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SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
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FORM 10-K/A
(Mark One)
/X/ ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES EXCHANGE
ACT OF 1934
For the fiscal year ended: September 30, 1997 OR
/ / TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(D) OF THE SECURITIES
EXCHANGE ACT OF 1934
For the transition period from to
Commission File Number 0-19758
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ACCESS HEALTH, INC.
(EXACT NAME OF REGISTRANT AS SPECIFIED IN ITS CHARTER)
DELAWARE 68-0163589
(State or other jurisdiction of (I.R.S. Employer
incorporation or organization) Identification Number)
335 INTERLOCKEN PARKWAY, BROOMFIELD, CO 80021
(address of principal executive offices) (zip code)
Registrant's telephone number, including area code: (303) 466-9500
SECURITIES REGISTERED PURSUANT TO SECTION 12(b) OF THE ACT: None
SECURITIES REGISTERED PURSUANT TO SECTION 12(g) OF THE ACT: Common Stock, $.001
par value
(TITLE OF CLASS)
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Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days. Yes /X/ No / /.
Indicate by check mark if disclosure of delinquent filers pursuant to Item
405 of Regulation S-K is not contained herein, and will not be contained, to the
best of registrant's knowledge, in definitive proxy or information statements
incorporated by reference in Part III of this Form 10-K or any amendment to this
Form 10-K. / /
The aggregate market value of voting stock held by non-affiliates of the
registrant as of November 30, 1997 was approximately $350,528,780 based upon the
last sales price reported for such date on the NASDAQ National Market System.
For purposes of this disclosure, shares of Common Stock held by persons who hold
more than 5% of the outstanding shares of Common Stock and shares held by
officers and directors of the registrant, have been excluded in that such
persons may be deemed to be affiliates. This determination is not necessarily
conclusive.
At November 30, 1997, registrant had outstanding 18,555,147 shares of Common
Stock.
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DOCUMENTS INCORPORATED BY REFERENCE
The information called for by Part III of this Form 10-K is incorporated by
reference to the definitive proxy statement for the annual meeting of
stockholders of the Company which will be filed no later than 120 days after
September 30, 1997.
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TABLE OF CONTENTS
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PART I
Item 1. Business....................................................................... 4
Item 2. Properties..................................................................... 14
Item 3. Legal Proceedings.............................................................. 14
Item 4. Submission of Matters to a Vote of Security Holders............................ 14
PART II
Item 5. Market for Registrant's Common Equity and Related Stockholder Matters.......... 15
Item 6. Selected Financial Data........................................................ 16
Item 7. Management's Discussion and Analysis of Financial Condition and Results of
Operations................................................................... 17
Item 7A. Quantitative and Qualitative Disclosures About Market Risk..................... 26
Item 8. Financial Statements and Supplementary Data.................................... 27
Item 9. Changes in and Disagreements with Accountants on Accounting and Financial
Disclosure................................................................... 47
PART III
Item 10. Directors and Executive Officers of the Registrant............................. 48
Item 11. Executive Compensation......................................................... 48
Item 12. Security Ownership of Certain Beneficial Owners and Management................. 48
Item 13. Certain Relationships and Related Transactions................................. 48
PART IV
Item 14. Financial Statement Schedules, Reports on Form 8-K and Exhibits................ 49
SIGNATURES.................................................................................... 53
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PART I
ITEM 1. BUSINESS
THE BUSINESS SECTION CONTAINS CERTAIN FORWARD-LOOKING STATEMENTS WHICH
INVOLVE RISKS AND UNCERTAINTIES. THE COMPANY'S ACTUAL RESULTS COULD DIFFER
MATERIALLY FROM THE RESULTS ANTICIPATED IN THESE FORWARD-LOOKING STATEMENTS AS A
RESULT OF CERTAIN FACTORS SET FORTH IN "MANAGEMENT'S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS."
OVERVIEW
Access Health, Inc. ("Access Health" or the "Company") is a leading provider
of care management products and services to the health care industry. The
Company provides its services primarily through four telephonic care centers,
which are staffed by registered nurses and other health care professionals. The
Company's primary clients include health maintenance organizations ("HMO's"),
preferred provider organizations ("PPO's"), indemnity insurers, integrated
delivery systems, government agencies, self-insured employers and physician
groups. The Company's objective is to measurably improve the delivery of health
care through dynamically integrated programs that help individuals effectively
manage their health needs. Its products and services are designed to help reform
an inefficient health care system in ways that benefit health care payers,
providers and individuals.
CORPORATE HISTORY
The Company was founded in 1987 and until 1993 primarily provided consumer
health care information products and services designed to help hospitals and
other health care providers market their services. Beginning in 1993, the
Company changed its focus to developing, marketing and delivering personal
health management products and services to health plans and payors, which were
primarily designed as a value added member benefit to help attract and retain
members. At the same time, the Company altered its business model to price its
products and services predominantly on a recurring per-member per-month fee
basis rather than on a non-recurring basis. The Company enjoyed significant
growth of its personal health management business through mid 1996, at which
point customer demand for care management products, which provided demonstrable
cost savings, began to intensify. At the time, healthcare service providers were
experiencing increased price competition and rising medical costs, resulting in
unprecedented high medical loss ratios and lower profitability. In November
1996, the Company merged with Informed Access Systems, Inc. ("Informed Access"),
a developer of leading-edge clinical assessment tools and care management
programs. With this merger, the Company significantly expanded its suite of care
management products and substantially enhanced its ability to provide its
customers a demonstrable return on investment. Also in November 1996, the
Company acquired Clinical Reference Systems, Ltd. ("CRS"), which develops health
information and patient education software programs. The Company's care
management business has grown dramatically; the number of enrolled members has
increased to approximately 23 million in November 1997 from over 14 million at
the end of fiscal 1996.
INDUSTRY BACKGROUND
The rate of health care spending increases in the United States continues to
exceed gross domestic product ("GDP") growth. The Congressional Budge Office
expects national health expenditures to reach 13.7% of GDP or slightly more than
$1.1 trillion in 1997. Containment of health care costs has become a national
priority. As a result, cost-conscious managed health care programs have
increasingly influenced the health care system. These managed care programs have
traditionally reduced the cost of healthcare by restricting access to care
(through financial management techniques such as pre-authorization, pre-
certification, and concurrent and retrospective review programs to manage
members' use), pushing cost
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risk down to providers and reducing administrative expenses. While these
techniques have been moderately successful in controlling costs, there is
increasing evidence that their returns are diminishing. Because the approach to
managing care has largely been to restrict supply, a number of inefficiencies
continue to persist, which have contributed to escalating health care costs.
These include:
- LACK OF ACCESS AND INAPPROPRIATE USE OF HEALTH CARE RESOURCES. Individuals
who lack timely access to health care and to reliable health care
information may delay needed treatment, self-treat inappropriately or seek
unnecessary care, all of which can lead to poor health outcomes and higher
costs. For example, studies indicate that up to 55% of all emergency room
visits may be inappropriate.
- LACK OF PREVENTIVE CARE AND EARLY INTERVENTION. Appropriate preventive
care and early intervention can dramatically influence health and well
being and is cost-effective. Preventive care and timely intervention both
depend on an individual's access to information.
- INSUFFICIENT CHRONIC CONDITION MANAGEMENT. In managing chronic conditions
today, there exists a significant gap between nationally accepted disease
management guidelines and the actual day-to-day patient practices. This
gap results in less than optimal patient care and unnecessary medical
costs and other related costs, including missed work days. Approximately
70% of overall health care costs incurred today are chronic-condition
related.
Care management programs have been developed in response to these problems.
These programs generally include telephone-based health counseling services to
help individuals optimize their use of the health care system. These services
increase members' involvement in managing their own health and empower them to
make better-informed decisions. The information they receive provides member the
opportunity to obtain proper care and to avoid unnecessary care, reduce health
care costs, improve health outcomes and increase satisfaction with their health
care plans.
STRATEGY
The Company seeks to measurably improve the quality and costs of care people
receive by becoming an integral part of health care delivery. The Company's goal
is to further integrate its services with its customers' delivery of care,
resulting in increased utilization of the Company's products and services across
an increasing number of members. It seeks to accomplish these goals through the
following business strategies:
- BUILD ENROLLMENT THROUGH DEMONSTRATED RESULTS. Access Health seeks to
continue building market share through rapid enrollment growth. The
Company is focused on building enrollment through increased member
penetration within existing accounts and contracting with new client
sponsors. The Company believes that its sales and marketing strategy (see
"Sales, Marketing and Support") coupled with its ability to provide a
compelling return on investment for customers in the form of reduced
health care costs, increased member satisfaction and improved quality of
care will be the primary drivers for continued rapid enrollment growth.
- INCREASE REVENUE PER MEMBER THROUGH NEW PRODUCTS AND SERVICES. The
Company's average revenue per member derived from its care management
products today is a small fraction of the national averages spent
per-member per-month for health care services. Because Access Health's
care management products are utilization-based, the Company seeks to
significantly expand the average revenue per member it receives per
enrolled member by increasing adoption of its higher utilization, advanced
care management and condition management products.
- EXTEND CAPABILITIES THROUGH STRATEGIC PARTNERSHIPS. In addition to the
Company's internal product development and process improvement efforts,
the Company continues to actively evaluate possible new business models
and strategic relationships and acquisitions to further expand its product
capabilities and membership base.
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PRODUCTS AND SERVICES
The Personal Health Advisor-Registered Trademark- ("PHA") product line
features a core set of care management products and services that provide
members with consistent clinical assessment and guidance about the use of health
care services for both acute and chronic conditions and to help guide these
individuals to the most appropriate point of care within a managed care network.
Managed care providers and insurers use PHA to facilitate easier access to the
plan network by members, reduce operating costs by reducing inefficient use of
network resources and improve the quality of care for plan members. PHA products
are used by managed care organizations in a variety of applications including
use as the primary "gateway" to a plan network, as an emergency room
pre-certification tool, a health care management tool for individuals with
chronic conditions, or solely as a health care information service for plan
members. PHA also provides extensive reporting, which enables managed care
organizations to more efficiently configure their service delivery network.
The foundation of the PHA product line is the Company's proprietary Clinical
Decision Architecture ("CDA"). The CDA provides the structure surrounding the
Company's patented process for the consistent assessment of a patient's
condition, the arrival at an appropriate care recommendation, and the linking of
a patient with a provider who has the requisite clinical expertise to care for
the condition or symptom set identified. CDA primarily utilizes four information
databases, including a database of over 550 proprietary risk-sorting clinical
algorithms, a detailed provider information database, a health care information
database that includes extensive self-care instructions and a database of health
plan members and rules pertinent to the plan structure.
The PHA care management programs are designed to address the needs for both
acute and chronic care management. The PHA programs offer customers a flexible
solution, allowing virtually any combination of product components to meet a
customer's unique needs. Each of the products can also be offered in a
stand-alone environment. Most importantly, when a sponsor chooses multiple
products to offer its members, the components are integrated seamlessly using
the CDA's common delivery platform and information warehouse. In doing so, a
person-based, custom care management program is created for each member that is
delivered through a single point of access.
ACUTE CARE MANAGEMENT PROGRAMS
FIRSTHELP-TM-. The FirstHelp-TM- patient assessment system is the acute
care cornerstone for all of the PHA services. The FirstHelp-TM- patient
assessment system is a clinically advanced, proprietary process for assessing a
caller's symptoms, integrating a providers' recommendations and providing
consistent care recommendations. The FirstHelp-TM- system provides the basis for
the Company's 24-hour-a-day telephone triage services provided for health plan
members, and assists health plans and providers in reducing emergency room and
physician office visits for conditions which can safely be treated in less
intensive settings. A key component of the Company's CDA, the FirstHelp-TM-
system consists of over 550 risk-sorting clinical algorithms, including modules
for pediatrics, adults, women, seniors, and mental health. The algorithms employ
a series of predetermined questions in a set order-- a proprietary technique
designed to mimic physician assessment. With this system, nurses can effectively
guide callers to the most appropriate level of care. High physician concordance
(more than 93%) with FirstHelp-TM- assessment recommendations means that advice
given in an acute episode will likely mirror that of the patient's own
physician. When a condition will not benefit from a provider visit, callers are
given self-care instructions and are offered a follow-up call to check progress.
Physicians benefit by receiving fewer after-hours calls and handling more
appropriate office visits.
ER ACCESS-SM-. The ER Access-SM- program is designed to measurably reduce
unnecessary ER utilization and associated costs while concurrently educating
members and improving member satisfaction. The program utilizes the
FirstHelp-TM- patient assessment algorithms, which allow Access Health's care
center nurses to assess the urgency of a patient's need for medical care and the
level and timing of the
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intervention needed. Care center nurses are able to perform symptomatic
assessments on members who were planning to go to the ER, and in many cases will
recommend a lower and less costly level of care. ER Access-SM- offers the added
benefit of relieving the primary care physician from direct involvement in
approving or denying emergency care.
OPEN ACCESS. For health plans looking to offer alternatives to the primary
care "gatekeeper" referral process, the Company has developed an "intelligent
gateway" to care. With its Open Access program in place and available to members
24 hours a day, 7 days a week, Access Health's nurses can assess patient needs
and match patients with appropriate providers based on health plan rules.
Through the FirstHelp-TM- patient assessment algorithms and the capabilities of
the CDA, members are guided to providers who have indicated a specific focus on
the clinical conditions identified. Open Access provides an effective means of
matching patient needs with an appropriate provider when a specialty referral
can be predicted.
PROVIDER PROFILER-SM-. Provider Profiler-SM- is a PC-based software tool is
designed to collect extensive, important information about a provider's
background and current practice for use in patient-provider matching. Once it is
determined that a caller's symptoms require a provider evaluation, this
information can be linked to a provider who can best manage the symptom set, who
is located in the caller's area, and whose office hours accommodate the urgency
of the evaluation. The system is also designed to support provider credentialing
activities in accordance with NCQA standards, and can function as an electronic
provider directory to help members identify and select a physician quickly.
DISEASE AND CONDITION MANAGEMENT PROGRAMS
ASTHMA CARE MANAGEMENT AND DIABETES CARE MANAGEMENT PROGRAMS. Access Health
has developed disease management programs designed to proactively assist
patients with the longitudinal management of chronic conditions in accordance
with physician prescribed regimens. The goals of the programs are to improve the
quality of life for patients with chronic conditions by reducing the risk of
complications and to help contain health care costs by reducing the need for
extensive use of health care services. Patients enrolled in the disease
management program receive regular calls from specialized Access Health nurses
who monitor the patient's condition and the patient's compliance with a
treatment regimen. The enrolled patients also receive information to educate
them on how to effectively manage their chronic condition.
9 MONTHS & BEYOND-SM- MATERNITY MANAGEMENT PROGRAM. 9 Months & Beyond-SM-
is the PHA program for expectant mothers designed to support physician and
health plan goals using comprehensive telephone-based maternal education,
monitoring and counseling - throughout pregnancy and after delivery. The program
regularly monitors each member's level of risk for experiencing preterm labor,
delivering a low birth weight baby, and/or delivering via cesarean section. This
information drives an intervention program that includes both general education
and personalized counseling aimed at reducing the member's risk for any of these
outcomes as well as the costs usually associated with these outcomes.
FIRST WARNING. First Warning is a case management alert system designed to
alert a health plan's internal case management function whenever a caller is
identified as having a certain high risk or potentially high-cost condition.
Examples include the presence or diagnosis of a chronic condition such as
arthritis, diabetes, or low back pain or the presence of symptoms of early
labor. The First Warning system is designed as an adjunct to other PHA
components; however, it also serves as a mechanism for enrolling eligible
patients in one or more of the PHA disease/condition management programs.
ADDITIONAL PRODUCTS AND SERVICES
FIRST WELCOME-SM-. Access Health is introducing a new member contact
program, called First Welcome-SM-, to assist managed care organizations in
introducing new members to a health plan, selecting primary care providers for
them, and conducting a preliminary evaluation of these members' medical
conditions and potential health care needs. The program is designed to identify
and initiate appropriate
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interventions within the structure of the plan, including the ability to enroll
members in Access Health's disease/condition management programs.
RIGHT CALL MEMBER COMMUNICATIONS SERVICES. Right Call member communication
services are tailored to meet specific sponsor needs. These services consist of
the development, execution and fulfillment of membership enrollment materials,
such as membership kits, newsletters and other mailings, on-going communication
programs designed to facilitate appropriate use of PHA programs, and fulfillment
of member requests for literature for specific health care topics.
AUDIOHEALTH LIBRARY-REGISTERED TRADEMARK-. Customers have access via
touch-tone or rotary telephone to the PHA audiotext self-care library. The
AudioHealth Library-Registered Trademark- is a sophisticated database of
pre-recorded information on over 500 health topics, including information on
specific conditions and self-care and prevention information. After reviewing
information in the AudioHealth Library-Registered Trademark-, the customer can
elect to speak directly with an Access Health nurse.
