Search the web
Welcome, Guest
[Sign Out, My Account]
EDGAR_Online

Quotes & Info
Enter Symbol(s):
e.g. YHOO, ^DJI
Symbol Lookup | Financial Search
MRGE > SEC Filings for MRGE > Form 10-Q on 30-Oct-2009All Recent SEC Filings

Show all filings for MERGE HEALTHCARE INC | Request a Trial to NEW EDGAR Online Pro

Form 10-Q for MERGE HEALTHCARE INC


30-Oct-2009

Quarterly Report


Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations

Cautionary Note Regarding Forward-Looking Statements

The discussion below contains "forward-looking statements" within the meaning of the Private Securities Litigation Reform Act of 1995, Section 27A of the Securities Act, and Section 21E of the Exchange Act. We have used words such as "believes," "intends," "anticipates," "expects" and similar expressions to identify forward-looking statements. These statements are based on information currently available to us and are subject to a number of risks and uncertainties that may cause our actual results of operations, financial condition, cash flows, performance, business prospects and opportunities and the timing of certain events to differ materially from those expressed in, or implied by, these statements. These risks, uncertainties and other factors include, without limitation, those matters discussed in Item 1A of Part I of our Annual Report on Form 10-K for the year ended December 31, 2008. Except as expressly required by the federal securities laws, we undertake no obligation to update such factors or to publicly announce the results of any of the forward-looking statements contained herein to reflect future events, developments, or changed circumstances, or for any other reason. The following discussion should be read in conjunction with our consolidated financial statements and notes thereto appearing in our Annual Report on Form 10-K, and Item 1A, "Risk Factors" in both our Annual Report on Form 10-K for the year ended December 31, 2008 and this Quarterly Report on Form 10-Q.

Management's Discussion and Analysis is presented in the following order:

· Overview

· Results of Operations

· Business Segments

· Liquidity and Capital Resources

· Material Off Balance Sheet Arrangements

· Critical Accounting Policies

Overview

We develop software solutions that automate healthcare data and diagnostic workflow to create a more comprehensive electronic record of the patient experience. Our products, ranging from standards-based development toolkits to fully integrated clinical applications, have been used by healthcare providers worldwide for over 20 years. We have significantly expanded our product offerings during the last quarter through strategic acquisitions.

On September 1, 2009, we completed the acquisition of Confirma, Inc. ("Confirma"), a provider of computer systems for processing and presentation of data from magnetic resonance imaging ("MRI") studies. Under terms of the agreement, we acquired all the outstanding shares of Confirma in exchange for 5.4 million shares of Merge Common Stock. Total consideration for the transaction was $16.2 million. Upon completion of the acquisition, we renamed this entity Merge CAD.

On July 20, 2009, we completed the acquisition of etrials Worldwide, Inc. ("etrials"), a provider of clinical trials software and services. Under the terms of the Merger Agreement, we acquired all of the outstanding shares of common stock of etrials for consideration per share of $0.80 in cash, without interest, and 0.3448 shares of Merge Common Stock. Total consideration for the transaction was $25.1 million. Upon completion of the acquisition, we renamed this entity Merge eClinical.

We have seen our markets become increasingly affected by the continuing global macroeconomic downturn. The downturn, which first started in the U.S., has also impacted our customers in other parts of the world. We believe that the initiatives undertaken to reduce our operating expenses have appropriately positioned our recurring cost structure. We believe it is likely that this economic downturn will continue to persist; however, we cannot predict its severity, duration or impact on our future operating results.

We will attempt to use the economic downturn as an opportunity to expand our market share and to continue moving into similar, related, or adjacent markets to those in which we currently are active, as well as invest in international growth. We continue to develop new products and are pleased with the breadth and depth of our product lines and service capabilities.

