identifiable net assets
|
|
|
4,292,733
|
|
|
|
6,481,585
|
|
|
|
3,844,665
|
|
|
|
5,906,372
|
|
|
|
11,743,808
|
|
|
|
9,597,138
|
|
|
|
8,466,393
|
|
|
|
166,245,819
|
|
Amounts due to sellers for cash
|
|
|
59,663
|
|
|
|
|
|
|
|
75,475
|
|
|
|
66,631
|
|
|
|
736,875
|
|
|
|
860,354
|
|
|
|
110,693
|
|
|
|
10,103,801
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase price
|
|
$
|
4,233,070
|
|
|
$
|
6,481,585
|
|
|
$
|
3,769,190
|
|
|
$
|
5,839,741
|
|
|
$
|
11,006,933
|
|
|
$
|
8,736,784
|
|
|
$
|
8,355,700
|
|
|
$
|
156,142,018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Changes in the allocated fair market value from the initial
allocation to the current allocation as of December 31,
2008, relate primarily to additional transaction costs,
adjustments to certain liabilities, and adjustments to deferred
taxes.
Interest expense, net of taxes, of $62,378 and $469,539 has been
recognized in the consolidated financial statements of the
Company for the years ended December 31, 2008 and 2007,
respectively, relative to the imputed interest on the purchase
price from the effective dates to the closing dates.
As each of the above acquisitions was for stock, the goodwill
arising from the transactions is generally not deductible for
tax purposes.
|
|
3.
|
PROPERTY
AND EQUIPMENT NET
|
As of December 31, 2008 and 2007, property and equipment
consisted of the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Medical equipment
|
|
$
|
7,652,429
|
|
|
$
|
4,939,395
|
|
Leasehold improvements
|
|
|
970,740
|
|
|
|
607,460
|
|
Equipment, vehicles, and other assets
|
|
|
4,925,620
|
|
|
|
3,978,400
|
|
Building
|
|
|
|
|
|
|
353,750
|
|
|
|
|
|
|
|
|
|
|
Total property and equipment gross
|
|
|
13,548,789
|
|
|
|
9,879,005
|
|
Less accumulated depreciation and amortization
|
|
|
(6,266,185
|
)
|
|
|
(3,156,540
|
)
|
|
|
|
|
|
|
|
|
|
Property and equipment net
|
|
$
|
7,282,604
|
|
|
$
|
6,722,465
|
|
|
|
|
|
|
|
|
|
|
In June 2008, the Company sold its building in Tennessee for
$227,865. The building was a part of the Home Nursing segment.
The net pretax loss from the sale was $100,828 and is included
in selling, distribution, and administrative expenses in the
consolidated statements of operations.
F-15
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Included in property and equipment are equipment and vehicles
that are held under capital lease arrangements as of
December 31, 2008 and 2007, as follows (also see
Note 10):
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Medical equipment
|
|
$
|
369,451
|
|
|
$
|
478,520
|
|
Equipment, vehicles, and other assets
|
|
|
555,548
|
|
|
|
279,308
|
|
|
|
|
|
|
|
|
|
|
Total property and equipment gross
|
|
|
924,999
|
|
|
|
757,828
|
|
Less accumulated depreciation and amortization
|
|
|
(394,395
|
)
|
|
|
(269,196
|
)
|
|
|
|
|
|
|
|
|
|
Property and equipment net
|
|
$
|
530,604
|
|
|
$
|
488,632
|
|
|
|
|
|
|
|
|
|
|
Depreciation expense was $3,178,749 and $3,003,600 for the years
ended December 31, 2008 and 2007, respectively.
|
|
4.
|
GOODWILL
AND INTANGIBLE ASSETS
|
As of December 31, 2008, goodwill consists of the following:
|
|
|
|
|
Balance December 31, 2007
|
|
$
|
196,792,548
|
|
Goodwill acquired
|
|
|
13,944,379
|
|
|
|
|
|
|
Balance December 31, 2008
|
|
$
|
210,736,927
|
|
|
|
|
|
|
As of December 31, 2008 and 2007, intangible assets consist
of the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Trademarks nonamortizable
|
|
$
|
15,329,200
|
|
|
$
|
15,139,200
|
|
Certificates of need nonamortizable
|
|
|
5,486,000
|
|
|
|
4,900,000
|
|
Non-compete agreements amortizable
|
|
|
644,442
|
|
|
|
560,842
|
|
Trademarks amortizable
|
|
|
1,220,000
|
|
|
|
1,220,000
|
|
Other intangibles amortizable
|
|
|
57,363
|
|
|
|
43,541
|
|
Accumulated amortization:
|
|
|
|
|
|
|
|
|
Noncompete agreements
|
|
|
(294,565
|
)
|
|
|
(147,959
|
)
|
Trademarks
|
|
|
(550,000
|
)
|
|
|
(270,000
|
)
|
Other intangibles
|
|
|
(32,511
|
)
|
|
|
(22,788
|
)
|
|
|
|
|
|
|
|
|
|
Intangible
assets-net
|
|
$
|
21,859,929
|
|
|
$
|
21,422,836
|
|
|
|
|
|
|
|
|
|
|
The weighted-average remaining life as of December 31,
2008, of non-compete agreements is 2.6 years, trademarks is
2.7 years, and other intangibles is less than
1.0 year, with the total weighted-average remaining life of
all intangible assets of 2.6 years.
F-16
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Amortization expense on intangible assets was $436,330 and
$401,907 for the years ended December 31, 2008 and 2007,
respectively. Amortization expense on intangible assets in each
of the next five years is expected to be the following:
|
|
|
|
|
2009
|
|
$
|
382,205
|
|
2010
|
|
|
330,233
|
|
2011
|
|
|
292,216
|
|
2012
|
|
|
30,685
|
|
2013
|
|
|
9,389
|
|
|
|
|
|
|
|
|
$
|
1,044,728
|
|
|
|
|
|
|
As of December 31, 2008 and 2007, accrued expenses
consisted of the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Accrued accounting and legal fees
|
|
$
|
143,042
|
|
|
$
|
304,442
|
|
Accrued payroll expenses
|
|
|
7,279,828
|
|
|
|
6,987,565
|
|
Deferred revenue
|
|
|
3,088,033
|
|
|
|
3,051,950
|
|
Accrued refunds payable
|
|
|
3,636,231
|
|
|
|
3,744,999
|
|
Amounts due to sellers
|
|
|
296,757
|
|
|
|
608,403
|
|
Other accrued expenses
|
|
|
4,916,020
|
|
|
|
5,310,917
|
|
Accrued workers compensation
|
|
|
1,234,541
|
|
|
|
1,119,762
|
|
Accrued benefits
|
|
|
303,381
|
|
|
|
1,221,642
|
|
Accrued interest
|
|
|
189,004
|
|
|
|
560,276
|
|
|
|
|
|
|
|
|
|
|
Accrued expenses
|
|
$
|
21,086,837
|
|
|
$
|
22,909,956
|
|
|
|
|
|
|
|
|
|
|
|
|
6.
|
LONG-TERM
DEBT AND CAPITAL LEASE OBLIGATIONS
|
As of December 31, 2008 and 2007, long-term debt and
capital lease obligations consist of the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
First Lien Facilities and Second Lien Facility
|
|
$
|
144,400,000
|
|
|
$
|
147,300,000
|
|
Revolving credit facility
|
|
|
7,000,000
|
|
|
|
7,000,000
|
|
Capital lease obligations
|
|
|
420,350
|
|
|
|
418,683
|
|
Other
|
|
|
|
|
|
|
75,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
151,820,350
|
|
|
|
154,793,683
|
|
Less obligations maturing within one year
|
|
|
5,988,963
|
|
|
|
3,213,459
|
|
|
|
|
|
|
|
|
|
|
Long-term debt net of current portion
|
|
$
|
145,831,387
|
|
|
$
|
151,580,224
|
|
|
|
|
|
|
|
|
|
|
The weighted-average interest rate for the years ended
December 31, 2008 and 2007, was 7.04% and 9.39%,
respectively. The effective interest rate, after considering
amortization of deferred financing fees, approximated 7.53% and
9.88% for the years ended December 31, 2008 and 2007,
respectively.
F-17
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
First
Lien Facilities and Second Lien Facility
On January 8, 2007, the Company completed a debt
refinancing in connection with the acquisition of DEI. This
refinancing resulted in a syndicate of institutions providing
total available financing of $154,000,000. Components of the
facility include a first-priority senior secured $100,000,000
Term Loan A facility (Term Loan A), a first-priority
senior secured $20,000,000 revolving credit facility (the
Revolver and, collectively with Term Loan A, the
First Lien Facilities), and a second-priority senior
secured $34,000,000 Term Loan B facility (Term Loan
B or Second Lien Facility).
At closing, $92,000,000 of Term Loan A and the full amount of
$34,000,000 of Term Loan B were drawn, and the full Revolver was
undrawn. In addition, deferred financing fees related to a
previous financing of $832,428 were written off. This amount is
included in interest and other financing costs in the
accompanying consolidated statement of operations.
The Company borrowed the remaining $8,000,000 under Term Loan A
on March 14, 2007, to finance the acquisition of ISI.
In April 2007, the Company entered into a $67,000,000 notional
interest rate cap on the First Lien Facilities for a cost of
$42,000. In August 2007, the Company amended the interest rate
cap to cover an additional $8,000,000 of additional principal
for an additional cost of $8,000. The agreement effectively
places a ceiling on interest relating to $75,000,000 of debt at
a rate of 6% for a period of two years. The Company has not
designated this cap as a hedging instrument, and accordingly,
any unrealized gain or loss on the interest rate cap has been
recorded as a component of earnings. The impact of the interest
rate cap on the consolidated statement of operations for the
years ended December 31, 2008 and 2007, was insignificant.
On July 25, 2007, the Company amended its First Lien
Facilities and incurred an additional $16,000,000 of borrowings.
These borrowings were used to finance the acquisitions of IPM,
IPB, and EGP. Accordingly, the aggregate principal amount of
Term Loan A was increased from $100,000,000 to $116,000,000.
Term Loan A matures in January 2012 and principal is repayable
in quarterly installments of $1,450,000 each in 2009 that
escalate to $2,900,000 in 2011, with the balance due at
maturity. Interest on Term Loan A is based on the banks
Alternative Base Rate (as defined by the respective agreement)
plus the applicable margin of 1.5% to 2.5%, or the London
Inter-Bank Offered Rate (LIBOR) plus the applicable margin of
2.75% to 3.75%. The applicable margin is subject to varying
increments based on changes in leverage.
Term Loan B matures in January 2013, and is not subject to
scheduled amortization. Interest on the Term Loan B is based on
the banks Alternative Base Rate (as defined by the
respective agreement), plus the applicable margin of 5.25%, or
the LIBOR plus the applicable margin of 6.50%.
The Revolver includes a facility for up to $4,000,000 of standby
letters of credit. A commitment fee is payable quarterly at 0.5%
per annum of the undrawn portion of the Revolver. The Revolver
is a component of the First Lien Facilities and bears interest
at the rates established in the related first lien agreements.
Amounts borrowed on the Term Loan A and Term Loan B that are
repaid or prepaid may not be re-borrowed. Amounts repaid under
the Revolver may be re-borrowed.
Borrowings under the First Lien Facilities are secured by
substantially all of the Companys assets. Second Lien
Facility borrowings are secured on a second-priority basis,
subordinate only to the First Lien Facilities, by substantially
all the assets of the Company.
The Company is required under the terms of the First Lien
Facilities and the Second Lien Facility to maintain certain
financial ratio covenants, including minimum adjusted EBITDA,
maximum total leverage and fixed charge coverage. The Company
was in compliance with these covenants as of December 31,
2008.
F-18
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Letters
of Credit
On January 8, 2007, the Company issued a letter of credit
against the First Lien Facilities in the amount of $705,393
securing its performance on its workers compensation
insurance policy. The letter of credit had a term of one year.
On January 8, 2008, the Company increased its letter of
credit against the First Lien Facilities securing its
performance on its workers compensation insurance policy
by $1,075,000, to a total of $1,780,393. The letter of credit
has a one-year term, with an automatic extension of one year.
On September 26, 2007, the Company issued a letter of
credit against the First Lien Facilities in the amount of
$75,000 securing its performance under a vehicle lease agreement
that was executed in the fourth quarter of 2007. The letter of
credit expires on August 7, 2009.
Maturities of debt outstanding, including capital lease
obligations, in each of the next five years is as follows:
|
|
|
|
|
2009
|
|
$
|
5,988,963
|
|
2010
|
|
|
8,796,388
|
|
2011
|
|
|
11,677,272
|
|
2012
|
|
|
91,340,459
|
|
2013
|
|
|
34,017,268
|
|
|
|
|
|
|
|
|
$
|
151,820,350
|
|
|
|
|
|
|
F-19
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
7.
|
EARNINGS
PER COMMON SHARE
|
Basic earnings per common share is calculated based on income or
loss available to common shareholders divided the
weighted-average number of common shares outstanding during the
period. Diluted earnings per common share assumes exercise of
all contingently issuable shares into common shares at the
beginning of the period or date of issuance, unless the
contingently issuable shares are antidilutive. There were no
antidilutive shares excluded from earnings per share during the
years ended December 31, 2008 or 2007. The calculation of
basic and diluted earnings per common share is presented below:
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
|
December 31,
|
|
|
|
2008
|
|
|
2007
|
|
|
Basic earnings per share computation:
|
|
|
|
|
|
|
|
|
Numerator income available to common shareholders
|
|
$
|
5,722,864
|
|
|
$
|
1,611,536
|
|
Denominator weighted-average number of common shares
outstanding
|
|
|
90,898,079
|
|
|
|
86,050,106
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share
|
|
$
|
0.06
|
|
|
$
|
0.02
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share computation:
|
|
|
|
|
|
|
|
|
Numerator income available to common shareholders
|
|
$
|
5,722,864
|
|
|
$
|
1,611,536
|
|
Cumulative preferred stock dividends
|
|
|
243,903
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total income available to common shareholders
diluted basis
|
|
$
|
5,966,767
|
|
|
$
|
1,611,536
|
|
|
|
|
|
|
|
|
|
|
Denominator:
|
|
|
|
|
|
|
|
|
Weighted-average number of common shares outstanding
|
|
|
90,898,079
|
|
|
|
86,050,106
|
|
Weighted-average additional shares assuming exercise of stock
options and conversion of preferred stock
|
|
|
5,959,067
|
|
|
|
790,249
|
|
|
|
|
|
|
|
|
|
|
Total weighted average common shares outstanding-diluted basis
|
|
|
96,857,146
|
|
|
|
86,840,355
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per common share
|
|
$
|
0.06
|
|
|
$
|
0.02
|
|
|
|
|
|
|
|
|
|
|
Preferred Stock The Company has
5,000,000 shares of preferred stock authorized for issuance
at the discretion of the Board of Directors, subject to
limitations prescribed by Delaware law and the Companys
certificate of incorporation. The Board of Directors is
expressly authorized to set the terms for the establishment or
issuance of any series of preferred stock, the designation of
such series, and the powers, preferences, and rights of such
series, and the qualifications, limitations, or restrictions
thereof.
During the year ended December 31, 2008, the Company raised
$20,036,500 through the placement of Series A Convertible
Preferred Stock.
F-20
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
As of December 31, 2008, the Company has outstanding the
following convertible preferred stock:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Liquidation
|
|
|
Dividend
|
|
|
|
|
|
Date of Issue
|
|
Issue
|
|
|
Amount
|
|
|
Shares
|
|
|
Preference
|
|
|
Rate
|
|
|
Redeemable
|
|
Exchangeable
|
|
April 22, 2008
|
|
|
Series A
|
|
|
$
|
4,000,000
|
|
|
|
4,000
|
|
|
$
|
1,000
|
|
|
|
4
|
% (A)
|
|
At any time with the consent of over 75% of the preferred share
owners
|
|
At any time into share of Common Stock
|
September 22, 2008
|
|
|
Series A
|
|
|
$
|
6,000,000
|
|
|
|
6,000
|
|
|
$
|
1,000
|
|
|
|
4
|
% (A)
|
|
At any time with the consent of over 75% of the preferred share
owners
|
|
At any time into share of Common Stock
|
September 23, 2008
|
|
|
Series A
|
|
|
$
|
36,000
|
|
|
|
36
|
|
|
$
|
1,000
|
|
|
|
4
|
% (A)
|
|
At any time with the consent of over 75% of the preferred share
owners
|
|
At any time into share of Common Stock
|
December 19, 2008
|
|
|
Series A
|
|
|
$
|
10,000,000
|
|
|
|
10,000
|
|
|
$
|
1,000
|
|
|
|
4
|
% (A)
|
|
At any time with the consent of over 75% of the preferred share
owners
|
|
At any time into share of Common Stock
|
|
|
|
(A) |
|
The dividend rate is 4% per year during the six-month period
following the issuance date and 11% per year thereafter. The
dividends, which accrue on the liquidation preference, are
payable when, as and if declared by the Companys board of
directors. |
The Series A Convertible Preferred Stock has preferential
rights over the Common Stock with respects to rights to receive
dividends and rights on liquidation, dissolution, or winding up.
According to the preferred stock agreement, the rate at which
the preferred stock is convertible into common stock is the
quotient of (A) the sum of the Series A Liquidation
Preference (the original purchase price) plus all accrued and
unpaid dividends as of the date of conversion to the extent not
included in the Series A Liquidation Preference as of such
date divided by (B) the Fair Market Value of the Common
Stock as of the business day immediately preceding the date of
conversion. Fair Market Value is defined as the amount that a
willing buyer, under no compulsion to buy, would pay a willing
seller, under no compulsion to sell, in an arms length
transaction (assuming no consideration is given for minority
investment discounts or discounts related to illiquidity or
restrictions in transferability).
Stock Based Compensation In December 2004,
the FASB released SFAS No. 123(R), Share-Based
Payment (SFAS No. 123(R)).
SFAS No. 123(R) is a revision of
SFAS No. 123, Accounting for Stock-Based
Compensation, and establishes standards for the accounting
for transactions in which an entity exchanges its equity
instruments for goods or services. It also addresses
transactions in which an entity incurs liabilities in exchange
for goods or services that are based on the fair value of the
entitys equity instruments or that may be settled by the
issuance of those equity instruments. SFAS No. 123(R)
requires all equity-based payments to employees to be recognized
in the results of operations based on the grant date fair value
of the award. The Company adopted SFAS No. 123(R) on
September 1, 2006.
The Companys 2006 Equity Incentive Plan (the
Plan), which is shareholder approved, permits the
grant of share options to executives and key employees. Option
awards are granted with an exercise price equal to the fair
value of the Companys stock at the date of the grant,
generally vest over a four-year period, and are generally
exercisable for 10 years from the date of the grant. The
Plan allows for the settlement of the options through the
issuance of common or preferred shares or the payment of cash,
at the direction of the Board of Directors. No options were
settled in cash during the years ended December 31, 2008
and 2007.
The fair values of the stock options granted by the Company
under the Plan were determined using the Black-Scholes
option-pricing model. Use of a valuation model requires
management to make certain
F-21
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
assumptions with respect to the selected model inputs. Because
the Companys stock was not publicly traded during the
period, the historical weighted-average of the Companys
peer group within the healthcare sector was used. The peer group
included two public companies that provide home infusion
services and two public companies that provide home nursing
services. The calculation of volatility was based on
6.25 years, which is consistent with the expected term of
the awards. The grant life was based on the simplified
method for plain vanilla option permitted by
Topic 14 of SAB 110, Share-Based Payment
(SAB 110). The risk-free interest rate is
based on U.S. Treasury zero-coupon issues with a remaining
term which approximates the estimated life assumed at the date
of grant.
The following assumptions have been used in the determination of
the fair value for options granted during the year ended
December 31, 2007. The weighted-average fair value of
options granted during the year ended December 31, 2008,
was $0.55. There were no options granted during the year ended
December 31, 2008.
|
|
|
|
|
|
|
Year Ended
|
|
|
|
December 31,
|
|
|
|
2007
|
|
|
Risk-free interest rate
|
|
|
4.70
|
%
|
Expected term
|
|
|
6.25
|
|
Expected volatility
|
|
|
44.65
|
%
|
Dividend yield
|
|
|
|
|
A summary of stock option activity under the Plan as of and
during the year ended December 31, 2008, is presented below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted-
|
|
|
|
|
|
|
Weighted-
|
|
|
Average Grant
|
|
|
|
|
|
|
Average
|
|
|
Date Fair
|
|
|
|
Options
|
|
|
Exercise Price
|
|
|
Value
|
|
|
Outstanding December 31, 2007
|
|
|
8,931,000
|
|
|
$
|
1.05
|
|
|
$
|
0.55
|
|
Grants
|
|
|
|
|
|
|
|
|
|
|
|
|
Forfeitures
|
|
|
(151,000
|
)
|
|
|
1.05
|
|
|
|
0.55
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding December 31, 2008
|
|
|
8,780,000
|
|
|
$
|
1.05
|
|
|
$
|
0.55
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vested and exercisable December 31, 2008
|
|
|
2,893,125
|
|
|
$
|
1.04
|
|
|
$
|
0.55
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31, 2008, there was approximately $2,519,182
of total unrecognized compensation cost related to unvested
stock options granted under the Plan that the Company had not
recorded. That cost is expected to be recognized through 2011.
Compensation expense of $1,188,130 and $1,063,919 was recognized
during the years ended December 31, 2008 and 2007,
respectively, and is included in selling, distribution, and
administrative expenses in the accompanying consolidated
statements of operations. There have been no exercises of stock
option awards since inception of the Plan. The intrinsic value
of the options at December 31, 2008, was $7,879,750.
During June 2007, the Company amended the Plan to allow for
immediate vesting of unvested awards upon filing of an initial
public offering or upon a change in control, as defined. There
has been no accounting recognition for this modification in the
accompanying consolidated financial statements.
F-22
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
For the years ended December 31, 2008 and 2007, the income
tax provision consisted of the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Current:
|
|
|
|
|
|
|
|
|
Federal
|
|
$
|
2,785,685
|
|
|
$
|
1,193,080
|
|
State and local
|
|
|
2,480,679
|
|
|
|
1,314,622
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,266,364
|
|
|
|
2,507,702
|
|
|
|
|
|
|
|
|
|
|
Deferred:
|
|
|
|
|
|
|
|
|
Federal
|
|
|
(219,438
|
)
|
|
|
(220,841
|
)
|
State and local
|
|
|
(68,186
|
)
|
|
|
41,356
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(287,624
|
)
|
|
|
(179,485
|
)
|
|
|
|
|
|
|
|
|
|
Income tax provision
|
|
$
|
4,978,740
|
|
|
$
|
2,328,217
|
|
|
|
|
|
|
|
|
|
|
As of December 31, 2008 and 2007, deferred tax assets and
liabilities consist of the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Deferred tax assets:
|
|
|
|
|
|
|
|
|
Inventory
|
|
$
|
154,535
|
|
|
$
|
228,587
|
|
Loss carryforward
|
|
|
2,484,894
|
|
|
|
1,597,416
|
|
Accrued liabilities
|
|
|
2,776,431
|
|
|
|
2,480,412
|
|
Stock options
|
|
|
1,003,513
|
|
|
|
|
|
Transaction costs
|
|
|
1,320,224
|
|
|
|
1,523,591
|
|
Accounts receivable
|
|
|
4,473,045
|
|
|
|
3,884,734
|
|
|
|
|
|
|
|
|
|
|
Deferred tax assets before valuation allowance
|
|
|
12,212,642
|
|
|
|
9,714,740
|
|
Valuation allowance
|
|
|
(2,258,094
|
)
|
|
|
(1,439,592
|
)
|
|
|
|
|
|
|
|
|
|
Net deferred tax assets
|
|
|
9,954,548
|
|
|
|
8,275,148
|
|
Deferred tax liabilities:
|
|
|
|
|
|
|
|
|
Prepaid expense
|
|
|
111,748
|
|
|
|
162,602
|
|
Deferred revenue
|
|
|
950,400
|
|
|
|
621,893
|
|
Property and equipment
|
|
|
261,699
|
|
|
|
(94,451
|
)
|
Intangibles
|
|
|
10,536,344
|
|
|
|
9,561,541
|
|
Other
|
|
|
|
|
|
|
744,870
|
|
|
|
|
|
|
|
|
|
|
Deferred tax liabilities
|
|
|
11,860,191
|
|
|
|
10,996,455
|
|
|
|
|
|
|
|
|
|
|
Net deferred tax liabilities
|
|
$
|
1,905,643
|
|
|
$
|
2,721,307
|
|
|
|
|
|
|
|
|
|
|
For the years ended December 31, 2008 and 2007, income
taxes computed using the federal statutory income tax rate
differs from the Companys effective tax rate primarily due
to the following:
|
|
|
|
|
|
|
|
|
|
|
2008
|
|
|
2007
|
|
|
Federal tax at statutory rate of 34%
|
|
$
|
3,721,472
|
|
|
$
|
1,339,515
|
|
Nondeductible meals and entertainment
|
|
|
96,853
|
|
|
|
79,696
|
|
Other adjustments
|
|
|
77,017
|
|
|
|
158,058
|
|
State tax provision net of federal benefit
|
|
|
1,083,398
|
|
|
|
750,948
|
|
|
|
|
|
|
|
|
|
|
Income tax provision
|
|
$
|
4,978,740
|
|
|
$
|
2,328,217
|
|
|
|
|
|
|
|
|
|
|
The Companys deferred tax assets and liabilities were
valued based on the estimated tax rates in effect when the
assets and liabilities are expected to reverse. With the
exception of certain state net operating losses, management
believes it is more likely than not that the results of future
operations will generate sufficient taxable
F-23
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
income to realize the net deferred tax assets. As of
December 31, 2008, the Company had state net operating loss
carry-forwards for tax purposes of approximately
$40.3 million that expire from 2011 through 2026. At
December 31, 2008, the Company had a valuation allowance
for certain state net operating loss carry-forwards where it was
uncertain whether the carry-forward would be utilized. The
valuation allowance increased by $0.9 million from the
amount recorded at December 31, 2007.
Uncertain Tax Positions On January 1,
2007, the Company adopted the provisions of
FIN No. 48, Accounting for Uncertainty in Income
Taxes. The Company recognized no charge to the opening
balance of retained earnings as of January 1, 2007, as a
result of the implementation of FIN No. 48. The total
amount of unrecognized tax benefits as of December 31,
2008, was $474,082, none of which would impact the effective
rate if recognized. Accrued interest and penalties were
insignificant during the years ended December 31, 2008 and
2007.
The following table summarizes the activity related to the
Companys unrecognized tax benefits, excluding interest and
penalties, for the year ended December 31, 2008:
|
|
|
|
|
Balance December 31, 2007
|
|
$
|
100,000
|
|
Additions and reductions based on tax positions related to the
current year
|
|
|
|
|
Additions and reductions for tax positions of prior years
|
|
|
374,082
|
|
Settlements with taxing authorities
|
|
|
|
|
Expiration of the statute of limitations for the assessment of
taxes
|
|
|
|
|
|
|
|
|
|
Balance December 31, 2008
|
|
$
|
474,082
|
|
|
|
|
|
|
The Company does not anticipate the balance of gross
unrecognized tax benefits at December 31, 2008, to
significantly change during the next twelve months.
As of December 31, 2008, the Company is subject to
U.S. federal and state income tax examinations for the
consolidated tax years of 2006 and 2007. In addition, many of
the Companys subsidiaries have separate filed state
returns that are still subject to tax examination.
The Company leases their administrative and operating
facilities, certain vehicles, medical equipment, and office
equipment under various operating and capital leases. Lease
terms range from one to ten years with renewal options on
certain leases for additional periods. At December 31,
2008, future minimum annual payments, excluding executory costs
such as property taxes, insurance and maintenance, under
long-term capital leases and non-cancelable operating leases
were as follows:
|
|
|
|
|
|
|
|
|
|
|
Capital
|
|
|
Operating
|
|
|
|
Leases
|
|
|
Leases
|
|
|
2009
|
|
$
|
208,335
|
|
|
$
|
3,047,546
|
|
2010
|
|
|
107,292
|
|
|
|
2,370,910
|
|
2011
|
|
|
82,218
|
|
|
|
1,629,104
|
|
2012
|
|
|
42,283
|
|
|
|
1,299,635
|
|
2013
|
|
|
17,651
|
|
|
|
690,081
|
|
2014 and thereafter
|
|
|
|
|
|
|
17,715
|
|
|
|
|
|
|
|
|
|
|
Total minimum lease payments
|
|
|
457,779
|
|
|
$
|
9,054,991
|
|
|
|
|
|
|
|
|
|
|
Less amounts representing interest
|
|
|
37,429
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Present value of net minimum payments under capital leases
|
|
|
420,350
|
|
|
|
|
|
Less current portion
|
|
|
188,963
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
231,387
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-24
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
For the years ended December 31, 2008 and 2007, the Company
recognized rent expense and executory costs under operating
leases of $3,832,618 and $3,064,765, respectively, which is
included in selling, distribution, and administration expenses
in the consolidated statements of operations.
|
|
11.
|
COMMITMENTS
AND CONTINGENCIES
|
The Company is subject to claims and legal actions that may
arise in the ordinary course of business. However, the Company
maintains insurance to protect against such claims or legal
actions. The Company is not aware of any litigation either
pending or filed that it believes is likely to have a material
adverse effect on the results of operations, cash flows, or
financial condition.
Based on types of services performed and consistent with the
Companys internal financial reporting structure and
performance assessment, the Company has identified two
reportable segments: Home Infusion and Home Nursing. The Home
Infusion segment delivers complex intravenous pharmaceutical
products and corresponding clinical support services. The Home
Nursing segment provides skilled nursing and other therapy
services, including occupational therapy, medical social work
and home health aide services. Financial information by segment
as of and for the years ended December 31, 2008 and 2007,
is as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of and for the Year Ended December 31, 2008
|
|
Home Infusion
|
|
|
Nursing
|
|
|
Corporate
|
|
|
Consolidated
|
|
|
Net revenue
|
|
$
|
164,693,020
|
|
|
$
|
66,175,333
|
|
|
$
|
|
|
|
$
|
230,868,353
|
|
Operating income
|
|
|
25,291,328
|
|
|
|
11,396,440
|
|
|
|
(13,622,174
|
)
|
|
|
23,065,594
|
|
Reconciliation to net income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest and other financing costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(12,113,501
|
)
|
Other income (expense) Net
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(6,586
|
)
|
Provision for income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(4,978,740
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
5,966,767
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
221,258,860
|
|
|
$
|
74,493,959
|
|
|
$
|
11,127,565
|
|
|
$
|
306,880,384
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$
|
157,468,449
|
|
|
$
|
53,268,478
|
|
|
$
|
|
|
|
$
|
210,736,927
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
$
|
3,533,629
|
|
|
$
|
164,114
|
|
|
$
|
246,150
|
|
|
$
|
3,943,893
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of and for the Year Ended December 31, 2007
|
|
Home Infusion
|
|
|
Nursing
|
|
|
Corporate
|
|
|
Consolidated
|
|
|
Net revenue
|
|
$
|
131,356,459
|
|
|
$
|
62,496,708
|
|
|
$
|
|
|
|
$
|
193,853,167
|
|
Operating income
|
|
|
21,751,759
|
|
|
|
12,047,544
|
|
|
|
(15,148,318
|
)
|
|
|
18,650,985
|
|
Reconciliation to net income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest and other financing costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(15,324,249
|
)
|
Other income (expense) Net
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
613,017
|
|
Provision for income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,328,217
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,611,536
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
199,435,620
|
|
|
$
|
75,063,733
|
|
|
$
|
13,770,813
|
|
|
$
|
288,270,166
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$
|
143,348,615
|
|
|
$
|
53,443,933
|
|
|
$
|
|
|
|
$
|
196,792,548
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
$
|
1,991,941
|
|
|
$
|
662,857
|
|
|
$
|
473,250
|
|
|
$
|
3,128,048
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
F-25
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
NOTES TO
THE CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
13.
|
RELATED-PARTY
TRANSACTIONS
|
Kohlberg provides certain management and advisory services to
the Company under a management agreement dated
September 19, 2006. The agreement has an initial term of
five years, with one-year automatic renewals thereafter, unless
either party provides
30-day
advance notice of its intent not to renew the agreement. The
annual base management fee increased from $250,000 in 2006 to
$500,000 on January 8, 2007, and is payable in arrears in
quarterly installments, plus reimbursement of certain expenses,
including travel and legal fees pertaining to the Company. The
Company incurred base management fees of $500,000 and $495,139
and reimbursed Kohlberg for certain expenses totaling $9,141 and
$21,621 during the years ended December 31, 2008 and 2007,
respectively.
Accounts payable to Kohlberg at December 31, 2008 and 2007,
was $125,000 and $126,000, respectively.
The Kohlberg management agreement also includes a provision
whereby the Company agrees to compensate Kohlberg for services
rendered to the Company with respect to the consummation of
acquisition transactions. During the year ended
December 31, 2007, the Company paid Kohlberg $3,000,000 in
connection with the DEI transaction, plus $129,367 of
reimbursable expenses for a total payment of $3,129,367. These
transaction fees include services rendered to the Company by
Kohlberg including sourcing the transaction, due diligence
investigation, transaction price, and document negotiation.
******
F-26
REPORT OF
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors of
Critical Homecare Solutions Holdings, Inc.
Conshohocken, Pennsylvania
We have audited the accompanying consolidated balance sheets of
Critical Homecare Solutions Holdings, Inc. (formerly KCHS
Holdings, Inc) and subsidiaries (the Company) as of
December 31, 2007 and 2006, and the related consolidated
statements of operations, stockholders equity, and cash
flows for the year ended December 31, 2007 and for the
period from September 1, 2006 (date of inception) to
December 31, 2006. These financial statements are the
responsibility of the Companys management. Our
responsibility is to express an opinion on these financial
statements based on our audits.
We conducted our audits in accordance with the standards of the
Public Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. The Company is not required to
have, nor were we engaged to perform, an audit of its internal
control over financial reporting. Our audits included
consideration of internal control over financial reporting as a
basis for designing audit procedures that are appropriate in the
circumstances, but not for the purpose of expressing an opinion
on the effectiveness of the Companys internal control over
financial reporting. Accordingly, we express no such opinion. An
audit also includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial
statements, assessing the accounting principles used and
significant estimates made by management, as well as evaluating
the overall financial statement presentation. We believe that
our audits provide a reasonable basis for our opinion.
In our opinion, such consolidated financial statements present
fairly, in all material respects, the financial position of
Critical Homecare Solutions Holdings, Inc. and subsidiaries as
of December 31, 2007 and 2006, and the results of their
operations and their cash flows for the year ended
December 31, 2007 and for the period from September 1,
2006 (date of inception) to December 31, 2006, in
conformity with accounting principles generally accepted in the
United States of America.
/s/ Deloitte & Touche LLP
Philadelphia, Pennsylvania
March 28, 2008
F-27
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
ASSETS
|
CURRENT ASSETS:
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
1,679,521
|
|
|
$
|
847,229
|
|
Accounts receivable net of allowance for doubtful
accounts of $5,167,950 and $601,446 in 2007 and 2006,
respectively
|
|
|
45,474,288
|
|
|
|
9,692,246
|
|
Inventories
|
|
|
3,633,628
|
|
|
|
1,746,373
|
|
Deferred tax assets
|
|
|
5,967,608
|
|
|
|
1,770,822
|
|
Prepaids and other current assets
|
|
|
2,318,068
|
|
|
|
193,614
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
59,073,113
|
|
|
|
14,250,284
|
|
PROPERTY AND EQUIPMENT Net
|
|
|
6,722,465
|
|
|
|
3,803,291
|
|
GOODWILL
|
|
|
196,792,548
|
|
|
|
35,402,999
|
|
INTANGIBLE ASSETS Net
|
|
|
21,422,836
|
|
|
|
6,026,932
|
|
DEFERRED FINANCING FEES Net
|
|
|
2,728,642
|
|
|
|
832,779
|
|
PREACQUISITION COSTS
|
|
|
|
|
|
|
1,084,587
|
|
OTHER ASSETS
|
|
|
1,530,562
|
|
|
|
111,197
|
|
|
|
|
|
|
|
|
|
|
TOTAL
|
|
$
|
288,270,166
|
|
|
$
|
61,512,069
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY
|
CURRENT LIABILITIES:
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
$
|
5,603,924
|
|
|
$
|
3,318,389
|
|
Accrued expenses
|
|
|
22,909,956
|
|
|
|
4,084,263
|
|
Current portion of long-term debt
|
|
|
2,975,000
|
|
|
|
781,250
|
|
Current portion of capital lease obligations
|
|
|
238,459
|
|
|
|
259,462
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
31,727,339
|
|
|
|
8,443,364
|
|
Long-term debt, net of current portion
|
|
|
151,400,000
|
|
|
|
24,562,500
|
|
Long-term capital lease obligations, net of current portion
|
|
|
180,224
|
|
|
|
418,647
|
|
Deferred tax liabilities
|
|
|
8,688,915
|
|
|
|
2,626,825
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
191,996,478
|
|
|
|
36,051,336
|
|
|
|
|
|
|
|
|
|
|
COMMITMENTS AND CONTINGENCIES (Note 12)
|
|
|
|
|
|
|
|
|
STOCKHOLDERS EQUITY:
|
|
|
|
|
|
|
|
|
Preferred stock, $0.001 par value
5,000,000 shares authorized; 0 issued and outstanding at
December 31, 2007 and 2006, respectively
|
|
|
|
|
|
|
|
|
Common stock, $0.001 par value
100,000,000 shares authorized; 90,898,079 and 25,350,000
issued and outstanding at December 31, 2007 and 2006,
respectively
|
|
|
90,898
|
|
|
|
25,350
|
|
Subscription receivable
|
|
|
|
|
|
|
(175,000
|
)
|
Additional paid-in capital
|
|
|
94,285,521
|
|
|
|
25,324,650
|
|
Retained earnings
|
|
|
1,897,269
|
|
|
|
285,733
|
|
|
|
|
|
|
|
|
|
|
Total stockholders equity
|
|
|
96,273,688
|
|
|
|
25,460,733
|
|
|
|
|
|
|
|
|
|
|
TOTAL
|
|
$
|
288,270,166
|
|
|
$
|
61,512,069
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-28
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
|
|
|
September 1,
|
|
|
|
|
|
|
2006 to
|
|
|
|
|
|
|
December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
NET REVENUE
|
|
$
|
193,853,167
|
|
|
$
|
16,897,004
|
|
|
|
|
|
|
|
|
|
|
COSTS AND EXPENSES:
|
|
|
|
|
|
|
|
|
Cost of goods (excluding depreciation and amortization)
|
|
|
52,754,941
|
|
|
|
7,471,712
|
|
Cost of services provided
|
|
|
42,591,044
|
|
|
|
1,679,214
|
|
Selling, distribution, and administrative expenses
|
|
|
67,505,376
|
|
|
|
5,507,193
|
|
Provision for doubtful accounts
|
|
|
4,566,504
|
|
|
|
601,446
|
|
Depreciation and amortization
|
|
|
3,405,507
|
|
|
|
416,405
|
|
Write-off of stock issuance costs
|
|
|
4,378,810
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
175,202,182
|
|
|
|
15,675,970
|
|
|
|
|
|
|
|
|
|
|
OPERATING INCOME
|
|
|
18,650,985
|
|
|
|
1,221,034
|
|
INTEREST AND OTHER FINANCING COSTS
|
|
|
(15,324,249
|
)
|
|
|
(755,507
|
)
|
OTHER (EXPENSE) INCOME Net
|
|
|
613,017
|
|
|
|
(1,316
|
)
|
|
|
|
|
|
|
|
|
|
INCOME BEFORE INCOME TAXES
|
|
|
3,939,753
|
|
|
|
464,211
|
|
PROVISION FOR INCOME TAXES
|
|
|
2,328,217
|
|
|
|
178,478
|
|
|
|
|
|
|
|
|
|
|
NET INCOME
|
|
$
|
1,611,536
|
|
|
$
|
285,733
|
|
|
|
|
|
|
|
|
|
|
BASIC EARNINGS PER SHARE
|
|
$
|
0.02
|
|
|
$
|
0.01
|
|
|
|
|
|
|
|
|
|
|
DILUTED EARNINGS PER SHARE
|
|
$
|
0.02
|
|
|
$
|
0.01
|
|
|
|
|
|
|
|
|
|
|
WEIGHTED AVERAGE NUMBER OF COMMON SHARES OUTSTANDING:
|
|
|
|
|
|
|
|
|
Basic
|
|
|
86,050,106
|
|
|
|
25,350,000
|
|
|
|
|
|
|
|
|
|
|
Diluted
|
|
|
86,840,355
|
|
|
|
25,350,000
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-29
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additional
|
|
|
|
|
|
|
|
|
|
Common Stock
|
|
|
Subscription
|
|
|
Paid-in
|
|
|
Retained
|
|
|
|
|
|
|
Shares
|
|
|
Amount
|
|
|
Receivable
|
|
|
Capital
|
|
|
Earnings
|
|
|
Total
|
|
|
BALANCE September 1, 2006
|
|
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
|
$
|
|
|
Issuance of common stock
|
|
|
25,350,000
|
|
|
|
25,350
|
|
|
|
(175,000
|
)
|
|
|
25,324,650
|
|
|
|
|
|
|
|
25,175,000
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
285,733
|
|
|
|
285,733
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BALANCE December 31, 2006
|
|
|
25,350,000
|
|
|
|
25,350
|
|
|
|
(175,000
|
)
|
|
|
25,324,650
|
|
|
|
285,733
|
|
|
|
25,460,733
|
|
Issuance of common stock at fair value January, 2007
|
|
|
57,500,000
|
|
|
|
57,500
|
|
|
|
|
|
|
|
57,442,500
|
|
|
|
|
|
|
|
57,500,000
|
|
Issuance of common stock at fair value June, 2007
|
|
|
8,048,079
|
|
|
|
8,048
|
|
|
|
|
|
|
|
10,454,452
|
|
|
|
|
|
|
|
10,462,500
|
|
Stock subscription receivable
|
|
|
|
|
|
|
|
|
|
|
175,000
|
|
|
|
|
|
|
|
|
|
|
|
175,000
|
|
Compensation expense related to issuance of stock options
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,063,919
|
|
|
|
|
|
|
|
1,063,919
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,611,536
|
|
|
|
1,611,536
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BALANCE December 31, 2007
|
|
|
90,898,079
|
|
|
$
|
90,898
|
|
|
$
|
|
|
|
$
|
94,285,521
|
|
|
$
|
1,897,269
|
|
|
$
|
96,273,688
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-30
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
|
|
|
September 1,
|
|
|
|
|
|
|
2006 to
|
|
|
|
|
|
|
December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
CASH FLOWS FROM OPERATING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Net income
|
|
$
|
1,611,536
|
|
|
$
|
285,733
|
|
Adjustments to reconcile net income to net cash provided by
(used in) operating activities:
|
|
|
|
|
|
|
|
|
Provision for doubtful accounts
|
|
|
4,566,504
|
|
|
|
601,446
|
|
Depreciation and amortization
|
|
|
3,405,507
|
|
|
|
475,215
|
|
Write-off of stock issuance costs
|
|
|
4,378,810
|
|
|
|
|
|
Write-off and amortization of deferred financing fees
|
|
|
1,511,334
|
|
|
|
|
|
Provision for deferred taxes
|
|
|
(179,485
|
)
|
|
|
178,478
|
|
Compensation expense related to issuance of stock options
|
|
|
1,063,919
|
|
|
|
|
|
Change in operating assets and liabilities net of
effects of acquisitions:
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
(15,389,605
|
)
|
|
|
(1,644,502
|
)
|
Inventories
|
|
|
551,874
|
|
|
|
(349,228
|
)
|
Prepaids and other current assets
|
|
|
(1,414,337
|
)
|
|
|
144,055
|
|
Other assets
|
|
|
(5,718,463
|
)
|
|
|
|
|
Accounts payable and accrued expenses
|
|
|
4,470,186
|
|
|
|
794,575
|
|
|
|
|
|
|
|
|
|
|
Net cash provided by (used in) operating activities
|
|
|
(1,142,220
|
)
|
|
|
485,772
|
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM INVESTING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Cash paid for acquisitions net of cash acquired
|
|
|
(176,858,426
|
)
|
|
|
(48,053,419
|
)
|
Repayment of amounts due to sellers
|
|
|
(11,394,577
|
)
|
|
|
|
|
Cash paid for preacquisition costs
|
|
|
(15,416
|
)
|
|
|
(230,107
|
)
|
Cash paid for property and equipment
|
|
|
(3,125,010
|
)
|
|
|
(1,020,423
|
)
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(191,393,429
|
)
|
|
|
(49,303,949
|
)
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM FINANCING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Proceeds from issuance of common stock
|
|
|
67,962,500
|
|
|
|
25,175,000
|
|
Proceeds from stock subscription
|
|
|
175,000
|
|
|
|
|
|
Repayment of long-term debt and capital lease obligations
|
|
|
(36,862,362
|
)
|
|
|
(254,594
|
)
|
Proceeds from borrowings
|
|
|
165,500,000
|
|
|
|
25,636,491
|
|
Payment of deferred financing fees
|
|
|
(3,407,197
|
)
|
|
|
(891,491
|
)
|
|
|
|
|
|
|
|
|
|
Net cash provided by financing activities
|
|
|
193,367,941
|
|
|
|
49,665,406
|
|
|
|
|
|
|
|
|
|
|
NET INCREASE IN CASH AND CASH EQUIVALENTS
|
|
|
832,292
|
|
|
|
847,229
|
|
CASH AND CASH EQUIVALENTS Beginning of period
|
|
|
847,229
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
CASH AND CASH EQUIVALENTS End of period
|
|
$
|
1,679,521
|
|
|
$
|
847,229
|
|
|
|
|
|
|
|
|
|
|
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:
|
|
|
|
|
|
|
|
|
Cash paid during the year for:
|
|
|
|
|
|
|
|
|
Interest
|
|
$
|
12,789,009
|
|
|
$
|
645,717
|
|
|
|
|
|
|
|
|
|
|
Income taxes
|
|
$
|
3,850,581
|
|
|
$
|
|
|
|
|
|
|
|
|
|
|
|
NONCASH INVESTING AND FINANCING ACTIVITIES
|
|
|
|
|
|
|
|
|
Assets purchased under capital lease
|
|
$
|
|
|
|
$
|
65,215
|
|
|
|
|
|
|
|
|
|
|
See notes to consolidated financial statements.
F-31
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL STATEMENTS
|
|
1.
|
OVERVIEW,
BASIS OF PRESENTATION AND SIGNIFICANT ACCOUNTING
POLICIES
|
Critical Homecare Solutions Holdings, Inc. (CHS or the
Company) provides infusion therapy and home nursing
services through a network of company-owned locations. The
Company contracts with managed care organizations and physicians
to become their specialty and infusion pharmacy, dispensing and
delivering pharmaceuticals, assisting with clinical compliance
information and providing pharmacy consulting services. The
Company also contracts with managed care organizations,
third-party payors, hospitals, physicians, and other referral
sources to provide pharmaceuticals and complex compounded
solutions to patients for intravenous delivery in the
patients homes or other non-hospital settings. Many of the
Companys locations provide other healthcare services, such
as nursing, respiratory therapy, and durable medical equipment
rentals and sales.
The Company commenced operations on September 1, 2006 and
is primarily owned by certain investment funds managed by
Kohlberg and Co, L.L.C. (Kohlberg). In addition,
certain members of the Companys management own shares of
the Company, the total of which represent less than 1% of total
outstanding shares as of December 31, 2007. The Company did
not declare any dividends during the year ending
December 31, 2007 or the period from September 1, 2006
(date of inception) to December 31, 2006.
On September 1, 2006, the Company acquired all of the stock
of Specialty Pharma, Inc. (SPI) and its wholly-owned subsidiary,
Professional Home Care Services, Inc. (PHCS) and all of the
stock of New England Home Therapies, Inc. (NEHT). In 2007, the
Company acquired the stock of Deaconess Enterprises, Inc. (DEI),
Infusion Solutions, Inc. (ISI), Applied Health Care, Inc. (AHC),
Infusion Partners of Brunswick, Inc. (IPB), Infusion Partners of
Melbourne, Inc. (IPM) and East Goshen Pharmacy, Inc. (EGP). See
Note 2 for further discussion regarding the Companys
acquisitions. The financial position and operating results of
the acquired operations are included in the consolidated
financial statements of the Company since the respective dates
of acquisition.
As of December 31, 2007, the Company had a total of 65
locations operating in 14 states.
Principles of Consolidation The accompanying
consolidated financial statements have been prepared in
accordance with accounting principles generally accepted in the
United States of America and include the accounts of the Company
and its wholly owned subsidiaries. All intercompany accounts and
transactions have been eliminated in consolidation.
Cash and Cash Equivalents Cash and cash
equivalents include cash on deposit with various financial
institutions. The Company considers all highly liquid
investments with original maturities of three months or less to
be cash equivalents. The Companys cash equivalents are
stated at cost, which approximates market value.
Financial Instruments Company has cash and
cash equivalents, short-term receivables and payables, and
long-term debt obligations, including capital leases. The
carrying value of cash and cash equivalents, accounts
receivables, and accounts payables approximate their current
value. Borrowings under the CHS credit agreement and other
long-term debt obligations (see Note 7) include debt
with variable interest rates, totaling $154,375,000 at
December 31, 2007. The Company believes the carrying value
of its long-term debt approximates current market value.
Accounts Receivable and Allowance for Doubtful
Accounts The Companys accounts receivable
consists of amounts owed by various governmental agencies,
insurance companies and private patients. Management performs
periodic analyses to evaluate accounts receivable balances to
ensure that recorded amounts reflect net realizable values. The
Company does not believe there are any significant credit risks
associated with the receivables from Medicare and Medicaid and
other state administered programs.
Accounts receivable are reported net of contractual adjustments.
Generally, the Company bills third-party payors based on the
contractual charges or usual customary charges for goods and
services provided and then
F-32
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
contractually adjusts the revenue down to the anticipated
collectible amount based on interpretation of the terms of the
applicable managed care contract, fee schedule or other
arrangement with the payor.
The Company has established an allowance for doubtful accounts
to report accounts receivable at the estimated net realizable
amounts to be received from third-party payors and patients.
Increases to this reserve are reflected as a provision for
doubtful accounts in the consolidated statements of operations.
The Company generates accounts receivable aging reports from the
billing systems and utilizes these reports to monitor the
condition of outstanding receivables and evaluate the
performance of billing and reimbursement staff. The Company also
utilizes these aging reports, combined with historic write-off
statistics generated from the billing systems, to determine the
provision for doubtful accounts. The Company regularly performs
an analysis of the collectability of accounts receivable and
considers such factors as prior collection experience and the
age of the receivables.
The Company does not require its patients or other payors to
carry collateral for any amounts owed for services provided.
Other than as discussed below, the Companys concentration
of credit risk relating to accounts receivable is limited due to
the diversity of patients and payors. Further, the Company
generally does not provide charity care.
Inventories Inventories, which consist
primarily of pharmaceuticals and medical supplies, are stated at
the lower of cost (determined using the
first-in,
first-out method) or market. The largest component of the
inventory is pharmaceuticals, which have fixed expiration dates.
The Company normally obtains next day delivery of the
pharmaceuticals that it orders. The Companys pharmacies
monitor inventory levels and check expiration dates regularly.
Pharmaceuticals that are approaching expiration and are deemed
unlikely to be used before expiration are either returned to the
vendor or manufacturer for credit, or are transferred to another
Company pharmacy that needs them. If the pharmaceuticals cannot
be either returned or transferred before expiration, the
Companys policy requires them to be disposed of
immediately and in accordance with Drug Enforcement
Administration guidelines. Due to the high rate of turnover of
the Companys pharmaceutical inventory and the policies
related to handling expired or expiring items, the
Companys pharmacies typically do not carry obsolete
inventory.
Prepaids and Other Current Assets Prepaid
expenses and other current assets consist primarily of prepaid
insurance, rent, and other current assets.
Property and Equipment Net
Property and equipment are carried at cost. Expenditures for
major improvements are capitalized. Maintenance and repairs are
expensed as incurred. Upon retirement or disposal, the related
cost and accumulated depreciation are removed from the
respective accounts and any gain or loss is recorded in current
earnings. Property and equipment under capital leases are stated
at the present value of future minimum lease payments at
inception of the lease. Depreciation is recognized on a
straight-line basis. Estimated useful lives for the principal
asset categories are as follows:
|
|
|
|
|
Useful Life
|
|
Medical equipment
|
|
13 months to 5 years
|
Leasehold improvements
|
|
Base term of lease or useful life, whichever is shorter
|
Equipment, vehicles, and other assets
|
|
3 to 5 years
|
Building
|
|
20 years
|
Property and equipment are reviewed for impairment whenever
events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable. Recoverability of
assets to be held and used is measured by a comparison of the
carrying amount of an asset to estimated undiscounted future
cash flows expected to be generated by the asset. If the
carrying amount of an asset exceeds its estimated future cash
flows, an impairment charge is recognized by the amount by which
the carrying amount of the asset
F-33
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
exceeds the fair value of the asset. The Company did not
recognize any impairment losses during the year ended
December 31, 2007 and the period from September 1,
2006 (the date of inception) to December 31, 2006.
Goodwill and Intangible Assets Goodwill
represents the excess of the cost of acquisitions over the fair
value of net assets acquired. In accordance with Financial
Accounting Standards Board (FASB) Statement No. 142,
Goodwill and Other Intangible Assets (FASB 142), goodwill
is not amortized and is reviewed annually at a reporting unit
level for impairment utilizing a two-step process. FASB 142
requires goodwill to be tested for impairment annually and when
an event occurs or circumstances change such that it is
reasonably possible that an impairment may exist. There were no
impairment losses recognized during the year ended
December 31, 2007 and the period from September 1,
2006 (the date of inception) to December 31, 2006.
Intangible assets consist primarily of non-compete agreements,
trademarks related to brand names arising from acquisitions,
licenses and certificates of need. The Company records
intangible assets at their estimated fair value at the date of
acquisition and amortizes the related cost of the asset over the
period of expected benefit. The fair value of intangible assets
assigned during the first year subsequent to an acquisition is
based on a preliminary determination and is subject to
adjustment pending a final determination of purchase price and a
final valuation of the assets acquired and liabilities assumed.
In accordance with FASB Statement No. 144, Accounting
for the Impairment or Disposal of Long-Lived Assets (FASB
144), definite life purchased intangibles are reviewed for
impairment whenever events or changes in circumstances indicate
that the carrying amount of an asset may not be recoverable from
estimated future cash flows. In accordance with FASB 142,
intangible assets with indefinite lives are reviewed for
impairment annually or when an event occurs or circumstances
change such that it is reasonably possible that an impairment
may exist. There were no impairment losses recognized during the
year ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006.
Non-compete agreements are amortized on a straight-line basis
over the estimated life of each agreement, which ranges from one
to five years. The ISI trademark and certain of the trademarks
associated with DEI have limited lives of two and five years,
respectively, as determined by contractual rights to use the
brand names. These trademarks are being amortized over the
estimated useful lives.
Trademarks with indefinite lives are not amortized but are
periodically reviewed for impairment. Licenses are being
amortized over a period of one to two years. Certificates of
need have indefinite lives and are not amortized but are
periodically reviewed for impairment.
Deferred Financing Fees Deferred financing
fees are stated at cost and are amortized using a method that
approximates the effective interest method over the expected
life of the related debt instrument. Amortization of the
deferred financing fees is recorded as interest and other
financing costs in the accompanying consolidated statements of
operations. In the event of debt modification, the unamortized
balance of deferred financing fees is tested for debt
extinguishment treatment in accordance with generally accepted
accounting principles.
Revenue Recognition The Company generates
almost all of its revenue from reimbursement by government and
other third-party payors for services provided to patients. The
Company receives payment for services and medications from a
number of sources, including managed care organizations,
government sources, such as Medicare and Medicaid programs, and
commercial insurance. For the year ended December 31, 2007
and the period from September 1, 2006 (the date of
inception) to December 31, 2006, the Company has a payor
mix of 51% and 74% from managed care organizations and
non-governmental third party payors, respectively, 29% and 17%
from Medicare, respectively, and 20% and 9% from Medicaid,
respectively. Medicare and Medicaid represent 16% and 24% of
accounts receivable at December 31, 2007, respectively. At
December 31, 2006, Medicare and Medicaid represented 21%
and 10% of accounts receivable, respectively.
F-34
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Patient revenue is recorded in the period during which the
services are provided, and is directly offset by appropriate
allowances to give recognition to third-party payor
arrangements. Net revenue recognition and allowances for
uncollectible billings require the use of estimates. Once known,
any changes to these estimates are reflected in operations.
In the Companys home infusion segment, infusion therapy
and related health care services revenue is reported at the
estimated net realizable amounts from patients and third-party
payors for goods sold and services rendered. The Companys
agreements with payors occasionally specify receipt of a
per-diem payment for infusion therapy services that
is provided to patients. This per diem payment
includes multiple components of care provided to the patient,
including, but not limited to, rental of medical equipment, care
coordination services, delivery of goods to the patient and
medical supplies. Per diem revenue is recognized
over the course of the period the components of care are
provided.
In certain situations, revenue components are recorded
separately. In other situations, revenue components are billed
and reimbursed on a per diem or contract basis whereby the
insurance carrier pays the Company a combined amount for
treatment. Because the reimbursement arrangements in these
situations are based on a per diem or contract amount, the
Company does not maintain records that provide a breakdown
between the revenue components. Due to the nature of the
industry and the reimbursement environment in which the Company
operates, certain estimates are required to record net revenues
and accounts receivable at their net realizable values. Inherent
in these estimates is the possibility that they will have to be
revised or updated as additional information becomes available.
Specifically, the complexity of many third-party billing
arrangements and the uncertainty of reimbursement amounts for
certain services from certain payors may result in adjustments
to amounts originally recorded. Such adjustments are typically
identified and recorded at the point of cash application, claim
denial or account review.
In the Companys home nursing segment, revenue represents
the estimated net realizable amounts from patients, third-party
payors and others for patient services rendered and products
provided. Such revenue is recognized as the treatment plan is
administered to the patient and is recorded at amounts estimated
to be received under reimbursement or payment arrangements with
payors. Net revenues to be reimbursed by contracts with
third-party payors are recorded at an amount to be realized
under these contractual arrangements.
Under the prospective payment system for Medicare reimbursement,
net revenues are recorded based on a reimbursement rate which
varies based on the severity of the patients condition,
service needs and certain other factors. Revenue is recognized
ratably over a
60-day
episode period and is subject to adjustment during this period
if there are significant changes in the patients condition
during the treatment period or if the patient is discharged but
readmitted to another agency within the same
60-day
episodic period. Medicare billings under the prospective payment
system are initially recognized as deferred revenue and are
subsequently recognized as revenue over the
60-day
episode period. The process for recognizing revenue under the
Medicare program is based on certain assumptions and judgments,
the appropriateness of the clinical assessment of each patient
at the time of certification, and the level of adjustments to
the fixed reimbursement rate relating to patients who receive a
limited number of visits, have significant changes in condition
or are subject to certain other factors during the episode.
Deferred revenue of $3,051,950 and $473,806 relating to the home
nursing Medicare PPS program and to certain infusion monthly
equipment rentals was recorded in other accrued liabilities in
the consolidated balance sheets as of December 31, 2007 and
2006, respectively.
Multiple Deliverables Emerging Issues Task
Force
No. 00-21,
Revenue Arrangements with Multiple Deliverables (EITF
No. 00-21),
addresses situations in which multiple products
and/or
services are delivered at different times under one arrangement
with a customer and provides guidance in determining whether
multiple deliverables should be used as separate units of
accounting. The Company provides a variety of
F-35
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
therapies to patients, the majority of which have multiple
deliverables, such as the delivery of drugs and supplies and the
provision of related nursing services to train and monitor
patient administration of the drugs. After applying the criteria
from the final model in
EITF 00-21,
the Company concluded that separate units of accounting do exist
in its revenue arrangements with multiple deliverables.
The Companys revenue recognition policy is designed to
recognize revenue when each deliverable is provided to the
patient. For example, revenue from drug sales is recognized upon
confirmation of the delivery of the products, and revenue from
nursing services is recognized upon receipt of nursing notes
confirming the service has been provided. In instances in which
the amount allocable to the delivered item is contingent upon
delivery of additional items, the Company recognizes revenue
after all the deliverables in the arrangement have been
provided. In instances that a per diem is provided for daily
usage of supplies and equipment, revenue is recognized on a per
diem basis.
Cost of Goods and Cost of Services Provided
Cost of goods consists of the actual cost of pharmaceuticals and
other medical supplies dispensed to patients. Cost of services
provided consists of certain operating costs related to pharmacy
operations, nursing and respiratory services. These costs
include employee salary and benefits and contract labor directly
involved in providing service to the patient.
Distribution Expenses Distribution expenses
are included in selling, distribution and administrative
expenses in the accompanying consolidated statements of
operations and totaled $5,266,281 and $648,105 during the year
ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006, respectively. Such expense represents
the delivery costs related to the end user. Included are salary
and benefit costs related to drivers and dispatch personnel and
amounts paid to courier and other outside shipping vendors.
Stock Issuance Costs In contemplation of the
stock purchase agreement more fully discussed in Note 15,
the Company withdrew the filing of its initial public offering
on
Form S-1
with the SEC in January 2008. Accordingly, $4,378,810 in costs
incurred through December 31, 2007 in relation to the
initial public offering was charged to stock issuance expense in
the accompanying consolidated statement of operations.
Income Taxes The Company uses the liability
method of accounting for income taxes in accordance with FASB
Statement No. 109, Accounting for Income Taxes.
Accordingly, deferred tax liabilities and assets are determined
based on the difference between the financial statement and tax
bases of assets and liabilities, using enacted tax rates in
effect for the year in which the differences are expected to
reverse. Current income taxes are based on the years
income taxable for federal and state income tax reporting
purposes.
The Company adopted the provisions of FASB Interpretation 48,
Accounting for Uncertainty in Income Taxes, on
January 1, 2007. Previously, the Company had accounted for
tax contingencies in accordance with Statement of Financial
Accounting Standards 5, Accounting for Contingencies. As
required by Interpretation 48, which clarifies Statement 109,
Accounting for Income Taxes, the Company recognizes the
financial statement benefit of a tax position only after
determining that the relevant tax authority would more likely
than not sustain the position following an audit. For tax
positions meeting the more-likely-than-not threshold, the amount
recognized in the financial statements is the largest benefit
that has a greater than 50 percent likelihood of being
realized upon ultimate settlement with the relevant tax
authority. At the adoption date, the Company applied
Interpretation 48 to all tax positions for which the statute of
limitations remained open. There was no impact to the financial
statements upon adoption of FIN 48.
Self Insurance The Company is self-insured up
to certain limits for workers compensation costs and
employee medical benefits. The Company has purchased stop-loss
coverage to limit its exposure to significant individual
workers compensation or employee medical claims.
Self-insured losses are accrued for known and anticipated claims
based upon certain actuarial assumptions and historical claim
payment patterns.
F-36
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Use of Estimates The preparation of
consolidated financial statements in conformity with accounting
principles generally accepted in the United States of America
require management to make estimates and assumptions that affect
the amounts reported in the consolidated financial statements
and disclosure of contingent assets and liabilities at the date
of the financial statements and reported amounts of revenue and
expenses during the reporting period.
Significant items subject to such estimates and assumptions
include but are not limited to revenue recognition, goodwill and
intangibles, the allowance for doubtful accounts, the valuation
of stock option grants, and self-insurance reserves for
workers compensation costs and employee medical benefits.
Actual results could differ from those estimates.
New Accounting Pronouncements In March 2008,
the FASB issued Statement No. 161, Disclosure about
Derivative Instruments and Hedging Activities, an amendment to
FASB Statement No. 133 (FASB 161). FASB 161 amends and
expands disclosure requirements of FASB statement No. 133,
Accounting for Derivative Instruments and Hedging
Activities, including, reason for use of derivative
instruments, related accounting, and affect on consolidated
financial statements. This Statement is effective for an
entitys first fiscal year that begins after
November 15, 2008. Management is currently evaluating the
Statement to determine what impact, if any, it will have upon
adoption on January 1, 2009.
In December 2007, the FASB issued Statement No. 141
(revised 2007), Business Combinations (FASB 141(R)),
which replaces FASB 141. FASB 141(R) requires an acquiring
entity to recognize all the assets acquired and liabilities
assumed in a transaction at the acquisition-date fair value with
limited exceptions. In addition, FASB 141(R) will require
acquisition costs to be expensed as incurred, acquired
contingent liabilities will be recorded at fair value at the
acquisition date and subsequently measured at either the higher
of such amount or the amount determined under existing guidance
for non-acquired contingencies, in-process research and
development will be recorded at fair value as an
indefinite-lived intangible asset at the acquisition date,
restructuring costs associated with a business combination will
be generally expensed subsequent to the acquisition date and
changes in deferred tax asset valuation allowances and income
tax uncertainties after the acquisition date generally will
affect income tax expense. FASB 141(R) also includes a
substantial number of new disclosure requirements. FASB 141(R)
is effective prospectively, except for taxes, to business
combinations for which the acquisition date is on or after the
beginning of the first annual reporting period beginning on or
after December 15, 2008. The Company anticipates that the
prospective application of the provisions of FASB 141(R) could
have a material impact on the fair values assigned to assets and
liabilities of future acquisitions.
In February 2007, the FASB issued Statement No. 159, The
Fair Value Option for Financial Assets and Financial
Liabilities including an amendment of FASB Statement
No. 115. The Statement permits entities to choose to
measure many financial instruments and certain other items at
fair value. The objective of the Statement is to improve
financial reporting by providing entities with the opportunity
to mitigate volatility in reporting earnings caused by measuring
related assets and liabilities differently without having to
apply complex hedge accounting provisions. The Statement is
effective as of the beginning of an entitys first fiscal
year that begins after November 15, 2007. Management is
currently evaluating the Statement to determine what impact, if
any, it will have upon adoption on January 1, 2008.
In September 2006, the FASB issued Statement No. 157,
Fair Value Measurements (FASB 157). FASB 157 clarifies
the principle that fair value should be based on the assumptions
market participants would use when pricing an asset or liability
and establishes a fair value hierarchy that prioritizes the
information used to develop those assumptions. Under the
standard, fair value measurements would be separately disclosed
by level within the fair value hierarchy. FASB 157 is effective
for financial statements issued for fiscal years beginning after
November 15, 2007 and interim periods within those fiscal
years, with early adoption permitted. Management is currently
evaluating the statement to determine what impact, if any, it
will have on the Companys consolidated financial
statements upon adoption on January 1, 2008.
F-37
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
In February, 2008, the FASB issued staff position
157-2,
Effective date of FASB statement No. 157
(FSP 157-2).
FSP 157-2
delays the effective date of FASB 157 for nonfinancial assets
and liabilities, except for items that are recognized or
disclosed at fair value in the financial statements on a
recurring basis (at least annually).
FSP 157-2
is effective upon issuance. Management is currently evaluating
the statement to determine what impact, if any, it will have on
the Companys consolidated financial statements upon
adoption on January 1, 2008.
On August 3, 2007, the Company acquired all of the
outstanding stock of EGP, a provider of home infusion services
in Delaware and Pennsylvania. The total consideration to
complete the acquisition of EGP was $6,396,404, which was
financed with cash of $5,875,971 and the assumption of $520,433
of liabilities. In addition, the purchase agreement allows for
additional purchase price adjustment up to $900,000 payable to
the sellers within 90 days following the one year
anniversary of the acquisition.
This amount is payable based on the operating results of the
acquired business during the one-year period following the
acquisition. The effective date of the EGP acquisition was
August 1, 2007.
On July 25, 2007, the Company acquired all of the
outstanding stock of IPM and IPB in separate acquisitions. IPM
and IPB provide home infusion, specialty and pharmacy services
in Florida and Georgia, respectively. The total consideration to
complete the acquisitions was $10,933,230, financed with cash of
$10,753,966 and the assumption of $179,264 of liabilities. The
effective date of the IPM and IPB acquisitions was July 1,
2007.
The above acquisitions were financed through an additional
$16 million borrowing under the Companys First Lien
Facilities (see Note 7).
On June 27, 2007, the Company acquired all of the
outstanding shares of AHC, a provider of home infusion therapy
services with operations in the state of Texas. The total
consideration to complete the acquisition was $8,118,729 and was
financed with cash of $7,587,934 and the assumption of $530,795
of liabilities. In addition, the Company may be required to
remit to the sellers additional consideration up to $1,400,000
to the extent that the acquired business continues to treat two
of its current patients with a specific therapy during the
twelve-month period following the acquisition date. Should this
amount be paid, it will be treated as additional goodwill. There
is a quarterly settlement of this additional consideration if
gross profit from the specific therapy reaches a pre-determined
threshold during the first, second or third quarters following
the acquisition date. As of the date of these financial
statements, the sellers have earned approximately $200,000 in
connection with the aforementioned therapy. The effective date
of the AHC acquisition was June 1, 2007.
On March 14, 2007, the Company acquired all of the
outstanding shares of ISI, a provider of infusion therapy
services in New Hampshire with one operating location. The total
consideration to complete the acquisition was $8,742,624,
financed with cash of $8,067,266 and the assumption of $675,358
of liabilities. The effective date of the ISI acquisition was
March 1, 2007.
On January 8, 2007, the Company acquired all of the
outstanding shares of DEI, a provider of infusion therapy
services, adult and pediatric home health care services, and
private duty nursing services with forty four operating
locations in nine states. The total final consideration to
complete the acquisition was $170,587,924, financed with cash of
$155,997,819 and the assumption of $14,590,105 of liabilities.
The effective date of the DEI acquisition was January 1,
2007.
Each of these acquisitions was performed to expand our
geographic footprint and increase our offerings of services.
These acquisitions were recorded under the purchase method of
accounting, and accordingly, the
F-38
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
financial position and operating results of the acquired
operations are included in the consolidated financial statements
of the Company subsequent to the date of their respective
acquisitions.
The initial purchase price has been allocated to assets acquired
and liabilities assumed based on estimated fair values. The
purchase price allocations for ISI, AHC, IPM, IPB and EGP are
preliminary and are subject to adjustment, which may be
material, pending a final determination of income tax
allocations, contingent consideration and acquisition-related
costs. The allocated fair value of assets acquired and
liabilities assumed as of December 31, 2007, is summarized
as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
EGP
|
|
|
IPM & IPB
|
|
|
AHC
|
|
|
ISI
|
|
|
DEI
|
|
|
Cash
|
|
$
|
66,631
|
|
|
$
|
736,875
|
|
|
$
|
860,354
|
|
|
$
|
110,693
|
|
|
$
|
10,103,801
|
|
Accounts receivable
|
|
|
494,412
|
|
|
|
555,317
|
|
|
|
748,069
|
|
|
|
1,043,206
|
|
|
|
22,118,045
|
|
Inventories
|
|
|
222,533
|
|
|
|
60,730
|
|
|
|
148,480
|
|
|
|
261,158
|
|
|
|
1,746,228
|
|
Deferred income taxes
|
|
|
|
|
|
|
|
|
|
|
271,385
|
|
|
|
251,236
|
|
|
|
3,828,053
|
|
Other assets
|
|
|
10,635
|
|
|
|
5,125
|
|
|
|
12,282
|
|
|
|
6,930
|
|
|
|
782,469
|
|
Property and equipment
|
|
|
78,029
|
|
|
|
24,696
|
|
|
|
140,122
|
|
|
|
130,373
|
|
|
|
2,427,296
|
|
Intangible assets
|
|
|
55,000
|
|
|
|
44,000
|
|
|
|
785,042
|
|
|
|
170,600
|
|
|
|
14,715,000
|
|
Goodwill
|
|
|
5,484,176
|
|
|
|
10,335,387
|
|
|
|
6,013,349
|
|
|
|
6,879,121
|
|
|
|
132,293,232
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total identifiable assets
|
|
|
6,411,416
|
|
|
|
11,762,130
|
|
|
|
8,979,083
|
|
|
|
8,853,317
|
|
|
|
188,014,124
|
|
Accounts payable and accrued expenses
|
|
|
520,433
|
|
|
|
179,264
|
|
|
|
530,795
|
|
|
|
675,358
|
|
|
|
14,465,105
|
|
Amounts due sellers
|
|
|
|
|
|
|
798,876
|
|
|
|
860,354
|
|
|
|
110,693
|
|
|
|
10,248,000
|
|
Deferred income taxes
|
|
|
15,012
|
|
|
|
30,024
|
|
|
|
|
|
|
|
|
|
|
|
7,178,200
|
|
Long-term debt and capital lease obligations
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
125,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchase price
|
|
$
|
5,875,971
|
|
|
$
|
10,753,966
|
|
|
$
|
7,587,934
|
|
|
$
|
8,067,266
|
|
|
$
|
155,997,819
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Changes in the allocated fair market value from the initial
allocation to the current allocation as of December 31,
2007 relate primarily to additional transaction costs,
adjustments to certain liabilities and adjustments to deferred
taxes.
Interest expense, net of taxes, of $469,539 has been recognized
in the consolidated financial statements of the Company for the
year ending December 31, 2007 relative to the imputed
interest on the purchase price from the effective dates to the
closing dates.
Amounts due to sellers represent the post-closing determination
of cash and certain assumed liabilities relative to established
targets due by the Company to the sellers. The majority of the
liability relates to cash, which accrues to the benefit of the
sellers as of the effective date of each transaction, per the
terms of the respective purchase agreements.
As each of the above acquisitions was for stock, the goodwill
arising from the transactions is generally not deductible for
tax purposes.
F-39
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Companys pro forma unaudited results of operations for
its significant subsidiaries as if the acquisitions of SPI,
NEHT, DEI, ISI, AHC, IPB and IPM had occurred at the beginning
of 2006, are as follows:
|
|
|
|
|
|
|
|
|
|
|
Year Ended
|
|
|
Year Ended
|
|
|
|
December 31,
|
|
|
December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
|
(Unaudited)
|
|
|
(Unaudited)
|
|
|
|
(In thousands except per share amounts)
|
|
|
Revenue
|
|
$
|
200,932
|
|
|
$
|
181,675
|
|
|
|
|
|
|
|
|
|
|
Operating income
|
|
$
|
20,520
|
|
|
$
|
20,673
|
|
|
|
|
|
|
|
|
|
|
Net income
|
|
$
|
2,418
|
|
|
$
|
4,073
|
|
|
|
|
|
|
|
|
|
|
Basic and diluted earnings per share
|
|
$
|
0.03
|
|
|
$
|
0.05
|
|
|
|
|
|
|
|
|
|
|
Significant pro forma adjustments relate to the elimination of
salaries and benefits of employees not retained, interest on
debt utilized to purchase the acquired businesses, depreciation
and amortization, the income tax effect of the pro forma
adjustments, and the conversion of the acquired businesses from
S Corporations to C Corporations.
As of September 1, 2006, CHS acquired 100% of the
outstanding common stock of SPI and NEHT. SPI is a comprehensive
infusion and specialty provider in Connecticut. NEHT is a
Massachusetts-based provider of home infusion products and
services. The total consideration to complete the acquisition of
SPI was $34,855,490 and was financed with cash of $30,876,790
and the assumption of $3,978,700 of liabilities. The total
consideration to complete the NEHT acquisition was $21,232,899
which included $18,475,546 of cash and the assumption of
$2,757,353 of liabilities. The allocated fair value of assets
acquired and liabilities assumed is as follows:
|
|
|
|
|
|
|
|
|
|
|
SPI
|
|
|
NEHT
|
|
|
Cash
|
|
$
|
473,492
|
|
|
$
|
337,660
|
|
Accounts receivable
|
|
|
4,627,142
|
|
|
|
4,059,277
|
|
Inventories
|
|
|
646,380
|
|
|
|
750,766
|
|
Other assets
|
|
|
1,334,106
|
|
|
|
964,076
|
|
Property and equipment
|
|
|
1,291,983
|
|
|
|
1,803,236
|
|
Intangible assets
|
|
|
3,502,000
|
|
|
|
2,562,000
|
|
Goodwill
|
|
|
24,482,501
|
|
|
|
11,304,782
|
|
|
|
|
|
|
|
|
|
|
Total identifiable assets
|
|
|
36,357,604
|
|
|
|
21,781,797
|
|
|
|
|
|
|
|
|
|
|
Accounts payable and accrued expenses
|
|
|
3,775,915
|
|
|
|
2,385,390
|
|
Deferred income taxes
|
|
|
1,502,114
|
|
|
|
548,898
|
|
Long-term debt and capital lease obligations
|
|
|
202,785
|
|
|
|
371,963
|
|
|
|
|
|
|
|
|
|
|
Purchase price
|
|
$
|
30,876,790
|
|
|
$
|
18,475,546
|
|
|
|
|
|
|
|
|
|
|
In addition, the purchase agreement for NEHT includes a
provision for additional purchase price, contingent upon NEHT
achieving certain financial measures for the period
January 1, 2007 through September 30, 2007. The
Company recorded $435,000 of additional consideration related to
the purchase price with an offset to goodwill during 2007.
F-40
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
3.
|
PROPERTY
AND EQUIPMENT
|
As of December 31, 2007 and 2006, property and equipment
consists of the following:
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
Medical equipment
|
|
$
|
4,515,596
|
|
|
$
|
3,194,330
|
|
Leasehold improvements
|
|
|
478,957
|
|
|
|
114,642
|
|
Equipment, vehicles, and other assets
|
|
|
4,530,702
|
|
|
|
831,040
|
|
Building
|
|
|
353,750
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total property and equipment gross
|
|
|
9,879,005
|
|
|
|
4,140,012
|
|
Less accumulated depreciation and amortization
|
|
|
(3,156,540
|
)
|
|
|
(336,721
|
)
|
|
|
|
|
|
|
|
|
|
Property and equipment net
|
|
$
|
6,722,465
|
|
|
$
|
3,803,291
|
|
|
|
|
|
|
|
|
|
|
Included in property and equipment are equipment and vehicles
that are held under capital lease arrangements as of
December 31, 2007 and 2006, as follows (see also
Note 11):
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
Medical equipment
|
|
$
|
478,520
|
|
|
$
|
442,843
|
|
Equipment, vehicles, and other assets
|
|
|
279,308
|
|
|
|
266,363
|
|
|
|
|
|
|
|
|
|
|
Total property and equipment gross
|
|
|
757,828
|
|
|
|
709,206
|
|
Less accumulated depreciation and amortization
|
|
|
(269,196
|
)
|
|
|
(54,934
|
)
|
|
|
|
|
|
|
|
|
|
Property and equipment net
|
|
$
|
488,632
|
|
|
$
|
654,272
|
|
|
|
|
|
|
|
|
|
|
Depreciation expense was $3,003,600 and $377,566 during the year
ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006, respectively.
|
|
4.
|
GOODWILL
AND INTANGIBLE ASSETS
|
As of December 31, 2007, goodwill consists of the following:
|
|
|
|
|
Balance December 31, 2006
|
|
$
|
35,402,999
|
|
Acquisitions
|
|
|
161,005,265
|
|
Additional consideration paid for NEHT and SPI
|
|
|
384,284
|
|
|
|
|
|
|
Balance December 31, 2007
|
|
$
|
196,792,548
|
|
|
|
|
|
|
F-41
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
As of December 31, 2007 and 2006, intangible assets consist
of the following:
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
Trademarks nonamortizable
|
|
$
|
15,139,200
|
|
|
$
|
5,800,000
|
|
Certificates of need nonamortizable
|
|
|
4,900,000
|
|
|
|
|
|
Noncompete agreements amortizable
|
|
|
560,842
|
|
|
|
260,000
|
|
Trademarks amortizable
|
|
|
1,220,000
|
|
|
|
|
|
Other intangibles amortizable
|
|
|
43,541
|
|
|
|
5,771
|
|
Accumulated amortization:
|
|
|
|
|
|
|
|
|
Noncompete agreements
|
|
|
(147,959
|
)
|
|
|
(37,740
|
)
|
Trademarks
|
|
|
(270,000
|
)
|
|
|
|
|
Other intangibles
|
|
|
(22,788
|
)
|
|
|
(1,099
|
)
|
|
|
|
|
|
|
|
|
|
Intangible
assets-net
|
|
$
|
21,422,836
|
|
|
$
|
6,026,932
|
|
|
|
|
|
|
|
|
|
|
The weighted average remaining life as of December 31, 2007
of non-compete agreements is 3.1 years, trademarks is
3.7 years and other intangibles is 1.0 years, with the
total weighted average remaining life of all intangible assets
of 3.1 years.
Amortization expense on intangible assets was $401,907 and
$38,839 during the year ended December 31, 2007 and the
period from September 1, 2006 (the date of inception) to
December 31, 2006, respectively. Amortization expense on
intangible assets in each of the next five years is expected to
approximate the following:
|
|
|
|
|
2008
|
|
$
|
425,759
|
|
2009
|
|
|
356,881
|
|
2010
|
|
|
311,325
|
|
2011
|
|
|
274,143
|
|
2012
|
|
|
15,528
|
|
|
|
|
|
|
|
|
$
|
1,383,636
|
|
|
|
|
|
|
Preacquisition costs of $1,084,587 incurred as of
December 31, 2006 were transferred to goodwill during the
year ended December 31, 2007 as part of the purchase price
allocation upon successful closing of the related transactions.
F-42
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
As of December 31, 2007 and 2006, accrued expenses consist
of the following:
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
Accrued accounting and legal fees
|
|
$
|
304,442
|
|
|
$
|
819,885
|
|
Accrued payroll expenses
|
|
|
6,987,565
|
|
|
|
1,146,181
|
|
Deferred revenue
|
|
|
3,051,950
|
|
|
|
473,806
|
|
Accrued refunds payable
|
|
|
3,744,999
|
|
|
|
248,118
|
|
Amounts due to sellers
|
|
|
608,403
|
|
|
|
268,167
|
|
Other accrued expenses
|
|
|
5,310,917
|
|
|
|
1,108,260
|
|
Accrued workers compensation
|
|
|
1,119,762
|
|
|
|
|
|
Accrued benefits
|
|
|
1,221,642
|
|
|
|
1,266
|
|
Accrued interest
|
|
|
560,276
|
|
|
|
18,580
|
|
|
|
|
|
|
|
|
|
|
Accrued expenses
|
|
$
|
22,909,956
|
|
|
$
|
4,084,263
|
|
|
|
|
|
|
|
|
|
|
|
|
7.
|
LONG-TERM
DEBT AND CAPITAL LEASE OBLIGATIONS
|
Long-term debt and capital lease obligations consist of the
following:
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
First Lien Facilities and Second Lien Facility
|
|
$
|
147,300,000
|
|
|
$
|
|
|
Credit agreement
|
|
|
|
|
|
|
24,843,750
|
|
Revolving credit facility
|
|
|
7,000,000
|
|
|
|
500,000
|
|
Capital lease obligations
|
|
|
418,683
|
|
|
|
678,109
|
|
Other
|
|
|
75,000
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
154,793,683
|
|
|
|
26,021,859
|
|
Less obligations maturing within one year
|
|
|
3,213,459
|
|
|
|
1,040,712
|
|
|
|
|
|
|
|
|
|
|
Long-term debt net of current portion
|
|
$
|
151,580,224
|
|
|
$
|
24,981,147
|
|
|
|
|
|
|
|
|
|
|
In connection with the acquisition of DEI, the Company completed
a debt refinancing on January 8, 2007, resulting in a
syndicate of institutions providing total available financing of
$154,000,000. Components of the facility include a
first-priority senior secured $100,000,000 Term Loan A facility
(Term Loan A), a first-priority senior secured
$20,000,000 revolving credit facility (the Revolver)
(Term Loan A together with Revolver are First Lien
Facilities), and a second-priority senior secured
$34,000,000 Term Loan B facility (Term Loan B or
Second Lien Facility). The Revolver includes a
facility for up to $4,000,000 of standby letters of credit. On
July 25, 2007, the Company amended its First Lien Credit
Facility and incurred an additional $16,000,000 of borrowings.
These borrowings were used to finance the acquisitions of Option
Care of Brunswick, Inc., Option Care of Melbourne, Inc., and
East Goshen Pharmacy, Inc. Accordingly, the aggregate principal
amount of Term Loan A was increased from $100,000,000 to
$116,000,000.
