EX-99.1 2 ex991.htm NEWS RELEASE DATED NOVEMBER 5, 2009 ex991.htm
Exhibit 99.1
 
 
GRAPHIC


 
SXC HEALTH SOLUTIONS ANNOUNCES RECORD
THIRD QUARTER FINANCIAL RESULTS
- Following strong quarterly results, SXC increases guidance for fiscal 2009 -

Lisle, Illinois, November 5, 2009 - SXC Health Solutions Corp. (“SXC” or the “Company”) (NASDAQ: SXCI, TSX: SXC), announces its financial results for the three- and nine-month periods ended September 30, 2009.  Financial references are in U.S. dollars unless otherwise indicated.

Q3 2009 Highlights
 
Revenue was $383.5 million compared to $318.1 million in Q3 fiscal 2008
 
Gross profit was $47.7 million compared to $34.9 million in Q3 fiscal 2008
 
Adjusted EBITDA¹ was $24.3 million compared to $11.9 million in Q3 fiscal 2008
 
GAAP net income increased to $11.2 million, or $0.43 per share (fully-diluted), compared to $3.5 million, or $0.15 per share (fully-diluted), in Q3 fiscal 2008
 
Non-GAAP adjusted earnings per share¹ (diluted), which excludes the NMHC transaction-related amortization, was $0.47 compared to $0.24 in Q3 fiscal 2008
 
Cash from operations was $17.9 million compared to $3.3 million in Q3 fiscal 2008
 
Adjusted prescription claim volume1 for the PBM segment was 9.9 million compared to 8.9 million in Q3 fiscal 2008
 
Gross margin per adjusted prescription for the PBM segment was $3.67 compared to $2.77 in Q3 fiscal 2008
 
Mail order penetration increased to 9.5% compared to 8% in Q3 fiscal 2008
 
Transaction processing volume for the HCIT segment was 92.0 million in Q3 fiscal 2009 compared to 103.3 million in Q3 fiscal 2008
 
Awarded a contract with the Ohio Bureau of Workers' Compensation, the largest workers compensation organization in the U.S.
 
Awarded a PBM services contract with Presbyterian Health Plan valued at $150 million annually
 
Renewed a multi-year PBM contract with the Employer-Union Health Benefits Trust Fund of Hawaii
 
Entered into a strategic relationship with Allscripts Misys to enhance the e-prescribing options available to SXC’s clients
 
Completed a public offering of 5,175,000 common shares at a price of $41.50 per share for net proceeds of approximately $204.1 million
 
Subsequent to quarter-end, announced a PBM contract with Spectral Solutions valued at $50 million annually

“Solid execution on our growth strategies combined with sound fundamentals in our markets led to another strong quarter and an increase to our key guidance targets,” said Mark Thierer, President and CEO of SXC. “In addition to new customer wins, we are driving both top-line and bottom-line growth by increasing the mail-order penetration in our customer base and converting a number of Health Care IT clients to a broader platform of our PBM services. With future growth in mind, we completed a successful $204 million financing in the quarter that was oversubscribed by investors. The proceeds provide us with the resources to explore acquisition opportunities and to pursue the growing sales pipeline with prospective and existing clients.”

 
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SXC logo
 
Financial Review
Revenue and gross profit segmented by PBM and HCIT was as follows:

SXC evaluates segment performance based on revenue and gross profit. A reconciliation of the Company’s business segments to the consolidated financial statements for the three- and nine-month periods ended September 30, 2009 and 2008 is as follows:

Three months ended September 30, (unaudited, in thousands)

   
PBM
   
HCIT
   
Consolidated
 
      Q3 2009       Q3 2008       Q3 2009       Q3 2008       Q3 2009       Q3 2008  
  Revenue
  $ 357,473     $ 297,178     $ 26,056     $ 20,923     $ 383,529     $ 318,101  
  Gross profit
  $ 36,239     $ 24,524     $ 11,441     $ 10,362     $ 47,680     $ 34,886  
  Gross profit %
    10.1 %     8.3 %     43.9 %     49.5 %     12.4 %     11.0 %

