Quarterlytics / Financial Services / Insurance - Brokers / CorVel

CorVel

crvl · NASDAQ Financial Services
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Ticker crvl
Exchange NASDAQ
Sector Financial Services
Industry Insurance - Brokers
Employees 1001-5000
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FY2022 Annual Report · CorVel
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Annual
Report & 
Form 10K

Taking care of 
people & business.

We make a 
difference by
being different.

Partnership, not transaction. 

Care, not services.

We work to understand our customers’ 

We create patient-first solutions that 

needs, build solutions that fit, and provide 
real-time support.

ensure our customers’ employees and 
businesses reach their full potential.

Innovation, not status quo.

Reward, not risk.

We leverage our industry-leading 

We deliver results that transform our 

technology to provide deeper insights and 

clients’ businesses, from quicker return-

more accurate analytics to our clients.

to-work rates to lower claims costs.

Letter to Shareholders

This last year has been one of exciting growth. We experienced record revenue through new 
bookings and increased transaction volume with existing partners. Also very satisfying 
was welcoming back customers with whom we’ve previously worked. Each day our 4,200 
dedicated team members work diligently to achieve optimal results for all partners. 
So while revenue and new sales were unprecedented, I am even more pleased with the 
outcomes achieved for those we serve. 

Our product development efforts have focused on automation, augmentation, and 
integration. Automation enhances the quality and consistency of our results, removes the 
burden of repetitive menial tasks, and increases the time our team spends on higher-value 
activities. Augmentation elevates the team’s decision-making and, ultimately, improves 
outcomes. And integration more seamlessly interfaces and exchanges information with our 
partners.

Mergers and acquisitions, inflation, and the Great Resignation are impacting the casualty 
and health markets. However, with fiscal conservatism, the ongoing development of our 
team, and continual investment in technology and innovation, CorVel is benefiting from the 
dynamics affecting the markets we serve. Our consistent commitment to preparation is 
presenting opportunities for an acceleration in meaningful growth. 

We introduced telehealth to the workers’ compensation market in 2014, long before the 
global pandemic made it a necessity for other TPAs. Over these last eight years, our award-
winning virtual care services have evolved, enhancing the process and transforming care 
delivery in this market. 

We lead with compassionate attention and a “care first” philosophy that prioritizes patient 
care over compensability. Our Advocacy 24/7 nurse line initiates the intake model, delivers 
empathetic telephonic care quickly, and sets claims on the right path for the best outcome 
for the patient. In addition, the model results in an average cost savings of 42% as well as a 
62% reduction in litigation. 

With the results achieved with telehealth, our virtual care service model was expanded 
to include TelePT, TeleCBT, and home delivery for DME and Pharmacy. In addition to 
convenience, speed of service and savings, virtual care also results in 32% higher patient 
satisfaction. Our growing suite of virtual care services is delivered through our proprietary 
integrated platform, CareMC, which provides visibility to all stakeholders. 

In addition to expanding services, improving savings and enhancing results achieved in the 
workers’ compensation arena, we have also increased CERiS’s payment integrity offerings. 
Prepayment itemized bill review has been the backbone of CERiS for years, but we have 
consistently introduced additional reviews to achieve more rigorous cost control. DRG 
validation, post-pay review, negotiations, out-of-network repricing and transplant reviews 
are some of our added services. We also review implants and device bundles, resulting 
in an average savings per claim of 62%. Combining clinical expertise, cost containment 
solutions and sincere dedication makes CERiS the partner of choice in the health market. 

As we transition to the post-COVID era, I am proud of our team’s flexibility and 
determination. Despite the many challenges and changes we’ve experienced during and 
after the pandemic, they have remained focused on the task at hand, providing exemplary 
service and results to our partners — it is my honor and privilege to serve them. I am also 
thankful for the support of our business partners and you, our shareholders, for your trust in 
the Company and our management team.

MICHAEL G. COMBS

President and CEO

UNITED STATES  
SECURITIES AND EXCHANGE COMMISSION 
Washington, D.C. 20549 

Form 10-K 

(Mark One)  
☒  ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934  

For the fiscal year ended March 31, 2022 
OR  

☐ 

TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934  

FOR THE TRANSITION PERIOD FROM                      TO 
Commission File Number 0-19291  

CorVel Corporation 

(Exact name of registrant as specified in its charter)  

Delaware 
( State or other jurisdiction of 
incorporation or organization) 
5128 Apache Plume Road, Suite 400 
Fort Worth, Texas 
(Address of principal executive offices) 

76109 
(Zip Code) 
Registrant’s telephone number, including area code: (817) 390-1416  

33-0282651 
(I.R.S. Employer 
Identification No.) 

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

Title of each class 
Common Stock, Par Value $0.0001 Per Share 
Securities registered pursuant to Section 12(g) of the Act: None  

Trading Symbol(s) 
CRVL 

Name of each exchange on which registered 
The Nasdaq Global Select Market 

Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  YES ☐  NO ☒  

  ☒ 
  ☐ 

Non-accelerated filer 

Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Act.  YES ☐  NO ☒  
Indicate by check mark whether the registrant: (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the 
preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 
days.  YES ☒  NO ☐  
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T 
(§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files).  YES ☒  NO ☐  
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth 
company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange 
Act. 
Large accelerated filer 

 ☐ 
  ☐ 
 ☐ 
If an emerging growth company, indicate by check mark if the registrant has  elected not to use the extended transition period for complying with any new or revised 
financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.  ☐ 
Indicate by check mark whether the registrant has filed a report on and attestation to its management’s assessment of the effectiveness of its internal control over financial 
reporting under Section 404(b) of the Sarbanes-Oxley Act (15 U.S.C. 7262(b)) by the registered public accounting firm that prepared or issued its audit report. ☒ 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).  YES ☐  NO ☒  
As of September 30, 2021, the aggregate market value of the registrant’s voting and non-voting common equity held by non-affiliates of the registrant was approximately 
$1,725,578,000 based on the closing price per share of $186.22 for the registrant’s common stock as reported on The Nasdaq Global Select Market on such date multiplied 
by 9,266,340 shares (total outstanding shares of 17,763,576 less 8,497,236 shares held by affiliates) of the registrant’s common stock which were outstanding on such 
date.  For the purposes of the foregoing calculation only, all of registrant’s directors, executive officers and persons known to the registrant to hold ten percent or greater 
of  the  registrant’s outstanding  common  stock  have  been  excluded  in that such  persons  may be deemed  to be affiliates.    This determination of  affiliate  status is  not 
necessarily a conclusive determination for other purposes.  
The number of shares of registrant’s Common Stock outstanding as of May 23, 2022 was 17,488,588.  

  Emerging growth company 

   Small reporting company 

   Accelerated filer 

DOCUMENTS INCORPORATED BY REFERENCE 
Information  required by  Items 10  through 14  of  Part  III  of  this  Form  10-K,  to  the  extent not  set  forth herein, is  incorporated herein by  reference to portions  of  the 
registrant’s definitive proxy statement for the registrant’s 2022 annual meeting of stockholders, which will be filed with the Securities and Exchange Commission not 
later than 120 days after the end of the fiscal year ended March 31, 2022.  Except with respect to the information specifically incorporated by reference in this Form 10-
K, the registrant’s definitive proxy statement is not deemed to be filed as a part of this Form 10-K. 

Auditor Firm Id: 200 

Auditor Name: Haskell & White LLP 

Irvine, California, United States 

  
 
 
 
 
 
  
  
  
  
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
  
 
 
CORVEL CORPORATION 

2022 ANNUAL REPORT ON FORM 10-K 

TABLE OF CONTENTS 

PART I 

Item 1. 

  Business 

Item 1A. 

  Risk Factors 

Item 1B. 

  Unresolved Staff Comments 

Item 2. 

  Properties 

Item 3. 

  Legal Proceedings 

Item 4. 

  Mine Safety Disclosures 

  Page 

3 

  12 

  20 

  20 

  20 

  20 

Item 5. 

  Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities 

  21 

PART II 

Item 6. 

  Reserved 

Item 7. 

  Management’s Discussion and Analysis of Financial Condition and Results of Operations 

Item 7A. 

  Quantitative and Qualitative Disclosures About Market Risk 

Item 8. 

  Financial Statements and Supplementary Data 

Item 9. 

  Changes in and Disagreements with Accountants on Accounting and Financial Disclosure 

Item 9A.  

  Controls and Procedures 

Item 9B.  

  Other Information 

Item 9C. 

  Disclosure Regarding Foreign Jurisdictions that Prevent Inspections 

PART III 

Item 10. 

  Directors, Executive Officers and Corporate Governance 

Item 11. 

  Executive Compensation 

Item 12. 

  Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters 

Item 13. 

  Certain Relationships and Related Transactions, and Director Independence 

Item 14. 

  Principal Accountant Fees and Services 

PART IV 

Item 15. 

  Exhibit and Financial Statement Schedules 

Item 16. 

  Form 10-K Summary 

  Signatures 

  22 

  23 

  23 

  23 

  23 

  23 

  24 

24 

  25 

  25 

  25 

  25 

  25 

  26 

  31 

  32 

i 

 
 
 
    
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
In this Annual Report on Form 10-K (this “annual report”), the terms “CorVel,” “Company,” “we,” “us,” and “our” refer to CorVel 

Corporation and its subsidiaries. 

CAUTIONARY STATEMENT REGARDING FORWARD-LOOKING STATEMENTS 

This annual report and information incorporated by reference herein contain forward-looking statements within the meaning of 
the Securities Act of 1933, as amended (the "Securities Act"), and the Securities Exchange Act of 1934, as amended (the “Exchange 
Act”), including, but not limited to, the statements about our plans, strategies and prospects in Part I, Item 1, “Business,” Part II, Item 
7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and elsewhere in this  annual report. 
Words  such  as  “expects,”  “anticipates,”  “intends,”  “plans,”  “predicts,”  “believes,”  “seeks,”  “estimates,”  “potential,”  “continue,” 
“strive,”  “ongoing,” “may,” “will,” “would,”  “could,”  and “should,” as well as variations of these words or similar expressions are 
intended to identify forward-looking statements. These forward-looking statements are based on management’s current expectations, 
estimates and projections about our industry, management’s beliefs, and certain assumptions made by management, and we can give no 
assurance  that  we  will  achieve  our  plans,  intentions  or  expectations.  Certain  important  factors  could  cause  actual  results  to  differ 
materially from the forward-looking statements we make in this annual report. Representative examples of these factors include (without 
limitation): 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

The impact of global pandemics, such as COVID-19; 

General industry and economic conditions, including a decreasing number of national claims due to decreasing number of 
injured workers; 

Competition from other managed care companies and third-party administrators; 

The Company's ability to renew or maintain contracts with its customers on favorable terms or at all; 

The ability to expand certain areas of the Company's business; 

Growth in the the Company's sale of third-party administrator (“TPA”) services; 

Shifts in customer demands; 

Increases in operating expenses, including employee wages, benefits and medical inflation; 

The ability of the Company to produce market-competitive software; 

Cost of capital and capital requirements; 

Our ability to attract and retain key personnel; 

The impact of possible cybersecurity incidents on its business; 

Possible litigation and legal liability in the course of operations, and the Company's ability to resolve such litigation; 

Changes in regulations affecting the workers’ compensation, insurance and healthcare industries in general; 

Governmental  and  public  policy  changes,  including,  but  not  limited  to,  legislative  and  administrative  law  and  rule 
implementation or change; and 

The  availability  of financing in  the  amounts,  at  the  times,  and  on  the  terms  necessary  to  support  the  Company's  future 
business. 

Part I, Item 1A of this annual report, “Risk Factors,” discusses these and other important risk factors that may affect our business, 
results of operations and financial condition. The factors listed above and the factors described in Part I, Item 1A of this annual report, 
as well as similar discussions in our other filings with the Securities and Exchange Commission ("SEC") are not necessarily all of the 
important factors that could cause actual results to differ materially from those expressed in any of our forward-looking statements. 
Other unknown or unpredictable factors also could have material adverse effects on our future results. Investors should consider these 
factors before deciding to make or maintain an investment in our securities. The forward-looking statements included in this annual 
report are based on information available to us as of the date of this annual report. We expressly disclaim any intent or obligation to 
update any forward-looking statements to reflect subsequent events or circumstances. 

2 

 
Item 1. Business. 

INTRODUCTION 

PART I 

CorVel applies certain technology, including artificial intelligence, machine learning and natural language processing, to enhance 
the  management of episodes of care  and the  related health-care costs. We partner with employers, TPAs, insurance companies and 
government agencies to assist our customers in managing the increasing medical cost of workers' compensation, group health and auto 
insurance,  and  in  monitoring  the  quality  of  care  provided  to  claimants.  Our  diverse  suite  of  solutions  combines  our  integrated 
technologies with a human touch. CorVel's customized services, delivered locally, are backed by a national team to support its clients, 
as well as their customers and patients. 

The  Company's  services  include  claims  management,  bill  review,  preferred  provider  networks,  utilization  management,  case 
management,  pharmacy  services,  directed  care  and  Medicare  services.  CorVel  offers  its  services  as  a  bundled  solution  (i.e.  claims 
management), on a standalone basis, or as add-ons to existing customers. Customers that do not purchase a bundled solution generally 
use another provider, an in-house solution, or choose not to utilize such a service to manage their workers’ compensation, health, auto 
or other liability costs. The price of the bundled services is generally the same as if the products were purchased on an individual basis. 
Bundled products are generally delivered in the same accounting period. 

CorVel was incorporated in Delaware in 1987, and its principal executive offices are located at 5128 Apache Plume Road, Suite 
400, Fort Worth, Texas 76109. The Company's telephone number is (817) 390-1416.  The Company maintains a nationwide presence 
across  a  network  of  branches,  and  our  Fort  Worth,  Texas location  provides  a  centrally located  hub for  the  Company.  The  location 
provides  a  sizable  property  footprint,  a  concentrated  number  of  employees,  and  serve  as  the  site  for  this  year’s  annual  meeting  of 
stockholders.  Additionally,  our  Dallas-Fort  Worth  metropolitan  area  offices  perform  both  worker’s  compensation  and  group  health 
services. We believe the location of our headquarters puts us in the best position for future growth across our business in these area or 
service. 

INDUSTRY OVERVIEW 

CorVel  provides  services  to  employers  and  payors  in  the  risk  management  and  insurance  services  arenas,  including  workers' 
compensation, general liability, auto liability, and hospital bill auditing and payment integrity. Workers’ compensation is a federally 
mandated, state-legislated insurance program that requires employers to fund medical expenses, lost wages, and other costs resulting 
from work-related injuries and illnesses. Workers’ compensation benefits and arrangements vary extensively on a state-by-state basis 
and are often highly complex. State statutes and court decisions control many aspects of the compensation process, including  claims 
handling, impairment or disability evaluation, dispute settlement, benefit amount guidelines, and cost-control strategies. 

In addition to the compensation process, cost containment and claims management continue to be significant employer concerns 
and  many  look  to  managed  care  vendors  and  TPAs  for  cost  savings  solutions.  Cost  drivers  in  workers’  compensation  include 
implementing  effective  return-to-work  and  transitional  duty  programs,  coordinating  medical  care,  medical  cost  management, 
recognizing fraud and abuse, and improving communications with injured workers. Further, failing to recognize a complex claim at the 
onset of an injury, often results in a lengthier claims process and a delayed return to work, which drives costs.  We offer holistic savings 
solutions to cost containment using an integrated claims model, which controls costs by advocating medical management at the onset 
of injury to decrease administrative costs and to reduce the duration of a claimant's disability. 

FISCAL 2022 DEVELOPMENTS — Stock Repurchase Program 

During fiscal year ended March 31, 2022 ("fiscal 2022"), the Company spent $90 million to repurchase 566,073 shares of its 
common stock under a plan approved by the Company’s Board of Directors in 1996. Since the commencement of this program in the 
fall of 1996 through fiscal 2022, the Company has repurchased 37,219,625 shares of its common stock, at a cost of approximately $655 
million, and we had 780,375 shares of common stock authorized for repurchase remaining under our share repurchase program as  of 
March 31, 2022. These repurchases were funded primarily from the Company’s operating cash flows. 

Expiration of Shareholder Rights Plan 

On February 10, 2022, the Second Amended and Restated Preferred Shares Rights Agreement, dated as of November 17, 2008, 
by and between the Company and Computershare Trust Company, N.A., as amended (the “Shareholder Rights Plan”), and all preferred 
stock purchase rights distributed to holders of the Company’s common stock pursuant to the Shareholder Rights Plan, expired by their 
respective terms. Accordingly, the Shareholder Rights Plan is of no further force and effect.        

3 

 
 
                 
BUSINESS — SERVICES 

The Company's network solutions and patient management services reduces claim costs by advocating medical management at 
the onset of an injury. These solutions offer personalized treatment programs that use precise protocols to advocate timely, quality care 
for injured workers. 

Network Solutions Services 

CorVel offers a complete medical savings solution for all in-network and out-of-network medical bills. The Company's services 
include professional nurse review, true line item review, expert fee  negotiations, specialty networks, preferred provider organization 
("PPO") management, medical bill repricing, automated adjudication, and electronic reimbursement. Each feature focuses on increasing 
process efficiencies and maximizing savings opportunities for our customers. 

Bill Review 

Many states have adopted fee schedules, which regulate the maximum allowable fees payable under workers’ compensation for 
procedures  performed  by  a  variety  of  health  treatment  providers.  Developed  in  1989,  CorVel’s  proprietary  bill  review  and  claims 
management technology automates the review process to provide customers with a faster turnaround time, more efficient bill review 
and  higher  total  savings.  CorVel’s  artificial  intelligence  engine  includes  over  112  million  individual  rules,  which  creates  a 
comprehensive review process that is more efficient than traditional manual bill review processes. 

Our online portal, CareMC, offers a paperless and cost-effective solution for payors to review and approve bills online and access 

savings reports. Further, CorVel’s solutions are fully customizable and can be tailored to meet unique payor requirements. 

As discussed in greater detail below, bill review services include: 

• 

• 

• 

• 

• 

• 

• 

Coding review and re-bundling; 

Reasonable and customary review; 

Fee schedule analysis; 

Out-of-network bill review; 

Pharmacy review; 

PPO management;  

Repricing. 

PPO Management 

PPOs are groups of hospitals, physicians and other healthcare providers that offer services at pre-negotiated rates to employee 
groups. The Company believes that PPO networks offer employerS an additional means of managing healthcare costs by reducing the 
per-unit price of medical services provided to employees. CorVel began offering a proprietary national PPO network in 1992 and added 
leased network agreements to offer our customers extensive coverage and optimal network performance.  As of March 31, 2022, the 
Company's  PPO  network  was  comprised  of  over  1.2  million  providers  nationwide,  which  are  searchable  based on  quality,  types of 
services, and location by the public through the Company's mobile application.  

CorVel has a long-term strategy of network development, providing comprehensive networks to our customers and customization 
of networks to meet the specific needs of our customers. The Company believes that the strength of its national PPO  network, combined 
with local PPO developers’ commitment and community involvement, enables CorVel to grow its PPO network's size, quality, depth of 
discount, and commitment to service. 

4 

 
The Company has a team of national, regional and local personnel supporting the CorVel network. This team of developers is 
responsible for local recruitment, contract negotiations, credentialing and re-credentialing of providers, and working with customers to 
develop  customer-specific  provider  networks.  Each  bill  review  operation  has  provider  relations  support  staff  to  address  provider 
grievances and other billing issues. 

The  Company  selects  its  providers  based  on  their  quality,  range  of  services,  price  and location.  The  Company  evaluates  and 
credential  each  provider  before  inviting  them  to  join  its  network,  and  re-credential  them  every  three  years.  Through  this  extensive 
evaluation process, we are able to provide significant hospital, physician and ancillary medical savings, while maintaining high quality 
care. Provider network services include a national network for all medical coverages, board-certified physicians, provider credentialing, 
patient channeling, online PPO look-up, printable directories and driving directions, and medical care organizations ("MCOs"). 

CERiS® 

CERiS, CorVel’s enhanced review program, performs a clinical review and comparative analysis of itemized billing statements 
against national and customer payment standards. CERiS  is a national provider of cost management solutions to employers, TPAs, 
insurance  companies  and  government  agencies.    The  Company’s  comprehensive  forensic  solution  reviews  charge  utilization, 
appropriateness of charges, and billing behavior, to verify proper payment of claims. CERiS offers clarity to those who pay facility 
claims and are unsure if the billing is correct. CERiS produces incremental savings both prior and post payment, lowers provider friction, 
increases efficiencies with client and facility relationships, and easily scales to a payor’s enterprise needs.   

Professional Review 

CorVel’s professional review service audits and validates facility bill accuracy. This solution also includes review of in-network 
facility bills. If a bill is identified for professional review, the bill image and its associated medical reports are routed within the system 
to an experienced medical nurse for review and auditing. The Company’s experienced nurse auditors have clinical backgrounds in all 
areas of medicine, medical billing and coding to ensure an accurate, consistent and thorough review.  

Provider Reimbursement 

CorVel’s bill review service automatically issues provider reimbursements, and allows its customers to track dollars spent and 

bills reviewed, and set reserves through charts available online.   

SymbeoSM  

We complement our comprehensive solutions by offering our Symbeo technologies, which include scanning, optical character 
recognition, and document management services. We have added scanning operations to most of the Company’s larger offices around 
the country, designating them “Capture Centers,” and sell scanning and document management services through all offices. Our scanning 
service  includes  a  web  interface,  which  provides  immediate  access  to  documents  and  data.  Secure  document  review,  approval, 
transaction workflow and archival storage are available at subscription-based pricing. 

Additionally, Symbeo automates the accounts payable process, configuring coding and approvals to customer specific workflows.   

Pharmacy Services 

CorVel provides patients with a full-feature pharmacy program that offers formulary management, discounted prescriptions, drug 
interaction monitoring, utilization management and eligibility confirmation. Our network of nationally recognized pharmacies  offers 
claimants savings on the retail price of prescriptions associated with a workers’ compensation claim. The Company’s pharmacy services 
program includes preferred access to a national pharmacy network, streamlined processing for pharmacies at point of sale, first fill and 
next fill programs, out-of-network management, medication review services and clinical modeling. 

Directed Care Services 

CorVel offers a national directed care network that provides access to specialty medical services, which may be required to support 
an injured worker’s medical treatment plan.  CorVel has contracted with medical imaging, physical therapy, diagnostics and ancillary 
service  networks to offer convenient access, timely appointments and preferred rates for these services.  The Company manages  the 
entire coordination of care from appointment scheduling through reimbursement,  working to  achieve timely recovery and increased 
savings.  The  Company  has  directed  care  networks  for  CTs  and  MRIs,  diagnostic  imaging,  physical  and  occupational  therapy, 
independent medical evaluations, durable medical equipment and transportation and translation. 

5 

 
Medicare Solutions 

The Company offers solutions to help manage the requirements mandated by the Centers for Medicare and Medicaid Services 
(“CMS”).  Services  include  Medicare  set  asides  and  agent  reporting  services  to  help  employers  comply  with  new  CMS  reporting 
legislation. As an assigned agent, CorVel can provide services for responsible reporting entities (known as RREs), such as insurers and 
employers. As an experienced information-processing provider, CorVel is able to electronically submit files to the CMS in compliance 
with timelines and reporting requirements. 

Clearinghouse Services 

CorVel’s  proprietary  medical  review  software  and  claims  management  technology  interfaces  with  multiple  clearinghouses  to 
provide for medical review, conversion of electronic forms to appropriate payment formats, seamless submission of bills for payments 
and rules engines used to help ensure jurisdictional compliance. 

Patient Management Services 

CorVel offers a unique approach to patient management through the TPA services it offers.  Patient management services include 
claims management and all services sold to claims management customers, as well as case management, its 24/7 virtual care platform 
with nurse triage, utilization management, vocational rehabilitation, and disability, liability claims, and auto claims management.  This 
integrated  service  model  controls  claims  costs  by  advocating  medical  management  at  the  onset  of  a  claimant's  injury  to  decrease 
administrative costs and to shorten the duration of the claimant's disability. This automated solution offers a personalized treatment 
program for each injured worker, using precise treatment protocols to meet the changing needs of patients on an ongoing basis.  The 
Company offers these services on a stand-alone basis or as an integrated component of its medical cost containment services. 

Claims Management 

The Company serves customers in the self-insured and commercially-insured markets. Incidents and injuries are reported through 
a variety of intake methods including a 24/7 nurse triage call center, website, mobile applications, toll-free call centers and traditional 
methods of paper and fax reporting. Reported incidents and injuries are immediately processed by CorVel’s proprietary rules engine, 
which provides alerts and recommendations throughout the life of a claim. This technology instantly assigns the claimant an expert 
claims professional, while simultaneously determining if a claim requires immediate attention for triage. 

The Company serves customers through alternative loss-funding methods and provides them with a complete range of services, 
including  claims  administration,  case  management,  and  medical  bill  review. In  addition  to  the field  investigation  and  evaluation  of 
claims,  the  Company  may  also  provide  initial  loss  reporting  services  for  claims,  loss  mitigation  services,  vocational  rehabilitation, 
administration of trust funds established to pay claims, and risk management information services. 

Features of claims management services include automated first notice of loss, three-point contact within 24 hours, prompt claims 
investigations,  detailed  diary  notes  for  each  step  of  the  claim,  graphical  dashboards  and  claim  history  scorecards,  and  litigation 
management and expert testimony. 

Case Management 

CorVel’s case management and utilization review services address all aspects of disability management and recovery, including 
utilization review (pre-certification, concurrent review and discharge planning), early intervention, telephonic, field and catastrophic 
case management, as well as vocational rehabilitation. 

The medical management components of CorVel’s program focus on medical intervention, management and appropriateness. In 
these cases, the Company’s case managers confer with the attending physician, other providers, the patient and the patient’s family to 
identify the appropriate rehabilitative treatment and most cost-effective healthcare alternatives. The program is designed to offer the 
injured party prompt access to appropriate medical providers who will provide quality cost-effective medical care. Case managers may 
coordinate the services or care required and arrange for special pricing of the services. 

A telephonic case manager focuses on assisting the claimant's early return to work, medical improvement and determining the 
appropriate duration of disability. Further, the telephonic case manager facilitates treatment, negotiates with medical providers on behalf 
of the injured worker and directs the worker's care until certain case closure criteria is  met. Utilization review of provider treatment 
remains ongoing until discharge from treatment. 

6 

 
A field case manager ("FCM") is assigned to claims requiring an onsite referral. Cases are referred to the most appropriate FCM 
based  on  geographic  location  and  injury  type.  Specialized  case  management  services  include  catastrophic  management,  life  care 
planning, and vocational rehabilitation services.  

Virtual Care Platform 

Injured workers can contact our 24/7 nurse triage hotline to speak with a registered nurse who specializes in occupational injuries. 
An  assessment  is  immediately  made  to  recommend  self-care,  or refer  the  worker  to  seek  further  medical  care  from our network  of 
preferred providers. CorVel is able to provide quick and accurate care intervention, often preventing a minor injury from becoming an 
expensive  claim.  Our  virtual  platform  allows  employer  access  to  online  case  information,  comprehensive  incident  gathering,  and 
healthcare advocacy for injured workers. Additionally, after being screened by a triage nurse, the service now offers Telehealth, which 
connects injured workers with doctors for virtual appointments via their computers and smart mobile devices.  Telehealth, which is 
approved in nearly all states, is integrated into CorVel’s healthcare model as an option for qualified injuries, primarily musculoskeletal. 
Telehealth  preserves  the  integrity  of  the  patient-physician relationship  with  confidential,  HIPAA  compliant  transactions,  while  also 
channeling injured workers to network providers for physical therapy or prescriptions when needed. 

Utilization Management 

CorVel's utilization management programs review proposed care to determine appropriateness, frequency, duration and setting. 
These  programs  utilize  experienced  registered  nurses,  proprietary  medical  treatment  protocols  and  systems  technology  to  avoid 
unnecessary treatments and associated costs. Utilization management processes include injury review, diagnosis and treatment planning, 
contacting  and  negotiating  provider  treatment  requirements,  certifying  appropriateness  of  treatment  parameters,  and  responding  to 
provider requests for additional treatment. Utilization management services include prospective review, retrospective review, concurrent 
review, professional nurse review, second opinion, peer review, precertifications and independent medical evaluation. 

