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8-K - ATHENAHEALTH, INC. - ATHENAHEALTH INCb80088e8vk.htm
Exhibit 99.1
athenahealth, Inc. Reports Fourth Quarter and Full Year 2009 Results
Completes Internal Accounting Review and Restates Financials Due To Change in
Implementation Fee Amortization Period
  §   33% Revenue Growth Over Fourth Quarter of 2008
 
  §   GAAP Net Income of $4.3 Million, or $0.12 Per Diluted Share
 
  §   Non-GAAP Adjusted Net Income of $5.9 Million, or $0.17 Per Diluted Share
WATERTOWN, MA – March 15, 2010 - athenahealth, Inc. (Nasdaq: ATHN), (the “Company”), a leading provider of Internet-based business services for physician practices, today announced financial and operational results for the fourth quarter and full year of 2009.
In addition, the Company announced the completion of a restatement of prior period financials due to a change in the amortization period for deferred implementation revenue. The Company’s financial statements for the fiscal years ended 2005, 2006, 2007 and 2008, each quarterly period in 2008, and the quarterly periods for Q1 through Q3 in 2009 were restated as a result of an internal accounting policy review, initiated by the Company, related to the timing of amortization for deferred implementation revenue.
The Company will conduct a conference call tomorrow, Tuesday, March 16, 2010, at 8:00 a.m. Eastern Time to discuss these results and management’s outlook for future financial and operational performance.
Fourth Quarter and Full Year 2009 Results
Due to the Company’s change in implementation fee amortization, all prior period comparisons contained within this press release reflect restated financial results.
Total revenue for the three months ended December 31, 2009, was $54.4 million, compared to $40.8 million in the same period last year, an increase of 33%. Full year 2009 revenue was $188.5 million, compared to full year 2008 revenue of $136.3 million, an increase of 38%.
“I am very proud of our accomplishments in 2009, a year in which we further established athenaClinicals as a leading electronic health record service, strengthened our unique value proposition with a patent issued on our payer rules engine, and stepped up our investments in growth by acquiring Anodyne Health Partners,” said Jonathan Bush, the Company’s Chairman, President, and Chief Executive Officer. “As physicians face increasing complexity associated with payment reform and incentive programs, I continue to believe that our unique approach as a software-enabled-service will deliver superior results to both physicians and investors.”
For the three months ended December 31, 2009, non-GAAP Adjusted EBITDA grew to $13.0 million, or 24% of revenue, from non-GAAP Adjusted EBITDA of $7.1 million, or 18% of revenue, in the same period last year. GAAP net income for the fourth quarter of 2009 was $4.3 million, or $0.12 per diluted share, and non-GAAP Adjusted Net Income

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was $5.9 million, or $0.17 per diluted share, under the Company’s revised non-GAAP methodology.
“It is very exciting to join athenahealth on the heels of such a tremendous year,” said Tim Adams, the Company’s Chief Financial Officer. “Looking ahead to 2010 and beyond, I believe there is no shortage of opportunity for the Company to flourish as an innovator while striving to achieve our strategic and financial goals.”
For the year ended December 31, 2009, non-GAAP Adjusted EBITDA grew to $34.7 million, or 18% of revenue, from non-GAAP Adjusted EBITDA for 2008 of $19.2 million, or 14% of revenue. For 2009, GAAP net income was $9.3 million, or $0.27 per diluted share. Non-GAAP Adjusted Net Income for the year was $15.0 million, or $0.43 per diluted share, under the Company’s revised non-GAAP methodology.
Key metrics and milestones in the fourth quarter and full year of 2009 included the following:
    $1.4 billion in collections posted to client accounts in the fourth quarter of 2009, compared to $1.1 billion in the same quarter of 2008
 
    $4.9 billion in collections posted to client accounts in all of 2009, compared to $3.7 billion in all of 2008
 
    38.5 average Client Days in Accounts Receivable (DAR) in the fourth quarter of 2009, compared to 44.0 average Client DAR in the same quarter of 2008
 