In connection with the two refinancings, the Company incurred
deferred financing fees of $3,410,803. These costs are amortized
over the life of the First Lien Facility and Second Lien
Facility. Amortization of deferred financing fees included in
interest expense was $682,161 during the year ended
December 31, 2007. Amortization of deferred financing fees
related to the previous credit facility totaled $58,712 for the
period from September 1, 2006 (the date of inception) to
December 31, 2006.
F-43
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Term Loan A matures in January 2012 and principal is repayable
in quarterly installments beginning at $625,000 in 2007 and
escalating to $2,900,000 in 2011, with the balance due at
maturity. Interest on Term Loan A is based on the banks
Alternative Base Rate (as defined by the respective agreement)
plus the applicable margin of 2%, or the LIBOR rate plus the
applicable margin of 3.25%. The applicable margin is subject to
varying increments based on changes in leverage.
The Revolver matures in January 2012. A commitment fee is
payable quarterly at 0.5% per annum of the undrawn portion of
the Revolver.
Term Loan B matures in January 2013, and is not subject to
scheduled amortization. Interest on the Term Loan B is based on
the banks Alternative Base Rate (as defined by the
respective agreement), plus the applicable margin of 5.25%, or
the LIBOR rate plus the applicable margin of 6.50%. The
applicable margin is subject to varying increments based upon
changes in leverage.
The weighted-average interest rate during the twelve months
ended December 31, 2007 was 9.39%. The effective interest
rate, after considering amortization of deferred financing fees,
approximated 9.88% during the year ended December 31, 2007.
Amounts borrowed on the Term Loan A and Term Loan B that are
repaid or prepaid may not be re-borrowed. Amounts repaid under
the Revolver may be re-borrowed.
Borrowings under First Lien Facilities are secured by
substantially all of the Companys assets. Second Lien
Facility borrowings are secured on a second-priority basis
(subordinate only to the First Lien Facilities) by substantially
all the assets of the Company.
The Company is required under the terms of the First Lien
Facilities and the Second Lien Facility to maintain certain
financial ratio covenants, including minimum adjusted EBITDA,
maximum total leverage and fixed charge coverage. The Company
was in compliance with these covenants as of December 31,
2007.
At closing, $92,000,000 of Term Loan A and the full amount of
$34,000,000 of Term Loan B were drawn. The Company borrowed the
remaining $8,000,000 under Term Loan A on March 14, 2007 to
finance the acquisition of ISI. At closing, the full Revolver
was undrawn. As of December 31, 2007, the Company had
$7,000,000 of borrowings outstanding under the Revolver. On
July 25, 2007, the Company amended its First Lien Credit
Facility and incurred an additional $16,000,000 of borrowings.
These borrowings were used to finance the acquisitions of Option
Care of Brunswick, Inc., Option Care of Melbourne, Inc., and
East Goshen Pharmacy, Inc.
On January 8, 2007, the Company issued a letter of credit
against the First Lien Facilities in the amount of $705,393
securing its performance on its workers compensation
insurance policy. The letter of credit has a term of one year.
On September 26, 2007, the Company issued a letter of
credit against the First Lien Facilities in the amount of
$75,000 securing its performance under a vehicle lease agreement
that was executed in the fourth quarter of 2007. The letter of
credit expires on August 7, 2008.
Prior to securing the First Lien Facilities and the Second Lien
Facility, the Company borrowed under the terms of a credit
agreement and revolving credit facility that provided total
financing of $32,500,000. Upon refinancing of the credit
agreement in January 2007, remaining deferred financing fees
approximating $832,428 were written off. This amount is included
in interest and other financing costs in the accompanying
consolidated statement of operations.
F-44
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Maturities of debt outstanding, including capital lease
obligations, in each of the next five years is as follows:
|
|
|
|
|
2008
|
|
$
|
3,213,459
|
|
2009
|
|
|
5,943,519
|
|
2010
|
|
|
8,733,905
|
|
2011
|
|
|
11,602,800
|
|
2012
|
|
|
91,300,000
|
|
2013 and thereafter
|
|
|
34,000,000
|
|
In April 2007, the Company entered into a $67,000,000 notional
interest rate cap on the First Lien Facilities for a cost of
$42,000. In August 2007, the Company amended the interest rate
cap to cover an additional $8,000,000 of additional principal
for an additional cost of $8,000. The agreement effectively
places a ceiling on interest at a rate of 6% for a period of two
years. The Company has not designated this cap as a hedging
instrument, and accordingly any unrealized gain or loss on the
interest rate cap has been recorded as a component of earnings.
The impact of the interest rate cap on the consolidated
statement of operations for the year ended December 31,
2007 was insignificant.
Basic earnings per share is calculated based on net income or
loss divided by the weighted-average number of common shares
outstanding during the period. Diluted earnings per share
assumes exercise of all contingently issuable shares into common
shares at the beginning of the period or date of issuance,
unless the contingently issuable shares are antidilutive. There
were no antidilutive shares excluded from earnings per share
during the year ended December 31, 2007 or the period from
September 1, 2006 (the date of inception) to
December 31, 2006. The calculation of basic and diluted
earnings per share is presented below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
Year Ended
|
|
|
September 1, 2006
|
|
|
|
December 31,
|
|
|
to December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
Basic earnings per share computation:
|
|
|
|
|
|
|
|
|
Numerator
|
|
|
|
|
|
|
|
|
Net income applicable to common shares
|
|
$
|
1,611,536
|
|
|
$
|
285,733
|
|
Denominator
|
|
|
|
|
|
|
|
|
Weighted-average number of common shares outstanding
|
|
|
86,050,106
|
|
|
|
25,350,000
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share
|
|
$
|
0.02
|
|
|
$
|
0.01
|
|
Diluted earnings per share computation:
|
|
|
|
|
|
|
|
|
Numerator
|
|
|
|
|
|
|
|
|
Net income applicable to common shares
|
|
$
|
1,611,536
|
|
|
$
|
285,733
|
|
Denominator:
|
|
|
|
|
|
|
|
|
Weighted-average number of common shares outstanding
|
|
|
86,050,106
|
|
|
|
25,350,000
|
|
Weighted-average additional shares assuming conversion of stock
options
|
|
|
790,249
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total weighted average common shares outstanding-diluted basis
|
|
|
86,840,355
|
|
|
|
25,350,000
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per common share
|
|
$
|
0.02
|
|
|
$
|
0.01
|
|
|
|
|
|
|
|
|
|
|
F-45
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Preferred Stock The Company has
5,000,000 shares of preferred stock authorized for issuance
at the discretion of the Board of Directors, subject to
limitations prescribed by Delaware law and the Companys
certificate of incorporation. The Board of Directors is
expressly authorized to set the terms for the establishment or
issuance of any series of preferred stock, the designation of
such series, and the powers, preferences and rights of such
series, and the qualifications, limitations or restrictions
thereof.
Stock Based Compensation In December 2004,
the FASB released Statement No. 123(R), Share-Based Payment
(FASB 123(R)). FASB No. 123(R) is a revision of
FASB No. 123, Accounting for Stock-Based
Compensation, and establishes standards for the accounting
for transactions in which an entity exchanges its equity
instruments for goods or services. It also addresses
transactions in which an entity incurs liabilities in exchange
for goods or services that are based on the fair value of the
entitys equity instruments or that may be settled by the
issuance of those equity instruments. FASB Statement
No. 123(R) requires all equity-based payments to employees
to be recognized in the results of operations based on the grant
date fair value of the award. The Company adopted FASB
No. 123(R) on September 1, 2006.
The Companys 2006 Equity Incentive Plan (the
Plan), which is shareholder approved, permits the
grant of share options to executives and key employees. Option
awards are granted with an exercise price equal to the fair
value of the Companys stock at the date of the grant,
generally vest over a four-year period, and are generally
exercisable for 10 years from the date of the grant. The
Plan allows for the settlement of the options through the
issuance of common or preferred shares or the payment of cash,
at the direction of the Board of Directors.
The fair values of the stock options granted by the Company
under the Plan were determined using the Black-Scholes
option-pricing model. Use of a valuation model requires
management to make certain assumptions with respect to the
selected model inputs. Because the Companys stock was not
publicly traded during the period, the historical weighted
average of the Companys peer group within the healthcare
sector was used. The peer group included two public companies
that provide home infusion services and two public companies
that provide home nursing services. The calculation of
volatility was based on 6.25 years, which is consistent
with the expected term of the awards. The grant life was based
on the simplified method for plain
vanilla option as outlined in Topic 14 of SAB 107,
Share-Based Payment. The risk-free interest rate is based
on U.S. Treasury zero-coupon issues with a remaining term
which approximates the estimated life assumed at the date of
grant.
The following assumptions have been used in the determination of
the fair value for options issued during the year ended
December 31, 2007:
|
|
|
|
|
|
|
Year Ended
|
|
|
|
December 31,
|
|
|
|
2007
|
|
|
Risk free interest rate
|
|
|
4.70
|
%
|
Expected term
|
|
|
6.25
|
|
Expected volatility
|
|
|
44.65
|
%
|
Dividend yield
|
|
|
|
|
Weighted-average fair value
|
|
|
0.55
|
%
|
F-46
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
A summary of stock option activity under the Plan as of and
during the year ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006 is presented below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
Weighted
|
|
|
|
|
|
|
Average
|
|
|
Average Grant
|
|
|
|
|
|
|
Exercise
|
|
|
Date Fair
|
|
|
|
Shares
|
|
|
Price
|
|
|
Value
|
|
|
Outstanding at September 1, 2006
|
|
|
|
|
|
$
|
|
|
|
$
|
|
|
Grants
|
|
|
2,792,500
|
|
|
|
1.00
|
|
|
|
0.53
|
|
Forfeitures
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding at December 31, 2006
|
|
|
2,792,500
|
|
|
|
1.00
|
|
|
|
0.53
|
|
Grants
|
|
|
6,163,500
|
|
|
|
1.08
|
|
|
|
0.57
|
|
Forfeitures
|
|
|
(25,000
|
)
|
|
|
1.00
|
|
|
|
0.52
|
|
Outstanding at December 31, 2007
|
|
|
8,931,000
|
|
|
|
1.05
|
|
|
|
0.55
|
|
Vested and exercisable at December 31, 2007
|
|
|
6,989,125
|
|
|
|
1.00
|
|
|
|
0.53
|
|
As of December 31, 2007, there was approximately $3,765,116
of total unrecognized compensation cost related to unvested
stock options granted under the Plan that the Company had not
recorded. That cost is expected to be recognized through 2011.
Compensation expense of $1,063,919 was recognized during the
year ended December 31, 2007 and is included in selling,
distribution and administrative expenses in the accompanying
consolidated statement of operations. There have been no
exercises of stock option awards since inception of the Plan.
The intrinsic value of the options at December 31, 2007 and
2006 was $2,210,250 and $0, respectively.
During June 2007, the Company amended the Plan to allow for
immediate vesting of unvested awards upon filing of an initial
public offering or upon a change in control, as defined. There
has been no accounting recognition for this modification in the
accompanying consolidated financial statements.
For the year ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006, respectively, the income tax provision
consisted of the following:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
|
|
|
September 1,
|
|
|
|
Year Ended
|
|
|
2006 to
|
|
|
|
December 31,
|
|
|
December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
Current:
|
|
|
|
|
|
|
|
|
Federal
|
|
$
|
1,193,080
|
|
|
|
|
|
State and local
|
|
|
1,314,622
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,507,702
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deferred:
|
|
|
|
|
|
|
|
|
Federal
|
|
|
(220,841
|
)
|
|
|
163,864
|
|
State and local
|
|
|
41,356
|
|
|
|
14,614
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(179,485
|
)
|
|
|
178,478
|
|
|
|
|
|
|
|
|
|
|
Income tax provision
|
|
$
|
2,328,217
|
|
|
$
|
178,478
|
|
|
|
|
|
|
|
|
|
|
F-47
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
As of December 31, 2007 and 2006, deferred tax assets and
liabilities consist of the following:
|
|
|
|
|
|
|
|
|
|
|
2007
|
|
|
2006
|
|
|
Deferred tax assets net current:
|
|
|
|
|
|
|
|
|
Allowance for doubtful accounts
|
|
$
|
3,885,073
|
|
|
$
|
1,070,199
|
|
Accrued liabilities
|
|
|
2,480,668
|
|
|
|
413,178
|
|
Loss carryforward
|
|
|
157,824
|
|
|
|
109,394
|
|
Deferred revenue
|
|
|
|
|
|
|
175,460
|
|
Other
|
|
|
65,990
|
|
|
|
2,591
|
|
|
|
|
|
|
|
|
|
|
Subtotal
|
|
|
6,589,555
|
|
|
|
1,770,822
|
|
|
|
|
|
|
|
|
|
|
Deferred revenue
|
|
|
(621,947
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total current deferred tax assets net
|
|
$
|
5,967,608
|
|
|
$
|
1,770,822
|
|
|
|
|
|
|
|
|
|
|
Deferred tax liabilities net noncurrent:
|
|
|
|
|
|
|
|
|
Intangibles
|
|
$
|
8,038,652
|
|
|
$
|
2,627,125
|
|
Other
|
|
|
650,263
|
|
|
|
(300
|
)
|
|
|
|
|
|
|
|
|
|
Total noncurrent deferred tax liabilities net
|
|
$
|
8,688,915
|
|
|
$
|
2,626,825
|
|
|
|
|
|
|
|
|
|
|
For the year ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006, income taxes computed using the federal
statutory income tax rate differs from the Companys
effective tax rate primarily due to the following:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Period from
|
|
|
|
|
|
|
September 1,
|
|
|
|
Year Ended
|
|
|
2006 to
|
|
|
|
December 31,
|
|
|
December 31,
|
|
|
|
2007
|
|
|
2006
|
|
|
Income tax benefit computed at U.S. federal statutory rate
|
|
$
|
1,339,515
|
|
|
$
|
157,831
|
|
State income taxes, net of federal income tax benefit
|
|
|
750,948
|
|
|
|
14,614
|
|
Effective state rate differences
|
|
|
158,058
|
|
|
|
|
|
Nondeductible expenses
|
|
|
79,696
|
|
|
|
6,033
|
|
|
|
|
|
|
|
|
|
|
Income tax provision
|
|
$
|
2,328,217
|
|
|
$
|
178,478
|
|
|
|
|
|
|
|
|
|
|
The Companys deferred tax assets and liabilities were
valued based on the estimated tax rates in effect when the
assets and liabilities are expected to reverse. Management
believes it is more likely than not that the results of future
operations will generate sufficient taxable income to realize
the net deferred tax assets. The operating loss carryforwards as
of December 31, 2007, for federal and state tax purposes
are $296,000 and $2,300,000, respectively. The federal net
operating loss expires in 2026, and the state net operating loss
expires in 2011.
Uncertain Tax Positions On January 1,
2007 the Company adopted the provisions of FASB Interpretation
No. 48, Accounting for Uncertainty in Income Taxes
(FIN 48). As a result of the implementation
of FIN 48, the Company recognized a $0 charge to the
opening balance of retained earnings as of January 1, 2007.
The total amount of unrecognized tax benefits, excluding the
impact of interest and penalties, as of December 31, 2007
was $100,000 of which $0 would impact the effective rate if
recognized. In accordance with its accounting policy, the
Company recognizes accrued interest and penalties related to
unrecognized tax benefits as a component of tax expense. During
2007, no accrued interest and penalties were reported in the
income statement. The balance of accrued interest and penalties
at December 31, 2007 was $0.
F-48
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The following table summarizes the activity related to the
Companys unrecognized tax benefits, excluding interest and
penalties for 2007:
|
|
|
|
|
|
|
Unrecognized
|
|
|
Balance as of January 1, 2007
|
|
$
|
|
|
Additions and reductions based on tax positions related to the
current year
|
|
|
100,000
|
|
Additions and reductions for tax positions of prior years
|
|
|
|
|
Settlements with taxing authorities
|
|
|
|
|
Expiration of the statute of limitations for the assessment of
taxes
|
|
|
|
|
|
|
|
|
|
Balance as of December 31, 2007
|
|
$
|
100,000
|
|
|
|
|
|
|
The Company does not anticipate the balance of gross
unrecognized tax benefits at December 31, 2007 to
significantly change during the next twelve months.
As of December 31, 2007, the Company is subject to
U.S. Federal and state income tax examinations for the
consolidated tax year of 2006. In addition, many of the
Companys subsidiaries have separate filed state returns
that are still subject to tax examination.
The Company leases their administrative and operating
facilities, certain vehicles, medical equipment, and office
equipment under various operating and capital leases. Lease
terms range from one to seven years with renewal options on
certain leases for additional periods. Future minimum payments
under capital leases and non-cancelable operating leases in each
of the next five years are as follows:
|
|
|
|
|
|
|
|
|
|
|
Capital
|
|
|
Operating
|
|
|
|
Leases
|
|
|
Leases
|
|
|
2008
|
|
$
|
264,566
|
|
|
$
|
1,643,623
|
|
2009
|
|
|
152,505
|
|
|
|
1,262,933
|
|
2010
|
|
|
35,393
|
|
|
|
921,191
|
|
2011
|
|
|
11,579
|
|
|
|
748,526
|
|
2012
|
|
|
|
|
|
|
458,889
|
|
2013 and thereafter
|
|
|
|
|
|
|
322,230
|
|
|
|
|
|
|
|
|
|
|
Total minimum lease payments
|
|
|
464,043
|
|
|
$
|
5,357,392
|
|
|
|
|
|
|
|
|
|
|
Less amounts representing interest
|
|
|
45,360
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Present value of net minimum payments under capital leases
|
|
|
418,683
|
|
|
|
|
|
Less current portion
|
|
|
238,459
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
180,224
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the year ended December 31, 2007 and the period from
September 1, 2006 (the date of inception) to
December 31, 2006, the Company recognized rent expense
under operating leases of $3,064,765 and $234,561, respectively.
|
|
12.
|
COMMITMENTS
AND CONTINGENCIES
|
The Company is subject to claims and legal actions that may
arise in the ordinary course of business. However, the Company
maintains insurance to protect against such claims or legal
actions. The Companys insurance premiums are based on the
experience of the subsidiaries prior to their acquisition by the
Company.
F-49
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Company is not aware of any litigation either pending or
filed that it believes is likely to have a material adverse
effect on the results of operations, cash flows or financial
condition.
Based on types of services performed and consistent with the
Companys internal financial reporting structure and
performance assessment, the Company has identified two
reportable segments: home infusion and home nursing. The Home
Infusion segment delivers complex intravenous pharmaceutical
products and corresponding clinical support services. The Home
Nursing segment, which was acquired on January 1, 2007 in
connection with the DEI acquisition, provides skilled nursing
and other therapy services, including occupational therapy,
medical social work and home health aide services. Prior to this
acquisition, the Company operated in only one reportable segment
for the period from September 1, 2006 (the date of
inception) to December 31, 2006. Financial information by
segment as of and for the year ended December 31, 2007 is
as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Home
|
|
|
Home
|
|
|
|
|
|
|
|
|
|
Infusion
|
|
|
Nursing
|
|
|
Corporate
|
|
|
Consolidated
|
|
|
Revenues
|
|
$
|
131,356,459
|
|
|
$
|
62,496,708
|
|
|
$
|
|
|
|
$
|
193,853,167
|
|
Income from Operations
|
|
|
21,751,759
|
|
|
|
12,047,544
|
|
|
|
(15,148,318
|
)
|
|
|
18,650,985
|
|
Reconciliation to net income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(613,017
|
)
|
Interest and other financing costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
15,324,249
|
|
Income tax provision
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2,328,217
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
1,611,536
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total assets
|
|
$
|
199,435,620
|
|
|
$
|
75,063,733
|
|
|
$
|
13,770,813
|
|
|
$
|
288,270,166
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$
|
143,348,615
|
|
|
$
|
53,443,933
|
|
|
$
|
|
|
|
$
|
196,792,548
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of property and equipment
|
|
$
|
1,991,941
|
|
|
$
|
659,819
|
|
|
$
|
473,250
|
|
|
$
|
3,125,010
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
14.
|
RELATED
PARTY TRANSACTIONS
|
During 2006, the Company entered into three secured promissory
notes with certain of its executives for a combined $175,000,
the proceeds with which were used to purchase common stock and
were recorded by the Company as a subscription receivable, which
is a reduction of equity. The notes included interest at a rate
of 5%, compounding and payable annually with a six year
maturity. During August 2007, the promissory notes were repaid
by the executives to the Company.
Kohlberg provides certain management and advisory services to
the Company under a management agreement dated
September 19, 2006. The agreement has an initial term of
five years, with one-year automatic renewals thereafter, unless
either party provides
30-day
advance notice of its intent not to renew the agreement. The
annual base management fee increased from $250,000 in fiscal
2006 to $500,000 on January 8, 2007 and is payable in
arrears in quarterly installments, plus reimbursement of certain
expenses, including travel and legal fees pertaining to the
Company. The Company incurred base management fees of $495,139
and $70,652 and reimbursed Kohlberg for certain expenses
totaling $21,621 and $0 during the year ended December 31,
2007 and the period from September 1, 2006 (the date of
inception) to December 31, 2006.
Accounts payable to Kohlberg at December 31, 2007 and 2006
is $126,000 and $62,500, respectively.
F-50
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC.
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Kohlberg management agreement also includes a provision
whereby the Company agrees to compensate Kohlberg for services
rendered to the Company with respect to the consummation of
acquisition transactions. During the year ended
December 31, 2007, the Company paid Kohlberg $3,000,000 in
connection with the DEI transaction, plus $129,367 of
reimbursable expenses for a total payment of $3,129,367. This
transaction fee is included in the cost of the DEI acquisition.
The Company paid Kohlberg $1,000,000 in 2006 related to
transactions fees plus $211,219 of reimbursable expenses for a
total payment of $1,211,219. These transaction fees include
services rendered to the Company by Kohlberg including sourcing
the transaction, due diligence investigation, transaction price
and document negotiation.
On January 8, 2008, the Company increased its letter of
credit against the First Lien Facilities securing its
performance on its workers compensation insurance policy
by $1,075,000, to a total of $1,780,393.
On February 6, 2008, the Company entered into a definitive
stock purchase agreement with MBF Healthcare Acquisition Corp.
(MBH), a publicly traded special purpose acquisition
company and withdrew the filing of its initial public offering
on
Form S-1
with the SEC. Pursuant to the terms of the transaction, MBH will
acquire all of the outstanding common stock of the Company for
$420 million in cash, subject to customary adjustments as
set forth in the stock purchase agreement. Commensurate with the
transaction, the Companys parent and certain senior
members of the Companys management team will purchase
$35 million of MBH common stock. The closing of the
transaction is subject to certain conditions including MBH
stockholder approval and less than 30% of MBH shareholders shall
have exercised their rights to convert their shares into a pro
rata share amount of the related trust fund in accordance with
MBHs certificate of incorporation. Assuming requisite
shareholder approval and all other conditions are met, the
Company anticipates the transaction will be consummated in the
second or third quarter of 2008. In connection with the proposed
transaction, the Companys management agreement with
Kohlberg will be terminated, and all outstanding borrowings
under the Companys bank credit facilities will be
satisfied by the selling shareholders.
In September 2007, the Company entered into a letter of intent
with the sole shareholder of an infusion provider with two
locations in Vermont to acquire all of its outstanding shares.
The Company completed its preliminary due diligence in March
2008 and has concluded that the acquisition is probable. The
proposed acquisition is $4,200,000, with $3,500,000 payable at
closing, $500,000 payable to an escrow account and $200,000 in
assumed accounts payable and accrued liabilities. The
acquisition is anticipated to close in April 2008, with an
effective date of April 1, 2008.
******
F-51
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
(Unaudited
and in thousands, except share amounts)
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009
|
|
|
December 31, 2008
|
|
|
ASSETS
|
|
|
|
|
|
|
|
|
CURRENT ASSETS:
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
6,857
|
|
|
$
|
264
|
|
Accounts receivable net of allowance for doubtful
accounts of $6,435 and $9,675 on September 30, 2009 and
December 31, 2008, respectively
|
|
|
42,592
|
|
|
|
52,071
|
|
Inventories
|
|
|
3,935
|
|
|
|
4,580
|
|
Deferred tax assets
|
|
|
3,662
|
|
|
|
4,973
|
|
Prepaids and other current assets
|
|
|
2,571
|
|
|
|
1,332
|
|
|
|
|
|
|
|
|
|
|
Total current assets
|
|
|
59,617
|
|
|
|
63,220
|
|
PROPERTY AND EQUIPMENT Net
|
|
|
7,254
|
|
|
|
7,282
|
|
GOODWILL
|
|
|
220,350
|
|
|
|
210,737
|
|
INTANGIBLE ASSETS Net
|
|
|
21,605
|
|
|
|
21,860
|
|
DEFERRED FINANCING FEES Net
|
|
|
1,605
|
|
|
|
2,088
|
|
OTHER ASSETS
|
|
|
1,820
|
|
|
|
1,693
|
|
|
|
|
|
|
|
|
|
|
TOTAL ASSETS
|
|
$
|
312,251
|
|
|
$
|
306,880
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
LIABILITIES AND STOCKHOLDERS EQUITY
|
|
|
|
|
|
|
|
|
CURRENT LIABILITIES:
|
|
|
|
|
|
|
|
|
Accounts payable
|
|
$
|
2,905
|
|
|
$
|
3,629
|
|
Accrued expenses
|
|
|
18,544
|
|
|
|
21,087
|
|
Current portion of long-term debt
|
|
|
7,945
|
|
|
|
5,800
|
|
Current portion of capital lease obligations
|
|
|
145
|
|
|
|
189
|
|
|
|
|
|
|
|
|
|
|
Total current liabilities
|
|
|
29,539
|
|
|
|
30,705
|
|
Long-term debt, net of current portion
|
|
|
133,958
|
|
|
|
145,600
|
|
Long-term capital lease obligations, net of current portion
|
|
|
250
|
|
|
|
231
|
|
Deferred tax liabilities
|
|
|
7,339
|
|
|
|
6,879
|
|
|
|
|
|
|
|
|
|
|
Total liabilities
|
|
|
171,086
|
|
|
|
183,415
|
|
COMMITMENTS AND CONTINGENCIES (Note 11)
|
|
|
|
|
|
|
|
|
Preferred stock, $0.001 par value
5,000,000 shares authorized; 25,036 and 20,036 shares
issued and outstanding as of September 30, 2009 and
December 31, 2008, respectively(with a liquidation
preference of $26,571 and $20,280 as of September 30, 2009
and December 31, 2008, respectively)
|
|
|
25,036
|
|
|
|
20,036
|
|
STOCKHOLDERS EQUITY:
|
|
|
|
|
|
|
|
|
Common stock, $0.001 par value
125,000,000 shares authorized; 90,898,079 issued and
outstanding as of September 30, 2009 and December 31,
2008, respectively
|
|
|
91
|
|
|
|
91
|
|
Additional paid-in capital
|
|
|
96,524
|
|
|
|
95,474
|
|
Retained earnings
|
|
|
19,514
|
|
|
|
7,864
|
|
|
|
|
|
|
|
|
|
|
Total stockholders equity
|
|
|
116,129
|
|
|
|
103,429
|
|
|
|
|
|
|
|
|
|
|
TOTAL LIABILITIES AND STOCKHOLDERS EQUITY
|
|
$
|
312,251
|
|
|
$
|
306,880
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes to condensed consolidated financial
statements.
F-52
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
(Unaudited
and in thousands, except share amounts)
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
September 30,
|
|
|
|
2009
|
|
|
2008
|
|
|
NET REVENUE
|
|
$
|
187,457
|
|
|
$
|
166,746
|
|
COSTS AND EXPENSES:
|
|
|
|
|
|
|
|
|
Cost of goods (excluding depreciation and amortization)
|
|
|
59,597
|
|
|
|
47,198
|
|
Cost of services provided
|
|
|
31,534
|
|
|
|
32,228
|
|
Selling, distribution and administrative expenses
|
|
|
64,274
|
|
|
|
59,878
|
|
Provision for doubtful accounts
|
|
|
4,685
|
|
|
|
3,767
|
|
Depreciation and amortization
|
|
|
2,986
|
|
|
|
2,577
|
|
Write-off of stock issuance costs
|
|
|
|
|
|
|
84
|
|
|
|
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
163,076
|
|
|
|
145,732
|
|
|
|
|
|
|
|
|
|
|
OPERATING INCOME
|
|
|
24,381
|
|
|
|
21,014
|
|
INTEREST AND OTHER FINANCING COSTS
|
|
|
(5,493
|
)
|
|
|
(9,231
|
)
|
OTHER INCOME (EXPENSE) NET
|
|
|
1
|
|
|
|
(26
|
)
|
|
|
|
|
|
|
|
|
|
INCOME BEFORE INCOME TAXES
|
|
|
18,889
|
|
|
|
11,757
|
|
PROVISION FOR INCOME TAXES
|
|
|
7,239
|
|
|
|
5,574
|
|
|
|
|
|
|
|
|
|
|
NET INCOME
|
|
|
11,650
|
|
|
|
6,183
|
|
CUMULATIVE PREFERRED STOCK DIVIDENDS
|
|
|
(1,291
|
)
|
|
|
(76
|
)
|
|
|
|
|
|
|
|
|
|
INCOME AVAILABLE TO COMMON STOCKHOLDERS
|
|
$
|
10,359
|
|
|
$
|
6,107
|
|
|
|
|
|
|
|
|
|
|
BASIC EARNINGS PER COMMON SHARE
|
|
$
|
0.11
|
|
|
$
|
0.07
|
|
|
|
|
|
|
|
|
|
|
DILUTED EARNINGS PER COMMON SHARE
|
|
$
|
0.10
|
|
|
$
|
0.06
|
|
|
|
|
|
|
|
|
|
|
WEIGHTED AVERAGE NUMBER OF COMMON SHARES OUTSTANDING:
|
|
|
|
|
|
|
|
|
Basic
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
|
|
|
|
|
|
|
Diluted
|
|
|
104,424
|
|
|
|
95,941
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes to condensed consolidated financial
statements.
F-53
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
(Unaudited
and in thousands, except share amounts)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Additional
|
|
|
|
|
|
|
|
|
|
Common Stock
|
|
|
Paid-in
|
|
|
Retained
|
|
|
|
|
|
|
Shares
|
|
|
Amount
|
|
|
Capital
|
|
|
Earnings
|
|
|
Total
|
|
|
BALANCE December 31, 2008
|
|
|
90,898
|
|
|
$
|
91
|
|
|
$
|
95,474
|
|
|
$
|
7,864
|
|
|
$
|
103,429
|
|
Compensation expense related to issuance of stock options
|
|
|
|
|
|
|
|
|
|
|
1,050
|
|
|
|
|
|
|
|
1,050
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
11,650
|
|
|
|
11,650
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
BALANCE September 30, 2009
|
|
|
90,898
|
|
|
$
|
91
|
|
|
$
|
96,524
|
|
|
$
|
19,514
|
|
|
$
|
116,129
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
See accompanying notes to condensed consolidated financial
statements.
F-54
CRITICAL
HOMECARE SOLUTIONS HOLDINGS, INC. AND SUBSIDIARIES
(Unaudited
and in thousands, except share amounts)
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
September 30,
|
|
|
|
2009
|
|
|
2008
|
|
|
CASH FLOWS FROM OPERATING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Net income
|
|
$
|
11,650
|
|
|
$
|
6,183
|
|
Adjustments to reconcile net income to net cash provided by
(used in) operating activities:
|
|
|
|
|
|
|
|
|
Provision for doubtful accounts
|
|
|
4,685
|
|
|
|
3,767
|
|
Depreciation and amortization
|
|
|
2,986
|
|
|
|
2,577
|
|
Write-off of stock issuance costs
|
|
|
|
|
|
|
84
|
|
Amortization of deferred financing fees
|
|
|
581
|
|
|
|
574
|
|
Provision for deferred taxes
|
|
|
865
|
|
|
|
|
|
Loss (gain) on fixed asset dispositions
|
|
|
219
|
|
|
|
76
|
|
Compensation expense related to issuance of stock options
|
|
|
1,050
|
|
|
|
906
|
|
Change in operating assets and liabilities net of
effects of acquisitions:
|
|
|
|
|
|
|
|
|
Accounts receivable
|
|
|
5,890
|
|
|
|
(4,375
|
)
|
Inventories
|
|
|
869
|
|
|
|
(363
|
)
|
Prepaids and other current assets
|
|
|
(1,172
|
)
|
|
|
361
|
|
Other assets
|
|
|
(143
|
)
|
|
|
(254
|
)
|
Accounts payable and accrued expenses
|
|
|
(5,177
|
)
|
|
|
(3,970
|
)
|
|
|
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
22,303
|
|
|
|
5,566
|
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM INVESTING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Payments for business acquisitions, net of cash acquired
|
|
|
(6,196
|
)
|
|
|
(11,559
|
)
|
Repayment of amounts due to sellers
|
|
|
(124
|
)
|
|
|
(1,128
|
)
|
Cash paid for pre acquisition costs
|
|
|
|
|
|
|
(338
|
)
|
Cash paid for property and equipment
|
|
|
(2,410
|
)
|
|
|
(2,495
|
)
|
Proceeds from disposition of fixed assets
|
|
|
50
|
|
|
|
285
|
|
|
|
|
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(8,680
|
)
|
|
|
(15,235
|
)
|
|
|
|
|
|
|
|
|
|
CASH FLOWS FROM FINANCING ACTIVITIES:
|
|
|
|
|
|
|
|
|
Proceeds from borrowings
|
|
|
|
|
|
|
5,750
|
|
Repayment of long-term debt and capital lease obligations
|
|
|
(11,929
|
)
|
|
|
(6,198
|
)
|
Payment of deferred financing fees
|
|
|
(101
|
)
|
|
|
(111
|
)
|
Proceeds from issuance of preferred stock
|
|
|
5,000
|
|
|
|
10,036
|
|
|
|
|
|
|
|
|
|
|
Net cash (used in) provided by financing activities
|
|
|
(7,030
|
)
|
|
|
9,477
|
|
|
|
|
|
|
|
|
|
|
NET INCREASE (DECREASE) IN CASH AND CASH EQUIVALENTS
|
|
|
6,593
|
|
|
|
(192
|
)
|
CASH AND CASH EQUIVALENTS Beginning of period
|
|
|
264
|
|
|
|
1,679
|
|
|
|
|
|
|
|
|
|
|
CASH AND CASH EQUIVALENTS End of period
|
|
$
|
6,857
|
|
|
$
|
1,487
|
|
|
|
|
|
|
|
|
|
|
SUPPLEMENTAL DISCLOSURES OF CASH FLOW INFORMATION:
|
|
|
|
|
|
|
|
|
Cash paid during the year for:
|
|
|
|
|
|
|
|
|
Interest
|
|
$
|
5,112
|
|
|
$
|
9,544
|
|
Income taxes
|
|
$
|
4,177
|
|
|
$
|
3,412
|
|
SUPPLEMENTAL DISCLOSURES OF NON-CASH TRANSACTIONS:
|
|
|
|
|
|
|
|
|
Note payable issued to acquire business
|
|
$
|
2,250
|
|
|
$
|
|
|
Capital lease obligations incurred to acquire property and
equipment
|
|
$
|
156
|
|
|
$
|
115
|
|
See accompanying notes to condensed consolidated financial
statements.
F-55
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
|
|
1.
|
OVERVIEW,
BASIS OF PRESENTATION, AND SIGNIFICANT ACCOUNTING
POLICIES
|
Critical Homecare Solutions Holdings, Inc. and subsidiaries
(CHS or the Company) provides infusion
therapy and home nursing services through a network of
company-owned locations. The Company contracts with managed care
organizations and physicians to become their specialty and
infusion pharmacy, dispensing and delivering pharmaceuticals,
assisting with clinical compliance information, and providing
pharmacy consulting services. The Company also contracts with
managed care organizations, third-party payors, hospitals,
physicians, and other referral sources to provide
pharmaceuticals and complex compounded solutions to patients for
intravenous delivery in the patients homes or other
non-hospital settings. Many of the Companys locations
provide other healthcare services, such as nursing, respiratory
therapy, and durable medical equipment rentals and sales.
The Company commenced operations on September 1, 2006 and
is primarily owned by certain investment funds managed by
Kohlberg and Co, L.L.C. (Kohlberg). In addition,
certain members of the Companys management own shares of
the Company, the total of which represents less than one percent
of the total outstanding shares as of September 30, 2009.
The Company did not declare any dividends during the nine months
ended September 30, 2009 and 2008.
In connection with its formation, on September 1, 2006, the
Company acquired all of the stock of Specialty Pharma, Inc.
(SPI) and its wholly owned subsidiary, Professional
Home Care Services, Inc. (PHCS), and all of the
stock of New England Home Therapies, Inc. (NEHT). In
2007, the Company acquired the stock of Deaconess Enterprises,
Inc. (DEI), Infusion Solutions, Inc.
(ISI), Applied Health Care, Ltd. (AHC),
Option Care of Brunswick, Inc. (Infusion Partners of
Brunswick or IPB), Option Care of Melbourne,
Inc. (Infusion Partners of Melbourne or
IPM) and East Goshen Pharmacy, Inc.
(EGP). In 2008, the Company acquired the stock of
Wilcox Medical, Inc. (WC), Scott-Wilson, Inc.
(Infusion Partners of Lexington or IPL)
and National Health Infusion, Inc. (NHI). In 2009,
the Company acquired the stock of Option Health, Ltd.
(OH). See Note 2 for further discussion
regarding the Companys acquisitions. The financial
position and operating results of the acquired operations are
included in the accompanying condensed consolidated financial
statements of the Company since the respective dates of
acquisition.
As of September 30, 2009, the Company operated 69 locations
servicing 22 states.
During the fiscal year 2008, the Company was engaged in a
proposed transaction related to the sale of all of its
outstanding common and preferred shares. The Company entered
into a definitive stock purchase agreement on February 6,
2008 with MBF Healthcare Acquisition Corp. (MBH), a
publicly traded special purpose acquisition company and withdrew
the filing of its initial public offering on
Form S-1
with the SEC. Pursuant to the terms of the original agreement
and subsequent amendments, MBH was to acquire all of the
outstanding common stock of the Company. The stock purchase
agreement for MBHs proposed acquisition of the Company was
mutually terminated as of October 31, 2008 by MBH and
Kohlberg, in its capacity as the representative of the
stockholders of the Company. Transaction-related expenses are
included in selling, distribution and administrative expenses in
the accompanying condensed consolidated statements of operations
and totaled $2.1 million for the nine months ended
September 30, 2008.
Basis of Presentation The accompanying
unaudited condensed consolidated financial statements have been
prepared in accordance with accounting principles generally
accepted in the United States of America (GAAP) and
include the accounts of the Company and its wholly-owned
subsidiaries. Certain information and footnote disclosure
normally included in financial statements have been condensed or
omitted, as permitted by
Rule 10-01
of the Security and Exchange Commissions
Regulation S-X,
Interim Financial Statements. It is suggested that
these condensed consolidated unaudited financial statements be
read in conjunction with financial statements and notes thereto
included in the Companys annual financial statements. All
intercompany accounts and transactions have been eliminated in
consolidation.
F-56
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Subsequent events have been evaluated through February 5,
2010, the date these interim financial statements were issued.
Cash and Cash Equivalents Cash and cash
equivalents include cash on deposit with various financial
institutions. The Company considers all highly liquid
investments with original maturities of three months or less to
be cash equivalents. The Companys cash equivalents are
stated at cost, which approximates market value.
Financial Instruments The Company has cash
and cash equivalents, short-term receivables and payables, and
long-term debt obligations, including capital leases. The
carrying value of cash and cash equivalents, accounts
receivables, and accounts payables approximate their fair value.
Borrowings under the Companys secured credit facilities
and other long-term debt obligations (see
Note 6) include debt with variable interest rates,
totaling $141.9 million and $151.4 million at
September 30, 2009 and December 31, 2008,
respectively. The Company believes the carrying value of its
long-term debt approximates current market value.
Accounts Receivable and Allowance for Doubtful
Accounts The Companys accounts receivable
consists of amounts owed by various governmental agencies,
insurance companies and private patients. Management performs
periodic analyses to evaluate accounts receivable balances to
ensure that recorded amounts reflect net realizable values. The
Company does not believe there are any significant credit risks
associated with the receivables from Medicare and Medicaid and
other state administered programs.
Accounts receivable are reported net of contractual adjustments.
Generally, the Company bills third-party payors based on the
contractual charges or usual and customary charges for goods and
services provided and then adjusts the revenue down to the
anticipated collectible amount. The adjustment is based on
interpretation of the terms of the applicable managed care
contract, fee schedule or other arrangement with the payor.
The Company has established an allowance for doubtful accounts
to report accounts receivable at the estimated net realizable
amounts to be received from third-party payors and patients.
Increases to this reserve are reflected as a provision for
doubtful accounts in the accompanying condensed consolidated
statements of operations. The Company generates accounts
receivable aging reports from its billing systems and utilizes
these reports to monitor the condition of outstanding
receivables and evaluate the performance of billing and
reimbursement staff. The Company also utilizes these aging
reports, combined with historic write-off statistics generated
from the billing systems, to determine the allowance for
doubtful accounts. The Company regularly performs an analysis of
the collectability of accounts receivable and considers factors
such as prior collection experience and the age of the
receivables.
The Company does not require its patients or other payors to
carry collateral for any amounts owed for services provided.
Other than as discussed below, the Companys concentration
of credit risk relating to accounts receivable is limited due to
the diversity of patients and payors. Further, the Company
generally does not provide charity care.
Inventories Inventories, which consist
primarily of pharmaceuticals and medical supplies, are stated at
the lower of cost (determined using the
first-in,
first-out method) or market. The largest component of inventory
is pharmaceuticals, which have fixed expiration dates. The
Company normally obtains next day delivery of the
pharmaceuticals that it orders. The Companys pharmacies
monitor inventory levels and check expiration dates regularly.
Pharmaceuticals that are approaching expiration and are deemed
unlikely to be used before expiration are returned to either the
vendor or manufacturer for credit, or are transferred to another
Company pharmacy that needs them. If the pharmaceuticals cannot
be either returned or transferred before expiration, the
Companys policy requires them to be disposed of
immediately and in accordance with Drug Enforcement
Administration guidelines. Due to the high rate of turnover of
the Companys pharmaceutical inventory and the policies
related to handling expired or expiring items, the
Companys pharmacies typically do not carry obsolete
inventory.
F-57
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Prepaids and Other Current Assets Prepaid
expenses and other current assets consist primarily of prepaid
insurance, rent, and other current assets.
Property and Equipment Net
Property and equipment are carried at cost. Expenditures for
major improvements are capitalized. Maintenance and repairs are
expensed as incurred. Upon retirement or disposal of an asset,
the related cost and accumulated depreciation are removed from
the respective accounts and any gain or loss is recorded in
current earnings. Property and equipment under capital leases
are stated at the lesser of fair value or the present value of
future minimum lease payments at inception of the lease.
Depreciation is recognized on a straight-line basis. Estimated
useful lives for the principal asset categories are as follows:
|
|
|
|
|
Useful Life
|
|
Medical equipment
|
|
13 months to 5 years
|
Leasehold improvements
|
|
Base term of lease or useful life, whichever is shorter
|
Equipment, vehicles, and other assets
|
|
3 to 5 years
|
Building
|
|
20 years
|
Property and equipment are reviewed for impairment whenever
events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable. Recoverability of
assets to be held and used is measured by a comparison of the
carrying amount of an asset to estimated undiscounted future
cash flows expected to be generated by the asset. If the
carrying amount of an asset exceeds its estimated future cash
flows, an impairment charge is recognized for the amount by
which the carrying amount of the asset exceeds the fair value of
the asset. The Company did not recognize any impairment losses
during the nine months ended September 30, 2009 and 2008.
Goodwill and Intangible Assets Goodwill
represents the excess of the cost of acquisitions over the fair
value of net assets acquired. In accordance with the
Intangibles Goodwill and Other Topic of the
Financial Accounting Standards Board (FASB)
Accounting Standards Codification, goodwill is not amortized and
is reviewed annually at a reporting unit level for impairment
utilizing a two-step process. Generally accepted accounting
principles require goodwill to be tested for impairment annually
and when an event occurs or circumstances change such that it is
reasonably possible that an impairment may exist. There were no
impairment losses recognized during the nine months ended
September 30, 2009 and 2008.
Intangible assets consist primarily of non-compete agreements,
trademarks related to brand names arising from acquisitions,
licenses and certificates of need. The Company records
intangible assets at their estimated fair value at the date of
acquisition and amortizes the related cost of the asset over the
period of expected benefit. The fair value of intangible assets
assigned during the first year subsequent to an acquisition is
based on a preliminary determination and is subject to
adjustment pending a final determination of purchase price and a
final valuation of the assets acquired and liabilities assumed.
Definite-lived intangibles are reviewed for impairment whenever
events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable from estimated future
cash flows. Intangible assets with indefinite lives are reviewed
for impairment annually or when an event occurs or circumstances
change such that it is reasonably possible that an impairment
may exist. There were no impairment losses recognized during the
nine months ended September 30, 2009 and 2008.
Non-compete agreements are amortized on a straight-line basis
over the estimated life of each agreement, which ranges from one
to five years. The ISI trademark and certain of the trademarks
associated with DEI have limited lives of two and five years,
respectively. These trademarks are being amortized over the
estimated useful lives. Trademarks with indefinite lives are not
amortized but are periodically reviewed for impairment. Licenses
are being amortized over a period of one to two years.
Certificates of need have indefinite lives and are not amortized
but are periodically reviewed for impairment.
F-58
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Deferred Financing Fees Net
Deferred financing fees are stated at cost and are amortized
using a method that approximates the effective interest method
over the expected life of the related debt instrument.
Amortization of the deferred financing fees is recorded as
interest and other financing costs in the accompanying condensed
consolidated statements of operations. In the event of debt
modification, the unamortized balance of deferred financing fees
is tested for debt extinguishment treatment in accordance with
GAAP.
Revenue Recognition The Company generates
almost all of its revenue from reimbursement by government and
other third-party payors for services provided to patients. The
Company receives payment for services and medications from a
number of sources, including managed care organizations,
government sources, such as Medicare and Medicaid programs, and
commercial insurance. For the nine months ended
September 30, 2009 and 2008, the Company had a payor mix of
49% and 51% from managed care organizations and other third
party payors, respectively, 28% and 26% from Medicare,
respectively, and 23% and 23% from Medicaid, respectively. At
September 30, 2009, Medicare and Medicaid represented 21%
and 21% of accounts receivable, respectively. At
December 31, 2008, Medicare and Medicaid represented 23%
and 22% of accounts receivable, respectively.
Patient revenue is recorded in the period during which the
services are provided, and is directly offset by appropriate
allowances to give recognition to third-party payor
arrangements. Net revenue recognition and allowances for
uncollectible billings require the use of estimates. Once known,
any changes to these estimates are reflected in the results of
operations.
In the Companys home infusion segment, infusion therapy
and related health care services revenue is reported at the
estimated net realizable amounts from patients and third-party
payors for goods sold and services rendered. The Companys
agreements with payors occasionally specify receipt of a
per-diem payment for infusion therapy services that
are provided to patients. This per-diem payment
includes multiple components of care provided to the patient,
including, but not limited to, rental of medical equipment, care
coordination services, delivery of goods to the patient and
medical supplies. Per-diem revenue is recognized
over the course of the period the components of care are
provided.
In certain situations, revenue components are recorded
separately. In other situations, revenue components are billed
and reimbursed on a per-diem or contract basis whereby the
insurance carrier pays the Company a combined amount for
treatment. Because the reimbursement arrangements in these
situations are based on a per-diem or contract amount, the
Company does not maintain records that provide a breakdown
between the revenue components. Due to the nature of the
industry and the reimbursement environment in which the Company
operates, certain estimates are required to record net revenue
and accounts receivable at their net realizable values. Inherent
in these estimates is the possibility that they will have to be
revised or updated as additional information becomes available.
Specifically, the complexity of many third-party billing
arrangements and the uncertainty of reimbursement amounts for
certain services from certain payors may result in adjustments
to amounts originally recorded. Such adjustments are typically
identified and recorded at the point of cash application, claim
denial or account review.
In the Companys home nursing segment, revenue represents
the estimated net realizable amounts from patients, third-party
payors and others for patient services rendered and products
provided. Such revenue is recognized as the treatment plan is
administered to the patient and is recorded at amounts estimated
to be received under reimbursement or payment arrangements with
payors. Net revenues to be reimbursed by contracts with
third-party payors are recorded at an amount to be realized
under these contractual arrangements.
Under the prospective payment system for Medicare reimbursement,
net revenues are recorded based on a reimbursement rate which
varies based on the severity of the patients condition,
service needs and certain other factors. Revenue is recognized
ratably over a
60-day
episode period and is subject to adjustment during
F-59
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
this period if there are significant changes in the
patients condition during the treatment period or if the
patient is discharged but readmitted to another agency within
the same
60-day
episodic period. Medicare billings under the prospective payment
system are initially recognized as deferred revenue and are
subsequently recognized as revenue over the
60-day
episode period. The process for recognizing revenue under the
Medicare program is based on certain assumptions and judgments,
the appropriateness of the clinical assessment of each patient
at the time of certification, and the level of adjustments to
the fixed reimbursement rate relating to patients who receive a
limited number of visits, have significant changes in condition
or are subject to certain other factors during the episode.
Deferred revenue of $3.2 million and $3.1 million
relating to the home nursing Medicare Prospective Payment System
(PPS) program and to certain infusion monthly equipment rentals
was recorded in accrued expenses in the condensed consolidated
balance sheets as of September 30, 2009 and
December 31, 2008, respectively.
Multiple Deliverables The Multiple-Element
Arrangements Subtopic of the FASB Accounting Standards
Codification addresses situations in which multiple products
and/or
services are delivered at different times under one arrangement
with a customer and provides guidance in determining whether
multiple deliverables should be viewed as separate units of
accounting. The Company provides a variety of therapies to
patients, the majority of which have multiple deliverables, such
as the delivery of drugs and supplies and the provision of
related nursing services to train and monitor patient
administration of the drugs. After applying the criteria from
the final model in the Multiple-Element Arrangements Subtopic of
the FASB Accounting Standards Codification, the Company
concluded that separate units of accounting do exist in its
revenue arrangements with multiple deliverables.
The Companys revenue recognition policy is designed to
recognize revenue when each deliverable is provided to the
patient. For example, revenue from drug sales is recognized upon
confirmation of the delivery of the products, and revenue from
nursing services is recognized upon receipt of nursing notes
confirming the service has been provided. In instances in which
the amount allocable to the delivered item is contingent upon
delivery of additional items, the Company recognizes revenue
after all the deliverables in the arrangement have been
provided. In instances that a per-diem is provided for daily
usage of supplies and equipment, revenue is recognized on a pro
rata basis.
Cost of Goods and Cost of Services Provided
Cost of goods consists of the actual cost of pharmaceuticals and
other medical supplies dispensed to patients. Cost of services
provided consists of certain operating costs related to pharmacy
operations, nursing and respiratory services. These costs
include employee salary and benefits and contract labor directly
involved in providing service to the patient.
Distribution Expenses Distribution expenses
are included in selling, distribution and administrative
expenses in the accompanying condensed consolidated statements
of operations and totaled $5.1 million and
$4.8 million for the nine months ended September 30,
2009 and 2008, respectively. Such expense represents the
delivery costs related to the end user. Included are salary and
benefit costs related to drivers and dispatch personnel and
amounts paid to courier and other outside shipping vendors.
Income Taxes The Company uses the liability
method of accounting for income taxes in accordance with the
Income Taxes Topic of the FASB Accounting Standards
Codification. Accordingly, deferred tax liabilities and assets
are determined based on the difference between the financial
statement and tax bases of assets and liabilities, using enacted
tax rates in effect for the year in which the differences are
expected to reverse. The Company recognizes accrued interest and
penalties related to unrecognized tax benefits as a component of
tax expense. Current income taxes are based on the years
taxable income for federal and state income tax reporting
purposes.
As required by the Income Taxes Topic of the FASB Accounting
Standards Codification, the Company recognizes the financial
statement benefit of a tax position only after determining that
the relevant tax
F-60
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
authority would more likely than not sustain the position
following an audit. For tax positions meeting the
more-likely-than-not threshold, the amount recognized in the
financial statements is the largest benefit that has a greater
than 50 percent likelihood of being realized upon ultimate
settlement with the relevant tax authority.
Self Insurance The Company is self-insured up
to certain limits for workers compensation costs and
employee medical benefits. The Company has purchased stop-loss
coverage to limit its exposure to significant individual
workers compensation or employee medical claims.
Self-insured losses are accrued for known and anticipated claims
based upon certain actuarial assumptions and historical claim
payment patterns.
Use of Estimates The preparation of condensed
consolidated financial statements in conformity with GAAP
requires management to make estimates and assumptions that
affect the reported amounts of assets, liabilities, revenues and
expenses in the accompanying condensed consolidated financial
statements.
Significant items subject to such estimates and assumptions
include but are not limited to revenue recognition, goodwill and
intangibles, the allowance for doubtful accounts, the valuation
of stock option grants, and self-insurance reserves for
workers compensation costs and employee medical benefits.
Actual results could differ from those estimates.
New Accounting Pronouncements In October
2009, the FASB issued guidance under Accounting Standards Update
No. 2009-13,
Multiple-Deliverable Revenue Arrangements (ASU
2009-13),
which updates ASC
605-25,
Multiple Elements Arrangements (ASC
605-25).
ASU 2009-13
provides new guidance on how to determine if an arrangement
involving multiple deliverables contains more than one unit of
accounting, and if so allows companies to allocate arrangement
considerations in a manner more consistent with the economics of
the transaction. ASU
2009-13 is
effective for the Company, prospectively, for revenue
arrangements entered into or materially modified in fiscal years
beginning on or after June 15, 2010; early application is
permitted. The Company is currently evaluating the impact of
adopting ASU
2009-13 on
its financial position, results of operations or cash flows.
In June 2009, the FASB issued guidance under ASC 105,
Generally Accepted Accounting Principles (ASC
105), which establishes the FASB Accounting Standards
Codification as the sole source of authoritative generally
accepted accounting principles. Pursuant to the provisions of
ASC 105, the Company has updated references to GAAP in its
financial statements issued for the nine months ended
September 30, 2009. The adoption of this statement did not
have a material effect on the Companys financial position,
results of operations or cash flows.
In May 2009, the FASB issued guidance under ASC 855,
Subsequent Events (ASC 855). This guidance
establishes general standards of accounting for and disclosure
of events that occur after the balance sheet date but before
financial statements are issued or are available to be issued.
This guidance is effective for interim and annual fiscal periods
ending after June 15, 2009. The Company adopted the
provisions of ASC 855 effective June 30, 2009. The adoption
of this statement did not have a material effect on the
Companys financial position, results of operations or cash
flows.
In April 2009, the FASB issued guidance under ASC
825-10,
Financial Instruments (ASC
825-10).
This guidance requires disclosures about fair value of financial
instruments for interim reporting periods that were previously
only required in annual financial statements. This guidance is
effective for interim periods ending after June 15, 2009.
The Company adopted the provisions of ASC
825-10
effective June 30, 2009 . The adoption of this statement
did not have a material effect on the Companys financial
position, results of operation or cash flows.
In April 2008, the FASB issued guidance under ASC
350-30,
Intangible Goodwill and Other (ASC
350-30).
ASC 350-30
amends the factors that should be considered in developing
renewal or extension assumptions used to determine the useful
life of a recognized intangible asset under the
Intangibles Goodwill and Other Topic of the FASB
Accounting Standards Codification. The intent of ASC
350-30 is to
F-61
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
improve the consistency between the useful life of a recognized
intangible asset under ASC 350 and the period of expected cash
flows used to measure the fair value of the asset under ASC 805,
Business Combinations (ASC 805) and other
applicable accounting literature. The Company adopted the
provisions of ASC
350-30
effective January 1, 2009. The adoption of this statement
did not have a material effect on the Companys financial
position, results of operations or cash flows.
In March 2008, the FASB issued guidance under ASC
815-10,
Disclosures about Derivative Instruments and Hedging
Activities (ASC
815-10).
ASC 815-10
amends and expands derivatives and hedging disclosure
requirements, including, reasons for the use of derivative
instruments, related accounting, and affect on the condensed
consolidated financial statements. The Company adopted the
provisions of ASC
815-10
effective January 1, 2009. The adoption of this statement
did not have a material effect on the Companys financial
position, results of operations or cash flows.
In December 2007, the FASB issued guidance under ASC 805,
Business Combinations. ASC 805 changes the accounting for
business combinations by requiring an acquiring entity to
recognize all the assets acquired and liabilities assumed in a
transaction at the acquisition-date fair value with limited
exceptions. In addition, ASC 805 requires acquisition costs to
be expensed as incurred, in-process research and development to
be recorded at fair value as an indefinite-lived intangible
asset at the acquisition date, restructuring costs associated
with a business combination to be generally expensed subsequent
to the acquisition date and changes in deferred tax asset
valuation allowances and income tax uncertainties after the
acquisition date generally to affect income tax expense. ASC 805
also includes a substantial number of new disclosure
requirements. The Company adopted the provisions of ASC 805
effective January 1, 2009. The adoption of this statement
did not have a material effect on the Companys financial
position, results of operations or cash flows.
On June 10, 2009, the Company acquired all of the
outstanding stock of OH, a provider of home infusion and nursing
services with one location in the state of Illinois. The total
consideration to complete the acquisition was $9.4 million,
which was financed with cash of $6.3 million, a note
payable of $2.3 million and the assumption of $872,000 of
liabilities. As of September 30, 2009, $30,000 is due to
the sellers to settle the post-closing determination of certain
assets and liabilities relative to established targets. The
effective date of the OH acquisition was June 1, 2009. The
purchase agreement allows for an additional earnout payment to
the former owner that may range between $0 and $1 million
based on the operating results of the acquired business during
the one-year period beginning 60 days following the
acquisition. The transition consulting agreement allows for
additional bonus payments to the former owner that may range
between $0 and $85,000 based on the operating results of the
acquired business during the one-year period following the
acquisition. On June 1, 2009, the Company recorded a
payable to the former owner of OH and increased goodwill by
$900,000 and $75,000 to account for the fair market value of the
earnout payment liability and the bonus payment liability,
respectively.
On December 22, 2008, the Company acquired all of the
outstanding stock of NHI, a provider of home infusion services
with one location in the state of Florida. The total
consideration to complete the acquisition was $4.5 million,
which was financed with cash of $4.2 million and the
assumption of $264,000 of liabilities. The effective date of the
NHI acquisition was December 1, 2008.
On September 23, 2008, the Company acquired all of the
outstanding stock of IPL, a provider of home infusion and
nursing services with one location in the state of Kentucky. The
total consideration to complete the acquisition was
$6.8 million , which was financed with cash of
$6.5 million and the assumption of $292,000 of liabilities.
The effective date of the IPL acquisition was September 1,
2008.
F-62
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
On April 23, 2008, the Company acquired all of the
outstanding stock of WC, a provider of home infusion with two
locations in the state of Vermont. The total consideration to
complete the acquisition was $4.6 million , which was
financed with cash of $3.8 million and the assumption of
$784,000 of liabilities. The effective date of the WC
acquisition was April 1, 2008.
Each of these acquisitions was performed to expand the
Companys geographic footprint and increase the
Companys offerings of services. These acquisitions were
recorded under the purchase method of accounting, and
accordingly, the financial position and operating results of the
acquired operations are included in the condensed consolidated
financial statements of the Company subsequent to the date of
their respective acquisitions.
The initial purchase price has been allocated to assets acquired
and liabilities assumed based on estimated fair values. The
purchase price allocations for OH and NHI are preliminary and
are subject to adjustment, which may be material, pending a
final determination of working capital and income tax
allocations. In accordance with business combinations
accounting, measurement period adjustments related to OH will be
retrospective in nature. The allocated fair value of assets
acquired and liabilities assumed as of September 30, 2009
is summarized in the table below (in thousands).
Amounts due to sellers for cash represents the Companys
liability for the sellers cash, which is due to the
sellers as of the effective date of each transaction, per the
terms of the respective purchase agreements.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
OH
|
|
|
NHI
|
|
|
IPL
|
|
|
WC
|
|
|
Cash
|
|
$
|
78
|
|
|
$
|
60
|
|
|
$
|
|
|
|
$
|
76
|
|
Accounts receivable
|
|
|
1,262
|
|
|
|
143
|
|
|
|
1,144
|
|
|
|
507
|
|
Inventories
|
|
|
224
|
|
|
|
21
|
|
|
|
155
|
|
|
|
181
|
|
Deferred income taxes
|
|
|
|
|
|
|
68
|
|
|
|
118
|
|
|
|
165
|
|
Other assets
|
|
|
66
|
|
|
|
2
|
|
|
|
|
|
|
|
7
|
|
Property and equipment
|
|
|
353
|
|
|
|
6
|
|
|
|
93
|
|
|
|
62
|
|
Intangible assets
|
|
|
51
|
|
|
|
214
|
|
|
|
629
|
|
|
|
27
|
|
Goodwill
|
|
|
8,718
|
|
|
|
4,155
|
|
|
|
5,185
|
|
|
|
3,603
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total identifiable assets
|
|
|
10,752
|
|
|
|
4,669
|
|
|
|
7,324
|
|
|
|
4,628
|
|
Accounts payable and
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accrued expenses
|
|
|
872
|
|
|
|
264
|
|
|
|
292
|
|
|
|
783
|
|
Contingent purchase price obligations
|
|
|
975
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Note payable
|
|
|
2,250
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deferred income taxes
|
|
|
256
|
|
|
|
103
|
|
|
|
547
|
|
|
|
|
|
Total identifiable net assets
|
|
|
6,399
|
|
|
|
4,302
|
|
|
|
6,485
|
|
|
|
3,845
|
|
Amounts due to sellers for cash
|
|
|
78
|
|
|
|
60
|
|
|
|
|
|
|
|
76
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash purchase price
|
|
$
|
6,321
|
|
|
$
|
4,242
|
|
|
$
|
6,485
|
|
|
$
|
3,769
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Changes in the allocated fair market value from the initial
allocation to the current allocation as of September 30,
2009 relate primarily to adjustments to certain liabilities and
adjustments to deferred taxes.
Interest expense, net of taxes, of $10,000 and $50,000 has been
recognized in the condensed consolidated financial statements of
the Company for the nine months ended September 30, 2009
and 2008, respectively, relative to the imputed interest on the
purchase price from the effective dates to the closing dates.
Each of the above acquisitions is included in the Companys
Home Infusion segment; therefore, all of the goodwill recorded
in the acquisitions has been allocated to that segment. The
goodwill recognized is
F-63
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
attributable primarily to expected synergies and the assembled
workforce. As each of the above acquisitions was for stock, the
goodwill arising from the transactions is generally not
deductible for tax purposes.
|
|
3.
|
PROPERTY
AND EQUIPMENT NET
|
As of September 30, 2009 and December 31, 2008,
property and equipment consisted of the following (in thousands):
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009
|
|
|
December 31, 2008
|
|
|
Medical equipment
|
|
$
|
9,050
|
|
|
$
|
7,652
|
|
Leasehold improvements
|
|
|
1,354
|
|
|
|
971
|
|
Equipment, vehicles, and other assets
|
|
|
5,482
|
|
|
|
4,925
|
|
|
|
|
|
|
|
|
|
|
Total property and equipment gross
|
|
|
15,886
|
|
|
|
13,548
|
|
Less accumulated depreciation and amortization
|
|
|
(8,632
|
)
|
|
|
(6,266
|
)
|
|
|
|
|
|
|
|
|
|
Property and equipment net
|
|
$
|
7,254
|
|
|
$
|
7,282
|
|
|
|
|
|
|
|
|
|
|
In June 2008, the Company sold its building in Tennessee for
$228,000. The building was a part of the Home Nursing segment.
The net pretax loss from the sale was $101,000 and is included
in selling, distribution and administrative expenses in the
condensed consolidated statements of operations.
Included in property and equipment are equipment and vehicles
that are held under capital lease arrangements as of
September 30, 2009 and December 31, 2008, as follows
(in thousands):
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009
|
|
|
December 31, 2008
|
|
|
Medical equipment
|
|
$
|
369
|
|
|
$
|
369
|
|
Equipment, vehicles, and other assets
|
|
|
712
|
|
|
|
556
|
|
|
|
|
|
|
|
|
|
|
Total property and equipment gross
|
|
|
1,081
|
|
|
|
925
|
|
Less accumulated depreciation and amortization
|
|
|
(542
|
)
|
|
|
(394
|
)
|
|
|
|
|
|
|
|
|
|
Property and equipment net
|
|
$
|
539
|
|
|
$
|
531
|
|
|
|
|
|
|
|
|
|
|
Depreciation expense was $2.7 million and $2.3 million
for the nine months ended September 30, 2009 and 2008,
respectively.
|
|
4.
|
GOODWILL
AND INTANGIBLE ASSETS
|
As of September 30, 2009, goodwill consists of the
following (in thousands):
|
|
|
|
|
Balance December 31, 2008
|
|
$
|
210,737
|
|
Goodwill acquired
|
|
|
8,718
|
|
Measurement period adjustments relating to 2008 acquisitions
|
|
|
895
|
|
|
|
|
|
|
Balance September 30, 2009
|
|
$
|
220,350
|
|
|
|
|
|
|
F-64
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
As of September 30, 2009 and December 31, 2008,
intangible assets consist of the following (in thousands):
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009
|
|
|
December 31, 2008
|
|
|
Trademarks nonamortizable
|
|
$
|
15,329
|
|
|
$
|
15,329
|
|
Certificates of need nonamortizable
|
|
|
5,486
|
|
|
|
5,486
|
|
Non-compete agreements amortizable
|
|
|
690
|
|
|
|
645
|
|
Trademarks amortizable
|
|
|
1,220
|
|
|
|
1,220
|
|
Other intangibles amortizable
|
|
|
65
|
|
|
|
57
|
|
Accumulated amortization:
|
|
|
|
|
|
|
|
|
Noncompete agreements
|
|
|
(415
|
)
|
|
|
(295
|
)
|
Trademarks
|
|
|
(725
|
)
|
|
|
(550
|
)
|
Other intangibles
|
|
|
(45
|
)
|
|
|
(32
|
)
|
|
|
|
|
|
|
|
|
|
Intangible
assets-net
|
|
$
|
21,605
|
|
|
$
|
21,860
|
|
|
|
|
|
|
|
|
|
|
The weighted average remaining life as of September 30,
2009 of non-compete agreements is 2.0 years, trademarks is
2.0 years and other intangibles is less than 1.0 year,
with the total weighted average remaining life of all intangible
assets of 2.0 years.
Amortization expense on intangible assets was $308,000 and
$326,000 for the nine months ended September 30, 2009 and
2008, respectively. Amortization expense on intangible assets
for the remainder of 2009 and in each of the next five years is
expected to be the following (in thousands):
|
|
|
|
|
2009 (three months)
|
|
$
|
94
|
|
2010
|
|
|
336
|
|
2011
|
|
|
301
|
|
2012
|
|
|
39
|
|
2013
|
|
|
17
|
|
2014 and thereafter
|
|
|
3
|
|
|
|
|
|
|
|
|
$
|
790
|
|
|
|
|
|
|
F-65
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
As of September 30, 2009 and December 31, 2008,
accrued expenses consisted of the following (in thousands):
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009
|
|
|
December 31, 2008
|
|
|
Accrued accounting and legal fees
|
|
$
|
|
|
|
$
|
143
|
|
Accrued payroll expenses
|
|
|
5,474
|
|
|
|
7,280
|
|
Deferred revenue
|
|
|
3,206
|
|
|
|
3,088
|
|
Accrued refunds payable
|
|
|
3,409
|
|
|
|
3,636
|
|
Amounts due to sellers
|
|
|
30
|
|
|
|
297
|
|
Accrued seller earnout
|
|
|
920
|
|
|
|
|
|
Other accrued expenses
|
|
|
3,574
|
|
|
|
4,916
|
|
Accrued workers compensation
|
|
|
1,181
|
|
|
|
1,235
|
|
Accrued benefits
|
|
|
714
|
|
|
|
303
|
|
Accrued interest
|
|
|
36
|
|
|
|
189
|
|
|
|
|
|
|
|
|
|
|
Accrued expenses
|
|
$
|
18,544
|
|
|
$
|
21,087
|
|
|
|
|
|
|
|
|
|
|
|
|
6.
|
LONG-TERM
DEBT AND CAPITAL LEASE OBLIGATIONS
|
Long-term debt and capital lease obligations consist of the
following (in thousands):
|
|
|
|
|
|
|
|
|
|
|
September 30, 2009
|
|
|
December 31, 2008
|
|
|
First Lien Facilities and Second Lien Facility
|
|
$
|
139,653
|
|
|
$
|
144,400
|
|
Revolving credit facility
|
|
|
|
|
|
|
7,000
|
|
Note payable
|
|
|
2,250
|
|
|
|
|
|
Capital lease obligations
|
|
|
395
|
|
|
|
420
|
|
|
|
|
|
|
|
|
|
|
|
|
|
142,298
|
|
|
|
151,820
|
|
Less obligations maturing within one year
|
|
|
8,090
|
|
|
|
5,989
|
|
|
|
|
|
|
|
|
|
|
Long-term debt net of current portion
|
|
$
|
134,208
|
|
|
$
|
145,831
|
|
|
|
|
|
|
|
|
|
|
The weighted-average interest rate for the nine months ended
September 30, 2009 and 2008 was 4.33% and 7.14%,
respectively. The effective interest rate, after considering
amortization of deferred financing fees, approximated 4.85% and
7.62% for the nine months ended September 30, 2009 and
2008, respectively.
First
Lien Facilities and Second Lien Facility
Components of the facility include a first-priority senior
secured $116.0 million Term Loan A facility (Term
Loan A), a first-priority senior secured
$20.0 million revolving credit facility (the
Revolver and, collectively with Term Loan A, the
First Lien Facilities), and a second-priority senior
secured $34.0 million Term Loan B facility (Term Loan
B or Second Lien Facility).
Term Loan A matures in January 2012 and principal is repayable
in quarterly installments of $1.4 million each in 2009 that
escalate to $2.9 million in 2011, with the balance due at
maturity. Interest on Term Loan A is based on the banks
Alternative Base Rate (as defined by the respective agreement)
plus the applicable margin of 1.5% to 2.5%, or the LIBOR rate
plus the applicable margin of 2.75% to 3.75%. The applicable
margin is subject to varying increments based on changes in
leverage.
F-66
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Term Loan B matures in January 2013, and is not subject to
scheduled amortization. Interest on the Term Loan B is based on
the banks Alternative Base Rate (as defined by the
respective agreement), plus the applicable margin of 5.25%, or
the LIBOR rate plus the applicable margin of 6.50%.
The Revolver includes a facility for up to $4.0 million of
standby letters of credit. A commitment fee is payable quarterly
at 0.5% per annum of the undrawn portion of the Revolver. The
Revolver is a component of the First Lien Facilities and bears
interest at the rates established in the related first lien
agreements.
Amounts borrowed on the Term Loan A and Term Loan B that are
repaid or prepaid may not be re-borrowed. Amounts repaid under
the Revolver may be re-borrowed.
Borrowings under the First Lien Facilities are secured by
substantially all of the Companys assets. Second Lien
Facility borrowings are secured on a second-priority basis,
subordinate only to the First Lien Facilities, by substantially
all the assets of the Company.
The Company is required under the terms of the First Lien
Facilities and the Second Lien Facility to maintain certain
financial ratio covenants, including minimum adjusted EBITDA,
maximum total leverage and fixed charge coverage. The Company
was in compliance with these covenants as of September 30,
2009.
In April 2007, the Company entered into a $67.0 million
notional interest rate cap on the First Lien Facilities for a
cost of $42,000. In August 2007, the Company amended the
interest rate cap to cover an additional $8.0 million of
additional principal for an additional cost of $8,000. The
agreement effectively placed a ceiling on interest relating to
$75.0 million of debt at a rate of 6% for a period of two
years. The Company did not designate this cap as a hedging
instrument, and accordingly, any unrealized gain or loss on the
interest rate cap has been recorded as a component of earnings.
The impact of the interest rate cap on the condensed
consolidated statement of operations for the nine months ended
September 30, 2009 and 2008 was insignificant. The notional
interest rate cap terminated in April 2009.
Note
Payable
In June 2009, the Company issued a $2.25 million
8% note due on December 31, 2010. Interest is payable
quarterly in arrears. The note is subordinated in right of
payment to all existing senior indebtedness. The note was used
as partial consideration for the purchase of Option Health, Ltd.
Letters
of Credit
On January 8, 2007, the Company issued a letter of credit
against the First Lien Facilities in the amount of $705,000
securing its performance on its workers compensation
insurance policy. The letter of credit had a term of one year.
On January 8, 2008, the Company increased its letter of
credit against the First Lien Facilities securing its
performance on its workers compensation insurance policy
by $1.1 million, to a total of $1.8 million. The
letter of credit has a one-year term, with an automatic
extension of one year.
On January 8, 2009, the Company increased its letter of
credit against the First Lien Facilities securing its
performance on its workers compensation insurance policy
by $480,000, to a total of $2.3 million. The letter of
credit has a one-year term, with an automatic extension of one
year.
On September 26, 2007, the Company issued a letter of
credit against the First Lien Facilities in the amount of
$75,000 securing its performance under a vehicle lease agreement
that was executed in the fourth quarter of 2007. The letter of
credit expires on August 7, 2010.
F-67
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Future
Maturities of Debt Outstanding
Maturities of debt outstanding, including capital lease
obligations, in each of the next five years is as follows (in
thousands):
|
|
|
|
|
2009 (3 months)
|
|
$
|
1,486
|
|
2010
|
|
|
11,057
|
|
2011
|
|
|
11,673
|
|
2012
|
|
|
84,062
|
|
2013
|
|
|
34,020
|
|
2014 and thereafter
|
|
|
|
|
|
|
|
|
|
|
|
$
|
142,298
|
|
|
|
|
|
|
|
|
7.
|
EARNINGS
PER COMMON SHARE
|
Basic earnings per common share is calculated based on income or
loss available to common shareholders divided by the
weighted-average number of common shares outstanding during the
period. Diluted earnings per common share assumes exercise of
all contingently issuable shares into common shares at the
beginning of the period or date of issuance, unless the
contingently issuable shares are antidilutive. There were no
antidilutive shares excluded from earnings per share during the
nine months ended September 30, 2009 and 2008.
There were no common shares issued upon the exercise of options
during the nine months ended September 30, 2009.
The calculation of basic and diluted earnings per common share
is presented below (in thousands, except per share amounts):
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
September 30,
|
|
|
|
2009
|
|
|
2008
|
|
|
Basic earnings per share computation:
|
|
|
|
|
|
|
|
|
Numerator net income
|
|
$
|
11,650
|
|
|
$
|
6,183
|
|
Cumulative preferred stock dividends
|
|
|
(1,291
|
)
|
|
|
(76
|
)
|
|
|
|
|
|
|
|
|
|
Income available to common shareholders
|
|
$
|
10,359
|
|
|
$
|
6,107
|
|
|
|
|
|
|
|
|
|
|
Denominator weighted-average number of common shares
outstanding
|
|
|
90,898
|
|
|
|
90,898
|
|
|
|
|
|
|
|
|
|
|
Basic earnings per common share
|
|
$
|
0.11
|
|
|
$
|
0.07
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per share computation:
|
|
|
|
|
|
|
|
|
Numerator net income
|
|
$
|
11,650
|
|
|
$
|
6,183
|
|
Cumulative preferred stock dividends
|
|
|
(1,291
|
)
|
|
|
(76
|
)
|
|
|
|
|
|
|
|
|
|
Income available to common shareholders
|
|
$
|
10,359
|
|
|
$
|
6,107
|
|
|
|
|
|
|
|
|
|
|
Denominator:
|
|
|
|
|
|
|
|
|
Weighted-average number of common shares outstanding
|
|
|
90,898
|
|
|
|
90,898
|
|
Weighted-average additional shares assuming exercise of stock
options and conversion of preferred stock
|
|
|
13,526
|
|
|
|
5,043
|
|
|
|
|
|
|
|
|
|
|
Total weighted average common shares outstanding
diluted basis
|
|
|
104,424
|
|
|
|
95,941
|
|
|
|
|
|
|
|
|
|
|
Diluted earnings per common share
|
|
$
|
0.10
|
|
|
$
|
0.06
|
|
|
|
|
|
|
|
|
|
|
F-68
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Preferred Stock The Company has
5,000,000 shares of preferred stock authorized for issuance
at the discretion of the Board of Directors, subject to
limitations prescribed by Delaware law and the Companys
certificate of incorporation. The Board of Directors is
expressly authorized to set the terms for the establishment or
issuance of any series of preferred stock, the designation of
such series, and the powers, preferences and rights of such
series, and the qualifications, limitations or restrictions
thereof.
During the nine months ended September 30, 2009, the
Company raised $5.0 million through the placement of
Series A Convertible Preferred Stock.
As of September 30, 2009, the Company has outstanding the
following convertible preferred stock:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Date of
|
|
|
|
|
|
|
|
Liquidation
|
|
Dividend
|
|
|
|
|
Issue
|
|
Issue
|
|
Amount
|
|
Shares
|
|
Preference
|
|
Rate
|
|
Redeemable
|
|
Exchangeable
|
|
|
4/22/08
|
|
|
Series A
|
|
$
|
4,000,000
|
|
|
|
4,000
|
|
|
$
|
1,000
|
|
|
|
11
|
%(A)
|
|
At any time with the consent of over 75% of the preferred
shareowners
|
|
At any time into shares of Common Stock
|
|
9/22/08
|
|
|
Series A
|
|
$
|
6,000,000
|
|
|
|
6,000
|
|
|
$
|
1,000
|
|
|
|
11
|
%(A)
|
|
At any time with the consent of over 75% of the preferred
shareowners
|
|
At any time into shares of Common Stock
|
|
9/23/08
|
|
|
Series A
|
|
$
|
36,500
|
|
|
|
36
|
|
|
$
|
1,000
|
|
|
|
11
|
%(A)
|
|
At any time with the consent of over 75% of the preferred
shareowners
|
|
At any time into shares of Common Stock
|
|
12/19/08
|
|
|
Series A
|
|
$
|
10,000,000
|
|
|
|
10,000
|
|
|
$
|
1,000
|
|
|
|
11
|
%(A)
|
|
At any time with the consent of over 75% of the preferred
shareowners
|
|
At any time into shares of Common Stock
|
|
6/9/09
|
|
|
Series A
|
|
$
|
5,000,000
|
|
|
|
5,000
|
|
|
$
|
1,000
|
|
|
|
4
|
%(A)
|
|
At any time with the consent of over 75% of the preferred
shareowners
|
|
At any time into shares of Common Stock
|
The dividend rate is 4% per year during the six-month period
following the issuance date and eleven percent per year
thereafter. The dividends, which accrue on the liquidation
preference, are payable when, as and if declared by the
Companys board of directors.
The Series A Convertible Preferred Stock has preferential
rights over the Common Stock with respects to rights to receive
dividends and rights on liquidation, dissolution, or winding up.
According to the preferred stock agreement, the rate at which
the preferred stock is convertible into common stock is the
quotient of (A) the sum of the Series A Liquidation
Preference (the original purchase price) plus all accrued and
unpaid dividends as of the date of conversion to the extent not
included in the Series A Liquidation Preference as of such
date divided by (B) the Fair Market Value of the Common
Stock as of the business day immediately preceding the date of
conversion. Fair Market Value is defined as the amount that a
willing buyer, under no compulsion to buy, would pay a willing
seller, under no compulsion to sell, in an arms length
transaction (assuming no consideration is given for minority
investment discounts or discounts related to illiquidity or
restrictions in transferability).
Stock Based Compensation The Companys
2006 Equity Incentive Plan (the Plan), which is
shareholder approved, authorizes the grant of share options of
up to 13 million common shares to executives and key
employees. Option awards are granted with an exercise price
equal to the fair value of the Companys stock at the date
of the grant, generally vest over a four-year period, and are
generally exercisable for 10 years from the date of the
grant. The Plan allows for the settlement of the options through
the issuance of common or preferred shares or the payment of
cash, at the direction of the Board of Directors. No options
were settled in cash during the nine months ended
September 30, 2009 and 2008.
The fair values of the stock options granted by the Company
under the Plan were determined using the Black-Scholes
option-pricing model. Use of a valuation model requires
management to make certain assumptions with respect to the
selected model inputs. Because the Companys stock was not
publicly traded during the period, the historical weighted
average volatility of the Companys peer group within the
healthcare sector was used. The peer group included two public
companies that provide home infusion services and two public
companies that provide home nursing services. The calculation of
volatility was based on 6.25 years,
F-69
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
which is consistent with the expected term of the awards. The
grant life was based on the simplified method for
plain vanilla option permitted the
Compensation Stock Compensation Topic of the FASB
Accounting Standards Codification. The risk-free interest rate
is based on U.S. Treasury zero-coupon issues with a
remaining term which approximates the estimated life assumed at
the date of grant.
The following assumptions have been used in the determination of
the fair value for options granted during the nine months ended
September 30, 2009. There were no options granted during
the nine months ended September 30, 2008.
|
|
|
|
|
Risk-free interest rate
|
|
|
1.99
|
%
|
Expected term
|
|
|
6.25
|
|
Expected volatility
|
|
|
44.65
|
%
|
Dividend yield
|
|
|
|
|
A summary of stock option activity under the Plan as of and
during the nine months ended September 30, 2009 is
presented below:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted
|
|
|
|
|
|
|
Weighted
|
|
|
Average
|
|
|
|
|
|
|
Average
|
|
|
Grant
|
|
|
|
|
|
|
Exercise
|
|
|
Date Fair
|
|
|
|
Options
|
|
|
Price
|
|
|
Value
|
|
|
Outstanding December 31, 2008
|
|
|
8,780,000
|
|
|
$
|
1.05
|
|
|
$
|
0.55
|
|
Grants
|
|
|
2,653,750
|
|
|
|
1.95
|
|
|
|
0.90
|
|
Forfeitures
|
|
|
(462,750
|
)
|
|
|
1.23
|
|
|
|
0.51
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Outstanding September 30, 2009
|
|
|
10,971,000
|
|
|
$
|
1.26
|
|
|
$
|
0.63
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Vested and exercisable September 30, 2009
|
|
|
4,188,125
|
|
|
$
|
1.05
|
|
|
$
|
0.55
|
|
Exercise prices for options outstanding as of September 30,
2009 range from $1.00 to $1.95. The weighted average remaining
contractual life of the options outstanding and exercisable at
September 30, 2009 was 7.9 and 7.4 years, respectively.
As of September 30, 2009, there was approximately
$3.3 million of total unrecognized compensation cost
related to unvested stock options granted under the Plan that
the Company had not recorded. That cost is expected to be
recognized over a weighted average period of 2.2 years.
Compensation expense of $1.0 million and $900,000 was
recognized during the nine months ended September 30, 2009
and 2008, respectively, and is included in selling, distribution
and administrative expenses in the accompanying consolidated
statements of operations. There have been no exercises of stock
option awards since inception of the Plan. As of
September 30, 2009, the aggregate intrinsic value of the
options outstanding was $7.5 million and the aggregate
intrinsic value of the options exercisable was $3.8 million.
For the nine months ended September 30, 2009 and 2008
respectively, the income tax provision consisted of the
following (in thousands):
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
September 30,
|
|
|
|
2009
|
|
|
2008
|
|
|
Federal
|
|
$
|
6,384
|
|
|
$
|
4,129
|
|
State and local
|
|
|
855
|
|
|
|
1,445
|
|
|
|
|
|
|
|
|
|
|
Total income tax provision
|
|
$
|
7,239
|
|
|
$
|
5,574
|
|
|
|
|
|
|
|
|
|
|
F-70
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
For the nine months ended September 30, 2009 and 2008,
income taxes computed using the federal statutory income tax
rate differs from the Companys effective tax rate
primarily due to the following (in thousands):
|
|
|
|
|
|
|
|
|
|
|
Nine Months Ended
|
|
|
|
September 30,
|
|
|
|
2009
|
|
|
2008
|
|
|
Income tax expense computed at U.S. federal statutory rate
|
|
$
|
6,611
|
|
|
$
|
4,115
|
|
State income taxes (net of federal income tax benefit) and
nondeductible expenses
|
|
|
628
|
|
|
|
1,459
|
|
|
|
|
|
|
|
|
|
|
Total income tax provision
|
|
$
|
7,239
|
|
|
$
|
5,574
|
|
|
|
|
|
|
|
|
|
|
The Companys deferred tax assets and liabilities were
valued based on the estimated tax rates in effect when the
assets and liabilities are expected to reverse. Management
believes it is more likely than not that the results of future
operations will generate sufficient taxable income to realize
the net deferred tax assets. As of September 30, 2009, the
Company had state net operating loss carry forwards for tax
purposes of approximately $38.5 million that expire from
2014 through 2028. At September 30, 2009, the Company had a
valuation allowance for certain state net operating loss carry
forwards where it was uncertain whether the carry forward would
be utilized.