Vocational Rehabilitation 

CorVel’s  vocational  rehabilitation  program  is  designed  for  injured  workers  needing  assistance  returning  to  work  or  retaining 
employment. This comprehensive suite of services helps employees who are unable to perform their work functions and who face the 
possibility of joining the open labor market to seek re-employment. These services are available unbundled on an integrated basis as 
dictated by the requirement of each case and customer preference, or by individual statutory requirements. Vocational rehabilitation 
services  include:  ergonomic  assessments,  rehabilitation  plans,  transferable  skills  analysis,  labor  market  services,  job  seeking  skills, 
resumé development, job analysis and development, job placement, career counseling and expert testimony. 

Disability Management 

CorVel’s disability management programs offer a continuum of services for short and long-term disability coverages that advocate 
an employee’s early return to work. Disability management services include: absence reporting, disability evaluations, national preferred 
provider organizations, independent medical examinations, utilization review, medical case management, return-to-work coordination 
and integrated reporting. 

Liability Claims Management 

CorVel also offers liability claims management services that can be sold on a stand-alone basis or as part of patient management. 
Liability claims management services include claims management, adjusting services, litigation management, claims subrogation, and 
investigations  regarding  auto  liability,  general  liability,  product  liability,  personal  injury,  professional  liability,  property  damage, 
accidents and weather-related damage.  

Auto Claims Management 

Injury claims are one of the largest components of auto indemnity costs. Effective management of these claims and their associated 
costs, combined with an optimal healthcare management program, helps CorVel’s customers reduce claim costs. The Company’s auto 
claims services include national preferred provider organizations, medical bill review, first and third party bill review, first notice of 
loss, demand packet reviews and reporting and analytics. 

7 

 
SYSTEMS AND TECHNOLOGY 

Infrastructure and Data Center 

The Company utilizes a tier III-rated data center as its primary processing site. Redundancy is provided at many levels in power, 
cooling, and computing resources, with the goal of ensuring maximum uptime and system availability for the Company’s production 
systems. The Company has embraced server virtualization and consolidation techniques to push the fault-tolerance of systems even 
further. These technologies bring increased availability, speed-to-production and scalability. 

Adoption of Imaging Technologies and Paperless Workflow 

Utilizing scanning and automated data capture processes allows the Company to process incoming paper and electronic claims 
documents, including medical bills, with less manual handling, which has improved the Company’s workflow processes and resulted in 
cost savings to us and our customers. Through the Company’s online portal, CareMC, customers can review bills as soon as they are 
processed and approve a bill for payment, streamlining their workflows and expediting the payment process. 

Redundancy Center 

The Company’s national data center is located near Portland, Oregon.  The redundancy center, which is located in Lone Mountain, 
Nevada, is the  Company’s backup processing site in the event that the Portland data  center suffers catastrophic loss. Currently, the 
Company’s data is continually replicated to Lone Mountain in near-real time, so that in the event the Portland data center is offline, the 
redundancy  center  can  be  activated  with  current  information  quickly.  The  Lone  Mountain  data  center  also  hosts  duplicates  of  the 
Company’s websites. The systems are maintained and exercised on a continuous basis as they host demonstration and pilot environments 
that mirror production, with the goal of ensuring their ongoing readiness. 

CareMC® 

The Company's CareMC (www.caremc.com) platform offers customers direct and immediate access to the Company’s primary 
service  lines.  CareMC  allows  for  electronic  communication  and  reporting  between  providers,  payors,  employers  and  patients.  The 
website allows customers to report an incident/injury, request service, schedule an appointment, review bills, manage claims, access 
their treatment calendar, contest medical bills, and access automated provider reimbursement. 

In addition, through CareMC, customers can: 

•  Manage files throughout the life of the claim; 

• 

• 

Receive and relay case notes from case managers; and 

Integrate information from multiple claims management sources into one database. 

CareMC facilitates healthcare transaction processing. Using artificial intelligence technology, the website provides situation alerts 
and event triggers, to facilitate prompt and effective decisions. CareMC users can quickly see where event outliers are occurring within 
the claims management process. If costs exceed pre-determined thresholds or activities fall outside expected timelines, the customer can 
be quickly notified. The latest feature within CareMC, the Edge, modernizes claims processing and adapts to the way people work. This 
module  facilitates  quicker  decision  making  by  prioritizing  information  that  is  easily  actionable.  Seamlessly  integrated  within  the 
platform, the Edge browses codified data and prioritizes claims, alerting adjusters to those claims needing attention and actions that need 
to be taken.  The Edge displays live, claims information on one screen to help guide users toward their next action. 

Claims Processing 

We continue to develop our claims system capabilities, which reflects the Company’s preference for owning and maintaining our 
own software assets. Integration projects, some  already completed, are underway to present more of this claims-centric information 
available through the CareMC online portal. The Company’s goal is to continue to modernize user interfaces, give more rapid feedback 
and put real-time information in the hands of our customers. 

8 

 
CUSTOMERS AND MARKETING 

CorVel serves a diverse group of customers, which include insurers, TPAs, self-administered employers, government agencies, 
municipalities,  state  funds,  and  numerous  other  stakeholders  in  the  health  care  industry.  CorVel  provides  workers’  compensation 
services to virtually any size employer and in any state or region of the United States. No single customer represented more than 10% 
of revenues in fiscal 2022, or in fiscal years ended March 31, 2021 and 2020. One customer accounted for 10% or more of accounts 
receivable as of March 31, 2022 and 2021. Many claims management decisions in workers’ compensation are the responsibility of the 
local claims office of national or regional insurers. The Company’s national branch office network enables the Company to market and 
offer  its  services  at  both  a  local  and  national  account  level,  though  the  Company  placed  increasing  emphasis  on  national  account 
marketing. The sales and marketing activities are conducted primarily by account executives located in key geographic areas. 

COMPETITION AND MARKET CONDITIONS 

The  healthcare  cost  containment  industry  is  competitive  and  is  subject  to  economic  pressures  for  cost  savings  and  legislative 
reforms.  CorVel’s  primary  competitors  in  the  workers’  compensation  market  include  TPAs,  MCOs,  large  insurance  carriers  and 
numerous independent companies. Many of the Company’s competitors are significantly larger and have greater financial and marketing 
resources than the Company. Moreover, the Company’s customers may establish the in-house capability of performing the kinds of 
services offered by the Company. If the Company is unable to compete effectively, it will be difficult to add and retain customers, and 
the Company’s business, financial condition and results of operations will be materially and adversely affected. 

There  has  been  unprecedented  acceleration  in  mobile  and  other  technology  in  the  past  few  years.  This  capability  provides 
immediate access and begins to present business opportunities that were previously predicated on a less connected environment. The 
Company continues to leverage the latest technological innovation to connect all parties involved in the workers' compensation, risk 
management,  and  insurance  processes  in  ways  that  were  unimaginable  in  the past.  The Company remains  focused  on  executing  its 
strategy to offer industry-leading claims management and cost containment solutions to the market. 

GOVERNMENT REGULATIONS 

General 

Managed healthcare programs for workers’ compensation are subject to various laws and regulations. Both the nature and degree 
of applicable government regulation vary greatly depending upon the specific activities involved. Generally, parties that actually provide 
or arrange for the provision of healthcare services, such as the Company, assume financial risk related to the provision of those services 
or undertake direct responsibility for making payment or payment decisions for those services. These parties are subject to a number of 
complex regulatory requirements that govern many aspects of their conduct and operations. 

In  contrast,  the  management and  information  services provided  by  the  Company  to  its  customers  typically have  not  been  the 
subject of regulation by the federal government or the states. Since the managed healthcare field is a rapidly expanding and changing 
industry and the cost of healthcare continues to increase, it is possible that state and federal regulatory frameworks will expand to have 
a greater impact on the conduct and operation of the Company’s business. 

Under the current workers’ compensation system, employer insurance or self-funded coverage is governed by individual laws in 
each of the 50 states and by certain federal laws. The management and information services that make up the Company’s managed care 
program serve markets that have developed largely in response to needs of insurers, employers and large TPAs, and generally have not 
been mandated by legislation or other government action. On the other hand, the vocational rehabilitation case management marketplace 
within  the  workers’  compensation  system  has  been  dependent  upon  the  laws  and  regulations  within  those  states  that  require  the 
availability of specified rehabilitation services for injured workers. Similarly, the Company’s fee schedule auditing services address 
market needs created by certain states’ enactment of maximum permissible fee schedules for workers’ compensation services. Changes 
in individual state regulation of workers’ compensation may create a greater or lesser demand for some or all of the Company’s services 
or require the Company to develop new or modified services to meet the needs of and compete effectively in the marketplace. 

We are required to be licensed or receive regulatory approval in nearly every state and foreign jurisdiction in which we do business. 
In addition, most jurisdictions require individuals who engage in claim adjusting and certain other insurance service activities to be 
personally licensed. These licensing laws and regulations vary from jurisdiction to jurisdiction. In most jurisdictions, licensing laws and 
regulations  generally  grant  broad  discretion  to  supervisory  authorities  to  adopt  and  amend  regulations  and  to  supervise  regulated 
activities. 

9 

 
Medical Cost Containment Legislation 

Historically, governmental strategies to contain medical costs in the workers’ compensation field have been generally limited to 
legislation on a state-by-state basis. For example, many states have implemented fee schedules that list maximum reimbursement levels 
for healthcare procedures. In certain states that have not authorized the use of a fee schedule, the Company adjusts bills to the usual and 
customary levels authorized by the payor. Opportunities for the Company’s services could increase if more states legislate additional 
cost containment strategies. Conversely, the Company would be materially and adversely affected if states elect to reduce the extent of 
medical cost containment strategies available to insurance carriers and other payors, or adopt other strategies for cost containment that 
would not support a demand for the Company’s services. 

HUMAN CAPITAL 

As  of  March  31,  2022,  CorVel  had  4,233  employees,  including  nurses,  claims  adjusters,  and  other  employees.    Our  entire 
workforce is concentrated in the United States.  No employees are represented by any collective bargaining unit.  Management believes 
the Company’s relationship with its employees to be good. 

The COVID-19 pandemic had a significant impact on our human capital management. Most of our office locations are operating 
at reduced capacity as 62% of our employees are permanent work from home.  We have instituted safety protocols and procedures for 
employees when they are in an office. 

Human Capital is a key component to our success. CorVel was recently awarded, for the second year in a row, certification as a 
Great Place to Work Company based on independent surveys of its employees. Our culture and organizational purpose is embodied by 
our ACE-IT values of Accountability, Commitment, Excellence, Integrity, and Teamwork. These values define our desired culture, and 
influence organizational behavior, decision-making and our people priorities. Our mission is to provide an enduring culture where we 
are empowered to seek our full potential, working together to change the industry, making a real difference to those we serve. Our vision 
is to make a real difference with our partners by creating a new standard of excellence in service and outcomes. 

Diversity, Equity and Inclusion 

Diversity and inclusion are core to the Company’s values and instrumental in delivering stronger business growth. The more 
diverse our backgrounds and experiences, the more we can achieve together working side by side. We are committed to recruiting the 
most qualified people for the job regardless of gender, ethnicity or other protected traits and to comply fully with all domestic, foreign 
and local laws relating to discrimination in the workplace. Additionally, we believe in providing opportunities for career progression for 
our people and as such, we strive to fill our open positions with internal talent whenever possible. Our Company’s greatest strength and 
resource is the talent of our employees.  

To ensure that our leaders and employees model fairness and inclusivity in their behaviors; diversity, equity and inclusion training 
was completed by our leaders and mandated for all employees.  We are proud of having a diverse workforce and remain committed to 
increasing the empowerment of women and minorities across our operations. 

As  of  March  31,  2022,  over  a  third  of  our  employees  identify  as  racially/ethnically  diverse.  Additionally,  over  79%  of  our 

employees identify as women. Over 71% of the Company’s managers identify as women.   

Employee Wellness 

At CorVel, we provide a variety of comprehensive benefit programs that are designed to support the physical, mental and financial 
well-being of our people. Examples of such programs include: formal wellness programs with  fitness challenges and incentives for 
prioritizing  physical  exercise;  employee  assistance  programs;  group  healthcare  and  telemedicine  programs;  company-sponsored 
retirement savings plans; tuition assistance; and programs that support work-life balance such as remote work arrangements and paid-
time off. 

10 

 
  
  
  
  
  
  
  
Employee Development 

Employee development continues to be of strategic importance in fiscal 2022. We require our adjusters and nurse case managers 

to take specific trainings related to their responsibilities as part of the onboarding process. In 2021, we held our first leadership 
development program for managers. In 2022, the leadership program is being expanded to additional cohorts and is open to managers 
and supervisors. The program was designed internally and is a combination of six focused workshops facilitated by different members 
of our executive team and a curated reading list. During the program, the participants work individually and in group sessions to learn 
and improve leadership skills from proven resources and have the opportunity to roundtable situations to provide optimal resolutions 
for their teams. 

AVAILABLE INFORMATION 

Copies of our Annual Reports on Form 10-K, Quarterly Reports on Form 10-Q, Current Reports on Form 8-K, proxy statements 
and any amendments to those reports filed or furnished pursuant to Sections 13(a) or 15(d) of the Exchange Act, as well as other filings 
made with the SEC, are available free of charge through our website (http://www.corvel.com, under the Investor section) as soon as 
reasonably practicable after such reports are electronically filed with, or furnished to, the SEC. The SEC also maintains a website at 
www.sec.gov that contains reports, proxy and information statements, and other information regarding issuers that file electronically 
with the SEC. 

The inclusion of our website address and the address of any of our portals, such as www.caremc.com, in this annual report does 

not include or incorporate by reference into this annual report any information contained on, or accessible through, such websites. 

11 

 
 
Item 1A. Risk Factors. 

Past  financial  performance  is  not  necessarily  a  reliable  indicator  of  future  performance,  and  investors  in  our  common  stock 
should not use historical performance to anticipate results or future period trends. Investing in our common stock involves a high degree 
of risk. Investors should consider carefully the following risk factors, as well as the other information in this annual report and our 
other filings with the SEC, including our consolidated financial statements and the related notes, before deciding whether to invest or 
maintain an investment in shares of our common stock. If any of the following risks actually occurs, our business, financial condition, 
and results of operations would suffer. In this case, the trading price of our common stock would likely decline. The risks described 
below are not the only ones we face. Additional risks that we currently do not know about or that we currently believe to be immaterial 
may also impair our business operations. 

Risks Related to Our Business and Industry 

Our sequential revenue may not increase and may decline. As a result, we may fail to meet or exceed the expectations of investors 
or analysts which could cause our common stock price to decline. 

Our sequential revenue growth may not increase and may decline in the future as a result of a variety of factors, many of which 
are outside of our control. If changes in our sequential revenue fall below the expectations  of investors or analysts, the price of our 
common stock could decline substantially. Fluctuations or declines in sequential revenue growth may be due to a number of factors, 
including, but not limited to, those  listed below and identified throughout this “Risk Factors” section: the decline in manufacturing 
employment, the decline in workers’ compensation claims, the decline in healthcare expenditures, the considerable price competition in 
a flat-to-declining workers’ compensation market, litigation, the increase in competition, and the changes and the potential changes in 
state workers’ compensation and automobile-managed care laws which can reduce demand for our services. These factors create an 
environment where revenue and margin growth is more difficult  to attain and where revenue growth is less certain than historically 
experienced. Additionally, our technology and preferred provider network face competition from companies that have more resources 
available to them than we do. Also, some customers may handle their managed care services in-house and may reduce the amount of 
services which are outsourced to managed care companies such as us. These factors could cause the market price of our common stock 
to  fluctuate  substantially.  There  can  be  no  assurance  that  our  growth  rate  in  the  future,  if  any,  will  be  at  or  near  historical  levels. 

Our results of operations have been adversely affected and could in the future be materially adversely affected by the COVID-19 
coronavirus pandemic, or other pandemics or incidents of disease. 

The  global  spread  of  the  COVID-19  coronavirus  has  created  significant  volatility,  uncertainty,  unemployment  and  economic 
disruption. The extent to which the COVID-19 pandemic impacts our business, operations and financial results will depend on numerous 
evolving factors that we may not be able to accurately predict, including: 

• 

• 

• 

• 

• 

• 

• 

• 

• 

• 

the duration and scope of the pandemic; 

governmental, business and individuals’ actions that have been and continue to be taken in response to the pandemic; 

the distribution and effectiveness of vaccines; 

the impact of the pandemic on economic activity and actions taken in response; 

the effect on our customers and customer demand for our services and solutions, that could cause a reduction in revenue; 

our ability to sell and provide our services and solutions, including as a result of travel restrictions and employees working 
from home and widespread unemployment; 

the ability of our customers to pay for our services and solutions; 

the impact on our third party vendors; 

any closures of our, and our customers’ and providers’ offices and facilities, and 

any  restrictions  on  our  ability  to  provide  services  at  a  claim  site  or  the  location  of  a  claimant  whether  for  purposes  of 
evaluating the claim or delivering services. 

12 

 
 
The closure of offices or restrictions inhibiting our employees’ ability to travel or interact with claimants and access claim sites, 
has disrupted, and could in the future disrupt, our ability to provide our services and solutions to our customers. In addition, widespread 
unemployment has resulted in fewer doctor visits and fewer workers’ compensation and general liability claims. The majority of our 
workforce continues to work from home, which in the long run could have material adverse impact on our level of service. This may 
result in, among other things, decreased demand for our services, terminations of customer contracts, delays in our ability to perform 
services, an altering of the mix of services requested by customers and claimants, and other losses of revenue. Customers may also slow 
down decision making, delay planned work or seek to terminate existing agreements. Any of these events could cause or contribute to 
the risks and uncertainties enumerated in this report and could materially adversely affect our business, financial condition, results of 
operations and/or stock price. 

Natural and other disasters may adversely affect our business. 

We  may  be  vulnerable  to  damage  from  severe  weather  conditions  or  natural  disasters,  including  hurricanes,  fires,  floods, 
earthquakes, power loss, communications failures, and similar events, including the effects of pandemics, war or acts of terrorism.  If a 
disaster were to occur, our ability to operate our business could be seriously or completely impaired or destroyed. The insurance we 
maintain may not be adequate to cover our losses resulting from disasters or other business interruptions. 

The rapid and widespread transmission of COVID-19 continues to impact us in significant ways.  If the pandemic does not subside, 
or if there is a resurgence, it could materially adversely impact our business operations, financial position and results of  operations in 
unpredictable ways that depend on highly-uncertain future developments, such as determining the effectiveness of current or future 
government actions to address the  public health or economic impacts of the pandemic.  Any of these risks might have a materially 
adverse effect on our business operations and our financial position or results of operations. 

If we fail to grow our business internally or through strategic acquisitions we may be unable to execute our business plan, maintain 
high levels of service, or adequately address competitive challenges. 

Our  strategy  is  to  continue  internal  growth  and,  as  strategic  opportunities  arise  in  the  workers’  compensation  managed  care  
industry, to consider acquisitions of, or relationships with, other companies in related lines of business. As a result, we are subject to 
certain growth-related risks, including the risk that we will be unable to retain personnel or acquire other resources necessary to service 
such growth adequately. Expenses arising from our efforts to increase our market penetration may have a negative impact on operating 
results. In addition, there can be no assurance that any suitable opportunities for strategic acquisitions or relationships will arise or, if 
they do arise, that the transactions contemplated could be completed. If such a transaction does occur, there can be no assurance that we 
will be able to integrate effectively any acquired business. In addition, any such transaction would be subject to various risks associated 
with the acquisition of businesses, including, but not limited to, the following: 

• 

• 

• 

• 

• 

• 

an acquisition may (i) negatively impact our results of operations because it may require incurring large one-time charges, 
substantial  debt  or  liabilities;  (ii)  require  the  amortization  or  write  down  of  amounts  related  to  deferred  compensation, 
goodwill  and  other  intangible  assets;  or  (iii)  cause  adverse  tax  consequences,  substantial  depreciation  or  deferred 
compensation charges; 

we may encounter difficulties in assimilating and integrating the business, technologies, products, services, personnel, or 
operations of companies that are acquired, particularly if key personnel of the acquired company decide not to work for us; 

an acquisition may disrupt ongoing business, divert resources, increase expenses, and distract management; 

the acquired businesses, products, services, or technologies may not generate sufficient revenue to offset acquisition costs; 

we may have to issue equity or debt securities to complete an acquisition, which would dilute the position of stockholders 
and could adversely affect the market price of our common stock; and 

the acquisitions may involve the entry into a geographic or business market in which we have little or no prior experience. 

There can be no assurance that we will be able to identify or consummate any future acquisitions or other strategic relationships 
on favorable terms, or at all, or that any future acquisition or other strategic relationship will not have an adverse impact on our business 
or results of operations. If suitable opportunities arise, we may finance such transactions, as well as internal growth, through debt or 
equity financing. There can be no assurance, however, that such debt or equity financing would be available to us on acceptable terms 
when, and if, suitable strategic opportunities arise. 

13 

 
If we are unable to increase our market share among national and regional insurance carriers and large, self-funded employers, 
our results may be adversely affected. 

Our business strategy and future success depend in part on our ability to capture market share with our cost containment services 
as national and regional insurance carriers and large, self-funded employers look for ways to achieve cost savings. There can be no 
assurance that we will successfully market our services to these insurance carriers and employers or that they will not resort to other 
means to achieve cost savings. Additionally, our ability to capture additional market share may be adversely affected by the decision of 
potential customers to perform services internally instead of outsourcing the provision of such services to us. Furthermore, we may not 
be  able  to  demonstrate  sufficient  cost  savings  to  potential  or  current  customers  to  induce  them  not  to  provide  comparable  services 
internally or to accelerate efforts to provide such services internally. 

If competition increases, our growth and profits may decline. 

The markets for our network services and patient management services are fragmented and competitive. Our competitors include 
national managed care providers, preferred provider networks,  smaller independent providers, and insurance companies. Companies 
that offer one or more workers’ compensation managed care services on a national basis are our primary competitors. We also compete 
with  many  smaller  vendors  who  generally  provide  unbundled  services  on  a  local  level,  particularly  companies  with  an  established 
relationship with a local insurance company adjuster. In addition, several large workers’ compensation insurance carriers offer managed 
care services for their customers, either by performance of the services in-house or by outsourcing to organizations like ours. If these 
carriers increase their performance of these services in-house, our business may be adversely affected. In addition, consolidation in the 
industry may result in carriers performing more of such services in-house. 

If the referrals for our patient management services decline, our business, financial condition and results of operations would be 
materially adversely affected. 

In some years, we have experienced a general decline in the revenue and operating performance of patient management services. 
We believe that the performance decline has been due to the following factors: the decrease of the number of workplace injuries that 
have become longer-term disability cases; increased regional and local competition from providers of managed care services; a possible 
reduction  by  insurers  on  the  types  of  services  provided  by  our  patient  management  business;  the  closure  of  offices  and  continuing 
consolidation  of  our  patient  management  operations;  and  employee  turnover,  including  management  personnel,  in  our  patient 
management business. In the past, these factors have all contributed to the lowering of our long-term outlook for our patient management 
services. If some or all of these conditions continue, we believe that revenues from our patient management services could decrease. 

Declines in workers’ compensation claims may materially harm our results of operations. 

Within the past few years, as the labor market has become less labor intensive and more service oriented, there are declining work-
related injuries.  Additionally, employers are being more proactive to prevent injuries.  If declines in workers’ compensation costs occur 
in many states and persist over the long-term, it would have a material adverse impact on our business, financial condition and results 
of operations. 

We provide an outsource service to payors of workers’ compensation benefits, automobile insurance claims, and group health 
insurance benefits. These payors include insurance companies, TPAs, municipalities, state funds, and self-insured, self-administered 
employers. If these payors reduce the amount of work they outsource, our results of operations would be materially adversely affected. 

Healthcare providers are becoming increasingly resistant to the application of certain healthcare cost containment techniques; this 
may cause revenue from our cost containment operations to decrease. 

Healthcare providers have become more active in their efforts to minimize the use of certain cost containment techniques and are 
engaging in litigation to avoid application of certain cost containment practices. Recent litigation between healthcare providers and 
insurers has challenged certain insurers’ claims adjudication and reimbursement decisions. These cases may affect the use by insurers 
of certain cost containment services that we provide and may result in a decrease in revenue from our cost containment business. 

14 

 
Our failure to compete successfully could make it difficult for us to add and retain customers and could reduce or impede the growth 
of our business. 

We face competition from PPOs, TPAs, and other managed healthcare companies. We believe that as managed care techniques 
continue to gain acceptance in the workers’ compensation marketplace, our competitors will increasingly consist of nationally-focused 
workers’ compensation managed care service companies, insurance companies, HMOs and other significant providers of managed care 
products. Legislative reform in some states has been considered, but not enacted, to permit employers to designate health plans such as 
HMOs and PPOs to cover workers’ compensation claimants. Because many health plans have the ability to manage medical costs for 
workers’ compensation claimants, such legislation may intensify competition in the markets served by us. Many of our current and 
potential  competitors  are  significantly  larger  and  have  greater  financial  and  marketing  resources  than  we  do,  and  there  can  be  no 
assurance that we will continue to maintain our existing customers, maintain our past level of operating performance, or be successful 
with any new products or in any new geographical markets we may enter. 

If the utilization by healthcare payors of early intervention services continues to increase, the revenue from our later-stage network 
and healthcare management services could be negatively affected. 

The performance of early intervention services, including injury occupational healthcare, first notice of loss, and telephonic case 
management services, often result in a decrease in the average length of, and the total costs associated with, a healthcare claim. By 
successfully intervening at an early stage in a claim, the need for additional cost containment services for that claim often can be reduced 
or even eliminated. As healthcare payors continue to increase their utilization of early intervention services, the revenue from our later 
stage network and healthcare management services will decrease. 

We face competition for staffing, which may increase our labor costs and reduce profitability. 

We compete with other healthcare providers in recruiting qualified management and staff personnel for the day-to-day operations 
of our business, including nurses and other case management professionals. In some markets, the scarcity of nurses and other medical 
support personnel has become a significant operating issue to healthcare providers. This shortage may require us to enhance wages to 
recruit and retain qualified nurses and other healthcare professionals. Our failure to recruit and retain qualified management, nurses, and 
other healthcare professionals, or to control labor costs could have a material adverse effect on profitability.   

Sustained increases in the cost of our employee benefits could materially reduce our profitability. 

The  cost  of  our  current  employees’  medical  and  other  benefits  substantially  affects  our  profitability.  In  the  past,  we  have 
occasionally  experienced  significant  increases  in  these  costs  as  a  result  of  macro-economic  factors  beyond  our  control,  including 
increases in healthcare costs.  There can be no assurance that we will succeed in limiting future cost increases, and continued upward 
pressure in these costs could materially reduce our profitability. 

The introduction of software products incorporating new technologies and the emergence of new industry standards could render 
our existing software products less competitive, obsolete, or unmarketable.   

There  can  be  no  assurance  that  we  will  be  successful  in  developing  and  marketing  new  software  products  that  respond  to 
technological changes or evolving industry standards. If we are unable, for technological or other reasons, to develop and introduce new 
software products cost-effectively, in a timely manner and in response to changing market conditions or customer requirements, our 
business, results of operations, and financial condition may be adversely affected. 

Developing or implementing new or updated software products and services may take longer and cost more than expected. We 
rely on a combination of internal development, strategic relationships, licensing and acquisitions to develop our software products and 
services. The cost of developing new healthcare information services and technology solutions is inherently difficult to estimate. Our 
development and implementation of proposed software products and services may take longer than originally expected, require more 
testing than originally anticipated and require the acquisition of additional personnel and other resources. If we are unable to develop 
new or updated software products and services cost-effectively on a timely basis and implement them without significant disruptions to 
the existing systems and processes of our customers, we may lose potential sales and harm our relationships with current or potential 
customers. 

