10-Q 1 cats20190630_10q.htm FORM 10-Q cats20190630_10q.htm
 

UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 10-Q

 

QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)

OF THE SECURITIES EXCHANGE ACT OF 1934

 

For the quarterly period ended June 30, 2019

 

Commission File Number 001-31932     

 


 

CATASYS, INC.

(Exact name of registrant as specified in its charter)

 


 

Delaware

88-0464853

(State or other jurisdiction of incorporation or organization)

(I.R.S. Employer Identification No.)

 

2120 Colorado Blvd., Suite 230, Santa Monica, CA 90404

(Address of principal executive offices, including zip code)

 

(310) 444-4300

(Registrant's telephone number, including area code)

 

Securities registered pursuant to Section 12(b) of the Act:

 

Title of each class

Trading Symbol(s)

Name of each exchange on which registered

Common Stock, $0.0001 par value

CATS

The NASDAQ Capital Market

 

 

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    ☒          No    ☐

 

Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).    Yes    ☒          No    ☐

 

Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See definitions of “large accelerated filer,” “accelerated filer,’’ “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act. (Check one):

 

Large accelerated filer

Accelerated filer

Non-accelerated filer  

Smaller reporting company

Emerging growth company

 

 

 

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐

 

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

 

As of August 14, 2019, there were 16,546,992 shares of the registrant's common stock, $0.0001 par value per share, outstanding.

 

 

 

 

 

TABLE OF CONTENTS

 

 

PART I - FINANCIAL INFORMATION

3

 

 

 

 

 

ITEM 1. Financial Statements

3

 

 

 

 

 

 

Consolidated Balance Sheets as of June 30, 2019 (unaudited) and December 31, 2018

3

 

 

 

 

 

 

Consolidated Statements of Operations for the Three and Six Months Ended June 30, 2019 and 2018 (unaudited)

4

 

 

 

 

 

 

Consolidated Statements of Stockholders’ Deficit for the Three and Six Months Ended June 30, 2019 and 2018 (unaudited)

5

 

 

 

 

 

 

Consolidated Statements of Cash Flows for the Six Months Ended June 30, 2019 and 2018 (unaudited)

6

 

 

 

 

 

 

Notes to Consolidated Financial Statements

7

 

 

 

 

 

ITEM 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

17

 

 

 

 

 

ITEM 3. Quantitative and Qualitative Disclosures About Market Risk

21

 

 

 

 

 

ITEM 4. Controls and Procedures

21

 

 

 

 

PART II - OTHER INFORMATION

21

 

 

 

 

 

ITEM 1. Legal Proceedings

21

 

 

 

 

ITEM 1A. Risk Factors

21

 

 

 

 

ITEM 2. Unregistered Sales of Equity Securities and Use of Proceeds

21

 

 

 

 

ITEM 3. Defaults Upon Senior Securities

22

 

 

 

 

ITEM 4. Mine Safety Disclosures

22

 

 

 

 

ITEM 5. Other Information

22

 

 

 

 

ITEM 6. Exhibits

22

 

In this Quarterly Report on Form 10-Q, all references to “Catasys,” “Catasys, Inc.” “we,” “us,” “our” or the “Company” mean Catasys, Inc., wholly-owned subsidiaries and variable interest entities, except where it is made clear that the term means only the parent company. Our common stock, par value $0.0001 per share, is referred to as “common stock.”

 

 

 

 

 

PART I - FINANCIAL INFORMATION

Item 1.     Financial Statements

 

 

CATASYS, INC

CONSOLIDATED BALANCE SHEETS

 (in thousands, except share and per share data)

 

 

   

June 30,

   

December 31,

 
   

2019

   

2018

 
   

(Unaudited)

         

Assets

               

Current assets:

               

Cash and restricted cash

  $ 7,059     $ 3,162  

Receivables, net

    2,576       1,382  

Unbilled receivables

    1,055       -  

Prepaid expenses and other current assets

    724       942  

Total current assets

    11,414       5,486  

Long-term assets:

               

Property and equipment, net of accumulated depreciation of $1,556 and $1,801, respectively

    359       263  

Restricted cash, long-term

    408       408  

Right-of-use assets

    2,595       -  

Debt issuance costs

    1,284       -  

Deposits and other assets

    -       166  

Total assets

  $ 16,060     $ 6,323  
                 

Liabilities and stockholders' deficit

               

Current liabilities:

               

Current portion of long-term debt

  $ 1,917     $ -  

Accounts payable

    1,459       497  

Accrued compensation and benefits

    1,988       1,537  

Deferred revenues

    4,033       4,195  

Current portion of obligations under operating leases

    525       -  

Other accrued liabilities

    1,953       1,501  

Total current liabilities

    11,875       7,730  

Long-term liabilities:

               

Long-term debt, net of discount of $365 and $478, respectively

  $ 13,618     $ 7,472  

Long-term lease liabilities

    1,780       -  

Warrant liabilities

    842       86  

Other long-term liabilities

    100       -  

Total liabilities

    28,215       15,288  
                 

Stockholders' deficit:

               

Preferred stock, $0.0001 par value; 50,000,000 shares authorized; no shares issued and outstanding

    -       -  

Common stock, $0.0001 par value; 500,000,000 shares authorized; 16,536,992 and 16,185,146 shares issued and outstanding at June 30, 2019 and December 31, 2018, respectively

    2       2  

Additional paid-in capital

    301,909       296,688  

Accumulated deficit

    (314,066 )     (305,655 )

Total stockholders' deficit

    (12,155 )     (8,965 )

Total liabilities and stockholders' deficit

  $ 16,060     $ 6,323  

 

 

See notes to consolidated financial statements.

 

3

 

 

 

CATASYS, INC.

CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share data)

(unaudited)

 

 

(in thousands)

 

For the Three Months Ended

June 30,

   

For the Six Months Ended
June 30,

 
   

2019

   

2018

   

2019

   

2018

 

Revenue

  $ 7,681     $ 3,273     $ 14,492     $ 5,184  

Cost of revenue

    4,365       2,941       7,392       5,228  

Gross profit (loss)

    3,316       332       7,100       (44 )
                                 

Operating expenses

    8,223       4,477       14,522       8,348  

Operating loss

    (4,907 )     (4,145 )     (7,422 )     (8,392 )
                                 

Other income

    8       -       14       40  

Interest expense

    (471 )     (36 )     (792 )     (37 )

Change in fair value of warrant liability

    (120 )     (19 )     (211 )     (29 )

Net loss

  $ (5,490 )   $ (4,200 )   $ (8,411 )   $ (8,418 )
                                 

Net loss per share, basic and diluted from operations:

  $ (0.34 )   $ (0.26 )   $ (0.51 )   $ (0.53 )
                                 

Weighted-average shares used to compute basic and diluted net loss per share

    16,315       15,913       16,398       15,906  

 

 

 See notes to consolidated financial statements.

 

4

 

 

 

CATASYS, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS' DEFICIT

(in thousands, except share and per share data)

(unaudited)

 

 

                   

Additional

            Total  
   

Common Stock

   

Paid-In

   

Accumulated

   

Stockholders'

 
   

Shares

   

Amount

   

Capital

   

Deficit

   

Deficit

 

Balance at December 31, 2018

    16,185,146     $ 2     $ 296,688     $ (305,655 )   $ (8,965 )

Reclassification of warrant liability to equity upon adoption of ASU 2017-11

    -       -       86       -       86  

Warrants issued for services

    -       -       43       -       43  

Warrant exercised for cash

    212,461       -       1,028       -       1,028  

Stock option exercised for cash

    139,385       -       1,473       -       1,473  

Stock compensation expense

    -       -       2,591       -       2,591  

Net loss

    -       -       -       (8,411 )     (8,411 )

Balance at June 30, 2019

    16,536,992     $ 2     $ 301,909     $ (314,066 )     (12,155 )

 

                   

Additional

            Total  
   

Common Stock

   

Paid-In

   

Accumulated

   

Stockholders'

 
   

Shares

   

Amount

   

Capital

   

Deficit

   

Deficit

 

Balance at March 31, 2019

    16,205,146     $ 2     $ 297,898     $ (308,576 )   $ (10,676 )

