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8-K - NOVEMBER 1, 2011 - MERGE HEALTHCARE INCm82984_8k110211.htm
EX-99.2 - TRANSCRIPT OF EARNINGS RELEASE - MERGE HEALTHCARE INCm82984_x991110211.htm
Exhibit 99.1
 

 
News Release
FOR IMMEDIATE RELEASE

Media Contact:
Brenda Stewart
Director, Marketing Communications
773.726.8901 | brenda.stewart@merge.com
 
MERGE HEALTHCARE SETS RECORD PRO FORMA SALES OF $60.6M IN THIRD
QUARTER
Announces 2012 guidance of pro forma revenue range of $288 - $300 million
 
Chicago, IL (November 1, 2011) Merge Healthcare (NASDAQ: MRGE), a leading provider of enterprise imaging and interoperability solutions, today announced its financial and business results for the third quarter of 2011.
 
“Our third quarter results reflect the market’s growing need for enterprise imaging solutions, as well as the increase in momentum we’re seeing regarding the adoption of Meaningful Use solutions,” said Jeff Surges, CEO of Merge Healthcare. “With our premier client base, industry-leading solutions and expansion into new markets, we are well-positioned for continued growth in 2012 and beyond.”
 
Financial Highlights:
- Revenue grew to $60.1 million ($60.6 million on a pro forma basis) in the quarter, compared to $45.2 million ($48.5 million on a pro forma basis) in the third quarter of 2010 - an increase of 33%.
- Adjusted EBITDA was $14.5 million, representing 24% of pro forma revenue in the quarter compared to $13.0 million and 27% in the third quarter of 2010 - an increase of 12%.
- Announces 2012 guidance of a pro forma revenue range of $288 - $300 million with an adjusted EBITDA range of 22-24%.
 
Business Highlights:
- Executed 12 new iConnect agreements extending Merge Healthcare’s leadership position in the image interoperability market.
- Executed 25 signed contracts for Merge Healthcare’s Meaningful Use platform within Radiology and Orthopaedics.
- Hosted more than 500 attendees at first-ever Merge Live 2011 Client Conference.
- Unveiled Merge Honeycomb, a free image sharing service that will connect the nation’s largest medical imaging installed base.
- Completed acquisition of Ophthalmic Imaging Systems (OIS), extending our reach into yet another image-intensive market segment.
- Jointly announced, with Mayor Rahm Emanuel, a partnership with City of Chicago to deploy 100 Merge Health Stations throughout the City.
 
 
 

 
 

 
Quarter Results:
Results compared to the same quarter in the prior year on a GAAP basis are as follows (in millions, except per share data):
      Q3 2011       Q3 2010  
Net sales
  $ 60.1     $ 45.2  
Operating income
    7.0       3.1  
Net loss available to common shareholders
    (1.0 )     (5.0 )
Net loss per diluted share
  $ (0.01 )   $ (0.06 )
                 
Cash balance at period end
  $ 44.7     $ 40.0  
Cash from business operations*
    8.8       8.0  
 
*
See table at the back of this earnings release.
 
Pro forma results and other, non-GAAP measures compared to the same quarter in the prior year are as follows (in millions, except percentages and per share data):
      Q3 2011       Q3 2010  
Pro forma results
               
Net sales
  $ 60.6     $ 48.5  
Adjusted net income
    5.3       3.2  
Adjusted EBITDA
    14.5       13.0  
                 
Adjusted net income per diluted share
  $ 0.06     $ 0.04  
Adjusted EBITDA per diluted share
  $ 0.16     $ 0.15  
                 
Non-GAAP and other measures
               
Recurring revenue as % of net sales
 
~57.5
 %  
~65.0
 %
Non-recurring backlog at period end
  $ 39.7     $ 48.6  
Days sales outstanding
    101       91  

Reconciliation of GAAP net income to adjusted net income and adjusted EBITDA is included after the financial information, below.
 
Explanation of Non-GAAP Financial Measures
 
Merge Healthcare reports its financial results in accordance with generally accepted accounting principles, or GAAP. This press release includes certain non-GAAP financial measures to supplement its GAAP information. Non-GAAP measures are not an alternative to GAAP and may be different from non-GAAP measures used by other companies. A quantitative reconciliation of GAAP net income available to common shareholders to adjusted net income and adjusted EBITDA is included after the financial information included in this press release.
 