PREVENTIVE CARE REMINDER SYSTEM. Access Health developed the Preventive
Care Reminder System in response to the growing needs of its clients to meet
NCQA preventive care standards, to ensure favorable performance in satisfying
HEDIS measures of quality, and to improve compliance with basic preventive care
recommendations of national organizations including the U.S. Preventive Services
Task Force and the American Academy of Pediatrics. The service is provided as an
adjunct to other PHA services as a delivery system for personalized reminders to
members about recommended preventive measures, such as mammograms and pap
smears. The Preventive Care Reminder System improves health care by boosting
compliance with preventive care standards.
PHA ONLINE. PHA Online is an interactive and proactive service that offers
PHA members highly personalized health information and online activities based
on their needs and interests. It can be easily configured to work in conjunction
with a health plan's objectives - including member recruitment, development and
services, and open enrollment campaigns. The PHA Online service is anchored by
an Internet website (WWW.PHA-ONLINE.COM) that encourages members to continually
interact with the service.
LICENSING AND SUPPORT SERVICES.
The Company also licenses PHA acute care products to customers who offer the
services through their own care centers. These products are licensed with a
recurring license revenue stream tied to utilization and/or the size of the
population served. The Company also offers other products under a variety of
licensing formulas. These other products are listed below.
ACCESS CARE MANAGEMENT SYSTEM-SM-. The Access Care Management
System-SM-("ACMS"), introduced in 1994, is utilized by those organizations
seeking to provide in-house care management services. ACMS is an integrated
package of software, clinical guidelines and care management functions that
enables hospitals, physician groups, integrated health care delivery systems and
health plans to offer care management services directly to patients and member
groups through the sponsoring organization's own telephone call center. ACMS
customers pay the Company on a per-member per-month basis and in return receive
technical support and software and clinical database upgrades.
ASK-A-NURSE-REGISTERED TRADEMARK-. The ASK-A-NURSE-Registered Trademark-
family of products is licensed to hospitals and other health care systems,
enabling them to provide health care information and referral services. The
ASK-A- NURSE-Registered Trademark- product family was introduced in 1987 and is
currently licensed to more than 50 clients representing over 130 participating
hospitals in the United States.
CANCER HELPLINK-REGISTERED TRADEMARK- SYSTEM. The Cancer
HELPLINK-Registered Trademark- product is a specialized information and referral
system staffed by Access Health nurses experienced in cancer care and trained in
the extensive information needs of cancer patients, their families and others
concerned about cancer. The Cancer HELPLINK system, introduced in 1989, provides
needed information to patients diagnosed with cancer
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and refers callers who have cancer symptoms to appropriate physicians and
diagnostic and treatment services. The Company's cancer products are currently
licensed to more than 17 clients representing over 20 hospitals.
HEALTHSELECT. The Company sells and supports the HealthSelect software
products, which are designed to support health care information and referral
programs. These products enable participating hospitals to match individuals'
health care needs with physicians and hospital services and to manage referral,
medical information and reporting functions. In addition, these software
products allow hospitals to manage membership programs, scripted outbound call
programs and other database management activities. More than 120 hospitals have
licensed HealthSelect software.
PRODUCT DEVELOPMENT
The Company's growth and future success largely depend upon its ability to
develop new products for the health care industry and to continue to enhance its
existing care management products. Additional care management applications that
are in various stages of development and planned for general release in 1998
include disease management programs for cardiac conditions, pulmonary conditions
in addition to asthma, hypertension, and depression. Also in the design and
development phase are programs to assist health plan customers in utilization
review and utilization management, as well as a program to assist customers in
identifying workers' compensation episodes. General and ongoing development
initiatives include:
- ALGORITHMS. The Company regularly evaluates and enhances its FirstHelp-TM-
clinical algorithms based upon advances in medicine and upon its own
internal continuous quality improvement initiatives.
- TECHNOLOGY INFRASTRUCTURE. The Company continues to enhance its
infrastructure by installing new hardware and software systems to improve
capability, ease of use and scalability. The Company is in the process of
completing a common technology platform whereby all care centers will use
a common hardware, software and voice technology platform. This integrated
platform is scheduled to be rolled out to its existing customers during
calendar 1998.
- CUSTOMIZED PRODUCTS. The Company customizes products for specific market
segments such as those with special literacy or foreign language needs.
- ELECTRONIC DELIVERY SYSTEMS. The Company has developed and continues to
expand its capabilities to use on-line communications and other electronic
media to deliver the Company's products and services.
PRINCIPAL CUSTOMERS
The Company markets its products and services to managed care organizations,
government agencies, self-insured employers, hospitals, integrated hospital
organizations, physician groups, and independent physician associations.
Enrolled members of the Company are those for whom the Company receives
revenues. As of November 30, 1997, the Company had contracts with customers
representing approximately 23 million members enrolled in PHA. Also as of this
date, the Company had commitments for approximately 3 million new members to be
enrolled in its care management programs in future quarters. Some of the
commitments included in this backlog figure are subject to final contract
execution. Certain of the Company's contracts specify a guaranteed enrollment
rate for members and the Company receives revenues for such amounts even if the
customer has not yet identified all the particular members. After initial terms
of approximately one to four years, contracts generally can be terminated upon
60 to 360 days notice. No single client accounted for more than 10% of the
Company's annual revenues in fiscal 1997.
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The Company's ACMS, ASK-A-NURSE-Registered Trademark- and Cancer
HELPLINK-Registered Trademark- products are currently licensed to more than 80
clients. Examples of the Company's principal customers for these product lines
include Florida Hospital in Orlando, Riverside Health Systems and Emory
University Systems of Health Care in Atlanta.
SALES, MARKETING AND SUPPORT
Access Health sells its products and services exclusively through its direct
sales and account management force. The Company employs a combined sales and
account team strategy, dedicating two high level sales representatives with
two-to-three account managers to each of six distinct national geographic
regions. These teams are incented to add new clients and grow new business with
existing accounts through the addition of new members, higher utilization of
existing products and adoption of new products. The Company is primarily focused
on selling the Company's products and services to managed care organizations,
self-insured employers, commercial insurers, government entities, and hospitals
and health care systems.
The Company also employs a client services department to assist in its
on-going relationships with clients through the use of client service teams that
include implementation, clinical and technical support representatives. These
teams work closely with new and existing clients to implement custom tailored
programs, coordinate member communication programs, ensure client satisfaction,
and evaluate program effectiveness.
The Company's marketing strategy also includes building brand awareness and
brand identity for its Personal Health Advisor, ASK-A-NURSE and Cancer HELPLINK
products.
COMPETITION
The market for the Company's products and services is highly competitive.
The Company's competition includes independent companies as well as divisions of
large managed care organizations. The Company also faces competition from
potential customers who may elect to develop their own personal care management
solutions, and the Company expects to face competition from new entrants to the
market. The Company believes that it competes favorably on the basis of price
and value, operational capabilities, clinical content of its proprietary
clinical algorithms, ability to rapidly enroll new members and performance with
respect to cost savings, superior outcomes and member satisfaction. To the
extent the Company offers new products or services or offers its existing
products and services in new markets, it expects to face increased competition
from competitors which may have substantially greater financial, marketing or
technical resources than the Company, as well as from industry consolidations
that create larger competitors offering new products and services.
GOVERNMENT REGULATION
The health care industry is subject to extensive and evolving government
regulation at both the Federal and State levels relating to many aspects of the
Company's and its clients' businesses, including the provision of health care
services, teleservicing, health care referral programs, health maintenance
organizations and other similar plans. These statutes and regulations in many
cases predate the development of telephone-based health care information and
other interstate transmission and communication of medical information and
services. The language of certain of these statutes and regulations governing
the provision of health care services, including, without limitation, the
practice of nursing and the practice of medicine, could be construed by
regulatory authorities to apply to certain of the Company's teleservicing
activities, which use California, Illinois, Arizona and Colorado registered
nurses to provide care management services such as nursing assessments and
information regarding appropriate sources of care and treatment time frames.
These statutes and regulations could also apply to certain activities of the
Company's health service customers when operating the Company's programs. In
addition, the language of the statutes and
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regulations governing health maintenance organizations and other plans that
provide or arrange for the provision of health care services for a prepaid or
periodic charge could be construed by regulatory authorities to apply to certain
activities of the Company that are provided on a per-member per-month basis. If
regulators seek to apply any of the foregoing statutory and regulatory
requirements to the Company or to others operating in a manner substantially
similar to the Company, then the Company, its employees and/or its clients could
be required to obtain additional licenses or registrations, to modify or curtail
the operation of the Company's programs, to modify the method of payment for the
Company's programs, or to pay fines or incur other penalties.
The payment of remuneration to induce the referral of health care business
was the subject of increasing governmental and regulatory focus in recent past
years. Section 1128B(b) of the Social Security Act (sometimes referred to as the
"Federal anti-kickback statute") provides criminal penalties for individuals or
entities that knowingly and willfully offer, pay, solicit or receive
remuneration in order to induce referrals for items or services for which
payment may be made under the Medicare and Medicaid programs and certain other
government-funded programs. The Social Security Act provides authority to the
Office of the Inspector General through civil proceedings to impose penalties
and to exclude an individual or entity from participation in the Medicare and
state health programs if it is determined any such party has violated Section
1128B(b) of the Social Security Act. Regulations have been promulgated
specifying certain payment practices, which will not be subject to criminal
prosecution or civil penalties. These regulations, commonly referred to as the
"safe harbor" regulations, do not expand the scope of the Federal anti-kickback
statute, and the fact that a business arrangement does not fit within a safe
harbor does not mean the business arrangement violates the Federal anti-kickback
statute. Some of the Company's programs involve payment for referral services
and meet most, but not all, of the requirements of the safe harbor for referral
services. A number of states in which the Company operates have anti-kickback
statutes similar to the Federal statute, as well as statutory and regulatory
requirements governing referral agencies and regulating franchising and business
opportunity ventures. In addition, the Federal government and a number of states
have enacted statutes which contain outright prohibitions on referrals for
specified services which are made by referring providers who have an ownership
interest in, or compensation arrangement with, the entity to which the referral
is made. If the Company or the use of its products and services were to be found
in violation of such statutes, the Company or its clients could be required to
modify or curtail the operation of the Company's programs, or to pay fines or
incur other penalties, and the Company's clients could be excluded from
participation in federal healthcare programs, including Medicare and Medicaid
programs and could be precluded from charging fees and obtaining reimbursement
for specified services.
There can be no assurance that the Company or the use of its products and
services will not be subject to review or challenge by government regulators
under any of the foregoing statutes and regulations that apply to health care
services and products. In addition, additional laws and regulations could be
enacted in the future that would regulate the Company or the use of its products
and services. Any government investigative or enforcement actions with respect
to the Company or the use of its products or services could generate adverse
publicity irrespective of the final outcome, and could have a material adverse
effect on the Company.
RISK MANAGEMENT
In recent years, participants in the health care industry, including
physicians, nurses and other health care professionals, have been subject to an
increasing number of lawsuits alleging malpractice, product liability and
related legal theories, many of which involve large claims and significant
defense costs. Due to the nature of its business, the Company could become
involved in litigation regarding the telephone information given by its
registered nurses or those of its licensees with the risk of adverse publicity,
significant defense costs and substantial damage awards. The Company has
established policies and procedures that limit the information provided by its
registered nurses to that contained in its algorithms
11
<PAGE>
and protocols and in other approved reference sources. In connection with its
teleservices operations, the Company has a quality assurance program that
includes real-time audits of calls and post call reviews to monitor compliance
with established policies and procedures. Generally, clients review and approve
the Company's algorithms, protocols and guidelines prior to program
implementation and do not modify them without medical approval. To date, the
Company has not been the subject of any claim involving either its clinical
assessment systems, the operation of its teleservicing centers or the operation
by hospital clients of on-site care centers. However, there can be no assurance
that claims will not be brought against the Company. Even if such claims
ultimately prove to be without merit, defending against them can be time
consuming and expensive, and any adverse publicity associated with such claims
could have a material adverse effect on the Company.
While the Company maintains professional liability insurance, there can be
no assurance that claims in excess of the Company's insurance coverage will not
arise or that all claims would be covered by such insurance. In addition,
although the Company has not experienced difficulty in obtaining insurance
coverage in the past, the Company may seek increased insurance coverage as its
business grows. There can be no assurance that the Company will be able to
maintain existing insurance coverage or obtain increased coverage on acceptable
terms or at all.
INTELLECTUAL PROPERTY
The Company regards its software, clinical decision architecture ("CDA"),
algorithms, clinical nursing assessment protocols and marketing and program
operation materials as proprietary and takes action to protect its intellectual
property with patents, copyrights, trademarks, trade secret laws and
restrictions on disclosure, copying and transferring title. The Company has been
issued patents in the United States that cover a number of inventions, including
the structure, use and process of its CDA and clinical database and certain
capabilities of the provider profiler product. There can be no assurance that
competitors, some of which have substantial resources and have made substantial
investments in competing technologies, will not seek to apply for and obtain
patents that will prevent, limit or interfere with the Company's ability to
make, use or sell its products either in the United States or in international
markets. Litigation or regulatory proceedings, which could result in substantial
cost and uncertainty to the Company may also be necessary to enforce the
Company's intellectual property rights, including patents, or to determine the
scope and validity of other parties' proprietary rights. It is also possible
that the Company may need to acquire licenses to, or contest the validity of,
issued or pending patents of third parties relating to the Company's technology.
There can be no assurance that any of such licenses would be made available to
the Company on acceptable terms, if at all, or that the Company, if it were to
contest the validity of any issued or pending patents, would prevail. In
addition, the Company could incur substantial costs in defending itself in suits
brought against the Company on its patents or in bringing suits against third
parties to enforce the Company's proprietary rights including patents. The
Company also relies on copyright, trademarks, trade secret laws and restrictions
on disclosure, copying and transferring title. Despite the Company's
precautions, it may be possible for unauthorized third parties to copy aspects
of the Company's products or to obtain and use information that the Company
regards as proprietary. Existing copyright laws afford only limited practical
protection. In addition, the laws of some foreign countries do not protect the
Company's proprietary rights to the same extent as do the laws of the United
States, which could be a factor if the Company expands into markets outside the
United States.
EMPLOYEES
As of September 30, 1997, the Company had 692 full-time and 187 part-time
employees, including 481 registered nurses. None of the Company's employees are
covered by a collective bargaining agreement, and the Company believes that its
relations with its employees are good.
12
<PAGE>
PHYSICIAN ADVISORS
The Company's medical affairs are directed by Barry W. Wolcott, M.D., Senior
Vice President and Chief Medical Officer, board certified in internal medicine.
He is supported by Jeremy J. Nobel, M.D., Senior Vice President for Medical
Affairs, board certified in internal medicine, Marcella L. Thiel, M.D., Vice
President and Medical Director, board certified in family practice, Steve
Silverstein, M.D., Vice President of Algorithm Development, board certified in
internal medicine and emergency medicine, David Suttle, M.D., Medical Director
of Care Center Operations, board certified in pediatrics with a specialty in
adolescent medicine, Maury Gloster, M.D., board certified in internal medicine
and endocrinology, and Rufus S. Howe, R.N., M.N., F.N.P., Vice President,
Disease Management. In addition, the Company has entered into consulting
arrangements with other physicians who are recognized clinical experts. These
physician consultants assist the Company with setting direction and strategy for
clinical activities, developing and assuring the quality of Company algorithms
and clinical nursing assessment protocols, responding to new and emerging
medical information, developing new clinical applications, and providing
consulting services to client medical directors. The Company's medical advisors
are as follows:
Charles A. Coltman, Jr., M.D., Member of the Cancer HELPLINK Physician
Advisory Council. Dr. Coltman is Professor of Medicine at the University of
Texas Health Science Center and the Director of the San Antonio Cancer
Institute. He is President and CEO of the Cancer and Research Center, Chairman
of the Southwest Oncology Group, the largest cancer clinical trials group in the
U.S., and has received numerous citations for his research in cancer control and
the treatment of leukemias, lymphomas, and Hodgkin's Disease.
W. David Dawdy, M.D., serves as a pediatric consultant for Access Health and
is a practicing pediatrician. In addition, he is a Clinical Assistant Professor
of Pediatrics of Ohio State University and serves as the Pediatric Director of
the University ASK-A-NURSE program. He is active in numerous local and state
organizations and committees involved with education for medical residents.
Robert W. Derlet, M.D., Medical Advisor for the Clinical Assessment Systems
and Clinical Outcomes for ASK-A-NURSE and Personal Health Advisor. Dr. Derlet is
an Associate Clinical Professor and Chief of Emergency Medicine at the
University of California at Davis Medical Center. He is board-certified in
emergency medicine and internal medicine. Dr. Derlet has conducted research and
authored several publications dealing with re-directing emergency department
patients to more appropriate levels of care within the health care delivery
system.
G. Denman Hammond, M.D., Cancer HELPLINK National Medical Director and
Chairman of the Cancer HELPLINK Physician Advisory Council. Dr. Hammond is
Associate Vice President for Health Affairs and Professor of Pediatrics at the
University of Southern California. He is Chairman of the National Cancer
Institute-sponsored Children's Cancer Study Group and a leading authority on the
blood disorders and cancers of infants and children. Dr. Hammond has authored or
co-authored over 200 scientific manuscripts, books and book chapters.
