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Emdeon Reports Second Quarter 2011 Results


News provided by

Emdeon Inc.

Aug 08, 2011, 04:01 ET

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NASHVILLE, Tenn., Aug. 8, 2011 /PRNewswire/ --

  • Revenue of $282.1 million, increased 16.0% over second quarter 2010
  • Non-GAAP Adjusted EBITDA of $74.7 million, increased 14.7% over second quarter 2010

Emdeon Inc. (NYSE: EM), a leading provider of healthcare revenue and payment cycle management and clinical information exchange solutions, today announced financial results for the second quarter ended June 30, 2011, as summarized below:

(In millions, except per share amts)

2Q 11


2Q 10


% Change

Revenue

$              282.1


$              243.3


16.0%

Net Income

$                  9.2


$                  7.3


27.2%

Earnings per share (diluted)

$                0.06


$                0.05


20.0%

Non-GAAP Adjusted EBITDA

$                74.7


$                65.2


14.7%

Non-GAAP Adjusted EPS

$                0.26


$                0.22


18.2%

Non-GAAP fully diluted shares

124.2


122.6


1.3%

"We are pleased with our financial results for the second quarter.  Our new initiatives in clinical information exchange and recently acquired solutions are resonating with our customer base.  Emdeon's revenue cycle management and payment distribution solutions also continued to contribute solid organic growth," said George Lazenby, Emdeon's chief executive officer.  "We are especially pleased with the performance of our newest acquisition, EquiClaim.  Interest in this payment integrity solution has been strong among our customers and is performing well against our internal targets."

Second quarter revenue was $282.1 million, an increase of 16.0%, compared to $243.3 million for the same period in 2010, as a result of recent acquisitions and organic growth.  GAAP operating income for the second quarter of 2011 was $27.6 million compared to $30.6 million for the same period in 2010, a decrease of 10.0%.  This decrease was primarily due to higher depreciation and amortization expense from 2010 acquisitions and capital expenditures, as well as higher equity compensation expense.  Second quarter Non-GAAP Adjusted EBITDA grew 14.7% to $74.7 million, or 26.5% of revenue, from Non-GAAP Adjusted EBITDA of $65.2 million, or 26.8% of revenue, in the comparable period in 2010.  The slight decrease in Non-GAAP Adjusted EBITDA as a percentage of revenue was primarily due to increased investment in new solutions combined with revenue mix changes, including the impact of recent acquisitions.  

GAAP net income (before noncontrolling interest) for the second quarter of 2011 was $9.2 million compared to GAAP net income of $7.3 million for the same period in 2010.  GAAP net income per diluted share for the second quarter of 2011 was $0.06 compared to $0.05 for the same period in 2010.  Non-GAAP Adjusted Net Income per fully diluted share for the second quarter of 2011 was $0.26, using a weighted average fully diluted share count of 124.2 million, compared to $0.22, using a weighted average fully diluted share count of 122.6 million, for the same period in 2010.

A reconciliation of Emdeon's financial results determined in accordance with U.S. Generally Accepted Accounting Principles (GAAP) to certain non-GAAP financial measures has been provided in the financial statement tables included in this release to supplement its unaudited condensed consolidated financial statements presented on a GAAP basis.  An explanation of these non-GAAP measures is also included below under the heading "Explanation of Non-GAAP Financial Measures."

Financial Outlook

Emdeon maintained its previously announced 2011 annual financial outlook ranges of $1.105 to $1.135 billion for revenue, $300 to $310 million for Non-GAAP Adjusted EBITDA and $1.00 to $1.06 for Non-GAAP Adjusted Net Income per fully diluted share (using a weighted average share count of 124.0 million).

Cancellation of Conference Call and Webcast

As noted in an earlier release, Emdeon entered into a definitive merger agreement on August 3, 2011 with Blackstone Capital Partners VI L.P. under which this Blackstone fund will acquire a controlling interest in Emdeon.  With the proposed transaction, Emdeon will not host a conference call to discuss financial results for the second quarter of 2011.  The Company expects to file its Quarterly Report on Form 10-Q for the quarter ended June 30, 2011 on or about August 9, 2011.

