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Emdeon Reports First Quarter 2011 Results


News provided by

Emdeon Inc.

May 05, 2011, 04:01 ET

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NASHVILLE, Tenn., May 5, 2011 /PRNewswire/ --

  • Revenue of $271.5 million, increased 14.4% over first quarter 2010
  • Non-GAAP Adjusted EBITDA of $68.8 million, increased 10.4% over first quarter 2010
  • Recent EquiClaim acquisition expands payment integrity solutions with leading healthcare audit and recovery services for commercial and government payers

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 first quarter ended March 31, 2011, as summarized below:

(In millions, except per share amts)

1Q 11


1Q 10


% Change

Revenue

$         271.5


$             237.3


14.4%

Net Income

$             7.3


$                 4.3


70.7%

Earnings per share (diluted)

$           0.05


$               0.02


150.0%

Non-GAAP Adjusted EBITDA

$           68.8


$               62.4


10.4%

Non-GAAP Adjusted EPS

$           0.23


$               0.21


9.5%

Non-GAAP fully diluted shares

123.2


121.3


1.5%

"We are pleased with our financial results for the first quarter.  Across the board, our businesses performed according to plan and we continued to see solid growth in our revenue cycle management and payment services solutions," said George Lazenby, Emdeon's chief executive officer.  "In addition, the market reception of our recently acquired revenue cycle management services, including Chamberlin Edmonds' eligibility and enrollment solutions, has been positive and we are beginning to see success in cross-selling these services."

Lazenby continued, "In addition, we recently announced the acquisition of EquiClaim, whose payment integrity solutions and strong management team are a welcome addition to Emdeon.  This acquisition represents another important step in our strategic efforts to provide a comprehensive suite of payment integrity solutions to our customers."

First quarter revenue was $271.5 million, an increase of 14.4%, compared to $237.3 million for the same period in 2010, as a result of recent acquisitions and organic growth.  GAAP operating income for the first quarter of 2011 was $23.7 million compared to $30.8 million for the same period in 2010, a decrease of 23.3%, primarily due to higher depreciation and amortization expense related to 2010 acquisitions and capital expenditures.  First quarter Non-GAAP Adjusted EBITDA grew 10.4% to $68.8 million, or 25.4% of revenue, from Non-GAAP Adjusted EBITDA of $62.4 million, or 26.3% of revenue, in the comparable period in 2010.  The decrease in Non-GAAP Adjusted EBITDA as a percentage of revenue was primarily due to increased investment in new product and service initiatives combined with revenue mix changes, including the impact of recent acquisitions.

GAAP net income (before noncontrolling interest) for the first quarter of 2011 was $7.3 million compared to GAAP net income of $4.3 million for the same period in 2010.  GAAP net income per diluted share for the first quarter of 2011 was $0.05 compared to $0.02 for the same period in 2010.  Non-GAAP Adjusted Net Income per fully diluted share for the first quarter of 2011 was $0.23, using a weighted average fully diluted share count of 123.2 million, compared to $0.21, using a weighted average fully diluted share count of 121.3 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).

Notice of Conference Call and Webcast

Emdeon will conduct a conference call/webcast for investors and institutional analysts on Thursday, May 5, 2011 at 5:00 pm Eastern Time/4:00 pm Central Time to discuss Emdeon's financial results.

To access Emdeon's live conference call and webcast, dial 866-831-6224 (617-213-8853 for international calls) using conference code 66554525 or visit the Investors section of Emdeon's website:  www.emdeon.com.  Please go to the website at least 15 minutes prior to the event to register, download and install any necessary audio/video software to access the webcast.  For those unable to listen to the live broadcast, a conference call replay will be available for one week following the conference call by calling 888-286-8010 (617-801-6888 for international calls) using conference code 67368789.  A webcast replay will also be archived on Emdeon's website for at least 30 days following the conference call.

