þ | QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
o | TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 |
Florida | 65-0271219 | |
(State or other jurisdiction of incorporation or organization) |
(I.R.S. Employer Identification No.) |
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| The Audit Committee identified 56 grants made on seven dates between April 1997 and August 2000 which the Audit Committee found were backdated. No instances of backdating were identified after August 2000. The Audit Committee used the term backdating to connote deliberate selection of grant measurement dates to obtain an option exercise price that was lower than would otherwise be the case. The Audit Committee used this term to describe grants which apparently involved deliberate, opportunistic use of market prices. | ||
| The Audit Committee did not find evidence establishing intentional misconduct by any of the Companys current executive officers. | ||
| The Audit Committee believes that it received full cooperation from all of the Companys current executive officers. | ||
| The Audit Committee did not find evidence establishing that the Board, any committee of the Board, or any non-executive director participated in backdating or was aware of backdating during the time that it occurred. | ||
| During the time period from April 1997 to August 2000 when backdating occurred, the administration and processing of option grants was directed by a former officer who later became a director of the Company. This individual continued to direct the Companys options program after resigning as an officer in May 2000, while remaining with the Company to work on special projects. During this time period, this individual appears to have been responsible for selecting favorable dates for option grants in all but one instance where a record was located regarding favorable date selection. The Audit Committee concluded that this individual knew or should have known the accounting implications of his actions. Further, the Audit Committee identified three occasions on which this individual was able to benefit by affecting the measurement date of options that were granted to him. The Audit Committee found that this individual realized approximately $12,000 from the backdating of these options based on the revised measurement dates assigned to them. |
3
| The Audit Committee identified numerous instances in which applicable accounting principles were misapplied and/or process deficiencies or administrative errors occurred resulting in the application of inappropriate measurement dates to option grants. The Audit Committee also identified inadequate record keeping, documentation, disclosure and systems with respect to the stock option grant process, including records of meetings, which in some cases, could not be corroborated in support of option grants on measurement dates that corresponded to periodic low points in the Companys stock price. | ||
| The Audit Committee determined that, although these matters did not establish that senior management engaged in intentional misconduct, current senior management did not adequately ensure that these processes and systems were proper, including the Companys current President and Chief Operating Officer and Chief Financial Officer, who were also found to have played a role in the granting of stock options to others that involved errors and process deficiencies. | ||
| With respect to the Companys current executive officers, the Audit Committee found that senior management should not have permitted the individual described above to continue to manage the options program after his resignation as a Company officer in May 2000. The Audit Committee found that, during the period in which backdating occurred, Roger J. Medel, M.D., the Companys CEO, was actively involved in determining grant recipients and amounts and was also party to e-mail correspondence concerning the selection of favorable dates for option grants; however, Dr. Medel was not the recipient of any of the grants found to be backdated. In addition, the Audit Committee found that on one occasion in 1997, Dr. Medel directed the selection of a favorable grant date for a group of regional medical officers, one of whom was his spouse, a founding physician of the Company and a full-time employee at the time of the grant. Based on its review, however, the Audit Committee believes that Dr. Medel was not aware of the accounting implications of such grants. Further, based on its review, the Audit Committee believes that Dr. Medel reasonably relied upon senior Company executives as to the administration of the Companys equity compensation plans and the accounting for awards. The Audit Committee found, however, that Dr. Medel bore overall responsibility for assuring that managements implementation of its compensation programs was appropriate but that he did not adequately assure such appropriate implementation. | ||
| In light of the evidence reviewed, the Audit Committee found that 640 grants in total required revised measurement dates, variable accounting or the recognition of compensation expense. |
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June 30, | December 31, | |||||||
2006 | 2005 | |||||||
(Unaudited) | As Restated (1) | |||||||
ASSETS |
||||||||
Current assets: |
||||||||
Cash and cash equivalents |
$ | 28,845 | $ | 11,192 | ||||
Short-term investments |
12,449 | 10,920 | ||||||
Accounts receivable, net |
113,761 | 111,725 | ||||||
Prepaid expenses |
6,435 | 4,459 | ||||||
Deferred income taxes |
22,361 | 24,400 | ||||||
Other assets |
2,188 | 1,928 | ||||||
Total current assets |
186,039 | 164,624 | ||||||
Investments |
6,983 | 4,071 | ||||||
Property and equipment, net |
27,871 | 27,855 | ||||||
Goodwill |
746,174 | 680,097 | ||||||
Other assets, net |
23,992 | 23,756 | ||||||
Total assets |
$ | 991,059 | $ | 900,403 | ||||
LIABILITIES AND SHAREHOLDERS EQUITY |
||||||||
Current liabilities: |
||||||||
Accounts payable and accrued expenses |
$ | 161,695 | $ | 175,619 | ||||
Current portion of long-term debt and
capital lease obligations |
777 | 882 | ||||||
Income taxes payable |
2,898 | 1,157 | ||||||
Total current liabilities |
165,370 | 177,658 | ||||||
Long-term debt and capital lease obligations |
328 | 622 | ||||||
Deferred income taxes |
30,641 | 29,617 | ||||||
Deferred compensation |
11,560 | 10,372 | ||||||
Total liabilities |
207,899 | 218,269 | ||||||
Commitments and contingencies |
||||||||
Shareholders equity: |
||||||||
Preferred stock; par value $.01 per share;
1,000 shares authorized; none issued |
| | ||||||
Common stock; par value $.01 per share;
100,000 shares authorized; 48,712 and
47,458 shares issued and outstanding, respectively |
487 | 475 | ||||||
Additional paid-in capital |
501,325 | 472,817 | ||||||
Unearned compensation |
| (15,621 | ) | |||||
Retained earnings |
281,348 | 224,463 | ||||||
Total shareholders equity |
783,160 | 682,134 | ||||||
Total liabilities and shareholders equity |
$ | 991,059 | $ | 900,403 | ||||
(1) | Includes adjustments resulting from stock option review as described in Note 3 Restatement of Consolidated Financial Statements. |
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Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2006 | 2005 | 2006 | 2005 | |||||||||||||
As Restated (1) | As Restated (1) | |||||||||||||||
Net patient service revenue |
$ | 203,807 | $ | 173,756 | $ | 391,486 | $ | 337,906 | ||||||||
Operating expenses: |
||||||||||||||||
Practice salaries and benefits |
114,419 | 98,268 | 226,988 | 196,271 | ||||||||||||
Practice supplies and other
operating expenses |
8,604 | 6,844 | 16,406 | 13,094 | ||||||||||||
General and administrative expenses |
24,820 | 22,579 | 52,212 | 51,091 | ||||||||||||
Depreciation and amortization |
2,404 | 2,529 | 4,752 | 5,176 | ||||||||||||
Total operating expenses |
150,247 | 130,220 | 300,358 | 265,632 | ||||||||||||
Income from operations |
53,560 | 43,536 | 91,128 | 72,274 | ||||||||||||
Investment income |
478 | 199 | 928 | 376 | ||||||||||||
Interest expense |
(411 | ) | (846 | ) | (820 | ) | (1,686 | ) | ||||||||
Income before income taxes |
53,627 | 42,889 | 91,236 | 70,964 | ||||||||||||
Income tax provision |
20,169 | 16,102 | 34,351 | 26,648 | ||||||||||||
Net income |
$ | 33,458 | $ | 26,787 | $ | 56,885 | $ | 44,316 | ||||||||
Per share data: |
||||||||||||||||
Net income per common and common
equivalent share: |
||||||||||||||||
Basic |
$ | 0.70 | $ | 0.58 | $ | 1.19 | $ | 0.97 | ||||||||
Diluted |
$ | 0.68 | $ | 0.56 | $ | 1.16 | $ | 0.93 | ||||||||
Weighted average shares used in
computing net income per common and
common equivalent share: |
||||||||||||||||
Basic |
48,003 | 46,231 | 47,631 | 45,812 | ||||||||||||
Diluted |
49,461 | 47,819 | 49,179 | 47,466 | ||||||||||||
(1) | Includes adjustments resulting from stock option review as described in Note 3 Restatement of Consolidated Financial Statements. |
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Six Months Ended | ||||||||
June 30, | ||||||||
2006 | 2005 | |||||||
As Restated (1) | ||||||||
Cash flows from operating activities: |
||||||||
Net income |
$ | 56,885 | $ | 44,316 | ||||
Adjustments to reconcile net income to net cash provided from
operating activities: |
||||||||
Depreciation and amortization |
4,752 | 5,176 | ||||||
Stock-based compensation expense |
10,188 | 924 | ||||||
Deferred income taxes |
2,824 | 5,034 | ||||||
Gain on sale of assets |
(1,630 | ) | | |||||
Changes in assets and liabilities: |
||||||||
Accounts receivable |
(2,036 | ) | 2,010 | |||||
Prepaid expenses and other assets |
(2,236 | ) | (112 | ) | ||||
Other assets |
550 | 31 | ||||||
Accounts payable and accrued expenses |
(13,924 | ) | (11,912 | ) | ||||
Income taxes payable |
2,572 | 8,410 | ||||||
Net cash provided from operating activities |
57,945 | 53,877 | ||||||
Cash flows from investing activities: |
||||||||
Acquisition payments, net of cash acquired |
(66,665 | ) | (65,851 | ) | ||||
Purchase of short-term investments |
(10,341 | ) | (8,446 | ) | ||||
Maturities of short-term investments |
5,900 | 7,000 | ||||||
Purchase of property and equipment |
(8,011 | ) | (4,161 | ) | ||||
Proceeds from sale of assets |
6,102 | | ||||||
Net cash used in investing activities |
(73,015 | ) | (71,458 | ) | ||||
Cash flows from financing activities: |
||||||||
Borrowings on line of credit |
123,000 | 149,000 | ||||||
Payments on line of credit |
(123,000 | ) | (157,800 | ) | ||||
