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8-K - MERGE HEALTHCARE INC 8-K 7-30-2014 - MERGE HEALTHCARE INCform8k.htm

Exhibit 99.1
News Release

Media Contact:
 
Jennifer Jawor
 
Vice President, Corporate Marketing
 
312.565.6825
 
jennifer.jawor@merge.com
 

MERGE REPORTS SECOND QUARTER FINANCIAL RESULTS
Company reports sequential revenue and adjusted EBITDA growth

Chicago, IL (July 30, 2014) – Merge Healthcare Incorporated (NASDAQ: MRGE), a leading provider of innovative enterprise imaging, interoperability and clinical systems that seek to advance healthcare, today announced its financial and business results for the second quarter of 2014.

“I am proud to announce that for the third quarter in a row, Merge realized consistent, forward momentum in our financial results. Revenue and adjusted EBITDA continued to grow. In addition, our cardiology business achieved its highest sales quarter ever,” said Justin Dearborn, CEO of Merge Healthcare. “From a solutions standpoint, we made good headway in the adoption of our subscription-based services for Merge eClinicalOS™ (eCOS), iConnect® Network and iConnect® Cloud Archive. We also successfully launched iConnect® Retinal Screening ─ the first end-to-end, cloud-based platform that enables automated, early screening detection of diabetic complications, one of the highest healthcare costs realized worldwide. This new advanced interoperability solution gives our large integrated delivery network (IDN) and international customers as well as accountable care organizations (ACOs) an attractive solution to assist them with their population health strategies. Overall, we are excited about this service, as it gives Merge yet another software-as-a-service model to capitalize on and build our recurring revenue stream. With all of these factors combined, I remain optimistic about the remainder of 2014.”

Financial Summary:
 
· Adjusted EBITDA increased in the second quarter of 2014 to $11.2 million, representing 21% of pro forma revenue, compared to $8.5 million and 15% in the second quarter of 2013;
· Adjusted net income grew to $4.4 million (or $0.05 per share) in the second quarter of 2014 compared to $0.9 million (or $0.01 per share) in the second quarter of 2013, which compares to a GAAP net loss in the second quarter of 2014 of $4.0 million (including a charge of $4.8 million associated with the refinancing of our debt), or a loss of $0.04 per share, and a GAAP net loss in the second quarter of 2013 of $28.1 million (including a charge of $23.8 million associated with the refinancing of our debt), or a loss of $0.30 per share;
· Sales were $53.8 million ($54.1 million on a pro forma basis) in the second quarter of 2014 compared to $57.2 million ($57.6 million on a pro forma basis) in the second quarter of 2013;
· Subscription backlog grew to $54.6 million, a 12% increase from the second quarter of 2013; and
· Cash generated from business operations was $8.3 million in the second quarter of 2014 compared to $10.6 million in the prior year, which compares to net cash provided by (used in) operating activities on the statement of cash flows of $4.7 million and ($7.3) million, respectively.

Business Highlights:
 
· Achieved an all-time record for quarterly Cardiology bookings, recording an increase of over 50% compared to the second quarter of 2013 and contracting seven net new customers;
· Executed seven additional iConnect Network customer agreements for a total of 29 customers  since launching the solution in 2013 and signed a second radiology information system (RIS) vendor as a reseller of iConnect Network;
· Completed two, large net new vendor neutral archive (VNA) deals, including Comanche County Memorial Hospital. The hospital will use Merge’s iConnect® Enterprise Archive and iConnect® Access solutions to archive and share images to ensure the seamless flow of patient data, meet Meaningful Use Stage 2 requirements and improve disaster recovery and operational workflow across their continuum of care;
· Realized significant growth with iConnect Cloud Archive (formerly Merge Honeycomb® Archive), signing 20 new customers in past 12 months;
· Launched iConnect Retinal Screening, the first end-to-end, automated, software-as-a-service solution for early screening and detection of diabetic retinal disease. This advanced interoperability, cloud-based platform complements the existing population health strategy of integrated delivery systems and accountable care organizations and eliminates many of the most common barriers to successful screening programs, including IT costs and the ability to capture meaningful eye photographs by normal medical assistants; and
· Went live with over 70 eCOS studies in Q2, increasing clinical sites by 25%, users by more than 27% and active subjects by 30% since the end of the first quarter. These results demonstrate continued growth in eCOS utilization.