We are also monitoring the increasing regulatory and legislative activity surrounding healthcare and health information technology. Thus far in 2009, the American Reinvestment and Recovery Act was passed in the U.S. and included stimulus monies for health IT adoption. Current legislation under discussion in the U.S. includes changes to the utilization factor for reimbursement, which could negatively impact imaging practices, as well as overall healthcare reform. Due to the complexity of the reform legislation and its potential impact on us as both a vendor and employer, it is difficult to forecast any potential net impact on our customers and market, and thus we remain cautious about the impact on our business.

~ 18 ~


Index

Results of Operations

In addition to the acquisitions of etrials and Confirm, the following operational activities and economic considerations have significantly impacted the comparability of the results of operations for the periods discussed herein:

· Concurrent with the acquisition of etrials in July 2009, we completed a restructuring initiative to reduce our workforce by approximately 35 individuals based upon an assessment of ongoing personnel needs. As a result, we incurred $1.7 million of severance and related costs in the third quarter of 2009.

· During 2008, we completed two significant restructuring initiatives, the first in February 2008 and the second in June 2008. Both of these initiatives included workforce reductions in all parts of the organization as well as elimination of facilities.

· In the second quarter of 2008, we disposed of our French subsidiary.

· In the second quarter of 2008, we completed a private placement pursuant to which we raised net proceeds of $16.6 million.

· In the third quarter of 2008, we exited our operations in India.

· Our Canadian operations primarily invoice customers in U.S. dollars, whereas the majority of operating expenses, which include approximately one-fourth of our current workforce, are denominated in the Canadian dollar. During late 2008, the U.S. dollar to Canadian dollar exchange rate significantly strengthened. As a result, we have experienced an approximate 6% reduction in average cost for our Canadian dollar denominated expenses in the three months ended September 30, 2009 when compared to similar costs in the three months ended September 30, 2008. In the nine months ended September 30, 2009, we experienced an approximate 15% reduction of similar costs compared to the nine months ended September 30, 2008 as a result of exchange rate changes.

In addition, we have enhanced our financial reporting process to allow us to obtain discrete operating results for our business units. As a result, effective in the third quarter of 2009, we have reportable segments, which we have designated as Direct and Indirect. See "Business Segments" for further discussion.

Three Months Ended September 30, 2009 Compared to the Three Months Ended September 30, 2008

The results of operations for the three months ended September 30, 2009 include those of etrials since July 20, 2009 and Confirma since September 1, 2009. The following table sets forth selected, summarized, unaudited, consolidated financial data for the periods indicated, as well as comparative data showing increases and decreases between the periods. All amounts, except percentages, are in thousands.

~ 19 ~


Index

                                                          Three Months Ended September 30,                     Change
                                                     2009         %    (1)      2008         %    (1)        $           %

Net sales:
    Software and other                              $   7,755    45.9%         $   7,398    50.6%         $     357      4.8%
    Services and maintenance                            9,152    54.1%             7,218    49.4%             1,934     26.8%
Total net sales                                        16,907   100.0%            14,616   100.0%             2,291     15.7%
Cost of sales:
    Software and other                                    600     7.7%             1,314    17.8%             (714)    -54.3%
    Services and maintenance                            3,402    37.2%             2,528    35.0%               874     34.6%
    Amortization                                          899       NM (2)           742       NM (2)           157     21.2%
Total cost of sales                                     4,901    29.0%             4,584    31.4%               317      6.9%
Gross margin
    Software and other                                  6,256    80.7% (3)         5,342    72.2% (3)           914     17.1%
    Services and maintenance                            5,750    62.8%             4,690    65.0%             1,060     22.6%
Total gross margin                                     12,006    71.0%            10,032    68.6%             1,974     19.7%
Operating expenses:
    Sales and marketing                                 2,470    14.6%             1,824    12.5%               646     35.4%
    Product research and development                    2,689    15.9%             2,931    20.1%             (242)     -8.3%
    General and administrative                          3,616    21.4%             3,483    23.8%               133      3.8%
    Acquisition-related expenses                          658     3.9%                 -     0.0%               658        NM (2)
    Trade name impairment, restructuring and            1,974    11.7%             (205)    -1.4%             2,179        NM (2)
    other expenses
    Depreciation, amortization and impairment             755     4.5%               654     4.5%               101     15.4%
Total operating costs and expenses                     12,162    71.9%             8,687    59.4%             3,475     40.0%
Operating income (loss)                                 (156)    -0.9%             1,345     9.2%           (1,501)   -111.6%
Other income (expense), net                             (751)    -4.4%             (648)    -4.4%             (103)     15.9%
Income (loss) before income taxes                       (907)    -5.4%               697     4.8%           (1,604)   -230.1%
Income tax expense (benefit)                               29     0.2%               269     1.8%             (240)    -89.2%
Net income (loss)                                  $    (936)    -5.5%         $     428     2.9%        $  (1,364)   -318.7%