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 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 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, including but not limited to:  effects of competition, including competition from entities that are customers for certain of Emdeon's products and services; Emdeon's ability to maintain relationships with its customers and channel partners; Emdeon's ability to effectively cross-sell its products and services to existing customers and to continue to generate revenue and maintain profitability by developing or acquiring and successfully deploying new or updated products and services; pricing pressures on Emdeon's products and services; 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


Ended March 31,


2011


2010



Revenue

$               271,499


$               237,279

Costs and expenses:




Cost of operations (exclusive of depreciation and amortization below)

169,254


143,986

Development and engineering

8,904


8,554

Sales, marketing, general and administrative

31,647


26,119

Depreciation and amortization

38,022


27,775

Operating income

23,672


30,845

Interest income

(3)


(3)

Interest expense

12,629


15,665

Other

(1,403)


290

Income before income tax provision

12,449


14,893

Income tax provision

5,174


10,630

Net income

7,275


4,263

Net income attributable to noncontrolling interest

2,881


2,374

Net income attributable to Emdeon Inc.

$                   4,394


$                   1,889

Net income per share Class A common stock:




Basic

$                     0.05


$                     0.02

Diluted

$                     0.05


$                     0.02

Weighted average common shares outstanding:




Basic

90,987,352


90,461,968

Diluted

91,246,531


90,468,057

Emdeon Inc.

Condensed Consolidated Balance Sheets

(unaudited and amounts in thousands, except share amounts)






March 31,


December 31,


2011


2010

Assets




Current assets:




Cash and cash equivalents

$               135,084


$                 99,188

Accounts receivable, net of allowance for doubtful accounts of $5,756 and $5,394 at March 31, 2011 and December 31, 2010, respectively

175,709


174,191

Deferred income tax assets

7,171


7,913

Prepaid expenses and other current assets

25,895


25,020

Total current assets

343,859


306,312

Property and equipment, net

229,879


231,307

Goodwill

908,008


908,310

Intangible assets, net

1,013,053


1,035,886

Other assets, net

9,298


9,750

Total assets

$            2,504,097


$            2,491,565

Liabilities and equity




Current liabilities:




Accounts payable

$                   8,232


$                   4,732

Accrued expenses

111,239


112,245

Deferred revenues

13,161


12,130

Current portion of long-term debt

12,493


12,494

Total current liabilities

145,125


141,601

Long-term debt, excluding current portion

934,969


933,749

Deferred income tax liabilities

199,595


200,357

Tax receivable agreement obligations to related parties

137,964


138,533

Other long-term liabilities

17,514


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 91,127,779 and 91,064,486 shares outstanding at March 31, 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 March 31, 2011 and December 31, 2010

-


-

Additional paid-in capital

743,458


738,888

Contingent consideration

1,955


1,955

Accumulated other comprehensive loss

(1,937)


(2,569)

Retained earnings

57,644


53,250

Emdeon Inc. equity

801,121


791,525

Noncontrolling interest

267,809


263,763

Total equity

1,068,930


1,055,288

Total liabilities and equity

$            2,504,097


$            2,491,565

Emdeon Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited and amounts in thousands)






For the Three Months


Ended March 31,


2011


2010

Operating activities




Net income

$                   7,275


$                    4,263

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




Depreciation and amortization

38,022


27,775

Equity compensation expense

5,573


3,675

Deferred income tax expense

-


4,666

Amortization of debt discount and issuance costs

3,455


3,135

Amortization of discontinued cash flow hedge from other comprehensive loss

922


1,453

Change in contingent consideration

(1,403)


290

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

(2,556)


-

Other

5


281

Changes in operating assets and liabilities:




Accounts receivable

(1,519)


3,347

Prepaid expenses and other

1,209


1,646

Accounts payable

4,766


(2,434)

Accrued expenses and other liabilities

5,104


3,173

Deferred revenues

1,031


14

Tax receivable agreement obligations to related parties

(2,913)


(1,480)

Net cash provided by operating activities

58,971


49,804

Investing activities




Purchases of property and equipment

(19,654)


(12,949)

Payments for acquisitions, net of cash acquired

-


(26,444)

Net cash used in investing activities

(19,654)


(39,393)

Financing activities




Debt principal payments

(2,138)


(1,888)

Other

(1,283)


(104)

Net cash used in financing activities

(3,421)


(1,992)

Net increase in cash and cash equivalents

35,896


8,419

Cash and cash equivalents at beginning of period

99,188


211,999

Cash and cash equivalents at end of period

$               135,084


$                220,418

Segment Information

(unaudited and amounts in thousands)








For the Three Months Ended March 31, 2011





Corporate &



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenue from external customers






