Form 10-Q
Table of Contents

 
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
     
þ   QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2010
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 000-50194
HMS HOLDINGS CORP.
(Exact name of registrant as specified in its charter)
     
New York   11-3656261
(State or Other Jurisdiction of Incorporation or Organization)   (I.R.S. Employer Identification No.)
     
401 Park Avenue South, New York, NY   10016
(Address of principal executive offices)   (Zip Code)
(Registrant’s Telephone Number, Including Area Code)
(212) 725-7965
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 has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for shorter period that the registrant was required to submit and post such files). 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 the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):
             
Large accelerated filer þ   Accelerated filer o   Non-accelerated filer o   Smaller reporting company o
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
As of November 4, 2010 there were approximately 27,561,327 shares of the registrant’s common stock (par value $0.01 per share) outstanding.
 
 

 

 


 

HMS HOLDINGS CORP. AND SUBSIDIARIES
QUARTERLY REPORT ON FORM 10-Q
FOR THE QUARTER ENDED SEPTEMBER 30, 2010
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 Exhibit 10.1
 Exhibit 10.2
 Exhibit 10.3
 Exhibit 10.4
 Exhibit 10.5
 Exhibit 31.1
 Exhibit 31.2
 Exhibit 32.1
 Exhibit 32.2
 EX-101 INSTANCE DOCUMENT
 EX-101 SCHEMA DOCUMENT
 EX-101 CALCULATION LINKBASE DOCUMENT
 EX-101 LABELS LINKBASE DOCUMENT
 EX-101 PRESENTATION LINKBASE DOCUMENT
 EX-101 DEFINITION LINKBASE DOCUMENT

 

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Special Note Regarding Forward-Looking Statements
This Quarterly Report on Form 10-Q contains “forward-looking statements” within the meaning of the U.S. Private Securities Litigation Reform Act of 1995. From time to time, we also provide forward-looking statements in other materials we release to the public, as well as oral forward-looking statements. Such statements give our expectations or forecasts of future events; they do not relate strictly to historical or current facts.
We have tried, wherever possible, to identify such statements by using words such as “anticipate,” “estimate,” “expect,” “project,” “intend,” “plan,” “believe,” “will,” “target,” “seek,” “forecast” and similar expressions. In particular, these include statements relating to future actions, business plans, objects and prospects, future operating or financial performance or results of current and anticipated services, acquisitions and the performance of companies we have acquired, sales efforts, expenses, interest rates, and the outcome of contingencies, such as financial results.
We cannot guarantee that any forward-looking statement will be realized. Forward-looking statements are based on our current expectations and assumptions regarding our business, the economy and other future conditions. Should known or unknown risks or uncertainties materialize, or should underlying assumptions prove inaccurate, actual results could differ materially from past results and those anticipated, estimated or projected. We caution you, therefore, against relying on any of these forward-looking statements. They are neither statements of historical fact nor guarantees or assurances of future performance. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in our Annual Report, and in particular, the risks discussed under the heading “Risk Factors” in Part I, Item 1A of our Annual Report, Part II of this 10-Q and those discussed in other documents we file with the Securities and Exchange Commission.
Any forward-looking statements made by us in this Report on Form 10-Q speak only as of the date on which they are made. Factors or events that could cause actual results to differ may emerge from time to time and it is not possible for us to predict all of them. We undertake no obligation to publicly update forward-looking statements, whether as a result of new information, future events or otherwise, except as may be required by law. You are advised, however, to consult any further disclosures we make on related subjects in our 10-K and 8-K reports to the Securities and Exchange Commission.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
(in thousands, except share and per share amounts)
(unaudited)
                 
    September 30,     December 31,  
    2010     2009  
Assets
               
Current assets:
               
Cash and cash equivalents
  $ 66,035     $ 64,863  
Accounts receivable, net of allowance of $1,078 at September 30, 2010 and $614 at December 31, 2009
    75,267       64,750  
Prepaid expenses, including prepaid income taxes of $5,846 at September 30, 2010 and $4,234 at December 31, 2009
    11,325       9,956  
Other current assets
    138       68  
Deferred tax asset
    101       804  
 
           
Total current assets
    152,866       140,441  
 
           
 
               
Property and equipment, net
    39,007       20,902  
Goodwill
    117,997       91,520  
Intangible assets, net
    22,376       16,798  
Other assets
    309       983  
 
           
 
               
Total assets
  $ 332,555     $ 270,644  
 
           
 
               
Liabilities and Shareholders’ Equity
               
 
               
Current liabilities:
               
Accounts payable, accrued expenses and other liabilities
  $ 26,888     $ 26,474  
Contingent payment due to AMG-SIU
    4,169        
 
           
Total current liabilities
    31,057       26,474  
 
           
 
               
Long-term liabilities:
               
Contingent payment due to AMG-SIU
    8,808        
Accrued deferred rent
    1,714       3,675  
Other liabilities
    2,113       1,876  
Deferred tax liability
    3,710       326  
 
           
Total long-term liabilities
    16,345       5,877  
 
           
 
               
Total liabilities
    47,402       32,351  
 
           
 
               
Commitments and contingencies
               
 
               
Shareholders’ equity:
               
Preferred stock — $.01 par value; 5,000,000 shares authorized; none issued
           
Common stock — $.01 par value; 45,000,000 shares authorized;
29,148,709 shares issued and 27,485,863 shares outstanding at September 30, 2010
28,533,406 shares issued and 26,870,560 shares outstanding at December 31, 2009
    292       285  
Capital in excess of par value
    194,911       175,795  
Retained earnings
    99,347       71,610  
Treasury stock, at cost: 1,662,846 shares at September 30, 2010 and December 31, 2009
    (9,397 )     (9,397 )
 
           
 
               
Total shareholders’ equity
    285,153       238,293  
 
           
 
               
Total liabilities and shareholders’ equity
  $ 332,555     $ 270,644  
 
           
See accompanying notes to unaudited consolidated financial statements.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF INCOME
(in thousands, except per share amounts)
(unaudited)
                                 
    Three months ended September 30,     Nine months ended September 30,  
    2010     2009     2010     2009  
 
                               
Revenue
  $ 80,022     $ 59,164     $ 215,700     $ 162,920  
 
                       
 
                               
Cost of services:
                               
 
                               
Compensation
    28,013       19,191       78,723       54,537  
Data processing
    4,600       3,476       12,749       10,113  
Occupancy
    3,560       2,540       9,882       7,769  
Direct project costs
    9,818       7,446       25,596       21,170  
Other operating costs
    4,664       3,617       12,085       9,829  
Amortization of software and intangibles
    1,665       1,211       4,566       3,643  
 
                       
 
                               
Total cost of services
    52,320       37,481       143,601       107,061  
 
                               
Selling, general & administrative expenses
    9,424       7,322       25,920       20,196  
 
                       
Total operating expenses
    61,744       44,803       169,521       127,257  
 
                       
Operating income
    18,278       14,361       46,179       35,663  
 
                               
Interest expense
    (24 )     (254 )     (70 )     (820 )
Other expense, net
    (31 )           (31 )      
Interest income
    32       46       73       199  
 
                       
 
                               
Income before income taxes
    18,255       14,153       46,151       35,042  
Income taxes
    7,209       5,774       18,414       14,319  
 
                       
Net income
  $ 11,046     $ 8,379     $ 27,737     $ 20,723  
 
                       
 
                               
Basic income per common share data:
                               
Net income per basic share
  $ 0.40     $ 0.32     $ 1.02     $ 0.80  
 
                       
 
                               
Weighted average common shares outstanding, basic
    27,336       26,228       27,122       25,953  
 
                       
 
                               
Diluted income per share data:
                               
Net income per diluted share
  $ 0.39     $ 0.30     $ 0.98     $ 0.75  
 
                       
 
                               
Weighted average common shares outstanding, diluted
    28,483       27,697       28,347       27,476  
 
                       
See accompanying notes to unaudited consolidated financial statements.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
CONSOLIDATED STATEMENT OF SHAREHOLDERS’ EQUITY AND COMPREHENSIVE INCOME
For the Nine Months Ended September 30, 2010
(in thousands, except share amounts)
(unaudited)
                                                         
    Common Stock     Capital In             Treasury Stock     Total  
    Number of     Par     Excess Of     Retained     Number of             Shareholders’  
    Shares Issued     Value     Par Value     Earnings     Shares     Amount     Equity  
 
                                                       
Balance at December 31, 2009
    28,533     $ 285     $ 175,795     $ 71,610       1,663     $ (9,397 )   $ 238,293  
 
                                                       
Comprehensive income:
                                                       
Net income
                      27,737                   27,737  
 
                                                       
Total comprehensive income
                                                    27,737  
 
                                                       
Share-based compensation cost
                5,334                         5,334  
Exercise of stock options
    616       7       5,479                         5,486  
Excess tax benefit from exercise of stock options
                8,303                         8,303  
 
                                         
 
                                                       
Balance at September 30, 2010
    29,149     $ 292     $ 194,911     $ 99,347       1,663     $ (9,397 )   $ 285,153  
 
                                         
See accompanying notes to unaudited consolidated financial statements.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
STATEMENT OF CASH FLOWS
For the Nine Months Ended September 30, 2010 and 2009
(unaudited)
                 
