Merge Healthcare Reports Continued Revenue Growth

October 29, 2009 8:00 AM EDT

MILWAUKEE--(BUSINESS WIRE)-- Merge Healthcare Incorporated (NASDAQ: MRGE), a health IT solutions provider, today announced financial results for the third quarter of 2009.

"Our focus on the integration of our two acquisitions in the third quarter has driven a financial performance that exceeded our expectations," said Justin Dearborn CEO. "We are excited about the improvement we continue to see in sales pipeline activity and customer bookings since these acquisitions closed. We expect that a continuation of this should lead to GAAP net income for the acquired entities beginning in the fourth quarter of 2009."

"We have managed the business through a down cycle in the economy and depressed spending in our customer base. We are encouraged at the improvement starting to be felt in both."

Mr. Dearborn further noted that the acquisitions of etrials Worldwide, Inc. ("etrials", formerly NASDAQ: ETWC) and Confirma, Inc. ("Confirma"):

    --  Increase Merge's addressable market;
    --  Create organic growth opportunities through improved cross-selling
        activity; and
    --  Are expected to be accretive in 2010.

Quarter Results:

Results compared to the same quarter in the prior year, as well as the prior quarter are as follows (in millions):


                                   Q3 2009      Q3 2008    Q2 2009

Net sales                          $ 16.9       $ 14.6     $ 15.4

Operating income (loss)              (0.2  )      1.3        4.1

Net income (loss)                    (0.9  )      0.4        0.4

EBITDA*                              1.9          3.1        2.8

Adjusted EBITDA*                     4.8          2.9        6.3

Earnings (loss) per diluted share  $ (0.02 )    $ 0.01     $ 0.01

Adjusted EBITDA per share*         $ 0.08       $ 0.05     $ 0.11



The third quarter of 2009 includes the results of etrials since July 20, 2009, and the results of Confirma since September 1, 2009, which are the respective dates we completed these two acquisitions. These results do not include $0.6 million in revenue that could not be recognized under GAAP due to the purchase accounting treatment related to the acquired entities. The impact on revenue due to purchase accounting treatment is anticipated to be $1.0 million in the fourth quarter of 2009 and $1.3 million for the full year 2010.

In the third quarter of 2009, the cash balance decreased by $3.1 million to $16.9 million at September 30, 2009. Cash generated from operating activities was $1.1 million, which was offset by $5.1 million of net cash paid for the two strategic acquisitions.

Year-to-Date Results:

Merge's financial results for the nine months ended September 30, 2009, compared to the nine months ended September 30, 2008 are as follows (in millions):


                                     2009      2008

Net sales                          $ 47.6    $ 41.7

Operating income (loss)              7.5       (25.4 )

Net income (loss)                    2.4       (25.6 )

EBITDA*                              10.0      (17.9 )

Adjusted EBITDA*                     16.3      (6.1  )

Earnings (loss) per diluted share  $ 0.04    $ (0.59 )

Adjusted EBITDA per share*         $ 0.27    $ (0.14 )



Conference Call Information:

Merge will hold a public web cast today at 9:00 AM EDT to review these financial results and to provide an update on business operations and strategy. Immediately following, there will be a question and answer session.

Investors will have the opportunity to listen to the conference call via telephone or over the Internet at Merge Healthcare Web Cast. To access the call, dial 1.800.221.2015 or 706.634.2159. The Conference ID Number to reference is 35849235. A replay via the Internet or telephone will be available shortly after the call at http://www.merge.com/investor/conferencecall.asp.

Merge Healthcare develops software solutions that automate healthcare data and diagnostic workflow to create a more comprehensive electronic record of the patient experience. Merge products, ranging from standards-based development toolkits to fully integrated clinical applications, have been used by healthcare providers worldwide for over 20 years. Additional information can be found at www.merge.com.

* Non-GAAP Measures

The non-GAAP measures EBITDA and adjusted EBITDA shown in this release exclude impairment of investments, sale of non-core patents, acquisition related costs, acquisition related severance (not qualifying for restructuring cost) and restructuring, tradename impairment and other costs and expenses. Reconciliations of these non-GAAP measures to the most directly comparable GAAP measures are included after the financial information included in this press release. These measures are not in accordance with, or an alternative for, GAAP and may be different from non-GAAP measures used by other companies. Management believes that the presentation of non-GAAP results, when shown in conjunction with corresponding GAAP measures, provides useful information to management and investors regarding financial and business trends related to our results of operations. Further, management believes that these non-GAAP measures improve management's and investors' ability to compare Merge's financial performance with other companies in the technology industry. Because certain charges, costs and expenses reflect events that are not essential to our recurring business operations, it is useful to compare results excluding these amounts. Management also uses financial statements that exclude these charges costs and expenses for its internal budgets and EBITDA is a measure used in a debt covenant in our credit facility. While GAAP results are more complete, we offer investors these supplemental metrics since, with reconciliations to GAAP, they may provide greater insight into our financial results. Management does not intend the presentation of these non-GAAP financial measures to be considered in isolation or as a substitute for results prepared in accordance with GAAP. These non-GAAP financial measures should be read only in conjunction with the consolidated financial statements prepared in accordance with GAAP.

