UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM
(Mark One)
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the quarterly period ended
or
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
For the transition period from to x
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(Exact Name of Registrant as Specified in its Charter)
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(Former Name, Former Address and Former Fiscal Year, if Changed Since Last Report)
Securities registered pursuant to Section 12(b) of the Act:
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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.
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
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Emerging growth company |
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If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes ☐ No
The number of shares outstanding of the registrant's Common Stock, $0.0001 par value per share, as of July 29, 2024, was
CORVEL CORPORATION
QUARTERLY REPORT ON FORM 10-Q
TABLE OF CONTENTS
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Item 1. |
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3 |
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Consolidated Balance Sheets – June 30, 2024 (unaudited) and March 31, 2024 |
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Consolidated Income Statements (unaudited) – Three months ended June 30, 2024 and 2023 |
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Consolidated Statements of Cash Flows (unaudited) – Three months ended June 30, 2024 and 2023 |
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Notes to Consolidated Financial Statements (unaudited) – June 30, 2024 |
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Item 2. |
Management's Discussion and Analysis of Financial Condition and Results of Operations |
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Item 3. |
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Item 4. |
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Item 1. |
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Item 1A. |
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Item 2. |
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31 |
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Item 3. |
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32 |
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Item 4. |
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Item 5. |
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32 |
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Item 6. |
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33 |
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34 |
Page 2
PART I – FINANCIAL INFORMATION
ITEM 1 – FINANCIAL STATEMENTS
CORVEL CORPORATION
Consolidated Balance Sheets
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June 30, 2024 |
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March 31, 2024 |
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(Unaudited) |
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Assets |
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Current Assets |
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Cash and cash equivalents |
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$ |
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$ |
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Customer deposits |
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Accounts receivable, net |
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Prepaid taxes and expenses |
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Total current assets |
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Property and equipment, net |
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Goodwill |
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Other intangibles, net |
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Right-of-use asset, net |
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Deferred tax asset, net |
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Other assets |
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TOTAL ASSETS |
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$ |
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$ |
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Liabilities and Stockholders' Equity |
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Current Liabilities |
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Accounts and taxes payable |
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$ |
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$ |
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Accrued liabilities |
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Total current liabilities |
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Long-term lease liabilities |
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Total liabilities |
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Stockholders' Equity |
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Common stock, $ |
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Paid-in capital |
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Treasury stock ( |
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Retained earnings |
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Total stockholders' equity |
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TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY |
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$ |
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$ |
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See accompanying notes to unaudited consolidated financial statements.
Page 3
CORVEL CORPORATION
Consolidated Income Statements – (Unaudited)
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Three Months Ended June 30, |
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2024 |
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2023 |
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REVENUES |
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$ |
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$ |
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Cost of revenues |
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Gross profit |
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General and administrative expenses |
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Income before income tax provision |
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Income tax provision |
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NET INCOME |
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$ |
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$ |
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Net income per common and common equivalent share |
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Basic |
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$ |
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$ |
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Diluted |
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$ |
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$ |
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Weighted average common and common equivalent shares |
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Basic |
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Diluted |
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See accompanying notes to unaudited consolidated financial statements.
Page 4
CORVEL CORPORATION
Consolidated Statements of Stockholders’ Equity – (Unaudited)
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Three Months Ended June 30, 2024 |
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Common |
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Stock |
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Paid-in- |
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Treasury |
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Treasury |
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Retained |
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Total |
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Balance – March 31, 2024 |
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$ |
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$ |
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$ |
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$ |
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$ |
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Stock issued under stock option plan, |
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Stock-based compensation expense |
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Purchase of treasury stock |
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— |
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Net income |
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Balance – June 30, 2024 |
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$ |
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$ |
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$ |
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$ |
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$ |
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Three Months Ended June 30, 2023 |
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Common |
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Stock |
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Paid-in- |
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Treasury |
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Treasury |
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Retained |
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Total |
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Balance – March 31, 2023 |
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$ |
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$ |
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$ |
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$ |
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$ |
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Stock issued under stock option plan, |
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Stock-based compensation expense |
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Purchase of treasury stock |
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— |
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Net income |
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Balance – June 30, 2023 |
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$ |
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$ |
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$ |
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$ |
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$ |
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See accompanying notes to unaudited consolidated financial statements.
Page 5
CORVEL CORPORATION
Consolidated Statements of Cash Flows – (Unaudited)
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Three Months Ended June 30, |
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2024 |
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2023 |
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Cash Flows from Operating Activities |
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NET INCOME |
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$ |
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$ |
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Adjustments to reconcile net income to net cash provided by operating activities: |
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Depreciation and amortization |
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Loss on write down or disposal of property, capitalized software or investment |
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Stock-based compensation expense |
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Provision for expected credit losses |
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Deferred income tax |
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Changes in operating assets and liabilities |
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Accounts receivable |
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( |
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Customer deposits |
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( |
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Prepaid taxes and expenses |
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( |
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Other assets |
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Accounts and taxes payable |
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Accrued liabilities |
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Operating leases, net |
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Net cash provided by operating activities |
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Cash Flows from Investing Activities |
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Purchase of property and equipment |
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Net cash used in investing activities |
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Cash Flows from Financing Activities |
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Purchase of treasury stock |
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Proceeds from exercise of common stock options |
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Net cash used in financing activities |
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Increase in cash and cash equivalents |
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Cash and cash equivalents at beginning of period |
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Cash and cash equivalents at end of period |
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$ |
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$ |
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Supplemental Cash Flow Information: |
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Income taxes paid |
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$ |
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$ |
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Purchase of software license under finance agreement |
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$ |
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$ |
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See accompanying notes to unaudited consolidated financial statements.
