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Emdeon Reports Third Quarter 2011 Results

NASHVILLE, Tenn., Nov. 9, 2011 /PRNewswire/ --

  • Revenue of $282.1 million, increased 14.7% over third quarter 2010
  • Non-GAAP Adjusted EBITDA of $76.7 million, increased 15.3% over third quarter 2010

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

(In millions, except per share amts)

3Q 11


3Q 10


% Change

Revenue

$ 282.1


$ 245.9


14.7%

Net Income

$ 6.3


$ 6.6


-5.3%

Earnings per share (diluted)

$ 0.04


$ 0.04


0.0%

Non-GAAP Adjusted EBITDA

$ 76.7


$ 66.5


15.3%

Non-GAAP Adjusted EPS

$ 0.26


$ 0.23


13.0%

Non-GAAP fully diluted shares

124.2


122.6


1.3%



"We are pleased with our financial results for the third quarter. Our initiatives to address emerging areas of opportunity in payment integrity, clinical information exchange and the government space are resonating with our customer base," said George Lazenby, Emdeon's chief executive officer. "We are also excited about moving our business strategy forward with Blackstone and Hellman & Friedman, whose in-depth understanding of our business and industry will be beneficial as we continue to evolve our solutions to make healthcare more efficient."

Third quarter revenue was $282.1 million, an increase of 14.7%, compared to $245.9 million for the same period in 2010, as a result of recent acquisitions and organic growth. GAAP operating income for the third quarter of 2011 was $23.0 million compared to $27.9 million for the same period in 2010, a decrease of 17.6%. This decrease was primarily due to higher depreciation and amortization expense from 2010 acquisitions and capital expenditures, as well as higher equity compensation expense. Third quarter Non-GAAP Adjusted EBITDA grew 15.3% to $76.7 million, or 27.2% of revenue, from Non-GAAP Adjusted EBITDA of $66.5 million, or 27.0% of revenue, in the comparable period in 2010.

GAAP net income (before noncontrolling interest) for the third quarter of 2011 was $6.3 million compared to GAAP net income of $6.6 million for the same period in 2010. GAAP net income per diluted share for the third quarter of 2011 was $0.04 for both the third quarter of 2011 and 2010. Non-GAAP Adjusted Net Income per fully diluted share for the third quarter of 2011 was $0.26, using a weighted average fully diluted share count of 124.2 million, compared to $0.23, using a weighted average fully diluted share count of 122.6 million, for the same period in 2010.

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

Conference Call and Webcast

As noted in an earlier release, a fund managed by Blackstone on behalf of its private equity investors has completed its acquisition of Emdeon on November 2, 2011. As a result, Emdeon will not host a conference call to discuss financial results for the third quarter of 2011.

About Emdeon

Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S.healthcare system. Emdeon's 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 solutions, 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. Such factors related to Emdeon's actual financial results or results of operations include: effects of competition, including competition from entities that are customers for certain of Emdeon's solutions; Emdeon's ability to maintain relationships with its customers and channel partners; Emdeon's ability to effectively cross-sell its solutions to existing customers and to continue to generate revenue and maintain profitability by developing or acquiring and successfully deploying new or updated solutions; pricing pressures on Emdeon's solutions; the anticipated benefits from acquisitions not being fully realized or not being realized within the expected time frames; and general economic, business or regulatory conditions affecting the healthcare information technology and services industries; as well as the other risks discussedin the "Risk Factors" and "Management's Discussion and Analysis of Financial Condition and Results of Operations" sections and elsewhere in Emdeon's Annual Report on Form 10-K for the year ended December 31, 2010, as well as Emdeon's periodic and other reports, filed with the Securities and Exchange Commission.

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

Emdeon Inc.

