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

FORM 10-Q
 
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
 
For the quarterly period ended March 31, 2015
 
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 001–33006

MERGE HEALTHCARE INCORPORATED
(Exact name of Registrant as specified in its charter)
 
Delaware
 
39–1600938
(State or other jurisdiction of incorporation or organization)
 
(I. R. S. Employer Identification No.)

350 North Orleans Street, 1st Floor
Chicago, Illinois  60654
 (Address of principal executive offices, including zip code)
(Registrant’s telephone number, including area code) (312) 565-6868

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 and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). Yes No

Indicate by check mark whether the Registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer”, “accelerated filer” and “smaller reporting company” in Rule 12b–2 of the Exchange Act.
 
Large accelerated filer
Accelerated filer
Non-accelerated filer
Smaller reporting company


Indicate by check mark whether the Registrant is a shell company (as defined in Rule 12b–2 of the Act).
 
Yes       No 

The number of shares outstanding of the Registrant’s common stock, par value $0.01 per share, as of April 20, 2015:  98,655,007.
 


INDEX
 
   
Page
 
PART I – FINANCIAL INFORMATION
 
Item 1.
 
 
2
 
3
 
4
 
5
 
6
Item 2.
19
Item 3.
26
Item 4.
26
 
 
PART II – OTHER INFORMATION
 
Item 1.
27
Item 1A.
27
Item 2
27
Item 6.
27


PART I – FINANCIAL INFORMATION
 
Item 1.
Condensed Consolidated Financial Statements
 
MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited)
 (in thousands, except for share data)

ASSETS
 
March 31,
2015
   
December 31,
2014
 
Current assets:
 
   
 
Cash and cash equivalents, including restricted cash of $186 and $209 at March 31, 2015 and December 31, 2014
 
$
24,784
   
$
42,531
 
Accounts receivable, net of reserves of $3,746 and $4,990 at March 31, 2015 and December 31, 2014
   
47,877
     
51,300
 
Inventory
   
6,483
     
5,686
 
Prepaid expenses
   
5,551
     
3,690
 
Deferred income taxes
   
564
     
1,131
 
Other current assets
   
8,746
     
11,110
 
Total current assets
   
94,005
     
115,448
 
Property and equipment:
               
Equipment
   
9,514
     
9,159
 
Office equipment
   
3,975
     
2,927
 
Leasehold improvements
   
1,903
     
1,589
 
     
15,392
     
13,675
 
Less accumulated depreciation
   
10,199
     
9,596
 
Net property and equipment
   
5,193
     
4,079
 
Purchased and developed software, net of accumulated amortization of $25,133 and $23,764 at March 31, 2015 and December 31, 2014
   
42,248
     
14,585
 
Other intangible assets, net of accumulated amortization of $39,940 and $38,370 at March 31, 2015 and December 31, 2014
   
34,706
     
17,956
 
Goodwill
   
267,263
     
214,374
 
Deferred income taxes
   
5,211
     
5,396
 
Other assets
   
2,502
     
2,499
 
Total assets
 
$
451,128
   
$
374,337
 
LIABILITIES AND SHAREHOLDERS' EQUITY
               
Current liabilities:
               
Accounts payable
 
$
20,972
   
$
21,072
 
Current maturities of long-term debt
   
11,750
     
11,750
 
Accrued wages
   
6,795
     
11,169
 
Restructuring accrual
   
1,165
     
-
 
Other current liabilities
   
3,502
     
4,996
 
Deferred revenue
   
63,206
     
53,184
 
Total current liabilities
   
107,390
     
102,171
 
Long-term debt, less current maturities, net of unamortized discount
   
210,352
     
213,676
 
Deferred income taxes
   
3,769
     
4,025
 
Deferred revenue
   
503
     
1,091
 
Income taxes payable
   
1,114
     
1,109
 
Other liabilities
   
1,757
     
1,664
 
Total liabilities
   
324,885
     
323,736
 
                 
Series A Convertible Preferred Stock, $0.01 par value: 50,000 shares authorized; 50,000 and zero shares issued and outstanding at March 31, 2015 and December 31, 2014, liquidation preference $50,000 and zero at March 31, 2015 and December 31, 2014
   
50,000
     
-
 
                 
Shareholders' equity:
               
Preferred Stock, $0.01 par value: 1,000,000 shares authorized Series A Non-voting Preferred Stock, $0.01 par value: 50,000 shares authorized; none issued
   
-
     
-
 
Common stock, $0.01 par value: 150,000,000 shares authorized: 98,643,015 and 98,442,336 shares issued and outstanding at March 31, 2015 and December 31, 2014
   
986
     
984
 
Common stock subscribed, 11,992 and 14,429 shares at March 31, 2015 and December 31, 2014
   
51
     
49
 
Additional paid-in capital
   
591,800
     
590,938
 
Accumulated deficit
   
(525,851
)
   
(543,622
)
Accumulated other comprehensive income
   
1,742
     
1,766
 
Total Merge shareholders' equity
   
68,728
     
50,115
 
Noncontrolling interest
   
7,515
     
486
 
Total shareholders' equity
   
76,243
     
50,601
 
Total liabilities and shareholders' equity
 
$
451,128
   
$
374,337
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
2

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited)
(in thousands, except for share and per share data)

   
Three Months Ended
March 31,
 
   
2015
   
2014
 
Net sales:
 
   
 
Software and other
 
$
16,802
   
$
15,083
 
Professional services
   
9,484
     
10,489
 
Maintenance and EDI
   
28,117
     
25,331
 
Total net sales
   
54,403
     
50,903
 
Cost of sales:
               
Software and other
   
6,182
     
6,101
 
Professional services
   
6,764
     
6,347
 
Maintenance and EDI
   
7,800
     
6,963
 
Depreciation and amortization
   
1,481
     
1,595
 
Total cost of sales
   
22,227
     
21,006
 
Gross margin
   
32,176
     
29,897
 
Operating costs and expenses:
               
Sales and marketing
   
8,978
     
8,007
 
Product research and development
   
8,228
     
7,580
 
General and administrative
   
7,512
     
7,360
 
Acquisition-related expenses
   
351
     
26
 
Restructuring and other expenses
   
1,178
     
-
 
Depreciation and amortization
   
2,099
     
2,482
 
Total operating costs and expenses
   
28,346
     
25,455
 
Operating income
   
3,830
     
4,442
 
Other income (expense):
               
Interest expense
   
(4,258
)
   
(4,161
)
Other, net
   
(268
)
   
25
 
Total other income (expense)
   
(4,526
)
   
(4,136
)
Income (loss) before income taxes
   
(696
)
   
306
 
Income tax benefit
   
(18,391
)
   
(19
)
Net income
   
17,695
     
325
 
Less:  noncontrolling interest's share
   
(76
)
   
2
 
Net income attributable to Merge
   
17,771
     
323
 
Less:  preferred stock dividends and dividend equivalents related to accretion
   
5,328
     
-
 
Net income attributable to common shareholders of Merge
 
$
12,443
   
$
323
 
 
Net income per share attributable to common shareholders of Merge - basic
 
$
0.11
   
$
0.00
 
Weighted average number of common shares outstanding - basic
   
96,616,916
     
94,656,786
 
Net income per share attributable to common shareholders of Merge - diluted
 
$
0.11
   
$
0.00
 
Weighted average number of common shares outstanding - diluted
   
96,616,916
     
95,996,566
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
3

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME
(Unaudited)
(in thousands)

   
Three Months Ended
March 31,
 
 
 
2015
   
2014
 
 
 
   
 
Net income
 
$
17,695
   
$
325
 
Translation adjustment
   
(24
)
   
-
 
Comprehensive income
   
17,671
     
325
 
Less:  noncontrolling interest's share
   
(76
)
   
2
 
Comprehensive income attributable to Merge
 
$
17,747
   
$
323
 

See accompanying notes to unaudited condensed consolidated financial statements.
 
4

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited)
(in thousands)

   
Three Months Ended
March 31,
 
   
2015
   
2014
 
Cash flows from operating activities:
       
Net income
 
$
17,695
   
$
325
 
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
   
3,580
     
4,077
 
Share-based compensation
   
1,265
     
1,530
 
Amortization of term loan and note payable issuance costs and discounts
   
222
     
492
 
Provision for doubtful accounts receivable and allowances, net of recoveries
   
290
     
525
 
Deferred income taxes
   
(18,320
)
   
279
 
Changes in operating assets and liabilities, net of effects of acquisitions and dispositions:
               
Accounts receivable
   
6,607
     
10,044
 
Inventory
   
(480
)
   
10
 
Prepaid expenses
   
(1,435
)
   
(155
)
Accounts payable
   
(1,506
)
   
(1,898
)
Accrued wages
   
(5,745
)
   
(352
)
Restructuring accrual
   
1,165
     
(186
)
Other accrued liabilities
   
(3,197
)
   
(855
)
Deferred revenue
   
(1,762
)
   
(3,308
)
Other
   
2,372
     
(680
)
Net cash provided by operating activities
   
751
     
9,848
 
                 
Cash flows from investing activities:
               
Cash paid for acquisitions, net of cash acquired
   
(63,059
)
   
-
 
Purchases of property, equipment and leasehold improvements
   
(1,248
)
   
(333
)
Purchased technology
   
-
     
(170
)
Capitalized software development
   
(393
)
   
(596
)
Change in restricted cash
   
23
     
160
 
Net cash used in investing activities
   
(64,677
)
   
(939
)
                 
Cash flows from financing activities:
               
Proceeds from issuance of preferred stock
   
50,000
     
-
 
Stock issuance cost paid
   
(288
)
   
-
 
Preferred stock dividends
   
(413
)
   
-
 
Principal payments on term loans
   
(2,938
)
   
(8,592
)
Waiver and amendment costs paid
   
(573
)
   
-
 
Principal payments on capital leases
   
(140
)
   
(167
)
Proceeds from exercise of stock options and employee stock purchase plan
   
578
     
51
 
Net cash provided by (used in) financing activities
   
46,226
     
(8,708
)
                 
Effect of exchange rates on cash and cash equivalents
   
(24
)
   
-
 
                 
Net (decrease) increase in cash and cash equivalents
   
(17,724
)
   
201
 
Cash and cash equivalents (net of restricted cash), beginning of period (1)
   
42,322
     
19,337
 
Cash and cash equivalents (net of restricted cash), end of period (2)
 
$
24,598
   
$
19,538
 
                 
Supplemental Disclosures of Cash Flow Information:
               
Cash paid for interest
 
$
4,027
   
$
3,590
 
Cash paid for income taxes, net of refunds
 
$
60
   
$
46
 
                 
Non-Cash Investing and Financing Activities
               
Intrinsic value of beneficial conversion feature - Series A convertible preferred stock
 
$
4,349
   
$
-
 
    Accretion to redemption value - Series A convertible preferred stock $ 566 $ -
    Stock issuance costs in accounts payable $ 278 $ -
 
 
(1)
Net of restricted cash of $209 and $392 at December 31, 2014 and 2013, respectively.
 