15 

 
We may not be able to develop or acquire necessary IT resources to support and grow our business, and disruptive technologies 
could impact the volume and pricing of our products, which could materially adversely affect our business, results of operations, 
and financial condition. 

We have made substantial investments in software and related technologies that are critical to the core operations of our business. 
These IT resources will require future maintenance and enhancements, potentially at substantial costs. Additionally, these IT resources 
may become obsolete in the future and require replacement, potentially at substantial costs. We may not be able to develop, acquire 
replacement resources or identify new technology resources necessary to support and grow our business. 

In addition, we could face changes in our markets due to disruptive technologies that could impact the volume and pricing of our 
products, or introduce changes to the claims management processes which could negatively impact our volume of case referrals. Our 
failure to address these risks, or to do so in a timely manner, or at a cost considered reasonable by us, could materially adversely affect 
our business, results of operations, and financial condition. 

The  failure  to  attract  and  retain  qualified  or  key  personnel  may  prevent  us  from  effectively  developing,  marketing,  selling, 
integrating, and supporting our services. 

We  are  dependent,  to  a  substantial  extent,  upon  the  continuing  efforts  and  abilities  of  certain  key  management  personnel.  In 
addition, we face competition for experienced employees with professional expertise in the workers’ compensation managed care area. 
The  loss  of  key  personnel,  especially  V.  Gordon  Clemons,  our  Chairman,  and  Michael  Combs,  our  Chief  Executive  Officer  and 
President, or the inability to attract qualified employees, could have a material adverse effect on our business, financial condition, and 
results of operations. 

If we lose several customers in a short period, our results may be materially adversely affected. 

Our results may decline if we lose several customers during a short period. Most of our customer contracts permit either party to 
terminate without cause. If several customers terminate, or do not renew or extend their contracts with us, our results could be materially 
and adversely affected. Many organizations in the insurance industry have consolidated and this could result in the loss of one or more 
of our customers through a merger or acquisition. Additionally, we could lose customers due to competitive pricing pressures or  other 
reasons. 

We are subject to risks associated with acquisitions of intangible assets. 

Our acquisition of other businesses may result in significant increases in our intangible assets and goodwill. We regularly evaluate 
whether  events  and  circumstances  have  occurred  indicating  that  any  portion  of  our  intangible  assets  and  goodwill  may  not  be 
recoverable. When factors indicate that intangible assets and goodwill should be evaluated for possible impairment, we may be required 
to reduce the carrying value of these assets. We cannot currently estimate the timing and amount of any such charges. 

Risks Related to Cybersecurity and Our Information Systems 

A cybersecurity attack or other disruption to our information technology systems could result in the loss, theft, misuse, unauthorized 
disclosure,  or  unauthorized  access  of  customer  or  sensitive  company  information  or  could  disrupt  our  operations,  which  could 
damage our relationships with customers or employees, expose us to litigation or regulatory proceedings, or harm our reputation, 
any of which could materially adversely affect our business, financial condition or results of operations. 

We rely on information technology to support our business activities. Our business involves the storage and transmission of a 
significant  amount  of  personal,  confidential,  or  sensitive  information,  including  the  personal  information  of  our  customers  and 
employees, and our company’s financial, operational and strategic information. As with many businesses, we are subject to numerous 
data privacy and security risks, which may prevent us from maintaining the privacy of this information, result in the disruption of our 
business  and  online  systems,  and  require  us  to  expend  significant  resources  attempting  to  secure  and  protect  such  information  and 
respond to incidents, any of which could materially adversely affect our business, financial condition or results of operations. The loss, 
theft, misuse, unauthorized disclosure, or unauthorized access of such information could lead to significant reputational or competitive 
harm, result in litigation or regulatory proceedings, or cause us to incur substantial liabilities, fines, penalties or expenses. 

Cybersecurity breaches of any of the systems on which we rely may result from circumvention of security systems, denial-of-
service attacks or other cyber-attacks, hacking, “phishing” attacks, computer viruses, ransomware, malware, employee or insider error, 
malfeasance,  social  engineering,  physical  breaches  or  other  actions.  According  to  media  reports,  the  frequency,  intensity,  and 
sophistication of cyber-attacks, ransomware attacks, and other data security incidents generally has significantly increased around the 
globe in recent years. As with many other businesses, we have experienced, and are continually at risk of being subject to, attacks and 
incidents, including cybersecurity breaches such as computer viruses, unauthorized parties gaining access to our information technology 
systems and similar incidents. Cybersecurity breaches could cause us, and in some cases, materially, to experience reputational harm, 
loss of customers, loss and/or delay of revenue, loss of proprietary data, loss of licenses, regulatory actions and scrutiny, sanctions or 
other statutory penalties, litigation, liability for failure to safeguard customers’ information, financial losses or a drop in our stock price.  
We have invested in and continue to expend significant resources on information technology and data security tools, measures, processes, 

16 

 
initiatives, policies and employee training designed to protect our information technology systems, as well as the personal, confidential 
or sensitive information stored on or transmitted through those systems, and to ensure an effective response to any cyber-attack or data 
security  incident.  These  expenditures  could  have  an  adverse  impact  on our  financial  condition  and  results  of  operations,  and  divert 
management’s attention from pursuing our strategic objectives. In addition, the cost and operational consequences of implementing, 
maintaining and enhancing further system protective measures could increase significantly as cybersecurity threats increase, and there 
can  be  no  assurance  that  the  security  measures  we  employ  will  effectively  prevent  cybersecurity  breaches  or  otherwise  prevent 
unauthorized persons from obtaining access to our systems and information.  

As these threats evolve, cybersecurity incidents could be more difficult to detect, defend against, and remediate. Cyber-attacks or 
data incidents could remain undetected for some period, which could potentially result in significant harm to our systems, as well as 
unauthorized access to the information stored on and transmitted by our systems. Further, despite our security efforts and training, our 
employees  may  purposefully  or  inadvertently  cause  security  breaches  that  could  harm  our  systems  or  result  in  the  unauthorized 
disclosure of or access to information. Any measures we do take to prevent security breaches, whether caused by employees or third 
parties, could have the potential to harm relationships with our customers or restrict our ability to meet our customers' expectations. 

If a cyber-attack or other data incident results in the loss, theft, misuse, unauthorized disclosure, or unauthorized access of personal, 
confidential, or sensitive information belonging to our customers or employees, it could put us at a competitive disadvantage, result in 
the deterioration of our customers’ confidence in our services, cause our customers to reconsider their relationship with our company or 
impose more onerous contractual provisions, cause us to lose our regulatory licenses, and subject us to potential litigation, liability, fines 
and penalties. For example, we  could be subject  to regulatory or other actions pursuant to privacy laws. This could result in costly 
investigations  and  litigation,  civil  or  criminal  penalties,  operational  changes  and  negative  publicity  that  could  adversely  affect  our 
reputation, as well as our results of operations and financial condition. 

A cyber-attack or other data security incident could result in the significant and protracted disruption of our business such that: 

• 

• 

• 

• 

• 

• 

• 

critical business systems become inoperable or require a significant amount of time or cost to restore; 

key personnel are unable to perform their duties or communicate with employees, customers or other third-parties; 

it results in the loss, theft, misuse, unauthorized disclosure, or unauthorized access of customer or company information; 

we are prevented from accessing information necessary to conduct our business; 

we are required to make unanticipated investments in equipment, technology or security measures; 

customers cannot access our websites and online systems; or 

we become subject to other unanticipated liabilities, costs, or claims. 

Any of the foregoing could have a material adverse effect on our business, financial condition and results of operations, and result 
in harm to our reputation.  While we maintain insurance coverage that may, subject to policy terms and conditions, cover certain aspects 
of the losses and costs associated with cyber-attacks and data incidents, such insurance coverage may be insufficient to cover all losses 
and would not, in any event, remedy damage to our reputation. In addition, we may face difficulties in recovering any losses from our 
provider and any losses we recover may be lower than we initially expect. 

A breach of security may cause our customers to curtail or stop using our services. 

We rely largely on our own security systems, confidentiality procedures, and employee nondisclosure agreements to maintain the 
privacy and security of our and our customers’ proprietary information. Accidental or willful security breaches or other unauthorized 
access by third parties to our information systems, the existence of computer viruses in our data or software, and misappropriation of 
our proprietary information could expose us to a risk of information loss, litigation, and other possible liabilities which may have a 
material adverse effect on our business, financial condition, and results of operations. If security measures are breached because of third-
party action, employee error, malfeasance, or otherwise, or if design flaws in our software are exposed and exploited, and, as a result, a 
third party obtains unauthorized access to any customer data, our relationships with our customers and our reputation will be damaged, 
our business may suffer, and we could incur significant liability. Because techniques used to obtain unauthorized access or to sabotage 
systems  change  frequently  and  generally  are  not  recognized  until  launched  against  a  target,  we  may  be  unable  to  anticipate  these 
techniques or to implement adequate preventative measures. 

An interruption in our ability to access critical data may cause customers to cancel their service and/or may reduce our ability to 
effectively compete. 

Certain aspects of our business are dependent upon our ability to store, retrieve, process, and manage data and to maintain and 
upgrade our data processing capabilities. Interruption of data processing capabilities for any extended length of time, loss of stored data, 
programming errors or other system failures could cause customers to cancel their service and could have a material adverse effect on 
our business, financial condition, and results of operations. 

17 

 
In addition, we expect that a considerable amount of our future growth will depend on our ability to process and manage claims 
data more efficiently and to provide more meaningful healthcare information to customers and payors of healthcare. There can  be no 
assurance that our current data processing capabilities will be adequate for our future growth, that we will be able to efficiently upgrade 
our systems to meet future demands, or that we will be able to develop, license or otherwise acquire software to address these market 
demands as well or as timely as our competitors. 

If we are unable to leverage our information systems to enhance our outcome-driven service model, our results may be adversely 
affected. 

To leverage our knowledge of workplace injuries, treatment protocols, outcomes data, and complex regulatory provisions related 
to the workers’ compensation market, we must continue to implement and enhance information systems that can analyze our data related 
to the workers’ compensation industry. We frequently upgrade existing operating systems and are updating other information systems 
that we rely upon in providing our services and financial reporting. We have detailed implementation schedules for these projects that 
require  extensive  involvement  from  our  operational,  technological,  and  financial  personnel.  Delays  or  other  problems  we  might 
encounter in implementing these projects could adversely affect our ability to deliver streamlined patient care and outcome reporting to 
our customers. 

Risks Related to Potential Litigation 

Exposure to possible litigation and legal liability may adversely affect our business, financial condition, and results of operations. 

We, through our utilization management services, make recommendations concerning the appropriateness of providers’ medical 
treatment plans for patients throughout the country, and as a result, could be exposed to claims for adverse medical consequences. We 
do not grant or deny claims for payment of benefits and we do not believe that we engage in the practice of medicine or the delivery of 
medical services. There can be no assurance, however, that we will not be subject to claims or litigation related to the authorization or 
denial of claims for payment of benefits or allegations that we engage in the practice of medicine or the delivery of medical services. 

In addition, there can be no assurance that we will not be subject to other litigation that may adversely affect our business, financial 
condition or results of operations, including but not limited to being joined in litigation brought against our customers in the managed 
care  industry.  We  maintain  professional  liability  insurance  and  such  other  coverages  as  we  believe  are  reasonable  in  light  of  our 
experience to date. If such insurance is insufficient or unavailable in the future at reasonable cost to protect us from liability, our business, 
financial condition, or results of operations could be adversely affected. 

If lawsuits against us are successful, we may incur significant liabilities. 

We provide to insurers and other payors of healthcare costs managed care programs that utilize preferred provider organizations 
and computerized bill review programs. Healthcare providers have brought, against us and our customers, individual and class  action 
lawsuits challenging such programs. If such lawsuits are successful, we may incur significant liabilities. 

We make recommendations about the appropriateness of providers’ proposed medical treatment plans for patients throughout the 
country. As a result, we could be subject to claims arising from any adverse medical consequences. Although plaintiffs have not, to date, 
subjected us to any claims or litigation relating to the granting or denial of claims for payment of benefits or allegations that we engage 
in the practice of medicine or the delivery of medical services, we cannot assure you that plaintiffs will not make such claims in future 
litigation. We also cannot assure you that our insurance will provide sufficient coverage or that insurance companies will make insurance 
available at a reasonable cost to protect us from significant future liability. 

The increased costs of professional and general liability insurance may have an adverse effect on our profitability.   

The cost of commercial professional and general liability insurance coverage has risen significantly for us in the past several years, 
and this trend may continue. In addition, if we were to suffer a material loss, our costs may increase over and above the general increases 
in the industry. If the costs associated with insuring our business continue to increase, it may adversely affect our business. We believe 
our current level of insurance coverage is adequate for a company of our size engaged in our business.  Additionally, we may  have 
difficulty getting carriers to pay under coverage in certain circumstances. 

Risks Related to Our Regulatory Environment 

Changes in government regulations could increase our costs of operations and/or reduce the demand for our services. 

Many  states,  including  a  number  of  those  in  which  we  transact  business,  have  licensing  and  other  regulatory  requirements 
applicable to our business. Approximately half of the states have enacted laws that require licensing of businesses which provide medical 
review  services  such  as  ours.  Some  of  these  laws  apply  to  medical  review  of  care  covered  by  workers’  compensation.  These  laws 

18 

 
typically establish minimum standards for qualifications of personnel, confidentiality, internal quality control, and dispute resolution 
procedures. These regulatory programs may result in increased costs of operation for us, which may have an adverse impact upon our 
ability to compete with other available alternatives for healthcare cost control. In addition, new laws regulating the operation of managed 
care provider networks have been adopted by a number of states. These laws may apply to managed care provider networks we have 
contracts with or to provider networks which we may organize. To the extent we are governed by these regulations, we may be subject 
to additional licensing requirements, financial and operational oversight and procedural standards for beneficiaries and providers. 

Regulation in the healthcare and workers’ compensation fields is constantly evolving. We are unable to predict what additional 
government initiatives, if any, affecting our business may be promulgated in the future. Our business may be adversely affected by 
failure to comply with existing laws and regulations, failure to obtain necessary licenses and government approvals, or failure to adapt 
to new or modified regulatory requirements. Proposals for healthcare legislative reforms are regularly considered at the federal and state 
levels. To the  extent that such proposals affect workers’ compensation, such proposals may adversely affect our business, financial 
condition, and results of operations. 

In  addition,  changes  in  workers’  compensation,  automobile  insurance,  and  group  healthcare  laws  or  regulations  may  reduce 
demand for our services, which would require us to develop new or modified services to meet the demands of the marketplace, or reduce 
the fees that we may charge for our services. 

Increasing  regulatory  focus  on  privacy  issues  and  expanding  privacy  laws  could  impact  our  business  models  and  expose  us  to 
increased liability. 

U.S. privacy and data security laws apply to our various businesses. Governments, privacy advocates and class action attorneys 
are increasingly scrutinizing how companies collect, process, use, store, share and transmit personal data. Globally, new laws, such as 
the General Data Protection Regulation in Europe, the California Consumer Privacy Act in California, and industry self-regulatory codes 
have been enacted and more are being considered that may affect our ability to respond to customer requests under the laws, and to 
implement  our  business  models  effectively.  These  requirements,  among  others,  may  force  us  to  bear  the  burden  of  more  onerous 
obligations in our contracts. Any perception of our practices, products or services as a violation of individual privacy rights may subject 
us to public criticism, class action lawsuits, reputational harm, or investigations or claims by regulators, industry groups  or other third 
parties, all of which could disrupt our business and expose us to increased liability. Additionally, we store information on behalf of our 
customers and if our customers fail to comply with contractual obligations or applicable laws, it could result in litigation or reputational 
harm to us. 

Risks Related to Ownership of Our Common Stock 

The market price and trading volume of our common stock may be volatile, which could result in rapid and substantial losses for 
our stockholders. 

The market price of our common stock may be highly volatile and could be subject to wide fluctuations. In addition, the trading 
volume in our common stock may fluctuate and cause significant price variations to occur.  The stock market has in the past experienced 
price and volume fluctuations that have particularly affected companies in the healthcare and managed care markets resulting in changes 
in the market price of the stock of many companies, which may not have been directly related to the operating performance of  those 
companies.  There can be no assurance that the market price of our common stock will not fluctuate or decline significantly in the future. 

We  cannot  assure  our  stockholders  that  our  stock  repurchase  program  will  enhance  long-term  stockholder  value  and  stock 
repurchases, if any, could increase the volatility of the price of our common stock and will diminish our cash reserves. 

In 1996, our Board of Directors authorized a stock repurchase program and, since then, has periodically increased the number of 
shares authorized for repurchase under the repurchase program.  The most recent increase occurred in May 2021 and brought the number 
of shares authorized for repurchase over the life of the program to 38,000,000 shares. There is no expiration date for the repurchase 
program. The timing and actual number of shares repurchased, if any, depend on a variety of factors including the timing of open trading 
windows, price, corporate and regulatory requirements, and other market conditions. The program may be suspended or discontinued at 
any  time  without  prior  notice.  Repurchases  pursuant  to  our  stock  repurchase  program  could  affect  our  stock  price  and  increase  its 
volatility. The existence of a stock repurchase program could also cause our stock price to be higher than it would be in the absence of 
such a program and could potentially reduce the market liquidity for our stock. Additionally, repurchases under our stock repurchase 
program will diminish our cash reserves, which could strain our liquidity, could impact our ability to pursue possible future strategic 
opportunities and acquisitions and could result in lower overall returns on our cash balances. There can be no assurance that any further 
stock repurchases will enhance stockholder value because the market price of our common stock may decline below the levels at which 
we repurchased shares of stock. Although our stock repurchase program is intended to enhance long-term stockholder value, short-term 
stock price fluctuations could reduce the program’s effectiveness. 

19 

 
 
Item 1B. Unresolved Staff Comments. 

None. 

Item 2. Properties. 

In its fiscal year ended March 31, 2021, the Company relocated its principal executive office to Fort Worth, Texas.  The Company 
entered into a lease for approximately 25,000 square feet for its headquarters, which expires in April 2028. The Company leases 71 
branch offices in 43 states, which range in size from 200 square feet up to 59,000 square feet. The lease terms for the branch offices 
range from monthly to ten years and expire at various dates through 2029. In addition to its leased properties, the Company owns a 
32,000 square foot building located in Milwaukie, Oregon. The Company believes that its facilities are adequate for its current needs 
and that suitable additional space will be available as required to scale its business. 

The Company’s lease agreements may include options to extend the lease following the initial term. At the time of adopting 
ASC 842, the Company determined that it was reasonably certain it would exercise the option to renew; accordingly, these options 
were considered in determining the initial lease term. The Company elected the practical expedient of hindsight in determining the 
option to renew. The Company has since reassessed the assumption of the renewal term and determined that due to the COVID-19 
pandemic, the Company is now expecting more of its workforce to be working from home permanently. Therefore, expecting a 
reduction in overall square footage of office space needs, the Company no longer believes it is reasonably certain it will exercise most 
of its options to renew, and therefore, has removed the renewal term of several lease obligations. 

Item 3. Legal Proceedings. 

From time to time the Company is involved in litigation arising in the ordinary course of business. Management believes that 
resolution of these matters will not result in any payment that, in the aggregate, would be material to its financial position or results of 
operations. 

Item 4. Mine Safety Disclosures. 

Not applicable. 

20 

 
 
PART II 

Item 5. Market for Registrant’s Common Equity, Related Stockholder Matters and Issuer Purchases of Equity Securities. 

Market Information 

The Company’s common stock is traded on The Nasdaq Global Select Market under the symbol CRVL.  

Holders. As of May 23, 2022, there were approximately 804 holders of record of the Company’s common stock according to the 

information provided by the Company’s transfer agent. 

Dividends.  The  Company  has  never  paid  any  cash  dividends  on  its  common  stock  and  has  no  current  plans  to  do  so  in  the 
foreseeable future. The Company intends to retain future earnings, if any, for use in the Company’s business and for purchases of stock 
under its stock repurchase program. The payment of any future dividends on its common stock will be determined by the Board of 
Directors in light of conditions then existing, including the Company’s earnings, financial condition and requirements, restrictions in 
financing agreements, business conditions and other factors. 

Recent Sales of Unregistered Equity Securities. None. 

Issuer Purchases of Equity Securities. The following table summarizes purchases of the Company’s common stock made by or 

on behalf of the Company or on behalf of any affiliated purchaser in the quarter ended March 31, 2022. 

Period 
January 1 to January 31, 2022 
February 1 to February 28, 2022 
March 1 to March 31, 2022 
Total 

Total 
Number of 
Shares 
Purchased 

Average 
Price Paid 
Per Share 

Total Number of Shares 
Purchased as Part of 
Publicly Announced 
Program 

Maximum Number of 
Shares that may yet 
be Purchased Under 
the Program 

42,629  
47,586  
55,776  
145,991  

 $ 

 $ 

187.59  
159.65  
164.89  
169.81  

42,629  
47,586  
55,776  
145,991  

883,737  
836,151  
780,375  
780,375  

In  1996,  the  Company’s  Board  of  Directors  authorized  a  stock  repurchase  program  initially  for  up  to  100,000  shares  of  the 
Company’s  common  stock.  The  Company’s  Board  of  Directors  has  periodically  increased  the  number  of  shares  of  common  stock 
authorized for  repurchase  under  the  program.    In  May  2021,  the  Company’s  Board of Directors  increased  the  number  of  shares  of 
common stock authorized to be repurchased over the life of the program by 1,000,000 shares of common stock to 38,000,000 shares of 
common  stock.    As  of  March 31,  2022,  the  Company  has  repurchased  37,219,625  shares  of  its  common  stock  over  the  life  of  the 
program.  There is no expiration date for the program.   

21 

 
  
 
 
   
   
   
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
STOCK PERFORMANCE GRAPH 

The graph and the table depicted below show a comparison of cumulative total stockholder returns for the Company, the Nasdaq 
and the Nasdaq Healthcare  Services Index over a five year period beginning on March 31, 2017. The graph assumes that $100 was 
invested in the  Company’s Common Stock on March 31, 2017, and in each index, and that all dividends were reinvested. No cash 
dividends have been paid or declared on the Common Stock. Stockholder returns over the indicated period should not be considered 
indicative of future stockholder returns. 

CorVel Corporation 
U.S. Nasdaq 
U.S. Nasdaq Healthcare Services 

2017 
   100.00  
   100.00  
   100.00  

2018 
   116.21  
   119.48  
   110.76  

2019 
   149.98  
   130.75  
   122.05  

2020 
   125.31  
   130.25  
   116.14  

2021 
   235.84  
   224.08  
   172.90  

2022 
   387.22  
   240.55  
   144.11  

Notwithstanding anything to the contrary set forth in any of our previous filings made under the Securities Act or the  Exchange 
Act  that  might  incorporate  future  filings  made  by  us  under  those  statutes,  neither  the  preceding  Stock  Performance  Graph,  nor  the 
information relating to it, is “soliciting material” or is “filed” or is to be incorporated by reference into any such prior filings, nor shall 
such graph or information be incorporated by reference into any future filings made by us under those statutes. 

Item 6. [Reserved.] 

22 

 
 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Item 7. Management’s Discussion and Analysis of Financial Condition and Results of Operations. 

Management's Discussion and Analysis of Financial Condition and Results of Operations financial condition appears in a separate 

section of this annual report immediately following the "Signatures" section, and is incorporated herein by this reference. 

Item 7A. 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 is primarily the result of fluctuations in interest rates. We do not hold or issue financial instruments 
for trading purposes. 

Our invested assets are primarily held as cash and cash equivalents, which are subject to various market risk exposures such as 

interest rate risk. The fair value of our portfolio of cash and cash equivalents as of March 31, 2022 approximated its carrying value 
due to its short-term duration. We estimated market risk as the potential decrease in fair value resulting from a hypothetical one-
percentage point increase in interest rates for the instruments contained in the cash and cash equivalents investment portfolio. The 
resulting fair values were not materially different from their carrying values at March 31, 2022. 

Item 8. Financial Statements and Supplementary Data. 

The Company’s consolidated financial statements, as listed under Item 15(a)(1), appear in a separate section of this annual report, 
and are incorporated herein by this reference.  The financial statement schedule is included below under Item 15(a)(2).  The Company’s 
selected quarterly financial data appears in Note 14 to the Company’s consolidated financial statements in a separate section of this 
annual report, and is incorporated herein by this reference. 

Item 9. Changes in and Disagreements with Accountants on Accounting and Financial Disclosure. 

None. 

Item 9A. Controls and Procedures. 

Evaluation of Disclosure Controls and Procedures 

Our management, under the supervision and with the participation of our Chief Executive Officer and Chief Financial Officer, 
has  evaluated  the  effectiveness  of  our  disclosure  controls  and  procedures  (as  defined  in  Rules  13a-15(e)  and  15d-15(e)  under  the 
Exchange Act). Based upon that evaluation, our Chief Executive Officer and Chief Financial Officer concluded that, as of March 31, 
2022, our disclosure controls and procedures were effective in ensuring that information required to be disclosed by us in the reports 
filed or submitted by us under the Exchange Act is (i) recorded, processed, summarized, and reported, within the time periods specified 
in the SEC's rules and forms and (ii) accumulated and communicated to our management, including our principal executive and principal 
accounting officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure. 

Management’s Report on Internal Control over Financial Reporting 

Our management is responsible for establishing and maintaining a system of internal control over financial reporting as defined 
in Rules 13a-15(f) and 15d-15(f) under the Exchange Act. Internal control over financial reporting is designed to provide reasonable 
assurance regarding the reliability of our financial reporting and preparation of financial statements for external purposes in accordance 
with accounting principles generally accepted in the United States. Internal control over financial reporting includes maintaining records 
that in reasonable detail accurately and fairly reflect our transactions; providing reasonable assurance that transactions are recorded as 
necessary for preparation of our financial statements in accordance with accounting principles generally accepted in the United States 
of  America;  providing  reasonable  assurance  that  our  receipts  and  expenditures  are  made  in  accordance  with  authorizations  of  our 
management and directors; and providing reasonable assurance that unauthorized acquisition, use or disposition of our assets that could 
have a material effect on our financial statements would be prevented or detected on a timely basis. 

Management conducted an assessment of the effectiveness of our internal control over financial reporting based on the framework 
set  forth  by  the  Committee  of  Sponsoring  Organizations  of  the  Treadway  Commission  in  the  2013  Internal  Control—Integrated 
Framework. Based on this assessment, our management concluded that our internal control over financial reporting was effective as of 
March 31, 2022 to provide reasonable assurance regarding the reliability of financial reporting and preparation of financial statements 
for external reporting purposes in accordance with accounting principles generally accepted in the United States of America. 

23 

 
 
Our  independent  registered  public  accounting  firm,  Haskell  &  White  LLP,  has  audited  our  consolidated  financial  statements 
included in this annual report and has issued an attestation report on the effectiveness of our internal control over financial reporting as 
of March 31, 2022 as stated in their report that is included in Part II, Item 8 herein. 

Changes to Internal Control over Financial Reporting 

During the quarter ended March 31, 2022, there were no changes in our internal control over  financial reporting (as defined in 
Rules 13a-15(f) and 15d-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, our 
internal control over financial reporting. 

Item 9B. Other Information. 

None. 

Item 9C.  Disclosure Regarding Foreign Jurisdictions that Prevent Inspections. 

None. 

24 

 
 
 
Item 10. Directors, Executive Officers and Corporate Governance. 

PART III 

The information in the sections titled “Proposal One: Election of Directors,” “Corporate Governance, Board Composition and 
Board Committees,” and “Information About Our Executive Officers” appearing in the Company’s definitive proxy statement for the 
2022 annual meeting of stockholders ("2022 Annual Meeting") is incorporated herein by reference. 

The Board of Directors has adopted a code of ethics and business conduct that applies to all of the Company’s employees, officers 
and  directors.  The  full  text  of  the  Company’s  code  of  ethics  and  business  conduct  is  posted  on  the  Company’s  website  at 
www.corvel.com.  The  Company  intends  to  disclose  future  amendments  to  certain  provisions  of  the  Company’s  code  of  ethics  and 
business conduct, or waivers of such provisions, applicable to the Company’s directors and executive officers, at the same location on 
the  Company’s website identified above. The  inclusion of the Company’s website address in this annual report does not include or 
incorporate by reference the information on the Company’s website into this annual report. 

