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(Mark One)
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þ
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QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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For the quarterly period ended June 30, 2017
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OR
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o
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TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
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For the transition period from to
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Delaware
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05-0489664
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(State of incorporation)
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(I.R.S. Employer Identification No.)
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1600 Broadway, Suite 700, Denver, Colorado
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80202
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(Address of principal executive offices)
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(Zip Code)
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Page
Number
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PART I
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PART II
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Item 1.
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Financial Statements
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June 30,
2017 |
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December 31,
2016 |
||||
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(unaudited)
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||||
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ASSETS
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||||
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Current assets
|
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||||
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Cash and cash equivalents
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$
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40,533
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$
|
9,569
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Restricted cash
|
5,055
|
|
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—
|
|
||
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Receivables, less allowance for doubtful accounts of $45,651 and $44,730 as of June 30, 2017 and December 31, 2016, respectively
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103,089
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111,811
|
|
||
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Inventory
|
28,822
|
|
|
36,165
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|
||
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Prepaid expenses and other current assets
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12,998
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18,507
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Total current assets
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190,497
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176,052
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Property and equipment, net
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30,063
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32,535
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Goodwill
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365,947
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365,947
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Intangible assets, net
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24,672
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31,043
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Other non-current assets
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2,204
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|
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2,163
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Total assets
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$
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613,383
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$
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607,740
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LIABILITIES AND STOCKHOLDERS’ DEFICIT
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Current liabilities
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Current portion of long-term debt
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$
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1,731
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$
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18,521
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Accounts payable
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46,381
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59,134
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Amounts due to plan sponsors
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4,825
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3,799
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Accrued interest
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6,736
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|
6,705
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|
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Accrued expenses and other current liabilities
|
43,209
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|
|
42,191
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|
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Total current liabilities
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102,882
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|
130,350
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|
||
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Long-term debt, net of current portion
|
475,674
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|
433,413
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|
||
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Deferred taxes
|
3,504
|
|
|
2,281
|
|
||
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Other non-current liabilities
|
17,942
|
|
|
1,257
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||
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Total liabilities
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600,002
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|
|
567,301
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||
|
Series A convertible preferred stock, $.0001 par value; 825,000 shares authorized; 21,645 shares issued and outstanding as of June 30, 2017 and December 31, 2016; and $2,754 and $2,603 liquidation preference as of June 30, 2017 and December 31, 2016, respectively
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2,639
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|
|
2,462
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||
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Series C convertible preferred stock, $.0001 par value; 625,000 shares authorized; 614,177 shares issued and outstanding as of June 30, 2017 and December 31, 2016; and $79,858 and $75,491 liquidation preference as of June 30, 2017 and December 31, 2016, respectively
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74,229
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69,540