(1) Percentages are of total net sales, except for cost of sales and gross margin, which are based upon related net sales.
(2) NM denotes percentage is not meaningful.
(3) Gross margin for software and other sales includes amortization expense recorded in cost of sales.

Net Sales

Net sales, by segment, are as follows:

                                 Three Months Ended September 30,                  Change
                              2009          %          2008         %           $            %
Indirect
Software and other         $    5,455       32.3 %   $  4,374       29.9 %   $ 1,081        24.7 %
Services and maintenance        2,449       14.5 %      2,695       18.4 %      (246 )      -9.1 %
Total net sales                 7,904       46.7 %      7,069       48.4 %       835        11.8 %
Direct
Software and other              2,300       13.6 %      3,024       20.7 %      (724 )     -23.9 %
Services and maintenance        6,703       39.6 %      4,523       30.9 %     2,180        48.2 %
Total net sales                 9,003       53.3 %      7,547       51.6 %     1,456        19.3 %
Total net sales            $   16,907                $ 14,616                $ 2,291

Software and Other Sales. Total software and other sales in 2009 were $7.8 million, an increase of $0.4 million, or 4.8%, from $7.4 million in 2008. Indirect sales increased $1.1 million, including $0.2 million from Confirma, as a result of our 2008 shift in strategic focus towards sales of technology and less emphasis on customer engineering projects. The third quarter of 2008 was the first full quarter after funding had been received from Merrick (June 2008), which began to alleviate viability concerns, which we believe no longer exist today. Direct sales decreased $0.7 million, primarily as a result of the downturn in general macroeconomic conditions in North America, transition to a per-study pricing model and 2009 having fewer contracts with significant hardware components when compared to 2008. We anticipate that the revenue recognized from software and other sales may vary significantly on a quarterly basis, especially in the current economic environment.

~ 20 ~


Index

Service and Maintenance Sales. Total service and maintenance sales in 2009 were $9.1 million, an increase of $1.9 million, or 26.8%, from $7.2 million in 2008. Indirect sales decreased $0.7 million due to a decrease in the number of custom engineering services projects and revenue, primarily as a result of the reluctance of customers to start new projects in the current economic environment and the 2008 shift in strategic focus previously discussed. Indirect service and maintenance sales in 2009 include $0.4 million from Confirma. The increase of $2.2 million in Direct is primarily due to the acquisition of etrials, which accounted for $2.4 million in sales.

Gross Margin

Gross Margin - Software and Other Sales. Gross margin on software and other sales was $6.2 million in 2009, an increase of $0.9 million, or 17.1%, from $5.3 million in 2008. Gross margin as a percentage of software and other sales increased to 80.7% in 2009 from 72.2% in 2008, primarily due to the change in mix of sales from our segments. Indirect sales, which typically consist of software only or minimal hardware component contracts that generate high margins, were 70.3% of sales in 2009 compared to 59.1% in 2008. In addition, Direct sales, which can include greater hardware components, incurred a decrease in the hardware component portion of sales to 9.5% of sales in 2009 compared to 23.8% in 2008. We expect our gross margin on software and other sales going forward to fluctuate depending on the mix between the segments and the hardware components included in such sales.