 Nine months ended September 30, (unaudited, in thousands)²

   
PBM
   
HCIT
   
Consolidated
 
   
YTD 09
   
YTD 08
   
YTD 09
   
YTD 08
   
YTD 09
   
YTD 08
 
  Revenue
  $ 919,158     $ 502,038     $ 76,160     $ 68,135     $ 995,318     $ 570,173  
  Gross profit
  $ 99,550     $ 41,338     $ 34,526     $ 36,668     $ 134,076     $ 78,206  
  Gross profit %
    10.8 %     8.2 %     45.3 %     53.8 %     13.5 %     13.7 %

PBM revenue was $357.5 million for Q3 2009, compared to $297.2 million for Q3 2008. PBM revenue for the year-to-date (“YTD”) period was $919.2 million, compared to $502.0 million in the prior year.

Q3 2009 HCIT revenue was $26.1 million, which included approximately $1.5 million of performance awards for achieving certain predetermined savings commitments and service level guarantees, compared to $20.9 million in the same period in 2008.  Recurring revenue consisted of transaction processing revenue of $16.5 million, compared to $11.6 million in Q3 2008 and maintenance revenue of $4.7 million, compared to $4.0 million in Q3 2008. Recurring revenue accounted for 81% of HCIT revenue in Q3 2009, compared to 75% in Q3 2008. Q3 2009 non-recurring revenue consisted of professional service revenue of $3.2 million, compared to $3.8 million in Q3 2008, and system sales revenue of $1.7 million, compared to $1.5 million in Q3 2008.

For the YTD period, HCIT revenue increased to $76.2 million, compared to $68.1 million in the prior year period. Transaction processing revenue for the YTD period was $45.9 million, compared to $38.2 million in the prior year period. Maintenance revenue for the YTD period was $13.7 million, compared to $12.3 million in the prior year period. Recurring revenue in the YTD period accounted for 78% of HCIT revenue compared to 74% in the prior year period. Professional services revenue for the YTD period was $10.6 million, compared to $10.7 million in the prior year period.  System sales revenue for the YTD period was $6.0 million, compared to $6.9 million in the prior year period.

Product Development Costs
Product development costs for Q3 2009 were $2.8 million, compared to $2.5 million in Q3 2008.  Product development costs for the YTD period were $9.0 million, compared to $7.4 million in the prior year period. Product development remains a key priority for SXC as the Company seeks to develop enhancements to existing products and the launch of new offerings.


 
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Selling, General and Administration (“SG&A”) Costs
SG&A costs for Q3 2009 were $22.2 million, compared to $21.9 million in Q3 2008. SG&A for the YTD period was $64.9 million, compared to $47.3 million in the prior year period. On a quarter-over-quarter basis, the Company has added a significant level of new business while keeping SG&A costs relatively flat. The change in the YTD period is largely attributable to increased operating expenses due to the acquisition of NMHC.

Adjusted EBITDA¹
Q3 2009 adjusted EBITDA was $24.3 million, compared to $11.9 million in Q3 2008. Adjusted EBITDA for the YTD period was $64.3 million, compared to $27.8 million in the prior year period. The year-over-year growth in adjusted EBITDA was due primarily to the addition of the NMHC business, cost and revenue synergies generated from the acquisition, new contract wins and improved purchasing efficiencies on prescription drugs.

Income Taxes
The Company recognized income tax expense of $6.8 million in Q3 2009, compared to an income tax expense of $1.3 million in Q3 2008. Income tax expense for the YTD period was $14.9 million, representing an effective tax rate of 32.5%, compared to an income tax expense of $3.5 million in the prior year period, representing an effective tax rate of 25.3%. The effective income tax rate increased year-over-year primarily due to greater pre-tax income that has resulted from the growth in the business.

Net Income
The Company reported Q3 2009 net income of $11.2 million, or $0.43 per share (fully-diluted), which included $1.7 million of intangible amortization related to the purchase of NMHC, compared to $3.5 million, or $0.15 per share (fully-diluted), which included $3.1 million of NMHC intangible amortization, in Q3 2008. Net income for the YTD period was $30.9 million, or $1.22 per share (fully-diluted), which also included $5.9 million of NMHC intangible amortization, compared to net income in the prior year period of $10.2 million, or $0.44 per share (fully-diluted), which included $5.1 million of NMHC intangible amortization.