Page 6
CORVEL CORPORATION
Notes to Consolidated Financial Statements
June 30, 2024
Note 1 — Summary of Significant Accounting Policies
Basis of Presentation: The unaudited consolidated financial statements include the accounts of CorVel Corporation and its subsidiaries. Significant intercompany accounts and transactions have been eliminated in consolidation.
The unaudited consolidated financial statements herein have been prepared by CorVel Corporation (“the Company”, “we”, “our”, “us”) pursuant to the rules and regulations of the United States Securities and Exchange Commission (“SEC”). The accompanying interim unaudited consolidated financial statements have been prepared under the presumption that users of the interim financial information have either read or have access to the audited consolidated financial statements for the latest fiscal year ended March 31, 2024. Accordingly, note disclosures which would substantially duplicate the disclosures contained in the March 31, 2024 audited consolidated financial statements have been omitted from these interim unaudited consolidated financial statements.
The Company evaluated all subsequent events and transactions through the date of filing this report.
Certain information and note disclosures normally included in financial statements prepared in accordance with United States generally accepted accounting principles (“GAAP”) have been condensed or omitted pursuant to such rules and regulations. In the opinion of management, all adjustments considered necessary for a fair presentation have been included. Operating results for the three months ended June 30, 2024 are not necessarily indicative of the results that may be expected for the fiscal year ending March 31, 2025. For further information, refer to the audited consolidated financial statements and notes thereto for the fiscal year ended March 31, 2024 included in the Company's Annual Report on Form 10-K filed with the SEC on May 24, 2024.
Recent Accounting Pronouncements: In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvements to Income Tax Disclosures, a new accounting standard to enhance the transparency and decision usefulness of income tax disclosures. The new standard is effective for fiscal years beginning after December 15, 2024, with retrospective application permitted. The Company is currently evaluating the impact of this guidance on its consolidated financial statements.
In November 2023, the FASB issued ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires more detailed information about a reportable segment’s expenses. The new standard is effective for fiscal years beginning after December 15, 2023 and interim periods beginning after December 15, 2024, with retrospective application required. The Company is currently evaluating the impact of this guidance on its consolidated financial statements.
Note 2 – Revenue Recognition
Revenue from Contracts with Customers
Revenue is recognized when control of the promised services is transferred to the Company’s customers in an amount that reflects the consideration the Company expects to be entitled to in exchange for those services. As the Company completes its performance obligations, which are identified below, it has an unconditional right to consideration as outlined in the Company’s contracts. Generally, the Company’s accounts receivable are expected to be collected in
The Company generates revenue through its patient management and network solutions service lines. The Company operates in
Patient Management Service Line
The patient management service line provides services primarily related to workers’ compensation claims management and case management. This service line also includes additional services such as accident and health claims programs. Each claim referred by the customer is considered an additional optional purchase of claims management services under the agreement with the customer. The transaction price is readily available from the contract and is fixed for each service. Revenue is recognized over time as services are provided as the performance obligations are satisfied through the effort expended to research, investigate, evaluate, document, and report the claim and control of these services is transferred to the customer. Revenue is recognized based on historical claim closure rates and claim type applied utilizing a portfolio approach based on time elapsed for these claims, generally between and
Page 7
The patient management service line also offers the services of case managers who provide administration services by proactively managing medical treatment for claimants while facilitating an understanding of and participation in their rehabilitation process. Revenue for case management services is recognized over time as the performance obligations are satisfied through the effort expended to manage the medical treatment for claimants and control of these services is transferred to the customer. Case management services are generally billed based on time incurred, are considered variable consideration, and revenue is recognized at the amount in which the Company has the right to invoice for services performed. The Company believes this approach reasonably reflects the transfer of the case management service to the customer.
Network Solutions Service Line
The network solutions service line consists primarily of medical bill review and third-party services. Medical bill review services provide an analysis of medical charges for customers’ claims to identify opportunities for savings. Medical bill review services revenues are recognized at a point in time when control of the service is transferred to the customer. Revenue is recognized based upon the transfer of the results of the medical bill review service to the customer as this is the most accurate depiction of the transfer of the service to the customer. Medical bill review revenues are variable, generally based on performance metrics set forth in the underlying contracts. Each period, the Company bases its revenue estimates on a contract-by-contract basis. The Company makes its best estimate of amounts the Company has earned and expects to be collected using historical averages and other factors to project such revenues. Variable consideration is recognized when the Company concludes it is probable that a significant revenue reversal will not occur in future periods.
