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Emdeon Reports Second Quarter 2011 Results

August 8, 2011
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NASHVILLE, Tenn., Aug. 8, 2011 /PRNewswire/ –

  • Revenue of $282.1 million, increased 16.0% over second quarter 2010
  • Non-GAAP Adjusted EBITDA of $74.7 million, increased 14.7% over second quarter 2010

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


     (In millions, except per
      share amts)             2Q 11    2Q 10    % Change
                              -----    -----    --------
     Revenue                    $282.1   $243.3      16.0%
     Net Income                   $9.2     $7.3      27.2%
     Earnings per share
      (diluted)                  $0.06    $0.05      20.0%
     Non-GAAP Adjusted EBITDA    $74.7    $65.2      14.7%
     Non-GAAP Adjusted EPS       $0.26    $0.22      18.2%
     Non-GAAP fully diluted
      shares                     124.2    122.6       1.3%

“We are pleased with our financial results for the second quarter. Our new initiatives in clinical information exchange and recently acquired solutions are resonating with our customer base. Emdeon’s revenue cycle management and payment distribution solutions also continued to contribute solid organic growth,” said George Lazenby, Emdeon’s chief executive officer. “We are especially pleased with the performance of our newest acquisition, EquiClaim. Interest in this payment integrity solution has been strong among our customers and is performing well against our internal targets.”

Second quarter revenue was $282.1 million, an increase of 16.0%, compared to $243.3 million for the same period in 2010, as a result of recent acquisitions and organic growth. GAAP operating income for the second quarter of 2011 was $27.6 million compared to $30.6 million for the same period in 2010, a decrease of 10.0%. This decrease was primarily due to higher depreciation and amortization expense from 2010 acquisitions and capital expenditures, as well as higher equity compensation expense. Second quarter Non-GAAP Adjusted EBITDA grew 14.7% to $74.7 million, or 26.5% of revenue, from Non-GAAP Adjusted EBITDA of $65.2 million, or 26.8% of revenue, in the comparable period in 2010. The slight decrease in Non-GAAP Adjusted EBITDA as a percentage of revenue was primarily due to increased investment in new solutions combined with revenue mix changes, including the impact of recent acquisitions.

GAAP net income (before noncontrolling interest) for the second quarter of 2011 was $9.2 million compared to GAAP net income of $7.3 million for the same period in 2010. GAAP net income per diluted share for the second quarter of 2011 was $0.06 compared to $0.05 for the same period in 2010. Non-GAAP Adjusted Net Income per fully diluted share for the second quarter of 2011 was $0.26, using a weighted average fully diluted share count of 124.2 million, compared to $0.22, 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.”

Financial Outlook

Emdeon maintained its previously announced 2011 annual financial outlook ranges of $1.105 to $1.135 billion for revenue, $300 to $310 million for Non-GAAP Adjusted EBITDA and $1.00 to $1.06 for Non-GAAP Adjusted Net Income per fully diluted share (using a weighted average share count of 124.0 million).

Cancellation of Conference Call and Webcast

As noted in an earlier release, Emdeon entered into a definitive merger agreement on August 3, 2011 with Blackstone Capital Partners VI L.P. under which this Blackstone fund will acquire a controlling interest in Emdeon. With the proposed transaction, Emdeon will not host a conference call to discuss financial results for the second quarter of 2011. The Company expects to file its Quarterly Report on Form 10-Q for the quarter ended June 30, 2011 on or about August 9, 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 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 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 the proposed merger transaction and 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 the proposed merger transaction and 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 the proposed merger transaction include unexpected costs or liabilities, delays due to regulatory review, certain closing conditions (including the committed financing) may not be timely satisfied or waived, litigation may be commenced and general economic and business conditions may change. 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 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, 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 Six Months
                                       Ended June 30,                      Ended June 30,
                                      2011                  2010        2011                  2010
                                      ----                  ----        ----                  ----

    Revenue                       $282,110              $243,289    $553,608              $480,568
    Costs and expenses:
      Cost of operations
       (exclusive of
       depreciation and
       amortization below)         174,757               148,444     344,011               292,430
      Development and
       engineering                   9,358                 8,695      18,260                17,248
      Sales, marketing, general
       and administrative           31,498                26,243      63,145                52,362
      Depreciation and
       amortization                 38,934                29,278      76,956                57,053
                                    ------                ------      ------                ------
    Operating income                27,563                30,629      51,236                61,475
    Interest income                     (3)                   (5)         (6)                   (8)
    Interest expense                12,653                15,919      25,282                31,584
    Other                           (2,235)               (2,060)     (3,638)               (1,770)
                                    ------                ------      ------                ------
    Income before income tax
     provision                      17,148                16,775      29,598                31,669
    Income tax provision             7,920                 9,520      13,095                20,152
                                     -----                 -----      ------                ------
    Net income                       9,228                 7,255      16,503                11,517
    Net income attributable
     to noncontrolling
     interest                        3,427                 3,026       6,309                 5,399
    Net income attributable
     to Emdeon Inc.                 $5,801                $4,229     $10,194                $6,118
                                    ======                ======     =======                ======
    Net income per share
     Class A common stock:
      Basic                          $0.06                 $0.05       $0.11                 $0.07
                                     =====                 =====       =====                 =====
      Diluted                        $0.06                 $0.05       $0.11                 $0.07
                                     =====                 =====       =====                 =====
    Weighted average common
     shares outstanding:
      Basic                     91,057,293            90,061,975  91,022,516            89,879,916
                                ==========            ==========  ==========            ==========
      Diluted                   91,341,309            90,759,030  91,294,114            90,648,401
                                ==========            ==========  ==========            ==========