Item 11. Executive Compensation. 

The  information  in  the  sections  titled  “Executive  Compensation,”  “Compensation  Discussion  and  Analysis,”  “Compensation 
Committee Interlocks and Insider Participation,” “Compensation Committee Report,” and “Compensation of Directors,” appearing  in 
the Company’s definitive proxy statement for the 2022 Annual Meeting is incorporated herein by reference. 

Item 12. Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters. 

The  information  in  the  sections  titled  “Security  Ownership  of  Certain  Beneficial  Owners  and  Management  and  Related 
Stockholder Matters” and “Equity Compensation Plan Information” appearing in the Company’s definitive proxy statement for the 2022 
Annual Meeting is incorporated herein by reference. 

Item 13. Certain Relationships and Related Party Transactions, and Director Independence. 

The  information  in  the  sections  titled  “Certain  Relationships  and  Related  Person  Transactions,”  “Proposal  One:  Election  of 
Directors,”  and  “Corporate  Governance,  Board  Composition  and  Board  Committees”  appearing  in  the  Company’s  definitive  proxy 
statement for the 2022 Annual Meeting is incorporated herein by reference. 

Item 14.  Principal Accountant Fees and Services. 

The information under the captions “Principal Accountant Fees and Services,” “Audit  Committee Pre-Approval of Audit and 
Permissible Non-Audit Services of Independent Registered Public Accounting Firm” and “Ratification of Appointment of Independent 
Registered  Public  Accounting  Firm”  appearing  in  the  Company’s  definitive  proxy  statement  for  the  2022  Annual  Meeting  is 
incorporated herein by reference. 

25 

 
Item 15.  Exhibit and Financial Statement Schedules. 

(a)(1) Financial Statements: 

PART IV 

The Company’s financial statements appear in a separate section of this annual report, beginning on the pages referenced below: 

Report of Independent Registered Public Accounting Firm ...........................................................................................................    

Consolidated Balance Sheets as of March 31, 2022 and 2021 ........................................................................................................    

Consolidated Statements of Income for the Fiscal Years Ended March 31, 2022, 2021 and 2020  ................................................    

Consolidated Statements of Stockholders’ Equity for the Fiscal Years Ended March 31, 2022, 2021 and 2020 ...........................    

Consolidated Statements of Cash Flows for the Fiscal Years Ended March 31, 2022, 2021 and 2020 ..........................................    

Notes to Consolidated Financial Statements ...................................................................................................................................    

44 

47 

48 

49 

50 

51 

  Page 

(a)(2) Financial Statement Schedule: 

The Company’s consolidated financial statements, as listed under Item 15(a)(1), appear in a separate section of this annual report 

and are incorporated herein by this reference. The Company’s financial statement schedule is as follows: 

Schedule II — Valuation and Qualifying Accounts 

Allowance for doubtful accounts: 
Fiscal Year Ended March 31, 2022: 
Fiscal Year Ended March 31, 2021: 
Fiscal Year Ended March 31, 2020: 

Balance at 
Beginning of Year 

Additions 
Charged to Cost 
and Expenses 

    Deductions 

Balance at  
End of Year 

 $ 

 $ 

3,274,000  
5,133,000  
5,508,000  

158,000  
2,021,000  
1,606,000  

 $ 

(870,000 )   $  2,562,000  
3,274,000  
5,133,000  

(3,880,000 )    
(1,981,000 )    

26 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
   
   
 
 
    
    
    
   
  
  
  
  
  
  
 
(a)(3) Exhibits: 

EXHIBITS 

Exhibit 
No. 

    3.1 

    3.2 

Title 

Method of Filing 

  Fourth Amended and Restated Certificate of Incorporation of 

CorVel Corporation. 

  Incorporated  herein  by  reference  to  Exhibit  3.1  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended June 30, 2020 filed on August 6, 2020 (File No. 
000-19291). 

  Second  Amended  and  Restated  Bylaws  of  CorVel 

Corporation. 

  Incorporated  herein  by  reference  to  Exhibit  3.2  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended June 30, 2020 filed on August 6, 2020 (File No. 
000-19291). 

    4.1 

  Description of Securities 

  Filed herewith. 

  10.1* 

  10.2* 

  10.3* 

  10.4 

  Restated  Omnibus  Incentive  Plan  (Formerly  The  Restated 

1988 Executive Stock Option Plan)  

  Incorporated  herein  by  reference  to  Exhibit  10.1  to  the 
Company’s Current Report on Form 8-K filed on August 4, 
2020 (File No. 000-19291). 

  Forms  of  Notice  of  Grant  of  Stock  Option,  Stock  Option 
Agreement  and  Notice  of  Exercise  Under  the  Restated 
Omnibus  Incentive  Plan  (Formerly  The  Restated  1988 
Executive Stock Option) 

  Incorporated  herein  by  reference  to  Exhibit  10.2  to  the 
Company’s Current Report on Form 8-K filed on August 8, 
2018 (File No. 000-19291), Exhibit 10.2 to the Company’s 
Quarterly  Report  on  Form  10-Q  for  the  quarterly  period 
ended September 30, 2006 filed on November 9, 2006 (File 
No.  000-19291),  Exhibits  10.7,  10.8  and  10.9  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 1994 filed on June 29, 1994 (File No. 000-
19291), Exhibits 99.2, 99.3, 99.4, 99.5, 99.6, 99.7 and 99.8 to 
the Company’s Registration Statement on Form S-8 (File No. 
333-94440) filed on July 10, 1995, and Exhibits 99.3 and 99.5 
to the Company’s Registration Statement on Form S-8 (File 
No. 333-58455) filed on July 2, 1998. 

  Restated 1991 Employee Stock Purchase Plan, as amended     Incorporated  herein  by  reference  to  Exhibit  10.1  to  the 
Company’s Current Report on Form 8-K filed on August 11, 
2021 (File No. 000-19291).  

  Fidelity  Master  Plan  for  Savings  and  Investment,  and 

  Incorporated  herein  by  reference  to  Exhibits  10.16  and 
10.16A to the Company’s Registration Statement on Form S-
1 Registration No. 33-40629 initially filed on May 16, 1991. 

amendments (P) Paper filing 

27 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  10.5 

  10.6*† 

  10.7*† 

  10.8*† 

  10.9*† 

  Second  Amended  and  Restated  Preferred  Shares  Rights 
Agreement, dated as of November 17, 2008, by and between 
CorVel  Corporation  and  Computershare  Trust  Company, 
N.A.,  including  the  original  Certificate  of  Designation,  the 
Certificate of  Designation Increasing the Number of Shares, 
the form of Rights Certificate (as amended) and the Summary 
of Rights (as amended) attached thereto as Exhibits A-1, A-
2, A-3, B and C, respectively 

  Incorporated  herein  by  reference  to  Exhibit  4.1  to  the 
Company’s Current Report on Form 8-K filed on November 
24, 2008 (File No. 000-19291). 

  Stock option agreement, dated November 3, 2016, between 
the  Company  and  Michael  G.  Combs,  providing  for 
performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.9  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  Stock option agreement, dated November 3, 2016, between 
the Company and Diane J. Blaha, providing for performance 
vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.10  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  Stock option agreement, dated November 3, 2016, between 
the Company Richard Schweppe, providing for performance 
vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.11  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  Stock Option Agreement, dated November 2, 2017, by and 
between  CorVel  Corporation  and  Michael  G.  Combs, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.12  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.10*†    Stock Option Agreement, dated November 2, 2017, by and 
between CorVel Corporation and Diane J. Blaha, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.13  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.11*†    Stock Option Agreement, dated November 2, 2017, by and 
between  CorVel  Corporation  and  Michael  Saverien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.14  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.12*† 

  Stock Option Agreement, dated November 2, 2017, by and 
between  CorVel  and  Corporation  and  Maxim  Shishin, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.15  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.13*†    Stock Option Agreement, dated November 1, 2018, by and 
between  CorVel  Corporation  and  Michael  G.  Combs, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.16  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.14*†    Stock Option Agreement, dated November 1, 2018, by and 
between CorVel Corporation and Diane J. Blaha, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.17  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

28 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  10.15*†    Stock Option Agreement, dated November 1, 2018, by and 
between  CorVel  Corporation  and  Michael  Saverien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.18  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.16*†    Stock Option Agreement, dated November 1, 2018, by and 
between  CorVel  and  Corporation  and  Maxim  Shishin, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.19  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.17*†    Stock Option Agreement, dated November 1, 2018, by and 
between  CorVel  and  Corporation  and  Brandon  O’Brien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.20  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.18*†    Stock Option Agreement, dated November 1, 2018, by and 
between  CorVel  and  Corporation  and  Jennifer  Yoss, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.21  to  the 
Company’s Annual Report on Form 10-K for the fiscal year 
ended March 31, 2020 filed on June 10, 2020 (File No. 000-
19291). 

  10.19*†    Stock Option Agreement, dated November 5, 2019, by and 
between CorVel Corporation and Michael Combs, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.1  to  the 
Company’s  Current  Report  on  Form  8-K/A  filed  on 
December 31, 2019 (File No. 000-19291). 

  10.20*†    Stock Option Agreement, dated November 5, 2019, by and 
between  CorVel  Corporation  and  Brandon  O’Brien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.2  to  the 
Company’s  Current  Report  on  Form  8-K/A  filed  on 
December 31, 2019 (File No. 000-19291). 

  10.21*†    Stock Option Agreement, dated November 5, 2019, by and 
between CorVel Corporation and Diane J. Blaha, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.3  to  the 
Company’s  Current  Report  on  Form  8-K/A  filed  on 
December 31, 2019 (File No. 000-19291). 

  10.22*†    Stock Option Agreement, dated November 5, 2019, by and 
between  CorVel  Corporation  and  Michael  Saverien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.4  to  the 
Company’s  Current  Report  on  Form  8-K/A  filed  on 
December 31, 2019 (File No. 000-19291). 

  10.23*†    Stock Option Agreement, dated November 5, 2019, by and 
between CorVel Corporation and Maxim Shishin, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.5  to  the 
Company’s  Current  Report  on  Form  8-K/A  filed  on 
December 31, 2019 (File No. 000-19291). 

  10.24*†    Stock Option Agreement, dated November 5, 2019, by and 
between  CorVel  Corporation  and  Jennifer  Yoss,  providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.6  to  the 
Company’s  Current  Report  on  Form  8-K/A  filed  on 
December 31, 2019 (File No. 000-19291). 

 10.25*† 

  Stock Option Agreement, dated November 5, 2020, by and 
between CorVel Corporation and Michael Combs, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.1  to  the 
Company’s Current Report on Form 8-K filed on November 
12, 2020 (File No. 000-19291). 

 10.26*† 

  Stock Option Agreement, dated November 5, 2020, by and 
between  CorVel  Corporation  and  Brandon  O’Brien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.2  to  the 
Company’s Current Report on Form 8-K filed on November 
12, 2020 (File No. 000-19291). 

 10.27*† 

  Stock Option Agreement, dated November 5, 2020, by and 
between CorVel Corporation and Diane J. Blaha, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.3  to  the 
Company’s Current Report on Form 8-K filed on November 
12, 2020 (File No. 000-19291). 

 10.28*† 

  Stock Option Agreement, dated November 5, 2020, by and 
between CorVel Corporation and Maxim Shishin, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.4  to  the 
Company’s Current Report on Form 8-K filed on November 
12, 2020 (File No. 000-19291). 

 10.29*† 

  Stock Option Agreement, dated November 5, 2020, by and 
between  CorVel  Corporation  and  Jennifer  Yoss,  providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.5  to  the 
Company’s Current Report on Form 8-K filed on November 
12, 2020 (File No. 000-19291). 

29 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
10.30*† 

10.31*† 

 10.32*† 

10.33*† 

10.34*† 

  Stock  Option  Agreement,  dated  December  8,  2021,  by  and 
between CorVel Corporation and Michael Combs, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.1  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended December 31, 2021 filed on February 3, 2022 
(File No. 000-19291). 

  Stock  Option  Agreement,  dated  December  8,  2021,  by  and 
between  CorVel  Corporation  and  Brandon  O’Brien, 
providing for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.2  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended December 31, 2021 filed on February 3, 2022 
(File No. 000-19291). 

  Stock  Option  Agreement,  dated  December  8,  2021,  by  and 
between CorVel Corporation and Diane J. Blaha, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.3  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended December 31, 2021 filed on February 3, 2022 
(File No. 000-19291). 

  Stock  Option  Agreement,  dated  December  8,  2021,  by  and 
between CorVel Corporation and Maxim Shishin, providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.4  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended December 31, 2021 filed on February 3, 2022 
(File No. 000-19291). 

  Stock  Option  Agreement,  dated  December  8,  2021,  by  and 
between  CorVel  Corporation  and  Jennifer  Yoss,  providing 
for performance vesting. 

  Incorporated  herein  by  reference  to  Exhibit  10.5  to  the 
Company’s Quarterly Report on Form 10-Q for the quarterly 
period ended December 31, 2021 filed on February 3, 2022 
(File No. 000-19291). 

  21.1 

  Subsidiaries of the Company. 

  Filed herewith. 

  23.1 

  Consent of Independent Registered Public Accounting Firm, 

  Filed herewith. 

Haskell & White LLP. 

  31.1 

  Certification  of  the  Chief  Executive  Officer  Pursuant  to 

  Filed herewith. 

Section 302 of the Sarbanes-Oxley Act of 2002. 

  31.2 

  Certification  of  the  Chief  Financial  Officer  Pursuant  to 

  Filed herewith. 

Section 302 of the Sarbanes-Oxley Act of 2002. 

  32.1 

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

  Furnished herewith. 

30 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
  32.2 

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

  Furnished herewith. 

101.INS 

  Inline XBRL Instance Document 

  Furnished herewith. 

101.SCH    Inline XBRL Taxonomy Extension Schema Document 

  Furnished herewith. 

101.CAL    Inline  XBRL  Taxonomy  Extension  Calculation  Linkbase 

  Furnished herewith. 

Document 

101.DEF    Inline  XBRL  Taxonomy  Extension  Definition  Linkbase 

  Furnished herewith. 

Document 

101.LAB    Inline  XBRL  Taxonomy  Extension  Label  Linkbase 

  Furnished herewith. 

Document 

101.PRE    Inline  XBRL  Taxonomy  Extension  Presentation  Linkbase 

  Furnished herewith. 

Document 

104 

  Cover Page Interactive Data File (formatted as Inline XBRL 

  Furnished herewith. 

and contained in Exhibit 101) 

* - Denotes management contract or compensatory plan or arrangement. 

† - Certain confidential information contained in this exhibit has been omitted by means of redacting a portion of the text and replacing 
it with empty brackets indicated by [                    ], pursuant to Regulation S-K Item 601(b)(10)(iv) of the Securities Act of 1933, as 
amended. Certain confidential information has been excluded from the exhibit because it (i) is not material and (ii) would likely cause 
competitive harm to CorVel if publicly disclosed. An unredacted copy of the exhibit will be provided on a supplemental basis  to the 
SEC upon request. 

(P) – Previously filed only in paper. 

(b) Exhibits 

The exhibits filed as part of this annual report are listed under Item 15(a)(3) of this annual report. 

(c) Financial Statement Schedule 

The Financial Statement Schedule required by Regulation S-X and Item 8 of Form 10-K is listed under Item 15(a)(2) of this annual 

report. 

Item 16. Form 10-K Summary. 

None. 

31 

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pursuant to the requirements of Section 13 or 15 (d) of the Securities Exchange Act of 1934, as amended, the registrant has duly 

caused this annual report to be signed on its behalf by the undersigned thereunto duly authorized. 

SIGNATURES 

CorVel Corporation 

By:  

/s/ Michael G. Combs 
Michael G. Combs 

Chief Executive Officer and President 

Date: May 27, 2022 

Pursuant to the requirements of the Securities Exchange Act of 1934, as amended, this annual report has been signed below by 

the following persons on behalf of the registrant and in the capacities and on the dates indicated. 

Signature 

Title 

Chairman of the Board 

Date 

May 27, 2022 

/s/ V. GORDON CLEMONS 
V. Gordon Clemons 

/s/ MICHAEL G. COMBS 
Michael G. Combs 

/s/ BRANDON T. O’BRIEN 
Brandon T. O’Brien 

/s/ JENNIFER L. YOSS 
Jennifer L. Yoss 

/s/ ALAN R. HOOPS 
Alan R. Hoops 

/s/ STEVEN J. HAMERSLAG 
Steven J. Hamerslag 

/s/ R. JUDD JESSUP 
R. Judd Jessup 

/s/ JEAN H. MACINO 
Jean H. Macino 

/s/ JEFFREY J. MICHAEL 
Jeffrey J. Michael 

  Chief Executive Officer and President 

May 27, 2022 

May 27, 2022 

May 27, 2022 

May 27, 2022 

May 27, 2022 

May 27, 2022 

May 27, 2022 

May 27, 2022 

(Principal Executive Officer) 

Chief Financial Officer  
(Principal Financial Officer) 

Vice President, Accounting  
(Principal Accounting Officer) 

Director 

Director 

Director 

Director 

Director 

32 

 
 
 
 
 
   
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
MANAGEMENT’S DISCUSSION AND ANALYSIS OF 
FINANCIAL CONDITION AND RESULTS OF OPERATIONS 

This  Management’s  Discussion  and  Analysis  of  Financial  Condition  and  Results  of  Operations  may  include  certain forward-
looking statements, within the meaning of Section 27A of the Securities Act of 1933, as amended, and Section 21E of the Securities 
Exchange Act of 1934, as amended, including (without limitation) statements with respect to anticipated future operating and financial 
performance, including the impact of COVID-19, growth and acquisition opportunities and other similar forecasts and statements of 
expectation.  Words  such  as  “expects,”  “anticipates,”  “intends,”  “plans,”  “predicts,”  “believes,”  “seeks,”  “estimates,”  “potential,” 
“continue,” “strive,” “ongoing,” “may,” “will,” “would,” “could,” “should,” as well as variations of these words and similar expressions, 
are intended to identify these forward-looking statements. Forward-looking statements made by the Company and its management are 
based on estimates, projections, beliefs and assumptions of management at the time of such statements and are not guarantees of future 
performance. 

The Company disclaims any obligations to update or revise any forward-looking statement based on the occurrence of future 
events, the receipt of new information or otherwise. Actual future performance, outcomes, and results may differ materially from those 
expressed in forward-looking statements made by the Company and its management as a result of a number of risks, uncertainties and 
assumptions. Representative examples of these factors include (without limitation) the impact of global pandemics, such as COVID-19; 
general industry and economic conditions, including a decreasing number of national claims due to a decreasing number of injured 
workers;  competition  from  other  managed  care  companies  and  third  party  administrators;  the  ability  to  expand  certain  areas  of  the 
Company’s business; growth in the Company’s sale of TPA services; shifts in customer demands; the ability of the Company to produce 
market-competitive software; changes in operating expenses including employee wages, benefits, and medical inflation; cost of capital 
and capital requirements; dependence on key personnel; the impact of possible cybersecurity incidents; existing and possible litigation 
and  legal  liability  in  the  course  of  operations  and  the  Company’s  ability  to resolve  such  litigation;  governmental  and public  policy 
changes, including but not limited to legislative and administrative law and rule implementation or change; the impact of recently issued 
accounting standards on the Company’s consolidated financial statements; the continued availability of financing in the amounts and at 
the terms necessary to support the Company’s future business and the other risks identified in Part I, Item 1A of this annual report, “Risk 
Factors.” 

Overview 

CorVel Corporation is an independent nationwide provider of medical cost containment and managed care services designed to 
address  the  escalating  medical  costs  of  workers’  compensation  benefits,  automobile  insurance  claims,  and  group  health  insurance 
benefits. The Company’s services are provided to insurance companies, TPAs, governmental entities, and self-administered employers 
to assist them in managing the medical costs and monitoring the quality of care associated with healthcare claims. 

Network Solutions Services 

The Company’s network solutions services are designed to reduce the price paid by its customers for medical services rendered 
in workers’ compensation cases, automobile insurance policies, and group health insurance policies. The network solutions services 
offered  by  the  Company  include  automated  medical  fee  auditing,  preferred  provider  management  and  reimbursement  services, 
retrospective  utilization  review,  facility  claim  review,  professional  review,  pharmacy  services,  directed  care  services,  Medicare 
solutions, clearinghouse services, independent medical examinations, and inpatient medical bill review. Network solutions services also 
includes revenue from the Company’s directed care network (known as CareIQ), including imaging, physical therapy, durable medical 
equipment, and translation and transportation. 

Patient Management Services 

In addition to its network solutions services, the Company offers a range of patient management services, which involve working 
one-on-one  with  injured  employees  and  their  various  healthcare  professionals,  employers  and  insurance  company  adjusters.  Patient 
management services include claims management and all services sold to claims management customers, case management, 24/7 nurse 
triage,  utilization  management,  vocational  rehabilitation,  and  life  care  planning.    The  services  are  designed  to  monitor  the  medical 
necessity and appropriateness of healthcare services provided to workers’ compensation and other healthcare claimants and to expedite 
return to work. The Company offers these services on a stand-alone basis, or as an integrated component of its medical cost containment 
services.  Patient management services include the processing of claims for self-insured payors with respect to property and casualty 
insurance. 

33 

 
Organizational Structure 

The  Company’s  management  is  structured  geographically  with  regional  vice  presidents  who  are  responsible  for  all  services 
provided by the Company in his or her particular region and responsible for the operating results of the Company in multiple  states. 
These regional vice presidents have area and district managers who are also responsible for all services provided by the Company in 
their given area and district. 

Business Enterprise Segments 

The Company operates in one reportable operating segment, managed care. The Company’s services are delivered to its customers 
through its local offices in each region and financial information for the Company’s operations follows this service delivery model. All 
regions  provide  the  Company’s  patient  management  and  network  solutions  services  to  customers.    Financial  Accounting  Standards 
Board (“FASB”) Accounting Standard Codification (“ASC”) 280-10, “Segment Reporting”, establishes standards for the way that public 
business  enterprises  report  information  about  operating  segments  in  annual  and  interim  consolidated  financial  statements.  The 
Company’s  internal financial reporting  is  segmented  geographically,  as  discussed  above,  and  managed on  a geographic  rather  than 
service line basis, with virtually all of the Company’s operating revenue generated within the United States. 

Under  FASB  ASC  280-10,  two  or  more operating  segments  may  be  aggregated  into  a  single  operating  segment  for  financial 
reporting  purposes  if  aggregation  is  consistent  with  the  objective  and  basic  principles,  if  the  segments  have  similar  economic 
characteristics, and if the segments are similar in each of the following areas: (i) the nature of products and services; (ii) the nature of 
the production processes; (iii) the type or class of customer for their products and services; and (iv) the methods used to distribute their 
products or provide their services. The Company believes each of its regions meet these criteria as each provides similar services and 
products to similar customers using similar methods of production and distribution. 

Because we believe we meet each of the criteria set forth above and each of our regions have similar economic characteristics, we 

aggregate our results of operations in one reportable operating segment, managed care. 

Number of Working Days 

We are affected by the change in working days in a given quarter.  There are generally fewer working days for our employees to 

generate revenue in the third fiscal quarter due to employee vacations, inclement weather and holidays. 

Summary of Fiscal 2022 Annual Results 

The Company had revenues of $646 million in fiscal 2022, an increase of $94 million, or 17%, compared to $553 million for 
fiscal 2021.  This increase was due to an increase in revenues in patient management and network solutions services primarily as a result 
of the economy recovering from the impact of the economic shutdown due to the COVID-19 pandemic in the United States. Most of 
the increase in revenues resulted from an increase in activity and services provided for existing customers and, to a lesser  extent, an 
increase in new customers. 

During fiscal 2022, the Company’s gross profit increased to $152 million from $124 million in fiscal 2021, an increase of $28 
million, or 23%.  This increase was primarily due to the increase of 17% in revenue mentioned above. Additionally, there was an increase 
in salaries resulting from increased headcount of 15% in field operations. 

During fiscal 2022, the Company’s general and administrative expenses increased to $67.6 million from $64.4 million in fiscal 
2021, an increase of $3.2 million, or 4.9%.  This increase was primarily due to an increase in marketing and software development costs 
in support of the Company's proprietary systems. 

During fiscal 2022, the Company’s net income before tax increased to $84.5 million from $59.2 million in fiscal 2021, an increase 

of $25.3 million, or 42.8%.  The increase was primarily due to an increase in revenues and pretax margin. 

During fiscal 2022, the Company’s income tax expense increased to $18.1 million from $12.8 million in fiscal 2021, an increase 
of $5.3 million, or 41.2%.  The increase was due to an increase in income before income taxes.  The Company’s effective income tax 
rate was 21% for fiscal year 2022 and 22% for fiscal year 2021.  

34 

 
Diluted weighted average shares were 18.1 million shares in fiscal 2022 and 18.2 million shares in fiscal 2021, with a decrease of 
39,000 shares, or 0.2%. This decrease was primarily due to the repurchase of 566,073 shares of common stock in fiscal 2022 offset by 
stock issuances to employees.  Since commencing this program in the fall of 1996, the Company has repurchased 37,219,625 shares of 
its common stock through March 31, 2022, at a cost of $655 million. These repurchases were funded primarily from the Company’s 
operating cash flows. 

Diluted earnings per share increased to $3.66 per share in fiscal 2022 from $2.55 per share in fiscal 2021, an increase of $1.11 per 

share, or 43.5%.   This was primarily due to an increase in net income. 

COVID-19 Pandemic 

The  COVID-19  pandemic  impacted  our  business,  most  significantly  during  the  June  and  September  2020  quarters.  We 
implemented a 10% reduction in headcount that began late in the March 2020 quarter and continued through the June 2020 quarter. We 
took actions intended to protect our employees and our customers that adversely affected our results. We reduced discretionary spending, 
including but not limited to cutting spending in planned capital expenditures, travel, recruiting, consulting and temporary help expenses.  
We did not apply for governmental loans to support our operations, but we have taken advantage of certain aspects of the CARES Act 
such as the deferral of payroll tax deposits through December 31, 2020. The Company paid back half the deferral of payroll tax deposits 
during the December 31, 2021 quarter. The Company will pay back the rest of the payroll tax deposits by the end of calendar year 2022. 
The majority of our workforce continues to work from home. 

Results of Operations 

The  Company derives  its  revenues  from  providing  patient management  and  network  solutions  services  to payors  of workers’ 
compensation benefits, automobile insurance claims, and group health insurance benefits. Patient management services include claims 
management  and  all  services  sold  to  claims  management  customers,  case  management,  24/7  nurse  triage,  utilization  management, 
vocational  rehabilitation,  and  life  care  planning.  Network  solutions  services  include  fee  schedule  auditing,  hospital  bill  auditing, 
pharmacy, independent medical examinations, directed care services, diagnostic imaging review services and preferred provider referral 
services.  The percentages of total revenues attributable to patient management and network solutions services for the fiscal years ended 
March 31, 2022, 2021 and 2020 are listed below. 

Patient management services 
Network solutions services 

2022 

2021 

2020 

65.6 %    
34.4 %    
100.0 %    

66.7 %    
33.3 %    
100.0 %    

65.3 % 
34.7 % 
100.0 % 

As noted in the table above, patient management services grew slightly, from fiscal 2020 to fiscal 2022.  This is primarily due to 

the Company’s increased focus in the sale of TPA and related services, which are included within patient management services.   

The following table shows the consolidated statements of income for the fiscal years ended March 31, 2022, 2021 and 2020 and 
the dollar changes, as well as the percentage changes for each fiscal year.  The following amounts are in thousands, except per share 
data and percentages. 