(2)
Net of restricted cash of $186 and $232 at March 31, 2015 and 2014, respectively.

See accompanying notes to unaudited condensed consolidated financial statements.
 
5

Merge Healthcare Incorporated and Subsidiaries
 
Notes to Condensed Consolidated Financial Statements
 
(Unaudited and in thousands, except for share and per share data)

(1)
Basis of Presentation and Significant Accounting Policies
 
The accompanying unaudited condensed consolidated financial statements have been prepared in accordance with the rules and regulations of the Securities and Exchange Commission (SEC) for reporting on Form 10-Q.  Accordingly, certain information and notes required by United States of America generally accepted accounting principles (GAAP) for annual financial statements are not included herein. These interim statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Annual Report on Form 10-K for the year ended December 31, 2014, of Merge Healthcare Incorporated, a Delaware corporation, and its subsidiaries and affiliates (which we sometimes refer to collectively as Merge, we, us or our). 
 
Principles of Consolidation
 
Our unaudited condensed consolidated financial statements reflect all adjustments, which are, in the opinion of management, necessary for a fair presentation of our financial position and results of operations.  Such adjustments are of a normal recurring nature, unless otherwise noted.  The results of operations in the three month periods ended March 31, 2015 and 2014 are not necessarily indicative of the results to be expected for any future period.
 
Our unaudited condensed consolidated financial statements are prepared in accordance with GAAP. These accounting principles require us to make certain estimates, judgments and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. We believe that the estimates, judgments and assumptions are reasonable based on information available at the time they are made. Actual results could differ materially from those estimates.
 
(2)
Acquisition
 
On February 25, 2015, we acquired 91.5% of the outstanding common shares and voting interest of D.R. Systems, Inc. (“DR Systems”) for cash consideration of $76,514. Cash acquired was $13,455. The results of DR System’s operations have been included in the consolidated financial statements since that date.  DR Systems is a provider of PACS, RIS and CVIS advanced image processing systems and other medical imaging information system products and services primarily in the United States. We acquired DR Systems to expand our customer base and gain access to its intellectual property and employees.
 
The following table summarizes preliminary estimated fair values of the assets acquired and liabilities assumed at the acquisition date. We are in the process of finalizing third-party valuations of certain intangible assets; thus, the provisional measurements of intangible assets, goodwill and deferred income tax liabilities are subject to change.
 
 
 
Estimated Fair
Value
 
Cash
 
$
13,455
 
Other tangible assets
   
4,773
 
Deferred revenue
   
(11,196
)
Deferred tax liabilities
   
(18,817
)
Liabilities assumed
   
(4,446
)
Customer relationships
   
17,620
 
Trade names
   
420
 
Non-competes
   
280
 
Purchased software and technology
   
28,640
 
Goodwill
   
52,889
 
Fair value of assets acquired and liabilities assumed
 
 
83,618
 
Less noncontrolling interest 7,104
Total consideration
$
76,514
 
6

Acquired intangible assets are subject to a weighted-average useful life as shown in the following table:

 
 
Years
 
Amortization
Method
 
 
 
   
Customer relationships
   
12.0
 
Other
Trade names
   
2.0
 
Straight-line
Non-competes
   
4.0
 
Straight-line
Purchased software and technology
   
9.8
 
Straight-line
Goodwill
 
Indefinite
 
N/A

As noted above, the fair value of the acquired identifiable intangible assets is provisional pending receipt of the final valuations for these assets.
 
The $52,889 of goodwill was assigned to our Merge Healthcare segment. The goodwill recognized is attributable primarily to expected synergies, the assembled workforce and business activities of DR Systems. None of the goodwill is expected to be deductible for income tax purposes.
 
We recognized $351 of acquisition related costs that were expensed in the current period. These costs are included in the condensed consolidated statements of operations in the line item acquisition-related expenses. From the acquisition date to the period ended March 31, 2015, our condensed consolidated statements of operations include revenues of $2,824 and a loss of $885 related to DR Systems. The loss includes $645 of restructuring charges and $388 in amortization expense related to acquired intangible assets.
 
The following represents the pro forma consolidated statements of operations as if DR Systems had been included in our consolidated results for the entire three months ended March 31, 2015 and 2014:
 
Pro forma consolidated statements of operations:
 
   
Three Months Ended
March 31,
 
   
2015
   
2014
 
Net sales
 
$
61,031
   
$
60,446
 
Net income (loss) attributable to common shareholders of Merge
   
(1,858
)
   
13,369
 
                 
Net income (loss) per share attributable to common shareholders of Merge:
               
Basic
 
$
(0.02
)
 
$
.13
 
Diluted
 
$
(0.02
)
 
$
.13
 

These results have been adjusted to reflect the additional amortization that would have been charged assuming the fair value adjustments to intangible assets had been applied on January 1, 2014. The results also include the effects of the 8.5% dividend on the Series A Convertible Preferred Stock (“Preferred Stock”) we issued to enable us to complete the acquisition as if the issuance had occurred on January 1, 2014. The recognition of an $18,393 deferred tax asset valuation reserve release and the $4,915 of dividend equivalents related to the Preferred Stock issuance have been shown as 2014 adjustments to net income (loss) attributable to common shareholders of Merge and have been excluded from the 2015 pro forma results.
 
The fair value of the 8.5% non-controlling interest in DR Systems is estimated to be $7,104. During the second quarter of 2015, we completed a process to acquire the non-controlling interest at the same per share price as was paid to the majority shareholders. Therefore, we have not assumed adjustments due to the lack of control or lack of marketability that market participants would normally consider when estimating the fair value of the noncontrolling interest in DR Systems.  See Note 15 for further discussion of our acquisition of the non-controlling interest.
 
7

(3)
Other Current Assets and Other Current Liabilities
 
Other current assets consist primarily of revenue recognized that has not yet been billed to a customer and other receivables, all of which are due within the next twelve months. The balances are comprised of the following as of the dates indicated:
 
   
Balance at
March 31,
2015
   
Balance at
December 31,
2014
 
Revenue recognized in excess of billings, net of reserves of $1,180 and $1,389, respectively
 
$
8,740
   
$
9,924
 
Other current assets
   
6
     
1,186
 
 
 
$
8,746
   
$
11,110
 

Other current liabilities consist primarily of customer deposits, the current portion of certain acquisition obligations, and other liabilities, all of which are due within the next twelve months.  The balances are comprised of the following as of the dates indicated:

 
 
 
 
Balance at
March 31,
2015
   
Balance at
December 31,
2014
 
Customer deposits
 
$
2,335
   
$
1,956
 
Acquisition obligation
   
179
     
267
 
Other liabilities
   
988
     
2,773
 
   
$
3,502
   
$
4,996
 

(4)
Goodwill and Other Intangible Assets
 
Goodwill
 
Changes in the carrying amount of goodwill for the three months ended March 31, 2015, are as follows:

 
 
Total
   
Merge
Healthcare
   
Merge
DNA
 
 
 
   
   
 
Balance at December 31, 2014
 
$
214,374
   
$
194,115
   
$
20,259
 
Increase due to DR Systems acquisition
   
52,889
     
52,889
     
-
 
Balance at March 31, 2015
 
$
267,263
   
$
247,004
   
$
20,259
 
 
Other Intangible Assets
 
The following is a summary of intangible assets subject to amortization:

       
March 31, 2015
   
December 31, 2014
 
   
Weighted Average
Remaining Amortization
Period (Years)
   
Gross
Carrying
Amount
   
Accumulated
Amortization
   
Gross
Carrying
Amount
   
Accumulated
Amortization
 
Purchased software and technology
   
7.9
   
$
61,137
   
$
22,872
   
$
32,497
   
$
21,706
 
Capitalized software
   
4.5
     
6,244
     
2,261
     
5,852
     
2,058
 
Customer relationships
   
8.5
     
61,284
     
28,836
     
43,664
     
27,440
 
Backlog
   
0.0
     
8,100
     
8,100
     
8,100
     
8,100
 
Trade names
   
4.6
     
1,883
     
821
     
1,463
     
764
 
Non-competes
   
2.5
     
3,379
     
2,183
     
3,099
     
2,066
 
Total
         
$
142,027
   
$
65,073
   
$
94,675
   
$
62,134
 
 
8

Estimated aggregate amortization expense for our intangible assets, which are expected to become fully amortized in 2027, is as follows:

For the remaining nine months of the year ending December 31:
2015
 
$
11,061
 
For the year ending December 31:
2016
   
13,392
 
 2017
   
11,068
 
 2018
   
8,806
 
 2019
   
6,914
 
Thereafter
   
25,713
 
Total
 
$
76,954
 

In the three months ended March 31, 2015, we increased the gross carrying amount of purchased software and technology, customer relationships, trades names, and non-competes by $28,640, $17,620, $420 and $280, respectively, in conjunction with the acquisition of DR Systems. For the three months ended March 31, 2015, we also added $393 in capitalized software.

