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Emdeon Reports Third Quarter 2010 Results

-- Revenue of $245.9 million, increased 4.4% over third quarter 2009

-- Adjusted EBITDA of $66.5 million, increased 10.5% over third quarter 2009

-- Chamberlin Edmonds acquisition expands revenue cycle management offering with leading technology-enabled government program eligibility and enrollment services

-- Emdeon Clinician achieves Stage I Certification Criteria for Meaningful Use under the HITECH provisions of the American Recovery and Reinvestment Act (ARRA)

-- Continued momentum in government sector through Noridian agreement and renewal of Department of Defense subcontract


News provided by

Emdeon Inc.

Nov 08, 2010, 04:01 ET

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NASHVILLE, Tenn., Nov. 8, 2010 /PRNewswire-FirstCall/ -- Emdeon Inc. (NYSE: EM), a leading provider of healthcare revenue and payment cycle management solutions, today announced financial results for the third quarter ended September 30, 2010, as summarized below:

($ In millions, except per share amounts)

3Q10


3Q09


% Change

Revenue

$ 245.9


$ 235.5


4.4%

Net Income (loss)

$     6.6


$   (8.5)


178.3%

Net Income (loss) per share (diluted)

$   0.04


$ (0.09)


144.4%

Non-GAAP Adjusted EBITDA

$   66.5


$   60.2


10.5%

Non-GAAP Adjusted  Net Income per fully diluted share*

$   0.23


$   0.21


9.5%

Non-GAAP fully diluted shares

122.6


116.2









* Assuming 3Q10 non-GAAP fully diluted shares of 122.6 million were outstanding at 3Q09, Adjusted Net

Income per fully diluted share for 3Q09 would have been $0.20.

"Emdeon's central position in the U.S. healthcare system and the value-added services we provide have allowed us to continue to grow transaction volumes and market share during 2010 despite the continued challenging healthcare utilization environment," said George Lazenby, Emdeon's chief executive officer.  "During the third quarter, we experienced solid growth in payment services and revenue cycle management, and our continued efforts to drive efficiency and manage costs generated improved EBITDA margins over the prior year period."

Lazenby added, "We also have made significant progress on our strategic initiatives to make healthcare more efficient.  As previously announced, we completed the acquisition of Chamberlin Edmonds in early October, further extending our services in hospital revenue cycle management and establishing Emdeon as an integral leader in government program eligibility and enrollment.  In addition, our web-based physician solution Emdeon Clinician™ achieved Stage I Certification Criteria for Meaningful Use, which positions us to better assist our customers qualify for healthcare reform incentives.  In recognition of the growing importance of public payers, we also completed two major initiatives in the government sector:  Emdeon entered into a strategic relationship with Noridian, which includes a full complement of payment management services to Noridian and arrangements designed to enhance our business development efforts throughout the public payer market; and we renewed our long-standing CSC subcontract to provide information technology services on behalf of the U.S. Department of Defense."

Third quarter revenue was $245.9 million, an increase of 4.4%, compared to $235.5 million for the same period in the prior year.  GAAP operating income for the third quarter of 2010 was $27.9 million compared to $18.0 million for the same period last year, an increase of 55.3%, primarily due to improved operating leverage and lower equity-based compensation expense.  Third quarter Adjusted EBITDA grew 10.5% to $66.5 million, or 27.0% of revenue, from Adjusted EBITDA of $60.2 million, or 25.6% of revenue, in the comparable period last year.  

GAAP net income (before noncontrolling interest) for the third quarter of 2010 was $6.6 million compared to a GAAP net loss of $8.5 million for the same period last year.  GAAP net income per diluted share for the third quarter of 2010 was $0.04 compared to a net loss per share of $0.09 in the same period last year.  The increase in both GAAP net income and GAAP net income per diluted share was driven by improved operating leverage, lower equity-based compensation expense and fluctuations in income tax expense related to valuation allowances and the impact of Emdeon's capital structure.  Adjusted Net Income per fully diluted share for the third quarter of 2010 was $0.23, using a weighted average fully diluted share count of 122.6 million, compared to $0.21, using a weighted average fully diluted share count of 116.2 million, for the same period last year.

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 expects its 2010 financial results to be at the low end of its previously announced 2010 financial outlook ranges primarily due to the impact of lower healthcare utilization during the year.  Emdeon's previously announced 2010 annual financial outlook ranges were $1.0 to $1.06 billion for revenue, $266 to $278 million for Adjusted EBITDA and $0.90 to $0.94 for Adjusted Net Income per fully diluted share (using a weighted average share count of 122.4 million).