Management believes that the presentation of non-GAAP results, when shown in conjunction with corresponding GAAP measures, provides useful information to it and investors regarding financial and business trends related to results of operations, because certain charges, costs and expenses reflect events that are not essential to recurring business operations. In addition, management believes these non-GAAP measures provide investors useful information regarding the underlying performance of the post-acquisition business operations when compared to the pre-acquisition results of Merge and any significant acquired company.  Purchase accounting
 
 
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adjustments made in accordance with GAAP can make it difficult to make meaningful comparisons of the underlying operations of the business without considering the non-GAAP adjustments that are provided and discussed herein. Further, management believes that these non-GAAP measures improve its and investors’ ability to compare Merge’s financial performance with other companies in the technology industry. Management also uses financial statements that exclude these charges, costs and expenses for its internal budgets.  While GAAP results are more complete, these supplemental metrics are offered 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.
 
 
Additional information regarding the non-GAAP financial measures presented is as follows:
 
 
-  
Pro forma revenue consists of GAAP revenue as reported, adjusted to reflect the acquisition of AMICAS as if it had occurred at the beginning of the respective periods presented and to add back the acquisition related sales adjustment (for all significant acquisitions) booked for GAAP purposes.
 
-  
Recurring revenue is generated from agreements that generally contain a stated annual amount and which we have a high likelihood of renewing each year.  More specifically, this includes revenue generated from our DICOM toolkit and eFilm Workstation® product lines, long-term contracts associated with our Sales as a Service (SaaS) related offerings, and EDI and maintenance contracts across the entire business.
 
-  
Non-recurring revenue backlog represents revenue that we anticipate recognizing in future periods from signed customer contracts as of the end of the period presented.  Non-recurring revenue is comprised of all other sources of revenue not included as recurring revenue, primarily from perpetual software licenses, hardware and professional services (including installation, training and consultative engineering services).
 
-  
Adjusted net income consists of GAAP net income available to common stockholders, adjusted to reflect the acquisition of AMICAS as if it had occurred at the beginning of the respective period presented and, to the extent such items occurred in the periods presented, excludes (a) one-time preferred stock deemed dividend at issuance date, (b) acquisition-related costs, (c) restructuring and other costs, (d) stock-based compensation expense, (e) acquisition-related amortization, and (f) acquisition-related cost of sales adjustments and adds back (g) the acquisition-related sales adjustments.
 
-  
Adjusted EBITDA adjusts GAAP net income available to common stockholders for the items considered in adjusted net income as well as (a) remaining depreciation and amortization, (b) net interest expense, (c) non-cash preferred stock dividends and (d) income tax expense (benefit).
 
-  
Cash from business operations reconciles the cash generated from such operations to the change in GAAP cash balance for the period by reflecting payments of liabilities associated with our acquisitions, payments of acquisition related fees, interest payments and other payments and receipts of cash not generated by the business operations.  
 
 
Management has excluded certain items from non-GAAP adjusted net income because it believes (i) the amount of certain expenses in any specific period may not directly correlate to the underlying performance of business operations and (ii) the adjustment facilitates comparisons of pre-acquisition results to post-acquisition results.  In addition, the following adjustments are described in more detail below:
 
 
-  
Acquisition-related amortization expense is a non-cash expense arising from the acquisition of intangible assets in connection with significant acquisitions. Management excludes acquisition-related amortization expense from non-GAAP net income because it believes such expenses can vary significantly between periods as a result of new acquisitions and full amortization of previously acquired intangible assets.
 
-  
Stock-based compensation expense is a non-cash expense arising from the grant of stock awards to employees and is excluded from non-GAAP net income because management believes such expenses can vary significantly between periods as a result of the timing of grants of new stock-based awards, including grants to new employees resulting from acquisitions.
 
 
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-  
Acquisition related sales and costs of sales adjustments reflect the fair value adjustment to deferred revenues acquired in connection with significant acquisitions. The fair value of deferred revenue represents an amount equivalent to the estimated cost plus an appropriate profit margin to perform services-related software and product support, which assumes a legal obligation to do so, based on the deferred revenue balances as of the date the acquisition of a significant company was completed. Management adds back this deferred revenue adjustment, net of related costs, for non-GAAP revenue and non-GAAP net income because it believes the inclusion of this amount directly correlates to the underlying performance of operations and facilitates comparisons of pre-acquisition to post-acquisition results.
 
Notice of Conference Call
Merge will host a conference call on Wednesday, November 2, 2011, at 8:30 am EDT to discuss its financial results for the third quarter 2011. Jeff Surges, CEO, and Justin Dearborn, CFO, will co-chair the call. Investors can listen to the conference call live via telephone by dialing 888.267.0102 (US and Canada) or 706.643.0988 (International) and referencing Conference ID Number 21139667.  Alternatively, the call can be accessed over the Internet at Merge Healthcare Web Cast. The conference call will be recorded may be found via the internet shortly after the call at http://www.merge.com/Company/Investors/Conference-Call-Info.aspx.