Quarter Results:
 
Results compared to the same quarter in the prior year on a GAAP basis are as follows (in millions, except per share data):

 
   
Q2 2014
     
Q2 2013
 
Net sales
 
$
53.8
   
$
57.2
 
Operating income
   
5.8
     
1.3
 
Net loss
   
(4.0
)
   
(28.1
)
Net loss per diluted share
 
(0.04
)
 
(0.30
)
Cash balance at period end
 
$
23.9
   
$
16.8
 

Page 2

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):

 
   
Q2 2014
     
Q2 2013
 
Pro forma results
               
Net sales
 
$
54.1
   
$
57.6
 
Adjusted net income
   
4.4
     
0.9
 
Adjusted EBITDA
   
11.2
     
8.5
 
Adjusted net income per diluted share
 
$
0.05
   
$
0.01
 
Adjusted EBITDA per diluted share
 
$
0.12
   
$
0.09
 
 
               
Non-GAAP and other measures
               
Subscription, maintenance & EDI revenue as % of net sales
   
64
%
   
65
%
Subscription and non-recurring backlog at period end
 
$
77.8
   
$
73.8
 
Cash from business operations*
 
$
8.3
   
$
10.6
 
Days sales outstanding
   
88
     
120
 

*See table at the back of this earnings release for reconciliation.

A reconciliation of GAAP net income (loss) to adjusted net income and adjusted EBITDA is included after the financial information below.  See “Explanation of Non-GAAP Financial Measures” for definitions of each of these non-GAAP measures and the reason the Company’s management believes that the adjustments made to arrive at the non-GAAP financial measures provide useful information to investors regarding the Company.

Pro Forma Operating Group Results:
 
Results (in millions) for our operating groups are as follows:

 
 
Three Months Ended June 30, 2014
 
 
 
Healthcare
   
DNA
   
Corporate/
Other
   
Total
 
Net sales:
 
   
   
   
 
Software and other
 
$
13.7
   
$
4.4
   
   
$
18.1
 
Service
   
7.4
     
2.9
   
     
10.3
 
Maintenance
   
25.4
     
0.3
   
     
25.7
 
Total net sales
   
46.5
     
7.6
   
     
54.1
 
Gross Margin
   
25.7
     
4.7
   
     
30.4
 
Gross Margin %
   
55.3
%
   
61.8
%
 
     
56.2
%
Expenses
   
19.3
     
3.1
   
     
22.4
 
Segment income (loss)
 
$
6.4
   
$
1.6
   
   
$
8.0
 
Operating Margin %
   
14
%
   
21
%
 
     
15
%
Net corporate/other expenses (1)
                 
$
11.0
     
11.0
 
Income before income taxes
                           
(3.0
)
Adj. EBITDA reconciling adjustments
   
3.9
     
0.9
     
9.4
     
14.2
 
Adjusted EBITDA
 
$
10.3
   
$
2.5
   
$
(1.6
)
 
$
11.2
 
Adjusted EBITDA %
   
22.2
%
   
32.9
%
           
20.7
%

(1)
Net corporate/other expenses include public company costs, corporate administration costs, acquisition-related expenses and net interest expense.
Page 3

 
 
 
Net Sales in the Three Months Ended
June 30, 2014
   
   
Backlog as of
June 30, 2014
   
 
 
 
Healthcare
   
DNA
   
   
Healthcare
   
DNA
   
 
Revenue Source
 
$
     
%
   
$
     
%
   
Total
   
$
     
%
   
$
     
%
   
Total
 
Maintenance & EDI (1)
 
$
25.4
     
54.6
%
 
$
0.3
     
3.9
%
   
47.5
%
 
   
   
   
   
 
Subscription
   
1.6
     
3.4
%
   
7.3
     
96.1
%
   
16.5
%
 
$
13.1
     
36.1
%
 
$
41.5
     
100.0
%
   
70.2
%
Non-recurring
   
19.5
     
42.0
%
   
-
     
0.0
%
   
36.0
%
   
23.2
     
63.9
%
   
-
     
0.0
%
   
29.8
%
Total
 
$
46.5
     
100.0
%
 
$
7.6
     
100.0
%
   
100.0
%
 
$
36.3
     
100.0
%
 
$
41.5
     
100.0
%
   
100.0
%
 
   
86.0
%
           
14.0
%
                   
46.7
%
           
53.3
%
               
 
(1)
Due to the variability in timing and length of maintenance renewals, we do not believe backlog for this revenue component is a meaningful disclosure.

