COMMENT
1:
|
We
note that your revenue and accounts receivable are recorded net of
a
contractual allowance. Please expand your disclosures to
include the following:
|
·
|
For
each period presented, quantify and disclose the amount of changes
in
estimates of prior period contractual adjustments that you recorded
during
the current period. For example for 2006, this amount would
represent the amount of the difference between estimates of contractual
adjustments for services provided in 2005 and the amount of the new
estimate or settlement amount that was recorded during
2006.
|
·
|
Quantify
and disclose the reasonably possible effects that a change in estimate
of
unsettled amount from 3rd party payers as of the latest balance sheet
date
could have on your financial position and
operations.
|
·
|
Disclose
in a comparative tabular format, the payor mix concentrations and
related
aging of accounts receivable. The aging schedule may be based
on management's own reporting criteria (i.e, unbilled, less than
30 days,
30 to 60 days etc.) or some other reasonable presentation. At a
minimum, the disclosure should indicate the past due amounts and
a
breakdown by payor classification (i.e., Medicare, Medicaid, Managed
care
and other, and Self- pay). We would expect Self-pay to be
separately classified from any other grouping. If your billing
system does not have the capacity to provide an aging schedule of
your
receivables, disclose that fact and clarify how this affects your
ability
to estimate your allowance for bad
debts.
|
·
|
If
you have amounts that are pending approval from third party payers
(i.e.
Medicaid Pending), please disclose the balances of such amounts,
where
they have been classified in your aging buckets, and what payor
classification they have been grouped with. If amounts are
classified outside of self'-pay, tell us why this classification
is
appropriate, and disclose the historical percentage of amounts that
get
reclassified into self pay.
|
RESPONSE:
|
In
response to the Staff’s comments above, the Company will do the following
and/or has the following
clarifications:
|
·
|
In
response to your fist question, we would propose that we amend the
MD&A section of the filing to disclose the following in the
description of Critical Accounting
Policies:
|
|
“While
we use all available information in the estimation of our net revenues,
including our contractual status and historical collection experience
with
payors, by their nature, adjustments to previously recorded estimated
net
revenue amounts arise from time-to-time, and are recorded as an adjustment
to current period net revenue when such amounts are both probable
and
estimable. In almost all cases, such adjustments are not made
until the time of final settlement because, until that point, we
usually
do not have sufficient information that would indicate that an adjustment
is warranted. We continually refine our estimated discounts and
contractual allowances on a prospective basis to take new information
and/or new payment experiences into consideration in order to make
our
prospective estimated net revenue as accurate as possible. As a
result, current period adjustments to prior period revenue estimates
are
not material to the Company’s results of operations or our financial
condition in any period
presented.”
|
·
|
It
is not our policy to retrospectively change our estimates of prior
period net revenue in future periods until we receive final payment
because, until that point, we do not have sufficient information
that
would indicate that an adjustment is warranted. However, we
emphasize that we use all available information in developing our
prospective estimates and refine this information
frequently. Therefore, as we discussed in our response above,
these amounts are not material to our financial statements. In
fact, our net total estimate change amount arising from 2006 collections
of 2005 recorded revenue represented less than 1% of the net revenue
recorded in FY 2006 and less than 3% of the net revenue recorded
in FY
2005. We believe the proposed wording changes in the response
above address this
concern.
|
·
|
We
will amend our filing to disclose our accounts receivable aging table
as
of the balance sheet date for receivables <30 days old, 31-60 days old,
61-90 days old, 91-120 days old, and> 120 days old. We will
also include a qualitative statement at the end of such aging table
that
states that accounts receivable from “self-pay” clients were not material
in any period presented. As background, please note that as of
December 31, 2006 and December 31, 2005, accounts receivable from
“self-pay” clients represented approximately 0.2% and 1.2% of the total
accounts receivable,
respectively.
|
·
|
Our
systems are unable to make a distinction between accounts receivable
which
have been approved and are unpaid and accounts receivable that have
not
yet been approved. Thus, from our perspective, all of our
accounts receivable are pending approval until we actually receive
payment. As noted above, approximately 1% of our accounts
receivable are from “self-pay” accounts and approximately 99% of our
revenue and accounts receivable are from third party payors or client
relationships . Our billing system classifies each account
receivable according to the Medicare, insurance or other information
we
have at the time the original invoice is processed. The only
time adjustments are made to this are in the case of errors (which
are
seldom) where we find that a patient’s insurance is no longer in force or
a patient is not Medicare eligible for some reason. We do not
have any way to discern what percentage of accounts receivable get
reclassified into “self-pay” from a third party payor, but we believe this
is an immaterial amount.
|
COMMENT
2:
|
It
appears you are determining future volatility based on a three months
period prior to the grant date and not historical or implied information
over the expected term of the option. The does not appear to be
consistent with the guidance in paragraph (A32) of SFAS NO. 123(R)
and SAB Topic 14D. Please advise or
revise.
|
RESPONSE:
|
We
have considered the guidance provided in SFAS123(R) and SAB107 in
developing assumptions underlying the fair value measurements of
our
share-based payment arrangements. In response to your inquiry, we
noted
that SAB 107, Topic 14C, states in the third sentence of the Staff’s
Interpretive Response to Question
#1:
|
COMMENT
3:
|
We
note in March 2005 you refinanced the existing revolving credit facility
with Aspen to increase the credit facility from $740,000 to $1.5
million. As part of this transaction you issued a warrant to
purchase 2,500,000 shares of common stock to Aspen which was recorded
as a
$131,337 discount to the credit facility. Please provide a detailed
discussion of how the value of the warrants was determined (including
the
assumptions utilized). Please note that when equity instruments
are issued to secure borrowing capacity (i.e., revolving note, line
of
credit) the full fair value of the equity instruments should be charged
to
debt issue costs and amortized over the term of the
loan.