About Merge Healthcare
Merge Healthcare is a leading provider of enterprise imaging and interoperability solutions.  Merge solutions facilitate the sharing of images to create a more effective and efficient electronic healthcare experience for patients and physicians.  Merge provides enterprise imaging solutions for radiology, cardiology, orthopaedics and eye care; a suite of products for clinical trials; software for financial and pre-surgical management, and applications that fuel the largest modality vendors in the world. Merge’s products have been used by healthcare providers, vendors and researchers worldwide to improve patient care for more than 20 years. Additional information can be found at www.merge.com.


Cautionary Notice Regarding Forward-Looking Statements
This news release contains "forward-looking statements," including statements which are related to future, not past, events. Forward-looking statements usually describe expected future business and financial outlook or performance, and often contain words such as “will,” “believes,” “intends,” “anticipates,” “expects,” "plans," "seeks," “see” and similar expressions. Forward-looking statements, by their nature, address matters that are, to varying degrees, uncertain and subject to various known and unknown risks. For Merge, particular uncertainties and risks that could cause actual results to differ materially from post-merger forward-looking statements include, among other issues: the successful integration of companies we acquire; achieving certain post-acquisition synergies; the market acceptance of implemented product solutions; market acceptance and performance of Merge’s products and services; the impact of competitive products and pricing; possible delays in the implementation of its managed services offering; the risks and effects of its recent changes in its executive and Board leadership, including the costs and expenses related to severance payments made to departing officers; the risks and effects of its recent securities issues, including the issuance of certain senior secured notes; the past restatement of its financial statements and other actions that may be taken or required as a result of such restatement; its ability to generate sufficient cash from operations to meet future operating, financing and capital requirements, including repayment obligations with respect to its outstanding indebtedness; risks associated with its prior delays in filings with the SEC or its ability to continue to meet the listing requirements of The NASDAQ Global Select Market; the costs, risks and effects of various pending legal proceedings; and other risk factors detailed in its filings with the Securities and Exchange Commission. Readers are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date the statement was made. Merge does not undertake any obligation to update forward-looking statements or any of risks, uncertainties and other factors.



 

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MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED BALANCE SHEETS
 
(in thousands)
 
             
   
September 30,
   
December 31,
 
   
2011
   
2010
 
   
(Unaudited)
       
Current assets:
           
    Cash (including restricted cash)
  $ 44,685     $ 41,029  
    Accounts receivable, net
    66,538       53,254  
    Inventory
    3,727       3,486  
    Prepaid expenses
    4,990       4,191  
    Deferred income taxes
    1,151       2,545  
    Other current assets
    17,195       9,336  
Total current assets
    138,286       113,841  
                 
Property and equipment, net
    4,863       5,772  
Purchased and developed software, net
    26,366       26,619  
Other intangible assets, net
    42,760       48,957  
Goodwill
    199,756       169,533  
Deferred tax assets
    12,625       17,006  
Other
    12,356       14,660  
Total assets
  $ 437,012     $ 396,388  
                 
Current liabilities:
               
    Accounts payable
  $ 18,136     $ 18,370  
    Interest payable
    12,338       3,917  
    Accrued wages
    7,803       4,304  
    Restructuring accrual
    1,629       1,707  
    Other accrued liabilities
    8,223       6,875  
    Deferred revenue
    44,813       49,876  
Total current liabilities
    92,942       85,049  
                 
Notes payable
    249,215       195,077  
Deferred income taxes
    2,147       -  
Deferred revenue
    4,373       3,809  
Income taxes payable
    720       5,683  
Other
    1,582       1,964  
Total liabilities
    350,979       291,582  
                 
Total shareholders' equity
    86,033       104,806  
Total liabilities and shareholders' equity
  $ 437,012     $ 396,388  
                 
 
 
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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,
 
   
2011
   
2010
   
2011
   
2010
 
Net sales
                       
    Software and other
  $ 20,060     $ 12,931     $ 56,370     $ 28,888  
    Professional services
    11,999       6,826       30,914       16,203  
    Maintenance and EDI
    28,018       25,432       81,057       49,071  
Total net sales
    60,077       45,189       168,341       94,162  
Cost of sales
                               
    Software and other
    8,909       4,930       20,167       7,324  
    Professional services
    5,403       4,381       15,482       11,406  
    Maintenance and EDI
    7,409       8,622       22,060       15,928  
    Depreciation, amortization and impairment
    2,228       2,805       7,074       8,510  
Total cost of sales
    23,949       20,738       64,783       43,168  
Gross margin
    36,128       24,451       103,558       50,994  
Operating costs and expenses:
                               
