UNITED STATES


SECURITIES AND EXCHANGE COMMISSION


Washington, D.C. 20549








FORM 10-Q









(Mark One)




x
Quarterly report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934. For the quarterly period endedMarch 31, 2011.




o
Transition report pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.




Commission File Number: 001-34930







EXAMWORKS GROUP, INC.


(Exact name of registrant as specified in its charter)


Delaware

27-2909425(State or other jurisdiction of

Incorporation or Organization)

(I.R.S. Employer

Identification No.)




3280 PEACHTREE ROAD, N.E., SUITE 2625


ATLANTA, GEORGIA 30305


(Address of principal executive offices)




Telephone Number (404)952-2400


(Registrant’s telephone number, including area code)





Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days: Yes x No o




Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes o No o




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




Large accelerated filer
o

Accelerated filer
oNon-accelerated filer
x

Smaller reporting company
o




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




As of May 11, 2011, ExamWorks Group, Inc. had 34,461,958 shares of Common Stock outstanding.




1


EXAMWORKS GROUP, INC.  AND SUBSIDIARIES


MARCH 31, 2011


FORM 10-Q QUARTERLY REPORT




TABLE OF CONTENTS


PagePART I – Financial InformationItem 1.
Financial Statements
3Consolidated Balance Sheets as of December 31, 2010 and March 31, 2011 (Unaudited)
3Consolidated Statements of Operations and Comprehensive (Loss) Income for the three months ended March 31, 2010 and 2011 (Unaudited)
4Consolidated Statements of Cash Flows for the three months ended March 31, 2010 and 2011 (Unaudited)
5Notes to Consolidated Financial Statements (Unaudited)
6Item 2.
Management’s Discussion and Analysis of Financial Condition and Results of Operations
25Item 3.
Quantitative and Qualitative Disclosures about Market Risk
38Item 4.
Controls and Procedures
38PART II – Other InformationItem 1.
Legal Proceedings
39Item 1A.
Risk Factors
39Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
39Item 3.
Defaults Upon Senior Securities
39Item 4.
(Removed and Reserved)
39Item 5.
Other Information
39Item 6.
Exhibits
40Signatures
41
  2


PART 1. FINANCIAL INFORMATION
 ITEM 1. FINANCIAL STATEMENTS
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Consolidated Balance Sheets
 (In thousands, except share and per share amounts)
 (Unaudited)


December 31,


March 31,2010


2011AssetsCurrent assets:Cash and cash equivalents

$
33,624


$
15,381Accounts receivable, net


38,638



66,477Other receivables


33



94Prepaid expenses


2,175



3,220Deferred tax assets


68



3,047Other current assets


42



26Total current assets


74,580



88,245Property, equipment and leasehold improvements, net


4,870



6,643Goodwill


90,582



254,245Intangible assets, net


66,914



115,975Deferred tax assets, noncurrent


7,669



—Deferred financing costs, net


4,176



4,215Other assets


271



424Total assets

$
249,062


$
469,747Liabilities and Stockholders’ EquityCurrent liabilities:Accounts payable

$
19,999


$
28,123Accrued expenses


9,414



11,905Deferred revenue


272



1,063Current portion of subordinated unsecured notes payable


2,312



2,298Current portion of contingent earnout obligation


2,478



2,155Other current liabilities


3,105



4,884Total current liabilities


37,580



50,428Senior revolving credit facility and discount facility


4,998



170,308Long-term subordinated unsecured notes payable, less current portion


2,546



2,331Long-term contingent earnout obligation, less current portion


2,032



2,121Deferred tax liability, noncurrent


—



9,989Other long-term liabilities


1,666



2,116Total liabilities


48,822



237,293Commitments and contingenciesStockholders’ equity:Preferred stock, $0.0001 par value. Authorized 50,000,000 shares; no shares issued and outstanding at December 31, 2010 and March 31, 2011


—



—Common stock, $0.0001 par value; Authorized 250,000,000 shares; issued and outstanding 32,216,104 and 33,720,298 shares at December 31, 2010 and March 31, 2011, respectively


3



3Additional paid-in capital


211,861



243,790Accumulated other comprehensive income


1,216



2,060Accumulated deficit


(12,840
)


(13,399
)Total stockholders’ equity


200,240



232,454Total liabilities and stockholders’ equity

$
249,062


$
469,747


The accompanying notes are an integral part of these consolidated financial statements.




3


EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Consolidated Statements of Operations and Comprehensive (Loss) Income
 (In thousands, except share and per share amounts)
 (Unaudited)


Three months ended March 31,2010


2011Revenues

$
25,400


$
66,588Costs and expenses:Costs of revenues


16,132



43,569Selling, general and administrative expenses


6,011



14,328Depreciation and amortization


2,977



8,609Total costs and expenses


25,120



66,506Income from operations


280



82Interest and other expenses, net:Interest expense, net


1,439



1,182Loss (gain) on interest rate swap


25



(170
)Total interest and other expenses, net


1,464



1,012Loss before income taxes


(1,184
)


(930
)Income tax benefit


(589
)


(371
)Net loss

$
(595
)

$
(559
)Per share data:Net loss per share:Basic and diluted

$
(0.04
)

$
(0.02
)Weighted average number of common shares outstanding:Basic and diluted


13,943,454



32,739,428Comprehensive (Loss) Income:Net loss

$
(595
)

$
(559
)Foreign currency translation adjustments


—



844Total comprehensive (loss) income

$
(595
)

$
285


The accompanying notes are an integral part of these consolidated financial statements.




4


EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Consolidated Statements of Cash Flows
 (In thousands)
 (Unaudited)


Three months ended March 31,2010


2011Operating activities:Net loss

$
(595
)

$
(559
)Adjustments to reconcile net loss to net cash provided by operating activities:Loss (gain) on interest rate swap


25



(170
)Depreciation and amortization


2,977



8,609Amortization of deferred rent


(31
)


(56
)Share-based compensation


114



977Provision for doubtful accounts


156



149Amortization of deferred financing costs


146



406Deferred income taxes


(594
)


(2,576
)Changes in operating assets and liabilities, net of effects of acquisitions:Accounts receivable


(1,153
)


(1,975
)Prepaid expenses and other current assets


173



(926
)Accounts payable and accrued expenses


1,121



2,679Deferred revenue and customer deposits


102



(537
)Other liabilities


321



245Net cash provided by operating activities


2,762



6,266Investing activities:Cash paid for acquisitions, net


(24,081
)


(187,303
)Purchases of equipment and leasehold improvements, net


(567
)


(1,968
)Working capital and other settlements for acquisitions


(205
)


(325
)Net cash used in investing activities


(24,853
)


(189,596
)Financing activities:Borrowings under senior revolving credit facility


—



165,000Proceeds from the exercise of options and warrants


—



263Borrowings (repayments) under revolving line of credit and discount facility


(600
)


130Repayment of subordinated unsecured notes payable


(228
)


(361
)Payment of deferred financing costs


(162
)


(445
)Excess tax benefit related to share-based compensation


—



438Borrowings under term loan


13,712



—Issuance of preferred stock, net


18,712



—Issuance of common stock, net


2,772



—Payment of related party notes


(3,500
)


—Other


—



(18
)Net cash provided by financing activities


30,706



165,007Exchange rate impact on cash and cash equivalents


—



80Net increase (decrease) in cash and cash equivalents


8,615



(18,243
)Cash and cash equivalents, beginning of period


1,499



33,624Cash and cash equivalents, end of period

$
10,114


$
15,381Supplemental disclosure of noncash investing and financing activities:Issuance of common stock for acquisitions

$
2,942


$
30,269Issuance of common stock for termination of agreement

$
1,436


$
—Supplemental disclosures of cash flow information:Cash paid for interest

$
919


$
988Cash paid for income taxes

$
73


$
1,430


The accompanying notes are an integral part of these consolidated financial statements.




5




EXAMWORKS GROUP, INC. AND SUBSIDIARIES


Notes to Consolidated Financial Statements (Unaudited)




(1)           Nature of Operations and Basis of Presentation




ExamWorks Group, Inc. is a leading provider of independent medical examinations (“IMEs”), peer and bill reviews and related services (“IME services” or the “IME industry”). ExamWorks, Inc. was incorporated as a Delaware corporation on April 27, 2007. In 2008, ExamWorks, Inc. acquired three companies operating in the IME industry. In 2009, ExamWorks, Inc. acquired 11 other IME companies, including a provider of software solutions to the IME industry. In 2010, ExamWorks, Inc. acquired 14 additional IME companies. In the three months ended March 31, 2011, ExamWorks, Inc. acquired two additional IME companies.  As of March 31, 2011, ExamWorks, Inc. operated out of 40 service centers serving all 50 United States, Canada and the United Kingdom. In June 2010, ExamWorks, Inc. effected a corporate reorganization creating a holding company, ExamWorks Group, Inc., with ExamWorks, Inc. becoming a wholly-owned subsidiary of ExamWorks Group, Inc. (“ExamWorks” or the “Company”).  In the fourth quarter of 2010, the Company issued 9.3 million shares of common stock in an initial public offering (“IPO”).




The consolidated financial statements of the Company as of March 31, 2010 and 2011 included herein have been prepared pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) and have not been audited by its independent registered public accounting firm. In the opinion of management, all adjustments of a normal and recurring nature necessary to present fairly the financial position and results of operations and cash flows for all periods presented have been made. Pursuant to SEC rules and regulations, certain information and footnote disclosures normally included in financial statements prepared in accordance with U.S. generally accepted accounting principles (“GAAP”) have been condensed or omitted from these statements unless significant changes have taken place since the end of the Company’s most recent fiscal year. The Company’s December 31, 2010 consolidated balance sheet was derived from audited financial statements and notes included in the Company’s Annual Report on Form 10-K for the year ended December 31, 2010, but does not include all disclosures required by GAAP. It is suggested that these consolidated financial statements be read in conjunction with the financial statements and notes included in the aforementioned Form 10-K. The results of operations for the three months ended March 31, 2011 are not necessarily indicative of the results to be expected for the full year.




The consolidated financial statements include the accounts of ExamWorks and its wholly-owned subsidiaries. Significant intercompany accounts and transactions have been eliminated in consolidation.




(2)           Summary of Significant Accounting Policies




(a)           Use of Estimates




The preparation of financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Management bases its estimates on certain assumptions which they believe are reasonable in the circumstances and actual results could differ from those estimates. The more significant estimates reflected in these consolidated financial statements include the valuation of equity issued, purchase price allocations, useful lives of intangible assets, potential impairment of goodwill and intangible assets, the allowance for doubtful accounts and the valuation of share-based compensation and derivative instruments.




(b)           Foreign Currencies




Assets and liabilities recorded in foreign currencies are translated into U.S. dollars at the exchange rate on the balance sheet date. Revenues and expenses are translated at average rates of exchange prevailing during the periods. Translation adjustments resulting from this process are recorded to other comprehensive income.




(c)           Cash and Cash Equivalents




The Company considers all highly liquid investments with original maturities of three months or less when purchased to be cash equivalents. The Company had no cash equivalents as of December 31, 2010 and March 31, 2011.




6




EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)


(d)           Accounts Receivable and Allowance for Doubtful Accounts




Accounts receivable consist of amounts owed to the Company for services provided in the normal course of business and are reported net of allowance for doubtful accounts, which amounted to $815,000 and $899,000  as of December 31, 2010 and March 31, 2011, respectively. Generally, no collateral is received from customers and additions to the allowance are based on ongoing credit evaluations of customers with general credit experience being within the range of management’s expectations. Accounts are reviewed regularly for collectability and those deemed uncollectible are written off.




(e)           Concentrations of Credit Risk




The Company routinely assesses the financial strength of its customers and establishes an allowance for doubtful accounts based upon factors surrounding the credit risk of specific customers, historical trends and other information. For the three months ended March 31, 2010 and 2011, no individual customer accounted for more than 10% of revenues.  At December 31, 2010 and March 31, 2011, there was no individual customer that accounted for greater than 10% of the accounts receivable balance.




As of March 31, 2011, the Company had cash and cash equivalents totaling approximately $15.4 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $14.2 million were held in the U.S. The U.S. amounts are insured in full against bank failure through June 30, 2012 under the Federal Deposit Insurance Corporation Temporary Liquidity Guarantee Program.




(f)           Property, Equipment and Leasehold Improvements




Property, equipment and leasehold improvements are recorded at cost. Depreciation is computed using the straight-line method over the estimated useful lives of the respective assets and accelerated methods for income tax purposes. Leasehold improvements are amortized over the lesser of their expected useful life or the remaining lease term. Maintenance and repair costs are expensed as incurred.




(g)           Long-Lived Assets




In accordance with Impairment or Disposal of Long-Lived Assets, Subsections of Financial Accounting Standards Board (“FASB”) Accounting Standards CodificationTM (“ASC”) Subtopic 360-10 (“ASC 360”), Property, Plant, and Equipment — Overall, long-lived assets, such as equipment and purchased intangible assets subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. If circumstances require a long-lived asset or asset group be tested for possible impairment, the Company first compares undiscounted cash flows expected to be generated by that asset or asset group to its carrying value. If the carrying value of the long-lived asset or asset group is not recoverable on an undiscounted cash flow basis, an impairment is recognized to the extent that the carrying value exceeds its fair value. Fair value is determined through various valuation techniques including discounted cash flow models, quoted market values and third-party independent appraisals, as considered necessary. At December 31, 2010 and March 31, 2011, no impairment was noted.




