Medical Information Technology

Washington, D.C. 20549



(Commission file number)

Medical Information Technology, Inc.
(Exact Name of Registrant as Specified in Its Charter)

(State of Incorporation)

(IRS Employer Identification Number)

Meditech Circle, Westwood, MA
(Address of Principal Executive Offices)

(Zip Code)

(Registrant's Telephone Number)

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

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 during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes [X] 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 [ ] Accelerated filer [ ] Non-accelerated filer [X] Smaller reporting company [ ] Emerging growth company [ ]

Page 1 of 12

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

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

No public trading market exists for the registrant's common stock. There were 37,190,854 shares of common stock, $1.00 par value, outstanding at March 31, 2020.

Index to Form 10-QPage

Part I - Financial Information 
   Item 1 - Financial Statements (Unaudited) 
      Balance Sheets - December 31, 2019 and March 31, 20203
      Statements of Income - Three Months Ended on March 31, 2019 and 20204
      Statements of Shareholder Equity - Three Months Ended on March 31, 2019 and 20204
      Statements of Cash Flow - Three Months Ended on March 31, 2019 and 20205
      Notes to Financial Statements6
   Item 2 - Management's Discussion and Analysis of Operating Results and 
      Financial Condition10
   Item 3 - Quantitative and Qualitative Disclosures About Market Risk11
   Item 4 - Controls and Procedures11
Part II - Other Information 
   Item 1 - Legal Proceedings11
   Item 1A - Risk Factors11
   Item 2 - Unregistered Sales of Equity Securities and Use of Proceeds11
   Item 3 - Defaults Upon Senior Securities12
   Item 4 - Mine Safety Disclosures12
   Item 5 - Other Information12
   Item 6 - Exhibits12

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Part I - Financial Information

Item 1 - Financial Statements (Unaudited)

Balance Sheets
December 31, 2019 and March 31, 2020

 Dec 31, 2019Mar 31, 2020

Cash and equivalents$14,997,613$22,890,472
Marketable securities421,554,499336,356,855
Trade receivables, net of reserve36,575,02841,239,997
Contract assets, prepaid and other14,223,03720,055,945

  Current assets487,350,177420,543,269
Computer equipment13,339,42514,251,552
Furniture and fixtures76,135,67576,256,707
Accumulated depreciation(138,527,057)(141,657,470)

  Fixed assets167,771,137165,673,883
Other assets7,193,9987,174,387
Deferred tax assets7,160,0377,205,150

  Total assets$669,475,349$600,596,689

Accounts payable$211,391$702,269
Taxes payable3,111,8784,995,831
Accrued expenses24,327,70919,510,726
Deferred revenue39,711,20738,317,161

  Current liabilities67,362,18563,525,987
Deferred tax liabilities26,951,4748,914,306
Tax reserves17,411,28216,963,034

  Total liabilities111,724,94189,403,327
Common stock, $1.00 par value, authorized  
  40,000,000 shares, issued and outstanding  
  37,190,854 shares in 2019 and 202037,190,85437,190,854
Additional paid-in capital122,907,959122,907,959
Retained income397,651,595351,094,549

  Shareholder equity557,750,408511,193,362

  Total liabilities and shareholder equity$669,475,349$600,596,689

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Statements of Income
Three Months Ended on March 31, 2019 and 2020

 3 monthsended on
 Mar 31, 2019Mar 31, 2020

Product revenue$32,905,479$58,136,197
Service revenue82,454,23284,637,064

  Total revenue115,359,711142,773,261
Operations, development84,571,39485,695,489
Selling, G & A20,181,35925,692,443

  Operating expense104,752,753111,387,932

  Operating income10,606,95831,385,329
Other income5,545,8735,411,201
Change in unrealized securities gains28,573,418(75,197,644)
Other expense1,801,347896,054

  Pre-tax income (loss)42,924,902(39,297,168)
State income tax (benefit)(360,000)(1,759,000)
Federal income tax (benefit)7,137,000(11,808,000)

  Income tax (benefit)6,777,000(13,567,000)