About Emdeon

Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system. Emdeon's product and service offerings integrate and automate key business and administrative functions of its payer and provider customers throughout the patient encounter. Through the use of Emdeon's comprehensive suite of products and services, which are designed to easily integrate with existing technology infrastructures, customers are able to improve efficiency, reduce costs, increase cash flow and more efficiently manage the complex revenue and payment cycle and clinical information exchange processes. For more information, visit www.emdeon.com.

Forward-Looking Statements

Statements made in this press release that express Emdeon's or management's intentions, plans, beliefs, expectations or predictions of future events are forward-looking statements, which Emdeon intends to be covered by the safe harbor provisions for forward-looking statements contained in the Private Securities Litigation Reform Act of 1995.  These statements often include words such as "may," "will," "should," "believe," "expect," "anticipate," "intend," "plan," "estimate" or similar expressions. Forward-looking statements may include information concerning the proposed merger transaction and Emdeon's possible or assumed future results of operations, including descriptions of Emdeon's revenues, profitability, outlook and overall business strategy.  You should not place undue reliance on these statements because they are subject to numerous uncertainties and factors relating to the proposed merger transaction and Emdeon's operations and business environment, all of which are difficult to predict and many of which are beyond Emdeon's control.  Although Emdeon believes that these forward-looking statements are based on reasonable assumptions, you should be aware that many factors could affect Emdeon's actual financial results or results of operations and could cause actual results to differ materially from those in the forward-looking statements.  Such factors related to the proposed merger transaction include unexpected costs or liabilities, delays due to regulatory review, certain closing conditions (including the committed financing) may not be timely satisfied or waived, litigation may be commenced and general economic and business conditions may change.  Such factors related to Emdeon's actual financial results or results of operations include:  effects of competition, including competition from entities that are customers for certain of Emdeon's solutions; Emdeon's ability to maintain relationships with its customers and channel partners; Emdeon's ability to effectively cross-sell its solutions to existing customers and to continue to generate revenue and maintain profitability by developing or acquiring and successfully deploying new or updated solutions; pricing pressures on Emdeon's solutions; the anticipated benefits from acquisitions not being fully realized or not being realized within the expected time frames; and general economic, business or regulatory conditions affecting the healthcare information technology and services industries; as well as the other risks discussed in the "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections and elsewhere in Emdeon's Annual Report on Form 10-K for the year ended December 31, 2010, as well as Emdeon's periodic and other reports, filed with the Securities and Exchange Commission.

You should keep in mind that any forward-looking statement made by Emdeon herein, or elsewhere, speaks only as of the date on which made. Emdeon expressly disclaims any intent, obligation or undertaking to update or revise any forward-looking statements made herein to reflect any change in Emdeon's expectations with regard thereto or any change in events, conditions or circumstances on which any such statements are based.

Emdeon Inc.

Condensed Consolidated Statements of Operations

(unaudited and amounts in thousands, except share and per share amounts)










For the Three Months


For the Six Months


Ended June 30,


Ended June 30,


2011


2010


2011


2010





Revenue

$           282,110


$           243,289


$           553,608


$           480,568

Costs and expenses:








Cost of operations (exclusive of depreciation and amortization below)

174,757


148,444


344,011


292,430

Development and engineering

9,358


8,695


18,260


17,248

Sales, marketing, general and administrative

31,498


26,243


63,145


52,362

Depreciation and amortization

38,934


29,278


76,956


57,053

Operating income

27,563


30,629


51,236


61,475

Interest income

(3)


(5)


(6)


(8)

Interest expense

12,653


15,919


25,282


31,584

Other

(2,235)


(2,060)


(3,638)


(1,770)

Income before income tax provision

17,148


16,775


29,598


31,669

Income tax provision

7,920


9,520


13,095


20,152

Net income

9,228


7,255


16,503


11,517

Net income attributable to noncontrolling interest

3,427


3,026


6,309


5,399

Net income attributable to Emdeon Inc.