    15,719 active physicians using athenaCollectorSM at December 31, 2009, compared to 12,589 at December 31, 2008
 
    23,366 active medical providers using athenaCollector at December 31, 2009, compared to 18,785 at December 31, 2008
 
    1,471 active medical providers using athenaClinicalsSM at December 31, 2009, 920 of which were physicians, compared to 798 providers and 485 physicians at December 31, 2008
 
    Completed the acquisition of Anodyne Health Partners, Inc. in an all-cash transaction on October 16, 2009, and launched Anodyne AnalyticsSM service
 
    Patent issued for Practice Management and Billing Automation System on November 10, 2009, by the U.S. Patent and Trademark Office
As of December 31, 2009, the Company had cash, cash equivalents, and short-term investments of $82.8 million and short- and long-term debt and capital lease obligations of $12.4 million.

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Financial Restatement
The Company has completed its previously announced internal accounting review related to the amortization period for deferred implementation revenue. Implementation revenue consists primarily of professional services fees related to assisting customers with the implementation of the Company’s services. These non-refundable fees are generally billed up front and recorded as deferred revenue until the implementation is complete and then recognized ratably over the expected performance period. Previously, the expected performance period was based upon the initial customer contract term, which, for the vast majority of contracts, was one year in duration. Implementation and other revenue has ranged from four to seven percent of total revenue on an annual basis since 2007.
As a result of the internal review, the Company concluded that in prior and future periods, deferred implementation revenue will be amortized over a longer expected performance period of twelve years in order to reflect the estimated expected customer life. Accordingly, as described above, the Company will restate the “implementation and other” revenue within its previously filed consolidated financial statements to reflect a longer amortization period for deferred implementation revenue. The Company will continue to record implementation expenses in the period as incurred. The length of the amortization period for deferred implementation revenue recognition does not impact cumulative total implementation revenue under contract nor does it impact cash flow.
In addition, in connection with the restatement, certain prior year amounts have been reclassified to correct the presentation in the financial statements. These reclassifications had no effect on net income or shareholders’ equity for any period and pertain to: (a) reimbursements of out-of-pocket expenses that were previously netted against corresponding expense and have now been grossed up and included in “implementation and other” revenue, (b) certain deferred tax liabilities that have been reclassified from non-current to current, (c) draw downs of capital lease lines that were previously presented as sources of cash within the financing activities section of the cash flow statements and have been reclassified as investing activities, and (d) the excess tax benefit from stock-based awards that were previously presented as sources of cash within the “operating activities” section of the consolidated statements of cash flows in the accrued expense line and have been reclassified as “operating activities” in the excess tax benefit from stock-based awards line item.
“I am proud of the Company’s timely completion of this review process,” added Tim Adams. “The changes made to this accounting item relate to a small portion of revenue and do not affect the Company’s cash flow or underlying business.”
For more detail on this restatement, please refer to the Company’s Annual Report on Form 10-K filed with the Securities and Exchange Commission today, March 15, 2010, particularly the “Explanatory Note Regarding Restatement” immediately preceding Item 1 in Part I and Note 2, “Restatement and Reclassification of Previously Issued Consolidated Financial Statements,” and Note 20, “Summarized Quarterly Unaudited Financial Data,” in Notes to Consolidated Financial Statements in Part II, Item 8.