    Nine months ended September 30,  
    2010     2009  
 
Operating activities:
               
Net income
  $ 27,737     $ 20,723  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Loss on disposal of fixed assets
    22       6  
Depreciation and amortization
    11,478       10,014  
Share-based compensation expense
    5,334       4,482  
Decrease in deferred tax asset
    546       1,649  
Increase in allowance for doubtful accounts
    464        
Changes in assets and liabilities:
               
(Increase) in accounts receivable
    (10,020 )     (10,195 )
(Increase) in prepaid expenses and other current assets
    (1,138 )     (2,653 )
(Increase)/Decrease in other assets
    685       (6 )
(Increase)/Decrease in accounts payable, accrued expenses and other liabilities
    (43 )     669  
 
           
 
               
Net cash provided by operating activities
    35,065       24,689  
 
           
 
               
Investing activities:
               
Purchases of property and equipment
    (10,488 )     (6,544 )
Purchase of building and land
    (9,886 )      
Acquisition of AMG-SIU, net of cash
    (12,795 )      
Acquisition of Chapman Kelly
    (13,001 )        
Acquisition of IntegriGuard
          (5,217 )
Investment in capitalized software
    (1,512 )     (1,193 )
 
           
 
               
Net cash used in investing activities
    (47,682 )     (12,954 )
 
           
 
               
Financing activities:
               
Proceeds from exercise of stock options
    5,486       5,733  
Repayment of long-term debt
          (4,725 )
Excess tax benefit from exercised stock options
    8,303       7,573  
 
           
 
               
Net cash provided by financing activities
    13,789       8,581  
 
           
 
               
Net increase in cash and cash equivalents
    1,172       20,316  
 
               
Cash and cash equivalents at beginning of period
    64,863       49,216  
 
           
 
               
Cash and cash equivalents at end of period
  $ 66,035     $ 69,532  
 
           
 
               
Supplemental disclosure of cash flow information:
               
Cash paid for income taxes
  $ 11,269     $ 7,165  
 
           
Cash paid for interest
  $ 46     $ 674  
 
           
 
               
Supplemental disclosure of noncash investing activities:
               
AMG-SIU acquisition-related contingent payments
  $ 12,977     $  
 
           
Accrued property and equipment purchases
  $ 674     $ 774  
 
           
See accompanying notes to unaudited consolidated financial statements.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
1. Basis of Presentation
The financial information in this report has not been audited, but in the opinion of management all adjustments (consisting only of normal recurring adjustments) considered necessary to present fairly such information have been included. The operating results for the nine months ended September 30, 2010 and 2009 are not necessarily indicative of results to be expected for the full year. The financial statements included herein should be read in conjunction with the financial statements and notes included in our Annual Report on Form 10-K for the year ended December 31, 2009, which we refer to as our Annual Report.
We provide a variety of cost containment, coordination of benefits and program integrity services for government-sponsored health and human services programs. These services are designed to help our clients recover amounts due from liable third parties, reduce costs, ensure regulatory compliance, and increase operational efficiencies. In December 2009, with the acquisition of Verify Solutions, we moved into the employer-based market with valuable new services that ensure that dependents covered by employees are eligible to receive healthcare benefits. In June 2010, we acquired Allied Management Group — Special Investigation Unit, or AMG-SIU, which provides fraud, waste, and abuse prevention and detection solutions for healthcare payors. In August 2010, we acquired Chapman Kelly, Inc., which provides claims audit and beneficiary eligibility audit services to employers and managed care organizations.
These consolidated financial statements include our accounts and transactions of our wholly owned subsidiaries. All significant intercompany balances and transactions have been eliminated in consolidation.
We are managed and operated as one business, with a single management team that reports to the Chief Executive Officer. We do not operate separate lines of business with respect to any of our product lines. Accordingly, we do not prepare discrete financial information with respect to separate product lines or location and do not have separately reportable segments.
The preparation of financial statements in conformity with U.S. Generally Accepted Accounting Principles, or GAAP, requires management to make certain estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenue and expenses during the reporting periods. Actual results could differ from those estimates.
We consider all highly liquid instruments with an original maturity of 90 days or less to be cash equivalents. Cash equivalents consist of deposits that are readily convertible into cash.
The Financial Accounting Standards Board’s (FASB) Accounting Standards Codification (ASC) Topic 820, Fair Value Measurements and Disclosures, defines fair value, establishes a framework for measuring fair value and expands the related disclosure requirements. The guidance applies under other accounting pronouncements that require or permit fair value measurements and indicates, among other things, that a fair value measurement assumes that the transaction to sell an asset or transfer a liability occurs in the principal market for the asset or liability or, in the absence of a principal market, the most advantageous market for the asset or liability. ASC Topic 820 defines fair value based upon an exit price model.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
Our financial instruments are categorized into a three-level fair value hierarchy that prioritizes the inputs to valuation techniques used to measure fair value into three broad levels. The fair value hierarchy gives the highest priority to quoted prices in active markets for identical assets or liabilities (Level 1) and the lowest priority to unobservable inputs (Level 3). If the inputs used to measure fair value fall within different levels of the hierarchy, the category level is based on the lowest priority level input that is significant to the fair value measurement of the instrument. Financial assets recorded at fair value on our consolidated balance sheets are categorized as follows:
    Level 1: Observable inputs such as quoted prices in active markets;
 
    Level 2: Inputs, other than the quoted prices in active markets, that are observable either directly or indirectly; and
 
    Level 3: Unobservable inputs in which there is little or no market data, which require the reporting entity to develop its own assumptions.
Our policy is to limit the amount of credit exposure to any one financial institution and place investments with financial institutions evaluated as being creditworthy, or in short-term money market funds which are exposed to minimal interest rate and credit risk. We maintain our cash primarily in investment accounts within large financial institutions. Currently, the Federal Deposit Insurance Corporation insures these balances up to $250,000 per bank account. We have not experienced any losses on our bank deposits and we believe these deposits do not expose us to any significant credit risk.
We grant credit, generally without collateral, to our clients, which are primarily in the health care market. Consequently, we are subject to potential credit risk related to changes in economic conditions within that market. However, we believe that our billing and collection policies are adequate to minimize the potential credit risk.
We evaluate the recoverability of goodwill and long-lived assets either annually or whenever events or changes in circumstances indicate that an asset’s carrying amount may not be recoverable. Such circumstances could include, but are not limited to (i) a significant decrease in the market value of an asset, (ii) a significant adverse change in the extent or manner in which an asset is used, or (iii) an accumulation of costs significantly in excess of the amount originally expected for the acquisition of an asset. We measure the carrying amount of the asset against the estimated undiscounted future cash flows associated with it. If the sum of the expected future net cash flows is less than the carrying value of the asset being evaluated, an impairment charge would be recognized. The impairment charge would be calculated as the amount by which the carrying value of the asset exceeds its fair value. The determination of fair value is based on quoted market prices, if available. If quoted market prices are not available, the estimate of fair value is based on various valuation techniques, including the discounted value of estimated future cash flows. We did not recognize any impairment charges related to our long-lived assets, property and equipment, goodwill or intangible assets, during either the three or nine months ended September 30, 2010, or the three or nine months ended September 30, 2009 as management believes that carrying amounts were not impaired.
The carrying amounts for our cash equivalents, accounts receivable, accounts payable and accrued expenses approximate fair value due to their short-term nature.
We evaluated all subsequent events through the date and time our financial statements were issued. See Note 9, for stock based compensation awards approved on September 15, 2010 and granted on October 1, 2010.
In January 2010, the FASB issued guidance that amends ASC Topic 820, Fair Value Measurements and Disclosures and that requires reporting entities to make new disclosures about recurring or nonrecurring fair-value measurements including significant transfers into and out of Level 1 and Level 2 fair-value measurements and information about purchases, sales, issuances, and settlements on a gross basis in the reconciliation of Level 3 fair-value measurements. This guidance also clarifies existing fair-value measurement disclosure guidance about the level of disaggregation, inputs, and valuation techniques. Except for the detailed Level 3 roll forward disclosures, the guidance is effective for reporting periods beginning after December 15, 2009 and did not have an impact on our consolidated interim financial statement.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
In October 2009, the FASB issued guidance which amends Topic 605, Revenue Recognition, for separating consideration in multiple-deliverable revenue arrangements. The guidance establishes a selling price hierarchy for determining the selling price of each specific deliverable, which includes vendor-specific objective evidence, or VSOE, if available, third party evidence if VSOE is not available or estimated selling price if neither VSOE nor third party evidence is available. The guidance also eliminates the residual method for allocating revenue between the elements of an arrangement and requires that arrangement consideration be allocated at the inception of the arrangement to all deliverables using the relative selling price method, which allocates any discount in the arrangement proportionally to each deliverable on the basis of each deliverable’s selling price. This guidance expands the disclosure requirements regarding a vendor’s multiple-deliverable revenue arrangements and is effective prospectively for revenue arrangements entered into or materially modified in fiscal years beginning on or after June 15, 2010, with early adoption permitted. We are currently evaluating the impact of this guidance on our consolidated financial statements.
2. Acquisitions
Chapman Kelly, Inc.
In August 2010, we acquired the net assets of Chapman Kelly, Inc., or Chapman Kelly for $13.0 million in cash. This acquisition was accounted for under the acquisition method of accounting. Chapman Kelly, which is based in Jeffersonville, Indiana, provides dependent eligibility audits to large, self-insured employers, as well as plan and claims audits to both employers and managed care organizations.
As a result of the acquisition occurring late in the current quarter, we have not yet completed a valuation of the assets and liabilities acquired, from Chapman Kelly. Accordingly, we have not completed the purchase price allocation, and therefore, the aggregate purchase price allocation of this acquisition presented below is subject to adjustments:
The preliminary allocation of the aggregate purchase price of the Chapman Kelly acquisition is estimated to be as follows (in thousands):
         
