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CLAI.OB > SEC Filings for CLAI.OB > Form 10-K on 2-Mar-2009All Recent SEC Filings

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Form 10-K for CLAIMSNET COM INC


2-Mar-2009

Annual Report


ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS.
OVERVIEW
As of December 31, 2008, we had a working capital deficit, defined by the excess of current liabilities over current assets, of $789,000 and stockholders' deficit of $1,359,000. We generated revenues of $2,080,000 for the year ended December 31, 2008. We have incurred net losses since inception and had an accumulated deficit of $45,391,000 at December 31, 2008. We expect to continue to operate at a loss for the foreseeable future. We may never achieve profitability. In addition, during the year ended December 31, 2008, net cash used in operating activities was $384,000.
We have been in existence since 1996, have operated under several different business strategies. The relationships between revenue and cost of revenue, and between gross profit and operating expenses reflected in the financial information included in this report may not represent future expected financial. We generally enter into services agreements with our customers to provide access to our software application for processing of customer transactions. We operate the software application for all customers and the customers are not entitled to ownership of our software at any time during or at the end of the agreements. The customers either host the application on their own servers or access our hosted software platform via the Internet. Our revenue is derived from customers paying implementation fees and transaction fees, both of which may be subject to monthly minimum provisions, and time and materials charges for additional services. Customer agreements may also provide for development fees related to private labeling of our software platform (i.e. access to our servers through a website which is in the name of and/or has the look and feel of the customer's other websites) and some customization of the offering and business rules. We have been dependent on issuances of our capital stock to meet our capital and liquidity needs. We anticipate we will continue to require similar infusions of capital for the foreseeable future. There is no assurance we will be able to obtain such funding.
PLAN OF OPERATIONS
Our business strategy is set forth in detail in ITEM 1. DESCRIPTION OF BUSINESS. We anticipate that our primary source of revenues will be revenue paid by healthcare payers and vendors for private-label or co-branded licenses and services. Historically, our primary sources of revenue were fees paid by healthcare providers for insurance claims and patient statement services and fees from medical and dental payers for processing claims electronically. We expect most of our revenues to be recurring in nature.


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Our principal costs to operate are technical and customer support, transaction-based vendor services, sales and marketing, research and development, acquisition of capital equipment, and general and administrative expenses. We intend to continue to develop and upgrade our technology and transaction-processing systems and continually update and improve our website to incorporate new technologies, protocols, and industry standards. Selling, general and administrative expenses include all corporate and administrative functions that serve to support our current and future operations and provide an infrastructure to support future growth. Major items in this category include management and staff salaries and benefits, travel, professional fees, network administration, business insurance, and rent.
On February 20, 2008, the Company acquired substantially all the assets of Acceptius, Inc. ("Acceptius"). Acceptius was engaged in the business of providing transaction processing services to the healthcare industry. The Company anticipates that the acquisition will expand its current revenue generating opportunities by adding paper conversion and claims repricing, extend its claims processing capabilities and increase its client base.
CRITICAL ACCOUNTING POLICIES
REVENUE RECOGNITION
We generally enter into services agreements with our customers to provide access to our hosted software platform for processing of customer transactions. We operate the software application for all customers and the customers are not entitled to ownership of our software at any time during or at the end of the agreements. The end users of our software application access our hosted software platform or privately hosted versions of our software application via the Internet with no additional software required to be located on the customer's systems. Customers pay implementation fees, transaction fees and time and materials charges for additional services. Revenues primarily include fees for implementation and transaction fees, which may be subject to monthly minimum provisions. Customer agreements may also provide for development fees related to private labeling of our software platform (i.e. access to our servers through a website which is in the name of and/or has the look and feel of the customer's other websites) and some customization of the offering and business rules. We account for our service agreements by combining the contractual revenues from development, implementation, license, support and certain additional service fees and recognizing the revenue ratably over the expected period of performance. We currently use an estimated expected business arrangement term of three years which is currently the term of the typical contracts signed by our customers. We do not segment these services and use the underlying contractual terms to recognize revenue because we do not have objective and reliable evidence of fair value to allocate the arrangement consideration to the deliverables in the arrangement. To the extent that implementation fees are received in advance of recognizing the revenue, we defer these fees and record deferred revenue. We recognize service fees for transactions and some additional services as the services are performed. We expense the costs associated with our customer service agreements as those costs are incurred.
SOFTWARE FOR SALE OR LICENSE
We begin capitalizing costs incurred in developing a software product once technological feasibility of the product has been determined. Capitalized computer software costs include direct labor, and labor-related costs. The software is amortized over its expected useful life of 3 years or the contract term, as appropriate.
Management evaluates the recoverability, valuation, and amortization of capitalized costs of software that we sell, lease or otherwise market, whenever events or changes in circumstances indicate that the carrying valuation on the software may not be recoverable. As part of this review, management considers the expected undiscounted future net cash flows. If they are less than the stated value, capitalized software costs will be written down to fair value.
RECENT ACCOUNTING PRONOUNCEMENTS
In September 2006, the FASB issued Statement of Financial Accounting Standard ("SFAS") No. 157, "Fair Value Measurements" ("SFAS 157"). SFAS 157 defines fair value, establishes a market-based framework or hierarchy for measuring fair value, and expands disclosures about fair value measurements. SFAS 157 is applicable whenever another accounting pronouncement requires or permits assets and liabilities to be measured at fair value. SFAS 157 does not expand or require any new fair value measures; however the application of this statement may change current practice. The requirements of SFAS 157 became effective for our fiscal year 2008. However, in February 2008 the FASB decided that an entity need not apply this standard to nonfinancial assets and liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis until the subsequent year. Accordingly, our adoption of this standard on January 1, 2008 was limited to financial assets and liabilities and did not have a material effect on our financial condition or results of operations. We are still in the process of evaluating this standard with respect to its effect on nonfinancial assets and liabilities and therefore have not yet determined the impact that it will have on our financial statements upon full adoption.