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Stockholders’ deficit
|
|
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Preferred stock, $.0001 par value; 5,000,000 shares authorized; no shares issued and outstanding as of June 30, 2017 and December 31, 2016, respectively
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—
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—
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Common stock, $.0001 par value; 250,000,000 shares authorized; 127,441,893 and 117,682,543 shares issued and outstanding as of June 30, 2017 and December 31, 2016, respectively
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13
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12
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Additional paid-in capital
|
628,545
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|
611,844
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Accumulated deficit
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(692,045
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)
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|
(643,419
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)
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Total stockholders’ deficit
|
(63,487
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)
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(31,563
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)
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Total liabilities and stockholders’ deficit
|
$
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613,383
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$
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607,740
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Three Months Ended
June 30, |
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Six Months Ended
June 30, |
||||||||||||
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2017
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2016
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2017
|
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2016
|
||||||||
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Net revenue
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$
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218,106
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$
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232,462
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$
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435,916
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$
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470,924
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Cost of revenue (excluding depreciation expense)
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149,796
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168,298
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302,022
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342,528
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||||
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Gross profit
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68,310
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64,164
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133,894
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128,396
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||||
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||||||||
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Other operating expenses
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42,486
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40,619
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86,844
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80,277
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||||
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Bad debt expense
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6,223
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4,279
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13,387
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11,871
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||||
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General and administrative expenses
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10,025
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9,414
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19,504
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20,465
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||||
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Restructuring, acquisition, integration, and other expenses, net
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3,911
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4,291
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7,134
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6,958
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||||
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Depreciation and amortization expense
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6,789
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4,252
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13,777
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8,790
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||||
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Interest expense
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12,715
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|
9,469
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25,459
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18,881
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||||
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Loss on extinguishment of debt
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13,453
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—
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|
13,453
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—
|
|
||||
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Loss (gain) on dispositions
|
685
|
|
|
—
|
|
|
685
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|
|
(939
|
)
|
||||
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Loss from continuing operations, before income taxes
|
(27,977
|
)
|
|
(8,160
|
)
|
|
(46,349
|
)
|
|
(17,907
|
)
|
||||
|
Income tax expense
|
718
|
|
|
149
|
|
|
1,337
|
|
|
172
|
|
||||
|
Loss from continuing operations, net of income taxes
|
(28,695
|
)
|
|
(8,309
|
)
|
|
(47,686
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)
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|
(18,079
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)
|
||||
|
(Loss) income from discontinued operations, net of income taxes
|
(503
|
)
|
|
75
|
|
|
(940
|
)
|
|
308
|
|
||||
|
Net loss
|
$
|
(29,198
|
)
|
|
$
|
(8,234
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)
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|
$
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(48,626
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)
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|
$
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(17,771
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)
|
|
Accrued dividends on preferred stock
|
(2,303
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)
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|
(2,056
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)
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(4,517