The Company's medical advisors receive an annual retainer and consult with
the Company on a periodic basis. Dr. Dawdy and Dr. Derlet typically devote
approximately one to four days per month to Company matters, and the other
medical advisors typically devote approximately one day per quarter to the
Company's matters. Dr. Gloster receives an hourly consulting as opposed to an
annual retainer.
Calvin J. Hobel, M.D., member of the 9 Months and Beyond Physician's
Advisory Panel. Dr. Hobel is Professor of Obstetrics, Gynecology and Pediatrics
at the UCLA School of Medicine and is also co-director of NIH Perinatal Training
Program at the Harbor-UCLA School of Medical Center. Dr. Hobel is board
certified in obstetrics and gynecology with a specialty in maternal-fetal
medicine.
13
<PAGE>
ITEM 2. PROPERTIES
The Company's corporate offices are located in Broomfield, Colorado in a
33,000 square foot facility pursuant to a lease which expires in June 1998 with
an option to extend to June 1999. The Company also leases a 20,825 square foot
facility in Boulder, Colorado in a lease which expires in December 1999. The
Company currently occupies 11,571 square feet of this building and has subleased
the rest to a third party. In the first half of 1998, the Company will move into
two leased buildings in Broomfield, Colorado and sublet its existing Boulder
facility. The first of the two facilities will house the Colorado call center in
21,500 square feet, with an option to lease another 20,000 square feet. That
lease expires November, 2012. The second building will be the Company's
headquarters and corporate offices, and will consist of 70,000 square feet. That
lease expires in February 2013. The Company's largest call center facility is
located in Rancho Cordova, California, and comprises 53,892 square feet subject
to a lease that expires in November 2001, and 17,441 square feet subject to a
lease that expires in March 1999, respectively. In addition, the Company has
lease agreements for operational facilities in three other cities, of which one
is for an 8,374 square foot call center facility in Arlington Heights, Illinois
and expires in September 1998, one is for a 14,671 square foot call center
facility in Phoenix, Arizona and expires in September 2001. The Company believes
that its facilities are adequate for its business as presently operated.
ITEM 3. LEGAL PROCEEDINGS
Not Applicable.
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
Not Applicable.
14
<PAGE>
PART II
ITEM 5. MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS
The Company's Common Stock is traded on the Nasdaq National Market under the
symbol "ACCS". The following table sets forth, for the periods indicated, the
range of the low and high sales prices for the Company's Common Stock as
reported on the Nasdaq National Market beginning in fiscal year 1995.
<TABLE>
<CAPTION>
HIGH LOW
---------- ----------
<S> <C> <C>
Fiscal 1996*:
First Quarter............................................................................... $30 21/64 $13 53/64
Second Quarter.............................................................................. 44 27 1/2
Third Quarter............................................................................... 65 1/2 38 3/4
Fourth Quarter.............................................................................. 59 1/4 38
Fiscal 1997:
First Quarter............................................................................... 56 1/4 30 1/2
Second Quarter.............................................................................. 45 1/4 13 1/2
Third Quarter............................................................................... 25 5/8 11 1/2
Fourth Quarter.............................................................................. 35 1/8 23
Fiscal 1998:
First Quarter (through December 9, 1997).................................................... 40 3/4 29 1/2
</TABLE>
- ------------------------
* The prices shown prior to February 29, 1996 have been adjusted to reflect a
three-for-two stock split effected in the form of a stock dividend as of
that date.
As of December 9, 1997, there were approximately 655 holders of record of
the Common Stock. On December 9, 1997, the last reported sale price on the
Nasdaq National Market for the Common Stock was $32.00.
The Company has not declared or paid any cash dividends on its Common Stock.
The Company presently intends to retain earnings for use in its business and
therefore does not anticipate paying cash dividends in the foreseeable future.
15
<PAGE>
ITEM 6. SELECTED FINANCIAL DATA
SELECTED CONSOLIDATED FINANCIAL DATA
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
The selected consolidated financial data at September 30, 1996 and 1997 and
for the years ended September 30, 1995, 1996 and 1997 have been derived from the
audited consolidated financial statements and should be read in conjunction with
such consolidated financial statements and notes thereto, which are included
herein. The consolidated financial data at September 30, 1993, 1994 and 1995 and
for the years ended September 30, 1993 and 1994 have been derived from audited
consolidated financial statements not included herein. The selected consolidated
financial data below reflects the combined results of operations of Informed
Access Systems, Inc., Clinical Reference Systems, Inc. and the Company.
<TABLE>
<CAPTION>
YEARS ENDED SEPTEMBER 30,
------------------------------------------------------
1993 1994 1995 1996 1997
--------- --------- --------- --------- ----------
<S> <C> <C> <C> <C> <C>
Revenues:
Care management services................................ $ 585 $ 9,544 $ 26,484 $ 61,178 $ 93,729
Licensing and support services.......................... 16,581 8,047 9,526 10,925 10,598
--------- --------- --------- --------- ----------
Total commercial revenues........................... 17,213 17,591 36,010 72,103 104,327
Development program with related party.................. 2,197 2,274 -- -- --
--------- --------- --------- --------- ----------
Total revenues...................................... 19,410 19,865 36,010 72,103 104,327
Costs and expenses:
Cost of revenues:
Care management services.............................. 450 10,324 19,374 34,653 49,237
Licensing and support services........................ 9,471 3,179 4,961 5,349 3,244
Product and other development........................... 2,074 2,309 3,298 6,545 7,922
Development program..................................... 2,455 2,541 -- -- --
Sales and marketing..................................... 2,756 4,650 5,487 9,468 8,907
General and administrative.............................. 2,050 3,263 4,540 10,391 8,614
Transaction costs....................................... -- -- -- -- 6,345
Integration and restructuring........................... -- -- -- -- 9,661
--------- --------- --------- --------- ----------
Total costs and expenses............................ 19,256 26,266 37,660 66,406 93,930
--------- --------- --------- --------- ----------
Income (loss) from operations............................. 154 (6,401) (1,650) 5,697 10,397
Non-operating income (expense):
Impairment loss on interests in AHN..................... -- -- -- -- (10,000)
Interest and other income............................... 661 657 877 1,633 2,182
Interest expense........................................ (273) (175) (150) (186) (324)
--------- --------- --------- --------- ----------
Income (loss) before income taxes......................... 495 (5,919) (923) 7,144 2,255
Provision (credit) for income taxes..................... 724 (1,352) (242) 6,050 (2,363)
--------- --------- --------- --------- ----------
Net income (loss)......................................... $ (229) $ (4,567) $ (681) $ 1,094 $ 4,618
--------- --------- --------- --------- ----------
--------- --------- --------- --------- ----------
Net income (loss) per share (1)........................... $ (0.02) $ (0.44) $ (0.06) $ 0.06 $ 0.24
--------- --------- --------- --------- ----------
--------- --------- --------- --------- ----------
Shares used in per share calculations (1)................. 10,259 10,360 11,000 18,502 19,360
--------- --------- --------- --------- ----------
--------- --------- --------- --------- ----------
<CAPTION>
SEPTEMBER 30,
------------------------------------------------------
1993 1994 1995 1996 1997
--------- --------- --------- --------- ----------
<S> <C> <C> <C> <C> <C>
Balance Sheet Data:
Total assets............................................ $ 25,178 $ 27,980 $ 37,082 $ 84,292 $ 102,654
Working capital......................................... 11,802 9,827 13,869 39,296 60,586
Long-term debt.......................................... 1,039 725 531 1,344 678
Mandatorily redeemable convertible preferred stock...... 1,635 3,635 10,635 10,995 --
Stockholders' equity.................................... 16,512 16,012 16,393 52,647 80,336
</TABLE>
- ------------------------
(1) Shares used in per share calculations have been adjusted for three-for-two
stock split.
16
<PAGE>
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS CONTAINS CERTAIN FORWARD-LOOKING STATEMENTS WHICH INVOLVE RISKS AND
UNCERTAINTIES. THE COMPANY'S ACTUAL RESULTS COULD DIFFER MATERIALLY FROM THE
RESULTS ANTICIPATED IN THESE FORWARD-LOOKING STATEMENTS AS A RESULT OF CERTAIN
FACTORS SET FORTH HEREUNDER AND SUCH DIFFERENCES IN FUTURE OPERATING PERFORMANCE
COULD BE MATERIAL.
GENERAL
The Company is a leading provider of care management products and services
to the health care industry. The Company was founded in 1987 and until 1993
primarily provided consumer health care information products and services
designed to help hospitals and other health care providers market their
services. Beginning in 1993, the Company changed its focus to developing and
marketing personal health and care management products and services to health
plans and payors.
During November 1996, the Company completed mergers with Informed Access
Systems ("Informed Access"), in exchange for 5,375,000 shares of Access Health
Common Stock (including 4,778,317 shares issued to Informed Access shareholders
and 596,683 shares reserved for future grant to Informed Access option holders)
and Clinical Reference Systems, Ltd. ("CRS"), in exchange for 170,000 issued
shares of Access Health Common Stock. Both transactions were accounted for as
pooling-of-interests.
Informed Access was founded in 1992 and was a leading provider of care
management products and services to the health care industry. Informed Access'
primary clients were major managed health care organizations including health
maintenance organizations (HMO's), preferred provider organizations (PPO's),
indemnity insurers, integrated delivery systems and physician groups. CRS
develops and markets patient education software products that enable health care
providers to produce easy-to-read handouts on a variety of medical and drug
topics. The following discussion includes the results of operations of Informed
Access and CRS.
CARE MANAGEMENT SERVICES. The Company's Personal Health Advisor-Registered
Trademark- ("PHA") product line is a suite of care management services which
generate recurring revenues through a fee structure that is based on utilization
of PHA services, subject typically to a minimum per-member per-month fee. Care
management revenues are generated principally from the Company's PHA contracts.
Managed care organizations, health plans and large self-insured employers
contract for use of PHA services by their members or employees in order to
reduce unnecessary health care utilization, improve member satisfaction, lower
health care costs and improve quality of care. The Company also earns fees for
providing member communications services to its customers.
LICENSING AND SUPPORT SERVICES. The Company also licenses certain of its
acute care products and other products and services to hospitals and other
health care providers. Those products include First Help-TM-, the
ASK-A-NURSE-Registered Trademark- family of products, CANCER HELPLINK-Registered
Trademark-, Access Care Management System-SM- ("ACMS") and HealthSelect. The
Company's revenues from these products include license fees, as well as on-going
fees for program support, teleservices, and direct marketing activities.
17
<PAGE>
The following shows the components of the Company's consolidated statements
of operations as a percentage of total revenues:
<TABLE>
<CAPTION>
1995 1996 1997
--------- --------- ---------
<S> <C> <C> <C>
Revenues:
Care management services............................................... 73.5% 84.8% 89.8%
Licensing and support services......................................... 26.5 15.2 10.2
--------- --------- ---------
Total revenues....................................................... 100.0% 100.0% 100.0%
Costs and expenses:
Cost of revenues:
Care management services............................................. 53.8 48.1 47.2
Licensing and support services....................................... 13.8 7.4 3.1
Product and other development.......................................... 9.2 9.1 7.6
Sales and marketing.................................................... 15.2 13.1 8.5
General and administrative............................................. 12.6 14.4 8.3
Transaction costs...................................................... -- -- 6.1
Integration and restructuring.......................................... -- -- 9.3
--------- --------- ---------
Total costs and expenses............................................. 104.6% 92.1% 90.0%
--------- --------- ---------
Income (loss) from operations............................................ (4.6) 7.9 10.0
Impairment loss on interests in AHN...................................... -- -- (9.6)
Interest and other income, net........................................... 2.0 2.0 1.8
--------- --------- ---------
Income (loss) before income taxes........................................ (2.6) 9.9 2.2
Provision (credit) for income taxes...................................... (0.7) 8.4 (2.2)
--------- --------- ---------
Net income (loss)........................................................ (1.9)% 1.5% 4.4%
--------- --------- ---------
--------- --------- ---------
Gross margins by product line:
Care management services............................................... 26.8% 43.4% 47.5%
Licensing and support services......................................... 47.9% 51.0% 69.4%
</TABLE>
RESULTS OF OPERATIONS
REVENUES. Revenues are comprised of revenues from care management services
and revenues from licensing and support services. Revenues increased 100.0% from
$36.0 million in fiscal 1995 to $72.1 million in fiscal 1996 and 44.7% to $104.3
million in fiscal 1997.
Revenues from care management services increased 131.0% from $26.5 million
in fiscal 1995 to $61.2 million in fiscal 1996 and 53.2% to $93.7 million in
fiscal 1997 because of an increase in members enrolled under the Company's care
management contracts. As of September 30, 1997, approximately 22.3 million
members were enrolled, an increase of 54.9% compared to approximately 14.4
million enrolled as of September 30, 1996. 4.3 million were enrolled as of
September 30, 1995. Average care management revenue per-member per-month
decreased from $0.86 in fiscal 1995 to $0.52 in fiscal 1996 and $0.42 in fiscal
1997. Average revenue per-member per-month is a function of both membership size
and monthly call experience ("utilization"). Many of the older contracts
contained price terms providing for minimum membership commitments and a
utilization floor, which occasionally resulted in clients paying for members not
yet enrolled or utilization rates in excess of actual experience. The decrease
in average revenue per-member from 1995 to 1996 was primarily due to increases
in the average number of members per customer. The decrease in average revenue
per-member from 1996 to 1997 was primarily due to contract renewals and
renegotiations where actual utilization was meaningfully below the contract
minimum. The Company believes that average per-member fees will decline slightly
in the first half of
18
<PAGE>
fiscal 1998 and will then stabilize during the second half of fiscal 1998.*
Revenue from care management contracts are recognized ratably on a per-member
per-month basis commencing upon the enrollment of members.
Revenues from licensing and support services increased 14.7% from $9.5
million in fiscal 1995 to $10.9 million in fiscal 1996 and decreased 3.0% to
$10.6 million in fiscal 1997. Licensing and support services revenues include
licensing, implementation, program support and teleservicing fees associated
with the Company's FirstHelp-TM-, ASK-A-NURSE-Registered Trademark-, CANCER
HELPLINK-Registered Trademark-, ACMS and HealthSelect licensed products.
Revenues from patient education software sales are also included. The Company
expects that licensing and software support revenues will remain constant or
increase moderately in terms of absolute dollars while at the same time decline
as a percentage of total revenues due to revenue growth from other products and
services.
COST OF REVENUES. The cost of care management services revenues includes
the costs of operating the Company's care centers, on-going client consultation
and charges for providing care management member communications services. The
gross margin percentages for care management services were 26.8%, 43.3% and
47.5% for fiscal 1995, 1996 and 1997, respectively. Gross margins for care
management services improved from 1995 to 1996 and 1997 because economies of
scale and operating efficiencies were achieved by virtue of the growth in care
management enrollments, as previously discussed.
The cost of licensing and support services revenues includes the costs of
licensing implementations, call processing, on-going client consultation, annual
users' conferences, advertising materials, and other support services for First
Help-TM-, ASK-A-NURSE-Registered Trademark-, CANCER HELPLINK-Registered
Trademark-, ACMS and HealthSelect licensees. It also includes costs associated
with publishing and distributing patient education software to healthcare
providers. The gross margin percentages for licensing and support services were
47.9%, 51.0% and 69.4% for fiscal 1995, 1996 and 1997, respectively. Year to
year fluctuations in gross margins are the result of changes in the mix of
product and services sales with varying margins. The increase from fiscal 1996
to fiscal 1997 is due to the replacement of lower margin ASK-A-NURSE-Registered
Trademark- business with higher margin FirstHelp-TM- licensing and patient
education software sales.
PRODUCT AND OTHER DEVELOPMENT EXPENSES. Product and other development
expenses increased 98.5% from $3.3 million in 1995 to $6.5 million in 1996 and
21.0% to $7.9 million in fiscal 1997. These costs relate to enhancements of the
Company's care center systems and clinical applications, and the development of
other products and services intended to serve selected markets. Beginning in
fiscal 1996, product development also included costs associated with the
development of new disease management products and PHA OnLine. The Company
expects product and other development expenses to remain relatively constant in
fiscal 1998 as it continues to make investments in care management and disease
management products and services.
SALES AND MARKETING EXPENSES. Sales and marketing expenses consist of
expenses related to both the care management and license and support services
products. These expenses increased 72.6% from $5.5 million in 1995 to $9.5
million in 1996 and decreased 5.9% to $8.9 million in 1997. Sales and marketing
expenses as a percentage of revenues were 15.2%, 13.1% and 8.5% in fiscal 1995,
1996 and 1997, respectively. Increased sales and marketing expenses from fiscal
1995 to fiscal 1996 reflected higher levels of lead generation activity,
expansion of the sales team and increased sales commissions related to the
increase in revenues. The decrease in sales and marketing expenses from fiscal
1996 to fiscal 1997 was the result of synergies achieved by the post-merger
consolidation of sales and marketing activities. Sales and marketing expenses
declined as a percentage of revenues from fiscal 1995 to fiscal 1996 and fiscal
1997 due to the growth in care management services revenues previously
discussed.
