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8-K - MERGE HEALTHCARE INCORPORATED, FORM 8-K, DATED FEBRUARY 17, 2011 - MERGE HEALTHCARE INCmhform8k.htm
 
Merge Healthcare Logo
EXHIBIT 99.1

 
 
News Release
FOR IMMEDIATE RELEASE

Media Contact:
Julie Pekarek
Vice President, Marketing
262.912.3414
julie.pekarek@merge.com
Investor Contact:
Susan Noonan
SA Noonan Communications
212.966.3650
susan@sanoonan.com
 

MERGE HEALTHCARE REPORTS RECORD SALES IN THE FOURTH QUARTER

Company generates over $51 million of pro-forma revenue
 
Chicago, IL – February 17, 2011 – Merge Healthcare Incorporated (NASDAQ: MRGE), a global corporation dedicated to health IT interoperability solutions, today announced financial results for the fourth quarter of 2010.
 
-  
Revenue grew to $46.2 million ($51.1 million on a pro forma basis) in the quarter, compared to $19.3 million in the fourth quarter of 2009
 
-  
Adjusted EBITDA was $13.3 million, representing 29% of revenue (26% on a pro forma basis) in the quarter compared to $4.9 million and 25% in the fourth quarter of 2009
 
-  
Cash from business operations increased to $12.2 million in the quarter, compared to a use of cash of $1.7 million in the fourth quarter of 2009
 
-  
Strengthened senior management team, adding key healthcare IT leaders
 
-  
Recognized by Frost & Sullivan with 2010 North American Medical Imaging Workflow Solutions Healthcare Innovation of the Year Award
 
"I’m very pleased with the strong performance delivered by our team in Q4, particularly as evidenced by our top-line growth and cash generated from operations,” said Jeff Surges, Merge Chief Executive Officer. “In 2010, Merge extended our market leadership position and has also made significant investments that position the company to execute effectively in 2011 and beyond.”
 
Quarter Results:
Results compared to the same quarter in the prior year are as follows (in millions, except per share data):

      Q4 2010       Q4 2009  
Net sales
  $ 46.2     $ 19.3  
Operating income
    2.1       1.5  
Net income (loss) available to common shareholders*
    8.5       (2.1 )
Net income (loss) per diluted share
  $ 0.10     $ (0.03 )
                 
Cash balance at period end
    41.0       19.6  
Cash from core business operations**
    12.2       (1.7 )
 
 
*
Net income (loss) available to common shareholders includes a one-time non-cash tax benefit of $14.1 million, net interest expense and related charges of $6.4 million and a preferred stock divident of $1.6 million in the fourth quarter of 2010, compared to zero, $3.7 million and zero, respectively, in the fourth quarter of 2009.
 
**
See table at the back of this earnings release.
 
 
~ i ~

 

Pro forma results and other, non-GAAP measures compared to the same quarter in the prior year are as follows (in millions, except percentages and per share data):
 
      Q4 2010       Q4 2009  
Pro forma results
               
Net sales
  $ 51.1     $ 49.8  
Adjusted net income
    3.2       0.7  
Adjusted EBITDA
    13.3       10.0  
                 
Adjusted net income per diluted share
  $ 0.04     $ 0.01  
Adjusted EBITDA per diluted share
  $ 0.16     $ 0.13  
                 
Non-GAAP and other measures
               
Recurring revenue as % of net sales
 
~65%
   
>65%
 
Non-recurring backlog at period end
  $ 49.0    
Unavailable
 
Days sales outstanding
    96       82  

A reconciliation of GAAP net income to adjusted net income and adjusted EBITDA is included after the financial information below.

Full Year Results:
Fiscal year 2010 results compared to 2009 are as follows (in millions, except per share data):

   
2010
   
2009
 
GAAP results
           
Net sales
  $ 140.3     $ 66.8  
Operating income (loss)
    (8.5 )     9.0  
Net income (loss) available to common shareholders
    (30.6 )     0.3  
Earnings (loss) per diluted share
  $ (0.38 )   $ 0.00  
                 
Pro forma results
               
Net sales
  $ 190.7     $ 164.6  
Adjusted net income (loss)
    1.6       (3.7 )
Adjusted EBITDA
    43.4       34.2  
                 
Adjusted net income (loss) per diluted share
  $ 0.02     $ (0.05 )
Adjusted EBITDA per diluted share
  $ 0.51     $ 0.49  

2011 Guidance:
Merge reiterates the following expected pro forma results for fiscal year 2011:
 
Net sales
$235 – $240 million
Adjusted EBITDA
23%
 
Explanation of Non-GAAP Financial Measures
 
Merge Healthcare reports its financial results in accordance with generally accepted accounting principles, or GAAP.  This press release includes certain non-GAAP financial measures to supplement its GAAP information.  Non-GAAP measures are not an alternative to GAAP and may be different from non-GAAP measures used by other companies. A quantitative reconciliation of GAAP net income available to common shareholders to adjusted net income and adjusted EBITDA is included after the financial information included in this press release.