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)
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(4,054
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)
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||||
|
Deemed dividends on preferred stock
|
(175
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)
|
|
(173
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)
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|
(349
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)
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|
(345
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)
|
||||
|
Loss attributable to common stockholders
|
$
|
(31,676
|
)
|
|
$
|
(10,463
|
)
|
|
$
|
(53,492
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)
|
|
$
|
(22,170
|
)
|
|
|
|
|
|
|
|
|
|
||||||||
|
Loss per common share:
|
|
|
|
|
|
|
|
||||||||
|
Loss from continuing operations, basic and diluted
|
$
|
(0.26
|
)
|
|
$
|
(0.14
|
)
|
|
$
|
(0.44
|
)
|
|
$
|
(0.32
|
)
|
|
Loss from discontinued operations, basic and diluted
|
—
|
|
|
—
|
|
|
(0.01
|
)
|
|
—
|
|
||||
|
Loss per common share, basic and diluted
|
$
|
(0.26
|
)
|
|
$
|
(0.14
|
)
|
|
$
|
(0.45
|
)
|
|
$
|
(0.32
|
)
|
|
|
|
|
|
|
|
|
|
||||||||
|
Weighted average common shares outstanding, basic and diluted
|
121,189
|
|
|
73,186
|
|
|
119,993
|
|
|
70,978
|
|
||||
|
|
Six Months Ended
June 30, |
||||||
|
|
2017
|
|
2016
|
||||
|
Cash flows from operating activities:
|
|
|
|
||||
|
Net loss
|
$
|
(48,626
|
)
|
|
$
|
(17,771
|
)
|
|
Less: (Loss) income from discontinued operations, net of income taxes
|
(940
|
)
|
|
308
|
|
||
|
Loss from continuing operations, net of income taxes
|
(47,686
|
)
|
|
(18,079
|
)
|
||
|
Adjustments to reconcile net loss from continuing operations, net of income taxes to net cash used in operating activities:
|
|
|
|
||||
|
Depreciation and amortization
|
13,777
|
|
|
8,790
|
|
||
|
Amortization of deferred financing costs and debt discount
|
2,875
|
|
|
1,987
|
|
||
|
Change in fair value of contingent consideration
|
—
|
|
|
102
|
|
||
|
Change in deferred income tax
|
1,223
|
|
|
352
|
|
||
|
Compensation under stock-based compensation plans
|
1,027
|
|
|
1,993
|
|
||
|
Loss (gain) on dispositions
|
685
|
|
|
(939
|
)
|
||
|
Loss on extinguishment of debt
|
13,453
|
|
|
—
|
|
||
|
Changes in assets and liabilities:
|
|
|
|
||||
|
Receivables, net of bad debt expense
|
8,721
|
|
|
(1,281
|
)
|
||
|
Inventory
|
7,343
|
|
|
10,537
|
|
||
|
Prepaid expenses and other assets
|
5,469
|
|
|
322
|
|
||
|
Accounts payable
|
(12,753
|
)
|
|
(16,190
|
)
|
||
|
Amounts due to plan sponsors
|
1,027
|
|
|
62
|
|
||
|
Accrued interest
|
31
|
|
|
(192
|
)
|
||
|
Accrued expenses and other liabilities
|
714
|
|
|
(3,140
|
)
|
||
|
Net cash used in operating activities from continuing operations
|
(4,094
|
)
|
|
(15,676
|
)
|
||
|
Net cash used in operating activities from discontinued operations
|
(940
|
)
|
|
(5,913
|
)
|
||
|
Net cash used in operating activities
|
(5,034
|
)
|
|
(21,589
|
)
|
||
|
Cash flows from investing activities:
|
|
|
|
||||
|
Purchases of property and equipment
|
(4,292
|
)
|
|
(5,466
|
)
|
||
|
Proceeds from dispositions
|
—
|
|
|
1,132
|
|
||
|
Investment in restricted cash
|
(5,055
|
)
|
|
—
|
|
||
|
Net cash used in investing activities
|
(9,347
|
)
|
|
(4,334
|
)
|
||
|
Cash flows from financing activities:
|
|
|
|
||||
|
Proceeds from priming credit agreement, net of expenses
|
23,060
|
|
|
—
|
|
||
|
Fees attributable to extinguishment of debt
|
(311
|
)
|
|
—
|
|
||
|
Net proceeds from issuance of equity, net of issuance costs
|
20,776
|
|
|
83,267
|
|
||
|
Borrowings on long-term debt, net of expenses
|
294,446
|
|
|
—
|
|
||
|
Borrowings on revolving credit facility
|
563
|
|
|
45,000
|
|
||
|
Repayments on revolving credit facility
|
(55,863
|
)
|
|
(60,000
|
)
|
||
|
Principal payments of long-term debt
|
(236,770
|
)
|
|
(6,274
|
)
|
||
|
Repayments of capital leases
|
(401
|
)
|
|
(129
|
)
|
||
|
Other
|
(155
|
)
|
|
(93
|
)
|
||
|
Net cash provided by financing activities
|
45,345
|
|
|
61,771
|
|
||
|
Net change in cash and cash equivalents
|
30,964
|
|
|
35,848
|
|
||
|
Cash and cash equivalents - beginning of period
|
9,569
|
|
|
15,577
|
|
||
|
Cash and cash equivalents - end of period
|
$
|
40,533
|
|
|
$
|
51,425
|
|
|
DISCLOSURE OF CASH FLOW INFORMATION:
|
|
|
|
||||
|
Cash paid during the period for interest
|
$
|
22,613
|
|
|
$
|
17,325
|
|
|
Cash paid during the period for income taxes
|
$
|
249
|
|
|
$
|
229
|
|
|
DISCLOSURE OF NON-CASH INVESTING AND FINANCING ACTIVITIES:
|
|
|
|
||||
|
Entry into capital lease
|
$
|
1,327
|
|
|
$
|
—
|
|
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||||||||||||||||||
|
|
|
0 - 180 days
|
|
Over 180 days
|
|
Total
|
|
0 - 180 days
|
|
Over 180 days
|
|
Total
|
||||||||||||
|
Government
|
|
$
|
18,714
|
|
|
$
|
7,512
|
|
|
$
|
26,226
|
|
|
$
|
19,891
|
|
|
$
|
8,278
|
|
|
$
|
28,169
|
|
|
Commercial
|
|
84,190
|
|
|
23,589
|
|
|
107,779
|
|
|
97,744
|
|
|
19,848
|
|
|
117,592
|
|
||||||
|
Patient
|
|
5,195
|
|
|
9,540
|
|
|
14,735
|
|
|
3,955
|
|
|
6,825
|
|
|
10,780
|
|
||||||
|
Gross accounts receivable
|
|
$
|
108,099
|
|
|
$
|
40,641
|
|
|
148,740
|
|
|
$
|
121,590
|
|
|
$
|
34,951
|
|
|
156,541
|
|
||
|
Allowance for doubtful accounts
|
|
|
|
|
|
(45,651
|
)
|
|
|
|
|
|
(44,730
|
)
|
||||||||||
|
Net accounts receivable
|
|
|
|
|
|
$
|
103,089
|
|
|
|
|
|
|
$
|
111,811
|
|
||||||||
|
|
Three Months Ended
June 30, |
|
Six Months Ended
June 30, |
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
Numerator:
|
|
|
|
|
|
|
|
||||||||
|
Loss from continuing operations, net of income taxes
|
$
|
(28,695
|
)
|
|
$
|
(8,309
|
)
|
|
$
|
(47,686
|
)
|
|
$
|
(18,079
|
)
|
|
Income (loss) from discontinued operations, net of income taxes
|
(503
|
)
|
|
75
|
|
|
(940
|
)
|
|
308
|
|
||||
|
Net loss
|
$
|
(29,198
|
)
|
|
$
|
(8,234
|
)
|
|
$
|
(48,626
|
)
|
|
$
|
(17,771
|
)
|
|
Accrued dividends on preferred stock
|
(2,303
|
)
|
|
(2,056
|
)
|
|
(4,517
|
)
|
|
(4,054
|
)
|
||||
|
Deemed dividend on preferred stock
|
(175
|
)
|
|
(173
|
)
|
|
(349
|
)
|
|
(345
|
)
|
||||
|
Loss attributable to common stockholders
|
$
|
(31,676
|
)
|
|
$
|
(10,463
|
)
|
|
$
|
(53,492
|
)
|
|
$
|
(22,170
|
)
|
|
|
|
|
|
|
|
|
|
||||||||
|
Denominator - Basic and Diluted:
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
Weighted average common shares outstanding
|
121,189
|
|
|
73,186
|
|
|
119,993
|
|
|
70,978
|
|
||||
|
|
|
|
|
|
|
|
|
||||||||
|
Loss per Common Share:
|
|
|
|
|
|
|
|
||||||||
|
Loss from continuing operations, basic and diluted
|
$
|
(0.26
|
)
|
|
$
|
(0.14
|
)
|
|
$
|
(0.44
|
)
|
|
$
|
(0.32
|
)
|
|
Loss from discontinued operations, basic and diluted
|
—
|
|
|
—
|
|
|
(0.01
|
)
|
|
—
|
|
||||
|
Loss per common share, basic and diluted
|
$
|
(0.26
|
)
|
|
$
|
(0.14
|
)
|
|
$
|
(0.45
|
)
|
|
$
|
(0.32
|
)
|
|
i)
|
to exchange
614,177
shares of the existing Series A Preferred Stock for an identical number of shares of Series B Convertible Preferred Stock (the “Series B Preferred Stock”), which have the same terms as the Series A Preferred Stock previously described in the Company’s prior public filings, except that the terms of the Series B Preferred Stock include the authority of the holders of the Series B Preferred Stock to waive the requirement that the Company reserve a sufficient number of shares of Common Stock reserved at all times to allow for the conversion of the Series B Preferred Stock; and
|
|
ii)
|
to waive the requirement under the Warrant Agreement governing the PIPE Warrants to reserve
3,600,000
shares of our Common Stock for the exercise of the PIPE Warrants.