Sales and marketing expenses will likely increase in fiscal 1998 in terms of
absolute dollars as the Company pursues its strategy of selling and servicing an
expanding suite of care management and disease management products and may
increase as a percentage of revenues.
19
<PAGE>
GENERAL AND ADMINISTRATIVE EXPENSES. General and administrative expenses
increased 128.9% from $4.5 million in 1995 to $10.4 million in 1996 and
decreased 17.1% to $8.6 million in 1997. As a percentage of revenue, general and
administrative expenses were 12.6%, 14.4% and 8.3% in 1995, 1996 and 1997,
respectively. The expense increase from 1995 to 1996 reflects increased expenses
for management information systems and additional finance, human resources and
executive level personnel. The decline from fiscal 1996 to fiscal 1997 was the
result of synergies achieved by the post-merger consolidation of redundant
general and administrative activities.
TRANSACTION COSTS AND INTEGRATION AND RESTRUCTURING COSTS. Transaction
costs of $6.3 million reflect charges associated directly with the merger of the
Company with Informed Access and CRS and included professional fees of
approximately $5.2 million. Integration and restructuring costs related to the
mergers were recorded in the amounts of approximately $7.0 million and $2.7
million during the first and fourth quarters of fiscal 1997, respectively.
Integration and restructuring costs include: approximately $7.1 million for
severance, outplacement and relocation costs specifically related to the merger;
$1.2 million related to the closure and elimination of duplicate leased
facilities, primarily corporate headquarters, a sales office and a call center;
and $1.3 million related to the write-off of computer hardware and other assets
which were made obsolete as a result of the merger and duplicate information
systems. The remaining merger-related accrual at September 30, 1997 was
approximately $3.1 million. Total expected cash expenditures relating to the
merger charge are estimated to be approximately $6.7 million, of which
approximately $3.6 million was disbursed prior to September 30, 1997.
Termination benefits received by employees terminated through September 30, 1997
were approximately $4.5 million. The remaining severance and outplacement
amounts are expected to be paid within the next twelve months.
INCOME (LOSS) FROM OPERATIONS. Operating income (loss) increased from a
loss of $1.7 million in fiscal 1995 to income of $5.7 million in fiscal 1996 and
$10.4 million in fiscal 1997. Excluding one time non-recurring transactions,
integration and restructuring costs, operating income was $26.4 million in
fiscal 1997. The loss from operations in fiscal 1995 can be attributed to losses
incurred by Informed Access prior to the merger, which, while still in its
formative stage, made significant investments in developing a sophisticated
clinical approach to providing care management services. The change to
profitability in fiscal 1996 and further increases in profitability in fiscal
1997 are due to economies of scale associated with increased enrollments and
revenues combined with synergies achieved by combining operating companies.
NON-OPERATING INCOME (EXPENSE). The Company generates net interest income
primarily from cash balances and investments. Interest and other income
increased from $877,000 in fiscal 1995 to $1.6 million in fiscal 1996 and to
$2.2 million in fiscal 1997. The increases are primarily due to increasing cash
and short-term investment balances resulting from positive cash flow from
operations. The increase in fiscal 1996 was due to additional capital raised in
December 1995 by the Company's secondary public offering of its common stock.
Interest expense of $150,000, $186,000, and $324,000 in fiscal 1995, 1996, and
1997, respectively, is associated with long-term leases for office equipment and
certain other short term indebtedness including notes payable to related
parties.
The loss on interests in America's Health Network ("AHN") recorded in the
fourth quarter of fiscal 1997 was a result of the Company's determination that
its equity investment in and note receivable from AHN were impaired.
INCOME TAXES. The Company recorded an income tax benefit of $242,000 in
1995, an income tax provision of $6.1 million in fiscal 1996, and an income tax
benefit of $2.4 million in fiscal 1997, respectively. During fiscal 1997, the
Company, for tax purposes, liquidated one of its subsidiaries, allowing it to
utilize the net operating loss of the subsidiary and reduce the valuation
allowance by $3,368,000. Additionally, during fiscal 1997, the Company recorded
a deferred tax asset of approximately $6.0 million resulting from temporary
differences in the recognition of certain expenses for book and tax purposes.
20
<PAGE>
Realization of the Company's net deferred tax asset is dependent upon the
Company generating sufficient United States federal taxable income
(approximately $17.0 million) in future years to obtain benefit from the
reversal of net deductible temporary differences and from tax credit
carryforwards. The Company's management believes that, on a more likely than not
basis, the Company's recorded net deferred tax asset is realizable. The amount
of deferred tax assets considered realizable is subject to adjustment in future
periods if estimates of future United States federal taxable income are reduced.
EFFECTS OF INFLATION AND CHANGING PRICES. Inflation and changing prices
have not had a material effect on the Company's operations and, at current
levels, are not expected to in future years.
LIQUIDITY AND CAPITAL RESOURCES
The Company has funded its operations through the sale of equity securities,
cash flow from operations and incurrence of debt. Cash provided by operations
increased 102.2% from $4.6 million for fiscal 1995 to $9.1 million for fiscal
1996 and 130.8% to $21.0 million for fiscal 1997. The Company raised net
proceeds of $29.5 million from a public offering of Common Stock in the first
quarter of fiscal 1996. As of September 30, 1997 the Company held cash and
equivalents and available-for-sale securities totaling $58.0 million.
Accounts and licenses receivable increased 89.7% from $6.8 million in fiscal
1995 to $12.9 million in fiscal 1996 primarily as a result of increased revenue
from PHA contracts. Accounts and licenses receivable decreased 3.1% to $12.5
million in fiscal 1997 due to a reduction in payment cycle.
In fiscal 1995, 1996 and 1997 the Company used cash and equivalents to
invest in short-term investments. In fiscal 1995 and 1996 the Company made
significant additions to property and equipment to expand its call center
operations. During April 1996, the Company invested $5.0 million in AHN. In
exchange, the Company received a limited partnership interest in AHN. In January
1997, the Company elected to invest an additional $5 million in AHN in the form
of a convertible debenture. As discussed above, the Company recorded a $10.0
million charge to operations relating to AHN in the fourth quarter of fiscal
1997.
The Company's long-term debt and capital lease obligations together have
been reduced to a total of $1.3 million as of September 30, 1997.
The Company expects to spend approximately $7.5 million to purchase capital
equipment and computer software in fiscal 1998 to expand its call centers and
corporate headquarters in Broomfield, CO. The Company could increase its
expenditures for call center expansion in fiscal 1998 depending on the timing
and extent of increases in member enrollment.
The Company believes its current capital resources are adequate to fund cash
needs for anticipated operating levels for at least the next twelve months. The
Company also may use capital resources in connection with business expansion
that may include the acquisition of complementary product lines or businesses
during fiscal 1998 or beyond.
IMPACT OF THE YEAR 2000 ON COMPUTER SYSTEMS
The Company's computer systems and infrastructure have been expanded and
enhanced during the past two years. As part of that development, the
architectural design has taken into account the Year 2000 issue. As a result,
management believes that the Year 2000 issue will be resolved in a timely
fashion and will not materially affect future financial results, or cause
reported financial information to be inaccurate.
FACTORS THAT MAY AFFECT FUTURE OPERATING PERFORMANCE
UNCERTAINTY RELATED TO OBTAINING, EXPANDING AND RETAINING CONTRACTS MAY
IMPACT RESULTS OF OPERATIONS. The Company's ability to increase revenues and
profitability is largely dependent on the Company's ability
21
<PAGE>
to secure additional care management contracts and to retain and expand existing
contracts. The Company could be adversely affected by the termination or
non-renewal of any of the Company's contracts, or by regeneration of the terms
of the contracts, particularly if the affected contracts cover a large number of
members or represent a significant portion of the Company's care management
revenue. For example, in fiscal 1997, the Company renegotiated various older
care management contracts to bring price terms based on minimum membership and
utilization rates previously negotiated in line with actual membership and
utilization rates. Such rationalizations resulted in a decrease of revenue by
approximately $7.0 million in fiscal 1997. The Company expects contract
rationalizations to reduce revenue under such contracts by approximately $5.9
million in fiscal 1998. Any factors adversely affecting the market for the
Company's care management products or licensing and support services products,
including factors outside of the Company's control, such as adverse publicity or
government regulatory action, could have a material adverse effect on the
Company.
DEPENDENCE ON PRINCIPAL CUSTOMERS. A significant portion of the Company's
revenues are generated by a limited number of customers. The Company's PHA
contracts range from approximately 800 members to 3.0 million members per
contract. The five largest single customer enrollments in PHA total 3.0 million,
2.4 million, 1.9 million, 1.5 million and 1.5 million members. In fiscal 1997,
the Company's three largest customers accounted for approximately 8.0%, 7.8%,
and 6.9% of the Company's total revenues and the Company's top five customers,
in the aggregate, accounted for approximately 33.4% of the Company's total
revenues. After an initial term of approximately one to four years, contracts
generally can be terminated upon 60 to 360 days notice to the Company. Three of
the five largest contracts are up for renewal in 1998. The Company's contracts
could be subject to early termination by its customers if the Company were not
in compliance with any applicable government regulation. The termination, non-
renewal or renegotiation of any of such agreements could have a material adverse
effect on the Company's operating results. See "Government Regulation."
UNCERTAINTY OF FUTURE OPERATING RESULTS. The Company's quarterly operating
results may fluctuate significantly in the future as a result of a variety of
factors, many of which are outside the Company's control. There can be no
assurance that the Company's revenues and profitability will increase during
fiscal 1998 and beyond. The Company's revenues may be materially adversely
affected by the termination or non-renewal of the Company's contracts or by the
renegotiation of the terms of such contracts. The Company may incur
significantly increased sales, marketing and promotional expenses during fiscal
1998, and may devote additional resources to the further development of care
management, disease management or other new products. To the extent that the
Company incurs increased expenses, the Company's operating results will be
adversely affected unless revenues and operating margins increase sufficiently
to offset such expenditures. See "Management's Discussion and Analysis of
Financial Condition and Results of Operations."
COMPETITION. The market for the Company's products and services is highly
competitive and the Company expects that competition will intensify in the
future. There are a number of competitors that offer products or services that
compete with some or all of those offered by the Company. Existing and potential
clients may also evaluate the Company's products or services against internally
developed programs. Increased competition could result in pricing pressure and
margin erosion. In its existing business and as the Company offers new products
or services, or enters new markets, it may face increased competition from
competitors, some of which have substantially greater financial, marketing and
technical resources than the Company. In particular, several smaller competitors
have recently been acquired or are expected to be acquired by companies with
substantially greater financial, marketing and technical resources than the
Company, and this could lead to increased competition. There can be no assurance
that the Company will continue to compete successfully.
CHANGING HEALTH CARE MARKET AND NEW PRODUCT DEVELOPMENT. The health care
industry has undergone significant changes in recent years, and changes are
expected to continue. Containing health care costs has
22
<PAGE>
become a national priority. As a result, the health care industry has become
increasingly dominated by managed health care plans, causing cost containment
pressure to rise. To address these changes, the Company shifted its business
focus in 1993 to payors from providers and developed its personal health
management services. There is no assurance that the Company's existing products
and services will achieve continued success or that its new products and
services will succeed. There also can be no assurance that continued industry
change will not adversely affect the Company's ability to compete. Continued
change may cause the Company to incur significant product development and
marketing expenses. The Company's future success will depend on the Company's
ability to adapt to the changing needs of the health care industry.
CARE CENTER OPERATIONS. The Company maintains member service and data
centers ("care centers") in Rancho Cordova, California; Chicago, Illinois;
Broomfield, Colorado; and Phoenix, Arizona. The Company's operations depend on
the adequate functioning of the computer and telephone systems in its call
centers. Although the Company has taken precautions to provide for power,
computer, and telephone systems redundancy, there can be no assurance that a
fire or other disaster affecting the centers or an equipment failure would not
disable the Company's systems for a significant period of time. Any significant
damage to the Company's facilities or an equipment failure could have a material
adverse effect on the Company's business, financial condition and results of
operations.
The successful operation of the Company's care centers is based on a
networked information system. The information system provides care center nurses
and health care counselors with access to care management applications and a
database of information including member information, plan, rules, physician
information and clinical algorithms and guidelines. The Company is in the
process of developing a new information system which combines certain aspects of
the different systems developed by Access Health and Informed Access. Failure to
successfully develop and implement this new information system could delay
revenues or increase operating costs and could have a material adverse effect on
the Company. The ability to continue to develop, implement and support the
Company's information systems is dependent on its ability to employ and retain
experienced technical personnel. If the Company is unable to hire and retain
required technical personnel or is required to pay compensation at significantly
higher levels to attract and retain technical personnel it could have a material
adverse effect on the Company's financial results.
LIMITATIONS ON PROTECTION OF PROPRIETARY RIGHTS. The Company regards its
software, clinical algorithms and nursing assessment tools, clinical operational
expertise and marketing and program operation materials as proprietary and takes
action to protect its intellectual property with patents, copyrights,
trademarks, trade secret laws and restrictions on disclosure, copying and
transferring title. Despite the Company's precautions, it may be possible for
unauthorized third parties to copy aspects of the Company's products or to
obtain and use information that the Company regards as proprietary. There can be
no assurance that competitors, some of which have substantial resources and have
made substantial investments in competing technologies, will not seek to apply
for and obtain patents that will prevent, limit or interfere with the Company's
ability to market its products and services either in the United States or in
international markets. Access Health could incur substantial costs in defending
itself in suits against the Company or its proprietary rights or in bringing
suits against those parties to enforce Access Health's proprietary rights. The
Company has been issued patents on its clinical algorithms in the United States
and has filed for patent protection is some foreign countries. There is no
assurance that such patents will not be challenged or invalidated. Existing
copyright laws afford only limited practical protection. In addition, the laws
of some foreign countries do not protect the Company's proprietary rights to the
same extent as do the laws of the United States, which could be a factor
depending upon into which countries outside the United States the Company
expands.
MANAGEMENT OF GROWTH. The Company has experienced rapid growth in recent
years. Continued rapid growth may place a significant strain on the Company's
management, telecommunications systems,
23
<PAGE>
operational infrastructure, working capital and financial and management control
systems. The difficulties of managing growth may be increased by the necessity
of coordinating geographically separated organizations. In order for the Company
to manage its client base successfully, management will be required to
anticipate the changing demands of the Company's growing operations and to adopt
systems and procedures accordingly. Failure to effectively implement or maintain
such systems and controls could adversely affect the Company's business, results
of operation and financial condition. Further, there can be no assurance that
the Company's current information systems, telecommunications systems and
operational infrastructure will be adequate for its future needs, or that Access
Health will be successful in implementing new systems. Failure to upgrade its
information systems, telecommunications systems and operational infrastructure
or unexpected difficulties encountered with these systems during expansion could
adversely affect the Company's business, financial condition and results of
operations.
ACQUISITION-RELATED RISKS. The Company has grown in part through mergers
and acquisitions. The Company intends to evaluate acquisitions of product lines
and businesses as part of its business strategy. The process of integrating an
acquired company's business into the Company's operations may result in
unforeseen operating difficulties and expenditures and may absorb significant
management attention that would otherwise be available for the ongoing
development of the Company's business. Moreover, there can be no assurance that
the anticipated benefits of an acquisition will be realized. Future acquisitions
by the Company could result in potentially dilutive issuances of equity
securities, the incurrence of debt and contingent liabilities and amortization
expenses related to goodwill and other intangible assets, which could materially
adversely affect the Company's operating results and financial condition. In
addition, acquisitions involve numerous risks, including difficulties in
managing diverse geographic operations, the diversion of management's attention
from other business concerns, risks of entering markets in which the Company has
no or limited direct prior experience and the potential loss of key employees of
the acquired company. The inability of the Company's management to respond to
changing business conditions effectively, including the changes associated with
its acquired businesses and product lines, could have a material adverse effect
on the Company's business, financial condition and results of operations.
KEY EMPLOYEES AND MANAGEMENT OF CHANGE. The Company's success depends on a
limited number of key management employees, most of whom are subject to
post-employment non-competition restrictions. The loss of the services of one or
more of these employees could have a material adverse effect on the Company. The
Company believes that its continued success also will depend in large part on
its ability to attract and retain highly-skilled management, technology,
marketing, sales and nursing personnel. Competition for such personnel is
intense, and there can be no assurance that the Company will be successful in
attracting and retaining such personnel as necessary. Furthermore, the Company's
ability to manage change and growth successfully will require the Company to
continue to improve its management expertise as well as its financial systems
and controls.
VOLATILITY OF STOCK PRICE. The market for the Company's stock is highly
volatile. The trading price of Access Health's common stock is subject to wide
fluctuations in response to a variety of factors including the signing or loss
of a major contract, changes in market analyst estimates and recommendations for
the Company's common stock, fluctuations in operating results, the failure of
operating results to meet market analysts' estimates, changes in government
regulation and general conditions in the health care industry and the economy
any of which could cause the price of the Company's common stock to fluctuate,
perhaps substantially. In addition, in recent years stock prices have
experienced significant price fluctuations, which have particularly affected the
market price for the securities of health care companies and which often have
been unrelated to the operating performance of these companies.