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Use of Non-GAAP Financial Measures
In the Company’s earnings release, conference call, slide presentation, or webcast, the Company may use or discuss non-GAAP financial measures as defined by SEC Regulation G. The GAAP financial measure most directly comparable to each non-GAAP financial measure used or discussed and a reconciliation of the differences between each non-GAAP financial measure and the comparable GAAP financial measure are included in this press release after the condensed consolidated financial statements or can be found on the Investors section of the Company’s web site at http://www.athenahealth.com.
Conference Call Information
To participate in the Company’s live conference call and webcast, please dial 888-487-0346 (719-325-2266 for international calls) using conference code 5445665 or visit the Investors section of the Company’s web site: www.athenahealth.com. A replay will be available for one week following the conference call at 888-203-1112 (719-457-0820 for international calls) using conference code No. 5445665. A webcast replay will also be archived on the Company’s website.
About athenahealth
athenahealth, Inc. is a leading provider of Internet-based business services for physician practices. athenahealth’s service offerings are based on proprietary web-native practice management and electronic health record (EHR) software, a continuously updated payer knowledge-base, integrated back-office service operations, and automated and live patient communication services. For more information, please visit www.athenahealth.com or call (888) 652-8200.
Forward-Looking Statements
This press release contains forward-looking statements, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, including statements reflecting management’s expectations for future financial performance, expected growth and business outlook, estimated expected customer life, and the benefits of the Company’s current service offerings, including statements found under the Company’s Reconciliation of Non-GAAP Financial Measures section of this release. The forward-looking statements in this release do not constitute guarantees of future performance. These statements are neither promises nor guarantees, and are subject to a variety of risks and uncertainties, many of which are beyond the Company’s control, which could cause actual results to differ materially from those contemplated in these forward-looking statements. In particular, the risks and uncertainties include, among other things: the Company’s history of operating losses and fluctuating operating results; the Company’s variable sales and implementation sales cycles, which may result in fluctuations in its quarterly results; risks associated with its expectations regarding its ability to maintain profitability; risks and uncertainties affecting estimation of expected performance period, including customers’ decisions regarding whether to terminate or renew their relationship with the Company; changes in tax rates or exposure to additional tax liabilities; the highly competitive industry in which the Company operates and the relative immaturity of the market for its service offerings; and the evolving and complex

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governmental and regulatory compliance environment in which the Company and its clients operate. Existing and prospective investors are cautioned not to place undue reliance on these forward-looking statements, which speak only as of the date hereof. The Company undertakes no obligation to update or revise the information contained in this press release, whether as a result of new information, future events or circumstances, or otherwise. For additional disclosure regarding these and other risks faced by the Company, see the disclosures contained in its public filings with the Securities and Exchange Commission, available on the Investors section of the Company’s website at http://www.athenahealth.com and on the SEC’s website at http://www.sec.gov.
Contact:
Jennifer Heizer (Investors)
Director, Investor Relations
athenahealth, Inc.
(617) 402-1322
investorrelations@athenahealth.com
John Hallock (Media)
Director, Corporate Communications
athenahealth, Inc.
(617) 402-1428
media@athenahealth.com

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athenahealth, Inc.
CONDENSED CONSOLIDATED BALANCE SHEETS
(Unaudited, in thousands, except per share amounts)
                 
    December 31,     December 31,  
    2009     2008  
            (As Restated)  
Assets
Current assets:
               
Cash and cash equivalents
  $ 30,526     $ 28,933  
Short-term investments
    52,323       58,061  
Accounts receivable — net
    33,323       23,236  
Deferred tax assets
    5,544       9,962  
Prepaid expenses and other current assets
    4,663       3,624  
 
           
Total current assets
    126,379       123,816  
 
               
Property and equipment — net
    24,871       20,871  
Restricted cash
    9,216       1,848  
Software development costs — net
    2,324       1,879  
Purchased intangibles — net
    14,490       1,925  
Goodwill
    22,120       4,887  
Deferred tax assets
    10,284       13,683  
Other assets
    1,393       662  
 
           
 
               
Total assets
  $ 211,077     $ 169,571  
 
           
 
               
Liabilities and Stockholders’ Equity
Current liabilities:
               
Current portion of long-term debt and capital lease obligations
  $ 3,437     $ 2,038  
Accounts payable
    1,880       803  
Accrued compensation
    15,774       10,154  
Accrued expenses
    10,781       7,442  
Current portion of deferred revenue
    4,038       2,848  
Interest rate derivative liability
    291       881  
Current portion of deferred rent
    1,288       1,144  
 