Warrants issued for services

    -       -       43       -       43  

Warrant exercised for cash

    192,461       -       928       -       928  

Stock option exercised for cash

    139,385       -       1,473       -       1,473  

Stock compensation expense

    -       -       1,567       -       1,567  

Net loss

    -       -       -       (5,490 )     (5,490 )

Balance at June 30, 2019

    16,536,992     $ 2     $ 301,909     $ (314,066 )   $ (12,155 )

 

 

                   

Additional

            Total  
   

Common Stock

   

Paid-In

   

Accumulated

   

Stockholders'

 
   

Shares

   

Amount

   

Capital

   

Deficit

   

Deficit

 

Balance at December 31, 2017

    15,889,171     $ 2     $ 294,220       (293,324 )     898  

Adoption of accounting standard, ASC 606

    -       -       -       1,881       1,881  

Balance at January 1, 2018

    15,889,171     $ 2     $ 294,220       (291,443 )     2,779  

Common stock issued for outside services

    24,000       -       112       -       112  

Warrants issued for services

    -       -       86       -       86  

Warrants issued in connection with A/R facility

    -       -       63       -       63  

Stock compensation expense

    -       -       753       -       753  

Net loss

    -       -       -       (8,418 )     (8,418 )

Balance at June 30, 2018

    15,913,171     $ 2     $ 295,234       (299,861 )     (4,625 )

 

                   

Additional

            Total  
   

Common Stock

   

Paid-In

   

Accumulated

   

Stockholders'

 
   

Shares

   

Amount

   

Capital

   

Deficit

   

Deficit

 

Balance at March 31, 2018

    15,913,171     $ 2     $ 294,746     $ (295,661 )   $ (913 )

Warrants issued in connection with A/R facility

    -       -       63       -       63  

Stock compensation expense

    -       -       425       -       425  

Net loss

    -       -       -       (4,200 )     (4,200 )

Balance at June 30, 2018

    15,913,171       2       295,234       (299,861 )     (4,625 )

 

 

See notes to consolidated financial statements.

 

5

 

 

 

CATASYS, INC.

CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

 

 

   

For the Six Months Ended June 30,

 
   

2019

   

2018

 

Cash flows used in operating activities

               

Net loss

  $ (8,411 )   $ (8,418 )

Adjustments to reconcile net loss to net cash used in operating activities:

               

Depreciation

    72       170  

Amortization of debt discount included in interest expense

    146       10  

Warrant issued for services

    -       86  

Warrants issued for investor relations

    43       -  

Loss on disposal of fixed assets

    -       68  

Deferred rent

    (26 )     (25 )

Stock-based compensation expense

    2,591       753  

Amortization of debt issuance costs

    112       -  

Change in fair value of warrant liability

    211       29  

Shares issued for services

    -       112  

Changes in operating assets and liabilities:

               

Receivables

    (1,194 )     (629 )

Unbilled receivables

    (1,055 )     -  

Operating leases liability

    525       -  

Prepaids and other current assets

    218       165  

Deferred revenue

    (162 )     2,379  

Accounts payable and other accrued liabilities

    975       1,466  

Net cash used in operating activities

  $ (5,955 )   $ (3,834 )
                 

Cash flows provided by financing activities

               

Proceeds from secured promissory note

  $ -     $ 5,000  

Proceeds from revolving loan

    7,500       -  

Proceeds from A/R Facility

    1,938       -  

Repayment of A/R Facility

    (1,938 )     -  

Debt issuance costs

    (133 )     (324 )

Proceeds from warrant exercise

    1,028       -  

Proceeds from options exercise

    1,473       -  

Capital lease obligations

    (16 )     (18 )

Net cash provided by financing activities

  $ 9,852     $ 4,658  
                 

Net increase in cash and restricted cash

  $ 3,897     $ 824  
                 

Cash and restricted cash at beginning of period

    3,570       4,779  

Cash and restricted cash at end of period

  $ 7,467     $ 5,603  
                 

Supplemental disclosure of cash flow information:

               

Interest paid

  $ 792     $ 37  

Non cash financing and investing activities:

               

Warrant issued in connection with A/R Facility

  $ 21     $ 63  

Reclassification of warrant liability to equity upon amendment of the Loan Agreement

  $ 86     $ -  

Warrants issued in connection with revolving loan

  $ 610     $ -  
Property and equipment acquired through capital leases   $ 154     $ -  

 

 

See notes to consolidated financial statements.

 

6

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

 

Note 1.   Basis of Consolidation and Presentation

 

We are a AI and technology-enabled healthcare company whose mission is to help improve the health and save the lives of as many people as possible. Our PRETM (Predict-Recommend-Engage) platform predicts people whose chronic disease will improve with behavior change, recommends effective care pathways that people are willing to follow, and engages people who aren’t getting the care they need. By combining predictive analytics with human engagement, we deliver improved member health and validated outcomes and savings to healthcare payers. 

 

Our integrated, technology-enabled OnTrak solution, a critical component of the Catasys PRE platform, is designed to treat members with behavioral conditions that cause or exacerbate chronic medical conditions such as diabetes, hypertension, coronary artery disease, COPD, and congestive heart failure, which result in high medical costs. We have an ability to engage these members, who do not otherwise seek behavioral healthcare, leveraging proprietary enrollment capabilities built on deep insights into the drivers of care avoidance. OnTrak integrates evidence-based psychosocial and medical interventions delivered either in-person or via telehealth, along with care coaching and in-market Community Care Coordinators who address the social and environmental determinants of health, including loneliness.

 

The accompanying unaudited consolidated financial statements include Catasys, Inc. and its wholly-owned subsidiaries and variable interest entities. All intercompany balances and transactions have been eliminated in consolidation. The accompanying unaudited consolidated financial statements for Catasys, Inc. and its subsidiaries have been prepared in accordance with generally accepted accounting principles in the United States of America (“U.S. GAAP”) and instructions to Form 10-Q and, therefore, do not include all disclosures necessary for a complete presentation of financial position, results of operations, and cash flows in conformity with U.S. GAAP. In our opinion, all adjustments, consisting of normal recurring adjustments, considered necessary for a fair presentation have been included.  Interim results are not necessarily indicative of the results that may be expected for the entire fiscal year. The accompanying financial information should be read in conjunction with the financial statements and the notes thereto included in our most recent Annual Report on Form 10-K for the year-ended December 31, 2018, from which the balance sheet, as of December 31, 2018, has been derived. Certain prior period amounts reported in consolidated financial statements and notes have been reclassified to conform to current period presentation.

 

As of June 30, 2019, cash and restricted cash was $7.5 million and we had a working capital deficit of approximately $461,000. We could continue to incur negative cash flows and operating losses for the next twelve months. Our average cash burn rate is approximately $1.0 million per month, for the six months ended June 30, 2019. We expect our current cash resources to cover expenses through at least the next twelve months, however, delays in cash collections, revenue, or unforeseen expenditures could impact this estimate.

 

Our ability to fund ongoing operations is dependent on several factors. We aim to increase the number of members that are eligible for our solutions by signing new contracts and identifying more eligible members in existing contracts. Additionally, our funding is dependent upon the success of management’s plan to increase revenue and control expenses. We currently operate our OnTrak solutions in twenty-seven states. We provide services to commercial (employer funded), managed Medicare Advantage, and managed Medicaid and dual eligible (Medicare and Medicaid) populations. We have generated fees from our launched programs and expect to increase enrollment and fees throughout 2019.

 

Management’s Plans

 

Historically, we have seen and continue to see net losses, net loss from operations, negative cash flow from operating activities, and historical working capital deficits as we continue through a period of rapid growth. The accompanying financial statements do not reflect any adjustments that might result if we were unable to continue as a going concern. We have alleviated substantial doubt by both entering into contracts for additional revenue-generating health plan customers and expanding our OnTrak program within existing health plan customers. To support this increased demand for services, we invested and will continue to invest in additional headcount needed to support the anticipated growth. Additional management plans include increasing the outreach pool as well as improving our current enrollment rate. We will continue to explore ways to increase margins on both existing and new members.

