10-Q 1 c73401e10vq.htm 10-Q Filed by Bowne Pure Compliance
Table of Contents

 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended March 31, 2008
or
     
o   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from  ___________  to  ___________ 
Commission file number: 000-50348
NATIONSHEALTH, INC.
(Exact name of registrant as specified in its charter)
     
Delaware   06-1688360
     
(State or other jurisdiction of
incorporation or organization)
  (I.R.S. Employer
Identification No.)
     
13630 N.W. 8th Street, Suite 210, Sunrise, Florida   33325
     
(Address of principal executive offices)   (Zip Code)
(954) 903-5000
(Registrant’s telephone number, including area code)
N/A
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.
Yes þ No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer or a smaller reporting company. See definitions of “large accelerated filer,” “accelerated filer,” and “smaller reporting company” in Rule 12b-2 of the Exchange Act.:
             
Large accelerated filer o   Accelerated filer o   Non-accelerated filer o   Smaller reporting company þ
        (Do not check if a smaller reporting company)    
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes o No þ
At May 13, 2008, the registrant had 29,110,722 shares of common stock, $0.0001 par value, issued and outstanding, excluding 298,041 treasury shares.
 
 

 

 


 

NATIONSHEALTH, INC.
FORM 10-Q
FOR THE QUARTER ENDED MARCH 31, 2008
INDEX
             
        Page  
 
           
PART I.        
 
           
  Financial Statements        
 
           
 
  Condensed Consolidated Balance Sheets — as of March 31, 2008 (Unaudited) and December 31, 2007     2  
 
           
 
  Condensed Consolidated Statements of Operations (Unaudited) — for the Three Months Ended
March 31, 2008 and 2007
    3  
 
           
 
  Condensed Consolidated Statements of Cash Flows (Unaudited) — for the Three Months Ended
March 31, 2008 and 2007
    4  
 
           
 
  Notes to Condensed Consolidated Financial Statements (Unaudited)     5  
 
           
  Management’s Discussion and Analysis of Financial Condition and Results of Operations     10  
 
           
  Controls and Procedures     18  
 
           
PART II.        
 
           
  Legal Proceedings     19  
 
           
  Risk Factors     19  
 
           
  Exhibits     20  
 
           
Signatures     21  
 
           
 Exhibit 31.1
 Exhibit 31.2
 Exhibit 32.1

 

 


Table of Contents

PART I — FINANCIAL INFORMATION
Item 1. Financial Statements
NATIONSHEALTH, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS
(In thousands)
                 
    March 31,     December 31,  
    2008     2007  
    (Unaudited)        
ASSETS
               
Current Assets:
               
Cash and cash equivalents
  $ 1,412     $ 1,925  
Accounts receivable, net of allowances of $8,667 and $7,974, respectively
    13,467       10,993  
Inventory
    2,946       2,557  
Prepaid expenses and other current assets
    1,633       1,253  
 
           
Total current assets
    19,458       16,728  
Property and equipment, net
    4,204       4,666  
Customer contract intangible, net
    6,785       7,755  
Acquired customer lists, net
    2,756       3,090  
Other intangible assets, net
    822       907  
Goodwill
    1,075       1,075  
Restricted cash
    1,899       1,899  
Other assets, net
    1,286       1,360  
 
           
Total assets
  $ 38,285     $ 37,480  
 
           
LIABILITIES AND STOCKHOLDERS’ EQUITY
               
Current Liabilities:
               
Accounts payable
  $ 6,235     $ 6,314  
Accrued expenses
    6,388       4,553  
Promissory note payable, net
          1,478  
Current portion of long-term debt
    3,978       3,489  
Line of credit
    4,619       2,500  
 
           
Total current liabilities
    21,220       18,334  
 
           
Long-Term Liabilities:
               
Convertible notes, related party, net
    8,112       7,715  
Long-term debt
    4,490       5,376  
Other long-term liabilities
    1,305       1,212  
 
           
Total long-term liabilities
    13,907       14,303  
 
           
Stockholders’ Equity:
               
Common stock
    3       3  
Additional paid-in capital
    74,427       74,218  
Accumulated deficit
    (71,272 )     (69,378 )
 
           
Total stockholders’ equity
    3,158       4,843  
 
           
Total liabilities and stockholders’ equity
  $ 38,285     $ 37,480  
 
           
The accompanying notes are an integral part of these condensed consolidated financial statements.

 

2


Table of Contents

NATIONSHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(In thousands, except per share data)
                 
    For the Three Months Ended  
    March 31,  
    2008     2007  
 
               
Revenue:
               
Net product sales
  $ 14,998     $ 11,074  
Service revenue
    8,493       7,678  
 
           
 
               
 
    23,491       18,752  
 
               
Cost of product sales
    7,778       4,398  
Cost of services
    3,160       3,735  
 
           
 
               
Gross Profit
    12,553       10,619  
 
           
 
               
Operating Expenses:
               
Patient acquisition and related costs
    519       736  
Patient service and fulfillment
    3,273       2,227  
General and administrative
    6,666       5,871  
Provision for doubtful accounts
    970       735  
Depreciation and amortization
    1,763       1,376  
 
           
 
               
 
    13,191       10,945  
 
           
 
               
Loss from Operations
    (638 )     (326 )
 
           
 
               
Other Income (Expense):
               
Interest expense , related party
    (724 )     (650 )
Other interest expense, net
    (532 )     (212 )
 
           
 
    (1,256 )     (862 )
 
           
 
               
Net Loss
  $ (1,894 )   $ (1,188 )
 
           
 
               
Loss per share — basic and diluted
  $ (0.07 )   $ (0.04 )
 
           
 
               
Weighted average shares outstanding — basic and diluted
    29,001       28,043  
 
           
The accompanying notes are an integral part of these condensed consolidated financial statements.

 

3


Table of Contents

NATIONSHEALTH, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(In thousands)
                 
    For the Three Months Ended  
    March 31,  
    2008     2007  
Cash Flows from Operating Activities:
               
Net Loss
  $ (1,894 )   $ (1,188 )
Adjustments to reconcile net loss to net cash and cash equivalents used in operating activities:
               
Provision for doubtful accounts
    970       735  
Provision for sales allowances and returns
    374       326  
Depreciation and amortization
    2,015       1,541  
Amortization of note discount and other non-cash interest charges, net
    606       429  
Stock-based compensation
    271       353  
Changes in operating assets and liabilities:
               
(Increase) decrease in:
               
Accounts receivable
    (3,706 )     (2,892 )
Inventory
    (389 )     253  
Prepaid expenses and other assets
    (384 )     (154 )
Increase (decrease) in:
               
Accounts payable and accrued expenses
    1,587       (923 )
 
           
Net cash and cash equivalents used in operating activities
    (550 )     (1,520 )
 
           
Cash Flows from Investing Activities:
               
Acquisition of property and equipment
    (165 )     (258 )
 
           
Net cash and cash equivalents used in investing activities
    (165 )     (258 )
 
           
Cash Flows from Financing Activities:
               
Net draws on line of credit
    2,119        
Principal payments on long-term debt
    (397 )     (53 )
Payment of promissory note
    (1,500 )      
Payment of debt issuance costs
    (20 )      
 
           
Net cash and cash equivalents provided by (used in ) financing activities
    202       (53 )
 
           
Net Decrease in Cash and Cash Equivalents
    (513 )     (1,831 )
Cash and Cash Equivalents, Beginning of Period
    1,925       4,224  
 
           
Cash and Cash Equivalents, End of Period
  $ 1,412     $ 2,393  
 
           
 
               
Non-cash Investing and Financing Activities:
               
Property and equipment acquired under capital leases
  $     $ 847  
 
           
The accompanying notes are an integral part of these condensed consolidated financial statements.