Goodwill
  $ 9,983  
Net assets acquired
    1,018  
Identifiable intangible assets
    2,000  
       
Total purchase price
  $ 13,001  
       
Identifiable intangible assets principally include covenants not to compete and Chapman Kelly’s trade name.
Allied Management Group — Special Investigation Unit
On June 30, 2010, we purchased all of the issued and outstanding common stock of AMG-SIU, a Santa Ana, California-based company specializing in fraud, waste, and abuse prevention and detection solutions for healthcare payors, which further strengthens our ability to service this segment of the market.
The purchase price for AMG-SIU was valued at $26.0 million, and consisted of a $13.0 million upfront payment and future contingent payments estimated and recognized as of the acquisition date at $13.0 million. These payments are contingent upon AMG-SIU’s financial performance for each of the twelve month periods ending June 30, 2011 and June 30, 2012 as measured by AMG-SIU’s EBITDA, (earnings before income taxes, depreciation and amortization) for those periods. The contingent payments are not subject to any cap. Any contingent payments owed for the periods ended June 30, 2011 and 2012 shall be payable by September 30, 2011 and 2012. The undiscounted contingent payments are estimated to be $14.5 million.
The fair value of the contingent consideration recognized on the acquisition date of June 30, 2010 was estimated by applying the income approach. That measure is based on significant inputs not observable in the market, which ASC 820 refers to as Level 3 inputs.
The acquisition of AMG-SIU was accounted for under the acquisition method of accounting.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
We are currently in the process of completing a valuation of the assets and liabilities acquired from AMG-SIU, including the fair value of the contingent payments discussed above. Accordingly, we have not completed the purchase price allocation, and therefore, the aggregate purchase price allocation of this acquisition presented below is subject to adjustments.
The preliminary allocation of the aggregate purchase price of the AMG-SIU acquisition is estimated as follows (in thousands):
         
Goodwill
  $ 19,792  
Net assets acquired
    750  
Intangible software
    4,670  
Identifiable intangible assets
    4,509  
Deferred tax asset
    (3,744 )
       
Total purchase price
  $ 25,977  
       
Identifiable intangible assets principally include covenants not to compete, customer relationships and AMG-SIU’s trade name.
Verify Solutions, LLC
In December 2009, we acquired the assets of Verify Solutions, LLC, or Verify Solutions, an Alpharetta, Georgia-based company specializing in dependent eligibility audit services for employer-sponsored healthcare plans. With this acquisition, we moved into the employer-based market, providing services which include Dependent Eligibility Reviews for large and mid-market employers. The acquisition of Verify Solutions was accounted for under the acquisition method of accounting.
The purchase price for Verify Solutions was $8.1 million, with additional future payments contingent upon Verify Solutions’ achievement of financial performance milestones. The additional future payments of up to $5.5 million ($2.7 million and $2.8 million for the years ended December 31, 2010 and 2011, respectively) will be recorded as compensation expense in the year in which the milestones are expected to be achieved. As of September 30, 2010, no compensation expense was recorded as the 2010 performance milestones are not expected to be reached.
The allocation of the purchase price for Verify Solutions was based upon the fair value estimate of its assets and liabilities. The acquisition of Verify Solutions was based on management’s consideration of past and expected future performance as well as the potential strategic fit with our long-term goals. The expected long-term growth, market position and expected synergies to be generated by Verify Solutions were the primary factors that gave rise to an acquisition price that resulted in the recognition of identifiable intangible assets.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
The allocation of the aggregate purchase price of the Verify Solutions acquisition is as follows (in thousands):
         
Goodwill
  $ 4,101  
Net assets acquired
    446  
Identifiable intangible assets
    3,000  
Capitalized software
    601  
       
Total purchase price
  $ 8,148  
       
Identifiable intangible assets principally include covenants not to compete and Verify Solutions’ trade name.
IntegriGuard LLC
In September 2009, we acquired the net assets of IntegriGuard LLC, or IntegriGuard, for $5.1 million in cash. This acquisition was accounted for under the acquisition method of accounting. IntegriGuard, which is based in Omaha, Nebraska, provides services for the prevention and detection of fraud, waste and abuse in the healthcare system, and operates as our wholly owned subsidiary. With this acquisition, we further expanded our portfolio of program integrity service offerings for government healthcare programs, particularly in the Medicare and Medicaid programs.
The allocation of the purchase price for IntegriGuard was based upon the fair value estimate of its assets and liabilities. The acquisition of IntegriGuard was based on management’s consideration of past and expected future performance as well as the potential strategic fit with our long-term goals. The expected long-term growth, market position and expected synergies to be generated by IntegriGuard were the primary factors that gave rise to an acquisition price that resulted in the recognition of identifiable intangible assets.
The allocation of the aggregate purchase price of the IntegriGuard acquisition is as follows (in thousands):
         
Goodwill
  $ 1,777  
Net assets acquired
    1,712  
Identifiable intangible assets
    1,405  
Capitalized software
    240  
 
     
Total purchase price
  $ 5,134  
 
     
Identifiable intangible assets principally include client relationships and IntegriGuard’s trade name.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
As part of the IntegriGuard acquisition, we entered into a 12 month Intercompany Services Agreement (ISA) with the seller, Lumetra, to allow each party to perform contractual transition services. Services performed under the ISA were billed at pre-determined rates that are specified in the ISA. The ISA with Lumetra expired in September 2010. We did not incur any expense for the ISA during the three month period ended September 30, 2010. For the nine month period ending September 30, 2010 we incurred expenses of $0.2 million for services rendered by Lumetra under the ISA.
Operating results subsequent to the dates of the acquisitions of IntegriGuard, Verify Solutions AMG-SIU and Chapman Kelly were included in the unaudited consolidated financial statements included herein. Had the results of the acquisitions been included in the unaudited consolidated financial statements for the same periods in 2010 and 2009, the effect would not have been material.
3. Property and Equipment
Property and equipment at September 30, 2010 and December 31, 2009 consisted of the following (in thousands):
                 
    September 30,     December 31,  
    2010     2009  
Equipment
  $ 36,124     $ 29,005  
Leasehold improvements
    6,678       7,514  
Building
    8,639        
Land
    1,113        
Furniture and fixtures
    9,118       7,858  
Capitalized software
    15,398       8,916  
 
           
 
    77,070       53,293  
Less accumulated depreciation and amortization
    (38,063 )     (32,391 )
 
           
Property and equipment, net
  $ 39,007     $ 20,902  
 
           
On June 30, 2010, we acquired, through our subsidiary Health Management Systems, Inc., the office building in Irving, Texas that we occupied under an operating lease. The purchase price of the building was $9.9 million. Concurrent with this acquisition, our operating lease with the seller was terminated. We allocated $1.1 million of the purchase price to land, $8.6 million to the building, and $0.2 million to prepaid expenses.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
For the three months ended September 30, 2010 and September 30, 2009, depreciation and amortization expense related to property and equipment was $2.7 million and $2.2 million respectively.
For the nine months ended September 30, 2010 and September 30, 2009, depreciation and amortization expense related to property and equipment was $7.5 million and $6.8 million respectively.
4. Intangible Assets
Intangible assets at September 30, 2010 and December 31, 2009 consisted of the following (in thousands):
                         
    September     December 31,     Useful  
    2010     2009     Life  
Customer Relations
  $ 31,623     $ 29,547     5-10 Years
Trade Name
    6,432       732     5-10 Years
Restrictive Covenant
    1,858       126     3-5 Years
 
                   
 
    39,913       30,405          
 
                       
Less accumulated amortization
    (17,537 )     (13,607 )        
 
                   
Intangible assets, net
  $ 22,376     $ 16,798          
 
                   
Amortization of intangibles is as follows (in thousands):
         
12 Months Ending September 30,        
         
2011
  $ 5,812  
2012
    5,775  
2013
    5,334  
2014
    1,592  
2015 and thereafter
    3,863  
 
     
Total
  $ 22,376  
 
     
The changes in the carrying amount of goodwill for the nine months ended September 30, 2010 are as follows (in thousands):
         
Balance at December 31, 2008
  $ 82,342  
IntegriGuard acquisition
    1,777  
Initial allocation for Verify Solutions, LLC acquisition
    7,401  
 
     
Balance at December 31, 2009
    91,520  
Allied Management Group-Special Investigations Unit acquisition
    19,792  
Chapman Kelly, Inc.
    9,983  
Adjustments to Verify Solutions, LLC for identified intangibles
    (3,298 )
 
     
Balance at September, 30, 2010
  $ 117,997  
 
     