$               5,801


$               4,229


$             10,194


$               6,118

Net income per share Class A common stock:








Basic

$                 0.06


$                 0.05


$                 0.11


$                 0.07

Diluted

$                 0.06


$                 0.05


$                 0.11


$                 0.07

Weighted average common shares outstanding:








Basic

91,057,293


90,061,975


91,022,516


89,879,916

Diluted

91,341,309


90,759,030


91,294,114


90,648,401

Emdeon Inc.

Condensed Consolidated Balance Sheets

(unaudited and amounts in thousands, except share and per share amounts)






June 30,


December 31,


2011


2010

Assets




Current assets:




Cash and cash equivalents

$               122,460


$                 99,188

Accounts receivable, net of allowance for doubtful accounts of $5,523 and $5,394 at June 30, 2011 and December 31, 2010, respectively

184,992


174,191

Deferred income tax assets

7,811


7,913

Prepaid expenses and other current assets

25,410


25,020

Total current assets

340,673


306,312

Property and equipment, net

230,979


231,307

Goodwill

926,164


908,310

Intangible assets, net

1,007,194


1,035,886

Other assets, net

8,825


9,750

Total assets

$            2,513,835


$            2,491,565

Liabilities and equity




Current liabilities:




Accounts payable

$                   6,379


$                   4,732

Accrued expenses

105,429


112,245

Deferred revenues

12,547


12,130

Current portion of long-term debt

12,492


12,494

Total current liabilities

136,847


141,601

Long-term debt, excluding current portion

936,222


933,749

Deferred income tax liabilities

201,528


200,357

Tax receivable agreement obligations to related parties

137,964


138,533

Other long-term liabilities

15,165


22,037

Commitments and contingencies




Equity:




Preferred stock (par value, $0.00001), 25,000,000 shares authorized and 0 shares issued and outstanding

-


-

Class A common stock (par value, $0.00001),  400,000,000 shares authorized and 91,208,582 and 91,064,486 shares outstanding at June 30, 2011 and December 31, 2010, respectively

1


1

Class B common stock, exchangeable (par value, $0.00001), 52,000,000 shares authorized and 24,689,142 shares outstanding at June 30, 2011 and December 31, 2010

-


-

Additional paid-in capital

749,536


738,888

Contingent consideration

1,955


1,955

Accumulated other comprehensive loss

(1,280)


(2,569)

Retained earnings

63,444


53,250

Emdeon Inc. equity

813,656


791,525

Noncontrolling interest

272,453


263,763

Total equity

1,086,109


1,055,288

Total liabilities and equity

$            2,513,835


$            2,491,565

Emdeon Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited and amounts in thousands)






For the Six Months


Ended June 30,


2011


2010

Operating activities




Net income

$                 16,503


$                 11,517

Adjustments to reconcile net income to net cash provided by operating activities:




Depreciation and amortization

76,956


57,053

Equity compensation expense

11,483


7,847

Deferred income tax expense

2,058


7,250

Amortization of debt discount and issuance costs

6,945


6,300

Amortization of discontinued cash flow hedge from other comprehensive loss

1,879


2,918

Change in contingent consideration

(3,638)


(1,770)

Change in fair value of interest rate swap (not subject to hedge accounting)

(5,163)


-

Other

16


(50)

Changes in operating assets and liabilities:




Accounts receivable

(8,819)


814

Prepaid expenses and other

2,360


1,909

Accounts payable

3,925


(1,550)

Accrued expenses and other liabilities

399


(456)

Deferred revenues

417


(1,190)

Tax receivable agreement obligations to related parties

(2,913)


(1,480)