 

We have a growing customer base and believe we are able to fully scale our operations to service the contracts and future enrollment providing leverage in these investments that we expect to generate positive cash flow by the end of 2019. We believe we will have enough capital to cover expenses through the foreseeable future and we will continue to monitor liquidity. In the event we add more health plans than budgeted, increase the size of the outreach pool by more than we anticipate, decide to invest in new products or seek out additional growth opportunities, we will seek additional financing.

 

7

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

 

Note 2.   Accounting Standards and Significant Accounting Policies

 

Revenue, Deferred Revenue and Performance Obligations

 

Revenue from contracts with customers is recognized when, or as, we satisfy our performance obligations by transferring the promised goods or services to the customers. A good or service is transferred to a customer when, or as, the customer obtains control of that good or service. A performance obligation may be satisfied over time or at a point in time. Revenue from a performance obligation satisfied over time is recognized by measuring our progress in satisfying the performance obligation in a manner that depicts the transfer of the goods or services to the customer. Revenue from a performance obligation satisfied at a point in time is recognized at the point in time that we determine the customer obtains control over the promised good or service. The amount of revenue recognized reflects the consideration we expect to be entitled to in exchange for those promised goods or services (i.e. the “transaction price”). In determining the transaction price, we consider multiple factors, including the effects of variable consideration. Variable consideration is included in the transaction price only to the extent it is probable that a significant reversal in the amount of cumulative revenue recognized will not occur when the uncertainties with respect to the amount are resolved. In determining when to include variable consideration in the transaction price, we consider the range of possible outcomes, the predictive value of our past experiences, the time period of when uncertainties expect to be resolved and the amount of consideration that is susceptible to factors outside of our influence, such as the judgment and actions of third parties.

 

The following table disaggregates our revenue by business line:

 

   

For the Three Months Ended June 30,

   

For the Six Months Ended June 30,

 
   

2019

   

2018

   

2019

   

2018

 

(in thousands)

 

Revenue

   

Percentage

   

Revenue

   

Percentage

   

Revenue

   

Percentage

   

Revenue

   

Percentage

 

Commercial

  $ 4,617       60 %   $ 2,145       66 %   $ 8,798       61 %   $ 3,245       63 %

Government

    3,064       40 %     1,128       34 %     5,694       39 %     1,939       37 %
    $ 7,681       100 %   $ 3,273       100 %   $ 14,492       100 %   $ 5,184       100 %

 

Our customer contracts are generally designed to provide cash fees to us on a monthly basis, an upfront case rate, or fee for service based on enrolled members. Our performance obligation is satisfied over time as the OnTrak service is provided continuously throughout the service period. Catasys recognizes revenue evenly over the service period using a time-based measure because we are providing a continuous service to our customers. Contracts with minimum performance guarantees or price concessions include variable consideration and are subject to the revenue constraint. Catasys uses an expected value method to estimate variable consideration for these minimum performance guarantees and price concessions. Additionally, Catasys has constrained revenue for expected price concessions for the three and six months ended June 30, 2019.

 

Cost of Revenue

 

Cost of revenue consists primarily of salaries related to our care coaches, outreach specialists and other staff directly involved in member care, healthcare provider claims payments, and fees charged by our third-party administrators for processing these claims. Salaries and fees charged by our third-party administrators for processing claims are expensed when incurred and healthcare provider claims payments are recognized in the period in which an eligible member receives services. We contract with doctors and licensed behavioral healthcare professionals, on a fee-for-service basis. We determine that a member has received services when we receive a claim or in the absence of a claim, by utilizing member data recorded in the OnTrak database within the contracted timeframe, with all required billing elements correctly completed by the service provider. 

  

Concentration of Credit Risk 

  

The following table is a summary of concentration of credit risk by customer revenues and accounts receivables:

 

   

Three Months Ended June 30,

   

Six Months Ended June 30,

 

Percentage of Revenue

 

2019

   

2018

   

2019

   

2018

 

Largest customer

    27.0 %     26.7 %     26.5 %     25.0 %

2nd largest customer

    25.2 %     29.7 %     25.8 %     26.1 %

3rd largest customer

    17.9 %     7.5 %     17.1 %     5.1 %

4th largest customer

    12.2 %     10.8 %     11.9 %     15.2 %

Remaining customers

    17.7 %     25.3 %     18.7 %     28.6 %
      100.0 %     100.0 %     100.0 %     100.0 %

 

8

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

Percentage of

               

Accounts Receivable

 

June 30, 2019

   

December 31, 2018

 

Largest customer

    53.2 %     41.6 %

2nd largest customer

    13.0 %     24.9 %

3rd largest customer

    8.7 %     12.8 %

4th largest customer

    7.6 %     11.2 %

Remaining customers

    17.5 %     9.5 %
      100.0 %     100.0 %

 

Net loss per share

 

Basic net loss per share is computed by dividing the net loss by the weighted-average number of shares of common stock outstanding during the period. Diluted net loss per share is computed by giving effect to all potential shares of common stock, preferred stock and outstanding stock options and warrants, to the extent dilutive. Basic and diluted net loss per share was the same for each period presented as the inclusion of all potential shares of common stock outstanding would have been anti-dilutive.

 

Common equivalent shares, consisting of 5,604,451 and 4,571,912 shares for the six months ended June 30, 2019 and 2018, respectively, issuable upon the exercise of stock options and warrants have been excluded from the diluted earnings per share calculation as their effect is anti-dilutive.

 

Common equivalent shares, that could potentially dilute loss per share in the future that were not included in the computation of diluted loss per share are as follows:

 

   

June 30, 2019

   

June 30, 2018

 

Warrants to purchase common stock

    1,397,720       2,045,248  

Options to purchase common stock

    4,206,731       2,526,664  

Total

    5,604,451       4,571,912  

 

Leases

 

Effective January 1, 2019, we account for leases under Accounting Standards Codification (“ASC”) Topic 842, Leases. Under this guidance, arrangements meeting the definition of a lease are classified as operating or financing leases and are recorded on the consolidated balance sheet as both a right-of-use asset and lease liability, calculated by discounting fixed lease payments over the lease term at the rate implicit in the lease or our incremental borrowing rate. Lease liabilities are increased by interest and reduced by payments each period, and the right-of-use asset is amortized over the lease term. For operating leases, interest on the lease liability and the amortization of the right-of-use asset result in straight-line rent expense over the lease term. For finance leases, interest on the lease liability and the amortization of the right-of-use asset results in front-loaded expense over the lease term. Variable lease expenses are recorded when incurred.

 

In calculating the right-of-use asset and lease liability, we elected to combine lease and non-lease components. We exclude short-term leases having initial terms of 12 months or less from the new guidance as an accounting policy election and recognizes rent expense on a straight-line basis over the lease term.

 

We accounted for leases in the prior period financial statements under ASC Topic 840.

 

Recently Issued or Newly Adopted Accounting Standards

 

From time to time, new accounting pronouncements are issued by the Financial Accounting Standards Board (“FASB”) or other standard setting bodies that we adopt as of the specified effective date. Unless otherwise discussed, we do not believe that the impact of recently issued standards that are not yet effective will have a material impact on our financial position or results of operations upon adoption.

 

In August 2018, the FASB issued Accounting Standard Update (“ASU”) No. 2018-13, Fair Value Measurement (Topic 820), which modifies the disclosure requirements on fair value measurements in Topic 820, Fair Value Measurement, including, among other changes, the consideration of costs and benefits when evaluating disclosure requirements. For public companies, the amendments are effective for annual reporting periods beginning after December 15, 2019, including interim periods within those annual periods. Early adoption is permitted. We are currently assessing the impact that adopting this new accounting guidance will have on our financial statements and footnote disclosures.

 

9

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

In June 2018, the FASB issued ASU 2018-07, Improvements to Nonemployee Share-Based Payment Accounting (“ASU 2018-07”), which supersedes ASC 505-50 and expands the scope of ASC 718 to include all share-based payments arrangements related to the acquisition of goods and services from both employees and nonemployees. For public companies, the amendments are effective for annual reporting periods beginning after December 15, 2018, including interim periods within those annual periods. Early adoption is permitted, but no earlier than a company's adoption date of ASC 606. The adoption of this ASU 2018-07 on January 1, 2019 did not have a material impact on our consolidated financial statements.