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
For the three months ended September 30, 2010 and September 30, 2009, amortization expense related to intangible assets amounted to $1.5 million and $1.2 million respectively.
For the nine months ended September 30, 2010 and September 30, 2009, amortization expense related to intangible assets amounted to $4.0 million and $3.2 million respectively.
5. Income Taxes
Our effective tax rate decreased to 39.5% for the three months ended September 30, 2010 from 40.8% for the three months ended September 30, 2009, primarily due to a change in state apportionments. The principal difference between the statutory rate and our effective rate is state taxes.
Our effective tax rate decreased to 39.9% for the nine months ended September 30, 2010 from 40.9% for the nine months ended September 30, 2009, primarily due to a change in state apportionments. The principal difference between the statutory rate and our effective rate is state taxes.
We file income tax returns with the U.S. federal government and various state jurisdictions. We are no longer subject to U.S. federal income tax examinations for years before 2006. Our 2008 federal tax return is currently being examined by the Internal Revenue Service. We operate in a number of state and local jurisdictions, most of which have never audited our records. Accordingly, we are subject to state and local income tax examinations based upon the various statutes of limitations in each jurisdiction.
During the nine months ended September 30, 2010 and 2009, we recorded a tax benefit of $8.3 million and $7.6 million, respectively, related to the utilization of the income tax benefit from stock transactions by reducing income tax payable and crediting capital.
At September 30, 2010 and 2009, we had approximately $1.3 million and $0.5 million of net unrecognized tax benefits, respectively, for which there is uncertainty about the allocation and apportionment impacting state taxable income. We have recognized interest accrued related to unrecognized tax benefits in interest expense and penalties in tax expense. The accrued liabilities related to uncertain tax positions were $0.5 million and $0.2 million at September 30, 2010 and 2009, respectively.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
6. Debt
We have a credit agreement with several banks and other financial institutions, with JPMorgan Chase Bank, N.A. (JPMCB) as administrative agent, which we refer to as the Credit Agreement. The Credit Agreement, which expires in September 2011, provided for a term loan of $40 million, which we refer to as the Term Loan, and revolving credit loans of up to $25 million, which we refer to as the Revolving Loan. During the year ended December 31, 2009, we repaid in full the $17.3 million of debt outstanding under the Term Loan. During 2010, there have been no borrowings under the Revolving Loan; however, as a result of the Letter of Credit for $4.6 million the amount available under the Revolving Loan as of September 30, 2010 is $20.4 million.
We secured the Term and Revolving Loans with the grant of a security interest, covering our assets and subsidiaries, in favor of the lenders. Interest on borrowings under the Credit Agreement is calculated, at our option, at either (i) LIBOR, including statutory reserves, plus a variable margin based on our leverage ratio, or (ii) the higher of (a) the prime lended rate of JPMCB, and (b) the Federal Funds Effective Rate plus 0.50%, in each case plus a variable margin based on our leverage ratio. In connection with the Revolving Loan, we agreed to pay a commitment fee on the unused portion of the Revolving Loan, payable quarterly in arrears, at a variable rate based on our leverage ratio.
Commitments under the Credit Agreement will be reduced and borrowings are required to be repaid with the net proceeds of, among other things, sales or issuances of equity (excluding equity issued under employee benefit plans and equity issued to sellers as consideration in acquisitions), sales of assets and any incurrence of indebtedness by us, subject, in each case, to limited exceptions. Our obligations under the Credit Agreement may be accelerated upon the occurrence of an event of default under the Credit Agreement, which encompasses customary events of default including, without limitation, payment defaults, defaults in the performance of affirmative and negative covenants, the inaccuracy of representations or warranties, bankruptcy and insolvency related defaults, defaults relating to such matters as ERISA, uninsured judgments and the failure to pay certain indebtedness and a change of control default.
In addition, the Credit Agreement contains affirmative, negative and financial covenants customary for financings of this type. The negative covenants include restrictions on indebtedness, liens, fundamental changes, dispositions of property, investments, dividends and other restricted payments. The financial covenants include a consolidated fixed charge coverage ratio, as defined, of not less than 1.75 to 1.0 and a consolidated leverage ratio, as defined, not to exceed 3.0 to 1.0. We are currently in full compliance with these covenants.
On March 30, 2010, we entered into an amendment to the Credit Agreement, which we refer to as the First Amendment, to increase the total amount we could spend on acquisitions in any one year from $10.0 million to $30.0 million. In connection with entering into the First Amendment, the lenders agreed to waive any default that may have occurred and be continuing as a result of the Verify Solutions acquisition, which closed on December 31, 2009, as a result of which we exceeded the aggregate acquisition amount in 2009. This default did not have a material impact on our 2009 financial statements since we had no outstanding debt and only a Letter of Credit outstanding.
7. Earnings Per Share
Basic income per share is calculated by dividing net income by the weighted average number of common shares outstanding during the period. Diluted income per share is calculated by dividing net income by the weighted average number of common shares and dilutive common share equivalents outstanding during the period. Our common share equivalents consist of stock options and restricted stock awards and units.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
The following table reconciles the basic to diluted weighted average shares outstanding using the treasury stock method (shares in thousands):
                                 
    Three months ended     Nine months ended  
    September 30,     September 30,  
    2010     2009     2010     2009  
Weighted average shares outstanding — basic
    27,336       26,228       27,122       25,953  
Dilutive effect of stock options
    1,108       1,454       1,188       1,516  
Dilutive effect of restricted stock
    39       15       36       7  
 
                       
Weighted average shares outstanding — diluted
    28,483       27,697       28,346       27,476  
 
                       
Options to purchase approximately 12,379 and 10,000 shares of common stock during the three months ended September 30, 2010 and 2009, respectively, were not included in the Company’s earnings per share calculations because they are anti-dilutive.
Options to purchase approximately 11,327 and 4,579 shares of common stock during the nine months ended September 30, 2010 and 2009, respectively, were not included in the Company’s earnings per share calculations because they are anti-dilutive. Restricted stock units representing 502 shares of common stock during the nine months ended September 30, 2010, were not included because they are anti-dilutive.
8. Stock-Based Compensation
Presented below is a summary of our stock option activity for the nine months ended September 30, 2010, (shares in thousands)
                                 
                    Weighted        
            Weighted     Average        
            Average     Remaining     Aggregate  
            Exercise     Contractual     Intrinsic  
    Shares     Price     Terms     Value  
 
                               
Outstanding at December 31, 2009
    3,036     $ 17.39                  
Granted
    2       55.09                  
Exercised
    (616 )     8.91                  
Forfeitures
    (23 )     31.83                  
Expired
                           
 
                       
Outstanding at September 30, 2010
    2,399     $ 19.47       4.40     $ 95,560  
 
                       
Vested or expected to vest at September 30, 2010
    2,346     $ 19.20       0.44     $ 93,974  
 
                       
 
                               
Exercisable at September 30, 2010
    1,297     $ 11.91       4.23     $ 61,382  
 
                       

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
The fair value of each option grant was estimated using the Black-Scholes option pricing model. Expected volatilities are calculated based on the historical volatility of the stock. Management monitors share option exercise and employee termination patterns to estimate forfeiture rates within the valuation model. Separate groups of employees that have similar historical exercise behavior are considered separately for valuation purposes. The expected holding period of options represents the period of time that options granted are expected to be outstanding. The risk-free interest rate for periods within the contractual life of the option is based on the interest rate of a 5-year U.S. Treasury Note in effect on the date of the grant.
As of September 30, 2010, there was approximately $3.7 million of total unrecognized compensation expense related to stock options outstanding. That expense is expected to be recognized over a weighted-average period of 1.1 years. No compensation expense related to stock options was capitalized for the nine months ended September 30, 2010 and 2009, respectively.
The total intrinsic value of options exercised during the three months ended September 30, 2010 and 2009 was $10.2 million and $4.5 million, respectively. The total intrinsic value of options exercised during the nine month period ended September 30, 2010 and 2009 was $24.4 million and $21.2 million, respectively.
Total compensation expense charged against income relating to stock options was $1.6 million and $1.4 million for the three month periods ended September 30, 2010 and 2009, respectively. These expenses were categorized as selling, general and administration costs for each of those periods. The total income tax benefit recognized in the income statement for share-based arrangements was $0.6 million for each of the three months ended September 30, 2010 and 2009.
Total compensation expense related to stock options charged against income was $4.5 million and $4.0 million for the nine months ended September 30, 2010 and 2009, respectively. These expenses were categorized as selling, general and administration costs for each of those periods. The total income tax benefit recognized in the income statement for share-based arrangements was $1.8 million and $1.6 million for the nine months ended September 30, 2010 and 2009, respectively.
We estimated the fair value of options granted using a Black-Scholes option pricing model with the following assumptions:
         
    Nine months ended September 30,
    2010   2009
 
       
Expected dividend yield
  0%   0%
Risk-free interest rate
  2.47%   2.34%
Expected volatility
  43.80%   44.90%
Expected life
  4.0 years   4.0 years