Condensed Consolidated Statements of Operations

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








For the Three Months


For the Nine Months


Ended September 30,


Ended September 30,


2011

2010


2011

2010





Revenue

$ 282,149

$ 245,923


$ 835,758

$ 726,490

Costs and expenses:






Costofoperations(exclusiveofdepreciationandamortizationbelow)

174,907

150,918


518,917

443,349

Development and engineering

9,530

8,596


27,790

25,845

Sales, marketing, general and administrative

34,833

28,494


97,980

80,856

Depreciation and amortization

39,830

30,001


116,786

87,054

Operating income

23,049

27,914


74,285

89,386

Interest income

(4)

(4)


(10)

(12)

Interest expense

12,577

16,163


37,858

47,747

Other

(4,398)

(2,370)


(8,036)

(4,140)

Income before income tax provision

14,874

14,125


44,473

45,791

Income tax provision

8,601

7,498


21,696

27,650

Net income

6,273

6,627


22,777

18,141

Net income attributable to noncontrolling interest

2,906

2,890


9,214

8,289

Net income attributable to Emdeon Inc.

$ 3,367

$ 3,737


$ 13,563

$ 9,852

Net income per share ClassA common stock:






Basic

$ 0.04

$ 0.04


$ 0.15

$ 0.11

Diluted

$ 0.04

$ 0.04


$ 0.15

$ 0.11

Weighted average common shares outstanding:






Basic

91,141,215

90,271,216


91,062,517

90,011,783

Diluted

92,081,976

90,989,313


91,557,147

90,740,909



Emdeon Inc.

Condensed Consolidated Balance Sheets

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






September 30,


December31,


2011


2010

Assets




Current assets:




Cash and cash equivalents

$ 185,068


$ 99,188

Accounts receivable, net of allowance for doubtful accounts of $5,852 and $5,394

at September 30, 2011 and December31, 2010, respectively

183,214


174,191

Deferred income tax assets

9,012


7,913

Prepaid expenses and other current assets

17,288


25,020

Total current assets

394,582


306,312

Property and equipment, net

230,090


231,307

Goodwill

925,564


908,310

Intangible assets, net

983,565


1,035,886

Other assets, net

8,368


9,750

Total assets

$ 2,542,169


$ 2,491,565

Liabilities and equity




Current liabilities:




Accounts payable

$ 8,263


$ 4,732

Accrued expenses

116,881


112,245

Deferred revenues

12,710


12,130

Current portion of long-term debt

12,491


12,494

Total current liabilities

150,345


141,601

Long-term debt, excluding current portion

937,510


933,749

Deferred income tax liabilities

204,131


200,357

Tax receivable agreement obligations to related parties

138,509


138,533

Other long-term liabilities

12,602


22,037

Commitments and contingencies




Equity:




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

issued and outstanding

-


-

ClassA common stock (par value, $0.00001),400,000,000 shares authorized and

91,252,352 and 91,064,486 shares outstanding at September 30, 2011 and

December 31, 2010, respectively

1


1

ClassB common stock, exchangeable (par value, $0.00001),52,000,000 shares

authorized and 24,689,142 shares outstanding at September 30, 2011 and

December 31, 2010

-


-

Additional paid-in capital

754,121


738,888

Contingent consideration

1,955


1,955

Accumulated other comprehensive loss

(528)


(2,569)

Retained earnings

66,813


53,250

Emdeon Inc. equity

822,362


791,525

Noncontrolling interest

276,710


263,763

Total equity

1,099,072


1,055,288

Total liabilities and equity

$ 2,542,169


$ 2,491,565



Emdeon Inc.

Condensed Consolidated Statements of Cash Flows

(unaudited and amounts in thousands)






For the Nine Months


Ended September 30,


2011


2010

Operating activities




Net income

$ 22,777


$ 18,141

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




Depreciation and amortization

116,786


87,054

Equity compensation expense

17,610


12,691

Deferred income tax expense

2,611


7,870

Amortization of debt discount and issuance costs

10,470


9,536

Amortization of discontinued cash flow hedge from other comprehensive loss

2,843


4,395

Change in contingent consideration

(8,036)


(4,140)

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

(7,983)


-

Other

36


51

Changes in operating assets and liabilities:




Accounts receivable

(7,040)


(8,418)

Prepaid expenses and other

10,843


(5,691)

Accounts payable

5,888


(3,444)

Accrued expenses and other liabilities

15,748


5,158

Deferred revenues

581


(2,045)