Forward Looking Statements:

Information included in this news release may contain forward-looking statements, concerning, among other things, Merge's outlook, financial projections and business strategies, all of which are subject to risks, uncertainties and assumptions. These forward-looking statements are identified by their use of terms such as "intend," "plan," "may," "should," "will," "anticipate," "believe," "could," "estimate," "expect," "continue," "potential," "opportunity," "project" and similar terms. These statements are based on certain assumptions and analyses that Merge believes are appropriate under the circumstances. Should one or more of these risks or uncertainties materialize, or should the assumptions prove incorrect, actual results may differ materially from those expected, estimated or projected. Merge can not guarantee that it will achieve these plans, intentions or expectations. Forward-looking statements speak only as of the date they are made, and Merge undertakes no obligation to publicly update or revise any of them in light of new information, future events or otherwise, except as required by law. Factors that could have a material adverse effect on operations and future prospects of Merge include, but are not limited to: market acceptance and performance of Merge's products and services; the impact of competitive products and pricing; the risks and effects of its recent securities issues; the past restatement of our financial statements; the amount of the costs, fees, expenses and charges related to the acquisition of etrials Worldwide, Inc. ("etrials"), Confirma, Inc. ("Confirma") and other non-material acquisitions; the ability of Merge Healthcare to integrate its acquisitions, such as etrials and Confirma, successfully; whether the acquisitions will result in the enhancement of value and benefits to customers and to Merge Healthcare's, etrials' and Confirma's stockholders; general economic and business conditions; global economic growth and activity; industry conditions; and changes in laws or regulations, including but not limited to U.S. health care reform; our ability to generate sufficient cash from operations to meet future operating, financing and capital requirements, including repayment obligations with respect to our outstanding indebtedness; risks associated with our prior delays in filings with the SEC or our ability to continue to meet the listing requirements of The NASDAQ Stock Market; the costs, risks and effects of various pending legal proceedings and investigations, including the formal investigation being conducted by the Securities and Exchange Commission; and other risk factors detailed in our filings with the Securities and Exchange Commission. These uncertainties and risks may cause our actual future results to be materially different than those expressed in our forward-looking statements. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date the statement was made. We undertake no obligation to update such forward-looking statements or any of such risks, uncertainties and other factors, except as required by law.


MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES

CONDENSED CONSOLIDATED BALANCE SHEETS

(in thousands)

(unaudited)

                                                   September 30,  December 31,

                                                   2009           2008

Current assets:

Cash (including restricted cash)                   $ 16,883       $ 17,848

Accounts receivable, net                             15,714         12,779

Inventory                                            377            550

Prepaid expenses                                     1,965          1,509

Deferred income taxes                                217            217

Other current assets                                 3,002          721

Total current assets                                 38,158         33,624

Property and equipment, net                          3,405          1,974

Purchased and developed software, net                13,978         5,653

Customer relationships and trade names, net          7,738          2,291

Goodwill                                             25,145         -

Deferred tax assets                                  4,585          4,585

Investments                                          528            5,690

Other                                                326            920

Total assets                                       $ 93,863       $ 54,737

Current liabilities:

Accounts payable                                   $ 5,957        $ 4,036

Accrued wages                                        1,933          1,590

Restructuring accrual                                1,582          1,173

Deferred revenue                                     14,895         16,150

Note payable                                         14,623         -

Current portion of capital lease obligations         188            -

Other accrued liabilities                            2,669          2,421

Total current liabilities                            41,847         25,370

Note payable                                         -              14,230

Capital lease obligations, net of current portion    94             -

Deferred income taxes                                39             39

Deferred revenue                                     1,622          644

Income taxes payable                                 5,461          5,418

Other                                                227            195

Total liabilities                                    49,290         45,896

Total shareholders' equity                           44,573         8,841

Total liabilities and shareholders' equity         $ 93,863       $ 54,737




MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS

(in thousands, except per share data)

(unaudited)

                     Three Months Ended               Nine Months Ended

                     September 30,                    September 30,

                     2009            2008             2009            2008

Net sales

Software and other   $ 7,755         $ 7,398          $ 25,459        $ 19,733

Services and           9,152           7,218            22,110          21,941
maintenance

Total net sales        16,907          14,616           47,569          41,674

Cost of sales

Software and other     600             1,314            2,710           3,842

Services and           3,402           2,528            7,925           9,471
maintenance

Depreciation and       899             742              2,172           2,174
amortization

Total cost of sales    4,901           4,584            12,807          15,487

Gross margin           12,006          10,032           34,762          26,187

Operating costs and
expenses:

Sales and marketing    2,470           1,824            5,968           7,497

Product research       2,689           2,931            7,503           11,151
and development

General and            3,616           3,483            8,972           18,093
administrative

Acquisition-related    658             -                997             -
expenses