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
Restricted Stock Units
In October 2009, certain employees received restricted stock units under the Third Amended and Restated 2006 Stock Plan, which we refer to as our 2006 Plan. The fair value of restricted stock units is estimated based on the closing sale price of our common stock on the NASDAQ Global Select Market on the date of issuance. The total number of restricted stock units expected to vest is adjusted by estimated forfeiture rates. As of September 30, 2010, there was approximately $0.7 million of unamortized compensation expense related to restricted stock units which is expected to be recognized over the remaining weighted-average vesting period of 2.25 years. For the three and nine months ended September 30, 2010, share-based compensation expense related to restricted stock units was $0.1 million and $0.2 million, respectively. The total intrinsic value of restricted stock units outstanding at September 30, 2010 was $0.5 million based on our closing sale price on that date.
A summary of the status of our restricted stock units as of September 30, 2010 and of changes in restricted stock units outstanding under the 2006 Plan for the nine months ended September 30, 2010 is as follows:
                 
            Weighted Average  
    Number of     Grant Date Fair  
    Units     Value per Unit  
Restricted stock units outstanding at December 31, 2009
    25,272     $ 37.82  
Restricted stock units granted
    907       55.09  
Restricted stock units forfeited
    (595 )     37.82  
Restricted stock units converted into common stock
           
 
           
Restricted stock units outstanding at September 30, 2010
    25,584     $ 38.43  
 
           
Restricted Stock Awards
In February 2009, our executive officers were granted restricted stock awards under the 2006 Plan. The vesting of restricted stock awards is subject to the executive officers’ continued employment with us. Recipients of these restricted stock awards are not required to provide us with any consideration other than rendering service. Holders of restricted stock awards are permitted to vote and to receive dividends on shares of restricted stock.
The stock-based compensation expense for restricted stock awards is determined based on the closing market price of our common stock on the grant date of the awards applied to the total number of awards that are anticipated to fully vest. At September 30, 2010, there was unrecognized stock-based compensation expense of $2.7 million related to restricted stock awards, which is expected to be recognized over the weighted-average period of 3.4 years for these restricted stock awards. For the three and nine months ended September 30, 2010 and 2009, share-based compensation expense related to restricted stock awards was $0.2 million and $0.6 million, respectively. The total intrinsic value of restricted stock awards outstanding at September 30, 2010 was $3.6 million based on our closing sale price on that date.

 

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HMS HOLDINGS CORP. AND SUBSIDIARIES
NOTES TO UNAUDITED CONSOLIDATED FINANCIAL STATEMENTS
For the Three and Nine Months Ended September 30, 2010 and 2009
(unaudited)
A summary of the status of our restricted stock awards as of September 30, 2010 and of changes in restricted stock awards outstanding under the 2006 Plan for the nine months ended September 30, 2010 is as follows:
                 
            Weighted Average  
            Grant Date Fair  
    Shares     Value per Share  
 
               
Unvested shares under restricted stock awards at December 31, 2009
    127,918     $ 31.27  
Restricted stock awards granted
           
Restricted stock awards vested
           
Restricted stock awards forfeited
           
 
           
Unvested shares under restricted stock awards at September 30, 2010
    127,918     $ 31.27  
 
           
9. Commitments and Contingencies
Lease commitments
We lease office space, data processing equipment and software licenses under operating leases that expire at various dates through 2016.
Minimum annual lease payments to be made each of the next five years ending December 31 and thereafter are as follows (in thousands):
         
Year   Payments  
2010
  $ 12,547  
2011
    11,180  
2012
    7,813  
2013
    3,202  
2014 and thereafter
    2,134  
 
     
Total
  $ 36,876  
 
     
10. Subsequent Events
The Compensation Committee of the Board of Directors approved the grant of 214,944 stock option awards and 30,433 restricted stock units to employees and directors at $59.32 per share, the closing price for the Company’s common stock on the date of grant, October 1, 2010. The fair value calculated for stock options and restricted stock units which vest over a range of 1 to 3.25 years was $4.6 million and $1.8 million respectively.

 

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Item 2. Management’s Discussion and Analysis of Financial Condition and Results of Operations
Critical Accounting Policies
Revenue Recognition. A majority of our contracts are contingency fee based. We recognize revenue on contingency fee based contracts when third party payors remit payment to our clients and, consequently, the contingency is deemed to have been satisfied. For certain contracts, this may result in revenue being recognized in irregular increments. We recognize revenue on our general service agreements as work is performed and amounts are earned. We consider amounts to be earned once evidence of an arrangement has been obtained, services are delivered, fees are fixed or determinable and collectability is reasonably assured. Our contracts with the federal government generally are cost-plus or time and material based. Revenue on cost-plus contracts is recognized based on costs incurred plus an estimate of the negotiated fee earned. Revenue on time and materials contracts is recognized based on hours worked and expenses incurred.
Where contracts have multiple deliverables, we evaluate these deliverables at the inception of each contract and as each item is delivered. As part of this evaluation, we consider whether (i) a delivered item has value to a client on a stand-alone basis; (ii) there is objective and reliable evidence of the fair market value of the undelivered items; and (iii) the delivery of the undelivered items is considered probable and substantially within our control, if a general right of return exists. Where deliverables, or groups of deliverables, have all three of these characteristics, we treat each deliverable item as a separate unit of accounting and apply the relevant revenue recognition guidance to each deliverable. Arrangements, including implementation and transaction related revenue, are accounted for as a single unit of accounting. Since implementation services do not carry a standalone value, the revenue relating to these services is recognized over the term of the client contract to which it relates.
Expense Classifications: Cost of services in the statement of income is presented in the seven categories set forth below. Each category of cost excludes costs relating to selling, general and administrative functions which are presented separately as a component of total operating expenses. All revenue and expenses are reported under one operating segment. A description of the primary costs included in each category is provided below:
    Compensation: Salary, benefit, bonus and stock based compensation costs.
    Data processing: Hardware, software and data communication costs.
    Occupancy: Rent, utilities, depreciation, office equipment, repair and maintenance costs.
    Direct project costs: Variable costs incurred that are directly associated with specific revenue generating projects.
    Other operating costs: Professional fees, temporary staffing, travel and entertainment, insurance, and local and property tax costs.
    Amortization of intangibles: Amortization cost of acquisition-related software and intangible assets.
    Selling, general and administrative: Costs related to general management, marketing and administrative activities.
Since the date of the Annual Report for the year ended December 31, 2009, there have been no material changes to our critical accounting policies.

 

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Overview
We provide a variety of cost containment, coordination of benefits and program integrity services for government-sponsored health and human services programs. These services are designed to help our clients recover amounts due from liable third parties, reduce costs, ensure regulatory compliance and increase operational efficiencies.
Our clients are state Medicaid agencies, government-sponsored managed care organizations, Pharmacy Benefit Managers, child support agencies, Veterans Health Administration, Medicare and Medicaid Services, commercial plans, employer-sponsored health care plans and other healthcare payors. We help these payors contain healthcare costs by identifying third party insurance coverage and recovering expenditures that were the responsibility of the third party, or that were paid in error. In December 2009, with the acquisition of Verify Solutions, we moved into the employer-based market with valuable new services that ensure that dependents covered by employees are eligible to receive healthcare benefits.
Our principal source of funds has been operations and we believe that we have sufficient cash and cash equivalents to support our operating needs through at least the next twelve months. At September 30, 2010, we had cash and cash equivalents of $66.0 million, and net working capital of $121.8 million. We have a credit agreement with several banks and other financial institutions with JPMorgan Chase Bank, N.A. (JPMCB), as administrative agent, which we refer to as the Credit Agreement. The Credit Agreement provided for a term loan of $40 million, which we refer to as the Term Loan, and revolving credit loans of up to $25 million, which we refer to as the Revolving Loan. During the year ended December 31, 2009, we repaid in full the $17.3 million of debt outstanding under the Term Loan; however, we continue to have an irrevocable standby Letter of Credit for $4.6 million against the Revolving Loan, which we refer to as the Letter of Credit, as required by a contractual arrangement with a client. As a result of the letter of credit of $4.6 million, the amount available under the Revolving Loan as of September 30, 2010 is $20.4 million. Although we expect that operating cash flows will continue to be a primary source of liquidity for our operating needs, we also have the remaining balance of the Revolving Loan available for future cash flow needs, if necessary.
Our revenue, most of which is derived from contingency fees, has increased at an average compounded rate of approximately 35.4% per year for the last five years. Our growth has been attributable to our expansion of existing product offerings and acquisitions, as well as an overall increase in Medicaid costs, which has historically averaged approximately 8% annually. In addition, state governments have increased their use of vendors for the coordination of benefits and other cost containment functions, and we have been able to increase our revenue through these initiatives. Leveraging our work on behalf of state Medicaid fee-for-service programs, we have penetrated the Medicaid managed care market, into which more Medicaid lives are being shifted. As of September 30, 2010, we served the District of Columbia and 40 state Medicaid programs, and 123 Medicaid health plans under an aggregate of 56 contracts.
To date, we have grown our business through the internal development of new services and through acquisitions of businesses whose core services strengthen our overall mission to help our clients control healthcare costs. Most recently, we acquired Chapman Kelly, Inc., a leading provider of claims audit and beneficiary eligibility audit services to employers and managed care organizations. We are continuously evaluating opportunities that will enable us to expand the breadth of the services we provide and will consider acquisition opportunities that enable us to continue to grow our business to address the increasing needs of the healthcare industry in the post-healthcare reform era.