The total amount of unrecognized tax benefits as of
September 30, 2009, was $474,000, none of which would
impact the effective rate if recognized. Accrued interest and
penalties were insignificant during the nine months ended
September 30, 2009 and 2008. The Company does not
anticipate the balance of gross unrecognized tax benefits at
September 30, 2009 to significantly change during the next
twelve months.
As of September 30, 2009, the Companys 2007
consolidated federal tax return is under examination. The
Company is not aware of any significant proposed audit
adjustments. The Company is also subject to U.S. federal
income tax examinations for the consolidated tax years 2006 and
2008, and state income tax examinations for the consolidated tax
years 2006 through 2008. In addition, many of the Companys
subsidiaries have filed separate state tax returns that are
still subject to examination.
The Company leases their administrative and operating
facilities, certain vehicles, medical equipment, and office
equipment under various operating and capital leases. Lease
terms range from one to ten years with renewal options on
certain leases for additional periods. At September 30,
2009, future minimum annual
F-71
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
payments, excluding executory costs such as property taxes,
insurance and maintenance, under long-term capital leases and
non-cancelable operating leases were as follows (in thousands):
|
|
|
|
|
|
|
|
|
|
|
Capital
|
|
|
Operating
|
|
|
|
Leases
|
|
|
Leases
|
|
|
2009 (3 months)
|
|
$
|
44
|
|
|
$
|
864
|
|
2010
|
|
|
150
|
|
|
|
3,001
|
|
2011
|
|
|
125
|
|
|
|
2,112
|
|
2012
|
|
|
84
|
|
|
|
1,474
|
|
2013
|
|
|
21
|
|
|
|
744
|
|
2014 and thereafter
|
|
|
|
|
|
|
18
|
|
|
|
|
|
|
|
|
|
|
Total minimum lease payments
|
|
|
424
|
|
|
$
|
8,213
|
|
|
|
|
|
|
|
|
|
|
Less amounts representing interest
|
|
|
29
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Present value of net minimum payments under capital leases
|
|
|
395
|
|
|
|
|
|
Less current portion
|
|
|
145
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
250
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the nine months ended September 30, 2009 and 2008, the
Company recognized rent expense and executory costs under
operating leases of $3.0 million and $2.7 million,
respectively, which is included in selling, distribution, and
administration expenses in the condensed consolidated statements
of operations.
|
|
11.
|
COMMITMENTS
AND CONTINGENCIES
|
The Company is subject to claims and legal actions that may
arise in the ordinary course of business. However, the Company
maintains insurance to protect against such claims or legal
actions. The Company is not aware of any litigation either
pending or filed that it believes is likely to have a material
adverse effect on the results of operations, cash flows or
financial condition.
Based on types of services performed and consistent with the
Companys internal financial reporting structure and
performance assessment, the Company has identified two
reportable segments: Home Infusion and Home Nursing. The Home
Infusion segment delivers complex intravenous pharmaceutical
products and corresponding clinical support services. The Home
Nursing segment provides skilled nursing and other therapy
services, including occupational therapy, medical social work
and home health aide services. Financial
F-72
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
information by segment as of and for the nine months ended
September 30, 2009 and 2008 is as follows (in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Home
|
|
|
|
|
|
|
|
|
|
|
|
|
Infusion
|
|
|
Nursing
|
|
|
Corporate
|
|
|
Consolidated
|
|
|
As of and for the Nine Months ended September 30,
2009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Revenue
|
|
$
|
138,497
|
|
|
$
|
48,960
|
|
|
$
|
|
|
|
$
|
187,457
|
|
Operating Income
|
|
|
23,708
|
|
|
|
7,422
|
|
|
|
(6,749
|
)
|
|
|
24,381
|
|
Reconciliation to Net Income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest and other financing costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,493
|
)
|
Other income (expense) net
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1
|
|
Provision for income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(7,239
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
11,650
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$
|
224,900
|
|
|
$
|
72,219
|
|
|
$
|
15,132
|
|
|
$
|
312,251
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$
|
167,082
|
|
|
$
|
53,268
|
|
|
$
|
|
|
|
$
|
220,350
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of Property and Equipment
|
|
$
|
2,457
|
|
|
$
|
73
|
|
|
$
|
36
|
|
|
$
|
2,566
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Home
|
|
|
|
|
|
|
|
|
|
|
|
|
Infusion
|
|
|
Nursing
|
|
|
Corporate
|
|
|
Consolidated
|
|
|
As of December 31, 2008 and for the Nine Months ended
September 30, 2008
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Revenue
|
|
$
|
117,165
|
|
|
$
|
49,581
|
|
|
$
|
|
|
|
$
|
166,746
|
|
Operating Income
|
|
|
20,670
|
|
|
|
9,016
|
|
|
|
(8,672
|
)
|
|
|
21,014
|
|
Reconciliation to Net Income:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Interest and other financing costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(9,231
|
)
|
Other income (expense) net
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(26
|
)
|
Provision for income taxes
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(5,574
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net Income
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
6,183
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Assets
|
|
$
|
221,259
|
|
|
$
|
74,494
|
|
|
$
|
11,127
|
|
|
$
|
306,880
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Goodwill
|
|
$
|
157,468
|
|
|
$
|
53,269
|
|
|
$
|
|
|
|
$
|
210,737
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Purchases of Property and Equipment
|
|
$
|
3,534
|
|
|
$
|
164
|
|
|
$
|
246
|
|
|
$
|
3,944
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
13.
|
RELATED
PARTY TRANSACTIONS
|
Kohlberg provides certain management and advisory services to
the Company under a management agreement dated
September 19, 2006. The agreement has an initial term of
five years, with one-year automatic renewals thereafter, unless
either party provides
30-day
advance notice of its intent not to renew the agreement. The
annual base management fee increased from $250,000 in 2006 to
$500,000 on January 8, 2007, and is payable in arrears in
quarterly installments, plus reimbursement of certain expenses,
including travel and legal fees pertaining to the Company. The
Company incurred base management fees of $375,000 and $375,000
and reimbursed Kohlberg for certain expenses totaling $7,000 and
$5,000 during the nine months ended September 30, 2009 and
2008, respectively.
F-73
Critical
Homecare Solutions Holdings, Inc. and Subsidiaries
NOTES TO
THE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(UNAUDITED) (Continued)
Accounts payable to Kohlberg at September 30, 2009 and
December 31, 2008 was $126,000 and $125,000, respectively.
On January 24, 2010, the Company entered into an agreement
and plan of merger with BioScrip, Inc. (BioScrip), a
publicly traded company. Pursuant to the terms of the
transaction, BioScrip will acquire all of the outstanding common
stock of the Company for approximately $343 million,
subject to certain adjustments as set forth in the stock
purchase agreement. The closing of the transaction is subject to
certain conditions including BioScrip shareholder approval.
Assuming requisite shareholder approval and all other conditions
are met, the Company anticipates the transaction will be
consummated in the first half of 2010. In connection with the
proposed transaction, the Companys management agreement
with Kohlberg will terminate, and all outstanding borrowings
under the Companys bank credit facilities will be
satisfied at closing.
* * * * * *
F-74
REPORT OF
INDEPENDENT REGISTERED
PUBLIC ACCOUNTING FIRM
To the Board of Directors of
Critical Homecare Solutions Holdings, Inc.
Conshohocken, Pennsylvania
We have audited the accompanying consolidated balance sheet of
Specialty Pharma, Inc. and subsidiary (the Company)
as of August 31, 2006, and the related consolidated
statements of operations, shareholders deficit, and cash
flows for the period from January 1, 2006 to
August 31, 2006. These financial statements are the
responsibility of the Companys management. Our
responsibility is to express an opinion on these financial
statements based on our audit.
We conducted our audit in accordance with the standards of the
Public Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. The Company is not required to
have, nor were we engaged to perform, an audit of its internal
control over financial reporting. Our audit included
consideration of internal control over financial reporting as a
basis for designing audit procedures that are appropriate in the
circumstances, but not for the purpose of expressing an opinion
on the effectiveness of the Companys internal control over
financial reporting. Accordingly, we express no such opinion. An
audit also includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial
statements, assessing the accounting principles used and
significant estimates made by management, as well as evaluating
the overall financial statement presentation. We believe that
our audit provides a reasonable basis for our opinion.
In our opinion, such consolidated financial statements present
fairly, in all material respects, the financial position of
Specialty Pharma, Inc. and subsidiary as of August 31,
2006, and the results of their operations and their cash flows
for the period from January 1, 2006 to August 31,
2006, in conformity with accounting principles generally
accepted in the United States of America.
/s/ Deloitte & Touche LLP
Philadelphia, Pennsylvania
October 5, 2007
F-75
|
|
|
|
|
ASSETS
|
Current Assets:
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
473,491
|
|
Accounts receivable, net of allowance for doubtful accounts of
$2,044,448
|
|
|
4,721,553
|
|
Inventories
|
|
|
646,380
|
|
Deferred income taxes
|
|
|
1,379,467
|
|
Prepaid expenses and other current assets
|
|
|
72,394
|
|
|
|
|
|
|
Total current assets
|
|
|
7,293,285
|
|
Property and equipment net
|
|
|
1,470,973
|
|
Intangible assets net
|
|
|
202,083
|
|
Goodwill
|
|
|
2,739,680
|
|
Other assets
|
|
|
25,006
|
|
|
|
|
|
|
Total assets
|
|
$
|
11,731,027
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS DEFICIT
|
Current liabilities:
|
|
|
|
|
Accounts payable
|
|
$
|
1,762,525
|
|
Accrued expenses
|
|
|
1,624,528
|
|
Current portion of capital lease obligations
|
|
|
290,021
|
|
Current portion of long-term debt
|
|
|
1,662,886
|
|
|
|
|
|
|
Total current liabilities
|
|
|
5,339,960
|
|
Long-term liabilities:
|
|
|
|
|
Deferred income taxes
|
|
|
214,496
|
|
Capital lease obligations, net of current portion
|
|
|
240,018
|
|
Long-term debt, net of current portion
|
|
|
1,078,096
|
|
|
|
|
|
|
Total long-term liabilities
|
|
|
1,532,610
|
|
|
|
|
|
|
Commitments and contingencies (Note 12)
|
|
|
|
|
Series A cumulative convertible preferred stock,
$.0001 par value, 245,000 shares authorized, issued
and outstanding with a liquidation preference of $6,314,257
|
|
|
6,314,257
|
|
Shareholders deficit:
|
|
|
|
|
Common stock, $.0001 par value, 755,000 shares
authorized; 68,236 issued and outstanding at August 31, 2006
|
|
|
7
|
|
Accumulated deficit
|
|
|
(1,455,807
|
)
|
|
|
|
|
|
Total shareholders deficit
|
|
|
(1,455,800
|
)
|
|
|
|
|
|
Total liabilities and shareholders deficit
|
|
$
|
11,731,027
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-76
|
|
|
|
|
Net revenue
|
|
$
|
19,741,008
|
|
Cost and expenses:
|
|
|
|
|
Cost of goods (excluding depreciation and amortization)
|
|
|
10,792,878
|
|
Cost of services
|
|
|
1,625,679
|
|
Selling, distribution, and administrative
|
|
|
5,982,129
|
|
Provision for doubtful accounts
|
|
|
723,105
|
|
Depreciation and amortization
|
|
|
1,572,923
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
20,696,714
|
|
|
|
|
|
|
Operating loss
|
|
|
(955,706
|
)
|
Interest and other financing costs net
|
|
|
(260,813
|
)
|
Other income net
|
|
|
4,000
|
|
|
|
|
|
|
Loss before income taxes
|
|
|
(1,212,519
|
)
|
Income tax benefit
|
|
|
432,431
|
|
|
|
|
|
|
Net loss
|
|
|
(780,088
|
)
|
|
|
|
|
|
Undistributed cumulative preferred stock dividends
|
|
|
(352,077
|
)
|
|
|
|
|
|
Net loss attributable to common shareholders
|
|
$
|
(1,132,165
|
)
|
|
|
|
|
|
Weighted average number of common shares outstanding:
|
|
|
|
|
Basic and diluted
|
|
|
68,236
|
|
|
|
|
|
|
Net loss per common share
|
|
|
|
|
Basic and diluted
|
|
$
|
(16.59
|
)
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-77
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
|
Common Stock
|
|
|
Accumulated
|
|
|
Shareholders
|
|
|
|
Shares
|
|
|
Par Value
|
|
|
Deficit
|
|
|
Deficit
|
|
|
Balance at January 1, 2006
|
|
|
68,236
|
|
|
$
|
7
|
|
|
$
|
(323,642
|
)
|
|
$
|
(323,635
|
)
|
Net loss
|
|
|
|
|
|
|
|
|
|
|
(780,088
|
)
|
|
|
(780,088
|
)
|
Undistributed cumulative preferred stock dividends
|
|
|
|
|
|
|
|
|
|
|
(352,077
|
)
|
|
|
(352,077
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at August 31, 2006
|
|
|
68,236
|
|
|
$
|
7
|
|
|
$
|
(1,455,807
|
)
|
|
$
|
(1,455,800
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-78
|
|
|
|
|
Cash flows from operating activities
|
|
|
|
|
Net loss
|
|
$
|
(780,088
|
)
|
Adjustments to reconcile net loss to cash flows provided by
operating activities:
|
|
|
|
|
Provision for doubtful accounts
|
|
|
723,105
|
|
Depreciation and amortization
|
|
|
1,572,923
|
|
Deferred taxes, net
|
|
|
(432,431
|
)
|
Amortization of debt issuance costs
|
|
|
2,526
|
|
Changes in assets and liabilities
|
|
|
|
|
Decrease in accounts receivable
|
|
|
941,635
|
|
Decrease in inventories
|
|
|
180,295
|
|
Increase in prepaids and other
|
|
|
75,025
|
|
Decrease in accounts payable and accrued expenses
|
|
|
(441,613
|
)
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
1,841,377
|
|
|
|
|
|
|
Cash flows from investing activities
|
|
|
|
|
Cash paid for property and equipment
|
|
|
(597,137
|
)
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(597,137
|
)
|
|
|
|
|
|
Cash flows from financing activities
|
|
|
|
|
Principal payments on debt and capital lease obligations
|
|
|
(910,663
|
)
|
|
|
|
|
|
Net cash used in financing activities
|
|
|
(910,663
|
)
|
|
|
|
|
|
Increase in cash and cash equivalents
|
|
|
333,577
|
|
Cash and cash equivalents January 1, 2006
|
|
|
139,914
|
|
|
|
|
|
|
Cash and cash equivalents August 31, 2006
|
|
$
|
473,491
|
|
|
|
|
|
|
Cash paid during the period for:
|
|
|
|
|
Interest
|
|
$
|
258,528
|
|
|
|
|
|
|
Income taxes
|
|
$
|
500,215
|
|
|
|
|
|
|
Non-cash activities
|
|
|
|
|
Undistributed cumulative preferred stock dividends
|
|
$
|
352,077
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-79
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL STATEMENTS
|
|
1.
|
Description
of business
|
Specialty Pharma, Inc., through its wholly-owned subsidiary,
Professional Home Care Services, Inc. (PHCS)
(together, the Company), provides infusion therapy
and related healthcare services, and specialty pharmacy services
through a network of company-owned locations. The Company
contracts with managed care organizations and physicians to
become their specialty and infusion pharmacy, dispensing and
delivering pharmaceuticals, assisting with clinical compliance
information and providing pharmacy consulting services. The
Company contracts with managed care organizations, third-party
payors, hospitals, physicians, and other referral sources to
provide pharmaceuticals and complex compounded solutions to
patients for intravenous delivery in the patients homes or
other nonhospital settings. Many of its locations provide other
ancillary healthcare services as well, such as nursing,
respiratory therapy, and durable medical equipment rentals and
sales.
The Company began operations in November 2002. Certain members
of the Companys management own shares of the Company, the
total of which represent 21% of total outstanding shares as of
August 31, 2006.
As of August 31, 2006, the Company had a total of three
locations operating in the state of Connecticut.
|
|
2.
|
Summary
of significant accounting policies
|
Principles of Consolidation The accompanying
consolidated financial statements have been prepared in
accordance with accounting principles generally accepted in the
United States of America. All intercompany accounts and
transactions have been eliminated in consolidation.
Cash and Cash Equivalents Cash and cash
equivalents include cash on deposit with various financial
institutions. The Company considers all highly liquid
investments with original maturities of three months or less to
be cash equivalents. The Companys cash equivalents are
stated at cost, which approximates market value.
Financial Instruments The Company has cash
and cash equivalents, short-term trade receivables and payables,
and long-term debt obligations, including capital leases. The
carrying values of cash and cash equivalents, accounts
receivable, and accounts payable approximate their current fair
value. The Company believes the carrying value of its long-term
debt approximates current market value.
Accounts Receivable and Allowance for Doubtful
Accounts The Companys accounts receivable
consist of amounts owed by various governmental agencies,
insurance companies, and private patients. Management performs
periodic analyses to evaluate accounts receivable balances to
ensure that recorded amounts reflect net realizable values. The
Company does not believe there are any significant credit risks
associated with the receivables from Medicare and Medicaid and
other state administered programs.
The Companys accounts receivable are reported net of
contractual adjustments. Generally, the Company bills
third-party payors based on the contractual charges or usual and
customary charges for goods and services provided and then
contractually adjusts the revenue down to the anticipated
collectible amount based on the Companys interpretation of
the terms of the applicable managed care contract, fee schedule
or other arrangement with the payor.
The Company has established an allowance for doubtful accounts
to report the estimated net realizable amounts to be received
from patients or others. Increases to this reserve are reflected
as a provision for doubtful accounts in the consolidated
statement of operations. The Company regularly performs an
analysis of the collectability of accounts receivable and
considers such factors as prior collection experience and the
age of the receivables.
Laws and regulations pertaining to government programs are
complex and subject to interpretation. As a result, there is at
least a reasonable possibility that recorded estimates will
change in the near term. The
F-80
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Company believes that it is in compliance with all applicable
laws and regulations and is not aware of any pending or
threatened investigations involving allegations of potential
wrongdoing. While no such regulatory inquiries have been made,
compliance with such laws and regulations can be subject to
future government review and interpretation, as well as
significant regulatory action, including fines, penalties, and
exclusion from the government programs.
The Company does not require its patients or other payors to
carry collateral for any amounts owed to it for services
provided. Other than as discussed above, its concentration of
credit risk relating to accounts receivable is limited due to
its diversity of patients and payors. Further, the Company
generally does not provide charity care.
Inventories Inventories, which consist
primarily of pharmaceuticals and medical supplies, are stated at
the lower of cost (determined using the
first-in,
first-out method) or market. The largest component of the
inventory is pharmaceuticals, which have fixed expiration dates.
The Company normally obtains next day delivery of the
pharmaceuticals that it orders. The Companys pharmacies
monitor inventory levels and check expiration dates regularly.
Pharmaceuticals that are approaching expiration and are deemed
unlikely to be used before expiration are either returned to the
vendor or manufacturer for credit, or are transferred to another
Company pharmacy that needs them. If the pharmaceuticals cannot
be either returned or transferred before expiration, the
Companys policy requires them to be disposed of
immediately and in accordance with Drug Enforcement
Administration guidelines. Due to the high rate of turnover of
our pharmaceutical inventory and the policies related to
handling expired or expiring items, the Companys
pharmacies typically do not carry obsolete inventory at any
balance sheet date.
Prepaid Expenses and Other Current Assets
Prepaid expenses and other current assets consist primarily of
prepaid insurance, rent, and other current assets.
Property and Equipment Property and equipment
are carried at cost. Expenditures for major improvements are
capitalized. Maintenance and repairs are expensed as incurred.
Upon retirement or disposal, the related cost and accumulated
depreciation are removed from the respective accounts and any
gain or loss is recorded in current earnings. Property and
equipment under capital leases are stated at the present value
of future minimum lease payments at inception of the lease.
Depreciation is recognized on a straight-line basis. Estimated
useful lives for the principal asset categories are as follows:
|
|
|
|
|
Useful Life
|
|
Leasehold improvements
|
|
Base term of lease or useful life, whichever is shorter
|
Medical equipment
|
|
13 months to 5 years
|
Equipment, vehicles, and other assets
|
|
3 to 5 years
|
During 2006, the Company evaluated the useful lives of its asset
categories comprising property and equipment. In light of
changes in certain payor reimbursement policies, as well as how
these and other assets are utilized, the useful lives for
certain asset categories were changed effective January 1,
2006 to better reflect the periods over which the benefits of
such assets were consumed by the Company. Specifically, the
useful lives of certain rental medical equipment were changed
from 60 months to 13 months. As a result of the change
in estimated useful lives, the Company recorded an additional
$614,558 of depreciation expense for the period from
January 1, 2006 to August 31, 2006.
Property and equipment are reviewed for impairment whenever
events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable. Recoverability of
assets to be held and used is measured by a comparison of the
carrying amount of an asset to estimated undiscounted future
cash flows expected to be generated by the asset. If the
carrying amount of an asset exceeds its estimated future cash
flows, an impairment charge is recognized by the amount by which
the carrying amount of the asset
F-81
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
exceeds the fair value of the asset. No asset impairment charges
have been recognized as of August 31, 2006, and for the
period from January 1, 2006 to August 31, 2006.
Goodwill and Intangible Assets In accordance
with Statement of Financial Accounting Standards
(SFAS) No. 142, Goodwill and Other
Intangible Assets, goodwill and intangible assets deemed to
have indefinite lives are not subject to amortization. Goodwill
represents the difference between the purchase price of acquired
businesses and the fair value of the net assets acquired.
Goodwill is not amortized, rather it is reviewed for impairment
at a reporting unit level on at least an annual basis.
Intangible assets include non-compete agreements and other
intangible assets. Noncompete agreements arise from acquisitions
and are being amortized on a straight-line basis over
3 years. The value assigned to intangible assets at the
time of acquisition is based on an evaluation of the estimated
future benefit to be realized from that asset. The other
intangible assets consisted of a payor contact with Anthem for
$250,000 which is being amortized over 10 years.
In accordance with SFAS No. 142, the Company assesses
potential impairments to its long-lived assets if events or
changes in circumstances indicate that the carrying amount of an
asset may not be recoverable. Goodwill is reviewed annually for
impairment or more frequently if events or changes in
circumstances indicate that the carrying value may not be
recoverable. The Company compares expected future discounted
cash flows to be generated by the asset or related reporting
unit to its carrying value. If the carrying value exceeds the
sum of the future cash flows, the Company would perform an
additional fair value measurement calculation to determine the
impairment loss, which would be charged to operations in the
period identified.
Income Taxes The Company accounts for income
taxes under the liability method in accordance with the
Financial Accounting Standards Board (FASB)
Statement No. 109, Accounting for Income Taxes.
Under the liability method, deferred income taxes are recognized
for the tax consequences of differences between amounts reported
for financial reporting and income tax purposes by applying
enacted statutory tax rates. Deferred taxes result primarily
from temporary differences arising from the variance between the
book and tax basis of certain assets.
Revenue Recognition and Contractual
Allowances The Company performs infusion
therapy, respiratory therapy, and related healthcare services
and specialty pharmacy services. Patient revenue is recorded in
the period during which the services are provided. These amounts
are directly offset by appropriate allowances to give
recognition to third-party payor arrangements. Net revenue
recognition and allowances for uncollectible billings require
the use of estimates and any changes in these estimates once
known are reflected in operations.
Infusion Therapy, Respiratory Therapy, and Related Healthcare
Services Infusion therapy and related healthcare
services revenue is reported at the estimated net realizable
amounts from patients and third-party payors for goods sold and
services rendered by the Company-owned pharmacies. Revenue is
recognized when goods
and/or
services are provided to the patient. The Companys
agreements with payors occasionally specify receipt of a
per diem payment for infusion therapy services that
is provided to patients. This per diem payment
includes a variety of both goods and services provided to the
patient, including, but not limited to, rental of medical
equipment, care coordination services, delivery of the goods to
the patient and medical supplies. Per diem revenue
is recognized over the course of the period the services and
goods are provided.
Respiratory therapy rental arrangements generally provide for
fixed monthly payments established by fee schedules for as long
as the patient is using the equipment and medical necessity
continues (subject to capped rentals which limit the rental
payment period in some instances). Once initial delivery is made
to the patient (initial setup), a monthly billing is established
based on the initial setup service date. The Company recognizes
rental arrangement revenues ratably over the monthly service
period and defers revenue for the portion of the monthly bill
that is unearned. No separate revenue is earned from the initial
setup process. The Company does not sign lease agreements with
the patient or third-party payor. During the rental period, the
Company is
F-82
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
responsible for providing oxygen refills and for servicing the
equipment based on manufacturers recommendations. Revenues
for the sale of durable medical equipment and related supplies,
including oxygen equipment, ventilators, wheelchairs, hospital
beds and infusion pumps are recognized at the time of delivery.
The amount of infusion therapy, respiratory therapy, and related
healthcare services revenue that is recorded is estimated based
on the Companys interpretation of the terms of the
applicable managed care contract or other arrangement with the
payor. These services comprised 75% of total revenue during the
period from January 1, 2006 to August 31, 2006.
Specialty Pharmacy Services Specialty
pharmacy services revenue is reported at the estimated net
realizable amounts from third-party payors and others for the
pharmaceutical products provided to physician, patients, and
pharmacies by our Company-owned pharmacies. Specialty pharmacy
services primarily involve the distribution of specialty drugs
to patients homes or physicians offices, and may
also include clinical monitoring of patients and outcomes and
efficacy reporting to the manufacturers of certain products.
Typically, minimal nursing services are provided. Specialty
pharmacy revenue is billed based upon predetermined fee
schedules for the drugs provided, with reimbursement often
indexed to average wholesale price. A small dispensing fee may
also be billed. Revenue is recognized upon confirmation of
delivery of the products to the customer. Revenue related to
specialty pharmacy services represented 25% of net revenue
during the period from January 1, 2006 to August 31,
2006.
Revenue and Accounts Receivable
Concentrations During the period from
January 1, 2006 to August 31, 2006, revenue received
under arrangements with Medicare and Medicaid accounted for
approximately 19% of the Companys revenue, while Anthem
Blue Cross accounted for 48%. No other payor accounted for more
than 10% of the Companys revenue. The Company had
$1,672,514 and $2,031,282 of accounts receivable outstanding
related to Medicare/Medicaid and Blue Cross/Blue Shield,
respectively, as of August 31, 2006.
For the eight months ended August 31, 2006, the
companys net revenues related to the sale of Synagis, a
specialty pharmaceutical used in the prevention of respiratory
syncytial virus, totaled $3,930,000 or 20% of the total net
revenues.
Cost of Revenues Cost of revenues consists of
two components cost of goods and costs of services.
Cost of goods consists of the actual cost of pharmaceuticals and
other medical supplies dispensed to patients. Cost of services
consists of all other costs directly related to the production
of revenues, including the salary and benefit costs for the
pharmacists, nurses, and contracted workers directly involved in
providing service to the patient.
Distribution Expenses Distribution expenses
are included in selling, distribution and administrative
expenses in the accompanying statement of operations and total
$783,535 during the period from January 1, 2006 to
August 31, 2006. Such expenses represent the costs incurred
to deliver product or services to the end user. Included are
salary and benefit costs related to drivers and dispatch
personnel and amounts paid to courier and other outside shipping
vendors.
Earnings (loss) per share Basic per share
information is calculated by dividing the net loss available to
common shareholders by the weighted average number of common
shares outstanding. Diluted per share information is calculated
by also considering the impact of convertible potential common
stock on the net loss available to common shareholders and the
weighted average number of shares outstanding. The Company
excluded 42,712 stock option shares and 245,000 shares of
preferred stock from its computation of diluted
F-83
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
earnings per share due to the antidilutive effect of these
securities on basic earnings per share. The calculation of basic
and diluted earnings per share is presented below:
|
|
|
|
|
|
|
Period Ended
|
|
|
|
August 31, 2006
|
|
|
Net loss
|
|
$
|
(780,088
|
)
|
Undeclared cumulative preferred stock dividends
|
|
|
(352,077
|
)
|
|
|
|
|
|
Net loss applicable to common shares
|
|
$
|
(1,132,165
|
)
|
|
|
|
|
|
Weighted average number of common shares outstanding
|
|
|
68,236
|
|
|
|
|
|
|
Basic and diluted loss per common share
|
|
$
|
(16.59
|
)
|
|
|
|
|
|
Stock Options The Company adopted
SFAS No. 123R, Share-Based Payment
prospectively, on January 1, 2006 which permitted the
Company to continue to use the provisions of
SFAS No. 123, Accounting for Stock-Based
Compensation, which establishes a fair value based
method of accounting for an employee stock option or similar
equity instrument. SFAS No. 123 gives entities a
choice of recognizing related compensation expense by the fair
value method or measuring compensation expense using the
intrinsic value approach under Accounting Principles Board
(APB) Opinion No. 25. The Company used the
intrinsic value approach. Accordingly, no compensation expense
was recognized since the exercise price of the award was equal
to the estimated fair value at the grant date. For disclosure
purposes, the Company elected to follow the minimum value method
and has therefore excluded volatility in estimating the value of
the options.
The estimated fair values of stock options granted during the
year ended December 31, 2003 were derived using a
Black-Scholes model. The assumptions used in the Black-Scholes
model were based on the date when the stock options were
granted. The risk-free rate was based on the US Treasury zero
coupon issues with a remaining term which approximates the
estimated life assumed at the date of grant. The expected life
until exercise was based on managements estimate as the
award vests over a four year period and has a ten year life. The
following table includes the assumptions used in estimating fair
values and the resulting weighted average fair value of a stock
option granted in the periods presented:
|
|
|
|
|
|
|
2003 Stock
|
|
Assumption
|
|
Grant
|
|
|
Risk-free interest rate
|
|
|
3.16
|
%
|
Dividend yield
|
|
|
0
|
%
|
Expected years until exercise
|
|
|
6.25
|
|
There were no stock option awards granted during the period from
January 1, 2006 through August 31, 2006.
The weighted average fair value of stock options calculated
using the Black-Scholes pricing model for options granted during
2003 was $3.58. At August 31, 2005 29,365 of these options
were exercisable.
In September of 2006 the Company cancelled all 42,712 options
associated with its 2003 award.
Segment Information In accordance with
SFAS No. 131, Disclosures about Segments of an
Enterprise and Related Information, the Company has
determined that it operates in one reportable segment.
Use of Estimates The preparation of
consolidated financial statements in conformity with accounting
principles generally accepted in the United States of America
requires the use of estimates and assumptions that affect the
reported amounts of revenues, expenses, assets, liabilities, and
the disclosures of contingent assets and liabilities at the date
of the consolidated financial statements.
F-84
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Significant items subject to such estimates and assumptions
include useful lives of property and equipment, goodwill and
intangibles, the allowance for doubtful accounts, and net
realizable revenue amounts. Actual results could differ from
estimates.
Recently Issued and Adopted Accounting
Pronouncements In February 2007, the FASB issued
FASB Statement No. 159, The Fair Value Option for
Financial Assets and Financial Liabilities Including
an amendment of FASB Statement No. 115. The statement
permits entities to choose to measure many financial instruments
and certain other items at fair value. The objective of the
statement is to improve financial reporting by providing
entities with the opportunity to mitigate volatility in
reporting earnings caused by measuring related assets and
liabilities differently without having to apply complex hedge
accounting provisions. The statement is effective as of the
beginning of an entitys first fiscal year that begins
after November 15, 2007. Management is currently evaluating
the statement to determine what impact, if any, it will have on
the Companys consolidated financial statements upon
adoption on January 1, 2008.
In June 2006, the FASB issued Interpretation (FIN)
No. 48, Accounting for Uncertainty in Income Taxes
an interpretation of FASB Statement
No. 109. This standard creates a comprehensive model to
address accounting for uncertainty in tax positions.
FIN No. 48 clarifies the accounting for income taxes
by prescribing a minimum recognition threshold a tax position is
required to meet before being recognized for financial
statements. FIN No. 48 also provides guidance on
measurement, derecognition, classification, interest and
penalties, accounting in interim periods, disclosure, and
transition. The adoption of FIN No. 48 is effective
for fiscal periods beginning after December 15, 2006. There
was not a significant impact to the Companys consolidated
financial statements as a result of adopting
FIN No. 48.
In September 2006, the FASB issued SFAS 157, Fair Value
Measurements (SFAS 157). SFAS 157
clarifies the principle that fair value should be based on the
assumptions market participants would use when pricing an asset
or liability and establishes a fair value hierarchy that
prioritizes the information used to develop those assumptions.
Under the standard, fair value measurements would be separately
disclosed by level within the fair value hierarchy.
SFAS 157 is effective for financial statements issued for
fiscal years beginning after November 15, 2007 and interim
periods within those fiscal years, with early adoption
permitted. The Company has not yet determined the effect, if
any, that the implementation of SFAS 157 will have on the
Companys consolidated financial statements upon adoption.
|
|
3.
|
Property
and equipment
|
A summary of property and equipment and related accumulated
depreciation and amortization at August 31, 2006, is as
follows:
|
|
|
|
|
Medical equipment
|
|
$
|
2,318,432
|
|
Leasehold improvements
|
|
|
163,915
|
|
Equipment, vehicles, and other
|
|
|
423,266
|
|
|
|
|
|
|
Total property and equipment
|
|
|
2,905,613
|
|
Less accumulated depreciation and amortization
|
|
|
(1,434,640
|
)
|
|
|
|
|
|
Property and equipment net
|
|
$
|
1,470,973
|
|
|
|
|
|
|
F-85
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Depreciation and amortization expense was $1,375,200 for the
period from January 1, 2006 to August 31, 2006.
Included in property and equipment are equipment and vehicles
with a net book value of $515,017 that are held under capital
lease arrangements as follows:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated
|
|
|
Net Book
|
|
|
|
Cost
|
|
|
Amortization
|
|
|
Value
|
|
|
Medical equipment
|
|
$
|
860,086
|
|
|
$
|
388,078
|
|
|
$
|
472,008
|
|
Equipment, vehicles, and other assets
|
|
|
427,106
|
|
|
|
384,097
|
|
|
|
43,009
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
1,287,192
|
|
|
$
|
772,175
|
|
|
$
|
515,017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization of property and equipment in the
accompanying statement of operations includes $150,023 of
depreciation of capital lease assets.
As of August 31, 2006, intangible assets consist of the
following:
|
|
|
|
|
Noncompete agreements
|
|
$
|
900,000
|
|
Purchased contracts
|
|
|
250,000
|
|
|
|
|
|
|
Total intangible assets
|
|
|
1,150,000
|
|
Accumulated amortization
|
|
|
947,917
|
|
|
|
|
|
|
Intangible assets net
|
|
$
|
202,083
|
|
|
|
|
|
|
The weighted average remaining life of intangible assets as of
August 31, 2006, is 3.3 years. Amortization expense
for the period from January 1, 2006 through August 31,
2006 amounted to $197,723. Amortization expense on intangible
assets in each of the next five years is expected to approximate
the following:
|
|
|
|
|
Four months ending December 31,
|
|
|
|
|
2006
|
|
|
33,333
|
|
Twelve months ending December 31,
|
|
|
|
|
2007
|
|
|
25,000
|
|
2008
|
|
|
25,000
|
|
2009
|
|
|
25,000
|
|
2010
|
|
|
25,000
|
|
2011
|
|
|
25,000
|
|
At August 31, 2006, accrued expenses were comprised of the
following:
|
|
|
|
|
Accrued accounting and legal fees
|
|
$
|
204,937
|
|
Accrued payroll expenses
|
|
|
633,575
|
|
Deferred revenue
|
|
|
251,906
|
|
Accrued refunds payable
|
|
|
126,129
|
|
Uninvoiced inventory and other accrued expenses
|
|
|
407,981
|
|
|
|
|
|
|
Accrued expenses net
|
|
$
|
1,624,528
|
|
|
|
|
|
|
F-86
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
At August 31, 2006, long-term debt consisted of the
following:
|
|
|
|
|
Term loan facility
|
|
$
|
325,000
|
|
Revolving credit facility
|
|
|
1,321,410
|
|
Note payable to Omni-Professional Home Services, Inc.
|
|
|
1,000,000
|
|
Other note payable
|
|
|
94,572
|
|
|
|
|
|
|
|
|
|
2,740,982
|
|
Less obligations maturing within one year
|
|
|
1,662,886
|
|
|
|
|
|
|
Long-term debt net of current portion
|
|
$
|
1,078,096
|
|
|
|
|
|
|
The revolving credit facility, which bears interest at the
London InterBank Offer Rate (5.4% at August 31,
2006) plus 4.5%, is provided to the Company under a 2003
agreement, which expires September 2007. The terms of the
agreement allow the Company to borrow up to $3,000,000 for
operations. The line is collateralized by substantially all of
the assets of the Company. At August 31, 2006, available
borrowings were $1,678,590.
The term loan facility bears interest at the London InterBank
Offer Rate (5.4% at August 31, 2006) plus 6.5%.
Interest and principal payments are due in equal monthly
installments of $25,000. The note is secured by substantially
all of the assets of the Company.
The Company has a note payable to the former shareholders of the
Company, Omni Professional Home Care, Inc. The note bears
interest at a rate of 6% which is payable in quarterly
installments. The principal balance is payable on
September 28, 2007. The note is subordinate to term loan
facility and the revolving credit facility.
The Company is required under its term loan facility and
revolving credit facility to maintain certain financial ratio
covenants, including minimum levels of debt service and debt to
earnings ratios. The Company was not in compliance with these
covenants as of August 31, 2006. As a result, the
borrowings under the term loan facility and the revolving credit
facility have been classified within the current portion of
long-term debt in the accompanying consolidated balance sheet.
As described further in Note 13, all of the Companys
outstanding shares were sold on September 19, 2006 in a
transaction with an effective date of September 1, 2006. In
connection with the transaction, the selling shareholders paid
all outstanding obligations related to the revolving credit
facility, the term loan facility and other notes payable as of
September 19, 2006.
Maturities of debt outstanding as of August 31, 2006 for
each of the next five years are as follows:
|
|
|
|
|
Four months ending December 31,
|
|
|
|
|
2006
|
|
$
|
1,651,742
|
|
Twelve months ending December 31,
|
|
|
|
|
2007
|
|
|
1,016,945
|
|
2008
|
|
|
18,473
|
|
2009
|
|
|
20,131
|
|
2010
|
|
|
21,942
|
|
Thereafter
|
|
|
11,749
|
|
F-87
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Company leases all of its office and warehouse facilities.
In addition, certain vehicles, medical equipment, and office
equipment are leased under various operating and capital leases.
Lease terms range from one to three years with renewal options
on certain leases for additional periods. Rent expense for the
period from January 1, 2006 to August 31, 2006 was
$353,439. At August 31, 2006, the future minimum payments
under leases were as follows:
|
|
|
|
|
|
|
|
|
|
|
Capital Leases
|
|
|
Operating Leases
|
|
|
Four months ending December 31,
|
|
|
|
|
|
|
|
|
2006
|
|
$
|
132,949
|
|
|
$
|
73,717
|
|
Twelve months ending December 31,
|
|
|
|
|
|
|
|
|
2007
|
|
|
278,907
|
|
|
|
146,334
|
|
2008
|
|
|
167,879
|
|
|
|
41,174
|
|
2009
|
|
|
29,698
|
|
|
|
14,104
|
|
2010
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total minimum lease payments
|
|
|
609,433
|
|
|
$
|
275,329
|
|
|
|
|
|
|
|
|
|
|
Less amounts representing interest
|
|
|
79,394
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Present value of net minimum payments under capital leases
|
|
|
530,039
|
|
|
|
|
|
Less current portion
|
|
|
290,021
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
240,018
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
8.
|
Series A
cumulative convertible preferred stock
|
The Company has Series A preferred stock with a par value
of $.0001 per share, with 245,000 shares authorized, issued
and outstanding at August 31, 2006. The stock has a
liquidation preference of $20 per share. The shares of preferred
stock are convertible to common stock initially on a
one-for-one
basis, subject to certain adjustments. Each share of the
Series A preferred stock is convertible at the option of
the holder. The shares are also subject to certain redemption
provisions at the discretion of the holder. These shares do not
become subject to redemption until September 22, 2006, at
the earliest.
The preferred stock accrues compounding dividends at an annual
rate of 9% and participates in dividends payable to holders of
common stock. Holders of preferred stock are entitled to the
greater of its original purchase price plus accrued but unpaid
dividends thereon or what holders of the shares of common stock
would be entitled to receive upon conversion thereof upon a
liquidating event.
During the period from January 1, 2006 to August 31,
2006, the Board of Directors did not declare any dividends.
Accordingly, as of August 31, 2006, the amount of dividends
in arrears on the preferred stock was approximately $1,414,257.
These dividends are included in the redemption value of the
Series A preferred stock as shown in the accompanying
balance sheet.
Common stock has a par value of $.0001 per share with
755,000 shares authorized and 68,236 shares issued and
outstanding at August 31, 2006.
The Specialty Pharma, Inc. Equity Compensation Plan (the
Plan) was approved by the Board of Directors on
September 22, 2003. Under this plan, the Company may grant
nonqualified stock options to officers, employees and advisers
and incentive stock options to officers and other key employees
at an exercise
F-88
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
prices of not less than 100% of fair market value as determined
by the Board of Directors. Generally, the options vest over
varying periods, typically four years. Upon a change in control,
as defined, outstanding options become fully vested. The Plan
also provides for grants of restricted common stock awarded at
the discretion of the Board of Directors. No restricted stock
awards have been granted under the Plan.
There were 42,712 option awards outstanding at January 1,
2006. No option awards were made during the period from
January 1, 2006 to August 31, 2006. Additionally, no
awards were forfeited or exercised during this period.
As a result of the sale of the Companys stock to Critical
Homecare Solutions, Inc., which is more fully discussed in
Note 13, 100% of the qualified and incentive stock options
were canceled.
At August 31, 2006, the income tax benefit consisted of the
following:
|
|
|
|
|
Current:
|
|
|
|
|
Federal
|
|
$
|
|
|
State and local
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Deferred:
|
|
|
|
|
Federal
|
|
|
(413,022
|
)
|
State and local
|
|
|
(19,409
|
)
|
|
|
|
|
|
Total income tax benefit
|
|
$
|
(432,431
|
)
|
|
|
|
|
|
At August 31, 2006, deferred tax assets and liabilities
consist of the following:
|
|
|
|
|
Deferred tax assets:
|
|
|
|
|
Allowance for doubtful accounts
|
|
$
|
828,001
|
|
Accrued liabilities
|
|
|
180,466
|
|
Net operating loss carryforward
|
|
|
371,000
|
|
|
|
|
|
|
Total current deferred tax assets
|
|
$
|
1,379,467
|
|
|
|
|
|
|
Deferred tax liabilities:
|
|
|
|
|
Property and equipment
|
|
$
|
136,804
|
|
Intangible assets
|
|
|
77,692
|
|
|
|
|
|
|
Total deferred tax liabilities
|
|
$
|
214,496
|
|
|
|
|
|
|
At August 31, 2006, income taxes computed using the federal
statutory income tax rate differs from the Companys
effective tax rate primarily due to the following:
|
|
|
|
|
Income tax benefit computed at U.S. federal statutory rate
|
|
$
|
(412,256
|
)
|
State income taxes net of federal income tax effect
|
|
|
(12,810
|
)
|
Permanent differences
|
|
|
2,767
|
|
Other
|
|
|
(10,132
|
)
|
|
|
|
|
|
Income tax benefit
|
|
$
|
(432,431
|
)
|
|
|
|
|
|
The Companys deferred tax assets and liabilities were
valued based on the estimated tax rates in effect when the
assets and liabilities are expected to reverse. Based upon
historical and projected levels of taxable
F-89
SPECIALTY
PHARMA, INC. AND SUBSIDIARY
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
income we believe it is more likely than not that we will
realize the benefits of the deferred tax assets. The federal
operating loss carryforward of $1.0 million and state
operating loss carryforward of $0.2 million as of
August 31, 2006 expires in 2026 and 2011, respectively.
|
|
11.
|
Employee
benefits program
|
The Company sponsors a 401(k) savings plan that covers
substantially all employees. Expenses related to the defined
contribution plan amounted to $57,003 during the period from
January 1, 2006 through August 31, 2006.
|
|
12.
|
Commitments
and contingencies
|
The Company is subject to claims and legal actions that may
arise in the ordinary course of business. However, it maintains
insurance to protect against such claims or legal actions. The
Company is not aware of any litigation either pending or filed
that it believes to likely have a material adverse effect on the
results of its operations or its financial condition.
On September 19, 2006, all of the Companys
outstanding preferred stock was repurchased for cash of
$1,442,646 while its common stock was sold to Critical Homecare
Solutions, Inc. The transaction had an effective date of
September 1, 2006. In connection with the transaction, the
selling shareholders paid all outstanding obligations related to
the revolving credit facility, the term loan credit facility,
installment notes payable and certain capital lease obligations,
as of September 19, 2006.
Under the terms of the Plan, all issued stock options were
canceled upon the sale of all of the outstanding shares of the
Company on September 19, 2006.
F-90
REPORT OF
INDEPENDENT
REGISTERED PUBLIC ACCOUNTING FIRM
To the Board of Directors of
Critical Homecare Solutions Holdings, Inc.
Conshohocken, Pennsylvania
We have audited the accompanying balance sheet of New England
Home Therapies, Inc. (the Company) as of
August 31, 2006, and the related statement of operations,
shareholders equity, and cash flows for the period from
January 1, 2006 to August 31, 2006. These financial
statements are the responsibility of the Companys
management. Our responsibility is to express an opinion on these
financial statements based on our audit.
We conducted our audit in accordance with the standards of the
Public Company Accounting Oversight Board (United States). Those
standards require that we plan and perform the audit to obtain
reasonable assurance about whether the financial statements are
free of material misstatement. The Company is not required to
have, nor were we engaged to perform, an audit of its internal
control over financial reporting. Our audit included
consideration of internal control over financial reporting as a
basis for designing audit procedures that are appropriate in the
circumstances, but not for the purpose of expressing an opinion
on the effectiveness of the Companys internal control over
financial reporting. Accordingly, we express no such opinion. An
audit also includes examining, on a test basis, evidence
supporting the amounts and disclosures in the financial
statements, assessing the accounting principles used and
significant estimates made by management, as well as evaluating
the overall financial statement presentation. We believe that
our audit provides a reasonable basis for our opinion.
In our opinion, such financial statements present fairly, in all
material respects, the financial position of New England Home
Therapies, Inc. as of August 31, 2006, and the results of
its operations and its cash flows for the period from
January 1, 2006 to August 31, 2006, in conformity with
accounting principles generally accepted in the United States of
America.
/s/ Deloitte & Touche LLP
Philadelphia, Pennsylvania
October 5, 2007
F-91
|
|
|
|
|
ASSETS
|
Current assets
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
144,949
|
|
Cash, restricted to pay preference vendor payables
|
|
|
192,712
|
|
Accounts receivable, net of allowance for doubtful accounts of
$1,545,238
|
|
|
4,069,823
|
|
Inventories
|
|
|
750,764
|
|
Prepaid expenses and other current assets
|
|
|
9,978
|
|
|
|
|
|
|
Total current assets
|
|
|
5,168,226
|
|
Property and equipment
|
|
|
|
|
Medical equipment
|
|
|
2,899,767
|
|
Office furniture, fixtures and equipment
|
|
|
54,987
|
|
Vehicles
|
|
|
237,525
|
|
Leasehold improvements
|
|
|
2,500
|
|
|
|
|
|
|
|
|
|
3,194,779
|
|
Less accumulated depreciation
|
|
|
1,237,263
|
|
|
|
|
|
|
Net property and equipment
|
|
|
1,957,516
|
|
|
|
|
|
|
Other non-current assets
|
|
|
|
|
Deposits
|
|
|
103,927
|
|
|
|
|
|
|
Total assets
|
|
$
|
7,229,669
|
|
|
|
|
|
|
|
LIABILITIES AND SHAREHOLDERS EQUITY
|
Current liabilities
|
|
|
|
|
Accounts payable
|
|
$
|
935,599
|
|
Current portion of long-term debt
|
|
|
455,879
|
|
Current portion of capital lease obligations
|
|
|
260,593
|
|
Accrued expenses
|
|
|
1,252,340
|
|
Deferred revenue
|
|
|
244,194
|
|
|
|
|
|
|
Total current liabilities
|
|
|
3,148,605
|
|
|
|
|
|
|
Capital lease obligations, net of current portion
|
|
|
317,776
|
|
Long-term debt, net of current portion
|
|
|
2,110,870
|
|
|
|
|
|
|
Total long-term liabilities
|
|
|
2,428,646
|
|
|
|
|
|
|
Commitments and contingencies (Note 10)
|
|
|
|
|
Shareholders equity
|
|
|
|
|
Common stock, $.01 par value, 200,000 shares
authorized; 2,000 shares issued and outstanding at
August 31, 2006
|
|
|
20
|
|
Retained earnings
|
|
|
1,652,398
|
|
|
|
|
|
|
Total shareholders equity
|
|
|
1,652,418
|
|
|
|
|
|
|
Total liabilities and shareholders equity
|
|
$
|
7,229,669
|
|
|
|
|
|
|
The accompanying notes are an integral part of these financial
statements.
F-92
|
|
|
|
|
Revenues, net
|
|
$
|
13,216,900
|
|
Costs and expenses
|
|
|
|
|
Cost of goods (excluding depreciation and amortization)
|
|
|
3,934,832
|
|
Cost of services
|
|
|
1,774,423
|
|
Selling, distribution, and administrative
|
|
|
5,563,990
|
|
Provision for doubtful accounts
|
|
|
597,379
|
|
Depreciation & amortization
|
|
|
692,084
|
|
Loss on asset disposal
|
|
|
24,285
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
12,586,993
|
|
|
|
|
|
|
Income from operations
|
|
|
629,907
|
|
Interest expense, net
|
|
|
160,111
|
|
Other income net
|
|
|
(172,444
|
)
|
|
|
|
|
|
Income before income taxes
|
|
|
642,240
|
|
Income tax benefit
|
|
|
5,113
|
|
|
|
|
|
|
Net income
|
|
$
|
647,353
|
|
|
|
|
|
|
Basic and diluted net income per share
|
|
$
|
323.68
|
|
Weighted average number of shares outstanding
|
|
|
2,000
|
|
Pro forma income tax information (Note 2)
Unaudited
|
|
|
|
|
Pro forma income tax expense
|
|
$
|
263,319
|
|
Pro forma net income
|
|
$
|
378,921
|
|
Basic and diluted pro forma net income per share
|
|
$
|
189.46
|
|
The accompanying notes are an integral part of these financial
statements.
F-93
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
|
Common Stock
|
|
|
Retained
|
|
|
Shareholders
|
|
|
|
Shares
|
|
|
Par Amount
|
|
|
Earnings
|
|
|
Equity
|
|
|
Balance at January 1, 2006
|
|
|
2,000
|
|
|
$
|
20
|
|
|
$
|
1,144,309
|
|
|
$
|
1,144,329
|
|
Net income
|
|
|
|
|
|
|
|
|
|
|
647,353
|
|
|
|
647,353
|
|
Dividends paid
|
|
|
|
|
|
|
|
|
|
|
(139,264
|
)
|
|
|
(139,264
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at August 31, 2006
|
|
|
2,000
|
|
|
$
|
20
|
|
|
$
|
1,652,398
|
|
|
$
|
1,652,418
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these financial
statements.
F-94
|
|
|
|
|
Cash flows from operating activities
|
|
|
|
|
Net income
|
|
$
|
647,353
|
|
Adjustments to reconcile net income to cash flows from operating
activities:
|
|
|
|
|
Provision for doubtful accounts
|
|
|
597,379
|
|
Loss on disposal of assets
|
|
|
24,285
|
|
Depreciation and amortization
|
|
|
692,084
|
|
Changes in assets and liabilities
|
|
|
|
|
Accounts receivable
|
|
|
(1,356,106
|
)
|
Inventories
|
|
|
26,890
|
|
Prepaid expenses and other current assets
|
|
|
85,490
|
|
Accounts payable and accrued expenses
|
|
|
220,391
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
937,766
|
|
|
|
|
|
|
Cash flows from investing activities
|
|
|
|
|
Cash paid for property and equipment
|
|
|
(640,005
|
)
|
Increase in restricted cash
|
|
|
(149,493
|
)
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(789,498
|
)
|
|
|
|
|
|
Cash flows from financing activities
|
|
|
|
|
Proceeds from long-term debt and credit arrangements
|
|
|
7,099,484
|
|
Principal payments on debt and capital lease obligations
|
|
|
(7,354,472
|
)
|
Dividends paid to shareholders
|
|
|
(139,264
|
)
|
Payment of debt issue costs
|
|
|
(20,000
|
)
|
|
|
|
|
|
Net cash used in financing activities
|
|
|
(414,252
|
)
|
|
|
|
|
|
Decrease in cash and cash equivalents
|
|
|
(265,983
|
)
|
Cash and cash equivalents January 1, 2006
|
|
|
410,932
|
|
|
|
|
|
|
Cash and cash equivalents August 31, 2006
|
|
$
|
144,949
|
|
|
|
|
|
|
Cash paid during the period for:
|
|
|
|
|
Interest
|
|
$
|
301,349
|
|
Income taxes
|
|
$
|
|
|
Non-cash activities
|
|
|
|
|
Purchase of assets under capital lease
|
|
$
|
281,995
|
|
The accompanying notes are an integral part of these financial
statements.
F-95
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS
|
|
1.
|
Description
of Business
|
New England Home Therapies, Inc. (the Company)
through its offices located in Southborough Massachusetts;
Concord, New Hampshire, and Lewiston, Maine, provides complete
home care services consisting of pharmacy services, infusion
therapy, respiratory care, nutrition management, home medical
equipment and other ancillary healthcare services principally to
patients in the New England area. The Company contracts with
managed care organizations and physicians to become the provider
assisting with clinical compliance information and providing
pharmacy consulting services. The Company contracts with managed
care organizations, third party payors, hospitals, physicians,
and other referral sources to provide respiratory, home medical
equipment, pharmaceuticals and complex compounded solutions to
patients for intravenous delivery in patients homes or
other non-hospital settings.
|
|
2.
|
Summary
of Significant Accounting Policies
|
The accompanying financial statements have been prepared in
accordance with accounting principles generally accepted in the
United States of America.
Use of Estimates The preparation of financial
statements in conformity with accounting principles generally
accepted in the United States of America requires the use of
estimates and assumptions that affect the reported amounts of
revenues, expenses, assets, liabilities, and the disclosures of
contingent assets and liabilities at the date of the
consolidated financial statements.
Significant items subject to such estimates and assumptions
include useful lives of property and equipment, the allowance
for doubtful accounts, and net realizable revenue amounts.
Actual results could differ from estimates.
Cash and Cash Equivalents Cash and cash
equivalents include cash on deposit with various financial
institutions, but exclude restricted balances. The Company
considers all highly liquid investments with original maturities
of three months or less to be cash equivalents. The
Companys cash equivalents are stated at cost, which
approximates market value. Certain cash balances are restricted
according to certain provisions of the Companys
reorganization plan, which is further discussed in Note 3.
Accounts Receivable and Allowances for Doubtful
Accounts The Companys accounts receivable
consist of amounts owed by various governmental agencies,
insurance companies, and private patients. Management performs
periodic analyses to evaluate accounts receivable balances to
ensure that recorded amounts reflect net realizable values. The
Company does not believe there are any significant credit risks
associated with the receivables from Medicare and Medicaid and
other state administered programs.
The Companys accounts receivable are reported net of
contractual adjustments. Generally, the Company bills
third-party payors based on the contractual charges or usual and
customary charges for goods and services provided and then
contractually adjusts the revenue down to the anticipated
collectible amount based on the Companys interpretation of
the terms of the applicable managed care contract, fee schedule
or other arrangement with the payor.
The Company has established an allowance for doubtful accounts
to report the estimated net realizable amounts to be received
from patients or others. Increases to this reserve are reflected
as a provision for doubtful accounts in the consolidated
statement of operations. The Company regularly performs an
analysis of the collectability of accounts receivable and
considers such factors as prior collection experience and the
age of the receivables.
Laws and regulations pertaining to government programs are
complex and subject to interpretation. As a result, there is at
least a reasonable possibility that recorded estimates will
change in the near term. The Company believes that it is in
compliance with all applicable laws and regulations and is not
aware of any pending or threatened investigations involving
allegations of potential wrongdoing. While no such regulatory
F-96
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS (Continued)
inquiries have been made, compliance with such laws and
regulations can be subject to future government review and
interpretation, as well as significant regulatory action,
including fines, penalties, and exclusion from the government
programs.
The Company does not require its patients or other payors to
carry collateral for any amounts owed to it for services
provided. Other than as discussed above, its concentration of
credit risk relating to accounts receivable is limited due to
its diversity of patients. Further, the Company generally does
not provide charity care.
Inventories Inventories, which consist
primarily of pharmaceuticals and medical supplies, are stated at
the lower of cost (determined using the
first-in,
first-out method) or market. The largest component of the
inventory is pharmaceuticals, which have fixed expiration dates.
The Company normally obtains next day delivery of the
pharmaceuticals that it orders. The Companys pharmacies
monitor inventory levels and check expiration dates regularly.
Pharmaceuticals that are approaching expiration and are deemed
unlikely to be used before expiration are either returned to the
vendor or manufacturer for credit, or are transferred to another
Company pharmacy that needs them. If the pharmaceuticals cannot
be either returned or transferred before expiration, the
Companys policy requires them to be disposed of
immediately and in accordance with Drug Enforcement Agency
guidelines. Due to the high rate of turnover of our
pharmaceutical inventory and the policies related to handling
expired or expiring items, the Companys pharmacies
typically do not carry obsolete inventory at any balance sheet
date.
Prepaid Expenses and Other Current Assets
Prepaid expenses and other current assets consist primarily of
prepaid insurance, rent, and other current assets.
Property and Equipment Property and equipment
are carried at cost. Expenditures for major improvements are
capitalized. Maintenance and repairs are expensed as incurred.
Upon retirement or disposal, the related cost and accumulated
depreciation are removed from the respective accounts and any
gain or loss is recorded in current earnings. Property and
equipment under capital leases are recorded at the lower of the
present value of the minimum lease payments or the fair value of
the asset. Depreciation is recognized on a straight-line basis.
Estimated useful lives for the principal asset categories are as
follows:
|
|
|
Asset Category
|
|
Useful Life
|
|
Leasehold improvements
|
|
Base term of lease or useful life, whichever is shorter
|
Medical equipment
|
|
13 months to 5 years
|
Equipment, vehicles, and other assets
|
|
3 to 5 years
|
Property and equipment are reviewed for impairment whenever
events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable. Recoverability of
assets to be held and used is measured by a comparison of the
carrying amount of an asset to estimated undiscounted future
cash flows expected to be generated by the asset. If the
carrying amount of an asset exceeds its estimated future cash
flows, an impairment charge is recognized by the amount by which
the carrying amount of the asset exceeds the fair value of the
asset. No asset impairment charges have been recognized as of
August 31, 2006, and for the period from January 1,
2006 to August 31, 2006.
Capital Leases The assets and liabilities of
equipment held under capital leases are recorded at the lower of
the present value of the minimum lease payments or the fair
value of the asset. The assets are amortized over their
estimated useful lives. Amortization of assets under capital
leases is included in depreciation and amortization expense in
the statement of operations.
Income Taxes The Company accounts for income
taxes under the asset and liability method in accordance with
the Financial Accounting Standards Board (FASB)
Statement No. 109, Accounting for Income Taxes. The
shareholders of the Company have elected to be taxed as an
S Corporation under IRC
F-97
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS (Continued)
Subchapter S. Items of income and expense are passed through and
taxed to the individual shareholders and therefore, in most
cases, no corporate level tax is paid. However, Massachusetts
state income tax regulations stipulate that an
S Corporation will be subject to a corporate level tax on
its taxable income if its total gross receipts exceed
$6 million in any taxable year. Also, New Hampshire state
income tax regulations stipulate that an S corporation must
continue to pay income taxes as if they were C Corporation.
The Company has disclosed in the statement of operations for the
period from January 1, 2006 to August 31, 2006 the pro
forma effect of income taxes had it been taxed as a C
corporation for federal tax reporting purposes during that
period.
Revenue Recognition and Contractual
Allowances Patient revenue is recorded in the
period during which the services are provided. These amounts are
directly offset by appropriate allowances to give recognition to
third-party payor arrangements. Net revenue recognition and
allowances for uncollectible billings require the use of
estimates and any changes in these estimates once known are
reflected in operations.
Infusion Therapy, Respiratory Therapy, and Related Healthcare
Services Infusion therapy and related healthcare
services revenue is reported at the estimated net realizable
amounts from patients and third-party payors for goods sold and
services rendered by the Company-owned pharmacies. Revenue is
recognized when goods
and/or
services are provided to the patient. The Companys
agreements with payors occasionally specify receipt of a
per diem payment for infusion therapy services that
is provided to patients. This per diem payment
includes a variety of both goods and services provided to the
patient, including, but not limited to, rental of medical
equipment, care coordination services, delivery of the goods to
the patient and medical supplies. Per diem revenue
is recognized over the course of the period the services and
goods are provided.
Respiratory therapy rental arrangements generally provide for
fixed monthly payments established by fee schedules for as long
as the patient is using the equipment and medical necessity
continues (subject to capped rentals which limit the rental
payment period in some instances). Once initial delivery is made
to the patient (initial setup), a monthly billing is established
based on the initial setup service date. The Company recognizes
rental arrangement revenues ratably over the monthly service
period and defers revenue for the portion of the monthly bill
that is unearned. No separate revenue is earned from the initial
setup process. The Company does not sign lease agreements with
the patient or third-party payor. During the rental period, the
Company is responsible for providing oxygen refills and for
servicing the equipment based on manufacturers
recommendations. Revenues for the sale of durable medical
equipment and related supplies, including oxygen equipment,
ventilators, wheelchairs, hospital beds and infusion pumps are
recognized at the time of delivery.
Revenue and Accounts Receivable
Concentrations During the period from
January 1, 2006 to August 31, 2006, net revenue
received under arrangements with Medicare and Medicaid accounted
for approximately 26% of the Companys net revenue while
net revenue received from Harvard Pilgrim accounted for 22% of
the Companys net revenue. As of August 31, 2006,
approximately 39% and 12% of the Companys account
receivable balances were due from Medicare/Medicaid and Harvard
Pilgrim, respectively.
Cost of Revenues Cost of revenues consists of
two components cost of goods sold and cost of
services provided. Cost of goods sold consists of the actual
cost of pharmaceuticals and other medical supplies dispensed to
patients. Cost of services provided consists of all other costs
directly related to the production of revenues, including the
salary and benefit costs for the pharmacists, nurses, and
contracted workers directly involved in providing service to the
patient.
Distribution Expenses Distribution expenses
are included in selling, distribution and administrative
expenses in the accompanying statement of operations and total
$1,079,508 during the period from January 1, 2006 to
August 31, 2006. Such expenses represent the cost incurred
to deliver product or services to the end user.
F-98
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS (Continued)
Earnings per share These financial statements
include basic and diluted per share
information. Basic per share information is calculated by
dividing net income by the weighted average number of common
shares outstanding. Diluted per share information is calculated
by also considering the impact of potential common shares on
both net income and the weighted average number of shares
outstanding. The Company had no potentially dilutive common
shares during the period ended August 31, 2006.
Segments In accordance with Statement of
Financial Accounting Standards (SFAS) No. 131
Disclosures about Segments of an Enterprise and Related
Information, the Company has determined that it operates in
one reportable segment.
Recently Issued Accounting Pronouncements In
February 2007, the Financial Accounting Standards Board
(FASB) issued FASB Statement No. 159, The Fair
Value Option for Financial Assets and Financial
Liabilities Including an amendment of FASB Statement
No. 115. The Statement permits entities to choose to
measure many financial instruments and certain other items at
fair value. The objective of the Statement is to improve
financial reporting by providing entities with the opportunity
to mitigate volatility in reporting earnings caused by measuring
related assets and liabilities differently without having to
apply complex hedge accounting provisions. The Statement is
effective as of the beginning of an entitys first fiscal
year that begins after November 15, 2007. Management is
currently evaluating the Statement to determine what impact, if
any, it will have on the Companys financial statements
upon adoption on January 1, 2008.
In June 2006, the FASB issued Interpretation (FIN)
No. 48, Accounting for Uncertainty in Income Taxes
an interpretation of FASB Statement
No. 109. This Standard creates a comprehensive model to
address accounting for uncertainty in tax positions.
FIN No. 48 clarifies the accounting for income taxes
by prescribing a minimum recognition threshold a tax position is
required to meet before being recognized for financial
statements. FIN No. 48 also provides guidance on
measurement, derecognition, classification, interest and
penalties, accounting in interim periods, disclosure, and
transition. The adoption of FIN No. 48 is effective
for fiscal periods beginning after December 15, 2006. There
was not a significant impact to the Companys financial
statements as a result of adopting FIN No. 48.
In September 2006, the FASB issued FAS 157, Fair Value
Measurements (FAS 157). FAS 157
clarifies the principle that fair value should be based on the
assumptions market participants would use when pricing an asset
or liability and establishes a fair value hierarchy that
prioritizes the information used to develop those assumptions.
Under the Standard, fair value measurements would be separately
disclosed by level within the fair value hierarchy. FAS 157
is effective for financial statements issued for fiscal years
beginning after November 15, 2007 and interim periods
within those fiscal years, with early adoption permitted. The
Company has not yet determined the effect, if any, that the
implementation of FAS 157 will have on the Companys
financial statements upon adoption.
Subsequent to the Companys accounts receivable financier,
National Century Financial Enterprises, Inc.
(NCFE), defaulting on the Companys
contracted accounts receivable financing arrangement, the
Company filed a voluntary petition on November 15, 2002
(the petition date) for relief under Chapter 11 of
the United States Code (the Bankruptcy Code) in the
United States Bankruptcy Court for the District of Massachusetts
Western Division (the Bankruptcy Court). The case was
assigned number
02-46956-JBR.
On February 18, 2004, the Company filed a Plan of
Reorganization for the restructuring of its outstanding creditor
claims. With the consent of all the Companys creditors,
this plan was approved on April 15, 2004 by the Bankruptcy
Court, pursuant to the provisions of Chapter 11 of the
Bankruptcy Code, for the restructuring of its outstanding
creditor claims. In connection with the Bankruptcy Plan of
Reorganization, an agreement was reached with certain creditors
that, in the event of the sale or liquidation of the Company
within 4 years
F-99
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS (Continued)
of the Plan of Reorganization, a portion of the debt forgiven in
bankruptcy would become due and payable to the creditors.
Restricted cash was $192,712 as of August 31, 2006. This
restricted cash balance relates to preferential vendor accounts
payable associated with the Companys Chapter 11
bankruptcy and plan of reorganization.
Other income reflects a gain of $172,444 that was recognized on
the early extinguishment of its debt with NCFE, which is
discussed further in Note 6.
On September 19, 2006, the Company was sold to Critical
Homecare Solutions, Inc. (see Note 12). In connection with
the sale of its outstanding shares, the Company paid $1,200,500
to unsecured creditors on debt previously forgiven in
bankruptcy. This amount was paid on September 19, 2006.
Additionally, the balance related to preferential vendor
accounts payable, and the restricted cash amounts associated
with it, were transferred to the sellers at the time the Company
was sold.
|
|
4.
|
Equipment
Held under Capital Leases
|
Following is a summary of equipment held under capital leases at
August 31, 2006:
|
|
|
|
|
Medical, other equipment and vehicles
|
|
$
|
1,148,756
|
|
Accumulated amortization
|
|
|
724,062
|
|
|
|
|
|
|
Net book value
|
|
$
|
424,694
|
|
|
|
|
|
|
Depreciation and amortization of property and equipment in the
accompanying statement of operations includes $139,723 of
amortization of capital lease assets.
At August 31, 2006, accrued expenses were comprised of the
following:
|
|
|
|
|
Accrued professional fees
|
|
$
|
255,552
|
|
Accrued interest
|
|
|
30,294
|
|
Accrued payroll expenses
|
|
|
345,138
|
|
Uninvoiced inventory and other accrued expenses
|
|
|
621,356
|
|
|
|
|
|
|
Accrued expenses
|
|
$
|
1,252,340
|
|
|
|
|
|
|
The Companys debt as of August 31, 2006 consists of
the following:
|
|
|
|
|
Notes payable Class 2
|
|
$
|
192,712
|
|
Revolver
|
|
|
1,210,168
|
|
Term loan
|
|
|
700,000
|
|
Term loan PCI
|
|
|
463,869
|
|
|
|
|
|
|
|
|
|
2,566,749
|
|
Less current maturities
|
|
|
455,879
|
|
|
|
|
|
|
Total long-term borrowings
|
|
$
|
2,110,870
|
|
|
|
|
|
|
In April 2006, the Company entered into a Loan and Security
Agreement with The Property and Casualty Initiative, LLC,
(PCI) a Massachusetts limited liability company,
pursuant to which PCI made a term loan (the Term
loan PCI) in the aggregate principal amount of
$500,000. This loan is a senior secured credit
F-100
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS (Continued)
facility governed by an intercreditor agreement with Chittenden
(as defined below). The Term loan PCI accrues
interest at 8.5% and amortizes in monthly payments of principal
and interest in the amount of $12,358 commencing on May 1,
2006 through the maturity date of April 10, 2010.
In April 2006, the Company entered into a $3,250,000 senior
credit facility with Chittenden Trust Company d/b/a
Chittenden Bank, a Vermont trust company
(Chittenden), consisting of a $750,000 term facility
(the Term Loan) and a $2,500,000 revolving facility
(the Revolver). This loan is a senior secured credit
facility governed by an intercreditor agreement with PCI. The
Term Loan accrues Interest at Prime plus 1% with principal
payments of $12,500 per month together with interest at the
applicable rate. The Term Loan maturity date is April 4,
2011. The Revolver accrues interest at Prime plus 1% with
interest only payments payable in arrears monthly. The Revolver
maturity date is June 1, 2008. The terms of the agreement
provides for a 0.375% fee paid monthly on the undrawn portion of
the Revolver. At August 31, 2006 the Company had $1,964,832
available under this facility.
The Company is required under the Term Loan to maintain certain
financial ratio covenants, including minimum levels of debt
service and tangible net worth. The Company was in compliance
with these covenants as of August 31, 2006.
The Company incurred debt issuance costs of $20,000 relating to
the Term Loan, Revolver and Term Loan PCI.
At August 31, 2006 the Company owed $192,712 related to
preferential vendor accounts payable under a
Class 2 note payable to all remaining unsecured
creditors arising from the Companys Plan of
Reorganization. This note, which is non-interest bearing, is
also secured by a junior lien on all of the Companys
assets. This note, which requires minimum monthly payments of
$25,000, has been discounted using LIBOR plus 2% and is due on
February 25, 2007. In the event of default, the note will
bear interest at LIBOR plus 6%.
Maturities of debt outstanding as of August 31, 2006 for
each of the next five years is as follows:
|
|
|
|
|
Four months ending December 31,
|
|
|
|
|
2006
|
|
$
|
186,662
|
|
Twelve months ending December 31,
|
|
|
|
|
2007
|
|
|
359,120
|
|
2008
|
|
|
276,208
|
|
2009
|
|
|
287,896
|
|
2010
|
|
|
1,406,863
|
|
Thereafter
|
|
|
50,000
|
|
|
|
7.
|
Employee
Benefits Program
|
The Company sponsors a 401(k) savings plans that covers
substantially all employees. Expenses related to the defined
contribution plan amounted to $18,596 during the period from
January 1, 2006 through August 31, 2006.
The Company leases all of its office and warehouse facilities.
In addition, certain vehicles, medical equipment, and office
equipment are leased under various operating and capital leases.
Lease terms range from one to six years with renewal options on
certain leases for additional periods. Rental payments for
office space
F-101
NEW
ENGLAND HOME THERAPIES, INC.
NOTES TO
FINANCIAL STATEMENTS (Continued)
are generally increased annually by the consumer price index. At
August 31, 2006, the future minimum payments under such
leases were as follows:
|
|
|
|
|
|
|
|
|
|
|
Capital
|
|
|
Operating
|
|
|
|
Leases
|
|
|
Leases
|
|
|
Four months ending December 31,
|
|
|
|
|
|
|
|
|
2006
|
|
$
|
161,411
|
|
|
$
|
96,325
|
|
Twelve months ending December 31,
|
|
|
|
|
|
|
|
|
2007
|
|
|
191,539
|
|
|
|
280,475
|
|
2008
|
|
|
161,338
|
|
|
|
52,310
|
|
2009
|
|
|
124,136
|
|
|
|
18,240
|
|
2010
|
|
|
15,809
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Thereafter
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total minimum lease payments
|
|
|
654,233
|
|
|
$
|
447,350
|
|
|
|
|
|
|
|
|
|
|
Less amounts representing interest
|
|
|
75,864
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Present value of net minimum payments under capital leases
|
|
|
578,369
|
|
|
|
|
|
Less current portion
|
|
|
260,593
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
317,776
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
For the period from January 1, 2006 to August 31,
2006, the Company recognized rent expense of $203,397.
|
|
9.
|
Commitments
and Contingencies
|
The Company is subject to claims and legal actions that may
arise in the ordinary course of business. However, it maintains
insurance to protect against such claims or legal actions. The
Companys insurance premiums are based on its experience.
The Company is not aware of any litigation either pending or
filed that it believes to likely have a material adverse effect
on the results of its operations or its financial condition.
The Company has entered into an agreement with its shareholders
to restrict the transfer of its shares in certain circumstances
including death, retirement, or termination of a shareholder. On
September 8, 2006, in connection with the sale of the
Companys common shares, the shareholders and all directors
of the Company agreed to waive this restriction.
Common shares have a par value of $.01 per share with
200,000 shares authorized and 2,000 shares issued and
outstanding at August 31, 2006. Additionally during the
period, the shareholders of the Company received distributions
totaling $139,264 from retained earnings, as shown on the
Companys statement of shareholders equity for the
period from January 1, 2006 to August 31, 2006.
On September 19, 2006, all of the Companys
outstanding common shares were sold to Critical Homecare
Solutions, Inc. The transaction had an effective date of
September 1, 2006. In connection with the transaction, the
selling shareholders paid all outstanding obligations related to
the notes payable, term loans and certain capital lease
obligations. Additionally, the balance related to preferential
vendor accounts payable, and the restricted cash amounts
associated with it, were transferred to the sellers at the time
the Company was sold.
On June 27, 2007, the Company converted to a Delaware
corporation. In connection therewith, the Company elected to be
treated as an C corporation for federal and state income tax
purposes.
F-102
DEACONESS
ENTERPRISES, INC. REPORT OF INDEPENDENT AUDITORS
To the Board of Directors of
Deaconess Enterprises, Inc. and Subsidiaries:
In our opinion, the consolidated statement of income and
comprehensive income, of shareholders equity and of cash
flows for the year ended December 31, 2006 present fairly,
in all material respects, the results of operations and cash
flows of Deaconess Enterprises, Inc. and its subsidiaries for
the year ended December 31, 2006, in conformity with
accounting principles generally accepted in the United States of
America. These financial statements are the responsibility of
the Companys management. Our responsibility is to express
an opinion on these financial statements based on our audit. We
conducted our audit of these statements in accordance with
auditing standards generally accepted in the United States of
America. Those standards require that we plan and perform the
audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes
examining, on a test basis, evidence supporting the amounts and
disclosures in the financial statements, assessing the
accounting principles used and significant estimates made by
management, and evaluating the overall financial statement
presentation. We believe that our audit provides a reasonable
basis for our opinion.
PricewaterhouseCoopers LLP
Cincinnati, Ohio
October 3, 2007
F-103
|
|
|
|
|
|
|
2006
|
|
|
Net revenue
|
|
$
|
113,697,146
|
|
Costs and expenses
|
|
|
|
|
Cost of sales (excluding depreciation and amortization)
|
|
|
57,114,097
|
|
Selling, general and administrative
|
|
|
37,619,054
|
|
Provision for doubtful accounts
|
|
|
3,046,140
|
|
Depreciation and amortization
|
|
|
1,415,966
|
|
|
|
|
|
|
Total costs and expenses
|
|
|
99,195,257
|
|
|
|
|
|
|
Operating income
|
|
|
14,501,889
|
|
Interest expense
|
|
|
1,050,932
|
|
Other (income) expense net
|
|
|
(755,899
|
)
|
|
|
|
|
|
Income before income taxes and discontinued operations
|
|
|
14,206,856
|
|
Income tax provision
|
|
|
5,956,550
|
|
|
|
|
|
|
Income from continuing operations
|
|
|
8,250,306
|
|
Income (loss) from discontinued operations, net of tax
|
|
|
503,801
|
|
|
|
|
|
|
Net income
|
|
|
8,754,107
|
|
Unrealized gain (loss) on interest rate swap
|
|
|
21,062
|
|
|
|
|
|
|
Comprehensive income
|
|
$
|
8,775,169
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-104
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Accumulated
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other
|
|
|
Total
|
|
|
|
Common Stock
|
|
|
Retained
|
|
|
Comprehensive
|
|
|
Stockholders
|
|
|
|
Shares
|
|
|
Par Value
|
|
|
Earnings
|
|
|
Income (Loss)
|
|
|
Equity
|
|
|
Balance at December 31, 2005
|
|
|
100
|
|
|
$
|
500
|
|
|
$
|
22,810,024
|
|
|
$
|
19,922
|
|
|
$
|
22,830,446
|
|
Unrealized gain on interest rate
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
21,062
|
|
|
|
21,062
|
|
swap, net of income tax of $12,909
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dividends
|
|
|
|
|
|
|
|
|
|
|
(14,635,021
|
)
|
|
|
|
|
|
|
(14,635,021
|
)
|
Net income
|
|
|
|
|
|
|
|
|
|
|
8,754,107
|
|
|
|
|
|
|
|
8,754,107
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Balance at December 31, 2006
|
|
|
100
|
|
|
$
|
500
|
|
|
$
|
16,929,110
|
|
|
$
|
40,984
|
|
|
$
|
16,970,594
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-105
|
|
|
|
|
|
|
2006
|
|
|
Operating activities
|
|
|
|
|
Net income
|
|
$
|
8,754,107
|
|
Adjustments to reconcile net income to net cash provided by
operating activities
|
|
|
|
|
Depreciation
|
|
|
1,069,975
|
|
Amortization
|
|
|
386,076
|
|
Allowance for doubtful accounts
|
|
|
3,963,481
|
|
Deferred income taxes
|
|
|
(33,618
|
)
|
Gain on sale of subsidiary operations
|
|
|
(413,175
|
)
|
Deferred compensation
|
|
|
302,351
|
|
Loss on disposal of fixed assets
|
|
|
97,028
|
|
Changes in operating assets and liabilities, net of effects
of business acquisitions and dispositions
|
|
|
|
|
Accounts receivable
|
|
|
(4,371,121
|
)
|
Prepaid expenses
|
|
|
871,801
|
|
Income taxes receivable
|
|
|
|
|
Inventory
|
|
|
(110,676
|
)
|
Due from affiliates
|
|
|
135,494
|
|
Other current assets
|
|
|
169,198
|
|
Accounts payable
|
|
|
(571,498
|
)
|
Income taxes payable
|
|
|
(639,260
|
)
|
Accrued compensation
|
|
|
410,360
|
|
Other accrued liabilities
|
|
|
(2,052,915
|
)
|
Other
|
|
|
140,833
|
|
|
|
|
|
|
Net cash provided by operating activities
|
|
|
8,108,441
|
|
|
|
|
|
|
Investing activities
|
|
|
|
|
Proceeds from the sale of subsidiary operations
|
|
|
540,000
|
|
Business acquisitions
|
|
|
(296,281
|
)
|
Capital expenditures
|
|
|
(1,649,825
|
)
|
|
|
|
|
|
Net cash used in investing activities
|
|
|
(1,406,106
|
)
|
Financing activities
|
|
|
|
|
Dividend to parent
|
|
|
(294,002
|
)
|
Proceeds from long-term borrowings
|
|
|
|
|
Repayment of long-term borrowings
|
|
|
(2,107,077
|
)
|
|
|
|
|
|
Net cash used in financing activities
|
|
|
(2,401,079
|
)
|
|
|
|
|
|
(Decrease) increase in cash and cash equivalents
|
|
|
4,301,256
|
|
Cash and cash equivalents at beginning of year
|
|
|
5,802,545
|
|
|
|
|
|
|
Cash and cash equivalents at end of year
|
|
$
|
10,103,801
|
|
|
|
|
|
|
Cash paid for income taxes (Federal and state)
|
|
$
|
6,610,556
|
|
|
|
|
|
|
Cash paid for interest expense
|
|
$
|
997,790
|
|
|
|
|
|
|
Non-cash activity
|
|
|
|
|
Derivative instruments
|
|
$
|
66,103
|
|
|
|
|
|
|
The accompanying notes are an integral part of these
consolidated financial statements.
F-106
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL STATEMENTS
|
|
1.
|
Summary
of Significant Accounting Policies
|
Description
of Business
Deaconess Enterprises, Inc. (DEI or the
Company) provides a broad range of adult and
pediatric home health care services, private duty nursing
services and infusion therapy services. The Company provides
these core services through carefully designed clinical
specialty and disease management programs. The Company also
provides case management services in order to assist the family
and patient by coordinating the provision of services between
the insurer or other payor, the physician, the hospital and
other health care providers. The Companys services are
designed to provide a high quality, lower cost alternative to
prolonged hospitalization for medically fragile children and
adults. The private duty and infusion therapy services are
accredited by the Joint Commission on Accreditation of
Healthcare Organizations (JCAHO). The availability of a wide
array of home care services and products in most of its markets
allows the Company to deliver high quality, cost effective,
single source care to its customers.
Consolidation
The consolidated financial statements include the accounts of
DEI and its wholly owned subsidiaries. DEI is a controlled
entity of the Deaconess Associations, Inc. (DAI).
The entities consolidated herein include:
|
|
|
|
|
Deaconess Enterprises, Inc. (DEI)
|
|
|
|
Deaconess HomeCare, Inc. (DHC)
|
|
|
|
South Mississippi Home Health, Inc. and Subsidiaries
(SMHH)
|
|
|
|
Regional Ambulatory Diagnostics, Inc. (dba DHHC)
|
|
|
|
Elk Valley Professional Affiliates, Inc. and Subsidiaries
(EVPA)
|
|
|
|
Wyoming Valley Home Care, Inc. (WVH)
|
|
|
|
Elk Valley Health Services, Inc. (EVHS)
|
|
|
|
Infusion Partners, Inc. (IP)
|
|
|
|
Knoxville Home Therapies, LLC (KHT)
|
|
|
|
Erwines Home Health Care, Inc. (EHHC)
|
|
|
|
Erwines Private Duty, Inc (EPD)
|
|
|
|
MCH Services Inc. and Subsidiaries (MCH)
|
|
|
|
Mid-State Medical Oxygen and Equipment, Inc. (MSMOE)
|
|
|
|
HSG, Inc. (HSGI)
|
|
|
|
Surgical Plus, Inc. (SPI)
|
As described in Note 2, the assets of EHHC,
EPD and WVH were sold in May 2006. On
December 31, 2006, DEI distributed the stock of EHHC, EPD,
MCH, WVH, MSMOE, HSGI and SPI to DAI. The accompanying
consolidated financial statements reflect these divestitures as
discontinued operations.
All significant intercompany accounts and transactions have been
eliminated in consolidation.
Concentration
of Credit Risk
The Companys principal financial instruments subject to
potential concentration of credit risk are cash and cash
equivalents and accounts receivable. Cash and cash equivalents
are held primarily in a small number
F-107
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
of financial institutions. The Company performs periodic
evaluations of the relative credit standing of these financial
institutions. The concentration of credit risk with respect to
accounts receivable, which are primarily health care industry
related, represent a risk to the Company given the current
health care environment. The risk is somewhat limited due to the
large number of payors including Medicare and Medicaid,
insurance companies, and individuals and the diversity of
geographic locations in which the Company operates. The Company
had $13,270,546 of accounts receivable outstanding related to
Medicare and various state Medicaid programs as of
December 31, 2006. The Company does not believe there are
any significant credit risks associated with the receivables
from Medicare and Medicaid and other state administered programs.