  Net income (loss)$36,147,902($25,730,168)

Statements of Shareholder Equity
Three Months Ended on March 31, 2019 and 2020

 3 monthsended on
 Mar 31, 2019Mar 31, 2020

Shareholder equity at beginning$460,900,728$557,750,408
Net income (loss)36,147,902(25,730,168)
Dividends paid(20,826,878)(20,826,878)

  Shareholder equity at end$476,221,752$511,193,362

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Statements of Cash Flow
Three Months Ended on March 31, 2019 and 2020

 3 monthsended on
 Mar 31, 2019Mar 31, 2020

Net income (loss)$36,147,902($25,730,168)
Depreciation and amortization expense3,682,4343,130,413
Gain on sale of marketable securities(1,059,617)--
Loss on sale of fixed assets532,297--
Change in marketable securities(28,573,418)75,197,644
Change in trade receivables, net of reserve359,923(4,664,969)
Change in contract assets, prepaid and other(1,657,502)(5,832,908)
Change in deferred tax assets(503,141)(45,113)
Change in accounts payable(340,887)490,878
Change in taxes payable1,190,6361,883,953
Change in accrued expenses(6,762,717)(4,816,983)
Change in deferred revenue263,454(1,394,046)
Change in deferred tax liabilities5,863,584(18,037,168)
Change in tax reserves(1,234,157)(448,248)

  Net cash from operations7,908,79119,733,285
Purchases of marketable securities(9,674,364)--
Sales of marketable securities9,305,61710,000,000
Purchases of fixed assets(2,178,555)(1,033,159)
Sales of fixed assets6,711,896--
Change in other assets102,57219,611

  Net cash from investing4,267,1668,986,452
Dividends paid(20,826,878)(20,826,878)

  Net cash used in financing(20,826,878)(20,826,878)

Net change in cash and equivalents(8,650,921)7,892,859
Cash and equivalents at beginning23,095,97714,997,613

  Cash and equivalents at end$14,445,056$22,890,472

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Notes To Financial Statements

Note 1. Significant Accounting Policies

The unaudited financial statements presented herein have been prepared in accordance with the instructions to Form 10-Q and do not include all of the information and note disclosures required by generally accepted accounting principles. These statements should be read in conjunction with the financial statements and notes thereto for the year ended December 31, 2019 included in MEDITECH's Form 10-K filed on January 31, 2020. The unaudited financial statements presented herein have not been audited by our Independent Registered Public Accounting Firm in accordance with the standards of the Public Company Accounting Oversight Board (United States), but in the opinion of management such financial statements include all normal recurring adjustments necessary to present fairly MEDITECH's financial position, operating results and cash flow.

Note 2. Marketable Securities

MEDITECH follows the provisions of ASC 321, Investments - Equity Securities, which requires marketable securities recorded at fair value and the unrealized change in marketable securities recorded within the income statement.

MEDITECH follows the provisions of ASC 820-10, Fair Value Measurements and Disclosures, which provides for expanded disclosure and guidelines to determine fair value of assets and liabilities. ASC 820-10 applies whenever other standards require or permit assets and liabilities to be measured at fair value, but does not expand the use of fair value in any new circumstances. MEDITECH's marketable securities represent assets measured at fair value on a recurring basis, and are considered Level 1 assets as defined by ASC 820-10.

The following table indicates the original cost, unrealized pretax gains and losses, and fair market value of MEDITECH's securities.

 Dec 31, 2019Mar 31, 2020

Original cost$309,435,273$299,435,273
Unrealized pretax gains113,038,40661,328,045
Unrealized pretax losses(919,180)(24,406,463)

Fair market value$421,554,499$336,356,855

During the first quarter of 2020, the fair value of the Company's investment portfolio decreased as a result of significant declines felt throughout the US stock market with the outbreak of the COVID-19 pandemic. The impact of continued volatility is uncertain.

