CNU Continucare Corp.

 

 

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

WASHINGTON, D.C. 20549

FORM 10-Q

x		QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 FOR THE QUARTERLY PERIOD ENDED MARCH 31, 2011

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 001-12115

CONTINUCARE CORPORATION

(Exact Name of Registrant as Specified in Its Charter)

Florida (State or Other Jurisdiction of Incorporation or Organization)		59-2716023 (IRS Employer Identification No.)

7200 Corporate Center Drive Suite 600 Miami, Florida (Address of Principal Executive Offices)		33126 (Zip Code)

(305) 500-2000
(Registrant’s Telephone Number, Including Area Code)

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   x   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 such shorter period that the registrant was required to submit and post such files). Yes   o   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 o		Accelerated filer x		Non-accelerated filer o		Smaller reporting company o
		(Do not check if a smaller reporting company)

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  Yes   o   No   x

At April 25, 2011, the Registrant had 60,630,766 shares of $0.0001 par value common stock outstanding.

 

 

CONTINUCARE CORPORATION

INDEX

PART I FINANCIAL INFORMATION
ITEM 1.		FINANCIAL STATEMENTS (Unaudited)
		Condensed Consolidated Balance Sheets – March 31, 2011 and June 30, 2010			3
		Condensed Consolidated Statements of Income – Three-Months Ended March 31, 2011 and 2010			4
		Condensed Consolidated Statements of Income – Nine-Months Ended March 31, 2011 and 2010			5
		Condensed Consolidated Statements of Cash Flows – Nine-Months Ended March 31, 2011 and 2010			6
		Notes to Condensed Consolidated Financial Statements – March 31, 2011			7
ITEM 2.		MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS			11
ITEM 3.		QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK			21
ITEM 4.		CONTROLS AND PROCEDURES			21
PART II OTHER INFORMATION
ITEM 1.		LEGAL PROCEEDINGS			22
ITEM 1A.		RISK FACTORS			22
ITEM 2.		UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS			22
ITEM 3.		DEFAULTS UPON SENIOR SECURITIES			22
ITEM 4.		(REMOVED AND RESERVED)			22
ITEM 5.		OTHER INFORMATION			22
ITEM 6.		EXHIBITS			22
SIGNATURES					23
EX-31.1
EX-31.2
EX-32.1
EX-32.2

PART I — FINANCIAL INFORMATION

ITEM 1. — FINANCIAL STATEMENTS

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED BALANCE SHEETS (Unaudited)

		March 31,				June 30,
		2011				2010
ASSETS
Current assets:
Cash and cash equivalents		$	44,623,706			$	37,542,445
Certificate of deposit			—				668,755
Due from HMOs, net of a liability for incurred but not reported medical claims expense of approximately $22,566,000 and $23,394,000 at March 31, 2011 and June 30, 2010, respectively			18,152,979				18,920,388
Prepaid expenses and other current assets			4,719,198				2,631,136
Deferred income tax assets			226,420				140,057
Total current assets			67,722,303				59,902,781
Property and equipment, net			15,172,276				12,728,184
Goodwill			79,579,182				73,994,444
Intangible assets, net of accumulated amortization of approximately $6,084,000 and $4,705,000 at March 31, 2011 and June 30, 2010, respectively			6,826,196				4,296,507
Deferred income tax assets			3,102,460				2,830,929
Other assets, net			130,490				112,747
Total assets		$	172,532,907			$	153,865,592
LIABILITIES AND SHAREHOLDERS’ EQUITY
Current liabilities:
Accounts payable		$	1,123,114			$	810,376
Accrued expenses and other current liabilities			6,601,118				9,041,162
Income taxes payable			409,383				590,673
Total current liabilities			8,133,615				10,442,211
Deferred income tax liabilities			7,517,372				7,145,507
Other liabilities			71,872				249,248
Total liabilities			15,722,859				17,836,966
Commitments and contingencies
Shareholders’ equity:
Common stock, $0.0001 par value: 100,000,000 shares authorized; 60,619,516 shares issued and outstanding at March 31, 2011 and 60,504,012 shares issued and outstanding at June 30, 2010			6,062				6,050
Additional paid-in capital			109,393,341				107,860,204
Accumulated earnings			47,410,645				28,162,372
Total shareholders’ equity			156,810,048				136,028,626
Total liabilities and shareholders’ equity		$	172,532,907			$	153,865,592

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (Unaudited)

		Three Months Ended
		March 31,
		2011				2010
Revenue		$	85,651,548			$	80,274,545
Operating expenses:
Medical services:
Medical claims			54,827,436				52,081,382
Other direct costs			10,215,020				8,052,068
Total medical services			65,042,456				60,133,450
Administrative payroll and employee benefits			4,720,727				5,208,903
General and administrative			5,632,261				5,194,384
Total operating expenses			75,395,444				70,536,737
Income from operations			10,256,104				9,737,808
Interest income (expense), net			160,813				(91,105	)
Income before income tax provision			10,416,917				9,646,703
Income tax provision			3,159,571				3,746,092
Net income		$	7,257,346			$	5,900,611
Net income per common share:
Basic		$	.12			$	.10
Diluted		$	.12			$	.09
Weighted average common shares outstanding:
Basic			60,588,236				59,984,393
Diluted			62,591,863				62,186,634

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF INCOME (Unaudited)

		Nine Months Ended
		March 31,
		2011				2010
Revenue		$	244,908,392			$	231,503,010
Operating expenses:
Medical services:
Medical claims			157,891,846				155,062,089
Other direct costs			28,826,420				23,425,011
Total medical services			186,718,266				178,487,100
Administrative payroll and employee benefits			12,055,232				12,260,742
General and administrative			16,368,515				13,771,529
Total operating expenses			215,142,013				204,519,371
Income from operations			29,766,379				26,983,639
Interest income (expense), net			190,235				(64,428	)
Income before income tax provision			29,956,614				26,919,211
Income tax provision			10,708,341				10,421,581
Net income		$	19,248,273			$	16,497,630
Net income per common share:
Basic		$	.32			$	.28
Diluted		$	.31			$	.27
Weighted average common shares outstanding:
Basic			60,568,574				59,657,867
Diluted			62,371,087				61,531,035

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

CONTINUCARE CORPORATION
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited)

		Nine Months Ended
		March 31,
		2011				2010
CASH FLOWS FROM OPERATING ACTIVITIES
Net income		$	19,248,273			$	16,497,630
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization			2,979,892				2,114,468
Change in liability for unrecognized tax benefit			(899,357	)			—
Provision for bad debt			241,199				—
Loss on disposal of fixed assets			11,163				10,946
Loss on impairment of fixed assets			—				96,000
Compensation expense related to issuance of stock options			1,454,589				1,125,443
Excess tax benefits related to exercise of stock options			(104,888	)			(336,288	)
Deferred income tax expense			13,971				206,238
Changes in operating assets and liabilities:
Due from HMOs, net			767,409				848,984
Prepaid expenses and other current assets			(964,648	)			(253,450	)
Other assets, net			(277	)			79,498
Accounts payable			45,017				205,799
Accrued expenses and other current liabilities			(3,527,410	)			1,209,457
Income taxes payable			966,125				(154,657	)
Net cash provided by operating activities			20,231,058				21,650,068
CASH FLOWS FROM INVESTING ACTIVITIES
Proceeds from maturity of certificates of deposit			668,755				575,603
Purchase of certificates of deposit			—				(8,368	)
Acquisition of sleep diagnostic centers, net of cash acquired			(10,804,712	)			(1,592,346	)
Purchase of property and equipment			(2,940,978	)			(2,672,866	)
Net cash used in investing activities			(13,076,935	)			(3,697,977	)
CASH FLOWS FROM FINANCING ACTIVITIES
Principal repayments under capital lease obligations			(151,422	)			(250,722	)
Proceeds from exercise of stock options			340,163				844,913
Shares withheld in connection with exercise of stock options			(366,491	)			—
Excess tax benefits related to exercise of stock options			104,888				336,288
Net cash (used in) provided by financing activities			(72,862	)			930,479
Net increase in cash and cash equivalents			7,081,261				18,882,570
Cash and cash equivalents at beginning of period			37,542,445				13,895,823
Cash and cash equivalents at end of period		$	44,623,706			$	32,778,393
SUPPLEMENTAL DISCLOSURE OF NONCASH INVESTING AND FINANCING ACTIVITIES:
Purchase of property and equipment with proceeds of capital lease obligations		$	—			$	222,172
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION:
Cash paid for taxes		$	10,627,602			$	10,370,000
Cash paid for interest		$	15,213			$	14,120