Trade name
impairment,            1,974           (205       )     1,974           11,862
restructuring and
other expenses

Depreciation,
amortization and       755             654              1,849           2,954
impairment

Total operating        12,162          8,687            27,263          51,557
costs and expenses

Operating income       (156       )    1,345            7,499           (25,370    )
(loss)

Other income           (751       )    (648       )     (5,075     )    (346       )
(expense)

Income (loss)          (907       )    697              2,424           (25,716    )
before income taxes

Income tax expense     29              269              72              (115       )
(benefit)

Net income (loss)    $ (936       )  $ 428            $ 2,352         $ (25,601    )

Net income (loss)    $ (0.02      )  $ 0.01           $ 0.04          $ (0.59      )
per share - basic

Weighted average
number of common       61,077,637      56,171,905       57,904,467      43,496,189
shares outstanding
- basic

Net income (loss)    $ (0.02      )  $ 0.01           $ 0.04          $ (0.59      )
per share - diluted

Weighted average
number of common       61,077,637      56,859,379       59,552,430      43,496,189
shares outstanding
- diluted




MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(in thousands)

(unaudited)

                                                         Nine Months Ended

                                                         September 30,

                                                         2009        2008

Cash flows from operating activities:

Net income (loss)                                        $ 2,352     $ (25,601 )

Adjustments to reconcile net income (loss) to net cash
provided by (used in) operating activities:

Depreciation, amortization and impairment                  4,021       5,128

Share-based compensation                                   1,256       3,836

Loss on disposal of subsidiary                             -           1,665

Amortization of note payable issuance costs & discount     837         336

Realized loss on investment                                3,624       -

Trade name impairment                                      -           1,060

Provision for doubtful accounts receivable and sales       151         267
returns, net of recoveries

Deferred income taxes                                      -           (384    )

Net change in assets and liabilities (net of effects of    (7,774 )    (3,344  )
acquisitions and dispositions)

Net cash provided by (used in) operating activities        4,467       (17,037 )

Cash flows from investing activities:

Cash paid for acquisitions, net of cash acquired           (1,752 )    -

Proceeds from sale of subsidiary                           -           413

Purchases of property, equipment and leasehold             (165   )    (503    )
improvements

Change in restricted cash                                  338         -

Proceeds from sale of equity investment                    886         -

Net cash used in investing activities                      (693   )    (90     )

Cash flows from financing activities:

Proceeds from issuance of term note, net of non-cash       -           14,490
discount of $510

Proceeds from issuance of Common Stock                     -           5,479

Note and stock issuance costs paid                         -           (2,386  )

Proceeds from exercise of stock options and employee       78          63
stock purchase plan

Principal payments on notes                                (4,570 )    -

Principal payments on capital leases                       (35    )    -

Repurchase of Common Stock                                 -           (47     )

Dividends paid                                             -           (57     )

Net cash provided by (used in) financing activities        (4,527 )    17,542

Effect of exchange rate changes on cash                    -           9

Net increase (decrease) in cash                            (753   )    424

Cash and cash equivalents, beginning of period (net of     17,227      13,637
restricted cash) (1)

Cash and cash equivalents, end of period (net of         $ 16,474    $ 14,061
restricted cash) (2)

(1) Restricted cash of $621 and $363 at December 31, 2008 and 2007,
respectively.

(2) Restricted cash of $409 and $363 at September 30, 2009 and 2008,
respectively.




MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES

RECONCILIATION OF GAAP NET INCOME TO ADJUSTED EBITDA

(in thousands)

(unaudited)

                        Three Months Ended               Nine Months Ended

                        September 30,         June 30,   September 30,

                        2009       2008       2009       2009        2008

GAAP net income (loss)  $ (936  )  $ 428      $ 446      $ 2,352     $ (25,601 )

 Net interest expense     769        683        752        2,274       776

 Income tax expense       29         269        21         72          (115    )
 (benefit)

 Depreciation and         1,654      1,396      1,169      4,021       5,128
 amortization

 Stock-based              371        302        366        1,256       1,866
 compensation expense

EBITDA                    1,887      3,078      2,754      9,975       (17,946 )

 Impairment of            71         -          3,553      3,624       -
 investments

 Sale of non-core         -          -          (382  )    (510   )    -
 patents

 Acquisition related      658        -          339        997         -
 costs

 Acquisition related
 severance (not           225        -          -          225         -
 qualifying for
 restructuring cost)

 Restructuring,
 tradename impairment     1,974      (205  )    -          1,974       11,862
 and other

Adjusted EBITDA         $ 4,815    $ 2,873    $ 6,264    $ 16,285    $ (6,084  )

GAAP diluted net
income (loss) per       $ (0.02 )  $ 0.01     $ 0.01     $ 0.04      $ (0.59   )
share

 Share impact of
 non-GAAP adjustments     0.10       0.04       0.10       0.23        0.45
 identified above

Adjusted EBITDA per     $ 0.08     $ 0.05     $ 0.11     $ 0.27      $ (0.14   )
share




    Source: Merge Healthcare Incorporated


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