GOVERNMENT REGULATION. The health care industry is subject to extensive and
evolving government regulation at both the Federal and State levels relating to
many aspects of the Company's and its clients' businesses in use of the
Company's programs, including the provision of health care services,
teleservicing, health care referral programs, and health maintenance
organizations and other similar plans. These
24
<PAGE>
statutes and regulations in many cases predate the development of
telephone-based health care information and other interstate transmission and
communication of medical information and services. The literal language of
certain of these statutes and regulations governing the provision of health care
services, including the practice of nursing and the practice of medicine, could
be construed by regulatory authorities to apply to certain of the Company's
activities, including without limitation teleservicing activities which use
California, Illinois, Arizona and Colorado registered nurses to provide
out-of-state care management services such as nursing assessments and
information regarding appropriate sources of care and treatment time frames.
These statutes and regulations could also apply to certain activities of the
Company's health service customers when operating the Company's programs. In
addition, the literal language of the statutes and regulations governing health
maintenance organizations and other plans that provide or arrange for the
provision of health care services for a prepaid or periodic charge could be
construed by regulatory authorities to apply to certain activities of the
Company that are provided on a per-member per-month basis. The Company has not
been made, nor is it aware that any other company providing out-of-state
teleservicing has ever been made, the subject of such requirements by a
regulatory authority. However, if regulators seek to enforce any of the
foregoing statutory and regulatory requirements, the Company, its employees
and/or its clients could be required to obtain additional licenses or
registrations, to modify or curtail the operation of the Company's programs, to
modify the method of payment for the Company's programs, or to pay fines or
incur other penalties.
The payment of remuneration to induce the referral of health care business
has been a subject of increasing governmental and regulatory focus in recent
years. Section 1128B(b) of the Social Security Act (sometimes referred to as the
"Federal anti-kickback statute") provides criminal penalties for individuals or
entities that knowingly and willfully offer, pay, solicit or receive
remuneration in order to induce referrals for items or services for which
payment may be made under the Medicare and Medicaid programs and certain other
government-funded programs. The Social Security Act provides authority to the
Office of the Inspector General through civil proceedings to exclude an
individual or entity from participation in the Medicare and state health
programs if it is determined any such party has violated Section 1128B(b) of the
Social Security Act. Regulations have been promulgated specifying certain
payment practices which will not be subject to criminal prosecution or civil
exclusion. These regulations, commonly referred to as the "safe harbor"
regulations, do not expand the scope of the Federal anti-kickback statute, and
the fact that a business arrangement does not fit within a safe harbor does not
mean the business arrangement violates the Federal anti-kickback statute. The
Company's programs do not meet the requirements of the safe harbor for referral
services. A number of states in which the Company operates have anti-kickback
statutes similar to the Federal statute as well as statutory and regulatory
requirements governing referral agencies and regulating franchising and business
opportunity ventures. In addition, the Federal government and a number of states
have enacted statutes which contain outright prohibitions on referrals for
specified services which are made by referring providers who have an ownership
interest in, or compensation arrangement with, the entity to which the referral
is made. If the Company or the use of its products and services were to be found
in violation of such statutes, the Company or its clients could be required to
modify or curtail the operation of the Company's programs, or to pay fines or
incur other penalties, and the Company's clients could be excluded from
participation in the Medicare and Medicaid programs and could be precluded from
charging fees and obtaining reimbursement for specified services.
There can be no assurance that the Company or the use of its products and
services will not be subject to review or challenge by government regulators
under any of the foregoing statutes and regulations that apply to health care
services and products. In addition, additional laws and regulations could be
enacted in the future that would regulate the Company or the use of its products
and services. Any government investigative or enforcement actions with respect
to the Company or the use of its products or services could generate adverse
publicity irrespective of the final outcome, and could have a material adverse
effect on the Company and its business, financial conditions and results of
operations.
25
<PAGE>
RISK MANAGEMENT. In recent years, participants in the health care industry,
including physicians, nurses and other health care professionals, have been
subject to an increasing number of lawsuits alleging malpractice, product
liability and related legal theories, many of which involve large claims and
significant defense costs. Due to the nature of its business, the Company could
become involved in litigation regarding the telephone information given by its
registered nurses or those of its licensees with the risk of adverse publicity,
significant defense costs and substantial damage awards. The Company has
established policies and procedures that limit the information provided by its
registered nurses to that contained in its clinical algorithms and protocols and
in other approved reference sources. In connection with its teleservices
operations, the Company has a quality assurance program that includes real-time
audits of calls and post call reviews to monitor compliance with established
policies and procedures. Generally, clients review and approve the Company's
clinical algorithms, protocols and guidelines prior to program implementation
and do not modify them without medical approval. To date, the Company has not
been the subject of any claim involving either its clinical assessment systems,
the operation of its teleservicing centers or the operation by hospital clients
of on-site call centers. However, there can be no assurance that claims will not
be brought against the Company. Even if such claims ultimately prove to be
without merit, defending against them can be time consuming and expensive, and
any adverse publicity associated with such claims could have a material adverse
effect on the Company.
26
<PAGE>
ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
Not applicable.
27
<PAGE>
ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA
28
<PAGE>
REPORT OF ERNST & YOUNG LLP, INDEPENDENT AUDITORS
The Board of Directors and Stockholders
Access Health, Inc.
We have audited the accompanying consolidated balance sheets of Access
Health, Inc. as of September 30, 1996 and 1997, and the related consolidated
statements of operations, mandatorily redeemable convertible preferred stock and
stockholders' equity, and cash flows for the three years in the period ended
September 30, 1997. Our audits also included the financial statement schedule
listed in the Index at Item 14(a)2. These financial statements and schedule are
the responsibility of the Company's management. Our responsibility is to express
an opinion on these financial statements based on our audits. In November 1996,
the Company completed a merger with Informed Access Systems, Inc. ("Informed
Access") in a transaction that was accounted for as a pooling-of-interests. We
did not audit the 1995 financial statements of Informed Access, a wholly-owned
subsidiary, which statements reflect aggregate revenues constituting
approximately 8% of the related consolidated financial statements total for
1995. Those statements were audited by other auditors whose report has been
furnished to us, and our opinion, insofar as it relates to data included for
Informed Access is based solely on the report of the other auditors.
We conducted our audits in accordance with generally accepted auditing
standards. 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. An audit also includes
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 and the report of other auditors provide a reasonable
basis for our opinion.
In our opinion, based on our audits and report of other auditors, the
consolidated financial statements referred to above present fairly, in all
material respects, the consolidated financial position of Access Health, Inc. at
September 30, 1996 and 1997, and the consolidated results of its operations and
its cash flows for each of the three years in the period ended September 30,
1997, in conformity with generally accepted accounting principles. Also, in our
opinion, the related financial statement schedule, when considered in relation
to the basic financial statements taken as a whole, presents fairly in all
material respects the information set forth therein.
ERNST & YOUNG LLP
Sacramento, California
October 27, 1997
29
<PAGE>
REPORT OF INDEPENDENT PUBLIC ACCOUNTANTS
To Informed Access Systems, Inc.
We have audited the accompanying consolidated balance sheet of INFORMED
ACCESS SYSTEMS, INC. (a Delaware corporation) and subsidiary as of December 31,
1995, and the related consolidated statements of operations, mandatorily
redeemable convertible preferred stock and stockholders' deficit and cash flows
for the year then ended, not presented separately herein. These financial
statements are the responsibility of the Company's management. Our
responsibility is to express an opinion on these financial statements based on
our audit.
We conducted our audit in accordance with generally accepted auditing standards.
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 financials statements. An audit also includes
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, the financial statements referred to above, not presented
separately herein, present fairly, in all material aspects, the financial
position of Informed Access Systems, Inc. and subsidiary as of December 31,
1995, and the results of their operations and their cash flows for the year then
ended, in conformity with generally accepted accounting principles.
ARTHUR ANDERSEN LLP
Denver, Colorado
March 12, 1996
30
<PAGE>
ACCESS HEALTH, INC.
CONSOLIDATED BALANCE SHEETS
(DOLLARS IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
ASSETS
<TABLE>
<CAPTION>
SEPTEMBER 30,
--------------------
1996 1997
--------- ---------
<S> <C> <C>
Current assets:
Cash and equivalents....................................................................... $ 26,533 $ 15,991
Available-for-sale securities.............................................................. 14,126 41,969
Accounts and licenses receivable, net of allowance for doubtful accounts of $768
($750 at September 30, 1996)............................................................. 12,944 12,453
Deferred income taxes...................................................................... -- 5,012
Income taxes receivable.................................................................... 1,917 3,231
Prepaid expenses........................................................................... 2,009 2,122
Other current assets....................................................................... 1,073 1,448
--------- ---------
Total current assets..................................................................... 58,602 82,226
Property and equipment, net.................................................................. 16,512 16,150
Purchased intangible assets, net of accumulated amortization of $4,911
($4,327 at September 30, 1996)............................................................. 3,478 2,894
Investment in AHN............................................................................ 5,000 --
Deferred income taxes........................................................................ -- 1,042
Other assets................................................................................. 700 342
--------- ---------
$ 84,292 $ 102,654
--------- ---------
--------- ---------
LIABILITIES AND STOCKHOLDERS' EQUITY
Current liabilities:
Accounts payable........................................................................... $ 4,314 $ 3,634
Accrued payroll and related expenses....................................................... 3,413 3,664
Accrued integration and restructuring costs................................................ -- 3,109
Other accrued expenses..................................................................... 4,980 4,360
Notes payable to related parties........................................................... 1,500 1,264
Current portion of long-term debt.......................................................... 180 198
Current portion of capital lease obligations............................................... 419 457
Deferred revenue........................................................................... 4,500 4,954
--------- ---------
Total current liabilities................................................................ 19,306 21,640
Capital lease obligations.................................................................... 933 481
Long-term debt............................................................................... 411 197
Commitments and contingencies
Mandatorily redeemable convertible preferred stock, $.001 par value, aggregate liquidation
and redemption preference of $10,995 at September 30, 1996; 3,859,196 shares authorized,
3,734,151 shares issued and outstanding as of September 30, 1996 (none at September 30,
1997)...................................................................................... 10,995 --
Stockholders' equity:
Preferred stock, $.001 par value--5,000,000 shares authorized, no shares issued and
outstanding.............................................................................. -- --
Common stock, $.001 par value--75,000,000 shares authorized, 18,246,159 shares issued and
outstanding (13,684,927 at September 30, 1996)........................................... 14 18
Additional paid-in capital................................................................. 58,182 80,806
Deferred stock compensation................................................................ (443) --
Accumulated deficit........................................................................ (5,106) (488)
--------- ---------
Total stockholders' equity............................................................... 52,647 80,336
--------- ---------
$ 84,292 $ 102,654
--------- ---------
--------- ---------
</TABLE>
See accompanying notes.
31
<PAGE>
ACCESS HEALTH, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
(IN THOUSANDS, EXCEPT PER SHARE AMOUNTS)
<TABLE>
<CAPTION>
YEARS ENDED SEPTEMBER 30,
-------------------------------
1995 1996 1997
--------- --------- ---------
<S> <C> <C> <C>
Revenues:
Care management services....................................................... $ 26,484 $ 61,178 $ 93,729
Licensing and support services................................................. 9,526 10,925 10,598
--------- --------- ---------
Total revenues............................................................... 36,010 72,103 104,327
Costs and expenses:
Cost of revenues:
Care management services..................................................... 19,374 34,653 49,237
Licensing and support services............................................... 4,961 5,349 3,244
Product and other development.................................................. 3,298 6,545 7,922
Sales and marketing............................................................ 5,487 9,468 8,907
General and administrative..................................................... 4,540 10,391 8,614
Transaction costs.............................................................. -- -- 6,345
Integration and restructuring.................................................. -- -- 9,661
--------- --------- ---------
Total costs and expenses..................................................... 37,660 66,406 93,930
--------- --------- ---------
Income (loss) from operations.................................................... (1,650) 5,697 10,397
Non-operating income (expenses):
Impairment loss on interests in AHN............................................ -- -- (10,000)
Interest and other income...................................................... 877 1,633 2,182
Interest expense............................................................... (150) (186) (324)
--------- --------- ---------
Income (loss) before income taxes................................................ (923) 7,144 2,255
Provision (credit) for income taxes.............................................. (242) 6,050 (2,363)
--------- --------- ---------
Net income (loss)................................................................ $ (681) $ 1,094 $ 4,618
--------- --------- ---------
--------- --------- ---------
Net income (loss) per share...................................................... $ (0.06) $ 0.06 $ 0.24
--------- --------- ---------
--------- --------- ---------
Shares used in per share calculations............................................ 11,000 18,502 19,360
--------- --------- ---------
--------- --------- ---------
</TABLE>
See accompanying notes.
32
<PAGE>
ACCESS HEALTH, INC.
CONSOLIDATED STATEMENTS OF MANDATORILY REDEEMABLE CONVERTIBLE
PREFERRED STOCK AND STOCKHOLDERS' EQUITY
YEARS ENDED SEPTEMBER 30, 1995, 1996 AND 1997
(IN THOUSANDS, EXCEPT SHARE AMOUNTS)
<TABLE>
<CAPTION>
MANDATORILY REDEEMABLE STOCKHOLDERS' EQUITY
-------------------------------------------------------------------
CONVERTIBLE PREFERRED
STOCK COMMON STOCK ADDITIONAL
---------------------- ---------------------- PAID-IN DEFERRED STOCK ACCUMULATED
SHARES AMOUNT SHARES AMOUNT CAPITAL COMPENSATION DEFICIT
----------- --------- ----------- --------- ----------- --------------- -------------
<S> <C> <C> <C> <C> <C> <C> <C>
BALANCE, SEPTEMBER 30, 1994.......... 2,459,834 $ 3,635 10,901,554 $ 11 $ 22,327 $ -- $ (6,317)
Sale of common stock............... -- -- 263,813 -- 671 -- --
Repayment of stockholder note
receivable....................... -- -- -- -- -- --
Income tax benefit from exercise of
stock options.................... -- -- -- 350 -- --
Sale of mandatorily redeemable
convertible preferred stock and
related issuance costs........... 1,047,394 5,980 -- -- -- -- (41)
Issuance of mandatorily redeemable
convertible preferred stock for
conversion of notes payable and
accrued interest................. 178,512 1,020 -- -- -- -- --
Issuance of common stock........... -- -- 127,483 -- 73 -- --
Net loss........................... -- -- -- -- -- -- (681)
----------- --------- ----------- --------- ----------- ----- -------------
BALANCE, SEPTEMBER 30, 1995.......... 3,685,740 10,635 11,292,850 11 23,421 -- (7,039)
Sale of common stock in secondary
public offering.................. -- -- 1,500,000 2 29,503 -- --
Sale of common stock upon exercise
of warrants and options.......... -- -- 1,049,413 1 2,291 -- --
Income tax benefit from exercise of
stock options.................... -- -- -- -- 2,491 -- --
Sale of mandatorily redeemable
convertible preferred stock...... 48,411 360 -- -- -- -- --
Deferred stock compensation........ -- -- -- -- 476 (476) --
Amortization of deferred stock
compensation..................... -- -- -- -- -- 33 --
Elimination of IAS and CRS net
activity for the three months
ended December 31, 1995.......... -- -- (157,336) -- -- -- 839
Net income......................... -- -- -- -- -- -- 1,094
----------- --------- ----------- --------- ----------- ----- -------------
BALANCE, SEPTEMBER 30, 1996.......... 3,734,151 10,995 13,684,927 14 58,182 (443) (5,106)
Conversion of mandatorily
redeemable convertible preferred
stock into common stock.......... (3,734,151) (10,995) 3,734,151 3 10,992 -- --
Stock compensation costs related to
accelerated vesting of stock
options.......................... -- -- -- -- 1,886 -- --
Amortization of deferred stock
compensation..................... -- -- -- -- -- 443 --
Sale of common stock upon exercise
of warrants and options.......... -- -- 762,581 1 3,803 -- --
Shares issued for services in
connection with acquisition...... -- -- 64,500 -- 2,233 -- --
Income tax benefit from exercise of
stock options.................... -- -- -- -- 3,710 -- --
Net income......................... -- -- -- -- -- -- 4,618
----------- --------- ----------- --------- ----------- ----- -------------
BALANCE, SEPTEMBER 30, 1997.......... -- $ -- 18,246,159 $ 18 $ 80,806 $ -- $ (488)
----------- --------- ----------- --------- ----------- ----- -------------
----------- --------- ----------- --------- ----------- ----- -------------
<CAPTION>
STOCKHOLDER
NOTES
RECEIVABLE TOTAL
--------------- ---------
<S> <C> <C>
BALANCE, SEPTEMBER 30, 1994.......... $ (9) $ 16,012
Sale of common stock............... -- 671
Repayment of stockholder note
receivable....................... 9 9
Income tax benefit from exercise of
stock options.................... -- 350
Sale of mandatorily redeemable
convertible preferred stock and
related issuance costs........... -- (41)
Issuance of mandatorily redeemable
convertible preferred stock for
conversion of notes payable and
accrued interest................. -- --
Issuance of common stock........... -- 73
Net loss........................... -- (681)
--- ---------
BALANCE, SEPTEMBER 30, 1995.......... -- 16,393
Sale of common stock in secondary
public offering.................. -- 29,505
Sale of common stock upon exercise
of warrants and options.......... -- 2,292
Income tax benefit from exercise of
stock options.................... -- 2,491
Sale of mandatorily redeemable
convertible preferred stock...... -- --
Deferred stock compensation........ -- --
Amortization of deferred stock
compensation..................... -- 33
Elimination of IAS and CRS net
activity for the three months
ended December 31, 1995.......... -- 839
Net income......................... -- 1,094
--- ---------
BALANCE, SEPTEMBER 30, 1996.......... -- 52,647
Conversion of mandatorily
redeemable convertible preferred
stock into common stock.......... -- 10,995
Stock compensation costs related to
accelerated vesting of stock
options.......................... -- 1,886
Amortization of deferred stock
compensation..................... -- 443
Sale of common stock upon exercise
of warrants and options.......... -- 3,804
Shares issued for services in
connection with acquisition...... -- 2,233
Income tax benefit from exercise of
stock options.................... -- 3,710
Net income......................... -- 4,618
--- ---------
BALANCE, SEPTEMBER 30, 1997.......... $ -- $ 80,336
--- ---------
--- ---------
</TABLE>
See accompanying notes.