Page 4

Explanation of Non-GAAP Financial Measures
 
We report our financial results in accordance with generally accepted accounting principles or GAAP. This press release includes certain non-GAAP financial measures to supplement this GAAP information. Non-GAAP measures are not an alternative to GAAP and may be different from and directly comparable with non-GAAP measures used by other companies. A quantitative reconciliation of GAAP net income available to common shareholders to adjusted net income and adjusted EBITDA is included after the financial information included in this press release.
 
Management believes that the presentation of non-GAAP results, when shown in conjunction with corresponding GAAP measures, provides useful information to it and investors regarding financial and business trends related to results of operations, because certain charges, costs and expenses reflect events that are not essential to recurring business operations. In addition, management believes these non-GAAP measures provide investors useful information regarding the underlying performance of the post-acquisition business operations when compared to the pre-acquisition results of Merge and any significant acquired company.  Purchase accounting 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 for 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 herein is as follows:
 
· Pro forma revenue consists of GAAP revenue as reported, adjusted to add back the acquisition related sales adjustments (for all significant acquisitions) recorded for GAAP purposes.
· Subscription revenue and the related backlog are comprised of software, hardware and professional services (including installation, training, etc.) contracted with and payable by the customer over a number of years.  Generally, these contracts will include a minimum volume / dollar commitment.  As such, the revenue from these transactions is recognized ratably over an extended period of time.  These types of arrangements will include monthly payments (including leases), long-term clinical trials, renewable annual software agreements (with very high renew rate), to specify a few contract methods.  Backlog is subject to change based on a number of factors, including but not limited to, revenue recognized in the period compared to bookings, customer cancellations and a change in contracting model whereby customers sign pay-for-use contracts with no minimums as opposed to guaranteed minimums over the life of the contract, to name a few reasons.
· Non-recurring revenue and related 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 perpetual software license sales and includes licenses, hardware and professional services (including installation, training and consultative engineering services). Backlog is subject to change based on a number of factors, including but not limited to, revenue recognized in the period compared to bookings and customer cancellations, to name a few reasons.
Page 5

· Adjusted net income consists of GAAP net income available to common stockholders, adjusted to exclude (a) acquisition-related costs, (b) debt extinguishment costs, (c) restructuring and other costs, (d) share-based compensation expense, (e) acquisition-related amortization (f) acquisition-related sales adjustments, and (g) acquisition-related cost of 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 and (c) income tax expense (benefit).
· Cash from business operations reconciles the cash generated from such operations to the change in GAAP cash balance for the period by reflecting payments of liabilities associated with debt issuance and retirement activities, acquisitions, payments of acquisition related fees, interest payments and other payments and receipts of cash not generated by the business operations.  Cash generated from business operations and used to pay restructuring initiatives, acquisition related costs and interest approximates net cash provided by operating activities in the condensed consolidated statement of cash flows.
 
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, certain 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 adjusted 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.
· Share-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 at 8:30 AM ET on Wednesday, July 30, 2014. The call will address second quarter financial and business results for 2014.
Page 6

To preregister for this teleconference, go to http://emsp.intellor.com?p=416119&do=register&t=8. Upon registration, a confirmation page will display dial-in numbers and a unique PIN, and the participant will also receive an email confirmation with this information.

A replay via the Internet or phone will be available after the call at http://www.merge.com/Company/Investors/Conference-Call-Info.aspx.
 
About Merge
 
Merge is a leading provider of innovative enterprise imaging, interoperability and clinical systems that seek to advance healthcare. Merge’s enterprise and cloud-based technologies for image intensive specialties provide access to any image, anywhere, any time. Merge also provides clinical trials software with end-to-end study support in a single platform and other intelligent health data and analytics solutions. With solutions that have been used by providers for more than 25 years, Merge is helping to reduce costs, improve efficiencies and enhance the quality of healthcare worldwide. For more information, visit merge.com and follow us @MergeHealthcare.
 
Cautionary Notice Regarding Forward-Looking Statements
 
The matters discussed in this press release may include forward-looking statements, which could involve a number of risks and uncertainties. When used in this press release, the words “will,” “believes,” “intends,” “anticipates,” “expects” and similar expressions are intended to identify forward-looking statements. Actual results could differ materially from those expressed in, or implied by, such forward-looking statements. The potential risks and uncertainties include those risks and uncertainties included under the captions “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our Annual Report on Form 10-K for the year ended December 31, 2013, which is on file with the SEC and are available on our investor relations website at merge.com and on the SEC website at www.sec.gov. Except as expressly required by the federal securities laws, Merge undertakes no obligation to update such factors or to publicly announce the results of any of the forward-looking statements.