 

4


Table of Contents

NATIONSHEALTH, INC.
NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
(Unaudited)
1.  
BASIS OF PRESENTATION
The accompanying unaudited condensed consolidated financial statements of NationsHealth, Inc. (the “Company” or “NationsHealth”) and the notes thereto have been prepared in accordance with the instructions for Form 10-Q and Article 8 of Regulation S-X of the Securities and Exchange Commission (“SEC”). These unaudited condensed consolidated financial statements do not include all of the information and disclosures required by accounting principles generally accepted in the United States of America. However, such information reflects all adjustments (consisting of normal recurring adjustments) that are, in the opinion of management, necessary for a fair presentation of the financial position, results of operations and cash flows for the interim periods presented. The significant accounting policies followed by the Company for interim reporting are consistent with those included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007.
The unaudited condensed consolidated financial statements included herein should be read in conjunction with the audited consolidated financial statements and the notes thereto that are included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2007 that was filed with the SEC on March 28, 2008. The results of operations for the three months ended March 31, 2008 and 2007 are not necessarily indicative of annual results.
2.  
REVENUE RECOGNITION
The Company recognizes revenue related to product sales upon shipment of patient orders, provided that risk of loss has passed to the patient and the required written forms to bill Medicare, other third party payors, and patients have been received and verified. Revenue is recorded at amounts expected to be collected from Medicare, other third party payors, and directly from patients. Where applicable, contractual adjustments are recorded for the difference between reimbursement amounts and revenue recorded per the billing system. Such adjustments are recorded as a reduction of both gross revenue and accounts receivable. Revenue is not recognized for product shipments until that period in which the required documentation has been collected and verified. The costs related to billings in process, consisting of the cost of products shipped, are deferred in the Company’s balance sheet, and are charged to cost of product sales at the time the related revenue is recognized.
Revenue for Medicare reimbursement is calculated based on government-determined prices for Medicare-covered items and is recognized at such reimbursement amounts. Amounts billed in excess of the government-determined reimbursement prices are excluded from revenue. Medicare reimbursements are subject to review by appropriate government regulators. Medicare reimburses at 80% of the government-determined reimbursement amounts for reimbursable products. The remaining balance is billed to other third party payors or directly to patients. Revenue received directly from Medicare, which relates to the Company’s Medical Products segment, represented approximately 30% and 41% of total revenue for the three months ended March 31, 2008 and 2007, respectively.
Revenue related to the Company’s Insurance Services segment is recognized when earned as the services are performed and is presented in the accompanying condensed consolidated statements of operations as service revenue. The direct costs of providing contracted services are shown as cost of services in arriving at gross profit. Revenue from Connecticut General Life Insurance Company (“CIGNA”), which is included in the Company’s Insurance Services segment, represented approximately 35% of total revenue for each of the three months ended March 31, 2008 and 2007.

 

5


Table of Contents

3.  
CREDIT FACILITY
On April 11, 2007, the Company entered into a Third Amended and Restated Revolving Credit, Term Loan and Security Agreement with its credit facility lender (the “Third Amended and Restated Credit Agreement”). The Third Amended and Restated Credit Agreement retained the existing $10,000,000 revolving line of credit and existing maturity date of the overall credit facility of April 30, 2010, and added a $7,000,000 multi-draw term loan (the “Term Loan”) to the credit facility. The Third Amended and Restated Credit Agreement also adjusted the financial covenants of the credit facility and added a covenant related to the Company’s diabetic patient count. On February 1, 2008, the Third Amended and Restated Credit Agreement was amended to, among other things, temporarily increase the percentage of eligible accounts receivable available under the borrowing base through the end of 2008.
On March 27, 2008, the Third Amended and Restated Credit Agreement was further amended to adjust the financial covenants to account for the Company’s actual and projected financial results. In connection with the amendment, the annual interest rate on the revolving line of credit was increased to the higher of prime plus 3% or 8.25%, plus certain additional fees and charges, and the annual interest rate on the Term Loan was increased to the higher of prime plus 4.5% or 9.75%, effective as of the amendment date.
Under the agreement, as amended and restated, the available funding of the line of credit is limited by a borrowing base, which is comprised of a percentage of eligible accounts receivable and inventory, as defined, up to a maximum of $10,000,000. The credit agreement requires the Company to maintain a lock-box arrangement, whereby amounts received into the lock-box are applied to reduce the revolving line of credit outstanding, and contains certain subjective acceleration clauses in the event of a material adverse event, as defined. Borrowings under the line of credit are classified as a current liability in the Company’s balance sheet in accordance with the provisions set forth in Emerging Issues Task Force Issue No. 95-22, “Balance Sheet Classification of Borrowings Outstanding under Revolving Credit Agreements That Include both a Subjective Acceleration Clause and a Lock-Box Arrangement.
The credit facility is secured by substantially all assets of the Company and requires the maintenance of minimum EBITDA, as defined in the credit agreement, and fixed charge coverage ratios, as well as minimum monthly cash collections of accounts receivable and minimum liquidity, each as defined in the credit agreement. Under the terms of the credit agreement, the Company is not permitted to pay dividends to its stockholders. As of March 31, 2008, the rate under the line of credit was 8.25% per annum, the outstanding balance under the line of credit was $4,619,000, and the unused portion available thereunder was approximately $5,381,000.
As required under the Third Amended and Restated Credit Agreement, on April 11, 2007, $1,500,000 of proceeds from the Term Loan were funded into a restricted deposit account to serve as collateral for the facility. The remainder of the Term Loan is restricted in use to finance the acquisition of certain assets of diabetic supply companies, including customer lists, inventory and other assets. Through March 31, 2008, an additional $5,289,000 had been drawn on the Term Loan for such purposes. Pursuant to the Third Amended and Restated Credit Agreement payment of the principal balance outstanding under the Term Loan was to be made on a straight-line basis, according to an amortization schedule, in 29 consecutive monthly installments, commencing on January 1, 2008. The February 1, 2008, amendment to the Third Amended and Restated Credit Agreement deferred the due dates of the installment payments under the Term Loan through June 30, 2008. As of March 31, 2008, the rate under the Term Loan was 9.75% per annum and the total balance outstanding under the Term Loan was approximately $6,555,000. As of March 31, 2008, the Company was in compliance with all applicable financial covenants under the agreement.