THE ACCOMPANYING NOTES ARE AN INTEGRAL PART
OF THESE CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2011
(UNAUDITED)

NOTE 1 — UNAUDITED INTERIM INFORMATION

The accompanying unaudited condensed consolidated financial statements of Continucare Corporation have been prepared in accordance with accounting principles generally accepted in the United States for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the information and notes required by accounting principles generally accepted in the United States for complete financial statements. In the opinion of management, all adjustments (consisting of normal recurring accruals) considered necessary for a fair presentation have been included. Operating results for the three and nine-month periods ended March 31, 2011 are not necessarily indicative of the results that may be reported for the remainder of the fiscal year ending June 30, 2011 or future periods. Except as otherwise indicated by the context, the terms “we”, “us”, “our”, “Continucare”, or the “Company”, refer to Continucare Corporation and its consolidated subsidiaries. All references to a “fiscal year” refer to the Company’s fiscal year which ends June 30. As used herein, Fiscal 2011 refers to the fiscal year ending June 30, 2011, Fiscal 2010 refers to the fiscal year ended June 30, 2010, and Fiscal 2009 refers to the fiscal year ended June 30, 2009.

The balance sheet at June 30, 2010 has been derived from the audited financial statements at that date, but does not include all of the information and notes required by accounting principles generally accepted in the United States for complete financial statements.

For further information, refer to the consolidated financial statements and notes thereto included in our Annual Report on Form 10-K for Fiscal 2010. These interim condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes to consolidated financial statements included in that report.

NOTE 2 — GENERAL

We are primarily a provider of primary care physician services on an outpatient basis in Florida. We provide medical services to patients through employee physicians, advanced registered nurse practitioners and physician’s assistants. Substantially all of our revenue is derived from managed care agreements with three health maintenance organizations, Humana Medical Plans, Inc. (“Humana”), Vista Healthplan of South Florida, Inc. and its affiliated companies including Summit Health Plan, Inc. (“Vista”), and Wellcare Health Plans, Inc. and its affiliated companies (“Wellcare”) (collectively, the “HMOs”). Additionally, we provide practice management services to independent physician affiliates (“IPAs”). Also, through our subsidiary, Seredor Corporation, we operate sleep diagnostic centers in 15 states.

In August 2010 and September 2010, we acquired three operators of sleep diagnostic centers and a related entity that provides continuous positive airway pressure (CPAP) devices and supplies. The three acquired operators of sleep diagnostic centers operate a combined 58 sleep diagnostic centers in nine states. The aggregate total purchase price for these acquired entities consisted of cash consideration paid of $11.2 million and future contingent cash consideration up to a maximum of $2.0 million subject to the achievement of certain future earnings targets. We accrued $1.5 million of the contingent cash consideration based on a preliminary fair value estimate on the acquisition date, which was determined using significant unobservable inputs (Level 3) in a probability-weighted income approach, discounted to present value using a weighted-average cost of capital. As of March 31, 2011, we re-measured the fair value of the contingent cash consideration and made no adjustments to the accrued liability of $1.5 million. In April 2011, we paid $0.7 million of the contingent cash consideration resulting in a remaining maximum contingent cash consideration of $1.0 million. We will re-measure the estimated fair value of the contingent cash consideration on a quarterly basis and any subsequent adjustments based on actual payments or revised estimates will be recognized in the condensed consolidated statements of income during the period of adjustment. The revenues, expenses and results of operations of the acquired companies have been included in our condensed consolidated statements of income from the dates of acquisition.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2011
(UNAUDITED)

NOTE 3 — GOODWILL AND OTHER INTANGIBLE ASSETS

The most significant component of the goodwill and other intangible assets included in the accompanying condensed consolidated balance sheets consists of the goodwill and other intangible assets recorded in connection with the acquisition of Miami Dade Health Centers, Inc. and its affiliated companies (collectively, the “MDHC Companies”) in October 2006. Goodwill and other identifiable intangible assets recorded in connection with the acquisition of the MDHC Companies were $58.9 million and $8.7 million, respectively. The identifiable intangible assets of $8.7 million consisted of estimated fair values of $1.6 million assigned to the trade name, $6.2 million to customer relationships and $0.9 million to a noncompete agreement. The trade name was determined to have an estimated useful life of six years and the customer relationships and noncompete agreements were each determined to have estimated useful lives of eight and five years, respectively. The fair values of the customer relationships and other identifiable intangible assets are amortized over their estimated lives using the straight-line method. The weighted average amortization period for these identifiable intangible assets is 7.1 years. The customer relationships are non-contractual. The fair value of the identifiable intangible assets was determined, with the assistance of an outside valuation firm, based on standard valuation techniques.

During the nine-month period ended March 31, 2011, the purchase price related to the acquisition of the three operators of sleep diagnostic centers and a related entity that provides CPAP devices and supplies was allocated, on a preliminary basis, to the estimated fair values of the acquired tangible and intangible assets and the assumed liabilities. Goodwill and other identifiable intangible assets recorded in connection with these acquisitions were $5.6 million and $3.9 million, respectively. The identifiable intangible assets of $3.9 million, which primarily consist of the estimated fair value of customer relationships, have a weighted average amortization period of 5.1 years. The fair value of the identifiable intangible assets was determined based on standard valuation techniques.

Total amortization expense for identifiable intangible assets was $0.5 million and $0.3 million for the three-month periods ended March 31, 2011 and 2010, respectively, and $1.4 million and $1.0 million for the nine-month periods ended March 31, 2011 and 2010, respectively.

The change in goodwill for our two reporting units during the nine-month period ended March 31, 2011 was as follows:

		Provider				Sleep
		Services				Services				Total
Balance at June 30, 2010		$	73,204,582			$	789,862			$	73,994,444
Acquisition of sleep diagnostic centers			—				5,644,530				5,644,530
Purchase price adjustments			—				(59,792	)			(59,792	)
Balance at March 31, 2011		$	73,204,582			$	6,374,600			$	79,579,182

NOTE 4 — SHARE-BASED PAYMENT

We recognize the cost relating to share-based payment transactions, based on the fair value of the share-based awards issued, in the financial statements over the period services are rendered.

We calculate the fair value for employee stock options using a Black-Scholes option pricing model at the time the stock options are granted and that amount is amortized over the vesting period of the stock options, which is generally up to four years. The fair value for employee stock options granted during the three-month periods ended March 31, 2011 and 2010 was calculated based on the following assumptions: risk-free interest rate ranging from 0.74% to 2.58% and 1.02% to 3.05%, respectively; dividend yield of 0%; weighted-average volatility factor of the expected market price of our common stock of 58.5% and 60.3%, respectively; and weighted-average expected life of the options ranging from 3 to 7 years depending on the vesting provisions of each option. The fair value for employee stock options granted during the nine-month periods ended March 31, 2011 and 2010 was calculated based on the following assumptions: risk-free interest rate ranging from 0.63% to 2.58% and 0.73% to 3.05%, respectively; dividend yield of 0%; weighted-average volatility factor of the expected market price of our common stock of 59.5% and 60.5%, respectively; and weighted-average expected life of the options ranging from 3 to 7 years

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2011
(UNAUDITED)

depending on the vesting provisions of each option. The expected life of the options is based on the historical exercise behavior of our employees. The expected volatility factor is based on the historical volatility of the market price of our common stock as adjusted for certain events that management deemed to be non-recurring and non-indicative of future events.