Gross Margin - Services and Maintenance Sales. Gross margin on services and maintenance sales was $5.8 million in 2009, an increase of $1.1 million, or 22.6%, from $4.7 million in 2008. Gross margin as a percentage of services and maintenance sales decreased to 62.8% in 2009 from 65.0% in 2008, primarily as a result of the acquisition of etrials. Costs of sales for etrials include the hosting and other vendor fees associated with the clinical trial services provided. As the majority of such costs are fixed, we expect our gross margin on services and maintenance sales going forward to fluctuate depending on the sales generated by etrials and overall services and maintenance sales mix between the segments.

Sales and Marketing

Sales and marketing expense increased $0.6 million, or 35.4%, to $2.4 million in 2009 from $1.8 million in 2008. The increase was primarily due to expenses associated with the etrials and Confirma businesses, which were acquired in the third quarter of 2009.

Product Research and Development

Product research and development expense decreased $0.2 million, or 8.3%, to $2.7 million in 2009 from $2.9 million in 2008. The decrease was primarily due to a $0.3 million reduction in third party service costs as a result of our restructuring initiative completed in 2008, a $0.3 million reduction due to the disposal of our India operations in the third quarter of 2008, and $0.2 million of employee related costs as a result of the July 2009 restructuring initiative. This decrease was offset by $0.6 million of expenses associated with the etrials and Confirma businesses, which were acquired in the third quarter of 2009.

General and Administrative

General and administrative expense increased $0.1 million, or 3.8%, to $3.6 million in 2009 from $3.5 million in 2008. Expenses increased $0.9 million as a result of our acquisitions in the third quarter of 2009, offset by decreases of $0.4 million in legal fees and various expense reduction efforts, such as the disposal of our India operations in the third quarter of 2008. The 2009 expense includes severance, which did not qualify as a restructuring charge, to former officers of Confirma of $0.2 million.

Acquisition-Related Expenses

Acquisition-related expenses are costs incurred to effect business combinations, including banking, legal, accounting, valuation and other professional or consulting fees. In 2009, we incurred $0.7 million in expenses related to our acquisitions of etrials, which we completed in July 2009, and Confirma, which we completed in September 2009.

Trade Name Impairment, Restructuring and Other Expenses

In 2009, we recorded $2.0 million in trade name impairment, restructuring and other expense, including $1.7 million in restructuring expenses related to the initiative announced in July 2009, and $0.3 million due to the abandonment of a portion of leased space subsequent to the acquisition of Confirma. In 2008, we recorded a $0.2 million gain due to a $0.1 million gain on the sale of an Indian subsidiary and minor changes in estimates related to the restructuring initiative announced in June 2008.

~ 21 ~


Index

Income Tax Expense (Benefit)

In 2009, we recorded income tax expense resulting in an effective tax rate of
(3.2)%, compared to an effective tax rate of 38.6% in 2008. Our effective tax rates in 2009 and 2008 differ significantly from statutory rates primarily due to recording a valuation allowance for deferred tax assets that are not more-likely-than-not to be realized, primarily in the U.S., and realizing assets that are fully reserved with a valuation allowance, primarily in Canada. Our expected effective income tax rate is volatile and may move up or down with changes in, among other items, operating income and the results of changes in tax law and regulations of the U.S. and the foreign jurisdictions in which we operate.

Nine Months Ended September 30, 2009 Compared to the Nine Months Ended September 30, 2008

The results of operations for the nine months ended September 30, 2009 include those of etrials since July 20, 2009 and Confirma since September 1, 2009. The following table sets forth selected, summarized, unaudited, consolidated financial data for the periods indicated, as well as comparative data showing increases and decreases between the periods. All amounts, except percentages, are in thousands.