 

6


Table of Contents

In connection with the Third Amended and Restated Credit Agreement, the Company entered into a Second Amended and Restated Equity Participation Fee Agreement with the lender. Pursuant to this agreement, the Company agreed to pay a fixed equity participation fee of $1,375,000 at the maturity date or on earlier termination of the credit facility. In connection with the amendment to the Third Amended and Restated Credit Agreement, on February 1, 2008, the amount of the equity participation fee was revised to $1,575,000. As of March 31, 2008, the Company had accrued approximately $798,000 related to the equity participation fee as additional interest expense.
4.  
CONVERTIBLE NOTES
On February 28, 2005, the Company closed a private placement transaction with MHR Capital Partners LP and two of its affiliates (collectively, the “Holders”). For an aggregate purchase price of $15,000,000, the Holders received $15,000,000 principal value in secured convertible notes (the “Notes”) and 1,785,714 shares of the Company’s common stock, which were transferred to the Holders by certain principal stockholders of the Company. In combination with their prior holdings, this transaction resulted in the Holders owning more than 10% of the Company’s common stock. Furthermore, pursuant to a stockholders agreement between the Holders and stockholders of the Company holding a majority of the outstanding voting interest, Dr. Mark H. Rachesky was elected to the Company’s Board of Directors on October 20, 2005. As a result, the Notes and related activity and amounts have been presented as related party transactions in the accompanying condensed consolidated financial statements.
The Notes, which mature on February 28, 2012, have a stated fixed interest rate of 7.75%, payable monthly. The Notes are secured by substantially all the Company’s assets, but are subordinated to the credit facility (see Note 3). The Notes may be subordinated to future indebtedness not to exceed $20,000,000 in the aggregate, or, if the Company achieves certain performance criteria, $25,000,000. The Holders may convert the Notes into shares of the Company’s common stock at a conversion price of $6.56 per share, subject to certain anti-dilution provisions. In addition, the Notes will accelerate to maturity upon the occurrence of a default on the Notes by the Company. Through March 31, 2008, no events have occurred that would trigger adjustments for anti-dilution.
The Notes may be redeemed at the option of the Company under certain circumstances, and upon a change of control transaction. If Notes are redeemed at the option of the Company, other than upon a change of control transaction, the Holders may elect to receive either (i) the principal and unpaid interest (the “Par Redemption Price”) plus warrants with the exercise price and for the number of shares for which the Notes would have been convertible into immediately prior to such redemption, or (ii) 110% of the principal amount of the Notes plus any accrued and unpaid interest thereon (the “Premium Redemption Price”). If a Note is redeemed pursuant to a change of control transaction, the Company may redeem the Notes at the Premium Redemption Price. Through March 31, 2008, no events have occurred that would trigger any of these rights.
Beginning on February 28, 2010, the Company may be required by the Holders to redeem a portion of the Notes at the Par Redemption Price and the Holders shall have a right (the “Tax Put Right”) to require the Company to purchase from the Holders, at market price, up to $5,000,000 of the Company’s common stock to satisfy the Holders income tax liability resulting from the redemption. Furthermore, if the amount received by the Holders is still insufficient to pay the income taxes relating to the redemption, the Company shall use commercially reasonable efforts to file a registration statement for the Holders of the Notes, failing which the holders of the Notes shall have an additional Tax Put Right in the amount of up to $2,500,000 in the aggregate for all such redemptions. The Company expects that in February 2010, approximately $4,700,000 of the principal amount of the Notes will be redeemed.

 

7


Table of Contents

5.  
COMMITMENTS AND CONTINGENCIES
Employment Separation Agreement
On December 16, 2005 (the “Separation Date”), Robert Gregg, who served as the Company’s Chief Operating Officer until October 5, 2005, and the Company entered into a Separation Agreement and General Release (the “Separation Agreement”). Under the terms of the Separation Agreement, Mr. Gregg resigned from all employment roles that he held at the Company effective as of the Separation Date. The Separation Agreement affirmed Mr. Gregg’s ability to exercise his right under his employment agreement to request that the Company arrange for the purchase of up to $3,000,000 worth of the Company’s common stock from Mr. Gregg (the “Put Right”). Pursuant to his employment agreement, Mr. Gregg had the right to require the Company to purchase up to $3,000,000 worth of the Company’s common stock, held by RGGPLS, LLC (“RGGPLS”), the controlling stockholder of the Company, on Mr. Gregg’s behalf, provided that the Company was not required to purchase more than $1,500,000 worth of such common stock in any calendar year. In lieu of a cash payment, the Company had the option to register such shares of the Company’s common stock for sale pursuant to a registration statement under the Securities Act of 1933, as amended (the “Act”) or to arrange for the sale of such shares of the Company’s common stock pursuant to an exemption from the registration requirements under the Act.
On April 4, 2007, Mr. Gregg partially exercised his Put Right to require the Company to purchase $750,000 of the Company’s common stock beneficially owned by Mr. Gregg, representing 500,000 shares based on the closing price of $1.50 per share on the trading day prior to the put notice. On July 16, 2007, in connection with RGGPLS’s transfer to Mr. Gregg of 288,000 shares of the Company’s common stock, Mr. Gregg executed an acknowledgement that the proceeds from any sale by him of the 288,000 shares in the open market or to any third party shall satisfy a portion of the Company’s obligation pursuant to the Put Right. Through March 31, 2008, Mr. Gregg had sold 275,880 shares for total proceeds of approximately $201,000. Based upon shares sold by Mr. Gregg to date and the remaining shares under the April 2007 put, the Company has accrued approximately $475,000 at March 31, 2008 related to the estimated shortfall from the price on the date of the put.
On May 2, 2008, the Company and Mr. Gregg entered into a Settlement Agreement and General Release (the “Settlement Agreement”). Under the terms of the Settlement Agreement, the Company agreed to pay Mr. Gregg the $213,000 shortfall related to his sales of the RGGPLS-transferred shares and purchase or arrange for the sale of the remaining 224,120 shares from the April 2007 put on or before September 1, 2008. To the extent that such shares are sold at a price less than $1.50 per share, the Company will be required to pay Mr. Gregg the shortfall amount. Pursuant to the Settlement Agreement and subject to compliance by the Company of its obligations under the Settlement Agreement, Mr. Gregg waived his right to put the remaining $2,250,000 under the Put Right.
6.  
SEGMENT INFORMATION
The Company operates in two reportable segments: Medical Products and Insurance Services. The Medical Products segment markets and sells diabetes, ostomy and other medical supplies, as well as physician prescribed medications, primarily to Medicare and managed care beneficiaries. Through March 2007, the Medical Products segment consisted of two operating divisions: (1) Direct-to-Consumer, which markets and sells to patients primarily through mail-order channels and (2) Retail, which marketed and sold to patients through the Company’s retail initiative with Kmart Corporation (“Kmart”). The Kmart contract, which expired by its terms on January 1, 2007, was not renewed, and the Company ceased servicing customers through Kmart locations in March 2007. Through its Insurance Services segment, the Company provides services to CIGNA and other Medicare insurance providers in connection with their providing of coverage to Medicare beneficiaries.