Amortization expense is set forth in the following table:

   
Three Months Ended
March 31,
 
   
2015
   
2014
 
Amortization included in cost of sales:
 
   
 
Purchased software and technology
 
$
1,166
   
$
1,258
 
Capitalized software
   
204
     
43
 
Backlog
   
-
     
58
 
Subtotal
   
1,370
     
1,359
 
                 
Amortization included in operating expenses:
               
Customer relationships
   
1,396
     
1,758
 
Trade names
   
57
     
40
 
Non-competes
   
116
     
115
 
Subtotal
   
1,569
     
1,913
 
Total amortization
 
$
2,939
   
$
3,272
 

(5)
Fair Value Measurements
 
Our financial instruments include cash and cash equivalents, accounts receivable, non‑marketable securities, accounts payable, notes payable and certain accrued liabilities.  The carrying amounts of our cash and cash equivalents (which are comprised primarily of deposit and overnight sweep accounts), accounts receivable, accounts payable, and certain accrued liabilities approximate fair value due to the short maturity of these instruments.  The carrying value of our long-term debt recognized in the consolidated balance sheets as of March 31, 2015 and December 31, 2014, was approximately $222,102 and $225,426, respectively, while the fair value of long-term debt as of March 31, 2015 and December 31, 2014, was approximately $226,188 and $229,125, respectively, based on Level 2 inputs consisting of quoted market prices for the same issues or quoted market prices for similar issues in active markets.  See Note 7 for further discussion of our debt.
 
Non-Current Investments
 
At March 31, 2015 and December 31, 2014, we held certain equity securities in private companies, which are classified within other assets in our condensed consolidated balance sheets.  The investments in these equity securities are classified as Level 3 investments and are reported at cost or on an equity basis using the equity method of accounting.  Any losses due to impairment in value are recorded as realized losses when such losses occur.  The carrying value of these Level 3 investments at March 31, 2015 and December 31, 2014, is $453.
 
9

(6)
Restructuring

During the three months ended March 31, 2015, we completed a restructuring initiative after the aquisition of DR Systems that reduced our workforce by approximately 6% due to the existence of redundant positions.  We recorded restructuring charges of $1,178 related to this initiative.  The following table sets forth the activity in the three months ended March 31, 2015, related to restructuring activities consisting solely of employee termination costs:

   
Employee
Termination
Costs
 
Balance at December 31, 2014
 
$
-
 
Charged to expense
   
1,178
 
Payments
   
(13
)
Balance at March 31, 2015
 
$
1,165
 

See Note 13 Segment Information, for restructuring and other expenses by segment.

(7)
Debt
 
Term Loan
 
Our Term Loan was established pursuant to a credit agreement (the “Credit Agreement”) on April 29, 2014.  The Credit Agreement contains financial covenants consisting of a total leverage and an interest coverage ratio which became applicable on March 31, 2015. The total leverage and interest coverage ratios are based on consolidated EBITDA as defined in the Credit Agreement and are not to exceed 6.50:1 or be less than 2.150:1, respectively, as of March 31, 2015. We were in compliance with all applicable operating covenants at March 31, 2015.
 
Based on an election we made pursuant to the terms of the Credit Agreement with respect to the interest period and optional rate, borrowings under the Credit Agreement bore interest at a rate of 7.00% per annum through March 31, 2015.  As of March 31, 2015, borrowings had a weighted average interest rate of 7.00%. Interest is currently payable on the last business day of each month. 
 
We are required to make quarterly principal payments totaling $2,938 over the life of the Term Loan. We have made all required quarterly principal payments through March 31, 2015. The Credit Agreement also includes a required annual repayment of principal at no premium in the first quarter of each year based upon a defined calculation of excess cash flows generated by us. As of March 31, 2015, the future maturities of principal under the Term Loan for the remainder of 2015 will be $8,813 and for each of the years ending December 31, 2016, 2017, 2018, 2019 are $11,750, respectively, with $170,375 due in 2020.
 
Our prior term loan and revolving credit facility were both terminated on April 29, 2014.  During 2014, we made required principal payments of $592 against the prior term loan as well as additional voluntary payments of $8,000.
 
2015 Waiver and First Amendment to Credit Agreement
 
We received a waiver and amended the Credit Agreement (the “First Amendment”) on February 25, 2015 in connection with our acquisition of DR Systems. Our lenders agreed to waive the requirement under the Credit Agreement to make a mandatory prepayment of the term loans to the extent that the excess cash flow for the 2014 excess cash flow period was used for the purchase of DR Systems and for related fees, costs or expenses.  The First Amendment allowed for the issuance of the Preferred Stock, including dividends due thereunder and future issuances on similar terms, and the acquisition of DR Systems.  We are also permitted to make payment-in-kind dividends on the Preferred Stock or any replacement Preferred Stock. The First Amendment also expanded the definition of events of default such as a default under the Preferred Stock agreement, our inability to redeem Preferred Stock within 90 days of exercise by the preferred holder and certain situations in which replacement Preferred Stock would be issued by us.  
 
In connection with the First Amendment, we paid our lenders a fee of $573 which was capitalized as additional debt discount and will be amortized over the remaining life of the Term Loan in accordance with ASC 470-50 Debt – Modifications and Extinguishments since our debt was considered modified.  Third party fees of $145 were expensed and are included in other income expense in our condensed consolidated statement of operations. 
 
10

Interest Expense and Other
 
In the three months ended March 31, 2015 and 2014, we recorded $4,244 and $4,119, respectively, of interest expense related to our debt, including $36 and $316 respectively, of amortization of debt issuance costs and $186 and $176, respectively, of amortization of debt discount.  In the three months ended March 31, 2015 and 2014, we made interest payments of $4,010 and $3,551, respectively, related to the Term Loan and our prior term loan.  Our borrowings under the Term Loan had an effective interest rate of 7.57% at March 31, 2015. 
 
As of March 31, 2015 and December 31, 2014, the long term debt balance in our condensed consolidated balance sheets include $4,086 and $3,699 of unamortized debt discount, respectively and the balance of unamortized issuance costs included in other assets is $747 and $783 respectively. The debt discount is being amortized over the life of the Term Loan using the effective interest method.  
 
Variable Interest Rate Risk
 
To partially offset variable interest rate risks, we maintain an interest rate cap at 3.00% (versus the 1.00% LIBOR floor) with a notional amount equal to $122,269 as of March 31, 2015.  The notional amount of the interest rate cap decreases over time to $121,950 as of September 29, 2015, and thereafter is equal to $62,316 until termination on October 23, 2015.

(8)
Series A Convertible Preferred Stock
 
On February 25, 2015, we issued 50,000 shares of Preferred Stock, par value $0.01 per share for an aggregate purchase price of $50,000 pursuant to a stock purchase agreement.  We used the net proceeds to finance the acquisition of DR Systems and to pay fees related to the transactions.
 
Participation Rights and Dividends
 
 The Preferred Stock ranks senior to our common stock with respect to dividend rights and rights on liquidation, winding-up and dissolution. The Preferred Stock has an initial liquidation value of $1,000 per share, and holders of Preferred Stock are entitled to cumulative, compounding dividends payable quarterly in cash at a rate of 8.5% per annum provided we have profit, surplus or other funds legally available for the payment of dividends.  If we do not have legally available funds, we may elect to pay dividends in-kind with additional shares of Preferred Stock. On March 31, 2015, we paid cash dividends to holders of the Preferred Stock in the amount of $413.
 
The holders of Preferred Stock are entitled to receive dividends declared or paid on our common stock and are entitled to vote together with the holders of our common stock as a single class, in each case, on an as-converted basis. Holders of Preferred Stock have certain consent rights that require us to get the written consent of a majority of the holders regarding actions that affect them including actions that; (1) liquidate, dissolve or wind-up Merge, (2) amend, modify, or repeal of our Certificate of Incorporation and Bylaws that would adversely affect them, (3) reduce their liquidation preference and (4) include the issuance of pari passu or senior equity securities.
 
Conversion by Us
 
Beginning on the first anniversary of the date of issuance, at our election, all or a portion of the Preferred Stock will be convertible into the relevant number of shares of common stock provided that the average of the volume weighted average prices (the VWAPs) during the 30 consecutive trading day period ending on the trading day prior to the date we deliver a notice of redemption is greater than $8.28, subject to a proportionate adjustment in the event of a stock split, stock dividend, combination or other proportionate recapitalization. If we elect to convert the Series A Preferred Shares the holders of the Series A Preferred Shares may, so long as we are permitted to make such payment in cash under the terms of the Credit Agreement (or any subsequent senior credit facility), elect to have us redeem their shares for an amount in cash equal to 80% of the redemption price. In connection with any such conversion, any unpaid Series A dividends will be paid in cash, if permitted and if not in Series A Preferred Shares which will be deemed to convert into common stock prior to any then outstanding Series A Preferred Shares.
 
The Preferred Stock is convertible into 12,077,500 shares of our common stock based on the conversion rate in place as of March 31, 2015. The conversion rate is subject to customary anti-dilution and other adjustments, except with respect to certain excluded issuances.
 
11

Conversion by the Holders
 
 The Preferred Stock is convertible at the option of the holders at any time into shares of common stock at a conversion price of $4.14 per share, subject to adjustment. Without stockholder approval, a conversion cap exists such that the conversion of the Preferred stock is capped at 19.99% of the common shares outstanding immediately prior to the date of issuance in connection with a conversion.
 
Redemption by Us
 
At any time after the first anniversary, we will have the right to redeem not less than all of the Preferred Stock provided that, at the time of any such redemption, the average of the VWAPs during the 30 consecutive trading day period ending on the trading day prior to the date we deliver a notice of redemption is greater than $8.28. Upon any such redemption, we will pay a price per Series A Preferred Share with respect to which such redemption requests have been made in cash equal to the greater of (i) (A) the liquidation value, (as defined in the Credit Agreement) multiplied by 2, (B) plus any Preferred Stock unpaid dividends with respect to the Preferred Stock upon such occurrence and (ii) the sum of (A) the product of (1) the then current fair market value of our common stock and (2) the initial conversion rate and (B) any Preferred Stock unpaid dividends with respect to the Preferred Stock upon such occurrence (the “Redemption Price”); provided, further that if we elect to redeem the Series A Preferred Shares (including any Preferred Stock unpaid dividends), the holders of the Preferred Stock may, within three days following receipt of our notice to redeem, elect to convert such holders’ Series A Preferred Shares into common stock at the then-applicable conversion price (prior to the stockholder approval, subject to the conversion cap), provided that any Preferred Stock unpaid dividends will be paid in cash to the extent permitted under the Credit Agreement (or any subsequent senior credit facility entered into by us) and applicable law. Notwithstanding anything to the contrary in the Certificate of Designations, each holder of Series A Preferred Shares to be redeemed by us may elect to convert all or any portion of the Series A Preferred Shares held by such holder into conversion stock (as defined in the Credit Agreement) at any time prior to the applicable redemption date.
 