Cash from Operations
SXC continues to generate strong cash from operations. For Q3 2009, the Company generated $17.9 million of cash through its operations, compared to $3.3 million during Q3 2008. The Company’s quarterly cash flows can be impacted by the timing of pharmacy deposits and rebate payments it receives for certain customers. For the YTD period, SXC generated cash from operations of $49.6 million, compared to $20.6 million in the prior year period.

At September 30, 2009 and December 31, 2008, SXC had cash and cash equivalents totalling $319.5 million and $67.7 million, respectively. On September 23, 2009, SXC completed a public offering of 5,175,000 of its common shares, including 675,000 shares sold pursuant to the exercise of the underwriters' over-allotment option, for net proceeds to the Company of approximately $204.1 million.


 
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SXC logo
 
2009 Financial Guidance
With today’s announcement, SXC is revising certain of its 2009 financial targets for:
 
Revenue of $1.375-$1.425 billion versus prior estimate of $1.35-$1.4 billion
 
Gross profit of $180-$182 million versus prior estimate of $166-$171 million
 
Fully-diluted GAAP EPS (including all transaction-related amortization) of $1.57-$1.62 versus prior estimate of $1.42-$1.50
 
Adjusted EBITDA of $87-$89 million versus prior estimate of $78-$81 million
 
Fully-diluted Non-GAAP adjusted earnings per share¹ (excluding the NMHC transaction-related amortization) of $1.76-$1.81 versus prior estimate of $1.62-$1.70

Notice of Conference Call
SXC will host a conference call on Thursday, November 5, 2009 at 8:30 a.m. ET to discuss its financial results.  Mark Thierer, President and CEO, and Jeff Park, EVP and CFO will co-chair the call. All interested parties can join the call by dialing 1-866-250-4877or 416-644-3422. Please dial in 15 minutes prior to the call to secure a line. The conference call will be archived for replay until Thursday, November 12, 2009 at midnight. To access the archived conference call, please dial 1-877-289-8525 or 416-640-1917 and enter the reservation code 4169797 followed by the number sign.

A live audio webcast of the conference call will be available www.sxc.com and www.newswire.ca. Please connect at least 15 minutes prior to the conference call to ensure adequate time for any software download that may be required to join the webcast. An archived replay of the webcast will be available for 365 days.

1Non-GAAP Financial Measures
SXC reports its financial results in accordance with generally accepted accounting principles in the United States (“GAAP”). SXC’s management also evaluates and makes operating decisions using various other measures. Two such measures are adjusted earnings per share and adjusted EBITDA, which are non-GAAP financial measures. SXC’s management believes that these measures provide useful supplemental information regarding the performance of SXC’s business operations.

Adjusted earnings per share is a non-GAAP measure which takes earnings per share and adds back the impact of amortization expense related to the acquisition of NMHC, net of tax.  Acquisition-related amortization expense is a non-cash expense arising from the acquisition of intangible assets in connection with the acquisition. SXC excludes acquisition-related amortization expense from non-GAAP adjusted earnings per share because it believes (i) the amount of such expenses in any specific period may not directly correlate to the underlying performance of SXC business operations and (ii) such expenses can vary significantly between periods as a result of new acquisitions and full amortization of previously acquired intangible assets. Investors should note that the use of these intangible assets contribute to revenue in the period presented as well as future periods and should also note that such expense will recur in future periods. The 2009 guidance of adjusted earnings per share was computed by taking the Company's GAAP earnings per share guidance and adding back the expected impact of acquisition-related amortization expense, net of tax.


 
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SXC logo
 
Adjusted EBITDA is a non-GAAP measure that management believes is a useful supplemental measure of operating performance prior to net interest income (expense), income taxes, depreciation, amortization and stock-based compensation.  Management believes it is useful to exclude depreciation, amortization and net interest income (expense) as these are essentially fixed amounts that cannot be influenced by management in the short term. In addition, management believes it is useful to exclude stock-based compensation as this is not a cash expense.