|
|
Series A Preferred Stock carrying value at December 31, 2016
|
$
|
2,462
|
|
|
Accretion of discount related to issuance costs
|
26
|
|
|
|
Dividends recorded through June 30, 2017
1
|
151
|
|
|
|
Series A Preferred Stock carrying value June 30, 2017
|
$
|
2,639
|
|
|
Series C Preferred Stock carrying value at December 31, 2016
|
$
|
69,540
|
|
|
Accretion of discount related to issuance costs
|
323
|
|
|
|
Dividends recorded through June 30, 2017
1
|
4,366
|
|
|
|
Series C Preferred Stock carrying value June 30, 2017
|
$
|
74,229
|
|
|
Cash
|
$
|
67,516
|
|
|
Equity issued at closing
|
9,938
|
|
|
|
Capital lease obligation assumed
|
301
|
|
|
|
Fair value of contingent consideration
|
15,400
|
|
|
|
Total consideration
|
$
|
93,155
|
|
|
Accounts receivable
|
$
|
11,956
|
|
|
Inventories
|
3,199
|
|
|
|
Prepaids and other assets
|
852
|
|
|
|
Total current assets
|
$
|
16,007
|
|
|
Property and equipment
|
4,651
|
|
|
|
Goodwill
|
57,218
|
|
|
|
Managed care contracts
|
24,700
|
|
|
|
Licenses
|
5,400
|
|
|
|
Trade name
|
1,800
|
|
|
|
Non-compete agreements
|
200
|
|
|
|
Other non-current assets
|
891
|
|
|
|
Total assets
|
$
|
110,867
|
|
|
Accounts payable
|
14,576
|
|
|
|
Accrued liabilities
|
3,136
|
|
|
|
Current liabilities
|
$
|
17,712
|
|
|
Total fair value of cash and contingent consideration
|
$
|
93,155
|
|
|
|
Three Months Ended
June 30, |
|
Six Months Ended
June 30, |
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
Restructuring expense
|
$
|
3,648
|
|
|
$
|
1,316
|
|
|
$
|
6,854
|
|
|
$
|
3,932
|
|
|
Acquisition and integration expense
|
263
|
|
|
2,924
|
|
|
280
|
|
|
2,924
|
|
||||
|
Change in fair value of contingent consideration
|
—
|
|
|
51
|
|
|
—
|
|
|
102
|
|
||||
|
Total restructuring, acquisition, integration, and other expense, net
|
$
|
3,911
|
|
|
$
|
4,291
|
|
|
$
|
7,134
|
|
|
$
|
6,958
|
|
|
|
June 30,
2017 |
|
December 31,
2016 |
||||
|
Senior Credit Facilities
|
$
|
—
|
|
|
$
|
265,507
|
|
|
First Lien Note Facility, net of unamortized discount
|
198,000
|
|
|
—
|
|
||
|
Second Lien Note Facility, net of unamortized discount
|
82,931
|
|
|
—
|
|
||
|
2021 Notes, net of unamortized discount
|
197,008
|
|
|
196,670
|
|
||
|
Capital leases
|
3,134
|
|
|
2,209
|
|
||
|
Less: Deferred financing costs
|
(3,668
|
)
|
|
(12,452
|
)
|
||
|
Total Debt
|
477,405
|
|
|
451,934
|
|
||
|
Less: Current portion
|
(1,731
|
)
|
|
(18,521
|
)
|
||
|
Long-term debt, net of current portion
|
$
|
475,674
|
|
|
$
|
433,413
|
|
|
Financial Instrument
|
|
Carrying Value as of June 30, 2017
|
|
Markets for Identical Item (Level 1)
|
|
Significant Other Observable Inputs (Level 2)
|
|
Significant Unobservable Inputs (Level 3)
|
||||||||
|
First Lien Note Facility
|
|
$
|
198,000
|
|
|
$
|
—
|
|
|
$
|
198,000
|
|
|
$
|
—
|
|
|
Second Lien Note Facility
|
|
82,931
|
|
|
—
|
|
|
82,931
|
|
|
—
|
|
||||
|
2017 Warrants
|
|
16,908
|
|
|
—
|
|
|
16,908
|
|
|
—
|
|
||||
|
2021 Notes
|
|
197,008
|
|
|
—
|
|
|
178,109
|
|
|
—
|
|
||||
|
Total
|
|
$
|
494,847
|
|
|
$
|
—
|
|
|
$
|
475,948
|
|
|
$
|
—
|
|
|
|
Three Months Ended
June 30, |
|
Six Months Ended
June 30, |
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
Current
|
|
|
|
|
|
|
|
||||||||
|
Federal
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
State
|
190
|
|
|
25
|
|
|
226
|
|
|
25
|
|
||||
|
Total current
|
190
|
|
|
25
|
|
|
226
|
|
|
25
|
|
||||
|
Deferred
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
Federal
|
437
|
|
|
108
|
|
|
932
|
|
|
125
|
|
||||
|
State
|
91
|
|
|
16
|
|
|
179
|
|
|
22
|
|
||||
|
Total deferred
|
528
|
|
|
124
|
|
|
1,111
|
|
|
147
|
|
||||
|
Total income tax expense
|
$
|
718
|
|
|
$
|
149
|
|
|
$
|
1,337
|
|
|
$
|
172
|
|
|
|
Three Months Ended
June 30, |
|
Six Months Ended
June 30, |
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
Tax benefit at statutory rate
|
$
|
(9,790
|
)
|
|
$
|
(2,844
|
)
|
|
$
|
(16,236
|
)
|
|
$
|
(6,271
|
)
|
|
State tax expense, net of federal taxes
|
190
|
|
|
3
|
|
|
226
|
|
|
3
|
|
||||
|
Valuation allowance changes affecting income tax provision
|
10,266
|
|
|
1,926
|
|
|
17,242
|
|
|
5,314
|
|
||||
|
Non-deductible transaction costs and other
|
52
|
|
|
1,064
|
|
|
105
|
|
|
1,126
|
|
||||
|
Income tax expense
|
$
|
718
|
|
|
$
|
149
|
|
|
$
|
1,337
|
|
|
$
|
172
|
|
|
Item 2.