(h)          Goodwill and Other Intangible Assets




Goodwill is an asset representing the future economic benefits arising from assets acquired in a business combination that are not individually identified and separately recognized. Goodwill is reviewed for impairment at least annually in accordance with the provisions of FASB ASC Topic 350, Intangibles — Goodwill and Other(“ASC 350”). The goodwill impairment test is a two-step test. Under the first step, the fair value of the reporting unit is compared with its carrying value (including goodwill). If the fair value of the reporting unit is less than its carrying value, an indication of goodwill impairment exists for the reporting unit and the enterprise must perform step two of the impairment test (measurement). Under step two, an impairment loss is recognized for any excess of the carrying amount of the reporting unit’s goodwill over the implied fair value of that goodwill. The implied fair value of goodwill is determined by allocating the fair value of the reporting unit in a manner similar to a purchase price allocation and the residual fair value after this allocation is the implied fair value of the reporting unit goodwill. Fair value of the reporting unit is determined using a discounted cash flow analysis. If the fair value of the reporting unit exceeds its carrying value, step two does not need to be performed.




7


EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)


The Company performed its annual impairment review of goodwill in October 2010 and it was determined that the carrying amount of goodwill was not impaired and there have been no subsequent developments that would indicate impairment exists as of December 31, 2010 and March 31, 2011. The goodwill impairment review will continue to be performed annually or more frequently, if facts and circumstances warrant a review.




ASC 350 also requires that intangible assets with definite lives be amortized over their estimated useful lives. Currently, customer relationships, trade names, covenants not-to-compete and technology are amortized using the straight-line method over estimated useful lives.




(i)           Deferred Financing Costs




Deferred financing costs totaling $1.7 million were incurred in December 2009 in connection with a previous credit facility and were to be amortized to interest expense over the three-year term of the facility using the straight-line method, which approximates the effective interest method. In the first ten months of 2010, an additional $2.1 million of deferred financing costs were incurred as the Company expanded its borrowing availability under that facility.  The previous credit facility was repaid in November 2010 with proceeds generated from the IPO.  In connection with this early retirement of debt, the Company recognized debt extinguishment costs of approximately $3.2 million in the fourth quarter of 2010 for the unamortized portion of the loan costs.  The debt extinguishment costs were recorded as other interest expense in accordance with FASB ASC Topic 470, Debt (“ASC 470”).  In November 2010, the Company entered in to a new senior revolving credit facility with Bank of America N.A. (see note 10) and incurred deferred financing costs of $4.8 million, $4.4 million of which were incurred in 2010 and $445,000 of which were incurred in the three months ended March 31, 2011.  The deferred financing costs will be amortized to interest expense over the three-year term of the facility using the straight-line method which approximates the effective interest method.




For the three months ended March 31, 2010 and 2011, the Company amortized approximately $146,000 and $406,000 to interest expense, respectively.




(j)           Revenue Recognition




Revenue related to IMEs, peer reviews, bill reviews and administrative support services is recognized at the time services have been performed and the report is shipped to the end user. The Company believes that recognizing revenue at the time the report is shipped is appropriate because the Company’s revenue policies meet the following four criteria in accordance with FASB ASC 605-10-S25, Revenue Recognition: Overall,(i) persuasive evidence that arrangement exists, (ii) shipment has occurred, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.




Revenue related to other IME services, including litigation support services and medical record retrieval services, where no report is generated, is recognized at the time the service is performed. The Company believes that recognizing revenue at the time the service is performed is appropriate because the Company’s revenue policies meet the following four criteria in accordance with FASB ASC 605-10-S25, (i) persuasive evidence that arrangement exists, (ii) services have been rendered, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.




Should changes in conditions cause management to determine these criteria are not met for certain future transactions, revenue recognized for any reporting period could be adversely affected.




(k)           Costs of Revenues




Costs of revenues are comprised of fees paid to members of the Company’s medical panel; other direct costs including transcription, film and medical record obtainment and transportation; and other indirect costs including labor and overhead related to the generation of revenues.




8




EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)




(l)            Income Taxes




Income taxes are accounted for under the asset and liability method. Deferred tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases and operating loss and tax credit carryforwards. Deferred tax assets and liabilities are measured using enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on deferred tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the enactment date. Beginning with the adoption of FASB Interpretation No. 48, Accounting for Uncertainty in Income Taxes, (included in FASB ASC Subtopic 740-10, Income Taxes — Overall), as of January 1, 2009, the Company recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount that is greater than 50% likely of being realized. Changes in recognition or measurement are reflected in the period in which the change in judgment occurs. Prior to the adoption of FASB Interpretation No. 48, the Company recognized the effect of income tax positions only if such positions were probable of being sustained.




The Company records interest and penalties related to unrecognized tax benefits in income tax expense.




(m)          Loss Per Common Share




Basic loss per share is calculated by dividing net loss by the weighted-average number of common shares outstanding during each period. Diluted loss per common share is calculated by dividing net loss, adjusted on an “as if converted” basis, by the weighted-average number of actual shares outstanding and, when dilutive, the share equivalents that would arise from the assumed conversion of convertible instruments.  The effect of potentially dilutive stock options and warrants is calculated using the treasury stock method.




For the three months ended March 31, 2010, the potentially dilutive securities include options exercisable into 2.7 million shares of common stock and 220,000 shares of common stock issuable to settle the equity component of an earnout obligation.  For the three months ended March 31, 2011, the potentially dilutive securities include options and warrants exercisable into 6.9 million shares of common stock, 83,000 shares of common stock issuable to settle the equity component of an earnout obligation, and 135,000 shares of common stock issuable, at the holder’s option, to settle a subordinated unsecured note.




For the three months ended March 31, 2010 and 2011, all of the potentially dilutive securities were excluded from the calculation of shares applicable to loss per share, because their inclusion would have been anti-dilutive.




(n)           Share-Based Compensation




The Company has an Amended and Restated 2008 Stock Incentive Plan (the “Plan”) that provides for granting of options. The Company accounts for share-based awards in accordance with FASB ASC Topic 718, Compensation — Stock Compensation(“ASC 718”). ASC 718 requires measurement of compensation cost for all share-based awards at fair value on the grant date (or measurement date if different) and recognition of compensation expense, net of forfeitures, over the requisite service period for awards expected to vest.




The fair value of stock option grants is determined using the Black-Scholes valuation model. The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded options that have no vesting restrictions and are fully transferable, characteristics not present in these employee stock options. Additionally, option valuation models require the input of highly subjective assumptions, including the expected volatility of the stock price. Because the Company’s employee stock options have characteristics significantly different from those of traded options and because changes in the subjective input assumptions can materially affect the fair value estimates, in management’s opinion, the existing models may not provide a reliable single measure of the fair value of its share-based awards. The Company’s expected volatility assumptions are based on the Company’s peer group median implied volatility. Expected life assumptions are based upon the “simplified” method as described in Securities and Exchange Commission Staff Accounting Bulletin No. 107, which is the midpoint between the vesting date and the end of the contractual term. The risk-free interest rate was selected based upon yields of U.S. Treasury issues with a term equal to the expected life of the option being valued.




9
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
  The assumptions utilized for stock option grants during the three months endedMarch 31,2011 were as follows:
  Three months ended

March 31,2011Volatility


35.79
%Expected life (years)


6.00Risk-free interest rate


2.54
%Dividend yield


—Fair value

$
8.78
  In the first quarter of 2011, the Company issued approximately 1.5 million stock option awards to certain employees. The weighted average fair value of each stock option was $8.78 per option and the aggregate fair value was $13.4 million. All of these awards vest over a three-year period. All of these options could vest earlier in the event of a change in control or merger or other acquisition. Share-based compensation expense was $114,000 and $977,000 for the three months ended March 31, 2010 and 2011, respectively. At March 31, 2011, the unrecognized compensation expense related to stock option grants was $19.5 million with a remaining weighted average life of 2.2 years.
  A summary of option activity for the three months ended March 31, 2011 follows:
 WeightedNumber of


averageoptions


priceBalance at December 31, 2010


5,058,525


$
7.29Options granted


1,525,200



22.50Options forfeited


(103,820
)


3.87Options exercised


(67,766
)


9.73Balance at March 31, 2011


6,412,139


$
10.91
  There were no stock options exercised during the three months ended March 31, 2010.  The total intrinsic value of stock options exercised during the three months ended March 31, 2011 was approximately $1.2 million.  As of March 31, 2011, there were 1.8 million stock options exercisable with a weighted average exercise price of $4.23.
  (o)           Fair Value Measurements
  In September 2006, the FASB issued authoritative guidance codified as FASB ASC Topic 820, Fair Value Measurements and Disclosures (“ASC 820”). ASC 820 defines fair value, establishes a framework for measuring fair value in U.S.  generally accepted accounting principles and expands disclosure about fair value measurements. ASC 820 is effective for interim reporting periods in fiscal years beginning after November 15, 2007. The Company adopted the applicable provisions of ASC 820 effective January 1, 2008.
  FASB ASC Topic 825, Financial Instruments (“ASC 825”), delayed the effective date of the application of ASC 820 to fiscal years beginning after November 15, 2008 for all nonfinancial assets and nonfinancial liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis. Nonrecurring nonfinancial assets and nonfinancial liabilities for which the Company has not applied the provisions of ASC 820 primarily include those measured at fair value in goodwill and long-lived asset impairment testing, those initially measured at fair value in a business combination, and nonfinancial liabilities for exit or disposal activities.
  ASC 820 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a fair value hierarchy, which prioritizes the inputs used in measuring fair value into the following levels:
  In determining fair value, the Company utilizes valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as consider counterpart credit risk in its assessment of fair value.
  10
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
  Level 1 – Quoted prices in active markets for identical assets or liabilities.
  Level 2 – Inputs, other than quoted prices in active markets, that are observable either directly or indirectly.
  Level 3 – Unobservable inputs based on the company’s own assumptions.
  The Company’s financial liabilities, which are measured at fair value on a recurring basis, are categorized using the fair value hierarchy at December 31, 2010 and March 31, 2011, and are as follows (in thousands):
  Level 1


Level 2


Level 3


TotalAs of December 31, 2010Financial liabilities:Interest rate swap

$
—


$
654


$
—


$
654Contingent consideration


—



—



6,202



6,202As of March 31, 2011Financial liabilities:Interest rate swap


—



484



—



484Contingent consideration


—



—



5,676



5,676
 The fair value of the interest rate swap is determined using observable market inputs, such as current interest rates, and considers nonperformance risk of the Company and that of its counterparties.
  The contingent consideration relates to earnout provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010 (see note 3).
  In February 2007, the FASB issued ASC 825, which permits entities to choose to measure many financial instruments and certain other items at fair value. This provision of ASC 825 is effective for fiscal years beginning after November 15, 2007.  As the Company did not elect the fair value option, the adoption of this provision of ASC 825 did not have a material impact on the Company’s consolidated financial position, results of operations and cash flows for the three months ended March 31, 2010 and 2011.
  (p)           Comprehensive (Loss) Income
  Comprehensive (loss) income consists of two components, net loss and other comprehensive income. Other comprehensive income refers to revenues, expenses, gains and losses that under GAAP are recorded as a component of stockholders’ equity but are excluded from net loss. The Company’s other comprehensive income consists of foreign currency translation adjustments from those business units not using the U.S. dollar as their functional currency.
  (q)           Recent Accounting Pronouncements
  In October 2009, the FASB issued Accounting Standards Update (“ASU”) 2009-13 (“ASU 2009-13”) addressing revenue arrangements with multiple deliverables. The new guidance establishes a selling price hierarchy for determining the selling price of a deliverable, eliminates the residual method of allocation, requires the allocation of arrangement consideration to all deliverables using the relative selling price method, and significantly expands disclosure requirements. The guidance is effective prospectively for revenue arrangements entered into or materially modified in fiscal years beginning on or after June 15, 2010. The Company adopted the provisions of ASU 2009-13 effective January 1, 2011 and this adoption did not have a material impact on its consolidated financial position, results of operations and cash flows.
  11
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
  In December 2010, the FASB issued ASU 2010-29, Disclosure of Supplementary Pro Forma Information for Business Combinations.  The amendments in this update specify that if a public entity presents comparative financial statements, the entity should disclose revenue and earnings of the combined entity as though the business combination(s) that occurred during the current year had occurred as of the beginning of the comparable prior annual reporting period only.  The amendments also expand the supplemental pro forma disclosures under FASB ASC Topic 805 (“ASC 805”), Business Combinations, to include a description of the nature and amount of material, nonrecurring pro forma adjustments directly attributable to the business combination included in the reported pro forma revenue and earnings.  The amendments in this update are effective prospectively for business combinations for which the acquisition date is on or after January 1, 2011.  The Company adopted the provisions of ASU 2010-29 effective January 1, 2011.  The adoption of ASU 2010-29 did not have a material impact on the Company’s consolidated financial statements for the three months ended March 31, 2011.  The Company included the expanded disclosure requirements required under ASU 2010-29 for all acquisitions completed in 2011 (see note 3).
  (3)           Acquisitions
  ExamWorks operates in a highly fragmented industry and has completed numerous acquisitions since July 14, 2008. A key component of ExamWorks’ acquisition strategy is growth through acquisitions that expand its geographic coverage, provide new or complementary lines of business, expand its portfolio of services and that increase its market share.
  The Company has accounted for all business combinations using the purchase method to record a new cost basis for the assets acquired and liabilities assumed. The Company recorded, based on a preliminary purchase price allocation, intangible assets representing client relationships, tradenames, covenants not to compete, and technology and the excess of purchase price over the estimated fair value of the tangible assets acquired and liabilities assumed and the separately recognized intangible assets has been recorded as goodwill in the accompanying consolidated financial statements. The goodwill is attributable to synergies achieved through the streamlining of operations combined with improved margins attainable through increased market presence. The results of operations are reflected in the consolidated financial statements of the Company from the date of acquisition.
  (a)           2010 Acquisitions
  Metro Medical Acquisition
  On March 26, 2010, ExamWorks acquired substantially all of the assets and assumed certain liabilities of Metro Medical Services, LLC (“Metro Medical”) for aggregate consideration of $13.5 million, comprised of $13.0 million cash consideration less cash acquired of $722,000 and 589,930 shares of the Company’s common stock with an estimated fair value of $1.3 million. In conjunction with the Metro Medical acquisition, the Company incurred transaction costs of $101,000 which were reported in selling, general and administrative expenses in the Company’s 2010 consolidated statement of operations. The Metro Medical acquisition enabled the Company to further expand its operations in the northeastern region of the United States.
  The final allocation of consideration for the Metro Medical acquisition is summarized as follows (in thousands):
 Preliminary