 
~ ii ~

 
 
Management believes that the presentation of non-GAAP results, when shown in conjunction with corresponding GAAP measures, provides useful information to it and investors regarding financial and business trends related to results of operations, because certain charges, costs and expenses reflect events that are not essential to recurring business operations. In addition, management believes these non-GAAP measures provide investors useful information regarding the underlying performance of the post-acquisition business operations when compared to the pre-acquisition results of Merge and any significant acquired company.  Purchase accounting adjustments made in accordance with GAAP can make it difficult to make meaningful comparisons of the underlying operations of the business without considering the non-GAAP adjustments that are provided and discussed herein. Further, management believes that these non-GAAP measures improve its and investors’ ability to compare Merge’s financial performance with other companies in the technology industry. Management also uses financial statements that exclude these charges, costs and expenses for its internal budgets.  While GAAP results are more complete, these supplemental metrics are offered since, with reconciliations to GAAP, they may provide greater insight into our financial results. Management does not intend the presentation of these non-GAAP financial measures to be considered in isolation or as a substitute for results prepared in accordance with GAAP.
 
Additional information regarding the non-GAAP financial measures presented is as follows:
 
-  
Pro forma revenue consists of GAAP revenue as reported, adjusted to reflect the acquisition of AMICAS as if it had occurred at the beginning of the respective periods presented and to add back the acquisition related sales adjustment (for all significant acquisitions) booked for GAAP purposes.
 
-  
Recurring revenue is generated from agreements that generally contain a stated annual amount and which we have a high likelihood of renewing each year.  More specifically, this includes revenue generated from our DICOM toolkit and eFilm Workstation® product lines, long-term contracts associated with our Sales as a Service (SaaS) related offerings, and EDI and maintenance contracts across the entire business.
 
-  
Non-recurring revenue backlog represents revenue that we anticipate recognizing in future periods from signed customer contracts as of the end of the period presented.  Non-recurring revenue is comprised of all other sources of revenue not included as recurring revenue, primarily from perpetual software licenses, hardware and professional services (including installation, training and consultative engineering services).  Merge began tracking non-recurring revenue backlog during the first quarter of 2010.
 
-  
Adjusted net income consists of GAAP net income available to common stockholders, adjusted to reflect the acquisition of AMICAS as if it had occurred at the beginning of the respective period presented and, to the extent such items occurred in the periods presented, excludes (a) one-time preferred stock deemed dividend at issuance date, (b) one time income tax benefit, (c) impairment of investments, (d) sale of non-core patents, (e) acquisition-related costs, (f) restructuring and other costs, (g) stock-based compensation expense, (h) acquisition-related amortization, and (i) acquisition-related cost of sales adjustments and adds back (j) the acquisition-related sales adjustments.
 
-  
Adjusted EBITDA adjusts GAAP net income available to common stockholders for the items considered in adjusted net income as well as (a) remaining depreciation and amortization, (b) net interest expense, (c) non-cash preferred stock dividends and (d) income tax expense (benefit).
 
-  
Cash from core business operations reconciles the cash generated from such operations to the change in GAAP cash balance for the period by reflecting payments of liabilities associated with our acquisitions, payments of acquisition related fees, interest payments and other payments and receipts of cash not generated by the business operations.  
 
Management has excluded certain items from non-GAAP adjusted net income because it believes (i) the amount of certain expenses in any specific period may not directly correlate to the underlying performance of business operations and (ii) the adjustment facilitates comparisons of pre-acquisition results to post-acquisition results.  In addition, the following adjustments are described in more detail below:
 
-  
Acquisition-related amortization expense is a non-cash expense arising from the acquisition of intangible assets in connection with significant acquisitions. Management excludes acquisition-related amortization expense from non-GAAP net income because it believes such expenses can vary significantly between periods as a result of new acquisitions and full amortization of previously acquired intangible assets.
 