Redemption by Holder
 
At any time prior to August 25, 2015, any holder of Series A Preferred Shares may request redemption, out of funds legally available therefor, of all or any portion of the Series A Preferred Shares held by such holder, by delivering written notice of such request to us specifying the number of Series A Preferred Shares to be so redeemed. We will then redeem such specified number of Series A Preferred Shares, on a date that is no later than 90 days following the receipt of such notice, at a price per Series A Preferred Share in cash equal to the liquidation value, plus all Preferred Stock unpaid dividends; provided that in the event we fail to or do not otherwise redeem the total number of Series A Preferred Shares, then, commencing on the day following receipt of holder’s notice, the dividend rate on each Series A Preferred Share will accrue on a daily basis at an additional rate of three percent (3%) per annum for the first 180 days, and an additional two percent (2%) per annum will be added to such increased dividend rate after each 180 day period on which any Series A Preferred Share has not been redeemed; provided further that the dividend rate will be subject to a maximum cap of fifteen and one half percent (15.5%). 
 
At any time on or after July 29, 2020, any holder of Series A Preferred Shares may request redemption, out of funds legally available therefor, of all or any portion of the Series A Preferred Shares held by such holder, by delivering written notice of such request to us specifying the number of Series A Preferred Shares to be so redeemed and the date of such redemption (which date may not be earlier than 30 days after delivery of such redemption notice). We will be required to redeem on the date so specified in such holder’s written notice delivered to us all or any portion of their Series A Preferred Shares with respect to which such redemption requests have been made at a price per Series A Preferred Share in cash equal to the liquidation value, plus all Preferred Stock unpaid dividends.
 
At any time during a 10 day period following a debt refinancing by us, any holder of Series A Preferred Shares may request redemption, out of funds legally available therefor, of all or any portion of the Series A Preferred Shares held by such holder. We will be required to redeem their Series A Preferred Shares at a price per Series A Preferred Share in cash equal to the greater of (x) the liquidation value, plus any Preferred Stock unpaid dividends with respect to the Preferred Stock upon such occurrence, plus the amount of any prepayment premium (as defined in the Credit Agreement) required pursuant to the terms of the Credit Agreement as if the Credit Agreement was to be repaid on the date specified for redemption in such holder’s written notice to us, and (y) the sum of (A) the product of (1) the then current fair market value of the common stock and (2) the initial conversion rate, and (B) any Preferred Stock unpaid dividends with respect to the Preferred Stock upon such occurrence.  If following the refinancing repayment eligibility date, we do not repay all amounts outstanding pursuant to the Credit Agreement or any replacement credit facility entered into by us, we are prohibited from calling the Series A Preferred for redemption at the time.
 
12

Change in Control
 
Upon certain change of control events involving us, the holders can require us to repurchase the Preferred Stock for an amount in cash equal to the greater of (i) the liquidation value, multiplied by 1.5 or (ii) (A) the liquidation value, multiplied by 1.25, (B) plus any Series A unpaid dividends with respect to the Preferred Stock upon such occurrence; provided, that the Preferred Stock majority holders may waive the right to receive the change of control payment in connection with any change of control.
 
In connection with the issuance of the Preferred Stock, we incurred expenses of approximately $566 which were netted against the proceeds allocated to the fair value of the preferred shares.  We also recognized a beneficial conversion feature at the time of issuance in accordance with ASC-470-20 and allocated its intrinsic value of $4,349 to paid-in-capital. We then immediately amortized the intrinsic value in full and recognized it as a dividend to the preferred shareholders since the Preferred Stock was convertible upon issuance. The intrinsic value was measured as the difference between the closing price of our common stock on February 25, 2015, of $4.50 and the conversion price of $4.14 per common share.
 
 In accordance with FASB ASC Topic 480-10-S99-3A, SEC Staff Announcement: Classification and Measurement of Redeemable Securities, preferred stock with redemption features that are not solely within the control of the issuer are required to be presented outside of permanent equity on the condensed consolidated balance sheet. Under the stock purchase agreement and as noted above, the holder has the option to redeem the Preferred Stock any time through August 25, 2015, and then again on or after July 29, 2020, or upon a change in control or subsequent to our call for conversion and the holders' right to redeem for cash. As such, the Preferred Stock is presented in temporary or mezzanine equity on the condensed consolidated balance sheet and was accreted up to the stated redemption value of $50,000 at March 31, 2015, and will be on each future balance sheet based upon the facts and circumstances at the time using an appropriate accretion method over an appropriate redemption period that ends on July 29, 2020, the next earliest probable date at which the Preferred Stock will become redeemable.

(9)
Share-Based Compensation
 
Stock Options
 
The following table summarizes share-based compensation expense recognized during the periods indicated:

   
Three Months Ended
March 31,
 
   
2015
   
2014
 
Share-based compensation expense included in the condensed consolidated statements of operations:
       
Software and other cost of sales
 
$
13
   
$
13
 
Professional services cost of sales
   
23
     
28
 
Maintenance and EDI cost of sales
   
22
     
23
 
Sales and marketing
   
334
     
641
 
Product research and development
   
189
     
200
 
General and administrative
   
684
     
625
 
Share-based compensation expense, net of tax
 
$
1,265
   
$
1,530
 
 
13

Stock option activity in the three months ended March 31, 2015, is set forth in the following table: 

 
 
Number
of
Options
 
Options outstanding, December 31, 2014
   
5,992,868
 
Options granted
   
95,000
 
Options exercised
   
(186,250
)
Options forfeited and expired
   
(38,125
)
Options outstanding, March 31, 2015
   
5,863,493
 
         
Options exercisable, March 31, 2015
   
4,265,993
 

Restricted Stock
 
Restricted stock activity in the three months ended March 31, 2015, is set forth in the following table: 

 
 
Number
of
Shares
 
Restricted stock outstanding, December 31, 2014
   
1,942,748
 
Restricted stock granted
   
-
 
Restricted stock vested
   
(108,223
)
Restricted stock forfeited
   
-
 
Restricted stock outstanding, March 31, 2015
   
1,834,525
 

As of March 31, 2015, there was approximately $5,784 of unrecognized compensation cost related to stock options and restricted stock that may be recognized in future periods.

(10)
Commitments and Contingencies

Litigation
 
In August 2010, Merge Healthcare was sued in the Northern District of Texas by the Court-appointed receiver for Stanford International Bank, Ltd.  The receiver alleges that Merge Healthcare was a recipient of a fraudulent conveyance as a result of a Ponzi scheme orchestrated by Robert Stanford and Stanford International Bank, Ltd. (SIBL).  Merge Healthcare is not alleged to have participated in the Ponzi scheme.  The receiver’s claims arise from the failed acquisition of Emageon, Inc. (Emageon) by Health Systems Solutions, Inc. (HSS), an affiliate of SIBL, in February 2009, which resulted in the payment of a $9,000 break-up fee by HSS, which payment is alleged to have been financed by SIBL.  Merge Healthcare subsequently acquired Emageon as part of our AMICAS acquisition.  The complaint seeks to recover the $9,000 payment to Emageon, plus interest, costs, and attorneys’ fees.  We have retained litigation counsel and intend to vigorously defend this action.  We filed a motion to dismiss the complaint, which motion was denied.  Trial has been scheduled for November 2015.  Discovery in this matter is ongoing.  We believe it is reasonably possible that we may incur a loss with respect to this matter.  The potential loss may lie in a range from zero to the full amount claimed, plus interest.
 
14

On January 16, 2014, a purported shareholder class action complaint was filed in the United States District Court for the Northern District of Illinois by Fernando Rossy, who claims to be a Merge Healthcare stockholder, against Merge Healthcare and certain current and former directors and officers claiming violations of federal securities laws and asserting that a class of our stockholders suffered damages due to the alleged dissemination or approval of false and misleading statements by Merge Healthcare from August 1, 2012 through January 7, 2014, related to falsified subscription backlog figures and a reluctance amongst large health systems to make enterprise purchases, as well as a lack of effective controls.  Several other putative shareholder class action complaints alleging materially the same causes of action were subsequently filed.  A hearing was held on March 26, 2014, before the Court of the Northern District Illinois, at which time the Court granted the motion of the Arkansas Teacher Retirement System (“ATRS”) to consolidate the purported class action cases and to appoint ATRS as lead plaintiff.  ATRS filed an amended complaint on May 28, 2014.  We filed a motion to dismiss the purported class action lawsuit and, on March 12, 2015, the Court issued a Memorandum Opinion and Order granting our motion and dismissing the lawsuit. To date, no appeal has been filed.  On February 14, 2014, William B. Federman, who claims to be a Merge Healthcare stockholder, filed a derivative complaint in the Circuit Court of Cook County, Illinois against certain of our current and former directors and officers, asserting breaches of fiduciary duty arising out of materially the same conduct alleged in the purported securities class action complaints.  Subsequently, two other derivative complaints were filed in the United States District Court of the Northern District of Illinois.  On June 6, 2014, the judge assigned to the purported class action case granted our motion to reassign the two Federal derivative actions to her on the basis of relatedness and stayed the Federal derivative cases until she rules on our motion to dismiss the class action case.  The derivative cases currently remain stayed by informal agreements with plaintiffs’ counsel.  The plaintiffs in the purported class action and derivative cases have not claimed a specific amount of damages.  Merge Healthcare and the other named defendants are actively considering all possible responses to these complaints.  While we intend to defend the claims vigorously and carry directors and officers insurance, it is reasonably possible that we may incur a loss in this matter.  At this stage of the proceedings, however, it is not possible for management to reasonably estimate either the likelihood of such a loss or its magnitude. 
 
In addition to the matters discussed above, we are involved in various legal matters that are in the process of litigation or settled in the ordinary course of business.  Although the final results of all such matters and claims cannot be predicted with certainty, we believe that the ultimate resolution of all such matters and claims will not have a material adverse effect on Merge’s financial condition.  Professional legal fees are expensed when incurred. We accrue for contingent losses when such losses are probable and reasonably estimable. In the event that estimates or assumptions prove to differ from actual results, adjustments are made in subsequent periods to reflect more current information. Should we fail to prevail in any legal matter or should several legal matters be resolved against us in the same reporting period, such matters could have a material adverse effect on our operating results and cash flows for that particular period.
 