 

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In March 2010, the Patient Protection and Affordable Care Act (PPACA) was signed into law. According to Centers for Medicare & Medicaid Services (CMS), under the PPACA, approximately an additional 18 million lives will be added to Medicaid, which will more than double Medicaid enrollment. In addition, the PPACA includes a number of provisions for combating fraud and abuse throughout the healthcare system, allows for significant increases in funding for program integrity initiatives and provides for the creation of insurance exchanges. The PPACA largely preserves and builds upon the employer-sponsored health coverage model. However, under the PPACA, employers are faced with new compliance guidelines, coverage requirements and mandates that will challenge their systems and processes and will likely raise their healthcare costs. We plan to build on our existing partnerships with states, the federal government, and health plans to provide services that address the program integrity, fraud and abuse initiatives created by the PPACA and to assist these clients in meeting the requirements of the PPACA. In addition, we believe that we are well-positioned to work with employers to address the new requirements of the PPACA and plan to work with our clients to develop collaborations that support the overarching goal of controlling healthcare costs.
In addition to the information provided below, you should refer to the items disclosed as our Critical Accounting Policies in Part II, Item 7. “Management’s Discussion and Analysis of Financial Condition and Results of Operations” of our Annual Report.

 

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SUMMARY OF OPERATING RESULTS
Three Months Ended September 30, 2010 Compared to Three Months Ended September 30, 2009
The following table sets forth, for the periods indicated, certain items in our consolidated statements of income expressed as a percentage of revenue:
                                 
    Three months ended     Three months ended  
    September 30, 2010     September 30, 2009  
Revenue
  $ 80,022       100.0 %   $ 59,164       100.0 %
Cost of service:
                               
Compensation
    28,013       35.0 %     19,191       32.4 %
Data processing
    4,600       5.7 %     3,476       5.9 %
Occupancy
    3,560       4.4 %     2,540       4.3 %
Direct project costs
    9,818       12.4 %     7,446       12.6 %
Other operating costs
    4,664       5.8 %     3,617       6.1 %
Amortization of intangibles
    1,665       2.1 %     1,211       2.0 %
 
                       
Total cost of services
    52,320       65.4 %     37,481       63.4 %
Selling, general, and administrative expenses
    9,424       11.8 %     7,322       12.4 %
 
                       
Total operating expenses
    61,744       77.2 %     44,803       75.7 %
Operating income
    18,278       22.8 %     14,361       24.3 %
Interest expense
    (24 )     0.0 %     (254 )     -0.4 %
Net real estate expense
    (31 )     0.0 %           0.0 %
Net interest income
    32       0.0 %     46       0.1 %
 
                       
Income before income taxes
    18,255       22.8 %     14,153       23.9 %
Income taxes
    7,209       9.0 %     5,774       9.8 %
 
                       
Net income
  $ 11,046       13.8 %   $ 8,379       14.2 %
 
                       
Revenue for the three months ended September 30, 2010 was $80.0 million, an increase of $20.8 million or 35.3% compared to revenue of $59.2 million in the same quarter for the prior year. Organic growth in existing client accounts provided $7.4 million of the increase in revenue, together with changes in the yield and scope of these projects, and differences in the timing of when client projects were completed in the current year compared to the prior year. Revenue generated by our 2009 acquisitions, IntegriGuard and Verify Solutions, was $7.0 million. Revenue generated by our 2010 acquisitions, AMG-SIU and Chapman Kelly, was $0.8 million. Revenue generated by approximately 20 new clients for whom there was no revenue in the same quarter of the prior year was $6.2 million. These increases were partially offset by a decrease in revenue of $0.6 million as a result of expired contracts.
Compensation expense as a percentage of revenue was 35.0% for the three months ended September 30, 2010 compared to 32.4% for the three months ended September 30, 2009. Compensation expense for the current quarter was $28.0 million, an $8.8 million or 46.0% increase over the same quarter for the prior year expense of $19.2 million. During the quarter ended September 30, 2010, we averaged 1,455 employees, a 50.6% increase over our average of 966 employees during the quarter ended September 30, 2009. The increase in compensation expense resulted from $6.8 million in additional salary expense related to headcount additions, annual salary increases and a $2.0 million increase in benefit expense.

 

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Data processing expense as a percentage of revenue was 5.7% for the three months ended September 30, 2010 compared to 5.9% for the three months ended September 30, 2009. Data processing expense for the current quarter was $4.6 million, an increase of $1.1 million or 32.3% over the same quarter for the prior year expense of $3.5 million. The increase resulted from a $0.6 million increase in software expense associated with mainframe and network upgrades, a $0.3 million increase in data communications and data costs related to the growth of our business, including the number of employees and office locations, and a $0.2 million increase in hardware expense related to upgrades and the use of hosted service environments.
Occupancy expense as a percentage of revenue was 4.4% for the three months ended September 30, 2010 compared to 4.3% for the three months ended September 30, 2009. Occupancy expense for the current quarter was $3.5 million, a $1.0 million or 40.1% increase compared to the same quarter for the prior year expense of $2.5 million. This increase reflects $1.0 million in higher occupancy expense related to our acquisitions of IntegriGuard, AMG-SIU and Chapman Kelly.
Direct project expense as a percentage of revenue was 12.4% for the three months ended September 30, 2010 compared to 12.6% for the three months ended September 30, 2009. Direct project expense for the current quarter was $9.8 million, a $2.4 million or 31.9% increase compared to same quarter for the prior year expense of $7.4 million. This increase resulted from a $1.2 million increase in subcontractor fees, a $0.5 million increase in allowance for doubtful account expense, a $0.4 million increase in delivery, postage and lockbox expenses, and a $0.3 million increase in professional fees, primarily marketing partner and data conversion service fees.
Other operating costs as a percentage of revenue were 5.8% for the three months ended September 30, 2010 compared to 6.1% for the three months ended September 30, 2009. Other operating costs for the current quarter were $4.7 million, an increase of $1.1 million or 28.9% compared to the same quarter for the prior year expense of $3.6 million. This increase resulted primarily from a $0.9 million increase in professional services, consisting of temporary help and consulting services, $0.2 million for supplies, delivery and other office-related expenses, $0.1 million of additional travel expenses related to business expansion, and $0.1 million of additional strategic planning expense. These increases were offset by a $0.2 million decrease in employee relocation expenses.
Amortization of acquisition-related software and intangibles as a percentage of revenue was 2.1% for the three months ended September 30, 2010 compared to 2.0% for the three months ended September 30, 2009. Amortization of acquisition-related software and intangibles for the current quarter was $1.7 million, a $0.5 million or 37.5% increase compared to the same quarter for the prior year expense of $1.2 million. The $0.5 million increase compared to last year resulted from our acquisitions of IntegriGuard, Verify Solutions, and our 2010 acquisitions of AMG-SIU and Chapman Kelly. There was no amortization expense in the prior year period related to these acquisitions.
Selling, general, and administrative expense as a percentage of revenue was 11.8% for the three months ended September 30, 2010 compared to 12.4% for the three months ended September 30, 2009. Selling, general, and administrative expense for the current quarter was $9.4 million, a $2.1 million or 28.7% increase compared to the same quarter for the prior year expense of $7.3 million. During the quarter ended September 30, 2010, we averaged 94 corporate employees, a 19.0% increase over our average of 79 corporate employees during the quarter ended September 30, 2009. Compensation expense increased by $1.2 million due to a $0.5 million increase related to headcount additions and annual salary increases, a $0.3 million increase for variable compensation, a $0.3 million increase for stock compensation expense, and a $0.1 million increase in benefits expense. Data processing expense increased by $0.2 million due to our use of hosting services and certain software upgrades. Other operating expenses increased by $0.7 million, of which $0.4 million related to employee recruitment and relocation and $0.3 million related to costs associated with SEC filings, and board and shareholder meetings.

 

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Operating income for the three months ended September 30, 2010 was $18.3 million, an increase of $3.9 million or 27.3%, compared to $14.4 million for the three months ended September 30, 2009. This increase was primarily the result of increased revenue, which was partially offset by incremental operating costs incurred during the quarter ended September 30, 2010.
Interest expense was $24,000 for the three months ended September 30, 2010 compared to $254,000 for the same quarter for the prior year. In the current period, interest expense represents commitment fees for our Credit Agreement and issuance fees for our Letter of Credit, as our loan was repaid in October 2009. In the prior period, interest expense was attributable to borrowings under the Term Loan, amortization of deferred financing costs, commitment fees for our Credit Agreement and issuance fees for our Letter of Credit. Interest income was $32,000 for the three months ended September 30, 2010 compared to interest income of $46,000 for the three months ended September 30, 2009, principally due to lower interest rates partially offset by higher cash balances. Net other expense relating to our building in Irving, Texas was $31,000. We did not incur any real estate expense in the prior year period.
We recorded income tax expense of $7.2 million for the quarter ended September 30, 2010 compared to income tax expense of $5.8 million for the three months ended September 30, 2009, an increase of $1.4 million. Our effective tax rate decreased to 39.5% for the quarter ended September 30, 2010 from 40.8% for the quarter ended September 30, 2009 primarily due to a change in state apportionments. The principal difference between the statutory rate and our effective rate is state taxes.
Net income of $11.0 million in the current quarter represents an increase of $2.6 million, or 31.8%, compared to net income of $8.4 million in the same quarter for the prior year.