 

In July 2017, the FASB issued ASU 2017-11, Earnings Per Share (Topic 260); Distinguishing Liabilities from Equity (Topic 480); Derivatives and Hedging (Topic 815): (Part I) Accounting for Certain Financial Instruments with Down Round Features, (Part II) Replacement of the Indefinite Deferral for Mandatorily Redeemable Financial Instruments of Certain Nonpublic Entities and Certain Mandatorily Redeemable Noncontrolling Interests with a Scope Exception (“ASU 2017-11”). The amendments in this update are intended to simplify the accounting for certain equity linked financial instruments and embedded features with down round features that result in the strike price being reduced on the basis of the pricing of future equity offerings. Under the new guidance, a down round feature will no longer need to be considered when determining whether certain financial instruments or embedded features should be classified as liabilities or equity instruments. That is, a down round feature will no longer preclude equity classification when assessing whether an instrument or embedded feature is indexed to an entity's own stock. In addition, the amendments clarify existing disclosure requirements for equity-classified instruments. These amendments are effective for fiscal years, and interim periods within those years, beginning after December 15, 2018, with early adoption permitted. The adoption of this ASU 2017-11 on January 1, 2019 resulted in the reclassification of our warrant liability in amount of $86,000 into additional paid-in capital.

 

In June 2016, the FASB issued ASU 2016-13, Financial Instruments - Credit Losses (“ASU 2016-13”). The amendment revises the impairment model to utilize an expected loss methodology in place of the currently used incurred loss methodology, which will result in more timely recognition of losses on financial instruments, including, but not limited to, available for sale debt securities and accounts receivable. We are required to adopt this standard starting in the first quarter of fiscal year 2021. Early adoption is permitted. We are currently evaluating the impact of the adoption of this standard on our consolidated financial statements and related disclosures.

 

In February 2016, the FASB issued ASU No. 2016-02, Leases (“ASU 2016-02”). Under this standard, which applies to both lessors and lessees, lessees will be required to recognize all leases (except for short-term leases) as a lease liability, which is a lessee’s obligation to make lease payments arising from a lease measured on a discounted basis, and as a right-of-use asset, which is an asset that represents the lessee’s right to use, or control the use of, a specified asset for the lease term. Leases will be classified as either financing or operating, with classification affecting the pattern of expense recognition in the income statement. ASU 2016-02 is effective for fiscal years and interim periods within those fiscal years beginning after December 15, 2018 and is to be applied at the beginning of the earliest period presented using a modified retrospective approach for leases existing at, or entered into after, the beginning of the earliest comparative period presented in the consolidated financial statements, with certain practical expedients available. We adopted ASU 2016-02 on January 1, 2019 and recorded right-to-use assets and liabilities for all operating lease obligations with terms of 12 months or greater. Any prior period changes were immaterial and therefore no retrospective adjustments were recorded. 

 

 

Note 3. Accounts Receivable

 

We use the specific identification method for recording the provision for doubtful accounts. There was no allowance for doubtful accounts as of June 30, 2019 and December 31, 2018. 

 

 

Note 4. Property and Equipment

 

Property and equipment consisted of the following as of June 30, 2019 and December 31, 2018:

 

(in thousands)

 

June 30, 2019

   

December 31, 2018

 

Office furniture and equipment

  $ 1,915     $ 1,746  

Leasehold improvement

    -       318  

Gross property and equipment

    1,915       2,064  

Less: Accumulated depreciation and amortization

    (1,556 )     (1,801 )

Total property and equipment, net

  $ 359     $ 263  

 

Depreciation expense was $34,000 and $72,000 for the three and six months ended June 30, 2019, respectively compared with approximately $85,000 and $170,000 for the same periods in 2018, respectively.

 

 

Note 5. Common Stock

 

In January 2019, there was an exercise of 20,000 warrants at an exercise price of $5.00 per share. We received approximately $100,000 of proceeds and issued 20,000 shares of our common stock.

 

10

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

In April 2019, there was an exercise of 9,479 stock options at an exercise price of $7.50 per share. We received approximately $71,000 of proceeds and issued 9,479 shares of our common stock.

 

In May 2019, there was an exercise of 172,461 warrants at an exercise price of $4.80 per share. We received approximately $828,000 of proceeds and issued 172,461 shares of our common stock.

 

In May 2019, there was an exercise of 129,906 stock options at a weighted average exercise price of $10.79 per share. We received approximately $1.4 million of proceeds and issued 129,906 shares of our common stock.

 

In June 2019, there was an exercise of 20,000 warrants at an exercise price of $5.00 per share. We received approximately $100,000 of proceeds and issued 20,000 shares of our common stock.

 

 

Note 6. Stock Compensation

 

Our 2017 Stock Incentive Plan (the “2017 Plan”), provides for the issuance of up to 2,333,334 shares of our common stock and an additional 243,853 shares of our common stock that are represented by awards granted under our 2010 Stock Incentive Plan (the “2010 Plan”). In August 2018, at our Annual Stockholders Meeting, stockholders approved an amendment to the 2017 Plan, among other things, to provide for an additional 1,400,000 shares to be issued in connection with awards granted thereunder (the “2017 Amended Plan”). In February 2019, we increased the number of shares in the 2017 Plan by 552,884 shares as allowed in the 2017 Plan for annual increases to the number of shares available under the 2017 Plan. Incentive stock options (ISOs) under Section 422A of the Internal Revenue Code and non-qualified options (NSOs) are authorized under the 2017 Amended Plan. We have granted stock options to executive officers, employees, members of our board of directors, and certain outside consultants. The terms and conditions upon which options become exercisable vary among grants; however, option rights expire no later than ten years from the date of grant and employee and Board of Director awards generally vest over three to five years on a straight-line basis. As of June 30, 2019, we had 4,156,731 vested and unvested stock options outstanding issued to Employees and Directors and 50,000 vested and unvested stock options outstanding issued to Non-Employees. There are 183,955 shares reserved for future awards.

 

Stock compensation expense attributable to operations was $1.6 million and $2.6 million for the three and six months ended June 30, 2019, respectively, compared with approximately $425,000 and $753,000 for the same periods in 2018, respectively.

 

Stock Options - Employees and Directors

 

A summary of stock option activity for employees and directors is as follows:

 

   

Number of Shares

   

Weighted

Average
Exercise Price

 

Outstanding as of December 31, 2018

    3,761,259     $ 9.44  

Granted

    620,378       10.54  

Forfeited

    (35,521 )     7.50  

Exercised

    (139,385 )     10.57  

Outstanding as of June 30, 2019

    4,206,731     $ 9.58  

Options vested and expected to vest as of June 30, 2019

    4,206,731     $ 9.58  

Options vested and exercisable as of June 30, 2019

    935,077     $ 14.59  

 

As of June 30, 2019, there was $9.9 million of total unrecognized compensation cost related to non-vested stock compensation arrangements granted to employees and directors under the 2017 Amended Plan. That cost is expected to be recognized over a weighted-average period of approximately 2.89 years.          

 

11

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

Stock Options and Warrants - Non-Employees

 

A summary of warrants activity for non-employees is as follows:

 

   

Number of Warrants

   

Weighted

Average
Exercise Price

 

Outstanding as of December 31, 2018

    1,608,996     $ 4.71  

Issued

    55,352       11.88  

Expired

    (54,167 )     12.46  

Exercised

    (212,461 )     4.84  

Outstanding as of June 30, 2019

    1,397,720     $ 4.68  

Warrants exercisable as of June 30, 2019

    1,397,720     $ 4.68  

 

There were none and 50,000 options issued to non-employees at a weighted average exercise price of $9.93 for the three and six months ended June 30, 2019, respectively, compared with none for the same periods in 2018.

 

There were 4,167 warrants issued in exchange for services for the three and six months ended June 30, 2019, respectively, compared with none and 24,000 for the same periods in 2018. Generally, the costs associated with shares issued for services are amortized to the related expense on a straight-line basis over the related service periods.

 

As of June 30, 2019, there was approximately $286,000 of total unrecognized compensation cost related to non-vested stock compensation arrangements granted to non-employees under the 2017 Amended Plan. That cost is expected to be recognized over a weighted-average period of approximately 2.58 years 

 

 

Note 7. Leases

 

The operating lease agreement for our Los Angeles, CA office space expired in April 2019, therefore there are no remaining operating lease right-of-use assets or liabilities associated with this office as of June 30, 2019.