|
Management’s Discussion and Analysis of Financial Condition and
Results of Operations
|
|
•
|
our ability to successfully integrate the HS Infusion Holdings, Inc. (“Home Solutions”) business into our existing businesses;
|
|
•
|
our ability to make principal and interest payments on our debt and satisfy the other covenants contained in our debt agreements;
|
|
•
|
our high level of indebtedness;
|
|
•
|
our expectations regarding financial condition or results of operations in future periods;
|
|
•
|
our future sources of, and needs for, liquidity and capital resources;
|
|
•
|
our expectations regarding economic and business conditions;
|
|
•
|
our expectations regarding potential legislative and regulatory changes impacting the level of reimbursement received from the Medicare and state Medicaid programs;
|
|
•
|
periodic reviews and billing audits from governmental and private payors;
|
|
•
|
our expectations regarding the size and growth of the market for our products and services;
|
|
•
|
our business strategies and our ability to grow our business;
|
|
•
|
the implementation or interpretation of current or future regulations and legislation, particularly governmental oversight of our business;
|
|
•
|
our expectations regarding the outcome of litigation;
|
|
•
|
our ability to maintain contracts and relationships with our customers;
|
|
•
|
our ability to avoid delays in payment from our customers;
|
|
•
|
sales and marketing efforts;
|
|
•
|
status of material contractual arrangements, including the negotiation or re-negotiation of such arrangements;
|
|
•
|
future capital expenditures;
|
|
•
|
our ability to hire and retain key employees;
|
|
•
|
our ability to execute our acquisition and growth strategy; and
|
|
•
|
our ability to successfully integrate other businesses we may acquire.
|
|
•
|
risks associated with increased government regulation related to the health care and insurance industries in general, and more specifically, home infusion providers;
|
|
•
|
our ability to comply with debt covenants in our Notes Facility (as defined below) and unsecured notes indenture;
|
|
•
|
risks associated with our issuance of Preferred Stock and PIPE Warrants to the PIPE Investors (each as defined below);
|
|
•
|
risks associated with the exchanges of our Preferred Stock;
|
|
•
|
risks associated with our issuance of 2017 Warrants (as defined below);
|
|
•
|
risks associated with the First Quarter 2017 Private Placement and the Second Quarter 2017 Private Placement (each as defined below);
|
|
•
|
risks associated with the Notes Facilities (as defined below);
|
|
•
|
risks associated with our issuance of common stock in the 2016 Equity Offering, as defined below;
|
|
•
|
risks associated with the retention or transition of executive officers and key employees
|
|
•
|
our expectation regarding the interim and ultimate outcome of commercial disputes, including litigation;
|
|
•
|
unfavorable economic and market conditions;
|
|
•
|
disruptions in supplies and services resulting from force majeure events such as war, strike, riot, crime, or “acts of God” such as hurricanes, flooding, blizzards or earthquakes;
|
|
•
|
reductions in federal and state reimbursement for our products and services;
|
|
•
|
delays or suspensions of Federal and state payments for services provided;
|
|
•
|
efforts to reduce healthcare costs and alter health care financing;
|
|
•
|
effects of the 21st Century Cures Act (the “Cures Act”), the Patient Protection and Affordable Care Act (“PPACA”), any repeal or amendment thereof, and the Health Care and Education Reconciliation Act of 2010, which amended PPACA, and the related accountable care organizations;
|
|
•
|
existence of complex laws and regulations relating to our business;
|
|
•
|
availability of financing sources;
|
|
•
|
declines and other changes in revenue due to the expiration of short-term contracts;
|
|
•
|
network lockouts and decisions to in-source by health insurers including lockouts with respect to acquired entities;
|
|
•
|
unforeseen contract terminations;
|
|
•
|
difficulties in the implementation and ongoing evolution of our operating systems;
|
|
•
|
difficulties with the implementation of our growth strategy and integrating businesses we have acquired or will acquire;
|
|
•
|
increases or other changes in our acquisition cost for our products;
|
|
•
|
increased competition from competitors having greater financial, technical, reimbursement, marketing and other resources could have the effect of reducing prices and margins;
|
|
•
|
disruptions in our relationship with our primary supplier of prescription products;
|
|
•
|
the level of our indebtedness and its effect on our ability to execute our business strategy and increased risk of default under our debt obligations;
|
|
•
|
the UnitedHealthcare contract termination, including potential accounting charges and impacts on other contract provisions and their associated revenue;
|
|
•
|
introduction of new drugs, which can cause prescribers to adopt therapies for existing patients that are less profitable to us;
|
|
•
|
changes in industry pricing benchmarks, which could have the effect of reducing prices and margins; and
|
|
•
|
other risks and uncertainties described from time to time in our filings with the SEC.
|
|
•
|
On March 31, 2014, we completed the sale of substantially all of our Home Health Services segment (the “Home Health Business”) to LHC Group, Inc.
|
|
•
|
On August 27, 2015, we completed the sale of substantially all of our pharmacy benefit management services segment (the “PBM Business”) pursuant to an Asset Purchase Agreement dated as of August 9, 2015 (the “PBM Asset Purchase Agreement”), by and among the Company, BioScrip PBM Services, LLC and ProCare Pharmacy Benefit Manager Inc. (the “PBM Buyer”). Under the PBM Asset Purchase Agreement, the PBM Buyer agreed to acquire substantially all of the assets used solely in connection with the PBM Business and to assume certain PBM Business liabilities (the “PBM Sale”). On the closing date, pursuant to the terms of the PBM Asset Purchase Agreement, we received total cash consideration of approximately $24.6 million, including an adjustment for estimated closing date net working capital. On October 20, 2015, we finalized working capital adjustment negotiations in relation to the PBM Sale whereby we agreed to repay approximately $1.0 million to the PBM Buyer. We used the net proceeds from the PBM Sale to pay down a portion of our outstanding debt.