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Note 3. Equity Method Investments

MEDITECH follows the provisions of ASC 323-10, Investments - Equity Method and Joint Ventures, and as such, accounts for the equity investment in Meditech South Africa in accordance with the cost method. Meditech South Africa licenses MEDITECH's software technology and re-licenses it to its respective customers. Meditech South Africa serves a market niche which is part of the overall medical market but is outside of the health care market which MEDITECH serves. MEDITECH believes the fair value of this investment approximates its March 31, 2020 carrying value.

During the 2nd quarter 2007 MEDITECH acquired Patient Care Technologies, Inc. (PtCT), a company engaged in the development, manufacture, licensing and support of computer software products for the home health care market. MEDITECH accounted for this acquisition under the purchase method of accounting in accordance with ASC 805-10, Business Combinations. PtCT merged with and into MEDITECH effective December 31, 2009.

During the 1st quarter 2011 MEDITECH acquired LSS Data Systems, Inc. (LSS), a company engaged in the development, manufacture, licensing and support of ambulatory information system software for physician practices. MEDITECH accounted for this acquisition under the purchase method of accounting in accordance with ASC 805-10, Business Combinations. LSS merged with and into MEDITECH effective December 31, 2013.

MEDITECH follows the provisions of ASC 350-20-35 Intangibles, Goodwill and Other. MEDITECH annually assesses qualitative factors of its goodwill assets for impairment to determine whether it is more likely than not that the fair value of a reporting unit is less than its carrying amount. The evaluation assesses all relevant economic, industry, regulatory, and legal facts and circumstances as well as overall performance. If, after assessing the totality of such facts and circumstances, MEDITECH determines that it is more likely than not that the fair value of a reporting unit is not less than its carrying amount, then no further goodwill impairment testing is necessary.

Note 4. Revenue Recognition

MEDITECH follows the provisions of ASC 606, Revenue from Contracts with Customers. MEDITECH enters into perpetual software license contracts which provide for a customer deposit upon contract execution, milestone billings during the implementation phase and fixed monthly support fees thereafter.

MEDITECH considers software fees and related implementation fees together as a single performance obligation and classifies it as product revenue in the statement of income. Such revenue is recognized over time with the transfer of promised goods and services to the customer. MEDITECH considers post-implementation support fees as a separate performance obligation and classifies it as service revenue in the statement of income. Such revenue is recognized over time as the related services are rendered.

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MEDITECH identifies the performance obligations for each contract, determines the transaction price, allocates the price to the performance obligations, and recognizes revenue when (or as) a performance obligation is satisfied on the percent completion method based on completion of specific events. The primary factors taken into consideration involve tracking and measuring the progress of events needed to complete software delivery, training on software usage, interfacing the software with other vendor software, and bringing the software operational at the customer's site. Events identified are estimated at the outset of a contract and the transaction price is allocated equally over said events. Annual studies are conducted on the events required to complete contracted performance obligations and to verify the validity of total events required. Variable consideration is reviewed at the outset of a contract and if present, included in the percentage completion allocation.

At March 31, 2020, outstanding performance obligations amounted to $193.0 million, with revenue to be recognized over the next 12-36 months as MEDITECH works with respective customers to schedule the corresponding software delivery and implementation events.

MEDITECH's invoices are issued as per contract terms and are typically paid by customers within one month of invoice date. Differences between timing of MEDITECH's invoicing and timing of completed performance obligations are categorized as Deferred Revenues and Contract Assets. Deferred Revenues represent invoices rendered in advance of revenue recognition. Contract Assets represent revenue recognized for which invoices have not yet been rendered.

Deferred product revenue was $29.0 million and $30.3 million at December 31, 2019 and March 31, 2020 respectively. During the quarter a total of $8.4 million was removed and recognized as revenue when specific events were completed. Also, Contract Assets were $8.6 million and $13.5 million at December 31, 2019 and March 31, 2020 respectively.

Note 5. Leases

MEDITECH follows the provisions of ASC 842, Leases, which requires improved disclosure on timing and uncertainties of cash flow arising from leases. MEDITECH owns all 8 facilities it occupies, containing 1.1 million square feet of office space. MEDITECH occupies 87% of the space and the remainder is leased to various tenants. All are operating leases. There have been no material changes from the leasing arrangements as discussed in the Company's 2019 financial statements.