Third-party services revenue includes pharmacy, directed care services and other services, and includes amounts received from customers compensating the Company for certain third-party costs associated with providing its integrated network solutions services. The Company is considered the principal in these transactions as it directs the third party, controls the specified service and its pricing, performs program utilization review, directs payment to the provider, accepts the financial risk of loss associated with services rendered and combines the services provided into an integrated solution, as specified within the Company’s customer contracts. The Company has the ability to influence contractual fees with customers and possesses the financial risk of loss in certain contractual obligations. These factors indicate the Company is the principal and, as such, it is required to recognize revenue gross and service partner vendor fees in the operating expense in the Company’s consolidated statements of income.
The following table presents revenues disaggregated by service line for the three months ended June 30, 2024 and 2023:
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Three Months Ended |
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Three Months Ended |
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June 30, 2024 |
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June 30, 2023 |
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Patient management services |
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$ |
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$ |
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Network solutions services |
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Total services |
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$ |
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$ |
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Arrangements with Multiple Performance Obligations
For many of the Company’s services, the Company typically has
Contract Balances
The timing of revenue recognition, billings and cash collections results in billed accounts receivables, unbilled receivables, and contract liabilities (reported as deferred revenues) on the Company’s consolidated balance sheets. Unbilled receivables are due to the
Page 8
Company unconditionally for services already rendered except for physical invoicing and the passage of time. Invoicing requirements vary by customer contract, but substantially all unbilled revenues are billed within
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June 30, 2024 |
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March 31, 2024 |
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Billed receivables |
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$ |
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$ |
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Allowance for expected credit losses |
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Unbilled receivables |
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Accounts receivable, net |
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$ |
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$ |
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When the Company receives consideration from a customer prior to transferring services to the customer under the terms of certain claims management agreements, it records deferred revenues on the Company’s consolidated balance sheets, which represents a contract liability.
Certain services, such as claims management, are provided under fixed-fee service agreements and require the Company to manage claims over a contract period, typically for one year with the option for auto renewal, with the fixed fee renewing on the anniversary date of such contracts. The Company recognizes deferred revenues as revenues when it performs services and transfers control of the services to the customer and satisfies the performance obligation which it determines utilizing a portfolio approach. For all fixed fee service agreements, revenues are straight-lined and recognized over the expected service periods by type of claim.
The table below presents the deferred revenues balance and the significant activity affecting deferred revenues during the three months ended June 30, 2024:
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Three Months Ended |
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June 30, 2024 |
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Beginning balance at April 1, 2024 |
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$ |
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Additions |
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Revenue recognized from beginning of period |
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( |
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Revenue recognized from additions |
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Ending balance at June 30, 2024 |
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$ |
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Remaining Performance Obligations
As of June 30, 2024, the Company had $
Page 9
Costs to Obtain a Contract
Practical Expedients Elected
As a practical expedient, the Company does not adjust the consideration in a contract for the effects of a significant financing component. It expects, at contract inception, that the period between a customer’s payment of consideration and the transfer of promised services to the customer will be
For patient management services that are billed on a time-and-expense incurred or per unit basis and for which revenue is recognized over time, the Company recognizes revenue at the amount to which it has the right to invoice for services performed.
The Company does not disclose the value of remaining performance obligations for (i) contracts for which it recognizes revenue at the amount to which it has the right to invoice for services performed, and (ii) contracts with variable consideration allocated entirely to a single performance obligation.
Note 3 — Stock-Based Compensation and Stock Options
Under the Company’s Restated Omnibus Incentive Plan (formerly the Restated 1988 Executive Stock Option Plan) (the “ Plan”) as in effect at June 30, 2024, options exercisable for up to
The Company records compensation expense for employee stock options based on the estimated fair value of the options on the date of grant using the Black-Scholes option-pricing model with the assumptions included in the table below. The Company uses historical data, among other factors, to estimate the expected volatility, the expected dividend yield and the expected option life. The Company accounts for forfeitures as they occur, rather than estimating expected forfeitures. The risk-free rate is based on the interest rate paid on a U.S. Treasury issue with a term similar to the estimated life of the option.