Payments on capital lease obligations |
(399 | ) | (135 | ) | ||||
Payments to refinance line of credit |
| (172 | ) | |||||
Excess tax benefit from exercises of stock options and
vesting of restricted stock |
7,561 | | ||||||
Proceeds from issuance of common stock |
25,561 | 25,291 | ||||||
Net cash provided from financing activities |
32,723 | 16,184 | ||||||
Net increase (decrease) in cash and cash equivalents |
17,653 | (1,397 | ) | |||||
Cash and cash equivalents at beginning of period |
11,192 | 7,011 | ||||||
Cash and cash equivalents at end of period |
$ | 28,845 | $ | 5,614 | ||||
(1) | Includes adjustments resulting from stock option review as described in Note 3 Restatement of Consolidated Financial Statements. |
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1. | Basis of Presentation: | |
The accompanying unaudited condensed consolidated financial statements of Pediatrix Medical Group, Inc. and the notes thereto presented in this Form 10-Q have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (SEC) applicable to interim financial statements, and do not include all disclosures required by accounting principles generally accepted in the United States of America for complete financial statements. In the opinion of management, these financial statements include all adjustments, consisting only of normal recurring adjustments (other than as described in Note 3), necessary for a fair presentation of the results of interim periods. The financial statements include all the accounts of Pediatrix Medical Group, Inc. and its consolidated subsidiaries (collectively, PMG) together with the accounts of PMGs affiliated professional associations, corporations and partnerships (the affiliated professional contractors). PMG has contractual management arrangements with its affiliated professional contractors, which are separate legal entities that provide physician services in certain states and Puerto Rico. The terms Pediatrix and the Company refer collectively to Pediatrix Medical Group, Inc., its subsidiaries, and the affiliated professional contractors. | ||
On April 4, 2006, the Company announced that its Board of Directors authorized a two-for-one stock split of the Companys common stock. Shareholders of record at the close of business on April 13, 2006 received one additional share of Pediatrix common stock for each share held of record on that date. The shares were issued on April 27, 2006. In order to complete the stock split, the Companys Articles of Incorporation were amended to increase the number of authorized shares from 50 million to 100 million. Following the effective date of the stock split, the par value of the Companys common stock remained at $.01 per share. As a result, the Company increased common stock presented in the condensed consolidated balance sheet and the condensed consolidated statement of shareholders equity as of December 31, 2005 by $238,000 with a corresponding decrease in additional paid-in capital. Share and per share amounts for all periods presented in the condensed consolidated financial statements and notes thereto have been adjusted to reflect the effect of the two-for-one stock split. | ||
The consolidated results of operations for the interim periods presented are not necessarily indicative of the results to be experienced for the entire fiscal year. In addition, the accompanying unaudited condensed consolidated financial statements and the notes thereto should be read in conjunction with the consolidated financial statements and the notes thereto included in the Companys Annual Report on Form 10-K for the year ended December 31, 2006 to be filed with the SEC. | ||
2. | Summary of Significant Accounting Policies: | |
Stock Incentive Plans and Employee Stock Purchase Plans | ||
The Company awards restricted stock and grants stock options to key employees under its stock incentive plans (the Stock Incentive Plans). As permitted under Statement of Financial Accounting Standards No. 123 (FAS 123), Accounting for Stock-Based Compensation, the Company accounted for stock-based compensation to employees using the intrinsic value method prescribed by APB Opinion No. 25 Accounting for Stock Issued to Employees and its related interpretations (APB 25) through December 31, 2005. The Company recognizes compensation cost for stock-based compensation over the requisite service period using the graded vesting attribution method. | ||
Effective January 1, 2006, the Company adopted Statement of Financial Accounting Standards No. 123(R) (FAS 123(R)) Share-Based Payment using the modified prospective application method. This statement is a revision to FAS 123, supersedes APB 25, amends Statement of Financial Accounting Standards No. 95, Statement of Cash Flows, and requires companies to expense stock-based awards issued to employees. The modified prospective application method of adoption applies to new stock-based awards, changes in stock-based awards and the unvested portion of outstanding stock-based awards after the effective date. |
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2. | Summary of Significant Accounting Policies, Continued: | |
In accordance with FAS 123(R), the Company measures the cost of employee services received in exchange for stock-based awards based on grant-date fair value. As prescribed under FAS 123(R), the Company estimates the grant-date fair value of stock option grants using a valuation model known as the Black-Scholes-Merton formula or the Black-Scholes Model and allocates the resulting compensation expense over the corresponding requisite service period associated with each grant. The Black-Scholes Model requires the use of several variables to estimate the grant-date fair value of stock options including expected term, expected volatility, expected dividends and risk-free interest rate. The Company performs significant analyses to calculate and select the appropriate variable assumptions used in the Black-Scholes Model. The Company also performs significant analyses to estimate forfeitures of stock-based awards as required by FAS 123(R). The Company is required to adjust its forfeiture estimates on at least an annual basis based on the number of share-based awards that ultimately vest. The selection of assumptions and estimated forfeiture rates is subject to significant judgment and future changes to these assumptions and estimates may have a material impact on the Consolidated Financial Statements. | ||
The condensed consolidated statements of income for the three and six months ended June 30, 2006 include stock-based compensation expense calculated in accordance with FAS 123(R) for the Companys Stock Incentive Plans and the Companys employee stock purchase plans (the Stock Purchase Plans). In addition, the Companys condensed consolidated statement of cash flows for the six months ended June 30, 2006 includes the excess tax benefits related to the exercise of stock options and the vesting of restricted stock as a cash inflow from financing activities. This change in cash flow presentation had the effect of decreasing cash flows from operating activities and increasing cash flows from financing activities by $7.6 million. In accordance with Financial Accounting Standards Board (FASB) Staff Position No. FAS 123(R)-3, Transition Election to Accounting for the Tax Effects of Share-Based Payment Awards, the Company has elected to use the short-cut method to account for its historical pool of excess tax benefits related to stock-based awards. See Note 6 to the Condensed Consolidated Financial Statements for more information on the Companys Stock Incentive Plans and Stock Purchase Plans. | ||
Had compensation expense been determined based on the fair value accounting provisions of FAS 123 for the three and six months ended June 30, 2005, the Companys net income and net income per share would have been reduced to the pro forma amounts below (in thousands, except per share data): |
Three Months Ended | Six Months Ended | |||||||
June 30, 2005 | June 30, 2005 | |||||||
As Restated (1) | As Restated (1) | |||||||
Net income, as restated |
$ | 26,787 | $ | 44,316 | ||||
Add: Stock-based compensation
expense included in restated net
income, net of related tax
effects |
226 | 624 | ||||||
Deduct: Total stock-based
employee compensation expense
related to stock options
determined under fair value
accounting rules, net of related
tax effect |
(2,358 | ) | (4,624 | ) | ||||
Pro forma net income, as restated |
$ | 24,655 | $ | 40,316 | ||||
Net income per share: |
||||||||
As restated: |
||||||||
Basic |
$ | 0.58 | $ | 0.97 | ||||
Diluted |
$ | 0.56 | $ | 0.93 | ||||
Pro forma, as restated: |
||||||||
Basic |
$ | 0.53 | $ | 0.88 | ||||
Diluted |
$ | 0.51 | $ | 0.85 |
(1) | Includes adjustments resulting from the stock option review as described in Note 3, Restatement of Consolidated Financial Statements. |
Accounting Pronouncements | ||
In July 2006, the FASB issued Interpretation No. 48, Accounting for Uncertainty in Income Taxes an interpretation of FASB Statement No. 109 (FIN 48). FIN 48 prescribes a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return, and also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. FIN 48 is effective for fiscal years beginning after December 15, 2006. The provisions of FIN 48 are effective for the Company as the beginning of 2007 with the cumulative effect of the change in accounting principle recorded as an adjustment to opening retained earnings. Based on the Companys assessment, it anticipates that it will record a decrease to opening retained earnings during the first quarter of 2007 to increase reserves for uncertain tax positions by approximately $7.7 million. |
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2. | Summary of Significant Accounting Policies, Continued: | |
In September 2006, the Securities and Exchange Commission (SEC) issued Staff Accounting Bulletin No. 108 (SAB No. 108), Considering the Effects of Prior Year Misstatements when Quantifying Misstatements in Current Year Financial Statements. SAB No. 108 addresses how the effects of prior year uncorrected misstatements should be considered when quantifying misstatements in current year financial statements and is effective for fiscal years ending after November 15, 2006. SAB No. 108 requires companies to quantify misstatements using a balance sheet and income statement approach and to evaluate whether either approach results in quantifying an error that is material in light of relevant quantitative and qualitative factors. SAB No. 108 permits existing public companies to initially apply its provisions either by (i) restating prior financial statements as if the dual approach had always been used or (ii) recording the cumulative effect of initially applying the dual approach as adjustments to the carrying value of assets and liabilities as of January 1, 2006 with an offsetting adjustment recorded to the opening balance of retained earnings. The adoption of the provisions of SAB No. 108 had no impact on the Companys Consolidated Financial Statements. | ||