           
Total current liabilities
    37,489       25,310  
 
               
Deferred rent, net of current portion
    7,444       8,662  
Deferred revenue, net of current portion
    28,684       22,186  
Other long-term liabilities
    1,191        
Debt and capital lease obligations, net of current portion
    8,951       8,378  
 
           
 
Total liabilities
    83,759       64,536  
 
           
 
               
Preferred stock; $0.01 par value: 5,000 shares authorized and no shares issued and outstanding at December 31, 2009 and 2008, respectively
           
Common stock; $0.01 par value per share; 125,000 shares authorized; 35,166 shares issued and 33,888 shares outstanding at December 31, 2009 34,645 shares issued and 33,367 shares outstanding at December 31, 2008
    352       346  
Additional paid-in capital
    169,715       156,303  
Treasury stock, at cost, 1,278 shares
    (1,200 )     (1,200 )
Accumulated other comprehensive (loss) income
    (73 )     338  
Accumulated deficit
    (41,476 )     (50,752 )
 
           
 
               
Total stockholders’ equity
    127,318       105,035  
 
           
 
               
Total liabilities and stockholders’ equity
  $ 211,077     $ 169,571  
 
           

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athenahealth, Inc.
CONSOLIDATED STATEMENTS OF OPERATIONS
(Unaudited, in thousands, except per share amounts)
                                 
    Three Months Ended     Years Ended  
    December 31,     December 31,  
    2009     2008     2009     2008  
            (As Restated)           (As Restated)
Revenue:
                       
Business services
  $ 53,297     $ 39,720     $ 183,230     $ 131,879  
Implementation and other
    1,149       1,091       5,297       4,403  
 
                       
Total revenue
    54,446       40,811       188,527       136,282  
 
                       
Expenses:
                               
Direct operating costs
    21,117       17,287       79,017       59,947  
Selling and marketing
    9,222       6,519       34,072       22,827  
Research and development
    3,980       3,331       14,348       10,600  
General and administrative
    9,784       8,636       36,111       29,330  
Depreciation and amortization
    2,232       1,381       7,767       5,993  
 
                       
Total expenses
    46,335       37,154       171,315       128,697  
 
                       
Operating income
    8,111       3,657       17,212       7,585  
Other income (expense):
                               
Interest income
    78       425       1,016       1,942  
Interest expense
    (241 )     (225 )     (968 )     (428 )
Gain (loss) on interest rate derivative contract
    215       (881 )     590       (881 )
Other income (expense)
    44       95       255       182  
 
                       
Total other income (expense)
    96       (586 )     893       815  
 
                       
 
                               
Income before income taxes
    8,207       3,071       18,105       8,400  
Income tax (provision) benefit
    (3,879 )     23,773       (8,829 )     23,202  
 
                       
 
                               
Net income
    4,328       26,844       9,276       31,602  
 
                       
 
                               
 
                       
Net income per share — basic
  $ 0.13     $ 0.81     $ 0.28     $ 0.97  
 
                       
 
                               
 
                       
Net income per share — diluted
  $ 0.12     $ 0.77     $ 0.27     $ 0.91  
 
                       
 
                               
Weighted average shares used in computing net income per share:
                               
Basic
    33,785       33,242       33,584       32,746  
Diluted
    35,133       34,766       34,917       34,777  

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athenahealth, Inc.
CONSOLIDATED STATEMENTS OF CASH FLOWS
(Unaudited, in thousands)
                 
    Years Ended December 31,  
    2009     2008  
            (As Restated)  
CASH FLOWS FROM OPERATING ACTIVITIES:
               
Net income
  $ 9,276     $ 31,602  
Adjustments to reconcile net income to net cash provided by operating activities:
               