    Sales and marketing
    10,235       5,776       26,781       12,784  
    Product research and development
    7,195       5,621       20,964       14,629  
    General and administrative
    7,500       6,043       22,354       15,485  
    Acquisition-related expenses
    743       854       1,222       9,213  
    Restructuring and other expenses
    1,151       1,213       1,115       4,696  
    Depreciation, amortization and impairment
    2,352       1,816       10,225       4,837  
Total operating costs and expenses
    29,176       21,323       82,661       61,644  
Operating income (loss)
    6,952       3,128       20,897       (10,650 )
Other expense, net
    (8,207 )     (6,587 )     (22,555 )     (10,816 )
Loss before income taxes
    (1,255 )     (3,459 )     (1,658 )     (21,466 )
Income tax expense (benefit)
    (242 )     (13 )     2,629       93  
Net loss
    (1,013 )     (3,446 )     (4,287 )     (21,559 )
Less:  noncontrolling interest's share
    (18 )     -       (18 )     -  
Net loss attributable to Merge
    (995 )     (3,446 )     (4,269 )     (21,559 )
Less:  preferred stock dividends
    -       1,566       3,153       17,510  
Net loss available to common shareholders
  $ (995 )   $ (5,012 )   $ (7,422 )   $ (39,069 )
                                 
Net loss per share - basic
  $ (0.01 )   $ (0.06 )   $ (0.09 )   $ (0.49 )
Weighted average number of common
                               
    shares outstanding - basic
    87,675,038       82,813,533       85,422,352       79,265,227  
                                 
Net loss per share - diluted
  $ (0.01 )   $ (0.06 )   $ (0.09 )   $ (0.49 )
Weighted average number of common
                               
    shares outstanding - diluted
    87,675,038       82,813,533       85,422,352       79,265,227  
                                 
                                 
 
 
 
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MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
(in thousands)
 
(unaudited)
 
               
     
Nine Months Ended
 
     
September 30,
 
     
2011
   
2010
 
Cash flows from operating activities:
             
Net loss
    $ (4,287 )   $ (21,559 )
Adjustments to reconcile net loss to net cash provided by operating activities:
               
    Depreciation, amortization and impairment
      17,299       13,347  
    Share-based compensation
      3,043       1,326  
    Change in contingent consideration for acquisitions
      128       226  
    Amortization of notes payable issuance costs & discount
      1,765       889  
    Provision for doubtful accounts receivable and sales returns,
                 
       net of recoveries
      785       503  
Deferred income taxes
      7,190       (3 )
Gain on sale of equity investment
      (405 )     -  
Net change in assets and liabilities (net of effects of acquisitions)
      (19,584 )     11,944  
Net cash provided by operating activities
      5,934       6,673  
Cash flows from investing activities:
                 
Cash paid for acquisitions, net of cash acquired
      (477 )     (212,721 )
Purchases of property, equipment and leasehold improvements
      (1,569 )     (871 )
Change in restricted cash
      940       (53 )
Distribution from equity investment
      405       76  
Net cash used in investing activities
      (701 )     (213,569 )
Cash flows from financing activities:
                 
Proceeds from issuance of notes
      53,560       194,532  
Proceeds from issuance of stock
      -       41,750  
Note and stock issuance costs paid
      (1,528 )     (9,017 )
Proceeds from exercise of stock options and employee stock
                 
    purchase plan
      878       102  
Principal payments on capital leases
      (5 )     (26 )
Principal payments on notes payable
      (4,591 )     -  
Redemption and retirement of preferred stock
      (41,750 )     -  
Preferred stock dividends
      (7,328 )     (122 )
Net cash provided by (used in) financing activities
      (764 )     227,219  
Effect of exchange rate changes on cash
      127       -  
Net increase in cash
      4,596       20,323  
Cash and cash equivalents, beginning of period (net of restricted cash)
(1)
    39,382       19,062  
Cash and cash equivalents, end of period (net of restricted cash)
(2)
  $ 43,978     $ 39,385  
                   
(1) Restricted cash of $1,647 and $559 as of December 31, 2010 and 2009, respectively.
         
(2) Restricted cash of $707 and $613 as of September 30, 2011 and 2010, respectively.
         