Finalpurchase price




Purchase priceallocation


Adjustments/

allocationDecember 31, 2010


reclassifications

March 31, 2011Equipment and leasehold improvements

$
186


$
—

$
186Customer relationships


4,715



—


4,715Tradename


1,458



—


1,458Covenants not to compete


66



—


66Technology


100



—


100Goodwill


5,601



—


5,601Deferred tax asset associated with step-up in book basis


680



—


680Assets acquired and liabilities assumed, net


682



—


682Totals

$
13,488


$
-

$
13,488
 In 2011, the Company finalized the purchase price allocation with no adjustments to the purchase price.  The goodwill and other intangible assets resulting from the Metro Medical acquisition are expected to be deductible for tax purposes.
  12
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 
 Direct IME Acquisition
  On June 30, 2010, ExamWorks acquired substantially all of the assets and assumed certain liabilities of Direct IME, a partnership (“Direct IME”), for aggregate consideration of $13.6 million, comprised of $11.9 million cash consideration less cash acquired of $50,000, 507,606 shares of the Company’s common stock with an estimated fair value of $1.4 million and $351,000 of contingent consideration. The acquisition agreement contains a clawback provision whereby certain revenue and profitability targets must be met for a period of two years. The Company expects Direct IME to achieve the targeted levels. Additionally, the acquisition agreement contains contingent consideration in the form of an earnout provision based upon the achievement of certain revenue and profitability targets. Any contingent consideration is payable at the end of a two-year period. The fair value of the contingent consideration will be adjusted quarterly based primarily on variations in the expected performance of the acquired businesses with the change being recorded as other (income) expense in the accompanying consolidated statements of operations. For the three months ended March 31, 2011, the Company recorded additional contingent consideration of $69,000 resulting primarily from the change in the value of the earnout.  As of March 31, 2011, the range of outcomes and the assumptions used to develop the estimate have not changed. In conjunction with the Direct IME acquisition, the Company incurred transaction costs of $194,000 which were reported in selling, general and administrative expenses in the Company’s 2010 consolidated statement of operations. The Direct IME acquisition enabled the Company to expand operations into the Canadian market.
  The preliminary allocation of consideration for the Direct IME acquisition is summarized as follows (in thousands):
  Preliminary




Preliminarypurchase price




Purchase priceallocation


Adjustments/

allocationDecember 31, 2010


reclassifications

March 31, 2011Equipment and leasehold improvements

$
34


$
—

$
34Customer relationships


5,416



—


5,416Tradename


720



—


720Covenants not to compete


33



—


33Technology


48



—


48Goodwill


5,708



—


5,708Deferred tax asset associated with step-up in book basis


815



—


815Assets acquired and liabilities assumed, net


855



—


855Totals

$
13,629


$
-

$
13,629
 The goodwill and other intangible assets resulting from the Direct IME acquisition are expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change. Such changes are not expected to be significant. The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.
  Verity Acquisition
  On August 6, 2010, ExamWorks acquired substantially all of the assets and assumed certain liabilities of Verity Medical, Inc. (“Verity Medical”), for cash consideration of $14.0 million. In conjunction with the Verity Medical acquisition, the Company incurred transaction costs of $138,000 which were reported in selling, general and administrative expenses in the Company’s 2010 consolidated statement of operations. The Verity Medical acquisition enabled the Company to further expand its operations in the midwestern region of the United States.
  13
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 The preliminary allocation of consideration for the Verity Medical acquisition is summarized as follows (in thousands):
  Preliminary





Preliminarypurchase price





Purchase priceallocation


Adjustments/


allocationDecember 31, 2010


reclassifications


March 31, 2011Equipment and leasehold improvements

$
46


$
—


$
46Customer relationships


6,063



—



6,063Tradename


1,036



—



1,036Covenants not to compete


51



—



51Technology


83



—



83Goodwill


6,160



22



6,182Deferred tax asset associated with step-up in book basis


12



—



12Assets acquired and liabilities assumed, net


540



(22
)


518Totals

$
13,991


$
-


$
13,991
  The goodwill and other intangible assets resulting from the Verity Medical acquisition are expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed, but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change. Such changes are not expected to be significant. The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.
  UK Independent Medical Acquisition
  On September 7, 2010, ExamWorks acquired 100% of the outstanding share capital of UK Independent Medical Services Limited (“UKIM”) for aggregate consideration of $16.0 million, comprised of $14.5 million cash consideration and 253,003 shares of the Company’s common stock with an estimated fair value of $1.5 million. In conjunction with the UKIM acquisition, the Company incurred transaction costs of $447,000 which were reported in selling, general and administrative expenses in the Company’s 2010 consolidated statement of operations. The UKIM acquisition enabled the Company to expand operations into the UK market.
  The preliminary allocation of consideration for the UKIM acquisition is summarized as follows (in thousands):
 Preliminary





Preliminarypurchase price





Purchase priceallocation


Adjustments/


allocationDecember 31, 2010


reclassifications


March 31, 2011Equipment and leasehold improvements

$
152


$
—


$
152Customer relationships


3,238



—



3,238Tradename


1,704



—



1,704Covenants not to compete


5



—



5Technology


107



—



107Goodwill


2,895



686



3,581Deferred tax asset associated with step-up in book basis


1,163



—



1,163Assets acquired and liabilities assumed, net


6,358



(313
)


6,045Totals

$
15,622


$
373


$
15,995
  In 2011, the Company recorded an adjustment to working capital resulting in an increase to total consideration paid of $373,000.  The goodwill and other intangible assets resulting from the UKIM acquisition are expected to be deductible for U.S. federal income tax purposes.  The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change.  Such changes are not expected to be significant.  The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.
  14
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 Other 2010 Acquisitions
  Additionally, in 2010, the Company completed the following individually insignificant acquisitions, as defined in SEC Regulation S-X Rule 3-05, with an aggregate purchase price of $70.3 million, comprised of $62.8 million cash consideration less cash acquired of $1.0 million, 1,685,312 shares of the Company’s common stock with an estimated fair value of $5.9 million, $1.7 million of seller debt in the form of subordinated unsecured notes payable, and $786,000 of contingent consideration. A portion of this debt may be settled, at the election of the seller, with 135,282 shares of the Company’s common stock.  In conjunction with the other 2010 acquisitions, the Company incurred transaction costs of $1.2 million, which were reported in selling, general and administrative expenses in the Company’s 2010 consolidated statement of operations. These acquisitions expanded the geographic coverage and, to a lesser extent, enhanced the service offering of the Company.
 Company name
Form of acquisition
Date of acquisitionAmerican Medical Bill Review, Inc. (“AMBR”)
Substantially all of the assets and assumed certain liabilities
March 15, 2010Medical Evaluations, Inc. (“MEI”)
Substantially all of the assets and assumed certain liabilities
March 15, 2010401 Diagnostics, Inc.
Substantially all of the assets and assumed certain liabilities
June 30, 2010Independent Medical Services Corporation
Substantially all of the assets and assumed certain liabilities
June 30, 2010Network Medical Review Co. Ltd.
100% of the outstanding common stock
June 30, 2010SOMA Medical Assessments, Inc.
Substantially all of the assets and assumed certain liabilities
June 30, 2010Exigere Corporation
100% of the outstanding common stock
August 6, 2010Health Cost Management, LLC
Substantially all of the assets and assumed certain liabilities
September 1, 2010BME Gateway, Inc.
Substantially all of the assets and assumed certain liabilities
October 1, 2010Royal Medical Consultants, Inc.
Substantially all of the assets and assumed certain liabilities
December 20, 2010
  The preliminary allocation of consideration for these acquisitions is summarized as follows (in thousands):
 Preliminary





Preliminarypurchase price





Purchase priceallocation


Adjustments/


allocationDecember 31, 2010


reclassifications


March 31, 2011Equipment and leasehold improvements

$
792


$
—


$
792Customer relationships


24,814



—



24,814Tradename


5,984



—



5,984Covenants not to compete


242



—



242Technology


1,219



—



1,219Goodwill


37,513



197



37,710Net deferred tax liability associated with step-up in book basis


(2,540
)


—



(2,540
)Assets acquired and liabilities assumed, net


2,294



(246
)


2,048Totals

$
70,318


$
(49
)

$
70,269
  15
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 In 2011, the Company recorded an adjustment to working capital resulting in a decrease to total consideration paid of $49,000.  The Company expects to make further adjustments to the purchase price allocation of certain acquisitions, excluding AMBR and MEI which are considered final as of March 31, 2011, principally resulting from working capital and tax related adjustments, in accordance with the purchase agreements. One of the acquisition agreements contains a clawback provision whereby certain revenue and profitability targets must be met for a period of two years. The Company expects this acquisition to achieve the targeted levels. Additionally, this acquisition agreement contains contingent consideration in the form of an earnout provision based upon the achievement of certain revenue and profitability targets. At the date of acquisition, the Company recorded $536,000 as the estimate of the fair value of the contingent consideration related to this acquisition. Any contingent consideration is payable at the end of a two-year period. The fair value of the contingent consideration will be adjusted quarterly based primarily on variations in the expected performance of the acquired businesses with the change being recorded as other (income) expense in the accompanying consolidated statements of operations. For the three months ended March 31, 2011, the Company recorded additional contingent consideration of $18,000 resulting primarily from the change in the value of the earnout.  As of March 31, 2011, the range of outcomes and the assumptions used to develop the estimate have not changed. Goodwill of $23.9 million and other intangible assets of $21.7 million are expected to be deductible for tax purposes.
  The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change.  Such changes are not expected to be significant.  The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.
  (b)           2011 Acquisitions
  MES Group, Inc. Acquisition
  On February 28, 2011, the Company completed the acquisition of 100% of the outstanding stock of MES Group, Inc. (“MES”) for aggregate consideration of $215.0 million, comprised of $175.0 million cash consideration, 1,424,501 shares of Company common stock with a fair value of $30.0 million  (using a value of  $21.07 per share, the closing price of the Company’s common stock on February 28, 2011), and $10.0 million of assumed indebtedness under MES’ credit facility, which was paid off at closing. In conjunction with the MES acquisition, the Company incurred transaction costs of $1.5 million, of which $439,000 were incurred in the first quarter of 2011 and are reported in selling, general and administrative expenses in the Company’s accompanying 2011 consolidated statement of operations. The MES acquisition broadens the Company’s product portfolio, customer base and increases the Company’s market share in the U.S.
  The preliminary allocation of consideration for the MES acquisition is summarized as follows (in thousands):
 Preliminarypurchase priceallocationMarch 31, 2011Property, equipment and leasehold improvements

$
1,800Customer relationships


37,003Tradename


16,805Covenants not to compete


511Technology


762Goodwill


160,540Net deferred tax liability associated with step-up in book basis


(18,316
)Assets acquired and liabilities assumed, net


15,909Totals

$
215,014
  The goodwill and other intangible assets resulting from the MES acquisition are not expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed, but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change. The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.  The MES acquisition contributed $13.2 million in revenues and $1.2 million in operating income for the three months ended March 31, 2011.
  16
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 Other 2011 Acquisition
  On February 18, 2011, the Company acquired 100% of the outstanding common stock of National IME (“National IME”) for $2.5 million, comprised of $2.3 million cash consideration and 11,927 shares of the Company’s common stock with a fair value of $250,000 (using a value of $21.33 per share, the closing price of the Company’s common stock on February 18, 2011). In conjunction with the National IME acquisition, the Company incurred transaction costs of $46,000, of which $4,000 were incurred in the first quarter of 2011 and are reported in selling, general and administrative expenses in the Company’s accompanying 2011 consolidated statement of operations. The National IME acquisition increased the Company’s presence in the Canadian market.
  The preliminary allocation of consideration for the National IME acquisition is summarized as follows (in thousands):
 Preliminarypurchase priceallocationMarch 31, 2011Customer relationships