Fiscal 2022 

    Fiscal 2021 

    Fiscal 2020 

Amount Change 
from Fiscal 
2021 
to 2022 

Amount Change 
from Fiscal 
2020 
to 2021 

Percent Change 
from Fiscal 
2021 
to 2022 

Percent Change 
from Fiscal 
2020 
to 2021 

Revenues 
Cost of revenues 
Gross profit 
General and administrative 
Income before income taxes 
Income tax provision 
Net income 
Net income per share: 

Basic 
Diluted 

Weighted average shares used in net 
income per share: 

Basic 
Diluted 

$ 

$ 

$ 
$ 

646,230  
494,116  
152,114  
67,602  
84,512  
18,102  
66,410  

  $ 

  $ 

552,644  
429,020  
123,624  
64,449  
59,175  
12,819  
46,356  

  $ 

  $ 

592,225  
466,304  
125,921  
65,210  
60,711  
13,334  
47,377  

  $ 

  $ 

93,586  
65,096  
28,490  
3,153  
25,337  
5,283  
20,054  

  $ 

  $ 

3.74  
3.66  

  $ 
  $ 

2.59  
2.55  

  $ 
  $ 

2.59  
2.55  

  $ 
  $ 

1.15  
1.11  

  $ 
  $ 

17,753  
18,127  

17,930  
18,166  

18,326  
18,602  

(177 ) 
(39 ) 

(39,581 ) 
(37,284 ) 
(2,297 ) 
(761 ) 
(1,536 ) 
(515 ) 
(1,021 ) 

-  
-  

(396 ) 
(436 ) 

16.9 % 
15.2  
23.0  
4.9  
42.8  
41.2  
43.3 % 

44.4 % 
43.5 % 

(1.0 %) 
(0.2 %) 

(6.7 %) 
(8.0 ) 
(1.8 ) 
(1.2 ) 
(2.5 ) 
(3.9 ) 
(2.2 %) 

0.0 % 
0.0 % 

(2.2 %) 
(2.3 %) 

35 

 
 
 
 
 
 
 
 
 
  
  
 
  
 
 
 
   
 
 
 
 
 
 
 
   
   
 
   
   
   
   
   
   
 
   
   
   
   
   
   
 
   
   
   
   
   
   
 
   
   
   
   
   
   
 
   
   
   
   
   
   
   
   
     
     
     
 
   
 
   
 
   
 
 
   
   
   
   
     
     
     
 
   
 
   
 
   
 
 
 
   
   
   
   
   
   
 
   
   
   
   
   
   
 
As  previously  identified  in  Part  I,  Item  1A  of  this  annual  report,  “Risk  Factors,”  the  Company’s  ability  to  maintain  or  grow 
revenues is subject to several risks including, but not limited to, the COVID-19 pandemic, changes in government regulations, exposure 
to litigation and the ability to add or retain customers. Any of these, or a combination of all of them, could have a material and adverse 
effect on the Company’s results of operations going forward. 

The following table sets forth, for the periods indicated, the percentage of revenues represented by certain items reflected  in the 
Company’s consolidated statements of income. The Company’s past operating results are not necessarily indicative of future operating 
results.  The percentages for the fiscal years ended March 31, 2022, 2021 and 2020 are as follows: 

Income Statement Percentages 
Revenues 
Cost of revenues 
Gross profit 
General and administrative 
Income before income taxes 
Income tax provision 
Net income 

Revenue 

2022 

2021 

2020 

100.0 % 
76.5 % 
23.5 % 
10.5 % 
13.0 % 
2.8 % 
10.2 % 

100.0 % 
77.6 % 
22.4 % 
11.7 % 
10.7 % 
2.3 % 
8.4 % 

100.0 % 
78.7 % 
21.3 % 
11.0 % 
10.3 % 
2.3 % 
8.0 % 

The  Company derives  its  revenues  from  providing  patient management  and  network  solutions  services  to payors  of workers’ 

compensation benefits, automobile insurance claims, and group health insurance benefits. 

Change in Revenue 

Fiscal 2022 Compared to Fiscal 2021 

Revenues increased to $646 million in fiscal 2022 from $553 million in fiscal 2021, an increase of $94 million, or 17%.  Patient 
management services increased to $424 million from $369 million, an increase of 15%.  This increase is primarily due to higher revenue 
from the Company’s TPA and related services.  Total new claims increased by 17% during fiscal 2022 compared to fiscal 2021.  Network 
solutions services revenues increased to $222 million from $184 million, an increase of 21%. This increase is primarily due to increases 
in enhanced bill review programs services, which resulted in higher revenue per bill. Most of the increase in revenues resulted from an 
increase in activity and services provided for existing customers and, to a lesser extent, an increase in new customers.    

Fiscal 2021 Compared to Fiscal 2020 

Revenues decreased to $553 million in fiscal 2021 from $592 million in fiscal 2020, a decrease of $40 million, or 7%. The decrease 
in revenues was primarily due to a decrease in network solutions services, which decreased to $184 million from $205 million, a decrease 
of 10.5%. Patient management services decreased to $369 million from $387 million, a decrease of 4.6%. The decrease in revenues was 
primarily due to lower bill volume. Due to the COVID-19 pandemic and economic shutdown, the  Company saw  a decrease in bill 
volume of 22% during fiscal 2021 compared to fiscal 2020, as well as a 2.5% decrease in workers compensation claims, which was 
partially offset by an increase in revenue per bill. 

Cost of Revenue 

The Company’s cost of revenues consists of direct expenses, costs directly attributable to the generation of revenue, and indirect 
costs which are incurred to support the operations in the field offices which generate the revenue. Direct expenses primarily include (i) 
case  manager  and  bill  review  analysts’  salaries,  along  with  related  payroll  taxes  and  fringe  benefits,  and  (ii)  costs  associated  with 
independent medical examinations (known as IME), prescription drugs, and MRI, physical therapy, and durable medical equipment 
providers.  Most  of  the  Company’s  revenues  are  generated in  offices  which  provide  both  patient  management  services  and network 
solutions  services.  The  largest  of  the  field  indirect  costs  are  (i)  manager  salaries  and  bonuses,  (ii)  account  executive  base  pay  and 
commissions,  (iii)  salaries  of  administrative  and  clerical  support,  field  systems  personnel  and  PPO  network  developers,  along  with 
related payroll taxes and fringe benefits, and (iv) office rent. During fiscal 2022 and 2021, approximately 36% and 37%, respectively, 
of the costs incurred in the field were considered field indirect costs, which support both the patient management services and network 
solutions services operations of the Company’s field operations. 

36 

 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
Change in Cost of Revenue 

Fiscal 2022 Compared to Fiscal 2021 

The Company’s cost of revenues increased to $494 million in fiscal 2022 from $429 million in fiscal 2021, an increase of $65 
million, or 15%.  The increase in cost of revenues was primarily due to the increase in total revenues of 17%. Additionally, there was 
an increase in salaries resulting from increased headcount of 15% in field operations.  Headcount has increased due to an increase in 
new business and volume of business.   

Fiscal 2021 Compared to Fiscal 2020 

The Company’s cost of revenues decreased to $429 million in fiscal 2021 from $466 million in fiscal 2020, a decrease of $37 
million, or 8%. The decrease in cost of revenues was primarily due to the decrease in total revenues of 7%. Additionally, the Company  
reduced headcount by 10% during the June 2020 quarter that was partially offset by hiring employees during the remainder of fiscal 
2021 due to customer needs. In fiscal 2021, headcount in field operations decreased by 3.8% compared to fiscal 2020. Additionally, 
mileage, travel and meals expenses decreased by $6.6 million in fiscal 2021. 

General and Administrative Expense 

During fiscal years 2022, 2021 and 2020, approximately 51%, 51%, and 53%, respectively, of general and administrative costs 
consisted  of  corporate  systems  costs,  which  include  the  corporate  systems  support,  implementation  and  training,  rules  engine 
development, national IT strategy and planning, depreciation of hardware costs in the Company’s corporate offices and backup  data 
center, the Company’s nationwide area network, and other systems related costs. The Company includes all IT-related costs managed 
by  the  corporate  office  in  general  and  administrative  whereas  the  field  IT-related  costs  are  included  in  the  cost  of  revenues.    The 
remaining general and administrative costs consist of national marketing, national sales support, corporate legal, corporate insurance, 
human resources, accounting, product management, new business development, and other general corporate expenses. 

Change in General and Administrative Expense 

Fiscal 2022 Compared to Fiscal 2021 

General and administrative expenses increased to $67.6 million in fiscal 2022 from $64.4 million in fiscal 2021, an increase  of 
$3.2 million, or 4.9%.  This increase was primarily due to an increase in advertising and corporate marketing events which started to 
occurring again in calendar year 2021 after being cancelled in 2020 due to the COVID-19 pandemic. Additionally, software development 
costs also increased due to an increase in headcount and consulting expenses.   

Fiscal 2021 Compared to Fiscal 2020 

General and administrative expense decreased to $64.4 million in fiscal 2021 from $65.2 million in fiscal 2020, a decrease of $0.8 

million, or 1.2%. The decrease in general and administrative expense was primarily due to a decrease in legal expenses. 

Income Tax Provision 

Fiscal 2022 Compared to Fiscal 2021 

The Company’s income tax expense increased to $18.1 million for fiscal 2022 from $12.8 million for fiscal 2021, an increase of 
$5.3 million. Income before income tax provision increased to $84.5 million in fiscal 2022 from $59.2 million in fiscal 2021, an increase 
of $25.3 million, or 42.8%.The Company’s effective income tax rate was 21% for fiscal 2022 and 22% for fiscal 2021.  The effective 
tax rate is less than the statutory tax rate primarily due to the impact of stock option exercises for both periods. 

Fiscal 2021 Compared to Fiscal 2020 

The Company’s income tax expense decreased to $12.8 million for fiscal 2021 from $13.3 million for fiscal 2020, a decrease of 
$0.5 million. The Company’s effective income tax rate was 22% for fiscal years 2021 and 2020. Income before income tax provision 
decreased to $59.2 million in fiscal 2021 from $60.7 million in fiscal 2020, a decrease of $1.5 million. 

37 

 
Net Income 

Fiscal 2022 Compared to Fiscal 2021 

The Company’s net income increased to $66.4 million in fiscal 2022 from $46.4 million in fiscal 2021, an increase of $20.1 
million, or 43.3%.  This increase was primarily due to an increase in pretax margin, which increased to 13.1% from 10.7%, and a 17% 
increase in revenues. 

Fiscal 2021 Compared to Fiscal 2020 

The Company’s net income decreased to $46.4 million in fiscal 2021 from $47.4 million in fiscal 2020, a decrease of $1.0 million, 

or 2.2%. This decrease was primarily due to a 7% decrease in revenues. 

Earnings per Share 

Fiscal 2022 Compared to Fiscal 2021 

The Company’s diluted earnings per share increased to $3.66 per share in fiscal 2022 from $2.55 per share in fiscal 2021, an 

increase of $1.11 per share, or 43.5%.   This was primarily due to an increase in net income. 

Fiscal 2021 Compared to Fiscal 2020 

The Company’s diluted earnings per share was $2.55 in fiscal 2021 and 2020. This was primarily due to a decrease in net income 

and a decrease in diluted weighted average shares because of shares repurchased under the Company’s stock repurchase program. 

Liquidity and Capital Resources 

The Company manages its liquidity and financial position in the context of its overall business strategy. The Company continually 
forecasts and manages its cash, investments, working capital balances and capital structure to meet the short- and long-term obligations 
of  its  businesses  while  seeking  to  maintain  liquidity  and  financial  flexibility.  Cash  flows  generated  from  operating  activities  are 
principally from earnings before non-cash expenses. The risk of decreased operating cash flow from a decline in earnings is partially 
mitigated by the diversity of the Company’s services, geographies and customers, and the Company has had virtually no interest-bearing 
debt for the past 31 years. 

The Company has historically funded its operations and capital expenditures primarily from cash flow from operations, and to  a 
lesser extent, stock option exercises.   The Company’s net accounts receivables have ranged from 39 to 44 days of average sales for the 
fiscal years ended March 31, 2022, 2021 and 2020.  The Company expects days sales outstanding (known as DSO) to remain in the low 
to mid 40-day range. The Company’s historical profit margins and historical ratio of investments in assets used in the  business has 
allowed the Company to generate sufficient cash flow to repurchase $655 million of its common stock during the past 25 fiscal years, 
on  inception-to-date  net  earnings  of  $665  million.  The  Company  repurchases  shares  during  periods  of  excess  liquidity,  which  has 
occurred in all 31 years that the Company has been public.  Should the Company have lower income or cash flows, it could reduce or 
eliminate repurchases under the stock repurchase program until earnings and cash flow improved. Working capital decreased to $93.6 
million at March 31, 2022 from $106.5 million at March 31, 2021. This is primarily due to the increase in spending to repurchase shares 
of the Company’s common stock. The Company did not apply for governmental loans to support the Company’s operations, but has 
taken advantage of certain aspects of the CARES Act such as the deferral of payroll tax deposits. The Company deferred a total of $10.4 
million in payroll tax deposits, half of which was paid during the December 31, 2021 quarter, and the other half of which will be paid 
back by the end of calendar year 2022.   

38 

 
The Company is not a party to off-balance sheet arrangements as defined by the SEC. However, from time to time the Company 
enters into certain types of contracts that contingently require the Company to indemnify parties against third-party claims. The contracts 
primarily relate to: (i) certain contracts to perform services, under which the Company may provide customary indemnification for the 
purchases of such services, (ii) certain real estate leases, under which the Company may be required to indemnify property owners for 
environmental  and  other  liabilities,  and  other  claims  arising  from  the  Company’s  use  of  the  applicable  premises,  and  (iii)  certain 
agreements with the Company’s officers, directors and employees, under which the Company may be required to indemnify such persons 
for liabilities arising out of certain actions taken by such persons, acting in their respective capacities within the Company. The terms 
of  such  customary obligations  vary  by  contract  and  in  most  instances  a  specific  or  maximum  dollar  amount  is  not  explicitly  stated 
therein. Generally, amounts under these contracts cannot be reasonably estimated until a specific claim is asserted. Consequently, no 
liabilities have been recorded for these obligations on the Company’s balance sheets for any of the periods presented. 

The Company believes that cash from operations and funds from exercises of stock options granted to employees are adequate to 
fund existing obligations, repurchase shares of the Company’s common stock under its current stock repurchase program, introduce  
new  services,  and  continue  to  develop  the  Company’s  healthcare  related  services  for  at  least  the  next  twelve  months.  Should  the 
Company have lower income or cash flows, it could reduce or eliminate repurchases under the stock repurchase program until earnings 
and  cash  flow  have  returned  to  comfortable  levels.  The  Company  regularly  evaluates  cash  requirements  for  current  operations, 
commitments, capital acquisitions, and other strategic transactions. The Company may elect to raise additional funds for these purposes, 
through debt or equity financings or otherwise, as appropriate. However, additional equity or debt financing may not be available when 
needed, with terms favorable to the Company or at all. 

As of March 31, 2022, the Company had $97.5 million in cash and cash equivalents, invested primarily in short-term, interest-

bearing, highly-liquid, investment-grade securities with maturities of 90 days or less. 

The Company believes that the cash balance at March 31, 2022 along with anticipated internally-generated funds will be sufficient 

to meet the Company’s expected cash requirements for at least the next twelve months. 

Operating Cash Flows 

Fiscal 2022 Compared to Fiscal 2021 

Net cash provided by operating activities decreased to $67.2 million in fiscal 2022 from $94.4 million in fiscal 2021, a decrease 
of $27.2 million.  The decrease in cash flow from operating activities was primarily due to the fact that the Company had a prior year 
deferral of payroll taxes provided by the CARES Act in 2020 that was no longer available during the same period in 2021. The Company 
paid back half of the deferral of payroll taxes during the December 31, 2021 quarter. There was an increase in accounts receivable due 
to an increase in revenues.  Additionally, annual bonuses for calendar years 2021 and 2022 were paid in fiscal 2022.  

Fiscal 2021 Compared to Fiscal 2020 

Net cash provided by operating activities increased to $94.4 million in fiscal 2021 from $80.8 million in fiscal 2020, an increase 
of $13.6 million. The improvement in cash from operating activities was primarily due to the payroll taxes deferral provided by the 
CARES Act partially offset by a decrease in net income. 

Investing Activities 

Fiscal 2022 Compared to Fiscal 2021 

Net cash flow used in investing activities increased to $29.8 million in fiscal 2022 from $17.2 million in fiscal 2021, an increase 
of $12.6 million.  The Company increased its spending primarily on developed software and reduced its spending on furniture  and 
leasehold improvements as the Company reduces its lease footprint. 

Fiscal 2021 Compared to Fiscal 2020 

Net cash flow used in investing activities decreased to $17.2 million in fiscal 2021 from $32.4 million in fiscal 2020, a decrease 
of $15.1 million. This decrease was due to the Company reducing its planned capital expenditures due to the COVID-19 pandemic. The 
Company expects to see its office space, and the associated capital expenditures, decrease over time due to more employees switching 
to working from home.   

39 

 
Financing Activities 

Fiscal 2022 Compared to Fiscal 2021 

Net cash flow used in financing activities increased to $79.6 million in fiscal 2022 from $20.6 million in fiscal 2021, an increase 
of $59.0 million.  During fiscal 2022, the Company spent $90 million to repurchase 566,073 shares of its common stock (at an average 
price of $159.14 per share).  During fiscal 2021, the Company spent $33 million to repurchase 367,961 shares of its common stock (at 
an average price of $88.79 per share). 

If the Company continues to generate cash flow from operating activities, the Company may continue to repurchase shares of its 
common stock on the open market, if authorized by the Company’s Board of Directors pursuant to the Company's stock repurchase 
program, or seek to identify other businesses to acquire.  The Company has historically used cash provided by operating activities and 
from the exercise of stock options to repurchase stock. The Company expects that it may use some of the cash on the balance sheet at 
March 31, 2022 to repurchase additional shares of its common stock in the future. 

Fiscal 2021 Compared to Fiscal 2020 

Net cash flow used in financing activities decreased to $20.6 million in fiscal 2021 from $57.0 million in fiscal 2020, a decrease 
of $36.3 million. During fiscal 2021, the Company spent $33 million to repurchase 367,961 shares of its common stock (at an average 
price of $88.79 per share). During fiscal 2020, the Company spent $66 million to repurchase 822,353 shares of its common stock (at an 
average price of $79.78 per share). 

Litigation  

The Company is involved in litigation arising in the ordinary course of business.  Management believes that resolution of these 

matters will not result in any payment that, in the aggregate, would be material to the consolidated financial position or results of 
operations of the Company. 

Inflation 

The Company experiences pricing pressures in the form of competitive prices. The Company is also impacted by rising costs for 
certain inflation-sensitive operating expenses such as labor, employee benefits, and facility leases.  The Company does not believe these 
impacts were material to its revenues or net income in fiscal 2022; however, the Company believes inflation could have a material 
impact to pricing and operating expenses in future years due to the state of the economy and current inflation rates. 

Critical Accounting Policies 

The  SEC  defines  critical  accounting  policies  as  those  that  require  application  of  management’s  most  difficult,  subjective  or 
complex judgments, often as a result of the need to make estimates about the effect of  matters that are inherently uncertain and may 
change in subsequent periods. 

The following is not intended to be a comprehensive list of our accounting policies. The Company’s significant accounting policies 
are more fully described in Note 1, “Summary of Significant Accounting Policies” in the notes to our consolidated financial statements. 
In many cases, the accounting treatment of a particular transaction is specifically dictated by accounting principles generally accepted 
in the United States of America (“GAAP”), with no need for management’s judgment in their application. There are also areas in which 
management’s judgment in selecting an available alternative would not produce a materially different result. 

We  have  identified  the  following  accounting  policies  as  critical  to  us:  (i)  revenue  recognition,  (ii)  leases,  (iii)  allowance  for 
uncollectible accounts, (iv) goodwill and long-lived assets, (v) accrual for self-insured costs, (vi) accounting for income taxes, (vii) legal 
and other contingencies, (viii) share-based compensation, and (ix) software development costs. 

Revenue Recognition:  Revenue is recognized when control of the promised services is transferred to the Company’s customers 
in an amount that reflects the consideration expected to be entitled to in exchange for those services. As the Company completes its 
performance  obligations  which  are  identified  below,  it  has  an  unconditional  right  to  consideration  as  outlined  in  the  Company’s 
contracts. Generally, the Company’s billed accounts receivable are expected to be collected in 30 days in accordance with the underlying 
payment terms.  For many of the Company’s services, the Company typically has one performance obligation; however, it also provides 
the customer with an option to acquire additional services. The Company offers multiple services under its patient management and 
network solutions service lines.  The Company typically provides a menu of offerings from which the customer may choose to purchase. 
The price of each service is separate and distinct and provides a separate and distinct value to the customer. Pricing is generally consistent 
for each service irrespective of the other services or quantities requested by the customer. 

40 

 
 
 
In transactions related to third-party service revenue, which includes pharmacy, directed care services and other services provided 
by the Company’s integrated network solutions services, the Company is considered the principal, as it directs the third party, controls 
the specified service, performs program utilization review, directs payment to the provider, accepts the financial risk of loss associated 
with services rendered and combines the services provided into an integrated solution, as specified within the Company’s customer 
contracts. The Company has the ability to influence contractual fees with customers and possesses the financial risk of loss in certain 
contractual obligations. These factors indicate the Company is the principal and, as such, it is required to recognize revenue gross and 
service partner vendor fees in the cost of revenue in the Company’s consolidated income statements. 

Leases:  The Company determines if an arrangement includes a lease at inception.  Right-of-use assets represent the Company’s 
right to use an underlying asset for the lease term; and lease liabilities represent the Company’s obligation to make lease payments 
arising from the lease.  Right-of-use assets and lease liabilities are recognized at the commencement date of the lease, renewal date of 
the  lease or significant remodeling of the lease space based on the present value of the remaining future minimum lease payments.  
Leases with a term greater than one year are recognized on the balance sheet as right-of-use assets and short-term and long-term lease 
liabilities, as applicable.  

Operating and financing lease liabilities and their corresponding right-of-use assets are initially recorded based on the present 
value of lease payments over the expected remaining lease term.  The interest rate implicit in lease contracts is typically not readily 
determinable.  As a result, we utilize our incremental borrowing rate to discount lease payments, which reflects the fixed rate at which 
we could borrow on a collateralized basis the amount of the lease payments in the same currency, for a similar term, in a similar economic 
environment.  The Company’s leases may include options to extend or terminate the lease which are included in the lease term when it 
is reasonably certain that we will exercise any such options.  Lease expense for lease payments is recognized on a straight-line basis 
over the lease term. 

Allowance  for  Uncollectible  Accounts:    The  Company  determines  its  allowance  for  uncollectible  accounts  by  considering  a 
number  of  factors,  including  the  length  of  time  trade  accounts  receivable  are  past  due,  the  Company’s  previous  loss  history,  the 
customers’ current ability to pay its obligation to the Company, and the condition of the general economy and the industry as a whole. 
The Company writes off accounts receivable when they become uncollectible. 

The  Company  must  make  significant  judgments  and  estimates  in  determining  contractual  and  bad  debt  allowances  in  any 
accounting period. One significant uncertainty inherent in the Company’s analysis is whether its past experience will be indicative of 
future periods. Although the Company considers future projections when estimating contractual and bad debt allowances, the Company 
ultimately makes its decisions based on the best information available to it at the time the decision is made. Adverse changes in general 
economic conditions or trends in reimbursement amounts for the Company’s services could affect the Company’s contractual and bad 
debt allowance estimates, collection of accounts receivable, cash flows, and results of operations. One customer accounted for 10% or 
more of accounts receivable at March 31, 2022 and 2021.   

Goodwill and Long-Lived Assets:  Goodwill arising from business combinations represents the excess of the purchase price over 
the estimated fair value of the net assets of the acquired business. Pursuant to ASC 350-10 through ASC 350-30, “Goodwill and Other 
Intangible Assets,” goodwill is tested annually for impairment or more frequently if circumstances indicate the potential for impairment. 
Also,  management  tests  for  impairment  of  its  amortizable  intangible  assets  and  long-lived  assets  whenever  events  or  changes  in 
circumstances indicate that the carrying amount of an asset may not be recoverable. The impairment test is conducted at the company 
level.  The measurement of fair value is based on an evaluation of market capitalization and is further tested using a multiple of earnings 
approach. In projecting the Company’s cash flows, management considers industry growth rates and trends and cost structure changes. 
Based  on  the  Company’s  tests  and  reviews,  no  impairment  of  its  goodwill,  intangible  assets,  or  other  long-lived  assets  existed  at 
March 31, 2022 or March 31, 2021.  However, future events or changes in current circumstances could affect the recoverability of the 
carrying value of goodwill and long-lived assets.  

41 

 
Accrual for Self-insurance Costs: The Company accrues for the group medical costs and workers’ compensation costs of its 
employees  based  on  claims  filed  and  an  estimate  of  claims  incurred  but  not  reported  as  of  each  balance  sheet  date.  The  Company 
determines its estimated self-insurance reserves based upon historical trends along with outstanding claims information provided by its 
claims  paying  agents.    However,  it  is  possible  that  recorded  accruals  may  not  be  adequate  to  cover  the  future  payment  of  claims. 
Adjustments, if any, to estimated accruals resulting from ultimate claim payments will be reflected in earnings during the periods in 
which such adjustments are determined. The Company’s self-insured liabilities contain uncertainties because management is required 
to make assumptions and judgments to estimate the ultimate cost to settle reported claims and claims incurred but not reported at the 
balance sheet date. 

The Company does not believe there is a reasonable likelihood that there will be a material change in the estimates or assumptions 
used  to  calculate  its  self-insured  liabilities.  However,  if  actual  results  are  not  consistent  with  these  estimates  or  assumptions,  the 
Company may be exposed to losses or gains that could be material. 

Accounting for Income Taxes: The Company records a tax provision for the anticipated tax consequences of its reported results 
of operations. The provision for income taxes is computed using the asset and liability method, under which deferred tax assets and 
liabilities are recognized for the expected future tax consequences of temporary differences between the financial reporting and tax bases 
of assets and liabilities, and for operating losses and tax credit carryforwards. Deferred tax assets and liabilities are measured using the 
currently-enacted tax rates that apply to taxable income in effect for the years in which those tax assets are expected to be realized  or 
settled. The Company records a valuation allowance, if necessary, to reduce deferred tax assets to the amount that is believed more 
likely than not to be realized. 

The Company recognizes tax benefits from uncertain tax positions only if it is more likely than not that the tax position will be 
sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the 
financial statements from such positions are then measured based on the largest benefit that has a greater than 50% likelihood of being 
realized upon ultimate settlement. 

Management believes it is more likely than not that forecasted income, including income that may be generated as a result of 
certain tax planning strategies, together with future reversals of existing taxable temporary differences, will be sufficient to fully recover 
the deferred tax assets. In the event that the Company determines all or part of the net deferred tax assets are not realizable in the future, 
the Company will make an adjustment to the valuation allowance that would be charged to earnings in the period such determination is 
made.  In  addition,  the  calculation  of  tax  liabilities  involves  significant  judgment  in  estimating  the  impact  of  uncertainties  in  the 
application of GAAP and complex tax laws. Resolution of these uncertainties in a manner inconsistent with management’s expectations 
could have a material impact on the Company’s financial condition and operating results. The significant assumptions and estimates 
described above are important contributors to our ultimate effective tax rate in each year. 

Legal  and  Other  Contingencies:    As  discussed  in  Part  I,  Item  3  of  this  annual  report,  “Legal  Proceedings”  and  in  Note  10, 
“Contingencies and Legal Proceedings” in the notes to our consolidated financial statements, the Company is subject to various legal 
proceedings and claims that arise in the ordinary course of business. The Company records a liability when it is probable that a loss has 
been incurred and the amount is reasonably estimable. There is significant judgment required in both the probability determination and 
as to whether an exposure can be reasonably estimated.  The outcomes of legal proceedings and claims brought against the Company 
are subject to significant uncertainty. 

Share-Based Compensation: The Company accounts for share-based compensation in accordance with the provisions of ASC 
Topic 718 “Compensation – Stock Compensation”.  Under ASC 718, share-based compensation cost is measured at the grant date, based 
on the calculated fair value of the award, and is recognized as an expense over the employee’s requisite service period (generally the 
vesting period of the equity grant).   For the fiscal year ended March 31, 2022, the Company recorded share-based compensation expense 
of $5,198,000.   

