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Emdeon Reports Fourth Quarter and Full Year 2009 Results

- 9.5% Revenue Growth Over Fourth Quarter 2008

- 17.0% Increase in Adjusted EBITDA Over Fourth Quarter 2008


News provided by

Emdeon Inc.

Mar 16, 2010, 04:01 ET

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NASHVILLE, Tenn., March 16 /PRNewswire-FirstCall/ -- Emdeon (NYSE: EM), a leading provider of healthcare revenue and payment cycle management solutions, today announced financial results for the fourth quarter and full year ended December 31, 2009, as summarized below:

    
    
    
    (In millions, except per share amounts)      4Q09   4Q08   FY09   FY08 
                                                 ----   ----   ----   ---- 
     Revenue                                    $238.6 $217.9 $918.4 $853.6
     Net Income                                   $4.7   $4.2  $14.0  $11.9
     Net Income per share (diluted)              $0.03  $0.04  $0.12  $0.12
     Non-GAAP Adjusted EBITDA                    $62.6  $53.5 $240.3 $205.2
     Non-GAAP Adjusted Net Income per                               
      fully diluted share                        $0.20  $0.17  $0.87  $0.66
     Non-GAAP fully diluted shares               121.0  106.1  112.6  105.5
    

Fourth quarter revenue was $238.6 million, an increase of 9.5%, compared to $217.9 million for the same period in the prior year.  GAAP operating income for the fourth quarter of 2009 was $26.5 million compared to $23.3 million for the same period last year.  Excluding the impact of equity compensation, operating income for the fourth quarter of 2009 would have been $30.4 million compared to $21.6 million for the prior year period.

Fourth quarter Adjusted EBITDA grew 17.0% to $62.6 million, or 26.2% of revenue, from Adjusted EBITDA of $53.5 million, or 24.6% of revenue, in the comparable period last year.  GAAP net income (before noncontrolling interest) for the fourth quarter of 2009 was $4.7 million compared to GAAP net income of $4.2 million for the same period last year.  GAAP net income per diluted share for the fourth quarter of 2009 was $0.03 as compared to $0.04 in the same period last year.  GAAP net income (before noncontrolling interest) for the fourth quarter of 2009 increased as compared to the prior year period primarily from business growth, partially offset by increased equity compensation expense and income taxes.  GAAP net income per diluted share for the fourth quarter of 2009 as compared to the prior year period was affected by the same factors, as well as increased income taxes and other expenses in the fourth quarter of 2009 that were applicable only to the controlling interest of Emdeon Inc. Adjusted Net Income per fully diluted share for the fourth quarter of 2009 was $0.20 compared to $0.17 for the same period last year.    

For the year ended December 31, 2009, revenue was $918.4 million, an increase of 7.6%, compared to $853.6 million for 2008.  GAAP operating income for 2009 was $101.0 million compared to $91.3 million for the prior year.  Excluding the impact of equity compensation, operating income for 2009 would have been $126.4 million compared to $95.4 million for 2008.

Adjusted EBITDA grew to $240.3 million, or 26.2% of revenue, from Adjusted EBITDA for 2008 of $205.2 million, or 24.0% of revenue.  For 2009, GAAP net income (before noncontrolling interest) was $14.0 million compared to GAAP net income of $11.9 million in 2008.   GAAP net income per diluted share for both years was $0.12.  GAAP net income (before noncontrolling interest) and GAAP net income per diluted share for 2009 as compared to 2008 were impacted by the same factors affecting the fourth quarter GAAP results as described above.  Adjusted net income per fully diluted share for 2009 was $0.87 compared to $0.66 for 2008.

"Emdeon delivered another quarter and year of solid financial results, despite a challenging economic environment," said George Lazenby, Emdeon's chief executive officer.  "All of our businesses are performing well and we are especially pleased with the continued momentum in payment distribution, revenue cycle management and ePrescribing.  We are also seeing early success with our strategic growth areas including payment integrity and ePayment."

Lazenby continued, "Today we announced the execution of a definitive agreement to acquire Healthcare Technology Management Services (HTMS), a management consulting company primarily focused on the healthcare payer market.  This acquisition will move Emdeon into the healthcare information technology consulting arena and further position us as a strategic partner to our customers.  Emdeon's new consulting services will help our customers navigate this period of intense change – ARRA, HITECH, 5010/D.0, ICD-10 and the new HIPAA privacy and security requirements – not to mention the uncertainty of healthcare reform.  This transaction builds upon our recent strategic acquisitions, such as FutureVision Technologies, The Sentinel Group and eRx Network, to expand the breadth and scope of our product and service offerings."  