In September 2006, the FASB issued Statement of Financial Accounting Standards No. 157 (FAS 157), Fair Value Measures. FAS 157 creates a common definition for fair value for recognition or disclosure purposes under generally accepted accounting principles (GAAP). FAS 157 also establishes a framework for measuring fair value and enhances disclosures about fair value measures required under other accounting pronouncements, but does not change existing guidance as to whether or not an instrument is carried at fair value. FAS 157 is effective for fiscal years beginning after November 15, 2007. The Company has not yet completed its evaluation of the potential impact of FAS 157. | ||
3. | Restatement of Consolidated Financial Statements: | |
The Company has restated its consolidated financial statements to reflect additional non-cash stock-based compensation expense and related tax effects with regard to past stock option grants. | ||
Background | ||
In June 2006, management of the Company began an informal limited review of its past stock option grant practices in response to a shareholder inquiry following various media reports regarding option granting practices at other companies. Management apprised the Audit Committee of the Companys Board of Directors of this informal limited review and the Audit Committee provided guidance with respect to the scope of the review. In August 2006, findings from this limited review were presented to the Audit Committee and the Companys independent certified registered public accounting firm. Based on these findings, the Audit Committee decided to initiate a comprehensive review to be undertaken by the Audit Committee with the assistance of independent legal counsel and forensic accounting experts. The review covered all stock options granted by the Company from the date of its initial public offering in September 1995 through the Companys option issuances in June 2006 (the Relevant Period). | ||
In July 2007, the Audit Committee completed its review. The key findings, based on the evidence reviewed, are as follows: |
| The Audit Committee identified 56 grants made on seven dates between April 1997 and August 2000 which the Audit Committee found were backdated. No instances of backdating were identified after August 2000. The Audit Committee used the term backdating to connote deliberate selection of grant measurement dates to obtain an option exercise price that was lower than would otherwise be the case. The Audit Committee used this term to describe grants which apparently involved deliberate, opportunistic use of market prices. | ||
| The Audit Committee did not find evidence establishing intentional misconduct by any of the Companys current executive officers. | ||
| The Audit Committee believes that it received full cooperation from all of the Companys current executive officers. |
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3. | Restatement of Consolidated Financial Statements, Continued: |
| The Audit Committee did not find evidence establishing that the Board, any committee of the Board, or any non-executive director participated in backdating or was aware of backdating during the time that it occurred. | ||
| During the time period from April 1997 to August 2000 when backdating occurred, the administration and processing of option grants was directed by a former officer who later became a director of the Company. This individual continued to direct the Companys options program after resigning as an officer in May 2000, while remaining with the Company to work on special projects. During this time period, this individual appears to have been responsible for selecting favorable dates for option grants in all but one instance where a record was located regarding favorable date selection. The Audit Committee concluded that this individual knew or should have known the accounting implications of his actions. Further, the Audit Committee identified three occasions on which this individual was able to benefit by affecting the measurement date of options that were granted to him. The Audit Committee found that this individual realized approximately $12,000 from the backdating of these options based on the revised measurement dates assigned to them. | ||
| The Audit Committee identified numerous instances in which applicable accounting principles were misapplied and/or process deficiencies or administrative errors occurred resulting in the application of inappropriate measurement dates to option grants. The Audit Committee also identified inadequate record keeping, documentation, disclosure and systems with respect to the stock option grant process, including records of meetings, which in some cases, could not be corroborated in support of option grants on measurement dates that corresponded to periodic low points in the Companys stock price. | ||
| The Audit Committee determined that, although these matters did not establish that senior management engaged in intentional misconduct, current senior management did not adequately ensure that these processes and systems were proper, including the Companys current President and Chief Operating Officer and Chief Financial Officer, who were also found to have played a role in the granting of stock options to others that involved errors and process deficiencies. | ||
| With respect to the Companys current executive officers, the Audit Committee found that senior management should not have permitted the individual described above to continue to manage the options program after his resignation as a Company officer in May 2000. The Audit Committee found that, during the period in which backdating occurred, Roger J. Medel, M.D., the Companys CEO, was actively involved in determining grant recipients and amounts and was also party to e-mail correspondence concerning the selection of favorable dates for option grants; however, Dr. Medel was not the recipient of any of the grants found to be backdated. In addition, the Audit Committee found that on one occasion in 1997, Dr. Medel directed the selection of a favorable grant date for a group of regional medical officers, one of whom was his spouse, a founding physician of the Company and a full-time employee at the time of the grant. Based on its review, however, the Audit Committee believes that Dr. Medel was not aware of the accounting implications of such grants. Further, based on its review, the Audit Committee believes that Dr. Medel reasonably relied upon senior Company executives as to the administration of the Companys equity compensation plans and the accounting for awards. The Audit Committee found, however, that Dr. Medel bore overall responsibility for assuring that managements implementation of its compensation programs was appropriate but that he did not adequately assure such appropriate implementation. | ||
| In light of the evidence reviewed, the Audit Committee found that 640 grants in total required revised measurement dates, variable accounting or the recognition of compensation expense. |
Audit Committee Conclusions | ||
In connection with its investigation, the Audit Committee reviewed evidence to determine whether correct measurement dates had been used under generally accepted accounting principles (GAAP) for the Companys stock option grants during the Relevant Period. The measurement date means the date, under APB 25, on which all of the following are first known: (i) the individual employee who is entitled to receive the option grant, (ii) the number of options that an individual employee is entitled to receive, and (iii) the options exercise price. | ||
Based on the evidence reviewed, the Audit Committee concluded that: (i) in certain instances, available documentation was insufficient to support or inconsistent with the measurement date or exercise price which was originally assigned to the relevant stock option grant, (ii) certain stock option grants which required variable accounting were inappropriately accounted for as fixed awards, and (iii) modifications to certain stock option grants were not accounted for properly. In many cases, more than one of the foregoing conclusions was reached with respect to a single stock option grant. |
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3. | Restatement of Consolidated Financial Statements, Continued: | |
Consistent with APB 25 and the January 2007 illustrative letter from the Chief Accountant of the SEC (the SEC Letter), grants made with incorrect measurement dates during the Relevant Period were organized into categories based on types of errors. The Audit Committee and its advisors reviewed evidence related to each grant in these categories, including electronic and physical documents, such as meeting minutes of the Compensation Committee or Board of Directors, unanimous written consents of the Compensation Committee, contemporaneous e-mails, personnel files, payroll records and various other records maintained by the Company, and the results of interviews. Based on the relevant facts and circumstances and the evidence reviewed, the Audit Committee applied relevant GAAP and its judgment to determine, for each grant within each category, the measurement date which was most appropriate. If the Audit Committee concluded that (i) the available documentation was insufficient to support or inconsistent with the measurement date or exercise price which was originally assigned to the relevant stock option grant, (ii) the stock option grant was inappropriately accounted for as a fixed award, and/or (iii) a modification to the stock option grant was not accounted for properly, then accounting adjustments were made as required, resulting in non-cash stock-based compensation expense and related tax effects. The Audit Committee and its advisors were unable to locate the supporting documentation for option grants in many instances. In these situations, the measurement date was determined using judgment as to the most likely granting action taken by the Company and the related date based upon the available information, consistent with the SEC Letter. | ||