Depreciation and amortization
    8,403       6,095  
Amortization of discounts on investments
    (113 )     (899 )
Provision for uncollectible accounts
    999       405  
(Gain) loss on interest rate derivative contract
    (590 )     881  
Deferred income tax benefit
    5,918       (23,833 )
Excess tax benefit from stock-based awards
    (2,505 )     (526 )
Stock-based compensation expense
    8,314       5,558  
(Gain) loss on disposal of property and equipment
    276       (47 )
Changes in operating assets and liabilities:
               
Accounts receivable
    (10,489 )     (9,254 )
Prepaid expenses and other current assets
    (887 )     (912 )
Accounts payable
    1,379       (1,195 )
Accrued expenses
    6,201       7,424  
Deferred revenue
    7,438       7,120  
Deferred rent
    (1,118 )     (1,446 )
Other long-term assets
    (173 )     86  
 
           
Net cash provided by operating activities
    32,329       21,059  
 
           
CASH FLOWS FROM INVESTING ACTIVITIES:
               
Capitalized software development costs
    (2,555 )     (1,393 )
Purchases of property and equipment
    (10,277 )     (13,452 )
Proceeds from sales and disposals of property and equipment
    4,538       4,112  
Purchase in investment in unconsolidated company
    (550 )     (550 )
Proceeds from sales and maturities of investments
    84,014       73,250  
Purchases of short-term investments
    (78,588 )     (129,935 )
Payments for acquisitions, net of cash acquired
    (22,391 )     (6,680 )
(Increase) decrease in restricted cash
    (7,368 )     (136 )
 
           
Net cash (used in) provided by investing activities
    (33,177 )     (74,784 )
 
           
CASH FLOWS FROM FINANCING ACTIVITIES:
               
Proceeds from exercise of stock options and warrants
    2,676       5,235  
Debt issuance costs
          (177 )
Excess tax benefit from stock-based awards
    2,505       526  
Proceeds from long-term debt
          6,000  
Payments on long-term debt and capital lease obligations
    (2,514 )     (777 )
 
           
Net cash provided by financing activities
    2,667       10,807  
 
           
Effects of exchange rate changes on cash and cash equivalents
    (226 )     (40 )
 
           
Net (decrease) increase in cash and cash equivalents
    1,593       (42,958 )
Cash and cash equivalents at beginning of period
    28,933       71,891  
 
           
Cash and cash equivalents at end of period
  $ 30,526     $ 28,933  
 
           
Supplemental disclosures of non-cash investing activities — Property and equipment recorded in accounts payable and accrued expenses
  $ 510     $ 998  
 
           
Supplemental disclosure — Cash paid for interest
  $ 836     $ 324  
 
           
Supplemental disclosure — Non-cash investing activities - Contingent Consideration
  $ 5,100     $  
 
           
Supplemental disclosure — Cash paid for taxes
  $ 514     $ 403  
 
           
Property and equipment under capital leases
  $ 4,538     $ 3,795  
 
           

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athenahealth, Inc.
STOCK-BASED COMPENSATION EXPENSE
(Unaudited, in thousands)
Set forth below is a breakout of stock-based compensation expense for the three months and year ended December 31, 2009 and 2008:
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
(unaudited, in thousands)   2009     2008     2009     2008  
Stock-based compensation charged to:
                               
Direct operating costs
  $ 414     $ 330     $ 1,589     $ 872  
Selling and marketing
    548       394       2,126       1,383  
Research and development
    266       501       1,015       1,086  
General and administrative
    971       799       3,584       2,217  
 
                       
Total
  $ 2,199     $ 2,024     $ 8,314     $ 5,558  
 
                       
athenahealth, Inc.
RECONCILIATION OF NON-GAAP FINANCIAL MEASURES
TO COMPARABLE GAAP MEASURES
(Unaudited, in thousands, except per share amounts)
The following is a reconciliation of the non-GAAP financial measures used by the Company to the Company’s financial results determined in accordance with United States generally accepted accounting principles (GAAP). An explanation of these measures is also included below under the heading “Explanation of Non-GAAP Financial Measures” set forth below.
While management believes that these non-GAAP financial measures provide useful supplemental information to investors regarding the underlying performance of the Company’s business operations, investors are reminded to consider these non-GAAP measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP. In addition, it should be noted that these non-GAAP financial measures may be different from non-GAAP measures used by other companies, and management may utilize other measures to illustrate performance in the future. Non-GAAP measures have limitations in that they do not reflect all of the amounts associated with the Company’s results of operations as determined in accordance with GAAP.