                                                          Nine Months Ended September 30,                      Change
                                                    2009         %    (1)       2008         %    (1)        $           %

Net sales:
    Software and other                             $  25,459    53.5%          $  19,733    47.4%         $   5,726     29.0%
    Services and maintenance                          22,110    46.5%             21,941    52.6%               169      0.8%
Total net sales                                       47,569   100.0%             41,674   100.0%             5,895     14.1%
Cost of sales:
    Software and other                                 2,710    10.6%              3,842    19.5%           (1,132)    -29.5%
    Services and maintenance                           7,925    35.8%              9,471    43.2%           (1,546)    -16.3%
    Amortization                                       2,172       NM (2)          2,174       NM (2)           (2)     -0.1%
Total cost of sales                                   12,807    26.9%             15,487    37.2%           (2,680)    -17.3%
Gross margin
    Software and other                                20,577    80.8% (3)         13,717    69.5% (3)         6,860     50.0%
    Services and maintenance                          14,185    64.2%             12,470    56.8%             1,715     13.8%
Total gross margin                                    34,762    73.1%             26,187    62.8%             8,575     32.7%
Operating expenses:
    Sales and marketing                                5,968    12.5%              7,497    18.0%           (1,529)    -20.4%
    Product research and development                   7,503    15.8%             11,151    26.8%           (3,648)    -32.7%
    General and administrative                         8,972    18.9%             18,093    43.4%           (9,121)    -50.4%
    Acquisition-related expenses                         997     2.1%                  -     0.0%               997        NM (2)
    Trade name impairment, restructuring and           1,974     4.1%             11,862    28.5%           (9,888)    -83.4%
    other expenses
    Depreciation, amortization and impairment          1,849     3.9%              2,954     7.1%           (1,105)    -37.4%
Total operating costs and expenses                    27,263    57.3%             51,557   123.7%          (24,294)    -47.1%
Operating income (loss)                                7,499    15.8%           (25,370)   -60.9%            32,869   -129.6%
Other income (expense), net                          (5,075)   -10.7%              (346)    -0.8%           (4,729)        NM (2)
Income (loss) before income taxes                      2,424     5.1%           (25,716)   -61.7%            28,140   -109.4%
Income tax expense (benefit)                              72     0.2%              (115)    -0.3%               187   -162.6%
Net income (loss)                                  $   2,352     4.9%        $  (25,601)   -61.4%         $  27,953   -109.2%

(1) Percentages are of total net sales, except for cost of sales and gross margin, which are based upon related net sales.
(2) NM denotes percentage is not meaningful.
(3) Gross margin for software and other sales includes amortization expense recorded in cost of sales.

Net Sales

Net sales, by segment, are as follows:



                                     ~ 22 ~
--------------------------------------------------------------------------------
  Index

                                 Nine Months Ended September 30,                   Change
                             2009          %          2008         %            $            %

Indirect
Software and other         $  18,603       39.1 %   $ 10,882       26.1 %   $  7,721        71.0 %
Services and maintenance       6,503       13.7 %      8,786       21.1 %     (2,283 )     -26.0 %
Total net sales               25,106       52.8 %     19,668       47.2 %      5,438        27.6 %
Direct
Software and other             6,856       14.4 %      8,851       21.2 %     (1,995 )     -22.5 %
Services and maintenance      15,607       32.8 %     13,155       31.6 %      2,452        18.6 %
Total net sales               22,463       47.2 %     22,006       52.8 %        457         2.1 %
Total net sales            $  47,569                $ 41,674                $  5,895

Software and Other Sales. Total software and other sales in 2009 were $25.4 million, an increase of approximately $5.7 million, or 29.0%, from $19.7 million in 2008. Indirect sales increased $7.7 million, primarily due to the fact that sales were negatively affected in 2008 because of customer concerns with our financial viability. We believe that these concerns were largely alleviated with the financing transaction completed in June of 2008. In addition, 2009 Indirect sales, when compared to 2008, include $1.8 million of additional sales from Eklin Medical Systems, Inc. ("Eklin") due to a new agreement with this customer in the second quarter of 2009. Direct sales decreased $2.0 million primarily as a result of the downturn in general macroeconomic conditions in North America, transition to a per-study pricing model and 2009 having fewer contracts with significant hardware components compared to 2008. We anticipate that the revenue recognized from software and other sales may vary significantly on a quarterly basis.