 

In September 2018, we signed an operating lease for our new corporate headquarters in Santa Monica, CA (“Santa Monica Headquarters”). The lease agreement includes 7,869 square feet for 60 months commencing in July 2019, which is 30 days following date the premises were ready for occupancy. The base rent is approximately $48,000 subject to annual adjustments.

 

Our lease liability resulted from the lease of our Santa Monica Headquarters which expires in 2024. This lease does not require any contingent rental payments, impose any financial restrictions, or contain any residual value guarantees. Our lease includes renewal options and escalation clauses; renewal options have not been included in the calculation of the lease liability and right-of-use asset as we are not reasonably certain to exercise the options. Variable expenses generally represent our share of the landlord’s operating expenses. We do not act as a lessor or have any leases classified as financing leases.

 

As of June 30, 2019, we have an operating lease liability of approximately $2.3 million and right-of-use asset of approximately $2.6 million, which are included in the consolidated balance sheet.

 

Quantitative information for the operating lease is as follows: 

 

   

For the Three

Months Ended

   

For the Six

Months Ended

 

(In thousands)

 

June 30, 2019

   

June 30, 2019

 

Operating lease expense

  $ 93     $ 167  

Short-term lease rent expense

    14       17  

Total rent expense

  $ 107     $ 184  

 

 

   

For the Three

Months Ended

   

For the Six

Months Ended

 

(In thousands)

 

June 30, 2019

   

June 30, 2019

 

Operating cash flows from operating leases

  $ 63     $ 163  

 

12

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

   

June 30, 2019

 

Weighted-average remaining lease term – operating leases (years)

    4.9  

Weighted-average discount rate – operating leases

    10.15 %

 

Maturities of the operating lease liabilities are as follows:

 

(In thousands)

 

Amount

 

Remaining six months ended December 31, 2019

  $ 301  

Year ended December 31, 2020

    583  

Year ended December 31, 2021

    604  

Year ended December 31, 2022

    624  

Year ended December 31, 2023

    646  

Year ended December 31, 2024

    273  

Total

    3,031  

Less present value discount

    (726 )

Operating lease liabilities

  $ 2,305  

 

We incurred rent expense of approximately $107,000 and $184,000 for the three and six months ended June 30, 2019, respectively compared with approximately $75,000 and $149,000 for the same periods in 2018, respectively.

 

 

Note 8. Debt

 

In June 2018, we entered into a venture loan and security agreement (the “Loan Agreement”) with Horizon Technology Finance Corporation (“Horizon”), which provides for up to $7.5 million in loans to Catasys, including initial loans in the amount of $5.0 million funded upon signing of the Loan Agreement. An additional $2.5 million loan was subject to our achievement of billings of not less than $5.0 million during any three consecutive month period on or prior to November 30, 2018. In August 2018, we incurred the additional $2.5 million loan as a result of our achievement of the trailing three-month billings exceeding $5.0 million on or prior to November 30, 2018. In addition, in June 2018, we entered into a loan and security agreement (the “A/R Facility”) in connection with a $2.5 million receivables financing facility with Corporate Finance, a division of Heritage Bank of Commerce (“Heritage”). The A/R Facility provides for Catasys to borrow up to 85% of our eligible accounts receivable, as defined in the A/R Facility. In February 2019, we borrowed approximately $1.9 million on the A/R Facility during the month. None of the A/R Facility is outstanding as of June 30, 2019.

 

In March 2019, we entered into an amended and restated venture loan and security agreement (as so amended and restated, the “Amended Loan Agreement”) with Horizon, which provides for up to $15.0 million in loans to us, including initial term loans in the amount of $7.5 million previously funded under the original Loan Agreement entered into in June 2018 and an additional up to $7.5 million loan in three revolving tranches of $2.5 million in availability, subject to our achievement of trailing three month billings exceeding $5.0 million, $7.0 million and $8.0 million, respectively (collectively, the “Billing Requirements”). An initial advance of $2.5 million was funded upon the execution and delivery of the Amended Loan Agreement, subject to repayment if the foregoing $5.0 million threshold is not reached by July 1, 2019.  We concurrently entered into an amendment to the previously disclosed $2.5 million A/R Facility with Heritage intended primarily to reflect the amendment and restatement of the Amended Loan Agreement. We have met all three of the Billing Requirements and as a result have incurred the full $7.5 million under the Amended Loan Agreement.

 

Repayment of the Revolving Loan is on an interest-only basis through September 30, 2020, followed by monthly payments of principal and accrued interest until maturity on the date which is the earliest of: (a) September 30, 2022, (b) the date of acceleration of such loan, following an event of default (c) or the date of prepayment. Until we receive cash proceeds of $10.0 million from the sale of our equity securities, we are required to maintain reserve cash on deposit for Horizon in an amount equal to our net operating loss for the trailing three-month calendar period, plus all amounts required to repaid in respect of all outstanding indebtedness for the following three months, plus $4.0 million. From and after the receipt of $10.0 million in cash proceeds from the sale of our equity securities, we are required to maintain reserve cash on deposit for Horizon in an amount equal to the net operating loss of our trailing three-month calendar period, plus all amounts required to repaid in respect of all outstanding indebtedness for the following three months.

 

The Revolving Loan bears interest at a floating coupon rate of the amount by which one-month LIBOR exceeds 2.00% plus 9.75%. After September 30, 2020, upon the earlier of (i) payment in full of the principal balance of the Revolving Loan, (ii) an event of default and demand by Lender of payment in full of the Revolving Loan or (iii) on the Revolving Loan Maturity Date (September 30, 2022), as applicable, we shall pay to Lender a payment equal to the greater of $150,000 or 6% of the outstanding principal balance of the Revolving Loan on August 31, 2020. 

 

13

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

The Loan Agreement includes customary affirmative and restrictive covenants, excluding any covenants to attain or maintain certain financial metrics, and also includes customary events of default, including for payment failures, breaches of covenants, change of control and material adverse changes. Upon the occurrence of an event of default and following any applicable cure periods, a default interest rate of an additional 5% may be applied to the outstanding loan balances, certain minimum revenue based payment guarantees become due and Horizon may declare all outstanding obligations immediately due and payable and take such other actions as set forth in the Loan Agreement.

 

A summary of our debt activity is as follows:

 

   

June 30,

   

December 31,

 

(in thousands)

 

2019

   

2018

 

Debt

               

Loans payable:

               

Horizon term loan

  $ 7,950     $ 7,950  

Horizon revolving loan

    7,500       -  

Horizon debt discount

    (365 )     (478 )

Horizon revolving final payment

    450       -  

Total debt

  $ 15,535     $ 7,472  
                 

Current portion of long-term debt

  $ 1,917     $ -  

Long term debt

  $ 13,618     $ 7,472  

 

During the three and six months ended June 30, 2019 we incurred debt related interest expense of approximately $471,000 and $792,000 respectively compared with $36,000 and $37,000 for the same periods in 2018, respectively. Interest expense for the three and six months ended June 30, 2019 included amortization of debt discount of approximately $33,000 and $65,000 related to the A/R Facility and amortization of debt discount of $70,000 and $81,000 related to the Horizon Loan Agreement.

 

Catasys is in compliance with all debt covenants as of June 30, 2019.

 

 

Note 9. Fair Value Measurements 

 

Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. Assets and liabilities recorded at fair value in the consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure fair value. The fair value hierarchy distinguishes between (1) market participant assumptions developed based on market data obtained from independent sources (observable inputs) and (2) an entity’s own assumptions about market participant assumptions developed based on the best information available in the circumstances (unobservable inputs). The fair value hierarchy consists of three broad levels, which gives the highest priority to unadjusted quoted prices in active markets for identical assets or liabilities (Level I) and the lowest priority to unobservable inputs (Level III). The three levels of the fair value hierarchy are described below:

 

Level Input:

 

Input Definition:

Level I

 

Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.

Level II

 

Inputs, other than quoted prices included in Level I, that are observable for the asset or liability through corroboration with market data at the measurement date.

Level III

 

Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.