In addition, in some instances, grants were made through May 2001 by officers in exercise of authority apparently delegated to the Chief Executive Officer, but no documentation of such delegated authority has been located. | ||
The Audit Committee concluded, based on the evidence reviewed, that options to purchase approximately 2.3 million shares of common stock 56 grants on seven dates were backdated as that term was used by the Audit Committee as described more fully below. The Audit Committee further concluded that options to purchase an additional 12.1 million shares of common stock 584 grants on 78 dates prior to 2006 had erroneous measurement dates or required variable accounting or recognition of additional expense. | ||
Categories of Revised Measurement Dates | ||
The Audit Committee has categorized option grants with revised measurement dates based on types of errors. These categories are not mutually exclusive and therefore the aggregate number of grants detailed below will exceed the total number of grants with incorrect measurement dates as set forth above. The categories are as follows: | ||
Backdated Options. These options were found to be backdated, as such term was used by the Audit Committee. In the absence of an authoritative definition of backdating, the Audit Committee used the term to connote deliberately selecting grant measurement dates to obtain an option exercise price that is lower than would otherwise be the case. The Audit Committee used this term to describe grants which apparently involved deliberate, opportunistic use of market prices. On seven dates during the Relevant Period, 56 individual grants of Backdated Options to purchase a total of 2,299,200 shares of common stock were made with respect to which the Company concluded that the originally assigned grant dates should not be the measurement dates. These grants included instances in which it appears that the issuance of options was delayed while the stock price was monitored for downward trends and instances in which it appears that the exercise price for grants was selected by reviewing past stock performance to identify relatively low closing prices. No instances of backdating were identified after 2000. | ||
Unfinalized List Options. These options were found to relate to grants for which the documentation reviewed indicated that recipients were added to or removed from lists or grant amounts on such lists were modified after the purported grant date. On four dates during the Relevant Period prior to 2006, 113 individual grants of Unfinalized List Options to purchase a total of 1,408,000 shares of common stock were made. Where the documentation reviewed indicated use of a list of option recipients which was modified after the purported grant date and the changes to the list were deemed significant, all grants on that list were treated as Unfinalized List Options. | ||
Subsequent Granting Action Options. These options were found to relate to grants for which the documentation reviewed indicated that the granting actions most likely occurred after the purported award date or insufficient documentation was located to support the purported award date. On 77 dates during the Relevant Period prior to 2006, 564 individual grants of Subsequent Granting Action Options to purchase a total of 12,964,836 shares of common stock were made. | ||
New Hire Options. These option grants were found to have been made to employees on purported award dates which preceded such employees apparent employment commencement dates. On 18 dates during the Relevant Period prior to 2006, 24 individual grants of New Hire Options to purchase a total of 855,800 shares of common stock were made. In each of these instances, the individual hired subsequently became an employee. |
13
3. | Restatement of Consolidated Financial Statements, Continued: | |
Shareholder Approval Options. These option grants were found to have been made subject to shareholder approval of an amendment to the Companys stock option plan, which amendment was approved in 1996 following the purported award dates. On four dates during 1995 and 1996, six individual grants of Shareholder Approval Options to purchase a total of 614,000 shares of common stock were made. | ||
Administrative Error and Other Options. These option grants were found to have been issued with administrative delays or errors not otherwise described in the foregoing categories. On eight dates during the Relevant Period prior to 2006, 118 individual grants of Administrative Error and Other Options to purchase a total of 1,355,108 shares of common stock were made. This category includes grants which were made as of a grant date which, due to apparent administrative error, was different from the purported grant date, while the documentation for other grants contained typographical errors. This category also includes a few instances of options that were granted to recipients within six months of the cancellation of other options and required variable accounting. | ||
Tax Adjustments and Related Matters | ||
The restatement reflects the recognition of certain income tax benefits for 2005, 2004 and prior years as a result of the revision of measurement dates. In certain periods, a portion of the pre-tax stock-based compensation expense adjustment was excluded from the calculation of tax benefits due to limitations on the deductibility of compensation for certain executive officers under Section 162(m) of the Internal Revenue Code of 1986, as amended, (162(m)). Over the periods presented, the Company recognized approximately $12 million in additional compensation expense for which it did not record a tax benefit. In addition, the Company has recorded, as a component of the tax provision, approximately $723,000 for interest expense related to tax deductions previously taken for the exercise of stock options granted to executive officers which, as a result of the revision to measurement dates, no longer qualify as deductible performance-based compensation under Section 162(m). | ||
After considering the application of Section 409A of the Internal Revenue Code, in February 2007, the Companys Board of Directors approved the Companys election to participate in a compliance resolution program offered by the Internal Revenue Service for certain employees who exercised certain stock options in 2006. Under this program, the Company paid approximately $2.6 million to the Internal Revenue Service in June 2007 for taxes and related interest imposed on employees, other than executive officers, as a result of the revision of measurement dates. In connection with this program, the Company will reimburse these employees for any additional taxes resulting from the payment of the Section 409A taxes on their behalf. | ||
In February 2007, the Board of Directors adopted a program providing for increases in the exercise price of certain options that were subject to changes in measurement dates and authorizing the Company to make compensating payments for the difference to affected employees, other than executive officers, in 2008. In July 2007, the Board of Directors finalized the increase in the exercise price of these options and authorization of these compensating payments. | ||
The Company expects that the amount of payments relating to employees who exercised options in 2006 and 2007 and employees who hold options with increased exercise prices will not exceed $6.4 million in the aggregate. | ||
Restatement Adjustments | ||
In order to present the financial impact of each category described above, the Companys management reviewed each grant for which more than one category of errors applied and, except with respect to backdated options, placed it in a single category based on the error that was the primary reason for its revised measurement date. For each backdated option, management recorded the impact of the revised measurement date in the backdated category. | ||
The following table presents the financial impact of recognizing additional non-cash stock based compensation expense by category of error. The expense has been recorded over the respective awards service periods and, in instances requiring variable accounting, until the awards were exercised, forfeited or expired unexercised (in thousands): |
14
3. | Restatement of Consolidated Financial Statements, Continued: |
Decrease to Income Before Income Taxes | ||||||||||||||||||||||||||||||||||||
Subsequent | Shareholder | Administrative | ||||||||||||||||||||||||||||||||||
Backdated | Unfinalized | Granting Action | New Hire | Action | Error and Other | Income Tax | Decrease to Net | |||||||||||||||||||||||||||||
Period | Options | List Options | Options | Options | Options | Options | Total | Benefit | Income | |||||||||||||||||||||||||||
1995 |
$ | | $ | | $ | | $ | 11 | $ | | $ | 7 | $ | 18 | $ | 3 | $ | 15 | ||||||||||||||||||
1996 |
| | 1,250 | 63 | 5,201 | 32 | 6,546 | 445 | 6,101 | |||||||||||||||||||||||||||
1997 |
1,102 | | 2,362 | 57 | 2,552 | 28 | 6,101 | 684 | 5,417 | |||||||||||||||||||||||||||
1998 |
2,330 | | 2,196 | 102 | 947 | 2 | 5,577 | 1,859 | 3,718 | |||||||||||||||||||||||||||
1999 |
1,139 | | 2,222 | 260 | 1 | | 3,622 | 1,103 | 2,519 | |||||||||||||||||||||||||||
2000 |
389 | | 669 | 104 | | 387 | 1,549 | 508 | 1,041 | |||||||||||||||||||||||||||
2001 |
15 | | 624 | 30 | | 754 | 1,423 | 366 | 1,057 | |||||||||||||||||||||||||||
2002 |
15 | 142 | 951 | 13 | | 565 | 1,686 | 410 | 1,276 | |||||||||||||||||||||||||||
2003 |
3 | 645 | 928 | 4 | | 214 | 1,794 | 690 | 1,104 | |||||||||||||||||||||||||||
2004 |
| 394 | 2,495 | 2 | | 85 | 2,976 | 892 | 2,084 | |||||||||||||||||||||||||||
Total impact through
December 31, 2004 |
4,993 | 1,181 | 13,697 | 646 | 8,701 | 2,074 | 31,292 | 6,960 | 24,332 | |||||||||||||||||||||||||||
First quarter 2005 |
| 54 | 522 | | | 7 | 583 | 129 | 454 | |||||||||||||||||||||||||||
Second quarter 2005 |
| 21 | 317 | | | 3 | 341 | 1 | 340 | |||||||||||||||||||||||||||
Third quarter 2005 |
| 31 | 340 | | | 3 | 374 | 10 | 364 | |||||||||||||||||||||||||||
Fourth quarter 2005 |
| 28 | 324 | | | 3 | 355 | (15 | ) | 370 | ||||||||||||||||||||||||||
2005 full year |
| 134 | 1,503 | | | 16 | 1,653 | 125 | 1,528 | |||||||||||||||||||||||||||
Total impact
through 2005 |