(11)
Income Taxes
 
We are subject to tax in multiple jurisdictions and record income tax expense on an interim basis using an estimated annual effective tax rate.  The estimated annual effective tax rate is modified to exclude the effect of losses for those jurisdictions where the tax benefit cannot be recognized and a separate estimated annual tax rate is required.  Items discrete to a specific quarter are reflected in tax expense for that period.  A valuation allowance is established when necessary to reduce deferred tax assets to the amount more likely than not to be realized.  Further limitations may apply to deferred tax assets if certain ownership changes occur. 
 
We evaluate our deferred income taxes quarterly to determine if valuation allowances are required or should be adjusted.  GAAP requires that companies assess whether valuation allowances should be established against their deferred tax assets based on consideration of all available evidence, both positive and negative, using a “more likely than not” standard. This assessment considers, among other matters, the nature, frequency and amount of recent losses, the duration of statutory carryforward periods, and tax planning strategies. In making such judgments, significant weight is given to evidence that can be objectively verified.

In the three months ended March 31, 2015, we reversed a portion of the tax valuation allowance against our net deferred tax assets related to U.S. consolidated federal and state jurisdictions.  The release of this valuation allowance is a result of our acquisition of DR Systems.  The acquisition included additional sources of taxable income such as the reversal of temporary differences that are available to offset deferred tax assets of the acquiring company in future periods.  The net income impact of the tax valuation allowance release was a tax benefit of approximately $18,393.

(12)
Net Income Per Share Attributable to Common Shareholders of Merge
 
We apply the two-class method of calculating basic net income per share. Under the two-class method, net income is reduced by Preferred Stock dividends and dividend equivalents related to Preferred Stock accretion and residual earnings are allocated between common stock and participating securities based upon their participation rights.  Our Preferred Stock is a participating security and shares in common stock dividends if declared.  The Preferred Stock was not outstanding in the comparable prior year period.
 
15

Basic net income per share is computed by dividing net income attributable to common shareholders by the weighted average number of shares of common stock outstanding during the period.  Diluted net income per share is computed by dividing net income attributable to common shareholders by the weighted average number of shares of common stock outstanding during the period adjusted for the effects of potentially dilutive common stock equivalents which are comprised of; stock options, except for stock options with an exercise price of more than the average market price of our common stock during the period as such exercise would be anti-dilutive, restricted stock awards assuming the potential lapse of restrictions using the treasury stock method and convertible Preferred Stock using the if-converted method or the treasury stock method, whichever produces the greater dilution.  The following table sets forth the computation of basic and diluted net income per share.

   
Three Months Ended March 31,
 
   
2015
   
2014
 
Numerator
       
Net income attributable to Merge
 
$
17,771
   
$
323
 
Convertible preferred stock dividends and dividend equivalents related to accretion
   
(5,328
)
   
-
 
Allocation of earnings to participating securities
   
(1,357
)
   
-
 
Net income attributable to common shareholders of Merge - basic and diluted
 
$
11,086
   
$
323
 
                 
Denominator
               
Weighted average number of common shares outstanding - basic
   
96,616,916
     
94,656,786
 
Effect of dilutive securities:
               
Stock options
   
-
     
1,051,999
 
Unvested restricted stock awards
   
-
     
287,780
 
Dilutive potential common shares
   
-
     
1,339,780
 
Weighted average number of common shares outstanding - diluted
   
96,616,916
     
95,996,566
 
                 
Net income (loss) per share attributable to common shareholders of Merge
               
Basic
 
$
0.11
   
$
0.00
 
Diluted
 
$
0.11
   
$
0.00
 

The following table sets forth the number of anti-dilutive shares excluded from the calculation of diluted net income per share attributable to common shareholders for the periods indicated.

   
Three Months Ended March 31,
 
   
2015
   
2014
 
Stock options
   
5,863,493
     
5,337,925
 
Unvested restricted stock awards
   
1,834,525
     
-
 
Convertible preferred stock
   
12,077,500
     
-
 
 
Total number of shares excluded from net income per share attributable to common shareholders
   
19,775,518
     
5,337,925
 

The application of the if-converted method of determining diluted net income per share relative to our convertible preferred stock requires an adjustment to the numerator for the allocation of undistributed earnings which are used in the determination of basic earnings per share in the two-class method.  This leads to anti-dilutive effects in determining diluted earnings per share for three months ended March 31, 2015.  Therefore, diluted earnings per share excludes the incremental shares from the assumed exercise of employee stock options, the potential lapse of restrictions on outstanding restricted stock awards and the potential conversion of convertible preferred stock as their inclusion would have been anti-dilutive. For the three months ended March 31, 2014, the dilutive effect of incremental shares from the assumed exercise of employee stock options, and the potential lapse of restrictions on outstanding restricted stock awards totaling 1,051,999 and 287,780 shares, respectively, have been included in the calculation of diluted net income per share as their inclusion was dilutive.  In the three months ended March 31, 2014, options to purchase 5,337,925 shares of our common stock had exercise prices greater than the average market price of our common stock, and, therefore, are not considered in the calculations of diluted net income per share. 
 
16

Potentially dilutive common stock equivalent securities, including securities that may be considered in the calculation of diluted earnings per share outstanding as of March 31, 2015 and 2014, were 19,775,518 and 9,682,925, respectively.
 
(13)
Segment Information
 
We have two operating groups which constitute reportable operating segments: Merge Healthcare and Merge DNA.  Merge Healthcare includes the assets and results of DR Systems from the date of acquisition. We evaluate the performance of these operating groups based on their respective revenues and operating income, which exclude public company costs, certain corporate costs (amortization expense that is not specific to a segment), net interest expense and income taxes.
 
The following tables present operating group financial information for the periods indicated:

   
Three Months Ended March 31, 2015
 
   
Healthcare
   
DNA
   
Total
 
Net sales:
           
Software and other
 
$
13,135
   
$
3,667
     
16,802
 
Professional services
   
7,146
     
2,338
     
9,484
 
Maintenance and EDI
   
28,051
     
66
     
28,117
 
Total net sales
   
48,332
     
6,071
     
54,403
 
Expenses
   
42,232
     
5,535
     
47,767
 
Segment income
 
$
6,100
   
$
536
     
6,636
 
                         
Net corporate/other expenses (1)
                   
7,332
 
Loss before income taxes
                 
$
(696
)
                         
   
Three Months Ended March 31, 2014
 
   
Healthcare
   
DNA
   
Total
 
Net sales:
                       
Software and other
 
$
11,142
   
$
3,941
   
$
15,083
 
Professional services
   
7,076
     
3,413
     
10,489
 
Maintenance and EDI
   
25,011
     
320
     
25,331
 
Total net sales
   
43,229
     
7,674
     
50,903
 
Expenses
   
37,213
     
6,886
     
44,099
 
Segment income
 
$
6,016
   
$
788
     
6,804
 
                         
Net corporate/other expenses (1)
                   
6,498
 
Income before income taxes
                 
$
306
 
 
 
(1)
Net corporate/other expenses include public company costs, corporate administration expenses, amortization expense which is not attributable to business segments, acquisition-related expenses and net interest expense.
 
17

   
Healthcare
   
DNA
   
Corporate/
Other
   
Consolidated
 
Depreciation and amortization
 
   
   
   
 
   
   
   
   
 
Three Months ended March 31, 2015
 
$
3,118
   
$
423
   
$
39
   
$
3,580
 
                                 
Restructuring and Other One Time Charges
                               
                                 
Three Months ended March 31, 2015
 
$
1,178
   
$
-
   
$
-
   
$
1,178
 
                                 
Assets as of March 31, 2015
 
$
415,357
   
$
33,315
   
$
2,456
   
$
451,128
 
                                 
   
Healthcare
   
DNA
   
Corporate/
Other
   
Consolidated
 
Depreciation and amortization
                               
                                 
Three Months ended March 31, 2014
 
$
3,282
   
$
793
   
$
2
   
$
4,077
 
                                 
Assets as of December 31, 2014
 
$
335,883
   
$
36,090
   
$
2,364
   
$
374,337
 

(14)
Recent Accounting Pronouncements
 
We describe below recent pronouncements that have had or may have a significant effect on our financial statements or on our disclosures. We do not discuss recent pronouncements that are not anticipated to have an impact on or are unrelated to our financial condition, results of operations, or related disclosures.
 
In May 2014, the FASB issued ASU No. 2014- 09, Revenue from Contracts with Customers (Topic 606).  ASU 2014-09 also adds Subtopic 340-40 Other Assets and Deferred Costs‒Contracts with Customers.  The FASB issued ASU 2014-09 to clarify the principles for recognizing revenue and to develop a common revenue standard for generally accepted accounting principles and International Financial Reporting Standards. The standard outlines a single comprehensive model for entities to use in accounting for revenue arising from contracts with customers and supersedes the most current revenue recognition guidance.  ASU 2014-09 requires retrospective application either, a) to each prior period presented, or, b) retrospectively with the cumulative effect of initially applying the guidance recognized at the date of initial application as an adjustment to opening retained earnings.  The provisions of this new guidance are effective for annual reporting periods beginning after December 15, 2016, including interim reporting periods within that reporting period.  Earlier application is not permitted.  We are currently evaluating the impact of the new guidance on our financial statements.

(15)
Subsequent Event
 
We completed the acquisition of the remaining 8.5% of DR Systems on April 17, 2015.  The purchase price for the remaining common stock of DR Systems was $7,104.  We used available cash to complete the transaction.
 