|
|
•
|
On September 9, 2016, we acquired substantially all of the assets and assumed certain liabilities of Home Solutions and its subsidiaries (the “Home Solutions Transaction”) pursuant to an Asset Purchase Agreement dated June 11, 2016 (as amended, the “Home Solutions Agreement”), by and among Home Solutions, a Delaware corporation, certain subsidiaries of Home Solutions, the Company and HomeChoice Partners, Inc., a Delaware corporation. Home Solutions, a privately held company, provides home infusion and home nursing products and services to patients suffering from chronic and acute medical conditions.
|
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||||||||||||||||||
|
|
|
0 - 180 days
|
|
Over 180 days
|
|
Total
|
|
0 - 180 days
|
|
Over 180 days
|
|
Total
|
||||||||||||
|
Government
|
|
$
|
18,714
|
|
|
$
|
7,512
|
|
|
$
|
26,226
|
|
|
$
|
19,891
|
|
|
$
|
8,278
|
|
|
$
|
28,169
|
|
|
Commercial
|
|
84,190
|
|
|
23,589
|
|
|
107,779
|
|
|
97,744
|
|
|
19,848
|
|
|
117,592
|
|
||||||
|
Patient
|
|
5,195
|
|
|
9,540
|
|
|
14,735
|
|
|
3,955
|
|
|
6,825
|
|
|
10,780
|
|
||||||
|
Gross accounts receivable
|
|
$
|
108,099
|
|
|
$
|
40,641
|
|
|
148,740
|
|
|
$
|
121,590
|
|
|
$
|
34,951
|
|
|
156,541
|
|
||
|
Allowance for doubtful accounts
|
|
|
|
|
|
(45,651
|
)
|
|
|
|
|
|
(44,730
|
)
|
||||||||||
|
Net accounts receivable
|
|
|
|
|
|
$
|
103,089
|
|
|
|
|
|
|
$
|
111,811
|
|
||||||||
|
|
Three Months Ended June 30,
|
|
As a Percentage of Revenue
|
||||||||||
|
|
(in thousands)
|
|
|
|
|
||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||
|
Net revenue
|
$
|
218,106
|
|
|
$
|
232,462
|
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Gross profit
|
68,310
|
|
|
64,164
|
|
|
31.3
|
%
|
|
27.6
|
%
|
||
|
Other operating expenses
|
42,486
|
|
|
40,619
|
|
|
19.5
|
%
|
|
17.5
|
%
|
||
|
Bad debt expense
|
6,223
|
|
|
4,279
|
|
|
2.9
|
%
|
|
1.8
|
%
|
||
|
General and administrative expenses
|
10,025
|
|
|
9,414
|
|
|
4.6
|
%
|
|
4.0
|
%
|
||
|
Restructuring, acquisition, integration, and other expenses, net
|
3,911
|
|
|
4,291
|
|
|
1.8
|
%
|
|
1.8
|
%
|
||
|
Depreciation and amortization expense
|
6,789
|
|
|
4,252
|
|
|
3.1
|
%
|
|
1.8
|
%
|
||
|
Interest expense
|
12,715
|
|
|
9,469
|
|
|
5.8
|
%
|
|
4.1
|
%
|
||
|
Loss on extinguishment of debt
|
13,453
|
|
|
—
|
|
|
6.2
|
%
|
|
—
|
%
|
||
|
Loss on dispositions
|
685
|
|
|
—
|
|
|
0.3
|
%
|
|
—
|
%
|
||
|
Loss from continuing operations, before income taxes
|
(27,977
|
)
|
|
(8,160
|
)
|
|
(12.8
|
)%
|
|
(3.5
|
)%
|
||
|
Income tax expense
|
718
|
|
|
149
|
|
|
0.3
|
%
|
|
0.1
|
%
|
||
|
Loss from continuing operations, net of income taxes
|
(28,695
|
)
|
|
(8,309
|
)
|
|
(13.2
|
)%
|
|
(3.6
|
)%
|
||
|
(Loss) income from discontinued operations, net of income taxes
|
(503
|
)
|
|
75
|
|
|
(0.2
|
)%
|
|
—
|
%
|
||
|
Net loss
|
$
|
(29,198
|
)
|
|
$
|
(8,234
|
)
|
|
(13.4
|
)%
|
|
(3.5
|
)%
|
|
|
Six Months Ended June 30,
|
|
As a Percentage of Revenue
|
||||||||||
|
|
(in thousands)
|
|
|
|
|
||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||
|
Net revenue
|
$
|
435,916
|
|
|
$
|
470,924
|
|
|
100.0
|
%
|
|
100.0
|
%
|
|
Gross profit
|
133,894
|
|
|
128,396
|
|
|
30.7
|
%
|
|
27.3
|
%
|
||
|
Other operating expenses
|
86,844
|
|
|
80,277
|
|
|
19.9
|
%
|
|
17.0
|
%
|
||
|
Bad debt expense
|
13,387
|
|
|
11,871
|
|
|
3.1
|
%
|
|
2.5
|
%
|
||
|
General and administrative expenses
|
19,504
|
|
|
20,465
|
|
|
4.5
|
%
|
|
4.3
|
%
|
||
|
Restructuring, acquisition, integration, and other expenses, net
|
7,134
|
|
|
6,958
|
|
|
1.6
|
%
|
|
1.5
|
%
|
||
|
Depreciation and amortization expense
|
13,777
|
|
|
8,790
|
|
|
3.2
|
%
|
|
1.9
|
%
|
||
|