Commenting on 2010, Lazenby said, "We are excited by the progress we see in each of our businesses and confident that Emdeon is well positioned for growth as a result of the investments we continue to make in our network, product and service offerings and brand."

At December 31, 2009, Emdeon's cash and cash equivalents totaled $212.0 million.  Total long-term debt under Emdeon's credit facilities was $856.4 million, before unamortized debt discount of $53.3 million.

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 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 currently anticipates its annual revenue, Adjusted EBITDA and Adjusted Net Income per fully diluted share for 2010 to be as follows:

  • 2010 revenue to be between $1.0 to $1.06 billion  
  • 2010 Adjusted EBITDA to be between $266 to $278 million
  • 2010 Adjusted Net Income per fully diluted share to be between $0.90 to $0.94 using a weighted average share count of 122.4 million(1)

Notice of Conference Call and Webcast

Emdeon will conduct a conference call/webcast for investors and institutional analysts on Tuesday, March 16, 2010 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 800-901-5231 (617-786-2961 for international calls) using conference code 46314135 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, 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 52858153.  A webcast replay will also be archived on Emdeon's website for at least 30 days following the conference call.

About Emdeon

Emdeon (NYSE: EM) is a leading provider of revenue and payment cycle management 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 process. 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 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 Registration Statement on Form S-1 and the accompanying prospectus thereto, as filed with the Securities and Exchange Commission (the "SEC"), as well as Emdeon's periodic and other reports filed with the SEC.

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.

(1) The weighted average share count used for the 2010 financial outlook is higher than 2009 weighted average share count of 112.6 million due to the full year impact of the Class A common stock issued in connection with the August 2009 initial public offering, as well as estimates of (i) Class A common stock options and restricted stock units granted under the Emdeon Equity Incentive Plan during the first quarter of 2010 and (ii) shares of Class A common stock to be issued in connection with the HTMS acquisition.

    
    
    
    
                                   Emdeon Inc.                               
                 Condensed Consolidated Statements of Operations             
     (unaudited and amounts in thousands, except share and per share amounts)
                                                                             
                               For the Three Months         For the Year     
                                Ended December 31,       Ended December 31,  
                                2009         2008        2009         2008 
                                ----         ----        ----         ---- 
                                                                             
    Revenue                   $238,560     $217,933    $918,448     $853,599 
    Costs and expenses:                                                      
      Cost of operations                                                     
       (exclusive of                                                         
       depreciation and                                                      
       amortization below)     144,788      136,140     562,867      541,563 
      Development and                                                        
       engineering               9,503        7,596      33,928       28,625 
      Sales, marketing,                                                      
       general and                                                           
       administrative           28,555       21,903     113,701       91,212 
      Depreciation and                                                       
       amortization             28,270       25,885     105,321       97,864 
      Loss on abandonment                                                    
       of leased properties        933        3,081       1,675        3,081 
                                   ---        -----       -----        ----- 
    Operating income            26,511       23,328     100,956       91,254 
    Interest income                  -          (32)        (75)        (963)
    Interest expense            17,921       21,818      70,246       71,717 
    Other                         (519)           -        (519)           - 
                                  ----           --        ----           -- 
    Income before income                                                     
     tax provision               9,109        1,542      31,304       20,500 
    Income tax provision                                                     
     (benefit)                   4,416       (2,635)     17,301        8,567 
                                 -----       ------      ------        ----- 
    Net income                   4,693        4,177      14,003       11,933 
    Net income attributable                                                  
     to noncontrolling                                                       
     interest                    1,552           82       4,422        2,702 
                                 -----           --       -----        ----- 
    Net income attributable                                                  
     to Emdeon Inc.             $3,141       $4,095      $9,581       $9,231 
                                ======       ======      ======       ====== 
    Net income per share
     Class A common stock:                               
      Basic                      $0.03        $0.05       $0.12        $0.12 
                                 =====        =====       =====        ===== 
      Diluted                    $0.03        $0.04       $0.12        $0.12 
                                 =====        =====       =====        ===== 
    Weighted average common
     shares outstanding:                              
      Basic                 90,322,841   77,413,610  82,459,169   74,775,039 
                            ==========   ==========  ==========   ========== 
      Diluted               90,322,841  100,000,000  82,525,002  100,000,000 
                            ==========  ===========  ==========  =========== 
    