 

The following tables summarize fair value measurements by level as of June 30, 2019 and December 31, 2018, respectively, for assets and liabilities measured at fair value on a recurring basis:

 

   

Balance as of June 30, 2019

 

(in thousands)

 

Level I

   

Level II

   

Level III

   

Total

 

Certificates of deposits (1)

  $ 408     $ -     $ -     $ 408  

Total assets

  $ 408     $ -     $ -     $ 408  

Warrant liabilities

    -     $ -     $ 842     $ 842  

Total liabilities

    -     $ -     $ 842     $ 842  

 

(1) 

$408,000 is included in restricted cash, long-term on our balance sheet as of June 30, 2019. 

 

14

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

   

Balance as of December 31, 2018

 

(in thousands)

 

Level I

   

Level II

   

Level III

   

Total

 

Letter of credit (2)

  $ 479     $ -     $ -     $ 479  

Total assets

  $ 479     $ -     $ -     $ 479  

Warrant liabilities

    -     $ -     $ 86     $ 86  

Total liabilities

    -     $ -     $ 86     $ 86  

 

(2) 

$71,000 is included in cash and restricted cash and $408,000 is included in restricted cash, long term on our balance sheet as of December 31, 2018. 

 

The following is a rollforward of our warrant liabilities:  

 

   

Level III

 
   

Warrant

 

(in thousands)

 

Liabilities

 

Balance as of December 31, 2018

  $ 86  

Issuance of new warrant liability

    631  

Change in fair value of warrant liability

    211  

Reclassification of warrant liability to equity upon adoption of ASU 2017-11

    (86 )

Balance as of June 30, 2019

  $ 842  

 

For the three and six months ended June 30, 2019, we recognized a loss of $120,000 and $211,000, respectively compared with approximately $19,000 and $29,000 for the same periods in 2018, respectively, related to the revaluation of our warrant liabilities.

 

In March 2019, in connection with our entry into the Amended Loan Agreement, we issued Horizon 40,279 seven-year warrants to purchase an aggregate of $600,000 (depending on the level of availability under the Amended Loan Agreement) at the trailing volume weighted average price (“VWAP”) of our common stock on the NASDAQ Capital Market for the five days preceding the relative dates of grants at a per share exercise price equal to the lower of (i) $9.93 or (ii) the price per share of any securities that may be issued by us in an equity financing during the 18 months following the agreement date.

 

In May 2019, we met the $7.0 million Billing Requirement under the Amended Loan Agreement and incurred an additional $2.5 million revolving loan. In connection with the additional revolving loan, we issued Horizon 5,561 seven-year warrants to purchase an aggregate of $100,000 (depending on the level of availability under the Loan Agreement) at the trailing VWAP of our common stock on the NASDAQ Capital Market for the five days preceding the relative dates of grants at a per share exercise price equal to the lower of (i) $17.98 or (ii) the price per share of any securities that may be issued by us in an equity financing during the 18 months following the agreement date.

 

In June 2019, we met the $8.0 million Billing Requirement under the Amended Loan Agreement and incurred the final $2.5 million revolving loan. In connection with the additional revolving loan, we issued Horizon 5,345 seven-year warrants to purchase an aggregate of $100,000 (depending on the level of availability under the Loan Agreement) at the trailing VWAP of our common stock on the NASDAQ Capital Market for the five days preceding the relative dates of grants at a per share exercise price equal to the lower of (i) $18.71 or (ii) the price per share of any securities that may be issued by us in an equity financing during the 18 months following the agreement date (the “Horizon Warrants”).

 

In no event will we be required to issue more than 19.9% of its currently outstanding common stock pursuant to the Horizon Warrants.

 

We adopted ASU 2017-11, as of January 1, 2019. However, given the number of variable features, the Horizon Warrants have been classified as a liability at the time of issuance in accordance with ASC 815. We initially valued the Horizon Warrants using a Monte Carlo model and recorded the fair value of the Horizon Warrants as a discount to the debt obligation. As of June 30, 2019, we have met all Billing Requirements under the Amended Loan Agreement and we will continue to mark-to-market the warrants each month using the Black-Scholes model.

 

15

 

 

CATASYS, INC.

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

(unaudited)

 

The key assumptions used to value the Horizon Warrants are as follows:

 

 

June 30, 2019

 

Expected price volatility

 98.0% - 100.2%  

Expected term (in years)

 6.7 - 7.0  

Risk-free interest rate

 1.7% - 2.3%  

Dividend yield

  0.0%    

 

 

Note 10. Variable Interest Entities

 

The amounts and classification of assets and liabilities of the variable interest entities included in our consolidated balance sheets are as follows:

 

   

June 30,

   

December 31,

 

(in thousands)

 

2019

   

2018

 

Cash and cash equivalents

  $ 418     $ 45  

Accounts receivable

    324       94  

Prepaid and other current assets

    9       29  

Total assets

  $ 751     $ 168  

Accounts payable

  $ 8     $ 7  

Accrued liabilities

    40       14  

Intercompany payable

    710       147  

Total liabilities

  $ 758     $ 168  

 

16

 

 

 

Item 2.     Management's Discussion and Analysis of Financial Condition and Results of Operations

 

The following discussion of our financial condition and results of operations should be read in conjunction with our financial statements, including the related notes, and the other financial information included elsewhere in this report. In addition to historical information, this discussion and analysis contains forward-looking statements that involve risks, uncertainties and assumptions. Our actual results may differ materially from those discussed below. Factors that could cause or contribute to such differences include, but are not limited to, those identified below, and those discussed in the section titled “Risk Factors” included elsewhere in this report and our annual report filed on Form 10-K for the year ended December 31, 2018.

 

FORWARD-LOOKING STATEMENTS

 

This report contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995 with respect to the financial condition, results of operations, business strategies, operating efficiencies or synergies, competitive positions, growth opportunities for existing products, plans and objectives of management, markets for our stock and other matters. Statements in this report that are not historical facts are hereby identified as “forward-looking statements” for the purpose of the safe harbor provided by Section 21E of the Exchange Act of 1934, as amended (the “Exchange Act”) and Section 27A of the Securities Act of 1933, as amended. Such forward-looking statements, including, without limitation, those relating to the future business prospects, our revenue and income, wherever they occur, are necessarily estimates reflecting the best judgment of our senior management as of the date on which they were made, or if no date is stated, as of the date of this report. These forward-looking statements are subject to risks, uncertainties and assumptions, including those described in the “Risk Factors” in Item 1A of Part I of our most recent Annual Report on Form 10-K (“Form 10-K”) for the fiscal year ended December 31, 2018 and other reports we filed with the Securities and Exchange Commission (“SEC”), that may affect the operations, performance, development and results of our business. Because the factors discussed in this report could cause actual results or outcomes to differ materially from those expressed in any forward-looking statements made by us or on our behalf, you should not place undue reliance on any such forward-looking statements. New factors emerge from time to time, and it is not possible for us to predict which factors will arise. In addition, we cannot assess the impact of each factor on our business or the extent to which any factor, or combination of factors, may cause actual results to differ materially from those contained in any forward-looking statements. We assume no obligation and do not intend to update these forward-looking statements, except as required by law.

 

All references to “Catasys,” “Catasys, Inc.” “we,” “us,” “our” or the “Company” mean Catasys, Inc., wholly-owned subsidiaries and variable interest entities, except where it is made clear that the term means only the parent company.

 

OVERVIEW

 

General

 

We are a AI and technology-enabled healthcare company whose mission is to help improve the health and save the lives of as many people as possible. Our PRETM (Predict-Recommend-Engage) platform predicts people whose chronic disease will improve with behavior change, recommends effective care pathways that people are willing to follow, and engages people who aren’t getting the care they need. By combining predictive analytics with human engagement, we deliver improved member health and validated outcomes and savings to healthcare payers. 

 

Our integrated, technology-enabled OnTrak solution, a critical component of the PRE platform, is designed to treat members with behavioral conditions that cause or exacerbate chronic medical conditions such as diabetes, hypertension, coronary artery disease, COPD, and congestive heart failure, which result in high medical costs. We have an ability to engage these members, who do not otherwise seek behavioral healthcare, leveraging proprietary enrollment capabilities built on deep insights into the drivers of care avoidance. OnTrak integrates evidence-based psychosocial and medical interventions delivered either in-person or via telehealth, along with care coaching and in-market Community Care Coordinators who address the social and environmental determinants of health, including loneliness.