Page 7

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CONDENSED CONSOLIDATED BALANCE SHEETS
(in thousands)
(unaudited)
 
 
 
June 30,
   
December 31,
 
 
 
2014
   
2013
 
Current assets:
 
   
 
Cash (including restricted cash)
 
$
23,872
   
$
19,729
 
Accounts receivable, net
   
52,318
     
61,895
 
Inventory
   
5,185
     
5,851
 
Prepaid expenses
   
4,199
     
4,803
 
Deferred income taxes
   
1,925
     
1,915
 
Other current assets
   
12,641
     
12,506
 
Total current assets
   
100,140
     
106,699
 
 
               
Property and equipment, net
   
5,141
     
4,739
 
Purchased and developed software, net
   
14,555
     
15,906
 
Other intangible assets, net
   
22,182
     
26,200
 
Goodwill
   
214,374
     
214,374
 
Deferred income taxes
   
6,433
     
6,979
 
Other assets
   
3,615
     
7,184
 
Total assets
 
$
366,440
   
$
382,081
 
 
               
Current liabilities:
               
Accounts payable
 
$
18,154
   
$
22,072
 
Current maturities of long-term debt
   
11,750
     
2,490
 
Accrued wages
   
6,254
     
5,559
 
Restructuring accrual
   
721
     
1,301
 
Other current liabilities
   
6,673
     
8,205
 
Deferred revenue
   
51,076
     
55,183
 
Total current liabilities
   
94,628
     
94,810
 
 
               
Long-term debt, less current maturities, net of unamortized discount
   
219,205
     
233,942
 
Deferred income taxes
   
4,244
     
4,065
 
Deferred revenue
   
337
     
378
 
Income taxes payable
   
1,087
     
1,399
 
Other liabilities
   
2,017
     
2,227
 
Total liabilities
   
321,518
     
336,821
 
Total Merge shareholders' equity
   
44,451
     
44,813
 
Noncontrolling interest
   
471
     
447
 
Total shareholders' equity
   
44,922
     
45,260
 
Total liabilities and shareholders' equity
 
$
366,440
   
$
382,081
 

Page 8

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

 
 
Three Months Ended
   
Six Months Ended
 
 
 
June 30,
   
June 30,
 
 
 
2014
   
2013
   
2014
   
2013
 
Net sales
 
   
   
   
 
Software and other
 
$
18,021
   
$
17,879
   
$
33,104
   
$
41,450
 
Professional services
   
10,171
     
11,552
     
20,660
     
23,675
 
Maintenance and EDI
   
25,622
     
27,762
     
50,953
     
55,702
 
Total net sales
   
53,814
     
57,193
     
104,717
     
120,827
 
Cost of sales
                               
Software and other
   
9,085
     
9,638
     
15,186
     
21,405
 
Professional services
   
6,017
     
6,394
     
12,364
     
12,919
 
Maintenance and EDI
   
6,831
     
7,370
     
13,794
     
15,459
 
Depreciation and amortization
   
1,677
     
1,810
     
3,272
     
3,620
 
Total cost of sales
   
23,610
     
25,212
     
44,616
     
53,403
 
Gross margin
   
30,204
     
31,981
     
60,101
     
67,424
 
Operating costs and expenses:
                               
Sales and marketing
   
8,140
     
10,088
     
16,147
     
20,454
 
Product research and development
   
7,335
     
8,447
     
14,915
     
16,972
 
General and administrative
   
6,404
     
8,829
     
13,764
     
15,948
 
Acquisition-related expenses
   
-
     
158
     
26
     
427
 
Restructuring and other expenses
   
-
     
573
     
-
     
1,802
 
Depreciation and amortization
   
2,563
     
2,594
     
5,045
     
5,247
 
Total operating costs and expenses
   
24,442
     
30,689
     
49,897
     
60,850
 
Operating income
   
5,762
     
1,292
     
10,204
     
6,574
 
Loss on debt extinguishment
   
(4,821
)
   
(23,822
)
   
(4,821
)
   
(23,822
)
Other expense, net
   
(4,217
)
   
(4,878
)
   
(8,353
)
   
(13,638
)
Loss before income taxes
   
(3,276
)
   
