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Management's Discussion and Analysis of
Financial Condition and Results of Operations
This Management's Discussion and Analysis of Financial
Condition and Results of Operations 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,"
"believes," "seeks," "estimates" and
"should" and 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; cost
of capital and capital requirements; competition from other managed
care companies; the ability to expand certain areas of the Company's
business; shifts in customer demands; the ability of the Company
to produce market-competitive software; changes in operating expenses
including employee wages, benefits and medical inflation; governmental
and public policy changes; dependence on key personnel; possible
litigation and legal liability in the course of operations; and
the continued availability of financing in the amounts and at the
terms necessary to support the Company's future business.
The Company derives the majority of its revenues from
providing patient management and provider program services to payors
of workers' compensation benefits and health insurance benefits.
Patient management services include early intervention, utilization
review, medical case management, vocational rehabilitation, and
independent medical examinations. Provider program revenues include
fee schedule auditing, hospital bill auditing, and preferred provider
referral services. The percentages of revenues attributable to patient
management and provider program services for the fiscal years ended
March 31, 2000, 2001, and 2002 are as follows:
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2000
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2001
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2002
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Patient management services
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59.9%
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59.3%
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54.7%
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Provider program services
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40.1%
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40.7%
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45.3%
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100.0% 
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100.0% 
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100.0% 
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Results of Operations
The following table sets forth, for the periods indicated,
the percentage of revenues represented by certain items reflected
in the Company's consolidated statements of income. The Company's
past operating results are not necessarily indicative of future
operating results.
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Year Ended March 31,
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2000
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2001
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2002
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Revenues
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100.0%
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100.0%
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100.0%
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Cost of revenues
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81.8
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82.1
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81.9
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Gross profit
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18.2
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17.9
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18.1
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General and administrative
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7.9
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7.8
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8.0
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Income before income taxes
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10.3
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10.1
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10.1
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Net income
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6.4
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6.3
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6.3
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Years Ended March 31, 2000, 2001 and 2002
Revenues for fiscal 2001 increased by 12% to $210 million
from $187 million in fiscal 2000, an increase of $23 million. The
majority of this growth came from patient management services, which
grew 11% from $112 million in fiscal year 2000 to $124 million in
fiscal 2001, primarily due to an increase in referrals from existing
customers. Provider program services increased 13%, by $10 million
from $75 million in fiscal 2000 to $85 million in fiscal 2001. This
increase is primarily due to the increased volume of bills processed
along with continued growth in the Company's provider network.
Revenues for fiscal 2002 increased by 13% to $236 million
from $210 million in fiscal 2001, an increase of $26 million. The
majority of this growth came from provider program services, which
grew 26% from $85 million in fiscal year 2001 to $107 million in
fiscal 2002, primarily due to an increase in the number of bills
reviewed along with an increase in the number of providers included
in the Company's PPO network. Patient management services increased
4%, by $5 million from $124 million in fiscal 2001 to $129 million
in fiscal 2002.
The Company's cost of revenues consists primarily of
salaries, salary related taxes and benefits, rent, telephone, and
costs related to the Company's computer operations, including depreciation
and amortization. Costs of revenues increased from $153 million
in fiscal 2000 and $172 million in fiscal 2001, to $193 million
in fiscal 2002, primarily due to the increases in revenues as noted
above.
Cost of services as a percentage of revenues was 81.8%
during fiscal 2000 and 82.1% in fiscal 2001, and decreased to 81.9%
in fiscal 2002. During fiscal 2002, the cost of revenue percentage
decreased primarily due to the growth rate in the program services
compared to the patient management services. Provider program services
have a lower cost of services percentage than that of patient management
services. There is no guarantee the cost of service percentage will
remain constant or decrease, should the Company pursue a strategy
of reducing price in order to obtain greater market share or if
competition causes pricing pressure in the industry.
General and administrative expense increased from $14.8
million in fiscal 2000 and $16.4 million in fiscal 2001 to $18.8
million in fiscal 2002. This increase was primarily due to increased
MIS staff to support the Company's implementation of CareMC and
further electronic data interface capabilities as required by customer
needs. General and administrative expenses were 7.9%, 7.8%, and
8.0% for the years ended March 31, 2000, 2001 and 2002, respectively.
Liquidity and Capital Resources
The Company has funded its operations and capital expenditures
primarily from cash flow from operations. Net working capital remained
unchanged at $35 million at both March 31, 2001 and March 31, 2002.
The increase in cash flow due to the net income of $15 million was
offset by $15 million in repurchases of the Company's common stock
in the open market. As of March 31, 2002, the Company had $12 million
in cash and cash equivalents, invested primarily in short-term,
highly liquid investments with maturities of 90 days or less. The
Company has no interest-bearing short-term debt.
The Company has historically required substantial capital
to fund the growth of its operations, particularly working capital
to fund the growth in accounts receivable and capital expenditures.
The Company believes, however, that the cash balance at March 31,
2002 along with anticipated internally generated funds will be sufficient
to meet the Company's expected cash requirements for at least the
next twelve months.
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