$
1,060Tradename


254Goodwill


1,576Net deferred tax liability associated with step-up in book basis


(356
)Assets acquired and liabilities assumed, net


(5
)Totals

$
2,529
  The goodwill and other intangible assets resulting from the National IME acquisition are not expected to be deductible for tax purposes. The Company believes that information gathered to date provides a reasonable basis for estimating the fair values of assets acquired and liabilities assumed but the Company is waiting for additional information necessary to finalize those fair values. Thus, the provisional measurements of fair value set forth above are subject to change.  Such changes are not expected to be significant.  The Company expects to complete the purchase price allocation as soon as practicable but no later than one year from the acquisition date.  The National IME acquisition contributed $220,000 in revenues and $24,000 in operating income for the three months ended March 31, 2011.
  (c)           Pro forma Financial Information
  The unaudited pro forma results of operations for the three months ended March 31, 2010 and March 31, 2011 assumes that the 2010 and 2011 acquisitions were completed on January 1, 2010.
  For the three months ended March 31, 2010 and March 31, 2011, the pro forma results include adjustments to reflect additional interest expense of $3.6 million and $1.2 million, respectively, associated with the funding of the acquisitions assuming that acquisition related debt was incurred on January 1, 2010.  In addition, incremental depreciation and amortization expense was recorded as if the acquisitions had occurred on January 1, 2010 and amounted to $6.6 million and $1.7 million for the three months ended March 31, 2010 and 2011, respectively.  Finally, adjustments of $5.6 million and $3.8 million were made to selling, general and administrative expenses for the three months ended March 31, 2010 and 2011, respectively, principally related to certain salary and other personal  expenses attributable to the previous owners of the acquired businesses.  These adjustments represent contractual reductions and are considered to be non-recurring and are not expected to have a continuing impact on the operations of the Company.
  17
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 Three months endedMarch 31,2010


2011Pro forma revenues

$
87,372


$
87,840Pro forma net income (loss)


309



(224
)Pro forma income (loss) pershare:Basic

$
0.02


$
(0.01
)Diluted

$
0.02


$
(0.01
)
  The pro forma financial information presented above is not necessarily indicative of either the results of operations that would have occurred had the acquisitions been effective as of January 1 of the respective years or of future operations of the Company.
  (4)           Property, Equipment and Leasehold Improvements
  Property, equipment and leasehold improvements at December 31, 2010 and March 31, 2011, consist of the following (in thousands):
 Estimateduseful

December 31,


March 31,lives

2010


2011Building

15 years

$
—


$
600Computer and office equipment

3 years


5,738



6,909Furniture and fixtures

3 – 5 years


1,379



1,993Leasehold improvements

Lease term


295



4237,412



9,925Less accumulated depreciation and amortization




2,542



3,282Total



$
4,870


$
6,643
  Depreciation expense was $212,000 and $736,000 for the three months ended March 31, 2010 and 2011, respectively.
  (5)           Goodwill and Intangible Assets
  Goodwill at December 31, 2010 and March 31, 2011 consists of the following (in thousands):
 December 31,


March 31,2010


2011Balance at beginning of period

$
32,395


$
90,582Goodwill acquired during the period


57,877



162,116Adjustments to prior year acquistitions


(303
)


905Effect of foreign currency translation


613



642Balance at end of period

$
90,582


$
254,245
  18
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
   December 31, 2010Grosscarrying


Accumulated


Net carryingEstimated useful lives

amount


amortization


valueAmortizable intangible assets:Customer relationships
40 to 42 months

$
70,163


$
(19,130
)

$
51,033Tradenames
45 months


17,883



(4,606
)


13,277Covenants not to compete
36 months


1,729



(841
)


888Technology
24 to 40 months


3,427



(1,711
)


1,716Totals


$
93,202


$
(26,288
)

$
66,914
  March 31, 2011Grosscarrying


Accumulated


Net carryingEstimated useful lives

amount


amortization


valueAmortizable intangible assets:Customer relationships
40 to 60 months

$
108,704


$
(25,138
)

$
83,566Tradenames
45 to 84 months


34,803



(6,047
)


28,756Covenants not to compete
36 months


2,500



(1,007
)


1,493Technology
24 to 40 months


4,196



(2,036
)


2,160Totals


$
150,203


$
(34,228
)

$
115,975
 The aggregate intangible amortization expense was $2.8 million and $7.9 million for the three months ended March 31, 2010 and 2011, respectively.  The estimated future amortization expense of intangible assets is as follows (in thousands):
 AmountNine months ended December 31, 2011


$
27,641Year ended December 31:2012


32,7092013


27,4782014


11,9132015


9,801Thereafter


6,433Total

$
115,975
  (6)           Accrued Expenses
  Accrued expenses at December 31, 2010 and March 31, 2011 consist of the following (in thousands):
 December 31,


March 31,2010


2011Accrued compensation and benefits

$
1,647


$
4,521Accrued professional fees


1,775



647Accrued income and other taxes


2,235



2,750Accrued medical panel fees


284



276Accrued value added tax


2,829



2,993Other accrued expenses


644



718Total

$
9,414


$
11,905
 
 19
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
  (7)           Stockholders’ Equity
  During the three months ended March 31, 2011, the Company issued approximately 1.4 million shares of common stock, with a fair value of $30.3 million, to fund the stock consideration of the acquisitions completed in 2011.
  During the three months ended March 31, 2011, the Company issued approximately 68,000 shares of common stock to settle stock options exercised during the period.
  (8)           Related Party Transactions
  The Bank of America Senior Revolving Credit Facility contains a provision requiring the Company to use a third party to perform financial due diligence for acquisitions exceeding a certain size. With the approval of the senior lender, the Company engaged RedRidge Finance Group (“RedRidge”) to assist it with financial due diligence and incurred $174,000 and $44,000 in fees in acquisition related work performed during the three months ended March 31, 2010 and 2011, respectively.   P&P Investment, LLC (“P&P”), a company owned by Richard Perlman, Executive Chairman of the Company, and James Price, Chief Executive Officer of the Company, are minority owners of RedRidge.  P&P, Mr. Perlman and Mr. Price have entered into a letter agreement under which P&P waived any right it had to any portion of the diligence fees paid by the Company to RedRidge and agreed that such fee, minus amounts paid to RedRidge’s employees, would be paid solely to RedRidge’s majority owner.
  In June 2010, the Company entered into a lease agreement with Compass Partners L.L.C. (“Compass”) for corporate office space located at 655 Madison Avenue, 23rd Floor, New York, NY. Compass is the general partner of our majority shareholder, ExamWorks Holdings, LLLP.  The Company’s Executive Chairman, Richard Perlman, owns 99% of Compass and his wife owns the remaining 1%.  Pursuant to the lease, which runs from April 1, 2010 through June 30, 2014, the Company paid Compass a rental fee of $10,080 per month in 2010, which fee was subject to increase commencing January 1, 2011 based on a proportionate pass through of base rent increases and increases for property taxes and building operating expenses. Prior to the entry into this lease agreement, the Company did not incur costs in excess of $120,000 per year with respect to leasing this corporate office space. The Company paid Compass $33,000 in rental payments during the three months ended March 31, 2011.
  (9)           Commitments and Contingencies
  (a)           Lease Commitments
  The Company and its subsidiaries lease office space under noncancelable operating leases with various expiration dates from 2011 through 2019.
  Future minimum lease payments under the operating leases for the nine months ended December 31, 2011 and in each of the years subsequent to December 31, 2011 are as follows (in thousands):
  AmountNine months ended December 31, 2011

$
5,519Year ended December 31:2012


5,4812013


3,6052014


2,4492015


1,814Thereafter


2,237Total

$
21,105
  Related rent expense was $690,000 and $1.5 million for the three months ended March 31, 2010 and 2011, respectively.
  20
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
  (b)           Employee Benefit Plans
  The Company and its subsidiaries each sponsor a separate voluntary defined contribution pension plan under Section 401(k) of the Internal Revenue Code. The plans cover substantially all employees that meet specific age and length of service requirements. The Company and its subsidiaries have various matching and vesting arrangements within their individual plans. For the three months ended March 31, 2010, the Company recorded $4,000 in compensation expense related to these plans. The Company did not record any compensation expense related to these plans for the three months ended March 31, 2011.
  (c)           Letter of Credit
  As of December 31, 2010 and March 31, 2011, the Company had $220,000 in outstanding under letters of credit which are used to secure two of the Company’s leased office facilities.
  (10)         Long-Term Debt
  December 31,


March 31,2010


2011Senior Revolving Credit Facility, Bank of America, N.A. (a)

$
—


$
165,000Discount facility, Barclays (b)


4,998



5,308Various subordinated unsecured notes payable; maturing at various dates from 2011

through 2014 (c)


4,858



4,6299,856



174,937Less current portion


2,312



2,298$
7,544


$
172,639
  (a)
The Company entered into a senior revolving credit facility agreement dated November 2, 2010, (“Bank of America Senior Revolving Credit Facility”). The facility initially consisted of a $180.0 million revolving credit facility. The facility is available to finance the Company’s acquisition program and working capital needs. On February 9, 2011, the Company exercised the accordion feature of the Bank of America Senior Revolving Credit Facility, increasing the facility from $180.0 million to $245.0 million.  On May 6, 2011, the Company increased and fully exercised the accordion features of the Bank of America Senior Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.  Concurrently with the foregoing, the Company amended the Bank of America Senior Revolving Credit Facility to, among other things, (i) permit its maximum senior leverage ratio to temporarily increase from 3.0 to 1 to 3.50 to 1 for the quarters ending June 30 and September 30, 2011 and 3.25 to 1 for the quarter ending December 31, 2010 and 3.0 to 1 thereafter;  and (ii) permit the netting of unrestricted domestic cash in excess of $2.5 million but not exceeding $12.5 million against funded indebtedness for purposes of calculating leverage ratios.
  21
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 Borrowings under the Bank of America Senior Revolving Credit Facility, as amended, bear interest, at either (i) LIBOR plus the applicable margin or (ii) a base rate (equal to the highest of (a) the federal funds rate plus 0.5%, (b) the Bank of America prime rate and (c) LIBOR (using a one month-period) plus 1.0%), plus the applicable margin, as the Company elects. The applicable margin means a percentage per annum determined in accordance with the following table:
  CommitmentPricing



Fee/Unused


Letter of


Eurocurrency


Base RateTier

Consolidated Leverage Ratio

Line Fee


Credit Fee


Rate Loans


Loans1

> 3.0 to 1.0


0.50%



4.00%



4.00%



3.00%2

> 2.50 to 1.0 but < 3.0 to 1.0


0.50%



3.75%



3.75%



2.75%3

< 2.50 to 1.0 but  > 1.75 to 1.0


0.625%



3.50%



3.50%



2.50%4

< 1.75 to 1.0 but > 1.0 to 1.0


0.625%



3.25%



3.25%



2.25%5

< 1.0 to 1.0


0.75%



3.00%



3.00%



2.00%
 
 In the event of default, the outstanding indebtedness under the facility will bear interest at an additional 2%.
 
 The Bank of America Senior Revolving Credit Facility contains restrictive covenants, including among other things financial covenants requiring the Company to not exceed a maximum consolidated senior leverage coverage ratio, a maximum total consolidated leverage ratio and to maintain a minimum consolidated fixed charge coverage ratio. The Bank of America Senior Revolving Credit Facility also restricts the Company’s ability (subject to certain exceptions) to incur indebtedness, prepay or amend other indebtedness, create liens, make certain fundamental changes including mergers or dissolutions, pay dividends and make other payments in respect of capital stock, make certain investments, sell assets, change its lines of business, enter into transactions with affiliates and other corporate actions.
 (b)
On September 29, 2010, the Company’s indirect wholly-owned subsidiary UKIM entered into a Sales Finance Agreement (the “UKIM SFA”) with Barclays Bank PLC (“Barclays”), pursuant to which Barclays will provide UKIM a working capital facility of up to £5,000,000, subject to the terms and conditions of the UKIM SFA. The working capital facility bears a discount margin of 2.5% over Base Rate (0.5% rate on March 31, 2011) and serves to finance UKIM’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays Bank PLC and with the Bank of America Senior Revolving Credit Facility. As of March 31, 2011, the Company had $5.3 million outstanding under the working capital facility, resulting in approximately $2.7 million in availability.
 On May 12, 2011, the Company’s indirect wholly-owned subsidiary Premex Group Limited (“Premex”) entered into a Sales Finance Agreement (the “Premex SFA”) with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the Premex SFA. The working capital facility bears a discount margin of 2.4% over Base Rate and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Bank of America Senior Revolving Credit Facility.
 (c)
During 2009 and 2010, the Company issued seller debt in the form of subordinated unsecured notes payable with an estimated fair value of approximately $5.5 million relating to certain acquisitions (see note 3). These notes are unsecured and subordinated to the Bank of America Senior Revolving Credit Facility. Five notes payable totaling $4.4 million bear interest at 6%, and are payable quarterly with amounts ranging between $50,000 and $76,000, with maturity dates ranging from August 2011 through March 2013. The remaining balance of the notes payable, $1.1 million, are noninterest bearing and are payable annually with amounts ranging between $250,000 and $333,000, maturing in 2014. The Company made principal payments totaling $326,000 during the three months ended March 31, 2011.
 As of March 31, 2011, future maturities of long-term debt were as follows (in thousands):
  AmountNine months ended December 31, 2011