Adjusted prescription volume equals SXC’s Mail Service prescriptions multiplied by three, plus its retail and specialty prescriptions. The Mail Service prescriptions are multiplied by three to adjust for the fact that they typically include approximately three times the amount of product days supplied compared with retail prescriptions.

Management believes that adjusted earnings per share, adjusted EBITDA and adjusted prescription volume provide useful supplemental information to management and investors regarding the performance of the Company’s business operations and facilitate comparisons to its historical operating results. Management also uses this information internally for forecasting and budgeting as it believes that the measures are indicative of the Company’s core operating results. Note however, that these items are performance measures only, and do not provide any measure of the Company’s cash flow or liquidity. Non-GAAP financial measures should not be considered as a substitute for measures of financial performance in accordance with GAAP, and investors and potential investors are encouraged to review the reconciliation of adjusted earnings per share and adjusted EBITDA.

Adjusted earnings per share and adjusted EBITDA do not have standardized meanings prescribed by GAAP. The Company's method of calculating these items may differ from the methods used by other companies and, accordingly, it may not be comparable to similarly titled measures used by other companies. Reconciliation of adjusted EBITDA to net income and adjusted net income to net income is shown below:

 
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SXC logo
 

 
   
For the three months ended
   
For the nine months ended
 
   
September 30,
   
September 30,
 
   
2009
   
2008
   
2009
   
2008
 
   
(unaudited) (in thousands)
 
                         
Adjusted EBITDA
  $ 24,310     $ 11,886     $ 64,298     $ 27,795  
                                 
Amortization of Intangible Assets
    (2,238 )     (3,449 )     (7,478 )     (6,277 )
                                 
Depreciation of Property & Equipment
    (2,037 )     (1,669 )     (5,981 )     (4,715 )
                                 
Stock-Based Compensation
    (1,046 )     (902 )     (2,476 )     (3,006 )
                                 
Other Income (Expense)
    20       50       62       15  
                                 
Interest Income (Expense), Net
    (987 )     (1,101 )     (2,676 )     (198 )
                                 
Income Tax (Expense)
    (6,813 )     (1,276 )     (14,881 )     (3,451 )
                                 
Net Income
  $ 11,209     $ 3,539     $ 30,868     $ 10,163  


Non-GAAP Adjusted Earnings Per Share
 
For the 3 months ended Sept 30, 2009
   
For the 3 months ended Sept 30, 2008
 
(unaudited)
(in thousands, except per share data)
           
             
Net Income
  $ 11,209     $ 3,539  
                 
Amortization of NMHC Intangibles (Net of Taxes)
    1,027       2,244  
                 
Adjusted Net-Income
  $ 12,236       5,783  
                 
Adjusted EPS (diluted)
  $ 0.47     $ 0.24  

2On April 30, 2008, SXC closed the acquisition of NMHC. As a result, SXC has introduced some new segmentation and presentation of its financial results. Revenue is now segmented into two groups: Pharmacy Benefits Management (“PBM”) which includes informedRx as well as mail-order and specialty pharmacies, and Healthcare Information Technology (“HCIT”). SXC records PBM revenue from NMHC exclusively on a gross basis which equates to the prescription price paid by consumers plus an administrative fee. The HCIT business records revenue only on the basis of the administrative fee; drug ingredient cost is not included in revenues or cost of claims.

The net effect is that SXC’s year-over-year revenues have increased dramatically while gross profit margin and adjusted EBITDA have increased in absolute dollar terms, but have declined as a percentage of total sales. These changes do not affect profitability on an absolute dollar or per share basis.



 
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SXC logo
 
 
About SXC Health Solutions Corp.
 