    
    
                                    Emdeon Inc.                               
                       Condensed Consolidated Balance Sheets                  
            (unaudited and amounts in thousands, except share amounts)        
                                                                              
                                                    December 31,  December 31,
                                                        2009          2008 
                                                        ----          ---- 
    Assets                                                                    
    Current assets:                                                           
      Cash and cash equivalents                        $211,999       $71,478 
      Accounts receivable, net of allowance for                               
       doubtful accounts of $4,433 and $4,576 at                              
       December 31, 2009 and 2008, respectively         151,022       144,149 
      Deferred income tax assets                          4,924         2,285 
      Prepaid expenses and other current assets          16,632        21,137 
                                                         ------        ------ 
    Total current assets                                384,577       239,049 
    Property and equipment, net                         152,091       136,038 
    Goodwill                                            703,027       646,851 
    Intangible assets, net                              989,280       971,001 
    Other assets, net                                     1,451         7,340 
                                                          -----         ----- 
    Total assets                                     $2,230,426    $2,000,279 
                                                     ==========    ========== 
    Liabilities and equity                                                    
    Current liabilities:                                                      
      Accounts payable                                   $9,910          $805 
      Accrued expenses                                   72,493        79,513 
      Deferred revenues                                  12,153        12,056 
      Current portion of long-term debt                   9,972        17,244 
                                                          -----        ------ 
    Total current liabilities                           104,528       109,618 
    Long-term debt, excluding current portion           830,710       807,986 
    Deferred income tax liabilities                     145,914       159,811 
    Tax receivable agreement obligations to                                   
     related parties                                    142,044             - 
    Other long-term liabilities                          27,361        44,711 
    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                                     
       90,423,941 and 77,413,610 shares                                       
       outstanding at December 31, 2009 and 2008,                             
       respectively                                           1             1 
      Class B common stock, exchangeable, (par                                
       value, $0.00001), 52,000,000 shares                                    
       authorized and 24,752,955 and 22,586,390                               
       shares outstanding at December 31, 2009 and                            
       2008, respectively                                     -             - 
      Additional paid-in capital                        730,941       670,702 
      Accumulated other comprehensive loss              (11,198)      (23,195)
      Retained earnings                                  33,704        24,123 
                                                         ------        ------ 
    Emdeon Inc. equity                                  753,448       671,631 
    Noncontrolling interest                             226,421       206,522 
                                                        -------       ------- 
    Total equity                                        979,869       878,153 
                                                        -------       ------- 
    Total liabilities and equity                     $2,230,426    $2,000,279 
                                                     ==========    ========== 
    
    
    
                                    Emdeon Inc.                               
                  Condensed Consolidated Statements of Cash Flows             
                       (unaudited and amounts in thousands)                   
                                                                              
                                                                Year Ended    
                                                               December 31,   
                                                              2009      2008 
                                                              ----      ---- 
    Operating activities                                                      
      Net income                                            $14,003   $11,933 
      Adjustments to reconcile net income to net cash
       provided by operating activities:                                      
      Depreciation and amortization                         105,321    97,864 
      Equity compensation expense                            25,415     4,145 
      Deferred income tax benefit                            (1,248)   (4,140)
      Amortization of debt discount and issuance costs       11,947     9,954 
      Amortization of discontinued cash flow hedge from                       
       other comprehensive loss                               7,970     9,745 
      Change in fair value of interest rate swap (not                         
       subject to hedge accounting)                               -   (12,714)
      Loss on abandonment of leased properties                1,675     3,081 
      Loss on disposal of fixed assets                           17       177 
      Other                                                    (519)        - 
      Changes in operating assets and liabilities:                            
        Accounts receivable                                  (2,571)  (19,409)
        Prepaid expenses and other                            4,945   (12,049)
        Accounts payable                                      4,731    (9,159)
        Accrued expenses and other liabilities               (9,329)    3,119 
        Due to HLTH Corporation                                   -      (797)
        Deferred revenues                                        95     1,585 
        Tax receivable agreement obligations to related                       
         parties                                                299         - 
                                                                ---        -- 
    Net cash provided by operating activities               162,751    83,335 
                                                            -------    ------ 
    Investing activities                                                      
      Purchases of property and equipment                   (48,292)  (27,971)
      Payments for acquisitions, net of cash acquired       (76,250)  (21,061)
      Purchase of Emdeon Business Services, net of cash                       
       acquired                                                   -  (306,260)
      Proceeds from sale of office supplies business          1,300         - 
                                                              -----        -- 
    Net cash used in investing activities                  (123,242) (355,292)
                                                           --------  -------- 
    Financing activities                                                      
      Proceeds from initial public offering                 147,964         - 
      Repurchase of Class A common stock                     (1,586)        - 
      Repurchase of Units of EBS Master LLC                  (5,373)        - 
      Debt principal and sublicense obligation payments     (29,203)   (7,550)
      Payment of debt issuance costs                           (359)        - 
      Proceeds from revolver                                      -    10,000 
      Payments on revolver                                  (10,200)        - 
      Capital contributions  from stockholders                  203   307,615 
      Distribution to stockholders                             (434)     (317)
                                                               ----      ---- 
    Net cash provided by financing activities               101,012   309,748 
                                                            -------   ------- 
    Net increase in cash and cash equivalents               140,521    37,791 
    Cash and cash equivalents at beginning of period         71,478    33,687 
                                                             ------    ------ 
    Cash and cash equivalents at end of period             $211,999   $71,478 
                                                           ========   ======= 
    