33
<PAGE>
ACCESS HEALTH, INC.
CONSOLIDATED STATEMENT OF CASH FLOWS
INCREASE (DECREASE) IN CASH AND EQUIVALENTS
(IN THOUSANDS)
<TABLE>
<CAPTION>
YEARS ENDED SEPTEMBER 30,
---------------------------------
1995 1996 1997
--------- ---------- ----------
<S> <C> <C> <C>
Cash flows from operating activities:
Net income (loss)............................................................. $ (681) $ 1,094 $ 4,618
Adjustments to reconcile net income (loss) to net cash provided by operations:
Provision for doubtful accounts............................................. 285 210 18
Depreciation and amortization............................................... 2,181 4,228 6,310
Impairment loss on interests in AHN......................................... -- -- 10,000
Deferred stock compensation................................................. -- 33 443
Accelerated vesting of stock options........................................ -- -- 1,886
Common stock issued for services............................................ -- -- 2,233
Notes payable to related parties............................................ -- 1,500 --
Deferred income taxes....................................................... (183) 348 (6,054)
Changes in:
Accounts and licenses receivable.......................................... (1,532) (6,002) 473
Income taxes receivable................................................... 1,530 658 (1,314)
Prepaid expenses and other current assets................................. (140) (1,699) (488)
Accounts payable.......................................................... 1,115 1,844 (680)
Accrued payroll and related expenses...................................... 1,395 1,517 251
Accrued integration and restucturing costs................................ -- -- 3,109
Other accrued expenses.................................................... 369 3,717 620
Deferred revenue.......................................................... 237 1,660 (454)
--------- ---------- ----------
Net cash provided by operating activities............................... 4,576 9,108 20,971
--------- ---------- ----------
Cash flows from investing activities:
Purchases of available-for-sale securities.................................... (6,919) (33,259) (73,206)
Maturities of available-for-sale securities................................... 4,256 24,305 45,363
Purchase of property and equipment............................................ (5,163) (11,063) (5,696)
Investments in and notes receivable from AHN.................................. -- (5,000) (5,000)
(Increase) decrease in other assets........................................... (76) 387 358
--------- ---------- ----------
Net cash used by investing activities................................... (7,902) (24,630) (38,181)
--------- ---------- ----------
Cash flows from financing activities:
Payment oflong-term debt and capital leases................................... (441) (1,043) (610)
Payment of stockholder note receivable........................................ 9 -- --
Notes payable to related parties.............................................. -- -- (236)
Sale of mandatorily redeemable convertible preferred stock.................... 5,980 360 --
Proceeds from note payable.................................................... -- 680 --
Sale of common stock.......................................................... 671 31,797 3,804
Income tax benefit from exercise of common stock.............................. -- -- 3,710
--------- ---------- ----------
Net cash provided by financing activities............................... 6,219 31,794 6,668
--------- ---------- ----------
Net increase (decrease) in cash and equivalents................................. 2,893 16,272 (10,542)
Elimination of Informed Access and CRS net cash activity for the three months
ended December 31, 1995....................................................... -- 446 --
Cash and equivalents at beginning of year....................................... 6,922 9,815 26,533
--------- ---------- ----------
Cash and equivalents at end of year............................................. $ 9,815 $ 26,533 $ 15,991
--------- ---------- ----------
--------- ---------- ----------
</TABLE>
See accompanying notes.
34
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
SEPTEMBER 30, 1997
NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
ORGANIZATION, BUSINESS AND PRINCIPLES OF CONSOLIDATION
The accompanying consolidated financial statements include the accounts of
Access Health, Inc. and its wholly-owned subsidiaries. The consolidated entity
is referred to herein as the Company. All intercompany accounts and transactions
have been eliminated in consolidation. As more fully described in Note 2, during
November 1996, the Company entered into business combinations within Informed
Access Systems, Inc., ("Informed Access") and Clinical Reference Systems, Ltd.,
("CRS"). The business combinations have been accounted for as
poolings-of-interests and the historical consolidated financial statements of
the Company for all dates and periods prior to the business combinations have
been restated to include the financial positions, results of operations and cash
flows of Informed Access and CRS.
The Company develops, markets and supports care management programs which
help managed care organizations, self-insured employers and hospitals manage
consumer demand for health care services.
REVENUE RECOGNITION
Revenues include care management services, which consist of program
membership, member communications and teleservicing fees from the Company's
Personal Health Advisor-Registered Trademark-, FirstHelp-TM- and ASK-A-
NURSE-Registered Trademark- contracts with managed care organizations,
self-insured employers and hospitals. Revenues also include licensing and
support services related to the Company's ASK-A-NURSE-Registered Trademark-,
Cancer HELPLINK-Registered Trademark-, FirstHelp-TM-, Access Care Management
System-SM-, and HealthSelect and patient education software products.
Program membership fees from Personal Health Advisor-Registered Trademark-
and FirstHelp-TM- contracts are recognized ratably in accordance with contract
terms on the basis of per-member fees. Member communications fees are recognized
upon the delivery of services. Teleservicing fees are recognized in accordance
with contract terms on the basis of per-call fees or fees based on phone
counselor staffing.
License revenues from ASK-A-NURSE-Registered Trademark-, Cancer
HELPLINK-Registered Trademark-, FirstHelp-TM- and ACMS-SM- are recognized
ratably over the term of the contract. During fiscal 1995, revenues from
ASK-A-NURSE-Registered Trademark- and Cancer HELPLINK-Registered Trademark- were
recognized when implementation services were substantially complete based on
present value of contract installments, discounted at the prime rate (which
ranged from 6% to 9% for the periods presented), plus 3%, that are billable more
than one year after the license grant date. HealthSelect and patient education
software revenue is recognized upon delivery of the software.
Support revenues are comprised of software support revenue and direct
marketing fees. Revenue from support contracts and software maintenance
contracts is deferred when billed and recognized ratably over the contract term.
Direct marketing fees are recognized upon the delivery of services.
PRODUCT AND OTHER DEVELOPMENT COSTS
Product and other development costs are expensed as incurred and consist
primarily of salaries, supplies and contract services related to the development
of the Company's products and services.
CASH EQUIVALENTS AND AVAILABLE-FOR-SALE SECURITIES
The Company invests its excess cash in high quality money market instruments
and certain other investments. The Company considers highly liquid investments
with maturities of three months or less to
35
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
be cash equivalents. Available-for-sale securities are recorded at amounts which
approximated fair value as of September 30, 1996 and 1997 and are available to
fund current operations.
PROPERTY AND EQUIPMENT
Property and equipment are stated at cost and consist of office furniture
and equipment, computer equipment, leasehold improvements and computer software
for internal use. Depreciation and amortization of furniture and equipment,
computer equipment and leasehold improvements are provided on the straight line
basis over the useful lives of the respective assets or the lease term if
shorter, which range from two to ten years. Computer software consists of the
direct cost of internally-developed software and purchased software and is being
amortized on the straight-line basis over an estimated useful life of four
years.
PURCHASED INTANGIBLE ASSETS
Purchased intangible assets consist primarily of product rights and are
being amortized on the straight-line basis over three to ten years.
IMPAIRMENT OF LONG-LIVED ASSETS
The Company reviews its long-lived assets for impairment whenever events or
changes in circumstances indicate that the carrying amount of an asset may not
be recoverable from future undiscounted cash flows. Impairment losses are
recorded for the difference between the carrying value and fair value of the
long-lived asset.
INTERESTS IN AHN
In April 1996, the Company invested $5.0 million in America's Health
Network, L.P. ("AHN"), a new 24-hour 7 days a week cable television channel
devoted to consumer health care information. The Company is a limited partner in
AHN. In 1996 the investment in AHN was accounted for using the cost method.
During January 1997 the Company purchased an 8% Convertible Subordinated
Debenture from AHN in the face amount of $5.0 million. The debenture, which
matures on December 31, 2001, is unsecured an subordinated to all other debt
owed by AHN. Interest accrues at 8% annually and is only payable under certain
conditions as described in the agreement. The debenture is convertible into
partnership interests at the option of the holder.
During fiscal 1997, AHN's majority owner and principal financial sponsor,
The Providence Journal Company ("PJC") was acquired by AH Belo Corp ("Belo").
Subsequent to Belo's acquisition of PJC in February 1997, Belo indicated that it
did not intend to provide additional financing to AHN and pursued alternate
financing and operating strategies for AHN. On July 31, 1997, Belo terminated
its 65 percent ownership interest in AHN when a previously announced agreement
to sell its interest in AHN to Columbia/HCA Healthcare Corp. ("Columbia") was
terminated in late July when Columbia failed to close on the transaction. As a
result of losing its principal financial sponsor and not being able to obtain
additional financing, AHN suspended daily operations and furloughed the majority
of its employees. Accordingly, the Company determined the equity investment and
the subordinated debenture were not recoverable and they were written off in the
fourth quarter of fiscal 1997.
36
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
CONCENTRATIONS OF CREDIT RISK AND MAJOR CUSTOMERS
During fiscal 1997, sales to each of the Company's three largest customers
were $8,348,000, $8,180,000 and $7,157,000, respectively. During fiscal 1996,
sales to each of the Company's three largest customers were $10,446,000,
$7,472,000 and $7,184,000, respectively.
The Company's accounts and licenses receivable are primarily with companies
in the health care and insurance industries. The Company provides for
uncollectible accounts and licenses receivable and such amounts have been
recorded in accordance with the Company's estimates.
STOCK SPLIT
On February 15, 1996, the Company effected a three-for-two common stock
split. All references in the accompanying financial statements to the number of
common shares and per-share amounts have been retroactively restated to reflect
the stock split.
NET INCOME (LOSS) PER SHARE
The Company's net income (loss) per share is based upon the weighted average
number of shares of common stock outstanding. Common stock issuable upon the
exercise of stock options and stock warrants has been included in the
computation, to the extent dilutive, using the treasury stock method.
INCOME TAXES
Deferred income tax assets and liabilities are determined based on
differences between the financial reporting and tax bases of assets and
liabilities and are measured using the currently enacted tax rates and laws that
are scheduled to be in effect when the differences are expected to reverse.
FAIR VALUE OF FINANCIAL INSTRUMENTS
The Company's financial instruments consist of cash and equivalents,
available-for-sale securities, and long-term debt. The carrying values of cash
and equivalents and available-for-sale securities approximate fair value. The
fair value of long-term debt is estimated based on current rates available for
similar debt with similar maturities and securities, and at September 30, 1996
and 1997, approximates the carrying value.
STOCK ISSUED TO EMPLOYEES
As permitted under the provisions of Financial Accounting Standards No. 123
"Accounting for Stock Based Compensation" ("SFAS 123"), the Company has elected
to account for stock-based compensation using the intrinsic value method
prescribed by Accounting Principles Board's Opinion No. 25 "Accounting for Stock
Issued to Employees" ("APB 25"). Under the intrinsic value method, compensation
cost is the excess, if any, of the quoted market price or fair value of the
stock at the grant date or other measurement date over the amount an employee
must pay to acquire the stock.
37
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 1: SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
USE OF ESTIMATES
The preparation of financial statements in conformity with generally
accepted accounting principles requires management to make estimates and
assumptions. These estimates may affect the reported amounts of assets and
liabilities, disclosure of contingent assets and liabilities at the date of the
financial statements, and the reported amounts of revenues and expenses during
the reporting period. Actual results could differ from those estimates.
RECLASSIFICATIONS
Certain reclassifications have been made to amounts reported as of and for
the years ended September 30, 1995 and 1996 to conform with the September 30,
1997 presentation.
NEW ACCOUNTING PRONOUNCEMENTS
STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 128
In February 1997 the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards No. 128, "Earnings per Share," which is
required to be adopted on December 31, 1997. At that time, the Company will be
required to change the method currently used to compute net income (loss) per
share and to restate all prior periods. Under the new requirements for
calculating primary net income (loss) per share, the dilutive effect of stock
options will be excluded. The impact of adopting the new pronouncement is
expected to result in an increase in basic net income (loss) per share for the
years ended September 30, 1996 and 1997 of $.007 and $.022 per share,
respectively.
STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 130
In June 1997 the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 130, "Reporting Comprehensive Income," which
is required to be adopted for fiscal years beginning after December 15, 1997.
This statement establishes standards for reporting and display of comprehensive
income and its components in a full set of general-purpose financial statements.
This statement requires that all items that are required to be recognized under
accounting standards as components of comprehensive income to be reported in a
financial statement that is displayed with the same prominence as other
financial statements. Reclassification of financial statements for earlier
periods provided for comparative purposes is required. Management has determined
this change will not significantly affect its financial reporting. The Company
expects to adopt Statement No. 130 in the first quarter of fiscal 1999.
STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 131
In June 1997 the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 131, "Disclosures about Segments of an
Enterprise and Related Information," effective for fiscal years beginning after
December 15, 1997. The statement requires that a public company report financial
and descriptive information about its reportable operating segments using the
management approach. Management has determined this change will not
significantly affect its financial reporting. The Company expects to adopt
Statement No. 131 in the first quarter of fiscal 1999.
38
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 2: BUSINESS COMBINATIONS
During November 1996, the Company completed mergers with Informed Access in
exchange for 5,375,000 shares of Access Health Common Stock (including 4,778,317
shares issued to Informed Access shareholders and 596,683 shares reserved for
future grant to Informed Access option holders) and CRS, in exchange for 170,000
issued shares of Access Health common stock. These business combinations were
accounted for as pooling-of-interests and, accordingly, the historical financial
statements of the Company have been restated to include the consolidated
financial statements of Access Health, Informed Access and CRS for all dates and
periods presented.
The consolidated statements of operations and accompanying notes of the
Company for the fiscal year ended September 30, 1995 include the operations of
Informed Access and CRS for the calendar year ended December 31, 1995. The
consolidated statement of operations and accompanying notes of the Company for
the fiscal year ended September 30, 1996 include the operations of Informed
Access and CRS for the twelve months ended September 30, 1996. Accordingly, the
Company's accumulated deficit has been adjusted for the effect of utilizing
differing fiscal year ends for these periods. The combined revenues and net
income (loss) of Informed Access and CRS for the three months ended December 31,
1995 were $1,800,000 and $(128,000), respectively. Subsequent to the business
combinations, the fiscal year-ends of Informed Access and CRS have been changed
from December 31 to September 30 to conform to the fiscal year end of Access
Health.
The table below sets for the combined revenues and net income (loss) for the
years ended September 30, 1995 and 1996 (in thousands):
<TABLE>
<CAPTION>
ACCESS HEALTH INFORMED ACCESS CRS ADJUSTMENT COMBINED
------------- --------------- --------- ----------- -----------
<S> <C> <C> <C> <C> <C>
1995
Revenues.............................. $ 31,553 $ 2,957 $ 1,500 -- $ 36,010
Net income (loss)..................... 1,540 (3,745) 226 $ 1,298 (681)
1996
Revenues.............................. $ 62,073 $ 8,668 $ 1,362 -- $ 72,103
Net income (loss)..................... 8,125 (6,007) (391) $ (633) 1,094
</TABLE>
The adjustments to the combined results of operations included in the table
above reflect the realization of the Informed Access net operating loss
carryover to the extent of Access Health deferred income tax liabilities, which
will reverse in periods subsequent to the merger.
Integration and restructuring costs related to the mergers of Informed
Access and CRS were recorded in the amounts of $7.0 million and $2.7 million
during the first and fourth quarters of fiscal 1997, respectively. Integration
and restructuring costs include: $7.1 million for severance, outplacement and
relocation costs specifically related to the merger; $1.2 million related to the
closure and elimination of duplicate leased facilities, primarily corporate
headquarters, a sales office and a call center; and $1.3 million related to the
write-off of computer hardware and other assets which were made obsolete as a
result of the merger and duplicate information systems. The remaining
merger-related accrual at September 30, 1997 was approximately $3.1 million.