For the three and nine-month periods ended March 31, 2011, we recognized share-based compensation expense of $0.7 million and $1.5 million, respectively. For the three and nine-month periods ended March 31, 2010, we recognized share-based compensation expense of $0.5 million and $1.1 million, respectively. For the three and nine-month periods ended March 31, 2011, we recognized excess tax benefits resulting from the exercise of stock options of approximately $49,700 and $0.1 million, respectively. For the three and nine-month periods ended March 31, 2010, we recognized excess tax benefits resulting from the exercise of stock options of approximately $0.1 million and $0.3 million, respectively.

NOTE 5 — DEBT

In December 2009, we entered into a credit facility agreement (the “Credit Facility”) in order to renew and refinance our existing credit facilities. The Credit Facility consists of two revolving credit facilities totaling $10.0 million with a maturity date of January 31, 2012. Interest on borrowings under the Credit Facility accrues at a per annum rate equal to the sum of 2.40% and the one-month LIBOR (0.24% at March 31, 2011), floating daily. The Credit Facility contains certain customary representations and warranties, and certain financial and other customary covenants including covenants requiring us, on a consolidated basis, to maintain an adjusted tangible net worth of at least $25 million and a fixed charge coverage ratio of not less than 1.50 to 1. Substantially all of our assets serve as collateral for the Credit Facility. At March 31, 2011, there was no outstanding principal balance on the Credit Facility. At March 31, 2011, we had letters of credit outstanding of $1.3 million which reduced the amount available for borrowing under the Credit Facility to $8.7 million.

NOTE 6 — EARNINGS PER SHARE

A reconciliation of the denominator of the basic and diluted earnings per share computation is as follows:

		Three Months Ended								Nine Months Ended
		March 31,								March 31,
		2011				2010				2011				2010
Basic weighted average number of shares outstanding			60,588,236				59,984,393				60,568,574				59,657,867
Dilutive effect of stock options			2,003,627				2,202,241				1,802,513				1,873,168
Diluted weighted average number of shares outstanding			62,591,863				62,186,634				62,371,087				61,531,035
Not included in calculation of diluted earnings per share as impact is antidilutive:
Stock options outstanding			230,000				—				230,000				—

NOTE 7 — INCOME TAXES

We recognize deferred income tax assets and liabilities based upon differences between the financial reporting and tax bases of assets and liabilities. We measure such assets and liabilities using the enacted tax rates and laws that will be in effect when the differences are expected to reverse.

We recorded an income tax provision of $3.2 million and $3.7 million for the three-month periods ended March 31, 2011 and 2010, respectively, and $10.7 million and $10.4 million for the nine-month periods ended March 31, 2011 and 2010, respectively.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS
MARCH 31, 2011
(UNAUDITED)

We recorded a liability for unrecognized tax benefits of approximately $1.0 million at June 30, 2010, which includes accrued interest of approximately $0.1 million, and included such liability in accrued expenses and other current liabilities on the condensed consolidated balance sheets. We recognized interest accrued related to unrecognized tax benefits in interest expense. During the three-month period ended March 31, 2011, our liability for unrecognized tax benefits decreased by approximately $1.0 million and our income tax provision and interest expense decreased by $0.9 million and $0.1 million, respectively, as a result of the lapse of the applicable statute of limitations. We are no longer subject to tax examinations by tax authorities for fiscal years ended on or prior to June 30, 2007.

NOTE 8 — RELATED PARTY TRANSACTIONS

We are a party to a lease agreement for office space owned by Dr. Luis Cruz, a director of the Company through February 2010. For each of the three and nine-month periods ended March 31, 2011 and 2010, expenses related to this lease were approximately $0.1 million and $0.3 million, respectively.

Effective December 31, 2009, we terminated our agreements with Centers of Medical Excellence, Inc., an entity owned by Dr. Cruz, pursuant to which this entity acted as one of our independent physician affiliates in connection with the provision of primary care health services to a limited number of Medicare Advantage members enrolled in plans sponsored by CarePlus Health Plans, Inc. For the three and nine-month periods ended March 31, 2010, we recognized an operating loss of $0.3 million and an operating profit of $0.3 million, respectively, related to this arrangement.

In October 2008, we entered into a joint venture with Dr. Jacob Nudel, a director of the Company, that sought to establish special purpose medical provider networks. We made contributions of approximately $0.1 million and $0.3 million, respectively, during the three and nine-month periods ended March 31, 2010 to fund the operations of the joint venture. In April 2010, we terminated the business activities of the joint venture.

NOTE 9 — CONTINGENCIES

We are involved in legal proceedings incidental to our business that arise from time to time in the ordinary course of business including, but not limited to, claims related to the alleged malpractice of employed and contracted medical professionals, workers’ compensation claims and other employee-related matters, and minor disputes with equipment lessors and other vendors. We have recorded an accrual for claims related to legal proceedings, which includes amounts for insurance deductibles and projected exposure, based on management’s estimate of the ultimate outcome of such claims. We do not believe that the ultimate resolution of these matters will have a material adverse effect on our business, results of operations, financial condition, or cash flows. However, the results of these matters cannot be predicted with certainty, and an unfavorable resolution of one or more of these matters could have a material adverse effect on our business, results of operations, financial condition, cash flow, and prospects.

The Centers for Medicare and Medicaid Services (“CMS”) is performing audits of selected Medicare Advantage plans to validate the provider coding practices under the risk-adjustment methodology used to reimburse Medicare Advantage plans. These audits involve a review of a sample of medical records for the HMO contracts selected for audit. CMS has selected for audit several of the contracts of our HMO affiliates for the 2007 contract year and we expect that CMS will continue conducting such audits beyond the 2007 contract year. Due to the uncertainties principally related to CMS’ audit payment adjustment methodology, we are unable to determine whether these audits would ultimately result in an unfavorable adjustment to us. Accordingly, we are unable to estimate the financial impact of such adjustment if one occurs as a result of these audits. Although the amount of the adjustment to us, if any, is not reasonably estimable at this time, such adjustment may have a material adverse effect on our results of operations, financial position, and cash flows.

NOTE 10 — SUBSEQUENT EVENTS

We evaluated subsequent events for recognition or disclosure through the time these financial statements were filed in this quarterly report on Form 10-Q.

ITEM 2.		MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS

     Unless otherwise indicated or the context otherwise requires, all references in this Quarterly Report on Form 10-Q to “we,” “us,” “our,” “Continucare” or the “Company” refers to Continucare Corporation and its consolidated subsidiaries. All references to the “MDHC Companies” refer to Miami Dade Health Centers, Inc. and its affiliated companies.

     The following discussion and analysis should be read in conjunction with the unaudited condensed consolidated financial statements and notes thereto appearing elsewhere in this Quarterly Report on Form 10-Q.