    
    
                                Segment Information
                       (unaudited and amounts in thousands)
    
                              For the Three Months Ended December 31, 2009    
                              --------------------------------------------    
                                                    Corporate &               
                            Payer Provider Pharmacy Eliminations Consolidated
                            ----- -------- -------- ------------ ------------
    Revenue from external
     customers                                             
      Claims management   $47,165       $-       $-           $-      $47,165 
      Payment services     55,552        -        -            -       55,552 
      Patient statements        -   67,086        -            -       67,086 
      Revenue cycle                                                           
       management               -   40,287        -            -       40,287 
      Dental                    -    7,823        -            -        7,823 
      Pharmacy services         -        -   20,647            -       20,647 
    Inter-segment revenue     468      110        -         (578)           - 
                              ---      ---       --         ----           -- 
    Net revenue           103,185  115,306   20,647         (578)     238,560 
    Costs and expenses:                                                       
      Cost of operations   65,379   73,236    6,721         (548)     144,788 
      Development and                                                         
       engineering          3,505    4,011    1,987            -        9,503 
      Sales, marketing,                                                       
       general and                                                            
       administrative       5,342    7,643    2,608       12,962       28,555 
      Loss on abandonment
       of leased properties     -       45        -          888          933 
                               --       --       --          ---          --- 
    Segment                                                                   
     contribution (1)     $28,959  $30,371   $9,331     $(13,880)      54,781 
                          =======  =======   ======     ========              
    Depreciation and
     amortization                                                      28,270 
    Interest income                                                         - 
    Interest expense                                                   17,921 
    Other income                                                         (519)
                                                                         ---- 
    Income before income
     tax provision                                                     $9,109 
                                                                       ====== 
    
    
                              For the Three Months Ended December 31, 2008   
                              --------------------------------------------   
                                                    Corporate &              
                            Payer Provider Pharmacy Eliminations Consolidated
                            ----- -------- -------- ------------ ------------
    Revenue from external
     customers                                             
      Claims management   $45,309       $-       $-           $-      $45,309 
      Payment services     49,352        -        -            -       49,352 
      Patient statements        -   67,733        -            -       67,733 
      Revenue cycle                                                           
       management               -   38,010        -            -       38,010 
      Dental                    -    7,653        -            -        7,653 
      Pharmacy services         -        -    9,876            -        9,876 
    Inter-segment revenue      57      470        -         (527)           - 
                               --      ---       --         ----           -- 
    Net revenue            94,718  113,866    9,876         (527)     217,933 
    Costs and expenses:                                                       
      Cost of operations   60,112   74,533    1,925         (430)     136,140 
      Development and                                                         
       engineering          3,019    3,543    1,034            -        7,596 
      Sales, marketing,                                                       
       general and                                                            
       administrative       4,559    7,587      968        8,789       21,903 
      Loss on abandonment
       of leased properties     -        -        -        3,081        3,081 
                               --       --       --        -----        ----- 
    Segment                                                                   
     contribution (1)     $27,028  $28,203   $5,949     $(11,967)      49,213 
                          =======  =======   ======     ========              
    Depreciation and
     amortization                                                      25,885 
    Interest income                                                       (32)
    Interest expense                                                   21,818 
    Other income                                                            - 
                                                                           -- 
    Income before income
     tax provision                                                     $1,542 
                                                                       ====== 
    