Net cash provided by operating activities

102,408


89,112

Investing activities




Purchases of property and equipment

(34,088)


(35,772)

Payments for acquisitions, net of cash acquired

(39,758)


(41,991)

Other

-


(3,000)

Net cash used in investing activities

(73,846)


(80,763)

Financing activities




Debt principal payments

(4,275)


(3,775)

Other

(1,015)


(104)

Net cash used in financing activities

(5,290)


(3,879)

Net increase in cash and cash equivalents

23,272


4,470

Cash and cash equivalents at beginning of period

99,188


211,999

Cash and cash equivalents at end of period

$               122,460


$               216,469

Segment Information

(unaudited and amounts in thousands)

















For the Three Months Ended June 30, 2011



For the Three Months Ended June 30, 2010






Corporate &







Corporate &




Payer

Provider

Pharmacy

Eliminations

Consolidated



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenue from external customers














Claims management


$         52,972

$                 -

$                 -

$                 -

$         52,972



$         49,695

$                 -

$                 -

$                 -

$         49,695

Payment services


62,507

-

-

-

62,507



56,504

-

-

-

56,504

Patient statements


-

65,022

-

-

65,022



-

65,705

-

-

65,705

Revenue cycle management


-

72,945

-

-

72,945



-

43,511

-

-

43,511

Dental


-

7,871

-

-

7,871



-

7,947

-

-

7,947

Pharmacy services


-

-

20,793

-

20,793



-

-

19,927

-

19,927

Inter-segment revenue


864

124

-

(988)

-



680

72

-

(752)

-

Net revenue


116,343

145,962

20,793

(988)

282,110



106,879

117,235

19,927

(752)

243,289

Costs and expenses:














Cost of operations


77,545

89,268

8,872

(928)

174,757



69,947

71,963

7,254

(720)

148,444

Development and engineering


2,869

4,713

1,776

-

9,358



2,992

3,898

1,805

-

8,695

Sales, marketing, general and administrative


7,058

9,439

1,287

13,714

31,498



6,206

6,810

1,503

11,724

26,243

Segment contribution (1)


$         28,871

$         42,542

$           8,858

$        (13,774)

66,497



$         27,734

$         34,564

$           9,365

$        (11,756)

59,907

Depreciation and amortization






38,934







29,278

Interest income






(3)







(5)

Interest expense






12,653







15,919

Other






(2,235)







(2,060)

Income before income tax provision






$         17,148







$         16,775































For the Six Months Ended June 30, 2011



For the Six Months Ended June 30, 2010






Corporate &







Corporate &




Payer

Provider

Pharmacy

Eliminations

Consolidated



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenue from external customers














Claims management


$       100,526

$                 -

$                 -

$                 -

$       100,526



$         94,843

$                 -

$                 -

$                 -

$         94,843

Payment services


124,742

-

-

-

124,742



113,324

-

-

-

113,324

Patient statements


-

128,539

-

-

128,539



-

132,294

-

-

132,294

Revenue cycle management


-

142,799

-

-

142,799



-

84,600

-

-

84,600

Dental


-

15,604

-

-

15,604



-

15,884

-

-

15,884

Pharmacy services


-

-

41,398

-

41,398



-

-

39,623

-

39,623

Inter-segment revenue


1,720

240

-

(1,960)

-



1,554

158

-

(1,712)

-

Net revenue


226,988

287,182

41,398

(1,960)

553,608



209,721

232,936

39,623

(1,712)

480,568

Costs and expenses:














Cost of operations


152,872

175,439

17,535

(1,835)

344,011



136,578

143,521

13,979

(1,648)

292,430

Development and engineering


5,727

9,032

3,501

-

18,260



5,966

7,762

3,520

-

17,248

Sales, marketing, general and administrative


13,871

19,955

2,589

26,730

63,145



13,166

13,700

3,061

22,435

52,362

Segment contribution (1)


$         54,518

$         82,756

$         17,773

$        (26,855)