General

     We are primarily a provider of primary care physician services. Through our network of 18 medical centers, we provide primary care medical services on an outpatient basis. We also provide practice management services to independent physician affiliates (“IPAs”). All of our medical centers and IPAs are located in Miami-Dade, Broward and Hillsborough Counties, Florida. Substantially all of our revenues are derived from managed care agreements with three health maintenance organizations (“HMOs”), Humana Medical Plans, Inc. (“Humana”), Vista Healthplan of South Florida, Inc. and its affiliated companies including Summit Health Plan, Inc. (“Vista”), and Wellcare Health Plans, Inc. and its affiliated companies (“Wellcare”). Our managed care agreements with these HMOs are primarily risk agreements under which we receive for our services a monthly capitated fee with respect to the patients assigned to us. The capitated fee is a percentage of the premium that the HMOs receive with respect to those patients. In return, we assume full financial responsibility for the provision of all necessary medical care to our patients even for services we do not provide directly. For the nine-month period ended March 31, 2011, approximately 87% and 7% of our revenue was generated by providing services to Medicare-eligible and Medicaid-eligible members, respectively, under such risk arrangements. As of March 31, 2011, we provided services to or for approximately 25,900 patients on a risk basis and approximately 8,400 patients on a limited or non-risk basis. Additionally, we also provided services to over 6,000 patients on a non-risk fee-for-service basis.

     We also operate or manage sleep diagnostic centers at over 70 locations in 15 states through Seredor Corporation, a subsidiary established to conduct sleep service activities. The centers conduct sleep studies to determine whether patients suffer from sleep disorders and, if so, the severity of the condition. The clinical staff at the centers are expertly trained in sleep disorders and work with physicians, respiratory therapists, and clinicians utilizing state-of-the-art equipment to effectively diagnose and treat patients. In August 2010 and September 2010, we acquired three operators of sleep diagnostic centers and a related entity that provides continuous positive airway pressure (CPAP) devices and supplies. The aggregate total purchase price for these acquired entities consisted of cash consideration paid of $11.2 million and future contingent cash consideration up to a maximum of $2.0 million subject to the achievement of certain future earnings targets. In April 2011, we paid $0.7 million of the contingent cash consideration resulting in a remaining maximum contingent cash consideration of $1.0 million. The three acquired operators of sleep diagnostic centers operate a combined 58 sleep diagnostic centers in nine states.

Medicare and Medicaid Considerations

     Substantially all of our revenue is generated by providing services to Medicare-eligible patients and Medicaid-eligible patients. The federal government has enacted significant reforms to the U.S. health care system which will have an impact on future revenues that we generate from our Medicare and Medicaid patients. In March 2010, the President signed into law The Patient Protection and Affordable Care Act, and The Health Care and Education Reconciliation Act of 2010. The provisions of these new laws include, among other things, limitations on Medicare Advantage payment rates and Medicaid coverage expansion to individuals with incomes under 133% of the poverty level beginning in 2014. Because there is considerable uncertainty regarding the financial impact of these reforms, we cannot currently predict the effect such reforms will have on our business. However, the lowering of future Medicare Advantage payment rates as well as other provisions of these new laws may have a material adverse effect on our business, results of operations, financial position and cash flows.

     As a result of the Medicare Prescription Drug Plan, our HMO affiliates have established or expanded prescription drug benefit plans for their Medicare Advantage members. Under the terms of our risk arrangements, we are financially responsible for a substantial portion of the cost of the prescription drugs our patients receive, and, in exchange, our HMO affiliates have agreed to provide us with an additional per member capitated fee related to prescription drug coverage. However, there can be no assurance that the additional fee that we receive will be sufficient to reimburse us for the additional costs that we may incur under the Medicare Prescription Drug Plan.

     In addition, the premiums our HMO affiliates receive from the Centers for Medicare and Medicaid Services (“CMS”) for their Medicare Prescription Drug Plans is subject to periodic adjustment, positive or negative, based upon the application of risk corridors that compare their plans’ revenues targeted in their bids to actual prescription drug costs. Variances exceeding certain thresholds may result in CMS making additional payments to the HMOs or require the HMOs to refund to CMS a portion of the payments they received. Our contracted HMO affiliates estimate and periodically adjust premium revenues related to the risk corridor payment adjustment, and a portion of the HMO’s estimated premium revenue adjustment is allocated to us. As a result, the revenues recognized under our risk arrangements with our HMO affiliates are net of the portion of the estimated risk corridor adjustment allocated to us. The portion of any such risk corridor adjustment that the HMOs allocate to us may not directly correlate to the historical utilization patterns of our patients or the costs that we may incur in future periods. Our HMO affiliates allocated to us adjustments related to their risk corridor payments which had the effect of reducing our operating income by $0.3 million during each of the nine-month periods ended March 31, 2011 and 2010. No such adjustments were allocated to us during the three-month periods ended March 31, 2011 and 2010.

Critical Accounting Policies and Estimates

     Our significant accounting policies are described in Note 2 to the consolidated financial statements included in our Annual Report on Form 10-K for Fiscal 2010. Included within these policies are certain policies which contain critical accounting estimates and, therefore, have been deemed to be “critical accounting policies.” Critical accounting estimates are those which require management to make assumptions about matters that were uncertain at the time the estimate was made and for which the use of different estimates, which reasonably could have been used, or changes in the accounting estimates that are reasonably likely to occur from period to period, could have a material impact on the presentation of our financial condition, changes in financial condition or results of operations.

     We base our estimates and assumptions on historical experience, knowledge of current events and anticipated future events, and we continuously evaluate and update our estimates and assumptions. However, our estimates and assumptions may ultimately prove to be incorrect or incomplete and our actual results may differ materially. We believe the following critical accounting policies involve the most significant judgments and estimates used in the preparation of our consolidated financial statements.

Revenue Recognition

     Under our risk contracts with HMOs, we receive a percentage of premium or other capitated fee for each patient that chooses one of our physicians as their primary care physician. Revenue under these agreements is generally recorded in the period we assume responsibility to provide services at the rates then in effect as determined by the respective contract. As part of the Medicare Advantage program, CMS periodically recomputes the premiums to be paid to the HMOs based on the updated health status of participants and updated demographic factors. In addition, the premiums paid to the HMOs are subject to periodic adjustment based on CMS’s risk corridor adjustment methodology related to the Medicare Prescription Drug Plan. We record adjustments to revenue at the time that the information necessary to make the determination of the adjustment is received from the HMO or the applicable government body and it is determined that the collectibility of such adjustments is reasonably assured or the likelihood of repayment is probable. The net effect of these premium adjustments included in revenue were unfavorable retroactive Medicare adjustments of approximately $41,000 and favorable retroactive Medicare adjustments of $0.3 million, respectively, for the three-month periods ended March 31, 2011 and 2010, and unfavorable retroactive Medicare adjustments of approximately $34,000 and a favorable retroactive Medicare adjustments of $0.4 million, respectively, for the nine-month periods ended March 31, 2011 and 2010.

     Under our risk agreements, we assume responsibility for the cost of all medical services provided to the patient, even those we do not provide directly, in exchange for a percentage of premium or other capitated fee. To the extent that patients require more frequent or expensive care, our revenue under a contract may be insufficient to cover the costs of care provided. When it is probable that expected future health care costs and maintenance costs under a contract or group of existing contracts will exceed anticipated capitated revenue on those contracts, we recognize losses on our prepaid health care services with HMOs. No contracts were considered loss contracts at March 31, 2011 because we have the right to terminate unprofitable physicians and close unprofitable centers under our managed care contracts.

     Under our limited risk and non-risk contracts with HMOs, we receive a capitation fee or management fee based on the number of patients for which we are providing services on a monthly basis. Under our limited risk contracts, we also receive a percentage of the surplus generated as determined by the respective contract. The fees and our portion of the surplus generated under these arrangements are recorded as revenue in the period in which services are provided as determined by the respective contract.

     Payments under both our risk contracts and our non-risk contracts (for both the Medicare Advantage program as well as Medicaid) are also subject to reconciliation based upon historical patient enrollment data. We record any adjustments to this revenue at the time that the information necessary to make the determination of the adjustment is received from the HMO or the applicable governmental body.