-  
Stock-based compensation expense is a non-cash expense arising from the grant of stock awards to employees and is excluded from non-GAAP net income because management believes such expenses can vary significantly between periods as a result of the timing of grants of new stock-based awards, including grants to new employees resulting from acquisitions.
 
-  
Acquisition related sales and costs of sales adjustments reflect the fair value adjustment to deferred revenues acquired in connection with significant acquisitions. The fair value of deferred revenue represents an amount equivalent to the estimated cost plus an appropriate profit margin to perform services-related software and product support, which assumes a legal obligation to do so, based on the deferred revenue balances as of the date the acquisition of a significant company was completed. Management adds back this deferred revenue adjustment, net of related costs, for non-GAAP revenue and non-GAAP net income because it believes the inclusion of this amount directly correlates to the underlying performance of operations and facilitates comparisons of pre-acquisition to post-acquisition results.
 
Notice of Conference Call:

Merge will host a conference call on Thursday, February 17, 2011 at 4:30pm ET to discuss its financial results for the fourth quarter 2010.  Jeff Surges, CEO and Steve Oreskovich, CFO will co-chair the call.  Investors can listen to the conference call live via telephone by dialing 800.221.2015 (US and Canada) or 706.634.2159 (International), and referencing Conference ID Number 42657544. Alternatively, the call can be accessed over the Internet at Merge Healthcare Web Cast.  The conference call will be recorded and the recording may be found via the internet shortly after the call at http://www.merge.com/investor/conferencecall.asp.

Merge Healthcare develops and integrates information technology to create a better electronic healthcare experience. Merge products, ranging from standards-based development toolkits to sophisticated clinical applications, have been used by healthcare providers, vendors and researchers worldwide for over 20 years. Additional information can be found at www.merge.com.

# # #

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

 
 
MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
           
   
December 31,
   
December 31,
   
2010
   
2009
   
(Unaudited)
     
Current assets:
         
  Cash (including restricted cash)
  $ 41,029     $ 19,621
  Accounts receivable, net
    53,254       17,219
  Inventory
    3,486       280
  Prepaid expenses
    4,191       1,896
  Deferred income taxes
    2,545       142
  Other current assets
    9,336       3,590
Total current assets
    113,841       42,748
               
Property and equipment, net
    5,772       3,877
Purchased and developed software, net
    26,619       12,621
Other intangible assets, net
    48,957       6,715
Goodwill
    167,033       28,749
Deferred tax assets
    17,006       4,689
Other
    14,660       850
Total assets
  $ 393,888     $ 100,249
               
Current liabilities:
             
  Accounts payable
  $ 18,370     $ 4,444
  Interest payable
    3,917       -
  Accrued wages
    4,304       1,950
  Restructuring accrual
    1,707       879
  Deferred revenue
    49,876       15,579
  Other accrued liabilities
    4,375       1,665
Total current liabilities
    82,549       24,517
               
Notes payable
    195,077       -
Deferred income taxes
    -       68
Deferred revenue
    3,809       1,193
Income taxes payable
    5,683       5,461
Other
    1,964       873
Total liabilities
    289,082       32,112
               
Total shareholders' equity
    104,806       68,137
Total liabilities and shareholders' equity
  $ 393,888     $ 100,249
 
 
 
~ iv ~

 
 
 
MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS
 
(in thousands, except per share data)
 
                         
   
Three Months Ended
   
Year Ended
 
   
December 31,
   
December 31,
 
   
2010
   
2009
   
2010
   
2009
 
   
(Unaudited)
         
(Unaudited)
       
Net sales
                       
  Software and other
  $ 13,532     $ 7,578     $ 42,420     $ 33,037  
  Professional services
    6,972       5,201       23,175       11,830  
  Maintenance and EDI
    25,666       6,493       74,737       21,974  
Total net sales
    46,170       19,272       140,332       66,841  
Cost of sales
                               
  Software and other
    6,438       1,020       13,762       3,730  
  Professional services
    4,005       2,804       15,411       6,731  
  Maintenance and EDI
    8,490       1,595       24,418       5,593  
  Depreciation, amortization and impairment
    2,462       1,151       10,972       3,323  
Total cost of sales
    21,395       6,570       64,563       19,377  
Gross margin
    24,775       12,702       75,769       47,464  
Operating costs and expenses:
                               