Notice of Conference Call and Webcast

Emdeon will conduct a conference call/webcast for investors and institutional analysts on Monday, November 8, 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 866-783-2141 (857-350-1600 for international calls) using conference code 33894175 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 92200150.  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 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 Annual Report on Form 10-K for the year ended December 31, 2009, 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.

The Emdeon Clinician EHR Module is 2011/2012 compliant and has been certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Emdeon Inc., 10/22/10, Emdeon Clinician 7.4, 1014201030691, NQF0013, NQF0421/PQRI128, NQF0041/PQRI110, NQF0024, NQF0028, NQF0038, NQF0059/PQRI1, NQF0064/PQRI2, NQF0061/PQRI3.

Emdeon Inc.

Condensed Consolidated Statements of Operations

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










For the Three Months


For the Nine Months


Ended September 30,


Ended September 30,


2010


2009


2010


2009





Revenue

$   245,923


$   235,462


$   726,490


$   679,888

Costs and expenses:








Cost of operations (exclusive of depreciation and amortization below)

150,918


146,471


443,349


418,079

Development and engineering

8,596


10,045


25,845


24,425

Sales, marketing, general and administrative

28,494


34,305


80,856


85,888

Depreciation and amortization

30,001


26,667


87,054


77,051

Operating income

27,914


17,974


89,386


74,445

Interest income

(4)


(27)


(12)


(81)

Interest expense

16,163


17,219


47,747


52,330

Other

(2,370)


-


(4,140)


-

Income before income tax provision

14,125


782


45,791


22,196

Income tax provision

7,498


9,245


27,650


12,885

Net income (loss)

6,627


(8,463)


18,141


9,311

Net income (loss) attributable to noncontrolling interest

2,890


(1,246)


8,289


2,871

Net income (loss) attributable to Emdeon Inc.

$       3,737


$      (7,217)


$       9,852


$       6,440

Net income (loss) per share Class A common stock:








Basic

$         0.04


$        (0.09)


$         0.11


$         0.08

Diluted

$         0.04


$        (0.09)


$         0.11


$         0.08

Weighted average common shares outstanding:








Basic

90,271,216


84,522,085


90,011,783


79,809,140

Diluted

90,989,313


84,522,085


90,740,909


79,856,588

Emdeon Inc.

Condensed Consolidated Balance Sheets

(unaudited and amounts in thousands, except share amounts)



September 30,


December 31,


2010


2009

Assets




Current assets:




Cash and cash equivalents

$          216,996


$        211,999

Accounts receivable, net of allowance for doubtful accounts of $4,454 and $4,433 at September 30, 2010 and December 31, 2009, respectively

166,127


150,009

Deferred income tax assets

4,344


4,924

Prepaid expenses and other current assets

17,646


16,632

Total current assets

405,113


383,564

Property and equipment, net

200,486


152,091

Goodwill

740,252


703,027

Intangible assets, net

959,095


989,280

Other assets, net

9,501


1,451

Total assets

$       2,314,447


$     2,229,413

Liabilities and equity




Current liabilities:




Accounts payable

$              6,378


$            9,910

Accrued expenses

85,850


72,493

Deferred revenues

10,108


11,140

Current portion of long-term debt

10,904


9,972

Total current liabilities

113,240


103,515

Long-term debt, excluding current portion

839,840


830,710

Deferred income tax liabilities

153,921


145,914

Tax receivable agreement obligations to related parties

139,430


142,044

Other long-term liabilities

40,035


27,361

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 90,869,542 and 90,423,941 shares outstanding at September 30, 2010 and December 31, 2009, respectively

1


1

Class B common stock, exchangeable (par value, $0.00001), 52,000,000 shares authorized and 24,689,142 and 24,752,955 shares outstanding at September 30, 2010 and December 31, 2009, respectively

-


-

Additional paid-in capital

745,276


730,941

Contingent consideration

1,955


-

Accumulated other comprehensive loss

(3,562)


(11,198)

Retained earnings

43,556


33,704

Emdeon Inc. equity

787,226


753,448

Noncontrolling interest

240,755


226,421

Total equity

1,027,981


979,869

Total liabilities and equity

$       2,314,447


$     2,229,413

Emdeon Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited and amounts in thousands)



For the Nine Months


Ended September 30,


2010


2009

Operating activities




Net income

$  18,141


$    9,311

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




Depreciation and amortization

87,054


77,051

Equity compensation expense

12,691


21,499

Deferred income tax expense (benefit)