Claims management

$        47,554

$                -

$                -

$                 -

$         47,554

Payment services

62,236

-

-

-

62,236

Patient statements

-

63,517

-

-

63,517

Revenue cycle management

-

69,854

-

-

69,854

Dental

-

7,733

-

-

7,733

Pharmacy services

-

-

20,605

-

20,605

Inter-segment revenue

856

116

-

(972)

-

Net revenue

110,646

141,220

20,605

(972)

271,499

Costs and expenses:






Cost of operations

75,328

86,170

8,663

(907)

169,254

Development and engineering

2,858

4,320

1,726

-

8,904

Sales, marketing, general and administrative

6,813

10,516

1,301

13,017

31,647

Segment contribution (1)

$        25,647

$         40,214

$          8,915

$       (13,082)

61,694

Depreciation and amortization





38,022

Interest income





(3)

Interest expense





12,629

Other





(1,403)

Income before income tax provision





$         12,449














For the Three Months Ended March 31, 2010





Corporate &



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenue from external customers






Claims management

$        45,148

$                -

$                -

$                 -

$         45,148

Payment services

56,820

-

-

-

56,820

Patient statements

-

66,589

-

-

66,589

Revenue cycle management

-

41,089

-

-

41,089

Dental

-

7,937

-

-

7,937

Pharmacy services

-

-

19,696

-

19,696

Inter-segment revenue

873

87

-

(960)

-

Net revenue

102,841

115,702

19,696

(960)

237,279

Costs and expenses:






Cost of operations

66,631

71,558

6,725

(928)

143,986

Development and engineering

2,975

3,864

1,715

-

8,554

Sales, marketing, general and administrative

6,959

6,890

1,558

10,712

26,119

Segment contribution (1)

$        26,276

$         33,390

$          9,698

$       (10,744)

58,620

Depreciation and amortization





27,775

Interest income





(3)

Interest expense





15,665

Other





290

Income before income tax provision





$         14,893













(1) Segment contribution has been reduced by equity-based compensation expense of $5,573 and $3,675 for the three months ended March 31, 2011 and 2010, respectively. Segment contribution without such equity-based compensation expense would have been $67,267 and $62,295 for the three months ended March 31, 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



Ended March 31,



2011


2010






Net income


$                   7,275


$                    4,263

Interest expense, net


12,626


15,662

Income tax provision


5,174


10,630

Depreciation and amortization


38,022


27,775

EBITDA


63,097


58,330






Equity-based compensation


5,573


3,675

Acquisition method adjustments


-


176

Facilities consolidation costs


96


430

Acquisition-related costs


1,237


939

Tax receivable agreements change in estimate


226


(1,480)

Contingent consideration adjustments


(1,403)


290

EBITDA Adjustments


5,729


4,030






Adjusted EBITDA


$                 68,826


$                  62,360

Emdeon Inc.

Reconciliation of GAAP Net Income to Adjusted Net Income

(unaudited and amounts in thousands)






For the Three Months



Ended March 31,



2011


2010






Net income


$                   7,275


$                   4,263

Income tax provision


5,174


10,630

EBITDA Adjustments


5,729


4,030

Non-cash interest expense


2,569


4,588

Depreciation and amortization resulting from acquisition method adjustments


26,086


19,176






Adjusted net income before income taxes


46,833


42,687

Normalized income tax provision


18,499


16,861






Adjusted Net Income


$                 28,334


$                 25,826

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



Ended March 31,



2011


2010

Net income per diluted share of Class A common stock


$                     0.05


$                     0.02

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


0.01


0.01

Adjustments on a per share basis:





Income tax provision


0.04


0.09

EBITDA Adjustments


0.05


0.03

Non-cash interest expense


0.02


0.04

Depreciation and amortization resulting from acquisition method adjustments


0.21


0.16






Adjusted net income before income taxes


0.38


0.35

Normalized income tax provision


0.15


0.14

Adjusted Net Income per fully diluted share


0.23


$                     0.21

(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




Ended March 31,


Weighted average of:


2011


2010


Class A shares outstanding


90,987


90,462


Class B shares outstanding


24,482


24,725


Restricted stock units outstanding


792


572


Options to purchase Class A shares outstanding


6,907


5,536


Shares assumed in Adjusted Net Income per fully diluted share calculation


123,168


121,295

SOURCE Emdeon Inc.

21%

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