 

We are contracted to make OnTrak available to members of leading national and regional health plans in 27 states: Alabama, California, Connecticut, Delaware, Florida, Georgia, Illinois, Iowa, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Mississippi, Missouri, Nebraska, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Virginia, West Virginia and Wisconsin.

  

Recent Developments

 

In March 2019, we entered into an amended and restated venture loan and security agreement (as so amended and restated, the “Amended Loan Agreement”) with Horizon, which provides for up to $15.0 million in loans to us, including initial term loans in the amount of $7.5 million previously funded under the original Loan Agreement entered into in June 2018 and an additional up to $7.5 million loan in three revolving tranches of $2.5 million in availability, subject to our achievement of trailing three month billings exceeding $5.0 million, $7.0 million and $8.0 million, respectively (collectively, the “Billing Requirements”).  An initial advance of $2.5 million was funded upon the execution and delivery of the Amended Loan Agreement, subject to repayment if the foregoing $5.0 million threshold is not reached by July 1, 2019.  We concurrently entered into an amendment to the previously disclosed $2.5 million A/R Facility with Heritage intended primarily to reflect the amendment and restatement of the Amended Loan Agreement. We have met all three of the Billing Requirements and as a result have incurred the full $7.5 million under the Amended Loan Agreement.

 

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In March 2019, in connection with our entry into the Amended Loan Agreement, we issued Horizon 40,279 seven-year warrants to purchase an aggregate of $600,000 (depending on the level of availability under the Amended Loan Agreement) at the trailing volume weighted average price (“VWAP”) of our common stock on the NASDAQ Capital Market for the five days preceding the relative dates of grants at a per share exercise price equal to the lower of (i) $9.93 or (ii) the price per share of any securities that may be issued by us in an equity financing during the 18 months following the agreement date.

 

In May 2019, we met the $7.0 million Billing Requirement under the Amended Loan Agreement and incurred an additional $2.5 million revolving loan. In connection with the additional revolving loan, we issued Horizon 5,561 seven-year warrants to purchase an aggregate of $100,000 (depending on the level of availability under the Loan Agreement) at the trailing VWAP of our common stock on the NASDAQ Capital Market for the five days preceding the relative dates of grants at a per share exercise price equal to the lower of (i) $17.98 or (ii) the price per share of any securities that may be issued by us in an equity financing during the 18 months following the agreement date.

 

In June 2019, we met the $8.0 million Billing Requirement under the Amended Loan Agreement and incurred the final $2.5 million revolving loan. In connection with the additional revolving loan, we issued Horizon 5,345 seven-year warrants to purchase an aggregate of $100,000 (depending on the level of availability under the Loan Agreement) at the trailing VWAP of our common stock on the NASDAQ Capital Market for the five days preceding the relative dates of grants at a per share exercise price equal to the lower of (i) $18.71 or (ii) the price per share of any securities that may be issued by us in an equity financing during the 18 months following the agreement date (the “Horizon Warrants”).

 

RESULTS OF OPERATIONS

 

The table below and the discussion that follows summarize our results of consolidated operations:

 

(in thousands)

 

For the Three Months Ended

June 30,

   

For the Six Months Ended
June 30,

 
   

2019

   

2018

   

2019

   

2018

 

Revenue

  $ 7,681     $ 3,273     $ 14,492     $ 5,184  

Cost of revenue

    4,365       2,941       7,392       5,228  

Gross profit (loss)

    3,316       332       7,100       (44 )
                                 

Operating expenses

    8,223       4,477       14,522       8,348  

Operating loss

    (4,907 )     (4,145 )     (7,422 )     (8,392 )
                                 

Other income

    8       -       14       40  

Interest expense

    (471 )     (36 )     (792 )     (37 )

Change in fair value of warrant liability

    (120 )     (19 )     (211 )     (29 )

Net loss

  $ (5,490 )   $ (4,200 )   $ (8,411 )   $ (8,418 )

 

 

 

Revenues 

   

Three Months Ended June 30,

   

Six Months Ended June 30,

 

(In thousands, except percentages)

 

2019

   

2018

   

Change $

   

Change %

   

2019

   

2018

   

Change $

   

Change %

 

Revenue

  $ 7,681     $ 3,273     $ 4,408       135 %   $ 14,492     $ 5,184     $ 9,308       180 %

 

The increase in revenue for the three months ended June 30, 2019 was substantially driven by customer launches and enrollment increases which contributed $3.8 million of the increase in total revenue year over year. The remaining increase was primarily due to $0.6 million of unbilled receivables resulting from estimated variable consideration included in the transaction price.

 

The increase in revenue for the six months ended June 30, 2019 was substantially driven by customer launches and enrollment increases which contributed $7.8 million of the increase in total revenue year over year. The remaining increase was primarily due to $1.5 million of unbilled receivables resulting from estimated variable consideration included in the transaction price.

 

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Cost of Revenue 

   

Three Months Ended June 30,

   

Six Months Ended June 30,

 

(In thousands, except percentages)

 

2019

   

2018

   

Change $

   

Change %

   

2019

   

2018

   

Change $

   

Change %

 

Cost of Revenue

  $ 4,365     $ 2,941     $ 1,424       48 %   $ 7,392     $ 5,228     $ 2,164       41 %

 

The increase in cost of revenue for the three months ended June 30, 2019 was substantially driven by an increase of $1.1 million in employee compensation-related costs driven by headcount growth related to our care coaches, outreach specialists, community care coordinators and other staff. Additionally, the healthcare provider claims payments to our network of physicians and psychologists and fees charged by our third-party administrators for processing these claims increased by $0.2 million.

 

The increase in cost of revenue for the six months ended June 30, 2019 was substantially driven by an increase of $1.6 million in employee compensation-related costs driven by headcount growth related to our care coaches, outreach specialists, community care coordinators and other staff. Additionally, the healthcare provider claims payments to our network of physicians and psychologists and fees charged by our third-party administrators for processing these claims increased by $0.4 million.

 

All of these cost increases are driven by an increasing customer and member base. In addition, we hire staff in preparation for anticipated future customer contracts and corresponding increases in members eligible for OnTrak. The costs for such staff are included in cost of healthcare services during training and ramp-up periods.

 

 

Operating Expenses

   

Three Months Ended June 30,

   

Six Months Ended June 30,

 

(In thousands, except percentages)

 

2019

   

2018

   

Change $

   

Change %

   

2019

   

2018

   

Change $

   

Change %

 

Operating Expenses

  $ 8,223     $ 4,477       3,746       84 %   $ 14,522     $ 8,348     $ 6,174       74 %

 

 

The increase in operating expenses for the three months ended June 30, 2019 was substantially driven by an increase of $3.1 million in employee compensation-related costs driven by headcount growth related to our investments in data science, software development, information technology, operations and other staff. Additionally, software licenses and equipment costs increased by $0.5 million.

 

The increase in operating expenses for the three months ended June 30, 2019 was substantially driven by an increase of $4.8 million in employee compensation-related costs driven by headcount growth related to our investments in data science, software development, information technology, sales, operations and other staff. Additionally, software licenses and equipment costs increased by $0.9 million.

 

We expect our operating expenses to increase for the foreseeable future as we continue to grow our business but decrease as a percentage of our total revenue over the next several years.

 

 

Interest Expense

   

Three Months Ended June 30,

   

Six Months Ended June 30,

 

(In thousands, except percentages)

 

2019

   

2018

   

Change $

   

Change %

   

2019

   

2018

   

Change $

   

Change %

 

Interest expense

  $ 471     $ 36     $ 435       1208 %   $ 792     $ 37     $ 755       2041 %

 

The increase in interest expense for the three months ended June 30, 2019 reflects incurring the additional two revolving tranches in May 2019 and June 2019.

 

The increase in interest expense for the six months ended June 30, 2019 reflects entering into the Amended Loan Agreement with Horizon in March 2019 and incurring the additional two revolving tranches in May 2019 and June 2019.

 

Amortization of debt discount associated with such loan is included in this increase.