                                   Emdeon Inc.
                      Condensed Consolidated Balance Sheets
     (unaudited and amounts in thousands, except share and per share amounts)

                                                June 30,    December 31,
                                                      2011          2010
                                                      ----          ----
    Assets
    Current assets:
      Cash and cash equivalents                   $122,460       $99,188
      Accounts receivable, net of allowance for
       doubtful accounts of $5,523 and $5,394
       at June 30, 2011 and December 31, 2010,
       respectively                                184,992       174,191
      Deferred income tax assets                     7,811         7,913
      Prepaid expenses and other current assets     25,410        25,020
                                                    ------        ------
    Total current assets                           340,673       306,312
    Property and equipment, net                    230,979       231,307
    Goodwill                                       926,164       908,310
    Intangible assets, net                       1,007,194     1,035,886
    Other assets, net                                8,825         9,750
    Total assets                                $2,513,835    $2,491,565
                                                ==========    ==========
    Liabilities and equity
    Current liabilities:
      Accounts payable                              $6,379        $4,732
      Accrued expenses                             105,429       112,245
      Deferred revenues                             12,547        12,130
      Current portion of long-term debt             12,492        12,494
                                                    ------        ------
    Total current liabilities                      136,847       141,601
    Long-term debt, excluding current portion      936,222       933,749
    Deferred income tax liabilities                201,528       200,357
    Tax receivable agreement obligations to
     related parties                               137,964       138,533
    Other long-term liabilities                     15,165        22,037
    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 91,208,582 and 91,064,486
       shares outstanding at June 30, 2011 and
       December 31, 2010, respectively                   1          1
      Class B common stock, exchangeable (par
       value, $0.00001), 52,000,000 shares
       authorized and 24,689,142 shares
       outstanding at June 30, 2011 and
       December 31, 2010                                 -          -
      Additional paid-in capital                   749,536       738,888
      Contingent consideration                       1,955         1,955
      Accumulated other comprehensive loss          (1,280)       (2,569)
      Retained earnings                             63,444        53,250
                                                    ------        ------
    Emdeon Inc. equity                             813,656       791,525
    Noncontrolling interest                        272,453       263,763
                                                   -------       -------
    Total equity                                 1,086,109     1,055,288
    Total liabilities and equity                $2,513,835    $2,491,565
                                                ==========    ==========

                                        Emdeon Inc.
                      Condensed Consolidated Statements of Cash Flows
                           (unaudited and amounts in thousands)

                                                      For the Six Months
                                                        Ended June 30,
                                                       2011              2010
                                                       ----              ----
    Operating activities
      Net income                                    $16,503           $11,517
      Adjustments to reconcile net income to net
       cash provided by operating activities:
      Depreciation and amortization                  76,956            57,053
      Equity compensation expense                    11,483             7,847
      Deferred income tax expense                     2,058             7,250
      Amortization of debt discount and issuance
       costs                                          6,945             6,300
      Amortization of discontinued cash flow hedge
       from other comprehensive loss                  1,879             2,918
      Change in contingent consideration             (3,638)           (1,770)
      Change in fair value of interest rate swap
       (not subject to hedge accounting)             (5,163)                -
      Other                                              16               (50)
      Changes in operating assets and liabilities:
        Accounts receivable                          (8,819)              814
        Prepaid expenses and other                    2,360             1,909
        Accounts payable                              3,925            (1,550)
        Accrued expenses and other liabilities          399              (456)
        Deferred revenues                               417            (1,190)
        Tax receivable agreement obligations to
         related parties                             (2,913)           (1,480)
    Net cash provided by operating activities       102,408            89,112
                                                    -------            ------
    Investing activities
      Purchases of property and equipment           (34,088)          (35,772)
      Payments for acquisitions, net of cash
       acquired                                     (39,758)          (41,991)
      Other                                               -            (3,000)
    Net cash used in investing activities           (73,846)          (80,763)
                                                    -------           -------
    Financing activities
      Debt principal payments                        (4,275)           (3,775)
      Other                                          (1,015)             (104)
    Net cash used in financing activities            (5,290)           (3,879)
                                                     ------            ------
    Net increase in cash and cash equivalents        23,272             4,470
    Cash and cash equivalents at beginning of
     period                                          99,188           211,999
    Cash and cash equivalents at end of period     $122,460          $216,469
                                                   ========          ========