  Sales and marketing
    7,913       3,235       20,697       9,203  
  Product research and development
    5,435       3,186       20,064       10,689  
  General and administrative
    6,527       4,033       22,012       13,005  
  Acquisition-related expenses
    461       228       9,674       1,225  
  Restructuring and other expenses
    310       (361 )     5,006       1,613  
  Depreciation, amortization and impairment
    2,003       917       6,840       2,766  
Total operating costs and expenses
    22,649       11,238       84,293       38,501  
Operating income (loss)
    2,126       1,464       (8,524 )     8,963  
Other income (expense)
    (5,822 )     (3,738 )     (16,638 )     (8,813 )
Income (loss) before income taxes
    (3,696 )     (2,274 )     (25,162 )     150  
Income tax benefit
    (13,739 )     (207 )     (13,646 )     (135 )
Net income (loss)
    10,043       (2,067 )     (11,516 )     285  
Less:  preferred stock dividends
    1,566       -       19,076       -  
Net income (loss) available to common shareholders
  $ 8,477     $ (2,067 )   $ (30,592 )   $ 285  
                                 
Net income (loss) per share - basic
  $ 0.10     $ (0.03 )   $ (0.38 )   $ 0.00  
Weighted average number of common
                               
  shares outstanding - basic
    83,098,528       69,829,661       80,231,427       60,910,268  
                                 
Net income (loss) per share - diluted
  $ 0.10     $ (0.03 )   $ (0.38 )   $ 0.00  
Weighted average number of common
                               
  shares outstanding - diluted
    84,981,522       69,829,661       80,231,427       62,737,821  
 
 
~ v ~

 
 
MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS
 
(in thousands)
 
(unaudited)
 
               
     
Year Ended
 
     
December 31,
 
     
2010
   
2009
 
Cash flows from operating activities:
             
Net income (loss)
    $ (11,516 )   $ 285  
Adjustments to reconcile net income (loss) to
                 
  net cash provided by (used in) operating activities:
                 
    Depreciation, amortization and impairment
      17,812       6,089  
    Share-based compensation
      2,623       1,686  
    Change in contingent consideration for acquisitions
      113       -  
    Amortization of note payable issuance costs & discount
      1,445       1,533  
    Realized loss on investment
      -       3,624  
    Provision for doubtful accounts receivable and sales returns, net of recoveries
    880       416  
    Deferred income taxes
      (14,056 )     -  
Net change in assets and liabilities (net of effects of acquisitions)
      8,704       (14,603 )
Net cash provided by (used in) operating activities
      6,005       (970 )
Cash flows from investing activities:
                 
Cash paid for acquisitions, net of cash acquired
      (216,212 )     (2,752 )
Purchases of property, equipment and leasehold improvements
      (1,492 )     (1,121 )
Proceeds from sale of property and equipment
      6,124       -  
Change in restricted cash
      (1,088 )     188  
Proceeds from sale of equity investment
      606       886  
Net cash used in investing activities
      (212,062 )     (2,799 )
Cash flows from financing activities:
                 
Proceeds from issuance of notes payable, net of discount of $5,468
      194,532       -  
Proceeds from issuance of stock
      41,750       25,175  
Note and stock issuance costs paid
      (9,897 )     -  
Proceeds from exercise of stock options and employee stock purchase plan
      160       110  
Principal payments on notes
      -       (19,570 )
Principal payments on capital leases
      (142 )     (111 )
Stock repurchases
      (26 )     -  
Net cash provided by financing activities
      226,377       5,604  
Net increase in cash
      20,320       1,835  
Cash and cash equivalents, beginning of period (net of restricted cash)
(1)
    19,062       17,227  
Cash and cash equivalents, end of period (net of restricted cash)
(2)
  $ 39,382     $ 19,062  
                   
(1)  Restricted cash of $559 and $621 as of December 31, 2009 and
                 
       December 31, 2008, respectively.
                 
(2)  Restricted cash of $1,647 and $559 as of December 31, 2010 and
                 
       December 31, 2009, respectively.
                 