 

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LIQUIDITY AND CAPITAL RESOURCES

 

The following table presents a summary of our cash flow activity for the periods set forth below:

 

   

Six Months Ended June 30,

 

(In thousands)

 

2019

   

2018

 

Net cash used in operating activities

  $ (5,955 )   $ (3,834 )

Net cash provided by financing activities

  $ 9,852     $ 4,658  

Net increase in cash and restricted cash

  $ 3,897     $ 824  

 

 

Cash and restricted cash was $7.5 million as of June 30, 2019. As of August 12, 2019, we had a balance of approximately $5.1 million cash on hand. We had working capital deficit of approximately $461,000 as of June 30, 2019. We have incurred significant net losses and negative operating cash flows since our inception. We expect to continue to incur negative cash flows and net losses for the next twelve months.  Our average cash burn rate is approximately $1.0 million per month, for the six months ended June 30, 2019. We expect our current cash resources to cover expenses through at least the next twelve months, however, delays in cash collections, revenue, or unforeseen expenditures could impact this estimate.  

 

In March 2019, we entered into an amended and restated venture loan and security agreement (as so amended and restated, the “Amended Loan Agreement”) with Horizon, which provides for up to $15.0 million in loans to us, including initial term loans in the amount of $7.5 million previously funded under the original Loan Agreement entered into in June 2018 and an additional up to $7.5 million loan in three revolving tranches of $2.5 million in availability, subject to our achievement of trailing three month billings exceeding $5.0 million, $7.0 million and $8.0 million, respectively (collectively, the “Billing Requirements”).  An initial advance of $2.5 million was funded upon the execution and delivery of the Amended Loan Agreement, subject to repayment if the foregoing $5.0 million threshold is not reached by July 1, 2019.  We concurrently entered into an amendment to the previously disclosed $2.5 million A/R Facility with Heritage intended primarily to reflect the amendment and restatement of the Amended Loan Agreement. We have met all three of the Billing Requirements and as a result have incurred the full $7.5 million under the Amended Loan Agreement.

 

Our ability to fund our ongoing operations is dependent on increasing the number of members that are eligible for our solutions by signing new contracts, identifying more eligible members in existing contracts, and generating fees from existing and new contracts and the success of management’s plan to increase revenue and continue to control expenses. We currently operate our OnTrak solutions in twenty-seven states. We provide services to commercial (employer funded), managed Medicare Advantage, and managed Medicaid and dual eligible (Medicare and Medicaid) populations. We have generated fees from our launched programs and expect to increase enrollment and fees throughout 2019.

 

Historically, we have seen and continue to see net losses, net loss from operations, negative cash flow from operating activities, and historical working capital deficits as we continue through a period of rapid growth. The accompanying financial statements do not reflect any adjustments that might result if we were unable to continue as a going concern. We have alleviated substantial doubt by both entering into contracts for additional revenue-generating health plan customers and expanding our OnTrak program within existing health plan customers. To support this increased demand for services, we invested and will continue to invest in additional headcount needed to support the anticipated growth. Additional management plans include increasing the outreach pool as well as improving our current enrollment rate. We will continue to explore ways to increase margins on both existing and new members. 

 

We have a growing customer base and believe we are able to fully scale our operations to service the contracts and future enrollment providing leverage in these investments that we expect to generate positive cash flow by the end of 2019. We believe we will have enough capital to cover expenses through the foreseeable future and we will continue to monitor liquidity. In the event we add more health plans than budgeted, increase the size of the outreach pool by more than we anticipate, decide to invest in new products or seek out additional growth opportunities, we will seek additional financing.

 

Operating Activities

 

For the six months ended June 30, 2019, cash used in operating activities was $6.0 million. The negative cash flows resulted primarily from our net loss of $8.4 million and unbilled receivables of $1.1 million, partially offset by stock-based compensation of $2.6 million. Working capital uses of cash included an increase in accounts receivable of $1.2 million, primarily as a result of the timing of billings and collections.

 

The increase in cash used in operating activities for the six months ended June 30, 2019 compared to the prior year period was primarily the result of our continued plans to invest in technology and additional headcount needed to support anticipated growth.

 

Investing Activities

 

There were no capitalized expenditures for the six months ended June 30, 2019 and June 30, 2018.

 

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Financing Activities

 

Our net cash provided by financing activities was $9.9 million for the six months ended June 30, 2019, compared with net cash provided by financing activities of $4.7 million for the six months ended June 30, 2018. Cash provided by financing activities for the six months ended June 30, 2019 consisted primarily of gross proceeds from the issuance of debt in the amount of $7.5 million, proceeds from options exercise in the amount of $1.5 million, and proceeds from warrant exercise of $1.0 million.

 

As a result of the above our cash and restricted cash balance as of June 30, 2019 is $7.5 million.

  

As discussed above, we currently expend cash at a rate of approximately $1.0 million per month, for the six months ended June 30, 2019. We also anticipate cash inflow to increase during 2019 as we continue to service our executed contracts and sign new contracts. We expect our current cash resources to cover our operations through at least the next twelve months; however, delays in cash collections, revenue, or unforeseen expenditures could impact this estimate.

 

OFF BALANCE SHEET ARRANGEMENTS

 

During the periods presented, we did not have, nor do we currently have, any relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or special purpose entities, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes. We are therefore not exposed to the financing, liquidity, market or credit risk that could arise if we had engaged in those types of relationships.

 

CRITICAL ACCOUNTING ESTIMATES

 

See Note 2 to the Consolidated Financial Statements.

 

Item 3.     Quantitative and Qualitative Disclosures About Market Risk

 

Not applicable.

 

Item 4.     Controls and Procedures

 

Disclosure Controls

 

We have evaluated, with the participation of our principal executive officer and our principal financial officer, the effectiveness of our disclosure controls and procedures (as defined in Exchange Act Rules 13a-15(e) and 15d-15(e)) as of June 30, 2019. Based on this evaluation, our principal executive officer and our principal financial officer have concluded that, as of June 30, 2019, 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 is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and is accumulated and communicated to our management, including our principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

 

Changes in Internal Control over Financial Reporting

 

There were no changes in our internal controls over financial reporting during the six months ended June 30, 2019 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.

 

PART II - OTHER INFORMATION

 

Item 1.     Legal Proceedings

 

None.

 

Item 1A.     Risk Factors

 

None.

 

Item 2. Unregistered Sales of Equity Securities and Use of Proceeds

 

There were no unregistered securities to report which were sold or issued by Catasys without the registration of these securities under the Securities Act of 1933 in reliance on exemptions from such registration requirements, within the period covered by this report, which have not been previously included in a Quarterly Report on Form 10-Q or a Current Report on Form 8-K. 

 

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Item 3.     Defaults Upon Senior Securities

 

None.

 

Item 4.     Mine Safety Disclosures.

 

Not applicable.

 

Item 5.     Other Information

 

None.

 

Item 6.     Exhibits

 

Exhibit

No.

  Description  
       

31.1*

 

Certification by the Chief Executive Officer, pursuant to Rule 13-a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

31.2*

 

Certification by the Chief Financial Officer, pursuant to Rule 13-a-14(a) and 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.

 

32.1**

 

Certification by the Chief Executive Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

32.2**

 

Certification by the Chief Financial Officer, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

 

101.INS*

 

XBRL Instance Document

 

101.SCH*

 

XBRL Taxonomy Extension Schema Document

 

101.CAL*

 

XBRL Taxonomy Extension Calculation Linkbase Document

 

101.DEF*

 

XBRL Taxonomy Extension Definition Linkbase Document

 

101.LAB*

 

XBRL Taxonomy Extension Label Linkbase Document

 

101.PRE*

 

XBRL Taxonomy Extension Presentation Linkbase Document

 

 

 

* filed herewith.

** furnished herewith.

 

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SIGNATURES

 

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

 

 

CATASYS, INC.

 

 

 

 

Date:   August 14, 2019

By:  

/s/ TERREN S. PEIZER  

 

 

Terren S. Peizer 

 

 

Chief Executive Officer

(Principal Executive Officer) 

 

 

 

 

Date:  August 14, 2019

By:  

/s/ CHRISTOPHER SHIRLEY

 

 

Christopher Shirley

 

 

Chief Financial Officer

(Principal Financial and Accounting Officer) 

 

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