 

8


Table of Contents

The Company’s management evaluates performance and allocates resources based primarily on segment revenues and profit or loss from operations. Segment profit or loss from operations for the reportable segments includes certain sales, marketing, fulfillment, and general and administrative expenses directly attributable to the segment and excludes certain corporate amounts that are managed outside of, and not allocated to, the reportable segments. The accounting policies of the Company’s reportable segments are the same as for the Company on a consolidated basis. For purposes of the Company’s segment reporting, the Direct-to-Consumer and Retail operating divisions are aggregated in the Medical Products segment.
Revenues and segment profit (loss) for the Company’s reportable segments for the three months ended March 31, 2008 and 2007 are as follows (in thousands):
                 
    Three Months Ended March 31,  
    2008     2007  
Revenue:
               
Medical Products
  $ 14,998     $ 11,074  
Insurance Services
    8,493       7,678  
 
           
Consolidated revenue
  $ 23,491     $ 18,752  
 
           
 
               
Segment profit (loss):
               
Medical Products
  $ 101     $ 1,601  
Insurance Services
    3,614       2,090  
Unallocated corporate expenses
    (4,353 )     (4,017 )
 
           
Consolidated loss from operations
  $ (638 )   $ (326 )
 
           
7.  
SUBSEQUENT EVENT
On May 1, 2008, the Company entered into a Second Amended and Restated Preferred Vendor Agreement with CIGNA (the “Second Amendment”). The Second Amendment amends and restates the amended and restated preferred vendor agreement entered into on May 26, 2006. The Second Amendment extended the term of the agreement through September 30, 2012 and automatically renews for additional one-year periods unless any party provides to the other party notice to terminate not later than July 1 of 2012, or any subsequent renewal year.
Pursuant to the Second Amendment, and through an anticipated transition date of the end of the first quarter of 2009 (the “Transition Date”), the Company will continue to provide CIGNA the same member service activities and selected marketing and enrollment services it currently provides (the “Pre-Transition Services”) in connection with CIGNA’s Medicare Rx Medicare Part D Prescription Drug Plan. Following the Transition Date, the Company will provide more focused member facing services, including telephonic enrollment, member services, grievance management and billing customer service (collectively, the “Post-Transition Services”), but will no longer provide services relating to membership reconciliation, mail room monitoring and document processing, financial reconciliation, premium billing and collection and member correspondence fulfillment. In connection with the Second Amendment, the compensatory terms related to the Pre-Transition Services have been slightly reduced for the period November 2008 through the Transition Date. Furthermore, the compensation related to the Post-Transition Services will be reduced to reflect the reduction in overall services that the Company will provide to CIGNA.

 

9


Table of Contents

Item 2.  
Management’s Discussion and Analysis of Financial Condition and Results of Operations.
Important Factors That May Affect Future Operations and Results
This Quarterly Report on Form 10-Q may contain forward-looking statements. Generally, the forward-looking statements in this report use words like “expect,” “believe,” “continue,” “anticipate,” “estimate,” “may,” “will,” “could,” “opportunity,” “future,” “project,” and similar expressions.
The forward-looking statements may include statements about our:
   
Expected future operations, revenue, gross margins and expenses;
 
   
Credit facilities and projected cash needs;
 
   
Sales opportunities, strategic relationships and marketing plans;
 
   
Estimates of potential markets for our products and services, including the anticipated drivers for future growth; and
 
   
Assessment of the impact of future accounting pronouncements.
Statements that are not historical facts are based on our current expectations, beliefs, assumptions, estimates, forecasts and projections for our business and the industry and markets in which we compete. Any forward-looking statements contained in this report are not guarantees of future performance and involve certain risks, uncertainties and assumptions that are difficult to predict. Therefore, actual outcomes and results may differ materially from what is expressed in such forward-looking statements. We caution investors not to place undue reliance on the forward-looking statements contained in this report. These statements speak only as of the date of this report, and we do not undertake any obligation to update or revise them, except as required by law.
The following factors, among others, create risks and uncertainties that could affect our future or other performance:
   
Our ability to successfully maintain our Insurance Services segment
 
   
Competitive bidding for DME and supplies
 
   
Increases in the costs of medical products dispensed
 
   
Our history of operating losses and the possibility that we will incur significant additional operating losses
 
   
Our ability to raise the capital that we will need to sustain our operations
 
   
Our ability to attract new patients and retain existing patients
 
   
Identification of, and competition for, growth and expansion opportunities
 
   
Compliance with, or changes in, government regulation and legislation, or interpretations thereof, including, but not limited to, pharmacy licensing requirements and healthcare reform legislation, including HIPAA

 

10


Table of Contents

   
An inability to establish and maintain successful collaborative relationships could adversely affect our ability to generate revenue
 
   
Adverse developments in any investigation related to the pharmaceutical industry
 
   
Competition and technological change that may make our products and technologies less attractive or obsolete
 
   
Our ability to obtain and maintain intellectual property protection for our technologies
 
   
Adverse resolution of current or future lawsuits or investigations
 
   
Significant fluctuations in our revenue and operating results, which have occurred in the past and which could continue to fluctuate in the future
 
   
Any loss or inability to hire and retain qualified personnel
 
   
Our exposure to product liability in excess of our insurance coverage
 
   
Any failure to maintain an effective system of internal controls in the future could adversely affect our ability to accurately report financial results or prevent fraud
 
   
Compliance with changing regulation of corporate governance and public disclosure may result in additional expenses
 
   
Our common stock may continue to have a volatile public trading price and low trading volume
 
   
Anti-takeover provisions in our governing documents and under Delaware law may make an acquisition of us more difficult
 
   
Transfer of listing of our common stock from the NASDAQ Capital Market to the Over-The-Counter Bulletin Board may result in reduced liquidity
As a result of the foregoing and other factors, we may experience material fluctuations in our future operating results, which could materially affect our business, financial position, and stock price. Other than as updated in Part II, Item 1A herein, these risks and uncertainties are discussed in more detail in the section titled “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2007.
Business
NationsHealth, Inc. (referred to in this Quarterly Report on Form 10-Q as “NationsHealth,” the “Company,” “we,” “us” or “our”) provides medical products nationwide to Medicare and managed care beneficiaries with a focus on improving the delivery and cost of healthcare to the approximately 44 million Medicare beneficiaries in the United States. NationsHealth also provides certain services, including marketing, insurance agent training and licensing, member enrollment and service, distribution and billing and collections, to Medicare Part D prescription drug plan providers and other Medicare benefit sponsors.
As of March 31, 2008, we were engaged in two reportable business segments: Medical Products and Insurance Services. Additional information regarding our business segments can be found in Note 6 of our condensed consolidated financial statements included in Item 1 of this Quarterly Report on Form 10-Q.