Total expected cash expenditures relating to the merger charge are estimated to
be approximately $6.7 million, of which approximately $3.6 million was disbursed
prior to September 30, 1997. Termination benefits received by employees
terminated through September 30, 1997
39
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 2: BUSINESS COMBINATIONS (CONTINUED)
were approximately $4.5 million. The remaining severance and outplacement
amounts are expected to be paid within the next twelve months.
NOTE 3: AVAILABLE-FOR-SALE SECURITIES
The following is a summary of available-for-sale securities as of September
30, 1996 and 1997 (in thousands):
<TABLE>
<CAPTION>
1996 1997
---------- ---------
<S> <C> <C>
U.S. government and municipal debt securities.................................... $ 23,789 $ 8,237
Corporate debt securities........................................................ 6,451 7,968
Corporate and municipal bond funds............................................... 9,526 28,131
---------- ---------
Total available-for-sale securities.............................................. 39,766 44,336
Less: amounts included in cash and equivalents................................... (25,640) (2,367)
---------- ---------
$ 14,126 $ 41,969
---------- ---------
---------- ---------
</TABLE>
Realized and unrealized gains and losses on available-for-sale securities
were immaterial as of and for the years ended September 30, 1996 and 1997.
The carrying value of available-for-sale securities at September 30, 1997,
by contractual maturity, are shown below (in thousands).
<TABLE>
<S> <C>
Less than 1 year........................................................... $ 20,764
1 to 5 years............................................................... 5,116
5 to 10 years.............................................................. 0
After 10 years............................................................. 18,456
---------
Total available-for-sale securities........................................ $ 44,336
---------
---------
</TABLE>
NOTE 4: PROPERTY AND EQUIPMENT
As of September 30, 1996 and 1997, property and equipment consisted of the
following (in thousands):
<TABLE>
<CAPTION>
1996 1997
--------- ----------
<S> <C> <C>
Computer equipment............................................................... $ 16,349 $ 19,961
Office furniture and equipment................................................... 3,804 4,577
Computer software................................................................ 2,295 2,970
Leasehold improvements........................................................... 1,384 1,450
--------- ----------
23,832 28,958
Less: accumulated depreciation................................................... (7,320) (12,808)
--------- ----------
$ 16,512 $ 16,150
--------- ----------
--------- ----------
</TABLE>
40
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 5: NOTES PAYABLE TO RELATED PARTIES
Notes payable to related parties are comprised of notes payable arising from
bonuses to members of management who are also stockholders of the Company, and
are due January 1998.
NOTE 6: LONG-TERM DEBT AND CAPITAL LEASE OBLIGATIONS
The Company has a term facility agreement (the "Term Agreement") whereby
through December 1996 the Company could borrow, in one or more borrowings, an
amount not to exceed $2.0 million in the aggregate, subject to certain
conditions set forth in the Term Agreement. This commitment is in the form of a
$680,000 note payable facility and a $1,320,000 capital lease facility. At
September 30, 1997, cumulative borrowings under the note payable facility and
capital lease facility aggregated $395,000 and $676,000, respectively (at
September 30, 1996, borrowings under the note payable facility and capital lease
facility were $591,000 and $953,000, respectively). Borrowings under the Term
Agreement are secured by certain of the Company's equipment with a net book
value of approximately $1,200,000 at September 30, 1997.
Amounts payable under the Term Agreement bear interest at 14.48%, are due at
varying dates through September 1999, and require monthly payments of principal
and interest totaling approximately $52,000. Amounts due under the note payable
facility of the Term Agreement are $198,000 and $197,000 in fiscal 1998 and
1999, respectively.
In connection with the Term Agreement, the Company issued warrants to the
lender in October 1995 and May 1996. The warrants were converted into warrants
to purchase common stock as a result of the merger (Note 2). The warrants were
converted into 8,638 shares of common stock in 1997.
The Company has other capital leases outstanding aggregating $262,000 at
September 30, 1997 ($399,000 at September 30, 1996).
The following is a schedule of future minimum lease payments under all
capital leases, together with the present value of net minimum lease payments,
as of September 30, 1997 (in thousands):
<TABLE>
<CAPTION>
FISCAL YEAR
- -----------------------------------------------------------------------------------------------
<S> <C>
1998........................................................................................... $ 556
1999........................................................................................... 474
2000........................................................................................... 36
---------
1,066
Less: amount representing interest and taxes................................................... (128)
---------
Present value of future minimum lease payments............................................ 938
Less: current portion.......................................................................... (457)
---------
Capital lease obligations, long-term...................................................... $ 481
---------
---------
</TABLE>
Interest paid during the years ended September 30, 1995, 1996 and 1997 was
$120,000, $170,000 and $295,000, respectively.
41
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 7: INCOME TAXES
The provision (credit) for income taxes consists of the following (in
thousands):
<TABLE>
<CAPTION>
YEAR ENDED SEPTEMBER 30,
-------------------------------
1995 1996 1997
--------- --------- ---------
<S> <C> <C> <C>
Federal:
Current.................................................................. $ 40 $ 4,459 $ 2,523
Deferred (prepaid)....................................................... (259) -- (4,878)
--------- --------- ---------
Total federal.......................................................... (219) 4,459 (2,355)
State:
Current.................................................................. 6 1,591 1,168
Deferred (prepaid)....................................................... (29) -- (1,176)
--------- --------- ---------
Total state............................................................ (23) 1,591 (8)
--------- --------- ---------
Provision (credit) for income taxes........................................ $ (242) $ 6,050 $ (2,363)
--------- --------- ---------
--------- --------- ---------
</TABLE>
The income tax provisions differ from the amount computed by applying the
federal statutory income tax rate to income (loss) before income taxes. A
reconciliation to the statutory federal income tax rate is as follows:
<TABLE>
<CAPTION>
YEAR ENDED SEPTEMBER
30,
--------------------
1995 1996 1997
---- ---- ------
<S> <C> <C> <C>
Statutory federal income tax rate........................................ (34%) 35% 35%
State income taxes, net of federal benefit............................... (2) 15 (1)
Tax exempt interest income............................................... -- (2) (5)
Transaction costs........................................................ -- -- 51
Amortization............................................................. -- -- (8)
Utilization of net operating loss........................................ -- -- (177)
Unconsolidated operating loss with no current benefit.................... 9 37 --
Other.................................................................... 1 -- --
---- ---- ------
Effective income tax rate................................................ (26%) 85% (105)%
---- ---- ------
---- ---- ------
</TABLE>
42
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 7: INCOME TAXES (CONTINUED)
Significant components of the Company's deferred income tax assets and
liabilities at September 30, 1996 and 1997 are as follows (in thousands):
<TABLE>
<CAPTION>
1996 1997
--------- ---------
<S> <C> <C>
Deferred income tax liabilities:
Depreciation and amortization.................................................... $ 1,080 $ 964
Prepaid expenses................................................................. 2,354 2,933
--------- ---------
Total deferred income tax liabilities.............................................. 3,434 3,897
Deferred income tax assets:
Research and development credit.................................................. 161 161
Amortization..................................................................... 954 1,016
Vacation accrual................................................................. 297 430
Accrued expenses................................................................. 784 1,548
State income taxes............................................................... 386 243
Receivable allowances and reserves............................................... 288 3,353
Investment loss.................................................................. -- 3,183
Net operating loss............................................................... 4,243 371
Other............................................................................ 60 17
--------- ---------
Total deferred income tax assets................................................... 7,173 10,322
Less: valuation allowance.......................................................... (3,739) (371)
--------- ---------
Net deferred income tax asset...................................................... $ -- $ 6,054
---------
---------
Current portion.................................................................... 5,012
Long term portion.................................................................. 1,042
---------
$ 6,054
---------
---------
</TABLE>
Income tax payments were $50,000, $4,908,900 and $1,199,000 for the years
ended September 30, 1995, 1996 and 1997, respectively. The Company received
income tax refunds totaling $1,629,658 during the year ended September 30, 1995.
During 1997, the Company liquidated one of its subsidiaries, resulting in
the ability to utilize the net operating loss and reduce the valuation allowance
by $3,368,000. The Company has a state net operating loss carry forward of
approximately $6,700,000 which expires between 2007 and 2011. The Company also
has approximately $161,000 of federal research and development credits which
expire between 2007 and 2011.
Realization of the Company's net deferred tax assets is dependent upon the
Company generating sufficient taxable income in future years in appropriate tax
jurisdiction to obtain benefit from the reversal of temporary differences and
from tax credit carryforwards. The amount of deferred tax assets considered
realizable is subject to adjustment in future periods if estimates of future
taxable income are reduced.
43
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 8: COMMITMENTS
OPERATING LEASES
The Company leases its offices under the terms of operating leases that
expire between September 1998 and December 2012. Annual minimum rental payments
for fiscal 1998, 1999, 2000, 2001, 2002 and thereafter are $3,032,000,
$2,920,000 $2,695,000, $2,641,000, $1,597,000 and $17,381,000, respectively.
Rental expenses are recorded on a straight-line basis over the respective lease
terms and were $1,549,000, $1,883,000 and $2,521,000 for the years ended
September 30, 1995, 1996 and 1997, respectively.
NOTE 9: STOCKHOLDERS' EQUITY
COMMON STOCK
In December 1995, the Company completed a secondary public offering of its
common stock. A total of approximately 4.8 million shares were sold at $21.33
per share of which 1.5 million shares were sold by the Company and approximately
3.3 million shares were sold by certain of the Company's original Access Health,
Inc. venture capital stockholders. Net proceeds to the Company from the offering
were approximately $29.5 million.
MANDATORILY REDEEMABLE CONVERTIBLE PREFERRED STOCK
Informed Access was authorized to issue shares of mandatorily redeemable
preferred stock from time to time in one or more series of designations, rights,
preferences and limitations established by its board of directors. As of
September 30, 1996, 3,734,151 aggregate shares of Series A, B, and C mandatorily
redeemable preferred stock were issued and outstanding. Each share of
mandatorily redeemable preferred stock was converted into one share of common
stock upon completion of the merger (Note 2).
STOCK OPTIONS
At September 30, 1997, the Company has four stock-based compensation plans,
which are described below. The Company has elected to follow Accounting
Principles Board Opinion No. 25, "Accounting for Stock Issued to Employee" (APB
25) and related Interpretations in accounting for its employee stock options
because, as discussed below, the alternative fair value accounting provided for
under FASB Statement No. 123, "Accounting for Stock-Based Compensation,"
requires use of option valuation models that were not developed for use in
valuing employee stock options.
EMPLOYEE OPTIONS
The Company established an employee common stock option plan in 1989 (the
"1989 Plan") under which incentive stock options, nonqualified stock options,
and restricted common stock may be issued or sold to employees and consultants.
As of September 30, 1997 a total of 3,550,000 shares of common stock have been
reserved for issuance under these plans, of which 127,647 shares remained
available for the granting of options at September 30, 1997.
Incentive stock options generally become exercisable at the rate of twenty
percent per year commencing on the first anniversary of the date of grant. As of
September 30, 1996 and 1997, options to purchase 330,221 shares at exercise
prices ranging from $0.167 to $12.42 per share and 677,129 shares at exercise
prices ranging from $0.333 to $39.00 per share, respectively, were exercisable.
44
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 9: STOCKHOLDERS' EQUITY (CONTINUED)
During May and July 1996, certain options were granted with exercise prices
below the applicable fair market value (as determined by an independent
appraisal) on the date of grant, resulting in deferred stock compensation of
approximately $476,000. The deferred stock compensation was to be amortized into
expense ratably over the four year vesting term of the related options; however,
because such options became 100% vested as a result of the merger with Informed
Access in November 1996, the unamortized balance of deferred stock compensation
was recorded as an expense in the quarter ended December 31, 1996.
On November 18, 1996, 739,500 options under the Informed Access employee
stock option plan converted to 596,593 Access Health Options. As of September
30, 1997, 297,055 shares were outstanding and 291,693 were exercisable at prices
ranging from $0.18 to $14.375 per share.
DIRECTOR OPTIONS
The Company established a director common stock participation plan in 1995
(the "1995 Director Stock Option Plan") under which nonqualified stock options
may be granted to directors. As of September 30, 1997, a total of 150,000 shares
of common stock have been reserved for issuance under this plan, of which 93,750
shares remained available for the granting of options at September 30, 1997. As
of September 30, 1997, options to purchase 56,250 shares were granted and 32,812
shares were exercisable at prices ranging from $10.25 to $54.25 per share.
SUPPLEMENTAL PLAN
The Company established a Supplemental Plan in fiscal 1997 (the
"Supplemental Plan") under which nonqualified stock options may be granted to
employees and consultants. As of September 30, 1997, a total of 1,000,000 shares
of common stock have been reserved for issuance under this Plan, of which
706,058 had been granted, 153,154 were cancelled and 447,096 were available for
grant. As of September 30, 1997, 5,000 were exercisable at prices ranging from
$14.375 to $33.125 per share.
STOCK PURCHASE PLAN
The Company established a stock purchase plan in 1991 (the "1991 Plan")
under which most employees of the Company may participate. A total of 825,000
shares of the Company's common stock have been reserved for issuance under the
1991 Plan. The 1991 Plan is administered by a committee appointed by the Board
of Directors. Employees can elect to have from 1% to 10% of their monthly gross
salary deducted during each offering period and applied to the purchase of
stock. The purchase price is an amount equal to 85% of the lower fair market
values of a share of common stock of the Company as of the beginning or end of
each six-month offering period. During the years ended September 30, 1995, 1996
and 1997, the Company sold 48,548 shares of common stock for $468,710, 41,659
shares of common stock for $753,146 and 42,272 shares of common stock for
$990,239, respectively. For purposes of calculating the pro forma disclosures
required by SAFS 123, the fair value of the employee's purchase rights was
estimated using the Black-Scholes option pricing model with the following
assumptions for the years ended September 30, 1996 and 1997: dividend yield of
0; expected life of 6 months; expected volatility of .722; and risk-free
interest rate of 5.70% for both periods. The weighted-average fair value of
those purchase rights granted during the years ended September 30, 1996 and
1997, was $7.61 and $12.33, respectively.
45
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 9: STOCKHOLDERS' EQUITY (CONTINUED)
STATEMENT OF FINANCIAL ACCOUNTING STANDARDS NO. 123 PRO FORMA DISCLOSURES
Pro forma information regarding net income (loss) and net income (loss) per
share is required by SFAS 123, which also requires that the information be
determined as if the Company has accounted for its employee stock options
granted subsequent to October 1, 1995 under the fair value method of SFAS 123.
The fair value for these options was estimated at the date of grant using the
Black-Scholes option pricing model with the following assumptions for fiscal
1996 and 1997: risk-free interest rate range of 5.70% to 6.05%; a dividend yield
of 0%; volatility factors of the expected market price of the Company's common
stock of .722; and an average expected life of the option of 3.3 years.
The Black-Scholes option valuation model was developed for use in estimating
the fair value of traded options which have no vesting restrictions and are
fully transferable. In addition, option valuation models require the input of
highly subjective assumptions including the expected stock price volatility.
Because the Company's employee stock options have characteristics significantly
different from those of traded options, and because changes in the subjective
input assumptions can materially affect the fair value estimate, in management's
opinion, the existing models do not necessarily provide a reliable single
measure of the fair value of its employee stock options.
For purposes of pro forma disclosures, the estimated fair value of the
options is amortized to expense over the vesting period. The Company's pro forma
information, which includes the stock option plans and the employee stock
purchase plan follows (in thousands except for per share information):
<TABLE>
<CAPTION>
YEARS ENDED SEPTEMBER
30,
---------------------
1996 1997
---------- ---------
<S> <C> <C>
Net income as reported............................................................ $ 1,094 $ 4,618
Net loss pro forma................................................................ (18,346) (4,150)
Net income per share as reported.................................................. 0.06 0.24
Net loss per share pro forma...................................................... (1.10) (0.23)
</TABLE>
Because SFAS 123 is applicable only to options granted subsequent to October
1, 1995, its pro forma effect will not be fully reflected until 2000.
46
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 9: STOCKHOLDERS' EQUITY (CONTINUED)
A summary of the Company's stock option activity, and related information
for the years ended September 30, 1995, 1996 and 1997 follows:
<TABLE>
<CAPTION>
WEIGHTED-AVERAGE
OPTIONS EXERCISE PRICE
----------- -----------------
<S> <C> <C>
Balance, September 30, 1994............................................. 1,331,596
Options granted....................................................... 523,929
Options exercised..................................................... (192,632)
Options cancelled..................................................... (102,195)
-----------
Balance, September 30, 1995............................................. 1,560,698
Options granted....................................................... 1,823,699 $ 22.19
Options exercised..................................................... (510,869) 2.53
Options cancelled..................................................... (290,884) 21.41
-----------
Balance, September 30, 1996............................................. 2,582,644
Options granted....................................................... 2,995,314 22.60
Options exercised..................................................... (659,731) 4.06
Options cancelled..................................................... (1,488,070) 30.96
-----------
Balance, September 30, 1997............................................. 3,430,157
-----------
-----------
</TABLE>
The weighted-average exercise price of options granted in 1996 and 1997 with
option prices equal to the fair market value of the Company's stock on the grant
date was $22.19 and $22.61 respectively, and the weighted average grant date
fair value of these options was $32.30 and $22.61 respectively.