SXC Health Solutions Corp. is a leading provider of pharmacy benefit management (“PBM”) services and Healthcare Information Technology (“HCIT”) solutions to the healthcare benefits management industry. As the industry’s “Technology-Enabled PBM”™, SXC’s product offerings and solutions combine a wide range of advanced PBM services, software applications, application service provider processing services, and professional services to help healthcare organizations reduce the cost of prescription drugs and deliver better healthcare to their members. SXC serves many of the largest organizations in the pharmaceutical supply chain, such as health plans; employers; Federal, provincial, and state governments; institutional pharmacies; pharmacy benefit managers; and retail pharmacy chains. SXC is headquartered in Lisle, Illinois with multiple locations in North America. Learn more at www.sxc.com.

Forward-Looking Statements
Certain statements included herein, including those that express management's expectations or estimates of our future performance, constitute "forward-looking statements" within the meaning of applicable securities laws.Forward-looking statements are necessarily based upon a number of estimates and assumptions that, while considered reasonable by management at this time, are inherently subject to significant business, economic and competitive uncertainties and contingencies.We caution that such forward-looking statements involve known and unknown risks, uncertainties and other risks that may cause our actual financial results, performance, or achievements to be materially different from our estimated future results, performance or achievements expressed or implied by those forward-looking statements.Numerous factors could cause actual results to differ materially from those in the forward-looking statements, including without limitation, our ability to achieve increased market acceptance for our product offerings and penetrate new markets; consolidation in the healthcare industry; the existence of undetected errors or similar problems in our software products; our ability to identify and complete acquisitions, manage our growth and integrate acquisitions; our ability to compete successfully; potential liability for the use of incorrect or incomplete data; the length of the sales cycle for our healthcare software solutions; interruption of our operations due to outside sources; our dependence on key customers; maintaining our intellectual property rights and litigation involving intellectual property rights; our ability to obtain, use or successfully integrate third-party licensed technology; compliance with existing laws, regulations and industry initiatives and future change in laws or regulations in the healthcare industry; breach of our security by third parties; our dependence on the expertise of our key personnel; our access to sufficient capital to fund our future requirements; and potential write-offs of goodwill or other intangible assets. This list is not exhaustive of the factors that may affect any of our forward-looking statements.  Other factors that should be considered are discussed from time to time in SXC’s filings with the U.S. Securities and Exchange Commission, including the risks and uncertainties discussed under that captions “Risk Factors” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2008 Annual Report on Form 10-K and subsequent Form 10-Qs, which are available at www.sec.gov.  Investors are cautioned not to put undue reliance on forward-looking statements.  All subsequent written and oral forward-looking statements attributable to SXC or persons acting on our behalf are expressly qualified in their entirety by this notice.  We disclaim any intent or obligation to update publicly these forward-looking statements, whether as a result of new information, future events or otherwise.

Certain of the assumptions made in preparing forward-looking information and management’s expectations include: maintenance of our existing customers and contracts, our ability to market our products successfully to anticipated customers, the impact of increasing competition, the growth of prescription drug utilization rates at predicted levels, the retention of our key personnel, our customers continuing to process transactions at historical levels, that our systems will not be interrupted for any significant period of time, that our products will perform free of major errors, our ability to obtain financing on acceptable terms and that there will be no significant changes in the regulation of our business.


For more information, please contact:
Jeff Park
Dave Mason
Susan Noonan
Chief Financial Officer
Investor Relations - Canada
Investor Relations - U.S.
SXC Health Solutions, Inc.
The Equicom Group Inc.
The SAN Group, LLC
Tel: (630) 577-3100
(416) 815-0700 ext. 237
(212) 966-3650
investors@sxc.com
dmason@equicomgroup.com
susan@sanoonan.com



 
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SXC logo

 
SXC HEALTH SOLUTIONS CORP.
Consolidated Balance Sheets
(in thousands, except share data)

   
September 30,
   
December 31,
 
   
2009
   
2008
 
   
(unaudited)
       
ASSETS
           
             
Current assets
           
Cash and cash equivalents
  $ 319,522     $ 67,715  
Restricted cash
    12,433       12,498  
Accounts receivable, net of allowance for doubtful accounts of $3,319 (2008 - $3,570)
    90,083       80,531  
Rebates receivable
    20,577       29,586  
Unbilled revenue
    -       73  
Prepaid expenses and other assets
    4,718       4,382  
Inventory
    7,023       6,689  
Income tax recoverable
    -       1,459  
Deferred income taxes
    9,919       10,219  
    Total current assets
    464,275       213,152  
                 