 

11


Table of Contents

Medical Products Segment
We distribute medical equipment and supplies and dispense physician-prescribed medications nationally from our licensed pharmacy in the State of Florida. We currently provide home delivery of diabetes related supplies, prescription medications, and other medical products. These products are generally covered under Medicare Part B, Medicare Part D, state Medicaid programs or through managed care organizations. As of March 31, 2008, we had approximately 73,000 patients to whom we or Diabetes Care and Education, Inc., which we acquired via stock acquisition in September 2007, have shipped medical products and supplies in the last 15 months and that have not cancelled our service.
The Federal Medicare program provides reimbursement to its beneficiaries for a number of products under Medicare’s Part B or Part D coverages. Products covered under Part B include, among other items, supplies used to treat diabetes and ostomy, and Part D covers self-administered prescription drugs. Medicare Part B pays us 80% of the Medicare allowable fees for these products after the beneficiary has satisfied his or her annual deductible amount, and we bill the remaining balance to either third party payors, such as a patient’s supplemental insurance carrier, or, where permitted, directly to the patient. We accept assignments of Medicare benefits, ship supplies and medications to patients and bill and receive payments from Medicare and certain private insurers on behalf of patients (and bill patients or their supplemental insurers for any co-payment and/or deductible). Revenue from Medicare, which relates to our Medical Products segment, represented approximately 30% and 41% of our total revenue for the three months ended March 31, 2008 and 2007, respectively.
On September 4, 2007, we acquired all of the issued and outstanding capital stock of Diabetes Care and Education, Inc. (DC&E). DC&E is a provider of insulin pumps, pump supplies and blood glucose monitoring equipment and supplies through its three facilities in Kentucky, North Carolina and South Carolina. DC&E also offers diabetes education to individuals through its American Diabetes Association recognized education programs. This acquisition was made as part of our strategy to add customers and expand product offerings that are complimentary to our diabetes supplies business, and DC&E has become a part of our Medical Products segment.
Insurance Services Segment
We entered into an agreement with Connecticut General Life Insurance Company (“CIGNA”) effective May 5, 2005, with an initial term through December 31, 2009, to provide services to CIGNA in connection with CIGNA’s offering of its national Medicare Part D prescription drug plans to Medicare beneficiaries. This arrangement combines CIGNA’s pharmacy product portfolio and expertise with regard to clinical management programs and our experience with regard to Medicare and enrolling individual Medicare eligible beneficiaries. Pursuant to this agreement, the services we provided to CIGNA included marketing, insurance agent training and licensing, member enrollment and service, distribution, billing and collections. We trained and developed a team of licensed healthcare insurance agents and began enrolling beneficiaries in CIGNA’s Medicare Part D prescription drug plans throughout the United States on November 15, 2005, the first day of open enrollment for the 2006 plan year.

 

12


Table of Contents

On May 26, 2006, our agreement with CIGNA was amended and restated. This amended and restated agreement modified the compensation terms to provide for a predictable service fee arrangement starting with the 2007 plan year and continuing through December 31, 2009. Under the amended and restated agreement, we continue to provide CIGNA with certain member service activities and, at the option of CIGNA, selected marketing and enrollment services. Furthermore, under the amended and restated agreement, we may provide services, such as education, marketing, enrollment and member service, to other Medicare Part D insurers and CIGNA may use other vendors to provide them with services for their Medicare Part D program, provided, however, that CIGNA is required to pay us certain fees if they do not meet specified thresholds of enrollees we service. As permitted under the amended and restated agreement, we provide plan marketing, enrollment and advisory services to other Medicare prescription drug and benefit providers, as well as to CIGNA. Revenue from CIGNA represented approximately 35% of our total revenue for each of the three month periods ended March 31, 2008 and 2007.
On May 1, 2008, we entered into a second amended and restated preferred vendor agreement with CIGNA that extended the term of the agreement through September 30, 2012 and automatically renews for additional one-year periods thereafter. Pursuant to the second amended and restated agreement, we will continue to provide CIGNA the same member service activities and selected marketing and enrollment services that we currently provide in connection with CIGNA’s Medicare Part D Prescription Drug Plan through an anticipated transition date of the end of the first quarter of 2009 (the “Transition Date”). Following the Transition Date, we will provide more focused member facing services, including telephonic enrollment, member services, grievance management and billing customer service, but will no longer provide services relating to membership reconciliation, mail room monitoring and document processing, financial reconciliation, premium billing and collection and member correspondence fulfillment. Additionally under the second amended and restated agreement, the compensatory terms related to the services we currently provide to CIGNA will be slightly reduced for the period from November 2008 through the Transition Date and the compensation for services to CIGNA subsequent to the Transition Date will be reduced to reflect the reduction in overall services that we will provide to CIGNA.
Critical Accounting Policies
In our Annual Report on Form 10-K for the year ended December 31, 2007, our critical accounting policies and estimates were identified as those relating to revenue recognition and accounts receivable, allowances for doubtful accounts, and patient acquisition and related costs. We reviewed our policies and determined that there have been no significant changes to our critical accounting policies for the quarter ended March 31, 2008.

 

13


Table of Contents

Results of Operations
The following table contains certain revenue and expense amounts expressed in thousands of dollars and as a percentage of total revenue for the three months ended March 31, 2008 and 2007:
                                 
    2008     2007  
    $     %     $     %  
Revenue:
                               
Net product sales
  $ 14,998       63.8 %   $ 11,074       59.1 %
Service revenue
    8,493       36.2       7,678       40.9  
 
                       
 
    23,491       100.0       18,752       100.0  
 
                               
Cost of product sales
    7,778       33.1       4,398       23.5  
Cost of services
    3,160       13.5       3,735       19.9  
 
                       
Gross Profit
    12,553       53.4       10,619       56.6  
 
                               
Operating Expenses:
                               
Patient acquisition and related costs
    519       2.2       736       3.9  
Patient service and fulfillment
    3,273       13.9       2,227       11.9  
General and administrative
    6,666       28.4       5,871       31.3  
Provision for doubtful accounts
    970       4.1       735       3.9  
Depreciation and amortization
    1,763       7.5       1,376       7.3  
 
                       
 
    13,191       56.2       10,945       58.4  
 
                       
 
                               
Loss from Operations
    (638 )     (2.7 )     (326 )     (1.7 )
 
                               
Other expense, net
    (1,256 )     (5.3 )     (862 )     (4.6 )
 
                       
Net Loss
  $ (1,894 )     (8.1 %)   $ (1,188 )     (6.3 %)
 