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Three Months Ended |
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June 30, 2024 |
Risk-free interest rate |
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Expected volatility |
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Expected dividend yield |
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Expected weighted average life of option in years |
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Page 10
For the three months ended June 30, 2024 and 2023, the Company recorded stock-based compensation expense of $
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Three Months Ended |
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June 30, 2024 |
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June 30, 2023 |
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Cost of revenues |
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$ |
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$ |
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General and administrative |
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Total cost of stock-based compensation included in |
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Amount of income tax benefit recognized |
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( |
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( |
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Amount charged against net income |
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$ |
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$ |
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Effect on basic earnings per share |
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$ |
( |
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|
$ |
( |
) |
Effect on diluted earnings per share |
|
$ |
( |
) |
|
$ |
( |
) |
The following table summarizes information for all stock options for the three months ended June 30, 2024 and 2023:
|
|
Three Months Ended June 30, 2024 |
|
|
Three Months Ended June 30, 2023 |
|
||||||||||
|
|
Shares |
|
|
Weighted |
|
|
Shares |
|
|
Weighted |
|
||||
Options outstanding, beginning |
|
|
|
|
$ |
|
|
|
|
|
$ |
|
||||
Options granted |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Options exercised |
|
|
( |
) |
|
|
|
|
|
( |
) |
|
|
|
||
Options cancelled/forfeited |
|
|
( |
) |
|
|
|
|
|
( |
) |
|
|
|
||
Options outstanding, ending |
|
|
|
|
$ |
|
|
|
|
|
$ |
|
The following table summarizes the status of stock options outstanding and exercisable at June 30, 2024:
Range of Exercise Price |
|
Number of |
|
|
Weighted |
|
|
Outstanding |
|
|
Exercisable |
|
|
Exercisable |
|
|||||
$ |
|
|
|
|
|
|
|
$ |
|
|
|
|
|
$ |
|
|||||
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
$ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||
Total |
|
|
|
|
|
|
|
$ |
|
|
|
|
|
$ |
|
Page 11
The following table summarizes the status of all outstanding options at June 30, 2024, and changes during the three months then ended:
|
|
Number |
|
|
Weighted |
|
|
Weighted |
|
|
Aggregate Intrinsic |
|
||||
Options outstanding at April 1, 2024 |
|
|
|
|
$ |
|
|
|
|
|
|
|
||||
Granted |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Exercised |
|
|
( |
) |
|
|
|
|
|
|
|
|
|
|||
Cancelled – forfeited |
|
|
( |
) |
|
|
|
|
|
|
|
|
|
|||
Cancelled – expired |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Ending outstanding |
|
|
|
|
$ |
|
|
|
|
|
$ |
|
||||
Ending vested and expected to vest |
|
|
|
|
$ |
|
|
|
|
|
$ |
|
||||
Ending exercisable at June 30, 2024 |
|
|
|
|
$ |
|
|
|
|
|
$ |
|
The weighted-average grant-date fair value of options granted during the three months ended June 30, 2024 was $
Included in the above-noted stock option grants and stock-based compensation expense are performance-based stock options that vest only upon the Company’s achievement of certain earnings per share targets that are assessed on a calendar year basis, as determined by the Company’s Board of Directors. These options were valued in the same manner as the time-based options. However, the Company only recognizes stock-based compensation expense to the extent that the targets are determined to be probable of being achieved, which triggers the vesting of the performance options. The Company recognized $
Note 4 — Treasury Stock
The Board initially approved the commencement of a stock repurchase program in the fall of 1996. In November 2022, the Company’s Board of Directors approved a
Since the commencement of the stock repurchase program, the Company has spent $
During the three months ended June 30, 2024, the Company repurchased
During the period subsequent to the quarter ended June 30, 2024, the Company repurchased
Note 5 — Weighted Average Shares and Net Income Per Share
Basic weighted average common shares outstanding decreased to
Page 12
Net income per common and common equivalent share was computed by dividing net income by the weighted average number of common and common share equivalents outstanding during the period.
|
|
Three Months Ended June 30, |
|
|||||
|
|
2024 |
|
|
2023 |
|
||
Net Income |
|
$ |
|
|
$ |
|
||
Basic: |
|
|
|
|
|
|
||
Weighted average common shares outstanding |
|
|
|
|
|
|
||
Net Income per share |
|
$ |
|
|
$ |
|
||
Diluted: |
|
|
|
|
|
|
||
Weighted average common shares outstanding |
|
|
|
|
|
|
||
Treasury stock impact of stock options |
|
|
|
|
|
|
||
Total common and common equivalent shares |
|
|
|
|
|
|
||
Net Income per share |
|
$ |
|
|
$ |
|
Note 6 — Contingencies and Legal Proceedings
The Company is involved in litigation arising in the ordinary course of business. The Company believes that resolution of these matters will not result in any payment that, individually or in the aggregate, would be material to the consolidated financial position or results of operations of the Company.
Note 7 — Accounts and Income Taxes Payable and Accrued Liabilities
The following tables set forth accounts payable, income taxes payable, and accrued liabilities at June 30, 2024 and March 31, 2024:
|
|
June 30, 2024 |
|
|
March 31, 2024 |
|
||
Accounts payable |
|
$ |
|
|
$ |
|
||
Income taxes payable and uncertain tax positions |
|
|
|
|
|
|
||
Total accounts and taxes payable |
|
$ |
|
|
$ |
|
|
|
June 30, 2024 |
|
|
March 31, 2024 |
|
||
Payroll, payroll taxes and employee benefits |
|
$ |
|
|
$ |
|
||
Customer deposits |
|
|
|
|
|
|
||
Accrued professional service fees |
|
|
|
|
|
|
||
Self-insurance accruals |
|
|
|
|
|
|
||
Deferred revenue |
|
|
|
|
|
|
||
Operating lease liabilities |
|
|
|
|
|
|
||
Other |
|
|
|
|
|
|
||
Total accrued liabilities |
|
$ |
|
|
$ |
|
Note 8 — Leases
The Company determines if an arrangement is or contains a lease at contract inception. The Company's current lease agreements have remaining lease terms of between
Accounting Standard Codification ("ASC") 842 requires a lessee to discount its unpaid lease payments using the interest rate implicit in the lease or, if that rate cannot be readily determined, its incremental borrowing rate. Generally, the Company cannot determine the interest rate implicit in the lease because it does not have access to the lessor's estimated residual value or the amount of the lessor's deferred initial direct costs. Therefore, the Company generally uses its incremental borrowing rate as the discount rate for the lease. The Company's incremental borrowing rate for a lease is the rate of interest it would have to pay on a collateralized basis to borrow an amount equal to the lease payments under similar terms. Because the Company does not generally borrow on a collateralized basis, it uses quoted interest rates obtained from financial institutions as an input to derive an appropriate incremental borrowing rate,
Page 13
adjusted for the amount of the lease payments, the lease term, and the effect on that rate of designating specific collateral with a value equal to the unpaid lease payments for that lease.