18

Item 2. 
Management’s Discussion and Analysis of Financial Condition and Results of Operations
 
Cautionary Note Regarding Forward-Looking Statements
 
The discussion below contains “forward-looking statements” within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act, and Section 21E of the Exchange Act.  We have used words such as “believes,” “anticipates,” “forecasts,” “projects,” “could,” “plans,” “expects,” “may,” “will,” “would,” “intends,” “estimates” and similar expressions, whether in the negative or affirmative, to identify forward-looking statements.  These statements are based on information currently available to us and are subject to a number of risks and uncertainties that may cause our actual results of operations, financial condition, cash flows, performance, business prospects and opportunities and the timing of certain events to differ materially from those expressed in, or implied by, these statements.  These risks, uncertainties and other factors include, without limitation, those matters discussed in Item 1A of Part I of our Annual Report on Form 10‑K for the year ended December 31, 2014.  Except as expressly required by the federal securities laws, we undertake no obligation to update such factors or to publicly announce the results of any of the forward-looking statements contained herein to reflect future events, developments, or changed circumstances, or for any other reason.  The following discussion should be read in conjunction with our consolidated financial statements and notes thereto appearing in our Annual Report on Form 10-K and Item 1A, “Risk Factors” for the year ended December 31, 2014.
 
Management’s Discussion and Analysis is presented in the following order:
 
· Overview
· Business Segments
· Results of Operations
· Liquidity and Capital Resources
· Material Off Balance Sheet Arrangements
· Critical Accounting Policies

Overview
 
We develop enterprise imaging software solutions that facilitate the sharing of images to create a more effective and efficient electronic healthcare experience for patients and physicians.  Our solutions are designed to help solve some of the most difficult challenges in health information exchange today, such as the incorporation of medical images and diagnostic information into broader healthcare IT applications, the interoperability of proprietary software solutions, and the ability to improve the efficiency and cost effectiveness of our customers’ businesses.  We believe that our ability to innovate has driven consistent expansion of solutions and services and entry into new markets. Our solutions optimize processes for healthcare providers ranging in size from single provider practices to large health systems, to the sponsors of clinical trials and medical device manufacturers. 
 
We operate under two reportable segments: Merge Healthcare and Merge DNA.  We evaluate the performance of each operating segment based on its respective revenues and operating income. 
 
Our Merge Healthcare segment represents approximately 89% of our total revenues and markets, sells and implements interoperability, imaging and clinical solutions to healthcare providers.  It generates revenue from the licensing of software (including upgrades), the sale of hardware, professional services, maintenance and electronic data interchange (EDI) services.  This segment includes D.R. Systems (“DR Systems”), which was acquired during the three months ended March 31, 2015. Segment results include one month of operations for DR Systems, which contributed $2.8 million of net sales and $0.9 million of loss to the overall segment results. The DR Systems loss includes $0.6 million of restructuring charges and $0.4 million in amortization expense related to the acquired intangible assets.
 
Our Merge DNA (Data and Analytics) segment represents approximately 11% of our total revenues.  This segment derives the vast majority of its revenue from software, through both on-premise licensing and hosting arrangements, and professional services. Commencing in 2015, all revenues for Merge DNA comes from clinical trials. During 2014, Merge DNA completed a two year exit from the low margin health station business and achieved added profitability from the new clinical trials platform (eCOS), which takes much less professional services to configure and generates the vast majority of its revenue from transaction-based activities.
 
19

On February 25, 2015, we completed the acquisition of 91.5% of the common stock of DR Systems and on April 17, 2015 we completed the acquisition of the remaining shares of common stock for a total acquisition price of $7.1 million.  To finance the transactions, we used $50 million of cash received from the private placement of 50,000 newly-issued shares of Series A Convertible Preferred Stock (“Preferred Stock”) and $20 million of cash on hand.  The Preferred Stock accrues dividends at a rate of 8.5% per annum, payable in cash on a quarterly basis.  As a result of the timing of the completion of the acquisition, the comparability of the results of operations in the three months ended March 31, 2015, which includes one month of DR System’s activity, differ from the same period in 2014.  At the end of the three months ended March 31, 2015, we completed a restructuring initiative focused on the elimination of redundant positions.  This initiative will enable us to decrease costs as a percentage of revenue, most notably a reduction of 6% of headcount across the organization.  There was no impact of cost saving benefits of the initiative in the three months ended March 31, 2015, but we expect it to be fully recognized in the statements of operations by September 30, 2015.
 
Business Segments
 
The following tables provide operating group information for the periods indicated, based on GAAP reported information (all amounts are in thousands, except percentages):
 
Merge Healthcare Segment
 
Three Months Ended
March 31,
   
Change 2015 vs. 2014
 
 
 
2015
   
2014
   
$
   
%
 
Net sales:
 
   
   
         
Software and other
 
$
13,135
   
$
11,142
   
$
1,993
     
17.9
%
Professional services
   
7,146
     
7,076
     
70
     
1.0
%
Maintenance and EDI
   
28,051
     
25,011
     
3,040
     
12.2
%
Total net sales
   
48,332
     
43,229
     
5,103
     
11.8
%
Expenses
   
42,232
     
37,213
     
5,019
     
13.5
%
Segment income
 
$
6,100
   
$
6,016
   
$
84
     
1.4
%
 
Merge DNA Segment
 
Three Months Ended
March 31,
   
Change 2015 vs. 2014
 
 
   
2015
     
2014
     
$
   
%
 
Net sales:
                               
Software and other
 
$
3,667
   
$
3,941
   
$
(274
)
   
-7.0
%
Professional services
   
2,338
     
3,413
     
(1,075
)
   
-31.5
%
Maintenance and EDI
   
66
     
320
     
(254
)
   
-79.4
%
Total net sales
   
6,071
     
7,674
     
(1,603
)
   
-20.9
%
Expenses
   
5,535
     
6,886
     
(1,351
)
   
-19.6
%
Segment income
 
$
536
   
$
788
   
$
(252
)
   
-32.0
%
 
The majority of total net sales continue to be generated through perpetual license agreements with our customers.  Under perpetual license agreements, the software, hardware and professional services are considered to be sources of non-recurring revenue.  Subscription-based pricing arrangements involve fees that are payable by our customers and revenue recognized by us over a number of years, including leases, clinical trials software-as-a-service, certain interoperability solutions, and renewable annual software contracts (with very high renewal rates). 
 
20

The following tables provide GAAP net sales generated by non-recurring, subscription and maintenance and EDI revenue sources by segment for the periods indicated:
 
   
Net Sales Three Months ended March 31, 2015
 
   
Healthcare
   
DNA
   
Total
 
Revenue Source
 
$
   
%
   
$
   
%
   
$
   
%
 
Maintenance and EDI
 
$
28,051
     
58.0
%
 
$
66
     
1.1
%
 
$
28,117
     
51.7
%
Subscription
   
1,307
     
2.7
%
   
6,000
     
98.8
%
   
7,307
     
13.4
%
Non-recurring
   
18,974
     
39.3
%
   
5
     
0.1
%
   
18,979
     
34.9
%
Total
 
$
48,332
     
100.0
%
 
$
6,071
     
100.0
%
 
$
54,403
     
100.0
%
     
88.8
%
           
11.2
%
                       
                                                 
   
Net Sales Three Months ended March 31, 2014
 
   
Healthcare
   
DNA
   
Total
 
Revenue Source
  $    
%
    $    
%
   
$
   
%
 
Maintenance and EDI
 
$
25,011
     
57.9
%
 
$
320
     
4.2
%
 
$
25,331
     
49.8
%
Subscription
   
1,271
     
2.9
%
   
6,922
     
90.2
%
   
8,193
     
16.1
%
Non-recurring
   
16,947
     
39.2
%
   
432
     
5.6
%
   
17,379
     
34.1
%
Total
 
$
43,229
     
100.0
%
 
$
7,674
     
100.0
%
 
$
50,903
     
100.0
%
     
84.9
%
           
15.1
%
                       

21

Results of Operations
 
Three Months Ended March 31, 2015 Compared to the Three Months Ended March 31, 2014
 
The following table sets forth selected, summarized, unaudited, consolidated financial data for the periods indicated, as well as comparative data showing increases and decreases between the periods.  All amounts, except percentages, are in thousands.
 
   
Three Months Ended March 31,
   
Change
 
 
 
2015
    %
(1)
  2014     %
(1)
 
$
   
%
 
 
 
                           
         
Net sales:
 
                           
         
Software and other
 
$
16,802
     
30.9
%
 
$
15,083
     
29.6
%
 
$
1,719
     
11.4
%
Professional services
   
9,484
     
17.4
%
   
10,489
     
20.5
%
   
(1,005
)
   
-9.6
%
Maintenance and EDI
   
28,117
     
51.7
%
   
25,331
     
49.8
%
   
2,786
     
11.0
%
Total net sales
   
54,403
     
100.0
%
   
50,903
     
100.0
%
   
3,500
     
6.9
%
Cost of sales:
                                               
Software and other
   
6,182
     
36.8
%
   
6,101
     
40.4
%
   
81
     
1.3
%
Professional services
   
6,764
     
71.3
%
   
6,347
     
60.5
%
   
417
     
6.6
%
Maintenance and EDI
   
7,800
     
27.7
%
   
6,963
     
27.5
%
   
837
     
12.0
%
Depreciation and amortization
   
1,481
     
2.7
%
   
1,595
     
3.1
%
   
(114
)
   
-7.1
%
Total cost of sales
   
22,227
     
40.9
%
   
21,006
     
41.3
%
   
1,221
     
5.8
%
Total gross margin
   
32,176
     
59.1
%
   
29,897
     
58.7
%
   
2,279
     
7.6
%
                                                 
Gross margin by net sales category (2)
                                               
Software and other
   
10,620
     
63.2
%
   
8,982
     
59.6
%
   
1,638
     
18.2
%
Professional services
   
2,720
     
28.7
%
   
4,142
     
39.5
%
   
(1,422
)
   
-34.3
%
Maintenance and EDI
   
20,317
     
72.3
%
   
18,368
     
72.5
%
   
1,949
     
10.6
%
                                                 
Operating expenses:
                                               
Sales and marketing
   
8,978
     
16.5
%
   
8,007
     
15.7
%
   
971
     
12.1
%
Product research and development
   
8,228
     
15.1
%
   
7,580
     
14.9
%
   
648
     
8.5
%
General and administrative
   
7,512
     
13.8
%
   
7,360
     
14.5
%
   
152
     
2.1
%
Acquisition-related expenses
   
351
     
0.6
%
   
26
     
0.1
%
   
325
   
NM
 
Restructuring and other expenses
   
1,178
     
2.2
%
   
-
     
0.0
%
   
1,178
   
NM
 
Depreciation and amortization
   
2,099
     
3.9
%
   
2,482
     
4.9
%
   
(383
)
   
-15.4
%
Total operating costs and expenses
   
28,346
     
52.1
%
   
25,455
     
50.0
%
   
2,891
     
11.4
%
Operating income
   
3,830
     
7.0
%
   
4,442
     
8.7
%
   
(612
)
   
-13.8
%
Other expense, net
   
(4,526
)
   
-8.3
%
   
(4,136
)
   
-8.1
%
   
(390
)
   
9.4
%
Income (loss) before income taxes
   
(696
)
   
-1.3
%
   
306
     
0.6
%
   
(1,002
)
 
NM
 
Income tax benefit
   
(18,391
)
   
-33.8
%
   
(19
)
   
0.0
%
   
(18,372
)
 
NM
 
Net income
 
$
17,695
     
32.5
%
 
$
325
     
0.6
%
 
$
17,370
   
NM
(3)
 
 
(1)
Percentages are of total net sales, except for cost of sales and gross margin, which are based upon related net sales.
 