$ | 4,993 | $ | 1,315 | $ | 15,200 | $ | 646 | $ | 8,701 | $ | 2,090 | $ | 32,945 | $ | 7,085 | $ | 25,860 | ||||||||||||||||||
15
3. | Restatement of Consolidated Financial Statements, Continued: | |
The following table presents the effect of the restatement adjustments by financial statement line item for the Consolidated Balance Sheet as of December 31, 2005 (in thousands): |
December 31, 2005 | ||||||||||||
As Reported | Adjustments | As Restated | ||||||||||
ASSETS |
||||||||||||
Current assets: |
||||||||||||
Cash and cash equivalents |
$ | 11,192 | $ | | $ | 11,192 | ||||||
Short-term investments |
10,920 | | 10,920 | |||||||||
Accounts receivable, net |
111,725 | | 111,725 | |||||||||
Prepaid expenses |
4,459 | | 4,459 | |||||||||
Deferred income taxes |
24,400 | | 24,400 | |||||||||
Other assets |
1,928 | | 1,928 | |||||||||
Total current assets |
164,624 | | 164,624 | |||||||||
Investments |
4,071 | | 4,071 | |||||||||
Property and equipment, net |
27,855 | | 27,855 | |||||||||
Goodwill |
680,097 | | 680,097 | |||||||||
Other assets, net |
23,756 | | 23,756 | |||||||||
Total assets |
$ | 900,403 | $ | | $ | 900,403 | ||||||
LIABILITIES & SHAREHOLDERS EQUITY |
||||||||||||
Current liabilities: |
||||||||||||
Accounts payable and accrued expenses |
$ | 164,749 | $ | 10,870 | $ | 175,619 | ||||||
Current portion of long-term debt and
capital lease obligations |
882 | | 882 | |||||||||
Income taxes payable |
1,157 | | 1,157 | |||||||||
Total current liabilities |
166,788 | 10,870 | 177,658 | |||||||||
Long-term debt and capital lease obligations |
622 | | 622 | |||||||||
Deferred income taxes |
30,830 | (1,213 | ) | 29,617 | ||||||||
Deferred compensation |
10,372 | | 10,372 | |||||||||
Total liabilities |
208,612 | 9,657 | 218,269 | |||||||||
Commitments and contingencies |
||||||||||||
Shareholders equity: |
||||||||||||
Preferred stock; $.01 par value; 1,000
shares authorized; none issued |
| | | |||||||||
Common stock; $.01 par value; 100,000
shares authorized; 47,458 shares
issued and outstanding |
475 | | 475 | |||||||||
Additional paid-in capital |
456,614 | 16,203 | 472,817 | |||||||||
Unearned compensation |
(15,621 | ) | | (15,621 | ) | |||||||
Retained earnings |
250,323 | (25,860 | ) | 224,463 | ||||||||
Total shareholders equity |
691,791 | (9,657 | ) | 682,134 | ||||||||
Total liabilities and shareholders equity |
$ | 900,403 | $ | | $ | 900,403 | ||||||
16
3. | Restatement of Consolidated Financial Statements, Continued: | |
The following table presents the effect of the restatement adjustments by financial statement line item for the Condensed Consolidated Statements of Income for the periods ended June 30, 2005 (in thousands, except for per share data): |
Three Months Ended June 30, 2005 | Six Months Ended June 30, 2005 | |||||||||||||||||||||||
As Reported | Adjustments | As Restated | As Reported | Adjustments | As Restated | |||||||||||||||||||
Net patient service revenue |
$ | 173,756 | $ | | $ | 173,756 | $ | 337,906 | $ | | $ | 337,906 | ||||||||||||
Operating expenses: |
||||||||||||||||||||||||
Practice salaries and benefits |
98,157 | 111 | 98,268 | 195,960 | 311 | 196,271 | ||||||||||||||||||
Practice supplies and other
operating expenses |
6,844 | | 6,844 | 13,094 | | 13,094 | ||||||||||||||||||
General and administrative
expenses |
22,349 | 230 | 22,579 | 50,478 | 613 | 51,091 | ||||||||||||||||||
Depreciation and amortization |
2,529 | | 2,529 | 5,176 | | 5,176 | ||||||||||||||||||
Total operating expenses |
129,879 | 341 | 130,220 | 264,708 | 924 | 265,632 | ||||||||||||||||||
Income from operations |
43,877 | (341 | ) | 43,536 | 73,198 | (924 | ) | 72,274 | ||||||||||||||||
Investment income |
199 | | 199 | 376 | | 376 | ||||||||||||||||||
Interest expense |
(846 | ) | | (846 | ) | (1,686 | ) | | (1,686 | ) | ||||||||||||||
Income before income taxes |
43,230 | (341 | ) | 42,889 | 71,888 | (924 | ) | 70,964 | ||||||||||||||||
Income tax provision |
16,103 | (1 | ) | 16,102 | 26,778 | (130 | ) | 26,648 | ||||||||||||||||
Net income |
$ | 27,127 | $ | (340 | ) | $ | 26,787 | $ | 45,110 | $ | (794 | ) | $ | 44,316 | ||||||||||
Per share data: |
||||||||||||||||||||||||
Net income per common and
common equivalent share: |
||||||||||||||||||||||||
Basic |
$ | 0.59 | $ | (0.01 | ) | $ | 0.58 | $ | 0.98 | $ | (0.01 | ) | $ | 0.97 | ||||||||||
Diluted |
$ | 0.57 | $ | (0.01 | ) | $ | 0.56 | $ | 0.95 | $ | (0.02 | ) | $ | 0.93 | ||||||||||
Weighted average shares used
in computing net income per
common and common equivalent
share: |
||||||||||||||||||||||||
Basic |
46,231 | | 46,231 | 45,812 | | 45,812 | ||||||||||||||||||
Diluted |
47,645 | 174 | 47,819 | 47,286 | 180 | 47,466 | ||||||||||||||||||
17
3. | Restatement of Consolidated Financial Statements, Continued: | |
The following table presents the effect of the restatement adjustments by financial statement line item for the Condensed Consolidated Statement of Cash Flows for the six months ended June 30, 2005 (in thousands): |
Six Months Ended June 30, 2005 | ||||||||||||
As Reported | Adjustments | As Restated | ||||||||||
Cash flows from operating activities: |
||||||||||||
Net income |
$ | 45,110 | $ | (794 | ) | $ | 44,316 | |||||
Adjustments to reconcile net income to net cash
provided from operating activities: |
||||||||||||
Depreciation and amortization |
5,176 | | 5,176 | |||||||||
Stock-based compensation expense |
| 924 | 924 | |||||||||
Deferred income taxes |
4,811 | 223 | 5,034 | |||||||||
Gain on sale of assets |
| | | |||||||||
Changes in assets and liabilities: |
||||||||||||
Accounts receivable |
2,010 | | 2,010 | |||||||||
Prepaid expenses and other current assets |
(112 | ) | | (112 | ) | |||||||
Other assets |
31 | | 31 | |||||||||
Accounts payable and accrued expenses |
(13,665 | ) | 1,753 | (11,912 | ) | |||||||
Income taxes payable |
10,516 | (2,106 | ) | 8,410 | ||||||||
Net cash provided from operating activities |
53,877 | | 53,877 | |||||||||
Cash flows from investing activities: |
||||||||||||
Acquisition payments, net of cash acquired |
(65,851 | ) | | (65,851 | ) | |||||||
Purchase of investments |
(8,446 | ) | | (8,446 | ) | |||||||
Maturities of investments |
7,000 | | 7,000 | |||||||||
Purchase of property and equipment |
(4,161 | ) | | (4,161 | ) | |||||||
Excess tax benefit of stock option exercise
and restricted stock vestings |
| | | |||||||||
Proceeds from sale of assets |
| | | |||||||||
Net cash used in investing activities |
(71,458 | ) | | (71,458 | ) | |||||||
Cash flows from financing activities: |
||||||||||||
Borrowings on line of credit |
149,000 | | 149,000 | |||||||||
Payments on line of credit |
(157,800 | ) | | (157,800 | ) | |||||||
Payments on capital lease obligations |
(135 | ) | | (135 | ) | |||||||
Payments to refinance line of credit |
(172 | ) | | (172 | ) | |||||||
Proceeds from issuance of common stock |
25,291 | | 25,291 | |||||||||
Net cash provided from financing activities |
16,184 | | 16,184 | |||||||||
Net decrease in cash and cash equivalents |
(1,397 | ) | | (1,397 | ) | |||||||
Cash and cash equivalents at beginning of period |
7,011 | | 7,011 | |||||||||
Cash and cash equivalents at the end of period |
5,614 | $ | | $ | 5,614 | |||||||
4. | Business Acquisitions: | |
The Company acquired four physician group practices during the six months ended June 30, 2006. In connection with these acquisitions, the Company recorded goodwill of approximately $65.7 million, other identifiable intangible assets consisting of physician and hospital agreements, of approximately $725,000, and liabilities of approximately $240,000. The Company also recorded goodwill of $500,000 during the six months ended June 30, 2006 for the payment of contingent consideration related to a prior year acquisition and based on volume and other performance measures. The Company may be required to pay additional similar contingent consideration under certain contract provisions relating to acquisitions completed during the six months ended June 30, 2006, as well as other acquisitions completed in prior years; however, the amount to be paid, if any, is not determinable at this time. |
18
4. | Business Acquisitions, Continued: | |
The results of operations of the four acquired practices acquired during the six month ended June 30, 2006 have been included in the Companys condensed consolidated financial statements from their respective dates of acquisition. The following unaudited pro forma information combines the consolidated results of operations of the Company and the physician group practice operations acquired during 2006 and 2005 as if the transactions had occurred at the beginning of the respective periods (in thousands, except for per share data): |
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2006 | 2005 | 2006 | 2005 | |||||||||||||
As Restated (1) | As Restated (1) | |||||||||||||||
Net patient service revenue |
$ | 204,468 | $ | 186,462 | $ | 395,629 | $ | 365,878 | ||||||||
Net income |
$ | 33,535 | $ | 31,578 | $ | 57,663 | $ | 55,006 | ||||||||
Net income per share: |
||||||||||||||||
Basic |
$ | 0.70 | $ | 0.68 | $ | 1.21 | $ | 1.20 | ||||||||
Diluted |
$ | 0.68 | $ | 0.66 | $ | 1.17 | $ | 1.16 |
(1) | Includes adjustments resulting from the stock option review as described in Note 3, Restatement of Consolidated Financial Statements. |
The pro-forma results do not necessarily represent results which would have occurred if the acquisitions had taken place at the beginning of the period, nor are they indicative of the results of future combined operations. | ||
5. | Investments: | |
Investments consist of held-to-maturity securities issued primarily by the U.S. Treasury, other U.S. Government corporations and agencies and states of the United States. The Company intends and has the ability to hold its investments to maturity, and therefore carries such investments at amortized cost in accordance with the provisions of Financial Accounting Standards No. 115 (FAS 115), Accounting for Certain Investments in Debt and Equity Securities. At June 30, 2006 and December 31, 2005, the Companys investments consisted of the following short-term investments with remaining maturities of less than one year and long-term investments with maturities of one to three years (in thousands): |
June 30, 2006 | December 31, 2005 | |||||||||||||||
Short-Term | Long-Term | Short-Term | Long-Term | |||||||||||||
U.S. Treasury Securities |
$ | 5,352 | $ | 1,493 | $ | 5,969 | $ | | ||||||||
Federal Home Loan Securities |