128,192



$         54,011

$         67,953

$         19,063

$        (22,499)

118,528

Depreciation and amortization






76,956







57,053

Interest income






(6)







(8)

Interest expense






25,282







31,584

Other






(3,638)







(1,770)

Income before income tax provision






$         29,598







$         31,669





























(1) Segment contribution has been reduced by equity-based compensation expense of $5,910, $4,172, $11,483 and $7,847 for the three months and six months ended June 30, 2011 and 2010, respectively. Segment contribution without such equity-based compensation expense would have been $72,407, $64,079, $139,675 and $126,375 for the three and six months ended June 30, 2011 and 2010, respectively.

Explanation of Non-GAAP Financial Measures

Emdeon's management believes that, in order to properly understand Emdeon's short-term and long-term financial trends, investors may wish to consider the impact of certain non-cash or non-operating items, when used as a supplement to financial performance measures prepared in accordance with U.S. Generally Accepted Accounting Principles (GAAP).  These items result from facts and circumstances that vary in frequency and/or impact continuing operations.  In addition, management uses results of operations before such excluded items to evaluate the operational performance of Emdeon as a basis for strategic planning and, in the case of Adjusted EBITDA, as a performance evaluation metric in determining achievement of certain executive and management incentive compensation programs.  Investors should consider these non-GAAP measures in addition to, and not as a substitute for, financial performance measures prepared in accordance with GAAP.  In addition to the description provided below, reconciliations of GAAP to non-GAAP results are provided in the financial statement tables included in this release.

In this release, Emdeon defines Adjusted EBITDA as EBITDA (which is defined as net income before income tax provision (benefit), net interest expense and depreciation and amortization), plus certain other non-cash or non-operating items (collectively, "EBITDA Adjustments").

In this release, Emdeon defines Adjusted Net Income as the sum of (i) GAAP net income, (ii) EBITDA Adjustments, (iii) non-cash interest expense and (iv) depreciation and amortization expense resulting from adjustments of assets to fair value in connection with acquisition accounting, less income taxes computed based on a normalized income tax rate.  Emdeon defines Adjusted Net Income per fully diluted share as the quotient of Adjusted Net Income and weighted average shares outstanding, assuming all potentially dilutive securities (except for contingently issuable shares subject to performance conditions and shares or other potentially dilutive securities not otherwise contemplated in the share denominator utilized in the applicable year's financial outlook range) are fully dilutive and outstanding shares from their date of grant or issuance.

To properly evaluate Emdeon's business, Emdeon encourages investors to review the GAAP financial information included in this release, and not rely on any single financial measure to evaluate Emdeon's business.  Emdeon also strongly encourages investors to review the reconciliation of GAAP net income and GAAP net income per diluted share to the applicable non-GAAP measures of Adjusted EBITDA, Adjusted Net Income and Adjusted Net Income per fully diluted share.  These non-GAAP measures, as Emdeon defines them, may not be similar to non-GAAP measures used by other companies.

Management uses Adjusted EBITDA and Adjusted Net Income per fully diluted share to facilitate a comparison of Emdeon's operating performance on a consistent basis from period to period that, when viewed in combination with Emdeon's GAAP results, management believes provides a more complete understanding of factors and trends affecting Emdeon's business than GAAP measures alone. Management believes these non-GAAP measures assist Emdeon's board of directors, management, lenders and investors in comparing Emdeon's operating performance on a consistent basis because they remove where applicable, the impact of Emdeon's capital structure, asset base, acquisition accounting, non-cash charges and non-operating items from Emdeon's operations.

Emdeon also presents Adjusted EBITDA and Adjusted Net Income per fully diluted share on a forward-looking basis as part of its Financial Outlook for 2011.  Emdeon is unable to present a quantitative reconciliation of these forward-looking non-GAAP financial measures to the most directly comparable forward-looking GAAP financial measures because management cannot predict, with sufficient reliability, contingent payments relating to past and possible future acquisitions, changes in the fair value of Emdeon's interest rate swap agreement and the effect on income taxes of these and other items attributable to Emdeon's capital structure, all of which are difficult to estimate and primarily dependent on future events.