Lease income was $2.0 million and $1.1 million for the 3 months ended on March 31, 2019 and March 31, 2020 respectively. Such income is included within Other Income for financial reporting purpose. Cash Flow projections through the end of all outstanding lease terms for properties currently under lease commitment at March 31, 2020 is as follows:

YearCash Flow


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Investments in Operating leases are as follows at March 31, 2020:

Building and Office Space, at cost$28,951,486
Lease Origination Costs170,496
Accumulated Depreciation(9,537,161)

  Net Investment in Operating Leases$19,584,821

Note 6. Income Tax Accounting

MEDITECH follows the provisions of ASC 740-10, Accounting for Income Taxes. Deferred taxes relate to the earlier recognition of certain revenue and the later recognition of certain expenses for tax purposes. They also relate to the increase in fair market value over the cost basis of marketable securities. Tax reserves relate to the uncertainty of state nexus. Key judgments are reviewed annually and adjusted to reflect current assessments. The years 2017 through 2019 are subject to examination by the IRS, and various years are subject to examination by state tax authorities.

Note 7. Earnings Per Share

MEDITECH follows the provisions of ASC 260-10, Earnings per Share, which requires reporting both basic and diluted earnings per share. MEDITECH has no common share equivalents such as preferred stock, warrants or stock options which would dilute earnings per share. Thus, earnings per share is computed by dividing net income by the weighted average number of common shares outstanding during the applicable period.

 3 monthsended on
 Mar 31, 2019Mar 31, 2020

Net income (loss)$36,147,902($25,730,168)
Average number of shares37,190,85437,190,854
Earnings {loss) per share$0.97($0.69)

Note 8. Segment Reporting

MEDITECH follows the provisions of ASC 280-10, Segment Reporting. Based on the criteria set forth in ASC 280-10, MEDITECH currently operates in one operating segment, medical software and services. MEDITECH derives most of its operating revenue from the sale and support of one group of similar products and services. All of MEDITECH's assets are located within the United States. The following table indicates the operating revenue percentage based on location of customer.

 3 monthsended on
 Mar 31, 2019Mar 31, 2020

United States88%88%
All others2%1%

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Item 2 - Management's Discussion and Analysis of Operating Results and Financial Condition

Operating3 monthsended onPercent
ResultsMar 31, 2019Mar 31, 2020Change

Total revenue$115,359,711$142,773,26123.8%
Operating income10,606,95831,385,329195.9%
Net income (loss)36,147,902(25,730,167) 
Average number of shares37,190,85437,190,854--
Earnings (loss) per share$0.97($0.69) 
Cash dividends per share$0.56$0.56--

Product revenue increased by $25.2 million or 76.7% due primarily to a larger backlog and more implementations, including $16.5 million not recognized upon product installation in 2019, but collection of which deemed probable in 2020. Service revenue increased by $2.2 million or 2.6% due primarily to more customers going live. The resultant total revenue increased by $27.4 million.

Operating expense increased by $6.6 million or 6.3% due primarily to increased staff related expenses. The resultant operating income increased by $20.8 million.

Other income decreased by a nominal amount. Unrealized marketable securities gains changed from a $28.6 million increase to a $75.2 million decrease due to stock market declines initiated by the COVID-19 pandemic. Other expenses decreased by $0.9 million. The resultant pre-tax income of $42.9 million changed to a resultant pre-tax loss of $39.3 million.

MEDITECH's effective tax rate of 12.8% changed to an effective tax benefit of (34.5%) due primarily to a decrease in unrealized marketable securities gains. Net income of $36.1 million changed to a net loss of ($25.7) million also due primarily to a decrease in unrealized marketable securities gains.