 

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Nine Months Ended September 30, 2010 and 2009
The following table sets forth, for the periods indicated, certain items in our Consolidated Statements of Income expressed as a percentage of revenue:
                                 
    Nine months ended     Nine months ended  
    September 30, 2010     September 30, 2009  
Revenue
  $ 215,700       100.0 %   $ 162,920       100.0 %
Cost of service:
                               
Compensation
    78,723       36.5 %     54,537       33.5 %
Data processing
    12,749       5.9 %     10,113       6.2 %
Occupancy
    9,882       4.6 %     7,769       4.8 %
Direct project costs
    25,596       11.9 %     21,170       13.0 %
Other operating costs
    12,085       5.6 %     9,829       6.0 %
Amortization of intangibles
    4,566       2.1 %     3,643       2.2 %
 
                       
Total cost of services
    143,601       66.6 %     107,061       65.7 %
Selling, general, and administrative expenses
    25,920       12.0 %     20,196       12.4 %
 
                       
Total operating expenses
    169,521       78.6 %     127,257       78.1 %
Operating income
    46,179       21.4 %     35,663       21.9 %
Interest expense
    (70 )     0.0 %     (820 )     -0.5 %
Net real estate expense
    (31 )     0.0 %           0.0 %
Net interest income
    73       0.0 %     199       0.1 %
 
                       
Income before income taxes
    46,151       21.4 %     35,042       21.5 %
Income taxes
    18,414       8.5 %     14,319       8.8 %
 
                       
Net income
  $ 27,737       12.9 %   $ 20,723       12.7 %
 
                       
Revenue for the nine months ended September 30, 2010 was $215.7 million, an increase of $52.8 million or 32.4% compared to revenue of $162.9 million in the same period for the prior year. Organic growth in existing client accounts provided $25.3 million of the increase in revenue, together with changes in the yield and scope of those projects, and differences in the timing of when client projects were completed in the current year compared to the prior year. Revenue generated by our 2009 acquisitions, IntegriGuard and Verify Solutions, was $18.3 million. Revenue generated by our 2010 acquisitions, AMG-SIU and Chapman Kelly, was $0.8 million. Revenue generated by approximately 20 new clients for whom there was no revenue in the same period of the prior year was $15.0 million. These increases were partially offset by a decrease of $6.6 million as a result of expired contracts.
Compensation expense as a percentage of revenue was 36.5% for the nine months ended September 30, 2010 compared to 33.5% for the nine months ended September 30, 2009. Compensation expense for the current period was $78.7 million, a $24.2 million or 44.8% increase over the same period for the prior year expense of $54.5 million. During the nine months ended September 30, 2010, we averaged 1,353 employees, a 47.7% increase over our average of 916 employees during the nine months ended September 30, 2009. The increase in compensation expense reflects increases of $18.5 million in salary expense related to headcount additions and annual salary increases, $4.5 million for benefits, and $1.2 million related to variable compensation.

 

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Data processing expense as a percentage of revenue was 5.9% for the nine months ended September 30, 2010 compared to 6.2% for the nine months ended September 30, 2009. Data processing expense for the current period was $12.7 million, an increase of $2.6 million or 26.1% over the same period for the prior year expense of $10.1 million. The increase reflects $1.6 million in software expense associated with mainframe and network upgrades, a $0.7 million increase for data communications and data costs related to a number of line and capacity upgrades, and a $0.3 million increase in hardware maintenance and related costs.
Occupancy expense as a percentage of revenue was 4.6% for the nine months ended September 30, 2010 compared to 4.8% for the nine months ended September 30, 2009. Occupancy expense for the current period was $9.9 million, an increase of $2.1 million or 27.2% over the same period for the prior year expense of $7.8 million. Rent and related expense increases of $2.1 million resulting from our acquisitions of IntegriGuard, Verify Solutions, AMG-SIU and Chapman Kelly and a decrease of $0.6 million relating to the write off of accrued rent liabilities as a result of the Irving, Texas building purchase. Other increases included a $0.2 million increase in depreciation of furniture and fixtures, leasehold improvements, office and telephone equipment, a $0.2 million increase in utilities and telephone expense, a $0.2 million increase in equipment expense, rental and maintenance, primarily of photocopy and mail machines.
Direct project expense as a percentage of revenue was 11.9% for the nine months ended September 30, 2010 compared to 13.0% for the nine months ended September 30, 2009. Direct project expense for the current period was $25.6 million, a $4.4 million or 20.9% increase compared to the same period for the prior year expense of $21.2 million. This increase resulted from a $1.4 million increase in professional fees, primarily marketing partner and data conversion service fees, a $1.1 million increase in delivery, postage and lockbox expenses, a $0.8 million increase in subcontractor fees, a $0.5 million increase in allowance for doubtful account expense, a $0.3 million increase in travel expenses, and $0.3 million of other direct costs, including project-specific training and other charges.
Other operating costs as a percentage of revenue were 5.6% for the nine months ended September 30, 2010 compared to 6.0% for the nine months ended September 30, 2009. Other operating costs for the current period were $12.1 million, an increase of $2.3 million or 23.0% compared to the same period for the prior year expense of $9.8 million. This resulted from a $1.4 million increase in professional services, consisting of temporary help and consulting services, $0.6 million for supplies, delivery and other office-related expenses, and $0.3 million of additional travel expenses related to business expansion.
Amortization of acquisition-related software and intangibles as a percentage of revenue was 2.1% for the nine months ended September 30, 2010 compared to 2.2% for the nine months ended September 30, 2009. Amortization of acquisition-related software and intangibles for the current period was $4.6 million, a $1.0 million or 25.3% increase compared to the same period for the prior year expense of $3.6 million. The $1.0 million increase compared to last year resulted from our acquisitions of IntegriGuard, Verify Solutions, AMG-SIU and Chapman Kelly. There was no amortization in the prior year period related to these acquisitions.
Selling, general, and administrative expense as a percentage of revenue was 12.0% for the nine months ended September 30, 2010 compared to 12.4% for the nine months ended September 30, 2009. Selling, general, and administrative expense for the current period was $25.9 million, a $5.7 million or 28.3% increase compared to the same period for the prior year expense of $20.2 million. Compensation expense increased by $3.5 million due to a $1.5 million increase in salary expense, a $0.7 million increase in variable compensation, a $0.9 million increase in stock compensation expense, and a $0.4 million increase in benefits expenses. During the period ended September 30, 2010, we averaged 92 corporate employees, a 24.3% increase over our average of 74 employees during the period ended September 30, 2009. Other operating expenses increased by $2.1 million, which included $0.6 million related to accounting fees and $0.5 million related to transaction fee expenses primarily for the AMG-SIU acquisition. Other increases included $0.4 million in costs related to SEC filings, board and shareholder meetings, $0.3 million for insurance, supplies, delivery, subscriptions and dues, $0.2 million for employee recruitment and relocation expense, and $0.1 million for travel expenses. Data processing expense increased by $0.2 million related to our use of hosting services and software upgrades. Occupancy expense decreased by $0.1 million, primarily due to our vacating and subleasing one floor of office space at our New York City office starting in May 2009.

 

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Operating income for the nine months ended September 30, 2010 was $46.2 million, an increase of $10.5 million or 29.5%, compared to $35.7 million for the nine months ended September 30, 2009. This increase was the result of increased revenue, which was partially offset by incremental operating costs incurred during the period ended September 30, 2010.
Interest expense was $70,000 for the nine months ended September 30, 2010 compared to $820,000 for the nine months ended September 30, 2009. In the current period, interest expense represents commitment fees for our Credit Agreement and issuance fees for our Letter of Credit, as our loan was repaid in October 2009. In the prior period, interest expense was attributable to borrowings under the Term Loan, amortization of deferred financing costs, commitment fees for our Credit Agreement and issuance fees for our Letter of Credit. Interest income was $73,000 for the nine months ended September 30, 2010 compared to interest income of $199,000 for the nine months ended September 30, 2009, principally due to lower interest rates, partially offset by higher cash balances. Net other expense relating to our building in Irving, Texas was $31,000. We did not incur any real estate expense in the prior year period.
Income tax expense of $18.4 million was recorded for the nine months ended September 30, 2010 compared to $14.3 million for the nine months ended September 30, 2009, an increase of $4.1 million. Our effective tax rate decreased to 39.9% for the nine months ended September 30, 2010 from 40.9% for the period ended September 30, 2009 primarily due to a change in state apportionments. The principal difference between the statutory rate and our effective rate is state taxes.
Net income of $27.7 million for the nine months ended September 30, 2010 represents an increase of $7.0 million, or 33.8%, compared to net income of $20.7 million for the nine months ended September 30, 2009.
Off-Balance Sheet Arrangements
Other than our Letter of Credit, we do not have any off-balance sheet arrangements. See Footnote 5 of the Notes to Unaudited Consolidated Financial Statements.
Liquidity and Capital Resources
Our principal source of funds has been operations and we believe that we have sufficient cash and cash equivalents to support our operating needs through at least the next 12 months. At September 30, 2010, our cash and cash equivalents and net working capital were $66.0 million and $121.8 million, respectively. Although we expect that operating cash flows will continue to be a primary source of liquidity for our operating needs, we also have $20.4 million available under our Revolving Loan for future cash flow needs. There are currently no loans outstanding under the Revolving Loan; however, we have a $4.6 million Letter of Credit that reduces the availability under the Revolving Loan.
Net cash provided by operating activities for the nine months ended September 30, 2010 was $35.1 million compared to $24.7 million for the same period in 2009. The increase in cash provided by operating activities primarily resulted from net income of $27.7 million, decreases in deferred tax assets and other assets, in addition to non-cash expenses of share-based compensation, depreciation and amortization. These sources of cash were partially offset by increases in accounts receivable and prepaid assets.