Medical Claims Expense Recognition

     The cost of health care services provided or contracted for is accrued in the period in which the services are provided. This cost includes our estimate of the related liability for medical claims incurred in the period but not yet reported, or IBNR. The liability for IBNR is presented in the balance sheet netted against amounts due from HMOs. Changes in this estimate can materially affect, either favorably or unfavorably, our results of operations and overall financial position.

     We develop our estimate of IBNR primarily based on historical claims incurred per member per month. We adjust our estimate if we have unusually high or low utilization or if benefit changes provided under the HMO plans are expected to significantly increase or reduce our claims exposure. We also make adjustments for differences between the estimated claims expense recorded in prior months and actual claims expense as claims are paid by the HMO and reported to us. We use an actuarial analysis as an additional tool to further corroborate our estimate of IBNR.

     As medical claims are settled, actual amounts paid for claims incurred in prior periods vary from previously estimated liabilities. During the three-month periods ended March 31, 2011 and 2010, we recorded unfavorable adjustments of $0.4 million and favorable adjustments of $1.1 million, respectively, to medical claims expense as a result of the differences between the amounts paid for claims incurred in prior periods and the related liabilities for IBNR previously recorded. The developments in medical claims expense during these periods primarily resulted from unfavorable and favorable variances between actual and estimated utilization outcomes during the three-month periods ended March 31, 2011 and 2010, respectively. These adjustments represented 0.8% and 2.1% of total medical claims expense recorded for the three-month periods ended March 31, 2011 and 2010, respectively.

     During each of the nine-month periods ended March 31, 2011 and 2010, we recorded favorable adjustments of $1.0 million to medical claims expense as a result of the differences between the amounts paid for claims incurred in prior periods and the related liabilities for IBNR previously recorded. The favorable developments in medical claims expense during the nine-month periods ended March 31, 2011 and 2010 primarily resulted from better than estimated utilization outcomes during this period. These adjustments represented 0.6% and 0.7% of total medical claims expense recorded for the nine-month periods ended March 31, 2011 and 2010, respectively.

     Based on our analysis, as of March 31, 2011, we recorded a liability of approximately $22.6 million for IBNR. The liability for IBNR as of March 31, 2011 decreased by $0.8 million, or 3.5%, to $22.6 million from $23.4 million as of June 30, 2010 primarily due to the timing of claims paid by our HMO affiliates. The liability for IBNR as of March 31, 2010 of $23.1 million decreased by $0.6 million, or 2.6%, from $23.7 million as of June 30, 2009 primarily due to improved utilization outcomes.

Consideration of Impairment Related to Goodwill and Other Intangible Assets

     Our balance sheet includes intangible assets, including goodwill and other separately identifiable intangible assets, of approximately $86.4 million, which represented approximately 50% of our total assets at March 31, 2011. The most significant component of the intangible assets consists of the intangible assets recorded in connection with the acquisition of the MDHC Companies in October 2006. The purchase price, including acquisition costs, of approximately $66.2 million was allocated to the estimated fair value of acquired tangible assets of $13.9 million, identifiable intangible assets of $8.7 million and assumed liabilities of $15.3 million as of October 1, 2006, resulting in goodwill totaling $58.9 million.

     We do not amortize goodwill and intangible assets with indefinite useful lives. We review such assets for impairment on an annual basis or more frequently if certain indicators of impairment arise. We amortize intangible assets with definite useful lives over their respective useful lives to their estimated residual values and also review for impairment annually, or more frequently if certain indicators of impairment arise. Indicators of an impairment include, among other things, a significant adverse change in legal factors or the business climate, the loss of a key HMO contract, an adverse action by a regulator, unanticipated competition, and the loss of key personnel or allocation of goodwill to a portion of a business that is to be sold.

     We completed our annual impairment test as of May 1, 2010 and determined that no impairment existed. In addition, no indicators of impairment were noted and accordingly, no impairment charges were required at March 31, 2011. Should we later determine that an indicator of impairment exists, we would be required to perform an additional impairment test.

Realization of Deferred Income Tax Assets

     We recognize deferred income tax assets and liabilities using enacted tax rates for the effect of temporary differences between the book and tax bases of recorded assets and liabilities. We evaluate the realizability of the deferred income tax assets and reduce such assets by a valuation allowance if it is more likely than not that some portion or all of the deferred income tax asset will not be realized.

     As part of the process of preparing our consolidated financial statements, we estimate our income taxes based on our actual current tax exposure together with assessing temporary differences resulting from differing treatment of items for tax and accounting purposes. We also recognize as deferred income tax assets the future tax benefits from net operating loss carryforwards. We evaluate the realizability of these deferred income tax assets by assessing their valuation allowances and by adjusting the amount of such allowances, if necessary. Among the factors used to assess the likelihood of realization are our projections of future taxable income streams, the expected timing of the reversals of existing temporary differences, and the impact of tax planning strategies that could be implemented to avoid the potential loss of future tax benefits. However, changes in tax codes, statutory tax rates or future taxable income levels could materially impact our valuation of tax accruals and assets and could cause our provision for income taxes to vary significantly from period to period. At March 31, 2011, we had deferred income tax liabilities in excess of deferred income tax assets of approximately $4.2 million.

Share-Based Payment

     We recognize the cost relating to share-based payment transactions, based on the fair value of the share-based awards issued, in the financial statements over the period services are rendered. We recognized share-based compensation expense of $0.7 million and $0.5 million, respectively, for the three-month periods ended March 31, 2011 and 2010, and $1.5 million and $1.1 million for the nine-month periods ended March 31, 2011 and 2010, respectively. For the three and nine-month periods ended March 31, 2011, we recognized excess tax benefits resulting from the exercise of stock options of approximately $49,700 and $0.1 million, respectively. For the three and nine-month periods ended March 31, 2010, we recognized excess tax benefits resulting from the exercise of stock options of approximately $0.1 million and $0.3 million, respectively.

     We calculate the fair value of employee stock options using the Black-Scholes option pricing model at the time the stock options are granted and that amount is amortized over the vesting period of the stock options, which is generally up to four years. The fair value for employee stock options granted during the three-month periods ended March 31, 2011 and 2010 was calculated based on the following assumptions: risk-free interest rate ranging from 0.74% to 2.58% and 1.02% to 3.05%, respectively; dividend yield of 0%; weighted-average volatility factor of the expected market price of our common stock of 58.5% and 60.3%, respectively, and weighted-average expected life of the options ranging from 3 to 7 years depending on the vesting provisions of each option. The fair value for employee stock options granted during the nine-month periods ended March 31, 2011 and 2010 was calculated based on the following assumptions: risk-free interest rate ranging from 0.63% to 2.58% and 0.73% to 3.05%, respectively; dividend yield of 0%; weighted-average volatility factor of the expected market price of our common stock of 59.5% and 60.5%, respectively, and weighted-average expected life of the options ranging from 3 to 7 years depending on the vesting provisions of each option. The expected life of the options is based on the historical exercise behavior of our employees. The expected volatility factor is based on the historical volatility of the market price of our common stock as adjusted for certain events that management deemed to be non-recurring and non-indicative of future events.

     Because our stock options have characteristics significantly different from traded options and because changes in the subjective input assumptions can materially affect the fair value estimate, in management’s opinion, it is possible that existing option valuation models may not necessarily provide a reliable measure of the fair value of our employee stock options. We selected the Black-Scholes model based on our prior experience with it, its wide use by issuers comparable to us, and our review of alternate option valuation models.

     The effect of applying the fair value method of accounting for stock options on reported net income for any period may not be representative of the effects for future periods because our outstanding options typically vest over a period of several years and additional awards may be made in future periods.