$
2,298Year ended December 31:2012


1,8472013


170,5202014


272Total

$
174,937
  22
 
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
 
 (11)         Financial Instruments
  The FASB issued ASC Topic 815, Derivatives and Hedging (“ASC 815”), which establishes accounting and reporting standards for derivative instruments. ASC 815 requires an entity to recognize all derivatives as either assets or liabilities and measure those instruments at fair value. Derivatives that do not qualify as a hedge must be adjusted to fair value in earnings. If the derivative does qualify as a hedge under ASC 815, changes in the fair value will either be offset against the change in fair value of the hedged assets, liabilities or firm commitments or recognized in accumulated other comprehensive income until the hedged item is recognized in earnings. The ineffective portion of a hedge’s change in fair value will be immediately recognized in earnings.
  In August 2008, in order to protect against interest rate exposure on its variable-rate debt, the Company entered into an interest rate swap to fix the interest rate applicable to certain of its variable-rate debt. The agreement swaps one-month LIBOR for a fixed interest rate of 4.36% with a notional amount of $8.3 million and $7.9 million as of December 31, 2010 and March 31, 2011, respectively.  The Company did not meet the criteria for hedge accounting under ASC 815, thus the difference between its amortized cost and its fair value resulted in an unrealized loss (gain) at March 31, 2010 and 2011, of $25,000 and $(170,000), respectively, and such amount was reported in other expenses on the accompanying consolidated statements of operations.
  The Company does not enter into derivative transactions for speculative purposes.
  (12)         Income Taxes
  In preparing its financial statements, the Company estimates income taxes in each of the jurisdictions in which it operates. This process involves estimating actual current tax exposure together with assessing temporary differences resulting from differing treatment of items for tax and financial reporting purposes. These differences result in deferred income tax assets and liabilities. During the year ended December 31, 2010, the Company generated $5.2 million of federal taxable income.  For the three months ended March 31, 2010 and March 31, 2011, the Company had an income tax benefit of $589,000 and $371,000, respectively.
  Effective January 1, 2009, the Company adopted the provisions of ASC 740 as it relates to uncertain tax positions. This interpretation prescribes a comprehensive model for how a company should recognize, measure, present and disclose in its financial statements uncertain tax positions that the company has taken or expects to take on a tax return. ASC 740 states that a tax benefit from an uncertain tax position may be recognized only if it is “more likely than not” that the position is sustainable, based on its technical merits. The tax benefit of a qualifying position is the largest amount of tax benefit that is greater than 50% likely of being realized upon settlement with a taxing authority having full knowledge of all relevant information.
  As of December 31, 2010, the liability related to unrecognized tax benefits was approximately $176,000. The Company recorded an additional liability for unrecognized tax benefits in the three months ended March 31, 2011 of $8,000 related to interest and penalties on prior year tax positions.  The Company recognizes interest and penalties accrued related to unrecognized tax benefits in income tax expense.
  The following table summarizes the activity related to the unrecognized tax benefits for the period ended March 31, 2011 (in thousands):
  Balance at January 1, 2011

$
176Increase to prior year tax positions


8Increase to current year tax positions


—Expiration of the statute of limitations for the assessment of taxes


—Decrease related to settlements


—Balance at March 31, 2011

$
184
  23
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 Notes to Consolidated Financial Statements (Unaudited)
  The Company is no longer subject to U.S. federal income or state tax return examinations by tax authorities for tax years before 2006 and 2005, respectively, which periods relate to certain acquired businesses. The Company operates in multiple taxing jurisdictions and faces audits from various tax authorities. The Company remains subject to examination until the statute of limitations expires for the respective tax jurisdiction. The Company does not anticipate that the amount of the unrecognized benefit will significantly increase or decrease within the next twelve months.
  Undistributed earnings of the Company’s foreign subsidiaries are considered indefinitely reinvested and, accordingly, no provision for U.S. federal income taxes has been recorded. Deferred taxes are provided for earnings outside the United States when those earnings are not considered indefinitely reinvested.
  (13)        Segment and Geographical Information
  The Company complies with FASB ASC Topic 280, Segment Reporting, (“ASC 280”). ASC 280, which is based on a management approach to segment reporting, establishes requirements to report selected segment information quarterly and to report annually entity-wide disclosures about products, major customers and the geographies in which the entity holds material assets and reports revenue. An operating segment is defined as a component that engages in business activities whose operating results are reviewed by the chief operating decision maker and for which discrete financial information is available. Based on the provisions of ASC 280, the Company has determined that it operates in one segment. The Company manages its resources and assesses its performance on an enterprise-wide basis. The Company’s product groups qualify for aggregation under ASC 280 due to their similarities in customer base, economic characteristics, and the nature of products and services provided.
  For the three months ended March 31, 2010, all of the Company’s revenues were generated in the U.S.  For the three months ended March 31, 2011, $56.9 million, $4.7 million and $5.0 million of the Company’s revenues were generated in the U.S., Canada and the U.K., respectively.  As of December 31, 2010, total long-lived assets located in the U.S., Canada and the U.K. were $139.4 million, $26.3 million and $8.8 million, respectively.  As of March 31, 2011, total long-lived assets located in the U.S., Canada and the U.K. were $343.0 million, $29.0 million and $9.5 million, respectively.
  (14)         Subsequent Events
  The Company has evaluated subsequent events from the balance sheet date through the date of this filing and identified the following items:
  Exercise of Accordion and Amendment Under Senior Revolving Credit Facility
  On May 6, 2011, the Company increased and fully exercised the accordion features of the Bank of America Senior Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.  Concurrently with the foregoing, the Company amended the Bank of America Senior Revolving Credit Facility to, among other things, (i) permit its maximum senior leverage ratio to temporarily increase from 3.0 to 1 to 3.50 to 1 for the quarters ending June 30 and September 30, 2011 and 3.25 to 1 for the quarter ending December 31, 2010 and 3.0 to 1 thereafter;  and (ii) permit the netting of unrestricted domestic cash in excess of $2.5 million but not exceeding $12.5 million against funded indebtedness for purposes of calculating leverage ratios.
  Premex Group Limited Acquisition
  On May 10, 2011, the Company completed the acquisition of 100% of the outstanding share capital of Premex Group Limited for $108.4 million.  The Company paid total consideration consisting of $66.5 million in cash, 661,610 shares of Company common stock with a fair value of approximately $15.1 million (using a value of $22.85 per share, the closing price of the Company’s common stock on May 10, 2011) and $26.8 million of assumed indebtedness under Premex’s receivables facility which was paid off at closing.  ExamWorks financed the cash portion of the transaction with proceeds from the Bank of America Senior Revolving Credit Facility. The Premex acquisition increases the Company’s market share in the U.K. and broadens the Company’s product portfolio and customer base in the U.K.
  Working Capital Facility
 
 On May 12, 2011, the Company’s indirect wholly-owned subsidiary Premex Group Limited entered into a SFA with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the Premex SFA. The working capital facility bears a discount margin of 2.4% over Base Rate and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Bank of America Senior Revolving Credit Facility.
  24
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Item 2.  Management’s Discussion and Analysis of Financial Condition and Results of Operations.
  Forward-looking Statements
  Unless the context indicates otherwise, references in this Quarterly Report on Form 10-Q to “ExamWorks”, “the Company,” “we,” “our,” and “us” mean ExamWorks Group, Inc. and its consolidated subsidiaries.
  The following discussion and analysis of our financial condition and results of operations should be read together with our consolidated financial statements and the related notes and the other financial information appearing elsewhere in this Quarterly Report on Form 10-Q.  This Quarterly Report on Form 10-Q contains forward-looking statements, within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934, that involve risks and uncertainties.  Forward-looking statements convey current expectations or forecasts of future events for ExamWorks. All statements contained in this report other than statements of historical fact, including statements regarding our future results of operations and financial position, business strategy and plans, and our objectives for future operations, are forward-looking. You can identify forward-looking statements by terminology such as “project,” “believe,” “anticipate,” “plan,” “expect,” “estimate,” “intend,” “should,” “would,” “could,” “will,” “can,” “continue,” or “may,” or the negative of these terms or other similar expressions that convey uncertainty of future events or outcomes. Such forward-looking statements are subject to risks, uncertainties and other factors that could cause actual results and the timing of certain events to differ materially from future results expressed or implied by such forward-looking statements. Factors that could cause or contribute to such differences include, but are not limited to, those discussed in the section titled “Risk Factors,” set forth in Part II, Item 1A of this Quarterly Report on Form 10-Q and elsewhere in this report, and in the Company’s Annual Report on Form 10-K for the year ended December 31, 2010. The forward-looking statements in this Quarterly Report on Form 10-Q represent our views as of the date of this report. Subsequent events and developments may cause our views to change. While we may elect to update these forward-looking statements at some point in the future, we have no current intention of doing so except to the extent required by applicable law. You should, therefore, not rely on these forward-looking statements as representing our views as of any date subsequent to the date of this report.
  Our Business
  We are a leading provider of independent medical examinations, or “IMEs”, peer and bill reviews, and related services, which include litigation support services, administrative support services and medical record retrieval services. We were incorporated as a Delaware corporation on April 27, 2007. From July 14, 2008 through the date of this filing, we have acquired 31 IME businesses, including a leading provider of software solutions to the IME industry. We currently operate out of 42 service centers servicing all 50 U.S. states, Canada and the United Kingdom. In June 2010, we effected a corporate reorganization creating a holding company, ExamWorks Group, Inc., with ExamWorks, Inc. becoming a wholly-owned subsidiary of ExamWorks Group, Inc.  In the fourth quarter of 2010, we issued 9.3 million shares of our common stock in the IPO.
  We provide our services to property and casualty insurance carriers, law firms, third-party claim administrators, government agencies, and state funds that use independent services to confirm the veracity of claims by sick or injured individuals for workers’ compensation, automotive, personal injury liability and disability insurance coverage. We help our clients manage costs and enhance their risk management processes by verifying the validity, nature, cause and extent of claims, identifying fraud and providing fast, efficient and quality IME services.
  We provide our clients with the local presence, expertise and broad geographic coverage they increasingly require. Our size and geographic reach give our clients access to our medical panel of credentialed physicians and other medical providers and our proprietary information technology infrastructure that has been specifically designed to streamline the complex process of coordinating referrals, scheduling appointments, complying with regulations and client reporting. Our primary service is to provide IMEs that give our clients authoritative and accurate answers to questions regarding the nature and permanency of medical conditions or personal injury, their cause and appropriate treatment. Additionally, we provide peer and bill reviews, which consist of medical opinions by members of our medical panel without conducting physical exams, and the review of physician and hospital bills to examine medical care rendered and its conformity to accepted standards of care.
  25
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 
 Significant Recent Developments
  Exercise of Accordion and Amendment Under Senior Revolving Credit Facility
  On May 6, 2011, we increased and fully exercised the accordion features of the Bank of America Senior Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.  Concurrently with the foregoing, we amended the Bank of America Senior Revolving Credit Facility to, among other things, (i) permit its maximum senior leverage ratio to temporarily increase from 3.0 to 1 to 3.50 to 1 for the quarters ending June 30 and September 30, 2011 and 3.25 to 1 for the quarter ending December 31, 2010 and 3.0 to 1 thereafter;  and (ii) permit the netting of unrestricted domestic cash in excess of $2.5 million but not exceeding $12.5 million against funded indebtedness for purposes of calculating leverage ratios.
  Acquisition of Premex Group, Limited
  On May 10, 2011, we completed the acquisition of 100% of the outstanding share capital of Premex Group Limited (“Premex”) for $108.4 million.  We paid total consideration consisting of $66.5 million in cash, 661,610 shares of our common stock with a fair value of approximately $15.1 million (using a value of $22.85 per share, the closing price of the Company’s common stock on May 10, 2011) and $26.8 million of assumed indebtedness under Premex’s receivables facility which was paid off at closing.  We financed the cash portion of the transaction with proceeds from our Bank of America Senior Revolving Credit Facility. The Premex acquisition increases our market share in the U.K. and broadens our product portfolio and customer base in the U.K.
  Working Capital Facility
 On May 12, 2011, our indirect wholly-owned subsidiary Premex Group Limited entered into a SFA with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the SFA. The working capital facility bears a discount margin of 2.4% over Base Rate and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Bank of America Senior Revolving Credit Facility.
  26
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Acquisitions
  We operate in a highly fragmented industry and have completed numerous acquisitions. A key component of our business strategy is growth through acquisitions that expand our geographic coverage, provide new or complementary lines of business, expand our portfolio of services, and increase our market share. Another central feature of our business strategy is to grow our business organically by selling additional services to existing clients, cross-selling into additional insurance lines of business and expanding our geographic footprint with existing clients. To date, we have completed the following 31 acquisitions:
  Acquisition Date

NameMay 10, 2011

●
Premex Group LimitedFebruary 28, 2011

●
MES Group, Inc.February 18, 2011

●
National IME Centres Inc.December 20, 2010

●
Royal Medical ConsultantsOctober 1, 2010

●
BMEGatewaySeptember 7, 2010

●
UK Independent Medical ServicesSeptember 1, 2010

●
Health Cost ManagementAugust 6, 2010

●
Verity Medical●
ExigereJune 30, 2010

●
SOMA Medical Assessments●
Direct IME●
Network Medical Review●
Independent Medical Services●
401 DiagnosticsMarch 26, 2010

●
Metro Medical ServicesMarch 15, 2010

●
American Medical Bill Review●
Medical EvaluationsDecember 31, 2009

●
Abeton●
Medical Assurance Group●
MedNet I.M.S.●
Qualmed●
IME Operations of Physicians PracticeAugust 14, 2009