Property and equipment, net of accumulated depreciation of $25,388 (2008 - $19,449)
    19,543       20,756  
Goodwill
    141,785       143,751  
Other intangible assets, net of accumulated amortization of  $21,585 (2008 - $14,099)
    39,820       46,406  
Deferred financing charges
    1,154       1,481  
Deferred income taxes
    1,846       1,323  
Other assets
    1,293       1,474  
Total assets
  $ 669,716     $ 428,343  
                 
                 
LIABILITIES AND SHAREHOLDERS' EQUITY
               
                 
Current liabilities
               
Accounts payable
  $ 5,920     $ 8,302  
Customer deposits
    12,553       11,875  
Salaries and wages payable
    13,184       15,681  
Accrued liabilities
    27,709       32,039  
Pharmacy benefit management rebates payable
    43,830       36,326  
Pharmacy benefit claim payments payable
    51,808       51,406  
Deferred revenue
    8,430       7,978  
Current portion of long-term debt
    4,800       3,720  
    Total current liabilities
    168,234       167,327  
                 
Long-term debt, less current installments
    40,320       43,920  
Deferred income taxes
    13,032       15,060  
Deferred lease inducements
    2,867       3,217  
Deferred rent
    1,327       1,461  
Other liabilities
    2,929       3,195  
Total liabilities
    228,709       234,180  
                 
                 
                 
Shareholders' equity
               
Common shares: no par value, unlimited shares authorized; 29,979,169 shares issued and outstanding at September 30, 2009  (2008 - 24,103,032 shares)
    360,131       146,988  
Additional paid-in capital
    14,661       11,854  
Retained earnings
    66,619       35,751  
Accumulated other comprehensive loss
    (404 )     (430 )
    Total shareholders' equity
    441,007       194,163  
                 
Total liabilities and shareholders' equity
  $ 669,716     $ 428,343  







 
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SXC logo

 

SXC HEALTH SOLUTIONS CORP.
Consolidated Statements of Operations
(in thousands, except per share data)

   
Three months ended
September 30,
   
Nine months ended
September 30,
 
   
2009
   
2008
   
2009
   
2008
 
   
(unaudited)
   
(unaudited)
 
Revenue:
                       
  PBM
  $ 357,473     $ 297,178     $ 919,158     $ 502,038  
  HCIT:
                               
Transaction processing
    16,461       11,631       45,852       38,167  
Maintenance
    4,733       3,998       13,684       12,338  
Professional services
    3,187       3,836       10,630       10,693  
System sales
    1,675       1,458       5,994       6,937  
Total revenue
    383,529       318,101       995,318       570,173  
                                 
Cost of revenue:
                               
PBM
    321,234       272,654       819,608       460,700  
HCIT
    14,615       10,561       41,634       31,267  
Total cost of revenue
    335,849       283,215       861,242       491,967  
Gross profit
    47,680       34,886       134,076       78,206  
                                 
Expenses:
                               
Product development costs
    2,833       2,486       9,024       7,425  
Selling, general and administrative
    22,153       21,863       64,857       47,291  
Depreciation of property and equipment
    1,467       1,222       4,354       3,416  
Amortization of intangible assets
    2,238       3,449       7,478       6,277  
      28,691       29,020       85,713       64,409  
Operating income
    18,989       5,866       48,363       13,797  
                                 
Interest income
    (101 )     (508 )     (572 )     (2,209 )
Interest expense
    1,088       1,609       3,248       2,407  
Net interest expense
    987       1,101       2,676       198  
                                 
Other income, net
    (20 )     (50 )     (62 )     (15 )
Income before income taxes
    18,022       4,815       45,749       13,614  
                                 
Income tax expense (benefit):
                               
Current
    9,215       3,356       15,818       5,335  
Deferred
    (2,402 )     (2,080 )     (937 )     (1,884 )
      6,813       1,276       14,881       3,451  
                                 