RESULTS OF OPERATIONS

COMPARISON OF THE THREE-MONTH PERIOD ENDED MARCH 31, 2011 TO THE THREE- MONTH PERIOD ENDED MARCH 31, 2010

Revenue

     Revenue increased by $5.4 million, or 6.7%, to $85.7 million for the three-month period ended March 31, 2011 from $80.3 million for the three-month period ended March 31, 2010 due primarily to increases in our Medicare revenue and in our revenue related to the operations of the sleep diagnostic centers.

     The most significant component of our revenue is the revenue we generate from Medicare patients under risk arrangements which increased by $2.2 million, or 3.0%, during the three-month period ended March 31, 2011. During the three-month period ended March 31, 2011, revenue generated by our Medicare risk arrangements increased approximately 4.6% on a per patient per month basis and Medicare patient months decreased by approximately 1.5% over the comparable period of Fiscal 2010. The increase in the per member per month Medicare revenue was primarily due to an increase in premiums resulting from the Medicare risk adjustment program.

     Effective January 1, 2011, the capitation payments we receive under our percentage of premium arrangements with our HMO affiliates for our Medicare Advantage patients decreased by approximately 2% before taking into account any premium adjustments resulting from changes in Medicare risk adjustment scores. After taking into account our premium adjustments resulting from changes in Medicare risk adjustment scores, revenue generated by our Medicare risk arrangements increased approximately 4.6% on a per patient per month basis for the three-month period ended March 31, 2011.

     Under the Medicare risk adjustment program, the health status and demographic factors of Medicare Advantage participants are taken into account in determining premiums paid for each participant. CMS periodically recomputes the premiums to be paid to the HMOs based on the updated health status and demographic factors of the Medicare Advantage participants. In addition, the premiums paid to the HMOs for their Medicare Prescription Drug Plan are subject to periodic adjustment based upon CMS’s risk corridor adjustment methodology. The net effect of the premium adjustments included in revenue for the three-month periods ended March 31, 2011 and 2010 were unfavorable retroactive Medicare adjustments of approximately $41,000 and favorable retroactive Medicare adjustments of approximately $0.3 million, respectively. Future Medicare risk adjustments may result in reductions of revenue depending on the future health status and demographic factors of our patients as well as the application of CMS’s risk corridor methodology to the HMOs Medicare Prescription Drug Programs.

     Revenue generated by our managed care entities under contracts with Humana, Vista and Wellcare accounted for approximately 69%, 20% and 5%, respectively, of our total revenue for the three-month period ended March 31, 2011. Revenue generated by our managed care entities under contracts with Humana, Vista and Wellcare accounted for approximately 73%, 20% and 6%, respectively, of our total revenue for the three-month period ended March 31, 2010.

Operating Expenses

     Medical services expenses are comprised of medical claims expense and other direct costs related to the provision of medical services to our patients. Because our risk contracts with HMOs provide that we are financially responsible for the cost of substantially all medical services provided to our patients under those contracts, our medical claims expense includes the costs of prescription drugs our patients receive as well as medical services provided to patients under our risk contracts by providers other than us. Other direct costs consist primarily of salaries, taxes and benefits of our health professionals providing primary care services including a portion of our stock-based compensation expense, medical malpractice insurance costs, capitation payments to our IPA physicians and fees paid to independent contractors providing medical services to our patients.

     Medical services expenses for the three-month period ended March 31, 2011 increased by $4.9 million, or 8.2%, to $65.0 million from $60.1 million for the three-month period ended March 31, 2010. Medical claims expense, which is the largest component of medical services expense, increased by $2.7 million, or 5.3%, to $54.8 million for the three-month period ended March 31, 2011 from $52.1 million for the three-month period ended March 31, 2010 primarily due to an increase in Medicare claims expense of $2.5 million, or 5.4%. The increase in Medicare claims expense resulted from a 7.1% increase in medical claims expense on a per patient per month basis, partially offset by a decrease of 1.5% in Medicare patient months. The increase in Medicare per patient per month medical claims expense was primarily attributable to enhanced benefits offered by our HMO affiliates in 2011 and inflationary trends in the health care industry.

     As a percentage of revenue, medical services expenses increased to 75.9% for the three-month period ended March 31, 2011 as compared to 74.9% for the three-month period ended March 31, 2010. Our claims loss ratio (medical claims expense as a percentage of revenue generated under risk arrangements) increased to 68.1% for the three-month ended March 31, 2011 from 66.3% for the three-month period ended March 31, 2010. These increases were primarily due to an increase in Medicare revenue at a lower rate than the increase in Medicare claims expense on a per patient per month basis. HMOs are under continuous competitive pressure to offer enhanced and possibly more expensive benefits to their Medicare Advantage members. The premiums CMS pays to HMOs for Medicare Advantage members are generally not increased as a result of those benefit enhancements. This could increase our claims loss ratio in future periods, which could reduce our profitability and cash flows.

     Other direct costs increased by $2.1 million, or 26.9%, to $10.2 million for the three-month period ended March 31, 2011 from $8.1 million for the three-month period ended March 31, 2010. As a percentage of revenue, other direct costs increased to 11.9% for the three-month period ended March 31, 2011 from 10.0% for the three-month period ended March 31, 2010. The increase in the amount of other direct costs was primarily due to an increase in payroll expense and related benefits related to the operations of the sleep diagnostic centers that were acquired in Fiscal 2011.

     Administrative payroll and employee benefits expenses decreased by $0.5 million, or 9.4%, to $4.7 million for the three-month period ended March 31, 2011 from $5.2 million for the three-month period ended March 31, 2010. As a percentage of revenue, administrative payroll and employee benefits expenses decreased to 5.5% for the three-month period ended March 31, 2011 from 6.5% for the three-month period ended March 31, 2010. The decrease in administrative payroll and employee benefits expenses was primarily due to a decrease in incentive plan accruals.

     General and administrative expenses increased by $0.4 million, or 8.4%, to $5.6 million for the three-month period ended March 31, 2011 from $5.2 million for the three-month period ended March 31, 2010. As a percentage of revenue, general and administrative expenses increased to 6.6% for the three-month period ended March 31, 2011 from 6.5% for the three-month period ended March 31, 2010. The increase in general and administrative expenses was primarily due to an increase in expenses related to the operations of the sleep diagnostic centers that were acquired in Fiscal 2011.

Income from Operations

     Income from operations for the three-month period ended March 31, 2011 increased by $0.6 million, or 5.3%, to $10.3 million from $9.7 million for the three-month period ended March 31, 2010.

Taxes

     An income tax provision of $3.2 million and $3.7 million was recorded for the three-month periods ended March 31, 2011 and 2010, respectively. The effective income tax rates were 30.3% and 38.8% for the three-month periods ended March 31, 2011 and 2010, respectively. The decrease in the effective tax rate was primarily due to a decrease in the income tax provision of approximately $0.9 million resulting from a decrease in our liability for unrecognized tax benefits as a result of the lapse of the applicable statute of limitations.

Net Income

     Net income for the three-month period ended March 31, 2011 increased by $1.4 million, or 23.0%, to $7.3 million from $5.9 million for the three-month period ended March 31, 2010.

COMPARISON OF THE NINE-MONTH PERIOD ENDED MARCH 31, 2011 TO THE NINE-MONTH PERIOD ENDED
MARCH 31, 2010

Revenue

     Revenue increased by $13.4 million, or 5.8%, to $244.9 million for the nine-month period ended March 31, 2011 from $231.5 million for the nine-month period ended March 31, 2010 due primarily to increases in our Medicare revenue and in our revenue related to the operations of the sleep diagnostic centers.