(27,408
)
   
(2,970
)
   
(30,886
)
Income tax expense
   
675
     
712
     
656
     
3,727
 
Net loss
   
(3,951
)
   
(28,120
)
   
(3,626
)
   
(34,613
)
Less:  noncontrolling interest's share
   
22
     
(13
)
   
24
     
(31
)
Net loss available to common shareholders
 
$
(3,973
)
 
$
(28,107
)
 
$
(3,650
)
 
$
(34,582
)
 
                               
Net loss per share - basic
 
$
(0.04
)
 
$
(0.30
)
 
$
(0.04
)
 
$
(0.37
)
Weighted average number of common sares outstanding - basic
   
95,190,879
     
93,489,178
     
94,926,005
     
93,396,622
 
 
                               
Net loss per share - diluted
 
$
(0.04
)
 
$
(0.30
)
 
$
(0.04
)
 
$
(0.37
)
Weighted average number of common shares outstanding - diluted
   
95,190,879
     
93,489,178
     
94,926,005
     
93,396,622
 
Page 9

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

 
 
Six Months Ended
 
 
 
June 30,
 
 
 
2014
   
2013
 
Cash flows from operating activities:
 
   
 
Net loss
 
$
(3,626
)
 
$
(34,613
)
Adjustments to reconcile net loss to net cash provided by operating activities:
Depreciation, amortization and impairment
   
8,317
     
8,867
 
Share-based compensation
   
2,606
     
3,301
 
Amortization of debt issuance costs & discount
   
711
     
1,049
 
Loss on extinguishment of debt
   
4,821
     
23,822
 
Unrealized loss on equity security
   
-
     
366
 
Provision for doubtful accounts receivable and allowances, net of recoveries
   
834
     
723
 
Deferred income taxes
   
460
     
3,243
 
Gain on lawsuit settlement
   
-
     
(2,500
)
Net change in assets and liabilities
   
429
     
(2,875
)
Net cash provided by operating activities
   
14,552
     
1,383
 
Cash flows from investing activities:
               
Purchases of property, equipment and leasehold improvements
   
(1,772
)
   
(845
)
Purchased technology and capitalized software development
   
(1,271
)
   
-
 
Change in restricted cash
   
183
     
-
 
Net cash used in investing activities
   
(2,860
)
   
(845
)
Cash flows from financing activities:
               
Proceeds from exercise of stock options and employee stock purchase plan
   
751
     
793
 
Proceeds from debt issuance
   
231,251
     
252,450
 
Retirement of debt
   
(230,133
)
   
(252,000
)
Penalty for early extinguishment of debt
   
-
     
(16,863
)
Debt issuance costs paid
   
(237
)
   
(3,854
)
Principal payments on term loan and notes payable
   
(8,592
)
   
(7
)
Principal payments on capital leases
   
(337
)
   
(148
)
Net cash used in provided by financing activities
   
(7,297
)
   
(19,629
)
Effect of exchange rate changes on cash
   
(69
)
   
30
 
Net increase (decrease) in cash and cash equivalents
   
4,326
     
(19,061
)
Cash and cash equivalents, beginning of period (net of restricted cash)
(1)  
19,337
     
35,062
 
Cash and cash equivalents, end of period (net of restricted cash)
(2)
$
23,663
   
$
16,001
 

(1)
Restricted cash of $392 and $813 as of December 31, 2013 and 2012, respectively.
(2)
Restricted cash of $209 and $813 as of June 30, 2014 and 2013, respectively.
Page 10

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
RECONCILIATION OF NET LOSS AVAILABLE TO COMMON SHAREHOLDERS  TO ADJUSTED EBITDA
(in thousands, except for share and per share data)
(unaudited)

 
 
Three Months Ended
   
Six Months Ended
 
 
 
June 30,
   
June 30,
 
 
 
2014
   
2013
   
2014
   
2013
 
Net loss available to common shareholders of Merge
 
$
(3,973
)
 
$
(28,107
)
 
$
(3,650
)
 
$
(34,582
)
Acquisition-related costs
   
-
     
158
     
26
     
427
 
Debt extinguishment costs
   
4,821
     
23,822
     
4,821
     
23,822
 
Restructuring and other
   
-
     
573
     
-
     
1,802
 
Share-based compensation expense
   
1,076
     
1,658
     
2,606
     
3,301
 
Amortization of significant acquisition intangibles
   
2,247
     
2,506
     
4,494
     
5,013
 
Acquisition-related sales adjustments
   
273
     
357
     
435
     
743
 
Acquisition-related cost of sales adjustments
   
(75
)
   
