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Subsequent Events
9 Months Ended
Sep. 30, 2014
Subsequent Events [Abstract]  
Subsequent Events
Subsequent Events

We evaluate events and transactions that occur after the balance sheet date as potential subsequent events.
On October 1, 2014, we entered into a management services agreement with HealthSmart Preferred Care II, L.P., or HealthSmart. HealthSmart is a comprehensive benefits management company and is the largest independent administrator of health plans for self-funded employers in the United States. HealthSmart has several provider networks that include hospitals, physicians and other healthcare providers and facilities. It contracts with over 600,000 providers across the United States and tailors its various provider network solutions to meet its customers’ needs and to help control their healthcare costs. In addition, HealthSmart provides claims and benefits administration, pharmacy benefits management services, business intelligence, onsite employer clinics and care management. Under the management services agreement, HealthSmart has assumed responsibility for the operation of our ancillary network business, subject to the supervision of a five-person oversight committee comprised of three members selected by us and two members selected by HealthSmart. As part of the management arrangement, HealthSmart hired substantially all of our ancillary network business employees, purchased substantially all of our furniture, fixtures and equipment located in our Dallas, Texas office and assumed our lease for that office. As a result of this arrangement, we no longer employ the workforce of our ancillary network business. Under the management services agreement, HealthSmart operates our ancillary network business for a fee equal to the sum of 120% of the direct costs incurred by HealthSmart in providing management services and of the monthly net profit derived from the operation of our ancillary network business. During the term of the agreement, HealthSmart is responsible for the payment of all expenses incurred in providing the management services with respect to our ancillary network business, including personnel salaries and benefits, the cost of supplies and equipment and rent. The initial term of the management services agreement is three years, and it renews annually thereafter for one-year terms unless either party gives notice of termination at least 90 days prior to the end of the then-current term.
    
At any time after the two year anniversary, and during the remaining term of the management services agreement, HealthSmart may purchase, or we may require that HealthSmart purchase, our ancillary network business for a price equal to $6.5 million less the aggregate sum of net profit received by us since the beginning of the management arrangement. Consummation of the transaction will be subject to the satisfaction of certain conditions. In the event HealthSmart purchases our ancillary network business, the urgent and primary care business will be our only business line following completion of that transaction. If for any reason the sale of our ancillary network business to HealthSmart is not consummated during or at the end of the term of the management services agreement, we expect to then either reassume management of that line of business, seek to sell that business on the most favorable terms we are able to obtain or phase out that line of business.
    
On October 29, 2014, our wholly-owned subsidiary ACSH Service Center, LLC, or ACSH Service Center, entered into a lease, commencing on November 1, 2014, with John Hancock Life Insurance Company (U.S.A.), a wholly-owned subsidiary of Manulife Financial Corporation, of office space in Atlanta, Georgia with an initial term of 66 months. Under the lease, the rent to be paid increases from $29.75 per square foot in the year one of the lease to $33.65 in year six of the lease. The lease allows for nine-months of rent abatement and a tenant improvement allowance that may be utilized to offset rent amounts payable. The Company has the option to renew the term for an additional five years.

On October 29, 2014, ACSH Georgia, LLC purchased from Thinh D. Nguyen, M.D. and Han C. Phan all of the issued and outstanding membership interests of MedHelp, LLC, a Georgia limited liability company which operates an urgent care, walk-in medical business in Alpharetta, Georgia. The aggregate purchase price for the transaction was $880,000, (subject to certain adjustments set forth in the purchase agreement), with $780,000 paid in cash at closing and remainder paid by the delivery of a promissory note in the amount of $100,000. The outstanding balance of the principal and interest (accruing at a rate of 5% per annum) under the promissory note is payable in full on the one-year anniversary of the closing date.