Interest expense
|
25,459
|
|
|
18,881
|
|
|
5.8
|
%
|
|
4.0
|
%
|
||
|
Loss on extinguishment of debt
|
13,453
|
|
|
—
|
|
|
3.1
|
%
|
|
—
|
%
|
||
|
Loss (gain) on dispositions
|
685
|
|
|
(939
|
)
|
|
0.2
|
%
|
|
(0.2
|
)%
|
||
|
Loss from continuing operations, before income taxes
|
(46,349
|
)
|
|
(17,907
|
)
|
|
(10.6
|
)%
|
|
(3.8
|
)%
|
||
|
Income tax expense
|
1,337
|
|
|
172
|
|
|
0.3
|
%
|
|
—
|
%
|
||
|
Loss from continuing operations, net of income taxes
|
(47,686
|
)
|
|
(18,079
|
)
|
|
(10.9
|
)%
|
|
(3.8
|
)%
|
||
|
(Loss) income from discontinued operations, net of income taxes
|
(940
|
)
|
|
308
|
|
|
(0.2
|
)%
|
|
0.1
|
%
|
||
|
Net loss
|
$
|
(48,626
|
)
|
|
$
|
(17,771
|
)
|
|
(11.2
|
)%
|
|
(3.8
|
)%
|
|
|
Three Months Ended
June 30, |
|
Six Months Ended
June 30, |
||||||||||||
|
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
|
(in thousands)
|
|
(in thousands)
|
||||||||||||
|
Infusion services Adjusted EBITDA
|
$
|
19,601
|
|
|
$
|
19,266
|
|
|
$
|
33,663
|
|
|
$
|
36,248
|
|
|
Corporate overhead Adjusted EBITDA
|
(9,592
|
)
|
|
(8,895
|
)
|
|
(18,477
|
)
|
|
(18,472
|
)
|
||||
|
|
|
|
|
|
|
|
|
||||||||
|
Consolidated Adjusted EBITDA
|
10,009
|
|
|
10,371
|
|
|
15,186
|
|
|
17,776
|
|
||||
|
|
|
|
|
|
|
|
|
||||||||
|
Interest expense
|
(12,715
|
)
|
|
(9,469
|
)
|
|
(25,459
|
)
|
|
(18,881
|
)
|
||||
|
Gain (loss) on dispositions
|
(685
|
)
|
|
—
|
|
|
(685
|
)
|
|
939
|
|
||||
|
Loss on extinguishment of debt
|
(13,453
|
)
|
|
—
|
|
|
(13,453
|
)
|
|
—
|
|
||||
|
Income tax expense
|
(718
|
)
|
|
(149
|
)
|
|
(1,337
|
)
|
|
(172
|
)
|
||||
|
Depreciation and amortization expense
|
(6,789
|
)
|
|
(4,252
|
)
|
|
(13,777
|
)
|
|
(8,790
|
)
|
||||
|
Stock-based compensation expense
|
(433
|
)
|
|
(519
|
)
|
|
(1,027
|
)
|
|
(1,993
|
)
|
||||
|
Restructuring, acquisition, integration, and other expenses, net
|
(3,911
|
)
|
|
(4,291
|
)
|
|
(7,134
|
)
|
|
(6,958
|
)
|
||||
|
Loss from continuing operations, net of income taxes
|
$
|
(28,695
|
)
|
|
$
|
(8,309
|
)
|
|
$
|
(47,686
|
)
|
|
$
|
(18,079
|
)
|
|
i)
|
to exchange
614,177
shares of the existing Series A Preferred Stock for an identical number of shares of Series B Convertible Preferred Stock (the “Series B Preferred Stock”), which have the same terms as the Series A Preferred Stock, except that the terms of the Series B Preferred Stock include the authority of the holders of the Series B Preferred Stock to waive the requirement that the Company reserve a sufficient number of shares of common stock reserved at all times to allow for the conversion of the Series B Preferred Stock; and
|
|
ii)
|
to waive the requirement under the Warrant Agreement governing the PIPE Warrants to reserve
3,600,000
shares of our common stock for the exercise of the PIPE Warrants.
|
|
Item 3.
|
Quantitative and Qualitative Disclosures About Market Risks
|
|
Item 4.
|
Controls and Procedures
|
|
Item 1.
|
Legal Proceedings
|
|
Item 1A.
|
Risk Factors
|
|
Item 5.
|
Other Information
|
|
Item 6.
|
Exhibits
|
|
Exhibit Number
|
Description
|
|
2.1+
|
Asset Purchase Agreement, dated June 11, 2016, by and among HS Infusion Holdings, Inc., the direct and indirect subsidiaries of HS Infusion Holdings, Inc. set forth on the signature pages, the Company and HomeChoice Partners, Inc. (the “Home Solutions Agreement”) (incorporated by reference to Exhibit 2.1 to the Company’s Current Report on Form 8-K filed on June 13, 2016, SEC File Number 000-28740).
|
|
2.2
|
First Amendment, dated June 16, 2016, to the Home Solutions Agreement (incorporated by reference to Exhibit 2.1 to the Company’s Current Report on Form 8-K/A filed on June 20, 2016, SEC File Number 000-28740).