●
The Evaluation GroupAugust 4, 2009

●
Benchmark Medical ConsultantsJuly 7, 2009

●
IME Software SolutionsMay 21, 2009

●
Florida Medical Specialists●
Marquis Medical AdministratorsApril 17, 2009

●
RicwelJuly 14, 2008

●
CFO Medical Services●
Crossland Medical Review Services●
Southwest Medical
  Sources of Revenues and Expenses
  Revenues
  We derive revenue primarily from fees charged for independent medical examinations, peer and bill reviews and other related services, which include litigation support services, administrative support services and medical record retrieval services. Revenues are recognized at the time services have been performed and, if applicable, at the time the report is shipped to the end user. We expect revenue to continue to increase through acquisition and organic growth.  Our revenue is derived from services performed in different geographic areas.
  Costs of revenues
  Costs of revenues are comprised of fees paid to members of our medical panel; other direct costs including transcription, film and medical record obtainment and transportation; and other indirect costs including labor and overhead related to the generation of revenue. We expect these operationally driven costs to increase to support future revenue growth and as we continue to grow through acquisitions.
  Selling, general and administrative expenses
  Selling, general and administrative (“SGA”) expenses consist primarily of expenses for administrative, human resource related, corporate information technology support, legal (primarily from transaction costs related to acquisitions), finance and accounting personnel, professional fees (primarily from transaction costs related to acquisitions), insurance and other corporate expenses. We expect that SGA expenses will increase as we continue to add personnel to support the growth of our business and pursue acquisition growth. In addition, we anticipate that we will incur additional personnel expenses, professional service fees, including audit and legal, investor relations, costs of compliance with securities laws and regulations, and higher director and officer insurance costs related to operating as a public company. As a result, we expect that our SGA expenses will continue to increase in the future but decrease as a percentage of revenue over time as our revenue increases.
  27
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Depreciation and amortization
  Depreciation and amortization (“D&A”) expense consists primarily of amortization of our finite lived intangible assets obtained through acquisitions completed to date and, to a lesser extent, depreciation of equipment and leasehold improvements. We expect that depreciation and amortization expense will increase as we continue our acquisition strategy.
  Results of Operations
  The following table sets forth our consolidated statements of operations data for each of the periods indicated (in thousands):
  For the three months ended March 31,2010


2011Revenues

$
25,400


$
66,588Costs and expenses:Costs of revenues


16,132



43,569Selling, general and administrative expenses


6,011



14,328Depreciation and amortization


2,977



8,609Total costs and expenses


25,120



66,506Income from operations


280



82Interest and other expenses, net


1,464



1,012Loss before income tax benefit


(1,184
)


(930
)Income tax benefit


(589
)


(371
)Net loss

$
(595
)

$
(559
)Net loss per share attributable to common stockholders — basic and diluted

$
(0.04
)

$
(0.02
)Weighted average shares outstanding - common stock - basic and diluted


13,943,454



32,739,428Other Financial Data:Adjusted EBITDA (1)

$
4,166


$
10,902
  (1)
Adjusted EBITDA is a non-GAAP measure that is described and reconciled to net loss in the next section and is not a substitute for the GAAP equivalent.
  Adjusted EBITDA
  In connection with the ongoing operation of our business, our management regularly reviews Adjusted EBITDA, a non-GAAP financial measure, to assess our performance. We define Adjusted EBITDA as earnings before interest, taxes, depreciation, amortization, acquisition-related transaction costs, share-based compensation expenses, and other non-recurring costs. We believe that Adjusted EBITDA is an important measure of our operating performance because it allows management, lenders, investors and analysts to evaluate and assess our core operating results from period to period after removing the impact of changes to our capitalization structure, acquisition related costs, income tax status, and other items of a non-operational nature that affect comparability.
  We believe that various forms of the Adjusted EBITDA metric are often used by analysts, investors and other interested parties to evaluate companies such as ours for the reasons discussed above. Additionally, Adjusted EBITDA is used to measure certain financial covenants in our credit facility. Adjusted EBITDA is also used for planning purposes and in presentations to our Board of Directors as well as in our incentive compensation programs for our employees, excluding our senior management.
  28
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Non-GAAP information should not be construed as an alternative to GAAP information, as the items excluded from the non-GAAP measures often have a material impact on our financial results. Management uses, and investors should use, non-GAAP measures in conjunction with our GAAP results.
  The following table presents a reconciliation of Adjusted EBITDA to net loss, the most comparable GAAP measure, for each of the periods indicated (in thousands):
  For the three months ended March 31,Reconciliation of Adjusted EBITDA

2010


2011Net loss

$
(595
)

$
(559
)Share-based compensation expense


114



977Depreciation and amortization expense


2,977



8,609Acquisition-related transaction costs


795



767Other non-recurring costs(i)


—



467Interest and other expenses, net


1,464



1,012Provision (benefit) for income taxes


(589
)


(371
)Adjusted EBITDA

$
4,166


$
10,902
  (i)           Other non-recurring costs consist of severance and facility termination costs.
  Comparison of the Three Months Ended March 31, 2011 and 2010
  Revenues.Revenues were $66.6 million for the three months ended March 31, 2011 compared to $25.4 million for the three months ended March 31, 2010, an increase of $41.2 million, or 162%. The change in revenues over the 2010 period was due to acquisitions completed in 2010 and 2011.
  On a pro forma basis, revenues were $87.8 million for the three months ended March 31, 2011 compared to $87.4 million for the three months ended March 31, 2010.  Pro forma revenues for the three months ended March 31, 2011 and March 31, 2010 assumes that the 2010 and 2011 acquisitions were completed on January 1, 2010.
  Costs of revenues.Costs of revenues were $43.6 million for the three months ended March 31, 2011 compared to $16.1 million for the three months ended March 31, 2010, an increase of $27.5 million, or 170%. The change in cost of revenues over the 2010 period was due to acquisitions completed in 2010 and 2011.  Costs of revenues as a percentage of revenues increased slightly from 64% for the three months ended March 31, 2010 to 65% for the period ended March 31, 2011. The increase was due to higher costs of revenues as a percentage of revenues for acquisitions completed in 2010 and 2011.
  Selling, general and administrative.SGA expenses were $14.3 million for the three months ended March 31, 2011 compared to $6.0 million for the three months ended March 31, 2010, an increase of $8.3 million, or 138%.  The change in SGA expenses over 2010 was due primarily to acquisitions completed in 2010 and 2011, with personnel expenses accounting for $5.0 million of this increase and the remainder resulting primarily from increases in rent, travel, phone, legal and insurance expenses.
  Depreciation and amortization.D&A expenses were $8.6 million for the three months ended March 31, 2011 compared to $3.0 million for the three months ended March 31, 2010, an increase of $5.6 million, or 189%. The increase in D&A expenses over the 2010 period was due primarily to additional amortization of finite-lived intangible and tangible assets related to acquisitions completed during 2010 and 2011.
  Interest and other expenses, net.Interest and other expenses, net were $1.0 million for the three months ended March 31, 2011 compared to $1.5 million for the three months ended March 31, 2010, a decrease of approximately $452,000, or 31%. Interest and other expenses, net decreased primarily due to adjustments on an interest rate swap and reductions in other expenses, offset by increased interest expenses and deferred loan cost amortization.
  29
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Income tax benefit.Income tax benefit was $371,000 for the three months ended March 31, 2011 compared with $589,000 for the three months ended March 31, 2010, a decrease of $218,000 or 37%.  Our effective income tax rate was 40% and 50% for the three months ended March 31, 2011 and 2010, respectively.  The tax rates in the 2010 period were impacted by state net operating losses and non deductible items.
  Net loss.For the foregoing reasons, net loss was $559,000 for the three months ended March 31, 2011 compared to $595,000 for the three months ended March 31, 2010, a decrease of $36,000 or 6%.
  Liquidity and Capital Resources
  Our principal capital requirements are to fund operations and acquisitions. To date, we have funded our capital needs from cash flow generated from operations, private placements of our common and preferred stock, the initial public offering, and borrowings under our existing credit facility. We have also funded our acquisition program with equity issuances to sellers and with seller debt financing. We expect that cash and cash equivalents, availability under our existing credit facility, and cash flows from operations will be sufficient to support our operations, planned capital expenditures and acquisitions for at least the next 12 months.
  Although we believe that our current cash and cash equivalents and funds available under our senior revolving credit facility will be sufficient to meet our working capital and acquisition plans for at least the next 12 months, we may need to raise additional funds through the issuance of equity or convertible debt securities or increase borrowings to fund acquisitions. If we raise additional funds through the issuance of equity or convertible debt securities, the percentage ownership of our existing stockholders will be reduced and these securities might have rights, preferences and privileges senior to those of our current stockholders. Additional financing may not be available or, if available, such financing may not be obtained on terms favorable to our stockholders and us.
  Credit Facilities
  Credit Facility
  In November 2010, in conjunction with the initial public offering, we repaid $102.4 million of outstanding debt and terminated a credit facility.  This facility was replaced with a new senior revolving credit facility with Bank of America, N.A., as administrative agent and the other lenders party thereto (the “Bank of America Senior Revolving Credit Facility”), which following the exercises of the accordion feature in February 2011 and, subsequently in May 2011, provides for borrowings of up to $300.0 million. Up to $15.0 million of the Bank of American Senior Revolving Credit Facility may be in the form of letters of credit, and up to $15.0 million may be in the form of swingline loans. Loans under the Bank of America Senior Revolving Credit Facility will be used to fund our acquisition program (plans) and for general corporate purposes, including permitted acquisitions, and terminates in November 2013.
  On May 6, 2011, we increased and fully exercised the accordion features of the Bank of America Senior Revolving Credit Facility.  The increase and exercise of the accordion feature increased the committed capacity of the credit facility by $55.0 million, from a total of $245.0 million to a total of $300.0 million.  Concurrently with the foregoing, we amended the Bank of America Senior Revolving Credit Facility to, among other things, (i) permit its maximum senior leverage ratio to temporarily increase from 3.0 to 1 to 3.50 to 1 for the quarters ending June 30 and September 30, 2011 and 3.25 to 1 for the quarter ending December 31, 2011 and 3.0 to 1 thereafter;  and (ii) permit the netting of unrestricted domestic cash in excess of $2.5 million but not exceeding $12.5 million against funded indebtedness for purposes of calculating leverage ratios.
  Our obligations under the Bank of America Senior Revolving Credit Facility are guaranteed by each of our existing and future direct and indirect domestic subsidiaries, and such obligations are secured by substantially all of the assets of us and our domestic subsidiaries; however, in the case of our foreign subsidiaries, no more than 65% of the capital stock of first-tier subsidiaries shall be pledged, and no assets will be encumbered by liens in favor of our lenders.
  30
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Borrowings under the Bank of America Senior Revolving Credit Facility, as amended, bear interest, at either (i) LIBOR plus the applicable margin or (ii) a base rate (equal to the highest of (a) the federal funds rate plus 0.5%, (b) the Bank of America prime rate and (c) LIBOR (using a one month-period) plus 1.0%), plus the applicable margin, as we elect. The applicable margin means a percentage per annum determined in accordance with the following table:
  CommitmentPricing



Fee/Unused


Letter of


Eurocurrency


Base RateTier

Consolidated Leverage Ratio

Line Fee


Credit Fee


Rate Loans


Loans1

> 3.0 to 1.0


0.50%



4.00%



4.00%



3.00%2

> 2.50 to 1.0 but < 3.0 to 1.0


0.50%



3.75%



3.75%



2.75%3

< 2.50 to 1.0 but > 1.75 to 1.0


0.625%



3.50%



3.50%



2.50%4

< 1.75 to 1.0 but > 1.0 to 1.0


0.625%



3.25%



3.25%



2.25%5

< 1.0 to 1.0


0.75%



3.00%



3.00%



2.00%
  In the event of default, the outstanding indebtedness under the Bank of America Senior Revolving Credit Facility will bear interest at an additional 2%.
  The Bank of America Senior Revolving Credit Facility contains restrictive covenants, including among other things financial covenants requiring us to not exceed a maximum consolidated senior leverage coverage ratio, a maximum total consolidated leverage ratio and to maintain a minimum consolidated fixed charge coverage ratio. The senior credit facility also restricts our ability (subject to certain exceptions) to incur indebtedness, prepay or amend other indebtedness, create liens, make certain fundamental changes including mergers or dissolutions, pay dividends and make other payments in respect of capital stock, make certain investments, sell assets, change our lines of business, enter into transactions with affiliates and other corporate actions.  As of March 31, 2011, the Company was in full compliance with the financial covenants in the Bank of America Senior Revolving Credit Facility.
  The Bank of America Senior Revolving Credit Facility also includes events of default typical of these types of credit facilities and transactions, including, but not limited to, the nonpayment of principal, interest, fees or other amounts owing under the new senior credit facility, the violation of covenants, the inaccuracy of representations and warranties, cross defaults, insolvency, certain ERISA events, material judgments and change of control. The occurrence of an event of default could result in the lenders not being required to lend any additional amounts and the acceleration of obligations under the new senior credit facility, causing such obligations to be due and payable immediately, which could materially and adversely affect us.
  As of March 31, 2011, there was $165.0 million outstanding under the Bank of America Senior Revolving Credit Facility.  As of May 12, 2011, there was $255.0 million outstanding under the Bank of America Senior Revolving Credit Facility, the increase resulting from the Premex acquisition completed on May 10, 2011.
  Working Capital Facility
  On September 29, 2010, our indirect wholly-owned subsidiary UK Independent Medical Services Limited (“UKIM”) entered into a Sales Finance Agreement (“SFA”) with Barclays Bank PLC (“Barclays”), pursuant to which Barclays will provide UKIM a working capital facility of up to £5,000,000, subject to the terms and conditions of the SFA. The working capital facility bears a discount margin of 2.5% over Base Rate (0.5% rate on March 31, 2011) and serves to finance UKIM’s unpaid account receivables. The working capital facility will operate on a co-terminus and cross-default basis with other facilities provided by Barclays Bank PLC and with our new senior credit facility with Bank of America, N.A. As of March 31, 2011, we had $5.3 million outstanding under the working capital facility, resulting in approximately $2.7 million in availability.
  On May 12, 2011, our indirect wholly-owned subsidiary Premex Group Limited (“Premex”) entered into a SFA with Barclays, pursuant to which Barclays will provide Premex a working capital facility of up to £26,500,000, subject to the terms and conditions of the SFA. The working capital facility bears a discount margin of 2.4% over Base Rate and serves to finance Premex’s unpaid account receivables. The working capital facility operates on a co-terminus and cross-default basis with other facilities provided by Barclays and with the Bank of America Senior Revolving Credit Facility.
  31
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Cash Flow Summary
  Cash and cash equivalents were $15.4 million at March 31, 2011 compared to $10.1 million at March 31, 2010.
  Our cash flows from operating, investing and financing activities, as reported in our consolidated financial statements included elsewhere in this report, are summarized as follows:
  For the three months ended