Accounts
Receivable and Allowance for Doubtful Accounts
The Companys accounts receivable consist of amounts owed
by various governmental agencies, insurance companies, and
private patients. Management performs periodic analyses of its
accounts receivable balances to ensure that recorded amounts
reflect net realizable values.
The Companys accounts receivable are reported net of
contractual adjustments. Generally, the Company bills
third-party payors based on the contractual charges or usual and
customary charges for goods and services provided and then
contractually adjusts the revenue down to the anticipated
collectible amount based on the Companys interpretation of
the terms of the applicable managed care contract, fee schedule
or other arrangement with the payor. Due to the complexity of
billing arrangements within the industry in which it operates,
the Company may, from
time-to-time,
receive overpayments from certain payors. The Company has
recorded a liability of $2,665,168 as of December 31, 2006
for liabilities for potential refunds based on estimates derived
from the Companys historical experience and specific
overpayments identified in the cash posting process.
Laws and regulations pertaining to government programs are
complex and subject to interpretation. As a result, there is at
least a reasonable possibility that recorded estimates will
change in the near term. The Company believes that it is in
compliance with all applicable laws and regulations and is not
aware of any pending or threatened investigations involving
allegations of potential wrongdoing. While no such regulatory
inquiries have been made, compliance with such laws and
regulations can be subject to future government review and
interpretation, as well as significant regulatory action,
including fines, penalties, and exclusion from the government
programs.
The Company has established an allowance for doubtful accounts
to report the estimated net realizable amounts to be received
from patients or others. Increases to this reserve are reflected
as a provision for doubtful accounts in the consolidated
statements of income. The Company regularly performs an analysis
of the collectability of accounts receivable and considers such
factors as prior collection experience and the age of the
receivables.
The Company does not require its patients or other payors to
carry collateral for any amounts owed to it for services
provided. Other than as discussed above, its concentration of
credit risk relating to accounts receivable is limited due to
its diversity of patients. Further, the Company generally does
not provide charity care.
F-108
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Property
and Equipment
Property and equipment are stated at cost and are depreciated
using the straight-line method over the related assets
estimated useful life. Maintenance and repairs are charged to
operations as incurred. Estimated useful lives for the principal
asset categories are as follows:
|
|
|
|
|
Useful Life
|
|
Computer hardware and software
|
|
1 to 10 years
|
Furniture, fixtures and equipment
|
|
3 to 10 years
|
Vehicles
|
|
3 to 5 years
|
Leasehold improvements
|
|
Base term of lease or useful life, whichever is shorter
|
Buildings
|
|
40 years
|
Goodwill
Goodwill represents the difference between the costs of acquired
businesses and the fair value of the net assets acquired.
Goodwill is not amortized, rather it is reviewed for impairments
at a reporting unit level on at least an annual basis. No
goodwill impairment charges have been recognized in the periods
presented.
Intangible
Assets
Intangible assets, including certificates of need, licenses,
patient/customer lists, managed care contracts and non-compete
agreements, arising from certain of our acquisitions, are being
amortized on the straight-line basis over the estimated useful
life of each asset, ranging from three to ten years. The value
assigned to each intangible asset at the time of acquisition is
based on an evaluation of the estimated future financial benefit
to be realized from that asset.
Impairment
of Long-lived Assets
The Company assesses potential impairments to its long-lived
assets if events or changes in circumstances indicate that the
carrying amount of an asset may not be recoverable.
Recoverability of assets is measured by a comparison of the
carrying amount of an asset to estimated undiscounted future
cash flows expected to be generated by the asset. If the
carrying amount of an asset exceeds its estimated future cash
flows, an impairment charge is recognized by the amount by which
the carrying amount of the asset exceeds the fair value of the
asset. No asset impairment charges have been recognized in 2006.
Financial
Instruments
The Company has cash and cash equivalents, short-term trade
receivables, trade payables and long-term debt instruments. The
carrying values of cash and cash equivalents, trade receivables
and trade payables approximate fair value. The terms of the
Companys credit agreement include debt with variable
interest rates, totaling $12,941,667 at December 31, 2006.
The carrying value of such debt approximates fair value.
The Company utilizes interest rate swap contracts to manage the
risk associated with fluctuations in interest rates. The
Companys policy is not to utilize financial instruments
for trading or speculative purposes. Interest rate swap
contracts are used to reduce the impact of fluctuating interest
rates on the Companys long-term debt. Under these swap
agreements the Company receives variable interest rate payments
and makes fixed interest rate payments.
F-109
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
Accounting
for Derivative Instruments
The Company accounts for derivative instruments in accordance
with Statement of Financial Accounting Standards (SFAS)
No. 133, Accounting for Derivative Instruments and
Hedging Activities. SFAS No. 133 contains
numerous requirements, including the recognition of derivative
instruments in the financial statements at fair value. The
ineffective portion of a derivatives change in fair value
is immediately recognized in earnings. The Companys
derivatives have been designated as cash flow hedges, and as
such, changes in the fair value of the hedges are recognized in
other comprehensive income until the hedged item is recognized
in earnings.
Self
Insurance
The Company is self-insured up to certain limits for
workers compensation costs and employee medical benefits.
The Company has purchased stop-loss coverage to limit its
exposure to significant individual workers compensation or
employee medical claims. Self-insured losses are accrued for
known and anticipated claims based upon certain actuarial
assumptions and historical claim payment patterns.
Income
Taxes
The liability method is used in accounting for income taxes.
Under this method, deferred tax assets and liabilities are
determined based on differences between financial reporting and
tax bases of assets and liabilities and are measured using the
enacted tax rates and laws that will be in effect when the
differences are expected to reverse.
Net
Revenue
Revenue Recognition and Contractual
Adjustments Patient revenue is recorded in the
period during which the services are provided. These amounts are
directly offset by appropriate adjustments to give recognition
to third-party payor arrangements. Net revenue recognition and
allowances for uncollectible billings require the use of
estimates and any changes in these estimates once known are
reflected in operations.
Infusion therapy and related healthcare services revenue is
reported at the estimated net realizable amounts from patients
and third-party payors for goods sold and services rendered by
the company-owned pharmacies. Revenue is recognized when goods
and/or
services are provided to the patient. The Companys
agreements with payors occasionally specify receipt of a
per diem payment for infusion therapy services that
is provided to patients. This per diem payment
includes a variety of both goods and services provided to the
patient, including, but not limited to, rental of medical
equipment, care coordination services, delivery of goods to the
patient and medical supplies. Per diem revenue is
recognized ratably over the course of the period the services
and goods are provided.
Specialty pharmacy services revenue is reported at the estimated
net realizable amounts from third-party payors and others for
the pharmaceutical products provided to physician, patients, and
pharmacies by our company-owned pharmacies. Specialty pharmacy
services primarily involve the distribution of specialty drugs
to patients homes or physicians offices, and may
also include clinical monitoring of patients and outcomes and
efficacy reporting to the manufacturers of certain products.
Typically, minimal nursing services are provided. Specialty
pharmacy revenue is billed based upon predetermined fee
schedules for the drugs provided, with reimbursement often
indexed to average wholesale price. A small dispensing fee may
also be billed. Revenue is recognized upon confirmation of
delivery of the products to the customer.
Under the Prospective Payment System (PPS) for
Medicare reimbursement, net revenues are recorded based on a
reimbursement rate which varies on the severity of the
patients condition, service needs and certain other
factors; revenue is recognized ratably over a
60-day
episode period. Revenue is subject to
F-110
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
adjustment during this period if there are significant changes
in the patients condition during the treatment period or
if the patient is discharged but readmitted to another agency
within the same
60-day
episodic period. Medicare billings under PPS are initially
recognized as deferred revenue and are subsequently amortized
into revenue over the
60-day
episode period. The process for recognizing revenue under the
Medicare program is based on certain assumptions and judgments,
the appropriateness of the clinical assessment of each patient
at the time of certification, and the level of adjustments to
the fixed reimbursement rate relating to patients who receive a
limited number of visits, have significant changes in condition
or are subject to certain other factors during the episode.
Deferred revenue of approximately $2.5 million relating to
the Medicare PPS program was recorded in other accrued
liabilities in the consolidated balance sheet as of
December 31, 2006.
As of December 31, 2006, the Company had no material
claims, disputes or unsettled matters with third-party payors
nor were there any material pending settlements with third-party
payors. Approximately 64% of the Companys net revenue from
continuing operations for the year ended December 31, 2006
was paid under arrangements with Medicare and Medicaid.
Cost
of Sales
Cost of sales consists of the actual cost of pharmaceuticals and
other medical supplies dispensed to patients and certain
operating costs related to pharmacy operations, nursing and
respiratory services. These costs include employee salary and
benefit costs for the pharmacists, nurses and contracted workers
directly involved in providing service to the patient.
Use of
Estimates
The preparation of the consolidated financial statements in
conformity with accounting principles generally accepted in the
United States of America requires management to make estimates
and assumptions that affect the reported amounts of assets and
liabilities and the disclosure of contingent assets and
liabilities at the date of the financial statements and the
reported amount of net revenue and expenses during the reporting
period. Significant items subject to such estimates and
assumptions include the carrying amount of property and
equipment, intangibles and goodwill; valuation allowances for
receivables and deferred income tax assets; net realizable
revenue amounts; valuation of derivative instruments;
liabilities associated with self-insured employee benefit
programs; and assets and obligations related to employee
benefits. Actual results could differ from those estimates.
Inherent in these estimates is the risk that they will have to
be revised or updated as additional information becomes
available to the Company.
Newly
Issued Accounting Standards
In February 2007, the Financial Accounting Standards Board
(FASB) issued SFAS Statement No. 159,
The Fair Value Option for Financial Assets and Financial
Liabilities Including an amendment of FASB Statement
No. 115. The statement permits entities to choose to
measure many financial instruments and certain other items at
fair value. The objective of the statement is to improve
financial reporting by providing entities with the opportunity
to mitigate volatility in reporting earnings caused by measuring
related assets and liabilities differently without having to
apply complex hedge accounting provisions. The statement is
effective as of the beginning of an entitys first fiscal
year that begins after November 15, 2007. Management is
currently evaluating the statement to determine what impact, if
any, it will have on the Companys financial statements
upon adoption on January 1, 2008.
In September 2006, the FASB issued SFAS 157, Fair Value
Measurements (FAS 157). FAS 157
clarifies the principle that fair value should be based on the
assumptions market participants would use when pricing an asset
or liability and establishes a fair value hierarchy that
prioritizes the information used to develop those
F-111
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
assumptions. Under the standard, fair value measurements would
be separately disclosed by level within the fair value
hierarchy. FAS 157 is effective for financial statements
issued for fiscal years beginning after November 15, 2007
and interim periods within those fiscal years, with early
adoption permitted. The Company has not yet determined the
effect, if any, that the implementation of FAS 157 will
have on the Companys financial statements upon adoption.
In June 2006, the FASB issued Interpretation (FIN)
No. 48, Accounting for Uncertainty in Income
Taxes an interpretation of FASB Statement
No. 109. This standard creates a comprehensive model to
address accounting for uncertainty in tax positions.
FIN No. 48 clarifies the accounting for income taxes
by prescribing a minimum recognition threshold a tax position is
required to meet before being recognized for financial
statements. FIN No. 48 also provides guidance on
measurement, derecognition, classification, interest and
penalties, accounting in interim periods, disclosure, and
transition. The adoption of FIN No. 48 is effective
for fiscal periods beginning after December 15, 2006. There
was not a significant impact to the Companys financial
statements as a result of adopting FIN No. 48.
|
|
2.
|
Business
Acquisitions, Divestiture and Discontinued Operations
|
The Company has acquired a number of businesses, all of which
were recorded using the purchase method of accounting. The
assets acquired and liabilities assumed were recorded at
estimated fair values based on information available and on
current assumptions as to future operations. The results of
operations of the acquired businesses have been included in
consolidated results from their respective acquisition dates.
In May 2006, the Company sold the operations of its EHHC,
EPD and WVH subsidiaries for proceeds of $1,625,000,
consisting of cash of $400,000 and a note receivable of
$1,225,000. The note receivable includes 48 monthly
payments of $20,000, beginning June 1, 2006 with interest
at 8%. There is a final payment of $265,000 due on July 1,
2010.
On December 31, 2006, the Company distributed its stock in
these entities as well as its stock in MCH, HSGI, SPI, and MSMOE
to DAI. The outstanding note receivable received from the sale
of the operations of EHHC, EPD and WVH subsidiaries
was included as part of this dividend.
The operations of these entities is being presented as
discontinued operations for all periods. Summarized balance
sheet information of distributed subsidiaries as of the date of
distribution is as follows:
|
|
|
|
|
Cash
|
|
$
|
294,002
|
|
Accounts receivable, net
|
|
|
3,360,931
|
|
Other current assets
|
|
|
164,090
|
|
Property and equipment
|
|
|
96,324
|
|
Goodwill
|
|
|
4,279,713
|
|
Note receivable
|
|
|
1,085,000
|
|
|
|
|
|
|
Total assets of distributed subsidiaries
|
|
$
|
9,280,060
|
|
|
|
|
|
|
Intercompany payables
|
|
$
|
6,742,165
|
|
All other liabilities
|
|
|
2,008,143
|
|
|
|
|
|
|
|
|
$
|
8,750,308
|
|
|
|
|
|
|
In connection with the distributions, the Company also
distributed to DAI certain intercompany receivables owed by MCH
to the remaining DEI subsidiaries totaling $6,742,165
representing other subsidiaries receivables from MCH.
In connection with the distributions, the Company also
distributed certain tax assets and liabilities that totaled
$1,577,674 related to the subsidiaries and the transaction.
F-112
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
On December 31, 2006, DAI assumed sponsorship of the
Infusion Partners, Inc. Supplemental Executive Compensation Plan
(IPSECP), including the assumption of the rights and
obligations arising under the IPSECP. Reference is made to
Note 9 for further description of the IPSECP. The excess of
the plans liabilities over the plan assets totaled
$214,570 at December 31, 2006 and was distributed to DAI.
In December 2006, the Company declared a $6,000,000 cash
dividend to DAI which was paid in two installments in January
2007. This dividend payable is reflected in other accrued
liabilities in the consolidated balance sheet at
December 31, 2006.
The following are reflected in the accompanying financial
statements as dividends:
|
|
|
|
|
Stockholders equity of distributed subsidiaries
|
|
$
|
529,752
|
|
Other subsidiaries receivables from MCH
|
|
|
6,742,165
|
|
IPSECP net liabilities
|
|
|
(214,570
|
)
|
Tax assets and liabilities
|
|
|
1,577,674
|
|
Cash dividend payable
|
|
|
6,000,000
|
|
|
|
|
|
|
Total dividend
|
|
$
|
14,635,021
|
|
|
|
|
|
|
Included in income (loss) from discontinued operations in the
consolidated statements of income for the years ended
December 31, 2006 are the following:
|
|
|
|
|
|
|
2006
|
|
|
Net revenue
|
|
$
|
30,683,445
|
|
|
|
|
|
|
Operating income (loss)
|
|
$
|
459,100
|
|
|
|
|
|
|
Gain on sale
|
|
$
|
413,175
|
|
|
|
|
|
|
Tax provision (benefit)
|
|
$
|
335,867
|
|
|
|
|
|
|
Income (loss) from discontinued operations
|
|
$
|
503,801
|
|
|
|
|
|
|
In September 2006, the Company acquired certain assets
(primarily inventory and equipment) and the home infusion
business of J.P. Solutions, Inc. (doing business as Home Care
Solutions of Kentucky), a Kentucky-based company, for a purchase
price of $546,281, of which $296,281 was paid in cash and
$250,000 was financed by the seller. Additionally, the seller
may earn an additional $125,000 if the entity achieves certain
financial targets. In connection with the acquisition, the
Company recorded $21,281 of inventory, $40,000 of property and
equipment, $350,000 of intangible assets and $135,000 of
goodwill. The goodwill is not being amortized but is deducted
for tax purposes.
|
|
3.
|
Related
Party Transactions
|
Affiliated entities of the Company include DAI and Deaconess
Management Company. Transactions with DAI include the allocation
of general and administrative expenses which amount to
$1,452,381 for the year ended December 31, 2006, and is
calculated based upon revenues of the Company. The amount of
allocated general and administrative expenses included in
discontinued operations was $306,834 for the year ended
December 31, 2006. The Company had $0 due to DAI at
December 31, 2006.
Reference is made to Note 2 regarding certain distributions
and divestitures from the Company to DAI during 2006.
F-113
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
|
|
4.
|
Property
and Equipment
|
The composition of property and equipment is as follows at
December 31, 2006:
|
|
|
|
|
Computer hardware and software
|
|
$
|
6,372,471
|
|
Furniture, fixtures and equipment
|
|
|
3,569,247
|
|
Vehicles
|
|
|
768,134
|
|
Leasehold improvements
|
|
|
550,529
|
|
Buildings
|
|
|
408,173
|
|
|
|
|
|
|
|
|
|
11,668,554
|
|
Accumulated depreciation and amortization
|
|
|
(8,122,246
|
)
|
|
|
|
|
|
Net property and equipment
|
|
$
|
3,546,308
|
|
|
|
|
|
|
Licenses and noncompete agreements are being amortized over
useful lives of three and five years, respectively. All other
intangible assets are being amortized over ten years.
Amortization expense for intangible assets in each of the next
five years is expected to approximate the following:
|
|
|
|
|
For the Year Ending December 31,
|
|
|
|
|
2007
|
|
$
|
310,021
|
|
2008
|
|
$
|
280,833
|
|
2009
|
|
$
|
280,390
|
|
2010
|
|
$
|
279,120
|
|
2011
|
|
$
|
272,420
|
|
|
|
6.
|
Long-Term
Borrowing Arrangements
|
The Company has a credit facility with a bank that provides for
a $5 million revolving line of credit with interest at
Prime minus
1/2%,
a $17 million note amortized over ten years with a seven
year maturity and a $10 million step-down revolving note
with a ten year term. Both notes bear interest at LIBOR (5.34%
at December 31, 2006) + 131 basis points or
alternative pricing of Prime minus
1/2%.
The rate at December 31, 2006 was 6.7%. The credit facility
is collateralized pursuant to a Security Agreement in all assets
of the Company. Additionally, the $10 million step-down
revolving note ($1,750,000 outstanding at December 31,
2006) is guaranteed by DAI. The Company had no borrowings
outstanding under the revolving line of credit at
December 31, 2006.
The credit facility contains various operating and financial
covenants. The more restrictive of these covenants requires a
debt to earnings before interest, taxes, depreciation and
amortization (EBITDA) ratio not to be greater than 3.0 to 1.0
and cash flow coverage ratio not to be less than 1.2 to 1.0.
The acquisition notes are payable over two years and bear
interest at approximately 4.25% per annum.
F-114
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The following is a schedule of future minimum payments by year
of aggregate long-term debt with a fixed maturity date.
|
|
|
|
|
For the Year Ending December 31,
|
|
|
|
|
2007
|
|
$
|
2,757,400
|
|
2008
|
|
|
2,657,400
|
|
2009
|
|
|
1,707,400
|
|
2010
|
|
|
1,707,400
|
|
2011
|
|
|
1,707,400
|
|
Thereafter
|
|
|
2,736,069
|
|
|
|
|
|
|
|
|
$
|
13,273,069
|
|
|
|
|
|
|
The Company operates principally in leased offices and warehouse
facilities. In addition, certain equipment is leased under
operating leases. Rent expense related to continuing operations
approximated $1.9 million under these leases for the year
ended December 31, 2006.
A summary of the Companys minimum commitments under the
operating leases for the next five years and thereafter is as
follows:
|
|
|
|
|
For the Year Ending December 31,
|
|
|
|
|
2007
|
|
$
|
1,299,366
|
|
2008
|
|
|
604,454
|
|
2009
|
|
|
242,250
|
|
2010
|
|
|
121,944
|
|
2011
|
|
|
96,381
|
|
Thereafter
|
|
|
|
|
|
|
|
|
|
|
|
$
|
2,364,395
|
|
|
|
|
|
|
The income tax provision for the year ended December 31,
2006 is summarized below:
|
|
|
|
|
|
|
2006
|
|
Current:
|
|
|
|
|
Federal
|
|
$
|
4,897,642
|
|
State
|
|
|
1,190,689
|
|
|
|
|
|
|
|
|
|
6,088,331
|
|
Deferred:
|
|
|
|
|
Federal
|
|
|
(117,911
|
)
|
State
|
|
|
(13,870
|
)
|
|
|
|
|
|
|
|
|
(131,781
|
)
|
|
|
|
|
|
Income tax provision
|
|
$
|
5,956,550
|
|
|
|
|
|
|
Income tax expense (benefit) related to income (loss) from
discontinued operations was $335,867 for the year ended
December 31, 2006.
F-115
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
The Company received a one-time tax credit for companies doing
business in areas of the country significantly affected by
Hurricane Katrina. As a result, the income tax provision for
2006 includes a net tax credit of $134,252 for this item.
A reconciliation of the income tax provision for continuing
operations to the statutory federal income tax rate is as
follows:
|
|
|
|
|
|
|
Year Ended
|
|
|
|
December 31, 2006
|
|
Statutory federal income tax rate of 34% applied to pre-tax
income
|
|
$
|
4,830,818
|
|
Permanent differences (meal, penalties, etc.) @ 34%
|
|
|
40,952
|
|
State taxes (state tax @ 66)%
|
|
|
756,276
|
|
Other
|
|
|
328,504
|
|
|
|
|
|
|
|
|
$
|
5,956,550
|
|
|
|
|
|
|
Deferred income taxes reflect the net effect of temporary
differences between the carrying amounts of assets and
liabilities for financial reporting purposes and the amounts
used for income tax purposes. Significant components of the
Companys deferred tax assets and liabilities are as
follows:
|
|
|
|
|
|
|
Year Ended
|
|
|
|
December 31, 2006
|
|
Allowance for doubtful accounts
|
|
$
|
1,814,642
|
|
Net operating loss carryforward
|
|
|
209,843
|
|
Compensation related accruals
|
|
|
599,005
|
|
Interest related accruals
|
|
|
(25,119
|
)
|
Property, equipment and intangibles
|
|
|
139,346
|
|
Service income accrual
|
|
|
(704,201
|
)
|
Other, net
|
|
|
(72,156
|
)
|
|
|
|
|
|
Net deferred tax asset
|
|
$
|
1,961,360
|
|
|
|
|
|
|
Based upon historical and projected levels of taxable income we
believe it is more likely than not that we will realize the
benefits of the deferred tax assets.
Other current assets include income taxes receivable of $45,568
at December 31, 2006. The Company has Federal net operating
loss carry forwards amounting to approximately $617,000 at
December 31, 2006, which expire in 2011. The Federal net
operating loss carry forward is subject to utilization
limitations imposed by Internal Revenue Code Section 382.
|
|
9.
|
Employee
Retirement Plans
|
The Company has a contributory savings plan which qualifies
under Section 401(k) of the Internal Revenue Code, covering
all employees of the Company. Eligible employees may contribute
up to 15% of their annual basis earnings. The Company, at its
discretion, may match employee contributions. Expenses related
to its 401(k) plan amounted to $256,667 in 2006.
In 2006, the Company formed the IPSECP which is a non-qualified
deferred compensation plan available to approximately twenty
employees of IP. The IPSECP provided participants with the
advantage of pre-tax contributions and tax deferred compounding
of interest. The IPSECP had assets, which represent the fair
market value of the investments, of $395,000 and plan
liabilities of $609,570 at December 31, 2006. The Company
recognized $302,352 of expense related to the IPSECP and
transferred $307,218 of previously
F-116
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
recognized benefit liabilities to the plan in 2006 in continuing
operations. As described in Note 2, all assets and
liabilities related to the deferred compensation plan were
distributed to DAI on December 31, 2006.
|
|
10.
|
Commitments
and Contingencies
|
As a result of operating in the healthcare industry, the
Companys business entails an inherent risk of lawsuits
alleging malpractice, product liability or related legal
theories, which can involve large claims and significant defense
costs. The Company is, from time to time, subject to such
litigation arising in the ordinary course of business. The
Company currently maintains professional and commercial
liability insurance intended to cover such claims. As of
December 31, 2006, the insurance coverage is provided under
an occurrence policy which provides, subject to the
terms and conditions of the policy, coverage for claims
occurring during the term of the policy and provides coverage
for losses regardless of when a claim is made including
subsequent to the termination of the policy. Accordingly, claims
based on occurrences during the policy term but asserted
subsequently are insured.
The Company is subject to claims and law suits arising in the
ordinary course of business and provides for contingencies when
they become known and estimable. The Company believes the
ultimate resolution of such current pending legal proceedings
should not have a material adverse effect on the consolidated
financial position or results of operations.
On April 18, 2003, EVPA and its former owner and a former
officer were named in a lawsuit by the US Department of Labor
(DOL). The suit alleged prohibited transactions and
breaches of fiduciary duty by the former owner prior to the
Company acquiring EVPA. The Company settled the allegations in
2006 at a total cost of $325,001 which is reflected in the
accompanying consolidated statement of income in selling,
general and administrative expense.
|
|
11.
|
Derivative
Financial Instruments
|
In January 2005, the Company entered into an interest rate swap
to convert floating rate debt into fixed rate debt to reduce its
exposure to increases in interest rates of the debt under the
Companys credit facility. The interest rate swap expires
in January 2010. The notional amount of the swap at
December 31, 2006 was $7 million. Pursuant to the swap
agreements, the Company pays a fixed rate of 5.89% and receives
a variable rate equal to the three-month LIBOR. The Company had
designated the interest rate swap as a hedge to manage the
fluctuations in cash flows resulting from the interest rate risk
attributable to changes in the LIBOR interest rates of the debt.
The fair value of the contract, net of the income tax impact of
($25,119) is reflected in accumulated other comprehensive income
in the accompanying consolidated statement of stockholders
equity at December 31, 2006.
During 2005, the Company suffered business interruption losses
from the impact of Hurricane Katrina on the Companys
facilities in Louisiana and Mississippi. The Company finalized
the claim against the insurance carrier in 2006, recognizing an
approximate $729,000 gain in other income on the reimbursement
for business interruption losses.
On January 4, 2007, the Company paid cash dividends
totaling $5,350,000 to DAI. On January 5, 2007, the Company
paid an additional cash dividend of $650,000 to DAI, for total
January 2007 distributions of $6,000,000.
On January 8, 2007, DAI sold all of its outstanding stock
in the Company to Critical Homecare Solutions, Inc.
(CHS) for consideration of approximately
$151,860,000. The effective date of the transaction was
January 1, 2007. In connection with the transaction, DAI
paid the outstanding balances of $12,969,528 on the
F-117
DEACONESS
ENTERPRISES, INC. AND SUBSIDIARIES
NOTES TO
CONSOLIDATED FINANCIAL
STATEMENTS (Continued)
bank credit facility and revolving note as well as $75,138 on
the note payable to a former owner and extinguished the related
credit facilities.
In connection with the acquisition of its stock by CHS, the
Company pledged all of its assets as security for and became a
guarantor of CHSs obligations under its amended first and
second lien credit facilities dated January 8, 2007. The
first lien credit facility provides a term note of
$92 million, a $20 million revolving credit facility
and an $8 million delayed draw loan that was fully drawn on
March 14, 2007. The second lien term loan is dated
January 8, 2007, with a principal balance of
$34 million.
On April 16, 2007, the Company terminated its
$7 million notional interest rate swap for proceeds of
$52,382.
On April 11, 2007, the Company sold its healthcare licenses
for two nursing operations in Louisiana for $250,000. In 2006,
these branches generated $600,724 of revenue.
F-118
TABLE OF
CONTENTS
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Page
|
|
|
ARTICLE I DEFINITIONS
|
|
|
A-2
|
|
|
1
|
.1
|
|
|
Definitions
|
|
|
A-2
|
|
|
1
|
.2
|
|
|
Other Capitalized Terms
|
|
|
A-9
|
|
|
1
|
.3
|
|
|
Interpretive Provisions
|
|
|
A-12
|
|
|
|
|
|
|
ARTICLE II THE MERGER
|
|
|
A-12
|
|
|
2
|
.1
|
|
|
The Merger
|
|
|
A-12
|
|
|
2
|
.2
|
|
|
Effective Time
|
|
|
A-13
|
|
|
2
|
.3
|
|
|
Effect of the Merger
|
|
|
A-13
|
|
|
2
|
.4
|
|
|
Certificate of Incorporation; By-Laws
|
|
|
A-13
|
|
|
2
|
.5
|
|
|
Directors and Officers of the Surviving Corporation
|
|
|
A-13
|
|
|
|
|
|
|
ARTICLE III CONVERSION OF SECURITIES; EXCHANGE OF
CERTIFICATES
|
|
|
A-13
|
|
|
3
|
.1
|
|
|
Determination of Merger Consideration
|
|
|
A-13
|
|
|
3
|
.2
|
|
|
Conversion of Common Stock; Cancellation of Series A
Preferred Stock
|
|
|
A-14
|
|
|
3
|
.3
|
|
|
Exchange of Certificates for Common Stock
|
|
|
A-14
|
|
|
3
|
.4
|
|
|
Stock Transfer Books
|
|
|
A-15
|
|
|
3
|
.5
|
|
|
Withholding Taxes
|
|
|
A-15
|
|
|
3
|
.6
|
|
|
Purchase Price Adjustment
|
|
|
A-16
|
|
|
3
|
.7
|
|
|
Treatment of Options and Aggregate Option Consideration
|
|
|
A-17
|
|
|
3
|
.8
|
|
|
Relationship Among the Stockholders
|
|
|
A-19
|
|
|
3
|
.9
|
|
|
Limitation on Cash Consideration Payable to the Stockholders
|
|
|
A-19
|
|
|
|
|
|
|
ARTICLE IV THE CLOSING; TRANSACTIONS TO BE EFFECTED AT THE
CLOSING
|
|
|
A-20
|
|
|
4
|
.1
|
|
|
Closing; Closing Date
|
|
|
A-20
|
|
|
4
|
.2
|
|
|
Transactions to be Effected at the Closing
|
|
|
A-20
|
|
|
|
|
|
|
ARTICLE V REPRESENTATIONS AND WARRANTIES OF THE STOCKHOLDERS
|
|
|
A-21
|
|
|
5
|
.1
|
|
|
Organization
|
|
|
A-21
|
|
|
5
|
.2
|
|
|
Binding Obligations
|
|
|
A-21
|
|
|
5
|
.3
|
|
|
No Defaults or Conflicts
|
|
|
A-21
|
|
|
5
|
.4
|
|
|
No Authorization or Consent Required
|
|
|
A-22
|
|
|
5
|
.5
|
|
|
The Shares
|
|
|
A-22
|
|
|
5
|
.6
|
|
|
Investment Representations
|
|
|
A-22
|
|
|
5
|
.7
|
|
|
Exclusivity of Representations
|
|
|
A-22
|
|
|
|
|
|
|
ARTICLE VI REPRESENTATIONS AND WARRANTIES OF THE COMPANY
|
|
|
A-23
|
|
|
6
|
.1
|
|
|
Organization and Qualification
|
|
|
A-23
|
|
|
6
|
.2
|
|
|
Capitalization of the Company
|
|
|
A-23
|
|
|
6
|
.3
|
|
|
Subsidiaries
|
|
|
A-23
|
|
|
6
|
.4
|
|
|
Binding Obligation
|
|
|
A-24
|
|
|
6
|
.5
|
|
|
No Defaults or Conflicts
|
|
|
A-24
|
|
|
6
|
.6
|
|
|
No Authorization or Consents Required
|
|
|
A-24
|
|
|
6
|
.7
|
|
|
Financial Statements
|
|
|
A-24
|
|
|
6
|
.8
|
|
|
Intellectual Property
|
|
|
A-25
|
|
|
6
|
.9
|
|
|
Compliance with the Laws
|
|
|
A-26
|
|
A-i
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Page
|
|
|
|
6
|
.10
|
|
|
Contracts
|
|
|
A-26
|
|
|
6
|
.11
|
|
|
Litigation
|
|
|
A-27
|
|
|
6
|
.12
|
|
|
Taxes
|
|
|
A-27
|
|
|
6
|
.13
|
|
|
Permits
|
|
|
A-28
|
|
|
6
|
.14
|
|
|
Health Care Programs and Third Party Payor Participation
|
|
|
A-28
|
|
|
6
|
.15
|
|
|
Health Care Regulatory
|
|
|
A-29
|
|
|
6
|
.16
|
|
|
Medicare, Medicaid; Companys Legal and Billing Compliance
|
|
|
A-30
|
|
|
6
|
.17
|
|
|
Employee Benefit Plans
|
|
|
A-32
|
|
|
6
|
.18
|
|
|
Environmental Compliance
|
|
|
A-34
|
|
|
6
|
.19
|
|
|
Insurance
|
|
|
A-34
|
|
|
6
|
.20
|
|
|
Real Property
|
|
|
A-34
|
|
|
6
|
.21
|
|
|
Affiliate Transactions
|
|
|
A-35
|
|
|
6
|
.22
|
|
|
Absence of Certain Changes or Events
|
|
|
A-35
|
|
|
6
|
.23
|
|
|
Labor and Employment Matters
|
|
|
A-35
|
|
|
6
|
.24
|
|
|
Banks; Power of Attorney
|
|
|
A-36
|
|
|
6
|
.25
|
|
|
Corporate Records
|
|
|
A-36
|
|
|
6
|
.26
|
|
|
Accounts Receivable
|
|
|
A-36
|
|
|
6
|
.27
|
|
|
Assets
|
|
|
A-36
|
|
|
6
|
.28
|
|
|
Brokers
|
|
|
A-36
|
|
|
6
|
.29
|
|
|
Absence of Sensitive Payments
|
|
|
A-36
|
|
|
6
|
.30
|
|
|
Exclusivity of Representations
|
|
|
A-37
|
|
|
|
|
|
|
ARTICLE VII REPRESENTATIONS AND WARRANTIES OF THE PARENT
AND MERGER SUB
|
|
|
A-37
|
|
|
7
|
.1
|
|
|
Organization and Qualification
|
|
|
A-37
|
|
|
7
|
.2
|
|
|
Binding Obligation
|
|
|
A-37
|
|
|
7
|
.3
|
|
|
Capitalization of the Parent; Capitalization and Operations of
Merger Sub
|
|
|
A-37
|
|
|
7
|
.4
|
|
|
Board of Directors Approval; Rights Plan; Antitakeover Statute
|
|
|
A-38
|
|
|
7
|
.5
|
|
|
No Defaults or Conflicts
|
|
|
A-39
|
|
|
7
|
.6
|
|
|
No Authorization or Consents Required
|
|
|
A-39
|
|
|
7
|
.7
|
|
|
Financial Statements
|
|
|
A-39
|
|
|
7
|
.8
|
|
|
Absence of Certain Changes or Events
|
|
|
A-39
|
|
|
7
|
.9
|
|
|
Permits; Compliance with Law
|
|
|
A-40
|
|
|
7
|
.10
|
|
|
Absence of Sensitive Payments
|
|
|
A-40
|
|
|
7
|
.11
|
|
|
[Intentionally Omitted]
|
|
|
A-40
|
|
|
7
|
.12
|
|
|
[Intentionally Omitted]
|
|
|
A-40
|
|
|
7
|
.13
|
|
|
Taxes
|
|
|
A-40
|
|
|
7
|
.14
|
|
|
Brokers
|
|
|
A-41
|
|
|
7
|
.15
|
|
|
Sufficient Funds
|
|
|
A-41
|
|
|
7
|
.16
|
|
|
Litigation
|
|
|
A-42
|
|
|
7
|
.17
|
|
|
SEC Filings
|
|
|
A-42
|
|
|
7
|
.18
|
|
|
Health Care/Regulatory Representations and Warranties
|
|
|
A-42
|
|
|
7
|
.19
|
|
|
Employee Benefit Plans
|
|
|
A-42
|
|
|
7
|
.20
|
|
|
Insurance
|
|
|
A-44
|
|
|
7
|
.21
|
|
|
[Intentionally Omitted]
|
|
|
A-44
|
|
A-ii
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Page
|
|
|
|
7
|
.22
|
|
|
Parents Reliance
|
|
|
A-44
|
|
|
7
|
.23
|
|
|
Requisite Vote
|
|
|
A-44
|
|
|
7
|
.24
|
|
|
Investment Company Act
|
|
|
A-44
|
|
|
|
|
|
|
ARTICLE VIII COVENANTS
|
|
|
A-44
|
|
|
8
|
.1
|
|
|
Conduct of Business of the Company; Conduct of the Business of
the Parent
|
|
|
A-44
|
|
|
8
|
.2
|
|
|
Access to Information; Confidentiality; Public Announcements
|
|
|
A-46
|
|
|
8
|
.3
|
|
|
Filings and Authorizations; Consummation
|
|
|
A-47
|
|
|
8
|
.4
|
|
|
Resignations
|
|
|
A-48
|
|
|
8
|
.5
|
|
|
Further Assurances
|
|
|
A-48
|
|
|
8
|
.6
|
|
|
Reserved
|
|
|
A-49
|
|
|
8
|
.7
|
|
|
Letters of Credit
|
|
|
A-49
|
|
|
8
|
.8
|
|
|
Termination of Affiliate Obligations
|
|
|
A-49
|
|
|
8
|
.9
|
|
|
Exclusivity
|
|
|
A-49
|
|
|
8
|
.10
|
|
|
Waiver of Conflicts Regarding Representation
|
|
|
A-49
|
|
|
8
|
.11
|
|
|
Employee Matters
|
|
|
A-50
|
|
|
8
|
.12
|
|
|
Restrictive Covenants
|
|
|
A-50
|
|
|
8
|
.13
|
|
|
Indemnification; Directors and Officers Insurance
|
|
|
A-51
|
|
|
8
|
.14
|
|
|
Proxy Statement; Special Meeting
|
|
|
A-52
|
|
|
8
|
.15
|
|
|
Other Actions
|
|
|
A-53
|
|
|
8
|
.16
|
|
|
Required Information
|
|
|
A-53
|
|
|
8
|
.17
|
|
|
Reserved
|
|
|
A-53
|
|
|
8
|
.18
|
|
|
Reserved
|
|
|
A-53
|
|
|
8
|
.19
|
|
|
No Securities Transactions
|
|
|
A-53
|
|
|
8
|
.20
|
|
|
Qualification as a Reorganization
|
|
|
A-53
|
|
|
8
|
.21
|
|
|
Tax Matters
|
|
|
A-53
|
|
|
8
|
.22
|
|
|
Parents Financing Obligations
|
|
|
A-54
|
|
|
8
|
.23
|
|
|
Reserved
|
|
|
A-54
|
|
|
8
|
.24
|
|
|
Parent Board of Directors
|
|
|
A-54
|
|
|
8
|
.25
|
|
|
Additional Actions
|
|
|
A-54
|
|
|
|
|
|
|
ARTICLE IX CONDITIONS PRECEDENT TO OBLIGATIONS OF THE PARENT
|
|
|
A-55
|
|
|
9
|
.1
|
|
|
Representations and Warranties Accurate
|
|
|
A-55
|
|
|
9
|
.2
|
|
|
Performance
|
|
|
A-55
|
|
|
9
|
.3
|
|
|
Officers Certificate
|
|
|
A-55
|
|
|
9
|
.4
|
|
|
HSR Act; Legal Prohibition
|
|
|
A-55
|
|
|
9
|
.5
|
|
|
Payoff Letters
|
|
|
A-55
|
|
|
9
|
.6
|
|
|
FIRPTA Affidavit
|
|
|
A-55
|
|
|
9
|
.7
|
|
|
Required Consents
|
|
|
A-55
|
|
|
9
|
.8
|
|
|
Secretarys Certificates
|
|
|
A-55
|
|
|
9
|
.9
|
|
|
Escrow Agreement
|
|
|
A-55
|
|
|
9
|
.10
|
|
|
Stockholder Approval
|
|
|
A-55
|
|
|
9
|
.11
|
|
|
New Parent Stockholders Agreement
|
|
|
A-56
|
|
|
9
|
.12
|
|
|
Debt Financing
|
|
|
A-56
|
|
|
9
|
.13
|
|
|
Tax Opinion
|
|
|
A-56
|
|
A-iii
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Page
|
|
|
|
9
|
.14
|
|
|
Audited Financial Statements
|
|
|
A-56
|
|
|
9
|
.15
|
|
|
Accountants Consents
|
|
|
A-56
|
|
|
9
|
.16
|
|
|
Applicable Stock Value
|
|
|
A-56
|
|
|
|
|
|
|
ARTICLE X CONDITIONS PRECEDENT TO OBLIGATIONS OF THE COMPANY
|
|
|
A-56
|
|
|
10
|
.1
|
|
|
Representations and Warranties Accurate
|
|
|
A-56
|
|
|
10
|
.2
|
|
|
Performance
|
|
|
A-56
|
|
|
10
|
.3
|
|
|
Officer Certificate
|
|
|
A-56
|
|
|
10
|
.4
|
|
|
HSR Act; Legal Prohibition
|
|
|
A-56
|
|
|
10
|
.5
|
|
|
Escrow Agreement
|
|
|
A-57
|
|
|
10
|
.6
|
|
|
Stockholder Approval
|
|
|
A-57
|
|
|
10
|
.7
|
|
|
Required Consents
|
|
|
A-57
|
|
|
10
|
.8
|
|
|
Secretarys Certificate
|
|
|
A-57
|
|
|
10
|
.9
|
|
|
New Parent Stockholders Agreement
|
|
|
A-57
|
|
|
10
|
.10
|
|
|
Debt Financing
|
|
|
A-57
|
|
|
10
|
.11
|
|
|
Parent Stock Price
|
|
|
A-57
|
|
|
10
|
.12
|
|
|
Tax Opinion
|
|
|
A-57
|
|
|
|
|
|
|
ARTICLE XI TERMINATION
|
|
|
A-57
|
|
|
11
|
.1
|
|
|
Termination
|
|
|
A-57
|
|
|
11
|
.2
|
|
|
Survival After Termination
|
|
|
A-58
|
|
|
11
|
.3
|
|
|
Termination Expenses
|
|
|
A-58
|
|
|
|
|
|
|
ARTICLE XII INDEMNIFICATION
|
|
|
A-58
|
|
|
12
|
.1
|
|
|
Survival
|
|
|
A-58
|
|
|
12
|
.2
|
|
|
Indemnification by the Stockholders; Indemnification by the
Parent
|
|
|
A-59
|
|
|
12
|
.3
|
|
|
Limitations on Indemnification; Escrow Account
|
|
|
A-59
|
|
|
12
|
.4
|
|
|
Indemnification Claim Process
|
|
|
A-61
|
|
|
12
|
.5
|
|
|
Indemnification Procedures for Non-Third Party Claims
|
|
|
A-62
|
|
|
12
|
.6
|
|
|
Exclusive Remedy
|
|
|
A-62
|
|
|
12
|
.7
|
|
|
Tax; Insurance; Other Indemnification
|
|
|
A-62
|
|
|
12
|
.8
|
|
|
Tax Treatment of Indemnity Payments
|
|
|
A-63
|
|
|
|
|
|
|
ARTICLE XIII TAX INDEMNITY AND PROCEDURES
|
|
|
A-63
|
|
|
13
|
.1
|
|
|
Indemnification
|
|
|
A-63
|
|
|
13
|
.2
|
|
|
Tax Returns
|
|
|
A-64
|
|
|
13
|
.3
|
|
|
Cooperation
|
|
|
A-64
|
|
|
13
|
.4
|
|
|
Contests
|
|
|
A-65
|
|
|
13
|
.5
|
|
|
Refunds
|
|
|
A-65
|
|
|
13
|
.6
|
|
|
Tax Elections
|
|
|
A-65
|
|
|
|
|
|
|
ARTICLE XIV MISCELLANEOUS
|
|
|
A-65
|
|
|
14
|
.1
|
|
|
Expenses
|
|
|
A-65
|
|
|
14
|
.2
|
|
|
Amendment
|
|
|
A-66
|
|
|
14
|
.3
|
|
|
Entire Agreement
|
|
|
A-66
|
|
|
14
|
.4
|
|
|
Headings
|
|
|
A-66
|
|
|
14
|
.5
|
|
|
Notices
|
|
|
A-66
|
|
A-iv
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Page
|
|
|
|
14
|
.6
|
|
|
Exhibits and Schedules
|
|
|
A-67
|
|
|
14
|
.7
|
|
|
Waiver
|
|
|
A-67
|
|
|
14
|
.8
|
|
|
Binding Effect; Assignment
|
|
|
A-67
|
|
|
14
|
.9
|
|
|
No Third Party Beneficiary
|
|
|
A-67
|
|
|
14
|
.10
|
|
|
Counterparts
|
|
|
A-67
|
|
|
14
|
.11
|
|
|
Release
|
|
|
A-67
|
|
|
14
|
.12
|
|
|
Governing Law and Jurisdiction
|
|
|
A-68
|
|
|
14
|
.13
|
|
|
Consent to Jurisdiction and Service of Process
|
|
|
A-68
|
|
|
14
|
.14
|
|
|
WAIVER OF JURY TRIAL
|
|
|
A-68
|
|
|
14
|
.15
|
|
|
Conveyance Taxes
|
|
|
A-68
|
|
|
14
|
.16
|
|
|
Specific Performance
|
|
|
A-68
|
|
|
14
|
.17
|
|
|
Severability
|
|
|
A-68
|
|
ANNEXES AND
EXHIBITS
|
|
|
|
|
Annex A
|
|
Stockholders and Shares
|
|
|
Annex B
|
|
List of Optionholders, Number of Options and Exercise Price
|
|
|
Annex C
|
|
Stockholder Percentage
|
|
|
Annex D
|
|
List of Warrantholders and Number of Warrants
|
|
|
Exhibit A
|
|
Form of Escrow Agreement
|
|
|
Exhibit B
|
|
Voting Agreement
|
|
|
Exhibit C
|
|
Form of CHS Stockholder Approval Unanimous Consent
|
|
|
Exhibit D
|
|
New Parent Stockholders Agreement
|
|
|
Exhibit E
|
|
Form of Warrant Agreement
|
|
|
SCHEDULES
|
|
|
|
|
Schedule 1.1(a)
|
|
Knowledge of the Parent
|
|
|
Schedule 1.1(b)
|
|
Knowledge of the Company
|
|
|
Schedule 1.2
|
|
Permitted Encumbrances
|
|
|
Schedule 3.7
|
|
Optionholders
|
|
|
Schedule 5.3
|
|
Stockholder Defaults or Conflicts
|
|
|
Schedule 5.4
|
|
Authorizations or Consents Required by Stockholders
|
|
|
Schedule 5.5
|
|
Stockholder Ownership of Company Capital Stock
|
|
|
Schedule 6.1
|
|
Foreign Qualifications
|
|
|
Schedule 6.2
|
|
Company Capitalization
|
|
|
Schedule 6.3
|
|
Company Subsidiary
|
|
|
Schedule 6.5
|
|
Company Defaults or Conflicts
|
|
|
Schedule 6.6
|
|
Authorizations or Consents Required by Company
|
|
|
Schedule 6.7(d)
|
|
Earn-Out Arrangements
|
|
|
Schedule 6.7(e)
|
|
Auditor Notifications
|
|
|
Schedule 6.8(a)
|
|
Intellectual Property Rights
|
|
|
Schedule 6.8(b)
|
|
Exceptions to Intellectual Property Rights
|
|
|
Schedule 6.8(e)
|
|
Violation of Intellectual Property Rights
|
|
|
Schedule 6.9
|
|
Compliance with Laws
|
|
|
A-v
|
|
|
|
|
Schedule 6.10(a)
|
|
Contracts
|
|
|
Schedule 6.10(b)
|
|
Indemnification Claims
|
|
|
Schedule 6.11
|
|
Litigation
|
|
|
Schedule 6.12
|
|
Taxes
|
|
|
Schedule 6.13
|
|
Permits
|
|
|
Schedule 6.14(a)
|
|
Programs; Program Agreements
|
|
|
Schedule 6.14(b)
|
|
Third Party Payor Contracts
|
|
|
Schedule 6.15(a)
|
|
Pending Program Participations/Enrollments
|
|
|
Schedule 6.15(b)
|
|
Pending Reimbursement Audits/Appeals
|
|
|
Schedule 6.16(f)
|
|
Company Reimbursement Approvals
|
|
|
Schedule 6.16(g)
|
|
Health Care Audits
|
|
|
Schedule 6.16(i)(ii)
|
|
HIPAA Complaints
|
|
|
Schedule 6.16(j)
|
|
Health Care Licenses
|
|
|
Schedule 6.17(a)
|
|
Company Benefit Plans
|
|
|
Schedule 6.17(b)
|
|
Exceptions to Qualified Plans
|
|
|
Schedule 6.17(d)
|
|
Multiemployer Plans
|
|
|
Schedule 6.17(e)
|
|
Exceptions to Company Benefit Plan Compliance
|
|
|
Schedule 6.17(f)
|
|
Acceleration
|
|
|
Schedule 6.18
|
|
Environmental Compliance
|
|
|
Schedule 6.20(a)(i)
|
|
Owned Real Property
|
|
|
Schedule 6.20(a)(ii)
|
|
Owned Real Property Title; Owned Property Leases;
Options
|
|
|
Schedule 6.20(a)(iii)
|
|
Owned Real Property Condition
|
|
|
Schedule 6.20(b)
|
|
Leased Real Property
|
|
|
Schedule 6.21
|
|
Affiliate Transactions
|
|
|
Schedule 6.22
|
|
Certain Changes or Events
|
|
|
Schedule 6.24
|
|
Banks; Power of Attorney
|
|
|
Schedule 7.3
|
|
Parent Capitalization
|
|
|
Schedule 7.5
|
|
Parent Defaults or Conflicts
|
|
|
Schedule 7.6
|
|
Authorizations or Consents Required by Parent
|
|
|
Schedule 7.7(d)
|
|
Auditor Notifications
|
|
|
Schedule 7.9(b)
|
|
Compliance with Laws
|
|
|
Schedule 7.13
|
|
Taxes
|
|
|
Schedule 7.16
|
|
Litigation
|
|
|
Schedule 7.19(a)
|
|
Parent Benefit Plans
|
|
|
Schedule 7.19(b)
|
|
Parent Benefit Plan Qualifications
|
|
|
Schedule 7.19(d)
|
|
Multiemployer Plans
|
|
|
Schedule 7.19(e)
|
|
Exceptions to Parent Benefit Plan Compliance
|
|
|
Schedule 7.19(f)
|
|
Acceleration
|
|
|
Schedule 8.1(a)
|
|
Conduct of Business of the Company
|
|
|
Schedule 8.1(b)
|
|
Conduct of Business of the Parent
|
|
|
Schedule 8.7
|
|
Letters of Credit
|
|
|
Schedule 8.25
|
|
Additional Actions
|
|
|
Schedule 9.7
|
|
Company Required Consents
|
|
|
Schedule 10.7
|
|
Parent Required Consents
|
|
|
A-vi
AGREEMENT
AND PLAN OF MERGER
This AGREEMENT AND PLAN OF MERGER is dated as of
January 24, 2010 (this Agreement) by and
among BioScrip, Inc., a Delaware corporation (the
Parent), Camelot Acquisition Corp., a
Delaware corporation (Merger Sub), Critical
Homecare Solutions Holdings, Inc., a Delaware corporation (the
Company), Kohlberg Investors V, L.P.
(the Stockholders Representative),
solely in its capacity as the Stockholders Representative
hereunder, and Kohlberg Partners V, L.P., a Delaware
limited partnership, Kohlberg Offshore Investors V, L.P., a
Delaware limited partnership, Kohlberg TE Investors V,
L.P., a Delaware limited partnership, KOCO Investors V,
L.P., a Delaware limited partnership, Robert Cucuel, Mary Jane
Graves, Nitin Patel, Joey Ryan, Blackstone Mezzanine
Partners II L.P., a Delaware limited partnership,
Blackstone Mezzanine Holdings II L.P., a Delaware limited
partnership, and S.A.C. Domestic Capital Funding, Ltd., a Cayman
Islands limited company (collectively and together with the
Stockholders Representative, the
Stockholders), solely for the purposes
specified on the signature pages hereto.
RECITALS
WHEREAS, upon the terms and subject to the conditions of this
Agreement and in accordance with the General Corporation Law of
the State of Delaware (the DGCL), the Parent,
Merger Sub and the Company intend to enter into a business
combination transaction by means of a merger between Merger Sub
and the Company, in which the Company will merge with and into
Merger Sub, with Merger Sub as the surviving entity (the
Merger);
WHEREAS, the respective boards of directors of the Parent and
Merger Sub have, by resolutions duly adopted, approved and
adopted this Agreement and deemed this Agreement and the
transactions contemplated hereby (including the Merger)
advisable and fair to and in the best interests of their
respective stockholders, and recommend the approval by the
Parents stockholders of this Agreement, including the
Merger and the transactions contemplated by this Agreement;
WHEREAS, the board of directors of the Company has, by
resolutions duly adopted, approved and adopted this Agreement
and deemed this Agreement and the transactions contemplated
hereby (including the Merger) advisable and fair to and in the
best interests of the Company and its stockholders, and
recommended the approval by the Companys stockholders of
this Agreement, including the Merger and the transactions
contemplated by this Agreement;
WHEREAS, the Parent, as the sole stockholder of Merger Sub, has
approved the Merger and the transactions contemplated hereby in
accordance with this Agreement;
WHEREAS, Robert Cucuel (Cucuel) acknowledges
that he has become familiar with the Companys trade
secrets and other confidential information concerning the
Company and that his services have been of special, unique and
extraordinary value to the Company and thus, as an integral part
of the Merger Agreement, including the sale of Cucuels
ownership interests in the Company, and in order to adequately
protect the interests of the Parent and the Surviving
Corporation, Cucuel agrees to be bound by certain restrictive
covenants as set forth herein;
WHEREAS, concurrently with the execution of this Agreement,
certain stockholders of the Parent are entering into voting
agreements with the Parent, the Company and the
Stockholders Representative, the form of which is attached
hereto as Exhibit B, pursuant to which such
stockholders have agreed to vote their shares of Parents
Stock in favor of the Merger and the other transactions
contemplated hereby, in each case in accordance with the terms
and conditions of this Agreement (the Voting
Agreements);
WHEREAS, immediately following the execution and delivery of
this Agreement by the parties hereto, the Company shall secure
the necessary approval of its stockholders by promptly obtaining
an executed unanimous written consent in the form of
Exhibit C from all holders of capital securities of
the Company entitled to vote on this Agreement and the Merger in
accordance with the DGCL (the CHS Stockholder
Approval); and
WHEREAS, the parties intend that the Merger qualify as a
reorganization pursuant to Section 368(a) of
the Code (as defined below);
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NOW, THEREFORE, in consideration of the foregoing, the
representations, warranties, covenants and agreements contained
herein and for other good and valuable consideration, the
receipt and sufficiency of which are hereby acknowledged, the
parties hereto hereby agree as follows:
ARTICLE I
DEFINITIONS
1.1 Definitions. The following terms,
whenever used herein, shall have the following meanings for all
purposes of this Agreement.
Accounting Methodology means the GAAP methods
and practices utilized in preparing the Interim Balance Sheet,
applied on a consistent basis.
Acknowledgement of Liability Certificate
means a written certificate pursuant to which the Indemnitor
certifies to the Indemnitee in writing that, if a specific Third
Party Claim were resolved in the favor of such third party
claimant, the Indemnitee would be entitled to be indemnified
from and against any Losses with respect to such Third Party
Claim in accordance with the terms and limitations set forth in
this Agreement.
Affiliate means, as to any Person,
(a) any Person which directly or indirectly controls, is
controlled by, or is under common control with such Person, and
(b) any Person who is a director, officer, partner or
principal of such Person or of any Person which directly or
indirectly controls, is controlled by, or is under common
control with such Person. For purposes of this definition,
control of a Person shall mean the power, direct or
indirect, to direct or cause the direction of the management and
policies of such Person whether by ownership of voting stock, by
contract or otherwise.
Antitrust Laws means the HSR Act, the Sherman
Act, as amended, the Clayton Act, as amended, the Federal Trade
Commission Act, as amended, and any other United States federal
or state or foreign statutes, rules, regulations, orders,
decrees, administrative or judicial doctrines or other laws that
are designed to prohibit, restrict or regulate actions having
the purpose or effect of monopolization or restraint of trade.
Assumed Indebtedness means all Indebtedness
of the Company and the Company Subsidiaries existing immediately
prior to the Closing that is not being repaid at the Closing
under Section 4.2 hereof.
Bank shall have the meaning as set forth in
the definition of First Lien Credit Agreement.
Benefit Plan means any employee benefit
plan as defined in ERISA Section 3(3), including any
retirement plan or arrangement which is an employee pension
benefit plan (as defined in ERISA Section 3(2)), any
employee welfare benefit plan (as defined in ERISA
Section 3(1)) and any deferred compensation, stock
purchase, stock option, severance pay, employment, change in
control, retention, vacation pay, salary continuation,
disability, sick leave, bonus or other incentive compensation,
life insurance or other employee benefit plan, contract,
program, policy or other arrangement, whether funded or
unfunded, written or oral or qualified or not qualified under
Section 401(a) of the Code.
Business Day means any day that is not a
Saturday, Sunday or other day on which banking institutions in
New York, New York are authorized or required by law or
executive order to close.
Cash Consideration at Closing means
(i) $110,000,000, plus (ii) one half (1/2) of
the excess, if any, of (x) $132,000,000 over (y) the
Estimated Company Net Indebtedness Amount minus
(iii) the sum of (A) the amount of Company Expenses,
(B) the Preferred Liquidation Amount and (C) the
excess, if any, of (1) Estimated Company Net Indebtedness
Amount over (2) $132,000,000.
CHS Stockholders Agreement means that certain
Amended and Restated Stockholders Agreement, dated
January 8, 2007, as amended by that certain Amendment
No. 1 to Amended and Restated Stockholders Agreement, dated
November 9, 2007 by and among KCHS Holdings, Inc., Kohlberg
Investors V, L.P., Kohlberg Partners V, L.P., Kohlberg
Offshore Investors V, L.P., Kohlberg TE Investors V,
L.P., KOCO Investors V, L.P., Blackstone Mezzanine Partners
II, L.P., Robert Cucuel, Mary Jane Graves, and Nitin Patel.
Code means the Internal Revenue Code of 1986,
as amended.
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Commitment Letter means the commitment
letter, dated as of the date hereof, between Parent and
Jefferies, including all exhibits, annexes and attachments
thereto.
Common Stock means the common stock,
$0.001 par value, of the Company.
Company Cash means all cash and cash
equivalents of the Company and the Company Subsidiaries existing
as of the Closing Date as determined in accordance with GAAP.
Company Financial Statements means,
collectively, means (i) the audited consolidated balance
sheet of the Company and the Company Subsidiaries as of
December 31, 2006, December 31, 2007 and
December 31, 2008, and the related audited consolidated
statements of income, shareholders equity and cash flows
of the Company and the Company Subsidiaries for the years then
ended, together with the notes and schedules thereto;
(ii) the unaudited consolidated balance sheet of the
Company and the Company Subsidiaries as of September 30,
2009 (the Interim Balance Sheet) and the
related unaudited consolidated statements of income,
shareholders equity and cash flows of the Company and the
Company Subsidiaries for the nine (9) months ended
September 30, 2008 and September 30, 2009,
(iii) the audited consolidated balance sheet of Specialty
Pharma, Inc. as of August 31, 2006, and the related audited
consolidated statements of income, shareholders deficit
and cash flows of Specialty Pharma, Inc. for the period from
January 1, 2006 to August 1, 2006, together with the
notes and schedules thereto; (iv) the audited balance sheet
of New England Home Therapies, Inc. as of August 31, 2006,
and the related audited statements of income, shareholders
equity and cash flows of New England Home Therapies, Inc. for
the period from January 1, 2006 to August 31, 2006,
together with the notes and schedules thereto; and (v) the
audited consolidated balance sheet of Deaconess Enterprises,
Inc. as of December 31, 2006, and the related audited
consolidated statements of income, stockholders equity and
cash flows of Deaconess Enterprises, Inc. for the year ended
December 31, 2006, together with the notes and schedules
thereto.
Company Material Adverse Effect means a
material adverse effect on the business, results of operations,
properties or assets of the Company and the Company
Subsidiaries, taken as a whole; provided, however,
that Company Material Adverse Effect shall not
include the impact on such business, results of operations,
properties or assets arising out of or attributable to
(i) general economic conditions affecting the United States
that do not disproportionately affect the Company and the
Company Subsidiaries (taken as a whole) relative to other
businesses in the industries in which the Company and the
Company Subsidiaries operate (including any effects or
conditions resulting from an outbreak or escalation of
hostilities, acts of terrorism, political instability or other
national or international calamity, crisis or emergency, or any
governmental or other response to any of the foregoing, in each
case whether or not involving the United States),
(ii) effects arising from changes in laws or GAAP,
(iii) effects relating to the announcement of the execution
of this Agreement or the transactions contemplated hereby,
(iv) failure of the Company and the Company Subsidiaries to
meet any financial projections or forecasts, and
(v) effects resulting from compliance with the terms and
conditions of this Agreement by the Company. For the avoidance
of doubt, a Company Material Adverse Effect shall not be
measured against financial projections or forecasts of the
Company or the Company Subsidiaries.
Company Net Indebtedness means (a) all
Indebtedness of the Company and the Company Subsidiaries
minus (b) all Company Cash, in each case existing as
of the Closing Date.
Company Stock Option Plan means the Critical
Homecare Solutions Holdings, Inc. 2006 Equity Incentive Plan, as
amended.
Confidentiality Agreement means the
Confidentiality Agreement, dated October 13, 2009, by and
between the Company and the Parent.
Confidential Information has the meaning
given such term in the Confidentiality Agreement.
Credit Agreements means, collectively, the
First Lien Credit Agreement and the Second Lien Credit Agreement.
Credit Agreements Payoff Amount means the
aggregate amount of outstanding principal and accrued but unpaid
interest, fees and other amounts payable (including any
prepayment penalties) as of the close of business in New York,
New York on the Closing Date in respect of the Credit Agreements.
date hereof means the date of this Agreement.
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Debt Financing means the financing
contemplated by the Debt Financing Documents for the purpose of
funding the transactions contemplated by this Agreement.
Debt Financing Documents means (a) the
Commitment Letter, (b) the fee letter, dated as of the date
hereof, among the Parent, Jefferies and Jefco (the Fee
Letter) and (c) the engagement letter, dated as
of November 21, 2009, between Parent and Jefco (the
Engagement Letter), including, in the case of
each of (a), (b) and (c), any exhibits, annexes and
attachments thereto.
Encumbrance means any and all liens,
encumbrances, charges, mortgages, options, pledges, restrictions
on transfer, security interests, hypothecations, easements,
rights-of-way
or encroachments of any nature whatsoever, whether voluntarily
incurred or arising by operation of law.
Environment means soil, fill material, the
land surface, or any other surface or subsurface strata,
features, sediment, or material; surface waters, groundwater,
wetlands, drinking water supplies or sources, or any other water
bodies or other water features; any other natural resources or
environmental features; outdoor air; any other environmental
medium, environmental condition, or natural resource not
described above; all biota, flora, and fauna; and any biota,
flora, or fauna living in, on, or about any of the foregoing
described above.
Environmental Laws means any applicable and
binding Laws arising under or in connection with
(i) protection, conservation or regulation of the
Environment (including concerning any and all environmental
media) or any Hazardous Material (including those that are
located at, on, under, from, about, adjacent to, or near the
Owned Real Property or the Leased Real Property), (ii) the
conservation, management, or use of natural resources and
wildlife, (iii) the management, manufacture, possession,
handling, presence, use, generation, transportation, treatment,
storage, release, threatened release, investigation, assessment,
abatement, corrective action, removal, or remediation of, or
exposure to, Hazardous Material or (iv) the protection or
use of surface water, groundwater, or other water bodies or
other water features.
ERISA means the Employee Retirement Income
Security Act of 1974.
Escrow Account means the account(s)
established by the Escrow Agent for purposes of holding the
Escrow Amount.
Escrow Agent means U.S. Bank National
Association.
Escrow Agreement means the escrow agreement
entered into among the Parent, the Stockholders
Representative and the Escrow Agent on the Closing Date, in form
attached as Exhibit A hereto.
Escrow Amount means such number of shares of
Parents Stock having an aggregate value (with each share
of Parents Stock valued at the Parent Stock Value) equal
to $22,500,000, which shall be used solely for the purposes set
forth in Sections 3.6(c), 12.2(a) and 13.1(a).
Escrow Fund means the Escrow Fund established
pursuant to the Escrow Agreement excluding any dividends (other
than stock dividends and stock splits) or other amounts earned
thereon.
Estimated Purchase Price shall be equal to:
(i) $350,000,000,
(ii) minus the sum of:
(A) the amount of Company Expenses;
(B) the Estimated Company Net Indebtedness Amount;
(C) the Preferred Liquidation Amount;
(D) the Escrow Amount; and
(E) the Aggregate Option Consideration.
The Estimated Purchase Price shall be subject to adjustment
following the Closing pursuant to Section 3.6 hereof
(the Estimated Purchase Price as so adjusted, the Final
Purchase Price).
A-4
Exchange Act means the Securities Exchange
Act of 1934, as amended.
Exercise Price means the applicable exercise
price payable to the Company by an Optionholder upon the
exercise of each Option to purchase one share of Common Stock
pursuant to an Option Agreement.
First Lien Credit Agreement means the Amended
and Restated First Lien Credit Agreement, dated as of
January 8, 2007, by and among Critical Homecare Solutions,
Inc., KCHS Holdings, Inc., the other guarantors party thereto,
the lenders party thereto, Jefferies Finance LLC (the
Bank), Churchill Financial LLC, and Merrill
Lynch Capital, as amended by the First Amendment to Amended and
Restated First Lien Credit Agreement and First Amendment to
Security Agreement and Consent to Amendment to Intercreditor
Agreement, dated as of July 25, 2007, among Critical
Homecare Solutions, Inc., KCHS Holdings, Inc., the subsidiary
guarantors party thereto, the lenders party thereto and the
agents party thereto (as amended, modified and supplemented from
time to time).
GAAP means United States generally accepted
accounting principles.
Governmental Authority means any nation or
government, any state, province, municipal or other political
subdivision thereof, any entity exercising executive,
legislative, judicial, regulatory or administration functions of
or pertaining to government, or any government authority,
agency, department, board, tribunal, commission or
instrumentality of the United State of America, any foreign
government, any state of the United States of America, or any
municipality or other political subdivision thereof, and any
court, tribunal or arbitrator(s) of competent jurisdiction, and
any governmental or non-governmental self-regulatory
organization, agency or authority.
Hazardous Material means toxic substances,
hazardous substances, pollutants, contaminants, petroleum and
its derivatives, hazardous wastes and any other substance,
waste, or material regulated by any Environmental Laws.
HIPAA means the Health Insurance Portability
and Accountability Act of 1996, as codified at 42 U.S.C.
§ 1320d.
HSR Act means the
Hart-Scott-Rodino
Antitrust Improvements Act of 1976.
Indebtedness means, of any Person, without
duplication, (i) indebtedness for borrowed money or
indebtedness issued or incurred in substitution or exchange for
indebtedness for borrowed money, (ii) indebtedness
evidenced by any note, bond, debenture, mortgage or other debt
instrument or debt security, (iii) obligations under any
interest rate, currency or other currency hedging agreement,
(iv) obligations under any performance bond or letter of
credit, but only to the extent drawn or called prior to the
Closing Date, (v) all capitalized lease obligations as
determined under GAAP, (vi) guarantees with respect to any
indebtedness of any other Person of a type described in
clauses (i) through (v) above, (vii) for
clauses (i) through (vi) above, all accrued interest
thereon, if any, and any termination fees, prepayment penalties,
breakage cost or similar payments associated with
the repayments of such Indebtedness on the Closing Date. For the
avoidance of doubt, Indebtedness shall not include (A) any
obligations under any performance bond or letter of credit to
the extent undrawn or uncalled, (B) any intercompany
Indebtedness between the Company and any Company Subsidiary,
(C) any Indebtedness incurred by the Parent and its
Affiliates (and subsequently assumed by the Company or any
Company Subsidiary) on the Closing Date, (D) any
endorsement of negotiable instruments for collection in the
ordinary course of business, (E) any deferred revenue,
(F) any liability or obligation with respect to deferred
Taxes and (G) any earnout arrangements.
Indemnitor means any party hereto from which
any Indemnitee is seeking indemnification pursuant to the
provisions of this Agreement.
Institutional Stockholders means Blackstone
Mezzanine Partners II L.P., Blackstone Mezzanine
Holdings II L.P. and S.A.C. Domestic Capital Funding, Ltd.
Interim Balance Sheet has the meaning set
forth in the definition of Company Financial Statements.
IRS means the United States Internal Revenue
Service.
Jefco means Jefferies & Company,
Inc., a Delaware corporation.
Jefferies means Jefferies Finance LLC, a
Delaware limited liability company.
A-5
knowledge of the Parent or any similar phrase
means the actual knowledge or awareness of the individuals
identified on Schedule 1.1(a), and the knowledge or
awareness that each such person would have obtained after
reasonable inquiry of only those employees reporting directly to
such person.
knowledge of the Company or any similar
phrase means the actual knowledge or awareness of the
individuals identified on Schedule 1.1(b), and the
knowledge or awareness that each such person would have obtained
after reasonable inquiry of only those employees reporting
directly to such person.
Kohlberg Entities means Kohlberg
Investors V, L.P., Kohlberg TE Investors V, L.P.,
Kohlberg Offshore Investors V, L.P., Kohlberg
Partners V, L.P. and KOCO Investors V, L.P.
Laws means any domestic or foreign laws,
statutes, ordinances, rules, regulations, codes or executive
orders enacted, issued, adopted, promulgated or applied by any
Governmental Authority.
Management Agreement means that certain
Management Agreement, dated as of September 19, 2006,
between KCHS Holdings, Inc., a Delaware corporation, the
Company, and Kohlberg & Company, LLC, a Delaware
limited liability company, as amended by that certain letter
agreement dated January 8, 2007.
Medicaid means the medical assistance program
established by Title XIX of the Social Security Act
(42 U.S.C. Section 1396 et seq.).
Medicare means the health insurance program
for the aged and disabled established by Title XVIII of the
Social Security Act (42 U.S.C. Section 1395 et seq.).
Multiemployer Plan has the meaning set forth
in Section 3(37)(A) and 4001(a)(3) of ERISA and
Section 414(f) of the Code.
New Parent Stockholders Agreement means the
stockholders agreement entered into among the Parent and each of
the other parties listed on the signature page thereto
concurrently with the execution of this Agreement, in the form
attached as Exhibit D hereto.
Option shall have the meaning as set forth in
the definition of Option Agreements.
Option Agreements means each agreement
between the Company and each of the optionholders listed on
Annex B attached hereto (the
Optionholders), setting forth the terms and
conditions of such Optionholders right granted under the
Company Stock Option Plan to purchase Common Stock (each such
right an, Option), including the exercise
price thereof.
Option Cancellation means the cancellation
and payment of the Options immediately prior to the Closing
pursuant to the terms and conditions of Section 3.7
hereof.
Optionholders shall have the meaning as set
forth in the definition of Option Agreements.
Parent Financial Statements means the audited
consolidated financial statements and unaudited consolidated
interim financial statements of the Parent and its consolidated
Subsidiaries included or incorporated by reference in the Parent
SEC Reports.
Parent Material Adverse Effect means a
material adverse effect on the business, results of operations,
properties or assets of the Parent and its Subsidiaries, taken
as a whole; provided, however, that Parent
Material Adverse Effect shall not include the impact on
such business, results of operations, properties or assets
arising out of or attributable to (i) general economic
conditions affecting the United States that do not
disproportionately affect the Parent and its Subsidiaries (taken
as a whole) relative to other businesses in the industries in
which the Parent and its Subsidiaries operate (including any
effects or conditions resulting from an outbreak or escalation
of hostilities, acts of terrorism, political instability or
other national or international calamity, crisis or emergency,
or any governmental or other response to any of the foregoing,
in each case whether or not involving the United States),
(ii) effects arising from changes in laws or GAAP,
(iii) effects relating to the announcement of the execution
of this Agreement or the transactions contemplated hereby,
(iv) failure of the Parent and its Subsidiaries to meet any
financial projections or forecasts, and (v) effects
resulting from compliance with the terms and conditions of this
Agreement by the Parent. For the avoidance of doubt, a Parent
Material Adverse Effect shall not be measured against financial
projections or forecasts of the Parent or its Subsidiaries.
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Parent SEC Reports means all reports,
schedules, forms, and exhibits required to be filed by the
Parent with the SEC pursuant to the reporting requirements of
the Exchange Act and all exhibits included therein and financial
statements and schedules thereto, in each case to the extent
required to be filed after January 1, 2006 through the date
of this Agreement.
Parents Stock means the common stock,
$0.0001 par value, of the Parent.
Parent Stock Option Plan means (a) the
BioScrip, Inc. 2001 Incentive Stock Plan and (b) the
BioScrip, Inc. 2008 Equity Incentive Plan.
Parent Stock Value means $8.3441.
Per Share Amount at Closing means an amount
equal to the quotient obtained by dividing (a) the
Estimated Purchase Price by (b) the number of Shares.
Permitted Encumbrances means
(i) Encumbrances for Taxes, assessments and other
government charges not yet due and payable, or which are being
contested in good faith by appropriate proceedings,
(ii) mechanics, workmens, repairmens,
warehousemens or carriers Encumbrances arising in
the ordinary course of business of the Company and the Company
Subsidiaries, (iii) in respect of the Real Property:
(A) easements,
rights-of-way,
servitudes, permits, licenses, surface leases, ground leases to
utilities, municipal agreements and, railway siding agreements
and other rights of record, (B) conditions, covenants or
other similar restrictions of record, (C) easements for
streets, alleys, highways, telephone lines, gas pipelines, power
lines, railways and other non-monetary exceptions to title of
record on, over or in respect of any Real Property,
(D) encroachments and other similar matters that would be
shown in an accurate survey of the Owned Real Property and
(E) liens in favor of the lessors under the Leases, or
encumbering the interests of the lessors under the Leases in the
Leased Real Property, (iv) Encumbrances securing rental
payments under capitalized
and/or
operating leases, (v) Encumbrances that do not otherwise
materially detract from the value or current use of the
applicable asset or Real Property, individually or in the
aggregate, and (vi) the Encumbrances set forth on
Schedule 1.2.
Person means any individual, corporation
(including any not for profit corporation), general or limited
partnership, limited liability partnership, joint venture,
estate, trust, firm, company (including any limited liability
company or joint stock company), association, organization,
entity or Governmental Authority.
Pre-Closing Date Taxable Period means any
taxable period (or portion thereof) ending on or before the
Closing Date. Except as provided in the following sentence, for
the purpose of appropriately apportioning any Taxes relating to
a Straddle Period to a Pre-Closing Date Taxable Period, such
apportionment shall be made assuming that the Company had a
taxable year that ended at the close of business on the Closing
Date. In the case of property Taxes and similar Taxes which
apply ratably to a taxable period, the amount of Taxes allocable
to the portion of the Straddle Period that is a Pre-Closing Date
Taxable Period shall equal the Tax for the period multiplied by
a fraction, the numerator of which shall be the number of days
in the period up to and including the Closing Date, and the
denominator of which shall be the total number of days in the
period.
Preferred Liquidation Amount means all
amounts payable to the holders of the Companys
Series A Preferred Stock as a result of the Closing
pursuant to the Section 6 of the Companys Certificate
of the Powers, Designations, Preferences and Rights governing
the Series A Preferred Stock.
Prior Purchase Agreements means (i) that
certain Stock Purchase Agreement by and among Specialty Pharma,
Inc., Professional Home Care Services, Inc., Eureka I,
L.P., the persons set forth on Schedule A thereto and
Critical Homecare Solutions, Inc., dated as of August 10,
2006, as amended by that certain Letter Agreement amending the
Stock Purchase Agreement by and among Specialty Pharma, Inc.,
Professional Home Care Services, Inc., Eureka I, L.P. and
Critical Homecare Solutions, Inc., dated as of
September 11, 2006, (ii) that certain Stock Purchase
Agreement by and among New England Home Therapies, Inc., the
persons set forth on Schedule A thereto and Critical
Homecare Solutions, Inc., dated as of September 8, 2006, as
amended by that certain First Amendment to Stock Purchase
Agreement, dated as of September 19, 2006, by and among New
England Home Therapies, Inc., Critical Homecare Solutions, Inc.
and certain individuals named therein, (iii) that certain
Stock Purchase Agreement by and among Critical Homecare
Solutions, Inc., The Deaconess Associations, Inc. and Deaconess
Enterprises, Inc., dated as of December 20, 2006, as
amended by that certain First Amendment to Stock Purchase
Agreement by and among Critical
A-7
Homecare Solutions, Inc., The Deaconess Associations, Inc. and
Deaconess Enterprises, Inc, dated as of January 8, 2007,
(iv) that certain Stock Purchase Agreement by and among
Infusion Solutions, Inc., the persons set forth on
Schedule A thereto and Critical Homecare Solutions, Inc.,
dated as of March 14, 2007, (v) that certain
Partnership Interest Purchase Agreement by and among Applied
Health Care, Ltd., Applied HC, L.L.C., the persons set forth on
Schedule A thereto, CHS Applied Healthcare GP, Inc., and
CHS Applied Healthcare LP, Inc., dated as of June 27, 2007,
(vi) that certain Stock Purchase Agreement dated as of
July 25, 2007 by and among Option Care of Brunswick, Inc.,
Pradip Patel and Infusion Partners, Inc., (vii) that
certain Stock Purchase Agreement dated as of July 25, 2007
by and among Option Care of Melbourne, Inc., Pradip Patel,
Daksha Patel and Infusion Partners, Inc., (viii) that
certain Stock Purchase Agreement dated as of August 3, 2007
by and among East Goshen Pharmacy, Inc., Gary Needham and Dennis
W. Wildasin and Infusion Partners, Inc, (ix) that certain
Stock Purchase Agreement, dated as of April 16, 2008, by
and among Wilcox Medical Inc. and New England Home Therapies,
Inc., (x) that certain Stock Purchase Agreement, dated as
of December 22, 2008, by and among National Health
Infusion, Inc., Debra L. Garner, Robert E. Hayes and Infusion
Partners Inc., (xi) that certain Stock Purchase Agreement,
dated as of September 23, 2008, by and among Scott-Wilson,
Inc., Ben C. Scott and Infusion Partners, Inc., (xii) that
certain Stock Purchase Agreement, dated as of June 10,
2009, by and among Option Health Ltd., Kathy Budge and Infusion
Partners, LLC and (xiii) that certain Asset Purchase
Agreement, dated as of August 11, 2007, by and among South
Mississippi Home Health, Inc. and Excel Home Health Services,
Inc.
Purchase Price Cash Component means the
quotient, expressed as a percentage obtained by dividing (x)
(i) the excess of the Cash Consideration at Closing over
(ii) the Aggregate Cash Option Consideration by
(y) the Estimated Purchase Price.
Purchase Price Stock Component means the
percentage obtained by subtracting the Purchase Price Cash
Component from 100.00%.
Real Property means the Owned Real Property
and the Leased Real Property.
Reimbursement Approvals means all Program
Agreements and Third Party Payor Contracts.
Representatives means any director, officer,
agent, employee, general partner, member, stockholder, advisor
or representative of such Person.
Rights Agreement means that certain Rights
Agreement, dated December 3, 2002, by and between the
Parent and the Rights Agent, as amended, modified and
supplemented from time to time.
SEC means the Securities and Exchange
Commission.
Second Lien Credit Agreement means the Second
Lien Term Loan Agreement, dated as of January 8, 2007,
among Critical Homecare Solutions, Inc., KCHS Holdings, Inc.,
the other guarantors party thereto, the lenders party thereto,
Jefferies Finance LLC, Blackstone Corporate Debt Administration
L.L.C. and Jefferies & Company, Inc. as amended by the
First Amendment to Second Lien Term Loan Agreement and First
Amendment to Security Agreement and Consent to Amendment of
Intercreditor Agreement, dated as of July 25, 2007, among
Critical Homecare Solutions, Inc., KCHS Holdings, Inc., the
subsidiary guarantors party thereto, the lenders party thereto
and the agents party thereto (as amended, modified and
supplemented from time to time).
Securities Act means the Securities Act of
1933, as amended.
Series A Preferred Stock means the
Series A Convertible Preferred Stock, $0.001 par
value, of the Company.
Shares means the issued and outstanding
shares of Common Stock of the Company as of immediately prior to
the Merger Effective Time.
Stockholder means, as of immediately prior to
the Merger Effective Time, each holder of the issued and
outstanding Shares.
Stockholder Director Designees shall mean
Samuel P. Frieder and Gordon H. Woodward.
Stockholder Percentage means, for each
Stockholder, the percentage set forth next to such
Stockholders name on Annex C attached hereto.
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Straddle Period means any taxable period that
begins before and ends after the Closing Date.
Subsidiary means, of a specified Person, any
corporation, partnership, limited liability company, limited
liability partnership, joint venture, or other legal entity of
which the specified Person (either alone
and/or
through
and/or
together with any other Subsidiary): (i) owns, directly or
indirectly, more than 50% of the voting stock or other equity or
partnership interests the holders of which are generally
entitled to vote for the election of the board of directors or
other governing body, of such legal entity or (ii) of which
the specified Person controls the management.
Tax Returns means any report, declaration,
return, information return, claim for refund, election,
disclosure, estimate or statement required to be supplied to a
taxing authority in connection with Taxes, including any
schedule or attachment thereto, and including any amendments
thereof.
Taxes means (i) any and all federal,
state, provincial, local, municipal, foreign and other taxes,
levies, fees, imposts, duties, and similar governmental charges
(including any interest, fines, assessments, penalties or
additions to tax imposed in connection therewith or with respect
thereto) including (x) taxes imposed on, or measured by,
income, franchise, profits or gross receipts, and (y) ad
valorem, value added, capital gains, sales, goods and services,
use, real or personal property, capital stock, license, branch,
payroll, estimated, withholding, employment, social security (or
similar), unemployment compensation, utility, severance,
production, excise, stamp, earnings, healthcare, occupation,
premium, windfall profits, transfer and gains taxes, and customs
duties, (ii) any liability in respect of any items
described in clause (i) above whether as a result of
transferee liability, being a member of an affiliated,
consolidated, combined or unitary group for any period, or
otherwise by operation of law, and (iii) any liability for
the payment of amounts described in (i) or (ii) as a
result of any tax sharing, tax indemnity, or tax allocation
agreement or any other express or implied agreement to indemnify
any other person. For the avoidance of doubt,
Taxes shall not include any amounts payable
to any Governmental Authority under any unclaimed property,
abandonment, escheat or similar Law.
Termination Date means June 30, 2010.
Treasury Regulations means the Treasury
regulations promulgated under the Code.
Third Party Claim means any claim or demand
for which an Indemnitor may be liable to an Indemnitee hereunder
which is asserted by a third party.
Unrestricted Claims means any indemnity
claims (i) pursuant to ARTICLE XII with respect
to: (A) any Specified Representations, (B) any
intentional or willful breaches by the Company of any covenants
or agreements set forth herein, and (C) any Stockholder
Covenant to be made or performed following the Closing, and
(ii) pursuant to Section 13.1.
Warrant Agreement means the warrant agreement
entered into among the Parent and each of the other parties
listed on the signature page thereto (each, a
Warrantholder) on the Closing Date, in form
attached as Exhibit E hereto.
Warrants means those warrants of the Parent
to purchase shares of Parents Stock issued pursuant to the
Warrant Agreement.