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Non-GAAP Adjusted Gross Margin
Set forth below is a presentation of the Company’s “Non-GAAP Adjusted Gross Profit” and “Non-GAAP Adjusted Gross Margin,” which represents Non-GAAP Adjusted Gross Profit as a percentage of total revenue:
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
    2009     2008     2009     2008  
(unaudited, in thousands)           (As Restated)             (As Restated)  
Total revenue
  $ 54,446     $ 40,811     $ 188,527     $ 136,282  
Direct operating costs
    21,117       17,287       79,017       59,947  
 
                       
Total revenue less direct operating costs
    33,329       23,524       109,510       76,335  
Add: Stock-based compensation expense allocated to direct operating costs
    414       330       1,589       872  
Add: Amortization of purchased intangibles
    396       80       635       102  
 
                               
 
                       
Non-GAAP Adjusted Gross Profit
  $ 34,139     $ 23,934     $ 111,734     $ 77,309  
 
                       
 
                               
Non-GAAP Adjusted Gross Margin
    62.7 %     58.6 %     59.3 %     56.7 %
Non-GAAP Adjusted EBITDA
Set forth below is a reconciliation of the Company’s “Non-GAAP Adjusted EBITDA” and “Non-GAAP Adjusted EBITDA Margin,” which represents Non-GAAP Adjusted EBITDA as a percentage of total revenue.
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
    2009     2008     2009     2008  
(unaudited, in thousands)           (As Restated)             (As Restated)  
Total Revenue
  $ 54,446     $ 40,811     $ 188,527     $ 136,282  
GAAP Net income
    4,328       26,844       9,276       31,602  
Add (less): Provision (benefit from) for income taxes
    3,879       (23,773 )     8,829       (23,202 )
Add (less) : Total other (income) expense
    (96 )     586       (893 )     (815 )
Add: Stock-based compensation expense
    2,199       2,024       8,314       5,558  
Add: Depreciation and amortization
    2,232       1,381       7,767       5,993  
Add: Acquisition-related expenses
    100             751        
Add: Amortization of purchased intangibles
    396       80       635       102  
 
                               
 
                       
Non-GAAP Adjusted EBITDA
  $ 13,038     $ 7,142     $ 34,679     $ 19,238  
 
                       
 
                               
Non-GAAP Adjusted EBITDA Margin
    23.9 %     17.5 %     18.4 %     14.1 %

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Non-GAAP Adjusted Operating Income
Set forth below is a reconciliation of the Company’s“Non-GAAP Adjusted Operating Income” and “Non-GAAP Adjusted Operating Income Margin.” Non-GAAP Adjusted Operating Income Margin represents Non-GAAP Adjusted Operating Income as a percentage of total revenue.
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
    2009     2008     2009     2008  
(unaudited, in thousands)           (As Restated)             (As Restated)  
Total revenue
  $ 54,446     $ 40,811     $ 188,527     $ 136,282  
 
                               
GAAP net income
  $ 4,328     $ 26,844     $ 9,276     $ 31,602  
(Less) Add: Provision (benefit from) for income taxes
    3,879       (23,773 )     8,829       (23,202 )
Add (less) : Total other (income) expense
    (96 )     586       (893 )     (815 )
Add: Acquisition related expenses
    100             751        
Add: Stock-based compensation expense
    2,199       2,024       8,314       5,558  
Add: Amortization of purchased intangibles
    396       80       635       102  
 
                               
 
                       
Non-GAAP Adjusted Operating Income
  $ 10,806     $ 5,761     $ 26,912     $ 13,245  
 
                       
 
                               
Non-GAAP Adjusted Operating Income Margin
    19.8 %     14.1 %     14.3 %     9.7 %
Non-GAAP Adjusted Net Income
Set forth below is a reconciliation of the Company’s “Non-GAAP Adjusted Net Income” and “Non-GAAP Adjusted Net Income per Diluted Share.”
                                 