7,870


(1,360)

Amortization of debt discount and issuance costs

9,536


8,842

Amortization of discontinued cash flow hedge from other comprehensive loss

4,395


5,968

Change in contingent consideration

(4,140)


-

Other

51


798

Changes in operating assets and liabilities:




Accounts receivable

(8,418)


(3,990)

Prepaid expenses and other

(5,691)


4,911

Accounts payable

(3,444)


3,515

Accrued expenses and other liabilities

5,158


(6,199)

Deferred revenues

(2,045)


737

Tax receivable agreement obligations to related parties

(318)


-

Net cash provided by operating activities

120,840


121,083

Investing activities




Purchases of property and equipment

(63,835)


(30,563)

Payments for acquisitions, net of cash acquired

(42,477)


(75,871)

Other

(3,000)


-

Net cash used in investing activities

(109,312)


(106,434)

Financing activities




Proceeds from initial public offering

-


148,261

Repurchase of Class A common stock

-


(1,573)

Repurchase of Units of EBS Master LLC

-


(5,372)

Debt principal payments

(5,663)


(21,663)

Payments on revolver

-


(10,201)

Payment of loan costs

-


(359)

Other

(796)


203

Distribution to stockholders

(72)


(434)

Net cash (used in) provided by financing activities

(6,531)


108,862

Net increase in cash and cash equivalents

4,997


123,511

Cash and cash equivalents at beginning of period

211,999


71,478

Cash and cash equivalents at end of period

$216,996


$194,989

Segment Information

(unaudited and amounts in thousands)




For the Three Months Ended September 30, 2010



For the Three Months Ended September 30, 2009






Corporate &







Corporate &




Payer

Provider

Pharmacy

Eliminations

Consolidated



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenue from external customers














Claims management


$  49,438

$          -

$           -

$               -

$          49,438



$  46,072

$         -

$           -

$               -

$          46,072

Payment services


58,369

-

-

-

58,369



53,345

-

-

-

53,345

Patient statements


-

65,920

-

-

65,920



-

69,840

-

-

69,840

Revenue cycle management


-

44,064

-

-

44,064



-

39,041

-

-

39,041

Dental


-

7,925

-

-

7,925



-

7,978

-

-

7,978

Pharmacy services


-

-

20,207

-

20,207



-

-

19,186

-

19,186

Inter-segment revenue


758

83

-

(841)

-



297

416

-

(713)

-

Net revenue


108,565

117,992

20,207

(841)

245,923



99,714

117,275

19,186

(713)

235,462

Costs and expenses:














Cost of operations


71,206

72,710

7,811

(809)

150,918



65,805

75,070

6,158

(562)

146,471

Development and engineering


2,873

3,943

1,780

-

8,596



3,847

4,297

1,901

-

10,045

Sales, marketing, general and administrative


6,433

7,526

1,459

13,076

28,494



8,037

9,038

3,413

13,817

34,305

Segment contribution (1)


$  28,053

$  33,813

$     9,157

$      (13,108)

57,915



$  22,025

$ 28,870

$     7,714

$      (13,968)

44,641

Depreciation and amortization






30,001







26,667

Interest income






(4)







(27)

Interest expense






16,163







17,219

Other






(2,370)







-

Income before income tax provision






$          14,125







$               782































For the Nine Months Ended September 30, 2010



For the Nine Months Ended September 30, 2009






Corporate &







Corporate &




Payer

Provider

Pharmacy

Eliminations

Consolidated



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenue from external customers














Claims management


$145,090

$          -

$           -

$               -

$        145,090



$137,440

$         -

$           -

$               -

$        137,440

Payment services


171,693

-

-

-

171,693



156,433

-

-

-

156,433

Patient statements


-

198,214

-

-

198,214



-

207,304

-

-

207,304

Revenue cycle management


-

127,855

-

-

127,855



-

114,825

-

-

114,825

Dental


-

23,808

-

-

23,808



-

23,690

-

-

23,690

Pharmacy services


-

-

59,830

-

59,830



-

-

40,196

-

40,196

Inter-segment revenue


2,311

241

-

(2,552)

-



434

1,388

-

(1,822)

-

Net revenue


319,094

350,118

59,830

(2,552)

726,490



294,307

347,207

40,196

(1,822)

679,888

Costs and expenses:














Cost of operations


208,231

215,785

21,790

(2,457)

443,349



188,094

221,464

9,947

(1,426)