4,485 | 1,999 | 3,471 | 1,505 | ||||||||||||
Municipal Debt Securities |
1,616 | 2,991 | | 2,566 | ||||||||||||
Commercial Paper |
| | 497 | | ||||||||||||
Federal Farm Credit Bank
Discount Note |
996 | 500 | 983 | | ||||||||||||
$ | 12,449 | $ | 6,983 | $ | 10,920 | $ | 4,071 | |||||||||
19
6. | Accounts Payable and Accrued Expenses: | |
Accounts payable and accrued expenses consist of the following (in thousands): |
June 30, 2006 | December 31, 2005 | |||||||
As Restated (1) | ||||||||
Accounts payable |
$ | 4,163 | $ | 5,632 | ||||
Accrued salaries and bonuses |
47,681 | 69,089 | ||||||
Accrued payroll taxes and benefits |
12,581 | 12,297 | ||||||
Accrued professional liability risks |
46,155 | 39,390 | ||||||
Medicaid settlement reserve (Note 8) |
25,100 | 25,100 | ||||||
Accrual for uncertain tax positions |
17,544 | 16,701 | ||||||
Other accrued expenses |
8,471 | 7,410 | ||||||
$ | 161,695 | $ | 175,619 | |||||
(1) | Includes adjustments resulting from the stock option review as described in Note 3, Restatement of Consolidated Financial Statements. |
The decrease in accrued salaries and bonuses from $69.1 million at December 31, 2005, to $47.7 million at June 30, 2006, is primarily due to the decrease in the Companys liabilities for performance-based incentive compensation. The Companys annual payments due under its performance-based incentive compensation program are made during the first quarter of each year. | ||
7. | Stock Incentive Plans and Employee Stock Purchase Plans: | |
The Company has a stock option plan (the Option Plan) under which stock options are presently outstanding but no new additional grants may be made. The Company also has a 2004 Incentive Compensation Plan (the 2004 Incentive Plan) under which stock options, restricted stock, stock appreciation rights, deferred stock, other stock related and performance related awards may be made to key employees. To date, the Company has only awarded restricted stock and granted stock options under the 2004 Incentive Plan. Collectively, the Option Plan and the 2004 Incentive Plan are the Companys Stock Incentive Plans. The Company also has Stock Purchase Plans under which employees may purchase the Companys common stock at 85% of market value on designated dates. | ||
Under the 2004 Incentive Plan, options to purchase shares of common stock may be granted at a price not less than the fair market value of the shares on the date of grant. The options must be exercised within 10 years from the date of grant and generally become exercisable on a pro rata basis over a three-year period from the date of grant. Restricted stock awards generally vest over periods of three years upon the fulfillment of specified service-based conditions and in certain instances performance-based conditions. The Company recognizes compensation expense related to its restricted stock awards ratably over the corresponding vesting periods. During the six months ended June 30, 2006, the Company granted 658,011 stock options and awarded 191,268 shares of restricted stock to key employees under the 2004 Incentive Plan. At June 30, 2006, the Company had approximately 1.9 million shares available for future grants and awards under the 2004 Incentive Plan. | ||
Effective January 1, 2006, the Companys Stock Purchase Plans were amended such that employee purchases after December 31, 2005 are made at 85% of the closing price of the stock as of the purchase date. The purchase dates for employees who participate in the Stock Purchase Plans are April 1st and October 1st of each year. In accordance with the provisions of FAS 123(R), the Company recognizes stock-based compensation expense for the 15% discount received by participating employees. During the six months ended June 30, 2006, approximately 46,000 shares were issued under the Companys Stock Purchase Plans. At June 30, 2006, the Company had approximately 246,000 shares reserved under the Stock Purchase Plans. | ||
The Company recognized approximately $4.9 million and $10.2 million of stock-based compensation expense related to its Stock Incentive Plans and Stock Purchase Plans during the three and six months ended June 30, 2006, respectively. During the three and six months ended June 30, 2005, the Company recognized, inclusive of the restatement, approximately $341,000 and $924,000, respectively, of stock-based compensation expense, respectively, related to its Stock Incentive Plans. |
20
7. | Stock Incentive Plans and Employee Stock Purchase Plans, Continued: | |
The activity related to the Companys restricted stock awards and the corresponding weighted average grant-date fair values are as follows: |
Weighted | ||||||||
Number of | Average | |||||||
Shares | Fair Value | |||||||
Non-vested shares at December 31, 2005 |
675,128 | $ | 38.26 | |||||
Awarded |
191,268 | $ | 44.70 | |||||
Forfeited |
(3,873 | ) | $ | 38.60 | ||||
Vested |
(293,975 | ) | $ | 38.26 | ||||
Non-vested shares at June 30, 2006 |
568,548 | $ | 40.42 | |||||
The aggregate fair value of the 293,975 restricted shares that vested during the six months ended June 30, 2006 was approximately $11.2 million. At June 30, 2006, the total stock-based compensation cost related to non-vested restricted stock remaining to be recognized as compensation expense over a weighted-average period of approximately 2.4 years is $15.2 million. | ||
Pertinent information covering stock option transactions related to the Companys Stock Incentive Plans is summarized in the table below. |
Weighted | ||||||||||||||||
Average | ||||||||||||||||
Number of | Option Price | Exercise | Expiration | |||||||||||||
Shares | Per Share (1) | Price (1) | Date | |||||||||||||
Outstanding at December 31, 2005 |
3,751,738 | $ | 3.53-$37.30 | $ | 22.51 | 2006-2015 | ||||||||||
Granted |
658,011 | $ | 43.15-$50.34 | $ | 45.16 | |||||||||||
Canceled |
(53,387 | ) | $ | 12.78-$44.70 | $ | 28.41 | ||||||||||
Exercised |
(1,020,961 | ) | $ | 3.53-$33.45 | $ | 22.96 | ||||||||||
Outstanding at June 30, 2006 |
3,335,401 | $ | 3.53-$50.34 | $ | 26.81 | 2006-2016 | ||||||||||
Exercisable at June 30, 2006 |
1,976,398 | $ | 3.53-$37.30 | $ | 19.45 |
(1) | The option price and weighted average exercise price per share is as of June 30, 2006 and does not reflect any increase in the exercise price of certain options under a program adopted by the Companys Board of Directors in 2007, see Note 3, Restatement of Consolidated Financial Statements. |
The Company issues new shares of its common stock upon exercise of its stock options. The fair value of each stock option or share to be issued is estimated on the date of grant using the Black-Scholes option-pricing model with weighted average assumptions for expected volatility, expected life, risk-free interest rate and dividend yield. Expected volatility is estimated using sequential periods of historical price data related to the Companys common stock. For stock options granted during the six months ended June 30, 2006, the expected volatility related to the Companys share price ranged from 31% to 37%. The Company assigns expected lives and corresponding risk-free interest rates to two separate homogenous employee groups consisting of officers and all other employees. The Company evaluates the estimated expected lives assigned to its two employee groups using the historical exercise data, taking into consideration the impact of partial life cycle data, contractual term and post-vesting cancellations. The weighted average expected lives for officers and all other employees were primarily four years and three and one-half years, respectively, for stock options granted during the six months ended June 30, 2006. Risk-free interest rates for both employee groups ranged from 4.4% to 5.0% for stock options granted during the six months ended June 30, 2006. The Company used a dividend yield assumption of 0% for all periods. | ||
The weighted average grant date fair value for stock options granted during the six months ended June 30, 2006 was $14.28. The weighted average remaining contractual life on outstanding and exercisable stock options of 3,335,401 and 1,976,398 at June 30, 2006 is approximately 7.2 years and 6.1 years, respectively. The total intrinsic value of the 1,020,961 stock options exercised during the six months ended June 30, 2006 was approximately $23.6 million. At June 30, 2006, the total stock-based compensation cost related to non-vested stock options remaining to be recognized as compensation expense over a weighted-average period of approximately 2.6 years is $9.2 million. |
21
7. | Stock Incentive Plans and Employee Stock Purchase Plans, Continued: | |
The aggregate intrinsic value of the 3,335,401 outstanding stock options and the 1,976,398 exercisable stock options presented above is approximately $57.6 million and $48.7 million, respectively. The excess tax benefit related to the exercise of stock options and the vesting of restricted stock for the six months ended June 30, 2006 was approximately $7.6 million. | ||
8. | Net Income Per Share: | |
Basic net income per share is calculated by dividing net income by the weighted average number of common shares outstanding during the period. Diluted net income per share is calculated by dividing net income by the weighted average number of common and potential common shares outstanding during the applicable period. Potential common shares consist of the dilutive effect of outstanding options and non-vested restricted stock calculated using the treasury stock method. Under the treasury stock method, the Company calculates the assumed excess tax benefits related to the potential exercise or vesting of its stock-based awards using the sum of the average market price for the applicable period less the option price, if any, and the fair value of the stock-based award on the date of grant multiplied by the applicable tax rate. | ||
The calculations of basic and diluted net income per share for the three and six months ended June 30, 2006 and 2005 are as follows (in thousands, except for per share data): |
Three Months Ended | Six Months Ended | |||||||||||||||
June 30, | June 30, | |||||||||||||||
2006 | 2005 | 2006 | 2005 | |||||||||||||
As restated (1) | As restated (1) | |||||||||||||||
Basic: |
||||||||||||||||
Net income applicable to common stock |
$ | 33,458 | $ | 26,787 | $ | 56,885 | 44,316 | |||||||||
Weighted average number of
common shares outstanding |
48,003 | 46,231 | 47,631 | 45,812 | ||||||||||||
Basic net income per share |