    Three Months Ended     Year Ended  
    December 31,     December 31,  
    2009     2008     2009     2008  
(unaudited, in thousands except per share amounts)           (As Restated)             (As Restated)  
GAAP net income
  $ 4,328     $ 26,844     $ 9,276     $ 31,602  
(Less) Add: (Gain) loss on interest rate derivative
    (215 )     881       (590 )     881  
Add: Stock-based compensation expense
    2,199       2,024       8,314       5,558  
Add: Amortization of purchased intangibles
    396       80       635       102  
 
                       
Sub-total of tax deductible items
    2,380       2,985       8,359       6,541  
(Less): Tax impact of tax deductible items (1)
    (952 )           (3,344 )      
(Less): Valuation allowance release
          (23,876 )           (23,876 )
Add: Acquisition-related expenses (2)
    100             751        
 
                               
 
                       
Non-GAAP Adjusted Net Income
  $ 5,856     $ 5,953     $ 15,042     $ 14,267  
 
                       
 
                               
Weighted average shares — diluted
    35,133       34,766       34,917       34,777  
 
                               
Non-GAAP Adjusted Net Income per Diluted Share
  $ 0.17     $ 0.17     $ 0.43     $ 0.41  
 
(1)   - Tax impact calculated using federal statutory tax rate of 34% and a blended state tax rate of 6%
 
(2)   - Pertains to acquisition of Anodyne Health Partners, Inc. on October 16, 2009
 
*   Note that Other (income) expense is no longer excluded per revised non-GAAP methodology

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    Three Months Ended     Year Ended  
    December 31,     December 31,  
    2009     2008     2009     2008  
(unaudited, in thousands except per share amounts)           (As Restated)             (As Restated)  
GAAP Net income per share — diluted
  $ 0.12     $ 0.77     $ 0.27     $ 0.91  
(Less) Add: (Gain) loss on interest rate derivative
    (0.01 )     0.03       (0.02 )     0.03  
Add: Stock-based compensation expense
    0.06       0.06       0.24       0.16  
Add: Amortization of purchased intangibles
    0.01             0.02        
 
                               
 
                       
Sub-total of tax deductible items
    0.06       0.09       0.24       0.19  
 
                               
(Less): Tax impact of tax deductible items (1)
    (0.02 )           (0.10 )      
(Less): Valuation allowance release
          (0.69 )           (0.69 )
Add: Acquisition-related expenses (2)
    0.01             0.02        
 
                       
 
                               
Non-GAAP Adjusted Net Income per Diluted Share
  $ 0.17     $ 0.17     $ 0.43     $ 0.41  
 
                       
 
                               
Weighted average shares — diluted
    35,133       34,766       34,917       34,777  
 
(1)   - Tax impact calculated using federal statutory tax rate of 34% and a blended state tax rate of 6%
 
(2)   - Pertains to acquisition of Anodyne Health Partners, Inc. on October 16, 2009
 