                       
Three Months Ended March 31, 2008 Compared to Three Months Ended March 31, 2007
Revenue. Total revenue increased approximately $4.7 million, or 25%, to $23.5 million for the three months ended March 31, 2008, from $18.8 million for the same period in 2007. Service revenue from our Insurance Services segment increased approximately $0.8 million, or 11%, to $8.5 million for the three months ended March 31, 2008, compared to $7.7 million for the same period in 2007. The increase in service revenue is primarily related to increased enrollment in CIGNA’s Medicare Part D Plans.
Revenue from our Medical Products segment increased approximately $3.9 million, or 35%, to $15.0 million for the three months ended March 31, 2008, from $11.1 million for the same period in 2007. This increase was primarily due to higher net sales of prescription medications and from the acquisition of DC&E on September 4, 2007, partially offset by lower net sales of diabetes supplies due to the termination of our contract with Kmart.
Cost of Product Sales. Cost of product sales, which relates to our Medical Products segment, increased approximately $3.4 million, or 77%, to $7.8 million for the three months ended March 31, 2008, from $4.4 million for the same period in 2007. The increase was primarily related to higher sales of prescription medications, as well as pump supplies and diabetes supplies sales through DC&E, as discussed above. Gross margins on product sales were 48.1% in the first quarter of 2008, compared to 60.3% in the same period in 2007, primarily as a result of lower margins associated with both sales of prescription medications and the DC&E operations.

 

14


Table of Contents

Cost of Services. Cost of services, which relates to our Insurance Services segment, consists of the direct costs of providing services to Medicare plan providers for their Medicare insurance programs. Cost of services decreased approximately $0.5 million, or 15%, to approximately $3.2 million for the three months ended March 31, 2008, compared to approximately $3.7 million for the same period in 2007, primarily due to efficiencies achieved in servicing Medicare plan enrollees.
Gross Profit Margin. As a percentage of total revenue, overall gross profit margin was 53.4% for the three months ended March 31, 2008, compared to 56.6% for the same period in 2007, due to the factors discussed above.
Patient Acquisition and Related Costs. Patient acquisition and related costs decreased approximately $0.2 million, or 29%, to $0.5 million for the three months ended March 31, 2008, from $0.7 million for the same period in 2007. Patient acquisition and related costs include advertising, marketing and creative costs, call center services and sales payroll related to our Medical Products segment. The decrease in patient acquisition and related costs primarily related to decreased spending on marketing activities. As a percentage of net product sales, patient acquisition and related costs were 3.5% for the three months ended March 31, 2008, compared to 6.6% for the same period in 2007.
Patient Service and Fulfillment Expenses. Patient service and fulfillment expenses, which relate to our Medical Products segment, consist primarily of costs to service our existing patients, including patient service personnel, call center and telecommunications costs, fulfillment of patient mailings, and product shipping costs, and are classified as operating expenses as they are not a direct cost of products sold. Patient service and fulfillment increased approximately $1.1 million, or 47%, to $3.3 million for the three months ended March 31, 2008, from $2.2 million for the same period in 2007, primarily from higher payroll related to our acquisition of DC&E and the expansion of our operations infrastructure. As a percentage of net product sales, patient service and fulfillment expenses were 21.8% for the three months ended March 31, 2008, compared to 20.1% for the same period in 2007.
General and Administrative Expenses. General and administrative expenses increased approximately $0.8 million, or 13%, to $6.7 million for the three months ended March 31, 2008, from $5.9 million for the same period in 2007. The increase in general and administrative expenses was primarily due to higher professional fees and overhead related to our expansion, including the DC&E acquisition. As a percentage of total revenue, general and administrative expenses were 28.4% for the three months ended March 31, 2008, compared to 31.3% for the same period in 2007.
Provision for Doubtful Accounts. The provision for doubtful accounts, which relates to our Medical Products segment, increased approximately $0.3 million, or 32%, to $1.0 million for the three months ended March 31, 2008, from $0.7 million for the same period in 2007. The increase in the provision for doubtful accounts related to the increase in net product sales. For the three months ended March 31, 2008, the provision represented 6.5% of net product sales, compared to 6.6% for the same period in 2007.
Depreciation and Amortization. Depreciation and amortization increased approximately $0.4 million, or 28%, to $1.8 million for the three months ended March 31, 2008, from $1.4 million for the same period in 2007. The increase in depreciation and amortization was primarily due to increased depreciation and amortization of assets acquired, including equipment, software, acquired customer lists and other intangible assets.
Other Expense, net. Other expense, net, which is almost entirely comprised of interest expense, increased approximately $0.4 million, or 46%, to approximately $1.3 million for the three months ended March 31, 2008, from $0.9 million for the same period in 2007. The increase was primarily due to the interest incurred on amounts outstanding under the term loan originated in April 2007 and interest incurred under capital leases entered into during 2007.

 

15


Table of Contents

LIQUIDITY AND CAPITAL RESOURCES
Our discussion and analysis of our liquidity and capital resources may be affected by factors discussed in Item 7 in our Annual Report on Form 10-K for the year ended December 31, 2007, filed with the SEC on March 28, 2008, in the section entitled “Important Factors That May Affect Future Operations and Results,” and other trends that could adversely affect our sources of cash.
Since our inception, we have used significant amounts of cash in our operations and have incurred net losses of approximately $1.9 million, $5.9 million, and $11.3 million for the three months ended March 31, 2008 and the years ended December 31, 2007 and 2006, respectively. As of March 31, 2008, we had cash and cash equivalents of approximately $1.4 million and negative working capital of approximately $1.8 million.
For the three months ended March 31, 2008, we used approximately $0.6 million of net cash in operating activities. Our use of cash in operating activities during the first three months of 2008 primarily relates to higher receivables related to our Medical Products segment.
For the three months ended March 31, 2008, we used approximately $0.2 million of net cash in investing activities related to the acquisition of property and equipment to support the growth of our business and improve operational efficiency. For the three months ended March 31, 2008, financing activities provided approximately $0.2 million of net cash, primarily related to draws under our line of credit, partially offset by the repayment of a $1.5 million promissory note during the quarter.
We have a revolving line of credit in the principal amount of up to $10.0 million. The borrowing availability under the revolving line of credit, which matures on April 30, 2010, is limited by a borrowing base formula based upon our eligible receivables and inventory. As of March 31, 2008, the balance outstanding on the line was approximately $4.6 million and the unused portion available under the revolving line of credit was approximately $5.4 million.
On April 11, 2007, our credit agreement was amended and restated to, among other things, add a $7.0 million multi-draw term loan to the credit facility. On April 11, 2007, $1.5 million in proceeds from the term loan were funded into a restricted deposit account to serve as collateral for the facility as required under the amended and restated agreement. The remaining $5.5 million of the term loan is restricted in use to finance the acquisition of certain assets of diabetic supply companies, including customer lists, inventory and other assets, and is to be drawn upon from time to time for such purposes. Through March 31, 2008, we had borrowed approximately $5.3 million under the term loan facility for such acquisitions and the total amount outstanding under the term loan as of March 31, 2008, was approximately $6.6 million. Payment of the principal balance outstanding under the term loan was to be made on a straight-line basis, according to an amortization schedule, in 29 consecutive monthly installments, commencing on January 1, 2008. The amended and restated agreement also adjusted the financial covenants of the credit facility and added a covenant related to our diabetic patient count.
On February 1, 2008, our credit agreement was amended to, among other things, temporarily increase the percentage of eligible accounts receivable available under the borrowing base through the end of 2008, increase the inventory availability under the borrowing base, and defer the due dates of the installment payments under the term loan through June 30, 2008. The increases in the advance rates for eligible accounts receivable and inventory borrowing availability had the impact of increasing availability under the revolving line of credit by approximately $2.3 million.