$ | 0.70 | $ | 0.58 | $ | 1.19 | $ | 0.97 | ||||||||
Diluted: |
||||||||||||||||
Net income applicable to common stock |
$ | 33,458 | $ | 26,787 | $ | 56,885 | $ | 44,316 | ||||||||
Weighted average number of
common shares outstanding |
48,003 | 46,231 | 47,631 | 45,812 | ||||||||||||
Weighted average number of
dilutive common stock equivalents |
1,458 | 1,588 | 1,548 | 1,654 | ||||||||||||
Weighted average number of
common and common equivalent
shares outstanding |
49,461 | 47,819 | 49,179 | 47,466 | ||||||||||||
Diluted net income per share |
$ | 0.68 | $ | 0.56 | $ | 1.16 | $ | 0.93 | ||||||||
(1) | Includes adjustments resulting from the stock option review as described in Note 3, Restatement of Consolidated Financial Statements. |
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8. | Net Income Per Share, Continued: | |
For the three months ended June 30, 2006 and 2005, the Company had approximately 47,000 and 38,000 outstanding employee stock options, respectively, that have been excluded from the computation of diluted earnings per share because they are anti-dilutive. For the six months ended June 30, 2006 and 2005, the Company had approximately 67,000 and 88,000 outstanding employee stock options, respectively, that have been excluded from the computation of diluted earnings per share because they are anti-dilutive. | ||
9. | Contingencies: | |
As described in Note 3, the Audit Committee of the Companys Board of Directors conducted a comprehensive review of the Companys historical practices related to the granting of stock options with the assistance of independent legal counsel and forensic accounting experts. The Company voluntarily contacted the staff of the SEC regarding the Audit Committees review and subsequently the SEC notified the Company that it had commenced a formal investigation into the Companys stock option practices. The Company has also had discussions with the U.S. Attorneys office for the Southern District of Florida regarding the Audit Committees review. Based on these discussions, the Company believes that the U.S. Attorneys office may make a request for various documents and information related to the review and the Companys stock option granting practices. The Company intends to continue full cooperation with the U.S. Attorneys office and the SEC. The Company cannot predict the outcome of these matters. | ||
In November 2006, the Company was notified that the FTC closed its investigation of the Companys acquisition of Magella and its business practices generally with a finding that no further action is warranted. | ||
Beginning in April 1999, the Company received requests from various federal and state investigators for information relating to its billing practices for services reimbursed by Medicaid, and the United States Department of Defenses TRICARE program for military dependents and retirees. From 1999 through 2002, a number of the individual state investigations were resolved through agreements to refund certain overpayments and reimburse certain costs to the states. In June 2003, the Company was advised by a United States Attorneys Office that it was conducting a civil investigation with respect to its Medicaid billing practices nationwide. The federal Medicaid investigation was initiated as a result of a complaint filed under seal by a third party, known as qui tam or whistleblower complaint, under the FCA which permits private individuals to bring confidential actions on behalf of the government. Beginning in late 2003, the federal Medicaid investigation, the TRICARE investigation, and related state inquiries were coordinated together. | ||
In February 2006, the Company announced that it had reached an agreement in principle on the amount of a financial settlement with federal and state authorities that would resolve the Medicaid, TRICARE and state billing investigations, subject to, among other things, completion and approval of final settlement agreements, including a corporate integrity agreement with the OIG. In September 2006, the Company announced that it had completed a final settlement agreement with the DOJ and the relator who initiated the qui tam complaint (Federal Settlement Agreement). In February 2007, the Company announced that it had completed separate state settlement agreements with each state Medicaid program involved in the settlement (the State Settlement Agreements). Under the terms of the Federal Settlement Agreement and State Settlement Agreements, the Company paid the federal government $25.1 million related to neonatal services provided from January 1996 through December 1999, of which $9.5 million was transferred to an escrow agent for distribution to each Medicaid-participating state that entered into a State Settlement Agreement with the Company. | ||
As part of the Federal Settlement Agreement, the Company entered into a five-year Corporate Integrity Agreement with the OIG. The Corporate Integrity Agreement acknowledges the existence of the Companys comprehensive Compliance Plan, which provides for policies and procedures aimed at ensuring the Companys adherence with federal healthcare program (FHC Program) requirements and requires the Company to maintain the Compliance Plan in full operation for the term of the Corporate Integrity Agreement. In addition, the Corporate Integrity Agreement requires, among other things, that the Company must comply with the following integrity obligations during the term of the Corporate Integrity Agreement: |
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9. | Contingencies, Continued: |
| maintaining a Compliance Officer and Compliance Committee to administer the Companys compliance with FHC Program requirements, the Companys Compliance Plan and the Corporate Integrity Agreement; | ||
| maintaining the Code of Conduct the Company previously developed, implemented, and distributed to its officers, directors, employees, contractors, subcontractors, agents, or other persons who provide patient care items or services (the Covered Persons); | ||
| maintaining the written policies and procedures the Company previously developed and implemented regarding the operation of the Compliance Plan and the Companys compliance with FHC Program requirements; | ||
| providing general compliance training to the Covered Persons as well as specific training to the Covered Persons who perform coding functions relating to claims for reimbursement from any FHC Program; | ||
| engaging an independent review organization to perform annual reviews of samples of claims from multiple hospital units to assist the Company in assessing and evaluating its coding, billing, and claims-submission practices; | ||
| maintaining the Disclosure Program the Company previously developed and implemented that includes a mechanism to enable individuals to disclose, to the Chief Compliance Officer or any person who is not in the disclosing individuals chain of command, issues or questions believed by the individual to be a potential violation of criminal, civil, or administrative laws; | ||
| not hiring or, if employed, removing from Pediatrixs business operations which are related to or compensated, in whole or part, by FHC Programs, persons (i) convicted of a criminal offense related to the provision of health care items or services or (ii) ineligible to participate in FHC Programs or Federal procurement or nonprocurement programs; | ||
| notifying the OIG of (i) new investigations or legal proceedings by a governmental entity or its agents involving an allegation that Pediatrix has committed a crime or has engaged in fraudulent activities, (ii) matters that a reasonable person would consider a probable violation of criminal, civil or administrative laws applicable to any FHC Program for which penalties or exclusion may be imposed, and (iii) the purchase, sale, closure, establishment, or relocation of any facility furnishing items or services that are reimbursed under FHC Programs; | ||
| reporting and returning overpayments received from FHC Programs; | ||
| submitting reports to the OIG regarding the Companys compliance with the Corporate Integrity Agreement; and | ||
| maintaining for inspection, for a period of six years from the effective date, all documents and records relating to reimbursement from the FHC Programs and compliance with the Corporate Integrity Agreement. |
Failure to comply with the Companys duties under the Corporate Integrity Agreement could result in substantial monetary penalties and in the case of a material breach, could even exclude the Company from participating in FHC Programs. | ||
The Company expects that additional audits, inquiries and investigations from government authorities and agencies will continue to occur in the ordinary course of business. Such audits, inquiries and investigations and their ultimate resolutions, individually or in the aggregate, could have a material adverse effect on the Companys business, financial condition, results of operations, cash flows or the trading price of the Companys common stock. | ||
In the ordinary course of its business, the Company becomes involved in pending and threatened legal actions and proceedings, most of which involve claims of medical malpractice related to medical services provided by its affiliated physicians. The Companys contracts with hospitals generally require it to indemnify them and their affiliates for losses |
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9. | Contingencies, Continued: | |
resulting from the negligence of the Companys affiliated physicians. The Company may also become subject to other lawsuits which could involve large claims and significant defense costs. The Company believes, based upon its review of pending actions and proceedings, that the outcome of such legal actions and proceedings will not have a material adverse effect on its business, financial condition or results of operations. The outcome of such actions and proceedings, however, cannot be predicted with certainty and an unfavorable resolution of one or more of them could have a material adverse effect on its business, financial condition, results of operations and the trading price of its common stock. | ||