 

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Net cash used in investing activities for the nine months ended September 30, 2010 was $47.7 million compared to $13.0 million for the same period in 2009. Cash used in investing activities for the nine months ended September 30, 2010 included the acquisitions of Chapman Kelly for $13.0 million and AMG-SIU for $12.8 million, and the purchase of land and a building in Irving, Texas for $9.9 million. Investments in property, equipment and purchased software were $10.5 million compared to $6.5 million for the same period in 2009. Investment in capitalized software for the nine months ended September 30, 2010 was $1.5 million compared to $1.2 million for the same period in 2009.
Net cash provided by financing activities for the nine months ended September 30, 2010 was $13.8 million compared to $8.6 million for the same period in 2009. Proceeds from stock option exercises in 2010 and 2009 were $5.5 million and $5.7 million, respectively. The excess tax benefits from stock option exercises for the nine months ended September 30, 2010 and 2009 were $8.3 million and $7.6 million, respectively. Repayment of debt for the nine months ended September 30, 2009 was $4.7 million. We had no debt outstanding during 2010, as our debt was repaid in full in October 2009.
The net increase in cash and cash equivalents for the nine months ended September 30, 2010 was $1.2 million compared to $20.3 million for the same period in 2009.
The number of days sales outstanding for the nine months ended September 30, 2010 increased to 85 days from 84 days at September 30, 2009.
Operating cash flows could be adversely affected by a decrease in demand for our services. The majority of our client relationships have been in place for several years, and as a result, we do not expect any decrease in the demand for our services in the near term.
Contractual Obligations
The table below has been updated to reflect contingent consideration that may be paid pursuant to asset purchases or business combinations (in thousands) and the decrease in operating lease expense associated with the purchase of the Irving, Texas facility on June 30, 2010.
                                         
    Payments Due by Period  
                                    More  
            Less than                     than 5  
Contractual obligations   Total     1 Year     1-3 Years     3-5 Years     Years  
Operating leases
  $ 36,876     $ 12,547     $ 18,993     $ 4,414     $ 922  
Interest expense (1)
    117       94       23              
Earn out payments
    14,545       4,461       10,084              
 
                             
Total
  $ 51,538     $ 17,102     $ 29,100     $ 4,414     $ 922  
 
                             
     
(1)   Interest expense represents the commitment fee due on the Credit Agreement and the interest due on the Letter of Credit. See Note 5 of the Notes to Consolidated Financial Statements for additional information regarding the Credit Agreement.

 

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Recent Accounting Pronouncements
In January 2010, the Financial Accounting Standards Board, FASB, issued guidance that amends ASC Topic 820, Fair Value Measurements and Disclosures, that requires reporting entities to make new disclosures about recurring or nonrecurring fair-value measurements including significant transfers into and out of Level 1 and Level 2 fair-value measurements and information about purchases, sales, issuances, and settlements on a gross basis in the reconciliation of Level 3 fair-value measurements. This guidance also clarifies existing fair-value measurement disclosure guidance about the level of disaggregation, inputs, and valuation techniques. Except for the detailed Level 3 roll forward disclosures, which were effective, the guidance was effective for reporting periods beginning after December 15, 2009 and did not have an impact on our consolidated interim financial statement.
In October 2009, the Financial Accounting Standards Board, FASB, issued Accounting Standards Update 2009-13, “Multiple-Deliverable Revenue Arrangements — a consensus of the FASB Emerging Issues Task Force,” to provide amendments to the criteria in Subtopic 609-24 of the Accounting Standards Codification, which we refer to as ASU 2009-13, for separating consideration into multiple-deliverable revenue arrangements. ASU 2009-13 establishes a selling price hierarchy for determining the selling price of each specific deliverable, which includes vendor-specific objective evidence, or VSOE, if available, third party evidence if VSOE is not available or estimated selling price if neither VSOE nor third party evidence is available. ASU 2009-13 also eliminates the residual method for allocating revenue between the elements of an arrangement and requires that arrangement consideration be allocated at the inception of the arrangement to all deliverables using the relative selling price method, which allocates any discount in the arrangement proportionally to each deliverable on the basis of each deliverable’s selling price. This update expands the disclosure requirements regarding a vendor’s multiple-deliverable revenue arrangements. ASU 2009-13 is effective prospectively for revenue arrangements entered into or materially modified in fiscal years beginning on or after June 15, 2010, with early adoption permitted. We are currently evaluating the impact of ASU 2009-13 on our consolidated financial statements.
Item 3. Quantitative and Qualitative Disclosures About Market Risk
None.
Item 4. Controls and Procedures
We maintain disclosure controls and procedures (as defined in Rule 13a-15(e) under the Exchange Act) that are designed to ensure that information required to be disclosed by us in reports that we file under the Exchange Act is recorded, processed, summarized and reported as specified in the SEC’s rules and forms, and that such information required to be disclosed by us in reports that we file under the Exchange Act is accumulated and communicated to our management, including our Chief Executive Officer and our Chief Financial Officer, to allow timely decisions regarding required disclosure.
As required by Rule 13a-15(b) under the Exchange Act, management, with the participation of our Chief Executive Officer and Chief Financial Officer, performed an evaluation of the effectiveness of our disclosure controls and procedures as of September 30, 2010. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective as of the end of the period covered by this quarterly report.
There have been no changes in our internal control over financial reporting identified in connection with the evaluation of our controls performed during the quarter ended September 30, 2010 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

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PART II — OTHER INFORMATION
Item 1A. Risk Factors
Risks that could have a negative impact on our business, results of operations and financial condition include without limitation (i) the development by competitors of new or superior services or products or the entry into the market of new competitors; (ii) all the risks inherent in the development, introduction, and implementation of new products and services; (iii) the loss of a major customer, customer dissatisfaction or early termination of customer contracts triggering significant costs or liabilities; (iv) variations in our results of operations; (v) negative results of government reviews, audits or investigations to verify our compliance with contracts and applicable laws and regulations; (vi) changing conditions in the healthcare industry which could simplify the reimbursement process and reduce the need for and price of our services; (vii) government regulatory, political and budgetary pressures that could affect the procurement practices and operations of healthcare organizations, reducing the demand for our services; and (viii) our failure to comply with laws and regulations governing health data or to protect such data from theft and misuse. A more detailed description of each of these and other risk factors can be found under the caption “Risk Factors” in our most recent Annual Report on Form 10-K, filed with the SEC on February 26, 2010. There have been no material changes to the risk factors described in our most recent Annual Report on Form 10-K.
Item 6. Exhibits
The Exhibits filed as part of this Quarterly Report on Form 10-Q are listed on the Exhibit Index immediately following the Signatures.

 

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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.
             
Date: November 8, 2010   HMS HOLDINGS CORP.    
 
           
 
  By:   /s/ William C. Lucia
 
William C. Lucia
   
 
      President and Chief Executive Officer    
 
      and Duly Authorized Officer    
 
      (Principal Executive Officer)    
 
           
 
  By:   /s/ Walter D. Hosp
 
Walter D. Hosp
   
 
      Chief Financial Officer    
 
      and Duly Authorized Officer    
 
      (Principal Financial Officer)    

 

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Exhibit Index
     
Exhibit No.   Description
   
 
‡10.1  
HMS Holdings Corp. Director Deferred Compensation Plan
   
 
‡10.2  
Form of 2010 Director Non-Qualified Stock Option Agreement Under the Third Amendment and Restated 2006 Stock Plan
   
 
‡10.3  
Form of 2010 Director Restricted Stock Unit Agreement Under the Third Amendment and Restated 2006 Stock Plan
   
 
‡10.4  
Form 2010 Employee Non-Qualified Stock Option Agreement Under the Third Amendment and Restated 2006 Stock Plan
   
 
‡10.5  
Form of 2010 Employee Restricted Stock Unit Agreement Under the Third Amendment and Restated 2006 Stock Plan
   
 
‡31.1  
Rule 13a-14(a)/15d-14(a) Certification of the Principal Executive Officer of HMS Holdings Corp., as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
   
 
‡31.2  
Rule 13a-14(a)/15d-14(a) Certification of the Principal Financial Officer of HMS Holdings Corp. , as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002
   
 
‡32.1  
Section 1350 Certification of the Principal Executive Officer of HMS Holdings Corp. , as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
   
 
‡32.2  
Section 1350 Certification of the Principal Financial Officer of HMS Holdings Corp. , as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002
   
 
101.INS  
XBRL Instance Document
   
 
101.SCH  
XBRL Taxonomy Extension Schema Document
   
 
101.CAL  
XBRL Taxonomy Extension Calculation Linkbase Document
   
 
101.DEF  
XBRL Taxonomy Extension Definition Linkbase Document
   
 
101.LAB  
XBRL Taxonomy Extension Label Linkbase Document
   
 
101.PRE  
XBRL Taxonomy Extension Presentation Linkbase Document
     
 
Furnished herewith

 

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