The Company estimates the fair value of stock options using the Black-Scholes valuation model. Key input assumptions used to 
estimate the fair value of stock options include the exercise price of the award, the expected option term, the expected volatility of the 
Company’s stock over the option’s expected term, the risk-free interest rate over the option’s term, and the Company’s expected annual 
dividend yield. The Company issues performance-based stock options which vest only upon the Company’s achievement of certain 
earnings per share targets on a calendar year basis, as determined by the Company’s Board of Directors. These options were valued in 
the same manner as the time-based options. However, the Company only recognizes stock compensation expense to the extent that the 
targets  are  determined  to  be  probable  of  being  achieved,  which  triggers  the  vesting  of  the  performance  options.  The  Company’s 
management believes that this valuation technique and the approach utilized to develop the underlying assumptions are appropriate in 
calculating the fair values of the Company’s stock options granted in fiscal 2022.  Estimates of fair value are not intended to predict 
actual future events or the value ultimately realized by persons who receive equity awards. 

42 

 
The Company does not  believe  there is a reasonable likelihood that there will be  a material change in the future estimates or 
assumptions we use to determine stock-based compensation expense. However, if actual results are not consistent with our estimates or 
assumptions, we may be exposed to changes in stock-based compensation expense that could be material. 

Software  Development  Costs:  Development  costs  incurred  in  the  research  and  development  of  new  software  products  and 
enhancements to existing software products for internal use are expensed as incurred until technological feasibility has been established. 
After technological feasibility is established, any additional external software development costs are capitalized and amortized on a 
straight-line basis over the estimated economic life of the related product, which is typically five years.  The Company performs an 
annual review of the estimated economic life and the recoverability of such capitalized software costs. If a determination is made that 
capitalized amounts are not recoverable based on the estimated cash flows to be generated from the applicable software, any remaining 
capitalized amounts are written off.  Although the Company believes that its approach to estimates and judgments as described herein 
is reasonable, actual results could differ and the Company may be exposed to increases or decreases in revenue that could be material. 

Recently Issued Accounting Standards 

Management has evaluated recent accounting pronouncements through the date the financial  statements were issued and filed 

with the SEC and believes that there are none that will have a material impact on the Company’s financial statements. 

43 

 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

To the Board of Directors and Stockholders of CorVel Corporation 

Opinions on the Consolidated Financial Statements and Internal Control over Financial Reporting 

We have audited the accompanying consolidated balance sheets of CorVel Corporation (the “Company”) as of March 31, 2022 
and 2021, the related consolidated statements of income, stockholders’ equity, and cash flows for each of the years in the three-year 
period  ended  March  31,  2022,  and  the  related  notes  and  financial  statement  schedule  (collectively  referred  to  as  the  “consolidated 
financial statements”). We also have audited the Company’s internal control over financial reporting as of March 31, 2022, based on 
criteria established in Internal Control — Integrated Framework (2013) issued by the Committee of Sponsoring Organizations of the 
Treadway Commission (“COSO”). 

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated 
financial position of the Company as of March 31, 2022 and 2021, and the consolidated results of its operations and its cash flows for 
each of the years in the three-year period ended March 31, 2022, in conformity with accounting principles generally accepted in the 
United States of America. Also, in our opinion, the Company maintained, in all material respects, effective internal control over financial 
reporting as of March 31, 2022, based on criteria established in Internal Control — Integrated Framework (2013) issued by COSO. 

Basis for Opinion 

The Company’s management is responsible for these consolidated financial statements, for maintaining effective internal control 
over  financial  reporting,  and  for  its  assessment  of  the  effectiveness  of  internal  control  over  financial  reporting,  included  in  the 
accompanying Management’s Report on Internal Control over Financial Reporting. Our responsibility is to express an opinion on the 
Company’s consolidated financial statements and an opinion on the Company’s internal control over financial reporting based on our 
audits. We are a public accounting firm registered with the Public Company Accounting Oversight Board (United States) (“PCAOB”) 
and are required to be independent with respect to the Company in accordance with the U.S. federal securities laws and the applicable 
rules and regulations of the Securities and Exchange Commission and the PCAOB. 

We conducted our audits in accordance with the standards of the PCAOB. Those standards require that we plan and perform the 

audits to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement, whether 
due to error or fraud, and whether effective internal control over financial reporting was maintained in all material respects. 

44 

 
 
  
  
  
 
 
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM (Continued) 

Our audits of the consolidated financial statements included performing procedures to assess the risks of material misstatement of 
the  consolidated  financial  statements,  whether  due  to  error  or  fraud,  and  performing  procedures  that  respond  to  those  risks.  Such 
procedures included examining, on a test basis, evidence regarding the amounts and disclosures in the consolidated financial statements. 
Our audits also included evaluating the accounting principles used and significant estimates made by management, as well as evaluating 
the overall presentation of the consolidated financial statements. Our audit of internal control over financial reporting included obtaining 
an understanding of internal control over financial reporting, assessing the risk that a material weakness exists, and testing and evaluating 
the design and operating effectiveness of internal control based on the assessed risk. Our audits also included performing such other 
procedures as we considered necessary in the circumstances. We believe that our audits provide a reasonable basis for our opinions. 

Definition and Limitations of Internal Control Over Financial Reporting 

A  company’s  internal  control  over  financial  reporting  is  a  process  designed  to  provide  reasonable  assurance  regarding  the 
reliability of financial reporting and the preparation of financial statements for external purposes in accordance with generally accepted 
accounting principles. A company’s internal control over financial reporting includes those policies and procedures that (1) pertain to 
the maintenance of records that, in reasonable detail, accurately and fairly reflect the transactions and dispositions of the assets of the 
company; (2) provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in 
accordance with generally accepted accounting principles, and that receipts and expenditures of the company are being made only in 
accordance with authorizations of management and directors of the company; and (3) provide reasonable assurance regarding prevention 
or timely detection of unauthorized acquisition, use, or disposition of the company’s assets that could have a material effect on the 
financial statements. 

Because  of  its  inherent  limitations,  internal  control  over  financial  reporting  may  not  prevent  or  detect  misstatements.  Also, 
projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate  because of 
changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate. 

Critical Audit Matter 

The  critical  audit  matter  communicated  below  is  a  matter  arising  from  the  current  period  audit  of  the  consolidated  financial 
statements that was communicated or required to be communicated to the audit committee and that: (1) relate to accounts or disclosures 
that are material to the consolidated financial statements and (2) involved our especially challenging, subjective, or complex judgments. 
The communication of the critical audit matter does not alter in any way our opinion on the consolidated financial statements, taken as 
a whole, and we are not, by communicating the critical audit matter below, providing separate opinions on the critical audit  matter or 
on the accounts or disclosures to which they relate. 

45 

 
 
 
  
 
 
 
  
 
 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM (Continued) 

Revenue Recognition - Refer to Note 2 to the Consolidated Financial Statements 

Critical Audit Matter Description: 

The Company recognizes revenue upon transfer of control of promised services or products to customers in an amount that reflects 
the consideration the Company expects to receive in exchange for those services or products. Certain services and products involve 
estimation of the related transaction price that, in turn, led to a high degree of auditor judgment, subjectivity and effort  in performing 
procedures  and  evaluating  audit  evidence  related  to  management’s  judgments.  Revenues  that  are  most  significantly  impacted  by 
management’s estimates and judgments include (i) bill review services that contain contractual provisions that allow the customer to 
compensate the Company only for services that it utilizes and (ii) directed care services at period-end for which the Company has not 
been billed by the related providers. 

How the Critical Matter was Addressed in the Audit: 

The primary procedures we performed to address this critical audit matter included the following, among others: 

▪  We obtained an understanding, evaluated the design, and tested the operating effectiveness of controls over the Company’s 
process to estimate the most likely amount of consideration to which the Company will be entitled in exchange for transferring 
the promised services or products to a customer. We tested the effectiveness of certain controls over revenue recognition, 
including management’s controls over the methodology used to determine estimated revenues. 

▪  We tested the underlying data used by the Company to determine related bill review revenue estimates by examining customer 
contracts  and  analyzing  historical  utilization  analyses  completed  by  the  Company.  We  also  examined  subsequent  period 
invoicing and cash collection activities to evaluate the reasonableness of management’s estimates. 

▪  We  tested  significant  assumptions  used  in  management’s  calculations  of  period-end  directed  care  revenues  by  analyzing 
historical time lag patterns between the provision of service and provider invoicing. We also examined trends associated with 
the number of period-end provider referrals and performed gross margin reasonableness analyses to evaluate management’s 
estimates.  

▪  We  tested  the  mathematical  accuracy  of  management’s  calculations  of  revenue  and  the  associated  timing  of  revenue 

recognized in the consolidated financial statements. 

/s/ HASKELL & WHITE LLP 

We have served as the Company’s auditor since 2006. 

Irvine, California 
May 27, 2022 

46 

 
 
 
  
  
  
  
 
 
 
CORVEL CORPORATION 

CONSOLIDATED BALANCE SHEETS 

ASSETS 

Current Assets 
Cash and cash equivalents 
Customer deposits 
Accounts receivable (less allowance for doubtful accounts of $2,562,000 at March 31, 
   2022 and $3,274,000 at March 31, 2021) 
Prepaid expenses and income taxes 
Total current assets 
Property and equipment, net 
Goodwill 
Other intangible assets, net 
Right-of-use asset, net 
Deferred tax asset, net 
Other assets 
Total assets 

LIABILITIES AND STOCKHOLDERS' EQUITY 

Current Liabilities 
Accounts and income taxes payable 
Accrued liabilities 
Total current liabilities 
Deferred income taxes, net 
Long-term lease liabilities 
Total liabilities 
Commitments and contingencies 
Stockholders' Equity 
Common stock, $.0001 par value: 120,000,000 shares authorized at March 31, 2022 and 
   2021; 54,788,712 shares issued (17,569,087 shares outstanding, net of treasury shares)  
   and 54,529,642 shares issued (17,876,090 shares outstanding, net of treasury shares) at  
   March 31, 2022 and March 31, 2021, respectively 
Paid-in-capital 
Treasury stock, at cost (37,219,625 and 36,653,552 shares at March 31, 2022 and 2021, 
   respectively) 
Retained earnings 
Total stockholders' equity 
Total liabilities and stockholders' equity 

March 31, 

2022 

2021 

 $ 

97,504,000  
69,781,000  

 $ 

139,716,000  
56,497,000  

82,586,000  
15,123,000  
264,994,000  
76,268,000  
36,814,000  
1,669,000  
35,020,000  
—  
481,000  
415,246,000  

14,431,000  
156,939,000  
171,370,000  
1,689,000  
29,792,000  
202,851,000  

 $ 

 $ 

64,722,000  
8,006,000  
268,941,000  
70,619,000  
36,814,000  
2,104,000  
45,324,000  
613,000  
345,000  
424,760,000  

13,574,000  
148,886,000  
162,460,000  
—  
41,898,000  
204,358,000  

 $ 

 $ 

3,000  
201,609,000  

3,000  
185,941,000  

(654,520,000 )    
665,303,000  
212,395,000  
415,246,000  

 $ 

(564,435,000 ) 
598,893,000  
220,402,000  
424,760,000  

 $ 

See accompanying notes to consolidated financial statements. 

47 

 
 
 
 
 
 
 
   
 
 
    
 
 
 
    
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
    
 
 
 
    
 
 
  
  
  
  
  
  
  
  
  
  
 
    
 
 
 
    
 
 
  
  
  
  
  
  
  
  
  
 
 
 
CORVEL CORPORATION 

CONSOLIDATED STATEMENTS OF INCOME 

Revenues 
Cost of revenues 
Gross profit 
General and administrative 
Income before income taxes 
Income tax provision 
Net income 
Net income per share: 
Basic 
Diluted 
Weighted average shares outstanding: 
Basic 
Diluted 

2022 
 $  646,230,000  
494,116,000  
152,114,000  
67,602,000  
84,512,000  
18,102,000  
66,410,000  

Fiscal Years Ended March 31, 
2021 
 $  552,644,000  
429,020,000  
123,624,000  
64,449,000  
59,175,000  
12,819,000  
46,356,000  

2020 
 $  592,225,000  
466,304,000  
125,921,000  
65,210,000  
60,711,000  
13,334,000  
47,377,000  

 $ 

 $ 

 $ 

 $ 
 $ 

3.74  
3.66  

 $ 
 $ 

2.59  
2.55  

 $ 
 $ 

2.59  
2.55  

17,753,000  
18,127,000  

17,930,000  
18,166,000  

18,326,000  
18,602,000  

See accompanying notes to consolidated financial statements. 

48 

 
 
 
 
 
 
 
   
   
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
    
    
 
 
 
    
    
 
 
  
  
  
  
  
  
 
 
CORVEL CORPORATION 

CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY 
Fiscal Years Ended March 31, 2022, 2021 and 2020 

Balance – March 31, 2019 
Stock issued under employee stock 
   purchase plan 
Stock issued under stock option 
   plan, net of shares repurchased 
Stock-based compensation expense 
Purchase of treasury stock 
Net income 
Balance – March 31, 2020 
Stock issued under employee stock 
   purchase plan 
Stock issued under stock option 
   plan, net of shares repurchased 
Stock-based compensation expense 
Purchase of treasury stock 
Net income 
Balance – March 31, 2021 
Stock issued under employee stock 
   purchase plan 
Stock issued under stock option plan, 
   net of shares repurchased 
Stock-based compensation expense 
Purchase of treasury stock 
Net income 
Balance – March 31, 2022 

Common 
Shares 
54,021,032  

Stock 
Amount 

 $ 

3,000  

   Paid-in-Capital 
155,798,000  

 $ 

Treasury 
Shares 
(35,463,238 ) 

Treasury 
Stock 

 $ 

(466,156,000 ) 

 $ 

Retained 
Earnings 
505,160,000  

Total 
Stockholders' 
Equity 
194,805,000  

 $ 

8,451  

225,074  
—  
—  
—  
54,254,557  

6,007  

269,078  
—  
—  
—  
54,529,642  

3,363  

255,707  
—  
—  
—  
54,788,712  

 $ 

—  

—  
—  
—  
—  
3,000  

—  

—  
—  
—  
—  
3,000  

—  

—  
—  
—  
—  
3,000  

505,000  

—  

—  

—  

505,000  

8,147,000  
4,485,000  
—  
—  
168,935,000  

—  
—  
(822,353 ) 
—  
(36,285,591 ) 

—  
—  
(65,608,000 ) 
—  
(531,764,000 ) 

—  
—  
—  
47,377,000  
552,537,000  

8,147,000  
4,485,000  
(65,608,000 ) 
47,377,000  
189,711,000  

534,000  

—  

—  

—  

534,000  

11,494,000  
4,978,000  
—  
—  
185,941,000  

—  
—  
(367,961 ) 
—  
(36,653,552 ) 

—  
—  
(32,671,000 ) 
—  
(564,435,000 ) 

—  
—  
—  
46,356,000  
598,893,000  

11,494,000  
4,978,000  
(32,671,000 ) 
46,356,000  
220,402,000  

564,000  

—  

—  

—  

564,000  

9,906,000  
5,198,000  
—  
—  
201,609,000  

 $ 

—  
—  
(566,073 ) 
—  
(37,219,625 ) 

—  
—  
(90,085,000 ) 
—  
(654,520,000 ) 

 $ 

—  
—  
—  
66,410,000  
665,303,000  

 $ 

 $ 

9,906,000  
5,198,000  
(90,085,000 ) 
66,410,000  
212,395,000  

See accompanying notes to consolidated financial statements. 

49 

 
 
 
 
   
   
 
 
 
 
   
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
CORVEL CORPORATION 

CONSOLIDATED STATEMENTS OF CASH FLOWS 

CASH FLOWS FROM OPERATING ACTIVITIES 
Net income 
Adjustments to reconcile net income to net cash provided by operating 
   activities: 
Depreciation and amortization 
Loss on write down or disposal of property, capitalized software or 
   investment 
Stock compensation expense 
Provision for doubtful accounts 
Deferred income taxes 
Changes in operating assets and liabilities: 

Accounts receivable 
Customer deposits 
Prepaid expenses and income taxes 
Other assets 
Accounts and income taxes payable 
Accrued liabilities 
Operating lease liabilities 

Net cash provided by operating activities 
CASH FLOWS FROM INVESTING ACTIVITIES 
Purchases of property and equipment 
Net cash used in investing activities 
CASH FLOWS FROM FINANCING ACTIVITIES 
Exercise of employee stock purchase options 
Exercise of common stock options 
Purchase of treasury stock 
Net cash used in financing activities 
Net (decrease) increase in cash and cash equivalents 
Cash and cash equivalents at beginning of year 
CASH AND CASH EQUIVALENTS AT END OF YEAR 
Supplemental cash flow information 
Income taxes paid 
Accrual of software license purchase 

2022 

Fiscal Years Ended March 31, 
2021 

2020 

 $ 

66,410,000  

 $ 

46,356,000  

 $ 

47,377,000  

23,916,000  

23,436,000  

22,516,000  

122,000  
5,198,000  
158,000  
2,302,000  

(18,022,000 )    
(13,284,000 )    
(7,116,000 )    
(135,000 )    
1,423,000  
8,052,000  
(1,802,000 )    
67,222,000  

590,000  
4,978,000  
2,021,000  
(8,376,000 )    

(976,000 )    
(7,507,000 )    
3,003,000  
504,000  
(3,355,000 )    
31,561,000  
2,144,000  
94,379,000  

149,000  
4,485,000  
1,606,000  
1,470,000  

3,964,000  
(3,723,000 ) 
(3,834,000 ) 
(595,000 ) 
1,095,000  
11,885,000  
(5,569,000 ) 
80,826,000  

(29,819,000 )    
(29,819,000 )    

(17,243,000 )    
(17,243,000 )    

(32,360,000 ) 
(32,360,000 ) 

564,000  
9,906,000  
(90,085,000 )    
(79,615,000 )    
(42,212,000 )    
139,716,000  
97,504,000  

534,000  
11,494,000  
(32,671,000 )    
(20,643,000 )    
56,493,000  
83,223,000  
 $  139,716,000  

 $ 

505,000  
8,147,000  
(65,608,000 ) 
(56,956,000 ) 
(8,490,000 ) 
91,713,000  
83,223,000  

19,405,000  
—  

 $ 
 $ 

20,760,000  
—  

 $ 
 $ 

15,077,000  
3,790,000  

 $ 

 $ 
 $ 

See accompanying notes to consolidated financial statements. 

50 

 
 
 
 
 
 
 
   
   
 
 
    
    
 
 
 
    
    
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
    
    
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
    
    
 
 
  
  
 
    
    
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
 
    
    
 
 
 
 
CORVEL CORPORATION 

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS 
Fiscal Years Ended March 31, 2022, 2021 and 2020 

Note 1 — Summary of Significant Accounting Policies 

Organization:    CorVel  Corporation  (“CorVel”  or  “the  Company”),  incorporated  in  Delaware  in  1987,  is  an  independent 
nationwide provider of medical cost containment and managed care services designed to address the escalating medical costs of workers’ 
compensation  benefits,  automobile  insurance  claims,  and  group  health  insurance  benefits.  The  Company’s  services  are  provided  to 
insurance companies, TPAs, governmental entities, and self-administered employers to assist them in managing the medical costs and 
monitoring the quality of care associated with healthcare claims. 

Basis of Presentation:  The consolidated financial statements include the accounts of CorVel and its wholly-owned subsidiaries. 
Significant  intercompany  accounts  and  transactions  have  been  eliminated  in  consolidation.  Certain  prior  year  amounts  have  been 
reclassified  to  conform  to  fiscal  2022  presentation.  These  changes  had  no  impact  on  previously-reported  results  of  operations  or 
shareholders’ equity. 

The Company evaluated all subsequent events and transactions through the date of this filing.   

Use of Estimates:  The preparation of financial statements in compliance with GAAP requires management to make estimates and 
assumptions that affect the amounts reported in the accompanying consolidated financial statements. Actual results could differ from 
those estimates.  Significant estimates include the values assigned to intangible assets, capitalized software development, the allowance 
for  doubtful  accounts,  work  in  process,  accrual  for  income  taxes,  share-based  payments  related  to  performance-based  awards,  loss 
contingencies, estimated lives of claims for claims administration revenue recognition, estimates used in stock options valuations, and 
accrual for self-insurance reserves. 

Cash and Cash Equivalents:  Cash and cash equivalents consist of short-term, interest-bearing highly-liquid investment-grade 
securities with maturities of 90 days or less when purchased. The carrying amounts of the Company’s financial instruments approximate 
their fair values at March 31, 2022 and 2021 due to the short-term nature of those instruments.  Customer deposits represent cash that is 
expected to be returned or applied towards payment within one year through the Company’s provider reimbursement services. 

Fair Value of Financial Instruments: The Company applies ASC 820, “Fair Value Measurements and Disclosures,” which defines 
fair value, establishes a framework for measuring fair value, and provides for disclosures about fair value measurements,  with respect 
to  fair  value  measurements  of  (i) nonfinancial  assets  and  liabilities  that  are  recognized or  disclosed  at  fair  value  in  the  Company’s 
consolidated financial statements on a recurring basis (at least annually) and (ii) all financial assets and liabilities. ASC 820 prioritizes 
the inputs used in measuring fair value into the following hierarchy: 

Level 1 Quoted market prices in active markets for identical assets or liabilities; 

Level 2 Observable inputs other than those included in Level 1 (for example, quoted prices for similar assets in active markets or 

quoted prices for identical assets in inactive markets); and 

Level 3 Unobservable inputs reflecting management’s own assumptions about the inputs used in estimating the value of the asset. 

The  carrying  amount  of  the  Company’s  financial  instruments  (i.e.  cash  and  cash  equivalents,  accounts  receivable,  accounts 
payable, etc.) approximates their fair values at March 31, 2022 and 2021 due to the short-term nature of those instruments.  The Company 
has no financial instruments that are measured at fair value on a recurring basis. 

Revenue Recognition: Revenue is recognized when control of the promised services is transferred to the Company’s customers in 
an  amount  that  reflects  the  consideration  expected  to  be  entitled  to  in  exchange  for  those  services.  As  the  Company  completes  its 
performance obligations which are identified in Note 2, it has an unconditional right to consideration as outlined in the Company’s 
contracts. Generally, the Company’s billed accounts receivable are expected to be collected in 30 days in accordance with the underlying 
payment terms.  For many of the Company’s services, the Company typically has one performance obligation; however, it also provides 
the customer with an option to acquire additional services. The Company offers multiple services under its patient management and 
network solutions service lines. The Company typically provides a menu of offerings from which the customer may choose to purchase. 
The price of each service is separate and distinct and provides a separate and distinct value to the customer. Pricing is generally consistent 
for each service irrespective of the other services or quantities requested by the customer. 

51 

 
In transactions related to third-party service revenue, which includes pharmacy, directed care services and other services provided 
by the Company’s integrated network solutions services, the Company is considered the principal, as it directs the third party, controls 
the specified service, performs program utilization review, directs payment to the provider, accepts the financial risk of loss associated 
with services rendered and combines the services provided into an integrated solution, as specified within the Company’s customer 
contracts. The Company has the ability to influence contractual fees with customers and possesses the financial risk of loss in certain 
contractual obligations. These factors indicate the Company is the principal and, as such, it is required to recognize revenue gross and 
service partner vendor fees in the cost of revenue in the Company’s consolidated income statements. 

Accounts Receivable:  The majority of the Company’s accounts receivable are due from companies in the property and casualty 
insurance industries, self-insured employers and governmental entities. Credit is extended based on evaluation of a customer’s financial 
condition and, generally, collateral is not required. Accounts receivable are generally due within 30 days and are stated at amounts due 
from customers net of an allowance for doubtful accounts. Those accounts outstanding longer than the contractual payment terms are 
considered past due. The Company determines its allowance by considering a number of factors, including the length of time trade 
accounts  receivable  are  past  due,  the  Company’s  previous  loss  history,  the  customer’s  current  ability  to  pay  its  obligation  to  the 
Company, and the condition of the general economy and the industry as a whole. The Company writes off accounts receivable against 
the  reserve  when they become uncollectible. Accounts receivable includes $27,307,000, and $17,213,000 of unbilled receivables at 
March 31, 2022 and 2021, respectively.  Unbilled receivables represent the amounts expected to be collected for work performed which 
has not yet been invoiced to the customer.  Unbilled receivables are generally invoiced within one year.   

Concentrations of Credit Risk:  Substantially all of the Company’s customers are payors of workers’ compensation benefits and 
property and casualty insurance, which include insurance companies, third party administrators, self-insured employers and government 
entities.  Credit losses consistently have been within management’s expectations.  Virtually all of the Company’s cash is invested at 
financial institutions in amounts which exceed the FDIC insurance levels. No customer accounted for 10% or more of revenue for fiscal 
2022, 2021 or 2020.  One customer accounted for 10% or more of accounts receivable at March 31, 2022 and 2021.  

Property and Equipment:  Additions to property and equipment are recorded at cost.   The Company provides for depreciation on 
property and equipment using the straight-line method by charges to operations in amounts that allocate the cost of depreciable assets 
over their estimated lives as follows: 

Asset Classification 
Building 
Building Improvements 
Land Improvements 
Leasehold Improvements 
Furniture and Equipment 
Computer Hardware 
Computer Software 

Estimated Useful Life 
40 years 
20 years 
20 years 
Shorter of 5 years or the life of lease 
5 to 7 years 
2 to 5 years 
3 to 5 years 

The  Company  accounts  for  internally-developed  software  costs  in  accordance  with  ASC  350-40,  “Internal  Use  Software”.  
Capitalized  software  development  costs,  intended  for  internal  use,  totaled  $29,806,000  (net  of  $131,907,000  in  accumulated 
amortization) and $27,902,000 (net of $120,832,000 in accumulated amortization), as of March 31, 2022 and 2021, respectively. These 
costs are included in computer software in property and equipment and are amortized over a period of five years. 

Long-Lived  Assets:    The  carrying  amount  of  all  long-lived  assets  is  evaluated  periodically  to  determine  if  adjustment  to  the 
depreciation and amortization period or to the unamortized balance is warranted. Such evaluation is based principally on the  expected 
utilization  of  the  long-lived  assets  and  the  projected,  undiscounted  cash  flows  of  the  operations  in  which  the  long-lived  assets  are 
deployed. 

52 

 
 
 
Leases:  The Company determines if an arrangement includes a lease at inception.  Right-of-use assets represent the Company’s 
right to use an underlying asset for the lease term; and lease liabilities represent the Company’s obligation to make lease payments 
arising from the lease.  Right-of-use assets and lease liabilities are recognized at the commencement date of the lease, renewal date of 
the  lease or significant remodeling of the  lease space based on the present value of the remaining future minimum lease payments.  
Leases with a term greater than one year are recognized on the balance sheet as right-of-use assets and short-term and long-term lease 
liabilities, as applicable.  

Operating and financing lease liabilities and their corresponding right-of-use assets are initially recorded based on the present 
value of lease payments over the expected remaining lease term.  The interest rate implicit in lease contracts is typically not readily 
determinable.  As a result, we utilize our incremental borrowing rate to discount lease payments, which reflects the fixed rate at which 
we could borrow on a collateralized basis the amount of the lease payments in the same currency, for a similar term, in a similar economic 
environment.  The Company’s leases may include options to extend or terminate the lease which are included in the lease term when it 
is reasonably certain that we will exercise any such options.  Lease expense for lease payments is recognized on a straight-line basis 
over the lease term. 