Net income
  $ 11,209     $ 3,539     $ 30,868     $ 10,163  
                                 
Earnings per share:
                               
Basic
  $ 0.45     $ 0.15     $ 1.25     $ 0.45  
Diluted
  $ 0.43     $ 0.15     $ 1.22     $ 0.44  
                                 
Weighted average number of shares used in computing earnings per share:
                               
Basic
    25,111,763       23,891,438       24,651,293       22,616,694  
Diluted
    26,109,202       24,346,740       25,318,349       23,034,651  


 
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SXC HEALTH SOLUTIONS CORP.
Consolidated Statements of Cash Flows
(in thousands)

   
Three months ended
   
Nine months ended
 
   
September 30,
   
September 30,
 
   
2009
   
2008
   
2009
   
2008
 
   
(unaudited)
   
(unaudited)
 
Cash flows from operating activities:
                       
Net income
  $ 11,209     $ 3,539     $ 30,868     $ 10,163  
Items not involving cash:
                               
Stock-based compensation
    1,046       902       2,477       3,006  
Depreciation of property and equipment
    2,037       1,669       5,981       4,715  
Amortization of intangible assets
    2,239       3,449       7,478       6,277  
Deferred lease inducements and rent
    (115 )     (99 )     (484 )     (206 )
Deferred income taxes
    (2,402 )     (2,080 )     (937 )     (1,884 )
Tax benefit on option exercises
    (1,341 )     (719 )     (3,447 )     (799 )
Gain on foreign exchange
    (24 )     (7 )     (50 )     (14 )
    Changes in operating assets and liabilities, net of effects from acquisition:
                         
Accounts receivable
    (9,070 )     (4,970 )     (9,444 )     7,858  
Rebates receivable
    1,935       1,864       9,009       3,017  
Restricted cash
    1,702       (335 )     65       (4,660 )
Unbilled revenue
    -       2       73       103  
Prepaid expenses
    862       (407 )     (302 )     915  
Inventory
    (915 )     93       (318 )     (171 )
Income tax recoverable
    2,967       1,264       5,205       1,618  
Accounts payable
    (2,466 )     (768 )     (2,382 )     496  
Accrued liabilities
    2,441       1,211       (3,575 )     (4,452 )
Pharmacy benefit claim payments payable
    9,868       2,585       402       1,049  
Pharmacy benefit management rebates payable
    (2,026 )     (2,632 )     7,504       (5,080 )
Deferred revenue
    (63 )     (139 )     409       (393 )
Customer deposits
    (94 )     (1,172 )     678       (1,070 )
Other
    122       20       383       111  
    Net cash provided by operating activities
    17,912       3,270       49,593       20,599  
                                 
Cash flows from investing activities:
                               
Purchases of property and equipment
    (865 )     (2,556 )     (6,611 )     (5,970 )
Lease inducements received
    -       -       -       373  
Acquisitions, net of cash acquired
    -       (892 )     (2,176 )     (102,562 )
    Net cash used in investing activities
    (865 )     (3,448 )     (8,787 )     (108,159 )
                                 
Cash flows from financing activities:
                               
Issuance of long-term debt
    -       -       -       48,000  
Proceeds from public offering, net of issuance costs
    204,107       -       204,107       -  
Payment of financing costs
    -       -       -       (1,792 )
Repayment of long-term debt
    (1,200 )     (120 )     (2,520 )     (240 )
Proceeds from exercise of options
    1,569       1,107       5,917       1,440  
Tax benefit on option exercises
    1,341       719       3,447       799  
    Net cash provided by financing activities
    205,817       1,706       210,951       48,207  
                                 
Effect of foreign exchange on cash balances
    24       7       50       14  
                                 
Increase (decrease) in cash and cash equivalents
    222,888       1,535       251,807       (39,339 )
                                 
Cash and cash equivalents, beginning of period
    96,634       50,055       67,715       90,929  
                                 
Cash and cash equivalents, end of period
  $ 319,522     $ 51,590     $ 319,522     $ 51,590  


 
 
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