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RESULTS OF OPERATIONS
COMPARISON OF THE YEARS ENDED DECEMBER 31, 2008 AND 2007
REVENUES
Revenues increased 26% to $2,080,000 in 2008 from to $1,648,000 in 2007. The increase in revenues was primarily due to the acquisition of substantially all the assets of Acceptius, Inc., as well as the addition of several customers combined with increased revenues from our existing customers. Revenues received from two customers represented a significant portion of our total revenues during the last two years. Revenues received from one customer represented 36% and 40% of our revenues for 2008 and 2007, respectively; revenues received from another customer represented 8% and 11% of our revenues for 2008 and 2007, respectively.
COST OF REVENUES
Cost of revenues was $1,640,000 in 2008 compared to $1,156,000 for the prior year, an increase of 42%. The four recurring components of cost of revenues are data center expenses, third party transaction processing expenses, customer support operation expenses and amortization of software. Data center expenses were $43,000 for the year ended December 31, 2008 compared with $28,000 for 2007, an increase of 54%. The increase in data center expenses was primarily attributable to an expansion of services along with an increase in equipment to support claim increases. Third party transaction processing expenses were $602,000 in 2008 compared to $397,000 in 2007, an increase of 52%. The increase in third party transaction processing expenses was primarily attributable to new contracts with clearing houses. Customer support operations expense increased by 40% to $933,000 in 2008 from $665,000 in 2007. The increase in customer support operations expenses was primarily attributable to an increase in support personnel as part of the acquisition of substantially all the assets of Acceptius, Inc. Software amortization and development project amortization expenses decreased to $62,000 in 2008 compared to $66,000 in 2007.
RESEARCH AND DEVELOPMENT
Research and development expenses were $12,000 in 2008, compared with $3,000 in 2007.
IMPAIRMENT
During 2007, $57,000 of previously capitalized software development costs was impaired. There was no software impairment in 2008.
SELLING, GENERAL AND ADMINISTRATIVE
Selling, general and administrative expenses were $973,000 in 2008, compared with $780,000 in 2007, an increase of 25%. The $193,000 increase is primarily related to an increase in personnel and personnel related expenses in the sales department.
INTEREST EXPENSE
Interest expense was $105,000 for 2008 compared with $109,000 for 2007. Included in the 2008 expense was $83,000 related to interest on notes payable to related parties compared with $73,000 for 2007. Interest expense of $11,000 in 2008 and $21,000 in 2007 related to other notes payable. Interest of $11,000 and $15,000 respectively was paid to vendors in 2008 and 2007 for financing fees.
LIQUIDITY AND CAPITAL RESOURCES
For the year ended December 31, 2008, net cash used in operating activities of $384,000 was primarily attributable to a net loss of $650,000, adjusted for depreciation and amortization of $70,000, bad debt of $9,000, interest paid in shares of common stock of $30,000, and a change in other working capital accounts of $172,000, offset by a decrease in deferred revenue of $15,000. Net cash used in investing activities was $120,000 in 2008, related to the cost of software development capitalized during the period of $98,000 and acquisition costs recognized as part of the Acceptius acquisition of $22,000. Net cash provided by financing activities in 2008 was $406,000 as a result of proceeds of $675,000 from debt financing from related parties offset by $225,000 used to repay debt and principal payments on capital lease obligations of $44,000.


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Management believes that available cash resources, together with anticipated revenues from operations and the proceeds of recently completed financing activities and funding commitments may not be sufficient to satisfy our capital requirements through December 31, 2009. Necessary additional capital may not be available on a timely basis or on acceptable terms, if at all. In any of these events, we may be unable to repay debt obligations as they become due, forced to significantly reduce operating expenses to a point that would be detrimental to business operations, curtail research and development activities, sell certain business assets or discontinue some or all of our business operations, take other actions which could be detrimental to business prospects and result in charges which could be material to our operations and financial position, or cease operations altogether. In the event that any future financing is affected, to the extent it includes equity securities, the holders of our common stock and preferred stock may experience additional dilution. In the event of a cessation of operations, there may not be sufficient assets to fully satisfy all creditors, in which case the holders of equity securities may be unable to recoup any of their investment. In addition, compliance with Sarbanes-Oxley
Section 404 has placed and will continue to place additional strain on our limited managerial, operational, and financial resources which we believe will be very significant and could have a material adverse effect on our business, prospects, financial condition and results of operations.
OFF-BALANCE SHEET ARRANGEMENTS
None.

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