(2)
Depreciation and amortization are excluded from these gross margin calculations.
 
(3)
NM denotes percentage is not meaningful.

Net Sales

Software and Other Net Sales.  Total software and other net sales in 2015 were $16.8 million, an increase of $1.7 million, or 11.4%, from $15.1 million in 2014.  Software and other net sales in the Merge Healthcare operating segment increased by $2.0 million, primarily driven by an 80% increase in perpetual software agreement bookings compared to the prior year.  Software and hardware orders sold through perpetual software agreements in the Merge Healthcare segment are typically fulfilled, and revenue is recognized, in either the quarter signed or the following few quarters.  Revenue recognized from software and other net sales may vary significantly on a quarterly basis.
 
Merge DNA segment net sales decreased $0.3 million.  This decrease includes zero revenue from businesses exited in 2014 compared to $1.1 million in the prior year.  This decrease was offset by a $0.9 million increase in transaction-based software fees generated from the eCOS platform.  
 
Professional Services Net Sales.  Total professional services net sales in 2015 were $9.5 million, a decrease of $1.0 million, or 9.6%, from $10.5 million in 2014.  Net sales in the Merge DNA segment decreased $1.1 million, primarily as a result of the eCOS platform which results in a shift in revenue mix from services to software as it requires significantly less services to configure for customer use and such configuration can be performed by customers themselves.   Revenue recognized from professional services net sales generally lags software and other net sales by one to three quarters due to the timing of when such services are performed compared to when the products are delivered.
 
22

Maintenance and EDI Net Sales.  Total maintenance and EDI net sales in 2015 were $28.1 million, an increase of $2.8 million, or 11.0%, from $25.3 million in 2014.  Net sales in the Merge Healthcare segment increased $3.0 million, primarily due to $2.6 million of revenue from DR Systems.
 
Depreciation and Amortization – Cost of Sales
 
Depreciation and amortization expense decreased 7.1%, to $1.5 million in 2015 from $1.6 million in 2014 mainly due to assets that became fully amortized in the prior year, partially offset by asset additions in 2015.
 
Gross Margin
 
Gross Margin – Software and Other Net Sales.  Gross margin on software and other net sales was $10.6 million in 2015, an increase of $1.6 million, or 18.2%, from $9.0 million in 2014.  Gross margin as a percentage of software and other net sales increased to 63.2% in 2015 from 59.6% in 2014, primarily due to a decrease in the percentage of hardware sales, which produce lower margins than software.  Hardware sales were 31.1% of software and other net sales in 2015 compared to 34.3% of software and other net sales in 2014.  We expect gross margin on software and other net sales to fluctuate depending on the mix of sales among our products.
 
Gross Margin – Professional Service Net Sales.  Gross margin on professional service net sales was $2.7 million in 2015, a decrease of $1.4 million, or 34.3%, from $4.1 million in 2014.  Gross margin as a percentage of professional service net sales decreased to 28.7% in 2015 from 39.5% in 2014, primarily due to the billable utilization of our professional services resources as we made a conscious effort to maintain headcount in the Merge DNA segment to ensure customer satisfaction for clinical trials running on older platforms.  As the majority of professional services costs are fixed, we expect gross margins to fluctuate depending on billable utilization of these resources.
 
Gross Margin – Maintenance and EDI Net Sales.  Gross margin on maintenance and EDI net sales was $20.3 million in 2015, an increase of $1.9 million, or 10.6%, from $18.4 million in 2014.  The increase in gross margin dollars in the Merge Healthcare segment was primarily from the acquisition of DR Systems, which had a similar gross margin as a percentage of net sales as the rest of the segment.  Gross margin as a percentage of maintenance and EDI net sales was 72.3% in 2015, compared to 72.5% in 2014. 
 
Sales and Marketing
 
Sales and marketing expense increased $1.0 million, or 12.1%, to $9.0 million in 2015 from $8.0 million in 2014.  As a percentage of net sales, sales and marketing expense increased by 0.8% to 16.5%.  The increase was primarily due to an increase in compensation (including commissions and stock-based compensation) and related benefits and taxes of $0.9 million, which includes the costs from employees added through the acquisition of DR Systems.
 
Product Research and Development
 
Product research and development expense increased $0.6 million, or 8.5%, to $8.2 million in 2015 from $7.6 million in 2014.  Product research and development, as a percentage of net sales, increased slightly by 0.2% to 15.1% in 2015.  The increase was primarily due to an increase in compensation (including stock-based compensation) and related benefits and taxes of $0.4 million, which includes the costs from employees added through the acquisition of DR Systems.  Further, we capitalized, and thus did not recognize as an expense, software development costs of $0.4 million in 2015 compared to $0.6 million in 2014.  The reduction of capitalized costs increased the amount expensed during 2015 by $0.2 million.
 
General and Administrative
 
General and administrative expense increased $0.2 million, or 2.1%, to $7.5 million in 2015 from $7.4 million in 2014.  Due to the increase in net sales, general and administrative expenses as a percentage of net sales decreased by 0.7% from 14.5% in 2014 to 13.8% in 2015.
 
Restructuring and Other Expenses
 
Restructuring and other expenses were $1.2 million in 2015 compared to zero in 2014.  The 2015 expense of $1.2 million was focused on an initiative to reduce duplicative costs as a result of the DR Systems acquisition. 
 
23

Depreciation and Amortization
 
Depreciation and amortization expense decreased $0.4 million, or 15.4%, to $2.1 million in 2015 from $2.5 million in 2014.  Certain intangible assets became fully amortized in the prior year leading to this decrease.
 
Other Expense, Net
 
Other expense increased $0.4 million, or 9.4%, to $4.5 million in 2015 from $4.1 million in 2014 primarily due to an increase in the interest rate we paid on our debt.
 
Income Tax Benefit
 
In 2015, we recorded an income tax benefit of $18.4 million compared to a small income tax benefit in 2014.  The income tax benefit or expense in any period primarily results from mix of profit or loss in our U.S. and Canadian operations compared to expected results for the full year, valuation allowance changes, state income taxes and the deferred effect of tax deductible goodwill amortization.  The current period benefit is primarily driven by the release of a valuation allowance on the Company’s historical deferred tax assets.  The acquisition of DR Systems generates additional sources of taxable income through the deferred tax liabilities recorded in purchase accounting, which are available to realize existing deferred tax assets.  The tax benefit in 2015 is net of tax expense from profitable Canadian operations, and interest and penalties related to uncertain tax positions.  Only state income taxes resulted in cash tax payments in each year.  The effective income tax rate is volatile and may move up or down with changes in, among other items, operating income by jurisdiction and the results of changes in tax laws and regulations of the U.S. and foreign jurisdictions in which we operate.
 
Liquidity and Capital Resources
 
Our cash and cash equivalents were $24.8 million at March 31, 2015, compared to $42.5 million at December 31, 2014.  We used $13.7 million of available cash and $49.4 million of net proceeds from the private placement of Preferred Stock during the three months ended March 31, 2015, to fund the acquisition of DR Systems for $63.1 million, net of cash acquired.  We acquired the remaining shares of DR Systems during as of April 17, 2015, at a cost of $7.1 million.  We expect to pay the majority of our $1.2 million restructuring costs during the second quarter. We had a working capital deficit of $13.4 million at March 31, 2015, compared to working capital of $13.3 million at December 31, 2014. Our use of available cash during the three months ended March 31, 2015, to acquire DR Systems was the primary cause of this reduction in working capital. 
 
Operating Cash Flows
 
Cash provided by operating activities was $0.8 million in 2015, compared to cash provided by operating activities of $9.8 million in 2014.  Net income of $17.7 million in 2015 includes a deferred tax benefit of $18.3 million and non-cash expenses of $5.4 million.  We paid out 2014 cash bonuses of $4.8 million in the first quarter of 2015.  There were no bonus payments in the comparable period for 2014.  Net income in 2014 of $0.3 million includes non-cash expenses of $6.9 million. 
 
Investing Cash Flows
 
Cash used in investing activities was $64.7 million in 2015 compared to $0.9 million in 2014.  The increase is primarily due to the acquisition of DR Systems for $63.1 million, net of cash acquired during the quarter.
 
Financing Cash Flows
 
Cash provided by financing activities was $46.2 million in 2015, compared to cash used in financing activities of $8.7 million in 2014.  We issued $50.0 million of Preferred Stock during the three months ended March 31, 2015, in order to partially finance the acquisition of DR Systems. We paid a Preferred Stock dividend of $0.4 million and incurred costs of $0.6 million related to a waiver and amendment to our Credit Agreement. In addition, the repayment of principal on our term loans decreased by $5.7 million.  During 2014, we voluntarily paid down our debt without penalty, but due to penalties imposed for early principal payments under our current Credit Agreement, no additional principal payments were made in 2015.
 