Emdeon Inc.

Reconciliation of GAAP Net Income to Adjusted EBITDA

(unaudited and amounts in thousands)






For the Three Months


For the Six Months



Ended June 30,


Ended June 30,



2011


2010


2011


2010










Net income


$                 9,228


$                 7,255


$               16,503


$               11,517

Interest expense, net


12,650


15,914


25,276


31,576

Income tax provision


7,920


9,520


13,095


20,152

Depreciation and amortization


38,934


29,278


76,956


57,053

EBITDA


68,732


61,967


131,830


120,298










Equity-based compensation


5,910


4,172


11,483


7,847

Acquisition method adjustments


-


17


-


193

Facilities consolidation costs


417


(27)


513


403

Acquisition-related costs


1,521


1,087


2,735


2,026

Tax receivable agreements change in estimate


365


-


615


(1,480)

Contingent consideration adjustments


(2,235)


(2,060)


(3,638)


(1,770)

EBITDA Adjustments


5,978


3,189


11,708


7,219










Adjusted EBITDA


$               74,710


$               65,156


$             143,538


$             127,517

Emdeon Inc.

Reconciliation of GAAP Net Income to Adjusted Net Income

(unaudited and amounts in thousands)






For the Three Months


For the Six Months



Ended June 30,


Ended June 30,



2011


2010


2011


2010










Net income


$            9,228


$            7,255


$          16,503


$          11,517

Income tax provision


7,920


9,520


13,095


20,152

EBITDA Adjustments


5,978


3,189


11,708


7,219

Non-cash interest expense


2,586


4,630


5,154


9,218

Depreciation and amortization resulting from acquisition method adjustments


26,790


19,965


52,876


39,141










Adjusted net income before income taxes


52,502


44,559


99,336


87,247

Normalized income tax provision


20,738


17,601


39,238


34,463










Adjusted Net Income


$          31,764


$          26,958


$          60,098


$          52,784

Emdeon Inc.

Reconciliation of GAAP Net Income Per Diluted Share of Class A Common Stock to

Adjusted Net Income Per Fully Diluted Share(1)

(unaudited)






For the Three Months


For the Six Months



Ended June 30,


Ended June 30,



2011


2010


2011


2010

Net income per diluted share of Class A common stock


$              0.06


$              0.05


$              0.11


$              0.07

Impact of assuming full dilution of all outstanding equity instruments for the period


0.02


0.00


0.03


0.01

Adjustments on a per share basis:









Income tax provision


0.06


0.08


0.11


0.17

EBITDA Adjustments


0.05


0.03


0.09


0.06

Non-cash interest expense


0.02


0.04


0.04


0.08

Depreciation and amortization resulting from acquisition method adjustments


0.22


0.16


0.43


0.32










Adjusted net income before income taxes


0.43


0.36


0.81


0.71

Normalized income tax provision


0.17


0.14


0.32


0.28

Adjusted Net Income per fully diluted share


0.26


$              0.22


$              0.49


$              0.43

(1) The calculation of Adjusted Net Income per fully diluted share assumes the following equity-based instruments were fully converted into Class A common stock on their date of issuance:




(shares in thousands)




For the Three Months


For the Six Months




Ended June 30,


Ended June 30,


Weighted average of:


2011


2010


2011


2010


Class A shares outstanding


91,148


90,633


91,114


90,548


Class B shares outstanding


24,483


24,689


24,483


24,707


Restricted stock units outstanding


900


759


847


666


Options to purchase Class A shares outstanding


7,662


6,488


7,241


6,015


Shares assumed in Adjusted Net Income per fully diluted share calculation


124,193


122,569


123,685


121,936

SOURCE Emdeon Inc.

21%

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