1.2 Other Capitalized Terms. The
following terms shall have the meanings specified in the
indicated section of this Agreement:
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Term
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Section
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Accounting Firm
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3.6(b)
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Aggregate Cash Option Consideration
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3.7(c)
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Aggregate Option Consideration
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3.7(e)
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Agreement
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Preamble
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Alternative Financing
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8.22(a)
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Applicable Stock Value
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3.9(c)
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Basket Amount
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12.3(b)
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Cap
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12.3(a)
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Cash Option Consideration
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3.7(c)
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Term
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Section
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Certificates
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3.3(a)
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Certificate of Merger
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2.2
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CHS Stockholder Approval
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Recitals
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Claims Notice
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12.4(b)
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Closing Certificate
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3.1(a)
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Closing Date
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4.1
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Closing
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4.1
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Company Accreditation
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6.16(e)
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Company Accreditations
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6.16(e)
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Company Covenants
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12.2(a)
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Company Expenses
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14.1
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Company Benefit Plans
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6.17(a)
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Company Health Care License
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6.16(j)
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Company Health Care Licenses
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6.16(j)
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Company Indemnified Parties
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8.13(a)
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Company Reimbursement Approval
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6.16(f)
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Company Reimbursement Approvals
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6.16(f)
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Company Representations
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12.1
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Company Subsidiaries
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6.3
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Company Subsidiary
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6.3
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Company
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Preamble
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Controlled Group Liability
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6.17(b)
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Covered Entities
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6.16(i)(i)
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Cucuel
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Recitals
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Cut-Off Date
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12.1
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Definitive Proxy Statement
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8.14(b)
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DeMinimis Losses
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11.3(b)
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DGCL
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Recitals
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Estimated Company Net Indebtedness Amount
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3.1(a)
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Excess Cash Amount
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3.9
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Exchange Ratio
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3.7(d)(ii)
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Federal Privacy Regulations
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6.16(i)
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Federal Security Regulations
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6.16(i)
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Final Company Expenses
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3.6(c)
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Final Company Net Indebtedness
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4.6(c)
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Final Purchase Price
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Other
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Final Preferred Liquidation Amount
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3.6(c)
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Grandfathered Employees
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8.11(a)
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Health Care Audits
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6.16(g)
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Health Care Licenses
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6.16(j)
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HIPAA Requirements
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6.16(i)
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Indemnitee
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12.2(b)
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Indemnitees
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12.2(b)
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Insurance Policies
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6.19
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Term
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Section
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Intellectual Property Rights
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6.8(b)
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IP License
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6.8(a)
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Leased Real Property
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6.20(b)
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Leases
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6.20(b)
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Losses
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12.2(a)
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Material Contracts
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6.10(a)
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Merger Effective Time
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2.2
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Merger
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Recitals
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New Company Plan
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3.7(a)
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Non-Escrow Stock Consideration
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3.9(b)
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Notice of Disagreement
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4.6(b)
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Optionholder Per Share Amount
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3.7(e)
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Outstanding Option
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3.7(a)
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Owned Property Leases
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6.20(a)(ii)
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Owned Real Property
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6.20(a)(i)
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Parent
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Preamble
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Parent Adjustment Amount
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4.6(c)
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Parent Benefit Plans
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7.19(a)
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Parent Indemnitee
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12.2(a)
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Parent Permits
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7.9(a)
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Parent Stockholder Approval
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7.23
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Paul Weiss
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8.10
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Per Option Consideration
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3.7(e)
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Permits
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6.13
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Post-Signing Returns
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8.21(a)
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Preliminary Proxy Statement
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8.14(a)
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Press Release
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8.15
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Program Agreements
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6.14(a)
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Programs
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6.14(a)
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Qualified Plan
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6.17(b)
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Rights Agent
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7.4(b)
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Rights Amendment
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7.4(b)
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Roll Over Option
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3.7(b)
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Roll Over Optionholder
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3.7(b)
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Rule 144A Offering
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8.5(b)
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Special Meeting
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8.14(a)
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Specified Representations
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12.1
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Statement
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4.6(a)
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Stockholder Adjustment Amount
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4.6(c)
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Stockholder Covenant
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12.2(a)
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Stockholder Representations
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12.1
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Stockholder Indemnitee
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12.2(b)
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Stockholders Cash Amount
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3.9(d)
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Stockholders Representative
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Preamble
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Term
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Section
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Straddle Returns
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13.2(b)
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Surviving Corporation
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2.1
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Tax Indemnified Stockholder Parties
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13.1(c)
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Termination Expenses
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11.3
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Territory
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8.12(c)
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Third Party Payor Contracts
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6.14(b)
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Third Party Payors
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6.14(b)
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Threshold Percentage
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3.9(a)
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Voting Agreements
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Recitals
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WARN
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6.17(g)
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Warrant Value
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3.9(e)
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1.3 Interpretive Provisions. Unless the
express context otherwise requires:
(a) the words hereof, herein, and
hereunder and words of similar import, when used in
this Agreement, shall refer to this Agreement as a whole and not
to any particular provision of this Agreement;
(b) terms defined in the singular shall have a comparable
meaning when used in the plural, and vice versa;
(c) the terms Dollars and $ mean
United States Dollars;
(d) references herein to a specific Section, Subsection,
Recital, Schedule or Exhibit shall refer, respectively, to
Sections, Subsections, Recitals, Schedules or Exhibits of this
Agreement;
(e) wherever the word include,
includes, or including is used in this
Agreement, it shall be deemed to be followed by the words
without limitation;
(f) references herein to any gender shall include each
other gender;
(g) references herein to any Person shall include such
Persons heirs, executors, personal representatives,
administrators, successors and assigns; provided,
however, that nothing contained in this clause (g)
is intended to authorize any assignment or transfer not
otherwise permitted by this Agreement;
(h) references herein to a Person in a particular capacity
or capacities shall exclude such Person in any other capacity;
(i) references herein to any contract or agreement
(including this Agreement) mean such contract or agreement as
amended, supplemented or modified from time to time in
accordance with the terms thereof;
(j) with respect to the determination of any period of
time, the word from means from and
including and the words to and
until each means to but excluding;
(k) references herein to any law or any license mean such
law or license as amended, modified, codified, reenacted,
supplemented or superseded in whole or in part, and in effect
from time to time; and
(l) references herein to any law shall be deemed also to
refer to all rules and regulations promulgated thereunder.
ARTICLE II
THE
MERGER
2.1 The Merger. Upon the terms and
subject to satisfaction or waiver of the conditions set forth in
this Agreement, and in accordance with the DGCL, at the Merger
Effective Time, the Company shall be merged with and into Merger
Sub, with Merger Sub as the surviving entity. As a result of the
Merger, the separate corporate
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existence of the Company shall cease, and Merger Sub shall
continue as the surviving corporation (the Surviving
Corporation).
2.2 Effective Time. As of the Closing,
the parties hereto shall cause the Merger to be consummated by
filing a certificate of merger (a Certificate of
Merger) with the Secretary of State of the State of
Delaware, in such form as required by, and executed in
accordance with the relevant provisions of, the DGCL (the date
and time of such filing, or if another date and time is
specified in such filing as the effective time of the Merger,
such specified date and time, being the Merger
Effective Time).
2.3 Effect of the Merger. From and after
the Merger Effective Time, the effect of the Merger shall be as
provided in the applicable provisions of the DGCL. Without
limiting the generality of the foregoing, and subject thereto,
at the Merger Effective Time, all the property, rights,
privileges, immunities, powers, purposes and franchises of the
Company and Merger Sub shall vest in the Surviving Corporation,
and all debts, liabilities, obligations and duties of the
Company and Merger Sub shall become the debts, liabilities,
obligations and duties of the Surviving Corporation.
2.4 Certificate of Incorporation;
By-Laws. At the Merger Effective Time:
(a) the certificate of incorporation of Merger Sub, as in
effect immediately prior to the Merger Effective Time, shall be
the certificate of incorporation of the Surviving Corporation,
until thereafter changed or amended as provided therein or by
applicable Law.
(b) the by-laws of Merger Sub, as in effect immediately
prior to the Merger Effective Time, shall be the by-laws of the
Surviving Corporation, until thereafter changed or amended as
provided therein or by applicable Law.
2.5 Directors and Officers of the Surviving
Corporation. The directors of Merger Sub
immediately prior to the Merger Effective Time shall be the
directors of the Surviving Corporation at the Merger Effective
Time, each to hold office in accordance with the certificate of
incorporation and by-laws of the Surviving Corporation until
successors are duly elected or appointed and qualified. The
officers of Merger Sub immediately prior to the Merger Effective
Time shall be the initial officers of the Surviving Corporation
at the Merger Effective Time, each to hold office in accordance
with the certificate of incorporation and by-laws of the
Surviving Corporation until successors are duly elected or
appointed and qualified.
ARTICLE III
CONVERSION
OF SECURITIES; EXCHANGE OF CERTIFICATES
3.1 Determination of Merger Consideration.
(a) At least five (5) Business Days prior to the
Closing Date, the Company shall deliver to the Parent a
certificate (the Closing Certificate) setting
forth (x) a good faith estimate of the amount of Company
Net Indebtedness (the Estimated Company Net
Indebtedness Amount), which shall include the Credit
Agreement Payoff Amount, the amount of Assumed Indebtedness and
the amount of Company Cash and (y) the amount of the
(A) Preferred Liquidation Amount, (B) Company
Expenses, (C) Estimated Purchase Price, (D) Per Share
Amount at Closing, (E) Purchase Price Cash Component and
(F) Purchase Price Stock Component.
(b) In connection with finalizing the Closing Certificate,
the Company shall also deliver to the Parent a schedule setting
forth the types and amounts of merger consideration to which the
holders of Common Stock are entitled, including wire
instructions in the case of payments to be made at Closing by
wire transfer and the names of Stockholders who will receive
shares of Parents Stock in partial or full satisfaction of
the merger consideration owing to such Stockholder under the
terms and conditions of this Agreement.
(c) The Parent acknowledges and agrees for the benefit of
the Stockholders receiving shares of Parents Stock
hereunder that the record date of ownership for dividend
purposes of Parents Stock acquired hereunder shall be the
Closing Date, even if Parents Stock is distributed to a
Stockholder pursuant to the terms of this Agreement after the
Closing Date.
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3.2 Conversion of Common Stock; Cancellation of
Series A Preferred Stock.
(a) At the Merger Effective Time, by virtue of the Merger
and without any action on the part of the Parent, Merger Sub,
the Company or the holders of Common Stock, the following shall
occur:
(i) Conversion Generally. At the Merger
Effective Time, each share of Common Stock issued and
outstanding immediately prior to the Merger Effective Time shall
be converted into the right to receive:
(A) the Per Share Amount at Closing, which aggregate amount
per share of Common Stock shall be payable, subject to
Section 3.9, in the form of (x) a cash payment
equal to the product of the Per Share Amount at Closing
multiplied by the Purchase Price Cash Component, which
cash payment shall be payable by wire transfer of immediately
available funds, without interest, (y) such number of
shares of Parents Stock having a value (with each share
valued using the Parent Stock Value) equal to the product of the
Per Share Amount at Closing multiplied by the Purchase
Price Stock Component; and
(B) following the Closing, its pro rata share of any
distributions to be made to the Stockholders from the Escrow
Funds.
Upon such conversion, all such shares of Common Stock shall no
longer be outstanding and shall automatically be canceled and
retired and shall cease to exist, and each holder of a
certificate previously representing any such shares shall cease
to have any rights with respect thereto except the right to
receive the consideration specified in this
Section 3.2(a)(i).
(ii) Parent-Owned Shares. Any shares of
Common Stock owned by the Parent or any of its wholly owned
Subsidiaries shall be canceled and retired and shall cease to
exist, and no merger consideration or other consideration shall
be delivered in exchange therefor.
(iii) Cancellation of Treasury
Shares. Each share of Common Stock held in the
Company treasury immediately prior to the Merger Effective Time
shall be canceled and extinguished without any conversion
thereof, and no merger consideration or other consideration
shall be delivered in exchange therefor.
(iv) Merger Sub. Upon the consummation of
the Merger, each share of common stock of Merger Sub issued and
outstanding immediately prior to the Merger Effective Time shall
be converted into and become one validly issued, fully paid and
nonassessable share of common stock of the Surviving Corporation
with the same rights, powers and privileges as the shares so
represented, and the shares so represented shall constitute the
only outstanding shares of capital stock of the Surviving
Corporation.
(b) Cancellation of Series A Preferred
Stock. At the Merger Effective Time, by virtue of
the Merger and without any action on the part of the Parent,
Merger Sub, the Company or the holders of Series A
Preferred Stock, each share of Series A Preferred Stock
issued and outstanding immediately prior to the Merger Effective
Time shall be converted into the right to receive a pro rata
portion of the Preferred Liquidation Amount payable without
interest pursuant to Section 4.2(g). Upon such
conversion, all such shares of Series A Preferred Stock
shall no longer be outstanding and shall automatically be
canceled and retired and shall cease to exist, and each holder
of a certificate previously representing any such shares shall
cease to have any rights with respect thereto except the right
to receive the consideration specified in this
Section 3.2(b).
3.3 Exchange of Certificates for Common Stock.
(a) Exchange Procedures. As promptly as
reasonably practicable after the execution and delivery of this
Agreement, the Company and the Parent shall send to each holder
of record of a certificate or certificates representing
outstanding shares of Common Stock (the
Certificates) (i) a letter of
transmittal in such form and having such provisions reasonably
acceptable to the Parent and the Stockholders
Representative and (ii) instructions for use in effecting
the surrender of the Certificates in exchange for the merger
consideration payable in respect of the number of Shares
represented by such Certificates. At the Merger Effective Time,
upon surrender of a Certificate for cancellation to the Parent
together with such letter of transmittal, properly completed and
duly executed, the holder of such Certificate shall be entitled
to receive in exchange therefor the applicable type and portion
of the merger consideration payable in respect of the shares of
Common Stock represented by such Certificate, and the
Certificate so surrendered shall forthwith be canceled. Such
payment of the applicable portion
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of the merger consideration shall be paid to such holder by the
Parent (i) on the Closing Date, if such holder has on or
prior to the Merger Effective Time delivered to the Parent such
Certificate, together with such letter of transmittal, properly
completed and duly executed, or (ii) within two
(2) Business Days from the delivery of such Certificate,
together with such letter of transmittal, properly completed and
duly executed, if such Certificate and letter of transmittal are
delivered following the Closing Date. No interest shall be paid
or shall accrue on any merger consideration. In the event of a
transfer of ownership of shares of Common Stock which is not
registered in the transfer records of the Company, the merger
consideration payable in respect of such shares of Common Stock
may be paid to a transferee if the Certificate representing such
shares of Common Stock is presented to the Parent, accompanied
by all documents required to evidence and effect such transfer
and by evidence that any applicable stock transfer Taxes have
been paid. Until surrendered as contemplated by this
Section 3.3, each Certificate shall be deemed at any
time after the Merger Effective Time to represent only the right
to receive upon such surrender the applicable portion of the
merger consideration payable in respect of the shares of Common
Stock represented by such Certificate, without any interest
thereon; provided, however, that no certificates
representing less than one share of Parent Common Stock shall be
issued upon the surrender for exchange of Certificates by any
holder thereof pursuant to this Section 3.3(a). Any
fractional shares that would otherwise be issuable pursuant to
this Section 3.3(a) shall be converted into cash at
the Parent Stock Value.
(b) Further Rights in Common Stock. The
merger consideration issued upon conversion of a share of Common
Stock in accordance with the terms hereof shall be deemed to
have been issued in full satisfaction of all rights pertaining
to such share of Common Stock (other than any rights such holder
may have to receive its pro rata share of any distributions to
be made to the Stockholders from the Escrow Funds).
(c) No Liability. None of the Parent, the
Surviving Corporation or the Company shall be liable to any
holder of shares of Common Stock for any cash or shares of
Parents Stock from the merger consideration delivered to a
public official pursuant to any abandoned property, escheat or
similar Law. If any Certificates have not been surrendered prior
to five years after the Closing (or immediately prior to such
earlier date on which any merger consideration in respect of
those Certificates would otherwise escheat to or become the
property of any Governmental Authority), any merger
consideration payable in respect of those Certificates shall, to
the extent permitted by applicable Law, become the property of
the Parent, free and clear of all claims or interests of any
Person previously entitled to that merger consideration.
(d) Lost Certificates. If any Certificate
shall have been lost, stolen or destroyed, upon the making of an
affidavit of that fact by the person claiming such Certificate
to be lost, stolen or destroyed and, if required by the Parent,
the posting by such Person of a bond (other than the
Institutional Stockholders), in such reasonable amount as the
Parent may direct, as indemnity against any claim that may be
made against it with respect to such Certificate, the Parent
shall pay in exchange for such lost, stolen or destroyed
Certificate the merger consideration payable in respect of the
shares of Common Stock represented by such Certificate, without
any interest thereon.
3.4 Stock Transfer Books. At the Merger
Effective Time, the stock transfer books of the Company shall be
closed and thereafter there shall be no further registration of
transfers of shares of Common Stock theretofore outstanding on
the records of the Company. From and after the Merger Effective
Time, the holders of Certificates representing shares of Common
Stock outstanding immediately prior to the Merger Effective Time
shall cease to have any rights with respect to such shares of
Common Stock except as otherwise provided herein or by Law.
Subject to Section 3.3(c), at or after the Merger
Effective Time, any Certificates presented to the Parent for any
reason shall be exchanged for the merger consideration payable
in respect of the shares of Common Stock represented by such
Certificates, without any interest thereon.
3.5 Withholding Taxes. Each of the Parent
and the Surviving Corporation shall be entitled to deduct and
withhold from any amounts payable pursuant to this Agreement
(which, for the avoidance of doubt, may also include any amounts
payable into or out of the Escrow Account) such amounts as it is
required to deduct or withhold with respect to the making of
such payment under the Code, or any applicable provision of
state, local or foreign Tax law. To the extent that amounts are
so withheld, such withheld amounts shall be treated for all
purposes of this Agreement as having been paid to the holder of
shares of Common Stock in respect of which such deduction and
withholding was made.
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3.6 Purchase Price Adjustment.
(a) Within sixty (60) calendar days after the Closing
Date, the Parent shall deliver to the Stockholders
Representative a statement (the Statement) of
the Company Net Indebtedness, the Preferred Liquidation Amount
and the Company Expenses.
(b) The Statement shall become final and binding upon the
parties on the thirtieth (30th) day following the date on which
the Statement was delivered to the Stockholders
Representative, unless the Stockholders Representative
delivers written notice of its disagreement with the Statement
(a Notice of Disagreement) to the Parent
prior to such date. Any Notice of Disagreement shall specify in
reasonable detail the nature of any disagreement. If a Notice of
Disagreement is received by the Parent in a timely manner, then
the Statement (as revised in accordance with this sentence)
shall become final and binding upon the Stockholders and the
Parent on the earlier of (i) the date the
Stockholders Representative and the Parent resolve in
writing any differences they have with respect to the matters
specified in the Notice of Disagreement and (ii) the date
any disputed matters are finally resolved in writing by the
Accounting Firm pursuant to this Section 3.6(b).
During the thirty (30)-day period following the delivery of a
Notice of Disagreement, the Stockholders Representative
and the Parent shall seek in good faith to resolve in writing
any differences that they may have with respect to the matters
specified in the Notice of Disagreement. If at the end of such
thirty (30)-day period the Stockholders Representative and
the Parent have not resolved in writing the matters specified in
the Notice of Disagreement, the Stockholders
Representative and the Parent shall submit to an independent
accounting firm (the Accounting Firm) for
arbitration, in accordance with the standards set forth in this
Section 3.6(b), only such matters specified in the
Notice of Disagreement that remain in dispute. The Accounting
Firm shall be KPMG LLP or, if such firm is unable or unwilling
to act, such other nationally recognized independent public
accounting firm as shall be agreed upon by the
Stockholders Representative and the Parent in writing. The
Stockholders Representative and the Parent shall use
reasonable efforts to cause the Accounting Firm to render a
written decision resolving the matters submitted to the
Accounting Firm within thirty (30) calendar days of the
receipt of such submission. The scope of the disputes to be
resolved by the Accounting Firm shall be limited to fixing
mathematical errors and determining whether the items in dispute
were properly included or omitted and the Accounting Firm is not
to make any other determination. The Accounting Firms
decision shall be based solely on written submissions by the
Stockholders Representative and the Parent and their
respective representatives and not by independent review and
shall be final and binding on all of the parties hereto. The
Accounting Firm may not assign a value greater than the greatest
value for such item claimed by either party or smaller than the
smallest value for such item claimed by either party. Judgment
may be entered upon the determination of the Accounting Firm in
any court having jurisdiction over the party against which such
determination is to be enforced. The fees and expenses of the
Accounting Firm incurred pursuant to this
Section 3.6(b) shall be borne pro rata as between
the Stockholders, on the one hand, and the Parent, on the other
hand, in proportion to the final allocation made by such
Accounting Firm of the disputed items weighted in relation to
the claims made by the Stockholders Representative and the
Parent, such that the prevailing party pays the lesser
proportion of such fees, costs and expenses.
(c) For the purposes of this Agreement, Final
Company Net Indebtedness means the Company Net
Indebtedness, Final Preferred Liquidation
Amount means the Preferred Liquidation Amount, and
Final Company Expenses means the Company
Expenses, in each case as finally agreed or determined in
accordance with Section 3.6(b). The Estimated
Purchase Price shall be increased (any such increase, the
Stockholder Adjustment Amount) by the
sum of (i) the amount, if any, that the Estimated
Company Net Indebtedness Amount exceeds the Final Company Net
Indebtedness, (ii) the amount, if any, that the Preferred
Liquidation Amount set forth in the Closing Certificate exceeds
the Final Preferred Liquidation Amount, and (iii) the
amount, if any, that the Company Expenses set forth in the
Closing Certificate exceeds the Final Company Expenses. The
Estimated Purchase Price shall be decreased (any such decrease,
the Parent Adjustment Amount) by the
sum of (i) the amount, if any, that the Final
Company Net Indebtedness exceeds the Estimated Company Net
Indebtedness Amount, (ii) the amount, if any, that the
Final Preferred Liquidation Amount exceeds the Preferred
Liquidation Amount set forth in the Closing Certificate, and
(iii) the amount, if any, that the Final Company Expenses
exceeds the Company Expenses set forth in the Closing
Certificate. If the Stockholder Adjustment Amount exceeds the
Parent Adjustment Amount, the Parent shall, within five
(5) Business Days after the Final Company Net Indebtedness,
the Final Preferred Liquidation Amount and the Final Company
Expenses are determined, subject to Section 3.9,
make payment by wire transfer of immediately available funds to
the Stockholders in accordance
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with their respective Stockholder Percentage in the amount of
any such excess. If the Parent Adjustment Amount exceeds the
Stockholder Adjustment Amount, the Parent and the
Stockholders Representative shall, within five
(5) Business Days after the Final Company Net Indebtedness,
the Final Preferred Liquidation Amount and the Final Company
Expenses are determined, cause the Escrow Agent to release to
Parent a number of shares of Parents Stock from the Escrow
Fund in accordance with the terms of the Escrow Agreement having
a value (with each share of Parents Stock valued at the
Parent Stock Value) equal to such excess.
(d) No actions taken by the Parent on its own behalf or on
behalf of the Company or any Company Subsidiary, on or following
the Closing Date shall be given effect for purposes of
determining the Company Net Indebtedness, the Preferred
Liquidation Amount and the Company Expenses. During the period
of time from and after the Closing Date through the final
determination and payment of Company Net Indebtedness, the
Preferred Liquidation Amount and the Company Expenses in
accordance with this Section 3.6, the Parent shall
afford, and shall cause the Company and each Company Subsidiary
to afford, to the Stockholders and any accountants, counsel or
financial advisers retained by the Stockholders in connection
with the review of Company Net Indebtedness, the Preferred
Liquidation Amount and the Company Expenses in accordance with
this Section 3.6, direct access during normal
business hours upon reasonable advance notice to all the
properties, books, contracts, personnel, representatives
(including the Companys accountants) and records of the
Company, each Company Subsidiary and such representatives
(including the work papers of the Companys accountants)
relevant to the review of the Statement and the Parents
determination of Company Net Indebtedness, the Preferred
Liquidation Amount and the Company Expenses in accordance with
this Section 3.6.
3.7 Treatment of Options and Aggregate Option
Consideration.
(a) The Company immediately before the Closing shall take
all actions necessary so that each Optionholder of each Option
then outstanding and unexercised has a fully vested right to
exercise such Option (each an Outstanding
Option), and Parent effective at the Closing shall
assume and adopt the Company Stock Option Plan (the Company
Stock Option Plan as so assumed and adopted being the
New Company Plan) and substitute shares of
Parent Stock for shares of Common Stock, the number of which
shall be determined by multiplying the number of shares of
Company Stock available for issuance under the Company Stock
Option Plan immediately before the Closing by the Exchange Ratio
and rounding down to the nearest whole share of Parent Stock.
(b) Each Optionholders right to purchase Common Stock
under each Outstanding Option (or part of an Outstanding Option)
under the Company Stock Option Plan that is designated as a
Roll Over Option pursuant to the formula set forth
on Schedule 3.7 shall be assumed by the Parent at
the Closing, and Parent effective at the Closing shall convert
each such Outstanding Option (or part of an Outstanding Option)
into a fully vested option to purchase Parent Stock under the
New Company Plan in accordance with Section 3.7(d)
(each so converted Outstanding Option (or part of an Outstanding
Option) being a Roll Over Option, and the
holder of each such Roll Over Option being a Roll Over
Optionholder).
(c) Parent, at the Closing, shall pay to each Optionholder
an amount in cash equal to the Per Option Consideration, if any,
with respect to each Outstanding Option (other than a Roll Over
Option) held by such Optionholder, and the aggregate amount of
such payments shall be the Aggregate Cash Option
Consideration. Each Optionholders right to
purchase Common Stock pursuant to any Outstanding Option shall
(subject to Section 3.7(b)) be cancelled effective
at the Closing and shall have no further force or effect
whatsoever.
(d) With respect to each Roll Over Optionholder, effective
as of the Closing:
(i) Each Roll Over Option shall represent a fully vested
right to acquire the number of validly issued, fully paid and
non-assessable shares of Parents Stock equal to the
product of (i) the number of Shares subject to the related
Outstanding Option (or the applicable part of the related
Outstanding Option) immediately before the Closing
multiplied by (ii) the Exchange Ratio,
provided that any fractional share resulting from such
multiplication shall be rounded down to the nearest whole share.
The exercise price per Share of each Roll Over Option shall be
equal to the quotient (rounded up to the nearest whole cent)
obtained by dividing (i) the exercise price per
Share under the related Outstanding Option immediately prior to
the Closing by (ii) the Exchange Ratio (provided that such
exercise price shall be rounded up to the nearest whole cent).
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(ii) If the conversion of an Outstanding Option (or part of
an Outstanding Option) into a Roll Over Option described in
Section 3.7(d)(i) involves a fractional share of
Parent Stock which is rounded down to the nearest whole share of
Parent Stock, Parent shall pay the affected Roll Over
Optionholder an amount equal to the Parent Stock Value
multiplied by the fractional share, rounded to two decimal
places, and such payment shall be made at the same time payments
are made pursuant to Section 3.7(c).
(iii) The term Exchange Ratio shall mean
the quotient obtained by dividing (i) the Optionholder
Per Share Amount by (ii) Parent Stock Value.
(iv) The terms of each Roll Over Option shall (except as
necessary or appropriate to reflect the conversion and as
consistent with the regulations under Section 409A of the
Code) be the same as the terms of the related Outstanding Option
immediately prior to the Closing, including the terms of the
Company Stock Option Plan and the applicable award agreement for
the related Outstanding Option. Promptly after the Closing, the
Parent shall cause the Roll Over Options to be registered under
a
Form S-8
registration statement of the Parent filed under the Securities
Act. The Roll Over Optionholder shall not be entitled to any
additional benefits or be subject to any additional restrictions
that he or she did not have under his or her related Outstanding
Option.
(e) The term Aggregate Option
Consideration shall mean the aggregate of the Per
Option Consideration related to each Outstanding Option
(including an option which is converted into a Roll Over
Option), and the Per Option Consideration for
each Outstanding Option (including an option which is converted
into a Roll Over Option) shall be an amount equal to the product
of (I) the excess, if any, of (i) the Optionholder Per
Share Amount over (ii) the Exercise Price for such
Outstanding Option, multiplied by (II) the number of
shares of Common Stock subject to such Outstanding Option. The
Optionholder Per Share Amount equals the
quotient obtained by dividing (A) (x) the Estimated
Purchase Price (without reduction for the Aggregate Option
Consideration or the Escrow Amount) plus (y) the aggregate
Exercise Price for all Outstanding Options (including options
which are converted into Roll Over Options) by (B) the sum
of (1) the total number of Shares and (2) the number
of shares of Common Stock subject to all Outstanding Options
(including options which are converted into Roll Over Options);
provided that if this calculation results in an
Optionholder Per Share Amount being less than the Exercise Price
of any of the Outstanding Options, then the same calculation
should be repeated but only those Outstanding Options with
Exercise Prices less than the Optionholder Per Share Amount
produced in the first calculation shall be included in such
subsequent calculation, including for the purposes of clauses
(A)(y) and (B)(2) thereof.
(f) To the extent permissible by applicable law, the
Stockholders and the Parent shall treat, and cause their
Affiliates to treat, the U.S. federal and state income tax
deductions resulting from (i) the payment obligations of
the Company in cancellation of the Options described in this
Section 3.7 (other than Roll Over Options),
(ii) the U.S. federal and state income tax deductions
resulting from the accrual or payment of any Indebtedness
(including the deduction of unamortized debt issuance costs
incurred in connection with the Indebtedness repaid at or before
Closing) and (iii) Company Expenses, to the extent
deductible, as deductible in the Pre-Closing Date Taxable
Period, and, in the case of a Straddle Period, as allocable for
the purposes of this Agreement to the Pre-Closing Date Taxable
Period included in such Straddle Period, and shall not take any
position inconsistent therewith. For the avoidance of doubt, the
Stockholders and the Parent shall not treat, and shall cause
their Affiliates not to treat, the next day rule of
Treasury
Regulation Section 1.1502-76(b)(1)(ii)(B)
or any similar provision of state or local Tax Law as applying
to the deductions described in the previous sentence, and no
elections that would result in the ratable allocation of such
deductions shall be made under Treasury
Regulation Section 1.1502-76(b)(2)
or any similar provision of state or local Tax Law.
(g) Escrow Funds. The Escrow Fund shall
(a) be used solely for the purposes set forth in
Section 3.6(c), Section 12.2(a) and
Section 13.1(a); provided that the permitted
use under Section 3.6(c) shall terminate five
(5) Business Days after the date on which each of the Final
Company Net Indebtedness, the Final Preferred Liquidation Amount
and the Final Company Expenses are finally agreed or determined,
(b) thereafter be used solely to satisfy any claims of the
Parent for indemnification pursuant to
Section 12.2(a) and Section 13.1(a) made
from and after Closing but on or before the Cut-Off Date
applicable to the representation, warranty, covenant or
indemnity to which such claim(s) relates and (c) terminate
at 11:59 p.m. (Eastern time) on the date that is eighteen
(18) months after the Closing Date (other than with respect
to claims in subparagraph (b) above made on or before
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the applicable Cut-Off Date). Any shares of Parents Stock
remaining in the Escrow Fund other than amounts with respect to
claims in subparagraph (b) above made on or before the
applicable Cut-Off Date shall thereafter be distributed to the
Stockholders based on such Stockholders Stockholder
Percentage. The Escrow Fund shall be held and disbursed solely
for the respective purposes and in accordance with the terms
hereof and the Escrow Agreement.
3.8 Relationship Among the Stockholders.
(a) Each Stockholder hereby irrevocably appoints the
Stockholders Representative as the sole representative of
the Stockholders to act as the agent and on behalf of such
Stockholders regarding any matter relating to or under this
Agreement, including for the purposes of: (i) making
decisions with respect to the determination of the Company Net
Indebtedness, the Preferred Liquidation Amount and the Company
Expenses under Section 3.6; (ii) determining
whether the conditions to closing in ARTICLE X have
been satisfied and supervising the Closing, including waiving
any condition, as determined by the Stockholders
Representative, in its sole discretion; (iii) taking any
action that may be necessary or desirable, as determined by the
Stockholders Representative, in its sole discretion, in
connection with the termination of this Agreement in accordance
with ARTICLE XI; (iv) taking any and all
actions that may be necessary or desirable, as determined by the
Stockholders Representative, in its sole discretion, in
connection with the amendment of this Agreement in accordance
with Section 14.2; (v) accepting notices on
behalf of the Stockholders in accordance with
Section 14.5; (vi) taking any and all actions
that may be necessary or desirable, as determined by the
Stockholders Representative, in its sole discretion, in
connection with negotiating or entering into settlements and
compromises of any claim for indemnification pursuant to
ARTICLE XII hereof, (vii) delivering or causing
to be delivered to the Parent at the Closing certificates
representing the Shares to be sold by the Stockholders
hereunder; (viii) executing and delivering, on behalf of
the Stockholders, any and all notices, documents or certificates
to be executed by the Stockholders, in connection with this
Agreement and the transactions contemplated hereby and
(ix) granting any consent, waiver or approval on behalf of
the Stockholders under this Agreement. As the representative of
the Stockholders under this Agreement, the Stockholders
Representative shall act as the agent for all Stockholders,
shall have authority to bind each such Person in accordance with
this Agreement, and the Parent may rely on such appointment and
authority until the receipt of notice of the appointment of a
successor upon two (2) Business Days prior written
notice to the Parent. The Parent may conclusively rely upon,
without independent verification or investigation, all decisions
made by the Stockholders Representative in connection with
this Agreement in writing and signed by an officer of the
Stockholders Representative.
(b) Each Stockholder hereby appoints the Stockholders
Representative as such Stockholders true and lawful
attorney-in-fact and agent, with full powers of substitution and
resubstitution, in such Stockholders name, place and
stead, in any and all capacities, in connection with the
transactions contemplated by this Agreement, granting unto said
attorney-in-fact and agent, full power and authority to do and
perform each and every act and thing requisite and necessary to
be done in connection with the sale of such Stockholders
Shares as fully to all intents and purposes as such Stockholder
might or could do in person. In acting as the sole
representative of the Stockholders hereunder prior to the
Closing Date, the Stockholders Representative shall take
such actions consistent with and in accordance with the terms of
the CHS Stockholders Agreement.
(c) The Stockholders Representative (in its capacity
as Stockholders Representative) shall have no liability to
the Parent for any default under this Agreement by any other
Stockholder. Except for fraud or willful misconduct on its part,
the Stockholders Representative shall have no liability to
any other Stockholder under this Agreement for any action or
omission by the Stockholders Representative on behalf of
the other Stockholders.
3.9 Limitation on Cash Consideration Payable to the
Stockholders. Notwithstanding anything in this
Agreement to the contrary, the Parent shall in no event pay the
Stockholders any amounts of cash in exchange for Common Stock if
the Threshold Percentage would be less than 40.5% after such
payment. To the extent that an amount of cash otherwise payable
to the Stockholders under this Agreement would cause the
Threshold Percentage to be lower than 40.5% at the time of such
payment (such excess amount, the Excess Cash
Amount), such Excess Cash Amount shall be payable in
an equivalent amount of Parents Stock (with each share of
Parents Stock valued
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for this purpose using the Applicable Stock Value), provided
that any fractional share of Parents Stock shall be
rounded up or down to the nearest whole share.
(a) The term Threshold Percentage shall
mean the quotient, expressed as a percentage, obtained by
dividing (i) the Non-Escrow Stock Consideration by
(ii) the sum of (A) the Non-Escrow Stock Consideration
plus (B) the Stockholders Cash Amount
plus (C) the Preferred Liquidation Amount
plus (D) the Warrant Value.
(b) The term Non-Escrow Stock
Consideration shall mean, as of the date of a given
payment, the product of (i) the aggregate number of shares
of Parents Stock delivered to the Stockholders pursuant to
this Agreement, excluding the Escrow Amount (whether or not such
shares are distributed to the Stockholders) multiplied by
(ii) the Applicable Stock Value.
(c) The term Applicable Stock Value
shall mean the average of the high and low selling prices of a
share of Parents Stock quoted on the National Association
of Securities Dealers Automated Quotations System Global Market,
as reported by The Wall Street Journal, for the last
trading day immediately prior to (i) the date hereof if, as
of the Closing Date, Temp. Reg.
section 1.368-1(e)(2)
has not expired or has been replaced by a regulation permitting
or requiring Parents Stock to be valued, for purposes of
applying the continuity of interest requirement under
Section 368 of the Code, on the last trading day
immediately prior to the date hereof, or (ii) the Closing
Date if the condition described in clause (i) is not
satisfied as of the Closing Date.
(d) The term Stockholders Cash
Amount shall mean, as of the date of a given payment,
the aggregate amount of cash paid to the Stockholders in
exchange for Common Stock. For the avoidance of doubt, the
Stockholders Cash Amount shall include all amounts of cash
paid to the Stockholders pursuant to the penultimate sentence of
Section 3.6(c) and pursuant to
Section 13.5(a).
(e) The term Warrant Value shall mean
$15,000,000, which the parties agree shall represent the
aggregate fair market value of the Warrants as of the date
hereof.
ARTICLE IV
THE
CLOSING; TRANSACTIONS TO BE EFFECTED AT THE CLOSING
4.1 Closing; Closing Date. The closing of
the Merger contemplated hereby (the Closing)
shall take place at the offices of King & Spalding
LLP, 1185 Avenue of the Americas, New York, New York 10036, at
10:00 a.m. local time, on the second (2nd) Business Day
after the date that all of the conditions to the Closing set
forth in ARTICLE IX and ARTICLE X (other
than those conditions which, by their terms, are to be satisfied
or waived at the Closing) shall have been satisfied or waived by
the party entitled to waive the same, or at such other time,
place and date that the Stockholders Representative and
the Parent may agree in writing. The date upon which the Closing
occurs is referred to herein as the Closing
Date.
4.2 Transactions to be Effected at the
Closing. At the Closing, the following
transactions shall be effected by the parties:
(a) the Stockholders shall deliver to the Parent
Certificates representing the Shares, duly endorsed in blank or
accompanied by stock powers duly endorsed in blank in proper
form for transfer, with appropriate transfer Tax stamps, if any,
affixed, and the letter of transmittal described in
Section 3.3 required to be delivered by each
Stockholder prior to payment of any merger consideration by the
Parent hereunder;
(b) upon receipt of the information and documentation
referenced in Section 4.2(a) above for a
Stockholder, the Parent shall deliver to such Stockholder
sufficient cash, shares of Parents Stock and Warrants to
make all deliveries to such Stockholder pursuant to
Section 3.2(a)(i). The cash payment described herein
shall be by wire transfer of immediately available funds to a
bank account designated in writing by each such Stockholder
(such designation to be made at least two (2) Business Days
prior to the Closing Date);
(c) the Company shall pay to each Optionholder (other than
in respect of a Roll Over Option), by wire transfer of
immediately available funds, check or direct deposit, an amount
equal to such Optionholders portion of the Aggregate Cash
Option Consideration in accordance with Section 3.7
herein plus any amount described in
Section 3.7(d)(ii); provided that with
respect to each Option, the amount paid to an Optionholder
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shall be reduced by all applicable withholding amounts, if any,
with respect to the exercise of the underlying Option in
accordance with Section 3.7 herein and Parent shall
issue the Roll Over Options to the Roll Over Optionholders;
(d) the Parent shall deliver to the Company an amount equal
to the Aggregate Cash Option Consideration, payable by wire
transfer of immediately available funds to such bank account of
the Company designated in writing by the Company (such
designation to be made at least two (2) Business Days prior
to the Closing);
(e) the Parent shall deliver to the Bank on behalf of the
Company an amount equal to the Credit Agreements Payoff Amount;
(f) the Parent shall deliver to the Company by wire
transfer of immediately available funds to such bank accounts of
the Company designated in writing by the Company (such
designation to be made at least two (2) Business Days prior
to the Closing Date) an amount sufficient to pay the Preferred
Liquidation Amount;
(g) the Company shall pay the Preferred Liquidation Amount
to the holders of the Series A Preferred Stock;
(h) the Parent shall deliver to the Company by wire
transfer of immediately available funds to such bank account of
the Company designated in writing by the Company (such
designation to be made at least two (2) Business Days prior
to the Closing Date) an amount sufficient to pay the Company
Expenses;
(i) the Company shall pay the Company Expenses;
(j) the Parent shall deliver to the Escrow Agent the Escrow
Amount consisting of the shares of Parents Stock to be
held in the Escrow Fund; and
(k) the Parent shall issue to each Warrantholder the number
of Warrants set forth opposite such Warrantholders name on
Annex D attached hereto.
ARTICLE V
REPRESENTATIONS
AND WARRANTIES OF THE STOCKHOLDERS
Each Stockholder represents and warrants (solely with respect to
itself and with respect to no other Person) to the Parent as
follows:
5.1 Organization. Such Stockholder (other
than any Stockholder that is an individual) is duly organized,
validly existing and in good standing (or the equivalent
thereof) under the laws of the jurisdiction of its formation.
5.2 Binding Obligations. Such Stockholder
(other than any Stockholder that is an individual) has all
requisite corporate, partnership or other authority and power to
execute, deliver and perform this Agreement and to consummate
the transactions contemplated hereby and the execution, delivery
and performance by such Stockholder of this Agreement and the
consummation of the transactions contemplated hereby have been
duly and validly authorized by all necessary action on the part
of such Stockholder and no other proceedings on the part of such
Stockholder are necessary to authorize the execution and
delivery and performance of this Agreement by such Stockholder.
This Agreement has been duly executed and delivered by such
Stockholder, and assuming that this Agreement constitutes the
legal, valid and binding obligations of the Parent and Merger
Sub, constitutes the legal, valid and binding obligations of
such Stockholder, enforceable against such Stockholder in
accordance with its terms, except to the extent that the
enforceability thereof may be limited by (i) applicable
bankruptcy, insolvency, fraudulent conveyance, reorganization,
moratorium or similar laws from time to time in effect affecting
generally the enforcement of creditors rights and
remedies, and (ii) general principles of equity.
5.3 No Defaults or Conflicts. The
execution and delivery of this Agreement and the consummation of
the transactions contemplated hereby by such Stockholder and
performance by such Stockholder of its obligations hereunder
(i) do not result in any violation of the applicable
organizational documents of such
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Stockholder, if applicable, (ii) except as set forth on
Schedule 5.3, do not conflict with, or result in a
breach of any of the terms or provisions of, or constitute a
default under any material agreement or instrument to which such
Stockholder is a party or by which such Stockholder is bound or
to which its properties are subject, and (iii) except for
applicable requirements under the HSR Act, do not violate any
existing applicable law, rule, regulation, judgment, order or
decree of any Governmental Authority having jurisdiction over
such Stockholder or any of its properties; provided,
however, that no representation or warranty is made in
the foregoing clauses (ii) or (iii) with respect to
matters that, individually or in the aggregate, would not
reasonably be expected to materially impair such
Stockholders ability to consummate the transactions
contemplated hereby.
5.4 No Authorization or Consent
Required. Except for applicable requirements of
the HSR Act or similar foreign competition or Antitrust Laws or
as otherwise set forth in Schedule 5.4, no
authorization or approval or other action by, and no notice to
or filing with, any Governmental Authority or any other Person
at or prior to Closing will be required to be obtained or made
by such Stockholder in connection with the due execution,
delivery and performance by such Stockholder of this Agreement
and the consummation by such Stockholder of the transactions
contemplated hereby; provided, however, that no
representation and warranty is made with respect to
authorizations, approvals, notices or filings with any
Governmental Authority that, if not obtained or made, would not,
individually or in the aggregate, reasonably be expected to
materially impair such Stockholders ability to consummate
the transactions contemplated hereby.
5.5 The Shares. Schedule 5.5
accurately sets forth such Stockholders record ownership
of the Companys capital stock and options to purchase the
Companys capital stock as of the date hereof. Other than
the shares of capital stock of the Company owned and options to
purchase the capital stock of the Company held by such
Stockholder as listed on Schedule 5.5 hereto, such
Stockholder has no other equity interests or rights to acquire
equity interests in the Company as of the date hereof. Such
Stockholder has good and valid title to the Shares, free and
clear of all Encumbrances, except (i) Permitted
Encumbrances against the Shares all of which will be discharged
on or prior to the Closing Date, (ii) Encumbrances on
transfer imposed under applicable securities laws, and
(iii) Encumbrances created by the acts of Parent, Merger
Sub or their Affiliate. Other than the CHS Stockholders
Agreement, the Shares are not subject to any contract
restricting or otherwise relating to the voting, dividend rights
or disposition of such Shares (other than liens on the Common
Stock owned by the Institutional Stockholders in connection with
indebtedness of such Institutional Stockholders, which liens
shall be released on or prior to the Closing Date).
5.6 Investment Representations.
(a) Such Stockholder is acquiring the shares of
Parents Stock to be issued pursuant to
ARTICLE II solely for such Stockholders
account, for investment purposes only and with no current
intention or plan to distribute, sell or otherwise dispose of
any of those shares in connection with any distribution;
(b) Such Stockholder is not a party to any agreement or
other arrangement for the disposition of any shares of
Parents Stock other than this Agreement and the New Parent
Stockholders Agreement;
(c) Such Stockholder is an accredited investor
as defined in Rule 501(a) promulgated under the Securities
Act; and
(d) Such Stockholder (A) is able to bear the economic
risk of an investment in the Parents Stock acquired
pursuant to this Agreement, (B) can afford to sustain a
total loss of that investment, (C) has such knowledge and
experience in financial and business matters that he or it is
capable of evaluating the merits and risks of the proposed
investment in the Parents Stock, (D) has had an
adequate opportunity to ask questions and receive answers from
the officers of the Parent concerning any and all matters
relating to the transactions contemplated by this Agreement and
(E) as of the date hereof, has received and reviewed copies
of the Parents most recent annual report on
Form 10-K,
most recent proxy statement and all other reports filed under
Section 13(a) of the Exchange Act since the date of filing
of the Parents most recent annual report on
Form 10-K
prior to the date hereof.
5.7 Exclusivity of Representations. The
representations and warranties made by such Stockholder in this
Agreement are the exclusive representations and warranties made
by such Stockholder. Such Stockholder hereby disclaims any other
express or implied representations or warranties.
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ARTICLE VI
REPRESENTATIONS
AND WARRANTIES OF THE COMPANY
The Company represents and warrants to the Parent as follows:
6.1 Organization and Qualification. The
Company is a corporation duly incorporated, validly existing and
in good standing under the laws of the State of Delaware. Each
Company Subsidiary is duly incorporated, validly existing and in
good standing under the laws of the jurisdiction of its
formation. The Company and each Company Subsidiary have all
requisite organizational power and authority to own, lease and
operate their respective properties and carry on their business
as presently owned or conducted, except where the failure to be
so organized, existing and in good standing or to have such
power or authority would not, individually or in the aggregate,
reasonably be expected to be material to the Company or any
Company Subsidiary. The Company and each Company Subsidiary have
been qualified, licensed or registered to transact business as a
foreign corporation and is in good standing (or the equivalent
thereof) in each jurisdiction in which the ownership or lease of
property or the conduct of their business requires such
qualification, license or registration, except where the failure
to be so qualified, licensed or registered or in good standing
(or the equivalent thereof) would not, individually or in the
aggregate, reasonably be expected to have a Company Material
Adverse Effect or result in a material adverse effect on the
Companys or each such Company Subsidiarys ability to
consummate the transactions contemplated hereby.
Schedule 6.1 sets forth a complete and correct list
of all jurisdictions in which the Company and the Company
Subsidiaries are qualified or licensed to do business as a
foreign corporation.
6.2 Capitalization of the Company.
(a) Schedule 6.2 sets forth a complete and
accurate list of the number and type of authorized, issued and
outstanding shares of capital stock of the Company as of the
date hereof. Except as set forth on Schedule 6.2,
there are no other shares of capital stock or other equity
securities of the Company authorized, issued, reserved for
issuance or outstanding and no outstanding or authorized
options, warrants, convertible or exchangeable securities,
subscriptions, rights (including any preemptive rights), calls
or commitments of any character whatsoever, relating to the
capital stock of, or other equity or voting interest in, the
Company, to which the Company is a party or is bound requiring
the issuance, delivery or sale of shares of capital stock of the
Company. There are no outstanding or authorized stock
appreciation, phantom stock, profit participation or similar
rights with respect to the capital stock of, or other equity or
voting interest in, the Company to which the Company is a party
or is bound. The Company has no authorized or outstanding bonds,
debentures, notes or other indebtedness the holders of which
have the right to vote (or convertible into, exchangeable for,
or evidencing the right to subscribe for or acquire securities
having the right to vote). There are no contracts to which the
Company or any Stockholder is a party or by which it is bound to
(i) repurchase, redeem or otherwise acquire any shares of
capital stock of, or other equity or voting interest in, the
Company or (ii) vote or dispose of any shares of capital
stock of, or other equity or voting interest in, the Company.
Except as set forth in the CHS Stockholders Agreement, there are
no registration rights, irrevocable proxies and no voting
agreements with respect to any shares of capital stock of, or
other equity or voting interest in, the Company.
(b) All of the issued and outstanding shares of capital
stock of the Company are (i) duly authorized, validly
issued, fully paid and non-assessable and free of any preemptive
rights in respect thereto, and (ii) have been issued in
compliance with all applicable Laws, including, without
limitation, all federal and state securities laws.
6.3 Subsidiaries. Schedule 6.3
sets forth a complete and accurate list of the name and
jurisdiction of each Subsidiary of the Company (each a
Company Subsidiary and collectively, the
Company Subsidiaries), and the authorized,
issued and outstanding capital stock of the Company Subsidiary.
Each of the outstanding shares of capital stock of the Company
Subsidiary is duly authorized, validly issued, fully paid and
non-assessable and is directly owned of record as set forth on
Schedule 6.3, free and clear of any Encumbrances
other than (i) Permitted Encumbrances to be removed prior
to or at Closing, (ii) Encumbrances on transfer imposed
under applicable securities law and (iii) Encumbrances
created by the Parents or its Affiliates acts. There
is no other capital stock or equity securities of any Company
Subsidiary authorized, issued, reserved for issuance or
outstanding and no outstanding or authorized options, warrants,
convertible or exchangeable securities, subscriptions, rights
(including any preemptive rights), calls or commitments of any
character whatsoever to which any such Company Subsidiary is a
party or may be bound requiring the issuance, delivery or sale
of shares of capital stock of such Company
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Subsidiary. There are no outstanding or authorized stock
appreciation, phantom stock, profit participation or similar
rights with respect to the capital stock of, or other equity or
voting interest in, any Company Subsidiary to which the Company
or any Company Subsidiary is bound. No Company Subsidiary has
any authorized or outstanding bonds, debentures, notes or other
indebtedness the holders of which have the right to vote (or
convertible into, exchangeable for, or evidencing the right to
subscribe for or acquire securities having the right to vote)
with the equity holders of such Company Subsidiary on any
matter. There are no contracts to which the Company or any
Company Subsidiary is a party or by which the Company or any
Company Subsidiary is bound to (i) repurchase, redeem or
otherwise acquire any shares of the capital stock of, or other
equity or voting interest in, such Company Subsidiary or
(ii) vote or dispose of any shares of the capital stock of,
or other equity or voting interest in, such Company Subsidiary.
There are no irrevocable proxies and no voting agreements with
respect to any shares of the capital stock of, or other equity
or voting interest in, any Company Subsidiary. Except as set
forth on Schedule 6.3, neither the Company nor any
Company Subsidiary owns, directly or indirectly, any capital
stock of, or equity ownership or voting interest in, any Person
(other than the Company Subsidiaries in the case of the Company).
6.4 Binding Obligation. Except for the
CHS Stockholder Approval, the Company has all requisite
corporate authority and power to execute, deliver and perform
this Agreement and to consummate the transactions contemplated
hereby. Except for the CHS Stockholder Approval, this Agreement
and the consummation of the transactions contemplated hereby
have been duly and validly authorized by all required corporate
action on the part of the Company and no other corporate
proceedings on the part of the Company are necessary to
authorize the execution, delivery and performance of this
Agreement and the consummation of the transactions contemplated
hereby. This Agreement has been duly executed and delivered by
the Company and, assuming that this Agreement constitutes the
legal, valid and binding obligation of the Parent and Merger
Sub, constitutes the legal, valid and binding obligation of the
Company, enforceable against the Company in accordance with its
terms, except to the extent that the enforceability thereof may
be limited by (i) applicable bankruptcy, insolvency,
fraudulent conveyance, reorganization, moratorium or similar
laws from time to time in effect affecting generally the
enforcement of creditors rights and remedies, and
(ii) general principles of equity.
6.5 No Defaults or Conflicts. The
execution and delivery of this Agreement and the consummation of
the transactions contemplated hereby by the Company and
performance by the Company of its obligations hereunder
(i) does not result in any violation of the charter or
by-laws of the Company or the Company Subsidiaries,
(ii) except as set forth on Schedule 6.5, does
not conflict with, or result in a breach of any of the terms or
provisions of, or constitute a default under any Material
Contract, and (iii) except for the applicable requirements
of the HSR Act, does not violate any material existing
applicable law, rule, regulation, judgment, order or decree of
any Governmental Authority having jurisdiction over the Company,
the Company Subsidiaries or any of their respective properties.
6.6 No Authorization or Consents
Required. Except for applicable requirements of
the HSR Act or similar foreign competition or Antitrust Laws or
as otherwise set forth in Schedule 6.5 and
6.6, no consent, order, authorization or approval or
other action by, and no notice to or filing with, any
Governmental Authority or any other Person at or prior to
Closing will be required to be obtained or made by the Company
in connection with the due execution, delivery and performance
by the Company of this Agreement and the consummation by the
Company of the transactions contemplated hereby;
provided, however, that no representation and
warranty is made with respect to any consents, orders,
authorizations, approvals, notices or filings with any
Governmental Authority that, if not obtained or made, would not,
individually or in the aggregate, reasonably be expected to be
material to the business or the operation of the Company and the
Company Subsidiaries, taken as a whole, or materially impair the
Companys ability to consummate the transactions
contemplated hereby.
6.7 Financial Statements.
(a) The balance sheets included in the Company Financial
Statements fairly present, in all material respects, the
financial position of the Company as of their respective dates,
and the other related statements included in the Company
Financial Statements fairly present, in all material respects,
the results of operations and cash flows for the periods
indicated therein in accordance with GAAP applied on a
consistent basis, and in the case of unaudited financial
statements, subject to normal year end audit adjustments (none
of which will individually or in the aggregate be material) and
the absence of related notes, as applicable.
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(b) The Company Financial Statements were prepared from the
books and records of the Company and the Company Subsidiaries.
The books of account and other financial records of the Company
and the Company Subsidiaries (i) reflect all material items
of income and expense and all material assets and liabilities
required to be reflected therein and (ii) are in good order
and have been properly maintained in all material respects in
accordance with good business and accounting practices.
(c) The Company and the Company Subsidiaries do not have
any material liabilities, of any nature required to be included
in the Company Financial Statements (including any notes
thereto) or otherwise required to be disclosed in a balance
sheet in accordance with GAAP except for liabilities
(i) included or reserved in, or disclosed by, the Company
Financial Statements or (ii) incurred after
September 30, 2009, in the ordinary course of business
consistent with past practice.
(d) Except with respect to earn-out arrangements set forth
on Schedule 6.7(d), neither the Company nor any of
the Company Subsidiaries is a party to, or has any commitment to
become a party to, any joint venture or off-balance sheet
partnership agreement (including any agreement or arrangement
relating to any transaction or relationship between or among the
Company and any of the Company Subsidiaries, on the one hand,
and any unconsolidated Affiliate, including any structured
finance, special purpose or limited purpose entity or Person, on
the other hand, or any off-balance sheet
arrangements (as defined in Item 303(a) of
Regulation S-K
of the SEC)), where the result, purpose or effect of such
agreement is to avoid disclosure of any material transaction
involving, or material Liabilities of, the Company or any of the
Company Subsidiaries in the Company Financial Statements.
(e) Except as set forth on Schedule 6.7(e),
since January 1, 2006, neither the Company nor any Company
Subsidiary has received any notification from its internal audit
personnel or its independent public accountants of (i) a
significant deficiency or (ii) a material
weakness in the Companys internal controls. For
purposes of this Agreement, the terms significant
deficiency and material weakness shall have
the meanings assigned to them in Release 2004 001 of the Public
Company Accounting Oversight Board.
6.8 Intellectual Property.
(a) Schedule 6.8(a) sets forth a list of
registrations, issuances, filings, applications and corporate
names for all Intellectual Property Rights (as defined below)
filed by, or issued or registered to, the Company or the Company
Subsidiaries and all material license agreements relating to
Intellectual Property Rights to which the Company or any Company
Subsidiary is a party (other than licenses for
off-the-shelf
or other software widely available on generally standard terms
and conditions) (each such license, an IP
License).
(b) Except as set forth on Schedule 6.8(b), the
Company or the Company Subsidiaries, as applicable, owns, or
possesses licenses or other rights to use, all patents,
trademarks and service marks (registered or unregistered), trade
names (including the Companys and each Company
Subsidiarys corporate name and logo), uniform resource
locators and Internet domain names, copyright applications and
registrations therefor, unregistered copyrights, computer
software programs, industrial designs, inventions, invention
disclosures, business methods, electronic databases, trade
secrets and other intellectual property, whether or not subject
to statutory registration or protection, which are material to
the conduct of the business of the Company and the Company
Subsidiaries, taken as a whole (the Intellectual
Property Rights), free and clear of any Encumbrances
other than Permitted Encumbrances. Each IP License to which the
Company or any Company Subsidiary is a party (i) is a legal
and binding obligation of the Company or such Company
Subsidiary, as applicable, and, to the knowledge of the Company,
the other relevant parties thereto, (ii) is in full force
and effect and (iii) none of the Company, any Company
Subsidiary, nor, to the knowledge of the Company, any other
party thereto, is in default in the performance, observance or
fulfillment of any obligation, covenant or condition contained
in any IP License.
(c) To the Knowledge of the Company, the execution and
delivery of this Agreement will not cause the Company nor any
Company Subsidiary to be in violation or default under any IP
License relating to the Intellectual Property Rights listed in
Schedule 6.8(a).
(d) The validity of the Intellectual Property Rights owned
by the Company or any Company Subsidiary and the title or rights
to use thereof has not been objected to by any third party,
which objection has been communicated to the Company or any
Company Subsidiary, or challenged in any opposition,
invalidation or cancellation proceeding or any litigation to
which the Company or any Company Subsidiary is a party, nor to
the knowledge
A-25
of the Company, is any such objection or opposition,
invalidation or cancellation proceeding or litigation threatened
in writing.
(e) Except as set forth on Schedule 6.8(e), to
the knowledge of the Company, no Person is infringing upon or
violating any of the Intellectual Property Rights owned by the
Company or any Company Subsidiary and, to the knowledge of the
Company, none of the Intellectual Property Rights owned by the
Company or any Company Subsidiary infringe or are alleged to
infringe any trademark, service mark or trade name of any other
Person.
6.9 Compliance with the Laws. Other than
with respect to Taxes, Health Care, ERISA or Environmental Laws,
which matters are covered under Sections 6.12, 6.14,
6.15, 6.16, 6.17 and 6.18, respectively, and except as set
forth on Schedule 6.9, (a) the business of the
Company and the Company Subsidiaries is not being conducted in
any material respect in violation of any Laws and (b) each
of the Company and the Company Subsidiaries is, and since
March 31, 2008, has been, in compliance in all material
respects with all Laws applicable to it, its properties or other
assets or its business or operations. Except as set forth on
Schedule 6.9, none of the Company or the Company
Subsidiaries have received, since March 31, 2008, a notice
or other written communication alleging or relating to a
possible material violation of any Law applicable to it, its
properties or other assets or its businesses or operations.
6.10 Contracts.
(a) Schedule 6.10(a) lists or describes, and
true and complete copies have been made available to the Parent
of, all contracts, agreements and instruments (other than
Company Benefit Plans, Leases and purchase orders) to which the
Company or any Company Subsidiary is a party or to which their
respective assets, property or business are bound or subject or
which the Company or any Company Subsidiary has any outstanding
rights or obligations (collectively, the contracts listed on
Schedule 6.10(a), Schedule 6.14(a) and
Schedule 6.14(b) are referred to herein as the
Material Contracts):
(i) any agreement (or group of related agreements)
(x) for the sale of raw materials, commodities, supplies,
products, or other personal property, or for the furnishing of
services, which involves consideration in excess of $500,000 in
any calendar year or (y) for the purchase of raw materials,
commodities, supplies, products, or other personal property, or
for the receipt of services by a third party, which involves
payment by the Company or any Company Subsidiary of
consideration in excess of $500,000 in any calendar year or
which the Company reasonably expects will involve payment by the
Company or any Company Subsidiary of consideration in excess of
$500,000 per annum in any future calendar year during the
term of such agreement;
(ii) any agreement (or group of related agreements) for the
lease of personal property to or from any Person providing for
lease payments in excess of $250,000 per annum;
(iii) in respect of (x) any Assumed Indebtedness
having a principal amount outstanding in excess of $75,000 and
(y) any of the items covered in the exclusions to the
definition of Indebtedness (other than Indebtedness incurred by
the Parent or any of its Affiliates);
(iv) that contains a covenant not to compete, or other
material covenant restricting the development, manufacture,
marketing or distribution of products and services of the
Company or any Company Subsidiary, in each case that materially
limits the conduct of the business of the Company or any Company
Subsidiary as presently conducted;
(v) that relates to the acquisition or disposition of any
business by the Company or any Company Subsidiary (whether by
merger, sale of stock, sale of assets or otherwise) since
September 1, 2006 and any Prior Purchase Agreement;
(vi) that imposes any material confidentiality, standstill
or similar obligation on the Company or any Company Subsidiary,
except for those entered into in the ordinary course of business
or in connection with the sale process of the Company or in
connection with the proposed acquisition of any Person;
(vii) that contains a right of first refusal, first offer
or first negotiation;
(viii) in respect of any joint venture, partnership or
strategic alliance;
A-26
(ix) pursuant to which the Company or any Company
Subsidiary has granted any exclusive marketing, sales
representative relationship, franchising, consignment or
distribution right to any third party; and
(x) any agreement that required during calendar year 2009
or that is reasonably expected to require, in the future,
payments from the Company or any Company Subsidiary to any
person or organization who, to the knowledge of the Company, has
made referrals to Company or any Company Subsidiary.
(b) With respect to all Material Contracts, none of the
Company, any Company Subsidiary or, to the knowledge of the
Company, any other party to any such contract is in material
breach thereof or default thereunder and there does not exist
under any Material Contract any event which, with the giving of
notice or the lapse of time or both, would constitute such a
material breach or default by the Company, any Company
Subsidiary or, to the knowledge of the Company, any other party.
Except as set forth on Schedule 6.10(b), neither the
Company nor any Company Subsidiary has made any claim against
any other party to a Prior Purchase Agreement for
indemnification or otherwise, and to the knowledge of the
Company there is no reasonable basis for making any such claim.
6.11 Litigation. Except as set forth in
Schedule 6.11 and with respect to any workers
compensation claims, there are no material claims, actions or
legal proceedings pending or, to the knowledge of the Company,
threatened in writing against or involving the Company or any
Company Subsidiary or any material portion of their respective
properties or assets before any Governmental Authority against
or involving the Company or any Company Subsidiary. Neither the
Company nor any Company Subsidiary is operating under, subject
to, or in default with respect to, any materially unsatisfied
order, judgment, injunction, ruling, decision, award or decree
of any Governmental Authority.
6.12 Taxes. Except as set forth on
Schedule 6.12:
(a) all Tax Returns required to be filed by or with respect
to the Company or any Company Subsidiary have been timely filed,
and all such Tax Returns are true, complete and correct in all
material respects;
(b) the Company and each Company Subsidiary have fully and
timely paid all Taxes shown to be due on the Tax Returns
referred to in Section 6.12(a);
(c) all deficiencies for Taxes asserted or assessed in
writing against the Company or any Company Subsidiary have been
fully and timely paid, settled or properly reflected in the
Company Financial Statements;
(d) no action, proceeding, investigation, inquiry or audit
is pending with respect to any Taxes due from or with respect to
the Company or any Company Subsidiary, nor does the Company have
knowledge of any pending or threatened action, proceeding,
investigation, inquiry or audit by any taxing authority;
(e) there are no outstanding agreements extending or
waiving the statutory period of limitations applicable to any
claim for, or the period for the collection or assessment or
reassessment of, Taxes due from the Company or any Company
Subsidiary for any taxable period and no request for any such
waiver or extension is currently pending;
(f) neither the Company nor any Company Subsidiary has been
included in any consolidated, unitary,
or combined Tax Return provided under the law of the
United States or any foreign jurisdiction or any state or
locality with respect to Taxes for any taxable period for which
the statute of limitation has not expired, other than a group
the common parent of which is the Company;
(g) neither the Company nor any Company Subsidiary has
taken any reporting position on a Tax Return, which reporting
position (i) if not sustained would be reasonably likely,
absent disclosure, to give rise to a penalty for substantial
understatement of federal income Tax under Section 6662 of
the Code (or any similar provision of state, local, or foreign
Tax law), and (ii) has not adequately been disclosed on
such Tax Return in accordance with Section 6662(d)(2)(B) of
the Code (or any similar provision of state, local, or foreign
Tax law);
(h) neither the Company nor any Company Subsidiary has
participated in any reportable transaction, as
defined in Treasury Regulations
Section 1.6011-4(b);
A-27
(i) the Company and its Subsidiaries have each withheld (or
will withhold) from their respective employees, independent
contractors, creditors, stockholders and third parties and
timely paid to the appropriate Governmental Authority proper and
accurate amounts in compliance with all Tax withholding and
remitting provisions of applicable laws and have each complied
with all Tax information reporting provisions of all applicable
laws;
(j) the Company has not made any payments, and is not and
will not become obligated under any contract, agreement, plan,
or arrangement (or combinations thereof) entered into on or
before the Closing Date to make any payments, that, individually
or collectively, will be non-deductible under Code
Sections 280G or 162(m) of the Code or subject to the
excise Tax under Code Section 4999 or that would give rise
to any obligation to indemnify any Person for any excise Tax
payable pursuant to Code Section 4999;
(k) there are no Encumbrances for Taxes (other than for
current Taxes not yet due and payable) upon the assets of the
Company or any Company Subsidiary;
(l) neither the Company nor any Company Subsidiary will be
required (A) as a result of a change in method of
accounting for a taxable period ending on or prior to the
Closing Date, to include any adjustment under
Sections 481(c) or 263A of the Code in taxable income for
any taxable period (or portion thereof) beginning after the
Closing Date, (B) as a result of any closing
agreement, as described in Section 7121 of the Code,
to include any item of income or exclude any item of deduction
from any taxable period (or portion thereof) beginning after the
Closing Date, or (C) as a result of an election under
Section 1362 of the Code, to include any amount under
Section 1363(d) in any taxable period (or portion thereof)
beginning after the Closing;
(m) neither the Company nor any Company Subsidiary is a
party to or bound by any tax allocation or tax sharing agreement
or has any current or potential obligation to indemnify any
other Person with respect to Taxes other than as set forth in
the Prior Purchase Agreements;
(n) no claim has been made in writing by a Governmental
Authority in a jurisdiction where the Company or a Company
Subsidiary does not file Tax Returns that the Company or such
Company Subsidiary is or may be subject to Taxes assessed by
such jurisdiction; and
(o) neither the Company nor any Company Subsidiary has
taken or agreed to take, or has failed to take, any action, nor
is the Company or any Company Subsidiary aware of any fact,
agreement, plan or other circumstance, that would prevent the
Merger from qualifying as a reorganization under
Section 368(a) of the Code.
6.13 Permits. Schedule 6.13
sets forth for the Company and each Company Subsidiary, all
licenses, permits, authorizations, franchises and certifications
of Governmental Authorities, registrations, waivers, privileges,
exemptions, qualifications, quotas, certificates, filings,
notices, permits and rights held by the Company or such Company
Subsidiary which are material to the Company and each Company
Subsidiary necessary for the lawful conduct of the
Companys and each Company Subsidiarys businesses as
presently conducted, or the lawful ownership of properties and
assets or the operation of their businesses as conducted
(collectively, Permits). There are no other
material Permits required by the Company or any Company
Subsidiary for the lawful conduct of the Companys and each
Company Subsidiarys businesses as presently conducted. No
suspension, revocation or invalidation of any such Permit is
pending or, to the knowledge of the Company, has been
threatened. All such Permits are in full force and effect, and
there has occurred no material default under any Permit by the
Company or such Company Subsidiary. No representation is given
under this Section 6.13 with respect to matters
covered by Section 6.16 (Medicare, Medicaid;
Companys Legal and Billing Compliance).
6.14 Health Care Programs and Third Party Payor
Participation.
(a) The Company Subsidiaries participate in and have not
been excluded from the federal and state health care programs
(individually, a Program and collectively,
the Programs) listed on
Schedule 6.14(a). A list of all of the Company
Subsidiaries existing (x) Medicare and Medicaid
Program provider agreements and numbers, and (y) all other
federal and state Program provider agreements and numbers,
excluding TRICARE and CHAMPUS, pertaining to the business of
each Company Subsidiary or, if such contracts do not exist,
other documentation
A-28
evidencing such participation are set forth on
Schedule 6.14(a), current, true and complete copies
of which have been delivered to the Parent. The Company
Subsidiaries existing (x) Medicare and Medicaid
Program provider agreements and numbers, and (y) all other
federal and state Program provider agreements and numbers,
including TRICARE and CHAMPUS shall be referred to herein as
Program Agreements.
(b) The Company Subsidiaries have contractual arrangements
with third party payors including, but not limited to, private
insurance, managed care plans and HMOs (the Third Party
Payors). A list of each Company Subsidiarys
existing contracts with Third Party Payor(s) that provide for
payment of $500,000 or more in calendar year 2009 pertaining to
such Company Subsidiarys business is set forth on
Schedule 6.14(b) (the Third Party Payor
Contracts). To the knowledge of the Company, current,
true and complete copies of all Third Party Payor Contracts have
been delivered to the Parent.
(c) The Program Agreements and Third Party Payor Contracts
constitute legal, valid, binding and enforceable obligations of
the Company Subsidiary that is a party thereto and the other
parties thereto and, to the knowledge of the Company, are in
full force and effect.
(d) No Company Subsidiary is in default under any Program
Agreement or under any Third Party Payor Contract to which it is
a party and, to the knowledge of the Company, the other parties
thereto are not in material default thereunder.
(e) The Company, and each Company Subsidiary are in
material compliance with the rules and policies respecting each
Program Agreement and Third Party Payor Contract, including, but
not limited to, all certification, billing, reimbursement and
documentation requirements. No action has been taken by any
Governmental Authority or, to the knowledge of the Company,
recommended by any Governmental Authority, either to revoke,
withdraw or suspend any Program Agreement or to terminate or
decertify any participation of any Company Subsidiary in any
Federal Health Care Program (as that term is
defined in 42 U.S.C. §
1320a-7b(f))
in which it participates (including, but not limited to
Medicare, Medicaid, TRICARE and CHAMPUS), nor is there any
decision by the Company not to renew any Program Agreement. To
the knowledge of the Company, no party to a Program Agreement or
Third Party Payor Contract or other government regulatory
authority has threatened revocation, suspension, termination,
probation, restriction, limitation or nonrenewal affecting any
Program Agreement or Third Party Payor Contract.
6.15 Health Care Regulatory.
(a) Except as set forth on Schedule 6.15(a),
there is no pending, or to the knowledge of the Company,
threatened exclusion, revocation, suspension, termination,
probation, restriction, limitation or nonrenewal affecting the
Company or any Company Subsidiarys participation or
enrollment in any of the Programs or Third Party Payor
Contracts. Neither the Company nor any Company Subsidiary has
received written notice that the Company or such Company
Subsidiary is currently the subject of any investigation,
inquiry or proceeding by any Governmental Authority (or any
Governmental Authoritys designated agent or agents), nor,
to the knowledge of the Company, is there any reasonable grounds
to anticipate the commencement of any investigation, inquiry or
proceeding by any Governmental Authority. No written notice of
any violation, asserted deficiency, or other irregularity has
been received by the Company or any Company Subsidiary from any
Governmental Authority (or any Governmental Authoritys
designated agent or agents) that would directly or indirectly,
or with the passage of time:
(i) affect the Companys or any Company
Subsidiarys ability to treat patients, furnish, claim,
bill and receive reimbursement relative to health care products
or services rendered to patients or health care professionals,
providers or suppliers, or
(ii) result in the imposition of any fine, sanction, or
lower reimbursement rate for items or services furnished by such
Company Subsidiary.
(b) There are no material Program, Third Party Payor or
other claim or reimbursement audits or appeals relating to the
Company or any Company Subsidiary, except for those that occur
in the ordinary course of business or those set forth on
Schedule 6.15(b). For purposes hereof, a material
claim, reimbursement audit or appeal shall include any current,
pending or outstanding claim, reimbursement audit or appeal that
results in a recoupment or offset to, or other recovery from,
Company or any Company Subsidiary in excess of One Hundred
Thousand Dollars
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($100,000.00) individually or all claims, reimbursement audits
or appeals that result in such recoupments, offsets or other
recoveries of Two Hundred Fifty Thousand Dollars ($250,000.00)
or more in the aggregate.
(c) To the knowledge of the Company, there are no current
or pending payment or reimbursement withholds, payment
recoupments or suspensions by any Program or Third Party Payor
relating to the Company or any Company Subsidiary or to the
health care items or services furnished by the Company or any
Company Subsidiary, other than payment or reimbursement
withholds, or payment recoupments that are ordinary course
adjustments to correct non-continuing, non-systemic errors and
which, when taken together, are immaterial.
6.16 Medicare, Medicaid; Companys Legal and
Billing Compliance.
(a) Activities and Contractual
Relationships. To the knowledge of the Company,
neither the Company nor any Company Subsidiary has engaged in
any activity or contractual relationship or omitted to take
required action, such as the filing or submission of any claim
for reimbursement, report or other documentation, in violation
of any applicable federal, state or local law, rule or
regulation including 42 C.F.R. § 424.22(d), the False
Claims Act (31 U.S.C. Section 3729), the Health
Insurance Portability and Accountability Act of 1996, Pub. L.
No. 104 191,110 Stat. 1936 (1996), the Fraud and Abuse
provisions of Section 1128B of the Social Security Act, the
Medicare and Medicaid Patient and Program Protection Act of 1987
(42 U.S.C. Section 1320a 7b), Section 1877 of the
Medicare Act (42 U.S.C. Section 1395nn) (the Stark
anti referral amendments), or any directives, rules or
regulations thereunder promulgated by the U.S. Department
of Health and Human Services or any governmental agency (e.g.,
CMS, OIG), or any comparable self-referral or fraud and abuse
laws, directives and regulations promulgated by any other
federal, state or local agency; or which results in the over
utilization of health care services by patients or improper
denial of health care services to patients.
(b) Inappropriate Payments. To the
knowledge of the Company, neither the Company, any Company
Subsidiary nor any officer, director, employee or agent acting
on behalf of or for the benefit of any thereof, has, directly or
indirectly: (i) paid any remuneration, in cash or in kind,
to, or made any financial arrangements with, any past or present
customers, past or present suppliers, contractors, referral
sources or Third Party Payors to obtain business or payments
from such person, other than in compliance with applicable Laws;
(ii) given any gift or gratuitous payment of any kind,
nature or description (whether in money, property or services)
to any customer or potential customer, supplier or potential
supplier, contractor, referral source, Third Party Payor or any
other person; and (iii) made any contribution, payment or
gift of funds or property to, or for the private use of, any
governmental official, employee or agent, where the
contribution, payment or gift is or was illegal under applicable
Laws.
(c) Compliance with Healthcare
Laws. Neither the Company, any Company Subsidiary
nor any of their respective officers or directors, acting on
behalf of or for the Company or any Company Subsidiary, is a
party to any contract, lease or other agreement or arrangement,
direct or indirect, including, but not limited to, any joint
venture or consulting agreement, with any physician, hospital,
nursing facility, home health agency, hospice or other person or
entity who is in a position to make or influence referrals to or
otherwise generate business for the Company or any Company
Subsidiary that violates (i) 42 U.S.C.
1320a-7b(b)
(the Fraud and Abuse Anti-Kickback statute) or
(ii) 42 U.S.C. 1395nn and 1395(q) (the Stark Law).
(d) Compliance with Billing
Practices. All billing practices by the Company
and the Company Subsidiaries to the Programs and all Third Party
Payors are and have been in compliance with all applicable Laws,
regulations and policies of all such Third Party Payors and
Programs. The Company and each Company Subsidiary have filed all
reports required to be filed in connection with all Medicare and
Medicaid programs due on or before the date hereof, which
reports are complete and correct in all respects. The Company
and Company Subsidiaries have received no notice of, and to the
knowledge of the Company, there are no claims, actions, payment
reviews or (other than those that occur in the ordinary course
of business or that are set forth on
Schedule 6.15(b)) appeals pending or threatened by
or before any commission, board or agency, including any
intermediary or carrier, the Administrator of the Centers for
Medicare and Medicaid Services, or any applicable state program,
with respect to any Medicare or Medicaid claims filed by the
Company or any Company Subsidiary on or before the date hereof
and to the knowledge of the Company, there are no other Program
compliance matters which would be reasonably expected to result
in a Company Material Adverse Effect. To the knowledge of the
Company, no validation review or program integrity review
related to the Company, any Company Subsidiary or their
respective facilities has been conducted by any commission,
board or agency in connection with the Medicare or Medicaid
programs, and no such reviews
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are scheduled, pending or, to the knowledge of the Company,
threatened against or affecting the Company, any Company
Subsidiary or their respective facilities or the consummation of
the transactions contemplated hereby.
(e) Accreditations. To the knowledge of
the Company, each Company Subsidiary holds all accreditations
necessary or required by applicable Laws or Governmental
Authority for the operation of the business as currently
conducted by the Company and each Company Subsidiary
(individually, a Company Accreditation, and
collectively, the Company Accreditations).
There are no pending or, to the knowledge of the Company,
threatened suits or proceedings that would reasonably be
expected to result in a suspension, revocation, restriction,
amendment or nonrenewal of any Company Accreditation, and to the
knowledge of the Company, no event which (whether with notice or
lapse of time or both) would result in a suspension, revocation,
restriction, amendment or nonrenewal of any Company
Accreditation has occurred. To the knowledge of the Company,
each Company Subsidiary is in compliance with the terms of the
Company Accreditations.
(f) Reimbursement Approvals. To the
knowledge of the Company, the Company and each Company
Subsidiary hold all Reimbursement Approvals necessary or
required by applicable Laws or Governmental Authority for the
operation of the business as currently conducted by the Company
and each Company Subsidiary. Schedule 6.16(f) sets
forth all such Reimbursement Approvals held by the Company
Subsidiaries as of the Closing Date or for which a Company
Subsidiary has applied (individually, a Company
Reimbursement Approval, and collectively, the
Company Reimbursement Approvals). There are
no pending or, to the knowledge of the Company, threatened suits
or proceedings that have or would reasonably be expected to
result in the suspension, revocation, restriction, amendment or
nonrenewal of any Company Reimbursement Approvals, and to the
knowledge of the Company, no event which (whether with notice or
lapse of time or both) would reasonably be expected to result in
a suspension, revocation, restriction, amendment or nonrenewal
of any Company Reimbursement Approval has occurred. To the
knowledge of the Company, each Company Subsidiary is in
compliance with the terms of the Company Reimbursement Approvals
to which it is subject.
(g) Surveys, Audits and
Investigations. Schedule 6.16(g) sets
forth a list of all notices received during 2009 of
non-compliance, requests for remedial action, return of
overpayment or imposition of fines (whether ultimately paid or
otherwise resolved) by any Governmental Authority or pursuant to
any licenses and Permits, Company Accreditation or Company
Reimbursement Approval prior to the date hereof (the
Health Care Audits), other than notices of
ordinary course overpayments
and/or
notices advising of routine payor audits. For purposes hereof, a
routine payor audit is considered to be an audit that requests
records for identified patients during a limited period of time,
but does not include an audit that identifies any specific area
of review (e.g., an audit requesting records for patients who
received a certain therapy). The Company and each Company
Subsidiary has prepared and submitted timely responses and, as
applicable, any corrective action plans required to be prepared
and submitted in response to any surveys performed by any
Governmental Authority or Health Care Audits and has implemented
all of the corrective actions described in such corrective
action plans. Neither the Company nor any Company Subsidiary has
any (i) uncured deficiency which would reasonably be
expected to lead to the imposition of a fine, cost penalty or
other similar remedy or (ii) other than ordinary course
adjustments, existing accrued unpaid indebtedness to any
Governmental Authority, or to any Program or Third Party Payor,
including Medicare or Medicaid.
(h) Medicare, Medicaid Fraud. Neither the
Company nor any Company Subsidiary has been charged, convicted
or indicted for a Federal Health Care Program or state health
care program related offense, nor has the Company nor any
Company Subsidiary nor any of its officers, directors or
stockholders been debarred, excluded or suspended from
participation in Medicare, Medicaid or any other federal or
state health program or been subjected to any order or consent
decree of, or criminal or civil fine or penalty imposed by, any
Governmental Authority related thereto. To the knowledge of the
Company, neither the Company nor any Company Subsidiary has
arranged or contracted with (by employment or otherwise) any
Person that is excluded or suspended from participation in a
federal or state health care program, for the provision of items
or services for which payment may be made under such federal
health care program. Neither the Company or nor any Company
Subsidiary is party to any corporate integrity or other
agreements with any Governmental Authority. None of the
officers, directors, agents or managing employees (as such term
is defined in 42 U.S.C. §
1320a-5(b))
of the Company or a Company Subsidiary has been excluded from
the Programs or any other federal health care program (as
defined in 42 U.S.C. §
1320a-7b(f)),
been subject to sanction pursuant to 42 U.S.C. §
1320a-7a or
1320a-8, or
been convicted of a crime described at 42 U.S.C. §
1320a-7b,
nor to the knowledge of the Company is any such exclusion,
sanction or conviction threatened or
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pending. Neither the Company nor any Company Subsidiary has been
excluded from the Programs or any other federal health care
program (as defined in 42 U.S.C.
§1320a-7b(f))
or state health care program as a result of any civil or
criminal wrongdoing.
(i) HIPAA Requirements. To the knowledge
of the Company, the Company and each Company Subsidiary is in
compliance with HIPAA, including the federal privacy regulations
as contained in 45 C.F.R. Part 164 (the
Federal Privacy Regulations), the federal
security standards as contained in 45 C.F.R. Part 142
(the Federal Security Regulations), and the
federal standards for electronic transactions contained in
45 C.F.R. Parts 160 and 162, all collectively referred to
herein as HIPAA Requirements. To the
knowledge of the Company, no Company Subsidiary has used or
disclosed any Protected Health Information, as defined in
45 C.F.R. § 164.504, or Individually Identifiable
Health Information, as defined in 42 U.S.C. § 1320d,
other than as permitted by HIPAA requirements and the terms of
this Agreement. Each Company Subsidiary has made its internal
practices, books and records relating to the use and disclosure
of Protected Health Information available to the Secretary of
Health and Human Services to the extent required for determining
compliance with the Federal Privacy Regulations.
(i) Each component of the Company or any Company Subsidiary
that is a health plan, healthcare clearinghouse or healthcare
provider, as such terms are defined in the Federal Privacy
Regulations (collectively, the Covered
Entities), is in compliance with HIPAA, the Federal
Privacy Regulations, the Federal Security Regulations or
applicable state privacy laws.
(ii) True and complete copies of each Covered Entitys
policies relating to the privacy of its patients Protected
Health Information (as defined in 45 C.F.R. § 164.504)
have been made available to the Parent. An accurate copy of each
Covered Entitys privacy notice and any policy relating
thereto, or the most recent draft thereof, has been furnished to
the Parent. An accurate and complete list of all material,
individually and in the aggregate, unresolved HIPAA-related
complaints filed against or with a Covered Entity is provided in
Schedule 6.16(i)(ii).
(j) Health Care Licenses. To the
knowledge of the Company, the Company and each Company
Subsidiary hold all health care licenses, permits and
registrations necessary or required by applicable Law or
Governmental Authority for the operation of the health care
business as currently conducted by the Company, any Company
Subsidiary or any branch (Health Care
Licenses). Schedule 6.16(j) sets forth all
such Health Care Licenses held by the Company or the Company
Subsidiaries and separately identifies those for which the
Company or a Company Subsidiary has applied (individually, a
Company Health Care License, and collectively, the
Company Health Care Licenses). There are no
pending or, to the knowledge of the Company, threatened suits or
proceedings that would reasonably be expected to result in the
suspension, revocation, restriction, amendment or nonrenewal of
any Company Health Care License, and to the knowledge of the
Company, no event which (whether with notice or lapse of time or
both) would reasonably be expected to result in a suspension,
revocation, restriction, amendment or nonrenewal of any Company
or Company Subsidiary Health Care License has occurred. The
Company and each Company Subsidiary is in compliance with the
terms of each Company Health Care License. No Government
Authority is required to give approval of a change of ownership
or be notified of a change of ownership of any Company or
Company Subsidiary Health Care License prior to Closing except
as set forth on Schedule 6.16 (j). All
parties acknowledge that the business of the Company and the
Company Subsidiaries is health care.