Tax receivable agreement obligations to related parties

(2,593)


(318)

Net cash provided by operating activities

180,541


120,840

Investing activities




Purchases of property and equipment

(48,207)


(63,835)

Payments for acquisitions, net of cash acquired

(39,422)


(42,477)

Other

-


(3,000)

Net cash used in investing activities

(87,629)


(109,312)

Financing activities




Debt principal payments

(6,412)


(5,663)

Other

(620)


(868)

Net cash used in financing activities

(7,032)


(6,531)

Net increase in cash and cash equivalents

85,880


4,997

Cash and cash equivalents at beginning of period

99,188


211,999

Cash and cash equivalents at end of period

$ 185,068


$ 216,996



Segment Information

(unaudited and amounts in thousands)

















For the Three Months Ended September 30, 2011



For the Three Months Ended September 30, 2010






Corporate &







Corporate &




Payer

Provider

Pharmacy

Eliminations

Consolidated



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenuefromexternalcustomers














Claimsmanagement


$ 53,153

$ -

$ -

$ -

$ 53,153



$ 48,927

$ -

$ -

$ -

$ 48,927

Paymentservices


61,770

-

-

-

61,770



58,369

-

-

-

58,369

Patientstatements


-

64,273

-

-

64,273



-

65,920

-

-

65,920

Revenuecyclemanagement


-

73,439

-

-

73,439



-

44,575

-

-

44,575

Dental


-

7,860

-

-

7,860



-

7,925

-

-

7,925

Pharmacyservices


-

-

21,654

-

21,654



-

-

20,207

-

20,207

Inter-segmentrevenue


852

151

-

(1,003)

-



758

83

-

(841)

-

Netrevenue


115,775

145,723

21,654

(1,003)

282,149



108,054

118,503

20,207

(841)

245,923

Costsandexpenses:














Costofoperations


77,979

88,958

8,909

(939)

174,907



70,876

73,040

7,811

(809)

150,918

Developmentandengineering


3,077

4,705

1,748

-

9,530



2,812

4,004

1,780

-

8,596

Sales,marketing,generalandadministrative


6,986

7,810

1,537

18,500

34,833



6,576

7,626

1,459

12,833

28,494

Segmentcontribution(1)


$ 27,733

$ 44,250

$ 9,460

$ (18,564)

62,879



$ 27,790

$ 33,833

$ 9,157

$ (12,865)

57,915

Depreciationandamortization






39,830







30,001

Interestincome






(4)







(4)

Interestexpense






12,577







16,163

Other






(4,398)







(2,370)

Incomebeforeincometaxprovision






$ 14,874







$ 14,125































For the Nine Months Ended September 30, 2011



For the Nine Months Ended September 30, 2010






Corporate &







Corporate &




Payer

Provider

Pharmacy

Eliminations

Consolidated



Payer

Provider

Pharmacy

Eliminations

Consolidated

Revenuefromexternalcustomers














Claimsmanagement


$ 153,679

$ -

$ -

$ -

$ 153,679



$ 143,770

$ -

$ -

$ -

$ 143,770

Paymentservices


186,512

-

-

-

186,512



171,693

-

-

-

171,693

Patientstatements


-

192,813

-

-

192,813



-

198,214

-

-

198,214

Revenuecyclemanagement


-

216,238

-

-

216,238



-

129,175

-

-

129,175

Dental


-

23,464

-

-

23,464



-

23,808

-

-

23,808

Pharmacyservices


-

-

63,052

-

63,052



-

-

59,830

-

59,830

Inter-segmentrevenue


2,572

391

-

(2,963)

-



2,311

241

-

(2,552)

-

Netrevenue


342,763

432,906

63,052

(2,963)

835,758



317,774

351,438

59,830

(2,552)

726,490

Costsandexpenses:














Costofoperations


230,851

264,396

26,444

(2,774)

518,917



207,455

216,561

21,790

(2,457)

443,349

Developmentandengineering


8,804

13,737

5,249

-

27,790



8,779

11,766

5,300

-

25,845

Sales,marketing,generalandadministrative


20,857

27,766

4,126

45,231

97,980



19,742

21,326

4,520

35,268

80,856

Segmentcontribution(1)


