EX-99.1 2 g22520exv99w1.htm EX-99.1 exv99w1
Exhibit 99.1
(EMDEON LOGO)
FOR IMMEDIATE RELEASE
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
NASHVILLE, Tenn. (March 16, 2010) — 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.

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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

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    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 million1
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
 
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.

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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.
# # #
Contacts:
Investor Relations

Tommy Lewis
615.932.3235
tlewis@emdeon.com

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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  
         

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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  
 
           

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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  
 
           

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Segment Information
(unaudited and amounts in thousands)
                                                                                 
    For the Three Months Ended December 31, 2009     For the Three Months Ended December 31, 2008  
                            Corporate &                                     Corporate &        
    Payer     Provider     Pharmacy     Eliminations     Consolidated     Payer     Provider     Pharmacy     Eliminations     Consolidated  
Revenue from external customers
                                                                               
Claims management
  $ 47,165     $     $     $     $ 47,165     $ 45,309     $     $     $     $ 45,309  
Payment services
    55,552                         55,552       49,352                         49,352  
Patient statements
          67,086                   67,086             67,733                   67,733  
Revenue cycle management
          40,287                   40,287             38,010                   38,010  
Dental
          7,823                   7,823             7,653                   7,653  
Pharmacy services
                20,647             20,647                   9,876             9,876  
Inter-segment revenue
    468       110             (578 )           57       470             (527 )      
       
Net revenue
    103,185       115,306       20,647       (578 )     238,560       94,718       113,866       9,876       (527 )     217,933  
Costs and expenses:
                                                                               
Cost of operations
    65,379       73,236       6,721       (548 )     144,788       60,112       74,533       1,925       (430 )     136,140  
Development and engineering
    3,505       4,011       1,987             9,503       3,019       3,543       1,034             7,596  
Sales, marketing, general and administrative
    5,342       7,643       2,608       12,962       28,555       4,559       7,587       968       8,789       21,903  
Loss on abandonment of leased properties
          45             888       933                         3,081       3,081  
       
Segment contribution (1)
  $ 28,959     $ 30,371     $ 9,331     $ (13,880 )     54,781     $ 27,028     $ 28,203     $ 5,949     $ (11,967 )     49,213  
                         
Depreciation and amortization
                                    28,270                                       25,885  
Interest income
                                                                          (32 )
Interest expense
                                    17,921                                       21,818  
Other income
                                    (519 )                                        
 
                                                                           
Income before income tax provision
                                  $ 9,109                                     $ 1,542  
 
                                                                           
 
                                                                               
                                                                                 
    For the Year Ended December 31, 2009     For the Year Ended December 31, 2008  
                            Corporate &                                     Corporate &        
    Payer     Provider     Pharmacy     Eliminations     Consolidated     Payer     Provider     Pharmacy     Eliminations     Consolidated  
Revenue from external customers
                                                                               
Claims management
  $ 184,605     $     $     $     $ 184,605     $ 179,930     $     $     $     $ 179,930  
Payment services
    211,985                         211,985       191,874                         191,874  
Patient statements
          274,390                   274,390             266,233                   266,233  
Revenue cycle management
          155,112                   155,112             144,904                   144,904  
Dental
          31,513                   31,513             31,591                   31,591  
Pharmacy services
                60,843             60,843                   39,067             39,067  
Inter-segment revenue
    902       1,498             (2,400 )           355       2,117             (2,472 )      
       
Net revenue
    397,492       462,513       60,843       (2,400 )     918,448       372,159       444,845       39,067       (2,472 )     853,599  
Costs and expenses:
                                                                               
Cost of operations
    253,473       294,700       16,668       (1,974 )     562,867       242,950       292,844       7,612       (1,843 )     541,563  
Development and engineering
    12,677       15,294       5,957             33,928       10,472       14,015       4,138             28,625  
Sales, marketing, general and administrative
    25,803       31,978       8,047       47,873       113,701       23,286       30,475       3,864       33,587       91,212  
Loss on abandonment of leased properties
          45             1,630       1,675                         3,081       3,081  
       
Segment contribution (1)
  $ 105,539     $ 120,496     $ 30,171     $ (49,929 )     206,277     $ 95,451     $ 107,511     $ 23,453     $ (37,297 )     189,118  
                         
Depreciation and amortization
                                    105,321                                       97,864  
Interest income
                                    (75 )                                       (963 )
Interest expense
                                    70,246                                       71,717  
Other income
                                    (519 )                                        
 
                                                                           
Income before income tax provision
                                  $ 31,304                                     $ 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.

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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

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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.

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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  
 
                       

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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,  
Weighted average of:   2009     2008     2009     2008  
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  
 
                       

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