                   
 
 
 
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MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
RECONCILIATION OF NET LOSS AVAILABLE TO COMMON SHAREHOLDERS TO ADJUSTED EBITDA
 
(in thousands)
 
(unaudited)
 
   
Three Months Ended
   
Nine Months Ended
 
   
September 30,
   
September 30,
 
   
2011
   
2010
   
2011
   
2010
 
Net loss available to common shareholders
  $ (995 )   $ (5,012 )   $ (7,422 )   $ (39,069 )
One-time preferred stock deemed dividend at issuance date
    -       -       -       14,900  
Acquisition related costs
    743       854       1,222       9,213  
Restructuring and other
    1,151       1,213       1,115       4,696  
Stock-based compensation expense
    923       510       3,043       1,326  
Amortization of significant acquisition intangibles
    3,020       2,798       11,712       6,753  
Acquisition-related sales adjustments
    512       3,302       3,260       8,741  
Acquisition-related cost of sales adjustments
    (66 )     (455 )     (354 )     (1,347 )
Adjusted net income
  $ 5,288     $ 3,210     $ 12,576     $ 5,213  
Depreciation, amortization and impairment
    1,560       1,823       5,587       6,594  
Net interest expense
    7,939       6,447       20,872       10,745  
Preferred stock dividends
    -       1,566       3,153       2,610  
Income tax expense (benefit)
    (242 )     (13 )     2,629       93  
Adjusted EBITDA
  $ 14,545     $ 13,033     $ 44,817     $ 25,255  
                                 
Adjusted net income per share - diluted
  $ 0.06     $ 0.04     $ 0.14     $ 0.06  
Adjusted EBITDA per share - diluted
  $ 0.16     $ 0.15     $ 0.51     $ 0.31  
                                 
Fully diluted shares (if net income)
    90,984,403       84,615,492       88,174,901       81,007,075  
                                 
                                 
   
Pro Forma Three Months
Ended September 30,
 
Pro Forma Nine Months Ended
September 30,
 
      2011       2010       2011       2010  
Net loss available to common shareholders
  $ (549 )   $ (1,866 )   $ (4,516 )   $ (33,074 )
One-time preferred stock deemed dividend at issuance date
    -       -       -       14,900  
Acquisition related costs
    743       555       1,222       816  
Restructuring and other
    1,151       1,213       1,115       4,696  
Stock-based compensation expense
    923       510       3,043       1,326  
Amortization of significant acquisition intangibles
    3,020       2,798       11,712       9,710  
Adjusted net income (loss)
  $ 5,288     $ 3,210     $ 12,576     $ (1,626 )
Depreciation, amortization and impairment
    1,560       1,823       5,587       7,555  
Net interest expense
    7,939       6,447       20,872       19,275  
Non-cash preferred stock dividend
    -       1,566       3,153       4,698  
Income tax expense (benefit)
    (242 )     (13 )     2,629       139  
Adjusted EBITDA
  $ 14,545     $ 13,033     $ 44,817     $ 30,041  
                                 
Adjusted net income (loss) per share - diluted
  $ 0.06     $ 0.04     $ 0.14     $ (0.02 )
Adjusted EBITDA per share - diluted
  $ 0.16     $ 0.15     $ 0.51     $ 0.36  
                                 
Fully diluted shares (if net income)
    90,984,403       84,615,492       88,174,901       84,255,317  
                                 
                                 
 
 
 
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MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
CASH FROM BUSINESS OPERATIONS
 
(unaudited)
 
                         
   
Three Months Ended
September 30,
   
Nine Months Ended
September 30,
 
   
2011
   
2010
   
2011
   
2010
 
   
(amounts in millions)
 
Cash received from (paid for):
                       
Issuance of debt and equity
  $ -     $ -     $ 53.6     $ 236.3  
Debt and equity issuance costs
    (0.5 )     (0.1 )     (3.0 )     (9.0 )
Retirement of debt
    (4.6 )     -       (4.6 )     -  
Redemption of preferred stock
    (1.2 )     -       (41.8 )     -  
Payment of preferred stock dividends
    -       -       (7.3 )     -  
Interest paid, net
    -       -       (10.9 )     -  
Acquisitions
    (1.5 )     (2.5 )     (2.1 )     (212.7 )
Restructuring initiatives
    (0.7 )     (1.6 )     (1.6 )     (3.0 )
Acquisition related costs, net
    (0.5 )     (1.4 )     (0.9 )     (8.5 )
Property and equipment purchases
    (0.3 )     (0.1 )     (1.6 )     (0.9 )
Settlements with former officers
    -       -       (0.9 )     -  
Other non-operating cash flows
    -       (0.2 )     0.4       -  
Business operations
    8.8       8.0       24.4       18.1  
Increase (decrease) in cash
  $ (0.5 )   $ 2.1     $ 3.7     $ 20.4  
 
 
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