$ 82,251

$ 127,007

$ 27,233

$ (45,420)

191,071



$ 81,798

$ 101,785

$ 28,220

$ (35,363)

176,440

Depreciationandamortization






116,786







87,054

Interestincome






(10)







(12)

Interestexpense






37,858







47,747

Other






(8,036)







(4,140)

Incomebeforeincometaxprovision






$ 44,473







$ 45,791





























(1) Segment contribution has been reduced by equity-based compensation expense of $6,126, $4,844, $17,610 and $12,691 for the three months and nine months ended September 30, 2011 and 2010, respectively. Segment contribution without such equity-based compensation expense would have been $69,005, $62,759, $208,681 and $189,131 for the three and nine months ended September 30, 2011 and 2010, respectively.



Explanation of Non-GAAP Financial Measures

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

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

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

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

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

Emdeon 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,



2011


2010


2011


2010










Net income


$ 6,273


$ 6,627


$ 22,777


$ 18,141

Interest expense, net


12,573


16,159


37,848


47,735

Income tax provision


8,601


7,498


21,696


27,650

Depreciation and amortization


39,830


30,001


116,786


87,054

EBITDA


67,277


60,285


199,107


180,580










Equity-based compensation


6,126


4,844


17,610


12,691

Acquisition accounting adjustments


-


12


-


205

Transaction costs


5,689


-


6,024


-

Facilities consolidation costs


198


1,148


711


1,551

Acquisition-related costs


1,448


1,416


4,237


3,442

Tax receivable agreements change in estimate


321


1,162


547


(318)

Contingent consideration adjustments


(4,398)


(2,370)


(8,036)


(4,140)

EBITDA Adjustments


9,384


6,212


21,093


13,431










Adjusted EBITDA


$ 76,661


$ 66,497


$ 220,200


$ 194,011



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,



2011


2010


2011


2010










Net income


$ 6,273


$ 6,627


$ 22,777


$ 18,141

Income tax provision


8,601


7,498


21,696


27,650

EBITDA Adjustments


9,384


6,212


21,093


13,431

Non-cash interest expense


2,416


5,531


7,570


14,749

Depreciationandamortizationresultingfromacquisitionmethodadjustments


27,336


20,318


80,212


59,458










Adjusted net income before income taxes


54,010


46,186


153,348


133,429

Normalized income tax provision


21,334


18,243


60,572


52,704










Adjusted Net Income


$ 32,676


$ 27,943


$ 92,776


$ 80,725



Emdeon Inc.

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

Adjusted Net Income Per Fully Diluted Share(1)

(unaudited)






For the Three Months


For the Nine Months



Ended September 30,


Ended September 30,



2011


2010


2011


2010

Net income per diluted share of Class A common stock


$ 0.04


$ 0.04


$ 0.15


$ 0.11

Impactofassumingfulldilutionofalloutstandingequityinstrumentsfortheperiod


0.00


0.01


0.03


0.03

Adjustments on a per share basis:









Income tax provision


0.07


0.06


0.18


0.23

EBITDA Adjustments


0.08


0.05


0.17


0.11

Non-cash interest expense


0.02


0.05


0.06


0.12

Depreciationandamortizationresultingfromacquisitionmethodadjustments


0.22


0.17


0.65


0.49










Adjusted net income before income taxes


0.43


0.38


1.24


1.09

Normalized income tax provision


0.17


0.15


0.49


0.43

Adjusted Net Income per fully diluted share


0.26


$ 0.23


$ 0.75


$ 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:


2011


2010


2011


2010


Class A shares outstanding


91,141


90,656


91,063


90,584


Class B shares outstanding


24,483


24,689


24,483


24,701


Restricted stock units outstanding


859


744


851


694


Options to purchase Class A shares outstanding


7,715


6,517


7,462


6,184


Shares assumed in Adjusted Net Income per fully diluted share calculation


124,198


122,606


123,859


122,163



SOURCE Emdeon Inc.

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