6.17 Employee Benefit Plans.
(a) Schedule 6.17(a) sets forth a true and
complete list of all Benefit Plans currently sponsored,
maintained or contributed to by the Company or any Company
Subsidiary for the benefit of any current or former employee or
director, leased employee or independent contractor of the
Company or any Company Subsidiary or with respect to which the
Company has any liability, contingent or otherwise as a result
of being a member of a group of organizations described in
Sections 414(b), 414(c), 414(m) or 414(o) of the Code or
Section 4001(b) of ERISA (collectively, the
Company Benefit Plans). Neither the Company
nor any Company Subsidiary has any liability with respect to any
Benefit Plan other than the Company Benefit Plans set forth on
Schedule 6.17(a).
(b) With respect to each Company Benefit Plan:
(i) except as set forth on Schedule 6.17(b)
(A) each Company Benefit Plan intended to be qualified
under Section 401(a) of the Code has received a favorable
determination or opinion letter on the terms of the plan as
currently in effect, which has not been revoked, from the IRS
that any such
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plan is tax-qualified and each trust which is a part of such
plan has been determined by the IRS to be exempt from federal
income tax under Code Section 501(a) (each a
Qualified Plan), and to the knowledge of the
Company, nothing has occurred or is reasonably expected to occur
with respect to the terms or in the operation of such plan
through the Closing which would cause the loss of such
qualification and (B) any transaction with respect to any
Qualified Plan which is described in Section 406 of ERISA
or Section 4975(c) of the Code have been timely and
properly corrected and any related excise taxes have been timely
and properly paid in full, (ii) no Company Benefit Plan is
or at any time was a defined benefit plan as defined
in Section 3(35) of ERISA or a pension plan subject to the
funding standards of Section 302 of ERISA or
Section 412 of the Code, (iii) no reportable event
(within the meaning of Section 4043 of ERISA) has occurred,
(iv) there has been no termination or partial termination
of any Company Benefit Plan which is intended to be qualified
under Section 401(a), (v) except as would not
reasonably be expected to be material, the Company does not have
any liability directly or any liability, contingent or
otherwise, as a member of a group of organizations described in
Sections 414(b), 414(c), 414(m) or 414(o) of the Code or
Section 4001(b) of ERISA (a Controlled Group
Liability) with respect to any plan, program, or
arrangement subject to Title IV of ERISA or
Section 412 of the Code, (vi) all contributions to
each Company Benefit Plan, including contributions deducted from
an employees compensation, have been timely and properly
made, (vii) the terms of each Company Benefit Plan which is
subject to Section 409A of the Code is in material
compliance with the requirements of Section 409A of the
Code and has in operation materially satisfied such
requirements, (viii) the only outstanding Options to
purchase Common Stock are options granted under the Company
Stock Option Plan, and (ix) except as would not reasonably
be expected to be material, no individual who provides services
to the Company or a Company Subsidiary is a leased
employee within the meaning of Section 414(n) of the
Code.
(c) The Company has provided to the Parent true and
complete copies of (i) each Company Benefit Plan, including
any related trust agreement or other funding instrument,
(ii) the most recent summary plan description and summaries
of material modifications for each Company Benefit Plan for
which such a summary plan description is required under ERISA,
(iii) the most recent determination letters from the IRS
with respect to each Company Benefit Plan, if applicable,
(iv) the most recent Form 5500 for each Company
Benefit Plan and audited financial statements (if such form or
statement is required or applicable), (v) the most recent
actuarial reports, all agreements or contracts with any
investment manager or investment advisor with respect to any
Company Benefit Plan, and (vi) any insurance policy
currently in effect related to any Company Benefit Plan. In the
case of any unwritten Company Benefit Plan, a written
description of such plan, program or arrangement has been
furnished to the Parent.
(d) Except as set forth in Schedule 6.17(d),
neither the Company nor any Company Subsidiary currently
participate in, have participated in, are currently required or
have been required to contribute to or have any liability
directly or any Controlled Group Liability with respect to, any
Multiemployer Plan, or any multiple employer plan
within the meaning of Section 210(a) of ERISA or
Section 413(c) of the Code. Further, no Company Benefit
Plan is, or has been, a multiple employer welfare arrangement as
defined in Section 3(40) of ERISA.
(e) Except as set forth in Schedule 6.17(e),
each Company Benefit Plan has been administered in accordance
with its terms and applicable Law, and all reporting and
disclosure requirements under applicable Laws have been
satisfied timely.
(f) Except as would not be reasonably be expected to be
material or as provided in Schedule 6.17(f), neither
the execution and delivery of this Agreement nor the
consummation of the transactions contemplated by this Agreement
will (either alone or in combination with another event
contemplated by this Agreement) (i) result in any material
payment becoming due under a change in control (as
defined in Section 280G of the Code), or increase the
amount of any compensation due, to any current or former
employee, director, consultant or independent contractor of
Company, (ii) materially increase any benefits otherwise
payable under any Company Benefit Plan or (iii) result in
the acceleration of the time of payment or vesting of any such
compensation or benefits.
(g) Neither the Company nor a Company Subsidiary has
incurred any liability or obligation under the Worker Adjustment
and Retraining Notification Act (WARN) or any
similar state or local law which remains unpaid or unsatisfied.
(h) With respect to each Company Benefit Plan: (i) no
material non-routine audits, proceedings, claims or demands are
pending or, to the knowledge of the Company, threatened with any
Governmental Authority, including the IRS and the Department of
Labor, (ii) no material litigation, actions, suits, claims,
disputes or other proceedings
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(other than routine claims for benefits) are pending or, to the
knowledge of the Company, have been threatened against any
Company Benefit Plan, the trustee or fiduciary of such plan, or
the Company with respect to such plan, (iii) all material
reports, returns, and similar documents required to be filed
with any Governmental Authority or distributed to any
participant have been duly and timely filed or distributed,
(iv) no prohibited transactions, within the
meaning of ERISA or the Code, or breach of any duty imposed on
fiduciaries pursuant to ERISA has occurred, and
(v) all required or discretionary (in accordance with
historical practices) payments, premiums, contributions,
reimbursements or accruals for all periods ending prior to or as
of the Closing shall have been timely made or timely and
properly accrued on the Company Financial Statements or will be
properly accrued on the books and records of the Company as of
the Closing.
(i) Each Company Benefit Plan that qualifies as a group
health plan under the applicable statute is in compliance in all
material respects, to the extent applicable, with (i) the
notice and continuation of coverage requirements of
Section 4980B of the Code and (ii) Part 6 of
Title I of ERISA, and neither the Company nor any Company
Subsidiary has any liability directly or any Controlled Group
Liability for any failure to comply Section 4980B of the
Code or Part 6 of Title I of ERISA.
(j) All amounts earned for 2009 under all bonus plans,
programs and policies (whether written or oral) of the Company
or any Company Subsidiary (other than the amounts set forth on
Schedule 6.17(f)(2) and any employment agreement set
forth in Schedule 6.17(a)(10)) shall be paid prior
to Closing.
6.18 Environmental Compliance. Except as
set forth on Schedule 6.18, (a) the Company and
the Company Subsidiaries are in material compliance with all
Environmental Laws; (b) to the Companys knowledge,
the Owned Real Property and the Leased Real Property are in
material compliance with all Environmental Laws; (c) the
Company and the Company Subsidiaries possess and are in material
compliance with all Permits required under Environmental Laws
for the conduct of their respective operations; and
(d) there are no material claims, actions, suits,
arbitrations, litigations or legal proceedings pending or, to
the knowledge of the Company, threatened against the Company or
any Company Subsidiary alleging a violation of or liability or
obligation under any Environmental Laws. To the knowledge of the
Company, there has not been any reportable release by the
Company of hazardous substances, as defined in the Comprehensive
Environmental Response, Compensation and Liability Act of 1980,
as amended, at any facility previously owned or leased by the
Company, nor any release by the Company triggering a remediation
obligation under applicable Environmental Laws, during its
ownership or lease of any such facility. To the knowledge of the
Company, there has not been any reportable release of such
hazardous substances at any facility currently owned or leased
by the Company or any Company Subsidiary, or any release
triggering a remediation obligation under applicable
Environmental Laws, during their respective ownership or lease
of any such facility. The representations and warranties made in
Section 6.18 are the Companys sole
representations and warranties with respect to environmental
matters and Environmental Laws.
6.19 Insurance. All material insurance
policies (the Insurance Policies) with
respect to the properties, assets, or business of the Company
and the Company Subsidiaries are in full force and effect and
all premiums due and payable thereon have been paid in full.
Neither the Company nor any Company Subsidiary has received
either a written notice that could reasonably be likely to be
followed by a written notice of cancellation or non-renewal of
any Insurance Policy.
6.20 Real Property.
(a) Owned Real Property.
(i) Schedule 6.20(a)(i) contains a list of all
real property owned by the Company or the Company Subsidiaries
(together with all improvements located therein and all
appurtenances related thereto, the Owned Real
Property), and properly identifies the applicable
owner and use of each parcel of Owned Real Property. Except as
set forth on Schedule 6.21(a)(i), all buildings,
plants and structures located on the Owned Real Property lie
wholly within the boundaries of the Owned Real Property and do
not encroach upon the property of, or otherwise conflict with
the property rights of, any other Person and no property
adjacent to the Owned Real Property encroaches on the Owned Real
Property.
(ii) Except as set forth in
Schedule 6.20(a)(ii), the Company or the Company
Subsidiaries has fee title to each parcel of Owned Real Property
free and clear of all Encumbrances, except (A) Permitted
Encumbrances, (B) zoning
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and building restrictions, and (C) Leases under which the
Company or any Company Subsidiary is lessor disclosed on
Schedule 6.20(a)(ii) (the Owned Property
Leases). True and complete copies of the Owned
Property Leases, if any, have previously been delivered to
Parent by the Company or the Stockholders Representative.
(iii) Except as disclosed on
Schedule 6.20(a)(iii), all buildings, structures,
improvements and fixtures located on, under, over or within the
Owned Real Property, are in good operating condition and repair.
(iv) No condemnation or eminent domain proceeding against
any part of any Owned Real Property is pending or, to the
knowledge of the Company, threatened.
(b) The Company and the Company Subsidiaries, as
applicable, have valid leasehold interests in the real property
specified on Schedule 6.20(b) under the heading
Leased Properties (the Leased Real
Property) subject only to Permitted Encumbrances (it
being understood that the Company and the Company Subsidiaries
make no representation about the status of the fee title to the
Leased Real Property). Schedule 6.20(b) contains a
complete and accurate list of all real property leased as
lessee, including all subleases, licenses, and other
arrangements relating to the use or occupancy of real property,
together with all amendments, modifications and side letters and
supplements thereto (collectively, the
Leases), by the Company and the Company
Subsidiaries, as applicable. Schedule 6.20(b)
contains an accurate and complete list of all Leases, as the
same may have been amended, supplemented or otherwise modified
from time to time, including the address of the Leased Real
Property, the lessor, the lessee, the date, the term and the
base rent for all such Leases. True and complete copies of the
Leases have previously been delivered to the Parent. Neither the
Company nor any Company Subsidiary, as applicable, has received
notice of any conditions, which, if left uncured, would
constitute a material breach in any material respects under the
Leases to which each such entity is a party, and all such Leases
are binding and in full force and effect, and there are no
outstanding material defaults or circumstances which, upon the
giving of notice or passage of time or both, would constitute a
material default or breach in any material respect by the
Company or any Company Subsidiary, or, to the knowledge of the
Company, any other party under any Lease. Except as set forth on
Schedule 6.20(b), the Company holds the leasehold
estate in each Leased Real Property free and clear of all
Encumbrances (except Permitted Encumbrances). Either the Company
or the Companys Subsidiaries is now in possession of the
applicable Leased Real Property.
6.21 Affiliate Transactions. Except for
employment relationships and compensation, benefits, travel
advances and employee loans in the ordinary course of business
or as disclosed on Schedule 6.21, neither the
Company nor any Company Subsidiary is a party to any agreement
with, or involving the making of any payment or transfer of
assets to, any of the Stockholders, any officer or director of
any Stockholder, any Affiliate of any Stockholder or any officer
or director of the Company or any Company Subsidiary.
6.22 Absence of Certain Changes or
Events. Except as set forth on
Schedule 6.22, or as otherwise contemplated by this
Agreement, (i) during the period from September 30,
2009 to the date of this Agreement, the Company and the Company
Subsidiaries have conducted their respective businesses in the
ordinary course of business and they have not engaged in any of
the activities prohibited by Section 8.1(a) of this
Agreement and (ii) since September 30, 2009, there has
been no Company Material Adverse Effect.
6.23 Labor and Employment Matters.
(a) Neither the Company nor any of its Subsidiaries is a
party to any labor or collective bargaining agreement and there
are no labor or collective bargaining agreements which pertain
to or cover employees of the Company or any of its Subsidiaries.
No current employees of the Company or any of its Subsidiaries
are represented by any labor organization. No labor organization
or group of employees has made a pending demand for recognition,
and there are no representation proceedings or petitions seeking
a representation proceeding presently pending or, to the
knowledge of the Company, threatened to be brought or filed,
with the National Labor Relations Board or other labor relations
tribunal. There is no organizing activity involving the Company
or any of its Subsidiaries pending or, to the knowledge of the
Company, threatened by any labor organization or group of
employees.
(b) There are no outstanding (i) strikes, work
stoppages, slowdowns, lockouts or arbitrations or
(ii) material grievances or other labor disputes pending
or, to the knowledge of the Company, threatened against or
involving the Company or any of its Subsidiaries. There are no
unfair labor practice charges, material grievances or material
complaints pending or, to the knowledge of the Company or the
knowledge of the Stockholder, threatened by or on behalf of any
employee or group of employees.
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(c) There are no complaints, charges or claims against the
Company or any of its Subsidiaries pending or, to the knowledge
of the Company, threatened that could be brought or filed, with
any Governmental Authority based on, arising out of, in
connection with or otherwise relating to any terms and
conditions of employment or the employment or termination of
employment of or failure to employ, any individual. Each of the
Company and its Subsidiaries is in compliance in all material
respects with all Laws relating to the employment of labor,
including all such Laws relating to wages, hours, WARN and any
similar state or local mass layoff or plant
closing Law, collective bargaining, discrimination, civil
rights, safety and health, workers compensation and the
collection and payment of withholding
and/or
social security taxes and any similar tax. There has been no
mass layoff or plant closing (as defined
by WARN) with respect to the Company or any of its Subsidiaries
within the six (6) months prior to Closing pursuant to
which the Company incurred any liability or obligation which
remains unsettled. All individuals who the Company or a Company
Subsidiary has classified as an independent contractor have been
properly so classified.
6.24 Banks; Power of
Attorney. Schedule 6.24 contains a
complete and correct list of the names and locations of all
banks in which Company or any Company Subsidiary has accounts or
safe deposit boxes. Except as set forth on
Schedule 6.24, no person holds a power of attorney
to act on behalf of the Company or any Company Subsidiary.
6.25 Corporate Records.
(a) The Company has delivered to the Parent true and
complete copies of the certificate or articles of incorporation
(each certified by the Secretary of State or other appropriate
official of the applicable jurisdiction of organization) and
by-laws (each certified by the secretary, assistant secretary or
other appropriate officer) of the Company and each of the
Company Subsidiaries in each case as amended, including all
amendments thereto.
(b) The minute books of the Company and each Subsidiary
previously made available to the Parent contain in all material
respects true, correct and complete records of all meetings and
accurately reflect in all material respects since
September 1, 2006 all other corporate action of the
stockholders and the directors (including committees thereof) as
well the corporate action of the Company Subsidiaries. The stock
certificate books and stock transfer ledgers of the Company and
the Company Subsidiaries previously made available to the Parent
are true, correct and complete in all material respects. All
stock transfer taxes levied, if any, or payable with respect to
all transfers of shares of the Company and the Company
Subsidiaries prior to the date hereof have been paid and
appropriate transfer tax stamps affixed.
6.26 Accounts Receivable. All accounts
receivable which have arisen on or after September 30, 2009
arose in the ordinary course of business.
6.27 Assets. The Company and the Company
Subsidiaries have valid title to all of its material tangible
personal property and assets, subject to no Encumbrances other
than Permitted Encumbrances. The Company and each Company
Subsidiary own, lease or otherwise have the right to use all
material tangible personal property used in its business as
presently conducted. All of the material tangible personal
property and assets owned or leased by the Company and each
Company Subsidiary are adequate and sufficient for the current
operations of the business of the Company and the Company
Subsidiaries, and such tangible personal property, taken as a
whole is in good working condition and repair, ordinary wear and
tear excepted, and is suitable for the purposes for which it is
being used.
6.28 Brokers. Other than UBS Securities
LLC, no broker, finder or similar intermediary has acted for or
on behalf of the Company or any Company Subsidiary in connection
with this Agreement or the transactions contemplated hereby, and
no broker, finder, agent or similar intermediary is entitled to
any brokers, finders or similar fee or other
commission in connection therewith based on any agreement with
the Company or any Company Subsidiary or any action taken by
them.
6.29 Absence of Sensitive Payments. To
the knowledge of the Company, none of the Company, or any
Company Subsidiary or Affiliate of the Company or any officer or
director of any of them, acting alone or together, has performed
any of the following acts: (i) the making or offering of
any payment to or for the private use of any governmental
official, employee, agent or candidate where the payment or the
purpose of the payment was illegal under the laws of the United
States or the jurisdiction in which such payment was made,
(ii) the establishment or
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maintenance of any unrecorded fund, asset or liability for any
purpose or the making of any false or artificial entries on its
books or (iii) the making of any payment to any Person or
the receipt of any payment with the intention or understanding
that any part of the payment was to be used for any purpose
other than that described in the documents supporting the
payment which, with respect to each of clauses (i),
(ii) and (ii) of this Section 6.29,
(A) have had or would have, individually or in the
aggregate, a Company Material Adverse Effect or that have
resulted or would reasonably be expected to result in the
imposition of a material criminal fine, penalty or sanction
against the Company, any of the Company Subsidiaries or any of
their respective officers or directors (excluding monetary
fines, penalties and sanctions that, individually or in the
aggregate, would not be material to the Company and the Company
Subsidiaries taken as a whole), (B) if not given in the
past, would have had a Company Material Adverse Effect or
(C) if it had not continued in the future, would have had a
Company Material Adverse Effect.
6.30 Exclusivity of Representations. The
representations and warranties made by the Company in this
Agreement are the exclusive representations and warranties made
by the Company. The Company hereby disclaims any other express
or implied representations or warranties. The Company is not,
directly or indirectly, making any representations or warranties
regarding the pro forma financial information or financial
projections of the Company or any Company Subsidiary.
ARTICLE VII
REPRESENTATIONS
AND WARRANTIES OF THE PARENT AND MERGER SUB
The Parent and Merger Sub, jointly and severally, represent and
warrant to the Company as follows:
7.1 Organization and Qualification. Each
of the Parent and Merger Sub is a corporation duly incorporated,
validly existing and in good standing under the laws of the
State of Delaware. The Parent and Merger Sub have all requisite
organizational power and authority to own, lease and operate
their respective properties and carry on their business as
presently owned or conducted, except where the failure to be so
organized, existing and in good standing or to have such power
or authority would not, individually or in the aggregate,
reasonably be expected to be material to the Parent and its
Subsidiaries, taken as a whole. The Parent and Merger Sub have
each been qualified, licensed or registered to transact business
as a foreign corporation and is in good standing (or the
equivalent thereof) in each jurisdiction in which the ownership
or lease of property or the conduct of their business requires
such qualification, license or registration, except where the
failure to be so qualified, licensed or registered or in good
standing (or the equivalent thereof) would not, individually or
in the aggregate, reasonably be expected to have a Parent
Material Adverse Effect or result in a material adverse effect
on the Parents or Merger Subs ability to consummate
the transactions contemplated hereby.
7.2 Binding Obligation. Except for the
Parent Stockholder Approval, the Parent and Merger Sub each have
all requisite corporate authority and power to execute, deliver
and perform this Agreement and to consummate the transactions
contemplated hereby. Except for the Parent Stockholder Approval,
this Agreement and the consummation of the transactions
contemplated hereby have been duly and validly authorized by all
necessary corporate action on the part of the Parent and Merger
Sub and no other corporate proceedings on the part of the Parent
or Merger Sub are necessary to authorize the execution, delivery
and performance of this Agreement and the consummation of the
transactions contemplated hereby by the Parent and Merger Sub.
This Agreement has been duly executed and delivered by the
Parent and Merger Sub and, assuming that this Agreement
constitutes the legal, valid and binding obligations of the
Company and the Stockholders, constitute the legal, valid and
binding obligations of the Parent and Merger Sub, enforceable
against the Parent and Merger Sub in accordance with its terms,
except to the extent that the enforceability thereof may be
limited by (i) applicable bankruptcy, insolvency,
fraudulent conveyance, reorganization, moratorium or similar
laws from time to time in effect affecting generally the
enforcement of creditors rights and remedies, and
(ii) general principles of equity.
7.3 Capitalization of the Parent; Capitalization and
Operations of Merger Sub.
(a) Schedule 7.3 sets forth a complete and
accurate list of the number and type of authorized, issued and
outstanding shares of capital stock of the Parent as of the date
hereof. Except as set forth on Schedule 7.3, there
are no other shares of capital stock or other equity securities
of the Parent authorized, issued, reserved for issuance or
outstanding and no outstanding or authorized options, warrants,
convertible or exchangeable securities,
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subscriptions, rights (including any preemptive rights), calls
or commitments of any character whatsoever, relating to the
capital stock of, or other equity or voting interest in, the
Parent, to which the Parent is a party or is bound requiring the
issuance, delivery or sale of shares of capital stock of the
Parent. There are no outstanding or authorized stock
appreciation, phantom stock, profit participation or similar
rights with respect to the capital stock of, or other equity or
voting interest in, the Parent to which the Parent is a party or
is bound. The Parent has no authorized or outstanding bonds,
debentures, notes or other indebtedness the holders of which
have the right to vote (or convertible into, exchangeable for,
or evidencing the right to subscribe for or acquire securities
having the right to vote). Except as set forth on
Schedule 7.3, there are no contracts to which the
Parent is a party or by which it is bound to
(i) repurchase, redeem or otherwise acquire any shares of
capital stock of, or other equity or voting interest in, the
Parent or (ii) vote or dispose of any shares of capital
stock of, or other equity or voting interest in, the Parent.
Except as set forth on Schedule 7.3, there are no
registration rights, irrevocable proxies or voting agreements
with respect to any shares of capital stock of, or other equity
or voting interest in, the Parent.
(b) All of the issued and outstanding shares of capital
stock of the Parent as of the date hereof are duly authorized,
validly issued, fully paid and non-assessable and free of any
preemptive rights in respect thereto. All of the shares of
capital stock to be issued to the Stockholders in connection
with the transactions contemplated hereby, including in
connection with the Warrants, will, when issued in accordance
with the terms of this Agreement or the Warrant Agreement, as
applicable, have been duly authorized, be validly issued, fully
paid and non-assessable and be free and clear of any preemptive
rights or Encumbrances.
(c) The authorized capital stock of Merger Sub consists of
100 shares of common stock, par value $0.01 per share,
all of which are duly authorized, validly issued and
outstanding, fully paid and non-assessable, and none of the
outstanding securities of Merger Sub were issued in violation of
any federal or state securities Laws or any preemptive rights,
purchase options, call rights, rights of first refusal or any
similar rights. All of the issued and outstanding capital stock
of Merger Sub is, and at the Merger Effective Time will be,
owned by the Parent or a direct or indirect subsidiary of the
Parent and free and clear of all Encumbrances. Merger Sub has
outstanding no options, warrants, rights or any other
agreements, arrangements or commitments pursuant to which any
Person other than the Parent may acquire any equity security of
Merger Sub. Merger Sub was formed solely for the purposes of
engaging in the transactions contemplated by this Agreement and
has not conducted any business prior to the date hereof and has,
and prior to the Merger Effective Time will have, no assets,
liabilities or obligations of any nature other than those
incident to its formation and pursuant to this Agreement, the
Merger and the other transactions contemplated by this Agreement.
7.4 Board of Directors Approval; Rights Plan;
Antitakeover Statute.
(a) The board of directors of the Parent and Merger Sub
have, as of the date of this Agreement, each unanimously
(i) approved this Agreement and the transactions
contemplated hereby, and (ii) determined that the
consummation of the transactions contemplated hereby are in the
best interests of the stockholders of the Parent and Merger Sub,
respectively.
(b) The Parents board of directors has approved, and
the Parent and American Stock Transfer & Trust
Company, as rights agent (the Rights Agent),
have entered into, an amendment to that certain Rights Agreement
in the form heretofore made available to the Stockholders
Representative or its designee (the Rights
Amendment). Pursuant to the Rights Amendment, neither
the execution and delivery of this Agreement nor the
consummation of the Merger or any of the other transactions
contemplated hereby will result in (i) the Company, any
Stockholder, any Optionholder or any of their respective
Affiliates becoming an Acquiring Person (as defined in the
Rights Agreement) or (ii) the occurrence of (A) a
Distribution Date, (B) the Stock Acquisition Date,
(C) a Section 1 l(a)(ii) Event or (D) a
Section 13 Event, in each case as such terms are defined in
the Rights Agreement.
(c) Neither Section 203 of the DGCL nor any takeover
related provision in the Parents or Merger Subs
certificate of incorporation or by-laws, would (a) prohibit
or restrict the ability of the Company or any Stockholder to
perform its obligations under this Agreement or the Certificate
of Merger filed in connection with the Merger or its ability to
consummate the Merger or the other transactions contemplated
hereby, (b) have the effect of invalidating or voiding this
Agreement or the Certificate of Merger filed in connection with
the Merger, or any provision hereof or thereof, or
(c) subject the Company or any Stockholder or any of their
respective Affiliates to any impediment or condition in
connection with the exercise of any of its rights under this
Agreement, or the
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consummation of the Merger and the other transactions
contemplated hereby. The approval by the Parents board of
directors of the Merger and the other transactions constitutes
approval thereof for purposes of Section 203 of the DGCL
and represents the only action necessary to ensure that
Section 203 of the DGCL does not and will not apply to the
execution, delivery and performance of this Agreement, including
the consummation of the Merger and the other transactions
contemplated hereby.
7.5 No Defaults or Conflicts. The
execution and delivery of this Agreement and the consummation of
the transactions contemplated hereby by the Parent and Merger
Sub and performance by the Parent and Merger Sub of its
respective obligations hereunder (i) do not result in any
violation of the charter or by-laws of the Parent or Merger Sub,
and (ii) except as set forth on Schedule 7.5,
do not conflict with, or result in a breach of any of the terms
or provisions of, or constitute a default under any indenture,
mortgage or loan or any other agreement or instrument to which
the Parent or Merger Sub is a party or by which it is bound or
to which their respective properties may be subject, and
(iii) except for applicable requirements under the HSR Act,
do not violate any existing applicable law, rule, regulation,
judgment, order or decree or any Governmental Authority having
jurisdiction over the Parent or Merger Sub or any of their
respective properties; provided, however, that no
representation or warranty is made in the foregoing
clauses (ii) or (iii) with respect to matters that
would not reasonably be expected, individually or in the
aggregate, to materially impair the Parents or Merger
Subs ability to effect the transactions contemplated
hereby.
7.6 No Authorization or Consents
Required. Other than as listed in
Schedule 7.6, no authorization or approval or other
action by, and no notice to or filing with, any Governmental
Authority or any other Person at or prior to Closing will be
required to be obtained or made by the Parent or Merger Sub in
connection with the due execution, delivery and performance by
the Parent and Merger Sub of this Agreement and the consummation
by the Parent and Merger Sub of the transactions contemplated
hereby; provided, however, that no representation
and warranty is made with respect to authorizations, approvals,
notices or filings with any Governmental Authority that, if not
obtained or made, would not reasonably be expected, individually
or in the aggregate, to materially impair the Parents or
Merger Subs ability to effect the transactions
contemplated hereby.
7.7 Financial Statements.
(a) The balance sheets included in the Parent Financial
Statements fairly present, in all material respects, the
financial position of the Parent and its Subsidiaries as of
their respective dates, and the other related statements
included in the Parent Financial Statements fairly present, in
all material respects, the results of operations and cash flows
for the periods indicated therein in accordance with GAAP
applied on a consistent basis, in the case of unaudited
financial statements, subject to normal year end audit
adjustments (none of which will individually or in the aggregate
be material) and the absence of related notes, as applicable.
(b) The Parent and its Subsidiaries do not have any
material liabilities of any nature required to be included in
the Parent Financial Statements (including any notes thereto) or
otherwise required to be disclosed in a balance sheet in
accordance with GAAP except for liabilities (i) included or
reserved in, or disclosed by, the Parent Financial Statements or
(ii) incurred after September 30, 2009, in the
ordinary course of business consistent with past practice.
(c) Neither the Parent nor any of its Subsidiaries is a
party to, or has any commitment to become a party to, any joint
venture or off-balance sheet partnership agreement (including
any agreement or arrangement relating to any transaction or
relationship between or among the Parent and any of its
Subsidiaries, on the one hand, and any unconsolidated Affiliate,
including any structured finance, special purpose or limited
purpose entity or Person, on the other hand, or any
off-balance sheet arrangements (as defined in
Item 303(a) of
Regulation S-K
of the SEC)), where the result, purpose or effect of such
agreement is to avoid disclosure of any material transaction
involving, or material Liabilities of, the Parent or any of its
Subsidiaries in the Parent Financial Statements.
(d) Except as set forth on Schedule 7.7(d),
since January 1, 2006, neither the Parent nor any of its
Subsidiaries has received any notification from its internal
audit personnel or its independent public accountants of
(i) a significant deficiency or (ii) a
material weakness in the Parents internal
controls. For purposes of this Agreement, the terms
significant deficiency and material
weakness shall have the meanings assigned to them in
Release 2004 001 of the Public Company Accounting Oversight
Board.
7.8 Absence of Certain Changes or
Events. Since September 30, 2009, there has
not been a Parent Material Adverse Effect.
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7.9 Permits; Compliance with Law.
(a) Parent and each of its Subsidiaries have all material
licenses, permits, authorizations, franchises and certifications
of Governmental Authorities, registrations, waivers, privileges,
exemptions, qualifications, quotas, certificates, filings,
notices, permits and rights necessary for the lawful conduct of
the Parents and each of its Subsidiarys businesses
as presently conducted, or the lawful ownership of properties
and assets or the operation of their businesses as conducted
(collectively, Parent Permits). All such
Parent Permits are in full force and effect, and there has
occurred no material default under any Parent Permit by the
Parent or such Subsidiary.
(b) Other than with respect to Health Care, which matter is
covered under Section 7.19, and except as set forth
on Schedule 7.9(b), (a) the business of the
Parent and its Subsidiaries is not being conducted in any
material respect in violation of any Laws and (b) each of
the Parent and its Subsidiaries is, and since March 31,
2008, has been, in compliance in all material respects with all
Laws applicable to it, its properties or other assets or its
business or operations. Except as set forth on
Schedule 7.9(b), none of the Parent and its
Subsidiaries have received, since March 31, 2008, a notice
or other written communication alleging or relating to a
possible material violation of any Law applicable to it, its
properties or other assets or its businesses or operations.
7.10 Absence of Sensitive Payments. To
the knowledge of the Parent, none of the Parent, or any
Subsidiary or Affiliate of the Parent or any officer or director
of any of them, acting alone or together, has performed any of
the following acts: (i) the making or offering of any
payment to or for the private use of any governmental official,
employee, agent or candidate where the payment or the purpose of
the payment was illegal under the laws of the United States or
the jurisdiction in which such payment was made, (ii) the
establishment or maintenance of any unrecorded fund, asset or
liability for any purpose or the making of any false or
artificial entries on its books or (iii) the making of any
payment to any Person or the receipt of any payment with the
intention or understanding that any part of the payment was to
be used for any purpose other than that described in the
documents supporting the payment which, with respect to each of
clauses (i), (ii) and (ii) of this
Section 7.10, (A) have had or would have,
individually or in the aggregate, a Parent Material Adverse
Effect or that have resulted or would reasonably be expected to
result in the imposition of a material criminal fine, penalty or
sanction against the Parent, any of its Subsidiaries or any of
their respective officers or directors (excluding monetary
fines, penalties and sanctions that, individually or in the
aggregate, would not be material to Parent and its Subsidiaries
taken as a whole), (B) if not given in the past, would have
had a Parent Material Adverse Effect or (C) if it had not
continued in the future, would have had a Parent Material
Adverse Effect.
7.11 [Intentionally Omitted]
7.12 [Intentionally Omitted]
7.13 Taxes. Except as set forth on
Schedule 7.13:
(a) all Tax Returns required to be filed by or with respect
to the Parent or any of its Subsidiaries have been timely filed,
and all such Tax Returns are true, complete and correct in all
material respects;
(b) the Parent and each Parent Subsidiary have fully and
timely paid all Taxes shown to be due on the Tax Returns
referred to in Section 7.13(a);
(c) all deficiencies for Taxes asserted or assessed in
writing against the Parent or any Parent Subsidiary have been
fully and timely paid, settled or properly reflected in the
Parent Financial Statements;
(d) no action, proceeding, investigation, inquiry or audit
is pending with respect to any Taxes due from or with respect to
the Parent or any Parent Subsidiary nor does the Parent have
knowledge of any pending or threatened action, proceeding,
investigation, inquiry or audit by any taxing authority;
(e) there are no outstanding agreements extending or
waiving the statutory period of limitations applicable to any
claim for, or the period for the collection or assessment or
reassessment of, Taxes due from the Parent or any Parent
Subsidiary for any taxable period and no request for any such
waiver or extension is currently pending;
(f) neither the Parent nor any Parent Subsidiary has been
included in any consolidated, unitary,
or combined Tax Return provided under the law of the
United States or any foreign jurisdiction or any state or
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locality with respect to Taxes for any taxable period for which
the statute of limitation has not expired, other than a group
the common parent of which is the Parent;
(g) neither the Parent nor any Parent Subsidiary has taken
any reporting position on a Tax Return, which reporting position
(i) if not sustained would be reasonably likely, absent
disclosure, to give rise to a penalty for substantial
understatement of federal income Tax under Section 6662 of
the Code (or any similar provision of state, local, or foreign
Tax law), and (ii) has not adequately been disclosed on
such Tax Return in accordance with Section 6662(d)(2)(B) of
the Code (or any similar provision of state, local, or foreign
Tax law);
(h) neither the Parent nor any Parent Subsidiary has
participated in any reportable transaction, as
defined in Treasury Regulations
Section 1.6011-4(b);
(i) the Parent and its Subsidiaries have each withheld (or
will withhold) from their respective employees, independent
contractors, creditors, stockholders and third parties and
timely paid to the appropriate Governmental Authority proper and
accurate amounts in compliance with all Tax withholding and
remitting provisions of applicable laws and have each complied
with all Tax information reporting provisions of all applicable
laws;
(j) the Parent has not made any payments, and is not and
will not become obligated under any contract, agreement, plan,
or arrangement (or combinations thereof) entered into on or
before the Closing Date to make any payments, that, individually
or collectively, will be non-deductible under Code
Sections 280G or 162(m) of the Code or subject to the
excise Tax under Code Section 4999 or that would give rise
to any obligation to indemnify any Person for any excise Tax
payable pursuant to Code Section 4999;
(k) there are no Encumbrances for Taxes (other than for
current Taxes not yet due and payable) upon the assets of the
Parent or any Parent Subsidiary;
(l) neither the Parent nor any Parent Subsidiary will be
required (A) as a result of a change in method of
accounting for a taxable period ending on or prior to the
Closing Date, to include any adjustment under
Sections 481(c) or 263A of the Code in taxable income for
any taxable period (or portion thereof) beginning after the
Closing Date, (B) as a result of any closing
agreement, as described in Section 7121 of the Code,
to include any item of income or exclude any item of deduction
from any taxable period (or portion thereof) beginning after the
Closing Date, or (C) as a result of an election under
Section 1362 of the Code, to include any amount under
Section 1363(d) in any taxable period (or portion thereof)
beginning after the Closing;
(m) neither the Parent nor any Parent Subsidiary is a party
to or bound by any tax allocation or tax sharing agreement or
has any current or potential obligation to indemnify any other
Person with respect to Taxes;
(n) no claim has been made in writing by a Governmental
Authority in a jurisdiction where the Parent or a Parent
Subsidiary does not file Tax Returns that the Parent or such
Parent Subsidiary is or may be subject to Taxes assessed by such
jurisdiction; and
(o) neither the Parent nor any Parent Subsidiary has taken
or agreed to take, or has failed to take, any action, nor is the
Parent or any Parent Subsidiary aware of any fact, agreement,
plan or other circumstance, that would prevent the Merger from
qualifying as a reorganization under Section 368(a) of the
Code.
7.14 Brokers. Other than Jefco and
Jefferies, no broker, finder or similar intermediary has acted
for or on behalf of the Parent or Merger Sub in connection with
this Agreement or the transactions contemplated hereby, and no
broker, finder, agent or similar intermediary is entitled to any
brokers, finders or similar fee or other commission
in connection therewith based on any agreement with the Parent
or Merger Sub or any action taken by the Parent or Merger Sub.
7.15 Sufficient Funds.
(a) The Parent has received and accepted and agreed to the
Debt Financing Documents relating to the commitment of Jefferies
to provide the Debt Financing on the terms contemplated therein.
(b) True and complete copies of the executed Commitment
Letter, Sections 2, 3 and 6 of the Fee Letter and
Sections 4, 5 and 9 of the Engagement Letter have been
provided to the Stockholders.
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(c) Subject to its terms and conditions, the Debt
Financing, together with Parents Stock and Parents
cash on hand, shall provide the Parent with the requisite
consideration on the Closing Date sufficient to consummate the
Merger and other the transactions contemplated hereby on the
terms contemplated hereby and to pay related fees and expenses.
(d) The Debt Financing Documents are valid, binding on the
Parent, and are in full force and effect and, as of the date
hereof, no event has occurred which, with or without notice,
lapse of time or both, would reasonably be expected to
constitute a default or breach or an incurable failure to
satisfy a condition precedent on the part of the Parent under
the terms and conditions of the Debt Financing Documents. The
Parent has paid in full any and all commitment fees or other
fees required to be paid pursuant to the terms of the Debt
Financing Documents on or before the date hereof. There are no
conditions precedent or other contingencies related to the
funding of the full amount of the Debt Financing, other than as
specifically set forth in the Debt Financing Documents.
7.16 Litigation. Except as set forth in
Schedule 7.16 and with respect to any workers
compensation claims, there are no material claims, actions or
legal proceedings pending or, to the knowledge of the Parent,
threatened in writing against the Parent or any Subsidiary of
the Parent or any material portion of their respective
properties or assets before any Governmental Authority against
or involving the Parent or any Subsidiary of the Parent. Neither
the Parent nor any Subsidiary of the Parent is operating under,
subject to, or in default with respect to, any order, judgment,
injunction, ruling, decision, award or decree of any
Governmental Authority.
7.17 SEC Filings. As of their respective
dates the Parent SEC Reports: (i) were prepared in
accordance and complied in all respects with the requirements of
the Securities Act, or the Exchange Act, as the case may be, and
the rules and regulations of the SEC thereunder applicable to
such Parent SEC Reports, with each such Parent SEC Report having
been filed on a timely basis within the time period it was
required to be filed with the SEC pursuant to the reporting
requirements of the Exchange Act, and (ii) did not at the
time they were filed (and if amended or superseded by a filing
at least two Business Days prior to the date of this Agreement
then on the date of such filing and as so amended or superseded)
contain any untrue statement of a material fact or omit to state
a material fact required to be stated therein or necessary in
order to make the statements therein, in light of the
circumstances under which they were made, not misleading. Except
to the extent set forth in the preceding sentence, the Parent
makes no representation or warranty whatsoever concerning the
Parent SEC Reports as of any time other than the time they were
filed.
7.18 Health Care/Regulatory Representations and
Warranties. Parent and its Subsidiaries are in
compliance in all material respects with all healthcare laws,
rules and regulations applicable to their business as currently
conducted, including, without limitation, (i) applicable
laws which relate to the operation of pharmacies and the
dispensing of prescription drugs or controlled substances,
(ii) the laws and regulations applicable to Medicare and
applicable state Medicaid programs, (iii) the False Claims
Act (31 U.S.C. Section 3729), (iv) the Health
Insurance Portability and Accountability Act of 1996, Pub. L.
No. 104 191,110 Stat. 1936 (1996), (v) the Fraud and
Abuse provisions of Section 1128B of the Social Security
Act, (vi) the Medicare and Medicaid Patient and Program
Protection Act of 1987 (42 U.S.C. Section 1320a 7b),
(vii) Section 1877 of the Medicare Act (42 U.S.C.
Section 1395nn) (the Stark anti referral amendments),
(viii) any comparable self-referral or fraud and abuse
laws, directives and regulations promulgated by any state
agency, (ix) any directives, rules or regulations
thereunder promulgated by the U.S. Department of Health and
Human Services or any applicable state agency relating to the
foregoing. No employee or independent contractor of Parent or
any of its Subsidiaries has been excluded from participating in
Medicare, Medicaid, or any other federal health care program (as
defined in 42 U.S.C. §
1320a-7b(f)).
Parent and its Subsidiaries hold all material health care
licenses necessary or required by applicable Law or Governmental
Authority for the operation of the business as currently
conducted by Parent or any of its Subsidiaries and all such
licenses are valid and in full force and effect. Parent and its
subsidiaries are in material compliance with all contractual
arrangements with third party payors including, but not limited
to, private insurance, managed care plans and HMOs.
7.19 Employee Benefit Plans.
(a) Schedule 7.19(a) sets forth a true and
complete list of all Benefit Plans currently sponsored,
maintained or contributed to by the Parent or any of its
Subsidiaries for the benefit of any current or former employee
or director, leased employee or independent contractor of the
Parent or any of its Subsidiaries or with respect to which the
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Parent has any liability, contingent or otherwise as a result of
being a member of a group of organizations described in
Sections 414(b), 414(c), 414(m) or 414(o) of the Code or
Section 4001(b) of ERISA (collectively, the Parent
Benefit Plans). Neither the Parent nor any of its
Subsidiaries has any liability with respect to any Benefit Plan
other than the Parent Benefit Plans set forth on
Schedule 7.19(a).
(b) With respect to each Parent Benefit Plan:
(i) except as set forth on Schedule 7.19(b),(A)
each Parent Benefit Plan intended to be qualified under
Section 401(a) of the Code has received a favorable
determination or opinion letter on the terms of the plan as
currently in effect, which has not been revoked, from the IRS
that any such plan is a Qualified Plan, and to the knowledge of
the Parent, nothing has occurred or is reasonably expected to
occur with respect to the terms or in the operation of such plan
through the Closing which would cause the loss of such
qualification and (B) any transaction with respect to any
Qualified Plan described in Section 406 of ERISA or
Section 4975(c) of the Code has been timely and properly
corrected and any related excise taxes have been timely and
properly paid in full, and (ii) no Parent Benefit Plan is
or at any time was a defined benefit plan as defined
in Section 3(35) of ERISA or a pension plan subject to the
funding standards of Section 302 of ERISA or
Section 412 of the Code, (iii) no reportable event
(within the meaning of Section 4043 of ERISA) has occurred,
(iv) there has been no termination or partial termination
of any Parent Benefit Plan which is intended to be qualified
under Section 401(a), (v) except as would not
reasonably be expected to result in a Parent Material Adverse
Effect, the Parent does not have any Controlled Group Liability
with respect to, any plan, program, or arrangement subject to
Title IV of ERISA or Section 412 of the Code,
(vi) all contributions to each Parent Benefit Plan,
including contributions deducted from an employees
compensation, have been timely and properly made, (vii) the
terms of each Parent Benefit Plan which is subject to
Section 409A of the Code is in material compliance with the
requirements of Section 409A of the Code and has in
operation materially satisfied such requirements,
(viii) the only outstanding Options to purchase Common
Stock are options granted under the Parent Stock Option Plan and
(ix) except as would not reasonably be expected to be
material, no individual who provides services to the Parent or a
Parent Subsidiary is a leased employee within the
meaning of Section 414(n) of the Code.
(c) The Parent has provided to the Company true and
complete copies of (i) each Parent Benefit Plan, including
any related trust agreement or other funding instrument,
(ii) the most recent summary plan description and summaries
of material modifications for each Parent Benefit Plan for which
such a summary plan description is required under ERISA,
(iii) the most recent determination letters from the IRS
with respect to each Parent Benefit Plan, if applicable,
(iv) the most recent Form 5500 for each Parent Benefit
Plan and audited financial statements (if such form or statement
is required or applicable), (v) the most recent actuarial
reports, all agreements or contracts with any investment manager
or investment advisor with respect to any Parent Benefit Plan,
and (vi) any insurance policy currently in effect related
to any Parent Benefit Plan. In the case of any unwritten Parent
Benefit Plan, a written description of such plan, program or
arrangement has been furnished to the Company.
(d) Except as set forth in Schedule 7.19(d),
neither the Parent nor any of its Subsidiaries currently
participate in, have participated in, are currently required or
have been required to contribute to or have any liability
directly or any Controlled Group Liability with respect to, any
Multiemployer Plan, or any multiple employer plan
within the meaning of Section 210(a) of ERISA or
Section 413(c) of the Code. Further, no Parent Benefit Plan
is, or has been, a multiple employer welfare arrangement as
defined in Section 3(40) of ERISA.
(e) Except as would not reasonably be expected to result in
a Parent Material Adverse Effect or as set forth in
Schedule 7.19(e), each Parent Benefit Plan has been
administered in accordance with its terms and applicable Law,
and all reporting and disclosure requirements under applicable
Laws have been satisfied timely.
(f) Except as would not reasonably be expected to be
material or as provided in Schedule 7.19(f), neither
the execution and delivery of this Agreement nor the
consummation of the transactions contemplated by this Agreement
will (either alone or in combination with another event
contemplated by this Agreement) (i) result in any material
payment becoming due under a change in control (as
defined in Section 280G of the Code), or increase the
amount of any compensation due, to any current or former
employee, director, consultant or independent contractor of
Parent, (ii) materially increase any benefits otherwise
payable under any Parent Benefit Plan or (iii) result in
the acceleration of the time of payment or vesting of any such
compensation or benefits.
(g) Neither the Parent nor any of its Subsidiaries has
incurred any liability or obligation under WARN or any similar
state or local law which remains unpaid or unsatisfied.
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(h) With respect to each Parent Benefit Plan: (i) no
material non-routine audits, proceedings, claims or demands are
pending or, to the knowledge of the Parent, threatened with any
Governmental Authority, including the IRS and the Department of
Labor, (ii) no material litigation, actions, suits, claims,
disputes or other proceedings (other than routine claims for
benefits) are pending or, to the knowledge of the Parent, have
been threatened against any Parent Benefit Plan, the trustee or
fiduciary of such plan, or the Parent with respect to such plan,
(iii) all material reports, returns, and similar documents
required to be filed with any Governmental Authority or
distributed to any participant have been duly and timely filed
or distributed, (iv) no prohibited
transactions, within the meaning of ERISA or the Code, or
breach of any duty imposed on fiduciaries pursuant
to ERISA has occurred, and (v) all required or
discretionary (in accordance with historical practices)
payments, premiums, contributions, reimbursements or accruals
for all periods ending prior to or as of the Closing shall have
been timely made or timely and properly accrued on the Parent
Financial Statements or will be properly accrued on the books
and records of the Parent as of the Closing.
(i) Each Parent Benefit Plan that qualifies as a group
health plan under the applicable statute is in compliance in all
material respects, to the extent applicable, with (i) the
notice and continuation of coverage requirements of
Section 4980B of the Code and (ii) Part 6 of
Title I of ERISA, and neither the Parent nor any of its
Subsidiaries has any liability directly or any Controlled Group
Liability for any failure to comply Section 4980B of the
Code or Part 6 of Title I of ERISA.
7.20 Insurance. All material Insurance
Policies with respect to the properties, assets, or business of
the Parent and its Subsidiaries are in full force and effect and
all premiums due and payable thereon have been paid in full.
Neither the Parent nor any of its Subsidiaries has received
either a written notice that could reasonably be likely to be
followed by a written notice of cancellation or non-renewal of
any Insurance Policy.
7.21 [Intentionally Omitted].
7.22 Parents Reliance. None of the
Stockholders or any other Person (including any officer,
director, member or partner of any Stockholder) shall have or be
subject to any liability to the Parent (except in the case of
fraud), or any other Person, resulting from the Parents
use of any information, documents or material made available to
the Parent in any confidential information memoranda, data
rooms, management presentations, due diligence or in any
other form in expectation of the transactions contemplated
hereby. The Parent acknowledges that, should the Closing occur,
the Parent shall acquire the Company and each Company Subsidiary
without any representation or warranty as to merchantability or
fitness for any particular purpose of their respective assets,
in an as is condition and on a where is
basis, except as otherwise expressly represented or warranted in
ARTICLE V and ARTICLE VI of this
Agreement; provided, however, that nothing in this
Section 7.22 is intended to limit or modify the
representations and warranties contained in
ARTICLE V and ARTICLE VI. The Parent
acknowledges that, except for the representations and warranties
contained in ARTICLE V and ARTICLE VI,
the Parent has not relied on any other express or implied
representation or warranty by or on behalf of the Company or the
Stockholders.
7.23 Requisite Vote. The only vote of any
class or series of the Parents capital stock necessary to
approve this Agreement and the transactions contemplated hereby
is the affirmative vote of a majority of the total votes cast by
the holders of the Parents Stock on the issuance of
Parents Stock hereunder (the Parent Stock
Approval).
7.24 Investment Company Act. Parent is
not, and will not be after the Closing Date, an investment
company or a person directly or indirectly
controlled by or acting on behalf of an
investment company, in each case within the meaning
of the Investment Company Act of 1940, as amended.
ARTICLE VIII
COVENANTS
Unless this Agreement is terminated pursuant to
ARTICLE XI, the parties hereto covenant and agree as
follows:
8.1 Conduct of Business of the Company; Conduct of the
Business of the Parent.
(a) Conduct of Business of the
Company. Except as set forth in
Schedule 8.1(a), during the period from the date of
this Agreement to the earlier of the Closing Date and the
termination of this Agreement in accordance with
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ARTICLE XI, the Company shall, and shall cause the Company
Subsidiaries to, conduct their respective business and
operations in the ordinary course consistent with past practices
and use its commercially reasonable efforts to preserve intact
its business organizations, to retain the services of its
executive officers and key employees and to preserve the
goodwill of its material customers and suppliers, and, without
the prior written consent of the Parent (which consent shall not
be unreasonably withheld or delayed), to not undertake any of
the following actions:
(i) issue, sell or pledge, or authorize or propose the
issuance, sale or pledge of (A) additional shares of
capital stock of any class of the Company (including the Shares)
or any Company Subsidiary, or securities convertible into or
exchangeable for any such shares, or any rights, warrants or
options to acquire any such shares or other convertible
securities of the Company or any Company Subsidiary other than
shares of Capital Stock issued pursuant to outstanding Options
exercised in the ordinary course of business or (B) any
other securities in respect of, in lieu of, or in substitution
for shares of capital stock of the Company (including the
Shares) or any Company Subsidiary outstanding on the date hereof;
(ii) redeem, purchase or otherwise acquire any outstanding
shares of the capital stock of the Company or any Company
Subsidiary;
(iii) adopt any amendment to the certificate of
incorporation or By-laws of the Company or any Company
Subsidiary;
(iv) incur any Indebtedness (other than ordinary course
consistent with past practices borrowings from the Bank and
other performance bonds or letters of credit entered into in the
ordinary course of business consistent with past practice);
(v) (A) increase in any material manner the rate or
terms of compensation or benefits of any of its employees or
directors except as may be required under existing employment
agreements or such increases for
rank-and-file
employees as are granted in the ordinary course of business
consistent with past practices, or (B) pay or agree to pay
any pension, retirement allowance, retention or severance
benefit or other employee benefit not provided for under the
terms of any Company Benefit Plan to any director, officer or
employee, whether past or present other than in the ordinary
course of business consistent with past practice, or
(C) enter into, adopt or amend any employment, bonus,
severance or retirement contract or adopt any employee benefit
plan, other than in the ordinary course of business consistent
with past practices or as expressly required by any applicable
Laws, including Section 409A of the Code;
(vi) (A) except in the ordinary course of business
consistent with past practice, sell, lease, transfer or
otherwise dispose of, any of its material property or assets or
(B) create any Encumbrance (other than a Permitted
Encumbrance) on any material property or assets;
(vii) acquire any business or Person, by merger or
consolidation, purchase of substantial assets or equity
interests, or by any other manner, in a single transaction or a
series of related transactions;
(viii) make any loans, advances or capital contributions,
except advances for travel and other normal business expenses to
officers and employees in the ordinary course of business
consistent with past practices;
(ix) make any change in any method of accounting other than
those required by GAAP;
(x) amend or modify any Material Contracts other than in
the ordinary course of business consistent with past practices;
(xi) make any capital expenditures, in excess of $250,000
individually or $1,000,000 in the aggregate in any fiscal
quarter, other than in the ordinary course of business
consistent with past practices;
(xii) make any payment of the Companys accounts
payable or take receipt of any of the Companys accounts
receivable, or otherwise make any change in the treatment or
handling of either of them, in each case other than in the
ordinary course of business consistent with past practices;
(xiii) declare, pay or otherwise make any dividend or
distribution (in cash or in any other form) to the
Stockholders; or
(xiv) authorize, propose or agree in writing to take any of
the foregoing actions.
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(b) Conduct of Business of the
Parent. Except as set forth in
Schedule 8.1(b), during the period from the date of
this Agreement to the earlier of the Closing Date and the
termination of this Agreement in accordance with
ARTICLE XI, the Parent shall, and shall cause its
Subsidiaries to, conduct their respective business and
operations in the ordinary course consistent with past practices
and use its commercially reasonable efforts to preserve intact
its business organizations, to retain the services of its
executive officers and key employees and to preserve the
goodwill of its material customers and suppliers, and, without
the prior written consent of the Stockholders
Representative (which consent shall not be unreasonably withheld
or delayed), to not undertake any of the following actions:
(i) issue, sell or pledge, or authorize or propose the
issuance, sale or pledge of (A) additional shares of
capital stock of any class of the Parent or any its
Subsidiaries, or securities convertible into or exchangeable for
any such shares, or any rights, warrants or options to acquire
any such shares or other convertible securities of the Parent or
any of its Subsidiaries other than shares of capital stock
issued pursuant to outstanding stock options exercised in the
ordinary course of business or (B) any other securities in
respect of, in lieu of, or in substitution for shares of capital
stock of the Parent or any of its Subsidiaries outstanding on
the date hereof;
(ii) redeem, purchase or otherwise acquire any outstanding
shares of the capital stock of the Parent or any of its
Subsidiaries;
(iii) adopt any amendment to the certificate of
incorporation or By-laws of the Parent or any of its Subsidiary;
(iv) adopt any amendment to the Rights Agreement (other
than the Rights Amendment);
(v) incur any Indebtedness (other than in connection with
(A) the Debt Financing, (B) ordinary course consistent
with past practice borrowings and (C) other performance
bonds or letters of credit entered into in the ordinary course
of business consistent with past practice);
(vi) (A) except in the ordinary course of business
consistent with past practice, sell, lease, transfer or
otherwise dispose of, any of its material property or assets or
(B) create any Encumbrance (other than a Permitted
Encumbrance) on any material property or assets;
(vii) acquire any business or Person, by merger or
consolidation, purchase of substantial assets or equity
interests, or by any other manner, in a single transaction or a
series of related transactions;
(viii) declare, pay or otherwise make any dividend or
distribution (in cash or in any other form) to the stockholders
of Parent; or
(ix) authorize, propose or agree in writing to take any of
the foregoing actions.
8.2 Access to Information; Confidentiality; Public
Announcements.
(a) During the period from the date of this Agreement to
the earlier of (i) the Closing Date and (ii) the
termination of the Agreement in accordance with
ARTICLE XI, (x) the Company shall give the
Parent and its authorized representatives reasonable access
during normal business hours to all books, records, offices and
other facilities and properties of the Company and the Company
Subsidiaries as the Parent, or its authorized representatives,
may from time to time reasonably request from either the Chief
Executive Officer or Chief Financial Officer of the Company;
provided, however, that any such access shall be
conducted in a manner not to materially interfere with the
businesses or operations of the Company and the Company
Subsidiaries and the Parent shall not conduct any invasive
sampling or testing with respect to the Real Property, and
(y) the Parent shall give the Company and its authorized
representatives reasonable access during normal business hours
to all books, records, offices and other facilities and
properties of the Parent and its Subsidiaries as the Company, or
its authorized representatives, may from time to time reasonably
request from either the Chief Executive Officer or Chief
Financial Officer of the Parent; provided,
however, that any such access shall be conducted in a
manner not to materially interfere with the businesses or
operations of the Parent and its Subsidiaries and the Company
shall not conduct any invasive sampling or testing with respect
to the real property of the Parent or any of its Subsidiaries.
(b) Any information provided to or obtained by either the
Parent, the Company or any of their authorized representatives
pursuant to Section 8.2(a) shall be Confidential
Information, and shall be held by the Parent and the
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Company in accordance with and be subject to the terms of the
Confidentiality Agreement. Notwithstanding anything to the
contrary herein, the terms and provisions of the Confidentiality
Agreement shall survive the termination of this Agreement in
accordance with the terms therein. In the event of the
termination of this Agreement for any reason, the Parent and the
Company shall each comply with the terms and provisions of the
Confidentiality Agreement, including returning or destroying all
Confidential Information and the non-soliciting of employees of
the other party and its Subsidiaries. The Confidentiality
Agreement shall automatically terminate on the Closing Date.
(c) No party will issue or cause the publication of any
press release or other public announcement with respect to this
Agreement or the transactions contemplated hereby without the
prior written consent of the Stockholders Representative
and the Parent; provided, however, that nothing
herein will prohibit any party from issuing or causing
publication of any such press release or public announcement to
the extent that such disclosure is upon advice of counsel
required by law, in which case the party making such
determination will, if practicable in the circumstances, use
reasonable efforts to allow the other parties reasonable time to
comment on such release or announcement in advance of its
issuance.
8.3 Filings and Authorizations; Consummation.
(a) Each of the parties hereto shall, if required by
applicable law, within five (5) Business Days of the date
hereof, file or supply, or cause to be filed or supplied in
connection with the transactions contemplated herein, all
notifications and information required to be filed or supplied
pursuant to the HSR Act. The Parent acknowledges and agrees that
it shall pay and shall be solely responsible for the payment of
all filing fees and other charges for the filing under the HSR
Act.
(b) Each of the parties hereto, as promptly as practicable
(but in no event later than five (5) Business Days of the
date hereof), shall make, or cause to be made, all other filings
and submissions under Laws applicable to it, or to its
Subsidiaries and Affiliates, as may be required for it to
consummate the transactions contemplated herein and use its
commercially reasonable efforts (which shall not require any
party to make any payment or concession to any Person in
connection with obtaining such Persons consent) to obtain,
or cause to be obtained, all other authorizations, approvals,
consents and waivers from all Persons and Governmental
Authorities necessary to be obtained by it, or its Subsidiaries
or Affiliates, in order for it to consummate such transactions.
Subject to applicable Laws relating to the exchange of
information and the preservation of any applicable
attorney-client privilege, work-product doctrine, self-audit
privilege or other similar privilege, each of the Company and
the Parent shall have the right to review and comment on in
advance, and to the extent practicable each will consult the
other on, all the information relating to such party, that
appear in any filing made with, or written materials submitted
to, any third party
and/or any
Governmental Authority in connection with the transactions set
forth in this Agreement. In exercising the foregoing right, each
of the Company and the Parent shall act reasonably and as
promptly as practicable.
(c) The parties hereto shall coordinate and cooperate with
one another in exchanging and providing such information to each
other and in making the filings and requests referred to in
paragraphs (a) and (b) above. The parties hereto
shall supply such reasonable assistance as may be reasonably
requested by any other party hereto in connection with the
foregoing.
(d) Notwithstanding anything to the contrary herein, if any
order is made by any Governmental Authority or any suit is
threatened or instituted challenging any of the transactions
contemplated by this Agreement as violative of any Antitrust
Law, the Parent shall take all such action (including agreeing
to hold separate or to divest any of the businesses, product
lines or assets of the Parent or any of its Affiliates or of the
Company, any Company Subsidiary or their respective Affiliates)
as may be required (i) by the applicable Governmental
Authority (including the Antitrust Division of the United States
Department of Justice or the Federal Trade Commission) in order
to resolve such objections as such Governmental Authority may
have to such transactions under such Antitrust Law or
(ii) by any domestic or foreign court or similar tribunal,
in any suit brought by any Person or Governmental Authority
challenging the transactions contemplated by this Agreement as
violative of any Antitrust Law, in order to avoid the entry of,
or to effect the dissolution of, any injunction, temporary
restraining order or other order that has the effect of
preventing the consummation of the transactions contemplated by
this Agreement, but only and to the extent that any such action
does not materially deprive the Parent of the benefits of the
transactions contemplated herein. It
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shall not be deemed a failure to satisfy the conditions
specified in Sections 9.4 or 10.4, if in any
suit brought by any Person or Governmental Authority challenging
the transactions contemplated by this Agreement as violative of
any Antitrust Law, a court enters or the applicable Governmental
Authority makes an order or decree permitting the transactions
contemplated by this Agreement, but requiring that any of the
businesses, product lines or assets of any of the Parent or its
Affiliates or of the Company, any Company Subsidiary or their
respective Affiliates be divested or held separate by the
Parent, or that would otherwise limit the Parents freedom
of action with respect to, or its ability to retain, the Company
and any Company Subsidiary or any portion thereof or any of the
Parents or its Affiliates other assets or
businesses, but only and to the extent that any such action does
not materially deprive the Parent of the benefits of the
transactions contemplated herein.
(e) Each party hereto shall promptly inform the other
parties of any material communication from the Federal Trade
Commission, the Department of Justice or any other Governmental
Authority regarding any of the transactions contemplated by this
Agreement. If any party or any Affiliate thereof receives a
request for additional information or documentary material from
any such Governmental Authority with respect to the transactions
contemplated by this Agreement, then such party will endeavor in
good faith to make, or cause to be made, as soon as reasonably
practicable and after consultation with the other party, an
appropriate response in compliance with such request. The Parent
will advise the Company promptly in respect of any
understandings, undertakings or agreements (whether oral or
written) which the Parent proposes to make or enter into with
the Federal Trade Commission, the Department of Justice or any
other Governmental Authority in connection with the transactions
contemplated by this Agreement.
(f) Notwithstanding the foregoing, the Institutional
Stockholders shall not be subject to the obligations of the
parties hereto contained in this Section 8.3.
8.4 Resignations. The Company shall cause
to be delivered to the Parent on the Closing Date such
resignations of members of the board of directors of the Company
and each Company Subsidiary as requested in writing by the
Parent at least two days prior to the Closing Date, such
resignations to be effective concurrently with the Closing.
8.5 Further Assurances.
(a) From the date hereof until the earlier of the Closing
Date and the termination of this Agreement in accordance with
ARTICLE XI, each of the parties hereto, in each case
subject to any rights such party may have under the CHS
Stockholders Agreement, shall execute such documents and perform
such further acts as may be reasonably required to carry out the
provisions hereof and the actions contemplated hereby. Each
party shall, on or prior to the Closing Date, use its
commercially reasonable efforts to fulfill or obtain the
fulfillment of the conditions precedent to the consummation of
the transactions contemplated hereby, including the execution
and delivery of any documents, certificates, instruments or
other papers that are reasonably required for the consummation
of the transactions contemplated hereby, and reasonably
cooperate in connection with pre-Closing notices and
applications contemplated by this Agreement.
(b) The Company shall, in each case specified below and as
may otherwise be reasonably requested by the Parent, use its
commercially reasonably efforts to cause the Companys
independent registered public accounting firm, or any other
applicable independent registered public accounting firm, with
respect to any of the Company Financial Statements: (i) to
deliver any consent of such registered public accounting firm
required for the inclusion of any of the Company Financial
Statements in or their incorporation by reference into
(A) the Preliminary Proxy Statement or the Definitive Proxy
Statement or (B) any registration statement of the Parent
filed under the Securities Act; and (ii) at the request of
the Parent, in connection with the signing of an underwriting
agreement or, in the case of an offering of debt securities by
the Parent pursuant to Rule 144A promulgated under the
Securities Act (a Rule 144A Offering),
the note purchase agreement, to furnish the underwriters or
initial purchasers designated by the Parent a letter or letters
(in accordance with Statement on Auditing Standards (SAS)
No. 100, Interim Financial Information, superseding SAS
No. 71), addressed to such underwriters or initial
purchasers, and in form and substance reasonably satisfactory to
them at the time of execution of such underwriting agreement or
note purchase agreement and updated at the closing of the note
offering and providing the levels of comfort and other matters
ordinarily covered by accountants comfort
letters to underwriters or initial purchasers in
connection with registered public offerings.
(c) The Company shall provide, and shall cause the Company
Subsidiaries to provide, reasonable cooperation that is
necessary, proper or advisable in connection with the
Parents arrangement of the Debt Financing as
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contemplated by Section 8.22 or any alternative
financing arrangement or any registered public offering or
Rule 144A Offering of the Parent made in connection with
the transactions contemplated by this Agreement as may be
reasonably requested by the Parent, including using commercially
reasonable efforts to assist the Parent with:
(i) the preparation by the Parent of an information package;
(ii) participating in the presentation by the Parent of
such information package and related matters to prospective
lenders, including facilitating direct contact between the
Companys senior management and prospective lenders;
(iii) the preparation by the Parent of an offering
memorandum or private placement memorandum suitable for use in a
Rule 144A Offering by the Parent and the participation of
the senior management of the Company and the Company
Subsidiaries with the Parent in a customary road
show with regard to such offering; and
(iv) preparation by the Parent of an information package or
presentation for, and participating in a presentation or
discussion by the Parent with, one or more Nationally Recognized
Statistical Rating Organization (as such term is defined in the
Exchange Act) with regard to such Debt Financing, alternative
financing arrangement, registered public offering or
Rule 144A Offering.
8.6 Reserved.
8.7 Letters of Credit. The Parent agrees,
at its sole cost and expense, to replace at Closing all of the
letters of credit of the Company and each Company Subsidiary
existing at the Closing Date as set forth on
Schedule 8.7.
8.8 Termination of Affiliate
Obligations. On or before the Closing Date,
except for liabilities relating to employment relationships and
the payment of compensation and benefits in the ordinary course
of business consistent with past practices, all liabilities and
obligations between the Company or the Company Subsidiaries, on
the one hand, and one or more of its Affiliates or Stockholders
(other than liabilities or obligations between the Company and
the Company Subsidiaries), on the other hand, including the
Management Agreement and any and all contracts, agreements and
instruments (other than this Agreement and any ancillary
agreement contemplated herein) between the Company or any
Company Subsidiary, on the one hand, and one or more of its
Affiliates (including the Stockholders but not including the
Company and any Company Subsidiary), on the other hand, shall be
terminated in full, without any liability for the Company or the
Company Subsidiaries following the Closing.
8.9 Exclusivity. Until the earlier of the
Closing and such time as this Agreement is terminated in
accordance with ARTICLE XI, except for the
transactions contemplated by this Agreement, the Stockholders
and the Company shall not, and shall cause the Company
Subsidiaries, and their respective Representatives not to,
directly or indirectly, solicit, encourage or enter into any
negotiation, discussion, contract, agreement, instrument,
arrangement or understanding with any party, with respect to the
sale of the Shares or all or substantially all the assets of the
Company or any of the Company Subsidiaries, or any merger,
recapitalization or similar transaction with respect to the
Company or the Company Subsidiaries or their respective
businesses. The parties hereto recognize and agree that
immediate irreparable damages for which there is not adequate
remedy at law would occur in the event that the provisions of
this Section 8.9 are not performed in accordance
with the specific terms hereof or are otherwise breached. It is
accordingly agreed that in the event of a failure by a party to
perform its obligations under this Agreement, the non-breaching
party shall be entitled to specific performance through
injunctive relief, without the necessity of posting a bond, to
prevent breaches of the provisions and to enforce specifically
the provisions of this Section 8.9 in addition to
any other remedy to which such party may be entitled, at law or
in equity.
8.10 Waiver of Conflicts Regarding
Representation. Recognizing that Paul, Weiss,
Rifkind, Wharton & Garrison LLP (Paul
Weiss) has acted as legal counsel to Kohlberg
Investors V, L.P. and its Affiliates and may be deemed to
have acted as legal counsel to the Company and the Company
Subsidiaries prior to the Closing, and that Paul Weiss intends
to act as legal counsel to Kohlberg Investors V, L.P. and
its Affiliates after the Closing, the Company hereby waives, on
its own behalf and agrees to cause the Company Subsidiary to
waive, any conflicts that may arise in connection with Paul
Weiss representing Kohlberg Investors V, L.P. and its
Affiliates after the Closing; provided that nothing
contained herein shall be deemed to be a waiver of any
attorney-client, work product or similar privilege held by the
Company or any Company Subsidiary.
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8.11 Employee Matters.
(a) The Parent shall, and shall cause, service completed
with the Company or a Company Subsidiary by the individuals who
are employed by the Company or a Company Subsidiary on the
Closing Date (Grandfathered Employees) to be
taken into account for purposes of participation, coverage,
vesting and level of benefits (but not for purposes of benefit
accruals under any defined benefit pension plan or plan which
provides post-retirement medical benefits), as applicable, under
all severance payment plans, employee benefit plans, programs
and policies of the Parent and its subsidiaries (including the
Company and the Company Subsidiaries) from and after the Closing
Date to the same extent as such service was taken into account
under corresponding Company Benefit Plans immediately before the
Closing Date for such purposes; provided, however, that no such
service credit shall result in the duplication of any benefits.
Without limiting the foregoing, Grandfathered Employees will not
be subject to any pre-existing condition or limitation under any
health or welfare plan of the Parent or its subsidiaries
(including the Company and the Company Subsidiaries) for any
condition for which the Grandfathered Employee had coverage
immediately before the Closing Date under a corresponding
Company Benefit Plan. The Parent shall, and shall cause, the
Grandfathered Employees to be given credit under any plan of the
Parent and its subsidiaries for co-payments made, and
deductibles satisfied, under any corresponding Company Benefit
Plan for the plan year which includes the Closing Date.
(b) No provision of this Section 8.11(b) shall
create any third party beneficiary or other rights in any
Grandfathered Employee or any other Person other than the
Company or the Parent.
8.12 Restrictive Covenants. In order to
adequately protect the interests of the Parent and Surviving
Corporation, the Kohlberg Entities and Cucuel agree to be bound
as follows:
(a) For a period of three years after the Closing Date, the
Kohlberg Entities and Cucuel (each on their own behalf) shall
not, and shall cause their Affiliates not to, directly or
indirectly, on behalf of any of them or any other Person,
recruit or otherwise solicit or induce any member of senior
management, key employee or officer of the Company or any
Company Subsidiary to terminate his or her employment or other
relationship with the Company or any Company Subsidiary, or hire
any such Person who has ceased to be employed or otherwise
engaged by the Company or any Company Subsidiary during the
preceding six months. Notwithstanding the foregoing, nothing
shall prevent the Kohlberg Entities or Cucuel, as the case may
be, from soliciting or hiring any person (i) who is
terminated by the Company, the Parent or the Surviving
Corporation following the Closing or (ii) as result of a
general solicitation of employment not specifically directed
toward employees of the Parent, the Surviving Corporation or any
Company Subsidiary.
(b) The Kohlberg Entities and Cucuel (each on their own
behalf) agree that, for a period of three (3) years after
the Closing Date, each of them shall, and shall cause their
respective Affiliates and Representatives to, hold in strict
confidence all Confidential Information they possess. In the
event that the Kohlberg Entities, Cucuel or any of their
respective Affiliates or Representatives, as the case may be,
are required by Law to disclose any Confidential Information,
the Kohlberg Entities
and/or
Cucuel, as the case may be, shall promptly notify the Parent in
writing so that the Parent may, at its sole cost and expense,
seek a protective order
and/or other
motion filed to prevent the production or disclosure of
Confidential Information. If such motion has been denied, then
the Kohlberg Entities
and/or
Cucuel, as the case may be, may disclose only such portion of
the Confidential Information which is required by Law to be
disclosed; provided, that, (A) the Kohlberg
Entities
and/or
Cucuel, as the case may be, shall use commercially reasonable
efforts to preserve the confidentiality of the remainder of the
Confidential Information and (B) the Kohlberg Entities
and/or
Cucuel, as the case may be, shall not, and shall not permit any
of their respective Representatives to, oppose any motion for
confidentiality brought by the Parent in any such instance. The
Kohlberg Entities
and/or
Cucuel will continue to be bound by their respective obligations
pursuant to this Section 8.12(b) for any
Confidential Information that is not required to be disclosed
pursuant to the immediately preceding sentence above, or that
has been afforded protective treatment pursuant to such motion.
(c) Cucuel agrees that, for a period of one (1) year
after the Closing Date he shall not, directly or indirectly, on
Cucuels own behalf or in the service or on behalf of
others (except for the Surviving Corporation) provide services
substantially similar to those Cucuel performed for the Company
or any Company Subsidiary or on behalf of the Kohlberg Entities
at any time within the last twelve (12) months of his
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employment with the Company, to or for the benefit of any Person
which provides or offers to provide home infusion therapy
services or home nursing services, which Cucuel acknowledges is
part of the Companys business, within the Territory. For
purposes of this Section 8.12,
Territory shall mean the fifty states
comprising the United States. Cucuel acknowledges that the
Company provides services on a national basis and agrees that,
given his position as Chief Executive Officer of the Company and
President and Secretary of the Company Subsidiaries, this
provision is reasonable and necessary to adequately protect the
interests of the Parent and the Surviving Corporation.
(d) Cucuel agrees that for a period of one (1) year
from the Closing Date, he shall not, on his own behalf or on
behalf of any Person (except for the Surviving Corporation
during such time as Cucuel is engaged as a consultant thereto),
solicit, contact or call upon for the purpose of selling any
service that is competitive with home infusion therapy services,
home nursing services, medical equipment or respiratory therapy,
any customer or potential customer, or any physician or Hospital
that competes with the Company or any Company Subsidiary at the
time of Closing, within the Territory. Cucuel agrees that, given
his position as Chief Executive Officer of the Company and
President and Secretary of the Company Subsidiaries, this
provision is reasonable and necessary to adequately protect the
interests of the Parent and the Surviving Corporation.
(e) Cucuel and the Company have agreed to enter into a
Separation and Transition Services Agreement prior to Closing
that: (i) terminates Cucuels employment with the
Company without Cause effective on the Closing Date,
(ii) provides for the payment twelve (12) months of
severance pursuant to his existing employment agreement with the
Company, (iii) provides for Cucuel to provide certain
consulting services on a limited time, non-exclusive basis to
the Company for the one year period immediately following the
Closing, (iv) grants to the Company a one-time election to
extend Cucuels one year consulting period for an
additional one year period at its election, (v) extends the
one year time restrictions in Sections 8.12(c) and
8.12(d) of this Agreement by an additional one year in
the event that the Company elects to extend Cucuels
consulting period; provided, that the Company agrees to
pay or has paid Cucuel three hundred thousand dollars ($300,000)
in consulting fees pursuant to such Separation and Transition
Services Agreement during such two year consulting period. The
terms of such agreement, when taking into account the payments
under the existing employment agreement, shall be consistent
with the regulations under Section 409A of the Code.
8.13 Indemnification; Directors and Officers
Insurance.
(a) The Parent shall cause the organizational documents of
the Surviving Corporation and each Company Subsidiary to contain
provisions concerning indemnification of directors and officers
no less favorable to the beneficiaries thereof than those set
forth in such organizational documents as of the date hereof.
From and after the Closing, the Parent shall, and shall cause
the Surviving Corporation and each Company Subsidiary,
(i) to indemnify and hold harmless each present and former
director and officer of the Company and each present and former
director and officer, as applicable, of each Company Subsidiary
(collectively, the Company Indemnified
Parties), in each case, when acting in such capacity,
against any Losses incurred or suffered by any of the Company
Indemnified Parties in connection with any action arising out of
or pertaining to matters existing or occurring at or prior to
the Closing, whether asserted or claimed prior to, at or after
the Closing, to the fullest extent permitted under applicable
Law, and (ii) advance expenses as incurred by any Company
Indemnified Party in connection with any matters for which such
Company Indemnified Party is entitled to indemnification from
the Company or a Company Subsidiary, as applicable, pursuant to
this Section 8.13, to the fullest extent permitted
under applicable law; provided that the Company Indemnified
Party to whom expenses are advanced provides an undertaking to
repay such advances if it is ultimately determined that such
Company Indemnified Party is not entitled to such
indemnification; and provided, further, that any determination
required to be made with respect to whether a Company
Indemnified Partys conduct complies with the standards set
forth under applicable law or the organizational documents of
the Company and the Company Subsidiaries, as applicable, shall
be made by independent counsel selected by the Company.
(b) For a period of six (6) years following the
Closing, the Parent shall maintain, or shall cause the Surviving
Corporation for itself and the Company Subsidiaries to maintain,
in effect a directors and officers liability
insurance policy covering those persons who are currently
covered by the Companys directors and officers
liability insurance policy (true and complete copies of which
have been heretofore made available by the Company
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to the Parent and its agents and representatives) with coverage
in amount and scope at least as favorable as the Companys
existing coverage; provided, however, that in no
event shall the Parent or the Company be required to expend in
the aggregate in excess of 200% of the annual premium currently
paid by the Company for such coverage, and if such premium would
at any time exceed 200% of such amount, then the Parent or the
Company shall maintain insurance policies which provide the
maximum and best coverage available at an annual premium equal
to 200% of such amount; and provided, further, that this
Section 8.13(b) shall be deemed to have been
satisfied if a prepaid policy or policies (i.e., tail
coverage) have been obtained by the Company, at the
expense of Parent, which policy or policies provide such
directors and officers with the coverage described in this
Section 8.13(b) for an aggregate period of not less
than six (6) years with respect to claims arising from
facts or events that occurred on or before the Closing Date,
including with respect to the transactions contemplated by this
Agreement.
(c) The provisions of this Section 8.13 are
(i) intended to be for the benefit of, and shall be
enforceable by, each Person entitled to indemnification
hereunder, and each such Persons heirs, representatives,
successors or assigns, it being expressly agreed that such
Persons shall be third-party beneficiaries of this
Section 8.13, and (ii) in addition to, and not
in substitution for, any other right to indemnification or
contribution that any such Person may have by contract or
otherwise.
8.14 Proxy Statement; Special Meeting.
(a) Parent shall use its best efforts to, and the Company
shall use best efforts to cooperate with Parent in order to,
prepare and file with the SEC under the Exchange Act, and with
all other applicable regulatory bodies, a preliminary proxy
statement pursuant to Section 14(a) of Exchange Act (the
Preliminary Proxy Statement) as promptly as
practicable after the date hereof and on or prior to
February 5, 2010, which shall include proxy materials for
the purpose of soliciting proxies from holders of the
Parents Stock to obtain the Parent Stockholder Approval at
a meeting of the holders of the Parents Stock to be called
and held for such purpose (the Special
Meeting) as provided below. Such proxy materials shall
be in the form of a proxy statement to be used for the purpose
of soliciting such proxies from holders of the Parents
Stock. The Company shall furnish to the Parent all information
concerning the Company as the Parent may reasonably request in
connection with the preparation of the Preliminary Proxy
Statement. The Parent shall promptly respond to any SEC comments
on the Preliminary Proxy Statement, with the assistance of the
Company, and shall otherwise use commercially reasonable efforts
to resolve any such SEC comments relating to the Preliminary
Proxy Statement. The Parent shall also take any and all such
actions to satisfy the requirements of the Securities Act and
the Exchange Act. Notwithstanding the foregoing, prior to filing
the Preliminary Proxy Statement or the Definitive Proxy
Statement or mailing the Definitive Proxy Statement (or any
amendment or supplement thereto) or responding to any comments
of the SEC with respect thereto, the Parent shall provide the
Stockholders Representative with an opportunity to review
and comment on such document or response.
(b) As promptly as practicable (and in any event within
three (3) Business Days) following the resolution of any
SEC comments on the Preliminary Proxy Statement, the Parent
shall file and distribute a definitive proxy statement pursuant
to Section 14(a) of the Exchange Act (the
Definitive Proxy Statement) to the holders of
the Parents Stock and, pursuant thereto, shall, as
promptly as practicable, call the Special Meeting and, subject
to the other provisions of this Agreement, solicit proxies from
such holders to vote in favor of the Parent Stockholder Approval.
(c) The Parent shall comply with all applicable provisions
of and rules under the Exchange Act and all applicable
provisions of the DGCL in the preparation, filing and
distribution of the Preliminary Proxy Statement and Definitive
Proxy Statement, as applicable, the solicitation of proxies
thereunder, and the calling and holding of the Special Meeting.
Without limiting the foregoing, the Company shall ensure that
the Definitive Proxy Statement does not, as of the date on which
it is distributed to the holders of the Parents Stock, and
as of the date of the Special Meeting, contain any untrue
statement of a material fact or omit to state a material fact
necessary in order to make the statements made, in light of the
circumstances under which they were made, not misleading
(provided that the Parent shall not be responsible for
the accuracy or completeness of any information relating to the
Company or any other information furnished by the Company for
inclusion in the Preliminary Proxy Statement or Definitive Proxy
Statement). The Company covenants and agrees that the
information relating to the Company supplied by the Company for
inclusion in the Preliminary Proxy Statement or Definitive Proxy
Statement will not, as of the filing
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date of the Preliminary Proxy Statement or Definitive Proxy
Statement (or any amendment or supplement thereto), as the case
may be, or, in the case of the Definitive Proxy Statement, at
the time of the Special Meeting, contain any statement which, at
such time and in light of the circumstances under which it is
made, is false or misleading with respect to any material fact,
or omits to state any material fact required to be stated
therein or necessary in order to make the statement therein not
false or misleading.
(d) The Parent, acting through its board of directors,
shall include in the Preliminary Proxy Statement and the
Definitive Proxy Statement the recommendation of its board of
directors that the holders of the Parents Stock vote in
favor of the adoption of this Agreement and approval of the
transactions set forth therein, and shall otherwise use
commercially reasonable efforts to obtain the Parent Stockholder
Approval.
8.15 Other Actions. At least five
(5) days prior to Closing, the Parent shall prepare a draft
Form 8-K
announcing the Closing, together with, or incorporating by
reference, the financial statements prepared by the Company and
its accountant, which shall be in form and substance reasonably
acceptable to the Company and in a format acceptable for EDGAR
filing. Prior to Closing, the Parent and the Company shall
prepare the press release announcing the consummation of the
acquisition of all of the Stockholders Shares hereunder
(Press Release).
8.16 Required Information. In connection
with the preparation of the Press Release, and for such other
reasonable purposes, the Company and the Parent each shall, upon
request by the other, furnish the other with all information
concerning themselves, their respective directors, officers and
stockholders (including the directors of the Parent and the
Company to be elected effective as of the Closing) and such
other matters as may be reasonably necessary or advisable in
connection with the transactions set forth in this Agreement, or
any other statement, filing, notice or application made by or on
behalf of the Company or the Parent to any third party
and/or any
Governmental Authority in connection with the transactions set
forth in this Agreement. Each party represents and warrants to
the other party that all such information shall be true and
correct in all material respects and will not contain any untrue
statement of a material fact or omit to state a material fact
required to be stated therein or necessary to make the
statements contained therein, in light of the circumstances
under which they were made, not misleading (for the avoidance of
doubt, this sentence shall be deemed a representation and
warranty and not a covenant).