March 31,2010


2011Net cash provided by operating activities

$
2,762


$
6,266Net cash used in investing activities


(24,853
)


(189,596
)Net cash provided by financing activities


30,706



165,007Exchange rate impact on cash and cash equivalents


—



80Net increase (decrease) in cash and cash equivalents

$
8,615


$
(18,243
)
  Operating Activities.Net cash provided by operating activities was $6.3 million in the three months ended March 31, 2011 as compared with net cash provided by operating activities of $2.8 million in the three months ended March 31, 2010.  Net cash provided by operating activities for 2011 consisted of our net loss of $559,000 which was offset by net non-cash charges of $7.3 million (including $8.6 million in depreciation and amortization and $977,000 from share based compensation expenses, offset by a net decrease in deferred income taxes of $2.6 million) and a decrease in working capital of approximately $514,000 in 2011 (primarily driven by increases in accounts receivable and prepaid expenses and other current assets offset by increases in accounts payable). Net cash provided by operating activities for 2010 consisted of our net loss of $595,000 which was offset by non-cash charges of $2.8 million (including $3.0 million in depreciation and amortization, offset by a net decrease in deferred income taxes of $594,000) and an increase in working capital of approximately $564,000 (primarily driven by increases in accounts payable and accrued expenses and other liabilities, offset by increases in accounts receivable).
  Investing Activities.Net cash used in investing activities was $189.6 million and $24.9 million in the three months ended March 31, 2011 and 2010, respectively.  This increase was directly attributable to cash paid for increased acquisition activity and capital asset purchases during 2011 and 2010 of approximately $189.3 million and $24.6 million, respectively.
  Financing Activities.Net cash provided by financing activities was $165.0 million and $30.7 million in the three months ended March 31, 2011 and 2010, respectively. The 2011 increase was primarily attributable to borrowings under the Bank of America Senior Revolving Credit Facility of $165.0 million, which was used to the fund the MES acquisition.  The 2010 increase was primarily attributable to the net issuance of preferred stock of $18.7 million, net borrowings under the previous term loan facility of $13.7 million, and net issuance of common stock of approximately $2.8 million, offset by the repayment of a note payable to a related party of $3.5 million and net repayments and borrowings under our previous revolving credit facility of approximately $600,000.
  Contingencies
  We record contingent liabilities resulting from asserted and unasserted claims against us when it is probable that a liability has been incurred and the amount of the loss is reasonably estimable. We disclose contingent liabilities when there is a reasonable possibility that the ultimate loss will exceed the recorded liability. Estimating probable losses requires analysis of multiple factors, in some cases including judgments about the potential actions of third-party claimants and courts. Therefore, actual losses in any future period are inherently uncertain. We currently are not involved in any material legal proceedings. It is possible, however, that future results of operations for any particular quarterly or annual period could be materially affected by changes in our assumptions or the effectiveness of our strategies related to any future proceedings. Contingent liabilities are described in Note 9 to the consolidated financial statements included elsewhere in this report.
  32
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Contractual Obligations and Commitments
  Our contractual cash payment obligations as of March 31, 2011 are set forth below:
  Payments due by year ending December 31,Period fromApril 1, 2011throughDecember 31,Total


2011


2012


2013


2014


2015

Thereafter(In thousands)Operating leases

$
21,105


$
5,519


$
5,481


$
3,605


$
2,449


$
1,814


$
2,237Amounts outstanding under Bank of America Senior Revolving Credit Facility


165,000



—



—



165,000



—



—



—Amounts outstanding under working capital facility


5,308



—



—



5,308



—



—



—Subordinated unsecured notes payable ahd deferred payments


4,975



2,450



1,942



249



334



—



—Total:

$
196,388


$
7,969


$
7,423


$
174,162


$
2,783


$
1,814


$
2,237
  As of March 31, 2011, we leased our office spaces for our corporate locations in Atlanta, Georgia and New York, New York and also for 40 of our service centers in various cities under non-cancelable lease agreements.
  We have certain contractual obligations including various debt agreements with requirements to make interest payments. These amounts are subject to the level of borrowings in future periods and the interest rate for the applicable periods, and therefore the amounts of these payments are not determinable. Based upon amounts outstanding at March 31, 2011 and applicable interest rates ranging between 0.0% and 6.0%, interest amounts are expected to be approximately $4.4 million for the nine months ended December 31, 2011, approximately $5.6 million per year for the years ended December 31, 2012 and 2013, and immaterial thereafter.
  Off-Balance Sheet Arrangements
  We engage in no activities, obligations or exposures associated with off-balance sheet arrangements.
  Critical Accounting Policies and Estimates
  Overview and Definitions
  We have identified the policies below as critical to our business operations and understanding of our results of operations. The impact and any associated risks related to these policies on our business operations are discussed throughout this management’s discussion and analysis of financial condition and results of operations where such policies affect our reported and expected financial results. Our consolidated financial statements, which have been prepared in accordance with U.S. generally accepted accounting principles, require us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenue and expenses, cash flow and related disclosure of contingent assets and liabilities. Our estimates include those related to accounts receivable reserves, goodwill and other intangible assets, share-based compensation other equity instruments, income and other taxes, derivative instruments and contingent obligations. We base our estimates on historical experience and on various other assumptions that we believe to be reasonable under the circumstances. Actual results may differ from these estimates, and the impact of changes in key assumptions may not be linear. Our management has reviewed the application of these policies with the audit committee of our Board of Directors. For a detailed discussion on the application of these and other accounting policies, see Note 2 to the consolidated financial statements included elsewhere in this report. We believe that our most critical accounting policies and estimates relate to the following:
  33
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Revenue Recognition
  Revenue related to IMEs, peer reviews, bill reviews and administrative support services is recognized at the time services have been performed and the report is shipped to the end user. We believe that recognizing revenue at the time the report is shipped is appropriate because we meet the following four criteria in accordance with ASC 605-10-S25, Revenue Recognition: Overall, (i) persuasive evidence that arrangement exists, (ii) shipment has occurred, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.
  Revenue related to other IME services, including litigation support services and medical record retrieval services, where no report is generated, is recognized at the time the service is performed. We believe that recognizing revenue at the time the service is performed is appropriate because we meet the following four criteria in accordance with ASC 605-10-S25, (i) persuasive evidence that arrangement exists, (ii) services have been rendered, (iii) the price is fixed and determinable and (iv) collectability is reasonably assured.
  Should changes in conditions cause management to determine these criteria are not met for certain future transactions, revenue recognized for any reporting period could be adversely affected.
  Trade Accounts Receivable and Allowance for Doubtful Accounts
  Accounts receivable balances consist of amounts owed to us for services provided in the normal course of business and are reported net of an allowance for doubtful accounts. Generally, no collateral is received from clients and the collectability of trade receivable balances is regularly evaluated based on a combination of factors such as client credit-worthiness, past transaction history with the customer, current economic industry trends and changes in customer payment patterns and additions to the allowance are made based on these trends. Accounts are reviewed regularly for collectability and those deemed uncollectible are written off.
  Goodwill and Other Intangible Assets
  Goodwill is an asset representing the future economic benefits arising from assets acquired in a business combination that are not individually identified and separately recognized. Based on the provisions of ASC 350, Intangibles—Goodwill and Other(“ASC 350”), goodwill and indefinite lived intangible assets are tested for impairment annually or more frequently if impairment indicators arise. We evaluate the carrying value of goodwill during the fourth quarter of each fiscal year and between annual valuations if events occur or circumstances change that would more likely than not reduce the fair value of the reporting unit below its carrying amount. Such circumstances include: (1) a significant adverse change in legal factors or in business climate, (2) unanticipated competition, or (3) an adverse action or assessment by a regulator. When evaluating whether goodwill is impaired, we compare the fair value of the reporting unit to which the goodwill is assigned to the reporting unit’s carrying amount, including goodwill. The fair value of the reporting unit is estimated using primarily the income, or discounted cash flows, approach. If the carrying amount of a reporting unit exceeds its fair value, then the amount of the impairment loss must be measured. The impairment loss is calculated by comparing the implied fair value of the reporting unit’s goodwill to its carrying amount. In calculating the implied fair value of the reporting unit’s goodwill, the fair value of the reporting unit is allocated to all of the other assets and liabilities of that unit based on their fair values. The excess of the fair value of a reporting unit over the amount assigned to its other assets and liabilities is the implied fair value of goodwill. An impairment loss would be recognized when the carrying amount of goodwill exceeds its implied fair value.
  Intangible assets, including client relationships, trade names, covenants not to compete and technology that have finite lives are amortized over their useful lives.
  We performed our annual impairment review of goodwill in October 2010 and reviewed subsequent events through December 31, 2010 and determined that the carrying value of goodwill was not impaired as of year end. Further, we believe that there have been no facts or circumstances through the date of this filing that indicate an impairment of goodwill exists.
  34
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  Deferred Income Taxes
  In preparing our consolidated financial statements, we are required to estimate our income taxes in each of the jurisdictions in which we operate. This process involves estimating actual current tax exposure together with assessing temporary differences resulting from differing treatment of items for tax and financial reporting purposes. These differences result in deferred income tax assets and liabilities.
  During the year ended December 31, 2010, we generated $5.2 million of federal taxable income.  For the three months ended March 31, 2010 and March 31, 2011, we had an income tax benefit of $589,000 and $371,000, respectively.
  Additionally, we currently have significant deferred tax assets and other deductible temporary differences including basis differences between intangible assets. We do not provide a valuation allowance against our deferred tax assets as we believe that it is more likely than not that some or all of the deferred tax assets will be realized based on available evidence including scheduled reversal of deferred tax liabilities, projected future taxable income and other tax planning considerations.
  Effective January 1, 2009, we adopted the provisions of ASC 740, Income Taxes (“ASC 740”), as it relates to uncertain tax positions. This guidance prescribes a comprehensive model for how a company should recognize, measure, present and disclosure in its financial statements uncertain tax positions that the Company has taken or expects to take on a tax return. ASC 740 states that a tax benefit from an uncertain tax position may be recognized only if it is “more likely than not” that the position is sustainable, based on its technical merits. The tax benefit of a qualifying position is the largest amount of tax benefit that is greater than 50% likely of being realized upon settlement with a taxing authority having full knowledge of all relevant information. As of January 1, 2009, we recognized a liability for unrecognized tax liabilities of approximately $96,000.  As of December 31, 2010 the liability related to unrecognized tax benefits was $176,000 and we recognized an additional liability related to unrecognized tax benefits of $8,000 in the three months ended March 31, 2011.  We recognize interest and penalties accrued related to unrecognized tax benefits in income tax expense.
  We are no longer subject to U.S. federal income or state tax return examinations by tax authorities before 2006 and 2005, respectively, which periods relate to certain acquired businesses. We operate in multiple taxing jurisdictions and face audits from various tax authorities. We remain subject to examination until the statute of limitations expires for the respective tax jurisdiction. We do not anticipate that the amount of the unrecognized benefit will significantly increase or decrease within the next twelve months.
  Share-Based Compensation and Other Equity Instruments
  Our stock incentive plan provides for the granting of stock options and share-based awards in accordance with ASC Topic 718, Compensation—Stock Compensation(“ASC 718”). ASC 718 requires measurement of compensation cost for all share-based awards at fair value on the grant date (or measurement date, if different) and recognition of compensation expense, net of forfeitures, over the requisite service period for awards expected to vest. We use the straight-line amortization method for recognizing share-based compensation expense.
  The fair value of stock option grants is determined using the Black-Scholes valuation model. The Black-Scholes option-pricing model was developed for use in estimating the fair value of traded stock options that have no vesting restrictions and are fully transferable, characteristics not present in these stock options. Additionally, option valuation models require the input of highly subjective assumptions, including the expected volatility of the stock price. Because the Company’s stock options have characteristics significantly different from those of traded stock options and because changes in the subjective input assumptions can materially affect the fair value estimates, in management’s opinion, the existing models may not provide a reliable single measure of the fair value of its share-based awards. Our expected volatility assumptions are based on publicly traded peer group’s average implied historical volatility. We expect to continue to use an estimate based on our peer group’s historical volatility until we have adequate historical data regarding the volatility of our traded stock price. Expected life assumptions are based upon the average of the “simplified” method as described in Securities and Exchange Commission Staff Accounting Bulletin No. 107, which is the midpoint between the vesting date and the end of the contractual term, and the contractual term of the option, in accordance with ASC 718, which states that if no amount within the range is more or less likely than any other amount, an average of the range (its expected value) should be used for those options issued significantly out-of-the-money, or the “simplified” method for those options issued in the fourth quarter of 2010 which were determined to be issued approximately at-the-money. This option has been elected as we do not have sufficient stock option exercise experience to support a reasonable estimate of the expected term. The risk-free interest rate was selected based upon yields currently available on U.S. Treasury zero-coupon issues with a remaining term approximating the expected term of the option. We recognize compensation expense for only the portion of stock options that are expected to vest. Accordingly, we have estimated expected forfeitures of stock options based on historical forfeiture experience rates and used these to develop a future rate. If our actual forfeiture rate varies from our historical rates and estimates, additional adjustments to compensation expense may be required in future periods.
  35
 EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  The per share exercise price of our stock option grants is no less than the fair market value of our common stock on the date of grant, and historically has been substantially in excess of fair market value. The fair market value of our common stock is determined on a quarterly basis by our Board of Directors in consultation with management. Starting in 2009, our Board began performing quarterly valuations of our common stock using discounted future cash flows and taking into consideration a number of subjective factors including the illiquid nature of our stock and expected time to liquidity. The per share exercise price of our stock options, however, has been determined based on a number of objective factors, primarily the contractual value of our stock issued to sellers in acquisitions and the price per share at which we sold stock in equity financings. For example, in acquisitions, we have valued our stock, and sellers have accepted valuations, based on a multiple of our pro forma Adjusted EBITDA. The multiple has been based on a number of factors, including our size and growth rate.
  In the first quarter of 2011, we issued approximately 1.5 million stock option awards to certain employees. The weighted average fair value of each stock option was $8.78 per option and the aggregate fair value was $13.4 million. All of these awards vest over a three-year period. All of these options could vest earlier in the event of a change in control or merger or other acquisition. Share-based compensation expense was $114,000 and $977,000 for the three months ended March 31, 2010 and 2011, respectively. At March 31, 2011, the unrecognized compensation expense related to stock option grants was $19.5 million with a remaining weighted average life of 2.2 years.
  Accounting for Acquisitions
  Accounting for acquisitions requires us to recognize and measure identifiable assets acquired, liabilities assumed and any non-controlling interest in the acquired entity. Our accounting for acquisitions involves significant judgments and estimates, including the fair value of certain forms of consideration such as our common stock, the fair value of acquired intangible assets, which involve projections of future revenues, cash flows and terminal value, which are then discounted at an estimated discount rate, the fair value of other acquired assets and assumed liabilities, including potential contingencies, and the useful lives of the assets. The projections are developed using internal forecasts, available industry and market data and estimates of long-term rates of growth for our business. The impact of prior or future acquisitions on our financial position or results of operations may be materially impacted by the change in or initial selection of assumptions and estimates.
  Financial Instruments
  In September 2006, the Financial Accounting Standards Board (“FASB”) issued authoritative guidance codified as ASC 820, Fair Value Measurements and Disclosures(“ASC 820”). ASC 820 defines fair value, establishes a framework for measuring fair value in accounting principles generally accepted in the United States of America and expands disclosure about fair value measurements. ASC 820 is effective for interim reporting periods in fiscal years beginning after November 15, 2007. As such, we adopted the provisions of ASC 820 effective January 1, 2008.
  ASC 825, Financial Instruments(“ASC 825”), delayed the effective date of the application of ASC 820 to fiscal years beginning after November 15, 2008 for all nonfinancial assets and nonfinancial liabilities that are recognized or disclosed at fair value in the financial statements on a nonrecurring basis. Nonrecurring nonfinancial assets and nonfinancial liabilities for which the Company has not applied the provisions of ASC 820 primarily include those measured at fair value in goodwill and long-lived asset impairment testing, those initially measured at fair value in a business combination, and nonfinancial liabilities for exit or disposal activities.
  ASC 820 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. ASC 820 establishes a fair value hierarchy, which prioritizes the inputs used in measuring fair value into the following levels:
  In determining fair value, we utilize valuation techniques that maximize the use of observable inputs and minimize the use of unobservable inputs to the extent possible as well as consider counterpart credit risk in the assessment of fair value.
  36
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 
 Level 1 — Quoted prices in active markets for identical assets or liabilities.
  Level 2 — Inputs, other than quoted prices in active markets, that are observable either directly or indirectly.
  Level 3 — Unobservable inputs based on the company’s own assumptions.
  The Company’s financial liabilities, which are measured at fair value on a recurring basis, are categorized using the fair value hierarchy at December 31, 2010 and March 31, 2011, and are as follows (in thousands):
 