The Company’s lease agreements may include options to extend the lease following the initial term. At the time of adopting ASC 842, the Company determined that it was reasonably certain it would exercise the option to renew; accordingly, these options were considered in determining the initial lease term. The Company elected the practical expedient of hindsight in determining the option to renew. The Company has since reassessed the assumption of the renewal term and determined that due to the COVID-19 pandemic, the Company is now expecting more of its workforce to be working from home permanently. Therefore, expecting a reduction in overall square footage of office space needs, the Company no longer believes it is reasonably certain it will exercise most of its options to renew, and therefore, has removed the renewal term of several lease obligations. The subsequent re-measurement reduced the right-of-use asset and related lease liability on the consolidated balance sheet, but had an immaterial impact on the income statement.
For lease agreements entered into or reassessed after the adoption of ASC 842, the Company has elected the practical expedient to account for the lease and non-lease components as a single lease component. Therefore, for those leases, the lease payments used to measure the lease liability include all of the fixed consideration in the contract.
Variable lease payments associated with the Company’s leases are recognized upon occurrence of the event, activity, or circumstance in the lease agreement on which those payments are assessed.
Leases with an initial term of
The components of lease expense are as follows:
|
|
Three Months Ended |
|
|
Three Months Ended |
|
||
|
|
June 30, 2024 |
|
|
June 30, 2023 |
|
||
Operating lease expense |
|
$ |
|
|
$ |
|
||
Finance lease expense |
|
|
|
|
|
|
||
Short-term lease expense |
|
|
|
|
|
|
||
Variable lease expense |
|
|
|
|
|
|
||
Total lease expenses |
|
$ |
|
|
$ |
|
The following table presents the lease related assets and liabilities recorded on the Company’s consolidated balance sheets related to its operating leases:
|
|
June 30, 2024 |
|
|
March 31, 2024 |
|
||
Right-of-use asset, net |
|
$ |
|
|
$ |
|
||
|
$ |
|
|
$ |
|
|||
Long-term lease liability |
|
|
|
|
|
|
||
Total lease liabilities |
|
$ |
|
|
$ |
|
||
Weighted average remaining operating lease term |
|
|
|
|
||||
Weighted average remaining finance lease term |
|
|
|
|
||||
Weighted average discount rate |
|
|
% |
|
|
% |
Supplemental cash flow information related to operating leases for the three months ended June 30, 2024 and 2023 was as follows:
|
|
Three Months Ended |
|
|
Three Months Ended |
|
||
|
|
June 30, 2024 |
|
|
June 30, 2023 |
|
||
Cash paid for amounts included in the measurement of |
|
$ |
|
|
$ |
|
||
Operating lease liabilities arising from obtaining ROU assets |
|
$ |
|
|
$ |
|
||
Finance lease liabilities arising from obtaining ROU assets |
|
$ |
|
|
$ |
|
||
Additions/(reductions) to ROU assets resulting from |
|
$ |
|
|
$ |
( |
) |
Page 14
As of June 30, 2024, maturities of operating lease liabilities for each of the next five years and thereafter are as follows:
|
|
|
|
|
2025 |
|
$ |
|
|
2026 |
|
|
|
|
2027 |
|
|
|
|
2028 |
|
|
|
|
2029 |
|
|
|
|
Thereafter |
|
|
|
|
Total lease payments |
|
|
|
|
Less interest |
|
|
( |
) |
Total lease liabilities |
|
$ |
|
As of June 30, 2024, the Company has approximately $
Page 15
Item 2 – Management’s Discussion and Analysis of Financial Condition and Results of Operations
This report may include certain forward-looking statements, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities Exchange Act of 1934, as amended, including (without limitation) statements with respect to anticipated future operating and financial performance, growth and acquisition opportunities and other similar forecasts and statements of expectation. Words such as “expects,” “anticipates,” “intends,” “plans,” “predicts,” “believes,” “seeks,” “estimates,” “potential,” “continue,” “strive,” “ongoing,” “may,” “will,” “would,” “could,” “should,” as well as variations of these words and similar expressions, are intended to identify these forward-looking statements. Forward-looking statements made by the Company and its management are based on estimates, projections, beliefs and assumptions of management at the time of such statements and are not guarantees of future performance.