    
                                  For the Year Ended December 31, 2009        
                                  ------------------------------------        
                                                    Corporate &               
                            Payer Provider Pharmacy Eliminations Consolidated
                            ----- -------- -------- ------------ ------------
    Revenue from external
     customers                                             
      Claims management  $184,605       $-       $-           $-     $184,605 
      Payment services    211,985        -        -            -      211,985 
      Patient statements        -  274,390        -            -      274,390 
      Revenue cycle                                                           
       management               -  155,112        -            -      155,112 
      Dental                    -   31,513        -            -       31,513 
      Pharmacy services         -        -   60,843            -       60,843 
    Inter-segment revenue     902    1,498        -       (2,400)           - 
                              ---    -----       --       ------           -- 
    Net revenue           397,492  462,513   60,843       (2,400)     918,448 
    Costs and expenses:                                                       
      Cost of operations  253,473  294,700   16,668       (1,974)     562,867 
      Development and                                                         
       engineering         12,677   15,294    5,957            -       33,928 
      Sales, marketing,                                                       
       general and                                                            
       administrative                                                         
                           25,803   31,978    8,047       47,873      113,701 
      Loss on abandonment
       of leased properties     -       45        -        1,630        1,675 
                               --       --       --        -----        ----- 
    Segment                                                                   
     contribution (1)    $105,539 $120,496  $30,171     $(49,929)     206,277 
                         ======== ========  =======     ========              
    Depreciation and
     amortization                                                     105,321 
    Interest income                                                       (75)
    Interest expense                                                   70,246 
    Other income                                                         (519)
                                                                         ---- 
    Income before income
     tax provision                                                    $31,304 
                                                                      ======= 
    
    
                                  For the Year Ended December 31, 2008        
                                  -------------------------------------       
                                                    Corporate &               
                            Payer Provider Pharmacy Eliminations Consolidated
                            ----- -------- -------- ------------ ------------
    Revenue from external
     customers                                             
      Claims management  $179,930       $-       $-           $-     $179,930 
      Payment services    191,874        -        -            -      191,874 
      Patient statements        -  266,233        -            -      266,233 
      Revenue cycle                                                           
       management               -  144,904        -            -      144,904 
      Dental                    -   31,591        -            -       31,591 
      Pharmacy services         -        -   39,067            -       39,067 
    Inter-segment revenue     355    2,117        -       (2,472)           - 
                              ---    -----       --       ------           -- 
    Net revenue           372,159  444,845   39,067       (2,472)     853,599 
    Costs and expenses:                                                       
      Cost of operations  242,950  292,844    7,612       (1,843)     541,563 
      Development and                                                         
       engineering         10,472   14,015    4,138            -       28,625 
      Sales, marketing,                                                       
       general and                                                            
       administrative      23,286   30,475    3,864       33,587       91,212 
      Loss on abandonment
       of leased properties     -        -        -        3,081        3,081 
                               --       --       --        -----        ----- 
    Segment                                                                   
     contribution (1)     $95,451 $107,511  $23,453     $(37,297)     189,118 
                          ======= ========  =======     ========              
    Depreciation and
     amortization                                                      97,864 
    Interest income                                                      (963)
    Interest expense                                                   71,717 
    Other income                                                            - 
                                                                           -- 
    Income before income
     tax provision                                                    $20,500 
                                                                      ======= 
                                                                              
     (1) Segment contribution has been reduced (increased) by equity-based    
     compensation expense (benefit) of $3,916, ($1,668), $25,415, and $4,145  
     for the three months ended December 31, 2009 and December 31, 2008 and   
     for the year ended December 31, 2009 and December 31, 2008, respectively.
     Segment contribution without such equity-based compensation expense      
     (benefit) would have been $58,697, $47,545, $231,692 and $193,263 for the
     three months ended December 31, 2009 and December 31, 2008 and for the   
     year ended December 31, 2009 and December 31, 2008, respectively.        
    