             Segment Information
     (unaudited and amounts in thousands)

                                  For the Three Months Ended June 30, 2011                   For the Three Months Ended June 30, 2010
                                  ----------------------------------------                   ----------------------------------------
                                                           Corporate &                                                    Corporate &
                           Payer    Provider   Pharmacy    Eliminations   Consolidated  Payer      Provider   Pharmacy    Eliminations  Consolidated
                           -----    --------   --------    ------------   ------------      -----   --------   --------   ------------  ------------
    Revenue from external
     customers
      Claims management    $52,972         $-         $-             $-        $52,972    $49,695         $-         $-             $-       $49,695
      Payment services      62,507          -          -              -         62,507     56,504          -          -              -        56,504
      Patient statements         -     65,022          -              -         65,022          -     65,705          -              -        65,705
      Revenue cycle
       management                -     72,945          -              -         72,945          -     43,511          -              -        43,511
      Dental                     -      7,871          -              -          7,871          -      7,947          -              -         7,947
      Pharmacy services          -          -     20,793              -         20,793          -          -     19,927              -        19,927
    Inter-segment revenue      864        124          -           (988)             -        680         72          -           (752)            -
                               ---        ---        ---           ----            ---        ---        ---        ---           ----           ---
    Net revenue            116,343    145,962     20,793           (988)       282,110    106,879    117,235     19,927           (752)      243,289
    Costs and expenses:
      Cost of operations    77,545     89,268      8,872           (928)       174,757     69,947     71,963      7,254           (720)      148,444
      Development and
       engineering           2,869      4,713      1,776              -          9,358      2,992      3,898      1,805              -         8,695
      Sales, marketing,
       general and
       administrative        7,058      9,439      1,287         13,714         31,498      6,206      6,810      1,503         11,724        26,243
                                                                                ------                                                        ------
    Segment contribution
     (1)                   $28,871    $42,542     $8,858       $(13,774)        66,497    $27,734    $34,564     $9,365       $(11,756)       59,907
                           =======    =======     ======       ========                   =======    =======     ======       ========
    Depreciation and
     amortization                                                               38,934                                                        29,278
    Interest income                                                                 (3)                                                           (5)
    Interest expense                                                            12,653                                                        15,919
    Other                                                                       (2,235)                                                       (2,060)
    Income before income
     tax provision                                                             $17,148                                                       $16,775
                                                                               =======                                                       =======

                                   For the Six Months Ended June 30, 2011                     For the Six Months Ended June 30, 2010
                                   --------------------------------------                     --------------------------------------
                                                           Corporate &                                                    Corporate &
                           Payer    Provider   Pharmacy    Eliminations   Consolidated  Payer      Provider   Pharmacy    Eliminations  Consolidated
                           -----    --------   --------    ------------   ------------      -----   --------   --------   ------------  ------------
    Revenue from external
     customers
      Claims management   $100,526         $-         $-             $-       $100,526    $94,843         $-         $-             $-       $94,843
      Payment services     124,742          -          -              -        124,742    113,324          -          -              -       113,324
      Patient statements         -    128,539          -              -        128,539          -    132,294          -              -       132,294
      Revenue cycle
       management                -    142,799          -              -        142,799          -     84,600          -              -        84,600
      Dental                     -     15,604          -              -         15,604          -     15,884          -              -        15,884
      Pharmacy services          -          -     41,398              -         41,398          -          -     39,623              -        39,623
    Inter-segment revenue    1,720        240          -         (1,960)             -      1,554        158          -         (1,712)            -
                             -----        ---        ---         ------            ---      -----        ---        ---         ------           ---
    Net revenue            226,988    287,182     41,398         (1,960)       553,608    209,721    232,936     39,623         (1,712)      480,568
    Costs and expenses:
      Cost of operations   152,872    175,439     17,535         (1,835)       344,011    136,578    143,521     13,979         (1,648)      292,430
      Development and
       engineering           5,727      9,032      3,501              -         18,260      5,966      7,762      3,520              -        17,248
      Sales, marketing,
       general and
       administrative       13,871     19,955      2,589         26,730         63,145     13,166     13,700      3,061         22,435        52,362
                                                                                ------                                                        ------
    Segment contribution
     (1)                   $54,518    $82,756    $17,773       $(26,855)       128,192    $54,011    $67,953    $19,063       $(22,499)      118,528
                           =======    =======    =======       ========                   =======    =======    =======       ========
    Depreciation and
     amortization                                                               76,956                                                        57,053
    Interest income                                                                 (6)                                                           (8)
    Interest expense                                                            25,282                                                        31,584
    Other                                                                       (3,638)                                                       (1,770)
    Income before income
     tax provision                                                             $29,598                                                       $31,669
                                                                               =======                                                       =======
    (1) Segment contribution has been reduced by equity-based
    compensation expense of $5,910, $4,172, $11,483 and $7,847 for the
    three months and six months ended June 30, 2011 and 2010,
    respectively. Segment contribution without such equity-based
    compensation expense would have been $72,407, $64,079, $139,675 and
    $126,375 for the three and six months ended June 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 also presents Adjusted EBITDA and Adjusted Net Income per fully diluted share on a forward-looking basis as part of its Financial Outlook for 2011. 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 Six Months
                         Ended June 30,                    Ended June 30,
                        2011              2010          2011              2010
                        ----              ----          ----              ----