The Company disclaims any obligations to update or revise any forward-looking statement based on the occurrence of future events, the receipt of new information or otherwise. Actual future performance, outcomes, and results may differ materially from those expressed in forward-looking statements made by the Company and its management as a result of a number of risks, uncertainties and assumptions. Representative examples of these factors include (without limitation); general industry and economic conditions, including a decreasing number of national claims due to a decreasing number of injured workers; the impact of global pandemics; competition from other managed care companies and third party administrators; the Company's ability to renew or maintain contracts with its customers on favorable terms or at all; the ability to expand certain areas of the Company’s business; growth in the Company’s sale of third-party administrator (“TPA”) services; shifts in customer demands; increases in operating expenses, including employee wages, benefits and medical inflation; the ability of the Company to produce market-competitive software; cost of capital and capital requirements; the Company’s ability to attract and retain key personnel; the impact of possible cybersecurity incidents on the Company’s business; existing and possible litigation and legal liability in the course of operations and the Company’s ability to resolve such litigation; changes in regulations affecting the workers’ compensation, insurance and healthcare industries in general; governmental and public policy changes, including but not limited to legislative and administrative law and rule implementation or change; the impact of recently issued accounting standards on the Company’s consolidated financial statements; the availability of financing in the amounts, at the times, and on the terms necessary to support the Company’s future business; and the other risks identified in Part II, Item 1A of this report, under the heading “Risk Factors.”
Overview
The Company is an independent nationwide provider of medical cost containment and managed care services designed to address the escalating medical costs of workers’ compensation benefits, automobile insurance claims, and group health insurance benefits. The Company’s services are provided to insurance companies, TPAs, governmental entities, and self-administered employers to assist them in managing the medical costs and monitoring the quality of care associated with healthcare claims. In November 2023, the Bureau of Labor Statistics reported that the occupational injury count for 2022 was 2.34 million compared to 2.24 million in 2021, 2.11 million in 2020, and 2.69 million in 2019. While there was an increase in the injury count for 2022 compared to 2021, the count has not returned to pre-pandemic levels. Although there were fewer claims to administrate in each of 2022, 2021 and 2020 as compared to 2019, the Company was able to offset this with an increase in market share.
Network Solutions Services
The Company’s network solutions services are designed to reduce the price paid by its customers for medical services rendered in workers’ compensation cases, automobile insurance policies, and group health insurance policies. The network solutions services offered by the Company include automated medical fee auditing, preferred provider management and reimbursement services, retrospective utilization review, facility claim review, professional review, pharmacy services, directed care services, Medicare solutions, clearinghouse services, independent medical examinations, and inpatient medical bill review. Network solutions services also includes revenue from the Company’s directed care network (known as CareIQ), including imaging, physical therapy, durable medical equipment, and translation and transportation.
Patient Management Services
In addition to its network solutions services, the Company offers a range of patient management services, which involve working one-on-one with injured employees and their various healthcare professionals, employers and insurance company adjusters. Patient management services include claims management and all services sold to claims management customers, case management, 24/7 nurse triage, utilization management, vocational rehabilitation, and life care planning. The services are designed to monitor the medical necessity and appropriateness of healthcare services provided to workers’ compensation and other healthcare claimants and to expedite return to work. The Company offers these services on a stand-alone basis, or as an integrated component of its medical cost containment services. Patient management services include the processing of claims for self-insured payors with respect to property and casualty insurance.
Page 16
Organizational Structure
The Company’s management is structured geographically with regional vice presidents who are responsible for all services provided by the Company within their particular region and are responsible for the operating results of the Company in multiple states. These regional vice presidents have area and district managers who are also responsible for all services provided by the Company in their given area and district.
Business Enterprise Segments
The Company operates in one reportable operating segment, managed care. The Company’s services are delivered to its customers through its local offices in each region and financial information for the Company’s operations follows this service delivery model. All regions provide the Company’s patient management and network solutions services to customers. Financial Accounting Standards Board (“FASB”) Accounting Standard Codification (“ASC”) 280-10, “Segment Reporting”, establishes standards for the way that public business enterprises report information about operating segments in annual and interim consolidated financial statements. The Company’s internal financial reporting is segmented geographically, as discussed above, and managed on a geographic rather than service line basis, with virtually all of the Company’s operating revenue generated within the United States.
Under FASB ASC 280-10, two or more operating segments may be aggregated into a single operating segment for financial reporting purposes if aggregation is consistent with the objective and basic principles, if the segments have similar economic characteristics, and if the segments are similar in each of the following areas: (i) the nature of products and services; (ii) the nature of the production processes; (iii) the type or class of customer for their products and services; and (iv) the methods used to distribute their products or provide their services. The Company believes each of its regions meet these criteria as each provides similar services and products to similar customers using similar methods of production and distribution.
Because we believe we meet each of the criteria set forth above and each of our regions have similar economic characteristics, we aggregate our results of operations in one reportable operating segment, managed care.
Seasonality
While we are not directly impacted by seasonal shifts, we are affected by the change in working days in a given quarter. There are generally fewer working days for our employees to generate revenue in the third fiscal quarter due to employee vacations, inclement weather, and holidays.
Summary of Quarterly Results
The Company’s revenues increased to $211.7 million in the quarter ended June 30, 2024 from $190.3 million in the quarter ended June 30, 2023, an increase of $21.5 million, or 11.3%. This increase resulted from an increase in patient management and network solutions activity primarily with existing customers.
Cost of revenues increased to $163.6 million in the quarter ended June 30, 2024 from $148.4 million in the quarter ended June 30, 2023, an increase of $15.2 million, or 10.2%. This increase was primarily due to the increase of 11.3% in revenue mentioned above. Additionally, there was an increase in salaries of 11.5% resulting from increased average headcount of 8.7% in field operations.