 

16


Table of Contents

On March 27, 2008, the credit agreement was further amended to adjust the financial covenants to account for our actual and projected financial results. In connection with the amendment, the annual interest rate on the revolving line of credit was increased to the higher of prime plus 3% or 8.25%, and the annual interest rate on the term loan was increased to the higher of prime plus 4.5% or 9.75%, effective as of the amendment date. As of March 31, 2008, the Company was in compliance with all applicable financial covenants under the agreement.
On February 28, 2005, we issued secured convertible notes with $15.0 million in principal value (the Notes) maturing on February 28, 2012, to MHR Capital Partners LP and two affiliated entities (the Holders). The Notes have a stated fixed annual interest rate of 7.75%, payable monthly and are secured by substantially all our assets, but are subordinated to borrowings under our credit facility. The Notes may be subordinated to future indebtedness not to exceed $20.0 million in the aggregate unless we achieve certain performance criteria as specified in the Notes, in which case the amount of senior debt may not exceed $25.0 million. The terms of the Notes allow the Holders, at their discretion, to convert all or part of the Notes into shares of our common stock at a conversion price of $6.56 per share, subject to adjustment for anti-dilution, which is limited and capped, as described in the Notes. In addition, the Notes will accelerate to maturity upon the occurrence of a default on the Notes by us.
On February 5, 2007, as amended on June 29, 2007 and on August 24, 2007, we entered into a lease agreement for certain telecommunications equipment and computer software. The lease, which provides for monthly payments of approximately $75,000 through July 31, 2010, is being accounted for as a capital lease. As of March 31, 2008, the related capital lease obligation totaled approximately $1.7 million.
On September 4, 2007, we acquired all of the issued and outstanding capital stock of DC&E. At closing, we paid cash of $2.5 million and issued 473,933 unregistered shares of our common stock. We may also be obligated to pay additional cash consideration totaling up to $4,500,000 if revenue associated with DC&E’s operations in 2008, 2009 and 2010 exceed certain targets.
During 2007, we implemented plans to restructure and streamline our management organization and reduce our workforce in order to increase both our cost effectiveness and profitability. We would, if considered necessary, be able to further reduce operating costs associated with discretionary patient acquisition activities and other operating costs to mitigate the effects of any temporary cash flow shortages.
We believe our cash and cash equivalents, and other available financing sources, will be sufficient to meet our working capital and capital expenditure needs for our business operations, and that we have sufficient liquidity to continue as a going concern.
Off-Balance-Sheet Arrangements
As of March 31, 2008, we did not have any significant off-balance-sheet arrangements.
Recently Adopted Accounting Standards
In September 2006, FASB issued Statement of Financial Accounting Standards (SFAS) No. 157, "Fair Value Measurements.” SFAS No. 157 defines fair value, establishes a framework for measuring fair value and requires enhanced disclosures about fair value measurements. SFAS No. 157 requires the disclosure of fair value of financial instruments according to a fair value hierarchy. Additionally, certain disclosures are required regarding instruments within the hierarchy, including a reconciliation of the beginning and ending balances for each major category of assets and liabilities. SFAS No. 157 is effective for fiscal years beginning after November 15, 2007, except for non-financial assets and liabilities, for which SFAS No. 157 is effective for fiscal years beginning after November 15, 2008. The adoption of this standard had no impact on our operating results, cash flows or financial position.

 

17


Table of Contents

In February 2007, the FASB issued SFAS No. 159, “The Fair Value Option for Financial Assets and Financial Liabilities”. SFAS No. 159 permits entities to report selected financial assets and liabilities at fair value and is effective for fiscal years beginning after November 15, 2007. The adoption of this standard had no impact on our operating results, cash flows or financial position.
NASDAQ Delisting
On October 2, 2007, we were advised by the NASDAQ Listing Qualifications Department that for at least 30 consecutive business days, the closing bid price of our common stock was below the minimum $1.00 per share requirement for continued inclusion on The NASDAQ Capital Market under Marketplace Rule 4310(c)(4).
We were provided until March 31, 2008, to regain compliance with the NASDAQ Marketplace Rule 4310(c)(4), and during this time, we continued to trade on The NASDAQ Capital Market under the symbol “NHRX”. On April 1, 2008, we received a letter from The Nasdaq Stock Market indicating that we had not regained compliance during the required period and the Nasdaq staff had determined that our common stock would be delisted from The Nasdaq Capital Market. Accordingly, unless we requested an appeal of the delisting determination, Nasdaq would have suspended trading of our common stock at the open of business on April 10, 2008, and our common stock would have been delisted from The Nasdaq Capital Market. On April 4, 2008, we requested a hearing before the Nasdaq Listing Qualifications Panel (the “Panel”) to appeal the Nasdaq staff’s determination, which temporarily stayed the delisting action pending the issuance of a decision by the Panel following the hearing. On April 29, 2008, we withdrew our request for a hearing and we received a letter from The Nasdaq Stock Market that as a result of the withdrawl of our appeal of the Nasdaq Listing Qualifications Department’s notification that we had not gained compliance with the requirements of Nasdaq Marketplace Rule 4310(c)(4), our common stock would be delisted beginning with the opening of trading of the Nasdaq Capital Market on May 1, 2008.
On May 1, 2008, our common stock became eligible for quotation on the OTC Bulletin Board (OTCBB) under the trading symbol NHRX or NHRX.OB. As required for quotation on the OTCBB, we intend to remain current in our required filings with the Securities and Exchange Commission. We believe that being quoted on the OTCBB will not have a material adverse impact on our ongoing business operations.
Item 4.  
Controls and Procedures
Disclosure Controls and Procedures. Our management evaluated, with the participation of our Chief Executive Officer and Chief Financial Officer, the effectiveness of our disclosure controls and procedures as of March 31, 2008. Based upon this evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of March 31, 2008, our disclosure controls and procedures were effective in ensuring that information required to be disclosed by us in the reports that we file or submit under the Securities Exchange Act of 1934, as amended, (i) was recorded, processed, summarized and reported within the time periods specified in the SEC’s rules and forms, and (ii) was accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.
Changes in Internal Control over Financial Reporting. There were no changes in our internal control over financial reporting that occurred during the quarter ended March 31, 2008 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