    Net income        $9,228            $7,255       $16,503           $11,517
    Interest
     expense, net     12,650            15,914        25,276            31,576
    Income tax
     provision         7,920             9,520        13,095            20,152
    Depreciation
     and
     amortization     38,934            29,278        76,956            57,053
                      ------            ------        ------            ------
    EBITDA            68,732            61,967       131,830           120,298

      Equity-based
       compensation    5,910             4,172        11,483             7,847
      Acquisition
       method
       adjustments         -                17             -               193
      Facilities
       consolidation
       costs             417               (27)          513               403
      Acquisition-
       related
       costs           1,521             1,087         2,735             2,026
      Tax
       receivable
       agreements
       change in
       estimate       365              -        615         (1,480)
      Contingent
       consideration
       adjustments    (2,235)           (2,060)       (3,638)           (1,770)
                      ------            ------        ------            ------
      EBITDA
       Adjustments     5,978             3,189        11,708             7,219
                       -----             -----        ------             -----

    Adjusted
     EBITDA          $74,710           $65,156      $143,538          $127,517
                     =======           =======      ========          ========

                           Emdeon Inc.
     Reconciliation of GAAP Net Income to Adjusted Net Income
               (unaudited and amounts in thousands)

                                                    For the Three Months       For the Six Months
                                                       Ended June 30,            Ended June 30,
                                                      2011            2010    2011            2010
                                                      ----            ----    ----            ----

    Net income                                      $9,228          $7,255 $16,503         $11,517
      Income tax provision                           7,920           9,520  13,095          20,152
      EBITDA Adjustments                             5,978           3,189  11,708           7,219
      Non-cash interest expense                      2,586           4,630   5,154           9,218
      Depreciation and amortization resulting from
       acquisition method adjustments               26,790          19,965  52,876          39,141
                                                    ------          ------  ------          ------

    Adjusted net income before income taxes         52,502          44,559  99,336          87,247
      Normalized income tax provision               20,738          17,601  39,238          34,463
                                                    ------          ------  ------          ------

    Adjusted Net Income                            $31,764         $26,958 $60,098         $52,784
                                                   =======         ======= =======         =======

                                  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 Six Months
                                                        Ended June 30,          Ended June 30,
                                                       2011            2010  2011            2010
                                                       ----            ----  ----            ----
    Net income per diluted share of Class A common
     stock                                            $0.06           $0.05 $0.11           $0.07
      Impact of assuming full dilution of all
       outstanding equity instruments for the period   0.02            0.00  0.03            0.01
    Adjustments on a per share basis:
      Income tax provision                             0.06            0.08  0.11            0.17
      EBITDA Adjustments                               0.05            0.03  0.09            0.06
      Non-cash interest expense                        0.02            0.04  0.04            0.08
      Depreciation and amortization resulting from
       acquisition method adjustments                  0.22            0.16  0.43            0.32
                                                       ----            ----  ----            ----

    Adjusted net income before income taxes            0.43            0.36  0.81            0.71
      Normalized income tax provision                  0.17            0.14  0.32            0.28
                                                       ----            ----  ----            ----
    Adjusted Net Income per fully diluted share        0.26           $0.22 $0.49           $0.43
                                                       ====           ===== =====           =====

    (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 Six Months
                                        Ended June 30,      Ended June 30,
     Weighted average of:              2011            2010    2011      2010
                                       ----            ----    ----      ----
     Class A shares outstanding      91,148          90,633  91,114    90,548
     Class B shares outstanding      24,483          24,689  24,483    24,707
     Restricted stock units
      outstanding                       900             759     847       666
     Options to purchase Class A
      shares outstanding              7,662           6,488   7,241     6,015
                                      -----           -----   -----     -----
     Shares assumed in Adjusted Net
      Income per fully diluted
      share calculation             124,193         122,569 123,685   121,936
                                    =======         ======= =======   =======

SOURCE Emdeon Inc.


Source: newswire