General and administrative expense increased to $20.1 million in the quarter ended June 30, 2024 from $16.5 million in the quarter ended June 30, 2023, an increase of $3.7 million, or 22.3%. The increase in general and administrative expense was primarily due to the increase in total revenues of 11.3%, maintaining 10.0% of revenues. Additionally, general and administrative expense would have decreased excluding the one-time insurance recovery settlement from a lawsuit in 2011 that occurred during the quarter ended June 30, 2023. The Company expects future quarters of general and administrative expense will remain to 9% to 11% of revenues.
Income tax provision increased to $6.5 million in the quarter ended June 30, 2024 from $5.6 million in the quarter ended June 30, 2023, an increase of $0.8 million, or 14.8%. Income before income tax provision increased to $28.0 million in the quarter ended June 30, 2024 from $25.4 million in the quarter ended June 30, 2023, an increase of $2.6 million, or 10.3%. The effective tax rate was 23.0% for the quarter ended June 30, 2024 compared to 22.0% in the quarter ended June 30, 2023.
Diluted weighted average common and common equivalent shares decreased to 17.3 million shares for the quarter ended June 30, 2024 from 17.4 million shares for the quarter ended June 30, 2023, a decrease of 72,000 shares, or 0.4%, due to the weighted impact of shares repurchased partially offset by the weighted impact of options exercised.
Diluted earnings per share increased to $1.25 per share in the quarter ended June 30, 2024 from $1.14 per share in the quarter ended June 30, 2023, an increase of $0.11 per share, or 9.6%. The increase in diluted earnings per share was primarily due to an increase in net income.
Page 17
Results of Operations for the three months ended June 30, 2024 and 2023
The Company generates revenues from providing patient management and network solutions services to payors of workers’ compensation benefits, automobile insurance claims, and group health insurance benefits. The percentage of total revenue attributable to patient management and network solutions services for the three months ended June 30, 2024 and 2023 are as follows:
|
|
June 30, 2024 |
|
|
June 30, 2023 |
|
||
Patient management services |
|
|
65.7 |
% |
|
|
67.2 |
% |
Network solutions services |
|
|
34.3 |
% |
|
|
32.8 |
% |
The following table sets forth, for the periods indicated, the dollar amounts, dollar and percent changes, share changes, and the percentage of revenues represented by certain items reflected in the Company’s unaudited consolidated income statements for the three months ended June 30, 2024 and 2023. The Company’s past operating results are not necessarily indicative of future operating results.
|
|
Three Months Ended |
|
|
Three Months Ended |
|
|
|
|
|
Percentage |
|
||||
|
|
June 30, 2024 |
|
|
June 30, 2023 |
|
|
Change |
|
|
Change |
|
||||
Revenue |
|
$ |
211,722,000 |
|
|
$ |
190,253,000 |
|
|
$ |
21,469,000 |
|
|
|
11.3 |
% |
Cost of revenues |
|
|
163,567,000 |
|
|
|
148,375,000 |
|
|
|
15,192,000 |
|
|
|
10.2 |
% |
Gross profit |
|
|
48,155,000 |
|
|
|
41,878,000 |
|
|
|
6,277,000 |
|
|
|
15.0 |
% |
Gross profit as percentage of revenue |
|
|
22.7 |
% |
|
|
22.0 |
% |
|
|
|
|
|
|
||
General and administrative expenses |
|
|
20,120,000 |
|
|
|
16,450,000 |
|
|
|
3,670,000 |
|
|
|
22.3 |
% |
General and administrative as percentage of |
|
|
9.5 |
% |
|
|
8.6 |
% |
|
|
|
|
|
|
||
Income before income tax provision |
|
|
28,035,000 |
|
|
|
25,428,000 |
|
|
|
2,607,000 |
|
|
|
10.3 |
% |
Income before income tax provision |
|
|
13.2 |
% |
|
|
13.4 |
% |
|
|
|
|
|
|
||
Income tax provision |
|
|
6,458,000 |
|
|
|
5,623,000 |
|
|
|
835,000 |
|
|
|
14.8 |
% |
Net income |
|
$ |
21,577,000 |
|
|
$ |
19,805,000 |
|
|
$ |
1,772,000 |
|
|
|
8.9 |
% |
Weighted average common and common |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Basic |
|
|
17,122,000 |
|
|
|
17,144,000 |
|
|
|
(22,000 |
) |
|
|
(0.1 |
%) |
Diluted |
|
|
17,313,000 |
|
|
|
17,385,000 |
|
|
|
(72,000 |
) |
|
|
(0.4 |
%) |
Net income per common and common |
|
|
|
|
|
|
|
|
|
|
|
|
||||
Basic |
|
$ |
1.26 |
|
|
$ |
1.16 |
|
|
$ |
0.10 |
|
|
|
8.6 |
% |
Diluted |
|
$ |
1.25 |
|
|
$ |
1.14 |
|
|
$ |
0.11 |
|
|
|
9.6 |
% |
Revenues
Change in revenue for the three months ended June 30, 2024 from the three months ended June 30, 2023
Revenues increased to $211.7 million in the three months ended June 30, 2024 from $190.3 million in the three months ended June 30, 2023, an increase of $21.5 million, or 11.3%. Patient management services revenues increased to $139.2 million from $127.8 million, an increase of $11.4 million, or 8.9%. This increase is primarily due to higher revenue from the Company’s TPA and related services. Network solutions services revenues increased to $72.6 million from $62.4 million, an increase of $10.2 million, or 16.2%. Most of the increase is primarily attributable to the growth with existing customers and, to a lesser extent, growth with new customers.