18


Table of Contents

PART II—OTHER INFORMATION
Item 1.  
Legal Proceedings
We are involved in various disputes, governmental and/or regulatory inquiries, investigations and proceedings that are deemed immaterial by us. Additionally, litigation may arise from time to time in the ordinary course of business. The process of resolving such matters through litigation or other means is inherently uncertain, and it is possible that the resolution of these matters could have a material adverse effect on our business and consolidated financial statements.
Item 1A.  
Risk Factors
The results of our Insurance Services segment are heavily dependent on revenue derived under our agreement with CIGNA.
Services to CIGNA comprise a significant portion of our Insurance Services segment. Revenue from CIGNA represented approximately 38%, 40% and 12% of total revenue in 2007, 2006 and 2005, respectively.
On May 1, 2008, we entered into a Second Amended and Restated Preferred Vendor Agreement with CIGNA (the “Second Amendment”). The Second Amendment amends and restates the amended and restated preferred vendor agreement entered into on May 26, 2006, extends the term of the agreement through September 30, 2012 and automatically renews for additional one-year periods, unless notice is received from the other party by July 1, of 2012, or any subsequent renewal year. Beginning in approximately the end of the 2009 first quarter, we will provide more focused member facing services, including telephonic enrollment, member services, grievance management and billing customer service, but will no longer provide services relating to membership reconciliation, mail room monitoring and document processing, financial reconciliation, premium billing and collection and member correspondence fulfillment. In connection with the Second Amendment, the compensatory terms related to the current services have been slightly reduced for the period November 2008 through the transition date at the end of the 2009 first quarter. Furthermore, the compensation related to the services provided following the transition date will be reduced to reflect the reduction in overall services that we will provide to CIGNA. We believe the Second Amendment will reduce the revenue and profit we derive from CIGNA beginning in the 2009 second quarter. Additionally, if CIGNA should fail to continue offering its CIGNA Medicare Rx Medicare Part D program for any reason or if CMS should fail to approve CIGNA’s Medicare Part D plans in future years, or if CIGNA chooses a different vendor to provide services we currently provide or will provide after the transition date, revenue and profit of our Insurance Services segment would be adversely impacted.

 

19


Table of Contents

Certain executive officers have rights under employment agreements that could require us to make substantial payments to them.
We have employment agreements with our Chief Executive Officer, Glenn M. Parker, M.D. and our President and Chief Information Officer, Lewis P. Stone, and, prior to December 16, 2005, with Robert Gregg, who served as our Chief Operating Officer until October 5, 2005. Besides the severance provisions, which provide for severance payments in the event of termination of the key person by us or by the key person for “good reason” equal to two times their current salary for Dr. Parker and Mr. Stone, these employment agreements provide that if we or the key person terminate employment in several specified events, that key person has the right to cause us to repurchase a number of shares of our common stock owned by the key person with a value of up to $3,000,000 based on then current market prices. Alternatively, we may elect to sell these shares of common stock to third parties or to register the resale of these shares. In the event a sale or registration results in proceeds less than the key person is to receive related to their right to sell, then we shall pay to the key person the difference between the requested dollar amount and the proceeds of the sale. The occurrence of either of these events could materially and adversely affect us as it may require us to make large cash payments to these individuals, thus reducing the amount of cash available to us.
On December 16, 2005, we entered into a Separation Agreement and General Release with Mr. Gregg terminating his employment as of that date. In addition to severance payments of $1.15 million, the separation agreement affirmed Mr. Gregg’s ability to exercise his put right under his employment agreement to request that we arrange for the purchase by a third party of up to $3,000,000 worth of NationsHealth common stock from Mr. Gregg. Mr. Gregg has the right to require us to purchase up to $3,000,000 worth of his NationsHealth common stock held by RGGPLS LLC (“RGGPLS”), the controlling stockholder of NationsHealth, on Mr. Gregg’s behalf, provided that we are not required to purchase more than $1,500,000 worth of such common stock in any calendar year. Under certain circumstances, we may pay such amounts over a period of up to three years. In lieu of a cash payment, we have the option to register such common stock for sale pursuant to a registration statement under the Securities Act of 1933, as amended or to sell such common stock pursuant to an exemption from the registration requirements under the Act.
On April 4, 2007, Mr. Gregg partially exercised his put right to require us to purchase $750,000 of our common stock beneficially owned by Mr. Gregg, representing 500,000 shares based on the closing price of $1.50 per share on the trading day prior to the put notice. On July 16, 2007, in connection with RGGPLS’s transfer to Mr. Gregg of 288,000 shares of the our common stock, Mr. Gregg executed an acknowledgement that the proceeds from any sale by him of the 288,000 shares in the open market or to any third party shall satisfy a portion of our obligation pursuant to the put right. Based upon shares sold by Mr. Gregg to date and the remaining shares under the April 4, 2007 put, we have accrued approximately $475,000 at March 31, 2008 related to the estimated shortfall from the price on the date of the put, which is due to Mr. Gregg upon the sale of the entire 500,000 shares.
On May 2, 2008, we and Mr. Gregg entered into a Settlement Agreement and General Release. Under the terms of the Settlement Agreement, we agreed to pay Mr. Gregg the $213,000 shortfall related to his sales of the RGGPLS-transferred shares and purchase or arrange for the sale of the remaining 224,120 shares from the April 2007 put on or before September 1, 2008. To the extent that such shares are sold at a price less than $1.50 per share, we will be required to pay Mr. Gregg the shortfall amount. Pursuant to the Settlement Agreement and subject to compliance by us of our obligations under the Settlement Agreement, Mr. Gregg waived his right to put the remaining $2,250,000 under the Put Right.
Item 6.  
Exhibits
(a)  
Exhibits
See the Exhibit Index immediately following the signature page for a description of the documents that are filed or furnished as exhibits to this Report on Form 10-Q or incorporated by reference herein.

 

20


Table of Contents

SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
         
  NATIONSHEALTH, INC.
 
 
Date: May 14, 2008  By:   /s/ Glenn M. Parker    
    Name:   Glenn M. Parker   
    Title:   Chief Executive Officer
(Principal Executive Officer) 
 
 
     
Date: May 14, 2008  By:   /s/ Timothy Fairbanks    
    Name:   Timothy Fairbanks   
    Title:   Chief Financial Officer
(Principal Financial Officer) 
 
 
     
Date: May 14, 2008  By:   /s/ Bryan Happ    
    Name:   Bryan Happ   
    Title:   Chief Accounting Officer
(Principal Accounting Officer) 
 
 

 

21


Table of Contents

NATIONSHEALTH, INC.
EXHIBIT INDEX
     
Exhibit    
No.   Description
     
31.1
  Certification of Chief Executive Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
31.2   Certification of Chief Financial Officer Pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
32.1   Certification of Chief Executive Officer and Chief Financial Officer Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

22