418,079

Development and engineering


8,938

11,607

5,300

-

25,845



9,172

11,283

3,970

-

24,425

Sales, marketing, general and administrative


19,422

21,049

4,520

35,865

80,856



20,461

24,335

5,439

35,653

85,888

Segment contribution (1)


$  82,503

$101,677

$   28,220

$      (35,960)

176,440



$  76,580

$ 90,125

$   20,840

$      (36,049)

151,496

Depreciation and amortization






87,054







77,051

Interest income






(12)







(81)

Interest expense






47,747







52,330

Other






(4,140)







-

Income before income tax provision






$          45,791







$          22,196





























(1) Segment contribution has been reduced by equity-based compensation expense of $4,844, $12,554, $12,691 and $21,499 for the three months and nine months ended September 30, 2010 and 2009, respectively. Segment contribution without such equity-based compensation expense would have been $62,759, $57,195, $189,131 and $172,995 for the three and nine months ended September 30, 2010 and 2009, 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 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 those issued in connection with 2010 acquisitions that were not contemplated in the denominator of the Adjusted Net Income per fully diluted share 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 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 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 Nine Months



Ended September 30,


Ended September 30,



2010


2009


2010


2009










Net income (loss)


$   6,627


$ (8,463)


$   18,141


$     9,311

Income tax provision


7,498


9,245


27,650


12,885

Interest expense, net


16,159


17,192


47,735


52,249

Depreciation and amortization


30,001


26,667


87,054


77,051

EBITDA


60,285


44,641


180,580


151,496










Equity-based compensation


4,844


12,554


12,691


21,499

Acquisition method adjustments


12


311


205


1,189

Facilities consolidation costs


1,148


955


1,551


1,215

IPO-related transaction costs


-


1,263


-


1,513

Acquisition and divestiture related costs


1,416


476


3,442


772

Tax receivable agreements change in estimate


1,162


-


(318)


-

Contingent consideration adjustments


(2,370)


-


(4,140)


-

EBITDA Adjustments


6,212


15,559


13,431


26,188










Adjusted EBITDA


$ 66,497


$ 60,200


$ 194,011


$ 177,684

Emdeon Inc.

Reconciliation of GAAP Net Income to Adjusted Net Income

(unaudited and amounts in thousands)




For the Three Months


For the Nine Months



Ended September 30,


Ended September 30,



2010


2009


2010


2009










Net income (loss)


$   6,627


$ (8,463)


$ 18,141


$   9,311

Income tax provision


7,498


9,245


27,650


12,885

EBITDA Adjustments


6,212


15,559


13,431


26,188

Non-cash interest expense


5,531


5,073


14,749


14,810

Depreciation and amortization resulting from acquisition method adjustments


20,318


19,454


59,458


56,986










Adjusted net income before income taxes


46,186


40,868


133,429


120,180

Normalized income tax provision


18,243


16,143


52,704


47,471










Adjusted Net Income


$ 27,943


$ 24,725


$ 80,725


$ 72,709

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 Nine Months



Ended September 30,


Ended September 30,



2010


2009


2010


2009

Diluted net income (loss) per share Class A common stock


$ 0.04


$ (0.09)


$ 0.11


$ 0.08

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


0.01


0.02


0.03


0.00

Adjustments on a per share basis:









Income tax provision


0.06


0.08


0.23


0.12

EBITDA Adjustments


0.05


0.13


0.11


0.24

Non-cash interest expense


0.05


0.04


0.12


0.13

Depreciation and amortization resulting from acquisition method adjustments


0.17


0.17


0.49


0.52










Adjusted net income before income taxes


0.38


0.35


1.09


1.09

Normalized income tax provision


0.15


0.14


0.43


0.43

Adjusted Net Income per fully diluted share


$ 0.23


$  0.21


$ 0.66


$ 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 Nine Months



Ended September 30,


Ended September 30,

Weighted average of:


2010


2009


2010


2009

Class A shares outstanding*


90,656


84,522


90,584


79,809

Class B shares outstanding


24,689


25,746


24,701


25,135

Restricted stock units outstanding


744


889


694


933

Options to purchase Class A shares outstanding


6,517


5,023


6,184


3,932

Shares assumed in Adjusted Net Income per fully diluted share calculation


122,606


116,180


122,163


109,809


* Note: Above shares include all potential securities as dilutive and outstanding except for shares issued in connection with 2010 acquisitions and not contemplated in the shares denominator utilized in the 2010 annual Adjusted Net Income per fully diluted share financial outlook range.

SOURCE Emdeon Inc.

21%

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