The Company has received three letters from shareholders demanding that the Companys Board of Directors initiate legal proceedings against certain current and former officers and directors for, among other things, breaches of fiduciary duty in connection with Companys historical stock option granting practices. These demands have been reviewed by a special committee (Special Committee) of the Companys Board of Directors in connection with the review of the Companys stock option practices. The Special Committee has considered the matter and has determined that it is not in the best interest of the Company to take further action with respect to the Companys current management or directors. The Special Committee is still considering whether any future action should be taken regarding any former management or directors. The Company cannot predict whether any derivative actions will result from the shareholder demands, and if so, their outcomes. | ||
Although the Company currently maintains liability insurance coverage intended to cover professional liability and certain other claims, the Company cannot assure that its insurance coverage will be adequate to cover liabilities arising out of claims asserted against it in the future where the outcomes of such claims are unfavorable. With respect to professional liability insurance, the Company self-insures its liabilities to pay deductibles through a wholly owned captive insurance subsidiary. Liabilities in excess of the Companys insurance coverage, including coverage for professional liability and other claims, could have a material adverse effect on its business, financial condition, cash flows and results of operations. | ||
10. | Subsequent Events: | |
Since June 30, 2006, the Company has completed the acquisition of seven physician group practices. Total consideration paid for these acquired practices, inclusive of transaction costs, was approximately $37.5 million in cash. | ||
In August 2007, the Board of Directors of the Company authorized a share repurchase program
that allows the Company to repurchase up to $100 million of its common stock. The program
allows the Company to make open market purchases of its shares from time to time subject to
price, market and economic conditions and trading restrictions. |
25
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Pre-Tax | ||||||||||||||||
Stock-Based | ||||||||||||||||
Net Income As | Compensation | Related Income Tax | Net Income As | |||||||||||||
Year | Previously Reported | Expense Adjustments | Adjustments (2) | Restated (1) | ||||||||||||
1995 |
$ | 6,713 | $ | (18 | ) | $ | 3 | $ | 6,698 | |||||||
1996 |
13,120 | (6,546 | ) | 445 | 7,019 | |||||||||||
1997 |
20,913 | (6,101 | ) | 684 | 15,496 | |||||||||||
1998 |
29,099 | (5,577 | ) | 1,859 | 25,381 | |||||||||||
1999 |
25,038 | (3,622 | ) | 1,103 | 22,519 | |||||||||||
2000 |
10,986 | (1,549 | ) | 508 | 9,945 | |||||||||||
2001 |
30,428 | (1,423 | ) | 366 | 29,371 | |||||||||||
2002 |
68,776 | (1,686 | ) | 410 | 67,500 | |||||||||||
2003 |
84,328 | (1,794 | ) | 690 | 83,224 | |||||||||||
2004 |
98,279 | (2,976 | ) | 892 | 96,195 | |||||||||||
Cumulative effect at
December 31, 2004 |
387,680 | (31,292 | ) | 6,960 | 363,348 | |||||||||||
Three months Ended: |
||||||||||||||||
March 31, 2005 |
17,983 | (583 | ) | 129 | 17,529 | |||||||||||
June 30, 2005 |
27,127 | (341 | ) | 1 | 26,787 | |||||||||||
September 30, 2005 |
28,057 | (374 | ) | 10 | 27,693 | |||||||||||
December 31, 2005 |
15,870 | (355 | ) | (15 | ) | 15,500 | ||||||||||
2005 |
89,037 | (1,653 | ) | 125 | 87,509 | |||||||||||
Total |
$ | 476,717 | $ | (32,945 | ) | $ | 7,085 | $ | 450,857 | |||||||
(1) | Includes adjustments resulting from the stock option review as described in Note 3, Restatement of Consolidated Financial Statements. | |
(2) | The income tax adjustments include the impact of limitations on the deductibility of certain stock option grants and the recording of interest expense, in certain periods, relating to tax deductions previously taken which no longer qualify as deductible expenses. |
27
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29
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31
| In 2001, the Board of Directors approved an amendment to the Companys Amended and Restated Stock Option Plan that formalized in writing the authority of the Chief Executive Officer or President of the Company to grant stock options to certain employees within defined limits. | ||
| From 2001 to 2005, processes continued to improve over time with respect to Company-wide annual grants, particularly in relation to advanced planning, documentation, communication and approval by the Compensation Committee. | ||
| During 2004, processes were implemented to improve documentation relating to stock options granted under the authority delegated to the Chief Executive Officer and President. | ||
| In 2004, key controls relating to the accounting for stock-based awards were identified, test plans were developed and controls were tested. | ||
| In 2005, the Compensation Committee adopted a policy to make regular Company-wide annual grants of stock-based awards at mid-year. | ||
| In 2005, standardized documentation to evidence grants of stock-based awards was enhanced and reviewed by the Compensation Committee. |
32
| maintaining a Compliance Officer and Compliance Committee to administer our compliance with FHC Program requirements, our Compliance Plan and the Corporate Integrity Agreement; |
33
| maintaining the Code of Conduct we previously developed, implemented, and distributed to our officers, directors, employees, contractors, subcontractors, agents, or other persons who provide patient care items or services (the Covered Persons); | ||
| maintaining the written policies and procedures we previously developed and implemented regarding the operation of the Compliance Plan and our compliance with FHC Program requirements; | ||
| providing general compliance training to the Covered Persons as well as specific training to the Covered Persons who perform coding functions relating to claims for reimbursement from any FHC Program; | ||
| engaging an independent review organization to perform annual reviews of samples of claims from multiple hospital units to assist us in assessing and evaluating our coding, billing, and claims-submission practices; | ||
| maintaining the Disclosure Program we previously developed and implemented that includes a mechanism to enable individuals to disclose, to the Chief Compliance Officer or any person who is not in the disclosing individuals chain of command, issues or questions believed by the individual to be a potential violation of criminal, civil, or administrative laws; | ||
| not hiring or, if employed, removing from Pediatrixs business operations which are related to or compensated, in whole or part, by FHC Programs, persons (i) convicted of a criminal offense related to the provision of health care items or services or (ii) ineligible to participate in FHC Programs or Federal procurement or nonprocurement programs; | ||
| notifying the OIG of (i) new investigations or legal proceedings by a governmental entity or its agents involving an allegation that Pediatrix has committed a crime or has engaged in fraudulent activities, (ii) matters that a reasonable person would consider a probable violation of criminal, civil or administrative laws applicable to any FHC Program for which penalties or exclusion may be imposed, and (iii) the purchase, sale, closure, establishment, or relocation of any facility furnishing items or services that are reimbursed under FHC Programs; | ||
| reporting and returning overpayments received from FHC Programs; | ||
| submitting reports to the OIG regarding our compliance with the Corporate Integrity Agreement; and | ||
| maintaining for inspection, for a period of six years from the effective date, all documents and records relating to reimbursement from the FHC Programs and compliance with the Corporate Integrity Agreement. |
34
35
36
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Broker | ||||||||||||
Name | For | Withheld | Abstained | Non-Vote | ||||||||
Cesar L. Alvarez |
13,633,244 | 9,907,668 | 0 | 0 | ||||||||
Waldemar A. Carlo, M.D. |
15,771,658 | 7,769,254 | 0 | 0 | ||||||||
Michael B. Fernandez |
15,717,604 | 7,823,309 | 0 | 0 | ||||||||
Roger K. Freeman, M.D. |
14,676,717 | 8,864,195 | 0 | 0 | ||||||||
Paul G. Gabos |
14,534,883 | 9,006,029 | 0 | 0 | ||||||||
Roger J. Medel, M.D. |
15,789,462 | 7,751,450 | 0 | 0 | ||||||||
Lawrence M. Mullen * |
13,749,479 | 9,791,434 | 0 | 0 | ||||||||
Enrique J. Sosa, Ph.D |
15,503,012 | 8,037,901 | 0 | 0 | ||||||||
Pascal J. Goldschmidt, M.D. |
23,109,663 | 431,250 | 0 | 0 |
* | Since resigned. |
38
PEDIATRIX MEDICAL GROUP, INC. |
||||
Date: August 6, 2007 | By: | /s/ Roger J. Medel, M.D. | ||
Roger J. Medel, M.D., Chief Executive Officer | ||||
(principal executive officer) | ||||
Date: August 6, 2007 | By: | /s/ Karl B. Wagner | ||
Karl B. Wagner, Chief Financial Officer | ||||
(principal financial officer) |
39
Exhibit | ||||
No. | Description | |||
3.1 | Composite Articles of Incorporation of Pediatrix (incorporated by reference to Exhibit 3.1 to Pediatrixs Quarterly
Report on Form 10-Q for the period ended March 31, 2006). |
|||
3.2 | Amended and Restated Bylaws of Pediatrix (incorporated by reference to Exhibit 3.2 to Pediatrixs Quarterly Report on
Form 10-Q for the period ended June 30, 2000). |
|||
3.3 | Articles of Designation of Series A Junior Participating Preferred Stock of Pediatrix (incorporated by reference to
Exhibit 3.1 to Pediatrixs Current Report on Form 8-K dated March 31, 1999). |
|||
4.1 | Rights Agreement, dated as of March 31, 1999, between Pediatrix and BankBoston, N.A., as rights agent including the
form of Articles of Designations of Series A Junior Participating Preferred Stock and the form of Rights Certificate
(incorporated by reference to Exhibit 4.1 to Pediatrixs Current Report on Form 8-K dated March 31, 1999). |
|||
4.2 | Certificate of Adjustment to the Rights Agreement between Pediatrix and Computershare Trust Company N.A. (as successor
to BankBoston, N.A.) as rights agent (incorporated by reference to Exhibit 4.2 to Pediatrixs Current Report on Form
8-K dated April 27, 2006). |
|||
31.1+ | Certification of Chief Executive Officer pursuant to Securities Exchange Act Rule 13a-14(a), as adopted pursuant to
Section 302 of the Sarbanes-Oxley Act of 2002. |
|||
31.2+ | Certification of Chief Financial Officer pursuant to Securities Exchange Act Rule 13a-14(a), as adopted pursuant to
Section 302 of the Sarbanes-Oxley Act of 2002. |
|||
32+ | Certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. |
+ | Filed herewith. |
40