     The most significant component of our revenue is the revenue we generate from Medicare patients under risk arrangements which increased by $6.4 million, or 3.1%, during the nine-month period ended March 31, 2011. During the nine-month period ended March 31, 2011, revenue generated by our Medicare risk arrangements increased approximately 4.9% on a per patient per month basis and Medicare patient months decreased by approximately 1.8% over the comparable period of Fiscal 2010. The increase in the per patient per month Medicare revenue was primarily due to an increase in premiums resulting from the Medicare risk adjustment program. Included in revenue for the nine-month periods ended March 31, 2011 and 2010 were unfavorable retroactive Medicare adjustments of approximately $34,000 and favorable retroactive Medicare adjustments of $0.4 million, respectively, related to Medicare premiums and risk corridor adjustments. Future Medicare risk adjustments may result in reductions of revenue depending on the future health status and demographic factors of our patients as well as the application of CMS’s risk corridor methodology to the HMOs Medicare Prescription Drug Programs.

     Revenue generated by our managed care entities under contracts with Humana, Vista and Wellcare accounted for approximately 69%, 20% and 5%, respectively, of our total revenue for the nine-month period ended March 31, 2011. Revenue generated by our managed care entities under contracts with Humana, Vista and Wellcare accounted for approximately 72%, 19% and 6%, respectively, of our total revenue for the nine-month period ended March 31, 2010.

Operating Expenses

     Medical services expenses for the nine-month period ended March 31, 2011 increased by $8.2 million, or 4.6%, to $186.7 million from $178.5 million for the nine-month period ended March 31, 2010. Medical claims expense, which is the largest component of medical services expense, increased by $2.8 million, or 1.8%, to $157.9 million for the nine-month period ended March 31, 2011 from $155.1 million for the nine-month period ended March 31, 2010 primarily due to an increase in Medicare claims expense of $2.9 million, or 2.0%. The increase in Medicare claims expense resulted from a 3.9% increase in medical claims expense on a per patient per month basis, partially offset by a 1.8% decrease in Medicare patient months. The increase in Medicare per patient per month medical claims expense was primarily attributable to inflationary trends in the health care industry, partially offset by improved utilization outcomes.

     As a percentage of revenue, medical services expenses decreased to 76.2% for the nine-month period ended March 31, 2011 as compared to 77.1% for the nine-month period ended March 31, 2010. Our claims loss ratio (medical claims expense as a percentage of revenue generated under risk arrangements) decreased to 68.0% for the nine-month ended March 31, 2011 from 68.5% for the nine-month period ended March 31, 2010. These decreases were primarily due to an increase in Medicare revenue at a greater rate than the increase in Medicare claims expense on a per patient per month basis.

     Other direct costs increased by $5.4 million, or 23.1%, to $28.8 million for the nine-month period ended March 31, 2011 from $23.4 million for the nine-month period ended March 31, 2010. As a percentage of revenue, other direct costs increased to 11.8% for the nine-month period ended March 31, 2011 from 10.1% for the nine-month period ended March 31, 2010. The increase in the amount of other direct costs was primarily due to an increase in payroll expense and related benefits related to the operations of the sleep diagnostic centers that we acquired in Fiscal 2011.

     Administrative payroll and employee benefits expenses decreased by $0.2 million, or 1.7%, to $12.1 million for the nine-month period ended March 31, 2011 from $12.3 million for the nine-month period ended March 31, 2010. As a percentage of revenue, administrative payroll and employee benefits expenses decreased to 4.9% for the nine-month period ended March 31, 2011 from 5.3% for the nine-month period ended March 31, 2010. The decrease in administrative payroll and employee benefits expenses was primarily due to a decrease in incentive plan accruals, partially offset by an increase in administrative payroll and employee benefit expenses related to the operations of the sleep diagnostic centers acquired in Fiscal 2011.

     General and administrative expenses increased by $2.6 million, or 18.9%, to $16.4 million for the nine-month period ended March 31, 2011 from $13.8 million for the nine-month period ended March 31, 2010. As a percentage of revenue, general and administrative expenses increased to 6.7% for the nine-month period ended March 31, 2011 from 5.9% for the nine-month period ended March 31, 2010. The increase in general and administrative expenses was primarily due to expenses related to the operations of the sleep diagnostic centers that we acquired in Fiscal 2011.

Income from Operations

     Income from operations for the nine-month period ended March 31, 2011 increased by $2.8 million, or 10.3%, to $29.8 million from $27.0 million for the nine-month period ended March 31, 2010.

Taxes

     An income tax provision of $10.7 million and $10.4 million was recorded for the nine-month periods ended March 31, 2011 and 2010, respectively. The effective income tax rates were 35.7% and 38.7% for the nine-month periods ended March 31, 2011 and 2010, respectively. The decrease in the effective tax rate was primarily due to a decrease in the income tax provision of approximately $0.9 million resulting from a decrease in our liability for unrecognized tax benefits as a result of the lapse of the applicable statute of limitations.

Net Income

     Net income for the nine-month period ended March 31, 2011 increased by $2.7 million, or 16.7%, to $19.2 million from $16.5 million for the nine-month period ended March 31, 2010.

LIQUIDITY AND CAPITAL RESOURCES

     At March 31, 2011, working capital was $59.6 million, an increase of $10.1 million from $49.5 million at June 30, 2010. Cash and cash equivalents increased by $7.1 million to $44.6 million at March 31, 2011 compared to $37.5 million at June 30, 2010. The increases in working capital and cash and cash equivalents at March 31, 2011 compared to June 30, 2010 were primarily due to net income of $19.2 million generated during the nine-month period ended March 31, 2011, partially offset by net cash of $10.8 million used for the acquisition of sleep diagnostic centers.

     Net cash of $20.2 million was provided by operating activities for the nine-month period ended March 31, 2011 compared to $21.7 million for the nine-month period ended March 31, 2010. The $1.5 million decrease in cash provided by operating activities was primarily due to a net decrease in accrued expenses and other current liabilities of $4.7 million, partially offset by an increase in net income of $2.7 million.

     Net cash of $13.1 million was used for investing activities for the nine-month period ended March 31, 2011 compared to $3.7 million for the nine-month period ended March 31, 2010. The $9.4 million increase in cash used for investing activities primarily related to net cash used of $10.8 million for the acquisition of sleep diagnostic centers.

     Net cash of approximately $0.1 million was used in financing activities for the nine-month period ended March 31, 2011 compared to $0.9 million of cash provided by financing activities for the nine-month period ended March 31, 2010. The $1.0 million increase in cash used in financing activities for the nine-month period ended March 31, 2011 was primarily due to a net decrease in proceeds and excess tax benefits related to the exercise of stock options.

     Pursuant to the terms under our managed care agreements with certain of our HMO affiliates, we posted irrevocable standby letters of credit amounting to $1.3 million to secure our payment obligations to those HMOs. We are required to maintain these letters of credit throughout the term of the managed care agreements.

     In December 2009, we entered into a credit facility agreement (the “Credit Facility”) in order to renew and refinance our existing credit facilities. The Credit Facility consists of two revolving credit facilities totaling $10.0 million with a maturity date of January 31, 2012. Interest on borrowings under the Credit Facility accrues at a per annum rate equal to the sum of 2.40% and the one-month LIBOR (0.24% at March 31, 2011), floating daily. The Credit Facility contains certain customary representations and warranties, and certain financial and other customary covenants including covenants requiring us, on a consolidated basis, to maintain an adjusted tangible net worth of at least $25 million and a fixed charge coverage ratio of not less than 1.50 to 1. Substantially all of our assets serve as collateral for the Credit Facility. At March 31, 2011, there was no outstanding principal balance on the Credit Facility. At March 31, 2011, we had letters of credit outstanding of $1.3 million which reduced the amount available for borrowing under the Credit Facility to $8.7 million.