Goodwill and Indefinite Lived Long-Lived Assets:  The Company accounts for its business combinations in accordance with the 
ASC 805-10 through ASC 805-50, “Business Combinations,” which (i) requires that the purchase method of accounting be applied to 
all business combinations and (ii) addresses the criteria for initial recognition of intangible assets and goodwill. In accordance with ASC 
350-10 through ASC 350-30, goodwill and other intangible assets with indefinite lives are not amortized but are tested for impairment 
annually, or more frequently if circumstances indicate the possibility of impairment. If the carrying value of goodwill or an intangible 
asset exceeds its fair value, an impairment loss will be recognized.  Based on the Company’s tests and reviews, no impairment of its 
goodwill, intangible assets or other long-lived assets existed at March 31, 2022 and 2021.  However, future events or changes in current 
circumstances could affect the recoverability of the carrying value of goodwill and long-lived assets. Goodwill amounted to $36,814,000 
(net of accumulated amortization of $2,069,000) at March 31, 2022 and at March 31, 2021. 

Cost  of  Revenues:  Cost  of  services  consists  primarily  of  the  compensation  and  fringe  benefits  of  field  personnel,  including 
managers,  medical  bill  analysts,  field  case  managers,  telephonic  case  managers,  systems  support,  administrative  support,  account 
managers  and  account  executives,  and  related  facility  costs  including  rent,  telephone  and  office  supplies.  Historically,  the  costs 
associated with these additional personnel and facilities have been the most significant factor driving increases in the Company’s cost 
of services. 

Income Taxes: The Company provides for income taxes in accordance with provisions specified in ASC 740, “Accounting for 
Income Taxes”.  Accordingly, deferred income tax assets and liabilities are computed for differences between the financial statement 
and tax bases of assets and liabilities. These differences will result in taxable or deductible amounts in the future, based on tax laws and 
rates applicable to the periods in which the differences are expected to affect taxable income. The ultimate realization of deferred tax 
assets is dependent upon the generation of future taxable income during the periods in which temporary differences become deductible. 
In making an assessment regarding the probability of realizing a benefit from these deductible differences, management considers the 
Company’s  current  and  past performance,  the  market  environment  in  which  the  Company  operates,  tax-planning  strategies  and  the 
length of carry-forward periods for loss carry-forwards, if any. Valuation allowances are established when necessary to reduce deferred 
tax assets to amounts that are more likely than not to be realized. Further, the Company accrues for income tax issues not yet resolved 
with federal, state and local tax authorities, when it appears more likely than not that a tax liability has been incurred. 

Share-Based Compensation: The Company accounts for share-based compensation in accordance with the provisions of ASC 
Topic 718 “Compensation – Stock Compensation.”  Under ASC 718, share-based compensation cost is measured at the grant date, based 
on the calculated fair value of the award, and is recognized as an expense over the requisite service period (generally the vesting period 
of the equity grant). The Company issues performance-based stock options which vest only upon the Company’s achievement of certain 
earnings per share targets on a calendar year basis, as determined by the Company’s Board of Directors. These options were valued in 
the same manner as the time-based options. However, the Company only recognizes stock compensation expense to the extent that the 
targets are determined to be probable of being achieved, which triggers the vesting of the performance options. 

Accrual for Self-insurance Costs:  The Company self-insures for the group medical costs and workers’ compensation costs of its 
employees. Management believes that the self-insurance reserves are appropriate; however, actual claims costs may differ from the 
original estimates requiring adjustments to the reserves.  The Company determines its estimated self-insurance reserves based upon 
historical trends along with outstanding claims information provided by its claims paying agents. 

Earnings per Share:  Earnings per common share-basic is based on the weighted average number of common shares outstanding 
during the period. Earnings per common shares-diluted is based on the weighted average number of common shares and common share 
equivalents outstanding during the period. In calculating earnings per share, earnings are the same for the basic and diluted calculations. 
Weighted average shares outstanding is greater for diluted earnings per share due to the effect of stock options. 

53 

 
The difference between the basic weighted average shares and the diluted weighted average shares for each of the fiscal years 

ended March 31, 2022, 2021 and 2020 is as follows: 

Basic weighted average shares 
Treasury stock impact of stock options 
Diluted weighted average shares 

Fiscal 2022 

Fiscal 2021 

Fiscal 2020 

17,753,000  
374,000  
18,127,000  

17,930,000  
236,000  
18,166,000  

18,326,000  
276,000  
18,602,000  

Recently Issued Accounting Standards 

Management has evaluated recent accounting pronouncements through the date the financial statements were issued and filed 

with the SEC and believes that there are none that will have a material impact on the Company’s financial statements.  

Note 2 – Revenue Recognition 

Revenue from Contracts with Customers 

Revenue is recognized when control of the promised services is transferred to the Company’s customers in an amount that reflects 
the consideration the Company expects to be entitled to in exchange for those services. As the Company completes its performance 
obligations, which are identified below, it has an unconditional right to consideration as outlined in the Company’s contracts. Generally, 
the Company’s accounts receivable are expected to be collected in 30 days in accordance with the underlying payment terms. 

The Company generates revenue through its patient management and network solutions service lines. The Company operates in 

one reportable operating segment, managed care. 

Patient Management Service Line 

The patient management service line provides services primarily related to workers’ compensation claims management and case 
management. This service line also includes additional services such as accident and health claims programs. Each claim referred by the 
customer is considered an additional optional purchase of claims management services under the agreement with the customer.   The 
transaction price is readily available from the contract and is fixed for each service. Revenue is recognized over time as  services are 
provided as the performance obligations are satisfied through the effort expended to research, investigate, evaluate, document, and report 
the claim and control of these services is transferred to the customer. Revenue is recognized based on historical claim closure rates and 
claim type applied utilizing a portfolio approach based on time elapsed for these claims, generally between three and fifteen months. 
The Company believes this approach reasonably reflects the transfer of the claims management services to its customer.  

The Company’s obligation to manage claims and cases under the patient management service line can range from less than one 
year to multi-year contracts. They are generally one year under the terms of the contract; however, many of these contracts contain auto-
renewal provisions and the Company’s customer relationships can span multiple years. Under certain claims management agreements, 
the Company receives consideration from a customer at contract inception prior to transferring services to the customer, however, the 
Company would begin performing services immediately. The period between a customer’s payment of consideration and the completion 
of the promised services is generally less than one year. There is no difference between the amount of promised consideration and the 
cash selling price of the promised services. The fee is billed upfront by the Company in order to provide customers with simplified and 
predictable ways of purchasing the Company’s services.   

The patient management service line also offers the services of case managers who provide administration services by proactively 
managing  medical  treatment  for  claimants  while  facilitating  an  understanding  of  and  participation  in  their  rehabilitation  process. 
Revenue for case management services is recognized over time as the performance obligations are satisfied through the effort expended 
to manage the medical treatment for claimants and control of these services is transferred to the customer. Case management services 
are generally billed based on time incurred, are considered variable consideration, and revenue is recognized at the amount in which the 
Company has the right to invoice for services performed. The Company believes this approach reasonably reflects the transfer of the 
case management service to the customer. 

Network Solutions Service Line 

The network solutions service line consists primarily of medical bill review and third-party services. Medical bill review services 
provide an analysis of medical charges for customers’ claims to identify opportunities for savings. Medical bill review services revenues 
are recognized at a point in time when control of the service is transferred to the customer. Revenue is recognized based upon the transfer 

54 

 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
 
 
 
of the results of the medical bill review service to the customer as this is the most accurate depiction of the transfer of the service to the 
customer. Medical bill review revenues are variable, generally based on performance metrics set forth in the underlying contracts. Each 
period, the Company bases its estimates on a contract-by-contract basis. The Company makes its best estimate of amounts the Company 
has earned and expects to be collected using historical averages and other factors to project such revenues.  Variable consideration is 
recognized in the amount that the Company concludes is probable that a significant revenue reversal will not occur in future periods. 

Third-party services revenue includes pharmacy, directed care services and other services, and includes amounts received from 
customers compensating the Company for certain third-party costs associated with providing its integrated network solutions services. 
The Company is considered the principal in these transactions as it directs the third party, controls the specified service and its pricing, 
performs program utilization review, directs payment to the provider, accepts the financial risk of loss associated with services rendered 
and combines the services provided into an integrated solution, as specified within the Company’s customer contracts. The Company 
has the ability to influence contractual fees with customers and possesses the financial risk of loss in certain contractual  obligations. 
These factors indicate the Company is the principal and, as such, it is required to recognize revenue gross and service partner vendor 
fees in the operating expense in the Company’s consolidated statements of income. 

The following table presents revenues disaggregated by service line for the fiscal years ended March 31, 2022 and 2021: 

Patient management services 
Network solutions services 

Total services 

2022 

424,050,000    $ 
222,180,000     
646,230,000    $ 

2021 

368,853,000    $ 
183,791,000     
552,644,000    $ 

2020 

386,814,000  
205,411,000  
592,225,000  

 $ 

 $ 

Arrangements with Multiple Performance Obligations 

For  many  of  the  Company’s  services,  the  Company  typically  has  one  performance  obligation;  however,  the  Company  also 
provides the customer with an option to acquire additional services. The Company offers multiple services under its patient management 
and network solutions service  lines. The Company typically provides a menu of offerings from which the customer may choose to 
purchase. The price of each service is separate and distinct and provides a separate and distinct value to the customer. Pricing is generally 
consistent for each service irrespective of the other services or quantities requested by the customer.  

Contract Balances 

The timing of revenue recognition, billings and cash collections results in billed accounts receivables, unbilled receivables, and 
contract liabilities (reported as deferred revenues) on the Company’s consolidated balance sheets. Unbilled receivables are due to the 
Company unconditionally for services already rendered except for physical invoicing and the passage of time. Invoicing requirements 
vary by customer contract, but substantially all unbilled revenues are billed within one year. 

Billed receivables 
Allowance for doubtful accounts 
Unbilled receivables 

Accounts receivable, net 

  March 31, 2022 
  $ 

57,841,000  
(2,562,000 )     
27,307,000  
82,586,000  

    March 31, 2021 
  $  50,783,000  
(3,274,000 ) 
17,213,000  
  $  64,722,000  

  $ 

When the Company receives consideration from a customer prior to transferring services to the customer under the terms of certain 
claims management agreements, it records deferred revenues on the Company’s consolidated balance sheets, which represents a contract 
liability.  

Certain  services,  such  as  claims  management,  are  provided  under  fixed-fee  service  agreements  and  require  the  Company  to 
manage  claims  over  a  contract  period,  typically  for  one  year  with  the  option  for  auto  renewal,  with  the  fixed  fee  renewing  on  the 
anniversary date of such contracts. The Company recognizes deferred revenues as revenues when it performs services and transfers 
control of the services to the customer and satisfies the performance obligation which it determines utilizing a portfolio approach. For 
all fixed fee service agreements, revenues are recognized over the expected service periods by type of claim.  

55 

 
 
 
 
 
   
   
 
  
 
 
 
 
  
 
 
   
   
   
 
 
 
 
The table below presents the deferred revenues balance and the significant activity affecting deferred revenues during the fiscal 

year ended March 31, 2022: 

Beginning balance at April 1, 2021 
Additions 
Revenue recognized from beginning of period 
Revenue recognized from additions 
Ending balance at March 31, 2022 

  March 31, 2022 
 $ 

22,514,000  
41,451,000  
(12,825,000 ) 
(25,344,000 ) 
25,796,000  

 $ 

Remaining Performance Obligations 

As of March 31, 2022, the Company had $25.8 million of remaining performance obligations related to claims and non-claims 
services  for  which  the  price  is  fixed.  Remaining  performance  obligations  consist  of  deferred  revenues.    The  Company  expects  to 
recognize approximately 96% of its remaining performance obligations as revenues within one year and the remaining balance thereafter. 
See the discussion below regarding the practical expedients elected for the disclosure of remaining performance obligations. 

Costs to Obtain a Contract 

The Company has an internal sales force compensation program where remuneration is based solely on the revenues recognized 
in the period and does not represent an incremental cost to the Company which provides a future benefit expected to be longer than one 
year and would meet the criteria to be capitalized and presented on the Company’s consolidated balance sheets. 

Practical Expedients Elected 

As a practical expedient, the Company does not adjust the consideration in a contract for the effects of a significant financing 
component. It expects, at contract inception, that the period between a customer’s payment of consideration and the transfer of promised 
services to the customer will be one year or less. 

For  patient  management  services  that  are  billed  on  a  time-and-expense  incurred  or  per  unit  basis  and  for  which  revenue  is 

recognized over time, the Company recognizes revenue at the amount to which it has the right to invoice for services performed. 

The Company does not disclose the value of remaining performance obligations for (i) contracts for which it recognizes revenue 
at the amount to which it has the right to invoice for services performed, and (ii) contracts with variable consideration allocated entirely 
to a single performance obligation. 

Note 3 — Stock Options and Stock-Based Compensation 

Under the Company’s Restated Omnibus Incentive Plan (formerly the Restated 1988 Executive Stock Option Plan) (“the Plan”) 
as in effect at March 31, 2022, options exercisable for up to 20,615,000 shares of the Company’s common stock may be granted over 
the life of the Plan to key employees, non-employee directors, and consultants at exercise prices not less than the fair market value of 
the common stock on the date of grant. Options granted under the Plan are non-statutory stock options and generally vest 25% one year 
from the date of grant, with the remaining 75% vesting ratably each month for the next 36 months. The options granted to employees 
and the Company’s Board of Directors expire at the end of five years and ten years from date of grant, respectively.  All options granted 
in fiscal 2022 and 2021 were granted with an exercise price equal to the fair value of the Company’s common stock on the grant date. 

The Company records compensation expense for employee stock options based on the estimated fair value of the options on the 
date  of  grant  using  the  Black-Scholes  option-pricing  model  with  the  assumptions  included  in  the  table  below.  The  Company  uses 
historical data, among other factors, to estimate the expected volatility, the expected dividend yield, and the expected option life. The 
Company accounts for forfeitures as they occur, rather than estimate expected forfeitures.  The risk-free rate is based on the interest rate 
paid on a U.S. Treasury issue with a term similar to the estimated life of the option.       

56 

 
 
 
 
  
  
  
 
 
 
 
 
 
 
 
The  fair  value  of  each  grant  is  estimated  on  the  date  of  grant  using  the  Black-Scholes  option-pricing  model.  The  following 

weighted average assumptions were used for the fiscal years ended March 31, 2022, 2021 and 2020: 

Expected volatility 
Risk free interest rate 
Dividend yield 
Weighted average option life 

Fiscal 2022 

Fiscal 2021 

Fiscal 2020 

36 % 

34 % 

33 % 

0.71% to 1.66% 

0.21% to 0.46% 

1.42% to 2.33% 

0.0 % 

0.0 % 

0.0 % 

4.3 to 4.4 years 

4.4 to 4.5 years 

4.4 to 4.5 years 

For  the  fiscal  years  ended  March 31,  2022,  2021  and  2020,  the  Company  recorded  share-based  compensation  expense  of 
$5,198,000, $4,978,000, and $4,485,000, respectively.  The table below shows the amounts recognized in the financial statements for 
the fiscal years ended March 31, 2022, 2021 and 2020. 

Cost of revenue 
General and administrative 

Total cost of stock-based compensation  
   included in income before income taxes 

Amount of income tax benefit recognized 
Amount charged to net income 
Effect on basic earnings per share 
Effect on diluted earnings per share 

Fiscal 2022 

Fiscal 2021 

Fiscal 2020 

 $ 

 $ 
 $ 
 $ 

2,063,000  
3,135,000  

 $ 

2,020,000  
2,958,000  

 $ 

5,198,000  
(1,119,000 ) 
4,079,000  
0.23  
0.23  

 $ 
 $ 
 $ 

4,978,000  
(1,057,000 ) 
3,921,000  
0.22  
0.22  

 $ 
 $ 
 $ 

2,028,000  
2,457,000  

4,485,000  
(985,000 ) 
3,500,000  
0.19  
0.19  

The following table summarizes information for all stock options for the fiscal years March 31, 2022, 2021 and 2020: 

Options outstanding – beginning of fiscal year 
Options granted 
Options exercised 
Options cancelled/forfeited 
Options outstanding – end of fiscal year 
During the fiscal year, weighted average exercise  
   price of: 
Options granted 
Options exercised 
Options cancelled/forfeited 
At the end of fiscal year: 
Price range of outstanding options 
Weighted average exercise price per share 
Options available for future grants 
Exercisable options 

Fiscal 2022 

Fiscal 2021 

Fiscal 2020 

937,158  
130,200  
(298,570 )    
(44,912 )    
723,876  

1,029,103  
234,175  
(278,094 ) 
(48,026 ) 
937,158  

1,058,411  
271,575  
(235,932 ) 
(64,951 ) 
1,029,103  

 $ 
 $ 
 $ 

161.95  
55.44  
79.30  

 $ 
 $ 
 $ 

81.12  
44.17  
61.26  

 $ 
 $ 
 $ 

79.49  
38.34  
59.87  

  $22.07-$197.16 
84.55  
 $ 
805,097  
354,460  

   $21.87-$103.31 
64.28  
 $ 
880,542  
421,964  

   $20.08-$88.22 
54.87  
 $ 
316,691  
468,107  

The following table summarizes the status of stock options outstanding and exercisable at March 31, 2022: 

Range of 
Exercise Prices 
$22.07 to $57.35 
$57.36 to $77.93 
$77.94 to $88.22 
$88.23 to $197.16 

Total 

Number of 
Outstanding 
Options 

194,471  
183,160  
196,330  
149,915  
723,876  

Weighted 
Average 
Remaining 
Contractual 
Life 

Outstanding 
Options – 
Weighted 
Average 
Exercise Price 

2.60  
2.06  
4.02  
4.82  
3.31  

 $ 

 $ 

43.39  
69.75  
86.21  
153.87  
84.55  

Exercisable 
Options – 
Number of 
Exercisable 
Options 
   163,658  
   122,565  
63,082  
5,155  
   354,460  

Exercisable 
Options – 
Weighted 
Average 
Exercise Price 

 $ 

 $ 

41.46  
67.29  
86.34  
103.31  
59.28  

57 

 
 
 
 
 
 
 
 
 
  
  
  
 
  
  
 
  
  
  
 
  
  
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
  
 
  
 
 
 
 
  
 
  
 
 
 
  
  
  
  
  
  
 
 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
The following table summarizes the status of all outstanding options at March 31, 2022, and changes during the fiscal year then 

ended: 

Options outstanding, March 31, 2021 

Granted 
Exercised 
Cancelled – forfeited 
Cancelled – expired 

Options outstanding, March 31, 2022 
Options vested and expected to vest 
Ending exercisable 

Weighted 
Average 
Exercise 
Price per 
Share 

64.28  
161.95  
55.44  
79.37  
70.98  
84.55  
82.53  
59.28  

Number of 
Options 

937,158  
130,200  
(298,570 ) 
(44,546 ) 
(366 ) 
723,876  
659,402  
354,460  

 $ 

 $ 
 $ 
 $ 

Weighted Average 
Remaining 
Contractual Life 
(Years) 

Aggregate 
Intrinsic Value 
as of March 31, 
2022 

3.31  
3.30  
2.57  

 $  62,156,642  
 $  57,717,373  
 $  38,692,989  

The  weighted  average  fair  value  of  options  granted  during  fiscal  2022,  2021  and  2020  was  $50.29,  $23.24,  and  $22.99, 
respectively.  The total intrinsic value of options exercised during fiscal years 2022, 2021 and 2020 was $27,615,000, $12,272,000, and 
$10,281,000 respectively. 

Included in the above-noted stock option grants and stock compensation expense are performance-based stock options which vest 
only upon the Company’s achievement of certain earnings per share targets on a calendar year basis, as determined by the Company’s 
Board of Directors. These options were valued in the same manner as the time-based options. However, the Company only recognizes 
stock compensation expense to the extent that the targets are determined to be probable of being achieved, which triggers the vesting of 
the performance options.   During the fiscal years ended March 31, 2022, 2021 and 2020, the Company recognized stock compensation 
expense for performance-based options in the amount of $2,280,000, $2,080,000, and $1,625,000, respectively. 

The Company received $9,906,000, $11,494,000, and $8,147,000 of cash receipts from the exercise of stock options during fiscal 
2022, 2021 and 2020, respectively.  As of March 31, 2022, $6,566,000 of total unrecognized compensation costs related to stock options 
is expected to be recognized over a weighted average period of 3 years. 

Note 4 — Property and Equipment 

Property and equipment, net consisted of the following at March 31, 2022 and 2021: 

Computer software 
Office equipment and computers 
Land, building and improvements 
Leasehold improvements 

Less: accumulated depreciation and amortization 

2022 

177,150,000  
77,380,000  
11,081,000  
18,582,000  
284,193,000  
(207,925,000 ) 
76,268,000  

 $ 

 $ 

2021 

163,829,000  
66,714,000  
11,081,000  
17,562,000  
259,186,000  
(188,567,000 ) 
70,619,000  

 $ 

 $ 

Depreciation expense totaled $23,481,000, $23,001,000 and $22,081,000 for the fiscal years ended March 31, 2022, 2021 and 

2020, respectively.  

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Note 5 — Accounts and Income Taxes Payable and Accrued Liabilities 

Accounts and income taxes payable consisted of the following at March 31, 2022 and 2021: 

Accounts payable 
Income taxes payable 

2022 
 $  14,080,000  
351,000  
 $  14,431,000  

2021 
 $  12,353,000  
1,221,000  
 $  13,574,000  

Accrued liabilities consisted of the following at March 31, 2022 and 2021: 

Payroll, payroll taxes and employee benefits 
Customer deposits 
Accrued professional service fees 
Self-insurance accruals 
Deferred revenue 
Operating lease liabilities 
Other 

2022 
 $  36,066,000  
69,781,000  
8,073,000  
2,798,000  
25,796,000  
13,348,000  
1,077,000  
 $  156,939,000  

2021 
 $  43,998,000  
56,498,000  
7,016,000  
3,704,000  
22,514,000  
12,765,000  
2,391,000  
 $  148,886,000  

Note 6 — Income Taxes 

The income tax provision consisted of the following for the fiscal years ended March 31, 2022, 2021 and 2020: 

Current — Federal 
Current — State 

Subtotal 

Deferred — Federal 
Deferred — State 

Subtotal 

2022 
 $  11,977,000  
3,823,000  
15,800,000  
1,784,000  
518,000  
2,302,000  
 $  18,102,000  

2021 
 $  16,608,000  
4,587,000  
21,195,000  
(6,809,000 )    
(1,567,000 )    
(8,376,000 )    

 $  12,819,000  

 $ 

2020 
9,212,000  
2,652,000  
11,864,000  
1,418,000  
52,000  
1,470,000  
 $  13,334,000  

The following is a reconciliation of the income tax provision from the statutory federal income tax rate to the effective rate for the 

fiscal years ended March 31, 2022, 2021 and 2020: 

Income taxes at federal statutory rate 
State income taxes, net of federal benefit 
Uncertain tax positions 
Stock-based compensation and §162(m) limitation 
Permanent items and tax credits 
Adjustments to returns as filed 
Valuation allowance 

2022 
 $  17,748,000  
3,658,000  
(222,000 )    

2021 
 $ 12,427,000  
3,102,000  
(693,000 )    
(2,697,000 )     (1,654,000 )    
(364,000 )    
192,000  
(191,000 )    

(465,000 )    
176,000  
(96,000 )    

2020 
 $  12,749,000  
2,243,000  
(263,000 ) 
(1,453,000 ) 
(179,000 ) 
110,000  
127,000  
 $  13,334,000  

 $  18,102,000  

 $ 12,819,000  

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Deferred tax assets and liabilities at March 31, 2022 and 2021 are, as follows: 

Deferred tax assets: 

Accrued liabilities not currently deductible 
Allowance for doubtful accounts 
Stock-based compensation 
Deferred lease liability 
Deferred payroll taxes 
Other 
Deferred tax assets 
Deferred tax liabilities: 

Excess of book over tax basis of fixed assets 
Intangible assets 
Right-of-use asset 
Accrued revenue 
Other 
Total deferred tax liabilities 
Valuation allowance 
Deferred tax liabilities 
Net deferred tax assets (liabilities) 

2022 

2021 

 $ 

6,277,000  
658,000  
2,090,000  
11,002,000  
1,332,000  
675,000  
22,034,000  

 $ 

7,908,000  
849,000  
2,242,000  
14,080,000  
2,693,000  
877,000  
28,649,000  

(7,313,000 ) 
(4,937,000 ) 
(8,939,000 ) 
(1,665,000 ) 
(476,000 ) 
(23,330,000 ) 
(393,000 ) 
(23,723,000 ) 
(1,689,000 ) 

(9,166,000 ) 
(4,820,000 ) 
(11,668,000 ) 
(1,526,000 ) 
(367,000 ) 
(27,547,000 ) 
(489,000 ) 
(28,036,000 ) 
613,000  

 $ 

 $ 

Prepaid income taxes are $2,367,000 at March 31, 2022.  There were no prepaid taxes at March 31, 2021.   

A reconciliation of the financial statement recognition and measurement of uncertain tax positions during the current fiscal  year 

is as follows: 

Balance as of March 31, 2021 
Additions based on tax positions related to the current year 
Additions for tax positions of prior years 
Reductions for tax positions related to the current year 
Reductions for tax positions of prior years 
Balance as of March 31, 2022 

 $ 

 $ 

418,000  
—  
—  
—  
(201,000 ) 
217,000  

The Company recognizes interest and penalties related to uncertain tax positions in income tax expense.  During the fiscal years 
ended  March 31, 2022, 2021 and  2020,  the  Company  recognized  approximately $(40,000),  $(99,000)  and $(10,000)  in  interest  and 
penalties, respectively.  As of March 31, 2022, 2021 and 2020, accrued interest and penalties related to uncertain tax positions were 
$67,000, $107,000 and $206,000, respectively. 

The  tax  fiscal  years from  2016-2021  remain  open  to  examination  by  the  major  taxing  jurisdictions  to  which  the  Company  is 

subject. 

Note 7 — Employee Stock Purchase Plan 

The Company maintains an Employee Stock Purchase Plan (as amended, “ESPP”) which allows employees of the Company and 
its subsidiaries to purchase shares of common stock on the last day of two six-month purchase periods (i.e. March 31 and September 
30) at a purchase price which is 95% of the closing sale price of shares as quoted on NASDAQ on the last day of such purchase period.  
Employees are allowed to contribute up to 20% of their gross pay. A maximum of 2,850,000 shares have been authorized for issuance 
under the ESPP. As of March 31, 2022, 2,495,935 shares had been issued pursuant to the ESPP.  Summarized ESPP information is as 
follows: 

Employee contributions 
Shares acquired 
Average purchase price 

2022 

2021 

2020 

564,000  
3,363  
167.71  

 $ 

 $ 

534,000  
6,007  
88.85  

 $ 

 $ 

505,000  
8,451  
59.70  

 $ 

 $ 

60 

 
 
 
 
 
 
 
 
 
  
 
 
  
  
  
  
  
  
  
  
  
  
  
  
 
 
  
 
 
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
 
 
 
  
  
  
  
 
 
 
 
 
 
 
 
 
 
  
  
  
 
Note 8 — Treasury Stock 

During each of the three fiscal years ended March 31, 2022, the Company continued to repurchase shares of its common stock 
under a program originally approved by the Company’s Board of Directors in 1996. Including a 1,000,000 share expansion authorized 
in May 2021 by the Company’s Board of Directors, the total number of shares of common stock authorized to be repurchased over the 
life of the program is 38,000,000 shares of common stock.  Purchases may be made from time to time depending on market conditions 
and other relevant factors. The share repurchases for the fiscal years ended March 31, 2022, 2021 and 2020 and cumulatively since 
inception of the authorization, are as follows: 

Shares repurchased 
Cost 
Average price 

2022 

566,073  
90,085,000  
159.14  

 $ 
 $ 

2021 

367,961  
32,671,000  
88.79  

 $ 
 $ 

2020 

822,353  
65,608,000  
79.78  

 $ 
 $ 

Cumulative 

37,219,625  
654,520,000  
17.59  

 $ 
 $ 

During the period subsequent to March 31, 2022, through the date of filing this annual report, the Company repurchased 88,833 
shares for $14 million, or an average of $162.06 per share.  The repurchased shares were recorded as treasury stock, at cost, and are 
available for general corporate purposes.  The repurchases were primarily financed from cash generated from operations and from cash 
proceeds from the exercise of stock options.   