    

Explanation of Non-GAAP Financial Measures

Emdeon's management team 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 net interest expense, income tax provision (benefit) 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 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 and organizational 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 2010.  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 organizational structure, 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 Year   
                                        Ended December 31,  Ended December 31,
                                           2009     2008      2009      2008
                                           ----     ----      ----      ----
                                                                              
    Net income                            $4,693   $4,177   $14,003   $11,933
    Interest expense, net                 17,921   21,786    70,171    70,754
    Income tax provision (benefit)         4,416   (2,635)   17,301     8,567
    Depreciation and amortization         28,270   25,885   105,321    97,864
                                          ------   ------   -------    ------
    EBITDA                                55,300   49,213   206,796   189,118
                                                                            
      Equity-based compensation            3,916   (1,668)   25,415     4,145
      Purchase accounting adjustments        209      834     1,398     5,579
      IPO-related transaction costs            -      450     1,513       750
      Facilities consolidation costs       1,326    3,984     2,541     4,758
      Acquisition and divestiture                                           
       related costs                       2,068      709     2,840       804
      Tax receivable agreements change                                      
       in estimate                           299        -       299         -
      Non-operating gain                    (519)       -      (519)        -
                                            ----       --      ----        --
      EBITDA Adjustments                   7,299    4,309    33,487    16,036
                                           -----    -----    ------    ------
                                                                            
    Adjusted EBITDA                      $62,599  $53,522  $240,283  $205,154
                                         =======  =======  ========  ========
    
    
    
                                    Emdeon Inc.                               
             Reconciliation of GAAP Net Income to Adjusted Net Income         
                       (unaudited and amounts in thousands)                   
                                                                              
                                       For the Three Months    For the Year   
                                        Ended December 31,  Ended December 31,
                                           2009     2008      2009      2008
                                           ----     ----      ----      ----
                                                                              
    Net income                            $4,693   $4,177   $14,003   $11,933 
      Income tax provision (benefit)       4,416   (2,635)   17,301     8,567 
      EBITDA Adjustments                   7,299    4,309    33,487    16,036 
      Non-cash interest expense            5,108    5,190    19,918     6,983 
      Depreciation and amortization                                         
       resulting from acquisition method                                    
       adjustments                        19,458   18,775    76,444    70,735 
                                          ------   ------    ------    ------ 
                                                                            
    Adjusted net income before income                                       
     taxes                                40,974   29,816   161,153   114,254 
      Normalized income tax provision     16,185   11,777    63,655    45,130 
                                          ------   ------    ------    ------ 
                                                                            
    Adjusted Net Income                  $24,789  $18,039   $97,498   $69,124 
                                         =======  =======   =======   ======= 
    
    
    
                                   Emdeon Inc.                               
     Reconciliation of Diluted 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 Year   
                                        Ended December 31,  Ended December 31,
                                           2009     2008      2009      2008
                                           ----     ----      ----      ----
    Diluted net income per share Class A
     common stock                          $0.03    $0.04     $0.12     $0.12
                                                                             
      Impact of assuming full dilution of
       all outstanding equity instruments
       for the period                       0.00    (0.01)     0.01      0.00
    Adjustments on a per share basis:                                        
      Income tax provision (benefit)        0.04    (0.02)     0.15      0.08
      EBITDA Adjustments                    0.06     0.04      0.30      0.15
      Non-cash interest expense             0.04     0.05      0.18      0.07
      Depreciation and amortization
       resulting from acquisition method
       adjustments                          0.16     0.18      0.68      0.67
                                            ----     ----      ----      ----
                                                                             
    Adjusted net income before income taxes 0.33     0.28      1.44      1.09
      Normalized income tax provision       0.13     0.11      0.57      0.43
                                            ----     ----      ----      ----
    Adjusted Net Income per fully diluted
     share                                 $0.20    $0.17     $0.87     $0.66
                                           =====    =====     =====     =====
    
     (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 Year   
                                        Ended December 31,  Ended December 31,
                                           2009     2008      2009      2008
                                           ----     ----      ----      ----
      Weighted average of:
      Class A shares outstanding          90,323   77,414    82,459    74,775
      Class B shares outstanding          24,753   24,749    25,039    27,277
      Restricted stock units outstanding     639      924       859       905
      Options to purchase Class A shares                                      
       outstanding                         5,247    3,060     4,254     2,525
                                           -----    -----     -----     -----
      Shares assumed in Adjusted Net
       Income per fully diluted share
       calculation                       120,962  106,147   112,611   105,482
                                         =======  =======   =======   =======

SOURCE Emdeon Inc.

21%

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