Financial ConditionDec 31, 2019Mar 31, 2020

Working capital$419,987,992$357,017,282
Total assets669,475,349600,596,689
Total liabilities111,724,94189,403,327
Shareholder equity557,750,408511,193,362
Outstanding number of shares37,190,85437,190,854
Shareholder equity per share$15.00$13.75

Accrued expenses decreased by $4.8 million during the period due primarily to the payment of $15.0 million in bonuses applicable to 2019 offset by the accrual of $10.4 million in bonus expenses applicable to 2020. The self-insured health insurance expense portion decreased $0.5 million during the period reflecting the timing difference of claims billings for payment.

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At March 31, 2020 MEDITECH's cash, cash equivalents and marketable securities totaled $359.2 million. Marketable securities consisted of preferred and common equities. For the first three months of 2020 cash flow from operations was $19.7 million, cash flow from investing was $9.0 million and cash flow used in financing was $20.8 million. The $20.8 million dividend payment to shareholders was the primary use of cash generated by operating and investing activities during the period. MEDITECH has no long-term debt. Shareholder equity at March 31, 2020 was $511.2 million.

The major effect of the COVID-19 pandemic on MEDITECH's first quarter performance was the decline in value of its marketable securities and the decline in new product bookings. MEDITECH quickly transitioned its staff to working at home and adapted from live to virtual customer service and product implementation. Management believes there are sufficient funds for all current operating requirements, but uncertainty in future sales, staff productivity and trade receivables could have a substantial impact on business.

Item 3 - Quantitative and Qualitative Disclosures About Market Risk

There have been no material changes from the market risk disclosed in MEDITECH's Annual Report on Form 10-K for the year ended December 31, 2019.

Item 4 - Controls and Procedures

An evaluation was conducted under the supervision and with the participation of MEDITECH's management, including the Chief Executive Officer and Chief Financial Officer, on the effectiveness of MEDITECH's disclosure controls and procedures (as defined in Rules 13a-15(e) and 15d-15(e) under the Securities Exchange Act of 1934) as of the end of the period covered by this report. Based on this evaluation, the Chief Executive Officer and Chief Financial Officer have concluded MEDITECH's disclosure controls and procedures are effective at March 31, 2020 to ensure information requiring disclosure by MEDITECH in reports which it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms. There were no changes in MEDITECH's internal control over financial reporting occurring during the fiscal quarter covered by this report which have materially affected or are reasonably likely to materially affect MEDITECH's internal control over financial reporting.

Part II - Other Information

Item 1 - Legal Proceedings


Item 1A - Risk Factors

The impact of the COVID-19 pandemic on the healthcare industry is a significant unknown. Change in medical procedures and processes will reverberate throughout the industry and could adversely affect our ability to procure new business and maintain operations as done today.

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

MEDITECH did not repurchase any of its shares of common stock during the 1st quarter of 2020. However, during the 1st quarter the Medical Information Technology, Inc. Profit Sharing Trust purchased MEDITECH's common stock in individual private transactions 16,940 shares in February at $44 per share and 13,315 shares in March at $44 per share for a total of $1,331,220.

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Item 3 - Defaults Upon Senior Securities


Item 4 - Mine Safety Disclosures

Not applicable.

Item 5 - Other Information

On March 27, 2020 the Annual Meeting of Shareholders was postponed from April 27, 2020 to a later date due to the COVID-19 pandemic. The current Board of Directors, consisting of A. Neil Pappalardo, Lawrence A. Polimeno, Howard Messing, Barbara A. Manzolillo, Stuart N. Lefthes and Edward B. Roberts, continue to serve until their successors are chosen and qualified.

Item 6 - Exhibits

Exhibit 3.1: MEDITECH's Articles of Organization, as amended to date, are incorporated by reference to an exhibit to the quarterly report on Form 10-Q for the quarter ended March 31, 2007. Exhibit 3.2: MEDITECH's By-Laws, as amended to date, are incorporated by reference to an exhibit to the current report on Form 8-K filed on July 2, 2010.

Exhibit 31: Rule 13a-14(a) Certifications, Exhibit 32: Section 1350 Certifications and Exhibit 101: Interactive Data Files are appended to this report.


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

Medical Information Technology, Inc.

April 30, 2020

Howard Messing, Chief Executive Officer

Barbara A. Manzolillo, Chief Financial Officer and Treasurer

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