Note 9 – Leases 

The Company determines if an arrangement is or contains a lease at contract inception. These lease agreements have remaining 
lease terms of 1 to 15 years. The Company recognizes a right-of-use (“ROU”) asset and a lease liability at the lease commencement 
date. The lease liability is initially measured at the present value of the unpaid lease payments as of the lease commencement date. Key 
estimates and judgments include how the Company determines (1) the discount rate it uses to discount the unpaid lease payments to 
present value, (2) the lease term, and (3) lease payments. 

ASC 842 requires a lessee to discount its unpaid lease payments using the interest rate implicit in the lease or, if that rate cannot 
be readily determined, its incremental borrowing rate. Generally, the Company cannot determine the interest rate implicit in the lease 
because it does not have access to the lessor's estimated residual value or the amount of the lessor's deferred initial direct costs. Therefore, 
the Company generally uses its incremental borrowing rate as the discount rate for the lease. The Company's incremental borrowing 
rate for a lease is the rate of interest it would have to pay on a collateralized basis to borrow an amount equal to the lease payments 
under similar terms. Because the Company does not generally borrow on a collateralized basis, it uses quoted interest rates obtained 
from financial institutions as an input to derive an appropriate incremental borrowing rate, adjusted for the amount of the lease payments, 
the lease term, and the effect on that rate of designating specific collateral with a value equal to the unpaid lease payments for that lease. 

The Company’s lease agreements may include options to extend the lease following the initial term. At the time of adopting ASC 
842, the Company determined that it was reasonably certain it would exercise the option to renew; accordingly, these options  were 
considered in determining the initial lease term. The Company elected the practical expedient of hindsight in determining the option to 
renew. The Company has since reassessed the assumption of the renewal term and determined that due to the COVID-19 pandemic, the 
Company is now expecting more of its workforce to be working from home permanently. Therefore, expecting a reduction in overall 
square footage of office space needs, the Company no longer believes it is reasonably certain it will exercise most of its options to 
renew, and therefore, has removed the renewal term of several lease obligations. The subsequent re-measurement reduced the right-of-
use asset and related lease liability on the consolidated balance sheet, but had an immaterial impact on the income statement.   

For lease agreements entered into or reassessed after the adoption of ASC 842, the Company has elected the practical expedient 
to account for the lease and non-lease components as a single lease component. Therefore, for those leases, the lease payments used to 
measure the lease liability include all of the fixed consideration in the contract.  

Variable  lease  payments  associated  with  the  Company’s  leases  are  recognized  upon  occurrence  of  the  event,  activity,  or 

circumstance in the lease agreement on which those payments are assessed.   

61 

 
 
 
 
 
 
 
 
 
 
 
  
  
  
  
 
 
 
 
Leases with an initial term of 12 months or less are not recorded on the consolidated balance sheet.  The Company recognizes 

lease expense for these leases on a straight-line basis over the lease term. 

The components of lease expenses are as follows: 

Operating lease expense 
Finance lease expense 
Short-term lease expense 
Variable lease expense 
Total lease expenses 

  March 31, 2022 
  $ 

    March 31, 2021 
  $ 

13,768,000  
98,000  
13,000  
495,000  
14,374,000  

  $ 

  $ 

15,591,000  
77,000  
174,000  
328,000  
16,170,000  

    March 31, 2020 
  $  14,992,000  
—  
323,000  
124,000  
  $  15,439,000  

The following table presents assets and liabilities recorded on the Company’s consolidated balance sheets related to its operating 

leases: 

Right-of-use asset, net 
Short-term lease liability 
Long-term lease liability 
Total lease liabilities 

Weighted average remaining lease term 
Weighted average finance lease term 
Weighted average discount rate 

  March 31, 2022 
  $ 
  $ 

35,020,000  
13,348,000  
29,792,000  
43,140,000  
4.32 years 
3.25 years 

  $ 

  March 31, 2021 
  $ 
  $ 

45,324,000  
12,765,000  
41,898,000  
54,663,000  
5.42 years 
4.25 years 

  $ 

2.6 %   

3.9 % 

Supplemental cash flow information related to operating leases for fiscal years ended March 31, 2022 and 2021 were as follows: 

Cash paid for amounts included in the measurement 
   of operating lease liabilities 
Operating lease liabilities arising from obtaining ROU assets 
Finance lease liabilities arising from obtaining ROU assets 
Reductions to ROU assets resulting from reductions to 
   operating lease liabilities 

  $ 
  $ 
  $ 

  $ 

15,001,000  
54,311,000  
358,000  

  $ 
  $ 
  $ 

15,218,000  
59,145,000  
358,000  

1,550,000  

  $ 

36,145,000  

  March 31, 2022 

    March 31, 2021 

As of March 31, 2022, maturities of operating and financing lease liabilities for each of the next five years and thereafter are as 

follows: 

2023 
2024 
2025 
2026 
2027 
Thereafter 

Total lease payments 

Less interest 

Total lease liabilities 

 $  14,165,000  
9,658,000  
7,430,000  
5,253,000  
3,629,000  
5,861,000  
45,996,000  
(2,856,000 ) 
 $  43,140,000  

As of March 31, 2022, the Company has approximately $5.7 million of additional operating lease commitments that have not yet 

commenced.  These leases commence in 2022 and have lease terms between 2 years and 5 years. 

62 

 
 
 
 
   
   
   
   
   
   
   
   
   
 
 
 
 
 
 
 
 
 
 
  
 
 
  
 
 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
  
 
Note 10 — Contingencies and Legal Proceedings 

The Company is involved in litigation arising in the ordinary course of business. Management believes that resolution of these 
matters  will  not  result  in  any  payment  that,  in  the  aggregate,  would  be  material  to  the  consolidated  financial  position  or  results  of 
operations of the Company. 

Note 11 — Retirement Savings Plan 

The Company maintains a retirement savings plan for its employees, which is a qualified plan under Section 401(k) of the Internal 
Revenue Code. Full-time employees that meet certain requirements are eligible to participate in the plan. Employer contributions are 
made annually, primarily at the discretion of the Company’s Board of Directors. Contributions of $1,088,000, $853,000 and $829,000 
were charged to operations for the fiscal years ended March 31, 2022, 2021 and 2020, respectively. 

Note 12 — Segment Reporting 

The Company derives the majority of its revenues from providing patient management and network solutions services to payors 
of  workers’  compensation  benefits,  automobile  insurance  claims  and  group  health  insurance  benefits.  Patient  management  services 
include claims administration, utilization review, medical case management, and vocational rehabilitation. Network solutions services 
include  fee  schedule  auditing,  hospital  bill  auditing,  coordination  of  independent  medical  examinations,  diagnostic  imaging  review 
services and preferred provider referral services. The percentages of revenues attributable to patient management and network solutions 
services for the fiscal years ended March 31, 2022, 2021 and 2020 are listed below. 

Patient management services 
Network solutions services 

2022 

2021 

2020 

65.6 % 
34.4 % 
100.0 % 

66.7 % 
33.3 % 
100.0 % 

65.3 % 
34.7 % 
100.0 % 

The  Company’s  management  is  structured  geographically  with  regional  vice  presidents  who  are  responsible  for  all  services 
provided by the Company in his or her particular region and responsible for the operating results of the Company in multiple states. 
These regional vice presidents have area and district managers who are also responsible for all services provided by the Company in 
their given area and district. 

Under ASC 280-10, two or more operating segments may be aggregated into a single operating segment for financial reporting 
purposes if aggregation is consistent with the objective and basic principles, if the segments have similar economic characteristics, and 
if  the  segments  are  similar  in  each  of  the  following  areas:  (i)  the  nature  of  products  and  services,  (ii)  the  nature  of  the  production 
processes, (iii) the type or class of customer for their products and services, and (iv) the methods used to distribute their products or 
provide their services. The Company believes each of the Company’s regions meet these criteria as they provide similar managed care 
services to similar customers using similar methods of production and distribution.  All of the Company’s regions perform both patient 
management and network solutions services. 

Because  the  Company  believes  it  meets  each  of  the  criteria  set  forth  above  and  each  of  the  Company’s  regions  has  similar 

economic characteristics, the Company aggregates its results of operations in one reportable operating segment. 

63 

 
 
 
 
 
 
 
 
 
  
  
  
  
  
  
 
  
  
  
 
Note 13 — Other Intangible Assets 

Other intangible assets consisted of the following at March 31, 2022: 

Item 
Covenant Not to Compete 
Customer Relationships 
Third Party Administrator  Licenses 
Total 

Life 
5 years 
  18-20 years    
15 years 

 $ 

Cost 
775,000  
7,922,000  
204,000  
 $  8,901,000  

Fiscal 2022 
Amortization 
Expense 

Accumulated 
Amortization at 
March 31, 2022 

Cost, Net of 
Accumulated 
Amortization at 
March 31, 2022 

 $ 

 $ 

—  
422,000  
13,000  
435,000  

 $ 

 $ 

775,000  
6,258,000  
199,000  
7,232,000  

 $ 

 $ 

—  
1,664,000  
5,000  
1,669,000  

Other intangible assets consisted of the following at March 31, 2021: 

Item 
Covenant Not to Compete 
Customer Relationships 
Third Party Administrator  Licenses 
Total 

Life 
5 years 
  18-20 years   
  15 years 

 $ 

 $ 

Cost 

775,000  
7,922,000  
204,000  
8,901,000  

 $ 

 $ 

Fiscal 2021 
Amortization 
Expense 

Accumulated 
Amortization at 
March 31, 2021 

Cost, Net of 
Accumulated 
Amortization at 
March 31, 2021 

—  
421,000  
14,000  
435,000  

 $ 

 $ 

775,000  
5,836,000  
186,000  
6,797,000  

 $ 

 $ 

—  
2,086,000  
18,000  
2,104,000  

Amortization expense is expected to be $427,000 in fiscal 2023, $422,000 in fiscal 2024, $384,000 in fiscal 2025, $175,000 in 

fiscal 2026, $174,000 in fiscal 2027, and $87,000 thereafter. 

Note 14 — Quarterly Results (Unaudited) 

The following is a summary of unaudited quarterly results of operations for each of the quarters in the fiscal years ended March 31, 

2022 and 2021: 

Revenues 

Gross Profit 

Net Income 

Net Income 
per Basic 
Common 
Share 

Net Income 
per Diluted 
Common 
Share 

Fiscal Year Ended March 31, 2022: 
First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 
Fiscal Year Ended March 31, 2021: 
First Quarter 
Second Quarter 
Third Quarter 
Fourth Quarter 

 $ 

 $ 

 $ 

 $ 

152,620,000  
157,743,000  
164,508,000  
171,359,000  

129,600,000  
136,028,000  
141,506,000  
145,510,000  

 $ 

 $ 

37,213,000  
36,661,000  
35,188,000  
43,052,000  

26,509,000  
30,503,000  
30,893,000  
35,719,000  

 $ 

 $ 

16,843,000  
16,072,000  
13,858,000  
19,637,000  

8,302,000  
11,865,000  
11,380,000  
14,809,000  

 $ 

 $ 

0.94  
0.90  
0.78  
1.11  

0.46  
0.66  
0.64  
0.83  

0.92  
0.88  
0.76  
1.09  

0.46  
0.65  
0.63  
0.81  

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DESCRIPTION OF SECURITIES 

EXHIBIT 4.1 

The  following  description  of  capital  stock  of  CorVel  Corporation  (the  “company,”  “we,”  “us”  and  “our”) 
summarizes certain provisions of our amended and restated certificate of incorporation and our amended and restated 
bylaws. The description is intended as a summary, and is qualified in its entirety by reference to our amended and 
restated certificate of incorporation and our amended and restated bylaws, copies of which have been filed as exhibits 
incorporated by reference to this Annual Report on Form 10-K. 

Our certificate of incorporation authorizes us to issue 120,000,000 shares of Common Stock, par value $0.0001 
per share, and 1,000,000 shares of Preferred Stock, par value $0.0001 per share, of which 200,000 shares have been 
designated as Series A Junior Participating Preferred Stock. As of March 31, 2022, there were 17,569,087 shares of 
Common Stock issued and outstanding. Holders of shares of Common Stock are entitled to one vote per share on all 
matters to be voted on by stockholders. Holders of Common Stock are entitled to receive ratably such dividends as 
may be declared by our Board of Directors in its discretion from funds legally available therefor. In the event of our 
liquidation, dissolution or winding up, holders of Common Stock are entitled to share ratably in all assets remaining 
after payment of liabilities and the payment of any liquidation preferences on any preferred stock. Holders of Common 
Stock have  no preemptive rights and have no conversion or other subscription rights. There are no redemption or 
sinking fund provisions applicable to the Common Stock. Our certificate of incorporation provides that Delaware is 
the sole and exclusive forum for certain legal actions and that the federal district courts of the United States of America 
are  the  sole  and  exclusive  forum  for  any  action  arising  under  the  Securities  Act  of  1933.  These  exclusive  forum 
provisions may have the effect of limiting a stockholder’s ability to bring a claim in a judicial forum that it finds 
favorable for disputes with us or our directors, officers, employees, or agents and could increase the cost to bring 
claims, which may discourage such lawsuits against us and such persons. 

Under our Restated Omnibus Incentive Plan (formerly the Restated 1988 Executive Stock Option Plan) (“the 
Plan”) as in effect at March 31, 2022, options exercisable for up to 20,615,000 shares of our Common Stock may be 
granted over the life of the Plan to key employees, non-employee directors, and consultants at exercise prices not less 
than the fair market value of the Common Stock on the date of grant. The exercise price is subject to proportional 
adjustment for stock splits and the like. Options granted under the Plan are non-statutory stock options and generally 
vest 25% one year from the date of grant, with the remaining 75% vesting ratably each month for the next 36 months. 
The options granted to employees and our Board of Directors expire at the end of five years and ten years from date 
of grant, respectively. As of March 31, 2022, there were 17,569,087 options outstanding. 

On  February  10,  2022,  the  Second  Amended  and  Restated  Preferred  Shares  Rights  Agreement,  dated  as  of 
November  17,  2008,  by  and  between  the  Company  and  Computershare  Trust  Company,  N.A.,  as  amended  (the 
“Shareholder Rights Plan”), and all preferred stock purchase rights distributed to holders of the Company’s common 
stock pursuant to the Shareholder Rights Plan, expired by their respective terms. Accordingly, the Shareholder Rights 
Plan is of no further force and effect.  

Our Board of Directors is authorized by our certificate of incorporation to establish classes or series of preferred 
stock  and  fix  the  designation,  powers,  preferences  and  rights  of  the  shares  of  each  such  class  or  series  and  the 
qualifications, limitations or restrictions thereof without any further vote or action by our stockholders. Any shares of 
preferred stock so issued could have priority over our common stock with respect to dividend or liquidation rights. 
Any future issuance of preferred stock may have the effect of delaying, deferring or preventing a change in our control 
without further action by our stockholders and may adversely affect the voting and other rights of the holders of our 
common stock. The issuance of shares of preferred stock, or the issuance of rights to purchase such shares, could be 
used to discourage an unsolicited acquisition proposal. For instance, the issuance of a series of preferred stock might 
impede a business combination by including class voting rights that would enable a holder to block such a transaction. 
In addition, under certain circumstances, the issuance of preferred stock could adversely affect the voting power of 
holders  of  our  common  stock.  Although  our  Board  of  Directors  is  required  to  make  any  determination  to  issue 
preferred stock based on its judgment as to the best interests of our stockholders, our Board of Directors could act in 

 
 
 
a manner that would discourage an acquisition attempt or other transaction that some, or a majority, of our stockholders 
might believe to be in their best interests or in which such stockholders might receive a premium for their stock over 
the then market price of such stock. Our Board of Directors presently does not intend to seek stockholder approval 
prior to the  issuance of currently authorized stock, unless otherwise required by law or applicable stock exchange 
rules. 

Our certificate of incorporation and bylaws contain a number of provisions that could make an acquisition of us 
by means of a tender or exchange offer, a proxy contest or otherwise more difficult. Our certificate of incorporation 
provides that any amendment to our bylaws that would increase or reduce the authorized number of directors, or that 
would change the requirements for calling meetings of our Board of Directors, must be unanimously approved by our 
Board of Directors, and any amendment to our bylaws approved by stockholders must be approved by no less than 
the affirmative vote of 66 2/3% of our outstanding shares entitled to vote. Our certificate of incorporation also provides 
that our directors may only be removed by the affirmative vote of holders of at least a majority of the shares entitled 
to vote. Our bylaws provide that special meetings of stockholders may only be called by our Chairman of the Board, 
Chief Executive Officer, Secretary or a majority of our Board of Directors. 

We are subject to the provisions of Section 203 of the Delaware General Corporation Law regulating corporate 
takeovers.  Section  203  of  the  Delaware  General  Corporation  Law  (the  “DGCL”)  provides,  in  general,  that  a 
stockholder acquiring more than 15% of the voting power of a corporation  subject to the statute (referred to in this 
prospectus as an Interested Stockholder) but less than 85% of the voting power of such corporation may not engage 
in certain business combinations (as defined in Section 203 of the DGCL) with the corporation for a period of three 
years subsequent to the date on which the stockholder became an Interested Stockholder unless (i) prior to such time 
the  corporation’s  board  of  directors  approved  either  the  business  combination  or  the  transaction  in  which  the 
stockholder became an Interested Stockholder or (ii) the business combination is approved by the corporation’s board 
of directors and authorized by a vote of at least 66 2⁄3% of the voting power of the corporation not owned by the 
Interested Stockholder. 

The  provisions  of  Delaware  law,  our  certificate  of  incorporation  and  our  bylaws  could  have  the  effect  of 
discouraging  others  from  attempting  hostile  takeovers.  These  provisions  may  also  have  the  effect  of  preventing 
changes in our management. It is possible that these provisions could make it more difficult to accomplish transactions 
that stockholders may otherwise deem to be in their best interests.  

 
 
Name of Subsidiary 

  State of Incorporation  

  Relationship to Registrant 

SUBSIDIARIES OF THE REGISTRANT 

EXHIBIT 21.1 

CorVel Health Care Organization 

  California 

CorVel Healthcare Corporation 

  California 

CorVel Enterprise Comp, Inc. of New York    New York 

CorVel Enterprise Comp, Inc. 

CorVel IME Corporation 

CareIQ, Inc. 

CorVel Ohio MCO, Inc. 

CorVel NY IPA, Inc. 

  Delaware 

  New York 

  Minnesota 

  Ohio 

  New York 

CorVel Rehabilitation Services, Inc. 

  Minnesota 

Symbeo, Inc. 

  Delaware 

CorVel Enterprise Comp, Inc. of Canada 

  Delaware 

CERiS 

  Texas 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

  wholly-owned subsidiary 

 
 
  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
CONSENT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM 

We consent to the incorporation by reference in the Registration Statements on Form S-8 (File Nos. 333-248244, 333-226825, 333-
144402, 333-58455, 333-16379, 333-107428, 333-128739, 333-94440, 333-53684, 333-48186, 333-42554, and 333-42424) and in the 
Registration Statement on Form S-3 (File No. 333-209388) of CorVel Corporation (the “Company”) of our report dated May 27, 2022, 
relating  to  the  Company’s  consolidated  financial  statements,  financial  statement  schedule  and  internal  controls  included  in  the 
Company’s Annual Report on Form 10-K for the fiscal year ended March 31, 2022. 

/s/ HASKELL & WHITE LLP 

EXHIBIT 23.1 

Irvine, California 
May 27, 2022 

 
 
Exhibit 31.1 

CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER 
UNDER SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Michael G. Combs, certify that: 

1. 

 I have reviewed this annual report on Form 10-K of CorVel Corporation; 

2. 

 Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact 
necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with 
respect to the period covered by this report; 

3. 

 Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in 
all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in 
this report; 

4. 

 The  registrant’s  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining  disclosure  controls  and 
procedures (as defined in Exchange  Act  Rules 13a-15(e) and  15d-15(e)) and internal control over financial reporting (as defined in 
Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

(a) 

 Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed 
under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made 
known to us by others within those entities, particularly during the period in which this report is being prepared; 

(b) 

 Designed such internal control over financial reporting, or caused such internal control over financial reporting to be 
designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation 
of financial statements for external purposes in accordance with generally accepted accounting principles; 

(c) 

 Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our 
conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report 
based on such evaluation; and 

(d) 

 Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred  during 
the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially 
affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and 

5. 

 The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over 
financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the 
equivalent functions): 

(a) 

 All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial 
reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial 
information; and 

(b) 

 Any fraud, whether or not material, that involves management or other employees who have a significant role in the 

registrant’s internal control over financial reporting. 

Date: May 27, 2022 

/s/ Michael G. Combs 
Michael G. Combs 
Chief Executive Officer and President 
(Principal Executive Officer) 

 
 
 
Exhibit 31.2 

CERTIFICATION OF THE CHIEF FINANCIAL OFFICER 
UNDER SECTION 302 OF THE SARBANES-OXLEY ACT OF 2002 

I, Brandon T. O’Brien, certify that: 

1. 

 I have reviewed this annual report on Form 10-K of CorVel Corporation; 

2. 

 Based on my knowledge, this report does not contain any untrue statement of a material fact or omit to state a material fact 
necessary to make the statements made, in light of the circumstances under which such statements were made, not misleading with 
respect to the period covered by this report; 

3. 

 Based on my knowledge, the financial statements, and other financial information included in this report, fairly present in 
all material respects the financial condition, results of operations and cash flows of the registrant as of, and for, the periods presented in 
this report; 

4. 

 The  registrant’s  other  certifying  officer  and  I  are  responsible  for  establishing  and  maintaining  disclosure  controls  and 
procedures (as defined in Exchange  Act  Rules 13a-15(e) and  15d-15(e)) and internal control over financial reporting (as defined in 
Exchange Act Rules 13a-15(f) and 15d-15(f)) for the registrant and have: 

(a) 

 Designed such disclosure controls and procedures, or caused such disclosure controls and procedures to be designed 
under our supervision, to ensure that material information relating to the registrant, including its consolidated subsidiaries, is made 
known to us by others within those entities, particularly during the period in which this report is being prepared; 

(b) 

 Designed such internal control over financial reporting, or caused such internal control over financial reporting to be 
designed under our supervision, to provide reasonable assurance regarding the reliability of financial reporting and the preparation 
of financial statements for external purposes in accordance with generally accepted accounting principles; 

(c) 

 Evaluated the effectiveness of the registrant’s disclosure controls and procedures and presented in this report our 
conclusions about the effectiveness of the disclosure controls and procedures, as of the end of the period covered by this report 
based on such evaluation; and 

(d) 

 Disclosed in this report any change in the registrant’s internal control over financial reporting that occurred  during 
the registrant’s most recent fiscal quarter (the registrant’s fourth fiscal quarter in the case of an annual report) that has materially 
affected, or is reasonably likely to materially affect, the registrant’s internal control over financial reporting; and 

5. 

 The registrant’s other certifying officer and I have disclosed, based on our most recent evaluation of internal control over 
financial reporting, to the registrant’s auditors and the audit committee of the registrant’s board of directors (or persons performing the 
equivalent functions): 

(a) 

 All  significant  deficiencies  and  material  weaknesses  in  the  design  or  operation  of  internal  control  over  financial 
reporting which are reasonably likely to adversely affect the registrant’s ability to record, process, summarize and report financial 
information; and 

(b) 

 Any fraud, whether or not material, that involves management or other employees who have a significant role in the 

registrant’s internal control over financial reporting. 

Date: May 27, 2022 

/s/ Brandon T. O’Brien 
Brandon T. O’Brien 
Chief Financial Officer  
(Principal Financial Officer) 

 
 
 
CERTIFICATION OF THE CHIEF EXECUTIVE OFFICER 
UNDER SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 32.1 

In connection with the Annual Report of CorVel Corporation (the “Registrant”) on Form 10-K for the fiscal year ended March 31, 
2022, as filed with the Securities and Exchange Commission on the date hereof (the “Annual Report”), I, Michael G. Combs, Chief 
Executive Officer and President of the Registrant, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of 
the Sarbanes-Oxley Act of 2002, that to my knowledge: 

(1) the Annual Report fully complies with the requirements of Section 13(a) or 15 (d) of the Securities Exchange Act of 1934; 

and  

(2) the information contained in the Annual Report fairly presents, in all material respects, the financial condition and results of 

operations of the Registrant.  

/s/ Michael G. Combs 
Michael G. Combs 
Chief Executive Officer and President 
(Principal Executive Officer) 
May 27, 2022 

A signed original of this written statement required by Section 906, or other document authenticating, acknowledging, or otherwise 
adopting the signature that appears in typed form within the electronic version of this written statement required by Section 906, has 
been  provided  to  CorVel  Corporation  and  will  be  retained  by  CorVel  Corporation  and  furnished  to  the  Securities  and  Exchange 
Commission or its staff upon request. 

This  certification  accompanies  this  Annual  Report  and  is  being  furnished  pursuant  to  Item  601(b)(32)  of  Regulation  S-K 
promulgated under the Securities Act of 1933, as amended (the “Securities Act”) and the Securities Exchange Act of 1934, as amended 
(the “Exchange Act”), and pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. This certification shall not, except to the extent 
required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Registrant for purposes of Section 18 of the Securities Exchange 
Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, or incorporated by reference into any 
filing under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific incorporation by reference in such 
a filing. 

 
 
 
CERTIFICATION OF THE CHIEF FINANCIAL OFFICER 
UNDER SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002 

Exhibit 32.2 

In connection with the Annual Report of CorVel Corporation (the “Registrant”) on Form 10-K for the fiscal year ended March 31, 
2022, as filed with the Securities and Exchange Commission on the date hereof (the “Annual Report”), I, Brandon T. O’Brien, Chief 
Financial Officer of the Registrant, certify, pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-
Oxley Act of 2002, that to my knowledge: 

(1) the Annual Report fully complies with the requirements of Section 13(a) or 15 (d) of the Securities Exchange Act of 1934; 

and  

(2) the information contained in the Annual Report fairly presents, in all material respects, the financial condition and results of 

operations of the Registrant.  

/s/ Brandon T. O’Brien 
Brandon T. O’Brien 
Chief Financial Officer  
(Principal Financial Officer) 
May 27, 2022 

A signed original of this written statement required by Section 906, or other document authenticating, acknowledging, or otherwise 
adopting the signature that appears in typed form within the electronic version of this written statement required by Section 906, has 
been  provided  to  CorVel  Corporation  and  will  be  retained  by  CorVel  Corporation  and  furnished  to  the  Securities  and  Exchange 
Commission or its staff upon request. 

This  certification  accompanies  this  Annual  Report  and  is  being  furnished  pursuant  to  Item  601(b)(32)  of  Regulation  S-K 
promulgated under the Securities Act of 1933, as amended (the “Securities Act”) and the Securities Exchange Act of 1934, as amended 
(the “Exchange Act”), and pursuant to Section 906 of the Sarbanes-Oxley Act of 2002. This certification shall not, except to the extent 
required by the Sarbanes-Oxley Act of 2002, be deemed filed by the Registrant for purposes of Section 18 of the Securities Exchange 
Act of 1934, as amended (the “Exchange Act”), or otherwise subject to the liability of that section, or incorporated by reference into any 
filing under the Securities Act or the Exchange Act, except as shall be expressly set forth by specific incorporation by reference in such 
a filing. 

 
 
 
 
Corporate Address

Independent Auditors

Investor Relations

CorVel Corporation

5128 Apache Plume Road

Suite 400

Fort Worth, Texas 76109

Telephone: 888.7.CORVEL

Haskell & White LLP

Irvine, California

Stock Symbol

CorVel Corporation

1920 Main Street

Suite 900

Irvine, California 92614

Transfer Agent and Registrar

Computershare Investor Services

Canton, Massachusetts

Counsel

The common stock of CorVel Corporation 

Telephone: 888.7.CORVEL

is traded on the NASDAQ Global Select 

Market under the stock symbol CRVL.

corvel.com/investors/annual-reports 

Form 10K

CorVel Corporation Annual Report on Form 

10K filed with the Securities and Exchange 

Stradling Yocca Carlson & Rauth, P.C.

Commission may be obtained without 

Newport Beach, California

charge by contacting Investor Relations.