8.17 Reserved.
8.18 Reserved.
8.19 No Securities Transactions. Neither
the Company, the Stockholders (except for the Institutional
Stockholders) nor their respective Affiliates and
Representatives shall, directly or indirectly, engage in any
transactions involving the securities of the Parent prior to the
time of the making of a public announcement of the transactions
contemplated by this Agreement. The Company and the Stockholders
shall use their commercially reasonable efforts to require each
of its officers, directors, employees, agents and
representatives to comply with the foregoing requirement.
8.20 Qualification as a
Reorganization. This Agreement is intended to
constitute a plan of reorganization within the
meaning of
section 1.368-2(g)
of the Treasury Regulations. From and after the date of this
Agreement and until the Merger Effective Time, each party to
this Agreement shall use its reasonable best efforts to cause
the Merger to qualify, and shall not, without the prior written
consent of the parties to this Agreement, knowingly take any
actions or cause any actions to be taken which could prevent the
Merger from qualifying, as a reorganization under the provisions
of Section 368(a) of the Code. Following the Merger
Effective Time, without the prior written consent of the parties
to this Agreement, neither Parent nor any of its Subsidiaries,
nor any of its Affiliates, shall knowingly take any action or
cause any action to be taken which would cause the Merger to
fail to so qualify as a reorganization under Section 368(a)
of the Code.
8.21 Tax Matters. During the period from
the date of this Agreement to the Closing Date, the Company and
its Subsidiaries shall:
(a) prepare and timely file all Tax Returns required to be
filed by them on or before the Closing Date
(Post-Signing Returns) in a manner consistent
with past practice, except as otherwise required by applicable
Laws;
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(b) consult with the Parent with respect to all income Tax
and other material Post-Signing Returns and deliver drafts of
such Post-Signing Returns to the Parent no later than ten
Business Days prior to the date on which such Post-Signing
Returns are required to be filed;
(c) fully and timely pay all Taxes due and payable in
respect of such Post-Signing Returns that are so filed;
(d) properly reserve (and reflect such reserve in their
books and records and financial statements), for all Taxes
payable by them for which no Post-Signing Return is due prior to
the Closing Date in a manner consistent with past practice;
(e) promptly notify the Parent of any legal action or audit
pending or threatened against the Company or any of its
Subsidiaries in respect of any Tax matter, and not settle or
compromise any such legal action or audit, or consent to any
extension or waiver of the limitations period applicable to any
Tax claim or assessment, without the Parents prior consent
which consent shall not be unreasonably withheld or delayed;
(f) not make or revoke any Tax election, amend any Tax
Return or adopt or change a Tax accounting method or period
without the Parents prior consent, which consent shall not
be unreasonably withheld or delayed; and
(g) terminate any tax allocation agreement, tax sharing
agreement or other similar agreement to which the Company or any
of its Subsidiaries is a party such that there are no further
liabilities or obligations thereunder.
8.22 Parents Financing Obligations.
(a) The Parent shall use its commercially reasonable
efforts to perform all of its obligations under the Debt
Financing Documents and satisfy all conditions precedent to the
funding thereunder that are within its control. In the event
that the Debt Financing is not available to consummate the
transactions contemplated by this Agreement, the Parent shall
use its commercially reasonable efforts to obtain alternative
financing; it being understood, however, that such commercially
reasonable efforts would not require the Parent to consummate
the Debt Financing or any alternative financing, as the case may
be, on financial terms less favorable, taken as a whole, or
other terms materially less favorable, taken as a whole, to
Parent than those set forth in the Debt Financing Documents (the
Alternative Financing).
(b) Neither the Parent, nor its Affiliates shall, without
the prior written consent of the Company (which shall not be
unreasonably withheld or delayed), waive, terminate, amend,
modify or supplement, (i) the Debt Financing Documents to
materially decrease the aggregate amount of the facilities
thereunder or the amount of the facilities available at Closing
to fund the acquisition, (ii) in any material respect,
(x) the terms or conditions of the Debt Financing Documents
(except as provided in subclause (iv) below) or
(y) any market flex provisions contained in the
Debt Financing Documents, (iii) the conditions precedent to
the initial borrowing set forth in the Debt Financing Documents
or (iv) the representations, warranties, covenants or
defaults set forth in the Debt Financing Documents, if, in the
case of clause (iv), such amendment, modification or supplement
would result in the failure to satisfy a condition to the
funding of the Debt Financing at Closing; provided, that
in no event shall any amendments or modification to the Debt
Financing documents not required to be consented to by the
Company relieve the Parent from its obligation to consummate the
transactions contemplated by this Agreement on the terms set
forth in the Debt Financing Documents without giving effect to
any such amendment or modification made after the date hereof.
8.23 Reserved.
8.24 Parent Board of Directors. At or
prior to the Closing, the board of directors of Parent
(A) shall fix the number of directors on the board of
directors of Parent at ten (10), and (B) shall take action
to appoint the Stockholder Director Designees to the board of
directors of Parent as of the Closing.
8.25 Additional Actions. The Company
shall cause all of the actions as set forth in
Schedule 8.25 to be taken prior to the Closing Date.
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ARTICLE IX
CONDITIONS
PRECEDENT TO OBLIGATIONS OF THE PARENT
The obligations of the Parent to effect the transactions
contemplated by this Agreement shall be subject to the
satisfaction, at or prior to the Closing Date, of all of the
following conditions, any one or more of which may be waived by
the Parent:
9.1 Representations and Warranties
Accurate. The Specified Representations contained
in ARTICLE V and ARTICLE VI of this
Agreement shall be true and correct in all material respects as
of the Closing Date as though made at the Closing Date. The
representations and warranties of the Stockholders and the
Company set forth in ARTICLE V and
ARTICLE VI of this Agreement (other than the
Specified Representations) shall be true and correct (determined
without regard to any materiality or material adverse effect
qualification contained in any representation or warranty) as of
the Closing Date as though made at the Closing Date, except to
the extent such representations and warranties expressly relate
to a specific date, in which case such representations and
warranties shall be true and correct as of such date, with only
such exceptions which, individually or in the aggregate, would
not reasonably be expected to have a Company Material Adverse
Effect.
9.2 Performance. The Company and the
Stockholders shall have performed and complied in all material
respects with all agreements and covenants required by this
Agreement to be performed and complied with by them prior to or
on the Closing Date.
9.3 Officers Certificate. The
Company with respect to it, and the Stockholders
Representative, with respect to the Stockholders, shall have
delivered to the Parent a certificate, signed by an executive
officer of the Company in the case of the Company, and the
Stockholders Representative, on behalf of each
Stockholder, in the case of the Stockholders, dated as of the
Closing Date, certifying the matters set forth in
Sections 9.1 and 9.2.
9.4 HSR Act; Legal Prohibition.
(a) With respect to the transactions contemplated hereby,
all applicable waiting periods under the HSR Act shall have
expired or been terminated.
(b) On the Closing Date, there shall exist no injunction or
other order issued by any Governmental Authority or court of
competent jurisdiction which prohibits the consummation of the
transactions contemplated under this Agreement or materially
deprives the Parent of the benefits of the transactions
contemplated herein.
9.5 Payoff Letters. The Parent shall have
received payoff letters reasonably acceptable to it with respect
to the payment of the Credit Agreements Payoff Amount and the
release of any Encumbrance related thereto.
9.6 FIRPTA Affidavit. The Parent shall
have received, in a form satisfactory to the Parent, either
(a) a statement pursuant to Treasury Regulations
Section 1.897-2(h)
and 1.1445-2(c), provided by the Company not earlier than the
twentieth day prior to the Closing Date, certifying that the
Company is not, and has not been during the time period
specified in Section 897(c)(1)(A)(ii) of the Code, a United
States real property holding corporation as defined in
Section 897(c)(2) of the Code or (b) a certification
of non-foreign status from each Stockholder, which certification
meets the requirements of Treasury Regulations
Section 1.1445-2(b)(2).
9.7 Required Consents. All licenses,
permits, consents, authorizations, approvals, qualifications and
orders of Governmental Authorities or other Persons set forth on
Schedule 9.7 of this Agreement shall have been
obtained.
9.8 Secretarys Certificates. Each
of the Company and the Stockholders Representative shall
have delivered to the Parent a certificate of the Secretary of
the Company, dated as of the Closing Date, certifying as to
(i) the incumbency of officers of the Company or the
Stockholders Representative, as applicable, executing
documents executed and delivered in connection herewith and
(ii) true and complete copies of the Companys
certificate of incorporation and by-laws or the
Stockholders Representatives governing documents, as
applicable, each as in effect from the date of this Agreement
until the Closing Date.
9.9 Escrow Agreement. The
Stockholders Representative shall have executed and
delivered the Escrow Agreement.
9.10 Stockholder Approval. Parent
Stockholder Approval shall have been duly obtained.
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9.11 New Parent Stockholders
Agreement. Each of the Stockholders and
Optionholders, if any, receiving shares of Parents Stock
in connection with the Merger shall have executed and delivered
the New Parent Stockholders Agreement.
9.12 Debt Financing. The Parent shall
have received the proceeds of the Debt Financing on the terms
set forth in the Commitment Letter.
9.13 Tax Opinion. The Parent shall have
received the opinion of King & Spalding LLP, counsel
to the Parent, dated the Closing Date, to the effect that the
Merger will be treated for United States federal income tax
purposes as a reorganization within the meaning of
Section 368(a) of the Code. In rendering such opinion,
counsel to the Parent shall be entitled to rely upon customary
assumptions and representations provided by the Parent and the
Company that counsel to the Parent reasonably deems relevant.
9.14 Audited Financial Statements. The
Parent shall have received the audited consolidated balance
sheet of the Company and the Company Subsidiaries as of
December 31, 2009, and the related audited consolidated
statements of income, shareholders equity and cash flows
of the Company and the Company Subsidiaries for the year then
ended, together with the notes and schedules thereto and an
unqualified audit opinion of PricewaterhouseCoopers LLP with
respect thereto.
9.15 Accountants Consents. The
Parent shall have received all consents and letters contemplated
by Section 8.5(b) of this Agreement that have been
reasonably requested for delivery prior to the Closing Date in
connection with the Debt Financing.
9.16 Applicable Stock Value. In the event
that the Stockholders would receive any Parents Stock
valued at the Applicable Stock Value pursuant to
Section 3.9, the Applicable Stock Value (as determined at
4:00 pm as of the last trading day immediately preceding the
scheduled Closing Date, and as adjusted for splits, conversions
and reverse splits on or after the date hereof) shall not be
less than $5.2151.
ARTICLE X
CONDITIONS
PRECEDENT TO OBLIGATIONS OF THE COMPANY
The obligation of the Company to effect the transactions
contemplated by this Agreement shall be subject to the
satisfaction, at or prior to the Closing Date, of all of the
following conditions, any one or more of which may be waived by
the Stockholders Representative:
10.1 Representations and Warranties
Accurate. The Specified Representations contained
in ARTICLE VII of this Agreement shall be true and
correct in all material respects as of the Closing Date as
though made at the Closing Date. The representations and
warranties of the Parent and Merger Sub set forth in
ARTICLE VII of this Agreement (other than the
Specified Representations) shall be true and correct (determined
without regard to any materiality or material adverse effect
qualification contained in any representation or warranty) as of
the Closing Date as though made at the Closing Date, except to
the extent such representations and warranties expressly relate
to a specific date, in which case such representations and
warranties shall be true and correct as of such date, with only
such exceptions which, individually or in the aggregate, would
not reasonably be expected to have a Parent Material Adverse
Effect.
10.2 Performance. The Parent and Merger
Sub shall have performed and complied in all material respects
with all agreements and covenants required by this Agreement to
be performed and complied with by them prior to or on the
Closing Date.
10.3 Officer Certificate. The Parent
shall have delivered to the Company a certificate, signed by an
executive officer of the Parent, dated as of the Closing Date,
certifying the matters set forth in Sections 10.1
and 10.2.
10.4 HSR Act; Legal Prohibition.
(a) With respect to the transactions contemplated hereby,
all applicable waiting periods under the HSR Act shall have
expired or been terminated.
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(b) On the Closing Date, there shall exist no injunction or
other order issued by any Governmental Authority or court of
competent jurisdiction which prohibits the consummation of the
transactions contemplated under this Agreement.
10.5 Escrow Agreement. The Parent shall
have executed and delivered the Escrow Agreement.
10.6 Stockholder Approval. Parent
Stockholder Approval shall have been duly obtained.
10.7 Required Consents. All licenses,
permits, consents, authorizations, approvals, qualifications and
orders of Governmental Authorities or other Persons set forth on
Schedule 10.7 of this Agreement shall have been
obtained.
10.8 Secretarys Certificate. The
Parent shall have delivered to the Company a certificate of the
Secretary of the Parent, dated as of the Closing Date,
certifying as to (i) the incumbency of officers of the
Parent executing documents executed and delivered in connection
herewith and (ii) true and complete copies of the
Parents and Merger Subs certificate of incorporation
and by-laws, each as in effect from the date of this Agreement
until the Closing Date.
10.9 New Parent Stockholders
Agreement. The Parent shall have executed and
delivered the New Parent Stockholders Agreement.
10.10 Debt Financing. The Parent shall
have received the proceeds of the Debt Financing on the terms
set forth in the Commitment Letter.
10.11 Parent Stock Price. The per share
price (as determined at 4:00 pm as of the relevant date) of
Parents Stock on the Nasdaq Global Market (as adjusted for
splits, conversions and reverse splits on or after the date
hereof) shall not be less than $5.2151 for the ten
(10) immediately preceding trading days prior to the
scheduled Closing Date.
10.12 Tax Opinion. The Company shall have
received the opinion of Paul, Weiss, Rifkind,
Wharton & Garrison LLP, counsel to the Company, dated
the Closing Date, to the effect that the Merger will be treated
for United States federal income tax purposes as a
reorganization within the meaning of Section 368(a) of the
Code. In rendering such opinion, counsel to the Company shall be
entitled to rely upon customary assumptions and representations
provided by the Parent and the Company that counsel to the
Company reasonably deems relevant.
ARTICLE XI
TERMINATION
11.1 Termination. This Agreement may be
terminated on or prior to the Closing Date as follows:
(a) by the mutual written consent of the Parent and the
Stockholders Representative; or
(b) by the Parent or the Stockholders Representative
if the Closing Date shall not have occurred on or before the
Termination Date; provided, however, that the
right to terminate this Agreement under this
Section 11.1(b) shall not be available to any party
who is then in material breach of any representation, warranty,
covenant or other agreement contained herein; provided,
further, the parties may mutually agree to extend the
period before termination if the Closing Date shall not have
occurred due to regulatory or antitrust issues; or
(c) subject to Section 8.3(d), by the Parent or
the Stockholders Representative if a court of competent
jurisdiction or other Governmental Authority shall have issued
an order or injunction or taken any other action (which order,
injunction or action the parties shall use their commercially
reasonable efforts to lift) permanently restraining, enjoining
or otherwise prohibiting the transactions contemplated under
this Agreement and such order or action shall have become final
and nonappealable; or
(d) by Stockholders Representative, if neither the
Company nor any of the Stockholders is then in material breach
of any term of this Agreement, upon written notice to the
Parent, upon a material breach of any representation, warranty
or covenant of the Parent contained in this Agreement such that
the conditions set
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forth in ARTICLE X cannot be satisfied,
provided, that, such breach is not capable of
being cured or has not been cured within thirty (30) days
after the giving of notice thereof by the Stockholders
Representative to the Parent;
(e) by the Parent, if the Parent is not then in material
breach of any term of this Agreement, upon written notice to
Stockholders Representative, upon a material breach of any
representation, warranty or covenant of the Company or the
Stockholders contained in this Agreement such that the
conditions set forth in ARTICLE IX cannot be
satisfied, provided, that, such breach is not
capable of being cured or has not been cured within thirty
(30) days after the giving of notice thereof by the Parent
to the Stockholders Representative;
(f) by the Stockholders Representative or the Parent
if approval of the issuance of Parents Stock under this
Agreement has been submitted to the stockholders of the Parent
by written consent or at a duly convened Special Meeting (or
adjournment or postponement thereof) and the Parent Stockholder
Approval is not obtained upon a vote taken thereon; or
(g) by the Parent if a written consent evidencing the CHS
Stockholder Approval is not obtained by the Company and
delivered to the Parent no later than 5:00 p.m. (Eastern
time) on the date hereof.
11.2 Survival After Termination. If this
Agreement is terminated by the parties in accordance with
Section 11.1 hereof, this Agreement shall become
void and of no further force and effect; provided,
however, that none of the parties hereto shall have any
liability in respect of a termination of this Agreement, except
that the provisions of Section 8.2(b) (Confidential
Information), and ARTICLE XIV (Miscellaneous) shall
survive the termination of this Agreement, and that nothing
herein shall relieve the Company or the Stockholders from any
liability for any intentional or willful breach of the
provisions of this Agreement prior to the termination of this
Agreement.
11.3 Termination Expenses. If this
Agreement is terminated by the Parent or the Stockholders
Representative pursuant to (i) Section 11.1(f)
or (ii) Section 11.1(b) and at the time of such
termination the Parent Stockholder Approval has not been
obtained, then the Parent shall pay the Company by wire transfer
of immediately available funds the amount of all fees and
expenses described in clause (i) of
Section 14.1 incurred after December 7, 2009,
up to $1,000,000 (the Termination Expenses),
which amount shall be paid within two (2) Business Days of
the Parents receipt of notice of the amount of such
Termination Expenses. If the Parent fails to pay the Termination
Expenses required pursuant to this Section 11.3 when
due, such Termination Expenses shall accrue interest for the
period commencing on the date such expense reimbursement became
past due, at a rate equal to the rate of interest publicly
announced by Citibank, in the City of New York from time to time
during such period, as such banks Prime Lending Rate. In
addition, if the Parent fails to pay such Termination Expenses
when due, the Parent shall also pay to the Company all of the
Companys costs and expenses (including attorneys
fees) in connection with efforts to collect such Termination
Expenses.
ARTICLE XII
INDEMNIFICATION
12.1 Survival. Each of the
representations and warranties of the Stockholders contained in
ARTICLE V (the Stockholder
Representations), the Company contained in
ARTICLE VI and Section 8.16 (the
Company Representations) and of the Parent
contained in ARTICLE VII and
Section 8.16 shall survive until 11:59 p.m.
(Eastern time) on the date that is eighteen (18) months
after the Closing Date; provided, that the
representations and warranties set forth in
Sections 5.1 (Organization), 5.2 (Binding
Obligations), 6.1 (Organization and Qualification),
6.2 (Capitalization of the Company), 6.3
(Subsidiaries), 6.4 (Binding Obligation), 6.12
(Taxes), 6.28 (Brokers), 7.1 (Organization),
7.2 (Binding Obligation), 7.3 (Capitalization of
the Parent; Capitalization and Operations of Merger Sub) and
7.14 (Brokers) (collectively, the Specified
Representations) shall survive the Closing Date for
the applicable statute of limitations. Each of the covenants and
agreements of the parties set forth in this Agreement shall
survive until 11:59 p.m. (Eastern time) on the date that is
eighteen (18) months after the Closing Date;
provided that the covenants and agreements contained
herein (including Section 12.2 and
Section 13.1) requiring performance after the
Closing Date shall survive in accordance with their terms. If
any Claims Notice (as defined below) is given in accordance with
the terms of Section 12.4 within the applicable
survival period provided above
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(as applicable, the Cut-Off Date), the claims
specifically set forth in the Claims Notice shall survive until
such time as such claim is finally resolved.
12.2 Indemnification by the Stockholders;
Indemnification by the Parent.
(a) Subject to the other limitations set forth in this
ARTICLE XII and ARTICLE XIII governing
Taxes, from and after the Closing Date, the Parent, its
Affiliates and their respective officers, directors, employees,
shareholders, partners, and members (each, a Parent
Indemnitee) shall be indemnified and held harmless by
each Stockholder, severally (and not jointly or jointly and
severally), from and against any and all losses, liabilities,
expenses (including reasonable attorneys fees), claims,
suits, actions and damages (collectively,
Losses) arising from, or in connection with,
any (i) breach of any covenant or agreement made hereunder
by such Stockholder (a Stockholder Covenant);
(ii) breach of any covenant or agreement made hereunder by
the Company or any Company Subsidiary (solely with respect to
covenants and agreements to be made or performed by the Company
or any Company Subsidiary prior to the Closing) (the
Company Covenants) (other than breaches of
the covenants in Section 8.21 (Tax Matters) and any
Losses arising from Taxes imposed on the Company or any Company
Subsidiary as a result of a breach of any of the Company
Covenants, all of which are governed by
ARTICLE XIII); (iii) breach of any of the
Company Representations (other than breaches of the
representations contained in Section 6.12 (Taxes),
which shall be governed by ARTICLE XIII);
(iv) breach by such Stockholder of any of the Stockholders
Representations; (v) any earnout or other amounts paid to
the sellers or any other parties in connection with that certain
Stock Purchase Agreement by and among Option Health, Ltd. (d/b/a
Optioncare of the Quad Cities), Kathy Budge (f/k/a Kathy
Goodwin) and Infusion Partners LLC, dated as of June 10,
2009; and (vi) claims made in pending or future suits,
actions, investigations or other legal proceedings in respect of
that certain membership interest purchase agreement dated as of
June 20, 2008 by and between Professional Home Care
Services, Inc. and Alexander Infusion, LLC, including the
lawsuit filed by Alexander Infusion, LLC in the Supreme Court of
the State of New York, Nassau County, on or around
March 31, 2009; provided, that,
notwithstanding anything to the contrary contained herein, each
Kohlberg Entity shall jointly and severally indemnify and hold
harmless the Parent Indemnitees for any indemnification
obligation of any Kohlberg Entity pursuant to this
ARTICLE XII. Notwithstanding anything to the
contrary contained herein, (A) none of the Stockholders
shall be obligated to indemnify or hold harmless the Parent
Indemnitees with respect to any Losses arising from, or in
connection with, (x) any amounts payable under any
unclaimed property, abandonment, escheat or similar Law or
(y) any overpayments or underpayments to or from
non-governmental customers (including individuals and Third
Party Payors) of the Company or any Company Subsidiary and
(B) for purposes of determining whether there has a been a
breach of any of the Company Representations set forth in
Sections 6.14, 6.15 and 6.16 that is
subject to indemnification under this
Section 12.2(a), such determination shall be made
without giving effect to any limitation relating to whether the
Company had knowledge of any representation or warranty. For
avoidance of doubt, clause (B) of the prior sentence means
that statements such as to the knowledge of the
Company shall be disregarded for purposes of the
indemnification obligation herein.
(b) Subject to the other limitations set forth in this
ARTICLE XII and ARTICLE XIII governing
Taxes, the Parent hereby agrees to indemnify and hold harmless
the Stockholders, each of such Stockholders respective
Affiliates, officers, directors, employees, shareholders,
partners and members, and prior to the Closing, the Company and
any Company Subsidiary and their respective officers, directors
and employees (each, a Stockholder
Indemnitee, and together with the Parent Indemnitees,
the Indemnitees and each an
Indemnitee), from and against any Losses
arising from or in connection with (i) the breach of any
representation or warranty of the Parent or Merger Sub in this
Agreement and (ii) the breach of any covenant or agreement
made by the Parent and, after the Closing, the Surviving
Corporation and any Company Subsidiary, in this Agreement.
12.3 Limitations on Indemnification; Escrow Account.
(a) Notwithstanding anything in this Agreement to the
contrary, in no event shall (i) the cumulative
indemnification obligations of the Stockholders under
Section 12.2(a), on the one hand, or of the Parent
under Section 12.2(b), on the other hand, in the
aggregate exceed an amount equal to the then available Escrow
Fund (the Cap); provided,
however, that any and all breaches constituting
Unrestricted Claims shall not be subject to the Cap and
(ii) the aggregate amount of Losses paid by any Stockholder
under Section 12.2(a) and
Section 13.1(a) shall not exceed the amount of cash
proceeds and the value of Parents Stock (valued at the
Parent Stock Value)
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actually received by such Stockholder under this Agreement for
the cancellation and exchange of such Stockholders Shares
on the Closing Date; provided, further, that, with
respect to each Kohlberg Entity in no event shall the aggregate
amount of Losses paid by any Kohlberg Entity or all of the
Kohlberg Entities under Section 12.2(a) and
Section 13.1(a) exceed the amount of cash proceeds
and the value of Parents Stock (valued at the Parent Stock
Value) actually received by all of the Kohlberg Entities under
this Agreement for the cancellation and exchange of Shares of
the Kohlberg Entities on the Closing Date.
(b) Notwithstanding anything in this Agreement to the
contrary, no indemnification claims for Losses shall be asserted
by the Stockholder Indemnitees or the Parent Indemnitees,
respectively, under ARTICLE XII unless (i) any
individual Loss or group or series of related Losses exceed
$50,000 (such Loss or group or series of related Losses that
does not exceed $50,000, the DeMinimis
Losses), and (ii) the aggregate amount of Losses
that would otherwise be payable under
Section 12.2(a), on the one hand, and
Section 12.2(b), on the other hand (which shall not
include for such purposes DeMinimis Losses), exceed an amount
equal to $1,500,000 (the Basket Amount),
whereupon the Stockholder Indemnitee or the Parent Indemnitee,
as the case may be, shall be entitled to receive only amounts
for Losses (which shall include for such purposes DeMinimis
Losses) in excess of the Basket Amount up to the Cap;
provided, however, that claims under
Section 12.2(a)(v), claims under
Section 13.1 and claims for any and all breaches of
the covenants and agreements set forth in this Agreement (other
than under Section 12.2(a)(vi)) and the Specified
Representations shall not be subject to the Basket Amount, but
instead shall be recoverable from dollar one.
(c) The cumulative indemnification obligations of the
Stockholders under Section 12.2(a) (other than for
Unrestricted Claims) and Section 13.1(a) (other than
for Unrestricted Claims) shall be recoverable solely from the
Escrow Fund (as shall be reduced from time to time to reflect
payments, if any, made from time to time from the Escrow Fund in
accordance with the terms and conditions of the Escrow
Agreement). In the event (i) the Parent recovers a payment
from the Escrow Fund and (ii) such indemnification
obligations arose directly from the breach of a Stockholder
Representation or Stockholder Covenant by a Stockholder, such
Stockholder shall promptly make a cash payment to each other
Stockholder in amount equal to such other Stockholders pro
rata portion of the amount recovered from the Escrow Fund.
Subject to the penultimate sentence hereof, the Parent agrees
and acknowledges on behalf of itself and the Parent Indemnitees,
that: (1) a Parent Indemnitee must first assert any claim
for indemnification under ARTICLE XII and
ARTICLE XIII against the then available Escrow Fund
in accordance with the terms of the Escrow Agreement and
(2) if the amount recoverable by a Parent Indemnitee in
respect of a breach of a Stockholder Covenant or Stockholder
Representation pertaining to any Unrestricted Claim of a
Stockholder exceeds the amount of the then available Escrow Fund
or if the Escrow Agreement has terminated pursuant to its terms,
then (x) a Parent Indemnitee shall assert such claim solely
against that Stockholder who is in breach of the Unrestricted
Claim, and no other Stockholder shall have any liability with
respect to such Unrestricted Claim, and (y) in the case of
an Unrestricted Claim that is a Company Representation or a
Company Covenant, against the Stockholders on a several basis
based on their respective Stockholder Percentage (and not on a
joint or joint and several basis), for the amount of Losses not
recovered by such Parent Indemnitee from the then available
Escrow Fund. Notwithstanding the foregoing, in the case of any
such claim against a Kohlberg Entity, (i) the Parent
Indemnitees may assert a claim against any Kohlberg Entity for
any breach by any other Kohlberg Entity of any Unrestricted
Claim that is a breach of a Stockholder Covenant and
(ii) each Kohlberg Entity shall be liable based upon the
aggregate Stockholder Percentage of all Kohlberg Entities for
the amount of Losses not recovered by such Parent Indemnitee for
such Unrestricted Claims.
(d) Notwithstanding any thing to the contrary herein, in
connection with any release (or holdback by the Escrow Agent) of
shares of Parents Stock held in the Escrow Account, the
Escrow Agent shall release to the applicable party on such
release date (or holdback in the Escrow Account on such date)
such number of shares of Parents Stock having an aggregate
value (with each share of Parents Stock valued at the
Parent Stock Value) equal to the aggregate amount to be released
(or held back) on such applicable date.
(e) Under no circumstances shall any Indemnitee be entitled
to be indemnified for special, consequential or punitive
damages, including diminution in value, multiple of earnings or
profits theory, business interruptions, or loss of business
opportunity or reputation damages (except to the extent included
in a Third Party Claim).
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(f) No party hereto shall be obligated to indemnify any
other Person with respect to (i) any representation,
warranty, covenant or condition specifically waived in writing
by the other party on or prior to the Closing, (ii) any
Losses with respect to any matter if such matter was included in
the calculation of the Final Purchase Price (to the extent so
included), including in the calculation of Final Company Net
Indebtedness, (iii) any Losses for which a Claims Notice
was not duly delivered prior to the applicable Cut-Off Date, and
(iv) any Losses to the extent which there is a related
amount expressly reserved against in the Company Financial
Statements.
(g) Notwithstanding anything to the contrary contained
herein, (i) none of the limitations on the indemnification
obligations of the parties hereto shall apply to claims based on
fraud or intentional breaches and (ii) the representations
and warranties of the Stockholders and the Company contained
herein and any right of indemnification with respect thereto
shall not be affected by any investigation conducted for or on
behalf of, or any knowledge possessed or acquired at any time
by, the Parent or its Affiliates, employees, or representatives
concerning any circumstance, action, omission or event relating
to the accuracy or performance of any representation, warranty,
covenant or obligation with respect thereto.
12.4 Indemnification Claim Process.
(a) All claims for indemnification by either a Stockholder
Indemnitee or a Parent Indemnitee under this
ARTICLE XII shall be asserted and resolved in
accordance with Sections 12.4 and 12.5.
(b) If a Parent Indemnitee intends to seek indemnification
pursuant to this ARTICLE XII, the Parent Indemnitee
shall promptly notify the Stockholders Representative in
writing of such claim, describing such claim in reasonable
detail and the amount or estimated amount of such Losses (the
Claims Notice); provided that, subject
to Section 12.3(f), the failure of the Parent
Indemnitee to promptly notify Stockholders Representative
shall not relieve the Stockholders from Liability for such
claims except and only to the extent that the Stockholders were
actually prejudiced by such delay.
(c) If a Stockholder Indemnitee intends to seek
indemnification pursuant to this ARTICLE XII, the
Stockholder Indemnitee shall promptly deliver a Claims Notice to
the Parent; provided that, subject to
Section 12.3(f), the failure of a Stockholder
Indemnitee to promptly notify the Parent shall not relieve the
Parent from Liability for such claims except and only to the
extent that the Stockholders were actually materially prejudiced
by such delay.
(d) The Indemnitor shall have twenty-five
(25) calendar days from the date on which the Indemnitor
received the Claims Notice to notify the Indemnitee in writing
that the Indemnitor desires to assume the defense or prosecution
of the Third Party Claim and any litigation resulting therefrom
with counsel of its choice.
(i) In the event that the Indemnitor (a) notifies the
Indemnitee in writing of the Indemnitors intention to
assume such defense and (b) provides the Indemnitee with an
Acknowledgement of Liability Certificate, (i) the
Indemnitor shall control the investigation, defense and
settlement thereof, and (ii) the Indemnitor shall not
consent to the entry of any judgment or enter into any
settlement with respect to such Third Party Claim without the
prior written consent of the Indemnitee (such consent not to be
unreasonably withheld or delayed) unless the judgment or
settlement provides solely for the payment of money for which
the Indemnitor is fully liable, the Indemnitor makes such
payment (subject to the applicable limitations contained herein)
and the Indemnitee receives an unconditional release;
provided, that, the Indemnitee may retain separate
co-counsel at its sole cost and expense and participate in (but
not control), the defense of such Third Party Claim.
(ii) In the event that (a) the Indemnitor notifies the
Indemnitee in writing of the Indemnitors intention to
assume such defense and (b) the Indemnitor does not provide
the Indemnitee with an Acknowledgement of Liability Certificate,
(i) then the Indemnitor shall control the investigation,
defense and settlement thereof and (ii) the Indemnitor
shall not consent to the entry of any judgment or enter into any
settlement with respect to such Third Party Claim without the
prior written consent of the Indemnitee (which consent shall not
be unreasonably withheld or delayed) unless the judgment or
settlement provides solely for the payment of money for which
the Indemnitor is fully liable, the Indemnitor makes such
payment (subject to the applicable limitations contained herein)
and the Indemnitee receives an unconditional release;
provided, however, that the Indemnitee may retain
separate co-counsel at its sole cost and expense and shall have
joint control over the investigation, defense and settlement of
such Third Party Claim; provided, further, that
the Indemnitee shall not consent to the entry of any judgment or
enter into any settlement with respect to such Third Party Claim
without the prior written consent of the Indemnitor
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(which consent shall not be unreasonably withheld or delayed).
Notwithstanding the foregoing, if the Indemnitor is determined
to be liable pursuant to the terms hereof for such Third Party
Claim, then the Indemnitor shall reimburse the Indemnitee for
reasonable costs and expenses of such separate co-counsel.
(iii) In the event that the Indemnitor does not notify the
Indemnitee in writing of the Indemnitors intention to
assume such defense, Indemnitee shall control the investigation,
defense and settlement thereof, and the Indemnitor will not be
obligated to indemnify the Indemnitee hereunder with respect to
any settlement entered into or any judgment consented to without
the Indemnitors prior written consent (which consent shall
not be unreasonably withheld or delayed) with respect to any
such Third Party Claim for which the Indemnitor has provided to
the Indemnitee an Acknowledgement of Liability Certificate;
provided, that, if the Indemnitor does not provide
the Indemnitee with an Acknowledgement of Liability Certificate,
the Indemnitee may enter into any settlement of, or consent to
judgment with respect to any such Third Party Claim without
waiving or otherwise adversely affecting any rights hereunder.
Notwithstanding anything to the contrary contained herein, the
parties shall act in good faith in responding to, defending
against, settling or otherwise dealing with Third Party Claims,
and cooperate in any such defense and give each other reasonable
access to all information relevant thereto.
(e) Subject to the provisions of
Section 12.4(d)(i) and 12.4(d)(ii), if the
Indemnitor does not assume the defense of such Third Party Claim
within twenty-five (25) calendar days of receipt of the
Claims Notice, the Indemnitee will be entitled to assume such
defense, at its sole cost and expense upon delivery of notice to
such effect to the Indemnitor at any time after such 25 calendar
day period.
(f) The Parent Indemnitee shall, and shall cause the
Company and each Company Subsidiary to, provide reasonable
cooperation with the Stockholders Representative in all
aspects of any investigation, defense, pretrial activities,
trial, compromise, settlement or discharge of any claim in
respect of which a Parent Indemnitee is seeking indemnification
pursuant to this ARTICLE XII that the
Stockholders Representative has elected to control,
including, but not limited to, by providing the
Stockholders Representative with reasonable access to
books, records, employees and officers (including as witnesses)
of the Company and each Company Subsidiary.
12.5 Indemnification Procedures for Non-Third Party
Claims. The Indemnitee will deliver a Claims
Notice to the Indemnitor promptly upon its discovery of any
matter for which the Indemnitor may be liable to the Indemnitee
hereunder that does not involve a Third Party Claim, which
Claims Notice shall also (i) state that the Indemnitee has
paid or properly accrued Losses or anticipates that it will
incur liability for Losses for which such Indemnitee is entitled
to indemnification pursuant to this Agreement, and (ii) the
date such item was paid or accrued; provided that,
subject to Section 12.3(f), the failure of the
Parent Indemnitee to promptly notify Stockholders
Representative shall not relieve the Stockholders from Liability
for such claims except and only to the extent that the
Stockholders were actually materially prejudiced by such delay.
The Indemnitee shall reasonably cooperate and assist the
Indemnitor in determining the validity of any claim for
indemnity by the Indemnitee and in otherwise resolving such
matters. Such assistance and cooperation shall include providing
reasonable access to and copies of information, records and
documents relating to such matters, furnishing employees to
assist in the investigation, defense and resolution of such
matters and providing legal and business assistance with respect
to such matters.
12.6 Exclusive Remedy. Notwithstanding
anything to the contrary herein, except in the case of fraud or
intentional breaches, the indemnification provisions of
ARTICLE XII and ARTICLE XIII with
respect to Taxes shall be the sole and exclusive remedy of
parties following the Closing for any and all breaches or
alleged breaches of any representations, warranties, covenants
or agreements of the parties, or any other provision of this
Agreement or the transactions contemplated hereby.
12.7 Tax; Insurance; Other
Indemnification. The amount of any Losses
suffered by an Indemnitee shall be reduced by any tax benefit to
the extent utilized, any insurance or any other payments
actually received pursuant to an indemnification under any Prior
Purchase Agreement (net of the direct costs incurred in
procuring such payments). The Parent shall, or shall cause the
Company, to pursue any and all other commercially reasonable
remedies to collect any indemnification or other amounts
pursuant to the Prior Purchase Agreements covering the Loss that
is the subject to the claim for indemnification to the extent
that the Parent determines in good faith that
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indemnification is available under a Prior Purchase Agreement.
If any such proceeds, benefits or recoveries are actually
received by the Parent with respect to any Losses after the
Parent has received indemnification proceeds hereunder, the
Parent shall promptly, but in any event no later than ten
(10) Business Days after the receipt or recovery of such
proceeds or recoveries, pay to the applicable Stockholders in
accordance with the Stockholder Percentage or such other
percentage as the Stockholders Representative shall direct
an amount equal to the lesser of the (x) amount of such
recovery proceeds or benefits actually received in respect of
such claim and (y) the amount of indemnification Losses the
Parent received from the Stockholders in respect of such claim;
provided, that, for purposes of valuing any Parents
Stock in satisfaction of indemnification Losses that the Parent
received from the Stockholders in respect of such claims, the
Parents Stock shall be valued at the Parent Stock Value.
12.8 Tax Treatment of Indemnity
Payments. It is the intention of the parties to
treat any indemnity payment made under this Agreement as an
adjustment to the purchase price for all federal, state, local
and foreign Tax purposes, and the parties agree to file their
Tax Returns accordingly.
ARTICLE XIII
TAX
INDEMNITY AND PROCEDURES
13.1 Indemnification
(a) The Stockholders on a several basis (and not a joint or
joint and several basis) shall be responsible for and shall pay
and shall indemnify and hold harmless the Parent Indemnitees
from and against any Losses as a result of:
(i) Taxes of the Company or any Company Subsidiary imposed
or sought to be imposed on the Parent, the Company, the
Surviving Corporation or any Subsidiary of the foregoing for any
taxable period (or portion thereof) ending on or before the
Closing Date;
(ii) Without duplication, Taxes imposed or sought to be
imposed on the Parent, the Company, the Surviving Corporation or
any Subsidiary of the foregoing as a result of any breach of any
of the representations contained in Section 6.12, or
any of the covenants or agreements set forth in
Section 8.21 of this Agreement, and any Losses
arising from Taxes imposed on the Parent, the Company, the
Surviving Corporation or any Subsidiary of the foregoing as a
result of a breach of any of the Company Covenants;
(iii) Taxes imposed or sought to be imposed on the Parent,
the Company, the Surviving Corporation or any Subsidiary of the
foregoing with respect to any taxable period pursuant to any
obligation (other than an obligation solely between or among the
Company and the Company Subsidiaries that are Subsidiaries on
the Closing Date) to contribute to the payment of a Tax
determined on a consolidated, combined or unitary or other group
basis with respect to a group of corporations that includes or
included the Company or any Subsidiary at any time on or before
the Closing Date, including any such obligation arising under
Treasury Regulations
Section 1.1502-6
or similar provision of state, local or foreign law; and
(iv) Taxes incurred by Parent, the Company, the Surviving
Corporation or any Subsidiary of the foregoing after the Closing
Date related to the items disclosed on Schedule 6.12.
For the avoidance of doubt, the Stockholders shall indemnify and
hold harmless the Parent Indemnitees only for Taxes that are
actually payable, and not for the inability to utilize Tax
attributes in any taxable period (or portion thereof) beginning
after the Closing Date. Notwithstanding anything to the contrary
contained herein, each Kohlberg Entity shall jointly and
severally indemnify and hold harmless the Parent Indemnitees for
any indemnification obligation of any Kohlberg Entity pursuant
to this ARTICLE XIII.
(b) The indemnification obligations contained in
Section 13.1(a) shall be the sole remedy available
to the Parent in connection with Taxes, and such indemnification
obligations shall survive the Closing and shall continue in full
force and effect until the expiration of the applicable statute
of limitations. For the avoidance of doubt, the indemnification
obligations contained in this Section 13.1 shall be
subject to Section 12.3, and claims for
indemnification under this Section 13.1 shall not be
considered to be claims arising under
ARTICLE XII. Notwithstanding the
preceding sentence, the indemnity obligations contained in this
Section 13.1 shall be subject to the provisions of
Section 12.7.
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(c) From and after the Closing Date, the Parent shall
indemnify the Stockholders and their Affiliates (collectively,
the Tax Indemnified Stockholder Parties)
against and hold harmless from any and all Taxes of the Company,
the Surviving Corporation or any Subsidiary thereof for periods
beginning on the Closing Date other than amounts for which the
Parent is entitled to be indemnified by the Stockholders under
Section 13.1(a), and such indemnification
obligations shall survive the Closing and shall continue in full
force and effect until the expiration of the applicable statute
of limitations.
(d) All amounts required to be paid by the Stockholders
pursuant to this ARTICLE XIII shall be paid in
accordance with the relevant provisions of
Section 12.3.
13.2 Tax Returns. (a) The
Stockholders shall prepare (or cause to be prepared), at the
Stockholders expense, and Parent shall cause the Surviving
Corporation (as successor to the Company) to timely file, all
Tax Returns of the Company or any Company Subsidiaries with
respect to any taxable period ending on or before the Closing
Date that are required to be filed with any Tax authority after
the Closing Date. The Stockholders shall pay (or cause to be
paid) any Taxes due in respect of such Tax Returns. Such Tax
Returns shall be prepared consistently with applicable law and
consistently with Section 3.7(f) and with past
practice to the extent permitted by applicable law. For the
avoidance of doubt, with respect to the income Tax Returns for
the period ending on the Closing Date, the Stockholders
Representative shall have the sole discretion regarding whether
the net operating loss generated in such period (if any) will be
carried back or carried forward. The Stockholders
Representative shall provide, or cause to be provided, a draft
of any such Tax Returns to the Parent for its review at least
30 days prior to the due date, giving effect to extensions
thereto, for filing such Tax Return. The Parent shall notify the
Stockholders Representative of any reasonable objections
the Parent may have to any items set forth in such draft Tax
Return and the Parent and Stockholders Representative
agree to consult and resolve in good faith any such objection.
If the parties cannot resolve any such objections, the item in
question shall be resolved by an independent accounting firm
mutually acceptable to the Stockholders and the Parent. The fees
and expenses of such accounting firm shall be borne equally by
the Stockholders and the Parent.
(b) The Parent shall timely prepare and file, or cause to
be timely prepared and filed, all Tax Returns of the Company or
any Subsidiary for taxable years or periods ending after the
Closing Date. Tax Returns that are required to be filed by or
with respect to the Company or any of its Subsidiaries for
Straddle Periods (Straddle Returns) shall be
prepared consistently with past practice to the extent permitted
by applicable law. The Parent shall provide, or cause to be
provided, to the Stockholder Representative a draft of any
Straddle Return at least 30 days prior to the due date,
giving effect to extensions thereto, for filing such Tax Return,
for review by the Stockholders Representative.
Stockholders Representative shall notify the Parent of any
reasonable objections Stockholders Representative may have
to any items set forth in such draft Straddle Return and the
Parent and Stockholders Representative agree to consult
and resolve in good faith any such objection. If the parties
cannot resolve any such objections, the item in question shall
be resolved by an independent accounting firm mutually
acceptable to the Stockholders and the Parent. The fees and
expenses of such accounting firm shall be borne equally by the
Stockholders and the Parent. The Parent shall notify the
Stockholders Representative of any amounts due from the
Stockholders in respect of any Tax Return in respect of a
Pre-Closing Date Taxable Period no later than ten
(10) Business Days prior to the date on which such Tax
Return is due, and no later than five (5) Business Days
prior to the date on which such Tax Return is due, the
Stockholders shall pay to the Parent the amount of Taxes for
which Stockholders are responsible.
(c) Except to the extent required by law, neither the
Parent nor any of its Affiliates shall (or shall cause or permit
the Company or any Company Subsidiary to) amend, refile or
otherwise modify any Tax Return relating in whole or in part to
the Company or any Company Subsidiary with respect to any
Pre-Closing Date Taxable Period (or with respect to any Straddle
Period) without the written consent of the Stockholders which
consent shall not be unreasonably withheld or delayed.
13.3 Cooperation. After the Closing, the
Parent and Stockholders shall promptly make available or cause
to be made available to the other, as reasonably requested (at
the expense of the requesting party), and to any taxing
authority, all information, records or documents relating to Tax
liabilities and potential Tax liabilities relating to the
Company and its Subsidiaries for all periods prior to or
including the Closing Effective Date and shall preserve all such
information, records and documents until the expiration of any
applicable statute of limitations or extensions thereof.
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13.4 Contests.
(a) Except as provided in Section 13.4(b)
below, whenever any taxing authority asserts a claim, makes an
assessment, or otherwise disputes the amount of Taxes for which
Stockholders are or may be liable under this Agreement, the
Parent shall, if informed of such an assertion, promptly inform
the Stockholder Representative, and the Stockholder
Representative shall have the right to control any resulting
proceedings and to determine whether and when to settle any such
claim, assessment or dispute to the extent such proceedings or
determinations affect the amount of Taxes for which Stockholders
may be liable under this Agreement; provided,
however, that if such settlement may affect the
liability for Taxes (or right to a tax benefit) for which the
Parent is liable (or to which the Parent is entitled), such
settlement shall not be agreed to without the consent of the
Parent, which consent will not be unreasonably withheld or
delayed.
(b) Notwithstanding Section 13.4(a), whenever
any taxing authority asserts a claim, makes an assessment or
otherwise disputes the amount of Taxes relating to a Straddle
Period, Parent shall have the right to control any resulting
proceedings and to determine whether and when to settle any such
claim, assessment or dispute, except to the extent such
proceedings affect the amount of Taxes for which Stockholders
are liable under this Agreement, in which case such settlement
shall not be agreed to by the Parent without the consent of the
Stockholder Representative, which consent will not be
unreasonably withheld or delayed.
(c) For the avoidance of doubt, the procedures described in
this Section 13.4 shall govern all claims for Taxes,
and such claims shall not be governed by
Sections 12.4 or 12.5 of this Agreement.
13.5 Refunds.
(a) The Stockholders will be entitled to any credits and
refunds (including interest received thereon) in respect of any
Pre-Closing Date Taxable Period of the Company or any Company
Subsidiary to the extent such credits or refunds do not arise
from or relate to the carryback of a Tax item from a
period beginning after the Closing Date to a Pre-Closing Date
Taxable Period. Subject to Section 3.9, the Parent
shall cause such refund to be paid to the Stockholders promptly
following receipt.
(b) If the Stockholders Representative determines
that the Company and the Company Subsidiaries will carry back
the net operating losses (if any) described in
Section 13.2(a), Parent shall cause the Surviving
Corporation (as successor to the Company) to file appropriate
refund claims within a reasonable period after the Surviving
Corporation files such Tax Returns.
(c) Except as provided in Section 13.5(a), the
Surviving Corporation (as successor to the Company) will be
entitled to any refunds (including any interest received
thereon) in respect of any federal, state, local or foreign Tax
liability of the Company or any Company Subsidiary.
13.6 Tax Elections. The Parent shall not,
without the prior consent of the Stockholder (which shall not be
unreasonably withheld or delayed), make, or cause to permit to
be made, any Tax election, or adopt or change any method of Tax
accounting, or undertake any other extraordinary action on the
Closing Date, that would materially affect the Taxes of the
Stockholders or the Company or any of its Subsidiaries prior to
the Closing Date.
ARTICLE XIV
MISCELLANEOUS
14.1 Expenses. Except as expressly
provided herein, all costs and expenses incurred in connection
with this Agreement and the transactions contemplated hereby
shall be paid by the party incurring such costs and expenses;
provided, that (i) all fees and expenses of the
Company or any Stockholder related to the transactions
contemplated by this Agreement, including the fees and expenses
of Paul Weiss and Pepper Hamilton LLP, the fees and expenses of
the Companys independent registered public accounting firm
and all other applicable independent registered public
accounting firms attributable to any of the Company Financial
Statements included in the Preliminary Proxy Statement, the
Definitive Proxy Statement or any registered public offering or
Rule 144A Offering of the Parent made in connection with
the transactions contemplated by this Agreement, (ii) 50%
of any conveyance Taxes covered under Section 14.15,
(iii) all amounts payable under the Management Agreement,
(iv) any transaction
A-65
bonus, discretionary bonus, stay put or other
compensatory payments to be made to any optionholder or current
or former employee, board member or consultant of the Company or
any Company Subsidiary at Closing as a result of the execution
of this Agreement or consummation of the transactions
contemplated hereby or at the discretion of the Company or any
Company Subsidiary (other than any severance payments payable
upon the termination of such Persons, any payments due as a
result of any, direct or indirect, action taken by the Parent or
any of its Affiliates from and after the Closing and any
stay put bonus or similar payments made to any
employee of the Company or any Company Subsidiary after the
Closing Date, all of which shall be borne entirely by the
Parent), and (v) all amounts payable in respect of
Section 8.8 (collectively, to the extent not paid
prior to the Closing, the Company Expenses)
shall be paid by the Company on the Closing Date. For the
avoidance of doubt, to the extent not paid prior to Closing, all
amounts set forth on Schedule 6.17(f)(2) shall be
treated as Company Expenses. The Company shall cause all such
Company Expenses to be invoiced at least two (2) business
days prior to the Closing Date.
14.2 Amendment. This Agreement may not be
amended except by an instrument in writing signed on behalf of
each of the parties hereto.
14.3 Entire Agreement. This Agreement
including the Schedules and Exhibits attached hereto which are
deemed for all purposes to be part of this Agreement, and the
other documents, delivered pursuant to this Agreement and the
Confidentiality Agreement, contain all of the terms, conditions
and representations and warranties agreed upon or made by the
parties relating to the subject matter of this Agreement and the
businesses and operations of the Company and supersede all prior
and contemporaneous agreements, negotiations, correspondence,
undertakings and communications of the parties or their
representatives, oral or written, respecting such subject
matter, except that the CHS Stockholders Agreement shall remain
in effect prior to the Closing Date in accordance with its terms.
14.4 Headings. The headings contained in
this Agreement are intended solely for convenience and shall not
affect the rights of the parties to this Agreement.
14.5 Notices. Any notice or other
communication required or permitted under this Agreement shall
be deemed to have been duly given and made if (i) in
writing and served by personal delivery upon the party for whom
it is intended, (ii) if delivered by telecopier with
receipt confirmed, or (iii) if delivered by certified mail,
registered mail, courier service, return-receipt received to the
party at the address set forth below, with copies sent to the
Persons indicated:
If to any Stockholder, the Stockholders Representative or,
prior to the Closing, the Company or any Company Subsidiary:
Kohlberg Investors V, L.P.
c/o Kohlberg &
Company
111 Radio Circle
Mount Kisco, New York 10549
Attention: Gordon Woodward
Telecopier:
(914) 241-1143
With a copy to:
Paul, Weiss, Rifkind, Wharton & Garrison LLP
1285 Avenue of the Americas
New York, New York
10019-6064
Attention: Angelo Bonvino, Esq.
Telecopier:
(212) 757-3990
If to the Parent or, after the Closing, to the Company or any
Company Subsidiary:
BioScrip, Inc.
100 Clearbrook Road
Elmsford, New York 10523
Attention: Chief Executive Officer
Telecopier:
(914) 460-1660
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With a copy to:
King & Spalding LLP
1185 Avenue of the Americas
New York, New York 10036
Attention: E. William Bates II. Esq.
Telecopier:
(212) 556-2222
Such addresses may be changed, from time to time, by means of a
notice given in the manner provided in this
Section 14.5.
14.6 Exhibits and Schedules.
(a) Any matter, information or item disclosed in the
Schedules delivered by the Company or the Parent or in any of
the Exhibits attached hereto, under any specific representation,
warranty, covenant or Schedule heading number, shall be deemed
to have been disclosed for all purposes of this Agreement in
response to every representation, warranty or covenant in this
Agreement in respect of which such disclosure is reasonably
apparent on its face. The inclusion of any matter, information
or item in any Schedule to this Agreement shall not be deemed to
constitute an admission of any liability by the disclosing party
to any third party or otherwise imply, that any such matter,
information or item is material or creates a measure for
materiality for the purposes of this Agreement or otherwise.
(b) The Schedules and Exhibits hereto are hereby
incorporated into this Agreement and are hereby made a part
hereof as if set out in full in this Agreement.
14.7 Waiver. Waiver of any term or
condition of this Agreement by any party shall only be effective
if in writing and shall not be construed as a waiver of any
subsequent breach or failure of the same term or condition, or a
waiver of any other term or condition of this Agreement.
14.8 Binding Effect; Assignment. This
Agreement shall be binding upon and shall inure to the benefit
of the parties hereto and their permitted successors and
assigns. No party to this Agreement may assign or delegate, by
operation of law or otherwise, all or any portion of its rights,
obligations or liabilities under this Agreement without the
prior written consent of the other parties to this Agreement,
which any such party may withhold in its absolute discretion.
Any purported assignment without such prior written consents
shall be void.
14.9 No Third Party Beneficiary. Nothing
in this Agreement shall confer any rights, remedies or claims
upon any Person or entity not a party or a permitted assignee of
a party to this Agreement, except for (i) the right of the
Companys Stockholders to receive payment in accordance
with ARTICLE III and ARTICLE IV after
the Merger Effective Time, (ii) the rights of the current
and former officers, directors, employees and stockholders of
the Company as set forth in Section 8.13,
ARTICLE XII and ARTICLE XIII and
(iii) the right of the Company, on behalf of the
Stockholders, to pursue damages and other relief (including
equitable relief) in the event of the Parents or Merger
Subs breach of this Agreement (including damages based on
loss of the economic benefits of the transaction to the
Stockholders).
14.10 Counterparts. This Agreement may be
signed in any number of counterparts with the same effect as if
the signatures to each counterpart were upon a single
instrument, and all such counterparts together shall be deemed
an original of this Agreement.
14.11 Release. Except in the case of
fraud or intentional acts and as provided in
ARTICLE XII and ARTICLE XIII, the Parent
agrees (and, from and after the Closing, shall cause the Company
and the Company Subsidiaries to agree) that none of the current
or former officers and directors of any Stockholder, the Company
or the Company Subsidiaries (in their capacity as such) as of or
prior to the Closing Date shall have any liability or
responsibility to the Parent or the Company or any Company
Subsidiary for (and the Parent hereby unconditionally releases
(and from and after the Closing shall cause the Company and the
Company Subsidiaries to release unconditionally) such officers
and directors from) any obligations or liability relating to any
information (whether written or oral), documents or materials
furnished by or on behalf of the Stockholders, the Company and
the Company Subsidiaries, including the Confidential
Information, except with respect to the Stockholders (in their
capacity as such and not in any other capacity), as specifically
provided in this Agreement.
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14.12 Governing Law and
Jurisdiction. This Agreement and any claim or
controversy hereunder (whether in contract or tort) shall be
governed by and construed in accordance with the laws of the
State of New York without giving effect to the principles of
conflict of laws thereof.
14.13 Consent to Jurisdiction and Service of
Process. Any legal action, suit or proceeding
arising out of or relating to this Agreement or the transactions
contemplated hereby may only be instituted in any state or
federal court in the New York, New York, and each party waives
any objection which such party may now or hereafter have to the
laying of the venue of any such action, suit or proceeding, and
irrevocably submits to the jurisdiction of any such court in any
such action, suit or proceeding. Each party to this Agreement
irrevocably consents to service of process in the manner
provided for notices in Section 14.5. Nothing in
this Agreement shall affect the right of any party to this
Agreement to serve process in any other manner permitted by Law.
14.14 WAIVER OF JURY TRIAL. EACH PARTY
HERETO HEREBY WAIVES, TO THE FULLEST EXTENT PERMITTED BY
APPLICABLE LAW, ANY RIGHT IT MAY HAVE TO A TRIAL BY JURY IN ANY
LEGAL PROCEEDING DIRECTLY OR INDIRECTLY ARISING OUT OF OR
RELATING TO THIS AGREEMENT OR THE TRANSACTIONS CONTEMPLATED
(WHETHER BASED ON CONTRACT, TORT OR ANY OTHER THEORY). EACH
PARTY HERETO (A) CERTIFIES THAT NO REPRESENTATIVE, AGENT OR
ATTORNEY OF ANY OTHER PARTY HAS REPRESENTED, EXPRESSLY OR
OTHERWISE, THAT SUCH OTHER PARTY WOULD NOT, IN THE EVENT OF
LITIGATION, SEEK TO ENFORCE THE FOREGOING WAIVER AND
(B) ACKNOWLEDGES THAT IT AND THE OTHER PARTIES HERETO HAVE
BEEN INDUCED TO ENTER INTO THIS AGREEMENT BY, AMONG OTHER
THINGS, THE MUTUAL WAIVERS AND CERTIFICATIONS IN THIS SECTION.
14.15 Conveyance Taxes. All sales, use,
value added, transfer, stamp, registration, documentary, excise,
real property transfer or gains, or similar Taxes incurred as a
result of the transactions contemplated by this Agreement shall
be borne 50% by the Parent and 50% by the Stockholders (which
shall be treated as a Company Expense), and the
Stockholders Representative on behalf of the Stockholders
and the Parent shall jointly file all required change of
ownership and similar statements.
14.16 Specific Performance. The parties
hereby acknowledge and agree that the failure of any party to
perform its agreements and covenants hereunder, including its
failure to take all actions as are necessary on its part to the
consummation of the Merger, will cause irreparable injury to the
other parties, for which damages, even if available, will not be
an adequate remedy. Accordingly, each party hereby consents to
the issuance of injunctive relief, without the necessity of
posting a bond, by any court of competent jurisdiction to compel
performance of such partys obligations and to the granting
by any court of the remedy of specific performance of its
obligations hereunder.
14.17 Severability. If any term,
provision, agreement, covenant or restriction of this Agreement
is held by a court of competent jurisdiction to be invalid, void
or unenforceable, the remainder of the terms, provisions,
agreements, covenants and restrictions of this Agreement shall
remain in full force and effect and shall in no way be affected,
impaired or invalidated so long as the economic or legal
substance of the transactions contemplated hereby is not
affected in any manner materially adverse to any party hereto.
Upon such a determination, the parties shall negotiate in good
faith to modify this Agreement so as to effect the original
intent of the parties as closely as possible in a reasonably
acceptable manner so that the transactions contemplated hereby
may be consummated as originally contemplated to the fullest
extent possible.
[Remainder
of page intentionally left blank]
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IN WITNESS WHEREOF, the parties hereto have executed and
delivered this Agreement as of the date first above written.
BIOSCRIP, INC.
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By:
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/s/ Richard
H. Friedman
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Name: Richard H. Friedman
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Title:
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Chairman of the Board and Chief Executive Officer
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CAMELOT ACQUISITION CORP.
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By:
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/s/ Richard
H. Friedman
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Name: Richard H. Friedman
CRITICAL HOMECARE SOLUTIONS HOLDINGS, INC.
Name: Bob Cucuel
KOHLBERG INVESTORS V, L.P., solely in its capacity as the
Stockholders Representative
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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A-69
IN WITNESS WHEREOF, solely with respect to its respective
obligations
and/or
benefits pursuant to Sections 3.6(c) (Purchase Price
Adjustment), 3.9(a) (Relationship Among the
Stockholders), 4.2(a) (Transactions to be Effected at the
Closing), ARTICLE V(REPRESENTATIONS AND WARRANTIES
OF THE STOCKHOLDERS), 8.9 (Exclusivity), 8.12
(Restrictive Covenants), 8.13 (Indemnification;
Directors and Officers Insurance) , 8.19 (No
Securities Transactions), ARTICLE XIV
(MISCELLANEOUS) and the obligations of such Stockholder
pertaining to such Stockholder pursuant to
ARTICLE XII (INDEMNIFICATION) and
ARTICLE XIII (TAX INDEMNITY AND PROCEDURES), the
following Stockholders have executed and delivered this
Agreement as of the date first above written:
KOHLBERG INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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KOHLBERG TE INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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KOHLBERG OFFSHORE INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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A-70
KOHLBERG PARTNERS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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KOCO INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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S.A.C. DOMESTIC CAPITAL FUNDING, LTD.
Name: Peter Nussbaum
BLACKSTONE MEZZANINE PARTNERS II, L.P.
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By:
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Blackstone Mezzanine Associates II L.P., its General
Partner,
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By:
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Blackstone Mezzanine Management Associates II L.L.C., its
General Partner,
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Name: George Fan
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Title:
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Authorized Signatory
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A-71
BLACKSTONE MEZZANINE HOLDINGS II, L.P.
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By:
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Blackstone Mezzanine Associates II L.P.,
Its General Partner
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By:
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Blackstone Mezzanine Management Associates II L.L.C.,
Its General Partner
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Name: George Fan
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Title:
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Authorized Signatory
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Nitin Patel
Robert Cucuel
Mary Jane Graves
Joey Ryan
A-72
Annex B
EXECUTION COPY
STOCKHOLDERS
AGREEMENT
THIS STOCKHOLDERS AGREEMENT (this
Agreement) is made as of this 24th day
of January, 2010, by and among BioScrip, Inc., a Delaware
corporation (the Company), and Kohlberg
Investors V, L.P., a Delaware limited partnership
(Kohlberg), Kohlberg Partners V, L.P., a
Delaware limited partnership, Kohlberg Offshore
Investors V, L.P., a Delaware limited partnership, Kohlberg
TE Investors V, L.P., a Delaware limited partnership, KOCO
Investors V, L.P., a Delaware limited partnership, Robert
Cucuel, Mary Jane Graves, Nitin Patel, Joey Ryan, Colleen
Lederer, Blackstone Mezzanine Partners II L.P., a Delaware
limited partnership, Blackstone Mezzanine Holdings II L.P.,
a Delaware limited partnership, and S.A.C. Domestic Capital
Funding, Ltd., a Cayman Islands limited company (collectively,
the Stockholders).
WITNESSETH:
WHEREAS, the Company entered into that certain Merger Agreement,
dated as of the date hereof (the Merger
Agreement), with Camelot Acquisition Corp., a Delaware
corporation, Critical Homecare Solutions Holdings, Inc., a
Delaware corporation, and the Stockholders, pursuant to which
the Stockholders shall, upon the consummation of the
transactions contemplated thereby, receive shares of Common
Stock and Warrants to purchase Common Stock; and
WHEREAS, the parties believe it to be in the best interests of
the Company, the Stockholders and the other stockholders of the
Company to enter into this Agreement.
NOW, THEREFORE, in consideration of the mutual covenants herein
contained, to induce the Company and each Stockholder to enter
into the Merger Agreement, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby
acknowledged, the Company and the Stockholders do hereby agree
as follows:
1. Governance.
1.1 So long as the Kohlberg Stockholders
and/or their
Affiliates beneficially own in the aggregate: (a) at least
50% of the Initial Kohlberg Shares, Kohlberg shall be entitled
to designate two directors for election by the stockholders of
the Company to the Board of Directors (each, a
Stockholder Nominee); and (b) at least
15% (but less than 50%) of the Initial Kohlberg Shares, Kohlberg
shall be entitled to designate one Stockholder Nominee. If at
any time the Kohlberg Stockholders
and/or their
Affiliates beneficially own in the aggregate less than 15% of
the Initial Kohlberg Shares, then the Stockholders shall not
have the right to designate any Stockholders Nominees
pursuant to this Agreement. So long as Kohlberg has the right to
designate one or more Stockholder Nominees in accordance with
this Section 1.1, except as provided in Section 1.4,
the number of directors on the Board of Directors shall be fixed
at ten.
1.2 The Company agrees to include the Stockholders
Nominees in each slate of nominees recommended by the Board of
Directors in connection with any meeting of the stockholders of
the Company (or written consent in lieu thereof) called for the
purpose of electing directors to the Board of Directors, and to
use its commercially reasonable efforts to cause the election of
each such Stockholders Nominee to the Board of Directors,
including nominating such individuals to be elected as directors
as provided herein.
1.3 Upon the death, disability, retirement, resignation or
removal (with or without cause) of any director who is a
Stockholders Nominee, Kohlberg shall be entitled to
collectively designate the replacement director for such
Stockholders Nominee. In the event that a vacancy is
created at any time upon the death, disability, retirement,
resignation or removal (with or without cause) of any director
who is a Stockholders Nominee, the Company hereby agrees
to take, at any time and from time to time, all actions
necessary to cause the vacancy created thereby to be filled as
soon as practicable by a new Stockholders Nominee who is
designated in the manner specified in this Section 1.3.
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1.4 In the event that Kohlberg shall cease to have the
right to designate one or more directors in accordance with
Section 1.1, Kohlberg shall use its commercially reasonable
efforts to cause the removal or the resignation of the
applicable director or directors who are Stockholders
Nominees, if any, and the directors remaining in office shall
decrease the size of the Board of Directors to eliminate such
vacancy.
1.5 The Company shall compensate each director who is a
Stockholders Nominee in the same manner and to the same
extent as it compensates its other non-employee directors and
shall reimburse each director who is a Stockholders
Nominee for reasonable
out-of-pocket
expenses incurred by them for the purpose of attending meetings
of the Board of Directors or committees thereof.
1.6 Until Kohlberg ceases to have the right to designate
one or more directors in accordance with Section 1.1,
except as may be prohibited by applicable law, at least one of
Stockholders Nominees shall be entitled to representation
on each of the Audit Committee, the Compensation Committee and
the Strategy Committee of the Board of Directors.
1.7 The rights of Kohlberg pursuant to this Section 1
are personal to Kohlberg and shall not be exercised by any
transferee (other than the Kohlberg Stockholders
and/or their
Affiliates).
2. Transfer Restrictions.
2.1. General Restriction. For a period of
two years from the Closing Date, except as set forth in
Section 2.2, none of the Stockholders shall, directly or
indirectly, make or solicit any sale, assignment, transfer,
distribution or other disposition of any shares of Common Stock,
or create incur, solicit, assume or suffer to exist any security
interest, pledge, mortgage, lien, charge, adverse claim of
ownership or use or other encumbrance with respect to any shares
of Common Stock, except in compliance with the terms of this
Agreement and applicable law.
2.2. Permitted Transfers. Each
Stockholder shall be entitled to make sales and other transfers
of Common Stock (i) pursuant to one or more
(x) registered secondary public offerings in connection
with the exercise of its rights under Section 4; and
(y) private placements exempt from the registration
requirements of the Securities Act and the rules and regulations
promulgated thereunder, including, without limitation, sales
under Rule 144 thereof, in each case in accordance with
applicable securities laws; provided, however, that in the case
of a private placement exempt from the registration requirements
of the Securities Act and the rules and regulations promulgated
thereunder, no Stockholder may sell, transfer or dispose of any
Common Stock (other than pursuant to an effective registration
statement under the Securities Act) without first delivering to
the Company an opinion of counsel, if so requested by the
Company, reasonably acceptable in form and substance to the
Company that registration under the Securities Act is not
required in connection with such transfer; (ii) in the case
of any Stockholder who is an individual, to (x) a member of
such Stockholders immediate family, which shall include
his spouse, siblings, children or grandchildren (Family
Members), or (y) a trust, corporation,
partnership or limited liability company, all of the beneficial
interests in which shall be held by such Stockholder
and/or one
or more Family Members of such Stockholder; provided, however,
that during the period that any such trust, corporation,
partnership or limited liability company holds any right, title
or interest in any shares of Common Stock, no Person other than
such Stockholder
and/or one
or more Family Members of such Stockholder may be or may become
beneficiaries, stockholders, limited or general partners or
members thereof; (iii) to any of its Affiliates and
(iv) in the case of an Institutional Shareholder, in
connection with a Financing Conveyance. Any transferee (other
than in connection with a transfer made pursuant to
clause (x) above) of any shares of Common Stock permitted
under and made pursuant to this Section 2.2 (a
Permitted Transferee) that beneficially owns,
individually or in the aggregate, with any Affiliates or members
of a group (within the meaning of
Section 13(d)(3) of the Exchange Act), more than 5% of the
issued and outstanding shares of Common Stock, shall be subject
to the restrictions set forth in this Agreement, including this
Section 2. The Company may require any such Permitted
Transferee that beneficially owns more than 5% of the issued and
outstanding shares of Common Stock, as a condition to the
effectiveness of such acquisition, to execute a joinder to this
Agreement, agreeing to be bound by the provisions of this
Agreement.
2.3. Transfer of Registration Rights. The
registration rights set forth in Section 4 may be assigned,
in whole or in part, to any Permitted Transferee (who shall be
bound by all obligations of this Agreement), but may not be
assignable by such Permitted Transferee to any subsequent
transferee.
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2.4. Notice of Proposed Transfer. Before
effecting any proposed transaction permitted by this
Section 2, each applicable Stockholder shall provide at
least 5 business days written notice to the Company,
specifying in reasonable detail the terms and conditions of such
transaction.
2.5. Transfers in Violation of
Agreement. Any disposition of or the creation of
any encumbrance on any shares of Common Stock in violation of
the terms and conditions of this Agreement shall be null and
void, and the purported transferee of any such dispositions or
the purported holder of any encumbrances shall have no rights or
privileges with respect to the shares of Common Stock. The
Company shall not (a) transfer on its books any shares of
Common Stock that shall have been disposed of in violation of
any of the provisions set forth in this Agreement or
(b) treat as owner of such shares, or accord the right to
vote as owner or otherwise, or pay dividends to, any such
purported transferee of any such shares or purported holder of
any such encumbrances.
3. Standstill Covenants. Each Stockholder
(other than the Institutional Stockholders) agrees that, until
the later of (a) the third anniversary of the Closing Date
and (b) the date upon the which Kohlberg is no longer
entitled to designate any directors under Section 1.1,
except as expressly contemplated by this Agreement or unless
specifically requested or permitted in writing pursuant to a
resolution of a majority of the Board of Directors, neither such
Stockholder nor any directors, officers or controlled Affiliates
(or any directors or officers of such controlled Affiliates) of
such Stockholder shall, directly or indirectly, alone or in
concert with others:
3.1 effect, offer, propose (whether publicly or otherwise)
or cause or participate in (whether by purchasing or offering to
purchase securities, or by providing or guaranteeing financing
or by taking any other action, including communicating with the
stockholders of the Company), or assist any other Person to
effect, offer or propose (whether publicly or otherwise) or
participate in:
3.1.1 any acquisition or any proposal to acquire any debt
or equity securities of the Company after the Closing (other
than through the exercise of the Warrants or the Roll Over
Options);
3.1.2 any tender or exchange offer for debt or equity
securities of the Company;
3.1.3 any merger, consolidation, share exchange or business
combination involving the Company or any material portion of its
business or any purchase of all or any substantial part of the
assets of the Company or any material portion of its business;
3.1.4 any recapitalization, restructuring, liquidation,
dissolution or other extraordinary transaction with respect to
the Company or any material portion of its business; or
3.1.5 any solicitation of proxies
(as such terms are defined under the Exchange Act, and the rules
and regulations promulgated thereunder, but without regard to
the exclusion from the definition of solicitation
set forth in
Rule 14a-l(l)(2)(iv)
of Regulation 14A under the Exchange Act) with respect to
the Company or any action resulting in such person or entity
becoming a participant in any election
contest (as such terms are used in Regulation 14A)
with respect to the Company;
3.2 propose or make any recommendation with respect to any
matter for submission to a vote of stockholders of the Company;
3.3 form, join or participate in a group
(within the meaning of Section 13(d)(3) of the Exchange
Act) with respect to any shares of Common Stock (but excluding
any group consisting solely of such Stockholder and
its Affiliates);
3.4 grant any proxy with respect to any Common Stock to any
person or entity not designated by the Company, other than a
revocable proxy authorizing a representative of a Stockholder to
vote at a meeting of stockholders of the Company in the ordinary
course of business;
3.5 deposit any shares of Common Stock in a voting trust or
subject any such shares to any arrangement or agreement with
respect to the voting of such shares or other agreement having
similar effect, except for agreements solely among the
Stockholders and the Company and except for Permitted Transfers;
3.6 execute any written stockholder consent with respect to
the Company;
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3.7 take any other action to seek to affect the control of
the Company (other than in connection with any
Stockholders Nominee acting in accordance with his or her
fiduciary duties as a member of the Board of Directors);
3.8 enter into any discussions, negotiations, arrangements
or understandings with any person or entity with respect to any
of the foregoing, or advise, assist, encourage or seek to
persuade others to take any action with respect to any of the
foregoing;
3.9 disclose to any person or entity any intention, plan or
arrangement inconsistent with the foregoing or form any such
intention that would result in any Stockholder or the Company
being required to make any such disclosure in any filing (for
the avoidance of doubt, other than a filing required under
Section 13 or Section 16 of the Exchange Act, in each
case in connection with a Permitted Transfer) with a
governmental authority or exchange or being required by
applicable law to make a public announcement with respect
thereto; or
3.10 request the Company or any of its Affiliates,
directors, officers, employees, representatives, advisors or
agents, directly or indirectly, to amend or waive in any respect
this Agreement (including this Section 3.10) or the
certificate of incorporation or the bylaws of the Company or any
of its Affiliates.
Notwithstanding anything to the contrary herein,
(1) nothing herein will be interpreted to prohibit or
otherwise restrict the right of any Stockholder to
(a) initiate or prosecute legal action properly brought
against any Person for any reason, (b) vote in favor or
against any matter submitted to the holders of Common Stock or
(c) tender or exchange any Stockholder Shares in a tender
or exchange offer initiated by the Company or any other Person
(other than the Stockholders and their Affiliates); and
(2) each Stockholder and each member of its restricted
group under this Section 3 shall in no way be prohibited at
any time from engaging in any non-public discussion or
communication on any topic pertaining to the Company with any
member of the Board or management of the Company.
4. Registration Rights.
4.1 Demand Registration. At any time, and
from time to time, after the six month anniversary of the
Closing Date, holders of then-outstanding Stockholder Shares
shall have the right to require the Company to effect unlimited
registrations on
Form S-3,
or any successor form then in effect, under the Securities Act
(any such registration, a Demand
Registration). Upon receipt from a Stockholder or
Stockholders (the Initiating Stockholders) of
any request for a Demand Registration for Common Stock having a
market value of not less than $25,000,000, based on the closing
price of the Common Stock at 4:00 p.m. on the business day
prior to the day of the request, the Company shall give prompt
(but in any event not later than two (2) business days
after receipt of such request) written notice of such request to
each Stockholder, and shall include in such Demand Registration
all Stockholder Shares with respect to which the Company has
received written requests for inclusion therein within
30 days after the delivery of the Companys notice.
The Company shall use its commercially reasonable efforts to
file the registration statement with regard to such Demand
Registration with the Securities and Exchange Commission within
sixty (60) days after it receives a request therefor, and
to cause such registration statement to become effective as soon
as practicable thereafter. If requested by the Initiating
Stockholders, the Company shall take steps as are required to
register such Stockholder Shares in such Demand Registration for
sale on a continuous basis under Rule 415 under the
Securities Act and keep such registration statement (or any
replacement registration statement effected upon the expiration
of the initial or any subsequent registration statement)
effective for such period as is necessary to complete the sale
and distribution of all of the Stockholder Shares pursuant
thereto, but in any event not longer than one hundred twenty
(120) days. No later than the effective date of the Demand
Registration, the Company shall furnish (or cause to be
furnished) to the Companys transfer agent, from time to
time, an opinion of the Companys counsel to facilitate the
transfer of the Stockholder Shares in the secondary market,
including, but not limited to, the removal of any restrictive
legends encumbering such shares. If other securities are
included in any Demand Registration that is an underwritten
offering, and the managing underwriter for such offering advises
the Company that in its opinion the number of securities to be
included exceeds the number of securities which can be sold in
such offering without adversely affecting the marketability or
price thereof, the Company will include in such registration all
Stockholder Shares requested to be included therein prior to the
inclusion of any securities that are not Stockholder Shares. If
the number of Stockholder Shares requested to be included in
such registration exceeds the number of securities which in the
opinion of such underwriter can be sold
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without adversely affecting the marketability of such offering,
such Stockholder Shares shall be included pro rata among the
holders thereof based on the percentage of the outstanding
Stockholder Shares then held by each such Stockholder. If other
securities are included in any Demand Registration that is not
an underwritten offering, all Stockholder Shares included in
such Demand Registration shall be sold prior to the sale of any
of such other securities. The Company shall have the right to
select the investment banker(s) and manager(s) to administer any
Demand Registration that is an underwritten offering, subject to
the approval of the holders of a majority of the Stockholder
Shares to be included in such Demand Registration.
4.2 Company Registration. In the event
that the Company proposes to register any shares under the
Securities Act in connection with a public offering (other than
a Demand Registration) on any form (other than
Form S-4
or
Form S-8)
that would legally permit the inclusion of Stockholder Shares,
the Company shall give each of the Stockholders written notice
thereof as soon as practicable but in no event less than
30 days prior to such registration, and shall include in
such registration all Stockholder Shares requested in writing to
be included therein, subject to the limitations set forth in
this Section 4.2. If in connection with such proposed
registration the managing underwriter for such offering advises
the Company that the number of Stockholder Shares requested to
be included therein exceeds the number of shares that can be
sold in such offering without adversely affecting the
marketability thereof, any shares to be sold by the Company in
such offering (Company Shares) shall have
priority over any Stockholder Shares, and the number of
Stockholder Shares to be included by a Stockholder in such
registration shall be reduced pro rata on the basis of the
number of Stockholder Shares held by such Stockholder and all
other holders (other than the Company) exercising similar
registration rights; provided that no other shares, other than
the Company Shares to be sold in such offering, shall have
priority over the Stockholder Shares.
4.3 Costs of Registration. The Company
shall bear the costs of each registration in which Stockholders
participate pursuant to this Section 4, including (without
limitation) (i) all Securities and Exchange Commission,
stock exchange and FINRA registration and filing fees and
exchange listing fees, (ii) all printing, messenger and
delivery expenses, (iii) all fees, charges and
disbursements of counsel for the Company and the reasonable
fees, charges and expenses of one counsel for the selling
Stockholders (to be selected by the holders of a majority of the
Stockholder Shares to be included in such registration),
(iv) all fees and expenses incurred in complying with state
securities or blue sky laws (including reasonable
fees, charges and disbursements of counsel to any underwriter
incurred in connection with blue sky qualifications
of the registrable shares as may be set forth in any
underwriting agreement), (v) any other accounting fees,
charges or expenses incurred by the Company incident to or
required by any such registration (including any expenses
arising from any cold comfort letters or any special
audits incident to or required by any registration or
qualification), and (vi) to the extent the Company
determines to obtain such insurance, any liability insurance or
other premiums for insurance obtained in connection with any
demand registration or piggy-back registration thereon,
incidental registration or shelf registration pursuant to the
terms of this Agreement, regardless of whether such registration
statement is declared effective, but excluding any underwriting
discounts or commissions on the sale of Stockholder Shares or
the fees and expenses of any additional counsel retained by the
Stockholders. As a condition to the inclusion of Stockholder
Shares in any registration, the participating Stockholders and
the Company shall execute a customary underwriting agreement or
similar agreement in a form reasonably acceptable to the Company
and the underwriter(s), if any, for such offering containing
customary indemnification and holdback provisions.
Notwithstanding the foregoing, no Stockholder shall be required
to incur indemnification obligations (whether several or joint
and several) which are in excess of the net proceeds received by
such Stockholder pursuant to such registration or relates to
information not supplied by such Stockholder for inclusion in
the registration statement.
4.4 Procedure. The Company may require
each selling Stockholder to furnish to the Company in writing
such information pursuant to Item 507 of
Regulation S-K
(or any similar disclosure requirement applicable to any
registration in which Stockholders participate pursuant to this
Section 4) required in connection with such
registration regarding such Stockholder and the distribution of
such Stockholder Shares to be included in such registration as
the Company may, from time to time, reasonably request in
writing and the Company may exclude from such registration the
Stockholder Shares of any Stockholder who unreasonably fails to
furnish such information within a reasonable time after
receiving such request.
4.5 Postponement of Demand
Registration. The Company will be entitled to
postpone (but not more than once in any
12-month
period), for a reasonable period of time not in excess of
90 days, the filing of a registration
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statement in accordance with Section 4.1 if the Company
notifies the Stockholders requesting the Demand Registration
that, in the good faith judgment of the Board of Directors (in
consultation with outside legal counsel
and/or an
investment banking firm of recognized national standing), such
Demand Registration and offering would reasonably be expected to
materially and adversely affect or materially interfere with any
bona fide material financing of the Company or any material
transaction under consideration by the Company or would require
disclosure of material information that has not been, and is not
otherwise required to be, disclosed to the public, the premature
disclosure of which would materially and adversely affect the
Company. Such notice will contain a statement of the reasons for
such postponement and an approximation of the anticipated delay.
4.6 Limitations. The Company shall not be
obligated to effect a Demand Registration for a period of three
months following the effective date of a registration statement
filed in connection with any registration effected under
Section 4.1 or 4.2.
5. Definitions. For purposes of this
Agreement, the following terms have the indicated meanings:
Affiliate of a person means any other person
controlling, controlled by or under common control with such
person, whether by ownership of voting securities, by contract
or otherwise.
Board of Directors shall mean the Board of
Directors of the Company.
Closing has the meaning set forth in the
Merger Agreement.
Closing Date has the meaning set forth in the
Merger Agreement.
Common Stock means the Companys common
stock, par value $.0001 per share, or any other capital stock of
the Company into which such stock is reclassified or
reconstituted and any other common stock of the Company;
provided that Common Stock shall not include
any of the Companys common stock or other capital stock
issuable upon the exercise of the Roll Over Options.
Exchange Act means the Securities Exchange
Act of 1934, as amended.
Financing Conveyance means (i) any
pledge or collateral assignment or other assignment of shares of
Common Stock to a third party lender or other financing source
for an Institutional Stockholder or its Affiliates or Investment
Affiliates, (ii) any foreclosure, deed in lieu of
foreclosure or other exercise of rights or remedies by a pledgee
or assignee under clause (i) (including any agent therefor)
whereby shares of Common Stock are further sold, assigned or
conveyed or (iii) each and every subsequent sale,
assignment or conveyance of Common Stock by or to any Person
following an event under clause (ii).
Initial Kohlberg Shares means the shares of
Common Stock received by the Kohlberg Stockholders at the
Closing pursuant to the Merger Agreement (as adjusted for any
splits, conversions and reverse splits of the Common Stock after
the Closing).
Institutional Stockholders means Blackstone
Mezzanine Partners II L.P., Blackstone Mezzanine
Holdings II L.P. and S.A.C. Domestic Capital Funding, Ltd.
Kohlberg Stockholders means Kohlberg
Investors V, L.P., Kohlberg Partners V, L.P., Kohlberg
Offshore Investors V, L.P., Kohlberg TE Investors V,
L.P. and KOCO Investors V, L.P.
Majority Stockholders means, at any time,
Stockholders holding not less than a majority of the Stockholder
Shares.
Person means any individual, firm,
corporation, partnership, trust, incorporated or unincorporated
association, joint venture, joint stock company, limited
liability company, governmental authority or other entity of any
kind, and shall include any successor (by merger or otherwise)
of such entity.
Roll Over Options has the meaning set forth
in the Merger Agreement.
Securities Act means the Securities Act of
1933, as amended.
Stockholder Shares means (i) the
aggregate issued and outstanding shares of Common Stock
beneficially owned by the Stockholders, (ii) any other
securities issued and issuable with respect to any such
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Stockholder Shares by the Company or by way of a stock dividend
or stock split or in connection with a combination of shares,
recapitalization, merger, consolidation or other reorganization,
including any such securities issued or issuable by the Company,
and (iii) Common Stock issued upon the exercise of the
Warrants (as adjusted from time to time in accordance with their
terms).
Warrants means the warrants issued to the
Stockholders to purchase an aggregate of 3,400,945 shares
of Common Stock (as adjusted from time to time in accordance
with their terms).
6. Restrictions on Other Agreements. The
Company, without the written consent of the Majority
Stockholders (which consent may be given or withheld in the sole
discretion of the Majority Stockholders), shall not grant any
rights relating to the registration of its securities if the
exercise thereof interferes with or is inconsistent with or will
delay (or could reasonably be expected to interfere with or be
inconsistent with or delay) the exercise and enjoyment of any of
the registration rights granted under Section 4.1.