The following summarized information related to options outstanding and
options exercisable at September 30, 1997:
<TABLE>
<CAPTION>
WEIGHTED AVERAGE
RANGE OF OPTIONS REMAINING CONTRACTUAL OPTIONS
EXERCISE PRICES OUTSTANDING LIFE (IN YEARS) EXERCISABLE
- ------------------------------------------------------ ----------- ------------------------- ----------
<S> <C> <C> <C>
$ 0.18 - $ 4.16....................................... 405,992 6.98 380,176
$ 4.33 - $14.12....................................... 345,556 4.73 204,989
$14.37 - $14.37....................................... 1,509,487 9.45 59,135
$15.33 - $17.83....................................... 435,260 8.04 279,060
$18.66 - $29.45....................................... 61,362 9.02 15,674
$30.00 - $30.00....................................... 450,000 9.53 5,000
$33.12 - $34.62....................................... 115,000 9.13 53,750
$39.00 - $39.00....................................... 500 8.72 100
$50.62 - $50.62....................................... 92,000 3.60 46,000
$54.25 - $54.25....................................... 15,000 8.83 8,750
----------- ----------
3,430,157 1,052,634
----------- ----------
----------- ----------
</TABLE>
47
<PAGE>
ACCESS HEALTH, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)
SEPTEMBER 30, 1997
NOTE 9: STOCKHOLDERS' EQUITY (CONTINUED)
COMMON STOCK WARRANTS AND OPTIONS
In October 1988, nonqualified stock options to purchase 98,974 shares of
Series A Preferred Stock at $0.46 per share, which converted to common stock
options on February 28, 1992, were granted to a former director. As of September
30, 1997, 96,617 shares of common stock have been issued pursuant to this
option.
Nonqualified stock options to purchase 22,500 shares of common stock at
prices ranging from $4.167 to $6.667 per share were granted in fiscal 1993 to
certain consultants of the Company. The options become exercisable in equal
installments over a five-year period commencing on the first anniversary of the
date of grant; as of September 30, 1997, 15,000 shares of common stock have been
purchased pursuant to these options and 3,000 of the remaining 7,500 shares are
exercisable.
In May 1996, the Company granted 2,000 shares of restricted stock to an
officer. The Company retained the right to repurchase, at the market price on
the date of grant ($50.625 per share), all of the shares if the officer left the
Company during the first year after the grant date and half of the shares if the
officer left the Company during the second year after the grant date. That
officer left the Company April 1, 1997, and all shares were vested pursuant to
agreement with such officer. The value of the shares, at the market price on the
date of grant ($50.625 per share), was charged to operations at that time.
During 1996, the Company granted nonqualified stock options to purchase
230,000 shares of common stock at $50.625 per share to an officer. That officer
left the Company April 1, 1997. Pursuant to the separation agreement and
consistent with the option agreement, options for 92,000 shares become
exercisable in equal installments over a two-year period commencing on the first
anniversary of the date of grant. As of September 30, 1997, 46,000 shares are
exercisable through April, 1999. The remainder have been canceled.
During 1997, the Company granted nonqualified stock options to purchase
33,000 shares of common stock at $14.375 per share to an officer. The options
will become exercisable in equal installments over a five-year period commencing
on the first anniversary of the date of grant. As of September 30, 1997, none of
the shares are exercisable.
48
<PAGE>
ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE.
Not applicable.
49
<PAGE>
PART III
ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT
Reference is made to the information regarding Directors and Executive
Officers appearing under the heading "Election of Directors" in the Registrant's
proxy statement for the annual meeting of stockholders to be held on February
25, 1998, which information is hereby incorporated by reference.
ITEM 11. EXECUTIVE COMPENSATION
Reference is made to the information regarding executive compensation
appearing under the heading "Executive Compensation and Other Matters" in the
Registrant's proxy statement for the annual meeting of stockholders to be held
on February 25, 1998, which information is hereby incorporated by reference.
ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT
Reference is made to the information regarding security ownership appearing
under the heading "Record Date and Principal Share Ownership" in the
Registrant's proxy statement for the annual meeting of stockholders to be held
on February 25, 1998, which information is hereby incorporated by reference.
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS
Not applicable.
50
<PAGE>
PART IV
ITEM 14. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K
(a) FINANCIAL STATEMENTS AND SCHEDULES
1. The financial statements as set forth under Item 8 of this report on
Form 10K are included.
2. FINANCIAL STATEMENT SCHEDULES. The following consolidated financial
statement schedules of Access Health, Inc. for each of the three years ended
September 30, 1997 are filed as part of this Report and should be read in
conjunction with the consolidated financial statements:
<TABLE>
<CAPTION>
DESCRIPTION PAGE NO.
- ---------------------------------------------------------------------------------------------- -------------
<S> <C>
Schedule II Valuation and Qualifying Accounts................................................. 55
</TABLE>
Schedules not listed above have been omitted because they are not applicable
or are not required to be set forth therein is included in the consolidated
financial statements or notes thereto.
(b) REPORTS ON FORM 8-K
On November 27, 1996, the Company filed a report on Form 8-K which disclosed
its acquisition on November 18, 1996 of Informed Access Systems, Inc., a
Delaware corporation ("Informed Access"). The Company acquired Informed Access
pursuant to a merger (the "Merger") of Access Acquisition Corp., a Delaware
corporation and a wholly-owned subsidiary of the Company, with and into Informed
Access, following the approval of the Merger at a special meeting of the
Company's stockholders on November 18, 1996. At the effective time of the
Merger, Informed Access became a wholly-owned subsidiary of the Company. The
terms of the Merger are described in the Form 8-K.
On January 31, 1997, the Company filed a Form 8-K/A that amended a Form 8
dated November 18, 1996 and filed on November 27, 1996 describing the Company's
the Company's acquisition of Informed Access Systems. The Form 8-K/A filed
financial information reflecting unaudited pro forma condensed financial
statements that assumed a business combination between Access Health and
Informed Access Systems.
On February 7, 1997, the Company filed a Form 8-K relating to the completion
of its acquisition of Informed Access Systems and Clinical Reference Systems,
including audited supplemental financial statements.
(c) EXHIBITS.
<TABLE>
<CAPTION>
EXHIBIT DESCRIPTION
- ------------ ----------------------------------------------------------------------------------------------------
<S> <C>
2.1(J) Conformed Agreement and Plan of Reorganization by and among the Registrant, Access Acquisition Corp.
and Informed Access Systems, Inc. dated as of September 3, 1996
2.2(M) Conformed Agreement and Plan of Reorganization by and among the Registrant, CRS and Access Colorado,
Inc. dated as of September 5, 1996
3.1(M) Amended and Restated Certificate of Incorporation
3.2(M) Amended and Bylaw Amendments
3.3(Q) Certificate of Designation of Rights, Preferences and Privileges of Series A Participating Preferred
Stock of Access Health, Inc., filed on March 13, 1997
4.1(M) Specimen Stock Certificate
</TABLE>
51
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT DESCRIPTION
- ------------ ----------------------------------------------------------------------------------------------------
<S> <C>
4.2(A) Registration Rights Agreement dated November 25, 1996 between Registrant and certain parties named
therein
4.3(M) Shareholder's Representation Statement and Registration Rights Agreement dates as of November 25,
1996 between Registrant and various investors
4.4(M) Registration Rights Agreement dated November 18, 1996
4.5(Q) Form of Preferred Shares Rights Agreement, dated as of March 12, 1997 between the Company and the
First National Bank of Boston, including exhibits
10.1(N) Registrant's 1989 Incentive Stock Plan (as amended)
10.2(H) Registrant's 1991 Employee Stock Purchase Plan (as amended)
10.3(A) Lease dated April 10, 1991 for Registrant's office equipment at 11020 White Rock Road, Rancho
Cordova, California and 104 Wilmot Road, Deerfield, Illinois
10.4(B) Lease dated June 15, 1992 for Registrant's facilities at 11020 White Rock Road, Rancho Cordova,
California
10.5(B) Form of Note and Security Agreement for Registrant's office equipment at 11020 White Rock Road,
Rancho Cordova, California
10.6(B) Lease dated February 19, 1992 for Registrant's office equipment at 11020 White Rock Road, Rancho
Cordova, California and 104 Wilmot Road, Deerfield, Illinois
10.7(A) Sale and Installation Agreement dated November 16, 1990 between Registrant and Aspect
Telecommunications Corporation
10.8(B) Lease dated May 5, 1992 for Registrant's office equipment at 11020 White Rock Road, Rancho Cordova,
California and 104 Wilmot Road, Deerfield, Illinois
10.9(M) Form of Director and Officer Indemnification Agreement
10.10(C) Equipment Financing Agreement for Registrant's office and computer equipment at 11020 White Rock
Road, Rancho Cordova, California and 3060 Salt Creek Lane, Arlington Heights, Illinois
10.11(E) First Amendment to Lease dated August 6, 1993 for Registrant's facility at 11020 White Rock Road,
Rancho Cordova, California
10.12(E) Lease dated August 13, 1993 for Registrant's facility at 3060 Salt Creek Lane, Arlington Heights,
Illinois
10.13(E) Lease dated November 1, 1993 for Registrant's facility at 2510 W. Dunlap Drive, Phoenix, Arizona
10.14(D) Instruments Defining the Rights of Security Holders-- Warrants for the Purchase of Common Stock
10.15(D) Instruments Defining the Rights of Security Holders--Registration Rights
10.16(D) Common Stock Purchase Option Agreement
10.17(H) Registrant's 1995 Director Option Plan
10.18(L) Registrant's 1996 Supplemental Stock Plan
10.19(G) Employment Agreement with Jeremy J. Nobel, M.D.
10.20(I)+ Amended and Restated Agreement of Limited Partnership of AHN
10.21(I)+ Admission Agreement dated April 15, 1996
10.22(I)+ Partnership Interest Option Agreement dated April 15, 1996
</TABLE>
52
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT DESCRIPTION
- ------------ ----------------------------------------------------------------------------------------------------
<S> <C>
10.23(I) Line of Credit Note dated May 7, 1996
10.24(M) Employment Agreement with Thomas E. Gardner dated December 1, 1996
10.25(N) Employment Agreement with Joseph P. Tallman dated November 18, 1996
10.26(O) AHN Partners, L.P., 8% Convertible Subordinated Debenture due 2001
10.27(O) Form of Change of Control/Severance Agreement for all named Executive Officers
10.28(P) Amendment to Employment Agreement dated April 30, 1997 between Registrant and Kenneth B. Plumlee
10.29(P) Amendment to Stock Option Agreement dated April 30, 1997 between Registrant and Kenneth B. Plumlee
10.30(P) Separation Agreement and Mutual Release dated April 30, 1997 between Registrant and Thomas E.
Gardner
10.31* Employment Agreement dated December 1, 1996 between Registrant and Kenneth B. Plumlee
10.32* Severance Agreement dated July 1, 1997 between Registrant and Kipp Johnson
10.33* Consulting Agreement dated July 1, 1997 between Registrant and John V. Crisan
10.34* Employment Agreement dated November 18, 1996 between Registrant Timothy H. Connor
10.35* Lease Agreement dated March 3, 1997 for Registrant's facility at 329 and 335 Interlocken Parkway,
Broomfield, Colorado
10.36* Second Amended and Restated Agreement of Limited Partnership of AHN Partners, L.P., dated November
1, 1997
11.1* Statement re: Computation of Per Share Earnings
23.1 Consent of Ernst & Young LLP, Independent Auditors
23.2 Consent of Arthur Andersen LLP, Independent Public Accountants
</TABLE>
- ------------------------
(A) Incorporated by reference to Registrant's Form S-1 Registration No.
33-44604.
(B) Incorporated by reference to Registrant's Form 10K for the year ended
September 30, 1992.
(C) Incorporated by reference to Registrant's Form 10Q for the quarter ended
March 31, 1993.
(D) Incorporated by reference to Registrant's Form 10Q for the quarter ended
June 30, 1993.
(E) Incorporated by reference to Registrant's Form 10K for the year ended
September 30, 1993.
(F) Incorporated by reference to Registrant's Form 10K for the year ended
September 30, 1995.
(G) Incorporated by reference to Registrant's Form 10K/A for the year ended
September 30, 1995.
(H) Incorporated by reference to Registrant's Form 10Q for the quarter ended
December 31, 1995.
(I) Incorporated by reference to Registrant's Form 10Q for the quarter ended
June 30, 1996.
(J) Incorporated by reference to Registrant's Registration Statement on Form S-4
(No. 333-13931).
(K) Incorporated by reference to Registrant's Registration Statement on Form S-8
(No. 333-04662).
(L) Incorporated by reference to Registrant's Registration Statement on Form S-8
(No. 333-18163).
(M) Incorporated by reference to Registrant's Form 10K for the year ended
September 30, 1996.
53
<PAGE>
(N) Incorporated by reference to Registrant's Form 10Q for the quarter ended
December 31, 1996.
(O) Incorporated by reference to Registrant's Form 10Q for the quarter ended
March 31, 1997.
(P) Incorporated by reference to Registrant's Form 10Q for the quarter ended
June 30, 1997.
(Q) Incorporated by reference to Registrant's Registration Statement on Form 8-A
filed on March 13, 1997 (No. 000-19758).
+ Confidential treatment sought for portions of document.
* Previously filed.
54
<PAGE>
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities
Exchange Act of 1934, the registrant has duly caused this amended report to be
signed on its behalf by the undersigned thereunto duly authorized, in
Broomfield, State of Colorado, on the 5th day of June, 1998.
ACCESS HEALTH, INC.
By: /s/ Timothy H. Connor
-----------------------------------------
Timothy H. Connor
Senior Vice President and
Chief Financial Officer
Pursuant to the requirements of the Securities Exchange Act of 1934, this
report has been signed below by the following persons in the capacities and on
the dates indicated.
SIGNATURE TITLE DATE
- ------------------------------ -------------------------- -------------------
*
- ------------------------------ President, Chief Executive June 5, 1998
Joseph P. Tallman Officer and Director
/s/ Timothy H. Connor
- ------------------------------ Senior Vice President and June 5, 1998
Timothy H. Connor Chief Financial Officer
*
- ------------------------------ Director June 5, 1998
John R. Durant
*
- ------------------------------ Director June 5, 1998
Kinney L. Johnson
*
- ------------------------------ Director June 5, 1998
Richard C. Miller
*
- ------------------------------ Director June 5, 1998
Frank G. Washington
* By:
/s/ Timothy H. Connor
- ------------------------------
Timothy H. Connor,
Attorney-in-Fact
55
<PAGE>
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS
ACCESS HEALTH, INC.
YEARS ENDED SEPTEMBER 30, 1995, 1996 AND 1997
<TABLE>
<CAPTION>
COL. A COL. B COL. C COL. D COL. E
- ------------------------------------- --------- ---------------------- ----------- ---------
ADDITIONS
----------------------
(1) (2)
BALANCE CHARGED CHARGED TO
AT TO COSTS OTHER BALANCE
BEGINNING AND ACCOUNTS DEDUCTIONS AT END OF
DESCRIPTION OF PERIOD EXPENSES -DESCRIBE -DESCRIBE PERIOD
- ------------------------------------- --------- --------- ----------- ----------- ---------
<S> <C> <C> <C> <C> <C>
Year ended September 30, 1995:
Deducted from asset account:
Allowance for doubtful
accounts....................... $ 269,000 $ 177,000 $ 130,000(b) $ 28,000(a) $ 548,000
Year ended September 30, 1996:
Deducted from asset account:
Allowance for doubtful
accounts....................... $ 548,000 $ 331,000 $ 120,000(b) $ 249,000(a) $ 750,000
Year ended September 30, 1997
Deducted from asset account:
Allowance for doubtful
accounts....................... $ 750,000 $ 153,000 $ 120,000(b) $ 255,000(a) $ 768,000
</TABLE>
- ------------------------
(a) Represent accounts written off
(b) Represent additions charged to revenues related to estimated enrollee usage
adjustments
56
<PAGE>
EXHIBIT 23.1
CONSENT OF INDEPENDENT AUDITORS
We consent to the use of our report dated October 27, 1997, included in the
Annual Report on Form 10-K of Access Health, Inc. for the year ended September
30, 1997, with respect to the consolidated financial statements, as amended,
included in this Form 10-K/A.
ERNST & YOUNG LLP
Sacramento, California
June 1, 1998
<PAGE>
EXHIBIT 23.2
CONSENT OF INDEPENDENT PUBLIC ACCOUNTANTS
As independent public accountants, we hereby consent to the reference to our
report dated March 12, 1996, on the consolidated financial statements of
Informed Access Systems, Inc. as of and for the year ended December 31, 1995, by
Ernst & Young LLP, whose report dated October 27, 1997, is incorporated by
reference in the following Registration Statements: Form S-8 (No. 333-24561)
filed on April 4, 1997; Form S-4 (No. 333-1393) filed on October 11, 1996; Form
S-8 (No. 333-18163) filed on December 18, 1996 and Form S-3 (No. 333-21423)
filed on February 10, 1997.
Arthur Andersen LLP
Denver, Colorado,
June 1, 1998.