     Our Board of Directors approved a previously announced stock repurchase program to authorize the repurchase of 15,000,000 shares of our common stock. Any such repurchases will be made from time to time at the discretion of our management in the open market or in privately negotiated transactions subject to market conditions and other factors. We anticipate that any such repurchases of shares will be funded through cash from operations. During the three and nine-month periods ended March 31, 2011, we did not repurchase any of our common stock. As of April 25, 2011, we had repurchased 11,907,004 shares of our common stock for approximately $25.0 million pursuant to this stock repurchase program.

     We believe that we will be able to fund our capital commitments and our anticipated operating cash requirements for the foreseeable future and satisfy any remaining obligations from our working capital, anticipated cash flows from operations, and our Credit Facility.

FORWARD-LOOKING STATEMENTS

     Our business, financial condition, results of operations, cash flows and prospects, and the prevailing market price and performance of our common stock, may be adversely affected by a number of factors, including the matters discussed below. Certain statements and information set forth in this Quarterly Report on Form 10-Q, as well as other written or oral statements made from time to time by us or by our authorized executive officers on our behalf, constitute “forward-looking statements” within the meaning of the Federal Private Securities Litigation Reform Act of 1995. We intend for our forward-looking statements to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995, and we set forth this statement and these risk factors in order to comply with such safe harbor provisions. You should note that our forward-looking statements speak only as of the date of this report or when made and we undertake no duty or obligation to update or revise our forward-looking statements, whether as a result of new information, future events or otherwise. Although we believe that the expectations, plans, intentions and projections reflected in our forward-looking statements are reasonable, such statements are subject to risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. The risks, uncertainties and other factors that our shareholders and prospective investors should consider include, but are not limited to, the following:

	•		Our operations are dependent on three health maintenance organizations;
	•		Under our most important contracts we are responsible for the cost of medical services to our patients in return for a capitated fee;
	•		Our revenues will be affected by the Medicare Risk Adjustment program;
	•		If we are unable to manage medical benefits expense effectively, our profitability will likely be reduced;
	•		A failure to estimate incurred but not reported medical benefits expense accurately will affect our profitability;
	•		We compete with many health care providers for patients and HMO affiliations;
	•		We may not be able to successfully recruit or retain existing relationships with qualified physicians and medical professionals;
	•		Our business exposes us to the risk of medical malpractice lawsuits;
	•		We primarily operate in Florida;
	•		A significant portion of our voting power is concentrated;
	•		We are dependent on our executive officers and other key employees;
	•		We depend on the management information systems of our affiliated HMOs;
	•		We depend on our information processing systems;
	•		Volatility of our stock price could adversely affect you;
	•		A failure to successfully implement our business strategy could materially and adversely affect our operations and growth opportunities;
	•		Our intangible assets represent a substantial portion of our total assets;
	•		Competition for acquisition targets and acquisition financing and other factors may impede our ability to acquire other businesses and may inhibit our growth;
	•		Our acquisitions could result in integration difficulties, unexpected expenses, diversion of management’s attention and other negative consequences;
	•		Recently enacted health care reform, including The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010, could have a material adverse effect on our business;

	•		A decrease to our Medicare capitation payments may have a material adverse effect on our results of operations, financial position and cash flows;
	•		We are subject to government regulation;
	•		The health care industry is subject to continued scrutiny;
	•		Our insurance coverage may not be adequate, and rising insurance premiums could negatively affect our profitability;
	•		Deficit spending and economic downturns could negatively impact our results of operations; and
	•		Many factors that increase health care costs are largely beyond our ability to control.

     We assume no responsibility to update our forward-looking statements as a result of new information, future events or otherwise. Additional information concerning these and other risks and uncertainties is contained in our filings with the Securities and Exchange Commission, including the section entitled “Risk Factors” in our Annual Report on Form 10-K for Fiscal 2010.

ITEM 3.		QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

     At March 31, 2011, we held cash equivalent investments in high grade, short-term securities, which are not typically subject to material market risk. At March 31, 2011, we had capital lease obligations outstanding at fixed rates. For loans with fixed interest rates, a hypothetical 10% change in interest rates would have no material impact on our future earnings and cash flows related to these instruments and would have an immaterial impact on the fair value of these instruments. Our Credit Facility has a variable interest rate and is interest rate sensitive, however, we had no amount outstanding under the Credit Facility at March 31, 2011. We have no material risk associated with foreign currency exchange rates or commodity prices.

ITEM 4.		CONTROLS AND PROCEDURES

Evaluation of Disclosure Controls and Procedures

     Our management, with the participation of our Chief Executive Officer and Chief Financial Officer, has evaluated the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) or Rule 15d-15(e)) as of the end of the period covered by this report. Based on that evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of March 31, 2011, our disclosure controls and procedures were effective to ensure that information required to be disclosed by us in the reports that we file or submit under the Exchange Act (i) is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms and (ii) is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosure.

     Our Chief Executive Officer’s and Chief Financial Officer’s conclusions regarding the effectiveness of our disclosure controls and procedures should be considered in light of the following limitations on the effectiveness of our disclosure controls and procedures, some of which pertain to most, if not all, business enterprises, and some of which arise as a result of the nature of our business. Our management, including our Chief Executive Officer and our Chief Financial Officer, does not expect that our disclosure controls and procedures will prevent all errors or improper conduct. A control system, no matter how well conceived and operated, can provide only reasonable assurance that the objectives of the control system will be met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of improper conduct, if any, will be detected. These inherent limitations include the realities that judgments in decision-making can be faulty and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people or by management override of the controls. Further, the design of any control system is based, in part, upon assumptions about the likelihood of future events, and there can be no assurance that any control system design will succeed in achieving its stated goals under all potential future conditions. Additionally, over time, controls may become inadequate because of changes in conditions or the degree of compliance with the policies or procedures may deteriorate. Because of the inherent limitations in a cost-effective control system, misstatements due to error or fraud may occur and not be detected. In addition, we depend on our HMO affiliates for certain financial and other information that we receive concerning the revenue and expenses that we earn and incur. Because our HMO affiliates generate that information for us, we have less control over the manner in which that information is generated.

Changes in Internal Control over Financial Reporting

     Based on an evaluation, under the supervision and with the participation of our management, including our principal executive officer and principal financial officer, there has been no change in our internal control over financial reporting during our last fiscal quarter that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.

Section 302 Certifications

     Provided with this report are certifications of our Chief Executive Officer and Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 and the SEC’s implementing regulations. This Item 4 contains the information concerning the evaluations referred to in those certifications, and you should read this information in conjunction with those certifications for a more complete understanding of the topics presented.

PART II — OTHER INFORMATION

ITEM 1.		LEGAL PROCEEDINGS

     See Note 9 of our Condensed Consolidated Financial Statements.

ITEM 1A.		RISK FACTORS

     There have been no material changes to the risk factors previously disclosed in our Form 10-K for Fiscal 2010. Readers are urged to carefully review our risk factors since they may cause our results to differ from the “forward-looking statements” made in this report or otherwise made by or on our behalf. Those risk factors are not the only ones we face. Additional risks not presently known to us or other factors not perceived by us to present significant risks to our business at this time also may impair our business operation.

ITEM 2.		UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS

		None.

ITEM 3.		DEFAULTS UPON SENIOR SECURITIES

		None.

ITEM 4.		(REMOVED AND RESERVED)

ITEM 5.		OTHER INFORMATION

		None.

ITEM 6.		EXHIBITS

		Exhibits

	31.1		Section 302 Certification of the Chief Executive Officer.
	31.2		Section 302 Certification of the Chief Financial Officer.
	32.1		Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
	32.2		Certification Pursuant to 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

SIGNATURES

     Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

Continuecare (NYSE:CNU)
Historical Stock Chart
From Dec 2024 to Jan 2025

Continuecare (NYSE:CNU)
Historical Stock Chart
From Jan 2024 to Jan 2025