7. Miscellaneous.
7.1 Legends. In addition to any legends
required by applicable securities laws, all certificates
representing any shares of capital stock of the Company subject
to the provisions of this Agreement shall have endorsed thereon
legends substantially as follows:
THE SECURITIES REPRESENTED BY THIS CERTIFICATE WERE
ORIGINALLY ISSUED ON
,
20 , HAVE NOT BEEN REGISTERED UNDER THE SECURITIES
ACT OF 1933, AS AMENDED (THE ACT), OR UNDER ANY
STATE SECURITIES LAWS AND MAY NOT BE SOLD OR TRANSFERRED IN THE
ABSENCE OF AN EFFECTIVE REGISTRATION STATEMENT UNDER THE ACT AND
APPLICABLE STATE SECURITIES LAWS OR AN EXEMPTION FROM
REGISTRATION UNDER THE ACT. THE SECURITIES REPRESENTED BY THIS
CERTIFICATE ARE SUBJECT TO ADDITIONAL RESTRICTIONS ON TRANSFER
AND CERTAIN OTHER AGREEMENTS SET FORTH IN A STOCKHOLDERS
AGREEMENT DATED AS OF
,
2010 AMONG BIOSCRIP, INC. (THE COMPANY) AND
CERTAIN STOCKHOLDERS THEREOF, A COPY OF WHICH MAY BE OBTAINED
WITHOUT CHARGE BY THE HOLDER HEREOF AT THE COMPANYS
PRINCIPAL PLACE OF BUSINESS.
7.2 Further Instruments. The parties
hereto agree to execute such further instruments and to take
such further action as may reasonably be necessary to carry out
the intent of this Agreement.
7.3 Effect of Agreement; Effect of Termination of the
Merger Agreement. This Agreement shall become
effective upon the Closing Date; provided that if the Merger
Agreement is terminated pursuant to Article XI thereof,
this Agreement (other than this Section 7, which shall
survive) shall automatically, and without action of any Person,
terminate and be of no further force and effect. Notwithstanding
the foregoing, nothing in this Section 7.3 shall relieve
any party hereto of liability for a breach of any of its
obligations under this Agreement prior to termination of this
Agreement.
7.4 Termination. Unless provisions of
this Agreement are earlier terminated pursuant to their terms,
this Agreement shall terminate and shall be of no further force
or effect upon the written consent of the Company and the
Majority Stockholders.
7.5 Headings. The headings of the
sections of this Agreement are for convenience of reference only
and are not to be considered in construing this Agreement.
7.6 Counterparts. This Agreement may be
executed in any number of counterparts, each of which shall be
an original, but all of which together shall constitute one
instrument.
7.7 Governing Law; Consent to
Jurisdiction. This Agreement shall be governed by
the provisions of the law of the State of New York. Each party
hereto hereby irrevocably agrees that any action, suit or
proceeding between or among the parties and their respective
Affiliates arising in connection with any disagreement, dispute,
controversy or claim arising out of or relating to this
Agreement or any related document (a Legal
Dispute) shall be brought only to the exclusive
jurisdiction of the courts of the State of New York or the
federal courts in each case located in the state and City of New
York, Borough of Manhattan; and each party hereto hereby
consents to the jurisdiction of
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such courts (and of the appropriate appellate courts therefrom)
in any such suit, action or proceeding and irrevocable waives,
to the fullest extent permitted by law, any objection that it
may now or hereafter have to the laying of the venue of any such
suit, action or proceeding in any such court or that they any
such suit, action or proceeding that is brought in any such
court has been brought in an inconvenient forum. During the
period a Legal Dispute that is filed in accordance with this
Section 7.7 is pending before a court, all actions, suits
or proceedings with respect to such Legal Dispute or any other
Legal Dispute, including any counterclaim, cross-claim or
interpleader, shall be subject to the exclusive jurisdiction of
such court. Each party hereto hereby waives, and shall not
assert as a defense in any Legal Dispute, that (a) such
party is not subject thereto, (b) such action, suit or
proceeding may not be brought or is not maintainable in such
court, (c) such partys property is exempt or immune
from execution, (d) such action, suit or proceeding is
brought in an inconvenient forum or (e) the venue of such
action, suit or proceeding is improper. A final judgment in any
action, suit or proceeding described in this Section 7.7
following the expiration of any period permitted for appeal and
subject to any stay during appeal shall be conclusive and may be
enforced in other jurisdictions by suit on the judgment or in
any other manner provided by applicable laws.
7.8 Entire Agreement; Amendment. This
Agreement constitutes the full and entire understanding and
agreement among the parties with regard to the subjects hereof,
and supersedes all prior agreements and understandings among the
parties with respect to such subject matter. Neither this
Agreement nor any term hereof may be amended, waived, discharged
or terminated, except by a written instrument signed by the
Company, on one hand, and the Majority Stockholders, on the
other hand.
7.9 Notices. Except where telephonic
notice is expressly permitted herein, any notice required or
permitted hereunder shall be given in writing and may be
delivered by hand, by certified mail, return receipt requested,
postage prepaid; by nationally recognized overnight courier
service; or by facsimile transmission, addressed to the other
party hereto at the address of such party set forth in the
Merger Agreement or at such other address as such party may
designate by like notice to all other parties hereto. All
notices shall be deemed delivered when actually received.
7.10 Stock Dividends. If, from time to
time, during the term of this Agreement there is any stock
dividend, stock split or similar other change in the character
or amount of any of the issued and outstanding Common Stock (or
any other series or class of capital stock of the Company), then
in such event any and all such new, substituted or additional
securities to which any Stockholder is entitled by reason of
such Stockholders ownership of Common Stock (or any other
series or class of capital stock of the Company) shall be
immediately subject to the terms of this Agreement with the same
force and effect as the shares of capital stock presently
subject to this Agreement.
7.11 Subsequent Issuances and
Purchases. All shares of Common Stock (or any
other series or class of capital stock of the Company) that are
issued to or purchased by any Stockholder after the Closing,
including without limitation, any shares obtained by exercise of
any warrant or stock option (but excluding any shares obtained
by exercise of any Roll Over Option), shall become immediately
subject to the terms of this Agreement without further action by
any party to this Agreement.
7.12 Specific Performance. Each party
hereto hereby acknowledges that the rights of each party
contemplated hereby are special, unique and of extraordinary
character and that, in the event that any party violates or
fails or refuses to perform any covenant or agreement made by it
herein, the non-breaching party may be without an adequate
remedy at law. In the event that any party violates or fails or
refuses to perform any covenant or agreement made by such party
herein, the non-breaching party may, subject to the terms hereof
and in addition to any remedy at law for damages or other
relief, institute and prosecute an action in any court of
competent jurisdiction to enforce specific performance of such
covenant or agreement or seek any other equitable relief.
7.13 Severability. Any provision hereof
that is prohibited or unenforceable in any jurisdiction shall,
as to such jurisdiction, be ineffective to the extent of such
prohibition or unenforceability without invalidating the
remaining provisions hereof, and any such prohibition or
unenforceability in any jurisdiction shall not invalidate or
render unenforceable such provision in any other jurisdiction.
To the extent permitted by law, the parties hereto waive any
provision of law that renders any such provision prohibited or
unenforceable in any respect.
[Signature
page follows]
B-8
IN WITNESS WHEREOF, the parties have executed and delivered this
Agreement as of the day and year first above written.
BIOSCRIP, INC.
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By
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/s/ Richard
H. Friedman
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Name: Richard H. Friedman
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Title:
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Chairman of the Board and Chief Executive Officer
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KOHLBERG INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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KOHLBERG PARTNERS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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KOHLBERG OFFSHORE INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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B-9
KOHLBERG TE INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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KOCO INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By
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/s/ Authorized
Representative
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Name: Gordon H. Woodward
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Title:
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Authorized Representative
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B-10
BLACKSTONE MEZZANINE PARTNERS II L.P.
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By:
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Blackstone Mezzanine Associates II, L.P., its general partner
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By:
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Blackstone Mezzanine Management Associates II, L.L.C., its
general partner
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Name: George Fan
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Title:
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Authorized Signatory
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BLACKSTONE MEZZANINE HOLDINGS II L.P.
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By:
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Blackstone Mezzanine Associates II, L.P., its general partner
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By:
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Blackstone Mezzanine Management Associates II, L.L.C., its
general partner
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Name: George Fan
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Title:
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Authorized Signatory
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S.A.C. DOMESTIC CAPITAL FUNDING, LTD.
Name: Peter Nussbaum
B-11
Annex
C
Form of Warrant Agreement
BIOSCRIP, INC.
WARRANT AGREEMENT
Dated As
Of ,
2010
Warrants to Purchase
3,400,945 shares of Common Stock
TABLE OF
CONTENTS
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Page
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1. FORM, EXECUTION AND TRANSFER OF WARRANT
CERTIFICATES
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C-1
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1.1.
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Form of Warrant Certificates
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C-1
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1.2.
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Execution of Warrant Certificates; Registration Books
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C-1
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1.3.
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Transfer, Split Up, Combination and Exchange of Warrant
Certificates; Lost or Stolen Warrant Certificates
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C-2
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1.4.
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Subsequent Issuance of Warrant Certificates
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C-2
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1.5.
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Effect of Issuance in Registered Form
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C-3
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2. EXERCISE OF WARRANTS; PAYMENT OF EXERCISE PRICE
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C-3
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2.1.
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Exercise of Warrants
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C-3
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2.2.
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Issuance of Common Stock
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C-4
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2.3.
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Unexercised Warrants
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C-4
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2.4.
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Cancellation and Destruction of Warrant Certificates
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C-4
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2.5.
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Expiration
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C-4
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2.6.
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Fractional shares of Common Stock
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C-4
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3. AGREEMENTS OF THE COMPANY
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C-4
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3.1.
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Reservation of Common Stock
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C-4
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3.2.
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Common Stock To Be Duly Authorized and Issued, Fully Paid and
Nonassessable etc; Compliance with Law
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C-4
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3.3.
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Taxes
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C-5
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3.4.
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Common Stock Record Date
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C-5
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3.5.
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Rights in Respect of Common Stock
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C-5
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3.6.
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Noncircumvention
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C-5
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4. ANTI-DILUTION ADJUSTMENTS
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C-5
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4.1.
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Adjustments
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C-5
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4.2.
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Stock Splits, Subdivisions, Reclassifications or Combinations
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C-6
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4.3.
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Price Based Anti-Dilution
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C-6
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4.4.
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Other Distributions
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C-7
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4.5.
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Business Combinations
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C-8
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4.6.
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Expiration of Rights or Options
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C-8
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4.7.
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Rounding of Calculations; Minimum Adjustments
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C-8
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4.8.
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Timing of Issuance of Additional Common Stock Upon Certain
Adjustments
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C-9
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4.9.
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Miscellaneous
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C-9
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5. INTERPRETATION OF THIS AGREEMENT
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C-10
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5.1.
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Certain Defined Terms
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C-10
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5.2.
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Section Heading and Table of Contents and Construction
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C-12
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5.3.
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Directly or Indirectly
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C-13
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5.4.
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Governing Law
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C-13
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6. MISCELLANEOUS
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C-13
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6.1.
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Expenses
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C-13
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6.2.
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Amendment and Waiver
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C-13
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6.3.
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Warrants Subject to Stockholders Agreement
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C-13
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6.4.
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Entire Agreement
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C-13
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6.5.
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Successors and Assigns
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C-13
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C-i
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Page
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6.6.
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Notices
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C-14
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6.7.
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Severability
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C-14
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6.8.
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Execution in Counterpart
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C-14
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6.9.
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Waiver of Jury Trial; Consent to Jurisdiction, Etc.
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C-14
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Attachment A
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Form of Warrant Certificate
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C-19
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Annex 1
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Warrants Issuable to the Purchasers
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C-24
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Annex 2
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Address of Purchasers for Notices
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C-25
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Annex 3
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Address of Company for Notices
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C-26
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C-ii
BIOSCRIP,
INC.
Form
of Warrant Agreement
Warrants
for Common Stock
WARRANT AGREEMENT, dated as
of ,
2010, among BioScrip, Inc., a Delaware corporation (together
with its successors and assigns, the
Company), and Kohlberg Investors V,
L.P., a Delaware limited partnership, Kohlberg Partners V,
L.P., a Delaware limited partnership, Kohlberg Offshore
Investors V, L.P., a Delaware limited partnership, Kohlberg
TE Investors V, L.P., a Delaware limited partnership, KOCO
Investors V, L.P., a Delaware limited partnership, Robert
Cucuel, Mary Jane Graves, Nitin Patel, Joey Ryan, Colleen
Lederer, Blackstone Mezzanine Partners II L.P., a Delaware
limited partnership, Blackstone Mezzanine Holdings II L.P.,
a Delaware limited partnership, and S.A.C. Domestic Capital
Funding, Ltd., a Cayman Islands limited company (collectively
and together with each of their respective successors and
assigns, the Purchasers). Capitalized terms
shall have the meaning specified in Section 5.1
hereof.
RECITALS
WHEREAS, pursuant to the Merger Agreement, the Purchasers have
agreed to acquire from the Company, and the Company has agreed
to issue to the Purchasers, Warrants to purchase the number of
shares of Common Stock set forth opposite such Persons
name on Annex 1 attached hereto, which Warrants
represent the right to purchase, in the aggregate,
3,400,945 shares of Common Stock, subject to adjustment as
set forth herein; and
WHEREAS, the Company and the Purchasers wish to enter into this
Agreement to govern the terms of the Warrants.
AGREEMENT
NOW, THEREFORE, in consideration of the premises and the mutual
agreements set forth herein, the parties to this Agreement
hereby agree as follows:
1. FORM, EXECUTION AND TRANSFER OF WARRANT CERTIFICATES
1.1. Form of Warrant Certificates
The Warrant Certificates shall be in the form set forth in
Attachment A hereto. The Warrant Certificates may have
such letters, numbers or other marks of identification or
designation as may be required to comply with any law or with
any rule or regulation of any governmental authority, stock
exchange or self-regulatory organization made pursuant thereto
(Law). Each Warrant Certificate shall be
dated the date of issuance thereof by the Company, either upon
initial issuance or upon transfer or exchange. Each Warrant
Certificate shall represent the right to purchase the number of
shares of Common Stock set forth in such Warrant Certificate at
a price per share of Common Stock equal to the Exercise Price;
provided, that the number of shares of Common Stock
issuable upon exercise of the Warrants and the Exercise Price
thereof shall be subject to adjustment as provided herein.
1.2. Execution of Warrant Certificates; Registration Books
(a) Execution of Warrant Certificates. The
Warrant Certificates shall be executed on behalf of the Company
by an officer of the Company authorized by the Board of
Directors. In case the officer of the Company who shall have
signed any Warrant Certificate shall cease to be such an officer
of the Company before issuance and delivery by the Company of
such Warrant Certificate, such Warrant Certificate nevertheless
may be issued and delivered with the same force and effect as
though the individual who signed such Warrant Certificate had
not ceased to be such an officer of the Company, and any Warrant
Certificate may be signed on behalf of the Company by any
individual who, at the actual date of the execution of such
Warrant Certificate, shall be a proper officer of the Company to
sign such Warrant Certificate, although at the date of the
execution of this Agreement any such individual was not such an
officer.
(b) Registration Books. The Company will keep or
cause to be kept at its office, maintained at the address of the
Company referenced in Section 6.6, at the
Companys transfer agent, or at such other office of the
Company of which the Company shall have given notice to each
holder of Warrant Certificates, books for registration and
C-1
transfer of the Warrant Certificates issued hereunder. Such
books shall show the names and addresses of the respective
holders of the Warrant Certificates, the registration number and
date of each of the Warrant Certificates and the Denomination
thereof.
1.3. Transfer, Split Up, Combination and Exchange of
Warrant Certificates; Lost or Stolen Warrant Certificates
(a) Transfer, Split Up, etc.
(i) Transfer. Subject to compliance with
the Securities Act, any applicable state securities laws and the
Stockholders Agreement, any Warrant Certificate (or
portion thereof), with or without other Warrant Certificates,
may be transferred to any Person for a Warrant Certificate or
Warrant Certificates in an aggregate like Denomination as the
Warrant Certificate or Warrant Certificates (or portions
thereof) surrendered then entitled such registered holder to
purchase. Any registered holder desiring to transfer any Warrant
Certificate shall make such request in writing delivered to the
Company, which request shall include the identity of the
Transferee and the aggregate number of Warrants to be
transferred, and shall surrender the Warrant Certificate or
Warrant Certificates (or portions thereof) to be transferred at
the office of the Company referenced in Section 6.6,
whereupon the Company shall deliver promptly to such Transferee
a Warrant Certificate or Warrant Certificates, as the case may
be, as so requested, which Warrant Certificate or Warrant
Certificates shall evidence, collectively, the same aggregate
number of Warrants as the Warrant Certificate or Warrant
Certificates (or portions thereof) so surrendered for transfer
and shall issue a new Warrant Certificate to the transferor
representing the Warrants retained by the Transferor if such
transfer involved less than the entire number of Warrants held
by such Transferor.
(ii) Split Up, Combination, Exchange,
etc. Any Warrant Certificate, with or without
other Warrant Certificates, may be split up, combined or
exchanged for another Warrant Certificate or Warrant
Certificates, in an aggregate like Denomination as the Warrant
Certificate or Warrant Certificates surrendered then entitle
such registered holder to purchase. Any registered holder
desiring to split up, combine or exchange any Warrant
Certificate shall make such request in writing delivered to the
Company, and shall surrender the Warrant Certificate or Warrant
Certificates to be split up, combined or exchanged at the office
of the Company referenced in Section 6.6, whereupon
the Company shall deliver promptly to such registered holder a
Warrant Certificate or Warrant Certificates, as the case may be,
as so requested, which Warrant Certificate or Warrant
Certificates shall evidence, collectively, the same aggregate
Denomination as the Warrant Certificate or Warrant Certificates
so surrendered for
split-up,
combination or exchange.
(b) Loss, Theft, etc. Upon receipt by the
Company of evidence reasonably satisfactory to it of the
ownership of, and the loss, theft, destruction or mutilation of,
any Warrant Certificate, and:
(i) in the case of loss, theft or destruction, an affidavit
of loss, together with a customary and reasonable
indemnity; or
(ii) in the case of mutilation, upon surrender and
cancellation thereof;
the Company at its own expense will execute and deliver, in lieu
thereof, a new Warrant Certificate, dated the date of such lost,
stolen, destroyed or mutilated Warrant Certificate and of like
tenor, in lieu of the lost, stolen, destroyed or mutilated
Warrant Certificate and evidencing the same Denomination as the
Warrant Certificate so lost, stolen, destroyed or mutilated.
1.4. Subsequent Issuance of Warrant Certificates.
Subsequent to the original issuance, no Warrant Certificates
shall be issued except:
(a) Warrant Certificates issued upon any transfer,
combination, split up or exchange of Warrants pursuant to
Section 1.3(a);
(b) Warrant Certificates issued in replacement of
mutilated, destroyed, lost or stolen Warrant Certificates
pursuant to Section 1.3(b);
(c) Warrant Certificates issued pursuant to
Section 2.3 upon the partial exercise of any Warrant
Certificate to evidence the unexercised portion of such Warrant
Certificate; and
(d) Warrant Certificates to reflect any adjustments
pursuant to Section 4.
C-2
1.5. Effect of Issuance in Registered Form
Every holder of a Warrant Certificate by accepting the same
consents and agrees with the Company and with every other holder
of a Warrant Certificate that:
(a) the Warrant Certificates, to the extent then currently
transferable, are transferable only on the registry books of the
Company if and when surrendered at the office of the Company
referenced in Section 6.6, duly endorsed or
accompanied by an instrument of transfer (in the form attached
thereto) and payment of any applicable transfer, stamp or issue
tax (a Tax); and
(b) the Company may deem and treat the Person in whose name
each Warrant Certificate is registered as the absolute owner
thereof and of the Warrants evidenced thereby (notwithstanding
any notations of ownership or writing on the Warrant
Certificates made by anyone other than the Company) for all
purposes whatsoever, and the Company shall not be affected by
any notice to the contrary.
2. EXERCISE OF WARRANTS; PAYMENT OF EXERCISE PRICE.
2.1. Exercise of Warrants.
(a) Manner of Exercise. At any time and from
time to time prior to the Expiration Time, the holder of any
Warrant Certificate may exercise the Warrants evidenced thereby,
in whole or in any part, by surrender to the Company, at its
office referenced in Section 6.6, of such Warrant
Certificate, together with a duly executed election to purchase
(a form of which is attached to each Warrant Certificate) and
payment of the applicable Exercise Price for each share of
Common Stock with respect to which the Warrants are then being
exercised and an amount equal to any applicable Tax (if not
payable by the Company as provided in Section 3.3).
Such Exercise Price shall be payable either:
(i) in cash pursuant to Section 2.1(b); or
(ii) by delivery of Warrant Certificates pursuant to
Section 2.1(c).
(b) Payment in Cash. Upon exercise of any
Warrants, the holder of a Warrant Certificate may pay the
Exercise Price by certified or official bank check payable to
the order of the Company or by wire transfer of immediately
available funds to the account of the Company.
(c) Net Exercise. In the event that any holder
of Warrant Certificates delivers such Warrant Certificates to
the Company and notifies the Company in writing that such holder
intends to exercise all, or any portion of, the Warrants
represented by such Warrant Certificates to satisfy its
obligation to pay the Exercise Price in respect thereof by
virtue of the provisions of this Section 2.1(c),
such holder shall become entitled to receive, instead of the
number of shares of Common Stock such holder would have received
had the Exercise Price been paid pursuant to
Section 2.1(b), a number of shares of Common Stock
in respect of the exercise of such Warrants equal to the product
of:
(i) the number of shares of Common Stock issuable upon such
exercise of such Warrant Certificate (or, if only a portion of
such Warrant Certificate is being exercised, issuable upon the
exercise of such portion); multiplied by
(ii) the quotient of:
(A) the difference of:
(I) the Market Price per share of Common Stock at the time
of such exercise; minus
(II) the Exercise Price per share of Common Stock at the
time of such exercise; divided by
(B) the Market Price per share of Common Stock at the time
of such exercise.
(d) Fractional shares of Common Stock. The
Company may, in accordance with Section 2.6, pay the
exercising holder cash in lieu of issuing a fractional share in
connection with an exercise of Warrants; provided that,
if it does not issue a fractional share in such circumstances,
it will make such cash payment.
C-3
(e) Automatic Exercise. Notwithstanding anything
herein to the contrary, any Warrants issued hereunder shall be
fully exercised pursuant to Section 2.1(c), without
the need for any action by the holder thereof or the Company,
immediately prior to the Expiration Time, provided that upon
such automatic exercise the resulting value is greater than zero.
2.2. Issuance of Common Stock.
Upon timely receipt of a Warrant Certificate, accompanied by the
form of election to purchase duly executed, and payment of the
Exercise Price for each of the shares of the Common Stock to be
purchased (if payable in the manner provided in
Section 2.1(a)(i)) and by an amount equal to any
applicable Tax (if not payable by the Company as provided in
Section 3.3), the Company shall thereupon promptly
cause certificates representing the number of whole shares of
Common Stock then being purchased to be delivered to or upon the
order of the registered holder of such Warrant Certificate,
registered in such name or names as may be designated by such
holder, and, promptly after such receipt deliver the cash, if
any, to be paid in lieu of fractional shares pursuant to
Section 2.6 to or upon the order of the registered
holder of such Warrant Certificate.
2.3. Unexercised Warrants.
In the event that the registered holder of any Warrant
Certificate shall exercise less than all the Warrants evidenced
thereby, a new Warrant Certificate evidencing Warrants equal in
number to the number of Warrants remaining unexercised shall be
issued by the Company to the registered holder of such Warrant
Certificate or to its duly authorized assigns.
2.4. Cancellation and Destruction of Warrant Certificates.
All Warrant Certificates surrendered to the Company for the
purpose of exercise, exchange, substitution or transfer shall be
cancelled by it, and no Warrant Certificates shall be issued in
lieu thereof except as expressly permitted by any of the
provisions of this Agreement. The Company shall cancel and
retire any other Warrant Certificates purchased or acquired by
the Company otherwise than upon the exercise thereof.
2.5. Expiration.
All Warrants that have not been exercised or purchased in
accordance with the provisions of this Agreement shall expire
and all rights of holders of such Warrants shall terminate and
cease at the Expiration Time.
2.6. Fractional shares of Common Stock.
The Company shall not be required to issue fractional shares of
Common Stock upon the exercise of any Warrant. If fractional
shares are not issued upon the exercise of any Warrant, there
shall be paid to the holder thereof, in lieu of any fractional
share of Common Stock resulting therefrom, an amount of cash
equal to the product of:
(a) the fractional amount of such share of Common
Stock; and
(b) the Market Price, as determined on the trading day
immediately prior to the date of exercise of such Warrant.
3. AGREEMENTS OF THE COMPANY.
3.1. Reservation of Common Stock.
The Company covenants and agrees that it will at all times cause
to be reserved and kept available out of its authorized and
unissued shares or treasury shares of Common Stock such number
of shares of Common Stock as will be sufficient to permit the
exercise in full of all Warrants issued hereunder into Common
Stock.
3.2. Common Stock To Be Duly Authorized and Issued, Fully
Paid and Nonassessable etc; Compliance with Law
The Company covenants and agrees that it will take all such
action as may be necessary to ensure that all shares of Common
Stock delivered upon the exercise of any Warrant and the payment
of the Exercise Price pursuant to Section 2.1 (in
each case, at the time of delivery of the certificates
representing such shares of Common Stock) shall (a) be duly
and validly authorized and issued and fully paid and
nonassessable, free of any preemptive rights in favor
C-4
of any Person in respect of such issuance and free of any
security interest, pledge, mortgage, lien, charge or other
encumbrance created by, or arising out of actions of, the
Company (other than such rights and security interests, pledges,
mortgages, liens, charges, or other encumbrances, if any,
arising out of the provisions of this Agreement or the
Stockholders Agreement) and (b) be issued without
violation of any applicable Law.
3.3. Taxes.
The Company covenants and agrees that it will pay when due and
payable any and all Taxes and charges that may be payable in
respect of the initial issuance or delivery of:
(a) each Warrant Certificate;
(b) each Warrant Certificate issued in exchange for any
other Warrant Certificate pursuant to Section 1.3,
Section 2.3 or Section 4; and
(c) each share of Common Stock issued upon the exercise of
any Warrant.
The Company shall not, however, be required to:
(i) pay any Tax that may be payable in respect of the
transfer or delivery of Warrant Certificates in a name other
than that of the registered holder of the Warrant Certificate
surrendered for exercise, conversion, transfer or exchange (any
such Tax being payable by the holder of such certificate at the
time of surrender); or
(ii) issue or deliver any such certificates referred to in
the foregoing clause (i) until any such Tax referred to in
the foregoing clause (i) shall have been paid.
3.4. Common Stock Record Date.
Each Person in whose name any certificate for shares of Common
Stock is issued upon the exercise of Warrants shall for all
purposes be deemed to have become the holder of record of the
Common Stock represented thereby on, and such certificates (if
any) shall be dated, the date upon which the Warrant Certificate
evidencing such Warrants was duly surrendered with an election
to purchase attached thereto duly executed and payment of the
aggregate Exercise Price (and any applicable Taxes, if payable
by such Person) was made.
3.5. Rights in Respect of Common Stock.
Except as otherwise set forth herein or in the
Stockholders Agreement, prior to the exercise of the
Warrants evidenced thereby, the holder of a Warrant Certificate
shall not be entitled to any rights of a stockholder of the
Company with respect to the Common Stock into which the Warrants
shall be exercisable, including, without limitation, the right
to vote in respect of any matter upon which the holders of
Common Stock may vote, the right to receive any distributions of
cash or property and, except as expressly set forth herein, in
the Merger Agreement, in the Stockholders Agreement or in
this Agreement, the right to receive any notice of any
proceedings of the Company. Prior to the exercise of the
Warrants evidenced thereby, the holders of the Warrant
Certificates shall not have as such any obligation in respect of
any assessment or any other obligation or liability as a
stockholder of the Company, whether such obligations or
liabilities are asserted by the Company or by creditors of the
Company, but shall have the obligations set forth in the
Stockholders Agreement.
3.6. Noncircumvention.
The Company hereby covenants and agrees that the Company will
not, by amendment of its charter, bylaws or through any
reorganization, transfer of assets, consolidation, merger,
scheme of arrangement, dissolution, issue or sale of securities,
or any other voluntary action, avoid or seek to avoid the
observance or performance of any of the terms of this Warrant
Agreement, and will at all times in good faith carry out all the
provisions of this Warrant Agreement.
4. ANTI-DILUTION ADJUSTMENTS.
4.1. Adjustments.
The number of shares of Common Stock purchasable upon the
exercise of each Warrant, and the Exercise Price, shall be
subject to adjustment as set forth in this Section 4.
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4.2. Stock Splits, Subdivisions, Reclassifications or
Combinations.
If the Company shall (i) declare and pay a dividend or make
a distribution on its Common Stock in shares of Common Stock,
(ii) subdivide or reclassify the outstanding shares of
Common Stock into a greater number of shares, or
(iii) combine or reclassify the outstanding shares of
Common Stock into a smaller number of shares, the number of
shares of Common Stock issuable upon exercise of any Warrants at
the time of the record date for such dividend or effective date
of such split, reverse split, subdivision, combination or
reclassification shall be proportionately adjusted so that the
holder of such Warrants after such date shall be entitled to
purchase the number of shares of Common Stock which such holder
would have owned or been entitled to receive in respect of the
shares of Common Stock subject to such Warrants after such date
had such Warrants been exercised immediately prior to such date.
In such event, the Exercise Price in effect at the time of the
effective date of such split, reverse split, subdivision,
combination or reclassification shall be adjusted to the number
obtained by dividing (x) the product of (1) the number
of shares of Common Stock issuable upon the exercise of such
Warrants before such adjustment and (2) the Exercise Price
in effect immediately prior to the record or effective date, as
the case may be, for the dividend, distribution, split, reverse
split, subdivision, combination or reclassification giving rise
to this adjustment by (y) the new number of shares of
Common Stock issuable upon exercise of such Warrants determined
pursuant to the immediately preceding sentence; provided
that the Exercise Price shall not be adjusted to be less
than the par value of the Common Stock.
4.3. Price Based Anti-Dilution
(a) Without duplication of the adjustments set forth in
Sections 4.2 or 4.4, (a) if the Company
shall issue or sell any shares of Common Stock (as actually
issued or, pursuant to Section 4.3(b), deemed to be
issued) for a consideration per share less than 90% of the
Market Price per share immediately prior to such issuance or
sale, or if earlier, upon the execution of the definitive
documentation with respect to such issuance or sale (the
Effective Time), then immediately upon the
Effective Time the number of shares of Common Stock issuable
upon exercise of any Warrants at the time of the effective date
shall be increased by multiplying such number of shares of
Common Stock by a fraction, (i) the numerator of which
shall be the Fully Diluted Number of shares of Common Stock
outstanding immediately prior to the Effective Time plus the
number of shares of Common Stock so issued or sold, and
(ii) the denominator of which shall be the Fully Diluted
Number of shares of Common Stock outstanding immediately prior
to the Effective Time plus the number of shares of Common Stock
which the aggregate consideration received by the Company for
the total number of shares of Common Stock so issued or sold
would purchase if such shares were sold at Market Price. For the
purposes of this Section 4.3(a), none of the
following issuances shall be considered the issuance or sale of
Common Stock:
(i) the issuance of Common Stock upon the conversion of any
then-outstanding Common Stock Equivalents;
(ii) the issuance of any Common Stock or Common Stock
Equivalents for which the adjustment provided in
Section 4.2 applies;
(iii) the issuance of shares of Common Stock or Common
Stock Equivalents to Employees of the Company or any Company
Subsidiary that is approved by the Board of Directors; or
(iv) the issuance of Common Stock pursuant to the terms of
the Amended and Restated Rights Agreement, dated as of
December 3, 2002, between the Company and American Stock
Transfer and Trust Company, as amended December 13, 2006
and March 4, 2009.
(b) For the purposes of Section 4.3(a), the
following subparagraphs (i) to (iii), inclusive, shall
also be applicable:
(i) If the Company shall grant any rights to subscribe for,
or any rights or options to purchase, Common Stock Equivalents,
whether or not such rights or options or the right to convert or
exchange any such Common Stock Equivalents are immediately
exercisable, and the price per share for which Common Stock is
issuable upon the exercise of such rights or options or upon
conversion or exchange of such Common Stock Equivalents
(determined by dividing (A) the total amount, if any,
received or receivable by the Company as consideration for the
granting of such rights or options, plus the minimum aggregate
amount of additional consideration
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payable to the Company upon the exercise of such rights or
options, plus, in the case of any such rights or options which
relate to such Common Stock Equivalents, the minimum aggregate
amount of additional consideration, if any, payable upon the
issue or sale of such Common Stock Equivalents and upon the
conversion or exchange thereof, by (B) the total maximum
number of shares of Common Stock issuable upon the exercise of
such rights or options or upon the conversion or exchange of all
such Common Stock Equivalents issuable upon the exercise of such
rights or options) shall be less than the Market Price per share
of Common Stock immediately prior to the time of the granting of
such rights or options, or, if earlier, the execution of
definitive documentation with respect to such grant, then the
total maximum number of shares of Common Stock issuable upon the
exercise of such rights or options or upon conversion or
exchange of the total maximum amount of such Common Stock
Equivalents issuable upon the exercise of such rights or options
shall (as of the date of granting of such rights or options) be
deemed to be outstanding and to have been issued for such price
per share; provided that no further adjustment of the
conversion price pursuant to this Section 4.3(b)(i)
shall be made (i) upon the actual issuance or sale of such
Common Stock Equivalents upon the exercise of any rights to
subscribe for, or any rights or options to purchase, such Common
Stock Equivalents or (ii) upon the actual issuance or sale
of such Common Stock upon the exercise of any such Common Stock
Equivalents, including without limitation, in each case of
clauses (i) and (ii) with respect to shares of Common
Stock Equivalents or Common Stock issued or issuable as a result
of the effect of antidilution adjustments under any such
security.
(ii) If the Company shall issue or sell any Common Stock
Equivalents, whether or not the rights to exchange or convert
thereunder are immediately exercisable, and the price per share
for which Common Stock is issuable upon such conversion or
exchange (determined by dividing (A) the total amount
received or receivable by the Company as consideration for the
issue or sale of such Common Stock Equivalents, plus the minimum
aggregate amount of additional consideration, if any, payable to
the Company upon the conversion or exchange thereof, by
(B) the total maximum number of shares of Common Stock
issuable upon the conversion or exchange of all such Common
Stock Equivalents) shall be less than the Market Price per share
of Common Stock immediately prior to the Effective Time, then
the total maximum number of shares of Common Stock issuable upon
conversion or exchange of such Common Stock Equivalents shall
(as of the date of the issue or sale of such Common Stock
Equivalents) be deemed to be outstanding and to have been issued
for such price per share, provided that no further
adjustment of the conversion price pursuant to this
Section 4.3(b)(ii) shall be made upon the actual
issuance or sale of such Common Stock upon the exercise of any
such Common Stock Equivalents, including without limitation, in
each case with respect to shares of Common Stock issued or
issuable as a result of the effect of antidilution adjustments
under any such security.
(iii) In case at any time any shares of Common Stock or
Common Stock Equivalents or any rights or options to purchase
any such Common Stock, or Common Stock Equivalents shall be
issued or sold for cash, the consideration received therefor
shall be deemed to be the amount received by the Company
therefor. In case any shares of Common Stock or Common Stock
Equivalents or any rights or options to purchase any such Common
Stock or Common Stock Equivalents shall be issued or sold for a
consideration other than cash, the amount of the consideration
other than cash received by the Company shall be deemed to be
the Fair Market Value of such consideration.
4.4. Other Distributions.
In case the Company shall fix a record date for the making of a
dividend or distribution to all holders of shares of its Common
Stock of securities, evidences of indebtedness, assets, cash,
rights or warrants (excluding dividends of its Common Stock and
other dividends or distributions referred to in
Section 4.2), in each such case, the Exercise Price
in effect prior to such record date shall be reduced immediately
thereafter to the price determined by multiplying the Exercise
Price in effect immediately prior to the reduction by the
quotient of (x) the Market Price of the Common Stock on the
last trading day preceding the first date on which the Common
Stock trades on the Exchange on which the Common Stock is listed
or admitted to trading without the right to receive such
distribution, minus the amount of cash
and/or the
Fair Market Value of the securities, evidences of indebtedness,
assets, rights or warrants to be so distributed in respect of
one share of Common Stock (such amount
and/or Fair
Market Value, the Per Share Fair Market
Value) divided by (y) such Market Price on such
date specified in clause (x); such adjustment shall be made
successively whenever such a record date is fixed. In such
event, the number of shares of
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Common Stock issuable upon the exercise of any Warrants shall be
increased to the number obtained by dividing (x) the
product of (1) the number of shares of Common Stock
issuable upon the exercise of such Warrants before such
adjustment, and (2) the Exercise Price in effect
immediately prior to the distribution giving rise to this
adjustment by (y) the new Exercise Price determined in
accordance with the immediately preceding sentence. In the event
that such distribution is not so made, the Exercise Price and
the number of shares of Common Stock issuable upon exercise of
such Warrants then in effect shall be readjusted, effective as
of the date when the Board of Directors determines not to
distribute such shares, evidences of indebtedness, assets,
rights, cash or warrants, as the case may be, to the Exercise
Price that would then be in effect and the number of shares of
Common Stock that would then be issuable upon exercise of such
Warrants if such record date had not been fixed.
4.5. Business Combinations.
In case of any Business Combination or reclassification of
Common Stock (other than a reclassification of Common Stock
referred to in Section 4.2), a holders right
to receive shares of Common Stock upon exercise of any Warrants
shall be converted into the right to exercise such Warrant to
acquire the number of shares of stock or other securities or
property (including cash) which the Common Stock issuable (at
the time of such Business Combination or reclassification) upon
exercise of such Warrants immediately prior to such Business
Combination or reclassification would have been entitled to
receive upon consummation of such Business Combination or
reclassification; and in any such case, if necessary, the
provisions set forth herein with respect to the rights and
interests thereafter of such holder shall be appropriately
adjusted so as to be applicable, as nearly as may reasonably be,
to such holders right to exercise such Warrants in
exchange for any shares of stock or other securities or property
pursuant to this Section 4.5. In determining the
kind and amount of stock, securities or the property receivable
upon exercise of any Warrants following the consummation of such
Business Combination, if the holders of Common Stock have the
right to elect the kind or amount of consideration receivable
upon consummation of such Business Combination, then the holder
of such Warrants shall be entitled to elect the kind or amount
of consideration receivable upon consummation of such Business
Combination. The Company shall not enter into or be party to any
Business Combination unless the successor of the Company (if
any), assumes in writing all of the obligations of the Company
under this Warrant Agreement pursuant to written agreements,
including agreements to deliver to each holder of Warrants
hereunder in exchange for such Warrants a security of such
successor evidenced by a written instrument substantially
similar in form and substance to this Warrant Agreement.
4.6. Expiration of Rights or Options.
Upon the expiration of any rights or options to subscribe for,
purchase or convert or exchange Common Stock or Common Stock
Equivalents in respect of the issuance, sale or grant of which
adjustment was made pursuant to Section 4.3, without
the exercise thereof, the Exercise Price and the number of
shares of Common Stock purchasable upon the exercise of each
Warrant shall, upon such expiration, be readjusted and shall
thereafter be such Exercise Price and such number of shares of
Common Stock as would have been had such Exercise Price and such
number of shares of Common Stock not been originally adjusted
(or had the original adjustment not been required, as the case
may be), as if:
(a) the only shares of Common Stock so issued were the
shares of Common Stock, if any, actually issued or sold upon the
exercise of such rights or options; and
(b) such shares of Common Stock, if any, were issued or
sold for the consideration actually received by the Company upon
such exercise plus the aggregate consideration, if any, actually
received by the Company for the issuance, sale or grant of all
of such rights or options, whether or not exercised; provided
that no such readjustment shall have the effect of
increasing the Exercise Price by an amount in excess of the
amount of the reduction initially made in respect of the
issuance, sale, or grant of such rights or options.
4.7. Rounding of Calculations; Minimum Adjustments.
All calculations under this Section 4 shall be made
to the nearest one-tenth (1/10th) of a cent or to the nearest
one-hundredth (1/100th) of a share, as the case may be. Any
provision of this Section 4 to the contrary
notwithstanding, no adjustment in the Exercise Price or the
number of shares of Common Stock into which any Warrants are
exercisable shall be made if the amount of such adjustment would
be less than $0.01 or one-tenth (1/10th) of a share of Common
Stock, but any such amount shall be carried forward and an
adjustment with respect
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thereto shall be made at the time of and together with any
subsequent adjustment which, together with such amount and any
other amount or amounts so carried forward, shall aggregate
$0.01 or 1/10th of a share of Common Stock, or more.
4.8. Timing of Issuance of Additional Common Stock Upon
Certain Adjustments.
In any case in which the provisions of this
Section 4 shall require that an adjustment shall
become effective immediately after a record date for an event,
the Company may defer until the occurrence of such event
(i) issuing to the holder of any Warrants exercised after
such record date and before the occurrence of such event the
additional shares of Common Stock issuable upon such exercise by
reason of the adjustment required by such event over and above
the shares of Common Stock issuable upon such exercise before
giving effect to such adjustment and (ii) paying to such
holder any amount of cash in lieu of a fractional share of
Common Stock; provided, however, that the Company upon
request shall deliver to such holder a due bill or other
appropriate instrument evidencing such holders right to
receive such additional shares, and such cash, upon the
occurrence of the event requiring such adjustment.
4.9. Miscellaneous.
(a) Statement Regarding Adjustments. Whenever
the Exercise Price or the number of shares of Common Stock into
which any Warrants are exercisable shall be adjusted as provided
in Section 4, the Company shall forthwith file at
the principal office of the Company referenced in
Section 6.6 a statement showing in reasonable detail
the facts requiring such adjustment and the Exercise Price that
shall be in effect and the number of shares of Common Stock into
which such Warrants shall be exercisable after such adjustment,
and the Company shall also cause a copy of such statement to be
sent by mail, first class postage prepaid, to each holder of
Warrants at the address appearing in the Companys records.
(b) Notice of Adjustment Event. In the event
that the Company shall propose to take any action of the type
described in this Section 4 (but only if the action
of the type described in this Section 4 would result
in an adjustment in the Exercise Price or the number of shares
of Common Stock into which Warrants are exercisable or a change
in the type of securities or property to be delivered upon
exercise of Warrants), the Company shall give notice to the
holders of Warrants, in the manner set forth in
Section 4.9(a), which notice shall specify the
record date, if any, with respect to any such action and the
approximate date on which such action is to take place. Such
notice shall also set forth the facts with respect thereto as
shall be reasonably necessary to indicate the effect on the
Exercise Price and the number, kind or class of shares or other
securities or property which shall be deliverable upon exercise
of any Warrants. In the case of any action which would require
the fixing of a record date, such notice shall be given at least
10 days prior to the date so fixed, and in case of all
other action, such notice shall be given at least 15 days
prior to the taking of such proposed action. Without limiting
the foregoing, to the extent notice of any of the foregoing
actions or events is given to the holders of the Common Stock,
such notice shall be provided to the holders of the Warrants on
or before such notice to the holders of Common Stock.
(c) Proceedings Prior to Any Action Requiring
Adjustment. As a condition precedent to the taking of
any action which would require an adjustment pursuant to this
Section 4, the Company shall take any action which
may be necessary, including obtaining regulatory, New York Stock
Exchange, NASDAQ Stock Market or other applicable national
securities exchange (an Exchange) or
stockholder approvals or exemptions, in order that the Company
may thereafter validly and legally issue as fully paid and
nonassessable all shares of Common Stock that the holders are
entitled to receive upon exercise of this any Warrants pursuant
to this Section 4.
(d) Adjustment Rules. Any adjustments pursuant
to this Section 4 shall be made successively
whenever an event referred to herein shall occur. If more than
one subsection of this Section 4 is applicable to a
single event, the subsection shall be applied that produces the
largest adjustment and no single event shall cause an adjustment
under more than one subsection of this Section 4 so
as to result in duplication. If an adjustment in Exercise Price
made hereunder would reduce the Exercise Price to an amount
below par value of the Common Stock, then such adjustment in
Exercise Price made hereunder shall reduce the Exercise Price to
the par value of the Common Stock.
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5. INTERPRETATION OF THIS AGREEMENT.
5.1. Certain Defined Terms.
For the purpose of this Agreement, the following terms shall
have the meanings set forth below or set forth in the Section
hereof following such term:
Affiliate means, with respect to any Person,
(a) a director, officer or shareholder of such Person,
(b) a spouse, parent, sibling or descendant of such Person
(or spouse, parent, sibling or descendant of any director or
executive officer of such Person) and (c) any other Person
that, directly or indirectly through one or more intermediaries,
Controls, or is Controlled by, or is under common Control with,
such Person, at such time; provided, however, that none
of the Purchasers shall be deemed to be an Affiliate
of the Company and no Person holding any one or more of the
Warrants shall be deemed to be an Affiliate of the
Company solely by virtue of the ownership thereof.
Agreement means this Warrant Agreement as it
may from time to time be amended, restated, modified or
supplemented.
Board of Directors means the board of
directors of the Company, including any duly authorized
committee thereof.
Business Combination means any consolidation
of the Company with, or merger of the Company with or into,
another Person (other than a merger in which (a) the
Company is the surviving corporation, (b) that does not
result in any reclassification or change of shares of Common
Stock outstanding immediately prior to such merger and
(c) the holders of Common Stock are not entitled to receive
any consideration therefrom), or any sale or conveyance to
another Person of the assets of the Company substantially as an
entirety.
business day means any day that is not a
Saturday, Sunday or other day on which banking institutions in
New York, New York are authorized or required by Law or
executive order to close.
Capital Stock means (A) with respect to
any Person that is a corporation or company, any and all shares,
interests, participations or other equivalents (however
designated) of capital or capital stock of such Person and
(B) with respect to any Person that is not a corporation or
company, any and all partnership or other equity interests of
such Person.
Charter means, with respect to any Person,
its certificate or articles of incorporation, articles of
association, or similar organizational document.
Closing has the meaning set forth in the
Merger Agreement.
Closing Date has the meaning set forth in the
Merger Agreement.
Common Stock means the Companys common
stock, par value $.0001 per share.
Common Stock Equivalents means outstanding
Warrants or other securities convertible or exchangeable into
Common Stock.
Company has the meaning set forth in the
introductory paragraph hereof.
Control means, with respect to any Person,
the possession, directly or indirectly, of the power to direct
or cause the direction of the management and policies of such
Person, whether through the ownership of voting Securities, by
contract or otherwise.
Denomination means, in the case of any
Warrant Certificate, the number of shares of Common Stock
issuable upon exercise of such Warrant Certificate represented
thereby.
Effective Time has the set forth in
Section 4.3.
Exchange has the set forth in
Section 4.9(c).
Exchange Act means the Securities Exchange
Act of 1934, as amended, or any successor statute, and the rules
and regulations promulgated thereunder.
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Exercise Price means, prior to any adjustment
pursuant to Section 4 of this Agreement, the Initial
Exercise Price; and thereafter, the Initial Exercise Price as
successively adjusted and readjusted from time to time in
accordance with the provisions of Section 4.
Expiration Time means 5:00 p.m., Eastern
time,
on ,
2015.
Fair Market Value means, with respect to any
security or other property, the fair market value of such
security or other property as determined by the Board of
Directors, acting in good faith. The Required Warrantholders may
object in writing to the Board of Directors calculation of
Fair Market Value within 10 days of receipt of written
notice thereof. If the Required Warrantholders and the Board of
Directors are unable to agree on Fair Market Value during the
10-day
period following the delivery of the Required
Warrantholders objection, then the Board of Directors
shall select and approve an appraiser experienced in the
business of evaluating or appraising the market value of
securities (which appraiser shall be subject to approval by the
Required Warrantholders, which approval shall not be
unreasonably withheld). The Fair Market Value established by
such appraiser shall be conclusive and binding on the parties.
In the event the Fair Market Value established by such appraiser
is greater than the Fair Market Value previously determined by
the Board of Directors, the fees and expenses for such appraiser
shall be borne by the Company. In the event the Fair Market
Value established by such appraiser is less than or equal to the
Fair Market Value previously determined by the Board of
Directors, the fees and expenses for such appraiser shall be
borne by the holders of Warrants.
Fully Diluted Number of Common Shares means
the sum of (i) all shares of Common Stock actually
outstanding (which shall in no event include the Common Stock to
be so issued and sold and for which Section 4.3 is
being applied) and (ii) all shares of Common Stock issuable
upon conversion or exchange of the Common Stock Equivalents.
Initial Exercise Price means $10.00 per
share of Common Stock.
Issue Date
means ,
20 .
Law has the set forth in
Section 1.1.
Market Price means, with respect to a
particular security, on any given day, the last reported sale
price or, in case no such reported sale takes place on such day,
the average of the last closing bid and ask prices in either
case on the Exchange on which the applicable securities are
listed or admitted to trading. Market Price shall be
determined without reference to after hours or extended hours
trading. If such security is not listed and traded in a manner
that the quotations referred to above are available for the
period required hereunder, the Market Price per share of Common
Stock shall be deemed to be the fair market value per share of
such security as determined in good faith by the Board of
Directors in reliance on an opinion of a nationally recognized
independent investment banking corporation retained by the
Company for this purpose (which opinion shall be made available
to the holders of Warrants); provided that the Required
Warrantholders may object in writing to the Board of
Directors calculation of fair market value within
10 days of receipt of written notice thereof. If the
Required Warrantholders and the Board of Directors are unable to
agree on fair market value during the
10-day
period following the delivery of the Required
Warrantholders objection, then the Board of Directors
shall select and approve an appraiser experienced in the
business of evaluating or appraising the market value of
securities (which appraiser shall be subject to approval by the
Required Warrantholders, which approval shall not be
unreasonably withheld). The Market Price established by such
appraiser shall be conclusive and binding on the parties. In the
event the Market Price established by such appraiser is greater
than the Market Price previously determined by the Board of
Directors, the fees and expenses for such appraiser shall be
borne by the Company. In the event the Market Price established
by such appraiser is less than or equal to the Market Price
previously determined by the Board of Directors, the fees and
expenses for such appraiser shall be borne by the holders of
Warrants. For the purposes of determining the Market Price of
the Common Stock on the trading day preceding, on or
following the occurrence of an event, (i) that trading day
shall be deemed to commence immediately after the regular
scheduled closing time of trading on the Nasdaq Stock Market or,
if trading is closed at an earlier time, such earlier time and
(ii) that trading day shall end at the next regular
scheduled closing time, or if trading is closed at an earlier
time, such earlier time (for the avoidance of doubt, and as an
example, if the Market Price is to be determined as of the last
trading day preceding a specified event and the
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closing time of trading on a particular day is 4:00 p.m.
and the specified event occurs at 5:00 p.m. on that day,
the Market Price would be determined by reference to such
4:00 p.m. closing price).
Merger Agreement means the Agreement and Plan
of Merger, dated as January 24, 2010, by and among the
Company, Camelot Acquisition Corp., a Delaware corporation, a
Delaware corporation, Critical Homecare Solutions Holdings,
Inc., a Delaware corporation, and the Purchasers (other than
Colleen Lederer).
Per Share Fair Market Value has the meaning
set forth in Section 4.4.
Person has the meaning given to it in
Section 3(a)(9) of the Exchange Act and as used in
Sections 13(d)(3) and 14(d)(2) of the Exchange Act.
Purchasers has the meaning set forth in the
introductory paragraph hereof.
Required Warrantholders means, at any time,
the holders of Warrants representing at least a majority of the
Common Stock issuable upon exercise of the Warrants issued
hereunder and outstanding (exclusive of any Warrants directly or
indirectly held by the Company or any Affiliate of the Company).
Securities Act means the Securities Act of
1933, as amended, or any successor statute, and the rules and
regulations promulgated thereunder.
Stockholders Agreement means the
Stockholders Agreement of even date herewith among the
Company and the Purchasers, as such agreement may be amended
from time to time pursuant to its terms.
Tax has the set forth in
Section 1.5(a).
trading day means (A) if the shares of
Common Stock are not traded on any national or regional
securities exchange or association or
over-the-counter
market, a business day or (B) if the shares of Common Stock
are traded on any national or regional securities exchange or
association or
over-the-counter
market, a business day on which such relevant exchange or
quotation system is scheduled to be open for business and on
which the shares of Common Stock (i) are not suspended from
trading on any national or regional securities exchange or
association or
over-the-counter
market for any period or periods aggregating one half hour or
longer; and (ii) have traded at least once on the national
or regional securities exchange or association or
over-the-counter
market that is the primary market for the trading of the shares
of Common Stock.
Transferee means any registered transferee of
all or any part of any one or more Warrant Certificates
initially acquired by the Purchasers under this Agreement;
provided, that such transfer is in accordance with the
Stockholders Agreement, if applicable.
U.S. GAAP means United States generally
accepted accounting principles.
Warrant means a warrant to initially purchase
one share of Common Stock issued pursuant to this Agreement and
the Merger Agreement.
Warrant Certificate means a certificate
evidencing the Warrants in the form of Attachment A.
5.2. Section Heading and Table of Contents and
Construction.
(a) Section Headings and Table of Contents,
etc. The titles of the Sections of this Agreement and
the Table of Contents of this Agreement appear as a matter of
convenience only, do not constitute a part hereof and shall not
affect the construction hereof. The words herein,
hereof, hereunder and hereto
refer to this Agreement as a whole and not to any particular
Section or other subdivision. References to Sections are, unless
otherwise specified, references to Sections of this Agreement.
References to Annexes and Attachments are, unless otherwise
specified, references to Annexes and Attachments attached to
this Agreement.
(b) Independent Construction. Each covenant
contained herein shall be construed (absent an express contrary
provision herein) as being independent of each other covenant
contained herein, and compliance with any one covenant shall not
(absent such an express contrary provision) be deemed to excuse
compliance with one or more other covenants.
C-12
5.3. Directly or Indirectly.
Where any provision herein refers to action to be taken by any
Person, or which such Person is prohibited from taking, such
provision shall be applicable whether such action is taken
directly or indirectly by such Person, including actions taken
by or on behalf of any partnership in which such Person is a
general partner.
5.4. Governing Law.
THIS AGREEMENT AND THE WARRANT CERTIFICATES SHALL BE CONSTRUED
AND ENFORCED IN ACCORDANCE WITH, AND THE RIGHTS OF THE PARTIES
SHALL BE GOVERNED BY, THE INTERNAL LAWS OF THE STATE OF NEW
YORK, WITHOUT GIVING EFFECT TO THE CONFLICT OF LAWS
RULES THEREOF TO THE EXTENT THAT ANY SUCH RULES WOULD
REQUIRE OR PERMIT THE APPLICATION OF THE LAWS OF ANY OTHER
JURISDICTION, EXCEPT TO THE EXTENT THAT THE DELAWARE GENERAL
CORPORATION LAW SPECIFICALLY AND MANDATORILY APPLIES.
6. MISCELLANEOUS.
6.1. Expenses.
Issuance of certificates for shares of Common Stock to a holder
upon the exercise of any Warrants shall be made without charge
to such holder for any Tax or other incidental expense in
respect of the issuance of such certificates, all of which Taxes
and expenses shall be paid by the Company (other than the Taxes
not payable by the Company pursuant to Section 3.3).
6.2. Amendment and Waiver.
This Agreement may be amended, and the observance of any term of
this Agreement may be waived, with and only with the written
consent of the Company and the Required Warrantholders;
provided, however, that no amendment or waiver of the
provisions of this Section 2.1,
Section 6.2, Section 4 or of any term
defined in Section 5.1 to the extent used herein or
therein, may be made without the prior written consent of all
holders of Warrants then outstanding (excluding any Warrants
directly or indirectly held by the Company or any Affiliate of
the Company); and, provided, further, that
(a) no such amendment or waiver of any of the provisions of
this Agreement pertaining to the Exercise Price or the number of
shares or kind of Common Stock that may be purchased upon
exercise of each Warrant; and
(b) no change accelerating the occurrence of the Expiration
Time;
shall be effective as to a holder of Warrants unless consented
to in writing by such holder.
6.3. Warrants Subject to Stockholders Agreement.
The holders of the Warrants and the Company are subject in all
respects to the terms of the Stockholders Agreement, the
terms and provisions of which are incorporated herein,
mutatis mutandis, as if set forth fully herein. By its
acceptance of a Warrant Certificate, each holder of Warrants
agrees to be bound by the provisions of the Stockholders
Agreement to the extent applicable.
6.4. Entire Agreement.
This Agreement, the Merger Agreement, the Stockholders
Agreement and the Warrant Certificates embody the entire
agreement and understanding among the Company and the
Purchasers, and supersede all prior agreements and
understandings, relating to the subject matter hereof.
6.5. Successors and Assigns.
All covenants and other agreements in this Agreement made by or
on behalf of any of the parties hereto shall bind and inure to
the benefit of the respective successors and assigns of the
parties hereto to the extent they become holders of Warrants
(including, without limitation, any Transferee) whether so
expressed or not. Notwithstanding the foregoing sentence, the
Company may not assign any of its rights, duties or obligations
hereunder or under the Warrant Certificates without the prior
written consent of the Required Warrantholders.
C-13
6.6. Notices.
All communications hereunder or under the Warrants shall be in
writing and shall be delivered either by certified or registered
mail, postage pre-paid, return receipt requested, or nationally
recognized overnight courier, and shall be addressed to the
following addresses:
(a) if to a Purchaser, at its address set forth on
Annex 2 to this Agreement, or at such other address
as such Purchaser shall have specified to the Company in writing;
(b) if to any other holder of any Warrant Certificate,
addressed to such other holder at such address as such other
holder shall have specified to the Company in writing or, if any
such other holder shall not have so specified an address to the
Company, then addressed to such other holder in care of the last
holder of such Warrant Certificate that shall have so specified
an address to the Company; and
(c) if to the Company, at the address set forth on
Annex 3 to this Agreement, or at such other address
as the Company shall have specified to each holder of Warrants
in writing.
Any communication addressed and delivered as herein provided
shall be deemed to be received when actually delivered to the
address of the addressee (whether or not delivery is accepted)
by a nationally recognized overnight delivery service which
provides proof of delivery or on the date postmarked if sent by
registered or certified mail, as the case may be. Any
communication not so addressed and delivered shall be
ineffective unless actually received by the intended addressee.
Notwithstanding the foregoing provisions of this
Section 6.6, service of process in any suit, action
or proceeding arising out of or relating to this Agreement or
any document, agreement or transaction contemplated hereby shall
be delivered in the manner provided in
Section 6.9(c).
6.7. Severability.
Any provision of this Agreement that is prohibited or
unenforceable in any jurisdiction shall, as to such
jurisdiction, be ineffective to the extent of such prohibition
or unenforceability without invalidating the remaining
provisions hereof, and any such prohibition or unenforceability
in any jurisdiction shall not invalidate or render unenforceable
such provision in any other jurisdiction.
6.8. Execution in Counterpart.
This Agreement may be executed in one or more counterparts and
shall be effective when at least one counterpart shall have been
executed by each party hereto, and each set of counterparts
that, collectively, show execution by each party hereto shall
constitute one duplicate original.
6.9. Waiver of Jury Trial; Consent to Jurisdiction, Etc.
(a) Waiver of Jury Trial. THE PARTIES HERETO
VOLUNTARILY AND INTENTIONALLY WAIVE ANY RIGHT ANY OF THEM MAY
HAVE TO A TRIAL BY JURY IN RESPECT OF ANY LITIGATION ARISING OUT
OF, UNDER OR IN CONNECTION WITH THIS AGREEMENT OR THE WARRANTS
OR ANY OF THE DOCUMENTS, AGREEMENTS OR TRANSACTIONS CONTEMPLATED
HEREBY.
(b) Consent to Jurisdiction. ANY SUIT, ACTION OR
PROCEEDING ARISING OUT OF OR RELATING TO THIS AGREEMENT OR THE
WARRANTS, OR ANY OF THE DOCUMENTS, AGREEMENTS OR TRANSACTIONS
CONTEMPLATED HEREBY (WHETHER IN TORT, CONTRACT OR OTHERWISE) OR
ANY ACTION OR PROCEEDING TO EXECUTE OR OTHERWISE ENFORCE ANY
JUDGMENT IN RESPECT OF ANY BREACH UNDER THIS AGREEMENT, THE
WARRANTS OR ANY DOCUMENT OR AGREEMENT CONTEMPLATED HEREBY SHALL
BE BROUGHT BY SUCH PARTY IN ANY NEW YORK STATE COURT OR FEDERAL
DISTRICT COURT LOCATED IN THE SOUTHERN DISTRICT OF NEW YORK AS
SUCH PARTY MAY IN ITS SOLE DISCRETION ELECT, AND BY THE
EXECUTION AND DELIVERY OF THIS AGREEMENT, THE PARTIES HERETO
IRREVOCABLY AND UNCONDITIONALLY SUBMIT TO THE IN PERSONAM
JURISDICTION OF EACH SUCH COURT, AND EACH OF THE PARTIES HERETO
IRREVOCABLY WAIVES AND AGREES NOT TO ASSERT IN ANY PROCEEDING
BEFORE ANY TRIBUNAL, BY WAY OF MOTION, AS A DEFENSE OR
OTHERWISE, ANY CLAIM THAT IT IS NOT SUBJECT TO THE IN
PERSONAM JURISDICTION OF ANY SUCH COURT. IN ADDITION, EACH
OF THE PARTIES HERETO IRREVOCABLY WAIVES, TO THE FULLEST EXTENT
PERMITTED BY LAW, ANY OBJECTION THAT IT
C-14
MAY NOW OR HEREAFTER HAVE TO THE LAYING OF VENUE IN ANY SUIT,
ACTION OR PROCEEDING ARISING OUT OF OR RELATING TO THIS
AGREEMENT OR ANY DOCUMENT, AGREEMENT OR TRANSACTION CONTEMPLATED
HEREBY BROUGHT IN ANY SUCH COURT, AND HEREBY IRREVOCABLY WAIVES
ANY CLAIM THAT ANY SUCH SUIT, ACTION OR PROCEEDING BROUGHT IN
ANY SUCH COURT HAS BEEN BROUGHT IN AN INCONVENIENT FORUM.
(c) Service of Process. EACH PARTY HERETO
IRREVOCABLY AGREES THAT PROCESS PERSONALLY SERVED OR SERVED BY
U.S. REGISTERED MAIL AT THE ADDRESSES PROVIDED HEREIN FOR
NOTICES SHALL CONSTITUTE, TO THE EXTENT PERMITTED BY LAW,
ADEQUATE SERVICE OF PROCESS IN ANY SUIT, ACTION OR PROCEEDING
ARISING OUT OF OR RELATING TO THIS AGREEMENT, THE WARRANTS OR
ANY DOCUMENT, AGREEMENT OR TRANSACTION CONTEMPLATED HEREBY, OR
ANY ACTION OR PROCEEDING TO EXECUTE OR OTHERWISE ENFORCE ANY
JUDGMENT IN RESPECT OF ANY BREACH HEREUNDER, UNDER THE WARRANTS
OR UNDER ANY DOCUMENT OR AGREEMENT CONTEMPLATED HEREBY. RECEIPT
OF PROCESS SO SERVED SHALL BE CONCLUSIVELY PRESUMED AS EVIDENCED
BY A DELIVERY RECEIPT FURNISHED BY THE UNITED STATES POSTAL
SERVICE OR ANY COMMERCIAL DELIVERY SERVICE.
[Remainder
of page intentionally left blank; next page is signature page]
C-15
IN WITNESS WHEREOF, each of the parties hereto has caused this
Agreement to be duly executed and delivered on its behalf by one
of its duly authorized officers or representatives.
BIOSCRIP, INC.
Name:
KOHLBERG INVESTORS V, L.P.
By: Kohlberg Management V, L.L.C., its general partner
Name:
KOHLBERG TE INVESTORS V, L.P.
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|
|
By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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Name:
KOHLBERG OFFSHORE INVESTORS V, L.P.
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By:
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Kohlberg Management V, L.L.C., its general partner
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By:
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Name:
[Signature Page to Warrant Agreement]
C-16
KOHLBERG PARTNERS V, L.P.
By: Kohlberg Management V, L.L.C., its general partner
Name:
KOCO INVESTORS V, L.P.
Name:
S.A.C. DOMESTIC CAPITAL FUNDING, LTD.
Name:
BLACKSTONE MEZZANINE PARTNERS II, L.P.
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By:
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Blackstone Mezzanine Associates II L.P., its General Partner,
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By:
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Blackstone Mezzanine Management Associates II L.L.C., its
General Partner,
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By:
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Name:
[Signature Page to Warrant Agreement]
C-17
BLACKSTONE MEZZANINE HOLDINGS II, L.P.
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By:
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Blackstone Mezzanine Associates II L.P., Its General
Partner
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By:
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Blackstone Mezzanine Management Associates II L.L.C., Its
General Partner
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By:
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Name:
Nitin Patel
Robert Cucuel
Mary Jane Graves
Joey Ryan
Colleen Lederer
[Signature
Page to Warrant Agreement]
C-18
ATTACHMENT
A
[FORM OF
WARRANT CERTIFICATE]
THE SECURITIES REPRESENTED BY THIS CERTIFICATE HAVE NOT BEEN
REGISTERED UNDER THE SECURITIES ACT OF 1933, AS AMENDED, OR ANY
APPLICABLE STATE SECURITIES LAWS AND MAY NOT BE OFFERED OR SOLD
EXCEPT IN A TRANSACTION REGISTERED UNDER SUCH ACT OR PURSUANT TO
AN EXEMPTION FROM THE REGISTRATION REQUIREMENTS OF SUCH ACT
OR STATE SECURITIES LAWS.
THE SECURITIES REPRESENTED BY THIS CERTIFICATE ARE SUBJECT TO
THE TERMS OF A CERTAIN WARRANT AGREEMENT, DATED AS OF
,
20 , THE PROVISIONS OF WHICH ARE INCORPORATED HEREIN
BY REFERENCE. A COPY OF SUCH AGREEMENT IS AVAILABLE FROM THE
COMPANY UPON REQUEST.
WARRANT
CERTIFICATE
BIOSCRIP,
INC.
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No. WR-
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Warrants
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Date: ,
20
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PPN #
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This Warrant Certificate certifies
that ,
or registered assigns, is the registered holder
of
( )Warrants.
Each Warrant entitles the owner thereof to purchase at any time
on or after the date hereof and on or prior to the Expiration
Time, one (1) fully paid and nonassessable share of Common
Stock, $.001 par value per share (the Common
Stock), of BIOSCRIP, INC., a Delaware corporation
(together with its successors and assigns, the
Company), at a purchase price (subject to
adjustment as provided in the Warrant Agreement (as defined
below), the Exercise Price) of $10.00 per
share of Common Stock upon presentation and surrender of this
Warrant Certificate to the Company with a duly executed election
to purchase and payment of the Exercise Price, all in the manner
set forth in the Warrant Agreement (defined below). The number
of shares of Common Stock that may be initially purchased upon
exercise of each Warrant and the Exercise Price are the number
and the Exercise Price as of the date hereof, and are subject to
adjustment as referred to below.
The Warrants are issued pursuant to a Warrant Agreement (as it
may from time to time be amended or supplemented, the
Warrant Agreement), dated as
of ,
20 , among the Company and the Purchasers named
therein, and are subject to all of the terms, provisions and
conditions thereof, which Warrant Agreement is hereby
incorporated herein by reference and made a part hereof and to
which Warrant Agreement reference is hereby made for a full
description of the rights, obligations, duties and immunities of
the Company and the holders of the Warrant Certificates.
Capitalized terms used, but not defined, herein have the
respective meanings ascribed to them in the Warrant Agreement.
In the event of any conflict between this Warrant Certificate
and the Warrant Agreement, the Warrant Agreement shall control
and govern.
As provided in the Warrant Agreement, the Exercise Price and the
number of shares of Common Stock that may be purchased upon the
exercise of the Warrants evidenced by this Warrant Certificate
are, upon the happening of certain events, subject to
modification and adjustment. Except as otherwise set forth in,
and subject to, the Warrant Agreement, the Expiration Time of
this Warrant Certificate is as set forth in the Warrant
Agreement.
This Warrant Certificate shall be exercisable, at the election
of the holder, at any time on or after the date hereof and on or
prior to the Expiration Time either as an entirety or in part
from time to time. If this Warrant Certificate shall be
exercised in part, the holder shall be entitled to receive, upon
surrender hereof, another Warrant Certificate or Warrant
Certificates for the number of Warrants not exercised. This
Warrant Certificate, with or without other Warrant Certificates,
upon surrender in the manner set forth in the Warrant Agreement
and subject to the conditions set forth in the Warrant Agreement
and the Stockholders Agreement, may be transferred or
exchanged for another Warrant Certificate or Warrant
Certificates of like tenor evidencing Warrants entitling the
holder to purchase a like aggregate number of shares of Common
Stock as the Warrants evidenced by the Warrant Certificate or
Warrant Certificates surrendered shall have entitled such holder
to purchase.
C-19
Except as expressly set forth in the Warrant Agreement or the
Stockholders Agreement, no holder of this Warrant
Certificate shall be entitled to vote or receive distributions
or be deemed for any purpose the holder of shares of Common
Stock or of any other Securities of the Company that may at any
time be issued upon the exercise hereof, nor shall anything
contained in the Warrant Agreement or herein be construed to
confer upon the holder hereof, as such, any of the rights of a
holder of a share of Common Stock in the Company or any right to
vote upon any matter submitted to holders of shares of Common
Stock at any meeting thereof, or to give or withhold consent to
any corporate action of the Company (whether upon any
recapitalization, issuance of stock, reclassification of
Securities, change of par value, consolidation, merger,
conveyance, or otherwise), or to receive dividends or
subscription rights, or otherwise, until the Warrant or Warrants
evidenced by this Warrant Certificate shall have been exercised
as provided in the Warrant Agreement.
THIS WARRANT CERTIFICATE SHALL BE CONSTRUED AND ENFORCED IN
ACCORDANCE WITH, AND THE RIGHTS OF THE COMPANY AND THE HOLDER
HEREOF SHALL BE GOVERNED BY, THE INTERNAL LAWS OF THE STATE OF
NEW YORK, WITHOUT GIVING EFFECT TO THE CONFLICT OF LAWS
RULES THEREOF TO THE EXTENT THAT ANY SUCH RULES WOULD
REQUIRE OR PERMIT THE APPLICATION OF THE LAWS OF ANY OTHER
JURISDICTION, EXCEPT TO THE EXTENT THAT THE DELAWARE GENERAL
CORPORATION LAW SPECIFICALLY AND MANDATORILY APPLIES.
C-20
WITNESS the signature of a proper officer of the Company
as of the date first above written.
BIOSCRIP, INC.
Name:
Title:
C-21
[FORM OF
ASSIGNMENT]
(To be
executed by the registered holder if
such
holder desires to transfer the Warrant Certificate)
FOR VALUE
RECEIVED,
hereby sells, assigns and transfers unto
(Please print name and address of transferee.)
the accompanying Warrant Certificate, together with all right,
title and interest therein, and does hereby irrevocably
constitute and appoint:
attorney, to transfer the accompanying Warrant Certificate on
the books of the Company with full power of substitution.
Dated: , .
[HOLDER]
NOTICE
The signature to the foregoing Assignment must correspond to the
name as written upon the face of the accompanying Warrant
Certificate or any prior assignment thereof in every particular,
without alteration or enlargement or any change whatsoever.
C-22
[FORM OF
ELECTION TO PURCHASE]
(To be
executed by the registered holder if
such
holder desires to exercise the Warrant Certificate)
To: BIOSCRIP, INC.
The undersigned hereby irrevocably elects to
exercise
Warrants represented by the accompanying Warrant Certificate to
purchase the shares of Common Stock issuable upon the exercise
of such Warrants, and requests that certificates for such shares
be issued in the name of:
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(Please
print name and address.)
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(Please
insert social security or other identifying number.)
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If such number of Warrants shall not be all the Warrants
evidenced by the accompanying Warrant Certificate, a new Warrant
Certificate for the balance remaining of such Warrants shall be
registered in the name of and delivered to:
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(Please
print name and address.)
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(Please
insert social security or other identifying number.)
|
The undersigned is paying the Exercise Price for the Common
Stock to be issued on exercise of the foregoing Warrants, unless
payment of such Exercise Price has been waived by the Company:
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by certified or bank check by wire transfer pursuant to
Section 2.1(a)(i) of the Warrant Agreement; or
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by cashless exercise pursuant to Section 2.1(a)(ii) of the
Warrant Agreement.
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[HOLDER]
Dated: , .
NOTICE
The signature to the foregoing Election to Purchase must
correspond to the name as written upon the face of the
accompanying Warrant Certificate or any prior assignment thereof
in every particular, without alteration or enlargement or any
change whatsoever.
C-23
ANNEX 1
Warrants
Issuable to the Purchasers
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Purchaser
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No. of Warrants
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Kohlberg Investors V, L.P.
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1,585,904
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Kohlberg Partners V, L.P.
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89,302
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Kohlberg Offshore Investors V, L.P.
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106,232
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Kohlberg TE Investors V, L.P.
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1,153,407
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KOCO Investors V, L.P.
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70,042
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Blackstone Mezzanine Partners II, L.P.
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72,119
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Blackstone Mezzanine Holdings II, L.P.
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3,003
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S.A.C. Domestic Capital Funding, Ltd.
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18,781
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Robert Cucuel
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172,648
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Mary Jane Graves
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66,446
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Nitin Patel
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24,698
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Joey Ryan
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23,178
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Colleen Lederer
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15,185
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Total
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3,400,945
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C-24
ANNEX 2
Address
for Purchasers for Notices
[Purchaser]
c/o Kohlberg
Investors V, L.P.
c/o Kohlberg &
Company
111 Radio Circle
Mount Kisco, New York 10549
Attention: Gordon Woodward
In each case with a copy to:
Paul, Weiss, Rifkind, Wharton & Garrison LLP
1285 Avenue of the Americas
New York, New York 10019 6064
Attention: Angelo Bonvino, Esq.
C-25
ANNEX 3
Address
of Company for Notices
BioScrip, Inc.
100 Clearbrook Road
Elmsford, New York 10523
Attention: Chief Executive Officer
With a copy to:
King & Spalding LLP
1185 Avenue of the Americas
New York, New York 10036
Attention: E. William Bates II, Esq.
C-26
Annex
D
PRIVILEGED AND CONFIDENTIAL
January 24, 2010
The Board of Directors
Bioscrip, Inc.,
100 Clearbrook Road
Elmsford, NY 10523
Members of the Board:
We understand that Bioscrip, Inc., a Delaware corporation
(Parent), and Camelot Acquisition Corp., a Delaware
corporation (Merger Sub), a wholly-owned subsidiary
of Parent, Critical Homecare Solutions Holdings, Inc., a
Delaware corporation (the Company), Kohlberg
Investors V, L.P., a Delaware limited partnership, in its
capacity as the Stockholders Representative and as a
stockholder, Kohlberg Partners V, L.P., a Delaware limited
partnership, Kohlberg Offshore Investors V, L.P., a
Delaware limited partnership, Kohlberg TE Investors V,
L.P., a Delaware limited partnership, KOCO Investors V,
L.P., a Delaware limited partnership, Robert Cucuel, Mary Jane
Graves, Nitin Patel, Joey Ryan, Blackstone Mezzanine
Partners II L.P., a Delaware limited partnership,
Blackstone Mezzanine Holdings II L.P., a Delaware limited
partnership, and S.A.C. Domestic Capital Funding, Ltd. a Cayman
Islands limited company (collectively, the Target
Stockholders) propose to enter into an Agreement and Plan
of Merger (the Merger Agreement), pursuant to which
Company will merge with and into the Merger Sub (the
Merger) and that Merger Sub will survive the Merger
as a wholly owned subsidiary of Parent. In connection with the
closing of the Merger, Parent will assume or refinance certain
net indebtedness of the Company and deliver a combination of
cash, Parents common stock (Common Stock), and
warrants based upon a total purchase price of $365,000,000 as
follows: (i) assumption of $132,000,000 of net
indebtedness; (ii) $110,000,000 in cash (subject to
adjustment if net indebtedness does not equal $132,000,000);
(iii) $108,000,000 of Common Stock, (subject to adjustment
if net indebtedness does not equal $132,000,000), $22,500,000 of
which will be deposited into escrow (the Escrow
Amount) and will be available to satisfy an indemnity to
Parent; and (iv) warrants valued at $15,000,000
(collectively, after taking into account the assumptions in
clauses (i) through (iii) of the following sentence,
the Consideration). For all purposes in connection
with our opinion, we have been advised by Parent
and/or have
assumed, among other things, that (i) the Companys
net indebtedness as of the Closing Date will equal $132,000,000,
(ii) the Escrow Amount will be fully paid and (iii) a
value of $8.3441 per share of Common Stock, resulting in the
payment of 12,943,277 shares of Common Stock in the
aggregate and 3,400,945 warrants. Further, we understand that if
the Consideration is adjusted in respect of any increase or
decrease in net indebtedness of the Company as of the Closing
Date, such adjustments will be made on a
dollar-for-dollar
basis corresponding to the actual increase or decrease in such
net indebtedness; thus, for all purposes of our opinion and
analyses hereunder we have assumed that any adjustments to the
Consideration provided for in the Merger Agreement would have no
net affect on the fairness, from a financial point of view, to
Parent, of the Consideration to be paid by Parent pursuant to
the Merger Agreement, and have disregarded any such potential
adjustments. The terms and conditions of the Merger are more
fully set forth in the Merger Agreement and terms capitalized
but not defined herein are used as defined in the Merger
Agreement.
You have asked for our opinion as to whether the Consideration
to be paid by Parent pursuant to the Merger Agreement is fair,
as of the date hereof, from a financial point of view, to Parent.
In arriving at our opinion, we have, among other things:
(i) reviewed a draft dated January 22, 2010 of the
Merger Agreement;
(ii) reviewed certain diligence information compiled at the
request of Parents management;
(iii) reviewed certain publicly available financial and
other information about the Company;
(iv) reviewed certain information furnished to us by
Parents and the Companys management, including
financial forecasts and analyses, relating to the business,
operations and prospects of Parent
and/or the
Company;
(v) held discussions with members of senior management of
Parent and the Company concerning the matters described in
clauses (iii) and (iv) above;
(vi) compared the Company to certain publicly traded
companies that we deemed relevant;
(vii) compared the proposed financial terms of the Merger
with the financial terms of certain other transactions that we
deemed relevant;
(viii) considered the potential pro forma impact of the
Merger; and
(ix) conducted such other financial studies, analyses and
investigations as we deemed appropriate.
In our review and analysis and in rendering this opinion, we
have assumed and relied upon, but have not assumed any
responsibility to independently investigate or verify, the
accuracy and completeness of all financial and other information
that was supplied or otherwise made available by Parent or the
Company or that was publicly available to us (including, without
limitation, the information described above), or that was
otherwise reviewed by us. We have relied on assurances of the
management of Parent and the Company that they are not aware of
any facts or circumstances that would make such information
inaccurate or misleading. In our review, we did not obtain any
independent evaluation or appraisal of any of the assets or
liabilities of, nor did we conduct a physical inspection of any
of the properties or facilities of, the Company, nor have we
been furnished with any such evaluations, or appraisals or the
results of any such physical inspections, nor do we assume any
responsibility to obtain any such evaluations or appraisals or
conduct any such physical inspections. We have assumed that the
representations and warranties of all of the parties contained
in the Merger Agreement are true and correct, that each of the
parties will perform all of the covenants and agreements
required to be performed by it under the Merger Agreement and
that all conditions to the consummation of the Merger will be
satisfied without waiver or amendment thereof.
With respect to the financial forecasts provided to and examined
by us, we note that projecting future results of any company is
inherently subject to uncertainty. Parent and the Company have
informed us, however, and we have assumed, that such financial
forecasts were reasonably prepared on bases reflecting the best
currently available estimates and good faith judgments of the
management of Parent and the Company as to the future financial
performance of Parent or the Company, or the realization of
expected synergies as a result of the Merger, as applicable. We
express no opinion as to Parents or the Companys
financial forecasts or the assumptions on which they are made.
Our opinion is based on economic, monetary, regulatory, market
and other conditions existing and which can be evaluated as of
January 24, 2010. We expressly disclaim any undertaking or
obligation to advise any person of any change in any fact or
matter affecting our opinion of which we become aware after such
date.
We have made no independent investigation of any legal or
accounting matters affecting Parent
and/or the
Company, and we have assumed the correctness in all respects
material to our analysis of all legal and accounting advice
given to Parent and its Board of Directors, including, without
limitation, advice as to the legal, accounting and tax
consequences of the terms of, and transactions contemplated by,
the Merger Agreement to Parent. You have advised us that the
Merger will qualify as a tax-free reorganization for federal
income tax purposes. We have assumed that the final form of the
Merger Agreement will be substantially similar to the last draft
reviewed by us. We have also assumed that in the course of
obtaining the necessary regulatory or third party approvals,
consents and
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releases for the Merger, no delay, limitation, restriction or
condition will be imposed that would have an adverse effect on
the Company, Parent or the contemplated benefits of the Merger.
It is understood that our opinion is for the use and benefit of
the Board of Directors of Parent in its consideration of the
Merger, and our opinion does not address the relative merits of
the transactions contemplated by the Merger Agreement as
compared to any alternative transaction or opportunity that
might be available to Parent, nor does it address the underlying
business decision by Parent to engage in the Merger or the terms
of the Merger Agreement or the documents referred to therein.
Our opinion does not constitute a recommendation as to how any
holder of shares of Parent, or any other person, including any
shareholder of the Company, should vote or act with respect to
the Merger or any matter related thereto. We express no opinion
as to the price at which shares of Common Stock will trade at
any time. Our opinion speaks only as to the fairness, from a
financial point of view, to Parent, as of the date hereof, of
the Consideration and does not address any other aspect of the
Merger Agreement or any other agreement or transaction
contemplated thereby. Furthermore, we do not express any view or
opinion as to the fairness, financial or otherwise, of the
amount or nature of any compensation payable or to be received
by any of Parents or the Companys officers,
directors or employees, or any class of such persons, in
connection with the Merger relative to the Consideration. Our
opinion has been authorized by the Fairness Committee of
Jefferies & Company, Inc.
We have been engaged by Parent to act as financial advisor in
connection with the Merger and will receive a fee for our
services, a portion of which is payable upon delivery of this
opinion and a significant portion of which is payable contingent
upon consummation of the Merger. We also will be reimbursed for
expenses incurred. Parent has agreed to indemnify us against
liabilities arising out of or in connection with the services
rendered and to be rendered by us under such engagement.
Jefferies Finance LLC, an affiliate of ours, has also been
engaged to provide financing to Parent
and/or
Merger Sub in connection with the closing of the transactions
contemplated by the Merger Agreement and will receive fees for
its services in connection therewith, a significant portion of
which will only be received if the closing of the Merger takes
place. We currently hold a portion of the Companys
outstanding debt, which will be repaid in connection with the
closing of the Merger. We have, in the past, provided financial
advisory
and/or
financing services to Parent, the Company, and the Target
Stockholders and may continue to do so and have received, and
may receive in the future, fees for the rendering of such
services. We maintain a market in the securities of Parent, and
in the ordinary course of our business, we and our affiliates
may trade or hold securities of Parent or the Company
and/or their
respective affiliates for our own account and for the accounts
of our customers and, accordingly, may at any time hold long or
short positions in those securities. In addition, we may seek
to, in the future, provide financial advisory and financing
services to Parent, the Company, the Target Stockholders or
entities that are affiliated with such persons, for which we
would expect to receive compensation. Except as otherwise
expressly provided in our engagement letter with Parent, our
opinion may not be used or referred to by Parent or any other
person, or quoted or disclosed to any person in any matter,
without our prior written consent.
Based upon and subject to the foregoing, we are of the opinion
that, as of the date hereof, the Consideration to be paid by
Parent pursuant to the Merger Agreement is fair, from a
financial point of view, to Parent.
Very truly yours,
JEFFERIES & COMPANY, INC.
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