Service and Maintenance Sales. Total service and maintenance sales in 2009 were $22.1 million, an increase of $0.2 million, or 0.8%, from $21.9 million in 2008. Direct sales increased $2.5 million primarily due to the acquisition of etrials, which accounted for $2.4 million in sales. Indirect sales decreased $2.3 million due to a decline in the number of custom engineering services projects and revenue, primarily as a result of the reluctance of customers to start new projects in the current economic environment and the 2008 shift in strategic focus previously discussed. Indirect service and maintenance sales in 2009 include $0.4 million from Confirma.

Gross Margin

Gross Margin - Software and Other Sales. Gross margin on software and other sales was $20.6 million in 2009, an increase of $6.9 million, or 50.0%, from $13.7 million in 2008. Gross margin as a percentage of software and other sales increased to 80.8% in 2009 from 69.5% in 2008, primarily due to the mix in sales from our segments. Indirect sales, which typically consist of software only or minimal hardware component contracts that generate higher margins, were 73.1% of software and other sales in 2009 compared to 55.1% in 2008. In addition, Direct sales, which can include greater hardware components, incurred a decrease in the hardware component portion of sales to 15.5% of sales in 2009 compared to 30.5% in 2008. We expect our gross margin on software and other sales going forward to fluctuate depending on the mix of sales between the segments and the hardware components included in such sales.

Gross Margin - Services and Maintenance Sales. Gross margin on services and maintenance sales was $14.2 million in 2009, an increase of $1.7 million, or 13.8%, from $12.5 million in 2008. Gross margin as a percentage of sales increased to 64.2% in 2009 from 56.8% in 2008 primarily due to a decrease in salaries and other related expenses (including travel and entertainment) as a result of our restructuring initiatives completed in 2008. As the majority of service and maintenance costs are fixed, we expect the gross margin going forward to fluctuate depending on the mix of sales between the segments.

Sales and Marketing

Sales and marketing expense decreased $1.5 million, or 20.4%, to $6.0 million in 2009 from $7.5 million in 2008. Salaries, commissions and other related expenses (including travel and entertainment) decreased by $1.6 million and share-based compensation expense decreased by $0.2 million as a result of the restructuring initiatives completed in the first half of 2008. Also, we experienced a $0.2 million decrease in Canadian related costs due to the strengthening of the average exchange rate for the U.S dollar compared to the Canadian dollar in 2009. In addition, 2008 includes $0.3 million of sales and marketing expenses related to the French subsidiary which we disposed of in April 2008. These decreases were offset by an increase of $0.8 million in expenses related to our 2009 acquisitions. We anticipate that the quarterly sales and marketing expenses will increase during the remainder of 2009, when compared to the first three quarters of 2009, due to the additional headcount and related expenses associated with our acquisitions of etrials and Confirma in the third quarter of 2009.

~ 23 ~


. . .
  Add MRGE to Portfolio     Set Alert         Email to a Friend  
Get SEC Filings for Another Symbol: Symbol Lookup
Quotes & Info for MRGE - All Recent SEC Filings
Sign Up for a Free Trial to the NEW EDGAR Online Pro
Detailed SEC, Financial, Ownership and Offering Data on over 12,000 U.S. Public Companies.
Actionable and easy-to-use with searching, alerting, downloading and more.
Request a Trial      Sign Up Now


Copyright © 2009 Yahoo! Inc. All rights reserved. Privacy Policy - Terms of Service
SEC Filing data and information provided by EDGAR Online, Inc. (1-800-416-6651). All information provided "as is" for informational purposes only, not intended for trading purposes or advice. Neither Yahoo! nor any of independent providers is liable for any informational errors, incompleteness, or delays, or for any actions taken in reliance on information contained herein. By accessing the Yahoo! site, you agree not to redistribute the information found therein.