24

Contractual Obligations
 
Total outstanding commitments as of March 31, 2015 (in thousands), were as follows:
 
   
   
Payment due by period
 
Contractual Obligations
 
Total
   
Less than
1 Year
   
1 – 3 Years
   
3 – 5 Years
   
More than
5 Years
 
Operating leases
 
$
13,926
   
$
2,560
   
$
3,918
   
$
3,314
   
$
4,134
 
Capital leases (including interest)
   
390
     
179
     
211
     
-
     
-
 
Acquisition obligations
   
179
     
179
     
-
     
-
     
-
 
Term loan (including interest and fees)
   
297,828
     
27,583
     
52,581
     
49,278
     
168,386
 
Dividends payable Series A convertible preferred stock
   
22,974
     
4,321
     
8,606
     
8,630
     
1,417
 
Long-term vendor obligations
   
7,234
     
1,148
     
2,445
     
2,286
     
1,355
 
Total
 
$
342,531
   
$
35,970
   
$
67,761
   
$
63,508
   
$
175,292
 

The above obligations include lease payments involving facilities that we use. 
 
At March 31, 2015, we do not have any other significant long-term obligations, contractual obligations, lines of credit, standby letters of credit and guarantees, standby repurchase obligations or other commercial commitments.
 
As of March 31, 2015, approximately $1.1 million of our cash balance was held by our foreign subsidiaries.  We may need to accrue and pay taxes if we choose to repatriate these funds.
 
General
 
We believe our current cash and cash equivalent balances will be sufficient to meet our operating, financing and capital requirements through at least the next 12 months, including interest and principal payments due under our Term Loan and dividends payable on our Preferred Stock.  However, any projections of future cash inflows and outflows are subject to uncertainty.  In the event that it is necessary to raise additional capital to meet our short term or long term liquidity needs, such capital may be raised through additional debt, equity offerings or sale of certain assets.  If we raise additional funds through the issuance of equity, equity-related or debt securities, such securities may have rights, preferences or privileges senior to those of our common stock.  Furthermore, the number of shares of any new equity or equity-related securities that may be issued may result in significant dilution to existing shareholders.  In addition, the issuance of debt securities could increase the liquidity risk or perceived liquidity risk that we face.  We cannot, however, be certain that additional financing, or funds from asset sales, will be available on acceptable terms.  If adequate funds are not available or are not available on acceptable terms, we will likely not be able to take advantage of opportunities, develop or enhance services or products or respond to competitive pressures.  In particular, our uses of cash in 2015 and beyond will depend on a variety of factors such as the costs to implement our business strategy, the amount of cash that we are required to devote to defend and address any legal or regulatory proceedings, and potential merger and acquisition activities.
 
For a more detailed description of risks and uncertainties that may affect our liquidity, see Item 1A, “Risk Factors” in our Annual Report on Form 10-K for the year ended December 31, 2014.
 
Material Off Balance Sheet Arrangements
 
We have no material off balance sheet arrangements.
 
Critical Accounting Policies
 
Our discussion and analysis of our financial condition and results of operations are based upon our unaudited condensed consolidated financial statements, which have been prepared in accordance with GAAP.  The preparation of these condensed consolidated financial statements requires our management to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities.  On an ongoing basis, our management evaluates these estimates.  We base our estimates and judgments on our experience, our current knowledge (including terms of existing contracts), our beliefs of what could occur in the future, our observation of trends in the industry, information provided by our customers and information available from other sources.  Actual results may differ from these estimates under different assumptions or conditions.
 
We have identified the following accounting policies and estimates as those that we believe are most critical to our financial condition and results of operations and that require management’s most subjective and complex judgments in estimating the effect of inherent uncertainties: revenue recognition, allowances for doubtful accounts and sales returns, intangible assets and goodwill, software development costs, share-based compensation expense, income taxes, guarantees and loss contingencies.  There have been no significant changes in the three months ended March 31, 2015, in our method of application of these critical accounting policies.  For a complete description of our critical accounting policies, please refer to Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations – Critical Accounting Policies” in our Annual Report on Form 10‑K for the year ended December 31, 2014.
 
25

Item 3.
Quantitative and Qualitative Disclosures About Market Risk
 
For quantitative and qualitative disclosures about market risk, see Item 7A “Quantitative and Qualitative Disclosures About Market Risk,” of our annual report on Form 10-K for the year ended December 31, 2014.  Our exposures to market risk have not changed materially since December 31, 2014.
 
Item 4.
Controls and Procedures

Disclosure Controls and Procedures
 
We evaluated the effectiveness of the design and operation of our disclosure controls and procedures, which were designed to provide reasonable assurance of achieving their objectives, as of March 31, 2015, as required by Rule 13a-15 of the Exchange Act.  This evaluation was carried out under the supervision and with the participation of our management, including our principal executive officer and principal financial officer.  Based on this evaluation, our principal executive officer and principal financial officer have concluded that, as of March 31, 2015, our disclosure controls and procedures were effective at the reasonable assurance level to ensure (1) that information required to be disclosed by us in the reports we file or submit under the Exchange Act is recorded, processed, summarized and reported, within the time periods specified in the SEC’s rules and forms, and (2) information required to be disclosed by us in our reports that we file or submit under the Exchange Act is accumulated and communicated to our management, including our principal executive officer and principal financial officer, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.
 
Changes in Internal Control Over Financial Reporting
 
There were no changes with respect to our internal control over financial reporting that materially affected, or are reasonably likely to materially affect, our internal control over financial reporting in the three months ended March 31, 2015.
 
26

PART II – OTHER INFORMATION
 
Item 1.
Legal Proceedings
 
Please refer to the detailed discussion regarding litigation set forth in Note 10 of the Notes to Condensed Consolidated Financial Statements in this Form 10-Q.
 
Merge is involved in various legal matters that are in the process of litigation or settled in the ordinary course of business.  Although the final results of all such matters and claims cannot be predicted with certainty, we believe that the ultimate resolution of all such matters and claims will not have a material adverse effect on our financial condition.  However, such matters could have a material adverse effect on our operating results and cash flows for a particular period.
 
Item 1A.
Risk Factors
 
Our operations and financial results are subject to various risks and uncertainties that could adversely affect our business, financial condition, results of operations, and the market price for our common stock.  Please refer to Part I, Item 1A, “Risk Factors” of our Annual Report on Form 10‑K for the year ended December 31, 2014 for a detailed discussion of these risk factors, which have not changed materially.
 
Item 2.
Unregistered Sales of Equity Securities and Use of Proceeds
 
On February 25, 2015, we issued 50,000 shares of Series A Convertible Preferred Stock for $50 million pursuant to Section 4(a)(2) of the Securities Act of 1933.  For information pertaining to the issuance, terms of conversion and use of proceeds refer to Note 8 of the Notes to Condensed Consolidated Financial Statements in this Form 10-Q.
 
Item 6.
Exhibits
 
 
(a)
Exhibits
See Exhibit Index
27

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

 
Registrant:
 
 
MERGE HEALTHCARE INCORPORATED
   
April 30, 2015
By:
/s/ Justin C. Dearborn
   
Justin C. Dearborn
   
Chief Executive Officer
   
(principal executive officer)
     
April 30, 2015
By:
/s/ Steven M. Oreskovich
   
Steven M. Oreskovich
   
Chief Financial Officer
   
(principal financial officer and principal accounting officer)
 
28

EXHIBIT INDEX
 
3.1
Certificate of Designation of Series A Convertible Preferred Stock of Merge Healthcare Incorporated, dated February 25, 2015 (incorporated by reference to Exhibit 10.4 to the Current Report on Form 8-K of Merge Healthcare Incorporated dated February 25, 2015 (File No. 001-33006), as filed on March 3, 2015).
10.1
Stock Purchase Agreement, dated February 25, 2015 by and among Merge Healthcare Solutions Inc., Leo Zuckerman Trust, Curtis Family Trust, CJZ 2007 Trust, Blue Sea, L.L.C., Sarro-Porritt Family Trust, Reicher Family Trust and Charles Zuckerman (as the Sellers’ Representative) (incorporated by reference to Exhibit 10.1 to the Current Report on Form 8-K of Merge Healthcare Incorporated dated February 25, 2015 (File No. 001-33006), as filed on March 3, 2015).
10.2
Purchase Agreement, dated February 25, 2015 by and among Merge Healthcare Incorporated, Guggenheim Private Debt Fund Note Issuer, LLC, NZC Guggenheim Fund LLC, Maverick Enterprises, Inc. and Verger Capital Fund LLC (incorporated by reference to Exhibit 10.2 to the Current Report on Form 8-K of Merge Healthcare Incorporated dated February 25, 2015 (File No. 001-33006), as filed on March 3, 2015).
10.3
Waiver and First Amendment to Credit Agreement, dated as of February 25, 2015, by and among Merge Healthcare Incorporated, as Borrower, the Subsidiary Guarantors party thereto, the Lenders party thereto and Guggenheim Corporate Funding, LLC, as Administrative Agent (incorporated by reference to Exhibit 10.3 to the Current Report on Form 8-K of Merge Healthcare Incorporated dated February 25, 2015 (File No. 001-33006), as filed on March 3, 2015).
10.4
Investor Rights Agreement, dated February 25, 2015 by and among Merge Healthcare Incorporated, Guggenheim Private Debt Fund Note Issuer, LLC, NZC Guggenheim Fund LLC, Maverick Enterprises, Inc. and Verger Capital Fund LLC (incorporated by reference to Exhibit 10.5 to the Current Report on Form 8-K of Merge Healthcare Incorporated dated February 25, 2015 (File No. 001-33006), as filed on March 3, 2015).
Certificate of Chief Executive Officer (principal executive officer) Pursuant to Rule 13a–14(a) under the Securities Exchange Act of 1934
Certificate of Chief Financial Officer (principal financial officer and accounting officer) Pursuant to Rule 13a–14(a) under the Securities Exchange Act of 1934
Certificate of Chief Executive Officer (principal executive officer) and Chief Financial Officer (principal financial officer) Pursuant to Section 18 U.S.C. Section 1350, as Adopted Pursuant to Section 906 of the Sarbanes–Oxley Act of 2002
   
101.INS
XBRL Instance Document
101.SCH
XBRL Taxonomy Extension Schema Document
101.CAL
XBRL Taxonomy Extension Calculation Linkbase Document
101.DEF
XBRL Taxonomy Extension Definition Linkbase Document
101.LAB
XBRL Taxonomy Extension Label Linkbase Document
101.PRE
XBRL Taxonomy Extension Presentation Linkbase Document
 
 
29