Page 18
Cost of Revenues
The Company’s cost of revenues consists of direct expenses, which are expenses directly attributable to the generation of revenue, and indirect costs, which are costs incurred to support the operations in the field offices that generate the revenue. Direct expenses primarily include (i) case manager and bill review analysts’ salaries, along with related payroll taxes and fringe benefits, and (ii) expenses associated with independent medical examinations, prescription drugs, MRIs, physical therapy, and durable medical equipment providers. Most of the Company’s revenue is generated in offices that provide both patient management services and network solutions services. The remaining revenue is generated in the field. Approximately 34% of the costs incurred in the field are considered field indirect costs. The largest of the field indirect costs are (i) manager salaries and bonuses, (ii) account executive base pay and commissions, (iii) salaries of administrative and clerical support, field systems personnel and PPO network developers, along with related payroll taxes and fringe benefits, and (iv) office rent.
Change in cost of revenues for the three months ended June 30, 2024 from the three months ended June 30, 2023
Cost of revenues increased to $163.6 million in the three months ended June 30, 2024 from $148.4 million in the three months ended June 30, 2023, an increase of $15.2 million, or 10.2%. The increase in cost of revenues was primarily due to the increase in total revenues of 11.3%. Additionally, there was an increase in salaries of 11.5% resulting from increased average headcount of 8.7% in field operations. Headcount increased due to an increase in business volume and, to a lesser extent, new business.
General and Administrative Expense
For the three months ended June 30, 2024, general and administrative expense consisted of approximately 48% of corporate systems costs, which include the corporate systems support, implementation and training, rules engine development, national IT strategy and planning, depreciation of hardware costs in the Company’s corporate offices and backup data center, the Company’s nationwide area network, and other systems related costs. All IT-related costs managed by the corporate office are recorded under general and administrative expense whereas the field IT-related costs are included in the cost of revenues. The remaining general and administrative expense consists of national marketing, national sales support, corporate legal, corporate insurance, human resources, accounting, product management, new business development, and other general corporate expenses.
Change in general and administrative expense for the three months ended June 30, 2024 from the three months ended June 30, 2023
General and administrative expense increased to $20.1 million in the three months ended June 30, 2024 from $16.5 million in the three months ended June 30, 2023, an increase of $3.7 million, or 22.3%. The increase in general and administrative expense was primarily due to the increase in total revenues of 11.3%, maintaining 10.0% of revenues. Additionally, general and administrative expense would have decreased excluding the one-time insurance recovery settlement from a lawsuit in 2011 that occurred during the quarter ended June 30, 2023. The Company expects future quarters of general and administrative expense will remain to 9% to 11% of revenues.
Income Tax Provision
Change in income tax provision for the three months ended June 30, 2024 from the three months ended June 30, 2023
Income tax provision increased to $6.5 million in the three months ended June 30, 2024 from $5.6 million in the three months ended June 30, 2023, an increase of $0.8 million, or 14.8%. Income before income tax provision increased to $28.0 million in the three months ended June 30, 2024 from $25.4 million in the same period in the prior year, an increase of $2.6 million, or 10.3%. The effective tax rate was 23.0% for the three months ended June 30, 2024 compared to 22.0% in the same period in the prior year. The effective tax rate is less than the statutory tax rate primarily due to the impact of stock option exercises.
Liquidity and Capital Resources
The Company has historically funded its operations and capital expenditures primarily from cash flow from operations, and to a lesser extent, proceeds from stock option exercises. Working capital increased to $132.7 million as of June 30, 2024 from $117.7 million as of March 31, 2024, an increase of $14.9 million. Cash increased to $131.9 million as of June 30, 2024 from $105.6 million as of March 31, 2024, an increase of $26.3 million. This is primarily due to the increase in net income, and to a lesser extent, a decrease in spending to repurchase shares of our common stock under our stock repurchase program.
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The Company is not currently party to off-balance sheet arrangements as defined by the SEC. However, from time to time the Company enters into certain types of contracts that contingently require the Company to indemnify parties against third-party claims. The contracts primarily relate to: (i) certain contracts to perform services, under which the Company may provide customary indemnification for the purchases of such services, (ii) certain real estate leases, under which the Company may be required to indemnify property owners for environmental and other liabilities, and other claims arising from the Company’s use of the applicable premises, and (iii) certain agreements with the Company’s officers, directors and employees, under which the Company may be required to indemnify such persons for liabilities arising out of certain actions taken by such persons, acting in their respective capacities within the Company. The terms of such customary obligations vary by contract and in most instances a specific or maximum dollar amount is not explicitly stated therein. Generally, amounts under these contracts cannot be reasonably estimated until a specific claim is asserted. Consequently, no material liabilities have been recorded for these obligations on the Company’s balance sheets for any of the periods presented.
As of June 30, 2024, the Company had $131.9 million in cash and cash equivalents, invested primarily in short-term, interest-bearing, highly liquid investment grade securities with maturities of 90 days or less.
The Company believes its cash and cash equivalents, cash