|
RESPONSE:
|
The
fair value of the warrants issued to Aspen was determined using the
Black-Scholes option valuation model, based on the following factors,
which were present on the date on which we reached agreement on the
principal terms:
|
COMMENT
4:
|
We
note that in January 2006 you entered into a binding letter agreement
with
Aspen which extended the maturity date of the credit facility, increased
the credit facility by $200,000 and allowed Aspen to purchase an
additional $200,000 of restricted common shares. As
compensation for each of these modifications you issued Aspen a total
of
900,000 additional warrants to purchase shares of your common
stock. Please tell us how you accounted for the modification to
the credit facility and cite the specific authoritative literature
you
utilized to support your accounting
treatment.
|
RESPONSE:
|
In
accordance with paragraph 4a of EITF Issue 98-14 “Debtor’s Accounting for
Changes in Line-of-Credit or Revolving-Debt Arrangements”, because the
borrowing capacity of the new arrangement was greater than the borrowing
capacity of the old arrangement, the a) unamortized deferred costs
from
the original agreement (see response 3 above), together with b) the
fair
value of the additional warrants issued to Aspen issued in connection
with
increasing the credit facility and c) the change in the fair value
of the
original 2,500,000 warrants previously issued to Aspen as a result
of the
reduction in the exercise price (see response 5 below), were associated
with the new arrangement. Thus the sum of these three
components were deferred and amortized over the remaining term of
the new
arrangement.
|
COMMENT
5:
|
It
appears that the exercise price of the 2,500,000 warrants issued
in March
2005 was modified from $0.50 to $0.31 in January 2006. Please
provide a detailed discussion of how this modification was accounted
for
in accordance with the guidance of paragraph (51) of SFAS
NO. 123(R).
|
RESPONSE:
|
The
difference, as of the date of modification, between the value of
the
warrants at an exercise price of $0.50, and their value at an exercise
price of $0.31, amounting to $2,365, was credited to additional paid-in
capital and included in deferred financing fees and amortized over
the
remaining term of the new arrangement (see response 4
above).
|
COMMENT
6:
|
We
noted several issuances of warrants as compensation for the modification
of existing agreements. Please expand your disclosure here to
describe all of the material terms of the warrants, including who
has the
rights to convert (i.e. the holder or the Company), the exercise
feature
(i.e. physical, net cash, or net share settlement, etc.), and any
redemption features. Please provide a description of the method
and significant assumptions used to determine the fair value of the
warrants issued.
|
RESPONSE:
|
We
will expand our disclosure in the Liquidity and Capital Resources
Section
on page 30 and the Related Party Transactions Section on Page 65
of our FY
2006 10-KSB to include a new subparagraph g) which
states:
|
|
|
All
Waiver Warrants, the Existing Warrants and all warrants issued to
Aspen
and SKL in connection with the purchase of equity or debt securities
are
exercisable at the option of the holder and each such warrant contains
provisions that allow for a physical exercise, a net cash exercise
or a
net share settlement. We used the Black-Scholes pricing model
to estimate the fair value of all such warrants as of the commitment
date
for each, using the following assumptions: dividend yield of 0 %,
expected
volatility of 14.6 – 19.3%, risk-free interest rate of 4.5%,
and a term of 3 - 5
years.”
|
COMMENT
7:
|
It
appears that the fees associated with Standby Equity Distribution
Agreement with Cornell Capital Partners were paid with equity
instruments. Please provide a detailed discussion of how you
determined the fair value of the equity instruments. In
addition, it does not appear that these fees paid with shares of
common
stock were shown as a non-cash financing activity in your consolidated
statement of cash flows on page 48. Please clarify and
revise.
|
RESPONSE:
|
The
fees paid with equity instruments were recorded based on the fair
value of
the common stock issued on the date of issue. The Supplemental
Disclosure Of Non-Cash Investing And Financing Activities at the
bottom of
the Consolidated Statement of Cash Flows will be amended to include
disclosure of the value of common stock issued in settlement of financing
fees of $50,000 and $143,208, respectively in FY 2006 and FY 2005,
respectively.
|
COMMENT
8:
|
We
noted that in April 2007 you entered an agreement regarding the formation
of a joint venture Contract Research Organization. Please
provide a detailed discussion on how you have accounted for this
transaction and cite the specific authoritative literature you utilized
to
support your accounting treatment.
|
RESPONSE:
|
The
Joint Venture Agreement for the Contract Research Organization (“CRO”) has
not yet been written and the CRO has not yet been formed. To clarify,
we
disclosed that we entered into an agreement regarding the formation
of a
prospective joint venture. At the bottom of the paragraph which
discusses the CRO joint venture in our Form 10-KSB, we have already
disclosed that “Subject to final negotiation, we will own a minimum of 60%
and up to 80% of the new CRO venture which is anticipated to be launched
in the third or fourth quarter of FY 2007”. Upon its formation,
we currently anticipate consolidating its results of operations,
unless,
ultimately, the final joint venture agreement embodies terms and
conditions (such as, minority veto rights) that would suggest an
alternative accounting treatment is more
appropriate.
|
·
|
The
Company is responsible for the adequacy and accuracy of the disclosure
in
the filing;
|
·
|
Staff
comments or changes to disclosure in response to staff comments
do not
foreclose the Commission from taking action with respect to the
filing;
and
|
·
|
The
Company may not assert staff comments as a defense in any proceeding
initiated by the Commission or any person under the federal security
laws
of the United States.
|