 
 
~ vi ~

 
 
 
MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
RECONCILIATION OF NET INCOME (LOSS) AVAILABLE TO COMMON SHAREHOLDERS TO ADJUSTED EBITDA
 
(in thousands)
 
(unaudited)
 
                   
   
Three Months Ended
   
Year Ended
 
   
December 31,
   
December 31,
 
   
2010
   
2009
   
2010
   
2009
 
Net income (loss) available to common shareholders
  $ 8,477     $ (2,067 )   $ (30,592 )   $ 285  
  One-time preferred stock deemed dividend at issuance date
    -       -       14,900       -  
  One-time tax benefit from release of valuation reserve
    (14,053 )     -       (14,053 )     -  
  Impairment of investments
    -       -       -       3,624  
  Loss on early retirement of debt
    -       3,329       -       3,329  
  Sale of non-core patents
    -       -       -       (510 )
  Acquisition related costs
    461       228       9,674       1,225  
  Restructuring and other
    310       (361 )     5,006       1,613  
  Stock-based compensation expense
    1,297       430       2,623       1,686  
  Amortization of significant acquisition intangibles
    2,655       485       9,408       740  
  Acquisition-related sales adjustments
    4,937       1,052       13,678       1,646  
  Acquisition-related cost of sales adjustments
    (867 )     -       (2,214 )     -  
Adjusted net income
  $ 3,217     $ 3,096     $ 8,430     $ 13,638  
  Depreciation and amortization
    1,810       1,583       8,404       5,349  
  Net interest expense
    6,415       392       17,160       2,666  
  Non-cash preferred stock dividend
    1,566       -       4,176       -  
  Income tax expense (benefit)
    314       (207 )     407       (135 )
Adjusted EBITDA
  $ 13,322     $ 4,864     $ 38,577     $ 21,518  
                                 
Adjusted net income per share - diluted
  $ 0.04     $ 0.04     $ 0.10     $ 0.22  
Adjusted EBITDA per share - diluted
  $ 0.16     $ 0.07     $ 0.47     $ 0.34  
                                 
Fully diluted shares (if net income)
    84,981,522       72,023,112       82,040,048       62,737,821  
                                 
   
Pro Forma Three Months Ended
   
Pro Forma Year Ended
 
   
December 31,
   
December 31,
      2010       2009       2010       2009  
Net income (loss) available to common shareholders
  $ 12,547     $ (5,440 )   $ (20,527 )   $ (27,741 )
  One-time preferred stock deemed dividend at issuance date
    -       -       14,900       -  
  One-time tax benefit from release of valuation reserve
    (14,053 )     -       (14,053 )     -  
  Impairment of equity investment
    -       -       -       3,624  
  Loss on early retirement of debt
    -       3,329       -       3,329  
  Sale of non-core patents
    -       -       -       (510 )
  Acquisition related costs
    461       228       1,277       1,225  
  Restructuring and other
    310       (456 )     5,006       5,437  
  Stock-based compensation expense
    1,297       430       2,623       1,686  
  Amortization of significant acquisition intangibles
    2,655       2,618       12,365       9,245  
Adjusted net income (loss)
  $ 3,217     $ 709     $ 1,591     $ (3,705 )
  Depreciation and amortization
    1,810       2,374       9,365       7,995  
  Net interest expense
    6,415       6,084       25,690       25,331  
  Non-cash preferred stock dividend
    1,566       1,566       6,263       6,263  
  Income tax expense (benefit)
    314       (736 )     453       (1,705 )
Adjusted EBITDA
  $ 13,322     $ 9,997     $ 43,362     $ 34,179  
                                 
Adjusted net income (loss) per share - diluted
  $ 0.04     $ 0.01     $ 0.02     $ (0.05 )
Adjusted EBITDA per share - diluted
  $ 0.16     $ 0.13     $ 0.51     $ 0.49  
                                 
Fully diluted shares (if net income)
    84,981,522       79,538,112       84,469,555       70,252,821  
 
 
~ vii ~

 
 
MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
 
CASH FROM CORE BUSINESS OPERATIONS
 
(unaudited)
 
   
Three Months Ended
 
   
December 31,
 
   
2010
   
2009
 
   
(in millions)
 
Cash received from (paid for):
           
Acquisitions
  $ (3.5 )   $ (1.0 )
Restructuring initiatives
    (0.5 )     (0.5 )
Acquisition related costs
    (1.1 )     (0.2 )
Issuance of stock (net proceeds)
    -       25.2  
Principal payments on notes
    -       (15.0 )
Interest expense
    (11.9 )     (0.4 )
Early retirement penalty on debt
    -       (2.7 )
Debt and equity issuance costs
    (0.2 )     -  
Property and equipment purchases
    (0.6 )     (1.0 )
Sale of property
    6.1       -  
Other non-operating cash flows
    0.5       -  
Core business operations
    12.2       (1.7 )
Increase in cash
  $ 1.0     $ 2.7