 Level 1


Level 2


Level 3


TotalAs of December 31, 2010Financial liabilities:Interest rate swap

$
—


$
654


$
—


$
654Contingent consideration


—



—



6,202



6,202As of March 31, 2011Financial liabilities:Interest rate swap


—



484



—



484Contingent consideration


—



—



5,676



5,676
 The fair value of the interest rate swap is determined using observable market inputs, such as current interest rates, and considers nonperformance risk of the Company and that of its counterparties.
  The contingent consideration relates to earnout provisions recorded in conjunction with certain acquisitions completed in 2009 and 2010.
  In February 2007, the FASB issued authoritative guidance codified as ASC 825, which permits entities to choose to measure many financial instruments and certain other items at fair value. This provision of ASC 825 is effective for fiscal years beginning after November 15, 2007.  As the Company did not elect the fair value option, the adoption of this provision of ASC 825 did not have a material impact on the Company’s consolidated financial position, results of operations and cash flows for the three months ended March 31, 2010 and 2011.
  Recent Accounting Pronouncements
  In October 2009, the FASB issued ASU 2009-13 (“ASU 2009-13”), addressing revenue arrangements with multiple deliverables. The new guidance establishes a selling price hierarchy for determining the selling price of a deliverable, eliminates the residual method of allocation, requires the allocation of arrangement consideration to all deliverables using the relative selling price method, and significantly expands disclosure requirements. The guidance is effective prospectively for revenue arrangements entered into or materially modified in fiscal years beginning on or after June 15, 2010. We adopted the provisions of ASU 2009-13 effective January 1, 2011 and this adoption did not have a material impact on our consolidated financial position, results of operations and cash flows.
  In December 2010, the FASB issued ASU 2010-29, Disclosure of Supplementary Pro Forma Information for Business Combinations.  The amendments in this update specify that if a public entity presents comparative financial statements, the entity should disclose revenue and earnings of the combined entity as though the business combination(s) that occurred during the current year had occurred as of the beginning of the comparable prior annual reporting period only.  The amendments also expand the supplemental pro forma disclosures under FASB ASC Topic 805 (ASC 805), Business Combinations, to include a description of the nature and amount of material, nonrecurring pro forma adjustments directly attributable to the business combination included in the reported pro forma revenue and earnings.  The amendments in this update are effective prospectively for business combinations for which the acquisition date is on or after January 1, 2011.  We adopted the provisions of ASU 2010-29 effective January 1, 2011.  The adoption of ASU 2010-29 did not have a material impact on our consolidated financial statements for the three months ended March 31, 2011.  We included the expanded disclosure requirements required under ASU 2010-29 for all acquisitions completed in 2011.
  37
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  There were various other accounting standards and interpretations issued during 2011 that we have not yet been required to adopt, none of which are expected to have a material impact on our financial position, results of operations or cash flows.
  Item 3. Quantitative and Qualitative Disclosures about Market Risk
  Market risk represents the risk of loss that may impact our financial position due to adverse changes in financial market prices and rates. Our market risk exposure results primarily from fluctuations in interest rates as well as inflation. In the normal course of business, we are exposed to market risks, including changes in interest rates which affect our debt as well as cash flows. We may also face additional exchange rate risk in the future as we expand our business internationally.
  Interest Rate Risk.As of March 31, 2011, we had cash and cash equivalents totaling approximately $15.4 million. These amounts were held for future acquisition and working capital purposes and were held in non-interest bearing accounts, of which $14.2 million were held in the U.S. The U.S. amounts are insured in full against bank failure through June 30, 2012 under the Federal Deposit Insurance Corporation Temporary Liquidity Guarantee Program.
  Our outstanding debt of $165.0 million and $5.3 million at March 31, 2011 related to indebtedness under our senior revolving credit facility and discount facility, respectively, both of which contain a floating interest rate. Thus, our interest rate is subject to market risk in the form of fluctuations in interest rates. The effect of a hypothetical one percentage point increase in our variable rate debt would result in an increase of $1.7 million in our annual pre-tax net loss assuming no further changes in the amount of borrowings subject to variable rate interest from amounts outstanding at March 31, 2011.
  In August 2008, as required under our then existing credit facility, in order to protect against interest rate exposure on its variable-rate debt, we entered into an interest rate swap to fix the interest rate applicable to our variable-rate debt. The agreement swaps one-month LIBOR for a fixed interest rate of 4.36%. We do not, and do not intend to, engage in the practice of trading derivative securities for profit.
  Foreign Exchange Risk.As of March 31, 2011, we have foreign currency risks related to our revenues and operating expenses denominated in currencies other than the U.S. dollar.  Our financial results could be affected by factors such as changes in foreign currency exchange rates or weak economic conditions in foreign markets. We do not currently hedge our exposure to foreign currency exchange rate fluctuations given that the net difference between foreign currency denominated revenue and operating expenses is relatively small. In the future, however, we may hedge such exposure to foreign currency exchange rate fluctuations.
  Item 4. Controls and Procedures
  As required by Rule 13a-15 under the Securities Exchange Act of 1934, an evaluation was carried out under the supervision and with the participation of our management, including the Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as of March 31, 2011.  Based upon our evaluation, our Chief Executive Officer and Chief Financial Officer have concluded that, as of March 31, 2011, our disclosure controls and procedures were effective to provide reasonable assurance that information required to be disclosed in the reports that we file or submit under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported within the time periods specified in the applicable rules and forms, and that it is accumulated and communicated to our management, including our Chief Executive Officer and Chief Financial Officer, as appropriate, to allow timely decisions regarding required disclosure.
  There were no changes in our internal control over financial reporting during the quarter ended March 31, 2011 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
  38
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  PART II. OTHER INFORMATION
  Item 1. Legal Proceedings
  ExamWorks Group, Inc. is currently a party to various legal proceedings arising from the normal course of business activities.  While the Company does not presently believe that the ultimate outcome of such proceedings will have a material impact on its business, operating results or financial condition, litigation is subject to inherent uncertainties.  If an unfavorable ruling were to occur, it is possible that such ruling could have a material adverse impact on our business, operating results or financial condition in the period in which the ruling occurs.  Our current estimates of the potential impact from such legal proceedings could change in the future.
  Item 1A. Risk Factors
  There have been no material changes in the risks facing the Company as described in the Company’s Annual Report on Form 10-K for the year ended December 31, 2010.
  Item 2. Unregistered Sales of Equity Securities and Use of Proceeds
  Acquisitions
 
 During the first quarter of fiscal year 2011, pursuant to the exemption from registration provided in Section 4(2) of the Securities Act, common stock was issued as a portion of the purchase price in connection with the acquisitions set forth below. The per share price set forth below represents the estimated fair market value of the shares at the time of issuance. No underwriters were involved in these sales of securities nor were any commissions paid as part of these sales.
 
 Name

Acquisition Date

Number of

Shares

Price Per

ShareNational IME Centres

February 18, 2011


11,927


$
21.33MES Group

February 28, 2011


1,424,501


$
21.07
  Dividend Policy
  Since the Company’s incorporation in 2007, the Company has not declared or paid any dividends on its common stock.  The Company currently intends to retain all of the Company’s  future earnings, if any, to finance the growth and development of the Company’s business and does not anticipate paying cash dividends for the foreseeable future.  The Company’s existing credit facility prohibits the Company from paying cash dividends, and any future financing agreements may prohibit the Company from paying any type of dividends.
  Item 3. Defaults Upon Senior Securities
  None
  Item 4. (Removed and Reserved)
  Item 5. Other Information
  None
  39
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
 
 Item 6. Exhibits
  2.1
Stock Purchase Agreement dated as of January 11, 2011, by and among ExamWorks Group, Inc., ExamWorks, Inc., MES Group, Inc., George E. Turek, and the minority shareholders of MES Group, Inc., as set forth therein (incorporated by reference to Exhibit 2.1 to Form 8-K of the Registrant filed January 13, 2011).10.1
First Amendment and Consent Agreement dated as of May 6, 2011, by and among ExamWorks Group, Inc., as Borrower, Bank of America, N.A., as Administrative Agent, and the Guarantors and Lenders party thereto, amending the Credit Agreement dated as of October 2010 (incorporated by reference to Exhibit 10.1 to Form 8-K of the Registrant filed May 10, 2011).31.1
Rule 13a-14(a)/15d -14(a) Certification of the Chief Executive Officer as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.31.2
Rule 13a-14(a)/15d -14(a) Certification of the Chief Financial Officer as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.32
Certifications pursuant to 18 U.S.C. Section 1350 as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 40
  EXAMWORKS GROUP, INC. AND SUBSIDIARIES
  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.
 
 EXAMWORKS GROUP, INC.
  Date: May 13, 2011
By:
/s/ J. Miguel Fernandez de CastroJ. Miguel Fernandez de CastroSenior Vice President and Chief Financial Officer(Principal Financial Officer)