(39
)
   
(100
)
   
(116
)
Adjusted net income
 
$
4,369
   
$
928
   
$
8,632
   
$
410
 
Depreciation and amortization
   
1,993
     
1,898
     
3,823
     
3,854
 
Net interest expense
   
4,197
     
4,912
     
8,345
     
12,961
 
Income tax expense
   
675
     
712
     
656
     
3,727
 
Adjusted EBITDA
 
$
11,234
   
$
8,450
   
$
21,456
   
$
20,952
 
 
                               
Adjusted net income per share - diluted
 
$
0.05
   
$
0.01
   
$
0.09
   
$
0.00
 
Adjusted EBITDA per share - diluted
 
$
0.12
   
$
0.09
   
$
0.22
   
$
0.22
 
Fully diluted shares (if net income)
   
96,454,513
     
95,442,178
     
96,214,289
     
95,164,253
 
 
 
 
Pro Forma Three Months
 Ended June 30,
   
Pro Forma Six Months
Ended June 30,
 
 
 
2014
   
2013
   
2014
   
2013
 
Net loss available to common shareholders of Merge
 
$
(3,775
)
 
$
(27,789
)
 
$
(3,315
)
 
$
(33,955
)
Acquisition-related costs
   
-
     
158
     
26
     
427
 
Debt extinguishment costs
   
4,821
     
23,822
     
4,821
     
23,822
 
Restructuring and other
   
-
     
573
     
-
     
1,802
 
Share-based compensation expense
   
1,076
     
1,658
     
2,606
     
3,301
 
Amortization of significant acquisition intangibles
   
2,247
     
2,506
     
4,494
     
5,013
 
Adjusted net income
 
$
4,369
   
$
928
   
$
8,632
   
$
410
 
Depreciation and amortization
   
1,993
     
1,898
     
3,823
     
3,854
 
Net interest expense
   
4,197
     
4,912
     
8,345
     
12,961
 
Income tax expense
   
675
     
712
     
656
     
3,727
 
Adjusted EBITDA
 
$
11,234
   
$
8,450
   
$
21,456
   
$
20,952
 
 
                               
Adjusted net income per share - diluted
 
$
0.05
   
$
0.01
   
$
0.09
   
$
0.00
 
Adjusted EBITDA per share - diluted
 
$
0.12
   
$
0.09
   
$
0.22
   
$
0.22
 
Fully diluted shares (if net income)
   
96,454,513
     
95,442,178
     
96,214,289
     
95,164,253
 

Page 11

MERGE HEALTHCARE INCORPORATED AND SUBSIDIARIES
CASH FROM BUSINESS OPERATIONS
(unaudited)

 
 
Three Months Ended
June 30,
   
Six Months Ended
June 30,
 
 
 
2014
   
2013
   
2014
   
2013
 
 
 
(amounts in millions)
   
(amounts in millions)
 
Cash received from (paid for):
 
   
   
   
 
Issuance of debt, net of OID of $3.7 and $2.5, respectively
 
$
231.3
   
$
252.5
   
$
231.3
   
$
252.5
 
Debt issuance costs
   
(0.2
)
   
(3.9
)
   
(0.2
)
   
(3.9
)
Retirement of debt, including prepayment penalty of $16.9 in 2013
   
(230.1
)
   
(268.9
)
   
(230.1
)
   
(268.9
)
Debt principal reduction
   
-
     
-
     
(8.6
)
   
-
 
Interest paid, net
   
(4.0
)
   
(17.0
)
   
(7.6
)
   
(17.0
)
Restructuring initiatives
   
-
     
(0.8
)
   
(0.2
)
   
(1.0
)
Acquisition related costs
   
-
     
-
     
-
     
(0.2
)
Proceeds from stock option exercises
   
0.8
     
0.3
     
0.8
     
0.6
 
Property and equipment purchases
   
(1.5
)
   
(0.5
)
   
(1.8
)
   
(0.9
)
Purchased technology and capitalized software development
   
(0.5
)
   
-
     
(1.3
)
   
-
 
Business operations
   
8.3
     
10.6
     
21.8
     
19.7
 
Increase (decrease) in cash
 
$
4.1
   
$
(27.7
)
 
$
4.1
   
$
(19.1
)
 

Page 12