|
|
2.3
|
Second Amendment, dated September 2, 2016, to the Home Solutions Agreement (incorporated by reference to Exhibit 2.1 to the Company’s Current Report on Form 8-K filed on September 7, 2016, SEC File Number 001-11993).
|
|
2.4
|
Third Amendment, dated September 9, 2016, to the Home Solutions Agreement (incorporated by reference to Exhibit 2.1 to the Company’s Current Report on Form 8-K filed on September 12, 2016, SEC File Number 001-11993).
|
|
3.1
|
Second Amended and Restated Certificate of Incorporation of the Company (incorporated by reference to Exhibit 3.2 to the Company’s Registration Statement on Form S-4 (File No. 333-119098) declared effective on January 26, 2005).
|
|
3.2
|
Amendment to the Second Amended and Restated Certificate of Incorporation of the Company (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on June 10, 2010, SEC File Number 000-28740).
|
|
3.3
|
Certificate of Designations for Series A Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on March 10, 2015, SEC File Number 000-28740).
|
|
3.4
|
Certificate of Designations for Series B Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on June 13, 2016, SEC File Number 000-28740).
|
|
3.5
|
Certificate of Designations for Series C Convertible Preferred Stock (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on June 14, 2016, SEC File Number 000-28740).
|
|
3.6
|
Certificate of Designations, Preferences, and Rights for Series D Junior Participating Preferred Stock (incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on August 12, 2016, SEC File Number 000-28740).
|
|
3.7
|
Amended and Restated By-Laws of the Company (incorporated by reference to Exhibit 3.2 to the Company’s Current Report on Form 8-K filed on April 28, 2011, SEC File Number 000-28740).
|
|
4.1
|
Registration Rights Agreement, dated June 29, 2017, by and among the Company and the parties signatory thereto (incorporated by reference to Exhibit 4.2 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
4.2
|
Warrant Agreement, dated June 29, 2017, by and among the Company and the subscribers signatory thereto (incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
10.1
|
Offer Letter, dated April 10, 2017, by and between the Company and Stephen M. Deitsch (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on April 20, 2017, SEC File Number 001-11993).
|
|
10.2
|
First Lien Note Purchase Agreement, dated as of June 29, 2017, by and among the Company, the financial institutions and note purchasers from time to time party thereto, and Wells Fargo Bank, National Association, as Collateral Agent (incorporated by reference to Exhibit 10.1 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
10.3
|
First Lien Guaranty and Security Agreement, dated as of June 29, 2017, by and the Company, the subsidiaries of the Company signatory thereto and Wells Fargo Bank, National Association as Collateral Agent (incorporated by reference to Exhibit 10.2 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
10.4
|
Second Lien Note Purchase Agreement, dated as of June 29, 2017, by and among the Company, the financial institutions and note purchasers from time to time party thereto, and Wells Fargo Bank, National Association as Collateral Agent (incorporated by reference to Exhibit 10.3 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
10.5
|
Second Lien Guaranty and Security Agreement, dated as of June 29, 2017, by and the Company, the subsidiaries of the Company signatory thereto and Wells Fargo Bank, National Association as Collateral Agent (incorporated by reference to Exhibit 10.4 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
10.6
|
Warrant Purchase Agreement, dated as of June 29, 2017, by and among the Company and the subscribers signatory thereto (incorporated by reference to Exhibit 10.5 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
10.7
|
Stock Purchase Agreement, dated as of June 29, 2017, by and among the Company and the purchaser signatory thereto (incorporated by reference to Exhibit 10.6 to the Company’s Current Report on Form 8-K filed on June 29, 2017, SEC File Number 001-11993).
|
|
31.1
|
Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
|
31.2
|
Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|
|
32.1
|
Certification of 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 of 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 *
|
The following financial information from BioScrip, Inc.’s Quarterly Report on Form 10-Q for the period ended September 30, 2016, formatted in XBRL (eXtensible Business Reporting Language): (i) Unaudited Consolidated Statements of Operations for the three and nine months ended September 30, 2016 and 2015, (ii) Consolidated Balance Sheets as of September 30, 2016 and December 31, 2015, (iii) Unaudited Consolidated Statements of Cash Flows for the nine months ended September 30, 2016 and 2015, and (iv) Notes to Unaudited Consolidated Financial Statements.
|
|
*
|
Pursuant to Rule 406T of Regulation S-T, these interactive data files are deemed not filed or part of a registration statement or prospectus for purposes of Sections 11 or 12 of the Securities Act of 1933 or Section 18 of the Securities Exchange Act of 1934 and otherwise are not subject to liability under those sections.
|
|
|
+
|
Certain schedules attached to the Home Solutions Agreement have been omitted pursuant to Item 601(b)(2) of Regulation S-K. The Company will furnish the omitted schedules to the Securities and Exchange Commission upon request by the Commission.
|
|
|
BIOSCRIP INC.
|
|
|
|
/s/ C. Britt Jeffcoat
|
|
C. Britt Jeffcoat
|
|
Vice President, Controller
and Chief Accounting Officer
|
No information found
* THE VALUE IS THE MARKET VALUE AS OF THE LAST DAY OF THE QUARTER FOR WHICH THE 13F WAS FILED.
| FUND | NUMBER OF SHARES | VALUE ($) | PUT OR CALL |
|---|
| DIRECTORS | AGE | BIO | OTHER DIRECTOR MEMBERSHIPS |
|---|
No information found
No Customers Found
No Suppliers Found
Price
Yield
| Owner | Position | Direct Shares | Indirect Shares |
|---|