*   Note that Other (income) expense is no longer excluded per revised non-GAAP methodology
Explanation of Non-GAAP Financial Measures
The Company reports its financial results in accordance with United States generally accepted accounting principles, or GAAP. However, management believes that in order to properly understand the Company’s short-term and long-term financial and operational trends, investors may wish to consider the impact of certain non-cash or non-recurring items, when used as a supplement to financial performance measures in accordance with GAAP. These items result from facts and circumstances that vary in frequency and/or impact on continuing operations. Management also uses results of operations before such items to evaluate the operating performance of the Company and compare it against past periods, make operating decisions, and serve as a basis for strategic planning. These non-GAAP financial measures provide management with additional means to understand and evaluate the operating results and trends in the Company’s ongoing business by eliminating certain non-recurring expenses (which may not occur in each period presented) and other items that management believes might otherwise make comparisons of the Company’s ongoing business with prior periods more difficult, obscure trends in ongoing operations, or reduce management’s ability to make useful forecasts. Management believes that these non-GAAP financial measures provide additional means of evaluating period-over-period operating performance. In addition, management understands that some investors and financial analysts find this information helpful in analyzing the Company’s financial performance and comparing this performance to its peers and competitors.
Management defines “Non-GAAP Adjusted Gross Profit” as total revenue, less direct operating expense, plus stock-based compensation expense allocated to direct operating expense and amortization of purchased intangibles, and “Non-GAAP Adjusted Gross Margin” as Adjusted Gross Profit as a percentage of total revenue. Management considers these non-GAAP financial

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measures to be important indicators of the Company’s operational strength and performance of its business and a good measure of its historical operating trends. Moreover, management believes that these measures enable investors and financial analysts to closely monitor and understand changes in the Company’s ability to generate income from ongoing business operations.
Management defines “Non-GAAP Adjusted EBITDA” as the sum of GAAP net income before unrealized (gain) loss on an interest rate derivative contract, provision for (benefit from) income taxes, net interest (income) expense, other (income) expense, amortization of purchased intangibles, acquisition-related expenses, and stock-based compensation expense, and “Non-GAAP Adjusted EBITDA Margin” as Non-GAAP Adjusted EBITDA as a percentage of total revenue. Management defines “Non-GAAP Adjusted Operating Income” as the sum of GAAP net income before (benefit from) provision for income taxes, total other (income) expense, amortization of purchased intangibles, acquisition-related expenses, and stock-based compensation expense, and “Non-GAAP Adjusted Operating Income Margin” as Non-GAAP Adjusted Operating Income as a percentage of total revenue. Management defines “Non-GAAP Adjusted Net Income” as the sum of GAAP net income before unrealized gain/loss on an interest rate derivative contract, amortization of purchased intangibles, acquisition-related expenses, stock-based compensation expense, and any tax impact related to these items, and “Non-GAAP Adjusted Net Income per Diluted Share” as Non-GAAP Adjusted Net Income divided by weighted average diluted shares outstanding. Management considers these non-GAAP financial measures to be important indicators of the Company’s operational strength and performance of its business and a good measure of its historical operating trends, in particular the extent to which ongoing operations impact the Company’s overall financial performance.
Management excludes each of the items identified below from the applicable non-GAAP financial measure referenced above for the reasons set forth with respect to that excluded item:
    Stock-based compensation expense — excluded because these are non-cash expenses that management does not consider part of ongoing operating results when assessing the performance of the Company’s business, and also because the total amount of expense is partially outside of the Company’s control because it is based on factors such as stock price volatility and interest rates, which may be unrelated to our performance during the period in which the expense is incurred.
 
    Interest income (expense) — excluded because, to the extent these gains or losses impact a period presented, management does not believe that they reflect the underlying performance of ongoing business operations for such period.
 
    Acquisition-related expenses and amortization of purchased intangibles — acquisition-related expenses are reported at the time acquisition costs are incurred, and purchased intangibles are amortized over a period of several years after the acquisition and generally cannot be changed or influenced by management after the acquisition. Accordingly, these items are not considered by management in making operating decisions, and management believes that such expenses do not have a direct correlation to future business operations. Thus, including such charges does not accurately reflect the performance of the Company’s ongoing operations for the period in which such charges are incurred.

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    Gains and losses on interest rate derivative — excluded because, to the extent these gains or losses impact a period presented, management does not believe that they reflect the underlying performance of ongoing business operations for such period.

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